Showing 9 results for Rashidi
M Qorbani, M Yunesian, A Fotouhi, H Zeraati, S Sadeghian, Y Rashidi,
Volume 3, Issue 1 (21 2007)
Abstract
Background & Objectives: Recent evidence suggests that long-term exposure to air pollution contributes to progression of atherosclerosis and the risk of cardiac morbidity and mortality short-term exposure may also lead to thrombosis and acute ischemic events. To evaluate the relation between the levels of major air pollutants (CO and PM10) and hospital admission for acute coronary syndrome (ACS) in Tehran, we performed a case-crossover design and checked whether individual characteristics act as effect modifiers.
Methods: We selected 250 Tehran residents who had been hospitalized with an acute coronary syndrome from 4th of April to 10th of June, 2007. The following individual data were gathered: sex, age, date of hospitalization, and coexisting illnesses (hypertension, diabetes). Daily air pollution data were taken from the Air Quality Control Center. Temperature, humidity, stress, physical activity and weekend days were treated as confounding variables, and a conditional logistic regression model was used for statistical analysis.
Results: We found a positive association between ACS and average 24-hour CO levels. The OR for each unit increase of the average 24-hour CO was 1.18 (95%CI: 1.03-1.34). The relation between ACS and 24-hour average PM10 did not reach statistical significance (OR for average 24-hour PM10 was 1.005, 95%CI: 0.99-1.01). The association between ACS and 24-hour average CO tended to be stronger in women (OR=1.68 for each unit increase, 95%CI: 1.25-2.26). The relation between 24-hour average PM10 and ACS did not change across the layers of the effect modifiers.
Conclusions: The results suggest that an increase in average 24-hour CO levels will augment the risk of ACS, and the effect is stronger in females. On the other hand, we were unable to document an association between ACS and average 24-hour PM10 levels.
E Pourbakhtyaran, Mh Sowlat, A Rashidian, P Pasalar, N Rastkari, M Yunesian,
Volume 8, Issue 4 (9 2013)
Abstract
Background & Objectives: In the last decade, there have been some claims about hazards of Sodium bicarbonate in bread, in public and scientific sites. Currently, the use of sodium bicarbonate in bread processing is forbidden in Iran. Therefore, the present study sought to assess the current evidence on the adverse effects of sodium bicarbonate use from oral route on public health.
Methods: Different databases, including Scopus, Pubmed, and Ovid were searched for hazards of sodium bicarbonate in baking.
Results: Based on this systematic review, there was no study showing any adverse effects of Sodium bicarbonate when used in producing bread. However, we found many studies about the use and medical application of it. The reported adverse effects mostly included gastrointestinal and electrolytes implications at medical doses which are significantly higher than those used in bakery, or some complications due to accidental or excessive oral ingestion of sodium bicarbonate.
Conclusion: Not only was there no evidence on the adverse effects of sodium bicarbonate on public health, but at medical doses, many useful effects were also reported in clinical trial studies. Therefore, it is assumed that the use of Sodium bicarbonate at normal doses does not have any adverse effects on human and can be used for bakery in Iran.
M Mohammadkhani , H Sharifi, H Rashidi, Ar Nabipour, M Jahanshahi,
Volume 10, Issue 4 (Vol 10, No 4 2015)
Abstract
Background and Objectives: Brucellosis is a zoonosis disease that is important in humans and animals. Since the disease is important in ranchers and veterinarians, we conducted this study to estimate the seroprevalence of the infection in these groups in Kerman.
Methods: In this descriptive and analytical cross-sectional study, 187 industrial and semi-industrial dairy personnel and veterinary network staff of Kerman in 2012 were recruited. Rose Bengal, Wright and 2-Mercaptoethanol were done on serum samples. Demographic and occupational characteristics of the participants were recorded. Data was analyzed using descriptive statistics and Poisson regression via the Stata software. Results: The prevalence of brucellosis was 3.2%. In this study, the history of brucellosis in the family, working in the veterinary network, and working in semi-industrial versus industrial dairy farms were the risk factors of the disease.
Conclusion: Although the prevalence of the infection was lower than other studies, it was still considerable in these groups therefore, it is necessary to improve preventive measures in these groups.
A Rashidian, M Soofi,
Volume 11, Issue 1 (Vol 11, No 1 2015)
Abstract
financial protection against health expenditures is a major goal of health system policymaking. governments have focused on the risk that high health expenditures pose to the financial security of deprived and vulnerable populations. Health systems need to be sure that people receive health services and are protected from the financial burden of health costs. There is no accepted standard for measuring the degree of financial protection. In the literature, there are different approaches to measure the degree of financial protection. Measuring the extent of financial risk is complicated by the fact that the significance of a given risk depends on both the size of the risk and the economic status of the person incurring the risk. Another reason for this complication is that financial risk can also affect the health status. The seriously ill may not receive adequate care if the financial burden on them contributes to a decision not to seek care. Their injury from a lack of risk protection, therefore, may show up as diminished health status and not as a financial loss. The aim of this article is to provide the methodology of the assessment of financial protection against health costs with focus on catastrophic health expenditures. First, we describe and explaine the methodology of measuring the expenditures (based on the WHO approach). Then, we interpret variables used in estimating these costs. Finally, overall discussion and conclusions will be provided in relation to the subject.
V Yazdi Feyzabadi, M Bahrampour, A Rashidian, Aa Haghdoost, M Abolhallaje, B Najafi, Mr Akbari Javar , Mh Mehrolhassani,
Volume 12, Issue 0 (Special Issue Vol.12 2017)
Abstract
Background and Objectives: Catastrophic health expenditure (CHE) is a key indicator for measuring households' financial protection in the health system. This study was conducted to measure the incidence and intensity of CHE in Iranian provinces 2008-2014.
Methods: When the out-of-pocket (OOP) spending of each household amounts to at least 40% of the household's capacity to pay, it is called a catastrophe. The incidence of CHE in Iranian provinces was estimated using the data obtained from household-expenditure-and-income-surveys. The intensity was calculated as the average extent to which OOPs exceeded the 40% threshold. Descriptive statistics and Mann-WhitneyU test were used for data analysis. The index of disparity(ID) was also calculated for geographical disparities across the provinces.
Results: On average, the lowest and highest CHE incidence and intensity were seen in Fars and South Khorasan provinces respectively. However, the highest and lowest rate for CHE households that actually experienced catastrophe at the 40% threshold belonged to Fars and Kurdistan provinces. The incidence of CHE in rural was more than urban areas. ID of CHE incidence for targeted amount was high and had no constant trend.
Conclusion: CHE incidence had a remarkable difference in different provinces and in the rural area compared to the urban area. Due to the importance of this index in promoting health financial protection, like indexes such as OOP, its distribution in rural and urban areas as well as in different provinces is considerable. It requires a structured format to identify the disadvantaged and low-income groups and provide financial-support and insurance for them.
Aa Haghdoost, H Hashemi, S Noori Hekmat , M Haji Aghajani , Gh Janbabaee, A Maher, Am Javadi, S Emadi, H Haghighi, Mr Rajabalipour, R Dehnavieh, M Ferdosi, Hr Rashidinejad, F Moeen Samadani , R Rahimisadegh,
Volume 13, Issue 0 (Vol.13, (Special Issue) 2018)
Abstract
Background and Objectives:Among health sector resources, hospital beds are the primary unit of calculation for the capacity of the health service and vital capacity in patient care. Lack of appropriate distribution in different parts of the country leads to transfer of patients and irreparable problems. The aim of this study was to provide accurate information on the number and distribution of hospital beds in the country in 2016 and to estimate the number of beds required by 2026.
Methods:This descriptive-analytic study was conducted in 2016. The population of the study comprised 439 counties covered by 46 medical universities of the country. In this study, the data of 2016 were used and information about the number and ownership of beds and the size of hospitals were obtained from the treatment deputies of medical universities.
Results:The number of active beds in the country was 117580 in 2016, and it is estimated that in order to meet the needs of the community, this number should reach 194471 beds by 2026. There were 1.47 beds for 1,000 people in 2016, which will increase to 2.9 in 2026 by implementing the NEDA project. The coefficient of variation in 2016 was 36%, which will reach 19% by 2026 according to estimates in the Iran's roadmap project.
Conclusion:The distribution of beds was differed in different regions of the country and there are not enough hospital beds in some areas. If the Iran roadmap is implemented, 2026 beds will be distributed more evenly across the country.
F Amiri , H Sharifi, E Ghorbani , Fs Mirrashidi, M Mirzaee, N Nasiri,
Volume 15, Issue 2 (Vol.15, No.2 2019)
Abstract
Background and Objectives: Congenital hypothyroidism is one of the reasons for mental retardation and premature death of infants. Since identification of the determinants of hypothyroidism plays a significant role in its prevention, this study was conducted to determine the prevalence of congenital hypothyroidism and to investigate its determinants in newborn infants.
Methods: This study was a secondary analysis of the data of the neonatal congenital hypothyroidism screening program. Hypothyroidism was diagnosed based on the Thyroid Stimulating Hormone (TSH) level in the heel prick blood samples on the third to fifth day of life. The data of infants born in Jiroft hospitals were collected from Jiroft Health Center and analyzed using descriptive statistics and Poisson regression test.
Results: In this study, 4998 newborns (2450, 49.02% female, 2548, 98 / 50% male) were investigated. The study samples were newborns born from March to March 2016. The prevalence of congenital hypothyroidism was 1 in 135 live births. The prevalence of congenital hypothyroidism was higher in babies born by cesarean section (IRR = 2.2, 95% CI =1.1-4.1), newborns admitted to the NICU (IRR = 4.6, 95% CI=2.4-8.9), and babies with high birth weight (IRR = 5.3, 95% CI =3.5-8.1).
Conclusion: The prevalence of hypothyroidism was higher in this study compared to other studies. Its prevalence was higher in males than in females. Genetic and environmental differences may explain this difference. The prevalence of hypothyroidism was higher in infants born through cesarean section and newborns hospitalized in NICU.
F Rashidi Fakari, Fa Rahnemaei, Z Kiani, F Rashidi Fakari, M Ghazanfarpour, N Kariman,
Volume 17, Issue 4 (Vol.17, No.4, Winter 2022 2022)
Abstract
Background and Objectives: In most parts of the world, pelvic girdle and lower back pain are one of the most common musculoskeletal disorders, but its prevalence has been reported differently in studies around the world. were performed to investigate the-analysis Therefore, the present meta prevalence of pelvic girdle and lower back pain in pregnant women.
Methods: all articles published from 2005 to May 2020 using the keywords Pelvic Girdle Pain, Low back pain, Cross-Sectional, Prevalence, Epidemiology, Survey in Scopus, PubMed, Web of Science Core Collection,Science Direct and SID collected and reviewed. Munn et al. tools were used to evaluate the quality of studies and methodology.
Results: 26 studies with a sample size of 13430 showed that, the overall prevalence of pelvic girdle and low back pain in pregnant women is 50% (95% CI: 43-58%, I2: 98.9%) and in primigravida women 44% (95% CI: 35-54%, I2: 97.9). Also, the prevalence of pelvic girdle and low back pain was using the questionnaire 57% (95% CI: 47-68, I2: 99.04%), using a combination of methods 53% (95% confidence interval: 37-70, I2: 96.12%), using a VAS Scale 38%(95% confidence interval: 23-52, I2: 99.08%).
Conclusion: The results of the present study indicate a 50% prevalence of pelvic girdle and low back pain in pregnant women. Due to the high prevalence and effects of pain on the quality of life of pregnant women, it seems necessary to plan, policy and design effective interventions in this field by the treatment team.
Batoul Rabbani, Ardeshir Khosravi, Mahinsadat Azimi, Jafar Sadegh Tabrizi, Azizallh Atefi, Amin Ataey, Hossien Kazemeini, Elham Rashidin,
Volume 18, Issue 4 (Vol.18, No.4, Winter 2023)
Abstract
Background and Objectives: Overall, the four categories of non-communicable diseases (NCDs) (Cardiovascular disease (CVD), Cancer, Diabetes and chronic respiratory diseases) contribute to over 80% of annual premature deaths, with more than 85% of these occurrences transpiring in low- and middle-income countries. This study seeks to assess the likelihood of premature mortality attributable to these diseases across the provinces of Iran.
Methods: Data on causes of death from 2016 to 2019 was extracted from the death registration system of the Ministry of Health and Medical Education. To assess the completeness of the death registration system on a provincial level, we employed a novel method introduced by Adair and Lopez.
Results: From 2016 to 2019, non-communicable diseases, specifically the four primary diseases, constituted 68.98%, 69.44%, 69.17%, and 67.94% of all causes of death in Iran, respectively. During the same period, the probabilities of premature mortality attributed to major non-communicable diseases were 14.95%, 15.15%, 15.25%, and 16.63%, respectively. Notably, Golestan province exhibited the highest probability of premature death.
Conclusion: The percentage of probability of death resulting from non-communicable diseases is a crucial indicator for the prevention and control of NCDs at both the international and national levels. This indicator requires ongoing monitoring to effectively address the issue. Given the diverse socioeconomic and epidemiological circumstances across the provinces of Iran, acquiring a comprehensive understanding of the current situation regarding these diseases becomes imperative. Such knowledge facilitates the development of well-informed planning and policy-making strategies aimed at managing the increasing burden of NCDs and ensuring equitable healthcare provision.
