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Introduction: The Fertility in the demog-raphic studies is one of the most important factors effecting the population growth in any society. The aim of the present study is to investigate the factors affecting women's ideal fertility that were on verge the marriage in Kermanshah.
Materials & Methods: Data collection was prepared by researcher-made questionnaire in Farvardin 1392. Statistical population co-nsisted of women who were at the age of marriage. The statistical population incl-uded 200 women who referred to selected health centers in Kermanshah.
 Findings: Findings showed that the space between births and family status has significant effect on the dependent variable (ideal fertility). Findings also indicated that, 4% of the variance of ideal fertility can be explained by the independent variables.
Discussion &Conclusion: In the studied po-pulation, women's attitude to fertility beh-avior is almost similar. This means that, w-omen with different socioeconomic charac-teristics are intended to express a similar reproductive behavior. Therefore, it is con-cluded that wanting a few number of child through the diffusion of ideas has become a dominant pattern.

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1. Introduction: In this cross-sectional study to assess the reliability and validity of the Social Support Scale  MOS,one of the social factors determining health which refers to the importance of the human social dimension and has gained increasing attention in recent years is social support.  Due to evidence regarding positive effects of social support on various psychological, physical, cognitive and social aspects of individuals and its influence on various occupational and educational areas and eventually the role of social support in recovery from ,some psychological and physical ailments, in this study, the psychometry of this scale has been evaluated in adult patients with chronic disease in the city of Ilam.

   Materials & methods: The tool used in this study was the social support scale which has 19 items each of which has 5 choices scored from 1 to 5. Sample size was estimated at 384 individuals and for increased precision; it has been increased to 400 people.  To evaluate reliability of the test, Cronbach’s alpha was calculated and concurrent validity determination and factor analysis were also performed.  Descriptive and inferential statistical methods were used and data was analyzed using SPSS version 20 software.

   Findings: The Cronbach’s alpha coefficient for the social support scale was 0.96 which shows precision and sensitivity of the scale for measuring these qualities. The scores of the social support scale and mental health regarding constituents overlapped and have the ability to evaluate constructs and concepts Meaningful relation exists between various items of the social support scale and total score.  These coefficients show the presence of strong correlation between the questions and overall score which shows internal consistency and convergent validity. Results of factor analysis shows confirmation of 2 from 5 factors of the social support scale. The first factor is named affectionate support, kindness with social interaction and the second factor is termed tangible with informational support.

   Discussion & Conclusions: social support scale (MOS) is a useful tool to use in medical implications survey.

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Introduction: In different recent researches high prevalence of Helicobacter pylori infectious in adult patient with ITP disease has been reported. Furthermore, the studies have referred to increase of platelet count in some patients after eradication therapy of this infection. This problem describes the probable role of H. pylori in the occurrence of adult ITP. However, studies done in this case are limited in the children age group. This study aimed to determine the relationship between H. pylori infection and idiopathic thrombocytopenic purpura in hospitalized children in Amirkola Hospital 2012-2013.
Materials & methods: In this cross-sectional study, 88 children under 14 years old (44 case groups, 44 control group) were studied. They had been hospitalized with a diagnosis of idiopathic thrombocytopenic purpura in Amirkola Hospital (2012-2013) and their H. pylori infection was positive by stool antigen method. They were considered as the case group, and also a similar number of healthy children who were brought by their parents to check up on the basis of clinical and laboratory to the Amirkola infectious clinic were the control group. Their gender and acute or chronic symptoms were recorded. Data were analyzed using the statistical software SPSS V18, descriptive statistics and Chi-square test, and the significant level was set at less than 0.05.
Findings: There were 88 children who were 42 boys (47.7%) and 46 girls (52.3%), respectively. The mean age of the children in this study was 5.97±3.75 years. Among the patients, 14 patients (15.9%) had positive H. pylori infection, and 74 patients (84.1%) had negative H. pylori infection. Among the positive ITP patients 13 patients (29.5%) had acute thrombocytopenic purpura and 31 patients (70.5%) had chronic thrombocytopenic purpura. There was no significant association between the case and control groups with gender (P=0.99). Also, H.pylori had no significant difference between two groups (P=0.77).
Discussion & conclusions: According to the results of this study, H. pylori infection has no relationship with idiopathic thrombocytopenic purpura.

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Introduction: Meeting the increasing demand and satisfaction of patients from hospital services is considered the most important factor in the survival of health care institutions. The aim of this study was to identify the most effective reasons for patients to select health centers based on seven factors of marketing mix (7p) in Iranian hospitals.
 
Materials & Methods: The present research is a escriptive-analytical study implemented in a cross-sectional approach in 2016. To collect data, Soltani et al.'s questionnaire, which was validated by qualified people and its reliability was assessed using Cronbach's alpha coefficient (85%), was used. The statistical population of this study covered admited and discharged patients at educational hospitals affiliated to Iran's medical universities,  selected out of five counties of north, south, east, west, and center of Iran and randomly selected from two hospitals in each region. Using a sample size formula, a ratio of N = 400 was determined. The obtained data was analyzed using Kruskal Wallis test in SPSS version 19.
 
Findings: Among the seven dimensions of marketing in the selection of health centers, the highest index of prices (60.2) and the lowest of advertising (17.7) was the most significant. The type of insurance in the price index and the recommendation of the doctor in the index of advertising ranked first. The findings indicated that there was a significant positive correlation between the factors affecting patients' preferences in choosing a hospital (r=0.278, p=0.00).
 
Discussion & Conclusions: The results showed that the most important factor in patients' interests was the low costs of the hospital as well as  hospitals’  acceptance of  all types of insurance, so that the patients’  payment charge might be reduced and some services  provided to them free of charge.
 
 

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Introduction: Herpes simplex virus type 1 (HSV-1) is an enveloped DNA virus in the Herpesviridae family which causes various infections globally. Acyclovir (ACV) is a choice treatment, and the widespread usage of ACV has lead to the emergence of HSV strains resistant to ACV. Therefore, the discovery of novel anti-HSV drugs deserves great effort. Oliveria decumbens is a traditional medicinal plant used in Iran for many purposes, particularly for gastrointestinal disorders and analgesia. There is no report about antiviral effects of this plant; so, this report was the first study to evaluate antiviral effects of Oliveria decumbens. The aim of this study was to investigate the in vitro antiviral activity of Oliveria decumbens flowers methanolic extract against HSV-1.
 
Materials & Methods: In this laboratorial study, methanolic extract of the dried powder was obtained through maceration method. Then, the solvent was removed by rotary evaporator. The cytotoxicity and antiviral activity were evaluated by MTT [3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide] assay in Vero cell line and at different incubation times. Cell cultures were treated with the extract before, during, and after infection to study its antiviral activity. 
 
Findings: The cytotoxicity results revealed that cytotoxic concentration of the extract which reduced viable cells number by 50% (CC50) was above the range of 1500µg/ml. The findings also indicated that the plant extract had the most antiviral activity when it was mixed with the virus, and this mixture was used to infect the cells where it reached a high antiviral activity of 43.75percent.
 
Discussion & Conclusion: As demonsterated by our gains, the tested methanolic extract displayed a moderate antiviral activity against herpes simplex virus-1.
 

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Introduction: Heroin dependence is a chronic relapsing disorder caused by a combination of genetic, epigenetic, and environmental factors. The genetic contribution in the vulnerability to heroin dependence is 40%-60%. Alterations in dopamine transport in the CNS are implicated in drug and alcohol dependence, and according to linkage studies, the HTR2A rs6313 single nucleotide polymorphism plays an important role in drug dependence and abuse. This case-control study aimed to investigate the association between HTR2A rs6313 and heroin dependence among a population from Northwest Iran.
Material & Methods: The study included a sample of 100 heroin-dependent patients and 102 control subjects. After DNA extraction from blood samples, the genotype of HTR2A rs6313 polymorphism was investigated among patients and controls using the PCR-RFLP method. The obtained data were analyzed in SPSS software to explore a significant association.
(Ethic code: 5/4/12152)
Findings: Frequencies of CC, CT, and TT genotypes were 23%, 50%, and 27% in the patient group and 32.35%, 44.12%, and 23.53% in the control group. According to statistical analysis, there were no significant differences between case and control groups in this regard (P>0.05).
Discussion & Conclusion: The results of the study could not support a significant association between HTR2A rs6313 polymorphism and heroin dependence in the Azeri population of Northwest Iran. This indicates the need to investigate other candidate genetic polymorphisms in the study population.

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      Introduction: Despite numerous studies in the field of home care, the role of unmarried girls in caring for their parents and the problems caused by this care for them, is still neglected or lost due to the study of other caregivers. In this regard, the present study aimed to investigate the care pressure resulting from the care of elderly parents among single girls in Ilam, Iran.
Material & Methods: This descriptive, cross-sectional study was conducted in 2019. The statistical population included all single girls over 30 years old in Ilam (n=5134 cases), and the sample size was determined at 370 people. The data were collected using a 24-item Novak & Guest Care Burden Questionnaire by cluster sampling. The obtained data were entered into SPSS statistical software (version 20) and analyzed at two levels of descriptive (median, mean, standard deviation, and frequency percentage distribution) and inferential statistics (analysis of variance).
(Ethic code: 3102145)
Findings: The findings indicated the existence of weak care pressure (26.91±21.13) among respondents. In comparison to the dimensions of care pressure, the time dimension (8.8±5.68) was more intense than other dimensions. Moreover, the girls who were government employees and had university degrees, in all respects, tolerated lower care pressures than their peers. The analysis of variance of the dependent variable considering the independent variables showed a significant difference in the care pressure of girls regarding age, employment status, education level, and mental class affiliation (P<0.001).
Discussion & Conclusion: Based on the results of the study, it is inferred that the low care pressure of the studied girls is due to the low pressure of care.

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