Publications by authors named "Moghaddameh Mirzaee"

37 Publications

The efficiency and effectiveness of surgery information systems in Iran.

BMC Med Inform Decis Mak 2020 09 16;20(1):229. Epub 2020 Sep 16.

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

Background: Despite the prevalent use and advantages of information systems in hospitals, some have failed to meet their predefined objectives. Surgery information system (SIS) is a sub-system of a hospital information system. Its effective and efficient operation could enhance patient care in the busy environment of operating rooms with multiple tasks. The objective of this study was to evaluate the effectiveness and efficiency of SIS in three educational hospitals.

Methods: Data were collected using a questionnaire completed by 82 users of SIS. This questionnaire contains three parts: 1) participants' demographic information, 2) questions regarding the efficiency of SIS, and 3) questions about its effectiveness. An independent sample t-test was used to compare the efficiency and effectiveness among systems. Chi-squared and Fisher tests were used to determine the relationship between the participants' demographics and efficiency and effectiveness as well as the relationship between efficiency and effectiveness.

Results: About 23% of the participants rated the system's efficiency as low, 29% as medium, and 48% as high. Besides, 24% of the participants considered the effectiveness of the system as low, 31% as medium, and 45% as high. There was a significant correlation between the efficiency and effectiveness of SIS (p ≤ 0.0001).

Conclusion: Based on the perspective of most participants (44%)the efficiency and effectiveness of both surgery information systems were acceptable. The results suggest that these systems should be designed in a way that facilitate user's interaction and reduce the time takes to complete tasks. The results could be useful for developing and designing an efficient and effective system.
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http://dx.doi.org/10.1186/s12911-020-01236-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7493378PMC
September 2020

A comparative study on the diagnostic validity of three scoring systems in the diagnosis of acute appendicitis in emergency centres.

Afr J Emerg Med 2020 Sep 30;10(3):132-135. Epub 2020 May 30.

Associate professor Modeling in Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.

Background: Considering the inconsistencies on the validity scoring systems in the diagnosis of acute appendicitis, our aim was to compare the accuracy of the three Anderson, Alvarado and Alvarado + CRP scoring systems in the diagnosis of patients with suspected acute appendicitis.

Methods: This was a prospective observational study performed on patients 15-65 years complained of abdominal pain in the RLQ with a high clinical suspicion of acute appendicitis within two years. The scoring systems of Anderson, Alvarado, and Alvarado + CRP were recorded using a pre-prepared questionnaire by a senior emergency medicine assistant. Acute appendicitis was confirmed based on the histopathologic findings. Written informed consent was obtained from all the patients before entering the study.

Results: 200 patients were enrolled in the study. In 159 cases diagnosed with appendicitis based on histopathological findings, Anderson, Alvarado, and Alvarado scoring systems were able to identify 121, 152, and 147 cases respectively. The sensitivity, specificity, positive predictive value, negative predictive value and accuracy were 77%, 19%, 78%, 17 and 64% in Anderson, 95%, 7%, 75%, 30% and 77% in Alvarado, and 92%, 7%, 79%, 20%, and 75% in Alvarado + CRP scoring systems, respectively.

Conclusion: Anderson scoring system had lower diagnostic accuracy than the Alvarado system. The role of CRP as an adjunct test to increase the accuracy of the Alvarado scoring system in the diagnosis of acute appendicitis has been under question. Given the inconsistent results of the scoring systems in the diagnosis of acute appendicitis, there is a need to develop a more precise clinical-paraclinical scoring system for this condition.
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http://dx.doi.org/10.1016/j.afjem.2020.04.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7474237PMC
September 2020

The Impact of Drug and Alcohol Consumption and Socio-demographic Variables on the Age of First Selling Sex among Iranian Female Sex Workers.

Addict Health 2020 Apr;12(2):130-139

HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.

Background: A significant proportion of Female Sex Workers (FSWs) as a vulnerable population begin selling sex at an early age, which may lead the person to develop sexually-transmitted infections (STIs) and human immunodeficiency virus (HIV). Thus, this study seeks to identify the factors which influence the age of first sex for sale among the Iranian FSWs.

Methods: In 2010, 872 FSWs from 21 centers in 12 Iranian provinces were selected through multistage sampling and were interviewed individually by a standard questionnaire. Survival analysis of interval censored data was used to investigate factors which influence the age of first selling sex. The collected data were analyzed using Weibull parametric model and the hazard ratio (HR) index was reported. The software employed in this study was R version 3.4.2 and icenReg package was used.

Findings: The mean age of first selling sex was 24.94 ± 7.34 years. About 22% of the participants started to sell sex before the age of 18. The risk of experiencing the first selling sex was 23% higher in those individuals who had experienced alcohol consumption (HR = 1.23) and 51% higher in those who had drug injections (HR = 1.51). Also, age, education, and marital status were significant variables.

Conclusion: In order to cope with the issue of first selling sex at an early age, the following strategies are suggested: providing necessary trainings and building culture about the dangers of alcohol consumption and drug injections, poverty reduction, facilitating education and marriage for young females, and combating sex trafficking.
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http://dx.doi.org/10.22122/ahj.v12i2.263DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7395936PMC
April 2020

The Effectiveness of Psycho-Educational and Cognitive-Behavioral Counseling on Female Sexual Dysfunction.

Rev Bras Ginecol Obstet 2020 Jun 30;42(6):333-339. Epub 2020 Jun 30.

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

Introduction:  Sexual function is a multidimensional phenomenon that is affected by many biological and psychological factors. Cognitive-behavioral sex therapies are among the most common nonpharmacological approaches to psychosexual problems. The purpose of the present study was to investigate the effectiveness of psychoeducational and cognitive-behavioral counseling on female sexual dysfunction.

Methods:  The present study was a clinical trial with intervention and control groups. The study population consisted of women referring to the general clinic of a governmental hospital in Iran. After completing the demographic questionnaire and Female Sexual Function Index (FSFI), those who obtained the cutoff score ≤ 28 were contacted and invited to participate in the study. Convenience sampling method was used and 35 subjects were randomly allocated for each group. Eight counseling sessions were held for the intervention group (two/week/1.5 hour). Post-test was taken from both groups after 1 month, and the results were statistically analyzed by PASW Statistics for Windows, Version 18 (SPSS Inc., Chicago, IL, USA).

Results:  The total mean scores of FSFI and the subscales of sexual desire, arousal, orgasm, and satisfaction were significantly higher in the intervention group than in the control group after the intervention. In addition, postintervention pain mean scores in the intervention group were significantly lower than in the control group ( < 0.05).

Conclusion:  The results of the present study indicate that psychoeducational cognitive-behavioral counseling is effective in improving female sexual function. It is recommended to compare the effects of psychoeducational cognitive-behavioral counseling on sexual dysfunctions of couples and with a larger sample size in future research.
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http://dx.doi.org/10.1055/s-0040-1712483DOI Listing
June 2020

Comparing the effect of acupressure with or without ice in LI-4 point on labour pain and anxiety levels during labour: a randomised controlled trial.

J Obstet Gynaecol 2020 Jun 12:1-6. Epub 2020 Jun 12.

Kerman Nursing Research Center, Razi School of Nursing and Midwifery Faculty, Kerman University of Medical Science, Kerman, Iran.

The aim of this study was to assess the effect of acupressure with or without ice on reducing pain and anxiety during labour. The anxiety level of mothers was measured before and after study using Spielberger Inventory along with the labour pain. To improve the strength of this study, a meta-analysis was conducted on the effect of acupressure in point LI-4 on anxiety during labour. Ninety women in labour were randomly divided into three groups: acupressure with ice, acupressure without ice and the control group. The result suggested that women receiving both acupressure with ice ( = .005) or without ice ( < .001) experienced less labour pain in comparison with the control group. Also, the labour pain severity in acupressure without ice was lower than the group with ice ( < .001). Acupressure with ( = 1) or without ( = .09) ice was not significantly different from the control group in terms of the anxiety level. However, women in the group of acupressure without ice experienced less anxiety in comparison with acupressure with ice ( = .04). The difference in pain severity before and after treatment with acupressure with (RCI = 2.86) or without ice (RCI = 5.54) was clinically significant. The intervention was not clinically meaningful in terms of anxiety.Impact statement Previous trials have exhibited that acupressure with/without ice reduced pain and anxiety during labour. The results of this research was consistent with previous studies, suggesting that acupressure, with or without ice, is more effective than the control group regarding labour pain. However, the group of acupressure with ice was not different from the control group with respect to the anxiety level. In light of advantages, such as growing preference of women, researcher and health care providers for physiological delivery coupled with its safety and simplicity, it can be used as an effective technique to manage labour pain. Further studies are required to assess the effect of acupressure at L4 on the anxiety level.
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http://dx.doi.org/10.1080/01443615.2020.1747412DOI Listing
June 2020

Use of the Internet by pregnant women to seek information about pregnancy and childbirth.

Inform Health Soc Care 2020 Oct 2;45(4):385-395. Epub 2020 Jun 2.

Modeling in Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences , Kerman, Iran.

Pregnant women get information about pregnancy andchild-birth from many sources, including the Internet. There is alack of evidence about the extent to which pregnant women usethis source. This study aimed to investigate the use of the Internetby pregnant women to search for information about pregnancyand childbirth. This study was conducted in Kerman, Iran. Threehundred eighty-five pregnant women waiting for their appointmentswith obstetricians/gynecologists participated in the survey byfilling out a questionnaire. The most common searched topicswere nutrition in pregnancy (81%), fetal development (67%), andcomplications of pregnancy (49%). The most popular sources ofinformation were physicians (61%), the Internet (51%), and printedsources (41%), respectively. More than half of the participantsdid not share the retrieved information from the Internet with theirhealth professionals. After being examined by a physician, 43% ofthe participants searched the Internet about the discussed topic.Beside physicians, the Internet is the second common source ofpregnancy and childbirth information for Iranian pregnant women.Future studies are needed to analyze the quality and accuracy ofonline pregnancy and childbirth information.
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http://dx.doi.org/10.1080/17538157.2020.1769106DOI Listing
October 2020

Effectiveness of an app-based cognitive behavioral therapy program for postpartum depression in primary care: A randomized controlled trial.

Int J Med Inform 2020 09 24;141:104145. Epub 2020 May 24.

Epidemiology and Biostatistics, Kerman University of Medical Sciences, Kerman, Iran.

Objective: The objective of this study was to examine the effect of mobile phone applications (App) based cognitive behavioral therapy (CBT) on postpartum depression.

Method: A non-blinded parallel-group randomized controlled trial was conducted. The study population consisted of women attended to three health care centers in Kerman, Iran. Participants were recruited between September and November 2018, and randomized 1:1 to either the intervention group (mobile application access) or control group (no mobile application access). All participants completed the Edinburgh Postnatal Depression Scale (EPDS) at the baseline and 2 months after baseline. Data were analyzed using inferential statistics including chi-square, independent sample t-test, paired t-test and linear regression.

Results: A total of 75 women with an average age of 27 years participated in this study. Before the intervention, there was no statistically significant difference between the EPDS score between the two groups (p > 0.001). However, in the intervention group, the average EPDS score after intervention was 8.18 and in the control group was 15.05, which was statistically significant (p < 0.001).

Conclusion: These findings provide proof that providing a CBT program using a mobile application can lead to clinically important improvements in outcomes for mothers who suffer from postpartum depression.
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http://dx.doi.org/10.1016/j.ijmedinf.2020.104145DOI Listing
September 2020

Age of Onset of Methamphetamine Consumption among the Iranian Youth Aged 19-29: A Cross-sectional Study.

Addict Health 2019 Jul;11(3):138-147

HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.

Background: Around the world, one of the main concerns and risky behaviors among youths is methamphetamine consumption. Since the age of onset of methamphetamine use is decreasing, therefore, it is important to identify the effective factors on the age of onset of methamphetamine consumption. In the present study, factors affecting the age of onset of methamphetamine consumption was studied in Iranian youths aged 19-29 years.

Methods: In this cross-sectional nationwide study, individuals aged 19-29 years were selected through multistage cluster sampling and convenience sampling method from 13 provinces in Iran. People completed the questionnaire pertaining to knowledge, attitude, and history of methamphetamine consumption. In order to investigate the factors effective on the age of onset of methamphetamine consumption, we used the Weibull parametric model for data with doubly censored characteristic.

Findings: 3246 people participated in this study, half of whom were men and mostly single (60.3%), university student or graduate (50.2%), and unemployed (58.1%). Nearly 6% of participants have ever used methamphetamine. Mean and standard deviation (SD) of age of onset of methamphetamine use was 20.3 ± 3.3 years. Data analysis indicated that the variables of gender, marital status, education, knowing a methamphetamine consumer, knowing an ecstasy consumer, ecstasy consumption, illegitimate sex, attitude towards methamphetamine, and age group were the factors affecting the age of onset of methamphetamine consumption.

Conclusion: The results can contribute to the policy-makers to take the necessary interventions on the factors affecting the age of onset of methamphetamine consumption to reduce the methamphetamine consumption, especially in the critical young ages.
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http://dx.doi.org/10.22122/ahj.v11i3.231DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6904974PMC
July 2019

Professional Values of Nurses and Nursing Students: a comparative study.

BMC Med Educ 2019 Nov 27;19(1):438. Epub 2019 Nov 27.

Nursing Research Center, Kerman University of Medical Sciences, PO Box: 7716913555, Kerman, Iran.

Background: The process of learning the professional values is started from the student's entering to the university and to the workplace. This study compared the importance of professional values from the perspectives of nurses and nursing students.

Methods: This descriptive-analytical study was conducted on 250 nurses and 100 nursing students. Data were collected using the Nursing Professional Values Scale-Revised.

Results: According to the findings, the mean scores of nurses (3.68 ± 0.16) and nursing students' (3.86 ± 0.17) perspective toward professional values were at an important level. Furthermore, the students' perspective toward the professional values' importance was significantly more favorable than those of nurses. The highest mean scores of professional values in the two groups were related to the caring and justice domains. Both groups considered activism and professionalism as the least important domains among the others.

Conclusions: As the findings suggest, we need to pay more attention to values training, especially professionalism and activism, during undergraduate education for preparing the nurses to work in today's complex healthcare context. It is necessary to conduct more comprehensive studies for exploring the gap between theory and practice in different cultures and contexts.
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http://dx.doi.org/10.1186/s12909-019-1878-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6882014PMC
November 2019

Circulating concentration of interleukin-37 in Helicobacter pylori-infected patients with peptic ulcer: Its association with IL-37 related gene polymorphisms and bacterial virulence factor CagA.

Cytokine 2020 02 19;126:154928. Epub 2019 Nov 19.

Modeling in Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.

The immunopathologic responses play a major role in the development of H. pylori (HP)-related gastrointestinal diseases. IL-37 is an anti-inflammatory cytokine with potent suppressive effects on innate and adaptive immune responses. Here, we investigated the IL-37 levels and two single nucleotide polymorphisms (SNPs) including rs3811047 and rs2723176 in IL-37 gene in HP-infected peptic ulcer (PU) patients to identify any relationship. Three groups, including 100 HP-infected PU patients, 100 HP-infected asymptomatic (AS) subjects and 100 non-infected healthy control (NHC) subjects were enrolled to study. Serum IL-37 levels and the genotyping at rs3811047 and rs2723176 were determined using ELISA and SSP-PCR methods, respectively. Significantly higher IL-37 levels were observed in PU patients compared with AS and NHC groups (P < 0.0001). In both PU and AS groups, the CagA HP-infected participants displayed higher IL-37 levels compared with those infected with CagA strains (P < 0.0001). There were significant differences between PU, AS and NHC groups regarding the distribution of genotypes and alleles at rs3811047 and rs2723176 SNPs. The genotype GG and allele G at IL-37 rs3811047 SNP, and the genotype CC and allele C at IL-37 rs2723176 SNP more frequently expressed in PU patients than total healthy subjects (AS + NHC groups) and were associated with an increased risk of PU development (genotype GG: RR = 3.08, P < 0.009; allele G: RR = 2.94, P < 0.01; genotype CC: RR = 5, P < 0.01; and allele C: RR = 5.0, P < 0.02, respectively). The PU patients with allele A at IL-37 rs2723176 SNP expressed higher amounts of IL-37 compared with patients carried allele C at the same position (P < 0.05). In AS carriers and NHC individuals, the IL-37 levels in subjects carried genotype AA or allele A at IL-37 rs2723176 SNP were higher than those carried genotype CC or allele C at the same location (P < 0.01 and P < 0.02 for AS group; P < 0.0001 and P < 0.001 for NHC subjects, respectively). The increased IL-37 levels may be considered as a valuable marker of PU development in HP-infected individuals. The SNPs rs3811047 and rs2723176 were associated with PU development. The CagA status of HP and IL-37 rs2723176 SNP may affect the IL-37 levels.
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http://dx.doi.org/10.1016/j.cyto.2019.154928DOI Listing
February 2020

Atomized intranasal vs intravenous fentanyl in severe renal colic pain management: A randomized single-blinded clinical trial.

Am J Emerg Med 2020 08 23;38(8):1635-1640. Epub 2019 Oct 23.

Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.

Objectives: Renal colic is one of the most common painful disorders in patients referred to the emergency department. The main purpose of this study was to compare the efficiency of two methods of intravenous (IVF) and intranasal (INF) fentanyl administration in pain management in patients with severe renal colic.

Materials & Methods: This was a single-blind randomized clinical trial performed on patients with severe renal colic. The severity of pain was ≥8 based on the Numerical Rating Scale (NRS). The efficacy of pain management was compared within and between the IVF (intramuscular Ketorolac + intravenous fentanyl) and INF (intramuscular Ketorolac + intranasal fentanyl) groups at different times points. Oral consent was obtained from all the patients.

Results: Of 220 individuals, 96 (43.60%) were women and 124 (56.40%) were men. There were no significant differences between the two groups regarding the baseline pain severity, age, sex, history of urolithiasis and body mass index (BMI). The pain severity showed a significant reducing trend in both groups (p < 0.0001). There was also a significant difference comparing the mean pain severity between groups at different times (p < 0.0001). In each group, the severity of pain showed significant reduction compared with its prior measurement (P < 0.0001).

Conclusion: Fentanyl is highly effective in controlling pain in patients with severe renal colic referring to the emergency department. Intranasal administration of fentanyl combination with ketorolac can be an appropriate, non-invasive, easy-to-use and fast alternative to the intravenous method to manage pain in these patients.
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http://dx.doi.org/10.1016/j.ajem.2019.158483DOI Listing
August 2020

Trehalose protects against spinal cord injury through regulating heat shock proteins 27 and 70 and caspase-3 genes expression.

J Basic Clin Physiol Pharmacol 2019 Oct 7;31(1). Epub 2019 Oct 7.

Department of Clinical Biochemistry, Afzalipour School of Medicine, Kerman University of Medical Sciences, 7616914115, Kerman, Iran.

Background Heat shock proteins (HSPs) are a class of highly conserved proteins responsible for various functions critical to cell survival. Pharmacological induction of HSPs has been implicated in the regulation of neuronal loss and functional deficits in peripheral and central nervous system injuries. Accordingly, the present study was conducted to investigate the effect of trehalose on spinal expression of HSP27, HSP70 and caspase-3 genes following traumatic spinal cord injury (SCI) in rats. Methods Male rats weighing 250-300 g underwent laminectomy and were divided into four groups including sham, SCI (received SCI), vehicle (received SCI and phosphate buffer saline intrathecally) and trehalose (received 10 mM trehalose intrathecally following SCI). On days 1, 3 and 7 after injury, HSP27, HSP70 and caspase-3 genes transcripts were quantified in spinal cord tissues via a real-time PCR technique. In addition, locomotor function was assessed using the Basso, Beattie and Bresnahan (BBB) rating scale. Results SCI induced the expression of HSP27, HSP70 and caspase-3 genes and BBB score at all time points. Trehalose treatment upregulated HSP27, HSP70 genes expression at 1 day after SCI. Interestingly, a significant reduction in the expression of HSP27 and HSP70 genes was observed on days 3 and 7 following trauma compared with the vehicle group (p < 0.01). Caspase-3 gene showed a decrease in expression in the trehalose-treated group at all times. In addition, neurological function revealed an improvement after treatment with trehalose. Conclusion This study suggests that the neuroprotective effect of trehalose is mediated via regulation of HSP27 and HSP70, which are involved in cytoprotection and functional recovery following SCI.
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http://dx.doi.org/10.1515/jbcpp-2018-0225DOI Listing
October 2019

The relationship between blood lead level and the severity of abdominal pain in opioid-addicted patients during a hospital outbreak.

J Addict Dis 2018 Jul-Dec;37(3-4):211-216. Epub 2019 Oct 3.

Associate professor Modeling in Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.

An increase in the incidence of abdominal pain in opioid abusers over a period of time increased the suspicion of lead poisoning. The severity of abdominal pain and its relationship with blood lead level (BLL) were investigated during a hospital outbreak. This was a descriptive, cross-sectional study on opioid-addicted patients presenting with abdominal pain. Pain severity was measured based on the numerical rating scale (NRS). Blood lead and serum uric acid levels were determined. The presence of basophilic stippling was sought in the peripheral blood smear. Also, the X-ray was performed to assess abdominal cavity. Of 239 patients, 160 opioid addicts presenting with abdominal pain participated in the study. There were significant associations between the severity of abdominal pain and the type of opioid, the route and, duration of opioid consumption, the presence of basophilic stippling in peripheral blood smear and radio-opaque opioids in abdominal X-ray, as well as BLL and serum uric acid level ( < 0.0001). Opium abuse is a common cause of lead poisoning in Iran. The patients with lead poisoning may present with abdominal pain. The severity of abdominal pain significantly correlated with BLL. Continuous screening of BLL is recommended in opioid abusers.
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http://dx.doi.org/10.1080/10550887.2019.1663088DOI Listing
October 2019

Effectiveness of psycho-educational counseling on anxiety in preeclampsia.

Trends Psychiatry Psychother 2019 1;41(3):276-282. Epub 2019 Aug 1.

Faculty of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran.

Introduction: Preeclampsia is a serious complication during pregnancy that not only influences maternal and fetal physical health, but also has maternal mental health outcomes such as anxiety. Prenatal anxiety has negative short- and long-term effects on pre- and postpartum maternal mental health, delivery, and mental health in subsequent pregnancies.

Objective: To investigate the effectiveness of individual psycho-educational counseling on anxiety in pregnant women with preeclampsia.

Methods: This was a randomized, intervention-controlled study involving two governmental hospitals in the municipality of Sirjan, Kerman, from January 30 2017 to March 31 2017. A total of 44 pregnant women with preeclampsia were assessed. The women were randomized into two groups: control (n=22) and intervention (n=22). The intervention consisted of two sessions of individual psycho-educational counseling. The level of anxiety was measured using the Spielberger State-Trait Anxiety Inventory (STAI) as pretest before the first session and as posttest after the second session during the hospitalization period.

Results: There was a significant reduction in the anxiety level after the counselling sessions in the intervention group (p<0.005). In addition, there was a slight increase in the anxiety level in the control group after the study.

Conclusion: According to the results, psycho-educational counseling can significantly reduce the anxiety level in pregnant women with preeclampsia. Therefore, it is recommended that healthcare providers provide this type of therapeutic intervention for pregnant women after hospitalization, in order to reduce their anxiety level and its subsequent negative outcomes. Clinical trial registration: IRCT2017082029817N3.
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http://dx.doi.org/10.1590/2237-6089-2017-0134DOI Listing
March 2020

The importance of professional values from nursing students' perspective.

BMC Nurs 2019 5;18:26. Epub 2019 Jul 5.

5Nursing Research Center, Kerman University of Medical Sciences, PO Box: 7716913555, Kerman, Iran.

Background: Professional values of nursing students may be changed considerably by curricula. This highlights the importance of the integration of professional values into nursing students' curricula. The present study aimed to investigate the importance of professional values from nursing students' perspective.

Methods: This cross-sectional study was conducted at the Kerman University of Medical Sciences, Iran. Data were gathered by using a two-section questionnaire consisting of demographic data and Nursing Professional Values Scale-Revised (NPVS-R). By using the stratified random sampling method, 100 nursing students were included in the study.

Results: Results showed that the mean score of the students' professional values was at high level of importance (101.79  12.42). The most important values identified by the students were "maintaining confidentiality of patients" and "safeguarding patients' right to privacy". The values with less importance to the students were "participating in public policy decisions affecting distribution of resources" and "participating in peer review". The professional value score had a statistically significant relationship with the students' grade point average ( < 0.05).

Conclusions: In light of the low importance of some values for nursing students, additional strategies may be necessary to comprehensively institutionalize professional values in nursing students.
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http://dx.doi.org/10.1186/s12912-019-0351-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6610983PMC
July 2019

Sex under Influence of Drugs: A Nationwide Survey among Iranian Female Sex Workers.

Addict Health 2018 Oct;10(4):205-215

Associate Professor, HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.

Background: Due to the high level of sexual relationships, prostitute women are faced with many dangers, including acquired immune deficiency syndrome (AIDS), sexually transmitted infections (STIs), fertility problems, drug use, etc. In this regard, addict prostitute women are exposed to more risks because drug use is considered as an outstanding factor in those associated with transmission of AIDS and being in an insecure sexual relationship. The purpose of this study was to find out the variables influential on the level of drug use, before or during sexual relationship.

Methods: In 2010, 625 prostitute women were selected by multistage sampling from 21 centers out of 12 provinces. Then, we used a standard questionnaire for gathering data by a face-to-face interview. The multilevel ordinal logistic regression in survey model was used to find out the relationship between variables and the level of drug use before or during sexual relationship.

Findings: The number of monetary customers at the last working day [adjusted odds ratio (AOR): 1.87, 95% confidence interval (CI): 1.50-2.32] and having sexual relationship during the past month with monetary customers (AOR: 4.77, 95% CI: 2.61-8.70) were significantly related to the level of drug use before or during sexual relationship in the past month.

Conclusion: Since the level of drug use before or during sexual relationship was higher in women who had more daily sexual relationships, these women are exposed to the consequences of drug use; thus, identifying the status of this group of women is important to plan for future injuries.
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http://dx.doi.org/10.22122/ahj.v10i4.566DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6593167PMC
October 2018

Effect of Preterm Infant Massage by the Mother on the Mood of Mothers Having Preterm Infants.

J Chiropr Med 2019 Mar 7;18(1):67-76. Epub 2019 May 7.

Modeling in Health Research Center, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.

Objective: The purpose of this study was to determine the effect of preterm infant massage by the mother on the mood state of mothers of preterm infants.

Methods: This experimental study assessed 52 mothers of preterm infants (born at 30-37 weeks of gestation) hospitalized in the neonatal intensive care unit of Afzalipour Hospital of Kerman University of Medical Sciences, Iran. Recruitment was done using the convenience sampling method, and participants were randomly assigned into intervention and control groups. In the intervention group, massage therapy was done once a day for 5 consecutive days. Infants in the control group received the usual care. Data were collected using a questionnaire of demographic information and the Profile of Mood State questionnaire and analyzed using SPSS version 19 (IBM Corp, Armonk, New York) and Kruskal-Wallis, Mann-Whitney U, Wilcoxon, and χ tests.

Results: Comparison of the mothers' mean mood scores between the intervention and control groups showed no significant difference before the intervention ( = .51), whereas mean scores differed significantly after the intervention between the groups ( = .005). Mothers' mean mood scores improved significantly in the control group ( = .02) and the intervention group ( < .001), whereas the intervention group showed a greater improvement (-4.155 vs -2.238).

Conclusion: Those mothers performing massage on their preterm infants showed greater improvement in their mood compared with those in the control group. Teaching massage to the mothers of these infants could be considered as a possible intervention to enhance a mother's mood and the quality of care she provides to her infant.
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http://dx.doi.org/10.1016/j.jcm.2018.11.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6522643PMC
March 2019

The Value of Red Cell Distribution Width (RDW) and Trauma-Associated Severe Hemorrhage (TASH) in Predicting Hospital Mortality in Multiple Trauma Patients.

Bull Emerg Trauma 2019 Jan;7(1):55-59

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

Objective: To investigate the role of red cell distribution width (RDW) in comparison with Trauma-Associated Severe Hemorrhage (TASH) system in predicting the mortality of multiple trauma patients, referred to the hospital emergency department.

Methods: This follow-up study was conducted on multiple trauma patients (age ≥ 18 years) with Injury Severity Scores (ISS) of ≥ 16, who were referred to the emergency department from March 1, 2017, to December 1, 2017. First, all patients were evaluated based on the Advanced Trauma Life Support (ATLS) guidelines, and then, their blood samples were sent for RDW measurements at baseline and 24 hours after admission. The ISS, Revised Trauma Score (RTS), and TASH were measured in the follow-ups and recorded by third-year emergency medicine residents. Hospital mortality was considered as the outcome of the study.

Results: In this study, 200 out of 535 multiple trauma patients were recruited. The frequency of hospital mortality was 19 (9.5%). In the univariate analysis, there was no significant relationship between hospital mortality and RDW at baseline, RDW on the first day, and ΔRDW (RDW at baseline - RDW on the first day), unlike ISS, RTS, TASH (=0.97, = 0.28, and =0.24, respectively). On the other hand, in the multivariate analysis, ISS, RTS, and TASH showed a significant relationship with hospital mortality. The greatest area under the ROC curve (AUC) was attributed to TASH and RTS systems (0.94 and 0.93, respectively).

Conclusion: TASH scoring system, which was mainly designed to predict the need for massive transfusion, may be of prognostic value for hospital mortality in multiple trauma patients, similar to ISS and RTS scoring systems.
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http://dx.doi.org/10.29252/beat-070108DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360011PMC
January 2019

Trehalose attenuates spinal cord injury through the regulation of oxidative stress, inflammation and GFAP expression in rats.

J Spinal Cord Med 2019 05 4;42(3):387-394. Epub 2018 Dec 4.

d Department of Biostatistics and Epidemiology , School of Public Health, Kerman University of Medical Sciences , Kerman , Iran.

Objective: Inflammation and oxidative stress are implicated in pathogenesis of spinal cord injury (SCI). Trehalose, a nonreducing disaccharide, exhibits anti-inflammatory and antioxidant effects. The present study investigated the therapeutic efficacy of trehalose in the SCI model.

Design And Setting: An experimental study was designed using 120 male Wistar rats which were randomly divided into three groups including SCI, SCI + phosphate buffer saline (vehicle) and SCI + trehalose. All rats were subjected to SCI. Immediately after SCI, vehicle and trehalose groups received intrathecal injection of buffer and trehalose, respectively.

Outcome Measures: The level of tissue TNFα, IL-1β, nitric oxide, malondialdehyde, myeloperoxidase, glial fibrillary acidic protein (GFAP) as well as hindlimb function were assessed at 4 hours, 1, 3 and 7 days post-SCI.

Results: Data indicated an early significant decrease in inflammatory and oxidative responses following SCI in trehalose treated group. Moreover, trehalose reduced GFAP expression as soon as 1-day post-trauma. Furthermore, trehalose treatment increased the score of hindlimb function.

Conclusion: Our results indicated that treatment with trehalose reduces the development of secondary injury associated with SCI. This effect likely underlies improved neurological function.
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http://dx.doi.org/10.1080/10790268.2018.1527077DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6522923PMC
May 2019

Errors and causes of communication failures from hospital information systems to electronic health record: A record-review study.

Int J Med Inform 2018 11 6;119:47-53. Epub 2018 Sep 6.

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

Introduction: Failure in the communication of information and partial communication of information between hospital information systems (HIS) and the Iranian electronic health record (SEPAS) reduces the quality of information. The objective of this study was to identify the errors and causes of failure in the communication of patients' information from HISs to SEPAS.

Methodology: This record-review study was conducted in the first quarter of 2016. In this study, 882 records which had failed to be sent from three hospital information systems to SEPAS were reviewed and data were collected using a data collection form. Data were analyzed using descriptive and inferential statistics with SPSS.18.

Results: The review of 882 hospital records resulted in the identification of 1256 errors of 41 different types. These errors were classified into 4 categories: administrative-financial errors (61%), errors related to national codes (23%), clinical errors (9%), and other errors (7%). In total, errors were categorized into two generic types: "system level errors (65%) and operator-dependent errors (35%)". The number of errors was a significant difference in the studied hospitals (p < 0.0001).

Conclusions: This study identified a large number of system and operator-dependent errors hampering communication of information from HIS to SEPAS. Results revealed that the same hospital information systems used in different hospitals could face dissimilar types and levels of errors when communicating with other information systems. The results of this study can be used by system designers and health center policymakers to prevent the problems of information communication between health information systems.
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http://dx.doi.org/10.1016/j.ijmedinf.2018.09.004DOI Listing
November 2018

The relationship between spiritual intelligence and aggression in medical science students in the southeast of Iran.

Int J Adolesc Med Health 2018 Apr 9;32(3). Epub 2018 Apr 9.

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

Background Due to their presence in clinical educational settings when dealing with patients, medical science students are more affected by mental disorders than other students. Some experts believe that spiritual intelligence enhances people adaptability and compatibility and creates calm in humans, especially in stressful situations. Objective The objective of this study was to investigate the relationship between spiritual intelligence and aggression among students of medical sciences in the southeast of Iran. Methods This analytical-descriptive study was conducted among bachelor students of Medical Sciences in the Southeast of Iran and examples of the research were selected from the Schools of Nursing and Midwifery, Public Health, Paramedical and Management by a stratified random sampling method. To examine samples questionnaires were used which examined students' demographic information, and included King's 24-item Questionnaire of Spiritual Intelligence and the Buss-Perry Aggression Questionnaire (AQ). After completing the questionnaires, data were analyzed using statistical analysis software (SPSS version18) with a significance level (p < 0.05). Results The results showed that there is a significant negative correlation between spiritual intelligence and aggression of students (r = -0/19, p = 0/001). Results also showed that Students of Medical Sciences in the Southeast of Iran with a spiritual intelligence average score of 52.28 have an average spiritual intelligence and those with an aggression average score of 78.57 have higher aggression than average. Conclusion The results showed that with increasing spiritual intelligence, aggression decreases. The results can be used by policymakers and managers to take steps to reduce aggressive behaviors and mental disorders and for the promotion of spiritual intelligence of students of medical sciences.
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http://dx.doi.org/10.1515/ijamh-2017-0174DOI Listing
April 2018

Reliability and Validity of the Swiss Spinal Stenosis Questionnaire for Iranian Patients with Lumbar Spinal Stenosis.

Arch Bone Jt Surg 2018 Mar;6(2):119-123

Bahonar Hospital, School of Medicine, Kerman University of Medical Science, Kerman, Iran.

Background: The purpose of this study was validation of the Persian translation of the Swiss Spinal Stenosis Questionnaire in order to be used by Iranian researchers.

Methods: A total of 104 patients with spinal stenosis diagnosis, who were candidates for operative treatment were entered into the study. The patients completed the translated questionnaire in the 1 and the 7 days of admission and 6 months after surgery. Visual analogue scale was used to determine the severity of the pain in the1 day and the 6 month. Discriminant validity, convergent validity, test-retest reliability, internal consistency, ability to detect changes and sensitivity to clinical changes were assessed for the statistical purposes.

Results: Cronbach's α was more than 0.9 for all the items. ICC was about 0.9 for all the items. For symptoms, physical and total items, Cronbach's α was 0.942, 0.957, 0.926 and Intraclass correlation were 0.891, 0.918, 0.862, respectively. Paired t-test was significantly different between the 1 day and the 6 month questionnaire. There was a positive correlation either between the first VAS and the 1 day questionnaire (1 day Q) (r=0.892, ) or between the 6th month VAS and 6 month Q (r=0.940, ). The Pearson's correlation between the difference of the total scores of the 1 day and the 6 month and satisfaction score after surgery showed negative correlation (r= -0.746, ). The effect size was 2.55.

Conclusion: The Iranian version of the Swiss Spinal Stenosis has excellent internal consistency, excellent reliability, good ability to alter with changes, especially parallel with clinical improvement, excellent ability to detect changes, and well either convergent or discriminant validity. II.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5867355PMC
March 2018

Correlates of HIV Testing Among Young Adults in Iran: Findings from a Nationwide Population-Based Survey in 2013.

J Assoc Nurses AIDS Care 2018 Nov - Dec;29(6):866-875. Epub 2018 Feb 17.

We examined the prevalence and correlates of HIV testing among Iranian young adults. Demographic and behavioral data were collected cross-sectionally. A convenience sample of 19- to 29-year-old young adults (N = 3,246) were recruited from 13 major provinces. Generalized estimating equations models were constructed to identify the correlates of HIV testing. Only 13.6% (n = 443) of the participants had ever tested for HIV. In the multivariable analysis, male sex, married marital status, having extramarital sex, knowing a person living with HIV or who had died of HIV-related diseases, older age, higher education, and higher HIV-related knowledge were positively and significantly associated with HIV testing. Our finding that only about 1 in 7 Iranian young adults had ever tested for HIV was alarming. Interventions aimed at increasing HIV-related knowledge, HIV testing promotion, and identifying the barriers to HIV testing among Iranian young adults remain a public health priority.
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http://dx.doi.org/10.1016/j.jana.2018.02.005DOI Listing
August 2019

Comparison of two heuristic evaluation methods for evaluating the usability of health information systems.

J Biomed Inform 2018 04 27;80:37-42. Epub 2018 Feb 27.

Kerman University of Medical Sciences, Kerman, Iran.

Objectives: In addition to following the usual Heuristic Evaluation (HE) method, the usability of health information systems can also be evaluated using a checklist. The objective of this study is to compare the performance of these two methods in identifying usability problems of health information systems.

Methods: Eight evaluators independently evaluated different parts of a Medical Records Information System using two methods of HE (usual and with a checklist). The two methods were compared in terms of the number of problems identified, problem type, and the severity of identified problems.

Results: In all, 192 usability problems were identified by two methods in the Medical Records Information System. This was significantly higher than the number of usability problems identified by the checklist and usual method (148 and 92, respectively) (p < 0.0001). After removing the duplicates, the difference between the number of unique usability problems identified by the checklist method (n = 100) and usual method (n = 44) was significant (p < 0.0001). Differences between the mean severity of the real usability problems (1.83) and those identified by only one of the methods (usual = 2.05, checklist = 1.74) were significant (p = 0.001).

Conclusions: This study revealed the potential of the two HE methods for identifying usability problems of health information systems. The results demonstrated that the checklist method had significantly better performance in terms of the number of identified usability problems; however, the performance of the usual method for identifying problems of higher severity was significantly better. Although the checklist method can be more efficient for less experienced evaluators, wherever usability is critical, the checklist should be used with caution in usability evaluations.
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http://dx.doi.org/10.1016/j.jbi.2018.02.016DOI Listing
April 2018

Ambient air pollution and daily hospital admissions for cardiovascular diseases in Arak, Iran.

ARYA Atheroscler 2017 May;13(3):117-134

Assistant Professor, Department of Environmental Health Engineering, School of Health, Arak University of Medical Sciences, Arak, Iran.

Background: Outdoor air pollution has been considered as one of the most serious health concerns over the last decade. This study aimed to investigate the association between ambient air pollution and cardiovascular hospital admissions.

Methods: This investigation was carried out from January 1, 2010 to December 31, 2015, in the urban population of Arak, Iran. Daily records of concentrations of air pollutants including particulate matter less than 10 µm (PM10), nitrogen dioxide (NO2), particulate matter less than 2.5 µm (PM2.5), ozone (O3), carbon monoxide (CO), and sulfur dioxide (SO2) as well as the daily number of hospital admissions due to cardiovascular disease were inquired from the Arak Department of Environment and two major hospitals, respectively. Time-series regression analysis was used to evaluate the effect of the pollutants on cardiovascular hospital admissions with different lag structures, controlling for weather variables, seasonality and long-term time trends, and day of the week.

Results: Each 10 µg/m3 increase in PM10 and NO2 and 1 mg/m3 increase in CO concentrations at lag 0 (day) were significantly associated with an increase of 0.7% (P = 0.004), 3.3% (P = 0.006), and 9.4% (P < 0.001), respectively in overall cardiovascular hospital admissions. The elderly were more susceptible than those under 60 years to exposure to the pollutants (especially NO2) with regard to cardiovascular hospital admission.

Conclusion: The results of this study showed that hospital admission for cardiovascular disease is partly related to the levels of ambient air pollutions in Arak. Susceptibility to air pollutants varies by age groups and sex.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5677328PMC
May 2017

Relationship between a network's indicators and basic factors with high-risk behavior of injection among injecting drug users (IDU) via the multiple membership multilevel model.

Electron Physician 2017 Sep 25;9(9):5318-5324. Epub 2017 Sep 25.

Ph.D. of Biostatistics, Assistant Professor, Modeling in Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.

Background: Among various methods and types of drug abuse, injection receives a great deal of importance because of its related dangerous behavior and health consequences. It seemed that some of the network's indicators affect dangerous behavior of injection.

Objective: To determine the relationship between a network's indicators and basic factors with high-risk behavior of injection among injecting drug users (IDU) via the multiple memberships multilevel model.

Methods: In this cross-sectional study, the data related to 147 IDUs in Kerman province, who were interviewed from October 2013 through March 2014, were used, and these addicts were chosen for interview from specific resorts used for common injection. In this study, for analyzing data, multiple membership multilevel model and MLwiN 2.02 software were used.

Results: In this study, the mean age of people, who were mostly men, was 37.2±9.02. Based on the result, it becomes obvious that variables of in-degree with OR=1.49 (p=0.006) and the whole number of people related to the person with OR=1.18 (p=0.003) influences the high-risk behavior of injection. Also, none of the demographic variables influenced the high-risk behavior of injection.

Conclusion: Totally based on the results of this study, one can find a suitable method in the social network of IDUs in order to create essential strategies, reducing the risk throughout the country. In addition, in minimum time with fewer expenses, aggravation of dangerous behavior especially high-risk behavior of injection can be prevented.
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http://dx.doi.org/10.19082/5318DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5633232PMC
September 2017

Reasons for Inconsistent Condom Use Found as Answers to a Multiple Response Question: A National Survey of Iranian Adults, 2013.

J Res Health Sci 2017 08 10;17(3):e00389. Epub 2017 Aug 10.

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

Background: The use of condoms is important for preventing Sexually Transmitted Infections (STIs). However, the prevalence of condom use is not satisfactory. The aim of this study was to assess the reasons for inconsistent condom use in Iranian adults.

Study Design: Cross-sectional study.

Methods: Data were gathered through multi-stage sampling. Participants were enrolled from 13 provinces in Iran aged between 19 and 29 years. They had ever-extramarital sex and did not use condoms regularly in their sexual contacts, asked the reasons for inconsistent condom use.

Results: We had 3,246 adults, from which 635 (19.5%) had ever-extramarital sex. Among them, 495 (77.96%) did not use condoms with regularity. The reason frequently chosen for inconsistent condom use was 'that it is not accessible' (49.3%). The differences between the categories of some variables, according to the choice of reasons for inconsistent condom use, were significant (P<0.05): age, gender, knowledge of HIV, attitude towards HIV, knowing infected HIV person and alcohol or stimulant(s) used before sexual contact. According to multivariate multilevel logistic, the effect of gender was significant on most of reasons for inconsistent condom use (P <0.05).

Conclusions: Most of the reasons that were selected for inconsistent condom use were inaccessibility and not knowing that its use is essential. Hence, it is important to improve the knowledge of adults regarding STI/HIV and extend the locations of condom distribution. We should try to promote the culture of condom use as a routine.
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August 2017

Effect of chondroitinase ABC on inflammatory and oxidative response following spinal cord injury.

Iran J Basic Med Sci 2017 Jul;20(7):806-812

Department of Clinical Biochemistry, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran.

Objectives: Chondroitinase ABC (cABC) treatment improves functional recovery following spinal cord injury (SCI) through degrading inhibitory molecules to axon growth. However, cABC involvement in other pathological processes contributing to SCI remains to be investigated. Here, we studied the effect of cABC I on oxidative stress and inflammation developed in a rat model of SCI.

Materials And Methods: Male rats (220-250 g) were divided into three groups (n=28) including rats that underwent SCI (SCI group), rats subjected to SCI and received an intrathecal injection of phosphate buffer saline (SCI+PBS group), and rats that underwent SCI and received cABC intrathecally (SCI+E group). Then, the level of TNF-α, Il-1β, malondialdehyde, nitric oxide, and myeloperoxidase in injured tissues, as well as hindlimb motor function, were measured at 4 hr, 1, 3 and 7 days post-SCI.

Results: Our data showed that cABC treatment reduced the development of inflammation and oxidative stress associated with SCI at all-time points. In addition, functional recovery was improved in rats that received cABC at 7 days post-SCI.

Conclusion: The present findings indicate that cABC treatment can exert its neuroprotective effect through modulation of post-traumatic inflammatory and oxidative response.
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http://dx.doi.org/10.22038/IJBMS.2017.9016DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5569595PMC
July 2017

Prevalence and predictors associated with severe pulmonary hypertension in COPD.

Am J Emerg Med 2018 Feb 5;36(2):277-280. Epub 2017 Aug 5.

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

Background: Pulmonary hypertension (PH) is one of the most common complications of COPD (chronic obstructive pulmonary disease), but its severe form is uncommon. Various factors play an important role in the occurrence and severity of pulmonary hypertension in patients.

Methods: This cross-sectional study was performed on patients with COPD referred to an emergency department over a one-year period. The tests-including complete blood count (CBC) and arterial blood gas (ABG), pulmonary functional test (PFT) and echocardiography-were performed for all patients to measure mPAP (mean pulmonary artery pressure), ejection fraction (EF) and body mass index (BMI). The prevalence of severe pulmonary hypertension and its associated factors were investigated in these patients.

Results: A total of 1078 patients was included in the study, of whom 628 (58.3%) were male and 450 (41.7%) were female. The mean age of the patients undergoing the study was 70.1±12.2. A total of 136 (13.7%) of them had mPAP (mm Hg)≥40mm Hg as severe pulmonary hypertension. Following multivariable analysis by using the backward conditional method, it was shown that seven variables had a significant correlation with severe PH.

Conclusions: The results showed that there is an independent correlation between hypoxia, hypopnea and compensatory metabolic alkalosis, polycythemia, left ventricular dysfunction, emaciation, and cachectic with severe pulmonary hypertension. The prevalence of severe PH in these patients was 13.7%.
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http://dx.doi.org/10.1016/j.ajem.2017.08.014DOI Listing
February 2018

Correlates of methamphetamine use among young Iranians: Findings of a population-based survey in 2013.

Am J Addict 2017 Oct 7;26(7):731-737. Epub 2017 Aug 7.

HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.

Introduction: Methamphetamine use remains an important public health concern among young people across various international settings. The present study is aimed at investigating the correlates of methamphetamine use among young Iranians within the general population.

Materials And Methods: This study was carried out in 13 provinces of Iran in 2013. Through multistage sampling, 3,246 young adults (aged 19-29 years) were recruited in the study. Weighted multilevel logistic regression methods were applied to identify the correlates of methamphetamine use.

Results: The lifetime prevalence of methamphetamine use was 7.1% (95% Confidence Interval (CI): 5.4, 8.8). In the multivariable logistic regression, gender (Adjusted Odds Ratio (AOR): 2.57, 95%CI: 1.37, 4.82), marital status (AOR: 4.91, 95%CI: 2.26, 10.7), education level (AOR: 2.56, 95%CI: 1.3, 5.06), profession (AOR: 2.64, 95%CI: 1.63, 4.29), overall knowledge level of methamphetamine use (AOR: 0.55, 95%CI: 0.39, 0.76), knowing a methamphetamine user among family members or friends (AOR: 2.57, 95%CI: 1.71, 4.42), knowing an ecstasy user among family members or friends (AOR: 3.36, 95%CI: 1.92, 5.9), and extramarital sex (AOR: 6.29, 95%CI: 4.29, 9.22) were significantly associated with methamphetamine use.

Conclusions: The lifetime prevalence of methamphetamine use among young Iranian adults is concerning. Educational settings should be equipped with the required resources to take a proactive role in educating adolescents and young adults on substance use including methamphetamine.

Scientific Significance: This study was done on a national level and identified the factors that can correlate with methamphetamine use. Its results can be very useful for policy decision makers. (Am J Addict 2017;26:731-737).
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http://dx.doi.org/10.1111/ajad.12604DOI Listing
October 2017