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Risk factors for cervical cancer: An epidemiological review 宫颈癌的危险因素:流行病学综述
Q4 Medicine Pub Date : 2020-07-01 DOI: 10.30476/JHSSS.2020.86539.1092
Hamed Delam, Safoura Izanloo, Mohammad-Rafi Bazrafshan, A. Eidi
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引用次数: 5
Report of an Iranian COVID-19 Case in a Laparoscopic Cholecystectomy Patient: Case Report and Insights 腹腔镜胆囊切除术患者中一例伊朗COVID-19病例报告:病例报告和见解
Q4 Medicine Pub Date : 2020-04-24 DOI: 10.21203/rs.3.rs-25302/v1
S. Vakili, Shervin Roshanisefat, L. Ghahramani, S. Jamalnia
Background: The latest outbreak of coronavirus (2019-nCoV), emerging in Wuhan, China, has spread exponentially in 2019.Case presentation: In the present study, we documented a case of COVID-19 in an Iranian patient for laparoscopic cholecystectomy and established the diagnosis, symptoms, and treatments of the case in order to provide non-emergent surgical procedure triage guidelines. Conclusions: This case highlights the importance of good collaboration between doctors and the authorities of public health in Iran, plus the demand for urgent exchange of clinical experience and knowledge with regard to the treatment of this infectious disease.
背景:2019年在中国武汉出现的最新冠状病毒(2019- ncov)疫情呈指数级蔓延。病例介绍:在本研究中,我们记录了一名接受腹腔镜胆囊切除术的伊朗患者的COVID-19病例,并确定了该病例的诊断、症状和治疗方法,以便提供非紧急外科手术分诊指南。结论:这一病例突出了伊朗医生和公共卫生当局之间良好合作的重要性,以及迫切需要交流治疗这一传染病的临床经验和知识。
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引用次数: 3
Assessment of anesthetist’s non-technical skills in Iranian hospitals 伊朗医院麻醉师非技术技能评估
Q4 Medicine Pub Date : 2020-04-04 DOI: 10.30476/JHSSS.2020.84392.1034
Milad Gholami, Z. Zamanian, R. Kalantari, Mehdi Hasanshahi, Esmaeil Hosseinzadeh Roknabadi, Somayeh Gheysari
Background: Safe performance and patient safety are two important issues in the delivery of healthcare services. Non-technical skills are necessary for safe performance of anesthesiologists in the operating room. This study aimed to assess the anesthetists’ non-technical skills in Iranian hospitals. Methods: This cross-sectional study was conducted on 38 anesthetists working in orthopedic surgery wards of two hospitals in 2019. The data were collected using the Anesthetist’s NonTechnical Skills (ANTS) system, which included four domains, namely task management, teamwork, situation awareness, and decision-making. The anesthetists were assessed by a trained observer via observing and recording the events during surgeries. Results: The mean score of ANTS was 10.12±1.66 out of 16. Among the four skills, the highest and lowest mean scores were related to “task management” (2.94 out of 4) and “decisionmaking” (2.26 out of 4), respectively. Work experience showed a significant positive relationship with “decision-making” (P=0.008, r=0.974). However, higher education level was not associated with improved anesthesiology skills. Conclusion: The quality of non-technical skills was below the acceptable level in the studied anesthetists. Thus, it is recommended that the anesthetists’ skills should be improved through educational and political interventions. Please cite this article as: Golami M, Zamanian Z, Kalantari R, Hasanshahi M, Hosseinzadeh Roknabadi E, Gheysari S. Assessment of Anesthetist’s Non-Technical Skills in Iranian Hospitals. J Health Sci Surveillance Sys. 2018;6(4):207-211.
背景:安全绩效和患者安全是提供医疗服务的两个重要问题。非技术技能是麻醉师在手术室安全工作所必需的。本研究旨在评估伊朗医院麻醉师的非技术技能。方法:这项横断面研究于2019年对两家医院骨科病房的38名麻醉师进行。数据是使用麻醉师的非技术技能(ANTS)系统收集的,该系统包括四个领域,即任务管理、团队合作、情境意识和决策。麻醉师由受过训练的观察者通过观察和记录手术过程中的事件进行评估。结果:ANTS的平均得分为10.12±1.66(满分16分)。在这四项技能中,平均得分最高和最低的分别与“任务管理”(2.94分,满分4分)和“决策”(2.26分,总分4分)有关。工作经验与“决策”呈显著正相关(P=0.008,r=0.974)。然而,较高的教育水平与麻醉学技能的提高无关。结论:所研究的麻醉师的非技术技能质量低于可接受的水平。因此,建议通过教育和政治干预来提高麻醉师的技能。请引用这篇文章:Golami M,Zamanian Z,Kalantri R,Hasanshahi M,Hosseinzadeh Roknabadi E,Gheysari S.伊朗医院麻醉师非技术技能评估。健康科学监测系统杂志。2018年;6(4):207-211。
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引用次数: 2
The Importance of Life Skills Training in Preventing Addiction Recurrence between January and February 2020: A Narrative Review Article 生活技能培训在2020年1月至2月预防成瘾复发中的重要性:一篇叙述性综述文章
Q4 Medicine Pub Date : 2020-04-01 DOI: 10.30476/JHSSS.2020.86347.1090
Mohammad-Rafi Bazrafshan, Hamed Delam, Esmaeil Kavi
IntroductionDrug abuse problem is one of the four global crises and the most important social crisis in Iran. This study was conducted to investigate the importance of life skills training in preventing the recurrence of addiction among young people.MethodsThe present article is a narrative review performed by two researchers between January and February 2020 by searching in scientific databases in articles published in Scopus, Pubmed, Google scholar and Google search engine including the terms “addiction”, “youth” , “Coping skills”, “adaptability skills”, “life skills training”, and “drug abuse”.ResultsThe results of various studiesindicate that the life skills training program increases the feeling of happiness, improves the quality of life of people, and increases the ability to control emotions.ConclusionDue to the positive impact of life skills training and its applicability to all segments of society, planners and managers in the community's mental health sector can set up centers to continuously hold such classes and conduct life skills training even as in-service training program.
引言药物滥用问题是全球四大危机之一,也是伊朗最重要的社会危机。本研究旨在调查生活技能培训在预防青少年成瘾复发方面的重要性。方法本文是两名研究人员在2020年1月至2月期间通过在科学数据库中搜索Scopus、Pubmed、Google scholar和Google搜索引擎上发表的文章进行的叙述性综述,包括“成瘾”、“青年”、“应对技能”、“适应性技能”、,结果各项研究结果表明,生活技能培训项目增加了幸福感,提高了人们的生活质量,提高了控制情绪的能力。结论由于生活技能培训的积极影响及其对社会各阶层的适用性,社区心理健康部门的规划者和管理者可以建立中心,持续举办此类课程,并进行生活技能培训,甚至将其作为在职培训计划。
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引用次数: 1
Clinical Characteristics of Covid-19 among Old Adult Patients with Chronic Diseases: A Systematic Review Study 老年慢性病患者新冠肺炎临床特征的系统回顾研究
Q4 Medicine Pub Date : 2020-01-01 DOI: 10.30476/JHSSS.2020.85959.1080
Ogholgol Qajari, Farzaneh Kasraie, A. Asadollahi
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引用次数: 0
Adherence to insulin treatment in participants with type 2 diabetes: Comparison of logistic regression and conditional tree and forests to determine the effective factors 2型糖尿病患者胰岛素治疗的依从性:logistic回归与条件树和森林的比较以确定有效因素
Q4 Medicine Pub Date : 2019-10-01 DOI: 10.30476/JHSSS.2020.85073.1056
A. Mirahmadizadeh, S. Sahraian, Hamed Delam, M. Seif
Objective: Type 2 diabetes is the most prevalent chronic disease in the world. Timely and appropriate control can significantly reduce the burdens and costs of this disease. Although insulin injection is the most efficient method to control type 2 diabetes, patients avoid this method for unknown reasons. The main aim of the present study is to determine the factors influential in non-adherence to insulin using tools and models that have not been applied in this field so far. Methods: The tendency to insulin injection in 457 patients with type 2 diabetes was investigated in this cross-sectional study using the classic logistic regression and new learning algorithms, including conditional tree, conditional forest, and random forest. Different fits were compared so that the best model can be determined to identify the factors in non-adherence to insulin. Results: Although random forest had the highest accuracy among the fitted models, all the methods had a relative consensus that having life insurance, academic education, and insulin injection experience in immediate family members increase the tendency to accept insulin therapy. Our results also showed that younger patients and those who were committed to a specific diet better approved insulin therapy. Conclusions: The reasons for non-adherence to insulin can be summarized in economic and psychological aspects. Therefore, the health system policies are recommended to address economic issues and also raise public awareness about this treatment method.
目的:2型糖尿病是世界上最常见的慢性病。及时和适当的控制可以大大减轻这种疾病的负担和成本。尽管胰岛素注射是控制2型糖尿病最有效的方法,但患者出于未知原因避免使用这种方法。本研究的主要目的是使用迄今为止尚未在该领域应用的工具和模型来确定影响胰岛素不依从性的因素。方法:在这项横断面研究中,使用经典的逻辑回归和新的学习算法,包括条件树、条件森林和随机森林,调查457名2型糖尿病患者的胰岛素注射倾向。比较了不同的拟合,从而可以确定最佳模型来确定胰岛素不依从性的因素。结果:尽管随机森林在拟合的模型中具有最高的准确性,但所有方法都有一个相对的共识,即有人寿保险、学术教育和直系亲属的胰岛素注射经验会增加接受胰岛素治疗的倾向。我们的研究结果还表明,年轻患者和那些致力于特定饮食的患者更好地批准了胰岛素治疗。结论:不坚持使用胰岛素的原因可以从经济和心理两个方面总结。因此,建议卫生系统政策解决经济问题,并提高公众对这种治疗方法的认识。
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引用次数: 0
Accident injuries and related factors in Iranian adolescent girls 伊朗少女意外伤害及相关因素
Q4 Medicine Pub Date : 2019-07-01 DOI: 10.30476/JHSSS.2020.84823.1044
F. Mobasheri, G. Shahraki, R. E. Haghighi, M. Fararouei
Background: The incidence of accidents, its types and leading causes are largely varied in different communities and within different ages. This survey investigated the incidence and types of injury after accidents in adolescent girls with regard to the parents' socio-economic status, schooling and health-related behaviors. Methods: This cross-sectional study was conducted among 8159 high school girl aged 11-19 years, using a self-administered questionnaire. Demographic information, parents' socio-economic status, schooling and health-related behaviors, any accident causing the student to seek medical care during the year before the time of completing the questionnaire, the place, the cause and the body area injured in the accident were asked by single item scales. Results: The annual incidence of injury was about 4.4%. Of the total accidents, the most common type was car accident (45%). The most common affected body sites were legs (25.7%) and hands (%18.7); the most common place besides streets (31%) where the accidents happened was home (%19). Multivariate logistic regression revealed higher chances of injury among urban residences, those with lower school grades, those exposed to second-hand tobacco smoke, and those who spend more time with friends (P Conclusion: The findings suggested that accidents among adolescent girls are affected by different aspects of life, most of which being modifiable. Most accidents can be prevented if appropriate strategies and intervention programs are applied. For example, providing safer streets, homes and environment and public education are possibly the most effective measures.
背景:不同社区和不同年龄段的事故发生率、类型和主要原因差异很大。这项调查调查了少女事故后受伤的发生率和类型,涉及父母的社会经济地位、学校教育和健康相关行为。方法:采用自填问卷对8159名11-19岁的高中女生进行横断面调查。通过单项量表询问人口统计信息、父母的社会经济状况、学校教育和健康相关行为、在填写问卷前一年内导致学生就医的任何事故、事故发生的地点、原因和受伤的身体面积。结果:年伤害发生率约为4.4%,其中以车祸最为常见(45%)。受影响最常见的身体部位是腿(25.7%)和手(%18.7);除了街道(31%)外,最常见的事故发生地是家(%19)。多元逻辑回归显示,城市居民、低年级学生、接触二手烟草烟雾的人受伤的几率更高,以及那些花更多时间和朋友在一起的人(P结论:研究结果表明,青春期女孩的事故受到生活的不同方面的影响,其中大多数是可以改变的。如果采取适当的策略和干预计划,大多数事故都是可以预防的。例如,提供更安全的街道、家庭和环境以及公共教育可能是最有效的措施。
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引用次数: 0
The Relationship of General Health and Job Stress in Industrial Workers 产业工人一般健康状况与工作压力的关系
Q4 Medicine Pub Date : 2019-01-01 DOI: 10.30476/JHSSS.2020.84398.1035
Seyed Yaser Hashemi, M. Emkani, A. Dehghan, R. Kalantari, Milad Gholami
Background Job stress is one of the most hazardous factors in workplace that endangers the workers’ public health physically and psychologically.Aims This study was conducted to investigate the general health status and occupational stress of workers in an electrical tablet production industry in Iran.Methods This cross-sectional study was carried out amongst 110 workers employed in electrical industry. The data were gathered by using demographic features questionnaire, general health questionnaire (GHQ), and job stress questionnaire (OSIPOW). The questionnaires were completed by interview to minimize the error in the data collection stage. Data were analyzed using SPSS (ver.20). A p<0.05 was considered statistically significant.Results 63.6% of the participants in this study were in inappropriate general health status. There was a significant difference between the total score of general health and education level (P=0.04). Also, there was a significant difference (P<0.05) in working time in administrative and non-administrative parts. A significant relationship was observed between inefficiency and dichotomy of job stress with the total level of general health (P<0.05).Conclusions Education and job stress are effective factors on the workers working in this industry.
工作压力是危害劳动者身心健康的最危险的工作环境因素之一。目的调查伊朗某电子片剂生产行业工人的一般健康状况和职业压力。方法对110名电气行业从业人员进行横断面调查。采用人口统计学特征问卷、一般健康问卷(GHQ)和工作压力问卷(OSIPOW)收集数据。问卷采用访谈的方式完成,尽量减少数据收集阶段的误差。数据采用SPSS (ver.20)分析。p<0.05为差异有统计学意义。结果63.6%的调查对象总体健康状况不佳。一般健康总分与文化程度总分差异有统计学意义(P=0.04)。行政部门和非行政部门的工作时间也有显著差异(P<0.05)。工作效率低下、工作压力二分法与总体健康水平存在显著相关(P<0.05)。结论学历和工作压力是影响该行业从业人员心理健康的有效因素。
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引用次数: 1
Comparison of fipronil-impregnated bait and integrated vector management (IVM) in the control of zoonotic cutaneous leishmaniasis in an endemic focus of Fars province, southern Iran during 2016 to 2017 2016 - 2017年伊朗南部法尔斯省某地人畜共患皮肤利什曼病流行疫源地氟虫腈浸染诱饵与媒介综合管理(IVM)控制效果比较
Q4 Medicine Pub Date : 2018-01-01 DOI: 10.30476/JHSSS.2019.81631.1003
Ehsan Saki, A. Soltani, M. Moemenbellah-Fard, M. Kalantari, Hedayat Dorzaban, K. Azizi
Background: Fipronil systemic insecticide and integrated vector management (IVM) leading to control and/or reduction of zoonotic cutaneous leishmaniasis (ZCL) cases were evaluated in the studied endemic foci of Fars province, southern Iran, during 2016 to 2017. Methods: Based on available data on disease circumstances collected from Center for Disease Control (CDC) of Shiraz University of Medical Sciences, incidence of disease, and demographics of the natives, five villages were randomly selected among those with high and medium CL infection in Kharameh area. All villagers were checked by physical examination and the incidence rates of ZCL cases were recorded. IVM interventions were implemented. Indeed, these procedures consisted of fipronil systemic insecticide poison baits, indoor residual spraying (IRS), outdoor spraying of the patients’ houses, and the thermal fogging (three times) during peak periods of sand flies’ activities. Results: After interventions, the incidence rates of ZCL decreased by 2.55% in Mehrabad village, in which all IVM methods were implemented. Similarly, the incidence of disease was reduced by 4.89% in Sofla and Moezabad villages, using exclusively fipronil poison baits. Besides, these incidence rates declined by 1.15% in two control villages of Soltan-Shahr and Abshor, where examination of the rodent reservoir hosts was performed. Conclusion: Fipronil and IVM methods were advantageous in reducing the incidence rates of leishmaniasis, but it seems that the use of fipronil systemic insecticide as a poison bait against reservoir rodent was significantly more effective (P-Value=0.01). Please cite this article as: Saki E, Soltani A, Djafar Moemenbellah-Fard M, Kalantari M, Dorzaban H, Azizi K. Comparison of Fipronil-Impregnated Bait and Integrated Vector Management (IVM) in the Control of Zoonotic Cutaneous Leishmaniasis in an Endemic Focus of Fars Province, Southern Iran During 2016 to 2017. J Health Sci Surveillance Sys. 2018;6(1):2-7.
背景:对2016 - 2017年伊朗南部法尔斯省人畜共患皮肤利什曼病(ZCL)流行疫源地采用氟虫腈系统杀虫剂和媒介综合管理(IVM)控制和/或减少ZCL病例进行了评估。方法:根据设拉子医科大学疾病控制中心收集的疾病情况、发病率和当地人口统计资料,在卡拉梅地区CL高、中感染人群中随机抽取5个村庄。对所有村民进行体格检查,并记录ZCL病例的发病率。实施了IVM干预措施。实际上,这些程序包括氟虫腈系统杀虫剂毒饵,室内残留喷洒(IRS),患者房屋室外喷洒,以及在白蛉活动高峰期进行三次热雾化。结果:干预后,Mehrabad村所有IVM方法的ZCL发病率下降了2.55%。同样,使用氟虫腈毒饵后,Sofla和Moezabad村的发病率降低了4.89%。此外,在对鼠类宿主进行检查的两个对照村(Soltan-Shahr和Abshor),发病率下降了1.15%。结论:氟虫腈和IVM方法在降低利什曼病发病率方面均有优势,但用氟虫腈系统杀虫剂作为毒饵对水库鼠害效果更显著(p值=0.01)。Saki E, Soltani A, Djafar Moemenbellah-Fard M, Kalantari M, Dorzaban H, Azizi K. 2016 - 2017年伊朗南部法尔斯省人畜共患皮肤利什曼病病媒生物综合防治效果比较。卫生科学监测学报,2018;6(1):2-7。
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引用次数: 0
A Survey of Knowledge, Attitude and Performance of People of Fasa on Segregation of Household Solid Wastes, Fasa, Iran, 2017 上海市居民对生活垃圾分类的认知、态度和行为调查[j] .中国社会科学,2017
Q4 Medicine Pub Date : 2018-01-01 DOI: 10.30476/JHSSS.2019.81647.1009
Mansour S. Kashfi, Mostafa Eslahi, T. Rakhshani, H. Hashemi, Pejhman Baqeri, M. Sharafi
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引用次数: 1
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Journal of health sciences and surveillance system
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