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

  • Elaheh Salarpour, Hamid Najafipour, Moghadameh Mirzaee *
    Background
    Hypertension is an important cause of cardiovascular-related morbidity and mortality. This study aimed to evaluate the effect of demographic, biochemical, and lifestyle variables on hypertension in the last five years in Kerman, Iran.
    Methods
    About 2055 adults were randomly selected through single-stage cluster sampling. Demographic characteristics, biochemical variables, tobacco use, opium use, mood, and physical activity were examined. The effect of the studied variables on hypertension was also measured. COPY methods were used to estimate relative risk (RR) and create confidence intervals. All statistical analysis were done in R 4.4.1.
    Results
    Based on the results obtained using the multivariable COPY method for hypertension, the effects of age, education, physical activity, diabetes, obesity, smoking, anxiety, and depression were significant. It was also found that people with a family history of hypertension and a history of diabetes, obesity, and smoking are at higher risk for hypertension.
    Conclusion
    The present study showed that the results of this study can be effective in designing and implementing intervention programs for the control and prevention of hypertension in this area.
    Keywords: Hypertension, Relative Risk, Cohort, Kerman, Iran
  • Zahra Abdolahinia, Saied Bokaie, Bahareh Kermani, Ahad Ashrafi Asgarabad, Reza Faryabi, Seyedeh Nakisa Mousavi, Salman Daneshi*
    Objectives

     Hydatid cysts are one of the most critical parasitic infections common to humans and animals and affect the health of communities. This study investigates the frequency distribution of hydatid cysts based on clinical and individual characteristics of patients referred to health centers in Kerman City, Iran, from 2011 to 2020.

    Methods

     In this cross-sectional study, information was obtained from the medical records of 115 patients with hydatid cysts who were referred to hospitals and health centers during the years 2011-2020. Public and private clinics in Kerman City, Iran, were selected, and information on demography, and clinical and diagnostic approaches of patients were collected. Data analysis was performed using the SPSS software, version 22.

    Results

     A total of 115 with a mean age of 20.31±0.89 years were included in the study. The highest number of patients was identified in 2013. More than half of the patients (53%) were female and the rest were male (47%). The age group of 20 to 40 years showed the highest rate of involvement (45.2%) while the age group of 60 to 80 years showed the lowest rate of involvement (1.3%). The majority of patients (76.5%) lived in the city and more than a quarter of patients had a history of contact with dogs (26.1%). Nausea (91.3%), chest pain and cough (46.1%), abdominal pain, and an enlarged liver (29.6%), were the most common clinical symptoms, and lungs (56.5%) and liver (31.3%) were the most involved organs in individuals. The disease was diagnosed by radiology and surgery in less than half of the patients (46.9%). Most patients (80%) received surgical and drug treatment together and the duration of treatment in less than half of them (45.2%) was two months.

    Discussion

     The occurrence of hydatid cysts in Kerman City, Iran, especially in young people, is significant and the mean age of patients in Kerman City, similar to studies in some parts of the country, is very low, emphasizing the crucialness of being attentive to the disease and highlights the need for further research. Also, educating and informing families about the disease and its means of transmission along with controlling stray dogs can be beneficial in breaking the transmission chain.

    Keywords: Hydatid Cyst, Cross-Sectional Study, Parasitic Infections, Kerman
  • پیمانه سنجری، مجید هاشمی، تانیا دهش، سید وحید احمدی طباطبایی، مریم فرجی*
    مقدمه

    مهاجران حاشیه نشین باعث بروز مشکلات فراوان در ابعاد اقتصادی، اجتماعی و فرهنگی، کالبدی و زیست محیطی شهرها می شوند. هدف از این مطالعه بررسی عوامل موثر بر مهاجرت به شهر کرمان و مشکلات مهاجران حاشیه نشین با استفاده از مدل فرآیند تحلیل سلسله مراتبی و تکنیک ترتیب ترجیح براساس مشابهت با راه حل ایده آل بود.

    روش بررسی

    حجم نمونه در این مطالعه مقطعی درسال 1402، 147 خانوار بود که از بین خانوارهای مهاجر به مناطق حاشیه شهر کرمان انتخاب شد. ابزار جمع آوری اطلاعات پرسشنامه استاندارد سنجش عوامل مهاجرت به شهر کرمان و چک لیست میزان برخورداری مهاجران از امکانات شهری بود. جهت توصیف داده ها از شاخص های فراوانی، میانگین و انحراف معیار و جهت تحلیل داده ها از آزمون های آماری همبستگی پیرسون، تی تست مستقل و واریانس یک طرفه و همین طور آزمون های ناپارامتریک کروسکال والیس و من ویتنی استفاده شد.

    یافته ها

    مهم ترین ابعاد مهاجرت به ترتیب عوامل اقتصادی، اجتماعی، جغرافیایی و اقلیمی، سیاسی، آموزشی -پژوهشی و مذهبی- فرهنگی بود. انتقال شغل مرد خانواده، قرار گرفتن در مسیر شاهراه های زمینی و هوایی و راه آهن کشور، نقش و جایگاه ویژه در سطح بین المللی، دفن اموات فامیل در شهر موردنظر و ادامه تحصیل زن یا یکی از فرزندان خانواده در دانشگاه 5 مولفه با بیشترین تاثیرگذاری در مهاجرت بودند. بر اساس نتایج، بیش از 90% جمعیت مورد مطالعه به حمام های عمومی، تاسیسات ورزشی، مراکز دولتی، نهادهای خصوصی، پارک و فضاهای تفریحی دسترسی نداشتند.

    نتیجه گیری

    براساس مدل تحلیل سلسله مراتبی ازنظر مهاجران عوامل اقتصادی و سپس عوامل اجتماعی مهم ترین دلایل مهاجرت به حاشیه شهر کرمان بود؛ بنابراین ایجاد فرصت های شغلی پایدار و بلندمدت و بهبود فضای اشتغال و کسب وکار در شهرستان ها ، توسعه زیرساخت ها به ویژه راه آهن برای کنترل مهاجرت به مرکز استان پیشنهاد می شود.

    کلید واژگان: مهاجرت, تحلیل سلسله مراتبی, تکنیک ترجیح براساس مشابهت با راه حل ایده آل, حاشیه نشینی, کرمان
    Paymaneh Sanjari, Majid Hashemi, Tania Dehesh, Sayed Vahid Ahmadi Tabatabaei, Maryam Faraji*
    Introduction

    Marginal immigrants cause many problems in economic, social and cultural, physical ,and environmental aspects of cities. This study aims to investigate the factors affecting migration to Kerman city and the problems of marginalized immigrants using the analytical hierarchy process (AHP) and technique for order of preference by similarity to ideal solution (TOPSIS) models.

    Methods

    This cross-sectional study was conducted in 2022, with a sample size of 147 households selected from Kerman suburban region. The data were collected by a standardized questionnaire measuring effective factors on the migration and the checklist of the immigrant problems.

    Results

    The most important immigration factors were economic, social, geographical, political, educational and religious-cultural factors, respectively. Among 37 components studied, transferring the job of the family man as the family head, being on the main  land, air and rail ways, having a special position at the international level, burying the family’s dead members in the desired city, and the education of the wife or one of the children of the family were the most important components. 
    According to the results, more than 90% did not have access to public baths, sports facilities, government centers, private institutions, and parks, and recreational spaces.

    Conclusion

    According to AHP model, economic factors ,and then social factors, were the most important reasons for migrating to the suburbs of Kerman. Therefore, it is suggested to create stable and long-term job opportunities , improve employment and business environment in the cities, and develop infrastructure to control migration to the city capitals.

    Keywords: Migration, Analytical Hierarchy Process (AHP), Technique For Order Of Preference By Similarity To Ideal Solution (TOPSIS), Kerman
  • محبوبه عامری، هستی دارائی*، مقدمه میرزایی رابر، محسن پورخسروانی، احسان موحد
    مقدمه و هدف

    شیوع و انتشار غالب بیماری ها از جمله سالک علاوه بر مسائل اقتصادی، اجتماعی و فرهنگی تحت تاثیر عوامل اکولوژیکی است بنابراین مطالعه حاضر با بررسی تاثیر عوامل اقلیمی بر میزان ابتلا به لیشمانیوز جلدی شهری و روستایی در شهر کرمان و ارزوئیه طی سال های 99-95 انجام شد.

    روش کار

    پژوهش حاضر یک مطالعه مقطعی از نوع  توصیفی-تحلیلی است که بر روی کلیه بیماران با تشخیص قطعی لیشمانیازیس جلدی شهری ساکن در منطقه سرآسیاب از شهر کرمان، و نوع روستایی ساکن در شهر ارزوئیه که به مراکز درمان لیشمانیوز مراجعه نموده بودند؛ از نیمه دوم سال 95 تا پایان سال 99 با استفاده از روش سرشماری وارد مطالعه شدند.

    یافته ها

    به طور کلی در مجموع 332 بیمار مبتلا به لیشمانیوز جلدی در مطالعه شرکت کردند. بین میانگین و انحراف معیار مبتلایان در هر فصل از سال در منطقه سرآسیاب از شهر تفاوت آماری معناداری مشاهده شد (0/05>p). همچنین در منطقه سرآسیاب شهر کرمان بین دما، بارش و سرعت باد بصورت ماهیانه با تاخیر 4 ماهه و میزان ابتلا به ازای یک میلیون نفر تفاوت آماری معناداری مشاهده گردید (0/05>p).

    نتیجه گیری

    نتایج مطالعه حاضر نشان داد که تنها در نوع شهری لیشمانیوز ارتباط معناداری بین عوامل اقلیمی و ابتلا به بیماری وجود داشت. بنابراین توجه به فصول سال، بررسی کلیه عوامل اقلیمی بصورت همزمان و با تاخیر چند ماهه، توزیع پراکندگی جغرافیایی بیماری از جنبه های مختلف اپیدمیولوژیک و اکولوژیک می تواند در کاهش و کنترل این بیماری موثر باشد.

    کلید واژگان: لیشمانیوز جلدی, عوامل اقلیمی, کرمان, ارزوئیه
    Mahboobeh Ameri, Hasti Daraei*, Moghadameh Mirzaie Rabor, Mohsen Porkhosravani, Ehsan Movahed
    Introduction

    The prevalence and spread of the prevailing diseases, including the cutaneous leishmaniosis, is affected by ecological factors in addition to economic, social and cultural issues. Therefore, the present study was conducted to investigate the effect of climatic factors on the incidence of urban and rural cutaneous leishmaniosis in Kerman and Arzooieh in 2015-2019.

    Materials and Methods

    The present study is a cross-sectional descriptive-analytical study which was performed on all patients with the definitive diagnosis of urban cutaneous leishmaniosis living in Sarasiab area of Kerman, and the rural type living in Arzooieh who referred to leishmaniosis treatment centers; From the second half of 2015 to the end of 2019. They were included in the study using the census method.

    Results

    A total of 332 patients with cutaneous leishmaniosis participated in the study. There was a statistically significant difference between the mean and deviation from the standard of patients in each season of the year in Sarasiab area of the city (p<0.05). Moreover, in the head mill area of Kerman province  a statistically significant difference was observed between temperature, precipitation and wind speed, monthly with a delay of 4 months and the rate of infection per million people (p<0.05).

    Conclusion

    The results of the present study showed that only in the urban type of leishmaniosis, there was a significant relationship between climatic factors and disease. Therefore, considering the seasons, studying all climatic factors simultaneously and with a delay of several months, the geographical distribution of the disease from different epidemiological and ecological aspects can be effective in reducing and controlling the disease.

    Keywords: Cutaneous Leishmaniosis, Climatic Factors, Kerman, Arzooieh
  • علی اسماعیل پور، پریا جنگی پور افشار، نوذر نخعی، مهرداد فرخ نیا، علی اکبر حق دوست*
    مقدمه و اهداف

    این مطالعه برای بررسی ارتباط شدت بیماری کووید 19 با عوامل مرتبط به سبک زندگی در بیماران بستری در بیمارستان افضلی پور کرمان بود.

    روش کار

    289 مبتلا به نوع شدیدکرونا (بستری در ICU یا فوت) و 293 مبتلا به نوع خفیف کرونا (ترخیص و عدم نیاز به بستری در ICU) به عنوان شاهد در سال های1400-1399 انتخاب و سبک زندگی ایشان در یک سال قبل از بستری مقایسه شد.

    یافته ها

    نسبت شانس تعدیل شده برای ابتلای شدید در مردان در مقایسه با زنان 1/83 (فاصله اطمینان 95% :2/69- 1/24) و سن بیشتر از 60 سال 4/35 با (فاصله اطمینان 95% :8/59- 2/20) و اثر خطی متوسط ساعت های کل خواب در شبانه روز1/21 با (فاصله اطمینان 95% :1/36- 1/08) بود. نسبت شانس در افرادی که در محل کار فعالیت بسیار زیاد داشته اند و افرادی که فعالیت کمی داشته اند نسبت به افرادی که عمدتا در محل ثابتی نشسته اند به ترتیب 0/35 با (فاصله اطمینان 95% :0/65- 0/19) و 0/44 با (فاصله اطمینان 95% :0/83- 0/23) به دست آمد. مصرف مواد مخدر، استفاده از داروهای سنتی و مکمل ها مانند ویتامین C خطر ابتلا به بیماری شدید را افزایش داد. استفاده از مکمل ویتامین D با اینکه خطر بیماری شدید را کاهش می دهد از لحاظ آماری معنی دار نشد.

    نتیجه گیری

    به نظر می رسد احتمالا بعضی از ابعاد سبک زندگی مانند عدم فعالیت فیزیکی، خواب شبانه روزی زیاد، و مصرف بعضی مواد مانند مواد مخدر می تواند خطر ابتلا به اشکال خطرناک و کشنده کووید-19 را افزایش دهد.

    کلید واژگان: کرونا ویروس, کووید- 19, علل زمینه ای, سبک زندگی, کرمان
    Ali Esmaeilpour, Parya Jangipour Afshar, Nouzar Nakhaee, Mehrdad Farrokhnia, Aliakbar Haghdoost*
    Background and Objectives

    This study aimed to evaluate the relationship between the COVID-19 severity and lifestyle among hospitalized patients at Afzali Pour Hospital, Kerman, Iran.

    Methods

    A total of 289 patients with severe COVID-19 infection (with ICU admission or death) and 293 patients with non-severe type (discharged with no need for hospitalization in ICU) were selected in 2020-2021, and their lifestyle was compared in the last year before the hospitalization.

    Results

    The adjusted odds ratio (AOR) for severe disease was 1.83 (95% CI: 1.24-2.69) in males compared to females, and 4.35 (95% CI:2.20- 8.59) for people older than 60 years compared to age less than 60. The linear effect of average hours of sleeping during a day was 1.21 (95% CI: 1.08-1.36). The ORs of people who had considerable physical activity at work and people with little activity compared to people who mostly sit in a fixed place were 0.35 (95% CI:0.19-0.65) and 0.44 (95% CI:0.23-0.83), respectively. The use of opioids, traditional remedies, and supplements such as vitamin C raised the risk of severe disease, but the use of vitamin D supplements reduced the risk of severe disease, although this was not statistically significant.

    Conclusion

    It seems that some aspects of lifestyle, such as lack of physical activity, excessive sleep, and consumption of certain substances, such as opioids, might increase the risk of contracting severe and deadly forms of COVID-19.

    Keywords: Corona Virus, COVID-19, Underlying Causes, Lifestyle, Kerman
  • Mohammad Amin Gorouhi, Arman Izadian, Mulood Mohammadi Bavani, Alireza Sanei-Dehkordi, Amir Mohammad Habibi, Godwin Nutifafa Gidiglo, Abbas Aghaei Afshar, Seyed Massoud Madjdzadeh, Saideh Yousefi, Leila Shirani-Bidabadi, Yaser Salim Abadi, Hossein Barahoei, Ismaeil Alizadeh *
    Background

    Kerman Province is one of the endemic foci of scorpionism in southeastern Iran. Totally 17 species are reported for Kerman Province fauna. The current study seeks to determine the fauna of medically important scorpions in northern parts of this province.

    Methods

    A descriptive cross-sectional study was conducted from January 2019 to March 2021. The specimens were captured from different areas, by rock-rolling during day and using Ultraviolet light at night. The specimens were pre-served in ethanol (80%) and then identified using reliable identification keys for scorpions.

    Results

    Totally, 499 specimens were captured from eight cities in northern Kerman. In total, 11 species belonging to three families were identified. Buthacus sp. is reported for the first time from Kerman Province. Buthacus sp., Hotten-totta cf. juliae, and Hottentotta cf. schach, were the lowest in frequency of occurrence, against Mesobuthus navidpouri as the highest frequency.

    Conclusion

    The results of this study are useful for the preparation of regional or monovalent antivenom for the Razi Vaccine and Serum Research Institute. Additionally, the obtained data are useful for the effective planning of scorpion control programs in the northern parts of Kerman Province, Iran.

    Keywords: Fauna, Scorpionism, Hemiscorpiidae, GIS, Kerman
  • مسعود مایل، محسن رحیمی منش، حسین قائدامینی*، علیرضا قائدامینی، فاطمه دیوسالار
    زمینه و هدف

    این پژوهش با هدف تعیین میزان اضطراب و افسردگی دستیاران تخصصی بخش بستری بیماران مبتلا به کووید-19 در بیمارستان افضلی پور کرمان در سال 1399 انجام گرفت.

    مواد و روش ها

    جامعه آماری این مطالعه توصیفی شامل کلیه دستیاران شاغل در مرکز کووید بیمارستان افضلی پور بود (50n=). جمع آوری اطلاعات از طریق پرسش نامه اضطراب و افسردگی بیمارستانی (Hospital Anxiety and Depression Scale; HADS)، پرسش نامه مقیاس اضطراب کرونا (Corona Disease Anxiety Scale; CDAS)، به صورت خودگزارشی انجام شد. تجزیه و تحلیل داده ها با آزمون های t مستقل، آنالیز واریانس یک طرفه و همبستگی Pearson انجام شد.

    یافته ها

    بین امتیاز CDAS کل (041/0=P) و HADS اضطراب (033/0=P) با جنسیت ارتباط آماری معنی داری وجود داشت. بین امتیاز HADS اضطراب (045/0=P) و HADS افسردگی (030/0=P) با سابقه ابتلاء به بیماری روان پزشکی ارتباط آماری معنی داری مشاهده شد.

    نتیجه گیری

    میانگین امتیاز اضطراب ناشی از ویروس کرونا در حد متوسط و میانگین امتیاز اضطراب و افسردگی بیمارستانی، درحد پایین بود. انجام سیاست گذاری های مناسب جهت کاهش مشکلات روان شناختی آن ها ضروری به نظر می رسد.

    کلید واژگان: افسردگی, اضطراب, دستیاران بالینی, کووید-19, کرمان
    Masoud Mayel, Mohsen Rahimi MANESH, Hossein Ghaedamini*, Alireza Ghaedamini, Fatemeh Divsalar
    Background and Objectives

    The aim of this study was to determine the level of anxiety and depression in clinical residents who worked in the COVID-19 ward of Afzalipour Hospital of Kerman in 2020.

    Materials and Methods

    This was a descriptive study. The statistical population was all assistants working in the COVID-19 center of Afzalipur Hospital (n=50). Data collection was done through the Hospital Anxiety and Depression Scale (HADS) and the Corona Disease Anxiety Scale (CDAS) in a self-reported manner. Data was analyzed using independent t-test, one-way analysis of variance (ANOVA), and Pearson’s correlation test.

    Results

    There was a statistically significant association between the total CDAS score (p=0.041) and HADS anxiety score (p=0.033) and gender. A statistically significant association was found between the HADS anxiety score (p=0.045) and the HADS depression score (p=0.030) and a history of psychiatric diseases.

    Conclusion

    The mean score for coronavirus anxiety was moderate, and the mean score for hospital anxiety and depression was low. It seems necessary to implement appropriate policies to reduce the psychological problems of clinical assistants.

    Keywords: Depression, Anxiety, Clinical residents, COVID-19, Kerman
  • نسرین نامجو باغینی، امان الله سلطانی*، علیرضا منظری توکلی، حمدالله منظری توکلی
    زمینه و هدف

    اعتبارسنجی مقیاس رفتار خودکشی می تواند به ارزیابی چگونگی و کیفیت رفتار کمک بیشتری نماید. بنابراین، هدف از پژوهش حاضر تعیین ساختار عاملی و اعتباریابی مقیاس ارزیابی رفتار خودکشی نوجوانان در دختران دانش آموز دوره متوسطه دوم شهر کرمان در سال 1400 بود.

    مواد و روش ها

    این پژوهش از نوع توصیفی است. جامعه آماری شامل کلیه دختران دانش آموز دوره متوسطه دوم شهر کرمان در سال 1400 بود. تعداد 682 نفر به عنوان نمونه تعیین شد. نمونه ها به روش نمونه گیری تصادفی خوشه ای انتخاب شدند. اطلاعات پژوهش از طریق دو مقیاس ارزیابی رفتار خودکشی نوجوانان و احتمال خودکشی Cull و Gill جمع آوری گردید. برای بررسی روایی و پایایی مقیاس از روش های روایی محتوا، همگرا، روایی سازه، روش های همسانی درونی استفاده گردید.

    یافته ها

    تحلیل عاملی اکتشافی و تاییدی نشان داد که مقیاس ارزیابی رفتار خودکشی نوجوانان از سه عامل تشکیل شده است که در مجموع 88/62 درصد از واریانس رفتار خودکشی را تبیین می کنند. نسبت روایی محتوایی و شاخص روایی محتوایی برای همه سوالات قابل قبول بود. این پرسش نامه به همراه مقیاس احتمال خودکشی Cull و Gill اجرا شد که با 16 آیتم از روایی هم زمان مناسبی برخوردار بود (001/0<p). ضریب آلفای کرونباخ برای کل مقیاس 84/0 و خرده مقیاس ها در محدوده 87/0 تا 95/0 بود.

    نتیجه گیری

    مقیاس ارزیابی رفتار خودکشی نوجوانان 16-آیتمی دارای پایایی و روایی مناسب برای دختران دانش آموز است. بنابراین، این مقیاس را می توان برای ارزیابی وضعیت رفتار خودکشی نوجوانان در دختران دانش آموز دوره متوسطه به کار برد.

    کلید واژگان: رفتار, خودکشی, دختر, دانش آموز, اعتباریابی, کرمان
    Nasrin Namjo Baghini, Amanollah Soltani*, Alireza Manzari Tavakoli, Hamdollah Manzari Tavakoli
    Background and Objectives

    Validating the suicide behavior scale can provide a better assessment of the quality and nature of behavior. Therefore, the aim of this study was to determine the factor structure and validity of the Suicide Behavior Assessment Scale in female high school students in Kerman City in 2021.

    Materials and Methods

    In this descriptive study, statistical population included all female high school students in Kerman city in 2021. A sample size of 682 was selected using cluster random sampling method. Data were collected through two suicide behavior assessment scales and the Cull and Gill’s Suicide Probability Scale. Content validity, convergent validity, structural validity, and internal consistency methods were used to examine the validity and reliability of the scale.

    Results

    Exploratory and confirmatory factor analysis showed that the Suicide Behavior Assessment Scale consists of three factors that explain 62.88% of the variance of suicide behavior. The content validity ratio and content validity index were acceptable for all questions. This questionnaire, along with the Cull and Gill’s Suicide Probability Scale, with 16 items, had appropriate concurrent validity (p<0.001). The Cronbach's alpha coefficient for the entire scale was 0.84 and for subscales ranged from 0.87 to 0.95.

    Conclusion

    The 16-item Suicide Behavior Assessment Scale has appropriate reliability and validity for female high school students. Therefore, this scale can be used to evaluate the status of suicide behavior in female high school students.

    Keywords: Behavior, Suicide, Female, Student, Validity, Kerman
  • آرش فروهری، مینا دانایی، علی شیبانی تذرجی، محسن مومنی*
    زمینه و هدف

    امروزه به علت مصرف خودسرانه آنتی بیوتیک، مقاومت آنتی بیوتیکی به یک مشکل سلامتی در سراسر جهان تبدیل شده است. این مطالعه با هدف بررسی شیوع خود درمانی با آنتی بیوتیک و عوامل مرتبط بر آن در مراجعان به مراکز بهداشتی درمانی شهر کرمان در سال 1399 طراحی و اجرا گردید.

    روش بررسی

    این مطالعه از نوع توصیفی-تحلیلی بوده که از اردیبهشت تا شهریور سال 1399 به صورت مقطعی بر روی 331 نفر از مراجعه کنندگان به مراکز بهداشتی درمانی شهر کرمان به روش نمونه گیری در دسترس انجام شد. در این تحقیق جهت جمع آوری اطلاعات از یک پرسش نامه ی معتبر استفاده شد. داده ها با استفاده از آزمون های آماری تی مستقل و مجذور کای با کمک نرم افزار آماری SPSS تحلیل شده است.

    یافته ها

    میانگین سنی مراجعه کنندگان در این مطالعه 10/76±38/6 سال بود. 135 نفر (40/4%) مرد و 194 نفر (60/6%) زن بودند. بیش از دو سوم افراد، تحصیلات بالاتر از فوق دیپلم داشتند. شیوع خود درمانی با آنتی بیوتیک در مراجعه کنندگان 32/9% بوده است. بیشترین علت مصرف خودسرانه ی آنتی بیوتیک، عدم تمایل به پرداخت هزینه (34/4%)، بیشترین نوع آنتی بیوتیک مصرفی آموکسی سیلین (25%) و آزیترومایسین (24%) و شایع ترین شکل دارویی مورد استفاده قرص (55/5%) گزارش شد. عفونت های تنفسی نیز شایع ترین علت مصرف خودسرانه ی آنتی بیوتیک را به خود اختصاص دادند (42/2%). داروخانه ها بیش ترین منبع اطلاعاتی در مورد نحوه ی مصرف آنتی بیوتیک بودند (53/9%). همچنین خود درمانی با آنتی بیوتیک در افراد متاهل (0/015=P)، افراد با شغل آزاد (0/031=P) و افراد فاقد بیمه درمان (0/001>P) به طور معنی داری از سایر افراد مورد مطالعه بیشتر بود.

    نتیجه گیری

    نتایج مطالعه ی حاضر نشان داد که خوددرمانی با آنتی بیوتیک در شهر کرمان از شیوع بالایی برخوردار است و سیاست گذاران باید مداخلاتی در جهت افزایش آگاهی افراد از خطرات و عوارض جانبی مصرف خودسرانه ی آنتی بیوتیک و همچنین مقاومت دارویی ایجاد شده به دنبال آن جهت کاهش مصرف خودسرانه این داروها طراحی و اجرا نمایند.

    کلید واژگان: خوددرمانی, آنتی بیوتیک, شیوع, عوامل مرتبط, کرمان
    Arash Farvahari, Mina Danaei, Ali Sheibani Tezerji, Mohsen Momeni*
    Background and Aim

    Nowadays, due to people using antibiotics without prescription, the resistance of the bodies to antibiotics has been a major health issue in the world. This study aimed to investigate the consumption of antibiotics without prescription among the people that go to the health care centers of Kerman.

    Materials and Methods

    This descriptive-analytical study was conducted from April to September 2019, cross-sectionally on 331 people who were referred to the health care centers of Kerman city by the available sampling method. In this research, a valid questionnaire was used to collect information. Data was analyzed with SPSS statistical software, using t-test and chi-square statistical tests.

    Results

    The average age of the referred people in this study was 38.6±10.76 years, 135 (40.4%) were males and 194 (60.6%) were females. More than two-thirds of people had a higher education than deploma degrees. The self-medication prevalence with antibiotics was 32.9%. The most common cause of self-inflicted use of antibiotics is unwillingness to pay (34.4%), the most common types of antibiotics used are amoxicillin (25%) and azithromycin (24%), and the most common form of medicine used is pills (55.5%). Respiratory infections were also the most common cause of self-inflicted use of antibiotics (42.2%). Pharmacies were the most common source of information about how to use antibiotics (53.9%). Also, self-medication with antibiotics in married people (P=0.015). people with self employed jobs (P=0.031) and people without medical insurance (P<0.001) were significantly more than the other studied group.

    Conclusion

    The results of the present study showed self-medication with antibiotics is highly prevalent in Kerman city, and policy makers should take interventions to increase people’s awareness of the risks and side effects of self-inflicted use of antibiotics, as well as drug resistance created as a result, in order to reduce the self-inflicted use of these drugs.

    Keywords: Self-Medication, Antibiotics, Prevalence, Related Factors, Kerman
  • Vida Kardanmoghadam, Leila Vali, Narges Khanjani, Kourosh Rajabkhah, Moslem Taheri Soodejani, Mohammadreza Amiresmaili *
    Introduction

    Disability induced by severe diseases reduces life quality among elders, and leads to increased use of medications and increase in drug misuse. This study was done to determine the relation between the number of inappropriate medications used and life quality of elderly people living in Kerman during 2014.

    Methods

    This descriptive and analytical cross-sectional study was conducted on 150 elderly people in Kerman, Iran. The participants were selected by simple random sampling. The elderly health assessment questionnaire and Beers Criteria were used for data collection. Data were analyzed using SPSS (version 16) and running test, Fischer’s Exact test, and logistic regression. The model fitness was evaluated by the Hosmer and Lemeshow Test.

    Results

    The risk of low life quality in elders using 3 to 4 inappropriate medications was 9.98 times more than elders using no unauthorized medication. The most frequent inappropriate medications were Aspirin and Alprazolam. A significant relation was observed between low life quality and number of inappropriate medications used by elders; that is, taking a higher number of inappropriate medications was associated with lower life quality.

    Conclusions

    Many elderly people use inappropriate medications, which can have a serious adverse impact on their quality of life

    Keywords: PIM List, elders, inappropriate medications, life quality, Kerman
  • Fatemeh Motamedi, Ali Tavakkoli, Narges Khanjani *
    Background

    Journal club is a well-known method for reviewing new scientific articles and information in different fields of medical sciences. This study aimed to explore the strategies for holding successful journal clubs at the Faculty of Health Management and Medical Informatics of Kerman University of Medical Sciences, Kerman, Iran.

    Methods

    This qualitative content analysis study was done by interviewing nine academics and postgraduate students at the Faculty of Management and Medical Informatics. One interview was conducted with each participant. All interviews were recorded and transcribed, and notes were taken during interviews. Data collection continued until data saturation was reached.

    Results

    Based on the results, the most important strategies for successful journal clubs were holding journal clubs at an appropriate time, having someone in charge of organizing the facilities and content, and letting everyone participate in the discussion. Moreover, article appraisal should be taught to participants beforehand.

    Conclusions

    Although journal clubs are routinely and correctly held in many great universities around the world, this task is still not performed adequately and effectively in many educational centers in Iran. More effort should be put into holding organized and appropriate journal clubs.

    Keywords: Journal club, Postgraduate students, Kerman, Iran
  • اسماعیل علیزاده، سید مسعود مجدزاده، عباس آقایی افشار، حسین دهقان، لیلا شیرانی بید آبادی، محمدامین گروهی*، امیرحسین موسی زاده، راضیه شاه حیدری
    مقدمه و هدف

    زنبورها عضوی از راسته بال غشاییان می باشند که یکی از چهار راسته بزرگ حشرات در جهان هستند. در این مقاله واکنش های پوستی ناشی از زنبور هورنت شرقی را از شهر کرمان گزارش می کنیم.

    گزارش مورد:

     بیمار یک مرد 23 ساله بود، که در تیر ماه 1401 در شهر کرمان مورد حمله یک گونه زنبور واقع شد. نمونه زنبور پس از شناسایی، زنبور هورنت شرقی (Oriental hornet) تشخیص داده شد. یافته های بالینی در این مطالعه نشان داد که بعد از گذشت یک ساعت ضایعه ای همراه با واکنش های پوستی شامل نقاط دایره ای شکل و قرمز رنگ در حدود یک میلی متر بر روی بدن بیمار ظاهر شد که با شستشوی آب و صابون بعد از گذشت 13 روز از نیش زنبور هورنت علایم از بین رفته و محل مورد نظر بهبود یافت.

    نتیجه گیری

    نتایج حاصل از این مطالعه می تواند به متخصصان کمک کننده باشد تا در هنگام مواجهه با گزش زنبورها اقدامات لازم را انجام دهند. همچنین بعلت عدم وجود گزارشات دقیق جهت برآوردی از آمار و خطرات زنبور گزیدگی در کشور، ایجاد سامانه ثبت موارد زنبورگزیدگی پیشنهاد می شود.

    کلید واژگان: زنبورگزیدگی, گزارش مورد, هورنت شرقی, کرمان
    Ismaeil Alizadeh, Seyed Massoud Madjdzadeh, Abbas Aghaei Afshar, Hossein Dehghan, Leila Shirani-Bidabadi, MohammadAmin Gorouhi*, Amir Hossein Musazadeh, Raziyeh Shah-Heydari
    Introduction and purpose

    Bees are a member of the Hymenoptera order, which is one of the four largest insect orders with more than 154,000 species in the world. In this article, we report the severe skin reactions caused by the hornet (Vespa orientalis) from the Kerman city in Iran.

    Case report: 

    The patient was a 23-year-old man, who was attacked by a species of hornet on July 16, 2023 in Kerman city. The specimen was identified as oriental hornet with the scientific name Vespa orientalis. The clinical findings including a lesion surrounded by skin reactions and circular and red spots were showed after one hour in sting site. The sting site on the patient's body was washed with soap and water daily. The symptoms were disappeared, and the target area improved after 13 days.

    Conclusion

    The results of this study can help professionals to take necessary measures when exposed with bee stings. Also, due to the lack of accurate reports to estimate their statistics and risks in the country, it is suggested to create a registration system for bee sting cases.

    Keywords: Bee Stings, Case report, Oriental hornet, Kerman
  • Rezvan Davari, Ebrahim MohammadAli Morowatisharifabad*, Alireza Beigomi, Sara Jambarsang
    Introduction

    Older adults are the largest group of medication users in each society. Since medications act differently in seniors compared with younger patients, great considerations are required regarding the effects and side effects of medications in the older adults. The present study aimed to determine the status of medication use and its related factors among older adults in Kerman city, Iran.

    Methods

    In the cross-sectional study, 388 seniors were selected using multistage cluster sampling from the population covered by comprehensive health centers in Kerman in 2021. Demographic information questions (age, gender, education level, marital status, life status, substance abuse, income, and health insurance status), a question regarding medication usage status and a question regarding disease that the elderly are currently suffering from, Montreal Cognitive Assessment Questionnaire, Geriatric Depression Scale, and Sleep Disorder Questionnaire were used for data collection. The data were analyzed using SPSS software by running Chi-square and multiple logistic regression tests.

    Results

    The average number of medications used per day was 4.59 and 53.5% of the participants used five or more medications concomitantly. Antihypertensive medications had the highest prevalence (64.3%) followed by anti-hyperlipidemic (43.6%) and Supplements (41.3%). A significant correlation was found between the participants' frequency of medication use and their gender, income, primary insomnia, and cognitive impairment (p < 0.001). However, medication use had no significant association with the senior's age, marital status, education level, living status, substance abuse, and health insurance (p < 0.05). The risk of polypharmacy was 2.15 times higher in the elderly women than men (p = 0.001) and 0.45 times higher in participants with depression than non-depressed seniors (p = 0.011).

    Conclusion

    The high prevalence of polypharmacy indicates an unfavorable status of medication use among older adults in Kerman. So, authorities are required to provide educational information about polypharmacy to aged groups.

    Keywords: Medication Use, Polypharmacy, Aging, Kerman
  • Mohadeseh Kamali, Mehdi Taheri Sarvtin*
    Background and Aims
    Glucose-6-phosphate dehydrogenase (G6PD) deficiency is humans’ most common erythrocyte enzyme defect. About 400 million people are estimated to be affected by this disorder worldwide. Antimalarial drugs, especially primaquine, and other oxidative stress, can cause hemolytic complications in G6PD deficient individuals. This study aimed to evaluate the prevalence of G6PD deficiency in Kerman City in southern Iran.
    Materials and Methods
    This descriptive cross-sectional study was conducted from 2016 to 2021. Blood samples were taken from all patients with symptoms of G6PD deficiency who were referred to a general hospital in Kerman City in southern Iran. The G6PD enzyme activity was measured qualitatively by fluorescent spot test.
    Results
    A total of 6369 patients were included in this study. G6PD deficiency was seen in 424 (6.7%) subjects. Of 424 patients, 359 (84.7%) were severely G6PD deficient, and 65 (15.3%) patients exhibited partial deficiency. G6PD deficiency was seen in 324 (9.3%) males and 100 (3.4%) females (p < 0.001).
    Conclusion
    The results of our study confirmed the existence of G6PD deficiency in a significant percentage of patients in Kerman City. Therefore, many people in this city are exposed to hemolytic complications if they use antimalarial drugs and other oxidative substances. According to our results, testing G6PD deficiency and monitoring the potential primaquine toxicity in patients who receive primaquine are highly recommended.
    Keywords: Deficiency, Favism, G6PD, Kerman, Iran
  • Reza Vasegh Abbasi *, Soleyman Heidari
    The medical evolution that occurred through the transition from traditional medicine to modern medicine, together with the arrival of foreign doctors in the Qajar era, was considered one of the most important social events in the field of medicine. This was enhanced by establishing hospitals and infirmary by missionary associations, which, in turn, contributed to improving the health level. The Missionary Association of the Church was one of the most important missionary associations that started its activity in the southeast of Iran due to the prevalence of various diseases, lack of public health, and shortage of medicine and treatment. This association pursued its activities by establishing schools, hospitals, and churches to propagate and spread Christianity. During this period, Kerman suffered from various diseases, and traditional medicine was far from providing effective treatment. Therefore, the agents of the CMS Association took an important step to treat patients. To this end, they established Morsalin Hospital.This article attempts to address the following question:  what role and position did the missionary association of the church have in providing health services in Kerman? The current research was carried out in a descriptive-analytical way, taking a library approach. The research findings show that the doctors and nurses of the missionary association of the church have played an influential role in improving the health and treatment of people in the context of preaching and spreading Christianity.
    Keywords: Morsalin Hospital, Kerman, Church Missionary Society, Health, Treatment
  • MohammadSaeed Shojaei, Farokh Rokhbakhsh-Zamin *, Ebrahim Rezazadeh Zarandi, Farhad Sarafzadeh, Sayed MohammadReza Khoshroo
    Background

     Clostridioides difficile is one of the major causes of nosocomial infections, being responsible for 15 to 25% of antibiotic-associated diarrhea. It is important to determine the epidemiology and prevalence of this bacterium at hospitals and healthcare centers.

    Objectives

     This study aims to investigate the prevalence of C. difficile infection (CDI) by identifying toxigenic isolates of C. difficile in different wards of the hospital.

    Methods

     A total of 417 diarrheal stool samples were taken from hospitalized patients in different wards of three educational hospitals in Kerman City, Iran from 2018 to 2020. The samples were cultured on cycloserine-cefoxitin fructose agar and C. difficile suspected colonies were isolated. Identification of the cdd-3 gene for definitive diagnosis of C. difficile and identification of toxin genes in the positive isolates was performed using the PCR method.

    Results

     A total of 68 isolates (16.3%) of C. difficile were isolated from the specimens. Besides, 8.6% (36/417) and 7.6% (32/417) of the isolates were toxigenic and nontoxigenic, respectively; thus, the prevalence of CDI was 8.6%. Most of the toxigenic isolates had the A+B+CDT- toxin phenotype. The highest prevalence of CDI was observed in males, ICU ward, and age group of 41 - 60.

    Conclusions

     A total of 8.6% of hospitalized patients with diarrhea were infected with C. difficile. The prevalence of CDI in Kerman City is lower than that in Europe, East Asia, and other parts of Iran, but it is almost the same as that in the Middle East.

    Keywords: Clostridioides difficile, Toxin Genes, CDI, Kerman, Iran
  • محمدسعید شجاعی، فرخ رخ بخش زمین*، ابراهیم رضازاده زرندی، فرهاد صراف زاده، سید محمدرضا خوشرو
    زمینه و هدف

    کلستریدیوییدس دیفیسیل یکی از عوامل اصلی اسهال مرتبط با آنتی بیوتیک می باشد. پی بردن به الگوی مقاومت آنتی بیوتیکی آن به منظور کاهش شیوع و هم چنین درمان عفونت ناشی از این باکتری (Clostridioides difficile infection; CDI) از اهمیت به سزایی برخوردار است. هدف از انجام این تحقیق تعیین مقاومت آنتی بیوتیکی کلستریدیوییدس دیفیسیل نسبت به آنتی بیوتیک های رایج درمانی، خصوصا ونکومایسین و مترونیدازول به عنوان موثرترین راه درمان عفونت کلستریدیوییدس دیفیسیل می باشد.

    مواد و روش ها

    در این مطالعه توصیفی، 417 نمونه مدفوع اسهالی از بیماران بستری در بیمارستان های آموزشی شهر کرمان طی سال های 1397 تا 1399 گرفته شد. نمونه ها روی محیط کشت سیکلوسرین سفوکسیتین فروکتوز آگار کشت و ایزوله های مشکوک به کلستریدیوییدس دیفیسیل جداسازی شدند. شناسایی ژن cdd-3 برای تشخیص قطعی باکتری صورت پذیرفت. مقاومت آنتی بیوتیکی به روش انتشار دیسک و با استفاده از دیسک های ونکومایسین، مترونیدازول، ریفامپین، آموکسی سیلین/کلاولانیک اسید، اریترومایسین، ایمی پنم، سیپروفلوکساسین و کلیندامایسین بررسی شد. نتایج به صورت تعداد و درصد گزارش شد.

    یافته ها

    در مجموع 68 (3/16 درصد) ایزوله کلستریدیوییدس دیفیسیل جداسازی شد. اکثر ایزوله ها به ونکومایسین و مترونیدازول حساس بودند درحالی که میزان مقاومت این ایزوله ها به سیپروفلوکساسین و کلیندامایسین بالا بود. فراوانی ایزوله های مقاوم به چند دارو 9/77 درصد مشاهده شد.

    نتیجه گیری

    نتایج این مطالعه نشان داد که ونکومایسین هنوز داروی انتخابی مناسب برای درمان عفونت کلستریدیوییدس دیفیسیل می باشد. هم چنین، فراوانی ایزوله های مقاوم به آنتی بیوتیک های القا کننده عفونت کلستریدیوییدس دیفیسیل (اریترومایسین، کلینداماسین، سیپروفلوکساسین) و ایزوله های مقاوم به چند دارو زیاد می باشد. لذا با تجویز مناسب آنتی بیوتیک میتوان از گسترش سویه های مقاوم به آنتی بیوتیک این باکتری جلوگیری کرد.

    کلید واژگان: کلستریدیوئیدس دیفیسیل, مقاومت آنتی بیوتیکی, مقاومت چند دارویی, کرمان
    Mohammadsaeed Shojaei, Farokh Rokhbakhsh-Zamin*, Ebrahim Rezazadeh Zarandi, Farhad Sarafzadeh, Sayed MohammadReza Khoshroo
    Background and Objectives

    Clostridioides difficile (C. difficile) is one of the main causes of antibiotic-associated diarrhea. It is important to find out the pattern of its antimicrobial susceptibility for reducing prevalence and also treating C. difficile infection (CDI). This study aims to investigate the antimicrobial resistance of C. difficile to commonly used antibiotics, especially vancomycin and metronidazole, as the most effective antibiotics against the bacterium.

    Materials and Methods

    In this descriptive study, 417 diarrheal stool samples were taken from hospitalized patients of educational hospitals of Kerman City from 2018 to 2020. The samples were cultured on cycloserine-cefoxitin fructose agar (CCFA), and suspected C. difficile colonies were isolated. Identification of the cdd-3 gene for definitive diagnosis of C. difficile was performed. Antibiotic resistance test was conducted by the disk-diffusion method using vancomycin, metronidazole, rifampin, amoxicillin-clavulanic acid, erythromycin, imipenem, ciprofloxacin, and clindamycin disks. The results were reported as numbers and percentages.

    Results

    A total of 68 (16.3%) isolates of C. difficile were taken from the samples. Most C. difficile strains were susceptible to vancomycin and metronidazole, while the highest rate of resistance was related to ciprofloxacin and clindamycin. The prevalence of multi-drug resistant (MDR) strains was 77.9%.

    Conclusion

    The results of this study showed that vancomycin is still the best antibiotic for treating CDI. Also, the frequency of the isolates resistant to CDI-inducing antibiotics (erythromycin, clindamycin, ciprofloxacin) and MDR isolates was high. Therefore, the spread of resistant strains of C. difficile can be prevented by appropriate antibiotic prescription.

    Keywords: Clostridioides difficile, Antibiotic resistance, Multi-drug resistant (MDR), Kerman
  • الهه آذربهرام، سوده مقصودی*
    مقدمه

    به نظر می رسد که آگاهی از تغییرات دوران قاعدگی می تواند بر نگرش و عملکرد مثبت و منفی در مورد آن تاثیرگذار بوده و موجب سلامت جسمی و روانی دختران شود. تحقیق حاضر با هدف بررسی آگاهی، نگرش و عملکرد دختران تیزهوش شهر کرمان از دوران قاعدگی انجام شد. 

    روش

    جامعه آماری تحقیق شامل دانش آموزان دختر سال دهم تیزهوش شهر کرمان به تعداد دویست و چهل و یک نفر بود که تعداد صد و پنجاه و نه نفر به عنوان نمونه با استفاده از روش نمونه گیری خوشه ای چند مرحله ای انتخاب گردید. سپس اطلاعات با استفاده از پرسشنامه های استاندارد نگرش نسبت به قاعدگی محمدی ریزی و همکاران1391 و آگاهی و عملکرد دانش آموزان در مورد بهداشت دوران قاعدگی محمدعلیزاده چرندایی و همکاران1393 جمع آوری گردید. جهت تجزیه و تحلیل داده ها از آزمون های آماری ضریب همبستگی پیرسون و آزمون توکی استفاده شد.

    نتایج

    یافته ها نشان داد که آگاهی، عملکرد و نگرش دانش آموزان به قاعدگی در حد متوسط بود. نتایج(05/0<P) بیانگر این بود که بین آگاهی از دوران قاعدگی و عملکرد آن ها در این دوران رابطه وجود نداشت. اما بین نگرش مثبت به این دوران و عملکرد قاعدگی در دو بعد سلامت جسمانی و عاطفی رابطه معناداری(05/0>P) مشاهده شد. همچنین بین آگاهی و نگرش منفی به قاعدگی با شغل پدر و عملکرد دوران قاعدگی با تحصیلات مادر رابطه معناداری(05/0>P) مشاهده شد.

    بحث و نتیجه گیری

    با توجه به رابطه متغیرها توصیه می شود، برای افزایش آگاهی دانش آموزان و بهبود نگرش و عملکردشان اطلاعات بیشتری در مورد دوران قاعدگی در برنامه های درسی و کتاب های درسی مدرسه گنجانده شود.

    کلید واژگان: آگاهی, نگرش, عملکرد, دانش آموزان تیزهوش, کرمان
    Elahe Azarbahram, Soodeh Maghsoodi*
    Introduction

    There is evidence to suggest that being mindful of menstrual changes can impact a person's attitude and behavior toward their menstrual cycle. This, in turn, can affect their overall physical and mental well-being. This study aimed to investigate the knowledge, attitude, and behavior of exceptionally talented female students in Kerman toward their menstrual period. 

    Methods

    The statistical population of the study included two-hundred-fourty-one exceptionally talented female students in the tenth academic year of Kerman, of which one-hundred-fifty-nine were selected using multi-stage cluster sampling. Then, information was collected using standard questionnaires of the attitude towards menstruation of Mohammadi Rizi et al. 2012 and students' awareness and behavior regarding the menstrual health of Mohammad Alizadeh Charandai et al. 2014. Pearson correlation coefficient and Tukey test were used to analyze the data. 

    Results

    The findings showed that students' awareness, performance, and attitudes toward menstruation were average. The results showed that there is no relationship between menstrual awareness and students' behavior in this period,(P>0.05) but there is a significant relationship between the positive attitude to this period and menstrual function in two dimensions physical and emotional health.(P<0.05) There was also a significant relationship between awareness and negative attitude towards menstruation with the father's job and the behavior of menstruation with the mother's education.(P<0.05)

    Conclusions

    Considering the relationship between the variables, it is recommended to include more information about menstruation in school curricula and textbooks to increase students' awareness and improve their attitudes and performance.

    Keywords: Knowledge, Attitude, Behavior, Exceptionally Talented Students, Kerman
  • Saeedeh Mahmoodzadeh, Younes Jahani, Hamid Najafipour, Mojgan Sanjari, Mitra Shadkam-Farokhi, Armita Shahesmaeili *
    Background

    Noninvasive risk prediction models have been widely used in various settings to identify individuals with undiagnosed diabetes.

    Objectives

    We aimed to evaluate the discrimination, calibration, and clinical usefulness of the Finnish Diabetes Risk Score (FINDRISC) and Australian Diabetes Risk Assessment (AUSDRISK) to screen undiagnosed diabetes in Kerman, Iran.

    Methods

    We analyzed data from 2014 to 2018 in the second round of the Kerman Coronary Artery Disease Risk Factors Study (KERCADRS), Iran. Participants aged 35 - 65 with no history of confirmed diabetes were eligible. The area under the receiver operating characteristic curve (AUROC) and decision curve analysis were applied to evaluate the discrimination power and clinical usefulness of the models, respectively. The calibration was assessed by the Hosmer-Lemeshow test and the calibration plots.

    Results

    Out of 3262 participants, 145 (4.44%) had undiagnosed diabetes. The estimated AUROCs were 0.67 and 0.62 for the AUSDRISK and FINDRISC models, respectively (P < 0.001). The chi-square test results for FINDRISC and AUSDRISC were 7.90 and 16.47 for the original model and 3.69 and 14.61 for the recalibrated model, respectively. Based on the decision curves, useful threshold ranges for the original models of FINDRIS and AUSDRISK were 4% to 10% and 3% to 13%, respectively. Useful thresholds for the recalibrated models of FINDRISC and AUSDRISK were 4% to 8% and 4% to 9%, respectively.

    Conclusions

    The original AUSDRISK model performs better than FINDRISC in identifying patients with undiagnosed diabetes and could be used as a simple and noninvasive tool where access to laboratory facilities is costly or limited.

    Keywords: Discrimination, Iran, Kerman, Type 2 Diabetes, Risk Prediction Model, Calibration, Clinical Usefulness
  • Hamid Najafipour, Amin Mahdavi *, Zeinab Kordestani, Zahra Zamaninasab, Mitra Shadkam Farokhi, Atefeh Shamsadini, Elnaz Azizi
    Background

    Cigarette and tobacco smoking are closely associated with chronic cardiovascular disease and lung cancer. We aimed to assess the prevalence and 5-year incidence rate (IR) of these two risk factors for cardiovascular diseases in Kerman, southeastern of Iran.

    Methods

    10015 individuals aged 15-80 were recruited to the study between 2014 and 2018 (Kerman coronary artery disease (CAD) risk factors study, KERCADRS) of which 2820 had also participated in the first phase (5 years earlier). We took fasting blood samples and collected demographic information and data on cigarette and water-pipe tobacco smoking (WPTS) through interviews. 

    Findings

    The overall prevalence of cigarette smoking increased from 8.1% in phase1 to 8.8% in phase 2. During the same period, the prevalence of WPTS increased from 10% to 14%, especially in the age groups of 15-45 years. The prevalence of opium dependance was higher among cigarette smokers compared to WPT users. The overall 5-year IR of cigarette and WPTS was 3.6 and 4.65 per 1000 person-years respectively. The highest IRs of cigarette smoking and WPTS were reported in the age group of 15-39 years, and IR of WPTS was higher among women. Obesity, diabetes, and hypertension associated with a reduced IRs of cigarette and WPTS. 

    Conclusion

    Over the past five years, the prevalence of cigarette smoking has increased slightly, but WPTS has increased more rapidly, especially among women. The highest prevalence of cigarette and WPT smoking was in the age groups of 15-39 years. Smoking is shifting from cigarette smoking to WPTS. Age- and gender-oriented interventions would help correct the unhealthy life style in the community and prevent further smoking-related morbidities and mortalities.

    Keywords: Cigarette smoking, Tobacco smoking, Prevalence, Incidence, Kerman, Iran
نکته
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