Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 52 10 2023 09 30 2055 2062 Jongsoon Won Department of Nursing, College of Nursing, Eulji University, Seongnam 13135, Korea Hyungsub Kim Department of Paramedicine, College of Health Sciences, Eulji University, Seongnam 13135, Korea Hyeongyeong Yoon Department of Nursing, College of Nursing, Eulji University, Seongnam 13135, Korea 2023 06 21 2023 09 30 Background: Suicide rate in South Korea is the highest among Organization for Economic Cooperation and Development countries. Particularly it is a major public health concern among adolescents. We investigated the factors affecting suicidal ideation among female Korean adolescents who had experienced sexual intercourse. Methods: This study was a secondary data analysis using the 18th Korea Youth Risk Behavior Survey, conducted using a complex sampling design in 2022. A complex sample multiple logistic regression was performed to analyze data of 1,166 female students who had experienced sexual intercourse. Results: Among the general characteristics, significant differences in suicidal ideation depending on grade, household income, living with family, academic achievement, and allergic dermatitis were observed (P<0.05). Additionally, the factors significantly associated with suicidal ideation were contraceptive use, mental health (generalized anxiety disorder, depressive symptoms, loneliness, and stress), current smoking, drinking, insufficient sleep, and insufficient breakfast consumption (P<0.05). Multiple logistic regression analysis revealed that the factors affecting suicidal ideation were generalized anxiety disorder, perceived stress, loneliness, depressive symptom, and smartphone addiction. Conclusion: For female adolescents with sexual experience, negative mental health and smartphone addiction needed to be managed to reduce suicidal ideation. https://ijph.tums.ac.ir/index.php/ijph/article/view/32402 https://ijph.tums.ac.ir/index.php/ijph/article/download/32402/8052

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 52 10 2023 09 29 2025 2035 Chiqiong Liu School of Medical, Hunan Polytechnic of Environment and Biology, Hengyang, Hunan, 421005, China Fengying He School of Medical, Hunan Polytechnic of Environment and Biology, Hengyang, Hunan, 421005, China 2023 06 29 2023 08 16 Background: Preventive care can support and direct the nurse's efforts to deliver an asthma intervention for children as part of nursing interventions. Despite the significance, there have been few meta studies demonstrating the effectiveness of nursing interventions for the treatment of childhood asthma that includes only randomised controlled trials (RCTs). Therefore, this meta study was conducted to comprehensively evaluate the efficacy of nursing care interventions for the management of childhood asthma. Methods: STATA 14.2 (StataCorp, College Station, TX, USA) was used to conduct the meta-analysis. From 1964 to July 2022, we searched Medline, the Cochrane library, EMBASE, Scopus Science Direct, and Google Scholar. Depending on the type of outcome, a meta-analysis was performed using a random-effects model, pooled weight mean difference (WMD), standardised mean difference (SMD), and/or risk ratio (RR) with stated 95 percent confidence intervals (CIs). PRISMA guidelines were followed for conducing this study. Results: Nine studies were analysed in total. The pooled RR for emergency visits was 0.49 (95%CI: 0.32 to 0.77), for hospitalizations was 0.64 (95%CI: 0.21 to 1.89). The pooled SMD for frequency of asthma attacks was -2.88 (95%CI: -3.22 to -2.54), quality of life was 0.49 (95%CI: 0.22 to 0.75) and asthma control was 1.25 (95%CI: -0.77 to 3.28). Conclusion: Paediatric asthma patients who received nursing interventions reported an improved quality of life and a decrease in emergencies and acute attacks due to asthma. Future RCTs should focus on uncovering the short- and long-term effects of these nursing interventions to provide optimal management and care. https://ijph.tums.ac.ir/index.php/ijph/article/view/32503 https://ijph.tums.ac.ir/index.php/ijph/article/download/32503/8049

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 52 10 2023 09 30 2225 2227 Hyun-Na Ahn Department of Advanced General Dentistry, College of Dentistry, Yonsei University, Seoul, South Korea Eun-Young Jeon Department of Dental Hygiene, Kyung-Bok University, Namyangju, South Korea Sa-Beom Park Center of Biohealth Convergence and Open Sharing System, Hongik University, Seoul, South Korea Jong-Tae Park Department of Oral Anatomy, College of Dentistry, Dan-kook University, Cheonan, South Korea 2022 06 15 2022 09 02 No Abstract https://ijph.tums.ac.ir/index.php/ijph/article/view/29051 https://ijph.tums.ac.ir/index.php/ijph/article/download/29051/8072

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 52 10 2023 09 30 2063 2072 EN Daren Zhao Department of Medical Administration, Sichuan Provincial Orthopedics Hospital, Chengdu, Sichuan, P.R. China 2022 08 31 2022 12 21 Background: Syphilis remains a major public health concern in China. We aimed to construct an optimum model to forecast syphilis epidemic trends and provide effective precautionary measures for prevention and control. Methods: Data on the incidence of syphilis between 1982 and 2020 were obtained from the China Health Statistics Yearbook. An exponential smoothing model (ES model) and a BP neural network model were constructed, and on this basis, the ES-BP combination model was created. The prediction performance was assessed to compare the MAE (Mean Absolute Error), MSE (Mean Squared Error), MAPE (Mean Absolute Percentage Error), and RMSE (Root Mean Square Error). Results: The optimum ES model was Brown’s linear trend model, which had the lowest MAE and MAPE values, and its residual was a white noise sequence (P=0.359). The optimum BP neural network model had three layers with the number of nodes in the input, hidden, and output layers set to 5, 11, and 1, and the mean values of MAE, MSE, and RMSE by five-fold cross-validation were 1.519, 6.894, and 1.969, respectively. The ES-BP combination model had three layers, with model nodes 1, 4, and 1. The lowest mean values of MAE, MSE, and RMSE obtained by five-fold cross-validation were 1.265, 5.739, and 2.105, respectively. Conclusion: The ES, BP neural network, and ES-BP combination models can be used to predict syphilis incidence, but the prediction performance of the ES-BP combination model is better than that of a basic ES model and a basic BP neural network model. https://ijph.tums.ac.ir/index.php/ijph/article/view/29686 https://ijph.tums.ac.ir/index.php/ijph/article/download/29686/8053

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 52 10 2023 09 30 2036 2041 Serpil Duran Faculty of Nursing, Near East University, Nicosia, Cyprus Gülşen Vural Department of Medical Services and Techniques, Vocational School of Health Services, Atılım University, Ankara, Turkey 2022 10 27 2023 06 19 Cesarean delivery rates have been increasing which leads to a rise the problems experienced. After cesarean deliveries important problems for the mother and baby may be seen. The most common problems in the mothers after cesarean delivery are; bleeding, infection, fatigue, sleep disorders, breast problems, self-care issues, and sense of inadequacy in care of the newborn. The method used in this study was narrative review. A literature review was conducted by searching the materials published in databases including Web of Science, PubMed, Google Scholar search engine and, the WHO website. Pain, maternal death, breastfeeding problems, worsened sleep quality and comfort, anxiety, delayed recovery, prolonged hospitalization and infection rates in the cesarean deliveries are higher than in vaginal deliveries. Nurses can facilitate adaptation to the role of motherhood and prevent risky situations by evaluating mothers’ care needs and providing proper interventions and support. Nurses should not only focus on the physical care needs of the mother and baby; they should also ensure the physical and psycho-social adaptation of family members in the face of role changes. https://ijph.tums.ac.ir/index.php/ijph/article/view/30233 https://ijph.tums.ac.ir/index.php/ijph/article/download/30233/8050

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 52 10 2023 09 30 2228 2229 EN Fatemeh Amiri Department of Radiology and Nuclear Meadicine, School of Allied Medical Sciences, Kermanshah University of Medical Sciences, Kermanshah, Iran Amir Shiani Department of Speech Therapy, School of Rehabilitation Sciences, Kermanshah University of Medical Sciences, Kermanshah, Iran Maryam Mirzaei Department of Physiotherapy, School of Rehabilitation Sciences, Kermanshah University of Medical Sciences, Kermanshah, Iran 2022 06 03 2022 07 31 No Abstract https://ijph.tums.ac.ir/index.php/ijph/article/view/28939 https://ijph.tums.ac.ir/index.php/ijph/article/download/28939/8073

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 52 10 2023 09 30 2073 2082 Sudhakar Vundavalli Department of Preventive Dentistry, College of Dentistry, Jouf University, Saudi Arabia Alwaleed Bader R Alarjan Department of Preventive Dentistry, College of Dentistry, Jouf University, Saudi Arabia Radhika Doppalapudi Department of Oral and Maxillofacial Surgery and Diagnostic Sciences, College of Dentistry, Jouf University, Saudi Arabia Namdeo Prabhu Department of Oral and Maxillofacial Surgery and Diagnostic Sciences, College of Dentistry, Jouf University, Saudi Arabia Rakhi Issrani Department of Preventive Dentistry, College of Dentistry, Jouf University, Saudi Arabia Naif Abdulrahman Aljunaydi Department of Preventive Dentistry, College of Dentistry, Jouf University, Saudi Arabia Muhammad Nadeem Baig Department of Preventive Dentistry, College of Dentistry, Jouf University, Saudi Arabia 2022 05 15 2022 11 19 Background: Cigarette smoking has been identified as most perilous risk factor for several health ailments. Increased price may discourage smoking habits. There is limited literature available on impact of price rise on smoking behaviors in Saudi Arabia, which is the fourth largest importer of cigarettes and this study assessed the impact of tax increase (in 2020) on smoking behaviors. Methods: A cross-sectional survey was carried out between July 2021 and December 2021.i.e.one year after new value added tax (VAT) system came into force. Data was collected with 14-item pretested questionnaire from 721 adult smokers in Al-Jouf Region of Saudi Arabia selected through stratified cluster ransom sampling. We measured effects of tax increase on smoking behaviors, its impact on decision to quit and perceived health improvements as outcome variables. Results: Nearly 40% of the respondents said that increased price lead them to smoke less number of cigarettes per day (P=0.000), decreased smoking improved their health in terms of breathing capacity, mood, ability to exercise and sleep in hierarchy. 67.4% of the participants are currently thinking of quitting smoking due to increased prices (P=0.001) and logistic regression models identified reduced smoking due to tax rise (Odds=5.68), improvement in health (Odds=2.94) and excess spending of above 20% (Odds=1.72) significantly associated with intentions to quit smoking. Conclusion: Increased price of cigarettes due to VAT significantly decreased smoking behaviors and has impact on smokers’ decision to quit smoking. Future studies needed to assess the long-term effect of increased tax on smoking behaviors and its relapse. https://ijph.tums.ac.ir/index.php/ijph/article/view/28757 https://ijph.tums.ac.ir/index.php/ijph/article/download/28757/8054

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 52 10 2023 09 30 2042 2054 Hossein Akbari Department of Social Sciences, Faculty of Literature and Humanities, Ferdowsi University of Mashhad, Mashhad, Iran Mahla Mohammadi Department of Social Sciences, Faculty of Literature and Humanities, Ferdowsi University of Mashhad, Mashhad, Iran Abolfazl Husseini Department of Social Sciences, Faculty of Literature and Humanities, Ferdowsi University of Mashhad, Mashhad, Iran 2022 08 23 2023 09 30 Background: Stigma is a sociological concept that is important in medicine and health because it threatens health as much as the disease itself. We aimed to explore the causes, stigmatizers, consequences and coping strategies related to the stigma of diseases by systematically analyzing relevant literature. Methods: This systematic review examined 65 articles on Disease-Related Stigma by searching Noormags, Magiran, SID, Google Scholar, and PubMed databases. The articles were published in Persian and English between 2001 and 2022 and conducted in Iran. We used a three-step systematic review process to select articles that met the research criteria. Results: Conflict in society, lack of knowledge, specific characteristics of the disease, and the contagious nature of disease are the main causes of stigma, leading to stigmatization by different groups such as significant others, generalized others, institutional others, and macro others. Patients experiencing stigma face various psychological, physical, and social complications, and they may use concealment as a coping strategy, which can pose a potential threat to society's general health. Conclusion: By knowing the causes and stigmatizers of disease-related, it is possible to reduce stigma with less cost and time. https://ijph.tums.ac.ir/index.php/ijph/article/view/29633 https:// exists on Iranian women's protective behaviors mainly constant condom use. Inconsistent condom use seems prevalent among women with substance use problems. We aimed to investigate risky sexual behaviors (RSBs) and condom use barriers in Iranian women with substance use disorders (SUDs). Methods: In our cross-sectional study, we recruited 300 women who sought treatments for their SUDs from the active outpatient drug free (ODF) and Methadone Maintenance Therapy (MMT) centers in Tehran, Iran during 2017-2021. We used three batteries including demographic questionnaire, the Risky Sexual Behavior Questionnaire (RSBQ); and the Condom Barriers Scale (CBS). The statistical software R, analysis of variance post hoc and multivariate analysis of variance (MANOVA) logistic regression tests were used in data analysis Results: The majority reported at least one lifetime experience of RSBs. Our results show that only 22% of the participants 'always' use condom in their sexual encounters. The lowest and highest subscale scores of the CBS were related to Sexual Experience (SE) (2.47 ± 0.86) and access/availability structure (3.52 ± 0.7), respectively. RSBs had negative significant association with Partner Barrier (PB) subscale scores (OR = 0.4; 95% CI: 0.22 to 0.73) and effect on SE subscale scores (OR= 0.54; 95% CI: 0.31 to 0.94). Conclusion: RSBs was prevalent among our study population. RSBs and condom use barriers are significantly interwoven. The condom use barriers were highly associated with the types of sexual encounters such as group sex or casual sexual relations than specific mean of sexual performance (i.e. anal sex). Gender-specific RSBs, STIs/HIV/AIDS prevention program is recommended for women with SUDs.   https://ijph.tums.ac.ir/index.php/ijph/article/view/24773 https://ijph.tums.ac.ir/index.php/ijph/article/download/24773/8010

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 52 8 2023 08 06 1565 1577 Nurulain Muhamad Center of Optometry, Faculty of Health Sciences, Universiti Teknologi MARA Cawangan Selangor, 42300 Bandar Puncak Alam, Selangor, Malaysia Nurul Amira Nor Amali WHOOSH Southkey, 80150 Johor Bharu, Johor, Malaysia 2022 09 27 2023 01 17 Background: Digital devices such as smartphones, tablets, computers, and laptops are used for various purposes. The digital display quality has been improved, making it less tiring and more favoured among users. This study aimed to review the visual comfort of digital devices and the preferences of digital display settings that enhance the visual comfort experienced by digital device users. Methods: A search of PubMed, EBSCO host MEDLINE Complete, Scopus database, Google Scholar, and manual citation review was conducted, covering the period between 2010 and 2022. The criteria were selected based on the PRISMA statements. The search mainly focused on finding the existing literature on digital devices that contribute to visual discomfort and digital device settings that provide better visual comfort. Results: The database search resulted in 533 references via the application of Microsoft Excel. There were 28 studies included in the final assessment. Twelve studies accounted for digital devices that contributed to visual discomfort, while another sixteen studies for digital device settings provided better visual comfort. Conclusion: Digital displays with high luminance contrast, positive polarity and adequate colour were preferred for better visual comfort. Meanwhile, smaller fonts were preferred for desktops and laptops, while larger fonts were favoured for smartphones. This study provides insights for digital display developers to learn and improve their display technology to fit the preferences expressed. https://ijph.tums.ac.ir/index.php/ijph/article/view/29924 https://ijph.tums.ac.ir/index.php/ijph/article/download/29924/8001

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 52 8 2023 08 07 1779 1780 Tohid Seif Barghi Department of Sports Medicine, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran Mohammad Mahdi Tavana Department of Sports Medicine, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran 2022 04 11 2022 06 29 No Abstract https://ijph.tums.ac.ir/index.php/ijph/article/view/28400 https://ijph.tums.ac.ir/index.php/ijph/article/download/28400/8023

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 52 8 2023 08 06 1682 1691 EN Chunxiao Xu Department of Chronic Non-Communicable Diseases Control and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China Yu Guo Chinese Academy of Medical Sciences, Beijing, China Zheng Bian Chinese Academy of Medical Sciences, Beijing, China Zhengming Chen Clinical Trial Service Unit and Epidemiological Studies Unit (CTSU), Nuffield Department of Population Health, Universi-ty of Oxford, Oxford, UK Liming Li 1. Chinese Academy of Medical Sciences, Beijing, China 2. School of Public Health, Peking University Health Sciences Center, Beijing, China Min Yu Department of Chronic Non-Communicable Diseases Control and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China 2021 03 29 2022 09 02 Background: A resting heart rate may be correlated with an increased risk of stroke. Therefore, we explored the independent and joint influences of heart rate and body mass index on the incidence of stroke and its subtypes in a Chinese rural population. Methods: Cox proportional hazard models were adopted for measuring the influence exerted by heart rate on stroke in the Tongxiang China Kadoorie Biobank prospective cohort analyses, in which 23,132 men and 32,872 women were included. Incident stroke refers to ‘24-hour acute focal disorder, considered to result from ischemia or intracranial hemorrhage’. Results: Over a 6.9 year mean follow up period, 986 men and 925 women developed stroke, representing an incidence of 6.35 and 4.00 per 1,000 person-years. In contrast to men with heart rate < 69 beats/minute, men at heart rate ≥ 90 beats/minute could more probably develop stroke and ischemic stroke with representing hazard ratio [95% confidence interval (CI)] 1.29 (1.05 – 1.58), and 1.35 (1.06 – 1.71). An adjusted hazard ratio of 1.37 (95% CI = 1.06 - 1.74) and 1.46 (95% CI = 1.08 – 1.96) were respectively identified for stroke and ischemic stroke in non-overweight/obese male patients with heart rate ≥ 90 beats/minute. Joint analyses also favored the results. Unfortunately, non-significant results were found in women. Conclusion: Higher resting heart rate acts as an independent predictor of any stroke and ischemic stroke risk in adult Chinese male but not in female. This relationship was particularly evident among non-overweight/obese male participants. https://ijph.tums.ac.ir/index.php/ijph/article/view/24349 https://ijph.tums.ac.ir/index.php/ijph/article/download/24349/8011

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 52 8 2023 08 06 1578 1588 EN Yan Yang School of Economics & Management, Tongji University, Shanghai, China Jianwei Shi School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China Jiaoling Huang School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China Mingwang Cheng School of Economics & Management, Tongji University, Shanghai, China Shasha Geng General Practice Medicine, Dongfang Hospital of Tongji University, Shanghai, China Wenya Yu School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China Ning Chen School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China Chen Chen Shanghai Jing’an District Jiangning Road Community Health Service Centre, Shanghai, China Zhaoxin Wang 1. Department of Dermatology, The Fifth People’s Hospital of Hainan Province, Hainan Medical University, Haikou, China 2. School of Management, Hainan Medical University, Haikou, China 2019 12 02 2020 08 20 Background: The single risk factors of pancreatic cancer (PC) has been extensively studied. We aimed to synthesize results from such studies to identify and estimate multiple independent risk factors of PC. Methods: Articles published up to Feb 28, 2020 in English or Chinese reporting risk factors of PC were reviewed. The fixed-effects model with 95% confidence interval (CI) were used to calculate the pooled Odds Ratio (OR). Data were analyzed using RevMan 5.3. Results: PC was significantly associated with smoking (OR: 1.76, 95% CI: 1.61–1.92, P < 0.00001, I2 = 6%), diabetes (OR: 2.69, 95% CI: 2.52-2.88, P < 0.00001, I2 = 0%), family history of PC (OR: 2.58, 95% CI: 2.13-3.11, P < 0.00001, I2 = 0%), and chronic pancreatitis (OR: 5.84, 95% CI: 3.63-9.41, P < 0.00001, I2 = 0%). Conclusion: Smoking, diabetes, family history of PC, and chronic pancreatitis were independent risk factors for PC. These independent risk factors have an important role in identifying high-risk groups, which is of great significance to reduce the incidence of PC and improve the quality of life and prognosis of patients.   https://ijph.tums.ac.ir/index.php/ijph/article/view/19057 https://ijph.tums.ac.ir/index.php/ijph/article/download/19057/8002

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 52 8 2023 08 06 1692 1700 Yujing Ji Harbin Medical University Cancer Hospital, Harbin, 150081, China Limin Zhang Harbin Medical University Cancer Hospital, Harbin, 150081, China 2023 06 06 2023 08 06 Background: Obesity, one of the independent risk factors affecting children’s physical and mental health, has become a serious public health problem in the 21st century. Given physical anxiety and other psychological factors, obese children experience negative impact on their mental health and intellectual development from their loneliness, unwillingness to communicate with others, and lack of peer interaction. Therefore, exploring an effective psychological intervention model that can relieve loneliness in obese children is necessary. Methods: From February to October 2022, a quasi-experimental study was conducted on obese children recruited from communities in Harbin, China. The children recruited were evaluated with the UCLA Loneliness Scale. According to the evaluation results, one hundred and five children were selected and randomly divided into experiment group (52) and control group (53). The experiment group was given an eight-week solution-focused brief therapy (SFBT) intervention based on empowerment theory. The control and experiment groups were measured and compared before and after the intervention. Results: The loneliness score of the experiment group was significantly lower than that of the control group (P<0.001). The self-efficacy score of the experiment group was significantly higher than that of the control group (P<0.001). The subjective well-being score of the experiment group was significantly higher than that of the control group (P<0.001). Conclusion: SFBT intervention based on empowerment theory has an effective intervention effect on loneliness in obese children and can improve their subjective well-being and self-efficacy. The results of this study provide a new perspective for the intervention on psychological problems in obese children. https://ijph.tums.ac.ir/index.php/ijph/article/view/32218 https://ijph.tums.ac.ir/index.php/ijph/article/download/32218/8012

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 52 8 2023 08 06 1589 1599 Mina Esmaili Department of Psychology, Faculty of Psychology and Educational Sciences, Central Tehran Branch, Islamic Azad University Tehran, Iran Dariush D. Farhud 1. School of Public Health, Tehran University of Medical Sciences, Tehran, Iran 2. Department of Basic Sciences, Iranian Academy of Medical Sciences, Tehran, Iran Kambiz Poushaneh Department of Psychology, Faculty of Psychology and Educational Sciences, Central Tehran Branch, Islamic Azad University Tehran, Iran Anita Baghdassarians Department of Psychology, Faculty of Psychology and Educational Sciences, Central Tehran Branch, Islamic Azad University Tehran, Iran Hassan Ashayeri Department of Basic Sciences, Faculty of Rehabilitation Sciences, Tehran University of Medical Sciences, Tehran, Iran 2023 01 09 2023 04 25 Executive functions (EFs) skills are necessary for regulating the thoughts, emotions, and actions which are associated with many aspects of daily functioning. Executive dysfunction (EDFs) is present in a wide range of mental disorders. New study indicates that EFs may predict health behavior and make it easier to engage in a variety of healthy activities. In this narrative review, EFs and public health are briefly discussed. In general, 133 articles met the inclusion criteria (published 2018-2023) which were reviewed. EFs affect the mental and physical health. Besides individual problems, people with mental problems have heavy costs to society. Mental health cannot be considered separately from general health. Consequently, preventive and therapeutic approaches to mental health should be considered not only at the level of the whole society, but also at the global level. https://ijph.tums.ac.ir/index.php/ijph/article/view/30882 https://ijph.tums.ac.ir/index.php/ijph/article/download/30882/8003

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 52 8 2023 08 06 1701 1710 Yasemin Numanoğlu Çevik Microbiology Reference Laboratory and Biological Products Department, Ministry of Health, General Directorate of Pub-lic Health, Ankara, Turkey 2022 12 22 2023 08 06 Background: Within the scorpion family Buthidae, some of the most dangerous venomous genera are Androctonus (A), Buthus (B), and Leiurus (L). This venom is valuable raw material for numerous therapeutic formulations because of its pharmacological potential; however, because of its high prices in the global market, fake “venom mixes” are being made to market illegally, and it is important that these unknown mixes be evaluated. A fast and accurate response to the request for this identification is necessary. Method: This study was conducted in Turkey in 2022. Matrix-Assisted Laser Desorption/Ionization Time-Of-Flight Mass Spectrometry (MALDI-TOF MS) is a linear positive-ionization mode was used for identification of scorpion species. The mass spectra of the three scorpion venoms were examined in detail. The peptide and protein profiles in the venoms of congenerous three scorpion venoms and the proportional differences in these venoms were investigated. For interspecific variation, a principal component analysis of all venoms was conducted, and variance values and distance-proximity indices were determined. Results: The top three peptide masses in the highest relative abundance for A. australis, B. mardochei, and L. quinquestriatus quinquestriatus, respectively, were 6901, 7431, and 7447; 4238, 5283, and 4055; and 3828, 7868, and 6799 Da. While the variance rate between A. australis and the other two venoms was 40%, this rate was 38% between B. mordochei and L. quinquestriatus quinquestriatus venoms. Conclusion: A very simple protocol of species identification using scorpion venom samples was created using recent advances in MALDI-TOF MS. https://ijph.tums.ac.ir/index.php/ijph/article/view/30739 https://ijph.tums.ac.ir/index.php/ijph/article/download/30739/8013

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 52 8 2023 08 06 1600 1612 Soheil Hassanipour Gastrointestinal and Liver Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran Ehsan Amini-Salehi Student Research Committee, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran Farahnaz Joukar 1. Gastrointestinal and Liver Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran 2. Caspian Digestive Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran Mohammad-Javad Khosousi Gastrointestinal and Liver Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran Farideh Pourtaghi Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran Malek Moein Ansar Department of Biochemistry, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran Marjan Mahdavi-Roshan Cardiovascular Diseases Research Center, Department of Cardiology, Heshmat Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran Forough Heidarzad Gastrointestinal and Liver Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran Golnaz Rashidi-Mojdehi Gastrointestinal and Liver Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran Elham Abdzadeh Gastrointestinal and Liver Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran Azin Vakilpour School of Medicine, Guilan University of Medical Sciences, Rasht, Iran Fariborz Mansour-Ghanaei 1. Gastrointestinal and Liver Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran 2. Caspian Digestive Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran 2022 05 16 2022 12 28 Background: Non-alcoholic fatty liver disease (NAFLD) is the world's most common etiology of chronic liver disease. In this systematic review and meta-analysis, we estimated the prevalence of NAFLD in the Iranian children and adult population. Methods: A comprehensive search of five international databases, including PubMed, ISI/WOS, ProQuest, Scopus, and Google Scholar, was done from inception to Nov 2022. Studies on NAFLD patients and their risk factors were selected for meta-analysis. The quality of the included studies was assessed by The Joanna Briggs Institute (JBI) Critical Appraisal Checklist for cross-sectional, and cohort studies. The heterogeneity between studies was investigated using Cochran test and I2 statistics. Random and fixed effect models were used for heterogenic and non-heterogenic studies, respectively. We used Comprehensive Meta-Analysis version 3 for conducting meta-analysis. Results: Twenty studies were finally included. The total prevalence of NAFLD in children, boys, and girls was 6.7% (95% CI: 0.02-0.18), 12.5% (95% CI: 0.04-0.29) and, 10.1% (95% CI: 0.04-0.21), respectively. The total prevalence of NAFLD in obese children, obese boys, and obese girls was 42% (95% CI: 0.18-0.69), 44% (95% CI: 0.13-0.80), and 33 % (95% CI: 0.13-0.62), respectively. The total prevalence of NAFLD in adults was 36.9% (95% CI: 0.31-0.42). The prevalence of NAFLD in men and women was 33.8% (95% CI: 0.27-0.41) and 29.9% (95% CI: 0.21-0.40), respectively. Conclusion: NAFLD prevalence in Iranian adults and obese children is considerable; however, data about the children population was insufficient. https://ijph.tums.ac.ir/index.php/ijph/article/view/28764 https://ijph.tums.ac.ir/index.php/ijph/article/download/28764/8004

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 52 8 2023 08 06 1711 1719 Ying Zhang 1. Center for Cultural Communication Research, Xi'an University of Technology, Xi'an, China 2. Center for Youth Development Research, Shaoxing University, Shaoxing, China Ling Zhang Center for Youth Development Research, Shaoxing University, Shaoxing, China 2023 07 05 2023 08 06 Background: Competition among countries becomes fiercer with progress in globalization. As the future and hope of national development, the youth are undertaking intensifying competitive pressures. More youths suffer psychological health issues, such as non-suicidal self-injury (NSSI), depression, and aggressive behaviors. What are the relationships among suicidal self-injury, aggression, and depression? There’s few systematic study on these two aspects yet. Thus, we examined the relationship between aggression and NSSI in youths, as well as the mediating effects of depression in such a relationship. Methods: A total of 770 youths (comprising university students, community youths and rural migrant workers) in Zhejiang, Anhui and Henan in China were investigated from August to December 2022 by using the aggression scale, NSSI scale, and depression scale. The relationship among aggression, NSSI and depression in youths was discussed through a t-test, correlation analysis, and multivariate regression analysis. Results: With respect to abuse experiences during childhood, parental emotional status and family conditions, the total scores in aggression, NSSI, and depression of youths differed significantly (P<0.05). A significantly positive correlation existed between aggression and NSSI of youths (r=0.41, P<0.01), a significantly positive correlation existed between aggression and depression (r=0.42, P<0.01), and a significantly positive correlation exists between NSSI and depression (r=0.42, P<0.01). Aggression of youths had not only direct and positive prediction effects on NSSI (B=0.41, P<0.001) but also indirect effects on NSSI through depression. Conclusion: Aggression, NSSI and depression of youths were influenced significantly by abuse experiences during childhood, parental emotional status and family conditions. Depression has partial mediating effects between aggression and NSSI in youths. https://ijph.tums.ac.ir/index.php/ijph/article/view/32562 https://ijph.tums.ac.ir/index.php/ijph/article/download/32562/8014

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 52 8 2023 08 06 1613 1625 EN Mirghani Seyed Someah Department of Natural Resources and Environment, Science and Research Branch, Islamic Azad University, Tehran, Iran Farideh Golbabaei 1. Department of Natural Resources and Environment, Science and Research Branch, Islamic Azad University, Tehran, Iran 2. Department of Occupational Health Engineering, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Reza Arjomandi Department of Natural Resources and Environment, Science and Research Branch, Islamic Azad University, Tehran, Iran Farzam Babaei Semiromi Department of Natural Resources and Environment, Science and Research Branch, Islamic Azad University, Tehran, Iran Ali Mohammadi Department of Natural Resources and Environment, Science and Research Branch, Islamic Azad University, Tehran, Iran 2022 04 13 2022 12 21 Background: Asbestos is one of the most important environmental and occupational carcinogens. Nevertheless, the mechanisms by which asbestos fiber exposure causes chronic diseases are not fully understood. We performed the first systematic review on the epidemiological evidence to examine the association between occupational exposure to asbestos and oxidative stress and DNA damage. Methods: In this systematic review study, the PubMed and Scopus databases were searched for English-language publications. Eleven cross-sectional studies were included in the systematic review. A literature search was conducted by the main keywords including "Asbestos", "crocidolite", "chrysotile", "amphibole", "amosite", "Oxidative Stress", "DNA Damage", and "DNA injury". To evaluate the quality of studies, the "Newcastle-Ottawa Quality Assessment Scale" (NOS) was used. Results: Overall, 1235 articles were achieved by searching in databases. Finally, by considering the inclusion, and exclusion criteria, 11 articles were conducted for this study. These studies were published between 1986 and 2020. Oxidative stress and DNA damage can occur in exposure to asbestos. Among various biomarkers, 8-OHdG is the best. The analysis of 8-oxodG in asbestos workers can help identify subjects with a higher level of genotoxic damage. Conclusion: This systematic review suggests that oxidative stress and DNA damage are two main outputs of asbestos exposure. Therefore, oxidative stress and DNA damage biomarkers can be used for identifying subjects at higher risk of cancer. These findings support policy initiatives aimed at detecting and eliminating asbestos fiber exposure and preventing potential health hazards in occupational settings. https://ijph.tums.ac.ir/index.php/ijph/article/view/28441 https://ijph.tums.ac.ir/index.php/ijph/article/download/28441/8005

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 52 8 2023 08 06 1720 1729 Zhicheng Pan General Surgery Department, Nanjing Red Cross Hospital, Nanjing City, Jiangsu Province, 210000, China Huazhong Yun General Surgery Department, Nanjing Red Cross Hospital, Nanjing City, Jiangsu Province, 210000, China Yun Xiao General Surgery Department, Nanjing Red Cross Hospital, Nanjing City, Jiangsu Province, 210000, China Fei Tong General Surgery Department, Nanjing Red Cross Hospital, Nanjing City, Jiangsu Province, 210000, China Guodong Liu General Surgery Department, Nanjing Red Cross Hospital, Nanjing City, Jiangsu Province, 210000, China Ge Zhang General Surgery Department, Nanjing Red Cross Hospital, Nanjing City, Jiangsu Province, 210000, China Jianbo Han General Surgery Department, Nanjing Red Cross Hospital, Nanjing City, Jiangsu Province, 210000, China 2023 01 26 2023 04 07 Background: In order to explore new targets for the treatment of gastric cancer (GC), we investigated the regulatory mechanism of miR-934 in the malignant phenotype of gastric cancer. Results: GC tissues and cell lines showed notably higher levels of miR-934. Overexpression of miR-934 promoted cell viability, migration and invasion, while inhibited cell apoptosis of GC cells. ZFP36 was predicted and verified to be the target of miR-934 and low protein levels of ZFP36 were observed in GC tissues. The ZFP36 protein expressions were suppressed by miR-934 overexpression, while were facilitated by miR-934 inhibition. Furthermore, the carcinogenic functions of miR-934 were partially reversed after ZFP36 overexpression. The results of in vivo experiments further demonstrated that miR-934 promoted tumor growth and repressed the protein expression of ZFP36. Conclusion: miR-934 served as a tumor promoter in GC via targeting ZFP36, and ZFP36 overexpression could efficiently relieve malignant phenotypes caused by miR-934, which prompted an exploitable molecular target for GC treatment. https://ijph.tums.ac.ir/index.php/ijph/article/view/30977 https://ijph.tums.ac.ir/index.php/ijph/article/download/30977/8015

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 52 8 2023 08 06 1626 1641 EN Ehsan Jamshidian University of social welfare and rehabilitation sciences Elahe Hojati Abed PhD in Occupational Therapy, Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran Elahe Fathi Azar MSc in Occupational Therapy, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran Mozhdeh Hashemzadeh PhD Candidate in Medical Librarianship and Information Science, Department of Medical Library and Information Science, School of Management and Medical Information Sciences, Clinical Informationist Research Group, Isfahan University of Medical Sciences, Isfahan, Iran. Hooshang Mirzaie PhD in Occupational Therapy, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran Hossein Sourtiji Assistant professor, School of Rehabilitation Sciences, Isfahan University of Medical Sciences, Isfahan, Iran 2022 06 28 2022 12 21 Background: Autism is a lifelong condition that seriously affects many aspects of children's and families' lives. The experience attained by living with a child with autism can be a valuable source of information to provide support and satisfactory services to children with autism and their families. We aimed to investigate the lived experiences of Iranian parents of children with autism. Methods: The search was conducted in PubMed, Web of Science, Embase, Google Scholar, CINAHL, PsychInfo, SID, and Magiran until Nov 2021. Two reviewers screened the articles, applied inclusion criteria, critically evaluated articles using the Critical Appraisal Skills Program (CASP), and extracted study details according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist. Thematic synthesis was used to analyze included studies.  Results: From 2772 articles in the initial search, sixteen studies entered the final analysis. Four themes emerged, including treatment-related lived experience, individual lived experience, social lived experience, and occupational lived experience. Iranian parents of children with autism are confronted with negative experiences, including inaccurate diagnostic processes, lack of adequate support at the diagnosis time, low-quality treatment, psychological problems, and concern about the child's future. Also, Parent's experiences showed family problems, stigma, and problems with doing occupations. Conclusion: Practitioners, policy-makers, and regulatory organizations should urgently consider issues mentioned in the parents' experiences to provide proper healthcare services for children with autism and their families.  https://ijph.tums.ac.ir/index.php/ijph/article/view/29128 https://ijph.tums.ac.ir/index.php/ijph/article/download/29128/8006

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 52 8 2023 08 06 1730 1738 Raziyeh Zareh-Khoshchehreh 1. Department of Virology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran 2. Department of Virology, School of Medical Sciences, Tarbiat Modares University, Tehran, Iran Vahid Salimi 1. Department of Virology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran 2. National Reference Laboratory for Measles and Rubella, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Ghazal Sadat Fatemi Nasab 1. Department of Virology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran 2. National Reference Laboratory for Measles and Rubella, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Maryam Naseri Department of Virology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Fatemeh Adjami Nezhad Fard 1. Department of Virology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran 2. National Reference Laboratory for Measles and Rubella, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Talat Mokhtari Azad 1. Department of Virology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran 2. National Reference Laboratory for Measles and Rubella, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran 2020 06 20 2023 01 22 Background: Despite decreasing the global burden of measles disease after the introduction of vaccination, measles remains one of the most devastating childhood diseases. Since genotype B3 is reported as a predominant Measles Virus (MeV) genotype recently, the current study aimed to better understand MeV genetic variation by analyzing the complete sequence of Hemagglutinin (H) gene associated with outbreaks of circulated genotypes in Iran. Methods: Nine positive measles specimens were selected from three circulated different genotypes H1, B3, and D4. Two different regions of MeV RNA were detected by RT-PCR assay. Sequence data and phylogenetic trees were analyzed and constructed by MEGA X software program. Moreover, missense and silent mutations in critical positions of the MeV-H protein were investigated. Results: The result of phylogenetic analysis from the C-terminus of the Nucleoprotein gene (NP-450) and the complete H gene revealed that the mean sequence diversity was 0.06%-0.08% and 0.04%, respectively. Genotype H1 had the highest mutation in this study; however, the substitutions in genotype B3 fundamentally occurred in critical epitopes. Moreover, genotype D4 was more stable than genotypes B3 and H1. Conclusion: Mutations were investigated in the whole sequence of H protein. Moreover, the mutations that occur in the critical sites of the protein have an important effect on the pathogenicity of the virus. In this way, we were able to illustrate why genotype B3 is more transmissible than other measles genotypes and is the most important circulating genotype around the world. https://ijph.tums.ac.ir/index.php/ijph/article/view/21197 https://ijph.tums.ac.ir/index.php/ijph/article/download/21197/8016

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 52 8 2023 08 06 1642 1655 Farzaneh Kermani Health Information Technology Department, School of Allied Medical Sciences, Semnan University of Medical Sciences, Semnan, Iran Mehdi Kahouei 1. Health Information Technology Department, School of Allied Medical Sciences, Semnan University of Medical Sciences, Semnan, Iran 2. Social Determinants of Health Research Center, Semnan University of Medical Sciences, Semnan, Iran Ali Valinejadi 1. Health Information Technology Department, School of Allied Medical Sciences, Semnan University of Medical Sciences, Semnan, Iran 2. Social Determinants of Health Research Center, Semnan University of Medical Sciences, Semnan, Iran Malihe Sadeghi Health Information Technology Department, School of Allied Medical Sciences, Semnan University of Medical Sciences, Semnan, Iran Marjan Momeni School of Rehabilitation, Semnan University of Medical Sciences, Semnan, Iran Shahrbanoo Pahlevanynejad Health Information Technology Department, School of Allied Medical Sciences, Semnan University of Medical Sciences, Semnan, Iran 2022 03 13 2022 12 09 Background: Integration of healthcare services for preterm neonates at home and hospital by mobile technology is an economical and convenient intervention, which is being increasingly applied worldwide. We aimed to classify the outcomes of mobile applications tailored to parents of premature infants. Methods: This systematic review was conducted by searching the six main databases until May 2021. Mobile applications tailored to parents of premature infants and the reported outcomes of this technology were identified and classified. Quality of screened articles checked by MMAT tool. Results: Overall, 10703 articles were retrieved, and after eliminating the duplicated articles, 9 articles were reviewed ultimately. Identified outcomes were categorized into three groups parental, application, and neonatal outcomes. In the parental outcomes, maternal stress/stress coping, parenting self-efficacy, satisfaction, anxiety, partnership advocacy/improved parent-infant relationship, feeling of being safe, reassurance and confidence, increase awareness, as well as discharge preparedness, were identified. In the application outcomes, application usage, ease of use/user-friendly, and usability of the designed application were placed. Finally, the neonatal outcomes include health and clinical items. Conclusion: Mobile applications can be useful in prematurity for educating pregnant mothers, managing stress and anxiety, supporting families, and preparing for discharge. Moreover, due to the coronavirus condition, providing remote services for parents is an appropriate solution to reduce the in-person visits to neonatal care centers. Development of tailored apps can promote the neonates' health and reduce their parents’ stress. https://ijph.tums.ac.ir/index.php/ijph/article/view/28135 https://ijph.tums.ac.ir/index.php/ijph/article/download/28135/8007

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 52 8 2023 08 06 1739 1748 EN Majid Babaie Social Determinants of Health Research Center, Clinical Research Institute, Urmia University of Medical Sciences, Urmia, Iran Habibollah Pirnejad 1. Patient Safety Research Center, Clinical Research Institute, Urmia University of Medical Sciences, Urmia, Iran 2. Erasmus School of Health Policy & Management (ESHPM), Erasmus University Rotterdam, Rotterdam, Netherlands Jafar Rezaie Solid Tumor Research Center, Cellular and Molecular Medicine Research Institute, Urmia University of Medical Sciences, Ur-mia, Iran Gholamreza Roshandel Research Center of Gastroenterology and Hepatology, Golestan University of Medical Sciences, Gorgan, Iran Rana Hoseini Social Determinants of Health Research Center, Clinical Research Institute, Urmia University of Medical Sciences, Urmia, Iran 2021 12 29 2022 08 09 Background: Gastric cancer (GC), one of the most common cancer worldwide, remains the third leading cause of cancer-related mortality. The etiology of GC may arise from genetic and environmental factors. This study aimed to determine the association between GC incidence and socioeconomic status in Iran. Methods: An ecological study was designed to investigate the relationship between socioeconomic factors and the risk of GC incidence. The data of socioeconomic variables such as income changes, unemployment rate, urbanization ratio, inflation rate, and air pollution changes in 31 provinces were collected from the Statistical Center of Iran, and the data of GC of 31 provinces were provided from the Iranian National Population-based Cancer Registry (INPCR). Data from 2014 to 2017 was analyzed using panel data analysis, the fixed effects model by EViews software. Results: Panel data model was suitable for the present study. Results showed that there was a positive and significant relationship between GC incidence and socioeconomic factors including income changes (P≤ 0.001), unemployment rate (P≤0.01), inflation rate (P≤ 0.05), and air pollution changes (P≤ 0.001). The urbanization ratio showed a negative relationship and was not statistically associated with GC incidence (P> 0.05). Conclusion: Our findings suggest a positive and significant association between socioeconomic status and GC incidence, proposing a GC risk factor. The key public health policies and welfare policies' priority should therefore be to schedule for the GC management.   https://ijph.tums.ac.ir/index.php/ijph/article/view/27332 https://ijph.tums.ac.ir/index.php/ijph/article/download/27332/8017

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 52 8 2023 08 07 1749 1757 Ebrahim Alijani Clinical Immunology Research Center, Zahedan University of Medical Sciences, Zahedan, Iran Farhad Riazi Rad Department of Immunology, Pasteur Institute of Iran, Tehran, Iran Asal Katebi Department of Immunology, Pasteur Institute of Iran, Tehran, Iran Soheila Ajdary Department of Immunology, Pasteur Institute of Iran, Tehran, Iran 2022 05 09 2022 06 29 Background: Tuberculosis (TB) is one of the leading causes of death worldwide. Besides, one-third of the world population is infected with Mycobacterium tuberculosis (MTB) while staying clinically asymptomatic; the situation is called latent TB infection (LTBI). MiR-21, miR-31, miR-146a, and miR-155 play an important role in many immune and inflammatory pathways. In the present study the expression levels of MiR-21, miR-31, miR-146a, and miR-155 in peripheral blood mononuclear cells (PBMCs) from patients with active TB, latently infected individuals (LTBI), and healthy controls (HC) were investigated. Participants were recruited at the Bouali Hospital, Zahedan University of Medical Sciences, Zahedan, Iran from 2010 to 2011. Methods: PBMCs were stimulated with PPD before RNA extraction. TaqMan RT-qPCR assay was used to analyze the expression levels of miRNAs. Results: The results indicated no significant differences in the expression of miR-21 and miR-31 between different groups; however, in patients with active TB, the expression of miR-21 (P=0.03) and miR-31 (P=0.04) were significantly increased after stimulation with PPD compared to the unstimulated condition. The expression of miR-146 in response to PPD in both LTBI (P=0.02) and TB (P=0.03) groups compared to the HC group was increased. No significant differences were found in the expression level of miR-155 in response to PPD between LTBI and HC groups. However, the fold change was significantly higher in the TB group in comparison with the HC (P=0.03) and LTBI (P=0.05) groups. Conclusion: The results confirm the main role of miR-146 and miR-155 in TB infection and suggest a role for miR-146 and miR-155 as infection and activation markers in tuberculosis infection,