Showing 22 results for Shad
Reza Safdari, Hossein Dargahi, Farzin Halabchi, Kamran Shadanfar, Robab Abdolkhani,
Volume 8, Issue 2 (7-2014)
Abstract
Background
and Aim:
The quality of health record depends on the quality of its content and proper
documentation. Minimum data set makes a standard method for collecting key data
elements that make them easy to understand and enable comparison. The aim of
this study was to determine the minimum data set for Iranian athletes’ health
records.
Materials
and Methods: This study is an applied research of a descriptive - comparative type which was carried out in 2013. By using internal and external forms of documentation, a checklist was
created that included data elements of athletes health record and was subjected
to debate in Delphi method by experts in the field of sports medicine and health information management.
Results: From 97 elements which
were subjected to discussion, 85 elements by more than 75 percent of the
participants (as the main elements) and 12 elements by 50 to 75 percent of the
participants (as the proposed elements) were agreed upon. In about 97
elements of the
case, there was no significant difference between
responses of alumni groups
of sport pathology and sports medicine
specialists with medical record, medical
informatics and information
management professionals.
Conclusion: Minimum
data set of Iranian athletes’ health record with four information categories
including demographic information, health history, assessment and treatment
plan was presented. The proposed model is available for manual and electronic
medical records.
Ebrahim Shafiee, Fazlollah Mousavi, Mahdi Gharasi Manshadi , Nayeb Fadaei Dehcheshmeh , Alireza Bibak, Mohammad Azmal,
Volume 8, Issue 6 (3-2015)
Abstract
Background and Aim : Nurses' perception of spirituality can affect the way they behave and communicate with patients in line with spiritual care provision. The present study aims to investigate nurses' perception , capability, and adequacy of training about spirituality and spiritual care in Genaveh hospitals affiliated to Bushehr University of Medical Sciences (BUMS) .
Materials and Methods: A cross-sectional descriptive study was performed among 111 nurses working in BUMS hospitals in 2013. The spirituality and spiritual care scale (SSCRS) was used for data collection, which explores nine aspects of spirituality and spiritual care. Descriptive statistics were used to analyze the data.
Results: The overall spirituality and spiritual care was 3.86 (out of 5). Among the nine aspects of need for spirituality, belief in God had the highest mean score, and beliefs and values had the least mean values. About 78.7 % of the participants were confronted with the patients' spiritual needs. Meanwhile, 74.6 % of them noted that the current training about spiritual care was not sufficient .
Conclusion: Although most participants were able to meet the patients' spiritual needs, most of the nurses did not know enough about the issues related to spiritual care. Therefore, inclusion of spiritual care in nursing curriculum and holding workshops and training courses in this area can be useful.
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.
Mostafa Saberian , Elham Shahidi Delshad , Tahereh Naji , Ali Samadikuchaksaraei ,
Volume 9, Issue 3 (9-2015)
Abstract
Background and Aim: The use of probiotics has been surveyed in different studies. For example, many researches have been conducted on immunity, cancer and embryonic cells proliferation. Mesenchymal stem cells (MSCs) have a rather slower growth and a more limited number of passages. In this research, the effect of supernatant of Lactobacillus acidophilus (LS) as one of the most commonly used probiotics on the proliferation of mesenchymal stem cells has been studied with the aim of increasing their proliferation for the treatment of patients in need of transplantation using mesenchymal stem cells.
Materials and Methods: The MSCs separated from rats’ bone marrow were led to bone and fat levels in the second passage, and their mesenchymal state was confirmed. The cells were then treated by the supernatant of Lactobacillus acidophilus (LS) and MRS broth medium, which have been separated in advance. The number of cells was examined by MTT test equated with the standard.
Results: A curve was drawn for the cells’ growth in different amounts and the number of cells was obtained by converting the results of MTT test to a standard curve. For statistical analyses, SPSS and ANOVA were employed.
Conclusion: The findings show the double effect of LS on the weak effect of MRS broth medium. The use of supernatant of Lactobacillus acidophilus (LS) can be a practical and economical method for increasing the proliferation of MSCs isolated from bone marrow.
Bahram Ahmadi, Sasan Rezaei, Farshad Hashemi, Mahdi Zareei, Hoda Deli, Seyed Jamal Hashemi,
Volume 9, Issue 4 (11-2015)
Abstract
Background and Aim: Onychomycosis or nail fungus infection has an increasing prevalence with many effects on patients’ social life and mental health dermatophytes, yeasts and non-dermatophyte molds are among the best known agents of fungal infections of nails. The purpose of this study was to determine the prevalence of non-dermatophyte molds using morphological (direct examination and culture) and molecular (PCR) methods in patients referring to Medical Sciences Mycology Laboratory in Tehran, Iran.
Materials and Methods: In this study, samples were taken from 170 patients. For direct microscopic examination (DME), 15% KOH solution was used for the culture of samples, Sabouraud dextrose agar media (S) was applied together with chloramphenicol (SC) and chloramphenicol and cycloheximide (SCC). Meanwhile, differential tests were done for mycological diagnosis (slide culture), and 28SrDNA amplification and sequencing were performed for suspect or unknown samples.
Results: Of the 170 patients, 74 cases (43.5%) had onychomycosis, of which 53 cases (71.62%) were female and 21 cases (28.38%) were male. Also, of the 74 cases of onychomycosis, 40 cases (54.05%) were reported candidiasis, 21 cases (28.37%) non-dermatophyte molds, and 12 cases (16.21 %) dermatophytes.
Conclusion: The prevalence of onychomycosis in this study was 43.5% and the application of polymerase chain reaction (PCR) technique in cases of false positive, false negative and long-term culture was valuable meanwhile, given that all the samples that had positive results in DME with negative cultures were positive in molecular tests, this study reveals the power of molecular techniques compared with culture method.
Ghafur Tavakoli , Roshanak Daei, Farshad Hashemi, Mehdi Zarei, Hoda Deli, Seyed Jamal Hashemi,
Volume 9, Issue 6 (3-2016)
Abstract
Background and Aim: In medical centers, after obtaining visceral clinical samples in suitable containers under certain circumstances, they are sent to mycology laboratory. Since sometimes it is impossible to test specimens immediately, therefore, they should be kept in the refrigerator. Thus, possibility of keeping samples, the confidently time of samples keeping in a refrigerator and the appropriate guidelines for the maintenance of visceral samples for clinical centers have a particular importance for practical purposes and are the aim of this study.
Materials and Methods: At first, the specimen was examined by KOH direct microscopic examination for detection of fungal elements. After primary culture of visceral samples on the Sabouraud dextrose agar with chloramphenicol (SC) medium, the samples were sequentially placed in a refrigerator at temperature 2-8 ºc for 1, 2, 24 and 48 hs and each sample with the specific mentioned time culturing was performed on the Sabouraud dextrose agar (S) and SC media. Then the results of growth were recorded.
Results: From 100 samples, 79 samples had grown, 20 samples with lack of growth and in 1 sample reduced growth were observed.
Conclusion: After 48 hours of cold temperatures (2-8 ºc) visceral fungal clinical samples are able to grow in culture media. So samples which were not tested immediately, could be stored at temperatures 2-8 ºc in the refrigerator.
Kobra Taram, Mohammad Jebrayeeli Mazrae Shadi , Abbas Doulani,
Volume 10, Issue 2 (5-2016)
Abstract
Background and Aim: The aim of this study was structural monitoring of the articles in knowledge and information science field in five Iranian journals. Today, the publication of papers constitutes one of the written scope among scientific broad cost productions.
Materials and Methods: The research method was analytical-survey. The articles were analyzed by the variables such as author distribution by sex, field of study, scientific notation, types of articles by original papers or translated papers, individual or group articles and their publication dates, and by statistical methods used in the articles in two periods from 2002-2006 and 2007-2011.
Results: The results showed that most of the articles were written as original. International cooperation between authors was minimal. Using qualitative research methods among the articles were low. Majority of the authors had masters degree. There was a significant relationship between the authors’ grades, number of authors and journals, and used statistical methods.
Conclusion: The written articles in the field of knowledge and information, followed by special patterns. The journals policies in publication of articles process is the most important issue. Also, lack of international cooperation between Iranian with foreign authors, type and format of the articles were similar according to mentioned variations.
Azam Shahbodaghi, Shadi Asadzandi, Maryam Shekofteh, Farid Zayeri, Mostafa Rezaei Tavirani,
Volume 10, Issue 4 (9-2016)
Abstract
Background and Aim: Heterogeneous insertion of Organizational affiliations can cause loss of ranking points in the national and international levels. So, we decided to investigate the different affiliations of Shahid Beheshti University of Medical Sciences in scientific publications that indexed in Web of Science and their effect on the result of research activities evaluation in the year 2012.
Materials and Methods: Methodology of this study is bibliometric approach with descriptive survey. The study included 1139 scientific production of Shahid Beheshti University of Medical Sciences that indexed in Web of Science in the first one in April 2011 to April 2012.
Results: 1139 articles indexed in the Web of Science, 94/38% in the evaluation of the research activities of the ministry of health have been scored and 5/61% failed. Among the unsuccessful papers 1/01%, had been inserted affiliation incorrectly. One-sample t-test showed that the mean score of 1/01% has no significant statistical impact on the total average rating of products indexed in Web of Science.
Conclusion: Investigation showed that standard insertion of affiliation has impact on enterprise University Ranked and University status at the international level.
Zeynab Rajabnezhad, Hossein Dargahi, Hamideh Reshadatjo ,
Volume 11, Issue 3 (9-2017)
Abstract
Background & Aim: Spiritual quotient is an essential factor of managers’ competencies for development of organizations. The managers need high spiritual quotient to impress the staffs’ organizational commitment. This research is aimed to determine the correlation between the managers’ spiritual quotient with the employees organizational commitment in Tehran University of Medical Sciences (TUMS).
Materials and Methods: This research was a descriptive-analytical, and cross-section study that induced in TUMS headquarters among 80 of the managers and 225 of the staffs at 2014-2015. The research tools were two questionnaires, including spiritual quotient and organizational commitment that used after the validity and reliability of these questionnaires was confirmed. The data was analyzed by SPSS software, average and standard deviation, for descriptive results, and used T-Test, One-Way Variance Analysis, and Pearson technique for analytical statistics.
Results: Average of the managers’ spiritual quotient was desired. Although, the average of the staffs organizational commitment was moderate. There was a significant correlation between spiritual quotient of managers with organizational commitment of the staffs (p=0.034).
Conclusion: The managers should emphasize to develop their spiritual quotient in order to promote the organizational commitment of the staffs. Using organizational psychologist to develop this relationship is our suggestion.
Somayeh Fazaeli , Mehdi Yousefi , Zahra Sadat Ershadnia ,
Volume 11, Issue 4 (12-2017)
Abstract
Background and Aim: Considering the scope of tasks and the role of teaching hospitals in the promotion of population health, it is important to consider their responsiveness as one of the three goals of health system. The aim of this study was to evaluate the level and relative importance of responsiveness domains in teaching hospitals from the viewpoint of households living in selected areas of Mashhad.
Materials and Methods: In this cross-sectional study, a valid questionnaire designed by World Health Organization (WHO) was used. From among the households of two selected areas of Mashhad, 561 families that had the background of referring to teaching hospitals were selected via multi-stage sampling. Based on WHO pattern, descriptive and inferential statistics were used for data analysis.
Results: About 50 percent of the respondents expressed the level of responsiveness as good and very good. Information confidentiality domain and the quality of amenities got the highest and lowest ranks from the respondents’ viewpoint, respectively. The highest and lowest importance belonged to the domains of quality care facilities and family and social support, respectively.
Conclusion: Considering the relatively low responsiveness of different domains and also the existing gap between families’ priorities and performance of teaching hospitals, it seems necessary that policymakers pay more attention to patients’ priorities such as the quality of care facilities and the creation of appropriate educational content related to medical students. Also, periodic evaluation of responsiveness can be useful in promoting the responsiveness of teaching hospitals.
Marjan Ghazi Saeidi , Sasan Moghimi Araghi , Shadi Babadi ,
Volume 11, Issue 6 (3-2018)
Abstract
Background and Aim: Glaucoma, with an increasing pressure inside the eye, is one of the causes of blindness worldwide. The only glaucoma treatment is regular eye examination and control of intraocular pressure (IOP). The centralized information obtained from these examinations is an essential prerequisite for providing optimal healthcare which is possible by creating electronic records. Minimum Data Set (MDS) is a standard tool for getting access to accurate data, which is among the basic needs for the design of electronic records.
Materials and Methods: This is descriptive-analytical study. The population of this study consisted of glaucoma patients’ medical records at Farabi Eye Hospital, reference books, and glaucoma specialists. The data collection tool was a questionnaire -- containing patients' records, and demographic and clinical data -- which was distributed between 22 available glaucoma specialists. The validity of the questionnaire was assessed by an expert team and its reliability was determined by test-retest method. Data analysis was performed by calculating the frequency percentage and Delphi test.
Results: After reviewing the rate of experts’ agreement with the components of the survey, all of the cases with over 75% approval rate were considered as minimum data set for glaucoma. Minimum data set was divided into three general categories: patient's records, demographic data, and clinical data.
Conclusion: Determination of minimum data set for glaucoma will be an effective step to integrate and improve the management of patients’ records. Moreover, it will be feasible to store and retrieve such records.
Atefeh Sadat Haghighat Hoseini, Hossein Bobarshad, Fatemeh Saghafi, Iman Noroozi,
Volume 12, Issue 2 (Jun & Jul 2018)
Abstract
Background and Aim: The emergence of Web interactive technologies has enabled interactive social networking services. The purpose of this research is to choose a model and present an architectural design for the social network of health at Shariati Hospital in Tehran.
Materials and Methods: At first, valid enterprise architecture frameworks were reviewed. Then, dimensions of the architecture frameworks needed for the social network of health were reviewed and six dimensions including of input, output, goals, views, abstraction, and system life cycle were selected. Architecture frameworks were prioritized on the basis of these six dimensions and the Zachman framework was selected. The extracted elements for these dimensions were evaluated by using a researcher-made questionnaire and experts’ opinion in the t-test. The questionnaire was distributed among 40 health-care information technology experts. After analyzing and verifying the dimensions and sub-indicators of each dimension, probable risks for the implementation of the health social network were identified based on interviews with experts and were approved by a panel of five experts.
Results: The Zachman framework was selected based on six dimensions as a suitable framework and potential implementation risks were identified.
Conclusion: The results showed that the proposed architecture model could be the basis for the implementation of this network in the country. Attention to extracted risks can minimize the failure of the implementation of the health social network.
Roghayeh Shad, Nahid Bijeh, Mehrdad Fathi,
Volume 12, Issue 6 (Feb & Mar 2019)
Abstract
Background and Aim: Despite the significant progress in the field of health, Cardiovascular diseases are the leading cause of death among people. For this purpose, the present study was conducted to evaluate the effect of eight weeks of aerobic exercise on lipoprotein a, blood coagulation and fibrinolysis factors in overweight women.
Materials and Methods: In this semi experimental study with pre and post-test design, 21 overweight women subjects aged between 20 and 30 were randomly selected from experimental (10 people) and control (11 people). The aerobic exercise protocol consisted of five sessions per week for 30 minutes and with an intensity of 55%-75% heart rate reserve (HRR). Blood samples were collected from subjects in two stages to evaluate the considered variables. Measurement of levels of Lipoprotein a, Fibrinogen, PT, PTT, Platelet counts and Hemoglobin. For data analysis, repeated measures of variance analysis at a significant level of 5 hundredths were used by employing SPSS software.
Results: The mean values of Lipoprotein a, Fibrinogen, PT and Platelet counts in the control group showed no significant change after eight weeks of training (P>0.05). While PTT changes in the both groups was significant in the post-test compared to the pre-test (P=0.006). The inter-group difference, in any of the variables between the experimental and control groups, was not significant (P>0.05).
Conclusion: Eight weeks of aerobic training had no effect on Lipoprotein a and blood coagulation and fibrinolysis factors, however, this training program can take effective steps in improving health promotion in overweight women.
Reza Safdari , Niloofar Mohammadzadeh , Nasim Shokouhi, Azizeh Farzinmehr, Mehrshad Mokhtaran, Shahrbanoo Pahlevanynejad, Mahnaz Mirsane,
Volume 13, Issue 5 (Dec & Jan 2020)
Abstract
Background and Aim: Pelvic floor disorders are a common disease which, with varying degrees of severity, disrupts daily life and also decreases the quality of life of the individual. This disease can be cured by lifestyle modifications and self-care education; on the other hand, smartphones have become a good platform for health services and therapeutic interventions. The aim of this study was to identify information and educational components for the self-care application of women with pelvic floor disorders.
Materials and Methods: This descriptive study was performed in Yas Hospital affiliated to Tehran University of Medical Sciences. According to Morgan table, 30 gynecologists who were randomly selected were included in the study. The data gathering tool was a researcher-made questionnaire which its validity and reliability were confirmed (α=0.85) and its content was provided by reviewing the scientific sources.
Results: The results of the analyzes showed that from the experts’ point of view the interventional section including reminders, daily activities diaries and targeting with an average score of 4.14 has been of great importance. Since then, the applied and self-care section with an average score of 4.364is ranked second in priority.
Conclusion: According to a survey by experts who play a major role in the management of the disease. The essential components of this application were identified in three main sections consist of: electronic records, the interventional section and the practical and self-care and their subsections.
Reza Dehghan, Hamideh Reshadatjoo, Kambeiz Talebi, Hossein Dargahi,
Volume 14, Issue 6 (Feb & Mar 2021)
Abstract
Background and Aim: Health tourism is one of the most important tourism types in Iran. Iran has many strengths in health tourism. Also, there are challenges such as communication and information inconsistency in the health tourism industry and the outbreak of COVID-19 disease. Due to the unknown issues about COVID-19, it is important to determine effective strategies to control the consequences and reduce the economic and social effects of the virus in all industries, especially the health tourism industry.
Materials and Methods: In this systematic review study, 500 published papers from 2018 to 2020 were evaluated. In the group interview section, we used the views of participated health tourism experts in the scientific events in Iran, Turkey, and Oman. Also, the SWOC Analysis model (strengths, weaknesses, opportunities, and challenges) and MAXQDA software were applied.
Results: The results showed that the selected strategies were defensive and competitive. This research showed that the strengths of the health tourism industry overcome the weaknesses and development opportunities outweigh the challenges. Also, the maintenance strategy is the best strategy to support health tourism in the current situation in Iran.
Conclusion: It is necessary to be following issues for the politicians of Iran's health tourism industry to design a comprehensive document of Iran Health Tourism Diplomacy, preparation of a strategic plan for the development of health tourism, establish an independent organization of Iran Health Tourism, develop electronic health in the health tourism industry, design a health tourism insurance system, and…, with the aim of entrance to the current markets and creating new foreign markets.
Javad Mirzaei Nasirabad, Alireza Mahboub Ahari, Mahdi Zeynali, Rasoul Baradaran Hasanzadeh, Mohammad Taghi Bagheri Shadbad,
Volume 15, Issue 1 (Apr & May 2021)
Abstract
Background and Aim: Traditional costing systems are not efficient enough to calculate up-to-date costs and analyze training costs in education organizations. The present study was conducted with the aim of establishing an activity-based costing system in Tabriz School of Management and Medical Informatics.
Materials and Methods: The current multi-method study was conducted in academic year 2017-2018, aimed to establish cost accounting system which we called Beyond Activity Based Costing System (BABCS). First, using Business Process Modeling and Notation (BPMN), 3,729 activities inside 384 processes were identified, then illustrated and finalized in Bizagi-Modeler software. Overhead costs, were allocated initially to final activity centers then to cost objects based on the workload and time duration of activities. Data management was conducted in Excel and cost analysis was performed via Dptsco cost accounting platform.
Results: Despite the capability of the ongoing accounting system (Nezam Novin) in registering and description of the budget and spending of the faculty, it still needs to be reviewed and upgraded to achieve the objectives of accrual accounting. The total cost of the faculty in the study year is equal to 61,872,545 thousand Rials, of which 57,159,882 thousand Rials are related to education and 4,812,663 thousand Rials are the share of research activities. Based on the results obtained from the BABCS system, the average cost of each course unit in the college was calculated to be 5,102 thousand Rials and the average cost of student education was calculated to be 356,092 thousand Rials. The maximum and minimum cost of student education related to the field of Master of Management and Reforms in the Health System (MPH) was calculated at 800,130 thousand Rials and the Bachelor of Health Information Technology was calculated at 100,171 thousand Rials.
Conclusion: Tabriz School of Management and Medical Informatics has spent most of its resources on staff salaries and benefits. Establishment of activity-based costing system and its connection with other Portals and database of the university can play an effective role in managing the work flows and improving staff productivity and efficiency of the faculty organization.
Zeinab Sadat Mousavi, Farshad Ghazalian, Mandana Gholami, Hossein Abed Natanzi, Khosrow Ebrahim,
Volume 15, Issue 4 (oct & Nov 2021)
Abstract
Background and Aim: Inactivity increases the risk of chronic diseases. The aim of the present study was to investigate the acute changes in Normetanephrine and glucose in boxing with Kinect Xbox with and without blood flow restriction as an alternative to aerobic exercise during quarantine in young non-athletes.
Material and Methods: Fourteen healthy non-athlete individuals with a range of 20 to 40 years of age were randomly and purposefully selected. And on two different days with and without restriction of blood flow, they played boxing with Xbox 360 for 20 minutes. Blood samples were taken before and immediately after
Results: There was a significant increase in serum Normetanephrine playing compared to before the test in both training groups, but the amount of changes between the two groups with and without blood flow restriction was not significant (P≤0.05). Exergames, in the case of unrestricted blood flow, has a significant effect on glucose, but the restriction of blood flow did not lead to a significant difference in the amount of glucose (P≤0.05).
Conclusion: Exergames provide the necessary stimulus for catecholamine secretion and glucose response, and it is recommended for people with limited blood flow. Further studies are needed on the effect of restricting blood flow as a new training method on video game with movement.
Reza Safdari, Seyyed Farshad Allameh, Ms Fariba Shabani,
Volume 15, Issue 6 (Feb & Mar 2022)
Abstract
Background and Aim: Many risk factors can cause biliary system diseases. Hence, this category of diseases is amongst the most common ones. Active patient cooperation is very important in disease management, self-care, and clinical outcomes improvement. A mobile phone application has a high potential in supporting the patients’ self-management. Therefore, this study was conducted to recognize and define data elements to develop a self-care application for biliary patients.
Materials and Methods: The current descriptive study was conducted in 2 stages, resource investigation, and data elements’ need assessment. In the first stage, scientific articles available in databases were used for defining required data elements to develop the application for biliary patients, and a checklist of data elements was prepared. In the second stage, a questionnaire was made based on the checklist. Content and face validity were accepted by the research team and the reliability was calculated 87.2%, using the Cronbach’s alpha test. The mentioned questionnaire was given to Gastroenterologists at Imam Khomeini Hospital complex, and the elected data elements were recognized.
Results: In this application, data elements were categorized into seven sections, including demographic and clinical information, data related to the biliary system diseases, postoperative lifestyle information of the biliary patients, reminders, disease management, and informing. Sixty point five percent of the responders gave the highest importance to data elements in the demographic and clinical data section. Data elements related to patients’ education were considered highly important by 54.2% of the responders. Forty three point eight percent gave the highest importance to data elements in interventional applications’ sections, and only 4.2% gave the least importance to this section.
Conclusion: Based on the identified data elements, a self-care application was designed and developed and can be used as a supplement to specialized care for biliary patients.
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.
Zeynab Arbabi, Abdolali Banaiefar, Sajjad Arshadi, Hamid Tabatabaei,
Volume 17, Issue 2 (5-2023)
Abstract
Background and Aim: Metabolic syndrome refers to a set of metabolic disorders related to obesity, such as abdominal obesity, increased body fat mass, lipid disorders, hypertension, increased blood glucose, and insulin resistance. The present study was conducted with the aim of determining the effect of 8 weeks of CXWORX exercises combined with inulin consumption on some indicators of oxidative stress in obese women with metabolic syndrome.
Materials and Methods: Forty eight obese women with metabolic syndrome in the age range of 30 to 40 years were randomly divided into Control, inulin, CX exercise and combined groups were included. Subjects were present in the laboratory environment and 5 cc of blood was taken from their brachial vein. Blood sample was taken to measure malondialdehyde and xanthine oxidase (pre-test). Then the aforementioned interventions were performed on the studied groups for a period of 8 weeks. Finally, blood sampling was done again to measure the variables (post-test).
Results: The results of the correlated t-test revealed that in all three groups, the intervention led to a significant decrease in malondialdehyde compared to the pre-test; However, xanthine oxidase variable did not change significantly in the exercise group and significantly decreased in the inulin and combined groups compared to the pre-test. ANOVA results revealed that compared to the control group, the amount of malondialdehyde is significant only in the combined group (P≤0.05). The amount of this variable in the combined group decreased significantly compared to the exercise and inulin group (P≤0.05). No significant difference was observed between the exercise and inulin groups (P>0.05). Amount of xanthine oxidase, a significant difference had between the inulin and combination groups with the control group (P≤0.05). No significant difference was observed between the exercise and inulin groups (P>0.05). Despite this, a significant difference in xanthine oxidase levels was observed between the combined group with the exercise and inulin groups (P≤0.05).
Conclusion: Based on the available findings, it is concluded that the implementation of CX exercises combined with the use of inulin reduces the oxidative stress function more than the application of each of them alone in women with metabolic syndrome.
