Iranian Journal of Public Health最新文献

{"title":"How Do Economic Disparities Lead to Health Inequalities?","authors":"Angelina G Kirkova-Bogdanova","doi":"10.18502/ijph.v54i1.17595","DOIUrl":"10.18502/ijph.v54i1.17595","url":null,"abstract":"","PeriodicalId":49173,"journal":{"name":"Iranian Journal of Public Health","volume":"54 1","pages":"227-228"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11787850/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123941","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":"Optimizing Laboratory Processes: A Path to Reduced Sample Rejection in Oncology.","authors":"Sara Ali AlSheidi, Omar Ayaad, Rawan Ibrahim, Salim Nasser AlDhahli, Mohamad Majed, Haitham Mahfoodh AlWaheibi, Razzan Othman Abdullah Al Zadjali, Ossayed Al Awor, Balaqis Hamed Sulaiman Al Faliti, Anjum Osman, Huda Shinoon AlAwaisi, Abdulhamid Mustafa A Turkomani, Ibrahim Hassan Al Haddabi, Khalid Al Baimani","doi":"10.18502/ijph.v54i1.17587","DOIUrl":"10.18502/ijph.v54i1.17587","url":null,"abstract":"<p><strong>Background: </strong>We aimed to enhance the quality of cancer care by reducing the rate of sample rejection and lowering the incidence of sample mislabeling at the Sultan Qaboos Comprehensive Cancer Care and Research Centre in Muscat, Oman.</p><p><strong>Methods: </strong>We adopted a one-group pretest-posttest quasi-experimental design from the second quarter of 2022 to the first quarter of 2023, assessing key performance indicators related to sample rejection and mislabeling on quarterly basis before and after implementing targeted interventions. The project utilized the FOCUS PDCA framework for systematic implementation and evaluation. Four FOCUS PDCA sessions were conducted involving a multidisciplinary team of ten participants comprising oncologists, nurses, laboratory technicians, quality management experts, and informatics and cyber security department staff. Ethical clearance was obtained from the Institutional Review Board, ensuring adherence to ethical protocols. Interventions included five educational sessions for nurses and physicians, process modifications, and improved communication protocols.</p><p><strong>Results: </strong>Analysis revealed a significant decrease in the rate of rejected samples, declining from 20.85% during Pre-Intervention to 6.05% in the Post Intervention phase. Similarly, the mislabeling rate exhibited a substantial reduction, decreasing from 1.68% to 0.25% over the same period. Statistical analysis using ANOVA confirmed significant differences between intervention phases for both the rejected samples rate (F-value = 12.3458, <i>P-</i>value = 0.002) and the mislabeling rate (F-value = 57.1875, <i>P</i>-value < 0.001).</p><p><strong>Conclusion: </strong>These results underscored the effectiveness of the interventions in improving blood sample collection and management processes, thereby enhancing the reliability of study outcomes.</p>","PeriodicalId":49173,"journal":{"name":"Iranian Journal of Public Health","volume":"54 1","pages":"155-165"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11787847/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123891","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":"Practicing Foreign Body Extraction Maneuvers for Parents of Children Under 5.","authors":"İlknur Fidancı, Medine Ayşin Taşar, Ayşe Esra Tapcı, İzzet Fidancı, Hilal Aksoy, Duygu Ayhan Başer","doi":"10.18502/ijph.v54i1.17597","DOIUrl":"10.18502/ijph.v54i1.17597","url":null,"abstract":"","PeriodicalId":49173,"journal":{"name":"Iranian Journal of Public Health","volume":"54 1","pages":"231-233"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11787827/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123892","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":"Relationship of Breakfast Habits with Hypertension and Obesity: A Cross-Sectional Study among Korean Adults and Older Adults.","authors":"Sung-Eun Park, Su-Yeon Roh, Seung-Yong Kim","doi":"10.18502/ijph.v54i1.17589","DOIUrl":"10.18502/ijph.v54i1.17589","url":null,"abstract":"<p><strong>Background: </strong>We examined the association of breakfast habits with hypertension and obesity risk among Korean adults and older adults, focusing on sex-based and age-based differences.</p><p><strong>Methods: </strong>We collected data from 2,779 adults (1,380 men and 1,399 women, aged 19-64 years) and 623 older adults (289 men and 334 women, aged ≥65 years) from the 2015 Korea National Physical Fitness Project, an extensive survey organized biennially by the Korea Ministry of Culture, Sports and Tourism and the Korea Institute of Sport Science.</p><p><strong>Results: </strong>For women aged 19 to 64 yr, skipping breakfast was linked to an increased likelihood of developing both high blood pressure and obesity. For men aged 19-64 years, having breakfast irregularly or replacing it with snacks were linked to a reduced likelihood of hypertension, whereas skipping breakfast slightly elevated the risk. For older women aged above 65 years, irregular breakfast consumption or replacing it with snacks was linked to a heightened likelihood of developing hypertension. Nonetheless, there was no notable correlation identified between breakfast habits and obesity in men and older adults. In older men and women, consistent physical exercise proved to be an essential factor in mitigating the chance of hypertension.</p><p><strong>Conclusion: </strong>These findings emphasize the importance of sex- and age-specific public health strategies, with implications for public health interventions and guidelines that promote regular breakfast consumption and physical activity.</p>","PeriodicalId":49173,"journal":{"name":"Iranian Journal of Public Health","volume":"54 1","pages":"175-185"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11787842/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123897","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":"Navigating Metabolic Complexity and in-Depth Analysis of Metabolic Syndrome among Diabetes Mellitus Patients: A Systematic Review and Meta-Analysis.","authors":"Meiwen Zhang, Bo Lou, Weiyuan Huang","doi":"10.18502/ijph.v54i1.17574","DOIUrl":"10.18502/ijph.v54i1.17574","url":null,"abstract":"<p><strong>Background: </strong>This systematic review and meta-analysis aimed to evaluate the prevalence and clinical implications of metabolic syndrome in individuals with diabetes mellitus.</p><p><strong>Methods: </strong>A comprehensive search was conducted across multiple databases using key terms related to metabolic syndrome and diabetes. Access to subscription-based journals was facilitated through the HINARI program. Study quality was assessed using the adapted Newcastle-Ottawa scale, with a minimum inclusion score of ≥5/10. Statistical analysis included a meta-analysis using the DerSimonian and Laird random-effects model to determine the pooled prevalence, with heterogeneity assessed using Cochran's Q and I² statistics. Publication bias was evaluated via funnel plot symmetry. Analyses were conducted using Stata/MP 17.0.</p><p><strong>Results: </strong>The meta-analysis revealed a pooled effect size of 1.98 (95% CI: 1.85, 2.10), with significant heterogeneity (I² = 92.35%). Prevalence ranged from 19.88% to 88.13%, underscoring a substantial burden. Variations in HbA1c, HDL cholesterol, blood pressure, and BMI highlighted the heterogeneity in metabolic syndrome characteristics. Advanced statistical approaches enriched the understanding of metabolic profiles and their interplay with glycemic control and lipid metabolism.</p><p><strong>Conclusion: </strong>This study underscores the critical interplay between glycemic control and lipid profiles in metabolic syndrome. The findings emphasize the need for tailored, region-specific interventions to address its substantial burden and implications for clinical practice and policy.</p>","PeriodicalId":49173,"journal":{"name":"Iranian Journal of Public Health","volume":"54 1","pages":"48-61"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11787848/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123943","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":"Correlation between Obesity and Risk Factors of Cardiovascular Diseases in Military Personnel.","authors":"Mostafa Eghbalian, Hesam Akbari, Mojtaba Norozi, Habibeh Nasab, Mazyar Karamali, Mousa Imani, Hossein Zahiri, Mehdi Raei","doi":"10.18502/ijph.v54i1.17592","DOIUrl":"10.18502/ijph.v54i1.17592","url":null,"abstract":"<p><strong>Background: </strong>It is critical to precisely assess the presence of cardiovascular (CV) risk in military personnel, in order to avoid potentially CV-events. In Iran limited number of studies have been performed on military personnel and their CV-risk. We aimed to investigate correlation between obesity and cardiovascular disease (CVD) risk factors in military personnel.</p><p><strong>Methods: </strong>The present cross-sectional analytical study, analyzed the data of 559 military personnel in Tehran, Iran in 2023. The dataset sourced from the registry system. The biochemical analysis of blood samples was performed by a biomedical analysis company. The univariate regression analyses were conducted through separate univariate linear regression within the obesity group.</p><p><strong>Results: </strong>The mean age of personnel was 36.58 years. Among obese personel, there was an inverse relationship between age and cholesterol β=-0.11. Moreover, hemoglobin β=-0.68 and MCH β=-0.33 were significantly related to high cholesterol, MCH is associated with risk of metabolic syndrome (β=-0.57). Moreover among obese personnel, lower uric acid levels and higher ALT levels are correlated with an increased risk of Diabetes.</p><p><strong>Conclusion: </strong>The prevalence of obesity in military personnel was the same as in the general population. Diabetes, hyperlipidemia, high blood pressure, obesity, and metabolic syndrome were all linked to CVD risk factors among military personnel. Although the prevalence of metabolic syndrome in military personnel was lower than their peers in other countries, other risk factors of CVD were prevalent among military personnel.</p>","PeriodicalId":49173,"journal":{"name":"Iranian Journal of Public Health","volume":"54 1","pages":"205-213"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11787832/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123987","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 Trend in Delayed Childbearing Age and Its Potential Impact on Adverse Maternal-Perinatal Outcomes in Developed and Developing Countries: A Narrative Review.","authors":"Xiaoli Ding, Hui Li, Qiang Yang, Nawsherwan","doi":"10.18502/ijph.v54i1.17570","DOIUrl":"10.18502/ijph.v54i1.17570","url":null,"abstract":"<p><p>Due to the significant advancement of modern societies, higher education, career growth, and economic independence, more young girls are likely to delay childbearing beyond 30 years of age. The trend of delayed childbearing is more pronounced in industrialized countries but is also becoming common in emerging countries. Delayed childbearing has been linked with several adverse maternal-perinatal outcomes, including hypertensive disorders of pregnancy, abnormal placentation, gestational diabetes mellitus, pre-term births, low birthweight, perinatal mortality, congenital birth defects, and chromosomal abnormalities. In this review, we have highlighted the trend of delayed childbearing age, the role of education and employment in delayed childbearing age, and its potential impact on adverse maternal-perinatal outcomes in developed and developing countries.</p>","PeriodicalId":49173,"journal":{"name":"Iranian Journal of Public Health","volume":"54 1","pages":"1-12"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11787829/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123875","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":"Air Pollution and Influenza Incidence: Evidence from Highly Polluted Countries.","authors":"Asim Anwar, Shabir Hyder, Noman Khan, Muhammad Ayub, Recep Yucel, Mustafa Younis","doi":"10.18502/ijph.v54i1.17590","DOIUrl":"10.18502/ijph.v54i1.17590","url":null,"abstract":"<p><strong>Background: </strong>Air pollution has become a serious threat to public health. Epidemiological and clinical evidence in recent years has shown air pollutants are associated with respiratory diseases. We aimed to analyze the impact of environmental factors on influenza incidence by examining the most polluted countries in the world.</p><p><strong>Methods: </strong>To analyze the relationship between environmental factors and influenza incidence in eighteen countries, we used a system generalized method of moments (GMM) using data from 2010 to 2020.</p><p><strong>Results: </strong>The results suggest a positive effect of air pollution (PM_2.5 and NO₂) and population density on the incidence of influenza. While government health expenditures and education have a negative effect on influenza in the studied countries.</p><p><strong>Conclusion: </strong>Our results confirmed the importance of environmental and social factors in the incidence of influenza. Furthermore, our results are interesting and informative for policymakers to design public health policies synchronized with other policies such as education, industrial, and environmental policies, for better management of influenza.</p>","PeriodicalId":49173,"journal":{"name":"Iranian Journal of Public Health","volume":"54 1","pages":"186-194"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11787830/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123985","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":"Quality Assessment of Cohort Studies in Complementary and Alternative Medicine: A Scoping Review Over Two Decades.","authors":"Mojtaba Norouzi, Ali Akbar Haghdoost","doi":"10.18502/ijph.v54i1.17576","DOIUrl":"10.18502/ijph.v54i1.17576","url":null,"abstract":"<p><strong>Background: </strong>We aimed to investigate the subject matters and the quality of publications detailing the findings of cohort studies within the realm of complementary and alternative medicine (CAM).</p><p><strong>Methods: </strong>A scoping review was conducted on cohort studies in the CAM field up to the conclusion of 2023. The evaluation of their quality was carried out utilizing the 'Strengthening the Reporting of Observational Studies in Epidemiology' (STROBE) checklist. Moreover, an analysis of their research settings and associated variables, including publication year, type of disease, intervention method, and study field, was conducted.</p><p><strong>Results: </strong>Overall, 215 articles were identified. The majority of these cohorts, approximately 42.3%, originated from Taiwan, with stroke and cardiovascular diseases emerging as the most prevalent outcomes of interest. The mean STROBE score was 1.38 (SD=0.57) out of 2. The lowest scores were associated with the methods and funding sections. Methodologically, the principal weaknesses were linked to sample size, loss to follow-up, and bias control.</p><p><strong>Conclusion: </strong>The frequency of cohort studies in CAM was limited, predominantly concentrated in a few countries. Chinese medicine and acupuncture were the main intervention methods, while other CAM interventions received less focus. Furthermore, the quality of these studies was deemed unsatisfactory in most cases.</p>","PeriodicalId":49173,"journal":{"name":"Iranian Journal of Public Health","volume":"54 1","pages":"74-87"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11787836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123894","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":"Evaluation of the Effectiveness of Diabetic Foot Ulcer Recurrence Risk Prediction Models: A Systematic Review.","authors":"Zi-Qiang Li, Yan-Ping Zhang, Gui-Fen Fu, Jing-Feng Chen, Qiu-Ping Zheng, Xiao-Min Xian, Miao Wang","doi":"10.18502/ijph.v54i1.17572","DOIUrl":"10.18502/ijph.v54i1.17572","url":null,"abstract":"<p><strong>Background: </strong>We used the Predictive Model Bias Risk Assessment tool (PROBAST) tool to systematically evaluate the existing models worldwide, in order to provide a reference for clinical staff to select and optimize DFU recurrence risk prediction models.</p><p><strong>Methods: </strong>Literature on DFU recurrence risk prediction model construction published in CNKI, China Biomedical Literature Database, Vipu China Knowledge, China Biomedical Literature Database, Vipu Chinese Journal Service Platform, Wanfang Data Knowledge Service Platform, Embase, PubMed, Web of Science, Cochrane Library and other databases were systematically searched. The search period was until January 29, 2024, encompassing all relevant studies published up to that date. Literature screening and data extraction were conducted by two researchers, and the PROBAST was used to evaluate the bias risk and applicability of the included literature.</p><p><strong>Results: </strong>Finally, 9 literatures were included, 13 prediction models were established, and the area under the AUC or C-index ranged from 0.660 to 0.943. Nine models were validated internally and one model was validated externally. All the models constructed in the included literature are of high-risk bias, and the applicability of the models is reasonable. Common predictors in the prediction model were Wagner scale, glycosylated hemoglobin, and diabetic peripheral neuropathy.</p><p><strong>Conclusion: </strong>Although most of the existing DFU risk prediction models have good prediction performance, they all have high risk of bias. It is suggested that researchers should update the existing models in the future, and future modeling studies should follow the reporting norms, so as to develop a scientific, effective and convenient risk prediction model that is more conducive to clinical practice.</p>","PeriodicalId":49173,"journal":{"name":"Iranian Journal of Public Health","volume":"54 1","pages":"24-35"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11787831/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123070","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}