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A case of multiple myeloma with unusual presentation 表现不寻常的多发性骨髓瘤1例
Pub Date : 2022-11-10 DOI: 10.34172/jsums.2023.626
A. Momeni, Rooholah Masoomi
Extramedullary plasmacytoma is a rare and unusual complication of multiple myeloma (MM). Some sites for the extramedullary involvement of MM are the liver, spleen, lymph node, lung, and skin. Renal failure is another complication of MM due to myeloma kidney, uric acid nephropathy, hemoconcentration, or light chain disease. This study reported a case of MM with unusual presentation. She was a 61-year-old woman who was admitted to the internal ward due to severe renal failure, anemia, mild proteinuria, hypertension, thrombocytopenia, and soft tissue mass in both lungs in the spiral computed tomography (CT) scan. In the skull X-ray, there was not any lytic lesion. Further, plasma cells greater than 30% were observed in serum protein electrophoresis pick of gamma region and in the bone marrow aspiration, so the final diagnosis of the patients was MM with extramedullary plasmacytoma.
髓外浆细胞瘤是多发性骨髓瘤(MM)的罕见并发症。MM的髓外受累部位包括肝脏、脾脏、淋巴结、肺和皮肤。肾衰竭是MM的另一个并发症,由骨髓瘤肾病、尿酸肾病、血液浓缩或轻链疾病引起。本研究报告一例异常表现的MM。患者是一名61岁的女性,因严重肾功能衰竭、贫血、轻度蛋白尿、高血压、血小板减少症和双肺软组织肿块在螺旋计算机断层扫描(CT)中被送入内科病房。颅骨x线片未见任何溶解性病变。血清蛋白电泳γ区和骨髓穿刺浆细胞均大于30%,故最终诊断为MM合并髓外浆细胞瘤。
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引用次数: 0
A survey on the anti-Trichomonas vaginalis effect of the hydroalcoholic extract of various medicinal plants in vitro 几种药用植物水醇提取物体外抗阴道毛滴虫作用的研究
Pub Date : 2022-11-10 DOI: 10.34172/jsums.2023.627
Mahnaz Jafari, H. Amini-khoei, Mohsen Cheshmpanam, R. Abdizadeh
Background and aims: Trichomoniasis is the most common non-viral sexually transmitted infection worldwide; although it is treated by a 5-nitroimidazole drug family such as metronidazole (MTZ) with numerous side effects, and in this regard, alternative new drugs are required. Therefore, this study examined the anti-Trichomoniasis effect of the hydroalcoholic extract of some traditional medicinal plants of Iran in vitro. Methods: In this experimental study, the hydroalcoholic extracts of medicinal plants were prepared by maceration at a stock concentration of 20 mg/mL in the saline solution and then used for in vitro anti-trichomonas experiments. Trichomonas vaginalis trophozoites were isolated from the patient and cultured in a Trypticase Yeast extract Iron-Serum-33 medium. In addition, 200 μL of the culture medium containing 5×104 trophozoites was diluted in plate wells, and 10 doses were separately added on trophozoites for each extract serially diluted between 0.12 and 16 mg/mL in triplicate. The plates were incubated for 48 hours at 37 ° C with 5% CO2 . The number of trophozoites was counted with a hemocytometer and Trypan blue staining. Finally, the half maximal inhibitory concentration (IC50) was calculated by probit analysis. Results: Among the tested plants, Eugenia caryophyllata, Camellia sinensis, and Terminalia chebula Retz showed the best anti-trichomonal activity with IC50 values of 1.21, 1.62, and 1.66 mg/mL, respectively. All tested extracts had more IC50 than MTZ (IC50 100 mg/mL), an antiprotozoal drug used as a positive control. Conclusion: According to the results of this study, E. caryophylata, C. sinensis and T. chebula Retz affected the growth of T. vaginalis. Thus, it is recommended that other studies use this plant for the treatment of trichomoniasis infection.
背景和目的:滴虫病是世界上最常见的非病毒性性传播感染;虽然它是由5-硝基咪唑类药物如甲硝唑(MTZ)治疗,但副作用很多,在这方面,需要替代新药。因此,本研究考察了伊朗一些传统药用植物水醇提取物的体外抗滴虫作用。方法:将药用植物水醇提取物以20 mg/mL的原液浸泡在生理盐水中,进行体外抗毛滴虫实验。从患者身上分离出阴道毛滴虫滋养体,并在胰蛋白酶酵母提取物铁血清-33培养基中培养。另外,在平板孔中稀释含有5×104滋养体的培养基200 μL,每种提取物分别在滋养体上加10剂,稀释范围为0.12 ~ 16 mg/mL,共3次。37℃,5% CO2,孵育48小时。用血细胞计和台盼蓝染色计数滋养体的数量。最后通过概率分析计算半最大抑制浓度(IC50)。结果:在试验植物中,山楂Eugenia caryophyllata、山茶花Camellia sinensis和chebula Terminalia Retz的抗滴虫活性最好,IC50值分别为1.21、1.62和1.66 mg/mL。所有测试提取物的IC50都高于作为阳性对照的抗原虫药物MTZ (IC50为100 mg/mL)。结论:根据本研究结果,石竹、中华金针菇和chebula Retz对阴道绦虫的生长有影响。因此,建议其他研究使用该植物治疗滴虫感染。
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引用次数: 0
Designing a specific competency model for the senior managers of medical sciences universities 构建医学院校高级管理人员胜任力模型
Pub Date : 2022-11-10 DOI: 10.34172/jsums.2023.725
M. Ganji, M. Dalvi, A. Shirvani
Background and aims: Managers play a vital and decisive role at the heart of organizations because they are considered the most important competitive advantage. Therefore, the aim of this study was to design a model for the specific competence model of the top managers of medical science universities in Iran. Methods: This applied, exploratory research was done using qualitative-inductive approach and the Strauss and Corbin basic theory method in the medical sciences universities of Iran from 2019 to 2022. The study population of this grounded theory-based qualitative research consisted of 17 individuals selected from among the chancellors and vice-chancellors of medical universities in Iran using purposive sampling. Results: The findings indicated 19 general categories in a model, including causal conditions (targeted organization, organizational indicators, competence factors, and individual factors), and central phenomenon (specific competence of senior managers). The other categories were underlying conditions (organizational characteristics, environmental field, external macro factors, and components of economic competence), and intervening conditions (personality traits, managerial intelligence, and management of changes and time). The remaining categories encompassed strategies (competence factors, education and talent management, managerial factors, standardization, and organizational factors) and consequences (organizational and national development in the field of health, medicine and welfare, society, and service management). Conclusion: The competencies of managers, as the key human resource, are extremely important for the success of the organization. The findings of this study demonstrated that the specific competencies of senior managers can be used as an indicator.
背景和目的:管理者在组织的核心发挥着至关重要的决定性作用,因为他们被认为是最重要的竞争优势。因此,本研究的目的在于设计伊朗医科大学高层管理人员具体胜任力模型。方法:采用定性归纳法和Strauss、Corbin基础理论方法,于2019 - 2022年在伊朗医科大学开展探索性应用研究。这项以理论为基础的定性研究的研究对象包括从伊朗医科大学校长和副校长中选择的17人,采用有目的抽样。结果:该模型包含19个一般类别,包括因果条件(目标组织、组织指标、胜任力因素和个体因素)和中心现象(高管特定胜任力)。其他类别是基础条件(组织特征、环境领域、外部宏观因素和经济能力的组成部分)和干预条件(人格特征、管理智力和对变化和时间的管理)。其余类别包括战略(能力因素、教育和人才管理、管理因素、标准化和组织因素)和后果(卫生、医药和福利、社会和服务管理领域的组织和国家发展)。结论:管理者的胜任力作为组织的关键人力资源,对组织的成功至关重要。本研究的结果表明,高级管理人员的特定胜任力可以作为一个指标。
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引用次数: 0
Association between noise exposure and noise annoyance with communication skills and cognitive triad among mine workers, Iran 伊朗煤矿工人噪音暴露、噪音烦恼与沟通技巧和认知三位一体的关系
Pub Date : 2022-11-08 DOI: 10.34172/jsums.2023.722
Rohollah Fallah Madvari, Reyhaneh Sefidkar, Hanie Dameshghi, Hamideh Bidel, F. Laal, Mahdi Jafari Nodoushan
Background and aims: Noise has many psychological effects. Although different studies have so far focused on various psychological effects, they have not evaluated communication skills and cognitive triad. Thus, this study was conducted to investigate the effect of noise exposure and noise annoyance on communication skills and cognitive triad. Methods: This cross-sectional study was conducted on 65 workers in 2021. The equivalent sound level (LeqA) was determined using dosimetry. Based on LeqA, noise exposure was divided into permissible and impermissible types. Noise annoyance was measured by the numerical rating scale recommended by ISO/TS 15666:2003. The Communication Skills Questionnaire and Cognitive Triad Inventory were used for data collection. Finally, the obtained data were analyzed by SPSS 24 using an independent samples t test and Spearman correlation test. Results: The mean (±standard deviation) age of workers was equal to 33.87 (±5.95) years. The results of the correlation test showed a positive and significant relationship between LeqA and noise annoyance (P<0.001, r=0.82). Based on the results of the independent samples t test, there was no significant difference in the scores of communication skills (P=0.11) and cognitive triad (P=0.93) in the two groups. Conclusion: In this study, a positive and significant relationship was found between noise exposure and noise annoyance. In addition, communication and cognitive skills were not significantly different in the two study groups. To accurately determine the relationships of variables, it is recommended to conduct similar studies with larger sample sizes while considering variables such as personality traits and social intelligence.
背景和目的:噪音有许多心理影响。尽管迄今为止不同的研究都集中在各种心理影响上,但他们并没有评估沟通技巧和认知三联征。因此,本研究旨在探讨噪音暴露和噪音烦恼对沟通技巧和认知三联征的影响。方法:对2021年65名工人进行横断面研究。用剂量法测定等效声级(LeqA)。在LeqA的基础上,噪声暴露分为允许和不允许两类。通过ISO/TS 15666:2003推荐的数字评级量表来测量噪声烦恼。采用沟通技巧问卷和认知三联征量表进行数据收集。最后,使用SPSS 24对所得数据进行独立样本t检验和Spearman相关检验。结果:工人平均(±标准差)年龄为33.87(±5.95)岁。相关检验结果显示,LeqA与噪声烦恼呈显著正相关(P<0.001, r=0.82)。独立样本t检验结果显示,两组在沟通技巧得分(P=0.11)和认知三合一得分(P=0.93)上无显著差异。结论:噪声暴露与噪声烦恼之间存在显著正相关。此外,沟通和认知能力在两个研究组中没有显著差异。为了准确确定变量之间的关系,建议在考虑人格特质和社会智力等变量的同时,进行更大样本量的类似研究。
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引用次数: 1
Association of maternal diabetes during pregnancy with attention deficit hyperactivity disorder in offspring in an Iranian population: A case-control study 妊娠期间孕妇糖尿病与伊朗人群后代注意缺陷多动障碍的关系:一项病例对照研究
Pub Date : 2022-11-07 DOI: 10.34172/jsums.2023.724
Soleiman Mohammadzadeh, Samad Hamidi, M. Rasouli, Bahar Sahadatmand, Bushra Zareie
Background and aims: Gestational diabetes has long-term adverse consequences for both the mother and child and seems to be a risk factor for attention deficit hyperactivity disorder (ADHD) in children. However, no research has been conducted in this regard in Iran. Methods: This was a case-control study. The sample consisted of 225 children who were referred to the general and psychiatric clinic of Besat Hospital in Sanandaj and were evaluated for a history of maternal diabetes in the fetal period. The diagnosis of ADHD in children was based on a structured clinical interview with Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime version (K-SADS-PL) by a psychiatrist and a short and revised form of Conners’ parent scale. The data were analyzed using Stata 14. Results: The results showed that 25.3% of the mothers of children with ADHD had gestational diabetes during pregnancy, and 17.3% were taking diabetes medication. However, the results revealed that there is no statistically significant relationship between the history of gestational diabetes and ADHD (P=0.427). Furthermore, the logistic regression results demonstrated that the place of residence (P<0.027, OR=8.351) increases the probability of suffering from ADHD in children, while the age of the mother during pregnancy (P<0.031, OR=0.907) decreases the probability of the child suffering from ADHD. Conclusion: Although cohort studies have associated gestational diabetes with an increased risk of ADHD in children, the results of this case-control study do not support this association.
背景和目的:妊娠期糖尿病对母亲和孩子都有长期的不良后果,似乎是儿童注意缺陷多动障碍(ADHD)的一个危险因素。但是,在伊朗没有进行这方面的研究。方法:采用病例-对照研究。样本包括225名儿童,他们被转介到Sanandaj的Besat医院的普通和精神科诊所,并被评估在胎儿时期母亲是否患有糖尿病。儿童ADHD的诊断基于精神科医生对《学龄期儿童情感障碍和精神分裂症量表-现在和终生版》(k - ssad - pl)进行的结构化临床访谈,以及经修订的康纳斯家长量表。使用Stata 14对数据进行分析。结果:ADHD患儿的母亲中有25.3%在妊娠期患有妊娠糖尿病,17.3%正在服用糖尿病药物。然而,结果显示妊娠糖尿病史与ADHD之间无统计学意义的关系(P=0.427)。此外,logistic回归结果显示,居住地(P<0.027, OR=8.351)增加了儿童患ADHD的概率,而母亲怀孕期间的年龄(P<0.031, OR=0.907)降低了儿童患ADHD的概率。结论:尽管队列研究发现妊娠期糖尿病与儿童多动症风险增加有关,但本病例对照研究的结果并不支持这种关联。
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引用次数: 0
Quality of life in cancer patients during the coronavirus 2019 pandemic: A systematic review study 2019冠状病毒大流行期间癌症患者的生活质量:一项系统综述研究
Pub Date : 2022-11-07 DOI: 10.34172/jsums.2023.654
F. Bagheri Sheykhangafshe, Arina Kiani, Alireza Alesadi Sani, Alireza Mohammadi Sangachin Doost, Vahid Savabi Niri
Background and aims: Coronavirus disease 2019 (COVID-19) has caused various psychosocial problems in many people worldwide. Patients with cancer are at higher risk of dying from COVID-19 because of their physical conditions. For this purpose, this research focused on reviewing studies on the quality of life (QoL) in cancer patients during the outbreak of COVID-19. Methods: In this study, several keywords, including cancer, quality of life, and COVID-19, in the abstract and title of articles published in 2020 (May) and 2022 (June) in reputable international scientific databases were searched in Google Scholar, ISI, Scopus, ScienceDirect, and PubMed databases. The PRISMA checklist was used to review the quality of the articles. Results: Based on the reviewed studies, it was found that cancer patients had high levels of depression, anxiety, insomnia, stress, and death anxiety during the COVID-19 pandemic. Home quarantine, fear of COVID-19, and limited access to a doctor and medication also reduced the QoL of cancer patients. Female gender, low income, old age, inappropriate lifestyle, lack of social support, low level of education, physical activity, marital status, and duration of illness were among the factors aggravating mental disorders in cancer. Conclusion: The findings indicated a decrease in the QoL in cancer patients. Given that it is unclear how long COVID-19 mutates as a pandemic, tele-mental health care is one of the solutions that can improve the QoL of cancer patients by providing timely services.
背景和目的:2019冠状病毒病(COVID-19)在全球许多人中引起了各种社会心理问题。由于癌症患者的身体状况,他们死于COVID-19的风险更高。为此,本研究重点回顾了新冠肺炎疫情期间癌症患者生活质量(QoL)的研究。方法:本研究在Google Scholar、ISI、Scopus、ScienceDirect和PubMed数据库中检索国际知名科学数据库中2020年(5月)和2022年(6月)发表的文章摘要和标题中的癌症、生活质量、COVID-19等关键词。采用PRISMA检查表对文章质量进行审查。结果:根据回顾的研究发现,在COVID-19大流行期间,癌症患者有高水平的抑郁、焦虑、失眠、压力和死亡焦虑。家庭隔离、对COVID-19的恐惧以及获得医生和药物的机会有限也降低了癌症患者的生活质量。女性、低收入、老年、不适当的生活方式、缺乏社会支持、低教育水平、体育活动、婚姻状况和疾病持续时间是加剧癌症患者精神障碍的因素。结论:肿瘤患者的生活质量明显下降。鉴于目前尚不清楚COVID-19作为大流行会变异多久,远程心理保健是通过及时提供服务来改善癌症患者生活质量的解决方案之一。
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引用次数: 1
The effect of eight-week resistance training and consumption of grape seed nanoparticles on mitochondrial biogenesis of heart tissue in the myocardial infarction model 8周抗阻训练和消耗葡萄籽纳米颗粒对心肌梗死模型心肌组织线粒体生物发生的影响
Pub Date : 2022-09-08 DOI: 10.34172/jsums.2022.31
Ebrahim Khaki, Khosro Jalali Dehkordi, F. Taghian, S. Hoseini
Background and aims: The consumption of grape seed nanoparticles extract can control cardiovascular risk factors. Exercise plays a protective role against cardiovascular disease. Therefore, the aim of the present study was to investigate the effect of eight-week resistance training (RT) and the use of grape seed nanoparticles on mitochondrial biogenesis of heart tissue in myocardial infarction (MI) models. Methods: In this experimental study, 25 rats were randomly divided into five groups including (1) control (C), (2) MI, (3) MI+RT, (4) MI+grape seed, and (5) MI+RT+grape seed. MI was induced by subcutaneous injection of isoprenaline (85 mg/kg). Grape seed nanoparticles were daily administered at a dose of 150 mg/kg for 8 weeks, and RT was performed 5 days a week. Finally, data were analyzed using the one-way analysis of variance (ANOVA) and Tukey’s post hoc tests (P≤0.05). Results: MI models showed decreased expression of PGC-1α, PPARγ, and UCP-1 genes in cardiac tissue (P=0.001). However, RT combined with the use of grape seed nanoparticles had a significant effect on increasing the expression of PGC-1α (P=0.001), PPARγ (P=0.002), and UCP-1 (P=0.003) genes in the heart tissue of MI model mice. Conclusion: The consumption of grape seed nanoparticles along with RT has more effects on improving the expression of PGC-1α, PPARγ, and UCP-1 genes in MI than either alone. Therefore, the use of grape seed nanoparticles together with RT is recommended in case of MI.
背景与目的:食用葡萄籽纳米颗粒提取物可控制心血管危险因素。运动对预防心血管疾病有保护作用。因此,本研究的目的是研究8周阻力训练(RT)和使用葡萄籽纳米颗粒对心肌梗死(MI)模型心脏组织线粒体生物发生的影响。方法:25只大鼠随机分为(1)对照组(C)、(2)心肌梗死组、(3)心肌梗死+RT组、(4)心肌梗死+葡萄籽组、(5)心肌梗死+RT+葡萄籽组。皮下注射异丙肾上腺素(85 mg/kg)诱导心肌梗死。葡萄籽纳米颗粒以150mg /kg的剂量每天给药,连续8周,RT每周进行5天。最后,采用单因素方差分析(ANOVA)和Tukey事后检验(P≤0.05)对数据进行分析。结果:心肌梗死模型心肌组织PGC-1α、PPARγ、UCP-1基因表达降低(P=0.001)。然而,RT联合使用葡萄籽纳米颗粒对心肌梗死模型小鼠心脏组织中PGC-1α (P=0.001)、PPARγ (P=0.002)和UCP-1 (P=0.003)基因的表达有显著影响。结论:葡萄籽纳米颗粒联合RT对心肌梗死中PGC-1α、PPARγ和UCP-1基因表达的改善作用优于单独用药。因此,在心肌梗死的情况下,建议使用葡萄籽纳米颗粒和RT。
{"title":"The effect of eight-week resistance training and consumption of grape seed nanoparticles on mitochondrial biogenesis of heart tissue in the myocardial infarction model","authors":"Ebrahim Khaki, Khosro Jalali Dehkordi, F. Taghian, S. Hoseini","doi":"10.34172/jsums.2022.31","DOIUrl":"https://doi.org/10.34172/jsums.2022.31","url":null,"abstract":"Background and aims: The consumption of grape seed nanoparticles extract can control cardiovascular risk factors. Exercise plays a protective role against cardiovascular disease. Therefore, the aim of the present study was to investigate the effect of eight-week resistance training (RT) and the use of grape seed nanoparticles on mitochondrial biogenesis of heart tissue in myocardial infarction (MI) models. Methods: In this experimental study, 25 rats were randomly divided into five groups including (1) control (C), (2) MI, (3) MI+RT, (4) MI+grape seed, and (5) MI+RT+grape seed. MI was induced by subcutaneous injection of isoprenaline (85 mg/kg). Grape seed nanoparticles were daily administered at a dose of 150 mg/kg for 8 weeks, and RT was performed 5 days a week. Finally, data were analyzed using the one-way analysis of variance (ANOVA) and Tukey’s post hoc tests (P≤0.05). Results: MI models showed decreased expression of PGC-1α, PPARγ, and UCP-1 genes in cardiac tissue (P=0.001). However, RT combined with the use of grape seed nanoparticles had a significant effect on increasing the expression of PGC-1α (P=0.001), PPARγ (P=0.002), and UCP-1 (P=0.003) genes in the heart tissue of MI model mice. Conclusion: The consumption of grape seed nanoparticles along with RT has more effects on improving the expression of PGC-1α, PPARγ, and UCP-1 genes in MI than either alone. Therefore, the use of grape seed nanoparticles together with RT is recommended in case of MI.","PeriodicalId":318974,"journal":{"name":"Journal of Shahrekord University of Medical Sciences","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122526999","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
Evaluation of Humoral immune responses against coronavirus in healthcare staff in hospitals and medical centers of Shahrekord University of Medical Sciences, Iran 伊朗Shahrekord医科大学医院和医疗中心医护人员对冠状病毒体液免疫反应的评价
Pub Date : 2022-09-08 DOI: 10.34172/jsums.2022.27
M. Asadi-Samani, Marziyeh Soltani, Fereidoun Rahmani, S. Kheiri, M. Moradi
Background and aims: Due to the different levels of exposure of different people to the coronavirus and different levels of immune response among them, this study was designed to investigate the humoral immune responses against the coronavirus disease 2019 (COVID-19) in healthcare staff in hospitals and medical centers admitting COVID-19 patients. Methods: In this descriptive-analytical study, which was performed by call-out, the serum levels of IgM and IgG antibodies in 492 staff of hospitals and medical centers were evaluated using ELISA. Then, factors influencing the immune response of participants were determined. Results: IgG positivity was 11.6% among participants of this study, 19.2% of the staff had a positive polymerase chain reaction (PCR) test, and the IgG positivity rate among them was only 16%. There was no significant relationship between body mass index, underlying diseases, diabetes, immune system-related diseases, herpes simplex virus, workplace, blood type, education level, symptoms, and IgG response (P>0.05). Further, the rate of IgG positivity in healthcare staff indicated a significant relationship only with gender (P=0.005), history of hospitalization (P=0.002) due to COVID-19 and position (P=0.008). Conclusion: This study found that the prevalence of humoral immune response in healthcare staff was lower than the prevalence of the disease based on molecular tests. Based on the results of the present study, it is possible to provide an accurate estimate of the level of involvement and predisposition of healthcare staff in hospital wards and medical centers and to use this information for disease management and control.
背景与目的:由于不同人群对新型冠状病毒的暴露程度不同,免疫应答水平也不同,本研究旨在了解接收新型冠状病毒病患者的医院和医疗中心医护人员对新型冠状病毒病2019 (COVID-19)的体液免疫应答情况。方法:采用呼出法对492名医院和医疗中心工作人员血清IgM和IgG抗体水平进行ELISA检测。然后,确定影响参与者免疫反应的因素。结果:本研究参与者IgG阳性率为11.6%,19.2%的工作人员聚合酶链反应(PCR)阳性,IgG阳性率仅为16%。体重指数、基础疾病、糖尿病、免疫系统相关疾病、单纯疱疹病毒、工作场所、血型、文化程度、症状、IgG应答均无显著相关性(P>0.05)。医务人员IgG阳性率仅与性别(P=0.005)、新冠肺炎住院史(P=0.002)和岗位(P=0.008)相关。结论:本研究发现卫生保健人员体液免疫反应的患病率低于基于分子检测的疾病患病率。根据本研究的结果,有可能对医院病房和医疗中心医护人员的参与程度和易感性提供准确的估计,并将这些信息用于疾病管理和控制。
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引用次数: 0
The relationship between mental health and perceived social support with the post traumatic growth model through the mediating role of coping strategies in COVID-19 recovered patients COVID-19康复患者心理健康、感知社会支持与创伤后成长模型的关系:应对策略的中介作用
Pub Date : 2022-09-08 DOI: 10.34172/jsums.2022.30
Elnaz Deldadeh Mehraban, A. Farhangi, S. Abolghasemi
Background and aims: Post-traumatic growth refers to the positive psychological changes experienced after an incident. Coronavirus disease 2019 (COVID-19) is seen as a traumatic incident that impacts many aspects of a person's life. The present study aimed to investigate the association between perceived social support and mental health with the post-traumatic growth model through the mediating role of coping strategies in COVID-19 recovered patients. Methods: This study was conducted using a path analysis method from the correlation matrix. The research population included all COVID-19 recovered patients in Golestan Province. Using the convenience sampling method, 300 patients who recovered from COVID-19 were selected. The research instruments included the Post-Traumatic Growth Inventory, the General Health Questionnaire, the Multidimensional Scale of Perceived Social Support, and the Ways of Coping Questionnaire. The data was analyzed through structural equation modeling (SEM) using SPSS and AMOS software version 25. Results: The findings revealed that the suggested model fit the data. The relationship between post-traumatic growth, perceived social support, and mental health with problem-focused coping strategies were positive and significant (P<0.01). The relations between mental health and perceived social support with post-traumatic growth were positive and significant. Post-traumatic growth and perceived social support had a negative and significant relationship with emotion-focused strategies (P<0.01). Furthermore, the relationship between mental health and emotion-focused strategies was not significant. Conclusion: Mental health, perceived social support, and problem-focused strategies play an essential role in COVID-19 patients' post-traumatic growth. As a result, they might be helpful in minimizing the psychological impact of COVID-19.
背景与目的:创伤后成长是指在事件发生后所经历的积极的心理变化。2019冠状病毒病(COVID-19)被视为一种创伤性事件,会影响一个人生活的许多方面。本研究旨在通过应对策略在COVID-19康复患者创伤后成长模型中的中介作用,探讨感知社会支持与心理健康之间的关系。方法:采用相关矩阵的通径分析法进行研究。研究人群包括戈列斯坦省所有COVID-19康复患者。采用方便抽样法,选取新冠肺炎康复患者300例。研究工具包括创伤后成长量表、一般健康问卷、感知社会支持多维度量表和应对方式问卷。采用SPSS和AMOS软件25版对数据进行结构方程建模(SEM)分析。结果:所建模型与数据拟合良好。创伤后成长、感知社会支持和心理健康与问题关注型应对策略呈显著正相关(P<0.01)。心理健康与创伤后成长的感知社会支持呈显著正相关。创伤后成长和感知社会支持与情绪聚焦策略呈显著负相关(P<0.01)。此外,心理健康与情绪聚焦策略之间的关系不显著。结论:心理健康、感知社会支持和问题导向策略在COVID-19患者创伤后成长中起着至关重要的作用。因此,它们可能有助于最大限度地减少COVID-19的心理影响。
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引用次数: 0
The role of biomaterials in degenerative diseases 生物材料在退行性疾病中的作用
Pub Date : 2022-09-08 DOI: 10.34172/jsums.2022.25
Seyed-Amirabbas Ahadiat, Z. Hosseinian
Dear Editor, According to the evidence, neuroimmune activation plays a crucial role in neurological disorders such as stroke and Parkinson’s disease (1). Clarifying immunity is the initial step in properly investigating neuroimmune activation (2). The immune system is a complex information processing system that protects the body against infectious diseases and allergens and maintains homeostasis (3). Two types of immunity exist: innate and adaptive. Adaptive immunity is specific and consists of antibodies and cells, whereas innate immunity is non-specific, has a rapid response, and includes physical agents and chemical components such as cytokines and inflammatory cells (T and B lymphocytes). Typically, innate and adaptive immune systems work in tandem to invade pathogens (4). In the past, the central nervous system (CNS) was commonly viewed as an immunologically unique organ in which the immune system could not exist under normal circumstances. Neuroimmune signaling has recently been identified as one of the most important mechanisms underlying memory, emotion, and cognition. The CNS is involved in immunological processes under physiological and pathological conditions, and the brain is a highly immunologically active organ due to innate immune cells residing in the CNS and peripheral immune cells invading the brain (5). Neuroinflammation is currently recognized as a significant factor in almost all neurodegenerative disorders. Microglia are the first line of defense in the brain against pathogens, traumatic brain injury (TBI), and other stresses, and their role in neuroinflammation is crucial (6). Neuroimmune responses in the brain are typically the results of innate immunity. In contrast, the adaptive immune system, such as T-cells, is required for optimal neural activity, memory, and cytokine release in the brain during illness (7). Nonetheless, illness and trauma are evidenced as stimuli that activate the neuroimmune systems. In the homeostatic baseline, neuroimmune signaling interacts with neurons and regulates the neural function and synaptic plasticity (8). During neuroimmune activation, pathological conditions activate endothelial cells, microglia, and astrocytes, which produce cytokines and chemokines (9). As a result, the immune mechanism operates without immune cells entering damaged tissue (10). CNS diseases, such as neurodegenerative disorders, are linked to glial activation, cell migration, antigen expression, and cytokine release. Briefly, neuroimmune activation occurs when microglia are activated or immune molecules, particularly cytokines and chemokines, are overexpressed (11). Given the role of the immune system in neurodegenerative diseases, targeting immune reactions within the brain may hold great promise as a treatment for these conditions. Consequently, biomaterials that interact with the immune components of the innate immune system, including cytokines, chemokines, complement, neuroglia cells, and astrocytes, have the p
根据证据,神经免疫激活在中风和帕金森病等神经系统疾病中起着至关重要的作用(1)。明确免疫是正确研究神经免疫激活的第一步(2)。免疫系统是一个复杂的信息处理系统,保护身体免受传染病和过敏原的侵害,并维持体内平衡(3)。存在两种类型的免疫:先天和适应性。适应性免疫是特异性的,由抗体和细胞组成,而先天免疫是非特异性的,反应迅速,包括物理因子和化学成分,如细胞因子和炎症细胞(T淋巴细胞和B淋巴细胞)。通常,先天免疫系统和适应性免疫系统协同作用来入侵病原体(4)。过去,中枢神经系统(CNS)通常被视为免疫系统在正常情况下无法存在的独特器官。近年来,神经免疫信号已被确定为记忆、情感和认知的最重要机制之一。在生理和病理条件下,中枢神经系统参与免疫过程,由于先天免疫细胞驻留在中枢神经系统和外周免疫细胞侵入大脑,大脑是一个高度免疫活跃的器官(5)。神经炎症目前被认为是几乎所有神经退行性疾病的一个重要因素。小胶质细胞是大脑抵御病原体、创伤性脑损伤(TBI)和其他压力的第一道防线,它们在神经炎症中的作用至关重要(6)。大脑中的神经免疫反应通常是先天免疫的结果。相反,适应性免疫系统,如t细胞,在疾病期间是优化神经活动、记忆和大脑细胞因子释放所必需的(7)。尽管如此,疾病和创伤被证明是激活神经免疫系统的刺激。在稳态基线下,神经免疫信号与神经元相互作用,调节神经功能和突触可塑性(8)。在神经免疫激活过程中,病理条件激活内皮细胞、小胶质细胞和星形胶质细胞,这些细胞产生细胞因子和趋化因子(9)。因此,免疫机制在免疫细胞不进入受损组织的情况下运作(10)。中枢神经系统疾病,如神经退行性疾病,与神经胶质活化、细胞迁移、抗原表达和细胞因子释放有关。简而言之,当小胶质细胞被激活或免疫分子,特别是细胞因子和趋化因子过度表达时,就会发生神经免疫激活(11)。鉴于免疫系统在神经退行性疾病中的作用,针对大脑内的免疫反应可能是治疗这些疾病的一种很有希望的方法。因此,与先天免疫系统的免疫成分相互作用的生物材料,包括细胞因子、趋化因子、补体、神经胶质细胞和星形胶质细胞,具有治疗神经退行性疾病的潜力(12,13)。生物材料在再生医学中的应用已变得越来越重要,不仅对研究疾病的发病机制,而且对控制治疗药物到给定部位的输送。因此,它们被广泛用于治疗神经系统疾病和/或改善中枢神经系统的功能恢复。
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引用次数: 5
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Journal of Shahrekord University of Medical Sciences
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