Iranian Journal of Public Health最新文献

{"title":"Identifying Influential Variables on Health Expenditure of the Organisation for Economic Co-Operation and Development (OECD) Countries.","authors":"Tugce Issever, Bahar Sennaroglu, Cem Cagri Donmez, Adnan Corum","doi":"10.18502/ijph.v53i8.16290","DOIUrl":"https://doi.org/10.18502/ijph.v53i8.16290","url":null,"abstract":"<p><strong>Background: </strong>Health expenditures of countries have an increasing trend in general and identifying variables affecting health expenditure is an important step toward budget planning for financial sustainability. This study aimed to examine the health expenditure of the Organisation for Economic Co-operation and Development (OECD) countries and identify influential variables.</p><p><strong>Methods: </strong>The data for the years 2000-2018 of OECD countries' current health expenditure (% of GDP) and economic, demographic, and health variables, considered to affect the health expenditure, to include in the analysis were extracted using the World Bank database (World Bank 2021). Data analys using Chi-Squared Automatic Interaction Detection (CHAID) decision tree technique. Fifteen variables in economic, demographic, and health categories are selected to build the CHAID decision tree.</p><p><strong>Results: </strong>As a result of CHAID analysis, five variables are identified as influential on current health expenditure, which are gross domestic product per capita, life expectancy at birth, death rate, out-of-pocket expenditure, and fertility rate. Thirty-seven OECD countries are classified into eleven groups by the decision rules in terms of the current health expenditure. The high value of the correlation coefficient between the predicted values and the actual values of health expenditure of countries indicates good prediction performance. Moreover, the regression models built using the identified influential variables as explanatory variables give good forecast accuracy.</p><p><strong>Conclusion: </strong>As an effective tool, the CHAID decision tree technique provides a rule-based model in the form of a tree with nodes and branches, illustrating the splitting process graphically with identified variables and their cut-off points for classification and prediction.</p>","PeriodicalId":49173,"journal":{"name":"Iranian Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11475169/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478715","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 of Life and Functional Status of Patients with Lumbar Radiculopathy.","authors":"Elvis Mahmutović, Teodora Safiye, Emir Biševac, Aldina Ajdinović, Zerina Salihagić, Slaviša Minić, Zana Dolićanin","doi":"10.18502/ijph.v53i8.16289","DOIUrl":"https://doi.org/10.18502/ijph.v53i8.16289","url":null,"abstract":"<p><strong>Background: </strong>Quality of life (QL) of patients with lumbar radiculopathy (LR) stands for personal experience of the functional effect of the ailment and therapy applied to the patient. We aimed to evaluate the QL in patients with LR before the start of treatment, as well as three and six months following the start of medical rehabilitation, that was prescribed and implemented.</p><p><strong>Methods: </strong>The research was conducted at the Special Hospital for Progressive Muscular and Neuromuscular Diseases in Novi Pazar, Serbia, from 2014 to 2016. A stratified, randomized sample included fifty patients with LR. All patients had an educational training program in ergonomics, physical therapy procedures, and kinetic and ergonomic therapeutic procedures as part of the conservative treatment. We employed two standardized questionnaires, the Oswestry Disability Index (ODI) and the SF-36, to evaluate the patients' condition, their QL, and the effectiveness of rehabilitation treatment.</p><p><strong>Results: </strong>In terms of SF-36 - PCS, SF-36 - MCS, and ODI, the lowest values were noted at the start of rehabilitation (PCS:35.5; MCS:37.8; ODI:51.5%). Three months later, there was a significant improvement in the scores (PCS:42.8; MCS:45.2; ODI:38.9%), and six months later, the scores were somewhat higher (PCS:49.2; MCS:40.6; ODI:23.7%) (<i>P</i><0.01).</p><p><strong>Conclusion: </strong>When comparing the conditions, the QL and functional status of patients with LR are significantly improved. They were better at three and six months compared to the start of rehabilitation and at six months compared to the condition at three months.</p>","PeriodicalId":49173,"journal":{"name":"Iranian Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11475174/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478731","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":"Effects of Emotional Labor, Work-Life Balance, and Empowerment on the Professional Quality of Life of Korean Nurses.","authors":"In Sun Kim, Hee Jeong Yoon, Yeon Ran Hong","doi":"10.18502/ijph.v53i8.16278","DOIUrl":"https://doi.org/10.18502/ijph.v53i8.16278","url":null,"abstract":"<p><strong>Background: </strong>This descriptive survey study aimed to investigate the effects of emotional labor, work-life balance, and empowerment on nurses' professional quality of life (ProQOL) and provide foundational data for improving the ProQOL of Korean nurses.</p><p><strong>Methods: </strong>Nurses who had been working for at least six months in hospitals in Yeosu, Suncheon, and Gwangyang, the Republic of Korea, were surveyed in April 2022. Using a structured questionnaire, data were collected on general characteristics, emotional labor, work-life balance, empowerment, and ProQOL. The collected data were analyzed using frequency analysis, independent <i>t</i>-tests, analyses of variance, post-hoc tests, Pearson's correlation analysis, and multiple regression analysis.</p><p><strong>Results: </strong>ProQOL was negatively correlated with emotional labor (r=-0.550, <i>P</i><0.001) and positively correlated with work-life balance (r=0.680, <i>P</i><0.001) and empowerment (r=0.454, <i>P</i><0.001). Emotional labor (β= -0.27, <i>P</i><0.001), work-life balance (β=0.44, <i>P</i><0.001), and empowerment (β=0.28, <i>P</i><0.001) were identified as the predictors of ProQOL, such that reduced emotional labor and increased work-life balance and empowerment enhanced ProQOL. These factors explained 62.1% of the variance in the ProQOL of Korean nurses (F=42.86, <i>P</i><0.001).</p><p><strong>Conclusion: </strong>To enhance the ProQOL of Korean nurses, it is vital to help them adjust their work-life balance, decrease their emotional labor, and increase their empowerment.</p>","PeriodicalId":49173,"journal":{"name":"Iranian Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11475185/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478708","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":"Smoking and Its Impact on Orthodontic Treatment/Management Modalities: A Systematic Review and Meta-Analysis.","authors":"Mohammad Khursheed Alam, Haifa Ali Almutairi, Rowida Saleh Barayan, Huda Abutayyem, Haytham Jamil Alswairki, Ahmed Ali Alfawzan, Mohammad Younis Hajeer, Ahmed Saleh Albalawi, Khalid Hussain Ali Alruwaili, Rakhi Issrani, Namdeo Prabhu","doi":"10.18502/ijph.v53i8.16276","DOIUrl":"https://doi.org/10.18502/ijph.v53i8.16276","url":null,"abstract":"<p><strong>Background: </strong>We aimed to review studies that evaluated the effect of cigarette smoking on orthodontic treatment methods and determine whether the smoke affected appliances in a way that could impair the effectiveness of the overall treatment strategy.</p><p><strong>Methods: </strong>PubMed, Google Scholar, Cochrane Library, and Web of Science were scoured using pertinent keywords, reference searches, and citation searches in accordance with the PRISMA protocol regarding articles published from 2008 till 2022.</p><p><strong>Results: </strong>Ultimately, 7 papers were chosen for further analysis at the end of the selection protocol. Overall pooled odds ratio (OR) for the impact of cigarette smoking on orthodontic treatment was 0.25 (95% CI: 0.15, 0.43), with high statistical significance (<i>P</i><0.00001) but also high heterogeneity (I² = 81%). The relative risk (RR) was 0.50 (95% CI: 0.38, 0.66), indicating a 50% greater risk of noticeable impact, with high statistical significance (<i>P</i><0.00001) and high heterogeneity (I² = 79%), and the risk difference (RD), which was -0.33 (95% CI: -0.45, -0.21), suggesting a 33% higher risk of noticeable impact, with high statistical significance (<i>P</i><0.00001) and high heterogeneity (I² = 81%). The high heterogeneity in all measures indicates significant variability in the results across the included studies.</p><p><strong>Conclusion: </strong>All the 7 studies selected for our systematic review exhibited significant detrimental associations between smoking and orthodontic appliances and other modalities that were exposed to cigarette smoke. However, more studies need to be done in this regard, since the literature currently available on this relationship is quite poor and lacking in concrete evidence.</p>","PeriodicalId":49173,"journal":{"name":"Iranian Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11475184/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478733","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":"COMMENT on \"Trend Analysis of Suicide Mortality and Years of Life Lost From 2016 to 2021 in Southern Iran\".","authors":"Mohammad Jalilian","doi":"10.18502/ijph.v53i8.16299","DOIUrl":"https://doi.org/10.18502/ijph.v53i8.16299","url":null,"abstract":"","PeriodicalId":49173,"journal":{"name":"Iranian Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11475167/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478805","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 Low Protein Diet on Patients with Cardiovascular Disease: A Systematic Review and Meta-Analysis.","authors":"Mingtao Ding, Lei Liu","doi":"10.18502/ijph.v53i8.16275","DOIUrl":"https://doi.org/10.18502/ijph.v53i8.16275","url":null,"abstract":"<p><strong>Background: </strong>Low protein diet plays an important role in cardiovascular diseases. However, exact role is unclear so far. We aimed to find out the effect of low protein diet on patients with cardiovascular disease.</p><p><strong>Methods: </strong>The PRISMA guidelines were followed throughout the research project until 10th Apr 2023. MeSH phrases and Boolean operators were used to search PubMed for suitable studies. The entire estimate was expressed as a 95% confidence interval around the mean difference. The model was picked because of the discrepancies found in the research. Choi's Q test and I² statistics were used to determine the degree of variation between experiments. The funnel plot was used to qualitatively examine the publishing bias.</p><p><strong>Results: </strong>Low-protein diets have a greater impact on waist circumference [-8.82 (-9.51, -8.13), P<0000.1] and high-density lipoprotein (HDL) [-0.05 (-0.07, -0.03), <i>P</i><0000.1] alteration than non-LPD diets, as measured by the standard mean difference (SMD). Further, significant changes were observed in weight loss [1.51 (1.25, 1.77), <i>P</i><0.00001], BMI, [0.46 (0.25, 0.67), <i>P</i><0.0001], change systolic [2.48 (1.20, 3.77), <i>P</i>=0.0002] and diastolic blood pressure [1.49 (0.72, 2.26), <i>P</i>=0.0002], low density lipoprotein [0.09 (0.06, 0.12), <i>P</i><0.00001], triglyceride [0.52 (0.49, 0.55), <i>P</i><0.00001], in non-LPD group as compared to LPD group.</p><p><strong>Conclusion: </strong>The results indicated the role of low protein diet on patients with cardiovascular disease.</p>","PeriodicalId":49173,"journal":{"name":"Iranian Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11475163/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478806","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":"Public Health Risk from Influenza Viruses: A Scientometric Analysis of Influenza Research.","authors":"Naved Ahmad, Mohammad Amees, Abid Fakhre Alam, Shaikh Mujeeb Ahmed, Saddam Hossain, Jalaluddin Khan, Mahfuz Raihan, Abdulmueen Alotaibi, Diwan Israr Khan, Mohammed Taher Ali","doi":"10.18502/ijph.v53i8.16288","DOIUrl":"https://doi.org/10.18502/ijph.v53i8.16288","url":null,"abstract":"<p><strong>Background: </strong>Seasonal influenza and novel H1N1 influenza from 2009 present worldwide difficulties for public health sectors. It is difficult to distinguish between significant research output due to the rising quantity of papers mentioning this infectious disease. We aimed to identify a scientometric analysis of influenza diseases. We aimed to highlight the progress made in the discipline by the researchers affiliated with most documents.</p><p><strong>Methods: </strong>The h-index was used to evaluate the publication performance of highly cited papers. We retrieved the scientometric data using the keywords \"Influenza\" OR \"Flu\" OR \"Orthomyxoviridae\" AND \"Antiviral agents\" OR \"Antiviral drugs.\" In all, 59013 documents were retrieved from the Web of Science between 2011 and 2020. The exported data to Biblioshiny and Microsoft Excel tools included sources by year, active authors, active journals, and countries. Also, we made use of quantitative analysis with scientometric indicators and knowledge mapping through the VOSviewer visualization software for creating the network visualization maps.</p><p><strong>Results: </strong>We found most papers written in English and other languages were from 402027 authors and listed in 4443 core journals. The researchers found that Palese P produced 155 and received an h-index of 55. The author Li Y has the highest contributions, with 313 publications. In global influenza research, Europe and North America are the most productive and impactful continents. The influenza research has been published in very few journals.</p><p><strong>Conclusion: </strong>This study will help hospital librarians and other library professionals to understand the status of research on influenza at any given point in time.</p>","PeriodicalId":49173,"journal":{"name":"Iranian Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11475183/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478730","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":"Bioinformatics Analysis of Differentially Expressed Genes in Carpal Tunnel Syndrome Using RNA Sequencing.","authors":"Maziar Oveisee, Akram Gholipour, Mahrokh Bagheri Moghaddam, Mahshid Malakootian","doi":"10.18502/ijph.v53i8.16293","DOIUrl":"https://doi.org/10.18502/ijph.v53i8.16293","url":null,"abstract":"<p><strong>Background: </strong>Carpal tunnel syndrome (CTS) is a common disease resulting from the median nerve entrapment at the wrist. Although CTS (prevalence=5%-10% in the general population) is the most common neuropathy, its molecular mechanisms need elucidation. We used bioinformatics to detect genes with differential expressions in CTS and introduce the molecular regulatory noncoding RNAs and signaling pathways involved.</p><p><strong>Methods: </strong>The raw files of the RNA sequencing of CTS patients and controls were obtained from GEO (accession: GSE108023), and the samples were analyzed. Differentially expressed genes were isolated using DESeq2 R. Functional analyses were conducted on the signaling pathways, biological processes, molecular functions, and cellular components of the differentially expressed genes. Additionally, interactions between the most differentially expressed genes and miRNAs and lncRNAs were investigated bioinformatically.</p><p><strong>Results: </strong>Upregulation and downregulation were observed in 790 and 922 genes, respectively. The signaling pathway analysis identified the metabolism pathways of arachidonic acid, linoleic acid, and tyrosine as the most significant pathways in CTS. Moreover, <i>PLA2G2D</i> and <i>PLA2G2A</i> with upregulated expressions and <i>PLA2G2F, PLA2G4F, PLA2G4D, PLA2G3,</i> and <i>PLA2G4E</i> with downregulated expressions were genes from the phospholipase family playing significant roles in the pathways. Further analyses demonstrated that hsa-miR-3150b-3p targeted <i>PLA2G2A</i> and <i>PLA2G4F</i>, and RP11-573D15.8-018 lncRNA had regulatory interactions with the aforementioned genes.</p><p><strong>Conclusion: </strong>Molecular studies on CTS will clarify the involved signaling pathways and provide critical data for biomedical research, drug development, and clinical applications.</p>","PeriodicalId":49173,"journal":{"name":"Iranian Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11475164/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478803","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":"Mortality Rate and Years of Life Lost Due to Breast and Gynecologic Cancers in Southern Iran 2004-2019: A Population-Based Study.","authors":"Habibollah Azarbakhsh, Alireza Heiran, Amir Askarinejad, Jafar Hassanzadeh, Maryam Janfada, Alireza Mirahmadizadeh","doi":"10.18502/ijph.v53i8.16295","DOIUrl":"https://doi.org/10.18502/ijph.v53i8.16295","url":null,"abstract":"<p><strong>Background: </strong>There is an increase in the incidence of breast and gynecologic cancers in Iran during the last three decades. Literature is inadequate about the Years of Life Lost (YLL) attributed to these cancers in Iran.</p><p><strong>Methods: </strong>Mortality data due to these cancers amongst females aged >20 yr from 2004 to 2019 was acquired from \"Electronic Death Registry System\", Fars Province, Iran. Using local health centers' databases and national census reports from 1996 to 2016, the age-standardized incidence rate (ASR) per 100,000 people were estimated. YLLs were calculated using the WHO's 2015 \"YLL template\".</p><p><strong>Results: </strong>During 2004-2019, 1886 and 829 deaths occurred due to breast and gynecologic cancers, respectively. The ASR due to breast and gynecologic cancers showed a significant increasing trend (<i>P</i><0.001 for each). The total YLL due to breast, cervical/uterine/vaginal/vulvar, and ovary cancers' deaths in the 16-year period were 33,077, 7,172 and 6,584 yr, respectively. The highest YLLs were observed in 50-59-year-old females, followed by 40-49- and 60-69-year-old females. The 16- year trend of YLL rate due to premature mortality in breast cancer, ovary cancer and cervix cancer was increasing: annual percent change (APC) was 7.6% (95% CI: 5.5-9.7, <i>P</i><0.001), 19.0% (95% CI: 12.2-26.1, <i>P</i><0.001) and 9.2% (95% CI: -9.2 to 31.3, <i>P</i>>0.05, respectively.</p><p><strong>Conclusion: </strong>Mortality rate and YLLs due to breast and gynecologic cancers have been increased in southern Iran during the last twenty years. Early detection programs and allocating treatments at early stages should be prioritized.</p>","PeriodicalId":49173,"journal":{"name":"Iranian Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11475166/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478727","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":"Response to \"COMMENT on Trend Analysis of Suicide Mortality and Years of Life Lost From 2016 to 2021 in Southern Iran\".","authors":"Habibollah Azarbakhsh, Milad Ahmadi Marzaleh, Iman Shakibkhah","doi":"10.18502/ijph.v53i8.16300","DOIUrl":"https://doi.org/10.18502/ijph.v53i8.16300","url":null,"abstract":"","PeriodicalId":49173,"journal":{"name":"Iranian Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11475175/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478732","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}