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A Structural Model of Health-Related Quality of Life Based on Parenting Stress and Spiritual Well-Being with the Mediating Role of Locus of Control in Parents of Children with Specific Learning Disorder 特殊学习障碍儿童父母健康相关生活质量的结构模型:父母压力、精神幸福感及控制源的中介作用
Pub Date : 2022-01-01 DOI: 10.32598/cjhr.7.1.408.1
Behrooz Mohammadchenari, F. Marashian, Marzieh Talebzadeh Shoushtari
Background: Raising children with Specific Learning Disorder (SLD) is a stressful experience that may influence the Health-Related Quality of Life (HRQOL) of parents of children with SLD. Objective: The present study aimed to investigate the mediating role of locus of control in the relationship of parenting stress and spiritual well-being with HRQOL in parents of children with SLD. Materials & Methods: This is a descriptive cross-sectional study. The study population comprised all parents of children with SLD in 2020-21, among whom 174 parents were selected through convenience sampling. The research instruments included the SF-36 Questionnaire, Parenting Stress Index, the Spiritual Well-Being Questionnaire, and the Locus of Control Scale. The proposed model was evaluated using path analysis. Results: there was a significant relationship between spiritual well-being and HRQOL, locus of control and HRQOL, parenting stress and locus of control, and between spiritual well-being and locus of control (P<0.01). However, no significant relationship was found between parenting stress and HRQOL. Indirect paths of parenting stress were significantly correlated with HRQOL through the mediating role of locus of control and there was a significant relationship between spiritual well-being and HRQOL with the mediating role of locus of control (P<0.01). Conclusion: This study revealed that locus of control is a significant mediator in the relationship of parenting stress and spiritual well-being with HRQOL in parents of children with learning disorder.
背景:抚养特殊学习障碍(SLD)儿童是一种有压力的经历,可能会影响SLD儿童父母的健康相关生活质量。目的:本研究旨在探讨控制源在特殊障碍儿童父母养育压力、精神幸福感与生活质量之间的中介作用。材料与方法:这是一项描述性横断面研究。研究人群为2020-21年度所有SLD患儿的家长,其中通过方便抽样抽取174名家长。研究工具包括SF-36问卷、父母压力指数、精神幸福感问卷和心理控制源量表。采用通径分析对模型进行评价。结果:精神幸福感与HRQOL、控制点与HRQOL、父母压力与控制点、精神幸福感与控制点之间存在显著相关(P<0.01)。然而,父母压力与HRQOL之间没有显著的关系。父母压力的间接路径通过控制点的中介作用与HRQOL显著相关,精神幸福感与HRQOL在控制点的中介作用下显著相关(P<0.01)。结论:本研究揭示了控制源在学习障碍儿童父母养育压力、精神幸福感与HRQOL的关系中起着显著的中介作用。
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引用次数: 0
The role of the Lodging Manager in Overcoming HIV / AIDS Transmission in the Backpacker Tourism Area of Yogyakarta City, Indonesia: A Qualitative Study 住宿管理者在印尼日惹背包客旅游区克服HIV / AIDS传播中的作用:一项质性研究
Pub Date : 2022-01-01 DOI: 10.32598/cjhr.7.1.403.1
Fitriana Putri Utami, Ratu Matahari
Background: Backpacker tourists are dominated by young people who have a high adventurous spirit and are happy with freedom. This makes backpacker tourists both local and foreign at risk to engage in risky sexual behavior. In adolescents and young adults, risky sexual behavior that occurs during holidays is also accompanied by an increase in alcohol consumption, that brings more complex health impacts. Lodging has a strong role in preventing risky behavior by backpacker tourists. Objectives: The aim of this study was to analyze the role of lodging managers in preventing transmission of HIV/AIDS in backpacker areas. Materials & Methods: In this qualitative research with a case-study approach, the participants were 20 informants who were selected by a purposive sampling method. Data were collected by in-depth interview and analyzed by content analysis. Results: The role carried out by the lodging manager to prevent HIV/AIDS transmission was identified as to refuse teenage guests who are sexually opposite couples rent a single room and not selling alcohol and condoms. Lodging also did not provide Female Sex Workers (FSW) services and rejected FSW requests from guests. Conclusion: This study identified the role of lodging manager in backpacker tourism area that was considered appropriate to reduce the risk of sexual behavior that can result in HIV/AIDS transmission.
背景:背包客旅游者以年轻人为主,他们具有高度的冒险精神,喜欢自由。这使得本地和外国的背包客都面临着从事危险的性行为的风险。在青少年和年轻人中,假日期间发生的危险性行为还伴随着酒精消费的增加,这带来了更复杂的健康影响。住宿在防止背包客冒险行为方面发挥着重要作用。目的:本研究的目的是分析住宿管理者在背包客地区预防HIV/AIDS传播中的作用。材料与方法:本研究采用个案研究的定性研究方法,采用有目的抽样的方法,选取了20名被调查者作为研究对象。数据收集采用深度访谈法,分析采用内容分析法。结果:酒店管理人员在预防艾滋病传播方面的作用确定为拒绝异性恋青少年客人租用单间,不出售酒精和避孕套。住宿也不提供女性性工作者(FSW)服务,并拒绝客人的FSW请求。结论:在背包客旅游区,住宿管理人员的作用被认为是适当的,可以降低性行为导致艾滋病传播的风险。
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引用次数: 0
Effectiveness of Mindfulness Group Training on Hope and Resilience of People with Gender Dysphoria 正念小组训练对性别焦虑症患者的希望和恢复力的影响
Pub Date : 2022-01-01 DOI: 10.32598/cjhr.7.1.395.1
F. Amini, K. Ramezani, A. Maredpour
Background: Gender Dysphoria (GD) affects the personality, behavioral, cognitive, emotional, and metacognitive systems of individuals, and people with GD are more susceptible to psychological disorders. Objective: The present study aimed to investigate the effectiveness of mindfulness group training on the hope and resilience of people with GD. Materials & Methods: This was a quasi-experimental study with a pre-test, post-test, and three-month follow-up design and a control group. The study population comprised all people with GD visiting the State Welfare Organization of Shiraz in 2020. The sample consisted of 30 people suffering from GD, selected by convenience sampling method. We randomly divided the participants into experimental and control groups (n=15 per group). The experimental group underwent eight sessions (90-minute sessions per week) of mindfulness group training. The research instruments included the Connor-Davidson Resilience Scale and Miller Hope Scale. Data analysis was performed using repeated measures ANOVA. Results: The mean age of participants was 31.49±9.19 years and 47% were male. Participants in the mindfulness group training showed significant improvement in the scores of hope (P=0.04) and resilience (P=0.03) compared to the control group. Conclusion: The findings indicated that mindfulness training using techniques such as mindful thoughts, emotions, and behavior can serve as an effective therapy to increase the level of hope and resilience in people with GD.
背景:性别焦虑症(Gender Dysphoria, GD)影响个体的人格、行为、认知、情绪和元认知系统,GD患者更容易发生心理障碍。目的:本研究旨在探讨正念团体训练对焦虑患者希望和恢复力的影响。材料与方法:本研究为准实验研究,采用前测、后测和三个月随访设计,并设对照组。研究人群包括所有在2020年访问设拉子国家福利组织的GD患者。样本为30名GD患者,采用方便抽样法抽取。我们将参与者随机分为实验组和对照组(每组15人)。实验组接受了8次正念小组训练(每周90分钟)。研究工具包括Connor-Davidson弹性量表和Miller Hope量表。数据分析采用重复测量方差分析。结果:参与者平均年龄为31.49±9.19岁,男性占47%。与对照组相比,正念组在希望得分(P=0.04)和恢复力得分(P=0.03)上均有显著提高。结论:研究结果表明,正念训练使用正念思想、情绪和行为等技术可以作为一种有效的治疗方法,增加焦虑患者的希望和恢复能力。
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引用次数: 2
Exploring determinants of exclusive breastfeeding intention in nulliparous pregnant women: A cross-sectional path analysis 探讨未产孕妇纯母乳喂养意向的决定因素:横断面路径分析
Pub Date : 2022-01-01 DOI: 10.32598/cjhr.7.1.394.1
Farahnaz Yazdanpanah, M. Nasirzadeh, H. Ahmadinia, Hahdi Abdolkarimi
Background: One of the most important ways to improve neonatal health is Exclusive Breastfeeding (EBF). Objective: In this study, the determinants of EBF intention were investigated through Structural Equation Modeling (SEM) in nulliparous pregnant women. Materials & Methods: This cross-sectional study was conducted among 249 pregnant women in Kerman in 2020. Data was collected using a questionnaire, including, questions related to knowledge, attitude, self-efficacy, and the intention of EBF. SEM in Amos statistical software version 20 was used to examine the relationships between the studied variables. Results: The mean age of participants was 26.98±6.16 years and the majority of them were housewife. There was significant correlation between the intention of EBF and self-efficacy (r=0.597, P<0.001) knowledge (r=0.337, P<0.001) and attitude (r=0.344, P<0.001). Breastfeeding self-efficacy was the strongest predictor of intention to EBF (β=0.352, P<0.001). Conclusion: This study revealed that mothers’ breastfeeding self-efficacy was the most important predictor of the EBF intention.
背景:改善新生儿健康最重要的途径之一是纯母乳喂养(EBF)。目的:采用结构方程模型(SEM)对未产孕妇EBF意向的影响因素进行研究。材料与方法:本横断面研究于2020年对克尔曼249名孕妇进行。采用问卷法收集数据,包括知识、态度、自我效能感和EBF意向等问题。使用Amos统计软件版本20中的SEM来检验所研究变量之间的关系。结果:调查对象平均年龄为26.98±6.16岁,以家庭主妇居多。EBF意向与自我效能感(r=0.597, P<0.001)、知识(r=0.337, P<0.001)、态度(r=0.344, P<0.001)有显著相关。母乳喂养自我效能感是EBF意向的最强预测因子(β=0.352, P<0.001)。结论:母亲的母乳喂养自我效能感是EBF意向的最重要预测因子。
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引用次数: 0
Two Complement Views Toward Disease Development: Clinical and Prevention Perspectives 疾病发展的两种互补观点:临床和预防观点
Pub Date : 2022-01-01 DOI: 10.32598/cjhr.7.1.1
M. Shakiba
The principle of natural history of disease is essential to conceptualize disease entities and ways of intervention. In this regard, two complement views can be used in depicting the whole spectrum of the disease called as clinical and preventive perspectives. In this editorial, the two views have discussed with their implication toward creating healthy communities.
疾病的自然史原理对于概念化疾病实体和干预方法是必不可少的。在这方面,两种互补的观点可用于描述疾病的整个范围,称为临床和预防观点。在这篇社论中,这两种观点讨论了它们对创建健康社区的影响。
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引用次数: 0
Association Between Virtual Social Networks and Health-Promoting Lifestyles in Medical University Students 医科大学生虚拟社交网络与促进健康生活方式的关系
Pub Date : 2022-01-01 DOI: 10.32598/cjhr.7.1.393.1
F. Rahimi, M. Pouresmaeil, F. Rafiei, Zahra Hazrati- Meimaneh, F. Sabeti, Najmolmolook Amini, Somaieh Borjalilu
Background: Medical students make extensive use of virtual social networks, especially in the era of the coronavirus pandemic, so that their health-promoting behaviors may be adversely affected. Objective: This study aimed to determine the relationship between the use of virtual social networks and a health-promoting lifestyle among postgraduate medical students. Materials & Methods: This cross-sectional study was conducted among post-graduate students studying at Tehran University of Medical Sciences in 2020. A total of 240 students were included using quota sampling method. Data were collected via valid and reliable questionnaires consisting of socio-demographic information, health-promoting lifestyle Profile-II, and virtual social networks utilization. The spearman test was employed to evaluate the association between virtual social networks and lifestyle. Results: The mean age of participants was 32.21±7.45 and 75.4% were female. The mean score of lifestyle was 138.28±21.18, while the mean score of virtual social networks utilization was (64.55±11.40). There was a statistically significant correlation between utilization of virtual social networks and total score of lifestyle (r=-0.189, P=0.003), as well as physical activity (r=-0.232, P=0.001), nutrition (r=-0.179, P=0.005), and self-actualization (r=-0.154 , P=0.017) of health promoting lifestyle. Linear regression model showed that utilization of internet and social networks (B=-0.37, P=0.02), utilization in the time between 12 pm and 8 am (B=-14.3, P=0.011) were independently associated with Health Promoting Lifestyle score. Conclusion: This study showed that more than half of students had a healthy lifestyle (55%). The average score of virtual social networks used by students was high. Utilization of internet and the time of utilization were independent predictors of Health Promoting Lifestyle score.
背景:医学生广泛使用虚拟社交网络,特别是在冠状病毒大流行时代,可能会对医学生的健康促进行为产生不利影响。目的:本研究旨在确定医学研究生使用虚拟社交网络与促进健康的生活方式之间的关系。材料与方法:本横断面研究是在2020年在德黑兰医科大学学习的研究生中进行的。采用定额抽样法,共纳入240名学生。数据通过有效可靠的问卷收集,包括社会人口统计信息、促进健康的生活方式概况- ii和虚拟社会网络的利用。采用spearman测试来评估虚拟社交网络与生活方式之间的关系。结果:参与者平均年龄为32.21±7.45岁,女性占75.4%。生活方式得分平均为138.28±21.18分,虚拟社交网络利用得分平均为64.55±11.40分。虚拟社交网络使用与生活方式总分(r=-0.189, P=0.003)、促进健康生活方式体力活动(r=-0.232, P=0.001)、营养(r=-0.179, P=0.005)、自我实现(r=-0.154, P=0.017)存在显著相关。线性回归模型显示,互联网和社交网络的使用(B=-0.37, P=0.02)、中午12点至早上8点的使用(B=-14.3, P=0.011)与健康促进生活方式评分独立相关。结论:本研究表明,超过一半的学生(55%)拥有健康的生活方式。学生使用虚拟社交网络的平均得分较高。网络使用情况和使用时间是健康促进生活方式评分的独立预测因子。
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引用次数: 0
Challenges Confronting COVID-19 Vaccination COVID-19疫苗接种面临的挑战
Pub Date : 2021-12-01 DOI: 10.32598/cjhr.6.4.1
M. Shakiba
Vaccination is a fundamental approach in mitigating the COVID-19 pandemic. But there are challenges confronting successful COVID-19 world-wide vaccination. This editorial pointed out to the doubt on long-lasting immunity gained from vaccination, vaccine hesitancy and inequity in vaccine access as windering issues facing the global combat against COVID-19.
疫苗接种是缓解COVID-19大流行的基本方法。但成功的COVID-19全球疫苗接种面临挑战。这篇社论指出,对从疫苗接种中获得持久免疫力的怀疑、疫苗犹豫和疫苗获取不公平是全球抗击COVID-19斗争面临的棘手问题。
{"title":"Challenges Confronting COVID-19 Vaccination","authors":"M. Shakiba","doi":"10.32598/cjhr.6.4.1","DOIUrl":"https://doi.org/10.32598/cjhr.6.4.1","url":null,"abstract":"Vaccination is a fundamental approach in mitigating the COVID-19 pandemic. But there are challenges confronting successful COVID-19 world-wide vaccination. This editorial pointed out to the doubt on long-lasting immunity gained from vaccination, vaccine hesitancy and inequity in vaccine access as windering issues facing the global combat against COVID-19.","PeriodicalId":112656,"journal":{"name":"Caspian Journal of Health Research","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125691959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Alexithymia and Self-Efficacy With Pain Perception in Women with Migraines: A Cross-sectional Study 偏头痛患者述情障碍和自我效能感与疼痛感知:一项横断面研究
Pub Date : 2021-12-01 DOI: 10.32598/cjhr.6.4.383.1
Sholeh Gharibi, A. Sadeghi
Background: Pain perception in individuals with migraine is very important and is influenced by various factors. The aim of this study was to investigate the role of alexithymia and self-efficacy with pain perception in women with migraine. Materials & Methods: This cross-sectional study was performed in women with migraine referred to medical centers in Rasht in 2021. Using convenience sampling method, 160 women with migraines participated in the study and answered the demographic information questionnaire, Toronto Alexithymia Scale (TAS-20), General Self-Efficacy Scale (GSE) and McGill Pain Questionnaire (MPQ). Data was analyzed using Pearson correlation coefficient and linear regression model. Results: Of total, 152 women responded to the questionnaire (response rate= 95%). The mean age of study participants was 32.86±8.5 years. Pain perception was negatively associated with selfefficacy (r=-0.28; P=0.001) and positively associated with alexithymia (r= 0.20; P=0.001). The results of linear regression also showed that self-efficacy and Externally-Oriented Thinking (EOT) subscale explained 13% of the variance in pain perception. Conclusion: Self-efficacy and externally-oriented thinking were significant contributors of pain perception in women with migraine. These variables can be considered for adopting coping strategies in patients experiencing migraine pain.
背景:偏头痛患者的疼痛感知非常重要,受多种因素影响。本研究的目的是探讨述情障碍和自我效能感在女性偏头痛患者疼痛感知中的作用。材料与方法:本横断面研究于2021年在拉什特医疗中心转诊的女性偏头痛患者中进行。采用方便抽样方法,对160名偏头痛女性进行人口统计信息问卷、多伦多述情障碍量表(TAS-20)、一般自我效能量表(GSE)和McGill疼痛问卷(MPQ)的问卷调查。采用Pearson相关系数和线性回归模型对数据进行分析。结果:共有152名女性回复问卷,回复率为95%。研究参与者的平均年龄为32.86±8.5岁。疼痛感知与自我效能呈负相关(r=-0.28;P=0.001),与述情障碍呈正相关(r= 0.20;P = 0.001)。线性回归结果还显示,自我效能感和外部导向思维(EOT)分量表解释了13%的疼痛感知差异。结论:自我效能感和外向型思维是女性偏头痛患者疼痛感知的重要影响因素。这些变量可以在偏头痛患者采取应对策略时加以考虑。
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引用次数: 0
Comparison of Mindfulness-Based Cognitive Therapy and Neurofeedback on Quality of Life of Patients With Irritable Bowel Syndrome 正念认知疗法与神经反馈疗法对肠易激综合征患者生活质量的影响比较
Pub Date : 2021-12-01 DOI: 10.32598/cjhr.6.4.379.1
Noura Khosh Chin Gol, B. Akbari, L. Moghtader, I. Shakerinia
Background: Irritable Bowel Syndrome (IBS) is one of the most common gastrointestinal disorders and is usually associated with abdominal pain. This study aimed to compare the effectiveness of mindfulness and neurofeedback on quality of life in patients with irritable bowel syndrome. Materials & Methods: The present study was a pretest-posttest control group design with a two-month follow-up. The study population included all women with irritable bowel syndrome referred to gastroenterology centers and clinics of Qazvin city in 2019. Patients were selected by convenience sampling and randomly assigned into two experimental and one control groups (n=45). The experimental groups underwent Mindfulness-Based Cognitive Therapy (MBCT) and Neurofeedback (NFB). The Rome-III diagnostic criteria form and the WHOQOLBREF were administered. Data were analyzed using repeated measure analysis of variance. Results: There was significant difference between NFB and control group for total quality of life and all its components. The mean between-group difference (MD) of total quality of life score in NFB compared to control group was 21.2±2.58 in post-test and 15.4±2.35 in follow-up (P<0.05). MBCT group was significantly different with the control group in component of general health both in post-test (MD= 0.93±0.53) and follow-up (MD=0.73±0.53), (P<0.05). Conclusion: NFB therapy considerably improved the quality of life of patients with IBS that was remained after two months of follow-up, while MBCT was only effective on improvement of general health in comparison with the control group.
背景:肠易激综合征(IBS)是最常见的胃肠道疾病之一,通常伴有腹痛。本研究旨在比较正念和神经反馈对肠易激综合征患者生活质量的影响。材料与方法:本研究采用前测后测对照组设计,随访2个月。研究人群包括2019年到加兹温市胃肠病学中心和诊所就诊的所有肠易激综合征女性。采用方便抽样法将患者随机分为实验组和对照组各45例。实验组接受正念认知疗法(MBCT)和神经反馈疗法(NFB)。采用Rome-III诊断标准表和WHOQOLBREF。数据分析采用重复测量方差分析。结果:NFB组与对照组在总生活质量及各项指标上均有显著性差异。NFB组总生活质量评分与对照组比较,组间平均差值(MD)后测为21.2±2.58,随访为15.4±2.35 (P<0.05)。MBCT组一般健康分项在测试后(MD= 0.93±0.53)和随访时(MD=0.73±0.53)均与对照组有显著差异(P<0.05)。结论:在随访两个月后,NFB治疗显著改善了IBS患者的生活质量,而与对照组相比,MBCT仅对改善一般健康状况有效。
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引用次数: 0
Epidemiology of Childhood Burn: A 5-Year Retrospective Study in the Referral Burn Center of Northern Iran Northern Iran 儿童烧伤流行病学:伊朗北部转诊烧伤中心5年回顾性研究
Pub Date : 2021-09-01 DOI: 10.32598/cjhr.6.3.8
M. Mobayen, R. Zarei, S. Masoumi, M. Shahrousvand, Seyyed Mohammad Hossein Mazloum, Zeinab Ghaed, N. Rahimzadeh
Background: Burns are the second most common etiology of injury death in children under 5 years old and are the most common cause of death in a home accident. Materials & Methods: This study was performed to investigate the epidemiology of childhood burn in children under 16 years old referred to Velayat Burn Center, Rasht City, Iran, from 2013 to 2018. Data were collected from electronic hospital records of burn patients aged under 16 years of age. Results: Out of 717 patients, 44.5% were girls, and 55.5% were boys (sex ratio=1.2). The highest frequency of burns (56.1%) was reported in the 1-5 years age group. The most common cause of burn was scalds (76%), and the most common burn severity was second-degree burns (46.7%). The Mean±SD duration of hospitalization was 3.07±4.15 days, and the hospital stay was significantly associated with the cause of the burn, Burned Body Surface Area (BBSA), and burn severity. The highest frequency was reported on Saturdays, i.e., (the first working day in Iran) (22.7%), between 6 and 12 o’clock (42.8%). Conclusion: This study found that children in 1-5 years old were the most susceptible age group for burn injuries and scalds were the most common cause of the burn. The male to female ratio was 1.2, and the majority of burns occurred in the winter.
背景:烧伤是5岁以下儿童伤害死亡的第二大常见病因,也是家庭事故中最常见的死亡原因。材料与方法:本研究旨在调查2013 - 2018年在伊朗拉什特市Velayat烧伤中心就诊的16岁以下儿童烧伤的流行病学。数据来自16岁以下烧伤患者的电子病历。结果:717例患者中女生占44.5%,男生占55.5%(性别比为1.2)。烧伤发生率最高的是1-5岁年龄组(56.1%)。最常见的烧伤原因是烫伤(76%),最常见的烧伤严重程度是二度烧伤(46.7%)。住院时间平均±SD为3.07±4.15天,住院时间与烧伤原因、烧伤体表面积(BBSA)、烧伤严重程度有显著相关性。据报道,频率最高的是星期六,即(伊朗的第一个工作日)(22.7%),6点至12点之间(42.8%)。结论:本研究发现1-5岁儿童是烧伤的易感年龄组,烫伤是烧伤最常见的原因。男女比例为1.2,以冬季烧伤为主。
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引用次数: 17
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Caspian Journal of Health Research
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