Qazvin University of Medical Sciences
Qazvin University of Medical Sciences RepositoryNot a member yet
10283 research outputs found
Sort by
بررسی تغییر در شاخصهای عملکرد ریوی جوشکاران در یک کارخانه اتومبیلسازی شهر تهران در طی سالهای 1397-1392
Get PDFMental Health Problems and the Associated Family and School Factors in Adolescents: A Multilevel Analysis
Get PDFObjective: Mental health is one of the most important issues in adolescents’ life. Adolescents’
health is highly important, because of their role in the future. This study was conducted using
multilevel analysis to investigate the risk factors at student and school levels.
Method: This was a cross sectional study for which 1740 students and 53 schools were selected
between February and March 2018 in Qazvin, Iran. Multistage stratified cluster sampling was
used for data collection. Mental health problems were measured by the Strengths and Difficulties
Questionnaire (SDQ). Emotional symptom, conduct problem, hyperactivity, peer relationship
problem, and prosocial behavior were the subscales. This study used multilevel analysis to
determine the association between each of the questionnaire scales and students and schools
variables.
Results: The prevalence of the mental health problems was 16.2%. Conduct problem was more
prevalent than others (21.1%). Overall, the score of mental health problems was significantly
lower in boys’ schools, in adolescents with physical activity, and in families with high
socioeconomic status. Hyperactivity and emotional symptoms were significantly higher in girls’
schools. While prosocial behavior and peer relationship problems were significantly higher in
boys’ schools. The association between variables and the scales of mental health problems was
different.
Conclusion: Results indicated desirable physical activity and socioeconomic status are effective
components in the adolescents’ mental health, and, mostly girls’ schools were more vulnerable
than boys’ schools. Therefore, the educational authorities and health policymakers should
consider this diversity to design interventional programs and pay more attention to the high-risk
adolescents in different schools.
Key words: Adolescents; Iran; Mental Health; Multilevel Analysis; Students; SD
Predictive role of emotional intelligence and individual occupational factors on occupational stress among the midwives working in health centers and hospitals in Rasht, 2018
Get PDFComparison of total antioxidant capacity of saliva in men based on daily cigarette consumption
Get PDFMental Health Problems and the Associated Family and School Factors in Adolescents: A Multilevel Analysis
Get PDFA 10-year-old Child with Severe Subglottic Stenosis Following Intubation: A Case Report
Get PDFBackground: Subglottic stenosis is among the most common airway problems in children,
i.e., acquired or congenital. More than 90% of acquired cases are secondary to endotracheal
intubation and occur iatrogenically. Subglottic stenosis is an unexpected problem that requires
timely diagnosis and intervention. Most cases of subglottic stenosis in children are mild to
moderate.
Case Presentation: The presented patient was a 10-year-old child who, after long intubation due
to head trauma following early discharge from the surgical center, was referred to the Children’s
Hospital on the same day with a complaint of high fever and shortness of breath. With the
development of respiratory distress and cyanosis, the patient was transferred to the intensive care
unit. Due to the impossibility of passing the tracheal tube with the appropriate age for the patient,
the initial diagnosis of subglottic stenosis was established and a tracheostomy was performed.
Diagnostic bronchoscopy confirmed severe subglottic stenosis, and the child was referred to a
specialized Ear, Nose, Throat (ENT) center for the repair of the tracheal stenosis.
Conclusion: One of the most common causes of stridor in children is subglottic stenosis
following prolonged intubation. Recognizing the predisposing factors, prevention, strong
clinical suspicion, timely diagnosis, and treatment can prevent further adverse complications or
consequences in children
Estimation of Burden of Cystic Echinococcosis in Iran Using Disability Adjusted Life Years (DALYs) in 2018
Get PDFBackground: Human hydatidosis as a public concern has increased in a number of countries that have reduced control programs for the disease due to lack of resources or policies. We aimed to estimate Disability-Adjusted Life Years (DALYs) for human hydatidosis in Iran in 2018.
Methods: Data were collected from the Center of Communicable Diseases Control, Ministry of Health &Medical Education, Tehran, Iran in 2018. To calculate DALYs, years of life lost due to premature death (YLL) with years of life with disability (YLD) were calculated according to the formula as DALY = YLL + YLD. The standard life expectancy lost method (SEYLL) was used to calculate the years lost due to premature death.
Results: DALYs for human hydatidosis was calculated as 1210.12 years (YLD equals to 177.12 and YLL equals to 1033) in Iran for the year 2018. It was estimated to be 700.2 years for men and 509.8 years for women. DALYs in men were significantly different from women (P= 0.001) so DALYs were more in men than women were. YLD was calculated at 78.228 years in men and 98.892 years in women and in both men and women at 177.12 years. YLD was significantly different in women compared to men (P=0.001), so YLD in women was more than in men.
Conclusion: We reached considerable indices for hydatidosis in our study. Therefore, disease prevention and control programs in Iran seem necessary by the policy makers.
Keywords: Hydatidosis; Burden; Disability-adjusted life years; Human; Ira
Barriers to Receiving Tissue Plasminogen Activator in Patients with Ischemic Stroke
Get PDFBackground: Cerebrovascular diseases are the second common cause of mortality worldwide.
The onset of reperfusion in the first 3-4.5 hours is a predictive factor of treatment.
Objective: The present study investigated barriers to receiving tissue plasminogen activator in
patients with ischemic stroke.
Methods: This cross-sectional study examined 191 patients with first-ever stroke referring to
the emergency department of the Persian Gulf Martyrs Hospital of Bushehr City, Iran, in 2016.
One checklist was completed which included demographic data, history of diseases, knowledge
of stroke symptoms, and intervals regarding the onset of symptoms to informing emergency,
informing emergency on arrival at the emergency department of the hospital, and making the
diagnosis for the patients. The obtained data were analyzed in SPSS v. 19.
Results: Mean±SD age of the patients was 65.92±12.48 years. The majority of patients under
investigation (55.5%) were female, 63.4% were married, 56% were illiterate and 72.3% resided
in other districts of Bushehr province. Mean duration between onset of symptoms and arrival
at emergency department, onset of symptoms and call the emergency service, time of arrival
at emergency department to perform brain Computer Tomography (CT) scan and also to be
counseled by a neurologist were 699.66, 195.51, 45.11 and 423.62 minutes, respectively. Finally
14.6 percent of patients were qualified to be treated with tPA.
Conclusion: The main barrier to timely therapy is a delay in golden time. Therefore, public
education to promote public awareness could be of great benefit in reducing the referral delay time
