Showing 10 results for Mania
A Rezaiyan, M Irvani, Mr Amiri, S Reyhani,
Volume 1, Issue 1 (12-2008)
Abstract
Background:
Visceral Leishmaniasis(VL) is a spreading potentially fatal zoonosis in Iran mimicking many other
diseases in infancy which differs from VL in some other regions in terms of it’s clinical characteristics and response totherapy; earlier and better management is quite effective for life saving.So we tried to look at our cases from demographic,clinical and also initial response to therapy in a tertiary,educational center in Bojnurd, Iran.
Patients and Methods:
30 cases with final diagnosis of VL,who were discharged from Imam Reza hospital from 2000 to 2008 were enrolled in this descriptive-analytic retrospective study; demographic,clinical,paraclinical parameters as well data concerning initial response to treatment were gathered and analyzed by appropriate statistical methods by SPSS software.
Results:
Fever was the mostcommon symptom and observed in allcasesfollowed by splenomegaly,hepatomegaly,pallor, weight loss and cough. Paraclinical findingswere anemia, thrombocytopenia,leukopenia,lymphocytosis, increase of ESR and CRP.
Conclusion:
Clinical symptoms, paraneoplastic symptoms, weight loss and fever were the most prominentfinding in patients with visceral leishmaniasis.There was a significant rate of mortality in this region and follow up studies are needed.
H Ramezani Awal Riabi , K Arzamani , M.r Abaie , A Delshad , N Nikparast , R Rahimi , M.h Reihani , R Fazeli , Y Rassi ,
Volume 2, Issue 4 (3-2011)
Abstract
Abstract Background & objectives: Visceral leishmaniasis is a parasitic disease in children under the age of 10 years that occurs in endemic form in Africa, Asia and Europe and South America. The disease agent transteres by sand fly from caneies to human. In Iran the Leishmania infantum occures in endemic form in provinces of Ardebil, Fars, East Azerbaijan, Bushehr. North Khorasan Province is among the new centers having been reported with cases of the disease in humans and domesticated dogs. This study was conducted to identify species of sand flies, which are involved in disease transmission in this region and consequently to take preventive measures through epidemiological and entomological planning. Materials & Methods: This study was a descriptive study, which was done by random sampling method. During a cross-sectional study in the summer of 2007, after every 15 days in selected villages in cities of Bojnourd and Maneh va samalghan sand flies catching was performed by three methods of sticky traps, Hand catch (aspirator) and Bed net trap with animal bait category (dogs). Sand flies caught in the laboratory were identified after a permanent Monte Diagnosis based on Iranian sand flies key identification. Results: A total of 999 sand flies were caught from the inside or out of cities of Bojnourd and Maneh va samalghan, that P.papatasi (%94) and P.sergenti (%6), were from the city and Phlebotmus.papatasi (%52.8), Sergentomyia.sintoni (%20.1), P.kandelakii (%6.1), S.pawlowski (%6.8), S.dentata(%4.2) , P.sergenti (%1.9) , S.palestinensis (%1) , P.mongelensis (%0.6) , S.clydei (%1.3) , S.christophersi (%0.3), P.perfiliewi (%3.9), S.sumbarica (%0.3), P.alexandrei (%0.6), were caught from out of cities. Conclusion: Among the species caught, P.kandelakii known as causing visceral leishmaniasis was caught with moderate abundance.
N Hashemi, Sh Hejazi , M Hashemi,
Volume 3, Issue 3 (12-2011)
Abstract
Abstract Background & Objective: Leishmaniasis is a parasitic infectious disease caused by a protozoan parasite from the trypanosomatidae family with a wide spectrum in tropical and sub tropical areas. Cutaneous leishmaniasis(CL) is found endemically in some parts of North Khorasan province. The purpose of this study was to define the status of the disease in this province in the years 2009-2011. Materials & Methods: The demographic information of 485 patients with CL was collected from March 2009 to March 2011. Demographic information including age, gender, and occupation and also information about the number of lesions were collected through questionnaires given to these patients in health centers of the province. Statistical analysis was performed in SPSS 15 software using descriptive chi-square test. Results: Among 485 patients, 60.2% were male and 39.8% were female. Lesions were found on the face (23.4%), hand (40.6%), leg (25.5%), trunk (5.2%), neck and head (5.3%). The patients suffered from one lesion (42.1%), two lesions (21%), and three or more lesions (36.9%). The highest incidence of CL was found in Esfarayen with 198 cases (40.8%) and Jajarm with 160 cases (33%). Conclusion: Considering the number of cases reported and the consequent mental effect of the lesions left by the disease, the implementation of prophylactic and control measures is recommended
A Almasi-Hashiani , Mr Shirdare, J Emadi, M Esfandiari, B Pourmohammadi , S.h Hossieni,
Volume 3, Issue 4 (3-2012)
Abstract
Abstract Background & Objective: Cutaneous leishmaniasis (CL) still remains and expands as a major health problem in many parts of the world, including Iran. The study was carried out to determine the epidemiological status of disease in Marvdasht, a county of Fars province, in 2008-09. Material & methods: This cross-sectional study has been done on cases referred to Marvdasht health center which their disease has been diagnosed and approved using clinical and parasitological methods. The data were gathered from epidemiologic forms and were analyzed using STATA version 9, and by Chi-Square, Fisher exact and Mann-Whitney test. Results: Out of 2627 cases, 1377 and 1290 were diagnosed in 2008 and 2009, respectively. The disease was found frequently in male (60.3 %), autumn (53.8 %) and in 15-30 years old group (40 %). Also, the most of patients were resident in city (57.5 %) and new buildings (72 %). There was significance relationship between number of lesion and gender, type of building and season of disease start. Conclusion: Regarding to more occurrence of the disease in male and 15-30 years old cases and also in city and new building residents, it is important these factors to be considered in designing and implementing of prevention and control programs.
N Hashemi , Sh Hejazi , M Hashemi , S Hashemi , Ma Nilforoushzadeh ,
Volume 5, Issue 2 (9-2013)
Abstract
Abstract Background & Objectives: Leishmaniasis is a parasitic infectious disease with a wide clinical spectrum in tropical and subtropical areas. The aim of this study was to assess the PCR-RFLP method using two primers, ITSRL and L5.8S compared with direct microscopy and NNN culture methods for the diagnosis of cutaneous leishmaniasisis. Material & Methods: In this study among CL suspected patients, 60 patients with positive LST were selected and three samples were taken from each. To detect CL via direct microscopy, NNN culture and PCR-RFLP methods. Result:The results showed that 60%, 62% and 91% of specimens from suspected cases were positive using direct microscopy, NNN culture,and.PCR RFLP methods respectively. Conclusion:Due to high sensitivity of the PCR-RFLP method for detection and speciation of etiologic agent of CL, to establish an accurate and rapid method for detection of Leishmania parasites in medical centers, it is suggested the method is utilized along with NNN culture and direct microscopy.
M Arki , Aa Abasi Esfajir , H Naderi ,
Volume 5, Issue 3 (12-2013)
Abstract
Abstract Background & Objectives: Bipolar disorder is one of the major mental disease and important cause for to confined (hospitalization).As necessary to gain information about methods treatment for obtain treatment and prevention relapse in particular cognitive behavior therapy group with different techniques Material & Methods: This research is a descriptive and analytic study that is experimental with pretest and post-test and control group . samples according to the clinical and diagnostic interview partially structured for DSM-IV Axis I had a clinical diagnosis of manic depressive psychosis . (N:61) The patients selected by high score in mania and depression scale . the experimental group received 10 treatment sessions. the group were under the drug therapy. The post-test performed after therapeutic intervention, data analysis was by SPSS , 20soft ware. Result : out comes have indicated that after intervention significantly differed between experimental and control groups .(p-value <0.05) Conclusions : Cognitive – behavior therapy group with Role- playing in treatment of Mania and Depression (BMD) is effective.
Sh Hosseini , R Rajabzadeh , H Jajarmi , K Arzamani , D Sarposhi , M Ahmadpour , Z Marzi , H Heshmati ,
Volume 7, Issue 3 (1-2016)
Abstract
Background & Objectives : Leishmaniasis is endemic in 88 countries and 350 million people in world are at risk. According to importance of education in large population, this study was designed and done with the aim evaluating the effect of educational program based on BASNEF model on Volunteer Health Workers (VHWs) on Preventive behaviors among families under supported of VHWs.
Material & Methods: In this Quasi-Exprimental study, 60 VHWs and 120 households that were resident in endemic area of CL in Jajarm city in 2013 were selected through multi stage sampling method. Intervention was done based on BASNEF model. Data were collected before educational intervention and 3 months after educational intervention using reliable and valid questionnaire. Data were analyzed using SPSS16 software and chi-square, t paired-Test, independent t-test, Mann-whitney and Wilcoxon.
Results: The mean score of knowledge, attitude, behavioral intention, enabling factors, behaviors and influence of subjective norms after educational intervention in households in experimental were significantly increased (P<0.05) while the changes in control group were not significant.
Conclusions: This educational program led to educational behaviors in VHWs and change in preventive behaviors among families. So we recommended BASNEF model was used in planning educational programs in related to educating families about cutaneous leishmaniasis.
Keywords: BASNEF Model, Volunteer Health Workers, Educational Intervention, Cutaneous Leishmaniasis
Sh Hosseini , M Ahmadpour , R Shirabadi , K Arzamani , R Rajabzadeh ,
Volume 7, Issue 4 (2-2016)
Abstract
Background & Objectives: Based on WHO report, cutaneous leishmaniasis disease is one of the world health problems, especially in tropical and semitropical countries. One of the efficient way for control and prevention of this disease is the education of the people, So called “Health -Go betweens” can have an efficient role in this basis, so the goal of this research is the survey of knowledge, attitude and practice of “Health-Go betweens” about cutaneous leishmaniasis disease in “Esfarayen country in Iran” in 2013.
Material & Methods: This descriptive-analytic study was conducted on 313 girl “Health -Go betweens” of “Esfarayen country” which had selected based on census in 2013. The data were collected by the questionnaire that its reliability and validity had deliberated. The questionnaires were filled out by “Health-workers”. The data were analyzed by the “SPSS16” software and statistical tests “t-independent” and “chi-square”.
Results: All of participants in this study were female. Majority of participants %77 were married and 76.82% of them were village settlers. Mean score of “Health-Go betweens” about cutaneous leishmaniasis disease basis on knowledge was 11.99±2.76, attitude was19.8± 51.61 and practice was 14.83± 5.47. 86/6% of participants had a good knowledge about cutaneous leishmaniasis meanwhile about attitude and practice by sequence was 5.1% and 32.6%. 53.4% of participants had mentioned that their first premiership for gaining the information about cutaneous leishmaniasis were “Health-workers”. Between job with knowledge and attitude showed statistically significant correlation also between settlement place with attitude and practice of participants showed statistically significant correlation (P<0.005).
Conclusion: By regarding to the rather appropriate knowledge of “Health-Go betweens” about cutaneous leishmaniasis disease which have gained from “Health-workers” and the importance of this group activities, the educational emprises and more consideration of health-responsible are requisite.
Key words: Knowledge, Attitude, Practice, Health-Go Betweens, Cutaneous Leishmaniasis
Alireza Moradi, Ehsan Mostafavi, Amir Hossein Zahirnia, Majid Rahimi, Moharram Zangeneh,
Volume 10, Issue 2 (10-2018)
Abstract
Introduction: Cutaneous leishmaniasis (CL) is one of the most common parasitic diseases in the world caused by protozoan parasites and transmitted to human body through mosquitoes bites.The aim of this study was to investigate the epidemiological aspects of CL local transmission outbreak in Bahar City, Hamedan province in 2015.
Methods: The statistical population included all patients with Cutaneous leishmaniasis (CL) diagnosed by the medical diagnostic laboratory and referred to the health center of town for thetreatment and follow ups. Patients' data were collected in the checklist and then analyzed by SPSS -16.
Results: 21 (34.4%) of 61 patients with CL were infected by the local transmission. .Most of them were the residents of old residential neighborhoods with wornout buildings. Eleven (52%) patients were male. The mean (SD) of age was 39.85 (1.92) The mean (SD) of CLwas 3.75 (4.19). .
Conclusions: With regard to observing the local transmission of CL and increasing the possibility of its epidemiological potential risk , it is necessary to perform further studies on possible resources and transmitters living in that area, give information to raise the public and medical personnels’ awareness about Phlebotomus activities in certain seasons, the preventive actions and the manner of diagnosis and its treatment.
Ehsan Allah Kalteh, Razvan Rajabzadeh, Aiuob Sofizadeh, Ebrahim Fadaei, Safora Sabery, Abedin Saghafipour,
Volume 10, Issue 4 (3-2019)
Abstract
Introduction: Cutaneous leishmaniasis is one of the most important vector-borne diseases that lead to adverse economic consequences. The aim of this study was to determine the economic burden of cutaneous leishmaniasis in endemic areas of this disease in Golestan province in 2015.
Methods: This cross-sectional study was performed on 120 cutaneous leishmaniasis patients referred to health centers in Gonbad-e Kavus, Mraveh Tappeh and Kalaleh counties for treatment. Since extracted the economic burden of cutaneous leishmaniasis and the direct and indirect paid costs with patients and governmental systems with refer on the accounting documents and interviews with patients and experts and recorded in researcher-made forms. This information was entered to Excel (ver. 2010) software. Then, the economic burden of disease was evaluated.
Results: In total, more than 653/002/642 rails were spent for treatment of 120 patients with cutaneous leishmaniasis and the average total costs per patient was calculated 5/441/688 (95%CI: 4/867/252 – 6/016/932) rails. In this study, 42.93%, 19/77% and 37/3% of the costs were related to direct medical, direct non-medical and indirect costs paid with patients and governmental services, respectively.
Conclusions: Cutaneous leishmaniasis impose heavy economic burden on households and governmental systems. Therefore, it is recommended that the prevention measures of the disease be taken in order to prevent the occurrence of the disease and ultimately lead to a reduction in the cost of treatment.
