fa بررسی ارتباط بین عوامل محیطی و شیوع بیماری لیشمانیوز جلدی در شهرستان جیرفت طی سال های 1400-1393 عمومى General پژوهشي Research <div style="text-align: justify;"><span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">زمینه و هدف: </span></span></span></b>&nbsp;<span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">لیشمانیوز یک بیماری عفونی پوستی است که بروز آن تحت تأثیر شرایط اقتصادی، فرهنگی و محیطی است.</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">از آنجایی‌که جیرفت یکی از کانون‌های اصلی لیشمانیوز است، هدف این مطالعه تعیین تأثیر عوامل محیطی بر شیوع لیشمانیوز در جیرفت طی سال‌های 1400-1393 بود.</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Lotus""></span></span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">روش بررسی</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">: </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">پژوهش حاضر</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">یک</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">مطالعه</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">مقطعی است.</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">نمونه شامل بیماران با تشخیص قطعی بودند.</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">داده‌های محیطی و اقلیمی مورد استفاده در این مطالعه شامل دما، بارندگی، کل روزهای آفتابی و رطوبت بودند که از سازمان هواشناسی استان گردآوری شدند.</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:"> سپس عناصر محیطی موثر بر شیوع لیشمانیوز در سطح منطقه &shy;مطالعه و هر یک از کانون&shy; های دارای لیشمانیوز جلدی در سطح منطقه به طور جداگانه در طول دوره&shy; مورد مطالعه بررسی شد.</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:"> برای </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">آنالیز</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:"> از بسته</span></span></span><span dir="LTR" style="line-height:115%"><span new="" roman="" style="font-family:" times="">tseries&quot; </span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">، </span></span></span><span dir="LTR" style="line-height:115%"><span new="" roman="" style="font-family:" times="">&quot;forcast</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:"> و &quot;</span></span></span><span dir="LTR" style="line-height:115%"><span new="" roman="" style="font-family:" times="">TAS</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">&quot; در نرم افزار </span></span></span><span dir="LTR" style="line-height:115%"><span new="" roman="" style="font-family:" times="">R</span></span><span style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:"> و</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">برای رسم نمودار پراکندگی بیماران در منطقه از نرم افزار </span></span></span><span dir="LTR" style="line-height:115%"><span new="" roman="" style="font-family:" times="">GIS</span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">استفاده شد.</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Lotus""></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">یافته</span></span></span></b><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">&shy;</span></span></span></b><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">ها</span></span></span></b><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">: </span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">تعداد کل بیماران لیشمانیوز جلدی شهری و روستایی 269 نفر بود که 23/4 درصد آنها 6 تا 15 سال و 50/2 درصد مرد بودند. میز</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">ان</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">بارندگی و ساعات آفتابی</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">با</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">لگ</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">صفر </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">(</span></span></span><span dir="LTR" lang="EN" style="line-height:115%"><span new="" roman="" style="font-family:" times="">log 0</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">)</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">بر</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">تعداد</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">موارد</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">لیشمانیوز</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">جلدی</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">تاثیر</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">منفی</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">داشتند</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">. </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">روند</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">کلی</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">بروز</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">لیشمانیوز</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">جلدی</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">در</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">طی</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">سال&shy; های</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">مورد</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">مطالعه</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">روند</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">کاهشی</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">داشت</span></span></span><span dir="LTR" style="line-height:115%"><span new="" roman="" style="font-family:" times="">.</span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:"> به جز سال &shy;های 1396 و 1400 که یک روند افزایشی را طی کرد. </span></span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">نتیجه‌گیری:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:"> هر چند برخی از شرایط محیطی تاثیر معکوس بر بروز لیشمانیوز داشتند، با اینحال </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">لیشمانیوز</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">همچنان</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">بیماری</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">اندمیک</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">کرمان و شهرستان جیرفت</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">است</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">؛ </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">لذا</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">گسترش</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">و</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">تداوم</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">مداخلات پیشگیرانه</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">همراه</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">با</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">بهبود</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">تشخیص،</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">مراقبت</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">و</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">درمان</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">برای</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">کنترل</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">بیماری</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">ضروری</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">است</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" lotus="" style="font-family:">.</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Lotus""></span></span></span></span></span></span></span></span></span></span><br> &nbsp;</div> <div style="text-align: justify;"><span style="font-size:11pt"><span style="line-height:150%"><span calibri="" style="font-family:"><b><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:-.2pt">Background and Objective</span></span></span></b><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">: Leishmaniasis is an infectious skin disease whose prevalence and spread are influenced by economic, cultural, environmental, and ecological factors. Since Jiroft is one of the main centers of leishmaniasis, the purpose of this study is to determine the effect of environmental factors on leishmaniasis rates in Jiroft during 2015&ndash;2022.</span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span style="font-family:"B Lotus""></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><span calibri="" style="font-family:"><b><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">Materials and Methods:</span></span></b><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""> The present research is a cross-sectional study. The study population consists of all patients with leishmaniasis in Jiroft between 2015 and 2022. The sample included all patients with a confirmed diagnosis of the disease in Jiroft, selected using the census method. The environmental and climate data used in this study included temperature, precipitation, total sunny days, and humidity. To analyze the relationship between climatic factors and disease incidence, time series analysis was conducted at a 95% confidence level. For the analysis, ArcGIS software and the &quot;tseries,&quot; &quot;forecast,&quot; and &quot;TAS&quot; packages in R version 4.0.1 were used</span></span><span lang="EN" style="line-height:150%"><span new="" roman="" style="font-family:" times="">. </span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:150%"><span style="font-family:"B Lotus""></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><span calibri="" style="font-family:"><b><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">Results:</span></span></b><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""> The total number of leishmaniasis patients was 269, of whom 23.4% were aged 6&ndash;15 years and 50.2% were male. Rainfall and hours of sunshine showed a negative effect on the number of cutaneous leishmaniasis cases at log 0. The overall trend in the incidence of cutaneous leishmaniasis decreased over the study period.</span></span><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span style="font-family:"B Lotus""></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><span calibri="" style="font-family:"><b><span style="line-height:150%"><span new="" roman="" style="font-family:" times="">Conclusion</span></span></b><span lang="EN" style="line-height:150%"><span new="" roman="" style="font-family:" times="">: Although some environmental conditions had an adverse effect on the disease, leishmaniasis remains an endemic disease in Jiroft. Therefore, the continuation of preventive interventions, along with improvements in diagnosis, care, and treatment, is necessary to control its spread</span></span><span lang="EN" style="line-height:150%"><span new="" roman="" style="font-family:" times="">.</span></span><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:150%"><span style="font-family:"B Lotus""></span></span></span></span></span></span><br> &nbsp;</div> لیشمانیوز, پارامترهای اقلیمی, جیرفت Leishmaniasis, Climatic factors, Jiroft 317 334 http://ijhe.tums.ac.ir/browse.php?a_code=A-10-39-1&slc_lang=fa&sid=1 Farzaneh Safavi فرزانه صفوی f.safavi2017@gmail.com No Environmental Health Engineering Research Center, Kerman University of Medical Sciences, Kerman, Iran AND Department of Environmental Health Engineering, Faculty of Public Health, Kerman University of Medical Sciences, Kerman, Iran مرکز تحقیقات مهندسی بهداشت محیط، دانشگاه علوم پزشکی کرمان، کرمان، ایران و گروه مهندسی بهداشت محیط، دانشکده بهداشت، دانشگاه علوم پزشکی کرمان، کرمان، ایران Hamid Sharifi حمید شریفی sharifiham@gmail.com No Department of Biostatistics and Epidemiology, Faculty of Public Health, Kerman University of Medical Sciences, Kerman, Iran گروه آمار زیستی و اپیدمیولوژی، دانشکده بهداشت، دانشگاه علوم پزشکی کرمان، کرمان، ایران Paria Jangipour Afshar پریا جنگی پور افشار P.afshar@gmail.com No Department of Biostatistics and Epidemiology, Faculty of Public Health, Kerman University of Medical Sciences, Kerman, Iran گروه آمار زیستی و اپیدمیولوژی، دانشکده بهداشت، دانشگاه علوم پزشکی کرمان، کرمان، ایران Habibeh Vazirinasab حبیبه وزیری نسب h.vazirinas@gmail.com No Department of Public Health, School of Public Health, Jiroft University of Medical Sciences, Jiroft, Iran گروه بهداشت عمومی، دانشکده بهداشت، دانشگاه علوم پزشکی جیرفت، جیرفت، ایران Hasti Daraei هستی دارائی hasti.daraei@yahoo.com Yes Environmental Health Engineering Research Center, Kerman University of Medical Sciences, Kerman, Iran AND Department of Environmental Health Engineering, Faculty of Public Health, Kerman University of Medical Sciences, Kerman, Iran مرکز تحقیقات مهندسی بهداشت محیط، دانشگاه علوم پزشکی کرمان، کرمان، ایران و گروه مهندسی بهداشت محیط، دانشکده بهداشت، دانشگاه علوم پزشکی کرمان، کرمان، ایران