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Showing 26 results for Ebrahi

Ramezan Ebrahiminia, Yaser Bakhshi, Saber Sadeghi,
Volume 18, Issue 4 (3-2021)
Abstract

Background and Aim: Insects associated with dead bodies are very diverse and very important in decomposition and recycling of the carcasses.  The present study was conducted in the Margoon region of Kohgiluyeh and Boyer Ahmad province (Iran) to determine the species diversity of carrion insects associated with decomposing remains of different animals.
Materials and Methods: Different cadavers of domestic goat, rat and chicken were collected and carrion insects were sampled from them in different seasons during one year.
Results: In total, 21 species of carrion insects including 13 necrophages, 3 predators, 3 omnivores and 2 casual species were collected and identified.
Conclusion: Based on the data, the order Coleoptera (beetles) was the most diverse group as regards species among the orders collected, and the highest diversity was observed during spring. Two species, namely, Thanatophilus rugosus and Saprinus maculatus were reported to be new in the south west of Iran. Furthermore, our results show that the species diversity of carrion insects in the region studied was rather high.
Ali Labaf, Mohammad Jalili, Ebrahim Jaafari Pooyan, Maryam Mazinani,
Volume 18, Issue 4 (3-2021)
Abstract

Background and Aim:  The strategies of hospitals in confronting the Covid-19 crisis is extremely important in the control and management of this epidemic. Exploring the challenges and suitable strategies for controlling biological epidemics in Tehran University of Medical Sciences (TUMS) hospitals might pave the way for better management of possible similar crises in the future.
Materials and Methods: This was a qualitative, exploratory and inductive study including 22 health professionals from TUMS involved in the management of the disease. Data were collected using semi-structured interviews and analysed by thematic analysis, using MAXQDA.
Results: The most important challenges identified were related to the lack of preparedness at the macro-level, impracticability of controlling the use of personal protection equipment (PPE)  and the consumption of medications, as well as provision of equipment, medications and protecting medical devices. The effective strategies and interventions in the pandemic were grouped into the following categories: manpower, education, communications, clinical work, decision-making and organizational activities.
Conclusion: Preventive measures and preparedness before the onset of the crisis have not received sufficient attention. Hospitals could have an important role in confronting the crisis through promoting work efficiency and standards. Timely prevention and preparedness before a pandemic as regards medications, personal protection equipment and diagnostics are extremely essential, as are timely and flexible decisions by crisis committees and the control of manpower emotions flux during crisis management.
Maryam Tajvar, Omolbanin Atashbahar, Parisa Pourfarokh, Ebrahim Jaafaripooyan, Haniye Sadat Sajadi,
Volume 22, Issue 1 (10-2024)
Abstract

Background and Aim: Considering the growing trend of cosmetic surgery it is essential to adapt a different approach to provide the relevant services in response to the community needs. In this study we aimed to assess the current state of cosmetic surgery services in Iran in terms of frequency distribution according to the type of surgery and other features.
Materials and Methods: This was a descriptive study using the information in the Statistics and Information Technology Management Center (SITMC) of the Ministry of Health and Medical Education. The data in the SITMC medical records of the information system of the reference hospitals for cosmetic surgery, including admission type, status at the time of discharge, average cost, average length of stay, type of center (ownership) and demographic characteristics of the patients undergoing cosmetic surgery were extracted between January 2017 and June 2021. Data analysis was done using Excel software and descriptive statistics (frequency, percentage and mean).
Results: During the study period a total of 62,387 surgeries had been performed for 56 cosmetic surgery codes. The majority of cosmetic surgery centers (79.7%) were governmental. The demands for cosmetic surgery by different groups were as follows: women 73.9%, Iranian nationals 97.7%, married individuals 40.6%, and the aged individuals 16-45 years 82.7%. Rhinoplasty accounted for approximately 60% of the cosmetic surgeries, while septorhinoplasty and lower eyelid blepharoplasty had the highest and lowest average costs and lengths of stay, respectively.
Conclusion: Considering the average cost of surgical operations, financing arrangements and the framework of providing the relevant services should be specified with more precision and transparency. In addition, prior to making decisions in this area policies should be checked in terms of efficiency, effectiveness and cultural compatibility.
 
Aram Halimi, Goljamal Jorjani, Leyla Sharifi Aliabadi, Mohammad Reza Taherian, Haniyeh Yeganeh, Matin Shokrgozar, Gholamreza Ebrahimi, Mohammad Hossein Panahi,
Volume 22, Issue 1 (10-2024)
Abstract

Background and Aim: This study aimed to assess and prioritize the health needs of a community served by the Imamzadeh Ghasem Health Center in Tehran city, Iran.
Materials and Methods: This study was conducted based on the North Carolina model for comprehensive community health assessment. General information and available facilities were extracted from secondary sources, while insights into specific community needs were gathered through interviews with 76 individuals representing diverse demographics. The assessment was made by secondary data analysis and direct interviews.
Finally, the prioritization of health needs of the community was based on a scoring system based on severity, extent, and ease of being solved.
Results: The findings revealed that sewage problems, construction issues and waste management were considered to be the primary health concerns in the region. Comparative analysis with the situation in other regions in Iran emphasizes the unique challenges faced by the community in the present study.
Conclusion: The prioritized health issues highlight the community's urgent needs, requiring targeted interventions. Proposed solutions include legal measures, public education and municipal interventions to address the sewage, construction and waste management problems.
 
ُsamane Miresmaeelii, Ali Mohammad Mosadegh Rad, Ebrahim Jaafaripooyan,
Volume 22, Issue 2 (9-2024)
Abstract

Background and Aim: Accreditation as an external assessment model is considered a key program for evaluating health care organizations. The new health service accreditation system in Iran seems to lack the necessary standards for evaluating outpatient services and general clinics. The objective of this study was to design, based on the experiences of other countries, a model for accreditation of general clinics in Iran
Materials and Methods: This research was a qualitative review study conducted in two phases First, the methods and standards of accreditation of general clinics of selected countries were identified through a comparative review. In the second phase, the conceptual framework of the accreditation of these clinics was developed by an expert panel.
Results: The proposed framework for the accreditation of clinics starts with registering the application in the system and updating the information. After the clinic's self-evaluation and external evaluation, amendments will be made.
The key areas proposed for the accreditation of clinics included management and leadership, information management, process management, human resource management, salaries,  and operational results. The country's clinics can be ranked in five levels, namely, excellent, good, average, poor, and substandard.
Conclusion: Considering the processes and areas determined in this study and the lack of a systematic approach, the proposed accreditation model could provide a scientific and practical method for the internal and external evaluating bodies to provide a relevant and valid evaluation of the general outpatient clinics in Iran.
 
Maryam Tajmahal, Ebrahim Rahimi,
Volume 22, Issue 4 (3-2025)
Abstract

Background and Aim: Q fever, caused by Coxiella burnetii, is a zoonotic disease widely distributed in humans and livestock. It affects domestic animals, wildlife and humans. This disease is asymptomatic in livestock and its clinical consequences include abortion, stillbirth, infertility, mastitis and endometritis. Unpasteurized milk and dairy products are the most important source of transmission of C. burnetii to humans. The aim of the present study was to investigate the prevalence of C. burnetii in traditional cheese and raw cow's, sheep's, goat's and buffalo’s milks
supplied in Qom city, Iran using the Nested PCR method.
Materials and Methods: Initially 150 samples including 30 samples of traditional cheese and 120 samples of raw cow's, sheep's, goat's and buffalo’s milks were selected from the supply centers in Qom city in the summer of 2024 and transferred to the laboratory under sterile conditions to prevent secondary contamination. The samples were tested using the Nested PCR method to detect contamination.
Results: The results showed that out of a total of 120 samples of raw ruminant milk and 30 samples of traditional cheese, 8 samples (5.33%) were contaminated with Coxiella burnetii. The proportions of contaminated samples in cow's, sheep's and goat's milks and traditional cheese were 3 (2%), 1 (0.67%), 1 (0.67%) and 3 (2%), respectively; buffalo raw milk was not contaminated.
Conclusion: Based to the results of the present study, it is recommended to prohibit the consumption of raw dairy products to reduce the risk of pathogenicity and infection by Coxiella burnetii.
 

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