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Article ; Online: Comparing the effects of self- care education by lecture and smartphone application on self-efficacy of patients with thalassemia

Fahimeh Kharaman-nia / Habibolah Rezaei / Narges Roustaei / Peyman Etemadfar / Nazafarin Hosseini

BMC Medical Informatics and Decision Making, Vol 23, Iss 1, Pp 1-

2023 Volume 9

Abstract: Abstract Background Patients with the thalassemia have a basic requirement for self-efficacy regarding their treatment procedure. The present study aimed to compare the effect of self-care education via a smartphone application and lectures on the self- ... ...

Abstract	Abstract Background Patients with the thalassemia have a basic requirement for self-efficacy regarding their treatment procedure. The present study aimed to compare the effect of self-care education via a smartphone application and lectures on the self-efficacy of patients with thalassemia. Methods In the present quasi-experimental study, 99 patients with thalassemia at Shahid Beheshti Hospital in Yasuj, Iran, in 2019 who were eligible to enter the study, were selected. The block randomization was done with the block sizes of 3, 6, and 9, and participants were randomly assigned to 3 groups: smartphone application (A), lecture intervention (B), and control (c). Smartphone application and lecture interventions were performed for intervention groups A and B, respectively, during 8 weeks. Scherer's self-efficacy measure was used to collect the data at baseline and eight weeks after the intervention. Data were analyzed by SPSS-version 25 software using Paired t-test, Wilcoxon and Kruskal–Wallis tests. Results Ninety-nine patients with thalassemia with a mean (SD) age of 25 (6) and 58 females (58.59%) participated in the present study. The results indicated a significant difference in self-efficacy among 3 groups after intervention (P = 0.001). However, self-care education with smartphone application revealed a significant increase in the mean (SD) of self-efficacy of the patients with thalassemia 68.36(8.45) compared to the lecture method 62.55 (7.3) (P = 0.003) and control 62.09 (6.7) (P = 0.001). There were no significant differences among the self-efficacy scores of the patients in lecture intervention and control groups. Conclusions The results revealed that smartphone application was a suitable educational software to promote self-efficacy in patients with thalassemia. It is recommended to use smartphone application methods to improve the self-efficacy levels of patients with thalassemia.
Keywords	Thalassemia ; Self-efficacy ; Self-care ; Education ; Smartphone application ; Lecture ; Computer applications to medicine. Medical informatics ; R858-859.7
Subject code	796
Language	English
Publishing date	2023-01-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Severity of oxidative stress as a hallmark in COVID-19 patients

Alireza Bastin / Fatemeh Abbasi / Narges Roustaei / Jahangir Abdesheikhi / Hossein Karami / Mohammad Gholamnezhad / Mahdieh Eftekhari / Amirhossein Doustimotlagh

European Journal of Medical Research, Vol 28, Iss 1, Pp 1-

2023 Volume 10

Abstract: Abstract Introduction Understanding the mechanisms and identifying effective treatments for the COVID-19 outbreak are imperative. Therefore, this study aimed to assess the antioxidant status and oxidative stress parameters as potential pivotal mechanisms ...

Abstract	Abstract Introduction Understanding the mechanisms and identifying effective treatments for the COVID-19 outbreak are imperative. Therefore, this study aimed to assess the antioxidant status and oxidative stress parameters as potential pivotal mechanisms in asymptomatic, non-severe, and severe COVID-19 patients. Methods This study is a case–control study that was performed on patients referred to the Persian Gulf Martyrs Hospital of Bushehr University of Medical Sciences, Bushehr, Iran, from May 2021 to September 2021. A total of 600 COVID-19 patients (non-severe and severe group) and 150 healthy volunteers of the same age and sex were selected during the same period. On the first day of hospitalization, 10 ml of venous blood was taken from subjects. Then, hematological, biochemical, serological, antioxidant and oxidative stress parameters were determined. Results Our results indicated that ESR, CRP, AST, ALT, and LDH significantly augmented in the severe group as compared to the non-severe and normal groups (P ≤ 0.05). It was observed that the levels of FRAP, G6PD activity, and SOD activity significantly reduced in the non-severe patients in comparison with the severe and normal groups (P ≤ 0.05). We found that MDA content and NO metabolite markedly increased in severe patients as compared to the non-severe group. Conclusions Taken together, it seems that the balance between antioxidants and oxidants was disturbed in COVID-19 patients in favor of oxidant markers. In addition, this situation caused more aggravation in severe patients as compared to the non-severe group.
Keywords	COVID-19 ; Oxidative stress ; Antioxidant ; MDA ; SOD ; G6PD ; Medicine ; R
Subject code	610
Language	English
Publishing date	2023-12-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: A Comparative Study of Different Joint Modeling Approaches for HIV/AIDS Patients in Southern Iran

Narges ROUSTAEI / Jamshid JAMALI / Seyyed Mohammad TAGHI AYATOLLAHI / Najaf ZARE

Iranian Journal of Public Health, Vol 49, Iss

2020 Volume 9

Abstract: Background: The prevalence of HIV/AIDS has been increasing in Iran, especially amongst the young population, recently. The joint model (JM) is a statistical method that represents an effective strategy to incorporate all information of repeated ... ...

Abstract	Background: The prevalence of HIV/AIDS has been increasing in Iran, especially amongst the young population, recently. The joint model (JM) is a statistical method that represents an effective strategy to incorporate all information of repeated measurements and survival outcomes simultaneously. In many theoretical studies, the population under the study were heterogeneous. This study aimed at comparing three approaches by considering heterogeneity in the patients. Methods: This study was conducted on 750 archived files of patients infected with HIV in Fars Province, southern Iran, from 1994 to 2017. Proposed Approach (PA), Joint Latent Class Models (JLCM), and Separated Approach (SA) were compared to evaluate the influence covariates on the longitudinal and time-to-event outcomes in the heterogeneous HIV/AIDS patients. Results: Gender (P<0.001) and HCV (P<0.01) were two significant covariates in the classification of HIV/AIDS patients. Time had a significant effect on CD4 (P<0.001) in both classes in the three approaches. In PA and SA, females had higher CD4 than males (P<0.001) in the first class. In JLCM, females had higher CD4 than males (P<0.01) in both classes. The patients with higher Hgb had also higher CD4 (P<0.001) in both classes in the three approaches. HCV reduced the CD4 significantly in both classes in PA (P<0.05) and SA (P<0.001). Within the survival sub-model, HCV reduced survival rate significantly in the second class in PA (P<0.05), JLCM (P<0.01) and SA (P<0.001). Conclusion: PA was an appropriate approach for joint modeling longitudinal and survival outcomes for this heterogeneous population.
Keywords	Longitudinal studies ; ; Survival analysis ; HIV ; Iran ; Public aspects of medicine ; RA1-1270
Subject code	360
Language	English
Publishing date	2020-08-01T00:00:00Z
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: A Proposed Approach for Joint Modeling of the Longitudinal and Time-To-Event Data in Heterogeneous Populations

Narges Roustaei / Seyyed Mohammad Taghi Ayatollahi / Najaf Zare

BioMed Research International, Vol

An Application to HIV/AIDS’s Disease

2018 Volume 2018

Abstract: In recent years, the joint models have been widely used for modeling the longitudinal and time-to-event data simultaneously. In this study, we proposed an approach (PA) to study the longitudinal and survival outcomes simultaneously in heterogeneous ... ...

Abstract	In recent years, the joint models have been widely used for modeling the longitudinal and time-to-event data simultaneously. In this study, we proposed an approach (PA) to study the longitudinal and survival outcomes simultaneously in heterogeneous populations. PA relaxes the assumption of conditional independence (CI). We also compared PA with joint latent class model (JLCM) and separate approach (SA) for various sample sizes (150, 300, and 600) and different association parameters (0, 0.2, and 0.5). The average bias of parameters estimation (AB-PE), average SE of parameters estimation (ASE-PE), and coverage probability of the 95% confidence interval (CP) among the three approaches were compared. In most cases, when the sample sizes increased, AB-PE and ASE-PE decreased for the three approaches, and CP got closer to the nominal level of 0.95. When there was a considerable association, PA in comparison with SA and JLCM performed better in the sense that PA had the smallest AB-PE and ASE-PE for the longitudinal submodel among the three approaches for the small and moderate sample sizes. Moreover, JLCM was desirable for the none-association and the large sample size. Finally, the evaluated approaches were applied on a real HIV/AIDS dataset for validation, and the results were compared.
Keywords	Medicine ; R
Subject code	310
Language	English
Publishing date	2018-01-01T00:00:00Z
Publisher	Hindawi Limited
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Adjuvant pomegranate juice intake improves the inflammatory status of hospitalized COVID-19 patients

Mojtaba Yousefi / Mohammadreza Sadriirani / Sara Mahmoodi / Bahar Samimi / Azizollah Pourmahmoudi / Mahboobe Hosseinikia / Omid Sadeghi / Narges Roustaei / Zaker Saeedinezhad / Juan Carlos Espín / Somaye Ansari / Seyed Bahman Panahande

Complementary Therapies in Medicine, Vol 75, Iss , Pp 102958- (2023)

A randomized and placebo-controlled trial

2023

Abstract: Background: This study aimed to evaluate the effect of pomegranate juice intake on the inflammatory status and complete blood count in hospitalized Covid-19 patients. Methods: This randomized, double-blinded placebo-controlled trial included 48 patients ... ...

Abstract	Background: This study aimed to evaluate the effect of pomegranate juice intake on the inflammatory status and complete blood count in hospitalized Covid-19 patients. Methods: This randomized, double-blinded placebo-controlled trial included 48 patients with two parallel arms. In addition to the standard care provided at the hospital, the patients consumed 500 mL of whole pomegranate juice (PJ) daily or a placebo for 14 days. Inflammatory markers (C-reactive protein (CRP), interleukin-6 (IL-6), erythrocyte sedimentation rate (ESR)) and complete blood count were determined at baseline and after the 14 days of intervention. Results: At the end of the intervention, a significant decreased was observed in primary outcomes [mean difference (95 %CI)] including IL-6 [5.24(0.87–9.61)], CRP [23.19(11.93–34.44)] and ESR [10.52(1.54–19.50)] in the PJ group vs. before the intervention. In addition, significant changes were also observed in the some of the secondary outcomes, including neutrophils, lymphocytes, platelets, platelets-to-lymphocyte(PLR) and neutrophils-to-lymphocyte (NLR) ratios (p < 0.05) in the PJ group compared to before the intervention. At the end of the intervention period, the mean change of IL-6 [− 7.09(−12.21 to − 1.96)], white blood cells [− 3.09(− 6.14 to − 0.05)], neutrophils [− 9.12(−18.08 to −0.15)], lymphocyte [7.05(0.17–13.92)], platelets [− 94.54(− 139.33 to − 49.75)], PLR [− 15.99(− 29.31 to − 2.67)], blood oxygen saturation [1.75(0.13–3.37)] and MCV [0.31(− 0.25 to 0.88)] levels were significantly different between groups while no difference was observed between the two groups in other blood indices. Conclusion: Our results suggest that pomegranate juice intake might slightly improve the inflammatory status and CBC outcomes of COVID-19 patients and it may be beneficial.
Keywords	COVID-19 ; SARS-CoV-2 coronavirus ; Pomegranate ; Inflammation ; Complete blood count ; Other systems of medicine ; RZ201-999
Subject code	610
Language	English
Publishing date	2023-08-01T00:00:00Z
Publisher	Elsevier
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Relationship between Minor Psychiatric Disorders and Job Stability among Southern Iranian Nurses

Narges Roustaei / Seyyed Mohammad Taghi Ayatollahi / Jamshid Jamali

Hayat Journal of Faculty of Nursing & Midwifery , Vol 20, Iss 4, Pp 51-

Using Latent Class Regression Model

2015 Volume 61

Abstract: Background & Aim: Nurses’ m ental health is an important dimension of quality of life and health care delivery. Job instability can be threatening for mental health of nurses. This study was conducted to assess the relationship between minor psychiatric ... ...

Abstract	Background & Aim: Nurses’ m ental health is an important dimension of quality of life and health care delivery. Job instability can be threatening for mental health of nurses. This study was conducted to assess the relationship between minor psychiatric disorders (MPD) among nurses with their job stability . Methods & Materials: This was a cross-sectional-analytical study. A total of 771 nurses working in Bushehr and Fars provinces were recruited to the study through multi stage sampling. Mental health status was evaluated using the GHQ-12 questionnaire. The employment type -contractual, apprenticeship, permanent, and fixed term- were used as items to measure job stability. Data were analysed using latent class regression . Results: About 27.48% of nurses suffered from MPDs. There was no significant relationship between the types of employment with MPD . There was a significant relationship between MPD with gender (P=0.049). Females were 20% more likely to have MPD . Conclusion: Prevalence of MPD among nurses was in the moderate level. High prevalence of MPD among female nurses shows necessity of providing appropriate strategies to control MPDs such as anxiety and stress among nurses .
Keywords	minor psychiatric disorders ; latent class regression ; GHQ-12 ; nurses ; Iran ; Nursing ; RT1-120 ; Medicine ; R
Subject code	150
Language	Persian
Publishing date	2015-02-01T00:00:00Z
Publisher	دانشكده پرستاري و مامايي، دانشگاه علوم پزشكي تهران
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Evaluation of the Relationship between Social Desirability and Minor Psychiatric Disorders among Nurses in Southern Iran

Narges Roustaei / Peyman Jafari / Erfan Sadeghi / Jamshid Jamali

International Journal of Community Based Nursing and Midwifery, Vol 3, Iss 4, Pp 301-

A Robust Regression Approach

2015 Volume 308

Abstract: Abstract Background: Social desirability may affect different aspects of people’s quality of life. One of the impressive dimensions of quality of life is mental health. The prevalence of Minor Psychiatric Disorders (MPD) among health care workers is ... ...

Abstract	Abstract Background: Social desirability may affect different aspects of people’s quality of life. One of the impressive dimensions of quality of life is mental health. The prevalence of Minor Psychiatric Disorders (MPD) among health care workers is higher than other health workers. This article aims at evaluating the relationship between social desirability and MPD among nurses in southern Iran. Method: A cross-sectional study was carried out on 765 nurses who had been employed in hospitals in the southern provinces of Iran. The 12-item General Health Questionnaire (GHQ-12) and Marlowe- Crowne Social Desirability Scale (MC-SDS) were used for evaluating the MPD and social desirability in nurses, respectively. The Robust Regression was used to determine any quantified relationship between social desirability and the level of MPD with adjusted age, gender, work experience, marital status, and level of education. Result: The mean scores of GHQ-12 and MC-SDS were 13.02±5.64 (out of 36) and 20.17±4.76 (out of 33), respectively. The result of Robust Regression indicated that gender and social desirability were statistically significant in affecting MPD. Conclusion: The prevalence of MPD in female nurses was higher than males. Nurses with higher social desirability scores had the tendency to report lower levels of MPD.
Keywords	Iran ; Mental disorders ; Nurses ; Robust regression ; Social desirability ; Medicine ; R ; Nursing ; RT1-120
Subject code	300
Language	English
Publishing date	2015-10-01T00:00:00Z
Publisher	Shiraz University of Medical Sciences
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Microbiological Profile of Ocular Infection

Fahimeh Asadi-Amoli / Zohreh Abedinifar / Zohreh Nozarian / Fatemeh Heidary / Mahsa Haji Safar Ali Memar / Athena Nezamabadi / Reza Gharebaghi / Narges Roustaei / Maryam Parvizi

Iranian Journal of Public Health, Vol 51, Iss

A Large Retrospective Study

2022 Volume 6

Abstract: Background: We aimed to elucidate the pathogenic bacterial and fungal profiles of specimens obtained from suspected ocular infections at Farabi Eye Tertiary Referral Hospital, Tehran, Iran. Methods: In this cross-sectional study, we collected data from ... ...

Abstract	Background: We aimed to elucidate the pathogenic bacterial and fungal profiles of specimens obtained from suspected ocular infections at Farabi Eye Tertiary Referral Hospital, Tehran, Iran. Methods: In this cross-sectional study, we collected data from ocular specimens taken during the seven-year period of 2011 to 2018, and the results were then retrospectively analyzed. Samples had been obtained from patients who were investigated for ocular infections. Results: Overall, 16,656 ocular samples were evaluated. The mean patient age was 48.31 ± 26.62 years. Most patients were men (60.33%), and men in the 7th decade of life were the largest represented group. The seasonal distributions of specimen collection sites followed the overall distribution of collection sites by year. Specimens obtained from the cornea were the most common (49.24%), also representing the largest number of specimens in all seasons. The most commonly isolated fungal microorganisms were Fusarium spp., followed by Aspergillus spp. and Candida albicans. Of the 6,556 specimens with positive bacterial cultures, 59% produced gram-positive bacteria, while the remainder produced gram-negative pathogens. The most commonly isolated bacteria were Pseudomonas aeruginosa (17.77%), Staphylococcus epidermidis (13.80%), Streptococcus pneumoniae (13.27%), S. viridans (12.23%), and S. aureus (11.18%). Conclusion: Most submitted specimens were obtained from the cornea. The most commonly isolated fungal microorganisms were Fusarium spp., followed by Aspergillus spp. and C. albicans. The most commonly isolated bacteria were P. aeruginosa, followed by S. epidermidis and S. pneumoniae.
Keywords	Microbiological profile ; Ocular infection ; Bacterial ; Fungal ; Eye ; Ocular specimen ; Public aspects of medicine ; RA1-1270
Subject code	590
Language	English
Publishing date	2022-06-01T00:00:00Z
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: Prevalence of Minor Psychiatric Disorders and Factors Affecting It in Iranian Nurses

Jamshid JAMALI / Narges ROUSTAEI / Seyyed Mohammad Taghi AYATOLLAHI / Erfan SADEGHI

Iranian Journal of Public Health, Vol 44, Iss

2015 Volume 6

Abstract: Letter to the ... ...

Abstract	Letter to the Editor
Keywords	Public aspects of medicine ; RA1-1270
Language	English
Publishing date	2015-10-01T00:00:00Z
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: The Association Between Quality of Sleep and Health-related Quality of Life in Military and Non-military Women in Tehran, Iran

Narges Roustaei / Hajar Jamali / Mohammad Reza Jamali / Pegah Nourshargh / Jamshid Jamali

Oman Medical Journal, Vol 32, Iss 2, Pp 124-

2017 Volume 130

Abstract: Objectives: Quality of sleep (QoS) in individuals is affected by their occupation and is one of the factors affecting the quality of life (QoL). Few studies have evaluated the relationship between QoS and QoL in military women personnel. The aim of this ... ...

Abstract	Objectives: Quality of sleep (QoS) in individuals is affected by their occupation and is one of the factors affecting the quality of life (QoL). Few studies have evaluated the relationship between QoS and QoL in military women personnel. The aim of this study was to assess QoL and QoS, and compare their relationship among military and non-military women in Tehran. Methods: This cross-sectional study was carried out on 90 women working in Tehran during 2014, 30 were military forces, 30 were military staff, and 30 were civilian organizations staff. The female subjects were selected from Amin Police University and Tehran Health Insurance Organization using simple random sampling. The 36-Item Short Form Health Survey (SF-36) and Pittsburgh Sleep Quality Index (PSQI) were used to measure QoL and QoS, respectively. The relationship between QoL and QoS was assessed using Pearson’s correlation coefficient. Results: The mean scores of QoL in the military forces, military staff, and civilian organizations staff were 58.94±17.71, 67.18±13.52, and 69.10±12.51, respectively. Among the study participants, 62.9% of military forces, 20.0% of military staff, and 17.1% of the civilian organizations staff had poor QoS. Mental health as one of the dimensions of QoL was significantly different between military forces and civilian organizations staff. The association between QoL and QoS was statistically significant in military forces and military staff women. Conclusions: Low QoS and QoL in the army necessitates that the authorities offer programs and appropriate strategies to improve mental health of QoL and promotion of QoS.
Keywords	Quality of Life ; Sleep Wake Disorders ; Military Personnel ; Women ; Iran ; Medicine ; R
Subject code	360
Language	English
Publishing date	2017-03-01T00:00:00Z
Publisher	Oman Medical Specialty Board
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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