Ali Ashraf Mozafari; Mohammad Ali Mansournia; Kourosh Sayehmiri; Bahareh Ghiasi; Mehdi Yaseri; Golnaz Azami
Volume 22, Issue 7 , 2020
Abstract
Background: Lipid disorders are a well-documented risk factor for chronic kidney disease (CKD), but the impact of lipid abnormal- ities in the progression of the disease remains mixed.
Objectives: The current study aimed to extend the existing knowledge about the effect of lipid disorders in disease ...
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Background: Lipid disorders are a well-documented risk factor for chronic kidney disease (CKD), but the impact of lipid abnormal- ities in the progression of the disease remains mixed.
Objectives: The current study aimed to extend the existing knowledge about the effect of lipid disorders in disease progression from moderate to severe stage using Flexible parametric survival models.
Methods: This retrospective cohort study included 308 moderate CKD patients who received the nephrologist follow-up visits at the nephrology clinic, Ilam (Iran), from 2012 to 2019. The survival time was determined based on the time medically diagnosed with moderate stages (GFR = 59 - 55 mL/min per 1.73 m2) to the time of progression to the severe stage (GFR = 29 - 25 mL/min per 1.73 m2) hazard using flexible parametric survival models.
Results: In univariate analysis, high levels of TG, LDL, and cholesterol were important risk factors which affect the CKD progression. The hazard of patients with TG > 200 mg/dL was 1.69 times higher than patients with desirable TG levels (P = 0.09). Moreover, for patients with LDL > 160 mg/dL, the hazard was 2.12 times higher than patients with desirable LDL levels (P = 0.01). The hazard of patients with total cholesterol levels > 240 mg/dL was 2.10 times higher than patients with desirable cholesterol levels (P = 0.003). The adjusted model was shown to better fit the PH model. Cholesterol levels > 240 mg/dL remains a significant risk factor for CKD progression (P = 0.03).
Conclusions: Effective treatment programs should pay closer attention to screening and treatment of hyperlipidemia in patients diagnosed with moderate CKD.
Kourosh Sayehmiri; Ehsan Mohammadi
Volume 20, Issue 11 , 2018, Pages 1-8
Abstract
Context: Sleep disorder is a crucial occupational problem for nurses that not only makes health problems for them but also affects job performance and patient’s safety. The status of sleep disorders in nurses is reported variously in Iran.Objective: This study aimed to provide an accurate, precise, ...
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Context: Sleep disorder is a crucial occupational problem for nurses that not only makes health problems for them but also affects job performance and patient’s safety. The status of sleep disorders in nurses is reported variously in Iran.Objective: This study aimed to provide an accurate, precise, and reliable estimate of sleep disorders among nurses using a meta- analysis. Methods: To find relevant studies, international (PubMed, Web of Sciences, and Scopus) and Iranian (Magiran, IranMedex, SID, Iran- Doc, and Medlib) databases were systematically searched until June 2017. Statistical analysis was performed using Stata Statistics Software version 11 (Stata Corp., College Station, TX., USA). The heterogeneity of studies was calculated using the I-square test. The analysis of data was conducted using a random-effects model. Results: Overall, 6894 subjects were enrolled from 26 reviewed studies. The pooled rate of poor sleep quality among nurses in Iran was 64% (95% CI: 55 - 73), and the average score of the Pittsburgh sleep quality index (PSQI) was estimated to be 8.72 (95% CI; 7.80 - 9.65). The prevalence of daytime sleepiness was 36% (95% CI: 23 - 48). The rate of hypnotic drug consumption was 28% (95% CI: 17 - 38), the sleep latency was 30.84 minutes (95% CI: 27.98 - 33.70), and the mean sleep duration was estimated to be 6.43 hours (95% CI: 5.29 - 7.56). Conclusions: The prevalence of sleep disorders was high among Iranian nurses. It seems necessary to implement appropriatemeasures, such as optimal scheduling of work shifts, sleep hygiene education, and day rests after night shifts.
Reza Ghanei Gheshlagh; Kourosh Sayehmiri; Abbas Ebadi; Asghar Dalvandi; Sahar Dalvand; Sadat Seyed Bagher Maddah; Kian Norouzi Tabrizi
Volume 19, Issue 6 , June 2017, , Pages 1-9
Abstract
Context: Considering the stressful conditions of life and social difficulties, an important question is why are some people can show positive adaptation and avoid mental health disorders, while others cannot? The present study aimed at reviewing the national studies on the correlation between resilience ...
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Context: Considering the stressful conditions of life and social difficulties, an important question is why are some people can show positive adaptation and avoid mental health disorders, while others cannot? The present study aimed at reviewing the national studies on the correlation between resilience and mental health.Evidence Acquisition: In this systematic review, all national articles published in international and national databases weresearched without restrictions, using the following keywords: “Resilience OR Resiliency” AND “Mental health” OR “General Health” and their combinations. The Persian equivalents of these words were also used in Persian language sites. Finally, based on PRISMA guidelines, 15 studies were selected. The results of these studies were combined using the random effects model of meta-analysis.Results: In the present research, 16 correlation studies were examined without time limits, and with a sample size of 3157. Overall, a positive correlation was found between resilience and mental health in the national studies (r = 0.48). The results showed that the correlation between resilience and mental health was lower in the population of school and university students than among other populations (r = 0.39, compared to r = 0.54). The analysis based on geographical division indicated that the highest correlation between resilience and mental health existed in the fifth area (r = 0.83), and the lowest correlation was found in the fourth area (r = 0.35).Conclusions: By providing cognitive, behavioral and emotional responses in stressful situations, resilience can maintain and improve mental health.
