Showing 10 results for Faraji
Hossein Dahifar, Ali Faraji, Saeid Yassobi,
Volume 19, Issue 1 (5-2005)
Abstract
ABSTRACT
Background: To determine daily calcium, Vitamin D intake and serum biochemical findings of rickets in adolescent girls.
Methods: A total of 414 healthy adolescent student girls aged 11-15 years were evaluated from various areas of Tehran, Iran with different socioeconomic status. A randomized, cross-sectional, prospective and descriptive study was undertaken for calculation of daily calcium, phosphorus intake and vitamin D acquirement by sunlight exposure by seven day recall record questionnaire. Serum 25-hydroxyvitamin D, parathyroid hormone, calcium, phosphorus and alkaline-phosphatase levels were measured. The serum abnormal biochemical findings of girls were divided as follows: normal or low calcium with raised alkaline phosphatase, group I normal or low calcium with raised alkaline phosphatase, normal or raised parathyroid hormone, low 25- hydroxyvitamin D, group II and low phosphorus and 25-hydroxyvitarnin D with raised parathyroid hormone, group III.
Results: A total of 44 ( 10.62%) girls of 414 had abnormal biochemical findings, of these 29 (7%) were in group I, 9 (2.17%) in group II, and 6( 1.45%) in group III. The mean daily calcium intake and vitamin D acquirement by sunlight exposure and dietary intake were 360.85±350.50mg and 119.2±52.9 IU respectively. All girls had inadequate dietary calcium and vitamin D intake. All had less than 40 minutes sun exposure per day.
Conclusion: This survey demonstrated that abnormal biochemical findings of rickets can occur even in sunny climates and are is caused by two factors, inadequate calcium intake as the major factor and vitamin D deficiency as a minor factor.
Mehdi Nasr Esfahani, Azizeh Afkham Ebrahimi, Behrouz Birashk, Serveh Faraji, Asma Aghebati,
Volume 24, Issue 3 (11-2010)
Abstract
Abstract
Background: Patients with addictions have many acute and chronic medical illnesses, both related and unrelated to their addictions. In spite of high incidence of
substance-related disabilities, substance abuse is usually underdiagnosed in general
hospitals. The objective of the present study was to investigate the frequency and pattern of substance use in patients with different medical complaints.
Methods: In this descriptive cross-sectional study , 1000 outpatients, aged 17 and
older with various medical complaints were participated. The patients were attending
neurology, ENT, nephrology, ophthalmology, cardiology, orthopedic, gastroenterology, surgical and dermatology clinics of four selected general hospitals. A 93 item clinicians-made scale, Rapid Situation Assessment of Drug Abuse in Iran, was used in this survey, and 30 items which focused on drug use were selected.
Results: 8.7% of the patients reported lifelong or recent substance use and Opium
was the most used substance, reported by 65.5% of the patients. Patients of neurology
,ophthalmology and orthopedic clinics showed the highest consumption . Smoking
and injestion were the most frequent routes of substance used and the most reported
pattern of use were 2 or 4 times a day and once a week.
Conclusions: The current cohort of substance users were relatively young, and
many had reported detectable nervous system and orthopedic complications. Further
research must investigate -their outcomes in the long term.
Asghar Dalvandi, Hamidreza Khankeh, Saiedeh Bahrampouri, Abbas Ebadi, Hojjat Passandeh, Hassan Nouri Sari, Fardin Faraji, Mehdi Rahgozar,
Volume 28, Issue 1 (1-2014)
Abstract
Background :The studies have shown that stroke morbidity and mortality could be decreased if early diagnosis and treatment is delivered faster for patients. This tool is designed based on all Pre-hospital stroke scales across the world as well as experiences of the emergency medicine specialists and pre-hospital emergency technicians to improve the diagnostic accuracy of the stroke scale in Iran.
Methods : This study used mixed methods and was carried out in two main phases. In the first phase (items generating ), concept elicitation was conducted based on the review of the literature related to stroke diagnosis and usual instruments in pre-hospital emergency stroke centers, and a series of semi- structured individual interviews with 35 neurologists, emergency medicine practitioners, and physicians working in hospitals and emergency technicians in the pre-hospital field participated. In the second phase (items reduction), the face and content validity, and reliability of the procedure were checked.
Results: According to results from the first phase of this study (items generation), three domains were introduced as the most important factors influence to detection of early signs and symptoms of stroke. In the second phase (items reduction), the face validity of this tool was based on the comments received from participants (the experts and EMS technicians), and changes were made for clarity of items. The content validity based on Lawshe index was identified. The S-CVI/Ave for Iranian Pre-Hospital stroke scale was calculated (89%). To determine the criterion validity of the instrument, he Iranian pre-hospital stroke scale scores were compared with the final diagnosis based on Brain CT scan result in hospital.
Conclusion : This study made an Iranian pre hospital stroke scale for emergency technicians in pre-hospital field which is dichotomous items, simple and very easy to use. For future this tool could be recommended and employed by emergency dispatch units as well as using it in the triage procedure in the hospital.
Feridoun Sabzi, Reza Faraji,
Volume 28, Issue 1 (1-2014)
Abstract
Multiple aorto-cardiac cavity communications is very rare but important complication of prosthetic aortic valve endocarditis. The case below illustrates multiple aorto-cardiac cavity fistula formation following prostethic aortic valve endocarditis presented with slowly progressive symptoms of heart failure. A brief review of surgical reconstruction and the existing literature are presented, including emphasis on pre and intra operative echocardiographic diagnosis and treatment.
Bakhtiar Piroozi, Amirhossein Takian, Ghobad Moradi, Mohammad Amerzadeh, Hossein Safari, Obeid Faraji,
Volume 32, Issue 1 (2-2018)
Abstract
Background: Health Transformation Plan (HTP) has been one of the biggest reforms in Iran's health system over the past 3 decades. The plan has been implemented since May 2014 and includes several packages that can affect the utilization of health care services. We aimed to assess the effect of implementation of HTP on utilization of specialist outpatient visit rate in clinics affiliated to university hospitals.
Methods: We chose Kurdistan province to collect monthly specialist outpatient visit data for 50 months because this province was not a patient referral hub. An interrupted time series (ITS) analysis and segmented regression analysis were used to evaluate the effects of HTP on specialist outpatient visit rates. Statistical analyses were conducted using STATA version 13.
Results: A significant increase was observed in the specialist outpatient visit rate (12.1 outpatient visit per 1000 population) in the first month after the implementation of HTP (p= 0.000, 95% CI= 6.36-17.83). Also, after the implementation of HTP, a significant increase was observed in the monthly trend of specialist outpatient visit rate equivalent to about 0.53 every month per 1000 population compared to the monthly trend in specialist outpatient visit rate before the intervention (p= 0.033, 95% CI= 0.04-1.01).
Conclusion: HTP has significantly increased the specialist outpatient visit rate in clinics affiliated to university hospitals in Kurdistan province. Thus, it is necessary to perform some comprehensive studies on all public, private, and semi-private sectors in different parts of the country to provide a better and more comprehensive picture of the effects of HTP on utilization of specialist outpatient visit services.
Marzie Faraji, Mona Ebrahimipour, Nahid Jalilevand,
Volume 33, Issue 1 (2-2019)
Abstract
Background: Preterm children are at risk of deficits in language, including grammatical skills. The main purpose of this survey was to investigate whether Persian-speaking children born preterm differ in their morphosyntax ability compared to full-term children.
Methods: Morphosyntactic performance was assessed in 86 Persian-speaking children (43 healthy preterm and 43 full-term children) aged 4 and 5 years using the Persian Developing Sentence Scoring (PDSS). Participants were matched for age, gender, and gestational age.
Results: The healthy preterm children who participated in this study were significantly outperformed by the full-term children in the morphosyntactic evaluation (p<0.05). Furthermore, their grammatical skills, based on PDSS, were not as developed as 4 to 5-year-old full-term children. Gender, in general, and gestational age had no effect on the PDSS scores of preterm children (p>0.05).
Conclusion: Preterm children, regardless of gestational age, are at risk of morphosyntax impairments, which may not be recovered during the normal development. Therefore, grammatical evaluation and treatment seem to be necessary for these children.
Mohammad Karimi Alavije, Mohammad Hadi Karbalaie Niya, Afsaneh Sadeghzadeh-Bazargan, Mehdi Nikkhah, Amirhossein Faraji, Nima Motamed, Fahimeh Safarnezhad Tameshkel, Farhad Zamani,
Volume 35, Issue 1 (1-2021)
Abstract
COVID-19 was first discovered in Wuhan, China, and has spread rapidly around the world. The most important manifestation of COVID-19 was ARDS-like lung injury at first, but the involvement of other organs, such as kidney, heart, liver, and skin, was gradually reported. It is important to report and share all atypical manifestations of this disease to help other physicians to gain more knowledge about this new viral disease. As mentioned, there are also studies that show different types of cutaneous involvement in these patients, but due to the lack of more detailed studies in this field, and on the other hand, the possible usefulness of skin lesions as a diagnostic or alarming sign in the COVID-19 era, in this study we report a COVID-19 patient with a large hemorrhagic blister similar to sepsis-induced skin lesion. Despite the lack of common symptoms of the disease, the lung scan of the patient was positive for COVID-19.
Mohammad Nabavi, Saba Arshi, Mohammad Hasan Bemanian, Morteza Fallahpour, Rasoul Molatefi, Mahsa Rekabi, Narges Eslami, Javad Ahmadian, Kian Darabi, Gholamreza Sedighi, Zeinab Moinfar, Fatemeh Faraji, Majid Khoshmirsafa, Sima Shokri,
Volume 37, Issue 1 (2-2023)
Abstract
Background: NSAID-exacerbated respiratory disease (N-ERD) is a highly heterogeneous disorder with various clinical symptoms. The aspirin challenge test is a gold standard method for its diagnosis, and there are still no reliable in vitro diagnostic biomarkers yet. Oral challenge tests are time-consuming and may be associated with a risk of severe systemic reactions. This study aimed to evaluate whether patients with poor responses to medical management are more susceptible to being aspirin-sensitive.
Methods: In this cohort study, after CT scanning of all patients and subject selection, conventional medical treatment was started as follows and continued for three consecutive months: at first, saline nose wash twice per day, intranasal beclomethasone spray one puff in each nostril twice per day, montelukast 10 mg tablet once daily, a ten-day course of oral prednisolone starting with the dose of 25 mg per day and taper and discontinued thereafter. Sinonasal outcome test 22 (SNOT22) was used for the evaluation of symptom severity. Statistical analyses were performed with SPSS version 23, and data were analyzed using an independent samples T-test, paired T-test, and Receiver operating curve analysis
Results: 25 males and 53 females were enrolled in this study, with an average age of 41.56 ± 11.74 years old (18-36). Aspirin challenge test results were positive in 29 (37.2%) patients. The average SNOT22 scores before the treatment were 52.97 ± 17.73 and 47.04 ± 18.30 in aspirin-sensitive and aspirin-tolerant patients, respectively, and decreased to 27.41 ± 16.61 and 24.88 ± 16.72 in aspirin-sensitive and aspirin-tolerant patients after the treatment, respectively. There was no significant difference in SNOT22 scores between the groups.
Conclusion: The severity of symptoms before treatment and clinical improvement after treatment are not good predictors of N-ERD.
Seyyed Taha Yahyavi, Saba Faraji,
Volume 37, Issue 1 (2-2023)
Abstract
Background: This study aimed to investigate the factors related to absconding and consequences of absconding in a psychiatric hospital in a developing country within 3 years.
Methods: This was a retrograde descriptive cross-sectional study from a psychiatry hospital in a developing country, Iran. The registered data of absconding between March 2018 and February 2021 were extracted. Furthermore, a retrograde follow-up by telephone on what happened after the absconding and the remembered motives was done. The obtained data were analyzed using SPSS statistical software for Windows Version 23 by descriptive statistics. The chi-square test, Fisher exact test, Student t test, or Mann–Whitney U tests were used for data analysis. P ˂ .05 was considered statistically significant.
Results: Out of 7069 admitted patients during a 36-month period, 51 (39 men and 12 women) had absconded. The total absconding rate was 0.72%. The mean ± (SD) age of the patients was 29.7 ± (10.46) years, with a range of 10 to 54 years. No statistical difference between men and women emerged in terms of age (P = 0.89). Most of the absconders were men (76%), young (mean age, 29.7 years), single (70.6%), and involuntarily hospitalized (78.4%) in an urban area (90.2%), and absconded in the evening shift (58.8%) via the route of the main gate (58.8%) in the early days of admission (5 days). In terms of psychiatric diagnosis, the highest rank belonged to bipolar disorder (33.33%) and substance-related disorders (33.33%). About one-third of absconders had a current substance-related problem and most of them had experienced withdrawal symptoms or cravings days before absconding (75%). Absconders mentioned that “no need for admission” (45.1%), “economic problems” (23.5%), and “substance craving” (13.7%) were the most common reasons for leaving the hospital. Most of the absconders were hospitalized later (70.5%). The risk for self-harm (21%) or harm to others (2%) after absconding was low.
Conclusion: The general profile of absconders was concordant with previous studies. It was highlighted that economic problems in recent years had an evident impact on patients and it could be postulated that consideration of substance withdrawal may decrease absconding. It is advised to adhere to the policies that support community-based psychiatry and place an emphasis on early discharge and continuity of outpatient care.
Asgar Aghaei Hashjin, Rafat Bagherzadeh, Amrollah Faraji, Mahtab Rouzbahani, Pouria Farrokhi,
Volume 38, Issue 1 (1-2024)
Abstract
Background: The likelihood of poor health outcomes for refugees is increased due to a variety of complicated causes. Lack of access to high-quality care during resettlement is frequently cited by migrants. Therefore, this study was carried out to assess the quality of primary care services from the perspective of refugees and migrants.
Methods: This cross-sectional study was conducted in three health networks affiliated with Iran University of Medical Sciences in 2021. Data were collected by using a self-administrative questionnaire, the validity and reliability of which were checked and confirmed. The questionnaires were randomly completed by 280 migrants and refugees. Data were analyzed by using Kruskal–Wallis, Mann–Whitney U, Spearman correlation, exploratory factor analysis, and Cronbach's α with SPSS 22.
Results: According to the results, the overall service quality was 3.86 out of 5. The highest and lowest mean scores were related to efficiency (4.12 ±0.64) and tangibility (3.28 ±0.39). Furthermore, there was a significant relationship between the perception of service quality and gender, education, residence area, and the rate of center visits (P < 0.05).
Conclusion: The quality of services was generally rated favorably by the refugees. Managers and decision-makers are recommended to allocate enough funds to equip and upgrade the amenities at health centers to increase the quality of services.
