Objective: To investigate the fauna and seasonal activity of different species of sand flies (Diptera:Psychodidae: Phlebotominae) in Asalouyeh, the heartland of an Iranian petrochemical industry, Southern Iran, as a oil rich district. Sand flies are the vectors of at least three different kinds of disease, the most important of which is leishmaniasis, and it is a major public health problem in Iran with increased annual occurrence of clinical episodes.Methods:cleared in puris medium and identified morphologically, twice a month from April to March 2008.Results:A total of 3 497 sand flies of rural regions were collected by sticky traps fixed, and Sinton, 1928, Phlebotomus papatasi Scopoli, 1910, Phlebotomus bergeroti Parrot and Phlebotomus sergenti Parrot) and one of genus Sergentomyia (Sergentomyia tiberiadis Alder, Theodor & Lourie, 1930). The most prevalent species was Phlebotomus papatasi, presented 56.4% of the identified flies. The others were Phlebotomus sergenti (22.5%), Phlebotomus alexandri (4.5%), Phlebotomusbergeroti Predominant species included four of genus Phlebotomus (Phlebotomus alexandri than that of males (32%). The abundance of sand flies represented two peaks of activity; one in early May and the other one in the first half of September in the region. (12%) and Sergentomyia tiberiadis (5%) as well. The percentage of females (68%) was more Conclusion: Phlebotomus papatasi is the probable vector of zoonotic cutaneous leishmaniasis in the region. Further molecular studies are needed to determine the definite vector of the region.

Objectives: Poor menstrual health may lead to school absenteeism and adverse health outcomes for adolescents. The purpose of this study was to determine the effect of pubertal and menstrual health education on health and preventive behaviors among Iranian secondary school girls. Methods: A quasi-experimental study was conducted to evaluate the effectiveness of a health intervention program. A total of 578 students (including intervention and control participants) in 12 schools in Tehran Province, Iran were included by multistage random sampling. The program comprised seven 2-hour educational sessions. After confirming the reliability and validity of a researcher-made questionnaire, that questionnaire was used to collect the required data, and the groups were followed up with after 6 months. Results: After the educational intervention, the mean scores of menstrual health-related knowledge and constructs of the theory of planned behavior were significantly higher in the intervention group than in the control group (p<0.001 for all dimensions). Conclusions The results of this study emphasize the effectiveness of menstrual health interventions in schools. These findings should also encourage health policy-makers to take committed action to improve performance in schools.

Objectives: Understanding patterns of quality of life in people who inject drugs (PWID) can help healthcare providers plan and manage their health problems in a more focused manner. Therefore, the current study aimed to identify patterns of health-related quality of life in PWID in southeast Iran. Methods: This cross-sectional study was conducted in southeast Iran on men who had injected drugs at least once during the last year. We used convenience sampling in 2 drop-in centers and venue-based sampling at 85 venues. Demographic characteristics, high-risk behaviors, and health-related quality of life were evaluated using the 5-level EQ-5D version (EQ-5D-5L) questionnaire. Latent profile analysis was used to identify patterns of quality of life. Results: This study enrolled 398 PWID, who had a mean age of 34.1±11.4 years. About 47.9% reported a prison history in the last 10 years, 59.2% had injected drugs in the last month, and 31.6% had a history of sharing syringes. About 46.3% reported having 2 or more sexual partners in the last 6 months, and 14.7% had a history of sex with men. Out of the 5 EQ-5D-5L profiles, the fifth profile had the most people (36.6%). Most variations in quality of life were related to pain and discomfort. Conclusions We showed that the pain and discomfort dimension of EQ-5D-5L had more variation in PWID. This finding will be useful for allocating appropriate interventions and resources to promote health-related quality of life in this population.

OBJECTIVES: The main purpose of this study was to evaluate changes in the time trends of stomach, colorectal, and esophageal cancer during the past decade in Iran. METHODS: Cancer incidence data for the years 2001 to 2010 were obtained from the cancer registration of the Ministry of Health. All incidence rates were directly age-standardized to the world standard population. In order to identified significant changes in time trends, we performed a joinpoint analysis. The annual percent change (APC) for each segment of the trends was then calculated. RESULTS: The incidence of stomach cancer increased from 4.18 and 2.41 per 100,000 population in men and women, respectively, in 2001 to 17.06 (APC, 16.7%) and 8.85 (APC, 16.2%) per 100,000 population in 2010 for men and women, respectively. The corresponding values for colorectal cancer were 2.12 and 2.00 per 100,000 population for men and women, respectively, in 2001 and 11.28 (APC, 20.0%) and 10.33 (APC, 20.0%) per 100,000 in 2010. For esophageal cancer, the corresponding increase was from 3.25 and 2.10 per 100,000 population in 2001 to 5.57 (APC, 12.0%) and 5.62 (APC, 11.2%) per 100,000 population among men and women, respectively. The incidence increased most rapidly for stomach cancer in men and women aged 80 years and older (APC, 23.7% for men; APC, 18.6% for women), for colorectal cancer in men aged 60 to 69 years (APC, 24.2%) and in women aged 50 to 59 years (APC, 25.1%), and for esophageal cancer in men and women aged 80 years and older (APC, 17.5% for men; APC,15.3% for women) over the period of the study. CONCLUSIONS: The incidence of gastrointestinal cancer significantly increased during the past decade. Therefore, monitoring the trends of cancer incidence can assist efforts for cancer prevention and control.
Colorectal Neoplasms ; Esophageal Neoplasms ; Female ; Gastrointestinal Neoplasms* ; Humans ; Incidence* ; Iran* ; Male ; Stomach ; Stomach Neoplasms

OBJECTIVETO INVESTIGATE THE FAUNA AND SEASONAL ACTIVITY OF DIFFERENT SPECIES OF SAND FLIES (DIPTERA: Psychodidae: Phlebotominae) in Asalouyeh, the heartland of an Iranian petrochemical industry, Southern Iran, as a oil rich district. Sand flies are the vectors of at least three different kinds of disease, the most important of which is leishmaniasis, and it is a major public health problem in Iran with increased annual occurrence of clinical episodes.

METHODSA total of 3 497 sand flies of rural regions were collected by sticky traps fixed, and cleared in puris medium and identified morphologically, twice a month from April to March 2008.

RESULTSPredominant species included four of genus Phlebotomus (Phlebotomus alexandri Sinton, 1928, Phlebotomus papatasi Scopoli, 1910, Phlebotomus bergeroti Parrot and Phlebotomus sergenti Parrot) and one of genus Sergentomyia (Sergentomyia tiberiadis Alder, Theodor & Lourie, 1930). The most prevalent species was Phlebotomus papatasi, presented 56.4% of the identified flies. The others were Phlebotomus sergenti (22.5%), Phlebotomus alexandri (4.5%), Phlebotomus bergeroti (12%) and Sergentomyia tiberiadis (5%) as well. The percentage of females (68%) was more than that of males (32%). The abundance of sand flies represented two peaks of activity; one in early May and the other one in the first half of September in the region.

CONCLUSIONPhlebotomus papatasi is the probable vector of zoonotic cutaneous leishmaniasis in the region. Further molecular studies are needed to determine the definite vector of the region.