Background: This study aimed to compare the serum levels of procalcitonin in the pa-tients with a... more Background: This study aimed to compare the serum levels of procalcitonin in the pa-tients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD) and the patients with chronic obstructive pulmonary disease (COPD) in the emergency ward of Afzalipour Hospital in Kerman. Methods: This cross-sectional study was conducted on 45 patients with stable COPD and 45 pa-tients with AECOPD. Patients were divided into four groups based on COPD severity assessment. Serum procalcitonin levels were measured using an ELISA kit.. Results: The mean age of patients in the exacerbation and the stable group was 60.97 ± 12.61 and 62.53 ± 11.04 years, respectively. Serum procalcitonin levels in two exacerbation groups (215.22 ± 19.84) were higher than stable groups (127.92 ± 8.97) (P = 0.001). The accuracy of this test for diagnosing acute attack in terms of AECOPD was 77%, and the serum procalcitonin level of 132.6 was found to be the best cut-off point to diagnose acute disease. The mea...
Several studies indicate contribution of hypothalamus-pituitary-adrenal (HPA) axis in multiple sc... more Several studies indicate contribution of hypothalamus-pituitary-adrenal (HPA) axis in multiple sclerosis (MS) disease. This study was designed to determine whether there is an effective difference in pituitary height, shape, and anterior-posterior diameter (APD) between patients with MS and the control group. In this study, sagittal pituitary height and APD of 134 men and women (64 patients with MS and 70 healthy subjects as control group) were measured by T1 sequence magnetic resonance imaging (MRI). All the subjects were free of sellar or parasellar pathology without a history of surgical intervention or prolactin affecting drugs like bromocriptine and cabergoline or corticosteroid consumption. Mean height of pituitary gland was 6.62 ± 1.43 and 5.78 ± 1.15 mm for patients and the control group, respectively, and the difference between the two groups was statistically significant (P = 0.001). Mean APD was 10.40 ± 1.29 mm for the group of patients and 10.25 ± 1.41 mm for the control...
Background & Objectives: Even so much of the knowledge and skills of medical students is aquiered... more Background & Objectives: Even so much of the knowledge and skills of medical students is aquiered during clinical course, in many educational systems, students are kept away from clinical setting during their first academic years. Methods: This study was an interventional study carried out by Educational Development Office in the school of Medicine in 2009. All Second semester students were selected through census method. Students' attitudes towards medical profession were evaluated using a questionnaire. The validity of the ...
Neonatal Phenylketonuria Screening Indices in Kerman District during 2013-2017 Bavafa Babak1, A... more Neonatal Phenylketonuria Screening Indices in Kerman District during 2013-2017 Bavafa Babak1, Ahmadipour Habibeh2*, Bigham Eshrat3 1. Pediatrician, Focal Point of Phenylketonuria, Family Physician Clinic, Afzalipour School of Medicine, Kerman University of Medical Sciences, Kerman, Iran 2. Associate Professor in Community Medicine, Social Determinants of Health Research Center, Institute for Futures Studies in Health, University of Medical Sciences Kerman, Kerman, Iran 3. General Practitioner, Student of MPH in Family Medicine, Department of Community and Family Medicine, Afzalipour School of Medicine, Kerman University of Medical Sciences, Kerman, Iran *Correspondence: Department of Community Medicine, Afzalipour School of Medicine, Bistodo-bahman Blvd, Kerman, Kerman, Iran Tel: 00983433257313 Email: ahmadipour@kmu.ac.ir Abstract: Background & Objectives: Screening and timely treatment of neonatal phenylketonuria can prevent the irr...
International Journal of Preventive Medicine, 2020
Background: Self-management remains poor among most of the diabetic patients due to various indiv... more Background: Self-management remains poor among most of the diabetic patients due to various individual and environmental barriers which affect it. These barriers should be identified and intervened promptly. The current study aimed to determine self-management barriers perceived by patients with type 2 diabetes. Methods: A cross-sectional study carried out on 681 patients with type 2 diabetes who referred to the diabetes center which is affiliated to Kerman University of Medical Sciences, Kerman, Iran during 2018. Through a structured interview, demographic and disease-related data were recorded and the Persian version of the modified Personal Diabetes Questionnaire (PDQ) was used to assess self-management barriers. The tool has four subscales including diet, medication, monitoring, and exercise barriers. The higher score in each subscale indicates a higher level of barriers in that section. Data analyzed by SPSS 20 using T-test, ANOVA, and multiple linear regressions. Results: The ...
International Journal of Preventive Medicine, 2020
Background: Falling is a serious challenge for public health and a leading cause of morbidity and... more Background: Falling is a serious challenge for public health and a leading cause of morbidity and mortality among the elderly. This study conducted to evaluate the psychometric properties of the Persian version of fall risk screening tool (P-FRST). Methods: A cross-sectional study carried out from September 2018 to March 2019 on 537 elders who referred to urban health centers in Kerman, Iran. Demographic data recorded and fall-risk assessment was performed using P-FRST and the timed up and go test (TUG). The maximum possible score is 33 for P-FRST and score ≥18 is considered as high risk. The time ≥12 s in TUG test considered as a risk for falling. Data analyzed by SPSS using t-test, analysis of variance, and linear regression. Results: The mean age of participants was 67.18 ± 6.93. According to P-FRST, 22% of the elderly were high risk and 62% had a moderate risk for falling. The mean score for falling risk was significantly higher in the females, illiterates, income <10 million...
Mistreatment of medical students is a major source of stress for them. Studies indicate a high in... more Mistreatment of medical students is a major source of stress for them. Studies indicate a high incidence of such mistreatment, especially in clinical settings. In most cases, students who have been mistreated do not report it to the authorities. This study investigated factors related to the failure to report mistreatment. This was a cross-sectional study carried out in Kerman Medical School, Iran. All students in the internship and clerkship stages, as well as residents, were selected through the census method. Experiences of mistreatment and the reasons for not reporting them were evaluated using a questionnaire. The data were analysed with SPSS 19. Ninety-three per cent of the participants experienced mistreatment, but less than half of them reported it. Residents and interns reported emotional and academic mistreatment, respectively, more than other groups. The most common reason for not reporting mistreatment was that the students did not think reporting would accomplish anything. Our study showed that the experience of mistreatment in the clinical setting is common, but the cases reported to the authorities are far fewer than the actual number of cases. Educational systems should make extensive efforts to detect and prevent mistreatment to improve the teaching-learning environment.
Background: This study aimed to compare the serum levels of procalcitonin in the pa-tients with a... more Background: This study aimed to compare the serum levels of procalcitonin in the pa-tients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD) and the patients with chronic obstructive pulmonary disease (COPD) in the emergency ward of Afzalipour Hospital in Kerman. Methods: This cross-sectional study was conducted on 45 patients with stable COPD and 45 pa-tients with AECOPD. Patients were divided into four groups based on COPD severity assessment. Serum procalcitonin levels were measured using an ELISA kit.. Results: The mean age of patients in the exacerbation and the stable group was 60.97 ± 12.61 and 62.53 ± 11.04 years, respectively. Serum procalcitonin levels in two exacerbation groups (215.22 ± 19.84) were higher than stable groups (127.92 ± 8.97) (P = 0.001). The accuracy of this test for diagnosing acute attack in terms of AECOPD was 77%, and the serum procalcitonin level of 132.6 was found to be the best cut-off point to diagnose acute disease. The mea...
Several studies indicate contribution of hypothalamus-pituitary-adrenal (HPA) axis in multiple sc... more Several studies indicate contribution of hypothalamus-pituitary-adrenal (HPA) axis in multiple sclerosis (MS) disease. This study was designed to determine whether there is an effective difference in pituitary height, shape, and anterior-posterior diameter (APD) between patients with MS and the control group. In this study, sagittal pituitary height and APD of 134 men and women (64 patients with MS and 70 healthy subjects as control group) were measured by T1 sequence magnetic resonance imaging (MRI). All the subjects were free of sellar or parasellar pathology without a history of surgical intervention or prolactin affecting drugs like bromocriptine and cabergoline or corticosteroid consumption. Mean height of pituitary gland was 6.62 ± 1.43 and 5.78 ± 1.15 mm for patients and the control group, respectively, and the difference between the two groups was statistically significant (P = 0.001). Mean APD was 10.40 ± 1.29 mm for the group of patients and 10.25 ± 1.41 mm for the control...
Background & Objectives: Even so much of the knowledge and skills of medical students is aquiered... more Background & Objectives: Even so much of the knowledge and skills of medical students is aquiered during clinical course, in many educational systems, students are kept away from clinical setting during their first academic years. Methods: This study was an interventional study carried out by Educational Development Office in the school of Medicine in 2009. All Second semester students were selected through census method. Students' attitudes towards medical profession were evaluated using a questionnaire. The validity of the ...
Neonatal Phenylketonuria Screening Indices in Kerman District during 2013-2017 Bavafa Babak1, A... more Neonatal Phenylketonuria Screening Indices in Kerman District during 2013-2017 Bavafa Babak1, Ahmadipour Habibeh2*, Bigham Eshrat3 1. Pediatrician, Focal Point of Phenylketonuria, Family Physician Clinic, Afzalipour School of Medicine, Kerman University of Medical Sciences, Kerman, Iran 2. Associate Professor in Community Medicine, Social Determinants of Health Research Center, Institute for Futures Studies in Health, University of Medical Sciences Kerman, Kerman, Iran 3. General Practitioner, Student of MPH in Family Medicine, Department of Community and Family Medicine, Afzalipour School of Medicine, Kerman University of Medical Sciences, Kerman, Iran *Correspondence: Department of Community Medicine, Afzalipour School of Medicine, Bistodo-bahman Blvd, Kerman, Kerman, Iran Tel: 00983433257313 Email: ahmadipour@kmu.ac.ir Abstract: Background & Objectives: Screening and timely treatment of neonatal phenylketonuria can prevent the irr...
International Journal of Preventive Medicine, 2020
Background: Self-management remains poor among most of the diabetic patients due to various indiv... more Background: Self-management remains poor among most of the diabetic patients due to various individual and environmental barriers which affect it. These barriers should be identified and intervened promptly. The current study aimed to determine self-management barriers perceived by patients with type 2 diabetes. Methods: A cross-sectional study carried out on 681 patients with type 2 diabetes who referred to the diabetes center which is affiliated to Kerman University of Medical Sciences, Kerman, Iran during 2018. Through a structured interview, demographic and disease-related data were recorded and the Persian version of the modified Personal Diabetes Questionnaire (PDQ) was used to assess self-management barriers. The tool has four subscales including diet, medication, monitoring, and exercise barriers. The higher score in each subscale indicates a higher level of barriers in that section. Data analyzed by SPSS 20 using T-test, ANOVA, and multiple linear regressions. Results: The ...
International Journal of Preventive Medicine, 2020
Background: Falling is a serious challenge for public health and a leading cause of morbidity and... more Background: Falling is a serious challenge for public health and a leading cause of morbidity and mortality among the elderly. This study conducted to evaluate the psychometric properties of the Persian version of fall risk screening tool (P-FRST). Methods: A cross-sectional study carried out from September 2018 to March 2019 on 537 elders who referred to urban health centers in Kerman, Iran. Demographic data recorded and fall-risk assessment was performed using P-FRST and the timed up and go test (TUG). The maximum possible score is 33 for P-FRST and score ≥18 is considered as high risk. The time ≥12 s in TUG test considered as a risk for falling. Data analyzed by SPSS using t-test, analysis of variance, and linear regression. Results: The mean age of participants was 67.18 ± 6.93. According to P-FRST, 22% of the elderly were high risk and 62% had a moderate risk for falling. The mean score for falling risk was significantly higher in the females, illiterates, income <10 million...
Mistreatment of medical students is a major source of stress for them. Studies indicate a high in... more Mistreatment of medical students is a major source of stress for them. Studies indicate a high incidence of such mistreatment, especially in clinical settings. In most cases, students who have been mistreated do not report it to the authorities. This study investigated factors related to the failure to report mistreatment. This was a cross-sectional study carried out in Kerman Medical School, Iran. All students in the internship and clerkship stages, as well as residents, were selected through the census method. Experiences of mistreatment and the reasons for not reporting them were evaluated using a questionnaire. The data were analysed with SPSS 19. Ninety-three per cent of the participants experienced mistreatment, but less than half of them reported it. Residents and interns reported emotional and academic mistreatment, respectively, more than other groups. The most common reason for not reporting mistreatment was that the students did not think reporting would accomplish anything. Our study showed that the experience of mistreatment in the clinical setting is common, but the cases reported to the authorities are far fewer than the actual number of cases. Educational systems should make extensive efforts to detect and prevent mistreatment to improve the teaching-learning environment.
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