Showing 5 results for Hassanzadeh
Smt Ayatollahi, J Hassanzadeh, Aa Ramezani,
Volume 4, Issue 3 (20 2009)
Abstract
Background & Objectives: Burden of disease studies have been implemented in many countries using the disability adjusted life year (DALY) to assess major health problems. This study was designed to assess the burden of transport accident in South Khorasan (SK) province of Iran for 2005.
Methods: Years of life lost (YLLs), Years lived with Disability (YLDs) and DALYs were calculated by using methodology developed for the global burden of disease study (GBD) in 2003. The total population of SK was included in this study.
Results: In the 2005 year, the DALYs from transport accident in the south Khorasan province were 7456. DALYs for males and females were 5775(77%), 1691(23%) years respectively. The total rate of DALYs was 13.28 (per 1000) and with higher rates in age groups 30-44 years (20/86 per 1000), 15-29 years (16/96 per 1000) and 45-59 years (13/28 per 1000).
Conclusions: The age group 15– 44 years was more at risk of transport accidents and injuries than others. The findings suggest that adequate interventional programs for transport accidents prevention and control should be taken to minimize at different levels.
H Lashkardoost, B Zeighami, M Mahmoudi, J Hassanzadeh, A Hamedi, Hr Tabatabaee, F Sameemanesh, Sm Kashfi,
Volume 6, Issue 1 (20 2010)
Abstract
Background & Objective: Because of uncertainty in interpretation of some tests for diagnosing TB, decision making for the tuberculosis treatment is based on multiple diagnostic tests. This study was conducted to assess the accuracy of Quanti FERON-TB Gold test in tuberculosis diagnosis.
Methods: The study was carried out on 30 cases and 46 controls. Statistical indices of sensitivity, specificity, positive predictive value, negative predictive value, likelihood ratios, odds ratio and Receiver Operating Characteristics (ROC) curve were estimated.
Results: Sensitivity of QFT-G was 90.0% (95% CI=73.0-97.6), specificity 95.7% (95% CI=83.8-99.3), positive predictive value 93.1% (95% CI=76.3-98.9), negative predictive value 93.6% (95% CI=81.3-98.4). The area under ROC curve was 0.942 (95% CI=0.88-1.00), that significantly differed from chance diagonal area (P<0.0001). The optimum cut point for the Quanti FERON-TB Gold test was 0.35 IU/ml, with sensitivity of 0.90 and specificity of 0.957.
Conclusions: The Quanti FERON-TB Gold test displayed good validity indices in this study. Since the utility of this test has a high cost therefore this test would not be offered for routine tuberculosis detection. It suggested that this test are applicable for smear and culture negative tuberculosis, child tuberculosis, and assessment of TB contact tracing.
A Mohammadbeigi, J Hassanzadeh, B Eshrati, N Mohammadsalehi,
Volume 9, Issue 2 (Vol 9, No 2, Summer 2013 2013)
Abstract
Background and Objectives: Inequity in health is a universal term which used for showing current differences, variations and inequalities of people in access to health. But inequality in health refers to some inequities which seems are unfair or caused by some errors and biases. The current study aimed to describe some of the common health related inequity measures to be useful for the inequity researchers and other interested health coworkers.
Methods: The calculation, advantage and disadvantage of most common health-inequity indexes including slope index of inequity, relative index of inequality, Theil’s Index, mean log deviation, index of disparity, Gini coefficient, weighted utilization social welfare function, absolute and relative concentration index were assessed. Inequity size of these measures was calculated by using the health care utilization survey data.
Results: Average of health care utilization in in-need subjects was 66.4%. This indicator was in the first to fifth quintiles equal to 57.6%, 63.4%, 71.6%, 69.5% and 75.3%, respectively. Relative concentration index and Gini coefficient was calculated as 0.053 and 0.0062, respectively.
Conclusion: Inequity in health care utilization in Markazi province differs based on the types of inequity measures. Selection of the inequity indexes dependent to the objective and the scale of under study variable. Among discussed indexes, concentration index determine the more accurate and also show the gradient of inequity. Therefore it can be used as the best index.
Me Motlagh, F Torkastani, H Ashrafian Amiri , Sm Rabiee, L Radpooyan, Sd Nasrollahpour Shirvani , Z Hassanzadeh Rostami ,
Volume 13, Issue 4 (VOl 13, No.4, Winter 2018)
Abstract
Background and Objectives: Satisfaction of health care recipients is always considered by policy makers and implementers as an indicator of measuring the quality and determining the effectiveness of services. This study aimed to determine the satisfaction of mothers from first level of Iranian network system.
Methods: This cross-sectional study was conducted to assess the incidence of maternal mortality in six provinces of Iran in 2015. Twenty-four public health centers were randomly stratified and selected. In each center, 15 to 20 mothers who were covered by prenatal care were examined. The data were collected through a researcher-made questionnaire whose validity and reliability were confirmed, interviews with mothers, and their medical records. SPSS version 17 was used for analysis. P values less than 0.05 were considered significant.
Results: Of 2722 mothers participating in the study, 2187 (80.3%) were satisfied with the condition and facilities of health units and service providers and 535 (19.7%) were dissatisfied. The highest level of satisfaction in mothers was observed in the areas of behavior, complete services, training of health professionals, and adequacy of pharmaceutical products while the lowest level of satisfaction was related to the adequacy of the medical education and the distance between the health unit and home. There was a significant relationship between 16 demographic variables and maternal satisfaction (P<0.05).
Conclusion: This study showed that about one fifth of pregnant mothers are still not satisfied with the first level of network systems in Iran and many factors have an impact on their satisfaction. It is recommended to design and implement interventional programs to increase their satisfaction.
E Ghaderi, J Hassanzadeh, A Rezaianzadeh, M Nasehi, H Barati, Mr Bazrafshan , F Mazooji, M Ghorbanian, N Ghavidel, S Razi,
Volume 16, Issue 3 (Vol.16, No.3 2020)
Abstract
Background and Objectives: A great number of tuberculosis (TB) patients present to the private sector to receive care; therefore, integrating TB control programs into private sector activities can enhance the control of TB. The Public-Private Mix (PPM) program is suggested by the World Health Organization to engage the private sector in TB control programs. In this study, a plan designed for PPM was piloted Karaj, Alborz Province, Iran.
Methods: In this community trial, pre-intervention assessment covered 18 months prior to the study. The intervention was a PPM package that was integrated into the health system by Karaj County Health Center. Then, three-month post-intervention data were collected. Analysis was performed with the SPSS 16 software using chi-square test.
Results: After the intervention, there was an increase of 40.7% in suspected cases of TB per month and an increase of 101.7% in smear positive TB cases diagnosed by Karaj laboratories. The ratio of smear positive cases to all suspected TB patients was 4.57% before and 6.56% after the intervention. The percentage of three sputum sample positive patients was 75.5% and 89.9% before and after the intervention, respectively.
Conclusion: The developed PPM program markedly improved the case detection; therefore, it is suggested to fix the potential defects of the program and implement it in all parts of the country.
