Search published articles


Showing 6 results for Amani
Drug Use Pattern Between Urban Families In Ardabil City, Iran 
Firuz Amani, Afshin Shaker, Mohammad Sadegh Soltan Mohaammadzadeh, Negar Alaaf Akbari, Shohreh Sarrafe Smaeili,
Volume 5, Issue 5 (7 2012)
Abstract

Background and Aim: Medicine as a strategic commodity and basic needs of the most people in the country is important. According to the necessary recognition correct pattern of drug use, this study is conducted to measure the pattern of drug use among Ardabil city families.

Materials and Methods: A cross -sectional descriptive study was conducted on 1000 randomly selected families from Ardabil city in 2010. Necessary information was gathered by interviewing one of the oldest people in the family. Collected data was analyzed using descriptive statistical methods in SPSS.16 software.

Results: 485(48.5%) of study people were female and rest of them were male. The mean age of samples was 41.6(SD=14.1). From all families 22% uses the drugs in home for curing diseases by self diagnosis. 10.9% of them do not respond to doctors non medical advice and prefer the doctor to prescribe drugs otherwise they refer to another doctor.

Conclusion: Results showed that the drug use behavior between Ardabil city families was inappropriate and decreasing irrational use of drugs by providing necessary information to people regarding optimal use of medicine was necessary.


Improvement of Aerobic Power and Health Status in Overweight Patients with Non-Alcoholic Fatty Liver Disease with High Intensity Interval Training
Behdad Tondpa Khaghani, Mohammad Reza Dehkhoda, Sadegh Amani Shalamzari,
Volume 13, Issue 1 (Apr & May 2019)
Abstract
Background and aim: This study aimed to investigate the effect of six weeks high intensity interval training (HIIT) and moderate intensity continuous training on health status in over weight males with nonalcoholic fatty liver disease (NAFLD).
Materials and Methods: Thirty overweight males with NAFLD were randomly divided into three groups included control (n=10), HIIT group (n=10), continuous training (CT) group (n=10). The HIIT included four sets of two minutes running with a 90-95% heart rate reserve and 3 minutes of active rest between each set; every week, a repeat was added to the workout. Continuous aerobic training included 20 minutes of running with an intensity of 70-85% heart rate reserve, which every week was added five minutes to the workout. Aerobic power, liver enzymes and lipid profiles were measured in serum by valid tools and data analyzed by co-variancetest.
Results: After six weeks of training program, the serum levels of ALT, AST, ALP, lipid profiles and degree of fatty liver sonography improved significantly in the experimental groups compared to the control group (P< 0/05). Increased HDL and decreased LDL, total Cholesterol, AST and ALT levels in HIIT group were significantly than the CT group (P<0/05). The improvement in maximum oxygen uptake was only significant in HIIT group than other groups (P<0/05).
Conclusion: Base on finding, HIIT compare with continuous training by better effects on aerobic power, lipid profiles and reduction of liver enzymes can be a good choice for patients with nonalcoholic fatty liver.

The Reasons Why Laws and Policies Developed in Irans Health Sector are not Implemented Effectively
Mohammad Javad Kabir, Alireza Heidari, Nahid Jafari, Honarvar Mohammad Reza, Sajad Moeini, Zahra Khatirnamani,
Volume 16, Issue 6 (Feb 2023)
Abstract
Background and Aim: Many health policies are not implemented or incompletely implemented after approval. This issue significantly reduces the popularity and responsiveness of the top managers of the health system and leads to service disruption in the target community. Therefore, this study was conducted to explain the existing challenges in the implementation of health policies.
Materials and Methods: A qualitative study was conducted in 2021. The participants in the study were 20 scientific and executive experts. The data was collected using an interview guide and the in-depth individual interview method and was analyzed using the content analysis method using thematic analysis with Graneheim and Lundman's approach.
Results: The challenges include the policies formulation (lack of evidence-informed decision-making, lack of attention to the details of the implementation, the change of the initial text of the policy, conflict of interests, unclarity the executives, the lack of proper integration between the political and technical components of the policies, the weak participation of the main stakeholders, the lack of the same understanding of policies concept between policy makers and executives and lack of budget forecasting), challenges of policies implementation (uncertainty about roles of executive organizations, lack of executive attachment, conflict of interest,  lack of project management, change of formulated policies with change of executives, little belief among executives, lack of executive guarantee, lack of operational plan) and challenges of policies evaluation (Inadequate supervision and the absence of an informational and supervisory dashboard).
Conclusion: Using effective solutions to solve the challenges extracted in the stages of formulation, implementation and evaluation of health policies can lead to achieving the goals of the formulated policies and improving the health of the society.
 

Factors Related to Infection and Hospitalization of Covid-19, Results of the Participants of the Ravansar Non-Communicable Diseases Cohort Study in Kermanshah Province
Maryam Aghajarinezhad, Yahya Salimi, Shahab Rezaeian, Ghobad Moradi, Mehdi Moradinazar, Fatemeh Khosravi Shadmani, Roya Safari_ Faramani, Mitra Darbandi, Farid Najafi,
Volume 17, Issue 2 (5-2023)
Abstract
Background and Aim: All people living in a society are not equally at risk of COVID-19 infection and hospitalization. The current study is aimed to determine the factors related to COVID-19 infection and hospitalization among participants of Ravansar Non-Communicable Disease (RaNCD) cohort study. 
Materials and Methods: The present study was conducted between 28th February, 2020 to 27th November, 2021. Data from the RaNCD study, morbidity and hospitalizations cases (extracted from the medical care monitoring system, SAMA system and the handwritten list of the health department) and positive serological results were used. For the case-cohort study, 626 confirmed and/or probable cases and 2107 randomly selected participants as sub-cohort were recruited. For the case-control study, 188 COVID-19 hospitalized patients from RaNCD (as cases) and 632 positive outpatients identified as controls. Data were analyzed using Cox and logistic regression, respectively. 
Results: In case-cohort study, the hazard ratio of COVID-19 among people living in rural areas, in smokers and those in middle socioeconomic status was, 0.37 (0.24, 0.58), 1.50 (1.07, 2.11), as compared to the reference groups. While the hazard ratio of people aged 46-64 and those ≥65 years old, as compared to the reference group within the first year, was 3.47 (1.76, 6.86) and 6.45 (2.80, 14.85), the corresponding value after one year was 2.23 (1.13, 4.40) and 3.52 (1.53, 8.10), respectively. The hazard ratio among those with at least one comorbidity was 2.45 (1.53, 3.92) in the first year of study and after one year decreased to 1.82 (1.14, 2.92). In addition, moderate and vigorous physical activity decreased the hazard ratio. In case-control study the odds ratio of hospitalization increased by 0.03% (1.03(1.01, 1.05)) with an increase of one year in age and in people with at least three comorbidities was 2.43 (1.24, 4.73) times of those without comorbidity.     
Conclusion: Overall, one year after starting the study the decrease in hazard ratio of COVID-19 was significant. Increase in age and having comorbidities are factors that increased the odds ratio of hospitalization. Such people can be considered for the next waves of COVID-19 prioritized for health care and booster vaccination. 

Studying the Frequency of Stenotrophomonas Maltophilia from Different Clinical Samples and Determining the Antimicrobial Susceptibility Pattern of Isolates
Sam Torabinejad, Mohadeseh Ostovari Deilamani, Farhad Nikkhahi, Reza Bigverdi, Fatemeh Fardsanei,
Volume 19, Issue 2 (7-2025)
Abstract
Background and Aim: Stenotrophomonas maltophilia is a non-fermentative Gram-negative bacillus and the third most common cause of hospital-acquired infections. Treatment of infections caused by this bacterium has not always been successful due to its high potential for multiple resistance to a wide range of antibiotics and the formation of biofilms. Obviously, accurate and timely diagnosis of bacterial agents causing hospital-acquired infections and determination of the microbial susceptibility pattern of isolates can make a significant contribution to infection control in hospitals. Therefore, the aim of this study was to determine the frequency of Stenotrophomonas in different clinical samples and to determine the biofilm production rate and microbial susceptibility of isolates.
Materials and Methods: In a cross-sectional descriptive study, non-fermentative Gram-negative isolates suspected of being Stenotrophomonas maltophilia isolated from different clinical samples from teaching hospitals in Qazvin province were collected and examined from April to March 2023. After phenotypic and molecular confirmation of the isolates using standard methods, the microbial susceptibility pattern of the isolates and the amount of biofilm production were examined using the microplate titer method.
Results: In this study, out of 50 isolates collected, the highest number of isolates were isolated from blood culture (33 isolates) and the lowest number of isolates were isolated from urine samples (1 isolate). Also, the highest frequency of samples was reported from the emergency department with 32 samples (63.8%) and the lowest frequency was reported from the ENT and oncology departments, each with 1 sample (0.8%). All isolates were 100% resistant to imipenem and meropenem due to the inherent resistance of this bacterium to carbapenems, which was a confirmation in the identification of this bacterium. The highest sensitivity to the antibiotics levofloxacin, minocycline and cotrimoxazole was observed with a frequency of 90%, 88% and 84%, respectively. The highest resistance to the antibiotic ceftazidime was observed, which was reported as 88%. In this study, 70% of the strains produced strong biofilms.
Conclusion: In this study, we saw an increase in hospital infections caused by Stenotrophomonas maltophilia in clinical samples of Qazvin hospitals. Knowledge of the frequency of opportunistic pathogens causing hospital infections and the microbial sensitivity of isolates leads to control of infections caused by these pathogens, proper treatment of infections and reduction of mortality in hospitalized patients. Fortunately, in this study, the isolates had high sensitivity to fluoroquinolone family antibiotics and antimetabolites.

Analysis of the Status of Research Outputs in the Field of Knowledge Management in the Health and Healthcare Field
Mahnaz Kamani, Nooshin Soleymani Asl, Ali Mansouri,
Volume 19, Issue 3 (9-2025)
Abstract
Background and Aim: The expansion of information technology has led to the production of increasing knowledge, which may be a part of this knowledge that is hidden, so the role of knowledge management is very important to reveal knowledge. On the other hand, in health research, which is basically based on the needs of patients, their caregivers, and specialists, knowledge management is of great importance for the quality of their services. The aim of the current research is to analyze the status of research outputs in the field of knowledge management in the health sector.
Materials and Methods: Based on its nature, the present study is descriptive, quantitative, and applied, and was conducted using a lexical co-occurrence scientometric technique. The research community includes 2487 sources, which are the results of all research outputs in the field of knowledge management in the health sector, which are indexed in the Web of Science database. The analysis of the research questions was done through Excel, BibExcel, and VOSviewer software.
Results: According to research findings, the continents of Europe, Asia, and North America, respectively, have had the highest contributions to research output in the field of knowledge management in the health and healthcare sector. Among individual countries, the United States, the United Kingdom, and Canada demonstrated the most significant activity in this area, while Iran ranked 17th. Among the United Nations Sustainable Development Goals (SDGs), the goals of Good Health and Well-being, Industry, Innovation and Infrastructure, and Quality Education have received the most attention in knowledge management research related to health and healthcare. The keyword co-occurrence map highlights the prominence of terms such as “knowledge management,” “healthcare,” and “electronic health records.” The identified thematic clusters also underscore the significance of three key domains: organizational performance, information management, and health information systems.
Conclusion: In developed countries and the first level of the world, attention to knowledge management in the field of health and health is more prominent. Also, in order to achieve a high level in the field of health and health as an important and effective criterion in most development sectors, it is necessary to address other sustainable development goals, especially by establishing systems Knowledge management in the field of health helped to achieve important goals such as eradicating poverty and hunger and reducing inequalities.

Page 1 from 1     

© 2026 , Tehran University of Medical Sciences, CC BY-NC 4.0

Designed & Developed by: Yektaweb