Iranian Journal of Public Health最新文献

Background: The global maternal mortality rate has increased annually. This study aimed to examine the role of emotional support and the social support theraphy on the experience of emergency caesarean deliveries.

Methods: The narrative study was conducted using scientific journal database sources from PubMed, Proquest, Ebsco, Science Direct, and Google Scholar from 2016 to 2023. After the articles were obtained, they were tabulated using an Excel table. Overall, 184 articles were identified based on the search titles. Ten articles focused on the influence of emotional support on patient experiences, and five articles focused on the influence of sociocultural atmosphere on patient experiences.

Results: The influence of emotional support and the socio-cultural atmosphere on emergency caesarean section patients is one strategy for reducing maternal mortality rates. The poor sociocultural atmosphere regarding cesarean delivery is still a hot issue in the community, and the lack of emotional support from health service providers can cause patient and family approval to be late in agreeing to informed consent for emergency cesarean care, which should be provided immediately.

Conclusion: There is a need for adequate emotional support in the form of empathy, interactive communication, presence and availability, motivation and hope, nonverbal communication, sense of humor, and ambient environment.

Background: According to World Health Organisation data, on the top ten causes of death in the world in 2019, ischemic heart diseases ranked first, followed by stroke and chronic respiratory diseases. This study aimed to make cross-section of the current mortality rates of indicators of circulatory diseases, ischemic heart diseases and cerebrovascular diseases, access the trends of indicators in Serbia more than two decades and to find the correlation of these observed indicators between males and females.

Methods: Medical indicators were taken from the publicly available Health for all databases that deals with long-term evaluation and monitoring of indicators obtained from national authorities. In this epidemiological study, following indicators were analysed: indicator of standardized circulatory diseases, ischemic heart disease, and cerebrovascular diseases. SPSS was used for statistical analysis.

Results: Between 1998 and 2021 all of the mortality indicators were decreasing in Serbia. Between 2002 and 2005 observed indicators had almost constant decreasing trend. The standardized mortality for circulatory disease along with indicators for mortality from ischemic diseases and cerebrovascular disease was more prevalent among males than females.

Conclusion: Continuing the follow of indicators is of the great importance for public health and macroeconomic of countries. This decreasing trend in Serbia must remain constant and that can be effectively done through continuous improvement of health systems, focusing on the primary health care and conducting pharmacoeconomic studies and epidemiological studies.

Background: Countries that are becoming aging societies are struggling to establish financial support policies due to their increasing numbers of retired people. In particular, the increase in middle-aged retirees has been reported as unusual and influenced by various factors. This study aimed to identify the subjective health conditions of middle-aged retirees and explore the factors that help provide basic data for developing health-related programs for them.

Methods: This cross-sectional study was conducted among 7,893 people who participated in the 6^th Korean Longitudinal Study of Aging in 2016. Among them, the data of 315 participants were analyzed. A theoretical framework guided the use of multiple regression analysis to examine the factors related to the subjective health status of middle-aged retirees.

Results: The significant factors influencing the subjective health status were socioeconomic status (middle/high: β=.14, P=.005), number of chronic diseases (β=-.11, P=.035; above 2: β= -.38, P<.001), depression (β = -.17, P<.001), and retirement satisfaction (β=.32, P<.001).

Conclusion: This study can help policymakers create effective retirement programs for middle-aged individuals and re-socialize them by enhancing physical and psychological support.

Background: Nipah virus is a pathogenic virus of ruinous zoonotic potential with inflated rate of mortality in humans.

Methods: Considering the emerging threat of this pandemic virus, the present investigation amid to design vaccine by using the bioinformatics tools such as host and virus codon usage analysis, CD8+ peptide prediction, immunogenicity/allergenicity/toxicity, MHC-I allele binding prediction and subsequent population coverage and MHC-I-peptide docking analysis.

Results: In this study (conducted in 2022 at School of Biotechnology, Katra, India), a set of 11 peptides of the structural proteins of Nipah Virus were predicted and recognized by the set of MHC-I alleles that are expressed in 92% of the global human population.

Conclusion: The strong interactions between these peptides and the MHC-I protein suggest them as strong peptide candidates for the development of vaccine against Nipah Virus.

Background: We aimed to determine the differences in physical fitness between older adults with and without indicators of possible sarcopenia and the associations between possible sarcopenia and fear of falling.

Methods: Individuals aged >75 years living in Harbin City, China in 2023 were recruited through a local community center. The presence of possible sarcopenia was defined using the Asian Working Group for Sarcopenia 2 criteria via grip strength measurement, with cut-off points of >28 kg for men and >18 kg for women. Physical fitness, gait ability tests, and a fear of falling questionnaire were administered. An independent t-test was used to compare differences in physical fitness and gait between individuals with and without possible sarcopenia. Multivariate logistic regression was used to investigate the association between possible sarcopenia and fear of falling.

Results: The possible sarcopenia group had lower extremity strength, flexibility, and aerobic endurance than the group without possible sarcopenia (P<0.001). Regarding dynamic balance, the time taken was longer in the possible sarcopenia group (P<0.001). There was also a difference in gait ability and fear of falling between the two groups (P<0.001). Compared to individuals without possible sarcopenia, those with possible sarcopenia had significantly increased odds ratios for fear of falling (odds ratio, 9.66; 95% confidence interval, 4.06-22.98).

Conclusion: Possible sarcopenia based on the grip strength criterion was associated with decreased physical fitness and gait performance in Chinese community-dwelling older adults.

Background: Phlebotomy has been used as a non-pharmacological treatment for different types of diseases, regarding the philosophy of humors in traditional medicines, such as Persian Medicine. However, according to the narrow-approved indications for phlebotomy in Western Medicine, we aimed to systematically summarize high-level of evidence on safety and efficacy of phlebotomy in treatment of human diseases.

Methods: In this umbrella review, to identify meta-analysis studies of clinical trials on phlebotomy, four electronic databases, including PubMed, web of science, Scopus, and Cochran library were searched until Jun 18, 2022 with relevant keywords for 'phlebotomy' and 'meta-analysis' according to PRISMA guidelines and PICO questions. After excluding irrelevant studies, data on subject characteristics, method of intervention, and adverse events were extracted. To evaluate the quality of the methodology of the systematic reviews, AMSTAR2 scale was utilized.

Results: From 327 identified studies, 7 full texts met the inclusion criteria, consisting of 56 clinical trials on 5648 subjects. These meta-analysis studies reported effects of phlebotomy on hypertension, acute gouty arthritis, skin disease (chronic urticaria and porphyria), and liver diseases (non-alcoholic fatty liver disease, chronic hepatitis C, and liver surgery). Our results showed significant improvements in different outcomes, while the most common adverse event was hematoma.

Conclusion: The level of evidence on the efficacy and safety of phlebotomy in some specific health conditions was substantial; however, to investigate the efficacy and safety of phlebotomy in management of other health problems more clinical studies with high sample sizes are needed.

Background: Salivary compounds can be used as diagnostic markers for changes in the oral cavity that cause oral problems in type 2 diabetes mellitus (T2DM).

Methods: This meta-analysis searched PubMed/Medline, EMBASE, Scopus and Cochrane Library, and the Web of Science until Nov 2023. The observational studies included patients with T2DM and healthy controls aged > 18 yr with no oral health problems or systematic or periodontal diseases. The Quality in Prognostic Studies (QUIPS) tool was used to evaluate the risk of bias. The random-effects model was constructed using standardized mean differences (SMD).

Results: The meta-analysis analyzed 13 observational studies that included 519 patients with T2DM and 356 healthy controls. Non-fasting periods of 30 min to 8 h were used to measure salivary profiles. Overall, salivary proinflammatory mediators favored patients with T2DM (SMD: 1.66; CI_95%: 0.42, 2.91, P<0.01) compared with healthy subjects. Subgroup analysis revealed that interleukin-6 (SMD: 1.33; CI_95%: -0.04, 2.69, P<0.05), followed by interleukin-8 (SMD: 0.92; CI_95%: -0.71, 2.55, P<0.13), was greater in patients with T2DM than in healthy subjects. Among patients with T2DM, network analysis identified salivary factors most closely associated with male sex (i.e., tumor necrosis factor), female sex (i.e., interleukin-8), fasting plasma glucose (i.e., C-reactive protein), HbA1c (i.e., IL-8), and age (i.e., C-reactive protein).

Conclusion: Overall, salivary IL-6 levels were greater in patients with T2DM and might be considered for monitoring oral changes. Moreover, network analysis could identify different salivary components that were most closely associated with patient characteristics.

Background: The aim was to explore the relationships among employment pressure, ego depletion, negotiable fate, and recent graduates' suicidal ideation during the COVID-19 pandemic.

Methods: A total of 2703 recent graduates completed two times questionnaires that measured employment pressure, ego depletion, negotiable fate and suicidal ideation in the current study.

Results: 1) employment pressure positively predicts suicidal ideation among recent graduates; 2) ego depletion mediates the association between employment pressure and recent graduates' suicidal ideation; and 3) negotiable fate moderates the associations of employment pressure with ego depletion and suicidal ideation, while the relationships of employment pressure with ego depletion and suicidal ideation are stronger for recent graduates with a strong belief in negotiable fate.

Conclusion: Ego depletion and negotiable fate play a significant role between employment pressure and recent graduates' suicidal ideation during the COVID-19 pandemic. This still needs to be noted in the post-epidemic era.