Farid Najafi | Kermanshah University Of Medical Science (original) (raw)
Papers by Farid Najafi
Journal of Traditional Chinese Medicine, 2016
Archives of Gerontology and Geriatrics, 2014
DM type II is one of the most common chronic diseases. The objective of this study is to investig... more DM type II is one of the most common chronic diseases. The objective of this study is to investigate the prevalence of DM and its association with other age-related diseases in Iran, 2012. In this cross-sectional study, people aged 60 years and over were selected using multistage sampling method. Mini-Nutritional Assessment (MNA), Activity of Daily Living (ADL), and Geriatric Depression Scale (GDS-15 items) questionnaires were used. History of common disorders was taken through self-report, medical records and the results of clinical examinations. A total of 1350 old people were studied. DM type II was found in 297 (22.0%) subjects and 371 (27.5%) of subjects were not aware of their DM status. Hypertension (55.6%), high serum cholesterol (51.8%), malnutrition (40.1%), Alzheimer's disease (16.9%), weight loss within past year (16.1%), weight gain within past year (11.7%), frailty (64.6%), insomnia (50.1%), and vision problems (62.6%) were significantly more common in diabetics. Those who were not aware of their status of DM either were between diabetics and non-diabetics or more similar to non-diabetics. Considering high prevalence of age-related diseases among Iranian elderly people, in particular women and those with DM type II, preventive measures are recommended so as to decrease and control DM type II and its consequent complications.
Archives of Pediatric Infectious Diseases, 2013
Journal of Research in …, 2009
Background: Health policy makers are concerned about protecting people from catastrophic health e... more Background: Health policy makers are concerned about protecting people from catastrophic health expenditures and subsequent impoverishment. This study aimed to describe the magnitude and distribution of catastrophic health expenditures in Kermanshah western Iran. Methods: In this descriptive study, during May 2008, 189 households were chosen by "Systematic Random sampling" among the community of Maskan in Maskan Center for Population. After getting the informed consent forms signed, data ere collected using a questionnaire by interviewing the head of the families. The cut-off point for catastrophic expenditure was defined as health expenditures over 40% of household's capacity to pay. Results: From a total of 189 households, 22.2% (42) households (95% CI 16.3%-28.1%) incurred catastrophic health expenditures. Out of 42 households, for 11.9%, the head of family was female. 40.5 % had one member younger than 12 years old, 26.2% had one member older than sixty years old, and 9.5% were households with at least one member with chronic condition. In addition, 19% were uninsured. In addition, because of financial burden of health expenditures 21.4% of the households sold their jewels, 16.7% used up their savings and 47.6% were in debt. Conclusion: Compared to 2% of general population facing catastrophic health expenditure, 22.2% was a high proportion. Our study revealed the importance of protecting households against the cost of ill-health.
Hepatitis …, 2011
BackgroundHepatitis B is the major cause of chronic hepatitis and cirrhosis in Iran. Sanitation a... more BackgroundHepatitis B is the major cause of chronic hepatitis and cirrhosis in Iran. Sanitation and immunization is one of the most effective measures for prevention of the disease which is now widely used in developing countries. However, the immune response to the vaccine varies by age.ObjectivesTo determine the effect of zinc sulfate on immune response to hepatitis-B vaccine in elderly.Patients and MethodsIn a clinical trial on 140 subjects aged ?40 years with a body mass index (BMI) <30 kg/m2, and without any co-morbid disease were recruited. Those who had negative hepatitis B core antibody (102 persons) were randomly allocated to two groups. The trial group received hepatitis B vaccine plus 200 mg zinc sulfate daily for 30 days and the control group received vaccine plus placebo.Results52 of 102 people were female (51%). The two studied groups were comparable in terms of age, gender, and smoking habits. The mean antibody production in the intervention and control groups was 116.93 and 157.37 mIU/mL, respectively (p=0.22). No statistical differences were observed between the two groups in terms of proportion of people who were protected after vaccination (26.0% and 36.5% in people with and without zinc, respectively).ConclusionsThis study revealed that zinc sulfate has no effect in level of immunity among elderly.
Iranian Journal of Psychiatry, 2010
Objective: Based on findings of previous studies, those men on Methadone Maintenance Therapy (MMT... more Objective: Based on findings of previous studies, those men on Methadone Maintenance Therapy (MMT) have a high prevalence of Erectile Dysfunction(ED), related to hypogonadism and depression. We conducted this study to evaluate the efficacy of Trazodone (an antidepressant which can improve sexual function) on this sexual dysfunction. Method: A structured interview was administered by the clinical staff. The interview contained questions about the subjects' socio-demographic characteristics, their drug use and sexual behavior. In addition to the socio-demographic survey, erectile function was assessed using erectile dysfunction (ED) intensity scale. Of the 157 subjects, 95 suffered from ED. The subjects were informed about the study. Then, seventy five patients voluntarily received 50mg of Trazodone for four days, and the dosage was increased to100 mg and maintained for 6 weeks. Fifty five patients who completed the treatment course were assessed by ED questionnaire again at the end of study. Statistical analysis was performed using Stata 8 software. Results: The prevalence of ED was 60.5% in our sample. The mean erectile dysfunction (ED) intensity scale was 12.21, and 16.78 before and after the treatment course respectively. (P<0.05) ED severity had no significant relation with age and type of substance dependency (P>0.05); but it had a significant relation with duration of Methadone therapy and Methadone daily dosage. (p<0.05) Conclusion: Trazodone may be effective in the treatment of methadone induced ED. Further studies with control groups and greater sample sizes are warranted.
Archives of Iranian Medicine, 2011
Background: Obstructive sleep apnea (OSA) syndrome is one of the most common sleep breathing diso... more Background: Obstructive sleep apnea (OSA) syndrome is one of the most common sleep breathing disorders with signi¿cant consequences. The present study aims to determine prevalence of symptoms and risk of OSA in the general population of Kermanshah, Iran.
Saudi medical journal, 2011
التي الدراسات من التحقق أجل من بعدي حتليل عمل األهداف: احلنك، وانشقاق اأ... more التي الدراسات من التحقق أجل من بعدي حتليل عمل األهداف: احلنك، وانشقاق األرنبية، بالشفة صابة ُ امل احلاالت عن جريت ُ أ إيران في الوالدة حديثي بني احلنك من أجزاء مع الشفة وانشقاق للعلوم أصفهان جامعة في البعدي التحليل هذا جري ُ أ الطريقة: ديسمبر إلى مايو من الفترة خالل وذلك إيران أصفهان، الطبية، البيانات تضمنت وقد دراسة، 11 التحليل شمل حيث 9002م، من الفترة في احلنك وانشقاق األرنبية بالشفة املصابة احلاالت كافة من التباين معكوس وزن بتطبيق قمنا لقد 9002م. يونيو إلى 8791م الرسم عمل أجل من وكذلك العشوائي، التأثير خالصة تقدير أجل البعدي التحليل بحساب ً أيضا قمنا وقد البعدي، للتحليل البياني للدراسات النشري التحيز يخص وفيما املنشور. للبيانات التراكمي املتمثلة التحيز عن الكشف اختبارات خالل من منه التحقق مت فقد وبيغ. إيغير، باختباري دراسة 11 في إليها توصلنا التي احلاالت مجموع وصل لقد النتائج: وأشارت .)0.5-1.5 اإلحصائي: األمان مدى 95%( 1000/1.0 إلى الدراسات مجموع بني نشري حتيز هناك يكن لم أنه إلى الدراسة نتائج كانت بيغ الختبار االحتمالية (القيمة البعدي التحليل شملها التي .)0.23 إيغير الختبار كانت فيما ،0.53 واحلنك الشفة بانشقاق اإلصابة نسبة أن الدراسة أثبتت خامتة: األخرى. بالبلدان ً مقارنة اإليراني املجتمع في ضئيلة كانت Objectives: To investigate meta-analysis of published data on overall incidence of cleft lip, cleft palate, and cleft lip and palate of newborns in Iran.
Journal of Injury and Violence …, 2009
Background: Despite importance of chest tube insertion in chest trauma, there is no general agree... more Background: Despite importance of chest tube insertion in chest trauma, there is no general agreement on the level of daily volume drainage from chest tube. This study was conducted to compare the effectiveness and safety of chest tube removal at the levels of 150 ml/day and 2oo ml/day.
Neurosciences (Riyadh, Saudi Arabia), 2011
وسيتالوبرام فلوكسيتني العقارين بني مقارنة عمل األهداف: مدى دراسة إلى باإلضاف... more وسيتالوبرام فلوكسيتني العقارين بني مقارنة عمل األهداف: مدى دراسة إلى باإلضافة لالكتئاب، ضاد ُ امل تأثيرهما ناحية من املصابني املرضى لدى الدم سكر مبستويات التحكم في فعاليتهما الثاني. النمط من بالسكري قسم في قارنة ُ امل العشوائية الدراسة هذه جريت ُ أ الطريقة: كرمنشاه، الطبية، للعلوم كرمنشاه بجامعة لألبحاث السكري 7002م. أكتوبر إلى 6002م سبتمبر من الفترة خالل وذلك إيران النمط من بالسكري ً صابا ُ م ً مريضا 40 الدراسة هذه شملت تقسيمهم مت وقد الشديد االكتئاب من يعانون أنهم كما الثاني، مجموعة). كل في ً مريضا 20( مجموعتني إلى ً عشوائيا من ديسيلتر لكل مليغرام 40 األولى املجموعة تلقت لقد ولكن اجلرعة نفس الثانية املجموعة تلقت فيما الفلوكسيتني، بعد املرضى حالة تقييم بإعادة قمنا لقد السيتالوبرام. عقار من االكتئاب حدة درجة الختبار وذلك العالج من ً أسبوعا 12 مرور ومقابلة لالكتئاب بيك مقياس اعتمدنا السكري. مرض ووضع االكتئاب حدة درجة تقييم أجل من النفسي الطبيب مع املريض مستويات حتليل نتائج على احلصول ومت املرضى. حالة ومتابعة الصيام أثناء الدم سكر ومستويات الغليكوزيالتي، الهيموغلوبني اجلالسيمي. املؤشر مراقبة أجل من وذلك
Annual Research & Review in Biology, 2015
Journal of Injury and Violence Research, 2009
Background: Despite importance of chest tube insertion in chest trauma, there is no general agree... more Background: Despite importance of chest tube insertion in chest trauma, there is no general agreement on the level of daily volume drainage from chest tube. This study was conducted to compare the effectiveness and safety of chest tube removal at the levels of 150 ml/day and 2oo ml/day.
Bulletin of The World Health Organization, 2006
Objective To assess whether trends in mortality from heart failure (HF) in Australia are due to a... more Objective To assess whether trends in mortality from heart failure (HF) in Australia are due to a change in awareness of the condition or real changes in its epidemiology. Methods We carried out a retrospective analysis of official data on national mortality data between 1997 and 2003. A death was attributed to HF if the death certificate mentioned HF as either the underlying cause of death (UCD) or among the contributory factors. Findings From a total of 907 242 deaths, heart failure was coded as the UCD for 29 341 (3.2%) and was mentioned anywhere on the death certificate in 135 268 (14.9%). Between 1997 and 2003, there were decreases in the absolute numbers of deaths and in the age-specific and age-standardized mortality rates for HF either as UCD or mentioned anywhere for both sexes. HF was mentioned for 24.6% and 17.8% of deaths attributed to ischaemic heart disease and circulatory disease, respectively, and these proportions remained unchanged over the period of study. In addition, HF as UCD accounted for 8.3% of deaths attributed to circulatory disease and this did not change materially from 1997 to 2003. Conclusion The decline in mortality from HF measured as either number of deaths or rate probably reflects a real change in the epidemiology of HF. Population-based studies are required to determine accurately the contributions of changes in incidence, survival and demographic factors to the evolving epidemiology of HF.
Background To calculate a pooled estimate of relative risk (RR) of lung cancer associated with ex... more Background To calculate a pooled estimate of relative risk (RR) of lung cancer associated with exposure to passive smoking in never smoking women exposed to smoking spouses. This study is an updated meta-analysis that also assesses the differences between estimated risks according to continent and study type using meta-regression.
Journal of Traditional Chinese Medicine, 2016
Archives of Gerontology and Geriatrics, 2014
DM type II is one of the most common chronic diseases. The objective of this study is to investig... more DM type II is one of the most common chronic diseases. The objective of this study is to investigate the prevalence of DM and its association with other age-related diseases in Iran, 2012. In this cross-sectional study, people aged 60 years and over were selected using multistage sampling method. Mini-Nutritional Assessment (MNA), Activity of Daily Living (ADL), and Geriatric Depression Scale (GDS-15 items) questionnaires were used. History of common disorders was taken through self-report, medical records and the results of clinical examinations. A total of 1350 old people were studied. DM type II was found in 297 (22.0%) subjects and 371 (27.5%) of subjects were not aware of their DM status. Hypertension (55.6%), high serum cholesterol (51.8%), malnutrition (40.1%), Alzheimer&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s disease (16.9%), weight loss within past year (16.1%), weight gain within past year (11.7%), frailty (64.6%), insomnia (50.1%), and vision problems (62.6%) were significantly more common in diabetics. Those who were not aware of their status of DM either were between diabetics and non-diabetics or more similar to non-diabetics. Considering high prevalence of age-related diseases among Iranian elderly people, in particular women and those with DM type II, preventive measures are recommended so as to decrease and control DM type II and its consequent complications.
Archives of Pediatric Infectious Diseases, 2013
Journal of Research in …, 2009
Background: Health policy makers are concerned about protecting people from catastrophic health e... more Background: Health policy makers are concerned about protecting people from catastrophic health expenditures and subsequent impoverishment. This study aimed to describe the magnitude and distribution of catastrophic health expenditures in Kermanshah western Iran. Methods: In this descriptive study, during May 2008, 189 households were chosen by "Systematic Random sampling" among the community of Maskan in Maskan Center for Population. After getting the informed consent forms signed, data ere collected using a questionnaire by interviewing the head of the families. The cut-off point for catastrophic expenditure was defined as health expenditures over 40% of household's capacity to pay. Results: From a total of 189 households, 22.2% (42) households (95% CI 16.3%-28.1%) incurred catastrophic health expenditures. Out of 42 households, for 11.9%, the head of family was female. 40.5 % had one member younger than 12 years old, 26.2% had one member older than sixty years old, and 9.5% were households with at least one member with chronic condition. In addition, 19% were uninsured. In addition, because of financial burden of health expenditures 21.4% of the households sold their jewels, 16.7% used up their savings and 47.6% were in debt. Conclusion: Compared to 2% of general population facing catastrophic health expenditure, 22.2% was a high proportion. Our study revealed the importance of protecting households against the cost of ill-health.
Hepatitis …, 2011
BackgroundHepatitis B is the major cause of chronic hepatitis and cirrhosis in Iran. Sanitation a... more BackgroundHepatitis B is the major cause of chronic hepatitis and cirrhosis in Iran. Sanitation and immunization is one of the most effective measures for prevention of the disease which is now widely used in developing countries. However, the immune response to the vaccine varies by age.ObjectivesTo determine the effect of zinc sulfate on immune response to hepatitis-B vaccine in elderly.Patients and MethodsIn a clinical trial on 140 subjects aged ?40 years with a body mass index (BMI) <30 kg/m2, and without any co-morbid disease were recruited. Those who had negative hepatitis B core antibody (102 persons) were randomly allocated to two groups. The trial group received hepatitis B vaccine plus 200 mg zinc sulfate daily for 30 days and the control group received vaccine plus placebo.Results52 of 102 people were female (51%). The two studied groups were comparable in terms of age, gender, and smoking habits. The mean antibody production in the intervention and control groups was 116.93 and 157.37 mIU/mL, respectively (p=0.22). No statistical differences were observed between the two groups in terms of proportion of people who were protected after vaccination (26.0% and 36.5% in people with and without zinc, respectively).ConclusionsThis study revealed that zinc sulfate has no effect in level of immunity among elderly.
Iranian Journal of Psychiatry, 2010
Objective: Based on findings of previous studies, those men on Methadone Maintenance Therapy (MMT... more Objective: Based on findings of previous studies, those men on Methadone Maintenance Therapy (MMT) have a high prevalence of Erectile Dysfunction(ED), related to hypogonadism and depression. We conducted this study to evaluate the efficacy of Trazodone (an antidepressant which can improve sexual function) on this sexual dysfunction. Method: A structured interview was administered by the clinical staff. The interview contained questions about the subjects' socio-demographic characteristics, their drug use and sexual behavior. In addition to the socio-demographic survey, erectile function was assessed using erectile dysfunction (ED) intensity scale. Of the 157 subjects, 95 suffered from ED. The subjects were informed about the study. Then, seventy five patients voluntarily received 50mg of Trazodone for four days, and the dosage was increased to100 mg and maintained for 6 weeks. Fifty five patients who completed the treatment course were assessed by ED questionnaire again at the end of study. Statistical analysis was performed using Stata 8 software. Results: The prevalence of ED was 60.5% in our sample. The mean erectile dysfunction (ED) intensity scale was 12.21, and 16.78 before and after the treatment course respectively. (P<0.05) ED severity had no significant relation with age and type of substance dependency (P>0.05); but it had a significant relation with duration of Methadone therapy and Methadone daily dosage. (p<0.05) Conclusion: Trazodone may be effective in the treatment of methadone induced ED. Further studies with control groups and greater sample sizes are warranted.
Archives of Iranian Medicine, 2011
Background: Obstructive sleep apnea (OSA) syndrome is one of the most common sleep breathing diso... more Background: Obstructive sleep apnea (OSA) syndrome is one of the most common sleep breathing disorders with signi¿cant consequences. The present study aims to determine prevalence of symptoms and risk of OSA in the general population of Kermanshah, Iran.
Saudi medical journal, 2011
التي الدراسات من التحقق أجل من بعدي حتليل عمل األهداف: احلنك، وانشقاق اأ... more التي الدراسات من التحقق أجل من بعدي حتليل عمل األهداف: احلنك، وانشقاق األرنبية، بالشفة صابة ُ امل احلاالت عن جريت ُ أ إيران في الوالدة حديثي بني احلنك من أجزاء مع الشفة وانشقاق للعلوم أصفهان جامعة في البعدي التحليل هذا جري ُ أ الطريقة: ديسمبر إلى مايو من الفترة خالل وذلك إيران أصفهان، الطبية، البيانات تضمنت وقد دراسة، 11 التحليل شمل حيث 9002م، من الفترة في احلنك وانشقاق األرنبية بالشفة املصابة احلاالت كافة من التباين معكوس وزن بتطبيق قمنا لقد 9002م. يونيو إلى 8791م الرسم عمل أجل من وكذلك العشوائي، التأثير خالصة تقدير أجل البعدي التحليل بحساب ً أيضا قمنا وقد البعدي، للتحليل البياني للدراسات النشري التحيز يخص وفيما املنشور. للبيانات التراكمي املتمثلة التحيز عن الكشف اختبارات خالل من منه التحقق مت فقد وبيغ. إيغير، باختباري دراسة 11 في إليها توصلنا التي احلاالت مجموع وصل لقد النتائج: وأشارت .)0.5-1.5 اإلحصائي: األمان مدى 95%( 1000/1.0 إلى الدراسات مجموع بني نشري حتيز هناك يكن لم أنه إلى الدراسة نتائج كانت بيغ الختبار االحتمالية (القيمة البعدي التحليل شملها التي .)0.23 إيغير الختبار كانت فيما ،0.53 واحلنك الشفة بانشقاق اإلصابة نسبة أن الدراسة أثبتت خامتة: األخرى. بالبلدان ً مقارنة اإليراني املجتمع في ضئيلة كانت Objectives: To investigate meta-analysis of published data on overall incidence of cleft lip, cleft palate, and cleft lip and palate of newborns in Iran.
Journal of Injury and Violence …, 2009
Background: Despite importance of chest tube insertion in chest trauma, there is no general agree... more Background: Despite importance of chest tube insertion in chest trauma, there is no general agreement on the level of daily volume drainage from chest tube. This study was conducted to compare the effectiveness and safety of chest tube removal at the levels of 150 ml/day and 2oo ml/day.
Neurosciences (Riyadh, Saudi Arabia), 2011
وسيتالوبرام فلوكسيتني العقارين بني مقارنة عمل األهداف: مدى دراسة إلى باإلضاف... more وسيتالوبرام فلوكسيتني العقارين بني مقارنة عمل األهداف: مدى دراسة إلى باإلضافة لالكتئاب، ضاد ُ امل تأثيرهما ناحية من املصابني املرضى لدى الدم سكر مبستويات التحكم في فعاليتهما الثاني. النمط من بالسكري قسم في قارنة ُ امل العشوائية الدراسة هذه جريت ُ أ الطريقة: كرمنشاه، الطبية، للعلوم كرمنشاه بجامعة لألبحاث السكري 7002م. أكتوبر إلى 6002م سبتمبر من الفترة خالل وذلك إيران النمط من بالسكري ً صابا ُ م ً مريضا 40 الدراسة هذه شملت تقسيمهم مت وقد الشديد االكتئاب من يعانون أنهم كما الثاني، مجموعة). كل في ً مريضا 20( مجموعتني إلى ً عشوائيا من ديسيلتر لكل مليغرام 40 األولى املجموعة تلقت لقد ولكن اجلرعة نفس الثانية املجموعة تلقت فيما الفلوكسيتني، بعد املرضى حالة تقييم بإعادة قمنا لقد السيتالوبرام. عقار من االكتئاب حدة درجة الختبار وذلك العالج من ً أسبوعا 12 مرور ومقابلة لالكتئاب بيك مقياس اعتمدنا السكري. مرض ووضع االكتئاب حدة درجة تقييم أجل من النفسي الطبيب مع املريض مستويات حتليل نتائج على احلصول ومت املرضى. حالة ومتابعة الصيام أثناء الدم سكر ومستويات الغليكوزيالتي، الهيموغلوبني اجلالسيمي. املؤشر مراقبة أجل من وذلك
Annual Research & Review in Biology, 2015
Journal of Injury and Violence Research, 2009
Background: Despite importance of chest tube insertion in chest trauma, there is no general agree... more Background: Despite importance of chest tube insertion in chest trauma, there is no general agreement on the level of daily volume drainage from chest tube. This study was conducted to compare the effectiveness and safety of chest tube removal at the levels of 150 ml/day and 2oo ml/day.
Bulletin of The World Health Organization, 2006
Objective To assess whether trends in mortality from heart failure (HF) in Australia are due to a... more Objective To assess whether trends in mortality from heart failure (HF) in Australia are due to a change in awareness of the condition or real changes in its epidemiology. Methods We carried out a retrospective analysis of official data on national mortality data between 1997 and 2003. A death was attributed to HF if the death certificate mentioned HF as either the underlying cause of death (UCD) or among the contributory factors. Findings From a total of 907 242 deaths, heart failure was coded as the UCD for 29 341 (3.2%) and was mentioned anywhere on the death certificate in 135 268 (14.9%). Between 1997 and 2003, there were decreases in the absolute numbers of deaths and in the age-specific and age-standardized mortality rates for HF either as UCD or mentioned anywhere for both sexes. HF was mentioned for 24.6% and 17.8% of deaths attributed to ischaemic heart disease and circulatory disease, respectively, and these proportions remained unchanged over the period of study. In addition, HF as UCD accounted for 8.3% of deaths attributed to circulatory disease and this did not change materially from 1997 to 2003. Conclusion The decline in mortality from HF measured as either number of deaths or rate probably reflects a real change in the epidemiology of HF. Population-based studies are required to determine accurately the contributions of changes in incidence, survival and demographic factors to the evolving epidemiology of HF.
Background To calculate a pooled estimate of relative risk (RR) of lung cancer associated with ex... more Background To calculate a pooled estimate of relative risk (RR) of lung cancer associated with exposure to passive smoking in never smoking women exposed to smoking spouses. This study is an updated meta-analysis that also assesses the differences between estimated risks according to continent and study type using meta-regression.