Background: Measles is in elimination phase in Iran. Following occurrence of two cases of measles in two children under six years old with the history of measles immunization in one of the villages affiliated to Bahar District, west of Hamadan Province, northwest of Iran, this study was conducted to determine the immunity status of people living in the village affected by the measles outbreak in spring of 2018. Study design: A cross-sectional (descriptive-analytical) study. Methods: Overall, 272 populations of 0-40 yr old in the village affected by outbreak were enrolled. Multistage sampling was used for choosing participants. The data collection tool was a researcher-made checklist used to collect epidemiological data including demographic characteristics and vaccination status. Blood samples were taken from them and sent to the measles reference laboratory for IgG testing. The amount of optical density (OD) greater than 0.2 was considered as positive and less than 0.1 negative, respectively. Results: The mean age of the study population was 17.4 ±11.8 yr and the sex ratio was almost the same. Levels of antibodies against measles were positive in 63.24%, intermediate in 12.5% and negative in 24.26%. There was no significant difference between the immunity status of the subjects with gender (P=0.236) and age group (P=0.113). Pearson correlation results showed that in males there was a significant positive correlation between the age of the participants and the serum IgG level (r = 0.26, P=0.003). Conclusion: Measles immunity in communities is not sufficient to prevent outbreaks and small epidemics, and it is recommended that periodically, serological assessments carried out at community level and especially at high-risk groups.
Background: The mortality rate is one of the most important indicators that represent the socioeconomic development of the country. To reduce maternal mortality rate, it is vital to recognize the trend and causes of maternal mortality. This study aimed to determine the mortality rate and causes of maternal mortality in Hamadan province from 2002 to 2016. Materials and methods: The study was performed as a retrospective descriptive study in Hamadan province. To investigate the causes of mothers' death in Hamadan province, the data were extracted from the maternal care system for 2002 to 2016. Furthermore, locally weighted scatter smoothing (LOWESS) method was used to smooth the trend of the mortality rate. The data analysis was carried out using STATA software. Results: The maternal mortality rate has reduced from 35 per 100,000 live births in 2002 to 14 per 100,000 live births in 2016. The most important causes of maternal mortality in Hamadan province were bleeding and preeclampsia, Also the majority of deaths occurred in the hospital. Conclusion: The rate of maternal mortality in Hamadan has a decreasing trend and is met for the United Nations Sustainable Development Goals (SDGs) before 2030. Despite the decline, the cause of death by blood and bleeding remains as the main causes of maternal mortality. To reduce maternal mortality, all women need to be provided with the equal access to prenatal and post-pregnancy complications during pregnancy, sex education, and family planning.
Background and Objective: Since human resources and employees are among the most important assets of any organization, identification of the factors affecting their performance and occupational stress is becoming increasingly important. In this study, we examined the relationship between occupational stress and the performance of different health care units. Materials and Methods: This cross-sectional study was performed among all the health care workers (n=150) of urban and rural health centers of Hamadan, Iran. The data collection instruments included a stress questionnaire designed by Elliot (1994) and an annual checklist provided by the Ministry of Health of Iran. To analyze the data, Pearson correlation coefficient and independent t-test were run in SPSS, version 16. Results: The total mean scores of occupational stress and performance were 55.16 and 79.64, respectively. These scores were respectively 55.14 and 78.21 in the family health unit, 57.06 and 76.87 in the disease control unit, and 54.03, 83.31 in the occupational and environmental health unit. The results showed a significant negative relationship between occupational stress and performance of the units (P=0.001). Further, age had a significant positive association with performance (P<0.001) and a significant negative relationship with stress (P<0.001). Conclusion: Regarding the confirmation of the relationship between stress level and staff performance and the fact that human resources are key to determining the quality, accessibility, and cost of health care services, we recommend authorities to take effective actions for reducing stress and promoting efficiency.
Background: Clinical manifestations of COVID–19 are different. There are some risk factors for COVID–19. This study aimed to describe the epidemiological features, symptoms and mortality of the patients with COVID–19 in Iran. Methods: This were a cohort study performed on 103,179 patients with COVID–19. The demographic and clinical data were collected in selected provinces. The required data of all patients was extracted from the COVID registry system and analyzed using STATA version 14 and Excel 2016. Results: The mean age was 52.40 years for men and 52.41 years for women. About 55.2% of the study population were male and 44.8% were female. Totally, 60.9% (5085) of deaths happened in men and 39.1% (3263) in women. The mean time from onset of symptoms to hospitalization in men and women were 3.47 and 3.48 days, respectively. The mean time from onset of symptoms to isolation was 2.81 days in men and was 2.87 days in women, from onset of symptoms to death was 9.29 and 9.54 days, respectively, from onset of symptoms to discharge was 7.47 and 7.39 days, and from hospitalization to death was 6.76 and 7.05 days. Cough and shortness of breath were the most common symptoms in the patients. Conclusion: According to the results, the overall mortality rate was higher in men than women. Women with cardiovascular disease and diabetes were more likely to die. The mean time from onset of symptoms to hospitalization, isolation, and discharge was similar in men and women.
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