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- Peyravi, Mahmoudreza, et al.
(author)
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An Overview of the Strengths and Challenges Related to Health on the First 10 Days after the Large Earthquake in the West of Iran, 2017
- 2019
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In: Iranian Journal of Public Health. - : Knowledge E. - 0304-4556 .- 2251-6093 .- 2251-6085. ; 48:5, s. 963-70
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Journal article (peer-reviewed)abstract
- The objective of the present study was to investigate the strength and weaknesses of healthcare management during the first 10 days after the earthquake in Sarpol-e Zahab in Kermanshah, Iran. Methods: This qualitative, observational study was conducted on November 13-23, 2017 in the disaster area, by using content analysis. Data was collected through experts and focus group interviews with professional and healthcare staff, and policy-makers. Results: Our findings were categorized into 7 major groups; environmental health; mental health; mothers, infants and children’s health; field hospital; nutrition; contagious diseases; drug delivery. There were good cooperation and coordination regarding environmental health issues. However, other categories were handled by different organizations and resulted in a chaotic situation. Conclusion: The post-earthquake period is overwhelmed with considerable issues regarding the care of victims and therapeutic measures. Lack of quick, reliable, and appropriate management will result in extensive health issues, including epidemic, worsening of chronic diseases, and exacerbation of mental disorders.
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- Forouzan, Ameneh Setareh, et al.
(author)
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Service users and providers expectations of mental health care in Iran : a qualitative study
- 2013
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In: Iranian Journal of Public Health. - 2251-6085. ; 42:10, s. 1106-1116
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Journal article (peer-reviewed)abstract
- Background: Mental disorders are known to be an important cause of disabilities worldwide. Despite their importance, about two thirds of mentally ill people do not seek treatment, probably because of the mental health system's inability to decrease the negative side effects of the interaction with the mental health services. The World Health Organization has suggested the concept of responsiveness as a way to better understand the active interaction between the health system and the population. This study aimed to explore the expectations of mental health service users and providers.Methods: Six focus group discussions were carried in Tehran, the capital of Iran. In total, seventy-four participants comprising twenty-one health providers and fifty-three users of mental health system were interviewed. Interviews were analyzed through content analysis. The coding was synchronized between the researchers through two discussion sessions to ensure the credibility of the findings. The results were then discussed with two senior researchers to strengthen plausibility.Results: Five common domains among all groups were identified: accessibility, quality of interpersonal relationships, adequate infrastructure, participation in decisions, and continuity of care. The importance of cultural appropriateness of care was only raised by service users as an expectation of an ideal mental health service.Conclusions: Both users and providers identified the most relevant expectations from the mental health care system in Iran. More flexible community mental health services which are responsive to users? experiences may contribute to improving the process of care for mental health patients.
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- Nazemi, L., et al.
(author)
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Depression, Prevalence and Some Risk Factors in Elderly Nursing Homes in Tehran, Iran
- 2013
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In: Iranian Journal of Public Health. - 2251-6085. ; 42:6, s. 559-569
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Journal article (peer-reviewed)abstract
- Background: The most common geriatric psychiatric disorder is depression, known to be a multi factorial disorder. However, the influence of common preventable factors is yet to be discovered. This study was designed to evaluate the prevalence of depression and some possible risk factors in elderly residents of nursing homes in Iran. Methods: Data on demographic characteristics, nutritional and health status of 244 residents aged 60 years or older were collected from seventeen nursing homes in Tehran, Iran, during 2010 to 2012. Depression was assessed and classified according to the 15-item GDS. Univariate and then multivariate complex sample survey ordinal regression analysis was performed to investigate the association between depression and the risk factors. Results: The average age of the 244 cases studied was 75.8 (+/- 8.7) years, 53.3% were female (of whom 74.2% were housewives), 43.4% illiterate, and 32.0% were divorced or were living separately. The percentages of non-depressed, mild, moderate and severe depression were 9.8%, 50.0%, 29.5% and 10.7%, respectively. Multivariate analysis showed that dissatisfaction with personnel of nursing homes and food quality had odds ratios of 2.91 (1.33-6.36) and 2.64 (1.44-4.87), corresponding to greater odds of having a higher grade depression. Moreover, those who rested or walked had significantly higher risk of a more severe depression in comparison with those who did not (OR of 2.25 (1.50-3.38) and 1.98 (1.24-3.18), respectively), however, studying had a protective odds ratio of 0.17 (0.13-0.22). Conclusion: Depression was very common in our sample and their lifestyle influenced its prevalence.
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| 8. |
- Nazemi, L., et al.
(author)
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Malnutrition, Prevalence and Relation to Some Risk Factors among Elderly Residents of Nursing Homes in Tehran, Iran
- 2015
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In: Iranian Journal of Public Health. - 2251-6085. ; 44:2, s. 218-227
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Journal article (peer-reviewed)abstract
- Background: Malnutrition and dehydration are two most common types of ailments residents of nursing homes (NH) prone to. It is very important to assess these problems because they can predispose the residents to severe illnesses. The aim of this study was to gather information on nutritional status and its associated risk factors in elderly residents of NHs in Tehran, Iran. Methods: From 16 NHs in Tehran, 263 residents were randomly selected. Data were collected via questionnaires, including demographic characteristics, past medical history, present health problems and daily routines. The MNA questionnaire was used to gather information regarding their nutritional status. Results: The present study showed that 10.3% of the elderly residents in nursing homes were malnourished. 66.4% of males and 70.8% of females were at risk of malnutrition. Multivariate analysis showed that after adjusting for confounders the following elderly-related factors were the independent risk factors of malnutrition: consuming half or less than of the food (OR=8.0, 95% CI=3.7-17.7), having no teeth or good prosthesis (OR=1.7, 95% CI=1.1-2.7), diabetes (OR=1.6, 95% CI=1.1-2.4), smoking (OR=0.6, 95% CI=0.3-1.2), studying (OR=0.4 95% CI=0.2-0.9) and praying in their free time (OR=1.8 95% CI=1.2-2.6). Conclusion: The subjects' health-related factors and their free-time activities and nutritional behavior are the most important factors associated with poor nutrition among elderly residents of NHs; however, further investigation is needed to clarify the role of other factors in maintaining a suitable nutritional plan for them. BASI AA, 1993, JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, V41, P117
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- Plamadeala, Cristina, et al.
(author)
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Micronuclei versus Chromosomal Aberrations Induced by X-Ray in Radiosensitive Mammalian Cells
- 2015
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In: Iranian Journal of Public Health. - 2251-6085. ; 44:3, s. 325-331
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Journal article (peer-reviewed)abstract
- Background: An experimental study was accomplished to compare estimation methods of ionizing radiations genotoxicity in mammalian cell cultures by means of two cytogenetic parameters with focus on aberrant cells characterized by multiple chromosomal damages. Methods: In vitro study was carried out on the genotoxicity of low-medium doses of 190 kV X-rays absorbed in Chinese hamster ovary cell cultures. Micronuclei and ten types of chromosomal aberrations were identified with Giemsa dying and optical microscope screening. Results: The first parameter consisting in micronuclei relative frequency has led to higher linear correlation coefficient than the second one consistent with chromosomal aberrations relative frequency. However, the latter parameter estimated as the sum of all chromosomal aberrations appeared to be more sensitive to radiation dose increasing in the studied dose range, from 0 to 3 Gy. The number of micronuclei occurring simultaneously in a single cell was not higher than 3, while the number of chromosomal aberrations observed in the same cell reached the value of 5 for doses over 1 Gy. Conclusion: Polynomial dose-response curves were evidenced for cells with N-i micronuclei (i= 1,3) while non-monotonic curves were evidenced through detailed analysis of aberrant cells with N-i chromosomal changes (i = (1,5) over bar) - in concordance with in vitro studies from literature. The investigation could be important for public health issues where micronucleus screening is routinely applied but also for research purposes where various chromosomal aberrations could be of particular interest.
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