International Journal of Preventive Medicine最新文献

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Screen Time and Child Behavioral Disorders During COVID-19 Pandemic: A Systematic Review. COVID-19 大流行期间的屏幕时间与儿童行为障碍:系统回顾
IF 2.1
International Journal of Preventive Medicine Pub Date : 2024-02-29 eCollection Date: 2024-01-01 DOI: 10.4103/ijpvm.ijpvm_78_23
Maryam Abdoli, Mohadeseh Khoshgoftar, Hosin Jadidi, Seyede Shahrbanoo Daniali, Roya Kelishadi
{"title":"Screen Time and Child Behavioral Disorders During COVID-19 Pandemic: A Systematic Review.","authors":"Maryam Abdoli, Mohadeseh Khoshgoftar, Hosin Jadidi, Seyede Shahrbanoo Daniali, Roya Kelishadi","doi":"10.4103/ijpvm.ijpvm_78_23","DOIUrl":"10.4103/ijpvm.ijpvm_78_23","url":null,"abstract":"<p><strong>Background: </strong>The extensive use of various electronic games and communication devices, particularly among children and adolescents, has raised concerns, particularly during the COVID-19 pandemic. This study investigated the link between screen time and internalizing disorders, such as anxiety and depression, among individuals aged ≤18 during the global COVID-19 pandemic.</p><p><strong>Methods: </strong>This systematic review aims to summarize scientific publications from 2019 to early 2022 by searching databases, including the Cochrane Library, PubMed, Web of Science, Scopus, and PsycINFO, to identify suitable studies. In each paper, we searched the following keywords and their synonyms: screen, child, high school, middle school, and psychiatric disorders. The quality of the selected papers was evaluated using a checklist recommended by the National Institutes of Health (NIH) for observational cohort studies.</p><p><strong>Results: </strong>Out of 986 reports identified, we included 12 papers with 14,483 participants. The study revealed a negative correlation between screen time (TV, computer, video games, and mobile phones) and behavioral outcomes. Smartphones were the most frequently used devices, with video games being more prevalent among older participants for education, communication, and entertainment purposes. The prevalence of depression ranged between 10% and 25%. Furthermore, anxiety and depression were identified as predictors of increased screen usage. Some results displayed variation based on the type of screen exposure, the questionnaires used, and the age of the participants.</p><p><strong>Conclusions: </strong>The findings imply an indirect association between increased screen time and depression and anxiety. It is crucial to consider limitations on screen time exposure and parental supervision as measures to prevent certain mental disorders.</p>","PeriodicalId":14342,"journal":{"name":"International Journal of Preventive Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10982732/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140335634","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}
引用次数: 0
Challenges of Implementing Telemedicine Technology: A systematized Review. 实施远程医疗技术的挑战:系统化回顾。
IF 2.1
International Journal of Preventive Medicine Pub Date : 2024-02-29 eCollection Date: 2024-01-01 DOI: 10.4103/ijpvm.ijpvm_48_23
Marziye Hadian, Zahra Khakdel Jelodar, Mohammadreza Jabbari Khanbebin, Pezhman Atafimanesh, Ali Sarabi Asiabar, Seyed Mehdi Hejazi Dehagani
{"title":"Challenges of Implementing Telemedicine Technology: A systematized Review.","authors":"Marziye Hadian, Zahra Khakdel Jelodar, Mohammadreza Jabbari Khanbebin, Pezhman Atafimanesh, Ali Sarabi Asiabar, Seyed Mehdi Hejazi Dehagani","doi":"10.4103/ijpvm.ijpvm_48_23","DOIUrl":"10.4103/ijpvm.ijpvm_48_23","url":null,"abstract":"<p><strong>Background: </strong>Today, the technologies in the world are rapidly evolving, and global infrastructure of information is spreading rapidly. The health system of different countries is facing a variety of challenges in order to apply telemedicine services. The aim of this study was to determine the challenges facing the health system of different countries in the application of telemedicine.</p><p><strong>Method: </strong>The present research was conducted in 2022 as a systematized review of studies related to challenges of telemedicine. In this study, Preferred Reporting Items for Systematic Reviews (PRISMA) and Critical Appraisal Skills Program (CASP) guidelines were used to assess the articles. The keywords \"telemedicine,\" \"telehealth,\" \"E-health,\" and \"tele care\" were used in combination with the Boolean operators OR and AND. The ISI Web of Science, PubMed, Scopus, Science Direct, Ovid, Pro Quest, Wiley, and Google Scholar were searched.</p><p><strong>Results: </strong>In this study, based on the search strategy, databases were searched from January 2012 to January 2022, and in the final stage, analysis was performed on 27 selected identified articles. The use of telemedicine technology faced major formality and legality, required bandwidth, development of multilingual systems, economic efficiency, available patterns, payment for services, moral barriers, social status, differences and national and legal contradictions in the world, lack of insurance coverage challenges, and so on. Recognizing gaps and challenges can provide a way to fill these gaps and create opportunities for improvement.</p><p><strong>Conclusions: </strong>Utilizing telemedicine technology can be considered as an effective step in the health system. This technology has weaknesses that may challenge it. Successful application of telemedicine technology cannot be very effective without removing these barriers.</p>","PeriodicalId":14342,"journal":{"name":"International Journal of Preventive Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10982727/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140335631","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}
引用次数: 0
An Overlooked Barrier for Obesity Treatment: Weight Misperception. 被忽视的肥胖症治疗障碍:体重误解。
IF 2.1
International Journal of Preventive Medicine Pub Date : 2024-01-31 eCollection Date: 2024-01-01 DOI: 10.4103/ijpvm.ijpvm_190_22
Alper T Güven
{"title":"An Overlooked Barrier for Obesity Treatment: Weight Misperception.","authors":"Alper T Güven","doi":"10.4103/ijpvm.ijpvm_190_22","DOIUrl":"10.4103/ijpvm.ijpvm_190_22","url":null,"abstract":"","PeriodicalId":14342,"journal":{"name":"International Journal of Preventive Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10935564/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140131403","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}
引用次数: 0
The Relationship between Healthy Eating Index and Lipid Profile in Healthy Individuals: A Systematic Review. 健康人的健康饮食指数与血脂概况之间的关系:系统回顾
IF 2.1
International Journal of Preventive Medicine Pub Date : 2024-01-31 eCollection Date: 2024-01-01 DOI: 10.4103/ijpvm.ijpvm_404_22
Hossein Faraji, Sanaz Jamshidi, Suzie Ferrie, Pouria Sefidmooye Azar
{"title":"The Relationship between Healthy Eating Index and Lipid Profile in Healthy Individuals: A Systematic Review.","authors":"Hossein Faraji, Sanaz Jamshidi, Suzie Ferrie, Pouria Sefidmooye Azar","doi":"10.4103/ijpvm.ijpvm_404_22","DOIUrl":"10.4103/ijpvm.ijpvm_404_22","url":null,"abstract":"<p><strong>Background: </strong>The Healthy Eating Index (HEI) and Alternate Healthy Eating Index (AHEI) are instruments developed by competing American research teams, aiming to assess the level of adherence to a dietary pattern, claimed to prevent chronic illness conditions such as dyslipidemia. This systematic review evaluated cross-sectional studies examining the association between HEI/AHEI score and the lipid profile in healthy participants.</p><p><strong>Methods: </strong>The systematic review was Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) compliant, and a search process was conducted through Scopus, Web of Knowledge, Google Scholar, Cochrane, PubMed, and ScienceDirect up to November 2022. Studies assessing the relationship between HEI/AHEI and lipid profile (low-density lipoprotein cholesterol (LDL-C), total cholesterol (TC), high-density lipoprotein cholesterol (HDL-C), and triglyceride (TG)) were eligible for inclusion. The statistical differences in outcomes, anthropometric indices, and demographic data were extracted from the selected studies. Also, the quality assessment of studies was performed using the Newcastle-Ottawa scale.</p><p><strong>Results: </strong>The systematic search presented 17 cross-sectional studies. Most of the studies revealed a significant correlation between HEI score and lipid profile (LDL-C, HDL-C, TG, and TC) (<i>P</i> < 0.05), while a few of them indicated a significant relationship between AHEI score and these factors. Overall, the elevation of HEI/AHEI score was associated with the improvement in lipid profile (<i>P</i> < 0.05), though this association was more obvious for HEI compared with AHEI.</p><p><strong>Conclusions: </strong>Overall, the results of the study indicated that an improved lipid profile in healthy individuals is associated with a higher score in either HEI or AHEI. Further research in the future is required to confirm the claim.</p>","PeriodicalId":14342,"journal":{"name":"International Journal of Preventive Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10935573/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140131431","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}
引用次数: 0
Designing a Hybrid Method of Artificial Neural Network and Particle Swarm Optimization to Diagnosis Polyps from Colorectal CT Images. 设计一种人工神经网络与粒子群优化的混合方法来诊断结肠直肠 CT 图像中的息肉
IF 2.1
International Journal of Preventive Medicine Pub Date : 2024-01-31 eCollection Date: 2024-01-01 DOI: 10.4103/ijpvm.ijpvm_373_22
Hossein Beigi Harchegani, Hamid Moghaddasi
{"title":"Designing a Hybrid Method of Artificial Neural Network and Particle Swarm Optimization to Diagnosis Polyps from Colorectal CT Images.","authors":"Hossein Beigi Harchegani, Hamid Moghaddasi","doi":"10.4103/ijpvm.ijpvm_373_22","DOIUrl":"10.4103/ijpvm.ijpvm_373_22","url":null,"abstract":"<p><strong>Background: </strong>Since colorectal cancer is one of the most important types of cancer in the world that often leads to death, computer-aided diagnostic (CAD) systems are a promising solution for early diagnosis of this disease with fewer side effects than conventional colonoscopy. Therefore, the aim of this research is to design a CAD system for processing colorectal Computerized Tomography (CT) images using a combination of an artificial neural network and a particle swarm optimizer.</p><p><strong>Method: </strong>First, the data set of the research was created from the colorectal CT images of the patients of Loghman-e Hakim Hospitals in Tehran and Al-Zahra Hospitals in Isfahan who underwent colorectal CT imaging and had conventional colonoscopy done within a maximum period of one month after that. Then the steps of model implementation, including electronic cleansing of images, segmentation, labeling of samples, extraction of features, and training and optimization of the artificial neural network (ANN) with a particle swarm optimizer, were performed. A binomial statistical test and confusion matrix calculation were used to evaluate the model.</p><p><strong>Results: </strong>The values of accuracy, sensitivity, and specificity of the model with a <i>P</i> value = 0.000 as a result of the McNemar test were 0.9354, 0.9298, and 0.9889, respectively. Also, the result of the <i>P</i> value of the binomial test of the ratio of diagnosis of the model and the radiologist from Loqman Hakim and Al-Zahra Hospitals was 0.044 and 0.021, respectively.</p><p><strong>Conclusions: </strong>The results of statistical tests and research variables show the efficiency of the CTC-CAD system created based on the hybrid of the ANN and particle swarm optimization compared to the opinion of radiologists in diagnosing colorectal polyps from CTC images.</p>","PeriodicalId":14342,"journal":{"name":"International Journal of Preventive Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10935572/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140131427","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}
引用次数: 0
Smallpox Vaccination Discontinuation and Expansion Into an Endemic Area of Monkeypox: A Reanalysis of Available Data. 停止天花疫苗接种并向猴痘流行区扩展:对现有数据的再分析。
IF 2.1
International Journal of Preventive Medicine Pub Date : 2024-01-31 eCollection Date: 2024-01-01 DOI: 10.4103/ijpvm.ijpvm_210_22
Pathum Sookaromdee, Viroj Wiwanitkit
{"title":"Smallpox Vaccination Discontinuation and Expansion Into an Endemic Area of Monkeypox: A Reanalysis of Available Data.","authors":"Pathum Sookaromdee, Viroj Wiwanitkit","doi":"10.4103/ijpvm.ijpvm_210_22","DOIUrl":"10.4103/ijpvm.ijpvm_210_22","url":null,"abstract":"","PeriodicalId":14342,"journal":{"name":"International Journal of Preventive Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10935568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140131429","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}
引用次数: 0
Noise-induced Hearing Loss: Continuous versus Impact/impulse Noise. 噪声引起的听力损失:连续噪声与冲击/脉冲噪声。
IF 2.1
International Journal of Preventive Medicine Pub Date : 2024-01-31 eCollection Date: 2024-01-01 DOI: 10.4103/ijpvm.ijpvm_368_21
Mohammad Hossein Davari, Mohammad Taghi Jalalian, Seyyed Jalil Mirmohammadi, Ahmad Shojaoddiny-Ardekani, Mojgan Piri Ardakani, Amir Houshang Mehrparvar
{"title":"Noise-induced Hearing Loss: Continuous versus Impact/impulse Noise.","authors":"Mohammad Hossein Davari, Mohammad Taghi Jalalian, Seyyed Jalil Mirmohammadi, Ahmad Shojaoddiny-Ardekani, Mojgan Piri Ardakani, Amir Houshang Mehrparvar","doi":"10.4103/ijpvm.ijpvm_368_21","DOIUrl":"10.4103/ijpvm.ijpvm_368_21","url":null,"abstract":"<p><strong>Background: </strong>Impact/impulse and continuous noise are two main causes of noise-induced hearing loss (NIHL) in workplaces. The aim of this study was to compare the effects of impulse/impact noise and continuous noise on hearing status.</p><p><strong>Methods: </strong>In this study, 259 workers referred to the occupational medicine clinic of Shahid Rahnemoun hospital, Yazd, Iran, entered the study and were divided into two groups: with exposure to impact/impulse noise and with exposure to continuous noise. Hearing thresholds were measured and compared between the two groups by pure-tone audiometry (PTA). The frequency of hearing loss and audiometric notch according to the results of PTA was compared between the two groups. Data were analyzed by SPSS (ver. 16) using Student's <i>t</i>-test, Chi-square test, and Mann-Whitney U test.</p><p><strong>Results: </strong>Hearing thresholds were significantly higher at all frequencies in the impact noise group. The hearing threshold at 6000 Hz was higher than other frequencies in both groups. The frequency of hearing loss at high frequencies was higher in the impact group. The frequency of audiometric notch was not significantly different between the two groups.</p><p><strong>Conclusions: </strong>The results of this study showed that hearing loss after exposure to impact/impulse noise is probably more frequent and more severe than exposure to continuous noise, but the pattern of hearing loss is similar in both types of noise exposure.</p>","PeriodicalId":14342,"journal":{"name":"International Journal of Preventive Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10935570/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140131428","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}
引用次数: 0
A Scoping Review of Possible Solutions for Decreasing Socioeconomic Inequalities in Type 2 Diabetes Mellitus. 减少 2 型糖尿病社会经济不平等可能解决方案的范围审查。
IF 2.1
International Journal of Preventive Medicine Pub Date : 2024-01-31 eCollection Date: 2024-01-01 DOI: 10.4103/ijpvm.ijpvm_374_22
Laleh Gharacheh, Mostafa Amini-Rarani, Amin Torabipour, Saeed Karimi
{"title":"A Scoping Review of Possible Solutions for Decreasing Socioeconomic Inequalities in Type 2 Diabetes Mellitus.","authors":"Laleh Gharacheh, Mostafa Amini-Rarani, Amin Torabipour, Saeed Karimi","doi":"10.4103/ijpvm.ijpvm_374_22","DOIUrl":"10.4103/ijpvm.ijpvm_374_22","url":null,"abstract":"<p><strong>Background: </strong>As socioeconomic inequalities are key factors in access and utilization of type 2 diabetes (T2D) services, the purpose of this scoping review was to identify solutions for decreasing socioeconomic inequalities in T2D.</p><p><strong>Methods: </strong>A scoping review of scientific articles from 2000 and later was conducted using PubMed, Web of Science (WOS), Scopus, Embase, and ProQuest databases. Using the Arksey and O'Malley framework for scoping review, articles were extracted, meticulously read, and thematically analyzed.</p><p><strong>Results: </strong>A total of 7204 articles were identified from the reviewed databases. After removing duplicate and nonrelevant articles, 117 articles were finally included and analyzed. A number of solutions and passways were extracted from the final articles. Solutions for decreasing socioeconomic inequalities in T2D were categorized into 12 main solutions and 63 passways.</p><p><strong>Conclusions: </strong>Applying identified solutions in diabetes policies and interventions would be recommended for decreasing socioeconomic inequalities in T2D. Also, the passways could be addressed as entry points to help better implementation of diabetic policies.</p>","PeriodicalId":14342,"journal":{"name":"International Journal of Preventive Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10935579/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140131402","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}
引用次数: 0
The Effects of Curcumin Administration on Carotid Intima-Media Thickness and Pulse Wave Velocity in Diabetic Hemodialysis Patients: A Randomized, Double-Blinded, Placebo-Controlled Trial. 姜黄素对糖尿病血液透析患者颈动脉内膜厚度和脉搏波速度的影响:一项随机、双盲、安慰剂对照试验
IF 2.1
International Journal of Preventive Medicine Pub Date : 2024-01-31 eCollection Date: 2024-01-01 DOI: 10.4103/ijpvm.ijpvm_55_22
Mojtaba Ghasemiadl, Soheil Ghasemi, Alireza Soleimani, Mahsa M Esfahani, Javid Azadbakht, Hamid R Gilasi, Hamid R Talari
{"title":"The Effects of Curcumin Administration on Carotid Intima-Media Thickness and Pulse Wave Velocity in Diabetic Hemodialysis Patients: A Randomized, Double-Blinded, Placebo-Controlled Trial.","authors":"Mojtaba Ghasemiadl, Soheil Ghasemi, Alireza Soleimani, Mahsa M Esfahani, Javid Azadbakht, Hamid R Gilasi, Hamid R Talari","doi":"10.4103/ijpvm.ijpvm_55_22","DOIUrl":"10.4103/ijpvm.ijpvm_55_22","url":null,"abstract":"<p><strong>Background: </strong>Prior studies have reported that curcumin is inversely associated with reduced markers of atherosclerosis risk, including carotid intima-media thickness (CIMT). This study was designed to assess the effects of curcumin on CIMT and pulse wave velocity (PWV) in diabetic hemodialysis (HD) patients.</p><p><strong>Methods: </strong>This randomized, double-blinded, placebo-controlled trial was conducted on 39 diabetic HD patients. People were assigned to receive curcumin or placebo (starch) for 24 weeks. Individuals in the curcumin group (<i>n</i> = 26) received 80 mg/day. CIMT and PWV levels were taken at baseline and after 24 weeks of intervention.</p><p><strong>Results: </strong>After 24 weeks of intervention, curcumin intake did not affect mean levels of left (<i>P</i> = 0.83) and right (<i>P</i> = 0.47) CIMT and maximum levels of left (<i>P</i> = 0.84) and right (<i>P</i> = 0.11) CIMT, and PWV (P = 0.12) compared to the placebo. Furthermore, within-group difference demonstrated a significant reduction in mean levels of PWV (<i>P</i> = 0.01) in the curcumin group. We did not observe any significant change in C-reactive protein (CRP) concentrations after curcumin intake (<i>P</i> = 0.69).</p><p><strong>Conclusions: </strong>Curcumin intake did not affect mean levels of left and right CIMT and maximum levels of left and right CIMT, PWV, and CRP levels compared to the placebo. Additionally, within-group difference demonstrated a significant reduction in mean levels of PWV in the curcumin group.This trial was registered at www.irct.ir as http://www.irct.ir: IRCT20200527047584N1.</p>","PeriodicalId":14342,"journal":{"name":"International Journal of Preventive Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10935569/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140131430","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}
引用次数: 0
Overuse of Antibiotics: Who is to Blame? A Qualitative Study. 过度使用抗生素:谁之过?一项定性研究。
IF 2.1
International Journal of Preventive Medicine Pub Date : 2024-01-30 eCollection Date: 2023-01-01 DOI: 10.4103/ijpvm.ijpvm_287_22
Zary Nokhodian, Zahra Boroumandfar, Soodabeh Rostami, Behrooz Ataei
{"title":"Overuse of Antibiotics: Who is to Blame? A Qualitative Study.","authors":"Zary Nokhodian, Zahra Boroumandfar, Soodabeh Rostami, Behrooz Ataei","doi":"10.4103/ijpvm.ijpvm_287_22","DOIUrl":"10.4103/ijpvm.ijpvm_287_22","url":null,"abstract":"<p><strong>Background: </strong>The irrational use of antibiotics seriously threatens global health. Clinicians undoubtedly play an essential role in consuming antibiotics in hospitals and communities, and their attitudes may help the health system's optimal treatment of antibiotics. In this study, we reported clinicians' experiences with antibiotics used in Isfahan, Iran.</p><p><strong>Methods: </strong>In a qualitative study conducted from October 2020 to March 2021, the experiences of 13 clinicians with different clinical specialties were collected through one-to-one interviews. Participants were selected through purposive sampling until data saturation; data collection was conducted through semi-structured interviews. Conventional content analysis was used to analyze the transcribed interviews. The main category was recognized and subcategorized and coded by three researchers.</p><p><strong>Results: </strong>Eight women and five men with a mean work experience of 12.54 ± 10.047 years participated in the study. All of them worried about the overuse of antibiotics and antibiotic resistance. Clinicians believe that the antimicrobial stewardship committee is not active in our country. Laboratory challenges, healthcare providers, the poor performance of the health system, and marketing and business were the main categories of the study. Subcategrories of main categories included inefficiency in the function of laboratories, harmful profit, challenges in medical education, ups and downs of disease treatment, the unacceptable performance of hospitals, failure to upgrade the health system, threats and opportunities, and jobbery.</p><p><strong>Conclusions: </strong>The participants of this study believed that excessive use of antibiotics is a serious challenge in our country. Physicians were concerned about antibiotic resistance and believed that the pattern of antibiotic resistance was not routinely reported. Therefore, in our region, we should make more efforts to collect data in this field and provide this information to physicians. Also, this study confirmed many obstacles to implementing the antimicrobial stewardship program, and the infrastructure needs strengthening. There is also a need for cultural changes and the views of physicians.</p>","PeriodicalId":14342,"journal":{"name":"International Journal of Preventive Medicine","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10916410/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140049462","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}
引用次数: 0
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