Epidemiology and Health

Original Articles

Changes in spirometric parameters after protective interventions among workers at a chlorine production plant in Iran: Daryoush Pahlevan, Amir Shomali, Sara Pooryahya, Kamyar Mansori, Majid Mirmohammadkhani, Farhad Malek; Epidemiol Health. 2020;42:e2020041. Published online June 6, 2020; DOI: https://doi.org/10.4178/epih.e2020041

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Abstract PDF: Abstract
OBJECTIVES
This study was conducted to assess changes in spirometric parameters after protective interventions among workers at a chlorine production plant in Semnan, Iran during 2012-2016.
METHODS
This quasi-experimental study included 100 workers at a chlorine production plant in Semnan during 2012-2016. Spirometric parameters (forced vital capacity [FVC], forced expiratory volume in 1 second [FEV1], FEV1/FVC, peak expiratory flow [PEF], and PEF occurring in the middle 50% of the patient’s exhaled volume [PEF 25-75%]) were measured in all workers before the initial intervention in 2012. Protective interventions were then implemented for 4 consecutive years and the parameters were measured annually. A multivariable linear regression model was used to assess the factors affecting spirometric parameters before and after the protective interventions in SPSS version 24.
RESULTS
The mean values of all spirometric parameters significantly increased after the protective interventions (p<0.05). Multivariable linear regression showed that age (β=-0.40), body mass index (BMI) (β=0.71; 95% confidence interval [CI], 0.11 to 1.31), and type of mask (β=-7.88; 95% CI, -15.96 to -0.46) had significant effects on the mean difference in FVC. Similarly, age (β=-0.35; 95% CI, -0.70 to -0.01), BMI (β=0.80; 95% CI, 0.20 to 1.41) and type of mask (β=-8.88; 95% CI, -16.98 to -0.79) had significant associations with the mean difference in FEV1. The type of mask (β=-12.81; 95% CI, -25.01 to -0.60) had a significant effect on the mean difference in PEF.
CONCLUSIONS
All spirometric parameters significantly increased in workers after protective interventions were implemented. Therefore, protective interventions to prevent respiratory disorders in workers exposed to chlorine gas are suggested.; Summary

Geographic distribution of the incidence of colorectal cancer in Iran: a population-based study: Fatemeh Khosravi Shadmani, Erfan Ayubi, Salman Khazaei, Mohadeseh Sani, Shiva Mansouri Hanis, Somayeh Khazaei, Mokhtar Soheylizad, Kamyar Mansori; Epidemiol Health. 2017;39:e2017020. Published online May 17, 2017; DOI: https://doi.org/10.4178/epih.e2017020

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Abstract

OBJECTIVES
Colorectal cancer (CRC) is the third most common cancer and the fourth most common cause of cancer death in the world. The aim of this study was to investigate the provincial distribution of the incidence of CRC across Iran.

METHODS

This epidemiologic study used data from the National Cancer Registry of Iran and the Center for Disease Control and Prevention of the Ministry of Health and Medical Education of Iran. The average annual age-standardized rate (ASR) for the incidence of CRC was calculated for each province.

RESULTS

We found that adenocarcinoma (not otherwise specified) was the most common histological subtype of CRC in males and females, accounting for 81.91 and 81.95% of CRC cases, respectively. Signet ring cell carcinoma was the least prevalent subtype of CRC in males and females and accounted for 1.5 and 0.94% of CRC cases, respectively. In patients aged 45 years or older, there was a steady upward trend in the incidence of CRC, and the highest ASR of CRC incidence among both males and females was in the age group of 80-84 years, with an ASR of 144.69 per 100,000 person-years for males and 119.18 per 100,000 person-years for females. The highest incidence rates of CRC in Iran were found in the central, northern, and western provinces. Provinces in the southeast of Iran had the lowest incidence rates of CRC.

CONCLUSIONS

Wide geographical variation was found in the incidence of CRC across the 31 provinces of Iran. These variations must be considered for prevention and control programs for CRC, as well as for resource allocation purposes.

Summary

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Correspondence

Letter to the Editor: Postpartum modern contraceptive use in northern Ethiopia: prevalence and associated factors - methodological issues in this cross-sectional study: Kamyar Mansori, Shiva Mansouri Hanis, Fatemeh Khosravi Shadmani; Epidemiol Health. 2017;39:e2017019. Published online May 10, 2017; DOI: https://doi.org/10.4178/epih.e2017019

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Abstract

Summary

Citations

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Long-acting reversible contraception utilization and associated factors among women in extended postpartum period in southern Ethiopia
Yibeltal Mesfin, Abraham Wallelign
Archives of Public Health.2021;[Epub] CrossRef
Association between depression with glycemic control and its complications in type 2 diabetes
Kamyar Mansori, Narges Shiravand, Fatemeh Khosravi Shadmani, Yousef Moradi, Meisam Allahmoradi, Mehdi Ranjbaran, Shiler Ahmadi, Abbas Farahani, Kobra Samii, Mehrdad Valipour
Diabetes & Metabolic Syndrome: Clinical Research & Reviews.2019; 13(2): 1555. CrossRef
Comment on: “Comparison of new adiposity indices for the prediction of body fat in hospitalized patients”
Fatemeh Khosravi Shadmani, Salman Khazaei, Shiva Mansouri Hanis, Kamyar Mansori
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Comment on: Complement C3 and fatty liver disease in Rheumatoid arthritis patients: A cross‐sectional study
Fatemeh Khosravi Shadmani, Salman Khazaei, Shiva Mansouri Hanis, Kamyar Mansori
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Comment on: Lifestyle predictors of obese and non-obese patients with nonalcoholic fatty liver disease: A cross-sectional study
Fatemeh Khosravi Shadmani, Salman Khazaei, Shiva Mansouri Hanis, Kamyar Mansori
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Fatemeh Khosravi Shadmani, Kamyar Mansori
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Fatemeh Khosravi Shadmani, Shiva Mansouri Hanis, Kamyar Mansori
Pediatric Allergy and Immunology.2018; 29(5): 571. CrossRef
Association between bone scan index and activities of daily living in patients with advanced non-small cell lung cancer: methodological issues in cross-sectional study
Fatemeh Khosravi Shadmani, Shiva Mansouri Hanis, Kamyar Mansori
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Correspondence regarding: Post-traumatic headache: the use of the sport concussion assessment tool (SCAT-3) as a predictor of post-concussion recovery
Salman Khazaei, Shiva Mansouri Hanis, Kamyar Mansori, Olivia Begasse de Dhaem, William B. Barr, Laura J. Balcer, Steven L. Galetta, Mia T. Minen
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Role of physical activity in mortality prediction in elderly hospice patients: the methodological issues
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Original Articles

Estimation of the population attributable fraction of road-related injuries due to speeding and passing in Iran: Fatemeh Khosravi Shadmani, Hamid Soori, Kamyar Mansori, Manoochehr Karami, Erfan Ayubi, Salman Khazaei; Epidemiol Health. 2016;38:e2016038. Published online August 29, 2016; DOI: https://doi.org/10.4178/epih.e2016038

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Abstract PDF

Abstract

OBJECTIVES
Speeding and passing are considered to be the main human factors resulting in road traffic injuries (RTIs). This study aimed to estimate the population attributeable fraction (PAF) of speeding and passing in RTIs in rural Iran during 2012.

METHODS

The contribution of speeding and passing to RTI-related morbidity and mortality was estimated using the PAF method. The prevalence of speeding and passing was obtained from the national traffic police data registry. A logistic regression model was used to measure the association between the above risk factors and RTIs.

RESULTS

Speeding accounted for 20.96% and 16.61% of rural road-related deaths and injuries, respectively. The corresponding values for passing were 13.50% and 13.44%, respectively. Jointly, the PAF of these factors was 31.63% for road-related deaths and 27.81% for injuries.

CONCLUSIONS

This study illustrates the importance of controlling speeding and passing as a high-priority aspect of public-health approaches to RTIs in Iran. It is recommended that laws restricting speeding and passing be enforced more strictly.

Summary

Citations

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Human Risk Factors for Severity of Injuries in Urban and Suburban Traffic Accidents in Southern Iran: An Insight from Police Data
Meisam Abolvardi, Nader Sharifi, Karamatollah Rahmanian, Vahid Rahmanian
International Journal of High Risk Behaviors and Addiction.2023;[Epub] CrossRef
Evaluation of the effect of fixed speed cameras on speeding behavior among Iranian taxi drivers through telematics monitoring
Hamed Tavolinejad, Mohammad-Reza Malekpour, Nazila Rezaei, Ayyoob Jafari, Naser Ahmadi, Ali Nematollahi, Elham Abdolhamidi, Elmira Foroutan Mehr, Milad Hasan, Farshad Farzadfar
Traffic Injury Prevention.2021; 22(7): 559. CrossRef
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Time Series Analysis of Mortalities Resulting from Car Accidents in the Injured Individuals Hospitalized in Shiraz Shahid Rajaee Hospital During 2010 - 2016
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Trauma Monthly.2017;[Epub] CrossRef

Application of the World Health Organization Quality of Life Instrument, Short Form (WHOQOL-BREF) to patients with cataract: Ali Gholami, Mahmood Tavakoli Araghi, Fatemeh Shamsabadi, Mahdiye Bayat, Fatemeh Dabirkhani, Farhad Moradpour, Kamyar Mansori, Yousef Moradi, Abdolhalim Rajabi; Epidemiol Health. 2016;38:e2016005. Published online February 4, 2016; DOI: https://doi.org/10.4178/epih.e2016005

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Abstract PDF

Abstract

OBJECTIVES
Cataract is a prevalent disease in the elderly, and negatively influences patients’ quality of life. This study was conducted to study the application of the World Health Organization Quality of Life Instrument, Short Form (WHOQOL-BREF) to patients with cataract.

METHODS

In this cross-sectional study, 300 patients with cataract were studied in Neyshabur, Iran from July to October 2014. The Iranian version of the WHOQOL-BREF questionnaire was used to measure their quality of life. Cronbach’s alpha coefficient, Pearson’s correlation coefficient, the paired t-test, the independent t-test, and a linear regression model were used to analyze the data in SPSS version 16.0 (SPSS Inc., Chicago, IL, USA).

RESULTS

The mean age of the participants was 68.11±11.98 years, and most were female (53%). The overall observed Cronbach’s alpha coefficient for the WHOQOL-BREF was 0.889, ranging from 0.714 to 0.810 in its four domains. The total mean score of the respondents on the WHOQOL-BREF was 13.19. The highest and lowest mean scores were observed in the social relationship domain (14.11) and the physical health domain (12.29), respectively. A backward multiple linear regression model found that duration of disease and marital status were associated with total WHOQOL scores, while age, duration of disease, marital status, and income level were associated with domains one through four, respectively (p<0.05).

CONCLUSIONS

The reliability analysis conducted in this study indicated that the WHOQOL-BREF scale exhibited an acceptable degree of internal consistency in the measurement of the quality of life of patients with cataract. It was also found that the patients with cataract who were surveyed reported a relatively moderate quality of life.

Summary

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