{"title":"Effect of Self-Leadership, Resilience, and Communication Ability on the Intention to Keep Nursing Job among Korean Nurses.","authors":"Yeon-Ju Kim, Yeon-Ran Hong, Ho-Jin Lee","doi":"10.18502/ijph.v54i4.18421","DOIUrl":"https://doi.org/10.18502/ijph.v54i4.18421","url":null,"abstract":"<p><strong>Background: </strong>We investigated the effects of self-leadership, resilience, and communication ability on the intention to keep one's nursing job among Korean nurses.</p><p><strong>Methods: </strong>Data were collected from 245 nurses from hospitals in Jeollanam-do Province, Republic of Korea in 2022. The collected data were analyzed using independent <i>t</i>-tests, one-way analyses of variance, post-hoc tests, Pearson's correlation coefficients, and stepwise multiple regression.</p><p><strong>Results: </strong>The intention to keep one's nursing job was positively correlated with self-leadership (r=0.34, <i>P</i><0.001), resilience (r=0.45, <i>P</i><0.001), and communication ability (r=0.34, <i>P</i><0.001). Positive correlations were also found between self-leadership and resilience (r=0.65, <i>P</i><0.001), communication ability and self-leadership (r=0.49, <i>P</i><0.001), and resilience and communication ability (r=0.69, <i>P</i><0.001). Furthermore, resilience (β=0.27, <i>P</i>=0.001), age (β=0.26, <i>P</i><0.001), welfare satisfaction (β=0.17, <i>P</i>=0.003), and communication ability (β=0.16, <i>P</i>=0.031) influenced nurses' intention to keep their jobs. The regression model was statistically significant (F=24.94, <i>P</i><0.001), and the explanatory power was 29.4%.</p><p><strong>Conclusion: </strong>Nurses' intention to keep their jobs can be strengthened by improving their treatment, welfare, and communication abilities. Accordingly, educational programs are needed to create an efficient nursing environment and improve nurses' resilience and communication abilities.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 4","pages":"820-829"},"PeriodicalIF":1.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045876/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143965931","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}
Mohammad Esmaeil Akbari, Atieh Akbari, Mohammad Akbari, Maryam Khayamzadeh
{"title":"Survival Rate of Breast Cancer and Related Factors in Iran: A 27-Year Follow-Up.","authors":"Mohammad Esmaeil Akbari, Atieh Akbari, Mohammad Akbari, Maryam Khayamzadeh","doi":"10.18502/ijph.v54i4.18426","DOIUrl":"https://doi.org/10.18502/ijph.v54i4.18426","url":null,"abstract":"<p><strong>Background: </strong>Several factors can affect the survival of patients with breast cancer (BC). We estimated BC patients' 5-, 10-, and 15-year survival rates and influential factors in a single medical center during the last three decades.</p><p><strong>Methods: </strong>We enrolled patients diagnosed with BC managed in the Cancer Research Center of Shahid Beheshti University of Medical Sciences, Tehran, Iran from 1991 to 2018. All patients were followed to check the patients' status. The data were analyzed regarding demographic, clinical, pathological, and molecular biology characteristics. Descriptive and survival analyses were performed. Kaplan Meier and Cox proportional hazards regression models were used for survival analysis.</p><p><strong>Results: </strong>Overall, 4, 429 women were included. The mean age was 49. 11 (±11. 98) yr. Nearly 70% of the patients had high school degrees. Totally, 35% of patients were diagnosed in the advanced stages of BC. Estrogen Receptor (ER), Progesterone Receptor (PR), and human epidermal growth factor receptor 2 (HER2) were positive in 72. 50%, 66. 90%, and 16. 20% of the cases, respectively. About 11. 6% of patients died. The overall 5-, 10-, and 15-year survival rates of BC were 90%, 83%, and 75%, respectively. In the Cox proportional hazard analysis, the survival rate was affected by literacy level, positive lymph nodes, lymphovascular invasion, ER, tumor size, and pathological grade.</p><p><strong>Conclusion: </strong>This is the first report on the 15-year survival rate of BC and its influential factors, from a medical center in Iran. The results were acceptable and comparable with those of developed countries due to scientific protocols, teamwork, and effective follow-up in a developing country.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 4","pages":"870-880"},"PeriodicalIF":1.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045874/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144016028","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 Research Progress of Neurotrophic Tyrosine Receptor Kinase <i>(NTRK)</i> Gene Fusions and Tropomyosin Receptor Kinase (<i>TRK</i>) Inhibitors: A Narrative Review.","authors":"Jielin Li, Yuan Liang","doi":"10.18502/ijph.v54i4.18410","DOIUrl":"https://doi.org/10.18502/ijph.v54i4.18410","url":null,"abstract":"<p><p><i>NTRK</i> gene is responsible for encoding <i>TRK</i>, which consists of three family members: <i>NTRK1</i>, <i>NTRK2</i>, and <i>NTRK3</i>. These family members encode different proteins known as <i>TRKA</i>, <i>TRKB</i>, and <i>TRKC</i>, respectively. <i>NTRK</i> fusion genes are the clearest driving factor for carcinogenesis. <i>NTRK</i> gene fusion detection and <i>TRK</i> inhibitors are effective measures for the treatment of malignant tumors. The development of anti-tumor drugs targeting <i>TRK</i> proteins has been favored by various scientific research institutions and pharmaceutical companies. The first-generation <i>TRK</i> inhibitors, larotrectinib and entrectinib, have been approved for the treatment of pediatric and adult patients with metastatic or locally advanced solid tumors harboring <i>NTRK</i> fusion proteins, demonstrating remarkable anticancer efficacy in clinical settings. However, the issue of acquired resistance to <i>TRK</i> inhibitors has emerged. Currently, efforts are underway to develop next-generation <i>TRK</i> inhibitors based on sequence, structural, and kinetic methodologies, as well as to explore the intracellular signaling pathways of <i>TRK</i> and the mechanisms underlying resistance. The main focus of this review was to discuss the fusion of <i>NTRK</i> genes and the application of <i>TRK</i> inhibitor treatment.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 4","pages":"710-722"},"PeriodicalIF":1.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045868/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144013658","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}
Kee Leng Chua, Hwang Ching Chan, Jyoti Somani, See Ming Lim
{"title":"A Case Study on Trends in Acute Respiratory Illnesses and Influenza in Singapore: Pre-, during, and Post-COVID-19 Pandemic.","authors":"Kee Leng Chua, Hwang Ching Chan, Jyoti Somani, See Ming Lim","doi":"10.18502/ijph.v54i4.18417","DOIUrl":"https://doi.org/10.18502/ijph.v54i4.18417","url":null,"abstract":"<p><strong>Background: </strong>We investigated trends in acute respiratory illnesses and influenza activity in Singapore throughout the COVID-19 pandemic.</p><p><strong>Methods: </strong>Publicly available data from the Ministry of Health, Singapore was used to estimate the number of daily acute respiratory illnesses (ARI) and influenza cases between 2019 and Jun 2023. Overseas travel activity was obtained from the Department of Statistics, Singapore. Trends in ARI and influenza activity during different phases of the COVID-19 pandemic with changes in key public health measures were compared.</p><p><strong>Results: </strong>Pre-pandemic influenza activity exhibited seasonal peaks in Jan and Jul, with daily estimated cases exceeding 40 during these periods. During the early pandemic, influenza cases declined sharply to close to zero and remained at these levels until mid-2022, even after public health measures were eased. ARI cases followed a similar initial decline but gradually returned to pre-pandemic levels by 2023, with peaks occurring outside the usual seasonal pattern. These trends corresponded with phases of public health measures, including mask-wearing and travel restrictions.</p><p><strong>Conclusion: </strong>Several hypotheses for these contrasting trends were explored, including increased public health awareness, higher influenza vaccination rates, and potential virus-virus interactions.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 4","pages":"795-800"},"PeriodicalIF":1.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045858/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144004014","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":"Effect of Breathing Meditation Program on the Lung Function in Physically Disabled Elderly Individuals.","authors":"Na-Hyeon Kim","doi":"10.18502/ijph.v54i4.18428","DOIUrl":"https://doi.org/10.18502/ijph.v54i4.18428","url":null,"abstract":"","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 4","pages":"885-887"},"PeriodicalIF":1.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045862/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144018962","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":"Comparing the Effects of Glucose-Fructose versus Glucose on the Oxidation Rate: A Systematic Review and Meta-Analysis.","authors":"Zahra Gohari Dezfuli, Minoo Hasan Rashedi, Fatemeh Naeini, Sakineh Shab-Bidar, Mohammadhossein Pourgharib-Shahi, Xueying Zhang, Elaheh Dehghani, Kurosh Djafarian","doi":"10.18502/ijph.v54i4.18411","DOIUrl":"https://doi.org/10.18502/ijph.v54i4.18411","url":null,"abstract":"<p><strong>Background: </strong>Numerous studies have aimed to compare the effects of glucose (Glu) consumption with those of glucose-fructose (Glu-Fru) consumption on oxidation rates during exercise. However, divergent outcomes have surfaced due to variations in exercise protocols and concurrent substance ingestion, leading to a lack of consensus. This systematic review and meta-analysis investigated the comparative effects of Glu and Glu-Fru on total carbohydrate oxidation, endogenous carbohydrate oxidation, exogenous carbohydrate oxidation, and total fat oxidation rates during exercise.</p><p><strong>Methods: </strong>A systematic search of PubMed, Scopus, and Web of Science databases up to February 2023. The search yielded 14 randomized controlled trials involving 125 endurance athletes.</p><p><strong>Results: </strong>The meta-analyses revealed that Glu supplementation significantly increased total carbohydrate oxidation (WMD: 0.21 g/min) compared to Glu-Fru. Endogenous carbohydrate oxidation significantly increased with Glu (WMD: -0.12), while Glu-Fru led to increased exogenous carbohydrate oxidation (WMD: 0.27 g/min). Total fat oxidation decreased with Glu-Fru (WMD: -0.06 g/min).</p><p><strong>Conclusion: </strong>By investigating athletic nutrition complexities, our findings shed light on metabolic responses to Glu-Fru versus Glu supplementation. Tailoring hydration strategies, athletes should select an optimal Glu-Fru to Glu ratio for maximal oxidation and enhanced performance. Future research could explore dose-response relationships for optimal metabolic benefits during exercise.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 4","pages":"723-738"},"PeriodicalIF":1.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045866/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144020642","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}
Narjes Noori Goodarzi, Shaghayegh Zafar, Naghmeh Pourmand, Soheila Ajdary, Mir Saeed Yekaninejad, Mohammad Reza Pourmand, Farzad Badmasti
{"title":"Exploring the Prevalence of <i>Neisseria gonorrhoeae</i> in Women with Genitourinary Symptoms in Tehran, Iran.","authors":"Narjes Noori Goodarzi, Shaghayegh Zafar, Naghmeh Pourmand, Soheila Ajdary, Mir Saeed Yekaninejad, Mohammad Reza Pourmand, Farzad Badmasti","doi":"10.18502/ijph.v54i4.18424","DOIUrl":"https://doi.org/10.18502/ijph.v54i4.18424","url":null,"abstract":"<p><strong>Background: </strong><i>Neisseria gonorrhoeae</i>, the second most common sexually transmitted infection (STI) worldwide, affects one million people daily. We aimed to investigate the prevalence of gonorrhea in females with genital infections in Tehran, Iran.</p><p><strong>Methods: </strong>First, a bioinformatic study was conducted to identify a conserved and high-prevalent gene marker for detection of <i>N. gonorrhoeae</i>. One desirable marker was selected and a pair of specific primers was designed to amplify it. The reliability of the primer pair was evaluated <i>in silico</i> and <i>in vitro</i>. Subsequently, 172 patients with genitourinary symptoms were enrolled and an endocervical swab specimen was obtained from each patient to evaluate the presence of <i>N. gonorrhoeae</i> in clinical specimens using the specific primers.</p><p><strong>Results: </strong>Restriction endonuclease subunit S (<i>resS</i>, WP_003687768.1) was selected as a specific detection marker. The designed primer pair targeting <i>resS</i> showed specific and reliable detection of <i>N. gonorrhoeae in silico</i> and <i>in vitro</i>. Out of 172 clinical samples, seven (4.06%) cases were infected by <i>N. gonorrhoeae</i>. Statistical analysis of clinical manifestations showed that there was a significant association between the occurrence of <i>N. gonorrhoeae</i> and dysuria (<i>P</i>= 0.043), pelvic pain (<i>P</i>= 0.017), and fever (<i>P</i> = 0.045).Conclusion: Three promising markers were introduced for development of point-of-care testing approaches. Moreover, this study highlights a 4% prevalence of gonorrhea among women with genitourinary symptoms in Iran, which reminds the urgent need for routine surveillance and new policies in management of STIs, particularly gonorrhea.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 4","pages":"850-859"},"PeriodicalIF":1.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045878/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144035905","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":"Machine Learning Analysis of Blood Glucose Regulation in Korean Male Workers with Type 2 Diabetes.","authors":"Haewon Byeon","doi":"10.18502/ijph.v54i4.18429","DOIUrl":"https://doi.org/10.18502/ijph.v54i4.18429","url":null,"abstract":"","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 4","pages":"888-890"},"PeriodicalIF":1.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045871/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143984011","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 Role of <i>TRPA1</i> as a Prognostic Marker in Colon Adenocarcinoma and Its Correlation with Mutations and Immunity.","authors":"Xingxing Wu, Lifang Peng, Mingxu Zheng, Yuqing Mao, Heng Li, Shaopeng Sun","doi":"10.18502/ijph.v54i4.18414","DOIUrl":"https://doi.org/10.18502/ijph.v54i4.18414","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to investigate the prognostic value of TRP ion channel genes (TRPICGs) in colorectal adenocarcinoma (COAD) and explore its related mechanisms.</p><p><strong>Methods: </strong>The COAD dataset was downloaded from the Cancer Genome Atlas (TCGA) database. The differential expression genes (DEGs) were screened between COAD and normal samples. The differentially expressed TRPICGs (DE-TRPICGs) were obtained via intersection of DEGs and 28 TRPICGs. The Kaplan-Meier (K-M) survival curve was used to screen DE-TRPICGs with survival differences as prognostic markers. Afterward, the correlation of prognostic marker with clinical, immune cell, copy number variation were explored. Finally, immunohistochemistry (IHC) was used to verify the expression of prognostic marker.</p><p><strong>Results: </strong>Overall, 6003 DEGs were screened, and 6 DE-TRPICGs were obtained. Only <i>TRPA1</i> was identified as prognostic biomarker. Survival and clinical correlation analyses implied that <i>TRPA1</i> played an inhibitory role in colon adenocarcinoma pathogenesis and progression. Gene Set Enrichment Analysis (GSEA) indicated that <i>TRPA1</i> was associated with cell cycle and immune-related pathways. Immune infiltration analysis showed that <i>TRPA1</i> expression was significantly correlated with the infiltration of B cells, CD4<sup>+</sup>T cells, CD8<sup>+</sup>T cells, neutrophils and dendritic cells. Eventually, <i>TRPA1</i> expression was down-regulated at the protein level in COAD samples, which presented consistent results with expression in the database.</p><p><strong>Conclusion: </strong>TRPA1 was identified in COAD as a prognostic marker associated with TRP ion channels, which provided a powerful reference value and a new direction for the diagnosis and treatment of COAD.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 4","pages":"762-774"},"PeriodicalIF":1.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045875/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144005498","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}
Hossein Moameri, Sahar Salehi, Ali Akbar Haghdoost
{"title":"The Future of Nosocomial Infections.","authors":"Hossein Moameri, Sahar Salehi, Ali Akbar Haghdoost","doi":"10.18502/ijph.v54i4.18427","DOIUrl":"https://doi.org/10.18502/ijph.v54i4.18427","url":null,"abstract":"<p><p>Nosocomial infections remain one of the most severe public health issues, infecting millions of patients worldwide each year. The global prevalence of nosocomial infections varies between 3.0% and 20.7%, with an incidence rate ranging from 5% to 10%. In this short article, we have tried to present a different perspective on the future of nosocomial infections from the author's viewpoint. According to our assessment, due to megatrends such as global exposure, population aging, and augmenting drug resistance, nosocomial infections are expected to become more severe in the future. On the other hand, advancements in health technologies such as e-health, Artificial Intelligence, the Internet of Things, and less invasive interventions form a new generation of hospitals capable of preventing and controlling nosocomial infections. Presenting novel approaches to nosocomial infection management will transform medicine. Therefore, it seems that in the following years, nosocomial infections will follow a different trend.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 4","pages":"881-884"},"PeriodicalIF":1.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045877/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144063931","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}