Papers by Abtin Heidarzadeh
Journal of Medical Education
Context: Nearly 20 years ago, the family physician program (FPP) was established in Iran in rural... more Context: Nearly 20 years ago, the family physician program (FPP) was established in Iran in rural areas and was expanded to some cities about 10 years ago. Different studies reported different challenges associated with the efficacy of human resources and their training or educational program. Objectives: This systematic review of the literature was conducted to comprehensively identify and collate the challenges associated with the education of family physicians in Iran. Evidence Acquisition: All published articles related to FPP in Iran were the subject of this study. The eligibility criteria included original articles, case studies, and reports published in English or Persian during 2011 - 2021 related to the challenges in the training and educational system of FPP in Iran. Data were extracted based on the SPIDER (sample, phenomenon of interest, design, evaluation, research type) technique and were reported based on the structure of PRISMA (preferred reporting items for systemati...
BMC Public Health
Background New vaccines that are initially approved in clinical trials are not completely free of... more Background New vaccines that are initially approved in clinical trials are not completely free of risks. Systematic vaccine safety surveillance is required for ensuring safety of vaccines. This study aimed to provide a protocol for safety monitoring of COVID-19 vaccines, including Sputnik V, Sinopharm (BBIBP-CorV), COVIran Barekat, and AZD1222. Methods This is a prospective cohort study in accordance with a template provided by the World Health Organization. The target population includes citizens of seven cities in Iran who have received one of the available COVID-19 vaccines according to the national instruction on vaccination. The participants are followed for three months after they receive the second dose of the vaccine. For each type of vaccine, 30,000 people will be enrolled in the study of whom the first 1,000 participants are in the reactogenicity subgroup. The reactogenicity outcomes will be followed seven days after vaccination. Any hospitalization, COVID-19 disease, or o...
To find if some indices have predictive value for renal complications. We conducted a cross secti... more To find if some indices have predictive value for renal complications. We conducted a cross sectional and included 80 patients with the age ranged 5-17 years, all with the proven diagnosis of β-thalassemia major. A urine and 5 ml of blood sample were obtained from all of the cases. Biochemical indices such as serum levels of creatinine, Na, Mg, Hb, and ferritin and also urine levels of Na, Mg, creatinine and β2 microglobulin was measured. All data analysis was performed using SPSS 14.0. P-Spearman test was applied to assess correlation between urine beta-2-microglobulin and other variables. Patients GFR was in normal range. Abnormal level of urine β2 microglobulin was reported in 44 patients (55%). P Spearman test proved correlation only between urine β2 microglobulin and FE-Mg. We concluded that renal proximal tubular dysfunction may oocur in children with β thalassemia major without clinical manifestations of renal dysfunction or decrease in GFR. We warn not to rely only on GFR as...
Background: Genu varum is a physical deformity marked by bowing of the leg. One of the risk facto... more Background: Genu varum is a physical deformity marked by bowing of the leg. One of the risk factors of this musculoskeletal alignment is stress on the knee joint such as with exercise. Objectives: Since the evaluation of genu varum has not been widely studies, this study was conducted to examine the association between genu varum and playing soccer. Materials and Methods: Between Septembers 2010-2012, 750 soccer players and 750 non-soccer players 10-18 years of age were included in the study. A questionnaire of data including age, height, weight, body mass index (BMI), years of soccer participation, the average time of playing soccer per week, previous trauma to the lower limbs, history of any fractures of the knee, previous hospitalizations, and the distance of joint lines between the knees was assessed for all subjects. Chi-square, student t-test, and one-way ANOVA were used for statistical analysis by SPSS v.19.0 software. In all tests, a P value of less than 0.05 was construed a...
Iranian Journal of Neonatology IJN, 2016
Background: Despite the efforts to enhance hygiene education and personal hygiene and use of anti... more Background: Despite the efforts to enhance hygiene education and personal hygiene and use of antibiotics and vaccination, infectious diseases remain the second cause of mortality worldwide. Vaccination is one of the greatest medical achievements in the prevention of mortality and morbidity, which has decreased treatment costs. This study aimed to compare the complications caused by pentavalent and diphtheria-tetanus-pertussis (DTP) vaccination in infants aged 2-6 months. Methods: This analytical cross-sectional study was conducted on all the infants aged 2-6 months referred to the healthcare centers of Anzali, Iran. Demographic data and complications of vaccination were collected from all the samples. Data analysis was performed using descriptive statistics, Fisher's exact test, Chi-square, and Mann-Whitney U test, and logistic regression analysis in SPSS. Results: In total, 353 infants, including 163 female (46.2) and 190 male (53.8), were enrolled in this study. According to t...
Journal of Guilan University of Medical Sciences, 2005
Iranian Journal of Neonatology IJN, 2017
Background: Jaundice is one of the most common findings in the neonatal period. In almost all the... more Background: Jaundice is one of the most common findings in the neonatal period. In almost all the cases, neonatal jaundice occurs due to the elevated level of unconjugated bilirubin. Evidence is scarce regarding the association between magnesium and bilirubin levels in neonatal hyperbilirubinemia. The present study aimed to investigate serum magnesium levels before and after phototherapy.Methods: This observational study was conducted on 65 neonates with jaundice, who were admitted to 17 Shahrivar Hospital of Rasht, Iran during September 2011-2012. Neonates with total serum bilirubin level of >20 mg/dL underwent phototherapy with 12 lamps. Magnesium levels were measured before and 24 hours after phototherapy. Data analysis was performed in SPSS version 19 using descriptive statistics (mean and standard deviation) and paired t-test at 95% confidence interval, and P-value of less than 0.05 was considered statistically significant.Results: In total, 65 neonates, including 37 boys (5...
Journal of Guilan University of Medical Sciences, 2015
Introduction: The COVID-19 has been associated with many problems for the general public and espe... more Introduction: The COVID-19 has been associated with many problems for the general public and especially health care workers (HCWs). This study conducted to provide predictors of COVID-19 outcomes on HCWs in Rasht, Iran.Methods: In a retrospective cross-sectional study, 381 HCWs with positive RT-PCR or high-resolution lungs computed tomography for COVID-19 from February 21 to April 19, 2020 evaluated. The prevalence, demographic, clinical, laboratory, and radiological presentations and outcomes and their correlation were studied.Results: The prevalence of COVID-19 in HCWs was 5.62%, and the total mortality rate was 0.2%. The mortality rates were different between genders (P=0.002) and in general ward compared to intensive care unit (P=0.001). In the multivariate analysis, age (OR:1.12, 95%CI 1.02–1.23, P=0.014), diabetes mellitus (DM) (OR:10.73, 95%CI 1.91–60.3, P=0.007), blood group B (OR:19.2, 95%CI 1.8–199.984, P=0.013), the presence of peribronchovascular involvement (OR:1.1, 95%...
BackgroundThe extent of infection by coronavirus disease 2019 has not been well known. In this st... more BackgroundThe extent of infection by coronavirus disease 2019 has not been well known. In this study we aimed to determine seropositivity of COVID-19 virus infection in population of a highly affected area in north of Iran.MethodsIn a population-based cluster random sampling design through phone call invitation, a total of 196 household including 551 subjects agreed to participate in this study. Each participant were taken 50ml blood sample at health care center. Rapid test kits were used to detect antibody against COVID-19. Crude, population-weight adjusted and test performance adjusted prevalence of antibody seropositivity to SARS-CoV-2 were reported.ResultsThe prevalence of antibody seropositivity was 22% (95%CI: 19-26%). The population weight adjusted estimate was 21% (95%CI: 14-29%) and test performance adjusted prevalence was 33% (95%CI: 28-39%). Based on these estimates the range of infected people in this province would be between 518000 and 777000.ConclusionThe population s...
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Archives of Pediatric Infectious Diseases, 2017
Background: Pneumonia is a leading cause of children's morbidity and mortality worldwide. Some st... more Background: Pneumonia is a leading cause of children's morbidity and mortality worldwide. Some studies have reported that vitamin D deficiency is associated with an increased incidence of lower respiratory illness requiring hospitalization. Objectives: Due to the weather conditions of Guilan province, Iran, in this study, we aimed at determining the relationship between serum level of vitamin D and developing pneumonia in children who were hospitalized due to pneumonia. Methods: In this case-control study, children aged 3 months to 5 years admitted in 17 Shahrivar hospital of Rasht, Iran, with pneumonia were compared with healthy children of the same age as the control group. Serum levels of vitamin D in both groups were measured by chemiluminescence method. Results: In this study, 40 children aged 3 months to 5 years with pneumonia (19 males and 21 females) and 40 healthy children of the same age (22 males and 18 females) were studied. The mean serum levels of vitamin D in the group with pneumonia and the control group was 26.16 ± 15.2 ng/mL and 30.45 ± 15.69 ng/mL, respectively. The difference between the 2 groups was not significant (t test, P value = 0.218). However, this difference was significant in the age group of 24 to 60 months (t test, P value = 0.015). Conclusions: In this study, a significant relationship was observed between children's vitamin D serum levels and development of pneumonia, only at the age of 24 to 60 months, although high prevalence of vitamin D deficiency in healthy children (control group) must be considered. The difference in the serum vitamin D levels of children with pneumonia and healthy children in the age group of 24 to 60 months suggest the need for preventive measures of vitamin D deficiency after infancy period.
Research in Medical Education, 2012
Introduction: Determine research priorities as a scientific process and principle of strategic pl... more Introduction: Determine research priorities as a scientific process and principle of strategic planning and research sturcture devote resources for the best assigned. Given the importance and role of scientific research in micro and macro planning and also considering the basic needs of society in the direction of research should be relevant, the aim of this study was to determine research priorities in education from the viewpoint of the medical school faculty. Methods:This cross-sectional study on 30 individuals have expert faculty of Guilan University of Medical Sciences. Medical research environment was in Rasht. Data collection method, Delphi method was conducted in three stages. Collected data using SPSS software version 13 was analyzed. After calculating the scores of all participants on each title, titles that had a higher score as a high priority issue in the domain were concerned. Results: Results of the consensus, including 89 reserch subject in six priority areas of research training as was provided. After scoring and analysis of different areas, eventually about six titles in different areas of consensus was achieved. Respectively in the final stage in each domain: educational planning 39 subject, educational evaluation 19 subject, Faculty 13 subject, continuing education 5 subject, educational management 10 subject and talented students 3 subject were confirmed. Conclusion: It seems that in order to providing the necessities of community, determine medical education research as one of basic objectives of strategic planning in education as well as coordinate educational development office (EDO) activities with others is necessery.
Iranian journal of kidney diseases, 2011
INTRODUCTION. Arteriovenous fistulas and grafts are two common permanent access methods for hemod... more INTRODUCTION. Arteriovenous fistulas and grafts are two common permanent access methods for hemodialysis. Selection of an appropriate access, appropriate surgical techniques, and treatment of complications are basic principles of long-term maintenance of vascular access. We aimed to assess the survival of arteriovenous fistulas and grafts in our dialysis center. MATERIALS AND METHODS. A total of 200 cases of vascular access placement in 155 patients were reviewed. Data on the type of access and the duration of a functional access were collected for survival analysis. RESULTS. The median duration of dialysis was 70.6 months. Among different methods of vascular access, elbows' wrinkle arteriovenous fistulas (57.0%) were the most frequently used vascular access. The longest mean survival period based on the anatomical location was seen in patients with the arteriovenous fistulas of the wrist (100.2 months); however, there were no significant relationships between anatomical locatio...
Background & Objective: There are many reasons that it is necessary to change the culture, educat... more Background & Objective: There are many reasons that it is necessary to change the culture, educational environment, and curriculum of medical education toward addressing and developing the fundamentals of medical professionalism. The primary objective of this study was to assess the attitudes of residents about training professionalism in the School of Medicine in Guilan University of Medical Sciences, Iran. Methods: This descriptive study was conducted on 189 residents of Guilan University of Medical Sciences based on a questionnaire adjusted to culture and ethical issues of Iran in 2011-12. The reliability and validity of the questionnaire was confirmed. The data were analyzed by t-test and using the Stata statistical software. Results: In this study, 140 residents from 14 fields participated with mean age of 32.2 ± 4.49 years. More than 50% of residents rated the success of medical professionalism education programs as medium to high. More than 40% of them have considered the effect of role model educators, in the education of these principles, to be great. 62.9% of residents agreed with the theoretical-practical teaching of these principles. Conclusion: The degree of success of educational programs in various fields of medical professionalism was acceptable, but needs improvement. The residents acknowledge that they learn the principles of professionalism from their educators in a hidden educational curriculum, but believe that they must also be taught in theoretical and practical units.
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Papers by Abtin Heidarzadeh