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To Be or Not to Be: Addressing of PRISMA Checklist for Reporting Systematic Reviews and Meta-Analyses. 生存与否:PRISMA检查表的处理,用于报告系统评价和荟萃分析。
IF 1.4 4区 医学 Q3 Medicine Pub Date : 2023-10-01 DOI: 10.18502/ijph.v52i10.13862
Fatemeh Amiri, Amir Shiani, Maryam Mirzaei
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引用次数: 0
Identification of Family with Sequence Similarity 110 Member C (FAM110C) as a Candidate Diagnostic and Prognostic Biomarker for Glioma. 识别具有序列相似性的家族110成员C(FAM110C)作为胶质瘤的候选诊断和预后生物标志物。
IF 1.4 4区 医学 Q3 Medicine Pub Date : 2023-10-01 DOI: 10.18502/ijph.v52i10.13850
Deshuai Ren, Xiaoyu Zhuang, Yanxin Lv, Yun Zhang, Jiazhi Xu, Fengquan Gao, Dagang Chen, Yu Wang

Background: Gliomas are the most frequent and dangerous primary cerebral tumors. Therefore, there is a need to develop molecular targets for the diagnosis and treatment for glioma.

Methods: In September 2020, we retrieved the expression matrix of glioblastoma (GBM) sufferers and pertinent clinical data from the TCGA (The Cancer Genome Atlas) database. Prognostic differences between various families with sequence similarity 110 member C (FAM110C) expression groups were assessed by Kaplan-Meier with log-rank test. The R platform get used to assess the accuracy of FAM110C delivery in predicting the prognosis of PDAC using a time-dependent receptor operating characteristic (ROC) curve. The delivery level of FAM110C was determined by qRT-PCR and western blot. Gene set enrichment investigated possible mechanisms between different FAM110C expression groups in GBM (GSEA). The impact of FAM110C on glioma cell movement was discovered using migration test. The drug's gene-targeting impact was validated by the CCK8 test.

Results: A total of 173 GBM samples were obtained from the TCGA database, with 148 including information on IDH1 mutations and 151 containing information on overall survival. The mRNA expression level of FAM110C was greater in wild-type GBM, according to qRT-PCR data. The connection between FAM110C expression and Hallmark, GO, and KEGG pathway gene sets was investigated using GSEA software. We used migration test to assess the impact of FAM110C on glioma motility in order to confirm the findings of the GSEA analysis.

Conclusion: FAM110C might get used as a possible diagnostic and prognostic biomarker for wild-type GBM, and its inhibition could be used to prevention and treatment wild-type GBM.

背景:胶质瘤是最常见和最危险的原发性脑肿瘤。因此,有必要开发用于神经胶质瘤诊断和治疗的分子靶点。方法:2020年9月,我们从TCGA(癌症基因组图谱)数据库中检索了胶质母细胞瘤(GBM)患者的表达矩阵和相关临床数据。采用Kaplan-Meier对数秩检验评估具有序列相似性的110成员C(FAM110C)表达组的不同家族之间的预后差异。R平台用于评估FAM110C递送在使用时间依赖性受体操作特征(ROC)曲线预测PDAC预后方面的准确性。通过qRT-PCR和蛋白质印迹测定FAM110C的递送水平。基因集富集研究了GBM(GSEA)中不同FAM110C表达组之间的可能机制。通过迁移试验发现FAM110C对胶质瘤细胞运动的影响。CCK8试验验证了该药物的基因靶向作用。结果:从TCGA数据库中共获得173个GBM样本,其中148个包含IDH1突变信息,151个包含总生存率信息。根据qRT-PCR数据,野生型GBM中FAM110C的mRNA表达水平更高。使用GSEA软件研究FAM110C表达与Hallmark、GO和KEGG通路基因集之间的联系。我们使用迁移测试来评估FAM110C对神经胶质瘤运动的影响,以证实GSEA分析的结果。结论:FAM110C可能作为野生型GBM的诊断和预后生物标志物,其抑制作用可用于预防和治疗野生型GBM。
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引用次数: 0
Prediction of Alzheimer's in People with Coronavirus Using Machine Learning. 使用机器学习预测冠状病毒患者的阿尔茨海默氏症。
IF 1.4 4区 医学 Q3 Medicine Pub Date : 2023-10-01 DOI: 10.18502/ijph.v52i10.13856
Shahriar Mohammadi, Soraya Zarei, Hossain Jabbari

Background: One of the negative effects of the COVID-19 illness, which has affected people all across the world, is Alzheimer's disease. Oblivion after COVID-19 has created a variety of issues for many people. Predicting this issue in COVID-19 patients can considerably lessen the severity of the problem.

Methods: Alzheimer's disease was predicted in Iranian persons with COVID-19 in using three algorithms: Nave Bayes, Random Forest, and KNN. Data collected by private questioner from hospitals of Tehran Province, Iran, during Oct 2020 to Sep 2021. For ML models, performance is quantified using measures such as Precision, Recall, Accuracy, and F1-score.

Results: The Nave Bayes, Random Forest algorithm has a prediction accuracy of higher than 80%. The predicted accuracy of the random forest algorithm was higher than the other two algorithms.

Conclusion: The Random Forest algorithm outperformed the other two algorithms in predicting Alzheimer's disease in persons using COVID-19. The findings of this study could help persons with COVID-19 avoid Alzheimer's problems.

背景:新冠肺炎疾病的负面影响之一是阿尔茨海默病,该疾病已影响到世界各地的人们。新冠肺炎后的遗忘给许多人带来了各种各样的问题。在新冠肺炎患者中预测这一问题可以大大减轻问题的严重性。方法:使用Nave Bayes、Random Forest和KNN三种算法预测伊朗新冠肺炎患者的阿尔茨海默病。私人提问者在2020年10月至2021年9月期间从伊朗德黑兰省医院收集的数据。对于ML模型,使用Precision、Recall、Accuracy和F1-score等指标来量化性能。结果:Nave Bayes,Random Forest算法的预测准确率高于80%。随机森林算法的预测精度高于其他两种算法。结论:随机森林算法在预测新冠肺炎患者阿尔茨海默病方面优于其他两种算法。这项研究的发现可以帮助新冠肺炎患者避免阿尔茨海默病问题。
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引用次数: 0
Economic Burden of Vision Loss and Eye Disorders in Iran. 伊朗视力丧失和眼部疾病的经济负担。
IF 1.4 4区 医学 Q3 Medicine Pub Date : 2023-10-01 DOI: 10.18502/ijph.v52i10.13859
Aziz Rezapour, Amin Adel, Ali Aboutorabi, Elahe Askarzade, Saeed Husseini Barghazan, Arefeh Pourtaleb, Seyed Saeed Tabatabaee

Background: Globally, population growth and ageing are expected to increase the risk of vision impairment for more people. Eye disorders impose heavy social and economic burdens on communities through increased poverty, reduced quality of life, and decreased employment. We aimed to calculate the economic burden of eye diseases in Iran.

Methods: Prevalence-based and top-down cost estimation methods were used with a sociological approach. Data were collected from the Northeastern Ophthalmology Center Institute for Health Assessment, and Evaluation, besides the 2017 census. Eye diseases were classified according to the ICD10. Data were analyzed using Excel 2016 software.

Results: Survey data were collected from 19,113 patients with vision loss and eye disorders. The average cost of vision loss/eye disorders was estimated to be $250.3. The findings indicated that the economic burden of visual diseases was $2,844 million a year, with direct medical costs comprising 87% (66% of inpatient and 21% of outpatient) and direct non-medical and indirect costs estimated at 6% and 7%, respectively. Furthermore, 72.8% of direct medical costs was paid by insurance companies, 20.6% by patients, and 6.6% by the government.

Conclusion: Eye diseases and vision loss in Iran, as in other countries, are costly for the health system and society. Instituting effective policies and measures to address this rising burden should be a national priority. Another suggestion in this area would be to focus on preventive care and policies such as health education, highlighting the role of reorientation of health services and advocacy (for policies that promote eye health), where relevant.

背景:在全球范围内,人口增长和老龄化预计会增加更多人视力受损的风险。眼部疾病增加了贫困,降低了生活质量,减少了就业,给社区带来了沉重的社会和经济负担。我们旨在计算伊朗眼病的经济负担。方法:采用社会学方法,采用基于患病率和自上而下的成本估计方法。除2017年人口普查外,数据还来自东北眼科中心健康评估研究所。根据ICD10对眼病进行分类。使用Excel 2016软件对数据进行分析。结果:收集了19113名视力丧失和眼部疾病患者的调查数据。视力丧失/眼部疾病的平均费用估计为250.3美元。调查结果表明,视觉疾病每年的经济负担为28.44亿美元,直接医疗费用占87%(住院患者的66%和门诊患者的21%),直接非医疗和间接费用估计分别为6%和7%。此外,72.8%的直接医疗费用由保险公司支付,20.6%由患者支付,6.6%由政府支付。结论:与其他国家一样,伊朗的眼病和视力下降对卫生系统和社会造成了高昂的代价。制定有效的政策和措施来解决这一日益增加的负担应该是国家的优先事项。这一领域的另一项建议是将重点放在预防性护理和健康教育等政策上,并在相关情况下强调调整卫生服务和宣传(促进眼睛健康的政策)的作用。
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引用次数: 0
The Relationship of the Prenatal Distress with Health Literacy and Health Perception of Pregnant Women 孕妇产前窘迫与健康素养、健康知觉的关系
4区 医学 Q3 Medicine Pub Date : 2023-09-09 DOI: 10.18502/ijph.v52i9.13573
Meltem Ugurlu, Arzu Kul Uctu
Background: The effects of health-literacy and health-perception on prenatal distress levels of pregnant women were not investigated. We aimed to examine the relationship between pregnant women’s prenatal distress levels with their health-literacy and health-perception and affecting factors. Methods: This descriptive and correlational study was conducted with 223 pregnant women in Ankara, Turkey in 2021. Data were collected with a personal information form, Health Literacy Scale (HLS), Health Perception Scale (HPS), and Prenatal Distress Scale (PDS). Results: Participants’ mean score on the PDS was 11.39±6.17. Participants who had a high level of education (P=0.040), working (P=0.026), no history of miscarriage/abortion (P=0.040), and a bad relationship with their spouses (P<0.001) had significantly higher mean scores on the PDS. There was a significant negative correlation between total PDS and HLS scores (P<0.001) and a positive correlation between total PDS and HPS scores (P<0.001). Total HLS and HPS scores, spousal relationship status, education level, and employment had an effect on the mean PDS score and that the explanatory power of the model was found 21.5% (R2=0.215). Conclusion: Pregnant women had a moderate level of prenatal distress. While the prenatal distress levels of pregnant women with high health-literacy levels decreased, the levels of those who were employed, had a higher level of education, and had a bad relationship with their spouses increased. Awareness of the factors affecting pregnant women’s prenatal distress can guide the provision of adequate care and support interventions during pregnancy.
背景:未调查健康素养和健康感知对孕妇产前窘迫水平的影响。本研究旨在探讨孕妇产前窘迫程度与健康素养、健康感知及影响因素的关系。 方法:本描述性和相关性研究于2021年在土耳其安卡拉对223名孕妇进行。采用个人信息表、健康素养量表(HLS)、健康感知量表(HPS)和产前窘迫量表(PDS)收集数据。 结果:参与者的PDS平均得分为11.39±6.17。受教育程度高(P=0.040)、有工作(P=0.026)、没有流产/流产史(P=0.040)以及与配偶关系不好(P= 0.001)的参与者在PDS上的平均得分显著较高。总PDS与HLS评分呈显著负相关(P<0.001),总PDS与HPS评分呈显著正相关(P<0.001)。HLS和HPS总分、配偶关系状况、教育程度和就业对PDS平均得分有影响,模型的解释能力为21.5% (R2=0.215)。 结论:孕妇存在中等程度的产前窘迫。虽然健康知识水平高的孕妇的产前痛苦程度有所下降,但那些有工作、受教育程度较高、与配偶关系不佳的孕妇的产前痛苦程度有所增加。了解影响孕妇产前窘迫的因素可以指导在怀孕期间提供适当的护理和支持干预措施。
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引用次数: 0
Effects of Functional Exercise Program on Improving Gluteus Medius Muscle Strength in Postmenopausal Women 功能锻炼方案对改善绝经后妇女臀中肌力量的影响
4区 医学 Q3 Medicine Pub Date : 2023-09-09 DOI: 10.18502/ijph.v52i9.13583
Kyoung Soo Suh, Woo Yeul Baek
The Article Abstract is not available.
文章摘要不可用。
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引用次数: 0
Mortality Rate and Years of Life Lost Due to Road Traffic Accidents in Fars Province, 2004-2019 2004-2019年法尔斯省道路交通事故死亡率和死亡年数
4区 医学 Q3 Medicine Pub Date : 2023-09-09 DOI: 10.18502/ijph.v52i9.13581
Habibollah Azarbakhsh, Fatemeh Rezaei, Seyed Sina Dehghani, Jafar Hassanzadeh, Seyed Parsa Dehghani, Alireza Mirahmadizadeh
Background: Traffic accidents are one of the most critical health problems and the ninth leading cause of death globally. We aimed to determine the Mortality rate and the number of Years of Life Lost (YLL) due to road traffic accidents. Methods: In this retrospective cohort study, mortality rate and YLL due to road traffic accidents were examined in Fars province, central Iran during the years 2004-2019. Mortality statistics were collected through death registration of ministry of health and medical education for Fars Province. Age Standardized mortality Rate (ASR) was calculated and join point regression analysis carried out to examine the trend of YLL rate. Data were analyzed using Excel spreadsheet version 2016 and Join point Regression Program 4.9.0.0. Results: During the 16-year study period, 25,858 deaths due to road traffic accidents occurred in the province. 79.2% (20483 cases) were in men, and 33.7% (8703 cases) were aged 15-29 years. Total YLL during the 16-year study period were 458,975 (14.6 per 1000 people) in men, 117,999 (3.8 per 1000 people) in women. According to the join point regression, the 16- year trend of YLL rate due to premature mortality was decreasing: AAPC was -4.9% (95% CI: -8.8 to -0.9; P=0.018) for male, and -3.5% (95% CI: -6.3 to-0.5; P=0.011) for female. Conclusion: Considering that the number of deaths, mortality rate and YLL has decreased in Fars province during the 16 years under study. Therefore, because the mortality rate due to road traffic accidents in Iran is higher than the global average, the need for training programs for drivers, compliance with standards and retrofitting of vehicles, road safety, driving supervision and the use of seat belts are essential.
背景:交通事故是最严重的健康问题之一,也是全球第九大死亡原因。我们的目的是确定由于道路交通事故造成的死亡率和生命损失年数(YLL)。方法:在这项回顾性队列研究中,研究了2004-2019年伊朗中部法尔斯省道路交通事故死亡率和YLL。死亡统计数据通过法尔斯省卫生和医学教育部的死亡登记收集。计算年龄标准化死亡率(ASR),采用连接点回归分析YLL率变化趋势。数据分析使用Excel电子表格版本2016和连接点回归程序4.9.0.0. 结果:在16年的研究期间,该省有25,858人死于道路交通事故。男性占79.2%(20483例),15 ~ 29岁占33.7%(8703例)。在16年的研究期间,男性的YLL总数为458,975例(每千人14.6例),女性为117,999例(每千人3.8例)。根据联系点回归,16年早产儿死亡率呈下降趋势:AAPC为-4.9% (95% CI: -8.8 ~ -0.9;P=0.018),男性为-3.5% (95% CI: -6.3 ~ 0.5;P=0.011);结论:考虑到法尔斯省的死亡人数,死亡率和YLL在研究的16年中有所下降。因此,由于伊朗道路交通事故造成的死亡率高于全球平均水平,因此必须为驾驶员提供培训方案、遵守标准和改装车辆、道路安全、驾驶监督和使用安全带。
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引用次数: 0
Budgeting in Healthcare Systems and Organizations: A Systematic Review 医疗保健系统和组织的预算:系统回顾
4区 医学 Q3 Medicine Pub Date : 2023-09-09 DOI: 10.18502/ijph.v52i9.13571
Abbas Homauni, Nader Markazi-Moghaddam, Ali Mosadeghkhah, Majid Noori, Kourosh Abbasiyan, Sanaz Zargar Balaye Jame
Background: Budgeting is the process resource allocation to produce the best output according to the revenue levels involved. Among the constraints that healthcare organizations, including hospitals, both in the public and private sectors, grapple with is budgetary constraints. Therefore, cost control and resource management should be considered in healthcare organizations under such circumstances. Methods: We aimed to identify methods of budgeting in healthcare systems and organizations as a systematic review. To extract and analyze the data, a form was designed by the researcher to define budgeting methods proposed in the literature and to identify their strengths, weaknesses, and dimensions. The search was conducted in Google Scholar, Web of science, Pub med and Scopus databases covering the period 1990-2022. Results: Overall, 33 articles were included in the study for extraction and final analysis. The study results were reported in four main themes: healthcare system budgeting, capital budgeting, global budgeting, and performance-based budgeting. Conclusion: Each budgeting approach has its own pros and cons and requires meeting certain requirements. These approaches are selected and implemented depending on each country's infrastructure and conditions as well as its organizations. These infrastructures need to be thoroughly examined before implementing any budgeting method, and then a budgeting method should be selected accordingly.
背景:预算是根据所涉及的收入水平分配资源以产生最佳产出的过程。包括医院在内的公共和私营医疗机构面临的制约因素之一是预算限制。因此,在这种情况下,医疗保健组织应考虑成本控制和资源管理。 方法:我们的目的是确定方法预算在医疗保健系统和组织作为一个系统的回顾。为了提取和分析数据,研究者设计了一个表格来定义文献中提出的预算方法,并确定它们的优势、劣势和维度。在b谷歌Scholar、Web of science、Pub med和Scopus数据库中进行检索,检索时间为1990-2022年。 结果:共纳入33篇文献进行提取和最终分析。研究结果分为四个主题:医疗系统预算、资本预算、全球预算和基于绩效的预算。 结论:每一种预算方法都有自己的优点和缺点,需要满足一定的要求。这些方法的选择和实施取决于每个国家的基础设施和条件以及其组织。在实施任何预算方法之前,需要对这些基础设施进行彻底检查,然后应相应地选择预算方法。
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引用次数: 0
Evaluation of Quality Indicators in Home Health Services Delivery 家庭保健服务质量指标评价
4区 医学 Q3 Medicine Pub Date : 2023-09-09 DOI: 10.18502/ijph.v52i9.13577
Hatice Esen, Tugba Caliskan Sengoz
Background: We aimed to evaluate the quality indicators monitored within the scope of quality standards health. Methods: In this descriptive study, patients who visited the home health services unit in 2021, were included. Patient age and diagnostic data were obtained from the Basic Health Statistics Module. Other information such as the number of patient visits and nutritional status were obtained from the indicator data collection form followed by the quality management unit of our hospital and from the home health services unit. We included the data of Antalya Training and Research Hospital. Microsoft Excel and SPSS 25.0 program were used in the analysis of the data, and the data obtained were shown as numbers and ratios (%). Results: When the quality indicators of home health services delivery were examined, the timely response rate of the application was 100%, the nutritional status of all patients was evaluated using the Nutritional Risk Score (NRS-2002) evaluation form at the first patient visit; the patients receiving health care from the home health unit of our hospital visited an average of three times in a year, and the health service from the home health unit was determined: the annual average rate of medical appointments kept with patients who receive medical care at the scheduled time is 83%. Conclusion: Quality indicators are being met well, and good-quality care services are being delivered in the home health service of the training and research hospitals.
背景:我们旨在评价质量标准卫生范围内监测的质量指标。 方法:在这项描述性研究中,纳入了2021年到家庭卫生服务单位就诊的患者。患者年龄和诊断数据来自基本卫生统计模块。其他信息,如患者就诊次数和营养状况,由我院质量管理部门和家庭保健服务部门从指标数据收集表中获得。我们纳入了安塔利亚培训和研究医院的数据。使用Microsoft Excel和SPSS 25.0程序对数据进行分析,所得数据以数字和比例(%)表示。 结果:对家庭卫生服务质量指标进行考核时,申请的及时响应率为100%,患者首次就诊时采用营养风险评分(NRS-2002)评估表对所有患者的营养状况进行评估;在我院家庭保健单位就诊的患者平均每年就诊3次,确定了家庭保健单位的保健服务:按预定时间就诊的患者的年平均预约率为83%。 结论:培训和研究医院的家庭保健服务质量指标达到良好,提供了优质的护理服务。
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引用次数: 0
Response to Neoadjuvant Chemoradiotherapy as a Predictor of Long-Term Survival in Patients with Locally Advanced Rectosigmoid Junction Cancer: An Analysis Based On SEER Database 对新辅助放化疗的反应作为局部晚期直肠乙状结癌患者长期生存的预测指标:基于SEER数据库的分析
4区 医学 Q3 Medicine Pub Date : 2023-09-09 DOI: 10.18502/ijph.v52i9.13575
Qi Shen, Dandan Liu, Shaojun Liu
Background: Neoadjuvant chemoradiotherapy is recommended to locally advanced rectal cancer, especially for the lower and middle ones. However, the role of neoadjuvant chemoradiotherapy in rectosigmoid junction cancer remains undetermined. We investigated whether patients with a good response to neoadjuvant chemoradiotherapy will have a relatively better long-term survival compared with those with no response. Methods: Overall, 1325 patients diagnosed with locally advanced rectosigmoid junction cancer from Surveillance, Epidemiology, and End-Results (SEER) cancer registry database (2004-2014, America) were selected. All of them had received neoadjuvant chemoradiotherapy and were evaluated by Collaborative Stage Data Collection System. We performed Kaplan–Meier univariate analysis and Cox regression multivariate analysis models to estimate the potential prognostic factors of long-term survival outcomes. Response to neoadjuvant chemoradiotherapy and histological type of tumor were the two prognostic factors. Results: The 5-year OS was 78.1% in responders, and 63.4% in nonresponders. In addition the 5-year DSS was 85.1% in responders, and 72.9% in nonresponders. Conclusion: Based on SEER database in locally advanced rectosigmoid junction cancer, patients with a good response to neoadjuvant chemoradiotherapy could have a benefit of long-term survival.
背景:局部进展期直肠癌,尤其是下、中期直肠癌,推荐采用新辅助放化疗。然而,新辅助放化疗在直肠乙状结肠结癌中的作用仍未确定。我们调查了对新辅助放化疗反应良好的患者是否比无反应的患者有相对更好的长期生存。 方法:从2004-2014年美国SEER癌症登记数据库中选择1325例诊断为局部晚期直肠乙状结肠结癌的患者。所有患者均接受了新辅助放化疗,并通过协同分期数据收集系统进行评估。我们采用Kaplan-Meier单因素分析和Cox回归多因素分析模型来估计长期生存结果的潜在预后因素。对新辅助放化疗的反应和肿瘤的组织学类型是影响预后的两个因素。 结果:应答者5年OS为78.1%,无应答者为63.4%。此外,缓解者的5年DSS为85.1%,无缓解者为72.9%。 结论:基于SEER数据库的局部晚期直肠乙状结癌患者,对新辅助放化疗反应良好的患者可获得长期生存。
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引用次数: 0
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Iranian Journal of Public Health
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