Clinical research Buerger’s disease as an indicator of socioeconomic development in different societies, a cross-sectional descriptive study in the North-East of Iran

Background: Patients with coronary artery diseases (CAD) use a wide spectrum of medications; hence, strategies are needed to increase their adherence. In this line, identifying factors associated with medication self-efficacy can be useful. Objectives: The current study aimed to investigate medication self-efficacy and its related factors in patients with CAD in the north-east of Iran. Methods: In this cross-sectional study, 104 patients with CAD hospitalized in one of the largest teaching hospitals in the north-east of Iran are studied. Participants were selected by convenience sampling method. Data were collected using Demographic and clinical information form, Information Satisfaction questionnaire (ISQ), and Self-Efficacy for Appropriate Medication Use scales (SEAMS). Data were analyzed by SPSS version 22 using descriptive statistics and multiple regression test. Results: The mean age of patients was 52.3 ± 8.8 years. The mean medication self-efficacy score was 24.9 ± 9.5 (out of 39). Multiple regression showed a linear and significant association between information satisfaction, income, medications used in the last month, information about the nature of the disease, doctors as a preferred source of information, nurses, family members, internet and social networks as the most information sources used by patients, with medication self-efficacy (R = 0.907, P < 0.001). These variables could explain 82.2% of the self-efficacy variance. Conclusions: Based on the result, it can be argued that in designing and implementing educational interventions aimed to promote medication self-efficacy in patients with CAD, individuals with lower income and under long-term medication treatment should receive more support. Educational programs should emphasize more on explaining the nature of the disease to the patients, and physicians should be more involved in educating patients.

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Sleep Quality and Correlated Factors among Retired Nurses in the North-east of Iran

Africa Journal of Nursing and Midwifery ◽

10.25159/2520-5293/8032 ◽

2020 ◽

Vol 22 (2) ◽

Author(s):

Toktam Mikaniki ◽

Abdolghader Assarroudi ◽

Mohammad Reza Shegarf Nakhaie ◽

Rahim Akrami ◽

Mohammad Sahebkar

Keyword(s):

Sleep Quality ◽

Musculoskeletal Diseases ◽

Public Hospitals ◽

Poor Sleep ◽

Physical And Mental Health ◽

Cross Sectional ◽

North East ◽

The North ◽

Phone Calls ◽

East Of Iran

People in occupations with an extreme amount of stress, such as nursing, suffer from poor physical and mental health after retirement. This study was aimed at evaluating sleep quality scores and their correlates among retired nurses in the north-east of Iran. This cross-sectional study was conducted on 302 retired nurses in public hospitals of north-east Iran between April and May 2018. The data were collected using the Persian Version of Pittsburgh Sleep Quality Index (PSQI), a valid and reliable scale to evaluate sleep quality among Iranian people through phone calls. The mean age of subjects was 56.6 ±4.6 and 66.9% were female. Altogether 82.7% of retired nurses had poor sleep quality. According to multiple regression analysis, males had a significantly better overall sleep quality compared to females. Participants with evening and rotational shifts had a significantly lower sleep quality as compared to those working in the morning shift. Subjects suffering from musculoskeletal diseases, cardiovascular diseases (and a combination) had substantially poorer sleep quality as compared to those with no comorbidity. Findings suggest that Iranian retired nurses do not have good sleep quality. Health systems and their managers play an important role in preparing nurses for retirement. They can reduce post-retirement complications by designing a normal employee work schedule, increasing the nursing workforce when needed, and preventing overwork and long?term overtime hours.

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Improving MUSLE performance for sediment yield prediction at micro-watershed level using seasonal classified data

Water Practice & Technology ◽

10.2166/wpt.2018.061 ◽

2018 ◽

Vol 13 (3) ◽

pp. 505-512

Author(s):

Hamzeh Noor ◽

Mohammad Rostami Khalaj

Keyword(s):

Sediment Yield ◽

Traditional Approach ◽

Estimation Error ◽

Superior Performance ◽

North East ◽

Erosion Processes ◽

The North ◽

East Of Iran ◽

Different Seasons

Abstract Separating erosion data and assessing season-based models are of great importance considering the variation in soil erosion processes in different seasons, especially in semi-arid regions. However, evaluation of an erosion model using seasonal classification of data and at a micro-watershed level have rarely been considered. Therefore, the present study was conducted to evaluate the modified universal soil loss equation (MUSLE): 1) with the seasonal classification of data and 2) with the traditional approach (no classification of data), in the Sanganeh research micro-watershed. This watershed has an area of 1.2 ha and is located in the north east of Iran. The results showed that the original MUSLE overestimated the sediment yield in the study watershed. Also, after calibration of MUSLE, the seasonal classification of data (with a relative estimation error (RE) of 34%) showed its superior performance compared with the traditional calibration approach (with a RE of 62%). In this regard, the obtained REs of 33, 40, and 31% respectively for spring, autumn, and winter are within or close to the acceptable range.

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Rethinking Change in Old Industrial Regions: Reflecting on the Experiences of North East England

Environment and Planning A Economy and Space ◽

10.1068/a36274 ◽

2005 ◽

Vol 37 (4) ◽

pp. 581-596 ◽

Cited By ~ 96

Author(s):

Ray Hudson

Keyword(s):

Global Economy ◽

Socioeconomic Development ◽

Uneven Development ◽

Developmental Trajectory ◽

Continuity And Change ◽

North East ◽

The North ◽

Industrial Regions ◽

Regional Problems ◽

Old Industrial Regions

The author reflects upon regional economic change and the ways in which this is conceptualised and understood, drawing heavily but not exclusively on some thirty years of research on economy, politics and society in the North East of England. The principal question that this paper addresses is: how are the long periods of continuity, punctuated by occasional major shifts in developmental trajectory and the region's place in the global economy, to be understood? The author seeks to answer this question by exploring the extent to which continuity and change in the region's developmental trajectory can be understood in terms of evolutionary and institutional concepts and the varying engagement of the state with issues of socioeconomic development and change. The value of theoretical plurality in seeking to understand uneven development in capitalism is demonstrated and the limits to public policies that seek to address regional problems indicated.

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Prognostic Role of PTEN Gene Expression and Length of Survival of Breast Cancer Patients in the North East of Iran

Asian Pacific Journal of Cancer Prevention ◽

10.7314/apjcp.2016.17.s3.305 ◽

2016 ◽

Vol 17 (sup3) ◽

pp. 305-309 ◽

Cited By ~ 4

Author(s):

Rahim Golmohammadi ◽

Mohammad Hassan Rakhshani ◽

Ali Reza Moslem ◽

Akbar Pejhan

Keyword(s):

Breast Cancer ◽

Gene Expression ◽

Cancer Patients ◽

Pten Gene ◽

Breast Cancer Patients ◽

Prognostic Role ◽

North East ◽

The North ◽

East Of Iran

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A scabies outbreak in the North East Region of Ghana: The necessity for prompt intervention

PLoS Neglected Tropical Diseases ◽

10.1371/journal.pntd.0008902 ◽

2020 ◽

Vol 14 (12) ◽

pp. e0008902

Author(s):

Yaw Ampem Amoako ◽

Richard Odame Phillips ◽

Joshua Arthur ◽

Mark Ayaaba Abugri ◽

Emmanuel Akowuah ◽

...

Keyword(s):

Cross Sectional Study ◽

The Body ◽

Northern Ghana ◽

Individual Treatment ◽

Local Health ◽

Cross Sectional ◽

North East ◽

The North ◽

Resource Limited ◽

International Alliance

Background There is a dearth of data on scabies from Ghana. In September 2019, local health authorities in the East Mamprusi district of northern Ghana received reports of scabies from many parts of the district. Due to on-going reports of more cases, an assessment team visited the communities to assess the effect of the earlier individual treatment on the outbreak. The assessment team furthermore aimed to contribute to the data on scabies burden in Ghana and to demonstrate the use of the International Alliance for the Control of Scabies (IACS) diagnostic tool in a field survey in a resource limited setting. Methodology/Principal findings This was a cross sectional study. Demographic information and medical history was collected on all participants using a REDCap questionnaire. A standardised skin examination of exposed regions of the body was performed on all participants. Scabies was diagnosed based on the criteria of the International Alliance for the Control of Scabies (IACS). Participants were mostly female (61.5%) and had a median age of 18.8 years (IQR 13–25). Two hundred out of 283 (71%) of participants had scabies with most (47%) presenting with moderate disease. Impetigo was found in 22% of participants with scabies and 10.8% of those without scabies [RR 2.27 (95% CI 1.21–4.27)]. 119 participants who received scabies treatment in the past months still had clinical evidence of the disease. 97% of participants reported a recent scabies contact. Scabies was commoner in participants ≤16 years compared to those >16 years [RR 3.06 (95% CI 1.73–5.45)]. Conclusion/Significance The prevalence of scabies was extremely high. The lack of a systematic approach to scabies treatment led to recurrence and ongoing community spread. The IACS criteria was useful in this outbreak assessment in Ghana. Alternative strategies such as Mass drug administration may be required to contain outbreaks early in such settings.

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Cesarean delivery in Nigeria: prevalence and associated factors―a population-based cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2018-027273 ◽

2019 ◽

Vol 9 (6) ◽

pp. e027273 ◽

Cited By ~ 7

Author(s):

Emmanuel O Adewuyi ◽

Asa Auta ◽

Vishnu Khanal ◽

Samson J Tapshak ◽

Yun Zhao

Keyword(s):

Logistic Regression ◽

Rural Areas ◽

Caesarean Delivery ◽

Maternal Obesity ◽

Mode Of Delivery ◽

Cross Sectional ◽

Study Objective ◽

Factors Associated ◽

North East ◽

The North

ObjectiveTo investigate the prevalence and factors associated with caesarean delivery in Nigeria.DesignThis is a secondary analysis of the nationally representative 2013 Nigeria Demographic and Health Survey (NDHS) data. We carried out frequency tabulation, χ2test, simple logistic regression and multivariable binary logistic regression analyses to achieve the study objective.SettingNigeria.ParticipantsA total of 31 171 most recent live deliveries for women aged 15–49 years (mother–child pair) in the 5 years preceding the 2013 NDHS was included in this study.Outcome measureCaesarean mode of delivery.ResultsThe prevalence of caesarean section (CS) was 2.1% (95% CI 1.8 to 2.3) in Nigeria. At the region level, the South-West had the highest prevalence of 4.7%. Factors associated with increased odds of CS were urban residence (adjusted OR (AOR): 1.51, 95% CI 1.15 to 1.97), maternal age ≥35 years (AOR: 2.12, 95% CI 1.08 to 4.11), large birth size (AOR: 1.39, 95% CI 1.10 to 1.74) and multiple births (AOR: 4.96, 95% CI 2.84 to 8.62). Greater odds of CS were equally associated with maternal obesity (AOR: 3.16, 95% CI 2.30 to 4.32), Christianity (AOR: 2.06, 95% CI 1.58 to 2.68), birth order of one (AOR: 3.86, 95% CI 2.66 to 5.56), husband’s secondary/higher education level (AOR: 2.07, 95% CI 1.29 to 3.33), health insurance coverage (AOR: 2.01, 95% CI 1.37 to 2.95) and ≥4 antenatal visits (AOR: 2.84, 95% CI 1.56 to 5.17).ConclusionsThe prevalence of CS was low, indicating unmet needs in the use of caesarean delivery in Nigeria. Rural–urban, regional and socioeconomic differences were observed, suggesting inequitable access to the obstetric surgery. Intervention efforts need to prioritise women living in rural areas, the North-East and the North-West regions, as well as women of the Islamic faith.

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Evaluation of an Earth-to-Air Heat Exchanger for the North-East of Iran with Semi-Arid Climate

International Journal of Green Energy ◽

10.1080/15435075.2011.576289 ◽

2011 ◽

Vol 8 (4) ◽

pp. 499-510 ◽

Cited By ~ 45

Author(s):

Mohammad Hossein Abbaspour-Fard ◽

Adel Gholami ◽

Mehdi Khojastehpour

Keyword(s):

Heat Exchanger ◽

Arid Climate ◽

North East ◽

The North ◽

East Of Iran ◽

Semi Arid

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Emergency Care Capabilities in North East Haiti: A Cross-sectional Observational Study

Prehospital and Disaster Medicine ◽

10.1017/s1049023x15005221 ◽

2015 ◽

Vol 30 (6) ◽

pp. 553-559 ◽

Cited By ~ 6

Author(s):

Annelies De Wulf ◽

Adam R. Aluisio ◽

Dana Muhlfelder ◽

Christina Bloem

Keyword(s):

Observational Study ◽

Emergency Care ◽

Emergency Services ◽

Assessment Tools ◽

World Health ◽

Cross Sectional ◽

North East ◽

The North ◽

Emergency Medical ◽

Emergency Equipment

AbstractIntroductionThe North East Department is a resource-limited region of Haiti. Health care is provided by hospitals and community clinics, with no formal Emergency Medical System and undefined emergency services. As a paucity of information exists on available emergency services in the North East Department of Haiti, the objective of this study was to assess systematically the existing emergency care resources in the region.MethodsThis cross-sectional observational study was carried out at all Ministry of Public Health and Population (MSPP)-affiliated hospitals in the North East Department and all clinics within the Fort Liberté district. A modified version of the World Health Organization (WHO) Tool for Situational Analysis to Assess Emergency and Essential Surgical Care and Generic Essential Emergency Equipment Lists were completed for each facility.ResultsThree MSPP hospitals and five clinics were assessed. Among hospitals, all had a designated emergency ward with 24 hour staffing by a medical doctor. All hospitals had electricity with backup generators and access to running water; however, none had potable water. All hospitals had x-ray and ultrasound capabilities. No computed tomography scanners existed in the region. Invasive airway equipment and associated medications were not present consistently in the hospitals’ emergency care areas, but they were available in the operating rooms. Pulse oximetry was unavailable uniformly. One hospital had intermittently functioning defibrillation equipment, and two hospitals had epinephrine. Basic supplies for managing obstetrical and traumatic emergencies were available at all hospitals. Surgical services were accessible at two hospitals. No critical care services were available in the region. Clinics varied widely in terms of equipment availability. They uniformly had limited emergency medical equipment. The clinics also had inconsistent access to basic assessment tools (sphygmomanometers 20% and stethoscopes 60%). A protocol for transferring patients requiring a higher level of care was present in most (80%) clinics and one of the hospitals. However, no facility had a written protocol for transferring patients to other facilities. One hospital reported intermittent access to an ambulance for transfers.ConclusionsDeficits in the supply of emergency equipment and limited protocols for inter-facility transfers exist in North East Department of Haiti. These essential areas represent appropriate targets for interventions aimed at improving access to emergency care within the North East region of Haiti.De WulfA, AluisioAR, MuhlfelderD, BloemC. Emergency care capabilities in North East Haiti: a cross-sectional observational study. Prehosp Disaster Med. 2015;30(6):553–559.

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