Public Health

Sanction is defined as the restrictions over economic activity imposed by one international actor. It is a foreign policy tool in the United States foreign policy. Three key terms discussed throughout the book are sanction, pain, and resolve of sanctioned country. In the nine chapters of the book, the author discussed the design, and implementation of economic sanctions. The main points raised in the review are: a one-sided account of the book. It is an account of the sanction sender’s perspective. The other side of sanctions is the humanitarian problem stemming from sanctions. Moreover, studies on the economic consequences of sanctions on Iran were briefly presented, which are ignored in analyzing the implementation of the sanctions. The literature includes reducing economic growth, increasing income inequality, intergenerational effects of sanctions, effect of sanctions on food security, and impact of sanctions on public health expenditures._x000D_ Sanction is defined as the restrictions over economic activity imposed by one international actor. It is a foreign policy tool in the United States foreign policy. Three key terms discussed throughout the book are sanction, pain, and resolve of sanctioned country. In the nine chapters of the book, the author discussed the design, and implementation of economic sanctions. The main points raised in the review are: a one-sided account of the book. It is an account of the sanction sender’s perspective. The other side of sanctions is the humanitarian problem stemming from sanctions. Moreover, studies on the economic consequences of sanctions on Iran were briefly presented, which are ignored in analyzing the implementation of the sanctions. The literature includes reducing economic growth, increasing income inequality, intergenerational effects of sanctions, effect of sanctions on food security, and impact of sanctions on public health expenditures.

One of the most important issues in today&rsquos urban world is increasing use of cars and its noise pollution, which is now one of the most important affecting pollutants on health and quality of lives of residents in urban areas. Noise pollution effects on various aspects of human and the community health as well as the high cost of treatment, thus more studies in this field is needed. Hence the importance of this study is to measure noise pollution caused by traffic and its impact on public health and mental health of the citizens in Qom. The study method was field studies and library. The data obtained over a period of three months regularly studies from the streets of Qom and using the B & K-2230, Quest-2900 and dosimeter. Overall, the results indicate that almost in all streets, noise pollution rate is higher the standard level. Among these the Imam Khomeini Avenue, 19 Day, Eram, and Enghelab streets have more noise pollutions. Noise pollution reflects is determined by field studies. Analyzing the questionnaires distributed among residents of adjacent streets, the results show that there are mild to severe illness and eventually decrease mental and general health of nearby residents in the streets.

Introduction: Independence or autonomy is one of the fundamental rights of patients that must be respected by health professionals in all medical interventions and diagnostic and therapeutic measures. In conditions of infectious disease, the health system, in order to fulfill its moral and legal duty to protect the health of the community, is sometimes forced to violate this principle and limit the autonomy and right to choose of patients. This ethical dilemma is the subject of discussion in this article. Material and Methods: The present study is a review of articles, books, and ethical charters in the field of patient and community rights. To achieve the goal, articles and books published between 2000 and 2024 were reviewed. Conclusion: It seems that although violating the principle of respecting the patient's right to autonomy in conditions of widespread disease is morally justified, complete disregard for this right and arbitrary restriction of it without sufficient evidence, in addition to violating the patient's fundamental rights, will also damage public trust and the social capital of the health system, and will make it difficult for this institution to achieve its major goals and attract public participation.

Introduction and Objective: Loneliness, a subjective feeling of social isolation and disconnection, has emerged as a significant public health concern with wide-ranging implications. This review aims to comprehensively examine loneliness as a public health issue, exploring its associated health risks, underlying mechanisms, and potential interventions. Research Methodology: A systematic literature review was conducted using various databases, including PubMed, PsycINFO, and Scopus. Studies investigating the health implications of loneliness, its underlying mechanisms, and potential interventions were included. Findings: The review highlights a strong association between loneliness and increased mortality risk, comparable to that of smoking and obesity. Loneliness is also linked to a heightened risk of various physical and mental health problems, including cardiovascular disease, dementia, depression, and anxiety. The underlying mechanisms linking loneliness to poor health outcomes involve dysregulation of the stress response system, impaired immune function, and unhealthy lifestyle behaviors. Interventions targeting social connection and support have shown promise in reducing loneliness and improving health outcomes. Discussion and Conclusion: Loneliness represents a significant public health challenge with serious consequences for individuals and society. Addressing loneliness requires a multi-faceted approach encompassing public awareness campaigns, community-based interventions, and healthcare provider training. Future research should focus on identifying effective interventions and tailoring them to diverse populations. It is imperative to recognize loneliness as a public health priority and implement comprehensive strategies to promote social connection and well-being.

The accelerated pace of urbanization in Iranian metropolises has underscored the need to reevaluate the role of public spaces in promoting public health. This study investigates the influence of urban public spaces on enhancing the physical and mental well-being of citizens in the metropolis of Tabriz. Adopting a quantitative and analytical method, data were collected through a purposive documentary review and field studies. The statistical sample consisted of visitors and users, with an average of 5,000 individuals per public space. Using Cochran's formula and a 10% margin of error, 96 questionnaires were collected for each space. Considering the existence of eight urban spaces—including Sa'at Square, Maqbarat-ol-Sho'ara, Shahid Beheshti Square, El-Goli Park, Golestan Park, Tarbiat Pedestrian Path, Valiasr Park, and Laleh Park Commercial-Recreational Complex—the total number of questionnaires required for this study was 752. Documentary data were analyzed using qualitative content analysis, while field data were examined using descriptive statistical techniques. The findings demonstrate that accessibility, safety, environmental design quality, social vitality, and opportunities for physical activity are critical factors contributing to public health improvement. These urban public spaces, beyond their recreational and social roles, function as strategic infrastructures for health promotion in large cities. The results suggest that integrating a health-oriented approach into the design and governance of public spaces can substantially enhance the quality of life in Iran's metropolitan contexts.

INTRODUCTION: Road traffic accidents represent a significant public health challenge globally, and Iran continues to experience disproportionately high rates of traffic-related morbidity and mortality. This study presents a provincial-level analysis of road traffic accidents in Iran during the 2022–2023 period. METHODS: A retrospective analysis was conducted using data from the Statistical Center of Iran, encompassing all recorded road traffic accidents across 31 provinces during the March 2022 to March 2023. Descriptive statistics, accident and fatality rate calculations, independent-samples t-tests, and Pearson correlation analyses were performed to compare intra-city and extra-city patterns. Statistical significance was defined as p<0.05. Data processing and statistical analyses were carried out using Excel 2019 and SPSS 26, while geographic visualizations were developed using Datawrapper. FINDINGS: In 2022, a total of 2,119,406 road traffic accidents occurred in Iran, leading to 18,799 deaths and 379,020 injuries. Although intra-city areas accounted for the majority of accidents (81.8%; n = 1,733,200), extra-city crashes were markedly more severe. The fatality rate in extra-city areas was 37.48 per 1,000 accidents, compared with 2.5 per 1,000 in intra-city areas (p < 0.001), indicating that extra-city crashes are approximately 15 times more likely to result in death. Significant regional heterogeneity was also observed: Tehran Province reported the highest number of accidents (514,498), whereas Sistan and Baluchistan exhibited the highest fatality rate (167.76 per 1,000 accidents). A negative correlation was identified between total accidents and fatality rates across provinces (r =–0.42, p =0.018), suggesting that provinces with fewer accidents often experience more severe outcomes when crashes occur. CONCLUSION: The results reveal a pronounced intra-city/extra-city divide, where extra-city crashes are 15 times more fatal, alongside severe provincial disparities and highlight the need for differentiated prevention strategies, emphasizing improvements in extra-city infrastructure, enforcement, and emergency response capacity—particularly in high-risk regions. Keywords: Road Traffic Accidents; Injury Prevention; Mortality; Public Health; Intra-city/Extra-city Disparities; Geographical Analysis; Epidemiology.