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کاربرد نوع شرط:
- جایگاه : پژوهشی
- مجله: Journal of Advances in Medical Education and Professionalism
- نوع مقاله: Journal Article
- کلمات کلیدی:
- چکیده:
- چکیده انگلیسی: Introduction: Integration of public health and medicaleducation has been thought to have an important role in medicalstudents’ training. Shiraz University of Medical Sciences hasdeveloped an MD/MPH dual degree educational program forthe talented volunteer students. The aim of this study was toassess the students’ viewpoints about various aspects of ShirazMD/MPH program.Methods: This cross-sectional study was conducted on Shirazundergraduate medical students, who were enrolled in MD/MPHprogram. A self-structured questionnaire in Persian consistingof 4 parts was used; it included demographic factors including16 questions which evaluated the students’ perspective of thegoals, content, skill development, applicability and meeting theirexpectations; 7 questions evaluating the self-reported increase ofknowledge; and 3 multiple choice questions to assess the students’motivations and opinions on the impact of the program on theirfuture career. Descriptive statistics was used for data analysis.Results: All MD/MPH students (89) with a mean age of 21.4±1.34participated in this study. Forty one of the students (46.1%) weremale and 48 (53.9%) female. Overall, 86.1% of them had positiveviews about the goals of the program; also, 83.5%, 81.2% and81.9% of them reported a positive viewpoint about the contents,the applicability and development of specific skills, and meetingtheir expectations, respectively. The students’ most frequentmotivation was “learning how to research systematically”(73%). The majority of the students reported this program to bemoderately to highly effective in increasing their knowledge inthe provided courses.Conclusion: The students had a positive view about almost allof the aspects of the MD/MPH program; this may be indicativeof the program being successful in delivering the goals,increasing the students’ knowledge and skills, and meeting theirexpectations to date. Students’ enthusiasm for the educationalprogram may lead to their motivation for better learning andthus in the program’s success.Keywords: Students; Medical education; Public health; Satisfaction
- انتشار مقاله: 07-10-1394
- نویسندگان: SAMAN FARAHANGIZ,ALIREZA SALEHI,RITA REZAEE,MOHAMMAD HADI IMANIEH
- مشاهده
- جایگاه : پژوهشی
- مجله: Journal of Advances in Medical Education and Professionalism
- نوع مقاله: Journal Article
- کلمات کلیدی:
- چکیده:
- چکیده انگلیسی: Introduction: Many studies have focused on the need of healthsystems to educated physicians in the clinical prevention, researchmethodology, epidemiology and health care management andemphasize the important role of this training in the public healthpromotion. On this basis, Shiraz University of Medical Sciences(SUMS) has established MD/MPH dual degree program since theyear 2012.Methods: In the current study, Delphi technique was used. Bothqualitative and quantitative methods were applied in the Delphiprocess. The Delphi team members including experts withextensive experience in teaching, research and administration inthe field of educational management and health/medical educationreached consensus in almost 86% of the questionnaire itemsthrough three Delphi rounds. MD/MPH program for SUMS wasdesigned based on the items agreed and thematic analysis used inthese rounds.Results: The goals, values, mission and program requirementsincluding the period, the entrance condition, and the number ofunits, and certification were determined. Accordingly, the coursesof the program are presented in parallel with the MD educationperiod. MPH courses consist of 35 units including 16 obligatoryand 15 voluntary ones.Conclusion: Designing MD/MPH program in SUMS based onthe existent models in the universities in different countries,compatible with educational program of this university and needsof national health system in Iran, can be a beneficial measuretowards promoting the students’ knowledge and theoretical/practical skills in both individual and social level. Performingsome additional research to assess the MD/MPH program andsome cohort studies to evaluate the effect of this program on thestudents’ future professional life is recommended.Keywords: Medical education; Public health; Organization; Administration
- انتشار مقاله: 09-04-1394
- نویسندگان: ALIREZA SALEHI,NEDA HASHEMI,MAHBOOBEH SABER,MOHAMMAD HADI IMANIEH
- مشاهده
- جایگاه : پژوهشی
- مجله: Iranian Journal of Pathology
- نوع مقاله: Journal Article
- کلمات کلیدی: Viral infection,Disease Susceptibility,ABO histo-Blood group,coronavirus SARS-CoV-2
- چکیده:
- چکیده انگلیسی: Background & Objective: Coronavirus disease 2019 (COVID-19) is the most recent emerging viral disease. Defining the epidemiological aspects and factors influencing the susceptibility of the patients to COVID-19 has been an ongoing struggle. In the present study, we have investigated the connection between ABO histo-blood group phenotypes and the COVID-19.
Methods: This study was conducted on 397 patients with confirmed diagnoses of COVID-19 admitted to our center. Also, 500 individuals were selected to form the controls, all of whom had been disclosed to the same medical center in June 2019, before the onset of the outbreak.
Results: Our results demonstrated ABO histo-blood phenotypes are correlated with patients’ susceptibility to the infection. A higher rate of infection was observed among patients with the AB histo-blood group, while patients with the O histo-blood group have shown a lower rate of infection. The Rh blood group phenotype was not statistically significant in determining a patient’s vulnerability.
Conclusion: Similar to several previous studies about other viral diseases’ association with ABO histo-blood groups, we have concluded that an individual’s ABO histo-blood group phenotype and his/her susceptibility to COVID-19 are indeed connected. So far, only one research has been conducted about this association. Interestingly, while we observed a decreased vulnerability to the disease among patients with an O histo-blood group, we have reached discordant results regarding the increased susceptibility among individuals with an AB histo-blood group, unlike A histo-blood group in the previous study.- انتشار مقاله: 03-02-1399
- نویسندگان: Alireza Abdollahi,Maedeh Mahmoudi-aliabadi,Vahid Mehrtash,Bita Jafarzadeh,Mohammadreza Salehi
- مشاهده
- جایگاه : پژوهشی
- مجله: Iranian Journal of Neonatology
- نوع مقاله: Journal Article
- کلمات کلیدی: Premature Infants,pain intensity,Lakhlakhe (extract) of spike lavender,Vein blood collection,Vein blood sampling
- چکیده:
- چکیده انگلیسی: Background: A Premature infants undergo multiple painful procedures during treatment; thus, it must be tried to limit complications caused by diagnostic and treatment procedures using simple and practical methods. This study was performed to evaluate the effect of spike lavender lakhlakhe on pain intensity due to phlebotomy in hospitalized premature infants.
Methods: This single-arm, randomized clinical trial was performed on 30 infants chosen through convenience sampling method. Each newborn was considered as its own control. For the test group, one drop of pure (100%) spike lavender lakhlakhe was taken by a standard dropper and diluted with 4 ml of warm distilled water by the research assistant. This mixture was stirred at 2-3 cm distance of the newborns’ nose from 60 minutes before until 2 minutes after phlebotomy, such that it could be smelled by the newborns. In both groups, heart rate and blood oxygen saturation were measured by a standard portable device, and the corresponding data was recorded in data collection sheets. Moreover, the infants’ facial expression changes were recorded by a camera and the intensity of pain was measured by Premature Infant Pain Profile before and after the procedure. Finally, the data was analyzed by paired comparison analysis test in SPSS, version 17.
Results: Comparison of mean pain intensity caused by phlebotomy in the control and test groups showed a significant difference (7.667±0.311 vs. 4.882±0.311; P<0.001).
Conclusion: Spike lavender lakhlakheh can be used as an easy, available, and safe method to decrease infants’ pain during phlebotomy procedure.- انتشار مقاله: 30-03-1396
- نویسندگان: Noushin Beheshtipoor,Fatemeh Bayani,Mitra Edraki,Shahnaz Porarian,Alireza Salehi
- مشاهده
- جایگاه : پژوهشی
- مجله: Iranian Journal of Medical Sciences
- نوع مقاله: Journal Article
- کلمات کلیدی: Quality of Life,Behcet’s disease,Leeds BD-QoL
- چکیده:
- چکیده انگلیسی: Background: Behçet’s disease (BD) can negatively impact the quality of life (QoL) of the affected patients. The present study aimed to assess the QoL of BD patients using the Leeds BD-QoL and compare its results with the WHOQOL-BREF questionnaire.
Methods: In the present cross-sectional study, 179 BD patients and 304 healthy individuals (the control group) were recruited in Shiraz, 2017. The Persian version of the Leeds BD-QoL and WHOQOL-BREF questionnaires were used to assess the QoL of patients with BD. The QoL in the patient and control groups was compared after controlling the effect of some variables (age, sex, marital status, and educational level) using the multiple linear regression analysis. Spearman’s correlation coefficient was calculated for the Leeds BD-QoL and WHOQOL-BREF scores. Disease activity was measured using the Behçet’s Disease Current Activity Form. All the statistical analysis was performed using SPSS software (version 21.0). p Results: The mean of the Leeds BD-QoL total score in the patient group was 12.3±8.7. The control group had significantly higher scores in the WHOQOL-BREF total score and the physical health and psychological health domains compared with the patient group; mean difference of 10.24, 10.8, and 4.62, respectively (p <0.001). The Spearman’s correlation coefficient for the Leeds BD-QoL score and WHOQOL-BREF total score and its domains (physical health, psychological health, social relationships, and environment) was -0.669, -0.713, -0.714, -0.536, and -0.550, respectively. The disease activity score was correlated with the Leeds BD-QoL score (r=0.361, p <0.001).
Conclusion: BD patients had a lower QoL than healthy individuals, specifically in the physical health and psychological health domains. An increase in disease activity and severity was associated with a reduced QoL. The Persian version of the Leeds BD-QoL questionnaire had an acceptable correlation with the WHOQOL-BREF questionnaire.- انتشار مقاله: 28-07-1397
- نویسندگان: Elham Aflaki,Saman Farahangiz,Alireza Salehi
- مشاهده
- جایگاه : پژوهشی
- مجله: Iranian Journal of Medical Sciences
- نوع مقاله: Journal Article
- کلمات کلیدی: Disability evaluation,Neck Pain,Patient health questionnaire,ROC curve
- چکیده:
- چکیده انگلیسی: Background: Clinicians and researchers commonly use responsive outcome measures to interpret changes in a patient's condition as a result of an intervention. This study was conducted to assess the ability of the Persian version of Neck Disability Index and Functional Rating Index to detect responsiveness in the patients with neck pain.Methods: A diagnostic accuracy study was done in Ahvaz, Iran, 2016. A convenience sample of 57 Persian-speaking patients with non-specific chronic neck pain completed the Neck Disability Index and the Functional Rating Index at the beginning and after physiotherapy intervention. The responsiveness was investigated by the receiver operating characteristics method and the correlation analysis. Statistical analysis was done using SPSS (version 21), with a P
- انتشار مقاله: 26-08-1396
- نویسندگان: Reza Salehi,Hossein Negahban,Najmeh Saghayezhian,Maryam Saadat
- مشاهده
- جایگاه : پژوهشی
- مجله: Iranian Journal of Medical Sciences
- نوع مقاله: Journal Article
- کلمات کلیدی:
- چکیده:
- چکیده انگلیسی:
- انتشار مقاله: 10-03-1394
- نویسندگان: Hossein Moravej,Alireza Salehi,Ali Shamsedini,Sepideh Kolouri,Zohreh Karamizadeh
- مشاهده
- جایگاه : پژوهشی
- مجله: Iranian Journal of Medical Sciences
- نوع مقاله: Journal Article
- کلمات کلیدی: Acute kidney injury,Trauma,glomerular filtration rate,Creatinine,Cystatin C
- چکیده:
- چکیده انگلیسی: Background: Acute kidney injury (AKI) is a common problem in critically ill patients and is independently associated with increased morbidity and mortality. Recently, serum cystatin C has been shown to be superior to creatinine in early detection of renal function impairment. We compared estimated GFR based on serum cystatin C with estimated GFR based on serum creatinine for early detection of renal dysfunction according to the RIFLE criteria.Methods: During 9 months, three hundred post trauma patients that were referred to the intensive care unit of a referral trauma hospital were recruited. Serum creatinine and serum cystatin C were measured and the estimated GFR within 24 hours of ICU admission was calculated. The primary outcome was the incidence of AKI according to the RIFLE criteria within 2nd to 7th day of admission.Results: During the first week of ICU admission,21% of patients experienced AKI. After adjusting for major confounders, only the patients with first day's serum cystatin level higher than 0.78 mg/l were at higher risk of first week AKI (OR=6.14, 95% CI: 2.5-14.7, P<0.001). First day’s serum cystatin C and injury severity score were the major risk factors for ICU mortality (OR=3.54, 95% CI: 1.7-7.4, P=0.001) and (OR=4.6, 95% CI: 1.5-14, P=0.007), respectively.Conclusion: Within 24 hours after admission in ICU due to multiple trauma, high serum cystatin C level may have prognostic value in predicting early AKI and mortality during ICU admission. However, such correlation was not seen neither with creatinine nor cystatin C based GFR.
- انتشار مقاله: 30-06-1394
- نویسندگان: Farid Zand,Golnar Sabetian,Ghasem Abbasi,Abbas Rezaianzadeh,Alireza Salehi,Abbas Khosravi,Bita Geramizadeh,Shuja Ulhaq Taregh,Shohreh Javadpour
- مشاهده
- جایگاه : پژوهشی
- مجله: Iranian Journal of Medical Sciences
- نوع مقاله: Journal Article
- کلمات کلیدی: depression,physical,Somatic,Major depressive disorder
- چکیده:
- چکیده انگلیسی: Background: In some cultures, including ours, direct explanation of inner psychic world is inhibited and stigmatized, therefore finding alternative modes of expression. The aim of this cross-sectional study was to assess the frequency of somatization in the depressed patients.
Methods: The present study comprised 500 patients referred to the outpatient clinic of Shiraz University of Medical Sciences, and diagnosed with major depressive disorders based on DSM-IV-TR. The presenting complaints of these patients were assessed through psychiatric interview. The presenting symptoms were divided into three main categories including mental symptoms, pain, and physical symptoms without pain. Statistical analysis (chi-square and logistic regression) were performed to determine the relationship between presenting symptoms and some demographic variables such as age, gender, marital status, educational level and cultural background (urban or rural).
Results: Physical symptoms other than pain, mental symptoms, and pain were found in 193 (38.6%), 186 (37.2%), and in 121 (24.2%) patients respectively. Pain and physical complaints were more common in patients with rural cultural background, lower education, women and the married individuals. Headache (15.2%), irritability (10.6%) and pain in different parts of the body (10.4%) were the most frequent chief complaints of the patients. Hypochondriasis, suicidal idea, crying, irritability and insomnia were significant symptoms associated with the complaint of somatization.
Conclusion: Somatic symptoms, especially pain, have a significant weight in the chief complaints of depressed patients. Physicians need to pay particular attention to this important issue in order to better understand these patients.- انتشار مقاله: 09-09-1392
- نویسندگان: Ali Firoozabadi,Shekoofeh Seifsafari,Ahmad Ghanizadeh,Alireza Salehi
- مشاهده
- جایگاه : پژوهشی
- مجله: Iranian Journal of Basic Medical Sciences
- نوع مقاله: Journal Article
- کلمات کلیدی: Insulin,Meta-Analysis,Gene Therapy,Type 1 Diabetes Mellitus,Non-viral vector,Viral vector
- چکیده:
- چکیده انگلیسی: Objective(s): Diabetes mellitus (DM) is a major worldwide public health challenge, for which gene therapy offers a potential therapeutic approach. To date, no systematic review or meta-analysis has been published in this area, so we examined all relevant published studies on rodents to elucidate the overall effects of gene therapy on bodyweight, intraperitoneal glucose tolerance test (IPGTT), fasting blood glucose, and insulin in animals with type 1 DM.
Materials and Methods: The Cochrane Library, PubMed, Embase, ISI Web of Science, SCOPUS, and Google Scholar were systematically searched for potentially relevant studies. Mean±standard deviation (SD) was pooled using a random-effects model.
Results: After the primary search, out of 528 studies identified, 16 studies were in concordance with predefined criteria and selected for the final assessment. Of these, 12 studies used viral manipulation, and 4 employed non-viral vectors for gene delivery. The meta-analysis showed gene therapy with a viral vector decreased mean IPGTT (-12.69 mmol/l, P<0.001), fasting blood glucose (-13.51 mmol/l, P<0.001), insulin (398.28 pmol/l, P<0.001), and bodyweight (24.22 g, P<0.001), whereas non-viral vectors reduced fasting glucose (-29.95 mmol/l, P<0.001) and elevated insulin (114.92 pmol/l, P<0.001).
Conclusion: Gene therapy has favorable effects on alleviating type 1 DM related factors in diabetic rodents.- انتشار مقاله: 20-01-1398
- نویسندگان: Moosa Rahimi Ghiasi,Hamed Mohammadi,Michael Symonds,Seyed Mohammad Bagher Tabei,Ahmad Reza Salehi,Sima Jafarpour,Leila Norouzi Barough,Elnaz Rahimi,Zohreh Amirkhani,Maryam Miraghajani,Rasoul Salehi
- مشاهده