Mohsen Aarabi - Academia.edu (original) (raw)

Papers by Mohsen Aarabi

GMS Hygiene and Infection Control, Dec 10, 2020

Introduction: Treatment default is one of the main challenges in tuberculosis (TB) control and is... more Introduction: Treatment default is one of the main challenges in tuberculosis (TB) control and is considered a major barrier to achieving the Mahdi Afshari 1 Mohsen Aarabi 2 sustainable development goals (SDG). Identifying the factors associated Mohammadreza Parsaee 3 with this outcome can help us provide appropriate strategies for decision making. This study investigates the determining factors of treatment default among TB patients.

علوم بهداشتی ایران, Aug 19, 2018

Background and purpose: The prevalence of type 1 diabetes in all countries throughout the world i... more Background and purpose: 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.

The prevalence of asthma is inconsistent in different countries and even in regions of a country.... more The prevalence of asthma is inconsistent in different countries and even in regions of a country. Awareness of this prevalence has favorable impacts on health care system planning. The aim of this literature review and meta-analysis was to estimate the prevalence of pediatric asthma in the Islamic Republic of Iran during two recent decades. A search was done in national (SID, Magiran, Irandoc, Iranmedex) and international databases (PubMed and Google Scholar) to find articles which evaluated asthma prevalence in pediatrics and adolescences, using the international study of asthma and allergies in children written questionnaire. Twenty eight articles between 1992 and 2012 with a total of 96822 participants were found. 'Asthma ever' prevalence was 2.7% (95% CI: 1.9 to 3.6) and 3.5% (95% CI: 2.6 to 4.6) in children aged 6-7 and 13-14 years, respectively. 'Wheezing in the past 12 months' were 7.6% (5.6 to 9.8) and 10.7% (95%CI: 8.9 to 12.7) in children aged 6-7 and 13-14 years, respectively. The prevalence of asthma had an increasing trend during the last two decades, therefore, the health care system should be alarmed for more meticulous planning and evaluation to control and prevent asthma.

European journal of cardiovascular prevention & rehabilitation, Apr 1, 2007

Aims To determine the prevalence of subjects eligible for primary and secondary prevention of cor... more Aims To determine the prevalence of subjects eligible for primary and secondary prevention of coronary heart disease (CHD) among the British South Asian population and to compare that with British Caucasians. Methods and results We used the Health Survey for England 1998 and 1999 datasets, holding data on 9950 Caucasians and 1938 South Asians. Thresholds for treatment were a total cholesterol > 3.5 mmol/l and either a history of cardiovascular disease or elevated estimated CHD risk, adjusted where necessary for ethnic differences. Separate analyses were performed for primary prevention risk thresholds of > 15% and > 30% over 10 years. The prevalence of previous myocardial infarction, angina, or stroke was higher in South Asian men than in Caucasian but the reverse was seen in women. More than 93% [95% confidence interval (CI) 88-97] of South Asian men and nearly 68% (95% CI 66-71) of Caucasian men older than 55 years have a CHD risk greater than 15% (equivalent to cardiovascular risk of 20%) and a cholesterol above 3.5 mmol/l and would be eligible for treatment with lipid-lowering drugs. The equivalent proportions in women are 55% (95% CI 46-65) and 18% (95% CI 16-20) in South Asians and Caucasians, respectively. Conclusion Treating this proportion of the population will have a societal impact, the majority of older people becoming patients, and although it may well be cost-effective for individuals, it will require substantial new resources.

DOAJ (DOAJ: Directory of Open Access Journals), 2016

Background: In recent years, epidemiologic and laboratory studies have implied that vitamin D def... more Background: In recent years, epidemiologic and laboratory studies have implied that vitamin D deficiency has a role in the pathogenesis of breast cancer. It has shown that vitamin D can prevent tumor progression induced by carcinogens and inhibit the carcinogenic effects of high fat diet on breast tissue and growth of tumor cells. This study aimed to evaluate serum 25-hydroxyvitamin D level and its role in relation to tumor characteristics and different stages of disease in women with breast cancer. Subject and Methods: This is a cross-sectional study on 200 patients with breast cancer at different stages of the disease. Information on age, menstrual status, BMI and tumor characteristics were recorded. Serum 25-hydroxy vitamin D concentrations were measured by radioimmunoassay (RIA). Mean and standard deviation were used to describe the data. Meanwhile, T-test and sum of squares test were used to analyze the data. P<0.05 was considered significant. Results: Among 200 patients, 47 (23.5%) had severe vitamin D deficiency, 75 (37.5 %) had mild vitamin D deficiency and 78 (39.0 %) had sufficient vitamin D levels. There was a significant correlation between low vitamin D levels and advanced stage of breast cancer, particularly in postmenopausal patients. Conclusion: It seems that lower levels of vitamin D accompany worse clinicopathologic features. Thus, treatment of vitamin D deficiency in postmenopausal patients might be of great benefits.

Scientifica, 2016

Background. The sequential organ failure assessment (SOFA) score has been recommended to triage c... more Background. The sequential organ failure assessment (SOFA) score has been recommended to triage critically ill patients in the intensive care unit (ICU). This study aimed to compare the performance of our proposed MSOFA and original SOFA scores in predicting ICU mortality. Methods. This prospective observational study was conducted on 250 patients admitted to the ICU. Both tools scores were calculated at the beginning, 24 hours of ICU admission, and 48 hours of ICU admission. Diagnostic odds ratio and receiver operating characteristic (ROC) curve were used to compare the two scores. Results. MSOFA and SOFA predicted mortality similarly with an area under the ROC curve of 0.837, 0.992, and 0.977 for MSOFA 1, MSOFA 2, and MSOFA 3, respectively, and 0.857, 0.988, and 0.988 for SOFA 1, SOFA 2, and SOFA 3, respectively. The sensitivity and specificity of MSOFA 1 in cutoff point 8 were 82.9% and 68.4%, respectively, MSOFA 2 in cutoff point 9.5 were 94.7% and 97.1%, respectively, and MSOFA 3 in cutoff point of 9.3 were 97.4% and 93.1%, respectively. There was a significant positive correlation between the MSOFA 1 and the SOFA 1 (: 0.942), 24 hours (: 0.972), and 48 hours (: 0.960). Conclusion. The proposed MSOFA and the SOFA scores had high diagnostic accuracy, sensitivity, and specificity for predicting mortality.

Acta Tropica, May 1, 2016

Highlights  This is the first report of association and affinity indices between populations of ... more Highlights  This is the first report of association and affinity indices between populations of mosquito larvae in north of Iran.  Predominant species were Cx. pipiens and An. maculipennis s.l. which show the highest co-occurrence.  This is the first record of Cx. torrentium and Cs. morsitans in Mazandaran Province. It should be noted that this is the second report of occurrence of Cs. morsitans in Iran.  The pair of species An. hyrcanus/ An. pseudopictus showed significant affinity and association.

BMC Pregnancy and Childbirth, Jun 3, 2016

Background: Results of previous studies on the association between maternal haemoglobin concentra... more Background: Results of previous studies on the association between maternal haemoglobin concentration during pregnancy and stillbirth risk are inconclusive. It is not clear if haemoglobin concentration before pregnancy has a role. Using prospectively collected information from pre-pregnancy and antenatal visits, we investigated associations of maternal haemoglobin concentrations before and during pregnancy and haemoglobin dilution with stillbirth risk. Methods: In a population-based case-control study from rural Golestan, a province in northern Iran, we identified 495 stillbirths (cases) and randomly selected 2,888 control live births among antenatal health-care visits between 2007 and 2009. Using logistic regression, we estimated associations of maternal haemoglobin concentrations, haemoglobin dilution at different stages of pregnancy, with stillbirth risk. Results: Compared with normal maternal haemoglobin concentration (110-120 g/l) at the end of the second trimester, high maternal haemoglobin concentration (≥140 g/l) was associated with a more than twofold increased stillbirth risk (OR = 2.31, 95 % CI [1.30-4.10]), while low maternal haemoglobin concentration (<110 g/l) was associated with a 37 % reduction in stillbirth risk. Haemoglobin concentration before pregnancy was not associated with stillbirth risk. Decreased haemoglobin concentration, as measured during pregnancy (OR = 0.61, 95 % CI [0.46, 0.80]), or only during the second trimester (OR = 0.75, 95 % CI [0.62, 0.90]), were associated with reduced stillbirth risk. The associations were essentially similar for preterm and term stillbirths. Conclusions: Haemoglobin concentration before pregnancy is not associated with stillbirth risk. High haemoglobin level and absence of haemoglobin dilution during pregnancy could be considered as indicators of a high-risk pregnancy.

Lung India, 2019

Background: Chronic obstructive pulmonary disease (COPD) is a global health burden that affects 3... more Background: Chronic obstructive pulmonary disease (COPD) is a global health burden that affects 300 million people worldwide. Globally, COPD was reported as the fourth leading cause of death in 2004 and is projected to occupy the third position in 2030. The goal of the present project is to describe the prevalence and determine the causes and risk factors of COPD in five provinces of Iran. Methods: This study followed a stratified cluster sampling strategy with proportional allocation within strata. The target population is all noninstitutionalized inhabitants, aged 18 and over, who inhabit in different provinces in Iran in the year 2017. The stratification of the sample according to the 31 provinces of Iran is incorporated in the sampling process. The core questionnaire was developed from preexisting validated questionnaires. The single most important outcome measure obtained as part of this protocol was spirometry before and after the administration of 200 mg (two puffs) of salbutamol. Results: The most commonly reported respiratory symptoms were as follows: wheezing (N=217, 20.4%, 95% confidence interval [CI]: 18%–22.8%), sputum production (N=173, 16.5%, 95% CI: 14.3%–18.8%), and dyspnea (N=131, 12.3%, 95% CI: 10.3%–14.3%). The overall COPD prevalence defined by the postbronchodilator spirometric Global Initiative for Chronic Obstructive Lung Disease criteria was 4.9%, higher in men (6.4%) than in women (3.9%). The prevalence of COPD was strongly dependent on smoking status, age, and sex. Conclusion: COPD is considered a preventable disease, and avoidance of exposure to major risk factors can prevent the vast majority of cases. The present study findings add to the literature on the prevalence of COPD in Iran and will help policy-makers, specialists, and all stakeholders to strategize and evaluate medical services required for reducing the prevalence of respiratory diseases. The data from our present study will serve as baseline information for future national and regional studies of COPD.

Epidemiology and Health, Jun 20, 2013

We aimed to investigate factors associated with colorectal cancer survival in Golestan, Iran. MET... more We aimed to investigate factors associated with colorectal cancer survival in Golestan, Iran. METHODS: We used a population based cancer registry to recruit study subjects. All patients registered since 2004 were contacted and data were collected using structured questionnaires and trained interviewers. All the existing evidences to determine the stage of the cancer were also collected. The time from first diagnosis to death was compared in patients according to their stage of cancer using the Kaplan-Meir method. A Cox proportional hazard model was built to examine their survival experience by taking into account other covariates. RESULTS: Out of a total of 345 subjects, 227 were traced. Median age of the subjects was 54 and more than 42% were under 50 years old. We found 132 deaths among these patients, 5 of which were non-colorectal related deaths. The median survival time for the entire cohort was 3.56 years. A borderline significant difference in survival experience was detected for ethnicity (log rank test, p= 0.053). Using Cox proportional hazard modeling, only cancer stage remained significantly associated with time of death in the final model. CONCLUSIONS: Colorectal cancer occurs at a younger age among people living in Golestan province. A very young age at presentation and what appears to be a high proportion of patients presenting with late stage in this area suggest this population might benefit substantially from early diagnoses by introducing age adapted screening programs.

European journal of cardiovascular prevention & rehabilitation, Feb 1, 2005

Background Although people of South Asian descent appear to be at increased risk of cardiovascula... more Background Although people of South Asian descent appear to be at increased risk of cardiovascular disease (CVD) compared to the general population there is no validated tool for predicting risk in this group. Design This study was based on an analysis of data from the Health Survey for England (HSE) 1998 and 1999 to identify a simple method for adjusting the Framingham equation to estimate coronary risk in South Asians which could be then applied to existing simple paper-based tools. Methods The different adjustments investigated were fixed increments to the age, total cholesterol (TC). and TC: high density lipoprotein (HDL) cholesterol ratio and multipliers for the TC: HDL cholesterol ratio. Framlnqham risk modified according to a factor derived from an earlier overview of prospective studies was used as a standard to estimate sensitivity and specificity of adjustment methods. The receiver-operating characteristic (ROC) plot was used to compare the different adjustments in the primary role of identifying individuals above or below a given risk threshold. Results All adjustment methods produced a graded monotonic increase of coronary risk in 4497 eligible subjects from the HSE 1998 dataset. Multiplying TC: HDL cholesterol ratio gave the largest area under the ROC curve. However adding 10 years to the age of South Asian people was the simplest way of calculating coronary heart disease risk using paper-based methods and still provided acceptable accuracy. Conclusion Our result should be used to achieve the systematic evaluation of each individual for primary prevention of CHD in South Asians in primary care.

Asian Pacific Journal of Tropical Medicine, Feb 1, 2015

Journal of nursing and midwifery sciences, 2022

Many couples' problems are related to failure a successful relationship. Aim: The aim of ... more Many couples' problems are related to failure a successful relationship. Aim: The aim of this study was to investigate the demand/withdraw communication pattern and its related factors between couples. Setting and Design: This cross-sectional study was performed on couples in Sari, Iran, 2018. Materials and Methods: This study was performed on 260 couples living in Sari who were selected through cluster sampling. Data were collected using a social-medical questionnaire, NEO Personality Inventory, General Health Questionnaire, Enrich couple scale, and couples Communication Patterns Questionnaire (CPQ). Statistical Analysis Used: For data analysis, we used descriptive (mean standard deviation [SD]) and frequency and inferential statistics (simple and multiple regression model). Results: The mean (SD) of women's age was 34.08 (7.71) years, whereas the mean (SD)and of men's age was 39.13 (9.18) years. Furthermore, 34.2% of women and 38.8% of men used the demand/withdraw communication pattern. The results of regression showed that the variables of flexibility (P = 0.036), conscientiousness (P = 0.011), and satisfaction of socioeconomic status (P = 0.038) were positively and current pregnancy (P = 0.005) and female marriage age (P = 0.019) were had negatively correlated with demand/ withdraw communication pattern in both women and men Conclusion: According to the results, there was a relationship between couples' demand/withdraw communication pattern and demographic characteristics, marital satisfaction, and personality traits. Therefore, it is recommended that the factors related to couples' communication patterns to provide a solution to promote these patterns toward constructive communication pattern and take effective steps toward preventing marital conflicts for establishing a more efficient relationship.

DOAJ (DOAJ: Directory of Open Access Journals), Jun 1, 2013

Background and purpose: The basic responsibility of nurses is to maintain patient safety includin... more Background and purpose: The basic responsibility of nurses is to maintain patient safety including notifying patients and colleagues about risk and risk reduction methods, supporting the patient safety and reporting events to a responsible person. Without creating a safety culture in all health facilities a sustainable development in the patient care do not occur. This study aims to determine the patient safety culture in teaching hospitals in Gorgan. Materials and methods: In this cross-sectional study, a target group includes nurses at 5 Azar, Taleghani and Deziani Hospitals in Gorgan in 2011. The study population included 348 nurses in these hospitals. The data collection instrument was a questionnaire with 43 questions. Statistical tests were ANOVA and T-Test. Results: Twenty four percent of nurses believed patient safety culture is weak, 46.8% of them, moderate and 30.7% good. The weakest dimension was non-punitive response to error and strongest dimension was organizational education. Statistic test showed significant relationship between patient safety culture and experience (p= 0.021), employment status (p= 0.001), hospital (p= 0.001), ward (p= 0.003). Conclusion: The status of the patient safety culture was related moderate from the nurses' view point but it is necessary it improved in dimensions of the non-punitive response and the staff workload to note that it is highly recommended to take some actions in this regard.

Research Square (Research Square), May 15, 2020

Background : hepatitis B virus (HBV) and C virus (HCV) are among the leading causes of mortality ... more Background : hepatitis B virus (HBV) and C virus (HCV) are among the leading causes of mortality worldwide. Health care personnel (HCP) are subjected to increased risk of these infections. Therefore, HBV vaccination and post-vaccination serologic testing (PVST) are recommended for them. Objectives: study was designed to investigate how well the vaccination guidelines for hospital HCP s were implemented. Moreover, the prevalence rates of HBV and HCV infections were calculated. To determine the presence of immunological memory, vaccinated personnel negative to antibody against HB surface antigen with one dose of HB vaccine were boosted. Methods: from 1 July to 30 November 2017, a cross-Sectional study among HCPs working in public hospitals were conducted. All HCPs from various professional categories potentially at risk of exposure to contaminated sources were included. The information was gathered via interview and selfadministered questionnaire. The questions were focused on the demographic characteristics, HB vaccination and immunity status and time elapsed since initial vaccination series, and frequency of needelstick injuries during the past 12 months of their work. HBV seromarkers received a booster

Sudan journal of medical sciences, Mar 31, 2021

Background: Given the effect of various factors on the use of communication patterns by couples, ... more Background: Given the effect of various factors on the use of communication patterns by couples, this study aimed to determine the most common communication pattern among couples and related factors in Sari, northern Iran. Methods: This cross-sectional study was performed on 520 people (260 couples) in Sari. Data were collected using a demographic-fertility factors questionnaire, Enrich couple scale, communication patterns questionnaire, general health questionnaire (GHQ-28), and NEO personality inventory. Data analysis was performed in SPSS version 25 using descriptive and inferential statistics (multiple regression model). Results: While the mean (standard deviation) age of women included in the study was 34.08 (7.71) years, the mean age of men was 39.13 (9.18) years. The most common communication patterns in both women and men was the mutual constructive communication, whereas the lowest frequent communication pattern was the demand/withdraw communication in both men and women. Marital satisfaction had a significant positive correlation with mutual constructive communication pattern in women and men (P = 0.001). In addition, a significant inverse correlation was observed between the number of marriage to date, women's age, and spouses' demand/withdraw communication pattern with mutual constructive communication pattern in women. Also, a significant inverse correlation was observed between flexibility (P = 0.047), number of marriages (P = 0.013), and the wives' age (P = 0.005) with mutual constructive communication pattern in men. Conclusion: According to the results of the study, it is necessary to recognize the factors related to couples' communication patterns in order to improve the communication patterns so that marital conflicts could be avoided while a more effective communication is established.

Tropical Biomedicine, Sep 1, 2016

Rhipicephalus bursa is a two-host ixodid tick with wide distribution in north of Iran especially ... more Rhipicephalus bursa is a two-host ixodid tick with wide distribution in north of Iran especially in Mazandaran province. Acaricide treatment is the main tick control measure; however, acaricide resistance occurs in hard ticks in many areas of the world including Iran. Comprehensive information on susceptibility status of Rhipicephalus bursa is lacking, therefore, this study is undertaken to determine the susceptibility status of the species to pyrethroid acaricides and probable biochemical underlying mechanisms of resistance. From May 2013 to March 2014, engorged females Rhipicephalus bursa were collected using standard entomological procedures from body surface of sheep, goat and cattle in different areas of Mazandaran province, northern Iran. Eleven and ten pooled tick populations were tested against cypermethrin and lambda-cyhalothrin, respectively using larval packet test. Population SC-16 showed a maximum resistance ratio of 5.79 against cypermethrin in Sari County when compared to the most susceptible population NH-16 and 63.64% of tick populations were resistant at LC99 level. With lambda-cyhalothrin, 30% of the tick populations were resistant with low level and NK-2 was the most resistant population with resistance ratio of 4.32 in Nowshahr County. The results of biochemical assays demonstrated elevated levels of monooxygenases, glutathione S-transferases and esterases in pyrethroid resistant populations tested.

Journal of Mazandaran University of Medical Sciences, Oct 10, 2019

Background and purpose: Couples' communication patterns is of great importance in resolving marit... more Background and purpose: Couples' communication patterns is of great importance in resolving marital conflicts. These patterns include mutual constructive communication, mutual avoidance communication, and demand-withdrawal communication. The present study aimed at investigating the factors associated with Iranian couples' communication patterns. Materials and methods: A scoping review was performed at five stages; 1-designing the research question 2-searching and extracting research studies 3-selecting relevant studies 4-organizing and summarizing the information, 5. reporting the results. Results: In this scoping review, 18 articles were selected from 130 studies. The factors affecting couples' communication patterns were classified into four categories: 1-spiritual well-being and spirituality, 2-marital and sexual satisfaction, 3-marital compatibility, and 4-love styles. Conclusion: Some factors, including spiritual well-being and spirituality, marital satisfaction and sexual satisfaction, marital compatibility, and love styles were found to affect couples' communication patterns. Seemingly providing ways to enhance couples' communication patterns towards a mutual constructive pattern is necessary to prevent marital problems and conflicts, and experiencing effective and efficient relationships.

Iranian Journal of Neurosurgery

Background and Aim: Modic changes are alterations in the spine endplates and subchondral bone sho... more Background and Aim: Modic changes are alterations in the spine endplates and subchondral bone shock absorption, seen by magnetic resonance imaging (MRI). No studies have investigated the effect of vitamin D and alendronate as oral drugs on reducing and modifying Modic changes after degenerative spine fusion surgery. This study aimed to evaluate the efficacy of oral vitamin D and alendronate administration in patients with low back pain, and Modic changes undergoing lumbar fusion surgery. Methods and Materials/Patients: A total of 81 middle age women with a normal range of serum vitamin d were enrolled in three groups who underwent lumbar fusion surgery according to neurosurgical criteria. Group 1 (n=27) received additional oral alendronate, group 2 (n=27) received oral vitamin D for six months postoperatively, and group 3 (n=27) received no drug (except simple analgesics and antibiotics). The patients were followed up with a visual analog scale (VAS) and Oswestry disability index (O...

Journal of Mazandaran University of Medical Sciences, 2016

Background and purpose: Crimean-Congo Hemorrhagic Fever (CCHF) is a tick-borne viral disease. In ... more Background and purpose: Crimean-Congo Hemorrhagic Fever (CCHF) is a tick-borne viral disease. In Iran human cases of the disease were reported in some regions including Nur County (Mazandaran Province, northern Iran). Therefore, this study investigated high risk behavior of people involved in meat industry and animal husbandry in different districts of Nur County. Materials and methods: A cross-sectional questionnaire-based study was conducted in 314 livestock and meat industry workers including shepherds and animal keepers, butchers, slaughters, chefs, veterinary physicians and veterinary staff to monitor their high risk behaviors regarding CCHF from July to December 2012 in Nur County. Statistical analyses were performed using Chi-square and binary regression test at 0.05 significance level. Results: Two hundred eighty nine individuals were interviewed and filled out the questionnaire with an average age of 43.7 ± 14.4 of whom 84.4% were male. Odds ratio (OR) of high risk practice...