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Showing 9 results for Esmaeili
The Impact Of Chronic Diseases On The Quality Of Life Among The Elderly People In The East Of Tehran 
Sima Esmaeili Shahmirzadi, Davoud Shojaeizadeh, Kamal Azam, Leili Salehi, Azar Tol, Monavvar Moradian Sorkhkolaei,
Volume 6, Issue 3 (7 2012)
Abstract

Background and Aim: Increase in life expectancy is associated with non-communicable diseases. This study is aimed to survey the effect of chronic diseases on the quality of life among the elderly people in elderly care centers in the East of Tehran in 2011.

Materials and Methods: This is an analytical study in which 424 people were randomly selected. They were members of elderly care centers and were 60 years of age or higher. The data collection instruments were a standard quality-of-life questionnaire(SF36) and a chronic diseases record checklist. The data were collected in an interview. For data analysis purposes, Independent T-Test, ANOVA, and Pearson correlation coefficient were used.

Results: The mean age of participants was 67.34±7.16. Some 92.2% of patients were suffering from at least one chronic disease, and there was a significant statistical difference between the mean points of all aspects of quality of life of those suffering from chronic diseases and those without a history of chronic diseases(P<0.001). Moreover, there was a significant relationship between the quality of life on the one hand and gender, marital status, economic status, and education on the other(P<0.05).

Conclusion: The findings show that an increase in the number of chronic diseases leads to a decrease in the quality of life, and that the application of appropriate educational and interventional approaches can help take effective steps to enhance the old people's health.


Determination Of Perceived Barriers And Benefits Of Adopting Health-Promoting Behaviors In Cardiovascular Diseases Prevention: Application Of Preventative Behavior Model 
Azar Tol, Sima Esmaeili Shahmirzadi, Davoud Shojaeizadeh, Mohamad Reza Eshraghian, Bahram Mohebbi,
Volume 6, Issue 3 (7 2012)
Abstract

Background and Aim: Cardiovascular diseases are the main cause of death and disabilities in the world. The purpose of the present study is to determine the perceived barriers and benefits of adopting health-promoting behaviors among individuals at risk of cardiovascular diseases referring to TUMS Teaching Hospitals in 2011.

Materials and Methods: This is a cross-sectional study in which 325 patients at risk of cardiovascular diseases were randomly selected. The data were collected using a self-made questionnaire having three parts: 14 items for demographic and health-related variables, 12 items for perceived barriers, and another 12 items for benefits. For data analysis, SPSS 18 was used.

Results: The mean age of patients was 53.56±11.27 about 47.7% of patients(n=155) were female and 52.3% (n=170) were male. There was a meaningful relationship between the mean of perceived benefits on the one hand and occupation, physical activity, type and frequency of physical activity, smoking and awareness of cardiovascular diseases on the other(p0.001). Moreover, the mean of perceived barriers showed a meaningful relationship with occupation, smoking and awareness of cardiovascular diseases(p0.05).

Conclusion: The findings of the present study revealed that demographic and health-related variables could affect the perception of barriers and benefits of adopting certain behaviors for the prevention of cardiovascular diseases. Therefore, using interventional and educational approaches appropriate for target group features can help us take effective steps towards health promotion.


PPAR-γ Gene Expression In Differentiated Adipocytes Derived From Mesenchymal Stem Cells Of Human Bone Marrow
Shadi Esmaeili, Saeid Kaviani , Mehrdad Norouzinia, Amir Atashi , Masoud Soleimani, Saeid Abroun, Seied Rasoul Razavi Babaheidari , Zahra Zonoubi, Fakhreddin Saba,
Volume 8, Issue 6 (3-2015)
Abstract

Background and Aim: Obesity is now considered as one of the main risk factors of certain known diseases such as cardio-vascular diseases, non- insulin-dependent diabetes, and common cancers. Moreover, the increase of white fat tissue is known as a main factor in the obesity process, in terms of physiology and pathology. Therefore, the understanding of adipocytes differentiation processes is crucial.

Materials and Methods: In this study, mesenchymal stem cells (MSCs) were isolated from human bone marrow by ficol-gradient, and then, their surface markers were confirmed by flow cytometry. Osteoblastic and adipocytes differentiation were done by dexamethasone protocol and confirmed by staining. Then qualitative and quantitative expressions of PPARgamma (PPAR-γ) gene as an important transcription factor in the differentiation of fat were studied by RT-PCR and REAL TIME PCR before and after differentiation into adipocytes. For statistical analysis, paired t-test was performed, using pfaffl and graph pad software.

Results: PPAR-gamma gene expression showed a significant increase after differentiation of human bone marrow mesenchymal stem cells into adipocytes (p<0/05).

Conclusion: According to the results, the PPAR-γ gene acts as one of the important factors in the differentiation of MSCs into adipocytes. In brief, the inhibition of this gene's expression to prevent obesity is suggested as an idea for treatment in the future.


The Study Of Organizational Culture Associated With Unified Theory Of Acceptance And Use Of Technology Model In Hospitals Of Rasht
Mehrdad Goudarzvand Ghegini , Samaneh Esmaeili,
Volume 9, Issue 1 (5-2015)
Abstract

Background and Aim: The function of any technology in a society depends on the culture of that society. Organizational culture leads to a common understanding and agreement on institutional practices. Meanwhile, it is a powerful barrier to change, especially technological change. This study aims to determine the effect of indicators of organizational culture on the unified theory of acceptance and use of technology in hospitals of Rasht, Gilan Province.

Materials and Methods: This is a cross-sectional, descriptive-analytic study . From April to July 2013, 235 questionnaires were completed by health, administrative, financial and educational personnel of Razi, Poursina, and Heshmat Hospitals. For data analysis, such tests as compound reliability test, root mean square of variance, bootstrap test, t-test, and hierarchical regression were applied using Lisrel, PLS and SPSS softwares.

Results: Among the components of organizational culture (performance expectancy, effort expectancy, subjective norm, and facilitating conditions), there was a significant relationship only between "performance expectancy and facilitating conditions" and "behavioral inclination and using computers" (P<0.0001). Gender played no role in the relationship between cultural components and the use of computers (P>0.05).

Conclusion: The results of the study indicate that there is a relationship between organizational culture and application of information technology, and that a unified organizational culture can facilitate and speed up the acceptance and application of information technology.


Informational Requirements of A Mobile-Based System to Manage the Treatment of Stimulant Abusers
Marjan Ghazi Saeedi, Masoomeh Amin Esmaeili, Sharareh Rostam Niakan Kalhori, Marzyeh Sadat Askari,
Volume 13, Issue 2 (Jun & Jul 2019)
Abstract
Background and Aim: Stimulants are among the most dangerous substances because of their physical and psychological side effects. The process of treating stimulant abusers is so complicated that makes the treatment very difficult. The aim of the current study is to identify the bits of information needed for the design and development of a mobile application system and a web-based application program to improve the treatment management of stimulant abusers. 
Materials and Methods: This study is a cross-sectional study in which the community and the sample are matched. All participators work at Iranian National Center for Addiction Studies(INCAS) as stimulant abuse care givers. The data collection tool was a researcher made questionnaire based on the Likert scale, and its validity approved by experts. In addition, the reliability determined by Cronbach alpha method with the score 0/74 analyzed via SPSS. 
Results: Items that got more than 50% of the participants’ acceptance were identified as the information needed for the system. The most influential items were education and motivational messages with 100% of experts’ agreement. Trauma history and medication therapy, however, got less than 50% and were removed. Other items were put into the study by gaining an average of more than 80% of the experts’ agreement.  
Conclusion: Emerging technologies in the field of heath can play a significant role in the optimization of stimulant abuse treatment by facilitating the treatment process, increasing the patient participation in the process of treatment, and reducing the costs of patients’ lapse and relapse. 

Coding System Design for Medicines and Medical Devices in Iran
Reza Safdari, Seyed Sina Marashi Shooshtari, Marzieh Esmaeili, Fozieh Tahmasbi, Zohreh Javanmard,
Volume 13, Issue 6 (Feb & Mar 2020)
Abstract
Background and Aim: The importance of managing medicines and medical devices as vital resources in healthcare industry cannot be ignored. Therefore, the application of coding systems could be of great help in the control of the required processes. This study aims to develop a coding system for medicines and medical devices in Iran.
Materials & Methods: This descriptive study was planned to be carried out in four phases from September 2018 to August 2019. To identify the requirements of designing a coding system for the classification of medicines and medical devices, library resources were studied, and the existing coding systems in the area of medicines and medical devices came under scrutiny. Then, based on the expert opinion on the results, the initial model of the coding system was designed.
Results: Thirty-five coding systems were identified and investigated. To design the proposed system, two coding systems -- ATC/DDD and UMDNS -- were selected as a core for medicines and medical devices, respectively. Then, based on expert opinion, the axes for the place of consumption and the placement of products and also the application of Quick Response (QR) code for data encoding were added.
Conclusion: The design and development of a comprehensive coding system–which is in compliance with the international protocols and capable of including both medicines and medical devices simultaneously – could be very helpful. Besides, using the location axis in the structure of coding system can improve the management of these products.

Determining the Minimum Data Set of Diabetic Foot Ulcer Patients' Electronic Medical Records
Marjan Ghazi Saeedi, Gholam Reza Esmaeili Javid, Niloufar Mohammadzadeh, Hamide Asadallah Khan Vali,
Volume 14, Issue 5 (Dec & Jan 2021)
Abstract
Background and Aim: Diabetes is one of the most common metabolic diseases in the world, of which one of the most common and painful complications is diabetic foot ulcer. The accuracy and comprehensiveness of the contents of electronic medical record is effective in improving the quality of treatment and the care of diabetic foot ulcer patients. The aim of this study is to determine the minimum data set (MDS) essential for diabetic foot patients' electronic medical records.
Materials and Methods: In this descriptive-analytical study, authoritative internet and library resources were studied to collect diabetic foot ulcer information elements. Fourteen physicians and nurses working and collaborating with the Wound Healing Center affiliated to Academic Center for Education, Culture and Research (ACECR) were selected for clinical survey, and 5 health information technology specialists of Tehran University of Medical Sciences (TUMS) were chosen for demographic information survey. The study tools were a researcher-made questionnaire, CVR content validity method and test-retest method for reliability. 
Results: Out of 23 information elements surveyed in demographic section, cases above 99% of the agreement were selected. Also, out of 86 information elements of the clinical section, more than 51% of the cases were selected. Clinical experts included 6 wound specialists, 4 general practitioners and 6 nurses. In the demographic information section, the lowest agreement was related to the element of identity and Education level with 20% agreement. In clinical information, the lowest agreement was related to surgery, leech therapy and MRI of the foot with 0% and PRP, G-CSF, Sono-Doppler liver with 14%.
Conclusion: The minimum information elements of diabetic foot ulcer electronic medical record were divided into history, wound information, lower limb information, paraclinical results, wound management, and follow-up in clinical section; and in demographic information section,  they were divided into identity, admission, finance, reporting, and system capability. The proposed model for manual and electronic medical records is available. 


Identifying the Components of Providing Health Information Services to Patients in Hospital Libraries in Health Disasters by Meta-Synthesis Method
Roya Balaghiinaloo, Alireza Noruzi, Mohammadreza Esmaeili Givi,
Volume 17, Issue 3 (8-2023)
Abstract
Background and Aim: It is not possible to provide health information services in health crises without a comprehensive understanding of these services and how to provide them due to the health crisis. Based on this, the aim of the current research was to obtain comprehensive information about the components of providing health information services in health crises.
Materials and Methods: The current research was conducted with a qualitative approach and a meta-combined method, using the seven-step method of Sandelowski and Barroso. The statistical population consisted of articles and theses published in persian and international databases between 1991 to 2022 AD and 1370 to 1400 solar. Out of a total of 8363 resources identified based on the critical skills assessment program, 40 resources were approved. Extracted information was coded and coding reliability was measured and confirmed using Kappa coefficient. 
Results: From the results of the research, 74 codes were extracted in 21 concepts and 6 categories in the field of providing health information services to patients. which categories and codes include health information needs assessment (disease, health, health information sources, patients); accessibility and dissemination of health information (health information, access ways); Awareness and notification of health information (information, tools); Education (patients, managers and staff of hospital libraries, methods); Planning (health crisis, resources, budget, infrastructure, patients, librarians and Medical Information Specialists) and obstacles and limitations (expert force, budget, facilities and infrastructure and resources) were categorized.
Conclusion: Dealing with the issue and components of providing health information services to patients in health Disasters in hospital libraries can cause policymakers in this field to know more about the dimensions, concepts, and consequences of providing these services in order to provide access to health information for everyone, especially patients. According to the identified components, efforts can be made to prepare the necessary infrastructure in order to plan to strengthen the strengths and eliminate the existing weaknesses and make appropriate policies in order to play the role of health counseling and launch the health information service department in hospital libraries. 

The Effect of Information Therapy Program of Quitting Smoking in Parents of Children with Asthma by Nicotine Replacement
Sedigheh Mohammadesmaeili, Nahid Ramzanghorbani, Shiba Kianmehr,
Volume 18, Issue 2 (5-2024)
Abstract
Background and Aim: Passive smoking is known to have an impact on the respiratory system of infants and children. The aim of this study is to examine the positive effects of parental smoking cessation programs using nicotine replacement on quality of life in children with asthma at the Children's Medical Center of Tehran University of Medical Sciences.
Materials and Methods: This case-control study included 100 children aged 6-10 years with asthma who had their parents smoking in the Allergy Department of the Children's Medical Center of Tehran University of Medical Sciences. During the 2019-2021 period, this study was conducted using a census as the sampling method. Data were collected using standard questionnaires of the Child Health-Related Quality of Life (HRQoL), standard versions of the Short Form (SF-12) and the St George Respiratory Questionnaire (SGRQ). The two groups were compared using independent t-tests and paired t-tests, and Pearson's correlation coefficient was utilized to examine the correlation between the two questionnaires. Statistical analysis was performed using SPSS software.
Results: Children with asthma who had their parents quit smoking had a mean score lower than those who did not intervene. This indicates that the quality of life in children with asthma whose parents underwent nicotine replacement program improved significantly (P=0.03). Nicotine gum consumption can enhance certain aspects of health-related quality of life for both parents and children, as assessed by SF-12 and SGRQ, according to the results. Physical functioning (P=0.007) and school performance (P=0.002) were the two components most significantly affected.
Conclusion: The physical health and quality of life of parents are can affecte children with asthma, who face many challenges in meeting their daily needs. Smoking cessation using nicotine gum can improve the quality of life of parents and children. To maximize the effectiveness of parental smoking cessation information therapy programs for children with asthma, providing personalized support and advice to parents or caregivers, evidence-based treatments, and educating families on how to manage this disease in children seems essential.

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