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Analysis of Malaria Situation in Jask County During the Implementation of the Elimination Programme in 2010-2020 贾斯克县2010-2020年消除疟疾规划实施期间疟疾形势分析
Pub Date : 2023-03-03 DOI: 10.34172/hmj.2023.3030
Mahmood Hosseinpoor, Sajjad Fekrijaski, S. Zare, M. Soleimani-Ahmadi
Background: Currently, Iran has entered the malaria elimination phase, and no malaria cases have been observed in this country during the last two consecutive years. Continuous monitoring and analysis of the malaria situation are necessary to achieve the elimination goals set to be achieved in 2025. This study aimed to determine the malaria situation analysis during the implementation of the elimination programme in Jask county, one of the most important malaria foci in Iran. Methods: This descriptive-analytical study was conducted in Jask county of Hormozgan province in the southeast of Iran from 2010 to 2020. Data were collected from the national malaria surveillance system and special forms that were completed by malaria focal points in Jask county. Data were analyzed using SPSS 21 software and descriptive statistics. Results: A total of 347 confirmed malaria cases were recorded, and the total number of cases was found to decrease from 114 cases in 2010 to 11 in 2020. The mean age of the patients was 23.4±19.6 years, and most cases (74.06%) belonged to 15-year-old or older people. Plasmodium vivax was the most prevalent species (83.86%). Based on the results, males were more infected (81.84%) than females, and the majority of the patients were from rural areas (86.4%). Conclusion: Malaria incidence has significantly decreased during the past eleven years in Jask county. The considerable drop in the incidence of malaria may be related to the implementation of comprehensive malaria control measures and intensive entomological and parasitological monitoring.
背景:目前,伊朗已进入消除疟疾阶段,该国连续两年未发现疟疾病例。为了实现定于2025年实现的消除疟疾目标,必须持续监测和分析疟疾情况。本研究旨在确定伊朗最重要的疟疾疫源地之一贾斯克县在实施消除规划期间的疟疾情况分析。方法:2010 - 2020年在伊朗东南部霍尔木兹甘省贾斯克县进行描述性分析研究。数据收集自国家疟疾监测系统和贾斯克县疟疾联络点填写的特殊表格。数据分析采用SPSS 21软件和描述性统计。结果:共记录疟疾确诊病例347例,总病例数由2010年的114例减少到2020年的11例。患者平均年龄23.4±19.6岁,15岁及以上年龄组占74.06%。间日疟原虫以83.86%的流行率最高。结果显示,男性感染率(81.84%)高于女性,且以农村患者居多(86.4%)。结论:近11年来贾斯克县疟疾发病率明显下降。疟疾发病率的大幅下降可能与实施综合疟疾控制措施和加强昆虫学和寄生虫学监测有关。
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引用次数: 0
Assessing the Level of Knowledge, Attitude, and Performance of Radiographers About Radiation Protection in Bandar Abbas, Iran 评估伊朗阿巴斯港放射技师关于辐射防护的知识水平、态度和表现
Pub Date : 2023-01-01 DOI: 10.34172/hmj.2023.1975
Javad Parniani, Zeynab Shahsavari, S. Jafari, Mohammad Zamani Rarani, Reza Afzalipour
Background: Although radiography tests are beneficial in diagnosing various diseases, they have some risks for patients and radiology staff, which will be minimized if observing radiation protection standards. The purpose of this study was to evaluate the knowledge, attitude, and performance of radiographers regarding radiation protection in the radiology departments of Bandar Abbas. Methods: This work was performed as a descriptive-analytical study. A questionnaire consisting of 38 items was distributed among all radiographers in Bandar Abbas. Information obtained from the questionnaires was analyzed by appropriate nonparametric tests and Spearman’s correlation coefficient. The Kolmogorov-Smirnov test was used to normalize the distribution of scores. Finally, linear regression was employed to determine the effect of each independent variable on the knowledge score. Results: The participation rate of radiographers was 53.9%. The means and standard deviations of scores assigned to attitude, knowledge, and performance in the field of radiation protection were 65.36±27.11, 36.36±17.72, and 46.66±19.60, respectively. The relationship between age and experience of radiographers with their attitude, knowledge, and practice was significant (P>0.05). In addition, there was a significant difference between their attitudes in terms of the place of service (P<0.05). Conclusion: The results of this study revealed that radiographers with different levels of age, education, and work experience have almost the same level of knowledge, attitude, and practice. They had an appropriate attitude and practice in the field of radiation protection.
背景:虽然x线检查有助于诊断各种疾病,但它对患者和放射科工作人员有一定的风险,如果遵守辐射防护标准,这些风险将被降到最低。本研究的目的是评估阿巴斯港放射科放射技师在辐射防护方面的知识、态度和表现。方法:本研究采用描述性分析研究。在阿巴斯港的所有放射技师中分发了一份包含38个项目的问卷。通过适当的非参数检验和Spearman相关系数分析从问卷中获得的信息。使用Kolmogorov-Smirnov检验对分数的分布进行标准化。最后,采用线性回归确定各自变量对知识得分的影响。结果:放射技师参照率为53.9%。在辐射防护领域的态度、知识和表现得分的均值和标准差分别为65.36±27.11、36.36±17.72和46.66±19.60。年龄、经验对放射技师态度、知识、执业的影响有统计学意义(P>0.05)。此外,在服务地点方面,他们的态度也有显著差异(P<0.05)。结论:本研究结果显示,不同年龄、教育程度及工作经验的放射技师,其知识、态度及行为水平基本相同。他们在辐射防护领域有适当的态度和做法。
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引用次数: 0
The Effect of Eight Weeks of Concurrent Training on Serum Levels of Paraxonase-1, Irisin, Lipid Profile, and Insulin Resistance in Men With Metabolic Syndrome 8周同步训练对代谢综合征男性血清对axonase-1、鸢尾素、血脂和胰岛素抵抗水平的影响
Pub Date : 2022-12-29 DOI: 10.34172/hmj.2022.8188
Seyed Amir Hosain Diba Hosaini, Morvarid Vafaee, B. Abedi
Background: Irisin is a myokine suggested to exert anti-obesity benefits. On the other hand, paraxonase-1 (PON 1) is one of the most important free radical scavenging enzymes and is among the main protectors of lipoproteins against oxidizing compounds. This study aimed to evaluate the effect of 8 weeks of concurrent training on serum levels of irisin, PON 1, lipid profile, and insulin resistance in men with metabolic syndrome. Methods: In this quasi-experimental study, 30 men with metabolic syndrome (aged 25-35 years and with body mass>25 kg.m-2) were purposefully selected and randomly divided into two groups of concurrent training (n=15) and control (n=15). Three sessions of the training program were held per week over an 8-week interval. Concurrent training included warm-up, resistance (20 minutes of resistance training), and endurance (25 minutes of activity on a stationary bike with an intensity of 50%-80% of maximum heart rate). Blood samples were collected before and 24 hours after exercise to measure serum levels of variables. Data were analyzed using independent and dependent t-tests. Results: At baseline, serum levels of PON 1, irisin, and high-density lipoprotein (HDL) were higher in the concurrent training group. The results of the study also indicated that 8 weeks of concurrent training significantly reduced the levels of insulin resistance, triglycerides (TG), cholesterol, low-density lipoprotein (LDL), systolic, and diastolic blood pressure in men with metabolic syndrome. Conclusion: Eight weeks of concurrent training improves the levels of irisin, insulin resistance, PON 1, and lipid profile of men with metabolic syndrome.
背景:鸢尾素是一种具有抗肥胖作用的肌因子。另一方面,对axonase-1 (PON -1)是最重要的自由基清除酶之一,是脂蛋白抗氧化化合物的主要保护剂之一。本研究旨在评估8周同步训练对代谢综合征男性血清鸢尾素、PON - 1、血脂和胰岛素抵抗水平的影响。方法:在准实验研究中,有目的地选择30名年龄在25-35岁、体重>25 kg.m-2的代谢综合征男性,随机分为同时训练组(n=15)和对照组(n=15)。培训计划每周进行三次,间隔时间为8周。同时进行的训练包括热身、阻力训练(20分钟的阻力训练)和耐力训练(在固定自行车上进行25分钟的运动,强度为最大心率的50%-80%)。分别在运动前和运动后24小时采集血样,测定血清各项指标水平。数据分析采用独立和相关t检验。结果:在基线时,同时训练组的血清PON 1、鸢尾素和高密度脂蛋白(HDL)水平较高。研究结果还表明,8周的同步训练显著降低了代谢综合征男性的胰岛素抵抗、甘油三酯(TG)、胆固醇、低密度脂蛋白(LDL)、收缩压和舒张压水平。结论:8周的同步训练可改善代谢综合征男性的鸢尾素水平、胰岛素抵抗、PON - 1和脂质谱。
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引用次数: 0
Intestinal Parasites in Diarrheal Patients in Bandar Abbas, Southern Iran 伊朗南部阿巴斯港腹泻患者肠道寄生虫
Pub Date : 2022-12-12 DOI: 10.34172/hmj.2022.970
Majid Najafi-Asl, S. Hosseini Teshnizi, Maryam Sarani, M. Teremahi Ardestani, K. Sharifi-Sarasiabi
Background: Diarrheal diseases are the major causes of morbidity and mortality in developing countries and the second most common cause of death in children under five years. The main objective of the study was to determine the prevalence of intestinal parasites in diarrheal patients in Bandar Abbas, Southern Iran. Methods: This cross-sectional study was conducted to assess the prevalence of intestinal parasitic infections and associated factors among patients with diarrhea in the major hospitals of Bandar Abbas. A single fecal specimen was collected from 170 diarrheic patients from October 2018 to May 2019. The diagnosis was made based on the direct wet mount and formalin-ether concentration method. Trichrome and modified acid-fast staining methods were used for the better detection of protozoa. The collected data were analyzed using SPSS software. Results: A total of 170 stool specimens were collected from diarrheic patients. Of these, 57.6% were males and 42.4% were females. The overall prevalence of intestinal parasites was 12.9%. The most prevalent parasite was Blastocystis spp. 10 (5.9%), followed by Giardia lamblia 7 (4.1%), Cryptosporidium spp. 3 (1.8%), Entamoeba coli 1 (0.6%), and Hymenolepis nana 1 (0.6%). Conclusion: Overall, the results showed that intestinal parasites, especially helminth infections, have significantly decreased in recent years.
背景:腹泻病是发展中国家发病率和死亡率的主要原因,也是五岁以下儿童死亡的第二大常见原因。该研究的主要目的是确定伊朗南部阿巴斯港腹泻患者肠道寄生虫的流行情况。方法:本横断面研究旨在评估阿巴斯市各大医院腹泻患者肠道寄生虫感染的患病率及其相关因素。2018年10月至2019年5月,从170例腹泻患者中采集了一份粪便标本。采用直接湿法和福尔马林醚浓度法进行诊断。采用三色染色法和改良抗酸染色法更好地检测原生动物。收集的数据采用SPSS软件进行分析。结果:共采集腹泻患者粪便标本170份。其中男性占57.6%,女性占42.4%。肠道寄生虫总患病率为12.9%。最常见的寄生虫为囊虫10种(5.9%),其次为兰氏贾第鞭毛虫7种(4.1%)、隐孢子虫3种(1.8%)、大肠内阿米巴1种(0.6%)和奈纳膜膜绦虫1种(0.6%)。结论:总体而言,近年来肠道寄生虫,特别是寄生虫感染明显减少。
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引用次数: 0
Shifts in COVID-19 Wards and Emotional Challenges for Nurses: A Qualitative Study COVID-19病房的转变和护士的情绪挑战:一项定性研究
Pub Date : 2022-12-10 DOI: 10.34172/hmj.2023.947
Z. Khademi, Elham Imani, Manigeh Sayadi Manghalati
Background: In the context of the coronavirus disease 2019 (COVID-19) pandemic, frontline nurses were active in this event and faced numerous challenges. This study aimed to discover the emotional challenges nurses faced on shifts in COVID-19 wards. Methods: In this phenomenological qualitative research, purposive sampling was used to collect the data. A phone interview was conducted with nurses who worked in COVID-19 wards in five Medical Science Universities in Iran in 2020. Then, the recorded interviews were written down. Findings were analyzed using a 6-step thematic analysis guided by Van Manen’s hermeneutic phenomenological approach. The validity and reliability of the study were assessed based on the four criteria proposed by Lincoln and Guba: credibility, dependability, confirmability, and transformability of data. Results: According to analyzed data obtained from interviews with 15 nurses working in the COVID-19 ward, the age average of participants was about 32±5.05. The thematic analysis consisted of four themes, including unpleasant reception (subthemes of limited resources, lack of knowledge, and unpreparedness to deal with the crisis), full involvement and various conflicts (subthemes of extreme fatigue, affected family life, uncontrollable fear, and career change), mental or psychological tortures (subthemes of unexpected incidents, distressing observations, and performance dissatisfaction), and patients’ emotional deprivation (subthemes of disappointment and frustration, communication disorder, and isolation). Conclusion: This study described the experiences of nurses working in COVID-19 wards facing four emotional challenges. It is suggested to provide psychological support for nurses, meet their needs, and boost their morale as effective measures to expand the quality of care and society’s satisfaction with healthcare services.
背景:在2019冠状病毒病(COVID-19)大流行的背景下,一线护士积极参与其中,面临诸多挑战。本研究旨在发现护士在COVID-19病房轮班时面临的情感挑战。方法:在现象学定性研究中,采用目的抽样的方法收集资料。对2020年在伊朗5所医科大学新冠肺炎病房工作的护士进行了电话采访。然后,把记录下来的采访记录下来。研究结果采用Van Manen的解释学现象学方法指导的六步主题分析进行分析。研究的有效性和可靠性是根据Lincoln和Guba提出的四个标准来评估的:可信度、可靠性、可确认性和数据的可转换性。结果:通过对15名新冠肺炎病区护士的访谈分析,受访护士的平均年龄约为32±5.05岁。主题分析包括四个主题,包括不愉快的接受(有限的资源,缺乏知识和应对危机的准备不足的分主题),全面参与和各种冲突(极端疲劳,受影响的家庭生活,无法控制的恐惧和职业变化的分主题),精神或心理折磨(意外事件,令人痛苦的观察和表现不满的分主题),以及患者的情感剥夺(失望和沮丧、沟通障碍和孤立的子主题)。结论:本研究描述了在COVID-19病房工作的护士面临四种情绪挑战的经历。为护士提供心理支持,满足护士需求,鼓舞护士士气,是提高护理质量和社会对医疗卫生服务满意度的有效措施。
{"title":"Shifts in COVID-19 Wards and Emotional Challenges for Nurses: A Qualitative Study","authors":"Z. Khademi, Elham Imani, Manigeh Sayadi Manghalati","doi":"10.34172/hmj.2023.947","DOIUrl":"https://doi.org/10.34172/hmj.2023.947","url":null,"abstract":"Background: In the context of the coronavirus disease 2019 (COVID-19) pandemic, frontline nurses were active in this event and faced numerous challenges. This study aimed to discover the emotional challenges nurses faced on shifts in COVID-19 wards. Methods: In this phenomenological qualitative research, purposive sampling was used to collect the data. A phone interview was conducted with nurses who worked in COVID-19 wards in five Medical Science Universities in Iran in 2020. Then, the recorded interviews were written down. Findings were analyzed using a 6-step thematic analysis guided by Van Manen’s hermeneutic phenomenological approach. The validity and reliability of the study were assessed based on the four criteria proposed by Lincoln and Guba: credibility, dependability, confirmability, and transformability of data. Results: According to analyzed data obtained from interviews with 15 nurses working in the COVID-19 ward, the age average of participants was about 32±5.05. The thematic analysis consisted of four themes, including unpleasant reception (subthemes of limited resources, lack of knowledge, and unpreparedness to deal with the crisis), full involvement and various conflicts (subthemes of extreme fatigue, affected family life, uncontrollable fear, and career change), mental or psychological tortures (subthemes of unexpected incidents, distressing observations, and performance dissatisfaction), and patients’ emotional deprivation (subthemes of disappointment and frustration, communication disorder, and isolation). Conclusion: This study described the experiences of nurses working in COVID-19 wards facing four emotional challenges. It is suggested to provide psychological support for nurses, meet their needs, and boost their morale as effective measures to expand the quality of care and society’s satisfaction with healthcare services.","PeriodicalId":271947,"journal":{"name":"Hormozgan Medical Journal","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132134636","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
Risk Factors Associated With the Occurrence of Preeclampsia in Southern Iran 伊朗南部与子痫前期发生相关的危险因素
Pub Date : 2022-12-08 DOI: 10.34172/hmj.2023.945
Akhtar Sayadi, Z. Hosseini, Ali Mouseli, Saeideh Shahsavari, Somayeh Hoseinvandtabar
Background: Hypertension during pregnancy, along with proteinuria and organ dysfunction, causes preeclampsia, which can lead to several complications, even death in some cases for both the mother and her fetus. This study aimed to compare the risk factors of preeclampsia incidence in multipara women in Bandar Abbas. Methods: This case-control study reviewed 215 medical records of pregnant women referring to the Persian Gulf Hospital of Bandar Abbas, Iran from April 2019 to March 2020. They reviewed the records after their classification into the case (with preeclampsia) and control (without preeclampsia) groups. Both groups were matched, and after gathering the main variables and demographic factors, the data were analyzed by SPSS, version 22. Results: The mean age of the participants was 31.43 ± 5.04 years. There was a significant relationship between preeclampsia and chronic blood pressure (BP) (P=0.0001) with an odds ratio of 14.77. However, no significant association was found between liver disease (P=1.00), heart disease (P=0.095), diabetes (P=0.053), and kidney disease (P=0.76) with preeclampsia. In addition, the comparison results revealed a significant relationship between demographic variables and preeclampsia, systolic blood pressure (SBP) (P=0.001), and diastolic blood pressure (DBP) (P=0.001) with the incidence of preeclampsia. Conclusion: The results showed that even though there was no significant relationship between diabetes, heart disease, and kidney disease with preeclampsia, patients with these diseases were 2.27, 1.21, and 6.3 times more likely to develop preeclampsia, respectively.
背景:妊娠期高血压,伴蛋白尿和器官功能障碍,可引起子痫前期,可导致多种并发症,在某些情况下,母亲和胎儿均可死亡。本研究旨在比较阿巴斯港多产妇先兆子痫发生的危险因素。方法:本病例对照研究回顾了2019年4月至2020年3月在伊朗阿巴斯港波斯湾医院就诊的215例孕妇的医疗记录。在他们被分为病例组(有先兆子痫)和对照组(没有先兆子痫)后,他们回顾了这些记录。将两组进行配对,收集主要变量和人口统计学因素后,使用SPSS软件进行数据分析。结果:患者平均年龄为31.43±5.04岁。子痫前期与慢性血压(BP)有显著相关性(P=0.0001),优势比为14.77。然而,肝脏疾病(P=1.00)、心脏病(P=0.095)、糖尿病(P=0.053)和肾脏疾病(P=0.76)与子痫前期没有显著关联。此外,比较结果显示,人口统计学变量与子痫前期、收缩压(SBP) (P=0.001)、舒张压(DBP) (P=0.001)与子痫前期发生率之间存在显著关系。结论:虽然糖尿病、心脏病和肾脏疾病与子痫前期没有明显的关系,但这些疾病的患者发生子痫前期的可能性分别高出2.27倍、1.21倍和6.3倍。
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引用次数: 0
Chronic Neuroinflammation Induced by Systemic Administration of Lipopolysaccharide Leads to Behavioral Impairments in Mice 脂多糖引起的慢性神经炎症导致小鼠行为障碍
Pub Date : 2022-12-06 DOI: 10.34172/hmj.2023.938
M. Ghasemi-Kasman, Nahid Davoodian
Background: There is evidence that chronic neuroinflammation is involved in the pathogenesis of neurodegenerative disorders, including Alzheimer’s and Parkinson’s diseases. In this regard, animal models are considered important tools for the study of neuroinflammation associated with these diseases. The injection of lipopolysaccharide (LPS) is the most commonly used approach for inducing neuroinflammation in animal models. However, there are limited and inconsistent studies regarding the effect of the chronic administration of LPS on behavioral parameters. Accordingly, this experimental study aimed to compare the effect of the chronic injection of LPS in two different doses on behavioral alterations, including spatial learning and working memory in mice. Methods: Thirty-six male BALB/c mice were used in this study. After acclimatization for a week, mice were randomly divided into three groups. Control mice were intraperitoneally (IP) injected with saline for seven consecutive days, and mice of the second group received 250 μg/kg LPS (IP) dissolved in saline for a week. Finally, mice of the third group were administered 750 μg/kg LPS (IP) dissolved in saline for a week. Morris water maze (MWM) and Y-maze were performed to assess spatial learning and working memory alterations in treated mice, respectively. Results: It was found that LPS treatment with a high dose (750 μg/kg) results in working memory impairment (P=0.0024) and cognitive dysfunction (P=0.0030) based on Y-maze and MWM test results. Conclusion: Our findings suggest that the LPS-induced model of chronic neuroinflammation can be used as an important tool for the investigation of the pathomechanisms of neurodegenerative disorders and the development of new pharmacotherapeutic options.
背景:有证据表明慢性神经炎症参与神经退行性疾病的发病机制,包括阿尔茨海默病和帕金森病。在这方面,动物模型被认为是研究与这些疾病相关的神经炎症的重要工具。在动物模型中,注射脂多糖(LPS)是最常用的诱导神经炎症的方法。然而,关于长期服用LPS对行为参数的影响的研究有限且不一致。因此,本实验研究旨在比较两种不同剂量慢性注射LPS对小鼠空间学习和工作记忆等行为改变的影响。方法:采用雄性BALB/c小鼠36只。适应1周后,随机分为3组。对照组小鼠连续7天腹腔注射生理盐水,第二组小鼠连续1周注射250 μg/kg的LPS (IP)。最后,第三组小鼠给予750 μg/kg LPS (IP)溶解于生理盐水中,持续1周。采用Morris水迷宫和y型迷宫分别评估小鼠空间学习和工作记忆的变化。结果:基于Y-maze和MWM实验结果发现,高剂量(750 μg/kg) LPS可导致大鼠工作记忆障碍(P=0.0024)和认知功能障碍(P=0.0030)。结论:lps诱导的慢性神经炎症模型可作为研究神经退行性疾病的病理机制和开发新的药物治疗方案的重要工具。
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引用次数: 0
Comparison of the Complications and Efficacy of Topical Clobetasol Ointment with Salvia officinalis Ointment in the Treatment of Plaque Psoriasis 氯倍他索软膏与丹参软膏治疗斑块型银屑病的并发症及疗效比较
Pub Date : 2022-11-15 DOI: 10.34172/hmj.2023.8176
S. Tavakoli, Amir Hossein Mosalman Haghighi
Background: Psoriasis is an autoimmune and common disease that affects 1 to 3% of the world’s population. The appearance and progress of psoriasis are influenced by genetic and environmental factors. Topical steroids have remained the first-line treatment for psoriasis. Long-term use of topical corticosteroids is associated with the risk of side effects. The purpose of this study was to compare the complications and efficacy of topical clobetasol ointment with Salvia officinalis ointment in the treatment of plaque psoriasis. Methods: A topical ointment containing 20% Salvia officinalis was prepared in the pharmaceutical laboratory of Hormozgan University of Medical Sciences. After standardization, this experimental study was performed on 84 voluntary patients with mild plaque psoriasis for two weeks. One group was treated with the prepared S. officinalis ointment twice daily and the other group was treated with topical clobetasol ointment twice daily. In each group, psoriasis severity was assessed using the Psoriasis Area Severity Index (PASI) at determined time points including baseline and one and two weeks after treatment initiation. Results: At the end of treatment (2 weeks), the mean PASI score changed from 2.36 to 1.55 in patients who received topical clobetasol ointment and this score reduced from 2.74 to 2.23 in patients who applied topical S. officinalis ointment. After 14 days of treatment, the mean percentage decrease in mean PASI score was greater in patients who applied topical clobetasol ointment. Conclusion: This study provides evidence that topical clobetasol ointment is more effective than 20% S. officinalis ointment in the treatment of psoriasis. However, S. officinalis ointment can be used as an adjuvant therapy to the main treatments of mild plaque psoriasis.
背景:牛皮癣是一种自身免疫性常见病,影响世界人口的1%至3%。牛皮癣的发生和发展受遗传和环境因素的影响。局部类固醇仍然是银屑病的一线治疗方法。长期使用外用皮质类固醇与副作用的风险有关。本研究的目的是比较外用氯倍他索软膏与鼠尾草软膏治疗斑块型银屑病的并发症和疗效。方法:在霍尔木兹甘医科大学药物学实验室制备含20%丹参的外用软膏。在标准化后,本实验研究在84名自愿患有轻度斑块型银屑病的患者中进行了为期两周的研究。其中一组用制备的officinalis软膏治疗,每日2次;另一组外用氯倍他索软膏治疗,每日2次。在每组中,在确定的时间点,包括基线和治疗开始后一周和两周,使用银屑病区域严重程度指数(PASI)评估银屑病严重程度。结果:在治疗结束时(2周),外用氯倍他索尔软膏的患者PASI平均评分从2.36变为1.55,外用officinalis软膏的患者PASI平均评分从2.74降低到2.23。治疗14天后,外用氯倍他索软膏的患者平均PASI评分下降的百分比更大。结论:外用氯倍他索软膏治疗银屑病的疗效优于20%山茱萸软膏。然而,牛皮癣软膏可作为辅助治疗的主要治疗轻度斑块银屑病。
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引用次数: 0
The Relationship Between Food Allergens and Migraine Among Patients With Migraine Referring to Shahid Mohammadi Neurology Clinic 参考Shahid Mohammadi神经病学诊所偏头痛患者食物过敏原与偏头痛的关系
Pub Date : 2022-11-03 DOI: 10.34172/hmj.2023.8163
A. Negahi, Ahmad Tamoradi, Behnam Ahmadi, A. Piroozan, Saeed Hosseini Tashnizi
Background: Although diet-induced migraines affect many people, the triggering foodstuffs are not fully identified yet. Detecting migraine-triggering foods and susceptible individuals assist in effective headache management. The aim of this study was to determine the relationship between eating allergens and developing or exacerbating migraine. Methods: This was a descriptive-analytical cross-sectional study with 230 migraine patients referring to the neurology clinic of Shahid Mohammadi hospital in Bandar Abbas. They were selected through purposive sampling. After obtaining informed consent from the patients, the required data were collected and then underwent analysis. Results: Overall, 52.4% and 47.6% of participants were females and males, respectively. Their mean age was 40.57±14.04. Based on the results, 61.9% of participants were married, and 60.3% of them had a family history of migraine. The average number of headaches per month and the duration of each headache were 3.16-4.19 times and 3.76-4.41 hours, respectively. Based on the findings, sausages (55.6%), carbonated beverages (0.54%), peanuts (0.46%), beef (44.4%), and canned food, coffee, and eggs (41.3%) are the most common foodstuffs that cause or exacerbate migraines. On the other hand, chicken (15.9%), strawberry, rice, and wheat (17.5%) had the least impact on the onset and exacerbation of migraine headaches. Conclusion: According to the results, identifying food allergens and eliminating them from patients’ diets can be effective in the prognosis of migraine and individuals’ quality of life.
背景:虽然饮食引起的偏头痛影响许多人,但引发偏头痛的食物尚未完全确定。检测引发偏头痛的食物和易感个体有助于有效的头痛管理。这项研究的目的是确定食用过敏原与发展或加剧偏头痛之间的关系。方法:这是一项描述性分析横断面研究,涉及阿巴斯港Shahid Mohammadi医院神经内科门诊的230例偏头痛患者。他们是通过有目的的抽样选择的。在获得患者知情同意后,收集所需数据并进行分析。结果:总体而言,女性和男性分别占52.4%和47.6%。平均年龄40.57±14.04岁。结果显示,61.9%的参与者已婚,60.3%的人有偏头痛家族史。平均每月头痛次数为3.16 ~ 4.19次,每次头痛持续时间为3.76 ~ 4.41小时。根据研究结果,香肠(55.6%)、碳酸饮料(0.54%)、花生(0.46%)、牛肉(44.4%)、罐头食品、咖啡和鸡蛋(41.3%)是导致或加剧偏头痛的最常见食物。另一方面,鸡肉(15.9%)、草莓、大米和小麦(17.5%)对偏头痛的发作和恶化的影响最小。结论:根据研究结果,识别食物过敏原并从患者饮食中消除过敏原可有效改善偏头痛的预后和个体的生活质量。
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引用次数: 0
Identification of Effective Factors on the Survival of Hemodialysis Patients Using the LASSO-Cox Approach 使用LASSO-Cox方法识别影响血液透析患者生存的有效因素
Pub Date : 2022-11-02 DOI: 10.34172/hmj.2023.4115
Shideh Rafati, L. Hassani, M. Tamaddondar, A. Sabili
Background: Hemodialysis is a method for removing excess fluid and uremic waste from the body of chronic renal failure (CRF) patients. It stops death in patients with CRF. Various factors can affect the survival of patients undergoing hemodialysis treatment. The current study aimed to determine some factors affecting hemodialysis patients’ survival using the LASSO-Cox approach. Methods: This cross-sectional study examined 252 patients undergoing hemodialysis from 2010 to 2016 in all hospitals of Bandar Abbas, Iran, whose data had been recorded in the hemodialysis unit, or it was possible to obtain their files. The Cox model under the LASSO variable selection technique (LASSO-Cox) was applied for data analysis. The collected data were analyzed using SPSS 23.0 (IBM) software and glmnet and survival packages in R software, version 3.5.1. Results: Overall, 35 (13.9%) death events were observed in this study. The mean follow-up time of 252 patients was equal to 10.93±7.82 years. Based on the results of the Cox-Lasso method, the risk of mortality for patients with a diploma was 49% lower than that of the illiterate group (HR=0.51; 95% CI: 0.02, 0.57; P=0.021). The risk of death for unemployed patients and farmers was 0.66 (HR=1.66; 95% CI: 1.51, 25.79; P=0.004) and 0.29 (HR=1.29; 95% CI: 1.14, 27.40; P=0.005) higher than that of employees, respectively. Further, by an increase in the frequency of dialysis per week, the risk of death was reduced by 0.34 (HR=0.66; 95% CI: 0.04, 0.82; P=0.022), and one unit increase in the duration of dialysis per hour increased the risk of death by 2.23 times (HR=2.23; 95% CI: 1.41, 27.1; P=0.010). Conclusion: Education level, job, frequency of hemodialysis per week, and duration of hemodialysis per hour were the most important variables in the survival of hemodialysis patients. As a result, it seems that more education for nurses working in hemodialysis wards and the involved patients can be useful to heed the recommendations of physicians in terms of the required duration for hemodialysis per hour and the number of sessions per week.
背景:血液透析是一种清除慢性肾功能衰竭(CRF)患者体内多余液体和尿毒症废物的方法。它能阻止慢性肾功能衰竭患者的死亡。多种因素可影响血液透析治疗患者的生存。本研究旨在利用LASSO-Cox方法确定影响血液透析患者生存的一些因素。方法:本横断面研究对伊朗阿巴斯港所有医院2010 - 2016年进行血液透析的252例患者进行了调查,这些患者的资料在血液透析部门有记录,或者有可能获得他们的档案。采用LASSO变量选择技术下的Cox模型(LASSO-Cox)进行数据分析。采用SPSS 23.0 (IBM)软件和R软件中3.5.1版本的glmnet和生存包对收集的数据进行分析。结果:本研究共观察到35例(13.9%)死亡事件。252例患者平均随访时间为10.93±7.82年。根据Cox-Lasso方法的结果,拥有文凭的患者的死亡风险比文盲组低49% (HR=0.51;95% ci: 0.02, 0.57;P = 0.021)。失业患者和农民的死亡风险为0.66 (HR=1.66;95% ci: 1.51, 25.79;P=0.004)和0.29 (HR=1.29;95% ci: 1.14, 27.40;P=0.005)高于员工。此外,每周透析次数的增加,死亡风险降低了0.34 (HR=0.66;95% ci: 0.04, 0.82;P=0.022),每小时透析时间每增加一个单位,死亡风险增加2.23倍(HR=2.23;95% ci: 1.41, 27.1;P = 0.010)。结论:文化程度、职业、每周血液透析次数、每小时血液透析时间是影响血液透析患者生存的最重要因素。因此,对在血液透析病房工作的护士和相关患者进行更多的教育,以听取医生关于每小时血液透析所需持续时间和每周次数的建议,似乎是有用的。
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引用次数: 0
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Hormozgan Medical Journal
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