scholarly journals Clinical and Laboratory Presentations of Leptospirosis Patients in North of Iran

2017 ◽  
Vol 7 (1) ◽  
pp. 122
Author(s):  
Mostafa Javanian ◽  
Masomeh Bayani ◽  
Moharam Esfandiar ◽  
Arefeh Babazadeh ◽  
Soheil Ebrahimpour

Leptospirosis is a zoonosis that common in warm and tropical regions with global spread and it is an occupational disease. The aim of recent study was to evaluate the clinical and Para clinical findings of leptospirosis patients in Babol, northern of Iran. In this cross-sectional study, 118 patients with high suspicion to leptospirosis admitted to hospitals of Babol University of Medical Sciences, Babol, Iran, during 2009 -2011. Thirty one cases with positive finding (IFA) were enrolled as definitive Patients. Clinical and Para clinical data for all patients were recorded. The mean age of the confirmed ‎patients (male: 71%, rural: 90.5%) was 48.5 years (range 18-80 years old). The commonest chief complaints were fever (71%) and ichter (19%) and among the clinical features of them fever (90.5%), gastro intestinal signs (80.5%), ichter (71%) and headache(68%) was the most prevalent ones. Weil's syndrome occurred in 10 (32%) patients. Thrombocytopenia and leukocytosis were noticed in 80.5% and 42% of the patients respectively. Transaminases in 80.5% of cases were above the normal upper limit. Based on current study, the most of leptospirosis patients were farmers and presented in hot seasons. The commonest clinical and laboratory pattern of this disease in our region was fever, ichter, myalgia and headache in conjunction with Mild elevations in levels of transaminases and thrombocytopenia that can be used as a good marker in early clinical diagnosis and treatment.

2017 ◽  
Vol 7 (1) ◽  
pp. 127
Author(s):  
Mostafa Javanian ◽  
Mahmoud Sadeghi Haddad Zavareh ◽  
Nasrollah Vahedi ◽  
Arefeh Babazadeh ◽  
Soheil Ebrahimpour

Leptospirosis is a common disease between humans and animals. Identifying common serogroups and comparing different clinical symptoms among them can help in finding the clinical pattern associated with pathogen serogroupes of leptospirosis. Therefore, the purpose of this study has been to investigate the common serotypes of the infection and their clinical symptoms in northern Iran. This cross-sectional study was carried out in educational hospitals of Babol University of Medical Sciences during the years 2011- 2014. Subjects with clinical findings consistent with leptospirosis were included in the study. According to the standard MAT guidelines, the titre >=1: 200 was considered positive. Then, the patients identified by serogroup separation, were examined and compared clinical symptoms. Among 6o patients with primary diagnosis of leptospirosis in this study, 35 of them proved to be infected to the disease. The most common serogroups were serjoe (40%) and icterohemorrhagia (31.4%). Autumnalis (22.8%), grippotyphosa (11.4%), canicola (8.6%), and pomona (2.8%) were included the subsequent serogroups. The highest frequency of fever (28%) and gastrointestinal manifestations (36%) were observed in icterohemorrhagia and the highest icterus (30%) was found in serjoe serogroup. In this study, serjoe serogroup with fever and icterus, and then icterohemorrhagia with fever and gastrointestinal symptoms were introduced as the most common serogroups of Leptospirosis. Also the rarest serogroups were canicola and pomona.


2019 ◽  
Author(s):  
Neda Dolatkhah ◽  
Seyed Kazem Shakouri ◽  
Azizeh Farshbaf Khalili ◽  
Majid Hajifaraji ◽  
Maryam Hashemian ◽  
...  

Abstract Objectives : In this cross-sectional study among 220 medical students we aimed to determine the nutritional knowledge and attitude of medical students through clinical training courses (externship and internship) of Tabriz University of Medical Sciences, Iran. A nutritional knowledge questionnaire included 51 questions was used to determine the correct, perceived and accuracy of knowledge of the participant in different aspects of nutrition sciences. Nutritional knowledge was calculated as percentage of correct responses. The nutrition attitude questionnaire included 30 questions. Both questionnaires were confirmed in terms of the validity and reliability for assessing nutritional knowledge and attitude in this sample of Iranian medical students. Results: The mean score of correct knowledge was not significantly different among externs and interns (68.20±7.50% and 67.87±6.04% respectively, p=0.729). Results showed that most of the participants (49.61% of externs and 57.14% of inters) had a poor nutritional knowledge, significantly varied by age (p=0.035). The mean attitude index of the subjects was not significantly different among externs and interns (106.37±13.66 and 108.16±13.35 out of 145 respectively, p=0.337). Most students (92.7%) had a very appropriate attitude toward nutrition, significantly varied by sex (p=0.010). These findings indicate that there are multiple deficiencies in nutrition knowledge of medical students.


BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e026565
Author(s):  
Mohammad Hossien Delshad ◽  
Sedigheh Sadat Tavafian ◽  
Anoshirvan Kazemnejad

ObjectiveThe lack of reliable and valid tools for assessing the factors that influence stretching exercises (SEs) among Iranian office employees is obvious. This study aimed to design and evaluate psychometric properties of this instrument.DesignCross-sectional study of psychometric properties.SettingData were gathered from May to September 2017.ParticipantsParticipants were 420 office employees who were working in 10 health centres affiliated to the Shahid Beheshti University of Medical Sciences in Tehran, Iran.Primary outcome measuresThe instrument was designed on the basis of the constructs of the health promotion model (HPM) and extant literature. Exploratory factor analysis (EFA), Cronbach’s α and intraclass correlation coefficient (ICC) were employed to check the scale’s psychometric properties.ResultsIn total, 420 questionnaires were completed. The mean age of the office employees was 37.1±8.03 years. Among the 86 items, 77 items had significant item-to-total correlations (p<0.05). The results showed good internal consistency and reliability for the whole questionnaire and each domain. EFA results confirmed 53.32% of the total variance of the items yielded in 11 subscales. The ICC was acceptable (0.78, 95% CI 0.70 to 0.88).ConclusionsThe Stretching Exercise Influencing Scale (SEIS) can be a reliable and valid instrument for measuring the factors that influence SEs among office employees.Trial registrationIRCT20160824295512N1


Author(s):  
Fatemeh Rahimi ◽  
Elahe Alamdar ◽  
Hengame Sadat Seyed Mirnasab ◽  
Somaieh Borjalilu ◽  
Mahnaz Pouresmaeil ◽  
...  

Background and purpose: There is concern that students may have an unhealthy lifestyle as a result of changes that occurred during corona conditions, so this study aimed to determine the status of the lifestyle and its relationship with the demographic characteristics of postgraduate students during the corona span.  Material and Methods: This cross-sectional study was conducted at Tehran University of Medical Sciences in 2020. The link to the online Health-Promoting Lifestyle Questionnaire Profile2 was sent to conduct the research. To examine the relationships between the mean scores of health-promoting lifestyle and different variables, an independent samples t-test was applied in the case of dichotomous demographic variables (gender, education level, and income-generating activity), while one-way analysis of variance test was used to evaluate the multilevel demographic variables (marital status, place of residence, and faculty). The Pearson correlation coefficient was also used for testing age.  Results: The sample 240, (75.4%) were female and 145 of them, (60.4%) were single. The mean age of them was 32.21±7.45.45 years old. The lifestyle total score was 138.28± 21.18 at the average level. The highest score was related to spiritual growth (26.93±5.01), whereas the lowest score was reported on physical activity (16.92±5.17). The difference between the mean of health-promoting lifestyle was not significant in terms of demographic variables.According to the results, a statistically significant difference was observed between male and female students in the field of nutrition. Also, students were significantly different in the nutrition domain regarding students’ residence (p-value <0.05). Spiritual growth was significantly different among students in terms of marital status (p-value <0.05). Conclusion: Although the mean score of health-promoting lifestyle was not different from other studies, further studies are proposed to plan health interventions in accordance with epidemic conditions for students. 


Author(s):  
Mehdi Amirkhani ◽  
Fatemeh Habibi ◽  
Azadeh Hakimi ◽  
Majid Najafi Kalyani ◽  
Javad Salami

Background: Identification of the role of factors such as self-esteem and self-efficacy and the investigation of their relationship among students can bring about improvement of educational planning and enhance the teaching outcome. This study aimed at investigating the relationship between self-esteem and self-efficacy among the students of medical sciences.Methods: The present study is an analytical-descriptive which was conducted as a cross-sectional study on 394 students of Fasa University of Medical Sciences in 2016. In order to collect the data two questionnaires were used namely, Coopersmith Self-Esteem Inventory (CSEI) and Rogers Self-concept Questionnaire. The data were analyzed using SPSS 22. The researchers used descriptive and inferential statistics such as t-test, chi-square one-way ANOVA, and correlation to analyze the data.Results: The mean and the standard deviation of self-esteem scores of female and male students were 38.23±6.80 and 37.51±6.67 respectively. The mean and the standard deviation of self-concept scores of female and male students were 9.49±3.53 and 9.43±4.14 respectively. The mean of self-concept scores of students of different majors had statistically significant difference with each other (0.011), whereas there was no statistically significant difference in self-esteem scores among students with different majors (0.442).Conclusions: Considering the statistically significant difference in students’ self-concept scores in different majors, it is suggested that we take right approaches to the improvement and enhancement of individuals’ self-concept and the creation of positive feedback.


2020 ◽  
Vol 13 (1) ◽  
pp. 627-633
Author(s):  
Mohammad Amiri ◽  
Ahmad Khosravi ◽  
Niloofar Aboozarzadeh ◽  
Leila Khojasteh ◽  
Zakieh Sadeghi ◽  
...  

Background: A person's lifestyle plays an important role in his health. This study aimed at determining thehealth-promoting lifestyle and its related factors among the medical students of Shahroud Islamic Azad University. Methods: In this cross-sectional study, a total of500 students of medical sciences were selected using the stratified random sampling method and they completed the health-promoting lifestyle, self-efficacy, and well-being questionnaires. The collected data were entered into SPSS 16 and were analyzed with a T-test, Chi-square, Pearson correlation coefficient, and a backward regression model. Results: The mean age of the students was 22.25±1.45 and 65% of the participants were female. The mean scores of health-promoting lifestyle, well-being, and self-efficacy were 134.1±23.85, 14.41±5.09, and 41.67±8.05, respectively. Among the students, 32.8% had a health disorder and only 2.2% had a high self-efficacy. Well-being and self-efficacy were statistically correlated with the health-promoting lifestyle (p<0.001). The results showed that out of 17 independent variables, only 4 variables of educational level, academic year, marital status, well-being were the best predictors of health-promoting lifestyle. Conclusion: More than 90% of students had low self-efficacy and more than 30% of them did not have good well-being. Moreover, the health-promoting lifestyle of students was moderate. More attention to the above areas, such as well-being status and applying required interventions, can help to improve the situation.


2015 ◽  
Vol 16 (2) ◽  
pp. 93-96
Author(s):  
Fatema Easmin ◽  
Atiar Rahman ◽  
Nahid Sultana ◽  
Md Mazharul Hoque ◽  
Kashfia Islam ◽  
...  

Summary: Antibodies are globulins which are produced in response to an antigenicstimulation. The antibody that activates complement leading to cell lysis is calledhemolysin antibody. Group “O’ donor’s plasma may contain potent anti A or anti-B, capable of reacting with the red cells ofgroup A, B or AB recipent and sometimescause a severe transfusion reaction. The anitbodies may take the form of high titre agglutinins or hemolysins. Patient’s blood group A, B or AB receiving “O” blood groupwith a high titre IgG anti-A or anti-B reacting at 37°C may experience a moderatetransfusion reaction resulting jaundice and progressive anaemia. Immune anti-A and anti- B are sometimes responsible for transfusion reaction.Objective: To find out the haemolysintitre of “O” blood group female donor.Methods: This cross sectional study was done on 100 cases of “O’ blood group female inchild bearing age and 100 adult male was selected as control, in transfusion medicine department, BSMMU from June 2008 to May 2009. Detailed demographic and clinical findings of all subject were recorded in data collection sheet,all analysis was done using SPSS (statistical package for social science)Result: The mean age differences was found statistically significant (P<0.5) between female & male, 81(81.0%) had Rh + ve & 19% had in negative female subject. 94% hadhaemolytic test positive in female and 8% had haemolysin test positive in male subject.The mean haemolysin antibody with A cell was 2.13 ± 12.3 and with B cell was16.5±8.15.Conclusion: It is important to avoid transfusion of blood containing high titres ofimmune anti A and anti B antibodies to non O group recipients, strongly heamolytic samples have high titres of IgG, a simple screen for donor heamolysin is suggested which can decrease the risk of transfusion if platelets/plasma from donors with minor incompatibbility are used.J MEDICINE July 2015; 16 (2) : 93-96


2016 ◽  
Vol 9 (5) ◽  
pp. 85
Author(s):  
Masoumeh Shohani ◽  
Firoz Balavandi ◽  
Reza Valizadeh ◽  
Hamed Tavan

<p><strong>BACKGROUND</strong><strong>: </strong>The Health Reform Plan is one of the greatest state services in Iran. However, this plan has its own weaknesses and strengths. This study was conducted with the purpose of determining strengths and weaknesses of the Health Reform Plan from nurses' perspective.</p><p><strong>METHODS: </strong>This is a cross-sectional study in which 100 nurses who work in clinical education centers on Ilam participated. The data collection tool was a questionnaire which consisted of 12 items regarding the strengths of the Health Reform Plan and 18 items about the plan's weaknesses on a six-option Lickert scale. Data analysis was carried out using SPSS V. 19 and applying descriptive and inferential statistics.</p><p><strong>RESULTS:</strong> The mean score for weaknesses was 79.94 and the mean score for strengths was 52.49. There was a significant statistical relationship between the variable of age and the strengths (P=0.015).</p><p><strong>CONCLUSION: </strong>If we manage to increase strengths and reduce weakness of the Health Reform Movement, we can be hopeful that this great plan will be administered more efficiently at a national level. It is suggested that future studies be conducted about individuals' perspectives in other occupations in the field of medical sciences working in different medical communities and hospitals in Iran and the results be compared.</p>


2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Mehdi Mirzaei-Alavijeh ◽  
Cyrus Jalili ◽  
Habibolah Khazaie ◽  
Saba Shahsavari ◽  
Negar Karimi ◽  
...  

Background: Motivation is defined as the development of an individual’s desire to succeed and participate in the activities in which success depends on personal effort and ability. Objectives: The present study aimed to evaluate the status of achievement motivation in university students. Methods: This cross-sectional study was conducted on 182 medical, dentistry, and pharmacology students at Kermanshah University of Medical Sciences (KUMS), Iran in 2018. The participants were selected via simple random sampling with a probability appropriate to the selected sample size. Data were collected using a self-report questionnaire. Data analysis was performed in SPSS version 16 using chi-square and t-test at the significance level of 95%. Results: The mean age of the participants was 21.14 ± 1.68 years (age range: 19 - 25 years). The mean score of achievement motivation was 77.64 ± 7.35, which indicated that the participants obtained 66.93% of the maximum score. In addition, 89.5% and 10.5% of the students had moderate and favorable achievement motivation, respectively. Achievement motivation was significantly correlated with age (P = 0.031), male gender (P = 0.022), and maternal education level (P = 0.018). Conclusions: According to the results, the achievement motivation of the majority of the KUMS students was moderate. Therefore, proper planning is required to improve the achievement motivation of these students.


2020 ◽  
Vol 32 (4) ◽  
pp. 643-646
Author(s):  
Saurabh Kashyap ◽  
Mohammad Suhail Khan ◽  
Anas Ahmad Khan ◽  
M Z Idris ◽  
Ausaf Ahmad ◽  
...  

Background: The prevalence of hypothyroidism is reported in 4%–5% of population in the developed world, while in Indian population it is reported in around one in ten adults. Aims & Objectives: This study was conducted to determine the prevalence of hypothyroidism in Indian patients with T2DM and hypertension. Material and methods: In this cross-sectional observational study, amongst adults who were aged 18 years and above and diagnosed T2DM, HTN, and T2DM + HTN who resided in the field practice areas of the Urban Health Training Centre of the Department of Community Medicine, Integral institute of medical sciences and research, Lucknow, India. The results were summarized by descriptive statistics. Results: Out of 300 persons questioned, 159 (53.0%) were females and 141 (47.0%) were males. It was found that the mean age of the overall population was 53.1±11.3 years, mean and standard deviation of thyroid function and glycemic indicators test, observed that the levels of fT3, fT4, TSH, and glycemic indicators like FPG, PPG and HbA1c were identical. Conclusion: Subclinical hypothyroid subjects should be regularly screened for HTN. Elderly patients had higher proportion of thyroid dysfunction.


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