Knowledge, attitude and practice of Iranian people regarding the use of antibiotics and its resistance

Objective and Background The aim of this study was so assess the knowledge and attitude of the people in Iran regarding the antibacterial resistance caused by antibiotics. Introduction increasing concern toward antibiotic resistance led to many researches on the causes of this issue. The public awareness plays a critical role, according to the studies. Another important factor is the attitude of the people regarding the antibiotic use and the effect of their behavior on its resistance. The practice of each individual patient may contribute to the antibiotic resistance and major health problems and increased rate of death. materials and method A questionnaire based survey was carried out among the female population of 1000 in Tehran, Iran. An intervention course was carried out, training the volunteers. After the completion of the training course, the volunteers had to take another test to asses the effect of the training on the knowledge, attitude and practice of people regarding the antibiotic use. results and discussion Before the course, people considered antibiotic as safe drugs, therefore taking them without prescription and the malpractice was evident from the incomplete course of treatment. There was a significant difference indicating the effect of the course on the public awareness and their attitude which may lead to better practice regarding antibiotic use. There may be other contributing factors to the malpractice such as financial status and experience of no significant toxicity of the drugs, making them an optimum prevention or treatment option, according to the public. This intervention was successful regrading the attitude of the people, but long term studies are required to assess them in practice

Mechanical behaviors of hydrogel-impregnated sand

Hydrogel has been widely used in medical studies due to their unique integration of solid and liquid properties. There is limited studies of using hydrogel in construction materials. The goal of this study was to investigate the effect of hydrogel on mechanical behaviors of sandy materials. The effects of reaction time, sodium alginate content, and curing temperature on mechanical behaviors of hydrogel-impregnated sand were studied through unconfined compression tests, falling head permeability tests, consolidated and undrained triaxial tests, scanning electron microscopy, and durability tests. The unconfined compression strength (UCS) increased with sodium alginate content, but the hydraulic conductivity of hydrogel-impregnated sand decreased with sodium alginate content. The optimum reaction time and curing temperature were found to be 3 days and 50 °C, respectively, for the hydrogel-impregnated sand. The stress-strain curves of hydrogel-impregnated sand indicated that the ductility of hydrogel-impregnated sand was significantly improved compared with the traditional cementitious method. Moreover, the results of durability tests indicated that approximately 60% of the original UCS of hydrogel-impregnated sand still remained after 12 wet-dry and freeze-thaw cycles

A framework for exploration and cleaning of environmental data : Tehran air quality data experience

Management and cleaning of large environmental monitored data sets is a specific challenge. In this article, the authors present a novel framework for exploring and cleaning large datasets. As a case study, we applied the method on air quality data of Tehran, Iran from 1996 to 2013. ; The framework consists of data acquisition [here, data of particulate matter with aerodynamic diameter ≤10 µm (PM10)], development of databases, initial descriptive analyses, removing inconsistent data with plausibility range, and detection of missing pattern. Additionally, we developed a novel tool entitled spatiotemporal screening tool (SST), which considers both spatial and temporal nature of data in process of outlier detection. We also evaluated the effect of dust storm in outlier detection phase.; The raw mean concentration of PM10 before implementation of algorithms was 88.96 µg/m3 for 1996-2013 in Tehran. After implementing the algorithms, in total, 5.7% of data points were recognized as unacceptable outliers, from which 69% data points were detected by SST and 1% data points were detected via dust storm algorithm. In addition, 29% of unacceptable outlier values were not in the PR.  The mean concentration of PM10 after implementation of algorithms was 88.41 µg/m3. However, the standard deviation was significantly decreased from 90.86 µg/m3 to 61.64 µg/m3 after implementation of the algorithms. There was no distinguishable significant pattern according to hour, day, month, and year in missing data.; We developed a novel framework for cleaning of large environmental monitored data, which can identify hidden patterns. We also presented a complete picture of PM10 from 1996 to 2013 in Tehran. Finally, we propose implementation of our framework on large spatiotemporal databases, especially in developing countries

MDOT State Study 316 - Development of Advanced Landslide Investigation Protocol Using Geophysical Methods for Mississippi [Cover Title]

SPR-2020-00(001)/108365-1011000Slope failures frequently occur in highway embankments in Mississippi due to the existence of highly expansive Yazoo Clay. In addition, the Mississippi climate, especially the high volume of precipitation, plays a major role in the development of landslides. State Study 316 was undertaken to evaluate the landslides throughout the states employing Advanced Geophysical and Near Surface Remote Sensing tools such as electrical resistivity imaging (ERI), LiDAR technology, and drone imaging. These tools were utilized to identify failed areas, determine their depth, and evaluate crucial soil parameters such as moisture content. Six repaired highway slopes were monitored to collect data on in-situ moisture content, matric suction, temperature variations, and deformation to evaluate their long-term performance. Additionally, ERI, LiDAR, drone imaging, and other advanced investigations were conducted on 20 failed slope sites to evaluate the causes and mechanism failure. The results of the ERI testing showed that shallower depths had higher resistivity values due to unsaturated soil, cracks, displaced disturbed soils, and air pockets that increased the air void ratio. The DEMs generated from drone imagery helped estimate the amount of displaced soil, identify the depth of the slip surface, and recreate failure conditions using numerical modeling tools. The stacked surface profiles developed from the LiDAR point cloud showed details of extreme surficial movement and helped accurately quantify the settlement. The DEMs and the surface profiles can be used as baseline data for future comparisons. Adopting these advanced tools for future research will significantly advance the quality of site investigations and increase the reliability of the design of transportation GEO infrastructures in Mississippi

Cicer arietinum in the Treatment of Small Renal Stones: a Double-Blind, Randomized and Placebo-Controlled Trial

Background and objectives: Urolithiasis is a common urological disorder. Based on the Persian medicine literatures, Cicer arietinum has a potential to dissolve renal stones. This study was designed to assess the efficacy and safety of Cicer arietinum in patients with renal stone. Methods: The extract of C. arietinum seeds was spray dried. A randomized, double blind, placebo-controlled study was conducted on 74 patients with 6-10 mm renal stones in ultrasonography. Patients were randomly assigned to take 330 mg of C. arietinum extract or placebo capsules three times a day for 30 days. Complete stone dissolution and the change in stone size during the trial was evaluated by ultrasonography. To assess the efficacy and safety of C. arietinum, blood and urine biochemical parameters were checked at baseline and after the intervention. Results: In the C. arietinum group, complete stone dissolution occurred in 9 (23.7%) patients and reduce in stone size was observed in 17 (44.7%) patients while no response to treatment was observed in placebo group. The mean stone size was reduced from 7.15 ± 1.34 mm to 4.28 ± 3.09 mm in the C. arietinum group (p Conclusion: Cicer arietinum extract could be an effective and safe treatment option for patients with 6-10 mm renal stones

National and sub-national environmental burden of disease in Iran from 1990 to 2013-study profile

Development of national evidence-based public health strategies requires a deep understanding of the role of major risk factors (RFs) and the burden of disease (BOD). In this article, we explain the framework for studying the national and sub-national Environmental Burden of Disease (EBD) in Iran as a part of the National and Sub-national Burden of Disease (NASBOD) study.; The distribution of exposures to environmental RFs and their attributable effect size over 1990-2013 will be estimated through comprehensive reviews of either published or unpublished sources. Statistical modeling will be used to impute missing data in the distribution of RFs exposures for each district-year. National and sub-national BOD attributable to these RFs will be estimated in the following metrics: Prevalence, death, years of life lost due to premature death (YLL), years of life lost due to disability (YLD), and disability-adjusted life years lost (DALYs). The BOD attributable to the current distribution of exposures will be compared with a counterfactual exposure distribution scenario-here, the theoretical-minimum-risk exposure distribution. Inequalities in the distribution of exposure to RFs will be analyzed and manifested nationwide using geographic information systems.; The EBD study aims to provide an official report to Iranian Ministry of Health and Medical Education, to publish a series of articles on the exposure trends of the selected environmental RFs, to estimate the BOD attributable to these RFs, and to assess inequalities and its determinants in the distribution of exposure to RFs. Iran's territory is large with diverse population, socioeconomic, and geographic areas. Results of this comparative risk assessment study may pave the way for health policy makers to plan more comprehensive and cost-effective evidence-based strategies

Bushehr Elderly Health (BEH) programme: study protocol and design of musculoskeletal system and cognitive function (stage II).

Abstract INTRODUCTION: Musculoskeletal disorders and cognitive diseases are prevalent, and they are significant determinants of morbidity and mortality in older adults. The aim of this study is to investigate the prevalence of musculoskeletal and cognitive diseases and their risk factors and also to assess their associations during future follow-ups. METHODS AND ANALYSIS: Bushehr Elderly Health (BEH) programme is a population-based prospective cohort study being conducted in Bushehr, a southern province of Iran. A total of 3000 older people aged ≥60 years participated in the first stage from which 2772 were eligible to participate in the second stage, which started after 2.5 years. Data including demographic status, lifestyle factors, general healthandmedical history, and mentalandfunctional health are collected through a questionnaire. Anthropometric measures, performance testsandmuscle strength, blood pressure and and body composition measurements are done. A total 25 cc venous blood is taken, and sera are stored at -80°C for possible future analyses. ETHICS AND DISSEMINATION: The study protocol was approved by the ethics committee of Endocrinology and Metabolism Research Institute, affiliated to Tehran University of Medical Science as well as the Research Ethics Committee of Bushehr University of Medical Sciences. A written informed consent was signed by all the participants. The study findings will show the prevalence of musculoskeletal disease, cognitive impairment and their risk factors in an elderly population. The participants will be followed during the study to measure the occurrence outcomes.This study will also have the potential to inform the development of beneficial interventions to improve the management of musculoskeletal and cognitive impairment in Iran and other countries in the Middle East.Our findings will be disseminated via scientific publication as well as presentation to stakeholders, including the patients, clinicians, the public and policymakers, via appropriate avenue

Bushehr Elderly Health (BEH) Programme, phase I (cardiovascular system)

Purpose: The main objective of the Bushehr Elderly Health Programme, in its first phase, is to investigate the prevalence of cardiovascular risk factors and their association with major adverse cardiovascular events. Participants: Between March 2013 and October 2014, a total of 3000 men and women aged ≥60 years, residing in Bushehr, Iran, participated in this prospective cohort study ( participation rate=90.2%). Findings to date: Baseline data on risk factors, including demographic and socioeconomic status, smoking and medical history, were collected through a modified WHO MONICA questionnaire. Vital signs and anthropometric measures, including systolic and diastolic blood pressure, weight, height, and waist and hip circumference, were also measured. 12-lead electrocardiography and echocardiography were conducted on all participants, and total of 10 cc venous blood was taken, and sera was separated and stored at –80°C for possible future use. Preliminary data analyses showed a noticeably higher prevalence of risk factors among older women compared to that in men. Future plans: Risk factor assessments will be repeated every 5 years, and the participantswill be followed during the study to measure the occurrence of major adverse cardiac events. Moreover, the second phase, which includes investigation of bone health and cognition in the elderly, was started in September 2015. Data are available at the Persian Gulf Biomedical Research Institute, Bushehr University of Medical Sciences, Bushehr, Iran, for any collaboratio

Short-term associations between daily mortality and ambient particulate matter, nitrogen dioxide, and the air quality index in a Middle Eastern megacity.

There is limited evidence for short-term association between mortality and ambient air pollution in the Middle East and no study has evaluated exposure windows of about a month prior to death. We investigated all-cause non-accidental daily mortality and its association with fine particulate matter (PM2.5), nitrogen dioxide (NO2), and the Air Quality Index (AQI) from March 2011 through March 2014 in the megacity of Tehran, Iran. Generalized additive quasi-Poisson models were used within a distributed lag linear modeling framework to estimate the cumulative effects of PM2.5, NO2, and the AQI up to a lag of 45 days. We further conducted multi-pollutant models and also stratified the analyses by sex, age group, and season. The relative risk (95% confidence interval (CI)) for all seasons, both sexes and all ages at lag 0 for PM2.5, NO2, and AQI were 1.004 (1.001, 1.007), 1.003 (0.999, 1.007), and 1.004 (1.001, 1.007), respectively, per inter-quartile range (IQR) increment (18.8??g/m3 for PM2.5, 12.6?ppb for NO2, and 31.5 for AQI). In multi-pollutant models, the PM2.5 associations were almost independent from NO2. However, the RRs for NO2 were slightly attenuated after adjustment for PM2.5 but they were still largely independent from PM2.5. The cumulative relative risks (95% CI) per IQR increment reached maximum during the cooler months, including: 1.13 (1.06, 1.20) for PM2.5 at lag 0-31 (for females, all ages); 1.17 (1.10, 1.25) for NO2 at lag 0-45 (for males, all ages); and 1.13 (1.07, 1.20) for the AQI at lag 0-30 (for females, all ages). Generally, the RRs were slightly larger for NO2 than PM2.5 and AQI. We found somewhat larger RRs in females, age group >65 years of age, and in cooler months. In summary, positive associations were found in most models. This is the first study to report short-term associations between all-cause non-accidental mortality and ambient PM2.5 and NO2 in Iran

Global, regional and national burden of bladder cancer and its attributable risk factors in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease study 2019

Introduction The current study determined the level and trends associated with the incidence, death and disability rates for bladder cancer and its attributable risk factors in 204 countries and territories, from 1990 to 2019, by age, sex and sociodemographic index (SDI; a composite measure of sociodemographic factors). Methods Various data sources from different countries, including vital registration and cancer registries were used to generate estimates. Mortality data and incidence data transformed to mortality estimates using the mortality to incidence ratio (MIR) were used in a cause of death ensemble model to estimate mortality. Mortality estimates were divided by the MIR to produce incidence estimates. Prevalence was calculated using incidence and MIR-based survival estimates. Age-specific mortality and standardised life expectancy were used to estimate years of life lost (YLLs). Prevalence was multiplied by disability weights to estimate years lived with disability (YLDs), while disability-adjusted life years (DALYs) are the sum of the YLLs and YLDs. All estimates were presented as counts and age-standardised rates per 100 000 population. Results Globally, there were 524 000 bladder cancer incident cases (95% uncertainty interval 476 000 to 569 000) and 229 000 bladder cancer deaths (211 000 to 243 000) in 2019. Age-standardised death rate decreased by 15.7% (8.6 to 21.0), during the period 1990–2019. Bladder cancer accounted for 4.39 million (4.09 to 4.70) DALYs in 2019, and the age-standardised DALY rate decreased significantly by 18.6% (11.2 to 24.3) during the period 1990–2019. In 2019, Monaco had the highest age-standardised incidence rate (31.9 cases (23.3 to 56.9) per 100 000), while Lebanon had the highest age-standardised death rate (10.4 (8.1 to 13.7)). Cabo Verde had the highest increase in age-standardised incidence (284.2% (214.1 to 362.8)) and death rates (190.3% (139.3 to 251.1)) between 1990 and 2019. In 2019, the global age-standardised incidence and death rates were higher among males than females, across all age groups and peaked in the 95+ age group. Globally, 36.8% (28.5 to 44.0) of bladder cancer DALYs were attributable to smoking, more so in males than females (43.7% (34.0 to 51.8) vs 15.2% (10.9 to 19.4)). In addition, 9.1% (1.9 to 19.6) of the DALYs were attributable to elevated fasting plasma glucose (FPG) (males 9.3% (1.6 to 20.9); females 8.4% (1.6 to 19.1)). Conclusions There was considerable variation in the burden of bladder cancer between countries during the period 1990–2019. Although there was a clear global decrease in the age-standardised death, and DALY rates, some countries experienced an increase in these rates. National policy makers should learn from these differences, and allocate resources for preventative measures, based on their country-specific estimates. In addition, smoking and elevated FPG play an important role in the burden of bladder cancer and need to be addressed with prevention programmes.publishedVersio