Background & Objective: Cardiovascular disease is a major global health problem. Countries with low to moderate income contribute significantly to the global burden of cardiovascular disease accounting for 78% of all deaths and 86.3% of all disabilities. This study was an attempt to determine the factors contributing to premature myocardial infarction among young adults in Ardabil city.

 Methods: In this Case-control study 52 subjects, under 45, with myocardial infarction, admitted to Buali hospital in 2003-2004, were compared with 52 age and sex matched population based controls. Odds ratio and confidence interval of 95% were used to evaluate the risk factors such as smoking, physical activity, family history, history of diabetes and similar factors. Analysis of variance was used to compare the means.

 Results: The mean age of the subjects was 37.2 and 96.2% of them were male. The positive family history of cardiovascular disease with odds ratio of 9.4 (95% CI=2.6-34.3) and current smoking with odds ratio of 2.8 (95% CI=1.3-6.2) associated with myocardial infarction. Mean of the body mass index and mean of concentration of FBS, LDL and HDL were different in case and control groups. Physical activity with odds ratio of 0.4 had protective effect. (95% CI= 0.2-0.8). There was no meaningful relationship between passive smoking, total cholesterol, education and job with myocardial infarction risk.

 Conclusion: Family history, smoking, high Fasting Blood Sugar, high LDL, Low HDL and physical inactivity are the most important factors associated with acute myocardial infarction. Proper health interventions should be considered in order to lower the risk factors among young adults especially those under 45 years of age with a positive family history of myocardial infarction.

 Background & Objectives: One of the major concerns for parturient women and midwives is the healing of episiotomy and prevention of its subsequent complications. In order to achieve perineal healing in the past, cold and warmth therapy, traditional medicine and povidone iodine were used. But today episiotomy care includes ice pack and warm. One of non pharmacologic methods is aromatherapy and one of aromatherapy products is chamomile essence used in midwifery care and can extensively be applied to perineal healing and prevention of episiotomy infection. This clinical trial was conducted to assess the effects of chamomile essence on episiotomy healing on primiparous women referring to Talesh Hospital of Shaheed Norani in 2007.

 Methods: In this double blind clinical trial, 44 women on intervention group of chamomile essence and 44 women on control group of placebo used sitz bath together with routine care twice a day, for two weeks. Then episiotomy healing process was assessed on the first 12 hours, 7th and 14thdays of postpartum.

 Results: Healing process was considered as basic information on the first 12 hours. Findings showed that Mean pain on the 7th & 14th day decreased in the intervention group but it did not indicate a significant difference. Mean score (±standard deviation) perineal healing on the 7th day was on intervention group 1.61±1.08 and placebo group 1.34 ±0.9.Perineal healing mean on 14th day in intervention group 0.58 ±0.54 and placebo group 0.57±0.36. Mann Whitney, statistic tests showed no significant difference between these two groups.

 Conclusion: Results revealed that episiotomy healing was the same for both groups. It seems that more studies on this field with various doses and types of chamomile medical plant are necessary.

 Background and objectives: Employed pregnant women have to do their jobs in addition to fulfill their house wife role and behavior, while changes physical and psychological change and needs of pregnant women in home and work place cause some problem for them. Marital satisfactions is one of the criteria’s of mental health, that employment and marital intimacy are it’s influential factors it is different in various societies and are influenced by personal and social characters of community. This study was conducted to compare marital satisfaction and intimacy in employed and unemployed pregnant women in Ardabil.

  Methods: This cross-sectional study was conducted in 93 employed and 93 unemployed pregnant women referred to health and treatment centers of Ardebil University of Medical Science, and private clinics of Ardabil. We gathered data by an information form, Enrich Marital Satisfactions Questionnaires and Bagarozi Couple Intimacy Questionnaires. Validity of questionnaires assessed through validity of content and their reliability measured by Cronbach α . Questionnaires were filled by pregnant women. The data analyzed by SPSS 16 soft ware using T-Test, Man-vitny, chi-square, Correlation coefficient, variance analysis, and LSD tests).

  Results: There was no significant difference between mean of marital satisfaction and general intimacy in employed and unemployed pregnant women. p > 0.05. There was significant correlation between intimacy and satisfaction expect body intimacy (p < 0.01). There was significant difference between marital satisfactions of pregnancy in different trimester. This difference was significant between first and last trimester. It was not significant between first & second & third trimester. 69.9% of unemployed pregnant women and 66.7% of employed pregnant women had relative and medium marital satisfaction and 93.5% of unemployed pregnant women and 94.6% of employed pregnant women had medium intimacy.

  Conclusion: It seems that employment had no effect on marital satisfaction and intimacy. Considering that most samples had medium intimacy satisfaction, educational programs and consulting is recommended.

  Background & Objectives: Breast cancer is one third of all kinds of cancers and the second reason of death in women. Prevention and screening can decrease affection and death rate. The aim of this study was to determine the breast cancer screening tests performance and affecting factors in women referred to Ardabil’s Health and Medical Centers in 2009 .

  Methods: In this descriptive-analytic study, 300 women referring to Ardabil’s Health and Medical Centers were chosen by multistage sampling. The information was collected through the researcher-made questionnaire including two parts: Knowledge and Attitude questions and a form about demographical characteristics, family, social and economic factors, risk and women-midwifery factors. For analyzing the data, SPSS software version 16, and descriptive and deductive statistic tests were used .

  Results: The percentage of screening tests including self-examination, clinical examination and mammography consequently were 4%, 4.7% and 3.7%. There was significant relationship between breast self-examination and education (p =0.003), knowledge (p =0/002) and attitude (p=0.004). No significant difference was observed between insurance status and history of hormone therapy and breast cancer screening tests.

  Conclusion: In regard to the low rate of breast cancer screening conducted and determining the affecting factors, the appropriate educational programs and interventional research are emphasized .

Background & aims: The main purpose of this study was to investigate the impact of NEO personality dimensions on general health, quality of life and job burnout in a sample of faculty members of Iran University of Medical Sciences.

Methods: In this correlational study, data were collected by convenience sampling using General Health Questionnaire (GHQ), WHO Quality of Life- Brief (WHOQOL-FFI), Maslach Burnout Inventory (MBI) and NEO-FFI. In order to analyze the data, statistical indices, including mean, standard deviation and Pearson correlation coefficient were used. 

Results: The results showed a significant correlation between  personality dimensions, including  neuroticism, extraversion, conscientiousness and agreement with any public health variables (correlation coefficients 0.435, 0.533, 334.513, 0.0) and quality of life (correlation coefficients 0.294, 0.438, 312.459, 0.0) and burnout (correlation coefficients 0.259, 0.351,       -0.302, -0.299, 0.0) , respectively in the Department of Surgery, but openness to experience had  no significant correlation with any of the above-mentioned variables. Also, there was a significant relationship between the three variables of public health, quality of life with burnout.

Conclusions: According to the findings, it can be concluded that in the participants of this study, increase of neuroticism scores was associated with decreased general health and quality of life scores and increased job burnout. Further, increased extroversion scores were associated with increase in general health and quality of life and decrease in job burnout scores.