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Article ; Online: Prevalence of non-alcoholic fatty liver disease among Iranians aged 6 to 18 years

Seidamir Pasha Tabaeian / Meysam Behzadifar / Aziz Rezapour / Samad Azari / Masoud Behzadifar

Yafteh, Vol 25, Iss 1, Pp 59-

a systematic review and meta-analysis

2023 Volume 70

Abstract: Background: Non-alcoholic fatty liver disease (NAFLD) can lead to serious complications and have adverse effects on physical and mental well-being in young people. This review aimed to investigate the prevalence of NAFLD among Iranians aged 6 to 18 years. ...

Abstract	Background: Non-alcoholic fatty liver disease (NAFLD) can lead to serious complications and have adverse effects on physical and mental well-being in young people. This review aimed to investigate the prevalence of NAFLD among Iranians aged 6 to 18 years. Materials and Methods: This study was conducted by systematic review and meta-analysis methods. A detailed search was performed on various international and Iranian databases from January 2000 to January 2023. The international databases included Pubmed, Scopus, Embase, and Web of Science, while the Iranian databases consisted of MagIran and SID. The quality of the selected studies was assessed using the Newcastle-Ottawa Scale. Overall prevalence was estimated using the random-effects model and DerSimonian and Laird criteria with a 95% confidence interval. The Q-Cochrane test and the I2 index were used to assess heterogeneity between studies. In addition, a sensitivity analysis was performed to ensure the reliability of the results. Data analysis was performed in Stata12 software. Results: Finally, 9 studies were selected for analysis, of which, 7 studies were of good quality, while 2 studies were of average quality based on the assigned scores. According to the random-effects model, the overall prevalence of NAFLD in Iranian individuals aged 6 to 18 years was 35% with a 95% confidence interval (24% to 46%). Conclusion: The results of our study revealed a high prevalence of NAFLD in Iranian individuals aged 6 to 18 years. Policymakers and healthcare planners in Iran must implement educational programs aimed at the prevention and early diagnosis of this disease.
Keywords	adolescents ; meta-analysis ; non-alcoholic fatty liver disease ; prevalence ; university students ; Medicine ; R ; Medicine (General) ; R5-920
Subject code	001
Language	Persian
Publishing date	2023-05-01T00:00:00Z
Publisher	Lorestan University of Medical Science
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Overuse of computed tomography for mild head injury

Maryam Saran / Morteza Arab-Zozani / Meysam Behzadifar / Mehrdad Gholami / Samad Azari / Nicola Luigi Bragazzi / Masoud Behzadifar

PLoS ONE, Vol 19, Iss 1, p e

A systematic review and meta-analysis.

2024 Volume 0293558

Abstract: Background Computed tomography (CT) scan is a common imaging technique used to evaluate the severity of a head injury. The overuse of diagnostic interventions in the health system is a growing concern worldwide. Objectives: The aim of this systematic ... ...

Abstract	Background Computed tomography (CT) scan is a common imaging technique used to evaluate the severity of a head injury. The overuse of diagnostic interventions in the health system is a growing concern worldwide. Objectives: The aim of this systematic review is to investigate the rate of CT scan overuse in cases of mild head injury. Methods Eligibility criteria: We encompassed observational studies-either designed as cohort, case-control, or cross-sectional investigations-that reported on CT scan overuse rates for mild head injuries. Studies had to be published in peer-reviewed, English-language sources and provide full content access Information sources: Web of Sciences, Scopus, Medline via PubMed, the Cochrane Library and Embase were searched from inception until April 1, 2023. Studies were included if reporting the overuse of CT scans for mild head injuries using validated criteria. Risk of bias: We used the Risk Of Bias In Non-randomised Studies - of Interventions (ROBINS-I) tool to evaluate the risk bias assessment of included studies. Two independent reviewers evaluated the eligibility of studies, extracted data, and assessed study quality by using the Newcastle-Ottawa Scale. Synthesis of results: Overuse estimates were calculated using a random-effects model. Subgroup analyses were performed to investigate any sources of heterogeneity. Point rate of overuse of CT scans for mild head injuries was the main outcome measured as percentage point estimates with corresponding 95% CIs. Results Included studies: Of the 913 potentially relevant studies identified, eight studies were selected for the final analysis. Synthesis of results: The pooled rate of CT scan overuse in patients with mild head injury was found to be 27% [95% CI: 16-43; I2 = 99%]. The rate of CT scan overuse in mild head injury cases varied depending on the criteria used. The rate of CT scan overuse was 37% [95% CI: 32-42; I2 = 0%] with the Glasgow Coma Scale (GCS), 30% [95% CI: 16-49; I2 = 99%] with the Canadian computed tomography head rule, ...
Keywords	Medicine ; R ; Science ; Q
Subject code	610
Language	English
Publishing date	2024-01-01T00:00:00Z
Publisher	Public Library of Science (PLoS)
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Overuse of computed tomography for mild head injury

Maryam Saran / Morteza Arab-Zozani / Meysam Behzadifar / Mehrdad Gholami / Samad Azari / Nicola Luigi Bragazzi / Masoud Behzadifar

PLoS ONE, Vol 19, Iss

A systematic review and meta-analysis

2024 Volume 1

Keywords	Medicine ; R ; Science ; Q
Language	English
Publishing date	2024-01-01T00:00:00Z
Publisher	Public Library of Science (PLoS)
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: A systematic review and meta-analysis of the prevalence of hepatitis C virus infection in people who inject drugs in Iran

Masoud Behzadifar / Meysam Behzadifar / Nicola Luigi Bragazzi

BMC Public Health, Vol 20, Iss 1, Pp 1-

2020 Volume 12

Abstract: Abstract Background Hepatitis C virus (HCV) infection is one of the major public health challenges generating a relevant burden. High-risk groups, including people who inject drugs (PWID), are at serious risk for developing HCV. In recent years, several ... ...

Abstract	Abstract Background Hepatitis C virus (HCV) infection is one of the major public health challenges generating a relevant burden. High-risk groups, including people who inject drugs (PWID), are at serious risk for developing HCV. In recent years, several investigations have been conducted in Iran to assess the prevalence e of HCV among PWID. The aim of the present study was to synthesize the literature performing a comprehensive search and meta-analysis. Methods A comprehensive literature search was carried out from January 2000 to September 2019. Several international databases, namely Scopus, PubMed/MEDLINE, Embase, ISI/Web of Science, PsycINFO, CINAHL, the Cochrane Library and the Directory of Open Access Journals (DOAJ), as well as Iranian databases (Barakathns, SID and MagIran), were consulted. Eligible studies were identified according to the following PECOS (population, exposure, comparison/comparator, outcome and study type) criteria: i) population: Iranian population; ii) exposure: injection drug users; iii) comparison/comparator: type of substance injected and level of substance use, iv) outcome: HCV prevalence; and v) study type: cross-sectional study. After finding potentially related studies, authors extracted relevant data and information based on an ad hoc Excel spreadsheet. Extracted data included the surname of the first author, the study journal, the year of publication, the number of participants examined, the type of diagnostic test performed, the number of positive HCV patients, the number of participants stratified by gender, the reported prevalence, the duration of drug injection practice and the history of using a shared syringe. Results Forty-two studies were included. 15,072 PWID were assessed for determining the prevalence of HCV. The overall prevalence of HCV among PWID in Iran was computed to be 47% (CI 95: 39–56). The prevalence ranged between 7 and 96%. Men and subjects using a common/shared syringe were 1.46 and 3.95 times more likely to be at risk, respectively. Conclusion The ...
Keywords	Hepatitis C virus ; Meta-analysis ; Harm reduction policies ; Health management ; Iran ; Public aspects of medicine ; RA1-1270
Subject code	360
Language	English
Publishing date	2020-01-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Development of Physiological Childbirth in Iran

Meysam Behzadifar / Hanieh Hasanvandi / Saeed Shahabi / Ahad Bakhtiari / Samad Azari / Seyed Jafar Ehsanzadeh / Masoud Behzadifar

Yafteh, Vol 24, Iss 4, Pp 94-

Policy Brief

2023 Volume 101

Abstract: Background: Physiological childbirth refers to the natural birthing process that does not involve medical or pharmaceutical interventions. This method is characterized by spontaneous labor, the absence of medical interventions, freedom of movement, and ... ...

Abstract	Background: Physiological childbirth refers to the natural birthing process that does not involve medical or pharmaceutical interventions. This method is characterized by spontaneous labor, the absence of medical interventions, freedom of movement, and active participation of the mother. Rate of cesarean delivery has been increasing over the past decade in Iran, accounting for approximately 50% of all births in the country as Iranian healthcare officials have also promoted physiological childbirth. In this regard, it is important to recognize that physiological birth is a personal choice; therefore, women should receive the necessary information and support to make informed decisions about their birth experiences. Besides, it is critical to provide the necessary education for healthcare providers and engage with women to address their cultural and social beliefs about childbirth. Additionally, the supportive policies of the government that promote physiological childbirth and educational programs can also be valuable in this regard.
Keywords	cesarean section ; health policy ; iran ; physiological childbirth ; Medicine ; R ; Medicine (General) ; R5-920
Subject code	300
Language	Persian
Publishing date	2023-03-01T00:00:00Z
Publisher	Lorestan University of Medical Science
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: The impact of the Iranian health transformation plan policy on equitable access to medical imaging services in West Iran

Maryam Saran / Banafsheh Darvishi Teli / Aziz Rezapour / Soraya Nouraei Motlagh / Meysam Behzadifar / Payam Haghighatfard / Nicola Luigi Bragazzi / Masoud Behzadifar

BMC Research Notes, Vol 16, Iss 1, Pp 1-

2023 Volume 6

Abstract: Abstract Objective Equity in the delivery of health services, including diagnostic imaging, is crucial to achieving universal health coverage. The Health Transformation Plan (HTP), launched in 2014, represents a major healthcare policy to improve the ... ...

Abstract	Abstract Objective Equity in the delivery of health services, including diagnostic imaging, is crucial to achieving universal health coverage. The Health Transformation Plan (HTP), launched in 2014, represents a major healthcare policy to improve the quality and accessibility of healthcare services. This study aimed to explore the impact of the HTP on equity in the access to medical imaging in Lorestan province, located in west Iran, from 2014 to 2023. Annual growth rates (AGR) of imaging devices were calculated, whilst equity assessment of medical imaging distribution was carried out by means of the Gini coefficient and the Lorenz curve per 100,000 population. The latter was generated using the cumulative distribution of imaging devices, as well as the cumulative population ratio. Results Between 2014 and 2023, the number of imaging devices has increased threefold. The AGR of installing CT and MRI scanners in Lorestan province increased between 2014 and 2023. The Gini coefficients increased from 0.12 for CT and 0.16 for MRI in 2014 to 0.33 in 2023 for both devices. This indicates a decrease in equity in access to these fundamental health technologies despite the increase in their figures. Policymakers should better allocate medical equipment based on the specific health needs of different regions throughout Iran.
Keywords	Diagnostic imaging ; Equity in Healthcare ; Gini Coefficient ; Health Economics ; Health Policy ; Health Transformation Plan ; Medicine ; R ; Biology (General) ; QH301-705.5 ; Science (General) ; Q1-390
Subject code	360
Language	English
Publishing date	2023-11-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Ensuring adequate health financing to prevent and control the COVID-19 in Iran

Masoud Behzadifar / Mahboubeh Khaton Ghanbari / Ahad Bakhtiari / Meysam Behzadifar / Nicola Luigi Bragazzi

International Journal for Equity in Health, Vol 19, Iss 1, Pp 1-

2020 Volume 4

Abstract: Abstract On February 19th 2020, the Iranian Ministry of Health and Medical Education (MoHME) has announced the first 2 cases of SARS-CoV-2, a novel emerging coronavirus which causes an infection termed as COVID-19, in Qom city. As such, the Iranian ... ...

Abstract	Abstract On February 19th 2020, the Iranian Ministry of Health and Medical Education (MoHME) has announced the first 2 cases of SARS-CoV-2, a novel emerging coronavirus which causes an infection termed as COVID-19, in Qom city. As such, the Iranian government, through the establishment of the “National Headquarters for the management and control of the novel Coronavirus”, has started implementing policies and programs for the prevention and control of the virus. These measures include schools and universities closure, reduced working hours, and increased production and delivery of equipment such as masks, gloves and hygienic materials for sterile environments. The government has also made efforts to divulge high-quality information concerning the COVID-19 and to provide laboratories and hospitals with diagnostic kits and adequate resources to treat patients. However, despite such efforts, the number of cases and deaths has progressively increased with rising trends in total confirmed cases and deaths, as well as in new daily cases and deaths associated with the COVID-19. Iran is a developing country and its economic infrastructure has been hit hardly by embargo and sanctions. While developed countries have allocated appropriate funding and are responding adequately to the COVID-19 pandemics, Iran has experienced a serious surge of cases and deaths and should strive to provide additional resources to the health system to make healthcare services more accessible and to increase the fairness of that access. All relevant actors and stakeholders should work together to fight this disease.
Keywords	COVID-19 ; Iran ; Pandemics ; Health financing ; equity ; Public aspects of medicine ; RA1-1270 ; covid19
Subject code	360
Language	English
Publishing date	2020-05-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Universal Health Coverage (UHC) in Iran

Moggan LETAFAT / Tina BEYRANVAND / Aidin ARYANKHESAL / Meysam BEHZADIFAR / Masoud BEHZADIFAR

Iranian Journal of Public Health, Vol 47, Iss

2018 Volume 7

Abstract: Universal Health Coverage (UHC) in ... ...

Abstract	Universal Health Coverage (UHC) in Iran
Keywords	No keywords## ; Public aspects of medicine ; RA1-1270
Language	English
Publishing date	2018-07-01T00:00:00Z
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: [No title information]

Meysam Behzadifar / Masoud Behzadifar / Nabi Shams Biranvand

Journal of Fasa University of Medical Sciences, Vol 5, Iss 4, Pp 578-

2016 Volume 579

Keywords	Medicine (General) ; R5-920
Language	Persian
Publishing date	2016-03-01T00:00:00Z
Publisher	Fasa University of Medical Sciences
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: The Relationship between Spiritual Health and Use of Virtual Social Networks in High-School Students of Firozabad, Fars Province

Mohammad Ali MorowatisharifAbad / Narjes Hosseini / Masoud Behzadifar / Meysam Behzadifar / Mohammad Rastian / Shokooh fazelpour

Toloo-e-behdasht, Vol 18, Iss 3, Pp 45-

2019 Volume 56

Abstract: Introduction: In different societies, paying attention to spiritual dimension of health has been emphasized as one of the health dimensions according to the WHO. The study aimed to determine the relation between spiritual health and use of virtual social ...

Abstract	Introduction: In different societies, paying attention to spiritual dimension of health has been emphasized as one of the health dimensions according to the WHO. The study aimed to determine the relation between spiritual health and use of virtual social networks among high school students in Firouzabad, Fars province in 2017. Methods: In the cross-sectional study, 380 students (16-18 years) were selected using the multistage stratified sampling. Data collection instruments included demographic information questionnaire, virtual social network use questionnaire, and Poltzea and Ellisons questionnaire of spiritual health assessment. To analyze the data, analysis of variance, Pearson correlation coefficient, and logistic regression tests were used. Results: The mean score of spiritual health was 83.98 ± 17.01 and had a significant correlation with education level (p<0.001) and internet use time (p=0.02). A significant correlation was found between virtual social networks use and monthly income, (r=0.17) religions health (r= -0.64), individual health (r= -0.11), and total score of spiritual health (r= -0.09). Most of the students (65.77%) had internet access and the most frequently used virtual social network was WathsApp. Logisitc regression revealed that the mean score of desirable spiritual health among students who used virtual social networks for 11-20 , 21-30, and >30 hours per week were 0.83 , 0.72, and 0.27 times lower than the students who used these networks less than 10 hours a week. Conclusion: Internet access was higher in male students than female and the spiritual health was at the average level in both genders. Regarding the effect of virtual social networks on students and its increasing expansion, the issue must be considered by authorities.
Keywords	spiritual health ; internet ; social network ; Public aspects of medicine ; RA1-1270
Subject code	300
Language	Persian
Publishing date	2019-09-01T00:00:00Z
Publisher	Shahid Sadoughi University of Medical Sciences
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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