Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 46 7 2017 06 25 899 905 Hui SUN Operating Room, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province, China Hongyu LIU Dept. of Cardiac Surgery, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province, China Jingbo LI Dept. of Cardiac Surgery, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province, China Xiaochun WANG Dept. of Nursing, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province, China 2017 06 25 2017 06 25 Background: To investigate the interventional efficacy and clinical significance of graded psychological nursing care for patients who have undergone cardiothoracic surgery by providing graded psychological nursing care for these patients according to the results of their psychological evaluation. Methods: In this interventional study, 110 patients who had undergone cardiothoracic surgery between 2014 and 2015 in the First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province, China, were enrolled. We divided them into two groups of 55 patients each, namely, a control group and a treatment group. For patients in the control group, we applied regular psychological nursing care; those in the treatment group were further divided into three different psychological grades after being assessed using Symptom Checklist 90 (SCL-90) and the Pittsburgh Sleep Quality Index (PSQI); patients at each grade were treated by graded psychological nursing care in addition to regular psychological nursing care. Results: Significant decreases, with statistically significant differences (P<0.01), were observed in the SCL-90 and PSQI scores of patients in the treatment group as compared with the control group. Patients in the treatment group, who underwent graded psychological nursing care according to their varying psychological conditions, showed better improvement in their post-surgery emotional state and sleep quality than those in the control group, thus indicating the great significance of graded psychological nursing care in clinical practices. Conclusion: Applying graded psychological nursing care in post-operation cardiothoracic patients improved nursing care efficiency and alleviated patients’ negative feelings. Therefore, this type of nursing care should be further promoted and utilized in clinical practice for effective rehabilitation of patients.     https://ijph.tums.ac.ir/index.php/ijph/article/view/10387 https://ijph.tums.ac.ir/index.php/ijph/article/download/10387/5791

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 46 7 2017 06 25 869 876 Min MU Dept. of Preventive Medicine, School of Medicine, Anhui University of Science and Technology, Huainan, Anhui Province, China Li-Fa XU Dept. of Preventive Medicine, School of Medicine, Anhui University of Science and Technology, Huainan, Anhui Province, China Dong HU, Dept. of Preventive Medicine, School of Medicine, Anhui University of Science and Technology, Huainan, Anhui Province, China Jing WU Dept. of Preventive Medicine, School of Medicine, Anhui University of Science and Technology, Huainan, Anhui Province, China Ming-Jie BAI Dept. of Preventive Medicine, School of Medicine, Anhui University of Science and Technology, Huainan, Anhui Province, China 2017 06 25 2017 06 25 Background: Dietary patterns analysis may provide insights into the influence of overall diet on overweight/obesity. In the past two decades, the relation between dietary patterns and overweight/obesity has been a research focus and a number of results were reported in the research field. Methods: An electronic literature search was conducted in PubMed and Web of Science, to identify human studies published by Mar 2015 and written in English. The following keywords or phrases were involved: dietary patterns, dietary pattern, factor analysis, principal component analysis, diet, obesity, adiposity, overweight and BMI. All the studies were retrieved and prudent/healthy (n=17) and western/unhealthy (n=18) dietary patterns were identified. Results: When compared with the lowest categories of a prudent/healthy dietary pattern, a reduced overweight/obesity risk was shown in the highest (OR=0.64; 95% CI: 0.52, 0.78; P<0.0001). While there was an increased overweight/obesity risk in the highest when compared with the lowest categories of a western/unhealthy dietary pattern (OR=1.65; 95% CI: 1.45, 1.87; P<0.0001). Conclusion: A prudent/healthy dietary pattern and limit intake of western/unhealthy dietary pattern should be followed, which helps to keep a healthy body mass. https://ijph.tums.ac.ir/index.php/ijph/article/view/10383 https://ijph.tums.ac.ir/index.php/ijph/article/download/10383/5786

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 46 7 2017 06 25 985 988 Sayed Aladdin ASGARI Urology Research Center, Razi Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran Sadeq ROSTAMI Dept. of Urology, Guilan University of Medical Sciences, Rasht, Iran Mojtaba TEIMOORI Dept. of Urology, Guilan University of Medical Sciences, Rasht, Iran 2017 06 25 2017 06 25 Priapism is well-defined by persistent, painful penile erection which happens without sexual stimulation. Currently, the hirudotherapy is practiced to treat venous congestion and subsequent compartment syndrome. Here we will report a case of a male with priapism treated by leeches. The case was a 26 yr old young single male referred to the Razi Hospital Emergency Department, Guilan University of Medical Sciences, Rasht, Iran due to long-time spontaneous erections. The patient had no history of mental disorders, trauma or sickle cell anemia. we insert two leeches in each side of penile shaft for two hours, after a one hour break we insert do in same manner for another cycle. At follow-up two days later he had significantly decreased pain, though still had cavernosal swelling and tenderness to palpation. The patient was subsequently discharged after three days of admission. The pain and perineal swelling completely resolved over the course of one month. In this case, chronology indicates that leech therapy was possibly treatment option for priapism. This procedure seems to be non-invasive treatment strategy worth to discussing in such patients.       https://ijph.tums.ac.ir/index.php/ijph/article/view/10404 https://ijph.tums.ac.ir/index.php/ijph/article/download/10404/5802

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 46 7 2017 06 25 989 991 Eun-Ju CHOI Division of Sports Sciences, Konkuk University, Chungju, Korea Wi-Young SO Sports and Health Care Major, Korea National University of Transportation, Chungju, Korea Taikyeong Ted. JEONG Dept. of Computer Science and Engineering, Seoul Women’s University, Seoul, Korea 2017 06 25 2017 06 25 Effects of Workout and Meditation Phenomenon Program on Body Composition, Flexibility, and Blood Pressure Data Analysis https://ijph.tums.ac.ir/index.php/ijph/article/view/10405 https://ijph.tums.ac.ir/index.php/ijph/article/download/10405/5803

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 46 7 2017 06 25 906 916 Lucian MURESAN Dept. of Cardiology-Rehabilitation Hospital, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania Ana PETCU Rheumatology Clinic, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania Crina MURESAN Dept. of Internal Medicine, Second Medical Clinic, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania Mirela RINZIS Rheumatology Clinic, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania Gabriel GUSETU Dept. of Cardiology-Rehabilitation Hospital, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania Dana POP Dept. of Cardiology-Rehabilitation Hospital, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania Dumitru ZDRENGHEA Dept. of Cardiology-Rehabilitation Hospital, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania Simona REDNIC Rheumatology Clinic, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania 2017 06 25 2017 06 25 Background: In patients with systemic sclerosis, NT-proBNP is a useful diagnostic marker for pulmonary hypertension and ventricular dysfunction, with important prognostic significance. The aim of this study was to assess the relationship between the NT-proBNP levels and the presence and severity of ventricular arrhythmias in patients with scleroderma. Methods: Forty consecutive patients with a diagnostic of systemic sclerosis according to the EULAR criteria admitted at the Rheumatology Clinic of Cluj-Napoca, Romania, from Jan 2014 to Apr 2014 were enrolled. Patients underwent a 12-lead ECG and a 24-hour Holter ECG monitoring for ventricular arrhythmias evaluation. Blood sample testing (including NT-proBNP level measurements), echocardiography, spirometry, chest X-ray and, when considered appropriate, high-resolution chest CT were performed. Results: Sixty percent of patients (n=24) had abnormal NT-proBNP serum levels (>125 pg/ml) and 10 patients had >100 PVC /24 h. There was a statistically significant correlation between the NT-proBNP levels and the total number of premature ventricular contractions (PVC) (r=0.445, P=0.006), total number of isolated PVC (r=0,493, P=0.002), total number of ventricular couplets (r=0.379, P=0.021) and the number of PVC morphologies (r=0.501, P=0.002). The presence of an NT-proBNP serum level >287 pg/ml had a sensitivity of 55% and a specificity of 93% in predicting the presence of complex ventricular arrhythmias on 24-hour Holter ECG monitoring. Conclusion: NT-proBNP levels could become a useful ventricular arrhythmia marker for assessing the arrhythmic risk in patients with systemic sclerosis.     https://ijph.tums.ac.ir/index.php/ijph/article/view/10388 https://ijph.tums.ac.ir/index.php/ijph/article/download/10388/5792

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 46 7 2017 06 25 877 881 Mahdi ALIZADEH Dept. of Iranian Traditional Medicine, School of Iranian Traditional Medicine, Tehran University of Medical Sciences, Tehran, Iran Ebrahim KHADEM Dept. of Iranian Traditional Medicine, School of Iranian Traditional Medicine, Tehran University of Medical Sciences, Tehran, Iran Jale ALIASL Research Institute for Islamic and Complementary Medicine, School of Iranian Traditional Medicine, Iran University of Medical Sciences, Tehran, Iran 2017 06 25 2017 06 25   Background: In Iranian traditional medicine (ITM) stomach is the important organ in the body. Its disorders can affect other organs such as liver, heart and also can cause depression. Stomach distemperaments can cause some disorders. Thepurpose of this study was to provide a diagnostic method of stomach distemperament for clinical practice. Methods: In this study authoritative ITM books such as Canon of Avicenna, Zakhirah-E-Kharazm Shahi by Hakim Esmail Jorjani, Kamel al -Sina'ah al- Tibbiyah by Ali ibn al-'Abbas al-Majusi were assessed and symptoms and signs of stomachdistemperament were collected. Results: Stomach has some normal temperament. The imbalance in temperament and humor can cause distemperments. There are 12 types of stomach distemperament and based on symptoms and signs a primary protocol is designed for diagnosis of stomach distemperament. Conclusion: There is no available guideline for gastric distemperamet diagnosis protocol. As a result, the presented protocol should be considered for use in clinical practice. https://ijph.tums.ac.ir/index.php/ijph/article/view/10384 https://ijph.tums.ac.ir/index.php/ijph/article/download/10384/5787

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 46 7 2017 06 25 992 994 Esra TAJIK Dept. of Nutrition and Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, Malaysia Maryam JAVADI Dept. of Nutrition, School of Public Health, Qazvin University of Medical Sciences, Qazvin, Iran AND children Growth Research Center, Qazvin University of Medical Sciences, Qazvin, Iran Marjan MOHAMMADZADEH Dept. of Community Health, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, Malaysia 2017 06 25 2017 06 25 Diet and Mental Health, What Should Be Done for Malaysian Adolescents https://ijph.tums.ac.ir/index.php/ijph/article/view/10406 https://ijph.tums.ac.ir/index.php/ijph/article/download/10406/5805

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 46 7 2017 06 25 917 922 Yevgeniy ISHKININ Kazakh Institute of Oncology and Radiology, Almaty, Kazakhstan AND Medical University “High School of Public Health”, Almaty, Kazakhstan Alma ZHYLKAIDAROVA Kazakh Institute of Oncology and Radiology, Almaty, Kazakhstan Nurzhan NURGALIYEV Kazakh Institute of Oncology and Radiology, Almaty, Kazakhstan Elmira AUYEZOVA Kazakh Institute of Oncology and Radiology, Almaty, Kazakhstan Airy> Background: The tectonic activities at the meeting points of three large plates make Indonesia a high-risk disaster-prone area. Nevertheless, disaster risk reduction efforts in various regions of Indonesia are still lacking, in terms of both knowledge and the ability to analyze disaster risks. This study examines the implementation of disaster preparedness and mitigation in Indonesia. Methods: The method used in this study was narrative review. The authors collected the articles through searching for 3 data sources from 2016–2019 using Google Scholar, iSeek, and Microsoft Academic. Content analysis of all information to obtain the thematic phenomena of this study completed the methodological approach. Results: After applying the exclusion criteria and removing duplicates, six studies remained that focused on disaster mitigation in remote areas of Indonesia. Implementation of regulation and policy framework in disaster management is not yet optimal. Disaster preparedness and mitigation is characterized by the low utilization of technology and information related to the disaster, and various obstacles in the process of evacuation and transportation. Promoting local wisdom and enhancing it through integrating science can increase disaster resilience. Conclusion: The existence of a disaster-resilient village is very influential in community preparedness in dealing with disasters and other emergencies. This study provides some recommendations for disaster risk reduction: a) strengthening policies related to evacuation procedures in the health sector by local government, b) integrating transportation modes in remote areas, c) enhancing all parties with education and training, d) establishing community-based information systems; and e) strengthening the disaster resilience of villages. https://ijph.tums.ac.ir/index.php/ijph/article/view/24372 https://ijph.tums.ac.ir/index.php/ijph/article/download/24372/7311

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 50 8 2021 07 22 1726 1728 Mădălina Ioana Moisi 1. Clinical County Emergency Hospital of Oradea, Oradea, Romania 2. Faculty of Medicine and Pharmacy of Oradea, University of Oradea, Oradea, Romania Cosmin Mihai Vesa 1. Clinical County Emergency Hospital of Oradea, Oradea, Romania 2. Faculty of Medicine and Pharmacy of Oradea, University of Oradea, Oradea, Romania Larisa Roșan 1. Clinical County Emergency Hospital of Oradea, Oradea, Romania 2. Faculty of Medicine and Pharmacy of Oradea, University of Oradea, Oradea, Romania Otilia Țica 1. Clinical County Emergency Hospital of Oradea, Oradea, Romania 2. Faculty of Medicine and Pharmacy of Oradea, University of Oradea, Oradea, Romania Carmen Dana Zaha 1. Clinical County Emergency Hospital of Oradea, Oradea, Romania 2. Faculty of Medicine and Pharmacy of Oradea, University of Oradea, Oradea, Romania Adriana Ardelean 1. Clinical County Emergency Hospital of Oradea, Oradea, Romania 2. Faculty of Medicine and Pharmacy of Oradea, University of Oradea, Oradea, Romania Babeș Katalin 1. Clinical County Emergency Hospital of Oradea, Oradea, Romania 2. Faculty of Medicine and Pharmacy of Oradea, University of Oradea, Oradea, Romania Mircea Ioachim Popescu 1. Clinical County Emergency Hospital of Oradea, Oradea, Romania 2. Faculty of Medicine and Pharmacy of Oradea, University of Oradea, Oradea, Romania 2019 03 24 2019 04 20 No Abstract https://ijph.tums.ac.ir/index.php/ijph/article/view/16656 https://ijph.tums.ac.ir/index.php/ijph/article/download/16656/7333

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 50 8 2021 07 22 1613 1623 Shaomin Wang School of Medical Economics and Management, Anhui University of Chinese Medicine, Hefei 230012, China Qunshan Tao School of Medical Economics and Management, Anhui University of Chinese Medicine, Hefei 230012, China 2020 10 16 2021 02 10 Background: Hierarchical medical system (HMS) is a good policy to promote the fairness of medical services for residents. Given the importance of HMS, it is necessary to know the implementation effect of the policy. Therefore, we aimed to analyze the efficiency of medical service resources in China under the background of hierarchical medical policy. Methods: Based on the panel data of China's medical resources in 2015-2019, we used DEA model to calculate the technical efficiency (TE), pure technical efficiency (PTE) and scale efficiency (SE) of medical resources from both lateral and longitudinal aspects. We used Malmquist index to evaluate the change trend of efficiency, and further we compared the efficiency differences of regions and medical institutions. Results: In lateral evaluation results, TE was relatively stable, while total factor productivity (TFP) was on the rise. In longitudinal evaluation results, TE and TFP showed a downward trend. Conclusion: The government should consider the differences in development between regions and make health plans by regions. Medical institutions should strive to break down the constraints and make use of their advantages, which is conducive to improving efficiency. https://ijph.tums.ac.ir/index.php/ijph/article/view/22529 https://ijph.tums.ac.ir/index.php/ijph/article/download/22529/7319

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 50 8 2021 07 22 1547 1554 Cemal Koçak General Directorate of Public Health, Republic of Turkey Ministry of Health, Ankara, Turkey 2021 04 12 2021 05 06 Background: COVID-19 was first declared as an international public health emergency and then a pandemic by the WHO. In this systematic review, the importance of isolation and contact tracing has been explained, and what kinds of practices exist in different countries are mentioned. Methods: A systematic review was conducted in accordance with the PRISMA and Cochrane guidelines by searching articles from major medical databases such as Google Scholar, PubMed/MEDLINE, Cochrane Library, EMBASE, CINAHL between Jan 1, 2020 and Apr 1, 2021. Observational and modeling studies written on contact tracing, screening, quarantine and isolation were included. Results: 27 observational and modeling studies were included. It was seen that rapid contact tracing to reduce the basic reproduction number (R0) from 3.11 to 0.21. Additionally, each new case requires an average of 36 people to be monitored. Since screening programs missed 75% of cases, high-level contact tracing should also be done simultaneously. Wide quarantine would prevent 79.27% deaths and 87.08% infections. Conclusion: Effective, rapid contact tracing is the cornerstone of an effective public health response in outbreaks. Its success depends on quickly identifying cases, gathering information from them about their last contacts, and tracing and isolating those contacts. https://ijph.tums.ac.ir/index.php/ijph/article/view/24549 https://ijph.tums.ac.ir/index.php/ijph/article/download/24549/7312

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 50 8 2021 07 22 1729 1731 EN Lu-Xi Zou Xuzhou Medical University, Xuzhou, Jiangsu, China Ling Sun Department of Nephrology, Xuzhou Central Hospital, Xuzhou Medical University, Xuzhou, Jiangsu, China 2018 12 03 2019 03 17 No Abstract https://ijph.tums.ac.ir/index.php/ijph/article/view/15485 https://ijph.tums.ac.ir/index.php/ijph/article/download/15485/7334

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 50 8 2021 07 22 1624 1634 Entesar El-Araby Department of Physics, Faculty of Sciences, Jazan University, Jazan, Saudi Arabia Khaled Salman Department of Radiation Protection, Nuclear Research Center, Atomic Energy Authority, Cairo, Egypt Fawzia Mubarak Department of Radiation Protection, Nuclear Research Center, Atomic Energy Authority, Cairo, Egypt 2019 05 07 2019 06 01 Background: We investigated the human risk due to radon and heavy metals (HM) in soil. Methods: Samples were collected in 2017 from 10 representative geographical locations at Jazan region of southwestern Saudi Arabia and analyzed for elements (Al, Ca, Cu, Ni, Sr Fe, Mg, B, Co, Cr, V, Zn, Mn, Ba, Cd, and Pb). Elements were measured using inductively coupled plasma optical emission spectrometer (ICP-OES). Radon (Rn) was measured using solid-state nuclear detector (SSNTDs). Results: The maximum human risk was due to Al, which had the highest concentration, where the lowest human risk was due to Cd. The maximum radon concentration was obtained at El-Mazab area with value of 381.05 Bq/m3which leads to 6.55 mSv/y and 78.94 Bq/m2d annual effective doses and radon exhalant rate respectively. Average equivalent and effective dose to different organs due to radon concentration was estimated. Hazard Index due to both carcinogenic and non-cancer hazards were calculated it exceeds permissible level for child due to Nickel and Chromium hence there is a significant risk on children in the study area. Conclusion: HM concentrations were over limits in some places according to the human activities, municipal waste disposal, fertilizers and pesticides in agriculture. In addition, soil is porous permit dispersion of radon to the atmosphere. https://ijph.tums.ac.ir/index.php/ijph/article/view/17054 https://ijph.tums.ac.ir/index.php/ijph/article/download/17054/7320

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 50 8 2021 07 22 1555 1563 Mousa Ghelichi-Ghojogh Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran Haleh Ghaem Non-Communicable Diseases Research Center, Department of Epidemiology, School of Health, Shiraz University of Medical Sci-ences, Shiraz, Iran Fateme Mohammadizadeh Non-Communicable Diseases Research Center, Department of Epidemiology, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran Mouhebat Vali Urology Research Center, Al-Thora Hospital, Department of Urology, Ibb University of Medical Sciences, Ibb, Yemen Faisal Ahmed Urology Research Center, Al-Thora Hospital, Department of Urology, Ibb University of Medical Sciences, Ibb, Yemen Soheil Hassanipour Gastrointestinal and Liver Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran Hossein-Ali Nikbakht Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran Fateme rezaei Department of Social Medicine, Jahrom University of Medical Sciences, Jahrom, Iran Mohammad Fararouei HIV/AIDS Research Center, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran 2020 11 21 2021 03 06 Background: End-Stage Renal Disease (ESRD) is an irreversible impairment of kidney function that leads to permanently dependent on alternative therapies such as hemodialysis, peritoneal dialysis, and renal transplantation. This study aimed to systematically investigate the survival rate of patients with renal transplantation, graft, and its related factors in Iran. Methods: This systematic review and meta-analysis drew on articles indexed in six international and one internal databases (Medline/PubMed, ProQuest, Scopus, Embase, SID, and Web of knowledge) until Nov 2020. The reporting of the present study was performed in terms of PRISMA statement. All analyzes were performed using the STATA software. Results: Overall, 367 titles from 6 databases were evaluated of which 86 articles met the inclusion criteria. According to the random model, the graft survival rate at one, three, five, and 10 years were 92.48%, 85.08%, 79.96% and 68.15% respectively. Additionally, the patient survival rates at one, three, five, and 10 years were 91.27%, 86.46%, 81.17% and 78.15% respectively. There was a significant relationship between the age recipient and three-year graft survival rate (P=0.021). Additionally, there was an inverse and significant relationship between the donor age and 10-year patient survival rate (P=0.011). Conclusion: The patient and graft survival in transplanted kidney patients is comparable with most developed countries. https://ijph.tums.ac.ir/index.php/ijph/article/view/22951 https://ijph.tums.ac.ir/index.php/ijph/article/download/22951/7313

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 50 8 2021 07 22 1732 1734 Jana Lipkova Faculty of Physical Education and Sports, Comenius University in Bratislava, Bratislava, Slovakia Helena Medekova Faculty of Physical Education and Sports, Comenius University in Bratislava, Bratislava, Slovakia Lukas Chovanec Faculty of Physical Education and Sports, Comenius University in Bratislava, Bratislava, Slovakia Katarina Hirosova Institute of Hygiene, Faculty of Medicine, Comenius University in Bratislava, Bratislava, Slovakia Martin Samohyl Institute of Hygiene, Faculty of Medicine, Comenius University in Bratislava, Bratislava, Slovakia Ivana Kachutova Institute of Hygiene, Faculty of Medicine, Comenius University in Bratislava, Bratislava, Slovakia Lubica Argalasova Institute of Hygiene, Faculty of Medicine, Comenius University in Bratislava, Bratislava, Slovakia Jana Jurkovicova Institute of Hygiene, Faculty of Medicine, Comenius University in Bratislava, Bratislava, Slovakia 2019 03 19 2019 04 20 No Abstract https://ijph.tums.ac.ir/index.php/ijph/article/view/16618 https://ijph.tums.ac.ir/index.php/ijph/article/download/16618/7335

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 50 8 2021 07 22 1635 1641 Jianqiao Xu Department of Pulmonary & Critical Care Medicine, Chinese People Liberation Army (PLA) General Hospital, Beijing, China Yongqiang Chen Department of Medical Data, Beijing Renheguangtong (RHGT) Information Co., Ltd. Beijing, China Jiang Wang Department of Pulmonary & Critical Care Medicine, Chinese People Liberation Army (PLA) General Hospital, Beijing, China Guixiu Yang Department of Pulmonary & Critical Care Medicine, Chinese People Liberation Army (PLA) General Hospital, Beijing, China Peng Yan Department of Pulmonary & Critical Care Medicine, Chinese People Liberation Army (PLA) General Hospital, Beijing, China Zhimei Duan Department of Pulmonary & Critical Care Medicine, Chinese People Liberation Army (PLA) General Hospital, Beijing, China Lixin Xie Department of Pulmonary & Critical Care Medicine, Chinese People Liberation Army (PLA) General Hospital, Beijing, China Guoxin Mo Department of Pulmonary & Critical Care Medicine, Chinese People Liberation Army (PLA) General Hospital, Beijing, China 2021 05 26 2021 07 22 Background: Some patients discharged automatically are classified as terminal discharge, while their clinical outcome is survival, disrupting the results of clinical research. Methods: The data of this study were taken from inpatients admitted to the ICU of the First Medical Center of the People's Liberation Army General Hospital, Beijing, China from 2008-2017. We collected the data regarding medications used over the three days before discharge from the group of patients who survived and the group of patients who died, and the outcomes of all patients were recalculated by three classification algorithms (AdaBoosting, Pearson correlation coefficient, observed to expected ratio-weighted cosine similarity). Our basic assumption is that if the classification result is death but the actual in-hospital outcome is survival, the associated patient was likely terminally discharged. Results: The coincidence rate of the outcomes calculated by the AdaBoosting algorithm was 98.1%, the coincidence rate calculated by the Pearson correlation coefficient was 61.1%, and the coincidence rate calculated by the observed to expected ratio-weighted cosine similarity was 93.4%. When the three classification methods were combined, the accuracy reached 98.56%. Conclusion: The combination of clinical rules and classification methods has a synergistic effect on judgments of patients’ discharge outcomes, greatly saving time on manual retrieval and reducing the negative influence of statistics or rules. https://ijph.tums.ac.ir/index.php/ijph/article/view/25075 https://ijph.tums.ac.ir/index.php/ijph/article/download/25075/7321

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 50 8 2021 07 22 1564 1576 Mahasti Alizadeh Social Determinant of Health Research Center, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran 2. Department of Community and Family Medicine, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran Morteza Ghojazadeh 1. Research Center for Evidence-Based Medicine, Tabriz University of Medical Sciences, Tabriz, Iran 2. Medical Philosophy and History Research Center, Tabriz University of Medical Sciences, Tabriz, Iran Reza Piri 1. Medical Philosophy and History Research Center, Tabriz University of Medical Sciences, Tabriz, Iran 2. Department of Nuclear Medicine, Odense University Hospital, Odense, Denmark Mohammad Mirza-Aghazadeh-Attari 1. Medical Philosophy and History Research Center, Tabriz University of Medical Sciences, Tabriz, Iran 2. Medical Radiation Sciences Research Group, Tabriz University of Medical Sciences, Tabriz, Iran Sahar Mohammadi Department of Emergency Medicine, Faculty of Medicine, Iranshahr University of Medical Sciences, Iranshahr, Iran Mohammad Naghavi-Behzad 1. Department of Community and Family Medicine, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran 2. Department of Clinical Research, University of Southern Denmark, Odense, Denmark 2019 11 04 2021 02 02 Background: Breast cancer is responsible for up to 25% of all cancers in Iran. The age at diagnosis of Iranian breast cancer patients starts a decade earlier than most of developed countries. This study aimed to evaluate the mean age at diagnosis of Iranian breast cancer patients. Methods: In this systematic review and meta-analysis, the mean age at diagnosis of Iranian breast cancer patients and its pattern between 2008 and 2017, were evaluated. All papers with age at diagnosis of histopathological verified breast cancer patients were considered eligible to enter to the analysis. We used databases including Medline/PubMed, Scopus, Embase, Cochrane Library, Iranmedex and SID for the search process. The meta-analysis was performed only on studies with separate data for female patients, using random-effects model, Mantel and Haenszel method and the Comprehensive Meta-analysis software. Results: Finally, 92 studies with 19,784 patients (both-genders) were included. The mean age at diagnosis had increased from 47.93 (2008) to 49.91 (2016) years. The meta-analysis was done on 78 studies containing of 15,071 female patients and the mean age at diagnosis was 46.76±1.19. There was a wide range of age at diagnosis within different provinces. The mean age at Hamadan and Khuzestan provinces were the lowest and highest, respectively (42.48±7.96 vs. 51.00±11.47). The heterogeneity of studies was statistically significant (I2=99.744). Conclusion: Mean age at diagnosis of Iranian women with breast cancer was 46.76±1.19. There was an increasing pattern in mean age of diagnosis at breast cancer patients within the past 10 years. https://ijph.tums.ac.ir/index.php/ijph/article/view/18860 https://ijph.tums.ac.ir/index.php/ijph/article/download/18860/7314

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 50 8 2021 07 22 1735 1737 Nasrin Borumandnia Urology and Nephrology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran Hamid Alavi Majd Department of Biostatistics, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran Naghmeh Khadembashi Department of English Language, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran Hojat Alaii Department of Biostatistics, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran 2019 03 13 2019 04 20 No Abstract https://ijph.tums.ac.ir/index.php/ijph/article/view/16564 https://ijph.tums.ac.ir/index.php/ijph/article/download/16564/7336

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 50 8 2021 07 22 1642 1647 EN Thuan Lao Department of Pharmaceutical and Medical Biotechnology, Faculty of Biotechnology, Ho Chi Minh City Open University, Ho Chi Minh City, Vietnam Minh Nguyen Cho Ray Hospital, Ho Chi Minh City, Vietnam Dung Nguyen University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam Thuy Le Department of Pharmaceutical and Medical Biotechnology, Faculty of Biotechnology, Ho Chi Minh City Open University, Ho Chi Minh City, Vietnam 2020 03 03 2020 05 29 Background: The upregulation of miRNA-155 (miR-155) has been associated with oncogenesis of many human tumors, including nasopharyngeal carcinoma (NPC). However, the profile of miR-155 in Vietnamese NPC patients has not been investigated. The current study aimed to evaluate the miR-155 expression and assess whether miR-155 is a potential biomarker for diagnosis of NPC in Vietnamese patients. Methods: In current case-control study, total of RNA was isolated from 60 biopsy NPC samples and 60 non-cancerous swab samples were analyzed by Reverse-transcription PCR, qualitative Real-time PCR. Results: The frequency of miR-155 detection were 78.33%, 15.0% in NPC and non-cancerous samples (P<0.05), respectively. The miR-155 expression level was 4.92 times higher in tumor samples than non-cancerous sample. Conclusion: Taken together, miR-155 in NPC was upregulated. It may serve as a potential biomarker for NPC in the Vietnamese population. https://ijph.tums.ac.ir/index.php/ijph/article/view/19929 https://ijph.tums.ac.ir/index.php/ijph/article/download/19929/7322

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 50 8 2021 07 22 1577 1585 EN Sajjad Bahariniya Health Services Management, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran Farzan Madadizadeh Center for Healthcare Data Modeling, Departments of Biostatistics and Epidemiology, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran 2020 12 10 2021 04 21 Background: Nowadays, statistical methods are used frequently in research articles. This review study aimed to determine the statistical methods used in original articles published in Iranian journal of public health (IJPH). Methods: Original articles in the period 2015 to 2019 from volumes 44 to 48 and numbers 1 to 12 were reviewed by a 3-member committee consisting of a statistician and two health researchers. The statistical methods, sample size, study design and population, type of used software were investigated. Multiple response analysis (MRA), Kruskal–Wallis test and Spearman correlation coefficient were used to data analysis. All analyzes were performed in SPSS21 software. Significant level was set at 0.05. Results: Statistical population in most of the articles were related to human samples at the field level (36% and 297 articles). 66.6% (549 articles) had the sample size less than 500 cases. Study design in most of them were analytical observational 56.2% (464 cases). Acceptance period was 115.5 ± 52.27 days. All the mentioned variables had no significant relationship with the acceptance period (P>0.05). Both among the total tests and the articles, the highest rate of use of statistical methods was related to descriptive statistical method (34.4%, 75.8% and 532 articles), also, the highest use of tests was related to chi square test  and t-test( (29%(450 articles)). Conclusion: Study design in most of the articles were analytical, to increase thematic diversity, accepting different articles seems necessary. The statistical tests, which used in most articles, were simple, so accepting articles with advanced statistical methods is recommended. https://ijph.tums.ac.ir/index.php/ijph/article/view/23132 https://ijph.tums.ac.ir/index.php/ijph/article/download/23132/7315

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 50 8 2021 07 22 1738 1739 Saeed Khaleghi Department of Nursing, School of Nursing & Midwifery, Alborz University of Medical Sciences, Karaj, Iran Ali Sadeghi Moghaddam Department of Nursing, School of Nursing & Midwifery, Dezful University of Medical Sciences, Dezful, Iran Yaser Moradi Patient Safety Research Center, Urmia University of Medical Sciences, Urmia, Iran Hossein Jafarizadeh Patient Safety Research Center, Urmia University of Medical Sciences, Urmia, Iran Mostafa Ghalavand Department of Career Counseling, Faculty of Psychology and Education, Allame Tabatabai University, Tehran, Iran Mohsen Poursadeghiyan Social Determinants of Health Research Center, Ardabil University of Medical Sciences, Ardabil, Iran 2. Department of Occupational Health Engineering, School of Health, Ardabil University of Medical Sciences, Ardabil, Iran Seyed Habibollah Kavari Department of Rehabilitation Management, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran 2018 12 27 2019 02 02 No Abstrct https://ijph.tums.ac.ir/index.php/ijph/article/view/15727 https://ijph.tums.ac.ir/index.php/ijph/article/download/15727/7337

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 50 8 2021 07 22 1648 1657 Huilan Bao The Endocrinology Department of Jinhua People’s Hospital, ZheJiang, China 2021 06 28 2021 07 22 Background: To promote the treatment effects and self-management behaviors of the patients with type 2 diabetes mellitus (T2DM) during the COVID-19 pandemic, this study empirically investigated the relationship among family support (FMS), mental resilience (MR) and diabetic distress (DD) in patients with T2DM. Method: Overall, 256 patients with T2DM from the Department of Endocrinology, Jinhua People’s Hospital, ZheJiang, China were selected and measured for their perceptions of FMS, MR and DD from 2019-2020. Based on the measurements, the difference and correlation matrix under different background variables were studied by one-way variance and correlation analysis. A structural equation was used to analyze the causal path among the measurements. Results: Patients that differ in marital status, annual family income, medical insurance level, number of complications, and with/without insulin injection therapy were significantly different in their perception of FMS, MR and DD. FMS and MR had a significant negative correlation with DD. FMS used MR as an intermediary variable that affected DD. Conclusion: Diabetes education, improved medical insurance levels, and targeted psychological consultation for patients could effectively improve their MR and alleviate DD. https://ijph.tums.ac.ir/index.php/ijph/article/view/25399 https://ijph.tums.ac.ir/index.php/ijph/article/download/25399/7323

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 50 8 2021 07 22 1740 1742 Ramin Hamidi Farahani School of Medicine, AJA University of Medical Sciences, Tehran, Iran Meysam Mosallaei School of Medicine, AJA University of Medical Sciences, Tehran, Iran Ebrahim Hazrati School of Medicine, AJA University of Medical Sciences, Tehran, Iran Naeim Ehtesham Department of Genetics and Molecular Biology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran Bahram Pakzad Department of Internal Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran Mehrdad Nasrollahzadeh Sabet School of Medicine, AJA University of Medical Sciences, Tehran, Iran Emran Esmaeilzadeh School of Medicine, AJA University of Medical Sciences, Tehran, Iran 2021 02 27 2021 04 03 No Abstract https://ijph.tums.ac.ir/index.php/ijph/article/view/24016 https://ijph.tums.ac.ir/index.php/ijph/article/download/24016/7338

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 50 8 2021 07 22 1658 1667 Bing Bai School of Economics and Management, Shenyang Agricultural University, Shenyang, Liaoning, China Yan Zhang School of Economics and Management, Shenyang Agricultural University, Shenyang, Liaoning, China Yanbo Liu School of Economics and Management, Shenyang Agricultural University, Shenyang, Liaoning, China 2021 06 19 2021 07