Papers by Manoochehr Karami
Journal of Research in Health Sciences
Background: This study aimed to determine the secondary attack rate (SAR) and its determinants to... more Background: This study aimed to determine the secondary attack rate (SAR) and its determinants to describe the clinical features and epidemiological aspects of patients and determine the risk factors of COVID-19 among household contacts in Hamadan Province, west of Iran. Study design: A cohort study. Methods: In this cohort study, a total of 323 index cases and 989 related close contacts ages more than 15 years old (family members, relatives, and co-workers) were enrolled using a manual contact tracing approach, and all participants were tested by reverse transcription polymerase chain reaction test. In this research, the frequency of symptoms was assessed, the SAR among contacts of index cases was calculated, and the risk factors of COVID-19 were evaluated by the logistic regression model. Results: The secondary attack rate for total household members of index cases was estimated at 31.7% (95% CI: 28.8-34.7). It was found that among household contacts, the highest SARs were related...
Molecular Biology Reports
Background Brucellosis is a major zoonosis all over the world. MicroRNAs are significant gene exp... more Background Brucellosis is a major zoonosis all over the world. MicroRNAs are significant gene expression regulators and could be involved during the infections and also genetic alterations in the miRNAs sequence can affect primary miRNAs and precursor miRNAs processing and thus alter miRNAs expression. Current research studied the impact of the miR-146a polymorphism on miR-146a, TRAF-6 , and IRAK-1 genes expression in patients with brucellosis illness. Methods and results In this research, 25 patients with brucellosis and 25 healthy participants with determined genotypes for miR-SNP rs2910164 and miR-SNP rs57095329 were recruited. IRAK-1 , TRAF-6 , and miR-146a expressions in peripheral blood mononuclear cells (PBMCs) were specified by quantitative real- time PCR (qRT-PCR). Moreover, interleukin-1β (IL-1β) and tumor necrosis factor- alpha (TNF-α) serum levels were assessed by a sandwich enzyme-linked immunosorbent assay (ELISA) technique. There was no significant difference in the expression level of miR-146a, IRAK-1, and TRAF-6 , among the patients with brucellosis and control group. TRAF-6 PBMCs expression levels in the distinctive genotypes of rs2910164 were significantly observed in patients ( P = 0.048). No significant distinctions were found in miR-146a, IRAK-1 , and TRAF-6 expression levels and among the rs57095329 different genotypes in brucellosis patients and controls. Meanwhile, no significant relationship was found between the rs2910164 and rs57095329 genotypes and the serum level of cytokines mentioned between the two groups. We did not find any association between expression of TRAF-6 , miR-146a, and IRAK-1 in PBMCs, and cytokines serum levels with two single nucleotide polymorphisms (SNPs) in miR-146a. Conclusions To the best of writers’ knowledge, this research is the first one evaluating the probable link between the miR-146a rs2910164 and rs57095329 variant with miRNAs, relevant cytokine levels, and target genes in brucellosis.
Scientific Reports, 2022
This study evaluated the relationship between arsenic uptake via drinking water ingestion and ars... more This study evaluated the relationship between arsenic uptake via drinking water ingestion and arsenic concentration in fingernails as a biomarker for human exposure. For this purpose, we collected fingernail samples from 40 healthy participants of arsenic-affected rural regions of Kaboudrahang County, the west of Iran. A total of 49 fingernail samples were also collected from individuals who lived in areas where contamination of drinking water sources with arsenic had not been reported. It was found that the fingernails arsenic contents in 50 and 4.08% of the samples collected from arsenic-contaminated and reference villages were higher than the normal arsenic values of nails (0.43–1.08 µg/g), respectively. Based on the results of adjusted multiple linear regression, a significant association was found between groundwater and fingernails arsenic concentration (p 0.05). In light of the results of this study, the use of biological indicators such as fingernail tissues due to easier s...
Timeliness and completeness of Pentavalent 3 and MMR1vaccines reporting (PDF 12 kb)
Standard questions to assess the quality of the monitoring system (PDF 200 kb)
Standard questions to assess the quality of the monitoring system (PDF 139 kb)
Accuracy ratio of pentvalent 3 and MMR1vaccines (PDF 9 kb)
Accuracy ratio of pentvalent 3 & MMR1 register in the community (PDF 52 kb)
Air Quality, Atmosphere & Health, 2021
International Journal of Preventive Medicine, 2021
Background: The present study aimed to assess the determinants of waterpipe smoking among women b... more Background: The present study aimed to assess the determinants of waterpipe smoking among women based on a systematic review regarding the increasing prevalence of waterpipe smoking in women and the tendency of them to this type of tobacco. Methods: The present study was a systematic review. The search strategies were based on using a combination of MeSH and free-text terms. Searches were performed inIranian databasesand PubMed, ScienceDirect, Web of Science, EMBASE, Scopus and Medline. Databases inclusion criteria included articles and gray literature in English or Persian, published between January 2000 and December 2018. The keywords were related to women and waterpipe and related terms. The quality of the articles was assessed using the EPHPP tool. Results: In the initial search, out of 1027 articles, 15 articles were studied. Inclusion criteria in this study were the target population of women and girl and descriptive and qualitative studies on waterpipe use among women. The mean prevalence of waterpipe smoking in quantitative studies was 13.980/0. Studies have shown that waterpipe smoking in women is influenced by several individual (awareness, favorable attitudes, and positive prototype), interpersonal (role of family and friends), and socio-political factors. Conclusions: Due to the influence of various determinants on women's inclination to waterpipe smoking, there is a necessity to act and impose interventions such as lessening women's favorable attitude toward waterpipe, increasing women's awareness, encouraging negative prototype about waterpipe smoking, and restricting access to tobacco products that can be useful. Interpersonal factors such as the role of family and friends are one of the major determinants in waterpipe smoking. It seems that developing the skill of saying “no” to the pressure of friends can help prevent waterpipe use. Furthermore, educating the family about the risks of waterpipe use is an effective strategy in this respect.
iranian journal of epidemiology, 2014
Background & Objectives: Considering the high prevalence of hypertension and its increasing trend... more Background & Objectives: Considering the high prevalence of hypertension and its increasing trend in Iran as the most important known modifiable risk factor of stroke, this study was performed to determine the pattern of hypertension and the related population attributable fraction (PAF) of stroke in Hamadan Province. Methods: Blood pressure data of over-19-year-old population of Hamadan Province from 2005 to 2009 was extracted from the non-communicable diseases risk factors surveillance system. The point prevalence and 95 confidence interval (95 CI) of hypertension was reported in the study population according to sex and age groups. The trend of hypertension was depicted using a line plot. To calculate PAF, the data of the prevalence of hypertension in 2009 was used. Corresponding hazard ratio was obtained from the available literature. Results: The prevalence of hypertension was 9.4 (8.2-10.6) in 2005, 7.5 (5.9-9.3) in 2006, 14.2 (12.1-16.5) in 2007, 13.8 (11.7-16.1) in 2008, and...
Journal of Preventive Medicine and Hygiene, 2021
Summary Brucellosis is an endemic bacterial zoonotic disease in developing countries; that is a s... more Summary Brucellosis is an endemic bacterial zoonotic disease in developing countries; that is a serious public health problem in Iran. Brucellosis is a life-threatening multi-system disease in human with different clinical manifestations, complications and relapse. The incidence of brucellosis in Hamadan province, west of Iran is high. In addition, there is few reliable and population-based studies regarding relapse and complications of brucellosis in developing countries, therefore establishment of the registry system in areas with adequate occurrence of cases is needed to better understand the predictors of brucellosis relapse and complications and management of the disease. Detecting occurrence of relapse and complications over time and by geographical area provide information for further investigations and identification of health system deficiencies in the management of patients.
Journal of Research in Health Sciences, 2016
Background: The occurrence and the mortality related to breast cancer (BC) in Iranian female popu... more Background: The occurrence and the mortality related to breast cancer (BC) in Iranian female population has increased over time. Although there are many studies on BC and related risk factors, however, the epidemiological aspects of this melanoma in Iranian females are uncertain. Therefore, the aim of this study was to determine the relationship between demographical and clinical factors on the shape of overall survival (OS) distribution in patients with BC. Methods: This historical cohort study was carried out using data from 522 participants with BC. Data were gathered from medical records of these patients admitted to Mahdieh Oncology Center of Hamadan Province, western Iran, from January 2000 to August 2011. Kaplan-Meier estimator was used to estimate the survival rates and, censored quantile regression (CQR) to provide in-depth insight in the multivariable association between prognosis factors and survival rates. Results: Patients' follow-up ranged from around 3 to 197 mont...
International journal of epidemiologic research, 2017
Background and aims: One of the most common approach to understanding spatial and temporal trends... more Background and aims: One of the most common approach to understanding spatial and temporal trends of event data is to break it up into a series of time snapshots. Therefore space-time cube method applied in order to portray the likely trend in occurrence of the pulmonary tuberculosis (TB) cases. Methods: In this study, information of all patients with pulmonary TB recorded in surveillance system of Hamadan University of Medical Sciences from 2005 to 2013 years were studied. After geocoding the residence location address of pulmonary TB cases and converted to point layer, the space-time cube was used to detect likely trends in occurrence of tuberculosis. Then, based on the space-time cube results the Emerging Hot Spot Analysis was run to clustering hot and cold spots. Results: There was significant increasing trend in occurrence of pulmonary TB cases. The statistic trend was 2.1871 and P-value was 0.0287, as well as 36 hot spots locations was detected that have been form approximatel...
Journal of Research in Health Sciences, 2017
Background: Documentation of achieving the goal of measles elimination to justify to internationa... more Background: Documentation of achieving the goal of measles elimination to justify to international organizations including the WHO is a priority for public health authorities. This study aimed to address the status of Iran in the achievement of the measles elimination goal from 2012-2014. Study Design: A descriptive study. Methods: Data on the measles outbreaks were extracted from the national notifiable measles surveillance system in Iran from 2012 to 2014. The required documents regarding the achievement of measles elimination, including Effective Reproduction Number (R) and the distribution of outbreak size, was addressed. The R was calculated using the proportion of imported cases as 1 − P, where P is equal to the proportion of cases that were imported. The distribution of the measles outbreaks size was described using descriptive statistics to show their magnitudes. The proportion of large outbreaks with more than 10 cases was considered as a proxy of the R value. Results: The ...
Journal of Research in Health Sciences, 2016
Background: The women with breast cancer experience high rates of morbidity due to different trea... more Background: The women with breast cancer experience high rates of morbidity due to different treatments. The objective of this study was to evaluate the role of aerobic exercise in the quality of life (QoL) among women suffering from breast cancer in Hamadan, western Iran. Method: Participants who had consummated the eligibility criteria were randomly assigned in exercise group (n=30) and control group (n=30). Written informed consent was obtained from all participants. The mean age was 42.70 ±9.6 and 43.50 ±8.60 yr old in exercise and control groups, respectively. The quality of life was assessed by two widely used standard questionnaires (EORTC QLQ-C30 and EORTC QLQ-BR23). The exercise group received supervised exercise 2 days per week for 10 weeks. Through two stages (before and after intervention) these groups were evaluated. Analyzing the data was performed by SPSS/20.0, using t-test, chi-squared and ANCOVA. P<0.05 was regarded as significant level. Results: The global healt...
Shiraz E-Medical Journal, 2017
Journal of Environmental Chemical Engineering, 2021
Abstract New magnetic molecularly imprinted polymers (mag-MIP) were developed for 1-Aminopyrene (... more Abstract New magnetic molecularly imprinted polymers (mag-MIP) were developed for 1-Aminopyrene (1-Ap) detection in human urine samples. 1-Ap is a biomarker for exposure to the 1-Nitropyrenes (as a mutagenic compound) present in the particles emitted from various sources mainly the diesel engines. Fe3O4 (as a magnetic core), TEOS, 1-Ap (as a template), MAA (as a functional monomer), EGDMA (as a cross-linker), and AIBN (as an initiator) were utilized for mag-MIP fabrication in the three-stage processes. Polymer characterization was performed using FTIR, SEM, TEM, and VSM analysis. HPLC-Fl equipment was used for 1-Ap detection. The recoveries and limit of detection were obtained 0.25 µg/ L and 87.2- 95.7%, respectively. The results of the nonlinear isotherm and kinetics models had shown maximum adsorption capacity of 51 µg/mg for mag-MIP at relatively short equilibrium time of 30 min for 1-Ap, which was 2.9 times more than magnetic molecularly non-imprinted polymers (mag-NIP). A rapid magnetic separation (13.70 emu/g, 30 s) was observed for mag-MIP applications. Therefore, the present mag-MIP can be successfully used for 1-Ap extraction and detection.
Ecotoxicology and Environmental Safety, 2021
In the present study, both gaseous and particulate (PM with dae <2.5 µm) phases of polycyclic ... more In the present study, both gaseous and particulate (PM with dae <2.5 µm) phases of polycyclic aromatic hydrocarbons (PAHs) were measured in the ambient air of Hamadan city, Iran. For this reason, two low-volume samplers equipped with glass fiber filters were used for sampling of particulate phase (N = 30) and XAD-2 sorbent tubes were applied for sampling gaseous phase of PAHs (N = 30). The sampling was conducted during warm and cold seasons in 2019. The average of cold/warm season ratios for Σ16PAH and PM concentrations were 1.14 and 0.62, respectively. Summed PAHs concentration were determined to be in the range 0.008-59.46 (mean: 11.61) ng/m3 and 0.05-40.83 (mean: 10.22) ng/m3 for the cold and warm seasons, respectively. A negative Pearson correlation coefficient was obtained for wind speed and relative humidity. The average Benzo (a) Pyrene equivalent carcinogenic (BaPeq) levels in the cold season were lower than the maximum permissible risk level of 1 ng/m3 for BaP. The BaP toxicity equivalency (ΣBaPTEQ) and BaP mutagenicity equivalency (ΣBaPMEQ) appeared to be significantly higher in the cold season (averaging 0.35 and 1.65 ng/m3, respectively) than those in warm season. Health risk assessment was performed for children and adults based on BaPeq, inhalation cancer risk. The diagnostic ratios of individual PAHs concentration showed that the significant sources of PAH emissions may be related to light duty vehicles (LDVs) in Hamadan. Although, some other sources such as pyrogenic source and petrol combustion were also suggested.
New Microbes and New Infections, 2020
Healthcare-associated infections (HC-AI) are major health problem with high financial impact. HC-... more Healthcare-associated infections (HC-AI) are major health problem with high financial impact. HC-AIs are one of the main causes of morbidity and mortality in paediatric hospitals. This study was performed to determine the epidemiology of HC-AIs in children admitted to medical wards of Besat Hospital in Hamadan, west of Iran. Data on cases of HC-AIs in paediatrics were collected from March 2017 to February 2018 in Besat Hospital. The medical records of eligible cases were extracted from Iranian Nosocomial Infections Surveillance Software. During the study period, a total of 355 HC-AIs in children were detected, 213 (60%) in boys and 214 (60.3%) in the 0-4-year age group. Of these, bloodstream infection was the most frequent infection in both age groups (37.38% in 0-4 years and 34.75% in 5-14 years). Escherichia coli was the common detected microorganism in girls (25.84% in those aged 0-4 years and 24.53% in 5-14 years), whereas Staphylococcus was more prevalent in boys (33.6% in those aged 0-4 years and 29.55% in 5-14 years). HC-AIs were more prevalent in burn, haematology and intensive care unit wards. In Besat Hospital, bloodstream infection and urinary tract infection were the most frequent infections among paediatric patients, and E. coli and Staphylococcus were the commonest detected microorganism in girls and boys respectively. Preventive activities should be targeted to reduce the rate of HC-AIs in wards associated with more contamination.
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Papers by Manoochehr Karami