Hossein Ghaderi-Zefrehi; Heidar Sharaf; Farzin Sadeghi; Mohammad Gholami-Fesharaki; Alireza Farasat; Fatemeh Jahanpeyma; Seyed Moayed Alavian
Volume 19, Issue 12 , December 2017, , Pages 1-9
Abstract
Context: Hepatitis C virus (HCV) has been the main cause of post transfusion hepatitis. Long-term hepatitis can ultimately result in cirrhosis and hepatocellular carcinoma. Viral hepatitis, especially HCV infection, is a major health concern in the Middle East. The current study carried out a systematic ...
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Context: Hepatitis C virus (HCV) has been the main cause of post transfusion hepatitis. Long-term hepatitis can ultimately result in cirrhosis and hepatocellular carcinoma. Viral hepatitis, especially HCV infection, is a major health concern in the Middle East. The current study carried out a systematic search concerning HCV seroprevalence among blood donors in Middle Eastern countries.Evidence Acquisition: Articles were identified through searching databases including PubMed, Scopus, and Web of Science. We reviewed systematically all studies reporting HCV seroprevalence among blood donors in Middle Eastern countries.Results: A total of 5662 relevant records were identified by the electronic search, of which a total of 47 studies were identified as eligible papers that were meta-analyzed for the pooled seroprevalence of HCV among blood donors. Overall, HCV seroprevalence among blood donors in Middle Eastern countries was estimated 0.88% (95%CI = 0.79% - 0.97%). The highest pooled HCV seroprevalence rate was related to Egypt (5.76% [95%CI = 3.30% - 8.22%]), Libya (1.56% [95%CI = 0.99% - 2.13%]), and Yemen (1.09% [95%CI = 0.69% - 1.50%]) while the lowest pooled seroprevalence rate was in Iran and Israel with the rates of 0.14% (95%CI = 0.12% - 0.17%) and 0.16% (95%CI = 0.06% - 0.25%), respectively. Results of annual HCV seroprevalence suggest that there is a decrease in seroprevalence rate of HCV over time among blood donors in Egypt, Iran, Oman, Lebanon, Libya, and Saudi Arabia.Conclusions: Our results showed that the trend of HCV seroprevalence over time among Middle Eastern blood donors was decreasing. It suggests that recent safety measures implemented in Middle Eastern countries have been effective.
Hossein Keshavarz-Afshar; Fatimah Nosrati; Esfandiar Azad-Marzabadi; Noshin Eslahi; Mohammad Gholami-Fesharaki; Fahimeh Ghahvehchi-Hosseini
Volume 19, Issue 6 , June 2017, , Pages 1-7
Abstract
Background: Marital satisfaction is as an important factor in family function. Considering incompatibility between couples, some approaches such as construct therapy could be effective in marital satisfaction.Objectives: This study aimed to evaluate the effectiveness of personal construct analysis model ...
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Background: Marital satisfaction is as an important factor in family function. Considering incompatibility between couples, some approaches such as construct therapy could be effective in marital satisfaction.Objectives: This study aimed to evaluate the effectiveness of personal construct analysis model in marital satisfaction.Methods: The present research was a quasi-experimental study with pretest-posttest and fallow up design. The population was consisted of couples referring to counseling centers in Tehran (Iran) due to marital conflict during 2011 - 2013. The participants were randomly assigned to two groups (Treatment (T) and Control (C)) of 15 pairs each. The treatment group received 10 weekly sessions of intervention. The data were collected by enrich marital satisfaction short form 47-item questionnaire and analyzed statistically using analysis of variance.Results: The mean differences in variables including personality issues (T = 2.96, C = -0.6, P < 0.001), communication (T = 4.83, C = -0.07, P < 0.001), conflict resolution (G1 = 2.7, C = -1.03, P < 0.001), financial management (T = 1.2, G2 = -0.77, P < 0.001), leisure activities (T = 0.6, G2 = -0.76, P < 0.001), sexual relationship (T = 0.6, C = -0.76, P < 0.001), children and parenting (T = 2.6, C = -0.54, P < 0.001), family and friends (T = 1.9, C = -0.66, P < 0.001), and religious orientation (T = 0.83, C = -0.37, P < 0.001) were positive in the treatment group and negative in the control group.Conclusions: The present study demonstrated that personal construct analysis model can be used as an alternative intervention for marital distress
Majid Bagheri Hossein Abadi; Hesam Akbari; Hamed Akbari; Mohammad Gholami-Fesharaki; Mohammad Ghasemi
Volume 19, Issue 4 , April 2017, , Pages 1-9
Abstract
Introduction: Adverse patient outcomes have become a big concern in the quality of healthcare. Different factors can have an impact on the variety and rate of adverse patient outcomes.Objectives: The present study aimed at determining the rate of patient safety during events and evaluating nursing workloads ...
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Introduction: Adverse patient outcomes have become a big concern in the quality of healthcare. Different factors can have an impact on the variety and rate of adverse patient outcomes.Objectives: The present study aimed at determining the rate of patient safety during events and evaluating nursing workloads as well as identifying the main factors that affect the incidence rate of patient safety events among nurses.Methods: This cross-sectional study was conducted on 293 nurses working in 24 wards of Baqiyatallah hospital in Tehran, Iran, in 2016. The sampling method was stratified random sampling. Data were collected using a self-administered questionnaire, which was classified into 4 subtitles: Individual and organizational characteristics, perceived subjective, objective workloads, and some patient safety events during the past 6 months. Binary and multiple regressions were used to survey the relationship between variables using the SPSS Version 23 software.Results: Bloodstream infection, pressure ulcer, and patient falls were themost reported adverse outcomes during the past 6months with 76.1%, 66.2%, and 59%, respectively. At least one of the 6 adverse outcomes was reported by nurses within the range of 45%-77%. Of all individual characteristics, the only significant relationship occurred between work experience and bloodstream infection (P value = 0.28 and 0.32). No significant relationship was detected between adverse patient outcomes and objective workloads. Regression models revealed that the subjective workload of adverse patient outcomes increased with making adjustments in the individual and organizational characteristics. The incidence rates of adverse outcomes were 5.69-9.78 times more than the fixed shifts in all rotational shift works.Conclusions: The nurses reported a high incidence rate of all patient safety events, and the results revealed that the objective workload could not be a predictor for patient adverse events. According to the findings, subjective workload and work shift were significantly related to the incidence rate of adverse patient events. In conclusion, good regulation of sleep-wake cycles can be an important factor for decreasing the rate of adverse patient events.
Hamed Akbari; Ramazan Mirzaei; Tahereh Nasrabadi; Mohammad Gholami-Fesharaki
Volume 17, Issue 1 , 2015, Pages 1-5
Abstract
Working outside daylight hours (7 am to 7 pm) is called shift work. Shift work is a common practice in many industries and factories such as steel industries, petroleum industries, power plants, and in some services such as medicine and nursing and police forces, in which professionals provide services ...
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Working outside daylight hours (7 am to 7 pm) is called shift work. Shift work is a common practice in many industries and factories such as steel industries, petroleum industries, power plants, and in some services such as medicine and nursing and police forces, in which professionals provide services during day and night.Objectives: Considering the contradictory reports of different studies, we decided to evaluate the effect of shift work on cholesterol and triglyceride (TG) levels through a historical cohort on steel industry workers.Patients and Methods: This retrospective cohort study was performed on all the staff of Isfahan’s Mobarakeh Steel Company between years 2002 and 2011. There were 5773 participants in this study. Data were collected from the medical records of the staff using the census method. For analysis of data, generalized estimating equation (GEE) regression was used.Results: The results showed a significant difference in cholesterol levels between shift workers and day workers on the first observation (P < 0.001), yet no such difference was observed for TG (P = 0.853). Moreover, the results showed that the variables of age, work experience and BMI were not similar between shift workers and day workers. Therefore, to remove the effect of such variables, we used GEE regression. Despite the borderline difference of cholesterol between regular shift workers and day workers, this correlation was not statistically significant (P = 0.051). The results for TG also showed no correlation with shift work.Conclusions: According to the findings of this study, there is no relationship between shift work and changes in serum TG and cholesterol. The lack of relationship can be due to shift plans for shift workers, nutrition, or the “Healthy Heart project” at Isfahan Mobarakeh Steel Company.
