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Prevalence of mental disorders in the general population referring to a medical educational center in Rasht, Iran
Sh Yousefzade, J Pilafkan, L Rouhi Balasi, M Hosseinpour, N Khodadady,
Volume 3, Issue 1 (1-2014)
Abstract

Background: Mental disorders in patients with chronic medical disorders are associated with, performance degradation, poor quality of life, lack of cooperation with treatment and inappropriate use of medical services, and increased costs. The objective of this study was to determine the prevalence of mental disorders in the general population referring to an educational medical hospital in Rasht, Iran, in 2013.

Materials and Methods: In this cross-sectional study, 1725 patients who referred to a medical educational center in Rasht were selected using convenience sampling method. Data were collected through clinical interviews and using inpatients' psychological condition analysis form. Data were analyzed using descriptive and inferential statistics.

Results: Results showed that the prevalence of mental disorders in this population was 48.6%. The statistical test results showed age (P < 0.0001), marital status (P < 0.0001), occupation, history of substance abuse (P < 0.0001), psychiatric history (P < 0.0001), and a history of suicide attempt (P < 0.001) had significant relationships with presence of mental disorders.

Conclusions: Given the high prevalence of mental disorders in this community, it is recommended that consultation and therapeutic services be provided in health centers for patients' health.


Making a more comprehensive Persian version of the Impact on Participation and Autonomy (IPA-p) scale; The Perspectives of Experts and MS patients
Reza Vazirinejad,
Volume 7, Issue 4 (10-2018)
Abstract
Background: After all efforts made to introduce a valid and reliable tool for measuring the health of patients, such as MS sufferers, the concept of “participation and autonomy”, which might be affected by the disease, has been introduced. An efficient health measurement should consider all different aspects of a patient’s life. This research was conducted aimed at introducing a new aspect of the individual’s life that seems necessary to be added to the health measurement scale of Persian-speaking MS patients.
Materials and methods: In a comprehensive study, 10 specialists and 360 MS patients were recruited to help measure the validity and reliability of the Persian version of the impact on participation and autonomy (IPA) scale. More details are provided in the published paper. An important section of the findings derived from the data collected from experts and patients has been presented in this paper.
Results: Further to the previous reports, the results showed that about 70% of the experts and 80% of the patients who responded to the relevant items stated that some questions should be added to the scale about the patients’ ability to do their religious affairs. 
Conclusion: Based on what the experts (specialists) and respondents (MS patients) stated, it seems that at least a religious domain must be added to the Persian version of the IPA (IPA-p) scale if a more comprehensive IPA scale is required to be developed for the use among Persian-speaking patients.

The Effect of Working-based Individual Protective Behaviors (WIPB) on COVID-19 Mortality in North-West of Iran: A Case-Control Study
Telma Zahirian Moghadam, Farhad Pourfarzi **, Chiman Karami ***, Shima Rahimpouran, Hamed Zandian*, Abdollah Dargahi,
Volume 10, Issue 3 (7-2021)
Abstract

Background: Given the global emergency for COVID-19 infections, only Working-based Individual Protective Behaviors (WIPB) such as health behaviors are emphasized as the most important obstacle in spreading the disease. This study aimed to determine the effect of WIPB on COVID-19 mortality.
Materials and Methods: This case-control study was conducted on 3088 people (case=1955, control=1133) of the northwest of Iran, Ardabil. Data for infected society people as a case group was collected from medical records retrospectively, and for the control group (noninfected) was obtained from the comprehensive health care system. A designed questionnaire was used to identify WIPB in the Ardabil population during the COVID-19 epidemic. Chi-square test and multivariate logistic regression were used in STATA version 16.
Results: The results showed that most patients with COVID-19 in the control group belonged to the Unemployed/Housewives occupational group (27.6%), and the lowest was related to the police officers (2.2%) and transport workers (2.3%). There was a significant difference between groups in terms of sociodemographic factors (p<0.001). Inpatients had used masks, gloves, and disinfectants in the last 14 days by 66.2%, 35.3%, and 44.1%, respectively. There was a significant difference between case and control groups in terms of using a mask (p=0.004), contacting, traveling, and participating in public gatherings (p<0.001).
Conclusions: By increasing WIPBs and teaching how to properly observe such behaviors, including the proper use of masks, disinfectants, and gloves in society, as well as intensifying quarantine by preventing gatherings, the incidence and prevalence of COVID-19 can be reduced.


Clinical and Epidemiological Features of COVID-19 Patients in Rafsanjan County, Iran: A Secondary Data based Study
Mohammad Ali Zakeri, Hassan Ahmadinia, Sayed Mortaza Hossini Rafsanjanipoor,
Volume 11, Issue 2 (4-2022)
Abstract
Background: Information about COVID-19 patients must be studied meticulously to control the COVID-19 pandemic more effectively. This study aimed to evaluate the clinical and epidemiological features of COVID-19 patients in Rafsanjan County.
Materials and Methods: In this descriptive study, data of 3,212 patients referred to the Ali-Ibn Abitaleb Hospital in Rafsanjan County, Iran were recorded. Collected data included demographic information (age, sex, etc.), information about the method of referral to the hospital, contact history, previous history of infections, clinical symptoms associated with the disease, and data on comorbidities. Data were analyzed using a chi-square test and logistic regression coefficients.
Results: The three common clinical symptoms were fevers (46%), muscular pain (44.6%), and coughs (34%). The most common comorbidity was hypertension (7.9%), and the case fatality rate was 10.8%. Besides, the death ratio in confirmed patients was significantly higher than that in suspected cases (P < 0.001). The chance of death in men was 16% higher than Women's (OR = 1.166). The chance of death in people with cancer and in people with reduced levels of consciousness was 9.1 and 5.5 times, respectively, higher than that in patients without comorbidity (P < 0.001).
Conclusions: Most of the features of our patients resembled those reported in previous research. The results of this study can contribute to healthcare policymaking for this disorder.

Epidemiological Changes in Serum Virus-Specific IgM/IgG Antibody in SARS-CoV-2 Patients in Guilan Province: A Comparative Study
Abtin Heidarzadeh, Samira Kazemi, Mohammadreza Amini,
Volume 12, Issue 1 (3-2023)
Abstract

Background: The emergence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) caused the respiratory disease coronavirus disease 2019 (COVID-19) pandemic. To identify those who have been exposed to the virus and maybe to forecast disease immunity, antibody tests are crucial. We aimed to examine the association between prior COVID-19 infection and antibody levels, including immunoglobulin M (IgM) and immunoglobulin G (IgG) while considering the underlying illnesses in COVID-19 patients in Guilan province.
Materials and Methods: In this descriptive study, 212 individuals with a COVID-19 history participated. Blood samples were taken from people twice. The first time of blood sample collection was in April 2020. The second blood sample collection was around three months after the first time in August 2020. The total immunoglobulins levels specific to SARS-CoV-2 were measured using quantitative enzyme-linked immunosorbent assay (ELISA).
Results: The study included 212 participants, 101 (47.6%) were males, and 111 (52.4%) were women. The age of those who recovered most commonly ranged from 31 to 45 years (31.1%). The most common underlying diseases were Hypertension (31/212), obesity (23/212), cardiovascular disease (17/212), diabetes (17/212), and chronic obstructive pulmonary disease (COPD), respectively. The findings showed that, three months after recovery, the level of IgG remained persistent while the level of IgM had decreased. This revealed that 26/212, or 12.26%, had IgG levels above 1.1.
Conclusion: In individuals who had previously contracted COVID-19, the level of IgG increased over time, whereas the level of IgM decreased.
 

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