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عضویت

جستجوی مقالات مرتبط با کلیدواژه « epidemics » در نشریات گروه « پزشکی »

  • سعید امینی*، زهرا بیات، فاطمه عباسی فیجانی، کیوان نیکخواه بهرامی، محمد شمس، مینا رضایی
    مقدمه

    نظام های سلامت در مواجهه با همه گیری ها تجربه های ارزنده ای را به دست آورده اند. مطالعه ی حاضر با بررسی تجربه های موفق کشورها، الگویی را برای ارائه ی پاسخ هماهنگ به همه گیری ها از سوی عملگران مختلف نظام مراقبت های بهداشتی اولیه ارائه می دهد. 

    مواد و روش ها

    در این مطالعه ی مروری نظام مند، 38 مقاله از پایگاه های مگیران، جهاد دانشگاهی، PubMed، Scopus، Web of Science و Google Scholar پس از اعمال استراتژی جست وجو، معیارهای ورود و خروج، در بازه ی زمانی 2005 تا 2022 و ارزیابی کیفیت با چک لیست استروب به دست آمد. مقاله ها از نظر عنوان، چکیده و متن ارزیابی شده و پس از حذف مقاله های تکراری و نامرتبط، مقالات نهایی انتخاب گردیدند.

    یافته ها

    در این مطالعه، نظام PHC کشور به مثابه یک درخت تناور فرض شده است که برای تقویت ریشه های آن لازم است، 25 عامل زمینه ای از حوزه های مختلف با هم کار کنند. به منظور عملکرد مناسب این عوامل، لازم است سه حوزه ی سیاست گذاران نظام سلامت، کارکنان مراقبت های بهداشتی اولیه و جامعه، در یک برنامه ی هماهنگ و هم افزا اقدام های لازم را در فازهای چهارگانه ی مدیریت بحران شامل پیشگیری، آمادگی، پاسخ و ریکاوری انجام دهند.

    نتیجه گیری

    تقویت نظام مراقبت های بهداشتی اولیه در زمینه های پیشگیری، غربالگری، آزمایش و درمان بیماران سرپایی و به تحرک درآوردن جامعه برای مراقبت از خویش، موفق ترین تجربه در مواجهه با اپیدمی ها در مقایسه با درمان بیماران در بیمارستان ها و صرف هزینه های هنگفت مالی و جانی است.

    کلید واژگان: همه گیری, مشارکت ذی نفعان, عوامل اقتصادی اجتماعی, مراقبت های بهداشتی اولیه, . خدمات پزشکی بیمارستان}
    Saeed Amini *, Zahra Bayyat, Fatemeh Abbasi Fijani, Keyvan Nikkhah Bahrami, Mohammad Shams, Mina Rezaei
    Introduction

    Health systems have obtained valuable experience in dealing with various epidemics. The present study, by systematically reviewing the successful experiences of countries, presents a model for a coordinated response to pandemics by various actors in the primary healthcare system. 

    Methods

    Thirty-eight articles were obtained from Magiran, SID, PubMed, Scopus, Web of Science, and Google Scholar databases after applying the search strategy, inclusion and exclusion criteria, time-bound of 2005 to 2022, and quality assessment by Strobe checklist. The articles were assessed in terms of title, abstract, and text, and after removing duplicate and irrelevant ones, the final articles were selected.

    Results

    This study assumed the PHC system as a leafy tree, which requires 25 background factors to strengthen its roots. Three groups of health policymakers, healthcare providers, and society must carry out the necessary measures in a coordinated and synergistic program in the four phases of crisis management, including prevention, preparedness, response, and recovery.

    Conclusion

    Strengthening PHC in prevention, screening, testing, and outpatient treatment and mobilizing the community to take care of itself are the most successful experiences dealing with epidemics compared to treating patients in hospitals and spending significant financial and life costs.

    Keywords: Epidemics, Stakeholder Participation, Socioeconomic factors, Primary health Care, Hospital medicine}
  • Leila Mounesan, Safoora Gharibzadeh*, Mahboubeh Parsaeian, Mohammad Mehdi Gouya, Sana Eybpoosh, Ali Hosseini, Leila Haghjou, Aliakbar Haghdoost, Ehsan Mostafavi
    Background

    To reduce the clinical burden of COVID-19, healthcare providers, and policymakers need a clear understanding of the illness severity during epidemic waves. This study aimed to identify the clinical severity of patients with COVID-19 during different stages of an epidemic wave (pre-peak, peak, post-peak) in four provinces in Iran.

    Methods

    We conducted a secondary analysis of the data on COVID-19 patients admitted to hospitals (25,382 cases), which were recorded in the Medical Care Monitoring Center. Data included adult patients (≥18 years) who were hospitalized due to COVID-19 infection, confirmed by a positive SARS-CoV-2 RT-PCR test. No exclusion criteria were applied. A pairwise comparison method was used to evaluate clinical severity. Then, based on univariable and multivariable linear regression models, the severity scores of patients were compared during various stages of an epidemic wave.

    Results

    The findings showed that the level of severity of the disease was higher during and after the peak in the total population. The means (SD) of severity scores were 0.16 (0.25), 0.18 (0.26), and 0.19 (0.26) before, during and after the peak, respectively. Besides, age and the underlying disease had a positive and significant relationship with disease severity.

    Conclusion

    During the middle and late phases of the COVID-19 epidemic wave, hospitals are seeing patients with more severe illnesses than in the early stages. Enhancing hospital preparedness is essential to avert excess deaths and critical cases. Moreover, it is important to maintain ongoing monitoring of clinical symptoms during the recovery phase to support individual patients, guide public health policy, and enhance scientific understanding of epidemic recovery processes.

    Keywords: COVID-19, Epidemics, Clinical Severity, Hospitalization}
  • Salman Daneshi*
    Background and aims

    Coronavirus disease-2019 (COVID-19) is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) of the coronaviridae family.  This disease was first identified in December 2019 in Wuhan, China; however, it has caused a global pandemic. This study was aimed to investigate the basic reproduction number (R0), epidemiological and clinical characteristics of COVID-19 patients in Jiroft, Kerman, Iran.

    Materials and Methods

    This prospective, cross-sectional study was conducted during March-August 2020 on COVID-19 patients (positive RT-PCR) of the Jiroft population. Patients were followed for their epidemiological and clinical outcomes. The basic reproduction number was calculated, and the serial interval was modeled as a gamma distribution.

    Results

    Among 6550 highly suspicious patients, 3003 were positive for COVID-19. There were significant differences in clinical characteristics between outpatients and inpatients individuals.  Early in the epidemic, the Rt was > 2, which decreased to < 1 until 19 April, when many interventions were implemented in Iran. The Rt increased to > 1 from April until mid-June, but it reduced to < 1 in July, and the epidemic was controlled.

    Conclusion

    We estimated that R0 at the beginning of the epidemic in March 2020 was more than two, which reached to under one in July 2020. Identifying the clinical and epidemiological aspects of COVID-19 helps manage this disease in Iran and other parts of the world.

    Keywords: COVID-19, SARS-CoV-2, Epidemics, Basic Reproduction Number}
  • Kh. Ezzati Rastegar, S. Khoshravesh, Gh. Behzad, S. Khazaei, A.R. Soltanian*
    Aims

    Evidence suggests that the COVID-19 pandemic has been identified as a stressor. Perceived social support can protect against negative mental health impacts from COVID-19. The study aimed to identify the dimensions of perceived social support from the perspective of the people of Iran during the COVID-19 pandemic.
    Participants &

    Methods

    This qualitative content analysis was conducted from September to December 2022 in the Hamadan province; 42 in-depth semi-structured interviews were completed with male and female residents. Eligible participants were adults over 18 and heads of household. The data were analyzed using MAXQDA 10 software.

    Findings

    The family was recognized as the main source of emotional support. Informational support was reported through formal (e.g., media) and informal sources (e.g., friends and neighbors), instrumental support from the two areas of relatives and the government, and feedback from others as appraisal support.

    Conclusion

    The coronavirus pandemic has illuminated global crises' irrefutable mental and social health repercussions. Crucially, this pandemic highlighted the detrimental impact on households' jobs and incomes.

    Keywords: Social Support, SARS-Cov-2, Epidemics}
  • معصومه رستمی معز، جلال عبدی، محمد خیراندیش، مژگان حسینی، زهرا جلالی، ملیحه طاهری*
    مقدمه

    کووید 19 تمام جنبه های زندگی افراد را تحت تاثیر قرار می دهد، بررسی تجربه روانشناختی ارایه دهندگان خدمات به مدیریت بهتر اپیدمی کمک می کند. بنابراین، هدف این مطالعه تبیین تجارب ارایه دهندگان خدمات سلامت در مراکز بهداشتی و درمانی در طول همه گیری بیماری کووید 19 با استفاده از روش پدیدارشناختی بود.

    مواد و روش کار

    این مطالعه یک پژوهش کیفی به روش پدیدارشناسانه است. معیارورود به مطالعه پزشکان و مراقبین سلامت ارایه دهنده خدمت به افراد مبتلا یا مشکوک یه ابتلای بیماری کووید 19 بودند و معیار خروج عدم علاقه مصاحبه شوندگان به شرکت در پژوهش بود. روش نمونه گیری مبتنی بر هدف بود و تا اشباع داده ها (30 نفر) ادامه یافت. برای جمع آوری اطلاعات از مصاحبه های عمیق و نیمه ساختاریافته استفاده شد. متوسط زمان مصاحبه ها 60-40 دقیقه بود. برای تجزیه و تحلیل داده ها از روش کلایزی استفاده شد.

    یافته ها

    تجارب شامل 4 طبقه اصلی،9 طبقه فرعی و 59 زیر طبقه بود. طبقه ها اصلی شامل احساسات منفی، احساسات مثبت، خودکارآمدی و اشکالات سیستم بهداشتی بود. طبقه ها فرعی شامل پاسخهای روانشناختی، نداشتن چشم انداز خوب، قدر نشناسی سیستم، نوع دوستی،کار داوطلبانه، خودکارآمدی اجتماعی، خودکارآمدی فردی، نقض دستور العمل ها، مشکلات مربوط به تامین تجهیزات بود.

    نتیجه گیری

    مطالعه حاضر نشان داد که ارایه دهندگان خدمات سلامت در طول همه گیری کووید-19 شرایط روحی، عاطفی و شغلی نامناسبی را تجربه کردند و در زمینه مراقبت از خود و جمعیت تحت پوشش به پشتیبانی و تجهیزات بیشتری نیاز دارند. از نتایج این پژوهش می توان برای تدوین راهبردهای حمایتی و خدمات رسانی برای ی اپیدمی های نوظهور بهره برد.

    کلید واژگان: کووید 19, کرونا ویروس, اپیدمی, تجربه, احساسات}
    Masoomeh Rostami Moez, Jalal Abdi, Mohammad Kheiandish, Moghgan Hoseini, Zahra Jalali, Malihe Taheri*

    Objectiv (s): 

    This study aimed to explore the experiences of health care providers working in health centers during the Covid-19 disease using a phenomenological method.

    Methods

    A qualitative study using phenomenological method was conducted on a sample of health care staff in Hamedan, Iran. Inclusion criteria were physicians and health care providers involved with individuals with or suspected of having corona virus disease. Exclusion criteria were concealment of information in the interviewee or his / her unwillingness to participate in the research. The sampling method was purpose full and continued until data saturation (30 people). In-depth and semi-structured interviews were used to collect information. The average interview time was 40-60 minutes. Data were analyzed using the Colaizzi method.

    Results

    The findings indicated 4 main themes, 9 categories and 59 sub-categories. The main themes included negative emotions, positive emotions, self-efficacy, and health system problems. Sub-themes included psychological responses, lack of good outlook, unappreciative system, altruism, voluntary work, social self-efficacy, individual self-efficacy, violations of instructions, and equipment supply problems.

    Conclusion

    The present study showed that health service providers experienced inappropriate mental, emotional and occupational conditions during the Covid-19 pandemic. The results obtained from this study can be used to formulate support and strategies for emerging epidemics.

    Keywords: Covid 19, Coronavirus, Epidemics, Qualitative Research, Emotions}
  • نفیسه شعبانی، نرگس تاجیک، زهرا قهرمانی، زهرا علمدار، محمدحسین آیتی*

    بیماری های همه گیر و مسری از دیرباز در جوامع بشری رایج بوده که همواره مشکلاتی را ایجاد کرده اند. ایرانیان باستان با امراض مسری آشنایی داشته و با تدابیر پیشگیرانه مانع از شیوع این بیماری ها بوده اند. رویکرد پیشگیرانه پس از اسلام در طب ایرانی مورد تاکید حکمای مسلمان ایرانی بوده است و رساله های فراوانی در این باب نگاشته اند. نصیحت نامه سلیمانی اثر حکیم شاه ‏محمدبن ‏حاجی قزوینی (قرن 10 هجری ‏قمری) از آثار کوتاه و ارزشمندی است که برای نگهداشت سلامتی در ایام همه گیری ها نوشته شده است. پژوهش حاضر یک مطالعه مروری با روش کتابخانه ای است که به معرفی کتاب نصیحت نامه سلیمانی و مولف آن حکیم شاه‏ محمد قزوینی و بیان تدابیر پیشگیرانه ذکرشده در اثر می پردازد. حکیم شاه‏ محمدبن‏ حاجی قزوینی از دانشمندان ایرانی سنی مذهب بود که در دوران صفویه در ایران می زیسته است و سپس به دعوت سلطان بایزید دوم عثمانی به استانبول مهاجرت می کند. در قرن 15 میلادی (قرن 9 هجری ‏قمری) امپراتوری عثمانی با اپیدمی طاعون و سایر عفونت ها روبه رو بود که مولف، اثر ارزشمند خود با عنوان نصیحت نامه سلیمانی در باب حفظ الصحه در ایام همه گیری ها را برای سلیمان قانونی سلطان عثمانی (926 تا 974 هجری ‏قمری) در سال 929 هجری ‏قمری به زبان فارسی نگاشته است. مولف تدابیر پیشگیرانه در ایام همه گیری ها را براساس اصول سته ضروریه در مکتب طب ایرانی بیان می کند. امروزه با پیدایش همه گیری کرونا و نقش رعایت شیوه نامه های بهداشتی، اهمیت حوزه بهداشت و پیشگیری بیش از پیش بر همگان مشخص شده و این در حالی است که حکمای طب ایرانی از کهن ترین دوران از دانش و آگاهی خوبی در حوزه بهداشت و سلامت عمومی برخوردار بوده و پیشگیری را مقدم بر درمان دانسته و تدابیر حفظ سلامتی را مورد توجه قرار می داده ‏اند

    کلید واژگان: همه گیری ها, کووید-19, طب ایرانی, تاریخ پزشکی}
    Nafise Shaabani, Narges Tajik, Zahra Ghahramani, Zahra Alamdar, MohammadHossien Ayati*

    Epidemic and contagious diseases have been common in human societies for a long time and have persistently caused problems. Ancient Iranians were familiar with contagious diseases and prevented their spread with preventive measures. The preventive approach after Islam in Persian medicine has been emphasized by Iranian Muslim scholars and they have written many treatises on this topic. Nasihat-Nama Suleimani by Hakim Shah-Mohammad Ibn Haji Qazvini (15th century A.D) is a short, but valuable work written to maintain health during epidemics. The current research is a review study with a library method, which introduces the book Nasihat-Nama Suleimani and its author, Hakim Shah-Mohammad Ibn Haji Qazvini, and explains the preventive measures mentioned in the work. Hakim Shah-Mohammad Ibn Haji Qazvini was one of the Sunni Iranian scholars who lived in Iran in the Safavid era, and then migrated to Istanbul at the invitation of Ottoman Sultan Bayezid II. In the 15th century, the Ottoman Empire faced epidemics such as plague and other infections. The author wrote the valuable work "Nasihat-Nama Suleimani" on lifestyle management (Hifz al-Sihha) in Persian language in 1522 during epidemics, and dedicated it to Ottoman Sultan Suleiman the Magnificent (1520-1566 AD). The author describes preventive measures during epidemics based on the six essential principles of lifestyle in Persian Medicine. Today, with the emergence of the COVID-19 epidemic and the role of compliance with health guidelines, the importance of health and prevention has become more and more clear to everyone, while Persian medical scholars had good knowledge and awareness of the field of health and public health since the most ancient times and considered prevention before treatment and paid attention to health protection measures.

    Keywords: Epidemics, COVID-19, Persian Medicine, History of Medicine}
  • Maryam Khoshbakht-Pishkhani*, Fariba Asgari, Mehrnoosh Khoshtrash, Nastran Mirfarhadi
    Background

    The roles of Faculty members of medical sciences universities in responding to and controlling critical situations and epidemic diseases are critical and of great importance.

    Objective

    This study was aimed to explain the role of faculty members in dealing with epidemics and crises.

    Materials and Methods

    This qualitative study was conducted using a content analysis method at Guilan University of Medical Sciences in 2020. Thirteen faculty members (physician, Ph.D. in nursing, anesthesiologist, PhD in reproductive health, and Ph.D. in disaster and emergency health) were selected through purposive sampling method, and their viewpoints were surveyed until data saturation was reached. Data were collected through semi-structured interviews. Qualitative content analysis was used to analyze the data.

    Results

    Based on participants’ experiences, several roles could be considered under 3 main categories: a public educator, a clinical therapist, and a manager. Each of these main categories included several sub-categories.  Based on the participants’ experiences, among faculty members’ roles, the public educator, as the most central role, influences other duties of faculty members.

    Conclusions

    The results of this study showed that medical faculty members have numerous and significant roles in dealing with crises and emerging diseases. Identifying the medical faculty’s roles in coping with epidemics can help better understand the capabilities of these instructors and plan a basis for their greater cooperation and participation in controlling, preventing, and managing crises and emerging diseases. The results of this study can be advantageous in planning training programs and preparing faculty members to deal with epidemics and crises.

    Keywords: Faculty, Epidemics, Education, Qualitative Research}
  • علی محمدپور*، لاله کلانکش، محمود تقوی

    فاکتورهای محیطی و اجتماعی نقش مهمی در سلامتی دارند و این نقش در زمان اپیدمی مشخص تر می گردد؛ لذا در این مطالعه مروری تعیین کننده های سلامت از دو رویکرد اجتماعی و محیطی در شرایط اپیدمی کرونا بررسی شده است. این مطالعه از متدولوژی استراتژی سرچ غیر سیستماتیک در دیتابیس های معتبر تبعیت می کند. در این مطالعه مشخص گردیده است که مهم ترین عوامل محیطی و اجتماعی موثر در سلامتی در شرایط اپیدمی شامل دسترسی به هوای پاک، دسترسی به آب سالم، مدیریت صحیح پسماندهای مراقبت بهداشتی سطح درآمد و آموزش می باشد. نکته قابل تامل در این مطالعه این بوده است که آلودگی هوا باعث افزایش مرگ و میر ناشی از کرونا گردیده است. این در حالی است که سیگاری بودن افراد با میزان مرگ و میر ارتباط معکوسی را نشان داده است. بعلاوه دسترسی به آب سالم و مدیریت صحیح پسماندهای بیمارستانی و مراکز درمانی باعث کاهش خطر آلودگی منابع آبی و محیط های زندگی به ویروس کرونا خواهد گردید. همچنین سطح بالای آموزش و تحصیلات به عنوان عامل اساسی در کاهش مرگ و میر بیان گردیده و افراد با تحصیلات بالا قدرت پذیرش آموزش های بهداشتی بیشتری را دارا می باشند. همچنین افزایش سطح درآمد در افراد باعث دسترسی بیشتر به خدمات سلامتی و تامین مایحتاج بهداشتی در دوران اپیدمی بوده که سرعت مرگ و میر را تا حد بالایی کاهش داده است.

    کلید واژگان: اپیدمی کرونا, مطالعه مروری, عوامل اجتماعی, عوامل محیطی}
    Ali Mohammadpour*, Laleh Ranandeh Kalankesh, Mahmud Taghavi

    Environmental and social determinants play a key role in health safety, and this factor is significantly highlighted in a pandemic situation. In this review study, determinants of health were examined from social and environmental approaches n the conditions of the COVID-19 epidemic. The study followed the methodology of a regular unsystematic narrative review search from the scientific database. In this study, it was found that the most important environmental and social factors affecting health in epidemic conditions included access to clean air, access to clean water, proper management of healthcare waste, income, and education levels. It was notable that air pollution led to an increase in deaths caused by COVID-19, while research on cigarette smoking showed a reverse association with mortality rate. Additionally, access to clean water and proper management of hospital and medical centers waste would reduce the risk of the presence of the coronavirus in water sources and living environments. Moreover, a high level of education and training was stated as an essential factor in reducing mortality. People with high education levels had more compliance with health training. Moreover, high-income levels in people led to more access to health services and the supply of health-related necessities during the epidemic, which reduced the rate of death to a high extent.

    Keywords: COVID-19, Education, Environmental pollution, Epidemics, Social determinants of health}
  • نرگس تاجیک، زهرا قهرمانی، زهرا علمدار، نفیسه شعبانی، محمدحسین آیتی*

    در طول تاریخ زندگی انسان ها همواره همه گیری ها یکی از تهدیدهای جدی حیات بشر بوده که نحوه کنترل و پیشگیری از آن اهمیت ویژه ای دارد. یکی از پزشکان برجسته طب ایرانی در دوران صفویه، بهاء الدوله رازی است که علاوه بر جایگاه علمی، از جایگاه سیاسی برخوردار بوده است. او مجموعه کاملی از تعریف شرایطی که باعث همه گیری می شود، علایم بیماری ناشی از آن و راهکارهای پیشگیری و کنترل آن را در کتاب خلاصه التجارب خود آورده است. این مقاله در نظر دارد مطالب بهاء الدوله رازی را ارایه دهد که دربردارنده تجارب شخصی او و دیگر پزشکان دوره اسلامی تا پیش از دوران صفویه در رابطه با بیماری های همه‏ گیر است. این مطالعه با استفاده از روش کتابخانه ای و اسنادی، موضوع بیماری‏ های همه ‏گیر را بر طبق کتاب بهاءالدوله رازی بررسی کرده، سپس به تحلیل و تجزیه هر بخش و استنتاج یافته ها و تطبیق آن با طب امروزی می پردازد. مطالب کتاب خلاصه التجارب بهاءالدوله رازی در مورد همه گیری ها را می توان به 3 بخش تقسیم کرد. مطالب مربوط به بخش 1 و 2 جمع آوری مطالب پیشینیان توسط او بوده است. درحالی‏ که ما در بخش سوم شاهد ایده‏ های بهاءالدوله در بخش پیشگیری از قبیل اشاره به نوع پوشش خاص در منزل، توصیه به استفاده از پشه بند (مکان ویژه در زمان همه ‏گیری) و استفاده از گیاهان خاص هستیم که به نظر می ‏رسد این روش‏ ها از راهکارهای منحصربه فرد بهاء الدوله رازی در زمان همه‏ گیری‏ ها بوده ‏است. با توجه به اینکه کتاب خلاصه التجارب رازی از جمله کتب متاخر طب ایرانی است و بهاءالدوله رازی علاوه بر جمع ‏آوری نظر حکمای قبل از خود به ذکر تجربیات خود نیز پرداخته، تحقیق و بررسی بر روی این کتاب بسیار حایز اهمیت بوده به طوری‏ که توصیه‏ ها و راهکارهای پیشگیری او می تواند مبنای مطالعات پایه و بالینی قرار گیرد.

    کلید واژگان: کووید- 19, همه گیری ها, تاریخ پزشکی, طب ایرانی}
    Narges Tajik, Zahra Ghahramani, Zahra Alamdar, Nafise Shaabani, MohammadHossien Ayati*

    Throughout the history of human life, epidemics have always been one of the serious threats to human life making their control and prevention of particular importance. One of the leading physicians of Persian Medicine in the Safavid era is Bahā’ al-Dawlah Razi, who in addition to his scientific status, had also a political status. In his book "Khulāsat al-Tajārib", he has discussed a complete set of definitions of the conditions that cause epidemics, the symptoms of the disease, and the ways to prevent and control it. This article intends to categorize the contents of Bahā’ al-Dawlah Razi’s book, which includes his personal experiences and those of other physicians of the Islamic period up to the Safavid period, in relation to epidemics. This is a descriptive-historical study based on library resources, which has studied the subject of epidemics according to Bahā’ al-Dawlah Razi’s book, and then analyzed each section and the conclusions as well as reconciling of results to modern medicine. The contents of Khulāsat al-Tajārib on epidemics can be divided into three sections. Materials related to sections one and two were collected by him. In the third part, we see Bahā’ al-Dawlah Razi` ideas in the prevention section such as referring to use of specific clothes in indoor places, recommending use of mosquito nets and the use of special plants. These methods are unique to Bahā’ al-Dawlah Razi during the epidemics. Razi’s "Khulāsat al-Tajārib” is one of the recent books of Persian Medicine, where he has collected the opinions of scholars before him in addition to mentioning his own experiences. Therefore, research on this book is very important as his recommendations and treatment strategies can be proposed as the basis of further basic and clinical studies.

    Keywords: COVID-19, Epidemics, History of Medicine, Persian Medicine}
  • سید حسن امامی رضوی*، کامران باقری لنکرانی، الهام بهزادی، علیرضا بیگلری، سید محمود تارا، نرگس تبریزچی، علی اکبر حق دوست، حمیدرضا خانکه، سید جمال الدین سجادی، حمید عمادی کوچک، سید محسن فروتن، مصطفی قانعی، مجتبی مجتهدزاده، محمدعلی محققی، سید علیرضا مرندی
    زمینه و هدف

    همه گیری کووید-19 فاجعه انسانی وسیعی را طی دو سال گذشته در سراسر جهان به وجود آورده است. بنابراین، مدیریت جهانگیری کرونا به علت شیوع بیماری، مرگ ومیر بالا، عوارض طولانی مدت و چالش های متعدد این بیماری از اهمیت زیادی برخوردار بوده است. از این رو، بررسی ابعاد مختلف این همه گیری برای ارایه راهکارها و پیشنهادهای کاربردی به منظور مدیریت بهتر رویدادهای زیستی مشابه از اهمیت وی‍ژه ای برخوردار است.

    روش

    این مقاله با مرور نقلی منابع و دستورالعمل های بین المللی و جمع بندی مطالب ارایه شده در جلسات خبرگانی تهیه شده است.

    یافته ها:

     در این مطالعه، چالش های بازگشایی مدارس و دانشگاه ها، توانمندسازی آحاد مردم، رصد روند کووید-19 و به کارگیری گروه های پشتیبان، مولفه های اجتماعی موثر بر سلامت در جهانگیری کرونا، قرنطینه هوشمند و غربالگری سریع در همه گیری کرونا، نقص های مدیریتی نظام سلامت در طی جهانگیری کووید-19 (بیماری کرونا) بررسی شده و راهبردهای مرتبط با چالش های موجود در هر حوزه ارایه شده است.

    نتیجه گیری:

     فاصله زمانی میان موج های احتمالی بعدی کووید-19، فرصت مناسبی را فراهم می کند تا نظام های سلامت در سطح ملی (کشور عزیزمان ایران) وجهانی، مقاوم سازی، اصلاح ساختار و آماده سازی های لازم را انجام دهند. با توجه به یافته های این مطالعه، توصیه می شود، ضمن ارزیابی مداوم خطرات ناشی از وقوع رویدادهای زیستی نسبت به تقویت نظام مراقبت و سامانه هشدار اولیه و تدوین برنامه جامع آمادگی پیدا کرده تا به رویدادهای زیستی پاسخ داده شود. همچنین، با آموزش کارکنان نظام سلامت و تمرین برنامه فوق، اقدامات ضروری به طور مستمر انجام شود.

    کلید واژگان: بیماری های همه گیر, چالش ها, شیوع همه گیر, کووید-19, فرصت ها}
    Seyed-Hasan Emami Razavi*, Kamran Bagheri Lankarani, Elham Behzadi, Alireza Biglari, Seyed Mahmood Tara, Narges Tabrizchi, Aliakbar Haghdoost, Hamidreza Khankeh, Seyed Jamaleddin Sajadi Jazi, Hamid Emadi Koochak, Seyed Mohsen Foroutan, Mostafa Ghanei, Mojtaba Mojtahedzadeh, Mohammad Ali Mohagheghi, Seyed Alireza Marandi
    Background

    The Covid-19 pandemichas caused widespread worldwidehuman catastrophe over the past two years. Thus, the global management of Corona disease is of great importance due to its high prevalence and mortality rate as well as the numerous challenges caused by this illness. For this reason, it is of high importance to study the various aspects of this epidemic in order to provide practical solutions and suggestions for better management of similar biological events.

    Methods

    This article has been performedby reviewing international sources and guidelines and summarizing the materials presented in expert meetings.

    Results

    The study addresses challenges related to reopening of school and universities, empowering people, Covid-19 monitoring process and benefit from support groups, social components of global health, intelligent quarantines and rapid screening and management defects of healthcare system during COVID-19 (Corona Disease) Pandemic Strategies related to challenges in each area are also provided.

    Conclusion

    The time interval between the possible future waves of Covid-19 provides a good opportunity for health systems at the national (our dear country, Iran) and global levels to make necessary preparations, strengthening, and reforming structure. According to the findings of this study, it is recommended that while continuously evaluating the risk of biological events, the surveillance system and early warning network must be intensified and a comprehensive plan must be compiled in order to respond to biological events. Also, by training healthcare staffs and practicing the above-mentioned program, the essential steps must be taken continuously.

    Keywords: Covid-19, Challenges, Epidemics, Opportunities, Pandemics}
  • سارا محمدنژاد، جعفر بازیار، زلیخا کرم الهی، راژان چهره*، سلمان دلیری
    مقدمه

    سالمندان بیشتر از سایر افراد جامعه تحت تاثیر کرونا قرار گرفتند. انزوای اجتماعی، از پیامدهای مهم همه گیری کرونا؛ سالمندان را تحت تاثیر خود قرار داده است. مطالعه مروری حاضر با هدف بررسی مطالعات مربوط به انزوای اجتماعی سالمندان در طی همه گیری ویروس کرونا انجام شد.

    روش کار: 

    در این مطالعه مروری جهت یافتن مقالات با عنوان انزوای اجتماعی سالمندان و کووید-19، مقالات چاپ شده به زبان انگلیسی در پایگاه داده های Scopus، ISI (web of science)، PubMed (Medline)،Cochrane Library و Science direct از ابتدای پاندمی ویروس کرونا (2019) تاکنون (2021) با استفاده از MeSH و کلیدواژه های اختصاصی مانند "انزوای اجتماعی"، "سالمندان"، "تنهایی"، "کرونا ویروس"، "ویروس کووید-19"، "بیماری سارس کووید 2"، "پاندمی" و "افراد سالمند"، به تنهایی و در ترکیب با هم با استفاده از نشانگرهای AND و OR مورد بررسی قرار گرفتند.

    یافته ها

    تعداد 11 مطالعه مرتبط با کووید-19 و انزوای اجتماعی، وارد مطالعه حاضر شدند. یافته ها نشان داد پاندمی کرونا و سیاست های بهداشتی اتخاذ شده، موجب تشدید احساس تنهایی و انزوا در سالمندان شده است. احساس تنهایی و انزوای اجتماعی در سالمندان به دلیل اجرای پروتکل های پیشگیرانه همانند قرنطینه و فاصله اجتماعی؛ افزایش یافته است.

    نتیجه گیری

    توجه به رویکردهای کاهش انزوای اجتماعی در سالمندان در دوران پاندمی کووید-19، از مداخلات مهمی است که باید مورد توجه برنامه ریزان و سیاست گذاری دولت ها جهت کاهش نرخ آسیب در سالمندان و به دنبال آن، کاهش هزینه های بهداشتی برای برطرف کردن عوارض ناشی از آن قرار گیرد.

    کلید واژگان: انزوای اجتماعی, سالمند, کووید-19, همه گیری}
    Sara Mohammadnejad, Jafar Bazyar, Zoleykha Karamelahi, Razhan Chehreh *, Salman Daliri
    Introduction

    The elderly more than others in the society were affected by the corona epidemic. Social isolation as one of the important consequences of corona pandemic, affected the elderly. This review study was performed with aim to investigate studies related to social isolation of the elderly during the corona virus epidemic.

    Methods

    In this systematic review, to find the article entitled elderly social isolation and Covid-19, the articles published in English from the beginning of the Corona virus pandemic to 2021 were searched in databases of Scopus, ISI (web of science), PubMed (Medline), Cochrane Library, and Science direct using MeSH and the keywords of "social isolation", "elderly", "loneliness", "coronavirus", "COVID -19", "SARS COVID -2", "pandemic", "elderly", alone and in combination using the operators AND and OR.

    Results

    A total of 11 studies related to Covid-19 and social isolation were included in the study. The findings showed that the COVID-19 pandemic and health policies have exacerbated feelings of loneliness and isolation in the elderly. Loneliness and social isolation in the elderly have increased due to the implementation of preventive protocols such as social distance and quarantine.

    Conclusion

    Attention to approaches which reduce social isolation in the elderly during the COVID-19 pandemic is one of the important interventions that should be considered by government and policy makers to reduce the rate of harm in the elderly and consequently reduce health costs to compensate its side-affects.

    Keywords: COVID-19, Elderly, Epidemics, Social isolation}
  • فرهاد هادی نژاد*
    زمینه و اهداف

    امروزه همه گیری کووید-19 سلامت و اقتصاد جوامع مختلف را به شدت تحت تاثیر قرار داده است. لذا شناسایی رویکردهای مقابله با این بیماری با کمک روش های علمی و حمایت از این رویکردها توسط مردم و دولت مردان بسیار مهم است. از این رو تحقیق حاضر تلاش دارد رویکردهای مقابله با شیوع بیماری کرونا را با کمک روش های آماری و تحقیق در عملیات نوین شناسایی و اولویت بندی نماید.

    روش بررسی

    پژوهش حاضر از نوع توصیفی پیمایشی است. در گام اول 46 رویکرد مقابله با شیوع بیماری با مرور و تحلیل مطالعات پیشین احصاء و در دو گروه عوامل فردی و دولتی طبقه بندی گردیدند. سپس با کمک خبرگان و متخصصان درگیر در حوزه بیماری، مولفه های پیشنهادی اعتبارسنجی و کیفی سازی گردیدند و در گام نهایی رویکردهای منتخب با کمک روش بهترین-کمترین (به عنوان جدیدترین روش تصمیم گیری چند معیاره) اولویت بندی و تحلیل گردیدند.

    یافته ها:

     نتایج نهایی تحقیق بر تاثیر بالای برخی عوامل فردی مانند «اقدام برای واکسیناسیون بموقع، رعایت فاصله اجتماعی و حضور بموقع در مراکز درمانی» و برخی عوامل دولتی مانند «سرعت در تامین و اجرای برنامه واکسیناسیون سراسری، غربالگری گسترده و انجام ارزان و آسان تست کرونا و همچنین تامین دارو، تجهیزات و نیروی انسانی مورد نیاز مراکز درمانی» در مقابله با شیوع بیماری کووید-19 تاکید دارد.

    نتیجه گیری: 

    رعایت ملاحظات فردی و سیاست گذاری صحیح عوامل دولتی با اولویت های ذکر شده در تحقیق می تواند تاثیر فراوانی در مقابله با شیوع ویروس کووید-19 داشته باشد.

    کلید واژگان: کووید-19, همه گیری, تصمیم گیری}
    Farhad Hadinejad*
    Background and aims

    Nowadays, the Covid-19 has increasingly affected the health and economy of different societies. Therefore, it is important to identify approaches to deal with this disease by scientific methods and to support these approaches by people and governors. Thus, the present study tries to identify and prioritize the approaches to deal with the Covid-19 outbreak by statistical methods and novel operation research.

    Methods

    The present study is a descriptive survey. In the first step, 46 approaches of dealing with the Covid-19 outbreak were classified into two groups of individual and government factors by reviewing and analyzing the previous studies. Then, with the help of experts and specialists, the proposed components were validated and qualified. In the final step, the selected approaches were prioritized and analyzed with the help of Best-Worst Method.

    Results

    The final results is emphasized on the high impact of some individual factors such as “timely vaccination, to observe the social distancing, and timely attendance at medical centers” as well as some govermental factors such as “speed in providing and implementing the national vaccination program, extensive screening, inexpensive and easy corona testing, and providing medicine, equipment and manpower for medical centers” for dealing with the Covid-19 outbreak.

    Conclusion

    Observance of individual considerations and correct policies  of governmental factors, with the priorities mentioned in this study, can have a great impact on dealing dealing with the Covid-19 outbreak.

    Keywords: COVID-19, Epidemics, Decision Making}
  • Pooneh Maziar, Ali Maher, Khalil Alimohammadzadeh, Mehrnoosh Jafari, Seyed Mojtaba Hosseini

    In 2019, the COVID‑19 pandemic posed a major challenge to the world. Since the world is constantly exposed to communicable diseases, comprehensive preparedness of countries is required. Therefore, the present systematic review is aimed at identifying the preparedness components in COVID‑19. In this systematic literature review, PubMed, Scopus, Web of Science, ProQuest, Science Direct, Iran Medex, Magiran, and Scientific Information Database were searched from 2019 to 2021 to identify preparedness components in COVID‑19. Thematic content analysis method was employed for data analysis. Out of 11,126 journals retrieved from searches, 45 studies were included for data analysis. Based on the findings, the components of COVID‑19 preparedness were identified and discussed in three categories: governance with three subcategories of characteristics, responsibilities, and rules and regulations; society with two subcategories of culture and resilience; and services with three subcategories of managed services, advanced technology, and prepared health services. Among these, the governance and its subcategories had the highest frequency in studies. Considering the need to prepare for the next pandemic, countries should create clear and coherent structures and responsibilities for crisis preparedness through legal mechanisms, strengthening the infrastructure of the health system, coordination between organizations through analysis and identification of stakeholders, culture building and attracting social participation, and service management for an effective response.

    Keywords: COVID‑19, epidemics, pandemics, preparedness, systematic literature review}
  • Elham Parvazi *, Mehdi Ezati, Alireza Alisoufi, Talat Deh Pahlevan
    During the Qajar period in the 19th century, various epidemics including cholera infected most parts of the country every year. Cholera appeared as a contagious and non-indigenous disease that spread in different parts of Iran including Hamedan province during the Qajar period as the prerequisite unfavorable conditions existed. Hamedan is a province located in the western part of Iran, a mainly mountainous region that is one of the inland foothills of the Zagros Mountains located in the valleys and northern slopes of the Alvand Mountains. It has long been the most important communication route between western cities and central Iran. During the Qajar period, this province was sometimes affected by cholera which is a contagious disease due to the unfavorable political, social and cultural condition in this period and became widely inflicted. The purpose of this study is to analyze the background and factors leading to cholera outbreak in Hamedan since the Nasserite era to the end of the Qajar period (AD 1848-1925) by collecting information in a library and documentary method with a historical and descriptive approach along with the analysis of backgrounds of cholera outbreak in the timeframe (AD1848-1925) and seeks to answer the questions that what are the backgrounds and factors that led to the outbreak of cholera in Hamedan during the Qajar era to see which one had a greater role in the spread of this disease? Findings indicate that the inefficiency and a lack of sense of responsibility of the government of Hamedan due to authoritarianism and self-interest had played the major role in the spread of cholera epidemic in this region compared to other factors.
    Keywords: Cholera, Hamedan, Causes, contexts, Qajar Dynasty, History, Epidemics}
  • Sina Azadnajafabad, Sahar Saeedi Moghaddam, Negar Rezaei, Erfan Ghasemi, Shohreh Naderimagham, Mehrdad Azmin, Esmaeil Mohammadi, Kosar Jamshidi, Nima Fattahi, Hossein Zokaei, Ashkan Mehregan, Bahman Damerchilu, Pouya Fathi, Hossein Erfani, Abbas Norouzinejad, Mohammad Mehdi Gooya, Hamidreza Jamshidi, Reza Malekzadeh, Bagher Larijani, Farshad Farzadfar *
    Background

    The most recent emerging infectious disease, coronavirus disease 2019 (COVID-19), is pandemic now. Iran is a country with community transmission of the disease. Telehealth tools have been proved to be useful in controlling public health disasters. We developed an online self-screening platform to offer a population-wide strategy to control the massive influx to medical centers.

    Methods

    We developed a platform operating based on given history by participants, including sex, age, weight, height, location, primary symptoms and signs, and high risk past medical histories. Based on a decision-making algorithm, participants were categorized into four levels of suspected cases, requiring diagnostic tests, supportive care, not suspected cases. We made comparisons with Iran STEPs (STEPwise approach to Surveillance) 2016 study and data from the Statistical Centre of Iran to assess population representativeness of data. Also, we made a comparison with officially confirmed cases to investigate the effectiveness of the platform. A multilevel mixed-effects Poisson regression was used to check the association of visiting platform and deaths caused by COVID-19. 

    Results

    About 310 000 individuals participated in the online self-screening platform in 33 days. The majority of participants were in younger age groups, and males involved more. A significant number of participants were screened not to be suspected or needing supportive care, and only 10.4% of males and 12.0% of females had suspected results of COVID-19. The penetration of the platform was assessed to be acceptable. A correlation coefficient of 0.51 was calculated between suspected results and confirmed cases of the disease, expressing the platform’s effectiveness.

    Conclusion

    Implementation of a proper online self-screening tool can mitigate population panic during wide-spread epidemics and relieve massive influx to medical centers. Also, an evidence-based education platform can help fighting infodemic. Noticeable utilization and verified effectiveness of such platform validate the potency of telehealth tools in controlling epidemics and pandemics.

    Keywords: COVID-19, Self-screening, Epidemics, Iran, Public Health}
  • Mohammad Vojdanparast, Azra Izanloo*, Zahra Alizadeh Sani, Roollalah Alizadehsani, Sheikh Mohammed Shariful Islam

    Coronaviruses can cause viral pneumonia with extrapulmonary manifestations and complications. Many patients have either underlying cardiovascular disease or cardiac risk factors. Acute heart attacks are also frequent in severe cases of coronavirus disease 2019 (COVID-19), which is associated with high mortality. In this paper, we describe a patient with COVID-19 who presented with myocardial infarction (MI) symptoms but lacked the initial symptoms of the infection such as fever and cough. COVID-19 and myocardial infarction were diagnosed. The patient underwent thrombolytic treatment and fully recovered.

    Keywords: Epidemics, COVID-19, Myocardial infarction, Case reports}
  • Esmaeil Idani, Maryam Dastoorpoor, Gholamreza Goudarzi, Maryam Haddadzadeh Shoushtari, Hanieh Raji *
    Background
    The aim of this study is to evaluate the clinical pattern of thunderstorm asthma (TA) and the possible environmental hypotheses involved in the escalation of these epidemics.
    Materials and Methods
    This retrospective descriptive study examined patients with respiratory problems referred to the clinics and emergency departments in Ahvaz, Iran during 2013-2016 periods following the first episodes of rainfall in autumn. The seasonal profile of airborne pollens and fungal spores in Ahvaz were characterized and clinical and spirometry findings of 443 patients were evaluated.
    Results
    Of 56,000 people referred to the emergency department due to respiratory problems associated with the first rainfall in Khuzestan province, 91.4% displayed asthma-like symptoms and 71.3% had a history of allergic rhinitis. According to the results of spirometry test 38%, 52.9%, and 9.1% of patients had normal, obstructive, and restrictive patterns, respectively. Our results highlight the importance of allergic rhinitis as risk factors of TA epidemics. In terms of pollen, seasonal pollen integral was much higher in autumn than in winter.
    Conclusion
    Our results highlight the importance of seasonal allergy and rhinitis as risk factors for thunderstorm asthma epidemics.
    Keywords: Epidemics, Asthma, Pollen, Emergency Service Hospital}
  • فاطمه سخنوری، سید محسن حسینی، رامین سامی، مرضیه قاسمی، نیره وحید، اکرم صادقپور، پریسا موسوی، افشین امیرپور
    مقدمه

    در زمان طغیان بیماری‌ها، سلامت روان کارکنان بیمارستان‌ها ممکن است تحت تاثیر قرار گیرد. هدف از انجام پژوهش حاضر، بررسی و مقایسه‌ی میزان اضطراب سلامت کارکنان در بیمارستان مرجع پذیرش‌کننده‌ی Coronavirus disease 2019 (COVID-19) و بیمارستان غیر مرجعی بود که بیماران مبتلا را پذیرش نمی‌کرد.

    روش‌ ها

    این مطالعه از نوع تحلیلی- مقطعی بود که در نیمه‌ی اول سال 1399 بر روی کارکنان شاغل در بیمارستان‌های خورشید و چمران اصفهان انجام شد. 380 نفر به روش نمونه‌گیری تصادفی ساده انتخاب شدند. علاوه بر مشخصات دموگرافیک کارکنان، از پرسش‌نامه‌ی اضطراب سلامت (Health Anxiety Inventory-18 یا HAI-18) به منظور سنجش اضطراب سلامت استفاده شد. فرم کوتاه مقیاس مذکور متشکل از 18 سوال می‌باشد و نگرانی‌های مرتبط با سلامت، توجه به احساسات یا تغییرات بدنی و پیامدهای هولناک ابتلا به یک بیماری را مورد سنجش قرار می‌دهد.

    یافته‌ ها

     نمره‌ی اضطراب سلامت به طور معنی‌داری در کارکنان زن نسبت به کارکنان مرد، کارکنان دارای بیماری زمینه‌ای نسبت به کارکنان فاقد بیماری زمینه‌ای و کارکنان غیر پزشک نسبت به کارکنان رشته‌ی‌ پزشکی و به طور کلی، در بین کارکنان شاغل در بیمارستان پذیرنده‌ی بیماران مبتلا به کرونا نسبت به کارکنان بیمارستان پذیرنده‌ی بیماران عادی، بیشتر بود.

    نتیجه‌ گیری

     در جریان اپیدمی بیماری کرونا، میانگین نمره‌ی اضطراب در بین کارکنان زن، کارکنان غیر پزشک و به ویژه در بین کارکنان شاغل در بیمارستان پذیرش‌کننده‌ی کرونا و آن دسته از کارکنانی که دارای بیماری‌های زمینه‌ای بودند، بیشتر از کارکنان دیگر بود.

    کلید واژگان: اضطراب سلامت, کارکنان بیمارستان, اپیدمی, کرونا ویروس}
    Fatemeh Sakhanvari, Mohsen Hosseini, Ramin Sami, Marzieh Ghasemi, Nayereh Vahid, Akram Sadeghpour, Parisa Mousavi, Afshin Amirpour
    Background

    At the time of disease outbreaks, hospital staff's mental health may be affected. The purpose of this study was to evaluate and compare the level of health anxiety of employees in the corona referral hospital and non-referral hospital of coronavirus disease 2019 (COVID-19).

    Methods

    This cross-sectional study was performed on staff working in Khorshid and Chamran hospitals in Isfahan City, Iran, during the year 2020. 380 participants were selected by a simple random sampling method. Health Anxiety Inventory-18 (HAI-18) anxiety questionnaire was used to measure health anxiety in addition to questions related to demographic characteristics of the employees. The short form of this questionnaire has 18 questions and assesses health-related concerns, emotions or bodily changes, and the dire consequences of contracting a disease.

    Findings

    The mean anxiety score was statistically higher in women staff than men, in those with underlying disease than staff without it, in non-physician staff than physicians, and in hospital admitting patients with COVID-19 than non-accepting one.

    Conclusion

    During COVID-19 pandemic, the mean anxiety score was higher among women staff, non- physician staff, and staff of hospitals admitting patients with COVID-19.

    Keywords: Health, Anxiety, Hospital medical staff, Epidemics, Coronavirus}
  • Sadrieh Hajesmaeel Gohari, Elaheh Shafiei, Kambiz Bahaadinbeigy
    Introduction

    The epidemic of viral respiratory diseases in the last 20 years has affected many people around the world. In these situations, telemedicine may reduce unnecessary contacts and the risk of exposure to infection. This study aimed to review the papers performed to manage viral respiratory disease epidemics using telemedicine.

    Material and Methods

    The PubMed and Scopus databases were searched in May 2020 for this systematic review study. Data were extracted from the final included papers based o n the author, country, type of epidemic, telemedicine modality, telecommunication method, objective, participants, clinical outcome, cost, and satisfaction. Descriptive statistics were used to analyze data.

    Results

    From 365 retrieved papers, 18 papers wer e included. Most of the papers were done in the US and China (67%). Half of the papers were done during the COVID - 19 pandemic. Real - time modality was used in 78% of the papers. The telecommunication method in half of the papers was internet - based. Patients ’ management and treatment was the main objective of the six papers. In 81% of the teleconsultation papers, the consultation was performed between patients and healthcare providers. The clinical outcome of all papers showed that telemedicine was successful in the management of viral respiratory disease epidemics. Cost and satisfaction outcomes were considered in a few papers.

    Conclusion

    There is considerable evidence to show that telemedicine is a useful and convenient method to manage and control viral r espiratory disease epidemics. Therefore, countries should pay special attention to telemedicine to control the current pandemic and future epidemics and use it extensively.

    Keywords: Telemedicine, Epidemics, Management, SARS, MERS, Influenza, COVID-19}
نکته
  • نتایج بر اساس تاریخ انتشار مرتب شده‌اند.
  • کلیدواژه مورد نظر شما تنها در فیلد کلیدواژگان مقالات جستجو شده‌است. به منظور حذف نتایج غیر مرتبط، جستجو تنها در مقالات مجلاتی انجام شده که با مجله ماخذ هم موضوع هستند.
  • در صورتی که می‌خواهید جستجو را در همه موضوعات و با شرایط دیگر تکرار کنید به صفحه جستجوی پیشرفته مجلات مراجعه کنید.
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