Jafar Hassanzadeh; Zahra Maleki; Arefe Abedinzade; Mohebat Vali
Abstract
Background: The rapid response of governments to overcome COVID-19 is increasingly important. In this study, we investigated the epidemiological changes of Covid-19 and the vaccination status of this disease in the Eastern Mediterranean Region (EMRO).Methods: This research is a descriptive ecologic study. ...
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Background: The rapid response of governments to overcome COVID-19 is increasingly important. In this study, we investigated the epidemiological changes of Covid-19 and the vaccination status of this disease in the Eastern Mediterranean Region (EMRO).Methods: This research is a descriptive ecologic study. Data on vaccination status in the EMRO region were collected and Also the daily cases, daily COVID-19 mortality, the total number of deaths, and cases from January 3, 2020, to June 13, 2022.Results: Iran had the highest number of known cases and deaths, while Bahrain and Tanzania had the highest cumulative rates of cases and deaths, respectively. The highest average monthly incidence rate changes were observed in Iraq, with 41.74%. Iran had the highest average monthly death rate changes with 25.75% and the highest number of known cases and deaths.The United Arab Emirates had the highest total vaccinations per 100 individuals and the highest percentage of persons fully vaccinated.Conclusion: It appears that cooperation among countries in the region regarding vaccination can lead to a decline in the disease and ultimately control its spread. Furthermore, there is a noticeable decrease in the percentage of monthly changes after the start of vaccination in the EMRO countries. The gradual increase in some countries during the last segment highlights the importance of booster vaccinations.
Fatemeh Jafari; Sepideh Mohseni Heidari; Layla Shojaie; Mohebat Vali; Fatemeh Jahani; Seyed-Mostaffa Mirzad; Hossein-Ali Nikbakht; Soheil Hassanipour Azgomi; Mousa Ghelichi- Ghojogh; Haleh Ghaem
Abstract
Background: Successful treatment of breast cancer (BC) depends on its early detection, which has a significant role in reducing its mortality. The purpose of this study was to evaluate the services provided and the results in women referred to Babol Health Center Breast Cancer Screening Clinic.Methods: ...
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Background: Successful treatment of breast cancer (BC) depends on its early detection, which has a significant role in reducing its mortality. The purpose of this study was to evaluate the services provided and the results in women referred to Babol Health Center Breast Cancer Screening Clinic.Methods: This cross-sectional study was performed on 1421 individuals. Data were collected using a questionnaire, including demographic information, health history, and screening questions. Initial examinations were performed by midwives at the centers, and suspected or family history cases were referred to counseling centers and then to a physician for mammography. All follow-up was recorded by an expert in the center.Results: The mean age of the subjects was 46.19±8.84 years, and that at first delivery was 21.08±4.38; 93 (6.5%) of them had a history of infertility and 253 (17.8%) had a family history of BC. Of those who did a clinical examination, mammography and ultrasound, 580 (40.9%), 171 (12%), and 441 (31.1%) had BIRADS above two, respectively, and 12 of those who performed biopsy had a positive mass result. Among the other variables studied, history of benign tumor (OR=2.86, P<0.001) and changes in breast skin (OR=2.96, P=0.021) and change in the breast size (OR=2.92, P. value=0.020). ) was observed in predicting effective mammography. In the random forest chart, the history of benign tumors showed 20.34% of mammographic predictions. Breast self-examination with 12.06% and then hormonal drugs with 10.45% were in the second and third ranks.Conclusion: Using two methods of clinical examination and mammography will identify most people in stage 2 who have a good prognosis. Given the proper functioning of the center, it is suggested that more extensive screening should be done to reduce the prevalence and costs of treatment.
Mohebat Vali; Alireza Mirahmadizadeh; Zahra Maleki; Sima Afrashteh; Arefe Abedinzade; Farzaneh Kasraei; Haleh Ghaem
Abstract
Background: Coronavirus is among the pathogens that primarily target the respiratory system. Given the importance of Health Care Workers (HCWs) in the fight against COVID-19, their infection with the virus and death can cause irreparable damage to public health. The present systematic review and meta-analysis ...
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Background: Coronavirus is among the pathogens that primarily target the respiratory system. Given the importance of Health Care Workers (HCWs) in the fight against COVID-19, their infection with the virus and death can cause irreparable damage to public health. The present systematic review and meta-analysis aimed to investigate the physical and psychological implications of COVID-19 among HCWs. Methods: In this systematic review and meta-analysis, some well-known databases were searched for the studies published before 26 June 2020 using the following search strategy: “Novel coronavirus pneumonia”, “Nurses”, “Physicians”, “Medical Staff, Hospital”, “Health Personnel”, and “Community Health Workers”. Finally, 101 out of the 2234 primary screened articles were assessed. Results: Of the total studies included, 54 were related to Physical problems, and 47 were related to Psychosocial Stress. Skin damage (54.48%), Nasal bridge (58.79%), and Dryness tightness (58.57%) were the most common Physical Problems, and Insomnia (32.03%) and Distress (29.34%) were the most common psychosocial problems among HCWs. Conclusion: Training and awareness of the treatment staff about the unwanted side effects of these diseases should be considered in educational programs in different countries because patient care depends on their availability.
Mohebat Vali; Alireza Mirahmadizadeh; Zahra Maleki; Fatemeh Goudarzi; Arefe Abedinzade; Haleh Ghaem
Abstract
Backgrounds: Given the novelty of COVID-19, reviewing diagnostic methods can be of great help to community health policymakers. Considering the importance of diagnosing COVID-19 and the need for reducing the number of false positive and false negative cases that appear to be different in various ...
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Backgrounds: Given the novelty of COVID-19, reviewing diagnostic methods can be of great help to community health policymakers. Considering the importance of diagnosing COVID-19 and the need for reducing the number of false positive and false negative cases that appear to be different in various diagnostic methods, this systematic review aimed at comparison of PCR test accuracy with laboratory data and CT SCAN in COVID-19.
Methods: In this systematic review, EMBASE (Elsevier, 2018), MEDLINE (National Library of
Medicine, 2018), Scopus, ProQuest, Web of Science (Clarivate Analytics, 2018b), and Google Scholar
data bases were searched for the studies published prior to 3 April 2020. Based on the inclusion criteria, 20 out of 859 primarily screened studies were finally assessed.
Results: The results indicated that the laboratory diagnosis of viral nucleic acid could have false-negative results, and serological testing of virus-specific IgG and IgM antibodies should be used as an option for diagnosis. Moreover, chest Computerized Tomography (CT) was found to be more sensitive in comparison toReverse Transcription Polymerase Chain Reaction (RT-PCR) (98% vs. 71%). Hence, the articles offered the combined use of chest CT, SARS-CoV-2 RT-PCR, and multi-plex PCR.
Conclusions: Follow-up RT-PCR and chest CT are necessary in COVID-19. In addition, serological testing of virus-specific IgG and IgM antibodies along with laboratory diagnosis of viral nucleic acid can lead to the highly sensitive and accurate diagnosis. Moreover, Enzyme-Linked Immunosorbent Assay (ELISA) is one of the cost-effective methods in epidemic conditions in low- and middle-income countries.
Mohebat Vali; Alireza Mirahmadizadeh; Zahra Maleki; Fatemeh Goudarzi; Arefe Abedinzade; Haleh Ghaem
Abstract
Background: The new Corona virus disease (COVID-19) appeared in Wuhan, China in December 2019. Methods, such as quarantine, isolation, and social distancing, if implemented properly, can help prevent the transmission of the disease. This study aimed to examine the effects of quarantine, isolation, and ...
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Background: The new Corona virus disease (COVID-19) appeared in Wuhan, China in December 2019. Methods, such as quarantine, isolation, and social distancing, if implemented properly, can help prevent the transmission of the disease. This study aimed to examine the effects of quarantine, isolation, and social distancing on the prevention of COVID-19.
Methods: In this systematic review, EMBASE (Elsevier, 2018), MEDLINE (National Library of Medicine, 2018), Scopus, ProQuest, Web of Science (Clarivate Analytics, 2018b), and Google Scholar databases were searched for the studies published prior to 10 April 2020. The search and data extraction were conducted by two authors and to check and control the quality of the articles, we used the Newcastle-Ottawa checklist.
Results: Based on the inclusion criteria, 24 out of the 768 primarily screened studies were finally assessed.
Studies showed that the short-term negative psychological effects of quarantine included frustration, boredom, anger, and confusion. Nonetheless, extending the adult quarantine period to 18-21 days could be effective in preventing the spread of the virus and controlling the disease. Moreover, the decision to control the people’s travels through restrictions on freedom of movement must be balanced regarding the estimated epidemiological impact and the expected economic outcome.
Conclusions: Although isolation, quarantine, and social distancing all have challenges, they are very useful methods for controlling the disease, which can be best used by knowing their duration of implementation.
