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How Effective Are In-Hospital Training Workshops on Infection Control for Physicians? First Report in Iran 针对医生的院内感染控制培训讲习班效果如何?伊朗首次报告
Pub Date : 2024-06-16 DOI: 10.5812/jkums-148562
Arash Seifi, E. Mohammadnejad, R. Miladi
Background: The treatment staff should properly understand infection prevention and control (IPC) methods. Adherence to IPC has significant implications and outcomes for maintaining treatment staff safety, patient protection, and environmental care. Objectives: This study was conducted to examine infection control training in doctors. Methods: This study was conducted in Imam Khomeini Hospital in Tehran, Iran, and practitioners in internal and surgical departments participated. The research focused on infection prevention and control (IPC) through specialized workshops and questionnaires using a pre-and post-test design. The sessions included topics such as infection control, transmission, hospital-acquired infections, and components of the IPC program. Questionnaires based on the KAP method evaluated participants' knowledge, attitude, and performance. This study was approved by the university's research vice department and the research ethics committee. Data were analyzed using SPSS software, and the significance of P < 0.05 was emphasized. Results: Of the 251 medical residents, 189 completed the study, 122 of whom were in internal medicine and 67 in surgery. Among the 158 faculty members, 60 completed the study, 39 were in internal medicine, and 21 were in surgery. The mean pre-test scores for internal medicine residents were 15.63 (out of 30) and 13.11 for surgical residents, respectively, which increased to 22.41 and 18.09 in the post-test. Conclusions: The results showed that regular and standard periodic training can improve doctors' knowledge and performance in implementing infection prevention and control programs.
背景:治疗人员应正确理解感染预防和控制(IPC)方法。坚持 IPC 对维护治疗人员的安全、患者保护和环境护理具有重要意义和结果。研究目的本研究旨在对医生进行感染控制培训。研究方法本研究在伊朗德黑兰的伊玛目霍梅尼医院进行,内科和外科的从业人员参加了研究。研究重点是通过专门的研讨会和问卷调查,采用前后测试的设计,对感染预防和控制(IPC)进行研究。研讨会的主题包括感染控制、传播、医院感染以及 IPC 计划的组成部分。基于 KAP 方法的调查问卷对参与者的知识、态度和表现进行了评估。本研究获得了大学研究副部和研究伦理委员会的批准。数据采用 SPSS 软件进行分析,强调 P < 0.05 的显著性。结果在 251 名住院医师中,有 189 人完成了研究,其中内科 122 人,外科 67 人。在 158 名教职员工中,有 60 人完成了研究,其中内科 39 人,外科 21 人。内科住院医师的测试前平均得分分别为 15.63 分(满分 30 分)和 13.11 分,外科住院医师的测试后平均得分分别增至 22.41 分和 18.09 分。结论:结果表明,定期和标准的定期培训可以提高医生在实施感染预防和控制计划方面的知识和表现。
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引用次数: 0
Capability of Artificial Intelligence in Enhancing Neonatal Care Quality in Iran 人工智能在提高伊朗新生儿护理质量方面的能力
Pub Date : 2024-06-16 DOI: 10.5812/jkums-145909
Mohammad Jalilian, Zohreh Hosseiniposhteh
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引用次数: 0
Medicinal Chemistry is Shaping the World of Therapy 药物化学正在塑造治疗世界
Pub Date : 2024-03-02 DOI: 10.5812/jkums-145262
Faisal Muhammad
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引用次数: 0
Search Trends for Micronutrients on Google Trends in Iran for Historical Effect of the COVID-19 Pandemic: A Ecological Study 在谷歌趋势上搜索微量营养素的趋势,伊朗 COVID-19 大流行的历史影响:生态学研究
Pub Date : 2023-12-13 DOI: 10.5812/jkums-139254
Mohammadreza Rabiee, S. Pourrezaei, M. Mousavi
Background: The use of micronutrients to maintain health, prevent disease, and reduce disease severity is increasing. Objectives: This study aimed to evaluate the impact of the COVID-19 pandemic on the trend of public opinion toward micronutrients in Iran. Methods: An ecological study was conducted in the Google Trend (GT) database. First, users' specified search terms related to “COVID-19,” “corona (Iranian COVID-19),” “vitamin-D,” “vitamin-C,” and “Neurobion” were searched among all searches performed using GTs from January 2017 to 2023. Then, Spearman's correlation coefficient was used to check the correlation between the keywords of Micronutrients with the words COVID-19 during different years. Results: The trend for all three micronutrients (vitamin D and C and Neurobion) increased significantly since 2020, consistent with the search trend for COVID-19, corona, and the waves of COVID-19 in Iran. Vitamin D peaks were observed in 2020 (first wave of COVID-19), vitamin C in 2021 (fifth wave), and Neurobion in 2022 (seventh and eighth waves). There was a high and objective correlation coefficient between COVID-19, vitamin C (R2 = 0.73, P = 0.001), and Neurobion (R2 = 0.63, P = 0.001). However, no correlation was observed with vitamin D (R2 = 0.18, P = 0.12). Conclusions: Based on the results, the search for micronutrients in Iran increased significantly during the COVID-19 pandemic. Public interest might reflect behavior and consumption. GT is a helpful tool for epidemiologists to understand the interests and trends of the general population.
背景:人们越来越多地使用微量营养素来保持健康、预防疾病和减轻疾病的严重程度。研究目的本研究旨在评估 COVID-19 大流行对伊朗公众微量营养素舆论趋势的影响。研究方法:在谷歌趋势(GT)数据库中开展了一项生态研究。首先,在 2017 年 1 月至 2023 年期间使用 GT 进行的所有搜索中,搜索用户指定的与 "COVID-19"、"日冕(伊朗 COVID-19)"、"维生素-D"、"维生素-C "和 "Neurobion "相关的搜索词。然后,使用斯皮尔曼相关系数检验不同年份微量营养素关键词与 COVID-19 词语之间的相关性。结果自 2020 年以来,所有三种微量营养素(维生素 D 和 C 以及神经营养素)的趋势都显著增加,这与 COVID-19、日冕以及 COVID-19 在伊朗的搜索趋势一致。维生素 D 的峰值出现在 2020 年(COVID-19 的第一波),维生素 C 出现在 2021 年(第五波),Neurobion 出现在 2022 年(第七波和第八波)。COVID-19 与维生素 C(R2 = 0.73,P = 0.001)和 Neurobion(R2 = 0.63,P = 0.001)之间存在较高的客观相关系数。然而,与维生素 D(R2 = 0.18,P = 0.12)之间没有相关性。结论根据研究结果,在 COVID-19 大流行期间,伊朗对微量营养素的需求显著增加。公众的兴趣可能反映了行为和消费。GT是流行病学家了解大众兴趣和趋势的有用工具。
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引用次数: 0
The Effect of Quadruple Therapy Plus Probiotics on Helicobacter Pylori Eradication and Antibiotic-Associated Side Effects: A Randomized Placebo-Controlled Trial 四联疗法加益生菌对根除幽门螺旋杆菌和抗生素相关副作用的影响:随机安慰剂对照试验
Pub Date : 2023-12-12 DOI: 10.5812/jkums-137908
Y. Hamzavi, H. Bashiri
Background: Helicobacter pylori (H. pylori) induces gastric mucosal inflammation, which may lead to chronic gastritis and gastric ulcer, gastric adenocarcinoma, or mucosa-associated lymphoid tissue (MALT) lymphoma. Managing H. pylori-related complications requires H. pylori eradication. Probiotics are one of the potential supplements that can be effective against H. pylori infection by stabilizing or restoring endogenous physiological flora and preventing H. pylori growth. Objectives: The study aimed to evaluate the effectiveness of a quadruple regimen for H. pylori eradication plus probiotic supplementation. Methods: This randomized placebo-controlled trial was at a gastroenterology clinic in Kermanshah, Iran. A total of 142 H. pylori-positive subjects were randomized into either 10-day quadruple therapy (amoxicillin+ metronidazole+ pantoprazole + bismuth salt) plus placebo or quadruple therapy plus probiotic. H. pylori eradication was evaluated using a stool antigen test six weeks after treatment. The side effects of the treatment were recorded in both groups. Results: A total of three and five patients in the probiotics and placebo group did not complete the treatment or follow-up, respectively. The rate of H. pylori eradication was 44.1 and 34.8% for probiotic and placebo groups, respectively (P = 0.27). At the end of the trial, a lower rate of nausea (P = 0.004), taste disturbance (P = 0.002), headache/dizziness (P = 0.002), and flatulence/epigastric pain (P = 0.004) were recorded in the probiotic group compared to the placebo group. Conclusions: Based on the results, probiotics can be somewhat effective in eradicating H. pylori infection. Probiotic adjunctive therapy is suggested to relieve gastrointestinal symptoms when receiving antibiotic therapy.
背景:幽门螺杆菌(H. pylori)诱发胃粘膜炎症,可能导致慢性胃炎和胃溃疡、胃腺癌或粘膜相关淋巴组织(MALT)淋巴瘤。治疗幽门螺杆菌相关并发症需要根除幽门螺杆菌。益生菌是一种潜在的补充剂,可通过稳定或恢复内源性生理菌群和阻止幽门螺杆菌生长来有效对抗幽门螺杆菌感染。研究目的本研究旨在评估根除幽门螺杆菌加补充益生菌的四联疗法的有效性。方法: 采用随机安慰剂对照试验:这项随机安慰剂对照试验在伊朗克尔曼沙阿的一家胃肠病诊所进行。共有 142 名幽门螺杆菌阳性受试者被随机分配到为期 10 天的四联疗法(阿莫西林+甲硝唑+泮托拉唑+铋盐)加安慰剂或四联疗法加益生菌疗法中。治疗六周后,通过粪便抗原检测评估幽门螺杆菌根除情况。两组患者的治疗副作用均有记录。结果益生菌组和安慰剂组分别有 3 名和 5 名患者没有完成治疗或随访。益生菌组和安慰剂组的幽门螺杆菌根除率分别为 44.1%和 34.8%(P = 0.27)。试验结束时,与安慰剂组相比,益生菌组的恶心(P = 0.004)、味觉障碍(P = 0.002)、头痛/头晕(P = 0.002)和胀气/上腹痛(P = 0.004)发生率较低。结论根据研究结果,益生菌对根除幽门螺杆菌感染有一定效果。建议在接受抗生素治疗时使用益生菌辅助疗法来缓解胃肠道症状。
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引用次数: 0
Validity and Reliability of the Persian Translation of the Diagnostic Criteria for Temporomandibular Disorders Questionnaire 颞下颌关节紊乱诊断标准问卷波斯语译文的有效性和可靠性
Pub Date : 2023-12-10 DOI: 10.5812/jkums-140581
Farzan Soltani, Sahar Mafi, Ladan Jamshidy, Maryam Rad
Background: The Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) Questionnaire is a validated instrument extensively used to diagnose TMD. Objectives: This study aimed to determine the reliability and validity of the Persian translation of the DC/TMD. Methods: A team of specialists assessed the questionnaire's final version for content and form validity after translation. A questionnaire was given to 150 students at the Kermanshah Faculty of Dentistry. The convergent validity was assessed by determining the connection between item scores and computing Cronbach's alpha coefficient. The test-retest reliability was evaluated by comparing the results obtained in two phases using the correlation and intraclass correlation coefficients of 30 students from the Faculty of Dentistry. Results: The ICC coefficient of the Persian DC/TMD questionnaire was 0.98. The questionnaire's overall Kaiser-Meyer-Olkin (KMO) measure was 0.62, suggesting that the questions were acceptable. The Bartlett's test was significant (P < 0.0001). The internal consistency of each question was strong, with a Cronbach's alpha rating of 0.90 or above. The content validity index (CVI) indicated an appropriate degree of content validity, which was 0.95. Conclusions: The Persian version of the questionnaire can be utilized in clinical settings to diagnose and assess TMD among Persian speaking populations.
背景:颞下颌疾病诊断标准(DC/TMD)问卷是一种广泛用于诊断TMD的有效工具。目的:本研究旨在确定DC/TMD波斯语译本的信度和效度。方法:由专家团队对问卷翻译后的最终版本进行内容和形式效度评估。向Kermanshah牙科学院的150名学生发放了一份问卷。通过确定项目得分之间的联系和计算Cronbach's alpha系数来评估收敛效度。利用30名牙科学院学生的相关系数和班级内相关系数,比较两阶段所得结果,评价重测信度。结果:波斯DC/TMD问卷的ICC系数为0.98。问卷的KMO (Kaiser-Meyer-Olkin)测量值为0.62,表明问题是可以接受的。Bartlett检验具有显著性(P < 0.0001)。每个问题的内部一致性很强,Cronbach's alpha评级为0.90或以上。内容效度指数(CVI)为0.95,表示内容效度适中。结论:波斯语版问卷可用于临床诊断和评估波斯语人群的TMD。
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引用次数: 0
The Effects of Blood Group Types on the Mortality and Survival of Patients with COVID-19 Infection 血型对 COVID-19 感染者死亡率和存活率的影响
Pub Date : 2023-12-09 DOI: 10.5812/jkums-138949
Zahra Naghibifar, Alireza Janbakhsh, Marya Shirvani, Armin Naghipour
Background: Identifying patient characteristics that may contribute to significant complications and mortality is essential. Objectives: This study was conducted to evaluate the mortality and survival of patients with COVID-19 by blood type. Methods: This study was performed on 644 patients with COVID-19 by a retrospective cohort method using recorded data of patients admitted to Farabi and Golestan-Kermanshah hospitals. The data were extracted from patients' records through a researcher-made checklist. Logistic regression and Cox regression models were utilized in STATA software version 14 to analyze the data. Results: About 74.53% of patients were male, and the average age was 52.55 ± 16.9 years. The prevalence of blood groups was 22.67% (n = 146) O, 11.49% (n = 74) AB, 24.38% (n = 157) B, and 41.46% (n = 267) A, respectively. Approximately 69.05% of patients were in the intensive care unit, 37.27% experienced intubations, and 18.94% died. The results showed that the chance of death in blood group AB, B, and A was 1.05 (P = 0.910) times, 2.09 (P = 0.022) times, and 2.29 (P = 0.005) times higher than in blood group O. In addition, the survival of patients with blood group A was lower than other blood groups (P = 0.001). Conclusions: Based on the results, blood groups O and B had a protective role against the death of COVID-19. Blood type O also required less intubation but was hospitalized longer.
背景:确定可能导致重大并发症和死亡率的患者特征至关重要。目的:本研究旨在评估不同血型COVID-19患者的死亡率和生存率。方法:采用回顾性队列法,对Farabi和Golestan-Kermanshah医院收治的644例COVID-19患者进行研究。数据是通过研究人员制作的检查表从患者记录中提取的。在STATA软件14版中采用Logistic回归和Cox回归模型对数据进行分析。结果:男性占74.53%,平均年龄52.55±16.9岁。O型血占22.67% (n = 146), AB型血占11.49% (n = 74), B型血占24.38% (n = 157), A型血占41.46% (n = 267)。约69.05%的患者在重症监护病房,37.27%的患者插管,18.94%的患者死亡。结果显示,AB、B、A血型患者的死亡几率分别是o血型患者的1.05 (P = 0.910)倍、2.09 (P = 0.022)倍、2.29 (P = 0.005)倍,A血型患者的生存率低于其他血型患者(P = 0.001)。结论:O型血和B型血对COVID-19死亡具有保护作用。O型血患者需要插管的时间也较少,但住院时间更长。
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引用次数: 0
The Relationship of Inflammatory Chemokine, CXCL12, with NT-proBNP: A Marker of Congestive Heart Failure in Rheumatoid Arthritis Patients 炎性趋化因子 CXCL12 与 NT-proBNP 的关系:类风湿关节炎患者充血性心力衰竭的标志物
Pub Date : 2023-12-06 DOI: 10.5812/jkums-141254
Nzar Hussein Hassan, Afsaneh Shamsi, P. Soufivand, Fariborz Bahremand, M. Taghadosi, Seyed Askar Roghani
Background: Cardiovascular disease (CVD) is the most considerable long-term outcome of rheumatoid arthritis (RA) and the leading cause of premature death in RA patients. The pathogenesis of CVD in RA is largely determined by persistent systemic inflammation and its underlying factors, including chemokines. In this regard, C-X-C motif chemokine ligand 12 (CXCL12) has a crucial role in the CVD and RA pathogenesis. For the first time, plasma CXCL12 was related to conventional CV risk and well-established cardiac biomarkers in RA patients. Methods: This study was conducted on 30 RA patients who have been newly diagnosed, 30 under-treatment RA patients, and 30 healthy subjects. The plasma levels of CXCL12 and N-terminal pro-B-type natriuretic peptide (NT-ProBNP) were measured using the enzyme-linked immunosorbent assay (ELISA) technique. The high sensitivity C-reactive protein (HS-CRP) concentration was evaluated in plasma samples using the ADVIA 1800 Clinical Chemistry System based on the latex-enhanced immunoturbidimetric assay. The CVD risk was measured by calculating the Framingham risk score (FRS) and systematic coronary risk evaluation (SCORE). Results: The mean FRS and plasma concentration of high-density lipid (HDL), NT-proBNP, and HS-CRP were significantly different between the three groups (P = 0.029, P < 0.001, P = 0.016, P < 0.001, respectively). A significant positive correlation was found between CXCL12 with disease activity score-28 (DAS-28) (P = 0.024, r = 0.293) and NT-proBNP (P < 0.0001, r = 0.570) in the patients’ group. Conclusions: Based on the results, there was a significant relationship between the inflammatory mediator CXCL12 and a well-known cardiac biomarker, NT-proBNP.
背景:心血管疾病(CVD)是类风湿性关节炎(RA)最重要的长期结局,也是RA患者过早死亡的主要原因。RA中CVD的发病机制在很大程度上取决于持续的全身炎症及其潜在因素,包括趋化因子。因此,C-X-C基序趋化因子配体12 (CXCL12)在CVD和RA发病中起着至关重要的作用。这是第一次,血浆CXCL12与RA患者的常规心血管风险和已建立的心脏生物标志物相关。方法:本研究选取30例新诊断的RA患者、30例治疗不足的RA患者和30例健康受试者。采用酶联免疫吸附试验(ELISA)技术检测血浆CXCL12和n端前b型利钠肽(NT-ProBNP)水平。采用基于乳胶增强免疫比浊法的ADVIA 1800临床化学系统评估血浆样品中高灵敏度c -反应蛋白(HS-CRP)浓度。通过计算Framingham风险评分(FRS)和系统冠状动脉风险评估(score)来衡量CVD风险。结果:三组患者FRS均值及血浆高密度脂(HDL)、NT-proBNP、HS-CRP浓度差异均有统计学意义(P = 0.029, P < 0.001, P = 0.016, P < 0.001)。CXCL12与患者组疾病活动性评分-28 (DAS-28) (P = 0.024, r = 0.293)、NT-proBNP (P < 0.0001, r = 0.570)呈显著正相关。结论:基于这些结果,炎症介质CXCL12与著名的心脏生物标志物NT-proBNP之间存在显著关系。
{"title":"The Relationship of Inflammatory Chemokine, CXCL12, with NT-proBNP: A Marker of Congestive Heart Failure in Rheumatoid Arthritis Patients","authors":"Nzar Hussein Hassan, Afsaneh Shamsi, P. Soufivand, Fariborz Bahremand, M. Taghadosi, Seyed Askar Roghani","doi":"10.5812/jkums-141254","DOIUrl":"https://doi.org/10.5812/jkums-141254","url":null,"abstract":"Background: Cardiovascular disease (CVD) is the most considerable long-term outcome of rheumatoid arthritis (RA) and the leading cause of premature death in RA patients. The pathogenesis of CVD in RA is largely determined by persistent systemic inflammation and its underlying factors, including chemokines. In this regard, C-X-C motif chemokine ligand 12 (CXCL12) has a crucial role in the CVD and RA pathogenesis. For the first time, plasma CXCL12 was related to conventional CV risk and well-established cardiac biomarkers in RA patients. Methods: This study was conducted on 30 RA patients who have been newly diagnosed, 30 under-treatment RA patients, and 30 healthy subjects. The plasma levels of CXCL12 and N-terminal pro-B-type natriuretic peptide (NT-ProBNP) were measured using the enzyme-linked immunosorbent assay (ELISA) technique. The high sensitivity C-reactive protein (HS-CRP) concentration was evaluated in plasma samples using the ADVIA 1800 Clinical Chemistry System based on the latex-enhanced immunoturbidimetric assay. The CVD risk was measured by calculating the Framingham risk score (FRS) and systematic coronary risk evaluation (SCORE). Results: The mean FRS and plasma concentration of high-density lipid (HDL), NT-proBNP, and HS-CRP were significantly different between the three groups (P = 0.029, P < 0.001, P = 0.016, P < 0.001, respectively). A significant positive correlation was found between CXCL12 with disease activity score-28 (DAS-28) (P = 0.024, r = 0.293) and NT-proBNP (P < 0.0001, r = 0.570) in the patients’ group. Conclusions: Based on the results, there was a significant relationship between the inflammatory mediator CXCL12 and a well-known cardiac biomarker, NT-proBNP.","PeriodicalId":16201,"journal":{"name":"Journal of Kermanshah University of Medical Sciences","volume":"49 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138596536","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
Evaluating the Anticancer Effects of Polyvinyl Alcohol/Magnesium Oxide Bionanocomposite on Human Oral Cancer Cells 评估聚乙烯醇/氧化镁仿生复合材料对人类口腔癌细胞的抗癌作用
Pub Date : 2023-11-17 DOI: 10.5812/jkums-140157
Hasti Sarabikia, Razieh Souri, Mohsen Safaei
Background: Oral squamous cell carcinoma (OSCC) represents the most widespread type of squamous cell carcinoma (SCC) in the head and neck region, comprising 90% of all cases of oral cancer. Treatments based on immunological methods, cell therapy, gene therapy, and nanotechnology-based methods have been performed in addition to conventional treatment methods. Objectives: This study aimed to investigate the anticancer effects of polyvinyl alcohol/MgO nanocomposite on human oral cancer cells. Methods: In this study, the structure and size of nanoparticles and nanocomposite were identified using scanning electron microscope (SEM) analysis after synthesizing PVA/MgO nanocomposite. The anticancer activity of the synthesized nanocomposite was investigated against oral cancer cells of KB type. Results: SEM analysis confirmed the proper synthesis of PVA/MgO nanocomposite. MTT test showed that the nanocomposite synthesized in the concentration range of 25-200μl has maximum anticancer properties against KB cancer cells. In addition, PVA/MgO nanocomposite influenced the apoptosis pathway of KB cancer cells by increasing ROS, decreasing mitochondrial membrane potential, and increasing the activities of caspases 3 and 7. Conclusions: Based on the results, the PVA/MgO nanocomposite showed considerable potential as a viable contender for novel anticancer interventions.
背景:口腔鳞状细胞癌(OSCC)是头颈部最常见的鳞状细胞癌(SCC)类型,占所有口腔癌病例的 90%。除传统治疗方法外,还有基于免疫学方法、细胞疗法、基因疗法和纳米技术的治疗方法。研究目的本研究旨在探讨聚乙烯醇/氧化镁纳米复合材料对人类口腔癌细胞的抗癌作用。方法:本研究利用扫描电子显微镜(SEM)分析了聚乙烯醇/氧化镁纳米复合材料合成后的纳米颗粒和纳米复合材料的结构和尺寸。研究了合成的纳米复合材料对 KB 型口腔癌细胞的抗癌活性。结果SEM 分析证实了 PVA/MgO 纳米复合材料的正确合成。MTT 测试表明,在 25-200μl 浓度范围内合成的纳米复合材料对 KB 型癌细胞具有最大的抗癌特性。此外,PVA/MgO 纳米复合材料还能通过增加 ROS、降低线粒体膜电位、增加 Caspases 3 和 7 的活性来影响 KB 癌细胞的凋亡途径。结论根据研究结果,PVA/MgO 纳米复合材料作为新型抗癌干预措施的可行竞争者表现出了相当大的潜力。
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引用次数: 0
The Epidemiology of Hospital-Acquired Urinary Tract Infections in Intensive Care Units in Kermanshah Hospitals (Iran) 伊朗克尔曼沙阿医院重症监护病房医院获得性尿路感染流行病学研究
Pub Date : 2023-10-01 DOI: 10.5812/jkums-137000
Khosro Farhadi, Mehdi Rahimi, Afshar Shahmohammadi
Background: Urinary tract infection (UTI) is the highest incidence of hospital-acquired infection (HAI), and hospital-acquired urinary tract infections (HAUTI) are a common problem of critical illness. Objectives: This study aimed to determine the epidemiology of HAUTIs in medical intensive care units (ICUs) and hospitals in Kermanshah, Iran. Methods: This cross-sectional and descriptive/analytical study was conducted in the ICUs of hospitals in Kermanshah from March 2018 to 2019. All the recognized HAUTIs were recorded in the Iranian National Nosocomial Infection Surveillance System. Descriptive and inferential statistics such as t-tests and chi-square were used for data interpretation. Results: A total of 1136 patients were admitted to the two ICUs (61 missed out of 1197 patients). The number of patients with UTI was 51, and the overall HAI rate was 4.5%. The results showed a significant relationship between sex and HAUTI (P = 0.038), so women tended to have more HAUTIs than men (6.3 and 3.6%, respectively). A significant relationship was observed between age, date (different seasons of the year), and HAUTI (P = 0.588, 0.115, respectively). Conclusions: There are few studies on HAUTIs, especially on intensive care unit-acquired infections, and more studies are required to describe the epidemiology and management of these problems. Improving conditions for expanding any strategy to reduce infections associated with HAUTIs in ICUs is recommended.
背景:尿路感染(UTI)是医院获得性感染(HAI)发病率最高的疾病,医院获得性尿路感染(HAUTI)是危重疾病的常见问题。目的:本研究旨在确定伊朗克尔曼沙阿医疗重症监护病房(icu)和医院重症监护病房(icu)的流行病学。方法:对2018年3月至2019年在克尔曼沙阿各医院icu进行横断面描述性/分析性研究。伊朗国家医院感染监测系统记录了所有确认的重症感染病例。使用描述性和推断性统计,如t检验和卡方检验进行数据解释。结果:2个icu共收治1136例患者(1197例患者中有61例未住院)。UTI患者51例,总体HAI率为4.5%。结果显示性别与HAUTI之间存在显著关系(P = 0.038),因此女性的HAUTI发生率高于男性(分别为6.3和3.6%)。年龄、日期(不同季节)与HAUTI呈显著相关(P = 0.588、0.115)。结论:关于重症感染的研究很少,特别是重症监护病房获得性感染的研究,需要更多的研究来描述这些问题的流行病学和管理。建议改善条件,扩大任何减少重症监护病房中重症感染相关感染的战略。
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引用次数: 0
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Journal of Kermanshah University of Medical Sciences
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