Showing 9 results for Panahi
Mh Panahi , P Yavari, D Khalili, Y Mehrabi, F Hadaegh, F Azizi,
Volume 9, Issue 4 (3-2014)
Abstract
Background & Objectives: We studied the risk of Chronic Kidney Disease (CKD), Metabolic Syndrome (MetS), and their interaction on the incidence of Coronary Heart Disease (CHD).
Methods: A population of 6568 participants (43.4% male) with a mean age of 48.4 years for males and 46.7 years for females and a median follow-up of 10.1 years was investigated. They were divided into 4 groups at baseline: CKD-/MetS-, CKD+/MetS-, CKD-/MetS+, CKD+/MetS+. Hazard Ratios (HRs) were calculated for each group and were compared to the first group using multivariate Cox regression analysis adjusted for age, education, smoking, total cholesterol, and the family history of cardiovascular diseases.
Results: Men with CKD (without MetS) showed an HR of 1.74 (CI 95%: 1.16-2.60) for CHD events. The measured value was 2.34 (1.77-3.08) for men with MetS (without CKD). The respective results were in women 1.18
(0.64-2.19) and 2.59 (1.73-3.88). CKD and MetS had a significant negative interaction with CHD events (HR=0.40, 0.24-0.66). The interaction was not significant in women (P value=0.48).
Conclusion: The results of this study indicated that CKD without MetS was a risk factor for coronary heart disease in men but not in women.
Mh Panahi, P Yavari, D Khalili, Y Mehrabi, F Hadaegh, F Azizi,
Volume 11, Issue 1 (Vol 11, No 1 2015)
Abstract
Background & Objectives: Some studies on chronic diseases have indicated that obesity may result in a paradoxically longer survival. The present study was aimed to investigate the effect of Chronic Kidney Diseases (CKD) and Metabolic Syndrome (MetS) on the incidence of Coronary Heart Disease (CHD).
Methods: In order to record time to CHD events, a sample of 6,507 individuals (mean age 47.4 years, 43.4% males) was followed for nearly 10 years. Participants were also categorized into four groups according to presence/absence of CKD and MetS. Then, using a Multivariate Cox Regression, the Hazard Ratio (HR) of each group was estimated relative to individuals free of both CKD and MetS separately for obese (BMI&ge27.1 Kg/m2) and non-obese persons (BMI<27.1 Kg/m2).
Results: HR for non-obese patients with CKD but not MetS was obtained 2.06 (95%CI: 1.28-3.31) in men and 2.56 (1.04-6.31) in women. However, these associations were not significant for obese patients. Furthermore, among non-obese men and women with MetS alone, HR was estimated 2.52 (1.71-3.73) and 4.68 (2.20-9.95), respectively. For obese patients, these values were 1.70 (1.05-2.78) and 1.90 (1.16-3.13), respectively.
Conclusion: The results reflect that among those who had MetS alone, the risk of CHD incidence was twice higher in non-obese individuals compared to obese patients.
K Etemad, A Heidari, K Nadafi, Mh Panahi, E Ahmadnejad, Sh Malekafzali, M Najmi, E Idani, H Amiri, Z Khorami, N Rajaee Behbahani , F Davoodi, S Taravatmanesh, A Malekifar, M Nejatifar, M Lotfi,
Volume 12, Issue 1 (Vol 12, No.1 2016)
Abstract
Background and Objectives: Ahvaz has become one of the most polluted cities in the world. Only on 11 November 2013, over one thousand residents in Khuzestan Province attended the nearest health center with severe symptoms, particularly shortness of breath, cough, wheezing, and high blood pressure. During a week, more than 7 thousand patients were registered with this syndrome. This study was conducted to investigate the evidence for the confirmation of an epidemic in acute respiratory syndrome among the residents of Ahwaz in November 2013.
Methods: In this cross-sectional study, we evaluated the data of the use of drugs related to acute respiratory attacks from November 2008 to 2013 in Ahvaz. Then, we conducted a descriptive study on the general population. The sample size was 120 and the study participants included different segments of the general population. The data collection tool was a researcher-made questionnaire and the data were analyzed using SPSS.18.
Results: The use of the respiratory drugs increased from 2008 to 2013. The drug consumption was markedly higher in November 2013. In the study of the general population, 93% of the participants declared that they had never seen a similar event, and 92.5% mentioned that they had never heard of a similar occurrence.
Conclusion: Due to the significant increase in respiratory medicine in November 2013 and the unexpected nature of the event, an epidemic seems to be obvious.
H Mirzaei, Mh Panahi, K Etemad, A Ghanbari-Motlagh , K Holakouie-Naini ,
Volume 12, Issue 3 (Vol 12, No 3 2016)
Abstract
Background and Objectives: Colorectal cancer is the third most common cancer in men and the second most common cancer in women in the world. The colorectal cancer screening program was conducted in Iran as a pilot in the late 2010 with the aim of reducing the burden of colorectal cancer. The aim of this study was to evaluate the colorectal cancer screening program in Iran.
Methods: This cross-sectional study was conducted on data from the pilot colorectal cancer screening programs. First, the indicators of the colorectal cancer screening program were determined through a comprehensive review of scientific databases, interviews with experts and implementation of pilot evaluation. Then, the indicators were calculated through descriptive analysis using SPSS version 18.
Results: The indicators and their values were as follows: coverage rate 33.04%, participation rate 53.3%, percentage of consulted people 99.6%, percentage of blood samples 37%, percentage of colonoscopy 54.8%, cancer detection rate 2.7%, and polyp detection rate 18.1%. Among people who gave blood samples 1.6% had familial adenomatous polyposis (FAP) syndrome, 43.06% had hereditary no polyposis colorectal cancer (HNPCC) syndrome, and 29% were sporadic cases.
Conclusion: The screening program in Iran has differences with other countries which have affected the indicators.
K Holakouie Naieni , Ma Mansournia, Mh Panahi, A Elduma, Sh Nematollahi ,
Volume 12, Issue 3 (Vol 12, No 3 2016)
Abstract
Case-Cohort and nested case-control designs are the most well-known and cost-effective derivatives of prospective studies. Due to the popularity of these designs in recent years, the aim of this study is to provide a comprehensive and up-to-date description of them with respect to methodological issues such as sampling scheme, effect measure estimation, and analysis strategies. Overall, random sampling of controls in case-cohort and matching for time in nested design are considered their hallmarks. Eventually, decision on a better design depends on study objectives, sub-cohort selection, case and control determination, and method of data collection. It should be kept in mind that any particular study requires unique elaboration and delicate examination to choose from the designs.
M Saatchi, Mh Panahi, A Ashraf Mozafari, M Sahebkar, A Azarpakan, V Baigi, K Holakouie Naieni ,
Volume 13, Issue 2 (Vol.13, No.2, Summer 2017)
Abstract
Background and Objectives: The awareness of the health knowledge level of a population and the weaknesses in people's health literacy is essential for educational planning. This community assessment study, which was conducted to develop an appropriate infrastructure for educational planning, examined the level of health literacy in Hormuz Island’s residents.
Methods: This analytical cross-sectional study was done on a sample of people over 18 years in Hormuz Island. Data were collected by two questionnaires which included basic information such as age, sex, marital status, age at marriage, and also indirect questions regarding the economic status of the individuals. Also, the Short Test of Functional Health Literacy in Adult (S-TOFLHA) was used to measure the patient's ability to read and understand health-related concepts. The linear regression analysis was performed.
Results: The data provided by 486 individuals were analyzed in this study. The mean age was 39 years (18-79) and 48% were female. The mean household size was 4.5 people. The mean score of the subjects was 58.06. Thirty-five percent had less-than-sufficient health literacy, 18.21% had sufficient health literacy, 12.29% had insufficient, and 7.14% had higher health literacy. Education level (P<0.001), economic status (P<0.001), and age (P<0.001) were the main variables influencing health literacy in the sample.
Conclusion: Community assessment showed that older age groups did not have sufficient health literacy. Low economic status accompanied by low levels of literacy makes individuals less motivated to improve their health knowledge and, consequently, leads to low levels of health literacy in Hormuz.
K Etemad, A Heidari, Mh Panahi, M Lotfi, F Fallah, S Sadeghi,
Volume 13, Issue 3 (Vol.13, No.3, Atumn 2017)
Abstract
Background and Objectives: Data plays a major role in a health care system in development planning and health services support if they are correct, timely and accessible. The data of the Ministry of Health are not readily available and the limited access reduces their value. The aim of this study was to explore the challenges of access to the data of the Iranian Ministry of Health.
Methods: This qualitative study was conducted in 2015. Twenty-three academic and administrative experts were selected purposefully. Semi-structured interviews were conducted to collect the data. The transcripts of the interviews were analyzed using content analysis.
Results: The results of this study provided 4 main themes (challenges of access to the data of the surveillance system, challenges of access to the data of national surveys and ordered projects, challenges of access to the data of electronic health records, and challenges of access to confidential data) and 15 sub-themes.
Conclusion: Given the multiple challenges of access to the data of the Iranian Ministry of Health, it is suggested to design access mechanisms in a systematic manner in the form of guidelines and organizational structures for data access management.
Fereshteh Eidy, Hoosein Fallahzadeh, Rahman Panahi, Jamshid Jamali,
Volume 18, Issue 3 (Vol.18, No.3, Autumn 2022)
Abstract
Background and Objectives: Today, overweight and obesity are among the significant challenges in the world. They can have adverse effects on quality of life. Quality of life is determined by social and physical environment. The present study investigated the construct validity of the Persian version of the Impact of Weight on Quality of Life (IWQOL-lite) questionnaire using multilevel confirmatory factor analysis.
Methods: The present study was conducted on 310 people over 18 years old living in Yazd city. The data were analyzed using m-plus6.2 software.
Results: The mean age of the participants in this study was 33.97± 4.70 years. Sixty percent (N=183) of subjects were male. The indices of the one-level model were more appropriate than those of the two-level model, and the one-level confirmatory factor analysis model had a good fitting to the data (CLI: 0.98, TLI: 0.98, RMSEA: 0.038).
Conclusion: The results of this study indicated the need for more effectiveness of urban areas on quality of life. The one-level confirmatory factor analysis model confirmed the construct validity of the IWQOL-lite questionnaire. This questionnaire can be used in the Iranian population.
Elham Rahimi, Ebrahim Ghaderi, Ehsan Mostafavi, Mohammad Hossein Panahi, Manoochehr Karami,
Volume 19, Issue 1 (Vol.19, No.1, Spring 2023)
Abstract
Background and Objectives: The publication of outbreak investigation reports is critical for disseminating lessons learned from outbreaks. While there are existing reporting guidelines for outbreak investigations, there is a gap in specific guidelines for reporting food-borne and water-borne outbreaks. This study aims to introduce a specific framework and reporting guideline for food and waterborne outbreak investigations in Iran.
Methods: The initial draft of the framework for reporting food and waterborne outbreaks was derived from existing general reporting guidelines for outbreak investigations. Additionally, a systematic review of studies reporting outbreaks of waterborne and foodborne diseases from 2010 to 2022 was conducted without language restrictions to extract relevant information. Expert opinions were then sought to finalize and adapt the reporting guideline.
Results: The reporting guideline framework for outbreaks of waterborne and foodborne diseases consists of eight parts: title, abstract (background, methods, results, conclusion), introduction, methods (study characteristics, study type, variables under investigation), results (participant information, statistical results, laboratory results, environmental investigation results), discussion, conclusion, and conflict of interest.
Conclusion: This specific reporting guideline for food and waterborne outbreak investigations can be utilized by outbreak investigation teams, rapid response teams, and researchers to effectively report the results of outbreak investigations in this domain.
