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Evaluating the Noise level at Qazvin University Hospital's Intensive Care Units 评价加兹温大学医院重症监护病房的噪音水平
Pub Date : 2015-05-23 DOI: 10.17795/BHS-28456
A. Nikpey, M. Ghalenoei, Ali Safary Variani, H. Nadri
Background: Noise at Intensive Care Units (ICU) has an adverse effect on patients and ICU staff. There are some evidences that sleep, recovery from critical illness and average background noise in hospitals as recommended by the US Environmental Protection Agency (EPA) and World Health Organization (WHO) should not exceed 30 A-weighted decibel (dBA) and peaks during night time should be less than 40 dBA. This survey was conducted to measure noise levels and their relationship with the time of the day and location in the ICU. Objectives: The objectives of this study were to measure noise levels and evaluate their relationship with time of day and location in the ICU. Materials and Methods: This cross sectional study was conducted in a public university hospital, namely Qazvin University of Medical Sciences, Qazvin, Iran. Noise levels were measured with SLM Sound level meter (model: Tes-1443) during 24 hours with the equivalent sound level (LEQ), maximum (Max) and peak sound pressure based on the ISO 9612.this tool can measure in the range of 30 to 110 dB dynamic network. While frequency A, fast time scale networks with 125 ms fast response microphones were selected. This method says that measuring point must have distance 1.5 meter from the wall at a height of 1.25 m above ground level. At the bedside of patients measurement done by 3 TES model 1353 H Tool by a Taiwanese company. Results: This survey showed that the Equivalent Sound Level (Leq) in ICU was much higher than the standard level. The Maximum Sound Level (Lmax) in most places was 84 - 89 dBA and just in one measurement in the Internal ICU reached 90 dB. The average level of Leq in ICU was 70 dB. Conclusions: Equivalent noise level and Noise Criteria in ward remarkably exceeds the standards levels. This condition will be produce Dangerous circumstances for admitted patients in ward.
背景:重症监护室(ICU)的噪音对患者和ICU工作人员都有不利影响。有证据表明,根据美国环境保护署(EPA)和世界卫生组织(WHO)的建议,睡眠、重病恢复和医院平均背景噪音不应超过30 a加权分贝(dBA),夜间峰值应低于40 dBA。本调查旨在测量噪声水平及其与ICU的时间和位置的关系。目的:本研究的目的是测量噪声水平,并评估其与ICU时间和位置的关系。材料与方法:本横断面研究在伊朗Qazvin的一所公立大学医院,即Qazvin医科大学进行。用SLM声级计(型号:Tes-1443)在24小时内测量噪声级,根据ISO 9612标准测量等效声级(LEQ)、最大(Max)和峰值声压。该工具可测量在30 ~ 110 dB范围内的动态网络。频率A为快速时标网络,配有125 ms快速响应麦克风。该方法规定测量点距墙1.5米,距地面1.25米。在病人的床边测量由台湾公司的3tes型号1353h工具完成。结果:调查结果显示,ICU的等效声级(Leq)明显高于标准声级。大多数地方的最大声级(Lmax)为84 - 89 dBA,仅在内部ICU的一次测量中达到90 dB。ICU患者Leq平均水平为70 dB。结论:病区等效噪声级和噪声标准均明显超出标准。这种情况会对住院病人产生危险的情况。
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引用次数: 0
Bee Venom Induces Unfolded Protein Response in A172 Glioblastoma Cell Line 蜂毒诱导A172胶质母细胞瘤细胞系的未折叠蛋白反应
Pub Date : 2015-05-23 DOI: 10.17795/BHS-27547
A. Bazi, M. Gholamin, M. Sisakht, M. Keramati
Background: Glioblastoma is a type of brain tumor with poor response to available therapies, and shows high rate of mortality. Despite remarkable advancements in our knowledge about cytogenetic and pathophysiologic features of glioblastoma, current treatment strategies are mainly based on cytotoxic drugs; however, these therapeutic approaches are facing progressive failure because of the resistant nature of glioblastomas. In the recent years, however, promising results have emerged owing to targeted therapies toward molecular pathways within cancerous cells. Unfolded Protein Response (UPR) is a remarkable signaling pathway that triggers both apoptosis and survival pathways within cells, and therefore induces UPR-related apoptotic pathways in cancer cells by ER stress inducers. Objectives: Recently, the role of Bee venom (Bv), which contains powerful bioactive peptides, in inducing UPR-related apoptosis was revealed in cancer cell lines. Nevertheless, currently there are no reports of Bv potential ability in induction of UPR apoptotic routes in glioblastoma. The aim of current study was to evaluate possible role of Bee venome in inducing of UPR pathway within A172 glioblastoma cell line. Materials and Methods: We treated the A172 glioblastoma cell line with different Bv doses, and assessed UPR-related genes expression by real-time Polymerase Chain Reaction (PCR). Results: The IC50 of Bv for the studied cell line was 28 μg/mL. Furthermore, we observed that Bv can induce UPR target genes (Grp94 and Gadd153) over-expression through a dose-dependent mechanism. Conclusions: Our results suggest the potential role of Bv as a therapeutic agent for glioblastomas. Keywords: Glioblastoma; A172 Cell Line; Unfolded Protein Response; Bee Venom
背景:胶质母细胞瘤是一种对现有治疗反应较差且死亡率高的脑肿瘤。尽管我们对胶质母细胞瘤的细胞遗传学和病理生理特征的了解取得了显著进展,但目前的治疗策略主要基于细胞毒性药物;然而,由于胶质母细胞瘤的耐药性,这些治疗方法正面临着逐渐失败。然而,近年来,由于针对癌细胞内部分子途径的靶向治疗,出现了令人鼓舞的结果。未折叠蛋白反应(Unfolded Protein Response, UPR)是一种重要的信号通路,可触发细胞内的凋亡和存活通路,因此可通过内质网应激诱导剂诱导癌细胞中UPR相关的凋亡通路。目的:蜂毒(Bv)含有强大的生物活性肽,近年来发现其在肿瘤细胞中诱导凋亡的作用。然而,目前还没有关于Bv在胶质母细胞瘤中诱导UPR凋亡途径的潜在能力的报道。本研究的目的是评估蜜蜂毒液在A172胶质母细胞瘤细胞系中诱导UPR通路的可能作用。材料与方法:用不同剂量的Bv处理A172胶质母细胞瘤细胞系,采用实时聚合酶链反应(PCR)检测uprr相关基因的表达。结果:Bv的IC50为28 μg/mL。此外,我们观察到Bv通过剂量依赖机制诱导UPR靶基因(Grp94和Gadd153)过表达。结论:我们的研究结果提示Bv作为胶质母细胞瘤治疗剂的潜在作用。关键词:胶质母细胞瘤;A172细胞系;未折叠蛋白反应;蜂毒
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引用次数: 0
Study of the Epidemiological Features and Clinical Manifestations of the Preceding Epidemic of Influenza A (H1N1) as a Guide for Dealing With the 2015 Outbreak in the Qazvin Province, Iran 2015年伊朗加兹温省甲型H1N1流感前期流行病学特征及临床表现对应对疫情的指导意义
Pub Date : 2015-05-23 DOI: 10.17795/BHS-28414
B. Bijani, R. Q. Barqi, A. Pahlevan, M. Sarokhani, Shiva Leghaie, Ebrahim Amini
Background: In 2009, a pandemic associated with a new type of influenza A virus (H1N1) affected many countries worldwide. After five years of silence, in 2015 we encountered another outbreak of H1N1 influenza A. Objectives: The present study aimed to study the epidemiological and clinical features of this disease in the cold and dry climate of Qazvin province, Iran in the last epidemic, during 2009. Patients and Methods: This was a cross-sectional study in which the demographic characteristics and clinical manifestations of confirmed cases of influenza A virus (H1N1) in the province of Qazvin were investigated. The definite diagnosis of cases was performed using real time Polymerase Chain Reaction (PCR) on oropharyngeal washing specimens from adults and throat swabs from children and severely ill patients. Results: During the time course between July to December 2009, 76 confirmed cases of influenza A (H1N1) were discovered in the province of Qazvin. The mean age of patients was 25.67 ± 16.9 years. The most affected people were students and housewives. Coughing was found to be the most common clinical symptom (96.1%) followed by fever (92.1%), myalgia (48.5%), and diarrhea and vomiting (34.2%). In laboratory confirmed patients, 62 were hospitalized and two cases deceased. Regarding the total population of the Qazvin province (1,100,000), the rate of hospitalization was calculated at 5.42 per 100,000 individuals, with a mortality rate of 0.175 per 100,000 individuals (3.2% of hospitalized cases). Conclusions: Concerning the higher prevalence of disease in younger age groups, and more severe disease in high-risk groups, including overweight patients and pregnant women, the authors recommend special attention to clinical symptoms such as diarrhea and vomiting, cough, myalgia and fever in patients with cold symptoms. Also, for severely ill patients, the allocation of adequate intensive care units should be of prime importance.
背景:2009年,与新型甲型流感病毒(H1N1)相关的大流行影响了全球许多国家。经过5年的沉寂,2015年,我们又遭遇了一次甲型H1N1流感的爆发。目的:本研究旨在研究2009年伊朗加兹温省寒冷干燥气候下最后一次疫情的流行病学和临床特征。患者和方法:这是一项横断面研究,调查了加兹温省甲型流感病毒(H1N1)确诊病例的人口学特征和临床表现。采用实时聚合酶链反应(PCR)对成人口咽冲洗标本和儿童及重症患者咽拭子进行确诊。结果:2009年7月至12月,加兹温省共发现甲型H1N1流感确诊病例76例。患者平均年龄25.67±16.9岁。受影响最大的人群是学生和家庭主妇。咳嗽是最常见的临床症状(96.1%),其次是发热(92.1%)、肌痛(48.5%)、腹泻和呕吐(34.2%)。在实验室确诊的患者中,62人住院,2例死亡。就加兹温省总人口(110万)而言,住院率为每10万人5.42人,死亡率为每10万人0.175人(占住院病例的3.2%)。结论:考虑到低龄人群患病率较高,高危人群(包括超重患者和孕妇)患病率较高,作者建议特别关注感冒症状患者的腹泻呕吐、咳嗽、肌痛和发热等临床症状。此外,对于重病患者,分配足够的重症监护病房应该是最重要的。
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引用次数: 3
Serological Methods to Confirm Expression of Coat Protein Gene From an Iranian Isolate of Cucumber Mosaic Virus in Escherichia coli 伊朗黄瓜花叶病毒外壳蛋白基因在大肠杆菌中表达的血清学方法研究
Pub Date : 2015-05-23 DOI: 10.17795/BHS-28253
A. Rostami, N. S. Bashir, D. Koolivand, M. Hajizadeh
Background: Cucumber mosaic virus (CMV) has isometric particles with a diameter of about 28 - 29 nm. Detection and prevention are the critical steps in the control of plant viruses. Detection in a large number of samples is still done by serological methods due to their robustness and perhaps low cost. Objectives: To this end, our aim was to express the CMV CP gene in E. coli to be used as the antigen for antibody production in the future. Materials and Methods: Coat Protein (CP) gene cDNA from an isolate (B13) of Cucumber Mosaic Virus (CMV) was subcloned from pTZ57RCMVCP to pET21a expression vector and transformed to E. coli strain Rosetta. Expression of CMV CP was successful and confirmed by Sodium Dodecyl Sulfate Polyacrylamide Gel Electrophoresis (SDS-PAGE), wherein a ~30- kDa protein band was revealed. Induction by Isopropyl-Thiogalactoside (IPTG) at final concentrations of 0.5 to 2 mM appeared to produce similar results as to the amount of the expressed protein, which was judged by intensity of the band on SDS-PAGE. Results: The identity of the expressed protein was confirmed by immunoassays such as western blot, Dot-Immunobinding Assay (DIBA) and Enzyme-Linked Immunosorbent Assay (ELISA) by the use of anti-CMV antibody. Conclusions: This is the first report of expression of CMV CP gene in Iran, which is important for the preparation of anti-CMV antibody and paving the way for the use of the virus coat protein as a nanomaterial.
背景:黄瓜花叶病毒(CMV)具有直径约28 - 29nm的等长颗粒。检测和预防是控制植物病毒的关键步骤。由于血清学方法的稳健性和可能的低成本,大量样品的检测仍然是通过血清学方法完成的。目的:为此,我们的目的是在大肠杆菌中表达CMV CP基因,作为将来生产抗体的抗原。材料与方法:将黄瓜花叶病毒(CMV)分离物B13的外壳蛋白(CP)基因cDNA从pTZ57RCMVCP亚克隆到pET21a表达载体上,并转化到大肠杆菌Rosetta菌株中。通过十二烷基硫酸钠聚丙烯酰胺凝胶电泳(SDS-PAGE)证实了CMV CP的成功表达,其中显示了一个~30- kDa的蛋白带。异丙基硫代半乳糖苷(IPTG)在0.5至2mm的终浓度下诱导,似乎产生了与表达蛋白量相似的结果,这是通过SDS-PAGE上条带的强度来判断的。结果:采用抗巨细胞病毒抗体,通过免疫印迹(western blot)、斑点免疫结合试验(DIBA)和酶联免疫吸附试验(ELISA)证实了表达蛋白的身份。结论:这是伊朗首次报道CMV CP基因的表达,这对制备抗CMV抗体具有重要意义,并为病毒外壳蛋白作为纳米材料的使用铺平了道路。
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引用次数: 2
Swine-Origin Influenza A (H1N1) and Seasonal Influenza in Qazvin Province, Iran: Comparison of Epidemiological Features, Clinical Manifestations and Outcome of the 2009 Pandemic 伊朗加兹温省猪源性甲型H1N1流感和季节性流感:2009年大流行的流行病学特征、临床表现和结果的比较
Pub Date : 2015-05-23 DOI: 10.17795/BHS-26216
B. Bijani, A. Pahlevan, R. Qasemi-Barqi, M. Sarokhani
Background: Emergence of a novel swine-origin influenza A (H1N1) pandemic since 2009 attracted the attention of scientists to characterize epidemiological features and clinical manifestations of this disease in comparison to seasonal flu in different parts of the world. Objectives: The goal of this investigation was to compare these features in confirmed cases of swine-origin influenza A (H1N1) and seasonal flu in the 2009 epidemic in Qazvin province, Iran. Patients and Methods: This cross sectional study was performed during 2009 in the Qazvin province. The epidemiological characteristics and clinical manifestations of all cases with severe flu-like manifestations were registered. Diagnosis of confirmed cases of both groups was performed by Real Time-Polymerase Chain Reaction (RT-PCR) on respiratory secretions of positive cases of swine-origin influenza A (H1N1) and seasonal influenza that were entered in the study. Analysis of quantitative data was performed using paired t-test and those of qualitative variables by chi square and Fisher’s exact test. Results: Among a total of 518 patients with clinical signs of severe influenza throughout the Qazvin province, 76 confirmed cases of swine-origin influenza A (H1N1) and 36 cases of other types of influenza A (seasonal influenza) were detected. The mean age of the first group was 25.67 ± 16.9 years and that of the second group was 36.03 ± 19.8, with a significant difference between the two groups (P < 0.01). The appearance of diarrhea was significantly higher in patients with swine-origin influenza compared to those with seasonal influenza (P < 0.005). There was no statistically significant difference in the number of hospitalizations, need for intensive care, assisted ventilation, and mortality rate between the two groups. Conclusions: Higher prevalence of disease in younger individuals, higher rate of gastrointestinal manifestations and occurrence outside of the epidemic season, were the most important characteristics of swine-origin influenza in comparison to seasonal influenza, in the 2009 pandemic of Qazvin province, Iran. Keywords: Influenza A Virus, H1N1 Subtype; Epidemiology
背景:2009年以来出现的一种新型猪源性甲型H1N1流感大流行引起了科学家们的注意,他们将这种疾病的流行病学特征和临床表现与世界不同地区的季节性流感进行了比较。目的:本调查的目的是比较2009年伊朗加兹温省猪源性甲型H1N1流感和季节性流感确诊病例的这些特征。患者和方法:本横断面研究于2009年在加兹温省进行。记录所有有严重流感样症状的病例的流行病学特征和临床表现。两组确诊病例均采用实时聚合酶链反应(Real Time-Polymerase Chain Reaction, RT-PCR)对进入研究的猪源性甲型H1N1流感和季节性流感阳性病例的呼吸道分泌物进行诊断。定量资料的分析采用配对t检验,定性资料的分析采用卡方检验和Fisher精确检验。结果:在全省518例有严重流感临床症状的患者中,检出猪源性甲型流感(H1N1)确诊病例76例,其他类型甲型流感(季节性流感)36例。第一组患者的平均年龄为25.67±16.9岁,第二组患者的平均年龄为36.03±19.8岁,两组比较差异有统计学意义(P < 0.01)。猪源性流感患者腹泻的发生率明显高于季节性流感患者(P < 0.005)。两组在住院次数、重症监护需求、辅助通气和死亡率方面无统计学差异。结论:2009年伊朗加兹温省猪源性流感大流行中,与季节性流感相比,猪源性流感的最重要特征是年轻人群患病率较高、胃肠道表现率较高以及在流行季节之外发生。关键词:甲型流感病毒;H1N1亚型;流行病学
{"title":"Swine-Origin Influenza A (H1N1) and Seasonal Influenza in Qazvin Province, Iran: Comparison of Epidemiological Features, Clinical Manifestations and Outcome of the 2009 Pandemic","authors":"B. Bijani, A. Pahlevan, R. Qasemi-Barqi, M. Sarokhani","doi":"10.17795/BHS-26216","DOIUrl":"https://doi.org/10.17795/BHS-26216","url":null,"abstract":"Background: Emergence of a novel swine-origin influenza A (H1N1) pandemic since 2009 attracted the attention of scientists to characterize epidemiological features and clinical manifestations of this disease in comparison to seasonal flu in different parts of the world. \u0000Objectives: The goal of this investigation was to compare these features in confirmed cases of swine-origin influenza A (H1N1) and seasonal flu in the 2009 epidemic in Qazvin province, Iran. \u0000Patients and Methods: This cross sectional study was performed during 2009 in the Qazvin province. The epidemiological characteristics and clinical manifestations of all cases with severe flu-like manifestations were registered. Diagnosis of confirmed cases of both groups was performed by Real Time-Polymerase Chain Reaction (RT-PCR) on respiratory secretions of positive cases of swine-origin influenza A (H1N1) and seasonal influenza that were entered in the study. Analysis of quantitative data was performed using paired t-test and those of qualitative variables by chi square and Fisher’s exact test. \u0000Results: Among a total of 518 patients with clinical signs of severe influenza throughout the Qazvin province, 76 confirmed cases of swine-origin influenza A (H1N1) and 36 cases of other types of influenza A (seasonal influenza) were detected. The mean age of the first group was 25.67 ± 16.9 years and that of the second group was 36.03 ± 19.8, with a significant difference between the two groups (P < 0.01). The appearance of diarrhea was significantly higher in patients with swine-origin influenza compared to those with seasonal influenza (P < 0.005). There was no statistically significant difference in the number of hospitalizations, need for intensive care, assisted ventilation, and mortality rate between the two groups. \u0000Conclusions: Higher prevalence of disease in younger individuals, higher rate of gastrointestinal manifestations and occurrence outside of the epidemic season, were the most important characteristics of swine-origin influenza in comparison to seasonal influenza, in the 2009 pandemic of Qazvin province, Iran. \u0000Keywords: Influenza A Virus, H1N1 Subtype; Epidemiology","PeriodicalId":8849,"journal":{"name":"Biotechnology and Health Sciences","volume":"117 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79009898","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: 1
Encouragement to be More Physically Active or to Lessen Sedentary Behavior; Are These Two as the Same? 鼓励多运动或减少久坐行为;这两个是一样的吗?
Pub Date : 2015-05-23 DOI: 10.17795/BHS-26201
K. Hosseinzadeh, S. Niknami, A. Hidarnia
There are a considerable number of published studies that strongly support the benefits of physical activity in children, and to achieve such benefits, guidelines recommend children to participate in at least 60 minutes of physical activity every day. There is a vicious cycle between low physical activity and increased body mass index.
有相当多的已发表的研究强烈支持体育活动对儿童的好处,为了实现这些好处,指南建议儿童每天至少参加60分钟的体育活动。低运动量和高体重指数之间存在一个恶性循环。
{"title":"Encouragement to be More Physically Active or to Lessen Sedentary Behavior; Are These Two as the Same?","authors":"K. Hosseinzadeh, S. Niknami, A. Hidarnia","doi":"10.17795/BHS-26201","DOIUrl":"https://doi.org/10.17795/BHS-26201","url":null,"abstract":"There are a considerable number of published studies that strongly support the benefits of physical activity in children, and to achieve such benefits, guidelines recommend children to participate in at least 60 minutes of physical activity every day. There is a vicious cycle between low physical activity and increased body mass index.","PeriodicalId":8849,"journal":{"name":"Biotechnology and Health Sciences","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76173512","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: 3
Tranexamic Acid in the Control of Uterine Atony During Labor 氨甲环酸对分娩时子宫张力的控制作用
Pub Date : 2015-05-23 DOI: 10.17795/BHS-26898
E. H. S. Javadi, Zoya Sadeghipour, A. Barikani, M. Javadi
Background: Death from hemorrhage is still the leading cause of maternal mortality. Objectives: The aim of this study was to determine the effect of tranexamic acid on the control of uterine atony during labor. Patients and Methods: A randomized clinical trial was conducted on 90 pregnant women who had uterine atony in Qazvin, during the year 2012. The control group (n = 45) received the routine treatment of uterine atony. The second group (n = 45), in addition to the routine treatments, received 1 gram of tranexamic acid diluted in 100 mL saline of 5% dextrose in water by intravenous infusion within 10 minutes. The amount of blood loss, changes in hemoglobin level, need for surgical intervention and transfusion of blood products and duration of hospitalization were compared between the two groups. Data were analyzed using the chi-square test and t test. Results: Hemoglobin level was 9.9 ± 5.1 in the control group six hours after hemorrhage while it was 8.10 ± 2.1 in the treatment group (P = 0.004). Hemoglobin level was 5.8 ± 4.1 in the control who did not receive transfusion of blood products during the first 24 hours after hemorrhage, while this level was 7.9 ± 4.1 in the treatment group (P = 0.001). The amount of bleeding significantly declined in the intervention group compared to the control group (P < 0.001). Moreover, the need for transfusion of blood products decreased by a third (P < 0.001) while the number of hospitalization days significantly decreased as well (P < 0.04). Conclusions: Tranexamic acid can significantly reduce the rate of postpartum hemorrhage.
背景:出血死亡仍然是孕产妇死亡的主要原因。目的:观察氨甲环酸对分娩时子宫张力的控制作用。患者与方法:对2012年加兹温地区90例子宫张力失调孕妇进行随机临床试验。对照组45例,给予常规子宫张力治疗。第二组(n = 45)在常规治疗的基础上,给予氨甲环酸1 g,用5%葡萄糖水生理盐水100 mL稀释,10分钟内静脉滴注。比较两组患者失血量、血红蛋白水平变化、手术干预及输血血制品需要量及住院时间。数据分析采用卡方检验和t检验。结果:出血后6 h,对照组血红蛋白水平为9.9±5.1,治疗组为8.10±2.1 (P = 0.004)。出血后24小时内未输血的对照组血红蛋白水平为5.8±4.1,而治疗组血红蛋白水平为7.9±4.1 (P = 0.001)。干预组出血量明显低于对照组(P < 0.001)。此外,输血产品的需求减少了三分之一(P < 0.001),住院天数也显著减少(P < 0.04)。结论:氨甲环酸能显著降低产后出血发生率。
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引用次数: 1
Acute Severe Pancreatitis in Pregnancy Masquerading as Partial Hemolysis Elevated Liver enzymes Low Platelet (HELLP) Syndrome 妊娠期急性重症胰腺炎伪装为部分溶血、肝酶升高、低血小板(HELLP)综合征
Pub Date : 2015-05-23 DOI: 10.17795/BHS-28781
Talat Dabaghi, M. Shariati, Masoumeh Dadashaliha, M. Bakhshayesh, A. Zargar
dehydrogenase 2171 IU/L and platelet of 53000 mm 3 after 48 hours of the onset of pain, also indicated the possibility of partial HELLP syndrome. However, the results of the differential diagnosis ruled out the presence of Disseminated Intravascular Coagulation (DIC), Thrombotic Thrombocytopenic Purpura (TTP), Systemic Lupus Erythematosus (SLE) and Anti phospholipids syndrome. We terminated her pregnancy due to the above-mentioned diagnoses and postponed the cholecystectomy. Conclusions: Termination of pregnancy was performed as it would save the patient’s life in either deteriorated acute severe pancreatitis or HELLP.
脱氢酶2171 IU/L,血小板53000 mm 3,发病48 h后也提示部分HELLP综合征的可能性。然而,鉴别诊断结果排除了弥散性血管内凝血(DIC)、血栓性血小板减少性紫癜(TTP)、系统性红斑狼疮(SLE)和抗磷脂综合征的存在。由于上述诊断,我们终止了她的妊娠,并推迟了胆囊切除术。结论:无论是恶化的急性重症胰腺炎还是HELLP,终止妊娠都可以挽救患者的生命。
{"title":"Acute Severe Pancreatitis in Pregnancy Masquerading as Partial Hemolysis Elevated Liver enzymes Low Platelet (HELLP) Syndrome","authors":"Talat Dabaghi, M. Shariati, Masoumeh Dadashaliha, M. Bakhshayesh, A. Zargar","doi":"10.17795/BHS-28781","DOIUrl":"https://doi.org/10.17795/BHS-28781","url":null,"abstract":"dehydrogenase 2171 IU/L and platelet of 53000 mm 3 after 48 hours of the onset of pain, also indicated the possibility of partial HELLP syndrome. However, the results of the differential diagnosis ruled out the presence of Disseminated Intravascular Coagulation (DIC), Thrombotic Thrombocytopenic Purpura (TTP), Systemic Lupus Erythematosus (SLE) and Anti phospholipids syndrome. We terminated her pregnancy due to the above-mentioned diagnoses and postponed the cholecystectomy. Conclusions: Termination of pregnancy was performed as it would save the patient’s life in either deteriorated acute severe pancreatitis or HELLP.","PeriodicalId":8849,"journal":{"name":"Biotechnology and Health Sciences","volume":"61 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89599967","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
Frequency of Oral Anatomic Variations and Mucosal Lesions Among a Defined Group of Elderly Dental Patients in Iran 伊朗老年牙科患者口腔解剖变异和黏膜病变的频率
Pub Date : 2015-02-21 DOI: 10.17795/BHS-25758
M. Bakhshi, Z. Hassani, M. Tofangchiha, M. Baharvand
histopathologically. Data were analyzed by the Chi-square test and logistic regression by means of the SPSS software version 18. Results: Out of the 129 elderly participants, aged between 60-87 years (mean: 66.71 ± 6.21), males constituted 58.1% (n = 75) of patients and female were 41.9% (n = 54). Normal variations of oral mucosa were observed in 62% (n = 80) of patients, while 44.2% (n = 57) had oral mucosal lesions. Normal variations were significantly associated with smoking (OR = 1.2), while denture wearers were at higher risk of oral pathological lesions (OR = 1.5). Meanwhile, the frequency of normal variations in men was 1.3 folds higher than that of women (P = 0.04). Conclusions: The frequency of normal variations and oral lesions among elderly dental patients is high, and this is significantly associated with smoking, denture wearing and male sex.
组织病理学。数据分析采用χ 2检验和logistic回归,采用SPSS软件18版。结果:129例60 ~ 87岁的老年人(平均66.71±6.21岁)中,男性占58.1% (n = 75),女性占41.9% (n = 54)。62% (n = 80)患者口腔黏膜正常变化,44.2% (n = 57)患者口腔黏膜病变。正常变异与吸烟显著相关(OR = 1.2),而假牙佩戴者发生口腔病理病变的风险较高(OR = 1.5)。男性正常变异的频率是女性的1.3倍(P = 0.04)。结论:老年口腔患者正常变异及口腔病变发生率高,与吸烟、佩戴义齿及男性有显著相关性。
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引用次数: 6
Evaluation of Bacterial Contamination in Dental Unit Waterlines of Qazvin' Dental School, Iran 伊朗Qazvin牙科学校牙科单位水线细菌污染评价
Pub Date : 2015-02-21 DOI: 10.17795/BHS-26943
Mahshid Saffarpour, A. Peymani, S. Rahrotaban, Marjan Rahmani, M. Ebrahimi
Background: Contamination of dental unit waterlines is a well-known issue in the field of dentistry. Objectives: This study was designed to evaluate contamination of dental unit waterlines by common gram positive and negative bacteria in Qazvin's dental school during the year 2012. Materials and Methods: This survey was performed on 24 dental units routinely used in the dental school of the city of Qazvin. Four samples of 100 mL were obtained in sterile bottles from each unit at different work stages as follows: the beginning of daily activity, after flushing for 30 seconds, following two minutes of flushing, and after the end of daily practice. The number of bacterial colonies was determined for each sample and the mean colony number was calculated. Results: Bacterial contamination was found in all 24 units at the beginning of daily activity with a mean colony count of 17850. The number of colonies decreased to 3250 following 30 seconds of flushing in 16 units and later to 1837 after flushing for two minutes in 13 units. In addition, the number of contaminated units at the end of daily activity was 19 with a mean colony number of 11170. Conclusions: Flushing dental unit waterlines are an effective measure in reducing the number of bacterial contaminants.
背景:牙科设备水线污染是牙科领域一个众所周知的问题。目的:本研究旨在评估2012年Qazvin牙科学校常见革兰氏阳性和阴性细菌对牙科单位水线的污染。材料和方法:本调查在卡兹温市牙科学校常规使用的24个牙科单位进行。在日常活动开始、冲洗30秒后、冲洗两分钟后和日常练习结束后,从每个单元的不同工作阶段取4个100 mL的无菌瓶样品。测定每个样品的菌落数,并计算平均菌落数。结果:24个单位在日常活动开始时均发现细菌污染,平均菌落计数为17850。16个单位冲洗30秒后,菌落数量减少到3250个;13个单位冲洗两分钟后,菌落数量减少到1837个。每日活动结束时受污染单位数为19个,平均菌落数为11170个。结论:冲洗牙机组水线是减少细菌污染物数量的有效措施。
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引用次数: 1
期刊
Biotechnology and Health Sciences
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