Iranian Journal of Public Health最新文献

Nosocomial infections remain one of the most severe public health issues, infecting millions of patients worldwide each year. The global prevalence of nosocomial infections varies between 3.0% and 20.7%, with an incidence rate ranging from 5% to 10%. In this short article, we have tried to present a different perspective on the future of nosocomial infections from the author's viewpoint. According to our assessment, due to megatrends such as global exposure, population aging, and augmenting drug resistance, nosocomial infections are expected to become more severe in the future. On the other hand, advancements in health technologies such as e-health, Artificial Intelligence, the Internet of Things, and less invasive interventions form a new generation of hospitals capable of preventing and controlling nosocomial infections. Presenting novel approaches to nosocomial infection management will transform medicine. Therefore, it seems that in the following years, nosocomial infections will follow a different trend.

Background: Neonatal hypoglycemia (NH) is one of the most prevalent neonatal problems. We aimed to describe frequency and patterns of NH in neonates at risk of hypoglycemia.

Methods: In this single-center retrospective descriptive cross-sectional study, the incidence of hypoglycemia in newborns at risk of NH born at Mersin University Hospital between Jan 2017 and Jan 2023, was investigated. The blood glucose level being lower than 40 mg/dL was defined as NH.

Results: Overall, 506 neonates at risk of hypoglycemia were included: 53 SGA infants (10.5%), 127 LGA infants (25.1%), 212 infants of diabetic mothers (41.9%), and 230 late preterm infants (45.5%). Hypoglycemia developed in 113 out of 506 at-risk newborns (22.3%). Symptomatic hypoglycemia developed in nine infants (1.8%), while asymptomatic hypoglycemia developed in 104 infants (20.5%). Recurrent hypoglycemia incidence was 4.2%. Severe hypoglycemia developed in 13 infants (2.6%). All symptomatic hypoglycemic infants and 8 asymptomatic hypoglycemic infants requiring IV glucose, 17 infants (17/506, 3.4%), were hospitalized in the NICU. The targeted blood glucose level was reached in 1 hour at the latest in all hypoglycemic infants.

Conclusion: With the algorithm applied, we did not see recurrent hypoglycemia after the first day of life in risky newborns, and we reached the targeted glucose values in hypoglycemic newborns within the desired period.

Background: We explored the perceptions, value, and social visibility of public toilets by comparing the implementation of public restrooms at the 2020 and 2024 Olympics. We specifically examined how sociocultural factors influenced restroom policies and development.

Methods: We conducted a survey of the history of public toilets as a form of public hygiene management in Japan and France during the Olympics. The analyses compare Paris's eco-friendly and Tokyo's culture-oriented approaches.

Results: The 2020 Tokyo Olympics demonstrated how public restrooms can promote cleanliness and hygiene. However, the 2024 Paris Olympics adopted a practical, eco-friendly approach in response to the climate crisis. Thus, the public restrooms in both cities provided novel examples of public health policies, integrating scientific and cultural perspectives.

Conclusion: Although Tokyo successfully implemented its sanitation culture in its public restrooms, challenges related to sustainability remained. In Paris, the perceptions of public restrooms have not yet been fully addressed. Nevertheless, the innovative approaches of both cities are expected to yield constructive outcomes for the 2028 Games, demonstrating the future value of such policies.

Background: Medication non-adherence in hypertensive patients induced disease progressivity. Several factors contribute to non-adherence to treatment, such as multidrug prescription, the relationship between doctors and patients, and barriers in health services. We aimed to analyze determinants of medication non-adherence in productive-aged hypertensive patients in Indonesia.

Methods: A cross-sectional study was conducted among 58,148 respondents across Indonesia. Covariates are gender, age, education, occupation, residence, smoking status, family member, and history of stroke, cardiovascular and diabetes mellitus. Chi-square and Binary Logistic were performed using SPSS version 21.

Results: More than half of the 58,148 hypertension patients in Indonesia (53.9%) are not taking their medication regularly. Chi-square analysis found that male gender, age groups (25 to 34, 35 to 44, 45 to 55, 56 to 64), graduated senior high school, employed workers, living in urban, smokers, four family members, and disease history correlated with non-adherence to treatment. However, Binary Logistic is obtained that age groups age groups (25 to 34, 35 to 44, 45 to 55 and 56 to 64; AOR=1.251, 1.609, 2.179, 2.424, respectively), employed workers (AOR=0.912), urban lived (AOR=1.085), smokers (AOR=0.853), more than four family members (AOR=1.146), stroke history (AOR=1.793), cardiovascular history (AOR=1.623), and diabetes mellitus history (AOR=1.489) found their significance level at 0.00. Two variables, gender and education, are not of significant.

Conclusion: Medication non-adherence in hypertensive patients has multifactorial aspects, such as in this study, including age, employed workers, living in urban areas, smokers, more prominent family members, and the history of the disease.

Hypertensive disorders of pregnancy (HDP) are the predominant pregnancy complication in both high and low-middle-income countries. The age-standardized incidence rate and the absolute incidence number of HDP in low-middle-income countries are 2-fold and 4-fold higher than in high-income countries in 2021, respectively. However, the reduction in the age-standardized prevalence rate (-41.1% vs. -8.7%) and incidence rate (-40.8% vs. -7.1%) of HDP is ≈5-fold faster in low-middle income countries compared with high-income countries between 1990 and 2021. Moreover, HDP is significantly associated with the increased risk of adverse perinatal outcomes, including preterm birth, low birth weight, and perinatal mortality in both high and low-middle-income countries. In the current review, we have highlighted the prevalence, incidence, and temporal trend of HDP and its association with adverse perinatal outcomes in high and low-middle-income countries.

Background: Information Technology (IT) workers have long experienced high-intensity work pressure and overwork, thus bringing severe challenges to managing their mental health. As a key predictor of IT workers' mental health, perceived stress significantly affects their tendency to experience depression. Self-esteem and self-control are important factors that influence individuals to regulate their behaviors and emotions and cope with challenges, thereby playing a possible chain mediating role in the relationship between perceived stress and depression.

Methods: Overall, 708 IT workers in Shaanxi Province were investigated anonymously through questionnaires. The perceived stress scale, depression scale, self-esteem scale, and self-control scale were used to examine the influence of perceived stress on IT workers' depression. Subsequently, the chain mediating role of self-esteem and self-control in this relationship was tested.

Results: Perceived stress influenced IT workers' depression (P < 0.01). Furthermore, self-esteem and self-control played a chain mediating role in the relationship between perceived stress and IT workers' depression (P < 0.01). In addition, the duration of occupation in IT work influenced the depression of IT workers significantly (P < 0.01).

Conclusion: Accurate evaluation of the governance ability of urban public health could provide guidance and policy propositions to improve the governance system of public health.

Pneumoconiosis, an occupational lung disease that arises from the inhalation of harmful dust, often coexists with multiple chronic diseases that aggravate its prognosis and complicate treatment. These chronic diseases can include pulmonary and cardiovascular conditions, as well as cerebrovascular, renal, endocrine, and rheumatic comorbidities. The underlying pathogenesis, which involves inflammatory responses, blood vessel damage, and immune system compromise, is rooted in the persistent presence of inhaled dust particles within the pulmonary alveoli and the systemic circulation. Management emphasizes preventive measures, notably through regulatory oversight to reduce exposure, and is coupled with vigilant chronic disease monitoring and lifestyle interventions. This article reviews the mechanisms, research status, and management strategies for pneumoconiosis patients complicated by the aforementioned chronic diseases. We aimed to bridge the gap between understanding the complexities of pneumoconiosis combined with chronic conditions and translating this insight into practical and effective management strategies to enhance patient care.

Background: We aimed to systematically review and analyze the prevalence and pattern of resistance in Mycoplasma pneumoniae.

Methods: We searched authentic scientific sources and databases, and reference lists of relevant articles from Jan 1, 2017, to Jun 1, 2023.

Results: Most of the included studies were conducted in Asia (11470 patients). The overall pooled prevalence was 53% (41%-65%), I2=99.69%; P <0.001. While subgroups analyses revealed that the pooled prevalence for America (3 studies), Asia (29 studies), and Europe (3 studies) was 9% (5%-12%), 62% (52%-73%), and 6% (1%-12%), respectively. Twenty-one eligible studies for determining of A2063G and 16 for A2064G were analyzed. Global pooled prevalence was 67% (58%-76%), I2=99.65%; P<0.001, and 3% (2%-4%), I2=87.44%; P<0.001 for A2063G and A2064G, respectively. Pooled prevalence of A2063G for America, Asia and Europe was 10% (5%-16%), 77% (71%-83%) and 5% (2%-9%), respectively.

Conclusion: While the prevalence of macrolide-resistant M. pneumonia is quite low in America, it is a great dilemma in East Asia and the low prevalence in most countries could be underestimated. This study revealed an increasing trend in macrolide resistance. Indiscriminate and improper use of macrolides may be a warning in this regard.

Background: This randomized and controlled pre- and post-test experimental study investigated the effects of a nonviolent communication education program on empathy, interpersonal relationships, stress, and resilience among Korean nursing students.

Methods: We included 51 Korean nursing students from a university in Busan Metropolitan City, Republic of Korea, with 26 in the experimental group and 25 in the control group. Data were collected from May to August 2024, and the nonviolent communication education program was conducted for 8 hours daily. To confirm program effectiveness, the participants were asked to practice nonviolent communication during the 5 weeks of participation in the program, and a reflection journal was to be written daily. The collected data were analyzed using descriptive statistics, χ²-tests, independent t-tests, and a repeated-measures analysis of variance.

Results: The over-time change in empathy and interpersonal relationship scores in the experimental group was significantly different from those in the control group (F=8.540, P<0.001 and F=3.654, P=0.029, respectively). However, the over-time change in stress and resilience scores in the experimental group was not significantly different from those in the control group (F=0.366, P=0.851 and F=0.256, P=0.775, respectively).

Conclusion: The nonviolent communication education program was effective in promoting empathy and interpersonal relationships among nursing students. However, its effects on stress and resilience were not significant. Periodic implementation of the program coupled with stress-relief strategies may be effective. A long-term program must be implemented to verify changes in nursing students' self-understanding. Moreover, further research is needed on the sustainability of the program's effects.