scholarly journals Does the Multiple Sclerosis (MS) Map need to change again? An update of MS prevalence in Mazandaran province of Iran in 2018.

2019 ◽  
Author(s):  
Seyed Mohammad Baghbanian ◽  
Hamed Cheraghmakani ◽  
Reza HabibiSaravi ◽  
Arash Azar ◽  
Fariba Ghasemihamedani
Keyword(s):  
Local Population ◽  
Cross Sectional Study ◽  
Background Information ◽  
Demographic Information ◽  
Mazandaran Province ◽  
Cross Sectional ◽  
High Prevalence ◽  
Relapsing Remitting ◽  
The World ◽  
The Mean

Abstract Background: Information of Previous studies on the prevalence of MS, including our study conducted twelve years ago, used to shape global prevalence map of MS. According to those results, Iran placed in medium-prevalence MS region in the world Atlas of MS 2013.This study aimed to investigate the prevalence of MS in Mazandaran province after twelve years and the need for possible changes in the global map of the prevalence of MS. Methods: We included all MS patients living in Mazandaran province in 2018 in this descriptive cross-sectional study. We updated our pre-existing registration questionnaires which included demographic information and medical data of MS patients by interview. We obtained the demographic profile of Mazandaran province from the most recent census in 2016 and the National Civil Registry of the Mazandaran province for calculating prevalence of MS. Results: The total number of MS patients in Mazandaran was 2418 (25.8% male and 74.2% female) with a female to male ratio of 2.9. Based on the local population of 3332556, (50.4% male and 49.6% female), this study showed a prevalence of 72.5 per 100,000 for MS in this region. The prevalence of this disease by gender was 37.1 per 100,000 for men and 108.5 per 100,000 for women. The mean (SD) age of the patients at the time of the study was 38.5 (10.1) years with a minimum of 15 and a maximum of 75 years. The most common type of MS was Relapsing-Remitting MS with 86%. Conclusions: All recent studies showed significant upward trend in the prevalence of MS around the world. Based on the results of our study and many other studies in Iran, the Atlas of MS prevalence map needs to be update. Iran's status should be changed to the high-prevalence of MS in the new Atlas. Due to the increasing prevalence of MS, we suggest an adjustment in the Global MS Prevalence Scale.

scholarly journals Does the Multiple Sclerosis (MS) Map need to change again? An update of MS prevalence in Mazandaran province of Iran in 2018.

2019 ◽  
Author(s):  
Seyed Mohammad Baghbanian ◽  
Hamed Cheraghmakani ◽  
Reza HabibiSaravi ◽  
Arash Azar ◽  
Fariba Ghasemihamedani
Keyword(s):  
Local Population ◽  
Cross Sectional Study ◽  
Background Information ◽  
Demographic Information ◽  
Mazandaran Province ◽  
Cross Sectional ◽  
High Prevalence ◽  
Relapsing Remitting ◽  
The World ◽  
The Mean

Abstract Background: Information of Previous studies on the prevalence of MS, including our study conducted twelve years ago, used to shape global prevalence map of MS. According to those results, Iran placed in medium-prevalence MS region in the world Atlas of MS 2013.This study aimed to investigate the prevalence of MS in Mazandaran province after twelve years and the need for possible changes in the global map of the prevalence of MS. Methods: We included all MS patients living in Mazandaran province in 2018 in this descriptive cross-sectional study. We updated our pre-existing registration questionnaires which included demographic information and medical data of MS patients by interview. We obtained the demographic profile of Mazandaran province from the most recent census in 2016 and the National Civil Registry of the Mazandaran province for calculating prevalence of MS. Results: The total number of MS patients in Mazandaran was 2418 (25.8% male and 74.2% female) with a female to male ratio of 2.9. Based on the local population of 3332556, (50.4% male and 49.6% female), this study showed a prevalence of 72.5 per 100,000 for MS in this region. The prevalence of this disease by gender was 37.1 per 100,000 for men and 108.5 per 100,000 for women. The mean (SD) age of the patients at the time of the study was 38.5 (10.1) years with a minimum of 15 and a maximum of 75 years. The most common type of MS was Relapsing-Remitting MS with 86%. Conclusions: All recent studies showed significant upward trend in the prevalence of MS around the world. Based on the results of our study and many other studies in Iran, the Atlas of MS prevalence map needs to be update. Iran's status should be changed to the high-prevalence of MS in the new Atlas. Due to the increasing prevalence of MS, we suggest an adjustment in the Global MS Prevalence Scale.

scholarly journals Cardiovascular Diseases’ Awareness Among Women in Northern Jordan

2019 ◽  
Vol 11 (3) ◽  
pp. 102
Author(s):  
Abdulhakeem M Okour ◽  
Rami A Saadeh ◽  
Neda Redwan ◽  
Muhammad Faizal Bin A. Ghani
Keyword(s):  
Risk Factors ◽  
Cardiovascular Diseases ◽  
Cross Sectional Study ◽  
Demographic Information ◽  
Cross Sectional ◽  
Related Risk ◽  
History Of ◽  
Treatment Plans ◽  
The Mean ◽  
Health Objectives

BACKGROUND: Women’s awareness of chronic diseases, including cardiovascular diseases, is the cornerstone in promoting women’s health. Objectives: To examine the relationship of awareness levels about cardiovascular diseases and their related risk factors with demographic information of Jordanian women. METHODS: A cross-sectional study of 18 years and older women. Scores of awareness were computed for each individual and were divided into 4 quartiles. Logistic regression analysis was used to examine the association of demographic information of participants with mean scores of quartiles. ANOVA analysis was used to compare the mean scores of quartiles. RESULTS: A total of 514 women completed the questionnaire, with a mean age of 35.46 (±12.53). Current smokers were 6.2%, and 34.6% had a family history of heart disease. The proportion of diabetes, hypertension, hypercholesterolemia, and overweight/obesity were 15.6%, 19.3%, 14.4%, & 21.6% respectively. The mean score for awareness was 12.87 (+ 3.26). Women who had lower income and who were at younger age were more likely to score low in awareness. CONCLUSION: Women illustrated a fair level of awareness of CVD and its related risk factors. Increasing women awareness of CVD through educational programs, targeted toward women at risk, assists in disease prevention and help to improve treatment plans.

scholarly journals Stomach Cancer in Patients Referred to Tohid Hospital in Sanandaj, 2012 - 2018: An Epidemiological Study

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Mastore Rahimi ◽  
Ghodratollah Roshanaei ◽  
Javad Faradmal ◽  
Bayazid Ghaderi ◽  
Leila Moradi
Keyword(s):  
Gastric Cancer ◽  
Stomach Cancer ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Quit Smoking ◽  
Common Cancer ◽  
Number Of Patients ◽  
High Prevalence ◽  
The Mean ◽  
Spss Software

Background: Stomach cancer is the fourth most common cancer in the world and first cancer in Iran. The northern and northwestern regions of the country are areas with a high prevalence of gastrointestinal cancers, especially gastric cancer. Different factors are effective in the incidence of this cancer. Objectives: The present study aimed to evaluate the epidemiology of gastric cancer. Methods: This research was a cross-sectional study. All patients referred to Tohid Hospital in Sanandaj between 2012 and 2018 were examined. Data were extracted using patients' medical records. Descriptive information was collected through SPSS software, and the results were analyzed. Results: The number of patients in this study was 553. The mean age was 66.9 years, and the highest age group was 60 - 80 years. Four hundred twelve patients were male, and 141 were female. In 50% of patients, the location of the cardiac tumor was gastric. Chemotherapy was the most common treatment in more than 60% of patients. Conclusions: The results of this study show that smoking is unfortunately high in patients in this province. An educational intervention to quit smoking is recommended. Smoking is an important risk factor for gastric cancer, and this intervention may also be effective in reducing the incidence of this disease.

scholarly journals The Prevalence of Allergic Rhinitis, Eczema and Asthma in Students of Guidance Schools in Mazandaran Province, Iran

2016 ◽  
Vol 4 (4) ◽  
pp. 619-623 ◽  
Author(s):  
Daniel Zamanfar ◽  
Javad Ghaffari ◽  
Salar Behzadnia ◽  
Jamshid Yazdani-charati ◽  
Sahar Tavakoli
Keyword(s):  
Allergic Rhinitis ◽  
Cross Sectional Study ◽  
Caesarian Section ◽  
Sectional Study ◽  
Mazandaran Province ◽  
Cross Sectional ◽  
High Prevalence ◽  
History Of ◽  
Spss Software ◽  
Allergic Disorders

BACKGROUND: Eczema, allergic rhinitis and asthma are common chronic allergic disorders in childhood.AIM: The aim of this study was to determine the prevalence of common allergic disorders among Iranian guidance schools students in Mazandaran Province, northern Iran.METHODS: This analytical cross-sectional study was performed on 3000 children aged 11‐14 years old during 2012‐13 according to ISAAC study. Of 3000 recruited children 1576 (52.54%) were female and 1424 (47.46%) were male. Data gathered by ISAAC first phase questionnaire analysed by SPSS software 20.RESULTS: The prevalence of wheezing, allergic rhinitis symptoms (sneezing and pruritus) and atopic dermatitis symptoms (pruritus skin lesion) were 30.5%, 30% and 15% respectively. History of pets contact and smoking was positive 6.6% and 36 % respectively. About 52% was born with caesarian section. There was wheezing in 32.5% during sport. The diagnosis of asthma, allergic rhinitis and eczema were 12.2%, 28.5% and 15% respectively. Eczema, asthma and allergic rhinitis were significantly more common in boys students (p < 0.05).CONCLUSIONS: The results of this study showed that asthma, allergic rhinitis and eczema have a high prevalence and they are more common in boys.

scholarly journals Seroprevalence of SARS-CoV-2 IgM and IgG antibodies in an asymptomatic population in Sergipe, Brazil

2020 ◽  
Vol 44 ◽  
pp. 1
Author(s):  
Lysandro Pinto Borges ◽  
Aline Fagundes Martins ◽  
Mônica Santos de Melo ◽  
Makson Gleydson Brito de Oliveira ◽  
José Melquiades de Rezende Neto ◽  
...  
Keyword(s):  
Health Workers ◽  
Cross Sectional Study ◽  
Igg Antibodies ◽  
Sample Collection ◽  
Exclusion Criteria ◽  
Cross Sectional ◽  
High Prevalence ◽  
The Mean ◽  
Asymptomatic Individuals ◽  
Group D

Objective: To estimate the prevalence of SARS-CoV-2 antibodies in an asymptomatic population in the state of Sergipe, Brazil. Methods: This cross-sectional study with stratified sampling (sex and age) includeD serological immunofluorescent tests for IgM and IgG on samples from 3 046 asymptomatic individuals. Sample collection was performed in wet-markets of the 10 most populous cities of Sergipe, Brazil. Exclusion criteria included symptomatic individuals and health workers. The presence of comorbidities was registered. Results: Of the 3 046 participants, 1 577 (51.8%) were female and 1 469 (48.2%) were male; the mean age was 39.76 (SD 16.83) years old. 2 921 tests were considered valid for IgM and 2 635 for IgG. Of the valid samples, 347 (11.9% [CI 10.7%–13.1%]) tested positive for IgM and 218 (8.3% CI 7.2%–9.4%]) tested positive for IgG. Women over 40 had the highest prevalence for IgM (group C, p=0.006; group D p=0.04). The capital Aracaju displayed the highest prevalence for both antibodies; 83 (26.3% [CI 21.6%-31.6%]) tested positive for IgM and 35 (14.6% [CI 10.4%-19.7%]) for IgG. The most prevalent comorbidities were hypertension (64/123 individuals) and diabetes (29/123). Conclusions: A high prevalence of SARS-CoV-2 antibodies was found among asymptomatic persons in Sergipe. Women over 40 showed the highest rates. The capital, Aracaju, displayed the highest seroprevalence. Surveys like this one are important to understand how the virus spreads and to help authorities to plan measures to control it. Repeated serologic testing are required to track the progress of the epidemic.

scholarly journals The Prevalence of Type 1 Diabetes in Children of Mazandaran Province

2018 ◽  
Author(s):  
Daniel Zamanfar ◽  
Pooneh Yazdani ◽  
Mohsen Aarabi ◽  
Hedieh Pournorooz
Keyword(s):  
Type 1 Diabetes ◽  
Age Of Onset ◽  
Cross Sectional Study ◽  
Delivery Method ◽  
Mazandaran Province ◽  
Cross Sectional ◽  
Onset Of Diabetes ◽  
The Mean ◽  
First Time

Introduction: The prevalence of type 1 diabetes in all countries throughout the world is different. In this study, an introduction is, therefore, provided for the development of type 1 diabetes in children in Mazandaran province by using all available resources.Methods: In this descriptive cross-sectional study, the prevalence of patients with initial diagnosis of type 1 diabetes mellitus, aging from 6 months to 18 years, was located through contacting and referring to all organizations of insurers and doctors or experts in children endocrinologist and adolescent diseases in Mazandaran province.Results: 289 patients with type 1 diabetes were identified, 138 of whom were male (47.8%), and 151 were women (52.2%) with an overall prevalence of 0.04%, and the rate of this prevalence was 48 cases among 100000 people (50 cases among 100000 girls and 36 cases among 100000 boys). The mean age of the patients was 11.5 years old. In the study of delivery method, 180 patients (62.3%) were diagnosed with cesarean section, and 109 (37.7%) were born through natural delivery method. The mean age of onset of diabetes was 7 years. The minimum and maximum ages were 7 months and 18 years, respectively. 97 (33.6%) of the patients were also hospitalized for the first time due to ketoacidosis, and were diagnosed with diabetes.Conclusion: Type 1 diabetes in Mazandaran province was more prevalent than the similar study in southern Iran and neighboring countries. It is essential to pay greater attention to this disease through studying it in the other parts of the country.

scholarly journals Prevalence of Bacterial Vaginosis in Females of Child-Bearing Age and Utility of pH and Whiff Test in Diagnosis

2020 ◽  
pp. 51-56
Author(s):  
Fakhar Uddin ◽  
Faiza Zeeshan ◽  
Rakhshanda Younus ◽  
Haleema Yasmin ◽  
Saima Bugti ◽  
...  
Keyword(s):  
Bacterial Vaginosis ◽  
Vaginal Discharge ◽  
Local Population ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
Chi Square ◽  
Cross Sectional ◽  
Child Bearing ◽  
Chi Square Test ◽  
The Mean

Background: To determine the prevalence of bacterial vaginosis among females of reproductive age and assessment of the effectiveness of pH and the Whiff test in its diagnosis. Methods: This was a cross-sectional study. A total of 100 subjects were included, coming with a complaint of vaginal discharge. The bacterial vaginosis was diagnosed by using the Nugent scoring system, Whiff and pH tests. The prevalence was calculated by descriptive statistics and using the Chi-square test and results were shown in percentages and mean with standard deviation. Results: The estimated prevalence of bacterial vaginosis among the local population of females of child-bearing age was found to be 39%. The mean age of females with bacterial vaginosis was 33.33±10.46 years. The Whiff test was positive in 89.74% cases, while pH was elevated in 94.87% females with bacterial vaginosis. Conclusion: Bacterial vaginosis is a frequent cause of vaginal discharge in females of reproductive age in Pakistan. The diagnosis can be easily made by using Whiff and pH tests even at resource-poor settings. Keywords: Bacterial vaginosis, Child-bearing age, pH test, Whiff test.

scholarly journals Knowledge and Practice of General Dental Practitioners Concerning Dental Trauma Management in Children in Ahvaz, Iran

2018 ◽  
Vol 8 (1) ◽  
pp. 114
Author(s):  
Leyla Basir ◽  
Mohsen Shayesteh ◽  
Mahsa Atiyeh Heydari
Keyword(s):  
Dental Trauma ◽  
Cross Sectional Study ◽  
Demographic Information ◽  
Cross Sectional ◽  
Dental Practitioners ◽  
Level Of Knowledge ◽  
The Mean ◽  
Traumatic Dental Injuries ◽  
Knowledge And Practice ◽  
Dental Injuries

Background and Objectives: Traumatic dental injuries (TDIs) are unpleasant experiences for children and they necessitate to be treated as soon as possible. This cross-sectional study aimed to assess the knowledge and practice of general dental practitioners (GDPs) regarding emergency management of TDIs in Ahvaz, Iran.Subjects and Methods: In this study, a two-part questionnaire was responded by 100 GDPs. The first section included questions on demographic information and the second section was composed of questions on different dental Injuries. One score was assigned to each correct answer; the total score of 10 to 30 was considered as low knowledge and practice, while scores 30-50, 50-70 and above 70 were considered as moderate, good, and high levels of knowledge and practice, respectively. The data were analyzed using Pearson’s Correlation, t-test and regression.Results: With regards to the level of GDP’s knowledge, the mean score was 59.2%. A total of 100 (51%) dentists showed a good level of knowledge. A significant association was found between knowledge and practice of GDPs in their practice encountering and treating TDI (P=0.001).Conclusion: The overall knowledge of GDPs about management of TDI in the selected community was good.

scholarly journals High prevalence of fatigue in contemporary patients with multiple sclerosis

2021 ◽  
Vol 7 (1) ◽  
pp. 205521732199982
Author(s):  
Line Broch ◽  
Cecilia Smith Simonsen ◽  
Heidi Øyen Flemmen ◽  
Pål Berg-Hansen ◽  
Åshild Skardhamar ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Disease Severity ◽  
Daytime Sleepiness ◽  
Disease Duration ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Disease Modifying Drugs ◽  
High Prevalence ◽  
The Mean ◽  
Anxiety Depression

Objective The prevalence of multiple sclerosis (MS)-related fatigue may have changed due to new diagnostic criteria and new disease modifying drugs. We aimed to assess the prevalence of fatigue in a contemporary MS cohort, and to explore associations between fatigue and clinical and demographic factors. Methods This is a cross-sectional study of the MS population in three Norwegian counties. Fatigue was assessed with the Fatigue Scale for Motor and Cognitive Functions (FSMC). We also assessed self-reported anxiety, depression and daytime sleepiness. Results The response rate was 64% (1599/2512). The mean age of the participants was 52 ± 13 years, median EDSS was 2.5 (IQR 1.5-3.0) and median disease duration from onset was 16 years (IQR 8-25). We found a prevalence of fatigue of 81%. Women had a higher prevalence of fatigue than men (83% vs 78%, p = 0.02). The prevalence increased with age (p < 0.001) and with increasing disease severity (p < 0.001), but in multivariate analyses, only sex and disease severity remained independent determinants of fatigue. Anxiety, depression, and daytime sleepiness were more prevalent in patients with fatigue than in those without fatigue (all p-values < 0.001). Conclusion The prevalence of fatigue is high in contemporary patients with MS. Fatigue is associated with female sex and level of disability, as well as with anxiety, depression and excessive daytime sleepiness.

scholarly journals Unplanned Absenteeism: The Role of Workplace and Non-Workplace Stressors

2020 ◽  
Vol 17 (17) ◽  
pp. 6132 ◽  
Author(s):  
Nur Adibah Mat Saruan ◽  
Hanizah Mohd Yusoff ◽  
Mohd Fadhli Mohd Fauzi ◽  
Sharifa Ezat Wan Puteh ◽  
Rosnawati Muhamad Robat
Keyword(s):  
Work Performance ◽  
Longitudinal Design ◽  
Death And Dying ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Staff Support ◽  
Workplace Stressors ◽  
High Prevalence ◽  
The Mean

Unplanned absenteeism (UA), which includes medically certified leave (MC) or emergency leave (EL), among nurses may disturb the work performance of their team and disrupt the quality of patient care. Currently, there is limited study in Malaysia that examines the role of stressors in determining absenteeism among nurses. Therefore, apart from estimating the prevalence and the reasons of UA among nurses in Malaysia, this study aims to determine its stressor-related determinants. A cross-sectional study was conducted among 697 randomly sampled nurses working in Selangor, Malaysia. Most of them were female (97.3%), married (83.4%), and working in shifts (64.4%) in hospital settings (64.3%). In the past year, the prevalence of ever taking MC and EL were 49.1% and 48.4%, respectively. The mean frequency of MC and EL were 1.80 (SD = 1.593) and 1.92 (SD = 1.272) times, respectively. Meanwhile, the mean duration of MC and EL were 4.24 (SD = 10.355) and 2.39 (SD = 1.966) days, respectively. The most common reason for MC and EL was unspecified fever (39.2%) and child sickness (51.9%), respectively. The stressor-related determinants of durations of MC were inadequate preparation at the workplace (Adj.b = −1.065) and conflict with doctors (adjusted regression coefficient (Adj.b) = 0.491). On the other hand, the stressor-related determinants of durations of EL were conflict with spouse (Adj.b = 0.536), sexual conflict (Adj.b = −0.435), no babysitter (Adj.b = 0.440), inadequate preparation at workplace (Adj.b = 0.257), lack of staff support (Adj.b = −0.190) and conflict with doctors (Adj.b = −0.112). The stressor-related determinants of the frequency of MC were conflicts over household tasks (Adj.b = −0.261), no time with family (Adj.b = 0.257), dangerous surroundings (Adj.b = 0.734), conflict with close friends (Adj.b = −0.467), and death and dying (Adj.b = 0.051). In contrast, the stressor-related determinants of frequency of EL were not enough money (Adj.b = −0.334), conflicts with spouse (Adj.b = 0.383), pressure from relatives (Adj.b = 0.207), and inadequate preparation (Adj.b = 0.090). In conclusion, apart from the considerably high prevalence of unplanned absenteeism and its varying frequency, duration and reasons, there is no clear distinction in the role between workplace and non-workplace stressors in determining MC or EL among nurses in Malaysia; thus, preventive measures that target both type of stressors are warranted. Future studies should consider longitudinal design and mixed-method approaches using a comprehensive model of absenteeism.

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