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  • Hyeongsu Kim, Soon-Ae Shin, Kunsei Lee, Jong-Heon Park, Tae Hwa Han, Minsu Park, Eunyoung Shin, Hyoseon Jeong, Jung-Hyun Lee, Hyemi Ahn, Vitna Kim
    Background
    The National Health Insurance Service (NHIS) conducted a screening test to detect chronic diseases such as hypertension and diabetes in Korea. This study evaluated the effects of health screening for DM on pharmacological treatment.
    Methods
    The data from qualification and the General Health Screening in 2012, the insurance claims of medical institutions from Jan 2009 to Dec 2014, and the diabetic case management program extracted from the NHIS administrative system were used. Total 16068 subjects were included. Visiting rate to medical institution, medication possession ratio and the rate of medication adherence of study subjects were used as the indices.
    Results
    The visiting rates to medical institutions were 39.7%. The percentage who received a prescription for a diabetes mellitus medication from a doctor was 80.9%, the medication possession ratio was 70.8%, and the rate of medication adherence was 57.8%.
    Conclusion
    The visiting rate, medication possession ratio and rate of medication adherence for DM medication were not high. In order to increase the visiting rate, medication possession ratio and rate of medication adherence, NHIS should support environment in which medical institutions and DM patients can do the role of each part.
    Keywords: Diabetes mellitus, Health screening, Medical visit, Medication possession ratio, Appropriate medical adherence
  • Bora Ozveren, Efe Onganer, Levent N. TÜrkeri
    Purpose
    To investigate the prevalence of simple renal cysts in an adult health-screening cohort, and to evaluate clinical characteristics, associated risk factors and the natural course.
    Materials And Methods
    Between April and November 2008, a thousand individuals diagnosed with simple renal cyst by ultrasonography in a check-up program were chart-reviewed for demographic clinical characteristics and cyst features. Follow-up was done via electronic patient records. Univariate and multivariate analyses to evaluate the relationship of outcomes and correlation analysis were done to measure the degree of association between parameters.
    Results
    The prevalence was 7.7%. There were 123 cysts in 77 patients, followed for 3. years (mean). Individuals with cysts were older (P
    Conclusion
    In a cohort of adults undergoing a health-screening, the prevalence of simple renal cyst was found 7.7% by ultrasonography. Renal cysts were more common in males and elders, and associated with increased levels of serum creatinine and diabetes.
    Keywords: kidney diseases, cystic, complications, epidemiology, etiology, prevalence, Turkey
  • Sandra K. Cesario, Fuqin Liu, Heidi Gilroy, Anne Koci, Judith Mcfarlane, John Maddoux
    Objectives
    Partner violence affects one in three women worldwide and is linked to higher rates of women’s cancers with increased utilization of health care services. However, evidence of the association between severity of violence and health screening behaviors (i.e., Pap testing, mammography, & clinical/self-breast exams [SBEs]) is scant. The purpose of this study was to identify engagement of abused women in preventive health screening behaviors.
    Materials And Methods
    This was a cross-sectional study of 284 abused women with children. Participants were part of a 7-year prospective study to examine the treatment efficacy of the 2 models most often offered to abused women. At the 24th month interview, data on health promotion behaviors were collected via investigator designed instrument. Both descriptive and chi square analysis were used for data analysis.
    Results
    Abused women were more likely to engage in preventative health behaviors than the general US female population but had a higher incidence of sexually transmitted infections (STIs) and abnormal Pap test results with variance based on race, ethnicity, immigration status, language, and the type of intimate partner violence (IPV) services initiated. Preventative screening was adequate, but there was poor follow-up care for abused women who received abnormal results.
    Conclusion
    Findings suggest urgent need to maintain high rates of screening and initiate better follow-up care. Recognition of the potential co-existence of gynecological infections or cervical cellular irregularities with the experience of partner abuse may lead health care providers to improved diagnosis and treatment for both IPV and abnormal gender-specific health care outcomes.
    Keywords: Preventative health screening, Intimate partner violence (IPV), Cancer screening, Partner abuse
  • جواد معدنی*

    اپیدمی کرونا چالش های بسیار بزرگی را برای گردشگری شهری به وجود آورد که تبعات و پیامدهای منفی آن، موجب گردید که کشورها به دنبال اتخاذ اقداماتی مثمر ثمر برای دوره مابعد این بیماری باشند. یکی از مهم ترین آن ها، سناریو پردازی است که هدف اصلی این تحقیق نیز تدوین سناریوهای آینده گردشگری شهری در دوران پساکرونا است. روش تحقیق آن ترکیبی یا آمیخته است که با استفاده از رویکرد متوالی اکتشافی در دو فاز کیفی-کمی انجام می شود. در این تحقیق، به ترتیب از روش های "تحلیل مضمون و برنامه ریزی سناریو" است. جامعه آماری تحقیق شامل یک تیم چندهسته ای از خبرگان حوزه های گردشگری شهری، مدیریت شهری، جغرافیا، مدیریت دولتی و بهداشت عمومی است که از طریق روش نمونه گیری هدفمند شناسایی شدند. مطابق با یافته های تحقیق، در فاز اول که با استفاده از روش تحلیل مضمون انجام شده است، مضامین استخراج شده از مصاحبه های نیمه ساختاریافته در قالب 39 مضمون پایه، 14 مضمون سازمان دهنده و 3 مضمون فراگیر هستند که برای شناسایی پیشران ها به مرحله بعدی راه می یابند. مطابق با یافته های فاز کمی تحقیق، چهار سناریو شناسایی شدند که عبارت اند از: کاهش محدودیت ها و غربال گری بهداشتی هوشمند، گردشگری سلامت (درمان)، منطقه بندی سبز، قفل اجباری. طبق نتایج حاصله، سناریوهای "کاهش محدودیت ها و غربال گری بهداشتی هوشمند - گردشگری سلامت (درمان)" به ترتیب، جزء مطلوب ترین و نسبتا مطلوب؛ و سناریوهای "منطقه بندی سبز - قفل اجباری" به عنوان نسبتا نامطلوب و نامطلوب ترین وضعیت دسته بندی می شوند. با اتخاذ سناریوهای مربوطه می توان ضمن مدیریت صحیح گردشگری شهری و پیامدهای متعاقب آن، دوره پس از بیماری را به عنوان فرصتی برای گردشگری شهری در نظر گرفت که راهکارهای جدید و مطلوبی را به منصه ظهور و اجرا رساند.

    کلید واژگان: گردشگری, گردشگری شهری, دوران پساکرونا, سناریو, سرعین
    Javad Madani *

    The COVID-19 pandemic created significant challenges for urban tourism, and its negative consequences caused countries to seek effective measures for the post-disease period. One of the most important of them is scenario planning; the main purpose of this research is to compile the future scenarios of urban tourism in the post-corona era, which was done with a focus on Sareyn. The research method is combined or mixed, which is carried out using a sequential exploratory approach in two qualitative-quantitative phases. The methods used in this research are "theme analysis and scenario planning." The statistical population of the research includes a multi-core team of experts in urban tourism, urban management, geography, public administration, and public health, who are also familiar with the conditions and status of Sareyn. These people are identified through the purposeful sampling method. According to the findings of the research, in the first phase, which was carried out using the theme analysis method, the themes extracted from the semi-structured interviews are in the form of 39 basic themes, 14 organizing themes, and 3 inclusive themes, which will go to the next stage to identify the drivers. Based on the findings of the quantitative phase of the research, four scenarios were identified, which are the reduction of restrictions and smart health screening, health tourism (treatment), green zoning, and mandatory lockdown. According to the results, the scenarios of "reducing restrictions and smart health screening - health tourism (treatment)" are, respectively, the most favorable and relatively favorable, and "green zoning - forced lock" scenarios are categorized as relatively unfavorable and most unfavorable situations. By adopting the relevant scenarios and properly managing urban tourism and its consequences, the post-disease period can also be considered an opportunity for urban tourism that brings new and desirable solutions to the fore.

    Keywords: Tourism, Urban Tourism, Post COVID-19 Era, Scenario, Sareyn
  • Shamaila Usman *, Afreen Sattar, Khurram Shahzad, Zeeshan Baig, Mumtaz Khan, Muhammad Wasif Malik, Jamil Ansari, Nausheen Ashraf
    Introduction

    Points of entry (POE) in Pakistan serve as key conduits for international travel, transport, and trade. Central Health Establishment (CHE) is a key stakeholder in the implementation of the International Health Regulations 2005 (IHR) core capacities at POE and National Action Plan 2020 against COVID-19. A comprehensive screening plan for COVID-19 was carried out effectively despite limitations.

    Methods

    A descriptive study on CDC guidelines for health screening at POE was conducted from February 2020 to March 2021. Guidelines are based on 11 attributes to be implemented; these include legal and regulatory bodies to detain the travelers as suspect, isolate, and coordinate at POEs, funds for screening, well-equipped quarantine facilities, referral health care facilities, protocols for primary and secondary screening, capacity building, supply of personal protective equipment and screening tools, and provision of basic facilities at isolation areas. Data were collected using both qualitative and quantitative methods from health officers and quarantine assistants of PoEs. The analysis of CHE’s information system was performed to assess the management of traveler surveillance.

    Results

    Eleven attributes were addressed for health screening according to CDC guidelines and well implemented at POE by CHE under the flagship of the MNHR&C. Primary health screening of 4,088,119 inbound travelers was conducted. Secondary health screening led to the referral of performed at airports for inbound travelers, with a positivity rate of 0.32.

    Conclusion

    Preparedness and response for COVID-19 at POE are in line with the National Action Plan of the Government of Pakistan and IHR (2005).

    Keywords: Points of entry, health screening, COVID-19, Quarantine
  • Sara Sadrzadeh*
    Aortic coarctation is a congenital malformation of the aorta, which is usually diagnosed and corrected early in life (1).Systemic hypertension, accelerated coronary heart disease, stroke, aortic dissection, and heart failure are common complications in adults who have not undergone correction for their coarctation or were operated later in life (4).In this case report, we report on a 6-year-old boy with asymptomatic coarctation of aorta. The patient’s high blood pressure was detected during a screening program held inIran for all the children at preschool age. The patient underwent a surgery and was in good clinical condition afterward. This case was an important example of the significance of preschool examination that can prevent later sudden or irretrievable cardiovascular accidents. Given that there are numerous cases of careless and incorrect filling of health screening forms by some physician, we believe that this case can be a good example for those who do not pay enough attention to doing physical examination in screening programs.
    Keywords: aortic coarctation, preschool screening, hypertension in children
  • Saurabh Rambiharilal Shrivastava, Prateek Saurabh Shrivastava, Jegadeesh Ramasamy
    Oral cancer has emerged as a significant cause of global public health concern in both developing and developed nations. Multiple socio-demographic and habit-related risk factors have been attributed to causing oral cancer. A diverse array of challenges exists in the global campaign to address the burden of oral cancer. Such challenges have served as barriers to the early diagnosis and treatment of oral cancer, thus impacting the scope of the public health benefit and chances for survival. Oral health screening services should be integrated into National Public Health Programs and the development of an evidence-base on strategies which focus on primary prevention and community health education will assist in efforts to detect and treat oral cancer at earlier stages in the epidemiology of the disease.
  • شعله وطن پرست، مصطفی محمدی، عادل رازقی فام، امید علی یادگاری، اعظم پورحیدر
    پیش زمینه و هدف
    مذهب عامل پیشگیری کننده مهمی از بروز و شیوع بیماری های روانی است و می تواند باعث ارتقاء بهداشت روانی گردد که علاوه بر بهداشت روانی بر روی بهداشت عمومی نیز موثر است. وزن کم نوزاد بدو تولد می تواند مشکلات جدی برای مادر، کودک و خانواده ایجاد کند. هدف این مطالعه بررسی رابطه التزام عملی به اعتقادات اسلامی مادر باردار با وزن نوزاد بدو تولد است.
    مواد و روش ها
    در این پژوهش توصیفی مقطعی، به روش نمونه گیری تصادفی در دسترس، اطلاعات مربوط به 100 مادر بعد از زایمان در بیمارستان شهید عارفیان ارومیه موردبررسی قرار گرفت. ابزار گردآوری داده ها شامل پرسشنامه استاندارد التزام عملی اعتقادات اسلامی است که پس از تائید اعتبار و روایی علمی بکار گرفته شد. بر اساس آزمون التزام عملی به اعتقادات مذهبی، مقیاس به دست آمده از مادر باردار با مقیاس وزن نوزاد بدو تولد بررسی شدند و سپس با استفاده از نرم افزار spss با نسخه 19 همبستگی متغیرها با همدیگر بررسی شد.
    یافته ها
    یافته ها نشان می دهند که بین التزام عملی به اعتقادات اسلامی مادر باردار و وزن نوزاد بدو تولد رابطه معنی داری وجود دارد (P<.01،21 R=.).
    بحث و نتیجه گیری
    با توجه به نتایج پژوهش بر لزوم توجه بیشتر بر بهداشت روانی مادران و گنجاندن برنامه های غربالگری، حمایتی و مشاوره ای بهداشت روان در حوزه مذهب در مراقبت های روتین قبل از زایمان تاکید می گردد.
    کلید واژگان: مادر باردار, التزام عملی به اعتقادات اسلامی, وزن نوزاد
    Sholeh Vatanparast, Mostafa Mohamadi, Adel Razegifam, Omidali Yadegari, Azam Pourheidar
    Background and Aims
    Religion is an important factor in preventing the incidence and prevalence of ppsychological ddisorders, which can effect on women’s health promotion & public health. The aim of this study was to assess the relationship between adherence to the Islamic beliefs and faith maternal birth weight.
    Materials and Methods
    100 postpartum women of Arefian hospital were selected by random cluster sampling method for the study. Adherence to Islamic beliefs scale, and faith birth weight were used for data collection. Data analysis was performed using Pearson correlation coefficient test.
    Results
    This study showed that there was a significant positive relationship (P<. 01, R =.21) correlation between both the religious beliefs of maternal and infant birth weight.
    Conclusion
    The results of this study include the need for more attention on maternal health screening programs, ssupporting and counseling psychology of religion for woman’s health promotion in routine prenatal care.
    Keywords: Postpartum, adherence to Islamic beliefs, birth weight
  • Saurabh Rambiharilal Shrivastava, Prateek Saurabh Shrivastava, Jegadeesh Ramasamy
    Cardiovascular diseases are caused because of abnormalities in the heart and blood vessels. Recent trends reveal that the incidence of coronary heart disease (CHD) has gradually decreased in many developed countries, but the situation remains quite challenging in developing nations that account for more than 60% of the global burden. Multiple socio-demographic, personal, physician related and healthcare delivery system related factors have been identified which act in variable combinations to either influence the incidence of CHD or affect the short/long-term outcome of the disease. Of all CHD cases who succumb within 28 days of onset of symptoms, almost 67% fail to reach even a hospital. This clearly signifies the importance of primary prevention and early recognition of the warning signs in averting cause-specific mortality. The main priority is to develop cost-effective equitable health care innovations in CHD prevention and to monitor the trend of CHD so that evidence-based interventions can be formulated. To conclude, inculcating health-promoting behaviors in school children and the general population by means of community-based health screening and education interventions could avert many more deaths attributed to CHDs.
    Keywords: Coronary Heart Disease Prevention Public Health Lifestyle Tobacco
  • Beuy Joob*, Viroj Wiwanitkit

    The screening of cancer is important in secondary prevention in clinical oncology. The cervical cancer screening by pelvic examination and Pap smear test is the standard practice worldwide. However, the coverage of the screening is an important consideration in public health. Some specific vulnerable populations are considered to have a low chance of having access to health care services including cancer screening. Here, the authors summarize and present data on cervical cancer screening among migrant workers from a health care center in Bangkok, Thailand.Recorded data on cervical cancer screening in a 1 year period (2018) were reviewed. During this period, there were 1456 cervical screening records.Of these records, 1398 were local Thai and 58 were migrant workers (50 Myanmar workers and 8 Cambodian workers). In our screening, there was no detection of cancer among local Thai females (0 %), however, 2 cases of abnormal cervical cancer screening results (CIN) were found among migrant workers (3.45 %). The incidence of a positive finding was significantly higher among migrant workers than local females. Of interest, migrant workers are an underprivileged group that usually receive limited health cancer services. In fact, migrant workers are limited to receive health screening as a worldwide problem [1, 2]. The low rate of getting cancer screening is well described among migrant workers in the EU [2]. Promoting the care in all clinical aspects and not only cancer screening, is suggested for the migrant workers. Finally, according to our knowledge, this is the first note on the incidence of abnormal pap smear results among migrant Asian workers in Southeast Asia.

    Keywords: cancer, cervix, screening
نکته:
  • از آنجا که گزینه «جستجوی دقیق» غیرفعال است همه کلمات به تنهایی جستجو و سپس با الگوهای استاندارد، رتبه‌ای بر حسب کلمات مورد نظر شما به هر نتیجه اختصاص داده شده‌است‌.
  • نتایج بر اساس میزان ارتباط مرتب شده‌اند و انتظار می‌رود نتایج اولیه به موضوع مورد نظر شما بیشتر نزدیک باشند. تغییر ترتیب نمایش به تاریخ در جستجوی چندکلمه چندان کاربردی نیست!
  • جستجوی عادی ابزار ساده‌ای است تا با درج هر کلمه یا عبارت، مرتبط ترین مطلب به شما نمایش داده‌شود. اگر هر شرطی برای جستجوی خود در نظر دارید لازم است از جستجوی پیشرفته استفاده کنید. برای نمونه اگر به دنبال نوشته‌های نویسنده خاصی هستید، یا می‌خواهید کلمات فقط در عنوان مطلب جستجو شود یا دوره زمانی خاصی مدنظر شماست حتما از جستجوی پیشرفته استفاده کنید تا نتایج مطلوب را ببینید.
در صورت تمایل نتایج را فیلتر کنید:
* با توجه به بالا بودن تعداد نتایج یافت‌شده، آمار تفکیکی نمایش داده نمی‌شود. بهتراست برای بهینه‌کردن نتایج، شرایط جستجو را تغییر دهید یا از فیلترهای زیر استفاده کنید.
* ممکن است برخی از فیلترهای زیر دربردارنده هیچ نتیجه‌ای نباشند.
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