Showing 87 results for Iran
Z Rahaei, H Heshmati, Mm Hazavehei, A Hasanzadeh,
Volume 9, Issue 1 (8-2011)
Abstract
Background and Aim: The objective of this study was to determine the relationship between educational practice of volunteer health workers (VHWs) and preventive behavior of households (HH) under their coverage regarding cutaneous leishmaniasis (CL) based on the BASNEF model in Yazd City, Iran
Materials and Methods: In this descriptive cross-sectional study, all the 60 VHWs in the CL-endemic regions in Yazd City were interviewed and completed a valid and reliable questionnaire designed by the investigator. In addition, from among the households under coverage of each one of the VHWs, 2 HHs were selected randomly and their heads were interviewed and completed the relevant questionnaire (total n=120). Data were analyzed using descriptive and inferential statistics.
Results: There was a positive correlation between the knowledge and attitude of VHWs and knowledge of the households, as well as between the VHWs' behavioral intention and households' behavior. Further analysis of the data also revealed a positive correlation between the enabling factors of VHWs and the knowledge, behavioral intention, enabling factors and behaviors of families, as well as between educational behavior of VHWs and knowledge, attitude and behavior of the families.
Conclusion: Volunteer health workers can potentially play an important role in case-finding, prevention and timely treatment of cutaneous leishmaniasis. However, merely promoting their awareness of the disease will not lead to improvements in their educational behavior in the community. More effective education aiming at promoting their awareness and enabling factors, as well as developing better attitude in them, will certainly result in better behavior of households and control of the disease
Mehdi Mohebali, Gholamhossein Edrissian, Mohammad Reza Shirzadi, Yavar Hosseingholizadeh, Mohammad Hossein Pashaei, Akbar Ganji, Zabihallah Zarei, Ahmad Kousha, Behnaz Akhoundi, Homa Hajjaran, Hossein Malekafzali,
Volume 9, Issue 2 (11-2011)
Abstract
Background and Aim: Visceral leishmaniasis is a systemic parasitic disease with a high fatality rate in under-5-year-old children. The disease is endemic in some parts of Iran, particularly in the north-west region. In 2001 a visceral leishmaniasis (VL) surveillance system was established for children aged ≤ 12 years in the primary health system in Meshkin-Shahr District, Ardebil Province, situated in the north-west of Islamic Republic of Iran.
Materials and Methods: All cases with clinical signs and symptoms of VL and confirmed positive by the direct agglutination test (DAT) were referred for physical examination and treatment.
Results: The mean annual incidence of VL decreased significantly from 1.88 per 1000 children before (1985-2000), to 0.77 per 1000 child population after (2001-07), the intervention. In the control area with no surveillance, it increased from 0.11 to 0.23 per 1000.
Conclusion: Early detection of VL using serological tests and timely treatment of cases can decrease the mortality and morbidity rates of VL in endemic areas.
Shohreh Shahmahmoodi, Seyed Mohsen Zahraei, Mohammad Mehdi Gouya, Taha Mousavi, Masoud Hosseini, Marjan Ostovar Esfandabadi, Mahmood Mahmoodi, Hamideh Tabatabaie, Maryam Yousefi, Yaghoob Mollaie Kandalousi, Sahar Abbasi, Rakhshandeh Nategh,
Volume 10, Issue 1 (7-2012)
Abstract
Background and Aim: Iran National Polio Laboratory (NPL) is a member of the World Health Organization (WHO) Polio Laboratories Network. NPL receives stool specimens from acute flaccid paralysis (AFP) cases from all the provinces throughout Iran for poliovirus detection and identification. Furthermore, the NPL also detects non-polio enteroviruses (NPEVs) in these specimens. Recently, NPEVs have come to be believed to be one of the most important causes of AFP following wild poliovirus. This paper reports the prevalence of different types of NPEVs isolated from the specimens of AFP cases between 1995 and 2000.
Materials and Methods: Stool collection, virus detection and serotype identification were performed according to the WHO standard procedures.
Results: A total of 2180 stool specimens from AFP cases were received at the National Polio Laboratory. Coxsackie B viruse and echoviruses 6, 11, 7 and 13 had the highest frequency, identified in 23.7%, 14.4%, 12.7%, 11% and 10.2% of the NPEVs isolated from AFP cases, respectively. Four cases of echovirus 20 were identified, in 2 cases the patiets having died and in one the patient having been afflicted with residual paralysis. There have been no reports of death or residual paralysis (paralysis continuing after 60 days) due to echoviruse 20.
Conclusion: Considering the upward trend of AFP cases in Iran, even after wild poliovirus eradication, studies are needed to determine the frequency and type identification of NPEVs and the relationship between NPEVs and residual paralysis in the post-eradication era (2000 onwards).
Kourosh Holakouie Naieni, Abolhassan Nadim, Ghobad Moradi, Salma Teimori, Hamideh Rashidian, Maryam Kandi Kaleh,
Volume 10, Issue 1 (7-2012)
Abstract
Background and Aim: Malaria threatens more than half of the world's population in about 100 countries. During the period 1921-1951 malaria was one of the most important public health issues in Iran, no other disease causing as much financial loss and mortality as malaria did. The objective of this study was to investigate malaria epidemiology in Iran during the period 1940- 2006 (65 years), in the hope that the infotmation and experience will be used in the future.
Materials and Methods: This study included a review of the available literature on the suject, as well as a study of health systems, existing records, and analysis of data and information on malaria in Iran. Data were colected from three main sources: national or international electronic sources (26 sources) non-electronic sources, including theses, journal articles, and various documents and reports, as well as data obtained from the national malaria surveillance system (a total of 180) and interviews with five informed and expert individuals. In addition, national documents prepared by the Center for Disease Control, Ministry of Health and Medical Education, during the previuos 6 months were made available to, and used by, the research team.
Results: The findings show that, despite several annual fluctuations, the trend of incidence of the disease during the 65-year period, from 1940 to 2006, was a downward trend. The incidence declined from 250-333 per 1000 people in the early 1940's to 0.22 per 1000 people in 2006.
Conclusion: The changes in incidence of malaria show that elimination of malaria is a possible and feasible goal. The experiences achieved in controlling this disease can be utilized for controlling other diseases as well.
Mansour Halimi, Mehdi Delavari, Ashraf Takhtardeshir,
Volume 10, Issue 3 (1-2013)
Abstract
Background and aim: Malaria as a mosquito-borne disease is largely dependent on climatic conditions. Temperature, rainfall and relative humidity are considered as climatic factors affecting the geographical distribution of this disease. These climatic factors have definite roles not only in the growth and proliferation of the mosquito Anopheles but also in the parasite Plasmodium activity. The purpose of this study was to find in which regions of Iran climatic conditions favour spread of malaria.
Material and Methods: Data on 3 climatic factors, including the mean monthly temperature, rainfall and mixed ratio of humidity, obtained from 31 synoptic meteorological stations during the 30-year period 1975-2005 were used. By running the informative filters through map algebra tools in the Geographical Information System (GIS), the synoptic meteorological stations were classified into 4 groups in terms of climatic conditions favouring activity and proliferation of the mosquito Anopheles and the parasite Plasmodium. Then the regions were interpolated in terms of climate risk of malaria incidence using the tension Spiline interpolation method.
Results: The maps of climatic potential malaria risk indicated that the southern provinces including Hormozgan, Bushehr and Khuzestan, southern parts of Sistan-Balouchistan province, such as Chabahar and Nikshahr, as well as Northern provinces of the country, including Mazandaran and Gilan, have the highest climatic potential for risk of malaria spread. On the other hand, provinces in the North Western region, including West and East Azarbaijan, Ardebil, Kurdistan and Zanjan, have the lowest climatic potential risk of malaria spread. Further analysis of the data showed that a large segment of the population is living in regions with medium- to high-risk zones.
Conclusion: The findings of this study can be used when designing malaria control programs to identify different regions in terms of climate-based malaria risk. The presented risk map of malaria in this study is completely based on climatic factors. The disconformity between these presented climate-based maps and the observed high-risk map is due to such factors as socioeconomic and lifestyle changes, as well as border problems (foreign subjects entering the country).
Marzieh Farnia, Mohammad Shahbazi, Ghobad Moradi, Sepideh Alizadeh, Bahman Ebrahi, Maryam Kandi Kalle,
Volume 11, Issue 1 (8-2013)
Abstract
Background and Aim: probably after pestilence, HIV/AIDS is most important and severe health threat for public health. Prisons could facilitate the spread of HIV/AIDS and Hepatitis and transmit it to societies. The main strategy to control HIV/AIDS and hepatitis among Injecting Drug Users is Harm Reduction Programs. These programs are conducted in Iran Prisons. The goal of this study is to evaluate Harm reduction Programs including Methadone Maintenance Therapy (MMT) and Needle exchange from the viewpoint of prison staff in Iran including principals, managers, physicians and counselors.
Materials and Methods : It was a cross sectional study in which 370 prison staff working in prisons all around the country were evaluated to assess their viewpoint and insight about Harm reduction Programs including Methadone Maintenance therapy and Needle exchange.
Results: A percentage of 95.23 of prison managers and experts had a positive view toward Methadone Maintenance therapy. 70.25 percent had a positive insight toward needle exchange program. The employment type and work experience was significantly (p<0.05) related to the viewpoint of managers and experts towards Methadone Maintenance therapy program. Age was the only factor that had a significant relationship (p<0.05) with Needle exchange program.
Conclusion: MMT has lots of supporters in prisons. The positive insights of managers and experts towards methadone maintenance therapy program demonstrate the high level of staff’s approval for conducting this program it could be interpreted as a sign of success of program in the country. However there is not a comprehensive approval and collaboration with needle exchange program in prisons. Nevertheless, it is alarming that 42.5% of staff believe that conducting methadone maintenance therapy may increase and intensify addiction in prisons.
Mohammad Mehdi Sedaghat, Abolhassan Nadim, Afsoun Goudarzi, Kourosh Holakoei Naeini, Mehdi Nateghpour, Hossein Ladoni, Kiumars Khamis Abadi,
Volume 11, Issue 1 (8-2013)
Abstract
Background and Aim: Malaria remains an important vector-borne disease globally and is a threat for human life. Forty percent of the world’s populations who are living in low-income countries are at risk of malaria. The disease exists in Iran and caused economic and social damages. As result of malaria control program that has been done during the past years, the disease is eliminated from the most parts of the country, so that it is only reporting from a small part in these years.
Materials and Methods : During this study, all available papers, books and thesises were reviewed and articles from Iranmedex, DIS and PubMed databanks were also used. Furthermore the related reports from different sources were noted.
The extensive studies have important information about malaria vectors. In this study the data about malaria vectors and related training courses are listed. During this study the related papers, Books and thesises which have been reviewed.
Although efforts, surveillance system, diagnostic and treatment facilities, as well as knowledge and attitude of peoples regarding to health behavior are improved nowadays, there are significant improvements about decreasing the malaria cases. Risk of the disease exists because of population exchange and asymptomatic cases. The malaria can be studied with both public health and economical aspects. This paper represents entomological studies of malaria during 1935 by the end of 2008.
Conclusion: our study revealed that, based on recent malaria national program, the authorities should make an emphasis on vector control monitoring, resistance management, malaria evaluation and because of weak supervision on all malaria operation at stage of elimination of malaria, accurate and careful suppersional require to reach the objective and goal of elimination.
Mehdi Nateghpour, Golamhossein Edrisian, Abolhassan Nadim, Kamran Akbarzadeh, Leila Farivar, Selma Teymouri, Mohammad Mehdi Sedaghat, Hossein Ladoni, Afsaneh Motevali Haghi,
Volume 11, Issue 2 (11-2013)
Abstract
Background and Aim: specific and scientific study in the field of malaria in Iran commenced simultaneouoly with establishing the Instituted of Malariology in Tehran University. Subsequently the Institute was changed to school of Public Health and Institute of Public Health. Research which this new situation resulted in increasing studies and researches in the field of malaria based on three main items as entomology and vector control, parasitology and epidemiology. Historical study of malaria prepares a worthy opportunity to remind the pioneers and those who dedicated their life for combating malaria. In this study the situation of published papers, prepared theses by Iranian researchers and specific training and fresher training courses in the filed of malaria parasitology during the last fifty years were considered.
Materials and Methods: This study was conducted as a retrospective study based on the collecting all available data from internal and external electronic sources, papers, books, reports, theses. Moreover, some interviews were made with relevant knowledgeable individuals, in the field of malaria parasitology in Iran.
Results: In this study 143 papers in the field of malaria parasitology were collected in Persian and English languages. Thirty five MSPH, MPH, PhD these and forty four specific courses were recorded as well.
Conclusion: The collected data indicating the correct comprehension of Iranian researchers from importance of malaria infection and its parasitology in Iran. The facts also show that specific training and retraining of malaria microscopy played considerable role in the control of malaria in Iran.
Zahra Nikoo Seresht, Shahnaz Rimaz, Mohsen Asadi Lari, Saharnaz Nedjat, Effat Merghati Khoie, Seyed Abbas Motevallian, Narges Saeepour,
Volume 11, Issue 3 (1-2014)
Abstract
Background and Aim: Quality of life amongst people living with HIV/AIDS is affected by their experiences such as social isolation, stigmatization and discrimination. Physical, mental and social problems are common throughout their lives. Therefore, studying the quality of life of HIV-infected individuals are shortcomings in various cultural contexts. The purpose of this study was to assess the quality of life of people living with HIV/AIDS in Iran.
Materials and Methods: A cross-sectional study design was used. We used convenience sampling to recruit 300 HIV-infected adults attending the Imam Khomeini Hospital consultation center for clients with risky behaviors in Tehran. To collect the data we employed the World Health Organization Quality of life for HIV Brief version (WHOQOL-HIV BREF). T-test, one-way ANOVA, Pearson’s coefficient and multiple regression were used for analysis.
Results: The mean ±SD age of the respondents was 34.3±7.5 years. The majority of them were males (55%) and asymptomatic (51.7%). Among the domains of quality of life, Level of independence had the highest score (13.4±3.1), and environment (12.5±2.8) and psychological (12.5±3.1) domains had the lowest. Younger's, women and employed subjects reported better quality of life for different domains of quality of life (p<0.05).
Conclusion: Psychological and environment domains in quality of life were found to be adversely affected by HIV. Accurate and culturally sensitive interventions are suggested to address the patients' psychological and environmental needs.
Nasser Hashemi Nezhad, Alireza Choobineh, Ali Akbar Haghdoust, Mostafa Mohammadian,
Volume 11, Issue 3 (1-2014)
Abstract
Background and Aim: Measuring the hand's grip strength and comparing it with its normative data is a valid method for detecting intensity of the numerous damages of hand. In addition, co mparing grip strength of people in different regions can reveal hidden facts resulting from genetic and environmental factors . Therefore , the present study was carried out with the aim of comparing grip strengths and three types of pinch (tip, key and palmar) strengths of healthy people living in five Iranian cities and determining normative data of grip strengths of citizens of these cities.
Materials and Methods: This was an applied cross-sectional study. The study population included 1008 healthy adults (526 males and 482 females) from the Fars (Persian) ethnic populations in five cities of Iran ( Mashhad, Isfahan, Shiraz , Kerman and Yazd ). The American Society of Hand Therapists (ASHT) recommendations were followed to establish normative data of grip and pinch strengths . Jamar dynamometer and Seahan pinch gauge were used to measure grip and pinch strengths. In addition, the effect of body mass index (BMI) and other anthropometric variables (hand length, height and weight) on grip strengths was assesed.
Results: In the present study, no significant differences were found between grip and pinch strengths of adults in the five cities. From among the parameters studied , height and hand length had the most influence on the grip strengths .
Conclusion: The findings of this study show that populations of any particlular ethnic group have similar grip strength despite living in different geographical areas. The normative data of grip strength obtained in this study are important for ergonomists helping them to optimize work programs and designing tools, as well as for therapists helping them to reach the goals of treatment, assessing the body response to medical treatment, and detecting good function of the upper extremities .
Sedigheh Sadat Tavaffian, Teymour Agha Molaei,
Volume 11, Issue 3 (1-2014)
Abstract
Background and Aim: In recent years great emphasis has been put on the importance of a healthy lifestyle. This study aimed to assess the lifestyle of high school and pre-university students in Bandar-Abbas, Iran.
Materials and Methods: Using a multistage sampling method a total of 410 high school and pre-university students in Bandar-Abbas, Iran were selected. To assess the lifestyle of the students the Adolescent Health Promotion Scale was used. This 40-item scale assesses six health-promoting behaviors, including those related to nutrition, social support, personal responsibility, health valuation, physical activity, and stress management.
Results: The mean age of the students (49.8% males and 50.2% females) was
16.5 (SD=1.34) years. The data showed the mean score of the total scale to be 64.89 out of 100. The mean scores (out of 100) of the subscales of nutrition, social support, personal responsibility, health valuation, physical activity and stress management were 71.06, 63.00, 63.12, 82.11, 41.49, and 68.58, respectively.
Conclusions: The findings of this study reveal that the health-promoting behaviors of high school students living in Bandar-Abbas are not, on the whole, desirable. The regular physical activity subscale had the least score, which shows that a sedentary lifestyle is a common, serious problem among thestudents.
Kazem Mohammad, Shahnaz Rimaz, Maryam Dastoorpour, Masoomeh Sadeghi, Seyed Reza Majdzadeh,
Volume 11, Issue 4 (3-2014)
Abstract
Background and Aim: MS is a chronic and destructive inflammatory disease with a not contradiction continuing of life but can influenced the quality of life of patients. The purpose of this study is to determine the quality of life in MS and its related factors.
Materials and Methods: This cross-sectional study was performed on 172 patients admitted to the MS Society of Iran (Tehran) and convenience samplings were obtained for 10 months. Tools for data collection were MSQOL-54 and MS patients were also interviewed. Data using descriptive and Analytical tests such as multiple regression were analyzed.
Results: The mean age of patients was 34/8 ± 9/6 years. Analysis of 14 sub-domains of quality of life questionnaire showed that the highest average score in the domain of quality of life was social functioning (71/7 ± 21) and the least was role limitations due to physical problems (44/2 ± 39/4). Results of multivariate regression models shown that between age has an significant inverse relationship to domain of physical combined and only variable significant on the combined domain of psychological – psychiatric, Area residential Variable was (p.value 0/001).
Conclusions: The study shows that demographic variables medical and economic factors influence the quality of life of patients with multiple sclerosis. Identify the factors related to the quality of life of these patients can be helpful in predicting quality of life. The variables influence on the quality of life for MS patients must be targeted in designing effective intervention programs to improve their quality of life.
Mansour Halimi, Manouchehr Farajzadeh, Mehdi Delavari, Hadi Bagheri,
Volume 12, Issue 1 (5-2014)
Abstract
Background and Aim: Environmental and ecological factors especially climatic conditions have a significant impact on the prevalence of parasitic diseases. These factors has is more importance in Malaria Incidence and Epidemiology. Malaria as the most important parasitic disease, considered as one of most important public health problem. The climatic factors not only affect the growth and proliferation of the Anopheles mosquito but also affect in Plasmodium activity . In present study we surveyed the malaria situation during 1972 to 2005. In order to the five climatic parameters including mean temperature, total precipitation, number of days with precipitation over 0mm, rainfall distribution index and relative humidity were used as annual average during 1971 to 2005.
Materials and Methods : we calculate average of annual of climatic parameters for the 31 synoptic stations of Iran Using GIS software. First, using the ordinary Kriging model with spherical a Semi variogram was traced maps of climatic parameters and these factors mean was calculated for each year . Finally, to investigate the relationship between climatic parameters with the prevalence index the Pearson correlation coefficient at 0.9 confidence level (p = 0.10) . was used. A multivariate linear regression model was applied to estimate the prevalence of disease based on the mentioned climatic factors .
Results : Study of malaria prevalence in 1971 to 2005 showed cases of disease with has a decreasing trend with slope 0.0142 in year that this trend has been accelerated from 1375 . Many cases of disease have been reported one year after increased precipitation . The result showed the weather humidity factors is important than temperature factors in the prevalence of malaria . I general, the developed model is explained 0.48 of changes prevalence time.
Conclusion: In order to be successful Anti-malaria campaign in Malaria-prone areas in addition different influencing factors climatic factors should be considered .
Afrouz Danesh Parvar, Homa Hajjaran, Iraj Mobedi, Saeid Naddaf, Mehdi Nateghpour, Mahsa Makki, Mohammad Reza Shidfar, Seyed Jamal Hashemi, Seyed Ebrahim Eskandari, Gholam Reza Molavi,
Volume 12, Issue 1 (5-2014)
Abstract
Backgrond and Aim: Demodicosis is a common skin disease. Great number of admissions to the clinics is occurring in the country. Regarding the high prevalence of this parasitic arthropod, investigating on pathogenesis, route of transmission and the complications they may produce, is considered of great importance. Generally, demodex parasites often exist in the skin tissue and tend to live in the face specifically in cheeks, forehead and nose, where sebum excretion is active and may provide a favorable habitat for living and breading the parasite. Diagnosis is carried out during an exploratory skin test for a cne, pityriasis rosacea and ophthalmic infectious diseases such as blepharitis. Determination of their biological role in chronicity of general skin disorders is an interesting topic in research.
Materials and Methods: Patients were admitted to the Razi hospital, Research Center for skin diseases and leprosy, and three other clinical laboratories considered for assays. The questionnaire was filled for each patient and the sample was taken from the affected area. Ecto parasites were transferred to the potassium chloride solution 10% and studied under a light microscope.
Results: A total of 100 patients were studied, from which 78 patients were diagnosed as infected with the Demodex folliculorum. Of these, (%92) were female and (%7.6) male (p <0.05). The highest frequency was observed in the age group 41 to 50 years (P <0.05).
Conclusion: In this study, the relative frequency of demodicosis was more common in women and in the middle-aged group. Generally this high level of frequency will intensify the necessity of the identification of parasites and its pathological effects in chronic infectious diseases.
Amin Doosti Irani, Batool Okhovat, Zahra Cheraghi, Mozhgan Talaei, Elham Ahmadnezhad, Mohammad Mehdi Gooya, Mohammad Soroosh, Hossein Masoumi Asl, Kourosh Holakoie Naieni,
Volume 12, Issue 2 (10-2014)
Abstract
Background and Aim: Water and food born diseases are one of the important causes of morbidity and mortality in through the world. The objective of this study was to investigate factors affecting the persistence of diarrheal cases after the explosive epidemic phase of diarrheal disease in Yazd province.
Materials and Methods: We designed a match case control study that was performed on base of incidence cases of diarrhea since 24 Aug, 2013 to 03 Sept, 2013.Characteristics of cases and control were obtained by interviewers using a pre-determined questionnaire. Logistic regression was used at 0.05 significant level.
Results: Totally 69 incidences cases of diarrhea were compared with 138 controls. Incidence rate of diarrhea in Yazd province was 13.79 per thousand. The adjusted odds ratio estimate for presence a patient stricken with gastroenteritis in the household was 3.63 [95% CI: 1.43, 9.20]. The adjusted odds ratio for low education, history of the trip, history of contact with patient and eating outside the home were 1.75, 1.55, 1.93 and 1.37 respectively, that increase odds of disease but their effects was not statistically significant.
Conclusion: In this study the most important risk factor for diarrhea was history of contact with the person with the disease in the household. This result may indicate the lack of personal hygiene by patients and their relatives and thus transmission of disease to others peoples. Therefore the role of health education and informing about transmission and preventive ways is very important in prevention and control of outbreaks of diarrhea diseases.
Ghobad Moradi, Minoo Mohraz, Mohammad Mehdi Gouya, Masoumeh Dejman, Seyed Ahmad Seyed Alinaghi, Sahar Khosh Ravesh, Hossein Malekafzali,
Volume 12, Issue 2 (10-2014)
Abstract
Background and Aim: The aim of the present study was to investigate the views of policy makers and key persons about national AIDS control politics.
Materials and Methods : This qualitative study used purposive sampling. To collect data, the perspectives of six experts about AIDS were inspected. Framework analysis was used to analyze the data.
Results: The results of this study showed that beside the strengths there are also significant weaknesses in making the policies, administering the existing policies, executing the programs in organizations, and planning new policies to control AIDS hence these problems and weaknesses must be identified to achieve the main goals of AIDS control program.
Conclusion: AIDS is not only a health problem but a social, economical and cultural problem, which requires more attention from authorities and related organizations for developing and implementing policies in accordance with international guidelines. To achieve Millennium development goals (MDGs) in the context of AIDS it is essential for policy makers and key figures to consider more effective activities and measures in their agenda.
Hossein Malekafzali,
Volume 12, Issue 2 (10-2014)
Abstract
In this article 40 years of Iranian experience in primary health care in west Azarbaijan and behvarzs is presented. In this regard quantitative development of PHC during this period will be discussed, moreover challenges and opportunities of this program will be analysed. Finally family physician program should be considered as an appropriate tool to achieve universal coverago of PHC in iran.
Fatemeh Jafari, Abdolkarim Ahmadi, Mohammad Reza Amiresmaeili, Mahmood Moosazadeh,
Volume 12, Issue 3 (1-2015)
Abstract
Background and Aim: Investigation of seasonal suicide might help in learning about the etiology of suicide committers’ behavior. Literature search indicates that a large number of preliminary studies have been carried out on this subject, in many of which seasonal and climatological aspects of suicide have been investigated. In the present study, the seasonal and time pattern of suicide incidence in Iran was determined based a systematic review.
Materials and Methods : Search was performed in the national databases, namely, SID, Iranmedex, Magiran and Medlib, as well as international databases such as PubMed, Scopus and Google scholar, using such keywords as Iran/Iranian, seasonality and suicide. The technical quality of papers was assessed using checklists. Data of each of the preliminary studies were extracted in terms of general variables and such specific variables as season, month, hour, weekdays and climatic conditions.
Results: Of a total number of 49,522 documents obtained from a primary electronic search, eventually 32 papers were included in this study. The highest numbers of suicides committed were 7 and 8 in summer and spring, respectively. Similarly, among the primary studies that had reported only the monthly occurrence of suicide, the highest rate in 7 cases was spring and 7 in summer. In most of the studies (8 cases) the highest number of suicides had taken place between 1:00 and 6:00 PM.
Conclusion: These findings indicate that suicide occurrence in Iran has a seasonal pattern, most cases committed being in spring and summer.
Esmaeil Ghorbani, Yavar Rassi, Mohammad Reza Abai, Amir Ahmad Akhavan,
Volume 12, Issue 3 (1-2015)
Abstract
Background and Aim: Sand flies are responsible for transmission of leishmaniasis, papatasi fever and carrion disease. Warning of sand fly population is the first step for the establishment of baseline data for the vector control operations of visceral leishmaniasis (VL). In order to attempt to the difference between species composition and bieocology of sand flies, the comparative research was carried out in west and east of Meshkinshahr district where having high and low prevalence of VL as well as mild semiarid and semiarid steppe climates respectively.
Materials and Methods : Sand flies were biweekly collected using sticky paper traps from indoor and outdoor shelters from four villages at west and east of Meshkinshahr district. The specimens was removed from sticky paper traps and washed in acetone and preserved in 70% alcohol. The preserved sand flies were mounted using Puri’s media and identified using valid keys. The labeled specimens were deposited in Medical Entomology Museum, School of Public Health under code GC22ST6-93 .
Results: During this study, totally 783 and 400 sand flies were respectively caught from indoor (19-27%) and outdoor (73-81%) of both at west and east. The sex ratios of collected sand flies were estimated 2.3 and 1.9. in latter areas. The genera percentage of sand flies were 66.3-64.5% for Phlebotomus and 33.7-35.5% for Sergentomyia compromising of 7 subgenera which included in 20 and 17 species respectively in west and east areas. For the first time, Se.sintoni and Se.mervynae was reported in Meshkinshahr district.
Conclusion: The Ph.kandelakii and Ph.perfiliewi were introduced as prevalent species in the west area compared to the east. In the west area, activity duration and number of generation was higher than east. The prevalent species in the east area was Ph.papatasi. The high density of Ph.anderjevi was seen in both studied areas. The most proven vectors of visceral leishmaniasis were revealed in the west of Meshkinshahr district.
Fardin Alikhah, Mohammad Nademi, Mohaddeseh Zia Nasserani,
Volume 13, Issue 1 (6-2015)
Abstract
Background an d Aim : Most people have behaviors appropriate for their biological sex . However, there are also people who have behaviors of the opposite sex . The latter group is known as transsexual, which means that they have a sense of intense conflict between gender and sex. As a result of social changes in Iran in recent decades, the presence and appearance of these people in public life and the media environment has increased. The emphasis in this paper is on the fact that identification of a person/group as a deviant may pave the way for gravitation of that person/group to deviant behaviors.
Materials and Methods : This was a qualitative study. The sampling method was cumulative and the d ata were collected by interviewing, participatory observation, and in-depth interviews and analyzed thematically .
Results : The findings show that transsexuals suffer a mental adversity when hide their true identity and are exposed to stigma when reveal their desired identity. The stigmatization is in such a way that a transsexual gradually accepts stigma and gravitates to deviant position and roles.
Conclusion : The main impacts of a successful stigma would be the continuation and expansion of deviant behaviors among transsexuals. Promoting public awareness can help in decreasing and preventing individual and social harms resulting from an unreasonable attitude towards this phenomenon by the people.
