ORIGINAL_ARTICLE
Factors Related to Genetic Disorders and Congenital Anomalies in Nogab Village of South Khorasan Province
Background:Congenital malformations are defects that are present at birth. The purpose of the present study was to determine the status of congenital malformations and their risk factors in Noghab village, South Khorasan Province.Methods:In this case-control study, 152 cases with congenital anomalies and 152 controls were enrolled. A researcher-made checklist and face-to-face interviews were used to record patient data. Chi-square test, Mann-Whitney U, and univariate and multivariate logistic regression in SPSS 22 were used for statistical analysis.Results:One hundred and nineteen (72.5%) patients were male. The overall prevalence of congenital abnormalities in the village was 4.5%. The most prevalent types of disorders were neurological (35.4%) and multiple abnormalities (30.5%). According to multivariate logistic regression, consuming barberries daily during pregnancy, having first-degree relatives with anomalies, daily use of herbal medicine and weekly consumption of pickled vegetables during pregnancy, and the existence of a chronic disease in the father were significantly associated with congenital disorders in the offspring.Conclusion:In addition to the previously known risk factors for congenital malformation, consumption of barberries, herbal medicine and pickled vegetables during pregnancy, might be risk factors for congenital anomalies. These products should be used with caution in pregnant women.
https://jhad.kmu.ac.ir/article_91580_7902421ca127cf8477bf7088a72b27fe.pdf
2021-02-01
1
9
10.22062/jhad.2021.91580
Genetic disorders
Congenital anomalies
Barberry
Prevalence
Iran
Mohammad Esmaeil
Masinaei Nejad
1
MSc, Neurology Research Center, Kerman University of Medical Sciences, Kerman, Iran
AUTHOR
Narges
Khanjani
n_khanjani@kmu.ac.ir
2
Professor, Environmental Health Engineering Research Center, Kerman University of Medical Sciences, Kerman, Iran
LEAD_AUTHOR
Maryam
Khodadadi
3
Assistant Professor, Social Determinants of Health Research Cancer, Birjand University of Medical Sciences, Birjand, Iran
AUTHOR
Esmail
Najafi
4
MSc, Department of Epidemiology and Biostatistics, School of Public Health, Kerman University of Medical Sciences, Kerman, Iran
AUTHOR
ORIGINAL_ARTICLE
An Epidemiological Survey of Scorpion Sting in Five Counties of North Khorasan Province, Iran, From 2007 to 2018
Background:Scorpion sting (SS) is an important public health hazard that may cause a potentially lethal condition especially in tropical and sub-tropical regions. Although scorpions are locally abundant in some parts of North Khorasan Province, SS has been poorly studied in this region. The current survey was carried out to investigate the epidemiological aspects of SS in North Khorasan Province, Iran.Methods:This cross-sectional descriptive-analytic study collected and analyzed the data of SS cases admitted to medical centers of different counties in North Khorasan Province including Bojnurd, Shirvan, Esfarayen, Jajarm, and Raz from 2007 to 2018. The descriptive statistical analyses were carried out with SPSS software (version 24), and logistic regression analyses were performed using the STATA software.Results:During the study period, 540 SS cases were admitted to hospitals, of whom 44 persons were hospitalized, and nearly half of them were male (50.2%). Most SS cases occurred indoors (58.4%). The mean age of the patients was 35±18.0 years. Furthermore, the annual number of SS cases varied with an increase in 2013. The most common site of the sting was in the hands (41.8%) followed by feet (40.5%). The most common time for SS occurrence was 12 a.m. to 6 a.m. (38%). The majority of victims admitted to the hospital less than 3 hours after the sting (84.6%) and all of them were recovered. The results of multiple regression analysis indicated that the risk of hospitalization in people who had more than one bite was significantly higher than those who had been bitten once.Conclusion:Given the low average number of SS cases reported in the area compared to the south of Iran, SS does not seem to be an important health issue in this area except for Jajarm County.
https://jhad.kmu.ac.ir/article_91581_2db40785d3ce391a55b1699b8ad7b49a.pdf
2021-02-01
10
16
10.22062/jhad.2021.91581
Scorpion sting
Epidemiology
Iran
North Khorasan
Faranak
Firoozfar
nicelife9294@gmail.com
1
1- Instructor, Vector-Borne Diseases Research Center, North Khorasan University of Medical Sciences, Bojnurd, Iran 2- Instructor, School of Health, North Khorasan University of Medical Sciences, Bojnurd, Iran
AUTHOR
Masoomeh
Taherpour
mtp_may1980@yahoo.com
2
Instructor, School of Health, North Khorasan University of Medical Sciences, Bojnurd, Iran
AUTHOR
Kourosh
Arzamani
arzamanik@gmail.com
3
Assistant Professor, Vector-Borne Diseases Research Center, North Khorasan University of Medical Sciences, Bojnurd, Iran
AUTHOR
Sayed Ahmad
Hashemi
hashemya@yahoo.com
4
Assistant Professor, Vector-Borne Diseases Research Center, North Khorasan University of Medical Sciences, Bojnurd, Iran
AUTHOR
Ensieh
Mohammad Doust
fatytany2510@yahoo.com
5
BSc in Public Health, Student Research Committee, North Khorasan University of Medical Sciences, Bojnurd, Iran
AUTHOR
Hamid Reza
Shoraka
hamidrezashoraka@yahoo.com
6
PhD in Epidemiology, Vector-Borne Diseases Research Center, North Khorasan University of Medical Sciences, Bojnurd, Iran
AUTHOR
Fatemeh
Kouhestani
f.kouhestani2015@gmail.com
7
MSc in Medical Entomology, Vector-Borne Diseases Research Center, North Khorasan University of Medical Sciences, Bojnurd, Iran
LEAD_AUTHOR
ORIGINAL_ARTICLE
The Impact of Health Expenditure Shocks and Real Exchange Rates on the Value-added of the Iranian Health Sector
Background:The health sector directly contributes to economic growth and paves the way for the development of other economic sectors. This study investigates the short-term and long-term effects of health expenditure shocks and real exchange rate fluctuations, as well as the symmetry and asymmetry of these shocks on the logarithm of value-added of the health sector in the Iranian economy.Methods:The data related to the research variables were extracted from the website of the Central Bank of Iran (CBI) and the website of the World Bank. Using Eviews software (version 9) and applying the Hodrick-Prescott (HP) filter, health expenditure and real exchange rates were assessed as predictable and unpredictable shocks. Then, unpredictable shocks were decomposed into positive and negative components. In the next step, shocks were specified on the logarithm of value-added in the health sector along with control variables for the time period of 1973 to 2014.Results:Estimation of asymmetric health expenditure model and real exchange rate for the logarithm of value added of the health sector indicated different effects of health expenditure shocks in the short run and the symmetry of these shocks in the long run. But the effect of real exchange rate shocks on the logarithm of value added in the health sector in the short run and the persistence of these shocks in the long run were asymmetric and significant.Conclusion:The effectiveness of health expenditure shocks on value added of the health sector in the short run is the basis for the growth of the country's macroeconomy and the effectiveness of real exchange rate shocks on the Iranian health sector, both in the short and long run, marks this variable as an important factor in the economic policies of the health sector.
https://jhad.kmu.ac.ir/article_91582_7ddd777cc0892503dcebd09933fc2689.pdf
2021-02-01
17
29
10.22062/jhad.2021.91582
Health expenditure
Real exchange Rates
Health sector Value-Added
Econometric models
Akram
Roozdar
akram.roozdar@yahoo.com
1
PhD Student, Department of Health Services Management, Behbahan Faculty of Medical Sciences, Behbahan, Iran
LEAD_AUTHOR
Gholamreza
Badfar
2
Assistant Professor, Department of Pediatrics, Behbahan Faculty of Medical Sciences, Behbahan, Iran
AUTHOR
ORIGINAL_ARTICLE
Outpatients’ Satisfaction with Medical Services Offered by Specialist Physicians in Kerman in 2019
Background:The present study evaluated outpatients’ satisfaction with the quality of medical services delivered by specialized physicians in Kerman.Methods:In this descriptive-analytical cross-sectional study, a questionnaire validated in previous studies was administered to the patients to assess their satisfaction using a score ranging from 0 (lowest) to 20 (highest). The patients (n = 140) were selected using simple random sampling from among the patients at medical offices of specialized physicians in Kerman. The data were analyzed using SPSS software (version 18) through independent samples t-test and one-way ANOVA.Results:The patients’ mean score for the overall satisfaction with the quality of medical services was 12.31±0.40 out of 20. The most influential factors that decreased the patients’ satisfaction were the patient’s waste of time in the office (8.62 ± 0.49), the behaviour of the secretaries with the patients (11.18±0.51), and the treatment costs (9.95±0.49). The male patients were less satisfied with the wait time for appointments than the female patients (p = 0.013). The mean score for overall satisfaction among local people was higher than among non-local people (p = 0.049). Besides, the patients with higher education were more satisfied than the patients with less education (p <0.05).Conclusion:The results indicated that patients’ dissatisfaction with the quality of medical services, especially time management, secretaries’ behaviour with patients, and the costs of treatment by specialist physicians in Kerman are management problems that need to be solved to improve the quality of medical services.
https://jhad.kmu.ac.ir/article_91583_cf5d15ad36d1a0074da5fa04449dd6f1.pdf
2021-02-01
30
38
10.22062/jhad.2021.91583
Satisfaction
Outpatients
Specialist
Ali
Masoumi
1
Medical Student, Afzalipour Faculty of Medicine, Kerman University of Medical Sciences, Kerman, Iran
AUTHOR
Hossein Ali
Ebrahimi Meimand
hebrahimi@kmu.ac.ir
2
Professor, Department of Neurology, Neurology Research Center, Kerman University of Medical Sciences, Kerman, Iran
LEAD_AUTHOR
Farangis
Arjomandi
3
General Physician, Kerman Insurance Organization, Kerman, Iran
AUTHOR
ORIGINAL_ARTICLE
The Effect of Self-Acceptance Group Therapy on Students with Social Anxiety
Background:Social anxiety is one of the most common psychological disorders that restrict the abilities of the affected people and cause various problems for them in social and performance-related situations. The objective of the present study was to investigate the effect of self-acceptance group therapy (SAGT) on students suffering from social anxiety.Methods:This interventional study employed a pretest-posttest design with one control group and a one-month follow-up. The research population consisted of all students with social anxiety who were studying at the University of Mohaghegh Ardabili during the academic year 2018-2019. Thirty-six students were selected based on their scores on Conor’s Social Phobia Inventory (SPIN) and information from structured interviews and were randomly assigned to the intervention group and control group (each with 18 members). The participants in the intervention group attended ten self-acceptance training sessions, but the participants in the control group did not receive any intervention. In addition to the post-intervention assessment, the participants in both groups underwent a one-month follow-up. Data were analyzed using repeated-measures analysis of variance (ANOVA) and independent samples t-test via SPSS software (version 22).Results:The results showed that self-acceptance group therapy (SAGT) reduced social anxiety in the intervention group at the posttest and follow-up stages. However, no statistically significant difference was observed in social anxiety reported by the members of the control group at different stages.Conclusion: The findings of this study confirmed the results of previous studies and has provided the preliminary basis for the use of this treatment. Future studies can further explore the effectiveness of this technique in coping with different issues.
https://jhad.kmu.ac.ir/article_91584_8a1d4261da4b6479219b72307f2a8a9c.pdf
2021-02-01
39
45
10.22062/jhad.2021.91584
Social anxiety
Self-Acceptance
Group therapy
Students
Saeideh
Jabbari
jabbary13@gmail.com
1
MSc, Department of Psychology, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran
LEAD_AUTHOR
Sajad
Basharpour
2
Professor, Department of Psychology, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran
AUTHOR
Mohammad
Narimani
3
Professor, Department of Psychology, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran
AUTHOR
ORIGINAL_ARTICLE
The Spatial Analysis of the Effect of Off-Farm Income on the Food Security of Rural Households in Iran: Application of a Spatial Econometric Approach with Panel Data
Background:Providing food security to rural households is one of the goals pursued in national development plans. Therefore, off-farm income provides more financial resources to rural households and thus increases their food security. Given the role of food security in human health and development, the present research aims to explore the spatial effects of off-farm income on the food security of rural households in all provinces of Iran.Methods:The status of food security of rural households in Iran was determined using data from 206963 Household Income and Expenditure Surveys and the recommended dietary for the Iranian population. Besides, the effectiveness of off-farm income on food security of rural families along with other effective factors was investigated the first time using the panel spatial autoregressive (SAR) model for the period from 2006 to 2016 with Stata software.Results:The results from the SAR model suggested that off-farm income has a positive and significant effect on the rural food security index. On the other hand, the significant value of the spatial lag coefficient of the dependent variable confirmed the existence of spatial effects, indicating that off-farm income has a positive and significant effect on food security.Conclusion:Given that agricultural activities are mainly seasonal, off-farm activities along with conventional agricultural activities can improve the food security of rural households and prevent their migration to cities.
https://jhad.kmu.ac.ir/article_91585_9b24de39901daa8c67da04050138a022.pdf
2021-02-01
46
55
10.22062/jhad.2021.91585
Food security
Off-farm income
Spatial panel
Alirezar
Rahbar Dehghan
1
PhD Candidate, Department of Agricultural Economics, Faculty of Agriculture, Shahid Bahonar University of Kerman, Kerman, Iran
AUTHOR
Hossein
Mehrabi Boshrabadi
hmehrabi@uk.ac.ir
2
Professor, Department of Agricultural Economics, Faculty of Agriculture, Shahid Bahonar University of Kerman, Kerman, Iran
LEAD_AUTHOR
Seyyed Abdolmajid
Jalaee Esfandabadi
3
Professor, Department of Economics, Faculty of Management and Economics, Shahid Bahonar University of Kerman, Kerman, Iran
AUTHOR
Mohammad Reza
Zare Mehrjerdi
zare@uk.ac.ir
4
Assistant Professor, Department of Agricultural Economics, Faculty of Agriculture, Shahid Bahonar University of Kerman, Kerman, Iran
AUTHOR
ORIGINAL_ARTICLE
Evaluation of Women's Self-Esteem during Pregnancy and Factors Affecting It
Background:Self-esteem is a key psychological factor that helps facing challenges such as pregnancy and childbirth and can affect maternal and neonatal outcomes. The present study aims to explore self-esteem and factors affecting it in pregnant women.Methods:This descriptive-analytical cross-sectional study was conducted on 358 pregnant women referred to comprehensive health centers in Qazvin. The data were collected using a demographic-midwifery questionnaire and the Rosenberg Self-Esteem Scale. Besides, as the data were not normally distributed, Spearman, Mann-Whitney U, and Kruskal-Wallis tests were used to analyze the data.Results:The participants' self-esteem mean score was 25.58±5.97 (out of 30). The participants’ self-esteem score had a negative significant correlation with their partner’s age (p = 0.029), number of pregnancies (p = 0.004), and number of children (p = 0.015), and a positive significant correlation with the participants’ education (p = 0.019). Besides, the self-esteem score was related to planned pregnancy reported by the wife (p = 0.032) and the partner (p = 0.044), and the abortion of the current pregnancy (p = 0.040). Moreover, there was a higher level of self-esteem among the women who had no abortion.Conclusion:The present study showed that there are factors that can affect the self-esteem of pregnant women. Accordingly, women's self-esteem can be improved during pregnancy by providing counseling services by health care providers in clinics and identifying women who have low self-esteem risk factors.
https://jhad.kmu.ac.ir/article_91586_8b1374e78ad8f3ec79defdef8af0c708.pdf
2021-02-01
56
63
10.22062/jhad.2021.91586
Self-esteem
Pregnancy
Women
Somayeh
Ghelichkhani
ghsomayeh5473@yahoo.com
1
BSc in Midwifery, Student Research Committee, Qazvin University of Medical Sciences, Qazvin, Iran
AUTHOR
Leila
Ghalandari
ghalandari.leila@yahoo.com
2
BSc in Midwifery, Student Research Committee, Qazvin University of Medical Sciences, Qazvin, Iran
AUTHOR
Yeganeh
Chavoshi
yeganehchavoshi@gmail.com
3
BSc in Midwifery, Student Research Committee, Qazvin University of Medical Sciences, Qazvin, Iran
AUTHOR
Maryam
Momeni
momeni65@gmail.com
4
Assistant Professor, Social Determinants of Health Research Center, Qazvin University of Medical Sciences, Qazvin, Iran
AUTHOR
Farnoosh
Moafi
f.moafi.sbmu@gmail.com
5
Instructor, Social Determinants of Health Research Center, Qazvin University of Medical Sciences, Qazvin, Iran
LEAD_AUTHOR
ORIGINAL_ARTICLE
Detection of Minced Red Meat Mixing Adulteration via Molecular and Histological Techniques in Mashhad, Iran
Background:Meat is an important source of protein and due to its high economic value, there is a possibility of using other animals’ tissues and cross-species adulteration to reduce its price. The meat industry has the highest potential for adulteration among food groups, since the raw materials are not identifiable after mixing, making the detection of food adulteration a necessity.Methods:In this study, 14 samples of minced red meat from 14 butcher shops in Mashhad were randomly selected, collected, and analyzed using histological and molecular techniques. For histological analysis, the samples were prepared according to the usual methods and the prepared sections were stained using conventional and tissue-specific staining. Molecular analysis was performed using the Real-time PCR technique. The data were analyzed using Rotor-Gene Q software 2.3.5.Results:The histological analysis confirmed the presence of gizzard and chicken skin in addition to skeletal muscle, smooth muscle, and adipose tissue in the minced red meat samples. Furthermore, the molecular analysis confirmed the use of chicken meat or chicken waste in a number of samples by confirming chicken DNA.Conclusion: Histological and molecular techniques confirmed the presence of chicken tissues in some minced red meat samples, which may have been used to reduce the price of minced red meat but is considered as food adulteration.
https://jhad.kmu.ac.ir/article_91587_93ad8b7d387532226f008ff736873b76.pdf
2021-02-01
64
73
10.22062/jhad.2021.91587
Red meat
White meat
Food adulteration
histology
Molecular method
Nasser
Darban Maghami
1
PhD Candidate, Department of Basic Sciences, School of Veterinary Medicine, Ferdowsi University of Mashhad, Mashhad, Iran
AUTHOR
Abolghasem
Nabipour
nabipour@um.ac.ir
2
Professor, Department of Basic Sciences, School of Veterinary Medicine, Ferdowsi University of Mashhad, Mashhad, Iran
LEAD_AUTHOR
Mohammad
Mohsenzadeh
3
Associate Professor, Department of Food Hygiene and Aquaculture, School of Veterinary Medicine, Ferdowsi University of Mashhad, Mashhad, Iran
AUTHOR
Maryam
Torabi
4
PhD, Laboratory of Veterinary Office in Khorasan-e Razavi, Mashhad, Iran
AUTHOR