*Corresponding author:Mahsa Houshdar, Hooshdar Medical Technology Company, Iran-Karaj-Taleghani Ave-No 455-Second Floor, Iran
Received: September 04, 2017; Published: September 18, 2017
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Introduction: Online Medicare is a method in which parts of a medical process - whether its diagnostics, monitoring or the treatment itself will be done by using online services. This system has been operated in 4 boys high school, 5 girl high schools.
Method: At the first step the students registered for using the system. It was not mandatory and not free. They participated in estimating depression scale, anxiety scale and clinical interview by online medical care system. During this estimation, we could find the existence and severity of depression and anxiety in each one of the participants, also we could find the consequent needs of each one, such as supportive therapy in mild depression or anxiety, need to visited by psychologist in moderate cases, need to visited by psychiatrist in moderate-severe cases, need to visited by psychiatrist and psychologist in severe cases and need to perform medical lab examination tests The lab examination tests were performed on persons specified by the system. The lab examinations were included: serum level of vitamin D, serum level of vitamin B12, serum level of calcium, fasting blood sugar, HbA1c, thyroid function tests and CBC. All of the students were solely treated by vitamins or minerals therapy and/ or treatment of medical problem (such as hypothyroidism). This system has been operated in high schools during 4 years. (April 2011 till March 2016). From Oct 2014 till May 2016, the ministry of education of Albors state of Iran has been given 5000IU vitamin D3/ Monthly to every high schools students. During this period online medical care system had been operated in 6 high school of above average area of Karaj. Thus we had enough information to compare the prevalence of vitamin D deficiency (serum vitamin D level <10) and insufficiency (serum vitamin D level >10 & < 30) from the beginning of operation of the project till March 2016.
Results: Totally, the serum vitamin D3 level of 180 students have been measured from Oct 2014 till April 2015 and the results compare with the serum vitamin D3 level of 203 students have been measured from Oct 2o15 till March 2016. The mean of vitamin D deficiency in academic year 2014-2015 was %34.06 and in academic year 2015-2016, it was %14.70. The mean of vitamin D insufficiency in academic year 2014-2015 was %50.26 and in academic year 2015-2016, it was %60.53. There was no any case of vitamin D toxicity. This results show that the prescription of 5000IU vitamin D3 can significantly decrease the range of vitamin D3 deficiency in high schools, but we need more time for decreasing the range of vitamin the insufficiency
Conclusion: During two year prescription of 5000 IU vitamin D3/ monthly in high school, we face on 2.5 time decreasing of vitamin D deficiency and a few increasing of vitamin D insufficiency and no case of vitamin D toxicity.