International Journal of Preventive Medicine最新文献

{"title":"Challenges of Disaster Assessment of Readiness and Training Guideline (DART) in Iran's Primary Health Care.","authors":"Hamzeh Zarei, Mohammad H Yarmohammadian, Nikoo Yamani, Golrokh Atighechian, Fatemeh Rezaei","doi":"10.4103/ijpvm.ijpvm_230_24","DOIUrl":"10.4103/ijpvm.ijpvm_230_24","url":null,"abstract":"<p><strong>Background: </strong>DART (Disaster Assessment of Readiness and Training program) is one of the five Disaster Risk Reduction Management Programs (DRRMP) in Primary Health Care (PHC) of Iran. The guidelines for this program have not been revised in more than 10 years. The aim of this study is to critically evaluate the current guideline.</p><p><strong>Methods: </strong>This was A qualitative research by Focus Group Discussion (FGD) using the Eisner's educational connoisseurship and criticism model performed in Isfahan Medical Sciences University, Iran during 2024. The study population included seven experts who are familiar with the DRRMP and Eisner's model. Sampling method was purposeful and the FGD group members were selected by the researcher. Data collection was done through 1) WHO handbook for guideline development, 2) WHO Health Emergency, Disaster Risk Management Framework (H-EDRM), 3) A new framework of Primary Health Care (PHC) disaster preparedness and 4) Comparison of DART guideline with Stanford, FEMA and British Columbia household preparedness guidelines.</p><p><strong>Results: </strong>In this study, four main categories were found in the educational criticism of the DART guideline: simplicity in design and development, lack of layout in pages and lack of user-friendly features (descriptions), sharp visual and content criticism for the minimum essential context of a guideline (interpretation), Little conformity of visual criteria and relative conformity of content criteria with global samples (evaluation).Finally, Thematic phase indicated that current guidelines do not meet the expectations of health care providers (HCPs), effective educational promotion of guidelines is needed, and adaptation to lifestyle and cultural customs and actual educational needs were also issues that could be considered.</p><p><strong>Conclusions: </strong>Visual and content criticism based on Eisner's model showed some of the basic components of the formulation and implementation of a guideline. Modifying and revising the DART guideline based on this information and scientific processes and continuous needs assessment can create an effective result in the development of improved guidelines.</p>","PeriodicalId":14342,"journal":{"name":"International Journal of Preventive Medicine","volume":"16 ","pages":"16"},"PeriodicalIF":1.7,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11970838/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143795547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effectiveness of Unified Protocols for Transdiagnostic Treatment on Detective Thinking and Reflective Functioning of Children with Type 1 Diabetes.","authors":"Maryam Hashemipoor Zavareh, Mansoureh Bahramipour Isfahani, Ilnaz Sajjadian","doi":"10.4103/ijpvm.ijpvm_163_24","DOIUrl":"10.4103/ijpvm.ijpvm_163_24","url":null,"abstract":"<p><strong>Background: </strong>This study aims to explore the efficacy of unified protocols for a transdiagnostic treatment approach in enhancing detective thinking and reflective functioning in children diagnosed with type 1 diabetes (T1D).</p><p><strong>Methods: </strong>This quasi-experimental study involved pre- and post-tests with two experimental groups and one control group, followed by a 2-month follow-up period. Participants, T1D children aged 8-12 years old, were recruited from specialized pediatric clinics. They were randomly assigned to either experimental or control groups. The experimental group underwent a 10-session unified protocol for transdiagnostic treatment intervention, each lasting 60 minutes, with an additional 30-minute session involving mothers, conducted weekly. The control group did not receive any intervention during this period and remained on a waiting list. After completing the treatment sessions, both groups completed research questionnaires assessing detective thinking and reflective functioning in the post-test phase for comparison.</p><p><strong>Results: </strong>The study included 30 children with T1D across two groups. Repeated measures analysis of variance revealed that unified protocols for transdiagnostic treatment significantly enhanced detective thinking and reflective functioning in children with T1D (<i>P</i> < 0.05). The effects of the treatment persisted during the follow-up phase (<i>P</i> < 0.001).</p><p><strong>Conclusions: </strong>Integrated transdiagnostic therapy demonstrated effectiveness in improving detective thinking and reflective functioning in children diagnosed with T1D. Notably, these positive effects were sustained beyond the intervention period, indicating the treatment's potential as an efficient intervention strategy to enhance the psychological well-being of children with T1D.</p>","PeriodicalId":14342,"journal":{"name":"International Journal of Preventive Medicine","volume":"16 ","pages":"17"},"PeriodicalIF":1.7,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11970841/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143795561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Response to published letter: \"What are the Criteria and Conditions for Performing the Micronucleus Assay in Oral Exfoliated Cells from Waterpipe and Cigarette Smokers?\"","authors":"Noushin JalayerNaderi","doi":"10.4103/ijpvm.ijpvm_35_24","DOIUrl":"10.4103/ijpvm.ijpvm_35_24","url":null,"abstract":"","PeriodicalId":14342,"journal":{"name":"International Journal of Preventive Medicine","volume":"16 ","pages":"18"},"PeriodicalIF":1.7,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11970836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143795557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Alarming Number of Suicides Among Parents of Children with Autism Spectrum Disorder.","authors":"Omid Barghi, Mohammad-Rafi Bazrafshan, Atena Jowhari Shirazi","doi":"10.4103/ijpvm.ijpvm_174_24","DOIUrl":"10.4103/ijpvm.ijpvm_174_24","url":null,"abstract":"","PeriodicalId":14342,"journal":{"name":"International Journal of Preventive Medicine","volume":"16 ","pages":"19"},"PeriodicalIF":1.7,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11970837/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143795544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"COVID-19 Vaccination and Cardiovascular Events: A Systematic Review and Bayesian Multivariate Meta-Analysis of Preventive Benefits and Risks.","authors":"Raheleh Karimi, Mina Norozirad, Foad Esmaeili, Marjan Mansourian, Hamid R Marateb","doi":"10.4103/ijpvm.ijpvm_260_24","DOIUrl":"10.4103/ijpvm.ijpvm_260_24","url":null,"abstract":"<p><strong>Background: </strong>To provide a detailed understanding and apply a comprehensive strategy, this study examines the association between COVID-19 vaccination and cardiovascular events. We conducted a Bayesian multivariate meta-analysis using summary data across multiple outcomes including myocardial infarction, stroke, arrhythmia, and CAD, considering potential dependencies in the data. Markov chain Monte Carlo (MCMC) methods were detected for easy implementation of the Bayesian approach. Also, the sensitivity analysis of the model was done by using different priors.</p><p><strong>Methods: </strong>Fifteen studies were included in the systematic review, with eleven studies comparing the results between the vaccine group and the unvaccinated group. Additionally, six studies were used for further analysis to compare mRNA COVID-19 Vaccines (Pfizer-BioNTech and Moderna).</p><p><strong>Results: </strong>Bayesian meta-analysis revealed a link between vaccines and CAD risk (OR, 1.70; 95% CrI: 1.11-2.57), particularly after BNT162b2 (OR, 1.64; 95% CrI: 1.06-2.55) and second dose (OR, 3.44; 95% CrI: 1.99-5.98). No increased risk of heart attack, arrhythmia, or stroke was observed post-COVID-19 vaccination. As the only noteworthy point, a protective effect on stroke (OR, 0.19; 95% CrI: 0.10-0.39) and myocardial infarction (OR, 0.003; 95% CrI: 0.001-0.006) was observed after the third dose of the vaccine.</p><p><strong>Conclusions: </strong>Secondary analysis showed no notable disparity in cardiovascular outcomes between BNT162b2 and mRNA vaccines. The association of COVID-19 vaccination with the risk of coronary artery disease should be considered in future vaccine technologies for the next pandemic.</p>","PeriodicalId":14342,"journal":{"name":"International Journal of Preventive Medicine","volume":"16 ","pages":"14"},"PeriodicalIF":1.7,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11970839/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143795555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Prognostic Yield of Admission Shock Index in Patients with ST-Segment Elevation Myocardial Infarction: SEMI-CI Study.","authors":"Shaghayegh Ferdowsain, Davood Shafie, Azam Soleimani, Maryam Heidarpour, Hamidreza Roohafza, Fatemeh Nouri, Mehrbod Vakhshoori, Masoumeh Sadeghi","doi":"10.4103/ijpvm.ijpvm_43_24","DOIUrl":"10.4103/ijpvm.ijpvm_43_24","url":null,"abstract":"<p><strong>Background: </strong>Early identification of high-risk patients presenting with ST-segment elevation myocardial infarction (STEMI) helps prevent complications. The shock index (SI) is a bedside risk-stratification tool used in emergency departments. In this study, we aimed to assess the SI's predictive value for prognosticating in-hospital and one-year mortality, as well as one-year major cardiovascular events (MACEs). As secondary endpoints, we assessed the age SI's performance and the influence of prehospital transport factors on SI's predictive value.</p><p><strong>Methods: </strong>This prospective cohort study is named SEMI-CI and enrolled patients with STEMI who were referred to a cardiology hospital in Isfahan. We analyzed data on 867 patients with STEMI. Systolic blood pressure (SBP) and heart rate (HR) upon admission were used to calculate SI. Patients were divided into two groups based on SI, and 277 patients had SI > 0.7.</p><p><strong>Results: </strong>In-hospital death, one-year mortality, and MACE were more prevalent in those patients presenting with SI ≥ 0.7. However, after multivariate adjustment, SI was an independent predictor of in-hospital mortality and MACE, but it was not associated with one-year mortality. Furthermore, mortality rates increased from lower to higher age groups. Among patients transferred by emergency medical services to our hospital, SI showed prognostic implications for in-hospital mortality but not for one-year mortality.</p><p><strong>Conclusions: </strong>The current study showed that a positive SI and age SI are valuable risk-stratification tools to identify high-risk patients presenting with STEMI.</p>","PeriodicalId":14342,"journal":{"name":"International Journal of Preventive Medicine","volume":"16 ","pages":"15"},"PeriodicalIF":1.7,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11970840/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143795578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"MusQan Initiative: Challenges and Opportunities.","authors":"Ram K Garg","doi":"10.4103/ijpvm.ijpvm_194_24","DOIUrl":"10.4103/ijpvm.ijpvm_194_24","url":null,"abstract":"","PeriodicalId":14342,"journal":{"name":"International Journal of Preventive Medicine","volume":"16 ","pages":"11"},"PeriodicalIF":1.7,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11925354/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143669733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relation Between Smoking and Disability Progression in Iranian Multiple Sclerosis Patients: A Case-Control Study.","authors":"Fereshteh Ashtari, Mahtab Sardashti Birjandi, Iman Adibi, Awat Feizi, Arshia Ghalamkari, Nafiseh Toghianifar","doi":"10.4103/ijpvm.ijpvm_336_23","DOIUrl":"10.4103/ijpvm.ijpvm_336_23","url":null,"abstract":"<p><strong>Background: </strong>To compare characteristics of patients with multiple sclerosis (MS) between cigarette smokers and non-smokers.</p><p><strong>Methods: </strong>A case-control study was performed on patients registered in the Kashani MS center from April 2019 to April 2020 in Isfahan, Iran. In total, 136 smoker patients and 220 non-smokers participated in the study and completed the questionnaire.</p><p><strong>Results: </strong>The frequency of male gender in the smoker group was significantly higher than in the non-smokers (64.7% vs. 15%, <i>P</i> < 0.001). The mean age at MS onset was 31.5 ± 9.60 years among cigarette smokers and 29.7 ± 9.47 years among non-smokers (<i>P</i> = 0.794). Furthermore, 80% of cigarette smokers and 64% of non-smokers had at least one relapse per year (ARR ≥1, <i>P</i> < 0.001). The Expanded Disability Status Scale (EDSS) of more than 4.5 was significantly higher in smokers (26.5% vs. 18%, <i>P</i> = 0.023). There was a relation between an EDSS of more than 4.5 and an interval between smoking initiation and disease onset (<i>P</i> = 0.004). Long duration of smoking was associated with a higher disability scale (16.4 ± 9.5 vs. 9.8 ± 7.3, <i>P</i> = 0.008). Men smoked for a longer period of time before developing MS than women (9.24 ± 10.07 vs. 4.47 ± 7.61, <i>P</i> = 0.002). The average daily cigarette consumption was 7.74 ± 6.65 in women and 10.84 ± 9.44 in men (<i>P</i> = 0.024). Duration of smoking before the onset of the disease was 4.47 ± 7.61 years in women and 9.24 ± 10.07 in men (<i>P</i> = 0.002).</p><p><strong>Conclusions: </strong>Our data suggest that there is a possible relationship between disability score and the duration of smoking before the onset of MS. It also revealed that the duration of smoking can affect the progression of the disease. Further studies are suggested to confirm these findings.</p>","PeriodicalId":14342,"journal":{"name":"International Journal of Preventive Medicine","volume":"16 ","pages":"12"},"PeriodicalIF":1.7,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11925357/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143669795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of Stroke in People with Multiple Sclerosis.","authors":"Masoud Etemadifar, Nahad Sedaghat, Hussien Sbeity, Hasan Kaveyee","doi":"10.4103/ijpvm.ijpvm_153_24","DOIUrl":"10.4103/ijpvm.ijpvm_153_24","url":null,"abstract":"","PeriodicalId":14342,"journal":{"name":"International Journal of Preventive Medicine","volume":"16 ","pages":"10"},"PeriodicalIF":1.7,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11925355/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143669735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Resilience, Pain Self-efficacy and Health-related Quality of Life in Greek Hemodialysis Patients: A Cross-sectional Study.","authors":"Michail Tsanasidis, Theodora Kafkia, Dimitrios Papoutsis, Michael Kourakos","doi":"10.4103/ijpvm.ijpvm_108_24","DOIUrl":"10.4103/ijpvm.ijpvm_108_24","url":null,"abstract":"<p><strong>Background: </strong>Regardless of the recent advances in Chronic Kidney Disease stage 5 (CKD-5) management people on dialysis face significant changes in their quality of life. The present study aimed to examine the relationship between psychological resilience and quality of life in patients undergoing in-center hemodialysis.</p><p><strong>Methods: </strong>An initial sample of 150 adult patients on hemodialysis for more than 6 months was selected from hospitals in a Southern European country. The study used the Connor-Davidson Resilience Scale (CD-RISC), the Pain Self-Efficacy Questionnaire (PSEQ), and the Kidney Disease Quality of Life (KDQOL-36) questionnaires to assess levels of psychological resilience, pain self-efficacy and quality of life.</p><p><strong>Results: </strong>The results indicated that higher levels of psychological resilience were associated with higher levels of pain self-efficacy, which in turn led to better quality of life.</p><p><strong>Conclusions: </strong>The findings suggest that psychological resilience and pain self-efficacy play important roles in the health-related quality of life of people on hemodialysis, regardless of demographic factors such as age and gender. These have implications for practice in CKD-5 management and highlight the importance of addressing psychological factors in dialysis care.</p>","PeriodicalId":14342,"journal":{"name":"International Journal of Preventive Medicine","volume":"16 ","pages":"9"},"PeriodicalIF":1.7,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11925358/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143669797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}