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Soheila Meimanat Abadi, Dr Fazlullah Ghofranipour, Dr Faegh Yousefi, Farhad Moradpour,
Volume 4, Issue 1 (5-2016)
Abstract

Background and Objectives: Damages caused by accidents are accounted as a major cause of death for children under 5 years old. To design preventive programs, health education theories could be employed. This study aimed to determine the effect of educational intervention based on health belief model on the damage caused by accidents in children less than 5 years in 1392 in Qorveh city.

Methods: The present randomized field trial study was conducted on 120 mothers with children less than 5 years who were supported by four different health centers. These centers were randomly divided into two groups of intervention and control. The effect of intervention was investigated using a standardized questionnaire including 85 items of health belief model structures. The questionnaires were completed using interviews by trained interviewers. Statistical analysis was done using SPSS 19.0, independent and two-tailed samples t-test.

Results: We found that there were positive and significant differences in terms of knowledge, intensity, perceived barriers and self-efficacy between two groups after intervention (P<0.05). Average differences before and after the intervention and the average scores were significantly different in all cases (P<0.05). There was a significant difference regarding the mild injuries among children under five years between the two groups after intervention (P=0.023).

Conclusion: Our results showed that education on the basis of health belief model, as one of the theories of health education, has positive effects on the promotion of safety knowledge, attitude change and improving the function of mothers over damaged children lower than 5 years and consequently the promotion of health and safety among children.


Alireza Mahboub-Ahari, Sakineh Hajebrahimi, Fatemeh Sadeghi-Ghyassi, Mahmood Yousefi, Maryam Radin Manesh,
Volume 4, Issue 1 (5-2016)
Abstract

Background & Objectives: Current study aimed to compare effectiveness and cost effectiveness of laser devices in BPH surgery. This study could provide clear evidences which could be used in prior approval and funding of such new emerging technologies.

Methods: A systematic search of related databases was performed to find Randomized clinical trials, systematic reviews, Meta analyses and health technology assessment studies which had been published up to 2008.key words are: Laser، Holmium YAG laser (HOLEP)، Tolmium Laser، Transurethral Resection of the Prostate (TURP) and prostate. Data for clinical effectiveness was retrieved from the literature. Two Laser Assisted Technologies were analyzed in terms of efficacy, effectiveness and cost-effectiveness and compared with Trans-Urethral Resection of the Prostate (TURP) method from the perspective of Iran Ministry of Health. We used standard costing for analysis of costs. One-way sensitivity analysis was performed for the examination of calculated ICER in different probable scenarios.

Results: Literature review stressed that there is no statistically significant difference in clinical effectiveness of Lasers assisted devices and TURP technique. The length of hospital stay and severity of side effects are clinically and statistically lower in Laser Assisted devices. Estimated unit-cost of treatment for Tolmium, Holmium and TURP was 3403541, 3019261 and 2455794 (RLS) from MOH perspective and 340354, 4719261 and 4325794 from societal perspective.

Conclusion: Sensitivity analysis showed that, in most of the study scenarios TURP was dominant intervention because of low treatment costs. Tolmium laser only with the assumption of dual applicability and 200 patients per year would be considered as a cost-effective technology.



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