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Molecular Typing of Mycobacterium Tuberculosis Isolated from Iranian Patients Using Highly Abundant Polymorphic GC-Rich-Repetitive Sequence 利用高丰态gc - rich - repeat序列对伊朗结核分枝杆菌进行分子分型
Pub Date : 2020-06-01 DOI: 10.52547/ismj.23.2.87
B. G. Eimani, K. Ansarin, L. Sahebi, M. Seyyedi
Background: Tuberculosis (TB) with more than 10 million new cases per year and one of the top 10 causes of death worldwide, is still one of the most important global health problems. Also, multi drug-resistant tuberculosis (MDR) is a serious danger to public health. Understanding of the epidemiological pattern of mycobacterium tuberculosis (MTB), Estimates of recent transmission and recurrence of infection, it is possible with molecular typing methods. The present study was performed aiming to track and determine the type of Mycobacterium tuberculosis infection, as well as its relationship with demographic factors, using PGRS-RFLP. Materials and Methods: In this study, 90 samples collected from TB patients from the North West provinces of Iran, Molecular typing by Characterization highly abundant polymorphic GC-rich-repetitive sequence. Investigated Demographic factors associated with the transmission of the disease. Results: All isolates were grouped into 44 clusters 28types (33.3%) of the subspecies were in unique stains and 66.7% (from 56 patients) had clustered isolates. The largest cluster contained 8 isolates (9.52%) was the West provinces of Iran. Conclusion: Genetic variation of Mycobacterium tuberculosis is high in this region. The rate of recent transmission based on clustering was unexpected (The global average is 30%-40%). The recent transmission was more dynamic in the west than northwest Iran. Clustering based on PGRS-RFLP can demonstrate the high correlation between molecular and classic information. In addition, the significant relationship between vaccination record and clustering highlights the necessity to conduct more extensive studies.
背景:结核病每年新增病例超过1000万例,是全球十大死亡原因之一,仍然是全球最重要的健康问题之一。此外,多重耐药结核病(MDR)对公众健康构成严重威胁。了解结核分枝杆菌(MTB)的流行病学模式,估计近期感染的传播和复发,有可能采用分子分型方法。本研究旨在使用PGRS-RFLP追踪和确定结核分枝杆菌感染的类型及其与人口统计学因素的关系。材料和方法:在本研究中,从伊朗西北省份的结核病患者身上采集了90份样本,通过表征高度丰富的多态性GC重复序列进行分子分型。调查与疾病传播相关的人口统计学因素。结果:所有分离株分为44个类群,28个亚种类型(33.3%)具有独特的菌株,66.7%(来自56例患者)具有集群分离株。包含8个分离株的最大集群(9.52%)是伊朗西部省份。结论:该地区结核分枝杆菌的遗传变异较高。最近基于集群的传播率出乎意料(全球平均水平为30%-40%)。最近的传播在西部比在伊朗西北部更为活跃。基于PGRS-RFLP的聚类可以证明分子信息和经典信息之间的高度相关性。此外,疫苗接种记录和集群之间的显著关系突出了进行更广泛研究的必要性。
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引用次数: 0
Evaluation of Lethal Effect of Curcumin and its Derivatives Against Leishmania Major In Vitro 姜黄素及其衍生物对利什曼原虫体外杀伤作用的评价
Pub Date : 2020-06-01 DOI: 10.52547/ismj.23.2.153
M. Fouladvand, Solyman Khorami, Behroz Naeimi, Sohila Fotouhi, Khosro Mohammadi
Background: Leishmania major is transmitted by sandflies of the genus Phobotomus and causes cutaneous lesions in humans. Curcumin is made from turmeric and various derivatives is derived from it. In the present study the effect of curcumin and it’s derivatives on Leishmania major in vitro was investigated. Materials and Methods: Curcumin 70% and 90% purity and it’ derivatives such as s , BDMC base methoxy curcumin, diacetyl curcumin DAC, vanadyl curcumin VO (CUR) 2, vanadyl diacetyl curcumin VO (DAC) 2, indium curcumin In(CUR)3 and Ga (CUR) 3 preparation. Curcumin derivatives were synthesized and different concentrations of 500 to 800 μg/ ml were prepared in glycerin. 106 Leishmania major promastigotes added to each well of 96 well plate and 100 µL of each curcumin derivative added and stored at 25 ° C for 24 hours. Assay of the lethality of the compounds against Leishmania major and evaluation of their toxic effects on (vero) cells were evaluated using MTT assay. Results: Lethal effect of curcumin and it’s derivatives against Leishmania, increased with increasing concentration. Anti-leishmanial index (IC 50 ) of 70% and 90% curcumin compounds, (BDMC) bis methoxy curcumin, Diacetyl curcumin (DAC), vanadyl curcumin VO (CUR)2, vanadyl diacetyl curcumin VO (DAC)2, indium curcumin In (CUR)3, Gallium Curcumin Ga (CUR)3 compounds were 110, 93, 101, 103, 98, 103, 51 and 58 µg / ml and the lethal effect of these compounds against (vero) cells were 33.1%, 19%, 21%, 20.3%, 17%, 21%, 25.3%, 16%, respectively. Conclusion: Gallium curcumin and indium curcumin, compared to curcumin and other derivatives, exhibited the highest anti-leishmanial effect and were the safest derivatives of curcumin for mammalian cells.
背景:主要利什曼原虫由Phobotomus属的沙蝇传播,并引起人类皮肤损伤。姜黄素是由姜黄及其衍生物制备而成的。本研究研究了姜黄素及其衍生物在体外对主要利什曼原虫的影响。材料和方法:姜黄素70%和90%纯度及其衍生物,如s、BDMC碱甲氧基姜黄素、二乙酰基姜黄素DAC、钒基姜黄素VO(CUR)2、钒基二乙酰基姜黄VO(DAC)2、铟姜黄素In(CUR。合成了姜黄素衍生物,并在甘油中制备了500至800μg/ml的不同浓度的姜黄素衍生物。向96孔板的每个孔中加入106个主要利什曼原虫前体,并加入100µL的每种姜黄素衍生物,在25°C下储存24小时。使用MTT法评估化合物对主要利什曼原虫的致死性的测定及其对(vero)细胞的毒性作用的评价。结果:姜黄素及其衍生物对利什曼原虫的致死作用随浓度的增加而增加。70%和90%的姜黄素化合物、(BDMC)双甲氧基姜黄素、二乙酰基姜黄素(DAC)、钒基姜黄素VO(CUR)2、钒基二乙酰基姜黄VO(DAC)2、铟-姜黄素In(CUR)3、镓-姜黄素Ga(CUR)3化合物的抗利什曼原虫指数(IC 50)分别为110、93、101、103、98、103、51和58µg/ml,这些化合物对(vero)细胞的致死作用分别为33.1%、19%、21%、20.3%、17%,分别为21%、25.3%、16%。结论:与姜黄素等衍生物相比,镓-姜黄素和铟-姜黄素对哺乳动物细胞具有最高的抗利什曼原虫作用,是最安全的姜黄素衍生物。
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引用次数: 0
Comparative Evaluation of Expression Vectors (pET32a and pET25b) in Expression of Polyepitopic Sequence Synthesized from Leishmania infantum Antigens 表达载体pET32a和pET25b表达婴儿利什曼原虫抗原合成的聚皮异位序列的比较评价
Pub Date : 2020-06-01 DOI: 10.52547/ismj.23.2.143
Marzeah Taherzadeh, M. Fouladvand, B. Kazemi
Background: Molecular methods are nowadays used to diagnose diseases, produce vaccines, drugs and recombinant proteins. Therefore, one of the important steps in these procedures is selecting the appropriate vector for cloning and expression of the target genes. Because the expression of synthetic polygenes or so-called chimeric antigens with high molecular weight requires special conditions, the aim of this study was to evaluate the importance of vector type for expression of such antigens. Materials and Methods: The 1250bp sequence consisting of epitopes from eight important antigens of Leishmania infantum parasite was designed and synthesized by Biomatic Company (Cambridge, Canada). The sequence was cloned separately in two expression vectors pET25b and pET32a and then transformed into E.coli BL21 (DE3) and expressed under similar appropriate conditions. Bacterial lysates were analyzed by SDS PAGE and evaluated by Western blotting. Results: of SDS- PAGE and Western blot analysis showed that intact recombinant protein production by pET25b vector was not successful. However, the recombinant protein resulted from the expression of the aforementioned poly-epitope in pET32a vector was successfully produced and confirmed. Conclusion: According to the successful expression confirmation of the poly-epitopic sequence within the pET32a vector and furthermore the failure to obtain protein in the pET25b vector showed that in the case of some specific mosaic sequences expression, protein isolation will be difficult because of low solubility. So, the expression vector choose should be made more carefully.
背景:分子方法目前被用于诊断疾病、生产疫苗、药物和重组蛋白。因此,这些程序中的一个重要步骤是选择合适的载体来克隆和表达靶基因。由于合成多基因或所谓的高分子量嵌合抗原的表达需要特殊条件,本研究的目的是评估载体类型对此类抗原表达的重要性。材料和方法:由加拿大剑桥Biomatic公司设计并合成了由婴儿利什曼原虫八种重要抗原的表位组成的1250bp序列。将该序列分别克隆在两个表达载体pET25b和pET32a中,然后转化到E.coli BL21(DE3)中,并在类似的适当条件下表达。细菌裂解物通过SDS-PAGE进行分析,并通过蛋白质印迹进行评价。结果:SDS-PAGE和Western印迹分析表明,pET25b载体不能成功生产完整的重组蛋白。然而,由上述多表位在pET32a载体中的表达产生的重组蛋白被成功地产生并证实。结论:根据pET32a载体中多表位序列的成功表达确认,以及pET25b载体中未能获得蛋白质,表明在某些特定镶嵌序列表达的情况下,由于溶解度低,蛋白质分离将很困难。因此,表达载体的选择应该更加谨慎。
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引用次数: 0
Magnetic Separation of Giardia Cysts from Water 贾第鞭毛虫囊从水中磁分离
Pub Date : 2020-06-01 DOI: 10.52547/ismj.23.2.99
R. Ghasemikhah, Zainab Davudi Moghadam, F. Ahmadi, Mahsa Rasulpur, M. Bayatiani, R. Hajihossein, H. Sarmadian, F. Seif
Background: Giardia is one of the infectious agents that can be transmitted by surface water and cause a disease. We designed and fabricated a magnetic system to separate the giardia cysts from water. Materials and Methods: In this study, giardia cysts were concentrated by sucrose floatation method. The cysts were mixed with physiological saline and their concentration was adjusted to 100,000 cysts per cubic millimeter using Neubauer slide. The isolated cysts were passed through the magnetic field generated by the 200-msT magnets. The cysts were attracted to the magnet and removed from the suspension. The cysts were exposed to magnetic field for one week in order to evaluate the effect of magnetic field on their survival, which was reported as 0.1% using eosin staining under a light microscope. Results: The results showed that magnetic field can relatively absorb giardia cysts from water, the survival rate of the cysts did not change significantly in different days (P≥0.05). Conclusion: The designed magnetic system can be reinforced to isolate giardia cysts, which is economical and has no chemical effects on water.
背景:贾第鞭毛虫是一种可通过地表水传播并引起疾病的传染性病原体。我们设计并制造了一个磁性系统来分离贾第鞭毛虫囊和水。材料与方法:本研究采用蔗糖浮法对贾第虫囊进行浓缩。将囊肿与生理盐水混合,并通过Neubauer玻片调整其浓度至100,000个囊肿/立方毫米。分离的囊肿通过200 mst磁体产生的磁场。囊肿被磁铁吸引并从悬浮液中移除。为了评估磁场对包囊存活的影响,将包囊暴露在磁场中一周,光镜下伊红染色为0.1%。结果:磁场对水中贾第鞭毛虫囊体有较好的吸附作用,不同天数的贾第鞭毛虫囊体存活率无显著变化(P≥0.05)。结论:所设计的磁系统可强化分离贾第鞭毛虫囊,经济、对水体无化学影响。
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引用次数: 0
The Fifth Generation University: Based on the Quintuple Helix of Carayannis and Campbell 第五代大学:基于Carayannis和Campbell的五重螺旋
Pub Date : 2020-06-01 DOI: 10.52547/ismj.23.2.165
I. Nabipour
The quintuple helix innovation model has been introduced by E.G. Carayannis and F.J. Campbell. The natural environments of society and the economy are major drivers of this innovation model. The third generation university (the convergence of government, industry and university), the fourth generation universities (the convergence of government, industry, university and civil society) and the fifth generation university (the convergence of government, industry, university, civil society and bio-environment) perform within Triple Helix, Quadruple Helix and Quintuple Helix models, respectively. According to the viewpoints of Carayannis and Campbell, the cardinal characteristics of the fifth generation university could be conceptualized as a knowledge-based innovation system which is sensitive to natural environment of society, produces knowledge within the mode 3 knowledge production framework, supports co-evolution and co-existence of different knowledge paradigms, shapes co-opetitive ecosystem for knowledge management and promotes knowledge democracy.
Carayannis和F.J. Campbell提出了五螺旋创新模型。社会和经济的自然环境是这种创新模式的主要驱动力。第三代大学(政府、产业和大学的融合)、第四代大学(政府、产业、大学和公民社会的融合)和第五代大学(政府、产业、大学、公民社会和生物环境的融合)分别在三螺旋、四螺旋和五螺旋模式下运行。根据Carayannis和Campbell的观点,第五代大学的基本特征可以定义为对社会自然环境敏感、在模式3知识生产框架内生产知识、支持不同知识范式的协同进化和共存、形成合作竞争的知识管理生态系统和促进知识民主的知识创新系统。
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引用次数: 3
Predictor Factors of Recycling Behavior in Residents of Bushehr City: Application of Theo-ry of Planned Behavior 布什尔市居民回收行为的预测因素:计划行为理论的应用
Pub Date : 2020-06-01 DOI: 10.52547/ismj.23.2.116
Sahar Haghighatjoo, Aida Asgari, R. Tahmasebi, A. Noroozi
Background: Recycling is one of the most important measures to manage the municipal solid waste. In order to design a training program, it is necessary to identify the factors that influence behavior. Therefore, the present study aimed to investigate the predictive factors of recycling behavior among residents of Bushehr city based on the extended theory of planned behavior. Materials and Methods: In this cross-sectional study, 582 people were selected through convenience sampling method. A questionnaire with items on demographic characteristics, extended theory of planned behavior, and recycling behavior was used for data collection. The collected data were analyzed by SPSS software version 20. Results: In this study, 221 participants (38%) adhered to recycling behavior. There was a significant relationship between knowledge of waste collection program (P<0.001), receiving recycling incentive packages (p=0.003), and recycling waste disposal vehicles (p= 0/001) with recycling behavior. Past behavior (OR=0.229, P<0.001), and descriptive norms (OR=1.187, P=0.003) were predictive of recycling behavior. Conclusion: The results of the present study indicate that regular refuse collection vehicles, providing environmental facilities including incentive packages, and informing citizens about the schedule of refuse collection vehicles can lead to recycling behavior. Also, friends, relatives, and family are role models for other members by establishing norms and are effective in promoting recycling behavior. Having a positive experience of a behavior is necessary for its maintenance.
背景:回收利用是城市生活垃圾管理的重要措施之一。为了设计培训计划,有必要确定影响行为的因素。因此,本研究旨在基于扩展的计划行为理论,探讨布什尔市居民回收行为的预测因素。材料与方法:本横断面研究采用方便抽样法,选取582人。采用人口统计学特征、扩展计划行为理论和回收行为问卷进行数据收集。收集的数据采用SPSS软件第20版进行分析。结果:在本研究中,221名参与者(38%)坚持回收行为。垃圾收集计划知识(P<0.001)、接受回收奖励(P =0.003)、回收垃圾处理车辆(P = 0/001)与回收行为之间存在显著相关。过去行为(OR=0.229, P<0.001)和描述性规范(OR=1.187, P=0.003)可预测回收行为。结论:本研究结果表明,固定的垃圾收集车辆、提供包括奖励在内的环境设施、告知市民垃圾收集车辆的时间表可以促进市民的回收行为。此外,朋友、亲戚和家人是其他成员的榜样,通过建立规范和有效地促进回收行为。对一种行为有积极的体验是维持这种行为的必要条件。
{"title":"Predictor Factors of Recycling Behavior in Residents of Bushehr City: Application of Theo-ry of Planned Behavior","authors":"Sahar Haghighatjoo, Aida Asgari, R. Tahmasebi, A. Noroozi","doi":"10.52547/ismj.23.2.116","DOIUrl":"https://doi.org/10.52547/ismj.23.2.116","url":null,"abstract":"Background: Recycling is one of the most important measures to manage the municipal solid waste. In order to design a training program, it is necessary to identify the factors that influence behavior. Therefore, the present study aimed to investigate the predictive factors of recycling behavior among residents of Bushehr city based on the extended theory of planned behavior. Materials and Methods: In this cross-sectional study, 582 people were selected through convenience sampling method. A questionnaire with items on demographic characteristics, extended theory of planned behavior, and recycling behavior was used for data collection. The collected data were analyzed by SPSS software version 20. Results: In this study, 221 participants (38%) adhered to recycling behavior. There was a significant relationship between knowledge of waste collection program (P<0.001), receiving recycling incentive packages (p=0.003), and recycling waste disposal vehicles (p= 0/001) with recycling behavior. Past behavior (OR=0.229, P<0.001), and descriptive norms (OR=1.187, P=0.003) were predictive of recycling behavior. Conclusion: The results of the present study indicate that regular refuse collection vehicles, providing environmental facilities including incentive packages, and informing citizens about the schedule of refuse collection vehicles can lead to recycling behavior. Also, friends, relatives, and family are role models for other members by establishing norms and are effective in promoting recycling behavior. Having a positive experience of a behavior is necessary for its maintenance.","PeriodicalId":14583,"journal":{"name":"Iranian South Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43103172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Qualitaty of Olfaction in Patients with Nasal and Sinuses Polyposis before and after Endo-scopic Sinus Surgery in, Vali e Asr Hospital in 2017 2017年Vali e Asr医院鼻内镜鼻窦手术前后鼻息肉患者的嗅觉质量
Pub Date : 2020-06-01 DOI: 10.52547/ismj.23.2.108
M. Asghari, M. Bakhshai
Background: Olfaction plays an important role in human life and promotes quality of life through under-standing various odors. Nasal polyps are among the common causes of olfactory impairment. There are many different treatment options for polyps most notably the diagnosis and elimination of underlying causes. Some polyps do not respond to medication therapy or they relapse, and therefore require surgery. The present study aimed to determine olfactory function in patients with sinus and nasal polyposis before and after endoscopy. Materials and Methods: In this cross-sectional study, patients admitted to, Vali e Asr Hospital of Birjand in 2015 for endoscopic nasal polypectomy were included. Evaluation of olfactory quality was performed prior to and four weeks after the surgery. Olfactory function was evaluated by a semi-structured questionnaire on the quality of olfactory, taste and appetite combined with the Quick Odor Detection test. Data was analyzed in SPSS 23 software using descriptive statistics of frequency, perentage, mean and stand-ard deviation, and analytical statistics of McNemar’s and Wilcoxon tests. P value of <0.05 was considered significant. Results: Thirty-six patients were enrolled. All patients underwent endoscopic polypectomy. Their mean age was 39.14±11.69 years. Most of them were male (n=21, 58.3%). History of nasal polyps, asthma, allergic rhinitis and aspirin sensitivity was positive in 27.8%, 11.1%, 47.2% and 27.8% of patients. Nasal polyps were unilateral in 58.3% of patients and bilateral in 41.7% of patients. There was a significant improvement in olfactory quality after surgery (p<0.001). The sense of smell was present in 75% or the patients before and in 100% of them after the surgery, and the difference was statistically significant (p=0.004). Conclusion: Olfactory dysfunction in patients with polyps is remarkably prevalent. Overall, the results of this study show polypectomy significantly improved patients’ sense and quality of smell.
背景:嗅觉在人类生活中扮演着重要的角色,通过对各种气味的了解来提高生活质量。鼻息肉是嗅觉障碍的常见原因之一。息肉有许多不同的治疗选择,最显著的是诊断和消除潜在的原因。有些息肉对药物治疗无效或复发,因此需要手术治疗。本研究旨在确定鼻窦和鼻息肉患者在内镜检查前后的嗅觉功能。材料与方法:本横断面研究纳入2015年在Birjand Vali e Asr医院行内镜下鼻息肉切除术的患者。嗅觉质量评估在手术前和手术后四周进行。嗅觉功能评估采用半结构化的嗅觉、味觉和食欲质量问卷,并结合快速气味检测测试。采用SPSS 23软件进行数据分析,采用频率、百分比、均值、标准差描述性统计及McNemar检验和Wilcoxon检验的分析统计。P值<0.05。结果:36例患者入组。所有患者均行内镜下息肉切除术。平均年龄39.14±11.69岁。以男性居多(n=21, 58.3%)。鼻息肉史、哮喘史、变应性鼻炎史和阿司匹林敏感性史分别为27.8%、11.1%、47.2%和27.8%。单侧鼻息肉占58.3%,双侧鼻息肉占41.7%。术后嗅觉质量有显著改善(p<0.001)。术前75%的患者嗅觉正常,术后100%嗅觉正常,差异有统计学意义(p=0.004)。结论:嗅觉功能障碍在息肉患者中非常普遍。总体而言,本研究结果显示息肉切除术显著改善了患者的感觉和嗅觉质量。
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引用次数: 0
Detection of Heavy Metals Resistance Genes and Effects of Iron Nanoparticles on the Gene Expression in Pseudomonas Aeruginosa Using Real-Time PCR 实时PCR检测铜绿假单胞菌重金属抗性基因及铁纳米粒子对基因表达的影响
Pub Date : 2020-03-01 DOI: 10.52547/ismj.23.1.1
Marzeah Rostami, K. Amini, B. Kheirkhah
Background: Heavy metals enter the environment through industrial activities and contaminate natural ecosystems. Identification of heavy metal-resistant bacteria plays an important role in environmental pollution and ultimately cleansing it. Therefore, the aim of the present study was to isolate the resistant genes of Pseudomonas aeruginosa and the effects of nanoparticles on gene expression using real-time PCR. Materials and Methods In this descriptive cross-sectional study, 60 isolates of P. aeruginosa were studied. Frequency of czr gene was determined by PCR. Also, the effects of iron nanoparticles on czr gene expression were evaluated by real-time PCR after RNA extraction. Results: In this study, 25 isolates were carriers of czr gene. Also, iron nanoparticles could reduce the expression of the heavy metal resistance gene in P. aeruginosa in vitro. Conclusion: This study showed that the resistance of different species of P. aeruginosa to the heavy metal cadmium is different.
背景:重金属通过工业活动进入环境,污染自然生态系统。重金属耐药菌的鉴定在环境污染和最终净化中起着重要作用。因此,本研究的目的是利用实时PCR分离铜绿假单胞菌的耐药基因以及纳米颗粒对基因表达的影响。材料和方法在这项描述性横断面研究中,对60株铜绿假单胞菌进行了研究。用聚合酶链式反应测定了czr基因的频率。此外,在提取RNA后,通过实时PCR评估了铁纳米颗粒对czr基因表达的影响。结果:25株分离株为czr基因携带者。此外,铁纳米颗粒可以在体外降低铜绿假单胞菌中重金属抗性基因的表达。结论:不同种类的铜绿假单胞菌对重金属镉的抗性不同。
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引用次数: 0
Effective Dose of Radiation in Diagnostic and Interventional Cardiac Angiography among Pediatrics and Adolescents in Hospitals of Shiraz University of Medical Sciences versus Other Radiology Devices 设拉子医科大学附属医院儿科和青少年心脏血管造影诊断和介入的有效辐射剂量与其他放射设备的比较
Pub Date : 2020-03-01 DOI: 10.52547/ismj.23.1.27
M. Edraki, E. Karimi, H. Amoozgar, Mohammad Reza Navaeifar
Background: Cardiac catheterization and angiography are diagnostic and therapeutic imaging modalities that produce the highest X-ray radiation, which might impose lifelong risks to patients. This study aimed to evaluate radiation burden among children and adolescents with congenital heart diseases, who underwent cardiac catheterization and angiography. Then the results were compared with other imaging modalities. Materials and Methods: In this prospective study, children and adolescents with congenital heart diseases were consecutively evaluated from April 2017 till November 2017. This research was designed in Namazi and Faghihi teaching hospitals affiliated to Shiraz University of Medical Sciences, Shiraz, Iran. In addition to the basic data and total radiation time, effective dose and dose area product were assessed for each patient. Results: We enrolled 148 consecutive patients under 18 years old, who underwent 36 diagnostic and 112 interventional cardiac catheterizations. Effective dose was 50.23 mGy in the diagnostic catheterizations, and 48.39 mGy in the interventional angiographies. Also the dose area product was 427/28 mGy.cm 2 in the diagnostic catheterizations, and 476.62 mGy.cm 2 in the interventional angiography. The most time-consuming cine fluoroscopy pertained to ventricular septal defect closure and (11.67 seconds) and the most effective dose and dose area product pertained to the same procedure, as well (68,514 mGy and 623,843 mGy.cm 2 respectively). Conclusion: Effective dose and dose area product in cardiac catheterization were desirable, and some previous studies revealed that carcinogenic effect of X-ray radiation is more prominent when effective dose is more than 70-100 mGy. Thus the effective dose might not cause hazardous outcomes if other x ray modalities are not frequently requested for them in future.
背景:心导管和血管造影是诊断和治疗成像方式,产生最高的x射线辐射,这可能对患者造成终身风险。本研究旨在评估接受心导管和血管造影治疗的先天性心脏病儿童和青少年的辐射负担。然后将结果与其他成像方式进行比较。材料与方法:本前瞻性研究于2017年4月至2017年11月对患有先天性心脏病的儿童和青少年进行连续评估。本研究在伊朗设拉子医学院附属的Namazi和Faghihi教学医院设计。除基本资料和总辐射时间外,还评估了每位患者的有效剂量和剂量面积积。结果:我们招募了148名18岁以下的连续患者,他们接受了36例诊断性心导管和112例介入性心导管。诊断导管有效剂量为50.23 mGy,介入血管造影有效剂量为48.39 mGy。剂量面积积为427/28毫戈瑞。诊断导尿cm 2, 476.62 mGy。介入血管造影中的cm2。在室间隔缺损闭合术中,胶片透视时间最长(11.67秒),同一手术的最有效剂量和剂量面积积也最长(68,514 mGy和623,843 mGy)。厘米2)。结论:心导管的有效剂量和剂量面积积是可取的,已有研究表明,x线辐射的致癌作用在有效剂量大于70-100 mGy时更为突出。因此,如果今后不经常要求使用其他x射线方式,有效剂量可能不会造成危险后果。
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引用次数: 0
Effectiveness of Treatment Based on Acceptance and Commitment Therapy versus Training Coping Strategies on Anxiety and Despair of Mothers of Children with Autistic Spectrum Disorder 接受和承诺治疗与训练应对策略对自闭症谱系障碍患儿母亲焦虑和绝望的有效性
Pub Date : 2020-03-01 DOI: 10.52547/ismj.23.1.56
M. Rostami, Moulod Keykhosrovani, Ali Poladi Rishehri, Mohammadreza Bahrani
Background: The birth of a child with authistic spectrum disorder is a challenge to the family, especially to mothers. The purpose of this research was to compare the effectiveness of acceptance commitment therapy and coping strategies in decreasing anxiety and despair in mothers of children with autism. Materials and Methods: This qausi-experimental multigroup pre-test, post-test design with a control group enrolled 30 mothers of children with autism who were being treated in teaching-treatment centers of Booshehr city using convenience sampling. They were randomly classified into three groups. The experimental groups participated in eight sessions of 90 minutes in 8 weeks, while the control group did not receive any interventions. Beck Anxiety Inventory and Beck Hopelessness Scale were used to collect research data. The collected data were analyzed by multivariate analysis of covariance and Tukey post hoc test. Results: Results showed that acceptance commitment therapy and training coping strategies significantly decreased anxiety and despair in mothers in the experimental groups compared to those in the control group (p<0.01), but the decrease was not significant in the follow-up stage. Tukey's test showed acceptance commitment therapy was significantly more effective for anxiety than training coping strategies in the post-test (p<0.01). Conclusion: Our findings showed that both treatments were effective in decreasing anxiety and despair. Hence, therapists can use these two therapeutic and training approaches, especially acceptance commitment therapy, which is a new wave of cognitive – behavioral therapy.
背景:一个患有自闭症谱系障碍的孩子的出生对家庭来说是一个挑战,尤其是对母亲来说。本研究的目的是比较接受承诺疗法和应对策略在减少自闭症儿童母亲焦虑和绝望方面的有效性。材料和方法:采用方便抽样的方法,对30名在博舍尔市教学治疗中心接受治疗的自闭症儿童的母亲进行了qausi实验性多组前测、后测设计和对照组。他们被随机分为三组。实验组在8周内参加了8次90分钟的会议,而对照组没有接受任何干预。采用贝克焦虑量表和贝克无望量表收集研究数据。通过协方差的多变量分析和Tukey事后检验对收集的数据进行分析。结果:与对照组相比,接受承诺治疗和训练应对策略显著降低了实验组母亲的焦虑和绝望情绪(p<0.01),但在随访阶段没有显著降低。Tukey测试显示,接受承诺治疗对焦虑的效果显著高于测试后训练应对策略(p<0.01)。结论:我们的研究结果表明,这两种治疗方法都能有效降低焦虑和绝望。因此,治疗师可以使用这两种治疗和训练方法,尤其是接受承诺疗法,这是一种新的认知-行为疗法。
{"title":"Effectiveness of Treatment Based on Acceptance and Commitment Therapy versus Training Coping Strategies on Anxiety and Despair of Mothers of Children with Autistic Spectrum Disorder","authors":"M. Rostami, Moulod Keykhosrovani, Ali Poladi Rishehri, Mohammadreza Bahrani","doi":"10.52547/ismj.23.1.56","DOIUrl":"https://doi.org/10.52547/ismj.23.1.56","url":null,"abstract":"Background: The birth of a child with authistic spectrum disorder is a challenge to the family, especially to mothers. The purpose of this research was to compare the effectiveness of acceptance commitment therapy and coping strategies in decreasing anxiety and despair in mothers of children with autism. Materials and Methods: This qausi-experimental multigroup pre-test, post-test design with a control group enrolled 30 mothers of children with autism who were being treated in teaching-treatment centers of Booshehr city using convenience sampling. They were randomly classified into three groups. The experimental groups participated in eight sessions of 90 minutes in 8 weeks, while the control group did not receive any interventions. Beck Anxiety Inventory and Beck Hopelessness Scale were used to collect research data. The collected data were analyzed by multivariate analysis of covariance and Tukey post hoc test. Results: Results showed that acceptance commitment therapy and training coping strategies significantly decreased anxiety and despair in mothers in the experimental groups compared to those in the control group (p<0.01), but the decrease was not significant in the follow-up stage. Tukey's test showed acceptance commitment therapy was significantly more effective for anxiety than training coping strategies in the post-test (p<0.01). Conclusion: Our findings showed that both treatments were effective in decreasing anxiety and despair. Hence, therapists can use these two therapeutic and training approaches, especially acceptance commitment therapy, which is a new wave of cognitive – behavioral therapy.","PeriodicalId":14583,"journal":{"name":"Iranian South Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49305912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Iranian South Medical Journal
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