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Showing 4 results for Bashiri

Shahram Habibzadeh, Shahnam Arshi, Nategh Abbasgholizadeh , Moharram Yusefisadat , Moharram Alimorad, Hosein Sadeghi , Hamid Jafarzadeh, Jafar Bashiri, Saeeid Sadeghiehahari , Firooz Amani, Roghaie Tafarrogi , Naiere Aminisani,
Volume 5, Issue 1 (spring 2005)
Abstract

  Background & Objectives: In modern civilization, community participation is considered to be the most important way of development in different parts of the society. Establishing social development and health promotion centers (SDHPC) is the first step which is taken in this regard. In these centers, social development is implemented along with health promotion. During some planned activities people practice participation and having sense of responsibility while they move towards development and health. They understand that the key for solving majority of health problems are in their own hands.

  Methods: In the framework of an action research, interventions based on dynamic, reevaluation activities, were done in two parts: Formation of activity committees and establishment of population laboratory. SDPHC set its programs based on a planned approach to community health and community mobilization was the first practical action in this plan.

  Aiming at presentation and evaluation of community mobilization model, different activities consisting of mobilization of heath volunteers, raising participation of regional stake holders, recognizing social literature to ensure effective and pervasive communication with people, propagation and call for participation along with general enumeration of society was done to find authoritative people.

  Results: Health volunteers helped to recognize 60 key persons. 53 of them accepted participation. Objectives of the center were explained to them in three meetings, and their opinions were collected. A study of community literature showed that this region had a moderate to high cultural behaviors, and moderate to low income level and education with suitable interest in participation. The Evaluation of provincial broadcasting organization, municipality and other organizations was not desirable except for education organization. Publishing a newsletter was not welcomed by people but it created a bright perspective among governmental authorities. 287 persons accepted invitations voluntarily and took membership. After regional census, it was found that 4355 households with a total population of 19652 were living in this region 9305 (48%) of whom were females. Mean age of population was 26 and mean household dimension was 4.5. 8352 persons (42%) were married. Majority of women were house wives and majority of men had self managed job.

  Conclusion : The process of community mobilization in this project was evaluated to be successful but for establishment and continuation of activities in SDHPC most of the organizations and different groups of people should be encouraged to participate.


Homayoun Sadegi Bazargani , Shahnam Arshi, Ali Akbar Mortazazadeh, Jafar Bashiri , Naiere Aminisani, Saied Hashem Sezavar , Hasan Adalatkhah , Shahram Seifnejad, Ali Ruhi, Hale Shahlazadeh ,
Volume 5, Issue 2 (Summer 2005)
Abstract

 Background & Objectives : Providing health services for all population subgroups of a community is a major hallmark for health administration. Little is known about health status of Ashayer population in Iran. This study aims at evaluating health status and quality of health service delivery to them.

 Methods: In a cross-sectional research 320 households (1800 persons), entered the study. Moreover, blood samples from 458 dogs were taken and studied with both Direct Aglutination Test (DAT) and a newly presented dipstick test . All children under 12 were also studied with DAT. In computing the sample size the generalizability for 63 variables with a minimum and maximum probability level of 90% and 97% respectively were taken into account and since the cluster sampling was employed, the Design Effect would be at least 1.56 and for different variables in the first sample it would be at most 4.

 Results: Only 30 households(9.7%) used piped water supply inside their houses while most of the other families (41%) obtained their water from mobile water tanks. Residual water chlorine was measured to be zero in 88.7% of the samples taken from drinking water of Ashayer. 89 (27.8%) households had lavatories and 22 (7%) households had bathrooms inside their houses. 90.4% of those using raw vegetables washed them only with plain water. Monthly incidence rate for accidents was 230 per 10000. 18.1% of women in reproductive age had a history of abortion. Unwanted pregnancy rate was 38.9%. 47.1% of women with a labor history in past three years had never been visited by any person legally allowed to do so. Women in reproductive age had a poor knowledge about contraceptive methods. The minimum delay for vaccination was 16.9 (SD= 19.26) days regarding the third dose of OPV and the highest delay in vaccination was 46.44 (SD=60.7) days belonging to the third dose of HBV. From all 503 persons above 12 years old, 77 cases had hypertension. Periodontal easy bleeding was observed in 13.7 % and pyorrhea in 19.3%. 10.2 % had aching neck, 18.7% had backache and arthralgia was shown in 13.5%. The unmet need for physician's visit was 64.8%. The frequency of positive cases of leshmaniasis was 3.4% and 3.06% for boys and girls respectively. 28 male and 6 female dogs were positive in DAT test making an overall positive rate of 7.4%. Sensitivity of dipstick test was higher than 80 percent only when golden standard was considered to be DAT ≥ 1 /640.

  Conclusion: Many of the health indices of Ashayer except for vaccination were suitable. This requires further attemps on the part of govermental and health outhorities. Kale-azar disease can spread to the north of the province as well as the neighboring provinces due to the migration of these tribes. It is predicted that Bilesavar and Parsabad cities will be added to the andemic regions of this disease in coming years. Using dipstick test recently offered by WHO is recommended to be used to screen the infected dogs.


Firooz Amani , Jafar Bashiri , Ahmad Sabzevari, Babak Gharoosi , Negin Nahanmoghaddam,
Volume 7, Issue 3 (Autumn 2007)
Abstract

  Background & Objectives : Tuberculosis has been the most common fatal disease among adults. It was ranked as the 7th most prevalent disease in the Global Burden of disease. It was also predicted to retain similar rank based on the Disability-Adjusted life Years (DALY) Criteria in the year 2020, whereas this rink has decreased for other infectious diseases. Tuberculosis varies in socio-demographic characteristics in different geographic areas. Therefore understanding its pattern could be useful in designing a preventive strategy. This study was conducted to identify socio-demographic pattern of this disease on the basis of smear.

  Methods: This cross-sectional retrospective study was conducted in Ardabil city by reviewing 232 samples of patients who were under treatment for TB during last four years. Information was collected from patients’ records which were kept in Ardabil health center. The Data were analyzed through SPSS.

  Results: 37.5% of cases were male and the rest were female. 86 of subjects had positive smear, 44 negative smear and 98 were diagnosed as extra pulmonary tuberculosis and 4% as relapse. The average age of cases was 42 with SD=19.4 ranging between 2 and 86 years. Positive smear’s pulmonary TB more prevalent in urban areas than rural areas while negative smear’ pulmonary TB and relapse were more frequently observed in the rural areas. Smear positive was 59.3% smear negative was 59.1% and extra-pulmonary TB 67.3% were more common in women than men. However, relapse rate was equal in both sexes.

  Conclusion: the average age of our subjects was compatible to the findings of other studies.66% of patients with pulmonary tuberculosis had positive smear which is close to 65% that was reported in the national program for prevention of TB. The ratio of positive smear’ pulmonary TB to extra-pulmonary and negative smear’s pulmonary TB was 60% which differs to the expected ratio of one. Relapse rate was 1.7% which is less than expected rate (4%). This shows that DOTS was a successful program.


Mohammad Mazani , Shabnam Javadi , Jafar Bashiri , Abbas Naghizadeh, Amir Mansoor Vatankhah,
Volume 10, Issue 3 (autumn 2010)
Abstract

  Background and Objectives: Gastric cancer is the most incident disease in Iran that leads to death. This study was designed to evaluate the oxidative and antioxidative status in patients with gastric cancer by detecting paraoxonase 1 and arylesterase activities together with the level of malondialdehyde. The purpose of the present investigation was determination of Paraoxonase /Arylesterase activity and malondialdehyde (MDA) levels in the serum of patients with Gastric cancer.

  Methods: In a case-control study, 20 subjects who diagnosed as gastric cancer individuals that referred to Ardabil Aras Clinic were selected from 2008 up to 2009. The case groups were matched with control group (30 subjects). Arylesterase and paraoxonase activities of paraoxonase-1 (PON-1), MDA levels and lipid profile were determined spectrophotometrically in serum of subjects.

  Results: Upon matching of case and control groups, paraoxonase and arylesterase activities in patients with gastric cancer showed to be significantly lower than healthy subjects (190 ± 68.95 IU/L vs 258 ± 68.59 IU/L, 30.5 ± 28.4 U/L vs 284.23 ± 163.2 U/L respectively, P ≤ 0.001). Standardized activities of paraoxonase and arylesterase of case group were lower than controls (P ≤ 0.001). MDA levels have revealed significant increasing in cases than controls. In present study, HDL cholesterol and triglyceride levels were found to decrease in patient sera too, but the levels of total cholesterol and LDL cholesterol didn’t show to be different between two groups.

  Conclusion: It was concluded that in patients with gastric cancer, oxidative stress was raised by attenuation of antioxidant system and oxidant levels rising.



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مجله دانشگاه علوم پزشکی اردبیل Journal of Ardabil University of Medical Sciences
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