Background Skipping breakfast and replacing it with non-nutritious snacks are progressively increasing among adolescents. This study aimed to develop an educational intervention based on The Social Marketing Model and evaluate its effects on healthy breakfast and snack consumption among female adolescent students. Methods This mixed method study was conducted in 2016–2018 in two phases. In the first phase, a qualitative study was conducted through directed content analysis in guidance schools in Khorramabad, Isfahan, and Tehran, Iran, to explore factors affecting breakfast consumption. The results of this phase were set in the benchmarks of the Social Marketing Model. In the second phase, a randomized controlled trial was conducted based on the benchmarks of the Social Marketing Model on 94 students randomly recruited from guidance schools in Khorramabad, Iran. Results The findings of the qualitative phase were categorized into the benchmarks of the Social Marketing Model, namely the social marketing mix, the intended behavior, internal and external competing factors for behavior modification, theoretical concepts related to the behavior, and the role of supporters. In the quantitative phase, the univariate modeling showed significant between-group differences concerning the product, price, promotion, and behavior (P < 0.05). Conclusion Healthy breakfast and snack consumption can be promoted through making acceptable the tastes, costs, preparations, and consumption places of breakfast and snack.
Introduction: Syndrome of inappropriate antidiuretic hormone secretion (SIADH), is generally characterized by hyponatremia and hypo-osmolarity. Objectives: SIADH may develop following some infectious diseases including brucellosis, which regarding the severity of the disease may cause morbidity or mortality. Patients and Methods: In this case-control study, 110 patients with brucellosis and 110 healthy controls were enrolled. The case group was selected among patients having clinical signs and symptoms of brucellosis with a Wright test titer ≥1/160 and a 2ME test titer ≥1/80. About 10 cc blood sample was taken from each of them to test the blood sugar, thyroid stimulating hormone (TSH), serum sodium, serum potassium, blood urea nitrogen (BUN), creatinine, and serum cortisol. Random urine samples were also taken from participants to measure the urinary osmolarity and sodium. Results: The frequency of hyponatremia (Na <135 mEq/L) in patients with brucellosis was significantly higher than the control group but there was no significant difference between the groups in the frequency of abnormal urinary sodium (more than 40 mEq/L). Meanwhile, the frequency of abnormal uric acid (less than 4 mg/dL) was significantly higher in patients than the control group. The frequency of abnormal urine osmolarity (above 300 mOsm/kg) was significantly higher in patients than the control group. In total, only 9 out of 110 patients had SIADH with asymptomatic mild hyponatremia and severe hyponatremia was seen only in one patient with prolonged Brucella meningitis. Conclusion: Based on the defined criteria, 8.2% of brucellosis patients were at the risk of SIADH, but the findings were in favor of asymptomatic SIADH without prominent hyponatremia.
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