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Papers by ghodratollah roshanaei

Research paper thumbnail of Effect of Consultation and Educating in Preparation Classes for Delivery on Pregnancy Consequences: A Randomized Controlled Clinical Trial

Electronic physician, 2016

Research paper thumbnail of Quality of Life in Postmenopausal Women in Iran: A Population-based Study

Journal of Menopausal Medicine, 2016

Objectives: Menopause can have psychological, physical, and vasomotor symptoms along with sexual ... more Objectives: Menopause can have psychological, physical, and vasomotor symptoms along with sexual dysfunction and these symptoms can affect the quality of life (QOL). The purpose of this research was to determine and association the effective factors on QOL among postmenopausal Iranian women. Methods: This cross-sectional study was conducted in 2015 on 300 postmenopausal women in Hamadan, Iran. We used the Menopause-Specific QOL questionnaire (MENQOL) for measuring QOL in postmenopausal women. SPSS version 16 was used for data analysis.

Research paper thumbnail of Education Based on BASNEF Model; an Affective Education on Regular Use of Nutritional Supplements during Pregnancy

Journal of Biology and Today's World, 2014

Pregnancy is an important period for both mother and fetal; one of the common problems during pre... more Pregnancy is an important period for both mother and fetal; one of the common problems during pregnancy is deficiency of nutrients like folic acid, iron, vitamins and minerals which shows its side effects on fetal. The aim of this study was to design and implement educational programs on regular uptake of food supplements during pregnancy among pregnant women in west of Iran; BASNEF model was applied as theoretical framework. Overall, 88 pregnant women were selected randomly to participate in this study as intervention and control group. Present study designed to be an interventional-experimental study. Cross-tabulation and t-test through using SPSS statistical package, version 16, were used for statistical analysis. Our findings indicated that mean scores of knowledge and BASNEF Model variables were significantly increased in the experi- mental group compared to the controls immediately after and two months after intervention. Also, supplements behavior us- age (81.56% before intervention, 92.17 % after intervention and 99.24% two months after intervention in experimental group) improved significantly among experimental group, compared to control group which was statistically significant (P < 0.05). It seems that designing and implementing educational intervention based on BASNEF Model to regular uptake of food supplements during pregnancy among pregnant women could be a beneficial result to increase women health.

Research paper thumbnail of Effect of educational program on quality of life of patients with heart failure: a randomized clinical trial

Journal of caring sciences, 2013

Heart failure is one of the most common cardiovascular diseases which decrease the quality of lif... more Heart failure is one of the most common cardiovascular diseases which decrease the quality of life. Most of the factors influencing the quality of life can be modified with educational interventions. Therefore, this study examined the impact of a continuous training program on quality of life of patients with heart failure. This randomized clinical trial study was conducted during May to August 2011. Forty four participants with heart failure referred to Shahid Madani's polyclinics of Tabriz were selected through convenient sampling method and were randomly allocated to two groups. The intervention group (n = 22) received ongoing training including one-to-one teaching, counseling sessions and phone calls over 3 months. The control group (n = 22) received routine care program. Data on quality of life was collected using the Minnesota Living with Heart Failure Questionnaire at baseline as well as three months later. The statistical tests showed significant differences in the physi...

Research paper thumbnail of Modeling the survival in patients with HIV by the presence of competing risks for death: sub-distribution and cause-specific hazard approach

Journal of Public Health, 2021

In the presence of competing risks, patients with human immunodeficiency viruses (HIV) experience... more In the presence of competing risks, patients with human immunodeficiency viruses (HIV) experience death by various causes, including co-infection with acquired immune deficiency syndrome (AIDS) with tuberculosis (TB), AIDS, and other causes in the follow-up. This study aimed to model the survival in patients with HIV in the presence of these competing causes of death utilizing sub-distribution hazard (SDH) and cause-specific hazard (CSH) models to overcome biased estimates of the classical analyses. In this longitudinal study, patients with HIV+ diagnosis (n = 2328) were recruited from Imam Khomeini and Zamzam consulting centers from 2003 to 2012. In the presence of the competing causes of death, the SDH and CSH models evaluated the effect of underlying predictors on the cumulative incidence and instantaneous hazards, respectively, with the cmprisk package in R4.1 software. The median survival time of patients with AIDS+TB, AIDS and other causes were 7.79 (SE .84), 11.57 (SE .98), and 14.1 (SE .91), respectively. In the SDH model, CD4(350+) [AIDS: sub-distribution hazard ratio (SHR) = .13, 95% confidence interval(CI) = (.08–.19)); AIDS+TB .10(.04–.25)], antiretroviral therapy (ART) [AIDS .44(.32–.61); AIDS+TB .57(.31–.99); other .07(.02–.23)], isoniazid prophylaxis therapy (IPT) [AIDS .47(.28–.78); AIDS+TB .08(.01–.58)], and cotrimoxazole prophylaxis therapy (CPT) [AIDS .38(.22–.68)], were inversely related to hazard of death, while being a male [AIDS 2.62(1.574.39); AIDS+TB 10.43(2.32–46.83); Other 9.48(1.95–45.99)] was directly related to hazard of death. The CSH model resulted in similar estimates except for CD4(350+) which was inversely related to hazard of death by other causes. Taking into account the strong association of CD4(350+), ART, IPT, CPT, and being a male with the hazard of mortality caused by the competing causes of death in patients with HIV, in both SDH and CSH models, designing sex-specific policymaking and interventional programs are recommended to prolong the survival of patients with HIV. The future treatment program can utilize the results.

Research paper thumbnail of ORIGINAL REPORT The Assessment of Affected Factors on Cytomegalovirus and Rubella Virus Prevalence in Females in Hamadan, Iran

Cytomegalovirus (CMV) and rubella are considered as dangerous viral infections to the fetus. The ... more Cytomegalovirus (CMV) and rubella are considered as dangerous viral infections to the fetus. The findings of this research can clear the possible progress made thus far toward prevention in this part of the country. The data of all referees to genetic center of Shahid Beheshti Hospital in Hamadan, including the rubella and CMV tests were recorded in questionnaires and analyzed by logistic regression models. Univariate and multivariate logistic regression were utilized to assess the affected factors on CMV and Rubella separately. STATA and SPSS16 statistical software were used with setting P-value as 0.05. Logistic regression analysis indicates a statistically significant relationship between CMV IgM and on occupation (P=0.045), pregnancy (P=0.03) and years of referring the patients (P<0.001). The results of multivariate logistic regression analysis showed that job was significantly affected on the CMV infection [OR (95% C.I) = 1.71(1.1-2.83)]. Univariate logistic regression showe...

Research paper thumbnail of The Relationship Between Internet Addiction and General Health in Students of Hamadan University of Medical Sciences-Iran, 2015: A Cross Sectional Study

Modern Care Journal, 2016

Objectives: The Internet is a global system that is increasingly used by the public, especially u... more Objectives: The Internet is a global system that is increasingly used by the public, especially university students, as a useful tool to access information sources. The aim of this study was to investigate the relationship between Internet addiction and general health in students of Hamadan University of Medical Sciences, during year 2015. Methods: This cross-sectional study was conducted on 650 students of Hamadan University of Medical Sciences, west of Iran, during year 2015. The participants were volunteers and were selected by stratified sampling. The data collection tool was the Young internet addiction test and general health questionnaire (GHQ28). Data was analyzed by logistic regression and analysis of variance methods. Results: Mean age of students was 22 ± 4.01 years old. The mean score of Internet addiction was 77.08 ± 17.24 and mean score of general health was 59.38 ± 9.54. Analysis of variance method showed that the score of all general health aspects (except social functioning) was increased significantly in the addicted group in comparison with normal and suspected groups (all Ps < 0.001). In addition, risk of internet addiction in females was 1.81 (95% CI: 1.3-2.5) times more than males. Pearson correlation coefficients showed that internet addiction score increased in the same direction as all general health aspects (all P < 0.001). Conclusions: Results showed that overuse of the Internet is causing serious problems for general health in students of medical universities.

Research paper thumbnail of Identifying the Risk Factors for Mortality in Patients with Cancer and COVID-19 in Hamadan, the West of Iran

Journal of Gastrointestinal Cancer, 2021

Research paper thumbnail of Application of group smoothly clipped absolute deviation method in identifying correlates of psychiatric distress among college students

BMC Psychiatry, 2020

Background College students are at an increased risk of psychiatric distress. So, identifying its... more Background College students are at an increased risk of psychiatric distress. So, identifying its important correlates using more reliable statistical models, instead of inefficient traditional variable selection methods like stepwise regression, is of great importance. The objective of this study was to investigate correlates of psychiatric distress among college students in Iran; using group smoothly clipped absolute deviation method (SCAD). Methods A number of 1259 voluntary college students participated in this cross-sectional study (Jan-May 2016) at Hamadan University of Medical Sciences, Iran. The data were collected using a self-administered questionnaire consisting of demographic information, a behavioral risk factors checklist and the GHQ-28 questionnaire (with a cut-off of 23 to measure psychiatric distress, recommended by the Iranian version of the questionnaire). Penalized logistic regression with a group-SCAD regularization method was used to analyze the data (α = 0.05)...

Research paper thumbnail of Modeling the survival in patients with HIV by the presence of competing risks for death: sub-distribution and cause-specific hazard approach

Journal of Public Health, 2021

In the presence of competing risks, patients with human immunodeficiency viruses (HIV) experience... more In the presence of competing risks, patients with human immunodeficiency viruses (HIV) experience death by various causes, including co-infection with acquired immune deficiency syndrome (AIDS) with tuberculosis (TB), AIDS, and other causes in the follow-up. This study aimed to model the survival in patients with HIV in the presence of these competing causes of death utilizing sub-distribution hazard (SDH) and cause-specific hazard (CSH) models to overcome biased estimates of the classical analyses. In this longitudinal study, patients with HIV+ diagnosis (n = 2328) were recruited from Imam Khomeini and Zamzam consulting centers from 2003 to 2012. In the presence of the competing causes of death, the SDH and CSH models evaluated the effect of underlying predictors on the cumulative incidence and instantaneous hazards, respectively, with the cmprisk package in R4.1 software. The median survival time of patients with AIDS+TB, AIDS and other causes were 7.79 (SE .84), 11.57 (SE .98), and 14.1 (SE .91), respectively. In the SDH model, CD4(350+) [AIDS: sub-distribution hazard ratio (SHR) = .13, 95% confidence interval(CI) = (.08–.19)); AIDS+TB .10(.04–.25)], antiretroviral therapy (ART) [AIDS .44(.32–.61); AIDS+TB .57(.31–.99); other .07(.02–.23)], isoniazid prophylaxis therapy (IPT) [AIDS .47(.28–.78); AIDS+TB .08(.01–.58)], and cotrimoxazole prophylaxis therapy (CPT) [AIDS .38(.22–.68)], were inversely related to hazard of death, while being a male [AIDS 2.62(1.574.39); AIDS+TB 10.43(2.32–46.83); Other 9.48(1.95–45.99)] was directly related to hazard of death. The CSH model resulted in similar estimates except for CD4(350+) which was inversely related to hazard of death by other causes. Taking into account the strong association of CD4(350+), ART, IPT, CPT, and being a male with the hazard of mortality caused by the competing causes of death in patients with HIV, in both SDH and CSH models, designing sex-specific policymaking and interventional programs are recommended to prolong the survival of patients with HIV. The future treatment program can utilize the results.

Research paper thumbnail of Application of Hidden Markov Model in Forecasting New Cases of Tuberculosis in Hamadan Province Based on the Recorded Cases during 2006-2016

iranian journal of epidemiology, 2018

1 رامآ يارتكد يوجشناد رامآ هورگ ،يتسيز ز ي تس ي كشزپ مولع هاگشناد ،تشادهب هدكشناد ، ي نادمه ا ،نا... more 1 رامآ يارتكد يوجشناد رامآ هورگ ،يتسيز ز ي تس ي كشزپ مولع هاگشناد ،تشادهب هدكشناد ، ي نادمه ا ،نادمه ، ي نار 2 ع هدكشناد رامآ هورگ ،رامآ رايداتسا نادمه انيس يلعوب هاگشناد ،مول ا ،نادمه ، ي نار 3 يشناد رامآ را لدم تاقيقحت زكرم ،يتسيز يراميب يزاس ريغ ياه رامآ هورگ ،ريگاو كشزپ مولع هاگشناد ،تشادهب هدكشناد ،يژولويمديپا و يتسيز ي نادمه ا ،نادمه ، ي نار 4 ب سانشراك ي رام ي اه ي كشزپ مولع هاگشناد ،يتشادهب تنواعم ي نادمه ا ،نادمه ، ي نار ون ي هدنس طبار : تردق هلا ييانشور ، اشن ن ي : ،نادمه نابايخ ديهش هديمهف يوربور كراپ ،مدرم هاگشناد مولع يكشزپ ،نادمه هدكشناد ،تشادهب هورگ يتسيزرامآ و ،يژولويمديپا نفلت : 081 38380090 ، تسپ نورتكلا ي ك : gh.roshanaei@umsha.ac.ir رات ي رد خ ي :تفا 25 / 08 / 96 ؛ ذپ ي :شر 01 / 02 / 97

Research paper thumbnail of ORIGINAL REPORT The Assessment of Affected Factors on Cytomegalovirus and Rubella Virus Prevalence in Females in Hamadan, Iran

Cytomegalovirus (CMV) and rubella are considered as dangerous viral infections to the fetus. The ... more Cytomegalovirus (CMV) and rubella are considered as dangerous viral infections to the fetus. The findings of this research can clear the possible progress made thus far toward prevention in this part of the country. The data of all referees to genetic center of Shahid Beheshti Hospital in Hamadan, including the rubella and CMV tests were recorded in questionnaires and analyzed by logistic regression models. Univariate and multivariate logistic regression were utilized to assess the affected factors on CMV and Rubella separately. STATA and SPSS16 statistical software were used with setting P-value as 0.05. Logistic regression analysis indicates a statistically significant relationship between CMV IgM and on occupation (P=0.045), pregnancy (P=0.03) and years of referring the patients (P<0.001). The results of multivariate logistic regression analysis showed that job was significantly affected on the CMV infection [OR (95% C.I) = 1.71(1.1-2.83)]. Univariate logistic regression showe...

Research paper thumbnail of Determining of Factors Affecting on Mortality of AIDS Patients by Using Extended Cox Model

This open-access article distributed under the terms of the Creative Commons Attribution NonComme... more This open-access article distributed under the terms of the Creative Commons Attribution NonCommercial 4.0 License (CC BY-NC 4.0).

Research paper thumbnail of Identifying the Risk Factors for Mortality in Patients with Cancer and COVID-19 in Hamadan, the West of Iran

Journal of Gastrointestinal Cancer, 2021

Research paper thumbnail of Identifying the Factors Influencing the Recurrence Time of Bipolar I Disorder Using Frailty Model

Journal of Mazandaran University of Medical Sciences, 2017

Background and purpose: Bipolar disorder is a mood disorder and mental illness that is recognized... more Background and purpose: Bipolar disorder is a mood disorder and mental illness that is recognized as type I and type II. Bipolar I disorder involves at least one episode of mania and is a common chronic recurrence disease with various causes responsible for its recurrence. The aim of this study was to determine effective factors on relapsing disease in patients with bipolar I disorder using frailty model. Materials and methods: The information of 268 patients with bipolar I disorder who were hospitalized in Farshchian Hospital, Hamedan, Iran (2008-2014) were collected using their records. Patients hospitalized due to more than one recurrence were entered the study. The intervals between recurrence times were recorded. FrailtyPack of R software was used to fit model. Results: The mean age of patients was 34.10±11.56 years, and 160 patients (72.7%) were male. In total, 696 recurrences occurred in 268 patients. The number of recurrences was between 2 to 7 times. All patients experience...

Research paper thumbnail of Application of group smoothly clipped absolute deviation method in identifying correlates of psychiatric distress among college students

BMC Psychiatry, 2020

Background College students are at an increased risk of psychiatric distress. So, identifying its... more Background College students are at an increased risk of psychiatric distress. So, identifying its important correlates using more reliable statistical models, instead of inefficient traditional variable selection methods like stepwise regression, is of great importance. The objective of this study was to investigate correlates of psychiatric distress among college students in Iran; using group smoothly clipped absolute deviation method (SCAD). Methods A number of 1259 voluntary college students participated in this cross-sectional study (Jan-May 2016) at Hamadan University of Medical Sciences, Iran. The data were collected using a self-administered questionnaire consisting of demographic information, a behavioral risk factors checklist and the GHQ-28 questionnaire (with a cut-off of 23 to measure psychiatric distress, recommended by the Iranian version of the questionnaire). Penalized logistic regression with a group-SCAD regularization method was used to analyze the data (α = 0.05)...

Research paper thumbnail of Common malignancies in children (under 18 years) and its affected factors in Hamedan Province during 1386 to 1395

ُديكچ ِهدقه : ٖبعزع ودٛو ٗیث رد يزٔ تّػ ٗیٔٚد یودٛو ٖارٚد یبٞ .تعا ٖب عٛیؽ ٚ سٚزث ٝو ٗيا ٝث ٝجٛت ... more ُديكچ ِهدقه : ٖبعزع ودٛو ٗیث رد يزٔ تّػ ٗیٔٚد یودٛو ٖارٚد یبٞ .تعا ٖب عٛیؽ ٚ سٚزث ٝو ٗيا ٝث ٝجٛت بث یٕیخذث بٞ كعبٙٔ رد ،ذ٘راد تِبخد ٖآ رد یغیحٔ ٚ یٍٙٞزف دذؼتٔ ُٔاٛػ ٚ تعا تٚبفتٔ فّتخٔ یصِٛٛیٔذیپا یعرزث فذٞ بث ٝؼِبغٔ ٗيا یٕیخذث یبٞ رد غيبؽ ٖبودٛو .تفزٌ ْبج٘ا ٖاذٕٞ ٖبتعا رد شٍر يسررب : رزث درٛٔ ٝؼٔبج یؼغمٔ ٝؼِبغٔ ٗيا رد یث ٝث ٜذٙٙو ٝؼجازٔ یٕیخذث ربچد ٖبودٛو ،یع .ذ٘دٛث ٖاذٕٞ ٖبتعا تثؼث ٖبتعربٕ غٕج تبػلاعا ْز٘ سا ٜدبفتعا بث ٜذؽ یرٚآ راشفا SPSS 20 ٚ ٝيشجت صخبؽ سا ٝؼِبغٔ ٗيا رد .ذؽ یربٔآ ُیّحت یبو ٖٛٔسآ ٚ یفیصٛت یبٞ ٚد .ذيدزٌ ٜدبفتعا جياتً : ٜذ٘ٚزپ یٔبٕت یعرزث اد ٖبؾ٘ دٛجٛٔ یبٞ عٛیؽ ٝو د ی٘اٚازف یٕیخذث %( ٖازغپ رد بٞ 7 / 57 ٖاربٕیث ،دٛث ٖازتخد سا زتؾیث )

Research paper thumbnail of Application of Hidden Markov Model in Forecasting New Cases of Tuberculosis in Hamadan Province Based on the Recorded Cases during 2006-2016

iranian journal of epidemiology, 2018

1 رامآ يارتكد يوجشناد رامآ هورگ ،يتسيز ز ي تس ي كشزپ مولع هاگشناد ،تشادهب هدكشناد ، ي نادمه ا ،نا... more 1 رامآ يارتكد يوجشناد رامآ هورگ ،يتسيز ز ي تس ي كشزپ مولع هاگشناد ،تشادهب هدكشناد ، ي نادمه ا ،نادمه ، ي نار 2 ع هدكشناد رامآ هورگ ،رامآ رايداتسا نادمه انيس يلعوب هاگشناد ،مول ا ،نادمه ، ي نار 3 يشناد رامآ را لدم تاقيقحت زكرم ،يتسيز يراميب يزاس ريغ ياه رامآ هورگ ،ريگاو كشزپ مولع هاگشناد ،تشادهب هدكشناد ،يژولويمديپا و يتسيز ي نادمه ا ،نادمه ، ي نار 4 ب سانشراك ي رام ي اه ي كشزپ مولع هاگشناد ،يتشادهب تنواعم ي نادمه ا ،نادمه ، ي نار ون ي هدنس طبار : تردق هلا ييانشور ، اشن ن ي : ،نادمه نابايخ ديهش هديمهف يوربور كراپ ،مدرم هاگشناد مولع يكشزپ ،نادمه هدكشناد ،تشادهب هورگ يتسيزرامآ و ،يژولويمديپا نفلت : 081 38380090 ، تسپ نورتكلا ي ك : gh.roshanaei@umsha.ac.ir رات ي رد خ ي :تفا 25 / 08 / 96 ؛ ذپ ي :شر 01 / 02 / 97

Research paper thumbnail of Survival Rates among Co-infected Patients with Human Immunodeficiency Virus/Tuberculosis in Tehran, Iran

Iranian Journal of Public Health, 2017

Background: The number of deaths related with co-infection of tuberculosis (TB) and HIV remains i... more Background: The number of deaths related with co-infection of tuberculosis (TB) and HIV remains inappropriately high worldwide. TB is anticipated to be the major reason of HIV-related deaths globally. This study aimed to find out and evaluate the characteristics of the possible risk factors influencing the survival time of co-infected patients with HIV/TB in Tehran the capital of Iran. Methods: This retrospective study was performed on the referred patients to the one of two Behavioral Diseases Counseling Centers, Imam Khomeini, and Zamzam Centers, Tehran, Iran, in 2004–2013. Data were analyzed by Cox PH model utilizing SPSS16 statistical software. Results: Multivariate analysis confirmed that the age at diagnosis (P=0.014), gender (P=0.002), sexual transmission (P=0.01), cotrimoxazole preventive therapy (P<0.001), and onset to TB after post-HIV diagnosis (P=0.01) were the parameters which had significant effects on the death of HIV/TBco-infected patients. Conclusion: The results...

Research paper thumbnail of Application of Censored Quantile Regression to Determine Overall Survival Related Factors in Breast Cancer

Journal of Research in Health Sciences, 2016

Background: The occurrence and the mortality related to breast cancer (BC) in Iranian female popu... more Background: The occurrence and the mortality related to breast cancer (BC) in Iranian female population has increased over time. Although there are many studies on BC and related risk factors, however, the epidemiological aspects of this melanoma in Iranian females are uncertain. Therefore, the aim of this study was to determine the relationship between demographical and clinical factors on the shape of overall survival (OS) distribution in patients with BC. Methods: This historical cohort study was carried out using data from 522 participants with BC. Data were gathered from medical records of these patients admitted to Mahdieh Oncology Center of Hamadan Province, western Iran, from January 2000 to August 2011. Kaplan-Meier estimator was used to estimate the survival rates and, censored quantile regression (CQR) to provide in-depth insight in the multivariable association between prognosis factors and survival rates. Results: Patients' follow-up ranged from around 3 to 197 mont...

Research paper thumbnail of Effect of Consultation and Educating in Preparation Classes for Delivery on Pregnancy Consequences: A Randomized Controlled Clinical Trial

Electronic physician, 2016

Research paper thumbnail of Quality of Life in Postmenopausal Women in Iran: A Population-based Study

Journal of Menopausal Medicine, 2016

Objectives: Menopause can have psychological, physical, and vasomotor symptoms along with sexual ... more Objectives: Menopause can have psychological, physical, and vasomotor symptoms along with sexual dysfunction and these symptoms can affect the quality of life (QOL). The purpose of this research was to determine and association the effective factors on QOL among postmenopausal Iranian women. Methods: This cross-sectional study was conducted in 2015 on 300 postmenopausal women in Hamadan, Iran. We used the Menopause-Specific QOL questionnaire (MENQOL) for measuring QOL in postmenopausal women. SPSS version 16 was used for data analysis.

Research paper thumbnail of Education Based on BASNEF Model; an Affective Education on Regular Use of Nutritional Supplements during Pregnancy

Journal of Biology and Today's World, 2014

Pregnancy is an important period for both mother and fetal; one of the common problems during pre... more Pregnancy is an important period for both mother and fetal; one of the common problems during pregnancy is deficiency of nutrients like folic acid, iron, vitamins and minerals which shows its side effects on fetal. The aim of this study was to design and implement educational programs on regular uptake of food supplements during pregnancy among pregnant women in west of Iran; BASNEF model was applied as theoretical framework. Overall, 88 pregnant women were selected randomly to participate in this study as intervention and control group. Present study designed to be an interventional-experimental study. Cross-tabulation and t-test through using SPSS statistical package, version 16, were used for statistical analysis. Our findings indicated that mean scores of knowledge and BASNEF Model variables were significantly increased in the experi- mental group compared to the controls immediately after and two months after intervention. Also, supplements behavior us- age (81.56% before intervention, 92.17 % after intervention and 99.24% two months after intervention in experimental group) improved significantly among experimental group, compared to control group which was statistically significant (P < 0.05). It seems that designing and implementing educational intervention based on BASNEF Model to regular uptake of food supplements during pregnancy among pregnant women could be a beneficial result to increase women health.

Research paper thumbnail of Effect of educational program on quality of life of patients with heart failure: a randomized clinical trial

Journal of caring sciences, 2013

Heart failure is one of the most common cardiovascular diseases which decrease the quality of lif... more Heart failure is one of the most common cardiovascular diseases which decrease the quality of life. Most of the factors influencing the quality of life can be modified with educational interventions. Therefore, this study examined the impact of a continuous training program on quality of life of patients with heart failure. This randomized clinical trial study was conducted during May to August 2011. Forty four participants with heart failure referred to Shahid Madani's polyclinics of Tabriz were selected through convenient sampling method and were randomly allocated to two groups. The intervention group (n = 22) received ongoing training including one-to-one teaching, counseling sessions and phone calls over 3 months. The control group (n = 22) received routine care program. Data on quality of life was collected using the Minnesota Living with Heart Failure Questionnaire at baseline as well as three months later. The statistical tests showed significant differences in the physi...

Research paper thumbnail of Modeling the survival in patients with HIV by the presence of competing risks for death: sub-distribution and cause-specific hazard approach

Journal of Public Health, 2021

In the presence of competing risks, patients with human immunodeficiency viruses (HIV) experience... more In the presence of competing risks, patients with human immunodeficiency viruses (HIV) experience death by various causes, including co-infection with acquired immune deficiency syndrome (AIDS) with tuberculosis (TB), AIDS, and other causes in the follow-up. This study aimed to model the survival in patients with HIV in the presence of these competing causes of death utilizing sub-distribution hazard (SDH) and cause-specific hazard (CSH) models to overcome biased estimates of the classical analyses. In this longitudinal study, patients with HIV+ diagnosis (n = 2328) were recruited from Imam Khomeini and Zamzam consulting centers from 2003 to 2012. In the presence of the competing causes of death, the SDH and CSH models evaluated the effect of underlying predictors on the cumulative incidence and instantaneous hazards, respectively, with the cmprisk package in R4.1 software. The median survival time of patients with AIDS+TB, AIDS and other causes were 7.79 (SE .84), 11.57 (SE .98), and 14.1 (SE .91), respectively. In the SDH model, CD4(350+) [AIDS: sub-distribution hazard ratio (SHR) = .13, 95% confidence interval(CI) = (.08–.19)); AIDS+TB .10(.04–.25)], antiretroviral therapy (ART) [AIDS .44(.32–.61); AIDS+TB .57(.31–.99); other .07(.02–.23)], isoniazid prophylaxis therapy (IPT) [AIDS .47(.28–.78); AIDS+TB .08(.01–.58)], and cotrimoxazole prophylaxis therapy (CPT) [AIDS .38(.22–.68)], were inversely related to hazard of death, while being a male [AIDS 2.62(1.574.39); AIDS+TB 10.43(2.32–46.83); Other 9.48(1.95–45.99)] was directly related to hazard of death. The CSH model resulted in similar estimates except for CD4(350+) which was inversely related to hazard of death by other causes. Taking into account the strong association of CD4(350+), ART, IPT, CPT, and being a male with the hazard of mortality caused by the competing causes of death in patients with HIV, in both SDH and CSH models, designing sex-specific policymaking and interventional programs are recommended to prolong the survival of patients with HIV. The future treatment program can utilize the results.

Research paper thumbnail of ORIGINAL REPORT The Assessment of Affected Factors on Cytomegalovirus and Rubella Virus Prevalence in Females in Hamadan, Iran

Cytomegalovirus (CMV) and rubella are considered as dangerous viral infections to the fetus. The ... more Cytomegalovirus (CMV) and rubella are considered as dangerous viral infections to the fetus. The findings of this research can clear the possible progress made thus far toward prevention in this part of the country. The data of all referees to genetic center of Shahid Beheshti Hospital in Hamadan, including the rubella and CMV tests were recorded in questionnaires and analyzed by logistic regression models. Univariate and multivariate logistic regression were utilized to assess the affected factors on CMV and Rubella separately. STATA and SPSS16 statistical software were used with setting P-value as 0.05. Logistic regression analysis indicates a statistically significant relationship between CMV IgM and on occupation (P=0.045), pregnancy (P=0.03) and years of referring the patients (P<0.001). The results of multivariate logistic regression analysis showed that job was significantly affected on the CMV infection [OR (95% C.I) = 1.71(1.1-2.83)]. Univariate logistic regression showe...

Research paper thumbnail of The Relationship Between Internet Addiction and General Health in Students of Hamadan University of Medical Sciences-Iran, 2015: A Cross Sectional Study

Modern Care Journal, 2016

Objectives: The Internet is a global system that is increasingly used by the public, especially u... more Objectives: The Internet is a global system that is increasingly used by the public, especially university students, as a useful tool to access information sources. The aim of this study was to investigate the relationship between Internet addiction and general health in students of Hamadan University of Medical Sciences, during year 2015. Methods: This cross-sectional study was conducted on 650 students of Hamadan University of Medical Sciences, west of Iran, during year 2015. The participants were volunteers and were selected by stratified sampling. The data collection tool was the Young internet addiction test and general health questionnaire (GHQ28). Data was analyzed by logistic regression and analysis of variance methods. Results: Mean age of students was 22 ± 4.01 years old. The mean score of Internet addiction was 77.08 ± 17.24 and mean score of general health was 59.38 ± 9.54. Analysis of variance method showed that the score of all general health aspects (except social functioning) was increased significantly in the addicted group in comparison with normal and suspected groups (all Ps < 0.001). In addition, risk of internet addiction in females was 1.81 (95% CI: 1.3-2.5) times more than males. Pearson correlation coefficients showed that internet addiction score increased in the same direction as all general health aspects (all P < 0.001). Conclusions: Results showed that overuse of the Internet is causing serious problems for general health in students of medical universities.

Research paper thumbnail of Identifying the Risk Factors for Mortality in Patients with Cancer and COVID-19 in Hamadan, the West of Iran

Journal of Gastrointestinal Cancer, 2021

Research paper thumbnail of Application of group smoothly clipped absolute deviation method in identifying correlates of psychiatric distress among college students

BMC Psychiatry, 2020

Background College students are at an increased risk of psychiatric distress. So, identifying its... more Background College students are at an increased risk of psychiatric distress. So, identifying its important correlates using more reliable statistical models, instead of inefficient traditional variable selection methods like stepwise regression, is of great importance. The objective of this study was to investigate correlates of psychiatric distress among college students in Iran; using group smoothly clipped absolute deviation method (SCAD). Methods A number of 1259 voluntary college students participated in this cross-sectional study (Jan-May 2016) at Hamadan University of Medical Sciences, Iran. The data were collected using a self-administered questionnaire consisting of demographic information, a behavioral risk factors checklist and the GHQ-28 questionnaire (with a cut-off of 23 to measure psychiatric distress, recommended by the Iranian version of the questionnaire). Penalized logistic regression with a group-SCAD regularization method was used to analyze the data (α = 0.05)...

Research paper thumbnail of Modeling the survival in patients with HIV by the presence of competing risks for death: sub-distribution and cause-specific hazard approach

Journal of Public Health, 2021

In the presence of competing risks, patients with human immunodeficiency viruses (HIV) experience... more In the presence of competing risks, patients with human immunodeficiency viruses (HIV) experience death by various causes, including co-infection with acquired immune deficiency syndrome (AIDS) with tuberculosis (TB), AIDS, and other causes in the follow-up. This study aimed to model the survival in patients with HIV in the presence of these competing causes of death utilizing sub-distribution hazard (SDH) and cause-specific hazard (CSH) models to overcome biased estimates of the classical analyses. In this longitudinal study, patients with HIV+ diagnosis (n = 2328) were recruited from Imam Khomeini and Zamzam consulting centers from 2003 to 2012. In the presence of the competing causes of death, the SDH and CSH models evaluated the effect of underlying predictors on the cumulative incidence and instantaneous hazards, respectively, with the cmprisk package in R4.1 software. The median survival time of patients with AIDS+TB, AIDS and other causes were 7.79 (SE .84), 11.57 (SE .98), and 14.1 (SE .91), respectively. In the SDH model, CD4(350+) [AIDS: sub-distribution hazard ratio (SHR) = .13, 95% confidence interval(CI) = (.08–.19)); AIDS+TB .10(.04–.25)], antiretroviral therapy (ART) [AIDS .44(.32–.61); AIDS+TB .57(.31–.99); other .07(.02–.23)], isoniazid prophylaxis therapy (IPT) [AIDS .47(.28–.78); AIDS+TB .08(.01–.58)], and cotrimoxazole prophylaxis therapy (CPT) [AIDS .38(.22–.68)], were inversely related to hazard of death, while being a male [AIDS 2.62(1.574.39); AIDS+TB 10.43(2.32–46.83); Other 9.48(1.95–45.99)] was directly related to hazard of death. The CSH model resulted in similar estimates except for CD4(350+) which was inversely related to hazard of death by other causes. Taking into account the strong association of CD4(350+), ART, IPT, CPT, and being a male with the hazard of mortality caused by the competing causes of death in patients with HIV, in both SDH and CSH models, designing sex-specific policymaking and interventional programs are recommended to prolong the survival of patients with HIV. The future treatment program can utilize the results.

Research paper thumbnail of Application of Hidden Markov Model in Forecasting New Cases of Tuberculosis in Hamadan Province Based on the Recorded Cases during 2006-2016

iranian journal of epidemiology, 2018

1 رامآ يارتكد يوجشناد رامآ هورگ ،يتسيز ز ي تس ي كشزپ مولع هاگشناد ،تشادهب هدكشناد ، ي نادمه ا ،نا... more 1 رامآ يارتكد يوجشناد رامآ هورگ ،يتسيز ز ي تس ي كشزپ مولع هاگشناد ،تشادهب هدكشناد ، ي نادمه ا ،نادمه ، ي نار 2 ع هدكشناد رامآ هورگ ،رامآ رايداتسا نادمه انيس يلعوب هاگشناد ،مول ا ،نادمه ، ي نار 3 يشناد رامآ را لدم تاقيقحت زكرم ،يتسيز يراميب يزاس ريغ ياه رامآ هورگ ،ريگاو كشزپ مولع هاگشناد ،تشادهب هدكشناد ،يژولويمديپا و يتسيز ي نادمه ا ،نادمه ، ي نار 4 ب سانشراك ي رام ي اه ي كشزپ مولع هاگشناد ،يتشادهب تنواعم ي نادمه ا ،نادمه ، ي نار ون ي هدنس طبار : تردق هلا ييانشور ، اشن ن ي : ،نادمه نابايخ ديهش هديمهف يوربور كراپ ،مدرم هاگشناد مولع يكشزپ ،نادمه هدكشناد ،تشادهب هورگ يتسيزرامآ و ،يژولويمديپا نفلت : 081 38380090 ، تسپ نورتكلا ي ك : gh.roshanaei@umsha.ac.ir رات ي رد خ ي :تفا 25 / 08 / 96 ؛ ذپ ي :شر 01 / 02 / 97

Research paper thumbnail of ORIGINAL REPORT The Assessment of Affected Factors on Cytomegalovirus and Rubella Virus Prevalence in Females in Hamadan, Iran

Cytomegalovirus (CMV) and rubella are considered as dangerous viral infections to the fetus. The ... more Cytomegalovirus (CMV) and rubella are considered as dangerous viral infections to the fetus. The findings of this research can clear the possible progress made thus far toward prevention in this part of the country. The data of all referees to genetic center of Shahid Beheshti Hospital in Hamadan, including the rubella and CMV tests were recorded in questionnaires and analyzed by logistic regression models. Univariate and multivariate logistic regression were utilized to assess the affected factors on CMV and Rubella separately. STATA and SPSS16 statistical software were used with setting P-value as 0.05. Logistic regression analysis indicates a statistically significant relationship between CMV IgM and on occupation (P=0.045), pregnancy (P=0.03) and years of referring the patients (P<0.001). The results of multivariate logistic regression analysis showed that job was significantly affected on the CMV infection [OR (95% C.I) = 1.71(1.1-2.83)]. Univariate logistic regression showe...

Research paper thumbnail of Determining of Factors Affecting on Mortality of AIDS Patients by Using Extended Cox Model

This open-access article distributed under the terms of the Creative Commons Attribution NonComme... more This open-access article distributed under the terms of the Creative Commons Attribution NonCommercial 4.0 License (CC BY-NC 4.0).

Research paper thumbnail of Identifying the Risk Factors for Mortality in Patients with Cancer and COVID-19 in Hamadan, the West of Iran

Journal of Gastrointestinal Cancer, 2021

Research paper thumbnail of Identifying the Factors Influencing the Recurrence Time of Bipolar I Disorder Using Frailty Model

Journal of Mazandaran University of Medical Sciences, 2017

Background and purpose: Bipolar disorder is a mood disorder and mental illness that is recognized... more Background and purpose: Bipolar disorder is a mood disorder and mental illness that is recognized as type I and type II. Bipolar I disorder involves at least one episode of mania and is a common chronic recurrence disease with various causes responsible for its recurrence. The aim of this study was to determine effective factors on relapsing disease in patients with bipolar I disorder using frailty model. Materials and methods: The information of 268 patients with bipolar I disorder who were hospitalized in Farshchian Hospital, Hamedan, Iran (2008-2014) were collected using their records. Patients hospitalized due to more than one recurrence were entered the study. The intervals between recurrence times were recorded. FrailtyPack of R software was used to fit model. Results: The mean age of patients was 34.10±11.56 years, and 160 patients (72.7%) were male. In total, 696 recurrences occurred in 268 patients. The number of recurrences was between 2 to 7 times. All patients experience...

Research paper thumbnail of Application of group smoothly clipped absolute deviation method in identifying correlates of psychiatric distress among college students

BMC Psychiatry, 2020

Background College students are at an increased risk of psychiatric distress. So, identifying its... more Background College students are at an increased risk of psychiatric distress. So, identifying its important correlates using more reliable statistical models, instead of inefficient traditional variable selection methods like stepwise regression, is of great importance. The objective of this study was to investigate correlates of psychiatric distress among college students in Iran; using group smoothly clipped absolute deviation method (SCAD). Methods A number of 1259 voluntary college students participated in this cross-sectional study (Jan-May 2016) at Hamadan University of Medical Sciences, Iran. The data were collected using a self-administered questionnaire consisting of demographic information, a behavioral risk factors checklist and the GHQ-28 questionnaire (with a cut-off of 23 to measure psychiatric distress, recommended by the Iranian version of the questionnaire). Penalized logistic regression with a group-SCAD regularization method was used to analyze the data (α = 0.05)...

Research paper thumbnail of Common malignancies in children (under 18 years) and its affected factors in Hamedan Province during 1386 to 1395

ُديكچ ِهدقه : ٖبعزع ودٛو ٗیث رد يزٔ تّػ ٗیٔٚد یودٛو ٖارٚد یبٞ .تعا ٖب عٛیؽ ٚ سٚزث ٝو ٗيا ٝث ٝجٛت ... more ُديكچ ِهدقه : ٖبعزع ودٛو ٗیث رد يزٔ تّػ ٗیٔٚد یودٛو ٖارٚد یبٞ .تعا ٖب عٛیؽ ٚ سٚزث ٝو ٗيا ٝث ٝجٛت بث یٕیخذث بٞ كعبٙٔ رد ،ذ٘راد تِبخد ٖآ رد یغیحٔ ٚ یٍٙٞزف دذؼتٔ ُٔاٛػ ٚ تعا تٚبفتٔ فّتخٔ یصِٛٛیٔذیپا یعرزث فذٞ بث ٝؼِبغٔ ٗيا یٕیخذث یبٞ رد غيبؽ ٖبودٛو .تفزٌ ْبج٘ا ٖاذٕٞ ٖبتعا رد شٍر يسررب : رزث درٛٔ ٝؼٔبج یؼغمٔ ٝؼِبغٔ ٗيا رد یث ٝث ٜذٙٙو ٝؼجازٔ یٕیخذث ربچد ٖبودٛو ،یع .ذ٘دٛث ٖاذٕٞ ٖبتعا تثؼث ٖبتعربٕ غٕج تبػلاعا ْز٘ سا ٜدبفتعا بث ٜذؽ یرٚآ راشفا SPSS 20 ٚ ٝيشجت صخبؽ سا ٝؼِبغٔ ٗيا رد .ذؽ یربٔآ ُیّحت یبو ٖٛٔسآ ٚ یفیصٛت یبٞ ٚد .ذيدزٌ ٜدبفتعا جياتً : ٜذ٘ٚزپ یٔبٕت یعرزث اد ٖبؾ٘ دٛجٛٔ یبٞ عٛیؽ ٝو د ی٘اٚازف یٕیخذث %( ٖازغپ رد بٞ 7 / 57 ٖاربٕیث ،دٛث ٖازتخد سا زتؾیث )

Research paper thumbnail of Application of Hidden Markov Model in Forecasting New Cases of Tuberculosis in Hamadan Province Based on the Recorded Cases during 2006-2016

iranian journal of epidemiology, 2018

1 رامآ يارتكد يوجشناد رامآ هورگ ،يتسيز ز ي تس ي كشزپ مولع هاگشناد ،تشادهب هدكشناد ، ي نادمه ا ،نا... more 1 رامآ يارتكد يوجشناد رامآ هورگ ،يتسيز ز ي تس ي كشزپ مولع هاگشناد ،تشادهب هدكشناد ، ي نادمه ا ،نادمه ، ي نار 2 ع هدكشناد رامآ هورگ ،رامآ رايداتسا نادمه انيس يلعوب هاگشناد ،مول ا ،نادمه ، ي نار 3 يشناد رامآ را لدم تاقيقحت زكرم ،يتسيز يراميب يزاس ريغ ياه رامآ هورگ ،ريگاو كشزپ مولع هاگشناد ،تشادهب هدكشناد ،يژولويمديپا و يتسيز ي نادمه ا ،نادمه ، ي نار 4 ب سانشراك ي رام ي اه ي كشزپ مولع هاگشناد ،يتشادهب تنواعم ي نادمه ا ،نادمه ، ي نار ون ي هدنس طبار : تردق هلا ييانشور ، اشن ن ي : ،نادمه نابايخ ديهش هديمهف يوربور كراپ ،مدرم هاگشناد مولع يكشزپ ،نادمه هدكشناد ،تشادهب هورگ يتسيزرامآ و ،يژولويمديپا نفلت : 081 38380090 ، تسپ نورتكلا ي ك : gh.roshanaei@umsha.ac.ir رات ي رد خ ي :تفا 25 / 08 / 96 ؛ ذپ ي :شر 01 / 02 / 97

Research paper thumbnail of Survival Rates among Co-infected Patients with Human Immunodeficiency Virus/Tuberculosis in Tehran, Iran

Iranian Journal of Public Health, 2017

Background: The number of deaths related with co-infection of tuberculosis (TB) and HIV remains i... more Background: The number of deaths related with co-infection of tuberculosis (TB) and HIV remains inappropriately high worldwide. TB is anticipated to be the major reason of HIV-related deaths globally. This study aimed to find out and evaluate the characteristics of the possible risk factors influencing the survival time of co-infected patients with HIV/TB in Tehran the capital of Iran. Methods: This retrospective study was performed on the referred patients to the one of two Behavioral Diseases Counseling Centers, Imam Khomeini, and Zamzam Centers, Tehran, Iran, in 2004–2013. Data were analyzed by Cox PH model utilizing SPSS16 statistical software. Results: Multivariate analysis confirmed that the age at diagnosis (P=0.014), gender (P=0.002), sexual transmission (P=0.01), cotrimoxazole preventive therapy (P<0.001), and onset to TB after post-HIV diagnosis (P=0.01) were the parameters which had significant effects on the death of HIV/TBco-infected patients. Conclusion: The results...

Research paper thumbnail of Application of Censored Quantile Regression to Determine Overall Survival Related Factors in Breast Cancer

Journal of Research in Health Sciences, 2016

Background: The occurrence and the mortality related to breast cancer (BC) in Iranian female popu... more Background: The occurrence and the mortality related to breast cancer (BC) in Iranian female population has increased over time. Although there are many studies on BC and related risk factors, however, the epidemiological aspects of this melanoma in Iranian females are uncertain. Therefore, the aim of this study was to determine the relationship between demographical and clinical factors on the shape of overall survival (OS) distribution in patients with BC. Methods: This historical cohort study was carried out using data from 522 participants with BC. Data were gathered from medical records of these patients admitted to Mahdieh Oncology Center of Hamadan Province, western Iran, from January 2000 to August 2011. Kaplan-Meier estimator was used to estimate the survival rates and, censored quantile regression (CQR) to provide in-depth insight in the multivariable association between prognosis factors and survival rates. Results: Patients' follow-up ranged from around 3 to 197 mont...