fa بررسی تاثیر عوامل اقلیمی بر میزان ابتلا به لیشمانیوز جلدی شهری و روستایی در شهر کرمان و ارزوئیه علوم بهداشت / بهداشت محیط Health Sciences / Environmental Health پژوهشي Research <div> <table align="left" hspace="0" vspace="0"> <tbody> <tr> <td style="padding: 0cm 12px; text-align: justify;" valign="top"><span style="font-size:10pt"><span style="text-justify:inter-ideograph"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">مقدمه و هدف:</span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:"> شیوع و انتشار غالب بیماری&shy; ها از جمله سالک علاوه بر مسائل اقتصادی، اجتماعی و فرهنگی تحت تأثیر عوامل اکولوژیکی است بنابراین مطالعه حاضر با بررسی تأثیر عوامل اقلیمی بر میزان ابتلا به لیشمانیوز جلدی شهری و روستایی در شهر کرمان و ارزوئیه</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">طی سال‌های 99-95 انجام شد.</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Mitra""></span></span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="text-justify:inter-ideograph"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">روش کار:</span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">پژوهش حاضر</span></span><b> </b><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">یک</span></span><b> </b><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">مطالعه</span></span><b> </b><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">مقطعی از نوع </span></span><b>&nbsp;</b><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">توصیفی-تحلیلی</span></span><b> </b><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">است که بر روی کلیه</span></span><b> </b><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">بیماران</span></span><b> </b><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">با</span></span><b> </b><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">تشخیص</span></span><b> </b><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">قطعی</span></span><b> </b><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">لیشمانیازیس</span></span><b> </b><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">جلدی شهری ساکن</span></span><b> </b><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">در منطقه سرآسیاب از شهر کرمان، و نوع روستایی ساکن در شهر ارزوئیه که به مراکز درمان لیشمانیوز مراجعه نموده بودند؛</span></span><b> </b><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">از</span></span><b> </b><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">نیمه دوم سال 95</span></span><b> </b><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">تا</span></span><b> </b><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">پایان</span></span><b> </b><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">سال</span></span><b> </b><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">99</span></span><b> </b><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">با استفاده</span></span><b> </b><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">از</span></span><b> </b><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">روش</span></span><b> </b><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">سرشماری</span></span><b> </b><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">وارد</span></span><b> </b><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">مطالعه شدند.</span></span><b><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Mitra""></span></span></b></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="text-justify:inter-ideograph"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">یافته&shy; ها:</span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">به طور کلی در مجموع 332 بیمار مبتلا به لیشمانیوز جلدی در مطالعه شرکت کردند. بین میانگین و انحراف معیار مبتلایان در هر فصل از سال در منطقه سرآسیاب از شهر تفاوت آماری معناداری مشاهده شد (</span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">0/</span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">05</span></span>>p<span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">). </span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">همچنین در منطقه سرآسیاب شهر کرمان بین دما</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">،</span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:"> بارش و سرعت باد بصورت ماهیانه با تأخیر 4 ماهه و میزان ابتلا به ازای یک میلیون نفر تفاوت آماری معناداری مشاهده گردید </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">(</span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">0/</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Mitra""></span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">05</span></span>><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Mitra""></span></span>p<span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">).</span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:"> </span></span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="text-justify:inter-ideograph"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">نتیجه‌گیری:</span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">نتایج مطالعه حاضر نشان داد که تنها در نوع شهری لیشمانیوز ارتباط معناداری بین عوامل اقلیمی و ابتلا به بیماری وجود داشت. بنابراین توجه به فصول سال، بررسی کلیه عوامل اقلیمی بصورت همزمان و با تأخیر چند ماهه، توزیع پراکندگی جغرافیایی بیماری از جنبه‌های مختلف اپیدمیولوژیک و اکولوژیک می‌تواند در کاهش و کنترل این بیماری مؤثر باشد.</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Mitra""></span></span></span></span></span></span></span></span></td> </tr> </tbody> </table> </div> <div style="text-align: justify;"></div> <div> <table align="center" hspace="0" vspace="0"> <tbody> <tr> <td align="left" style="padding-top:0cm; padding-right:12px; padding-bottom:0cm; padding-left:12px" valign="top"> <pre style="text-align: justify;"> <span style="font-size:10pt"><span style="background:white"><span style="text-justify:inter-ideograph"><span courier="" new="" style="font-family:"><b><span new="" roman="" style="font-family:" times="">Introduction</span></b><b><span new="" roman="" style="font-family:" times="">:</span></b> <span new="" roman="" style="font-family:" times=""><span style="color:#202124">The prevalence and spread of the prevailing diseases, including the cutaneous leishmaniosis, is affected by ecological factors in addition to economic, social and cultural issues. Therefore, the present study was conducted to investigate the effect of climatic factors on the incidence of urban and rural cutaneous leishmaniosis in Kerman and Arzooieh in 2015-2019.</span></span><span new="" roman="" style="font-family:" times=""><span style="color:#202124"></span></span></span></span></span></span></pre> <pre style="margin-top: 16px; text-align: justify;"> <span style="font-size:10pt"><span style="background:white"><span style="text-justify:inter-ideograph"><span courier="" new="" style="font-family:"><b><span new="" roman="" style="font-family:" times="">Materials </span></b><b><span new="" roman="" style="font-family:" times="">and Methods</span></b>:<span new="" roman="" style="font-family:" times=""> The present study is a cross-sectional descriptive-analytical study which was performed on all patients with the definitive diagnosis of urban cutaneous leishmaniosis living in Sarasiab area of Kerman, and the rural type living in Arzooieh who referred to leishmaniosis treatment centers; From the second half of 2015 to the end of 2019. They were included in the study using the census method.</span><span new="" roman="" style="font-family:" times=""><span style="color:#202124"></span></span></span></span></span></span></pre> <div style="text-align: justify;"><span style="font-size:10pt"><span style="background:white"><span style="line-height:normal"><span new="" roman="" style="font-family:" times=""><b>Results:</b> A total of 332 patients with cutaneous leishmaniosis participated in the study. There was a statistically significant difference between the mean and deviation from the standard of patients in each season of the year in Sarasiab area of the city (p<0.05). Moreover, in the head mill area of Kerman province&nbsp; a statistically significant difference was observed between temperature, precipitation and wind speed, monthly with a delay of 4 months and the rate of infection per million people (p<0.05).</span></span></span></span></div> </td> </tr> </tbody> </table> </div> <div style="text-align: justify;"><b><span style="font-size:10.0pt"><span style="line-height:110%"><span new="" roman="" style="font-family:" times="">Conclusion:</span></span></span></b> <span style="font-size:10.0pt"><span style="line-height:110%"><span new="" roman="" style="font-family:" times="">The results of the present study showed that only in the urban type of leishmaniosis, there was a significant relationship between climatic factors and disease. Therefore, considering the seasons, studying all climatic factors simultaneously and with a delay of several months, the geographical distribution of the disease from different epidemiological and ecological aspects can be effective in reducing and controlling the disease.</span></span></span></div> لیشمانیوز جلدی, عوامل اقلیمی, کرمان, ارزوئیه Cutaneous leishmaniosis, Climatic factors, Kerman, Arzooieh 1565 1574 http://journal.jmu.ac.ir/browse.php?a_code=A-10-333-3&slc_lang=fa&sid=1 Mahboobeh Ameri محبوبه عامری 10031947532846008307 10031947532846008307 No Master of Human Ecology, City Health Center, Kerman University of Medical Sciences, Kerman, Iran کارشناس ارشد اکولوژی انسانی، مرکز بهداشت شهرستان، دانشگاه علوم علوم پزشکی کرمان، کرمان، ایران Hasti Daraei هستی دارائی h.daraei@kmu.ac.ir 10031947532846008308 10031947532846008308 Yes Assistant Professor of Environmental Health Engineering, Department of Environmental Health Engineering, School of Public Health, Environmental Health Engineering Research Center, Kerman University of Medical Sciences, Kerman, Iran استادیار مهندسی بهداشت محیط، گروه مهندسی بهداشت محیط، دانشکده بهداشت، مرکز تحقیقات مهندسی بهداشت محیط، دانشگاه علوم پزشکی کرمان، کرمان، ایران Moghadameh Mirzaie Rabor مقدمه میرزایی رابر 10031947532846008309 10031947532846008309 No Associate Professor of Biostatistics, Department of Epidemiology and Biostatistics, School of Public Health, Modeling in Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran دانشیار آمار زیستی، گروه آمار زیستی و اپیدمیولوژی، دانشکده بهداشت، مرکز تحقیقات مدلسازی در سلامت، پژوهشکده آینده پژوهی در سلامت، دانشگاه علوم پزشکی کرمان، کرمان، ایران Mohsen Porkhosravani محسن پورخسروانی 10031947532846008310 10031947532846008310 No Associate Professor of Geography, Faculty of Literature and Humanities, Shahid Bahonar University, Kerman, Kerman, Iran دانشیار گروه آموزشی جغرافیا، دانشکده ادبیات و علوم انسانی دانشگاه شهید باهنر کرمان، کرمان، ایران Ehsan Movahed احسان موحد 10031947532846008311 10031947532846008311 No Assistant Professor of Health Education and Health Promotion, Department of Public Health, School of Health, Jiroft University of Medical Sciences, Jiroft, Iran استادیار آموزش بهداشت و ارتقای سلامت، گروه بهداشت عمومی، دانشکده بهداشت، دانشگاه علوم پزشکی جیرفت، جیرفت، ایران