Journal of Education and Health Promotion

Abstract Background: Research is essential for development. In other words, scientific development
of each country can be evaluated by researchers’ scientific production. Understanding
and assessing the activities of researchers for planning and policy making is essential. The
significance of collaboration in the production of scientific publications in today’s complex world
where technology is everything is very apparent. Scientists realized that in order to get their work
wildly used and cited to by experts, they must collaborate. The collaboration among researchers
results in the development of scientific knowledge and hence, attainment of wider information.
The main objective of this research is to survey scientific production and collaboration rate in
philosophy and theoretical bases of medical library and information sciences in ISI, SCOPUS,
and Pubmed databases during 2001‑2010. Materials and Methods: This is a descriptive survey
and scientometrics methods were used for this research. Then data gathered via check list and
analyzed by the SPSS software. Collaboration rate was calculated according to the formula.
Results: Among the 294 related abstracts about philosophy, and theoretical bases of medical
library and information science in ISI, SCOPUS, and Pubmed databases during 2001‑2010, the
year 2007 with 45 articles has the most and the year 2003 with 16 articles has the least number
of related collaborative articles in this scope. “B. Hjorland” with eight collaborative articles had
the most one among Library and Information Sciences (LIS) professionals in ISI, SCOPUS,
and Pubmed. Journal of Documentation with 29 articles and 12 collaborative articles had the
most related articles. Medical library and information science challenges with 150 articles had
first place in number of articles. Results also show that the most elaborative country in terms
of collaboration point of view and number of articles was US. “University of Washington” and
“University Western Ontario” are the most elaborative affiliation from a collaboration point.
Conclusion: The average collaboration rate between researchers in this field during the years
studied is 0.25. The most completive reviewed articles are single authors that included 60.54%
of the whole articles. Only 30.46% of articles were provided with two or more than two authors.

Abstract Background: Breast cancer as a most common organ cancer in women is the first cause of death
among women with 40‑45 years old. The only way to control this disease is early detection, that
it can be treated in about 90% of women with breast cancer. The best way for early detection
of breast cancer is screening, and the best accessible way is breast self‑examination (BSE).
Considering this fact that female health workers are responsible for improvement of public
health, in addition to self‑care, they can encourage the clients and help to improve healthy
goals. Therefore, this study investigates the knowledge, attitudes, and practice (KAP) of BS
E among female health workers. Materials and Methods: This descriptive cross‑sectional
study was done among 119 female health workers in Isfahan, working in healthcare centers.
The method of sampling was clustering. KAP of theses participants were assessed with KAP
questioner. The collected data were analyzed using descriptive and inferential statistics methods.
Findings: The mean age of participants was 38/3 ± 7/27. The knowledge about breast cancer
and doing B SE was good (79/8%) in most participants and (72/45%) of them have positive
attitudes, but only (39/5%) of the samples performed BSE regularly every month. A significant
relationship was found between the attitudes and the university degree of the health workers
and also between age, university degree, and the times of taking part in education classes with
performing BSE in the best time for BSE (P < 0.005). A total of 12/6% of them did not have
a good performance. Conclusion: Considering that health workers can play an important role
in encouraging the clients to perform healthy and preventive behaviors, their weak behavior is
not acceptable in these groups. This result also shows that additional studies are needed to
identify the factors that make women using screening services and encourage them for using
these methods.

Abstract Development’ is to improve the quality of people’s lives by creating an environment for them
to engage in a wide range of activities, to be healthy and well nourished, to be knowledgeable
and to be able to participate in the community life. The Human Development Index (HDI)
is a multi-dimensional index of development as it is the combination of three development
indices- health index, education index and income index. This article attempts to compare the
HDI and its components between various South East Asian countries. Secondary data is used.
India’s position on the HDI scale is equivalent to the South East Asian average and rank 134
out of more than 190 countries. In South East Asia, India stood fifth in HDI, behind Sri Lanka,
Thailand, Maldives and Indonesia. Country has launched several schemes and programs to
improve the health indicators, to provide elementary education to every child and to alleviate
poverty. India’s HDI value has improved with time but still country has a long way to go in
achieving an acceptable HDI. Need is to strengthen the existing schemes and programs.

Abstract Introduction: Policy makers and decision makers must identify the stakeholders in medical
tourism, who will be affected by and/or affect this industry, and determine their status
for partnership. The aim of this study was to identify the main stakeholders in Isfahan’s
medical tourism, analyze them, and provide strategies for developing this industry.
Materials and Methods: A qualitative study was conducted in 2011. At first, the key stakeholders
in medical tourism were identified in accordance with the experts’ idea and literature review.
Then we interviewed the key stakeholders. Data analysis was conducted using the stakeholders’
analyses, which helped in developing strategies. Results: The result showed that the key
stakeholders were made up of nine groups. They included the provincial governance of Isfahan,
the Cultural Heritage and Tourism Organization of Isfahan, the Chamber of Commerce, the
Medical Council, the Isfahan University of Medical Sciences, health service providers, tourism
services providers, investors, and the Tosea Saderat Bank. The rate of knowledge of the Cultural
Heritage and Tourism Organization of Isfahan, clinic and international relationship of Isfahan
University of Medical Sciences from government policy about medical tourism were very
much. Private Hospitals, the Medical Council, investors, and the University of Medical Sciences
had great power. Private hospitals, clinics, the Cultural Heritage and Tourism Organization of
Isfahan, and the University of Medical Sciences were in the supporter position. The effected
strategies were the included strategies, focused on increasing power; increasing support,
and on maintaining the position. Conclusion: There are different stakeholders in the medical
tourism industry. Thus, policy makers can plan, make a policy and decision, and use effective
strategies to develop medical tourism by designing a medical tourism stakeholders’ network,
a medical tourism provincial council, and clarify the roles and responsibilities of stakeholders.

Abstract Introduction: The present study was connected in order to evaluate the relationship between
biological, cognitive and psychosocial characteristics of mothers and the weight of infant at
the time of birth. Materials and Methods: In order to conduct this research a sample of 910
women among recently delivered mothers of Isfahan province in 2009 were selected. From
stratified sampling and cluster sampling according to the percentage of population in each of
the cities of Isfahan Province was used. The data was gathered with a questionnaire prepared
by the researcher in order to evaluate the biological cognitive and psychosocial characteristics
of mothers, in addition to the Enrich marital satisfaction test. After collecting data, the analysis of
the data was done with SPSS software in two categories of descriptive and inferential statistics
by using logistic regression model. Results: The results showed that the prevalence of low
weight infants was 9.5 percent and 38.7 percent of pregnancies was unwanted. Twenty‑nine
percent of mothers had marital dissatisfaction. 15/6 percent of pregnancies were below
20 years old and 22 percent was above of 35 years old. 38.9 percent of mothers were exposed
to cigarette smoke. The average of weight gain during pregnancies was 9 kilograms. Thirty
three percent of mothers had high blood pressure during pregnancy, 26.7 percent had history
of abortion and 31.9 percent had history of bleeding. 23/1percent of women was employed
during pregnancy, 19.8 percent gave twin birth and 21/1 percent of parents were relative of
each other, 29.7 percent of deliveries were done in cesarean way. Conclusion: The results
of this study showed that severe marital dissatisfaction, abnormal blood pressure during
pregnancy, being employed during pregnancy, weight gain less than 5 Kg during pregnancy,
pregnancy below the age of 20 can meaning fully increase the possibility of low birth weight in
infant (α=0.05). The results were consisting with the previous findings and indicated that some
of the applicable benefits of this research can be recording of information about each delivery
in the whole country with holding training
workshops of before and during pregnancy
skills by welfare organization.