The properties of nanofiber scaffolds of polyurethane-Cinnamomum zeylanicum against pathogens of Pseudomonas aeruginosa and Staphylococcus aureus

This study designed to investigate the properties of antibacterial nanofiber scaffolds of polyurethane-Cinnamomum zeylanicum against virulence gene expression inhibition of Pseudomonas aeruginosa and Staphylococcus aureus that are important in burn wounds. With attention to burn wound infections in hospitals and mortality increase in patients, it is necessary to design nanodressing. Clinical isolates were confirmed by biochemical and microbiological tests. DNA of isolates was extracted and PCR used to confirm the alp gene of P. aeruginosa and Pv gene of S. aureus. Polyurethane nanofiber and cinnamon polymers were used to prepare the scaffold under the electrospinning process. Infrared spectroscopy, electron microscopy, and mechanical tensile tests were used to confirm the scaffolds. The susceptibility testing and minimum inhibitory concentration of polyurethane-cinnamon nanofiber scaffold were determined against P. aeruginosa and S. aureus. For confirmation of polyurethane-cinnamon nanofiber scaffold were used the cytotoxicity test (MTT), FTIR, mechanical tensile test, and a scanning electron microscope. The expression of virulence genes was investigated using the real-time RT-PCR technique. The results of the susceptibility testing indicated that P. aeruginosa and S. aureus were susceptible to polyurethane-cinnamon nanofiber scaffold. The MTT, FTIR, mechanical tensile test, and SEM confirmed the different features of the polyurethane-cinnamon nanofiber scaffold. Results of real-time PCR demonstrated that the expression levels of p�v and alp genes after treatment decreased, respectively, 2.71- and 1.06-fold. Results indicated that the electrospun polyurethane-cinnamon nanofiber scaffold for the first time could inhibit both important pathogens of the hospital and the expression of the virulence genes. Considering the susceptibility of P. aeruginosa and S. aureus to and its inhibitory effect on an alp and p�v genes, this system could probably be a candidate in wound dressing for commercial purposes to burn healing and infection inhibition. © 2020, Springer-Verlag GmbH Germany, part of Springer Nature

Decomposing socioeconomic inequality in infant mortality in Iran

Background Although measuring socioeconomic inequality in population health indicators like infant mortality is important, more interesting for policy purposes is to try to explain infant mortality inequality. The objective of this paper is to quantify for the first time the determinants' contributions of socioeconomic inequality in infant mortality in Iran. Methods A nationally representative sample of 108 875 live births from October 1990 to September 1999 was selected. The data were taken from the Iranian Demographic and Health Survey (DHS) conducted in 2000. Households' socioeconomic status was measured using principal component analysis. The concentration index of infant mortality was used as our measure of socioeconomic inequality and decomposed into its determining factors. Results The largest contributions to inequality in infant mortality were owing to household economic status (36.2%) and mother's education (20.9%). Residency in rural/urban areas (13.9%), birth interval (13.0%), and hygienic status of toilet (11.9%) also proved important contributors to the measured inequality. Conclusions The findings indicate that socioeconomic inequality in infant mortality in Iran is determined not only by health system functions but also by factors beyond the scope of health authorities and care delivery system. This implies that in addition to reducing inequalities in wealth and education, investments in water and sanitation infrastructure and programmes (especially in rural areas) are necessary to realize improvements of inequality in infant mortality across society. These findings can be instrumental for the recent 5 year Economic, Social and Cultural Development Plan of Iran, which identified the reduction of inequalities in social determinants of health