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Article ; Online: Coronavirus and the health care of people with disabilities

Behzad Karami Matin / Michelle Ballan / Shahin Soltani

Journal of Research in Medical Sciences, Vol 26, Iss 1, Pp 67-

Immediate steps

2021 Volume 67

Keywords	Medicine ; R
Language	English
Publishing date	2021-01-01T00:00:00Z
Publisher	Wolters Kluwer Medknow Publications
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Do policymakers have any plans to reduce the economic burden of cerebral palsy in Iran?

Behzad Karami Matin / Shahin Soltani

Journal of Research in Medical Sciences, Vol 24, Iss 1, Pp 74-

2019 Volume 74

Keywords	Medicine ; R
Language	English
Publishing date	2019-01-01T00:00:00Z
Publisher	Wolters Kluwer Medknow Publications
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: The prevalence of people who inject drugs among those with HIV late presentation

Negin Farhadian / Behzad Karami Matin / Vahid Farnia / Mohammad Hossein Zamanian / Farid Najafi / Maryam Farhadian

Substance Abuse Treatment, Prevention, and Policy, Vol 17, Iss 1, Pp 1-

a meta-analysis

2022 Volume 7

Abstract: Abstract Background One of the most important routes of HIV transmission is through injections of drugs, and this group, due to unawareness of their infection, causes the spread of HIV. The coexistence of other opportunistic infections and diseases with ... ...

Abstract	Abstract Background One of the most important routes of HIV transmission is through injections of drugs, and this group, due to unawareness of their infection, causes the spread of HIV. The coexistence of other opportunistic infections and diseases with HIV among people who inject drugs (PWID) imposes healthcare costs and is associated with high morbidity/mortality rates. Early detection of HIV among PWID is essential to prevent and control the spread of the disease. Objectives This study aimed to determine the prevalence of PWID among those with late presentation (LP). Methods Three electronic databases of PubMed, Scopus, and Web of science were searched using appropriate keywords. Besides the prevalence data reported for PWID among LP, the other outcomes of interest were LP defined as having CD4 count < 350 cells/μL or HIV or advanced disease defined with CD4 count < 200 cells/μL or HIV at the time of diagnosis. Results Of the 160 studies found, only eight met the inclusion criteria. Among those presented late, 36.5% were PWID (95% CI = 24.88–48.17). Compared with men who have sex with men (MSM), HIV-infected PWID had a higher risk of LP [OR = 1.51; 95% CI = 0.96–2.06]. Conclusion The results of this study show that HIV is diagnosed late in the majority of PWID when CD4 is less than 350 cells/μL. Targeted interventions/strategies are highly required to reduce LP among HIV-infected PWID.
Keywords	Late presentation ; People who inject drugs ; HIV ; Transmission ; Public aspects of medicine ; RA1-1270 ; Social pathology. Social and public welfare. Criminology ; HV1-9960
Subject code	360
Language	English
Publishing date	2022-02-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: The effect of diabetes mellitus on coronary artery ectasia

Mostafa Bahremand / Ehsan Zereshki / Behzad Karami Matin / Samira Mohammadi

Tehran University Medical Journal, Vol 78, Iss 5, Pp 322-

brief report

2020 Volume 327

Abstract: Background: Coronary artery ectasia (CAE) is dilatation of an arterial segment to a diameter at least 1.5 times that of the adjacent normal coronary artery. The incidence of coronary artery ectasia is distinct in different countries that can be found in ... ...

Abstract	Background: Coronary artery ectasia (CAE) is dilatation of an arterial segment to a diameter at least 1.5 times that of the adjacent normal coronary artery. The incidence of coronary artery ectasia is distinct in different countries that can be found in 1.2% to 5% of angiographic examinations. Methods: This is a retrospective study that was conducted from September 2019 to February 2020 in Kermanshah University of Medical Sciences and the results were reported briefly. To obtain the desired articles, electronic searches were conducted in databases including the Scopus, PubMed, and Science Direct databases without time limited until October 2019. The keywords used were Coronary Artery Ectasia AND (Diabetes OR "Diabetes Mellitus"). This was done by two individuals separately and the final results were confirmed by a third person. Mixed method appraisal tool (MMAT) was used to evaluate the quality of studies. The structure of writing and the process of performing and reporting the study are based on the PRISMA checklist. Results: Based on the search strategy carried out at PubMed, Scopus and Science Direct databases, 106 studies were found, which resulted in 24 articles being analyzed based on inclusion and exclusion criteria of which three were conducted in China, 18 in Turkey and one in Sweden, Egypt, and France. Finally, 24 articles were analyzed and the results showed a direct and effective relationship between diabetes mellitus and CAE (OR=1.19, CI: 0.94, 1.51). Conclusion: Based on these results, the risk of CAE in subjects with diabetes mellitus was 19% higher than in subjects without diabetes mellitus.
Keywords	coronary artery disease ; diabetes mellitus ; meta-analysis ; systematic review ; Medicine (General) ; R5-920
Subject code	001
Language	Persian
Publishing date	2020-07-01T00:00:00Z
Publisher	Tehran University of Medical Sciences
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Eliciting preferences of professors and medical group students for evaluation methods of theoretical courses

Ali Kazemi Karyan / Satar Rezaei / Shokooh Etesami / Leyla Pezhman / Behzad Karami Matin / Sajad Delavari

Journal of Education and Health Promotion, Vol 10, Iss 1, Pp 82-

An application of discrete choice experiment analysis

2021 Volume 82

Abstract: BACKGROUND: Evaluation has become an inseparable part of education process which gives feedback to students and professors to improve education quality. This study aimed to elicit preferences of professors and students about attributes of evaluation ... ...

Abstract	BACKGROUND: Evaluation has become an inseparable part of education process which gives feedback to students and professors to improve education quality. This study aimed to elicit preferences of professors and students about attributes of evaluation methods in theoretical courses in Kermanshah University of Medical Sciences, Iran, in 2018. MATERIALS AND METHODS: Discrete choice experiment (DCE) method used for eliciting preferences of participants of the study. A narrative literature review and interview with eight professors and ten students conducted to determine attributes and levels of evaluation methods in the university. Furthermore, experimental design used for making final choice sets of the evaluation methods. We included 213 students and 30 professors in the study. Conditional logistic regression model performed to data analysis. RESULTS: Most of the professors (36.67%) preferred to allocate up to 30% of evolution scores to midterm examination. However, the most percentage of students (30.45%) were agree to include midterm examination up to 15% of total scores. The majority of students prefer to examination questions compromise just presented materials, while 70% of professors prefer to include additional texts for evaluation examinations. In case of quiz examination, professors in comparison with students prefer that quiz should have higher proportion of total scores. DCE analysis indicated that professors and students preferred a mix of questions in examinations. In addition, additional resources beyond what is taught in class made utility for professors and disutility for students. Quiz, also, increased the utility of an evaluation package in professors. CONCLUSION: The findings showed that there is a gap between preferences of professors and students regarding some attributes of evaluation methods such as student's discipline, examination materials, and quiz. Further studies are needed to examining other attributes of evaluation methods in theatrical and practical courses in Iran and other contexts.
Keywords	discrete choice experiment ; evaluation ; preferences ; professors ; students ; theoretical courses ; Special aspects of education ; LC8-6691 ; Public aspects of medicine ; RA1-1270
Subject code	370
Language	English
Publishing date	2021-01-01T00:00:00Z
Publisher	Wolters Kluwer Medknow Publications
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Sexual health concerns in women with intellectual disabilities

Behzad Karami Matin / Michelle Ballan / Fatemeh Darabi / Ali Kazemi Karyani / Moslem Soofi / Shahin Soltani

BMC Public Health, Vol 21, Iss 1, Pp 1-

a systematic review in qualitative studies

2021 Volume 21

Abstract: Abstract Background Studies indicate that women with intellectual disabilities (ID) face various personal and socio-environmental barriers in their sexual lives. This study aimed to identify the concerns and sexual health needs experienced by women with ... ...

Abstract	Abstract Background Studies indicate that women with intellectual disabilities (ID) face various personal and socio-environmental barriers in their sexual lives. This study aimed to identify the concerns and sexual health needs experienced by women with ID. Method A systematic review of relevant qualitative articles was conducted in PubMed, Web of Science Scopus and PsycINFO databases from June 2018 to August 2018. We designed our search strategy according to two main foci: (1) sexuality; and (2) women with ID. In the study, searches were limited to articles published from January 2000 to December 2017. In this review, studies on women ages 16 and over were included. Results Within the four databases, the search found 274 unique articles. After three steps of screening (title, abstract and full text), 22 studies were included in the final review. The articles mentioned difficulties with lack of sexual experience, negative experiences with sexuality, negative attitudes towards sexuality by nondisabled individuals, limited cognitive capacities to understand sexual identity, difficulty with finding the right partner, lack of access to sexual health information, lack of school-based sexuality education, violence and sexual abuse, lack of support from families and caregivers about sexuality, fear of sexual acts and unwanted pregnancy, shyness in expressing sexual desires, and limited knowledge of sexual behaviors. Conclusion Our findings indicate that women with ID need to be provided with school-based sexuality education tailored to the level of understanding needed to attain the requisite knowledge to form relationships, understand sexual and romantic relationships, and practice safe sex when they choose this option. Families along with education and healthcare systems should provide opportunities for women with ID to talk about their sexual needs and make their own choices.
Keywords	Sexual health ; Sexuality ; Sex education ; Intellectual disability ; Qualitative studies ; Systematic review ; Public aspects of medicine ; RA1-1270
Subject code	360
Language	English
Publishing date	2021-10-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Health-care determinants of mortality and recovered cases from COVID-19

Moslem Soofi / Behzad Karami Matin / Ali Kazemi Karyani / Satar Rezaei / Shahin Soltani

Journal of Education and Health Promotion, Vol 10, Iss 1, Pp 260-

Do heath systems respond COVID-19 similarly?

2021 Volume 260

Abstract: BACKGROUND: The COVID-19 pandemic has spread rapidly across the world and has currently impacted most countries and territories globally. This study aimed to identify health-care determinants of mortality and recovery rates of COVID-19 and compare the ... ...

Abstract	BACKGROUND: The COVID-19 pandemic has spread rapidly across the world and has currently impacted most countries and territories globally. This study aimed to identify health-care determinants of mortality and recovery rates of COVID-19 and compare the efficiency of health systems in response to this pandemic. MATERIALS AND METHODS: A cross-sectional study was conducted using data obtained from the World Bank database, that provides free and open access to a comprehensive set of health- and socioeconomic-related data, by September 12, 2020. An adjusted linear regression model was applied to determine predictors of mortality (per 1 million population [MP]) and recovery rates (per 1 MP) in the included countries. One-way analysis of variance was applied to assess health systems' efficiency in response to COVID-19 pandemic using mortality and recovery rate (output variables) and current health expenditure (CHE) per capita (input variable). RESULTS: Globally, San Marino and Qatar had the highest mortality rate (1237/1 MP) and confirmed case rate (43,280/1 MP) until September 12, 2020, respectively. Iran had a higher mortality rate (273/1 MP vs. 214.5/1 MP) and lower recovery rate (4091.5/1 MP vs. 6477.2/1 MP) compared to countries with high CHE per capita. CHE per capita (standardized coefficient [SC] = 0.605, P < 0.001) and population aged 65 years and over as a percentage of total population (SC = −0.79, P < 0.001) significantly predicted recovered cases from COVID-19 in the included countries. CONCLUSION: This study revealed that countries with higher CHE per capita and higher proportion of older adults were more likely to have a higher recovery rate than those with lower ones. Furthermore, our study indicated that health systems with higher CHE per capita statistically had a greater efficiency in response to COVID-19 compared to those with lower CHE per capita. More attention to preventive strategies, early detection, and early intervention is suggested to improve the health system efficiency in controlling ...
Keywords	covid-19 ; efficiency ; health expenditure ; health services research ; mortality ; Special aspects of education ; LC8-6691 ; Public aspects of medicine ; RA1-1270
Subject code	360
Language	English
Publishing date	2021-01-01T00:00:00Z
Publisher	Wolters Kluwer Medknow Publications
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Hypertension and coronary artery ectasia

Mostafa Bahremand / Ehsan Zereshki / Behzad Karami Matin / Mansour Rezaei / Hamidreza Omrani

Clinical Hypertension, Vol 27, Iss 1, Pp 1-

a systematic review and meta-analysis study

2021 Volume 10

Abstract: Abstract Background Coronary artery ectasia (CAE) is characterized by the enlargement of a coronary artery to 1.5 times or more than other non-ectasia parts of the vessel. It is important to investigate the association of different factors and CAE ... ...

Abstract	Abstract Background Coronary artery ectasia (CAE) is characterized by the enlargement of a coronary artery to 1.5 times or more than other non-ectasia parts of the vessel. It is important to investigate the association of different factors and CAE because there are controversial results between available studies. We perform this systematic review and meta-analysis to evaluate the effects of hypertension (HTN) on CAE. Methods To find the potentially relevant records, the electronic databases, including Scopus, PubMed, and Science Direct were searched on 25 July 2019 by two of the authors independently. In the present study, the pooled odds ratio (OR) accompanied by 95 % confidence intervals (CIs) were calculated by a random-effects model. Heterogeneity presented with the I2 index. Subgroup analysis and sensitivity analysis by the Jackknife approach was performed. Results Forty studies with 3,263 cases and 7,784 controls that investigated the association between HTN and CAE were included. The pooled unadjusted OR of CAE in subjects with HTN in comparison by subjects without HTN was estimated 1.44 (95 % CI, 1.24 to 1.68) with moderate heterogeneity (I2 = 41 %, Cochran’s Q P = 0.004). There was no evidence of publication bias in the analysis of HTN and CAE with Egger’s test (P = 0.171), Begg’s test (P = 0.179). Nine articles reported the adjusted effect of HTN on CAE by 624 cases and 628 controls. The findings indicated the overall adjusted OR was 1.03 (95 % CI, 0.80 to 1.25) with high heterogeneity (I2 = 58.5 %, Cochran’s Q P = 0.013). Conclusions We found that when the vessel was in normal condition, HTN was not very effective in increasing the chance of CAE and only increased the CAE chance by 3 %. This is an important issue and a warning to people who have multiple risk factors together. More studies need to be performed to further establish these associations by reported adjusted effects.
Keywords	Hypertension ; Coronary artery disease ; Meta-analysis ; Systematic review ; Medicine ; R ; Internal medicine ; RC31-1245
Subject code	610 ; 150
Language	English
Publishing date	2021-07-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Main factors affecting household healthcare expenditures in Kermanshah province )1990-2011)

Satar Rezaei / Behzad Karami Matin

Journal of Kermanshah University of Medical Sciences, Vol 19, Iss 5, Pp 286-

2015 Volume 293

Abstract: Background: Expenditure on healthcare has become a persistent issue of policymaking at both national and international levels. The aim of this study was to investigate the main factors affecting household healthcare expenditures in Kermanshah province by ...

Abstract	Background: Expenditure on healthcare has become a persistent issue of policymaking at both national and international levels. The aim of this study was to investigate the main factors affecting household healthcare expenditures in Kermanshah province by Econometric ARDL model over 20 years (1991-2011). Methods: This retrospective-analytical study investigated the impact of such variables as per capita income, proportion of population aged >65 years, number of physicians and urbanization rate) on healthcare expenditures. These data were obtained from the yearbook of Kermanshah province and Iranian Statistical center (ISC). The data analysis was done by Stata 12 and Microfit 4.1 software. Results: The results showed a positively significant relationships both in short- and long-run, between healthcare expenditures and per capita income, number of physicians and urbanization rate. Also, no significant correlation was observed between the proportion of the population aged 65 years and above and healthcare expenditures both in short-term and long-term. Conclusion: The findings showed the elasticity of income was less than 1 and healthcare was an essential goods in Kermanshah province during the study period. Because the impact of variables could be different in different areas and during the time, the healthcare expenditures and its determinants are suggested to be evaluated over time.
Keywords	Healthcare expenditures ; determinants ; time series ; Medicine ; R
Language	English
Publishing date	2015-11-01T00:00:00Z
Publisher	Kermanshah University of Medical Sciences and Health Services
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: A healthy behavior and socioeconomic inequality in school-age children in the West of Iran

Ali Kazemi Karyan / Behzad Karami Matin / Zhila Kazemi / Shahin Soltani / Mohammad Ebrahimi / Satar Rezaei

Journal of Education and Health Promotion, Vol 9, Iss 1, Pp 55-

2020 Volume 55

Abstract: BACKGROUND: Sufficient physical activity (SPA) in children and adolescents has an important role in health, growth, and development of persons. This study aimed to investigate the prevalence of and inequality in physical activity (PA) in 12–15-year-old ... ...

Abstract	BACKGROUND: Sufficient physical activity (SPA) in children and adolescents has an important role in health, growth, and development of persons. This study aimed to investigate the prevalence of and inequality in physical activity (PA) in 12–15-year-old students in the West of Iran, 2018. MATERIALS AND METHODS: In this cross-sectional study, 1404 students from 14 schools of Kermanshah city were included. Data on demographic and socioeconomic status (SES) of students and their family, body mass index, moderate-to-vigorous PA of students were collected. Normalized concentration index (NC) and decomposition analysis applied to measure inequality in SPA and the contribution of affecting factors, respectively. RESULTS: About 19% of the students had SPA. The proportion of SPA in boys was higher than girls (38.98% vs. 9.84%). There was a significant deviation from equality line (NC = 0.31; 95% confidence interval [CI]: 0.23, 0.38) and NC for boys and girls were 0.15 (95% CI: 0.04, 0.25) and 0.05 (95% CI: −0.07, 0.17). Sex of students and SES of households with 59.09% and 39.77% contribution to the measured inequality in SPA were the highest positive contributors. Household size (−2.60) had a negative contribution to inequality in SPA. CONCLUSION: There was a significant pro-rich socioeconomic inequality in SPA and sex, and SES were the main contributors to the inequality in PA. Some interventions are needed to improve PA among children and adolescents with a focus on girls and low-SES groups to narrow the existing gaps.
Keywords	adolescents ; children ; inequality ; physical activity ; iran ; Special aspects of education ; LC8-6691 ; Public aspects of medicine ; RA1-1270
Subject code	360
Language	English
Publishing date	2020-01-01T00:00:00Z
Publisher	Wolters Kluwer Medknow Publications
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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