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Impact of Metabolic Syndrome in Patients With Acute Myocardial Infarction After Thrombolytic Therapy 溶栓治疗后代谢综合征对急性心肌梗死患者的影响
Pub Date : 2022-12-01 DOI: 10.32598/jid.25.4.3
Sepas Haji Sobhani, M. M. Daei, S. Dodangeh, Majid Hajikarimi, Navid Mohammadi
Background: Metabolic syndrome (MetS) comprises a group of conditions that happen together and increase the risk of heart disorders. MetS has known characteristic diagnostic criteria and is diagnosed through physical examination and blood tests. This syndrome is extremely prevalent in patients with acute myocardial infarction. We aimed to determine the prevalence of MetS and its relationship with myocardial infarction and response to treatment in patients suffering from acute myocardial infarction under fibrinolytic treatment. Methods: In this cross-sectional study, 145 patients with acute ST-elevation myocardial infarction (STEMI) were enrolled. They were referred to Bu-Ali Sina Hospital in Qazvin, Iran, between January 2018 and January 2019 and were candidates for thrombolytic therapy. The patients were divided into two groups with and without MetS according to the NCEP ATP III definition (the National Cholesterol Education Program-Adult Treatment Panel III). In each group, the ST resolution of more than 50% in electrocardiogram was evaluated 90 minutes after thrombolytic administration. In addition, angiographic information and left ventricular ejection fraction (LVEF) were compared between the two groups. Results: Overall, the prevalence of MetS was 57.2% in the study population. After treatment, ST-segment resolution of more than 50%, the number of involved coronary vessels, the thrombolysis in myocardial infarction flow grade, mean LVEF, and type of myocardial infarction were similar in both study groups. Conclusion: Our study indicates that MetS does not affect the response rate to thrombolytic treatment.
背景:代谢综合征(MetS)包括一组共同发生并增加心脏疾病风险的疾病。MetS有已知的特征性诊断标准,通过身体检查和血液检查来诊断。这种综合征在急性心肌梗死患者中极为普遍。我们的目的是确定急性心肌梗死患者在纤溶治疗下MetS的患病率及其与心肌梗死的关系和对治疗的反应。方法:在这项横断面研究中,纳入145例急性st段抬高型心肌梗死(STEMI)患者。在2018年1月至2019年1月期间,他们被转介到伊朗加兹温的Bu-Ali Sina医院,并成为溶栓治疗的候选人。根据NCEP ATP III(国家胆固醇教育计划-成人治疗小组III)的定义,将患者分为有和没有MetS的两组。在每组中,在溶栓给药后90分钟评估心电图ST分辨率超过50%。并比较两组血管造影信息及左室射血分数(LVEF)。结果:总体而言,研究人群中MetS的患病率为57.2%。治疗后,两组患者st段溶解率均大于50%,冠脉受累数、心肌梗死溶栓程度、血流等级、平均LVEF、心肌梗死类型相似。结论:我们的研究表明MetS不影响溶栓治疗的应答率。
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引用次数: 0
Clinical Parameters and Mortality in COVID-19 Patients Admitted to an Intensive Care Unit (ICU) in Qazvin City 卡兹温市重症监护病房(ICU)住院COVID-19患者的临床参数和死亡率
Pub Date : 2022-12-01 DOI: 10.32598/jid.25.4.6
A. Ghorbani, Maryam Qeraati, Khdijeh Esmaelzadeh, Monirosadat Mirzadeh, Nafiseh Rastgoo, M. Zohal
Background: The initial reports of an outbreak of SARS-CoV-2 pneumonia suggest that COVID-19 is a severe disease. Objective: We aimed to investigate the clinical parameters and mortality of patients with SARS-CoV-2 pneumonia admitted to the intensive care unit (ICU) of Velayat Hospital in Qazvin, Iran. Methods: In this single-centered, cross-sectional, and retrospective study, we enrolled all adult patients with COVID-19 admitted to the intensive care unit (ICU) of Velayat Hospital from March 20 to April 30, 2020. Sociodemographic data, laboratory values, and disease outcomes of the patients were collected. Then, the obtained data were compared between survivors and non-survivors. Results: Of 1100 patients with SARS-CoV-2 pneumonia, 74 adult patients were included in this study. The Mean±SD age of the 52 patients was 60.1±16.46 years. All patients had underlying diseases. The Mean±SD time from admission to discharge from the ICU was 12.39±6.48 days. The logistic regression test indicated that the amount of blood urea nitrogen (BUN) during hospitalization in the ICU was associated with increased mortality risk (OR=1.081, 95% CI=1.024-1.141; P=0.005). Moreover, the same test showed that platelet count (OR: 0.991, 95% CI: 0.985-0.997; P=0.002) and hemoglobin concentration (OR: 0.691, 95% CI: 0.502-0.951; P=0.023) were associated with a decreased mortality risk in ICU patients; this means that patients with higher hemoglobin concentration and platelet counts had a lower mortality risk in ICU. Conclusion: The mortality rate of patients with SARS-CoV-2 pneumonia is high. The BUN level was a predictor of mortality in patients with COVID-19. Therefore, it is recommended that BUN be measured during initial referral, and based on that, timely and appropriate corrective actions be conducted.
背景:SARS-CoV-2肺炎暴发的初步报告表明,COVID-19是一种严重疾病。目的:了解伊朗加兹温市Velayat医院重症监护病房(ICU)收治的SARS-CoV-2肺炎患者的临床参数和死亡率。方法:在这项单中心、横断面、回顾性研究中,我们招募了2020年3月20日至4月30日在Velayat医院重症监护病房(ICU)住院的所有成年COVID-19患者。收集患者的社会人口学数据、实验室值和疾病结局。然后,将获得的数据在幸存者和非幸存者之间进行比较。结果:1100例SARS-CoV-2肺炎患者中,74例成人纳入本研究。52例患者平均±SD年龄为60.1±16.46岁。所有患者均有潜在疾病。入院至出院的平均±SD时间为12.39±6.48天。logistic回归检验显示,ICU住院期间血尿素氮(BUN)含量与死亡风险增加相关(OR=1.081, 95% CI=1.024 ~ 1.141;P = 0.005)。此外,同样的检验显示血小板计数(OR: 0.991, 95% CI: 0.985-0.997;P=0.002)和血红蛋白浓度(OR: 0.691, 95% CI: 0.502-0.951;P=0.023)与降低ICU患者死亡风险相关;这意味着血红蛋白浓度和血小板计数较高的患者在ICU的死亡风险较低。结论:SARS-CoV-2肺炎患者死亡率高。BUN水平是COVID-19患者死亡率的预测因子。因此,建议在初次转诊时测量BUN,并在此基础上及时采取适当的纠正措施。
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引用次数: 0
Knowledge About Human Papilloma Virus Among Medical Students of Tabriz University of Medical Sciences 大不里士医科大学医学生对人乳头瘤病毒知识的了解
Pub Date : 2022-12-01 DOI: 10.32598/jid.25.4.8
M. Baradaran-Binazir
Background: Physicians’ knowledge and comments are important in the uptake of human papillomavirus (HPV) screening among women. We aimed to evaluate the knowledge of ​senior medical students on HPV as future physicians of Iran. Methods: A cross-sectional study was performed between March 2021 and May 2021. All final-year medical students of Tabriz University of Medical Sciences were invited to complete an online standardized questionnaire through a mobile app. The Independent samples t test was performed for data analysis in SPSS software version 16. Results: In the present study, 215 female medical students and 128 male ones participated, with an average age of 23.14 (SD=1.21) years. Most of the students (85.67%) were single. The average knowledge score of the students was 9.25 (SD=6.21), demonstrating their low level of knowledge of HPV. Furthermore, no significant score differences were observed between students regarding their gender and marital status. Conclusion: Regarding the low scores of final-year medical students’ knowledge of HPV, educational programs should be directed to HPV to improve medical students’ knowledge about this virus and its related diseases.
背景:医生的知识和意见对妇女接受人乳头瘤病毒(HPV)筛查很重要。我们的目的是评估高级医学生对HPV的知识,作为伊朗未来的医生。方法:在2021年3月至2021年5月期间进行横断面研究。邀请大不里士医科大学的所有大四学生通过手机应用程序完成一份在线标准化问卷。数据分析采用SPSS软件16版进行独立样本t检验。结果:本研究共有女医学生215人,男医学生128人,平均年龄23.14岁(SD=1.21)。大多数学生(85.67%)是单身。学生的平均知识得分为9.25分(SD=6.21),表明学生对HPV的知识水平较低。此外,在性别和婚姻状况方面,学生之间的得分没有显著差异。结论:针对高三医学生HPV知识水平较低的问题,应针对HPV开展教育,提高医学生对该病毒及其相关疾病的认识。
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引用次数: 0
Preeclampsia and Its Associated Risk Factors: A Case-control Study in Qazvin Province 子痫前期及其相关危险因素:加兹温省的病例对照研究
Pub Date : 2022-12-01 DOI: 10.32598/jid.25.4.5
M. Mirabedini, H. Pakniat, M. Mahdavi, S. A. Razavi, Ali Emami, Ali Sarbazi Golezari
Background: Preeclampsia is one of the common disorders in pregnancy. It is characterized by hypertension and proteinuria in the second half of pregnancy. It is also one of the three main causes of death in pregnant women. Objective: This study investigated the risk factors of preeclampsia in women referred to Kowsar Hospital in Qazvin Province, Iran. Methods: In this case-control study, after reviewing 7855 cases of pregnant women referred to Kowsar Hospital in 2016, 171 hospitalized patients with severe preeclampsia were put in the case group, and 171 patients with delivery problems were in the control group. Then, we compared the collected data about risk factors, such as a history of preeclampsia, hypertension, smoking, diabetes mellitus, infertility, twin, and body mass index, in both groups. Results: The Mean±SD age of the pregnant women with preeclampsia was 31.19±6.42 years with an interquartile interval of 26-35 years. History of preeclampsia (P=0.02), hypertension (P=0.001), and body mass index (P=0.001) were significantly higher in the preeclampsia group than in the control group. Also, there was no significant relationship between a history of diabetes mellitus, infertility, or twin with preeclampsia (P<0.05). Conclusion: This study showed that the risk factors of a history of preeclampsia, hypertension, and body mass index significantly differed between the case and control groups.
背景:子痫前期是妊娠期常见疾病之一。其特点是在妊娠后半期出现高血压和蛋白尿。它也是孕妇死亡的三大原因之一。目的:研究伊朗加兹温省科萨医院转诊妇女子痫前期的危险因素。方法:本病例-对照研究回顾2016年在科萨医院转诊的7855例孕妇,其中171例重度先兆子痫住院患者为病例组,171例存在分娩问题的患者为对照组。然后,我们比较了收集到的风险因素数据,如子痫前期病史、高血压、吸烟、糖尿病、不孕、双胞胎和体重指数。结果:子痫前期孕妇的平均±SD年龄为31.19±6.42岁,四分位数间隔为26 ~ 35岁。子痫前期病史(P=0.02)、高血压病史(P=0.001)、体重指数(P=0.001)均显著高于对照组。此外,糖尿病史、不孕症或双胞胎与子痫前期无显著关系(P<0.05)。结论:本研究显示,有子痫前期病史、高血压和体重指数的危险因素在病例组和对照组之间存在显著差异。
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引用次数: 0
Aging and Immunity in COVID-19 COVID-19的衰老与免疫
Pub Date : 2022-10-01 DOI: 10.32598/jid.26.3.2
R. Paganelli
The COVID-18 pandemic severely affected people older than 65 years, especially those with age-related comorbidities, causing a disproportionate death burden in this age group. The reasons for this difference from other respiratory virus pandemics have been attributed to the aging-induced changes in the immune system, and their effects on the pathogenesis of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pneumonia. In this brief review, I summarize some of the recent findings throwing light on the relationship between aging, immunity, and the severity of COVID-19.
COVID-18大流行严重影响了65岁以上的人群,特别是那些患有与年龄有关的合并症的人,在这一年龄组中造成了不成比例的死亡负担。与其他呼吸道病毒大流行不同的原因被归因于年龄引起的免疫系统变化及其对严重急性呼吸综合征冠状病毒2 (SARS-CoV-2)肺炎发病机制的影响。在这篇简短的综述中,我总结了一些最近的发现,这些发现揭示了衰老、免疫和COVID-19严重程度之间的关系。
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引用次数: 0
The Effect of Magnesium Sulfate on Pain Intensity and Menstrual Blood Loss in Students With Primary Dysmenorrhea: A Randomized Controlled Trial 硫酸镁对原发性痛经学生疼痛强度和经血流失的影响:一项随机对照试验
Pub Date : 2022-10-01 DOI: 10.32598/jid.26.3.3
Salimeh Nezamivand-Chegini, P. Abedi, Azam Honarmandpour, F. Namjouyan, Masoumeh Yaralizadeh, S. Ghanbari
Background: No evidence exists for the lowest effective dose of magnesium on menstrual pain. Objective: To determine and compare the effects of two different doses of magnesium on pain intensity and menstrual blood loss in students with primary dysmenorrhea. Methods: Sixty dysmenorrhea patients were randomly assigned to one of two therapeutic groups and one placebo group (receiving one tablet a day of 300 or 150 mg magnesium sulphate or placebo from the 15th cycle day until no pain existed on the following cycle). Visual analogue scale (VAS) and Hjgham collected data for two cycles before and two cycles after the intervention. The data were analyzed using one-way ANOVA and ANCOVA tests. Findings: No significant difference was observed between the groups in terms of baseline characteristics. Both intervention groups outperformed the placebo group in terms of pain intensity (adjusted differences of -2.9, 95% confidence intervals of -3.3 to -2.4 and -1.9, -2.4 to -1.5, respectively) and menstrual bleeding (-20.0, -26.0 to -14.0, and -13.0, -19.0 to -7.0, respectively), as well as the secondary outcome, i.e. rest duration and ibuprofen consumption. In terms of pain alleviation and menstrual bleeding, participants in the 300 mg magnesium group outperformed those in the 150 mg magnesium group. No significant difference was observed between intervention groups regarding secondary outcomes. Conclusion: Both magnesium levels are useful in alleviating pain and reducing menstrual bleeding, although 300 mg of magnesium was more effective.
背景:没有证据表明镁对经期疼痛的最低有效剂量。目的:确定并比较两种不同剂量镁对原发性痛经学生疼痛强度和经血流失的影响。方法:60例痛经患者随机分为两个治疗组和一个安慰剂组(从第15个周期开始每天服用一片硫酸镁300或150毫克或安慰剂,直到下一个周期没有疼痛)。视觉模拟量表(Visual analogue scale, VAS)和Hjgham分别在干预前和干预后两个周期采集数据。数据分析采用单因素方差分析和ANCOVA检验。结果:在基线特征方面,两组间无显著差异。两个干预组在疼痛强度(调整后差异为-2.9,95%可信区间分别为-3.3至-2.4和-1.9、-2.4至-1.5)和月经出血(分别为-20.0、-26.0至-14.0和-13.0、-19.0至-7.0)以及次要结局(即休息时间和布洛芬摄入量)方面均优于安慰剂组。在缓解疼痛和月经出血方面,300毫克镁组的参与者表现优于150毫克镁组。在次要结局方面,干预组间无显著差异。结论:两种水平的镁都有助于缓解疼痛和减少月经出血,尽管300毫克的镁更有效。
{"title":"The Effect of Magnesium Sulfate on Pain Intensity and Menstrual Blood Loss in Students With Primary Dysmenorrhea: A Randomized Controlled Trial","authors":"Salimeh Nezamivand-Chegini, P. Abedi, Azam Honarmandpour, F. Namjouyan, Masoumeh Yaralizadeh, S. Ghanbari","doi":"10.32598/jid.26.3.3","DOIUrl":"https://doi.org/10.32598/jid.26.3.3","url":null,"abstract":"Background: No evidence exists for the lowest effective dose of magnesium on menstrual pain. Objective: To determine and compare the effects of two different doses of magnesium on pain intensity and menstrual blood loss in students with primary dysmenorrhea. Methods: Sixty dysmenorrhea patients were randomly assigned to one of two therapeutic groups and one placebo group (receiving one tablet a day of 300 or 150 mg magnesium sulphate or placebo from the 15th cycle day until no pain existed on the following cycle). Visual analogue scale (VAS) and Hjgham collected data for two cycles before and two cycles after the intervention. The data were analyzed using one-way ANOVA and ANCOVA tests. Findings: No significant difference was observed between the groups in terms of baseline characteristics. Both intervention groups outperformed the placebo group in terms of pain intensity (adjusted differences of -2.9, 95% confidence intervals of -3.3 to -2.4 and -1.9, -2.4 to -1.5, respectively) and menstrual bleeding (-20.0, -26.0 to -14.0, and -13.0, -19.0 to -7.0, respectively), as well as the secondary outcome, i.e. rest duration and ibuprofen consumption. In terms of pain alleviation and menstrual bleeding, participants in the 300 mg magnesium group outperformed those in the 150 mg magnesium group. No significant difference was observed between intervention groups regarding secondary outcomes. Conclusion: Both magnesium levels are useful in alleviating pain and reducing menstrual bleeding, although 300 mg of magnesium was more effective.","PeriodicalId":91544,"journal":{"name":"Journal of inflammatory bowel diseases & disorders","volume":"89 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78661537","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
Demographic, Clinical, and Paraclinical Characteristics of the Fourth Surge of the COVID-19 Pandemic in Ardabil Province, Iran 伊朗阿达比勒省第四次新冠肺炎大流行的人口统计学、临床和临床旁特征
Pub Date : 2022-10-01 DOI: 10.32598/jid.26.3.5
Majid Eterafi, Shima Makaremi, Hamidreza Shaker, N. Fouladi, Vahid Khaze Shahgoli, F. Jeddi, E. Safarzadeh
Background: Coronavirus disease-2019 (COVID-19), an infectious disease, has been known as a worldwide pandemic involving many countries, including Iran. Meantime, the analyses of clinical and demographic features of the fourth surge in COVID-19 patients provide a better overview of disease management and mortality reduction. Objective: This study aimed to identify the effective clinical and demographic hallmarks of the fourth wave of COVID-19 in Ardabil Province, Iran. Methods: We carried out a population-based analytical cross-sectional study using clinical and demographic characteristics of COVID-19 from February 2021 to May 2021 among confirmed COVID-19 patients who were admitted to the hospital during the fourth surge. Predictors of intensive care unit (ICU) admission and death were evaluated by controlling for intervening variables. Findings: We evaluated 500 patients, of whom 54.5% were men, and 45.5% were women. Among them, 35.1% of patients had hypertension as the main comorbidity, followed by diabetes (21.4%), cardiovascular disease (8.4 %), renal diseases (2.4%), and others. The findings indicated that increasing age has increased mortality among patients with COVID-19. Moreover, our results showed that among the analyzed items, age, sex, and cerebral vascular accident (CVA) were indicated as predictors of ICU admission. Conclusion: This evaluation demonstrated that old age and comorbidities are two major risk factors for reducing the probability of recovery and increasing admission to the ICU. Therefore, elderly individuals with at least one co-morbidity are at higher risk of becoming infected.
背景:2019冠状病毒病(COVID-19)是一种传染病,已成为全球大流行,涉及包括伊朗在内的许多国家。与此同时,对第四次COVID-19患者激增的临床和人口统计学特征进行分析,可以更好地了解疾病管理和降低死亡率的情况。目的:本研究旨在确定伊朗阿达比尔省第四波COVID-19的有效临床和人口统计学特征。方法:利用2021年2月至2021年5月在第四次高峰期间入院的COVID-19确诊患者的临床和人口统计学特征,开展了一项基于人群的分析横断面研究。通过控制干预变量评估重症监护病房(ICU)入院和死亡的预测因子。结果:我们评估了500例患者,其中54.5%为男性,45.5%为女性。其中,高血压为主要合并症的患者占35.1%,其次为糖尿病(21.4%)、心血管疾病(8.4%)、肾脏疾病(2.4%)等。研究结果表明,年龄的增长增加了COVID-19患者的死亡率。此外,我们的研究结果显示,在分析项目中,年龄、性别和脑血管事故(CVA)被认为是ICU住院的预测因素。结论:年龄和合并症是降低康复概率和增加ICU入院率的两大危险因素。因此,至少有一种合并症的老年人感染的风险更高。
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引用次数: 0
Clinical Characteristics and Underlying Medical Conditions Among Hospitalized Children and Adult Patients With Seasonal Influenza 住院儿童和成人季节性流感患者的临床特征和基础医学条件
Pub Date : 2022-10-01 DOI: 10.32598/jid.26.3.4
Gholamreza Ghoreishi, B. Bijani, A. Allami
Background: Influenza is a respiratory infection that causes a wide range of symptoms, from mild symptoms to a significantly impaired disease. Objective: This study aims to examine demographic characteristics, clinical features, and underlying medical conditions in children and adults hospitalized with laboratory-confirmed influenza. Methods: This was a retrospective comparative study on 333 adults and 102 children hospitalized with symptoms of acute respiratory tract infection and seasonal influenza confirmed by reverse transcription polymerase chain reaction (RT-PCR) in three university hospitals, in Qazvin City, Iran, during two influenza seasons (March 2017 and February 2019). Findings: Most clinical manifestations of influenza were similar among adults. A significant difference was observed among the two groups in terms of 1) a greater proportion of male patients in children (66.7%) and female patients in adults (58.6%); 2) adults were more exposed to risk factors than children (median 1 vs. 0); 3) a greater proportion of children presenting influenza-related encephalopathy (38.2% vs. 26.7%) and upper respiratory signs compared to adults; 4) a greater proportion of adults presenting lower respiratory signs and symptoms compared to children. The most common underlying conditions were asthma and diabetes mellitus (DM) in adults and diabetes mellitus (DM) and cancer in children. The duration of hospitalization had a significant relationship with the number of risk factors (r=0.219, P<0.001). Conclusion: In summary, influenza-related encephalopathy and upper respiratory signs are more prevalent in children, and in contrast, adults are more likely to have underlying medical conditions than children with seasonal influenza.
背景:流感是一种呼吸道感染,可引起多种症状,从轻微症状到严重受损的疾病。目的:本研究旨在研究实验室确诊流感住院儿童和成人的人口统计学特征、临床特征和潜在医疗条件。方法:对2017年3月和2019年2月两个流感季节(伊朗加兹温市三所大学医院经逆转录聚合酶链反应(RT-PCR)确诊的急性呼吸道感染和季节性流感症状住院的333名成人和102名儿童进行回顾性比较研究。结果:成人流感的临床表现基本相似。两组间差异有统计学意义:(1)儿童男性患者占66.7%,成人女性患者占58.6%;2)成人对危险因素的暴露程度高于儿童(中位数为1比0);3)与成人相比,出现流感相关脑病(38.2% vs. 26.7%)和上呼吸道体征的儿童比例更高;4)与儿童相比,出现下呼吸道体征和症状的成年人比例更高。最常见的潜在疾病是成人哮喘和糖尿病(DM),儿童糖尿病(DM)和癌症。住院时间与危险因素数有显著相关(r=0.219, P<0.001)。结论:总之,流感相关脑病和上呼吸道体征在儿童中更为普遍,相反,成人比季节性流感儿童更可能有潜在的医疗条件。
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引用次数: 0
Comparison of the Quality of Life of COVID-19 Patients Cared for at Home and in the Hospital COVID-19患者在家与医院护理的生活质量比较
Pub Date : 2022-10-01 DOI: 10.32598/jid.26.3.6
L. Yekefallah, A. Ahmadi, R. Kalhor, S. Soltani, P. Namdar, S. Mohammadi
Background: The demand for home care services has increased not only due to the increase in the elderly population but also due to consumer preference and technological advances that allow for the provision of sophisticated home care. Home healthcare services aim to help people improve their performance, live a more independent life, improve their well-being, and help them stay at home, and avoid hospitalization. Objective: This study was conducted to compare the quality of life (QoL) of COVID-19 patients under home care at a hospital in Qazvin City, Iran. Methods: his study was a cohort study. The samples included two groups of patients, hospitalized patients due to COVID-19 and patients with COVID-19 who received medical and nursing care at home. Patients were matched for age, underlying disease, and severity of the COVID-19 disease. In this study, a 3-month follow-up on changes in QoL compared to before hospitalization and receiving care at home was performed using a QoL questionnaire (SF-12). Findings: The mean score of QoL in the home care group was 32.36±2.15 and in the hospitalized group, it was 29.70±2.94, which shows a statistically significant difference, and the quality of home care patients reported to be higher than hospitalized patients (P<0.001, t=7.20) Conclusion: Receiving hospital care at home increases the QoL for patients with COVID-19. This finding can be generalized during different epidemics, and home care can be an excellent alternative to hospitalization for some patients.
背景:对家庭护理服务的需求增加不仅是因为老年人口的增加,还因为消费者的偏好和技术的进步,使得提供复杂的家庭护理成为可能。家庭保健服务旨在帮助人们改善他们的表现,过上更独立的生活,改善他们的幸福感,并帮助他们呆在家里,避免住院。目的:比较伊朗加兹温市某医院COVID-19家庭护理患者的生活质量。方法:该研究为队列研究。样本包括两组患者,因COVID-19住院的患者和在家接受医疗和护理的COVID-19患者。患者根据年龄、基础疾病和COVID-19疾病的严重程度进行匹配。在本研究中,使用生活质量问卷(SF-12)对患者的生活质量进行了为期3个月的随访,以比较住院前和接受家庭护理前的生活质量变化。结果:居家护理组的生活质量平均评分为32.36±2.15分,住院组的生活质量平均评分为29.70±2.94分,差异有统计学意义,且居家护理患者的生活质量高于住院患者(P<0.001, t=7.20)。结论:居家护理可提高COVID-19患者的生活质量。这一发现可以在不同的流行病期间推广,对一些病人来说,家庭护理可以是住院治疗的一个很好的替代方案。
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引用次数: 0
The Effect of an Aqueous Extract of Illicium verum on Serum Levels of Thyroid Hormones and Depression, Anxiety, and Stress in Patients With Hypothyroidism 八角水提物对甲状腺功能减退患者血清甲状腺激素水平及抑郁、焦虑和应激的影响
Pub Date : 2022-10-01 DOI: 10.32598/jid.26.3.1
Y. Koushan, Ahmad Yari Khosroushahi, M. H. Geranmayeh, S. Hashemipour, Mahnaz Ghadimi Yari, H. K. Haghighian
Background: Hypothyroidism has been associated with complications such as increased inflammation, and oxidative stress. Objective: This pilot study was created to assess the impact of Illicium verum (I. verum) on serum levels of thyroid hormones as well as depression, anxiety, and stress in hypothyroidism patients given the detrimental effects of oxidative stress on thyroid function and considering the antioxidant properties of I. verum. Methods: In this double-blind clinical research with a placebo group, which was performed as a pilot, 20 hypothyroid individuals were recruited. Participants were randomly allocated to a capsule containing 1.5 g of I. verum (per day) (n=10) or a placebo (n=10) for 8 weeks. Thyroid hormones, including free triiodothyronine (FT3), free thyroxine (FT4), triiodothyronine (T3), thyroxine (T4), and thyroid-stimulating hormone (TSH) were measured at the beginning and end of the study. Furthermore, depression and stress were assessed using the Depression Anxiety Stress Scales-21 (DASS-21) survey. Quantitative analysis was performed using SPSS software, version 20. Findings: No discernible difference was observed between the blood thyroid hormone levels at the baseline. TSH levels in the intervention group decreased significantly at the end of the study, while FT3, FT4, T3, and T4 levels increased significantly (P<0.05). Compared to the study’s initial findings, the intervention group experienced considerably lower mean changes in terms of depression, anxiety, and stress scores. (P<0.05). Conclusion: The I. verum supplement can be helpful as a dietary supplement with antioxidant properties in patients with hypothyroidism. This herbal supplement can increase the effectiveness of medication in patients with hypothyroidism.
背景:甲状腺功能减退与炎症增加和氧化应激等并发症有关。目的:考虑到氧化应激对甲状腺功能的不利影响,并考虑到八头草的抗氧化特性,本初步研究旨在评估八头草(I. verum)对甲状腺功能低下患者血清甲状腺激素水平以及抑郁、焦虑和应激的影响。方法:本双盲临床研究以安慰剂组为先导,招募20例甲状腺功能低下患者。参与者被随机分配到含有1.5 g verum(每天)的胶囊(n=10)或安慰剂(n=10),持续8周。在研究开始和结束时测量甲状腺激素,包括游离三碘甲状腺原氨酸(FT3)、游离甲状腺素(FT4)、三碘甲状腺原氨酸(T3)、甲状腺素(T4)和促甲状腺激素(TSH)。此外,使用抑郁焦虑压力量表-21 (DASS-21)调查评估抑郁和压力。采用SPSS软件20进行定量分析。结果:基线时血液甲状腺激素水平无明显差异。干预组在研究结束时TSH水平显著降低,FT3、FT4、T3、T4水平显著升高(P<0.05)。与研究的初始结果相比,干预组在抑郁、焦虑和压力得分方面的平均变化要低得多。(P < 0.05)。结论:枳实可作为抗氧化性膳食补充剂用于甲状腺功能减退患者。这种草药补充剂可以增加甲状腺功能减退患者的药物治疗效果。
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Journal of inflammatory bowel diseases & disorders
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