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کاربرد نوع شرط:
- جایگاه : پژوهشی
- مجله: Iranian Journal of Medical Sciences
- نوع مقاله: Journal Article
- کلمات کلیدی: Iran,Quality of Life,Adolescent,Child
- چکیده:
- چکیده انگلیسی: Background: Health-related quality of life (HRQoL) has become a major concern in the field of children’s health research. We assessed HRQoL among Iranian children and adolescents according to the socioeconomic status (SES) of their living region.Methods: Via multistage cluster sampling from rural and urban school students aged 6 to 18 years, this nationwide study was conducted from 2011 to 2012. HRQoL was assessed using the adolescent core version of the Pediatric Quality of Life questionnaire. Through survey data analysis methods, the data were compared according to the SES of the living region, sex, and the living area.Results: Overall, 23043 students participated in the survey (participation rate=92.2%). The mean age of the participants was 12.55±3.31 years. Boys accounted for 50.8% of the study population, and 73.4% were from urban areas. At national level, the mean of the HRQoL total score was 81.7 (95% CI: 81.3 to 82.1) with a mean of 83.5 (95% CI: 83.0 to 84.1) for the boys and 79.8 (95% CI: 79.1 to 80.5) for the girls. The highest and the lowest scores, respectively, belonged to social functioning (90.0 [95% CI: 89.7 to 90.3]) and emotional functioning (78.2 [95% CI: 77.7 to 78.7]). The highest total HRQoL score belonged to the second highest SES region of the country (mean=83.1; 95% CI: 82.5 to 83.7). The association between total HRQoL and the score of all the subscales and SES in the living area was statistically significant (P<0.001).Conclusion: The results of the present study showed that in the children and adolescents, SES was associated with HRQoL. Accordingly, HRQoL and the related SES differences should be considered one of the priorities in health research and health policy.
- انتشار مقاله: 13-04-1396
- نویسندگان: Roya Kelishadi,Saeid Safiri,Shirin Djalalinia,Sareh Miranzadeh,Mohammad Esmaeil Motlagh,Hamid Asayesh,Shaghayegh Beshtar,Morteza Mansourian,Armita Mahdavi Gorabi,Omid Safari,Mostafa Qorbani
- مشاهده
- جایگاه : پژوهشی
- مجله: Iranian Journal of Fisheries Sciences
- نوع مقاله: Journal Article
- کلمات کلیدی: Hematology,Methionine,lysine,Soy protein,Digestive enzymes activity,Sparidentex hasta
- چکیده:
- چکیده انگلیسی: The effect of dietary partial replacement of fish meal (FM) by soybean protein (SP) alone or in combination with lysine (Lys) and methionine (Met) supplementation were tested in a 60-days feeding trial for silvery-black porgy (Sparidentex hasta) juveniles. Seven isoproteic (ca. 50% crude protein) and isoenergetic (ca. 22.4 MJ/kg) diets were formulated in which 45% (SP45), 60% (SP60) and 75% (SP75) of FM protein were replaced by SP and the control diet (FM) was prepared with FM as the major source of protein. In SP45+, SP60+ and SP75+ diets, 45 to 75% of FM was replaced by SP with supplementing blends of Lys and Met (98% of purity). The activities of the trypsin, lipase and α-amylase were higher in fish fed SP diets with crystalline amino acids supplementation than in the other groups (P < 0.05). Fish fed SP75 and SP75+ diets had the lowest red blood cell count and hematocrit level (P < 0.05). The results of the current study indicated that anti-nutritional factors in a soy-protein based diet rather than lysine and methionine deficiencies may have adverse effects on digestive enzymes activities and health condition in silvery-black porgy juveniles.
- انتشار مقاله: 14-06-1395
- نویسندگان: Morteza Yaghoubi,Mansour Torfi Mozanzadeh,Jasem Ghafle Marammazi,Omid Safari,Enric Gisbert
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: anxiety,Infant,Mother,Neonatal Intensive Care Unit,Preterm
- چکیده:
- چکیده انگلیسی: Background: Preterm birth and subsequent admission of the infant to neonatal intensive care unit (NICU) can be distressing for parents and lead to their anxiety. The aim of this study was to evaluate maternal anxiety in mothers of infants admitted to the NICU and determine the characteristics associated with maternal anxiety.
Materials and Methods: This study is a descriptive, cross-sectional study with participation of 100 mothers with infant that was born premature and hospitalized in NICU (mothers were selected through convenient sampling method) of Al-Zahra hospital, affiliated to Tabriz University of Medical Sciences, Tabriz, Iran. Data collection tools included baseline characteristics (21 items), and Spielberger State-Trait Anxiety Inventory (STAI). Data were analyzed using SPSS software (version 23.0).
Results: The results of study showed that 62% (n=100) of mothers had moderate level of state anxiety and (54% (n=100) had moderate level of trait anxiety, mean (SD) state anxiety score was 48.62(6.00) and mean (SD) trait anxiety was 32.45(3.63. There was statistically significant difference regarding state anxiety mean scores and number of delivery, education level, gestational age at birth weeks and child order (P<0.05).
Conclusion: Based on the results, mother of premature infants had moderate level of state anxiety. Having university degree, the mothers whose premature infants were at 33 weeks gestational age and mothers who had third or more delivery number and their child order was third and over had experienced state anxiety.- انتشار مقاله: 20-03-1398
- نویسندگان: Zhilla Heydarpoor Damanabad,Leila Valizadeh,Mohamadreza Mansouri Arani,Mohammadbager Hosseini,Mohammad Asgari Jafarabadi,Morteza Mansourian,Arash Ziapour,Omid Safari,Amin Mirzaei,Babk Rastegarimehr
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Iran,Public health,Leishmaniasis,Child,cutaneous
- چکیده:
- چکیده انگلیسی: Background: Cutaneous leishmaniasis (CL) is a main public health problem in Iran with a high incidence rate among children. According to numerous studies in Iranian society, the most commonly affected age group is 1–4 years. At present, we aimed to investigate the pediatric CL among children in Golestan Province in North of Iran.
Materials and Methods: A cross-sectional study was run on data existed for 3,371 cases with pediatric cutaneous leishmaniasis based on routinely collected data from the Health System of Golestan Province, Iran, between 2010 and 2017. Data of the study were gathered using two checklists about CL and demographic status from District Health Network. Data were analyzed using SPSS software (version 18.0).
Results: In general, 3371cases were investigated. The majority of cases were male 1495 (50.9%), lived in the rural area, while the least CL were female 155 (38.7 %), and lived in the urban area. Pediatric cutaneous leishmaniasis had the highest 883 (26.3%), and lowest 186 (5.5%) frequency in 2010 and 2013 years, accordingly. CL was increased from July and reached to maximum in October, then decreased considerably in January. In final, a significant relationship was found between CL cases and years of the survey (p= 0.001).
Conclusion: The most CL cases were found among males and aged 0-5 years. As indicated by different studies, CL in the endemic area of the country (Golestan Province) occurs more often in children, while it commonly happens among adolescents in the central area of the country. Thus, it points to the role of mothers in protecting children through dressing up and sleeping habits in the outdoor environments.- انتشار مقاله: 02-02-1398
- نویسندگان: Oghlniaz Jorjani,Hamid Reza Kamalinia,Zahra Mehrbakhsh,Hajar Ziaei-Hezarjaribi,Kumars Pourrostami,Morteza Mansourian,Omid Safari,Mohammad Sadegh Abedzadeh Zavareh,Kamal Mirkarimi
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: children,Iran,Clinical manifestations,Brucellosis
- چکیده:
- چکیده انگلیسی: Background
Brucellosis is a zoonotic disease that is widely distributed throughout the developing countries. Children are considered as at risk groups for infection. The aim of this study was to assess the frequency and clinical manifestations of Brucellosis in Iranian children and adolescents.
Materials and Methods: We systematically searched international databases; ISI, Medline (via PubMed), Scopus, and national databases Irandoc, Barakat knowledge network system, Magiran, and Scientific Information Database (SID). The search strategy was developed based on main terms of "Brucellosis," "Brucella fever", "Gibraltar", "Rock Fever", "Undulant Fever", "Cyprus Fever", "Malta Fever", and "Bang Disease".
Results: A total of 885 studies were identified, from them a total of 12 studies that were conducted between 2001 and 2016 were included. Following the relevancy assessments and quality control, data from the 1,429 participants were presented in our review. The age of the patients ranged from 2 to 18 years. Only one out of twelve studies provided the prevalence of 4.30% and 3.4 incidence. Studies varied greatly in reporting high risk behavior of animal contact (8.4 to76.0%) and unpasteurized dairy (22.4 to 91.6%).
Conclusion
Our finding reveals the disparity of reported prevalence and clinical manifestations of Brucellosis in Iranian children. Fever and joint pain were the most frequent reported signs. Differences in study design, measurement tools and methods, and sub population sampling, does not provide the possibility of aggregation of data for more comprehensive inference.- انتشار مقاله: 13-04-1397
- نویسندگان: Shirin Djalalinia,Reza Arjmand,Mehri Gholami,Yasaman Shaker,Sahar Saeedi Moghaddam,Kumars Pourrostami,Omid Safari,Nasrin Elahimehr,Saeed Nik Khah,Ehsan Zahmatkesh,Esfandiar Najafi Tavana,Mostafa Qorbani
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: children,Diarrhea,Length of hospitalization,Gastro-Fix Gastroenteritis
- چکیده:
- چکیده انگلیسی: Background: According to evidence, the main treatment plans for children with gastroenteritis include the use of an oral solution or intravenous infusion for hydration, continued nutrition; zinc supplementation. The aim of this study was to investigate the effectiveness of Gastro-Fix (registered nutritional supplement) versus placebo on length of hospitalization and duration of diarrhea in children with acute gastroenteritis.
Materials and Methods: We conducted a double blind randomized placebo-controlled trial in children with acute gastroenteritis (age between 6 and 120 months). Three hundred eligible patients randomly allocated to one of two parallel groups, Intervention received Gastro-Fix, whereas the placebo group received baby food (cereal based on skimmed milk and wheat without mineral) for a total of 6 days. Gastro-Fix and baby food was administered as a same sachet that could be opened and mixed in water. The primary outcome was length of hospitalization and duration of diarrhea.
Results: The Mean length of hospitalization in Gastro-Fix and placebo was 3.43+ 0.57 and 4.70+0.59 day respectively (P<0.001). Median duration of diarrhea was 3 days (range: 3-5, IQR: 3–4 days) in the Gastro-Fix group and 5 days (range 3-6, interquartile range [IQR]: 4–5 days) in the placebo group which was statistically significant (P<0.001). The highest efficacy (diarrhea-free percentage of children) of the Gastro-Fix was observed at day 4 (relative risk [RR]: 0.28; 95% confidence interval [CI]: 0.23-0.35), and at day 5 (RR 0.08; 95% CI: 0.03-0.17) after the intervention.
Conclusion: Finding of this study showed that Gastro-Fix can be effective in reducing duration of diarrhea and length of hospitalization in children with diarrhea. This product is suggested to be used in children with acute gastroenteritis.- انتشار مقاله: 27-10-1396
- نویسندگان: Kumars Porrostami,Reza Arjmand,Hamid Asayesh,Mehdi Noroozi,Omid Safari,Mostafa Qorbani
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Iran,Students,Education,Health Belief Model,HIV/AIDS
- چکیده:
- چکیده انگلیسی: Background: Considering the importance of learning health knowledge and the need to promote appropriate health attitudes, beliefs and behaviors regarding Human immunodeficiency virus infection and acquired immune deficiency syndrome (HIV/AIDS) among school-age people, the aim of this study was to investigate the effect of an educational program based on Health Belief Model (HBM) about HIV/AIDS.
Materials and Methods: This quasi-experimental study was performed on 100 male high school students in Fasa, Iran. A sample size of 100 was determined based on the examination of similar literature with 95% confidence interval and 80% test capability. The subjects were divided into two groups of 50 subjects. After administering a pre-test to both groups, only the experimental group was trained based on the HBM constructs on the HIV/AIDS preventive behaviors. Then intervention was followed by group discussion (10-person groups) in 8 sessions each 55-60 minutes. In order to collect information based on Health Belief Model, a questionnaire consisting of 41 questions in three sections was used. Data were analyzed using SPSS version 22.0 software.
Results: Educational intervention based on Health Belief Model resulted in meaningful enhancement of the subjects’ knowledge, perceived susceptibility, perceived severity, perceived benefits, and perceived self-efficacy (P <0.05). Furthermore, the students’ perceived barriers about beliefs related to HIV/AIDS preventive behaviors decreased significantly (P <0.05).
Conclusion: According to the results, educational intervention has increased the HIV/AIDS prevention behavior based on Health Belief Model. Therefore, the results of this study can be used in the theory-based intervention strategies to create and modify health behaviors.- انتشار مقاله: 06-08-1396
- نویسندگان: Ali Khani Jeihooni,Shideh Arameshfard,Mahmood Hatami,Morteza Mansourian,Seyyed Hannan Kashfi,Babak Rastegarimehr,Omid Safari,Mehdi Amirkhani
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Child,Antibodies,Bordetella Pertussis,Pentavalent Vaccine,Pertussis
- چکیده:
- چکیده انگلیسی: Background: After substitution of Pentavalent vaccine with diphtheria, tetanus, pertussis (DTP) in the Iranian National Vaccination program with 3 Pentavalent (three times vaccination with Pentavalent vaccine at months 2, 4, and 6) in 2014 and the lack of published research in the field of immunogenicity of pertussis component of this vaccine, the efficacy of pertussis vaccine was studied 6 months after the last dose of Pentavalent vaccine in Iranian infants.
Materials and Methods: Five hundred blood samples were collected from healthy one-year-old children who attended 18 health care centers of Karaj, Iran for routine vaccination selected by cluster sampling (2016). Sampling checklists contained demographic information and risk factors. The blood samples were sent to the laboratory for determination of Immunoglobulin G (IgG) and IgA anti-pertussis antibody titer by ELISA method. Data were analyzed by STATA software (version 14.0).
Results: 82.7% (n=413) of children (95% confidence interval [CI]: 79.49-86.11) had IgG titer less than 16 IU/ml against pertussis (no immune response), and 17.3% (n=87) had equal or greater than 16 IU/ml IgG titer against pertussis (95% CI: 13.89-20.51). IgA titer against pertussis was less than 8U/ml in all cases. Anti-pertussis IgG geometric mean titer (GMT) was 15.80 U/ml (95% CI: 15.26-16.36), and IgA GMT was 6.26 U/ml (95% CI: 6.22-6.30). There was not a significant correlation between titer of pertussis antibody and demographic factors.
Conclusion: Based on low IgG titer in vaccinated children, immunogenicity of pentavalent vaccine in Iranian children needs more investigation. In this study, 100 % of children had negative serologic response (IgA- انتشار مقاله: 09-06-1396
- نویسندگان: Reza Arjmand,Mehri Gholami,Fariba Shirvani,Omid Safari,Mohammad Javad Garavi,Homan Sadri,Mostafa Gorbani
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Prevention,Students,Osteoporosis,Health Belief Model,Nutritional Status
- چکیده:
- چکیده انگلیسی: Background: Osteoporosis is the most common metabolic bone disease. Prevention of osteoporosis during childhood and adolescence is an important issue in World Health Organization. The purpose of this study was to investigate application of health belief model in prevention of osteoporosis among primary school girl students, in Fasa city, Fars Province, Iran.
Materials and Methods: In this quasi-experimental study, 140 primary school girl students who were randomly divided into groups, experimental (n=70) and control (n=70) in Fasa city, Fars Province, Iran, were selected in 2015. A questionnaire consisting of demographic information, Health Belief Model (HBM) constructs was used to measure nutrition and walking performance for prevention of osteoporosis before, immediately after intervention and four months later. Data were analyzed using SPSS version 19.0 software.
Results: The mean age of students was 11.45±1.13 and 11.25±1.60 years old in the Experimental and the control group, respectively. Immediately and Four months after the intervention, the mean scores of the HBM components (Perceived susceptibility, Perceived severity, Perceived benefits, Perceived barriers, Self-efficacy, Internal cues to action), and nutritional and walking performance in experimental group was better than the control group (P<0.001).
Conclusion: The findings of the present study confirmed the practicability and effectiveness of the Health Belief Model based educational program in promoting behaviors about prevention of osteoporosis. Hence, these models can act as a framework for designing and implementing educational interventions for the osteoporosis prevention.- انتشار مقاله: 31-04-1396
- نویسندگان: Ali Khani Jeihooni,Alireza Askari,Seyyed Mansour Kashfi,Zahra Khiyali,Seyyed Hannan Kashfi,Omid Safari,Babak Rastegarimehr,Morteza Mansourian
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Cigarette smoking,Students,adolescence,Hookah use
- چکیده:
- چکیده انگلیسی: Background: Tobacco and hookah smoking is a worldwide problem among adolescents. The present study aimed to determine familial and social factors in predicting the tobacco and hookah smoking among high school students in Jahrom, South of Iran.
Materials and Methods: This cross-sectional study was conducted for assessing the factors affecting hookah and cigarette smoking among high school students during January to April 2015. The participants were 630 high school students (girls=315 and boys=315). The self-administered questionnaire containingstudents’ demographics, parent education, family sizes, tobacco using, tobacco using of the family, hookah smoking, and hookah smoking in the family was used. Multiple logistic regression (MLR) models using the Enter method were fitted to assess the factors that increased or decreased the risk of smoking.
Results: The risk of cigarette smoking was increased with: cigarette smoking by sister (s) or brother (s) (36.8 [95% confidence interval(CI) (1.28-105)]; P=0.03), hookah smoking by mother (6.64 [95%CI (1.28-34.2)]; P=0.02), hookah smoking by father (OR: 5.33 [95%CI:1.88-15.07; P=0.02 ]), hookah smoking by mother (OR: 29.53 [95%CI:10.26-85.01, P<0.001]), hookah smoking by sister (s) or brother (s) (OR: 31.6 [95%CI: 10.71-93.3, P<0.001]), and not consult with parents (4.38 [95%CI (1.48-12.9)]; P=0.007), were significantly related to hookah smoking (P<0.05).
Conclusion
In current study, the prevalence rate of hookah smoking is notable among bothmale (3.8%) and female (1.6%) sexes. Despite the protective role of family in the substance use studies, in the case of hookah smoking, the family provides an opportunity for adolescence to experience hookah smoking.- انتشار مقاله: 02-12-1395
- نویسندگان: Fatemeh Rezaei,Mehdi Noroozi,Morteza Mansourian,Omid Safari,Leila Jahangiry
- مشاهده