Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 46 11 2017 11 01 1486 1494 Guangxi LI Guang'anmen Hospital, Chinese Academy of Chinese Medical Sciences, Beijing, 100053, China AND Division of Pulmonary and Critical Care Medicine, Mayo Epidemiology and Translational Research in Intensive Care, Rochester, United States Haitao LAN Guang'anmen Hospital, Chinese Academy of Chinese Medical Sciences, Beijing, 100053, China AND Division of Pulmonary and Critical Care Medicine, Mayo Epidemiology and Translational Research in Intensive Care, Rochester, United States Zhiguo LIU Guang'anmen Hospital, Chinese Academy of Chinese Medical Sciences, Beijing, 100053, China Ting RUI Guang'anmen Hospital, Chinese Academy of Chinese Medical Sciences, Beijing, 100053, China Jiapeng LU Fu Wai Hospital, Chinese National Center for Cardiovascular Diseases, Beijing, 100037, China Lingjie BIAN Guang'anmen Hospital, Chinese Academy of Chinese Medical Sciences, Beijing, 100053, China Yinghui WANG Guang'anmen Hospital, Chinese Academy of Chinese Medical Sciences, Beijing, 100053, China Shihan WANG Guang'anmen Hospital, Chinese Academy of Chinese Medical Sciences, Beijing, 100053, China Hong ZHANG Guang'anmen Hospital, Chinese Academy of Chinese Medical Sciences, Beijing, 100053, China Yongjun BIAN Guang'anmen Hospital, Chinese Academy of Chinese Medical Sciences, Beijing, 100053, China Hui LI Guang'anmen Hospital, Chinese Academy of Chinese Medical Sciences, Beijing, 100053, China Yuyan GUO Guang'anmen Hospital, Chinese Academy of Chinese Medical Sciences, Beijing, 100053, China Shigang LIU Guang'anmen Hospital, Chinese Academy of Chinese Medical Sciences, Beijing, 100053, China Liang LI Dept. of Oncology, Institute of Medicinal Biotechnology, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, 100050, China 2017 11 01 2017 11 01 Background: We tried to investigate the effect of PM2.5 on daily counts of outpatient visits in the Guang’anmen Hospital to determine if short-term PM2.5 exposure with extremely high concentration affects cardiopulmonary function of Beijing residents. Methods: Outpatient visits and PM2.5 data from 01/11/2011 to 03/31/2013 were extracted from the Guang’anmen Hospital and the American Embassy in Beijing, respectively. Followed by using a semi-parametric generalized additive model (GAM) with time dependent covariates, we analyzed the association between PM2.5 concentrations and daily count of outpatient visits on Day 0, 1, 2, 3, 4 and 5 of PM2.5 exposure. Results: Overall, 284354 subjects were collected. There were significant associations of short-term PM2.5 exposures with outpatient visits for cardiopulmonary diseases (P<0.05). Specifically, a 10 µg/m3 increase in PM2.5 was positively associated with a 0.74% of increase in angina visit on the first day and 0.50% increased visit on the second day (P<0.05). With an increase in PM2.5, the cough and respiratory visits significantly decreased by 0.17% and 0.30% on the first day, respectively (P<0.05). However, there were significant positive associations of PM2.5 with increased cough and respiratory visits (increased by 0.17% and 0.10%, respectively) on the fifth day (P<0.05). Conclusion: Our association studies showed an instant effect of PM2.5 level on cardiovascular outpatient visit in the Guang’anmen Hospital in Beijing while a lag effect on respiratory outpatient visits.     https://ijph.tums.ac.ir/index.php/ijph/article/view/11476 https://ijph.tums.ac.ir/index.php/ijph/article/download/11476/5815

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 46 11 2017 11 01 1454 1464 Milad DANESHI-MASKOONI Dept. of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran Sakineh SHAB-BIDAR Dept. of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran Mahtab BADRI-FARIMAN Dept. of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran Erfan AUBI Dept. of Biostatistics and Epidemiology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Younes MOHAMMADI Social Determinants of Health Research Center, Hamadan University of Medical Sciences, Hamadan, Iran Sadegh JAFARNEJAD Dept. of Clinical Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran Kurosh DJAFARIAN Dept. of Clinical Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran 2017 11 01 2017 11 01  Background: Data on the questionnaire-based prevalence of food insecurity are needed to develop food and nutrition security studies and policies. The present study aimed to assess the questionnaire-based prevalence of food insecurity in Iran. Methods: A systematic search of cross-sectional studies were conducted on databases including PubMed, Google Scholar, Scopus, Magiran, Iranmedex, SID and Medlib up to 29 Oct 2015. Estimation of food insecurity prevalence was according to the instruments including 9-items-HFIAS, 18 and 6-items USDA (US-HFSSM) and Radimer/Cernel food security questionnaires. Pooled effect was estimated using random-effect model and heterogeneity was assessed by Cochran’s Q and I2 tests. Results: Thirteen articles included in the study based on screening and assessment of eligibility. The questionnaire-based prevalence of food insecurity was 49.2% (CI95%: 43.8-54.6). The according to sub-groups analysis, the food insecurity without and with hunger was 29.6% (CI95%: 25.7-33.6) and 19.2% (CI95%: 16-22.3), respectively. Conclusion: The about half of the population were food insecure. The food insecurity without hunger was more than the food insecurity with hunger. An ongoing food insecurity assessment system is needed to support evidence-informed policy and to plan interventions to increase the food security in different areas.     https://ijph.tums.ac.ir/index.php/ijph/article/view/11473 https://ijph.tums.ac.ir/index.php/ijph/article/download/11473/5812

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 46 11 2017 11 01 1579 1582 Maria BECHEVA Medical College, Medical University of Plovdiv, Plovdiv, Bulgaria Danail GEORGIEV Dept. of Biotechnology and Microbiology, Plovdiv University, Plovdiv, Bulgaria 2017 11 01 2017 11 01 Vascular lesions of the central nervous system are one of the most important and topical problems in modern neuropathology. Bulgaria is among the first in morbidity and mortality from cerebrovascular diseases. Because of the significant medical and social importance of this pathology resulting in severe disabling of most survivors, we aimed to explore the effectiveness of kinesitherapeutic methodology applied in the recovery of a patient with ischemic stroke. We present a case of a 69-old patient admitted in the Neurological Ward of “St. George Hospital in Plovdiv in 2015, Bulgaria with right hemiparesis due to ischemic stroke in the basin of the left middle cerebral artery. The applied Kinesitherapeutic methodology included various techniques like Kabat’s Bobath’s methods as well as training in equilibrium and walking. The patient obtained satisfactory results in terms of movement of the body and preserving the equilibrium, improvement of voluntary movement of the upper and lower right limb achieved via the help of some compensatory mechanisms. Despite the applied Kinesitherapy, the patient failed to gain independence in daily activities. We ascribe this satisfactory recovery only to the short period of application of kinesitherapeutic methodology. For a better recovery of patients with cerebrovascular disease, a continuous multidisciplinary approach is needed.     https://ijph.tums.ac.ir/index.php/ijph/article/view/11491 https://ijph.tums.ac.ir/index.php/ijph/article/download/11491/5829

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 46 11 2017 11 01 1583 1585 Luana Kelle Batista MOURA Dept. of Family Health, University Center UNINOVAFAPI, Teresina, Piauí, Brazil Mitra MOBIN Dept. of Family Health, University Center UNINOVAFAPI, Teresina, Piauí, Brazil Francisca Tereza Coelho MATOS Dept. of Family Health, University Center UNINOVAFAPI, Teresina, Piauí, Brazil Thiago Lima MONTE Dept. of Family Health, University Center UNINOVAFAPI, Teresina, Piauí, Brazil Eliana Campelo LAGO Dept. of Family Health, University Center UNINOVAFAPI, Teresina, Piauí, Brazil AND Universidade Estadual do Maranhão, UEMA, Teresina, Piauí, Brazil Carlos Alberto Monteiro FALCÃO Dept. of Family Health, University Center UNINOVAFAPI, Teresina, Piauí, Brazil AND Universidade Estadual do Piauí, UESPI, Teresina, Piauí, Brazil Maria Ângela de Arêa Leão FERRAZ Dept. of Family Health, University Center UNINOVAFAPI, Teresina, Piauí, Brazil AND Universidade Estadual do Piauí, UESPI, Teresina, Piauí, Brazil Tanit Clementino SANTOS Dept. of Family Health, University Center UNINOVAFAPI, Teresina, Piauí, Brazil Fabrício Ibiapina TAPETY Dept. of Family Health, University Center UNINOVAFAPI, Teresina, Piauí, Brazil AND Universidade Estadual do Piauí, UESPI, Teresina, Piauí, Brazil Carla Maria de Carvalho Leite Leal NUNES Dept. of Family Health, University Center UNINOVAFAPI, Teresina, Piauí, Brazil AND Universidade Estadual do Piauí, UESPI, Teresina, Piauí, Brazil Laelson Rochelle Milanês SOUSA Dept. of Nursing, Federal University of Piauí, Piauí, Brazil 2017 11 01 2017 11 01 Bibliometric Analysis on the Risks of Oral Cancer for People https://ijph.tums.ac.ir/index.php/ijph/article/view/11492 https://ijph.tums.ac.ir/index.php/ijph/article/download/11492/5830

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 46 11 2017 11 01 1572 1578 Nurbek IGISSINOV Central Asian Cancer Institute, Astana, Kazakhstan Dariyana KULMIRZAYEVA Central Asian Cancer Institute, Astana, Kazakhstan Zarina BILYALOVA Central Asian Cancer Institute, Astana, Kazakhstan Gulnur AKPOLATOVA Dept. of General Pharmacology, Astana Medical University, Astana, Kazakhstan Marzya MAMYRBAYEVA Dept. of General Practitioner No. 1 and Communicative Skills, West-Kazakhstan Marat Ospanov State Medical University, Aktobe, Kazakhstan Galina ZHUMAGALIYEVA Dept. of Infectious Diseases and Children’s Infections, West-Kazakhstan Marat Ospanov State Medical University, Aktobe, Kazakhstan 2017 11 01 2017 11 01 Background: Arrangement of effective management aimed at improving dermatological services and consistent care of patients with skin diseases depends on understanding the epidemiological situation. Methods: This retrospective study presents an epidemiological assessment of non-neoplastic skin and subcutaneous tissue diseases in Kazakhstan registered in 2003-2015. Results: The yearly incidence rate of the diseases among the whole population was in average 3,341.8±121.1per 100000 population. This represents 4835.0±156.1 for children, 5503.2±141.8 for adolescents and 2646.6±106.7for adults per 100000 inhabitants.Space and time incidence rate was evaluated according to the administrative division. The overall trend decreased to 3.5% in children to 2.8% in adolescents to 1.9%, and in adults to 3.9%. Considerable variation in rates was seen across the country, with highest rates in East Kazakhstan, Mangystau and Aktobe regions, the lowest – in Atyrau and South-Kazakhstan regions. Conclusion: Non-neoplastic diseases of skin and subcutaneous tissue continue to be an urgent public health problem, especially among children in many regions of Kazakhstan.     https://ijph.tums.ac.ir/index.php/ijph/article/view/11490 https://ijph.tums.ac.ir/index.php/ijph/article/download/11490/5828

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 46 11 2017 11 01 1495 1501 Guzel F MUKHAMMADIYEVA Ufa Research Institute of Occupational Health and Human Ecology, Ufa, Russia Denis O KARIMOV Ufa Research Institute of Occupational Health and Human Ecology, Ufa, Russia Akhat B BAKIROV Ufa Research Institute of Occupational Health and Human Ecology, Ufa, Russia Liliya K KARIMOVA Ufa Research Institute of Occupational Health and Human Ecology, Ufa, Russia 2017 11 01 2017 11 01 Background: Determining the role of genetic markers in individual sensitivity to chemical exposures raises a possibility of risk assessment of occupational diseases and their prevention. This paper focuses on the results of the identification of molecular-genetic markers associated with occupational skin cancer susceptibility. This study aimed to explore an association between polymorphisms of the TP53 tumor suppressor gene and a risk of developing occupational skin neopLaboratory of Human Ecology, Dept. of Biology, School of Sciences Semlalia, Cadi Ayyad University, Marrakech. Morocco Noureddine ELKHOUDRI Laboratory of Human Ecology, Dept. of Biology, School of Sciences Semlalia, Cadi Ayyad University, Marrakech. Morocco AND Laboratory of Sciences and Health Technologies, Higher Institute of Health Sciences University Hassan First, Settat, Morocco Mohamed CHERKAOUI Laboratory of Human Ecology, Dept. of Biology, School of Sciences Semlalia, Cadi Ayyad University, Marrakech. Morocco 2018 12 05 Background: Inability to conceive is a major problem during reproductive age. This study aimed to describe medical characteristics and different approaches to get better the management of infertility among women referring to some public and private health centers in Morocco. Methods: Overall, 619 infertile women referring to public and private health centers in Marrakech-Safi region were selected by simple random sampling method, between 1 Oct 2013 and 31 Dec 2015. The socio-economic data, demographic characteristics, medical and obstetric variables and types of infertility treatments were simultaneously collected by questionnaire and health record data. The univariate logistic regression analyses were used to determine different infertility treatments. Statistical significance was set at 0.05. Results: The rate of primary and secondary infertility was 67.37%, and 32.63%, respectively. In comparison to secondary infertility, primary infertile women with high socio-economic level and low average age have used many fertility drugs and assisted reproductive technologies (Clomifene citrate (45.01 vs. 29.20%), injectable gonadotropins (09.35 vs. 3.96%), dydrogesterone (35.08 vs. 23.26%), intrauterine insemination (3.83 vs. 0.49%), and in-vitro fertilisation (3.11 vs. 1.48%)). Conclusion: The use of infertility’s treatment is limited in Morocco. Outside of medical coverage, the infertility management requires permanent efforts, financial supports, psychological assistance and serious dialogue between all the stakeholders.   https://ijph.tums.ac.ir/index.php/ijph/article/view/15509 https://ijph.tums.ac.ir/index.php/ijph/article/download/15509/6223

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 47 12 2018 12 01 1805 1815 Mitra KOLIVAND Student Research Committee, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran AND Dept. of Reproductive Health, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran Mehr Ali RAHIMI Dept. of Internal Medicine, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran Mohammad SHARIATI Dept. of Community Medicine, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran Afsaneh KERAMAT Reproductive Studies and Women’s Health Research Center, Shahroud University of Medical Sciences, Shahroud, Iran Mohammad Hassan EMAMIAN Center for Health Related Social and Behavioral Sciences Research, Shahroud University of Medical Sciences, Shahroud, Iran 2018 12 05 Background: This study aimed to evaluate the effect of self-care educational/training interventions on gestational diabetes. Methods: In this review, we searched the ERIC, Clinical Key, Cochrane, Scopus, PubMed, and ISI databases as well as Iranian databases from 1990 until Jan 2017. Having evaluated 3267 articles by three of the authors, 20 clinical trials with educational/training approach remained for analysis. In this study, CONSORT checklist, JADAD scale and Cochrane handbook were used to evaluate the validity of articles. Results: The quality of 34% of articles was found to be poor due to probability of bias in designing the interventions and the effect of absence of blinding of personnel and participants. However, absence of blinding had a low impact on the results of most studies carried out on objective scales like blood glucose levels, or maternal and neonatal results. Moreover, 66% of studies were assessed to be at a good level of quality. Conclusion: There are few articles with educational/training approach on self-care in gestational diabetes mellitus, but based on the homogeneity of participants and significant results of self-care interventions, especially lifestyle ones, self-care guidelines can be developed for gestational diabetes mellitus.     https://ijph.tums.ac.ir/index.php/ijph/article/view/15505 https://ijph.tums.ac.ir/index.php/ijph/article/download/15505/6220

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 47 12 2018 12 01 1963 1964 Vesna OBRADOVIC Dept. of Dentistry, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia Ivan SREJOVIC Dept. of Physiology, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia Vladimir ZIVKOVIC Dept. of Physiology, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia Tamara NIKOLIC Dept. Pharmacy, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia Jovana JEREMIC Dept. Pharmacy, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia Dragan DJURIC Institute of Medical Physiology “Richard Burian”, School of Medicine, University of Belgrade, Belgrade, Serbia Vladimir JAKOVLJEVIC Dept. of Physiology, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia AND Dept. of Human Pathology, IM Sechenov 1st Moscow State Medical University, Moscow, Russia 2018 12 05 Markers of Oxidative Stress in Adolescents with Skeletal Class II Division 1 Malocclusion https://ijph.tums.ac.ir/index.php/ijph/article/view/15530 https://ijph.tums.ac.ir/index.php/ijph/article/download/15530/6242

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 47 12 2018 12 01 1838 1844 Gaoxia DONG Dept. of Obstetrics, The Second People’s Hospital of Liaocheng, Liaocheng 252600, China Ying TIAN Dept. of Obstetrics, Zhangqiu Maternity and Child Care Hospital, Jinan 250000, China Xinqin LI Dept. of Obstetrics, Jining First People’s Hospital, Jining 272011, China 2018 12 05 Background: We aimed to investigate the participation of adiponectin in preeclampsia, and to explore the possible mechanism. Methods: A total of 52 patients with preeclampsia and 30 normal women with full-term pregnancy were enrolled. Immunohistochemistry was used to detect the localization of MAPK and STAT5. RT-PCR was used to detect the expression of adiponectin mRNA in placental tissue of patients with preeclampsia and normal pregnant women. Western blot was used to detect the expression of adiponectin protein, MAPK, p-MAPK, STAT5 and p-STAT5 in placental tissue of patients with preeclampsia and normal pregnant women. Results: p-p38 was highly expressed in placental trophoblasts of patients with preeclampsia, while p-STAT5 was less expressed. Expression level of p-p38 and p-STAT5 in patients with preeclampsia were significantly different from those in normal pregnant women (P<0.01). Expression level of adiponectin mRNA was significantly lower in patients with preeclampsia than in normal pregnant women (P<0.05). Level of p-p38 expression was negatively correlated with levels of adiponectin expression (r=-0.413, P<0.05). Expression level of p-STAT5 was positively correlated with expression level of adiponectin (r=0.526, P<0.01). Conclusion: Adiponectin participates in preeclampsia by regulating the biological function of placental trophoblasts through p38 MAPK-STAT5 pathway.   https://ijph.tums.ac.ir/index.php/ijph/article/view/15510 https://ijph.tums.ac.ir/index.php/ijph/article/download/15510/6224

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 47 12 2018 12 01 1965 1966 Tae-Jun CHON School of Sports, Soongsil University, Seoul, Korea Dong Jun SUNG Division of Sport and Health Science, College of Biomedical and Health Science, Konkuk University, Chungju, Korea Jae-Youn JEON Korea Institute of Sport Science, Seoul, Korea Jung-Taek SHIN Dept. of Physical Education, Dongeui University, Busan 47340, Korea 2018 12 05 Enhancing Psychological and Physical Fitness Factors of Korea Middle School Students by Introducing Rope Skipping https://ijph.tums.ac.ir/index.php/ijph/article/view/15531 https://ijph.tums.ac.ir/index.php/ijph/article/download/15531/6243

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 47 12 2018 12 01 1845 1853 Alima ALMADIYEVA Dept. of Public Health, Astana Medical University, Astana, Kazakhstan Serik IBRAYEV Dept. of Public Health, Astana Medical University, Astana, Kazakhstan Assiya TURGAMBAYEVA Dept. of Public Health, Astana Medical University, Astana, Kazakhstan Alexandr KOSTYUK National Center for Medicines, Medical Devices and Medical Equipment Expertise, Astana, Kazakhstan Zayituna KHISMETOVA Dept. of Public Health, Semey State Medical University, Semey, Kazakhstan Zhanar AKHMETOVA Dept. of Public Health, Astana Medical University, Astana, Kazakhstan 2018 12 05 Background: The triple therapy including peginterferon, ribavirin and protease inhibitors was more effective compared to the combination of only peginterferon and ribavirin. This study aimed to assess the cost-effectiveness of triple treatment in either treatment-naïve and treatment-experienced patients in Kazakhstan. Methods: A Markov model was created to assess long-term clinical advantages and the cost-effectiveness of the triple therapy from Kazakhstan payer perspective. Health state transition probabilities, pharmaceutical and other costs (according to the price in 2015), and utility rate were acquired from the published studies and publicly available sources. All used costs and benefits were discounted at 5% per year. Results: Despite treatment background, the patients, receiving boceprevir and telaprevir, were estimated to experience less serious liver-disease complications, more life-years, and more QALYs compared to the patients having standard of care. For treatment-experienced group, boceprevir and telaprevir were dominant, with more QALYs. For all the groups of patients, incremental costs per QALY gained were between USD14995 and USD18075. The total average cost of boceprevir is slightly more costly than a standard duration of treatment with telaprevir, and so is the average cost per SVR. Extensive sensitivity analyses verified robust model results. Conclusion: The inclusion of protease inhibitors to standard management for the therapy of patients with genotype 1 chronic HCV infection in Kazakhstan is predicted to be cost-effective using a typically applied willingness to pay threshold of USD37805 (3 times GDP per capita).     https://ijph.tums.ac.ir/index.php/ijph/article/view/15511 https://ijph.tums.ac.ir/index.php/ijph/article/download/15511/6226

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 47 12 2018 12 01 1967 1968 Ali Reza MAHDAVI HAZAVEH Ministry of Health and Medical Education, Tehran, Iran Mohammad Hossein PANAHI Ministry of Health and Medical Education, Tehran, Iran and Dept. of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Elham YOUSEFI Ministry of Health and Medical Education, Tehran, Iran Shahin YARAHMDI Ministry of Health and Medical Education, Tehran, Iran 2018 12 05 Some Facts on the Diabetes Surveillance in Rural Regions of Iran https://ijph.tums.ac.ir/index.php/ijph/article/view/15532 https://ijph.tums.ac.ir/index.php/ijph/article/download/15532/6244

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 47 12 2018 12 01 1854 1864 Gang ZHAO Hangzhou Center for Disease Control and Prevention, Hangzhou, China Li XIE Dept. of Adolescents and Children Health, School of Public Health, Medical College of Soochow University, Suzhou, China Yong XU Dept. of Adolescents and Children Health, School of Public Health, Medical College of Soochow University, Suzhou, China Qinglin CHENG Hangzhou Center for Disease Control and Prevention, Hangzhou, China and Dept of Adolescents and Children Health, School of Public Health, Medical College of Soochow University, Suzhou, China 2018 12 05 Background: The aim of this study was to assess the environmental impact-factors differences between female and male HT in the eastern Chinese adolescents. Methods: We used a multicenter, cross-sectional study to estimate the prevalence rates and the associated impact-factors of hysteria tendency (HT) in 2014. Totally, 10131 adolescents took part in the study from three School Health Surveillance System centers in three provinces of east China. The data were collected using a common protocol and questionnaire in order to identify common environment affecting in this population. Results: An overall positive rate of HT among the eastern Chinese adolescents was 13.13% (95% CI: 12.48%-13.80%) with 14.01% (95% CI: 13.05%-15.02%) for females and 12.30% (95% CI: 11.43%-13.22%) for males. Gender-stratified regression analyses revealed that 7 out of the 21 tested covariates were linked to HT only in males, while 9 out of the 21 tested covariates were associated with female HT only. Although, the models pointed out that of all independent variables, the variable –family medical history was the strongest environment impact to both the male HT (amOR=2.49, 95% CI=1.77-3.25) and female HT (amOR=2.83, 95% CI=2.19-3.68). Conclusion: HT is prevalent among adolescents in the eastern Chinese adolescents. Environmental factors differences between female and male HT are significant in adolescents, and HT affects more female than male. First, prevention and therapy of HT in adolescents should focus on various social, school and family environment settings, and individual characteristics. Second, gender -respective intervention programs against HT in adolescents should be implemented.   https://ijph.tums.ac.ir/index.php/ijph/article/view/15513 https://ijph.tums.ac.ir/index.php/ijph/article/download/15513/6227

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 47 12 2018 12 01 1969 1970 Reza ALIZADEH Dept. of Anesthesiology and Pain, AJA University of Medical Sciences, Tehran, Iran Ardalan SHARIAT Dept. of Anesthesiology and Pain, AJA University of Medical Sciences, Tehran, Iran AND Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran Noureddin NAKHOSTIN ANSARI Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran AND Dept. of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran AND Neuromusculoskeletal Research Center, Iran University of Medical Sciences, Tehran, Iran Ramin KORDI Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran Joshua A. CLELAND Dept. of Physical Therapy, Franklin Pierce University, Manchester, New Hampshire, USA Azadeh HAKAKZADEH Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran Mehdi KARGARFARD Dept. of Exercise Physiology, Faculty of Sport Sciences, University of Isfahan, Isfahan, Iran 2018 12 05 Office-based Exercise Therapy as a Non-pharmacological Treatment for Discogenic Low Back Pain among Army Staff https://ijph.tums.ac.ir/index.php/ijph/article/view/15533 https://ijph.tums.ac.ir/index.php/ijph/article/download/15533/6245

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 47 12 2018 12 01 1865 1873 Seonhye LEE Dept. of Nursing, Gyeongnam National University of Science and Technology, 33, Dongjin-ro, Jinju-si, Gyeongsangnam-do, 52725, Republic of Korea Chang Heon CHEONG Dept. of Architectural Engineering, Gyeongnam National University of Science and Technology, 33, Dongjin-ro, Jinju-si, Gyeong-sangnam-do, 52725, Republic of Korea 2018 12 05 Background: The increasing number of elderly citizens due to changes in the social structure is of national interest. This study aimed to provide basic data for devising policies to promote the quality of life of elderly National Basic Livelihood Security System (NBLSS) beneficiaries in South Korea by identifying the effects of their general characteristics and physical environment on their health-related quality of life (HRQoL). Methods: Using the 2013 Korean Community Health Survey (KCHS) raw data, we analyzed 3537 NBLSS beneficiaries aged 65 yr and older. HRQoL was measured using the Euro QoL five-dimension questionnaire (EQ-5D). Hierarchical multiple regression analyses were used to predict the EQ-5D scores. Results: The explanatory power for HRQoL increased to 21.4% when the general characteristics and physical environment were included. HRQoL showed statistically significant differences in the environmental variable, level of safety (P=0.001), natural environment (P=0.001), living environment (P=0.001), traffic condition (P<0.001), and access to health services (P<0.001). Physical environment positively correlated with HRQoL(r=.119, P<0.001), thus confirming its influence (ß=.092, P<0.001). Conclusion: We should strive to manage the physical environment to improve the quality of life of elderly NBLSS beneficiaries.      https://ijph.tums.ac.ir/index.php/ijph/article/view/15514 https://ijph.tums.ac.ir/index.php/ijph/article/download/15514/6228

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 47 12 2018 12 01 1971 1972 Jafar Sadegh TABRIZI Tabriz Health Services Management Research Center, Tabriz University of Medical Sciences, Tabriz, Iran AND Dept. of Health Services Management, Tabriz University of Medical Sciences, Tabriz, Iran Najibeh KHOSHMARAM Dept. of Health Services Management, Tabriz University of Medical Sciences, Tabriz, Iran Leila DOSHMANGIR Tabriz Health Services Management Research Center, Tabriz University of Medical Sciences, Tabriz, Iran AND Dept. of Health Services Management, Tabriz University of Medical Sciences, Tabriz, Iran Elham SHAKIBAZADEH Dept. of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran 2018 12 05 The Status of Health Promoting Lifestyle among Students of Tabriz, Northwestern Iran https://ijph.tums.ac.ir/index.php/ijph/article/view/15534 https://ijph.tums.ac.ir/index.php/ijph/article/download/15534/6246

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 47 12 2018 12 01 1874 1882 Shu FENG Dept. of Clinical Laboratory, Shandong Provincial Hospital, Jinan, Shandong, China Junfu WANG Institute of Basic Medicine, Shandong Academy of Medical Sciences, Jinan, Shandong, China Xiaoqun XU Institute of Basic Medicine, Shandong Academy of Medical Sciences, Jinan, Shandong, China Xuemei CHEN Dept. of Otolaryngology, The Second Hospital of Shandong University, Jinan, Shandong, China Junwen LUAN Institute of Basic Medicine, Shandong Academy of Medical Sciences, Jinan, Shandong, China Qinghong SU Institute of Basic Medicine, Shandong Academy of Medical Sciences, Jinan, Shandong, China Meng LUAN Institute of Basic Medicine, Shandong Academy of Medical Sciences, Jinan, Shandong, China Huali WANG Dept. of Gynaecology, The Second Hospital of Shandong University, Jinan, Shandong, China Changsheng ZHAO Dept. of Nutriology, The Second Hospital of Shandong University, Jinan, Shandong, China 2018 12 05 Background: Hypopharyngeal carcinoma is one of the most common types of head and neck tumors. Suppressers of cytokine signalling (SOCS) family members are key regulators of cytokine homeostasis, they play important roles in the process of cell proliferation, differentiation, maturation and apoptosis, and participate in the occurrence and development of tumor. The abnormal activation of NF-κB is an important feature of the tumor. The aim of this study was to investigate the relationships among SOCS, NF-κB p65 and hypopharyngeal carcinoma development.C Methods: We included 72 hypopharyngeal cancer patients and 9 swallow cyst patients. The patients were recruited at The Second Hospital of Shandong University (Jinan, China) between 2014 and 2016. The mRNA and protein expression levels of SOCS-1, SOCS-3 and NF-κB p65 in hypopharyngeal carcinoma tissues, paracancerous tissues and control tissues were detected by RT-PCR and Western blot analysis, respectively. Results: Hypopharyngeal carcinoma tissues had lower level expression of SOCS-1 and SOCS-3 than pericarcinoma tissues, but there was no significant difference, while cancer tissues had significantly higher level expression of NF-κB p65 than that of pericarcinoma tissues (0.412±0.266, 0.281±0.231, t=2.969, P=0.004). The early stage patients had striking higher level expression of SOCS-1 and SOCS-3 than that in advanced stages (F=16.202, P<0.001; F=52.295, P<0.001), while the expression of NF-κB p65 in early stages had lower level than that in advanced stages (F=3.383, P=0.04). Conclusion: SOCS-1, SOCS-3 may be protective factors while NF-κB p65 could be a harmful factor in hypopharyngeal carcinoma.   https://ijph.tums.ac.ir/index.php/ijph/article/view/15515 https://ijph.tums.ac.ir/index.php/ijph/article/download/15515/6229

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 47 12 2018 12 01 1973 1975 Akram GHANBARI MOGHADDAM Iranian Research Center on Healthy Aging, Sabzevar University of Medical Sciences, Sabzevar, Iran Masoomeh ANDISH Student Research Committee, Sabzevar University of Medical Sciences, Sabzevar, Iran Hanieh HEMATI Student Research Committee, Sabzevar University of Medical Sciences, Sabzevar, Iran Rahim AKRAMI Traditional and Complementary Medicine Research Center, School of Medicine, Sabzevar University of Medical Sciences, Sabzevar, Iran Mojtaba MOHAMMADI Iranian Research Center on Healthy Aging, Sabzevar University of Medical Sciences, Sabzevar, Iran Fereshteh GHORAT Traditional and Complementary Medicine Research Center, School of Medicine, Sabzevar University of Medical Sciences, Sabzevar, Iran 2018 12 05 Relation between Temperament and Body Mass Index in Teenage Girls https://ijph.tums.ac.ir/index.php/ijph/article/view/15535 https://ijph.tums.ac.ir/index.php/ijph/article/download/15535/6247

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 47 12 2018 12 01 1883 1890 Yuan WANG Tianjin Medical University General Hospital, Tianjin 300052, China Qingyu ZHANG Tianjin Medical University General Hospital, Tianjin 300052, China 2018 12 05 Background: We aimed to explore risk factors for patients with liver cirrhosis complicated with spontaneous bacterial peritonitis (SBP). Methods: The clinical data of 195 patients with liver cirrhosis complicated with SBP (study group), admitted from March 2014 to March 2018 in Tianjin Medical University General Hospital, Tianjin, China and 195 patients without liver cirrhosis complicated with SBP (control group) were retrospectively analyzed. Clinical manifestations of patients and laboratory findings were analyzed. Univariate and multivariate Logistic regression analysis were used for independent risk factors for the occurrence of SBP. Results: There were significant differences in patients between study group and control group in Child-Pugh classification, peripheral blood white blood cell (WBC), serum C-reactive protein (CRP), serum total bilirubin (TBil), ascites WBC, ascites albumin (ALB), and the ratio of complicated with upper gastrointestinal hemorrhage, hepatorenal syndrome, hepatic encephalopathy and hyponatremia (P<0.01); Logistic regression analysis found that Child-Pugh classification, serum CRP, ascites WBC, ascites ALB, upper gastrointestinal hemorrhage, hepatorenal syndrome, hepatic encephalopathy and hyponatremia were related to the occurrence of SBP; and Child-Pugh classification, ascites ALB, upper gastrointestinal hemorrhage, hepatorenal syndrome and hyponatremia were its independent risk factors. Conclusion: Child-Pugh classification, ascites ALB, upper gastrointestinal hemorrhage, hepatorenal syndrome and hyponatremia are independent risk factors for the occurrence of liver cirrhosis complicated with SBP. Cautions should be raised for patients with liver cirrhosis for this. In the early stage, we should make effective antibiotic anti-bacterial infection program, actively prevent and control the occurrence of SBP, improving the survival rate of patients.     https://ijph.tums.ac.ir/index.php/ijph/article/view/15516 https://ijph.tums.ac.ir/index.php/ijph/article/download/15516/6230

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 47 12 2018 12 01 1891 1898 Hamid Reza JOSHAGHANI Biochemistry & Metabolic Disorders Research Center, Golestan University of Medical Sciences, Gorgan, Iran Aref SALEHI Golestan Research Center for Ischemic Disorders, Golestan University of Medical Sciences, Gorgan, Iran Esmaeal SAMADIAN Dept. of Biotechnology, Faculty of Advanced Medical Technologies, Golestan University of Medical Sciences, Gorgan, Iran Roghayeh GHARAEI Laboratory Science Research Center, Golestan University of Medical Sciences, Gorgan, Iran Ali Reza AHMADI Laboratory Science Research Center, Golestan University of Medical Sciences, Gorgan, Iran 2018 12 05 Background: Endothelial nitric oxide synthase, encoded by NOS3, produces an atheroprotective metabolite. The G894T, T-786C and 4a/4b variants of this gene associated with increased risk for coronary artery diseases (CAD) have been evaluated in different populations worldwide, and inconsistent results have been obtained. We investigated the association between these three polymorphisms and presence of CAD in Iranian individuals. Methods: Overall, 234 people including angiography-positive patients from Amir-Almomenin Hospital (Heart Center), Kordkoy City, Golestan Province, northern Iran in 2016, angiography-negative subjects and healthy individuals from north of Iran were genotyped for the G894T and T−786C variations by PCR-RFLP, and 4a/4b VNTR only by PCR. Results: The genotype distribution and allelic frequencies for the three variants tested were not dramatically different between CAD and control subjects and also between CAD patients and people with pains and symptoms very similar to CAD but no stenosis (P>0.05). Moreover, the odds ratio for CAD related to the G894T (OR=1.09, 95% CI=(0.60-2.00), T-786C (OR=1.04, 95% CI=(0.57-1.89) and 4a/4b (OR=1.75, 95% CI=(0.92-3.32) variants did not show statistical significance. Similarly, the odds ratio for stenosis confirmed by angiography related to the 894T (OR=1.03, 95% CI= (0.61-1.74), -786C (OR=0.90, 95% CI=(0.54-1.50) and 4b (OR=1.64, 95% CI=(0.92 -2.93) alleles were not significant. Conclusion: G894T, T-786C and 4a/4b variants were not associated with risk for CAD and occurrence of angiography-assessed stenosis in Northern Iranian population (P>0.05). These alleles might be population-specific and not to be associated with their corresponding gene pool. However, further analysis is required to clarify other CAD-correlated markers in our community.   https://ijph.tums.ac.ir/index.php/ijph/article/view/15517 https://ijph.tums.ac.ir/index.php/ijph/article/download/15517/6231

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 47 12 2018 12 01 1899 1905 Jafar Sadegh TABRIZI Tabriz Health Service Management Research Centre, Tabriz University of Medical Sciences, Tabriz, Iran AND Dept. of Health Services Management, School of Health Service Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran AND Iranian Center of Excellence in Health Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran Mehrdad Amir BEHGHADAMI Dept. of Health Services Management, School of Health Service Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran AND Iranian Center of Excellence in Health Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran AND Student Research Committee (SRC), Tabriz University of Medical Sciences, Tabriz, Iran Mohammad SAADATI Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran 2018 12 05 Background: Self-care ability was considered as a mechanism to improve the quality of life and reducing the high costs of medical services for elder people. Iran is experiencing increased elder people and healthy aging is one of the challenges. This study aimed to investigate self-care ability of elder people in Shahid Chamran and Dr. Shadpour health complexes, Tabriz- Iran. Methods: This was a cross-sectional study done in 2015."The Self-care Ability Scale for the Elderly (SASE)" valid and reliable questionnaire (Persian version) was used for data collection. Totally, 220 samples were selected using G-Power 3.1.5 software. Sampling was conducted through systematic random method. Data were analyzed using SPSS 21 software. Descriptive statistics and independent t-test, one-way ANOVA, Mann-Whitney, Kruskal-Wallis test and Kolmogorov-Smirnov test were used. Results: The mean of self-care ability in elder people was calculated as 56.69± 15.07 (out of 100). 96.8% of participating elderlies, had poor self-care ability. Significant relations were found between elder people self-care ability and their educational level, life status, employment status, and marital status (P<0.05). However, gender, income source, and insurance status had no relations with self-care ability of the elder people (P>0.05). Conclusion: Self-care ability of elder people in Tabriz was at weak level. Regarding, health providers must employ the programs to promote older people self-care ability including improving self-esteem, receiving family help, improved nutrition and mental health improving elderly's quality of life.   https://ijph.tums.ac.ir/index.php/ijph/article/view/15518 https://ijph.tums.ac.ir/index.php/ijph/article/download/15518/6232

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 47 12 2018 12 01 1906 1912 Payam SHARIFAN Dept. of Pathology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran Sakineh AMOUEIAN Dept. of Pathology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran 2018 12 05 Background: Hepatitis delta virus (HDV), as well as hepatitis B virus (HBV), are regarded as one of the main public health issues in developing countries. This retrospective study described histological and serological features of HDV coinfection patients with chronic active HBV in Northeastern Iran. Methods: The frequency of HDV seropositivity and its impact on serum liver enzyme levels and pathological features were investigated by reviewing clinical and laboratory data. This study contained chronic active HBV-infected patients having admitted the department during 2009 and 2014. Results: The rate of HDV coinfection in chronic active carriers was 21.84%, with a male predominance. HDV seropositive carriers showed significantly higher concentrations of liver enzyme than chronic active HBV monoinfection. Moreover, there was a strong association between degrees of inflammation with HDV-positive patients’ enzyme levels. Conclusion: The HDV seroprevalence in northeastern Iran was higher than that reported from elsewhere in Iran while comparable to some regions in Middle East, which, in turn, requires more comprehensive tools for diagnosing and screening the blood.   https://ijph.tums.ac.ir/index.php/ijph/article/view/15519 https://ijph.tums.ac.ir/index.php/ijph/article/download/15519/6233

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 47 12 2018 12 01 1913 1922 Saman MAROUFIZADEH Department of Epidemiology and Reproductive Health, Reproductive Epidemiology Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran Payam AMINI Department of Epidemiology and Reproductive Health, Reproductive Epidemiology Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran Mostafa HOSSEINI Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Amir ALMASI-HASHIANI Department of Epidemiology and Reproductive Health, Reproductive Epidemiology Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran Maryam MOHAMMADI Department of Epidemiology and Reproductive Health, Reproductive Epidemiology Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran Behnaz NAVID Department of Epidemiology and Reproductive Health, Reproductive Epidemiology Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran Reza OMANI-SAMANI Department of Epidemiology and Reproductive Health, Reproductive Epidemiology Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran 2018 12 05 Background: Over the last few decades, Cesarean section (CS) rates have increased significantly worldwide particularly in Iran. Classification methods including logistic regression (LR), random forest (RF) and artificial neural network (ANN) were used to identify factors related to CS among primipars. Methods: This cross-sectional study included 2120 primipars who gave singleton birth in Tehran, Iran between 6 and 21 July 2015. To identify factor associated with CS, the classification methods were compared in terms of sensitivity, specificity, and accuracy. Results: The CS rate was 72.1%. Mother’s age, SES, BMI, baby’s head circumference and infant weight were the most important determinant variables for CS as identified by the ANN method which had the highest accuracy (0.70). The association of RF predictions and observed values was 0.36 (kappa). Conclusion: The ANN method had the best performance that classified CS delivery compared to the RF and LR methods. The ANN method might be used as an appropriate method for such data.   https://ijph.tums.ac.ir/index.php/ijph/article/view/15520 https://ijph.tums.ac.ir/index.php/ijph/article/download/15520/6234

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 47 12 2018 12 01 1923 1929 Jalil NEJATI Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran Amir KEYHANI Dept. of Medical Parasitology and Mycology, Kerman University of Medical Sciences, Kerman, Iran Amir TAVAKOLI KARESHK Infectious Diseases Research Center, Birjand University of Medical Sciences, Birjand, Iran Hossein MAHMOUDVAND Dept. of Medical Parasitology and Mycology, Lorestan University of Medical Sciences, Khorramabad, Iran <