Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 46 4 2017 04 26 475 484 Yeunhee KWAK Faculty of Red Cross College of Nursing, Chung-Ang University, Seoul, Republic of Korea Ji-Su KIM Faculty of Red Cross College of Nursing, Chung-Ang University, Seoul, Republic of Korea 2017 04 26 2017 04 26 Background: Despite growing interest in the public health of sexual minority, youth around the world due to the high rates of suicidal ideation and attempts in this population, few studies on the sexual orientation of Korean adolescents have been conducted. Therefore, this study investigated the relationship between the sexual orientation of Korean adolescents and their suicide-related behavior. Methods: Raw data from the tenth Korea Youth Risk Behavior Web-based Survey were analyzed by logistic regression analysis. The sample consisted of 3603 adolescents who provided selected demographic variables and reported on their experience of sexual intercourse with the same or the opposite sex, along with lifestyle and suicide-related behaviors. Results: Rates of suicidal ideation, plans, attempts, and medically serious attempts were higher in both homosexual and bisexual than heterosexual groups. Suicidal ideation (odds ratio 95% confidence interval: 1.09–2.08), suicidal plans (odds ratio 95% confidence interval: 1.01–2.09), and suicide attempts (odds ratio 95% confidence interval: 1.28–2.88) had the strongest associations with homosexuality after multivariate adjustment. In contrast, bisexuality was only significantly associated with suicidal attempts (odds ratio 95% confidence interval: 1.01–2.97) after multivariate adjustment. Conclusion: Effective suicide prevention interventions are required for homosexual and bisexual adolescents, in the form of targeted programs to improve their mental health status and ability to cope with stress.       https://ijph.tums.ac.ir/index.php/ijph/article/view/9755 https://ijph.tums.ac.ir/index.php/ijph/article/download/9755/5626

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 46 4 2017 04 26 435 446 Sayyed Morteza HOSSEINI SHOKOUH Dept. of Health Services Management, Faculty of Health, Baqiyatallah University of Medical Sciences, Tehran, Iran Mohammad ARAB Dept. of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Sara EMAMGHOLIPOUR Dept. of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Arash RASHIDIAN Dept. of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Ali MONTAZERI Mental Health Research Group, Health Metrics Research Center, Institute for Health Sciences Research, ACECR, Tehran, Iran Rouhollah ZABOLI Dept. of Health Services Management, Faculty of Health, Baqiyatallah University of Medical Sciences, Tehran, Iran 2017 04 26 2017 04 26 Background: There are several conflicting conceptual models to explain social determinants of health (SDH) as responsible for most health inequalities. This study aimed to present these models in historical perspective and provide main component of SDH models as an SES indicators. Methods: This was a narrative study using international databases to retrieve literature dealing with conceptual models of SDH. All publication in English language until Mar 2015 was included. The CASP and PRISMA were used to summarize the literature. Results: Overall, 248 publications were retrieved and screened. After exclusion of irrelevant and duplicates, 94 citations were found to be relevant and 21 publications included in this review. In general, 21 models of SDH were found: some models presented before year 1995(n=4), some models presented between 1995 and 2005 (n=13) and some models presented after 2005 (n=4). However, we found three categories of indicators that contribute to SDH models and that were classic factors, fixed and demographic factors and proxy factors. Conclusion: Reduction of socioeconomic inequalities in health requires understanding of mechanisms and causal pathways; therefore, every country needs to design the specific model. As the available models are for developed countries, lack of a specific model for developing ones is tangible. As there is no gold standard related to SES indicators, therefore, it is proposed to use the various indicators based on life course approach, which leads to understanding and adopting effective policy interventions.   https://ijph.tums.ac.ir/index.php/ijph/article/view/9751 https://ijph.tums.ac.ir/index.php/ijph/article/download/9751/5622

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 46 4 2017 04 26 560 564 Masoumeh RAZIPOUR Dept. of Medical Genetics, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran Daniz KOOSHAVAR Dept. of Medical Genetics, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran Elaheh ALAVINEJAD Dept. of Medical Genetics, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran Seyede Zahra SAJEDI Dept. of Medical Genetics, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran AND Immunology Research Center, Tabriz University of Medical Sciences, Tabriz, Iran Neda MOHAJER Dept. of Medical Genetics, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran Aria SETOODEH Dept. of Endocrinology, Children’s Hospital Medical Center, Tehran University of Medical Sciences, Tehran, Iran Saeed TALEBI Dept. of Medical Genetics, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran Mohammad KERAMATIPOUR Dept. of Medical Genetics, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran 2017 04 26 2017 04 26 Phenylketonuria (PKU) is an inborn error of amino acid metabolism with an autosomal recessive inheritance caused in most cases by mutations in the phenylalanine hydroxylase (PAH) gene. PKU has wide allelic heterogeneity. Here we report a novel heterozygous substitution (c.1223G>T (p.Arg408Leu)) in the PAH gene in an Iranian PKU family. The patient was 19-yr-old female with diagnosis of moderate PKU referred to Department of Medical Genetics, Tehran University of Medical Sciences, Tehran, Iran for genetic counseling/analysis in April 2015. We used PCR-Sequencing to identify any sequence variations in the PAH gene.     https://ijph.tums.ac.ir/index.php/ijph/article/view/9767 https://ijph.tums.ac.ir/index.php/ijph/article/download/9767/5663

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 46 4 2017 04 26 565 567 Yu-Ri CHOI Dept. of Dental Hygiene, Hallym Polytechnic University, Chuncheon, Republic of Korea Youn-Soo SHIM Dept. of Dental Hygiene, College of Health Science, Sunmoon University, Asan, Republic of Korea Sun-Ok JANG Dept. of Dental Hygiene, Hallym Polytechnic University, Chuncheon, Republic of Korea Seoul-Hee NAM Dept. of Dental Hygiene, Kangwon National University, Samcheok, Republic of Korea Gyeong-Soon HAN Dept. of Dental Hygiene, College of Health Science, Gachon University, Incheon, Republic of Korea 2017 04 26 2017 04 26 Awareness and Work Changes of Dental Hygienists about Newly Covering Health Insurance Benefit for Scaling https://ijph.tums.ac.ir/index.php/ijph/article/view/9768 https://ijph.tums.ac.ir/index.php/ijph/article/download/9768/5664

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 46 4 2017 04 26 485 490 Lanlan ZHOU Dept. of Hematology and Oncology, The Second People’s Hospital of Hefei, Hefei, Anhui, China Mingjun WANG Dept. of Hematology, Liaocheng People’s Hospital, Liaocheng, Shandong , China Aping LI Dept. of Neurosurgery, People’s Hospital of Haiyang City, Haiyang, Shandong, China 2017 04 26 2017 04 26 Background: Peripherally inserted central catheter (PICC) is commonly used in nursing for patients with leukemia. The purpose of this study was to investigate the risk factors of Catheter-related infection (CRI) in patients with leukemia and to provide some nursing strategies based on the results. Methods: Clinical data from 140 patients with leukemia between May 2014 and July 2016 in Haiyang People's Hospital, China were retrospectively analyzed. We employed univariate analysis to explore the relationship of various factors, including leukemia types, puncture times, underlying diseases, Catheter indwelling time, hormones use, chemotherapy use, immune functions and seasons, with the incidence of CRI. Further, multivariate logistic regression analysis was conducted to identify the potential independent risk factors of CRI. Bacterial culture was performed for etiological detection. Results: Among the 140 patients with leukemia, 25 cases were diagnosed as CRI, with the incidence of 17.9%. Univariate analysis showed that puncture times, underlying diseases, catheter indwelling time, hormones use, chemotherapy use, immune functions and seasons were significantly correlated with the incidence of CRI. Multivariate logistic regression analysis revealed that immune functions, puncture times and seasons were independent risk factors for CRI. Etiological bacterial culture detected 20 strains of bacteria (Staphylococcus aureus: n=10, Klebsiella pneumonia: n=4, Corynebacterium: n=2 and other species: n=4) in 25 cases diagnosed with CRI. Conclusion: Based on risk factors of CRI and its etiological distribution, appropriate nursing measures can be taken to reduce the incidence of CRI in patients with leukemia.       https://ijph.tums.ac.ir/index.php/ijph/article/view/9756 https://ijph.tums.ac.ir/index.php/ijph/article/download/9756/5627

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 46 4 2017 04 26 447 455 Ahmad MOOSAVI Dept. of Health and Community Medicine, Dezful University of Medical Sciences, Dezful, Iran Mohammad MOHSENI Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran Hajar ZIAIIFAR Dept. of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Saber AZAMI-AGHDASH Iranian Center of Excellence in Health Management, Tabriz University of Medical Sciences, Tabriz, Iran Mahdi GHARASI MANSHADI Dept. of Health Services Administration, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran Aziz REZAPOUR Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran AND Dept. of Health Economics, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran 2017 04 26 2017 04 26 Background: Students' view is an important factor in assessing the quality of universities. Servqual pattern is regarded as the most prominent for services quality measurement. This study aimed to review systematically studies that investigated the quality of educational services. Methods: A systematic review and meta-analysis of studies evaluating students’ viewpoint about quality of educational services were conducted. Required data were collected from PubMed, Embase, Scopus, Science Direct, Google Scholar, SID, Magiran, and Iranmedex, without time restriction. Computer software CMA, ver. 2 was applied to estimate the total mean score of students’ perception and expectation of services quality and the gap between them. Results: The 18 eligible studies were entered into study. The studies were conducted between 2004 and 2014. Based on the random effect model, the total mean score of students’ perception, students’ expectation and the gap between them were estimated 2.92 (95% CI, 2.75 - 3.09), 4.18 (95% CI, 3.98 - 4.38), respectively and -1.30 (95% CI= -1.56, -1.04). Conclusion: The studied students' expectation level is higher than the current quality of educational services. There is a tangible difference between their expectations and the current quality, which requires officials' efforts to improve quality in all dimensions and effective steps can be taken towards improving the quality of educational services through appropriate training planning and training for empowering employees in colleges and universities.   Keywords: Servqual, Services quality, Student, Meta-analysis, Iran https://ijph.tums.ac.ir/index.php/ijph/article/view/9752 https://ijph.tums.ac.ir/index.php/ijph/article/download/9752/5623

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 46 4 2017 04 26 568 570 Vasile Mircea ZĂGREANU Emergency County Hospital, Baia Mare, Romania Dana POP University of Medicine and Pharmacy, Cluj-Napoca, Romania Mihnea ZDRENGHEA University of Medicine and Pharmacy, Cluj-Napoca, Romania Adela SITAR-TAUT University of Medicine and Pharmacy, Cluj-Napoca, Romania Bogdan CALOIAN University of Medicine and Pharmacy, Cluj-Napoca, Romania Dumitru Tudor ZDRENGHEA University of Medicine and Pharmacy, Cluj-Napoca, Romania 2017 04 26 2017 04 26 le="en_US">Department of Infectious Diseases, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran Farshid REZAEI Center for Control of Communicable Diseases, Ministry of Health and Medical Education, Tehran, Iran Mostafa SALEHI-VAZIRI Department of Arboviruses and Viral Hemorrhagic Fevers (National Reference Laboratory), Pasteur Institute of Iran, Tehran, Iran Nazanin Zahra SHAFIEI-JANDAGHI Department of Virology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Ehsan Shamsi GOOSHKI Department of Medical Ethics, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran AND Medical Ethics and History of Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran Morteza ZAIM Department of Medical Entomology and Vector Control, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Mohammad Hossein NICKNAM Department of Immunology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran AND Molecular Immunology Research Center, Tehran University of Medical Sciences, Tehran, Iran 2019 01 16 Background: Zika virus infection has recently attracted the attention of medical community. While clinical manifestations of the infection in adult cases are not severe and disease is not associated with high mortality rates, Zika virus infection can have an impact on fetal development and lead to severe neurodevelopmental abnormalities. Methods: To gain insight into different aspects of Zika virus infection, a comprehensive literature review was performed. With regard to epidemiology and geographical distribution of Zika virus infection, relevant information was extracted from CDC and WHO websites. Results: In this review, we discuss different basic and clinical aspects of Zika virus infection including virology, epidemiology and pathogenesis of disease. Laboratory methods required for the diagnosis of disease together with ethical issues associated with Zika virus infection will also be discussed in detail. Conclusion: Herein, we have tried to provide a multi-faceted view of Zika virus infection, with greater emphasis on disease status in Eastern Mediterranean Region. https://ijph.tums.ac.ir/index.php/ijph/article/view/15935 https://ijph.tums.ac.ir/index.php/ijph/article/download/15935/6250

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 48 1 2019 01 16 176 178 Sangwook SEO Gyeongsangbuk-do Government Public Institute of Health and Environment, Yeongcheon, Republic of Korea Kisok KIM College of Pharmacy, Keimyung University, Daegu 42601, Republic of Korea 2019 01 16 No Abstract### https://ijph.tums.ac.ir/index.php/ijph/article/view/15955 https://ijph.tums.ac.ir/index.php/ijph/article/download/15955/6270

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 48 1 2019 01 16 77 84 Pei-Quan WANG Department of Intensive Care Unit, Linzi District People’s Hospital, Zibo, Shandong 255400, China Jing LI Department of Geratology, Linzi District People’s Hospital, Zibo, Shandong 255400, China Li-Li ZHANG Department of Intensive Care Unit, Linzi District People’s Hospital, Zibo, Shandong 255400, China Hong-Chun LV Department of Intensive Care Unit, Linzi District People’s Hospital, Zibo, Shandong 255400, China Su-Hua ZHANG Department of Health Care, Qilu Hospital of Shandong University (Qingdao), Qingdao, Shandong 266000, China 2019 01 16 Background: The study aimed to detect critical metabolites in acute lung injury (ALI). Methods: A comparative analysis of microarray profile of patients with sepsis-induced ALI compared with sepsis patients with was conducted using bioinformatic tools through constructing multi-omics network. Multi-omics composite networks (gene network, metabolite network, phenotype network, gene-metabolite association network, phenotype-gene association network, and phenotype-metabolite association network) were constructed, following by integration of these composite networks to establish a heterogeneous network. Next, seed genes, and ALI phenotype were mapped into the heterogeneous network to further obtain a weighted composite network. Random walk with restart (RWR) was used for the weighted composite network to extract and prioritize the metabolites. On the basis of the distance proximity among metabolites, the top 50 metabolites with the highest proximity were identified, and the top 100 co-expressed genes interacted with the top 50 metabolites were also screened out. Results: Totally, there were 9363 nodes and 10,226,148 edges in the integrated composite network. There were 4 metabolites with the scores > 0.009, including CHITIN, Tretinoin, sodium ion, and Celebrex. Adenosine 5'-diphosphate, triphosadenine, and tretinoin had higher degrees in the composite network and the co-expressed network. Conclusion: Adenosine 5'-diphosphate, triphosadenine, and tretinoin may be potential biomarkers for diagnosis and treatment of ALI.     https://ijph.tums.ac.ir/index.php/ijph/article/view/15941 https://ijph.tums.ac.ir/index.php/ijph/article/download/15941/6256

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 48 1 2019 01 16 32 42 Batoul AHMADI Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Sedigheh SALAVATI Department of Public Health, School of Nursery, Maragheh University of Medical Sciences, Maragheh, Iran 2019 01 16 Background: National plans have an important role in defining vision, goals, priorities, and action plans. The present paper examined the international experience in developing upstream documents concerning women's health; it regards the necessity of developing Iranian women's health plan. Methods: This review, conducted with search in electronic databases and literature of no limitation in terms of years conducted. The phrases such as "woman health policy", "woman health promotion", "woman health strategy" and "woman health plan” were searched. The criteria based on which the countries were chosen were the degree to which they were developed in health system, health indexes, the accessibility of required information, and the possibility of benchmarking the new methods. Results: Emphasize on gender as a determinant of health, increasing the economic activities of women, decreasing the violence against women, gender-based researches, and inter-sectorial approach are some common items in the women’s health plans in selected countries. The main upstream documents about women health in Iran such as ‘Research policies and principles of women issues’, “Women Charter of Rights in Iran” were not developed and implemented in form of a comprehensive plan so we need to formulate a full women health national plan that summarizes all previous policies with addition of new needed strategies inclusion. Conclusion: Developing a national plan for Iranian women’s health regarding with selected countries experiences makes a long-term vision for health and obtains the institutional and organizational efforts and resources necessary for women health promotion in Iran.     https://ijph.tums.ac.ir/index.php/ijph/article/view/15936 https://ijph.tums.ac.ir/index.php/ijph/article/download/15936/6251

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 48 1 2019 01 16 179 180 Marian MARAK Faculty of Social Sciences, University of SS. Cyril and Methodius, Trnava, Slovakia Pavol BENO Department of Laboratory Medicine, Faculty of Health Sciences and Social Work, Trnava University, Trnava, Slovakia Martin SAMOHYL Institute of Hygiene, Faculty of Medicine, Comenius University, Bratislava, Slovakia 2019 01 16 No Abstract### https://ijph.tums.ac.ir/index.php/ijph/article/view/15956 https://ijph.tums.ac.ir/index.php/ijph/article/download/15956/6271

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 48 1 2019 01 16 85 94 Besey ÖREN Department of Midwifery, Faculty of Health Sciences, Health Science University, Istanbul, Turkey Neriman ZENGIN Department of Midwifery, Faculty of Health Sciences, Istanbul University-Cerrahpaşa, Istanbul, Turkey 2019 01 16 Background: This study determined the occupational exposure and health problems experienced by nursing and midwifery students during their clinical internships. Methods: The study population consisted of 1719 nursing and midwifery students studying at the health sciences faculties of six Turkish universities in 2016. Data were collected using a questionnaire prepared by researchers, namely Occupational Exposure and Health Problems in Clinical Environment Questionnaire, and the State-Trait Anxiety Scale. The data were analyzed using Mann Whitney U test, Kruskal Wallis variance analysis, and Spearman correlation analysis. Significance was accepted in a 95% confidence interval and a level of P<0.05. Results: The students had a mean age of 20.86 yr (1.72), and 48.6% had midwifery and 51.4% had nursing major. More than 17.8% of the students were experienced occupational exposure during their clinical internships. Total score for students was 2.15 ±0.71. The scores of the students examined for exposure to hazards and verbal violence was 2.13 ± 1.17, for needle stick injury it was 2.10 ± 1.13. In addition, when the scores of the students' health problems were examined, insomnia 3.57 ± 1.22, low back pain 2.84 ± 1.29, shoulder or arm pain 2.68 ± 1.29 were determined statistically. There was a positive significant relationship between the mean clinical occupational hazardous exposure and health problems and state-trait anxiety scores (P<0.01). Conclusion: Approximately one-fifth of the students were exposed to occupational hazardous at the hospital while they were on their clinical internship programs. Students rarely experience occupational exposure, but often suffer from insomnia, sometimes musculoskeletal pains (back, shoulder arm, neck), rarely have skin problems.     https://ijph.tums.ac.ir/index.php/ijph/article/view/15942 https://ijph.tums.ac.ir/index.php/ijph/article/download/15942/6257

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 48 1 2019 01 16 43 52 Sedighe FOROUHARI Social Determinants of Health Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran Saeed HOSSEINI TESHNIZI Social Determinants in Health Promotion Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran Mohammad Hasan EHRAMPOUSH Department of Environmental Health, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran Seyed Saeed MAZLOOMY MAHMOODABAD Social Determinants of Health Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran Hossein FALLAHZADEH Prevention and Epidemiology of Non-Communicable Disease Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran Seyed Ziaeddin TABEI Department of Medical Ethics and Philosophy of Health, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran Mohammad NAMI Department of Neuroscience, School of Advanced Medical Sciences and Technologies, Shiraz University of Medical Sciences, Shiraz, Iran Masoud MIRZAEI Yazd Cardiovascular Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran Bahia NAMAVAR JAHROMI Infertility Research Center, Shiraz University of Medical Sciences, Shiraz, Iran Seyyed Mehrdad HOSSEINI TESHNIZI Department of Natural Science and Mathematics, School of Biochemistry, University of Texas at Dallas, Richardson, USA Jalil GHANI DEHKORDI Social Determinants of Health Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran Maryamsadat KAZEMITABAEE Isfahan Health Center, Isfahan University of Medical Sciences, Isfahan, Iran 2019 01 16 Background: Religious obligation helps people to develop mental health by creating internal commitment to special rules. This meta-analysis aimed to determine the relationship between religious orientation and anxiety among college students. Methods: Major scientific databases including PubMed, Web of Science, Science Direct, EBSCO, ProQuest and PsycINFO were searched for original research articles published 1987-2016.   A random effect model was used to combine Correlation coefficient. All analyses were performed using Stata MP. Results: After screening of 7235 documents, 13 articles including 5620 participants met inclusion criteria in this meta-analysis. Correlation coefficient was -0.08 (95% CI= -0.19, -0.03) which indicated with increasing religious orientation, anxiety and depression reduced (P<0.001). Characteristics such as sex, geographic region, and type of religions were potential sources of heterogeneity. Based on fill-and-trim method the adjusted pooled r was obtained, -0.06 (95% CI= -0.16, -0.04). Conclusion: There was a weakness relationship between religious orientation and mental anxiety and depression. Therefore, it needs to improve knowledge of student about advantages of religious orientation.   https://ijph.tums.ac.ir/index.php/ijph/article/view/15937 https://ijph.tums.ac.ir/index.php/ijph/article/download/15937/6252

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 48 1 2019 01 16 181 183 Marta DĄBROWSKA-BENDER Dept. of Clinical Dietetics, Medical University of Warsaw, Warsaw, Poland and“Fundation Onko Cafe-Together Better”, Warsaw, Poland Robert SŁONIEWSKI Dept. of Public Health, Medical University of Warsaw, Warsaw, Poland Urszula RELIGIONI Collegium of Business Administration, Warsaw School of Economics, Warsaw, Poland Anna SŁONIEWSKA Masovian Oncological Hospital, Wieliszew, Poland Magdalena MILEWSKA Dept. of Clinical Dietetics, Medical University of Warsaw, Warsaw, Poland Anna KUPIECKA “Fundation Onko Cafe-Together Better”, Warsaw, Poland Adrianna SOBOL “Fundation Onko Cafe-Together Better”, Warsaw, Poland and Dept. of Oncological Prevention, Medical University of Warsaw, Warsaw, Poland Anna STANISZEWSKA Dept. of Experimental and Clinical Pharmacology, Medical University of Warsaw, Warsaw, Poland 2019 01 16 No Abstract### https://ijph.tums.ac.ir/index.php/ijph/article/view/15957 https://ijph.tums.ac.ir/index.php/ijph/article/download/15957/6272

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 48 1 2019 01 16 95 102 Long WANG School of Management, China Research Center for Emergency Management, Wuhan University of Technology, Wuhan, China Canhua KANG School of Economics, Wuhan University of Technology, Wuhan, China Zongyi YIN School of Arts and Law, Wuhan University of Technology, Wuhan, China Fang SU School of Management, China Research Center for Emergency Management, Wuhan University of Technology, Wuhan, China 2019 01 16 Background: During reports of emergency events, journalists experience psychological crisis and negative emotions aroused by the events. The psychological endurance of journalists, which is induced by high risks of the career, has attracted widespread attention. Emotional state and coping style are important factors that influence the psychological endurance of individuals. This study aimed to analyze the relationship of psychological endurance with anxiety and coping style among journalists engaged in emergency events. Methods: A total of 296 journalists in Hubei Province of China who participated in reports on emergency events from August to December 2017 were selected. Journalists were assessed using the Psychological Endurance Scale, Self-rating Anxiety Scale, and Simple Coping Style Questionnaire. Results: The total score of the psychological endurance of journalists engaged in emergency events is slightly lower than that of the Chinese norm. Score of anxiety of highly educated journalists is significantly higher than that of lowly educated journalists. Psychological endurance of journalists is negatively correlated with negative coping style and anxiety, but it is positively correlated with positive coping style. Positive coping style of journalists engaged in emergency events partially mediates the effects of psychological endurance on anxiety. Conclusion: Among journalists engaged in emergency events, the highly educated group presents obvious anxiety and negative coping style. Psychological endurance indirectly affects through positive coping style and directly affects anxiety of journalists.       https://ijph.tums.ac.ir/index.php/ijph/article/view/15943 https://ijph.tums.ac.ir/index.php/ijph/article/download/15943/6258

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 48 1 2019 01 16 184 186 Hamid ABDOLLAHI Dept. of Medical Physics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran Isaac SHIRI Research Center for Molecular and Cellular Imaging, Tehran University of Medical Sciences, Tehran, Iran AND Biomedical and Health Informatics, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran Mohammad HEYDARI Student Research Committee, School of Health Management and Information Sciences Branch, Iran University of Medical Sciences, Tehran, Iran 2019 01 16 No Abstract### https://ijph.tums.ac.ir/index.php/ijph/article/view/15958 https://ijph.tums.ac.ir/index.php/ijph/article/download/15958/6273

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 48 1 2019 01 16 103 111 Piyathida KUHIRUNYARATN Department of Community Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand Prasert PRASOMRAK Mahidol University, Amnatchareon Campus, Amnatcharoen, Thailand Bangonsri JINDAWONG Department of Community Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand 2019 01 16 Background: Elderly falls increase dramatically with age and are a leading cause of injury, carrying a risk of loss of independence and death. We studied the effects of a health education program on fall-risk prevention among urban elderly persons in the municipality of Khon Kaen, Thailand. Methods: A quasi-experimental study was conducted in 2 communities. The calculated sample size was 216 individuals: 108 for intervention and 108 for control, all of whom were 60 or older, and registered at the Samlium Primary Care Unit (SPCU). The educational intervention was a fall risk intervention program by an elderly buddy. A structured questionnaire that incorporated questions from the Thai Fall Risk Assessment Tool (Thai-FRAT) was used to collect general and specific information. Data were analyzed using the independent sample t-test and c2, with P<0.05 being statistically significant. Results: The response rate was 94.4%. More than half of the respondents were at risk of a fall. The prevalence of risk of a fall among the intervention group was slightly less than that for those within the control group [Intervention group=52.9% (95%CI: 42.85, 62.81, P<0.001); Control group=60.8% (95%CI: 50.59, 70.15, P=0.016)]. After 6 months of intervention, the balance impairment, medicine usage, and overall proportion with risk of fall were decreased. The difference between the intervention and control groups was statistically significant (P<0.05). Conclusion: The provision of a health education program designed for fall risk prevention among the elderly would be a useful public health initiative.     https://ijph.tums.ac.ir/index.php/ijph/article/view/15944 https://ijph.tums.ac.ir/index.php/ijph/article/download/15944/6259

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 48 1 2019 01 16 187 188 Fariba KHAYYATI Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran Mohammad ASGHARI JAFARABADI Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran AND Department of Statistics and Epidemiology, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran Masoud LOTFIZADEH Social Determinants of Health Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran Asrin KARIMI Neurosciences Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran Khaled RAHMANI Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran 2019 01 16 No Abstract### https://ijph.tums.ac.ir/index.php/ijph/article/view/15959 https://ijph.tums.ac.ir/index.php/ijph/article/download/15959/6274

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 48 1 2019 01 16 112 119 Sheng-Jun WANG Department of Teaching, School of Medicine, Shanghai Children's Medical Center, Shanghai Jiaotong University, Shanghai, China Li-Juan LIU Department of Health Management, Second Military Medical University, Shanghai, 200433, China Guang-Yue JI Department of Logistics Support, Shanghai Tenth People’s Hospital, Shanghai, 200072, China AND Department of Training, Second Military Medical University, Shanghai, 200433, China Xiao-Hua (Andrew) ZHOU Department of Biostatistics, School of Public Health, University of Washington, Washington, America Tian-Jiao JIANG Department of Health Management, Second Military Medical University, Shanghai, 200433, China Mei-Hua LU Department of Teaching, School of Medicine, Shanghai Children's Medical Center, Shanghai Jiaotong University, Shanghai, China De-Lin YU Department of Medical Administration, Guilin Sanatorium of Guangzhou Military Command Area, Guilin, Guangxi, 541000, China Qiang GUO Department of Health Management, Second Military Medical University, Shanghai, 200433, China Jin-Hai SUN Department of Health Management, Second Military Medical University, Shanghai, 200433, China 2019 01 16 Background: This study aimed to evaluate the characteristics of faculty and research activities of basic stem cell research groups in China. Methods: A questionnaire was administered to persons who knew the information among 46 basic stem cell research groups in China. Multiple linear regression models and repeated-measures analyses of variance were used. Repeated-measures analyses of variance were used. Results: Of the 46 groups, 39.1% did not have any faculty recruited from abroad from 2009 to 2013, 37.0% did not have any faculty with junior-level title, 34.8% had ≤25.0% faculty with either M.D. or Ph.D. degree. Papers published in SCI journals per faculty and having faculty recruited from abroad were positively associated with research funding per faculty. The groups with faculty recruited from abroad had significantly higher research funding per faculty over time compared with the group without faculty recruited from abroad. Repeated-measures analyses of variance showed the group with faculty recruited from abroad had significantly higher research funding per faculty over time compared with the group without faculty recruited from abroad. Conclusion: To increase the development of basic stem cell research, some characteristics of human resources should be improved, and the groups should recruit more faculty with overseas experience.     https://ijph.tums.ac.ir/index.php/ijph/article/view/15945 https://ijph.tums.ac.ir/index.php/ijph/article/download/15945/6260

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 48 1 2019 01 16 120 125 Can ONER Department of Family Medicine, Kartal Dr Lütfi Kırdar Education and Research Hospital, Istanbul, Turkey Binali CATAK Department of Public Health, School of Medicine, Kafkas University, Kars, Turkey 2019 01 16 Background: High-quality prenatal care services could decrease maternal-neonatal mortality and morbidities. The aim of this study was to compare institutional and unplanned home deliveries with regard to the use and content of prenatal care services. Methods: The study was conducted in 2011 with two hundred and twenty-nine mothers with unplanned deliveries at home as study group and 458 mothers having institutional deliveries as controls living in Istanbul. The content of prenatal care was evaluated in accordance with the national ministry of health prenatal care management guidelines and the data was collected by a questionnaire with face to face interview. Results: Women with unplanned deliveries at home use prenatal care services less frequently. Percentage of mothers that had home deliveries and did not use prenatal care services was 16.2% while this was only 3.4% in women having institutional deliveries (P=0.001). Moreover, all parameters of prenatal care were poor in content compared to women with institutional deliveries. Conclusion: Adequate prenatal care services in terms of quantity and quality can promote institutional deliveries.   https://ijph.tums.ac.ir/index.php/ijph/article/view/15946 https://ijph.tums.ac.ir/index.php/ijph/article/download/15946/6261

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 48 1 2019 01 16 126 131 Huafeng LI Genetic Laboratory, Women & Children’s Health Care Hospital of Linyi, Shandong Province, Linyi, 276014, PR China Yongli LI Genetic Laboratory, Women & Children’s Health Care Hospital of Linyi, Shandong Province, Linyi, 276014, PR China Rui ZHAO Genetic Laboratory, Women & Children’s Health Care Hospital of Linyi, Shandong Province, Linyi, 276014, PR China Yanli ZHANG Genetic Laboratory, Women & Children’s Health Care Hospital of Linyi, Shandong Province, Linyi, 276014, PR China 2019 01 16 Background: We aimed to assess the frequency and structure of chromosomal abnormalities as well as the distribution of the indications of prenatal diagnosis in 4206 cases of high-risk pregnant women. Methods: A retrospective analysis of cytogenetic studies of 4206 pregnant women with indications of amniocentesis, referred to Linyi Women and Children’s Hospital, Shandong Province, Linyi, China in 2016-2017, was performed. Among those, 4191 amniotic fluid specimens were successfully extracted and cultured, and received karyotype diagnosis. Results: A total of 358 abnormal karyotypes were detected and the abnormal rate was 8.54%. Among them, autosomal aneuploidy was the most common pattern occupied 64.53% and the detection rate was 5.51%, of which 173 (48.32%) cases were 21-trisomy, which was the main type of abnormal karyotypes, followed by 18-trisomy (14.25%). There were 38 cases with sex chromosome aneuploidy, including 47, XXY, 47, XXX, 47, XYY, 69, XXX and 45, X0, accounting for 10.61% of the total chromosome abnormalities and the detection rate was 0.91%. Chromosome structural disorders occupied 10.61% (38/358) of the chromosome abnormalities, including Robertson translocation (16 cases), balance translocation (14 cases), inversion (3 cases), deletion (3 cases), and so on. Chromosome polymorphism was 10.61% too. Other uncommon abnormal karyotypes included mosaicism (11/358), marker chromosome (1.3%). Advanced age and serological screening for high risk were the major prenatal diagnostic indications for pregnant women with chromosomal abnormalities. Conclusion: The karyotype analysis of amniotic fluid cells in pregnant women with different amniocentisis indications can effectively prevent the birth of fetuses with chromosomal diseases and reduce the risk of fetal malformation.   https://ijph.tums.ac.ir/index.php/ijph/article/view/15947 https://ijph.tums.ac.ir/index.php/ijph/article/download/15947/6262

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 48 1 2019 01 16 132 138 Siavaah CHALABIANI Department of Molecular Diagnostics, Noor Pathobiology Laboratory, Tehran, Iran Mina KHODADAD NAZARI Department of Molecular Diagnostics, Noor Pathobiology Laboratory, Tehran, Iran Nada RAZAVI DAVOODI Department of Molecular Diagnostics, Noor Pathobiology Laboratory, Tehran, Iran Mahdi SHABANI Department of Immunology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran Masoud MARDANI Tropical Infectious Diseases Research Center, Shahid Behshti University of Medical Sciences, Tehran, Iran Abdolfatah SARAFNEJAD Department of Molecular Diagnostics, Noor Pathobiology Laboratory, Tehran, Iran AND Department of Immunology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Ali AKBAR AMIRZARGAR Department of Molecular Diagnostics, Noor Pathobiology Laboratory, Tehran, Iran AND Department of Immunology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran AND Molecular Immunology Research Center, Tehran University of Medical Sciences, Tehran, Iran 2019 01 16 Background: Brucellosis as a zoonotic disease is widespread among human and animal that it continues to be a major public health problem. Due to the shortage of recent epidemiologic data regarding the brucellosis distribution in Iran, we convinced to evaluate the prevalence of brucellosis in provinces of Iran. Methods: In this descriptive study, data were collected from brucellosis suspected patients referred to Noor Pathobiology Laboratory, Tehran, Iran from 18 out of 31 provinces of Iran during 2013-2015. Results: Overall, 2635 out of 17103 attending cases (15.4%) were recognized as brucellosis patients. The most prevalent rate was found in patients aged 20-39 yr old (41%) which of them 67% were male. Patients with brucellosis were significantly diagnosed in spring season (Apr to late May). Among included provinces, Hamadan Province had the highest (25%) prevalence followed by Markazi and Mazandaran with 24.7% and 22.5%, respectively. Conclusion: Brucellosis is still considered as an important infectious disease with a high prevalence in many provinces of Iran. It is necessary to implement a national brucellosis control program by increasing medical education, public knowledge and various controlling plans for preventing, controlling and eradicating of brucellosis.   https://ijph.tums.ac.ir/index.php/ijph/article/view/15948 https://ijph.tums.ac.ir/index.php/ijph/article/download/15948/6263

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 48 1 2019 01 16 139 146 Zeinab EBRAHIMZADEH Department of Clinical Psychology, School of Education and Psychology, Shiraz University, Shiraz, Iran Mohammad Ali GOODARZI Department of Clinical Psychology, School of Education and Psychology, Shiraz University, Shiraz, Iran Hassan JOULAEI Shiraz HIV/AIDS Research Center, Shiraz University of Medical Sciences, Shiraz, Iran 2019 01 16 Background: Antiretroviral therapy has significantly reduced the prevalence of diseases and mortality rate caused by HIV; therefore, recognition of the factors affecting the antiretroviral therapy is of great importance. We aimed to investigate the relationship between antiretroviral medication adherence and CD4 with posttrau-matic stress disorder (PTSD) and depression in patients with HIV. Methods: This was a descriptive, cross-sectional, quantitative, and correlational study. The statistical popula-tion included all of the patients with HIV in Shiraz, Fars Province, southwest of Iran in 2013, of whom 220 were selected from the Behavioral Diseases Consultation Center using the convenience sampling method. The measures included Mississippi Post Traumatic Stress Disorder Questionnaire, Beck-II Depression, and ACTG Adherence (ACTG). The results were analyzed using the Pearson correlation method and stepwise hierarchical multivariate regression. Results: Regression analysis showed that of two mediating variables (age & educational level), only age could predict 5% (P<0.001) and of two predictive variables (depression & PTSD) only PTSD could predict 53% (P<0.001) of medication adherence's variance. Moreover, of two mediating variables (age & disease duration), only age could predict 3% (P<0.004) and of two predictive variables (depression & PTSD) only PTSD could predict 4% (P<0.001) of CD4 variance. Conclusion: The posttraumatic stress disorder symptoms could predict the medication non-adherence and lower CD4 levels. https://ijph.tums.ac.ir/index.php/ijph/article/view/15949 https://ijph.tums.ac.ir/index.php/ijph/article/download/15949/6264

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 48 1 2019 01 16 147 155 Jafar Sadegh TABRIZI Tabriz Health Services Management Research Center, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran Majid KARAMOUZ East Azerbaijan Province Health Center, Tabriz University of Medical Sciences, Tabriz, Iran Homayoun SADEGHI-BAZARGANI Road Traffic Injury Research Center, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran Alireza NIKNIAZ Department of Pediatrics, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran Leila NIKNIAZ Tabriz Health Services Management Research Center, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran Roya HASANZADEH Tabriz Health Services Management Research Center, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran Jalal HANAEE Department of Medicinal Chemistry, Faculty of Pharmacy, Tabriz University of Medical Sciences, Tabriz, Iran Mostafa FARAHBAKHSH Research Center of Psychiatry and Behavioral Sciences, Aging Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran 2019 01 16 Background: For overcoming the existing problems and finding a pathway for realization of universal health care, health complexes were implemented in the form of a pilot project in Tabriz suburban area. Methods: Tabriz Health Complex Project was designed in 2013 in the provincial health center of East Azerbaijan. In terms of execution schedule, this intervention had 4 phases including 1) study phase, 2) planning phase, 3) pilot phase, and 4) implementation phase. Each health complex covers a population of 40,000 to 120,000 in a defined geographic area and consists of a Comprehensive Health Center (CHC) including health centers and a management center, which usually located in CHC. The important features of this project are as follows: people-centered primary health care, special attention to health promotion and prevention and establishment of a referral system within the region (organic connection between the first and second levels). Results: An accountable and responsive health care system has been established to deliver integrated care services to people in a defined catchment area against identified per capita payment, under district health centre policies and regulations. Each health team consisted of a general practitioner and a family health nurse who covered around 4000 people to deliver prevention, promotion, and treatment services especially in and NCDs field. Conclusion: Health complex as a model of public-private participation and practical solution to address many of the problems in the primary care system of the country. The project can organize the PHC system and family medicine program.   https://ijph.tums.ac.ir/index.php/ijph/article/view/15950