Showing 4 results for Sedaghat M
Behjati Ardakani S, Nikkhah A, Sedaghat M,
Volume 65, Issue 3 (2 2007)
Abstract
Background: Kernicterus, also known as bilirubin encephalopathy, is a neurologic syndrome resulting from the deposition of unconjugated bilirubin in the basal ganglia and brainstem nuclei. Indirect bilirubin is toxic for brain. Neurologic dysfunction (BIND) that include acute phase (hyperbilirubin encephalopathy) and chronic phase (Kernicterus) resulting from hyperbilirubinemia and disruption of blood brain barrier. In this study, the association between bilirubin encephalopathy and risk factors was evaluated.
Methods: In this retrospective study, 312 icteric neonates were admitted in the neonatal ward of Children's Hospital, Medical Center, Tehran, and 305 of these cases were evaluated. Patient histories were taken and physical examinations were performed. For each patient, the age, sex, birth weight, time of discharge from the hospital and risk factors were recorded, and a questionnaire was completed.
Results: In this study, of the 305 icteric neonates evaluated, 25 cases had kernicterus. Risk factors included acidosis, prematurity, hemolysis, hypoglycemia, sepsis, respiratory distress, low birth weight, ABO incompatibility and G6PD deficiency. The mean level of bilirubin in cases of kernicterus was 32 mg/dl and in the others was 20 mg/dl (p=0.001). Kernicterus was most common among high risk neonates (p<0.001). Birth weight less than 2,500 gm was also an important factor (p=0.04).
Conclusion: High-risk neonates need prompt treatment for hyperbilirubinemia compared to low risk neonates.
Asle Soleymani H, Saeei F, Sedaghat M, Meshkani Z S,
Volume 65, Issue 13 (Vol 65, Supplement 1 2008)
Abstract
Background: This study attempts to examine the relationship between several
dismension of organization climate and medical facutly's job satisfaction in Tehran
University of Medical Sciences.
Methods: A survey composed of demographic items and job satisfaction indexes were
mailed to a stratified random samples of medical faculties (n= 405).
Results: The overall response rate was 45.1%.
Conclusion: The study indicates that score of job satisfaction was 56.5 with SD= 16.96.
In general 47.4% of the medical faculties were highly satisfied.
A significant statistical correlation have been found between sex (p= 0.008),
administrative position (p= 0.044), faculty rank (p= 0.007), marital status (p= 0.001),
employment status (p= 0.003) and job satisfaction.
The findings of this survey have implications for university administrative.
Farshi S, Sedaghat M, Meysamie A, Abdollahi E,
Volume 65, Issue 14 (Vol 65, Supplement 2 2008)
Abstract
Background: a number of factors such as socio-demographic and socioeconomic status have
emerged as being associated with smoking. The main goal of the present study was to
identify the relationship of socio-demographic factors and cigarette smoking, and to
determine the indicators of smoking status in a community based case-control study.
Methods: Using the random multistage cluster sampling method on the basis of family list
kept in the health center, a head cluster was selected, and 25 clusters of 10 members each
were chosen. One member was selected from each family to fill the questionnaire. The
neighborhood method was used for selection of controls. The socio-demographic
characteristics was assessed by a self administered questionnaire. Data analysis was
performed using SPSS V-11.5 software. Logistic regression was used to assess the association
of age, sex, marital status, family size, number of close friends, number of smoking friends,
and presence of smokers in the family with smoking status.
Results: The mean smoking consumption of smokers in this study was 14.6 per day. The
mean age of smoking initiation was 18.6 years. Fifty percent of people initiated smoking at
ages less than 18. The mean years of education were significantly higher in nonsmokers. A
significant inverse relationship exists between the number of cigarettes smoked per day and
educational levels. The positive association between number of cigarette smoked per day and
age was found (OR=1.2, CI 95% 1.07-1.4). Number of smoking friends in smokers were
significantly more than in nonsmokers. Multivariate analysis revealed that age, and number
of smoking friends, could be predictors of smoking status. The association between sex,
marital status, family size, and education with smoking status were not significant.
Conclusions: This study revealed the association between several socio-demographic factors
with smoking status. Antismoking strategies for adults tend to emphasize smoking cessation,
preventing smoking initiation is also important during young adulthood. Anyway,
educational interventions are highly suggested.
Meshkani Z.s, Sedaghat M, Afshin A,
Volume 65, Issue 14 (Vol 65, Supplement 2 2008)
Abstract
Background: Surgery operations are the fearful events among all other medical procedures.
This fear causes anxiety and stress which affects the outcome of treatments, recovery from
surgery and some maladaptive behaviors. To cope with surgery worries and minimize the
fear, it is important to study these fears and its associated factors. This study attempts to
explore the surgery worries and the associated factors among Iranian high school adolescents.
Methods: To measure surgery worries, high school adolescents of age 11-15 completed the
Child Worries Questionnaire (CPCI) adolescent form, and also answered the questions about
the 14 independent variables (sex, age, parents education and occupation, previous
hospitalization experience of child and immediate family and friends, number of
hospitalization during Child’s life long, previous surgery experience of child and her or his
immediate families, death of close friends in hospital). Multivariate regression method was
used for statistical analysis to determine the effective factors.
Results: The results of this study showed that the Iranian Adolescents have most worries
about the “Not being able to do the same things as before” and least worries about “What I
will feel during the anesthesia”. The factors associated with Surgery worries are parent’s
education (P=.021 for father and 0.049 for mother), adolescent previous experience and
number of hospitalizations (P=0.025 and P=0.008, respectively), the number of previous
hospitalizations (P=.003), previous experience of hospitalization of immediate family and
friends (P=0.035). The findings of this study have implications for parents, family, hospitals’
staff and care given.
Conclusions: It seems, according to the findings of this study, there should be a special
educational program for children who are going to be operated in a hospital ward to reduce
their worriships.
