H. Hosseinnezhad, Seyyed Morteza Hozhabrossadati, Ali Reza Khalesi, M. Ganjifard
Background: Coronavirus, coronavirus disease 2019 (COVID-19), in humans, mainly causes respiratory and gastrointestinal manifestations that can range from a simple cold to severe clinical symptoms or death. On the other hand, COVID-19 patients’ hospitalization in the intensive care unit (ICU) have serious problems, which can affect their mortality; therefore, the awareness of these problems has a main role in decision-making in the early stages. Objectives: This study aimed to evaluate the clinical features and outcomes of patients with COVID-19 admitted to the ICU. Methods: This cross-sectional (descriptive-analytical) study was conducted on patients with COVID-19 pneumonia admitted to the ICU of Valiasr Hospital, Birjand, Iran, in 2020. A total of 111 patients, including 51 female and 63 male subjects, were enrolled in this study using convenience sampling. Demographic data, comorbidities, signs and symptoms, radiological findings, supportive methods of oxygen therapy, and clinical outcomes were collected using a checklist and compared between two groups (i.e., survivors and nonsurvivors). Results: Among 111 patients (including 59 nonsurvivors and 52 survivors), the numbers of mortalities within the age ranges of ≥ 75 and ≤ 44 years were the highest and lowest, respectively. In the survived patients, hypertension (50.8%), diabetes mellitus (47.5%), heart disease (44.1%), and chronic obstructive lung disease (23.7%) were the most common comorbidities. Moreover, dyspnea (81.1%), fever and chills (73%), cough (64.9%), muscle pain (45%), and weakness, and lethargy (42.3%) were the most common symptoms of the patients. Based on the comparison of survived and nonsurvived groups, diarrhea (P < 0.001), sore throat (P < 0.001), nausea (P < 0.001), and vomiting (P < 0.0001) were significantly higher in the group of survived patients. Among the radiological findings (i.e., chest X-ray and high-resolution computed tomography), bronchoalveolar markings (P = 0.05) and pleural effusion (P = 0.02) were higher in the nonsurvived patients. The average Acute Physiology and Chronic Health Evaluation II (APACHE II) score ≥ 16 was reported with a higher mortality rate. Conclusions: Risk factors, including dyspnea, older age, comorbidities, and high APACHE II score, could increase the risk of poor clinical outcomes and help identify ill patients with a poor prognosis at the beginning of ICU admission.
{"title":"Evaluation of Clinical Features and Outcomes of Patients with Coronavirus (COVID-19) Admitted to ICU in Southeastern Iran in 2020","authors":"H. Hosseinnezhad, Seyyed Morteza Hozhabrossadati, Ali Reza Khalesi, M. Ganjifard","doi":"10.5812/modernc.120586","DOIUrl":"https://doi.org/10.5812/modernc.120586","url":null,"abstract":"Background: Coronavirus, coronavirus disease 2019 (COVID-19), in humans, mainly causes respiratory and gastrointestinal manifestations that can range from a simple cold to severe clinical symptoms or death. On the other hand, COVID-19 patients’ hospitalization in the intensive care unit (ICU) have serious problems, which can affect their mortality; therefore, the awareness of these problems has a main role in decision-making in the early stages. Objectives: This study aimed to evaluate the clinical features and outcomes of patients with COVID-19 admitted to the ICU. Methods: This cross-sectional (descriptive-analytical) study was conducted on patients with COVID-19 pneumonia admitted to the ICU of Valiasr Hospital, Birjand, Iran, in 2020. A total of 111 patients, including 51 female and 63 male subjects, were enrolled in this study using convenience sampling. Demographic data, comorbidities, signs and symptoms, radiological findings, supportive methods of oxygen therapy, and clinical outcomes were collected using a checklist and compared between two groups (i.e., survivors and nonsurvivors). Results: Among 111 patients (including 59 nonsurvivors and 52 survivors), the numbers of mortalities within the age ranges of ≥ 75 and ≤ 44 years were the highest and lowest, respectively. In the survived patients, hypertension (50.8%), diabetes mellitus (47.5%), heart disease (44.1%), and chronic obstructive lung disease (23.7%) were the most common comorbidities. Moreover, dyspnea (81.1%), fever and chills (73%), cough (64.9%), muscle pain (45%), and weakness, and lethargy (42.3%) were the most common symptoms of the patients. Based on the comparison of survived and nonsurvived groups, diarrhea (P < 0.001), sore throat (P < 0.001), nausea (P < 0.001), and vomiting (P < 0.0001) were significantly higher in the group of survived patients. Among the radiological findings (i.e., chest X-ray and high-resolution computed tomography), bronchoalveolar markings (P = 0.05) and pleural effusion (P = 0.02) were higher in the nonsurvived patients. The average Acute Physiology and Chronic Health Evaluation II (APACHE II) score ≥ 16 was reported with a higher mortality rate. Conclusions: Risk factors, including dyspnea, older age, comorbidities, and high APACHE II score, could increase the risk of poor clinical outcomes and help identify ill patients with a poor prognosis at the beginning of ICU admission.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85189189","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}
Mohammadreza Jani, S. M. Mohsenizadeh, A. Arabahmadi, H. ahmadi chenari, A. Rajabi
Background: COVID-19 is a highly contagious disease and a pandemic. Knowledge, attitude, and practice of people about this disease can play an essential role in better accepting executive actions set by health officials and national planners. Objectives: This study aimed to determine the level of knowledge, attitude, and practice of the general population of South Khorasan province about COVID-19 and the influencing factors. Methods: This cross-sectional study was performed online on 699 people living in South Khorasan, Iran. The participants were chosen by a convenience sampling technique. The research tool was an adapted questionnaire from researchers that included demographic characteristics, 15 questions on awareness, 12 questions on attitude, and seven questions on practice. Data were analyzed using the independent t test, one-way analysis of variance, and Pearson correlation coefficient. Results: The levels of knowledge, attitude, and practice of the participants were 73.13, 80, and 84.85%, respectively. The most common symptoms of this disease were shortness of breath, dry cough, and fever or headache, in sequence. More than half of the participants (56.90%) felt at risk for contracting the disease. Most participants washed their hands (80%) and used a facemask (79.60%). The correlation between awareness and practice was 0.60. Older, divorced, and low-educated people had lower knowledge and practice. Conclusions: Despite that the levels of knowledge, attitude, and practice of people was good regarding COVID-19 in this study, the continuous informing of the people through television, radio, and social media is needed for maintaining the status quo. Besides, new approaches and policies for the poor, rural populations, the elderly, the illiterate, and the unemployed should be adopted by relevant authorities due to their lower level of knowledge and practice.
{"title":"Knowledge, Attitude, and Practice (KAP) Towards COVID-19 Among General Population of South Khorasan Province, Iran: A Quick Online Cross-Sectional Survey","authors":"Mohammadreza Jani, S. M. Mohsenizadeh, A. Arabahmadi, H. ahmadi chenari, A. Rajabi","doi":"10.5812/modernc.120822","DOIUrl":"https://doi.org/10.5812/modernc.120822","url":null,"abstract":"Background: COVID-19 is a highly contagious disease and a pandemic. Knowledge, attitude, and practice of people about this disease can play an essential role in better accepting executive actions set by health officials and national planners. Objectives: This study aimed to determine the level of knowledge, attitude, and practice of the general population of South Khorasan province about COVID-19 and the influencing factors. Methods: This cross-sectional study was performed online on 699 people living in South Khorasan, Iran. The participants were chosen by a convenience sampling technique. The research tool was an adapted questionnaire from researchers that included demographic characteristics, 15 questions on awareness, 12 questions on attitude, and seven questions on practice. Data were analyzed using the independent t test, one-way analysis of variance, and Pearson correlation coefficient. Results: The levels of knowledge, attitude, and practice of the participants were 73.13, 80, and 84.85%, respectively. The most common symptoms of this disease were shortness of breath, dry cough, and fever or headache, in sequence. More than half of the participants (56.90%) felt at risk for contracting the disease. Most participants washed their hands (80%) and used a facemask (79.60%). The correlation between awareness and practice was 0.60. Older, divorced, and low-educated people had lower knowledge and practice. Conclusions: Despite that the levels of knowledge, attitude, and practice of people was good regarding COVID-19 in this study, the continuous informing of the people through television, radio, and social media is needed for maintaining the status quo. Besides, new approaches and policies for the poor, rural populations, the elderly, the illiterate, and the unemployed should be adopted by relevant authorities due to their lower level of knowledge and practice.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90372884","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}
Background: Since COVID-19 is a new disease with devastating effects worldwide, its emergence and spread aroused confusion, anxiety, and fear among the public. Objectives: The present study aimed to evaluate the effectiveness of paradox therapy on the COVID-19 anxiety in adult population in Jahrom, Iran. Methods: This research was a quasi-experimental study with a pretest-posttest design and a two-month follow-up. The research population encompassed all individuals willing to participate in the present study who were residing in Jahrom during 2020-2021. According to the COVID-19 Anxiety Scale, 30 participants with high levels of COVID-19 anxiety were selected using the convenience sampling method and were randomly assigned to experimental (n = 15) and control (n = 15) groups. The experimental group received eight sessions of paradox therapy; however, the control group remained on the waiting list. The research tools included structured clinical interviews and the COVID-19 Anxiety Scale. Finally, the collected data were analyzed using Friedman’s statistical method. Results: The results showed that paradox therapy was effective in decreasing COVID-19 anxiety (P = 0.001) and its psychological (P = 0.001) and physical (P = 0.002) symptoms, and the scores of the COVID-19-induced psychological and physical symptoms in the posttest phase were significantly lower in the intervention group than the control group (P < 0.001). The decrease was noticed in the follow-up phase as well. Conclusions: According to the results, paradox therapy can effectively reduce anxiety and its psychological and physical symptoms due to COVID-19.
{"title":"Effectiveness of Paradox Therapy on COVID-19 Anxiety in Adult Population in Jahrom, Iran","authors":"Razieh Eatesamipour, Khadigeh Ramazanzade Moghadam, Borzo Amirpor","doi":"10.5812/modernc.121920","DOIUrl":"https://doi.org/10.5812/modernc.121920","url":null,"abstract":"Background: Since COVID-19 is a new disease with devastating effects worldwide, its emergence and spread aroused confusion, anxiety, and fear among the public. Objectives: The present study aimed to evaluate the effectiveness of paradox therapy on the COVID-19 anxiety in adult population in Jahrom, Iran. Methods: This research was a quasi-experimental study with a pretest-posttest design and a two-month follow-up. The research population encompassed all individuals willing to participate in the present study who were residing in Jahrom during 2020-2021. According to the COVID-19 Anxiety Scale, 30 participants with high levels of COVID-19 anxiety were selected using the convenience sampling method and were randomly assigned to experimental (n = 15) and control (n = 15) groups. The experimental group received eight sessions of paradox therapy; however, the control group remained on the waiting list. The research tools included structured clinical interviews and the COVID-19 Anxiety Scale. Finally, the collected data were analyzed using Friedman’s statistical method. Results: The results showed that paradox therapy was effective in decreasing COVID-19 anxiety (P = 0.001) and its psychological (P = 0.001) and physical (P = 0.002) symptoms, and the scores of the COVID-19-induced psychological and physical symptoms in the posttest phase were significantly lower in the intervention group than the control group (P < 0.001). The decrease was noticed in the follow-up phase as well. Conclusions: According to the results, paradox therapy can effectively reduce anxiety and its psychological and physical symptoms due to COVID-19.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76692965","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}
Behzad Shahi, F. Kazemi, S. Mashaei, Mahdi Foroughian, M. Ziaei, S. Rahmani
: As the epidemic spreads, COVID-19 poses a severe threat to the health of communities. Description of epidemiological characteristics of COVID-19 patients helps with the prevention and scientific control of the pandemic. This descriptive study was conducted to describe the clinical, demographic, and epidemiological characteristics of 65 patients suspected of having COVID-19. A research-made questionnaire was used for data collection. Moreover, the patient's vital signs were examined. The samples were classified into the two groups of subjects with positive and negative RT-PCR test. Descriptive statistics were used for the analysis of data. The most common manifestations were fever, shortness of breath, and dry cough. Moreover, the lowest proportion belonged to Rh-negative in all ABO blood groups. The patients were mainly male, about 44 years old, and their first and most common manifestations were fever, shortness of breath, and dry cough. In vital signs examination, reduction of blood oxygen saturation was the most important finding. Health centers need to consider these signs in treating COVID-19 patients.
{"title":"Clinical, Demographic, and Epidemiological Characteristics of Patients Diagnosed with COVID-19 in Zahedan, Southeastern Iran","authors":"Behzad Shahi, F. Kazemi, S. Mashaei, Mahdi Foroughian, M. Ziaei, S. Rahmani","doi":"10.5812/modernc.115121","DOIUrl":"https://doi.org/10.5812/modernc.115121","url":null,"abstract":": As the epidemic spreads, COVID-19 poses a severe threat to the health of communities. Description of epidemiological characteristics of COVID-19 patients helps with the prevention and scientific control of the pandemic. This descriptive study was conducted to describe the clinical, demographic, and epidemiological characteristics of 65 patients suspected of having COVID-19. A research-made questionnaire was used for data collection. Moreover, the patient's vital signs were examined. The samples were classified into the two groups of subjects with positive and negative RT-PCR test. Descriptive statistics were used for the analysis of data. The most common manifestations were fever, shortness of breath, and dry cough. Moreover, the lowest proportion belonged to Rh-negative in all ABO blood groups. The patients were mainly male, about 44 years old, and their first and most common manifestations were fever, shortness of breath, and dry cough. In vital signs examination, reduction of blood oxygen saturation was the most important finding. Health centers need to consider these signs in treating COVID-19 patients.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87514427","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}
Introduction: Systemic lupus erythematosus (SLE) is a chronic autoimmune disease with different clinical manifestations. Acute [resembling Guillain-Barré syndrome (GBS)] or chronic (chronic inflammatory demyelinating polyradiculoneuropathy) inflammatory polyradiculoneuropathy has been reported in rare SLE cases. Case Presentation: We reported a 39-year-old woman that presented with acute peripheral neuropathy, and she was eventually diagnosed with SLE. She developed distal numbness and paraesthesia followed by progressive upper and lower extremity weakness and difficulty in swallowing and speaking. She had a history of flu-like illness three weeks before to symptoms. Conclusions: Progressive upper and lower extremity weakness along with areflexia and electrodiagnostic findings suggested the diagnosis of Guillain-Barré syndrome. Over a month, significant neurological recovery occurred, and the patient's function continued to recover.
{"title":"A Case of Guillain-Barré Syndrome as the First Presentation of Systemic Lupus Erythematosus","authors":"Z. Saremi, Mahdi Bakhshi Mohammadi, Zahra Ahmadi","doi":"10.5812/modernc.119315","DOIUrl":"https://doi.org/10.5812/modernc.119315","url":null,"abstract":"Introduction: Systemic lupus erythematosus (SLE) is a chronic autoimmune disease with different clinical manifestations. Acute [resembling Guillain-Barré syndrome (GBS)] or chronic (chronic inflammatory demyelinating polyradiculoneuropathy) inflammatory polyradiculoneuropathy has been reported in rare SLE cases. Case Presentation: We reported a 39-year-old woman that presented with acute peripheral neuropathy, and she was eventually diagnosed with SLE. She developed distal numbness and paraesthesia followed by progressive upper and lower extremity weakness and difficulty in swallowing and speaking. She had a history of flu-like illness three weeks before to symptoms. Conclusions: Progressive upper and lower extremity weakness along with areflexia and electrodiagnostic findings suggested the diagnosis of Guillain-Barré syndrome. Over a month, significant neurological recovery occurred, and the patient's function continued to recover.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85603802","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}
Atefeh Lotfi Jabali, Mina Mojtabaei, M. Mirhashemi
Background: A variety of pharmacological and nonpharmacological methods are used to treat chronic pain. Transcranial direct current stimulation (tDCS) through stimulating the central and peripheral nerves is a different and promising method for the treatment of chronic pain. Objectives: The present study aimed to investigate the effectiveness of tDCS and pharmacotherapy in pain management in patients with chronic pain in Tehran, Iran. Methods: The present study followed a clinical trial design. The statistical population comprised all patients with chronic pain who were referred to Pardis Multidisciplinary Pain Clinic in Tehran within 2020 - 21. A total of 60 patients willing to participate in the study were selected using convenience sampling. The participants were randomly divided into three groups, including pharmacotherapy (treatment by gabapentin with a dosage of 600 mg twice per day), tDCS, and control (n = 20 per group). The research instrument included the McGill Pain Questionnaire. The data were analyzed using repeated-measures analysis of variance with SPSS software (version 24.0). Results: The results showed that both pharmacotherapy and tDCS interventions led to a reduction in the mean scores of pain management components, compared to the control group (P < 0.001). Furthermore, there was no significant difference between the effects of the two experimental groups on pain management components. Conclusions: The tDCS and pharmacotherapy were both shown to be effective in pain management in patients with chronic pain. Therefore, in addition to pharmacotherapy, tDCS is also recommended for the treatment of chronic pain.
{"title":"Effectiveness of Transcranial Direct Current Stimulation and Pharmacotherapy in Pain Management in Patients with Chronic Pain","authors":"Atefeh Lotfi Jabali, Mina Mojtabaei, M. Mirhashemi","doi":"10.5812/modernc.119154","DOIUrl":"https://doi.org/10.5812/modernc.119154","url":null,"abstract":"Background: A variety of pharmacological and nonpharmacological methods are used to treat chronic pain. Transcranial direct current stimulation (tDCS) through stimulating the central and peripheral nerves is a different and promising method for the treatment of chronic pain. Objectives: The present study aimed to investigate the effectiveness of tDCS and pharmacotherapy in pain management in patients with chronic pain in Tehran, Iran. Methods: The present study followed a clinical trial design. The statistical population comprised all patients with chronic pain who were referred to Pardis Multidisciplinary Pain Clinic in Tehran within 2020 - 21. A total of 60 patients willing to participate in the study were selected using convenience sampling. The participants were randomly divided into three groups, including pharmacotherapy (treatment by gabapentin with a dosage of 600 mg twice per day), tDCS, and control (n = 20 per group). The research instrument included the McGill Pain Questionnaire. The data were analyzed using repeated-measures analysis of variance with SPSS software (version 24.0). Results: The results showed that both pharmacotherapy and tDCS interventions led to a reduction in the mean scores of pain management components, compared to the control group (P < 0.001). Furthermore, there was no significant difference between the effects of the two experimental groups on pain management components. Conclusions: The tDCS and pharmacotherapy were both shown to be effective in pain management in patients with chronic pain. Therefore, in addition to pharmacotherapy, tDCS is also recommended for the treatment of chronic pain.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83740279","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}
Mahshid Shariati, A. Mirhaghi, Hossein Tavalaei, J. Malekzadeh
Background: There is difficulty in identifying low-risk patients with acute coronary syndrome in the emergency department (ED). Objectives: The aim of this study was to compare mistriage between the Emergency Severity Index (ESI) plus the cardiac troponin I rapid test (cTnI) and ESI among patients with chest pain. Methods: A randomized clinical trial was conducted from January to April 2019. One hundred patients with low-risk chest pain were randomly allocated to the ESI + cTnI and ESI groups. Triage levels, used resources, and mistriage rate were compared between both groups among patients discharged from the ED and admitted to the cardiac unit (CU) or coronary care unit (CCU). Results: Our samples included 100 patients (age: 52.9 ± 13.92 years; 51% female) who were equally assigned to the ESI + cTnI and ESI groups. Overtriage rate was 6% and 88% for the ESI + cTnI and ESI groups, respectively. The triage level between the ESI + cTnI and ESI groups was significantly different among patients who were discharged from the ED (3.92 vs. 3.00). Conclusions: The ESI + cTnI score seems to be more valid than the ESI scale to triage patients with low-risk chest pain. It is recommended to add cTnI to the ESI for the triage of patients with low-risk chest pain in the ED.
{"title":"Comparison Between Emergency Severity Index Plus Cardiac Troponin I Rapid Test and Emergency Severity Index in Patients Presenting with Low-Risk Chest Pain: A Randomized Clinical Trial","authors":"Mahshid Shariati, A. Mirhaghi, Hossein Tavalaei, J. Malekzadeh","doi":"10.5812/modernc.117210","DOIUrl":"https://doi.org/10.5812/modernc.117210","url":null,"abstract":"Background: There is difficulty in identifying low-risk patients with acute coronary syndrome in the emergency department (ED). Objectives: The aim of this study was to compare mistriage between the Emergency Severity Index (ESI) plus the cardiac troponin I rapid test (cTnI) and ESI among patients with chest pain. Methods: A randomized clinical trial was conducted from January to April 2019. One hundred patients with low-risk chest pain were randomly allocated to the ESI + cTnI and ESI groups. Triage levels, used resources, and mistriage rate were compared between both groups among patients discharged from the ED and admitted to the cardiac unit (CU) or coronary care unit (CCU). Results: Our samples included 100 patients (age: 52.9 ± 13.92 years; 51% female) who were equally assigned to the ESI + cTnI and ESI groups. Overtriage rate was 6% and 88% for the ESI + cTnI and ESI groups, respectively. The triage level between the ESI + cTnI and ESI groups was significantly different among patients who were discharged from the ED (3.92 vs. 3.00). Conclusions: The ESI + cTnI score seems to be more valid than the ESI scale to triage patients with low-risk chest pain. It is recommended to add cTnI to the ESI for the triage of patients with low-risk chest pain in the ED.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79476573","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}
B. Mesbahzadeh, M. Ameli, Arman Ranjbar Moghadam, Seyed Mehdi Sajjadi
Objectives: Transfusion transmissible infections are the most frequent complication of blood transfusions. This study was done to determine the prevalence of the hepatitis B virus (HBV), hepatitis C virus (HCV), human immunodeficiency virus (HIV), and syphilis among blood donors at the South Khorasan Transfusion Center (SKBTC) in South Khorasan Province, Iran. This report is the first of its kind that has been performed in this region. Methods: A retrospective study was carried out on 165,267 blood donors at the SKBTC from 2006 to 2016. Data were analyzed on the metrics of donation status, age, gender, educational level, and serologic results for the infectious markers. Statistical analysis was performed using SPSS software (version 16.0). Results: The overall seroprevalence rates of HBV, HCV, and HIV infections per 100,000 donations were 247, 21, and 0.6, respectively. There was no positive donor for syphilis. HBV and HCV infections in first-time donors were present at significantly higher rates than in regular and repeat donors (P < 0.001 and P = 0.003, respectively). Although gender was not found to be significantly associated with HBV and HCV (P = 0.32), there was a significant relationship between younger age (P < 0.001) as well as lower educational level and hepatitis agents (P < 0.001). Moreover, being single evinced a significant association with HCV seropositivity (P = 0.001). Conclusions: This report found a decreased prevalence of TTIs relative to the most of previous reports. This decrease may have resulted from public health programs, improved donor selection, improved recruitment of repeat/regular donors, and the use of highly sensitive kits for the screening procedure.
{"title":"Prevalence of Transfusion Transmissible Infections Among Blood Donors in South Khorasan Province, Iran: An 11-Year Study","authors":"B. Mesbahzadeh, M. Ameli, Arman Ranjbar Moghadam, Seyed Mehdi Sajjadi","doi":"10.5812/modernc.118072","DOIUrl":"https://doi.org/10.5812/modernc.118072","url":null,"abstract":"Objectives: Transfusion transmissible infections are the most frequent complication of blood transfusions. This study was done to determine the prevalence of the hepatitis B virus (HBV), hepatitis C virus (HCV), human immunodeficiency virus (HIV), and syphilis among blood donors at the South Khorasan Transfusion Center (SKBTC) in South Khorasan Province, Iran. This report is the first of its kind that has been performed in this region. Methods: A retrospective study was carried out on 165,267 blood donors at the SKBTC from 2006 to 2016. Data were analyzed on the metrics of donation status, age, gender, educational level, and serologic results for the infectious markers. Statistical analysis was performed using SPSS software (version 16.0). Results: The overall seroprevalence rates of HBV, HCV, and HIV infections per 100,000 donations were 247, 21, and 0.6, respectively. There was no positive donor for syphilis. HBV and HCV infections in first-time donors were present at significantly higher rates than in regular and repeat donors (P < 0.001 and P = 0.003, respectively). Although gender was not found to be significantly associated with HBV and HCV (P = 0.32), there was a significant relationship between younger age (P < 0.001) as well as lower educational level and hepatitis agents (P < 0.001). Moreover, being single evinced a significant association with HCV seropositivity (P = 0.001). Conclusions: This report found a decreased prevalence of TTIs relative to the most of previous reports. This decrease may have resulted from public health programs, improved donor selection, improved recruitment of repeat/regular donors, and the use of highly sensitive kits for the screening procedure.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87517783","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}
F. Effiong, E. E. Elebesunu, Gloria Onyinyechi Madu
{"title":"Applications of Telemedicine in Tackling Infectious Disease Outbreaks: The Nigerian Perspective","authors":"F. Effiong, E. E. Elebesunu, Gloria Onyinyechi Madu","doi":"10.5812/modernc.118414","DOIUrl":"https://doi.org/10.5812/modernc.118414","url":null,"abstract":"<jats:p />","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76226545","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}
Background: New coronavirus (COVID-19) has a major impact on the individual's physical activity level (PAL). The COVID-19 outbreak caused a decrease in the PAL, which might also affect the general health and quality of life (QoL). Objectives: This study aimed to evaluate the relationship of PAL with QoL and general health (GH) among COVID-19 recovered individuals (CRI). Methods: This is a descriptive-analytical study in which 890 CRI (men [n = 438] and women [n = 452]) were recruited from volunteers of different COVID-19 testing centers in Kermanshah Province. The participants were chosen by the multi-stage (Cluster) sampling techniques. The consent form and questionnaires (PAL, GH, and QoL) were filled out, and demographic information was evaluated. The short form of international physical activity questionnaire (IPAQ-SF), GHQ, and the short-form-SF-12 QoL questionnaires were used to appraise the PAL, GH, and QoL. Data were analyzed by independent t-test and Pearson correlation coefficient using SPSS version 24.0 at a significance level of P < 0.05. Results: The findings of the present study showed that men and women with COVID-19 had inadequate PAL (876.11 ± 40.23 and 739.08 ± 27.02, respectively), insufficient GH (50.13 ± 3.11 and 54.15 ± 4.28, respectively), and poor QoL (22.02 ± 2.28 and 19.23 ± 1.87, respectively). The results also showed that men had significantly higher PAL (P = 0.035), GH (P = 0.047), and QoL (P = 0.023) compared to women. Also, the results showed a significant inverse relationship between PAL and GH (men: r = -0.589, P = 0.038 and women: r = -0.685, P = 0.029) and a significant positive relationship between PAL and QoL (men: r = 0.792, P = 0.018 and women: r = 0.824, P = 0.001) in COVID-19 recovered individuals. Conclusions: Considering the prevalence of COVID-19 and its negative impact on GH and QoL, maintaining adequate PAL can be considered as one of the effective strategies for improving QoL and GH.
背景:新型冠状病毒(COVID-19)对个体的身体活动水平(PAL)有重大影响。新冠肺炎疫情导致PAL下降，这也可能影响总体健康和生活质量(QoL)。目的:探讨新冠肺炎康复个体(CRI) PAL与生活质量(QoL)和总体健康(GH)的关系。方法:这是一项描述性分析研究，从克尔曼沙阿省不同COVID-19检测中心的志愿者中招募了890名CRI(男性[n = 438]和女性[n = 452])。参与者采用多阶段(整群)抽样技术进行选择。填写同意表和调查问卷(PAL、GH、QoL)，评估人口学信息。采用国际体育活动简易问卷(IPAQ-SF)、GHQ和简易问卷(sf -12)对PAL、GH和QoL进行评价。采用SPSS 24.0版本进行独立t检验和Pearson相关系数分析，显著性水平P < 0.05。结果:男性和女性新冠肺炎患者PAL不足(分别为876.11±40.23和739.08±27.02)，GH不足(分别为50.13±3.11和54.15±4.28)，生活质量差(分别为22.02±2.28和19.23±1.87)。结果还显示，男性的PAL (P = 0.035)、GH (P = 0.047)和QoL (P = 0.023)明显高于女性。此外，在COVID-19康复个体中，PAL与GH呈显著负相关(男性:r = -0.589, P = 0.038，女性:r = -0.685, P = 0.029)， PAL与QoL呈显著正相关(男性:r = 0.792, P = 0.018，女性:r = 0.824, P = 0.001)。结论:考虑到COVID-19的流行及其对GH和QoL的负面影响，维持足够的PAL可被视为改善QoL和GH的有效策略之一。
{"title":"Relationship of Physical Activity Level with Quality of Life and General Health Among COVID-19 Recovered Individuals","authors":"Mahnaz Azmodeh, R. Hoseini, E. Amiri","doi":"10.5812/modernc.118128","DOIUrl":"https://doi.org/10.5812/modernc.118128","url":null,"abstract":"Background: New coronavirus (COVID-19) has a major impact on the individual's physical activity level (PAL). The COVID-19 outbreak caused a decrease in the PAL, which might also affect the general health and quality of life (QoL). Objectives: This study aimed to evaluate the relationship of PAL with QoL and general health (GH) among COVID-19 recovered individuals (CRI). Methods: This is a descriptive-analytical study in which 890 CRI (men [n = 438] and women [n = 452]) were recruited from volunteers of different COVID-19 testing centers in Kermanshah Province. The participants were chosen by the multi-stage (Cluster) sampling techniques. The consent form and questionnaires (PAL, GH, and QoL) were filled out, and demographic information was evaluated. The short form of international physical activity questionnaire (IPAQ-SF), GHQ, and the short-form-SF-12 QoL questionnaires were used to appraise the PAL, GH, and QoL. Data were analyzed by independent t-test and Pearson correlation coefficient using SPSS version 24.0 at a significance level of P < 0.05. Results: The findings of the present study showed that men and women with COVID-19 had inadequate PAL (876.11 ± 40.23 and 739.08 ± 27.02, respectively), insufficient GH (50.13 ± 3.11 and 54.15 ± 4.28, respectively), and poor QoL (22.02 ± 2.28 and 19.23 ± 1.87, respectively). The results also showed that men had significantly higher PAL (P = 0.035), GH (P = 0.047), and QoL (P = 0.023) compared to women. Also, the results showed a significant inverse relationship between PAL and GH (men: r = -0.589, P = 0.038 and women: r = -0.685, P = 0.029) and a significant positive relationship between PAL and QoL (men: r = 0.792, P = 0.018 and women: r = 0.824, P = 0.001) in COVID-19 recovered individuals. Conclusions: Considering the prevalence of COVID-19 and its negative impact on GH and QoL, maintaining adequate PAL can be considered as one of the effective strategies for improving QoL and GH.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87898136","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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