Publications by authors named "Akbar Hassanzadeh"

95 Publications

Cross-sectional Relationships Between Alternate Healthy Eating Index (AHEI) with General and Abdominal Obesity and Blood Pressure in Iranian Hospital Employees.

Endocr Metab Immune Disord Drug Targets 2021 ;21(12):2281-2288

Department of Clinical Nutrition, School of Nutrition & Food Science, Food Security Research Center, Isfahan University of Medical Sciences, Isfahan,Iran.

Background And Aims: Due to the increasing prevalence of obesity and related disorders, there is an urgent need to examine the relationship between diet quality and public health. The Alternative Healthy Eating Index (AHEI) is one of the indices that is used to assess diet quality. Therefore, we investigated the relationship between AHEI and anthropometric measurements and blood pressure.

Methods: In this cross-sectional study, 127 male and female hospital employees were examined. The AHEI was calculated by a 168 items Food Frequency Questionnaire. Body weight, height, Body Mass Index (BMI), Waist Circumference (WC), Waist-to-Hip Ratio (WHR) and blood pressure were measured by skilled nutritionists. Physical activity level was also obtained by International Physical Activity Questionnaire (IPAQ).

Results: The mean total AHEI score in participants was reported as 47.1±6.9 (min=31.9, max=60.3). The mean differences of total AHEI score across the obese/non-obese employees were not statistically significant (P>0.05). Furthermore, there was no significant correlation between total AHEI score and BMI (r=0.019), WC (r=0.022), WHR (r=-0.102), systolic (r=-0.133) and diastolic blood pressure (r=-0.040) (P>0.05). The score of nuts and soybeans was inversely related to the WHR (P=0.008) and systolic blood pressure (P=0.030). Cereal fiber score had a negative relationship with BMI (P=0.02), WC (P=0.03), WHR (P=0.004) and systolic (P<0.001) and diastolic blood pressure (P=0.012).

Conclusion: Consumption of nuts and soybeans -one serving per day- can be associated with WHR and systolic blood pressure reduction. More studies with a larger scale are needed to examine diet quality.
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http://dx.doi.org/10.2174/1871530321666210810144259DOI Listing
January 2021

Is any association between alternate healthy eating index (AHEI) with lipid profile and liver enzymes? A cross-sectional Study.

J Diabetes Metab Disord 2021 Dec 16;20(2):1537-1544. Epub 2021 Oct 16.

Department of Clinical Nutrition, School of Nutrition & Food Science, Food Security Research Center, Isfahan University of Medical Sciences, Hezar-Jerib Ave, P.O. Box 319, 8174673461 Isfahan, Iran.

Purpose: Based on evidence, there is a significant relationship between diet quality and the chronic conditions such as dyslipidemia and liver disorders. In the current study, we investigated the relationship between alternative healthy eating index (AHEI) and some biochemical measurements (lipid profile and liver enzymes).

Methods: In this cross-sectional study, 127 hospital employees were randomly selected (of 250 screened volunteers). AHEI was estimated based on a 168 items food frequency questionnaire. The laboratory data [triglyceride (TG), total cholesterol (TC), high density lipoprotein (HDL), low density lipoprotein (LDL), alanine transaminase (ALT), aspartate transaminase (AST)] were extracted from periodic examinations. The physical activity was also estimated with international physical activity questionnaire (IPAQ).

Results: Among 127 completed data, the mean AHEI score was 47.1. There was a direct relationship between AHEI score and HDL (P = 0.02). Among the AHEI components, the score of nuts and soybeans was directly associated with HDL level (P = 0.007). There was no association between the other AHEI components and selected biomarkers.

Conclusion: Nuts and soybeans consumption-one unit per day-may increase HDL levels. More studies are needed to evaluate the diet quality with the other dietary indices.

Supplementary Information: The online version contains supplementary material available at 10.1007/s40200-021-00898-w.
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http://dx.doi.org/10.1007/s40200-021-00898-wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8630323PMC
December 2021

Application of BASNEF model in students training regarding cutaneous leishmaniasis prevention behaviors: a school-based quasi experimental study.

BMC Infect Dis 2021 Nov 17;21(1):1164. Epub 2021 Nov 17.

Department of Epidemiology and Biostatistics, Isfahan University of Medical Sciences, Isfahan, Iran.

Background: Cutaneous leishmaniasis (CL) is endemic in 98 countries, and 350 million people are at risk of the disease worldwide. In endemic areas, conducting educational interventions is necessary to change preventive behaviors of CL. This study aimed to investigate the effect of an educational intervention based on the BASNEF model on CL preventive behavior in students.

Methods: The present quasi-experimental study examined 80 students living in endemic areas of leishmaniasis in Isfahan province, Iran based on the BASNEF model. The required data were collected twice before and two months after the educational intervention based on a questionnaire whose validity and reliability had been already proven in other studies. The intervention was performed in three educational sessions for the students in the intervention group and 1 educational session for teachers and parents. Data were analyzed by SPSS (VER26) using the chi-square test, independent t-test, analysis of covariance (ANCOVA), and Paired t-test.

Results: After intervention, the mean scores of Knowledge (P < 0.001), attitude (P = 0.02), subjective norms (P = 0.04), behavioral intention (P < 0.001), and behavior (P = 0.02) indicated significant differences between the intervention and control groups, but an increase in mean scores of enabling factors was not significant (P = 0. 93).

Conclusions: Providing students with the educational intervention based on the BASNEF model improve their ability to the extent that they transmit these educations to their family members, which would be effective in preventing and controlling CL in leishmaniasis-prone areas.

Trial Registration: Name: Iranian Registry of Clinical Trials. Registration number: IRCT20201024049131N1. Registration date: 2020-11-20. Registration timing: prospective.
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http://dx.doi.org/10.1186/s12879-021-06874-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8596857PMC
November 2021

Health literacy and its dimensions in elderly people in Farsan city, Iran.

J Educ Health Promot 2021 30;10:362. Epub 2021 Sep 30.

Department of Health Education and Promotion, Health Faculty, Isfahan University of Medical Sciences, Isfahan, Iran.

Background: Health literacy is an important variable in the promotion and improvement of the health of all social groups, especially the elderly people. It indicates cognitive and social skills that specify the individuals' motivation and ability to access and perceive information using methods for health retention and improvement. The present research aimed to study health literacy and its relevant dimensions in a population over 60 years of age in Farsan city.

Materials And Methods: A cross-sectional study on 384 older people in Farsan city was conducted, using a standard health literacy questionnaire including 33 items and 5 dimensions on a 5-point Likert scale for collecting data. Data analysis was done using descriptive and analytical statistics, using the multiple linear regression analysis.

Results: Among the dimensions, the highest and lowest scores belonged to decision-making and reading skill dimensions, respectively. The multiple linear regression analysis revealed that among the demographical variables, education level, age, sex, and job were the best predictors of total scores of health literacy ( < 0.001).

Conclusions: The health-related institutions should make effort to improve the elderly people's health literacy based on general literacy, using suitable methods with less need to read and paying attention to personal characteristics.
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http://dx.doi.org/10.4103/jehp.jehp_149_21DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8552271PMC
September 2021

An Evaluation of the Relationship between Mental Disorders and Driving Accidents among Truck Drivers.

Int J Prev Med 2021 5;12:74. Epub 2021 Jul 5.

Department of Statistics and Epidemiology, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran.

Introduction: A review of the existing literature shows the importance of mental health in preventing traffic accidents. Therefore, the current study aims to determine the mentioned mental disorders in relation with the history of accidents among truck drivers.

Methods: This cross-sectional study was done with two groups of truck drivers (with and without a history of accidents) in Iran. 56 people with a history of accidents and 410 people without a history of accidents participated in this study. At first, using questionnaires, the demographic information of the participants including age, education level, cigarette use, and addiction to drug was collected. Then, the mental disorders of the participants were evaluated by a 71-question, short form of the multidimensional Minnesota Multiphasic Personality Inventory (MMPI). The evaluated disorders are the HS or hypochondria, D or depression, HY or hysteria, Pd or social mental deviation, Pa or paranoia, Pt or mental weakness, Sc or schizophrenia, and Ma or hypomania. The tests used for data analysis include descriptive tests and Chi square.

Results: Man-Whitney U test showed that status of mental disorders, as revealed by the MMPI questionnaire, had a significant difference between the two groups with and without history of driving accidents ( < 0.001). The results showed that mental disorders of depression, hysteria, social mental deviation, paranoia, schizophrenia, and hypomania in individuals with history of driving accidents led to meaningful differences from individuals without history of driving accidents ( < 0.048).

Conclusion: The results of the current study showed that generally, individuals with history of driving accidents had significantly more mental disorders than people without history of driving accidents.
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http://dx.doi.org/10.4103/ijpvm.IJPVM_443_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8356958PMC
July 2021

Predictability of constructs of theory of planned behavior in adopting urinary tract infection prevention behaviors among pregnant women.

J Educ Health Promot 2021 30;10:233. Epub 2021 Jun 30.

Department of Epidemiology and Biostatistics, Isfahan University of Medical Sciences, Isfahan, Iran.

Background: Urinary tract infection is a common infection in women during pregnancy, leading to many complications for both mother and fetus if untreated. The present study aimed to investigate the predictability of constructs of the theory of planned behavior (TPB) in adopting urinary tract infection prevention behaviors in pregnant women.

Materials And Methods: In the present cross-sectional study, we selected 100 pregnant women who visited the comprehensive health service centers of Zarrinshahr using convenience sampling from July to September 2019. We collected data by a questionnaire designed based on the constructs of the TPB and analyzed data using SPSS 20 and linear regression test and Pearson correlation coefficient. A significant level was considered as α < 0.05.

Results: In the study, the Pearson correlation coefficient showed direct relationships between the score of behavior and the scores of knowledge ( = 0.005), attitude ( = 0.02), perceived behavioral control ( < 0.001), and behavioral intention ( = 0.001). Linear regression analysis indicated that among the above variables, the perceived behavioral control, knowledge, and behavioral intention were significant predictors of scores of urinary tract infection prevention behaviors, respectively, in terms of their importance.

Conclusion: In this study, perceived behavioral control is detected as the main predictor of doing urinary tract infection prevention behaviors in pregnant women and should be considered in designing educational interventions.
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http://dx.doi.org/10.4103/jehp.jehp_1501_20DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8318139PMC
June 2021

Effect of l-carnitine supplementation on children and adolescents with nonalcoholic fatty liver disease (NAFLD): a randomized, triple-blind, placebo-controlled clinical trial.

J Pediatr Endocrinol Metab 2021 Jul 4;34(7):897-904. Epub 2021 May 4.

Department of Pediatrics, Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran.

Objectives: Nonalcoholic fatty liver disease (NAFLD) is one of the most common liver diseases in the pediatric population at global level. Present study aims to assess the effect of l-carnitine supplementation on the NAFLD in children and adolescents.

Methods: This randomized, triple-blind, placebo-controlled clinical trial was conducted in 2018-2019. Study was carried out in NAFLD participants (5-15 years). They were randomly assigned to receive either 50 mg/kg/day l-carnitine twice a day or identical placebo per day for three months. Liver enzymes and liver ultrasonography were assessed before and after the intervention. Both groups received similar consultation for lifestyle changes.

Results: Overall, 55 participants completed the study, 30 patients in the l-carnitine group and 25 patients in placebo group. Mean changes of anthropometric measurements did not have significant differences between groups (p>0.05). No significant differences in the mean changes of aspartate aminotransferase (AST) (p=0.82) and alanine aminotransferase (ALT) (p=0.76) levels were documented between two groups. Based on within-group analysis, there were significant changes in AST and ALT levels before and after the intervention in both groups. The sonographic grades of fatty liver were not significantly different between two groups before (p=0.94) and after intervention (p=0.93).

Conclusions: In the present clinical trial, L-carnitine did not have significant effect on improving biochemical and sonographic markers of NAFLD in children and adolescents. Future studies are necessary to evaluate the applicability and efficacy of long-term l-carnitine supplementation to treatment of NAFLD in pediatric population.

Trial Registration: IRCT20170628034786N2.
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http://dx.doi.org/10.1515/jpem-2020-0642DOI Listing
July 2021

PM-associated bacteria in ambient air: Is PM exposure associated with the acquisition of community-acquired staphylococcal infections?

J Environ Health Sci Eng 2020 Dec 22;18(2):1007-1013. Epub 2020 Aug 22.

Environment Research Center, Research Institute for Primordial Prevention of Non-Communicable Diseases, Isfahan University of Medical Sciences, Isfahan, Iran.

Particulate matter (PM), a major component of air pollution, is an important carrier medium of various chemical and microbial compounds. Air pollution due to PM could increase the level of bacteria and associated adverse health effects. Staphylococci as important opportunistic pathogens that cause hospital- and community-acquired infections may transmit through air. This study aimed to obtain knowledge about the concentration of airborne bacteria as well as staphylococci associated with particulate matter with a diameter of less than 2.5 micrometers (PM) in ambient air. The impact of meteorological factors including ultraviolet (UV) index, wind speed, temperature, and moisture on microbial concentrations was also investigated. Quartz filters were used to collect PM and associated bacteria in ambient air of a semiarid area. Airborne bacteria were quantified by culture method and species identified by molecular methods. The mean (SD) concentration of PM and airborne bacteria was 64.83 (24.87) µg/m and 38 (36) colony forming unit (CFU)/m, respectively. The results showed no significant correlation between the levels of PM and concentrations of bacteria (p < 0.05). Staphylococcus species were detected in 8 of 37 (22%) samples in a concentration from 3 to 213 CFU/m. was detected with the highest frequency followed by and , but and methicillin-resistant (MRSA) were not detected. No significant correlation between the concentrations of bacteria with meteorological parameters was observed (p < 0.05). Our finding showed that, although the study area is sometimes subject to air pollution from PM, the concentration of PM- associated bacteria is relatively low. According to the results, PM may not be a source of community-associated staphylococcal infections.
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http://dx.doi.org/10.1007/s40201-020-00522-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7721920PMC
December 2020

The Relationship between Serum Vitamin C and Uric Acid Levels, Antioxidant Status and Coronary Artery Disease: a Case-Control Study.

Clin Nutr Res 2020 Oct 29;9(4):307-317. Epub 2020 Oct 29.

Medical School, Lorestan University of Medical Sciences, Lorestan 68138-33946, Iran.

Coronary artery disease (CAD) is among the main causes of death in adults. Increase of oxidative stress and defects in antioxidant defense play a major role in endothelium performance and are affecting factors in the progress of atherosclerosis. The aim of this study was to measure serum levels of uric acid (UA) and vitamin C as well as the antioxidant status in patients with CAD, and compared them with those in healthy individuals. The present case-control study was performed on 44 cases and 44 controls. Demographic data and anthropometric indices were measured. The Food Frequency Questionnaire (FFQ) and International Physical Activity Questionnaire (IPAQ) were completed. After 12 hours of fasting,10 mL blood was sampled from the participants. Serum levels of UA, vitamin C, Total Antioxidant Capacity (TAC) and Malondialdehyde (MDA) were also measured. The data were finally analyzed by SPSS v22. A significant difference was observed between the groups in terms of UA and vitamin C. However, mean levels of MDA and TAC were not significantly different between groups. The differences between groups in terms of vitamin A, vitamin E, beta-carotene, zinc and selenium intakes were not significant either. A significant difference was detected between the groups in terms of vitamin C intake. Our results suggest that increase in UA and decrease in vitamin C in serum levels can be considered as risk factors for CAD patients. Due to a lack of any significant correlation between TAC and CAD risk in this study, further study with bigger sample size is needed.
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http://dx.doi.org/10.7762/cnr.2020.9.4.307DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7644363PMC
October 2020

Genotoxicity and phytotoxicity comparison of cigarette butt with cigarette ash.

Environ Sci Pollut Res Int 2020 Nov 14;27(32):40383-40391. Epub 2020 Jul 14.

Department of Epidemiology and Biostatistics, School of Health Isfahan University of Medical Sciences, Isfahan, Iran.

The damage potential of cigarette butt and cigarette ash was determined and compared using genotoxicity and phytotoxicity assessments. The concentrations of five heavy metals, As, Cr, Cd, Pb, and Ni, were determined in both cigarette butt and ash leachates to find out if the results of heavy metals are in parallel with toxicity findings. Cigarette ashes and cigarette butts were soaked in distilled water for 7 days. Six leachate butt concentrations, including 200, 100, 50, 25, 12.5, and 6.25 piece/L, were examined. HUVEC cells (human umbilical vein endothelial cells) were exposed to these dilution series for genotoxicity, and Vicia faba seeds were exposed to the same dilution series for phytotoxicity assessments. Three parameters of genotoxicity, including tail length, %DNA in tail, and tail moment, were obtained by the comet assay method, and three parameters of phytotoxicity, including germination rate, root length, and water content percentage, were employed. The results showed that cigarette ash at the concentrations of 50, 25, 12.5, and 6.25 pc/L brings about DNA damage. Meanwhile, cigarette butt causes DNA damage at the concentrations of 100, 50, 25, and 12.5 pc/L. The highest concentrations (200 pc/L for cigarette butt and 200 and 100 pc/L for cigarette ash) were considered lethal for HUVEC cells. Besides, the levels of genotoxicity in the cigarette ash were twice as high as those in the cigarette butt. The Vicia faba phytotoxicity test demonstrated a germination rate restriction from 100 to 52 and 100 to 0% for cigarette butt and cigarette ash, respectively. It also caused a reduction in the length of roots from 35 to 7.85 and 3 mm for cigarette butt and cigarette ash, respectively. The moisture amounts of cigarette remnants had a decline from 93.14 to 44.61 and 36.72% for cigarette butt and cigarette ash, respectively. Concentrations of As, Cr, Cd, Pb, and Ni were 17.45, 2.5, 0.15, 6, and 0.62 ppb in the butt leachate and 7.21, 2.64, 0.29, 13.61, and 1.24 ppb in the ash leachate, respectively, indicating that heavy metals could explain the higher toxicity of cigarette ash. Based on the present study, cigarette ash imposes not only higher levels of genotoxicity and phytotoxicity but also more values of toxic heavy metals on our planet. Thus, cigarette ash plays a major role in environmental pollution, and the importance of cigarette ashes should receive attention even more than cigarette butts. This paper casts new light on the toxic impacts of cigarette ash.
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http://dx.doi.org/10.1007/s11356-020-10080-zDOI Listing
November 2020

Evaluation of the effect of fatigue on the coping behavior of international truck drivers.

BMC Psychol 2020 Jul 6;8(1):70. Epub 2020 Jul 6.

Department of Statistics and Epidemiology, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran.

Background: Fatigue can affect the behavior of drivers. While the driver must be able to respond and cope appropriately to the critical situations, which is known as the ability to cope with a crisis. It is likely that the fatigue can change the people's coping style and thereby increase the chance of the crashes. Therefore, the present study aimed to investigate the effects of fatigue on the coping behavior of international truck drivers.

Methods: This study was conducted on 239 of international truck drivers employed in Iran. The Endler and Parker coping strategies questionnaire (CISS) and Persian version of the Fatigue Multidimensional Fatigue Inventory (MFI) were used to evaluate the coping styles of the drivers and the drivers' fatigue, respectively.

Results: The mean values of the total fatigue before and after traveling were 36.77 and 76.13, respectively. The mean values of coping styles of the problem-oriented, emotion-oriented, and avoidance before traveling were 53.66, 40.91, and 38.17, respectively, and those after traveling were 45.59, 51.18, and 36.45, respectively. The chi-square test demonstrated that there was a significant difference in the coping style of drivers before and after the trip (P <  0.001), and the percent of individuals with emotion-oriented increased.

Conclusions: In general, the results showed that fatigue due to traveling could change the coping styles of subjects from problem-oriented to emotion-oriented and avoidance. This can increase the statistics of driving accidents.
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http://dx.doi.org/10.1186/s40359-020-00440-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7339388PMC
July 2020

Stress as a challenge in promoting mental health among dementia caregivers.

J Educ Health Promot 2020 31;9:65. Epub 2020 Mar 31.

Department of Health Education and Promotion, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran.

Background: Caregiver stress is harmful to the health of both caregivers and people living with Alzheimer's disease or other dementias. The present study was conducted to assess stress and its predictors of people living with Alzheimer's disease or other dementias' caregivers.

Methods: The present descriptive, analytical, cross-sectional study was conducted in December 2017-June 2018 in Isfahan, Iran. Data were collected by interviewing 99 caregivers had at least 6 months of experience caring for a patient diagnosed with Alzheimer's disease, through questionnaires developed by the researcher. A convenience sample (easy access) of caregivers was recruited from calling the home of formally diagnosed with Alzheimer's patient, that have registered in educational hospitals affiliated to Isfahan University of Medical Sciences and psychiatrists' office both paid caregivers (formal) and unpaid caregivers (family). All caregivers provided informed consent. The type and severity of the relationship between the dependent (stress) and independent variable were assessed using Pearson's and Spearman's correlation coefficients, the independent -test, and the multivariate regression analysis.

Results: The caregivers' mean stress score was 25.4 ± 10.9 (range: 4-54). About 80% of the caregivers were female. Age and stress score was correlated ( = 0.004), the mean stress score was significantly higher in female caregivers ( = 0.04), informal caregivers ( < 0.001), and significantly lower in the caregivers with previous experience of caring for Alzheimer's patients ( = 0.02) or those introduced by service companies ( = 0.005). Variables including the family relationship with the patient ( = 0.01), kind of caregiving ( = 0.03), and previous experience of caring for Alzheimer's patients ( = 0.04) were stronger predictors of the stress score.

Conclusion: Stress is a challenge in promoting mental health among dementia caregivers. Providing social support with an emphasis on physical, mental, and social health is mandatory, especially for female and family caregivers, to promote stress management, mental health in this group, and enable optimal and purposeful care.
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http://dx.doi.org/10.4103/jehp.jehp_445_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7255562PMC
March 2020

The Effect of Continuous Care Model Implementation on the Quality of Life of Patients with Heart Failure: A Randomized Controlled Trial.

Korean J Fam Med 2021 Mar 21;42(2):107-115. Epub 2020 May 21.

Department of Epidemiology and Biostatistics, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran.

Background: Heart failure is an important chronic and progressive disease worldwide. Patients are faced with several stressors that decrease their quality of life (QoL). The present study aimed to determine the effectiveness of implementing a continuous care model on improving the QoL of patients with heart failure.

Methods: In the present randomized controlled trial, 72 patients with heart failure admitted to Shahid Chamran Hospital of Isfahan (in Central Iran) were randomly divided into 36-individual two groups: the experimental (continuous care model) and control (normal care) groups. In the experimental group, the continuous care model was implemented for 3 months. Data were collected using the standard Minnesota Living with Heart Failure Questionnaire for patients with heart failure. Subsequently, the collected data were entered into the IBM SPSS ver. 20.0 (IBM Corp., Armonk, NY, USA) and analyzed using the Mann-Whitney U-test, chi-square test, and independent and paired t-test at a significance level of α≤0.05.

Results: The results indicated that the mean scores of QoL before the implementation of continuous care model were 43.3±6.1 in the experimental group and 42.7±5.1 in the control group, indicating no statistically significant difference between the two groups. After the implementation of continuous care model, the mean score of QoL of the experimental group was significantly higher than that of the control group.

Conclusion: Considering the results obtained in the present study, model implementation could improve the overall scores of QoL in patients with chronic heart failure.
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http://dx.doi.org/10.4082/kjfm.20.0040DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8010439PMC
March 2021

The efficacy of the prenatal administration of Lactobacillus reuteri LR92 DSM 26866 on the prevention of infantile colic: a randomized control trial.

Eur J Pediatr 2020 Oct 5;179(10):1619-1626. Epub 2020 May 5.

Department of Obstetrics and Gynecology, Beheshti Hospital, Isfahan, Iran.

Infantile colic is a functional gastrointestinal disease of the infancy that its cause has not yet been properly identified. It leads to severe discomfort in the infants and anxiety in their mothers. Probiotics have recently been recommended as an effective treatment for the improvement of infantile colic. The objective of this study is to determine the role of prenatal administration of Lactobacillus reuteri (L. reuteri) LR92 DSM 26866 on the occurrence of infantile colic. This double-blinded, placebo-controlled, randomized trial was conducted with healthy pregnant women from December 2017 to December 2018 in Isfahan, Iran. A total of 145 patients was included in this study. The case group consisted of 87 pregnant women, who received daily doses of 1 × 10 colony-forming units of live L. reuteri LR92 DSM 26866, and the control group with 88 pregnant women received the placebo (containing 9% glucose solutions) for the last 4 weeks of pregnancy. Mothers and their infants in both groups did not have significant differences in anthropometric indices, and the infants' feeding pattern. Infants born to both groups of mothers followed for 5 months on signs and symptoms of colic with the repetitive examination by a blinded pediatrics assistant to record the occurrence of colic and its grading. Mothers who received placebo were 2.36 times more likely to have infants exhibiting infantile colic than mothers in the L. reuteri LR92 DSM 26866 group (CI 95%, 1.18-4.73). Using Mann-Whitney U test, the Mean (SD) of colic severity was significantly lower in the intervention group (p = 0.01). The frequency of colic and its higher grades were significantly lower in the intervention group (p = 0.03 for the presence of colic and p = 0.01 for high grades of colic). The frequency of colic presence and its different grades according to mothers' delivery mode and infant feeding patterns were not different between the two groups (p > 0.05).Conclusion: Maternal prenatal supplementation with probiotic L. reuteri LR92 DSM 26866 during the last 4 weeks of pregnancy can prevent the occurrence and reduce the severity of infantile colic. What is Known • Lactobacillus reuteri LR92 DSM 26866 is effective in improving the symptoms of infantile colic. What is New • Prenatal administration of Lactobacillus Reuteri LR92 DSM 26866 can prevent the occurrence of infantile colic or reduce its severity.
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http://dx.doi.org/10.1007/s00431-020-03641-4DOI Listing
October 2020

The effects of Mediterranean diet on severity of disease and serum Total Antioxidant Capacity (TAC) in patients with Parkinson's disease: a single center, randomized controlled trial.

Nutr Neurosci 2020 Apr 22:1-8. Epub 2020 Apr 22.

Department of Epidemiology and Biostatistics, Faculty of Health, Isfahan University of Medical Sciences, Isfahan, Iran.

Parkinson's disease (PD) as one of the most common neurodegenerative disorders may be affected by healthy dietary pattern. The aim of this study was to investigate the effects of the Mediterranean Diet (MeD) on serum Total Antioxidant Capacity (TAC) and disease severity in PD patients. In this single-center randomized clinical trial, patients with idiopathic PD ( = 80) were selected randomly allocated to either MeD or control group (Iranian traditional diet); an individualized dietary plan based on the MeD was designed. Serum TAC and the motor & non-motor disease aspects using the Unified Parkinson's Disease Rating Scale (UPDRS) were evaluated in two groups. Statistical Analysis of data was performed using SPSS 24. 70 PD patients with a mean age of 58.96 ± 8.7 and UDPRS of 41.66 ± 20.19 were analyzed in this study. MeD significantly increased serum TAC ( < 0.001). UPDRS score was also lowered in MeD group ( < 0.05). Mediterranean diet seems to have some benefits in PD. as well, TAC levels can also be affected by MeD. Anyway, further studies are needed to confirm the mentioned outcomes. Iranian Registry of Clinical Trials identifier: IRCT20141108019853N4.
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http://dx.doi.org/10.1080/1028415X.2020.1751509DOI Listing
April 2020

The alternate-day fasting diet is a more effective approach than a calorie restriction diet on weight loss and hs-CRP levels.

Int J Vitam Nutr Res 2021 Jun 31;91(3-4):242-250. Epub 2020 Jan 31.

Department of Clinical Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Science, Isfahan, Iran.

The aim of present study was to compare, and determine, the effects of a modified alternate-day fasting diet vs. calorie restriction on inflammatory indices and coagulation factors. This was a randomized clinical trial consisting of 80 metabolic syndrome patients, who were enrolled and randomly dichotomized into a modified alternate-day fasting diet or calorie restriction group for 4 months. We measured weight, body mass index (BMI), waist circumstance (WC), waist-hip-ratio (WHR) and fat mass as primary outcomes and assessed high sensitivity C-reactive protein (hs-CRP), interleukin 6 (IL-6), tumor necrosis factor alpha (TNF-α) and coagulation factors levels as secondary outcomes before and after intervention. Compared to the calorie restriction diet, following a modified alternate-day fasting diet led to a greater reduction in body weight (kg) (-6.43 ± 4.34 vs -4.11 ± 4.27; P = 0.02), BMI (kg/m) (-3.19 ± 2.90 vs -1.43 ± 2.72; P = 0.01), fat mass (kg) (-4.88 ± 2.09 vs -3.72 ± 2.43; P = 0.03), WC (cm) (-5.57 ± 5.64 vs -2.32 ± 5.95; P = 0.01) and WHR (-0.05 ± 0.06 vs -0.02 ± 0.07; P = 0.04). Furthermore, a greater change was found in hs-CRP levels (mg/L) (-2.06 ± 1.18 vs -0.97 ± 0.82; P = 0.03), prothrombin time (s) (1.41 ± 2.34 vs -0.41 ± 2.17; P < 0.001), activated partial thromboplastin time (s) (0.26 ± 3.70 vs -1.78 ± 3.56; P = 0.04) in modified alternate-day fasting diet when compared to calorie restriction diet. However, there was no difference in TNF-α or IL-6 and fibrinogen between groups (P > 0.05). These findings suggest that a modified alternate-day fasting diet can be a beneficial alternative for the management of body weight, fat mass and WC as well as hs-CRP and coagulation factors levels among metabolic syndrome patients.
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http://dx.doi.org/10.1024/0300-9831/a000623DOI Listing
June 2021

The effect of educational intervention based on BASNEF model for reducing internet addiction among female students: a quasi-experimental study.

Ital J Pediatr 2019 Dec 19;45(1):164. Epub 2019 Dec 19.

Instructor, Department of Epidemiology and Biostatistics, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran.

Background: Adolescents and students are encountered with a challenge so-called "internet Addiction". This issue affects both their physical and mental health, as well as their academic, social, and family performance. The aim of the current research is to determine the impact of educational intervention. To achieve this aim, BASNEF is utilized to reduce the excessive use of the internet by students.

Methods: This quasi-experimental study was implemented on 120 high school female students in Shahrekord (west of Iran), which were addicted to the internet. Paticipants was randomly divided into two groups of control and intervention. For data collection before and after the intervention, the standard Yang internet Addiction Questionnaire and BASNEF researcher-developed Questionnaire were used. Educational intervention for mothers was conducted in one session (as the most important subjective norm) and for students in two sessions. This method was based on BASNEF construct. Then, data were analyzed using SPSS-20 and chi-square test, Mann-Whitney test, independent t-test, and paired t-test.

Results: After the education intervention, the mean scores of knowledge, attitude, subjective norms, perceived behavioral control and enabling factors in the intervention group were significantly different from the control group (p < 0.001). In Post-test assessment, the intervention group revealed a significant decrease, in terms of using the internet (based on the time). (p < 0.001).

Conclusions: The results of this study revealed that BASNEF and its related constructs was a suitable framework to design the educational interventions in order to reduce the extreme use of internet in students. Applying of this model can be a cognitive and intellectual framework that affects students' internet use behavior.
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http://dx.doi.org/10.1186/s13052-019-0761-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6921507PMC
December 2019

Modified alternate-day fasting vs. calorie restriction in the treatment of patients with metabolic syndrome: A randomized clinical trial.

Complement Ther Med 2019 Dec 28;47:102187. Epub 2019 Aug 28.

Faculty Research Centre for Sport, Exercise and Life Sciences, Coventry University, Coventry, UK.

Objective: The aim of present study was to compare the effect of calorie restriction and modified alternate-day fasting diet on treatment of adults with metabolic syndrome.

Design: This randomized clinical trial was conducted on 70 participants diagnosed with metabolic syndrome.

Setting: Patients were randomly allocated into 2 groups to follow either calorie restriction or a modified alternate-day fasting diet for 8 weeks. Diets was prescribed by dietitians and specialized for each participant. Anthropometric parameters, blood pressure, fasting plasma glucose, fasting insulin, HOMA-IR and lipid profile were measured at baseline and after trial conclusion.

Results: 69, out of 70, participants completed the study and were included in the final analysis. The results showed that, compared with calorie restriction, following the modified alternate-day fasting diet significantly reduced body weight (P = 0.003), waist circumference (P = 0.026), systolic blood pressure (P = 0.029) and fasting plasma glucose (P = 0.009). However, no significant difference was observed between the 2 groups in triglyceride (P = 0.614), total cholesterol (P = 0.759), LDL-C (P = 0.289), HDL-C (P = 0.909), diastolic blood pressure (P = 0.262), HOMA- IR (P = 0.425) and fasting insulin concentrations (P = 0.496). In addition, the participants did not report any complaint due to difficulties with diet adherence when following calorie restriction or modified alternate-day fasting diet.

Conclusions: the present study suggests that modified alternate-day fasting diet may be a more effective option in managing body weight, waist circumference, systolic blood pressure, and fasting plasma glucose, compared with common calorie restriction. Further studies are needed to confirm the veracity of our results.
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http://dx.doi.org/10.1016/j.ctim.2019.08.021DOI Listing
December 2019

Potential transmission sources of infection: detection of in various environmental samples.

J Environ Health Sci Eng 2019 Jun 3;17(1):129-134. Epub 2019 Jan 3.

4Department of Laboratory Medical Sciences, School of Allied Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran.

Purpose: is one of the most common human infectious agents which may be transmitted via water. This study was designed to test presence via molecular methods in various aquatic environments as well as sewage sludge (SS) to understand the role of these environments in the pathogen's transmission.

Methods: specific primers for the 16S rRNA and A genes of were used in a nested and semi-nested PCR, respectively. Detection sensitivity of in environmental samples by semi-nested PCR was also compared with real-time PCR. Analysis of fecal coliforms (FC) as pollution indicator bacteria was also performed.

Results: 16S rRNA gene was detected in 36% (14/39) of wastewater samples and 8% (2/25) of water samples, while amplification of A gene yielded only two positive result. None of the SS samples were positive for and real-time PCR could not identify in any of the samples. The results showed no correlation between the presence of and FC.

Conclusions: Our result revealed the widespread presence of in wastewater samples which indicates wastewater may be a source for dissemination and transmission of infection. Further research is needed to determine the risk of in wastewater reuse for irrigation of crops.
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http://dx.doi.org/10.1007/s40201-018-00333-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6582085PMC
June 2019

The association of quantitative insulin sensitivity indices (HOMA-IR and QUICKI) with anthropometric and cardiometabolic indicators in adolescents.

Arch Med Sci Atheroscler Dis 2019 9;4:e32-e37. Epub 2019 Apr 9.

Department of Community Nutrition, School of Nutrition and Food Sciences, Isfahan University of Medical Sciences, Isfahan, Iran.

Introduction: Homoeostasis model assessment (HOMA-IR) and the quantitative insulin sensitivity check index (QUICKI) are used to evaluate insulin resistance. The aim of this study was to investigate the association between quantitative insulin sensitivity indices and anthropometric and cardiometabolic indicators in adolescents.

Material And Methods: This descriptive-analytic cross-sectional study was conducted on 80 adolescents aged 12 to 13 years in Isfahan, Iran. Anthropometric, cardiometabolic and QUICKI and HOMA-IR indicators were measured. In the results analysis, Pearson correlation coefficient and regression analysis were used.

Results: There was a significant positive correlation between most of the anthropometric indicators and the HOMA-IR index and a significant negative correlation with QUICKI (all < 0.0001). Moreover, serum triglyceride level had a significant negative correlation with QUICKI index ( = -0.33, = 0.002) and systolic blood pressure ( = 0.44, < 0.0001), and triglyceride level ( = 0.66, < 0.0001) had a significant positive correlation with HOMA index. The results of these two indices were highly correlated in most of the anthropometric and biochemical indices, except for the waist circumference to the neck circumference ratio and systolic blood pressure, which had a significant positive association with HOMA-IR, but did not show a significant association with QUICKI index.

Conclusions: A significant correlation between anthropometric and cardiometabolic indicators with insulin resistance indices (HOMA-IR and QUICKI) was found. Moreover, the results of these two indices were highly correlated in most of the anthropometric and biochemical indices, except for the waist circumference to the neck circumference ratio and systolic blood pressure.
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http://dx.doi.org/10.5114/amsad.2019.84411DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6549040PMC
April 2019

Effectiveness of continuous-care model on self-care in patients with heart failure: application of line follow-up.

Scand J Caring Sci 2019 Dec 6;33(4):940-948. Epub 2019 May 6.

Department of Epidemiology and Biostatistics, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran.

Background: Self-care behaviours are one of the most important determinant factors in the prognosis of heart failure, which can improve the symptoms of the disease, the performance and the reduction of mortality in these patients.

Objective: The aim of this study was to determine the effectiveness of continuous-care pattern on self-care in heart failure patients admitted to Shahid Chamran Hospital in Isfahan.

Methods: This quasi-experimental study is implemented on 72 patients with heart failure who are admitted to Shahid Chamran Hospital in Isfahan. The patients are randomly assigned to the experimental and control groups (36 patients in each group). For a period of three months, a continuous-care model is performed, and then, the self-care score of patients with heart failure is compared in both groups at baseline and follow-up assessment. The required data were gathered using a demographic questionnaire and a European Heart Failure Self-Care Behavior (EHFSCB).

Results: Regarding the implementation of the continuous-care model, the results showed that the mean self-care score before the implementation of the continuous-care model was 28.2 ± 5.02 in the experimental group and 29.5 ± 3.7 in the control group, which was not statistically significant (p = 0.22). However, after implementing continuous-care model, the mean self-care score of the experimental group was 51.4.4 ± 2.8 as compared to the control group (30.8 ± 3.2) (p < 0.001).

Conclusion: Based on the findings of this study, it can be concluded that the implementation of this care model can lead to an increase in self-care score in patients with chronic heart failure.
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http://dx.doi.org/10.1111/scs.12692DOI Listing
December 2019

Relationship between Antioxidant Status and Attention Deficit Hyperactivity Disorder Among Children.

Int J Prev Med 2019 3;10:41. Epub 2019 Apr 3.

Department of Biostatistics and Epidemiology, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran.

Background: Attention deficit hyperactivity disorder (ADHD) is one of the prevalent neuropsychiatric disorders in childhood. In general, diagnoses of ADHD include inattention, hyperactivity, and impulsivity. Recent studies have reported increased oxidative stress in psychiatric disorders such as ADHD, but the results are conflicting. This research aimed to study the relationship between antioxidant status and ADHD in children of 6-13 years old.

Methods: From schools, 32 ADHD students whose diseases were diagnosed by child and adolescence psychiatrist based on Diagnostic and Statistical Manual of Mental Disorders-IV index were recruited; moreover, 32 healthy subjects, which according to the medical history questionnaire of psychiatric disorder had not had chronic disease, were selected. Total antioxidant capacity (TAC), catalase (CAT), glutathione (GSH), and malondiadehyde (MDA) were measured. General information, health history, and medication history were collected. All participants completed a 168-item food frequency questionnaire. Dietary intakes of antioxidants were obtained through this questionnaire.

Results: There was no significant difference between mean of energy intake and Zn, Se, vitamin E, C, and β-carotene as antioxidants between the two groups. The mean of serum TAC, GSH level, and CAT level in the patients were significantly lower than the healthy group ( < 0.001), but the mean of MDA was not significantly different between the two groups ( = 0.18).

Conclusions: The result of this study indicates that, in ADHD, the serum levels of GSH, CAT, and TAC decrease; the level of antioxidant in the serum has been compromised to fight oxidative stress. More perspective studies with large sample sizes are essential to confirm these findings.
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http://dx.doi.org/10.4103/ijpvm.IJPVM_80_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6484508PMC
April 2019

Predictive Power of PEN-3 Model Constructs in Breast Cancer Screening Behaviors among Teachers: A Cross- Sectional Study in Central Iran.

Eur J Breast Health 2019 Apr 1;15(2):105-110. Epub 2019 Apr 1.

Department of Epidemiology and Biostatistics, Isfahan University of Medical Sciences, Isfahan, Iran.

Objective: Identifying the factors influencing screening is necessary to promote early detection of breast cancer. This study aims to determine the predictive power of PEN-3 model structures in breast cancer screening behaviors among teachers of Isfahan city in Iran.

Materials And Methods: This cross-sectional study was conducted on 192 female teachers in Isfahan selected by the multi-stage random sampling method. A questionnaire based on PEN-3 model was used for data collection. Statistical analysis was conducted using SPSS version 20 (multiple linear regression analysis, independent t-test, Pearson correlation coefficient), and p<0.05 was considered statistically significant.

Results: The mean score of behavior, perceptual, enabling and nurturer factors in early detection of breast cancer was 36.5±30.5, 74.6±8.9, 65.5±19.9 and 68.1±20.7, respectively. The mean score of behavior in early detection of breast cancer in women with individual and familial history of breast disease was significantly higher than that of those who did not have such history. Perceptual and nurturer factors as the best predictors of screening behaviors were associated with screening behaviors.

Conclusion: The study results indicate that nurturer and perceptual factors were the best predictors of breast cancer screening behaviors among teachers. Therefore, attention to these constructs in developing educational interventions is highly recommended.
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http://dx.doi.org/10.5152/ejbh.2019.4417DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6456271PMC
April 2019

Bivariate Spatio-Temporal Shared Component Modeling: Mapping of Relative Death Risk due to Colorectal and Stomach Cancers in Iran Provinces.

Int J Prev Med 2019 15;10:39. Epub 2019 Mar 15.

Department of Biostatistics, School of Public Health, Kermanshah University of Medical Sciences, Isfahan, Iran.

Background: Gastrointestinal cancers make for nearly half fatal cancers with colorectal and stomach cancers' being listed among the ten most common in Iran. This research aims to determine the spatial pattern and temporal trend of death risk due to colorectal and stomach cancers among provinces of Iran and estimate the effect of shared and specific components as surrogates of risk factors for the aforementioned cancers on changes of death due to the cancers over time and place.

Methods: In this ecological study, the data regarding death causes in colorectal and stomach cancers during 2006-2011 were obtained from the death registration system of the Iranian Ministry of Health. The estimation of relative risk (RR) of death due to the target cancers was performed applying Bayesian spatiotemporal shared component (SC) model in OpenBUGS software.

Results: North-Western provinces ranked first regarding stomach cancer RR of death (RR >1.75). Furthermore, some North-Western and central provinces had the highest RR of death due to colorectal cancer (RR >1.5). The SC surrogating the risk factor shared between both cancers had the most effect in Northern, North-Western and western provinces, and the least effect in Southern and South-Eastern ones.

Conclusions: North and North-West of Iran found to be the high-risk area for death due to both stomach and colorectal cancers and South-East and South provinces shown to have the lowest RR. The obtained results can be illuminating to health resource allocation to the health policymakers.
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http://dx.doi.org/10.4103/ijpvm.IJPVM_31_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6425771PMC
March 2019

Designing an educational intervention to prevent excessive gestational weight gain: a protocol for a randomized controlled trial.

Reprod Health 2019 Mar 12;16(1):31. Epub 2019 Mar 12.

Department of Epidemiology and Biostatistics, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran.

Background: Pregnancy as one of the critical stages of life carries a high risk to the health of pregnant women. The amount of weight gained during pregnancy can affect the woman and her infant health immediately or in the future. The present study is conducted to design and explore the effectiveness of an educational intervention based on health belief model (HBM) to preventing excessive gestational weight gain (GWG).

Methods: This research-based planning is designed in three phases and will be conducted on pregnant women in first trimester. In the first phase of this randomized controlled trial study, body mass index (BMI), the level of knowledge and the level of the HBM constructs will be measured using a questionnaire. The HBM questionnaire is designed based on a literature review and experts opinions. In the next phase the educational program content will be designed based on the results of the first phase of the study on the level of women's knowledge, and HBM constructs as well as a literature review and experts opinions. The intervention will be designed in four training sessions about the importance of behaviors, especially physical activity and nutrition, in the prevention of excessive weight gain during pregnancy. The tired phase includes the implementation of educational intervention with two intervention and control groups. The efficacy of the program will be evaluated by measuring the level of the knowledge, HBM constructs and women's weight gain during pregnancy in the second and third trimesters. Appreciate weight gain will be considered according to the BMI in first trimester.

Discussion: The present study will provide strong information regarding the effetiness of the HBM and appropriate framework to develop educational interventions together with enhancing pregnant women's knowledge and belief toward weight management behaviors.

Trial Registration: Registration of this randomized control trial has been completed with the Iranian Registry of Clinical Trials, IRCT20180703040325N1 . Date of registration: 2018-08-20.
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http://dx.doi.org/10.1186/s12978-019-0696-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6417265PMC
March 2019

The effects of mobile text messages on raising knowledge of men with type 2 diabetes, Isfahan, 2015: an educational experimental study.

Electron Physician 2018 Aug 25;10(8):7243-7248. Epub 2018 Aug 25.

Associate Professor, Department of Health Education and Promotion, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran.

Background: Diabetes is one of the most common metabolic disorders which are rapidly increasing. Distance training is a cost-effective, easy and accessible way in which time and place dimensions of communication are removed.

Objective: To determine the effects of mobile text messages on raising knowledge of men with type 2 diabetes.

Methods: This educational experiment recruited 76 people selected by convenient sampling from a population of male patients with type 2 diabetes presenting to Sedigheh Tahereh Research Center in Isfahan, Iran, in 2015. They were randomly assigned into intervention and control groups. Data were collected with a questionnaire of demographic characteristics and questions pertaining to the variable of knowledge, through interview. The intervention group received training and follow-up through cell phones and text messages for 12 weeks. Data were analyzed in IBM-SPSS version 20 using Mann-Whitney test, Chi-square, Independent-samples t-test and paired-samples t-test.

Results: Findings suggested that patients' knowledge in both groups significantly increased after the training (p<0.001). However, this rise in the intervention group was significantly higher than that of the control group (p<0.001).

Conclusion: The results indicated that designing and implementing educational programs based on text messages and cell phones can improve knowledge in diabetics.
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http://dx.doi.org/10.19082/7243DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6122863PMC
August 2018

Improving Student's Self-Efficacy and Perceived Susceptibility Toward Oral and Dental Health: A Randomized Controlled Trial.

Oman Med J 2018 Sep;33(5):423-428

Department of Epidemiology and Biostatistics, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran.

Objectives: We sought to assess the impact of educational intervention on female junior high school students' perceived susceptibility and self-efficacy regarding oral and dental health.

Methods: We recruited 100 female junior high school students (50 in intervention and 50 in control group) from Falavarjan city using multistage random sampling. A self-administered questionnaire was used to gather data about study variables. Students in the intervention group attended five 90-minute sessions designed to teach the students about dental hygiene.

Results: We found no significant difference between the two groups with respect to the preintervention mean scores of knowledge, perceived susceptibility, and self-efficacy ( > 0.050). The postintervention mean scores in the intervention group were significantly higher than those in the control group ( < 0.050).

Conclusions: Training plans with particular behavioral goals and good instructional strategies can be useful in empowering students toward dental health.
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http://dx.doi.org/10.5001/omj.2018.77DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6131923PMC
September 2018

Contributing factors of pregnant women's beliefs towards mode of delivery: a cross-sectional study from Iran.

Matern Health Neonatol Perinatol 2018 2;4. Epub 2018 May 2.

5Student Research Committee, School of Health, Isfahan University of Medical Sciences, Hezarjarib Street, Isfahan, Iran.

Background: Delivery is a critical event in every woman's life. Under some medical conditions, women sometimes undergo a cesarean section to save the life of themselves and their infant. Understanding the factors associated with choosing the type of delivery leads to more effective health interventions and the promotion of maternal and newborn health. The aim of this study is to determine contributing factors in pregnant women's beliefs toward the mode of delivery in a sample of women referring to Hojatieh Hospital in Isfahan, Iran.

Methods: This cross-sectional study was conducted in September 2016 on 200 pregnant women (gestational age 30-37 weeks) referred to Hojatieh Hospital in Isfahan, Iran. The inclusion criteria of this study included healthy pregnancy and having no known cases (heart, pulmonary, and renal disease) and pregnancy complications (spotting, bleeding, headache, blurred vision), and willingness of pregnant women to complete the questionnaire. Data were collected through an eight-part questionnaire consisting of demographic factors, delivery intention, knowledge, perceived self-efficacy, attitude, perceived social, and private support in the presence of the researcher and the outcome of delivery were asked 2 weeks after the due date of delivery during a telephone call. Data were analyzed using SPSS16 software, independent t-test, chi-square, and logistic regression.

Results: There was no significant differences between the mean scores of knowledge and private social support among individuals with two types of delivery ( > 0.05), but the mean scores of perceived self-efficacy and public social support in women who gave birth normal were significantly higher than those of women who gave birth by cesarean section ( < 0.05).

Conclusion: The findings of this study showed that attitude and perceived self-efficacy were the most important predictors of delivery mode. Therefore, education based on the items included in these factors might be useful for choosing the delivery mode. The results might be used in evidence based midwifery practices in low and middle income countries to promote normal delivery and perhaps maternal health index.
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http://dx.doi.org/10.1186/s40748-018-0077-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5930689PMC
May 2018

Corrigendum to "Association of Stressful Life Events with Psychological Problems: A Large-Scale Community-Based Study Using Grouped Outcomes Latent Factor Regression with Latent Predictors".

Comput Math Methods Med 2018 20;2018:8020962. Epub 2018 Feb 20.

Integrative Functional Gastroenterology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.

[This corrects the article DOI: 10.1155/2017/3457103.].
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http://dx.doi.org/10.1155/2018/8020962DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5838487PMC
February 2018

A survey on scientific authenticity of health information in Iranian popular magazines: A case study.

J Educ Health Promot 2018 9;7:27. Epub 2018 Feb 9.

Department of Biostatistics, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran.

Background: The content of the mass media is a suitable tool for making changes to the society. One of the most read news in the mass media is nutritional information. The goal of this study is to assess the scientific authenticity of such information published in Iranian popular magazines.

Materials And Methods: This study is a qualitative study (content analysis) and uses bibliographic approach. A researcher-designed checklist is used as data gathering tool, and the statistical population included the messages obtained from the printed material in 173 volumes of 8 Iranian popular magazines. 10 most frequent messages were identified, and their scientific authenticity was investigated using Pubmed and IranMedex databases. The SPSS Software version 24 (IBM Corporation, Armonk, New York, USA) was applied in the analysis of this work.

Results: The findings indicated that preventive trends had the highest (86.8%) and the treatments had the lowest (4.2%) frequency. Concerning the type of cancer, more than half (51.2%) of the conclusions were about cancer. Regarding authorship, 68% of articles were author signed, but the profession of 66.4% of the authors was not clear. Regarding references, only 25.4% of the articles had validated references.

Conclusion: It is revealed that 70% of the "nutrition information" related to cancer which was published in the popular magazines during 2012, considered to be acceptable according to scientific medical information sources. Although in some cases, the amount of evidence is not sufficient. Finally, it could be deduced that the nutrition information published in the Iranian popular magazines are still credible.
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http://dx.doi.org/10.4103/jehp.jehp_85_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5852987PMC
February 2018
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