Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 45 9 2016 10 10 1159 1169 Asiyeh SALEHI Menzies Health Institute Queensland, Griffith University, Brisbane, Australia Neil HARRIS Menzies Health Institute Queensland, Griffith University, Brisbane, Australia Bernadette SEBAR Menzies Health Institute Queensland, Griffith University, Brisbane, Australia Elisabeth COYNE Menzies Health Institute Queensland, Griffith University, Brisbane, Australia 2016 09 27 2016 09 27 Background: This study explored the relationship between socio-economic characteristics at the individual and neighbourhood levels, and wellbeing and lifestyle behaviours of young Iranian women. Methods: Cluster convenience sampling was used to select 391 Iranian women participated in this cross-sectional survey in Shiraz, Iran in 2013. A scale adapted from the British General Household Social Capital questionnaire was used to assess neighbourhood socio-economic characteristics. The satisfaction with life scale, WHO quality of life scale, and the International Health and Behaviours Survey were used to measure wellbeing outcomes and lifestyle behaviours. Results: Findings showed participants were dissatisfied with their neighbourhood socio-economic conditions (M: 36.3±9.8, score range: 11-60) as well as the availability of leisure facilities (M: 1.8, score range: 1-5) in their local areas. Correlations and regression analysis revealed that better neighbourhood socio-economic characteristics were positively associated with better wellbeing outcomes as well as healthier lifestyle behaviours. Conclusion: These findings suggest the need for transitioning economies to be cognisant of the importance of social policy and strategies for enhancing neighbourhood socioeconomic status in order to enhance wellbeing outcomes for sub-populations, including young women.   https://ijph.tums.ac.ir/index.php/ijph/article/view/7852 https://ijph.tums.ac.ir/index.php/ijph/article/download/7852/5551

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 45 9 2016 10 10 1103 1117 Dingyun YOU Dept. of Science and Technology, Kunming Medical University, Kunming, China Nanjia LU Zhejiang Provincial Key Laboratory of Pathophysiology, School of Medicine, Ningbo University, Ningbo, China Donghui DUAN Zhejiang Provincial Key Laboratory of Pathophysiology, School of Medicine, Ningbo University, Ningbo, China Hui LI Institute of Non-Communicable Disease Control and Prevention, Ningbo Municipal Center for Disease Control and Prevention, Ningbo , China Wenhua XING Zhejiang Provincial Key Laboratory of Pathophysiology, School of Medicine, Ningbo University, Ningbo, China 2016 09 27 2016 09 27 Background: Glutathione S-transferases (GSTs) have been investigated as potential carcinoma susceptible genes. However, the relationship between GSTs (GSTM1, GSTT1) variants and gastric carcinoma (GC) risk has been controversial in Chinese population. Methods: A comprehensive literature search strategy (PubMed, Chinese Biomedical Database, Chinese National Knowledge Infrastructure, Wan fang Database, etc.) was launched. Crude odds ratios (ORs) and confidence intervals (95% CI) were applied to estimate the strength of the association. Results: Significant associations between GSTs genetic polymorphisms and GC were evidenced under random-effects model (ORGSTM1=1.56, 95% CI: 1.39 to 1.76, I2=50.7%, P<0.0001; ORGSTT1=1.24, 95% CI: 1.10 to 1.39, I2=43.6%, P=0.014; ORGSTM1-GSTT1=1.51, 95% CI: 1.26 to 1.81, I2=59.7%, P=0.004). The pooled ORs were not qualitatively changed when any single study was omitted by sensitivity analysis. Conclusion: Our results indicated an increased GC risk in Chinese population with GSTM1 and GSTT1 null genotype and GSTM1-GSTT1 dual null genotype. Further multi-center studies are needed to investigate the gene-gene and gene-environment interactions on the susceptibility of GC.   https://ijph.tums.ac.ir/index.php/ijph/article/view/7846 https://ijph.tums.ac.ir/index.php/ijph/article/download/7846/5545

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 45 9 2016 10 10 1217 1219 Omid MOZAFARI Dept. of Traditional Persian Medicine, School of Medicine, Student Research Committe, Mazandaran University of Medical Sciences, Sari, Iran AND Dept. of Traditional Persian Medicine, School of Medicine, Golestan University of Medical Sciences, Gorgan, Iran Seyed Afshin SHOROFI Traditional and Complementary Medicine Research Center, Mazandaran University of Medical Sciences, Sari, Iran Seyde Sedighe YOUSEFI Traditional and Complementary Medicine Research Center, Mazandaran University of Medical Sciences, Sari, Iran 2016 09 27 2016 09 27 Pentavalent antimonials are still the first drug of choice for the treatment of cutaneous leishmaniasis (CL). Like other treatments, they can cause adverse reactions including musculoskeletal pain, gastrointestinal disturbances, and mild to moderate headaches. In this paper, we report the first case of an infant who developed acute urticaria after her mother’s parenteral use of meglumine antimoniate (glucantime).     https://ijph.tums.ac.ir/index.php/ijph/article/view/7857 https://ijph.tums.ac.ir/index.php/ijph/article/download/7857/5558

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 45 9 2016 10 10 1224 1226 Ah-Hyeon KIM Dental Spa Dental Clinic, Daejeon, Republic of Korea Youn-Soo SHIM Dept. of Dental Hygiene, College of Health Science, Sunmoon University, Cheonan, Republic of Korea Jun-Sang YOO Dept. of Dentistry, U Dental Hospital, Seoul, Republic of Korea Deog-Gyu SEO Dept. of Conservative Dentistry, School of Dentistry, Seoul National University, Seoul, Republic of Korea Je-Seon SONG Dept. of Pediatric Dentistry, College of Dentistry, Yonsei University, Seoul, Republic of Korea So-Youn AN Dept. of Pediatric Dentistry, College of Dentistry, Wonkwang University, Daejeon, Republic of Korea 2016 09 27 2016 09 27 OrthoMTAtm A Newly Developed Mineral Trioxide Aggregate (MTA) Cements in Outpatients Attending Public Oral Health Korean Adolescents https://ijph.tums.ac.ir/index.php/ijph/article/view/7859 https://ijph.tums.ac.ir/index.php/ijph/article/download/7859/5560

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 45 9 2016 10 10 1170 1178 Mazyar GHADIRINEJAD Dept. of Industrial Engineering, Eastern Mediterranean University Famagusta, TRNC Mersin 10, Turkey Emine ATASOYLU Dept. of Industrial Engineering, Eastern Mediterranean University Famagusta, TRNC Mersin 10, Turkey Gökhan İZBIRAK Dept. of Industrial Engineering, Eastern Mediterranean University Famagusta, TRNC Mersin 10, Turkey Matina GHASEMI Dept. of Tourism Management, Eastern Mediterranean University Famagusta, TRNC Mersin 10, Turkey 2016 09 27 2016 09 27 Background: The aim of this study was to propose a new stochastic model to study the time course of ethanol elimination in human bodies. Methods: The times and amount of alcohol ingested are assumed to be random in controllable intervals. Constant elimination rate follows zero order kinetics and is replaced by first order kinetics when the effects of alcohol increase due to alcohol ingestion. Simulation studies of three different models were made to compare the statistical characteristics of the ethanol effects obtained using analytical expressions. For each model, three cases were considered depending on the drinking pattern and by classifying the drinker as heavy, normal or sparse. Results: From the model formulation, we noted that as the rate of drinking increases for a given elimination rate, the expected time between overflows goes towards zero. Furthermore, as the average amount of alcohol in each drink increases, the corresponding time between overflows decreases. Conclusion: Variations in times of alcohol intakes as well as the amount of alcohol consumption can be accounted through the final created formula. The model proves that overflows occur when alcohol is ingested before the adverse effects of alcohol from the previous drink are completely eliminated. Being the first stochastic model of such a kind, we do hope that it will throw more light on interpreting experimental data of alcohol abuse.     https://ijph.tums.ac.ir/index.php/ijph/article/view/7853 https://ijph.tums.ac.ir/index.php/ijph/article/download/7853/5552

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 45 9 2016 10 10 1118 1125 Abubakar AHMED Dept. of Architecture, Faculty of Built Environment, University of Malaya, 50603, Kuala Lumpur, Malaysia AND Dept. of Architecture, Faculty of Earth and Environmental Sciences, Kano University of Science and Technology Wudil, P.M.B. 3244, Kano, Nigeria Mastura ADAM Dept. of Architecture, Faculty of Built Environment, University of Malaya, 50603, Kuala Lumpur, Malaysia Norafida A. GHAFAR Dept. of Architecture, Faculty of Built Environment, University of Malaya, 50603, Kuala Lumpur, Malaysia Murtala MUHAMMAD Dept. of International and Strategic Studies, Faculty of Arts and Social Sciences, University of Malaya, 50603, Kuala Lumpur, Malaysia Nader Ale EBRAHIM Research Support Unit, Center for Research Services, Institute of Research Management and Monitoring, University of Malaya, 50603, Kuala Lumpur, Malaysia 2016 09 27 2016 09 27 Background: Citation metrics and total publications in a field has become the gold standard for rating researchers and viability of a field. Hence, stimulating demand for citation has led to a search for useful strategies to improve performance metric index. Meanwhile, title, abstract and morphologic qualities of the articles attract researchers to scientific publications. Yet, there is relatively little understanding of the citation trend in disability related fields. We aimed to provide an insight into the factors associated with citation increase in this field. Additionally, we tried to know at what page number an article might appear attractive to disability researchers needs. Thus, our focus is placed on the article page count and the number of authors contributing to the fields per article. Methods: To this end, we evaluated the quantitative characteristics of top cited articles in the fields with a total citation (³50) in the Web of Science (WoS) database. Using one-way independent ANOVA, data extracted spanning a period of 1980-2015 were analyzed, while the non-parametric data analysis uses Kruskal-Walis test. Results: Articles with 11 to 20 pages attract more citations followed by those within the range of zero to 10. Articles with upward 21 pages are the least cited. Surprisingly, articles with more than two authors are significantly (P<0.05) less cited and the citation decreases as the number of authors increased. Conclusion: Collaborative studies enjoy wider utilization and more citation, yet discounted merit of additional pages and limited collaborative research in disability field is revealed in this study.   https://ijph.tums.ac.ir/index.php/ijph/article/view/7847 https://ijph.tums.ac.ir/index.php/ijph/article/download/7847/5546

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 45 9 2016 10 10 1220 1223 Masoume NAZERI Clinical Neurology Research Center, Dept. of Neurology, Shiraz University of Medical Sciences, Shiraz, Iran Amin ABOLHASANI FOROUGHI Medical Imaging Research Center, Dept. of Radiology, Shiraz University of Medical Sciences, Shiraz, Iran Hora HEIDARI Clinical Neurology Research Center, Dept. of Neurology, Shiraz University of Medical Sciences, Shiraz, Iran Sarvin SAJADIANFARD Clinical Neurology Research Center, Dept. of Neurology, Shiraz University of Medical Sciences, Shiraz, Iran Tannaz EGHBALI Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran Peyman ARASTEH Non Communicable Diseases Research Center, Fasa University of Medical Sciences, Fasa, Iran AND Dept. of Master of Public Health, Shiraz University of Medical Sciences, Shiraz, Iran 2016 09 27 2016 09 27 A 33 yr old man, previously diagnosed with hypothyroidism, presented with decreased level of consciousness and generalized tonic-clonic (GTC) seizure to Namazi hospital, Shiraz, Iran, during April 2015. The patient later referred with another episode of seizure like attack for which he received phenytoin, carbamazepine and levothyroxine and was discharged. During his last admission, the patient was admitted with chief complaints of decreased consciousness and four GTC attacks. On admission, the patients had aphasia, ataxia, loss of verbal communication, eye contact and complete loss of obedience. Thyroid function tests showed low levels of T3 and T4 with high levels of thyroid stimulating hormone. Other blood tests were all either normal or slightly abnormal. Lumbar puncture and CSF analysis had a high titer of Anti-TPO antibodies. With high suspicion of Hashimoto encephalopathy, pulsed methyl prednisolone (10 mg) was administered, however the patient showed little improvement. Therefore, plasmaphresis was started, to which the patient showed dramatic response.   https://ijph.tums.ac.ir/index.php/ijph/article/view/7858 https://ijph.tums.ac.ir/index.php/ijph/article/download/7858/5559

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 alud, Universidad Autonoma de Chile, Talca, Chile AND Higher Institute of Physical Education, University of the Republic, Montevideo, Uruguay José Carmelo ADSUAR Dept. of Applied Economics, Faculty of Economics and Business, University of Murcia, Murcia, Spain AND Faculty of Sports Sciences, University of Extremadura, Cáceres, Spain Eugenio MERELLANO-NAVARRO Instituto de Actividad Fisica y Salud, Universidad Autonoma de Chile, Talca, Chile 2017 07 17 2017 07 17 Background: Chronic obstructive pulmonary disease (COPD) is a major cause of mortality characterized by progressive airflow obstruction and inflammation in the airways, which has an impact on health-related quality of life. The EQ-5D-5L is one of the most used preference-based, health-related quality of life questionnaire. The objective of this study was to provide normative values of EQ-5D-5L for Spanish people suffering from COPD. Methods: Data were extracted from the Spanish National Health Survey (2011/2012). Overall, 1130 people with COPD participated in this survey. The utility index of EQ-5D-5L and the Visual Analog Scale (VAS) score were defined by gender, region, and age. Results: Mean (SD) EQ-5D-5L utility index and VAS score for Spanish people with COPD were 0.742 (0.309) and 60.466 (21.934) respectively. In general, men reported better health status than women. Ceiling effect of the whole sample was 30.35%. Conclusion: The current study provides normative values of EQ-5D-5L for Spanish people affected by COPD. Ceiling effect was high and better results were observed in men compared with women.     https://ijph.tums.ac.ir/index.php/ijph/article/view/10603 https://ijph.tums.ac.ir/index.php/ijph/article/download/10603/5250

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 46 8 2017 07 17 1145 1146 Salman KHAZAEI Dept. of Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran Somayeh KHAZAEI Dept. of Para-Medicine, Rafsanjan University of Medical Sciences, Rafsanjan, Iran Kamyar MANSORI Dept. of Epidemiology, School of Medicine, Kurdistan University of Medical Sciences, Sanandaj, Iran Erfan AYUBI Dept. of Epidemiology, School of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran 2017 07 17 2017 07 17 Please provide alternate text for this image to ensure accessibility for users with text-only browsers or assistive devices https://ijph.tums.ac.ir/index.php/ijph/article/view/10619 https://ijph.tums.ac.ir/index.php/ijph/article/download/10619/5265

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 46 8 2017 07 17 1054 1061 Yin-Qing HU Dept. of Nursing, Shanghai Pulmonary Hospital, Tongji University, Shanghai, China Yi-Fan WU Dept. of Nursing, Shanghai Pulmonary Hospital, Tongji University, Shanghai, China Li-Li HOU Dept. of Nursing, Shanghai Pulmonary Hospital, Tongji University, Shanghai, China 2017 07 17 2017 07 17   Background: Lung cancer is a serious threat to human health and life worldwide. Anxiety is common amongst palliative care patients with lung cancer and adversely affects quality of life. Acupuncture is an effective and safe treatment method used for the treatment of depressive mood status. We aimed to assess the influence of electrical acupuncture stimulation on self-reported anxiety in palliative care among patients with lung cancer. Methods: This pilot study had an experimental, 3-group, research plan. A total of 188 participants were enrolled from the Shanghai Pulmonary Hospital, Tongji University, Shanghai, China from 2014-2015. This pilot study had an experimental, 3-group, research plan. In TEAS group, participants received standardized palliative care and electrical acupuncture stimulation in Zusanli, Sanyinjiao and Hegu acupoints. Group MS received standardized palliative care and muscle stimulation nearby nonacupoint. Controlled group received standardized palliative care. The patients maintained their assigned acupuncture stimulation for 7 days. Demographic Instrument, Karnofsky Performance Scale Index, SF-16 health questionnaire and Self-Rating Anxiety Scale (SAS) were used. Results: The mean SAS scores in TEAS Group before and after electrical intervention in palliative care intervention were 31.17±7.55,34.58±13.98 and 27.86±6.73, (P=0.00) QoL score showed elevation from 57.13 in 8th day to 60.12 in 28th day, rising further to 5%. Comfort Score showed continuous elevation trend for 28 days. Conclusion: Electric acupuncture stimulation could reduce the anxiety of patients, promote rehabilitation and increase the quality of life among patients with lung cancer in palliative care.     https://ijph.tums.ac.ir/index.php/ijph/article/view/10604 https://ijph.tums.ac.ir/index.php/ijph/article/download/10604/5251

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 46 8 2017 07 17 1147 1148 Peyman REZAEI-HACHESU Dept. of Health Information Technology, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran AND Iranian Center of Excellence in Health Management, School of Management and Medical Informatics, Tabriz University of Medi-cal Sciences, Tabriz, Iran Reza SAFDARI Dept. of Health Information Technology, School of Allied Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran Marjan GHAZISAEEDI Dept. of Health Information Technology, School of Allied Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran Taha SAMAD-SOLTANI Dept. of Health Information Technology, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran AND Iranian Center of Excellence in Health Management, School of Management and Medical Informatics, Tabriz University of Medi-cal Sciences, Tabriz, Iran 2017 07 17 2017 07 17       Please provide alternate text for this image to ensure accessibility for users with text-only browsers or assistive devices https://ijph.tums.ac.ir/index.php/ijph/article/view/10621 https://ijph.tums.ac.ir/index.php/ijph/article/download/10621/5266

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 46 8 2017 07 17 1062 1070 Gaukhar KAYUPOVA Dept. of Healthcare Policy and Management, SD Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan Botagoz TURDALIYEVA Dept. of Healthcare Policy and Management, SD Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan Kazbek TULEBAYEV Dept. of Healthcare Policy and Management, SD Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan Tuyen Van DUONG School of Public Health, Taipei Medical University, Taipei, Taiwan Peter Wushou CHANG School of Public Health, Taipei Medical University, Taipei, Taiwan AND National Taipei Hospital, Ministry of Health and Welfare, Taipei, Taiwan Diana ZAGULOVA Baltic International Academy, Riga, Latvia 2017 07 17 2017 07 17 Background: This study aimed to evaluate health literacy levels of patients in Almaty City, Kazakhstan and to identify socio-demographics and socio-economic factors related to their health literacy. Methods: An international survey instrument HLS-EU-Q developed by the European Health Literacy Consortium was used in a cross-sectional study with 1000 citizens in the Almaty City at the age of 18 and over who visited the outpatient departments in the polyclinics between Feb and Oct 2014. Results: There were 552 women and 446 men completed the survey, with mean ages as (41.8 ± 13.9) and (44.7 ± 15.2) yr old respectively, and women were significantly younger than men (P<0.001). Their general health literacy was (34.0 ± 8.6) for men and (33.49 ± 9.4) for women, without significant difference. In them, 15.5% or 30.0% were with inadequate or problematic health literacy. Multivariate linear regression analysis showed that higher general health literacy was positively and significantly associated with high self- assessed social status (B=3.86, P<0.001), ability to pay for medications (B=3.42, P<0.001), low frequency of watching health related TV programs (B=2.37, P<0.001), moderate community involvement (B=2.23, P=0.03). Conclusion: Specific demographic and socio-economic determinants related to health literacy were identified the first time in Kazakhstan. This would facilitate programs to improve health outcomes in Kazakhstan.   https://ijph.tums.ac.ir/index.php/ijph/article/view/10605 https://ijph.tums.ac.ir/index.php/ijph/article/download/10605/5252

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 46 8 2017 07 17 1149 1151 Morteza NASIRI School of Paramedicine, Qom University of Medical Sciences, Qom, Iran Azam ARSANJANI SHIRAZI School of Nursing and Midwifery, Dezful Islamic Azad University, Dezful, Iran Omid SADEGHI School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran Mahdieh BAGHERI BIDAKHAVIDI School of Health, Kerman University of Medical Sciences, Kerman, Iran 2017 07 17 2017 07 17 dentify agencies (a person, an organization, or a service) that made contributions to the content or provided funding or support for the work presented in this submission. Separate them with a semi-colon (e.g. John Doe, Metro University; Master University, Department of Computer Science) https://ijph.tums.ac.ir/index.php/ijph/article/view/10622 https://ijph.tums.ac.ir/index.php/ijph/article/download/10622/5267

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 46 8 2017 07 17 1071 1078 Manel BEN-HADJ-MOHAMED Biochemistry Laboratory, Farhat Hached Hospital, Sousse, Tunisia Souhir KHELIL Biochemistry Laboratory, Farhat Hached Hospital, Sousse, Tunisia Mokhles BEN DBIBIS Biochemistry Laboratory, Farhat Hached Hospital, Sousse, Tunisia Latifa KHLIFI Biochemistry Laboratory, Farhat Hached Hospital, Sousse, Tunisia Hend CHAHED Biochemistry Laboratory, Farhat Hached Hospital, Sousse, Tunisia Salima FERCHICHI Biochemistry Laboratory, Farhat Hached Hospital, Sousse, Tunisia Elyes BOUAJINA Biochemistry Laboratory, Farhat Hached Hospital, Sousse, Tunisia Abdelhédi MILED Biochemistry Laboratory, Farhat Hached Hospital, Sousse, Tunisia 2017 07 17 2017 07 17 Background: Rheumatoid arthritis is an autoimmune inflammatory rheumatic disease that causes chronic synovial inflammation eventually leading to joint destruction and disability. The aim of this study was to determine the variations of hepatic proteins, myeloperoxidase, and iron in rheumatoid arthritis Tunisian patients and their implications in inflammation and in iron metabolism. Methods: Overall, 172 patients from the Rheumatology Department of the University Hospital “Farhat Hached”, Sousse-Tunisia between 2011 and 2012, with rheumatoid arthritis (97.1% women, average age: 48±13 yr) and 147 healthy volunteers (70.1% women, average age: 46± 7 yr) were included in this study. Serum hepatic proteins (high-sensitive C-reactive protein, ceruloplasmin, albumin, transferrin, α-1-acid glycoprotein and haptoglobin) were assessed by immunoturbidimetry (COBAS INTEGRA 400, Roche) and ferritin was measured by a microparticulate immunoenzymatic technic (AxSYM, ABBOTT, Germany), Plasma myeloperoxidase was determined by Enzyme-Linked Immunosorbent Assay. Serum iron was measured according to a colorimetric method at 595 nm (CX9-BECKMANN Coulter-Fuller-Ton, CA). Results: Significantly higher levels of high-sensitive C-reactive protein, α-1-acid glycoprotein, Haptoglobin and myeloperoxidase in patients compared to controls (P<10-3). Albumin and iron rates were significantly decreased in patients compared to healthy group (P=0.026 and P<10-3, respectively). There were no differences between cases and controls for levels of ceruloplasmin, transferrin and ferritin (P=0.782, P=0.808, and P=0.175, respectively). Conclusion: The high-sensitive C-reactive protein, α-1-acid glycoprotein, and haptoglobin increased in acute phase proteins in rheumatoid arthritis disease. The pro-inflammatory cytokines affect iron metabolism leading to the iron deficiency and rheumatoid anemia, which influenced Tf and ferritin levels. https://ijph.tums.ac.ir/index.php/ijph/article/view/10606 https://ijph.tums.ac.ir/index.php/ijph/article/download/10606/5253

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 46 8 2017 07 17 1152 1153 Seyed Ramin RADFAR Substance Abuse and Dependence Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran AND UCLA Integrated Substance Abuse Programs, Los Angeles, USA Pardis NEMATOLLAHI Dept. of Pathology, Isfahan University of Medical Sciences, Isfahan, Iran Ali FARHOUDIAN Substance Abuse and Dependence Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran Alireza NOROOZI Dept. of Neuroscience and Addiction, School of Advanced Technologies in Medicine (SATiM), Tehran University of Medical Sciences, Tehran, Iran 2017 07 17 2017 07 17 Please provide alternate text for this image to ensure accessibility for users with text-only browsers or assistive devices. https://ijph.tums.ac.ir/index.php/ijph/article/view/10623 https://ijph.tums.ac.ir/index.php/ijph/article/download/10623/5268

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 46 8 2017 07 17 1079 1085 Xiliang DANG Dept. of Orthopedics, Weinan Central Hospital, Shaanxi Province, Weinan City, Shaanxi Province, China Liping LIAN Dept. of Orthopedics, Weinan Central Hospital, Shaanxi Province, Weinan City, Shaanxi Province, China Dongsheng WU Dept. of Orthopedics, Weinan Central Hospital, Shaanxi Province, Weinan City, Shaanxi Province, China 2017 07 17 2017 07 17 Background: We aimed to explore the prognosis and risk factors influencing tumor recurrence in surgery-treated patients with primary sacral tumors. Methods: Fifty-six patients between February 2011 and December 2016 in Yishui Central Hospital with primary sacral tumors were selected and treated with radical surgeries. The perioperative outcomes and postoperative neurological functions were observed. After postoperative follow-up, the overall survival time (OS), disease-free survival time (DFS), and recurrence were recorded to analyze the potential risk factors influencing tumor recurrence. Results: The average surgical duration and intraoperative hemorrhagic volume were 3.92 ± 1.46 h and 2, 348.21 ± 813.67 ml, respectively. The postoperative short-term complications included three patients with infection from obstructed drainage and two with skin flap necrosis-induced infection, who recovered after anti-infection therapies; nine with incision-edge necrosis; two with calf muscle venous thrombosis; and one with an endorhachis cerebrospinal fluid fistula, who recovered after conventional treatment. Among patients, the 1-, 2- and 3-year survival rates were 91.07% (51/56), 82.14% (46/56), and 75.00% (42/56) while the 1-, 2- and 3-year DFS rates were 89.29% (50/56), 78.57% (44/56) and 71.43% (40/56), respectively. Of the 56 patients, 16 had recurrence after surgery, with recurrence rate of 28.57%. It was predicated that surgical methods and local infiltration were the independent risk factors influencing tumor recurrence (P<0.01). Conclusion: The reservation of bilateral S3 or > unilateral S3 nerves can improve quality of life of patients. Surgical methods and local infiltration are the independent risk factors influencing tumor recurrence, and extensive resection can effectively control the recurrence rate.   https://ijph.tums.ac.ir/index.php/ijph/article/view/10607 https://ijph.tums.ac.ir/index.php/ijph/article/download/10607/5254

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 46 8 2017 07 17 1154 1155 Bang-Sub LEE Sports and Health Care Major, Korea National University of Transportation, Chungju-si, Korea Wi-Young SO Sports and Health Care Major, Korea National University of Transportation, Chungju-si, Korea Wooyoung CHUNG Dept. of College of General Education, Chung-Ang University, Seoul, Korea Eun-Ju CHOI Division of Sport Sciences, Konkuk University, Chungju-si, Korea 2017 07 17 2017 07 17 Please provide alternate text for this image to ensure accessibility for users with text-only browsers or assistive devices. https://ijph.tums.ac.ir/index.php/ijph/article/view/10624 https://ijph.tums.ac.ir/index.php/ijph/article/download/10624/5269

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 46 8 2017 07 17 1086 1094 Morvarid ZARIF-YEGANEH Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran Mansoor RASTEGARPANAH Dept. of Clinical Pharmacy, Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran Gholamreza GARMAROUDI Dept. of Health Promotion and Education, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Molouk HADJIBABAIE Research Center for Rational Use of Drugs and Clinical Pharmacy Dept., Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran Hojjat SHEIKH MOTAHAR VAHEDI Emergency Dept., Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran 2017 07 17 2017 07 17   Background: This study was conducted to evaluate the incidence of medication discrepancies and its related factors using medication reconciliation method in patients admitted to the emergency department of Tehran University of Medical Sciences hospitals. Methods: In this cross-sectional study, 200 adult patients with at least one chronic disease that used two regular prescription medications were included in 2015. After 24 h of admission, demographic data and patient's home medications were collected. Medication discrepancies were assessed through comparison of a best possible medication history list with the physician's orders. Results: Out of 200 patients (mean age, 61.5 yr; 86 males, 114 women), 77.5% of patients had one or more medication discrepancies. The most common discrepancies were medication omission (35.49%), change (14.22%) and substitution (10.97%), respectively. The relationship between number of comorbid conditions (P=0.025), regular home medications (P=<0.001), high-risk medications (P=0.032), medications pharmacological classes (P=<0.001) and medication discrepancies were statistically significant. Cardiovascular drugs compared to other medications classes showed the highest discrepancies (36.2%). Multiple logistic regression showed that the drug groups, including anti-infective for systemic use (OR=8.43; 95%CI 2.5-28.2; P=0.001), Antineoplastic and Immuno-modulator Agents (OR=0.49; 95%CI 0.27-0.87; P=0.016), Blood and Blood-Forming Organs (OR=0.33; 95%CI 0.21-0.52; P<0.001), Muscular-Skeletal System (OR=2.4; 95%CI 1.13-5.1; P=0.022), Nervous-System (OR=2.75; 95%CI 1.7-4.4; P<0.001), Respiratory-System (OR=0.38; 95%CI 0.22-0.67; P=0.001) were associated with the drug discrepancy. Conclusion: A medication discrepancy occurs commonly at hospital emergency department. Understanding the type and frequency of discrepancies with using structured medication reconciliation process can help clinicians to prevent them.       https://ijph.tums.ac.ir/index.php/ijph/article/view/10608 https://ijph.tums.ac.ir/index.php/ijph/article/download/10608/5255

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 46 8 2017 07 17 1095 1103 Nahid RAMEZAN GHORBANI Dept. of Development and Cooperation of Information and Scientific Publications, Undersecretary for Research and Technology, Ministry of Health and Medical Education, Tehran, Iran Yousef FAKOUR Deputy for Research and Technology, Ministry of Health and Medical Education, Tehran, Iran Seyed Ali NOJOUMI Microbiology Research Center, Pasteur Institute of Iran, Tehran, Iran 2017 07 17 2017 07 17 Background: Researchers and academic institutions need assessment and rating to measure their performance. The criteria are designed to evaluate quality and adequacy of research and welcome by most universities as an international process to increase monitoring academic achievements. The study aimed to evaluate the increasing trend in global ranking of Iranian medical universities websites emphasizing on comparative approach. Methods: This is a cross-sectional study involving websites of Iranian medical universities. Sampling was conducted by census selecting universities affiliated to the Ministry of Health in webometrics rating system. Web sites of Iranian medical universities were investigated based on the webometrics indicators, global ranking as well as the process of changing their rating. Universities of medical sciences were associated with improved ratings in seven periods from Jan 2012 until Jan 2015. Results: The highest rank was in Jan 2014. Tehran University of Medical Sciences ranked the first in all periods. The highest ratings were about impact factor in universities of medical sciences reflecting the low level of this index in university websites. The least ranking was observed in type 1 universities. Conclusion: Despite the criticisms and weaknesses of these webometrics criteria, they are critical to this equation and should be checked for authenticity and suitability of goals. Therefore, localizing these criteria by the advantages model, ranking systems features, continuous development and medical universities evaluation based on these indicators provide new opportunities for the development of the country especially through online media.     https://ijph.tums.ac.ir/index.php/ijph/article/view/10609 https://ijph.tums.ac.ir/index.php/ijph/article/download/10609/5256

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 46 8 2017 07 17 1104 1109 Ziba MAJIDI Dept. of Clinical Biochemistry, Faculty of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran Mahmoud DJALALI Dept. of Cellular & Molecular Nutrition, Faculty of Nutritional Sciences & Dietetics, Tehran University of Medical Sciences, Tehran, Iran Mohammad Hasan JAVANBAKHT Dept. of Cellular & Molecular Nutrition, Faculty of Nutritional Sciences & Dietetics, Tehran University of Medical Sciences, Tehran, Iran Mojtaba FATHI Dept. of Clinical Biochemistry, Faculty of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran Mahnaz ZAREI Dept. of Cellular & Molecular Nutrition, Faculty of Nutritional Sciences & Dietetics, Tehran University of Medical Sciences, Tehran, Iran Koorosh FOLADSAZ Dept. of Clinical Biochemistry, Faculty of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran 2017 07 17 2017 07 17 Background: Basal Cell Carcinoma (BCC) is one of the most common skin cancers in the world and that use to lifestyle, increasing chemical pollutions, environmental factors and poor nutrition. The most important cause of this cancer is oxidative stress and free radicals so antioxidant activities for the body are so important. The aim of this study was to determine the variation of zinc and (Malondialdehyde) MDA in BCC patients. Methods: This study has been performed on case and control patients from 2013 to 2014. The samples were collected from cell carcinoma patients at Razi Hospital in Tehran, Iran. We evaluated the level of zinc with the use of Atomic Absorption Spectroscopy (AAS) method. Besides, we evaluated MDA with colorimetric assay. Results: The concentration of MDA was significantly higher in case group in comparison to control group (P=0.001). In addition, case group had lower concentration of zinc than the control group (P=0.000). There was no correlation between MDA and body mass index (BMI) and between zinc and BMI. Conclusion: All the patients with BCC showed a significant MDA serum in comparison with control group. However, significant decrease in zinc serum of the patients was seen that is because of consuming zinc during oxidative stress process so topical use of zinc in the form of 2+ ions could be effective on antioxidant protection against the sun UV radiation.     https://ijph.tums.ac.ir/index.php/ijph/article/view/10610 https://ijph.tums.ac.ir/index.php/ijph/article/download/10610/5257

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 46 8 2017 07 17 1110 1117 Alireza BARFI QASRDASHTI Dept. of Prosthodontics, Shiraz University of Medical Sciences, Shiraz, Iran Mina Seied HABASHI Dept. of Endodontics, Shiraz University of Medical Sciences, Shiraz, Iran Peyman ARASTEH Noncommunicable Disease Research Center, Fasa University of Medical Sciences, Fasa, Iran AND MPH Dept., Shiraz University of Medical Sciences, Shiraz, Iran Mahshid TORABI ARDAKANI Biomaterial Research Center, Shiraz University of Medical Sciences, Shiraz, Iran Zahra ABDOLI Dept. of Pediatric Dentistry, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran Seyed Sajjad EGHBALI Dept. of Pathology and Lab Medicine, Bushehr University of Medical Sciences, Bushehr, Iran 2017 07 17 2017 07 17 Background: We evaluated factors that affect malignant transformation of leukoplakia in a sample of the Iranian population. Methods: The records of patients with a clinical diagnosis of leukoplakia during a 20-year period from 1989-2009 referred to two of the largest referral centers in southern Iran were studied. Patients that developed malignant transformation were compared with patients that did not have malignant changes. Results: Of 522 patients, female patients, those over 50 yr old and with lesions located on the tongue had the highest rate of malignant changes. Female patients with malignant changes were mostly non-smokers (76.4%), while male patients with malignant changes were mostly smokers (63.8% in non-smokers) (P<0.001). In our univariate analysis, male sex and smoking showed lower chances for malignant transformation (OR: 0.57; CI=0.397-0.822 and OR: 0.025; CI=0.141-0.299, respectively), while age above 50 was a risk factor for malignant transformation (OR: 3.57; CI=2.32-5.42). In the multivariate analysis, smoking (OR: 0.317; 95% CI=0.16–0.626) and morphological presentation as erythroplakia (OR: 0.025; 95% CI=0.005-0.131) had low chances for developing malignant changes, while site of lesion on the tongue (OR: 774; 95% CI=60-9838) and morphological presentation as erythroleukoplakia (OR: 6.26; 95% CI=3.16-12.38) were a risk factor for developing malignant changes Conclusion: A follow-up program and further work-up should be considered for Iranian patients who have a leukoplakia lesion that is flat and are white patch or plaques with red components, in addition for patients who have lesions located on the tongue and for nonsmokers who develops leukoplakia lesions.     https://ijph.tums.ac.ir/index.php/ijph/article/view/10611 https://ijph.tums.ac.ir/index.php/ijph/article/download/10611/5258

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 46 8 2017 07 17 1118 1122 Shadi SHAHROKHI Dept. of Microbiology, Islamic Azad University, Varamin-Pishva Branch, Varamin, Iran Fatemeh NOORBAKHSH Dept. of Microbiology, Islamic Azad University, Varamin-Pishva Branch, Varamin, Iran Sassan REZAIE Division of Mole