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Showing 3 results for Saghafi

Mostafa Hosseini Golkar, Seyed Sepehr Ghazinoory, Fatemeh Saghafi, Mohammad-Rahim Eivazi, Atousa Poursheikhali, Reza Dehnavieh,
Volume 31, Issue 1 (1-2017)

Background: Scenario is the primary method in futures studies, and thus its improper use can undermine the credibility and claims of the results. There are many scenario types, and here we aimed at understanding whether these scenarios are being used properly in the health field.
   Methods: In this study, a combination method was used in 3 phases, and 8 + 2 steps were considered to accommodate the needs of the health sector with capabilities of the main types of scenarios. One of the appropriate methods of futures studies was used at each step.
   Results: Scenario planning has evolved along with futures studies paradigms. Trend-based scenarios, intuitive logic, and structural analysis approaches have had the most use in futures scenarios and health section. Quantitative techniques, which are close to the positivist paradigm, have been most widely used; however, participatory methods of futures studies paradigm have been used the least in the health sector.
   Conclusions: Health scenario writing in its current state is targeting short- to medium- term futures and does not respond to all requirements. Thus, other backup methods should also be considered. 
Abedin Saghafipour, Ahmad Mousazadeh-Mojarrad, Niloofar Arzamani, Zakyeh Telmadarraiy, Rezvan Rajabzadeh, Kourosh Arzamani,
Volume 33, Issue 1 (2-2019)

Background: Crimean-Congo hemorrhagic fever (CCHF) is a prevalent tick-borne disease in different regions of Iran. This molecular and serologic study was performed to investigate the Crimean-Congo hemorrhagic fever virus (CCHFV) in collected ticks and in blood samples of some domestic animals in North Khorasan, Northeast of Iran.
   Methods: In this cross sectional study, 136 blood samples from domestic animals (sheep, goats, and cows) collected in the Northeast region in Iran were examined using IgG ELISA assay. Ticks (n = 1478) were collected from sheep, goats, and cows. Out of all collected ticks, 62 specimens were investigated for CCHF virus genome using RT-PCR technique. The data were descriptively presented by median and 95% confidence interval (CI).
   Results: CCHFV infection rate was 8.1% in studied ticks. Two species of ticks, Hy. anatolicum (n=3; 15%, 95% CI 9.41–20.59) and Rh. sanguineus (n=2; 6.9%, 95%CI 4.33–8.58), were infected with CCHFV genome and were probable vectors of CCHF virus in the area. Infection rate was 15.4% for CCHFV in tested domestic animals. Serologic tests detected CCHFV specific IgG antibodies in 16.2% (95% CI 13.49–18.83) (99/16) and 19.2% (95% CI 13.26–25.20) (26/5) of sheep and goats, respectively.
   Conclusion: The present study showed that domestic animals and ticks were infected with Crimean-Congo hemorrhagic fever virus and that the disease was endemic in North Khorasan province, Iran. However, further surveillance and prevention programs are recommended.
Morteza Hemmat, Haleh Ayatollahi, Mohammadreza Maleki, Fatemeh Saghafi,
Volume 33, Issue 1 (2-2019)

Background: Health information technologies (HIT) have some benefits and may have some potentially negative impacts. Therefore, it is difficult to plan for future health information technologies. This study aimed to investigate the key and non-key health information technologies which could be considered for the future strategy development in Iran.
   Methods: In this study, experts and policymakers in the field of health information technology were invited to take part in a qualitative study. Purposive sampling was used to select the most informant people, and 13 interviews were conducted. The method of framework analysis was used to analyze data.
   Results: The four main themes emerged from data analysis were 1) immediate, cheap, stable, and secure access to the health records of the society, 2) equitable access to health care resources and services, 3) knowledge management in healthcare services, and 4) governmental/central electronic services for the health system. To cover the mentioned areas, a number of key and non-key technologies were discussed by the interviewees.
   Conclusion: In this study, a number of key and non-key health information technologies were recognized. While the findings can help policymakers to pay more attention to the key technologies to improve healthcare delivery, these technologies need to be prioritized in terms of their importance for the country.

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