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 neop 2024 08 06 Background: We aimed to reveal the correlation between pathological indicators and PD-L1, between gene mutation status in lung cancer through clinico-pathological data and lung cancer-related gene mutation and PD-L1 expression analysis. Methods: The study was conducted in . PD-L1 testing and targeted gene mutations detection were evaluated. The clinical characteristics of these non-small cell lung cancer (NSCLC) samples have been obtained. The groups were grouped according to clinico-pathological features and PD-L1 expression (Yes/No or High/Low), and the clinico-pathological and genetic and molecular features and correlation with PD-L1 expression were compared across the above groups. Comparisons and analyses were made between different treatment schemes. Results: Lung adenocarcinoma (LUAD, n=142) and lung squamous carcinoma (LUSC, n=143) samples were enrolled (median age: 64 years old). Pleural invasion and M staging were significantly different from PD-L1 alterations (P<0.05). The percentage of patients with PD-L1 tumor proportion score (TPS)≥50% was 36.24% and the percentage of patients with PD-L1 TPS<50% was 29.53%. The percentage of patients with PD-L1 high-expressed and treated by immunotherapy was 75.93% and 63.41% experienced Partial Response/Complete Response. The mutations ratio of EGFR, ALK, KRAS, MET, RET and TP53 were 28.86%, 1.34%, 6.04%, 0.67%, 1.34% and 0.67%, respectively. KRAS mutation was significantly different from PD-L1 alterations (P<0.01). Conclusion: There are individual differences in PD-L1 expression, which can also vary depending on the different clinical features. Specific molecular features correlate with differential PD-L1 expression and may influence the response to therapy. https://ijph.tums.ac.ir/index.php/ijph/article/view/33366 https://ijph.tums.ac.ir/index.php/ijph/article/download/33366/8310

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 53 8 2024 08 06 1722 1735 Cheng Zhong Respiratory Department, Fenghua District People’s Hospital, Ningbo, 315000, China Haowei Tang Respiratory Department, Fenghua District People’s Hospital, Ningbo, 315000, China Qun Wang Respiratory Department, Fenghua District People’s Hospital, Ningbo, 315000, China 2023 10 25 2024 08 06 Background: To investigate the efficacy and safety of autologous Cytokine-induced killer (CIK) cellular immunotherapy combined with chemotherapy for non-small-cell carcinoma (NSCLC). Methods: The literature related to the efficacy and safety of autologous CIK cellular immunotherapy combined with chemotherapy in NSCLC were collected. The Chinese literature databases were collected from CNKI, Wanfang and Weipu, and the English literature were retrieved from Cochrane Library and PubMed. All literature were retrieved until the year of 2022, and evaluated by its method quality and analyzed by RevMan5.3 software. Results: A Meta-analysis on the 11 included literature showed that the treatment efficacy and disease control rate (DCR) of patients in the observation group were significantly higher than those in the control group (P＜0.05), and significantly increased the levels of CD3+, CD4+, CD4+/CD8+ indexes than the control group (P＜0.05), and the incidence of bone marrow suppression, liver injury and gastrointestinal symptoms were significantly lower than those of the control group (P＜0.05). Conclusion: Compared with single chemotherapy, CIK combined with chemotherapy in the treatment of patients with NSCLC can improve the efficacy of treatment and DCR, significantly improve their immune function, reduce the incidence of adverse reactions, and is beneficial to the recovery of prognosis. https://ijph.tums.ac.ir/index.php/ijph/article/view/33571 https://ijph.tums.ac.ir/index.php/ijph/article/download/33571/8307

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 53 8 2024 08 06 1907 1908 Mohammad Jalilian Department of Clinical Sciences, Faculty of Veterinary Medicine, Garmsar Branch, Islamic Azad University, Semnan, Iran 2024 06 17 2024 08 06 This manuscript type is letter to the editor, without abstract. https://ijph.tums.ac.ir/index.php/ijph/article/view/35833 https://ijph.tums.ac.ir/index.php/ijph/article/download/35833/8331

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 53 8 2024 08 06 1769 1776 Btihaj AL Ibrahmi Department of Biology, Faculty of Science, University Ibn Tofail, Kenitra, Morocco Abdellatif Bour Department of Biology, Faculty of Science, University Ibn Tofail, Kenitra, Morocco 2023 09 08 2023 11 04 Background: Celiac disease is a chronic autoimmune disease of the small intestine, related to gluten intolerance occurring in genetically predisposed patients. This study aimed to evaluate Mediterranean diet adherence, screen eating disorders and establish the relationship between Mediterranean diet and eating disorders. Methods: This study included 81 adults with celiac disease, and 85 without celiac disease from Rabat-Sale-Kenitra hospitals between May 2022 and Nov 2022. The Mediterranean Diet Serving Score (MDSS) questionnaire was used to determine adherence to the Mediterranean diet and SCOFF questionnaire was used to screen eating disorders. Results: The results showed a significant difference between the two groups in age (P=0.000), weight (P=0.041), height (P=0.000) and non-adherence to Mediterranean diet (P=0.032). Participants without celiac disease reported a significantly (P=0.032) lower adherence score to the Mediterranean diet (62.35%) than participants with celiac disease (29.62%). Additionally, the results of the Khi2 test which revealed a significant association between MDSS and SCOFF (P=0.024). In addition, based on logistic regression the Mediterranean diet Serving Score was significantly associated with eating disorders (P=0.025) in adults with celiac disease, on the other hand, weight, height, BMI and MDSS were significantly associated with eating disorders in adults without celiac disease. Conclusion: Our study showed good adherence to the Mediterranean diet by celiac adults so it can be assumed that the Mediterranean diet could have a protective effect against eating disorders in celiac patients. https://ijph.tums.ac.ir/index.php/ijph/article/view/33182 https://ijph.tums.ac.ir/index.php/ijph/article/download/33182/8311

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 53 8 2024 08 06 36295 36295 Habibollah Azarbakhsh Department of Epidemiology, Faculty of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran Milad Ahmadi Marzaleh Department of Health in Disasters and Emergencies, School of Health Management and Information Sciences, Shiraz Univer-sity of Medical Sciences, Shiraz, Iran Iman Shakibkhah Department of Health in Disasters and Emergencies, School of Health Management and Information Sciences, Shiraz Univer-sity of Medical Sciences, Shiraz, Iran 2024 08 06 No abstract. No abstract. No abstract. https://ijph.tums.ac.ir/index.php/ijph/article/view/36295 https://ijph.tums.ac.ir/index.php/ijph/article/download/36295/8332

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 53 8 2024 08 06 1777 1784 EN Serap Kaynak Department of Nursing, Department of Pediatric Nursing, Faculty of Health Sciences, Balıkesir University, Balıkesir, Turkey Hatice Bal Yılmaz Department of Pediatric Nursing, Faculty of Nursing, Ege University, İzmir, Turkey Atika Çağlar Balıkesir Atatürk City Hospital, Neonatal Intensive Care Unit, Balıkesir, Turkey Mine Özdil Balıkesir Atatürk City Hospital, Neonatal Intensive Care Unit, Balıkesir, Turkey 2023 09 09 2023 12 27 Background: Maternal postpartum depression negatively affects the baby's emotional, behavioral, and cognitive development and attachment pattern. We aimed to examine the effect of virtual patient visits    in neonatal intensive care unit on postpartum depression in mothers. Methods: Research data were obtained from mothers whose preterm infants were hospitalized in the neonatal intensive care unit between April and December 2022. A total of 100 mothers of preterm infants (50 in the virtual patient visit and 50 in the control group) treated in the neonatal intensive care unit of a hospital constituted the sample of the study. Using the Zoom application, virtual patient visits were made for 5 minutes, seven days a week, between mother and the preterm infants, with no nursing intervention implemented for at least 30 minutes. Mothers in the control group saw their babies face to face two days a week. In standard hospital procedure, mothers saw their babies twice a week. Edinburgh postpartum depression scale (EPDS) was administered online to the all mothers before and after the study. Results:The research resulted with statistically significant decreased EPDS scores of the mothers in virtual patient visit group with the pre-study scores. A statistically significant decrease was found compared to the control group (P<0.001). Conclusion: Virtual patient visits between preterm infants in neonatal intensive care unit and their mothers could be effective in preventing or reducing postpartum depression of the mother. https://ijph.tums.ac.ir/index.php/ijph/article/view/33185 https://ijph.tums.ac.ir/index.php/ijph/article/download/33185/8312

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 53 8 2024 08 06 1785 1795 Kyung Hee Jo Department of Rehabilitation Health, Songwon University, Gwangju 61756, Korea 2023 08 16 2023 11 26 Background: The harmful effects of particulate matter (PM) are amplified in older adults, who experience a decline in physiological function, reducing their ability to expel and detoxify inhaled PM. Moreover, older adults may be more vulnerable to fine particulate toxicity due to underlying medical conditions. We assessed the effects of long-term exposure to fine particulate matter (PM2.5) on depressive mood (DM) in adults aged > 65 yr using community-based data. Methods: In the 2017, Korean Community Health Survey (KCHS) data, data of PM2.5 and community factors were constructed based on participants who responded to DM in a sample of 67,802 individuals. To evaluate the effect of PM2.5 on DM among older adults, a multilevel regression model was constructed using individual-(KCHS) and community-level data (PM2.5, green area per capita, urban area, social welfare budget, health, and social business). For PM2.5, an independent variable, quartiles were used to classify regions according to concentration. Results: A positive correlation was found between PM2.5 and DM of older adults. Compared to Q1, the odds ratio increased to 1.15 (95% CI 0.76-1.74) in Q2, 1.55 (95% CI 1.02-2.35) in Q3, and 1.60 (95% CI 1.16-2.20) in Q4. Conclusion: DM may increase in older individuals living in areas with high PM2.5. Systematic mental health management is required for older individuals residing in such areas. https://ijph.tums.ac.ir/index.php/ijph/article/view/32927 https://ijph.tums.ac.ir/index.php/ijph/article/download/32927/8313

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 53 8 2024 08 06 1796 1804 Živana Slović 1. Department of Forensic Medicine, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia 2. Department of Forensic Medicine and Toxicology, University Clinical Center Kragujevac, Kragujevac, Serbia Ivana Radaković Department of Forensic Medicine, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia Danijela Todorović Department of Genetics, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia Filip Mihajlović Department of Pharmacy, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia Snežana Đorđević 1. National Poison Control Centre, Military Medical Academy, Belgrade, Serbia 2. Medical Faculty of the Military Medical Academy, University of Defence, Belgrade, Serbia Olgica Mihaljevic Department of Pathophysiology, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia Miloš Todorović 1. Department of Forensic Medicine, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia 2. Department of Forensic Medicine and Toxicology, University Clinical Center Kragujevac, Kragujevac, Serbia Katarina Vitošević 1. Department of Forensic Medicine, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia 2. Department of Forensic Medicine and Toxicology, University Clinical Center Kragujevac, Kragujevac, Serbia 2023 05 01 2023 09 28 Background: The aim of this study was to analyze characteristic and pattern of road traffic injuries in this special aging group, as well to examine the relevance of certain injuries or risk factors to outliving the injuries. Methods: This epidemiological, analytical, retrospective, autopsy study investigated the road traffic deaths for period between 2001 and 2022. The subjects were divided into two age groups, elderly (65 years and older) and middle aged (16-64 years old). Results: We included 213 (32%) elderly participants out of all 665 RTA subjects who died from sustained injuries or complications of the injuries. The majority of elderly subjects (61%) were pedestrians, and elderly participants in RTA were more likely to survive the injuries. The most common injuries among the elderly in all group of participants were chest injuries 81% (and among them, rib fractures were present in 76%). Cranio-cerebral injury is the most common cause of death in RTA subjects, singular (45%) or in combination with other causes. In the group of elderly RTA subjects complication of injury is represented in 36 subjects (17%), while as cause of death is represented in 22 subjects (10%). Elderly are less likely to have positive BAC, and even in cases when BAC was increased, the levels were on the lower scale. Conclusion: More effort should be made to enhance road safety for elderly pedestrians, especially considering the expected rapid growth in the elderly population. https://ijph.tums.ac.ir/index.php/ijph/article/view/31902 https://ijph.tums.ac.ir/index.php/ijph/article/download/31902/8314

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 53 8 2024 08 06 1805 1814 Sinh Minh Do Department of Public Health, Nam Dinh University of Nursing, Nam Dinh, Vietnam Nguyet Thi Nguyen Department of Nursing, University of Medicine and Pharmacy, Vietnam National University Hanoi, Hanoi, Vietnam Anh Thi Lan Mai Preclinical Practice Center, Nam Dinh University of Nursing, Nam Dinh, Vietnam Mai Thi Thuy Vu Department of Public Health, Nam Dinh University of Nursing, Nam Dinh, Vietnam 2023 04 08 2023 09 18 Background: We aimed to describe nurses' perspectives on risk factors and strategies to control workplace violence. Methods: To accomplish the study objectives, an online cross-sectional questionnaire-based investigation was conducted. The scales were developed in accordance with the guidelines provided by reputable organizations such as the International Labour Office (ILO), International Council of Nurses (ICN), WHO, and Public Services International (PSI), as well as previous scholarly works. Prior to implementation, the validity and reliability of the Likert scales were rigorously tested. The survey, conducted from March to May 2022, encompassed 163 public hospitals in Vietnam and was completed by 2,280 nurses employed in these institutions. Results: According to nurses' perceptions, several key risk factors contribute to workplace violence (WPV). These include low socio-cultural awareness among patients and their family members, overcrowding in hospitals, non-compliance with hospital regulations, unrealistic expectations regarding treatment outcomes, communication issues among staff members. To effectively control WPV, nurses propose a range of strategies. These include enhancing the quality of hospital services and the hospital environment, fostering a positive workplace culture, establishing a comprehensive system for reporting and responding to incidents of WPV and developing patient care protocols. These strategies are believed to mitigate the occurrence and impact of WPV, ensuring a safer and more secure work environment for nurses. Conclusion: Workplace violence in healthcare settings is influenced by organizational, clinical, and environmental risk factors. Nurses adopt a multi-component approach to manage workplace violence. This study provides valuable insights for developing effective strategies to combat workplace violence in Vietnam. https://ijph.tums.ac.ir/index.php/ijph/article/view/31681 https://ijph.tums.ac.ir/index.php/ijph/article/download/31681/8315

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 53 8 2024 08 06 1815 1825 Yijun Shou School of Economics and Management, Zhongyuan University of Technology, Zhengzhou, China Jixia Shou Department of Finance, People’s Hospital of Zhengzhou, Zhengzhou, China 2024 07 04 2024 08 06 Background: Evaluating the governance capacity of urban public health is the key to improving the level of urban public health. We aimed to evaluate the governance ability of urban public health. Methods: An index system of governance ability of urban public health was established. The governance ability of urban public health was evaluated, and major constraints against the ability improvement were analyzed through the EM (Entropy Method)–AHP (Analytic Hierarchy Process)–TOPSIS (Technique for Order Preference by Similarity to an Ideal Solution) model and data of urban agglomeration in Yangtze River Delta, China in 2023. Results: Shanghai, Nanjing, Hangzhou, Suzhou, and Ningbo rank top 5 in terms of governance ability of public health, and they are in the first echelon. Hefei, Yancheng, Wuxi, Taizhou and Shaoxing rank 6–10, and they are in the second echelon. The remaining 17 cities are in the third echelon. Major sources of governance ability of urban public health and major factors that decrease governance ability are Medical Facility (A12), Health Improvement (A33), Medical Staff (A13), Government Ability (A11), and Health Loss (A34). For urban agglomeration in Yangtze River Delta, China, public health foundations, environmental exposure risks, public health performance, and public health emergencies all can influence the governance ability of public health. Conclusion: Accurate evaluation of the governance ability of urban public health can provide guidance and policy propositions to improve the governance system of public health and improve the emergency coordination ability of the government. https://ijph.tums.ac.ir/index.php/ijph/article/view/35973 https://ijph.tums.ac.ir/index.php/ijph/article/download/35973/8316

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 53 8 2024 08 06 1826 1836 Naved Ahmad Department of Computer Science and Information Systems, College of Applied Sciences, AlMaarefa University, Riyadh, Saudi Arabia Mohammad Amees Shiv Nadar School of Law, Shiv Nadar University, Chennai, India Abid Alam Global Library, O.P. Jindal Global University, Sonipat, Haryana, India Shaikh Ahmed Department of Basic Medical Science, College of Medicine, AlMaarefa University, Riyadh, Saudi Arabia Saddam Hossain J & V Resource Centre, Great Lakes Institute of Management, Chennai, India Jalaluddin Khan Department of Computer Science and Engineering, Guntur, Andhra Pradesh, India Mahfuz Raihan Department of Pediatrics, 250 Bedded District Hospital, Chapainawabganj, Bangladesh Abdulmueen Alotaibi Department of Anaesthesia Technology, College of Applied Sciences, AlMaarefa University. Riyadh, Saudi Arabia Diwan Israr Khan Department of Pediatrics, Ajmal Khan Tiibiya College Hospital, AMU Aligarh, India Mohammed Taher Ali Department of Pharmacology, College of Clinical Pharmacy, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia 2023 05 18 2023 10 31 Background: Seasonal influenza and novel H1N1 influenza from 2009 present worldwide difficulties for public health sectors. It is difficult to distinguish between significant research output due to the rising quantity of papers mentioning this infectious disease. We aimed to identify a scientometric analysis of influenza diseases. We aimed to highlight the progress made in the discipline by the researchers affiliated with most documents. Methods: The h-index was used to evaluate the publication performance of highly cited papers. We retrieved the scientometric data using the keywords “Influenza” OR “Flu” OR “Orthomyxoviridae” AND “Antiviral agents” OR “Antiviral drugs.” In all, 59013 documents were retrieved from the Web of Science between 2011 and 2020. The exported data to Biblioshiny and Microsoft Excel tools included sources by year, active authors, active journals, and countries. Also, we made use of quantitative analysis with scientometric indicators and knowledge mapping through the VOSviewer visualization software for creating the network visualization maps. Results: We found most papers written in English and other languages were from 402027 authors and listed in 4443 core journals. The researchers found that Palese P produced 155 and received an h-index of 55. The author Li Y has the highest contributions, with 313 publications. In global influenza research, Europe and North America are the most productive and impactful continents. The influenza research has been published in very few journals. Conclusion: This study will help hospital librarians and other library professionals to understand the status of research on influenza at any given point in time. https://ijph.tums.ac.ir/index.php/ijph/article/view/32070 https://ijph.tums.ac.ir/index.php/ijph/article/download/32070/8317

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 53 8 2024 08 06 1837 1846 Elvis Mahmutović Department of Biomedical Sciences, State University of Novi Pazar, Novi Pazar, Serbia Teodora Safiye Department of Psychology, State University of Novi Pazar, Novi Pazar, Serbia Emir Biševac Department of Biomedical Sciences, State University of Novi Pazar, Novi Pazar, Serbia Aldina Ajdinović Department of Biomedical Sciences, State University of Novi Pazar, Novi Pazar, Serbia Zerina Salihagić Department of Biomedical Sciences, State University of Novi Pazar, Novi Pazar, Serbia Slaviša Minić Department of Biomedical Sciences, State University of Novi Pazar, Novi Pazar, Serbia Zana Dolićanin Department of Biomedical Sciences, State University of Novi Pazar, Novi Pazar, Serbia 2024 07 02 2024 08 06 Background: Quality of life (QL) of patients with lumbar radiculopathy (LR) stands for personal experience of the functional effect of the ailment and therapy applied to the patient. We aimed to evaluate the QL in patients with LR before the start of treatment, as well as three and six months following the start of medical rehabilitation, that was prescribed and implemented. Methods: The research was conducted at the Special Hospital for Progressive Muscular and Neuromuscular Diseases in Novi Pazar, Serbia, from 2014 to 2016. A stratified, randomized sample included fifty patients with LR. All patients had an educational training program in ergonomics, physical therapy procedures, and kinetic and ergonomic therapeutic procedures as part of the conservative treatment. We employed two standardized questionnaires, the Oswestry Disability Index (ODI) and the SF-36, to evaluate the patients' condition, their QL, and the effectiveness of rehabilitation treatment. Results: In terms of SF-36 - PCS, SF-36 - MCS, and ODI, the lowest values were noted at the start of rehabilitation (PCS:35.5; MCS:37.8; ODI:51.5%). Three months later, there was a significant improvement in the scores (PCS:42.8; MCS:45.2; ODI:38.9%), and six months later, the scores were somewhat higher (PCS:49.2; MCS:40.6; ODI:23.7%) (P<0.01). Conclusion: When comparing the conditions, the QL and functional status of patients with LR are significantly improved. They were better at three and six months compared to the start of rehabilitation and at six months compared to the condition at three months. https://ijph.tums.ac.ir/index.php/ijph/article/view/35951 https://ijph.tums.ac.ir/index.php/ijph/article/download/35951/8318

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 53 8 2024 08 06 1847 1857 EN Tugce Issever Department of Industrial Engineering, Institute of Pure and Applied Sciences, Marmara University, Goztepe Campus, Istanbul, Turkey Bahar Sennaroglu Department of Industrial Engineering, Faculty of Engineering, Marmara University, Maltepe Campus, Istanbul, Turkey Cem Donmez Department of Industrial Engineering, Faculty of Engineering, Marmara University, Maltepe Campus, Istanbul, Turkey Adnan Corum Department of Industrial Engineering, Faculty of Engineering and Natural Sciences, Bahcesehir University, Besiktas South Campus, Istanbul, Turkey 2023 09 13 2024 01 15 - https://ijph.tums.ac.ir/index.php/ijph/article/view/33126 https://ijph.tums.ac.ir/index.php/ijph/article/download/33126/8319

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 53 8 2024 08 06 1858 1863 EN Seyed Ebrahim Eskandari Center for Research & Training in Skin Diseases & Leprosy, Tehran University of Medical Sciences, Tehran, Iran Aniseh Samadi Center for Research & Training in Skin Diseases & Leprosy, Tehran University of Medical Sciences, Tehran, Iran Sina Kardeh Department of Surgery, Centeral Clinical School, Monash University, Melborne, Vic, Austrelia Yahya Dowlati Center for Research & Training in Skin Diseases & Leprosy, Tehran University of Medical Sciences Hasti Ahmadian Yazdi Center for Research & Training in Skin Diseases & Leprosy, Tehran University of Medical Sciences Alireza Firooz Center for Research & Training in Skin Diseases & Leprosy, Tehran University of Medical Sciences 2024 05 25 2024 08 06 Background: The rising demand for body contouring and concerns about side effects of invasive surgical procedures have led to advances in providing new non-invasive alternative methods for weight reduction. The current retrospective study investigated the safety and efficacy of photobiomodulation technology in reducing local obesity in Middle Eastern participants. Methods: Providing data about body circumferences of 30 participants, with body mass index (BMI) >28 and localized obesity in the abdomen, thighs, buttocks, or arms were included in the final data synthesis. All the records were received at least 4 treatment sessions with the photobiomodulation technology (Volcano device) in Center for Research and training in Skin Diseases and Leprosy (CRTSDL) during June 2022-September 2022 Reductions in body standing circumferences as well as reported adverse effects and participants’ satisfaction were retrospectively evaluated and reported. Result: The extricated data included 30 females’ participants aged 42.06 ± 11.6 years and localized obesity in the abdomen (15 cases), thighs (7 cases), hip (one case) and arms (7 cases). While BMIs were not significantly different from the baseline, abdominal, arm and tight circumferences showed a significant decline after receiving 4 and 6 treatment sessions (P<0.01). There was no report of adverse effect and overall satisfaction was an "excellent" grade. Conclusion: This study demonstrated the effectiveness and safety of photobiomodulation in reduction of circumferential size in abdomen, buttock, thigh, and arm areas in Middle Eastern participants with high patient satisfaction and acceptable safety profile. https://ijph.tums.ac.ir/index.php/ijph/article/view/35610 https://ijph.tums.ac.ir/index.php/ijph/article/download/35610/8320

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 53 8 2024 08 06 1864 1870 Parisa Mashayekhi Molecular Medicine Department, Biotechnology Research Center, Pasteur Institute of Iran, Tehran, Iran Mir Davood Omrani Urogenital Stem Cell Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran Asma Olhosna Amini Urogenital Stem Cell Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran Mohammad Amin Omrani Urology and Nephrology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran Shahla Ganbari Milani Department of Genetics, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran 2023 12 30 2024 08 06 Background: The impact of CCR5-Δ32 on COVID-19 outcomes has been the focus of much research. This genetic variant may protect against SARS-CoV-2 infection, while others have produced conflicting results. Given the controversial results of previous research on different populations, we aimed to investigate the possible association between the CCR5-Δ32 variant and COVID-19 severity in an Iranian population. Methods: This case-control study was conducted between 25th of April till 10th of October 2021 at Rasoul Akram Hospital of Iran University of Medical Sciences, Tehran, Iran. We investigated the association between CCR5-Δ32 genotype and COVID-19 severity in 200 unrelated Iranian patients. The patients were divided into 2 groups: 100 patients with severe COVID-19 (case group) and 100 patients with mild COVID-19 (control group). Genotyping of CCR5-Δ32 was performed using the polymerase chain reaction (PCR) technique. Results: The frequency of CCR5-Δ32 allele was 11 in the case group and 16 in the control group. However, no significant association was found between this genetic variant and the clinical outcomes of COVID-19. Conclusion: The CCR5-Δ32 variant cannot serve as a reliable predictive factor for identifying individuals prone to developing severe COVID-19 in Iranian population. Additionally, targeting CCR5 would not be a viable treatment approach for COVID-19 in Iranians. https://ijph.tums.ac.ir/index.php/ijph/article/view/34152 https://ijph.tums.ac.ir/index.php/ijph/article/download/34152/8321

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 53 8 2024 08 06 1871 1882 EN Maziar Oveisee 1. Department of Orthopedic, School of Medicine, Bam University of Medical Sciences, Bam, Iran 2. Clinical Research Center, Pastor Educational Hospital, Bam University of Medical Sciences, Bam, Iran Akram Gholipour Cardiogenetic Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran Mahrokh Bagheri Moghadam Cardiogenetic Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran Mahshid Malakootian Cardiogenetic Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran 2023 07 27 2023 11 26 Background: Carpal tunnel syndrome (CTS) is a common disease resulting from the median nerve entrapment at the wrist. Although CTS (prevalence=5%–10% in the general population) is the most common neuropathy, its molecular mechanisms need elucidation. We used bioinformatics to detect genes with differential expressions in CTS and introduce the molecular regulatory noncoding RNAs and signaling pathways involved. Methods: The raw files of the RNA sequencing of CTS patients and controls were obtained from GEO (accession: GSE108023), and the samples were analyzed. Differentially expressed genes were isolated using DESeq2 R. Functional analyses were conducted on the signaling pathways, biological processes, molecular functions, and cellular components of the differentially expressed genes. Additionally, interactions between the most differentially expressed genes and miRNAs and lncRNAs were investigated bioinformatically. Results: Upregulation and downregulation were observed in 790 and 922 genes, respectively. The signaling pathway analysis identified the metabolism pathways of arachidonic acid, linoleic acid, and tyrosine as the most significant pathways in CTS. Moreover, PLA2G2D and PLA2G2A with upregulated expressions and PLA2G2F, PLA2G4F, PLA2G4D, PLA2G3, and PLA2G4E with downregulated expressions were genes from the phospholipase family playing significant roles in the pathways. Further analyses demonstrated that hsa-miR-3150b-3p targeted PLA2G2A and PLA2G4F, and RP11-573D15.8-018 lncRNA had regulatory interactions with the aforementioned genes. Conclusion: Molecular studies on CTS will clarify the involved signaling pathways and provide critical data for biomedical research, drug development, and clinical applications. https://ijph.tums.ac.ir/index.php/ijph/article/view/32700 https://ijph.tums.ac.ir/index.php/ijph/article/download/32700/8322

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 53 8 2024 08 06 1883 1889 Saba Behzadifard Department of Anatomy, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran Ali Arianezhad 1. Student Research Committee, Dezful University of Medical Sciences, Dezful, Iran 2. Clinical Research Development Unit, Ganjavian Hospital, Dezful University of Medical Sciences, Dezful, Iran Donya Nazarinia Department of Physiology, School of Paramedicine, Dezful University of Medical Sciences, Dezful, Iran Roya Behmanesh Clinical Research Development Unit, Ganjavian Hospital, Dezful University of Medical Sciences, Dezful, Iran Hosein Sinaei 1. Student Research Committee, Dezful University of Medical Sciences, Dezful, Iran 2. Clinical Research Development Unit, Ganjavian Hospital, Dezful University of Medical Sciences, Dezful, Iran Davood Alinezhad Dezfuli Clinical Research Development Unit, Ganjavian Hospital, Dezful University of Medical Sciences, Dezful, Iran Mahin Behzadifard Department of Laboratory Sciences, School of Paramedicine, Dezful University of Medical Sciences, Dezful, Iran 2023 07 01 2023 11 04 Background: Osteoporosis and osteopenia considered as severe problems in Beta thalassemia major (BTM) that can lead to bone fractures. We aimed to investigate bone mineral density status and the laboratory parameters related to bone metabolism in BTM patients and compare the statically differences between the mentioned parameters in the patients with or without bone fractures. Methods: The results of laboratory parameters including; Hemoglobin (Hb), Calcium (Ca), Vitamin D (Vit D), Phosphorus (P), Magnesium (Mg), Alkaline Phosphatase (ALP), Ferritin (FER), Serum Iron (SFe), Thyroid Stimulating Hormone (TSH), T3, T4 and Parathyroid Hormone (PTH), and BMD (by using Dual-Energy X-ray Absorptiometry (DEXA) method) were investigated in 143 BTM patients from thalassemia center of Dezful University of Medical Sciences in 2023. Results: Seventy-two women and 71 men with confirmed BTM diagnosis with age range (32.4 ± 9.7) were entered in the study. Laboratory parameters including TSH, T3, T4, ALP, FER 247) and SFe showed a significant difference between fracture and non-fracture groups respectively (P≤0.05). In this study, Z-Score between -1.1 and -2.4 was considered osteopenia, and below -2.5 was osteoporosis. Among the studied patients 36.6%, 39.1% and 24.2% had normal bone density, osteopenia and had osteoporosis respectively. Conclusion: Osteopenia and osteoporosis had a high frequency among the studied patients that can prone them to bone fractures. Continuous examinations of laboratory tests, especially T3, T4, TSH, FER, SFE, can be helpful for faster diagnosis and therapeutic interventions to prevent the occurrence of osteopenia and pathological fractures. https://ijph.tums.ac.ir/index.php/ijph/article/view/32521 https://ijph.tums.ac.ir/index.php/ijph/article/download/32521/8323

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 53 8 2024 08 06 1890 1897 Habibollah Aza