Journal homepage: www.zums.ac.ir/jhehp Background: Obesity could lead to different diseases. Regarding the lack of statistical information about obesity, Body Mass Index (BMI), diabetes and high blood pressure in rural women over 30 years old in Saeidabad, located in East Azarbayjan province of Iran, as well as the relationship between these two categories, the present study was designed to determine the prevalence of obesity and the amount of BMI, the association of these index with diabetes and high blood pressure. Methods: The study population was rural women over 30 years old in Saeidabad. The sample size was selected 106 women using SPSS software. Results: There was a significant relationship between prevalence of obesity and BMI in women over 30 years of age in Saeidabad, with a high incidence of diabetes, and hypertension. Conclusion: Obesity is an important risk factor for diabetes and hypertension in women aged more than 30 years and they should be informed about the risky consequences.

The aim of this study was determine the opinions of clinicians in order to modify the surgical safety checklist(SSC) to make it compatible for use in hospitalsof Iran. Methods:In a cross-sectional study, the views of surgeons and anesthesiologists of the main teaching hospital in Tabriz-Imam Reza Hospital-were taken by a form attached to the main checklist. The participants in this study were asked to write their opinions on each item of the checklist based on the environment of the hospital. The opinions were classified and analyzed. Results:Most of the anesthesiologists(87.5%) and some of the surgeons (18%)recommended to change the fourth item of sign-in part. They suggested using vital sign and base monitoring instead of pulse oximetry. Three of the physicians added the "Internal Medicine Consultation" and "output monitoring" to the Critical Events Anticipation item. Hemorrhage, vomiting, nausea, and hemodynamic disorders were added to the key concerns of recovery and management item by 75% of anesthesiologists. Conclusion:It is better to modify the Surgical Safety Checklist based on the local needs and facilities of each hospital. Surgeons and anesthesiologists in an Iranian teaching hospital suggested adding some items to each part of SSC.

Background: Health systems are making reforms to ensure and promote public health. Measuring the effects of reform is one way to determine its effectiveness and consequences. Objectives: This study was aimed at investigating the effect of the Iranian Health Sector Evolution Plan (HSEP) implementation with a focus on the type of delivery on maternal and neonatal health indicators in East-Azerbaijan Province. Methods: This descriptive-analytical study was conducted in 2017. The data of 800 patients were randomly selected through the dataset of eight hospitals equally in the two time periods of before and after the HSEP implementation. A researcher-made checklist was used for data extraction. Data were analyzed by SPSS version 22 using descriptive statistics, t-test, and chi-square. Results: The mean age of the mothers in both periods was 27 years. Most of the participants did not have a previous delivery and had a diploma or a lower level of education. The rate of natural childbirth increased from 34.5% (before the HSEP) to 44.2% (after the HSEP) (P < 0.05). Maternal and neonatal mortality rates decreased from 0.3 and 0.8% to 0.0 and 0.5%, respectively. Maternal and neonatal mortality and stillbirth rates were not significantly different based on the study period and type of delivery (P > 0.05). Conclusions: The findings indicated a significant increase in the rate of natural childbirth after the HSEP implementation. Maternal and neonatal mortality rates had also decreased. These results can guide policymakers in deciding whether to continue or review the reform.