Papers by Ali davoudi Kiakalayeh
Medical Journal of The Islamic Republic of Iran, 2021
Background approaches to social approach Methods: U the World Heal PRISMA proto Results: The good... more Background approaches to social approach Methods: U the World Heal PRISMA proto Results: The good governan considering soc had the highest We define soci the society, a p Conclusion: have led to res political partie achieve sustain
DOAJ (DOAJ: Directory of Open Access Journals), Dec 31, 2021
Journal of Injury and Violence Research, 2019
Background: Adopting effective drowning prevention measures are dependent on collecting data on d... more Background: Adopting effective drowning prevention measures are dependent on collecting data on drowning rate, since drowning prevention requires the planning and policy-making on known risk factors. When interventions are carried out, data are still required to monitor and evaluate the evaluation of the strategy. Therefore, recording drowning cases accurately can be effective in its preventing. The purpose of this study was to provide the challenges of implementing a drowning registry. Methods: Various sessions were held with attendance of the experts from the related provincial organizations such as Red Crescent, EMS, Lifeguard, and Governor General Office, Ports and Shipping, among others, as well as the health experts from medical universities. The existing challenges were recognized using qualitative research and semi-structured interview method. All related challenges were mentioned and prepared through qualitative interviews with twenty experts. Finally, they were analyzed utilizing MAXQDA software. Results: The most important problems in implementing the drowning registration system included: 1. Lack of enough time to collect data on the registration system when providing emergency services on the beach 2. Lack of proper map and GPS system in identifying drowning locations 3. Lack of a single responsible organization for dealing with the beaches' issues 4-Lack of correspondence in organization involved in drowning in northern coastal provinces 5-Lack of sufficient information about important variables related to the registration system 6. The absence of the rescue forces in some areas other than the sea protected areas and the lack of access to clinical data on drowning in these zones at night hours 7. Need for more cooperation by the Forensic Medicine Organizations of provinces to provide data Conclusion: The drowning registration system has many challenges that can mostly be solved by providing appropriate funding and right registering of drowning and purchasing appropriate equipment.
DOAJ (DOAJ: Directory of Open Access Journals), 2022
International Journal of Human Rights in Healthcare
Purpose This study aims to calculate the inequity in out of pocket expenditures and utilization o... more Purpose This study aims to calculate the inequity in out of pocket expenditures and utilization of laboratory tests in Iran. Equal access to health services is an important part of human rights in health care. Out-of-pocket payment is a part of financial access to health care. In this study, the authors tried to find inequity in out-of-pocket payments and utilization of medical laboratory tests (MLTs) as a part of human rights in Iran in 2016. Design/methodology/approach Gini and concentration indices were calculated for this purpose, and regression models were estimated to show the relationship between different factors and utilization and out-of-pocket. Findings The average out-of-pocket payment for all of the households was US$1.56 (urban areas: 1.97 and rural areas: 1.31). Moreover, the average utilization of MLTs was 0.079 (urban areas: 0.0908 and rural areas: 0.0753). Gini and concentration indices for out-of-pocket payments were 0.522 and 0.0701, respectively. Originality/val...
Journal of Herbal Medicine, 2021
Although some studies have assessed traditional and herbal medicines (THM) in different regions i... more Although some studies have assessed traditional and herbal medicines (THM) in different regions in Iran, no study investigates the determinants of THM in Iran. This study, for the first time, examines factors affecting the utilization and expenditure on THM in Iran over the period between 2009 and 2016. Method: The Iranian Household Income and Expenditures Survey (HIES) (n = 310,617) was used to measure and identify the main determinants of THM from 2009 to 2016. A Tobit model for the pseudo panel data was employed to examine the effect of household income, household wealth, household size, number of males in the household, number of literate members in the household and average age of household members on THM in Iran. Results: The average monthly use of herbal medicine and traditional medicine among Iranian households were 0.0683 and 0.0015 times, respectively. Results suggested that socioeconomic characteristics of households significantly influenced the utilization of THM: wealthier households and households with a higher number of literate members had a higher consumption of herbal medicine compared to their respective counterparts. There were also positive associations between household income and expenditures and utilization of herbal medicine in Iran. Conclusion: This study revealed lower utilization and expenditures on THM in Iran than the corresponding figures in some Asian countries. The results demonstrated a higher consumption of herbal medicine among socioeconomically advantaged households in Iran.
Accident Analysis & Prevention, Nov 1, 2008
Injury Prevention, Oct 1, 2012
PubMed, May 31, 2023
Background: Past studies have shown a lack of consensus on the definition and terminology of drow... more Background: Past studies have shown a lack of consensus on the definition and terminology of drowning among experts in the field and relevant organizations. There is a need for a new look at the definition of drowning to improve the understanding of drowning events. Methods: A literature search of seven electronic databases, including PubMed, EMBASE, CINHAL, MEDLINE, Sport Discus, and Social Sciences from 1960 to 2020 was conducted using the MESH search terms "drowning", "near-drowning", "submersion", and "immersion". Cochrane databases were also searched for systematic reviews The items were searched in all fields of publication, including title, abstract, and keyword. Results: The search identified approximately 2500 articles, 230 of which were reviewed. The inclusion criteria were applied to the full text of 230 articles, and 25 articles addressing the different definitions of drowning were assessed. They were reviewed critically by authors using a standard review form. The search identified that there were at least 20 different outcome measures for drowning incidents reported. Definitions of drowning in the literature were found for the following terms: dry versus wet drowning, secondary drowning, drowned and near-drowned, drowning without aspiration and drowning with aspiration, near drowning without aspiration or with aspiration, active drowning, passive drowning, silent drowning, witnessed and unwitnessed, immersion, submersion, death certificate records drowning, unintentional submersion, road traffic injury leading to passenger vehicle drowning, drowning, near drowning, salt or freshwater drowning, and cold water drowning. Conclusions: In the literature, a lack of consensus was observed but the following terms should not be abandoned; "Non-fatal drowning" which is used to describe death following rescue and life with at least 24 hours of in-hospital survival and the development of one or more complications and "Fatal drowning" which implies death occurring at the scene or 24 h of a submersion incident.
Eastern Mediterranean Health Journal, Feb 26, 2023
In this study, we used the capture-recapture method to analyse the data from overlapping lists of... more In this study, we used the capture-recapture method to analyse the data from overlapping lists of cases from 2 sources to generate estimates of missing cases in Guilan Province from February 2020 to February 2021. Methods Study area and population The study was based on annual outpatient and inpatient data from Guilan Province reported in the Primary Care Registry and Medical Care Monitoring Center. Guilan is located in northern Islamic Republic of Iran and has about 2 530 657 inhabitants, and is one of the main destinations for tourists. Denominators were determined using population data obtained from the Statistical Center of Iran. The Iranian Ministry of Health and Medical Education established the Primary Care Registry and Medical Care Monitoring Center in early 2020 to register COVID-19 infection across the country. These 2 registries are comprehensive sources of data on COVID-19 that enhance the use of capture-recapture methods to provide
Journal of Guilan University of Medical Sciences, Aug 15, 2017
Objective: To investigate maternal beliefs, practices about causes and determinant factors on dro... more Objective: To investigate maternal beliefs, practices about causes and determinant factors on drowning and maternal socioeconomic correlated factors on child mortality from drowning. Methods: From March 2005 to March 2009, in a register-based cohort study and household survey, individual records utilizing drowning registry data of northern Iran were enrolled. Mothers (n=276) who responded to multiple questions in a household survey were included. The patterns, interrelationships and effects of socioeconomic correlated factors on child mortality were analyzed. Results: A significant difference in relation to mother's educational level and age and family income distribution was noticed. Participants in household survey also reported that establishment of a multi-sectorial collaboration, integration of public health messages into local television, additional rescue stations and lifeguard, hazard environment fencing, increasing adult supervision, more support on increasing swimming...
Journal of Guilan University of Medical Sciences, 2017
Ocean & Coastal Management, 2011
Background: Drowning in developing countries is a major, but often neglected, public health probl... more Background: Drowning in developing countries is a major, but often neglected, public health problem. However, due to a lack of reliable or statistical data concerning the impact of drowning in Iran, the need for drowning-prevention measures has not been recognized. The prevention of drowning requires adequate knowledge of its epidemiological characteristics and associated risk factors, and effective interventions. Aim: The overall aim of this thesis is to analyze the magnitude and burden of drowning events, using both epidemiological and economic studies, and to evaluate the feasibility of a drowning intervention package in northern Iran. Material and methods: The geographical range of the studies mainly encompassed waterrecreation areas near the Caspian Sea in northern Iran. The main focus of the studies was on describing factors associated with drowning among residents and tourists in northern Iran from 2005/6 through to 2008/9. Four studies were undertaken. The incidence of drowning fatalities in northern Iran was investigated in a cross-sectional household survey. Age group, gender, place and date of occurrence, and external causes were assessed (Paper I). A capture-recapture analysis was performed to estimate the incidence of drowning using two data registries (Paper II). The costs of drowning were assessed on the basis of case studies in northern Iran. The main cost elements were income, as adjusted by family and years, income impact on the family, and cost of treatment (Paper III). A quasi-experimental design was used to evaluate the feasibility of an intervention package, including pre-and post-observations, in both an intervention and a comparison community, in a water-recreation area by the Caspian Sea in northern Iran and in a residential population near the Caspian Sea coastline. Cross-sectional data were collected at pre-intervention and post-intervention in the study areas (Paper IV). Data for the four studies were derived from Iran's Death Registry System and Forensic Medicine System, national weekly reports, household surveys, and focus group discussions. Results: During the first year of investigation, 342 unintentional drowning deaths (4.24 per 100,000 residential population) occurred in the study area. More than one-third of all victims were under the age of 20, and the male-female risk ratio was 6.4:1 (Paper I). The capturerecapture method estimated that the Forensic Medicine System covered 54% of cases, and the Death Registry System 70% (Paper II).When additional information was considered, the estimated economic burden increased dramatically. In fact, the drowning cost of one drowned victim was equivalent to 17 times the country's per-capita gross domestic product (Paper III). The risk of death from drowning was observed to be greater during the pre-intervention period than during the implementation period (OR= 1.15 versus 0.24) in a water-recreation area by the Caspian Sea in northern Iran. The fatal drowning rate in the studied resident population, in two provinces, fell from 4.24 per 100,000 residents at baseline to 3.04 per 100,000 residents at endline. Drowning rates for tourists could not be computed since denominator data were incomplete. The knowledge and practice of drowning prevention in the resident population increased from 22% at baseline to 35% at endline. Overall, the all-risk factors associated with drowning incidents declined to a greater extent in the intervention area than in the control area (Paper IV). Conclusions: The intervention package, developed through research, was found to be feasible in the community considered. However, we need a longer time interval for impact analysis, and adjustment for seasonal variation, to be able fully to evaluate the effectiveness of the intervention. We also need to test the package in other, similar communities before we can recommend spread of the package. Further studies are needed to provide a standard instrument for drowning prevention.
Traffic accidents in Iran, a decade of progress but still challenges ahead
Iranian Journal of Blood and Cancer, 2016
Background: Advances in treatment of thalassemia major have improved the life expectancy of the p... more Background: Advances in treatment of thalassemia major have improved the life expectancy of the patients and therefore their quality of life as other chronic diseases. This study was conducted to assess healthrelated quality of life in these patients in Guilan province. Methods: In a cross-sectional study, thirty-one children, aged 8-12 years, with β-thalassemia major were interviewed in Guilan, northern Iran, from January to March 2016. Source of data were health centers of the province and its satellite centers, blood transfusion organizations, general hospitals and private clinics. Health-related quality of life was assessed by using PedsQL questionnaire. The Questionnaire was completed at baseline by all patients and their parents. T and Chi-square tests were used as appropriated. Results: Of the 31 children, 58.1% were girls. Total summary score in children was 75.9±20.1. Physical, Emotional, social, school and psychosocial functioning scores were 70.6±24, 73.3±22.9, 85.9±21, 7...
Medical journal of the Islamic Republic of Iran, 2014
Iran has had incremental incidence of traffic accident mortality since introduction of mechanizat... more Iran has had incremental incidence of traffic accident mortality since introduction of mechanization about a century ago. But the newest data from Iran show decrease in the absolute number of deaths, death per 10,000 vehicles and death per 100, 000 populations. Despite its huge impact on health and economy, research in the field of traffic crashes is still scant and there are still deficiencies in problem oriented research on traffic accidents. Actual cooperation of policy makers, executive bodies and academician could build platform for intersectoral discussion of different aspects of traffic accidents and could reduce burden of traffic accidents.
Early Human Development, 2008
Early Human Development, Volume 84, Issue null, Pages S123, November 2008, Authors:S. Mahmood Rez... more Early Human Development, Volume 84, Issue null, Pages S123, November 2008, Authors:S. Mahmood Rezvani⁎; Amiri Zahra Mohtasham; Ali Davoodi; Nejad Hajar Gholami; Simin Hoseini.
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Papers by Ali davoudi Kiakalayeh