Publications by authors named "Mona Mohammadi Firouzeh"

7 Publications

  • Page 1 of 1

Prevalence of Tuberculosis in a Prison in Tehran by Active Case Finding.

Infect Disord Drug Targets 2019 ;19(2):167-170

Iranian Research Center for HIV/AIDS, Iranian Institute for Reduction of High Risk Behaviors, Tehran University of Medical Sciences, Tehran, Iran.

Background: Tuberculosis [TB] is one of the most important infectious diseases among prisoners. TB Screening plays an important role in prevention among prisoners and their visitors, also better caring of the patients. Active case finding is one of screening methods that is relatively an easy one to find TB suspected prisoners. Therefore, we aimed to assess the prevalence of TB in male prisoners in Tehran, Iran.

Methods: This study was conducted among male prisoners in Great Tehran Prison to screen and diagnose TB patients from October 2013 to May 2014. We used active case finding [ACF] as a screening method to find TB suspected prisoners in which healthcare staff explained TB symptoms for prisoners and individuals with those symptoms referred to the clinic for further work up (sputum sample tests).

Results: In total of 6900 prisoners, 448 (6.5%) prisoners were TB suspected by ACF and only nine patients were diagnosed with tuberculosis, indicating the prevalence of 0.13%.

Conclusion: The relatively low TB prevalence within prisoners besides considering likely common symptoms in ACF may result in many false positive cases during screening (6.5% vs. 0.13%). But, ACF is more fast, easy and affordable method to find TB suspected prisoners. Also, during this active method, prisoners are trained about TB symptoms so, it has a more prolonged effect towards screening goals.
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http://dx.doi.org/10.2174/1871526518666180507122425DOI Listing
October 2019

Prevalence of HIV in a Prison of Tehran by Active Case Finding.

Iran J Public Health 2017 Mar;46(3):431-432

AIDS Office, Center for Communicable Diseases Control, Ministry of Health and Medical Education, Tehran, Iran.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5395544PMC
March 2017

Evaluation of vocal-electronic nursing documentation: A comparison study in Iran.

Inform Health Soc Care 2017 Sep 20;42(3):250-260. Epub 2016 Jun 20.

a Iranian Research Center for HIV/AIDS , Iranian Institute for Reduction of High-Risk Behaviors, Tehran University of Medical Sciences , Tehran , Iran.

Aim: Documentation is a critical element in the function of the nursing team, and cannot be separated from high-quality, patient-centered care. The aim of this study was to compare the quality of nursing documentation in electronic and paper-based systems.

Method: A retrospective descriptive study was designed to compare the quality of nursing documentation in electronic health records (EHR) versus paper-based documentation systems before and after the application of the electronic system.

Results: Analysis of data found a significant difference in the quality of nursing documentation in the two hospitals both before and after the implementation of an EHR system (p < 0.001).Quality of nursing documentation in the electronic system was significantly better than that of paper-based documentation systems.

Conclusion: Vocal-electronic systems help to improve quality of nursing documentation, suggesting this aspect may be essential to implementing a successful system in local settings.
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http://dx.doi.org/10.1080/17538157.2016.1178119DOI Listing
September 2017

Quickness of HIV and Tuberculosis Diagnostic Procedures in Prison of Tehran, Iran.

Infect Disord Drug Targets 2016 ;16(2):109-12

Islamic Azad University, Tehran Medical Sciences Branch, Shariati Street, Zargandeh, Tehran, Iran.

Background: Quickness of diagnosis and getting results in prisons is lower than other settings. The present study aimed to assess the quickness of HIV and Tuberculosis diagnostic process in the Great Tehran Prison.

Materials And Methods: The present study evaluated the quickness of HIV diagnostic testing (ELISA, Western Blot and CD4 count) in the Great Tehran Prison over the period of October 2013 to May 2014. Also, all suspected tuberculosis (TB) patients in the prison were examined for the occurrence of active TB through collecting 35 chest X-rays and 215 sputum specimens for acid-fast bacillus (AFB) testing at the health center laboratory.

Results: The average interval between when test requests were made by a physician and when HIV ELIZA/ Western Blot was obtained was relatively long time. On average, the interval between a physician`s requests for CD4 count to assess the results was eight days. The average time interval between test requests by a physician to deliver sputum samples to the laboratory was four days. However, the average time interval between a physician`s requests for sputum samples to assess the results was 16 days.

Conclusion: Due to the significance of positive and negative results for making decision on diagnosis, initiation and follow up of treatment procedure, the time intervals should become shorter.
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http://dx.doi.org/10.2174/1871526516666160105113549DOI Listing
March 2017

Demographic, Clinical and Laboratory Profiles of HIV Infected Patients Admitted into Imam Khomeini Hospital of Tehran, Iran.

Infect Disord Drug Targets 2016 ;16(2):113-20

Iranian Research Center for HIV/AIDS (IRCHA), Iranian Institute for Reduction of High-Risk Behaviors, Tehran University of Medical Sciences, Tehran, Iran.

Objective: The aim of this study was to report the epidemiological, clinical and laboratory profiles of HIV-infected patients who admitted to HIV/AIDS laboratory of Imam Khomeini Hospital in Tehran, Iran.

Methods: HIV positive patients referred to the HIV/AIDS reference laboratory between December 2012 to March 2013 were included in the study. Their demographic characteristics, behavioral and personal history were assessed. Ninety nine patients' files from the medical records at the Voluntary Counseling and Testing Center (VCT) were selected and evaluated. Data was analyzed using SPSS for Windows Version 16. We used Pearson's chi-squared, one-way ANOVA and post hoc tests to examine differences in proportions.

Results: Of 99 participants in the present study, 68.7% were males, the mean age of the patients was 36±1.2 years and about 60% were married and almost half of them were self-employed. The most common transmission route was injection drug use. There was a statistically significant difference in CD4 count among different age groups (P = 0.028). Also, there was significant association between CD4 count and narcotic types (F=3.71, P = 0.012). Patients who used opium, had significantly higher CD4 than who used two or more narcotics (P = 0.005).

Conclusion: Our findings are helpful in understanding the demographic, clinical and laboratory profile of people living with HIV/AIDS. Consideration of useful interventions for high- risk groups and paying more attention to socio demographic background are needed for health care providers.
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http://dx.doi.org/10.2174/1871526516666151230115809DOI Listing
March 2017

Early initiation of antiretroviral treatment: Challenges in the Middle East and North Africa.

World J Virol 2015 May;4(2):134-41

Sara Sardashti, Mehrnoosh Samaei, Mona Mohammadi Firouzeh, Seyed Ali Mirshahvalad, Fatemeh Golsoorat Pahlaviani, SeyedAhmad SeyedAlinaghi, Iranian Research Center for HIV/AIDS, Iranian Institute for Reduction of High Risk Behaviors, Tehran University of Medical Sciences, Tehran 14-19-733141, Iran.

New World Health Organization guidelines recommend the initiation of antiretroviral treatment (ART) for asymptomatic patients with CD4+ T-cell counts of ≤ 500 cells/mm(3). Substantial reduction of human immunodeficiency virus (HIV) transmission is addressed as a major public health outcome of this new approach. Middle East and North Africa (MENA), known as the area of controversies in terms of availability of comprehensive data, has shown concentrated epidemics among most of it's at risk population groups. Serious challenges impede the applicability of new guidelines in the MENA Region. Insufficient resources restrict ART coverage to less than 14%, while only one fourth of the countries had reportable data on patients' CD4 counts at the time of diagnosis. Clinical guidelines need to be significantly modified to reach practical utility, and surveillance systems have not yet been developed in many countries of MENA. Based on available evidence in several countries people who inject drugs and men who have sex with men are increasingly vulnerable to HIV and viral hepatitis, while their sexual partners - either female sex workers or women in monogamous relationships with high-risk men - are potential bridging populations that are not appropriately addressed by regional programs. Research to monitor the response to ART among the mentioned groups are seriously lacking, while drug resistant HIV strains and limited information on adherence patterns to treatment regimens require urgent recognition by health policymakers. Commitment to defined goals in the fight against HIV, development of innovative methods to improve registration and reporting systems, monitoring and evaluation of current programs followed by cost-effective modifications are proposed as effective steps to be acknowledged by National AIDS Programs of the countries of MENA Region.
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http://dx.doi.org/10.5501/wjv.v4.i2.134DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4419117PMC
May 2015

Addressing predictors of HIV related risk behaviors: demographic and psychosocial profile of Iranian patients.

J Infect Public Health 2014 Nov-Dec;7(6):472-80. Epub 2014 Aug 30.

Iranian Research Center for HIV/AIDS (IRCHA), Iranian Institute for Reduction of High-Risk Behaviors, Tehran University of Medical Sciences, Imam Hospital, Keshavarz Blvd, PO Box: 1419733141, Tehran, Iran. Electronic address:

Background: For effective implementation of HIV-related behavioral interventions, better understanding the demographic characteristics of infected patients in relation with high-risk behavior profiles, physical and mental health are essential.

Methods: In a cross-sectional descriptive study, 400 HIV infected patients from December 2011 through January 2013 were evaluated regarding their demographic features, and four selected subscales (high-risk behaviors, self-efficacy, well-being, and social participation). A validated questionnaire of 62 items was used for assessment.

Results: Almost 33% of all participants were women, 28% were younger than 30 years old, and 43% were never married; 50% had no permanent jobs. Women, widowed participants, patients <30 years, and those with higher educational levels had higher mean HIV risk behavior scores. In simple and multiple linear regression models, women >50 years and <30 years had the highest scores (β=2.714, p<0.0001; β=2.00, p<0.001). Furthermore, male and illiterate patients had higher social participation scores while female and divorced participants had higher well-being and self-efficacy scores.

Conclusion: We propose that demographic features play a critical role in increasing engagement in HIV-related high-risk behaviors; these characteristics also affect patients' social participation, well-being and self-efficacy. High-risk behaviors and social participation scores among women of different age groups and the youth highlight the need for future age and gender-specific educational and behavioral interventions among them.
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http://dx.doi.org/10.1016/j.jiph.2014.07.014DOI Listing
July 2015