Middle East Journal of Rehabilitation and Health最新文献

{"title":"The Glycopeptide-Susceptibility of Multidrug-Resistant/Extensively Drug-Resistant Staphylococcus aureus in Skin Infections","authors":"Mehri Hosseini, Leila Fozouni","doi":"10.5812/mejrh-138166","DOIUrl":"https://doi.org/10.5812/mejrh-138166","url":null,"abstract":"Background: The prevalence of drug-resistant Staphylococcus aureus is increasing alarmingly, limiting treatment options. Objectives: This study was conducted to investigate the minimum inhibitory concentration (MIC) of glycopeptides against multidrug-resistant (MDR) and extensively drug-resistant (XDR) S. aureus isolates from patients with skin infections. Methods: In this study, S. aureus isolates were collected from outpatients with skin infections (n = 250) during 2019 - 2022. The isolates were identified using routine microbiological and biochemical tests. Susceptibility to ten categories of antibacterial agents was assessed using the Kirby-Bauer method according to the Clinical and Laboratory Standards Institute M100 guidelines (2021). The MIC of glycopeptides was determined using the broth microdilution test. Results: Among methicillin-resistant S. aureus isolates (40.8%), the majority were from patients with impetigo (53.92%). The highest resistance rate was observed against penicillin (79.41%) and doxycycline (73.52%). Linezolid showed significant inhibitory properties against XDR (91%) and MDR (97%) S. aureus isolates (P = 0.01). The MIC of oritavancin that inhibited the growth of 90% of the MDR isolates (MIC90) was 2 µg/mL, which was eight times less than that of vancomycin (MIC90 = 16 µg/mL) and 16 times lower than that of teicoplanin (MIC90 = 32 µg/mL) in a manner that 91% of MDR isolates from impetigo were eliminated at concentrations 2 µg/mL. Oritavancin inhibited the growth of 54.5% of XDR isolates at MIC concentrations of ≥8 µg/mL. Conclusions: Considering the strong antibacterial activity of linezolid against MDR S. aureus isolates, this antibiotic can effectively treat skin infections caused by S. aureus and prevent the development of resistance to other antibiotics. In addition, considering the great inhibitory properties of oritavancin against MDR S. aureus strains, the efficacy of this agent for treating skin infections, particularly impetigo, should be investigated.","PeriodicalId":36354,"journal":{"name":"Middle East Journal of Rehabilitation and Health","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135406649","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}

{"title":"The Effect of Adding 1% Glucose to Crystalloid on Maternal Hemodynamics After Spinal Anesthesia for Cesarean Delivery: A Double-Blind, Randomized Clinical Trial","authors":"Samira Saghravanian, Masoomeh Tabari, Monavar Afzalaghaee, Shima Sheybani","doi":"10.5812/mejrh-134348","DOIUrl":"https://doi.org/10.5812/mejrh-134348","url":null,"abstract":"Background: We aimed to evaluate the effect of glucose-containing crystalloid infusion before anesthesia induction on hemodynamics and postanesthesia complications. Methods: This double-blind, randomized clinical trial was conducted on 60 parturient cases scheduled for elective Cesarean delivery under spinal anesthesia who were referred to the teaching hospitals of Mashhad University of Medical Sciences (Iran). The parturients were randomized into two groups. Both groups received 5 - 7 mL/kg of intravenous bolus serum before spinal anesthesia. The parturients in the glucose-containing normal saline (GcNS) group received 1% glucose solution in normal saline. The normal saline (NS) group received only normal saline. Systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR), blood glucose concentrations, neonatal Apgar scores, postanesthesia complications, and ephedrine and atropine consumption were evaluated. Results: Sixty patients were recruited (30 in each group), with a mean age of 29.14 ± 6.01 and 29.76 ± 6.15 years in the GcNS and NS groups, respectively. There was no significant difference between the two groups in SBP, DBP, or HR after baseline adjustment. The incidence of hypotension was higher in the NS (70.0%) compared to the GcNS group (46.6%), but the difference was not significant. There was no significant difference in Apgar scores. The incidence of nausea, vomiting, pallor, and shivering was higher in the NS group. However, only nausea and vomiting 10 minutes after anesthesia induction were significant. Ephedrine and atropine consumption was higher in the NS group, but not significantly. Conclusions: The present study did not show any clear benefit for adding 1% glucose to normal saline solution preload for hypotension in parturients undergoing Cesarean delivery with spinal anesthesia.","PeriodicalId":36354,"journal":{"name":"Middle East Journal of Rehabilitation and Health","volume":"76 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135535375","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}

{"title":"Association Between Helicobacter pylori, Adverse Gynecological and Pregnancy Outcomes, and Some Cancers: An Overview of Metanalyses","authors":"Masoudeh Babakhanian, Masumeh Ghazanfarpour, Fahimeh Shakeri, Farzaneh Rashidi Fakari, Sara Saadat, Fatemeh Abdi","doi":"10.5812/mejrh-133623","DOIUrl":"https://doi.org/10.5812/mejrh-133623","url":null,"abstract":"Context: The number of meta-analyses published about Helicobacter pylori-associated diseases that clinicians must comprehensively know about are scarce. This overview aims to give comprehensive knowledge on the fascinating topic of Helicobacter pylori-associated diseases. Methods: The search strategy was to systematically screen the articles evaluating the association between H. pylori infection and gynecological and reproductive health issues and cancers published on the authentic databases of Scopus, MEDLINE, and Web of Sciences from the inception until 2022 Results: Fifteen meta-analyses were included in the overview. The H. pylori infections were significantly associated with general adverse pregnancy outcomes such as gestational diabetes mellitus, preeclampsia, and hyperemesis gravidarum and adverse birth outcomes such as birth defect and fetal growth restriction. H. pylori infection was not associated with a deficiency of micronutrients (B2, folate, and ferritin) but was associated with an increased risk of iron-deficiency anemia during pregnancy. In esophagus cancer, H. pylori infection was significantly reduced in adenocarcinoma but not in esophageal squamous cell carcinoma. There was no significant association between H. pylori infection and the risk of asthma. The results also indicated a significant association between H. pylori infection and an elevated risk of colorectal cancer, colorectal adenoma, and the risk of asthma and lung cancer. Results of metanalysis are not consistently reproducible regarding spontaneous abortion and pancreatic cancer. Conclusions: Our overview revealed a significant relationship between H. pylori infection and several cancers, namely colorectal, lung, and colorectal adenoma, as well as gynecological and reproductive health issues.","PeriodicalId":36354,"journal":{"name":"Middle East Journal of Rehabilitation and Health","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135670670","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}

{"title":"The Impacts of Excessive Use of Social Media on Iranian Adolescents’ Health: A Qualitative Study","authors":"T. Kamalikhah, Masoumeh Bajalan, L. Sabzmakan, A. Mehri","doi":"10.5812/MEJRH.109561","DOIUrl":"https://doi.org/10.5812/MEJRH.109561","url":null,"abstract":"Background: The widespread use of social media (SM) is an emerging phenomenon in today’s world, especially among adolescents. Objectives: The present study was designed to examine the impacts of excessive use of SM on adolescents’ health. Methods: This was a qualitative study conducted in 2018 on 27 high school students (14 boys and 13 girls) in Tehran, Iran. To explain the experience of using SM, six open-ended questions along with some follow-up questions were asked through in-depth interviews by two interviewers. The content analysis with an inductive approach was used to analyze the data. Results: The mean age of the students was 16.5 ± 1.34 years. The mean duration of having a smartphone was 3.11 ± 0.97years. Moreover, the duration of using smartphone in a day was 4 ± 1.5 hours. In this study, the themes emerged from 1,273 phrases, sentences, or semantic units separated from the interviews. After refining the semantic units, 861 refined units were created; these phrases of sentences or paragraphs appeared in the form of 7 themes, 18 main categories, and 38 sub-categories. The themes included the reasons for using SM (educational and non-educational, avoidance of negative emotions), emotional (changes in moods, academic failure), social (problems with family and society, relationships with relatives, cultural changes), physical (sensorineural hearing loss, changes in the sleep cycle, musculoskeletal pain), sexual (sexual fantasies, high-risk sexual behaviors), mental health (changes in mental powers and processing, loss of concentration), and the process of using SM (beliefs in the use and pattern of using SM). Conclusions: Most of the complaints and impacts were related to emotional health, mostly with the experience of mood changes and academic failure and social health, respectively. The results indicated the need for planning educational and social interventions to increase media literacy in adolescents.","PeriodicalId":36354,"journal":{"name":"Middle East Journal of Rehabilitation and Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47789574","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}

{"title":"The laboratory and clinical factors associated with mortality in COVID-19 patients","authors":"Amin Izadi, M. Darban, Milad Khanzadeh Germi, Sourena Nabavi, M. A. Kouloubandi, Homa Dadras Toussi, Aysan Vaez, Malihe Ghazvini, M. Mirmohammadkhani","doi":"10.5812/mejrh.113451","DOIUrl":"https://doi.org/10.5812/mejrh.113451","url":null,"abstract":"Background: In December 2019, the Chinese government declared the prevalence of a new epidemic belonging to the coronavirus family;later, this epidemic was called COVID-19. Objectives: To determine the clinical and laboratory factors involved in the mortality of hospitalized COVID-19 patients. Methods: This descriptive-analytic study was performed in Kowsar Hospital of Semnan, Iran, using medical files of 107 patients hospitalized during February-April 2020 with COVID-19 diagnosis with the presence of chest CT findings. The patients’ demographic information, vital signs, clinical symptoms, lab test results, the prescribed medicines during hospitalization, past medical history, and outcomes were analyzed. The relationship between each of the explanatory variables with death outcome was examined using univariate and multivariate logistic regression models, reporting crude and adjusted odds ratios (OR & Adj. OR). Results: The mean age of the patients was 63.36 ± 16.43 years, 67 (62.6%) patients were male, and 85 (79.4%) patients were discharged. Low level of consciousness (Glasgow coma scale < 14) (discharged: 8.2% vs. expired: 40.2%, Adj. OR [95% confidence interval] = 17.9 [3.1, 102.7]), higher body temperature (37.1°C vs. 37.74°C, 3.62 [1.55, 8.43]), and higher blood alkaline phosphatase (177.6 vs. 247.6, 1.01 [1.00, 1.01]) at the time of hospitalization were associated with increased mortality. Also, having the symptom of fatigue or weakness at the time of hospitalization (61.2 vs. 36.4%, 0.06 [0.01, 0.46]), higher red blood cells count (4.67 vs. 4.15, 0.21 [0.08, .55]), and higher blood oxygen saturation levels (89 vs. 82%, 0.92 [0.85, 0.99]) were associated with a lower risk of mortality. Conclusions: Decreased level of consciousness at the time of admission was shown to be a critical and independent predictor of mortality. Several factors are associated with death in patients with COVID-19, which due to the complexity of the relationship between each of them, it is not practical and plausible to make a definite prediction of patients’ prognosis only by noting few factors without considering all the clinical symptoms and laboratory findings. The results of individual studies like ours should be interpreted alongside the results of previous and future clinical studies and not alone. © 2021, Semnan University of Medical Sciences. All rights reserved.","PeriodicalId":36354,"journal":{"name":"Middle East Journal of Rehabilitation and Health","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44315278","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}

{"title":"A Study on the Factor Structure, Construct Validity and Reliability of the Activities of Daily Living of Iranian Children (ADLIC) Scale","authors":"H. Soltaninejad, Mehdi Alizadeh Zarei, M. Akbarfahimi, A. Azad, Negar Miri Lavasani","doi":"10.5812/MEJRH.110946","DOIUrl":"https://doi.org/10.5812/MEJRH.110946","url":null,"abstract":"Background: The first and most basic area of occupational performance is the activities of daily living. These activities of life highly depend on the contextual and ecological (environmental) factors. Cultural values, parental expectations, social routines, and physical environment influence acquisition time of a child’s daily activities. At present, there is no comprehensive and adapted-culturally tool to evaluate the daily life activities of Iranian children aged 3 - 6 years. Objectives: This study aimed to investigate the factor structure, construct validity, and reliability of the Activities of Daily Living in Iranian Children (ADLIC) scale. Methods: The participants were 470 Iranian parents of children among the ages from 3 to 6. Exploratory factor analysis, internal consistency, and test-retest reliability were conducted for data analysis. Convergent validity was measured by correlation to the Pediatric Evaluation of Disability Inventory (PEDI). Results: The results indicated that ADLIC has excellent reliability due to internal consistency (Cronbach’s alpha 0.96). Furthermore, the temporal stability of ADLIC was supported using the Intra-class correlations coefficient, which ranged between 0.95 and 0.98. Convergent validity between the ADLIC and two subscales of PEDI, including self-care (0.88) and mobility (0.80), was good. The ADLIC scale showed a clear factor structure with five main components and ten factors based on the findings. Conclusions: ADLIC has excellent psychometric properties, including internal consistency and temporal stability, and can be used as a reliable and valid measure to assess the daily living activities of children aged 3 - 6 years.","PeriodicalId":36354,"journal":{"name":"Middle East Journal of Rehabilitation and Health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49221370","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}

{"title":"Peaceful Coexistence Between Human and Novel Coronavirus-2019; Where Do Researchers Stand","authors":"A. Alami, M. Mirmohammadkhani, Mohammadhossein Hajiebrahimi","doi":"10.5812/mejrh.107572","DOIUrl":"https://doi.org/10.5812/mejrh.107572","url":null,"abstract":": COVID-19, as an emerging viral disease, has rapidly become a new pandemic in human life. According to the similarities between novel coronavirus-2019 and Severe acute respiratory syndrome (SARS) virus, the initial assumptions were about the temporary spread of the disease and its rapid control. Nevertheless, increasing human knowledge of the characteristics of the new coronavirus, as well as how the disease has spread, has questioned these assumptions. Currently, it seems that the virus has entered the human life cycle, and individuals should adhere to new lifestyles to return to their normal life. We should select those lifestyles to reduce the risk of contact with the virus and getting COVID-19 as well as to lead a normal life. It is believed that basic medical scientists could play an important role in identifying the most appropriate lifestyles by considering the characteristics of the virus and the desires of different social groups. They could also provide the best answers to the countless questions concerning how to live peacefully, considering the novel COVID-2019.","PeriodicalId":36354,"journal":{"name":"Middle East Journal of Rehabilitation and Health","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49155497","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}

{"title":"Planning Rehabilitation and Allied Health Professional Input for Older Inpatients During the COVID-19 Pandemic","authors":"S. Teo","doi":"10.5812/mejrh.106695","DOIUrl":"https://doi.org/10.5812/mejrh.106695","url":null,"abstract":"<jats:p />","PeriodicalId":36354,"journal":{"name":"Middle East Journal of Rehabilitation and Health","volume":"8 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2020-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49443142","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}

{"title":"COVID-19 Pandemic: The Effectiveness of Telehealth","authors":"Faisal Muhammad","doi":"10.5812/mejrh.107809","DOIUrl":"https://doi.org/10.5812/mejrh.107809","url":null,"abstract":"<jats:p />","PeriodicalId":36354,"journal":{"name":"Middle East Journal of Rehabilitation and Health","volume":" ","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49165894","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}

{"title":"Comments on Misconceptions About the Management of Low Back Pain: A Brief Note for Physiotherapists by Musa Sani Danazumi","authors":"F. Kashoo, Mehrunnisha Ahmad","doi":"10.5812/mejrh.103112","DOIUrl":"https://doi.org/10.5812/mejrh.103112","url":null,"abstract":"","PeriodicalId":36354,"journal":{"name":"Middle East Journal of Rehabilitation and Health","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44622638","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}