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کاربرد نوع شرط:
- جایگاه : پژوهشی
- مجله: Journal of Kerman University of Medical Sciences
- نوع مقاله: Journal Article
- کلمات کلیدی: type 2 diabetes,Supplementation,Postmenopausal women,Metabolic syndrome components
- چکیده:
- چکیده انگلیسی: Background: The aim of this study was to find the influence of supplementation with omega-3 plus vitamin E and vitamin C plus zinc on metabolic syndrome components. Methods: In a double-blind controlled clinical trial, 75 diabetic postmenopausal women were randomly assigned to one of the three therapeutic groups of daily supplementation of 1.8g omega-3 plus 400mg vitamin E (group A), 5mg zinc plus 300mg vitamin C (group B), or placebo (group C) for 12 weeks and the results were evaluated. Results: One-way repeated measures ANOVA showed that systolic and diastolic blood pressure and waist circumference showed significant difference before and after the intervention (P= 0.0001, 0.001, and 0.045, respectively). Results of Univariate ANOVA showed that the level of plasma fasting blood sugar (FBS) and HDL-cholesterol significantly increased (P=0.01 and P=0.03, respectively) in patients who had been diagnosed as diabetic ≤7 years in group B. The plasma TG concentration significantly decreased (P=0.007) in patients who had been diagnosed as diabetic ≤7 years in group A. Systolic and diastolic BP significantly decreased (P=0.005 and P=0.04, respectively) in patients who had been diagnosed as diabetic ≤7 years in group A. The most effectiveness of nutraceutical supplementation was on patients that had been diagnosed as diabetic ≤7 years. Plasma TG and systolic BP decreased with omega-3 plus vitamin E; however, plasma FBS and HDL- cholesterol increased with zinc plus vitamin C supplementation. Conclusion: Several factors, such as duration of diabetes, age, gender, pathophysiology status, genetic, and other anthropometric characteristics may influence the effectiveness of supplementation.
- انتشار مقاله: 01-10-1397
- نویسندگان: Mohammad Reza Mahmoodi,Yadollah Mehrabi,Masoud Kimiagar,Asadollah Rajab
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Community Based Nursing and Midwifery
- نوع مقاله: Journal Article
- کلمات کلیدی: qualitative research,Stress,coping,hemodialysis
- چکیده:
- چکیده انگلیسی: Background: Nowadays, the prevalence of chronic diseases, such as chronic renal failure, is rising.
These patients need hemodialysis to continue their treatment, which is a stressful process. This research was conducted with the purpose of explaining coping styles in hemodialysis patients regarding stress factors based on the Lazarus and Folkman’s transactional model.
Methods: This qualitative study was conducted as a content analysis. The data collection method was
semi-structured interview with 22 patients from dialysis centers in Tehran. The data were collected
from October to January 2017. Sampling was purposive and continued until data saturation. Data were analyzed using the directed content analysis method. The process of data analysis proposed by Hsieh and Shannon’s was followed.
Results: 106 codes and 24 sub subcategories were obtained through this research and classified into 8 sub-categories of transactional stress model including: problem management, emotional regulation, social support, dispositional coping styles, positive reappraisal, revised goals, spiritual beliefs and positive events; and 3 categories of coping structures that included coping efforts, meaning-based coping and moderators.
Conclusion: Dialysis patients are making efforts to cope with their stress in order to reduce their
stress; in some cases, these efforts lead to reduction in stress, and in some cases, due to using unsound coping style, they are ineffective or even harmful. Therefore, the necessity of planning and proper interventions is felt by health care providers to control stress in dialysis patients.- انتشار مقاله: 13-12-1397
- نویسندگان: Mohtasham Ghaffari,Mohammad Ali Morowatisharifabad,Yadollah Mehrabi,Samad Zare,Jafar Askari,Somayeh Alizadeh
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Community Based Nursing and Midwifery
- نوع مقاله: Journal Article
- کلمات کلیدی: Men,Questionnaire,Psychometric,High-risk pregnancy,Worry
- چکیده:
- چکیده انگلیسی: Background: High-risk pregnancy causes worry in not only the pregnant woman, but also her husband. There is no suitable instrument to measure the men’s worry in high-risk pregnancies. The current study aimed to develop and psychometrically evaluate the instrument used to measure the men’s worry about their wives’ high-risk pregnancy.Methods: This research is a mixed exploratory study used to develop a questionnaire and conduct psychometric study on it. This research was performed in the spouses of pregnant women who had referred to public health and treatment centers and hospitals in Gorgan in 2016. The items were derived from the results of interviews with 40 men and a review of literature. Then, content validity, face validity, criterion validity, construct validity and reliability were examined. For structure validity, 370 men were included in the study. As to criterion validity, the Symptom Checklist-25 and men’s worry tool were used. The result of factor analysis was obtained using SPSS software and confirmatory factor analysis was performed by LISREL software.Results: The results of the study revealed that the men were worried about pregnancy and delivery, neonatal health, maternal health, and personal and family data. General correlation of the instrument indicated a Chronbach’s alpha of 0.91 and ICC showed an internal consistency of 0.91. Finally, an instrument with 30 items was developed with an acceptable validity and reliability.Conclusion: The questionnaire developed a psychometric evaluation instrument to measure the men’s worry in high-risk pregnancies.
- انتشار مقاله: 10-10-1396
- نویسندگان: Nayere Azam Hajikhani,Giti Ozgoli,Taghi Pourebrahim,Yadollah Mehrabi,Khadijeh Abollmaali,Fatemeh Mohammadi,Marzieh Saei Ghare Naz
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Iran,Students,Availability,Vegetable,Fruit,Accessibility
- چکیده:
- چکیده انگلیسی: Background: Availability and accessibilityarereported as the main determinants of fruit and vegetable consumption among children. The present study was conducted to assess the status of availability and accessibilityto fruit and vegetable at school and home among Iranian adolescents in Tehran, Iran.
Materials and Methods: This cross-sectional study was conducted to assess status of fruit and vegetable availability and accessibilityamong Iranian adolescents. In this study, 500 adolescents aged 11 to 14 years old were investigated in Tehran, Iran. Subjects were chosen by multi-stage random sampling method. The data collection tool was a valid researcher-made questionnaire consist of 21 questions. The data was analyzed using SPSS software version 16.0.
Results
68% (n=344) and 27.2% (n=136) of students reported that fruit and vegetables is available in their home always, respectively. Also, 19.6% (n=98), and 58.4% (n=292) of students reported that most of the times and always unhealthy foods were sold in schools’ buffets, respectively; 88% (n=440) of students declared that they are allowed to take fruit and vegetable from the refrigerator and eat any time they want to. Results showed no significant difference between boys and girls in terms of availability and accessibility(P=0.268). In addition, there was a significant relationship between variables of residential area, family and home size, birth order and the parents’ education level and availability and accessibility (P<0.05).
Conclusion: Fruit and vegetable availability and accessibility was not acceptable yet among guidance school students in Tehran.It is recommended to implement proper interventions for families, school managers as well as students to promote availability and accessibilityof fruit and especially vegetable for adolescents.- انتشار مقاله: 14-06-1397
- نویسندگان: Sakineh Rakhshanderou,Yadollah Mehrabi,Mohtasham Ghaffari
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Iran,Pediatric,Case-control,Burn
- چکیده:
- چکیده انگلیسی: Background
Children are more likely to be burned than other age. The aim of this study was to determine the burn-related factors in children in Kermanshah province, Iran.
Materials and Methods
In the present hospital based case-control study, 198 under 15 years age children who were burned ( from beginning of spring 2016 until the end of spring 2017), enrolled into the study as cases and 198 children referred to the hospital for non-burning reasons selected as controls. The cases and controls were frequency matched for age and gender variables. Principal Component Analysis test was used to construct the socioeconomic variable and univariate, moreover multivariate logistic regression tests were used to determine the burn-related factors. All analyses were carried out using SPSS software version 21.0.
Results: The mean age of children with burns was 4.3 ± 3.5 years. The most common factor of burns was hot liquids with 48.5%. Body mass index (Odds Ratio (OR)=1.252, P= 0.004), number of household members more than 5 body (OR=8.472, P<0.001), absence of more than one watchful (OR=2.481, P=0.026), hours without watchful (OR=8.649, P<0.001), illiterate mother (OR=9.778, P=0.002), petroleum storage at home (OR=1.815, P=0.046), and the lowest quartile of socioeconomic level (OR=7.220, P<0.001) increased the chance of burning in children. Increase of mother age (OR=0.938, P=0.005) and the worker father (OR=0.233, P=0.002) reduced this chance.
Conclusion: Based on results of current study, burning in children is a multifactorial outcome including individual, social and environmental factors such as Body mass index, household size, mother age, father job, less watchful, hours without watchful, illiterate mother, petroleum storage at home, and socioeconomic status.- انتشار مقاله: 14-10-1396
- نویسندگان: Abbas Aghaei,Yadollah Mehrabi,Azra Ramezankhani,Hamid Soori
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Education,Telegram,Breast Feeding,Social Networks
- چکیده:
- چکیده انگلیسی: Background: Distanceeducation for mothers with suckling babies can have a high effect and more proponents due to short time of such mothers as well as other problems like bringing infant with themselves. Authors of this research have shared an experience on application of social network of Telegram for educational intervention in field of continued breast feeding and complementary feeding of children among Iranian women.
Materials and Methods: In this research, social network of Telegram was employed to provide teachings associated with continued breastfeeding and complementary feeding of children to mothers based on the model of Center for Diseases Control of USA (CDC). 90 members, out of 125 mothers who were informed, became member of Telegram group voluntary with informed consent,namely that the participation rate was 72%. The Telegram group called "Mother’s love - Mother’s milk" was designed on August 2016 and has been active for 6 months until this date. The group has been active under the management of an experienced physician and consultation with a pharmacist.
Results: Participants of this research reported cell phone, internet, physician, books, and journals as the most-used sources, respectively, to access to information about breast feeding and health of their children. Only five mother of group-member mothers were uneducated or had elementary education level. Also, it was determined that the higher percentage of women who joined Telegram group were housewives compared with the group who had no tendency to join group. 100% of members evaluated membership in Telegram group and subjects related to complementary feeding beneficial and 39 of 41 (95%) participants in an E-survey, were satisfied with learning, and 35 members (85.4%) were satisfied with teaching.
Conclusion: This study highlights the importance of social networks as potential educational field. Usage of this media, particularly among women groups under specific circumstance of pregnancy, can be beneficial.- انتشار مقاله: 16-01-1396
- نویسندگان: Mohtasham Ghaffari,Sakineh Rakhshanderou,Yadollah Mehrabi,Afsoon Tizvir
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Behavior,Mobile Phone,Pamphlet,intervention,Short message
- چکیده:
- چکیده انگلیسی: Background: Mobile phone is one of the most important necessary tools in today’s life which can threaten people’s health in some conditions. The present study was carried out to compare the effect of educational intervention by short message and pamphlet on the behavior of steel factory staff in Ardakan, Yazd province, Iran.
Materials and Methods: The present study was experimentally carried out on 319 staff in three groups. The intended samples were selected using the cluster sapling method. The self-made questionnaire was employed as the data collection means having 15 questions about behavior assessment. The results were utilized once their validity (face and content) and reliability was confirmed. The obtained results were analyzed using the SPSS18 statistical software.
Results: The average score of people’s behavior before the educational intervention in the three groups of control, intervention-short message, and intervention-pamphlet was 21.2, 21.1, and 20.7, respectively (P = 0.714). After educational intervention, the average behavior score of people in the control, intervention-short message, and intervention-pamphlet was increased by 27.74, 42.91, and 38.56, respectively (P ˂ 0.05).
Conclusion: The educational short message and pamphlet would change the behaviors concerning the use of mobile phone among the staff members under study. However, the short message had a stronger effect on the people’s behavior than the pamphlet. Considering the importance of the mobile phone and its associated behaviors, the necessity of conducting health education intervention aiming at increasing the knowledge, it demonstrates the change of attitude and behavior among other members of the society.- انتشار مقاله: 23-07-1395
- نویسندگان: Ali Ramezankhani,Mohtasham Ghaffari,Yadollah Mehrabi,Seyyed Hannan Kashfi,Akbar Babaei Heydarabadi
- مشاهده
- جایگاه : پژوهشی
- مجله: Avicenna Journal of Phytomedicine
- نوع مقاله: Journal Article
- کلمات کلیدی: lipid profile,Hibiscus sabdariffa L,Polygenic dyslipidemia,Sour tea
- چکیده:
- چکیده انگلیسی: Objective: Dyslipidemia has been considered as a major risk factor for coronary heart disease. Alternative medicine has a significant role in treatment of dyslipidemia. There are controversial findings regarding the effects of sour tea on dyslipidemia. The aim of this study was to evaluate the impact of aqueous extract of dried calyx of sour tea on polygenic dyslipidemia.
Materials and Methods: This clinical trial was done on 43 adults (30-60 years old) with polygenic dyslipidemia that were randomly assigned to the intervention and control groups. The control group was trained in lifestyle modifications at baseline. The intervention group was trained for lifestyle modifications at baseline and received two cups of sour tea daily, and both groups were followed up for 12 weeks. Lipid profile was evaluated at baseline, and six and 12 weeks following the intervention. In addition, dietary and physical activity assessed at baseline for twelve weeks.
Results: Mean concentration of total cholesterol, HDL-C and LDL-C significantly decreased by up to 9.46%, 8.33%, and 9.80%, respectively, after 12 weeks in the intervention group in comparison to their baseline values. However, LDL-C/HDL-C ratio significantly increased by up to 3.15%, following 12 weeks in the control group in comparison to their baseline values. This study showed no difference in lipid profiles between the two groups, except for HDL-C concentrations.
Conclusion: sour tea may have significant positive effects on lipid profile of polygenic dyslipidemia subjects and these effect might be attributed to its anthocyanins and inflation factor content. Therefore, sour tea intake with recommended dietary patterns and physical activity can be useful in regulation of lipid profile in patients with polygenic dyslipidemia.- انتشار مقاله: 19-04-1395
- نویسندگان: Majid Hajifaraji,Mohammad Matlabi,Farihe Ahmadzadeh-Sani Ahmadzadeh Sani,Yadollah Mehrabi,Mohammad Salem Rezaee,Homa Hajimehdipour,Abbas Hasanzadeh,Katayoun Roghani
- مشاهده
- جایگاه : پژوهشی
- مجله: Asian Pacific Journal of Cancer Prevention
- نوع مقاله: Journal Article
- کلمات کلیدی: cancer,Disease mapping,Spatial Statistics,Bayesian modelling,Shared Component Model
- چکیده:
- چکیده انگلیسی: Background: Among the proposals for joint disease mapping, the shared component model has become more
popular. Another advance to strengthen inference of disease data is the extension of purely spatial models to include
time aspect. We aim to combine the idea of multivariate shared components with spatio-temporal modelling in a joint
disease mapping model and apply it for incidence rates of seven prevalent cancers in Iran which together account for
approximately 50% of all cancers. Methods: In the proposed model, each component is shared by different subsets
of diseases, spatial and temporal trends are considered for each component, and the relative weight of these trends for
each component for each relevant disease can be estimated. Results: For esophagus and stomach cancers the Northern
provinces was the area of high risk. For colorectal cancer Gilan, Semnan, Fars, Isfahan, Yazd and East-Azerbaijan
were the highest risk provinces. For bladder and lung cancer, the northwest were the highest risk area. For prostate and
breast cancers, Isfahan, Yazd, Fars, Tehran, Semnan, Mazandaran and Khorasane-Razavi were the highest risk part.
The smoking component, shared by esophagus, stomach, bladder and lung, had more effect in Gilan, Mazandaran,
Chaharmahal and Bakhtiari, Kohgilouyeh and Boyerahmad, Ardebil and Tehran provinces, in turn. For overweight
and obesity component, shared by esophagus, colorectal, prostate and breast cancers the largest effect was found for
Tehran, Khorasane-Razavi, Semnan, Yazd, Isfahan, Fars, Mazandaran and Gilan, in turn. For low physical activity
component, shared by colorectal and breast cancers North-Khorasan, Ardebil, Golestan, Ilam, Khorasane-Razavi and
South-Khorasan had the largest effects, in turn. The smoking component is significantly more important for stomach
than for esophagus, bladder and lung. The overweight and obesity had significantly more effect for colorectal than of
esophagus cancer. Conclusions: The presented model is a valuable model to model geographical and temporal variation
among diseases and has some interesting potential features and benefits over other joint models.- انتشار مقاله: 28-07-1396
- نویسندگان: Behzad Mahaki,Yadollah Mehrabi,Amir Kavousi,Volker J Schmid
- مشاهده