Showing 8 results for Kazemi
Hr Mashreghimoghadam, T Kazemi, F Besharatimoghadam,
Volume 4, Issue 2 (20 2008)
Abstract
Background and objective: Acute myocardial infarction (AMI) is the most prevalent cause of mortality in the world today. Sometimes before an acute phase of AMI there are certain prodromal symptoms. Since there are some social and cultural differences in Iranian population, this study was deigned to investigate the prodromal symptoms in patients with AMI in city of Birjand.
Methods: In this analytic-descriptive research, 165 patients with first AMI who were hospitalized in the CCU and cardiac ward of the Valiassr Hospital in Birjand from the 2006-2007 were studied. A valid questionnaire which was designed by expert cardiologists was used. The T-test and ANOVA were used for data analysis, and p<0.05 was considered as the significant level.
Results: Among 165 subjects, there was 118 (71.5%) males and 102 patients (61.8%) had Anterior MI. 61 patients (37%) reported cardiac prodromal symptoms and 43 patients (26.1%) reported systemic prodromal symptoms. The most common cardiac prodromal symptom 2 days before AMI was chest pain in the right and left hemithorax (24.2%), and the most common systemic prodromal symptom was loss of appetite (12.7%). Women reported more cardiac (p=0.04) and systemic (p=0.00) prodromal symptoms than men. This difference was statistically significant (p <0.05).
Conclusion: Careful attention to history and prodromal symptoms in patients with cardiac risk factors may be caused early diagnosis, efficient treatment plan and better prognosis of AMI in patients.
T Kazemi, Gh Sharifzadeh, F Hosseinaii,
Volume 4, Issue 3 (20 2009)
Abstract
Background & Objectives: Recognition of epidemiology of acute myocardial infraction (AMI) in every region could be a need for design the programs for prevention of AMI. In this study we assessed the epidemiology of changes in AMI from 2002-2006 in Birjand(east of Iran).
Methods: All of the patients which hospitalized by AMI diagnosis from 2002-2006 years, included in this study. We compared mean of age, gender, location of living, medications used, condition at discharge and cardiac risk factors in this period.
Results: From 1233 patients, 880 were male (71.4%). Overall, mean age of patients was 62/2±12/8 years and in five years was increased (from 61.7±13/2 in 2002 to 63.5±12/4 in 2006 & p=0.37). The most risk factors in patients were: Hypertension (HTN) (34/8%) ,cigarette smoking (32/1%) & dyslipidemia (24%). These risk factors did not show any significantly changes during 5 years. But the the prevalence of HTN (30/9% in 2002 to 38% in 2006, p=0/62) and DM (15/5% in 2002 to 21% in 2006, p=0/23) raised. Cardiac drugs use tended to increase during 5 years, however only this increase about STK & Statin was statistically significant. The hospital mortality rate was decreased in 5 years (11.3%) but it was not statistically significant (p= 0.48).
Conclusions: Regarding the accelerating the rate of AMI, designing an appropriate prograrme for prevention and modifying cardiac risk factors is recommended.
Gh Hassanshahi, M Kazemi Arababadi, Er Zarandi, M Moradi, R Vazirinegad, H Yousefi Darehdor, Se Pourhosseini, Sma Sajadi, M Arasteh,
Volume 5, Issue 1 (20 2009)
Abstract
Background and objectives: People with thalessemia and chronic renal failure on maintenance hemodialysis are prone to blood-born infections, especially hepatitis C due to the long-term transfusion. Recently, hepatitis C has been one of the main health concerns in these patients. The aim of this study was to determine the prevalence of hepatitis C and its risk factors in these groups of patients in Kerman province of Iran.
Methods: HCV RNA in blood sample of 384 patients (203 hemodialysis cases and 181 thalassemia cases) was evaluated.
Results: One hundred thirty (130) out of 384 were infected by HCV. Infected male was predominant (83%).
Conclusions: It seems that the frequency of hepatitis C infection in Kerman is higher than the other provinces of Iran. Therefore more attention should be paid to screen of blood before transfusing for these group of patients.
M Mardani, Kh Kazemi, A Mohsenzadeh, F Ebrahimzade,
Volume 8, Issue 4 (9 2013)
Abstract
Background & Objectives: Macrosomia is a term applied to newborns with a birth weight more than of 4000 gr which cause different maternal and neonatal complications. Several risk factors has been known for macrosomia. The purpose of this cross-sectional study was to estimate the frequency and evaluate of risk factors of macrosomia in Asalian hospital of Khorramabad in 2010.
Methods: This study was undertaken in Khorramabad, Iran. The data collection instrument was a questionnaire containing 10 variables as the risk factors of macrosomia. The data were analyzed using the SPSS software.
Results: 59 cases of macrosomia were found in 500 living births, and the frequency of macrosomia was 11.8%. Also, 69.5% of the neonates were male and 30.5% were female. Maternal risk factors were mother's age at pregnancy, mother's obesity (BMI>=30), weight gain more than 18 kg during pregnancy, history of diabetes mellitus, history of macrosomia, prolonged gestational age, and multiparity (parity>=5). There was no significant relationship between mother's job and macrosomia.
Conclusion: The prevalence of macrosomia in Khorramabad was high (11.8%). Preventing pregnancy in mothers over 35 years of age by contraception ways, preventing maternal obesity before pregnancy, and control of blood glucose during pregnancy by suitable diet and insulin therapy are recommended to prevent macrosomia.
S Aghamohammadi , E Kazemi, A Khosravi, H Kazemeini ,
Volume 12, Issue 4 (Vol.12, No.4 2017)
Abstract
Background and Objectives: By identifying the causes of death, interventions can be designed and implemented to reduce the risk factors of different diseases. The aim of this study is to determine the trend of ten leading causes of death in the Islamic Republic of Iran in 2011.
Methods: The study population comprised all deaths recorded in the death registration system of the Ministry of Health and Medical Education (MOHME) from 2006 to 2011. The data related to causes of death reviewed and modified in terms of quality, underreporting of deaths, and garbage codes using the Global Burden of Disease study methods. Finally, the data were analyzed by sex and age groups.
Results: The leading causes of death were cardiovascular diseases (46.12%), cancers and tumors (13.63%) and unintentional injuries (11.55%) in 2011. The 10 leading causes of death in the general population were myocardial infarction, stroke, transportation-related accidents; blood pressure induced heart disease, other cardiovascular diseases, diabetes, chronic pulmonary and bronchial diseases, gastric cancer, other heart diseases and renal failure.
Conclusion: Deaths from non-communicable diseases still account for a large proportion of total deaths. According to the Heath System Reform Plan in Iran and the need for new interventions, it is very important to register the exact causes of death to design service packages and also evaluate the success rate of ongoing interventions.
A Doosti Irani , F Bagheri Amiri , R Khajehkazemi, E Mostafavi,
Volume 13, Issue 1 (Vol 13, No 1, Spring 2017)
Abstract
Background and Objectives: Internet addiction is a social-physiological event with emotional disturbance, depression, and disruption of social relationships. In addition, Internet addiction has a negative effect on the efficacy of the affected people. The aim of this study was to determine the prevalence of Internet addiction in students and graduates of medical sciences.
Methods: This cross-sectional study was conducted on the sideline of epidemiology, microbiology and pediatric diseases congresses from May to October 2013. The participants included the students and graduates of epidemiology, clinical sciences, and other basic sciences from all medical universities of throughout Iran. The Young’s addiction questionnaire was used to assess Internet addiction.
Results: One hundred and thirty one students and graduates with a mean age 36.1 (±8.4) years participated in this study. The prevalence of mild and moderate Internet addiction was 61.83% (95% CI: 40.53, 70.26) and 26.95% (95% CI: 26.95, 33.56), respectively. None of the participants suffered from severe Internet addiction.
Conclusion: Severe Internet addiction was not observed in our study. However, a high proportion of the participants had mild and moderate Internet addiction. Therefore, many participants may be at risk of severe addiction. It seems that planning for preventive measures, especially in academic groups, is necessary.
S Baridkazemi, E Mosafarkhani, R Eftekhari Gol , A Taghipour, A Bahonar, O Emami, Hr Bahrami,
Volume 14, Issue 3 (Vol.14, No.3, 2018)
Abstract
Background and Objectives: Researchers and health specialists are increasingly using self-reports to obtain information on chronic illnesses. This study was conducted to assess the validity of self-reports of diabetes based on a recent field survey in Mashhad.
Methods: In this cross-sectional study, we used the results of 2015 census in Mashhad, a population based survey of people over the age of 30 (n =307103), to determine the proportion of self-reported diabetes. The patient records of Sina Electronic Health Record system (SinaEHR®) coded as E11 and E12 approved by doctors were used as a reference. The sensitivity, specificity, positive predictive value, and negative predictive value were calculated with 95% confidence intervals.
Results: The sensitivity, specificity, PLR, NLR, PPV, and NPV of self-reported diabetes was 24.59% (95% CI: 23.97-25.21), 98.04% (95% CI: 97.99-98.09), 12.56% (95% CI: 12.11-13.02), 0.77% (95% CI: 0.76-0.78), 44.77% (95% CI: 43.89-45.67), and 95.27% (95% CI: 95.23-95.31), respectively. The sensitivity of self-reported diabetes was higher in men, Iranian individuals, single subjects, people aged 60 and over, individuals with a BMI of 18.5-25, and those with university education.
Conclusion: Although the sensitivity of self-reported diabetes was poor in this study, its specificity and positive and negative predictive values were good. Furthermore, the sensitivity of self-reported diabetes was higher in men, Iranian individuals, single subjects, people aged 60 and over, individuals with a BMI of 18.5-25, and those with university education. It seems that caution should be exercised in using self-reported data in epidemiological studies.
S Aghamohamadi, A Khosravi, E Kazemi, A Atefi,
Volume 16, Issue 1 (Vol.16, No.1 2020)
Abstract
Background and Objectives: A large proportion of the data of cause of death is registered in hospitals in Iran. Assessment of the death data can help to identify the problems of cause of death registration system and improve it. Therefore, this study was conducted to review the quality of cause of death registration in Iranian hospitals in 2016.
Methods: All hospital deaths in 2016 were reviewed and classified by age group and sex using the Ministry of Health’s death registration system. Analysis of Causes of National Deaths for Action (ANACONDA) was used to evaluate the quality of the data of cause of death.
Results: About 24% of the recorded hospital deaths were assigned to garbage code categories. The highest percentage of this group was seen in the age group over 70 years old and the highest percentage of well-defined causes of death was seen in the age group below one year. Moreover, among the five groups of garbage code causes of death, the group with insufficient details of the cause of death based on ICD classification had the highest percentage in all age groups.
Conclusion: Since a substantial proportion of the causes of deaths registered in the Iranian hospitals are categorized in the garbage code categories and cannot be used for planning and health policy making, it is necessary to design a comprehensive plan to implement interventions such as implementation of process evaluation programs and training programs for physicians and coders.
