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Biofeedback of Heart Rate Variability in the treatment of chronic diseases: A Systematic Review 慢性病治疗中心率变异性的生物反馈:一项系统综述
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-10-26 DOI: 10.22317/jcms.v8i5.1289
Saad Majeed Al-Tamimi
Background: HRVB (heart rate variability biofeedback) is a non-pharmacological method for chronic diseases evaluation. Method: Adults chronic sufferers, HRVB as the primary therapy with or without controlled circumstances, and psycho - physiological results as regression analysis were all included in a systematic search. Results: There were 21 publications in overall. HRVB was found to be feasible in chronic patients with no adverse reactions, according to the findings. Significant favourable impacts on hypertension and cardiovascular prognostic, inflammation condition, asthma issues, depression and anxiety, sleeping disruptions, cognitive function, and pain were reported in diverse patient characteristics that could be linked to enhanced quality of life. Increases in treatment practice were accompanied by increases in heart rate variability, implying that HRVB may have a regulatory influence on autonomic function. Conclusions: HRVB has the potential to help individuals with chronic conditions. More research is needed to reinforce these findings as well as identify the most efficient strategy.
背景:HRVB(心率变异性生物反馈)是一种评估慢性疾病的非药物方法。方法:对成人慢性患者,以HRVB为主要治疗方法,在可控或不可控情况下,以心理生理结果为回归分析,进行系统检索。结果:共发表21篇。根据研究结果,HRVB在慢性患者中是可行的,没有不良反应。据报道,在不同的患者特征中,对高血压和心血管预后、炎症状况、哮喘问题、抑郁和焦虑、睡眠中断、认知功能和疼痛有显著的有利影响,这可能与提高生活质量有关。治疗实践的增加伴随着心率变异性的增加,这意味着HRVB可能对自主神经功能有调节作用。结论:HRVB具有帮助慢性疾病患者的潜力。需要更多的研究来加强这些发现,并确定最有效的策略。
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引用次数: 0
Relation of serum and follicular level of BMP15 with Oocyte quality, embryo grading and pregnancy rate 血清及卵泡BMP15水平与卵母细胞质量、胚胎分级及妊娠率的关系
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-10-26 DOI: 10.22317/jcms.v8i5.1283
Z. Hashim, Lubna Amer, E. Al-Wasiti
Objectives: Use of serum and follicular fluid concentration of oocyte secreted factors BMP15 as biomarkers of oocyte quality, embryo quality and it's relation to pregnancy rate. Methods: Eighty eight women were included in this study; they were selected from those undergoing intra-cytoplasmic sperm injection. Results: Positive pregnancy was achieved by 14 women accounting for 19.0 % (total number of women that reach embryo transfer was 72). No significant difference in mean serum BMP15 between pregnant and non- pregnant women, but the level of follicular fluid BMP15 was significantly higher in pregnant women. MI oocyte count was not significantly correlated to serum or follicular fluid BMP15 (p > 0.05). MII oocyte count showed highly significant positive correlation to serum and follicular fluid BMP15 (p < 0.01). Grade1 embryo count showed highly significant positive correlation to serum and follicular fluid BMP15 (p < 0.01), Grade 2 embryo count showed significant positive correlation to serum BMP15 (p = 0.032), but the grade 2 embryo count showed non- significant correlation to follicular BMP15 (p > 0.05). Also grade 3 embryo count showed non- significant correlation to serum and follicular BMP15 (p > 0.05). Conclusions: The current study revealed that  serum and follicular BMP15 could be used as indicator for oocyte maturity, and serum BMP15 could be used as indicator of good quality embryos.
目的:利用血清和卵泡液中卵母细胞分泌因子BMP15浓度作为卵母细胞质量、胚胎质量及其与妊娠率关系的生物标志物。方法:本研究纳入88名女性;他们是从接受细胞质内精子注射的人中挑选出来的。结果:14名妇女获得了阳性妊娠,占19.0%(达到胚胎移植的妇女总数为72人)。孕妇和非孕妇的平均血清BMP15没有显著差异,但孕妇的卵泡液BMP15水平显著较高。MI卵母细胞计数与血清或卵泡液BMP15无显著相关性(p>0.05),MII卵母细胞数与血清和卵泡液BMP15呈极显著正相关(p<0.01),1级胚胎数与血清及卵泡液BMP1 5呈极极显著正相关性(p<0.01),2级胚胎计数与血清BMP15呈显著正相关(p=0.032),2级胚胎数与卵泡BMP15无显著相关性(p>0.05),3级胚胎数则与血清和卵泡BMP15。
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引用次数: 1
Breast Cancer Knowledge and Screening Practice among Women in Makkah, Saudi Arabia 沙特阿拉伯麦加妇女乳腺癌症知识和筛查实践
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-10-26 DOI: 10.22317/jcms.v8i5.1286
A. Flemban, Saeed M Kabrah, S. Alfaifi, Ahmed Alsubhi, A. Alzahrani, K. Alhazmi, S. Alharbi
Objectives: This study aimed to estimate the level of current knowledge regarding breast cancer in Saudi Arabia. We assessed the knowledge of breast cancer risks, the knowledge regarding the BSE and mammogram in Saudi Arabian females using a survey-based study. Methods:  A cross-sectional study was conducted using a self-administered survey to assess the knowledge and practice of Saudi women toward Brest cancer examination. Collected data were analyzed using SPSS program.   Results: A total number of 499 surveys were collected. The data showed that there was general lack of practice of BSE in the sample only 186 (37%) reported that they practiced regular BSE and only 16 (3%) reported that they went to the clinic for breast examination. Among all participants around 54% had poor overall knowledge of breast cancer 65% had poor knowledge regarding breast cancer risk and 93% had poor knowledge regarding clinical examination. Surprisingly, 56% had good knowledge regarding the clinical picture of breast cancer. Conclusion: This clearly showed that the lack of breast self-examination, mammogram and clinical examination is not a result of total lack of knowledge but due to lack of knowledge regarding risks and examination. This set of data provide a guideline for the focus and planning of future breast cancer awareness campaigns.
目的:本研究旨在估计沙特阿拉伯目前关于乳腺癌的知识水平。我们通过一项基于调查的研究评估了沙特阿拉伯女性对乳腺癌风险的了解,对疯牛病和乳房x光检查的了解。方法:采用自我管理的调查进行横断面研究,以评估沙特妇女对乳腺癌检查的知识和实践。收集的数据使用SPSS软件进行分析。结果:共收集问卷499份。数据显示,样本中普遍缺乏对疯牛病的实践,只有186人(37%)报告他们定期进行疯牛病实践,只有16人(3%)报告他们去诊所进行乳房检查。在所有参与者中,约54%的人对乳腺癌的整体知识较差,65%的人对乳腺癌风险的知识较差,93%的人对临床检查的知识较差。令人惊讶的是,56%的人对乳腺癌的临床表现有很好的了解。结论:这清楚地表明,缺乏乳房自我检查、乳房x光检查和临床检查不是完全缺乏知识的结果,而是由于缺乏对风险和检查的认识。这组数据为今后乳腺癌宣传运动的重点和规划提供了指导。
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引用次数: 1
Assessment of the HER2, PDL1 and oxidative stress levels at the menopausal status of newly diagnosed breast cancer patients 新诊断的乳腺癌症患者更年期HER2、PDL1和氧化应激水平的评估
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-10-26 DOI: 10.22317/jcms.v8i5.1288
Baraa R. Mahmood, Thikra A. Allwsh
Objective: This study aimed to estimate the levels of HER2, PD-L1 and oxidative stress in newly diagnosed breast cancer patients. Also, to estimate the probability of using HER2 and PD-L1 as a predictive marker on the occurrence of breast cancer in addition to study the effect of menopausal status at the level of HER2, PD-L1, oxidative stress and breast cancer risk factor. Methods: This study included 125 newly diagnosed breast cancer patients (53 premenopausal and 72 postmenopausal) from Oncology and Nuclear Medicine Hospital in Mosul, Iraq, and 100 apparently healthy women as a control group (44 premenopausal and 56 postmenopausal), during the period from Jan. 2021 to Jun. 2021. The ages of patients and control are matched, and it is ranged from 30-60 years. In this study we estimate the level of Human Epidermal Growth Factor Receptor 2 (HER2), Programmed Death -Ligand 1(PD-L1), total antioxidant capacity (T-AOC), arylesterase activity, uric acid level, malondialdehyde (MDA) level, peroxidase activity, lactoperoxidase activity and iron level at breast cancer patients and control. Results: The results show that there is a significant elevation in the level of HER2, PD-L1, malondialdehyde, peroxidase, lactoperoxidase and iron, and a significant decrease in the level of T-AOC, arylesterase and uric acid in the serum of breast cancer patients (pre and postmenopausal) compared with the control group (pre and postmenopausal).  Also, increase the level of HER2 and oxidative stress at postmenopausal status for the control and patient groups. while PD-L1 level does not affect by menopausal status for both control and patient groups. Conclusion: The level of HER2, PD-L1, and oxidative stress was significantly increased in newly diagnosed breast cancer patients compared with the control group at the same menopausal status.  Increase breast cancer risk factor at the postmenopausal status.
目的:本研究旨在评估新诊断乳腺癌患者的HER2、PD-L1和氧化应激水平。此外,除了研究绝经状态对HER2、PD-L1、氧化应激水平和乳腺癌危险因素的影响外,还将评估使用HER2和PD-L1作为乳腺癌发生预测标志物的概率。方法:本研究于2021年1月至2021年6月在伊拉克摩苏尔肿瘤和核医学医院新诊断的125例乳腺癌患者(绝经前53例,绝经后72例)和100例明显健康的妇女(绝经前44例,绝经后56例)作为对照组。患者与对照组年龄匹配,年龄范围30-60岁。在这项研究中,我们估计了人表皮生长因子受体2 (HER2)、程序性死亡配体1(PD-L1)、总抗氧化能力(T-AOC)、芳基酯酶活性、尿酸水平、丙二醛(MDA)水平、过氧化物酶活性、乳过氧化物酶活性和铁水平在乳腺癌患者和对照组中的水平。结果:与对照组(绝经前和绝经后)相比,乳腺癌患者(绝经前和绝经后)血清中HER2、PD-L1、丙二醛、过氧化物酶、乳过氧化物酶、铁水平显著升高,T-AOC、芳基酯酶、尿酸水平显著降低。此外,在对照组和患者组中,增加绝经后状态的HER2和氧化应激水平。而PD-L1水平不受对照组和患者绝经状态的影响。结论:与绝经期相同的对照组相比,新诊断乳腺癌患者的HER2、PD-L1、氧化应激水平明显升高。增加绝经后乳腺癌的风险因素。
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引用次数: 1
Association between hormonal Imbalance and Interleulin-10 level with Polycystic Ovarian Syndrome of Iraqi women 激素失衡和白细胞介素-10水平与伊拉克妇女多囊卵巢综合征的关系
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-10-26 DOI: 10.22317/jcms.v8i5.1285
Hiba Aqeel Muslem Al-Quraishy, H. Ali, F. J. Al-Tu’ma, M. Ali, A. F. Al-Tu’ma
Objectives: To determine the level of interleukin-10 as inflammatory marker in PCOS patients and compared with healthy control and explore the correlation between IL-10 level and other biochemical markers in PCOS patients. Methods: Whole blood samples of 80 PCOS obese patients and 80 healthy people were collected in duration from Dec., 2021 to April, 2022, at the gynecological and obstetric teaching hospital, Kerbala health directorate, Iraq. The Rotterdam criteria-2003 was accepted to PCOS females with age range between (18-40 years), while the apparently control group with age ranged between (18-40 years). BMI and WHR and hormonal status (LH, FSH, LH/FSH ratio, Prolactin, Free Testosterone) were determined. Elabscience/USA ELISA kit uses the Sandwich-ELISA principle was used to determined IL-10 level in serum. Results: The obese PCOS women had a seriously decrease in IL-10 (pg/ml) level when compare with apparently healthy control group with mean ± SD for patients (2.192 ± 0.47) and for control group (4.532 ± 0.75) P value < 0.0001, and there are significant negative correlations between IL-10 and (BMI p<0.0001, r= -0.66), (WHR p<0.0001, r= -0.66), (LH p<0.0001, r= -0.63), (LH: FSH ratio p<0.0001, r= -0.72), (Prolactin p=0.008, r= -029).   Conclusion: Our findings indicate that the IL-10 level decrease in PCOS obese patients and has significant association with pathogenesis and progression of disease.
目的:检测多囊卵巢综合征患者白细胞介素-10(IL-10)作为炎症标志物的水平,并与健康对照组进行比较,探讨PCOS患者IL-10水平与其他生化标志物的相关性。方法:从2021年12月至2022年4月,在伊拉克克尔巴拉卫生局妇产科教学医院采集80名多囊卵巢综合征肥胖患者和80名健康人的全血样本。年龄在(18-40岁)之间的多囊卵巢综合征女性接受鹿特丹标准-2003,而年龄在(18-20岁)之间显然是对照组。测定BMI和WHR以及激素状态(LH、FSH、LH/FSH比值、催乳素、游离睾酮)。Elabscience/USA ELISA试剂盒采用夹心ELISA原理测定血清中IL-10水平。结果:与明显健康的对照组相比,肥胖PCOS妇女的IL-10(pg/ml)水平显著降低,患者的平均值±SD(2.192±0.47)和对照组的平均值(4.532±0.75)P值<0.0001,IL-10与(BMI P<0.0001,r=-0.66)、,(LH:FSH比值p<0.0001,r=-0.72),(催乳素p=0.008,r=-029)。结论:我们的研究结果表明,PCOS肥胖患者的IL-10水平降低,与疾病的发病机制和进展有显著关系。
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引用次数: 0
Docking study, Synthesis, Characterization and Preliminary cytotoxic evaluation of new 1,2,3,4-tetrahydroppyrimidine derivatives 新型1,2,3,4-四氢嘧啶衍生物的对接研究、合成、表征及细胞毒性初步评价
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-10-26 DOI: 10.22317/jcms.v8i5.1281
Noor M. Mohammed
Objective: This study resolved that1 these anew synthesized analogs1 may 1be embodied as1 an 1exploitable foundation of new 1anticancer1 1agents to competition breast 1cancer Methods: By means of The crystal1 structure of Histone deacetylases (HDACs-8) with Vorinostat (SAHA) as 1a co-crystalized1 ligand 1was gained1 from 1the protein 1data-bank 1 (PDB 1code 4QA0) as a result 1of 1docking the compounds (V a,s, V b,s, V a,t and V b,t) give 1good docking 1scores compared1 to the standard. 1 Compounds (V a,s, V b,s, V a,t and V b,t) was synthesized1 by multistep procedures1 from the reaction of  intermediate derivatives (IV a,b) and the thiosemicarbazide or semicarbazide . The chemical1 structures1 of the1 target compounds11 and 1their intermediates1 were1 confirmed by 1FT-IR and1H 1NMR Results: The in-vitro cytotoxicity1 assay (MTT assay) demonstrated1 that compounds1 V a,t and V b,t showed1 good inhibition 1ratios in Breast1 cancer cell line1 (MCF-7) and human colon adenocarcinoma (HRT-18) 1comparable with drug1 control Vorinostat (SAHA). Conclusion: 1From the docking1 study, it was1 concluded1 that C=S moiety were very1 1successful to bind 1tightly to the zinc binding group of HDAC enzyme by making numerous 1interaction modes.
目的:本研究确定了这些新合成的类似物可作为新的抗癌药物与乳腺癌竞争的开发基础。方法:利用组蛋白去乙酰化酶(hdac -8)与伏立诺他(SAHA)共结晶的晶体结构,从蛋白数据库1 (pdb1编码4QA0)中获得共结晶配体1,对接化合物(V a,s, V b,s, V a,t和V b,t)获得较好的对接分数。由中间衍生物(iva,b)与氨基脲或氨基脲通过多步反应合成了化合物(va,s, vb,s, va,t和vb,t)。结果:体外细胞毒性试验(MTT)表明,化合物1 V a,t和V b,t对乳腺癌细胞系(MCF-7)和人结肠腺癌(HRT-18)具有良好的抑制作用,与对照药物伏立诺他(SAHA)相当。结论:从对接研究中可以得出,C=S片段通过多种相互作用模式,非常成功地与HDAC酶的锌结合基团紧密结合。
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引用次数: 0
Explaining the conceptual considerations of virtual university in medical education: a systematic review 解读医学教育中虚拟大学的概念考量:系统综述
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-10-26 DOI: 10.22317/jcms.v8i5.1253
S. Ahmady, A. Habibi, Zohreh Koshgoftar
Aim: Most of existing literature on the concept of virtual university of medical sciences have been collected in a non-systematic manner. This issue highlights the need to conduct research on virtual university-related topics through systematic research evidence and empirical evaluations. The aim of the present study is to investigate the real complexity and diversity of the concept of virtual university of medical sciences. Method: This was a systematic review with the BeHEMoTH approach and aimed to identify, review, analyze and integrate models, theories and frameworks related to the concept of virtual university of medical sciences. Eligible articles were searched in PubMed, ERIC, IEEE، ISI ،Scopus, Ecampus research unit from 2001 to 2022 using related keywords in three stages. Results: A total of 13 articles were finally identified according to inclusion and exclusion criteria. Pedagogical, technology, managerial, educational design, technology implementation, and educational-administrative management components were referred to in 5, 5, 4, 7, 6 and 4 articles, respectively. Thematic analysis of the models was carried out in two theoretical dimensions (pedagogical component, managerial component and technological component) and operational dimension (educational design, administrative-educational management and technology implementation). Conclusion: The results of the present study emphasize the need to pay attention to these six components in the establishment and development of virtual universities of medical sciences. In order to improve the education process in virtual universities, the process quality evaluation framework can be used.
目的:现有关于虚拟医学大学概念的文献大多是以非系统的方式收集的。这一问题突出了通过系统的研究证据和实证评估对虚拟大学相关主题进行研究的必要性。本研究的目的是调查虚拟医学大学概念的真实复杂性和多样性。方法:采用BeHEMoTH方法进行系统综述,旨在识别、回顾、分析和整合与虚拟医学大学概念相关的模型、理论和框架。从2001年到2022年,在PubMed、ERIC、IEEE’ISI’Scopus、Ecampus研究单位使用相关关键词分三个阶段搜索符合条件的文章。结果:根据纳入和排除标准,最终共鉴定出13篇文章。第5、5、4、7、6和4篇文章分别提到了教育、技术、管理、教育设计、技术实施和教育行政管理组成部分。从两个理论层面(教学部分、管理部分和技术部分)和操作层面(教育设计、行政教育管理和技术实施)对这些模型进行了专题分析。结论:本研究的结果强调了在建立和发展虚拟医学大学时需要注意这六个组成部分。为了改善虚拟大学的教育过程,可以使用过程质量评估框架。
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引用次数: 0
Evaluation of the hemoglobin level in gingival crevice fluid and clinical periodontal parameters in patients with chronic periodontitis 慢性牙周炎患者龈缝液中血红蛋白水平及临床牙周参数的评价
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-10-26 DOI: 10.22317/jcms.v8i5.1284
S. Taheri, Mahdis Samadaei, Mina Pakkhesal, A. Ahmadinia
Objectives: The present study aimed to evaluate the level of hemoglobin in gingival crevicular fluid (GCF) and its relationship with clinical periodontal parameters in chronic periodontitis.Methods: This cross-sectional study was conducted in patients with chronic periodontitis. Gingival crevicular fluid was sampled and clinical periodontal parameters PI, PPD, CAL, and BOP were measured. The level of hemoglobin in GCF was measured using a hemoglobin kit. Data were analyzed using Spearman's correlation test and Mann-Whitney's test in Stata 14.1 software. Results: 315 teeth from patients with chronic periodontitis were evaluated. There was a strong and direct correlation between the amount of GCF hemoglobin and the amount of PPD, CAL and PI, their correlation coefficient was equal to 0.78, 0.88 and 0.82, respectively (P<0.001). The mean hemoglobin GCF in the positive BOP group was 68.84 ± 30.89 and in the negative BOP group was 59.28 ± 8.03, which showed a significant difference in the average hemoglobin between the two groups (P<0.001). Conclusion: According to the findings of this study, there is a strong correlation between periodontal clinical parameters and the level of GCF hemoglobin, and measuring the level of hemoglobin in the gingival crevice fluid can be an accurate measure and a non-invasive method for investigating periodontal conditions.
目的:本研究旨在评估慢性牙周炎患者龈沟液中血红蛋白水平及其与临床牙周参数的关系。方法:对慢性牙周炎患者进行横断面研究。采集牙缝液,测量临床牙周参数PI、PPD、CAL和BOP。使用血红蛋白试剂盒测量GCF中的血红蛋白水平。使用Stata 14.1软件中的Spearman相关检验和Mann-Whitney检验对数据进行分析。结果:对315颗慢性牙周炎患者的牙齿进行了评价。GCF血红蛋白含量与PPD、CAL和PI含量之间有很强的直接相关性,其相关系数分别为0.78、0.88和0.82(P<0.001)。BOP阳性组的平均血红蛋白GCF为68.84±30.89,BOP阴性组为59.28±8.03,两组患者的平均血红蛋白水平有显著性差异(P<0.001)。结论:根据本研究结果,牙周临床参数与GCF血红蛋白水平有很强的相关性,并且测量牙龈缝隙液中的血红蛋白水平可以是用于研究牙周状况的准确测量和非侵入性方法。
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引用次数: 0
Study of factors that impact the production of anti-SARS-CoV-2 antibodies in patients with COVID-19 影响COVID-19患者抗sars - cov -2抗体产生的因素研究
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-10-26 DOI: 10.22317/jcms.v8i5.1242
N. Hussein, Amer A. Balatay, Ameen M. Mohammad, K. Dhama, N. Rasheed
Objectives: The aim of this paper was to investigate the impact of different variables on the production of antibodies in patients who were infected with Covid-19. Methods: This cross-sectional study was conducted in Duhok City, Kurdistan Region of Iraq. The study was conducted between January 2021 and March 2022. Demographic data were collected via face-to-face interview. Antibody levels were determined using Elecsys Anti-SARS-CoV-2. Results: The levels of antibody were studied in 138 patients.  A significant association was found between antibody levels and the age of the participants (r=0.175; P=0.04). Besides, a significant correlation was found between antibody levels and the duration of symptoms (r=0.206; P=0.015). The antibody levels were not associated with gender; history of chronic diseases; marital status or time interval before testing. Conclusions: Different variables that may impact the levels of antibody were studied. Significant associations were found between antibody levels and both age and duration of symptoms. Our results can be used by healthcare providers to focus on patients who are at risk of low antibody production.
目的:研究不同变量对新冠肺炎患者抗体产生的影响。方法:这项横断面研究在伊拉克库尔德斯坦地区的杜霍克市进行。该研究于2021年1月至2022年3月期间进行。人口统计数据是通过面对面访谈收集的。使用Elecsys Anti-SARS-CoV-2测定抗体水平。结果:对138例患者进行了抗体检测。抗体水平与参与者年龄显著相关(r=0.175;P=0.04)。此外,抗体水平与症状持续时间显著相关(r=0.206;P=0.015)。抗体水平与性别无关;慢性病史;测试前的婚姻状况或时间间隔。结论:研究了可能影响抗体水平的不同变量。抗体水平与年龄和症状持续时间之间存在显著相关性。我们的研究结果可供医疗保健提供者用于关注抗体产生低风险的患者。
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引用次数: 1
Development of dental specialties in Iran: A qualitative study 伊朗牙科专业发展的定性研究
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2022-10-26 DOI: 10.22317/jcms.v8i5.1258
Tayebe Rojhanian, M. Jadidfard, S. Yazdani
Objectives: Dental specialties in Iran were first established in 1970s, and developed over time. Considering that information is essential for health policymaking, and lack of it is the main problem; therefore, policymakers require adequate knowledge about development and alterations of healthcare providers to recognize the influential factors on them. Regarding the information gap on development of dental specialties in Iran, this qualitative study aimed to assess it. Methods: This qualitative case study was conducted through 12 semi-structured interviews with the experts and pioneers of the oral healthcare system in Iran who were selected by purposive and snowball sampling. Data were analyzed by content analysis method, which included transcribing, identifying the meaning units, abstracting the content, sorting codes, and formulating themes using Atlas.ti software. Results: After data analysis, three main themes were extracted regarding development of dental specialties in Iran according to the interviewees: (A) trend of development, (B) challenges of development, and (C) necessities of development. Trend of development of dental specialties included two comprehensive phases, and one phase focusing on quantity and inadequate attention to quality. The challenges of development of dental specialties included management and policy-making problems, interactions outside the system, popularity of specialization, and process of admission to specialty programs. The necessity of need assessment, paying attention to the costs of healthcare interventions, defining the range of specialization, and revision of dental specialty programs are among the necessities of development of dental specialties. Conclusion: Dental specialties in Iran were developed at a time with inadequate attention to shortage of infrastructure based on political interactions. The popularity of specialization in dentistry and the associated high costs in a free educational system highlight the significance of need assessment regarding the number of specialists required in academic and therapeutic fields, and setting some criteria for development of specialty programs.
目的:伊朗的牙科专业最早建立于20世纪70年代,并随着时间的推移而发展。考虑到信息对卫生决策至关重要,缺乏信息是主要问题;因此,政策制定者需要充分了解医疗保健提供者的发展和变化,以认识到对他们的影响因素。关于伊朗牙科专业发展的信息差距,本定性研究旨在评估它。方法:采用目的抽样和滚雪球抽样的方法,对伊朗口腔保健系统的专家和先驱进行了12次半结构化访谈,进行了定性案例研究。采用内容分析法对数据进行分析,包括转录、识别意义单位、提取内容、整理代码、利用Atlas制定主题。ti的软件。结果:通过数据分析,根据受访者的意见,提炼出伊朗牙科专科发展的三大主题:(A)发展趋势,(B)发展挑战,(C)发展必要性。口腔专科的发展趋势包括两个综合阶段和一个重数量、重质量阶段。牙科专科发展的挑战包括管理和决策问题、系统外的互动、专业化的普及以及专科项目的录取过程。需求评估的必要性,关注医疗干预的成本,确定专业化的范围,以及修订牙科专业计划是牙科专业发展的必要条件。结论:伊朗的牙科专业是在对基于政治互动的基础设施缺乏足够重视的时候发展起来的。牙科专业的普及和免费教育系统中相关的高成本突出了对学术和治疗领域所需专家数量的需求评估的重要性,并为专业项目的发展设定了一些标准。
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引用次数: 0
期刊
Journal of Contemporary Medical Sciences
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