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Changizi N, Eshrati B, Salehi M, Beheshtian M, Hadipour Jahromy L, Emami Afshar N, Hejazi S, Hantoushzadeh S, Eslamian L, Savaie M, Raeisi A, Pooransari P. Vaccination effects on reducing COVID-19 complications in pregnancy: A large-scale report from Iran. Int J Gynaecol Obstet 2023; 163:1012-1017. [PMID: 37655467 DOI: 10.1002/ijgo.15077] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2023] [Revised: 07/29/2023] [Accepted: 08/17/2023] [Indexed: 09/02/2023]
Abstract
OBJECTIVE The objective of this study was to evaluate the effects of maternal coronavirus disease 2019 (COVID-19) vaccination on preventing severe complications of COVID-19 in pregnant women. METHODS A retrospective study was conducted in pregnant women infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) during pregnancy and/or for up to 6 weeks postpartum between September 1, 2021, to January 30, 2022. The data was retrieved from a national database. The pregnant women were divided into two groups of vaccinated and unvaccinated. The proposed outcomes (the need for hospitalization, intensive care unit admission, and mechanical ventilation and products of conception complications) were compared between the two groups. RESULTS Approximately 90 000 pregnant women infected with COVID-19 were included in the study. The data of the vaccinated (19 922) and unvaccinated (70 147) groups were analyzed and compared. Pregnant patients in the vaccinated group had a significantly lower rate of hospitalization (21.2% vs 29.4%) (odds ratio [OR], 0.648 [95% confidence interval (CI), 0.625-0.673], P = 0.0001) and intensive care unit admission (3.7% vs 7.8%) (OR, 0.453 [95% CI, 0.382-0.535], P = 0.0001). The need for mechanical ventilation was also lower, although not statistically significant, in the vaccinated group than in the unvaccinated group (30 of 155 [19.4%] vs 418 of 1597 [26.2%]) (OR, 0.677 [95% CI, 0.448-1.024], P = 0.063). Cesarean section (54.3% vs 58.1%) (OR, 0.856 [95% CI, 0.751-0.977], P = 0.021) and stillbirth (0.4% vs 3.6%) (OR, 0.097 [95% CI, 0.026-0.252], P = 0.0001) were also significantly lower in the vaccinated patients. Most pregnant women in the vaccinated group (18 484-96.14%) received Sinopharm BIBP COVID-19 inactivated vaccine. No significant differences were seen in the effect of different types of COVID-19 vaccines on reducing COVID-19 complications in infected pregnant patients. CONCLUSION Maternal COVID-19 immunization is effective in reducing COVID-19 complications in infected pregnant women.
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Affiliation(s)
- Nasrin Changizi
- Health Research Center, Tehran University of Medical Sciences, Tehran, Iran
| | - Babak Eshrati
- Department of Community and Family Medicine, Preventive Medicine and Public Health Research Center, Iran University of Medical Sciences, Tehran, Iran
| | - Mohammadreza Salehi
- Research Center for Antibiotic Stewardship and Anti-microbial Resistance, Imam Khomeini Hospital Complex, Infectious Diseases Department, Tehran University of Medical Sciences, Tehran, Iran
| | | | | | | | | | - Sedigheh Hantoushzadeh
- Department of Obstetrics and Gynecology, Family Health Research Institute, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran
| | - Laleh Eslamian
- Department of Obstetrics and Gynecology, School of Medicine, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
| | - Mohsen Savaie
- Department of Anesthesiology, School of Medicine, Pain Research Center, Razi Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Alireza Raeisi
- Department of Internal Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Parichehr Pooransari
- Department of Obstetrics and Gynecology, School of Medicine, Preventative Gynecology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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Changizi N, Afshar NE, Farahani Z, Shariat M, Hejazi S, Jahromy LH, Ghasabe SR, Radpooyan L. Improving the health status of Afghan mothers living in the Islamic Republic of Iran. East Mediterr Health J 2023; 26:861-869. [PMID: 38279881 DOI: 10.26719/emhj.23.116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/04/2022] [Accepted: 06/01/2023] [Indexed: 01/29/2024]
Abstract
Background The healthcare system of the Islamic Republic of Iran provides special maternal health care services for mothers, regardless of their nationality. Aim This study, supported by the United Nations Population Fund, was conducted to review available data associated with health indicators of Afghan mothers living in Islamic Republic of Iran. Methods This descriptive study used data from the electronic registration system of the Maternal Health Office of the Ministry of Health and Medical Education on characteristics, morbidity and mortality among Afghan mothers in the Islamic Republic of Iran from 2017 to 2019. The data were analysed using SPSS version 23.0. Based on the results, we propose interventions to improve health services for vulnerable Afghan mothers. Results There were 168 488 deliveries over the 3 years of the study (2017-2019). Deliveries by Afghan women increased from 3.4% in 2017 to 5.2% in 2019, and more than 70% of these Afghan women were vulnerable. Ten percent of deliveries among Afghan mothers were performed by traditional birth attendants. The rate of caesarean section among Afghan mothers was 30%. Maternal mortality ratio among the Afghan mothers was 43 per 100 000 for the 3 years. Conclusion Afghan mothers in the Islamic Republic of Iran use primary health care services provided for mothers in the country. However, healthcare delivery to these mothers is inadequate, although considered better than the care provided to Afghan mothers living in Afghanistan. We recommend targeted interventions to improve the health status of Afghan women living in the Islamic Republic of Iran.
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Affiliation(s)
- Nasrin Changizi
- Maternal, Fetal and Neonatal Research Center, Family Health Research Institute, Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran
- Maternal Health Department, Population, Family, and School Health Office, Vice Chancellery for Health, Iran Ministry of Health and Medical Education, Tehran, Islamic Republic of Iran
| | - Nezhat Emami Afshar
- Maternal Health Department, Population, Family, and School Health Office, Vice Chancellery for Health, Iran Ministry of Health and Medical Education, Tehran, Islamic Republic of Iran
| | - Zahra Farahani
- Vali-E-Asr Reproductive Health Research Center, Family Health Research Institute, Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran
| | - Mamak Shariat
- Breastfeeding Research Center, Family Health Research Institute, Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran
| | - Saeideh Hejazi
- Maternal Health Department, Population, Family, and School Health Office, Vice Chancellery for Health, Iran Ministry of Health and Medical Education, Tehran, Islamic Republic of Iran
| | - Leila Hadipour Jahromy
- Maternal Health Department, Population, Family, and School Health Office, Vice Chancellery for Health, Iran Ministry of Health and Medical Education, Tehran, Islamic Republic of Iran
| | - Susan Rahimi Ghasabe
- Maternal Health Department, Population, Family, and School Health Office, Vice Chancellery for Health, Iran Ministry of Health and Medical Education, Tehran, Islamic Republic of Iran
| | - Laleh Radpooyan
- Maternal Health Department, Population, Family, and School Health Office, Vice Chancellery for Health, Iran Ministry of Health and Medical Education, Tehran, Islamic Republic of Iran
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Mariano C, Jamal R, Bains P, Hejazi S, Chao L, Wan J, Ho J. Utility of a chemotherapy toxicity prediction tool for older patients in a community setting. ACTA ACUST UNITED AC 2019; 26:234-239. [PMID: 31548802 DOI: 10.3747/co.26.4869] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
Background Expert groups have recommended incorporation of a geriatric assessment into clinical practice for older patients starting oncologic therapy. However, that practice is not standard primarily because of resource limitations. In the present study, we evaluated the effect on treatment decisions by oncologists in the community oncology setting of a brief geriatric assessment tool that estimates risk of toxicity. Methods This prospective longitudinal study in 5 community oncology practices in British Columbia involved patients 70 years of age and older starting a new cytotoxic chemotherapy regimen. Clinical personnel completed a brief validated geriatric assessment tool-the Cancer and Aging Research Group chemotherapy toxicity tool (carg-tt)-that estimates the risk of grade 3 or greater toxicity in older patients. Physicians were asked if the carg-tt changed their treatment plan or prompted extra supports. Patients were followed to assess the incidence of toxicity during treatment. Results The study enrolled 199 patients between July 2016 and February 2018. Mean age was 77 years. Treatment was palliative in 61.4% of the group. Compared with physician judgment, the carg-tt predicted higher rates of toxicity. In 5 patients, treatment was changed based on the carg-tt. In 38.5% of the patients, data from the tool prompted extra supports. Within the first 3 cycles of treatment, 21.3% of patients had experienced grade 3 or greater toxicity. Conclusions This study demonstrates that use of a brief geriatric assessment tool is possible in a broad community oncology practice. The tool modified the oncologist's supportive care plan for a significant number of older patients undertaking cytotoxic chemotherapy.
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Affiliation(s)
- C Mariano
- Department of Medicine and Medical Oncology, Royal Columbian Hospital, New Westminster, BC
| | - R Jamal
- University of British Columbia, Vancouver, BC
| | - P Bains
- Department of Medicine and Medical Oncology, Lions Gate Hospital, North Vancouver, BC
| | - S Hejazi
- Department of Evaluation and Research Services, Fraser Health Authority, Surrey, BC
| | - L Chao
- Department of Medicine and Medical Oncology, Lions Gate Hospital, Richmond, BC
| | - J Wan
- Department of Pharmacy, Royal Columbian Hospital, New Westminster, BC
| | - J Ho
- Department of Medicine and Medical Oncology, Lions Gate Hospital, Richmond, BC
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Hejazi S, Rouhi G, Rasmussen J. The effects of gastrocnemius–soleus muscle forces on ankle biomechanics during triple arthrodesis. Comput Methods Biomech Biomed Engin 2016; 20:130-141. [DOI: 10.1080/10255842.2016.1206531] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Gheibi S, Noroozi M, Hejazi S, Karamyyar M, Farrokh-Eslamlou H. Severe Anemia and Helicobacter Pylori Infection in school age Children; A case reports. Iran J Ped Hematol Oncol 2016; 6:64-9. [PMID: 27222704 PMCID: PMC4867173] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/23/2014] [Accepted: 08/05/2015] [Indexed: 11/05/2022]
Abstract
BACKGROUND Iron-deficiency anemia is a widespread public health problem with major consequences for human health especially, children. However, in a fraction of patients an underlying cause is never found during routine investigation. Recent studies have suggested an association between Helicobacter pylori (H. Pylori) infection and iron-deficiency anemia. CASE PRESENTATION Here is reported four school aged children (two male, two female) with refractory severe iron-deficiency anemia associated H. Pylori gastritis. Mean age of the patients was 13.62 years old and they were admitted with chief complaints of abdominal, chest pain weakness, headache and respiratory distress. Mean hemoglobin level in patients was 6.2 g/dl with persistence to iron therapy. After the diagnosis and therapy of H. pylori infection, clinical complaints, hemoglobin level and iron profiles were being normal and they gained weight. CONCLUSION This study suggests screening of H. pylori infection and appropriate treatment in any case of refractory moderate to severe iron-deficiency anemia, especially with clinical manifestations of gastrointestinal tract in children.
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Affiliation(s)
- Sh Gheibi
- Maternal and Childhood Obesity Research Center, Urmia University of Medical Sciences, Urmia, Iran.
| | - M Noroozi
- Maternal and Childhood Obesity Research Center, Urmia University of Medical Sciences, Urmia, Iran.,Corresponding Author Mehran Noroozi MD, Assistant Professor of Pediatric Hematology and Oncology, Maternal and Childhood Obesity Research Center, Urmia University of Medical Sciences, Shahid Motahari Hospital, Urmia, I.R. Iran. .
| | - S Hejazi
- Department of Pediatric. Urmia University of Medical Sciences, Urmia, Iran.
| | - M Karamyyar
- Maternal and Childhood Obesity Research Center, Urmia University of Medical Sciences, Urmia, Iran.
| | - H Farrokh-Eslamlou
- UrmiaReproductive Health Research Center, School of Public Health, Urmia University of Medical Sciences, Kashani Street, Urmia, Iran.
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Mozaffari A, Hejazi S, Afrakhteh Z, Shakeri F, Mohebi S, Zamanian H. Obstructive sleep apnea as a risk factor in coronary artery disease. Sleep Med 2015. [DOI: 10.1016/j.sleep.2015.02.1464] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Valizadeh N, Noroozi M, Hejazi S, Nateghi S, Hashemi A. Seroprevalence of Hepatitis B, Hepatitis C and Human Immunodeficiency Viruses among Thalassemia Patients in West North of Iran. Iran J Ped Hematol Oncol 2015; 5:145-8. [PMID: 26705453 PMCID: PMC4688598] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/23/2014] [Accepted: 02/04/2015] [Indexed: 11/12/2022]
Abstract
BACKGROUND Thalassemia patients that are conventionally treated by a regular transfusion regimen are exposed to blood born viral infections.The aim of this study was to investigate the seroprevalence of hepatitis B virus (HBV), hepatitis C virus (HCV), and human Immunodeficiency virus (HIV) among all multitransfused thalassemia patients in west north of Iran. MATERIAL AND METHODS A retrospective study was conducted in February 2014, on 32 patients in Urmia, suffering from transfusion dependent thalassemia were admitted to Motahari and Emam Khomeini hospitals. Patients' medical records were studied for HBs antigen and seropositivity for HCV, and HIV antibodies. RESULTS Out of 32transfusion dependent thalassemia patients aged between 5-17years, 18 (56.25%) and14 (43.75%) were male and female, respectively. All of them were found seronegative for HBs antigen, HCV, and HIV antibodies. CONCLUSION It seems that screening of blood products is efficient in Urmia, capital of West Azarbaijan, Iran for prevention of blood born viral infections.
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Affiliation(s)
- N Valizadeh
- 1.Assistant professor of Hematology/Medical Oncology, Urmia University of Medical Sciences, Emam Khomeini Hospital, Urmia, Iran.,Assistant professor of Hematology/Medical Oncology, Tehran University of Medical Sciences, Shariati Hospital,Tehran,Iran.,Corresponding Author Valizadeh N MD, Assistant professor of Hematology/Medical Oncology, Tehran University of Medical Sciences, Shariati Hospital, Tehran, Iran,
| | - M Noroozi
- Assistant professor of Pediatric Hematology/Medical Oncology, Department of Pediatric hematology, Motahari Hospital, Urmia University of Medical Sciences, Urmia, Iran.
| | - S Hejazi
- Assistant professor of Pediatric Hematology/Medical Oncology, Department of pediatric hematology, Motahari Hospital, Urmia University of Medical Sciences, Urmia , Iran.
| | - Sh Nateghi
- General physician, Urmia University of Medical Sciences, Urmia, Iran.
| | - A Hashemi
- Assistant professor of Gastroenterology, Urmia University of Medical Sciences, Urmia, Iran.
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Valizadeh N, Alinejad V, Hejazi S, Noroozi M, Hashemi A, Rahimi B, Nateghi S. Cardiac and Hepatic T2*-Weighted Magnetic Resonance Imaging in Transfusion Dependent Hemoglobinopathy in North West of Iran. Iran J Ped Hematol Oncol 2015; 5:206-10. [PMID: 26985353 PMCID: PMC4779155] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/04/2014] [Accepted: 02/18/2015] [Indexed: 11/09/2022]
Abstract
BACKGROUND Iron overload is the main transfusion related side effects in patients with transfusion dependent hemoglobinopathies. Severe iron deposition in tissues leads to organ dysfunction. Many organs can be affected such as heart, liver, and endocrine organs. Cardiac failure and liver fibrosis are the consequent of Iron overload in transfusion dependent hemoglobinopathy. Magnetic Resonance Imaging (MRI) is a safe, noninvasive, and accurate method for the assessment of iron deposition in different tissues. This study assessed iron levels in liver and heart of the patients with transfusion dependent hemoglobinopathies. MATERIALS AND METHODS The studied population consisted of 12 patients (7 male and 5 female) with transfusion dependent hemoglobinopathies, aged between 10-18 years old. Then, Cardiac and liver T2*- weighted magnetic resonance imaging (MRI) were obtained. RESULTS In current study, 1patient (8.33%) had severe, 2 patients (16.66%) had moderate and 2(16.66%) had mild cardiac iron deposition. Out of 12 patients, 1 had severe iron deposition in liver (8.33%), 5(41.66%) and 4(33.33%) had moderate and mild hepatic iron deposition, respectively. Differences between Hepatic and cardiac iron levels were not significant between males and females (p>0.05). CONCLUSION Since cardiac and liver iron levels were higher than normal in most of the study group, checking ferritin level and liver function test and also echocardiography in shorter intervals (each 3 months) in involved group is suggested instead of checking routinely in 6 month intervals in patients with transfusion dependent hemoglobinopathies.
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Affiliation(s)
- N Valizadeh
- Assistant professor of Hematology/Medical Oncology, Urmia University of Medical Sciences, Urmia, Iran,Corresponding Author: Valizadeh N MD, Assistant professor of Hematology/Medical Oncology, TehranUniversity of Medical Sciences, Tehran, Iran. E-mail: .
| | - V Alinejad
- MSc of of Biostatistics, Patient Safety Research Center, Urmia University of Medical Sciences, Urmia, Iran
| | - S Hejazi
- Assistant professor of Pediatric Hematology/Oncology, Urmia University of Medical Sciences, Urmia, Iran
| | - M Noroozi
- Assistant professor of Pediatric Hematology/Oncology, Urmia University of Medical Sciences, Urmia, Iran
| | - A Hashemi
- Assistant professor of Gastroenterology, Urmia University of Medical Sciences, Urmia, Iran
| | - B Rahimi
- Assistant professor of Cardiology, Urmia University of Medical Sciences, Urmia, Iran
| | - Sh Nateghi
- General physician, Urmia University of Medical Sciences, Urmia, Iran
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Valizadeh N, Farrokhi F, Alinejad V, Said Mardani SM, Valizadeh N, Hejazi S, Noroozi M. Bone density in transfusion dependent thalassemia patients in Urmia, Iran. Iran J Ped Hematol Oncol 2014; 4:68-71. [PMID: 25002928 PMCID: PMC4083203] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/25/2013] [Accepted: 01/30/2014] [Indexed: 12/02/2022]
Abstract
BACKGROUND Patients with thalassemia major and intermedia are susceptible to osteopenia and osteoporosis. The mechanism of osteoporosis in these patients is multifactorial. Transfusion related iron overload in endocrine organs leads to impaired growth hormone secretion, diabetes mellitus, hypothyroidism, hypoparathyroidism, lack of sex steroids and vitamin D deficiency that contribute to impairment in achieving an adequate bone mass .The aim of this study was assessment of frequency of bone loss in patients with thalassemia major and intermedia in Urmia City of West Azerbaijan, Iran. MATERIALS AND METHODS In this cross sectional descriptive study,10 patients (lower than 18 y/o)with transfusion dependent thalassemia attending to Motahari and Emam Khomeini hospitals in Urmia city of Iran were enrolled and scanned for Bone Mineral Density (BMD) starting at around 10 years old. RESULTS Tenatients (6 male and 4 female) with transfusion dependent thalassemia (β-thalassemia major and intermedia) aged 13to 17 years in Urmia city of Iran were enrolled. Mean age of patients was 15.1±.37year old. Among them, 8 patients (80%)had low BMD and2 of them (20%) had normal BMD in lumbar spine. Only 30% of patients had low BMD in the neck of femur. CONCLUSION We should perform annual BMD in patients with thalassemia major and intermedia and hemoglobin H disease in age of higher than 8 year old and treat low BMD with administration of bisphosphonate, calcium and vitamin D supplements. Medical consultation with a rheumatologist and /or an endocrinologist should be performed in these patients. Changing lifestyle with mild daily exercise, adequate calcium containing foods, avoiding heavy activities, stop smoking, iron chelation therapy in adequate dosage, early diagnosis and treatment of endocrine insufficiency and regular blood transfusions can help to achieve an optimal bone density in these patients.
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Affiliation(s)
- N Valizadeh
- Assistant professor of Hematology/Medical Oncology, Urmia University of Medical Sciences, Urmia, Iran ,Corresponding author: Valizadeh N MD, Assistant professor of Hematology/Medical Oncology, Urmia University of Medical Sciences, Urmia, Iran ,
| | - F Farrokhi
- Medical Student, Urmia University of Medical Sciences, Urmia, Iran
| | - V Alinejad
- MSc. of Biostatistics, Patient Safety Research Center, Urmia University of Medical Sciences, Urmia, Iran
| | - SM Said Mardani
- Assistant professor of Rheumatology, Urmia University of Medical Sciences, Urmia, Iran
| | - N Valizadeh
- Assistant professor of Endocrinology and Metabolism, Urmia University of Medical Sciences, Urmia, Iran
| | - S Hejazi
- Assistant professor of Pediatric Hematology/Medical Oncology, Department of pediatric hematology, Motahari hospital, Urmia university of medical sciences, Urmia , Iran
| | - M Noroozi
- Assistant professor of Pediatric Hematology/Medical Oncology, Department of pediatric hematology, Motahari hospital, Urmia University of medical sciences, Urmia, Iran.
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Dahinten VS, Macphee M, Hejazi S, Laschinger H, Kazanjian M, McCutcheon A, Skelton-Green J, O'Brien-Pallas L. Testing the effects of an empowerment-based leadership development programme: part 2 - staff outcomes. J Nurs Manag 2013; 22:16-28. [DOI: 10.1111/jonm.12059] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/17/2012] [Indexed: 11/30/2022]
Affiliation(s)
| | - M. Macphee
- University of British Columbia; Vancouver Canada
| | - S. Hejazi
- Fraser Health Authority; Surrey Canada
| | | | - M. Kazanjian
- School of Population and Public Health; University of British Columbia; Vancouver Canada
| | | | - J. Skelton-Green
- Dorothy Wylie Nursing and Health Care Leaders Institute; Toronto Canada
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MacPhee M, Dahinten VS, Hejazi S, Laschinger H, Kazanjian A, McCutcheon A, Skelton-Green J, O'Brien-Pallas L. Testing the effects of an empowerment-based leadership development programme: part 1 - leader outcomes. J Nurs Manag 2013; 22:4-15. [PMID: 23651421 DOI: 10.1111/jonm.12053] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/17/2012] [Indexed: 11/28/2022]
Abstract
AIM To determine if a leadership development programme based on an empowerment framework significantly increased leaders' use of empowering behaviours. BACKGROUND Leadership programmes are effective ways to prepare nurse leaders for their complex roles. Relational competencies, such as leader empowering behaviours, are associated with improved leader, staff and practice environment outcomes. METHODS A quasi-experimental, pre-test-post-test design was used to compare perceptions and self-reported behaviours of leaders who participated in a year-long leadership programme with those of similar leaders who did not attend the programme. Multiple regression analyses were used to evaluate a conceptual framework of leader empowerment. RESULTS The leadership programme was directly associated with leaders' perceptions of using more empowering behaviours. Leader empowering behaviours were also associated with feelings of being structurally empowered, mediated through feelings of being psychologically empowered, although the source of empowerment needs further investigation. CONCLUSIONS Leaders' use of empowering behaviours can be increased through focused training and through a workplace empowerment process. IMPLICATIONS FOR NURSE MANAGEMENT Leader empowering behaviours have been shown to be associated with more engaged staff and healthier work environments. Based on study results, we suggest that these behaviours are teachable, and they should be emphasized in leadership development programmes.
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Affiliation(s)
- M MacPhee
- School of Nursing, University of British Columbia, Vancouver, Canada
| | - V S Dahinten
- School of Nursing, University of British Columbia, Vancouver, Canada
| | - S Hejazi
- Fraser Health Authority, Surrey, Canada
| | | | - A Kazanjian
- School of Population and Public Health, University of British Columbia, Vancouver, Canada
| | - A McCutcheon
- Nursing, Rouge Valley Health System, Toronto, Canada
| | - J Skelton-Green
- Nursing, Dorothy Nursing Wylie Nursing and Health Care Leaders Institute, Toronto, Canada
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Gholami A, Salarilak S, Hejazi S, Khalkhali HR. Birth weight and risk of childhood acute leukaemia. East Mediterr Health J 2013; 19:156-161. [PMID: 23516826] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
Studies of risk factors for acute leukaemia are inconclusive. This case-control study was done in West Azerbaijan province, Islamic Republic of Iran, to determine the relationship between birth weight and acute leukaemia in children aged under 15 years. For every patient 2 age- and sex-matched controls were selected from hospital and community populations. Of 130 cases diagnosed over the period 2003-2009,108 (83.1%) had lymphoblastic and 22 (16.9%) myloblastic type. Significantly more of them were male than female (55.4% versus 44.6%). In a multivariate logistic regression model variables significantly associated with acute leukaemia were: birth weight (OR = 2.25), birth order (OR = 2.25), birth place (OR = 7.93), history of chickenpox (OR = 0.46) and mothers' education (OR = 3.23). The risk of acute leukaemia increased significantly with increasing birth weight in the total group and among girls, but not among boys.
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Affiliation(s)
- A Gholami
- School of Nursing, Neyshabur Faculty of Medical Sciences, Neyshabur, Islamic Republic Iran
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Yousefi M, Barikbin B, Kamalinejad M, Abolhasani E, Ebadi A, Younespour S, Manouchehrian M, Hejazi S. Comparison of therapeutic effect of topical Nigella with Betamethasone and Eucerin in hand eczema. J Eur Acad Dermatol Venereol 2012. [PMID: 23198836 DOI: 10.1111/jdv.12033] [Citation(s) in RCA: 33] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
BACKGROUND Nigella sativa has been used in traditional medicine. Although it was investigated in different studies, its effect on hand eczema has not been studied yet. OBJECTIVE To compare the effects of Nigella, Betamethasone and Eucerin on severity of hand eczema and patients' life quality. METHODS In this randomized, controlled, double-blinded clinical trial, we allocated new cases of hand eczema with 18-60 years of age in three therapeutic groups (Nigella, Betamethasone and Eucerin) by using permuted blocks for randomization. Patients applied medications twice a day and followed in a 4-week period. The primary outcome of the study was changes in severity and life quality, which were assessed at the beginning, 14th and 28th days of the study by Hand Eczema Severity index (HECSI) and Dermatology Life Quality Index (DLQI) respectively. RESULTS Sixty patients recruited in the study with 20 patients allocated in each study arm. Eighteen, 19 and 15 patients in Eucerin, Nigella and Betamethasone groups, respectively, attended at least one of the therapy sessions. Nigella and Betamethasone showed significantly more rapid improvement in hand eczema compared with Eucerin (P = 0.003 and P = 0.012 respectively); Nigella and Betamethasone ointments caused significant decreases in DLQI scores compared with Eucerin (P < 0.0001 and P = 0.007 respectively). No significant difference was detected in mean DLQI and HECSI of the Nigella and Betamethasone groups over time (P = 0.38 and P = 0.99 respectively). CONCLUSION It seems that Nigella might have the same efficacy as Betamethasone in improvement of life quality and decreasing severity of hand eczema.
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Affiliation(s)
- M Yousefi
- Skin Research Center, Shahid Beheshti University of Medical Sciences, TehranDepartment of Pharmacognosy, School of Pharmacy, Shahid Beheshti University of Medical Sciences, TehranDepartment of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, TehranSchool of Traditional Medicine, Tehran University of Medical Sciences, Tehran, Iran
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Nikibakhsh AA, Mahmoodzadeh H, Karamyyar M, Hejazi S, Noroozi M, Macooie AA. Treatment of steroid and cyclosporine-resistant idiopathic nephrotic syndrome in children. Int J Nephrol 2011; 2011:930965. [PMID: 21949905 PMCID: PMC3178149 DOI: 10.4061/2011/930965] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2011] [Revised: 07/17/2011] [Accepted: 07/18/2011] [Indexed: 11/29/2022] Open
Abstract
Steroid-resistant nephrotic syndrome (SRNS) in children carries a significant risk of progression to end-stage renal failure (ESRF). We report a two-step protocol adapted in children with SRNS. Thirty-seven SRNS were treated with cyclosporine A (CyA) in association with prednisolone (alternate day) for 6 months (first-step treatment). Twelve patients (32.4%) went into complete remission, and 2 (5.4%) got partial remission.
The other 23 cases who were steroid and CyA resistant entered a second-step treatment with withdrawing steroids, with CyA (5 mg/kg/day) in association with mycophenolate mofetil (MMF) 30 mg/kg/day for 6 months. Complete remission was observed in 11 cases (47.82%) and partial remission in 2 cases (8.7%).
After two steps of treatment, 27/37 children went into total remission. In steroid and CyA-resistant INS, the association of MMF with CyA was able to induce remission in about half cases without relevant side effects.
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Affiliation(s)
- A A Nikibakhsh
- Urology-Nephrology and Transplantation Research Centre, Department of Paediatric Nephrology, Urmia University School of Medicine, Iran
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Hejazi S, Alehashem T, Alavi H. The effect of anger management on adjustment and self-efficacy. Eur Psychiatry 2011. [DOI: 10.1016/s0924-9338(11)72004-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
Abstract
IntroductionToday anger and its manifestation has become a great health problem among adolescents.AimThe aim of this study is to determine the effectiveness of teaching anger management on adjustment and self-efficacy of adolescents.MethodsThis is an experimental study which was conducted on 50 students that were chosen through random sampling method. Data were collected through adjustment and self-efficacy questionnaire. Content validity and Test-retest methods were used for validity and reliability of the questionnaire. Initially, the two adjustments and self-efficacy questionnaires were given to the students, then, anger management was taught in for 8 sessions each lasting 1.5 hours. Two weeks after the last session of teaching, the two questionnaires were filled again and the results were compared. Data analysis using descriptive and inferential statistics.ResultsThe analysis of data with Wilkinson's test revealed that teaching anger management has been effective on adjustment with p < 0/001 and on self-efficacy of adolescent also with p < 0/001.ConclusionAdolescents’ anger is a major concern for the society. With regard to the conclusions drawn in this study and the effects that appropriate control of anger has on adolescents’ adjustment and self-efficacy, it is advisable that educational programs for suitable control of feelings including anger be given top priority in the state educational system.
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Hejazi S, Safavi E, Aliinasab. P938 Toxicity effect of Vincristine - Treatment on mice testis tissue. Int J Gynaecol Obstet 2009. [DOI: 10.1016/s0020-7292(09)62425-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Hejazi S. P376 Vincristine teratologic effect in newborn mice. Int J Gynaecol Obstet 2009. [DOI: 10.1016/s0020-7292(09)61867-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Hejazi S, Safavi S, Alinasab A. Toxicity effect of vincristine – treatment on mice testis tissue. Journal of Men's Health 2009. [DOI: 10.1016/j.jomh.2009.08.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Hejazi S, Fluharty FL, Perley JE, Loerch SC, Lowe GD. Effects of corn processing and dietary fiber source on feedlot performance, visceral organ weight, diet digestibility, and nitrogen metabolism in lambs. J Anim Sci 1999; 77:507-15. [PMID: 10229345 DOI: 10.2527/1999.773507x] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
In Exp. 1, early-weaned Targhee and Polypay crossbred lambs (60 ewes and 66 rams; initial BW 24 +/- 1.0 kg) were used in a 2 x 3 factorial experiment to determine the effects of corn processing (whole shelled corn [WSC] or ground and pelleted corn [GC]) in combination with supplemental fiber (none [control]; soybean hulls, SBH [highly digestible]; or peanut hulls, PH [highly indigestible]) on DMI, ADG, feed efficiency, and visceral organ weight. For the total trial, WSC resulted in a 4% increase (P < .01) in ADG vs GC, and supplemental fiber resulted in increased (P < .01) DMI and ADG vs the control diet. Experiment 2 was conducted using 12 Targhee and Polypay crossbred wether lambs (initial BW 25 +/- 7 kg) to determine the effects of corn processing and fiber source in high-concentrate diets on diet digestibility and N retention using the same diets as in Exp. 1. Lambs fed WSC had greater (P < .001) apparent N digestion, true N digestion, and N retention (P < .01) than those fed GC. The apparent digestibilities of DM, OM, and NDF were greater (P < .001) for WSC than for GC diets. Peanut hulls resulted in decreased (P < .01) DM, OM, and NDF apparent digestibilities compared with the control and SBH diets. Starch digestion was not affected (P > .10) by diet. Whole corn resulted in improved DM, OM, NDF, and N digestibility compared with GC. Overall, both the SBH and PH diets resulted in greater DMI and ADG than the control diet, which lacked supplemental fiber.
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Affiliation(s)
- S Hejazi
- Food Animal Health Research Program, Ohio Agricultural Research and Development Center and The Ohio State University, Wooster 44691, USA
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Abstract
System modeling is used to investigate the effect of various system parameters on the image quality in CCD-based x-ray imaging systems. The systems considered consist of a typical phosphor-based scintillating screen coupled to a CCD through lens or fiberoptic taper. Two applications, chest radiography and mammography, are analyzed. For each application typical system characteristics and operating conditions are used to determine the detective quantum efficiency (DQE) as a function of spatial frequency, optical collection efficiency, optical demagnification factor, and electronic noise. The DQE is modeled by extending the analysis for storage phosphor systems. The calculations are done for typical exposure conditions (0.25 mR for chest and 10.0 mR for mammography); however, the exposure effects are also discussed. It was found that a reasonable DQE can be obtained for both applications through each coupling approach; however, the demagnification requirements and electronic noise limitations are more stringent for the digital mammography application.
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Affiliation(s)
- S Hejazi
- Eastman Kodak Company, Rochester, New York 14650, USA
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