Pardis Shojaee - Academia.edu (original) (raw)

Papers by Pardis Shojaee

International Journal of Pediatrics, Apr 1, 2014

Breastfeeding is an important principle in pediatric health. It decreases their mortality and pro... more Breastfeeding is an important principle in pediatric health. It decreases their mortality and protect them fromm diseases in the first 6-month of life. This study aimed to determined Maternal Knowledge and practice in Mashhad City about Breast-feeding in first 6-month of Infant's life. Materials and Methods: This Analytic study was conducted on 105 mothers who had a child between 6 to 12 months,and selected by the cluster sampling and simple random, completed the Knowledge and Practic questionnaire who was made by researchers. Information were analyzed by descriptive-analytical test (ANOWA,T-test,corelation) in spss software in version11.5. Results: This findings showed that 72/4% of infants have had exclusive until end of the first 6-month. breast-feeding. Average of maternal knowledge about exclusive breast-feeding was 19/818+4/545 of total score 28 and average of maternal practice was 7/106+2/338 of total score 12. Status of growth infants at 4/8% was very good and in 42/9% was good. There was a significant relationship between maternal practice about Breast-feeding and fathers' education, number of children, status of growth (P<0.05(. There was a significant relationship between maternal knowledge about Breast-feeding and area who lived there (P<0.05) and also there was a direct and positive correlation between maternal knowledg and practice (P=0.000, r=0.212). There was a significant relationship and reverse between maternal practice and age of mothers (P = 0.007, r =-0.266). Conclusion: Maternal Knowledge and practice about breast-feeding infants is moderate. Planning is essential to target groups to promote breastfeeding in the first 6-month of infant's life.

PubMed, 2018

Anogenital warts (AGW) are one of the most common venereal diseases. Psychosocial complications a... more Anogenital warts (AGW) are one of the most common venereal diseases. Psychosocial complications and quality of life (QoL) of AGW patients have been considered only in recent years. Herein, the QoL and psychopathology in patients with AGW are evaluated. In total, 37 AGW patients and 37 healthy controls were recruited in the present cross-sectional study. All participants were provided with the symptom checklist 90-R (SCL-90-R) and short-form (SF-36) questionnaires. All analyses were performed using the SPSS software, version 16.0.1 for Windows. QoL was not significantly different between the study groups (P=0.12). The data showed that mental health, general health, and social functioning were significantly decreased in AGW patients (P<0.05). In addition, AGW patients were significantly more depressed and anxious than the control group (P=0.01 and P=0.04, respectively). AGW has adverse effects on psychological and QoL elements of the infected individuals. Psychological factors should be carefully considered when treating a patient with the HPV virus; hence, referral to a psychiatrist seems mandatory in these cases.

Journal of North Khorasan University of Medical Sciences

International Journal of Pediatrics, 2014

Introduction: Chronic liver disease and cirrhosis are the most important causes of growth failure... more Introduction: Chronic liver disease and cirrhosis are the most important causes of growth failure, morbidity and mortality in children. Cirrhosis consists of a variety of congenital, genetic, metabolic, and infectious causes in children. Models for predicting of chronic liver disease severity, survival, and transplantation are useful for decision-making as well as medical interventions. The most important application of this model is to estimate the true mortality rate at a specific time. Therefore, it helps the correct selection of patients for liver transplantation. In this study, we examined the relationship between disease severity and pediatric end-stage liver disease (PELD) scoring system in children with chronic liver diseases. Materials and Methods: This cross–sectional study conducted on 106 children with chronic liver diseases from 2011 to 2012 admitted to Ghaem Hospital, Mashhad, Iran. We used the clinical files of the patients to determine PELD score and recorded all in...

International Journal of Pediatrics, 2014

Introduction: Patients with Cystic Fibrosis have increased risk of malnutrition. Early detection ... more Introduction: Patients with Cystic Fibrosis have increased risk of malnutrition. Early detection of nutritional deterioration enables prompt intervention and correction. The aims of this project were to: - Define the nutritional status of CF patients in Iran and New Zealand - Compare and contrast the MacDonald Nutritional Screening tool with the Australasian guidelines for Nutrition in Cystic Fibrosis - Validate these results in comparison with patient’s evaluation by their CF clinical team. Materials and Methods: 69 CF patients (2-18 years) were assessed during routine outpatient visits over one year. Anthropometric measurements were obtained. Both tools were applied for each patient and the results compared to their clinical evaluation (as gold standard) with calculation of specificity and sensitivity. Results: Under-nutrition was more frequent in Iranian than NZ patients (39% versus 0%, p=0.0001), whereas over-nutrition was more prevalent in NZ children (9% versus 17%, p=0...

Advanced Pharmaceutical Bulletin, 2020

Purpose: We investigated validation and optimization of ultrasound-assisted dispersive liquidliqu... more Purpose: We investigated validation and optimization of ultrasound-assisted dispersive liquidliquid microextraction (UADLLME) as a preparation method for detection of methadone in saliva samples. Methods: We used blank and methadone-containing saliva samples and also standard methadone solution. Sodium hydroxide and chloroform were added to samples and they were held in ultrasonic bath. Then preparations were centrifuged and extracted analyte was analyzed by gas chromatography-mass spectrometry (GC-MS). Accuracy was measured by Intra and between-day mean relative errors (RE). Precision was assessed by coefficient of variation (CV). Recovery, specificity, linearity and limits of detection and quantification were also determined. Optimization was conducted for ultrasound duration, pH and extraction phase volume. Efficiency of dispersive liquid-liquid microextraction (DLLME) and UADLLME were compared. Results: Intra and between-day accuracies (2.3 -7.5%), recovery (89.4-115.5%) and pre...

Iranian Journal of Pediatrics, 2020

Background: Inflammatory bowel diseases (IBD) can adversely affect children in many different way... more Background: Inflammatory bowel diseases (IBD) can adversely affect children in many different ways. Health-related quality of life (HRQOL) involves all aspects of life quality, along with physical or mental perceptions of health, which could exert an overall effect on an individual's health. The IMPACT-III questionnaire is a well-established and validated tool for evaluation of the HRQOL in children with IBD. Objectives: The objective of this work was to translate this tool into Persian so it could be utilized in Iran. Methods: In collaboration with the developer of IMPACT-III, a standardized translation and validation process was undertaken. Assessment steps included (1) translation of IMPACT-III into Persian; (2) assessment of the clarity and wording of the tool; and (3) ascertain the reliability and validity of the adapted instrument using a test-retest assessment. Patient scores were evaluated within four domains (social performance, body image, emotional and physical dimensions) and analysis undertaken with SPSS (version 16). The study was completed in Mashhad and Tehran University of Medical Sciences, Iran, between June 2014 and Jan 2015. Results: IMPACT-III total score in patients with inactive disease was significantly higher than patients with active disease (P < 0.001) consistent with better quality of life. The IMPACT-III total score did not differ according to gender or socioeconomic status (P > 0.05). Children with ulcerative colitis had higher IMPACT-III scores than the children with Crohn disease (P = 0.001). Conclusions: This study indicates convincing validity and reliability for the four-factor IMPACT-III scores regarding HRQOL in children with IBD. The Farsi version of this tool can now be utilized for clinical and research applications.

International Journal of Medical Toxicology and Forensic Medicine, 2019

Maternal mortality is a woman’s death during pregnancy or postpartum period due to direct or indi... more Maternal mortality is a woman’s death during pregnancy or postpartum period due to direct or indirect causes. Its direct causes are related to obstetrical issues. The indirect cause of it refer to an underlying disease, i.e., aggravated during pregnancy and leads to death. A routine data-based study conducted at the Legal Medicine Organization of Tehran City, Iran, the autopsy findings of maternal mortalities during April 2017-2019 were reviewed. During the study period, 53 cases were autopsied of which 29 (54.7%) and 24 (45.3%) died due to direct and indirect causes, respectively. , The prevalent direct causes of death, were bleeding (22.6%), eclampsia/preeclampsia (13.2%), and ectopic pregnancy (5.7%). Frequent indirect causes were cardiac diseases (20.7%) and nervous system and infectious diseases (both: 7.5%). This study revealed the considerable share of indirect causes in maternal mortalities in Tehran. Moreover, we outlined the importance of early detection of non-obstetrical...

Actas Dermo-Sifiliográficas (English Edition), 2019

Anogenital wart (AGW) resulting from human papilloma virus (HPV) is one of the most common sexual... more Anogenital wart (AGW) resulting from human papilloma virus (HPV) is one of the most common sexually transmitted diseases worldwide. Herein, we aimed to evaluate the effects of AGW on patients'marital satisfaction and sexual function. This cross-sectional study was consisted of 74 consecutive patients including 37 patients with AGW and 37 healthy controls. ENRICH Marital Satisfaction Scale and Arizona Sexual Experience Scale were completed and analyzed for all patients. ENRICH scale items were not significantly different between the two groups. Sexual function was found to be lower in female than male patients (P < .001). According to our findings marital satisfaction was not affected by AGW. However, a history of previous treatment for HPV decreased the marital satisfaction. In addition, AGW had more adverse effects on females' sexual function compared to males. Our findings suggest that the psychiatric treatments should be considered when managing an AGW patient.

Actas Dermo-Sifiliográficas, 2019

Anogenital wart (AGW) resulting from human papilloma virus (HPV) is one of the most common sexual... more Anogenital wart (AGW) resulting from human papilloma virus (HPV) is one of the most common sexually transmitted diseases worldwide. Herein, we aimed to evaluate the effects of AGW on patients'marital satisfaction and sexual function. This cross-sectional study was consisted of 74 consecutive patients including 37 patients with AGW and 37 healthy controls. ENRICH Marital Satisfaction Scale and Arizona Sexual Experience Scale were completed and analyzed for all patients. ENRICH scale items were not significantly different between the two groups. Sexual function was found to be lower in female than male patients (P < .001). According to our findings marital satisfaction was not affected by AGW. However, a history of previous treatment for HPV decreased the marital satisfaction. In addition, AGW had more adverse effects on females' sexual function compared to males. Our findings suggest that the psychiatric treatments should be considered when managing an AGW patient.

Gazi Medical Journal, 2019

Objective: Celiac disease is a chronic disorder which is among common causes of malabsorption at ... more Objective: Celiac disease is a chronic disorder which is among common causes of malabsorption at childhood and can affect children and adults lifelong. Celiac disease negatively affects psychosocial development of children and adolescents and impairs health-related quality of life. In this study, it was aimed to assess levels of depression and anxiety in children and adolescents with Celiac disease, relationship between these parameters and quality of life in the patients and their mothers. Method : Forty children and adolescents with Celiac disease (aged 8-18 years) who were followed in Pediatric Gastroenterology Department of Erciyes University, Medicine School for at least 6 months and their mothers were included to the study. Forty age-and sex-matched subjects and their mothers were employed as control group. In all children and adolescents, it was asked to complete 'Depression Scale for Children, State-Trait Anxiety Inventory and Pediatric Quality of Life Inventory'. All mothers were asked to complete 'Posttraumatic Stress Disorder Scale and Quality of Life Inventory'. Results : Each group consisted of 17 males (42.5%) and 23 females (57.5%). In each groups, there are 22 (55%) individuals in the 8-12 age group and 18 (45%) individuals in the 13-18 age group. No significant difference was detected in depression scale scores between children and adolescents with Celiac disease and controls. Anxiety levels were found to be higher in pediatric age group when compared to controls while no significant difference was detected between adolescents and controls. No significant difference was detected in perception of quality of life in children and adolescents and their mothers in both groups. Post-traumatic stress level was found to be higher in mothers of children and adolescents with Celiac disease when compared to those in mothers of controls. Conclusion : There was an increase in anxiety levels in children with celiac diagnoses and an increase in trauma symptoms in their mothers and no difference in quality of life was found. It was concluded that Celiac disease affecting children and their family with many problems and impaired quality of life in children and adolescents, but many factors play role in this process.

Cancer Research, 2017

Introduction: In this study we investigated epidemiology and trends of primary lung cancers in no... more Introduction: In this study we investigated epidemiology and trends of primary lung cancers in northeast of Iran during 1985-2012. Methods: In this cross-sectional study records of primary lung cancers from 1985 to 2012 in Mashhad, northeast of Iran, were investigated. Data were obtained from the referral oncologic hospital and private radiation oncology clinic. To study trends, the duration of study was categorized into three periods: 1985-1995, 1995-2005 and 2005-2012. Statistically significant level was considered <0.05. Results: Of 939 cases with mean age of 60.57 (±12.31) years, 660(70.3%) were male. Male to female ratio was 2.36. Mean age was 61.47±12.01 years for males and 58.45±12.75 for females (p=0.001). Mean age at diagnosis and rate of smokers was unchanged in three intervals (table 1). Time period1985-19951995-20052005-20012P valueAge(years)60.67±11.7460.57±12.2460.49±12.940.98Gender:Male167(78.4)330(68.6)163(66.5)0.01female46(21.6)151(31.4)82(33.5Male to female rati...

Asian Journal of Pharmaceutical Research and Health Care, 2016

Biking has proven health, environmental and traffic benefits. To prevail biking at community infr... more Biking has proven health, environmental and traffic benefits. To prevail biking at community infrastructures and "Bicycle Sharing Systems (BSS)" have been developed, but their effectiveness is dependent on people's attitudes and perceptions. We aim to investigate attitudes of people toward biking and related infrastructures with regard to demographic factors in Mashhad, Iran-a metropolis with unsuccessful BSS. The present work was conducted as a cross-sectional study at Mashhad, Iran, in 2015. In a multistage sampling, adult inhabitants were selected and data about their perceptions of benefits and barriers of biking were collected through a researcher-designed questionnaire. of 437 study participants with a mean ( ± SD) age of 29.9 ( ± 11.3) years, 250 (57.3%) were female. Only 3 (0.7%) of respondents used bikes. Positive attitudes were significantly associated with gender, marital status and occupation of participants. Car ownership was accompanied by higher percepti...

Electronic physician, 2016

Introduction: A limited number of risky behaviors cause most morbidity and mortality. The aim of ... more Introduction: A limited number of risky behaviors cause most morbidity and mortality. The aim of this study was to determine the possible clustering of lifestyle behaviors, including transportation behaviors, diet, physical activity, and smoking in Shiraz, Iran. Methods: There were 776 representative Shirazi adults who participated in this cross-sectional study. The questionnaires were completed via person-to-person interviews. The datasets were searched for any clustering patterns. Cluster analysis was used for statistical analysis, and the data were analyzed using SPSS version 11.5. Results: Three distinct clusters were identified. Cluster 1 was named "Healthy," and it included non-smokers, safe drivers, appropriate or acceptable fruit, vegetable, and fast-food consumers, and physically-active people. Cluster 2, "Moderately Healthy," was relatively risky drivers who had appropriate behaviors on the rest of the health-related behaviors. Cluster 3, "Unhealthy," was smokers, risky drivers, inappropriate or unacceptable fruit, vegetable & fast-food consumers, and a sedentary lifestyle. Conclusions: It was obvious that health-related behaviors were clustered together and unhealthy behaviors were not established in isolation.

International Journal of Child Health and Nutrition, 2015

Aims: Patients with Cystic Fibrosis (CF) have increased risk of malnutrition. Early detection of ... more Aims: Patients with Cystic Fibrosis (CF) have increased risk of malnutrition. Early detection of nutritional deterioration enables prompt intervention and correction. The aims of this project were to define the nutritional status of CF patients in Iran and New Zealand, compare and contrast the McDonald Nutritional Risk Screening (NRS) tool with the Australasian Guidelines for Nutrition in Cystic Fibrosis, and validate these results with each patient's evaluation by their CF clinical team. Methods: Children with CF (2-18 years) were assessed during routine outpatient visits over one year. Anthropometric measurements were obtained. Both tools were applied and the results compared to their clinical evaluation (as gold standard) with calculation of specificity and sensitivity. Results: Under-nutrition was seen more frequent in the 33 Iranian children than in the 36 New Zealand (NZ) patients (39% versus 0%, p=0.0001), whereas over-nutrition was more prevalent in NZ children (9% versus 17%, p=0.05). At the first visit, both guidelines were able to recognize 77% and 61% of under-nourished Iranian patients, respectively. The mean sensitivity and specificity for all visits for the McDonald tool were 83% & 73% (Iran) and 65% & 86% (NZ). Sensitivity and specificity for the Australasian guidelines were 79% & 79% (Iran) and 70% & 90% (NZ). Conclusions: Both tools successfully recognised patients at risk of malnutrition. The McDonald tool had comparable sensitivity and specificity to that described previously, especially in Iranian patients. This tool may be helpful in recognizing at risk CF patients, particularly in developing countries with fewer resources.

International Journal of Pediatrics, Apr 1, 2014

Breastfeeding is an important principle in pediatric health. It decreases their mortality and pro... more Breastfeeding is an important principle in pediatric health. It decreases their mortality and protect them fromm diseases in the first 6-month of life. This study aimed to determined Maternal Knowledge and practice in Mashhad City about Breast-feeding in first 6-month of Infant's life. Materials and Methods: This Analytic study was conducted on 105 mothers who had a child between 6 to 12 months,and selected by the cluster sampling and simple random, completed the Knowledge and Practic questionnaire who was made by researchers. Information were analyzed by descriptive-analytical test (ANOWA,T-test,corelation) in spss software in version11.5. Results: This findings showed that 72/4% of infants have had exclusive until end of the first 6-month. breast-feeding. Average of maternal knowledge about exclusive breast-feeding was 19/818+4/545 of total score 28 and average of maternal practice was 7/106+2/338 of total score 12. Status of growth infants at 4/8% was very good and in 42/9% was good. There was a significant relationship between maternal practice about Breast-feeding and fathers' education, number of children, status of growth (P<0.05(. There was a significant relationship between maternal knowledge about Breast-feeding and area who lived there (P<0.05) and also there was a direct and positive correlation between maternal knowledg and practice (P=0.000, r=0.212). There was a significant relationship and reverse between maternal practice and age of mothers (P = 0.007, r =-0.266). Conclusion: Maternal Knowledge and practice about breast-feeding infants is moderate. Planning is essential to target groups to promote breastfeeding in the first 6-month of infant's life.

PubMed, 2018

Anogenital warts (AGW) are one of the most common venereal diseases. Psychosocial complications a... more Anogenital warts (AGW) are one of the most common venereal diseases. Psychosocial complications and quality of life (QoL) of AGW patients have been considered only in recent years. Herein, the QoL and psychopathology in patients with AGW are evaluated. In total, 37 AGW patients and 37 healthy controls were recruited in the present cross-sectional study. All participants were provided with the symptom checklist 90-R (SCL-90-R) and short-form (SF-36) questionnaires. All analyses were performed using the SPSS software, version 16.0.1 for Windows. QoL was not significantly different between the study groups (P=0.12). The data showed that mental health, general health, and social functioning were significantly decreased in AGW patients (P<0.05). In addition, AGW patients were significantly more depressed and anxious than the control group (P=0.01 and P=0.04, respectively). AGW has adverse effects on psychological and QoL elements of the infected individuals. Psychological factors should be carefully considered when treating a patient with the HPV virus; hence, referral to a psychiatrist seems mandatory in these cases.

Journal of North Khorasan University of Medical Sciences

International Journal of Pediatrics, 2014

Introduction: Chronic liver disease and cirrhosis are the most important causes of growth failure... more Introduction: Chronic liver disease and cirrhosis are the most important causes of growth failure, morbidity and mortality in children. Cirrhosis consists of a variety of congenital, genetic, metabolic, and infectious causes in children. Models for predicting of chronic liver disease severity, survival, and transplantation are useful for decision-making as well as medical interventions. The most important application of this model is to estimate the true mortality rate at a specific time. Therefore, it helps the correct selection of patients for liver transplantation. In this study, we examined the relationship between disease severity and pediatric end-stage liver disease (PELD) scoring system in children with chronic liver diseases. Materials and Methods: This cross–sectional study conducted on 106 children with chronic liver diseases from 2011 to 2012 admitted to Ghaem Hospital, Mashhad, Iran. We used the clinical files of the patients to determine PELD score and recorded all in...

International Journal of Pediatrics, 2014

Introduction: Patients with Cystic Fibrosis have increased risk of malnutrition. Early detection ... more Introduction: Patients with Cystic Fibrosis have increased risk of malnutrition. Early detection of nutritional deterioration enables prompt intervention and correction. The aims of this project were to: - Define the nutritional status of CF patients in Iran and New Zealand - Compare and contrast the MacDonald Nutritional Screening tool with the Australasian guidelines for Nutrition in Cystic Fibrosis - Validate these results in comparison with patient’s evaluation by their CF clinical team. Materials and Methods: 69 CF patients (2-18 years) were assessed during routine outpatient visits over one year. Anthropometric measurements were obtained. Both tools were applied for each patient and the results compared to their clinical evaluation (as gold standard) with calculation of specificity and sensitivity. Results: Under-nutrition was more frequent in Iranian than NZ patients (39% versus 0%, p=0.0001), whereas over-nutrition was more prevalent in NZ children (9% versus 17%, p=0...

Advanced Pharmaceutical Bulletin, 2020

Purpose: We investigated validation and optimization of ultrasound-assisted dispersive liquidliqu... more Purpose: We investigated validation and optimization of ultrasound-assisted dispersive liquidliquid microextraction (UADLLME) as a preparation method for detection of methadone in saliva samples. Methods: We used blank and methadone-containing saliva samples and also standard methadone solution. Sodium hydroxide and chloroform were added to samples and they were held in ultrasonic bath. Then preparations were centrifuged and extracted analyte was analyzed by gas chromatography-mass spectrometry (GC-MS). Accuracy was measured by Intra and between-day mean relative errors (RE). Precision was assessed by coefficient of variation (CV). Recovery, specificity, linearity and limits of detection and quantification were also determined. Optimization was conducted for ultrasound duration, pH and extraction phase volume. Efficiency of dispersive liquid-liquid microextraction (DLLME) and UADLLME were compared. Results: Intra and between-day accuracies (2.3 -7.5%), recovery (89.4-115.5%) and pre...

Iranian Journal of Pediatrics, 2020

Background: Inflammatory bowel diseases (IBD) can adversely affect children in many different way... more Background: Inflammatory bowel diseases (IBD) can adversely affect children in many different ways. Health-related quality of life (HRQOL) involves all aspects of life quality, along with physical or mental perceptions of health, which could exert an overall effect on an individual's health. The IMPACT-III questionnaire is a well-established and validated tool for evaluation of the HRQOL in children with IBD. Objectives: The objective of this work was to translate this tool into Persian so it could be utilized in Iran. Methods: In collaboration with the developer of IMPACT-III, a standardized translation and validation process was undertaken. Assessment steps included (1) translation of IMPACT-III into Persian; (2) assessment of the clarity and wording of the tool; and (3) ascertain the reliability and validity of the adapted instrument using a test-retest assessment. Patient scores were evaluated within four domains (social performance, body image, emotional and physical dimensions) and analysis undertaken with SPSS (version 16). The study was completed in Mashhad and Tehran University of Medical Sciences, Iran, between June 2014 and Jan 2015. Results: IMPACT-III total score in patients with inactive disease was significantly higher than patients with active disease (P < 0.001) consistent with better quality of life. The IMPACT-III total score did not differ according to gender or socioeconomic status (P > 0.05). Children with ulcerative colitis had higher IMPACT-III scores than the children with Crohn disease (P = 0.001). Conclusions: This study indicates convincing validity and reliability for the four-factor IMPACT-III scores regarding HRQOL in children with IBD. The Farsi version of this tool can now be utilized for clinical and research applications.

International Journal of Medical Toxicology and Forensic Medicine, 2019

Maternal mortality is a woman’s death during pregnancy or postpartum period due to direct or indi... more Maternal mortality is a woman’s death during pregnancy or postpartum period due to direct or indirect causes. Its direct causes are related to obstetrical issues. The indirect cause of it refer to an underlying disease, i.e., aggravated during pregnancy and leads to death. A routine data-based study conducted at the Legal Medicine Organization of Tehran City, Iran, the autopsy findings of maternal mortalities during April 2017-2019 were reviewed. During the study period, 53 cases were autopsied of which 29 (54.7%) and 24 (45.3%) died due to direct and indirect causes, respectively. , The prevalent direct causes of death, were bleeding (22.6%), eclampsia/preeclampsia (13.2%), and ectopic pregnancy (5.7%). Frequent indirect causes were cardiac diseases (20.7%) and nervous system and infectious diseases (both: 7.5%). This study revealed the considerable share of indirect causes in maternal mortalities in Tehran. Moreover, we outlined the importance of early detection of non-obstetrical...

Actas Dermo-Sifiliográficas (English Edition), 2019

Anogenital wart (AGW) resulting from human papilloma virus (HPV) is one of the most common sexual... more Anogenital wart (AGW) resulting from human papilloma virus (HPV) is one of the most common sexually transmitted diseases worldwide. Herein, we aimed to evaluate the effects of AGW on patients'marital satisfaction and sexual function. This cross-sectional study was consisted of 74 consecutive patients including 37 patients with AGW and 37 healthy controls. ENRICH Marital Satisfaction Scale and Arizona Sexual Experience Scale were completed and analyzed for all patients. ENRICH scale items were not significantly different between the two groups. Sexual function was found to be lower in female than male patients (P < .001). According to our findings marital satisfaction was not affected by AGW. However, a history of previous treatment for HPV decreased the marital satisfaction. In addition, AGW had more adverse effects on females' sexual function compared to males. Our findings suggest that the psychiatric treatments should be considered when managing an AGW patient.

Actas Dermo-Sifiliográficas, 2019

Anogenital wart (AGW) resulting from human papilloma virus (HPV) is one of the most common sexual... more Anogenital wart (AGW) resulting from human papilloma virus (HPV) is one of the most common sexually transmitted diseases worldwide. Herein, we aimed to evaluate the effects of AGW on patients'marital satisfaction and sexual function. This cross-sectional study was consisted of 74 consecutive patients including 37 patients with AGW and 37 healthy controls. ENRICH Marital Satisfaction Scale and Arizona Sexual Experience Scale were completed and analyzed for all patients. ENRICH scale items were not significantly different between the two groups. Sexual function was found to be lower in female than male patients (P < .001). According to our findings marital satisfaction was not affected by AGW. However, a history of previous treatment for HPV decreased the marital satisfaction. In addition, AGW had more adverse effects on females' sexual function compared to males. Our findings suggest that the psychiatric treatments should be considered when managing an AGW patient.

Gazi Medical Journal, 2019

Objective: Celiac disease is a chronic disorder which is among common causes of malabsorption at ... more Objective: Celiac disease is a chronic disorder which is among common causes of malabsorption at childhood and can affect children and adults lifelong. Celiac disease negatively affects psychosocial development of children and adolescents and impairs health-related quality of life. In this study, it was aimed to assess levels of depression and anxiety in children and adolescents with Celiac disease, relationship between these parameters and quality of life in the patients and their mothers. Method : Forty children and adolescents with Celiac disease (aged 8-18 years) who were followed in Pediatric Gastroenterology Department of Erciyes University, Medicine School for at least 6 months and their mothers were included to the study. Forty age-and sex-matched subjects and their mothers were employed as control group. In all children and adolescents, it was asked to complete 'Depression Scale for Children, State-Trait Anxiety Inventory and Pediatric Quality of Life Inventory'. All mothers were asked to complete 'Posttraumatic Stress Disorder Scale and Quality of Life Inventory'. Results : Each group consisted of 17 males (42.5%) and 23 females (57.5%). In each groups, there are 22 (55%) individuals in the 8-12 age group and 18 (45%) individuals in the 13-18 age group. No significant difference was detected in depression scale scores between children and adolescents with Celiac disease and controls. Anxiety levels were found to be higher in pediatric age group when compared to controls while no significant difference was detected between adolescents and controls. No significant difference was detected in perception of quality of life in children and adolescents and their mothers in both groups. Post-traumatic stress level was found to be higher in mothers of children and adolescents with Celiac disease when compared to those in mothers of controls. Conclusion : There was an increase in anxiety levels in children with celiac diagnoses and an increase in trauma symptoms in their mothers and no difference in quality of life was found. It was concluded that Celiac disease affecting children and their family with many problems and impaired quality of life in children and adolescents, but many factors play role in this process.

Cancer Research, 2017

Introduction: In this study we investigated epidemiology and trends of primary lung cancers in no... more Introduction: In this study we investigated epidemiology and trends of primary lung cancers in northeast of Iran during 1985-2012. Methods: In this cross-sectional study records of primary lung cancers from 1985 to 2012 in Mashhad, northeast of Iran, were investigated. Data were obtained from the referral oncologic hospital and private radiation oncology clinic. To study trends, the duration of study was categorized into three periods: 1985-1995, 1995-2005 and 2005-2012. Statistically significant level was considered <0.05. Results: Of 939 cases with mean age of 60.57 (±12.31) years, 660(70.3%) were male. Male to female ratio was 2.36. Mean age was 61.47±12.01 years for males and 58.45±12.75 for females (p=0.001). Mean age at diagnosis and rate of smokers was unchanged in three intervals (table 1). Time period1985-19951995-20052005-20012P valueAge(years)60.67±11.7460.57±12.2460.49±12.940.98Gender:Male167(78.4)330(68.6)163(66.5)0.01female46(21.6)151(31.4)82(33.5Male to female rati...

Asian Journal of Pharmaceutical Research and Health Care, 2016

Biking has proven health, environmental and traffic benefits. To prevail biking at community infr... more Biking has proven health, environmental and traffic benefits. To prevail biking at community infrastructures and "Bicycle Sharing Systems (BSS)" have been developed, but their effectiveness is dependent on people's attitudes and perceptions. We aim to investigate attitudes of people toward biking and related infrastructures with regard to demographic factors in Mashhad, Iran-a metropolis with unsuccessful BSS. The present work was conducted as a cross-sectional study at Mashhad, Iran, in 2015. In a multistage sampling, adult inhabitants were selected and data about their perceptions of benefits and barriers of biking were collected through a researcher-designed questionnaire. of 437 study participants with a mean ( ± SD) age of 29.9 ( ± 11.3) years, 250 (57.3%) were female. Only 3 (0.7%) of respondents used bikes. Positive attitudes were significantly associated with gender, marital status and occupation of participants. Car ownership was accompanied by higher percepti...

Electronic physician, 2016

Introduction: A limited number of risky behaviors cause most morbidity and mortality. The aim of ... more Introduction: A limited number of risky behaviors cause most morbidity and mortality. The aim of this study was to determine the possible clustering of lifestyle behaviors, including transportation behaviors, diet, physical activity, and smoking in Shiraz, Iran. Methods: There were 776 representative Shirazi adults who participated in this cross-sectional study. The questionnaires were completed via person-to-person interviews. The datasets were searched for any clustering patterns. Cluster analysis was used for statistical analysis, and the data were analyzed using SPSS version 11.5. Results: Three distinct clusters were identified. Cluster 1 was named "Healthy," and it included non-smokers, safe drivers, appropriate or acceptable fruit, vegetable, and fast-food consumers, and physically-active people. Cluster 2, "Moderately Healthy," was relatively risky drivers who had appropriate behaviors on the rest of the health-related behaviors. Cluster 3, "Unhealthy," was smokers, risky drivers, inappropriate or unacceptable fruit, vegetable & fast-food consumers, and a sedentary lifestyle. Conclusions: It was obvious that health-related behaviors were clustered together and unhealthy behaviors were not established in isolation.

International Journal of Child Health and Nutrition, 2015

Aims: Patients with Cystic Fibrosis (CF) have increased risk of malnutrition. Early detection of ... more Aims: Patients with Cystic Fibrosis (CF) have increased risk of malnutrition. Early detection of nutritional deterioration enables prompt intervention and correction. The aims of this project were to define the nutritional status of CF patients in Iran and New Zealand, compare and contrast the McDonald Nutritional Risk Screening (NRS) tool with the Australasian Guidelines for Nutrition in Cystic Fibrosis, and validate these results with each patient's evaluation by their CF clinical team. Methods: Children with CF (2-18 years) were assessed during routine outpatient visits over one year. Anthropometric measurements were obtained. Both tools were applied and the results compared to their clinical evaluation (as gold standard) with calculation of specificity and sensitivity. Results: Under-nutrition was seen more frequent in the 33 Iranian children than in the 36 New Zealand (NZ) patients (39% versus 0%, p=0.0001), whereas over-nutrition was more prevalent in NZ children (9% versus 17%, p=0.05). At the first visit, both guidelines were able to recognize 77% and 61% of under-nourished Iranian patients, respectively. The mean sensitivity and specificity for all visits for the McDonald tool were 83% & 73% (Iran) and 65% & 86% (NZ). Sensitivity and specificity for the Australasian guidelines were 79% & 79% (Iran) and 70% & 90% (NZ). Conclusions: Both tools successfully recognised patients at risk of malnutrition. The McDonald tool had comparable sensitivity and specificity to that described previously, especially in Iranian patients. This tool may be helpful in recognizing at risk CF patients, particularly in developing countries with fewer resources.