fatemeh ghaemi - Academia.edu (original) (raw)

Papers by fatemeh ghaemi

Scientific Reports, Oct 18, 2017

We estimated proportions of different types of diabetes, comorbidities, treatment (the use of ora... more We estimated proportions of different types of diabetes, comorbidities, treatment (the use of oral glucose-lowering agents and insulin), control (hyperglycemia, dyslipidemia and hypertension) and chronic microvascular and macrovascular complications among people with diabetes presenting to the tertiary-care academic diabetes outpatient clinics in Iran. This study is the prospective analysis of data (n = 30,202) from the registry of university-affiliated adult outpatient diabetes clinics in the country during 2015-2016. The proportions of type 1 diabetes, types 2 diabetes, and other types of diabetes were 11.4%, 85.5%, and 1.3%, respectively. The frequencies of drug-naivety, use of oral agents, insulin monotherapy and insulin combination therapy were 2.9%, 60.5%, 11.5%, and 25.1%, respectively. Around 13.2%, 11.9% and 43.3% of patients with diabetes had controlled hyperglycemia, hyperlipidemia and hypertension, respectively. The proportions of retinopathy, nephropathy, peripheral neuropathy, diabetic foot, and ischemic heart disease were 21.9%, 17.6%, 28.0%, 6.2%, and 23.9%, respectively. Despite the wide availability of medications and insulin coverage in Iran, the estimated national control of hyperglycemia, hyperlipidemia and hypertension (especially for young men and old women) remains subpar. The present study further suggests that the frequencies of chronic vascular complications among patients with diabetes are relatively high in Iran. In 2013, at least 382 million adults had diabetes (all types) worldwide 1 , and this number rose to 422 million by 2014 2. The United States (US) witnessed a 4.5% annual growth rate of patients with diabetes during 1998-2008, before the prevalence of diabetes leveled off with no significant change from 2008 to 2012 3. The 2013 International Federation of Diabetes (IDF) Atlas for Diabetes ranked the Middle East and North Africa (MENA) with the highest worldwide prevalence of diabetes at 10.9% 1. The MENA region is projected to have the second highest global growth rate in terms of the number of affected individuals with diabetes, with 96.2% by 2035 1. In Iran, the fourth round of the periodic National Survey of Risk Factors for Non-communicable Diseases project in 2011 (SuRFNCD-2011) estimated the national prevalence of diabetes at 11.4% of the adult population in Iran, showing

Background: Considering the importance of studying the factors affecting organ transplantation in... more Background: Considering the importance of studying the factors affecting organ transplantation in Iran, the present research aims at examining the factor structure, reliability and validity of the organ transplantation attitude scale. Method: The method of research was descriptive survey. A sample of 210 students, who were selected using multistage cluster sampling, completed the questionnaire. The validity of the questionnaire was assessed using content validity, construct validity and factorial validity. The reliability of the questionnaire was examined through Cronbach's alpha coefficient. Findings: The pattern of correlation coefficients between the subscales indicated a good construct validity of the scale. The results of exploratory-confirmatory factor analysis were also indicative of good and acceptable fit of items. Moreover, the Cronbach's alpha coefficients for all subscales and total scale were desirable regarding psychometric properties, and reliability coefficient was also good. Conclusion: Considering the results of the study, the scale constructed in the Iranian society can be said to have good validity and reliability. It can be used to assess the factors influencing organ transplantation in Iran.

International journal of humanities and social sciences, 2016

The goal of this study is to investigate the relationship between managerial ability and stock pr... more The goal of this study is to investigate the relationship between managerial ability and stock price crash risk of the listed firm son the Tehran stock Exchange. To this end, first, using data envelopment analysis, the managerial ability is calculated considering the firm ‘selling as output and (inventory and cost of goods sold, selling and administrative expenses, net property, plant and equipment, net study and development expenses, purchased goodwill, and other purchased intangible assets) as input. Further, other measures such as negative skewness of stock return, Down-to-upvolatility, and the extreme sigma is used to measure stock price crash risk. The statistical population of the study consists of all the firms listed on the Tehran Stock Exchange and the sample consists of 68 firms listed on the Tehran Stock Exchange that during 2004 to 2013 period studied. Adjusted multiple regression analysis is used to test the hypothesis. The results of the study indicate that there is a ...

Medical Journal of the Islamic Republic of Iran

Background: Diabetes and its complications threaten the life of communities at global, national, ... more Background: Diabetes and its complications threaten the life of communities at global, national, and sub-national levels. Following the United Nations' call to action and develop a global action plan for the prevention and control of NCDs by The World Health Organization (WHO), all countries have a commitment to halt the rise in diabetes prevalence across the world. But the different situations of disease and risk factors, different priorities, and the context of the health care systems moved the countries to develop adapted targets and action plans. On the same ground, Iran established a national authority construction as the Diabetes Subcommittee which is part of the Iranian Non-Communicable Diseases Committee (INCDC) and incorporated a multi-sectoral mechanism to develop the national service framework for diabetes. Accordingly, this paper is aiming at sharing Iran's experience regarding the policy implications for diabetes prevention and control. Exchange this experience could be beneficiary to other countries to lead a systematic action to prevent disability and mortality due to diabetes.

Journal of psychologicalscience, Mar 10, 2019

European Journal of Public Health, 2022

Background Teaching has been found to be one of the most stressful occupations. Hence, current in... more Background Teaching has been found to be one of the most stressful occupations. Hence, current interest in reducing stress and enhancing the well-being of teachers is strong. Mindfulness-based stress reduction (MBSR) is documented to be effective in reducing stress and increasing well-being. This study investigated the effectiveness of delivering MBSR to lower secondary school teachers as a part of a teacher-training programme. Methods This study was a nested trial within the parallel cluster-randomized controlled trial, Stress-free Everyday LiFe for Children and Adolescents REsearch (SELFCARE). Schools were recruited from all five geographical regions in Denmark between May 2018 and May 2019. One to three teachers from each school were allowed to participate. At baseline, 110 schools, representing 191 lower secondary school teachers, were cluster-randomized to intervention or a wait-list control group. The intervention group received MBSR during 2019 and the wait-list control group...

ARYA …, 2010

Associate Professor of Cardiology, Physiology Research Center, Shafa Hospital, Kerman Universi... more 1) Associate Professor of Cardiology, Physiology Research Center, Shafa Hospital, Kerman University of Medical Sciences, Kerman, Iran. 2) Resident of Internal Medicine, Physiology Research Center, Shafa Hospital, Kerman University of Medical Sciences, Kerman, Iran. E-mail: ...

Ravānshināsī-i Afrād-i Istis̠nāyī, 2017

There is little evidence about the relationship between temperament character and response inhibi... more There is little evidence about the relationship between temperament character and response inhibition of students with symptoms of oppositional defiant disorder.The aim of this studywas to determinethe role of temperament character in prediction of response inhibition of students with oppositional defiant symptoms. This was adescriptive and correlational study.The study population include all girl students of Ardabil city in 1389-90 educational year.The research sample included of 75 students who were selected among 800 high school students. To collect data, oppositional defiant disorderChecklist and clinical interview, Temperament Character questionnaire and the Stroop Test and were used. Results of multiple regression analyses showed that innovativeness, harm avoidance, perseverance and self-direction were the best predictors of response inhibition of students with symptoms of oppositional defiant disorder.These findings indicate that temperament character play a main role in pred...

Conclusion: Diagnosis of NAFLD with or without elevated serum liver enzymes was inversely correla... more Conclusion: Diagnosis of NAFLD with or without elevated serum liver enzymes was inversely correlated with certain chronic diabetes microvascular complications. Possible explanations for this counter-intuitive and unexpected finding are discussed and center on reversecausality, wherein sicker patients may develop beneficial compensatory physiological and behavioral adaptations. Diversity of studied patients, in particular with regards to the ethnic and racial differences among the Western and Asian populations may also partly account for contrasting findings of the relationship between NAFLD and microvascular complications of diabetes.

Primary Care Diabetes

BACKGROUND Obesity plays a major role in the pathogenesis and development of macro- and microvasc... more BACKGROUND Obesity plays a major role in the pathogenesis and development of macro- and microvascular complications of type 2 diabetes (T2D) and type 1 diabetes (T1D). We aimed to assess the association between obesity and macrovascular and microvascular complications of diabetes. METHODS This study consisted of 111,830 patients (age range: 1-106) with diabetes including 10,641 T1D (3187 obese [38.2% men] and 7454 non-obese [45.5% men]) and 101,189 T2D (51,873 obese [27.5% men] and 49,316 non-obese [33.4% men]) from the National Program for Prevention and Control of Diabetes (NPPCD-2021) in Iran, who attended academic tertiary care outpatient clinics from February 2016 to April 2021. A pooled logistic regression model was used to examine the association between obesity and diabetic complications. RESULTS Among patients with T1D, a significant association was found between obesity and cardiovascular disease (CVD), neuropathy, nephropathy and retinopathy (OR= 1.75, 1.56, 1.80 and 1.92, P-value= 0.001, 0.004, 0.001 and <0.001, respectively). In T2D, a statistically significant association was found between obesity and CVD, neuropathy and nephropathy (OR= 1.63, 1.98, 1.21, respectively, P-values <0.001). CONCLUSION Obesity was independently associated with CVD, neuropathy and nephropathy in patients with T1D and T2D and with retinopathy only in T1D, to different degrees. The association between obesity and retinopathy and neuropathy was the strongest among T1D and T2D, respectively. Findings from this study suggest that obesity affects diabetic complications differently among the two types of diabetes, in terms of epidemiology and pathophysiology. This signifies the importance of different preventive and therapeutic approaches to obesity in T1D compared to T2D, on a national and global scale.

Journal of psychiatric nursing, Jul 10, 2021

Background: The main purpose of organ transplantation is to prolong and maintain a quality life f... more Background: The main purpose of organ transplantation is to prolong and maintain a quality life for patients with organ dysfunction. Objective: We tried to evaluate short-term survival rates in lung, liver, heart and pancreas recipients. Methods: This longitudinal study was based on the data of national registry of recipients in Ministry of Health and Medical Education (MOHME), Iran. Survival rate after 1 year of transplantation, recipients’ age, gender, ischemic time as well as the number of transplantation units, OP units and identification units were collected from the database for all transplantation done between 2010 and 2011.

Background: The disease due to the disturbances in glucose, lipid and protein metabolisms which i... more Background: The disease due to the disturbances in glucose, lipid and protein metabolisms which is the most prevalent disease of our times is known as diabetes. This multifactorial disease is more common in females of post menopause period because of different risk factors like higher age and body mass index (BMI). Participants and Methods: The study was conducted on 1315 patients with type II diabetes referred to the Diabetes Clinic of Imam Khomeini hospital, in Tehran, Iran, in 2014. Sampling 534female patients aging from 30 up to 70, and with clinical history of 1up to 20 years of type II diabetes, and also with urinary albumin excretion of 30 up to 300mg per 24 hours, was carried out and then divided into pre-menopause and menopause groups. With controlled blood pressure, all these patients were under retinopathy assessment by an ophthalmologist. Lipid profile, BMI and HbA1c were also were also measured and the results using SPSS (version 19) were then analyzed. Results: Accordi...

Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit, 2022

Background Diabetes mellitus and hypertension are highly prevalent among patients with severe COV... more Background Diabetes mellitus and hypertension are highly prevalent among patients with severe COVID-19. Aims To study the mortality risk of COVID-19 infection in patients with type 2 diabetes and additive effect of hypertension and obesity in the Iranian population. Methods This was a cross-sectional survey of the national COVID-19 registry from the Iranian Ministry of Health. The medical status of 22 002 patients with COVID-19 between 1 March and 30 April 2020 was analysed. Results Patients with type 2 diabetes had a higher risk of mortality with an odds ratio (OR) of 1.67 [95% confidence interval (CI): 1.53-1.82, P < 0.001]. The risk of mortality was also high in patients with diabetes and hypertension, with an odds ratio of 1.76 (95% CI: 1.56-1.99, P < 0.001). The odds ratio of the risk of mortality in patients with diabetes, hypertension and obesity was 1.87 (95% CI: 1.35-2.58, P < 0.001). Conclusion Type 2 diabetes, hypertension and obesity each predict mortality in Ir...

The purpose of this study was to determine the mediator role of learning strategies in the relati... more The purpose of this study was to determine the mediator role of learning strategies in the relationship between academic self-efficacy and test anxiety. This research was done in a descriptive-correlational manner. The sample of study consisted of 350 public high school students from four high schools in Kerman selected through random multistage cluster sampling method. To gather the data, the academic self-efficacy Scale (Jinks Morgan, 1999), learning strategies scale (Kember & et al., 2004), and the test anxiety scale (Friedman-Jacob, 1997) were used. Path analysis results showed that Academic self-efficacy had both direct (=−.20), and indirect effects, mediated by Deep and Surface strategies (=−.08). Deep learning strategy was the strongest predictor, with a direct effect value of 0.32. The explanatory power of the predictors on test anxiety was medium (R2= 0.36). Considering the results, the learning strategies (deep) and academic self-efficacy had a significant effect on stud...

Journal of Military Medicine, 2019

Background and Aim: Depression has a destructive impact on performance of working memory. The pur... more Background and Aim: Depression has a destructive impact on performance of working memory. The purpose of current study was to compare the effectiveness of pharmacotherapy, Transcranial Direct Current Stimulation (TDCS), and combined treatment (pharmacotherapy and TDCS) on reducing major depression symptoms, besides improvement of working memory in veterans with PTSD. Methods: This was a quasi-experimental study with pretest – posttest design and three-month followup. This study was carried out in 2018 with statistical population of veterans from Tehran, in which 68 subjects were selected using a purposive sampling method and then randomly divided into three experimental (pharmacotherapy, TDCS, and combined treatment) and one-control groups (each group has 17 subjects). Research tools were included the PTSD-Checklist for DSM-5 (PCL-5), Beck Depression Inventory-II (BDI-II) and Daneman and Carpenter Working Memory Test (WMT). Results: In the posttest and follow-up phase, given the mat...

Introduction: Hope has a significant role in coping with chronic diseases, such as diabetes melli... more Introduction: Hope has a significant role in coping with chronic diseases, such as diabetes mellitus. It seems that the improvement of psychological capital in patients with diabetes is one of the strategies for health promotion in these patients.The aim of this study was to determine the effectiveness of hope-based therapy in psychological capital among patients with type II diabetes mellitus. Materials and Methods: This semi-experimental research was carried out on 40 patients with diabetes referring to the healthcare centers affiliated to Sirjan University of Medical Sciences, Sirjan, Iran, and Health Services in 2018-2019, using a pretest-posttest design. The study population was selected through purposive sampling technique, and then randomly assigned to intervention and control groups. The intervention group received eight 90-minute sessions of hope therapy. The intervention was based on the theory of hope proposed by Senyder, Herth, and Ruston and a selection of Molana poems ...

Maturitas, 2021

OBJECTIVE To evaluate the effectiveness of a Mediterranean dietary pattern on the incidence of ma... more OBJECTIVE To evaluate the effectiveness of a Mediterranean dietary pattern on the incidence of macrovascular and microvascular complications of diabetes, namely cardiovascular disease (CVD), diabetic foot disorders, diabetic retinopathy, nephropathy, and neuropathy. METHODS This longitudinal study was conducted among 71392 adults with diabetes who attended academic tertiary-care outpatient clinics from February 2016 to March 2020 across Iran using the National Program for Prevention and Control of Diabetes database. Among them, 22187 patients with diabetes (type 1 and type 2) completed 2-11 follow-up visits after baseline registration. The association between adherence to a Mediterranean diet and diabetic complications was assessed using pooled logistic regression models. This association was adjusted for potential confounders. The effect of time was assessed using fractional polynomials. RESULTS A total of 22187 participants were included in the analysis (30.22% men and 69.78% women) with either type 1 (mean age 50.7 years) or type 2 (mean age 59.9 years) diabetes. After adjustment for confounding variables, there was a negative correlation between adherence to a Mediterranean diet and the incidence of CVD among patients with type 1 diabetes (T1D) and 2 diabetes (T2D) (OR= 0.53, 95% CI: 0.37 - 0.75, p-value <0.001 and OR= 0.61, 95% CI: 0.57 - 0.89, p-value <0.001, respectively). Also, the diet had a statistically significant protective effect against incident symptomatic neuropathy (OR= 0.32, 95% CI: 0.23 - 0.43, p-value <0.001, and OR= 0.68, 95% CI: 0.64 - 0.72, p-value <0.001, respectively), nephropathy (OR= 0.42, 95% CI: 0.30 - 0.58, p-value <0.001, and OR= 0.88, 95% CI: 0.80 - 0.96, p-value= 0.007, respectively), and retinopathy (OR= 0.32, 95% CI: 0.24 - 0.44, p-value <0.001, and OR= 0.68, 95% CI: 0.61 - 0.71, p-value <0.001, respectively) in T1D and T2D. CONCLUSION The Mediterranean dietary pattern is associated with a lower incidence of CVD and microvascular complications (i.e. diabetic retinopathy, nephropathy, and neuropathy) among a cohort of patients with T1D and T2D in Iran.

The Neuroscience Journal of Shefaye Khatam, 2019

Traumatic Stress Disorder (PTSD) is one of the mos t prevalent health problems in the victims of ... more Traumatic Stress Disorder (PTSD) is one of the mos t prevalent health problems in the victims of the Iran-Iraq war. Despite many advantages of the adminis tration of selective serotonin reuptake inhibitors, as the firs t-line treatment of PTSD, a large number of the patients s till need more effective therapies. The purpose of this s tudy was to comparison of the effectiveness of sertraline, transcranial direct s timulation current (TDCS), and the combined treatment (TDCS and sertraline) to relieve the symptoms of PTSD in the veterans in Tehran, Iran. Materials and Methods: The current s tudy was a semi-experimental s tudy including pre-and pos t-tes ts, a control group, and three-month follow-up. The population of s tudy was veterans who lived in Tehran in 2018. 68 veterans were selected by purposive sampling method and then randomly divided to control and experimental groups. The firs tgroup was treated with sertraline, the second group received TDCS, and the third group treated with the combined treatment. The PTSD Checklis t for DSM-5(PCL-5) was used as a research tool. Results: All of the treatment approaches were effective in reduction of symptoms in patients with PTSD. In the pos t-tes t and follow-up phase, there was a significant difference in PCL-5 scores between sertraline, TDCS, and combined treatment in comparison with the control group. Combined treatment (TDCS and sertraline) have shown a significantly higher and persis tence effectiveness. Conclusion: Combined treatment with TDCS and sertraline can be used as an efficient and effective approach to reduce PTSD symptoms in veterans.