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کاربرد نوع شرط:
- جایگاه : پژوهشی
- مجله: Future of Medical Education Journal
- نوع مقاله: Journal Article
- کلمات کلیدی: Epidemiology,attitude,Knowledge,Fars province,General Physicians
- چکیده:
- چکیده انگلیسی: Background: Epidemiology is the base of public health and preventive medicine. This study was conducted to identify the rate of awareness and attitude of 1000 Fars General Physicians about Epidemiology Science in 2010
Methods: The present study performed as cross-sectional on working general physicians (GPs) in 20 of Fars provinces in 1-Stage Cluster sampling. In the study, factors such as age, gender, university of graduation, marital status, the length of time since graduation, working place's type with different levels of awareness and attitude, has been evaluated.
Results: In terms of awareness, 55.4% of physicians had low, 41.7% had average and 2.9% had desirable awareness and in terms of attitude, 83.4% had low, 16.3% had average and 0.3% had a desirable attitude. Then significant statistical association between levels of awareness and attitude and age, gender, university of graduation, the length of the time since graduation, marital status and working place variables was observed.
Conclusions: Considering the unfavorable results of awareness and attitude, paying more fundamental attention to detailed knowledge of epidemiology should be considered by health policy makers through a documented plan as well as continuous while in service training.- انتشار مقاله: 30-09-1390
- نویسندگان: Pezhman Bagheri,Leila Halimi,Kamran Bagheri Lankarani,Hassan Joulaei
- مشاهده
- جایگاه : پژوهشی
- مجله: Women’s Health Bulletin
- نوع مقاله: Journal Article
- کلمات کلیدی: Iran,Women,mental health
- چکیده:
- چکیده انگلیسی: Mental health is one of the most important of health components.Mental and behavioral diseases are major disease burdens. Women make up half of the world's population and raise the other half. While women are an integral part of societies, their diverse roles put them at a higher risk of psychological issues The 8th conference on women's health was the collaboration of Health Policy Research Center, affiliated with Shiraz University of Medical sciences, and Health Promotion and Women’s Health workgroup affiliated with the Academy of Medical Sciences. It is believed that we must move towards promoting and broadening women's health issues beyond the sole reproductive and sexual rights. Through a coordinated action, which has involved all concerned stakeholders including governmental health, social, and economic sectors, local authorities and stakeholders, industries, NGOs, volunteers, and the media aiming to enhance women’s mental health, the conference had three priorities: 1) family cohesion and lifestyle, 2) vulnerable women, and 3) resilience.
- انتشار مقاله: 06-09-1398
- نویسندگان: Najmeh Maharlouei,Hengameh Kasraei,Fatemeh Shaygani,Amir Reza Bahadori,Sharareh Khonyagar,Zahra Reyhani,Seyyed Shahrokh Mousavi,Maryam Kazemi,Kamran B. Lankarani
- مشاهده
- جایگاه : پژوهشی
- مجله: Women’s Health Bulletin
- نوع مقاله: Journal Article
- کلمات کلیدی: Work,Hospital,Job Characteristics,Family Conflict,Working Women
- چکیده:
- چکیده انگلیسی: Background: Work and life have the greatest and strongest bond with an individual and the society. Their balance has a high value. If the relationship between work and life is not managed, the conflict between these two will result in irreparable damage to individuals, organizations and communities. Objectives: The main objective of the current study is to investigate the relationship between job characteristics and work-family conflict among married women employed in clinical wards of Shiraz University-affiliated hospitals. Patients and Methods: The study population included 180 married women who work in clinical wards of four university-affiliated hospitals in Shiraz. We used the improved Leiden Quality of Work Life Questionnaire by Van der Doef and colleagues and the work-family conflict questionnaire by Kelloway and colleagues to measure participants' responses. One-way ANOVA and Pearson linear correlation coefficient were used for data analyses. Results: There was a negative relation between job characteristics and work-family conflict. Respondents experienced higher levels of work-to-family conflict than family-to-work conflict. There were significant negative relations between skill variety, task autonomy, task significance, job security, social support of colleagues and supervisors with work-family conflict and positive significant relations between time, work pressure and hazardous exposure with work-family conflict. Conclusions: work-family conflict of employed women could be reduced by rearranging job characteristics and conditions. Job resources such as social support should be strengthened and job demands should be adjusted commensurate with the physical and mental capabilities of staff.
- انتشار مقاله: 11-10-1348
- نویسندگان: Alireza Mooghali,Kamran Bagheri Lankarani,Hamideh Abedi,Yaser Sarikhani
- مشاهده
- جایگاه : پژوهشی
- مجله: Journal of Health Sciences and Surveillance System
- نوع مقاله: Journal Article
- کلمات کلیدی: Paternalism,Suppression,Doctor- patient interaction,Problematic situation
- چکیده:
- چکیده انگلیسی: Background: Many of health system services are done in clinical counseling. A patient’s expectation of clinical consultation and physician office visits is to obtain diagnostic-remedial results, while such an expectation can be fulfilled only through an active relationship between the doctor and the patient. The aim of this study is to evaluate the quality of doctor- patient interaction in an educational clinic in southern Iran. Methods: This is a conversation analysis based on critical approach. So, 33 clinical consultations were analyzed critically. Results: Results showed that paternalistic model is the overall pattern in consultations. This leads to limitation of the patients’ opportunity to participate in their diagnosis and treatment. Powers’ asymmetrical relations lead to conditions in which physicians determine the clinical counseling process. Also, physicians determine the subject of consultation in the counseling period. In this situation, the patients’ concerns were ignored. This ignorance leads to the patients’ suppression in problematic situations. The main point is that the clinical counseling occurs in one general contract that is unwritten but has been known for the two sides of interaction. Conclusion: Clinical counseling can be an active consultation when it included the symmetrical distribution of power and the patient has an active participation in the consultation. Therefore, the new patient-centered approaches can be an appropriate model for access to a type of consultation based on symmetrical power distribution between physician and patient.
- انتشار مقاله: 10-03-1393
- نویسندگان: Ahmad Kalateh Sadati,Kamran Bagheri Lankarani,Halimeh Enayat,Akbar Rasekhi Kazerooni,Sara Ebrahimzadeh
- مشاهده
- جایگاه : پژوهشی
- مجله: Iranian Journal of Medical Sciences
- نوع مقاله: Journal Article
- کلمات کلیدی: Iran,Meta-Analysis,Vitamin D deficiency
- چکیده:
- چکیده انگلیسی: Background: The prevention and correction of vitamin D deficiency requires a precise depiction of the current situation and identification of risk factors in each region. The present study attempted to determine these entities using a systematic review and meta-analysis in Iran.Methods: Articles published online in Persian and English between 2000 and November 1, 2016, were reviewed. This was carried out using national databases such as SID, IranMedex, Magiran, and IranDoc and international databases such as PubMed, Google Scholar, and Scopus. The heterogeneity index among the studies was determined using the Cochran (Q) and I2 test. Based on the heterogeneity results, the random-effect model was applied to estimate the prevalence of vitamin D deficiency. In addition, meta-regression analysis was used to determine heterogeneity-suspected factors, and the Egger test was applied to identify publication bias.Results: The meta-analysis of 48 studies identified 18531 individuals with vitamin D deficiency. According to the random-effect model, the prevalence of vitamin D deficiency among male, female, and pregnant women was estimated to be 45.64% (95% CI: 29.63 to 61.65), 61.90% (95% CI: 48.85 to 74.96), and 60.45% (95% CI: 23.73 to 97.16), respectively. The results of the meta-regression analysis indicated that the prevalence of vitamin D deficiency was significantly different in various geographical regions (β=4.4; P=0.023).Conclusion: The results obtained showed a significant prevalence of vitamin D deficiency among the Iranian population, a condition to be addressed by appropriate planning.
- انتشار مقاله: 03-05-1395
- نویسندگان: Reza Tabrizi,Mahmood Moosazadeh,Maryam Akbari,Mohammad Hossein Dabbaghmanesh,Minoo Mohamadkhani,Zatollah Asemi,Seyed Taghi Heydari,Mojtaba Akbari,Kamran B Lankarani
- مشاهده
- جایگاه : پژوهشی
- مجله: Iranian Journal of Medical Sciences
- نوع مقاله: Journal Article
- کلمات کلیدی: Prevalence,HIV,Hepatitis B virus,Hepatitis Delta virus
- چکیده:
- چکیده انگلیسی: Evidence has shown that liver disease caused by hepatitis viruses can be more aggressive and severe in HIV infected subjects. Therefore, the present cross-sectional study aimed to evaluate the seroprevalence of HDV infection among HIV/HBV co-infected clients in Shiraz, southwest Iran. In this study, 178 patients co-infected with HBV and HIV individuals were enrolled. The diagnosis of HIV infection was documented based on serological assays. The demographic and complementary data were collected by a questionnaire. HBsAg and HDV Ab were detected by commercial quantitative enzyme linked immunosorbent assay kits according to the manufacturer’s instructions. Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) were also measured. The mean age of the participants was 37.4±7.4 years (range 22-63). 175 (98.4 %) patients were male and 3 (1.6 %) were female. Among 178 patients co-infected with HIV/HBV, 35 cases (19.7%, 95% CI: 14%-25%) were anti-HDV positive and 143 (80.3%) were negative for anti-HDV. HDV exposure in HIV/HBV co-infected patients was associated with blood transfusion (P=0.002, OR: 14.3) and prison history (P=0.01, OR: 2.31) but not with age, marital status, unsafe sex contact, and injection drug abuse. Our data showed a relatively high prevalence of HDV infection in HIV infected population in Shiraz, Iran. The high frequency of HDV Ab in patients with blood transfusion and prison history reveals that HDV transmission occurs more frequently in the parental route than sexual contacts; therefore, blood screening for HDV diagnosis in the high-risk group is recommended.
- انتشار مقاله: 10-02-1393
- نویسندگان: Mohammad Motamedifar,Mohammad Taheri,Kamran Bagheri Lankarani,Mina Gholami,Mahmood Amini Lari,Hossein Faramarzi,Jamal Sarvari
- مشاهده
- جایگاه : پژوهشی
- مجله: Iranian Journal of Medical Sciences
- نوع مقاله: Journal Article
- کلمات کلیدی: mortality,Stroke,sex,Cerebrovascular disease,Cerebrovascular accident
- چکیده:
- چکیده انگلیسی: Background: Unlike the western hemisphere, information about stroke epidemiology in southern Iran is scarce. The aim of this study was to determine the main epidemiological characteristics of patients with stroke and its mortality rate in southern Iran.Methods: A retrospective, single-center, hospital-based longitudinal study was performed at Nemazee Hospital in Shiraz, Southern Iran. Patients with a diagnosis of hemorrhagic and ischemic strokes were identified based on the International Classification of Diseases, 9th and 10th editions, for the period between 2001 and 2010. Demographics including age, sex, area of residence, socioeconomic status, length of hospital stay, and discharge destinations were analyzed in association with mortality. Results: 16351 patients with a mean age of 63.4 years (95% CI: 63.1, 63.6) were included in this analysis. Men were slightly predominant (53.6% vs. 46.4%). Forty-seven percent of the total sample was older than 65,17% were younger than 45, and 2.6% were children younger than 18. The mean hospital stay was 6.3 days (95% CI: 6.2, 6.4). Among all types of strokes, the overall hospital mortality was 20.5%. Multiple logistic regression revealed significantly higher in-hospital mortality in women and children (P<0.001) but not in patients with low socioeconomic status or from rural areas. During the study period, the mortality proportions increased from 17.8% to 22.2%. Conclusion: In comparison to western countries, a larger proportion of our patients were young adults and the mortality rate was higher.
- انتشار مقاله: 06-07-1392
- نویسندگان: Afshin Borhani-Haghighi,Rasool Safari,Seyed Taghi Heydari,Faroq Soleimani,Maryam Sharifian,Sara Yektaparast Kashkuli,Mahsa Nayebi Khayatghuchani,Mahbube Azadi,Abdolhamid Shariat,Anahid Safari,Kamran Bagheri Lankarani,Amer Alshekhlee,Salvador Cruz-Flores
- مشاهده
- جایگاه : پژوهشی
- مجله: Iranian Journal of Immunology
- نوع مقاله: Journal Article
- کلمات کلیدی: Humoral immunity,H1N1,Flu Vaccine,Hemagglutination Inhibition
- چکیده:
- چکیده انگلیسی: Background: Pandemic flu had at least two waves in Iran. Knowing how many of the general population were already exposed to this infection has a major impact on na-tional preventive measures. As of December 30, 2009, a total of 3672 confirmed cases of human infection with a novel Influenza A (2009 H1N1) virus had been reported in Iran with 140 deaths.
Objective: In this study we aim to measure, as a pilot study, the seroprevalence of positive antibody titer (humoral immunity) against 2009 H1N1 virus in Iranian population in Shiraz, Southern Iran.
Methods: Through cluster random sam-pling of families residing in Shiraz, 2553 subjects were selected and after a medical in-terview blood samples were taken and checked for polyclonal antibody against 2009 H1N1 antigen using hemagglutination inhibition assay. An antibody titer of more than 1:40 dilution was considered positive. Data were analyzed considering the demographic characteristics of the population and were compared among different age groups.
Results: 1504 (58.91%) samples were tested positive for the presence of polyclonal an-tibody against 2009 H1N1 virus. The prevalence of positive titers were significantly higher in 60 to 64 years old group and significantly lower in 20 to 24 years old group (p<0.05). Data did not differ based on other demographic characteristics or the history of flu like illnesses in the past 6 months.
Conclusion: High seroprevalence of antibody against 2009 H1N1 in the sera of our subjects describes either a high level of pre-existing immunity against H1N1 in Iranian population or a high rate of asymptomatic infection in our area compared to other countries.- انتشار مقاله: 16-05-1395
- نویسندگان: Mohsen Moghadami,Afagh Moattari,Hamid Reza Tabatabaee,Alireza Mirahmadizadeh,Abbas Rezaianzadeh,Jafar Hasanzadeh,Mostafa Ebrahimi,Nima Zamiri,Abdolvahab Alborzi,Kamran Bagheri Lankarani
- مشاهده
- جایگاه : پژوهشی
- مجله: Iranian Journal of Immunology
- نوع مقاله: Journal Article
- کلمات کلیدی: Helicobacter pylori,Polymorphism,Myeloperoxidase
- چکیده:
- چکیده انگلیسی: Background: Polymorphisms in the immune related genes are important in the clinical outcome of Helicobacter pylori infection. Myeloperoxidase -463 G/A polymorphism has been shown to reduce enzyme expression and activity.
Objective: the aim of the present study is to investigate the association of myeloperoxidase G-463A polymor-phism with clinical outcome of Helicobacter pylori infection.
Methods: two hundred and eighty five patients with positive culture of Helicobacter pylori from their gastric biopsies are included in this study. Human leukocyte DNA was extracted using salting out method and myeloperoxidase G-463A polymorphism was investigated by PCR-RFLP. All clinicopathological data were collected from individual records.
Results: When the patients were categorized according to the high (GG) and low + intermediate (AG+AA) genotypes of myeloperoxidase producers, there was a significant association between myeloperoxidase G-463A genotypes and clinical outcome of Helicobacter py-lori infection (p=0.006). In search for combined effect of cagA status and myeloperoxi-dase genotypes on clinical presentations, only in cagA- Helicobacter pylori infected pa-tients a significant association between myeloperoxidase genotypes and clinical out-come was found (p=0.0001). Also this association was found only in patients infected with vacA s1m1 genotype (p=0.008).
Conclusions: Our findings suggest that the mye-loperoxidase G-463A polymorphism is a host genetic factor which determines the clini-cal outcome of Helicobacter pylori infection. Moreover, the combination of host and bacterial genetics could provide a better understanding of clinical outcome after infec-tion with Helicobacter pylori.- انتشار مقاله: 17-05-1395
- نویسندگان: Eskandar Kamali-Sarvestani,Hadi Farsiani,Michel Shamoon Pour,Abdulah Bazargani,Kamran Lankarani,Ali-Reza Taghavi,Mehdi Saberifiroozi
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Community Based Nursing and Midwifery
- نوع مقاله: Journal Article
- کلمات کلیدی: Iran,Exclusive breastfeeding,Lactation,determinants
- چکیده:
- چکیده انگلیسی: Background: Exclusive breastfeeding (EBF) in the first six months of the life can significantly improve maternal and children health, and it is especially important in low- and middle-income countries. We aimed to determine the factors affecting EBF duration in a sample of Iranian infants.Methods: This prospective study was conducted between April 2012 and October 2014 in Fars, Iran. Women (N=2640), who had given birth to healthy term infants were categorized into EBF versus non-EBF groups. Demographic information from mothers and infants, medical and drug history, and pregnancy related factors were compared between the two groups. Multivariable analysis was performed using Adaptive Lasso regression. P
- انتشار مقاله: 29-09-1396
- نویسندگان: Najmeh Maharlouei,Amirhosein Pourhaghighi,Hadi Raeisi Shahraki,Dariush Zohoori,Kamran Bagheri Lankarani
- مشاهده