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1.
Bioprocess Biosyst Eng ; 46(7): 1021-1031, 2023 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-37225874

RESUMO

Recovery of valuable metals via leaching printed circuit boards (PCBs) has gained moment recently. This work studied the Microbial fuel cell (MFC) performances for recovery of Cu from a Cu2+ solution by examining key operating parameters. A dual-chamber MFC with 6 cm × 6 cm × 7 cm dimensions was constructed. Both anode and cathode electrodes were made of a carbon cloth sheet. The anodic and cathodic chambers were separated by a Nafion membrane. The highest Cu recovery efficiency was 99.7% after 240 h batch mode operation, yielding 102 mW/m2 MFC power density output using 1 g/L Cu2+ solution as the catholyte (initial pH 3) and an anolyte containing 1 g/L sodium acetate inoculated with a sludge from a wastewater treatment plant's anaerobic pond, with 2 cm distance between the electrodes made of polyacrylonitrile polymer. The highest open circuit voltage, current density (based on cross-section cathode area) and power density with an external load of 1 kΩ was 555 mV, 347 mA/m2 and 193 mW/m2, respectively. Additionally, recovery of Cu in the leachate of PCBs using sulfuric acid leaching after 48 h was performed and the highest Cu recovery was 50% in 48 h.


Assuntos
Fontes de Energia Bioelétrica , Purificação da Água , Cobre , Esgotos , Eletrodos , Purificação da Água/métodos , Eletricidade
2.
Nutr Metab Cardiovasc Dis ; 32(9): 2074-2085, 2022 09.
Artigo em Inglês | MEDLINE | ID: mdl-35843797

RESUMO

BACKGROUND AND AIMS: Food processing changes the nature of foods, and it is growing globally due to its availability and affordability and its effects on the palatability of foods. Consumption of ultraprocessed foods (UPFs) may adversely affect weight gain. The purpose of the current study is to examine the association between UPFs consumption and adiposity among Iranian adults. METHODS AND RESULTS: A cross-sectional study was conducted on 1459 Iranian adults (≥19 years). Dietary intakes were assessed using a validated 136-item food frequency questionnaire (FFQ), and foods were classified based on the NOVA system. Overweight, obesity, and abdominal obesity were defined as body mass index (BMI) ≥25 and < 30, ≥30, respectively, and waist circumference (WC) ≥91 for women and WC ≥ 89 for men. The odds of general and abdominal obesity across the quartiles of UPFs were assessed by binary logistic regression. UPFs consumption contributed to 20.17% of daily energy intake. After adjustment for potential confounders, UPFs consumption was not associated with general or abdominal obesity. However, in the fully adjusted model, men in the top quartile of UPFs were twice as likely to be overweight compared with those in the bottom quartile (OR = 2.06, 95% CI: 1.03, 4.10; P = 0.047). No association was found in women or stratified analysis by age. CONCLUSION: The present findings suggest a sex-specific association between UPFs consumption and overweight. UPFs consumption might be associated with an increased risk of overweight in men, but no such association was found in women. Future cohort studies are required to confirm these results.


Assuntos
Obesidade Abdominal , Sobrepeso , Adulto , Índice de Massa Corporal , Estudos Transversais , Dieta , Ingestão de Energia , Feminino , Manipulação de Alimentos , Humanos , Irã (Geográfico) , Masculino , Obesidade
3.
New Microbes New Infect ; 45: 100960, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-35242338

RESUMO

Methicillin-resistant Staphylococcus aureus (MRSA) is an important problem associated with significant mortality and morbidity and well known as a predominant bacterial pathogen. The aim of this study was to identify MRSA strains. In this study (June 2018 to June 2019) isolates of S. aureus were obtained from patients referred to teaching hospitals of Ahvaz, Iran. All isolates were confirmed by conventional microbiological methods. In following, antimicrobial susceptibility testing (AST), MRSA screening, PCR detection of MRSA and LAMP assay were performed. Out of a total of 156 staphylococcal isolates, 126 isolates were identified as MRSA. Seventy-two (57.1%) MRSA isolates were recovered from wound. All MRSA isolates were sensitive to vancomycin, linezolid, teicoplanin, quinupristin-dalfopristin, and tigecycline. The results of LAMP showed 100% agreement with PCR. Sensitivity and specificity of the LAMP assays for the mecA genes were 100% and 100%, respectively. The LAMP assay is a rapid and simple method for the identifications of MRSA. Because of its performance without the need for specific instrumentation, this method can be easily employed in medical centers for the detection of mecA.

4.
Public Health ; 200: 59-70, 2021 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-34700187

RESUMO

OBJECTIVES: This study aimed to summarise the effect of community-based intervention programmes on the prevention of cardiovascular disease (CVD) by reducing cardiometabolic risk factors. STUDY DESIGN: This was a systematic review and meta-analysis. METHODS: A systematic search in the PubMed database and screening of reference lists aimed to identify community-based CVD prevention programmes from inception up to April 2020. The mean differences and standard deviations for CVD risk factors, including blood pressure, lipid profile, blood glucose and body weight indices, were extracted and pooled using a random effects model. RESULTS: Screening of 11,889 titles/abstracts and full texts resulted in 48 studies being included in this review. The meta-analysis showed that community-based programmes have led to considerable decreases in systolic blood pressure (weighted mean difference [WMD] = -2.90 mm Hg, 95% confidence interval [95% CI]: -3.63, -2.16), diastolic blood pressure (WMD = -2.21 mm Hg, 95% CI: -3.12, -1.29), serum levels of low-density lipoprotein cholesterol (LDL-C; WMD = -8.88 mg/dl, 95% CI: -12.84, -4.92), triglycerides (WMD = -8.40 mg/dl, 95% CI: -12.10, -4.70), total cholesterol (WMD = -2.96 mg/dl, 95% CI: -3.10, -2.81) and fasting blood glucose (WMD = -2.06 mg/dl, 95% CI: -3.02, -1.10). A moderate decrease in body weight was also found with community-based CVD prevention programmes. However, community-based CVD prevention programmes were not associated with any significant changes in serum levels of high-density lipoprotein. CONCLUSIONS: The present study indicates that community-based strategies have successfully led to an improvement in CVD risk factors, particularly by reducing blood pressure, serum levels of LDL-C and triglycerides, obesity indices and blood glucose. The impact of these programmes on CVD is modified by the type of intervention and by different cultural and physical environments.


Assuntos
Doenças Cardiovasculares , Pressão Sanguínea , Doenças Cardiovasculares/epidemiologia , Doenças Cardiovasculares/prevenção & controle , LDL-Colesterol , Humanos , Lipídeos , Fatores de Risco , Triglicerídeos
5.
Public Health ; 186: 44-51, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32768623

RESUMO

BACKGROUND: Self-harm-related death is one of the most unfortunate, tragic, and regrettable types of death owing to injuries with a variety of socio-economic and cultural causes. The study aimed to determine the trend in the mortality of self-harm by sex and age at national and provincial levels in Iran over a period of 26 years. METHODS: The Iran Death Registration System (DRS), cemetery databanks in Tehran and Esfahan, and the national population and housing censuses of Iran were used for this study. Using a growth model, the population was estimated in the age groups. Incompleteness, misalignment, and misclassification in the DRS were all considered and addressed accordingly. We used a spatio-temporal and Gaussian process regression model to estimate mortality rates in children and adults. RESULTS: Over the study period, 67,670 deaths were estimated owing to self-harm across the country. The overall age-standardized mortality rate decreased from 4.32 per 100,000 (95% unit interface (UI): 3.25-5.75) to 2.78 (2.15-3.59) per 100,000 between 1990 and 2015, a reduction of approximately 35.65%. The M/F ratio was 2.03:1 with an annual percent change of -2.38% and -1.37% for women and men, respectively. The annual self-harm mortality rate was higher among individuals aged 15-24 years, as well as it was more in men during the study period. CONCLUSION: Mortality from self-harm has declined over the study period in Iran. Higher rates in men and in population aged 15-24 years, with considerable variation by province, were the distinguishing features of self-harm. Iran needs to improve monitoring through a comprehensive multisectoral strategy; and most importantly, provide timely, effective and low-cost preventive interventions.


Assuntos
Comportamento Autodestrutivo/mortalidade , Adolescente , Adulto , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Censos , Criança , Bases de Dados Factuais , Feminino , Humanos , Irã (Geográfico)/epidemiologia , Masculino , Pessoa de Meia-Idade , Mortalidade/tendências , Comportamento Autodestrutivo/epidemiologia , Fatores Sexuais , Fatores de Tempo , Adulto Jovem
6.
Epidemiol Infect ; 148: e115, 2020 06 10.
Artigo em Inglês | MEDLINE | ID: mdl-32517845

RESUMO

The aim of this study was to estimate the basic reproduction number (R0) of COVID-19 in the early stage of the epidemic and predict the expected number of new cases in Shahroud in Northeastern Iran. The R0 of COVID-19 was estimated using the serial interval distribution and the number of incidence cases. The 30-day probable incidence and cumulative incidence were predicted using the assumption that daily incidence follows a Poisson distribution determined by daily infectiousness. Data analysis was done using 'earlyR' and 'projections' packages in R software. The maximum-likelihood value of R0 was 2.7 (95% confidence interval (CI): 2.1-3.4) for the COVID-19 epidemic in the early 14 days and decreased to 1.13 (95% CI 1.03-1.25) by the end of day 42. The expected average number of new cases in Shahroud was 9.0 ± 3.8 cases/day, which means an estimated total of 271 (95% CI: 178-383) new cases for the period between 02 April to 03 May 2020. By day 67 (27 April), the effective reproduction number (Rt), which had a descending trend and was around 1, reduced to 0.70. Based on the Rt for the last 21 days (days 46-67 of the epidemic), the prediction for 27 April to 26 May is a mean daily cases of 2.9 ± 2.0 with 87 (48-136) new cases. In order to maintain R below 1, we strongly recommend enforcing and continuing the current preventive measures, restricting travel and providing screening tests for a larger proportion of the population.


Assuntos
Número Básico de Reprodução , Infecções por Coronavirus/epidemiologia , Pneumonia Viral/epidemiologia , COVID-19 , Controle de Doenças Transmissíveis , Busca de Comunicante , Infecções por Coronavirus/prevenção & controle , Infecções por Coronavirus/transmissão , Humanos , Irã (Geográfico)/epidemiologia , Modelos Biológicos , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Pneumonia Viral/transmissão
7.
Sci Data ; 6(1): 227, 2019 10 23.
Artigo em Inglês | MEDLINE | ID: mdl-31645559

RESUMO

We present the coronary artery disease (CAD) database, a comprehensive resource, comprising 126 papers and 68 datasets relevant to CAD diagnosis, extracted from the scientific literature from 1992 and 2018. These data were collected to help advance research on CAD-related machine learning and data mining algorithms, and hopefully to ultimately advance clinical diagnosis and early treatment. To aid users, we have also built a web application that presents the database through various reports.


Assuntos
Doença da Artéria Coronariana/diagnóstico , Mineração de Dados , Aprendizado de Máquina , Bases de Dados Factuais , Humanos , Internet , Software , Interface Usuário-Computador
8.
J Mycol Med ; 28(4): 594-598, 2018 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-30360945

RESUMO

Aspergillus fumigatus conidia are the most prevalent indoors fungal allergens. The interaction between Aspergillus antigens and lung epithelial cells (LECs) result in innate immune functions. The association between Aspergillus conidia and allergic reactions, like allergic bronchopulmonary aspergillosis (ABPA) and asthma have been repeatedly reported. Since conventional therapies for allergy and asthma are limited, finding new promising treatments are inevitable. This study was designed to evaluate the effect of A. fumigatus conidia on IL-12, IFNγ, IL-13 and IL-17 release from mouse LECs and to investigate the effect of propolis on cytokines modulation. Cells were divided to two groups, one was exposed to 3×104 conidia of Aspergillus fumigatus and another group was treated by propolis (25µg/mL) as well as exposed to A. fumigatus conidia. Cytokines IL-13, IL-12, IFNγ and IL-17 were measured at times 0, 6 and 12hours after exposure using ELISA assay. The results indicated that A. fumigatus could increase the release of the cytokines with IL-13 and IL-17 being the most affected ones whilst treatment with propolis decreased the effects of A. fumigatus on IL-13 and IL-17 production. The results showed that propolis has down regulatory effects on Th2 cytokine, IL-13, and IL-17 production, whereas it caused a significant induction of IL-12, as an important Th1 cytokines by LECs. With respect to the obtained results, propolis extract might be contributed to decrease Th2 responses in allergic asthma phenomenon. However more investigations must be done in future to fully understand its efficacy.


Assuntos
Aspergillus fumigatus , Citocinas/metabolismo , Células Epiteliais/microbiologia , Imunomodulação/efeitos dos fármacos , Própole/farmacologia , Esporos Fúngicos/imunologia , Animais , Anti-Inflamatórios/farmacologia , Antifúngicos/farmacologia , Aspergillus fumigatus/fisiologia , Linhagem Celular Tumoral , Células Epiteliais/metabolismo , Interferon gama/metabolismo , Interleucina-12/metabolismo , Interleucina-13/metabolismo , Interleucina-17/metabolismo , Camundongos , Própole/química
9.
J Mycol Med ; 28(2): 294-299, 2018 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-29661606

RESUMO

Limitations of antifungals used in the treatment of candidiasis, as the development of resistant strains, are known by the scientific community. In this context, the aim of this study was to investigate the activity of 2-isopropyl-5-methylphenol (thymol) in combination with fluconazole (FLZ) against clinical Candida strains. The antifungal activity of thymol along with FLZ was evaluated by the Clinical Laboratory Standards Institute (CLSI) M27-A2 broth microdilution method. In addition, synergism was observed for clinical strains of Candida spp. with combination of thymol-FLZ evaluated by the chequerboard microdilution method. The mean of minimum inhibitory concentration (MIC) values of thymol and FLZ were 49.37 and 0.475µg/ml for C. albicans, 51.25 and 18.80µg/ml for C. glabrata and 70 and 179.20µg/ml for C. krusei strains, respectively. Thymol in combination with FLZ exhibited the synergistic effects against all species of Candida tested. FICI values for thymol plus FLZ ranged from 0.366 to 0.607 for C. albicans strains, 0.367 to 0.482 for C. glabrata strains, and 0.375 to 0.563 for C. krusei strains. No antagonistic activity was seen in the strains tested. Thymol was found to have a fungicidal effect on Candida species and a synergistic effect when combined with FLZ.


Assuntos
Antifúngicos/farmacologia , Candida albicans/efeitos dos fármacos , Candida glabrata/efeitos dos fármacos , Candida/efeitos dos fármacos , Fluconazol/farmacologia , Fenóis/farmacologia , Candidíase/tratamento farmacológico , Candidíase/microbiologia , Farmacorresistência Fúngica , Sinergismo Farmacológico , Humanos , Testes de Sensibilidade Microbiana , Timol/farmacologia
10.
J Mycol Med ; 28(2): 349-354, 2018 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-29525270

RESUMO

OBJECTIVE: The aims of this study were to determine the role of live and heat-killed Aspergillus fumigatus conidia in releasing interleukin (IL)-25, IL-33 and thymic stromal lymphopoietin (TSLP) and to express Toll-like receptor (Tlr)2 and Tlr4 genes. MATERIALS AND METHODS: Murine lung epithelial cells were incubated with live and heat-killed A. fumigatus conidia at 37°C for 6, 24 and 48h. After treatments, ELISA was performed to measure the concentrations of IL-25, IL-33 and TSLP in the supernatants. Quantitative real-time PCR (qPCR) was performed to assess the expression levels of Tlr2 and Tlr4 genes. RESULTS: The concentrations of IL-25 and IL-33 significantly increased after exposure to live and heat-killed conidia for various times when compared with untreated control (P<0.05). The secretion of TSLP at different concentrations of heat-killed conidia was significantly higher than both live conidia and untreated control (P<0.05). qRT-PCR results indicated a up-regulation from 1.08 to 3.60-fold for Tlr2 gene expression and 1.20 to 1.80-fold for Tlr4 gene expression exposed to heat-killed conidia. CONCLUSION: A. fumigatus has a potential ability to stimulate murine lung epithelial cells to produce IL-25/IL-33/TSLP, as well as to express Tlr2/Tlr4 genes, indicating an important role of lung epithelial cells in innate immune responses to A. fumigatus interaction.


Assuntos
Aspergillus fumigatus/imunologia , Citocinas/biossíntese , Células Epiteliais/imunologia , Interleucina-17/biossíntese , Interleucina-33/biossíntese , Receptor 2 Toll-Like/genética , Receptor 4 Toll-Like/genética , Animais , Linhagem Celular , Citocinas/imunologia , Ensaio de Imunoadsorção Enzimática , Células Epiteliais/microbiologia , Imunidade Inata , Interleucina-17/imunologia , Interleucina-33/imunologia , Pulmão/citologia , Camundongos , Reação em Cadeia da Polimerase em Tempo Real , Esporos Fúngicos/imunologia , Linfopoietina do Estroma do Timo
11.
J Mycol Med ; 28(1): 206-210, 2018 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-29500032

RESUMO

Chronic mucocutaneous candidiasis (CMC) is a clinically heterogeneous disease. Some immunologic and hormonal abnormalities have been associated with CMC. The factors that predispose host to CMC infection could be autosomal or acquisitive. The disease usually occurs in childhood. Here, we reviewed the published literature on chronic mucocutaneous candidiasis and a four years old girl is presented with CMC. She had a history of recurrent thrush and otomycosis since the age of one. Candida albicans was detected in skin scraping and biopsy samples. Serum iron was low. TSH hormone level was high and T4 level was low. Giardia cysts were found in stool sample. Mucocutaneous and nail manifestations of the disease were disappeared after a period of Itraconazole therapy.


Assuntos
Candidíase Mucocutânea Crônica/imunologia , Biópsia , Candida albicans/isolamento & purificação , Candidíase/complicações , Candidíase Mucocutânea Crônica/sangue , Candidíase Mucocutânea Crônica/tratamento farmacológico , Candidíase Mucocutânea Crônica/microbiologia , Candidíase Bucal/complicações , Pré-Escolar , Fezes/parasitologia , Feminino , Giardia/isolamento & purificação , Humanos , Ferro/sangue , Itraconazol/uso terapêutico , Otomicose/microbiologia , Pele/microbiologia , Pele/patologia
12.
J Mycol Med ; 28(2): 355-360, 2018 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-29477783

RESUMO

Systemic candidiasis has become an emerging fungal infection in recent years. Anti-Candida resistance to conventional antifungal agents has subsequently increased. This study reported the chemical composition, antioxidant and anti-Candida activity of Origanum majorana, Artemisia dracunculus, Cymbopogon citrate, Cinnamomum verum and Caryophyllus aromaticus essential oils. Different Candida species, from urine tracts of hospitalized patients, were included to be challenged with understudied essential oils. Chemical compositions were determined using gas chromatography/mass spectroscopy (GC/MS) analysis and antioxidant activity was measured using DDPH assay. MIC of these essential oils was evaluated using broth micro-dilution test. Caryophyllus aromaticus had the highest antioxidant activity while the lowest antioxidant activity was for Artemisia dracunculus. MICs of Cinnamomum verum, Caryophillium aromaticus, Artemisia dracunculus, Origanum vulgare and Cymbopogon citratus essential oils ranged from 125 to 175µg/mL (mean value: 147.7±25.5µg/mL), 700 to 1000µg/mL (mean value: 740.9±105.4µg/mL), 1000 to 2000µg/mL (mean value: 1454.5±509.6µg/mL), 173 to 350µg/mL (mean value: 208±55.8µg/mL) and 125 to 175µg/mL (mean value: 156.8±24.6µg/mL) for different Candida species, respectively. In general, natural compounds are suitable to be used as anti-Candida and antioxidant agents. However in this stage, these compounds could be applied as supplementary agents along with conventional antifungal drugs.


Assuntos
Antifúngicos/farmacologia , Antioxidantes/farmacologia , Candida/efeitos dos fármacos , Candidíase/urina , Óleos Voláteis/química , Óleos Voláteis/farmacologia , Antifúngicos/química , Antioxidantes/química , Artemisia/química , Candida/classificação , Candida/isolamento & purificação , Candidíase/tratamento farmacológico , Cromatografia Gasosa-Espectrometria de Massas , Humanos , Unidades de Terapia Intensiva , Irã (Geográfico) , Testes de Sensibilidade Microbiana , Extratos Vegetais/química , Extratos Vegetais/farmacologia , Óleos de Plantas/química , Óleos de Plantas/farmacologia , Syzygium/química
13.
J Hum Hypertens ; 31(6): 382-387, 2017 06.
Artigo em Inglês | MEDLINE | ID: mdl-27334522

RESUMO

The present study aimed to assess the value of pre-diabetes and pre-hypertension in predicting cardiovascular events. A population-based, cross-sectional survey was conducted, representing a large sample of the general Iranian population aged 35 years and older from the Isfahan Province and determined using a random, multistage cluster-sampling 10-year cohort. The five end points considered as study outcome were unstable angina (UA), acute occurrence of myocardial infarction (MI), sudden cardiac death (SCD), brain stroke and cardiovascular disease (CVD). Of the 6323 subjects scheduled for assessment of diabetes state 617 were diabetics and 712 were pre-diabetic. In addition, of these subjects, 1754 had hypertension and 2500 had pre-hypertension. Analysing only pre-hypertension, pre-diabetes and its combination and adjusted for gender and age variables, pre-hypertension and pre-diabetes status together, could only effectively predict occurrence of MI (hazard ratio (HR)=3.21, 95% confidence interval (CI): 1.06-9.76, P=0.04). In the same COX regression models, pre-hypertension status could predict UA and CVD occurrence (HR=2.94, 95% CI: 1.68-5.14, P<0.001 and HR=1.74, 95% CI: 1.23-2.47, P=0.002, respectively). However, pre-diabetes status could not predict any of these events after adjustment for gender and age. Our data provide valuable evidence of the triggering role of pre-hypertension and pre-diabetes together, on appearance and progression of MI even in healthy individuals and the significant predicting value of pre-hypertension on the occurrence of UA and CVD. In this regard, the value of pre-hypertension and pre-diabetes together, and the pre-hypertension state alone, are clearly superior to pre-diabetes state alone in predicting cardiovascular events.


Assuntos
Angina Instável/epidemiologia , Morte Súbita Cardíaca/epidemiologia , Infarto do Miocárdio/epidemiologia , Estado Pré-Diabético/epidemiologia , Pré-Hipertensão/epidemiologia , Acidente Vascular Cerebral/epidemiologia , Adulto , Idoso , Angina Instável/diagnóstico , Angina Instável/mortalidade , Distribuição de Qui-Quadrado , Estudos Transversais , Feminino , Inquéritos Epidemiológicos , Humanos , Irã (Geográfico)/epidemiologia , Masculino , Pessoa de Meia-Idade , Infarto do Miocárdio/diagnóstico , Infarto do Miocárdio/mortalidade , Estado Pré-Diabético/diagnóstico , Estado Pré-Diabético/mortalidade , Pré-Hipertensão/diagnóstico , Pré-Hipertensão/mortalidade , Prognóstico , Modelos de Riscos Proporcionais , Medição de Risco , Fatores de Risco , Acidente Vascular Cerebral/diagnóstico , Acidente Vascular Cerebral/mortalidade , Fatores de Tempo
15.
Equine Vet J ; 49(5): 614-617, 2017 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-27931081

RESUMO

BACKGROUND: Yeasts are commensal organisms found in the reproductive and gastrointestinal tracts, and on the skin and other mucosa in mammals. OBJECTIVES: The purpose of this study was to isolate and identify yeast flora in the caudal reproductive tract in healthy female horses. STUDY DESIGN: Longitudinal study. METHODS: A total of 453 samples were collected using double-guarded swabs from the vestibule, clitoral fossa and vagina in 151 horses. All samples were cultured on Sabouraud 4% dextrose agar and incubated at 35°C for 7-10 days. Isolates were identified according to their morphological characteristics and biochemical profiles. RESULTS: Yeast colonies were isolated from 60 (39.7%) of the 151 horses. The isolated yeasts belonged to nine genera, and included Candida spp. (53.2%), Cryptococcus spp. (12.2%), Saccharomyces spp. (10.5%), Geotrichum spp. (8.0%), Rhodotorula spp. (7.1%), Malassezia spp. (3.7%), Trichosporon spp. (2.6%), Kluyveromyces spp. (2.6%) and Sporothrix spp. (0.2%). Candida krusei (43.1%) was the most frequent Candida species isolated. There was a significant difference in prevalence between C. krusei and other Candida species (P<0.05). The vestibule contained more yeast isolates (48.0%) than the vagina (18.3%). The isolation of yeast colonies from multiparous females (76.8%) was significantly higher than from maiden mares (P<0.05). MAIN LIMITATIONS: The study was limited by the difficulty of distinguishing between normal flora and potential pathogens. CONCLUSIONS: Candida spp., in particular C. krusei, represent important flora resident in the caudal reproductive tract in healthy female horses. This is particularly important in contexts that require the initiation of empirical treatment prior to the completion of culture results.


Assuntos
Genitália Feminina/microbiologia , Cavalos/microbiologia , Leveduras/classificação , Leveduras/isolamento & purificação , Animais , Candida/classificação , Candida/isolamento & purificação , Contagem de Colônia Microbiana/veterinária , Meios de Cultura , Feminino , Estudos Longitudinais , Pele
16.
BJOG ; 124(4): 631-639, 2017 03.
Artigo em Inglês | MEDLINE | ID: mdl-27862837

RESUMO

OBJECTIVE: This study aimed to determine the effectiveness of motivational interviewing on women's participation in childbirth classes and their subsequent natural vaginal delivery. DESIGN: Randomised controlled trial. SETTING: Prenatal clinic of the Shohada Women's Hospital, Behshahr, Mazandaran, Iran. POPULATION: This study was conducted with 230 nulliparous women. Participants were randomised into three groups, including 76 women in the motivational interviewing group, and 77 women in both the lecture and the control groups. METHODS: Participants were assessed at three time points, including at baseline (16-19 weeks of gestation) and then following the intervention (at 21 and 37 weeks of gestation). The motivational interviewing group received two focus interviews and two telephone follow-up sessions (at 3 and 6 weeks after the last session of motivational interviewing). The lecture group received a speech session. The control group received routine care service. MAIN OUTCOME MEASURES: Frequency of participation in childbirth preparation classes and mode of delivery. RESULTS: Over 90% of women in the motivational interviewing group participated in childbirth preparation classes, whereas the rate of participation in the lecture and the control groups was 59.7 and 27.3%, respectively. The probability of maternal participation in childbirth classes in the motivational interviewing and in the lecture groups was 3.3 (95% CI 2.1-4.5) and 2.2 (95% CI 1.4-3.0) times the probability of maternal participation in the control group, respectively. Moreover, the intervention groups had 1.4 (95% CI 1.1-1.8) and 1.1 (95% CI 0.9-1.4) times the probability of natural delivery, compared with the control group. The frequency of natural delivery in motivational interviewing, lecture, and control groups was 68.4, 54.5, and 48.1%, respectively. The results showed a statistically significant difference between the mean scores for the awareness and attitude scores between the three groups in different time periods. CONCLUSION: We found that motivational interviewing can be a useful tool for encouraging pregnant women to attend childbirth preparation classes. TWEETABLE ABSTRACT: Motivational interviewing with nulliparous women is strongly associated with their attendance in childbirth preparation classes.


Assuntos
Entrevista Motivacional , Educação Pré-Natal , Feminino , Humanos , Irã (Geográfico) , Gravidez , Gestantes , Cuidado Pré-Natal
17.
J Mycol Med ; 26(4): 298-305, 2016 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-27789229

RESUMO

OBJECTIVE: The potentiality to switch between yeast and hyphal morphologies plays an important role in the virulence of Candida albicans (C. albicans). The objective of the present study was to evaluate the chemical composition, antifungal activity and influence of propolis upon germ tube formation of C. albicans clinical isolates. METHODS: The major compounds of propolis ethanolic extract (PEE) was revealed by gas chromatography-mass spectrometry (GC/MS) analysis. Broth microdilution method was used for determination of minimal inhibitory concentration (MIC) and minimal fungicidal concentration (MFC) of this extract. C. albicans isolates were exposed to sub-MIC concentrations of propolis and germ tube reduction percent (GRP) and morphological transition from yeast to filamentous form were monitored microscopically. RESULTS: Phenolic compounds, aromatic acids, aliphatic acids, sugars and polycyclic aromatic hydrocarbons were the major compound classes in PEE. Mean of MIC and MFC values of PEE against C. albicans isolates were 360.6µg·mL-1 and 1250.1µg·mL-1, respectively. The increase in concentration led to a significant reduction in germ tube formation, so mean of GRP was 36.7±11.1 and 22±10.1 at concentration of ½ MIC and » MIC of PEE, respectively. CONCLUSIONS: In conclusion, the present study indicated that PEE has interesting potential as a therapeutic agent that targets germ tube formation by C. albicans as a critical virulence factor.


Assuntos
Antifúngicos/farmacologia , Candida albicans/efeitos dos fármacos , Candidíase/microbiologia , Hifas/efeitos dos fármacos , Própole/farmacologia , Virulência/efeitos dos fármacos , Candida albicans/crescimento & desenvolvimento , Candida albicans/isolamento & purificação , Candida albicans/patogenicidade , Candidíase/tratamento farmacológico , Feminino , Fluconazol/farmacologia , Cromatografia Gasosa-Espectrometria de Massas , Humanos , Hifas/crescimento & desenvolvimento , Hifas/patogenicidade , Masculino , Testes de Sensibilidade Microbiana
18.
Asian Pac J Cancer Prev ; 17(6): 2877-81, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27356706

RESUMO

BACKGROUND: Lung cancer is one of the most common causes of death that is rising in many countries including Iran. This study aimed to determine the impact of factors on survival of lung cancer patients at a referral center of lung diseases in Tehran, Iran. MATERIALS AND METHODS: A retrospective study was conducted on adult lung cancer cases admitted to a referral center for lung diseases from 2011 to 2015. Multivariate analysis was performed to determine the risk factors for all-cause mortality. RESULTS: Of a total 933 patients with lung cancer, 53.4% died, 49.3% of them at the hospital. Overall median follow-up time was 7 months. The most common histological type of cancer was adenocarcinoma with a 13 month median survival time. Age ≥55 and smoking remained significant for all-cause mortality on Cox analysis, whereas gender was not. CONCLUSIONS: The survival of lung cancer patients is poor and the patients with history of smoking and age ≥55 are at increased risk of death. Having a large hospital-based registry provides a good measurement of prognostic statistics for lung cancer. Further investigations are necessary to establish reasons for mortality.


Assuntos
Adenocarcinoma/mortalidade , Carcinoma de Células Grandes/mortalidade , Carcinoma Pulmonar de Células não Pequenas/mortalidade , Carcinoma de Células Escamosas/mortalidade , Neoplasias Pulmonares/mortalidade , Carcinoma de Pequenas Células do Pulmão/mortalidade , Adenocarcinoma/patologia , Adenocarcinoma/terapia , Adulto , Carcinoma de Células Grandes/patologia , Carcinoma de Células Grandes/terapia , Carcinoma Pulmonar de Células não Pequenas/patologia , Carcinoma Pulmonar de Células não Pequenas/terapia , Carcinoma de Células Escamosas/patologia , Carcinoma de Células Escamosas/terapia , Terapia Combinada , Feminino , Seguimentos , Humanos , Neoplasias Pulmonares/patologia , Neoplasias Pulmonares/terapia , Masculino , Pessoa de Meia-Idade , Estadiamento de Neoplasias , Prognóstico , Encaminhamento e Consulta , Estudos Retrospectivos , Fatores de Risco , Carcinoma de Pequenas Células do Pulmão/patologia , Carcinoma de Pequenas Células do Pulmão/terapia , Taxa de Sobrevida
19.
J Mycol Med ; 26(2): 170-177, 2016 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-27180290

RESUMO

OBJECTIVE: To determine the fungal species isolated from skin lesions of different animals suspected of having dermatomycoses and their prevalence in different regions of Iran. MATERIALS AND METHODS: A total of 1011 animals (292 dogs, 229 cats, 168 horses, 100 camels, 98 cows, 60 squirrels, 37 birds, 15 sheep, 6 goats, 5 rabbits and 1 fox) suspected of having dermatomycoses were examined. The samples were obtained by plucking the hairs and feathers with forceps around the affected area and scraping the epidermal scales with a sterile scalpel blade. All collected samples were analyzed by direct microscopy and culture. Laboratory identification of the fungal isolates was based on their colonial, microscopic and biochemical characteristics. RESULTS: Fungal agents were recovered from 553 (54.7%) animals suspected of having dermatomycoses. Of 553 confirmed cases, 255 (49.7%) were positive for dermatophytosis, 251 (45.4%) for Malassezia dermatitis, 14 (2.5%) for candidiasis, 12 (2.2%) for aspergillosis and 1 (0.2%) for zygomycosis. Cats (36.3%) were the most prevalent infected animals, followed by camels (13.4%), dogs (12.8%), horses (12.5%), cows (12.3%), squirrels (5.4%), birds (3.6%), sheep (2%), goats (1.1%), rabbits (0.4%) and fox (0.2%). Microsporum canis (M. canis) was the most frequent fungus isolated from dogs and fox, Malassezia pachydermatis (M. pachydermatis) from cats, horses and squirrels, Trichophyton verrucosum (T. verrucosum) from cows and camels, T. mentagrophytes var. mentagrophytes from sheep, goats and rabbits, and Aspergillus fumigatus (A. fumigatus) from birds. CONCLUSION: The results suggested that periodic screening of animals suspected of having dermatomycoses and necessary treatments could help in the management of their public health problem.


Assuntos
Doenças dos Animais/epidemiologia , Dermatomicoses/epidemiologia , Doenças dos Animais/microbiologia , Animais , Arthrodermataceae/isolamento & purificação , Aves/microbiologia , Camelus/microbiologia , Gatos/microbiologia , Bovinos/microbiologia , Dermatomicoses/microbiologia , Cães/microbiologia , Raposas/microbiologia , Cabras/microbiologia , Cavalos/microbiologia , Irã (Geográfico)/epidemiologia , Coelhos/microbiologia , Sciuridae/microbiologia , Ovinos/microbiologia
20.
J Mycol Med ; 26(2): 94-102, 2016 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-26869383

RESUMO

OBJECTIVE: The purposes of this study were to purify and compare the concentration ratios of heat shock protein 90 (Hsp90) in clinical isolates of Candida albicans (C. albicans) obtained from Malaysian and Iranian patients and infected mice. MATERIALS AND METHODS: Hsp90 was extracted using glass beads and ultracentrifugation from yeast cells and purified by ion exchange chromatography (DEAE-cellulose) and followed by affinity chromatography (hydroxyapatite). Purity of Hsp90 was controlled by SDS-PAGE and its identification was realized by immunoblotting test. RESULTS: The graphs of ion exchange and affinity chromatography showed one peak in all C. albicans isolates obtained from both Malaysian and Iranian samples, infected mice and under high-thermal (42°C) and low-thermal (25°C) shock. In immunoblotting, the location of Hsp90 fragments was obtained around 47, 75 and 82kDa. The least average concentration ratios of Hsp90 were 0.350 and 0.240mg/g for Malaysian and Iranian isolates at 25°C, respectively, while the highest average concentration ratios of Hsp90 were 3.05 and 2.600mg/g for Malaysian and Iranian isolates at 42°C, respectively. There were differences in the ratio amount of Hsp90 between Malaysian isolates (1.01±0.07mg/g) and mice kidneys (1.23±0.28mg/g) as well as between Iranian isolates (0.70±0.19mg/g) and mice kidneys (1.00±0.28mg/g) (P<0.05). CONCLUSION: The results showed differences in all situations tested including Iranian and Malaysian isolates, samples treated with temperatures (25°C or 42°C) and before and after infecting the mice (37°C), indicating higher virulent nature of this yeast species in high temperature in human and animal models.


Assuntos
Candida albicans/isolamento & purificação , Candida albicans/metabolismo , Candidíase/microbiologia , Proteínas de Choque Térmico HSP90/isolamento & purificação , Adolescente , Adulto , Animais , Candidíase/veterinária , Estudos de Casos e Controles , Feminino , Proteínas de Choque Térmico HSP90/metabolismo , Humanos , Irã (Geográfico) , Malásia , Masculino , Camundongos , Pessoa de Meia-Idade , Doenças dos Roedores/metabolismo , Doenças dos Roedores/microbiologia , Adulto Jovem
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