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Medical Journal of the Islamic Republic of Iran

Nader Pestechian, Hosein Khanahmad Shahreza, Roghiyeh Faridnia, Hamed Kalani
BACKGROUND: This study was designed to evaluate whether or not T. gondii and its derivatives can change the gene expression level of IL-10 in murine leukocytes in vivo. METHODS: Fifty BALB/c mice were divided into 5 groups, four of which received the excretory/secretory product (ESP) from cell culture medium, the ESP from cell free medium, the Toxoplasma lysate product (TLP) and the active tachyzoites, respectively. The fifth group was considered as control and received PBS...
2016: Medical Journal of the Islamic Republic of Iran
Reza Rezaee, Mehdi Mohammadzadeh
BACKGROUND: Medical tourism (MT) refers to circumstances in which people travel for medical treatments. The present study focuses on determining factors affecting MT in Iran. METHODS: The study uses a mixed method approach. Initially, through a qualitative study, 12 experts were interviewed deeply; then, 22 participants in three equal focus groups expressed their ideas about growth and development of MT in Iran. Based on the expressed ideas, 120 factors were identified and accordingly a structured questionnaire was developed...
2016: Medical Journal of the Islamic Republic of Iran
Ali Montazeri, Sahand Riazi-Isfahani, Behzad Damari
BACKGROUND: Social issues have prominent effects on the peoples' physical and mental health and on the health risk factors. In Iran, many organizations provide social care services to their target population. This study aimed to explore the roles and functions of Primary Health Care (PHC) system in providing social care services in Iran. METHODS: This was a qualitative study, for which data were collected via three sources: A review of the literature, in-depth interviews and focus group discussions with experts and stakeholders...
2016: Medical Journal of the Islamic Republic of Iran
Behzad Damari, Narges Tabrizchi, Sahand Riazi-Isfahani
BACKGROUND: Prevalence of sexual dysfunction varies from 20% to 40% in men and women in different studies in Iran. Despite its high prevalence, it seems that this issue has been neglected, particularly in Islamic countries. The aim of this study was to assess sexual health in Iran. This was a mixed method study. METHODS: Data were collected through evaluating country's sexual health programs and literature review. Sexual health status was drafted and formed following a sound analysis by stakeholders...
2016: Medical Journal of the Islamic Republic of Iran
Mahdi Moshki, Ali Delshad Noghabi, Fatemeh Darabi, Hossein Safari Palangi, Narjes Bahri
BACKGROUND: Excessive and uncontrolled television watching by children predisposes them to some risks such as developmental, social and psychological disorders. Parents play an important role in nurturing their children and controlling the factors affecting their health. The aim of this study was to determine the impact of health education programs on parents' supervision skills to control their children's television watching habits based on the theory of planned behavior. METHODS: One hundred twenty parents of the students at the first and fifth grades of primary school were randomly divided into an intervention and a control group...
2016: Medical Journal of the Islamic Republic of Iran
Ali Baradaran Moghaddam, Masoud Alebouyeh, Nastaran Farzi, Saeed Bayati, Nour Amirmozafari
BACKGROUND: In this study, the efficacy of nitazoxanide in the treatment of Helicobacter pylori isolates, which were resistant to metronidazole, was examined. METHODS: One hundred twenty two patients who underwent endoscopy examinations at Kasra and Laleh hospitals in Tehran from November 2014 to July 2015 were enrolled. Helicobacter pylori strains were isolated from the patients' endoscopy biopsies by bacteriological culture. Those bacterial isolates resistant to metronidazole were examined for susceptibility to nitazoxanide...
2016: Medical Journal of the Islamic Republic of Iran
Shandiz Moslehi, Pezhman Atefimanesh, Ali Sarabi Asiabar, Nahal Ahmadzadeh, Mohamadhosein Kafaeimehr, Saeid Emamgholizadeh
BACKGROUND: There is an increasing trend of outsourcing public departments. Teaching hospitals also outsourced some of their departments to private sectors. The aim of this study was to investigate and compare the educational status of students in public and outsourced departments of teaching hospitals affiliated to Iran University of Medical Sciences. METHODS: This study was conducted in six teaching hospitals of Iran University of Medical Sciences, which had public and outsourced teaching departments in 2015...
2016: Medical Journal of the Islamic Republic of Iran
Fatemeh Keshmiri, Sari Ponzer, AmirAli Sohrabpour, Shervin Farahmand, Farhad Shahi, Shahram Bagheri-Hariri, Kamran Soltani-Arabshahi, Mandana Shirazi, Italo Masiello
BACKGROUND: Simulation can be used for educating, evaluating and assessing psychometric properties of an instrument. The aim of this study was to contextualize and assess the validity and reliability of the Interprofessional Collaborative Assessment tool (ICAR) in an Iranian context using simulation. METHODS: In this descriptive study, contextualization of the ICAR was assessed through several steps. Firstly, validity assessment was approved through expert panels and Delphi rounds...
2016: Medical Journal of the Islamic Republic of Iran
Rita Mojtahedzadeh, Aeen Mohammadi
BACKGROUND: Teachers' self-efficacy and development may be conceptualized as their beliefs in their own ability to plan, organize and carry out activities that are required to attain educational goals. In this study, we examined the effect of different medical education training courses (six-day, one- month short- term and sixmonth long- term courses) on perceived self-efficacy and development. METHODS: This before-after quasi-experimental study was performed on 39 faculty members of Tehran University of Medical Sciences who participated in faculty development courses in 2013...
2016: Medical Journal of the Islamic Republic of Iran
Bina Eftekharsadat, Arash Babaei-Ghazani, Vahideh Zeinolabedinzadeh
BACKGROUND: This study examined the effects of dry needling on chronic heel pain due to plantar fasciitis. METHODS: During this single-blinded clinical trial, 20 eligible patients were randomized into two groups: A case group treated with dry needling and a control group. Patients' plantar pain severity, (using modified visual analog scale [VAS] scoring system), range of motion of ankle joint in dorsiflexion [ROMDF] and plantar extension[ROMPE] and foot function index (using standard questionnaires of SEM5 and MDC7) were assessed at baseline, four weeks after intervention and four weeks after withdrawing treatment...
2016: Medical Journal of the Islamic Republic of Iran
Mojgan Asgari, Mahtab Nabi Maybodi, Maryam Abolhasani
BACKGROUND: Flat urothelial lesions comprise a spectrum of morphologic changes ranging from reactive atypia to carcinoma in situ (CIS). Urothelial dysplasia and CIS are associated with the recurrence and progression of urothelial carcinoma. Distinguishing CIS and dysplasia from reactive atypia based on histolopathogical features alone is often difficult. Using different immunohistochemical markers such as Cytokeratin 20 (CK20), CD44, p53, and Ki-67 is recommended for differential diagnosis...
2016: Medical Journal of the Islamic Republic of Iran
Fatemeh Sarvi, Somayeh Momenian, Mahmoud Khodadost, Bagher Pahlavanzadeh, Mahshid Nasehi, Eghbal Sekhavati
BACKGROUND: Poverty and low socioeconomic status are the most important reasons of increasing the global burden of tuberculosis, not only in developing countries but also in developed countries for particular groups. The purpose of this study was to assess the association between socioeconomic factors and the number of tuberculosis patients using quantile regression for count data. METHODS: This cross-sectional study was conducted on 11,320 tuberculosis patients from March 2010 to March 201 in Iran...
2016: Medical Journal of the Islamic Republic of Iran
Fariba Rad, Ali Akbar Pourfathollah, Fatemeh Yari, Saeed Mohammadi, Maryam Kheirandish
BACKGROUND: Extracellular vesicles are particles ranged from 30 nm to 5μm and subcategorized into three groups; exosomes, microvesicles and apoptotic bodies, each of which have different biological impact. Lack of a standard method for the detection and isolation of MVs has led to a challenging issue that is a worth considering. In this study, we isolated MVs from the conditioned medium of UC-MSCs by four different schemes of ultracentrifugation. METHODS: We examined the efficacy of differential centrifugation ranging from 10,000×g to 60,000×g on UCMSCs- derived microvesicles yield and purity...
2016: Medical Journal of the Islamic Republic of Iran
Satar Rezaei, Ali Akbari Sari, Mohammad Arab, Reza Majdzadeh, Asghar Mohammad Poorasl
BACKGROUND: Smoking imposes considerably high economic costs both on the healthcare system as well as on a country as a whole. This study was aimed at systematically reviewing the currently published literature on the direct and indirect costs associated with smoking globally. METHODS: A systematic review was performed on systematically searched articles from PubMed and Scopus databases published during the period 1990 to 2014. A combination of key terms such as "economic burden", "direct cost", "indirect cost", and smoking, tobacco or cigarette" and "productivity lost was used for the search...
2016: Medical Journal of the Islamic Republic of Iran
Parsa Yousefichaijan, Farshad Jafari, Manijeh Kahbazi, Mohammad Rafiei, AbdolGhader Pakniyat
BACKGROUND: Clinical reasoning process leads clinician to get purposeful steps from signs and symptoms toward diagnosis and treatment. This research intends to investigate the effect of teaching clinical reasoning on problem-solving skills of medical students. METHODS: This research is a semi-experimental study. Nineteen Medical student of the pediatric ward as case group participated in a two-day workshop for training clinical reasoning. Before the workshop, they filled out Diagnostic Thinking Inventory (DTI) questionnaires...
2016: Medical Journal of the Islamic Republic of Iran
Roya Safari-Faramani, Ali Akbar Haghdoost, Nouzar Nakhaei, Shohreh Foroudnia, Zahra Mahmoodabadi, Mansooreh Safizadeh
BACKGROUND: Around one out of two mothers give births by cesarean section (CS) surgery in Iran and about half of this number is due to previous CS. Recently Health Sector Evolution (HSEP) program (started in April 2014) targets the high rate of CS in Iran. To assess the impact of the interventions, we emphasized that the First Birth Cesarean (FBC) proportion is one of the main indicators to assess the controlling programs. METHODS: Data on the mode of delivery were collected in Kerman province between 21 March and 20 March 2015 classified by hospital ownership...
2016: Medical Journal of the Islamic Republic of Iran
Nahid Hatam, Mohammadreza Zakeri, Ahmad Sadeghi, Sajad Darzi Ramandi, Ramin Hayati, Elham Siavashi
BACKGROUND: One of the important aspects of equity in health is equality in the distribution of resources in this sector. The present study aimed to assess the distribution of hospital beds in Shiraz in 2014. METHODS: In this retrospective cross-sectional study, the population density index and fair distribution of beds were analyzed by Lorenz curve and Gini coefficient, respectively. Descriptive data were analyzed using Excel software. We used Distributive Analysis Stata Package (DASP) in STATA software, version 12, for computing Gini coefficient and drawing Lorenz curve...
2016: Medical Journal of the Islamic Republic of Iran
Rahim Khodayari-Zarnaq, Hamid Ravaghi, Ali Mohammad Mosaddeghrad, Abbas Sedaghat, Minoo Mohraz
BACKGROUND: HIV/AIDS control are one of the most important goals of the health systems. The aim of this study was to determine how HIV/AIDS control was initiated among policy makers' agenda setting in Iran. METHODS: A qualitative research (semi-structured interview) was conducted using Kingdon's framework (problem, policy and politics streams, and policy windows and policy entrepreneurs) to analysis HIV/AIDS agenda setting in Iran. Thirty-two policy makers, managers, specialists, and researchers were interviewed...
2016: Medical Journal of the Islamic Republic of Iran
Mahdi Goudarzvand, Samira Rasouli Koohi, Zohreh Khodaii, Somayeh Soleymanzadeh Moghadam
BACKGROUND: Multiple Sclerosis (MS) is a disease of the immune system that creates damage of Learning and memory in that. Using probiotic supplements is recommended for preventing MS disease and improving memory. This study aimed to investigate the effect of Lactobacillus plantarum (LP) and bifidobacterium B94 (BB94), on acquisition phase of spatial memory in the local demyelination of rats` hippocampus. METHODS: In this study, 32 male Wistar rats were divided into control, damage group and treatment groups...
2016: Medical Journal of the Islamic Republic of Iran
Bijan Pirnia, Fatemeh Givi, Rasool Roshan, Kambiz Pirnia, Ali Akbar Soleimani
BACKGROUND: Stimulants addition and abuse can cause some functional and morphological changes in the normal function of glands and hormones. Methamphetamine as an addictive stimulant drug affects the Hypothalamic- pituitary-adrenal (HPA) axis and consequently makes some changes in the psychological state of the drug users. The present study aims to examine the relationship between plasma levels of cortisol with depression, stress and anxiety symptoms in chronic methamphetamine-dependent patients and normal individuals who have undergone the inguinal hernia surgery...
2016: Medical Journal of the Islamic Republic of Iran
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