Aria Kasiri; Maryam Eskandari Mehrabadi; Zahra Salemi; Danial Habibi; milad majidian dehkordi; omid jarahian; rasool karimi matloob
Volume 26, Issue 1 , 2024
Abstract
Background: Coronavirus disease 2019 (COVID-19), a severe disease caused by severe acute respiratory syndrome coronavirus 2, has a weak prognosis, and biological markers may predict disease severity.
Objectives: The present study aimed to assess the impact of vitamin D levels on COVID-19 outcomes in ...
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Background: Coronavirus disease 2019 (COVID-19), a severe disease caused by severe acute respiratory syndrome coronavirus 2, has a weak prognosis, and biological markers may predict disease severity.
Objectives: The present study aimed to assess the impact of vitamin D levels on COVID-19 outcomes in diabetic people.
Methods: The study was conducted on 160 individuals with both COVID-19 and diabetes at Amir-Al-Momenin Hospital in Arak. Participants completed a questionnaire regarding their personal information, medical history, and medication use. Arterial and venous blood samples were collected after 12 hours of fasting to perform arterial blood gas (ABG) and brachial venous fasting blood glucose tests, respectively. The samples were sent to the laboratory for analysis. Serum levels of 25-hydroxyvitamin D were measured using the ELISA method. The study groups were classified based on the obtained PO2 levels from the ABG test, indicating varying degrees of respiratory impairment.
Results: Patients were categorized as mild, moderate, or severe based on ABG test results. No significant difference was found in vitamin D levels among groups. Elevated levels of vitamin D in women and men with mild and moderate COVID-19 symptoms have been linked to a decrease in mortality rate. Nonetheless, significant correlations were observed between vitamin D and fasting blood sugar (FBS) levels in the mild and moderate groups, indicating varying relationships between vitamin D and FBS across these groups.
Conclusion: While immunizations and antiviral drugs work well against COVID-19, taking extra measures, such as vitamin D supplementation, plays a vital role in disease management.
mahnaz yadollahi; Zahra Moradi; Kazem Jamali; Maryam Fadaie Dashti
Volume 26, Issue 1 , 2024
Abstract
Background: The current study aimed to successively assess the applicability of trauma scoring systems.Objectives: To evaluate the outcomes, prognosis, and mortality in trauma patients.Methods: The present study was conducted on all 221 injured patients referred to Shahid Rajaee Hospital from January ...
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Background: The current study aimed to successively assess the applicability of trauma scoring systems.Objectives: To evaluate the outcomes, prognosis, and mortality in trauma patients.Methods: The present study was conducted on all 221 injured patients referred to Shahid Rajaee Hospital from January 2014 toDecember 2020 with International Classification of Diseases-10th Revision (ICD-10) injury mechanism codes of W32.0-34.09, indicating afirearm injury. Univariate analysis and Chi-square test were employed to discover the individual relationship between each variable andthe injury outcome. Logistic regression analysis was performed to control the confounder. Finally, the area under the Receiver OperatingCharacteristic (ROC) curve was used to compare the predictive efficiency of the injury severity scales.Results: The mortality rate of the gunshot was 15 (6.78%). The cause of the gunshot was related to assaults in 73.68% of the survivingpatients. Meanwhile, suicide attempt was the second cause of death in gunshot patients (16.67%). Most of the injuries that occurredamong 20-24-year-old patients resulted from assaults. The odds of mortality in gunshot victims increased by 4.25 times (95% CI [1.99,9.10]) for each additional unit AIS. In the random forest model, the Trauma Injury Severity Score (TRISS) was the most importantmortality predictor. The TRISS was the highest area under the ROC curve for death prediction among firearms gunshot patients.Conclusion: Injury Severity Score (ISS) had the least, and TRISS had the most area under the curve. Therefore, TRISS was found to be thebest predictor in determining the death or survival of firearms gunshot patients.
Jing He; Da Ma; Huijuan Jiang; Huijuan Tang; Qian Mi; Renli Cheng
Volume 26, Issue 1 , 2024
Abstract
Background: Laparoscopic cholecystectomy is widely used in clinical treatment for gallbladder diseases. Rapid rehabilitation surgical nursing can significantly reduce the incidence of postoperative complications and shorten the hospital stay of patients. Moreover, it is supported by evidence-based ...
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Background: Laparoscopic cholecystectomy is widely used in clinical treatment for gallbladder diseases. Rapid rehabilitation surgical nursing can significantly reduce the incidence of postoperative complications and shorten the hospital stay of patients. Moreover, it is supported by evidence-based medicine and has been widely used in clinical nursing. Nonetheless, there are few studies analyzing the influence of rapid rehabilitation surgical nursing on patients undergoing laparoscopic cholecystectomy.
Objective: This study aimed to assess the clinical use of rapid rehabilitation surgical nursing on laparoscopic cholecystectomy patients.
Methods: This study was performed on patients who underwent laparoscopic cholecystectomy in Suzhou Hospital of Anhui Medical University, Suzhou, China between June 2021 and July 2022. The participants were divided into a research group (RG) and a control group (CG) based on different nursing plans, with 51 cases in each group. A routine nursing plan was implemented for CG patients while rapid rehabilitation surgical nursing was implemented for RG patients.
Results: The bowel sound recovery time, the first time of anal exhaust and getting out of bed, as well as the length of hospital stay in the RG decreased, in contrast to the CG. Prior to nursing, no significance was found in visual analog scale (VAS) scores, interleukin 6 (IL-6) and C-reactive protein (CRP) levels, as well as World Health Organization Quality of Life Scale (WHOQOL-BREF) scores of both groups. After nursing, VAS scores decreased in both groups, and the scores of RG were lower, compared to those of CG. The IL-6 and CRP levels increased in both groups, but those in the RG were lower, in comparison with those in the CG. The WHOQOL-BREF scores of all dimensions increased in both groups, compared to the baseline, and those in the RG were higher, relative to the CG. Additionally, the total occurrence of complications in the RG decreased, compared to the CG. Besides, the total nursing satisfaction in the RG was elevated, relative to the CG (P<0.05).
Conclusion: Application of rapid rehabilitation surgical nursing can expedite postoperative rehabilitation, reduce pain and stress response, promote quality of life, and lessen complications in patients undergoing laparoscopic cholecystectomy, thereby, increasing nursing satisfaction, which is worthy of promotion.
Damei Wu; Jiaxing Wan; Guowei Tang
Volume 26, Issue 1 , 2024
Abstract
Background: Lumbar spine fracture is one of the most common spinal fractures. Following lumbar vertebra surgery, prolonged bed rest is required, leading to increased negative emotions and various complications that hinder recovery. Therefore, it is necessary to develop effective interventions during ...
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Background: Lumbar spine fracture is one of the most common spinal fractures. Following lumbar vertebra surgery, prolonged bed rest is required, leading to increased negative emotions and various complications that hinder recovery. Therefore, it is necessary to develop effective interventions during the operation.
Objective: To assess the application effect of rapid rehabilitation intervention in posterior lumbar laminectomy decompression, resection of nucleus pulposus, and pedicle nail internal fixation for patients with lumbar fracture.
Methods: We randomly assigned 134 patients with lumbar fractures who received treatment in our hospital from May 2019 to September 2022 to either the research group (RG) or the control group (CG), with 67 patients in each group. In addition to the basic intervention, the RG received rapid rehabilitation intervention, while the CG only got the basic intervention. The study compared intraoperative blood loss, operation and hospitalization periods; the scores of the visual analog score (VAS), Japanese orthopaedic association (JOA), and Oswestry Disability Index (ODI); the incidence of complications; and satisfaction with the intervention in both groups.
Results: The RG had less blood loss and shorter surgery and hospital stay than the CG (P<0.05). The RG exhibited lower VAS and ODI scores but higher JOA scores than the CG (P<0.05). The occurrence of postoperative complications in the RG was decreased in comparison to the CG (P<0.05). The total intervention satisfaction was higher in the RG than in the CG (P<0.05).
Conclusion: Rapid rehabilitation intervention can accelerate the recovery of the condition, improve the dysfunction, reduce the occurrence of complications in patients with lumbar fracture surgery, and thereby boost intervention satisfaction, which is worthy for clinical promotion.
Moslem Taheri Soodejani; Ali Karamoozian; Seyed Jalaleddin Mousavirad; Seyyed Mohammad Tabatabaei
Volume 26, Issue 1 , 2024
Abstract
Background: This study investigated the influence of age, gender and geographical region on the incidence of four types of injuries among pedestrians, cyclists, motorcyclists and motor vehicle drivers in Iran. The geographical correlation between the different provinces of the country was also examined.
Objectives: ...
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Background: This study investigated the influence of age, gender and geographical region on the incidence of four types of injuries among pedestrians, cyclists, motorcyclists and motor vehicle drivers in Iran. The geographical correlation between the different provinces of the country was also examined.
Objectives: The present study aimed to investigate 4 common type of road traffic injuries by provinces in Iran.
Methods: The data was taken from the Global Burden of Disease (GBD) study. The data were analyzed in terms of age group, gender and type of injury in different provinces, and the effect of geographical region on the incidence of RTIs were investigated through a multilevel analysis. Provinces were included in the model as random intercepts, and Moran's I test was used to examine geographic correlation and identify hot spots and cold spots. A significance level of 5% was used for all tests.
Results: Elderly people were the main victims of pedestrian accidents, and young people were most frequently injured in cycling accidents. On the other hand, adults were the most frequently injured age group in motor vehicle accidents. Men were injured more often than women in all four types of injury. Although the injuries were not related to the province where the accident occurred, the geographical distribution of injuries caused by cyclists showed a geographical correlation, with Sistan and Baluchistan (southeast) and Tehran (the capital) being the areas with the highest and lowest risk of these types of injuries, respectively.
Conclusion: According to the results of this study, the causes of different types of road traffic injuries are very different for different age groups, genders and geographical areas. Therefore, different plans should be developed for each type of injury in order to prevent road traffic accidents.
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