{"title":"Features of Changes in Heart Rate Variability among Medical Students during the Education Process.","authors":"Ainura Manasovna Satarkulova, Asel Abdumomunovna Usenova, Shirin Syrgakovna Bakirova, Shadiya Yusupdjanovna Aisaeva, Kanykei Sadyrbekovna Keneshova, Meerim Turdubekovna Turdubekova","doi":"10.18502/ijph.v53i11.16959","DOIUrl":"https://doi.org/10.18502/ijph.v53i11.16959","url":null,"abstract":"<p><strong>Background: </strong>We investigated the changes of Heart Rate Variability (HRV) parameters, which reflect the state of the regulatory mechanisms of cardiovascular system, among medical students during routine academic period and examination session.</p><p><strong>Methods: </strong>The study was conducted in Jan-Feb 2024, at the IHSM in Bishkek, Kyrgyz Republic, among the healthy 70 students (mean age 19.71 ± 1.54 years) from India and Pakistan. For each student, two ECG recordings were performed: one 3 weeks before the exam and one 10-15 minutes after exam.</p><p><strong>Results: </strong>The results of study demonstrated that after the exam, students presented significantly higher HR, AMo, SI, VLF, LF and lower SDNN, TP, HF compared before the exam (<i>P</i><0.05). Distribution of students showed that on a routine academic period 53% of students belonged to sympathotonic, 14% to vagotonic and 33% to normotonic. During the examination period the number of sympathotonic increased to 74%, but the number of vagotonic and normotonic decreased to 4% and 22% respectively.</p><p><strong>Conclusion: </strong>Each type revealed an individual reaction to exam stress: in the group of vagotonic there was a slight activation of the SNS; in sympathotonic students there was a tension of regulatory mechanisms, leading to depletion of adaptive mechanisms; in the group of normotonic there was a shift in the vegetative balance towards the sympathetic link of ANS.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"53 11","pages":"2551-2562"},"PeriodicalIF":1.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11607161/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142769082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neda Amoori, Bahman Cheraghian, Payam Amini, Seyed Mohammad Alavi
{"title":"Risk of Hepatitis C Virus Infection in Tuberculosis Patients: A Systematic Review and Meta-Analysis.","authors":"Neda Amoori, Bahman Cheraghian, Payam Amini, Seyed Mohammad Alavi","doi":"10.18502/ijph.v53i11.16947","DOIUrl":"https://doi.org/10.18502/ijph.v53i11.16947","url":null,"abstract":"<p><strong>Background: </strong>Tuberculosis (TB) and infection of Hepatitis C virus (HCV) have appeared as major public health problems. The present systematic review and meta-analysis aimed at determining the relationship between TB and the risk of HCV infection.</p><p><strong>Methods: </strong>Google Scholar, Embase, Medline, Pubmed, web of sciences (ISI), and Scopus were searched until March 2022. The pooled ORs of HCV in patients with TB were calculated utilizing the random-effect model with a 95% confidence interval (CI). <b>I<sup>2</sup></b> test was utilized for evaluating the heterogeneity. To check publication bias Egger and Beggs' tests were used.</p><p><strong>Results: </strong>From among 1500 articles from 2006 to 2020, 13 studies were examined and analyzed based on the inclusion/exclusion criteria. The overall risk of HCV infection in patients with TB was (OR: 1.34, 95% CI: 1.10-1.63, <i>P</i>=0.001). According to the type of the countries subgroup analysis, the risk of HCV infection in patients with TB in developing countries was (OR: 1.95, 95% CI: 1.00-3.80), which was higher than the risk in developed countries (OR: 1.47, 95% CI: 1.42-1.52). In addition, the risk of hepatitis C infection in men compared to women (OR: 1.84, 95% CI: 1.75-1.94, <i>P</i>=0.001) and in age groups over 65 yr compared to other age groups (OR: 1.46, 95% CI: 0.98-2.16) was significantly higher.</p><p><strong>Conclusion: </strong>The results of this study emphasized the importance of screening HCV in patients with TB. Being aware of the presence or absence of HCV in these patients can contribute to their effective treatment.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"53 11","pages":"2451-2461"},"PeriodicalIF":1.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11607145/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142769103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Trends and Projections of Mortality Attributed to Occupational Neoplasms and Occupational Tracheal, Bronchus, and Lung Cancer in the World, G7 Countries and Turkey.","authors":"Elif Nur Yıldırım-Ozturk, Mustafa Ozturk","doi":"10.18502/ijph.v53i11.16950","DOIUrl":"https://doi.org/10.18502/ijph.v53i11.16950","url":null,"abstract":"<p><strong>Background: </strong>The most important and remarkable aspect of occupational neoplasms is that they are preventable. We aimed to examine the trends and projections of mortality rates attributed to occupational neoplasms (MAON) and occupational tracheal, bronchus, and lung cancer (MAOLCa) in the world, G7 countries, and Turkey from 1990 to 2040.</p><p><strong>Methods: </strong>The study was ecological one. Data for the study were obtained from the Global Burden of Disease (GBD) Foresight Visualization. For the study, time points were set every five years. For each time point, the age-standardized MAON, MAOLCa, and their 95% confidence intervals (CIs) were recorded. Rates were analyzed by joinpoint regression analysis.</p><p><strong>Results: </strong>Globally, MAON was projected to decrease from 3.81% in 1990 to 2.83% in 2040. According to the joinpoint regression analysis, the joint year for the world was 2020. In Germany, the US, the UK, Italy, Canada and Turkey, the trend for MAON showed a decrease, similar to the global trend. However, MAON was stable in France and increased in Japan. Globally, MAOLCa was expected to decline gradually from 19.44% to 16.82% from 1990 to 2040. In the US, France and Turkey, the trend for MAOLca decreased, similar to the global trend. However, it was stable in the UK, Italy, and Canada and increased in Germany and Japan.</p><p><strong>Conclusion: </strong>MAON tended to decrease worldwide and in the six countries, except France and Japan. MAOLCa tends to decrease worldwide, in the US, France, and Turkey, increase in Germany and Japan, and remain stable in the UK, Italy, and Canada.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"53 11","pages":"2473-2481"},"PeriodicalIF":1.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11607169/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142768914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effectiveness of Acupuncture for Diabetic Nephropathy: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.","authors":"Cui Wu, Yuandong Li, Chunli Piao, Jiuru Wu","doi":"10.18502/ijph.v53i11.16942","DOIUrl":"https://doi.org/10.18502/ijph.v53i11.16942","url":null,"abstract":"<p><strong>Background: </strong>This systematic review and meta-analysis aimed to explore the effectiveness of acupuncture for patients with diabetic nephropathy (DN).</p><p><strong>Methods: </strong>Nine online databases were searched: China National Knowledge Infrastructure, China Science and Technology Journal Database, Wanfang Data Knowledge Service Platform, Chinese BioMedical Literature Database, China Clinical Trial Centre, Embase, PubMed, the Cochrane Library, and Web of Science. The search period was from the establishment of the database to 1 September 2023. The quality of the literature was evaluated using the Cochrane Risk of Bias Assessment Tool, and the data were analyzed using STATA/MP17 and Review Manager 5.3 software.</p><p><strong>Results: </strong>A total of 221 articles were identified, and 13 studies were included. The total sample size was 899, including 452 and 447 cases in the experimental and control groups, respectively. The meta-analysis showed that acupuncture combined with modern medical treatment was effective in improving urinary albumin excretion rate, 24 h urinary microalbumin, serum creatinine, blood urea nitrogen, fasting plasma glucose, 2 h post-prandial plasma glucose, total cholesterol, high-density lipoprotein cholesterol, hypersensitive C-reactive protein, and interleukin-6 in patients with DN. Adverse events were reported in only one trial; therefore, this review cannot yet conclude on the safety of acupuncture intervention in DN.</p><p><strong>Conclusion: </strong>The clinical efficacy of acupuncture combined with modern medicine in DN is superior to that of modern medicine alone. To better evaluate the efficacy and safety of acupuncture intervention for DN, more rigorously designed large-sample, multicentre, randomized controlled trials are needed to provide evidence support in the future.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"53 11","pages":"2404-2418"},"PeriodicalIF":1.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11607160/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142769054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Seyed Mohammad Mohammadi, Nadia Saniee, Sajedeh Mousaviasl, Esmat Radmanesh, Amir Hossein Doustimotlagh
{"title":"The Role of Osteocalcin in Patients with Osteoporosis: A Systematic Review.","authors":"Seyed Mohammad Mohammadi, Nadia Saniee, Sajedeh Mousaviasl, Esmat Radmanesh, Amir Hossein Doustimotlagh","doi":"10.18502/ijph.v53i11.16945","DOIUrl":"https://doi.org/10.18502/ijph.v53i11.16945","url":null,"abstract":"<p><strong>Background: </strong>Osteoporosis is the most common systemic skeletal disease worldwide. We aimed to review the latest studies related to osteocalcin and osteoporosis to clarify this relationship more precisely.</p><p><strong>Methods: </strong>A systematic literature search was performed to review studies on the effects of osteocalcin on osteoporosis, on studied published between January 2013 and January 2023. We systematically reviewed Web of Science, PubMed, ProQuest, Scopus, and Google Scholar.</p><p><strong>Results: </strong>The search yielded 4903 records, including 1063 from PubMed, 2307 from Scopus, 1084 from Web of Science, 408 from ProQuest, and 41 from Google Scholar, and twelve articles were included for data extraction and quality assessment. A significant increase in the serum level of osteocalcin was observed in postmenopausal women with osteoporosis (<i>P</i><0.05), and there was a negative correlation between bone mineral density and the serum level of osteocalcin.</p><p><strong>Conclusion: </strong>Osteocalcin could be a promising marker for the diagnosis and screening of patients with osteoporosis.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"53 11","pages":"2432-2439"},"PeriodicalIF":1.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11607154/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142768912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Subsequent Pregnancy Outcomes Following Prepregnancy Cerclage in Patients with Absent Ecto-Cervix.","authors":"Jin Lu, Ling Zhou, Minqin Xu, Li Yang, Xue Li","doi":"10.18502/ijph.v53i11.16953","DOIUrl":"https://doi.org/10.18502/ijph.v53i11.16953","url":null,"abstract":"<p><strong>Background: </strong>We aimed to determine whether the prepregnancy cerclage for women with cervical incompetence with absent ecto-cervix affects the time from surgery to conception and subsequent pregnancy outcome.</p><p><strong>Methods: </strong>This retrospective study was carried out on patients with at least one previous history of second-trimester abortion and extremely short cervix found by gynecological examination. A total of 40 cases of McDonald's cerclage before pregnancy were performed. The time from surgery to conception and pregnancy outcome were followed up for 4 years. The main outcomes were the time from surgery to conception, and the gestational week of delivery, miscarriage rate, preterm delivery rate.</p><p><strong>Results: </strong>Between September 2018 and December 2022, 37 women became pregnant following prepregnancy cerclage. In total, 36 babies were born to 37 mothers. The recurrence rate of second-trimester miscarriage was 8.11% (3/37) and the preterm birth rate was 29.73% (11/37). Mean time from surgery to conception was 38w (range 2w-160w).Mean gestational age at delivery was 36 weeks +4 (256 days).The live birth rate was 100%. There were no maternal complications, no intestinal and bladder injuries.</p><p><strong>Conclusion: </strong>Cervical incompetence patients with absent ecto-cervix may benefit from prepregnancy cerclage without affecting the interpregnancy interval.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"53 11","pages":"2500-2508"},"PeriodicalIF":1.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11607163/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142769140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hee-Jung Lim, Jun-Yeong Kwon, Na-Yeon Tak, Ae-Jung Im, Hyoung-Joo Kim
{"title":"Effect of Oral Function Training on Swallowing Function in Community-Dwelling Older Individuals.","authors":"Hee-Jung Lim, Jun-Yeong Kwon, Na-Yeon Tak, Ae-Jung Im, Hyoung-Joo Kim","doi":"10.18502/ijph.v53i11.16956","DOIUrl":"https://doi.org/10.18502/ijph.v53i11.16956","url":null,"abstract":"<p><strong>Background: </strong>Dry mouth, masticatory discomfort, and swallowing in older individuals are important factors affecting overall health. To improve their quality of life, efforts are required to improve their oral function. Therefore, this study implemented a training program evaluating oral function to confirm improvements in swallowing.</p><p><strong>Methods: </strong>The study was conducted for approximately 4 months, from Jul to Oct 2023. Participants aged 65 yr or older were selected from welfare facilities in the metropolitan region, with 24 participants in both the intervention and control groups.</p><p><strong>Results: </strong>As a result of a study conducted on oral function training program, the intervention group exhibited significant improvements in the simulated swallowing flow rate (<i>P</i> <0.05), bite force (<i>P</i> <0.001), and tongue pressure (<i>P</i> <0.001).</p><p><strong>Conclusion: </strong>The oral function training program effectively improved simulated swallowing flow rate, bite force, and tongue pressure. Consequently, there is an opportunity to implement oral function training programs at accessible welfare centers for older individuals in the community.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"53 11","pages":"2528-2537"},"PeriodicalIF":1.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11607149/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142769049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Importance of Preventing and Managing Anterior Cruciate Ligament Injuries in Female Soccer Players.","authors":"Ji-Hoon Cho, Jae-Young Park","doi":"10.18502/ijph.v53i11.16965","DOIUrl":"https://doi.org/10.18502/ijph.v53i11.16965","url":null,"abstract":"","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"53 11","pages":"2600-2601"},"PeriodicalIF":1.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11607156/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142768125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Beyond Biopsychosocial Model (BPSM): A Multifaceted Approach to Mental Health.","authors":"Ali Majidpour Azad Shirazi","doi":"10.18502/ijph.v53i11.16967","DOIUrl":"https://doi.org/10.18502/ijph.v53i11.16967","url":null,"abstract":"","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"53 11","pages":"2605-2607"},"PeriodicalIF":1.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11607158/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142769038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Preeclampsia: Etiology, Pathophysiology, Risk Factors, Impact and Prevention: A Narrative Review.","authors":"Musliha Mustary, Ansariadi, Aminuddin Syam, Shanti Riskiyani, Kadek Ayu Erika, Apik Indarty Moedjiono, Mukhlis Lubis","doi":"10.18502/ijph.v53i11.16941","DOIUrl":"https://doi.org/10.18502/ijph.v53i11.16941","url":null,"abstract":"<p><strong>Background: </strong>Preeclampsia (PE) caused 30%-40% of maternal and newborn deaths worldwide. Despite unclear exact cause, strategies exist to mitigate less severe PE effects. This review explores PE etiology, pathophysiology, risk factors, impact, and prevention.</p><p><strong>Methods: </strong>Searching Scopus, PubMed, ProQuest, Google Scholar, and Science Direct for \"preeclampsia and pregnancy\" and \"prevention\" yielded 2012-2022 articles.</p><p><strong>Results: </strong>Preeclampsia features abnormal placental changes, altered immunity response, trophoblast apoptosis, and reduced uterine perfusion. Risk factors include hypertension history, nulliparity, age over 40, BMI over 35 kg/m<sup>2</sup>, family history, amniotic pregnancy, and long pregnancy interval. This condition risks cardiovascular and neonatal morbidity, straining health resources. Prevention involves aspirin, vitamin D, exercise, folic acid, diet, early screening, and antenatal care.</p><p><strong>Conclusion: </strong>Findings emphasize enhancing health literacy and preeclampsia education in prenatal care to mitigate PE risk among women. Further research, novel therapies, and assessing prevention strategies with accessible educational materials and multidisciplinary approaches are warranted to enhance pregnant women's health literacy and decrease PE risk.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"53 11","pages":"2392-2403"},"PeriodicalIF":1.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11607152/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142769096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}