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Medical Journal of the Islamic Republic of Iran

Nahid Aboutaleb, Mitra Zarrati, Elhameh Cheshmazar, Raheleh Shokouhi Shoormasti, Elham Razmpoosh, Farinas Nasirinezhad
Background: Oxidative stress in obese people is an important pathogenic mechanism of an obesity-associated metabolic syndrome. We evaluated the association between circulating leptin levels with biomarkers of oxidative stress in overweight and obese participants. Methods: This study was performed on 189 overweight and obese people aged 18-60 years old. Serum leptin, superoxide dismutase (SOD), high-sensitivity C-reactive protein (hs-CRP), homocysteine (Hcy), thiobarbituric acid reactive substances (TBARS) and amyloid A (SAA) concentrations were measured...
2017: Medical Journal of the Islamic Republic of Iran
Mohammad Rezapour, Elnaz Payani, Masoumeh Taran, Ali Rajabzadeh Ghatari, Morteza Khavanin Zadeh
Background: A growing number of patients with End-Stage Renal Disease (ESRD) are undergoing long-term hemodialysis (HD). HD needs a vascular access (VA) and complications of VA account for a sizable proportion of its costs. One of the important cardiovascular diseases (CVD) is atherosclerosis, which is a major cause of premature deaths in the world. So, it is essential to find the risk factors to treat them before they cause an obvious CVD. Methods: We analyzed data from 174 ESRD patients who were candidate for Arterio Venous Fistula (AVF) creation from April 2008 to March 2009 in Hasheminejad Kidney Center by convenient sampling...
2017: Medical Journal of the Islamic Republic of Iran
Seyed Mohammad Esmaeil Fazl Hashemi, Ali Sarabi Asiabar, Aziz Rezapour, Saber Azami-Aghdash, Hassan Hosseini Amnab, Seyed Abbas Mirabedini
Background: Waiting time in emergency department is a key indicator in measuring the quality of hospital services and has a significant impact on patient satisfaction The purpose of this study was to conduct a systematic review and meta-analysis of the patients' waiting time in hospital emergency departments in Iran. Methods: Data were collected from databases of Web of Science, Embase, PubMed, Scopus, Google scholar, SID, and Iran Medex using the following key words: "emergency ward", "emergency room", "waiting time", " time delay", "first visit", "first treatment" , "emergency department", "Iran", and their Persian equivalents...
2017: Medical Journal of the Islamic Republic of Iran
Nahal Ahmadzadeh, Aziz Rezapour, Zahra Ghanavatinejad, Mojtaba Nouhi, Somayeh Karimi, Alireza Saravani, Ahmadreza Nasre Tahooneh, Reza Jahangiri
Background: Tremendous difficulties are imposed on families with preterm and premature babies, both at birth and during their lifetime. The present study aimed at evaluating the potential economic impact of preterm and premature birth in Iran. Methods: In this descriptive cross-sectional study (2014-2015), we studied preterm and premature newborns, who have been subjected to hospitalization in Ali-Asghar hospital. We followed social perspective to estimate the economic consequences of preterm and premature birth in 3 categories of direct medical, direct non-medical, and indirect costs...
2017: Medical Journal of the Islamic Republic of Iran
Farbod Ebadifard Azar, Aziz Rezapour, Haleh Mousavi Isfahani, Saber Azami-Aghdash, Khalil Kalavani, Feridun Mahmoudi
Background: Evidence- Based Medicine (EBM) refers to the ability and skill in the use and integration of the best evidence obtained from repeatable bias-free clinical trials with the patients' preferences and conditions. Considering this fact that few large-scale studies have been done in this field in Iran, the present study aimed at comprehensively reviewing the status of EBM performance among health care providers in Iranian hospitals. Methods: This cross-sectional study was conducted during 2014 and 2015...
2017: Medical Journal of the Islamic Republic of Iran
Amin Doosti-Irani, Hossein Moameri, Hasan Ahmadi-Gharaei, Kourosh Holakouie-Naieni
Background: Depression is the most common mental disorder in individuals with HIV and AIDS (PLWHA), and comorbidity with depression exacerbates the disease. Several studies have estimated the prevalence of depression in HIV and AIDS patients so far, but there is no consensus about the prevalence of depression among these patients. Thus, we aimed at estimating the overall prevalence of depression among Iranian PLWHA. Methods: The international and national databases including Web of Science, Scopus, Medline, Science Direct, MagIran, Scientific Information Database (SID), IranMedex, and Medlib were searched until June 2016...
2017: Medical Journal of the Islamic Republic of Iran
Mohammad-Taghi Shakeri, Ali Taghipour, Masoumeh Sadeghi, Hossein Nezami, Ali-Reza Amirabadizadeh, Hossein Bonakchi
Background: Writing, designing, and conducting a clinical trial research proposal has an important role in achieving valid and reliable findings. Thus, this study aimed at critically appraising fundamental information in approved clinical trial research proposals in Mashhad University of Medical Sciences (MUMS) from 2008 to 2014. Methods: This cross-sectional study was conducted on all 935 approved clinical trial research proposals in MUMS from 2008 to 2014. A valid and reliable as well as comprehensive, simple, and usable checklist in sessions with biostatisticians and methodologists, consisting of 11 main items as research tool, were used...
2017: Medical Journal of the Islamic Republic of Iran
Zahra Fatehi, Hamid Reza Baradaran, Mohamad Asadpour, Mohsen Rezaeian
Background: Individuals' listening styles differs based on their characters, professions and situations. This study aimed to assess the validity and reliability of Listening Styles Profile- Revised (LSP- R) in Iranian students. Methods: After translating into Persian, LSP-R was employed in a sample of 240 medical and nursing Persian speaking students in Iran. Statistical analysis was performed to test the reliability and validity of the LSP-R. Results: The study revealed high internal consistency and good test-retest reliability for the Persian version of the questionnaire...
2017: Medical Journal of the Islamic Republic of Iran
Mahboobeh Sajadi, Neda Fayazi, Andrew Fournier, Ahmad Reza Abedi
Background: The most important responsibilities of an education system are to create self-directed learning opportunities and develop the required skills for taking the responsibility for change. The present study aimed at determining the impact of a learning contract on self-directed learning and satisfaction of nursing students. Methods: A total of 59 nursing students participated in this experimental study. They were divided into six 10-member groups. To control the communications among the groups, the first 3 groups were trained using conventional learning methods and the second 3 groups using learning contract method...
2017: Medical Journal of the Islamic Republic of Iran
Bahman Khosravi, Shahin Soltani, Javad Javan-Noughabi, Ahmad Faramarzi
Background: In all countries, health expenditures are a main part of government expenditure, and governments try to find policies and strategies to reduce this expenditure. Overall expenditure index has been raised 30 times during the past 20 years in Iran, while in the health sector, the growth in health expenditures index has been 71 times. The present study aimed at examining health care expenditure in the Islamic Republic of Iran versus other high spending countries. Methods: A comparative panel study was conducted in selected countries with the high mean of health expenditure per capita...
2017: Medical Journal of the Islamic Republic of Iran
Seyed Abbas Mirabedini, Seyed Mohammad Esmaeil Fazl Hashemi, Ali Sarabi Asiabar, Aziz Rezapour, Saber Azami-Aghdash, Hassan Hosseini Amnab
Background: Out-of-pocket and informal payments are considered as 2 most important topics for equity in health care financing. Therfore, this study was conducted to systematically review and meta-analyze the status of these payments in Iran's health care system. Methods: Required data were collected through searching the following key terms: "Unofficial", "Informal Payment", "Iran", "Health Financing", "Health expenditure", and "Out-of-pocket" on Scopus, PubMed, IranMedex, SID, and Google Scholar databases...
2017: Medical Journal of the Islamic Republic of Iran
Mohammad Khammarnia, Roxana Sharifian, Farid Zand, Omid Barati, Ali Keshtkaran, Golnar Sabetian, Nasim Shahrokh, Fatemeh Setoodezadeh
Background: One way to reduce medical errors associated with physician orders is computerized physician order entry (CPOE) software. This study was conducted to compare prescription orders between 2 groups before and after CPOE implementation in a hospital. Methods: We conducted a before-after prospective study in 2 intensive care unit (ICU) wards (as intervention and control wards) in the largest tertiary public hospital in South of Iran during 2014 and 2016. All prescription orders were validated by a clinical pharmacist and an ICU physician...
2017: Medical Journal of the Islamic Republic of Iran
Khosro Keshavarz, Behzad Najafi, Yaghob Andayesh, Aziz Rezapour, Masoud Abolhallaj, Ali Sarabi Asiabar, Amir Hashemi Meshkini, Ehsan Sanati, Iman Mirian, Shekoofeh Nikfar, Farhad Lotfi
Background: Socioeconomic indicators are the main factors that affect health outcome. Health price index (HPI) and households living costs (HLC) are affected by economic reform. This study aimed at examining the effect of subsidy targeting plan (STP) on HPI and HLC. Methods: The social accounting matrix was used to study the direct and indirect effects of STP. We chose 11 health related goods and services including insurance, compulsory social security services, hospital services, medical and dental services, other human health services, veterinary services, social services, environmental health services, laundry& cleaning and dyeing services, cosmetic and physical health services, and pharmaceutical products in the social accounting matrix to examine the health price index...
2017: Medical Journal of the Islamic Republic of Iran
Reza Safdari, Alireza Firoz, Hoorie Masoorian
Background: Psoriasis is a complex disease with lifelong emotional and social consequences for affected patients. It also reduces the patients' quality of life and requires a long-term management. Therefore, in addition to appropriate treatment of the disease, selfmanagement strategies to improve patient health and quality of life are essential. On the other hand, smartphone-based applications alter the way people interact with health care and public health systems. This study aimed at identifying training and informational components to develop a psoriasis self- management application...
2017: Medical Journal of the Islamic Republic of Iran
Fatemeh Ahmadi, Ataallah Ghadiri, Roohangiz NashibI, Fatemeh Roozbeh, Reza Alizadeh-Navaei
Background: Lectin pathway mediates complement activation, which is activated by many microorganisms. This study aimed at determining the serum levels of mannose-binding lectin (MBL) in patients with pulmonary tuberculosis, assessing its relationship to antiuberculosis treatment response, and comparing them with a control group. Methods: This cross-sectional study was conducted on patients with pulmonary tuberculosis during 2012 and 2013 in South West of Iran. PPD-ST-negative individuals were selected as controls from healthy relatives of patients...
2017: Medical Journal of the Islamic Republic of Iran
Kiarash Tanha, Neda Mohammadi, Leila Janani
The misinterpretation and misuse of p-value have been increasing for decades. In March 2016, the American Statistical Association released a statement to warn about the use and interpretation of p-value. In this study, we provided a definition and discussion of pvalue and emphasized the importance of its accurate interpretation.
2017: Medical Journal of the Islamic Republic of Iran
Ayoob Rastegar, Shahram Nazari, Ahmad Allahabadi, Farahnaz Falanji, Fakhreddin Akbari Dourbash Akbari Dourbash, Zahra Rezai, Soudabeh Alizadeh Matboo, Reza Hekmat-Shoar, Seyed Mohsen Mohseni, Gharib Majidi
Background: Nanoscale poly (amidoamine) dendrimers have been investigated for their biological demands, but their antibacterial activity has not been widely discovered. Thus, the sixth generation of poly (amidoamine) dendrimer (PAMAM-G6) was synthesized and its antibacterial activities were evaluated on Gram-negative bacteria; P. aeruginosa, E. coli, A. baumannii, S. typhimurium, S. dysenteriae, K. pneumoniae, P. mirabilis , and Gram-positive bacteria, and S.aureus and B. subtilis , which were isolated from different clinical specimens and standard strains of these bacteria...
2017: Medical Journal of the Islamic Republic of Iran
Ali Akbari Sari, Satar Rezaei, Mohammad Arab, Behzad Karami Matin, Reza Majdzadeh
Background: Smoking is recognized as one of the main public health problems worldwide and is accounted for a high financial burden to healthcare systems and the society as a whole. This study was aimed at examining the effect of smoking status on cost of hospitalization among patients with lung cancer (LC), chronic obstructive pulmonary disease (COPD) and ischemic heart diseases (IHD) in Iran in 2014. Methods: A total of 1,271 patients (consisting of 415 LC, 427 COPD and 429 IHD patients) were included in the study...
2017: Medical Journal of the Islamic Republic of Iran
Mohammad Rafiei, Faezeh Kiani, Fatemeh Sayehmiri, Kourosh Sayehmiri, Abdolkarim Sheikhi, Mona Zamanian Azodi
Background : The mouth cavity hosts various types of anaerobic bacteria including Porphyromonas gingivalis , which causes periodontal inflammatory diseases. P. gingivalis is a gram-negative oral anaerobe and is considered as a main etiological factor in periodontal diseases. Several studies have reported a relationship between P. gingivalis in individuals with periodontal diseases and a critical role of this bacterium in the pathogenesis of periodontal diseases. The present study aimed at estimating this probability using a meta-analysis...
2017: Medical Journal of the Islamic Republic of Iran
Maryam Nikravesh, Zahra Jafari, Masoud Mehrpour, Roozbeh Kazemi, Younes Amiri Shavaki, Shamim Hossienifar, Mohamad Parsa Azizi
Background: The paced auditory serial addition test (PASAT) was primarily developed to assess the effects of traumatic brain injury on cognitive functioning. Working memory (WM) is one of the most important aspects of cognitive function, and WM impairment is one of the clinically remarkable signs of aphasia. To develop the Persian version of PASAT, an initial version was used in individuals with aphasia (IWA). Methods: In this study, 25 individuals with aphasia (29-60 years) and 85 controls (18-60 years) were included...
2017: Medical Journal of the Islamic Republic of Iran
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