Technology and Research Information System

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Introduction: One of the new methods of teaching is peer teaching, but its efficacy has gained little attention in nursing education
especially in clinical skills. Therefore, this study examined the effect of near-peer teaching on learning hand hygiene skills among
nursing students. Methods: In this quasi-experimental study, 80 first grade nursing were selected and randomly assigned to two
groups: ʺinstructor teachingʺ and ʺnear-peer teachingʺ. The data collection tool was a hand hygiene skill checklist which was
completed based on observations before and after training. Intervention group and control group were practiced by peers and
academic member, respectively. Evaluation was done by one academic member who had no information about students groups
through the same checklist. Data were analyzed with conduct independent sample t- test and paired sample t-test. Confidence interval
95% (α= 0.05) was considered as significant level. Finding: The findings shows that, No significant difference was found between two
groups regarding the scores of hand hygiene skills before training (p = 0.66). After training, the average score of hand hygiene skills
was 10.8 ± 0.99 inʺ instructor group ʺ and 11.6 ± 0.53 in the ʺnear- peer groupʺ, and there was a significant difference between the
groups (p <0.01). Conclusion The improvement of nursing students’ hand hygiene skill in theʺ near-peer groupʺ is better than the
ʺinstructor teaching groupʺ and it is suggested to use it as a method for teaching students practical skills.
Keywords: Hand hygiene, Near-peer Education, Clinical instructor

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Brucellosis is one of the common diseases between humans and animals that has always been considered as an economic-health problem in our country, especially among nomads. Brucellosis is caused by species of the genus Brucella. Transmission of the infection to humans occurs through direct or indirect contact with infected animals and causes many health problems and economic losses. The aim of this study was to determine the serum prevalence of Brucella infection in nomadic tribes of Helilan region of Shirvan Chardavol city of Ilam province to follow up and implement health measures.

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Background and Aim: Predicting survival time has many effective consequences in managing the quality of life for the rest of the patientchr('39')s life. On the other hand, survival data are highly variable and make accurate predictions difficult. Random survival forests by repeating tree construction and averaging the results of these trees cause reducing the prediction error and further generalizability of these results. This thesis compares the prediction error of the random survival forest model with the Cox and Weibull models in predicting the time to the first recurrence in patients with epithelial ovarian cancer.
Materials and Methods: In this study, the data of 141 patients with ovarian cancer who referred to Imam Hossein Hospital in Tehran from 2008 to the end of 2018 were used. Cox regression, Weibull model, classification and regression tree, and random survival forest were fitted to the data to investigate the factors affecting the first recurrence of patients, respectively. Finally, using the C-Index and Brier score, the prediction error of these models were compared.
Results: According to the results of random survival forest, metastatic tumor using the criterion (VIMP), with relative importance of 2.665 and minimal depth (MD) 2.349, tumor stage with relative importance of 1.993 and depth of 2.678, and maximum platelet count with relative importance of 2.132 and depth of 2.683 were effective variables. According to the Brier score, the random survival forest prediction error was 0.16 and the Cox model was 0.24. The C-Index error in the random survival forest was 0.34 and the Cox model was 0.42. Brier scores for the Cox and Weibull models were calculated to be approximately the same, so the random survival forest prediction error of the less than both Cox and Weibull models.
Conclusion: Unlike classical methods, the random survival forest without the need for special presuppositions with less predictive error can well explain the variables of the response variable when exposed to high-dimensional data.

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Effectiveness of educational program based on Transtheoretical model on physical activity stage of change in high school students of sharableh city
 

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Investigation of health information-seeking behavior related to covid-19 disease in young people of Ilam province
 

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Lifestyle is the normal and usual daily activity of people that affects people's health. Employees should be aware of correct health behaviors so that they can use them to improve their health and quality of life.

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Background and aim: Consumption of appropriate amounts of fruits and vegetables in the daily diet is one of the important methods of disease prevention and health promotion, especially in adolescents. The aim of this study is to determine the impact of educational intervention based on Social Cognitive Theory on fruits and vegetables intake in female high school students in Ilam.
Materials and methods: the present study was conducted in two stages. In the first stage, a descriptive study was conducted with the participation of 332 female high school students from 5 schools in Ilam who were selected by random sampling and entered into the study. The results of the descriptive study were analyzed to determine the most important predictor of behavior for the intervention.  The educational intervention was performed with the participation of two groups of intervention (80 samples) and control (80 samples) for 4 weeks in the form of 5 educational sessions. Data were collected using a 54-item questionnaire in two stages before and three months after the educational intervention Data were analyzed using descriptive statistics, Pearson correlation, and multiple linear regression, one-way ANOVA, independent t-test and paired t-test by SPSS 19 software.
 

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Background and aim: Complementary feeding (CF) plays a key role in the development and prevention of malnutrition in infants under two years of age. The purpose of this study was to determine the effectiveness of educational intervention based on Health Belief Model (HBM) on mothers' behavior on CF of 6-18 months old infants in Andimeshk.
Materials and methods: The present study was conducted in two stages. In the first stage, a descriptive study was conducted with 270 mothers with 6-18 month old infants referred to six health centers that were selected randomly and included in the study. The results of the descriptive study were analyzed for the needs assessment of educational intervention. In the second stage, based on the results of the descriptive study, appropriate educational intervention was designed and implemented. Educational intervention was conducted in two intervention (n=32) and control (n=35) groups for three weeks. Data were collected by a 53-item questionnaire in two stages before and one month after the intervention and were analyzed using SPSS software and descriptive statistics, Pearson correlation, multiple linear regression, one-way ANOVA, chi-square, independent samples t-test and paired samples t-test.
 

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Road traffic crashes (RTCs) are major public health challenges of world health systems, and the main lead‑
ing cause of death in children and young adults aged 5 to 29 years. This study aimed to assess the epidemiology of
RTCs in Ilam, Iran.
 

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High blood pressure is one of the most common chronic diseases, which leads to other diseases. Hypertension is one of the most important public health threats in developed and developing countries. According to the available evidence, about 25 to 35% of the worldchr('39')s population over the age of 18 and 60% of people over the age of 60 have high blood pressure. In Iran, the number of people with high blood pressure has increased by 13% since 1968. According to the International Blood Pressure Association, the disease has led to 7.6 million deaths (13.5% of all deaths) and accounts for 6% of the cost of diseases worldwide. Risk attributed to risk factors for cardiovascular disease in Iran, 62% due to high blood pressure, 22% due to cardiovascular disease due to inactivity, 22% due to smoking, 13% due to low consumption of fruits and vegetables, And 18% due to high blood fats (some factors overlap). According to the International Center for Health Statistics in Asia in 2012, 6.8 percent of people over the age of 18 had heart disease, 4.5 percent had coronary artery disease, and 21.2 percent had high blood pressure.
If blood pressure is controlled, accidents and their consequences are greatly reduced, for example, by controlling blood pressure, the incidence of stroke and ischemic heart disease is reduced by 28 to 44% and 20 to 35%, respectively. According to scientific documents, education is one of the most basic tools and methods to prevent high blood pressure and its complications. It is estimated that developing countries, especially Asia and the Middle East, have the highest increase in high blood pressure, which is related to lifestyle, especially high-calorie diet and the use of ready-made and salty foods. Although many programs have raised the awareness of people for the primary prevention of hypertension in Iran and other countries, reports from the World Health Organization show that the number of patients with this disease is increasing day by day, and from there That early prevention of hypertension is positively related to the tendency to change high-risk behaviors, addressing this issue can help more comprehensive planning for the prevention of this disease. Although antihypertensive drugs are known to be the primary treatment for high blood pressure, these treatments will not be effective even if patients are fully compliant. Lifestyle is the most important and preventable risk factor, which can be modified to reduce many risk factors for chronic diseases. Lifestyle includes behaviors such as eating habits, sleep and rest, physical activity and Exercise, weight control, smoking and alcohol, immunization against disease, coping with stress and the ability to use the support of family and community. Most foreign and domestic studies show a direct and positive relationship between high blood pressure and aging and body mass index. Due to the various factors affecting the occurrence of hypertension, early prevention of hypertension is necessary, which necessitates the development of an educational program to promote health, primary prevention and its impact on high-risk middle-aged women. Therefore, the present study aims to evaluate the health education program in the primary prevention of hypertension in high-risk middle-aged women in Koohdasht.

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the present study is descriptive- analytic. the statistical population includes all the deaths registered in forensic medicine and registration of civilian status in ilam province during the period of 1388-1397. adaptation of information is based on data recorded in forensics and registration. the varables studied (age, sex, marital status, educatinal level, place of residence, cause of death, years of life lost due to premature death, life expectancy, etc) obtained through the collected data and using the Spss 23 and Excel software will be analyzed. the causes for deatj are ranked according to the ICD classification provided by the world health organization.

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introduction
Self-rated health is an important and practical indicator in health research. Health outcomes can be predicted. Self-reported health is one of the common and scientific indicators of health measurement to monitor changes and measure the overall health of different populations. In other words, the person mentally assesses their health. The health of self-expression has been measured in many countries, and in those studies, attempts have been made to determine the impact of the factors involved and the impact of these factors on each other. Hence, many studies indicate the influence of factors such as demographic status of people (age, sex, race, religion), socio-economic, lifestyle, culture, education and literacy level in personal perception of health status of individuals. On the other hand, various studies have shown that self-reported health is affected by factors such as social, economic, psychological, environmental, lifestyle, cultural, family history, demographic and clinical indicators. As one of the developing countries, Iran is in an acceptable situation in terms of health and public health. However, it is still far from global standards and requires the design and development of research and root-finding infrastructure to identify health-damaging factors (both physical and mental). Studies on socio-economic inequality have shown that the lower the socio-economic status, the lower the self-reported health score of the people in the study. Comparisons of economic inequality show that people look to others to judge their position in important dimensions, especially when there are no objective standards. Interest in studying the relationship between economic status and self-health has increased. However, there is conflicting evidence for this relationship. Limited studies have been performed on self-expression in Iran and its relationship with demographic and socio-economic variables has been determined. Ilam province is more prone to stress and anxiety due to special geographical conditions and lack of some welfare and development facilities, high unemployment and complications caused by the imposed war, which will lead to a high prevalence of mental disorders and reduced quality of life. On the other hand, the lack of development of the province and the lack of facilities have led to many people not having acceptable access to health services, all of which will reduce the quality of life and, consequently, health. Despite extensive search, so far, no study has been conducted to determine the relationship between socio-economic status and self-expression in this province. Therefore, we decided to conduct a study to investigate the relationship between socio-economic status and self-expression in the general population of Ilam and the factors affecting it.
method
This cross-sectional and population-based study will be conducted in 10 comprehensive health service centers in Ilam in 1400. First, the population of all areas of Ilam city will be provided separately for 10 comprehensive main health service centers of the city. Then, using the number of people in different areas, all members of the community will be considered, and using the share of each area of ​​Ilam urban community, we will select 1,500 people. A standard questionnaire is used to collect demographic information. Then, your self-reported health questionnaire will be used. To measure the economic status of individuals, household asset data will be collected and then constructed using the analysis of the principal components of the wealth variable. People will then be divided into three groups: poor, middle and rich. Then, with the Oaxaca-Blinder analysis method, economic inequality in their health will be measured and with this method, this inequality will be broken down into effective factors. Also, Stata software will be used for analysis.
 

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Worldwide, cancers are the leading cause of death for the human population in various age groups, and no age group is completely immune to cancer. Among different types of cancer, breast cancer is the most common invasive malignancy in women. According to statistics, 1 in 8 women is at risk for breast cancer, and early diagnosis reduces the risk of death from the disease by 25% or 30%, it is necessary for women over 40 years of age. Or decide to have a mammogram sooner and have the screening done. One of the most important patterns of changing individual behavior and helping clients to adopt new health behaviors is a meta-theoretical model that emphasizes step-by-step and step-by-step behavior change and is based on the principle that behavior change and new behavior in individuals It requires the correct use of appropriate strategies for cognitive and behavioral change and is based on the mental balance of the individual of the advantages and disadvantages of change and the degree of confidence and self-confidence and his ability to implement the decision.
Therefore, in this study, the effect of educational intervention on the decision to perform mammography in rural women with low health literacy in Dalahou County will be investigated and the main hypothesis of the research will be that "educational intervention leads to significant progress of the intervention test group in stages The change in mammography screening compared to the control group is three months and six months after the educational intervention. Recent year, failure to perform breast self-examination at least 4 times (in general) in recent years, lack of first-degree relatives with breast cancer, living in rural areas, minimum primary education, low level of health literacy and being in the pre-thinking stages and model thinking stages Change is the model thinking of the stages of change.
Exclusion criteria also include history or history of mammary gland mass, disease or history of mental illness, pregnancy, lactation, unwillingness to participate in the study, history of breast cancer screening training classes. The test will be collected using change model step questionnaires and questionnaires for measuring transtheoretical model structures. For the intervention group, according to the results of the initial diagnostic evaluation, an intervention and educational program based on the identified structures will be designed and implemented.
Post-test data will be collected in two stages, 3 and 6 months after the educational intervention and as a self-report. For data analysis, SPSS statistical software version 27 will be used with a significance level of 0.05 and by launching Chi-square statistical tests and duplicate size tests [1].

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