Mohaddeseh Shahidi; Zahra Komeili; Hasan Naemi; Roya Baghani; Ali Hosseinzadeh
Abstract
Objectives The death of pregnant mothers endangers the health of children and the foundation of the family. Learning about the factors affecting this important issue helps to adopt strategies to prevent similar cases. The current study aimed at determining the prevalence and risk factors of maternal ...
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Objectives The death of pregnant mothers endangers the health of children and the foundation of the family. Learning about the factors affecting this important issue helps to adopt strategies to prevent similar cases. The current study aimed at determining the prevalence and risk factors of maternal mortality in Sabzevar, Iran, over a period of 10 years (2003-2013).Methods The study population of the current cross sectional, descriptive survey included all pregnant mothers died in Sabzevar from April 2003 to March 2013. Data were collected by referring to the Sabzevar Committee of Maternal Mortality. The medical records were investigated and datasheets were completed for the subjects; then, the data were transferred to SPSS software version 5.11; data were analyzed using descriptive statistics and Chi-square test. The significance level was 0.05.Results The frequency of death in the current study was 20 . The Chi-square test showed statistically significant relationship between the cause of death and place of residence in the studied cases (P-value = 0.04). A total of 80% of the cases had no referral form or file in the health centers; also, 60% of the pregnant cases looking for the caesarean section had died. The most common causes of death in the cases were bleeding (30%) and the underlying diseases (30%).Conclusion Factors such as family planning, preventing higher ages pregnancy, educating mothers on the risks and benefits of vaginal delivery and caesarean, and increasing health literacy play important role in reducing the maternal mortality.
Sahar Sadat Alavi; Hassan Naemi; Ali Hosseinzadeh
Volume 23, Issue 4 , September and October 2016, , Pages 626-633
Abstract
Background Today, the majority of developing countries have experienced social, economic, health and the demographic transition (known as aging) problems. Over time, the number of elderly in whole population will increase. Currently, 4%-5% of the whole population are 60 years and older. This study aimed ...
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Background Today, the majority of developing countries have experienced social, economic, health and the demographic transition (known as aging) problems. Over time, the number of elderly in whole population will increase. Currently, 4%-5% of the whole population are 60 years and older. This study aimed to identify the causes of mortality among the older people over 60 years.Methods & Materials This study is a descriptive cross-sectional study that its study samples included all 60 years and older people who have died in Sabzevar in the years 2011-2013. The study data were collected by checklist.Results A total of 2278 samples were studied. Their mean(SD) age was 71.54(8.87) years and the maximum and minimum ages were 107 and 60 years, respectively. In our study, the average mortality rate due to cardiovascular diseases was 56.24%, deaths due to respiratory diseases 10.37% and deaths due to cancer was recorded as 7.88%, which were the first three leading causes of death in the elderly patients.Conclusion Because the mortality due to cardiovascular disease in the elderly is the first cause and the respiratory infections ranked as the second cause, paying attention to the importance of prevention and observation of risk factors in the families are of critical importance. Also, conducting more comprehensive and adequate planning for early diagnosis of these diseases and particular attention to the patients, especially the elderly persons, are required.
Zahra Komeili; Mohadeseh Shahidi; Hassan Naemi; Ali Hossein-Zadeh
Volume 23, Issue 4 , September and October 2016, , Pages 672-679
Abstract
Background A healthy lifestyle in old age is of considerable importance. Iranian elderly population is increasing day by day. Therefore, identifying the factors affecting their lifestyle is the concern of country's health system policy makers. This study was conducted to study the lifestyle of the over ...
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Background A healthy lifestyle in old age is of considerable importance. Iranian elderly population is increasing day by day. Therefore, identifying the factors affecting their lifestyle is the concern of country's health system policy makers. This study was conducted to study the lifestyle of the over 60-year-old retired staff of Sabzevar University of Medical Sciences.Materials & Methods The research was descriptive in the form of cross-sectional study. Using the Morgan table, a sample of 110 retired staff of Sabzevar Medical Science University were selected by simple random sampling method. Demographic and healthy lifestyle information was collected with the standard assessment healthy lifestyle questionnaires to assess Iranian elderly. The data were entered into SPSS version 22, and analyzed through descriptive statistics, t test, and ANOVA.Results Out of 110 subjects, 85 were males (77.3%) and 25 were females (22.7%). In terms of education, 40 (36.6%) were illiterate, 56 (50.90%) had diplomas, and 14 (12.72%) had an academic degree. The mean(SD) total score of lifestyle in men was 148.82(16.65) and in women 144.40(17.05). T test showed that this difference was significant. According to this test, significant differences were observed between men and women with regard to recreation, exercise (P=0.032), and social relations (P=0.008) .Conclusion The results showed that the elderly of Sabzevar University of Medical Sciences were ranked average regarding their lifestyle, so their education of healthy lifstyle must be pursed more seriously.
Mehdi Birjandi; Mohammad Salehi-Marzijarani; Seyyed Mohammad Taghi Ayatollahi; Houshang Rashidi; Ali Hosseinzadeh
Volume 23, Issue 3 , July and August 2016, , Pages 468-477
Abstract
Background Oral diseases are common in many communities and dental caries is the most prevalent disease among children and adults. DMFT (Decayed Missed Filled Teeth) is one of the useful indexes in dental epidemiology. This study aimed to investigate caries epidemiology among students and compare several ...
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Background Oral diseases are common in many communities and dental caries is the most prevalent disease among children and adults. DMFT (Decayed Missed Filled Teeth) is one of the useful indexes in dental epidemiology. This study aimed to investigate caries epidemiology among students and compare several modeling of DMFT based on real data.Materials & Methods This cross-sectional study was conducted on school children aged 7-12 years in Khoramabad City, Iran during 2010 to 2011. A total of 920 samples were recruited by multistage random sampling method. Regarding to countable data, right skewness and zero inflated variable of DMFT index, different models such as Poisson regression, negative-binomial regression, and zero-inflated Poisson regression were used for modeling, and the selection of the best model was based on the minimum amount of AIC and BIC. Data analysis was performed using Stata version 12, according to significant level of 5%.Results In this study, 43% of school children were girls and the rest were boys, so that their Mean±SD age and DMFT were 9.02±1.49 years and 1.02±1.35, respectively. A total of 528 (out of 920) children had dental caries. Zero-inflated Poisson regression, comparing with other models, was of the best model for goodness of fit among the fitted models. This model revealed significant relationships between being at risk of dental caries and variables of age, father’s educational level, and presence of microbial plaque (P<0.05). Severity of dental caries intensified significantly as children’s ages increased (P<0.05).Conclusion The best regression method for modeling DMFT among all models in this study was zero-inflated Poisson regression. Age, father’s educational level, and presence of microbial plaque were significantly correlated with children’s dental caries.