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Iron Status in Patients With Chronic Left Ventricular Systolic Failure 慢性左心室收缩衰竭患者的铁状态
Pub Date : 2022-04-01 DOI: 10.34172/ddj.2022.16
Mitra Kazmi Jahromi, F. Nikparvar, M. Hoghooghi, S. Minaee, M. Nikparvar, E. Boushehri, M. Arabi
Background: Heart failure is one of the most important public health problems with an increasing prevalence and identifying its contributing factors is imperative. This study was conducted to evaluate the iron status in patients with chronic systolic heart failure in Shahid Mohammadi Hospital of Bandar Abbas. Materials and Methods: A total of 80 patients with chronic left ventricular failure participated in this cross-sectional study. Data were collected using a researcher developed checklist containing demographic details and echocardiographic data (left ventricular ejection fraction, LVEF%). Additionally, the frequency and distribution of iron status were measured in the research population. Results: The results showed that the prevalence of anemia was significantly high in patients with chronic heart failure (77.3%). The prevalence of iron deficiency (ID) was 77.33% based on iron level (<60 μg/dL), and it was 82.66% based on the mean ferritin level (ferritin<100, or ferritin of 100 to 299 ng/mL, and transferrin saturation<20%). The prevalence of total iron binding capacity (TIBC)>360 μg/dL was 26.66%, and the prevalence of mean corpuscular volume (MCV)<80 fL was 60%. Age less than 60 years, glomerular filtration rate (GFR) less than 60, and body mass index (BMI) less than 18.5 were also found to increase the risk of anemia in these patients. Conclusion: Our study showed that the prevalence of anemia was significantly high in patients with chronic heart failure. Due to the high prevalence of anemia in patients with chronic systolic heart failure and the impact of anemia on the prognosis of the disease in these patients, effective treatment is necessary in high-risk patients to reduce the severity of their disease, compensate for their heart failure, and reduce their mortality.
背景:心力衰竭是最重要的公共卫生问题之一,发病率越来越高,确定其影响因素势在必行。本研究旨在评估阿巴斯港Shahid Mohammadi医院慢性收缩期心力衰竭患者的铁状态。材料与方法:共80例慢性左心衰患者参与了本横断面研究。使用研究者开发的包含人口统计细节和超声心动图数据(左心室射血分数,LVEF%)的检查表收集数据。此外,还测量了研究人群中铁状态的频率和分布。结果:慢性心力衰竭患者的贫血患病率明显较高(77.3%)。铁含量为360 μg/dL的缺铁(ID)患病率为77.33%,平均红细胞体积(MCV)<80 fL的患病率为60%。年龄小于60岁、肾小球滤过率(GFR)小于60、体重指数(BMI)小于18.5也会增加这些患者贫血的风险。结论:我们的研究表明,慢性心力衰竭患者贫血的患病率明显较高。由于慢性收缩期心力衰竭患者贫血发生率高,且贫血对这些患者的疾病预后有影响,因此有必要对高危患者进行有效的治疗,以减轻其疾病的严重程度,补偿心力衰竭,降低死亡率。
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引用次数: 0
A Literature Review on the Epidemiology, Virology, Clinical Characteristics, Prevention and Treatment of Novel Coronavirus (2019-nCoV) 新型冠状病毒(2019-nCoV)流行病学、病毒学、临床特点及防治文献综述
Pub Date : 2022-04-01 DOI: 10.34172/ddj.2022.14
V. Ranaei, Z. Pilevar, L. Hassani, A. Madani
The World Health Organization (WHO) has issued a public health emergency of international concern for the outbreak of the novel coronavirus (2019-nCoV). This study aimed to review the findings of recent published literature to provide researchers with information regarding the current biggest global health threat of 2019-nCoV pandemic on the basis of previous coronaviruses. To do so, this study attempted to review the available online data on biological nature of 2019-nCoV compared to previous coronaviruses. Additionally, the epidemiology, susceptible population, transmission routes, clinical characteristics, and medications for 2019-nCoV were reviewed. In this article, after an introduction to the subject and characterization of coronavirus, we considered the experiences and lessons learned from previous outbreaks to review the epidemiology, clinical characteristics, prevention, and medications of 2019-nCov disease. There are three main routes for transmission of 2019-nCoV including close contact to infected cases, aerosol, and touch transmissions. This newfound virus can be transmitted from asymptomatic patients or from infected cases with symptoms ranging from a flu-like to severe respiratory syndrome. Currently, there are no 100% approved therapeutic drugs and vaccination for this disease. In conclusion, given that development of vaccine for 2019-nCoV requires close collaboration of vaccine manufacturers and biotechnology companies, which takes a long period for production of vaccine, implementation of prevention and controlling measures based on the current available information about the subject is the best measure to control the spread of the virus.
世界卫生组织(世卫组织)就新型冠状病毒(2019-nCoV)爆发发布了国际关注的突发公共卫生事件。本研究旨在回顾近期发表的文献,在以往冠状病毒的基础上,为研究人员提供有关当前最大的全球健康威胁——2019-nCoV流行病的信息。为此,本研究试图审查与以前的冠状病毒相比,2019-nCoV生物学性质的现有在线数据。综述了2019-nCoV的流行病学、易感人群、传播途径、临床特征和药物使用情况。本文在介绍冠状病毒的主题和特征后,结合以往疫情的经验教训,对2019-nCov疾病的流行病学、临床特征、预防和药物治疗进行了综述。新型冠状病毒的传播途径主要有三种,即密切接触、气溶胶传播和接触传播。这种新发现的病毒可从无症状患者或从具有流感样症状到严重呼吸道综合征等症状的感染病例中传播。目前,针对这种疾病还没有100%获得批准的治疗药物和疫苗。综上所述,2019-nCoV疫苗的研制需要疫苗生产企业和生物技术企业密切合作,疫苗生产周期较长,根据现有信息实施防控措施是控制病毒传播的最佳措施。
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引用次数: 0
Improving the Therapeutic Performance of Glycyrrhiza Glabra Hydroalcoholic Extract Using Liposomal Nano-carriers and Their Characterization 利用纳米脂质体载体提高甘草水醇提取物的治疗效果及其表征
Pub Date : 2022-04-01 DOI: 10.34172/ddj.2022.09
M. Akhlaghi, Lida Eftekharivash, Mohammad Taebpour, Saeid Afereydoon, Marziyeh Ebrahimpour, Maryam Zarezadeh Mehrizi, Mahboobeh Zarezadeh Mehrizi, Bibi fatemeh Haghirosadat
Background: The use of plants as therapeutic drugs has long been common among human beings. The Glycyrrhiza glabra is one of the medicinal plants with many therapeutic properties. However, using this herb in traditional methods faces some challenges. The use of pharmaceutical nano-carriers such as liposomes is one of the new strategies to overcome these challenges. In this regard, the current study aimed to synthesize and characterize liposomal nano-carriers containing the G. glabra hydroalcoholic extract to improve its therapeutic effects. Materials and Methods: After the extraction of the G. glabra root by the Soxhlet method, nano-liposomes containing G. glabra extracts were synthesized by the thin-film preparation method. Then, the encapsulation efficiency (EE) rate and drug release pattern of nanoliposome were examined using the spectrophotometry method. Next, physicochemical properties such as size, zeta potential, morphology, and non-interaction of the nano-system with the extract were investigated by dynamic-light-scattering (DLS), atomic force microscope (AFM), and Fourier transform infrared spectroscopy (FTIR) methods, and finally, the toxicity of the nano-system on human foreskin fibroblast cells was assessed using the MTT method. Results: Nano-liposomes containing licorice extracts with the EE of 2.3±75.32% were from the type of slow release and controlled release, having a size of 111.4±1.2 nm, a surface charge of -53.6±6.3, and a dispersion index of 0.210±0.13, and they had no interaction with the loaded extract. The results of the MTT test also demonstrated that the synthesized nano-liposomes were non-toxic on normal cells. Conclusion: Overall, the findings proved that synthesized nano-liposomes with proper physicochemical properties can be a suitable carrier for the G. glabra extract and thus cause stability and improve the therapeutic effects of this herbal extract as a medicinal plant.
背景:利用植物作为治疗药物在人类中早已司空见惯。甘草是一种具有多种治疗作用的药用植物。然而,在传统方法中使用这种草药面临着一些挑战。使用药物纳米载体如脂质体是克服这些挑战的新策略之一。因此,本研究旨在合成并表征含有光天牛水醇提取物的纳米脂质体载体,以提高其治疗效果。材料与方法:采用索氏法提取光天草根后,采用薄膜制备法合成含光天草提取物的纳米脂质体。采用分光光度法测定纳米脂质体的包封率和药物释放规律。其次,通过动态光散射(DLS)、原子力显微镜(AFM)和傅里叶变换红外光谱(FTIR)等方法研究纳米体系的大小、zeta电位、形态和与提取物的非相互作用等理化性质,最后采用MTT方法评估纳米体系对人包皮成纤维细胞的毒性。结果:含甘草提取物的纳米脂质体为缓释型和控释型,EE为2.3±75.32%,粒径为111.4±1.2 nm,表面电荷为-53.6±6.3,分散指数为0.210±0.13,与载药提取物无相互作用。MTT试验结果还表明,合成的纳米脂质体对正常细胞无毒。结论:综上所述,合成的纳米脂质体具有适当的理化性质,可作为光草提取物的合适载体,从而提高光草提取物作为药用植物的稳定性和疗效。
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引用次数: 0
Determination of Antibiotic Susceptibility of Bacteria Isolated From Endotracheal Tube in Pulmonary Intensive Care Unit of a Hospital in Bandar Abbas 阿巴斯市某医院肺部重症监护病房气管内分离细菌的药敏测定
Pub Date : 2022-04-01 DOI: 10.34172/ddj.2022.12
A. Rahimi, Maede Ansari, P. Davoodian, S. Shoja, S. Hosseini Teshnizi, H. Alizade
Background: The present study attempted to determine the antibiotic susceptibility of bacteria isolated from endotracheal tube culture on patients admitted to the intensive care units (ICUs) of Shahid Mohammadi hospital in Bandar Abbas. Materials and Methods: This cross-sectional study was conducted on 114 patients hospitalized in the pulmonary ICU of Shahid Mohammadi hospital in Bandar Abbas from March 2018 to March 2019. The samples of the patients’ endotracheal tube secretions were collected for the culture purpose on the first and fifth days of hospitalization in the ICU where the disk diffusion method was used to determine antibiotic susceptibility. Results: The most common isolated microorganisms from the first day of culture were 26 Acinetobacter spp. isolates (22.8%), 10 Candida isolates (8.8%), and 9 Pseudomonas aeruginosa isolates (7.9%). The most common microorganisms which were isolated on the fifth day comprised Acinetobacter spp. with 57 isolates (51.8%), Candida with 6 isolates (5.5%), and P. aeruginosa with 6 isolates (5.5%). The highest resistant bacteria isolated from Acinetobacter spp. samples on the first-day were amikacin (92.3%) and meropenem (84.6%). The highest resistance of P. aeruginosa was against meropenem (77.8%), while the highest resistance of Acinetobacter spp. isolates was found to be amikacin (94.7%) and meropenem (86%) from the fifth-day samples. Further, P. aeruginosa isolates had the highest resistance in meropenem (83.3%), co-trimoxazole, and cefepime (66.7% for each of them). Conclusion: Ventilator-associated pneumonia (VAP) is considered a warning condition due to multidrug-resistant bacteria. According to the present study, the most common VAP-causing bacteria are gram-negative, especially Acinetobacter, with high antibiotic resistance.
背景:本研究试图确定在阿巴斯港Shahid Mohammadi医院重症监护病房(icu)住院的患者的气管内管培养中分离的细菌对抗生素的敏感性。材料与方法:对2018年3月至2019年3月在阿巴斯市Shahid Mohammadi医院肺重症监护室住院的114例患者进行横断面研究。于ICU住院第1天和第5天采集患者气管导管分泌物标本进行培养,采用圆盘扩散法测定抗生素药敏。结果:培养第1天最常见的分离微生物为不动杆菌26株(22.8%)、念珠菌10株(8.8%)和铜绿假单胞菌9株(7.9%)。第5天分离到的最常见微生物为不动杆菌57株(51.8%)、念珠菌6株(5.5%)和铜绿假单胞菌6株(5.5%)。第1天检出的最高耐药菌为阿米卡星(92.3%)和美罗培南(84.6%)。铜绿假单胞菌对美罗培南的耐药率最高(77.8%),不动杆菌对阿米卡星(94.7%)和美罗培南(86%)的耐药率最高。铜绿假单胞菌对美罗培南(83.3%)、复方新诺明(66.7%)和头孢吡肟(66.7%)的耐药率最高。结论:呼吸机相关性肺炎(VAP)是一种多药耐药菌感染的预警疾病。根据目前的研究,最常见的引起vap的细菌是革兰氏阴性菌,特别是不动杆菌,具有很高的抗生素耐药性。
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引用次数: 0
A Spectrum of Hysterectomy Findings in a Tertiary Care Hospital, Madikeri 马迪克里一家三级保健医院子宫切除术的一系列发现
Pub Date : 2022-04-01 DOI: 10.34172/ddj.2022.13
Sumanashree Mallappa
Background: Hysterectomy is the removal of the uterus and is the most common gynecological operation performed on females worldwide. Establishing a spectrum of hysterectomies helps both the surgeons and patients in making a well-informed decision. Materials and Methods: This was a cross-sectional retrospective study. The records of hysterectomies performed for 18 months were collected from the Department of Pathology of Koims, Madikeri. All non-malignant gynecological hysterectomy cases were included, while malignant hysterectomy cases were excluded from the investigation. The data were analyzed by descriptive statistics using Microsoft Excel software and expressed in numbers and percentages. Results: The mean age of the patients was - 46.5±9.4 years of age. The most common approach and indication were the abdominal approach (n=198, 83.19%) and– the fibroid uterus (n=156, 63.87%), respectively. The most common findings in the endometrium-proliferative endometrium (n=105, 44.12%), myometrium-leiomyoma (n=152, 63.86%), cervix-chronic cervicitis (n=133, 53.788%), and ovary and fallopian tubes were unremarkable in majority of the cases. Conclusion: Spectrum establishes a database, helping us study the trends of hysterectomy. The study provides an honest insight into various lesions of the uterus and its adnexa and reiterates the importance of mandatory data analysis. Panhysterectomy in younger females of reproductive age needs a carefully weighed decision. Knowing the types of lesions in hysterectomy cases can help patients better decide about the surgery. Considering that our study was performed on 238 subjects, further studies are needed on a large number of patients with follow-ups for further insights.
背景:子宫切除术是一种切除子宫的手术,是全世界女性最常见的妇科手术。建立子宫切除术的范围有助于外科医生和患者做出明智的决定。材料和方法:这是一项横断面回顾性研究。18个月子宫切除术的记录收集自马迪克里科姆斯病理科。本研究纳入所有妇科非恶性子宫切除术病例,排除恶性子宫切除术病例。数据采用Microsoft Excel软件进行描述性统计,以数字和百分比表示。结果:患者平均年龄为- 46.5±9.4岁。最常见的入路和适应症分别为腹入路198例(83.19%)和非子宫肌瘤入路156例(63.87%)。以子宫内膜-增生性子宫内膜(n=105, 44.12%)、子宫肌瘤-平滑肌瘤(n=152, 63.86%)、宫颈-慢性宫颈炎(n=133, 53.788%)、卵巢和输卵管最为常见。结论:Spectrum建立了一个数据库,有助于我们研究子宫切除术的趋势。该研究对子宫及其附件的各种病变提供了诚实的见解,并重申了强制性数据分析的重要性。年轻育龄女性的全子宫切除术需要仔细权衡决定。了解子宫切除术病例的病变类型可以帮助患者更好地决定手术。考虑到我们的研究是在238名受试者中进行的,需要对大量的患者进行进一步的研究和随访,以获得进一步的见解。
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引用次数: 0
The Complementary Role of Exercise and Fasting in the Treatment of Cancer: A Narrative Review of Mechanisms Related to Metabolic Stress Elements 运动和禁食在癌症治疗中的互补作用:代谢应激因素相关机制的叙述性回顾
Pub Date : 2022-04-01 DOI: 10.34172/ddj.2022.15
Masomeh Hannani, Mahboubeh Zohari, S. Rahmati-Ahmadabad, H. Fatolahi, Hamideh Mokhtari, Sima Fazeli, Hoseyn Dalvand, Jalal Yarahmadi
Background: Complementary methods such as physical activity (PA) and fasting are particularly important for cancer patients. The present study reviewed the effects of regular PA and fasting on cancer patients and attempted to explain the relevant mechanisms. Methods: Several electronic databases such as PubMed, Elsevier, and Google Scholar were searched for keywords. After reviewing, 412 articles were identified until February 1, 2021. The inclusion criteria included meta-analysis, clinical intervention studies that considered different effects of fasting and various types of exercise on health indicators. After carefully reviewing and eliminating duplicates, 68 articles were identified based on the PICO format (participants, intervention, comparison, and results). Results: The short-term fasting (STF) before chemotherapy (48-72 hours) or rehabilitation exercise could be modulating fasting blood sugar, growth factors, oxidative stress (OS), and inflammatory pathways. In addition, physiological metabolic stress induced by STF or rehabilitation exercise could regulate sex hormone-binding globulin, fat oxidation, leptin secretion, hyperinsulinemia, maintaining mass muscle, and bone density, boosting the immune system, and improving the therapeutic index of cancer. Conclusion: Metabolic stress in cancer cells leads to the intake of high doses of chemotherapy. The rehabilitation exercise prevents the complications of the disease and improves the patient’s quality of life. Thus, these interventions can be used to improve the cancer-based therapeutic index on individual differences.
背景:补充方法如体力活动(PA)和禁食对癌症患者尤为重要。本研究综述了定期PA和禁食对癌症患者的影响,并试图解释相关机制。方法:检索PubMed、Elsevier、Google Scholar等电子数据库进行关键词检索。截止到2021年2月1日,共确定了412篇文章。纳入标准包括荟萃分析、临床干预研究,这些研究考虑了禁食和各种运动对健康指标的不同影响。在仔细审查和消除重复后,根据PICO格式(参与者、干预、比较和结果)确定了68篇文章。结果:化疗前短期禁食(STF)(48-72小时)或康复运动可调节空腹血糖、生长因子、氧化应激(OS)和炎症途径。此外,STF或康复运动诱导的生理代谢应激可调节性激素结合球蛋白、脂肪氧化、瘦素分泌、高胰岛素血症,维持大量肌肉和骨密度,增强免疫系统,提高癌症治疗指标。结论:肿瘤细胞的代谢应激导致高剂量化疗的摄入。康复训练可以预防疾病的并发症,提高患者的生活质量。因此,这些干预措施可用于提高基于癌症的个体差异治疗指数。
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引用次数: 0
The Relationship between Severity of Lung Involvement Based on High-Resolution Computed Tomography (HRCT) Findings and Lymphopenia in Patients with COVID-19 基于高分辨率计算机断层扫描(HRCT)结果的肺部受累程度与COVID-19患者淋巴细胞减少的关系
Pub Date : 2022-04-01 DOI: 10.34172/ddj.2022.10
Abolfazl Izadi, F. Khaleghi, N. Namiranian, Mohammad Cheraghipour, K. Ansari, Mehrdad Mansouri, Fatemeh Aghaeimeybodi
Background: Lymphopenia may reflect the degree of lung injury in patients with coronavirus disease 2019 (COVID-19). Given that few studies have been conducted in this regard, this study aimed to evaluate the association between severity of lung involvement based on high-resolution computed tomography (HRCT) findings and lymphocyte count in patients with COVID-19. Materials and Methods: This descriptive-analytical study was conducted on 123 patients with COVID-19 from March 2020 to April 2020 in Shahid Sadoughi hospital, Yazd, Iran. Data including age, gender, hospitalization ward, lymphocyte count, and computed tomography (CT) scan findings were extracted from medical records. Results: The mean lung involvement score was 36.8±22.34. The mean lymphocyte count in these patients was 1229.25±536.80 µL. Lymphopenia was observed in 79 patients (64%). No relationship was seen between HRCT findings and lymphopenia in patients with COVID-19 (P=0.31). Although a significant relationship was seen between HRCT findings and lymphopenia in females (P<0.05), there was no relationship between HRCT findings and lymphopenia, regarding age, male gender, and hospitalization wards (P>0.05). Conclusion: There was no significant relationship between HRCT and lymphopenia findings, and parameters such as age and inpatient ward in patients with Covid-19. However, there was an interesting relationship between lymphopenia and lung involvement in women; therefore, more studies are needed to prove this hypothesis.
背景:淋巴细胞减少可能反映冠状病毒病2019 (COVID-19)患者肺损伤程度。鉴于这方面的研究很少,本研究旨在评估基于高分辨率计算机断层扫描(HRCT)结果的COVID-19患者肺部受累严重程度与淋巴细胞计数之间的关系。材料和方法:本描述性分析研究于2020年3月至2020年4月在伊朗亚兹德Shahid Sadoughi医院对123例COVID-19患者进行了研究。数据包括年龄、性别、住院病房、淋巴细胞计数和计算机断层扫描(CT)扫描结果从医疗记录中提取。结果:平均肺受累评分为36.8±22.34分。平均淋巴细胞计数为1229.25±536.80µL。淋巴细胞减少79例(64%)。HRCT表现与COVID-19患者淋巴细胞减少无相关性(P=0.31)。尽管HRCT表现与女性淋巴细胞减少有显著关系(P0.05)。结论:HRCT与新冠肺炎患者淋巴细胞减少表现及年龄、住院病房等参数无显著相关性。然而,在女性中淋巴细胞减少和肺部受累之间有一个有趣的关系;因此,需要更多的研究来证明这一假设。
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引用次数: 0
The Effect of COVID-19 Infection on Male Fertility: A Narrative Review COVID-19感染对男性生育能力的影响:一个叙事回顾
Pub Date : 2022-03-30 DOI: 10.34172/ddj.2023.331
Elahe Taqvaee, Mohammadjavad Hesam, Ali Hajeb, Amir Norouzi Apourvari, Masoomeh Latifi, S. Fallahi
The emergence of a new coronavirus, officially referred to as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2 ), has challenged all healthcare workers and clinicians worldwide. The presence of the virus in biological fluids including the semen has raised some concerns about infertility treatment. There is evidence that SARS-CoV-2, which causes coronavirus disease 2019 (COVID-19), can damage the male reproductive system following the inflammatory process caused by the cytokine storm. However, the direct and long-term effects of SARS-CoV-2 on fertility and the reproductive capacity of the human testis are still open to controversy. The lasting presence of the virus, even after a complete recovery, can increase the risk of sexual transmission and adversely affect the male reproductive system, sexual function, and fertility. Therefore, there is a need for a careful assessment of reproductive organs and testicular function in male patients. This study aimed to evaluate the invasive effect of SARS-CoV-2 on the testis and male reproduction.
一种新的冠状病毒的出现,正式名称为严重急性呼吸系统综合征冠状病毒2 (SARS-CoV-2),给全世界所有医护人员和临床医生带来了挑战。这种病毒在包括精液在内的生物体液中的存在引起了人们对不孕症治疗的一些担忧。有证据表明,导致2019冠状病毒病(COVID-19)的SARS-CoV-2可以在细胞因子风暴引起的炎症过程后损害男性生殖系统。然而,SARS-CoV-2对生育能力和人类睾丸生殖能力的直接和长期影响仍存在争议。即使在完全康复后,病毒的持续存在也会增加性传播的风险,并对男性生殖系统、性功能和生育能力产生不利影响。因此,有必要仔细评估男性患者的生殖器官和睾丸功能。本研究旨在评估SARS-CoV-2对睾丸和男性生殖的侵袭作用。
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引用次数: 0
Coronavirus Disease 19 with Spontaneous Pneumomediastinum: A Report of Three Cases 冠状病毒19型合并自发性纵隔气肿3例报告
Pub Date : 2022-01-01 DOI: 10.34172/ddj.2022.08
M. Hassani Azad, H. Samimagham, Ehsan Ramezanian Nick, M. Marashi, D. Hooshyar, A. Bazram, Mitra KazemiJahromi
Background: Coronavirus disease 19 (COVID-19) can cause many radiological manifestations on chest computed tomography (CT) scans. However, the occurrence of pneumomediastinum is rare in these patients. Accordingly, this study represents the rare cases encountered during the COVID-19 epidemic. Case Presentation: This study focuses on describing three patients who attended our medical center during the COVID-19 epidemic showing pneumomediastinum on chest CT scans. Patients’ COVID-19 was confirmed after positive polymerase chain reaction tests. Finally, two of them were expired despite the efforts of the medical team. Conclusion: Overall, the results of this study suggest the occurrence of pneumomediastinum on the CT scans of patients as a possible finding of COVID-19.
背景:冠状病毒病19 (COVID-19)可在胸部计算机断层扫描(CT)上引起许多放射学表现。然而,纵膈气的发生在这些患者中是罕见的。因此,本研究代表了COVID-19流行期间遇到的罕见病例。病例介绍:本研究主要描述了3例在COVID-19流行期间到我们医疗中心就诊的患者在胸部CT扫描上显示纵隔气肿。患者经聚合酶链反应阳性后确诊为新冠肺炎。最后,尽管医疗团队的努力,其中两人已经死亡。结论:总体而言,本研究结果提示患者CT扫描上纵膈气的出现可能是COVID-19的发现。
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引用次数: 0
Review of Alloy Containing Bismuth Oxide Nanoparticles on X-Ray Absorption in Radiology Shields 含氧化铋纳米合金在放射学屏蔽中的x射线吸收研究进展
Pub Date : 2022-01-01 DOI: 10.34172/ddj.2022.07
Omid Zare, Reza Afzalipour, M.S. Golvardi Yazdi
Background: Managing potential risks that can threaten the health of medical staff including risks associated with treatment tools and equipment has always played an important role in the healthcare systems. This study aimed to investigate the documentation on the effect of nanoparticle shields on the absorption of hazardous radiation in radiology, and specifically alloy containing bismuth oxide )Bi2O3) nanoparticles. Materials and Methods: Several databases including ScienceDirect, Web of Science, Scopus, PubMed, and Magiran were searched to collect the required documents. The articles were selected based on the year of publication and their relationship with the subject and objectives. Results: Studies confirm the effectiveness of bismuth oxide nanoparticles in order to protect against radiation in different types of radiological shields. These findings show the relationship between different parameters of nanoparticles and their effect on radiation absorption, such as the size of nanoparticles, used kilovoltage peak )kVp), thickness of shields, density of nanoparticles, as well as different methods of using these particles in different types of radiological shields. Conclusion: Bismuth oxide nanoparticles have a significant effect on the absorption of X-rays in radiology. Using these particles results in lighter shields with lower cost and lead content. In particular, bismuth oxide nanoparticles are very efficient at absorbing radiation and reducing the cost of production for shields.
背景:管理可能威胁医务人员健康的潜在风险,包括与治疗工具和设备相关的风险,在卫生保健系统中一直发挥着重要作用。本研究旨在探讨纳米粒子屏蔽对放射学中有害辐射吸收的影响,特别是含氧化铋(Bi2O3)纳米粒子的合金。材料与方法:检索ScienceDirect、Web of Science、Scopus、PubMed、Magiran等数据库,收集所需文献。这些文章是根据出版年份及其与主题和目标的关系选择的。结果:研究证实了氧化铋纳米颗粒在不同类型的辐射防护中的有效性。这些发现揭示了纳米粒子的不同参数与它们对辐射吸收的影响之间的关系,如纳米粒子的尺寸、使用的千伏峰值(kVp)、屏蔽层的厚度、纳米粒子的密度,以及在不同类型的辐射屏蔽层中使用这些粒子的不同方法。结论:氧化铋纳米颗粒对放射学中x射线的吸收有显著影响。使用这些颗粒可以制造出更轻、成本更低、铅含量更低的屏蔽。特别是,氧化铋纳米粒子在吸收辐射和降低生产成本方面非常有效。
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引用次数: 1
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Disease and Diagnosis
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