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Medical Journal of the Islamic Republic of Iran

Joseph E Dib, Clive E Adams, Francois Kazour, Fouad Tahan, Georges Haddad, Chadia Haddad, Souheil Hallit
Background: Violent patients constitute 10% of all psychiatric admissions. Treatment options and clinical practice interventions vary across the globe and no survey of practice in a Middle Eastern setting exists. Surveying treatments in Lebanon will show treatment interventions used in this part of the world and, most importantly, provide the treatment options that could potentially be used for clinical trials pertaining to emergency psychiatry. Methods: A survey of clinicians' opinions and practice was conducted between July and August 2017 at the largest psychiatric hospital in Lebanon...
2018: Medical Journal of the Islamic Republic of Iran
Satar Rezaei, Mohammad Hajizadeh, Hamed Zandian, Afshin Fathi, Bijan Nouri
Background: This study aimed to explore service quality in Iranian hospitals by a systematic review and meta-analysis of the existing literature. Methods: The literature search in the international (PubMed, Scopus, and the ISI) and Iranian (SID, Iranmedex, and Magiran) scientific databases was conducted to identify studies (published in English and Persian) used the service quality gap (SERVQUAL) model to examine service quality in Iranian hospitals between 2000 and 2016. The databases were searched using a combination of the following keywords: "hospital service quality", or "healthcare service quality", and "SERVQUAL model", or "gap model", and "Iran"...
2018: Medical Journal of the Islamic Republic of Iran
Sanaz Heydarvand, Masoud Behzadifar, Hasan Abolghasem Gorji, Meysam Behzadifar, Maryam Darvishnia, Nicola Luigi Bragazzi
Background: Visit length is an indicator that can be used to assess patients' satisfaction of the health care services. In recent years, some studies have focused on the mean visit time in Iran. This study aimed at determining the average visit time in Iran by performing a systematic review and meta-analysis. Methods: In this study, Embase, PubMed/MEDLINE, Scopus, ISI/Web of Science databases, and Google Scholar search engine, as well as Iranian national databases/thesauri, such as MagIran, SID, and Irandoc were used...
2018: Medical Journal of the Islamic Republic of Iran
Shervan Shoaee, Pegah Khazaei, Fatemeh Mashhadiabbas, Masoud Varshosaz, Farshad Sharifi, Hossein HessarI
Background: Impacted tooth is common in dental practice. Dentists usually remove them if they are associated with any pathologic sign or symptom. The challenge is whether to extract the asymptomatic tooth or not. This study was conducted to determine the association between developmental odontogenic cysts and tumors and impacted and unerupted teeth, if left untreated. Methods: In this matched case-control study, 262 participants were recruited in case and control groups to evaluate the association between the presence of odontogenic cyst and tumors and unerupted and impacted teeth in patient records in the School of Dentistry, Shahid Beheshti University of Medical Sciences during 2000-2002...
2018: Medical Journal of the Islamic Republic of Iran
Zahra Kavosi, Hamed Rahimi, Saeideh Khanian, Payam Farhadi, Erfan Kharazmi
Background: Outsourcing is considered as one of the tools for organizational development and promotion of productivity by managers. In recent years, outsourcing of healthcare services has become significant. The aim of this study was to identify the most important factors influencing the decision making of outsourcing healthcare services. Methods: This study is a combined study. First, the literature was examined to identify the factors influencing decision making for outsourcing. Then, with the aim of consensus on the most important factors affecting the decision making of outsourcing in health services, the panel of experts and Delphi technique were used...
2018: Medical Journal of the Islamic Republic of Iran
Hojjat Rahmani, Ali Sarabi Asiabar, Somayeh Niakan, Seyed Yaser Hashemi, Ahmad Faramarzi, Sahar Manuchehri, GHasem Rajabi Vasokolaei
Background: Iran is located in Asian esophageal cancer belt, with age-standardized incidence rate (ASR) of approximately 7 per 100,000 for both men and women. To provide potential solution recommendations for achieving accurate estimations regarding the burden of the disease in Iran, we designed a study to assess the burden of esophageal cancer in Iran during 1995-2015 by collecting data from the Global Burden of Disease studies. Methods: Data were extracted from the Global Burden of Disease (GBD) during 1995-2015, which were published by the Institute for Health Metrics and Evaluation...
2018: Medical Journal of the Islamic Republic of Iran
Hamideh Sabet Rohani, Alireza Ahmadvand, Gholamreza Garmaroudi
Background: Reviewing the reproductive health indicators (RHIs) provides the possibility of periodic health system performance evaluation to achieve balanced development. This study aimed to determine the trend of ten reproductive health indicators changes during 2002-2011, and examining their relationship with the Human Development Index (HDI). Methods: In this ecological study the trend of ten reproductive health indicators from five selected provinces of Iran were mapped. Then the relationship of these ten indicators with HDI was investigated using non parametric Spearman's rank correlation coefficient in SPSS v...
2018: Medical Journal of the Islamic Republic of Iran
Maryam Honardoost, Azam Rajabpour, Ladan Vakili
Molecular epidemiology is a subdivision of medical science and epidemiology that emphases on the involvement of potential environmental and genetic risk factors, recognized at the molecular level, to the etiology and avoidance of sickness through populations. This arena has developed from the combination of molecular biology and traditional epidemiological research. Molecular epidemiology can improve our knowledge about the precise pathogenesis of disease through recognizing particular pathways that affect the risk of developing the disease...
2018: Medical Journal of the Islamic Republic of Iran
Jalal Arabloo, Sogand Tourani, Hamid Ravaghi
Background: Tobacco consumption is still considered as the first preventable cause of death in the world. In order to influence tobacco policy process, researchers and policymakers must use frameworks of policy-making to understand the process to provide them insights for influence the process. This systematic review aims to review the application of policy analysis frameworks in the field of tobacco control. Methods: A systematic search for articles was performed using four databases (Ovid Medline, Scopus, Cochrane Library, and PubMed) up to December 19, 2016...
2018: Medical Journal of the Islamic Republic of Iran
Fariba Fathollahi-Dehkordi, Ziba Farajzadegan
Background: Studies have shown that participation of Iranian women with family history of breast cancer in screening service is low. This investigation has evaluated the effectiveness of health models according to peer group in improving clinical breast exam (CBE) among Iranian women with a family history of breast cancer. Methods: This was a randomized control trial conducted during June and August 2015 in Isfahan. A total of 54 women were assigned into intervention and 53 to control group. Women 20 years or older with an affected relative were included...
2018: Medical Journal of the Islamic Republic of Iran
Rasoul Shavaleh, Seyed Abbas Motevalian, Nader Mahdavi, Mashyaneh Haddadi, Mahmoud Reza Mohaghegh, Zahra Hamedi
Background: In Iran, Road Traffic Injuries (RTIs) is the second-leading cause of deaths, and the first leading cause of disabilityadjusted life year, and has one of the highest rates of death (32.1 per 100 000 population) all over the world. This study's aim was to investigate the epidemiological pattern and underlying components of hospitalized RTIs in 31 provinces of Iran in 2011. Methods: This study conducted on all hospitalized RTIs during one-year period (March 21, 2011 to March 21, 2012). Data extracted from a hospital-based traffic injury registration system...
2018: Medical Journal of the Islamic Republic of Iran
Azar Moezy, Azadeh Erfani, Ali Mazaherinezhad, Seyed Ali Javad Mousavi
Background: Chronic Obstructive Pulmonary Disease (COPD), in addition to its respiratory problems, is accompanied by several musculoskeletal consequences. The aim of this study is to investigate the effectiveness of eccentric exercise in the form of downhill walking (DW) on respiratory capacity, physical function and quality of life (QOL) in patients with COPD. Methods: The randomized controlled trial was carried out during 2014 - 2015 in Hazrat-e-Rasool Hospital in Tehran, Iran. The study design was as an assessor blind RCT on 32 patients with COPD that randomly assigned to the eccentric training (ET) and control (CON) groups...
2018: Medical Journal of the Islamic Republic of Iran
Ahmad Ghashghaee, Masoud Behzadifar, Samad Azari, Zeynab Farhadi, Nicola Luigi Bragazzi, Meysam Behzadifar, Sahar Sadat Saeedi Shahri, Mozhgan Sadat Ghaemmohamadi, Faezeh Ebadi, Roghayeh Mohammadibakhsh, Hesam Seyedin, Mahya Razi Moghadam
Background: Nosocomial infections represent a serious public health concern worldwide, and, especially, in developing countries where, due to financial constraints, it is difficult to control infections. This study aimed to review and assess the prevalence of nosocomial infections in Iran. Methods: Different databases were searched between January 2000 and December 2017. To determine the pooled prevalence, the stochastic DerSimonian-Laird model was used, computing the effect size with its 95% confidence interval...
2018: Medical Journal of the Islamic Republic of Iran
Hossein Ayatollahi, Mohammadhadi Sadeghian, Mohammadmahdi Kooshyar, Abass Shirdel, Hossein Rahimi, Amirhossein Jafarian, Saeide Ghazaei, Narges Soltani, Fatemeh Shams, Neda Motamedi Rad, Sepideh Shakeri
Background: Adult T cell leukemia lymphoma (ATLL) is a rare disease, significantly linked to the infection by the human T-cell lymphotropic virus 1(HTLV-1). ATLL is typically preceded by decades of clinical latency during which infected cells accumulate selectable traits leading to a malignant transformation. Amongst all the HTLV-1 infected carriers only about 3-5% will develop ATLL. Despite the intensive attempt to improve the overall survival, ATLL remains one of worse prognosis among the hematologic malignancies...
2018: Medical Journal of the Islamic Republic of Iran
Hassan Hashemi, Ali Akbar Haghdoost, Mohammad Haji-Aghajani, Ghasem Janbabaee, Ali Maher, Somayeh Noori Hekmat, Amir M Javadi, Rohaneh Rahimisadegh, Samira Emadi, Mahamad Reza Rajabalipour, Hajar Haghighi, Reza Dehnavieh, Masoud Ferdosi, Gholamreza Khademi, Mohammad Hossein Mehralhasani, Asma Sabermahani, Kaveh Nouhi Bezanjani, Abedin Iranpour, Hamidreza RashidiNejad, Fatemeh Moeen Samadani, Maryam Maki, Behzad Kalantari, Nahid Farrokhyar, Hamed Rouhanizadeh, Monireh Falakbaz, Hamid Allahyari, Mohammad Taghi Fathalian, Ali Reza Khajehmirzaei, Ali Jannati, Javad Derakhshani, Ali Rezapour, Jamal Eftekhari, Parisa Khaterneshanian Fam, Mahmoud Kazemi, Mohsen Mohammadi, Payam Rastbin, Bahareh Pirhayati, Elahe Souri, Amin Torabipour, Mohammad Keshvari, Najmeh Alikhani, Lobat Salehi, Mohammad Moradi, Saeed Aghajaniyan, Arvin Hedayati, Maryam Kargar, Leila Sharifi, Habib OmraniKhoo, Abdollah Poursamad, Noraste Amrolahi Boyuki, Zahra Zarei, Zohre Sahraei, Abdollah Keshavaez, Mahdiyeh Sadeghi, Somayae Abdollahi Sabet, Katayon Taiari, Jalil Koohpayehzadeh, Elham Moazam, Abbasali Dehghani Tafti, Seyyedeh Somaye Forghani Dehnavi, Mostafa Rezaei Barownaghi, Hossein Jafari, Somayeh Foroghifar, Masoud Arefnejad, Hossein Ebrahimipou, Mojtaba Sedaghat, Saeedeh Mehdipoor, Fariba Mollajafari, Reza Forouzan, Saeed Meskini Mood, Shrvin Sharifpour, Amin Adel, Shabnam Nirouand, Gholam Reza Ghaznavi, Reza Zamanzadeh, Khatereh Etesam, Mahdieh Dalili, Mohamad Jafari Siriz, Roodabeh Omidifar
Introduction: Hospital beds, human resources, and medical equipment are the costliest elements in the health system and play an essential role at the time of treatment. In this paper, different phases of the NEDA 2026 project and its methodological approach were presented and its formulation process was analysed using the Kingdon model of policymaking. Methods: Iran Health Roadmap (NEDA 2026) project started in March 2016 and ended in March 2017. The main components of this project were hospital beds, clinical human resources, specialist personnel, capital medical equipment, laboratory facilities, emergency services, and service delivery model...
2018: Medical Journal of the Islamic Republic of Iran
Masoumeh Erfani Khanghahi, Farbod Ebadi Fard Azar
Background: Evaluation is one of the most important aspects of medical education. Thus, new methods of effective evaluation are required in this area, and direct observation of procedural skills (DOPS) is one of these methods. This study was conducted to systematically review the evidence involved in this type of assessment to allow the effective use of this method. Methods: Data were collected searching such keywords as evaluation, assessment, medical education, and direct observation of procedural skills (DOPS) on Google Scholar, PubMed, Science Direct, SID, Medlib and Google and by searching unpublished sources (Gray literature) and selected references (reference of reference)...
2018: Medical Journal of the Islamic Republic of Iran
Khodamorad Jamshidi, Mehrdad Bahrabadi, Abolfazl Bagherifard, Mehdi Mohamadpour
Background: Giant cell tumor (GCT) of the bone is a benign neoplasm with local aggressive behavior. Distal ulna is a very rare place for GCT. Published studies have mainly focused on case reports, and thus there is no consistent treatment strategy for this tumor at this location. This retrospective study was conducted to evaluate the oncological and functional results of 2 different surgical treatment methods for GCT in distal ulna. Methods: In this study, 9 patients with GCT of distal ulna were followed after surgical treatment of GCT of distal ulna...
2018: Medical Journal of the Islamic Republic of Iran
Nader Roushan, Seyed Farshad Allameh, Omid Eslami
Ampullary neoplasms are one of the causes of obstructive jaundice. Endoscopic retrograde cholangiopancreatography (ERCP) is useful procedure for diagnosing and tissue sampling of ampullary neoplasms. Ampullectomy by resecting entire ampulla provides whole lesion for pathologic evaluation and also is appropriate for real pathologic staging for further management decision but ampullectomy considered as a heroic endoscopic procedure. We share our experience in this field and explain our results.
2018: Medical Journal of the Islamic Republic of Iran
Reza Safdari, Hamideh Ehtesham, Leila Bahadori
Background: Educational role is one of the most important roles of librarians, which has taken on wider dimensions. A review of the literature on the training programs provided by librarians revealed an evolution of the ideas and trends in this area. This systematic review aimed at providing a clear image of the available educational programs, their target groups, and the way they are performed. Methods: This systematic review was done to identify different aspects of the educational role of medical librarians...
2018: Medical Journal of the Islamic Republic of Iran
Maryam Esghaei, Mohsen Moghoofei, Mohsen Keshavarz, Hossein Keyvani, Farah Bokharaei-Salim, Mohamad Farahmand, Seyed Hamidreza Monavari
Background: Respiratory infections, especially viral infections, are the most prevalent infection affecting Hajj pilgrims. Commonly major human influenza viruses (A/H1N1, A/H3N2, and B) are responsible for these morbidities. The present study was conducted to develop a statistical report on human influenza in Hajj pilgrims. Methods: Nasal and throat samples were collected from 232 returning Iranian pilgrims in hospitals of IUMS. All samples were kept in the refrigerator at 4 °C and stored at -70 °C until RNA extraction...
2018: Medical Journal of the Islamic Republic of Iran
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