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Zakeri M, Mirahmadizadeh A, Azarbakhsh H, Dehghani SS, Janfada M, Moradian MJ, Moftakhar L, Sharafi M, Heiran A. Excess Deaths During the COVID-19 Pandemic in Southern Iran: Estimating the Absolute Count and Relative Risk Using Ecological Data. J Prev Med Public Health 2024; 57:120-127. [PMID: 38374708 PMCID: PMC10999301 DOI: 10.3961/jpmph.23.198] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2023] [Revised: 12/20/2023] [Accepted: 01/05/2024] [Indexed: 02/21/2024] Open
Abstract
OBJECTIVES The coronavirus disease 2019 (COVID-19) pandemic led to increased mortality rates. To assess this impact, this ecological study aimed to estimate the excess death counts in southern Iran. METHODS The study obtained weekly death counts by linking the National Death Registry and Medical Care Monitoring Center repositories. The P-score was initially estimated using a simple method that involved calculating the difference between the observed and expected death counts. The interrupted time series analysis was then used to calculate the mean relative risk (RR) of death during the first year of the pandemic. RESULTS Our study found that there were 5571 excess deaths from all causes (P-score=33.29%) during the first year of the COVID-19 pandemic, with 48.03% of these deaths directly related to COVID-19. The pandemic was found to increase the risk of death from all causes (RR, 1.26; 95% confidence interval [CI], 1.19 to 1.33), as well as in specific age groups such as those aged 35-49 (RR, 1.21; 95% CI, 1.12 to 1.32), 50-64 (RR, 1.38; 95% CI, 1.28 to 1.49), and ≥65 (RR, 1.29; 95% CI, 1.12 to 1.32) years old. Furthermore, there was an increased risk of death from cardiovascular diseases (RR, 1.17; 95% CI, 1.11 to 1.22). CONCLUSIONS There was a 26% increase in the death count in southern Iran during the COVID-19 pandemic. More than half of these excess deaths were not directly related to COVID-19, but rather other causes, with cardiovascular diseases being a major contributor.
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Affiliation(s)
- Mohammadreza Zakeri
- Health Policy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Alireza Mirahmadizadeh
- Non-Communicable Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
| | | | | | - Maryam Janfada
- Department of Statistics, Health Vice-Chancellor, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mohammad Javad Moradian
- Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Leila Moftakhar
- Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mehdi Sharafi
- Noncommunicable Diseases Research Center, Fasa University of Medical Sciences, Fasa, Iran
| | - Alireza Heiran
- Corresponding author: Alireza Heiran, Non-Communicable Diseases Research Center, Shiraz University of Medical Sciences, Shiraz 7193635899, Iran E-mail:
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Mirahmadizadeh A, Ghelichi-Ghojogh M, Jokari K, Amiri S, Moftakhar L, Moradian MJ, Habibi M, Dehghani SS, Hassani AH, Jafari A, Rezaei F. Correlation Between Diabetes and COVID-19 Indices: A Global Level Ecological
Study. SAGE Open Nurs 2023; 9:23779608231165485. [PMID: 37032958 PMCID: PMC10074615 DOI: 10.1177/23779608231165485] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2022] [Revised: 02/27/2023] [Accepted: 03/05/2023] [Indexed: 04/07/2023] Open
Abstract
Introduction Coronavirus is threatening the global public health as a new and widespread crisis. The
researchers must keep in mind that one of the most vulnerable groups to COVID-19 are the
people with underlying diseases, especially diabetes. Objective This ecological study aimed to investigate the correlation between diabetes and the
epidemiological indices of COVID-19. Methods This ecological study included 144 countries. Their available data consists of the
cumulative incidence rate of cases, cumulative incidence rate of death, recovery rate,
case fatality rate, and performed tests of COVID-19, and diabetes. To collect the
variables, a data set was provided which included the information of 144 countries based
on diabetes and COVID-19 indices. Spearman coefficients were used for assess correlation
between diabetes and COVID-19 indices. Also, Scatter plots of diabetes for the studied
countries were drawn based on cumulative incidence rate of cases, cumulative incidence
rate of death, tests, recovery rate, and case fatality rate of COVID-19. Results The results of this ecological study showed in total countries, there was a weak
positive correlation between diabetes and cumulative incidence rate of cases and also
cumulative incidence rate of death. Correlation between diabetes with test of COVID-19
was very weak. Scatter plots showed a weak liner correlation between diabetes and
cumulative incidence rate of cases, cumulative incidence rate of death and test of
COVID-19. Conclusions In this study, there was a weak positive correlation between diabetes and cumulative
incidence rate of cases, cumulative incidence rate of death, and performed test of
COVID-19. This disease is an enormous challenge for health policymakers; therefore, it
is necessary to develop strategies and practical guidelines specific to each region to
take the necessary care, especially for diabetic patients.
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Affiliation(s)
- Alireza Mirahmadizadeh
- Non-communicable Diseases Research Center,
School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mousa Ghelichi-Ghojogh
- Neonatal and Children's Health Research
Center, Golestan University of Medical
Sciences, Gorgan, Iran
| | - Kimia Jokari
- Student Research Committee, Shiraz University
of Medical Sciences, Shiraz, Iran
| | - Sanaz Amiri
- Student Research Committee, Shiraz University
of Medical Sciences, Shiraz, Iran
| | - Leila Moftakhar
- Student Research Committee, Shiraz University
of Medical Sciences, Shiraz, Iran
| | - Mohammad Javad Moradian
- Trauma Research Center, Shahid Rajaee
(Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
| | | | | | | | - Alireza Jafari
- Department of Health Education and Health
Promotion, School of Health, Social Development and Health Promotion Research Center, Gonabad University of Medical
Sciences, Gonabad, Iran
| | - Fatemeh Rezaei
- Research Center for Social Determinants of
Health, Jahrom University of Medical Sciences, Jahrom, Iran
- Fatemeh Rezaei, Department of Social Medicine,
Jahrom University of Medical Sciences, Jahrom, Iran.
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Zare M, Mirahmadizadeh A, Akbari M, Moradian MJ. Comparison of in-hospital mortality of COVID-19 between pregnant and non-pregnant women infected with SARS-CoV-2: a historical cohort study. J Perinat Med 2023; 51:269-276. [PMID: 35254012 DOI: 10.1515/jpm-2022-0056] [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] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/18/2021] [Accepted: 02/16/2022] [Indexed: 11/15/2022]
Abstract
OBJECTIVES This study aimed to compare pregnant and non-pregnant women infected with SARS-CoV-2 disease (COVID-19) in terms of in-hospital mortality. METHODS This historical cohort study was conducted on hospitalized women of reproductive ages (15-49 years) infected with SARS-CoV-2 in Fars province, Iran during 15 March 2019-10 May 2021. RESULTS Out of the 5,322 patients, 330 were pregnant. The fatality rate of SARS-CoV-2 was 1.2% amongst pregnant women and 3.5% amongst non-pregnant ones. Pregnant and non-pregnant women reported the same history of smoking, opium use, previous COVID-19 infection, vaccination against SARS-CoV-2, and COVID-19 symptoms (p>0.05 for all). However, the pregnant women were younger and had fewer underlying diseases (p<0.001 for both). The results revealed no significant difference between the two groups regarding in-hospital clinical manifestations including the number of days after the onset of COVID-19 symptoms, mechanical ventilation, and long involvement (cRR; 95% CI=0.99 (0.96-1.02), 1.18 (0.72-2.02), and 0.95 (0.88-1.02), respectively). Nonetheless, Intensive Care Unit (ICU) admission was significantly higher in pregnant women (cRR; 95% CI=2.37(1.85-3.02)). After adjusting for age, history of underlying diseases, and ICU admission, pregnant women showed lower in-hospital mortality due to COVID-19 compared to non-pregnant women (aRR; 95% CI=0.32 (0.12-0.87)). CONCLUSIONS Based on the current study findings, pregnant women showed lower in-hospital mortality due to COVID-19 compared to non-pregnant ones. Nevertheless, they should follow the same recommendations as non-pregnant women, avoiding exposure to the virus and receiving medical treatment and vaccination. Further studies are recommended to address the follow-up of recovered pregnant women, their babies, and puerperium.
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Affiliation(s)
- Marjan Zare
- Non-Communicable Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Alireza Mirahmadizadeh
- Non-Communicable Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mahsa Akbari
- Health Affairs, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mohammad Javad Moradian
- Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
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Fereidooni R, Mootz J, Sabaei R, Khoshnood K, Heydari ST, Moradian MJ, Taherifard E, Nasirian M, Molavi Vardanjani H. The COVID-19 Pandemic, Socioeconomic Effects, and Intimate Partner Violence Against Women: A Population-Based Cohort Study in 2020, Iran. Am J Public Health 2023; 113:228-237. [PMID: 36302221 PMCID: PMC9850608 DOI: 10.2105/ajph.2022.306839] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/08/2022] [Indexed: 01/22/2023]
Abstract
Objectives. To investigate the prevalence, pattern, and socioeconomic risk factors of intimate partner violence (IPV) before and 6 months after the pandemic onset among a cohort of Iranian women. Methods. We conducted a population-based IPV survey among 2502 partnered Iranian women aged 18 to 60 years before (n = 2502) and 6 months after (n=2116) the pandemic's onset. We estimated prevalence and incidence of psychological, physical, and sexual IPV, and the odds of different forms of IPV associated with main exposure variables, adjusted for participant relationship factors. Results. Pandemic prevalence of IPV (65.4%; 95% confidence interval [CI] = 63.4%, 67.4%) was higher than prepandemic prevalence (54.2%; 95% CI = 52.2%, 56.3%). At follow-up, the incidence of IPV was 25.5% (95% CI = 22.9%, 28.4%). The highest incidence was in cases of physical and sexual IPV. Women whose partners lost their employment were at significant risk of new exposure to IPV. Highest socioeconomic status (SES) was associated with less physical IPV (odds ratio = 0.03; 95% CI = 0.01, 0.14). Conclusions. IPV prevalence has risen since the COVID-19 epidemic began with many women who had never experienced IPV now facing it. Unemployment of women or their partners and prepandemic lower socioeconomic status are risk factors of IPV. Monitoring programs should target these populations. (Am J Public Health. 2023;113(2):228-237. https://doi.org/10.2105/AJPH.2022.306839).
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Affiliation(s)
- Reza Fereidooni
- Reza Fereidooni is with the Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran. Jennifer Mootz is with the Department of Psychiatry, Columbia University, New York, NY. Rasoul Sabaei is with the Department of Psychology, Faculty of Psychology, Khorasgan Branch, Islamic Azad University, Isfahan, Iran. Kaveh Khoshnood is with the Yale School of Public Health, Yale University, New Haven, CT. Seyed Taghi Heydari is with the Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran. Mohammad Javad Moradian is with the Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran. Erfan Taherifard and Hossein Molavi Vardanjani are with the MD-MPH Program, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran. Maryam Nasirian is with the Department of Epidemiology and Biostatistics, Health School, and Infectious Disease and Tropical Medicine Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Jennifer Mootz
- Reza Fereidooni is with the Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran. Jennifer Mootz is with the Department of Psychiatry, Columbia University, New York, NY. Rasoul Sabaei is with the Department of Psychology, Faculty of Psychology, Khorasgan Branch, Islamic Azad University, Isfahan, Iran. Kaveh Khoshnood is with the Yale School of Public Health, Yale University, New Haven, CT. Seyed Taghi Heydari is with the Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran. Mohammad Javad Moradian is with the Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran. Erfan Taherifard and Hossein Molavi Vardanjani are with the MD-MPH Program, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran. Maryam Nasirian is with the Department of Epidemiology and Biostatistics, Health School, and Infectious Disease and Tropical Medicine Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Rasoul Sabaei
- Reza Fereidooni is with the Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran. Jennifer Mootz is with the Department of Psychiatry, Columbia University, New York, NY. Rasoul Sabaei is with the Department of Psychology, Faculty of Psychology, Khorasgan Branch, Islamic Azad University, Isfahan, Iran. Kaveh Khoshnood is with the Yale School of Public Health, Yale University, New Haven, CT. Seyed Taghi Heydari is with the Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran. Mohammad Javad Moradian is with the Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran. Erfan Taherifard and Hossein Molavi Vardanjani are with the MD-MPH Program, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran. Maryam Nasirian is with the Department of Epidemiology and Biostatistics, Health School, and Infectious Disease and Tropical Medicine Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Kaveh Khoshnood
- Reza Fereidooni is with the Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran. Jennifer Mootz is with the Department of Psychiatry, Columbia University, New York, NY. Rasoul Sabaei is with the Department of Psychology, Faculty of Psychology, Khorasgan Branch, Islamic Azad University, Isfahan, Iran. Kaveh Khoshnood is with the Yale School of Public Health, Yale University, New Haven, CT. Seyed Taghi Heydari is with the Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran. Mohammad Javad Moradian is with the Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran. Erfan Taherifard and Hossein Molavi Vardanjani are with the MD-MPH Program, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran. Maryam Nasirian is with the Department of Epidemiology and Biostatistics, Health School, and Infectious Disease and Tropical Medicine Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Seyed Taghi Heydari
- Reza Fereidooni is with the Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran. Jennifer Mootz is with the Department of Psychiatry, Columbia University, New York, NY. Rasoul Sabaei is with the Department of Psychology, Faculty of Psychology, Khorasgan Branch, Islamic Azad University, Isfahan, Iran. Kaveh Khoshnood is with the Yale School of Public Health, Yale University, New Haven, CT. Seyed Taghi Heydari is with the Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran. Mohammad Javad Moradian is with the Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran. Erfan Taherifard and Hossein Molavi Vardanjani are with the MD-MPH Program, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran. Maryam Nasirian is with the Department of Epidemiology and Biostatistics, Health School, and Infectious Disease and Tropical Medicine Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Mohammad Javad Moradian
- Reza Fereidooni is with the Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran. Jennifer Mootz is with the Department of Psychiatry, Columbia University, New York, NY. Rasoul Sabaei is with the Department of Psychology, Faculty of Psychology, Khorasgan Branch, Islamic Azad University, Isfahan, Iran. Kaveh Khoshnood is with the Yale School of Public Health, Yale University, New Haven, CT. Seyed Taghi Heydari is with the Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran. Mohammad Javad Moradian is with the Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran. Erfan Taherifard and Hossein Molavi Vardanjani are with the MD-MPH Program, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran. Maryam Nasirian is with the Department of Epidemiology and Biostatistics, Health School, and Infectious Disease and Tropical Medicine Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Erfan Taherifard
- Reza Fereidooni is with the Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran. Jennifer Mootz is with the Department of Psychiatry, Columbia University, New York, NY. Rasoul Sabaei is with the Department of Psychology, Faculty of Psychology, Khorasgan Branch, Islamic Azad University, Isfahan, Iran. Kaveh Khoshnood is with the Yale School of Public Health, Yale University, New Haven, CT. Seyed Taghi Heydari is with the Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran. Mohammad Javad Moradian is with the Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran. Erfan Taherifard and Hossein Molavi Vardanjani are with the MD-MPH Program, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran. Maryam Nasirian is with the Department of Epidemiology and Biostatistics, Health School, and Infectious Disease and Tropical Medicine Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Maryam Nasirian
- Reza Fereidooni is with the Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran. Jennifer Mootz is with the Department of Psychiatry, Columbia University, New York, NY. Rasoul Sabaei is with the Department of Psychology, Faculty of Psychology, Khorasgan Branch, Islamic Azad University, Isfahan, Iran. Kaveh Khoshnood is with the Yale School of Public Health, Yale University, New Haven, CT. Seyed Taghi Heydari is with the Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran. Mohammad Javad Moradian is with the Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran. Erfan Taherifard and Hossein Molavi Vardanjani are with the MD-MPH Program, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran. Maryam Nasirian is with the Department of Epidemiology and Biostatistics, Health School, and Infectious Disease and Tropical Medicine Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Hossein Molavi Vardanjani
- Reza Fereidooni is with the Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran. Jennifer Mootz is with the Department of Psychiatry, Columbia University, New York, NY. Rasoul Sabaei is with the Department of Psychology, Faculty of Psychology, Khorasgan Branch, Islamic Azad University, Isfahan, Iran. Kaveh Khoshnood is with the Yale School of Public Health, Yale University, New Haven, CT. Seyed Taghi Heydari is with the Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran. Mohammad Javad Moradian is with the Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran. Erfan Taherifard and Hossein Molavi Vardanjani are with the MD-MPH Program, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran. Maryam Nasirian is with the Department of Epidemiology and Biostatistics, Health School, and Infectious Disease and Tropical Medicine Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
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Mirahmadizadeh A, Maleki Z, Miyar A, Sahebi R, Dadvar A, Moradian MJ, Rastegarfar B, Daliri M, Mohammadi Abnavi M, Ghaem H. Prognosis of COVID-19 infection among opium users in Iran,2020: a hospital-based study. Journal of Substance Use 2022. [DOI: 10.1080/14659891.2022.2144499] [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: 11/10/2022]
Affiliation(s)
- Alireza Mirahmadizadeh
- Non-Communicable Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Zahra Maleki
- Student Research committee, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Ata Miyar
- Schulich School of Medicine and Dentistry, University of Western Ontario (Western University), London, Ontario, Canada
| | - Roya Sahebi
- Department of Epidemiology, Shiraz University of Medical Sciences, Shiraz, Iran
| | | | - Mohammad Javad Moradian
- Department of Disaster Public Health, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
- Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Behnaz Rastegarfar
- Department of Disaster Public Health, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Masumeh Daliri
- Student Research committee, Shiraz University of Medical Sciences, Shiraz, Iran
| | | | - Haleh Ghaem
- Non-Communicable Diseases Research Center, Department of Epidemiology, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
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Mirahmadizadeh A, Heiran A, Dadvar A, Moradian MJ, Sharifi MH, Sahebi R. The Association of Opium Abuse with Mortality Amongst Hospitalized COVID-19 Patients in Iranian Population. J Primary Prevent 2022; 43:485-497. [PMID: 35653048 PMCID: PMC9161650 DOI: 10.1007/s10935-022-00687-y] [Citation(s) in RCA: 2] [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] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Accepted: 05/10/2022] [Indexed: 11/26/2022]
Abstract
Opioid abuse is a serious problem in the society. Since the first months of COVID-19 pandemic, several myths, rumors and misconceptions have been spread about the benefits of opium consumption for COVID-19 outcome. In addition, data are limited on the relationship between opium abuse and COVID-19 mortality amongst hospitalized COVID-19 patients. In this historical cohort study, we assessed the risks of several variables for mortality amongst all hospitalized COVID-19 patients from the beginning of COVID-19 pandemic in South of Iran from March 15th, 2021 to October 14th, 2021. Data was acquired from the Medical Care Monitoring Center (MCMC), affiliated to Shiraz University of Medical Sciences. A total of 64,427 hospitalized COVID-19 patients were included into the analysis. The mortality rate was 10.59% (n = 6756). Of all, 2030 (3.15%) patients—1702 males and 328 females—reported the positive history of opium abuse with a mean age of 57 ± 17.21 years. The results of multivariable risk showed that the positive history of opium abuse had a significant association with mortality (adjusted RR: 1.173; p = 0.007). Other significant predictive risk factors were male gender, elder ages, and comorbidities such as pulmonary diseases, cardiovascular disease, cancer, nephrological diseases, neurological diseases, and diabetes. However, being a health care worker and having thyroid gland diseases were protective factors amongst hospitalized COVID-19 patients (adjusted RR: 0.650 and 0.642; p = 0.040 and < .0001, respectively). Opium abuse is a risk factor for mortality amongst hospitalized COVID-19 patients. It is vital to educate societies about the consequences of unauthorized opium consumption.
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Affiliation(s)
- Alireza Mirahmadizadeh
- Non-communicable Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Alireza Heiran
- Non-communicable Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
| | | | - Mohammad Javad Moradian
- Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
| | | | - Roya Sahebi
- Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
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Mirahmadizadeh A, Shamooshaki MTB, Dadvar A, Moradian MJ, Aryaie M. UNEMPLOYMENT AND COVID-19-RELATED MORTALITY IN FARS COHORT STUDY: HISTORICAL COHORT STUDY OF 50,000 HOSPITALIZED PARTICIPANTS IN IRAN. Epidemiol Health 2022; 44:e2022032. [PMID: 35381169 PMCID: PMC9117102 DOI: 10.4178/epih.e2022032] [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] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2021] [Accepted: 03/12/2022] [Indexed: 11/09/2022] Open
Abstract
OBJECTIVES Previous studies have estimated the risk of death associated with unemployment in the coronavirus disease 2019 (COVID-19) pandemic, but no studies have examined unemployment before COVID-19 infection as a risk factor for COVID-19-related mortality. Thus, this study aimed to investigate COVID-19 mortality among this population. METHODS Data on 50,038 people aged 25-59 years were collected from 38 agencies in Fars Province, Iran, from February 2020 to July 2021. Follow-up lasted from participants’ diagnosis with COVID-19 based on the results of a reverse transcription-polymerase chain reaction test to participants’ death or the end of the study period. The association between unemployment and COVID-19-related mortality was estimated using the Poisson regression method, and a sensitivity analysis was conducted to calculate the E-value. RESULTS Unemployment was associated with a 2.41-fold (95% confidence interval [CI], 2.01 to 2.90) higher age-adjusted and sex-adjusted risk of COVID-19-related mortality. The adjusted Poisson regression analysis showed 8.82 (95% CI, 6.42 to 12.11), 2.84 (95% CI, 1.90 to 4.24), and 1.58 (95% CI, 1.24 to 2.01) times higher risks of COVID-19-related mortality among unemployed people aged 25-39 years, 40-49 years, and 50-59 years, respectively, than among their employed counterparts. Unemployment increased the risk of COVID-19 mortality by 3.31 (95% CI, 2.31 to 4.74) and 2.30 (95% CI, 1.86 to 2.84) times in female and male, respectively. The E-value was 3.43, reflecting the minimum strength of confounding required to shift the association between unemployment and COVID-19-related mortality toward the null. CONCLUSIONS Unemployment prior to COVID-19 infection increased the risk of COVID-19-related mortality. COVID-19-related mortality disproportionately impacted unemployed women and younger unemployed people.
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Affiliation(s)
- Alireza Mirahmadizadeh
- Non-Communicable Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
| | | | | | - Mohammad Javad Moradian
- Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mohammad Aryaie
- Department of Epidemiology, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
- Correspondence: Mohammad Aryaie Department of Epidemiology, School of Health, Shiraz University of Medical Sciences, P.O. Box 7153675541, Shiraz, Iran E-mail:
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Moradian MJ, Rastegarfar B, Fooladband F. Epidemiology of drowning clients in Shiraz Emergency Medical Service (EMS) in 2020. J Inj Violence Res 2022. [PMCID: PMC9115832] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Background: Drowning is one of the health problems in the world and one of the top ten causes of traumatic deaths in Iran. Managers' awareness of the characteristics of drowning clients helps to formulate and implement an intervention plan. The aim of this study was to investigate the epidemiology of drowning clients in Shiraz Emergency Medical Service (EMS) from 2019 to 2020. Methods: Using the census method, the names of 62 people (all drowning emergency clients) and their information (age, sex, time and place of drowning, and the result of the emergency team mission) were extracted from Shiraz EMS in the years 2019-2020 and analyzed using SPSS (Version 23). Results: Of all EMS clients, 0.02% were emergency drowning cases; 70.2% of them were male and 29.8% were female. Their mean age was 20.5 years (29.8% of children, 15.8% adolescents, 33.4% youth, 17.5% middle-aged, and 3.5% the elderly). About half of the drownings (47.4%) happened in the spring and 31.6% in the summer. More than half of the drownings (56.1%) occurred at 11 AM-3 PM and 32.3% at 4 PM-8 PM. Regarding the outcome of drowning, 42.1% of the drowned died, 42.1% were admitted to the hospital, 7% were cared at the scene and 8.8% of them did not cooperate to be transported to the hospital. Moreover, 42.9% of them had concomitant trauma with drowning, 54.2% of whom had head trauma, 12.5% had shoulder and back trauma and the rest had multiple trauma. Conclusions: Public awareness should be raised on the possible dangers of drowning through health and media. EMS managers should emphasize considering traumas with drowning by technicians in the EMS. Public education about the EMS duty should be enhanced to gain more trust, participation, and cooperation of clients. Protection and safety enhancement of public pools, ponds, domestic and lakes, etc. should be emphasized by the authorities. Keywords: Epidemiology; Trauma; Drowning; EMS
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Affiliation(s)
- Mohammad Javad Moradian
- Assistant Professor, Department of Health in Emergencies and Disasters, Faculty of Management and Medical Informatics, Shiraz University of Medical Sciences, Shiraz, Iran.
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Mohammad Javad Moradian: Assistant Professor, Department of Health in Emergencies and Disasters, Faculty of Management and Medical Informatics, Shiraz University of Medical Sciences, Shiraz, Iran. (Moradian MJ.). https://orcid.org/0000-0002-2577-4446
| | - Behnaz Rastegarfar
- Ph.D. in Disaster and Emergency Health, Department of Disaster and Emergency Health, Faculty of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Farahnaz Fooladband
- Quality Improvement Expert, Disaster and Emergency Medical Management Center, Shiraz University of Medical Sciences, Shiraz, Iran
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Asmarian N, Sharafi Z, Mousavi A, Jacques R, Tamayo I, Bind MA, Abutorabi-Zarchi M, Moradian MJ, Izadi S. Multiple sclerosis incidence rate in southern Iran: a Bayesian epidemiological study. BMC Neurol 2021; 21:309. [PMID: 34376167 PMCID: PMC8353854 DOI: 10.1186/s12883-021-02342-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2020] [Accepted: 08/03/2021] [Indexed: 12/04/2022] Open
Abstract
Background Multiple Sclerosis (MS) remains to be a public health challenge, due to its unknown biological mechanisms and clinical impacts on young people. The prevalence of this disease in Iran is reported to be 5.30 to 74.28 per 100,000-person. Because of high prevalence of this disease in Fars province, the purpose of this study was to assess the spatial pattern of MS incidence rate by modeling both the associations s of spatial dependence between neighboring regions and risk factors in a Bayesian Poisson model, which can lead to the improvement of health resource allocation decisions. Method Data from 5468 patients diagnosed with MS were collected, according to the McDonald’s criteria. New cases of MS were reported by the MS Society of Fars province from 1991 until 2016. The association between the percentage of people with low vitamin D intake, smoking, abnormal BMI and alcohol consumption in addition to spatial structure in a Bayesian spatio-temporal hierarchical model were used to determine the relative risk and trend of MS incidence rate in 29 counties of Fars province. Results County-level crude incidence rates ranged from 0.22 to 11.31 cases per 100,000-person population. The highest relative risk was estimated at 1.80 in the county of Shiraz, the capital of Fars province, while the lowest relative risk was estimated at 0.11 in Zarindasht county in southern of Fars. The percentages of vitamin D supplementation intake and smoking were significantly associated with the incidence rate of MS. The results showed that 1% increase in vitamin D supplementation intake is associated with 2% decrease in the risk of MS and 1% increase in smoking is associated with 16% increase in the risk of MS. Conclusion Bayesian spatio-temporal analysis of MS incidence rate revealed that the trend in the south and south east of Fars province is less steep than the mean trend of this disease. The lower incidence rate was associated with a higher percentage of vitamin D supplementation intake and a lower percentage of smoking. Previous studies have also shown that smoking and low vitamin D, among all covariates or risk factors, might be associated with high incidence of MS.
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Affiliation(s)
- Naeimehossadat Asmarian
- Anesthesiology and Critical Care Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Zahra Sharafi
- Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran. .,Department of Epidemiology & Biostatistics, School of Health, Zahedan University of Medical Sciences, Zahedan, Iran.
| | - Amin Mousavi
- Department of Educational Psychology and Special Education, College of Education, University of Saskatchewan, Saskatoon, Canada
| | - Reis Jacques
- Service de Neurologie, Centre Hospitalier Universitaire, Hôpital de Hautepierre, 1, avenue Molière, 67200, Strasbourg, France
| | - Ibon Tamayo
- Department of Statistics, Faculty of Arts and Science, Harvard University, Cambridge, MA, USA
| | - Marie-Abèle Bind
- Department of Statistics, Faculty of Arts and Science, Harvard University, Cambridge, MA, USA
| | - Marzie Abutorabi-Zarchi
- Department of neurology, Faculty of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, IR, Iran
| | - Mohammad Javad Moradian
- Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Sadegh Izadi
- Clinical Neurology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
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Sajjadi SM, Rahmanian Koushkaki F, Mousavi-Roknabadi RS, Farahmand F, Dehbozorgi A, Hamrah H, Moradian MJ. Transferred Patients by Fars Province's Helicopter Emergency Medical Service (HEMS); A 2-Years Cross-Sectional Study in Southern Iran. Bull Emerg Trauma 2021; 9:21-27. [PMID: 33937422 PMCID: PMC8062892 DOI: 10.30476/beat.2021.86919] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
Objective: To investigate the patients transferred by helicopters, as well as an emergent medical services that were performed for them. Methods: In this retrospective cross-sectional study, all patients who were transferred by Fars province of Helicopter Emergency Medical Services (HEMS) to Shiraz hospitals, southern Iran (March 2017-March 2019) were investigated. Patients’ information was collected and analyzed includes age, gender, dispatch reason, trauma mechanisms, take hold of emergent medical services, as well as the air transportation time, time between dispatch from the origin hospital and starting the procedures, and patients’ outcome. Results: Eighty-three patients were enrolled with the mean±SD age of 36.9±19.47 years that 75.9% had trauma (p<0.0001). Mental status deterioration (25.3%) was the most dispatched indications. The mortality rate was 13.25% totally (11.11% in traumatic vs. 10% in non-traumatic). The mean±SD of air transportation time was significantly lower than ground transportation in both traumatic (p=0.0013) and non-traumatic (p<0.0001) patients. Also, the mean±SD of time between dispatch from the origin hospital and starting the procedures was statistically lower in air transportation in both traumatic (p=0.0028) and non-traumatic (p=0.0017) patients. Conclusion: Most of the patients transferred by HEMS were traumatic. The air transportation time as well as the time between dispatches from the origin hospital to the starting of the procedures were significantly lower in HEMS in comparison with ground transportation for both traumatic and non-traumatic patients.
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Affiliation(s)
- Seyed Mahmoudreza Sajjadi
- Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Fatemeh Rahmanian Koushkaki
- Student Research Committee, Department of Emergency Medicine, Faculty of Medicine, Shiraz University of Medical Sciences, Namazee Hospital, Shiraz, Iran
| | - Razieh Sadat Mousavi-Roknabadi
- Community Medicine Specialist, Department of Emergency Medicine, Faculty of Medicine, Shiraz University of Medical Sciences, Namazee Hospital, Shiraz, Iran
| | - Faramarz Farahmand
- Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Afsaneh Dehbozorgi
- Department of Emergency Medicine, Faculty of Medicine, Shiraz University of Medical Sciences, Namazee Hospital, Shiraz, Iran
| | - Hadid Hamrah
- Department of Emergency Medicine, Faculty of Medicine, Shiraz University of Medical Sciences, Namazee Hospital, Shiraz, Iran
| | - Mohammad Javad Moradian
- Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
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Taherifard E, Moradian MJ, Taherifard E, Hemmati A, Rastegarfar B, Molavi Vardanjani H. The prevalence of risk factors associated with non-communicable diseases in Afghan refugees in southern Iran: a cross-sectional study. BMC Public Health 2021; 21:442. [PMID: 33663464 PMCID: PMC7934241 DOI: 10.1186/s12889-021-10482-9] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2021] [Accepted: 02/19/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Refugees are highly vulnerable to many health-related risks. Monitoring non-communicable diseases (NCDs) is of overriding importance in these populations. This study aimed to investigate the prevalence of risk factors for NCDs amongst Afghan refugees in a refugee camp located in southern Iran. METHODS This cross-sectional sturdy was conducted in 2018. Risk factors such as inadequate nutrition, physical inactivity, tobacco smoking, obesity and overweight, hypertension (HTN), elevated fasting plasma glucose (FPG), and dyslipidaemia were assessed. Data were gathered with a modified WHO STEPS procedure. Prevalence and age-standardized prevalence and their 95% confidence intervals (CI) were estimated. RESULTS The estimated prevalence were 94% for inadequate fruit/vegetable consumption, 18% for physical inactivity, 9% for tobacco smoking, 3% for FPG, 20% for HTN, 51% for central obesity, 24% for overweight, 19% for obesity, and 69% for dyslipidaemia. CONCLUSIONS Except for inadequate fruit and vegetable intake and dyslipidaemia, the prevalence of other NCD risk factors was low among Afghan refugees in Iran. Raising awareness about healthy diet and its importance and the provision of more affordable fruit and vegetables are two effective measures toward improving the health of refugees in Iran.
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Affiliation(s)
- Erfan Taherifard
- MPH Department, Medical School, Shiraz University of Medical Sciences, Setad Square, Shiraz, Fars, Iran
| | - Mohammad Javad Moradian
- Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
| | | | | | - Behnaz Rastegarfar
- Department of Disaster Public Health, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Hossein Molavi Vardanjani
- MPH Department, Medical School, Shiraz University of Medical Sciences, Setad Square, Shiraz, Fars, Iran.
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Rastegarfar B, Ardalan A, Nejat S, Abbasali A, Moradian MJ. Search Strategy for Search Performance; Off-the-cuff or Being Sensitive. Bull Emerg Trauma 2019; 7:431-432. [PMID: 31858011 PMCID: PMC6911708 DOI: 10.29252/beat-070417] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Affiliation(s)
- Behnaz Rastegarfar
- Department of Disaster Public Health, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Ali Ardalan
- Department of Disaster Public Health, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Saharnaz Nejat
- Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Abbasali Abbasali
- Department of Health Sciences Education Development, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Mohammad Javad Moradian
- Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.,Department of Disaster and Emergency Health, School of Management and Medical Informatics, Shiraz University of Medical Sciences, Shiraz, Iran
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Abstract
Objective: To find a proper search strategy to do a systematic review related to preparedness for disasters. Methods: MeSH and Emtree terms were searched to detect synonyms for two main search terms “disaster” and “preparedness”. Expert opinion on the synonyms was examined applying a Google form. The adopted syntax was searched in PubMed and results were sifted. Hand searching in two top key journals was done and sensitivity was calculated. Results: Out of 1120 articles, 122 were included. In PDM journal, 10 articles were included by hand searching, out of which 5 were not spotted in PubMed search with the proposed syntax. In DMPHP journal, 13 publications were included, with 5 not found in PubMed search. Because of human error in hand searching 2 articles were added. Conclusion: The proposed syntax in this study achieves a sensitivity of search of 0.6 in PubMed which could be quite applicable for researchers. Moreover, in case only MeSH or Emtree terms were applied in search strategy or where hand searching was not performed, there were a number of articles missed.
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Affiliation(s)
- Behnaz Rastegarfar
- Department of Disaster Public Health, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Ali Ardalan
- Department of Disaster Public Health, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Saharnaz Nejat
- Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Abbasali Keshtkar
- Department of Health Sciences Education Development, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Mohammad Javad Moradian
- Department of Disaster Public Health, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.,Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
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Rastegarfar B, Ardalan A, Nejat S, Keshtkar A, Moradian MJ. A Productive Proposed Search Syntax for Health Disaster Preparedness Research. Bull Emerg Trauma 2019. [PMID: 31198795 DOI: 10.29252/beat-070201.] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/26/2022] Open
Abstract
Objective To find a proper search strategy to do a systematic review related to preparedness for disasters. Methods MeSH and Emtree terms were searched to detect synonyms for two main search terms "disaster" and "preparedness". Expert opinion on the synonyms was examined applying a Google form. The adopted syntax was searched in PubMed and results were sifted. Hand searching in two top key journals was done and sensitivity was calculated. Results Out of 1120 articles, 122 were included. In PDM journal, 10 articles were included by hand searching, out of which 5 were not spotted in PubMed search with the proposed syntax. In DMPHP journal, 13 publications were included, with 5 not found in PubMed search. Because of human error in hand searching 2 articles were added. Conclusion The proposed syntax in this study achieves a sensitivity of search of 0.6 in PubMed which could be quite applicable for researchers. Moreover, in case only MeSH or Emtree terms were applied in search strategy or where hand searching was not performed, there were a number of articles missed.
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Affiliation(s)
- Behnaz Rastegarfar
- Department of Disaster Public Health, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Ali Ardalan
- Department of Disaster Public Health, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Saharnaz Nejat
- Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Abbasali Keshtkar
- Department of Health Sciences Education Development, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Mohammad Javad Moradian
- Department of Disaster Public Health, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.,Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
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Paydar S, Ghahramani Z, Bolandparvaz S, Abdolrahimzadeh H, Keshavarzi A, Moradian MJ, Abbasi HR. Exclusive versus Inclusive Trauma System Model in High Volume Trauma Regions. Bull Emerg Trauma 2018; 6:269-270. [PMID: 30402513 PMCID: PMC6215069 DOI: 10.29252/beat-060401] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Affiliation(s)
- Shahram Paydar
- Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Zahra Ghahramani
- Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Shahram Bolandparvaz
- Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Hossein Abdolrahimzadeh
- Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Abdolkhalegh Keshavarzi
- Burn and Wound Healing Research Center, AmirAlmomenin Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mohammad Javad Moradian
- Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Hamid Reza Abbasi
- Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
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Moradian MJ, Ardalan A, Nejati A, Boloorani AD, Akbarisari A, Rastegarfar B. Field hospital site selection criteria: a Delphi consensus study. IJEM 2018. [DOI: 10.1504/ijem.2018.097369] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Akbarisari A, Rastegarfar B, Nejati A, Ardalan A, Boloorani AD, Moradian MJ. Field hospital site selection criteria: a Delphi consensus study. IJEM 2018. [DOI: 10.1504/ijem.2018.10018480] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Sohrabizadeh S, Jahangiri K, Jazani RK, Babaie J, Moradian MJ, Rastegarfar B. Women's Challenges and Capabilities in Disasters: A Case Report of the Twin Earthquakes of Eastern Azerbaijan, Iran. PLoS Curr 2017; 9. [PMID: 28286700 PMCID: PMC5325668 DOI: 10.1371/currents.dis.2cff3d6e9e0c3a597f873bf29e712370] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Introduction: The twin earthquakes of eastern Azerbaijan induced considerable devastations of many villages and cities. About 70% of all victims were women and children. The present case report was aimed at describing the lessons learnt from both capabilities and challenges of girls and women after the twin earthquakes of eastern Azerbaijan. Methods: A qualitative approach using in-depth unstructured interviews was used for this study. A total of 13 participants (two men and 11 women), affected by the quakes, were interviewed applying the purposeful sampling method. A manifest content analysis was performed for analyzing the transcribed interviews Case presentation: Two categories of women's capabilities and challenges and four subcategories of women's participation in community reconstruction, livelihood efforts, aggravated poverty and violence were extracted from the data which were gathered in the destroyed fields of eastern Azerbaijan. Lessons learnt: Women can play an important role in post-disaster recovery. Consequently, ignoring the challenges and capabilities of women may impede post-disaster development processes, which would adversely affect the whole community.
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Affiliation(s)
- Sanaz Sohrabizadeh
- Department of Health in Disasters and Emergencies, School of Health, Safety and Environment, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Katayoun Jahangiri
- Associate Professor in School of Health, Safety and Environment Shahid Beheshti University of Medical Sciences
| | | | - Javad Babaie
- Department of Health Services Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran; Iranian Center of Excellence in Health Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Mohammad Javad Moradian
- Department of Disaster Public Health, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran; Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Behnaz Rastegarfar
- Dept. of Disaster and Emergency Health, I.R.Iran's National Institute of Health Research, Tehran University of Medical Sciences national institute of health research
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Moradian MJ, Ardalan A, Nejati A, Darvishi Boloorani A, Akbarisari A, Rastegarfar B. Importance of Site Selection for Stockpiling Field Hospitals for Upcoming Disasters. Bull Emerg Trauma 2016; 4:124-5. [PMID: 27540545 PMCID: PMC4989037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2016] [Revised: 04/22/2016] [Accepted: 04/30/2016] [Indexed: 06/06/2023] Open
Affiliation(s)
- Mohammad Javad Moradian
- Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Ali Ardalan
- Department of Disaster Public Health, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Amir Nejati
- Department of Emergency Medicine, Emergency Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran
| | | | - Ali Akbarisari
- Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Behnaz Rastegarfar
- Department of Disaster Public Health, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
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Rastegar Far B, Moradian MJ, Ardalan A, Babaie J. Investment on education of future parents: the best measure for enhancement of a community disaster resiliency. Iran Red Crescent Med J 2014; 16:e10349. [PMID: 25031842 PMCID: PMC4082502 DOI: 10.5812/ircmj.10349] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/19/2013] [Revised: 08/15/2013] [Accepted: 11/12/2013] [Indexed: 11/21/2022]
Affiliation(s)
- Behnaz Rastegar Far
- Disaster and Emergency Management Center, Shiraz University of Medical Sciences, Shiraz, IR Iran
- Department of Disaster Public Health, School of Public Health, Tehran University of Medical Sciences, Tehran, IR Iran
| | - Mohammad Javad Moradian
- Department of Disaster Public Health, School of Public Health, Tehran University of Medical Sciences, Tehran, IR Iran
- Department of Disaster and Emeregncy Health, National Institute of Health Research, Tehran University of Medical Sciences, Tehran, IR Iran
- Corresponding Author: Mohammad Javad Moradian, Poorsina Ave, Department of Disaster Public Health, School of Public Health, Tehran University of Medical Sciences, Tehran, IR Iran. Tel: +98-9177001094, E-mail:
| | - Ali Ardalan
- Department of Disaster Public Health, School of Public Health, Tehran University of Medical Sciences, Tehran, IR Iran
- Department of Disaster and Emeregncy Health, National Institute of Health Research, Tehran University of Medical Sciences, Tehran, IR Iran
- Harvrad Humanitarian Initiative, Harvard School of Public Health, Boston, USA
| | - Javad Babaie
- Department of Disaster Public Health, School of Public Health, Tehran University of Medical Sciences, Tehran, IR Iran
- Department of Disaster and Emeregncy Health, National Institute of Health Research, Tehran University of Medical Sciences, Tehran, IR Iran
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