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المؤلفون: Zahra Ghodsi, Naser Ahmadi, Farideh Sadeghian, Maziar Moradi-Lakeh, Soheil Saadat, Ali Sheidaei, Moein Yoosefi, Sahar Saeedi Moghaddam, Azin Khosravi, Payam Vezvaei, Peyman Salamati, Vafa Rahimi-Movaghar, Mahdi Sharif-Alhoseini, Gerard O'Reilly, Seyed Behzad Jazayeri, Nazila Rezaei, Ali H. Mokdad
المصدر: Public Health. 186:44-51
مصطلحات موضوعية: Adult, Male, medicine.medical_specialty, Time Factors, Adolescent, Databases, Factual, Population, Iran, Young Adult, 03 medical and health sciences, Sex Factors, 0302 clinical medicine, Age groups, Epidemiology, medicine, Humans, 030212 general & internal medicine, Mortality, Child, education, Aged, Aged, 80 and over, education.field_of_study, business.industry, 030503 health policy & services, Mortality rate, Age Factors, Public Health, Environmental and Occupational Health, Censuses, General Medicine, Growth model, Middle Aged, Annual Percent Change, Harm, Death registration, Female, 0305 other medical science, business, Self-Injurious Behavior, Demography
الوصف: Background Self-harm–related death is one of the most unfortunate, tragic, and regrettable types of death owing to injuries with a variety of socio-economic and cultural causes. The study aimed to determine the trend in the mortality of self-harm by sex and age at national and provincial levels in Iran over a period of 26 years. Methods The Iran Death Registration System (DRS), cemetery databanks in Tehran and Esfahan, and the national population and housing censuses of Iran were used for this study. Using a growth model, the population was estimated in the age groups. Incompleteness, misalignment, and misclassification in the DRS were all considered and addressed accordingly. We used a spatio-temporal and Gaussian process regression model to estimate mortality rates in children and adults. Results Over the study period, 67,670 deaths were estimated owing to self-harm across the country. The overall age-standardized mortality rate decreased from 4.32 per 100,000 (95% unit interface (UI): 3.25–5.75) to 2.78 (2.15–3.59) per 100,000 between 1990 and 2015, a reduction of approximately 35.65%. The M/F ratio was 2.03:1 with an annual percent change of −2.38% and −1.37% for women and men, respectively. The annual self-harm mortality rate was higher among individuals aged 15–24 years, as well as it was more in men during the study period. Conclusion Mortality from self-harm has declined over the study period in Iran. Higher rates in men and in population aged 15–24 years, with considerable variation by province, were the distinguishing features of self-harm. Iran needs to improve monitoring through a comprehensive multisectoral strategy; and most importantly, provide timely, effective and low-cost preventive interventions.
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المؤلفون: Seyed Behzad Jazayeri, Gerard O'Reilly, Anita Mansouri, Payman Salamati, Ali H. Mokdad, Sahar Saeedi Moghaddam, Nazila Rezaei, Vafa Rahimi-Movaghar, Mahdi Sharif-Alhoseini, Moein Yoosefi, Maziar Moradi Lakeh, Soheil Saadat, Alireza Khajavi, Seyed Mohammad Piri, Zahra Ghodsi
المصدر: Archives of Iranian Medicine. 23:302-311
مصطلحات موضوعية: Adult, Male, Burden of disease, Adolescent, Databases, Factual, Population, Iran, Young Adult, 03 medical and health sciences, Age Distribution, Spatio-Temporal Analysis, 0302 clinical medicine, medicine, Humans, 030212 general & internal medicine, Mortality, Sex Distribution, Child, education, Aged, Aged, 80 and over, education.field_of_study, Priority setting, business.industry, Mortality rate, Infant, General Medicine, Growth model, Middle Aged, Appendicitis, medicine.disease, Annual Percent Change, Child, Preschool, 030220 oncology & carcinogenesis, Death registration, Female, business, Demography
الوصف: Background: Appendicitis is one of the most preventable causes of death worldwide. We aimed to determine the trend of mortality due to appendicitis by sex and age at national and provincial levels in Iran during 26 years. Methods: Data were collected from Iran Death Registration System (DRS), cemetery databanks in Tehran and Esfahan, and the national population and housing censuses of Iran. The estimated population was determined for each group from 1990 to 2015 using a growth model. Incompleteness, misalignment, and misclassification in the DRS were addressed and multiple imputation methods were used for dealing with missing data. ICD-10 codes were converted to Global Burden of Disease (GBD) codes to allow comparison of the results with the GBD study. A Spatio-Temporal model and Gaussian Process Regression were used to predict the levels and trends in child and adult mortality rates, as well as cause fractions. Results: From 1990 to 2015, 6,982 deaths due to appendicitis were estimated in Iran. The age-standardized mortality rate per 100000 decreased from 0.72 (95% UI: 0.46–1.12) in 1990 to 0.11 (0.07–0.16) in 2015, a reduction of 84.72% over the course of 26 years. The male: female ratio was 1.13 during the 26 years of the study with an average annual percent change of -2.31% for women and -2.63% for men. Among men and women, appendicitis mortality rate had the highest magnitude of decline in the province of Zanjan and the lowest in the province of Hormozgan. In 1990, the lowest age-standardized appendicitis-related mortality was observed in both women and men in the province of Alborz and the highest mortality rate among men were observed in the province of Lorestan. In 2015, the lowest mortality rates in women and men were in the province of Tehran. The highest mortality rates in women were in Hormozgan, and in men were in Golestan province. Conclusion: The mortality rate due to appendicitis has declined at national and provincial levels in Iran. Understanding the causes of differences across provinces and the trend over years can be useful in priority setting for policy makers to inform preventive actions to further decrease mortality from appendicitis.
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المصدر: Acta Neurologica Belgica. 121:915-920
مصطلحات موضوعية: Male, medicine.medical_specialty, Neurology, medicine.medical_treatment, Auditory Continuous Performance Test, 03 medical and health sciences, 0302 clinical medicine, Physical medicine and rehabilitation, medicine, Humans, Attention, 030212 general & internal medicine, Cognitive rehabilitation therapy, Stroke, Aged, Ischemic Stroke, Neuroradiology, Cognitive evaluation theory, Rehabilitation, Cognitive Behavioral Therapy, business.industry, Stroke Rehabilitation, Cognition, General Medicine, Middle Aged, medicine.disease, Auditory Perception, Visual Perception, Female, Neurology (clinical), Cognition Disorders, business, 030217 neurology & neurosurgery
الوصف: The present study aimed to investigate the effectiveness of a cognitive rehabilitation program in improving the visual and auditory attention performance in stroke patients. The research method was quasi-experimental with a pre-intervention, post-intervention and follow-up design and control group. Twenty ischemic stroke patients with attention disorder were randomly classified into experimental and control groups. Cognitive evaluation of patients, including pre-intervention, immediately and 6 weeks after the intervention, was performed by the IVA + Plus (Integrated Visual and Auditory Continuous Performance Test). The experimental group received a cognitive rehabilitation program as 1-h sessions per week for 8 weeks, but the control group received no intervention. The results indicated significant effects of a cognitive rehabilitation program on the auditory (p = 0.002) and visual (p = 0.009) attention as well as the 6-week follow-up after the intervention, and it improved visual and auditory attention in stroke patients in the experimental group. The effectiveness of a cognitive rehabilitation program improved attention performance in stroke patients and had a positive effect on visual and auditory attention performance in ischemic stroke patients.
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d4c931c2cfa251ff85359093630b553c
https://doi.org/10.1007/s13760-020-01288-4 -
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المؤلفون: Khatereh Naghdi, Sahar Saeedi Moghaddam, Vafa Rahimi-Movaghar, Naser Ahmadi, Pegah Derakhshan, Maziar Moradi-Lakeh, Mona Salehi, Farideh Sadeghian, Elmira Forootan, Parinaz Mehdipour, Gerard O'Reilly, Nazila Rezaei, Zahra Ghodsi, Mahdi Sharif-Alhoseini, Soheil Saadat, Sepehr Khosravi, Elnaz Hosseini, Payman Salamati, Farzaneh Kianian, Mohammad Hosein Amirzade-Iranaq, Man Amanat, Ali H. Mokdad, Seyed Behzad Jazayeri
المصدر: Journal of Interpersonal Violence. 36:10239-10266
مصطلحات موضوعية: Male, Firearms, medicine.medical_specialty, education, Poison control, Iran, Violence, Suicide prevention, Occupational safety and health, 03 medical and health sciences, 0302 clinical medicine, Environmental health, Injury prevention, Humans, Medicine, 030212 general & internal medicine, Applied Psychology, business.industry, Incidence, Public health, Human factors and ergonomics, social sciences, Mental health, Interpersonal violence, Clinical Psychology, Mental Health, population characteristics, Female, business, 030217 neurology & neurosurgery
الوصف: Interpersonal violence (IPV) is a major public health concern with a significant impact on physical and mental health. This study was designed to evaluate age–sex-specific IPV mortality trends and the assault mechanisms (firearm, sharp objects, and other means), at national and provincial levels, in Iran. We used the Iranian Death Registration System (DRS) and the population and housing censuses in this analysis. Spatio-temporal and Gaussian Process Regression methods were used to adjust for inconsistencies at the provincial level and to integrate data from various sources. After assessing their validity, all records were reclassified according to the International Classification of Diseases, 10th Revision (ICD-10). All ICD-10 codes were then mapped to Global Burden of Disease (GBD) 2013 coding. More than 700 individuals died due to IPV in 1990 and more than twice this number in 2015. The IPV mortality age-standardized rate, per 100,000, increased from 1.62 (95% Uncertainty Interval [UI] = [0.96, 2.75]) in 1990 to 1.81 [1.15, 2.89] in 2015. Among females, the age-standardized mortality rate at national level per 100,000 due to IPV was 1.27 [0.66, 2.43] in 1990 and decreased to 1.08 [0.60, 1.96] in 2015. Among males, the age-standardized mortality rate was 1.96 [1.25, 3.09] in 1990 rising to 2.54 [1.70, 3.82] in 2015. Data from provinces revealed that during the period of our study, Hormozgan province had the largest increase of IPV among females, and Fars province had the largest increase of IPV among males. Conversely, the largest decrease was detected in West Azarbaijan and Qom provinces in females and males, respectively. This study showed a wide variation in the incidence and trends of IPV in Iran by age, sex, and location. The study has provided valuable information to reduce the burden of IPV in Iran and a means to monitor future progress through repeated analyses of the trends.
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::1351ce927e4c411ae8893bf34aba6f31
https://doi.org/10.1177/0886260519883869 -
5
المؤلفون: Maziar Moradi-Lakeh, Zahra Ghodsi, Maryam Chegini, Mina Amirmohammadi, Soheil Saadat, Peyman Salamati, Farideh Sadeghian, Seyed Behzad Jazayeri, Parinaz Mehdipour, Mahdi Sharif-Alhoseini, Pegah Derakhshan, Sepehr Khosravi, Sahar Saeedi Moghaddam, Ali H. Mokdad, Ali Ghanbari, Vafa Rahimi-Movaghar, Nazila Rezaei, Gerard O'Reilly, Shima Jahani, Khatereh Naghdi
المصدر: Injury Prevention. 26:351-359
مصطلحات موضوعية: Male, Burden of disease, Drowning, business.industry, Incidence, Mortality rate, Incidence (epidemiology), Public Health, Environmental and Occupational Health, Iran, 03 medical and health sciences, 0302 clinical medicine, Cost of Illness, Age groups, Humans, Medicine, Female, 030216 legal & forensic medicine, 030212 general & internal medicine, Mortality, business, Goals, Demography
الوصف: ObjectiveThe WHO estimates the global incidence of death by drowning to be about 300 000 cases per year. The objective of this study was to estimate the trend in mortality due to drowning in all provinces of Iran in all age groups and both genders from 1990 to 2015.Study designThe National and Subnational Burden of Diseases (NASBOD) project is a comprehensive project in Iran. It is based on the Global Burden of Disease study and includes novel methods to estimate the burden of diseases in Iran.MethodsThis study used the results of the mortality rate due to drowning as part of NASBOD and investigated the causes behind the mortality rates. The data set recorded mortality rates by 19 age groups and two genders with the corresponding subnational pattern during the time period from 1990 to 2015.ResultsThe drowning mortality rate decreased in Iran from 1990 to 2015. From 1990 to 2015, the annual percentage change for males and females was −5.28% and −10.73%, respectively. There were 56 184 male and 21 589 female fatalities during the study period. The highest number of deaths was seen in 1993 with 4459, and the lowest number of fatalities was observed in 2015 with 903 deaths.ConclusionOur data showed a decline in drowning mortality in Iran from 1990 to 2015, but the rates and declines varied by province. Our findings are of great importance to health officials and authorities in order to further reduce the burden of drowning.
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المؤلفون: Seyed Behzad Jazayeri, Pegah Derakhshan, Khatereh Naghdi, Nazila Rezaei, Mohammad Hosein Amirzade-Iranaq, Ali Abbaszadeh Kasbi, Gerard O'Reilly, Parastoo Niloofar, Armin Aryannejad, Mahdi Sharif-Alhoseini, Maziar Moradi-Lakeh, Zahra Ghodsi, Vafa Rahimi-Movaghar, Sahar Saeedi Moghaddam, Soheil Saadat, Anita Mansouri, Parinaz Mehdipour, Vida Ehyaee, Ali H. Mokdad, Farideh Sadeghian
المصدر: Burns. 45:228-240
مصطلحات موضوعية: Adult, Male, Hot Temperature, Adolescent, Population, Poison control, Iran, Critical Care and Intensive Care Medicine, Suicide prevention, Fires, Occupational safety and health, Young Adult, 030207 dermatology & venereal diseases, 03 medical and health sciences, 0302 clinical medicine, Environmental health, Injury prevention, Humans, Medicine, Child, Population Growth, education, Aged, Aged, 80 and over, education.field_of_study, business.industry, Mortality rate, Age Factors, Infant, Newborn, Infant, Human factors and ergonomics, 030208 emergency & critical care medicine, General Medicine, Middle Aged, Child, Preschool, Death registration, Emergency Medicine, Female, Surgery, Burns, business
الوصف: Introduction Burn injuries are a major cause of preventable mortality worldwide. To implement preventive strategies, a detailed understanding of the rate and trend of fatal burn injuries is needed. The aim of this study was to determine the rate and trend of burn mortality at national and province level in Iran from 1990 to 2015. Materials and Methods The data were retrieved from various sources: the Death Registration System, cemetery databases, the Demographic and Health Survey and three national population and housing censuses. ICD-10 codes were converted to Global Burden of Disease (GBD) codes for comparability. After addressing the incompleteness of death data, statistical methods such as spatio-temporal modelling and Gaussian Process Regression (GPR) were applied to estimate the levels and trend of death and cause specific mortality. Results The number of deaths due to burning across Iran was 80,625, with a male to female ratio of 0.88, 0.94 and 1.14 in 1990, 1995 and 2015, respectively. The annual percentage change of age-standardized death rate from 1990 to 2015 was −5.42% and −4.22% in women and men, respectively. The burn-related age-standardized mortality rate decreased considerably from 5.97 in 1990 to 1.74 per 100,000 in 2015. The mortality rate due to burns was highest among those aged more than 85 years, especially in Ilam province. Conclusion This study showed a decline in burn mortality in Iran from 1990 to 2015. Continued efforts to reduce the burden of burns are needed to accelerate this progress and prevent injuries.
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المؤلفون: Gerard O'Reilly, Maziar Moradi-Lakeh, Mona Salehi, Farideh Sadeghian, Ali Sheidaei, Mohammad Hosein Amirzade-Iranaq, Nazila Rezaei, Man Amanat, Ali H. Mokdad, Seyed Behzad Jazayeri, Vafa Rahimi-Movaghar, Payman Salamati, Soheil Saadat, Payam Vezvaei, Mahdi Sharif-Alhoseini, Kimiya Gohari, Zahra Ghodsi, Sahar Saeedi Moghaddam, Rosa Haghshenas
المصدر: International journal of injury control and safety promotion. 27(4)
مصطلحات موضوعية: Adult, Male, medicine.medical_specialty, Adolescent, Databases, Factual, Uncertainty interval, Population, Psychological intervention, Poison control, Iran, Young Adult, Age Distribution, 0502 economics and business, Epidemiology, medicine, Humans, 0501 psychology and cognitive sciences, National level, Sex Distribution, education, Child, 050107 human factors, Aged, Aged, 80 and over, 050210 logistics & transportation, education.field_of_study, business.industry, Mortality rate, 05 social sciences, Public Health, Environmental and Occupational Health, Infant, Middle Aged, Child, Preschool, Accidental Falls, Female, Risk of death, business, Safety Research, Demography
الوصف: Falls are one of the major causes of unintentional injuries. Understanding the epidemiology of fall-related mortality helps to identify the root causes of this event and planning preventive strategies to inhibit falls. The aim of this study was to assess the trend of fall-related mortality rate and its epidemiological patterns based on sex and age-groups at national and subnational levels in Iran during the years 1990 to 2015. All data were gathered from Death Registration Systems, cemetery databases of Tehran and Isfahan, the Demographic and Health Survey of 2000 and three rounds of national population and housing censuses. The age-standardized death rate (ASDR) due to falls per 100,000 people decreased from 2.61 (95% Uncertainty Interval (UI): 1.94-3.51) in 1990 to 2.13 (1.62-2.80) in 2015 at national level. Males were at higher risk of death due to falls than females. Our data showed that the elderly population was at higher risk of death due to falls and individuals less than 4-year old had the highest fall-related mortality rate among children and adolescents. Our data should be used to accelerate interventions to reduce fall-related mortality.
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المؤلفون: Mahdi, Sharif-Alhoseini, Mohammadreza, Zafarghandi, Vafa, Rahimi-Movaghar, Zahra, Heidari, Khatereh, Naghdi, Somayeh, Bahrami, Sahar, Koohi-Habibi, Marjan, Laal, Ali, Moradi, Zahra, Ghodsi, Moein, Khormali, Meghdad, Abdolhoseinzadeh, Melika, Khaleghi-Nekou, Payman, Salamati
المصدر: Archives of Iranian medicine. 22(6)
مصطلحات موضوعية: Adult, Male, Adolescent, Accidents, Traffic, Wounds, Penetrating, Iran, Length of Stay, Middle Aged, Intensive Care Units, Young Adult, Injury Severity Score, Trauma Centers, Humans, Regression Analysis, Wounds and Injuries, Accidental Falls, Female, Glasgow Coma Scale, Prospective Studies, Registries
الوصف: The main objective was to describe the results of the pilot phase of the national trauma registry of Iran (NTRI) at a referral university trauma center in Tehran.The study was performed at Sina Hospital in Tehran, Iran from August 1 to September 30, 2016. Patients who had the NTRI criteria were included. 109 data variables were analyzed including demographics, medical care information, injury characteristics, and outcomes.Over 2 months, 171 patients, predominantly males (87.1%) with an average age of 37.2 (±19.5) years were registered. The most common mechanism of injury was road traffic crash (RTC) (53.2%), followed by fall (21.1%) and penetrating injuries (18.7%). RTC represented a remarkable proportion of the injuries with higher injury severity score (ISS) (P = 0.046). The mean hospital length of stay (LOS) was 9.8 (±12.2) days. There were significant relationships between Glasgow Coma Scale (GCS) (P = 0.03), drug abuse (P = 0.05), and ISS (P = 0.008) as independent variables and LOS. 21.6% of the patients were admitted to ICU, with a larger proportion of fall injuries (44.4%) (P = 0.002). Eight patients (4.7%) died during hospitalization, of which 7 cases were male. There was significant association between increasing age and ISS with death outcome.After successful implementation of NTRI at a major trauma center in Tehran, RTC was identified as the main cause of admission. Most patients were young men. The mean time interval between injury occurrence and hospital admission was too long. These findings could be used to improve quality of trauma care and formulate targeted preventive strategies.
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المؤلفون: Mahdi Sharif-Alhoseini, Motahareh Rezvan, Zahra Hassannejad, Soheil Saadat, Mona Mokhatab, Aida Shakouri-Motlagh, Shayan Abdollah Zadegan, F Vahedi, Vafa Rahimi-Movaghar, Farhad Shokraneh
المصدر: Spinal Cord. 54:579-583
مصطلحات موضوعية: Male, medicine.medical_specialty, Delphi Technique, education, Delphi method, Validity, 03 medical and health sciences, 0302 clinical medicine, Cohen's kappa, Species Specificity, Cronbach's alpha, Surveys and Questionnaires, medicine, Animals, Humans, 030212 general & internal medicine, Psychiatry, Spinal Cord Injuries, Reliability (statistics), Trauma Severity Indices, business.industry, Reproducibility of Results, General Medicine, Focus group, Checklist, Disease Models, Animal, Neurology, Physical therapy, Female, Neurology (clinical), business, 030217 neurology & neurosurgery, Kappa
الوصف: This is a Delphi study. Defining variables that potentially influence the outcomes of an animal study regarding pathophysiology of traumatic spinal cord injury (TSCI). This study was conducted in Iran. A modified two-round Delphi study was conducted. As the first round, an initial questionnaire was developed on the basis of literature and a series of focus group discussions. In the second round, the participants were asked to score the items through a 10-point scale. Consensus was achieved through the following criteria: (1) the median of scores has to be at 7.5 or higher, and (2) at least 70% of participants need to rate 7 or higher. Also, the inter-rater reliability analysis was performed to determine consistency among raters using the Kappa coefficient and Cronbach's alpha. Twenty-one experts participated in our study. From the first round of the study, a 47-item checklist was developed. By considering the aforementioned criteria for consensus building on extremely important factors, we reached a 15-item checklist including species, strain, method and level of injury, control group, genetic background, severity of injury, attrition, use of appropriate test, blindness, method of allocation to treatments, regulation and ethics, age/weight, bladder expression, number of animals/group and statistics. The inter-rater reliability for the raters was found to be Kappa=0.82 (P
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المؤلفون: Vafa Rahimi-Movaghar, Mahdi Sharif-Alhoseini, Tayyebeh Salehi, Koorosh Ahmadi, Abolfazl Jokar
المصدر: Chinese Journal of Traumatology, Vol 20, Iss 1, Pp 49-51 (2017)
Chinese Journal of Traumatologyمصطلحات موضوعية: Adult, Male, Traumatic, Tranexamic acid, Traumatic brain injury, Intracranial hemorrhage, law.invention, Traumatic brain injuries, 03 medical and health sciences, 0302 clinical medicine, Randomized controlled trial, law, Antifibrinolytic agent, Brain Injuries, Traumatic, Cerebral Hemorrhage, Traumatic, medicine, Coagulopathy, Humans, Single-Blind Method, Orthopedics and Sports Medicine, cardiovascular diseases, Cause of death, lcsh:R5-920, business.industry, Mortality rate, 030208 emergency & critical care medicine, Middle Aged, medicine.disease, Antifibrinolytic Agents, nervous system diseases, Increasing risk, Anesthesia, Original Article, Female, Surgery, Tomography, X-Ray Computed, business, lcsh:Medicine (General), 030217 neurology & neurosurgery, medicine.drug
الوصف: Purpose: Traumatic brain injury (TBI) is a leading cause of death and disability. Intracranial hemorrhage (ICH) secondary to TBI is associated with a high risk of coagulopathy which leads to increasing risk of hemorrhage growth and higher mortality rate. Therefore, antifibrinolytic agents such as tranexamic acid (TA) might reduce traumatic ICH. The aim of the present study was to investigate the extent of ICH growth after TA administration in TBI patients. Methods: This single-blind randomized controlled trial was conducted on patients with traumatic ICH (with less than 30 ml) referring to the emergency department of Vali-Asr Hospital, Arak, Iran in 2014. Patients, based on the inclusion and exclusion criteria, were divided into intervention and control groups (40 patients each). All patients received a conservative treatment for ICH, as well as either intravenous TA or placebo. The extent of ICH growth as the primary outcome was measured by brain CT scan after 48 h. Results: Although brain CT scan showed a significant increase in hemorrhage volume in both groups after 48 h, it was significantly less in the TA group than in the control group (p = 0.04). The mean total hemorrhage expansion was (1.7 ± 9.7) ml and (4.3 ± 12.9) ml in TA and placebo groups, respectively (p
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