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 Aic Health, Wannan Medical College, Wuhu City, China Benhe LI Dept. of Preventive Medicine, School of Public Health, Wannan Medical College, Wuhu City, China Jianghua YANG Dept. of Infectious Diseases, Yijishan Hospital, Wuhu City, China Yufeng WEN Dept. of Preventive Medicine, School of Public Health, Wannan Medical College, Wuhu City, China 2016 04 27 2016 04 27 Background: The diagnosis of pulmonary tuberculosis (PTB) is complicated and time-consuming currently. There was association of PTB with serum tumor markers. In this study we aimed to evaluate the predictive role of serum CA125, CA199 and CEA as diagnostic tools for PTB. Methods: This study was designed as a case-control study with 565 subjects who visited the Yijishan Hospital from Jun to Dec in 2014.This case-control study matched as for age and sex with 113 cases and 452 controls. Serum CA125, CA199 and CEA levels were detected by electrochemiluminescence instrument. The area under the curve (AUC) of the receiver operating characteristic (ROC) curve was performed to evaluate the diagnostic value on PTB. Results: Serum levels of CA125, CA199 and CEA in PTB patients were significantly higher than those in control group (P<0.001). There was no significantly different of three tumor markers between initial treatment group and retreatment group. The logistic regression analysis showed that CA125 was an impact factor to PTB. The ROC analysis revealed that AUC of CA125 was 0.966 (95%CI: 0.951-0.981), the sensitivity, specificity in serum and cut-off were 95.6%, 85.0% and 10.30 U/ml, respectively. Conclusion: The serum CA125 has potential good diagnostic performance for PTB.     https://ijph.tums.ac.ir/index.php/ijph/article/view/6573 https://ijph.tums.ac.ir/index.php/ijph/article/download/6573/5351

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 45 4 2016 04 27 537 539 Ijaz AHMAD Dept. of Zoology, Hazara University, 21300 Mansehra, Pakistan Atta Ur REHMAN Dept. of Zoology, Hazara University, 21300 Mansehra, Pakistan Sajid MALIK Human Genetics Program, Dept. of Animal Sciences, Faculty of Biological Sciences, Quaid-i-Azam University, Islamabad, Pakistan 2016 04 27 2016 04 27 No Abstract. https://ijph.tums.ac.ir/index.php/ijph/article/view/6586 https://ijph.tums.ac.ir/index.php/ijph/article/download/6586/5375

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 45 4 2016 04 27 523 530 Maryam KHAYYAT KHAMENEIE Dept. of Gynecology, Imam Reza Hospital, AJA University of Medical Sciences, Tehran, Iran Javad ASADI AJA University of Medical Sciences, Tehran, Iran Mohammad KHALILI Dept. of Pathobiology, School of Veterinary Medicine, Shahid Bahonar University of Kerman, Kerman, Iran Zeinab ABIRI Dept. of Pathobiology, School of Veterinary Medicine, Shahid Bahonar University of Kerman, Kerman, Iran 2016 04 27 2016 04 27 Background: Q fever is a zoonotic disease caused by Coxiella burnetii. There is no information about this disease in pregnant women in Iran. The aim of this study was to investigate the seroprevalence of C. burnetii infection among pregnant women in southwestern (Ahvaz) and northern (Parsabad) Iran and further to comparison its prevalence in normal and abnormal pregnancies. Methods: A total of 400 samples were collected randomly from pregnant women who referred to diagnostic laboratories of Ahvaz and Parsabad in 2014. An indirect ELISA kit, designed in Veterinary Faculty, was used to detect the specific antibodies against phase II humanC. burnetii in serum samples. Results: The overall prevalence of C. burnetii in sera from pregnant women was 29.3% (95% confidence interval (CI): 25-34%). The prevalence of C. burnetii infection was significantly different in Ahvaz and Parsabad with, respectively, 22 (95% CI: 16-28%) and 36.5% (95% CI: 30-43%). Total prevalence of C. burnetii infection in serum was significantly higher in women with abnormal pregnancy history (39.8%) compared with normal pregnancies (23.8%). Furthermore, maternal age had significant association with seropositivity and the prevalence increased with maternal age. This could be due to higher probability of encountering C. burnetii in older women. Conclusion: The present study demonstrated ahigh seroprevalence of C. burnetii infection among pregnant women in Iran for the first time. Seropositivity was associated with adverse pregnancy outcomes and maternal age. The pregnant women who experienced abnormal pregnancy had higher seroprevalence of C. burnetii compared to women with normal pregnancy.     https://ijph.tums.ac.ir/index.php/ijph/article/view/6583 https://ijph.tums.ac.ir/index.php/ijph/article/download/6583/5371

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 45 4 2016 04 27 441 450 Baurzhan ZHUSSUPOV Columbia University Global Health Research Center of Central Asia, Almaty, Kazakhstan Sabrina HERMOSILLA Columbia University in the City of New York, New York City, United States of America Assel TERLIKBAYEVA Columbia University Global Health Research Center of Central Asia, Almaty, Kazakhstan Angela AIFAH Columbia University in the City of New York, New York City, United States of America Xin MA Columbia University in the City of New York, New York City, United States of America Zhaxybay ZHUMADILOV Center for Life Sciences Nazarbayev University, Astana, Kazakhstan Tleukhan ABILDAYEV National Center for TB in Kazakhstan, Almaty, Kazakhstan Meruyert DARISHEVA Columbia University Global Health Research Center of Central Asia, Almaty, Kazakhstan Kulzhan BERIKKHANOVA Center for Life Sciences Nazarbayev University, Astana, Kazakhstan 2016 04 27 2016 04 27 Background: This study examined the association between incident pulmonary tuberculosis (TB) and social and behavioral characteristics in Almaty Oblast, Kazakhstan from 2012 to 2013. Methods: We used a matched case-control design to estimate the role of factors for acquiring pulmonary TB. Totally 324 individuals were recruited from Sep 2012 to Mar 2013. Participants included 110 TB index cases with newly detected pulmonary TB. Each case was matched with one household and one community control. A total of 107 household and 107 community controls were included to the study. Adjusted odds ratios measuring associations between TB and risk factors were calculated by using a conditional multiple logistic regression analysis.  Results: TB cases were more likely to be younger, recent smokers and have diabetes, when compared to household controls. Between TB cases and community controls, TB was significantly associated with age, non-married family status, living in a rented home, recent smoker, and having diabetes. Comparing TB cases with community controls, we found that foreign birth was marginally associated with incident TB case status. Conclusion: Our findings confirm the role of modifiable risk factors for TB in Kazakhstan; highlighting the importance of developing interventions addressing social determinants and proximate risk factors for high TB burden regions.     https://ijph.tums.ac.ir/index.php/ijph/article/view/6574 https://ijph.tums.ac.ir/index.php/ijph/article/download/6574/5353

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 45 4 2016 04 27 540 541 Ufuk BARIŞ KUZU Dept. of Gastroenterology, Yuksek Ihtisas Training and Research Hospital, Ankara, Turkey Erkin ÖZTAŞ Dept. of Gastroenterology, Yuksek Ihtisas Training and Research Hospital, Ankara, Turkey Mustafa KAPLAN Dept. of Gastroenterology, Yuksek Ihtisas Training and Research Hospital, Ankara, Turkey Nuretdin SUNA Dept. of Gastroenterology, Yuksek Ihtisas Training and Research Hospital, Ankara, Turkey Tülay TEMUÇİN KEKLİK Dept. of Pathology, Yuksek Ihtisas Training and Research Hospital, Ankara,Turkey Meral AKDOĞAN Dept. of Gastroenterology, Yuksek Ihtisas Training and Research Hospital, Ankara, Turkey 2016 04 27 2016 04 27 No Abstract. https://ijph.tums.ac.ir/index.php/ijph/article/view/6587 https://ijph.tums.ac.ir/index.php/ijph/article/download/6587/5379

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 45 4 2016 04 27 451 459 Abolfazl ARDAKANI Dept. of Psychological Medicine, University of Malaya Center of Addiction Sciences (UMCAS), Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia Tahereh SEGHATOLESLAM Dept. of Psychological Medicine, University of Malaya Center of Addiction Sciences (UMCAS), Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia AND Dept. of Clinical Psychology, Shahid Beheshti University of Medical Sciences, Tehran, Iran Fahimeh JAMEEI Dept. of Psychological Medicine, University of Malaya Center of Addiction Sciences (UMCAS), Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia AND Dept. of Psychiatry Mahsa University, Kuala Lumpur, Malaysia Rusdi RASHID Dept. of Psychological Medicine, University of Malaya Center of Addiction Sciences (UMCAS), Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia Alireza ZAHIRODIN Dept. of Psychological Medicine, University of Malaya Center of Addiction Sciences (UMCAS), Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia Farid MOTLAQ Dept. of Psychiatry, Behavior Research Centre of Shahid Beheshti University of Medical Sciences, Tehran, Iran Abbas MASJIDI ARANI Dept. of Clinical Psychology, Shahid Beheshti University of Medical Sciences, Tehran, Iran 2016 04 27 2016 04 27 Background: Given that validity is the baseline of psychological assessments, there is a need to provide evidence-based data for construct validity of such scales to advance the clinicians for evaluating psychiatric morbidity in psychiatric and psychosomatic setting. Methods: This comparative cross-sectional study aimed to investigate the construct validity of the Malaysian version of the GHQ-28 and the SCL-90-R. The sample comprised 660 individuals including diabetics, drug dependents, and normal population. The research scales were administered to the participants. Convergent and discriminant validity of both scales were investigated by Confirmatory Factor Analysis (CFA) using AMOS. The Pearson correlation coefficient was utilized to obtain the relationship between the two scales. Results: The internal consistency of the GHQ-28 and SCL-90-R were highly acceptable, and confirmatory factor analysis confirmed the convergent validity of both scales. The results of this study revealed that the construct validity of GHQ-28 was acceptable, whereas discriminant validity of SCL-90-R was not adequate. According to Pearson correlation coefficient the relationships between three common subscales of the GHQ-28 and SCL-90-R were significantly positive; somatization (r=0.671, P<0.01), Anxiety (r=0.728, P<0.01), and Depression (r=0.660, P <0.01). Conclusions: This study replicated the construct of the Malaysian version of GHQ-28, yet failed to support the nine-factor structure of the SCL-90-R. Therefore, multidimensionality of the SCL-90-R as clinical purposes is questionable, and it may be a better unitary measure for assessing and screening mental disorders. Further research need to be carried out to prove this finding.   https://ijph.tums.ac.ir/index.php/ijph/article/view/6575 https://ijph.tums.ac.ir/index.php/ijph/article/download/6575/5356

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 45 4 2016 04 27 542 543 Mingdong HUO Dept. of Anorectal Diseases, Zhongda Hospital, Southeast University, Nanjing, Jiangsu, China Bo ZHANG Dept. of Anorectal Diseases, Zhongda Hospital, Southeast University, Nanjing, Jiangsu, China Shuqing DING National Chinese Medical Center of Colorectal Diseases, the Third Affiliated Hospital of Nanjing University of Traditional Chinese Medicine, Nanjing, Jiangsu, China Yijiang DING National Chinese Medical Center of Colorectal Diseases, the Third Affiliated Hospital of Nanjing University of Traditional Chinese Medicine, Nanjing, Jiangsu, China Yugen CHEN Nanjing University of Traditional Chinese Medicine, Nanjing, Jiangsu, China 2016 05 08 2016 05 08 No Abstract. https://ijph.tums.ac.ir/index.php/ijph/article/view/6654 https://ijph.tums.ac.ir/index.php/ijph/article/download/6654/5381

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 45 4 2016 04 27 460 468 Jai PRAKASH Dept. Physiology, King George’s Medical University, Lucknow, India Dept. of Pediatrics, King George’s Medical University, Lucknow, India Balraj MITTAL Dept. of Genetics, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India Shally AWASTHI Dept. of Pediatrics, King George’s Medical University, Lucknow, India Neena SRIVASTAVA Dept. Physiology, King George’s Medical University, Lucknow, India 2016 04 27 2016 04 27 Background: Obesity associated with type 2 diabetes, and hypertension increased mortality and morbidity. Glutamate decarboxylase 2 (GAD2) gene is associated with obesity and it regulate food intake and insulin level. We investigated the association of GAD-2gene −243A>G (rs2236418) and +61450C>A (rs992990) polymorphisms with obesity and related phenotypes. Methods: Insulin, glucose and lipid levels were estimated using standard protocols. All subjects were genotyped (PCR-RFLP) method. Results: The −243A>G polymorphism of the GAD-2 gene was significantly associated with higher risk of obesity (P<0.05). Conclusion: GAD-2 gene polymorphisms influence obesity and related phenotype in complex manner, probably by regulating the food intake, insulin and body weight.     https://ijph.tums.ac.ir/index.php/ijph/article/view/6576 https://ijph.tums.ac.ir/index.php/ijph/article/download/6576/5360

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 45 4 2016 04 27 544 545 Ardalan SHARIAT Dept. of Occupational Health, Faculty of Medicine and Health Sciences, University Putra, Malaysia Shamsul BAHRI MOHD TAMRIN Dept. of Occupational Health, Faculty of Medicine and Health Sciences, University Putra, Malaysia Manohar ARUMUGAM Dept. of Orthopedics, Faculty of Medicine and Health Sciences, University Putra, Malaysia Rajesh RAMASAMY Dept. of Immunology, Faculty of Medicine and Health Sciences, University Putra, Malaysia Mahmoud DANAEE Unit of Enhancements Academic Performance, University Malaya, Malaysia 2016 04 27 2016 04 27 No Abstract. https://ijph.tums.ac.ir/index.php/ijph/article/view/6588 https://ijph.tums.ac.ir/index.php/ijph/article/download/6588/5385

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 45 4 2016 04 27 469 473 Qiong LIU Brain Intensive Care Unit, Jiangyin People's Hospital, Jiangsu 214400 China Hui ZHU Brain Intensive Care Unit, Jiangyin People's Hospital, Jiangsu 214400 China 2016 04 27 2016 04 27 Background: Our aim was to investigate the effects of clinical application of perioperative predictive nursing on reducing psychiatric complications in Intensive Care Unit (ICU) patients after neurosurgery. Methods: A total of 129 patients who underwent neurosurgery and received intensive care were enrolled in our study from February 2013 to February 2014. These patients were divided into two groups: the experimental group (n=68) receiving predictive nursing before and after operation, and the control group (n=61) with general nursing. Clinical data including length of ICU stay, duration of the patients’ psychiatric symptoms, form and incidence of adverse events, and patient satisfaction ratings were recorded, and their differences between the two groups were analyzed. Results: The duration of psychiatric symptoms and the length of ICU stay for patients in the experimental group were significantly shorter than those in the control group (P<0.05). The incidence of adverse events and psychiatric symptoms, such as sensory and intuition disturbance, thought disturbance, emotional disorder, and consciousness disorder, in the experimental group was significantly lower than that in the control group (P<0.05). Patient satisfaction ratings were significantly higher in the experimental group than those in the control group (P<0.05). Conclusion: Application of predictive nursing on ICU patients who undergo neurosurgery could effectively reduce the incidence of psychiatric symptoms as well as other adverse events. Our study provided clinical evidences to encourage predictive nursing in routine settings for patients in critical conditions.     https://ijph.tums.ac.ir/index.php/ijph/article/view/6577 https://ijph.tums.ac.ir/index.php/ijph/article/download/6577/5361

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 45 4 2016 04 27 546 548 Ewa RODAKOWSKA Dept. of Restorative Dentistry, Medical University of Bialystok, Bialystok, Poland Joanna BAGINSKA Dept. of Dentistry Propaedeutics, Medical University of Bialystok, Bialystok, Poland Dorota CYLWIK-ROKICKA Dept. of Prosthodontics, Medical University of Bialystok, Bialystok, Poland Jacek JA­MIOLKOWSKI Dept. of Public Health, Medical University of Bialystok, Bialystok, Poland 2016 04 27 2016 04 27  No Abstract. https://ijph.tums.ac.ir/index.php/ijph/article/view/6589 https://ijph.tums.ac.ir/index.php/ijph/article/download/6589/5387

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 45 4 2016 04 27 474 484 Seryozha GONTAREV Faculty of Physical Education, Sport, and Health, Ss. Cyril and Methodius University, Skopje, Macedonia Ruzdija KALAC Faculty of Physical Education, Sport, and Health, Ss. Cyril and Methodius University, Skopje, Macedonia Vullnet AMETI Faculty of Physical Education, State University of Tetovo, Macedonia Agim REDJEPI Faculty of Physical Education, State University of Tetovo, Macedonia 2016 04 27 2016 04 27 Background: The purpose of this study was to determine the relationship of demographic, psychological, social and environmental factors with physical activity and to determine whether indicators of physical activity differ by gender among Macedonian adolescents from Albanian ethnic community from 11 to 14 yr (N = 886). Methods: Research were conducted in 2014 in several primary schools randomly selected from Tetovo and Gostivar region of the R. Macedonia. Students completed a questionnaire which examined their level of participation in physical activity and sedentary behavior along with a number of potential correlates. Hierarchical regression was used to explore the relationship between hypothesised factors and physical activity. Results: The boys unlike the girls showed significantly higher levels of physical activity (P=0.001). Respondents of both genders who perceive greater benefits from the physical activity (P=0.010). They have more confidence in their abilities (P=0.001), enjoy more in the physical activities (P=0.016), perceive greater social support from friends (P=0.008) and parents (P=0.001) and have higher levels of physical activity. Conclusions: The results indicate the importance of developing a national plan and program to promote physical activity in order to help young people to change unhealthy lifestyle habits and increase the physical activity, thus improving their health.     https://ijph.tums.ac.ir/index.php/ijph/article/view/6578 https://ijph.tums.ac.ir/index.php/ijph/article/download/6578/4750

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 45 4 2016 04 27 549 550 Rashid MENHAS Dept. of Sociology, Pir Mehr Ali Shah Arid Agriculture University Rawalpindi, Pakistan Shumaila UMER Dept. of Sociology, Sardar Bahadur Khan Women University Quetta, Pakistan Ghulam SHABBIR Dept. of Sociology, Pir Mehr Ali Shah Arid Agriculture University Rawalpindi, Pakistan 2016 04 27 2016 04 27 No Abstract. https://ijph.tums.ac.ir/index.php/ijph/article/view/6590 https://ijph.tums.ac.ir/index.php/ijph/article/download/6590/5389

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 45 4 2016 04 27 485 493 Masoud YOUSEFI Dept. of Microbiology, School of Medicine, Shahid Beheshti University of Medical Sciences, Iran Mohammad Reza POURMAND Dept. of Pathobiology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran AND Urology Research Center, Tehran University of Medical Sciences, Tehran, Iran Fatemeh FALLAH Dept. of Microbiology, School of Medicine, Shahid Beheshti University of Medical Sciences, Iran Ali HASHEMI Dept. of Microbiology, School of Medicine, Shahid Beheshti University of Medical Sciences, Iran Rahil MASHHADI Urology Research Center, Tehran University of Medical Sciences, Tehran, Iran Ali NAZARI-ALAM Dept. of Microbiology, School of Medicine, Shahid Beheshti University of Medical Sciences, Iran 2016 04 27 2016 04 27 Background: The aim of this study was to investigate the antibiotic susceptibility pattern as well as the phenotypic and genotypic biofilm formation ability of Staphylococcus aureus isolates from patients with urinary tract infection (UTI). Methods: A total of 39 isolates of S. aureus were collected from patients with UTI. The antibiotic susceptibility patterns of the isolates were determined by the Kirby-Bauer disk-diffusion. We used the Modified Congo red agar (MCRA) and Microtiter plate methods to assess the ability of biofilm formation. All isolates were examined for determination of biofilm related genes, icaA, fnbA, clfA and bap using PCR method. Results: Linezolid, quinupristin/dalfopristin and chloramphenicol were the most effective agents against S. aureus isolates. Overall, 69.2% of S. aureus isolates were biofilm producers. Resistance to four antibiotics such as nitrofurantoin (71.4% vs. 28.6%, P=0.001), tetracycline (57.7% vs. 42.3%, P=0.028), erythromycin and ciprofloxacin (56% vs. 44%, P=0.017) was higher among biofilm producers than non-biofilm producers. The icaA, fnbA and clfA genes were present in all S. aureus isolates. However, bap gene was not detected in any of the isolates. Conclusion: Our findings reinforce the role of biofilm formation in resistance to antimicrobial agents. Trimethoprim-sulfamethoxazole and doxycycline may be used as an effective treatment for UTI caused by biofilm producers S. aureus. Our results suggest that biofilm formation is not dependent to just icaA, fnbA, clfA and bap genes harbor in S. aureus strains.     https://ijph.tums.ac.ir/index.php/ijph/article/view/6579 https://ijph.tums.ac.ir/index.php/ijph/article/download/6579/5365

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 45 4 2016 04 27 551 552 Farhana Badar Cancer Registry & Clinical Data Management, Shaukat Khanum Memorial Cancer Hospital & Research Center, Johar Town, Lahore 54770, Pakistan 2016 04 27 2016 04 27 No Abstract. https://ijph.tums.ac.ir/index.php/ijph/article/view/6591 https://ijph.tums.ac.ir/index.php/ijph/article/download/6591/5390

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 45 4 2016 04 27 494 502 Edris KAKEMAM Dept. of Management Sciences and Health Economics, School of Public Health, Tehran University of Medical Sciences, Iran Abbas RAHIMI FORUSHANI Dept. of Epidemiology & Biostatistics, School of Public Health, Tehran University of Medical sciences, Iran Hossein DARGAHI Dept. of Health Care Management, School of Allied Medicine, Research Center for Health Management Information, Tehran University of Medical Sciences, Iran 2016 04 27 2016 04 27 Background: Nowadays, restriction on access and optimum use of resources is the main challenge of development in all organizations. Therefore, the aim of this study was to determine the technical efficiency and its factors, influencing hospitals of Tehran. Methods: This research was a descriptive-analytical and retrospective study conducted in 2014-2015. Fifty two hospitals with public, private, and social security ownership type were selected for this study. The required data was collected by a researcher-made check list in 3 sections of background data, inputs and outputs. The data was analyzed by DEAP 1.0.2, and STATA-13 technique. Results: Seventeen (31/48) of hospitals had the efficiency score of 1 as the highest technical efficiency. The highest average score of efficiency was related to social security hospitals as 84.32, and then the public and private hospitals with the average of 84.29 and 79.64 respectively. Tobit regression results showed that the size, type of practice, and ownership of hospitals were effective on the degree of their technical efficiency. However, there was no significant correlation between teaching / non-teaching hospitals with technical efficiency. Conclusion: Establishment of competition system among hospitals, constitution of medium size hospitals and allocation of budget to hospitals based on national accreditation system are recommended.     https://ijph.tums.ac.ir/index.php/ijph/article/view/6580 https://ijph.tums.ac.ir/index.php/ijph/article/download/6580/5366

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 45 4 2016 04 27 553 554 Hossein TIMORI NAGHADEH, Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine, Tehran, Iran Abolfazl DABIR MOGHADDAM Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine, Tehran, Iran Zainab PIRMO­HAMMAD JAMAAT Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine, Tehran, Iran Shirin FERDOWSI Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine, Tehran, Iran 2016 04 27 2016 04 27 No Abstract  https://ijph.tums.ac.ir/index.php/ijph/article/view/6592 https://ijph.tums.ac.ir/index.php/ijph/article/download/6592/5392

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 45 4 2016 04 27 503 514 Mahmood BAKHTIYARI Safety Promotion and Injury Prevention Research Centre, Shahid Beheshti University of Medical Sciences, Tehran, Iran AND Dept. of Epidemiology and Biostatistics, School of Public Health, Tehran University of Mohammad Reza MEHMANDAR Police Science University, NAJA Traffic Police, Tehran, Iran Seyed Mohammad RIAHI Safety Promotion and Injury Prevention Research Centre, Shahid Beheshti University of Medical Sciences, Tehran, Iran Mohammad Ali MANSOURNIA Dept. of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Majid SARTIPI Dept. of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Ayad BA­HADORIMONFARED Dept. of Health & Community Medicine, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran 2016