The association between preeclampsia and autism spectrum disorders among children: a meta-analysis

Ensiyeh Jenabi,Manoochehr Karami,Salman Khazaei,Saeid Bashirian 대한소아청소년과학회 2019 Clinical and Experimental Pediatrics (CEP) Vol.62 No.4

Purpose: In this meta-analysis, relevant case-control and cohort studies were pooled to evaluate the association between preeclampsia and the risk of autism spectrum disorders (ASDs) in children. Methods: A search for relevant studies in major databases, including Web of Science, PubMed, and Scopus, was performed up to May 2018. The odds ratios (ORs) or rate ratios (RRs) with 95% confidence intervals (CIs) were extracted from eligible studies to determine the association among studies. Results: The pooled estimates of ORs and RRs indicated a significant association between preeclampsia and ASD [(OR, 1.36; 95% CI, 1.12–1.60) and (RR, 1.30; 95% CI, 1.20–1.41)]. Conclusions: Despite existing controversy, our findings indicated that preeclampsia was associated with an increased risk of ASD among children.

The association between preeclampsia and autism spectrum disorders among children: a meta-analysis

Jenabi, Ensiyeh,Karami, Manoochehr,Khazaei, Salman,Bashirian, Saeid The Korean Pediatric Society 2019 Clinical and Experimental Pediatrics (CEP) Vol.62 No.4

Purpose: In this meta-analysis, relevant case-control and cohort studies were pooled to evaluate the association between preeclampsia and the risk of autism spectrum disorders (ASDs) in children. Methods: A search for relevant studies in major databases, including Web of Science, PubMed, and Scopus, was performed up to May 2018. The odds ratios (ORs) or rate ratios (RRs) with 95% confidence intervals (CIs) were extracted from eligible studies to determine the association among studies. Results: The pooled estimates of ORs and RRs indicated a significant association between preeclampsia and ASD [(OR, 1.36; 95% CI, 1.12-1.60) and (RR, 1.30; 95% CI, 1.20-1.41)]. Conclusions: Despite existing controversy, our findings indicated that preeclampsia was associated with an increased risk of ASD among children.

The effect of bee prepolis on primary dysmenorrhea: a randomized clinical trial

Ensiyeh Jenabi,Bita Fereidooni,Manoochehr Karami,Seyedeh Zahra Masoumi,Mahdi Safari,Salman Khazaei 대한산부인과학회 2019 Obstetrics & Gynecology Science Vol.62 No.5

ObjectivePrimary dysmenorrhea typically occurs with no associated pelvic pathology and is common in adolescents and youngwomen. This study evaluated the effect of bee propolis on relief of primary dysmenorrhea. MethodsThe study was performed in 2018 in Hamadan, in western Iran, among female students with primary dysmenorrhea. Participants were randomly divided into two groups, using balanced block randomization, and were administereda placebo or bee propolis capsules for 5 days during two menstruation cycles. The number of participants requiredwas estimated to be 86 in total, with 43 students in each group according to the inclusion criteria. We used the visualanalog scale to assess pain severity. The independent t-test was conducted for comparing between two groups, usingSPSS 16.0. ResultsA significant change was found in the mean pain scores during the first (P<0.001) and second (P<0.001) months afterusing bee propolis in comparison with placebo. The means of the pain scores in the bee propolis group were 5.32±2.28and 4.74±2.40 in first and second months after the intervention, respectively, whereas the means of the pain scores inthe placebo group were 7.40±1.21 and 7.17±1.24 in first and second months after the intervention, respectively. ConclusionOur study showed that the use of bee propolis for two months compared with placebo reduced primary dysmenorrheaduring the first and second months after use, with no adverse effects. Therefore, it could be used as an alternative tononsteroidal anti-inflammatory drugs for relief of primary dysmenorrhea.

Effect of Group Counseling on Quality of Life among Postmenopausal Women in Hamadan, Iran

( Parisa Parsa ),( Roya Ahmainia Tabesh ),( Farzaneh Soltani ),( Manoochehr Karami ) 대한폐경학회 2017 대한폐경학회지 Vol.23 No.1

Objectives: This study aimed to investigate the effect of counseling on quality of life (QOL) in postmenopausal women conducted in Hamadan, Iran in 2015. Methods: In this quasi-experimental study, 80 postmenopausal women were randomly selected and allocated to case and control groups (40 per group). Data collection tool included questionnaires of demographic information and QOL during menopause, which were completed by the samples before the intervention. In the case group, training program was run during four sessions in the form of weekly consulting sessions for 45 to 60 minutes. Training program included familiarity with menopause symptoms, confrontation and self-care during this period. The control group, only received routine cares. Three months after intervention, information were collected in both groups. Data were analyzed using SPSS for Windows. Results: Before the intervention, mean ± standard deviation for QOL in case group was 101.2 ± 31.4 and it was significantly decreased to 96.9 ± 27.0 after intervention (P < 0.05). While no significant change was observed in the control group (from 98.9 ± 35.5 to 102.3 ± 35.0, P = 0.443). Symptoms of physical (P = 0.033) and sexual (P < 0.001) dimensions significantly decreased in the case group. While significant increase was observed in terms of psychosocial (P = 0.049) and sexual symptoms in control group. Conclusions: Findings suggested impact of consulting on improvement of QOL during menopause. Supportive consulting can be a suitable approach for improving women`s health, reducing problems and enhancing QOL in menopause period. (J Menopausal Med 2017;23:49-55)

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 한국역학회 2016 Epidemiology and Health Vol.38 No.-

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.

Avoidable Burden of Risk Factors for Serious Road Traffic Crashes in Iran: A Modeling Study

Fatemeh Khosravi Shadmani,Kamyar Mansori,Manoochehr Karami,Farid Zayeri,Reza Khosravi Shadman,Shiva Mansouri Hanis,Hamid Soori 대한예방의학회 2017 Journal of Preventive Medicine and Public Health Vol.50 No.2

Objectives: The aim of this study was to model the avoidable burden of the risk factors of road traffic crashes in Iran and to prioritize interventions to reduce that burden. Methods: The prevalence and the effect size of the risk factors were obtained from data documented by the traffic police of Iran in 2013. The effect size was estimated using an ordinal regression model. The potential impact fraction index was applied to calculate the avoidable burden in order to prioritize interventions. This index was calculated for theoretical, plausible, and feasible minimum risk level scenarios. The joint effects of the risk factors were then estimated for all the scenarios. Results: The highest avoidable burdens in the theoretical, plausible, and feasible minimum risk level scenarios for the non-use of child restraints on urban roads were 52.25, 28.63, and 46.67, respectively. In contrast, the value of this index for speeding was 76.24, 37.00, and 62.23, respectively, for rural roads. Conclusions: On the basis of the different scenarios considered in this research, we suggest focusing on future interventions to decrease the prevalence of speeding, the non-use of child restraints, the use of cell phones while driving, and helmet disuse, and the laws related to these items should be considered seriously.

Alarm Thresholds for Pertussis Outbreaks in Iran: National Data Analysis

Alimohamadi Yousef,Zahraei Seyed Mohsen,Karami Manoochehr,Yaseri Mehdi,Lotfizad Mojtaba,Holakouie-Naieni Kourosh 질병관리본부 2020 Osong Public Health and Research Persptectives Vol.11 No.5

Objectives The purpose of the current study was to determine the upper threshold number of cases for which pertussis infection would reach an outbreak level nationally in Iran. Methods Data on suspected cases of pertussis from the 25th February 2012 to the 23rd March 2018 from the Center for Disease Control and Prevention in Iran was used. The national upper threshold level was estimated using the exponentially weighted moving average (EWMA) method and the Poisson regression method. Results In total, 2,577 (33.6%) and 1,714 (22.3%) cases were reported in the Spring and Summer respectively. There were 1,417 (18.5%) and 1,971 (25.6%) cases reported in the Autumn and Winter, respectively. The overall upper threshold using the EWMA and the Poisson regression methods, was estimated as a daily occurrence of 8 (7.55) and 7.50 (4.48–11.06) suspected cases per 10,000,000 people, respectively. The daily seasonal thresholds estimated by the EWMA and the Poisson regression methods were 10, 7, 6, 8 cases and 10, 7, 7, 9 cases for the Spring, Summer, Autumn, and Winter, respectively. Conclusion The overall and seasonal estimated thresholds by the 2 methods were similar. Therefore, the estimated thresholds of 6–10 cases in a day, per 10,000,000 people could be used to detect pertussis outbreaks and epidemics by health policymakers.

Avoidable Burden of Risk Factors for Serious Road Traffic Crashes in Iran: A Modeling Study

Shadmani, Fatemeh Khosravi,Mansori, Kamyar,Karami, Manoochehr,Zayeri, Farid,Shadman, Reza Khosravi,Hanis, Shiva Mansouri,Soori, Hamid The Korean Society for Preventive Medicine 2017 Journal of Preventive Medicine and Public Health Vol.50 No.2

Objectives: The aim of this study was to model the avoidable burden of the risk factors of road traffic crashes in Iran and to prioritize interventions to reduce that burden. Methods: The prevalence and the effect size of the risk factors were obtained from data documented by the traffic police of Iran in 2013. The effect size was estimated using an ordinal regression model. The potential impact fraction index was applied to calculate the avoidable burden in order to prioritize interventions. This index was calculated for theoretical, plausible, and feasible minimum risk level scenarios. The joint effects of the risk factors were then estimated for all the scenarios. Results: The highest avoidable burdens in the theoretical, plausible, and feasible minimum risk level scenarios for the non-use of child restraints on urban roads were 52.25, 28.63, and 46.67, respectively. In contrast, the value of this index for speeding was 76.24, 37.00, and 62.23, respectively, for rural roads. Conclusions: On the basis of the different scenarios considered in this research, we suggest focusing on future interventions to decrease the prevalence of speeding, the non-use of child restraints, the use of cell phones while driving, and helmet disuse, and the laws related to these items should be considered seriously.

The Impact of Preventive Interventions on Intimate Partner Violence among Pregnant Women Resident in Hamadan City Slum Areas Using the PEN-3 Model: Control Randomized Trial Study

Khadije Ezzati Rastegar,Babak Moeini,Forouzan Rezapur-Shahkolai,Asadollah Naghdi,Manoochehr Karami,Shayesteh Jahanfar 대한가정의학회 2021 Korean Journal of Family Medicine Vol.42 No.6

Background: Intimate partner violence is a severe life-threatening criminal and public health problem affecting the well-being of individuals, families, and society. Planning interventions to reduce the burden of this persistent and criminal violence should be relevant culturally and socially.Methods: In this randomized control trial, 150 pregnant women residing in slum areas of Hamadan were randomly assigned to two groups (intervention group: n=50 and control group: n=100). Interventional strategies included ed-ucating the victims based on local cultural norms, culturally sensitive individual and group counseling, and educat-ing health care providers. Data were collected via face-to-face interviews at baseline and again at 3 months after the intervention. We used a paired t-test to evaluate the effect of the intervention by comparing changes in the out-comes measured.Results: There were no statistically significant differences between the two groups at baseline in terms of sociode-mographic characteristics. Post-test scores of knowledge (7.50±2.65 vs. 5.14±3.51, P=0.001), communication skills (18.38±4.25 vs. 16.2±3.83, P=0.04), and family support and social expectation of obedience (15.79±4.45 vs. 13.40±4.57, P=0.005) of the victims were statistically significantly higher in the experimental group compared to the control group. Moreover, physical (0.74±2.28 vs. 1.20±2.60, P=0.06), psychological (2.80±4.10 vs. 4.52±5.43, P=0.06), and sexual (0.11±0.58 vs. 0.61±1.22, P=0.04) violence reduced in the experimental group compared to the control group.Conclusion: Culturally relevant interventions can reduce intimate partner violence.