Showing 84 results for Iran
Afsaneh Motevalli Haghi, Mohammad Delavari, Mehdi Nateghpour, Mohammad Shekari, Habiballah Turki, Ahmad Raeisi, Azam Roshan,
Volume 13, Issue 2 (9-2015)
Abstract
Background and Aim : Asymptomatic malaria is a great challenge in the control, elimination and eradication programs of the disease in the endemic areas. The infected individuals with asymptomatic malaria are not cured and are, consequently, a potential source for contamination of the mosquito vectors and spread of the disease in the area. Therefore, detection of asymptomatic infected people is very important as regards combating the disease. This study was conducted to determine the presence and prevalence of asymptomatic malaria in Jask district, Hormozgan Province, Iran during 2012-13, in the hope that the results will help in designing strategies to eliminate the disease in the area.
Materials and Methods: A total of 200 persons under coverage of health centers in Jask district were selected randomly and enrolled in the study. From each subject a 5-ml blood sample was taken in 3 occasions (total number of samples = 600), slides p repared and examined using microscopic and molecular (PCR) methods, as well as rapid diagnostic (RDT) tests.
Results: None of the 600 slides prepared microscopically showed any positive malaria case. Neither did any of those prepared by RDTs or Nested-PCR.
Conclusion : The findings of this study indicate that implementation of the malaria control program has been successful in the area therefore the malaria elimination program should continue.
Afsaneh Motevalihaghi, Mehdi Nateghpour, Mehdi Mohebali, Hamid Azarian, Yavar Sharifzadeh, Leila Farivar, Homa Hajjaran, Mousa Motevalihaghi,
Volume 13, Issue 3 (12-2015)
Abstract
Background and Aim: Considering the ongoing national malaria elimination program in Iran, establishing a bank of human Plasmodium genes and proteins can be very useful for research purposes. This study was conducted to collect some of the native isolates of human Plasmodia from endemic areas in the country.
Materials and Methods: A 2ml vein-punctured blood sample was prepared from each confirmed malaria case. The samples were dispensed in EDTA pre-dosed tubes and cryopreserved for further tests. Moreover, relevant Geimsa-stained thick and thin blood smears were kept in a safe place. Tests for genetic indicators of MSP-1 was performed for each of the P. vivax samples with the RFLP-PCR techniques. In addition, an in vivo drug sensitivity test was performed for each P. falciparum case. Collecting and cryopreserving samples will continue.
Results: A total of 131 samples, including 109, 19 and 3 P. vivax, P. falciparum and mixed samples, respectively, were preserved with relevant data such as species, parasitaemia and nationality of the donor. MSP-1 gene classification resulted in three different haplotypes including Hap.1, Hap.2 and Hap.3 with frequencies of 20.6%, 41.2% and 38.2%, respectively. The In vivo drug sensitivity tests on P. facilparum isolates showed that all of the isolates were sensitive to the current drug of choice, namely, a combination of artesunate and fansidar.
Conclusion: This study resulted in the preservation of considerable amounts of P. vivax and P. falciparum samples for further relevant studies and research purposes.
Foroughieh Dastouri, Afsaneh Motevallihaghi, Hossein Keshavarz, Mehdi Nateghpour, Ahmad Raeisi, Ali Khaloei, Mohammad Bagher Amirshekari,
Volume 13, Issue 3 (12-2015)
Abstract
Background and Aim: Malaria is still one of the major health problems in comparison with any other parasitic disease in Iran with considerable economic and mortality consequences. Sistan-and-Baluchestan, Hormozgan and Kerman are the most affected provinces in the country approximately 96% of the cases are reported from these three provinces. The aim of this study was to determine the frequency, distribution and rate of parasitaemia of human Plasmodium (P.) species in patients infected with malaria parasites in Kerman province.
Materials and Methods: A total of 92,798 peripheral blood smears were collected from suspected malaria patients during the period 2009-10. Thin and thick blood smears were prepared according to the World Health Organization (WHO) standard procedure. Percentage of parasitaemia was determined based on the number of parasites in the positive slides. The Chi-square test was used for data analysis.
Results: A total of 571 samples were found to contain human Plasmodium species, including 523, 44, and 4 cases of P. vivax, P. falciparum and mixed infection, respectively. The results also showed that, as compared with the previous year, the total number of P. vivax cases
decreased in 2010 by 33.96%. The highest level of parasitaemia was observed in one of the patients infected with P. falciparum, with 77240 parasites/µl of blood, and the lowest in a patient infected with P. vivax, with 48 parasites/µl of blood. There were no differences between the positive and negative cases as regards parameters such as nationality, habitat or gender (Chi-square, p<0.05). Furthermore, based on the Mann-Whitney test, there was no significant difference between the mean counts of P. falciparum and P. vivax (p-value = 0.464).
Conclusion: Considering that Iran is in the elimination stage of malaria, patient finding and rapid, timely diagnosis of the disease are very important, particularly cases coming from Pakistan and Afghanistan, helping sustainability of the elimination program.
Milad Azami, Zahra Darvishi, Milad Borji, Kourosh Sayehmiri,
Volume 14, Issue 1 (6-2016)
Abstract
Background and Aim: Anemia in pregnant women is a common disease in developing countries, the prevalence ranging between 35% and 100%. Based on a systematic review in 2005 anemia prevalence among Iranian pregnant women was estimated to be 12.4%. The objective of the present systematic review and meta-analysis was to determine anemia prevalence among Iranian pregnant women between 2005 and 2016.
Materials and Methods: This systematic review, using standard key words, included databases Magiran, Iranmedex, IranDoc, SID, Medlib, Scopus, PubMed, ScienceDirect, Cochran, Embase, Springer, Web of Science, and Online Library Wiley, as well as the Google Scholar search engine of for the period 2005-2016. All the reviewed papers meeting the inclusion criteria were included in the study. Data were analyzed using the random effect model based on meta-analyses, the software being Stata Ver.11.1.
Result: Twenty-five studies with a total sample of 56610 pregnant women met the inclusion criteria. The prevalence of anemia was estimated to be 17% (95% CI: 14-20). The highest (23%) and lowest (12%) prevalence rates were observed in the center and west of the country, respectively. The prevalence was estimated to be 21% in urban areas and 8% in the rural areas.
Conclusion: The prevalence of anemia in Iranian pregnant women has increased over the last 11 years. Therefore, appropriate intervention programs must be implemented in premarital counseling and pregnancy clinics.
Zahra Hossein Khani, Maryam Sabaghian, Arsalan Fouladvand, Narges Shams Gilani, Zahra Fatahi, Morteza Motahharifard,
Volume 14, Issue 1 (6-2016)
Abstract
Background and Aim: The quality of life of community health workers (Behvarzes) is of special importance since they are in direct contact with the community offering health services to individuals and families. The objective of this study was to assess the quality of life of Behvarzes in Qazvin Province, Iran.
Materials and Methods: This cross-sectional study included 406 male- and female-Behvarzes working in the health houses in Qazvin Province, Iran. Data were collected using the World Health Organization Quality of Life questionnaire (WHOQOL-BREF). The questionnaire was distributed in the Behvarzes’ monthly refresher training sessions and completed by them (self-administrated). Data were analyzed using SPSS version17.
Result: The average age of the participants was 35.4± 6.3 years. Analysis of the data showed the means of quality of life scores for physical, psychological, social and environment domains to be 50.81%, 53.00%, %53.96 and %35.7, respectively. In all domains, the score of quality of life for the Behvarzes with a high education level was significantly higher than those of others (p<0.001). In addition, marital status was significantly associated with the quality of life
in all the domains (p<0.001) except in the environment domain (p=0.16).
Conclusion: The result of this study show that the quality of life of health workers (Behvarzes) is medium. Considering the importance of their work and the services they offer to the community, attempts should be made to improve their quality of life.
Amirmansour Tehranchian, Saedeh Azizi Sales, Malihe Moradi,
Volume 14, Issue 2 (9-2016)
Abstract
Background and Aim: The main purpose of this study was to investigate the interrelationships between health capital and education in Iran during the period 1980-2013.
Materials and Methods: The econometric vector error correction model was used to obtain patterns, using the Eviews 9 software for data analysis.
Results: The data showed that the coefficient related to the effect of education index on the health index and that related to the effect of health index on the education index were both negative. In other words, improvements in education had led to improvements in health capital and vice-versa.
Conclusion: It can be concluded that improvements in education can reduce child mortality and, consequently, improve health capital. Also, improvements in health capital can lead to improvements in education index. Therefore, it is empirically proven that these two indices are interrelated in Iran. This means that investment in both sectors can accelerate simultaneously improvements in both health capital and education indices. In Article 24 in chapter three of the Fifth National Economic, Social and Cultural Development Plan achieving a human development index (HDI) close to that in countries with high HDIs and coordination with regard to growth of education, occupation and health indices have received particular emphasis. So, considering the emphasis put on the health system in the Fifth Plan, the policy recommendation is that economic policy-makers should pay special attention to allocating financial resources to the health and education sectors in Iran.
Narges Rostamigooran, Abbas Vosoogh-Moghaddam, Mohammadhossein Salarianzadeh, Hamid Esmailzadeh, Behzad Damari,
Volume 14, Issue 3 (12-2016)
Abstract
Background and Aim: Considering the key role of the Ministry of Health and Medical Education (MOHME) in the implementation and follow-up of the health system reform, its organizational culture can play an important role in the success of this transformation. The aim of this study was to determine the dimensions and orientations of the current organizational culture of the MOHME headquarters.
Materials and Methods: This was a cross-sectional descriptive and explorative study. The study population was the central staff of MOHME. Data were collected using a questionnaire and analyzed by SPSS version 11.5. Descriptive statistical methods (mean, standard deviation, coefficient of variation and interval) were used to describe quantitatively the cultural dimensions, followed by a qualitative analysis as well.
Results: Analysis of the data showed the following: 1. Organizational cultural dimensions existing at a high level include self-supervision and identity; 2. Organizational cultural dimensions existing at a moderate level include authority and freedom in operations, clear goals and expectations, communication, coordination and coherence; and 3. Organizational cultural dimensions existing at a low level include innovation, learning, fair reward system, acceptance of change, management support and criticism.
Conclusion: Considering the key role of the MOHME headquarters staff in designing and implementing health promotion programs, bringing about changes in the organizational culture should be a top priority of the ministerial high authorities.
Effat Merghati Khoei, Narges Hoseini Nia, Nasim Abolghasemi, Sanaz Ommaty, Fereshteh Golshani, Alireza Bayat,
Volume 14, Issue 3 (12-2016)
Abstract
Background and Aim: Substance abuse and risky sexual behaviors are intermingled. Both subjects, however, are highly sensitive issues culturally in some societies such as Iran, making assessment of sexual behaviors difficult and challenging. It is particularly difficult to assess and study risky sexual behaviors in the drug-using population. Thus, it seems essential to develop and validate a comprehensive native instrument specific for the Iranian drug-using population to screen their risky sexual behaviors and in treatment settings.
Materials and Methods: A thorough literature review was made to find a tool utilized in addiction treatment settings. The Sex and Drug History Form (SDHF) was translated into Persian. Clients (n = 107) referred to the sexual health clinic in the Iranian National Center for Addiction Studies (INCAS) were selected randomly. Questionnaires were completed through face-to-face interviews by trained research assistants. Data analysis was done using the Cronbach`s alpha and exploratory factor analysis.
Results: Cronbach`s alpha was found to be 0.78. Using the principal component analysis, the Sex and Drug Screening Scale (SDSS) revealed 78.6 of the total variance in two main domains, namely, drug-use behaviors and sexual behaviors. The number of subscales in the original instrument, which was 3, increased to 6.
Conclusion: Substance abuse and addiction significantly affect one's sexual behaviors and safety. The Sex and Drug Screening Scale will enable health workers and therapists to assess the patients' sexual health and risky behaviors at admission, which will facilitate planning, implementing and evaluating intervention programs aiming at treating addiction.
Daryoush Yarahmadi, Mansour Halimi, Zahra Zarei Chaghabalki, Hasan Jems,
Volume 15, Issue 1 (6-2017)
Abstract
Background and Aims: Cutaneous leishmaniosis (CL) is a neglected tropical vector-borne disease. As other vector-transmitted diseases, its transmission is sensitive to the physical environment. The purpose of this study was to investigate the relationship between El Niño-Southern Oscillation (ENSO) and annual incidence of CL in Iran.
Materials and Methods: The data of ENSO were obtained from the National Oceanic and Atmospheric Administration (NOAA) Climate Prediction Center for the period 1977-2011(34 years), and the annual data on CL incidence in Iran from WHO. To determine the association between the ENSO annual fluctuations and annual CL incidence we used crosstab analysis and tow-tailed independent t-test to find any possible differences among the annual CL incidence according to different phases of the Southern Oscillation Index (SOI: El Niño, warming phase; La Niña, cooling phase; neutral phase).
Results: Analysis of the data showed that, as compared with the years when El Niño and La Niña were dominant, the annual incidence of CL in Iran was lower in the years when neutral phases of SOI were dominant. The highest incidence was found to have occurred during the years with an intermediate La Niña dominance. During the years when La Nina was dominant the incidence of CL was, on the average, 15-20% higher than that in the years with a neutral phase, while the difference between the annual CL incidence in neutral years and El Niño years was not statistically significant.
Conclusion: The findings reveal that in general the mean incidence of cutaneous leishmaniosis during the years with a neutral ENSO index is lower than that during the years with dominant El Nino or La Nina, although there is no difference between incidence in the neutral years and the El Nino-dominant years.
Ali Safari Morad Abadi, Teymour Agha Molaei, Ali Ramezankhani, Sakineh Dadipoor,
Volume 15, Issue 2 (9-2017)
Abstract
Background and Aim: Health literacy implies the achievement, processing and perception of fundamental information and services required for making appropriate health-related decisions. Due to the high significance of health literacy during pregnancy and its direct effect on fetus, the present research was conducted to investigate the health literacy of pregnant women visiting medical centers in Bandar Abbas, Iran in 2015.
Materials and Methods: This was a cross-sectional descriptive-analytic study conducted on 250 pregnant women visiting the healthcare centers in Bandar Abbas, Iran selected by mixed sampling (both clustering and simple random). The data were collected using an adult health literacy questionnaire and analyzed using SPSS version 16, the statistical tests being independent-sample t-test, ANOVA, Tukey test and linear regression.
Results: The average age of the pregnant women was 31.61±7.45 years. The proportions of the women with an adequate, borderline and inadequate level of literacy were 52%, 20.8% and 27.2%, respectively. A statistically significant association was found between health literacy and education (p<0.001), age (p<0.001), occupation (p<0.001) and the quality of healthcare provision during pregnancy (p<0.001).
Conclusion: The results reveal that the mothers’ health literacy is inadequate or at borderline. Based on these results the following are recommended in an attempt to promote health literacy of pregnant women: 1. revising/simplifying teaching materials, including both oral and pictorial, in addition to written materials in the form of posters, pamphlets and brochures; 2. promoting communication skills of health workers/mothers.
Hossein Dargahi, Alireza Darrudi, Mehrzad Rezaei Abgoli,
Volume 16, Issue 3 (12-2018)
Abstract
Background and Aim: All hospitals need to be monitored and continuously evaluated. Pabon Lasso graphical model assesses the efficiency of hospitals using a combination of their input data and performance indicators. The aim of this study was to determine the effects of Iran Health System Evolution Plan on Tehran University of Medical Sciences (TUMS) hospitals’ performance indicators using the Pabon Lasso model in 2016.
Materials and Methods: This was a descriptive-analytical and cross-sectional study including 8 general and specialized hospitals. The hospital input data and performance indicators were collected by permission of TUMS Vice-chancellor’s Office for Therapeutic Services. Chi-square and the two-sample T2 tests were used for data analysis, and hospital performance was assessed using the Pabon Lasso Model.
Results: The results showed that the number of TUMS hospitals located in zones 3 and 4 had increased after implementation of the Iran Health System Evolution Plan, which indicates improved efficiency of these hospitals, as confirmed by the chi-square test.
Conclusion: Based on the Pabon Lasso graphical model, it can be concluded that the performance indicators of the hospitals show improvements in performance after implementation of the Iran Health System Evolution Plan. The successful experience in the management of the hospitals in this study can act as a practical guide for managers of other hospitals throughout the country for better management.
Mohsen Roshanpajouh, Roksana Mirkazemi, Mehrdad Ehterami, Houman Narenjiha, Hossein Malek Afzali, Hamidreza Sarrami, Majid Rezazadeh, Fatemeh Abbasi, Saeid Noroozi,
Volume 16, Issue 4 (3-2019)
Abstract
Background and Aim: Drug abuse is a long-standing social and public health problem in Iran. Access to accurate, reliable and up-to-date data related to drug use is essential for planning and policy-making for prevention of, treatment of, and harm reduction related to, drug abuse. The purpose of this study was to access accurate data regarding drug abuse prevalence and substance use in Tehran Province population.
Materials and Methods: This study was a cross-sectional household survey with a sample of 6024 individuals aged 15-64 years residing in Tehran Province. Data on demographic characteristics and drug use during the previous week, month and year and the whole lifetime were collected using a researcher-designed questionnaire.
Results: A total of 5646 individuals participated in the study. The lifelong prevalence of cigarette-smoking, hookah-smoking, alcohol consumption and drug use were 21.9%, 26.8%, 12.1% and 7.3%, respectively. The corresponding proportions during the previous week were 12.9%, 10.5%, 1.8% and 2.2%.
Conclusion: The prevalence of cigarette-smoking, hookah-smoking, alcohol consumption and drug use is high in Tehran Province. The prevalence of lifelong cigarette and hookah smoking and alcohol consumption is higher, while that of drug use is lower, than the respective national averages.
Navid Ghanavati, Ahmad Nazarpour, Teymoor Babaenejad,
Volume 16, Issue 4 (3-2019)
Abstract
Background and Aim: Heavy metals in the surface soils of cities from various sources (traffic, industrial emissions, erosion from buildings, etc.) can accumulate through inhalation, ingestion and dermal contact in the human body and imperil health. The purpose of this study was to assess the ecological and human health risks caused by some heavy metals in roadside soil at the intersections of Ahvaz (Modares, Kharchar, Zargan, Behbahani, Golestan, Abadan, Khorramshahr, Susangerd and Andimeshk).
Materials and Methods: In this study, the concentration of heavy metals in roadside surface soils in intersections of Ahvaz in the summer of 2016 was investigated. The sampling at each intersection was carried out at specified intervals of 1, 10 and 30 meters on the sides of the main road (6 samples from each intersection) from the surface soil (depth 0 to 20 cm); the total number of samples was 54. The samples were transferred to the laboratory and dried at 60 ° C in an oven. After digestion of the samples with an acid mixture, concentrations of heavy metals Zn, Pb, Ni, Cu, Cr, Cd and As were measured by inductive coupled plasma-mass spectrometry (ICP-MS). The contamination level was estimated based on potential ecological and human health risks of heavy metals.
Results: The average concentrations of Zn, Pb, Ni, Cu, Cr, Cd and As were 116.61 ± 49.42, 284.02 ± 166.91, 25.53 ± 4.47, 220.63 ± 87.75, 137.21 ± 84.80, 3.44 ± 3.23 and 8.65 ± 3.8 mg/kg, respectively. Isotope ratios indicated that emissions from automobiles/traffic and industrial emissions were the most important sources of lead in the samples studied. The average value of potential ecological risk (RI) in Andimeshk, Golestan and Susangerd intersections was low; that in Modarres, Behbahani and Zergan intersections was medium; and that in Chaharsir, Abadan and Khorramshahr intersections was high. Cr poses the highest risk of cancer in both children and adults, although the risk of carcinogenesis in children is higher than in adults.
Conclusion: The results show that the source of contamination with the metals studied is anthropogenic, including road traffic and industrial activities, in the area investigated.
Ayoub Sofizadeh, Kamran Akbarzadeh, Zakiyeh Telmadarraiy, Ahmad Gorganli Davaji,
Volume 16, Issue 4 (3-2019)
Abstract
Background and Aims: Ticks are external parasites that can be vectors of several disease agents. This survey was carried out to determine distribution and biological diversity of hard tick species in Maraveh Tapeh County, Golestan Province, Iran in spring 2016.
Materials and methods: In 10 selected villages in the study area, about 29 cattle, 99 sheep, 62 goats and 11 camels were inspected for tick infestation. The ticks isolated were preserved in a solution of 70% alcohol and identified. The Margalef, Shannon-Wiener, Simpson and Evenness indices were used to measure the biodiversity.
Results: A total of 476 ticks were collected. Two hard tick genera (Hyalomma and Rhipicephalus) and twelve species were identified including Hyalomma anatolicum, Hy. scupense, Hy. aegyptium, Hy. marginatum, Hy. dromedarii, Hy. rufipes, Hy. asiaticum, Hy. excavatum, Hy. detritum, Rhipicephalus turanicus, R. bursa and R. sanguineus. Further analysis of the data showed that R. sanguineus and Hy. asiaticum were the most abundant species in the whole area and plateau areas, respectively, while R. sanguineus was most abundant in both hillside and mountainous areas. Based on the Margalef index, the species diversity was higher in foothill areas and it was lower in the goat host than other hosts, while based on the Shannon-Wiener index, the species diversity was higher in plateau areas and in the sheep host it was less than in other hosts.
Conclusion: Ticks population dynamic studies and calculating their biodiversity indices are helpful in understanding the situation of vectors and the future situation of vector-borne diseases.
Rahimeh Abdoli, Mohammad Mehdi Sedaghat, Mohammad Ali Oshaghi, Hamideh Edalat, Zakieh Telmadarraiy, Sahar Azarmi, Mohammad Javad Rafinejad,
Volume 17, Issue 1 (6-2019)
Abstract
Background and Aim: Ixodidae (hard ticks) are obligate blood-feeders of vertebrates with majorroles in transmission of pathogenic microorganisms including theileriosis, babesiosis and CCHF virus, as well as relapsing fever, to domestic animals and humans. This study was conducted to determine the distribution of ixodidae species, vectors of Crimean-Congo hemorrhagic fever (CCHF), in the border areas in North West of Iran.
Materials and Methods: This was a descriptive cross-sectional study conducted in Ahar and Kaliybar Counties, East Azarbaijan Province, Iran. Randomized cluster sampling was done in villages in the forest and mountainous regions. Ticks were isolated by forceps from the animals, kept in sampling tubes and transferred to the laboratory. Then the tick samples were identified using taxonomical keys.
Results: A total of 2022 hard ticks were isolated from 1400 head of livestock (1000, 200, 180 and 20 head of sheep, goat, cow and buffalo, respectively). On the average, the infestation rate was 1.44 per head of cattle ─ 0.11% in goats, 0.32% in sheep, 0.90% in buffaloes, 9.25% cows. Out of the ticks isolated, 498 (24.63%) were male, 741 (36.65%) were female and 782 (38.67%) nymph, plus one larva. The ticks belonged to the lxodidae family, including four genera: Hyalomma (88.82%, with the following three species: Hyalommaanatolicum (39.22%), Hyalommamarginatum (9.15%) and Hyalommaasiaticum (0.69%)); Rhipicephalus (8.8%); Dermasentor (1.58%); and Haemaphisalis (0.8%). The others identified were Hyalomma nymph (38.67%), Hyalomma sp. (1.04%) and Hyalomma larva (0.05%), Rhipicephalus bursa (5.19%), Rhipicephalussanguineus (3.61%), Dermasentor marinates(1.58%), Haemaphisalissulcata (0.59%), and Haemaphisalispunctata (0.15%), as well as Haemaphisalisconcinae (0.05%). Hyalommaanatolicum was the dominant species.
Conclusion: The dominant tick species in the regions studied was Hyalommaanatolicum, a tick having a major role in transmission of many disease vectors including CCHF, ovin babesiosis, theileriosis, anaplasmosis, ehrlichiosis, etc. It is essential that the provincial Contagious Disease Center and Veterinary Department take appropriate action with the collaboration of other relevant departments to combat the tick.
Rabeae Hesami, Rasoul Entezar Mahdi, Hamid Reza Khalkhali, Omid Asnaashari,
Volume 17, Issue 1 (6-2019)
Abstract
Background and Aims: Gastric cancer is the fifth most common cancer and the third cause of cancer death globally. This cancer ranks first and fourth in Iranian men and women, respectively. Assessment of survival rate and factors influencing it will make it possible to determine the burden of disease in the population and the relationships between different factors and the survival rate. The present study was performed to estimate the survival rate and determine its prognostic factors in patients with gastric cancer in West Azerbaijan Province, Iran.
Materials and Methods: In this study 930 cases of gastric cancer were investigated during the period 2011-2012 and the first half of 2013. The Kaplan-Meier method and Log-rank test were used to determine the survival rate and compare survivor functions, respectively; for data fitting A Cox’s proportional hazards model was used. The data were analyzed using the Stata v.11 software
Results: The average age of the patients (more than 69% males) was 66.43±12.5 years. The one-, three- and five-year survival rates were 37%, 14% and 11%, respectively. Multivariate analysis revealed that age (p=0.01) and tumor metastasis (p=0.001) were the most important prognostic factors.
Conclusion: While the survival rates in gastric cancer patients in the West Azarbaijan province, Iran were very low, a significantly higher survival rate was observed in younger patients with no tumor metastasis.
Farzaneh Valizadeh, Afsaneh Keramat,
Volume 17, Issue 2 (9-2019)
Abstract
Background and Aim: Happiness and benevolence in individual life and satisfaction in marital life are very important from a social point of view. Happiness is one of the most important factors for strengthening and sustainability of marital relationships.
Materials and Methods: A thorough search was done in the following data banks using the Persian and English key words happiness, marital satisfaction and Iran: Magiran, Pubmed, Web of Science, IranDoc, IranMedex and SID. In the initial search, 41 articles were found and studied. After reviewing the full texts of the articles, 8 papers were finally selected for analysis. Data were analyzed using the Revman software, the statistical test being meta-analysis (random effects model).
Results: In the 8 articles (published during the period 2006-2018) which were analyzed, the total number of study participants was 1563. The means of the completed Oxford happiness and Enrich's marital satisfaction questionnaires were 57.3 and 137.2, respectively
Conclusion: Based on the findings, it is concluded that there is a positive correlation between happiness and marital satisfaction of couples in Iran.Therefore, implementing appropriate educational and public health programs is necessary to strengthen the underlying factors of hope and happiness in order to increase the life satisfaction of couples and reduce family conflicts and divorces.
Leila Dehghankar, Marzieh Hajikarimbaba, Rahman Panahi,
Volume 17, Issue 3 (12-2019)
Abstract
Background and Aim: Considering the central role of low health literacy (HL) in causing health inequalities and the fast growth of university student populations, this study aimed to determine the HL and its related factors among university students.
Materials and Methods: This was a descriptive-analytic cross-sectional study including 375 female students of Imam Khomeini International University in Qazvin, Iran in 2019 selected using the stratified random sampling method. The data-collecting tools included a demographic and background questionnaire and an Iranian adult HL assessment questionnaire. The SPSS 23 software was used for data analysis, the statistical tests being descriptive and logistic regression tests.
Results: Data analysis showed that 17 (4.5%) of the students had inadequate, 112 (29.9%) insufficient, 188 (50.1%) adequate, and 58 (15.5%) excellent HL, the mean HL percentage (± SD) being 70.80 (± 12.49). Based on logistic regression analysis, there was a statistically significant association between HL and physical activity (p =0.039), such that the chance of having good HL among the students with physical activity on most days was 2.097 times that of those with regular daily physical activity. A significant relationship was also found between HL and employment (p =0.042), such that the chance of having good HL among the employed students was 0.534 times that of unemployed students.
Conclusion: Considering the low health literacy rate among the students with low physical activity and those who are unemployed, it is recommended to pay more attention to these students when designing educational programs to increase their health literacy.
Maryam Tajvar, Alimohammad Mosadeghrad, Mehdi Yaseri, Maria Mohammadi,
Volume 17, Issue 4 (3-2020)
Abstract
Background and Aim: Iran is experiencing a very fast population ageing, ranking 3rd globally in terms of pace of population ageing. The increase in the elderly population has been accompanied by an increase in demand for health services. A knowledge and understanding of the utilization of health services by the elderly are essential for resource allocation and health planning. This study aimed to investigate the utilization of in-patient services by the Iranian elderly and explore its determinants.
Materials and Methods: This study was a secondary analysis of the data of a cross-sectional National Study on the Utilization of Health Services in Iran, including 22470 households across the country. The study population was people aged 60 years and over, the sample size being 8205 individuals selected by stratified random sampling from provinces, towns and villages. A questionnaire was used to collect information on the need of the individuals to hospitalized services during the last one year and receiving the required services and analyzed using multilevel logistic regression to identify the factors related to the utilization of inpatient health services.
Results: Of the 8205 participants, 1411 (17%) reported that they needed in-patient services at least once during the previous year, about 93% of whom referred to a hospital, of whom about 1288 (97%) finally had finally received the required services. The factors related to inpatient service utilization were age (p=0.03) and having insurance status (p<0.001), such that the older individuals and those with no insurance, although they had higher inpatient service needs, received less services. The most important cause of dissatisfaction in the towns was related to the behavior of nurses and non-physician personnel and in villages long waiting time for receiving a service. Finally, the most important causes being not willing to be hospitalized were the high service cost and no health insurance coverage.
Conclusion: The older people and those with no insurance should be priority groups in health service utilization policy-making and planning, so that they can access and receive better services. The causes of low inpatient service utilization and dissatisfaction should be taken into consideration seriously by health service providers and managers.
Saeid Shojaee Barjoee , Hamid Reza Azimzadeh, Asghar Mosleh Arani,
Volume 18, Issue 1 (5-2020)
Abstract
Background and Aim: Air Pollution Tolerance Index (APTI), as a criterion for assessing plants' resistance to air pollution, is one of the important tools for managing air quality around industrial complex buildings. The aim of this study was to determine air quality and the APTI of native plants grown around the Industrial Complex of Glass, Khak-e-chini, Tile and Ceramics and Glass in Ardakan, Iran.
Materials and Methods: This was a cross-sectional, descriptive-analytical study. First, the concentration of air pollutants in the industrial area was assessed. Then, APTI was determined as follows: measuring the pH of leaf extracts, relative water content, total chlorophyll and ascorbic acid contents of leaves in samples of native plant leaves. In addition, the concentrations of lead, chromium and cadmium were measured in plants by atomic absorption using the dry digestion method. For statistical analysis of the data the SPSS software version 22 was used.
Results: The mean plant concentrations of Co, O3, NO2, SO2 and PM10 in the industrial are were 2.06 ppm, 7.75 ppm, 3.28 ppm, 33.94 ppb and 70.55 µg/m3, respectively; these concentrations were all below the respective standards, as were those of lead, cadmium and chromium. The tolerance index of plants around the Industrial Complex was measured in the floor/parts sensitive to air pollution, proportional to low air quality pollutant and heavy metal concentrations in plants. Among the rangeland, tree and shrubs species, the following had the highest air pollution tolerance index, respectively: Boiss.fortuynia (8.49), Punica granatum (16.80) and Albizia lebbeck (9.37).
Conclusion: Based on the Air Pollution Tolerance Index it is suggested that the nonproductive species Punica granatum be used as a more tolerant species and Artemisia species as a biomarker for the expansion of green space.
