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The Effect of Sertreline Versus Nortriptyline on Quality of Life and Depression After Stroke:A Randomized Double-Blind Controlled Study 赛特林与去甲替林对脑卒中后生活质量和抑郁的影响:一项随机双盲对照研究
Q3 Medicine Pub Date : 2022-07-01 DOI: 10.30699/jambs.30.141.319
M. Shabani, M. Eshaghian, S. Mazloomzadeh
Background & Objective: Selective serotonin reuptake inhibitors (SSRIs) and tricyclic antidepressants are utilized for treatment of post stroke depression, reduced quality of life and poor compliance. This study compared the effects of sertraline and nortriptyline on the quality of life and depression in post-stroke patients. Materials & Methods: This randomized double-blind trial was conducted on 56 stroke patients admitted to Valiasr Hospital in Zanjan, Iran, 2016. Patients were randomly allocated in two groups by simple randomization and received sertraline in one group, nortriptyline in the other and nobody received placebo. Patients were screened for depression using BDI (II) questionnaire and those without depression were entered into study. During follow-up, patients completed a quality of life questionnaire named Nottingham Health Profile (NHP). Data were analysed using repeated measure and Bonferroni tests in SPSS 22. P<0.05 was considered statistically significant. Results: The mean age of patients in sertraline and nortriptyline groups were 61.7 and 63.6, respectively (P=0.194). No significant differences were observed for sex, marital status and education between two groups. The mean score of total quality of life and its dimensions decreased significantly during 6 months for both groups (P=0.001). The effect of sertraline in these reductions was not different from nortriptyline (P=0.60). The proportions of moderate or severe depression were 17.9% and 37.0% in sertraline and nortriptyline groups, respectively (P=0.24). Conclusion: Both sertraline and nortriptyline improved all aspects of quality of life and their effect on prevention of depression was similar. Therefore, the administration of sertraline or nortriptyline could be beneficial in post-stroke patients.
背景与目的:选择性5 -羟色胺再摄取抑制剂(SSRIs)和三环类抗抑郁药用于治疗脑卒中后抑郁、生活质量下降和依从性差。本研究比较舍曲林和去甲替林对脑卒中后患者生活质量和抑郁的影响。材料与方法:本随机双盲试验对2016年伊朗赞詹Valiasr医院收治的56例脑卒中患者进行研究。通过简单随机化将患者随机分为两组,一组使用舍曲林,另一组使用去甲替林,没有人使用安慰剂。采用BDI (II)问卷对患者进行抑郁筛查,并将无抑郁的患者纳入研究。在随访期间,患者完成了一份名为诺丁汉健康概况(NHP)的生活质量问卷。在SPSS 22中使用重复测量和Bonferroni检验分析数据。P<0.05为差异有统计学意义。结果:舍曲林组和去甲替林组患者的平均年龄分别为61.7岁和63.6岁(P=0.194)。两组在性别、婚姻状况和教育程度上没有显著差异。两组患者6个月内总生活质量及其各维度平均得分均显著下降(P=0.001)。舍曲林在这些降低中的作用与去甲替林没有区别(P=0.60)。舍曲林组和去甲替林组出现中度、重度抑郁的比例分别为17.9%和37.0% (P=0.24)。结论:舍曲林和去甲替林均能改善患者各方面的生活质量,其预防抑郁症的效果相似。因此,服用舍曲林或去甲替林可能对中风后患者有益。
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引用次数: 0
Evaluation of Nifedipine Administration on Embryo Transfer Success Rate: a Randomized Clinical Trial 硝苯地平对胚胎移植成功率的评价:一项随机临床试验
Q3 Medicine Pub Date : 2022-07-01 DOI: 10.30699/jambs.30.141.314
Robabeh Mohammadbeigi, Behnam Hedayat, Ayda Fathollahpour, Solmaz Hedayat
10.30699/jambs.30.141.314 Background & Objective: In- vitro fertilization (IVF) is one of the approved treatment options for infertility. Despite many progresses in this field, its success rate is about 20 -25%. Utilization of drugs which suppress or decrease uterine smooth muscle contraction before embryo transfer, theoretically can improve fertility by increasing implantation rate. This study was designed to evaluate nifedipine administration on embryo transfer success. Materials & Methods: In this double blinded randomized clinical trial, ninety-eight infertile women from primary and secondary causes were included in two groups; one group received placebo and the other group a single dose of 20 mg nifedipine, both thirty minutes before embryo transfer. Primary outcome was defined as clinical pregnancy, and secondary outcomes as live birth, ectopic pregnancy, multiple gestation and abortion. Results: Clinical pregnancy occurred in eighteen patients in the placebo group and in seventeen patients in nifedipine group (OR = 0.91, 0.40-2.09 (95% CI)). Sixteen patients in placebo group and fourteen patients in nifedipine group had successful live births (OR = 0.82, 0.34-1.95 (95% CI)). Multiple gestation (OR = 1.71, 0.24- 11.78 (95% CI)) and abortion (OR = 0.46, 0.07-2.95 (95% CI)) were not different between the two groups. No side effect of drug occurred in any group. Conclusion: single dose of 20 mg nifedipine tablet administered thirty minutes before IVF had no effect on improving clinical pregnancy and live birth rate. Using higher doses, or different regimens in specific patients’ subgroups may have more effect on embryo transfer success.
背景与目的:体外受精(IVF)是已获批准的治疗不孕症的方法之一。尽管在该领域取得了许多进展,但其成功率约为20 -25%。在胚胎移植前使用抑制或减少子宫平滑肌收缩的药物,理论上可以通过提高着床率来提高生育能力。本研究旨在评价硝苯地平对胚胎移植成功的影响。材料与方法:在这项双盲随机临床试验中,98名原发和继发原因的不孕妇女分为两组;在胚胎移植前30分钟,一组接受安慰剂,另一组接受单剂量20毫克硝苯地平。主要结局定义为临床妊娠,次要结局定义为活产、异位妊娠、多胎妊娠和流产。结果:安慰剂组18例发生临床妊娠,硝苯地平组17例发生临床妊娠(OR = 0.91, 0.40-2.09 (95% CI))。安慰剂组16例,硝苯地平组14例成功活产(OR = 0.82, 0.34 ~ 1.95 (95% CI))。两组间多胎妊娠(OR = 1.71, 0.24 ~ 11.78 (95% CI))和流产(OR = 0.46, 0.07 ~ 2.95 (95% CI))差异无统计学意义。两组均未发生药物副作用。结论:体外受精前30分钟单次给予硝苯地平片20 mg,对改善临床妊娠和活产率无明显作用。在特定的病人亚群中使用更高的剂量或不同的治疗方案可能对胚胎移植的成功有更大的影响。
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引用次数: 0
Biofilm Formation, Antimicrobial Resistance and Biofilm-Related Genes among Uropathogens Isolated from Catheterized Uro-Oncology Patients 尿路肿瘤患者尿路病原菌生物膜形成、耐药性及生物膜相关基因研究
Q3 Medicine Pub Date : 2022-07-01 DOI: 10.30699/jambs.30.141.347
S. Ohadian Moghadam, M. Nowroozi, Ali Nowroozi, Asieh Yousefi Kashi
Background & Objective: Despite the critical importance of catheter as an indwelling medical device, its prolonged utilization in hospitalized patients may lead to infection. This study aimed to identify distribution of uropathogenic bacteria isolated from catheterized uro-oncology patients, their biofilm production, and antimicrobial resistance patterns to generally used antibiotics. Materials & Methods: The urine samples of catheterized urology cancer patients were collected for urinalysis and urine culture. Then capability of biofilm production was detected by Congo red agar method, tube method, and microtiter plate assay. Antimicrobial susceptibility test was also performed using the Kirby–Bauer disc diffusion method on Muller–Hinton agar. Subsequently, polymerase chain reaction (PCR) assays were used to detect the biofilm encoding genes. Results: Of the 100 urinary catheter samples, 76 isolates were recovered from urinary catheters of 52 patients. Escherichia coli was established to be the most frequent pathogen isolated from the urine of patients followed by Pseudomonas and Staphylococcus. All of Pseudomonas aeruginosa and Methicillin-resistant Staphylococcus aureus (MRSA) isolates were found to be biofilm producers. All studied isolates were found resistant to ampicillin, amoxicillin, and cephalexin. All biofilm- producer MRSA and Pseudomonas isolates were found to harbor the virulence genes studied. Both imipenem and fosfomycin were the most effective antibiotics against isolated bacteria. Conclusion: In our study virulent pathogens with highly- resistant profile and potential to form biofilm were isolated from uro-oncology patients. Therefore, the current study highlights the significance of antibiotic resistance which can lead to treatment failure.
背景与目的:导尿管作为一种留置医疗器械具有重要意义,但其在住院患者中的长期使用可能导致感染。本研究旨在确定尿路肿瘤患者尿路病原菌的分布、其生物膜的生成以及对常用抗生素的耐药性模式。材料与方法:收集导尿泌尿外科肿瘤患者尿液标本,进行尿液分析和尿培养。采用刚果红琼脂法、试管法和微滴板法检测其产膜能力。采用Kirby-Bauer圆盘扩散法在Muller-Hinton琼脂上进行药敏试验。随后,采用聚合酶链反应(PCR)检测生物膜编码基因。结果:从52例患者的100根导尿管中分离出76株。从患者尿液中分离出的最常见病原体为大肠杆菌,其次为假单胞菌和葡萄球菌。所有铜绿假单胞菌和耐甲氧西林金黄色葡萄球菌(MRSA)分离株均为生物膜生产者。所有研究的分离株均发现对氨苄西林、阿莫西林和头孢氨苄耐药。所有产生生物膜的MRSA和假单胞菌分离株均含有所研究的毒力基因。亚胺培南和磷霉素是对分离细菌最有效的抗生素。结论:在我们的研究中,从泌尿肿瘤患者中分离到了具有高度耐药特征和可能形成生物膜的毒力病原体。因此,目前的研究强调了抗生素耐药性的重要性,它可能导致治疗失败。
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引用次数: 0
The Relationship between Fecal Myeloperoxidase Concentration and Growth Velocity in 2-5 Year-Old Children in Rural Areas of Zanjan, Iran 伊朗赞詹农村2-5岁儿童粪便髓过氧化物酶浓度与生长速度的关系
Q3 Medicine Pub Date : 2022-05-01 DOI: 10.30699/jambs.30.140.255
M. Rostami, Ziba Molaei, N. Motamed
10.30699/jambs.30.140.255 Background & Objective: Growth is an important marker of child health. It has been shown recently that a chronic inflammatory condition, known as Environmental Enteric Dysfunction might play a more significant role on growth velocity than clinical infections. The present study aims to investigate the fecal myeloperoxidase concentration (a marker of gut inflammation) and its relationship with growth velocity. Materials & Methods: In this prospective cohort study, 74 children from rural population of Iran (2 to 5 years of age) were randomly included. The heights and weights of the children were measured at a quarterly interval. The stool samples were obtained from all children in order to measure myeloperoxidase (MPO) concentration. The growth velocity was assessed on the basis of height for age Z-score and weight for age Z-score changes. A questionnaire on socioeconomic status was also completed by children’s parents. Results: 82 children aged 2 to 5 years (37 females and 45 males) with mean age of 40.63 ± 12.7 months participated in this study. The mean fecal MPO level was 71.26 ng/ml (Min – Max: 2 – 232.33 ng/ml). There was no significant relationship between fecal myeloperoxidase level and changes in height and weight Z scores. Moreover, there was no significant relationship between socioeconomic status of households and fecal myeloperoxidase level. Conclusion: The mean level of fecal MPO in the present study was lower than similar studies. This significant difference might be mainly due to the better social status of families and environmental conditions of villages in our study.
背景与目的:生长发育是儿童健康的重要标志。最近有研究表明,一种被称为环境肠功能障碍的慢性炎症状况可能比临床感染对生长速度起更重要的作用。本研究旨在探讨粪便髓过氧化物酶(肠道炎症的标志)浓度及其与生长速度的关系。材料与方法:在这项前瞻性队列研究中,随机纳入74名来自伊朗农村人口的儿童(2 - 5岁)。每季度测量一次孩子们的身高和体重。所有儿童的粪便样本都是为了测量髓过氧化物酶(MPO)浓度。生长速度以身高评价年龄z分数,以体重评价年龄z分数变化。儿童父母还完成了一份社会经济地位调查问卷。结果:82例2 ~ 5岁儿童(女37例,男45例)参与本研究,平均年龄40.63±12.7个月。平均粪便MPO水平为71.26 ng/ml(最小-最大:2 - 232.33 ng/ml)。粪便髓过氧化物酶水平与身高、体重Z评分变化无显著关系。此外,家庭社会经济地位与粪便髓过氧化物酶水平之间没有显著关系。结论:本研究中粪便MPO的平均水平低于同类研究。这种显著的差异可能主要是由于我们研究中家庭的社会地位和村庄的环境条件更好。
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引用次数: 1
Extracting the Hidden Patterns Affecting Mental Health through Data Mining Techniques 利用数据挖掘技术提取影响心理健康的隐藏模式
Q3 Medicine Pub Date : 2022-05-01 DOI: 10.30699/jambs.30.140.281
M. Jahanbakhsh, Asal Aghadavodian jolfaee, R. Kelishadi, M. Sattari
10.30699/jambs.30.140.281 Background & Objective: This study was conducted to shed light on the hidden relationships, trends, and patterns of the teenagers’ mental health dataset based on data mining techniques. Materials & Methods: The proposed method has four parts as follows: data preprocessing, data cleaning, target class selection, and extracting rules. The classes included inappropriate, moderate, and acceptable. The rules were extracted separately by implementing ID3, CHAID, and rule induction on the Caspian 5 dataset. Results: It was found that the teenagers who rarely drink carbonated soda and have dinner seven days a week, have acceptable status of mental health. Besides, watching TV and playing computer games for 4 hours or more per week, drinking tea and packaged juices, eating cakes, cookies, pastries, biscuits, and chocolate weekly could lead to inappropriate status of mental health. Conclusion: An attempt to improve health especially in youth is one of the important concerns of every country. The rules express the negative impact of soda on mental health. Besides, it can be concluded that there is a direct relationship between having breakfast and mental health.
10.30699/jambs.30.140.281背景与目的:本研究旨在基于数据挖掘技术揭示青少年心理健康数据集的隐藏关系、趋势和模式。材料与方法:该方法包括四个部分:数据预处理、数据清理、目标类选择和规则提取。课程包括不适当、适度和可接受。通过在Caspian 5数据集上实现ID3、CHAID和规则归纳,分别提取了规则。结果:很少喝碳酸饮料、每周七天吃晚饭的青少年心理健康状况尚可。此外,每周看电视和玩电脑游戏4小时或更长时间,喝茶和喝包装果汁,每周吃蛋糕、饼干、糕点、饼干和巧克力,都可能导致心理健康状况不佳。结论:努力改善健康状况,尤其是青年人的健康状况,是每个国家关注的重要问题之一。这些规定表达了苏打水对心理健康的负面影响。此外,可以得出结论,吃早餐与心理健康之间存在直接关系。
{"title":"Extracting the Hidden Patterns Affecting Mental Health through Data Mining Techniques","authors":"M. Jahanbakhsh, Asal Aghadavodian jolfaee, R. Kelishadi, M. Sattari","doi":"10.30699/jambs.30.140.281","DOIUrl":"https://doi.org/10.30699/jambs.30.140.281","url":null,"abstract":"10.30699/jambs.30.140.281 Background & Objective: This study was conducted to shed light on the hidden relationships, trends, and patterns of the teenagers’ mental health dataset based on data mining techniques. Materials & Methods: The proposed method has four parts as follows: data preprocessing, data cleaning, target class selection, and extracting rules. The classes included inappropriate, moderate, and acceptable. The rules were extracted separately by implementing ID3, CHAID, and rule induction on the Caspian 5 dataset. Results: It was found that the teenagers who rarely drink carbonated soda and have dinner seven days a week, have acceptable status of mental health. Besides, watching TV and playing computer games for 4 hours or more per week, drinking tea and packaged juices, eating cakes, cookies, pastries, biscuits, and chocolate weekly could lead to inappropriate status of mental health. Conclusion: An attempt to improve health especially in youth is one of the important concerns of every country. The rules express the negative impact of soda on mental health. Besides, it can be concluded that there is a direct relationship between having breakfast and mental health.","PeriodicalId":36550,"journal":{"name":"Journal of Advances in Medical and Biomedical Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46793768","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
Epidemiologic Evaluation of Patients with Monoarthritis in Kashan, Iran 伊朗卡尚地区单关节炎患者的流行病学评价
Q3 Medicine Pub Date : 2022-05-01 DOI: 10.30699/jambs.30.140.275
B. Zamani, F. Atoof, Elnaz Mortazavi, M. Shayestehpour
Background & Objective: Monoarthritis is the inflammation of a single joint. There is limited data on the etiology of monorthritis in Iran. This study was aimed to evaluate epidemiologic charecteristics of the patients with monorthritis in Kashan, Iran. Materials & Methods: This cross-sectional study was conducted on 227 patients with monorthritis referred to the rheumatology clinic of Kashan, Iran between 2018 and 2019. General, physical and rheumatological examinations were performed on all patients. synovial fluid samples were analyzed for viscosity, leucocyte count, Gram's staining, culture and microscopic evaluation of crystals. Results: Mean age of the patients at the baseline was 56.1±17.2 years, out of whom 44.1% were male. Acute and chronic monoarthritis cases were 51.5% and 48.5%, respectively. The most common involved joint was the knee (60.7%) followed by the ankle (32.2%). Pseudogout (39.3%) and gout (31.6%) were the most common causes of acute monoarthritis. There was no significant difference in etiology of acute monoarthritis between male and female (P value=0.33). Osteoarthritis (53.50%) and rheumatoid arthritis (25.50%) were the most common causes of chronic arthritis. A significant correlation was obtained between sex and causes of chronic monoarthritis (P value=0.012). Patients with various etiologies of chronic monoarthritis had significantly different mean age (P value<0.001). Conclusion: The knee joint was the most common site affected by monoarthritis. Pseudogout and osteoarthritis were the most common causes of acute and chronic arthritis, respectively.
背景与目的:单关节关节炎是指单个关节的炎症。伊朗单核细胞炎的病因资料有限。本研究旨在评价伊朗卡尚地区单核细胞炎患者的流行病学特征。材料与方法:本横断面研究对2018年至2019年在伊朗卡尚风湿病诊所就诊的227例单性关节炎患者进行了研究。对所有患者进行一般、身体和风湿病学检查。分析滑液样品的粘度、白细胞计数、革兰氏染色、培养和晶体的显微评价。结果:基线时患者平均年龄为56.1±17.2岁,其中男性44.1%。急性和慢性单关节炎分别占51.5%和48.5%。最常见的受累关节是膝关节(60.7%),其次是踝关节(32.2%)。假性痛风(39.3%)和痛风(31.6%)是急性单关节炎最常见的病因。急性单关节炎的病因在男女之间无显著差异(P值=0.33)。骨性关节炎(53.50%)和类风湿关节炎(25.50%)是慢性关节炎最常见的病因。性别与慢性单关节炎发病原因有显著相关性(P值=0.012)。不同病因慢性单关节炎患者的平均年龄差异有统计学意义(P值<0.001)。结论:膝关节是单关节炎最常见的发病部位。假性关节炎和骨关节炎分别是急性和慢性关节炎最常见的原因。
{"title":"Epidemiologic Evaluation of Patients with Monoarthritis in Kashan, Iran","authors":"B. Zamani, F. Atoof, Elnaz Mortazavi, M. Shayestehpour","doi":"10.30699/jambs.30.140.275","DOIUrl":"https://doi.org/10.30699/jambs.30.140.275","url":null,"abstract":"Background & Objective: Monoarthritis is the inflammation of a single joint. There is limited data on the etiology of monorthritis in Iran. This study was aimed to evaluate epidemiologic charecteristics of the patients with monorthritis in Kashan, Iran. Materials & Methods: This cross-sectional study was conducted on 227 patients with monorthritis referred to the rheumatology clinic of Kashan, Iran between 2018 and 2019. General, physical and rheumatological examinations were performed on all patients. synovial fluid samples were analyzed for viscosity, leucocyte count, Gram's staining, culture and microscopic evaluation of crystals. Results: Mean age of the patients at the baseline was 56.1±17.2 years, out of whom 44.1% were male. Acute and chronic monoarthritis cases were 51.5% and 48.5%, respectively. The most common involved joint was the knee (60.7%) followed by the ankle (32.2%). Pseudogout (39.3%) and gout (31.6%) were the most common causes of acute monoarthritis. There was no significant difference in etiology of acute monoarthritis between male and female (P value=0.33). Osteoarthritis (53.50%) and rheumatoid arthritis (25.50%) were the most common causes of chronic arthritis. A significant correlation was obtained between sex and causes of chronic monoarthritis (P value=0.012). Patients with various etiologies of chronic monoarthritis had significantly different mean age (P value<0.001). Conclusion: The knee joint was the most common site affected by monoarthritis. Pseudogout and osteoarthritis were the most common causes of acute and chronic arthritis, respectively.","PeriodicalId":36550,"journal":{"name":"Journal of Advances in Medical and Biomedical Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41359384","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
Chest CT Findings (COVID-19), Analysis of 200 Cases (Postmortem) 胸部CT表现(COVID-19), 200例尸检分析
Q3 Medicine Pub Date : 2022-05-01 DOI: 10.30699/jambs.30.140.241
N. Nematollahi, M. Mohammadi, M. Vakili, A. Baniaghil, M. Ghelichli, M. Najafi, Atousa Mortazavi Milani, Amir Hossein Ghadirian, Fatemeh Shahrokhi, Hasan Khorshah, S. S. Hosseini
Background & Objective: COVID-19 was first seen in Wuhan-China in December 2019, and became a widely-spreadepidemic and caused a terrifying life-threatening problem in most societies of the world. In Iran, a declaration was made on January 20, 2020, and all health systems were alerted of the disease threats. Materials & Methods: We collected all chest CT scans of 200 cases diagnosed as COVID-19 who died in 22 hospitals of Golestan Province, Iran. All data were collected in a designed checklist, then statistical evaluation was made using descriptive analysis and Chi-Square test. Results: The most frequent complaints in patients were dyspnea (38.5%), fever (15%), and dry cough (13%). Hypertension (22.5%), Heart disease (18.5%), and diabetes (15%) were present as underlying diseases. CT scan findings showed Ground Glass Opacity (96%), consolidation (44%), pleural effusion (26.5%), crazy paving (15%), and cardiomegaly (15.5%). Conclusion: Based on this study, hypertension as an underlying disease was significantly related to Highly Suggestive CT scans. No relation was found between cardiomegaly and death under 48 hours. Our findings Showed Ground Glass Opacity (GGO) in 192 (96%), consolidation in 88 (44%), crazy paving in 30 (15%), cardiomegaly in 30 (15%), and pleural effusion in 53 (26.5%) cases. © 2022, Zanjan University of Medical Sciences and Health Services. All rights reserved.
背景与目的:新冠肺炎于2019年12月在中国武汉首次出现,并成为一种广泛传播的流行病,在世界大多数社会造成了可怕的危及生命的问题。在伊朗,2020年1月20日发表了一项声明,所有卫生系统都收到了疾病威胁的警报。材料与方法:收集在伊朗戈勒斯坦省22家医院死亡的200例新冠肺炎患者的胸部CT扫描资料。所有数据收集在设计的检查表中,然后使用描述性分析和卡方检验进行统计评估。结果:患者最常见的主诉是呼吸困难(38.5%)、发烧(15%)和干咳(13%)。高血压(22.5%)、心脏病(18.5%)和糖尿病(15%)是潜在疾病。CT扫描结果显示磨玻璃混浊(96%)、实变(44%)、胸腔积液(26.5%)、疯狂铺路(15%)和心脏肥大(15.5%)。结论:根据本研究,高血压作为一种潜在疾病与高度提示性CT扫描显著相关。心脏肥大与48小时以下死亡之间没有发现任何关系。我们的研究结果显示192例(96%)出现磨玻璃不透明度(GGO),88例(44%)出现实变,30例(15%)出现疯狂铺路,30例心脏肥大(15%),53例(26.5%)出现胸腔积液。©2022,赞詹医学科学与健康服务大学。保留所有权利。
{"title":"Chest CT Findings (COVID-19), Analysis of 200 Cases (Postmortem)","authors":"N. Nematollahi, M. Mohammadi, M. Vakili, A. Baniaghil, M. Ghelichli, M. Najafi, Atousa Mortazavi Milani, Amir Hossein Ghadirian, Fatemeh Shahrokhi, Hasan Khorshah, S. S. Hosseini","doi":"10.30699/jambs.30.140.241","DOIUrl":"https://doi.org/10.30699/jambs.30.140.241","url":null,"abstract":"Background & Objective: COVID-19 was first seen in Wuhan-China in December 2019, and became a widely-spreadepidemic and caused a terrifying life-threatening problem in most societies of the world. In Iran, a declaration was made on January 20, 2020, and all health systems were alerted of the disease threats. Materials & Methods: We collected all chest CT scans of 200 cases diagnosed as COVID-19 who died in 22 hospitals of Golestan Province, Iran. All data were collected in a designed checklist, then statistical evaluation was made using descriptive analysis and Chi-Square test. Results: The most frequent complaints in patients were dyspnea (38.5%), fever (15%), and dry cough (13%). Hypertension (22.5%), Heart disease (18.5%), and diabetes (15%) were present as underlying diseases. CT scan findings showed Ground Glass Opacity (96%), consolidation (44%), pleural effusion (26.5%), crazy paving (15%), and cardiomegaly (15.5%). Conclusion: Based on this study, hypertension as an underlying disease was significantly related to Highly Suggestive CT scans. No relation was found between cardiomegaly and death under 48 hours. Our findings Showed Ground Glass Opacity (GGO) in 192 (96%), consolidation in 88 (44%), crazy paving in 30 (15%), cardiomegaly in 30 (15%), and pleural effusion in 53 (26.5%) cases. © 2022, Zanjan University of Medical Sciences and Health Services. All rights reserved.","PeriodicalId":36550,"journal":{"name":"Journal of Advances in Medical and Biomedical Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43543048","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
Standardized Herbal PM014 Formula Ameliorates Pulmonary Fibrosis in COVID-19 Patients by Inhibiting the TGF-β1 Signaling Pathway 标准中药PM014方通过抑制TGF-β1信号通路改善新冠肺炎患者肺纤维化
Q3 Medicine Pub Date : 2022-05-01 DOI: 10.30699/jambs.30.140.211
Maryam Allahverdi-Khani, L. Ulloa, M. Motaghinejad, Mahsa Salehirad
A number of studies have previously provided evidence on the Anti-inflammatory properties of plant-derived compounds that can prevent lung injury. In this study, we attempted to analyze the therapeutic effects of PM 014 on inflammation and pulmonary fibrosis in COVID-19 as well as describing the treatment of one of the most challenging problems related to the coronavirus-19 (COVID-19). We believe that having a close look at all angles of the proposed mechanism goes beyond the physiological consequences of a way to design new strategies for providing an appropriate treatment.
许多研究先前已经提供了关于植物衍生化合物抗炎特性的证据,这些化合物可以预防肺损伤。在这项研究中,我们试图分析PM 014对新冠肺炎炎症和肺纤维化的治疗效果,并描述与冠状病毒肺炎(新冠肺炎)相关的最具挑战性问题之一的治疗方法。我们认为,从各个角度仔细研究所提出的机制,超出了设计新策略以提供适当治疗的生理后果。
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引用次数: 0
Coronavirus Disease-19 (COVID-19) Presenting with Severe Acute Pancreatitis: A Case Report from Iran 冠状病毒病-19 (COVID-19)表现为严重急性胰腺炎:伊朗1例报告
Q3 Medicine Pub Date : 2022-05-01 DOI: 10.30699/jambs.30.140.295
M. Jameshorani, Mahdiyeh Meydanloo, S. Jafari, Saeed Mansouri Hashchin, Mohammad Jafari, N. Parsamanesh
The 2019 Coronavirus disease pandemic (COVID-19) has spread to over two hundred countries worldwide, affecting > 170 million people and causing >3,500,000 deaths (May 29, 2021). Severe COVID-19 disease mostly disturbs the respiratory system, but gastrointestinal symptoms, including vomiting, nausea and diarrhea, are also present. Herein, we are reporting a COVID-19 patient with acute pancreatitis (AP) in Zanjan, Iran. This patient showed acute pancreatitis as a COVID-19-related complication, emphasizing the importance of evaluating pancreas-specific plasma amylase levels in patients with COVID-19 and intestinal cramping. © 2022, Zanjan University of Medical Sciences and Health Services. All rights reserved.
2019冠状病毒病大流行(新冠肺炎)已蔓延至全球200多个国家,影响超过1.7亿人,造成超过35万人死亡(2021年5月29日)。严重的新冠肺炎疾病主要干扰呼吸系统,但也存在包括呕吐、恶心和腹泻在内的胃肠道症状。在此,我们报道了一名新冠肺炎患者在伊朗赞詹的急性胰腺炎(AP)。该患者显示急性胰腺炎是新冠肺炎相关并发症,强调了评估新冠肺炎和肠痉挛患者胰腺特异性血浆淀粉酶水平的重要性。©2022,赞詹医学科学与健康服务大学。保留所有权利。
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引用次数: 0
Evaluation of Hypothyroidism in Patients with Chronic Kidney Disease in Western Iran 伊朗西部慢性肾病患者甲状腺功能减退的评价
Q3 Medicine Pub Date : 2022-05-01 DOI: 10.30699/jambs.30.140.249
Alireza Eskandarifar, Anvar Mohammadi Baneh, Hamid Alizadeh
Background & Objective: Chronic kidney disease (CKD) determined by permanent kidney damage. Due to the similarity of clinical symptoms of hypothyroidism with CKD, hypothyroidism may be neglected and remain untreated. The goal of our study was to evaluate the rate of hypothyroidism in CKD patients who need hemodialysis. Materials & Methods: This is a cross-sectional research. The sampling method was census and included all CKD patients in need of hemodialysis, who had undergone hemodialysis for at least three months. Serum levels of thyroid stimulating hormone (TSH), thyroxine (T4) and triiodothyronine (T 3 ) hormones were measured in these patients, then the collected data were statistically analyzed. Results: We studied 108 patients, 58 males (53.7%) and 50 females (46.3%). The mean age of the patients was 61.09 ± 13.45 years. The mean serum levels of hormones were as follows: TSH: 1.64±1.78 µIL/ml, T3:0.88 ± 0.2ng/dl, and T4:7.7±1.6 µg/dl. In this study, 7.4% of the patients had high TSH levels, 3.7% of the patients had decreased T4 levels and 10.2% of the patients had lower than normal T3 levels. Conclusion: The rate of hypothyroidism in CKD patients who needed hemodialysis was higher than the normal population. It is recommended that serum TSH, and T4 levels in CKD patients be measured regularly to detect subclinical hypothyroid cases.
背景与目的:慢性肾脏病(CKD)由永久性肾脏损伤决定。由于甲状腺功能减退症的临床症状与CKD相似,甲状腺功能减退可能被忽视并继续治疗。我们研究的目的是评估需要血液透析的CKD患者甲状腺功能减退的发生率。材料与方法:这是一项横断面研究。抽样方法为普查,包括所有需要血液透析的CKD患者,这些患者已接受血液透析至少三个月。测定这些患者的血清促甲状腺激素(TSH)、甲状腺素(T4)和三碘甲状腺原氨酸(T3)水平,并对收集的数据进行统计学分析。结果:我们研究了108例患者,其中男性58例(53.7%),女性50例(46.3%)。患者的平均年龄为61.09±13.45岁。血清激素的平均水平如下:TSH:1.64±1.78µIL/ml,T3:0.88±0.2ng/dl,T4:7.7±1.6µg/dl。在这项研究中,7.4%的患者TSH水平较高,3.7%的患者T4水平下降,10.2%的患者T3水平低于正常水平。结论:需要血液透析的CKD患者甲状腺功能减退率高于正常人群。建议定期测量CKD患者的血清TSH和T4水平,以检测亚临床甲状腺功能减退病例。
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Journal of Advances in Medical and Biomedical Research
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