Browsing by Author "Mojtaba Qanbari Qalehsari"

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    Factors Related to Dehydration in Children Admitted to the Emergency Department: A Cross-Sectional Study
    (Brieflands, 2025-03-31) Mohsen Mohammadi; Mojtaba Qanbari Qalehsari; Seyedeh Roghayeh Jafarian_Amiri; Ali Zabihi; Fatemehzahra Abbaspour Aktiji
    Background: Dehydration is a significant cause of mortality in children under 5 years of age worldwide. Various factors contribute to dehydration in children, making it essential to understand its associated risk factors. Objectives: The aim of this cross-sectional study was to investigate factors related to dehydration in children admitted to the emergency department. Methods: In this cross-sectional study, all children under 18 years of age with moderate to severe dehydration who were referred to the emergency department of Amirkola Hospital in Babol, located in the northern region of Iran, were assessed from May 1 to September 15, 2023. Participants were included in the study if they met the inclusion criteria. The data were gathered from the patients' medical records using a three-part questionnaire consisting of demographic characteristics, basic factors, and associated clinical symptoms. After data gathering, the data were entered into Stata 17 software and analyzed using statistical tests at a significance level of P < 0.05. Results: Of the 141 children studied, 61% visited the emergency department 48 hours after the onset of diarrhea symptoms. Approximately 71% used home remedies to manage diarrhea symptoms. Notably, 60% of parents were unaware of oral rehydration solution (ORS) treatment. Most children had symptoms of fever (71%), vomiting (69.5%), abnormal skin turgor (61.7%), lack of tears (95.7%), oliguria (35.7%), paleness (48.2%), and abdominal distention (30.5%). Children with a history of travel (adjusted OR, 3.74; 95% CI, 1.13 - 12.34) and those with underlying medical conditions (adjusted OR, 4.41; 95% CI, 1.09-17.75) were at a higher risk of abdominal distention. Moreover, children whose mothers did not wash their hands before preparing food were at increased risk of diarrhea (RR, 1.48; 95% CI, 0.98 - 2.33) and abdominal distention (RR, 0.39; 95% CI, 0.15 - 0.95). Conclusions: The findings of this study indicate that the majority of children go to the emergency department late to receive treatment. Factors such as a history of travel, underlying medical conditions, and poor hand hygiene practices before preparing food are significantly associated with dehydration in children. Therefore, it is recommended to include preventive educational interventions to prevent dehydration and encourage early referral in family educational programs.
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    Neurological Manifestations of Patients Hospitalized with Coronavirus Disease 2019 in Babol, Iran
    (Brieflands, 2020-12-31) Ali Zabihi; Seyedeh Roghayeh Jafarian Amiri; Payam Saadat; Hadi Ebrahimi; Masoumeh Bayani; Reyhaneh Babanataj; Fatemeh Babaeian Keshteli; Mojtaba Qanbari Qalehsari
    Background: The coronavirus disease 2019 (COVID-19) has been associated with a wide range of clinical symptoms. Objectives: The present study aims to investigate the neurological manifestations among patients hospitalized with COVID-19 in Rouhani Hospital in Babol. Methods: This is a descriptive cross-sectional survey conducted in March and April 2020 on patients admitted to Rouhani Hospital in Babol with COVID-19. A number of 230 medical records were selected randomly from a list. The data were collected using the demographic characteristics questionnaire and a checklist for the neurological symptoms. Results: Among the 230 patients with COVID-19 (mean [SD] age, 59.85 [16.22] years; 138 men [60%]), 127 (56%) patients had at least one neurologic symptom. The most common symptoms of the central nervous system disorder were headache (34%), dizziness (25%), and impaired consciousness (20%), and the most prevalent symptoms of the peripheral nervous system disorder were taste impairment (17%) and smell impairment (16%). The occurrence of transient ischemic attack (TIA) in women was significantly higher than in men (P = 0.02). Moreover, the incidence of dizziness, impaired consciousness, ataxia, cerebrovascular accident (CVA), anorexia, and smell impairment had a significant relationship with age (P < 0.05). Conclusions: The neurological manifestations are prevalent and substantial among patients with COVID-19. Therefore, it is suggested that the healthcare workers take these symptoms seriously, especially in the outbreak of COVID-19, and take the pertinent preventive and protective measures.
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    Physical, Psychological, and Social Challenges in Patients with Hepatitis B Infection
    (Brieflands, 2020-09-02) Ali Zabihi; Seyedeh Roghayeh Jafarian Amiri; Mojtaba Qanbari Qalehsari
    Context: Hepatitis B is the most prevalent chronic viral infection in humans, which imposes limitations on patients and has many physical, psychological, and social consequences due to its chronic nature. The purpose of this study was to evaluate the physical, psychological, and social challenges of patients with hepatitis B virus (HBV). Evidence Acquisition: First, a set of keywords, including hepatitis B, challenge, physical, psychological, and social, were searched in databases, such as Google Scholar, PubMed, SID, Magiran, and IranMedex. Then, the articles published between 2009 and 2019 were reviewed according to the inclusion and exclusion criteria in two stages – the title and the abstract in the first stage and the whole paper in the second stage. Finally, 34 articles were selected out of 1426 articles. Results: The articles used in this study were as follows: descriptive and cross-sectional studies (10 articles), review studies (9 articles), qualitative studies (9 articles), cohort studies (3 articles), randomized controlled trials, mixed-methods studies, and field studies (one article each). Most studies had considered patients with hepatitis B with an emphasis on physical issues (10 articles), social stigma (7 articles), psychological reactions (5 articles), the discovery of patients’ experiences (3 articles), and discrimination (2 articles). In 25 studies, the samples were patients with HBV. Conclusions: It is necessary to understand and support the patients to treat them properly and help them live with minimum challenges and limitations. Therefore, it is necessary to consider educational and counseling programs to identify different aspects of this disease.
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    A Survey on Medication Adherence and Its Associated Factors in Antibiotic-Takers Following Their Discharge from Hospital
    (Brieflands, 2021-12-31) Ali Zabihi; Mojtaba Qanbari Qalehsari; Seyedeh Roghayeh Jafarian Amiri; Afsaneh Arzani; Parvin Aziznejadroshan; Valiollah Padehban
    Background: High adherence to antibiotic therapy is essential for complete cure, reduction of treatment costs, and prevention of drug resistance. Objectives: The aim of this study was to evaluate adherence to antibiotic treatment and its associated factors in patients after hospital discharge. Methods: This was a cross-sectional study. This study was conducted on 313 patients discharged from the hospital on antibiotics from October 6 to December 21, 2020. Demographic information of the participants was obtained at the time of discharge from the hospital, and the Morisky medication adherence scale was completed one week after discharge. Data were analyzed using descriptive statistics and the chi-square test at a significance level of < 0.05. Results: The mean age of patients was 44.17 ± 19.51 years, and 95% of them were discharged with only one oral antibiotic. The mean score of drug adherence in this research was 6.45 ± 1.41. Those under 40 years of age had poorer adherence to antibiotic treatment than patients aged over 40 years (P = 0.04). The patients who should have consumed antibiotics thrice a day forgot taking their medications more than others (P = 0.02). The patients who received antibiotics twice a day were less likely to discontinue their medication without informing their physicians (P = 0.03). Conclusions: Adherence to antibiotic treatment after hospital discharge is poor among patients. All patients, especially those under 40 years of age and those who should receive medications more often, must be given serious considerations for treatment adherence.