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Asghari S, Mollazadeh S, Shoorab NJ, Shahbazzadegan S, Khadivzadeh T. Explaining the experience of breastfeeding in women with gestational diabetes and designing and implementing an educational program based on planned behavior theory: a combined exploratory study protocol. Reprod Health 2024; 21:19. [PMID: 38317234 PMCID: PMC10840234 DOI: 10.1186/s12978-024-01751-y] [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: 01/19/2024] [Accepted: 01/30/2024] [Indexed: 02/07/2024] Open
Abstract
BACKGROUND Gestational diabetes is a type of carbohydrate intolerance that is diagnosed for the first time during pregnancy. Researches have shown that gestational diabetes is associated with many negative prenatal and birth outcomes. Because of the complications such as infant death, several diabetics' mothers plan to stop breastfeeding. Research findings indicate a decrease in breastfeeding in mothers with gestational diabetes/ or contradictory tissues regarding the factors affecting the breastfeeding behavior of mothers with gestational diabetes and a special program to promote breastfeeding for these mothers based on the social and cultural conditions of Iranian society. The present study aims to design an interventional program with a mixed qualitative study based on the theory of planned behavior (PBT) to prevent the decrease of breastfeeding in diabetic mothers. METHODS/DESIGN A mixed methods exploratory design will be used to conduct this study in 3 phases. The first phase (qualitative): The purpose of the first phase is to understand the experience of breastfeeding mothers who had gestational diabetes, which will be done using the directed content analysis method. The purposive sampling will be used on pregnant mothers with gestational diabetes 30-34 weeks and mothers with infants (up to 6 months) with a history of gestational diabetes. The second phase include designing and implementing an educational program based on the PBT: Education will be conducted based on the needs assessment of the qualitative phase, the opinions of the focus group, and the literature review, then the breastfeeding behavior will be measured using the survey tool of "breastfeeding drop". The third phase: Interventional quantitative phase: The sample size will be carried out by a pilot study, then a designed program as an educational intervention for teaching breastfeeding behavior based on the PBT for 30-34 weeks pregnant mothers with gestational diabetes will be implemented during 3-4 sessions and breastfeeding behavior will be evaluated after delivery. DISCUSSION This is the first mixed-method study in Iran that led to implement an interventional program based on the theory of planned behavior. Because of the complications such as infant death, several diabetics' mothers plan to stop breastfeeding. We hope that the result of this research will be a step in solving breastfeeding problems in mothers with gestational diabetes.
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Affiliation(s)
- Soltan Asghari
- Department of Midwifery, Research Student Committee, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Sanaz Mollazadeh
- Department of Midwifery, Research Student Committee, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Nahid Jahani Shoorab
- Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Smira Shahbazzadegan
- Department of Midwifery, School of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran
| | - Talat Khadivzadeh
- Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
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Asghari S, Boyd S, Knight J, Blackmore J, Hurley O, Allison J, Gilbert L, Dowden J, Lundrigan P. Developing a comprehensive database with sensitive health information: A profile of people living with HIV in Newfoundland and Labrador, Canada. Int J Popul Data Sci 2020; 5:1144. [PMID: 32935052 PMCID: PMC7473269 DOI: 10.23889/ijpds.v5i1.1144] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Introduction Developing a comprehensive cohort of people living with HIV (PLHIV) to help improve healthcare has long been the vision of researchers, clinicians and decision makers. The development of this kind of database is challenging and requires strict adherence to privacy and confidentiality policies. We explored procedures, activities and events in database development. Objectives To understand processes of developing a database with sensitive health information in Newfoundland and Labrador (NL), and to investigate procedures and activities to develop the database within its environmental context. Methods A narrative case study was used to explain the challenges and procedures involved in developing a database for our population. The development of the PLHIV cohort in NL is provided as an example to demonstrate the complexity of the process. We linked three datasets that included patient-level data for PLHIV: 1. laboratory data; 2. HIV clinic data; 3. health administrative data, which allowed for the creation of a large database containing many variables describing the PLHIV cohort in the province. Results We developed a de-identified cohort of 251 PLHIV that contained 178 variables. Our case study showed database development is an iterative process. The main challenges were ensuring patient privacy and data confidentiality are not compromised and working with multi-custodian data. These challenges were addressed by establishing a data governance team. Conclusions It is important that policy be implemented to merge siloed data sources in order to provide researchers with accurate and complete data that is required to conduct sound and precise research with maximum benefits for treatment and policy-making to improve health outcomes.
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Affiliation(s)
- S Asghari
- Memorial University of Newfoundland Centre for Rural Health Studies, Discipline of Family Medicine, Faculty of Medicine St. John's, Newfoundland and Labrador, Canada A1B 3V6
| | - S Boyd
- Memorial University of Newfoundland Centre for Rural Health Studies, Discipline of Family Medicine, Faculty of Medicine St. John's, Newfoundland and Labrador, Canada A1B 3V6
| | - J Knight
- Memorial University of Newfoundland Primary Healthcare Research Unit, Discipline of Family Medicine, Faculty of Medicine St. John's, Newfoundland and Labrador, Canada A1B 3V6
| | - J Blackmore
- Memorial University of Newfoundland Centre for Rural Health Studies, Discipline of Family Medicine, Faculty of Medicine St. John's, Newfoundland and Labrador, Canada A1B 3V6
| | - O Hurley
- Memorial University of Newfoundland Centre for Rural Health Studies, Discipline of Family Medicine, Faculty of Medicine St. John's, Newfoundland and Labrador, Canada A1B 3V6
| | - J Allison
- Memorial University of Newfoundland Division of Community Health and Humanities St. John's, Newfoundland and Labrador, Canada
| | - L Gilbert
- Eastern Health Newfoundland and Labrador Public Health Microbiology Laboratory St. John's, Newfoundland and Labrador, Canada A1A 3Z9
| | - J Dowden
- Eastern Health Provincial Cancer Care Program St. John's, Newfoundland and Labrador, Canada A1B 3V6
| | - P Lundrigan
- University of Ottawa Bruyere Research Institute Ottawa, Ontario, Canada K1R 6M1
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Farzin L, Asghari S, Rafraf M, Asghari-Jafarabadi M, Shirmohammadi M. No beneficial effects of resveratrol supplementation on atherogenic risk factors in patients with nonalcoholic fatty liver disease. INT J VITAM NUTR RES 2019; 90:279-289. [PMID: 30789808 DOI: 10.1024/0300-9831/a000528] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
Introduction: Cardiovascular disease (CVD) accounts as a major cause of mortality among patients with nonalcoholic fatty liver disease (NAFLD). Resveratrol, a natural polyphenol compound, is known for its antioxidant and antiatherogenic properties and is purported to be beneficial in decreasing CVD risk factors in NAFLD patients. Objectives: This study aimed to investigate the effects of resveratrol on atherogenic risk factors in patients with NAFLD. Methods: This randomized, double-blind, placebo-controlled clinical trial was performed on 50 patients with NAFLD aged 20-60 years. Subjects were randomly assigned to receive a daily dose of 600 mg resveratrol (n = 25) or placebo (n = 25) for 12 wk. Serum liver enzymes, lipid profile and atherogenic indices, blood pressure and anthropometric values were assessed pre and post-treatment. Results: Resveratrol supplementation reduced body weight (from 88.75 ± 11.41 to 87.54 ± 11.18 kg, P = 0.005) and BMI (from 31.00 ± 3.16 to 30.60 ± 3.26 kg/m², P = 0.01) significantly compared to the placebo group. A significant reduction in waist circumference was observed within resveratrol group (from 102.70 ± 7.68 to 101.39 ± 7.62 cm, P = 0.02). There were no significant changes in lipid profile (ox-LDL, ApoA1 and ApoB), serum atherogenic indices (LDL-C/HDL-C, ApoB/ApoA1, ox-LDL/ApoB, LDL-C/ox-LDL and AIP), liver enzymes (AST, ALT, ALP and GGT), hip circumference, waist-to-hip ratio and blood pressure in either group (P > 0.05 for all). Conclusion: These findings indicated that resveratrol supplementation in dose and duration used in this study did not affect most of the CVD risk factors in NAFLD patients. Further studies are warranted to explain more effects of resveratrol on CVD complications of NAFLD. Registration ID in IRCT: IRCT201511233664N16.
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Affiliation(s)
- L Farzin
- Students' Research Committee, Faculty of Nutrition and Food Science, Tabriz University of Medical Sciences, Tabriz, Iran
| | - S Asghari
- Students' Research Committee, Faculty of Nutrition and Food Science, Tabriz University of Medical Sciences, Tabriz, Iran
| | - M Rafraf
- Nutrition Research Center, Department of Community Nutrition, Faculty of Nutrition and Food Science, Tabriz University of Medical Sciences, Tabriz, Iran
| | - M Asghari-Jafarabadi
- Road Traffic Injury Research Center, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran.,Department of Statistics and Epidemiology, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran
| | - M Shirmohammadi
- Liver and Gastrointestinal Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
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Mahdavi M, Asghari S, Rahnamay M, Dehghan G, Feizi MAH, Balalaie S. Cytotoxicity, oxidative stress, and apoptosis in K562 leukemia cells induced by an active compound from pyrano-pyridine derivatives. Hum Exp Toxicol 2018; 37:1105-1116. [DOI: 10.1177/0960327118756719] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
Recent studies have reported the potential of pyrano-pyridine compounds in inhibiting cell growth and apoptosis induction in cancer cells. Here, we investigated the effect of new pyrano-pyridine derivatives on proliferation, oxidative damages, and apoptosis in K562 leukemia cells. Among different tested compounds, we found 8-(4-chlorobenzylidene)-2-amino-4-(4-chlorophenyl)-5, 6, 7, 8-tetrahydro-6-phenethyl-4H-pyrano-[3,2-c]pyridine-3-carbonitrile (4-CP.P) as the most effective compound with IC50 value of 20 μM. Gel electrophoresis, fluorescence microscopy, and flow cytometry analyses indicated the apoptosis induction ability of 4-CP.P in K562 cells. Further analyses revealed that 4-CP.P induces significant increase in cellular reactive oxygen species production, lipid peroxidation, protein oxidation, and total thiol depletion. Interestingly, while 4-CP.P significantly increased the activity of superoxide dismutase, it reduced the catalase activity in a time-dependent manner. These data propose that 4-CP.P treatment causes free radicals accumulation that ultimately leads to oxidative stress condition and apoptosis induction. Therefore, we report the 4-CP.P as a novel, potent compound as a chemotherapeutic agent in cancer treatment.
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Affiliation(s)
- M Mahdavi
- Department of Biology, Faculty of Natural Science, University of Tabriz, Tabriz, Iran
| | - S Asghari
- Department of Biology, Faculty of Natural Science, University of Tabriz, Tabriz, Iran
| | - M Rahnamay
- Department of Biology, Faculty of Natural Science, University of Tabriz, Tabriz, Iran
| | - G Dehghan
- Department of Biology, Faculty of Natural Science, University of Tabriz, Tabriz, Iran
| | - MAH Feizi
- Department of Biology, Faculty of Natural Science, University of Tabriz, Tabriz, Iran
| | - S Balalaie
- Department of Chemistry, Faculty of Science, K. N. Toosi University of Tech, Tehran, Iran
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Asghari S, Gildeh BS, Ahmadi J, Borzadaran GM. Lifetime performance index based on ranked set sampling. COMMUN STAT-SIMUL C 2017. [DOI: 10.1080/03610918.2016.1241403] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- S. Asghari
- Department of Statistics, Ferdowsi University of Mashhad, Iran
| | | | - J. Ahmadi
- Department of Statistics, Ferdowsi University of Mashhad, Iran
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Fard AM, Asghari S, Pourafkari L, Nader ND. Persistent pupillary membrane. QJM 2016; 109:139-40. [PMID: 26424787 DOI: 10.1093/qjmed/hcv183] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
| | - S Asghari
- Tabriz University of Medical Sciences, Tabriz, Iran
| | - L Pourafkari
- Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
| | - N D Nader
- University at Buffalo, Buffalo, New York, USA.
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Vanasse A, Courteau J, Asghari S, Leroux D, Cloutier L. Health inequalities associated with neighbourhood deprivation in the Quebec population with hypertension in primary prevention of cardiovascular disease. ACTA ACUST UNITED AC 2014. [DOI: 10.24095/hpcdp.34.4.01] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Introduction
Although a number of studies look at prevalence, incidence, treatment, mortality and morbidity in relation to hypertension, few have taken into account the effect of residential neighbourhood on these health indicators in the population diagnosed with hypertension.
Objectives
The objective of this study was to measure and compare prevalence, mortality, morbidity, use of medical resources and treatments in relation to the level of material and social deprivation of the area of residence, in a population with a diagnosis of hypertension in primary prevention for cardiovascular disease (CVD) in Quebec in 2006-2007.
Methods
This study is based on a secondary analysis of the medical administrative data of the Quebec health insurance board, the Régie de l'assurance maladie du Québec, for a cohort of 276 793 patients aged 30 years or older who had been diagnosed with hypertension in 2006 or 2007, but who did not have a known diagnosis of CVD. The health indicators adjusted for age and sex are prevalence, death, a cardiovascular event, physician visits, emergency department visits and use of antihypertensives. Twenty-five types of areas of residence were obtained by crossing the material and social deprivation quintiles.
Results
Compared with patients living in materially and socially advantaged areas, those living in deprived areas were at 46% higher risk of a cardiovascular event, 47% higher risk of being frequent emergency department visitors and 31% higher risk of being frequent users of a general practitioner's services, but 25% lower risk of being frequent users of medical specialists' services. Little or no variation was observed in the use of antihypertensives.
Conclusion
This study reveals the existence, in a CVD primary prevention context, of large variations in a number of health indicators among hypertensive patients owing to the material and social deprivation of residential neighbourhood. It is therefore important to take the socioeconomic context into account when planning interventions to prevent CVDs and their consequences.
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Affiliation(s)
- A Vanasse
- Department of Family and Emergency Medicine, Université de Sherbrooke, Sherbrooke, Quebec, Canada
- Groupe de recherche PRIMUS, Centre de recherche CHUS, Sherbrooke, Quebec, Canada
| | - J Courteau
- Groupe de recherche PRIMUS, Centre de recherche CHUS, Sherbrooke, Quebec, Canada
| | - S Asghari
- Primary Healthcare Research Unit, Faculty of Medicine, Health Sciences Centre, St. John's, Newfoundland and Labrador, Canada
| | - D Leroux
- Department of Geography, Université du Québec à Trois-Rivières (UQTR), Trois-Rivières, Quebec, Canada
| | - L Cloutier
- Department of Nursing, Université du Québec à Trois-Rivières (UQTR), Trois-Rivières, Quebec, Canada
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Vanasse A, Courteau J, Asghari S, Leroux D, Cloutier L. Health inequalities associated with neighbourhood deprivation in the Quebec population with hypertension in primary prevention of cardiovascular disease. Chronic Dis Inj Can 2014; 34:181-194. [PMID: 25408177] [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] [Grants] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
INTRODUCTION Although a number of studies look at prevalence, incidence, treatment, mortality and morbidity in relation to hypertension, few have taken into account the effect of residential neighbourhood on these health indicators in the population diagnosed with hypertension. OBJECTIVES The objective of this study was to measure and compare prevalence, mortality, morbidity, use of medical resources and treatments in relation to the level of material and social deprivation of the area of residence, in a population with a diagnosis of hypertension in primary prevention for cardiovascular disease (CVD) in Quebec in 2006-2007. METHODS This study is based on a secondary analysis of the medical administrative data of the Quebec health insurance board, the Régie de l'assurance maladie du Québec, for a cohort of 276 793 patients aged 30 years or older who had been diagnosed with hypertension in 2006 or 2007, but who did not have a known diagnosis of CVD. The health indicators adjusted for age and sex are prevalence, death, a cardiovascular event, physician visits, emergency department visits and use of antihypertensives. Twenty-five types of areas of residence were obtained by crossing the material and social deprivation quintiles. RESULTS Compared with patients living in materially and socially advantaged areas, those living in deprived areas were at 46% higher risk of a cardiovascular event, 47% higher risk of being frequent emergency department visitors and 31% higher risk of being frequent users of a general practitioner's services, but 25% lower risk of being frequent users of medical specialists' services. Little or no variation was observed in the use of antihypertensives. CONCLUSION This study reveals the existence, in a CVD primary prevention context, of large variations in a number of health indicators among hypertensive patients owing to the material and social deprivation of residential neighbourhood. It is therefore important to take the socioeconomic context into account when planning interventions to prevent CVDs and their consequences.
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Affiliation(s)
- A Vanasse
- Department of Family and Emergency Medicine, Université de Sherbrooke, Sherbrooke, Quebec, Canada; Groupe de recherche PRIMUS, Centre de recherche CHUS, Sherbrooke, Quebec, Canada
| | - J Courteau
- Groupe de recherche PRIMUS, Centre de recherche CHUS, Sherbrooke, Quebec, Canada
| | - S Asghari
- Primary Healthcare Research Unit, Faculty of Medicine, Health Sciences Centre, St. John's, Newfoundland and Labrador, Canada
| | - D Leroux
- Department of Geography, Université du Québec à Trois-Rivières (UQTR), Trois-Rivières, Quebec, Canada
| | - L Cloutier
- Department of Nursing, Université du Québec à Trois-Rivières (UQTR), Trois-Rivières, Quebec, Canada
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Chaichi MJ, Ehsani M, Asghari S, Behboodi V. Determination of vitamin B6using an optimized novel TCPO-indolizine-H2O2chemiluminescence system. LUMINESCENCE 2014; 29:1169-76. [DOI: 10.1002/bio.2678] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2013] [Revised: 03/17/2014] [Accepted: 03/19/2014] [Indexed: 12/14/2022]
Affiliation(s)
- M. J. Chaichi
- Department of Chemistry; University of Mazandaran; Babolsar Iran
| | - M. Ehsani
- Department of Chemistry; University of Mazandaran; Babolsar Iran
| | - S. Asghari
- Department of Chemistry; University of Mazandaran; Babolsar Iran
| | - V. Behboodi
- Department of Chemistry; University of Mazandaran; Babolsar Iran
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Javadrashid R, Naderpour M, Asghari S, Fouladi DF, Ghojazadeh M. Concha bullosa, nasal septal deviation and paranasal sinusitis; a computed tomographic evaluation. B-ENT 2014; 10:291-298. [PMID: 25654953] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023] Open
Abstract
PROBLEMS/OBJECTIVES Although concha bullosa, nasal septal deviation (NSD) and paranasal sinusitis are apparently three independent entities, some studies suggest that they are interconnected. Computed tomography (CT) is a useful and accurate imaging modality for examining this interconnection. The objective of this study is to use CT imaging to investigate the possible association between concha bullosa, NSD and paranasal sinusitis. METHODOLOGY We reviewed 206 nasal and paranasal CT images of individuals with sinonasal symptoms/cosmetic issues and investigated the association between the presence of concha bullosa and NSD with paranasal sinusitis. RESULTS There was no significant relation between the presence of concha bullosa and paranasal sinusitis. The mean NSD was significantly higher in the cases with frontal, maxillary, ethmoid and sphenoid sinusitis than in unaffected subjects. Similar findings were found in the patients with any involved paranasal sinus and the controls (6.49 +/- 3.060 vs. 3.31 +/- 1.99 degrees; p<0.001). An NSD > or =3.5% differentiated between the presence and absence of paranasal sinusitis, with a sensitivity and specificity of 77.8% and 76.5%, respectively. A significant positive correlation was found between NSD and the number of involved sinuses (Pearson's r=0.58, p<0.001). The laterality of sinusitis was not associated with NSD or concha bullosa. CONCLUSIONS Nasal septal deviation, but possibly not concha bullosa, is associated with paranasal sinusitis and its extent. An NSD > or = 3.5 degrees is a useful predictor of paranasal sinusitis.
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Vanasse A, Orzanco MG, Dagenais P, Ouarda T, Courteau J, Asghari S, Chebana F, Martel B, Gosselin P. Secular trends of hip fractures in Québec, Canada. Osteoporos Int 2012; 23:1665-72. [PMID: 21877202 DOI: 10.1007/s00198-011-1749-0] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/11/2011] [Accepted: 08/05/2011] [Indexed: 11/28/2022]
Abstract
UNLABELLED This study examined the secular trends of hip fracture incidence among individuals 50 years and older in Québec between 1993 and 2004. Age-standardized rates decreased at both the provincial and regional levels. The largest relative decrease was observed among younger females, and rates declined more slowly in the elderly. INTRODUCTION The population of the province of Québec is among the oldest in North America. Before the trend rupture reported in the late 1990s in several countries, hip fracture (HF) incidence rates did not show a secular trend (between 1981 and 1992). This study examined the secular trends of HF incidence at the provincial level and in two of the most important urban areas of the province, Montréal and Québec City, between 1993 and 2004. METHODS All hospitalisations of individuals 50 years and older living in the province of Québec between 1993 and 2004 with a main diagnosis of HF were included. Standardized rates of HF incidence were calculated for females and males, 50-74 years and 75 years and older. RESULTS The Québec City area showed a strong decreasing trend in HF rates for younger females, but the other groups did not show an obvious trend. Although our models did not support the existence of significant differences in trends between both areas, the rates of HF of younger males and, to a lesser extent, of older women in the Montréal area were significantly higher than in the Québec City area. CONCLUSIONS Differences observed in hip fracture rates as well as in secular trends between age groups and gender emphasise the need for decision makers to rely on results based on age-specific and sex-specific analyses.
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Affiliation(s)
- A Vanasse
- Groupe de recherche Primus, Faculté de médecine et des sciences de la santé, Université de Sherbrooke, 3001, 12e avenue nord, Sherbrooke, QC, J1H 5N4, Canada.
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Zargoosh K, Chaichi MJ, Asghari S, Qandalee M, Shamsipur M. A study of chemiluminescence from reaction of bis(2,4,6-trichlorophenyl)oxalate, hydrogen peroxide and diethyl-2-(cyclohexylamino)-5-[(E)-2-phenyl-1-ethenyl]-3,4-furandicarboxylate as a novel fluorescer. JICS 2010. [DOI: 10.1007/bf03246023] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Feizzadeh A, Nedjat S, Asghari S, Keshtkar A, Heshmat R, Setayesh H, Majdzadeh R. Evidence-based approach to HIV/AIDS policy and research prioritization in the Islamic Republic of Iran. East Mediterr Health J 2010. [DOI: 10.26719/2010.16.3.259] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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Feizzadeh A, Nedjat S, Asghari S, Keshtkar A, Heshmat R, Setayesh H, Majdzadeh R. Evidence-based approach to HIV/AIDS policy and research prioritization in the Islamic Republic of Iran. East Mediterr Health J 2010; 16:259-265. [PMID: 20795438] [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: 05/29/2023]
Abstract
In formulating the second national strategic plan for prevention of HIV/AIDS in the Islamic Republic of Iran a more evidence-based approach was needed. This paper reports on a systematic review of the local evidence about the determinants of HIV/AIDS transmission in 3 categories: poor knowledge and negative attitudes about HIV transmission; injection drug use; and sexual promiscuity. Of 93 reports reviewed, 53 met the inclusion criteria. Information about the prevalence and magnitude of effect for the 3 risk determinants at the national and regional level was scarce. Heterogeneity between studies, even in the same sub-population, was significant. An improved research base and better sharing of information are needed within countries of the Eastern Mediterranean Region.
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Affiliation(s)
- A Feizzadeh
- Joint United Nations Programme HIV/AIDS, Tehran, Islamic Republic of Iran
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Asghari S, Zaty M, Safiri S. Chemoselective synthesis of dialkyl 2-(tert-butylamino)- 6-methyl-5-trifluoroacetyl-4H-pyran-3,4-dicarboxylates. Russ Chem Bull 2004. [DOI: 10.1007/s11172-005-0032-y] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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