Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 52 12 2023 11 28 2554 2562 EN Ji-Hyeon Lee Department of Psychology, Graduate School, Dankook University, Cheonan, Republic of Korea Sung Man Bae 1. Department of Psychology, Graduate School, Dankook University, Cheonan, Republic of Korea 2. Department of Psychology and Psychotherapy, College of Health Science, Dankook University, Cheonan, Republic of Korea 2022 06 08 2023 01 24 Background: As the elderly population increases, interest in life satisfaction in old age is increasing. We aimed to verify the relationship between social capital, smartphone use motives, and digital literacy and life satisfaction in Koreans aged 50-69 yr. Methods: The data of 7,521 late-middle-aged and older adults from the 2019 survey on smartphone overdependence conducted by the National Information Society Agency were analyzed by hierarchical multi-regression analysis. Results: A hierarchical multiple regression analysis indicated that income(β=0.062) and educational background(β=0.054) were positively related to life satisfaction. Among the smartphone use motives, lifestyle motive(β=-0.069) was negatively related to life satisfaction. Digital literacy(β=0.145) and Social capital(β=0.425) were positively related to life satisfaction. Conclusion: Digital literacy and social capital were positively associated with life satisfaction. In addition, this study considered the effects of lifestyle-based apps, while past studies only focused on communication- and leisure-based smartphone activities as factors influencing life satisfaction in adults in their 50s-60s. This study can provide a theoretical framework for therapeutic interventions to improve life satisfaction in the elderly. https://ijph.tums.ac.ir/index.php/ijph/article/view/28975 https://ijph.tums.ac.ir/index.php/ijph/article/download/28975/8108

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 52 12 2023 11 28 2484 2495 EN Hyoungsup Kim College of Humanities, Chung-Ang University, 84 Heukseok-ro, Dongjak-gu, Seoul, Republic of Korea Youngsub Lee Asia Contents Institute, Konkuk University, 120 Neungdong-ro, Gwangjin-gu, Seoul, Republic of Korea 2023 09 07 2023 11 28 Background: Medical tourism is a leading industry of South Korea. Since the transition from the latest health pandemic to endemic, foreign patients have been on a rapid increase. The Korean government regards medical tourism as a major national industry and pursues medical, legal, and policy strategies with the goal of attracting 700,000 foreign patients by 2027. Methods: Examining objective data and statistics as well as academic articles, we investigated the strengths and advantages, which might persuade foreign medical tourists to visit South Korea by performing a comparative analysis with high-income or medically advanced countries among Organization for Economic Co-operation and Development (OECD) and other competing Asian countries. Results: Cancer is one of the leading causes of death in the world. Compared with other advanced countries and Asian competitors in cancer treatment, South Korea shows excellent result of major cancers treatments, accessibility to hospitals and medical professionals, and competitiveness in terms of surgery and treatment costs. Conclusion: South Korea has excellent competitiveness both in price and in cancer treatment with the outstanding results of cancer mortality rates and 5-year survival rates. The achievement of Korea's cancer treatments is due to accurate diagnosis with the advantage of PET-CT, 64-sllice CT, 3.0 TESLA MRI, etc., and the use of cutting-edge equipment, such as CyberKnife and Da Vince robotic surgery. Besides, the Korean central and local governments actively support for the promotion of Korea's medical tourism industry, such as issuance of visas for foreigners, the hospital certification system, and medical tourism convergence cluster project. https://ijph.tums.ac.ir/index.php/ijph/article/view/33160 https://ijph.tums.ac.ir/index.php/ijph/article/download/33160/8102

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 52 12 2023 11 28 2695 2698 Mahsa Mohammadkhani 1. Department of Laboratory Sciences, Faculty of Para-Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, Iran 2. Infectious and Tropical Diseases Research Center, Hormozgan Health Institute, Hormozgan University of Medical Sciences, Bandar Abbas, Iran Navid Abdi Infectious and Tropical Diseases Research Center, Hormozgan Health Institute, Hormozgan University of Medical Sciences, Bandar Abbas, Iran Khojasteh Sharifi-Sarasiabi Department of Laboratory Sciences, Faculty of Para-Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, Iran 2. Infectious and Tropical Diseases Research Center, Hormozgan Health Institute, Hormozgan University of Medical Sciences, Bandar Abbas, Iran 2022 07 04 2022 12 18 Human dirofilariasis is currently considered a zoonotic infection, a mosquito-borne disease caused by the filarial nematodes of dogs, mainly Dirofilaria repens and D. immitis. Human dirofilariasis has been reported from many parts of the world, including Africa, Australia, the Americas, Europe, and Asia. The climate of Bandar Abbas in Hormozgan province, Sothern of Iran, has favorable conditions for the growth and reproduction of different types of vector mosquitoes. A 20 yr old woman from Bandar Abbas, visited a surgeon where the presence of a nodule was diagnosed in the forehead. In histopathological examination, cross-sections of a worm surrounded by necrotic tissues were observed. By evaluating the sections, Dirofilaria sp. was the probable diagnosis. To our knowledge, in Iran, this is the first human dirofilariasis occurring in the forehead. Human cases of dirofilariasis need to be reported so that physicians could consider dirofilariasis in their differential diagnoses. https://ijph.tums.ac.ir/index.php/ijph/article/view/29197 https://ijph.tums.ac.ir/index.php/ijph/article/download/29197/8122

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 52 12 2023 11 28 2699 2700 Zeynab Amini Khenavandi Department of Counseling, Faculty of Counseling and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran 2022 05 21 2022 06 29 No Abstract https://ijph.tums.ac.ir/index.php/ijph/article/view/28824 https://ijph.tums.ac.ir/index.php/ijph/article/download/28824/8123

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 52 12 2023 11 28 2478 2483 Fatemeh Beiraghdar Nephrology and Urology Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran Javad Momeni 1. Neuroscience Research Center, Mashhad University of Medical Sciences, Mashhad, Iran 2. Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran Elham Hosseini Neuroscience Research Center, Mashhad University of Medical Sciences, Mashhad, Iran Yunes Panahi Pharmacotherapy Department, Faculty of Pharmacy, Baqiyatallah University of Medical Sciences, Tehran, Iran Sajad Sahab Negah Neuroscience Research Center, Mashhad University of Medical Sciences, Mashhad, Iran 2023 11 18 2023 11 28 The current and ongoing conflict imposed in Gaza has led to severe environmental challenges in Gaza, resulting in a health crisis that demands immediate attention and intervention. A comprehensive study has evaluated the pressing mental health, water and sanitation, access to healthcare, and infectious disease challenges plaguing the region. Mental health issues, particularly among children and adolescents, have surged in the wake of the conflict, with trauma-related symptoms expected to persist. The water and sanitation crises pose severe public health hazards, with an overwhelming majority of water unfit for consumption and escalating infectious diseases. Shortages of medicines, fuel, and breakdowns have profoundly affected access to healthcare in healthcare facilities, significantly impacting women and girls. The academic society is responsible for conducting research, providing education, and training, and advocating for policy changes. At the same time, the united nation’s (UN) role is vital in providing aid, advocating for policy changes, and monitoring human rights and health situations. Urgent action is imperative to stabilize the environmental and health impacts and allow humanitarian aid into Gaza to alleviate the severe health problems. This study underlines the critical need for international support and intervention to address the multifaceted health crises in Gaza and prevent further deterioration. https://ijph.tums.ac.ir/index.php/ijph/article/view/33791 https://ijph.tums.ac.ir/index.php/ijph/article/download/33791/8101

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 52 12 2023 11 28 2563 2571 Haihong Wang 1Nantong University, Nantong, Jiangsu, China Xiao Chen Xinglin College of Nantong University, Nantong, Jiangsu, China 2023 10 06 2023 11 28 Background: Teenagers are more prone to mobile phone addiction than other age groups due to their lack of self-control. This addiction to mobile phones severely affects their physical and mental health, causing irreversible harm as they grow older. As such, exploring suitable psychotherapy for their physical and mental development needs is essential, in ways that effectively change teenagers’ mobile phone addictive behaviors. Methods: An experimental study was conducted on 910 teenage volunteers recruited from 5 communities in Gansu, Hebei, and Liaoning Provinces in China from May to July 2023. The participants were screened using the Mobile Phone Addiction Index Scale (MPAI). On the basis of the evaluation results, 56 individuals were selected based on the evaluation results and randomly divided into experimental and control groups, each comprising 28 individuals. The experimental group underwent an 8-week mindfulness-based mental health education therapy. Both groups were measured before and after the intervention. Results: The mobile phone addiction score of the experimental group was significantly lower than that of the control group (P<0.001). The cognitive tendency score and mental wellbeing score of the experimental group was significantly higher than those of the control group (P<0.001). Conclusion: Mindfulness-based mental health education therapy effectively alleviates teenagers’ mobile phone addiction and improves their cognitive tendencies and mental health. This approach serves as a valuable reference for effectively preventing and managing mobile phone addiction among teenagers. https://ijph.tums.ac.ir/index.php/ijph/article/view/33395 https://ijph.tums.ac.ir/index.php/ijph/article/download/33395/8109

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 52 12 2023 11 28 2496 2505 Miaoxiong Yang Department of Neurology, Zhangzhou Affiliated Hospital of Fujian Medical University, Zhangzhou 363000, China Baozhi Song Department of Gynecology, Shengli Clinical Medical College of Fujian Medical University & Fujian Provincial Hospital, Fu-zhou 350001, China Yatao Jiang Department of Obstetrics, Shengli Clinical Medical College of Fujian Medical University & Fujian Provincial Hospital, Fu-zhou 350001, China Ying Lin Department of Pathology, Shengli Clinical Medical College of Fujian Medical University & Fujian Provincial Hospital, Fu-zhou 350001, China Jiahua Liu Department of Gynecology, Shengli Clinical Medical College of Fujian Medical University & Fujian Provincial Hospital, Fu-zhou 350001, China 2023 05 12 2023 08 12 Background: We aimed to investigate the intervention effect of mindfulness-based interventions (MBIs) in patients with postpartum depression. Methods: The method of computer and manual keyword retrieval was used to search PubMed, Web of Science, Cochrane Library. Literature included in the study was assessed for quality and meta-analysis was performed using RevMan 5.3 software. Results: Twelve articles were finally included in the study and the meta-analysis showed that 6 articles used the Edinburgh Postnatal Depression Scale (EPDS) to compare MBIs with conventional therapy, and the statistical heterogeneity between the combined results was low (P=0.18, I2=32%). The level of depression in postpartum depression patients was lower in the MBIs group than in the conventional group [MD=3.13, 95%CI (2.57, 3.70), P<0.00001]. Based on the Beck Depression Inventory (BDI), the comparison between MBIs and conventional therapy had low statistical heterogeneity between the combined results (P=0.56, I2=0%). The level of depression in patients with postpartum depression who received MBIs was significantly lower than in the conventional care group [MD=5.89, 95%CI (4.88, 6.91), P<0.00001]. Subgroup analysis showed that the best intervention duration for MBIs for postpartum depression was within 4 weeks (SMD=-1.785), each session≦60 minutes (SMD=-1.435), and participants had to complete the best three times per week (SMD=-2.185). Conclusion: MBIs can alleviate depression in women, thereby facilitating their adjustment to new life. It is recommended to practice mindfulness meditation for 30 minutes per day.Mindfulness https://ijph.tums.ac.ir/index.php/ijph/article/view/32010 https://ijph.tums.ac.ir/index.php/ijph/article/download/32010/8103

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 52 12 2023 11 28 2701 2702 EN Ahmad Alipoor Department of Psychology, Payam Noor University, Tehran, Iran Rogayeh Mohammadi Clinical Neuropsychology, Payam Noor University, Tehran, Iran 2023 03 11 2023 08 12 No Abstract https://ijph.tums.ac.ir/index.php/ijph/article/view/31446 https://ijph.tums.ac.ir/index.php/ijph/article/download/31446/8124

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 52 12 2023 11 28 2572 2582 Elif Köse Department of Recreation, Sport Sciences Faculty, Akdeniz University, Antalya, Turkey Tennur Yerlisu Lapa Department of Recreation, Sport Sciences Faculty, Akdeniz University, Antalya, Turkey Hüseyin Gökçe Department of Recreation, Sport Sciences Faculty, Pamukkale University, Denizli, Turkey Kostas Alexandris Greece School of PE and Sport Science, Aristotle University of Thessaloniki, Greece Ali Serdar Yücel Department of Sport Management, Sport Sciences Faculty, Fırat University, Elazığ, Turkey 2022 08 04 2023 01 22 Background: The decrease in the frequency and duration of participation in leisure activities has negative effects on the physical, cognitive and psychological health of individuals. In this context, identifying the obstacles, which prevent individuals from participating in leisure activities, may offer important clues to institutions and organizations in taking measures to increase participation. Methods: The bibliometric analysis method was used in this study. The research was carried out with 306 articles scanned from the Web of Science (WoS) core database between 1991 and 2019. Results: Studies conducted in leisure area increased systematically according to 5-year periods and mostly authors from USA, Australia and Canada produced them. The mainstream subjects, which attracted the attention of researchers during recent years, are detected to be self-efficacy, segmentation, mental health and fear related to intrapersonal constraint topics. Conclusion: In order to cope with physical and mental health problems resulting from aging of the world population, and technological developments, and negative effects generated by inactive modern life style, priority should be given to studies on leisure constraints to be conducted on a more comprehensive basis. Another suggestion is to encourage health policies and applications which can increase participation in leisure activities. https://ijph.tums.ac.ir/index.php/ijph/article/view/29477 https://ijph.tums.ac.ir/index.php/ijph/article/download/29477/8110

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 52 12 2023 11 28 2506 2515 Sri Handayani Department of Public Health, Faculty of Health, Universitas Dian Nuswantoro, Semarang, Indonesia Reece Hinchcliff School of Applied Psychology, Griffith Health Group, Griffith University, Queensland Australia Zainal Hasibuan Faculty of Computer Science, Universitas Dian Nuswantoro, Semarang, Indonesia 2022 06 14 2023 05 08 Background: The use of electronic systems supported by text-mining software applications that support the End TB strategy’ needs to be explored. This study aimed to address this knowledge gap, and synthesis of evidence. Methods: The PubMed database was searched for structured review articles published in English since 2012 on interventions to control and manage TB. Nine hundred twenty-five articles met the inclusion criteria. The included articles were synthesized using the text and content analysis software Leximancer. The themes were chosen based on the hit words that emerged in the frequency and heat maps. After the themes were chosen, the concept built the themes based on likelihood. Results: The framework resulting in the study focuses on early detection and treatment to minimize the chance of TB transmission in the population, especially for highly susceptable populations. The main area highlighted is the appropriate screening and treatment domains. The framework generated in this study is somewhat in line with the WHO Final TB Strategy. This study highlights the importance of improving TB prevention through a patient-centered approach and protecting susceptible populations. Conclusion: Our findings will be helpful in guiding TB practice, policy development and future research. Future research can elaborate the framework and elicit feedback from TB management stakeholdesr to assess its utility. https://ijph.tums.ac.ir/index.php/ijph/article/view/29031 https://ijph.tums.ac.ir/index.php/ijph/article/download/29031/8104

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 52 12 2023 11 28 2703 2705 Seoyoon Choi Department of Environmental Engineering, Incheon National University, 119 Academy-ro, Yeonsu-gu, Incheon, 22012, South Korea Byeongmin Chae Department of Environmental Engineering, Incheon National University, 119 Academy-ro, Yeonsu-gu, Incheon, 22012, South Korea Hwigyeom Yang Department of Environmental Engineering, Incheon National University, 119 Academy-ro, Yeonsu-gu, Incheon, 22012, South Korea Do Gyun Lee Department of Environmental Engineering, Incheon National University, 119 Academy-ro, Yeonsu-gu, Incheon, 22012, South Korea 2023 01 30 2023 11 28 No Abstract https://ijph.tums.ac.ir/index.php/ijph/article/view/31077 https://ijph.tums.ac.ir/index.php/ijph/article/download/31077/8125

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 52 12 2023 11 28 2583 2589 EN Pelin Duru Çetinkaya Çukurova University, Departmant of Pulmonology, Adana, Turkey Ayşe Turan Adana Seyhan State Hospital, Smoking Cessation Clinic. Adana, Turkey Pelin Pinar Deniz Çukurova University, Departmant of Pulmonology, Adana, Turkey Ferhat Çetinkaya Adana Seyhan State Hospital, Smoking Cessation Clinic. Adana, Turkey Seren Arpaz Aydın Kuşadası Devlet Hastanesi, Smoking Cessation Clinic, Aydın, Turkey Atilla Uysal Department of Pulmonary Medicine, Yedikule Training and Research Hospital, İstanbul, Turkey Seyhan Dülger Department of Pulmonary Medicine, Bursa Yüksek İhtisas Training and Research Hospital, Bursa, Turkey Banu Salepçi Department of Pulmonary Medicine, Yeditepe University School of Medicine, İstanbul, Turkey Oğuz Kilinç Department of Pulmonary Medicine, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey Aslı Görek Dilektaşlı Department of Pulmonary Medicine, Faculty of Medicine, Bursa Uludag University, Bursa, Turkey 2022 12 02 2023 02 02 Background: There are difficulties in the treatment of smoking cessation in elderly patients. However, elderly smokers who gave up smoking had lower rates of death from heart attack, stroke, and cancer, as well as improved cognitive function. This study aimed to investigate the affecting factors and the success of smoking cessation rate in patients aged 60 and over in Turkey. Methods: Six smoking cessation outpatient clinics from four provinces were included in the study. The records of 1,065 patients who applied to a smoking cessation outpatient clinic between 2016 and 2019 and who were 60 yr of age or older were scanned. Overall, 917 cases that could be reached after treatment were included in the study. Smoking cessation rates at the first month, 3rd month, 6th month, 9th month and 12th month were given. Results: Of the 917 cases, 65.1% were male and 34.9% were female. Smoking cessation rates were 45.6% on the first month, 39% on the third month, 35.1% on the sixth month, 31.2% on the ninth month, and 30.3% at the twelfth month. Smoking cessation success was higher in men than in women. Conclusion: Since the success of smoking cessation in the elderly was similar to that of adults. Since smoking is an independent risk factor for death in the elderly, there should be greater willingness to provide elderly patients with smoking cessation treatment to reduce physical function loss and promote healthier aging.   https://ijph.tums.ac.ir/index.php/ijph/article/view/30545 https://ijph.tums.ac.ir/index.php/ijph/article/download/30545/8111

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 52 12 2023 11 28 2516 2527 Zahra Esfandiari Nutrition and Food Security Research Center, Department of Food Science and Technology, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, Irana Parisa Shoaei Nosocomial Infection Research Center, Isfahan University of Medical Sciences, Isfahan, Iran Bahareh Vakili Infectious Diseases and Tropical Medicine Research Center, Isfahan University of Medical Sciences, Isfahan, Iran Ziba Farajzadegan Community and Preventive Medicine Department, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran Mohammad Javad Tarrahi Epidemiology Department of Epidemiology and Biostatistics, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran Zahra Emami Department of Food Science and Technology, College of Agriculture, Isfahan University of Technology, Isfahan, Iran Yadolah Fakhri Food Health Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran J. Scott Weese Department of Pathobiology, Ontario Veterinary College, University of Guelph, Guelph, Ontario, Canada Trias Mahmudiono Department of Nutrition, Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia 2022 07 28 2023 05 29 Background: Meat and meat products are introduced as one of the carriers of Clostridioides difficile. This study aimed to determine the prevalence and antibiotic resistance of C. difficile isolates in meat and meat products using a systematic review and meta-analysis. Methods: It was performed a literature search in the primary international and bibliographic databases such as MEDLINE (PubMed), Cochrane Library, Embase, Scopus, and Web of Science to achieve all articles related to the prevalence and antibiotic resistance rates with no time restriction. A total of 54 studies examined C. difficile in 15,010 samples and its resistance to 10 antibiotics. Results: The pooled prevalence of C. difficile was 3.4% in all samples. C. difficile pooled prevalence was detected in fish, poultry, and red meat samples with 6.9%, 5.2%, and 3.2%, respectively. Regarding antibiotic resistance, the highest pooled prevalence was for ciprofloxacin (86.6%), followed by clindamycin (42.6%) and erythromycin (34%). The lowest pooled prevalence was observed in metronidazole (7.6%), vancomycin (6.6%), and chloramphenicol (6%). We found low resistance to commonly used drugs for C. difficile infection treatment. Conclusions: Every antibiotic can be a risk factor for CDI development, and drugs such as clindamycin, cephalosporins, and lately fluoroquinolones carry the highest risk. Therefore, we recommend the rational use of antibiotics in veterinary and human medicine https://ijph.tums.ac.ir/index.php/ijph/article/view/29426 https://ijph.tums.ac.ir/index.php/ijph/article/download/29426/8105

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 52 12 2023 11 28 2590 2600 Myeong-Hun Bae Department of Elementary Education, Korea National University of Education, Cheongju, Korea 2023 09 22 2023 11 28 Background: This study analyzed physical health awareness, self-esteem, and depression as mediation factors in the effect of exercise on school life satisfaction. It compared these between Korean children and adolescents. Methods: Based on the 2020 Survey on the Human Rights of Children and Adolescents in Korea, data were extracted on 2,896 children in grades 4 to 6 and 5,727 adolescents in grades 7 to 12. A structural equation model was designed and multi-mediation analysis was conducted using phantom variables. To verify the differences between children and adolescents, latent means, path coefficients, and mediating effect confidence intervals were analyzed. Results: Structural modeling and bootstrapping revealed that the direct and indirect paths were significant in both groups (P<0.01). Comparing the mean differences, children showed higher means than adolescents did in all variables. Among the direct paths, the paths of physical health awareness from exercise practice and school life satisfaction from physical health awareness were higher in adolescents (P<0.01), and the path of school life satisfaction from exercise practice was higher in children (P<0.01). The indirect paths showed that the mediating effect of health awareness between exercise and school life satisfaction was stronger among adolescents. Conclusion: Physical and mental health directly and indirectly affect school life satisfaction, with different patterns in children and adolescents. This study emphasizes the need for different strategies for children and adolescents who are experiencing physical and mental health problems and difficulties adjusting to school life. https://ijph.tums.ac.ir/index.php/ijph/article/view/33272 https://ijph.tums.ac.ir/index.php/ijph/article/download/33272/8112

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 52 12 2023 11 28 2528 2540 Parvaneh Khazaei Department of Occupational Health and Safety Engineering, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran Ali Salehi Sahlabadi Department of Occupational Health and Safety Engineering, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran Soleiman Ramezanifar Department of Occupational Health and Safety Engineering, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran Younes Mehrifar Department of Occupational Health and Safety Engineering, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran Elahe Khadiv Department of Occupational Health and Safety Engineering, School of Public Health and Safety, Shahid Beheshti Uni2, China Jie Gao Department of Endocrinology and Metabolism, The First People’s Hospital of Yunnan Province, The Affiliated Hospital of Kunming University of Science and Technology, Kunming 650032, China Heng Su Department of Endocrinology and Metabolism, The First People’s Hospital of Yunnan Province, The Affiliated Hospital of Kunming University of Science and Technology, Kunming 650032, China 2022 12 19 2023 01 22 Background: Cuproptosis-related long non-coding RNA (lncRNA) disease is associated with the development and progression of tumors. We aimed to investigate the prediction of cuproptosis-related lncRNA on the prognosis and immunotherapy of patients with thyroid carcinoma (THCA). Methods: The thyroid cancer-associated expression data and lnc RNAs data were downloaded from The Cancer Genome Atlas (TCGA) and Ensembl database. The prognostic model of cuproptosis-related lncRNAs was successfully constructed through Lasso regression analysis and Cox regression analysis. Then, the prognostic value of prognostic model of cuproptosis-related lncRNAs was tested through the survival analysis, ROC curves and nomographic charts. Finally, the prognostic model of cuproptosis-related lncRNAs associated with immunity and mutational load of tumors was analyzed, and potential targeted drugs for THCA were predicted. Results: A cuproptosis-related lncRNA model of THCA (AC026100.1, AF235103.3, LNCSRLR) was successfully constructed, which has an independent prognostic value. Moreover, the cuproptosis-related lncRNA model was associated with immune signatures and mutational load in most tumors, showing its high correlation with the sensitivity of targeted drugs such as 5-Fluorouracil, Bleomycin, Rapamycin and Sunitinib. Conclusion: The cuproptosis-related lncRNA model of THCA has promising applications in the treatment and prognosis of THCA. https://ijph.tums.ac.ir/index.php/ijph/article/view/30706 https://ijph.tums.ac.ir/index.php/ijph/article/download/30706/7934

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 52 5 2023 05 07 924 936 Nilay Rezaei-Tavabe Department of Epidemiology and Biostatistics, School of Public Health, Shahrekord University of Medical Sciences, Shahrekord, Iran Soleiman Kheiri Department of Epidemiology and Biostatistics, School of Public Health, Shahrekord University of Medical Sciences, Shahrekord, Iran Masoumeh Sadat Mousavi Department of Epidemiology and Biostatistics, School of Public Health, Shahrekord University of Medical Sciences, Shahrekord, Iran Abdollah Mohammadian-Hafshejani Modeling in Health Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran 2022 02 09 2022 10 25 Background: In recent years, various studies have been conducted to investigate the role of the influenza vaccine in reducing the risk of hospitalization and mortality; however, the results of these studies are clearly contradictory. Accordingly, we aimed to investigate the effect of monovalent flu vaccines on the risk of hospitalization and all-cause mortality. Methods: This study was a systematic review and meta-analysis of Randomized Clinical Trial (RCT) studies published in databases (Web of Science (ISI), Scopus, PubMed, Cochrane, Science Direct, Google Scholar) from 1980 to Dec 2022. All analyzes were performed by Stata15 statistical software and the significance level in this study was considered 0.05. Results: In the initial search, 375 articles were retrieved which, considering the study criteria, finally 8 RCT were included in the meta-analysis of the effects of monovalent Flu vaccine on the risk of hospitalization, and 10 RCT on the risk of all-cause mortality. Based on the results of meta-analysis, the overall Odds Ratio (OR) of hospitalization is equal to 0.71 (95% CI: 0.56-0.90; P <0.001) and the overall OR of all-cause mortality is equal to 0.82 (95% CI: 0.68-0.98; P=0.033). There was no publication bias in the study of the effect of monovalent flu vaccine on the risk of hospitalization and all-cause mortality Conclusion: Getting the flu vaccine can reduce the risk of hospitalization by 29% and the risk of overall death by 18%. Therefore, it may be promising to receive this vaccine as a preventive intervention for deaths and hospitalizations. https://ijph.tums.ac.ir/index.php/ijph/article/view/27811 https://ijph.tums.ac.ir/index.php/ijph/article/download/27811/7927

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 52 5 2023 05 08 1008 1018 Chongjun Zhao School of Foreign Languages, Xianyang Normal University, Xianyang, China Jing Li Department of Physical Education, Xianyang Normal University, Xianyang, China Seung-Yong Kim Department of Leisure Sports, Dong Seoul University, Gyeonggi-do, Republic of Korea 2023 03 03 2023 05 08 Background: The coronavirus disease pandemic has caused significant disruption in the field of education, resulting in the need for more online classes and a blended offline and online teaching model. Therefore, understanding what makes this model effective is important. Accordingly, this study explored the structural relationships among academic pressure, independent learning ability, and academic self-efficacy in a blended teaching environment during the pandemic and independent learning ability’s mediating effect on the relationship between academic pressure and academic self-efficacy. Methods: Adopting a random sampling method, this study surveyed 761 Chinese college, Shaanxi Province, China in 2022 and university students. Factor analysis, correlation analysis, structural equation modeling, and path analysis were used to analyze the data. Results: The results show that the academic pressure faced by Chinese English majors had a significant negative impact on academic self-efficacy (P<0.001). However, academic pressure had no statistical effect on students’ independent learning ability (P=0.317). Moreover, independent learning ability had a significant positive effect on academic self-efficacy (P<0.001) and a mediating effect on the relationship between academic pressure and academic self-efficacy (P=0.032). Conclusion: Independent learning ability can directly and indirectly affect academic self-efficacy. Thus, in an online and offline blended teaching model, teachers should guide students regarding self-exploration, communication, and cooperation based on existing knowledge and experience. They should also enable students to improve their learning process and independent learning ability. Various language learning situations should be established for learning English so that by experiencing success and failure, students can ultimately improve their academic self-efficacy. https://ijph.tums.ac.ir/index.php/ijph/article/view/31383 https://ijph.tums.ac.ir/index.php/ijph/article/download/31383/7935

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 52 5 2023 05 07 937 949 EN Roghaiyeh Nourizadeh Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran Shiva Shamsdanesh Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran Esmat Mehrabi Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran Fatemeh Ranjbar Research Center of Psychiatry and Behavioral Sciences, Tabriz University of Medical Sciences, Tabriz, Iran Sevil Hakimi Research Center of Psychiatry and Behavioral Sciences, Tabriz University of Medical Sciences, Tabriz, Iran Hanieh Salehi pourmehr Research Center for Evidence Based Medicine, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran 2022 06 16 2022 09 05 Background: Maternal anxiety has been accompanied by many unfavorable effects on breastfeeding in the postpartum period. We aimed to provide scientific evidence in identifying effective interventions for anxiety and breastfeeding self-efficacy (BSE) in a systematic review and meta-analysis.  Methods: All published studies with inclusion criteria by 2022 were searched in Embase, Cochrane library, Web of Sciences, Google Scholar, PubMed, Scopus, SID and Magiran. The literature search was performed using PRISMA instructions. Further, 20 eligible interventional studies (RCT and pre-posttest) and one case study were included in this systematic review and meta-analysis. Publication bias was checked with Eggers test and funnel plot methods. The collected data were analyzed using stata version16.  Results: It is not possible to provide an explicit and accurate conclusion about the effective intervention method in reducing anxiety and increasing BSE among lactating women during the covid19 pandemic. The results indicated a significant increase in BSE among lactating women after educational and psychological interventions (4.20, 95% CI: 3.61 to 4.80, I2 = 26.38%). Conclusion: It is recommended to conduct further studies with a strong methodology and based on intervention methods during the postpartum period, especially in the first month of birth to reduce the symptoms of stress and anxiety in the mother, establish better mother-child attachment, and improve BSE and maternal performance during the Covid-19 pandemic.   https://ijph.tums.ac.ir/index.php/ijph/article/view/29064 https://ijph.tums.ac.ir/index.php/ijph/article/download/29064/7928

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 52 5 2023 05 08 1019 1030 Yan Yan Affiliated Hospital of the Institute of Neurology, Anhui University of Chinese Medicine, Hefei, 230061, P.R. China Yin Xu Affiliated Hospital of the Institute of Neurology, Anhui University of Chinese Medicine, Hefei, 230061, P.R. China Lin Chen Affiliated Hospital of the Institute of Neurology, Anhui University of Chinese Medicine, Hefei, 230061, P.R. China Yongzhu Han Affiliated HosSchool of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran Seyed Ali Keshavarz Department of Clinical Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran Curtis Tilves Department of Epidemiology, School of Public Health, Johns Hopkins University Bloomberg, Baltimore, MD, USA Mir Saeed Yekaninejad Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Sara Pooyan Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran Nasim Ghodoosi Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran Khadijeh Mirzaei Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran 2020 07 13 2021 04 13 Background: The increasing trend of obesity prevalence is a serious health warning for people worldwide. Evaluation of anthropometric measures is essential for explaining individual’s health status. Studies have investigated the effect of diet on inflammation. Empirical Dietary Inflammatory Pattern (EDIP) was recently developed to empirically create a score for overall inflammatory potential of diet. This study aimed to investigate the relationship between EDIP with anthropometric measures in women with overweight and obesity. Methods: In a cross-sectional study, the EDIP score was calculated for 301 participants from their food frequency questionnaire, who referred to health centers in Tehran, Iran in 2018. Anthropometric measures was assessed through multi-frequency bioelectrical impedance analyzer. Results: 49% (95% CI: 40.8 - 57.2) had positive EDIP score. A significant relationship was found between EDIP quartiles with weight (P=0.004), BMI (P=0.012), FM (P=0.013), WC (P=0.003) and WHR (P=0.031). Those individuals in the lowest group of EDIP score had significantly lower weight, Body Mass Index, Fat Mass, Waist Circumference and Waist to Hip Ratio, compared to those with highest inflammation score. Conclusion: A significant relationship was found between EDIP with anthropometric measures in women with overweight and obesity, supporting the hypothesis that an anti-inflammatory diet is associated with decreasing trend of weight, Body Mass Index, Fat Mass, Waist Circumference and Waist to Hip Ratio.   https://ijph.tums.ac.ir/index.php/ijph/article/view/21464 https://ijph.tums.ac.ir/index.php/ijph/article/download/21464/7630

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 51 6 2022 06 08 1355 1363 Nasirudin Javidi 1. Behavioral Sciences Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran 2. Student Research Committee, Baqiyatallah University of Medical Sciences, Tehran, Iran Mostafa Ghanei Chemical Injuries Research Center, Systems Biology and Poisoning Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran Khodabaksh Ahmadi Behavioral Sciences Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran Mohammad Javad Ahmadizadeh Behavioral Sciences Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran Abbas Ebadi Behavioral Sciences Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran AND Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran 2020 12 22 2021 04 03 Background: Quality of life is determined by the lifestyle of individuals. If people have a healthy lifestyle, then they have a higher quality of life. What makes a person's lifestyle is the way he thinks. Therefore, if the thinking is healthy, the person's lifestyle will be healthy, and if the thinking is unhealthy, the person's lifestyle will also be damaged, which will reduce the quality of life. Methods: The research method was mixed method in two quantitative and qualitative phases. The research method in the qualitative phase was customary qualitative content analysis, in which the data analysis process was based on the approach of Granheim and Ladman. In the quantitative phase, the psychometric properties of the research scale were measured. This research was conducted from 2016 to 2021 in Iran. The statistical population in the qualitative section was all scientific texts in the form of articles, books and dissertations that were extracted from scientific databases such as ScienceDirect, PubMed, Elsevier, Ebsco, Sid, Magiran. Results: Indicators of intellectual thinking have been mentioned as research results, which are the main components of the new model of thinking. Moreover, the level of thinking was mentioned and Cognitive distortions, cognitive bias, and perceptual errors were mentioned as sources of harm and error. Conclusion: Intellectual thinking has been mentioned as healthy thinking, which is the main factor of a health promotion lifestyle because healthy lifestyle improves the quality of life of people, which is one of the indicators of public health. Therefore, a higher quality of life can be achieved from the model of healthy thinking, which is a new perspective on promoting public health. https://ijph.tums.ac.ir/index.php/ijph/article/view/23272 https://ijph.tums.ac.ir/index.php/ijph/article/download/23272/7631

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 51 6 2022 06 08 1364 1370 Vahid Louhrasby Molecular Biology Research Center, Systems Biology and Poisonings Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran Seyed Ali Mirhosseini Applied Microbiology Research Center, Systems Biology and Poisonings Institute, Baqiyatallah University of Medical Sciences, Teh-ran, Iran Reza Golmohammadi Baqiyatallah Research Center for Gastroenterology and Liver Diseases (BRCGL), Baqiyatallah University of Medical Sciences, Tehran, Iran 2020 11 20 2021 02 06 Background: The purpose of this survey was to develop a novel and rapid isothermal nucleic acid based detection assay of Vibrio cholerae by polymerase spiral reaction (PSR) in emergency situations. Methods: The current study was conducted in Baqiyatallah University of Medical Sciences, Tehran, Iran in 2021. The conserved ctxA gene sequence of V. cholerae was used as a target of designed two pairs of primers. Amplification of nucleic acids performed under isothermal temperature of 65 oC in 55 min by using Bst DNA polymerase. PSR amplified products were real-time visualized under UV transilluminator and also on agarose gel electrophoresis. Results: Seven non- V. cholerae bacteria were negative for detection, which indicated the specificity of PSR assay was 100%. A 10- fold serial dilution of V. cholerae genomic DNA was subjected to conventional polymerase chain reaction (PCR) and real-time PCR to compare their sensitivities with PSR. The detection limit of PSR was 3 × 10-5 ng/ μL within 60 min, which 100-fold higher than that of PCR (3 × 10-3 ng/μL), but the sensitivity of real-time PCR was found as same as it. Conclusion: The PSR assay developed in this study can provide a simple, cost-effective, rapid, and precise diagnosis technique in endemic cholera outbreaks, especially in low-income with limited access provinces.   https://ijph.tums.ac.ir/index.php/ijph/article/view/22943 https://ijph.tums.ac.ir/index.php/ijph/article/download/22943/7632

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 51 6 2022 06 08 1371 1380 EN Maryam Askari 1. Genetic and Environmental Adventures Research Center, School of Abarkouh Paramedicine, Shahid Sadoughi University of Medi-cal Sciences, Yazd, Iran 2. Diabetes Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran Mohammad Hassan Lotfi Department of Biostatistics and Epidemiology, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran Seyyed Mohammad Azimi Department of Occupational Health, School of Paramedicine, Shahid Sadoughi University of Medical Sciences, Abarkouh, Yazd, Iran Maral Ostovarfar Department of Biostatistics and Epidemiology, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran Hossein Fallahzadeh Research Center of Prevention and Epidemiology of Non-Communicable Disease, Departments of Biostatistics Nand Epidemiology, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran Akram Mehrabbeik Genetic and Environmental Adventures Research Center, School of Abarkouh Paramedicine, Shahid Sadoughi University of Medi-cal Sciences, Yazd, Iran Andishe Hamedi Faculty of Epidemiology & Biostatistics, Imam Khomeini Hospital, North Khorasan University of Medical Sciences, Bojnurd, Iran 2020 10 18 2021 02 07 Background: The aim of this study was to evaluate the predictors of osteoporosis in women in Yazd, Iran. Methods: This hospital-based case-control study was performed on 270 women 35-65 yr old (135 case and 135 control) from Mar 2016 to Mar 2017. Case and control were matched in terms of age ± 2 (year) as a group matching. Osteoporosis is defined as a T-score of bone mineral density (BMD) below –2.5 SD. Data were analyzed using SPSS 20 software. Statistical tests included chi-square, student t test and Mann Whitney test .Multiple logistic regression (MLR) which forward method was used for modeling. Results: Odds ratio (OR) of osteoprosis were menarche age>12 yr (OR=3.37, CI:2.29-15.89), history of hysterectomy (OR=13, CI:3.81-44.82), rheumatoid arthritis (RA) (OR=6.58, CI:2.29-18.91) calcium supplements (OR=0.14, CI:0.04-0.41), menopause age <40 (OR=11.84, CI:1.54-90), second smoking (OR=3.38, CI:1.16-9.81) and increase of weight (OR=0.86, CI:0.80-0.94). Conclusion: Predictors of osteoporosis was menarche age >12 yr (3 times), history of hysterectomy (13 times), RA (6.5 times), menopause age <40 (12 times), second smoking (more than 3 times), calcium supplements and weight (protective).   https://ijph.tums.ac.ir/index.php/ijph/article/view/22549 https://ijph.tums.ac.ir/index.php/ijph/article/download/22549/7633

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 51 6 2022 06 08 1381 1388 Sogand Ghasemzadeh Department of Psychology, School of Psychology and Education, University of Tehran, Tehran, Iran Zahra Naghsh Department of Psychology, School of Psychology and Education, University of Tehran, Tehran, Iran Mohammad Gholami Fesharaki Department of Biostatistics, School of Medical Sciences, Tarbiat Modares University, Tehran, Iran 2021 01 22 2021 04 29 Background: Premenstrual Syndrome (PMS) is the experience of some physical and psychological symptoms periodically in the last days of the menstrual cycle that interferes with academic, social and family functioning. We aimed to evaluate the effectiveness of Transdiagnostic Treatment Program (TTP) on clinical symptoms and emotion regulation in girl’s adolescents with PMS. Methods: This experimental trial study was carried out on 32 girls adolescents with PMS referred to two medical centers located in Tehran, Iran from Mar 21, 2019, to Oct. The patients randomized in 2 groups, 1-intervention (n=16, 8 sessions, 90-minute weekly‎) and 2-control (n=10).The PMS Screening Tool (PSST) and Emotion Regulation Questionnaire (ERQ) before and after treatment were filled out by participant. The SPSS software and P<0.05 considered for data analysis and as significant levels respectively. Results: The study sample was 32 girls adolescents with PMS (mean age intervention and control were 16.30±2.02 and 16.40±1.6, P=0.915). The score of two questionnaires, PSST (symptom, effect) and ERQ (cognitive reappraisal, suppression) between two groups in before treatment were the same. After intervention the change of variable symptom (-1.05 vs -0.02, P<0.001), effect (-0.53 vs -0.04, P<0.001), cognitive reappraisal (0.67 vs 0.02, P<0.001) and suppression (-0.64 vs -0.07, P<0.001) were significant between two groups. Conclusion: TTP is an effective technique for controlling clinical symptoms and emotion regulation in girl’s adolescents with PMS. https://ijph.tums.ac.ir/index.php/ijph/article/view/23576 https://ijph.tums.ac.ir/index.php/ijph/article/download/23576/7634

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 51 6 2022 06 08 1389 1399 EN Tahereh Mokhtaryan Gilani Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sci-ences, Tehran, Iran Nourossadat Kariman Midwifery and Reproductive Health Research Center, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran Hamid Sharif Nia Amol School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran Mahbobeh Ahmadi Doulabi Midwifery and Reproductive Health Research Center, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran Malihe Nasiri Midwifery and Reproductive Health Research Center, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran Tayebeh Mokhtaryan Gilani Department of Psychology, Kharazmi University, Tehran, Iran 2020 10 11 2021 02 06 Background: It is necessary to study the predictors of life quality in the early postpartum period. Early diagnosis, timely care and intervention can improve the health of mother and baby. We aimed to evaluate the predictors of the quality of life in the postpartum period. Methods: This cross-sectional study was conducted on 407 eligible women aged 18 to 47 yr, in the postpartum period, selected from clinics affiliated with Shahid Beheshti University of Medical Sciences, Tehran, Tehran, Iran in 2018. Data were collected using a demographic and obstetric questionnaire and Maternal Postpartum Quality of Life (MAPP-QOL) with Cronbach's alpha coefficients of 0.96 to assess personal details and postpartum quality of life. Data analyzed using SPSS. Linear regression analysis was performed to examine the relationship between maternal predictors and quality of life in the postpartum period. Results: The postpartum quality of life had a significant relationship with income status (P<0.001), Number of Children (P=0.031), mother's education(P=0.009) and maternal complications (P<0.001). Conclusion: This study confirmed the relationship between maternal predictors and the postpartum quality of life. It could facilitate clinicians and educators to improve the quality of life for postpartum women.   https://ijph.tums.ac.ir/index.php/ijph/article/view/22478 https://ijph.tums.ac.ir/index.php/ijph/article/download/22478/7635

Tehran University of Medical Sciences https://ijph.tums.ac.ir/index.php/ijph/article/view/24829 https://ijph.tums.ac.ir/index.php/ijph/article/download/24829/7449

Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 50 12 2021 11 30 2584 2592 Neriman İnanç Department of Nutrition and Dietetics, Faculty of Health Sciences, Nuh Naci Yazgan University, 38170, Kayseri, Turkey Yağmur Yaşar Fırat Department of Nutrition and Dietetics, Faculty of Health Sciences, Erciyes University, 38039, Kayseri, Turkey Eda Başmısırlı Department of Nutrition and Dietetics, Faculty of Health Sciences, Nuh Naci Yazgan University, 38170, Kayseri, Turkey Aslı Gizem Çapar Department of Nutrition and Dietetics, Faculty of Health Sciences, Nuh Naci Yazgan University, 38170, Kayseri, Turkey 2020 01 08 2020 08 20 Background: We