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Article: Editorial: Practical interventions to tackle burnout in healthcare staff.

Ghahramani, Sulmaz / Chkonia, Eka

2024 Volume 15, Page(s) 1385206

Language	English
Publishing date	2024-02-27
Publishing country	Switzerland
Document type	Editorial
ZDB-ID	2564218-2
ISSN	1664-0640
ISSN	1664-0640
DOI	10.3389/fpsyt.2024.1385206
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Article ; Online: Occupational Therapy Outcome Measures in Preschool Children With Autism Spectrum Disorders: A Scoping Review.

Ghahramani, Sahar / Hassani Mehraban, Afsoon / Alizadeh Zarei, Mehdi / Ghahramani, Sulmaz

OTJR : occupation, participation and health

2024 , Page(s) 15394492241246547

Abstract: With the rising prevalence of autism spectrum disorder (ASD), early assessment of preschool children is vital for occupational therapists. This scoping review aimed to provide detailed information about outcome measures used in occupational therapy ... ...

Abstract	With the rising prevalence of autism spectrum disorder (ASD), early assessment of preschool children is vital for occupational therapists. This scoping review aimed to provide detailed information about outcome measures used in occupational therapy interventions in preschool children with ASD and map the focus of the outcome measures based on the International Classification of Functioning, Disability, and Health (ICF) components. A thorough search from 2000 to 2022 was conducted that employed ICF linking rules to categorize the outcome measures. Seventy-four outcome measures were identified. They predominantly targeted body function and activity/participation, with less emphasis on environmental factors, and none assessed body structure. The most common measures were Vineland Adaptive Behavior Scale (VABS-2), Canadian Occupational Performance Measure (COPM), and Parenting Stress Index-Short Form (PSI-SF). This study offers a diverse array of outcome measures and underscores the potential of the ICF framework in enhancing evaluations, particularly concerning broader environmental components as one of the primary facilitating/hindering factors in the participation of children with ASD.
Language	English
Publishing date	2024-04-29
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	2081243-7
ISSN	1938-2383 ; 1539-4492 ; 0276-1599
ISSN (online)	1938-2383
ISSN	1539-4492 ; 0276-1599
DOI	10.1177/15394492241246547
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Article ; Online: The Global Road Traffic Death Rate and Human Development Index from 2000 to 2019: A Trend Analysis.

Sayari, Mohammad / Rahmanian Haghighi, Mohammad Reza / Bagheri Lankarani, Kamran / Ghahramani, Sulmaz / Honarvar, Behnam

Archives of Iranian medicine

2024 Volume 27, Issue 3, Page(s) 113–121

Abstract: Background: Numerous studies on the association between the human development index (HDI) and road traffic death rate (RTDR) merely focus on developed countries, not reflecting the relationship between the HDI components and RTDR in a time-trend ... ...

Abstract	Background: Numerous studies on the association between the human development index (HDI) and road traffic death rate (RTDR) merely focus on developed countries, not reflecting the relationship between the HDI components and RTDR in a time-trend analysis. Accordingly, this study analyzes the trends of RTDR and their association with the HDI and its components from 2000 to 2019. Methods: The RTDR data of 154 countries were imported into the unconditional latent growth model (LGM) to assess the RTDR trends. The impact of the HDI and its components (viz., education, income, and life expectancy [LE viz]) on the trajectory of RTDR was also evaluated using the conditional LGM. Results: The results of the unconditional LGM indicated an overall decreasing trend in RTDR. The conditional LGM results revealed the negative effect of the HDI and its components on the model parameters. The findings of random forests indicated that education and LE were the most crucial variables. Conclusion: Overall, this study emphasizes the significance of HDI and its components, particularly education and LE, in lowering the number of traffic fatalities. In this sense, improving formal education and LE could be one of the main policies that policymakers could consider to reduce RTDR.
MeSH term(s)	Humans ; Accidents, Traffic/mortality ; Accidents, Traffic/statistics & numerical data ; Life Expectancy/trends ; Global Health ; Human Development ; Educational Status
Language	English
Publishing date	2024-03-01
Publishing country	Iran
Document type	Journal Article
ZDB-ID	2204979-4
ISSN	1735-3947 ; 1029-2977
ISSN (online)	1735-3947
ISSN	1029-2977
DOI	10.34172/aim.2024.18
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Article ; Online: Factors contributing to the burnout of the faculties of a medical university in Iran: A cross-sectional study.

Ghahramani, Sulmaz / Moghadami, Mohsen / Omidifar, Navid / Tabatabaei, Seyed Mohamad Mehdi / Sayari, Mohammad / Bagheri Lankarani, Kamran

Brain and behavior

2024 Volume 14, Issue 1, Page(s) e3384

Abstract: Background and aims: Faculty members confront a variety of obstacles over time, the most recent of which is the coronavirus disease 2019 pandemic, which may increase their vulnerability to burnout (BO). This study aims to examine BO in medical school ... ...

Abstract	Background and aims: Faculty members confront a variety of obstacles over time, the most recent of which is the coronavirus disease 2019 pandemic, which may increase their vulnerability to burnout (BO). This study aims to examine BO in medical school faculties, as well as the factors that lead to BO and well-being in them. Methods: This cross-sectional study was conducted in 2021 using online questionnaires completed by 222 faculty members of a medical university in Iran. The Maslach Burnout Inventory-Human Services Survey (MBI-HSS) and the Well-being index (WBI) were used. Additionally, we gathered individual-level profiles (demographic, well-being) and occupational information (job profile, attitude toward work). Results: A total of 60 (27%) faculties reported having high BO, and 112 (50.5%) reported having low well-being. Being female (odds ratio, OR = 2.69), having time to spend with the family (OR = .26), the intent of turnover (OR = 8.65), job recommendation to the offspring (OR = .26), and experiencing violence last year (OR = 2.97) were some of the individual-level factors and job-related attitudes associated with a higher BO. In the neural network for BO, the most important variables were the intention of turnover, followed by adequate family time. Conclusion: One third of the responding faculty reported severe BO, and BO was found to be significantly associated with lower well-being. The increased levels of BO and a decreased experience of well-being were both associated with a higher intention of turnover. According to the study, it is important to pay attention to both clinical and nonclinical field faculty members, female faculty members, those who have a high workload, and members who have experienced violence in the workplace. By acknowledging the unique challenges and experiences faced by these individuals, tailored measures can be developed to address their specific concerns and foster a supportive and inclusive environment.
MeSH term(s)	Humans ; Female ; Male ; Cross-Sectional Studies ; Iran/epidemiology ; Universities ; Job Satisfaction ; Burnout, Professional/epidemiology ; Surveys and Questionnaires ; Faculty ; Psychological Tests ; Self Report
Language	English
Publishing date	2024-02-20
Publishing country	United States
Document type	Journal Article
ZDB-ID	2623587-0
ISSN	2162-3279 ; 2162-3279
ISSN (online)	2162-3279
ISSN	2162-3279
DOI	10.1002/brb3.3384
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Article ; Online: The cost of illness analysis of inflammatory bowel disease.

Pakdin, Majid / Zarei, Leila / Bagheri Lankarani, Kamran / Ghahramani, Sulmaz

BMC gastroenterology

2023 Volume 23, Issue 1, Page(s) 21

Abstract: Background: Inflammatory bowel disease (IBD) is a chronic inflammatory condition involving individuals across all age groups. Recent data suggests the increase in the prevalence of IBD and the surge in applying the biologic drugs in which both change ... ...

Abstract	Background: Inflammatory bowel disease (IBD) is a chronic inflammatory condition involving individuals across all age groups. Recent data suggests the increase in the prevalence of IBD and the surge in applying the biologic drugs in which both change the cost of IBD in recent years. Comprehensive assessment of direct and indirect cost profiles associated with IBD in our area is scarce. This study aimed to determine the economic burden of IBD in Iran from a societal perspective, using cost diaries. Methods: Patients available on clinic registry and hospital information system (HIS), who were diagnosed with IBD, were invited to take part in this study. Demographic and clinical data, the healthcare resource utilization or cost items, absenteeism for the patients and their caregivers were obtained. The cost of the used resources were derived from national tariffs. The data regarding premature mortality in IBD patients was extracted from HIS. Productivity loss was estimated based on the human capital method. Then, cost date were calculated as mean annual costs per patient. Results: The cost diaries were obtained from 240 subjects (Ulcerative colitis: n = 168, Crohn's disease, n = 72). The mean annual costs per patient were 1077 US$ (95% CI 900-1253), and 1608 (95% CI 1256, 1960) for the patients with ulcerative colitis and Crohn's disease, respectively. Of the total costs, 58% and 63% were in terms of the indirect costs for the patients with ulcerative colitis and Crohn's disease, respectively. The cost of illness for country was found to be 22,331,079 US$ and 15,183,678 US$ for patients with ulcerative colitis and Crohn's disease, respectively. Highest nationwide economic burden of IBD was found for patients older than 40 years were estimated to be 8,198,519 US$ and 7,120,891 US$, for ulcerative colitis and Crohn's disease, respectively. Conclusion: The medication was found to be the greatest contributor of direct medical costs. Productivity loss in terms of long-term disability and premature mortality were major components of IBD's economic burden in Iran.
MeSH term(s)	Humans ; Colitis, Ulcerative/drug therapy ; Crohn Disease/epidemiology ; Crohn Disease/drug therapy ; Inflammatory Bowel Diseases/epidemiology ; Health Care Costs ; Cost of Illness
Language	English
Publishing date	2023-01-19
Publishing country	England
Document type	Journal Article
ZDB-ID	2041351-8
ISSN	1471-230X ; 1471-230X
ISSN (online)	1471-230X
ISSN	1471-230X
DOI	10.1186/s12876-023-02648-z
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Article: Health-related quality of life variation by socioeconomic status: Evidence from an Iranian population-based study.

Ghahramani, Sulmaz / Hadipour, Maryam / Peymani, Payam / Ghahramani, Sahar / Lankarani, Kamran B

Journal of education and health promotion

2023 Volume 12, Page(s) 287

Abstract: Background: Health-Related Quality of Life (HRQoL) values based on the accurate and reliable European Quality of Life Five Dimension (EQ-5D) questionnaire gives health-state utilities as a helpful data set for studying socio-demographic and socio- ... ...

Abstract	Background: Health-Related Quality of Life (HRQoL) values based on the accurate and reliable European Quality of Life Five Dimension (EQ-5D) questionnaire gives health-state utilities as a helpful data set for studying socio-demographic and socio-economic inequalities in health status in the general population. We aimed to do a population-based study to see how HRQoL varies by socio-demographics and socioeconomic status (SES). Materials and methods: The study was a cross-sectional population-based study in Shiraz, Iran's southwest. Data was gathered utilizing a personal digital assistant (PDA). A trained interviewer administered the EQ-5D questionnaire to a representative sample of 1036 inhabitants. Principal component analysis (PCA) was used to create SES indices. Because of the skewed distribution, quantile regression was utilized to model the quartiles of HRQoL values. STATA 12.0 was used to perform all statistical analyses. Results: In 1036 study respondents, women had a mean HRQoL of 0.67 ± 0.28, whereas men had a mean HRQoL of 0.78 ± 0.25. Gender and age remained significant in all quartiles of HRQoL value. Participants with insurance showed 0.14 and 0.08 higher HRQoL values in the first and second HRQoL quartiles than those without coverage, respectively. Education [95% CI: 0.034, 0.111)], economy [95% CI: 0.013, 0.077], and assets [95% CI: 0.003, 0.069] all had an impact on HRQoL value in the lowest quintile. Conclusion: In all quartiles of HRQoL value, women had lower reported HRQoL than men. Insurance programs aimed at more disadvantaged groups with poorer HRQoL may help to minimize inequity. Education, economics, and assets all had an impact on the lower quartiles of HRQoL value, emphasizing the importance of general policies in determining public health status.
Language	English
Publishing date	2023-08-31
Publishing country	India
Document type	Journal Article
ZDB-ID	2715449-X
ISSN	2319-6440 ; 2277-9531
ISSN (online)	2319-6440
ISSN	2277-9531
DOI	10.4103/jehp.jehp_1031_22
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Article: Hospital Cost of Inflammatory Bowel Disease and Its Determinants in a Multicenter Study From Iran.

Ghahramani, Sulmaz / Shojaadini, Hafez / Akbarzade, Ashkan / Sadeghi, Fatemeh / Hajianpour, Vahid / Nozaie, Fatemeh / Sayari, Mohammad / Bagheri Lankarani, Kamran

Middle East journal of digestive diseases

2023 Volume 15, Issue 3, Page(s) 167–174

Abstract: Background: ...

Abstract	Background:
Language	English
Publishing date	2023-07-30
Publishing country	Iran
Document type	Journal Article
ZDB-ID	2623796-9
ISSN	2008-5249 ; 2008-5230
ISSN (online)	2008-5249
ISSN	2008-5230
DOI	10.34172/mejdd.2023.339
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Article: Does "Overall Catastrophic Health Care Expenditure" Make Sense?

Bagheri Lankarani, Kamran / Ghahramani, Sulmaz

Iranian journal of public health

2018 Volume 47, Issue 8, Page(s) 1228–1229

Language	English
Publishing date	2018-08-22
Publishing country	Iran
Document type	Journal Article
ISSN	2251-6085
ISSN	2251-6085
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Article ; Online: The association of patient-reported social determinants of health and hospitalization rate: A scoping review.

Ardekani, Ali / Fereidooni, Reza / Heydari, Seyed Taghi / Ghahramani, Sulmaz / Shahabi, Saeed / Bagheri Lankarani, Kamran

Health science reports

2023 Volume 6, Issue 2, Page(s) e1124

Abstract: Introduction: The interplay between social determinants of health (SDOH) and hospitalization is significant as targeted interventions can improve the social status of the individuals. This interrelation has been historically overlooked in health care. ... ...

Abstract	Introduction: The interplay between social determinants of health (SDOH) and hospitalization is significant as targeted interventions can improve the social status of the individuals. This interrelation has been historically overlooked in health care. In the present study, we reviewed studies in which the association between patient-reported social risks and hospitalization rate was assessed. Method: We performed a scoping literature review of articles published until September 1, 2022 without time limit. We searched PubMed, Embase, Web of Science, Scopus, and Google Scholar to find relevant studies using terms representing "social determinants of health" and "hospitalization." Forward and backward reference checking was done for the included studies. All studies that used patient-reported data as a proxy of social risks to determine the association between social risks and hospitalization rates were included. The screening and data extraction processes were done independently by two authors. In case of disagreement, senior authors were consulted. Results: Our search process retrieved a total of 14,852 records. After the duplicate removal and screening process, eight studies met the eligibility criteria, all of which were published from 2020 to 2022. The sample size of the studies ranged from 226 to 56,155 participants. All eight studies investigated the impact of food security on hospitalization, and six investigated economic status. In three studies, latent class analysis was applied to divide participants based on their social risks. Seven studies found a statistically significant association between social risks and hospitalization rates. Conclusion: Individuals with social risk factors are more susceptible to hospitalization. There is a need for a paradigm shift to meet these needs and reduce the number of preventable hospitalizations.
Language	English
Publishing date	2023-02-22
Publishing country	United States
Document type	Journal Article
ISSN	2398-8835
ISSN (online)	2398-8835
DOI	10.1002/hsr2.1124
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Article ; Online: Determining Factors Influencing Specialty Preferences of Iranian Medical Doctors: A Qualitative Study.

Sarikhani, Yaser / Ghahramani, Sulmaz / Bayati, Mohsen / Lotfi, Farhad / Bastani, Peivand

Iranian journal of medical sciences

2022 Volume 47, Issue 4, Page(s) 350–359

Abstract: Background: The medical specialty choice of physicians directly affects the healthcare system, community wellbeing, and their own professional life. It is therefore important to identify its underlying factors to predict such medical career choices and ... ...

Abstract	Background: The medical specialty choice of physicians directly affects the healthcare system, community wellbeing, and their own professional life. It is therefore important to identify its underlying factors to predict such medical career choices and to draw up a comprehensive evidence-based public health policy and health human resources planning. The present qualitative study aimed to identify these determinants of career choices through semi-structured interviews with medical doctors in the context of country-specific social and cultural characteristics. Methods: The present qualitative study was carried out in 2019-2020 at Shiraz University of Medical Sciences (Shiraz, Iran). The target population was medical students, junior doctors, and medical residents. The purposive sampling method was used to recruit the participants and sampling continued until data saturation, i.e., no new information could be extracted. Data were collected through individual, face-to-face, semi-structured interviews and analyzed using the conventional content analysis method. Inductive thematic analysis was used to interpret the data based on which a thematic map was developed illustrating the factors influencing medical specialty preferences in Iran. Data trustworthiness was assessed according to the criteria proposed by Guba and Lincoln. Results: Analysis of the interview data resulted in three main themes and fourteen sub-themes. The main themes were "Personal determinants", "Career-related factors", and "Interpersonal influences". The most important sub-themes were personal interests, income, and prestige. Conclusion: The determinants influencing the specialty preferences of Iranian medical doctors are identified. Our findings will facilitate the development of a comprehensive evidence-based public health policy, health human resources planning, and appropriate medical education policy.
MeSH term(s)	Career Choice ; Humans ; Iran ; Medicine ; Physicians ; Qualitative Research
Language	English
Publishing date	2022-08-16
Publishing country	Iran
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	603872-4
ISSN	1735-3688 ; 0253-0716
ISSN (online)	1735-3688
ISSN	0253-0716
DOI	10.30476/ijms.2021.89938.2071
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