Pub Date : 2022-01-01DOI: 10.4103/iahs.iahs_163_21
A. Khorshidi, N. Zadeh, A. Khaledi, G. Moosavi, Ali Shakerimoghaddam, Azade Matinpur
Aims: This study aimed to investigate class 1 integrons and biofilm formation in multi-drug resistance (MDR) Uropathogenic Escherichia coli (UPEC) isolated from patients with urinary tract infection (UTI). Materials and Methods: Three hundred and eighty positive cultures were collected from patients with UTI referred to Shohadaye Qom hospital from 2018 to 2019. Suitable tests were done to diagnose UPEC, and confirmed by usp gene polymerase chain reaction (PCR). Antibiotic susceptibility testing was performed using Kirby Bauer disk diffusion. Analysis of biofilm production was conducted using microtiter plate assay. Next, the presence of Class 1 integrons and dfr-17 gene was surveyed by PCR. Data analyzed using Chi-squared and Fisher's exact tests in SPSS software, P < 0.05 was considered statistically significant. Findings: In total, 166 isolates of UPEC were retrieved. Among them, 120 isolates were MDR. The highest resistance of MDRs was observed against ampicillin. Among MDRs, 71, 18, 15, and 16 isolates were negative, weak, moderate, and strong biofilm producers, respectively. Meanwhile, 47.5% of the isolates were positive for int-1 gene and 25.8% of the isolates were positive for dfr-17-gene cassette. Out of 57 int-1 positive MDRs, 15 isolates (26.3%) showed strong biofilm which indicated a significant correlation (P < 0.001). Furthermore, among 31 MDRs with the positive dfr-17, 8 isolates (25.8%) had strong biofilm which statistically was significant (P < 0.001). Conclusion: The present study reported a significant correlation between cassettes genes, Class 1 integrons, and biofilm formation with antibiotic resistance pattern. Hence, continuous screening for antibiotics resistance is vital for infection control and prevention.
{"title":"Investigation of class 1 integrons and biofilm formation in multi-drug resistance uropathogenic Escherichia coli isolated from patients with urinary tract infection in Shohadaye Qom hospital, Iran","authors":"A. Khorshidi, N. Zadeh, A. Khaledi, G. Moosavi, Ali Shakerimoghaddam, Azade Matinpur","doi":"10.4103/iahs.iahs_163_21","DOIUrl":"https://doi.org/10.4103/iahs.iahs_163_21","url":null,"abstract":"Aims: This study aimed to investigate class 1 integrons and biofilm formation in multi-drug resistance (MDR) Uropathogenic Escherichia coli (UPEC) isolated from patients with urinary tract infection (UTI). Materials and Methods: Three hundred and eighty positive cultures were collected from patients with UTI referred to Shohadaye Qom hospital from 2018 to 2019. Suitable tests were done to diagnose UPEC, and confirmed by usp gene polymerase chain reaction (PCR). Antibiotic susceptibility testing was performed using Kirby Bauer disk diffusion. Analysis of biofilm production was conducted using microtiter plate assay. Next, the presence of Class 1 integrons and dfr-17 gene was surveyed by PCR. Data analyzed using Chi-squared and Fisher's exact tests in SPSS software, P < 0.05 was considered statistically significant. Findings: In total, 166 isolates of UPEC were retrieved. Among them, 120 isolates were MDR. The highest resistance of MDRs was observed against ampicillin. Among MDRs, 71, 18, 15, and 16 isolates were negative, weak, moderate, and strong biofilm producers, respectively. Meanwhile, 47.5% of the isolates were positive for int-1 gene and 25.8% of the isolates were positive for dfr-17-gene cassette. Out of 57 int-1 positive MDRs, 15 isolates (26.3%) showed strong biofilm which indicated a significant correlation (P < 0.001). Furthermore, among 31 MDRs with the positive dfr-17, 8 isolates (25.8%) had strong biofilm which statistically was significant (P < 0.001). Conclusion: The present study reported a significant correlation between cassettes genes, Class 1 integrons, and biofilm formation with antibiotic resistance pattern. Hence, continuous screening for antibiotics resistance is vital for infection control and prevention.","PeriodicalId":160562,"journal":{"name":"International Archives of Health Sciences","volume":"75 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125450448","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}
Pub Date : 2022-01-01DOI: 10.4103/iahs.iahs_175_21
H. Mehryar, N. Alizadeh, Fatemeh Rostampour, S. Paryab, Sattar Bab, O. Garkaz
Aims: Traffic accidents are one of the major causes of death and disability worldwide. The aim of this study was to determine the causes of road accidents in northwestern Iran in the period of 2010–2018. Materials and Methods: This cross-sectional study was performed on all road traffic accidents recorded by traffic police of West Azerbaijan Province during 2010–2018. Data were analyzed using descriptive statistics, Chi-square t-test, and time series by SPSS 16. Results: A total of 95,788 registered accidents were included in the study. Most of the accidents were in September with the frequency of 9960 cases (10.4%), in residential, office, and industrial regions 58,550 (56%), by cars and taxi 80,949 (66%), in collisions between a vehicle with a bicycle and a motorcycle 56,728 (58%), in front-to-rear and right-side crashes 49,714 (47%), in rural and main roads 59,855 (62%), in clean weather 73,887 (73%), and on Thursday 14891 (15%); the occurrence of traffic accidents showed a significant relationship with all of these variables (P = 0.001). Conclusions: Month of accident, type of accident, day of the week, location of accident, use of vehicle, type of collision, mode of collision, accident path, and weather were the effective factors contributing in the occurrence of the traffic accidents. It is suggested that, in addition to educating people regarding the prevention of traffic accidents, policymakers take steps to improve the safety and standardization of roads and increase the safety of vehicles.
{"title":"Causes of road accidents in northwestern iran in the period 2010–2018","authors":"H. Mehryar, N. Alizadeh, Fatemeh Rostampour, S. Paryab, Sattar Bab, O. Garkaz","doi":"10.4103/iahs.iahs_175_21","DOIUrl":"https://doi.org/10.4103/iahs.iahs_175_21","url":null,"abstract":"Aims: Traffic accidents are one of the major causes of death and disability worldwide. The aim of this study was to determine the causes of road accidents in northwestern Iran in the period of 2010–2018. Materials and Methods: This cross-sectional study was performed on all road traffic accidents recorded by traffic police of West Azerbaijan Province during 2010–2018. Data were analyzed using descriptive statistics, Chi-square t-test, and time series by SPSS 16. Results: A total of 95,788 registered accidents were included in the study. Most of the accidents were in September with the frequency of 9960 cases (10.4%), in residential, office, and industrial regions 58,550 (56%), by cars and taxi 80,949 (66%), in collisions between a vehicle with a bicycle and a motorcycle 56,728 (58%), in front-to-rear and right-side crashes 49,714 (47%), in rural and main roads 59,855 (62%), in clean weather 73,887 (73%), and on Thursday 14891 (15%); the occurrence of traffic accidents showed a significant relationship with all of these variables (P = 0.001). Conclusions: Month of accident, type of accident, day of the week, location of accident, use of vehicle, type of collision, mode of collision, accident path, and weather were the effective factors contributing in the occurrence of the traffic accidents. It is suggested that, in addition to educating people regarding the prevention of traffic accidents, policymakers take steps to improve the safety and standardization of roads and increase the safety of vehicles.","PeriodicalId":160562,"journal":{"name":"International Archives of Health Sciences","volume":"80 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125966784","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}
Pub Date : 2022-01-01DOI: 10.4103/iahs.iahs_201_21
Mahshad Soltanian, M. Barekatain, S. Farhad, Mina Etemad
Aims: Applying mouthwash has an important role in reducing caries when compared to other prevention methods. The purpose of this study is to compare saliva pH and plaque index before and after using chlorhexidine mouthwash and a mouthwash with green tea extract. Materials and Methods: Forty dental students were randomly assigned to two groups (chlorhexidine and green tea mouthwash). A week before research getting started and during that, the students were asked to use normal diet and Bass brushing method. Salivary pH and plaque index of the participants were measured before, 1 week, and also 2 weeks after the use of mouth washes. Then, the data were analyzed based on Friedman, Mann–Whitney, and repeated-measures ANOVA tests. Results: The mean pH was significantly different in the three times of 1 week prior, during, and 2 week after the treatment for the green tea group (P = 0.01). However, there was no significant difference in the chlorhexidine group (P = 0.211). The mean of new plaque in both chlorhexidine green tea groups was significant (P < 0.001). The mean of plaque formation at <48 h in chlorhexidine and in green tea was both significant (P < 0.001). Conclusion: The effect of chlorhexidine mouthwash and green tea on salivary pH and plaque index was the same in a week. However, the effect of green tea was more than that of chlorhexidine in a 3-week application.
{"title":"Evaluation effect of chlorhexidine and green tea mouthwash on saliva pH and plaque index","authors":"Mahshad Soltanian, M. Barekatain, S. Farhad, Mina Etemad","doi":"10.4103/iahs.iahs_201_21","DOIUrl":"https://doi.org/10.4103/iahs.iahs_201_21","url":null,"abstract":"Aims: Applying mouthwash has an important role in reducing caries when compared to other prevention methods. The purpose of this study is to compare saliva pH and plaque index before and after using chlorhexidine mouthwash and a mouthwash with green tea extract. Materials and Methods: Forty dental students were randomly assigned to two groups (chlorhexidine and green tea mouthwash). A week before research getting started and during that, the students were asked to use normal diet and Bass brushing method. Salivary pH and plaque index of the participants were measured before, 1 week, and also 2 weeks after the use of mouth washes. Then, the data were analyzed based on Friedman, Mann–Whitney, and repeated-measures ANOVA tests. Results: The mean pH was significantly different in the three times of 1 week prior, during, and 2 week after the treatment for the green tea group (P = 0.01). However, there was no significant difference in the chlorhexidine group (P = 0.211). The mean of new plaque in both chlorhexidine green tea groups was significant (P < 0.001). The mean of plaque formation at <48 h in chlorhexidine and in green tea was both significant (P < 0.001). Conclusion: The effect of chlorhexidine mouthwash and green tea on salivary pH and plaque index was the same in a week. However, the effect of green tea was more than that of chlorhexidine in a 3-week application.","PeriodicalId":160562,"journal":{"name":"International Archives of Health Sciences","volume":"83 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132696841","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}
Pub Date : 2022-01-01DOI: 10.4103/iahs.iahs_120_20
M. Sayyah, Faeze Tohiditabar, Mohammmad Pourabbasi
Aim: The aim of this study is to study the frequency of sudden death in sports from the year 2004–2020 in the city of Kashan, Iran. Materials and Methods: This case series research included fatal sports injuries from the years 2004 to year 2020. Anecdotal data were collected by interviewing different sports organizations and close relatives of the victims. Result: The result of descriptive analysis of collected data showed that 17 cases of sudden sports death occurred during the years 2004 until 2020. The highest frequency of the cases occurred in mountain claiming with 9 (52.9%), followed by swimming with 3 (17.6%), and handball with 2 (11.8%), horse riding 1 (5.9%), basketball 1 (5.9%), and martial arts 1 (5.9%). All the analysis was performed using the SPSS: pc version 21. Conclusion: Fatal sports injuries are rare; however, they occur incidentally due to poor knowledge and education of the sport participants. It was concluded that nearly all fatal incidents were preventable.
目的:本研究的目的是研究2004-2020年伊朗卡尚市体育运动中猝死的频率。材料和方法:本研究包括2004年至2020年的致命性运动损伤病例系列研究。通过采访不同的体育组织和受害者的近亲收集了轶事数据。结果:对收集的资料进行描述性分析，2004 ~ 2020年共发生17例运动猝死。以山地运动发病最多，为9例(52.9%)，其次为游泳3例(17.6%)，手球2例(11.8%)，骑马1例(5.9%)，篮球1例(5.9%)，武术1例(5.9%)。所有分析均使用SPSS: pc version 21进行。结论:致死性运动损伤罕见;然而，由于运动参与者缺乏知识和教育，它们偶然发生。结论是，几乎所有的致命事故都是可以避免的。
{"title":"Case series of sudden death in sports from the year 2004 to 2020 in the city of Kashan, Iran: An education prospective","authors":"M. Sayyah, Faeze Tohiditabar, Mohammmad Pourabbasi","doi":"10.4103/iahs.iahs_120_20","DOIUrl":"https://doi.org/10.4103/iahs.iahs_120_20","url":null,"abstract":"Aim: The aim of this study is to study the frequency of sudden death in sports from the year 2004–2020 in the city of Kashan, Iran. Materials and Methods: This case series research included fatal sports injuries from the years 2004 to year 2020. Anecdotal data were collected by interviewing different sports organizations and close relatives of the victims. Result: The result of descriptive analysis of collected data showed that 17 cases of sudden sports death occurred during the years 2004 until 2020. The highest frequency of the cases occurred in mountain claiming with 9 (52.9%), followed by swimming with 3 (17.6%), and handball with 2 (11.8%), horse riding 1 (5.9%), basketball 1 (5.9%), and martial arts 1 (5.9%). All the analysis was performed using the SPSS: pc version 21. Conclusion: Fatal sports injuries are rare; however, they occur incidentally due to poor knowledge and education of the sport participants. It was concluded that nearly all fatal incidents were preventable.","PeriodicalId":160562,"journal":{"name":"International Archives of Health Sciences","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123283059","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}
Pub Date : 2021-10-01DOI: 10.4103/iahs.iahs_161_21
H. Kassiri, M. Yousefi
Aims: The current study aimed to study the scorpion ecology and fauna of Masjed-Soleyman County, southwestern Iran to manage scorpion sting-related problems during 2016–2017. Materials and Methods: Scorpions were collected from different localities of Masjed-Soleyman using rock-rolling, digging the ground, Ultra Violet flashlight, pouring water in holes, and ordinary flashlight methods. The collected scorpions were placed to 70% alcohol. Morphological studies were completed under a stereomicroscope. The scorpion species were identified using diagnostic valid key for the Iranian scorpions. Results: Out of the 318 collected scorpions, 10 species from three families, buthidae (71.1%), scorpionidae (2.2%), and hemiscorpiidae (26.7%) were identified. The most abundant species were Androctonus crassicauda (32.4%), Hemiscorpius lepturus (26.7%), and Mesobuthus phillipsii (21.4%). The females were the dominant sex, i.e., 1.7:1 (F/M) sex ratio. The highest number of scorpions were caught in August (27.7%). The highest abundant of scorpions were collected in summer (65.7%). Furthermore, the majority of specimens were hunted through of ultraviolet flashlight (44.4%). The most abundant scorpions were caught in animal husbandry (23.6%). Conclusion: Because treatment of the patients who received stings should be managed according to the kind of their venom and the scorpion species, it is important for planning treatment and prevention according to the species composition of scorpions of each region.
{"title":"Ecology and species composition of scorpions (Arachnida, Scorpiones) in Masjed-Soleyman County, Southwestern Iran","authors":"H. Kassiri, M. Yousefi","doi":"10.4103/iahs.iahs_161_21","DOIUrl":"https://doi.org/10.4103/iahs.iahs_161_21","url":null,"abstract":"Aims: The current study aimed to study the scorpion ecology and fauna of Masjed-Soleyman County, southwestern Iran to manage scorpion sting-related problems during 2016–2017. Materials and Methods: Scorpions were collected from different localities of Masjed-Soleyman using rock-rolling, digging the ground, Ultra Violet flashlight, pouring water in holes, and ordinary flashlight methods. The collected scorpions were placed to 70% alcohol. Morphological studies were completed under a stereomicroscope. The scorpion species were identified using diagnostic valid key for the Iranian scorpions. Results: Out of the 318 collected scorpions, 10 species from three families, buthidae (71.1%), scorpionidae (2.2%), and hemiscorpiidae (26.7%) were identified. The most abundant species were Androctonus crassicauda (32.4%), Hemiscorpius lepturus (26.7%), and Mesobuthus phillipsii (21.4%). The females were the dominant sex, i.e., 1.7:1 (F/M) sex ratio. The highest number of scorpions were caught in August (27.7%). The highest abundant of scorpions were collected in summer (65.7%). Furthermore, the majority of specimens were hunted through of ultraviolet flashlight (44.4%). The most abundant scorpions were caught in animal husbandry (23.6%). Conclusion: Because treatment of the patients who received stings should be managed according to the kind of their venom and the scorpion species, it is important for planning treatment and prevention according to the species composition of scorpions of each region.","PeriodicalId":160562,"journal":{"name":"International Archives of Health Sciences","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130210433","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}
Leyla Bahadorizadeh, S. Fard, A. Behnagh, Seyed Hashemi Kiapey, S. Saneii, S. Minaeian
Aims: The aim of this study was to determine the mortality risk factors of hospitalized moderate-to-severe coronavirus disease 2019 (COVID-19) patients in Tehran. Materials and Methods: We retrospectively evaluated the baseline characteristics and clinical and paraclinical parameters of 223 deceased and discharged patients who were hospitalized in Firoozabadi General Hospital between March 1 and April 1, 2020. Results: According to our multiple logistic regression model, advanced age (odds ratio [OR], 1.06; 95% confidence interval [CI], 1.02–1.09; P < 0.01), reduced oxygen saturation (OR, 0.92; 95% CI, 0.87–0.96; P < 0.01), and hypertension (OR, 2.59; 95% CI, 1.04–6.46; P = 0.04) can be perceived as independent risk factors for mortality. Conclusion: Our results suggest that patients with older age, lower oxygen saturation, and hypertension are predisposed to an increased risk of mortality. Thus, to lower the COVID-19 mortality rates, patients with these characteristics should be the primary targets for early treatment, vaccination, or monitoring strategies.
{"title":"Risk factors for mortality in hospitalized moderate-to-severe COVID-19 patients: A single-center retrospective study","authors":"Leyla Bahadorizadeh, S. Fard, A. Behnagh, Seyed Hashemi Kiapey, S. Saneii, S. Minaeian","doi":"10.4103/iahs.iahs_66_21","DOIUrl":"https://doi.org/10.4103/iahs.iahs_66_21","url":null,"abstract":"Aims: The aim of this study was to determine the mortality risk factors of hospitalized moderate-to-severe coronavirus disease 2019 (COVID-19) patients in Tehran. Materials and Methods: We retrospectively evaluated the baseline characteristics and clinical and paraclinical parameters of 223 deceased and discharged patients who were hospitalized in Firoozabadi General Hospital between March 1 and April 1, 2020. Results: According to our multiple logistic regression model, advanced age (odds ratio [OR], 1.06; 95% confidence interval [CI], 1.02–1.09; P < 0.01), reduced oxygen saturation (OR, 0.92; 95% CI, 0.87–0.96; P < 0.01), and hypertension (OR, 2.59; 95% CI, 1.04–6.46; P = 0.04) can be perceived as independent risk factors for mortality. Conclusion: Our results suggest that patients with older age, lower oxygen saturation, and hypertension are predisposed to an increased risk of mortality. Thus, to lower the COVID-19 mortality rates, patients with these characteristics should be the primary targets for early treatment, vaccination, or monitoring strategies.","PeriodicalId":160562,"journal":{"name":"International Archives of Health Sciences","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128838942","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}
Pub Date : 2021-10-01DOI: 10.4103/iahs.iahs_139_21
M. Asadizaker, A. Ebadi, Shahram Molavynejad, S. Yadollahi
Aims: Given the wide cultural diversity of patients in the current world, nurses need to have great cultural competence. This study aimed to explore the concept of cultural competence in Iranian nurses. Materials and Methods: This qualitative study was conducted in 2017–2018 using Graneheim and Lundman's approach to qualitative content analysis. A purposeful sample of eighteen clinical nurses was recruited with maximum variation from hospitals of Isfahan and Ahvaz, Iran. Data were collected through eighteen semistructured interviews and simultaneously analyzed through directed content analysis. Findings: Data analysis resulted in the formation of thirteen subcategories which were respectively grouped into the four categories of cultural cognition (cultural awareness, cultural knowledge, and cultural insight), cultural care intention (cultural encounter, cultural desire, and cultural eagerness), cultural flexibility (cultural attitude, cultural sensitivity, and resolving cultural conflicts), and cultural care skills (communication skills, cultural evaluation skills, behavioral skills, and skills to get feedback about cultural care). Conclusion: Iran has many ethnic and religious groups which have a variety of subcultures, so Iranian nurses need to be sensitive about cultural diversity in health-care settings and have the cultural competence to facilitate the delivery of quality culturally competent care to the patients of different cultures.
{"title":"Cultural competence in clinical nursing: A qualitative study","authors":"M. Asadizaker, A. Ebadi, Shahram Molavynejad, S. Yadollahi","doi":"10.4103/iahs.iahs_139_21","DOIUrl":"https://doi.org/10.4103/iahs.iahs_139_21","url":null,"abstract":"Aims: Given the wide cultural diversity of patients in the current world, nurses need to have great cultural competence. This study aimed to explore the concept of cultural competence in Iranian nurses. Materials and Methods: This qualitative study was conducted in 2017–2018 using Graneheim and Lundman's approach to qualitative content analysis. A purposeful sample of eighteen clinical nurses was recruited with maximum variation from hospitals of Isfahan and Ahvaz, Iran. Data were collected through eighteen semistructured interviews and simultaneously analyzed through directed content analysis. Findings: Data analysis resulted in the formation of thirteen subcategories which were respectively grouped into the four categories of cultural cognition (cultural awareness, cultural knowledge, and cultural insight), cultural care intention (cultural encounter, cultural desire, and cultural eagerness), cultural flexibility (cultural attitude, cultural sensitivity, and resolving cultural conflicts), and cultural care skills (communication skills, cultural evaluation skills, behavioral skills, and skills to get feedback about cultural care). Conclusion: Iran has many ethnic and religious groups which have a variety of subcultures, so Iranian nurses need to be sensitive about cultural diversity in health-care settings and have the cultural competence to facilitate the delivery of quality culturally competent care to the patients of different cultures.","PeriodicalId":160562,"journal":{"name":"International Archives of Health Sciences","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134048218","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}
Pub Date : 2021-10-01DOI: 10.4103/iahs.iahs_186_21
Hossein Hooshyar, F. Chehrazi, M. Arbabi
Aim: Cattle is one of the main sources of food supply chain for humans in most countries. The present study aimed to identify the infection rates for Toxoplasma gondii, Neospora caninum, and Sarcocystis spp. by polymerase chain reaction (PCR) method in native slaughtered cattle in Kashan, central Iran. Materials and Methods: Totally, 159 diaphragm, esophagus, and muscle samples (53 samples of each) were collected from native beef cattle from Kashan slaughterhouse, central Iran. The genomic DNA was extracted, and PCR method was used separately for detection of N. caninum, Sarcocystis, and T. gondii species using specific primers. Finding: Sarcocystis was found in 84.9% of muscles, 83% of esophagus, and 84.9% of diaphragm samples. Mixed infection (Sarcocystis cruzi–Sarcocystis hominis) was the most common infection, followed by S. cruzi and S. hominis. Sarcocystis hirsuta was not detected in any samples. T. gondii was detected only in three (5.7%) out of the 53 muscle tissues samples of cattle. N. caninum was found in 18.9% of muscles, 24.5% of esophagus, and 28.3% of diaphragm samples. One of the cattle had coinfection to Neospora, Toxoplasma, and Sarcocystis in muscles simultaneously. There was no statistically significant difference between infection rates and age as well as sex in each organ. Conclusion: This study revealed a low prevalence rate of T. gondii, but a high prevalence of infection to N. caninum and S. cruzi or mixed infection of S. cruzi with S. hominis among slaughtered cattle. Prevention measures such as keeping away dogs from cattle grazing are recommended.
{"title":"Molecular identification and frequency of cyst-forming coccidia (Sarcocystis, Toxoplasma gondii, and Neospora caninum) in native slaughtered cattle in Kashan, Central Iran","authors":"Hossein Hooshyar, F. Chehrazi, M. Arbabi","doi":"10.4103/iahs.iahs_186_21","DOIUrl":"https://doi.org/10.4103/iahs.iahs_186_21","url":null,"abstract":"Aim: Cattle is one of the main sources of food supply chain for humans in most countries. The present study aimed to identify the infection rates for Toxoplasma gondii, Neospora caninum, and Sarcocystis spp. by polymerase chain reaction (PCR) method in native slaughtered cattle in Kashan, central Iran. Materials and Methods: Totally, 159 diaphragm, esophagus, and muscle samples (53 samples of each) were collected from native beef cattle from Kashan slaughterhouse, central Iran. The genomic DNA was extracted, and PCR method was used separately for detection of N. caninum, Sarcocystis, and T. gondii species using specific primers. Finding: Sarcocystis was found in 84.9% of muscles, 83% of esophagus, and 84.9% of diaphragm samples. Mixed infection (Sarcocystis cruzi–Sarcocystis hominis) was the most common infection, followed by S. cruzi and S. hominis. Sarcocystis hirsuta was not detected in any samples. T. gondii was detected only in three (5.7%) out of the 53 muscle tissues samples of cattle. N. caninum was found in 18.9% of muscles, 24.5% of esophagus, and 28.3% of diaphragm samples. One of the cattle had coinfection to Neospora, Toxoplasma, and Sarcocystis in muscles simultaneously. There was no statistically significant difference between infection rates and age as well as sex in each organ. Conclusion: This study revealed a low prevalence rate of T. gondii, but a high prevalence of infection to N. caninum and S. cruzi or mixed infection of S. cruzi with S. hominis among slaughtered cattle. Prevention measures such as keeping away dogs from cattle grazing are recommended.","PeriodicalId":160562,"journal":{"name":"International Archives of Health Sciences","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126943992","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}
Pub Date : 2021-10-01DOI: 10.4103/iahs.iahs_109_21
R. Eghtesadi, Peyman Esmaili-Shahzade-Ali-Akbari, Fateme Shahmirzaei, Hamidreza Banafsheh, A. Ghaderi
Aims: Drug abuse is one of the major problems threatening human health. The presence of heavy metals (e.g., lead and thallium) in illicit drugs has raised concerns. This study was designed and performed to indicate the status of thallium in the urine of opioid users with symptoms similar to thallotoxicosis and compare them with the control group. Materials and Methods: This case–control study was conducted in Kashan with the participation of 200 people (including 100 people in the opioid user group and 100 people in the control group). Then, electrothermal atomic absorption spectrometry was used to determine the concentrations of urinary thallium. Findings: In the opioid group, the median (interquartile range) urinary thallium concentrations was 72/29 ± 49/33 μg/l, whereas in the control group, it was 5/57 ± 3/015 μg/l. There was a significant difference in the concentrations of urinary thallium between the opioid group and the control group. Furthermore, the prevalence of thallotoxicosis-related clinical symptoms was significantly higher in the opioid group with high urinary thallium concentrations compared with the control group (weakness, fatigue, paresthesia, ataxia, vertigo, memory deficits, tremor, aggressiveness, tinnitus, sweating, rashes, dry skin, constipation, nausea, vomiting, abdominal pain, and diarrhea). Conclusions: The results of the present study indicated that the levels of urinary thallium in patients using illicit opioids are significantly higher, which can be due to contamination of drugs with thallium.
{"title":"Evaluation of thallium levels in opioid substance users: A case–control study","authors":"R. Eghtesadi, Peyman Esmaili-Shahzade-Ali-Akbari, Fateme Shahmirzaei, Hamidreza Banafsheh, A. Ghaderi","doi":"10.4103/iahs.iahs_109_21","DOIUrl":"https://doi.org/10.4103/iahs.iahs_109_21","url":null,"abstract":"Aims: Drug abuse is one of the major problems threatening human health. The presence of heavy metals (e.g., lead and thallium) in illicit drugs has raised concerns. This study was designed and performed to indicate the status of thallium in the urine of opioid users with symptoms similar to thallotoxicosis and compare them with the control group. Materials and Methods: This case–control study was conducted in Kashan with the participation of 200 people (including 100 people in the opioid user group and 100 people in the control group). Then, electrothermal atomic absorption spectrometry was used to determine the concentrations of urinary thallium. Findings: In the opioid group, the median (interquartile range) urinary thallium concentrations was 72/29 ± 49/33 μg/l, whereas in the control group, it was 5/57 ± 3/015 μg/l. There was a significant difference in the concentrations of urinary thallium between the opioid group and the control group. Furthermore, the prevalence of thallotoxicosis-related clinical symptoms was significantly higher in the opioid group with high urinary thallium concentrations compared with the control group (weakness, fatigue, paresthesia, ataxia, vertigo, memory deficits, tremor, aggressiveness, tinnitus, sweating, rashes, dry skin, constipation, nausea, vomiting, abdominal pain, and diarrhea). Conclusions: The results of the present study indicated that the levels of urinary thallium in patients using illicit opioids are significantly higher, which can be due to contamination of drugs with thallium.","PeriodicalId":160562,"journal":{"name":"International Archives of Health Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130630469","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}
Aim: This study was conducted to identify gaps in the user interface design of Iran's Electronic Death Registration System (National Registry) using the heuristic method. Materials and Methods: Five independent evaluators assessed the user interface using the heuristic evaluation. Problems were reassessed in the presence of all evaluators, and similar cases were merged, and a single list of unique problems was eventually prepared. By re-evaluating the system, the evaluators determined and categorized the severity of the problem in five domains, including no problem (zero point), a cosmetic problem (1 point), a minor problem (2 points), a major problem (3 points), and a catastrophic problem (4 points). The data were then analyzed in an excel sheet using descriptive statistics. Findings: Forty-two unique problems were identified. The “recognition rather than recall” principle with ten problems (23.8% of all cases) had the most frequent problem, while the “help and documentation” principle with one problem (2.4% of all cases) had the least frequency but the highest mean severity (4). Conclusion: The results of the heuristic evaluation of the electronic death registration system indicated that a large portion of the problems in this system was classified under the minor category, which primarily indicates the good usability of this system. However, this system suffers from several usability problems. Therefore, it could be concluded that considering the national-level use of this system, it has problems that could be resolved through meeting system design principles and standards.
{"title":"Usability of electronic death registration system: A case study of heuristic evaluation","authors":"F. Jeddi, Razieh Farrahi, Sara Chopannejad","doi":"10.4103/iahs.iahs_86_21","DOIUrl":"https://doi.org/10.4103/iahs.iahs_86_21","url":null,"abstract":"Aim: This study was conducted to identify gaps in the user interface design of Iran's Electronic Death Registration System (National Registry) using the heuristic method. Materials and Methods: Five independent evaluators assessed the user interface using the heuristic evaluation. Problems were reassessed in the presence of all evaluators, and similar cases were merged, and a single list of unique problems was eventually prepared. By re-evaluating the system, the evaluators determined and categorized the severity of the problem in five domains, including no problem (zero point), a cosmetic problem (1 point), a minor problem (2 points), a major problem (3 points), and a catastrophic problem (4 points). The data were then analyzed in an excel sheet using descriptive statistics. Findings: Forty-two unique problems were identified. The “recognition rather than recall” principle with ten problems (23.8% of all cases) had the most frequent problem, while the “help and documentation” principle with one problem (2.4% of all cases) had the least frequency but the highest mean severity (4). Conclusion: The results of the heuristic evaluation of the electronic death registration system indicated that a large portion of the problems in this system was classified under the minor category, which primarily indicates the good usability of this system. However, this system suffers from several usability problems. Therefore, it could be concluded that considering the national-level use of this system, it has problems that could be resolved through meeting system design principles and standards.","PeriodicalId":160562,"journal":{"name":"International Archives of Health Sciences","volume":"16 Suppl 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131070906","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}
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