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This study has been carried out on the 491 local children whom have been selected on random sampling in 20 villages around Gorgan. The size of the height and weight of NCHS standard has been used for comparison. The results of this study shows that the height and weight of all the children in any age group is below NCHS standard. It take more time to reach to acceptable height than reaching to a standard growth and weight. Children in any age experience delay in height monotonously but it has been recorded than in initial years of life, children experience shorter delay in growth and weight but by increasing the age, the delay in the former indices increased as well. In the whole, the rate of the malnutrition will be worsen after the breast feeding period is stopped.

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Anthropometric dimensions are basis for evaluation of newborns’ health. In respect of importance of anthropometric indices of head and face in forensic medicine, surgery, pediatrics, medical imaging, … . We achieved this study. Determining range of head and face dimensions in normal one-day old female newborns on Fars and Turkman races. This descriptive and cross-sectional study is achieved on 423 normal one-day old newborns (Turkman group: N=211, Fars group: N=212) by classic cephalometry method. Mean and standard deviation of cephalic and prosopic indices in Fars group were 78.63±4.7, 74.3±11.5 and in Turkman group were 77.85±8.7, 81.6±9.8 respectively. Dominant and rare types of heads in Fars group were mesocephalic (42%) and hyperbrachycephalic (9%) and in Turkman group were mesocephalic (39%) and hyperbrachycephalic (8%) respectively. Dominant and rare types of face in Fars group was hypereuriprosopic (71%) and hyperleptoprosopic (4.24%) and in Turkman group were mesoprosopic (39%) and hyperleptoprosopic (1.89%) respectively. This study determines the types of head and face in normal female newborns in Fars and Turkman groups and determines the effects of racial factor on the diversity of head and face shapes in normal newborns.

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Depression is a common disorder in the world. Depression may due to general medical condition disorder such as diabetes mellitus. This study explains the relationship between diabetes M and depression (Prevalence, age, duration, sex, type, control of disease) among diabetic patients. This is a analytical and cross-sectional study. Sampling has been done by random among out-patients diabetics in Gorgan 5th Azar Hospital, diabet clinic, during year 2000. About 100 NIDDM diabetic patients type and 50 IDDM type selected by randomization. They were assessed according to age, sex, FBS, HbA1c, duration, type and beck inventory standard test. The findings showed: 40.6% have moderate and sever depression with beck test over 21 points. There are a significant relationship between age of diabetic patients and depression (P<0.14). There are a significant relationship between duration and depression. There aren’t any relationship between sex and depression (P>0.81). There aren’t any relationship between type of diabet and depression (P<0.236). There aren’t any relationship between HbA1c and depression (P>0.85). Depression is more common among diabetic patients than general population and incidence have a direct relation with age and duration of disease.

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Diarrhea is one of the main reasons of mortality among children in the developed countries and half of all death is due to persisted diarrhea. This research is a cross-sectional and analytical study done on 708 children with acute diarrhea in village around Gorgan, to find out the effective factors on having persisted diarrhea in children under 5 years old. Face to face interview and determining the variable factors and examining health center records on children with acute diarrhea were the basis for filling the corresponding questionnaires. 14 days after the start of acute diarrhea, which was the second part of this research, the above questionnaires were fully completed by calling on the patient’s home. According to our investigation the risk factors related to the persisted diarrhea were as follow: Age, ethnicity, children length of breast feeding, chlorinated water, children consumed food at the time of acute diarrhea. The results from this investigation indicate that with 95% about probability 10.7%-11.3% of patients with acute diarrhea end-up with persisted diarrhea, which means diarrhea, was continued for more than 14 days. Therefore by controlling the above risk factors the mortality rate due to acute diarrhea could be reduced.

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It is reported that the rate of congenital malformations is about 2-3% at birth. They are one of the major causes of morbidity, mortality and disability in childhood are later in adulthood. The aim of this study was to determine the rate of gross congenital malformations that were preset at birth. The other factors studied were anatomic locations of anomalies, neonatal sex, race, maternal age and race. This study was a cross-sectional descriptive study, and the sample population was 10000 births. The rate of congenital malformations was 10.1/1000 in our sample 11.8/1000 in male and 7.5/1000 in female neonates. The rate of malformations in musculoskeletal system were 3.8 In CNS 2.8 and in urogenital system 2.5 per 1000 births. It was concluded that the most frequent malformations in CNS, musculoskeletal and urogenital system were cystic spina bifida, clubfoot and hypospadias respectively. The rate of malformations newborns were 14.5 per 1000, 8.5 per 1000 and 17 per 1000 birth in Turkman, native Fars and Sistan racial groups respectively. The results from this investigation showed that there were relations between rate of over malformations, races and sexes of individuals.

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Background & Objective: Neural tube defect is one of the most important malformations of the newborns. The aim of this study was to investigate the rates of NTD, anencephaly, spina-bifida cystica, encephalocele and the relation of these abnormalities with sex, ethnicity, mother’s age and consanguineous marriage in north of Iran (Gorgan). Materials & Methods: A cross-sectional study was done on 26280 birth in Dezyani Hospital in Gorgan during 1998-2001. Results: This study has showed that, the NTD rate was 3.08, 2.78 and 3.38 per 1000 in total, males and females, respectively, female to male ratio was 1.31. The rate of spina-bifida, anecephaly and encephalocele were 1.48, 1.48, 0.11 per 1000, respectively. In regard to different races, the rate was 6.78/1000, 4.76/1000 and 2.41/1000 among Turkmans, Systani and native Fars, respectively (P<0.05). The rate of NTD in the mothers under 20 years was 2.29/1000, in 20-34 years was 3.37/1000 and over 35 years was 2.54/1000. Interstingly, 29.6% of parents with affected newborns had consanguineous marriage. Conclusion: We concluded that there is a higher rate of NTD in this, area, that it might be due to race-ethnicity variations.

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Background&Objective: This study is designed to deteremine the sex differences in volume and surface anatomical parameters in the cingulate cortex of the left cerebral hemispheres in healthy right - handed subjects. Materials&Methods: This cross - sectional descriptive study was performed on 72 human brains (38 males, 34 females). The brains belonged to right - handed subjects who had died of non - neurologic causes. The age of males and females was similar. The brains were removed from the cranium no longer than 24 hours postmortem and were fixed in 4% formaldehyde solution. The right hemisphere of each brain was used for neuropathologic examinations (to confirm the health of the brain) and the left one was used for stereologic analyses. The estimation of the volume, surface areas, and thickness of the cingulate cortex was performed on photographs of 5 mm serial coronal sections of the left hemispheres using unbiased stereological methods (with point and linear grids). The results were analyzed by t- student test. Results: The volumes of the left cingulate cortex in males and females were 10.923.06 and 10.52.30cm3, respectively. The outer surface area was 43.8710.73 cm2 in males and 43.748.68cm2 in females. The inner surface areas in males and females were 34.8711.56 and 36.558.08cm2, respectively. There was no significant difference between two sexes in the volume and surface areas of the left cingulate cortex. The mean thickness of the left cingulate cortex in males and females were 2.880.5 and 2.510.3mm, respectively. The mean thickness of the left cingulate cortex in females was 12.85% smaller than males (P<0.05). Conclusion: Although the volume and outer and inner surface areas of the left cingulated cortex are similar between two sexes, the cortical thickness of this area in healthy right - handed females is significanlty smaller than males. The functional significance of these sexual differences and similarities in human brain is not clear. However, scientists must be aware of them in their morphometrical studies on human brain.

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Background&Objective: It is natural that there is close relationship between cranial capacity, and the size of brain, several studies have estimated the cranial capacity which indirectly reflects the brain volume in different countries. In the present study cranial capacity has been estimated in Turkman’s 17-20 years old group in North of Iran. Materials&Methods: This study was carried out on 401 normal 17-20 years old (male 198, female 203) in South-East of Caspian Sea border (North of IRAN). By using linear dimensions of the head (Using Lee- Pearsom's Formula). Results: The mean and SD of cranial capacity in males and females were 1420.6±85 ml and, 1227.2±120 ml, respectively, this difference was significant (P<0.05). Conclusion: This investigation was shown that the cranial capacity is higher in male than female also racial and Geographical factors can affect on cranial capacity.

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Background&Objective: Abusing the married women are among one of the most difficult problem in many countries. In the study, mental health status of spouse abused women was evaluated. Materials&Methods: 1186 women were selected randomly from all districts of Tehran, undergoing spouse abuse questionnaire and general health questionnaire (GHQ-28). Collected data were analyzed by SPSS software with t-test and multiple regression analysis. Results: In 1186 study case, 1013 women (85.4%) experienced emotional abuse, 374 ones (31.5%) physical abuse, 360 ones (30.4%) sexual abuse and 206 ones (17.4%) all types of abuse. Also, the abuse victims suffered worse status of general health (p<0.05). Examining relation between all types of abuse, as a predictive factor ,and general health aspects as an(y) factor,with multiple regression analysis revealed a positive relation, i.e. experiencing any type of abuse could predict worsening of general health (p<0.05). Conclusion: Spouse abused women suffer a worse status in general health. Also they showed emotional disorders. The victims of sexual and physical abuse suffered worse than victims of emotional abuse.

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Background & Objective: Myocardial infarction is one of the common cardiovascular diseases and is the main cause of mortality among the patients. Essential educations should be done according to assessment and determination of their educational needs and their gender. The purpose of this study was to determine and compare educational needs in men and women with myocardial infarction at discharge time. Materials & Methods: This descriptive-comparative study was done on hospitalized 200 men and women in Sari medical central- Iran during 2006. The questionnaire were used to determine educational needs of patients. In cardiac wards, with myocardial infarction for the first time, in six domains of physical activity, medication, diet, treatment, complication and enhancing quality of life. Results: The findings of this study indicated that the lowest requirment of men and women in this study were improving quality of life and awarness about diet respectively. Conclusion: This study showed that a patients gender should be taken into consideration, when they are trainine and subsequently health care provider can organize the specific needs of the subjets.

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Background and Objective: Sexual function is an important aspect of quality of life, and reflects on the physical, psychological and mental well being of the individual. The aim of this study was to compare the effects of Tibolone on sexual function, in healthy postmenopausal women. Materials and Methods: This randomized clinical trial study was done on 96 postmenopausal women with no absolute contraindication for hormone replacement therapy. Women were divided into two groups: 52 women in Tibolone group received Tibolone 2.5mg/day + Ca-D (500 mg +200 IU) and 44 women in placebo group received only Ca-D (500 mg +200 IU) for six months. Blood samples were collected at baseline and after 6 months of treatment for hormone determinations. Sexual function was assessed by female sexual function index (FSFI) in six domains. Side effect and satisfaction was assessed. Data was analyzed by Paired and independent t-test, Chi Square and Mann-Whitney tests. Results: 41 women in Tibolone group and 40 women in placebo completed the study. Compare to baseline values and placebo, the Tibolone group significantly improved on all of six FSFI domains (P<0.05). Testosterone, FTI and FEI increased and sex hormone binding golobulin (SHBG) decreased about 57% in Tibolone group (P<0.05). Headache, weightening, vaginal spotting and bleeding, were observed in case groups. Conclusion: Tibolone significantly improved all aspects of sexual function and increased quality of life by desirable changes in level of sex hormones and SHBG in Post menopausal women.

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Background and Objective: Sexual satisfaction is a significant factor in prevention of sexual disorders among women. There are many factors associated with sexual satisfaction. The aim of this study was to determine some factors related to women sexual satisfaction in Gachsaran, in South-West of Iran. Materials and Methods: This descriptive analytic study was done on 1014 women which refered to health centers in Gachsaran city during Jan-Jun 2008. Data was collected by self–reported questionnaires and analyzed by Chi-Squre and Pearson tests. Results: The scale of sexual satisfaction were 0.4%, 10.9%, 47.5% and 41.7% unsatisfied, low, moderate and fully satisfied, respectively. There was a correlation between sexual satisfaction and women age, couple age difference, length of marriage, family economical condition and contraceptive method (P<0.05). Conclusion: This study showed that, woman age , couples age differences, length of marriage, couple economic condition, and contraceptive method were related to sexual satisfaction. These factors should be taken into consideration in all marriages and sexual consultation.

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Background and Objective: Acquired immunodeficiency syndrome (AIDS) is a definition of dysfunction of immune system in human that is induced by infection with a virus named human immunodeficiency virus (HIV). The most high risk group in HIV infected people are intravenous drug users (IDUs) with unsafe sex. This study was conducted to evaluate knowledge and attitude of IDUs with unsafe sex about AIDS and relation with socioeconomic levels in Golestan province in North of Iran. Materials and Methods: This Cross-Sectional study was conducted on 134 IDUs in Golestan province during 2007. Samples were chosen by a random systematic method. Data was collected with interview by standard questionnaire. Data was analyzed by SPSS-16 and One-way ANOVA,T-test student, Kruskal-wallis, Mann-Whitney U and Kendall tests. Results: This study showed that 36.6% of samples had moderate knowledge about AIDS and 49.3% of them had negative attitude about AIDS. 67% of subjects had education between 6-12 years, 44.8% were married and 53% were jobless and without income. Level of knowledge had a significant relation with age (P<0.05) and education level (P<0.05). Older subjects had better knowledge. Level of knowledge in 25-34 years group was higher than other age. Well educated people had higher knowledge compared with low educated and illitrate subjects. Level of knowledge had a significant relation with attitude (P<0.05). Conclusion: The findings of this study showed that 65% of subjects with high risk behavior on HIV/AIDS had a appropriate knowledge about transmission of HIV, but half of these population have a poor HIV/AIDS attitude.

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Background and Objective: Changing of lifestyle in women and increasing their social activity especially in working places can affect women’s sexual quality of life (SQOL). This study was done to determine the affecting factors on sexual quality of life among hospital employee's women.

Methods: This descriptive - analytical study was carried out on 121 women who work in the two hospitals in Sabzevar city and Birjand city in Iran during 2014. Data was collected using two questionnaires including the Iranian version of sexual quality of life-female (SQOL-F) questionnaire and a researcher-made measure to assess demographic characteristics, health related, and work-related variables.

Results: The mean±SD score of SQOL-F was 80.1±19.7. The univariate analysis showed that the mean score of SQOL-F significantly related with age (P<0.05), duration of sleep (P<0.05), marital duration (P<0.05), educational level (P<0.05), and physical activity (P<0.05). The regression modeling indicated that educational level (β=0.33), marital duration (β=0.32) and quality of sleep (β=0.56) were predictors of SQOL-F scores.

Conclusion: This study showed that educational level, marital duration and quality of sleep were predictors of SQOL-F scores among hospital employee's women.

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Background and Objective: The results of surgical treatment, successfulness and methods of evaluation in gender dysphoria are highly variable. This study was done to determine the status of sexual function in patients with impaired gender identity after sexual re-assignment male to female surgery.
Methods: This cross-sectional study, conducted on 40 patients referred to surgery clinic in Tehran during 2014-2015. Female sexual function index (FSFI) questionnaire was used to assess the status of sexual function.
Results: Ninety- five percent of patients had a healthy sexual desire and arousal. Also, 75%, 55.4% and 27.5% of patients had satisfaction, moisture content and good orgasm, respectively. The pain was tolerable in 25% of cases; however, in terms of overall sexual function, only 12.5% of patients had a satisfactory sexual performance. The relationship between education, occupation, residence and previous history of mental illness with sexual function was not significant. Also, 42.9% of patients who had not desirable sexual performance, had a history of drug abuse, and all these subjects reported desirable sexual performance.
Conclusion: Sexual function in cases that have undergone surgery was not suitable. Sexual pain and anorgasmia were important factors in this condition.

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Background and Objective: Child Sexual Abuse (CSA) is a very serious problem all over the world with widespread and often unrecoverable negative consequences for victim, family and the society. Significant proportion of victims reported abused sexually when they were younger than 7 years. This study was done to evaluate the knowledge and attitude of pre-school girls about sexual abuse prevention in Gorgan during 2016.
Methods: In this descriptive study, 56 pre-school girls with mean age of 76.13±3.87 months (6.34 years), who were chosen through systematic random sampling, among the files of the households with
a pre-school age girl from two health centers in Gorgan, north of Iran during 2016. The Personal Safety Questionnaire- Persian version (PSQ-P) including 12 questions was used to test children’s sexual abuse prevention knowledge and attitude by interview method.
Results: Out of  the 56 children studied, only 9 children (16%) knew all three private parts and of these, only 2 children (3.5%) knew the correct name for all three parts. 80% of children believed that if the perpetrator would ask them to keep touching the private parts as a secret, they should not inform another person. 48% of them did not choose appropriate avoidance responses during inappropriate touching of private parts. 43% of them reported that they do not like their private parts and the appropriate touch of the private parts was not allowed by most children too.
Conclusion: Most pre-school girl children had no proper knowledge and attitude about the sexual abuse prevention, indicating highlights shortcomings in prevention educations at different levels of society.

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Background and Objective: Middle age is associated with various biopsychosocial changes. Sexual health is one of the most important aspects of health, which is less addressed in middle age. The study aimed to determine the relationship between sexual self-concept and sexual health in middle-aged women in Gorgan, Iran.
Methods: This descriptive-analytical study was carried out on 428 eligible married women (mean age: 46.38±5.46 years) who had electronic records in one of the comprehensive health centers of Gorgan, Iran. Data collection was done in 2019 using a demographic checklist, the Persian version of Snell’s multidimensional sexual self-concept questionnaire, and the sexual health of middle-aged women scale.
Results: The mean score of sexual self-concept was 115.10±26.88 in the positive domain, 18.09±11.22 in the negative domain, and 39.92±11.88 in the situational domain. The mean score of sexual health was 129.18±18.71. There was a significant positive correlation between sexual health and the positive (r=0.67, P<0.001) and situational sexual self-concept (r=0.63, P<0.001). There was also a significant inverse correlation between sexual health and negative sexual self-concept (r=-0.48, P<0.001).
Conclusion: This study showed that the sexual health of married middle-aged women has a direct relationship with the positive sexual self-concept and an inverse relationship with the negative sexual self-concept.