Background and Objective : After suffering from some diseases,car accident is the most common cause of mortality in Iran.Using safety seat belt has a considerable role in reducing the injuries. This study has been established for comparing the trend of safety belt use from 2007to­ 2010 in Golestan province.

  Material and Methods: This population-based cross-sectional study was carried out on 3999 subjects aged 15-65,­during four years,in 11 urban and rural public health centers.They were selected by stratified and cluster sampling.­ Interviewers recorded the data using a all of them filled demographic data sheet,and were asked whether they asked seat belt or not.We used Chi-2 test to compare the frequencies and regression logistic to estimate seat belt use odds ratio.

  Results: The rate of seat belt use in the years of 2007, 2008, 2009 and 2010 were 71%, 69.8%, 74.5 and 86.4%, respectively.The difference is signficant(P<0.01) safety belt use during the four years increases by 15.4%.­ This increase in urban area is 19% while in rural area is 14.9%. In under 35-­year-old group,the increase is 17.85% and in over 35 is 14.3% .In 2010,­using seat belt in men was more than women, by 14.8%.

  Conclusion: Using safety belt increased by 3.85% for each year.It^,s use in urban higher that rural are,and in institutionalization to use the safety belt and a growing trend to use clear men more them women was reported.Interalization horizon in the province in reducing mortality from accidents will open of using seat belt and it^,s increasing use is considerable in this Province.

  Background and Objective: surgery is a stressful experience and in open heart surgery, the patients are greatly faced with anxiety, which has been reduced by different approaches. This study aimed to investigate the effects of aromatherapy on anxiety level.

  Material and Methods: This blinded- randomized- controlled clinical trial was carried out on 90 patients divided into two groups of intervention and control. the patients of intervention group were asked to inhale two drops of lavender essential oil and those of control group two drops of distilled water poured on a gauze , for 20 minutes. In addition to measuring patients’ anxiety level by Spielberger questionnaire, we recorded their vital signs. Using SPSS 16 software, the data was described via mean, standard deviation and percent, and analyzed by using independent t-test, paired t-test, Chi Square and Covariance (0.05).

  Results: The mean age of intervention group was 50.49 ± 10.92 and control group was 50.13 ± 9.20. Anxiety score in intervention group was significantly decreased from 56.37±5.6 to 54.73±5.42 and in control group meaningfully reduced from 55.18±7.35 to 54.0±7.22 (p<0.05). The mean anxiety score in the intervention group was significantly higher than that of control group (p<0.05).

  Conclusion: Because anxiety reduction in aromatherapy group was more than control group it can be concluded that aromatherapy with lavender essential oil have significant effect in reducing anxiety and therefore can be used in clinical situations.

  Background and Objective: Substance abuse is a universal problem. Iranian Addicts, on average, spend 15 percent of the oil revenue on drugs. Addiction is the cause of crisis and decreased quality of life. The Nurse can support care- giver to select the effective method. The purpose was to compare detoxified addicts’ life quality participating in narcotics anonymous, therapeutic community and who refer to methadone therapy clinics in Mashhad, Iran.
Material and Methods: This three-group pretest-posttest study was conducted on the subjects , selected via convenience sampling, including 27 patients in narcotics anonymous, 27 in therapeutic community and 23in methadone treatment. The baseline and after 1.5 months data were collected, using a questionnaire, and analyzed by SPSS software.

  Results: the results show that participating in the sessions of all groups led to increased quality of life. In all eight aspects of program, the scores of Narcotics Anonymous group were significantly higher than those of other groups.

  Conclusion: because of significant effect on quality of life, we recommend applying these approaches, especially Narcotics Anonymous.