sadegh amiri
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Background & Objectives
The COVID-19 pandemic has had a devastating global impact, with millions of cases and varying severity of illness. Southeastern Iran has been particularly hard hit, with a high number of patients requiring hospitalization. This study aimed to identify risk factors associated with mortality from COVID-19 among hospitalized patients in this region.
Materials & MethodsA case-control study compared hospitalized COVID-19 patients who succumbed to the disease (confirmed by death certificates and positive PCR tests) with those who recovered, from February 27, 2020, to June 30, 2021. Researchers analyzed data using t-tests and chi-square tests to identify significant factors associated with mortality (p < 0.05). Variables significant at a less stringent level (p < 0.2) were then included in a backward logistic regression model to explore independent predictors of mortality.
ResultsThis retrospective study examined data from 473 patients, of whom 158 were in the case group and 315 were in the control group. Among the case group, 80.4% were elderly, compared to 41% in the control group. A significantly higher proportion of patients in the case group (12.7%) experienced critical symptoms leading to ICU hospitalization, compared to the control group (7.3%). Multivariable regression analysis identified several factors significantly associated with increased mortality risk. These included ICU hospitalization (OR=5.27, CI: 3.09-8.98), advanced age (OR=4.06, CI: 2.43-6.80), hypertension (OR=4.44, CI: 1.52-12.93), cardiovascular diseases (OR=2.56, CI: 1.1-5.98), and critical symptoms (OR=2.74, CI: 1.92-8.04). Diabetes, pregnancy, nationality, and gender did not statistically increase mortality risk (p-value ≥ 0.05).
ConclusionAdvanced age, severe symptoms requiring ICU care, hypertension, and cardiovascular diseases are all critical mortality risk factors in hospitalized COVID-19 patients.
Keywords: COVID-19, Mortality, Hospitalized Patients, Risk Factors, Iran -
In this paper, we propose a fourth-order compact discretization method for solving a second-order boundary value problem governed by the nonlinear Fredholm integro-differential equations. Using an efficient approximate polynomial, a compact numerical integration method is first designed. Then by applying the derived numerical integration formulas, the original problem is converted into a nonlinear system of algebraic equations. It is shown that the proposed method is easy to implement and has the third order of accuracy in the infinity norm. Some numerical examples are presented to demonstrate its approximation accuracy and computational efficiency, as well as to compare the derived results with those obtained in the literature.Keywords: Fredholm Integro-Differential Equation, Compact Discretization Method, Boundary Value Problem, Fourth Order Of Accuracy, Convergence Order
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The main purpose of this paper is to propose a high order numerical method based on the finite difference methods for solving nonlinear Itˆo stochastic Volterra integral equations (SVIEs) of the second kind. To develop the method, a fourth-order implicit finite difference method and the explicit Milstein method are implemented for the discretization of non-stochastic and stochastic integral parts, respectively. To solve the original SVIEs, the proposed method has the deterministic fourth-order and strong stochastic first-order accuracy. The convergence analysis of the proposed method is proved. The finite difference method under consideration requires solving a 2×2 system of equations at each step for one-dimensional SVIE. Therefore, the proposed method is very simple to implement and does not require a lot of computational cost. Some numerical examples are prepared to indicate the verity and efficiency of the new method. Moreover, the comparative numerical results show that this method is more accurate than those existing methods given in the literature.Keywords: Finite Difference, Itˆo Stochastic Volterra Integral Equations, Fourth Order
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مقدمه
با توجه به افزایش اقبال عمومی به استفاده از طب سنتی و مکمل در بیماری های مختلف، اتخاذ سیاست مناسب منوط به اطلاع از میزان استفاده مردم از این روش درمانی، نوع استفاده آن ها، ویژگی های افراد استفاده کننده و غیره می باشد. این مطالعه با هدف بررسی الگوی استفاده از طب سنتی و مکمل و داروهای گیاهی در افراد مبتلا به HIV/AIDS در شهرستان فسا انجام شد.
روش کاراین پژوهش یک مطالعه مقطعی است که بر روی 96 بیمار مبتلا به HIV/AIDS در مرکز مشاوره بیماری های رفتاری شهرستان فسا انجام شد. حجم نمونه بصورت سرشماری تعیین شد. برای گردآوری داده ها از دو پرسشنامه استفاده شد: یک پرسشنامه محقق ساخته برای بررسی استفاده بیمار از طب سنتی و پرسشنامه بررسی کیفیت زندگی سازمان جهانی بهداشت ویژه افراد مبتلا به ایدز. داده ها با استفاده از آمار توصیفی، رگرسیون لجستیک، مجذور کای و تی مستقل مورد تجزیه و تحلیل قرار گرفت.
یافته هااز 96 بیمار 12/78 درصد از آن ها از طب سنتی استفاده می کردند. فراوان ترین نوع طب مکمل مورد استفاده در بیماران حجامت و گیاهان دارویی بود. بابونه و آویشن پرمخاطب ترین گیاهان مورد استفاده بودند. بیشترین علت استفاده از بابونه جهت تسکین روانی بوده و غالبا آویشن را جهت افزایش سلامت عمومی بدن و سایر علل مصرف می کردند.
نتیجه گیریبا توجه به فراوانی قابل توجه استفاده از طب سنتی در این بیماران، لازم است سیاست ها و پاسخ عملی مناسب به افزایش استفاده از طب سنتی و مکمل تعبیه شود تا این خدمات بصورت ایمن، به موقع و با کیفیت کافی در دسترس مردم قرار گیرد.
کلید واژگان: طب سنتی و مکمل, طب ایرانی, ایدز, HIV, AIDSComplementary Medicine Journal of faculty of Nursing & Midwifery, Volume:13 Issue: 4, 2024, PP 74 -83IntroductionDue to the increase in public interest in the use of traditional and complementary medicine in various diseases, it is necessary in order to adopt a suitable policy that know the extent of people's use, the type of use and the characteristics of the people. We aimed to determine the frequency and pattern of complementary and alternative medicine use and the reason of use among patients suffering from HIV/AIDS in Fasa city.
MethodsThis research is a cross-sectional study that was conducted on 96 patients with HIV/AIDS at the behavioral disease counseling center in Fasa city. The sample size was determined by census. Two questionnaires were used to collect data: a researcher-made questionnaire to examine the frequency of complementary and alternative medicine use and other questionnaire was the Quality of Life of the World Health Organization for people with HIV (WHOQOL-HIV). The data analysis for this study involved the use of descriptive statistics, Chi-squared test, independent t-test, and logistic regression model.
ResultsOf 96 patients, 78.12% reported using traditional medicine. The most common used type were cupping and medicinal plants. Chamomile and thyme were the most popular herbs used. The most common reason for using chamomile was relaxation, and they often used thyme to increase the general health of the body.
ConclusionsIt is necessary to implement appropriate policies and practical responses to increase traditional and complementary medicine use so these services are available safely, timely and with sufficient quality.
Keywords: Traditional, complementary medicine, Persian medicine, AIDS, HIV -
این تحقیق بر اساس نظریه بازنمایی استوارت هال پیش رفته و بر آن است با اتخاذ این روش نسبت میان فهم آخرالزمانی و درک پایان تاریخی را با فتح ایران توسط اعراب مسلمان را با توجه به مفاد متن کتاب دینکرد بیان کند. از این قرار، می توان این فرضیه را مطرح نمود که گزاره یا باور معنا داری خارج از گفتمان دین زردشتی برای پیروان آن دین وجود ندارد و علل رخدادها بیش از آنکه در پرتو واقعیت معاصر فهم شوند، در زمینه و بستری درون گفتمانی درک و تفسیر می شوند. کارویژه نظریه بازنمایی در اینجا، سنجش ریشه و تبار واقعیت نیست، بلکه تلاش برای شناخت این نکته است که درک آن واقعیت [فتح ایران] با چه رویه ها، نشانه ها، رمزها و صورت بندی های معنایی در گفتمان زردشتی همبستگی و هم آوایی پیدا می کند. گفتمان مزبور، روایت شکست ایرانیان و فتح ایرانشهر را با عناصر امیدبخش پایان هزاره، ظهور موعود و پایان تاریخ این همان می کند.کلید واژگان: دینکرد, سده های نخست اسلامی, فرجام شناختی, متون زردشتی, موعودگراییReligions & Mysticism, Volume:54 Issue: 2, 2022, PP 405 -424This research is based on Stuart Hall's theory of representation. By adopting this method, it intends to express the relationship between understanding the apocalypse and understanding the historical end with the conquest of Iran by Muslim Arabs according to the contents of Dēnkard's text. Thus, there is no meaningful proposition or belief outside the discourse of the Zoroastrian religion for the followers of that religion; And the causes of events are understood and interpreted in the context of the discourse rather than in the light of contemporary reality This discourse narrates the defeat of the Iranians and the conquest of Iranshahr with the hopeful elements of the end of the millennium, and the promised emergence and end of history.Keywords: Apocalyptic representation, Zoroastrian texts, Messianism, Dinkard, the first centuries of Islam
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Background
According to statistical data, prostate cancer is the most prevalent tumor in men worldwide and is the second leading cause of cancer deaths among men in the United States. This cancer changes many factors in the blood of patients.
ObjectivesThis study was designed to evaluate lysophosphatidic acid (LPA) levels in the serum of patients with prostate cancer.
MethodsAfter collecting blood samples from 20 healthy individuals and 20 patients with prostate cancer, serum was separated from each sample. Then, the enzyme-linked immunosorbent assay (ELISA) method was applied to measure the serum LPA. The obtained data were statistical analyzed by SPSS V. 24 software.
ResultsThe results of this study showed that the mean BMI of the prostate cancer group was significantly lower than the control group (respectively 22.56 ± 0.53 and 24.49 ± 0.62) (P = 0.023); in addition, the LPA level (nmol/mL) in the serum of the patients was significantly higher than healthy subjects (respectively 2.714 ± 0.054 and 2.467 ± 0.097) (P = 0.037).
ConclusionsThe results showed that the serum LPA levels increased in prostate cancer, suggesting that lysophosphatidic acid may be considered as a biomarker in this cancer and will take part in the adjustment of the prostate cancer cells functions as a paracrine/autocrine mediator. This will be involved in the initiation, progression, and metastasis of prostate cancer.
Keywords: Prostate Cancer, Lysophosphatidic Acid, Serum
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