Mostafa Ghanei; Seyed Hassan Saadat; Alireza Najimi-Varzaneh; Mohammad Gholami Fesharaki
Volume 26, Issue 1 , 2024
Abstract
Context: The prevalence of in-hospital death due to COVID-19 hospital is one of the qualitative indexes, which can be used to assess the quality of care, as well as the mortality patterns in COVID-19 pandemic.Objectives: Therefore, this study has been done with the goal of estimating overall prevalence ...
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Context: The prevalence of in-hospital death due to COVID-19 hospital is one of the qualitative indexes, which can be used to assess the quality of care, as well as the mortality patterns in COVID-19 pandemic.Objectives: Therefore, this study has been done with the goal of estimating overall prevalence in-hospital death due to COVID-19 disease in iranian patients.Evidence Acquisition: Articles were identified through iranian searching databases including Health.barakatkns, IranDoc, SID, Civilica and MagIran and international searching databases including Scopus, Web of Science, PubMed and Elsevier . Additional search was also done by Google Scholar search engine. We reviewed systematically all studies reporting the prevalence of in-hospital death due to COVID-19 disease. In this study meta-analysis method with random effect model has been used to estimate the pooled in-hospital death.Results: 118 records were identified by the electronic search, of which 43 studies were identified as relevant documents that were meta-analyzed for the pooled in-hospital death due to COVID-19 prevalence. Overall, prevalence of death were 12.16% (95% CI: 10.72%-13.61%). The highest and lowest death prevalence has been reported in Northern Provinces (Gilan, 27.27% (95% CI: 8.66%-45.88%) and Mazandaran, 21.27% (95% CI: 18.14%-24.40%)) and Turkish-speaking provinces (Azerbaijan, East, 3.29% (95% CI: 2.11%-4.47%) and Zanjan, 3.42% (95% CI: 1.82%-5.02%)) respectively.Conclusions: Considering the death rate obtained in this study and its comparison with other countries, it can be said that the performance of the Iranian medical system in COVID-19 pandemic is acceptable.
Amir Hosein Ghazale; Ali Ghazvini; Mostafa Ghanei; Ensieh Vahedi; Abolfazl Mozafari; Shideh Omidian; Mohammad Rezapour; Nafiseh Rastgoo; Fatemeh Movaseghi; Fateme Mansouri; Mohammad Ali Zohal; Maryam Gheraati; Seyed Hassan Saadat; Hassan Goodarzi; Mohammad Gholami Fesharaki; Amir Mohammad Dehghan Banadkooki; Shahrzad Saloo; Hesamodin Salou
Volume 23, Issue 6 , 2021
Abstract
Background:
COVID-19 is a new disease for which a definitive treatment has not yet been proposed. Therefore, the present study aimed to investigate the effect of combination therapy on the treatment of COVID-19 due to the importance of finding an appropriate treatment for this epidemic disease.
Materials ...
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Background:
COVID-19 is a new disease for which a definitive treatment has not yet been proposed. Therefore, the present study aimed to investigate the effect of combination therapy on the treatment of COVID-19 due to the importance of finding an appropriate treatment for this epidemic disease.
Materials and Methods:
This two-center cohort study included 175 confirmed COVID-19 inpatients at two medical centers designated for the treatment of COVID-19 patients in Qom and Qazvin, Iran. In this study, four different groups of drug regimens were studied which included G1 (azithromycin, prednisolone, and naproxen), G2 (lopinavir/ritonavir, azithromycin, naproxen, and prednisolone), G3 (hydroxychloroquine, azithromycin, naproxen, and prednisolone), and G4 (levofloxacin, vancomycin, hydroxychloroquine, and oseltamivir). It should be noted that G1, G2, G3, and G4 treatment regimens were used on 48, 39,30, and 77 patients, respectively.
Results:
The study participants included 175 confirmed COVID-19 patients with mean±SD age of 58.9 ±15.1 years, out of whom 80 (46%) patients were male and the rest were females. The results indicated that the hospital stay period was significantly shorter in the G1 compared to other groups (G1:5.9±2.4, G2:8.1±4.2, G3: 6.3±1.7, and G4: 6.4±2.9; [P-value=0.008]). It should be noted that pulse rate, oxygen saturation, hemoglobin, and platelet count (PLT) changed significantly during the study in four treatment groups; however, a significant change in temperature, creatinine, and white blood cell (WBC) was observed only in G3, G4, and G1 groups, respectively. The number of ICU admissions and deaths were not statistically significant among the patients who received the four treatment regimens (P=0.785). Based on the results, the history of ischemic heart disease, baseline oxygen saturation, WBC, neutrophil, lymphocyte count, and C-reactive protein (CRP) are the risk factors for the prolonged hospital stay in COVID-19 patients.
Conclusion:
The obtained results in this study indicated that the combination of azithromycin, prednisolone, and naproxen is the most effective regimen for the treatment of COVID-19, compared to three other combination treatment regimens.
Mohammad Arash Ramezani; Khodabakhsh Ahmadi; Afagh Ghaemmaghami; Somayeh Zamani; Seyed Hassan Saadat; Seyed Peyman Rahiminejad
Volume 20, s1 , December 2018, , Pages 1-7
Abstract
Background: Quality-of-life therapy (QOLT) is an integrative psychotherapy that was formed by adding positive psychology con- cepts to cognitive-behavior therapy (CBT). Objectives: The aim of the current study was to evaluate the efficacy of QOLT on the sexual self-concept of Iranian women. Patients ...
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Background: Quality-of-life therapy (QOLT) is an integrative psychotherapy that was formed by adding positive psychology con- cepts to cognitive-behavior therapy (CBT). Objectives: The aim of the current study was to evaluate the efficacy of QOLT on the sexual self-concept of Iranian women. Patients and Methods: A double-blind randomized experimental study was done from February 2011 to January 2012. The study subjects were recruited from a mental health nongovernmental organization in Isfahan, Iran. They were assigned randomly to two groups. The first group was under ten sessions of QOLT, and the second, as a control group, was under psycho-sexual education (PSE). General Health Questionnaire-28 (GHQ-28), the Multidimentional Sexual Self-Concept Questionnaire, and the Female SexualFunction Index (FSFI) were completed for participants before and after the intervention. The ANCOVA model was used for analysis. Results: The findings revealed no significant differences between the two groups in mental health (GHQ-28 scores) and female sexual dysfunction, but sexual self-concept changed. Two subscales of sexual self-concept, sexual monitoring (QOLT group = 6.3 ± 2.7 vs PSE group = 4.7 ± 3.1 P < 0.05) and sexual-problem management (QOLT group = 15.4 ± 3.8 vs PSE group=13.7 ± 3.9 P < 0.05), increased significantly during QOLT. Conclusions: QOLT did not impact mental health, but it could change many dimensions of sexual self-concept.
Seyed Hassan Saadat; Shima Shahyad; Shahla Pakdaman; Omid Shokri
Volume 19, Issue 4 , April 2017, , Pages 1-7
Abstract
Background: Eating and body image disorders are 2 of the most debilitating clinical problems among female adolescents and young females. One of the strongest factors contributing to body dissatisfaction and eating pathology is social comparison.Objectives: The current study aimed at determining the relationship ...
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Background: Eating and body image disorders are 2 of the most debilitating clinical problems among female adolescents and young females. One of the strongest factors contributing to body dissatisfaction and eating pathology is social comparison.Objectives: The current study aimed at determining the relationship between perfectionism, self-concept clarity, and self-esteem and the share of prediction of each in social comparison.Methods: The current cross sectional study included all female high school students in Tehran in the 2014 - 2015 academic year. Of these, 477 females were selected by multistage cluster sampling.Results: The results of the correlation matrix was indicative of a significant negative relationship between self-esteem and selfconcept clarity with social comparison (P < 0.000). There was a significant positive relationship between perfectionism and social comparison (P < 0.000). The results of stepwise regression revealed that self-concept clarity predicted 17% of social comparison variance. By including the variables of perfectionism and self-esteem, the coefficients of determination increased significantly up to 24% and 26%, respectively. Self-esteem and self-concept clarity were significant negative predictors (P < 0.000), while perfectionism was a significant positive predictor (P < 0.000) of social comparison. Beta coefficients indicated that among the predictive variables, self-concept clarity, and self-esteem were able to predict social comparisonmore than perfectionism (β = -0.28,β = 0.27, and β = -0.18, respectively).Conclusions: Targeting individual differences that make people vulnerable to social comparison not only contributes to understanding the development of eating problems and body image, but also has implications for prevention and treatment
