1.Factors Associated with Health-Related Quality of Life in Tuberculosis Patients Referred to the National Research Institute of Tuberculosis and Lung Disease in Tehran.
Ali DARVISHPOOR KAKHKI ; Mohammad Reza MASJEDI
Tuberculosis and Respiratory Diseases 2015;78(4):309-314
BACKGROUND: In tuberculosis (TB) patients, health-related quality of life (HRQoL) is significant in self-management, which in turn can be effective in therapeutic acceptance and prevention of treatment failure due to multi-drug resistant TB. This study was conducted to evaluate HRQoL and associated factors in TB patients referred to the National Research Institute of Tuberculosis and Lung Disease (NRITLD). METHODS: In this study, patients were selected from TB clinics of the NRITLD in Tehran. In addition to an Iranian version of the Short-Form Health Survey (SF-36), demographic and disease characteristic questionnaires were used for data collection. The data were then analyzed using SPSS software. RESULTS: Two hundred five TB patients, with the average age of 42.33+/-17.64 years, participated in this study. The HRQoL scores in different domains ranged from 14.68+/-11.60 for role limitations due to emotional problems to 46.99+/-13.25 for general health perceptions. The variables of sex, marital status, education, job status, place of residence, and cigarette smoking, influenced the HRQoL scores in different dimensions. CONCLUSION: According to the study findings are the important variables that influenced the HRQoL of TB patients. The consideration of its can improve the HRQoL of TB patients.
Academies and Institutes*
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Data Collection
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Education
;
Health Surveys
;
Humans
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Lung Diseases*
;
Lung*
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Marital Status
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Quality of Life*
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Self Care
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Smoking
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Treatment Failure
;
Tuberculosis*
2.Knowledge, attitude, and practice among staff associated with Human Papillomavirus vaccine of young children in Iran
Narges Soltanizadeh ; Mohsen Ameri Shahrabi ; Mohammad Reza Masjedi ; Elaheh Ainy ; Esmaeel Kavousy ; Syyed Mahmoud Hashemi
The Medical Journal of Malaysia 2020;75(5):534-547
Introduction: This study aimed to evaluate knowledge,
attitudes, practice associated with Human Papillomavirus
(HPV) Vaccine for Young Children among lecturers
and health staffs of Shahid Beheshti University of
Medical Sciences (SBMU).
Method: This was a cross-sectional study with 220 adults
from five different specialties, randomly selected. Data was
collected using 45-item questionnaire on knowledge (12-
item), attitude (18-item) and practice (15-item) (KAP) about
HPV. The demographic questionnaire included information
on age, gender, level of education, occupation, and marital
status. Content validity was calculated by content validity
ratio (CVR) and content validity index (CVI). Reliability was
evaluated using test-retest and by Cronbach’s Alpha
coefficient, internal consistency was calculated values >0.81
which considered as satisfactory.
Results: The mean age of the studied population was 37.70±
8.07 (23-67) years. Of the 220 participants, 80 (36.4%) were
males and 140 (63.6%) were females. In evaluating KAP in
the men and women, the mean and standard deviation of
knowledge were estimated at good level and one-way
ANOVA analysis showed significant differences between
women and men (p=0.019). There was no significant
difference in men and women related to attitude (p=0.92) and
practice (p=0.38).
Conclusion: The KAP about HPV among participants was
significantly higher at good levels compared to average
levels. Women's knowledge was significantly higher than
men. Attitude and practice could have been higher because
there was consensus to the usage of vaccine among the
specialists to prevent HPV.
3.Comparison of the predictive value of the Helsinki, Rotterdam, and Stockholm CT scores in predicting 6-month outcomes in patients with blunt traumatic brain injuries.
Nushin Moussavi BIUKI ; Hamid Reza TALARI ; Mohammad Hossein TABATABAEI ; Masoumeh ABEDZADEH-KALAHROUDI ; Hossein AKBARI ; Mahsa Masjedi ESFAHANI ; Reihaneh FAGHIHI
Chinese Journal of Traumatology 2023;26(6):357-362
PURPOSE:
Despite advances in modern medicine, traumatic brain injuries (TBIs) are still a major medical problem. Early diagnosis of TBI is crucial for clinical decision-making and prognosis. This study aims to compare the predictive value of Helsinki, Rotterdam, and Stockholm CT scores in predicting the 6-month outcomes in blunt TBI patients.
METHODS:
This cohort study was conducted on blunt TBI patients of 15 years or older. All of them were admitted to the surgical emergency department of Shahid Beheshti Hospital in Kashan, Iran from 2020 to 2021 and had abnormal trauma-related findings on brain CT images. The patients' demographic data such as age, gender, history of comorbid conditions, mechanism of trauma, Glasgow coma scale, CT images, length of hospital stay, and surgical procedures were recorded. The Helsinki, Rotterdam, and Stockholm CT scores were simultaneously determined according to the existing guidelines. The included patients' 6-month outcome was determined using the Glasgow outcome scale extended. M Data were analyzed by SPSS software version 16.0. Sensitivity, specificity, negative/positive predictive value and the area under the receiver operating characteristic curve were calculated for each test. The Kappa agreement coefficient and Kuder Richardson-20 were used to compare the scoring systems.
RESULTS:
Altogether 171 TBI patients met the inclusion and exclusion criteria, with the mean age of (44.9 ± 20.2) years. Most patients were male (80.7%), had traffic related injuries (83.1%) and mild TBIs (64.3%). Patients with lower Glasgow coma scale had higher Helsinki, Rotterdam, and Stockholm CT scores and lower Glasgow outcome scale extended scores. Among all the scoring systems, the Helsinki and Stockholm scores showed the highest agreement in predicting patients' outcomes (kappa = 0.657, p < 0.001). The Rotterdam scoring system had the highest sensitivity (90.1%) in predicting death of TBI patients, whereas the Helsinki scoring system had the highest sensitivity (89.8%) in predicting the 6-month outcome in TBI patients.
CONCLUSION
The Rotterdam scoring system was superior in predicting death in TBI patients, whereas the Helsinki scoring system was more sensitive in predicting the 6-month outcome.
Humans
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Male
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Young Adult
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Adult
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Middle Aged
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Aged
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Female
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Cohort Studies
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Tomography, X-Ray Computed/methods*
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Brain Injuries, Traumatic/diagnosis*
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Brain Injuries
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Prognosis
;
Glasgow Coma Scale
;
Wounds, Nonpenetrating/diagnostic imaging*
;
Brain