The effect of education training intervention on the caregiver burden among mothers of children with leukemia: a quasi-experimental study

Introduction. Leukemia is a broad term that refers to a group of malignant diseases of the bone marrow and lymphatic system. Caregiver burden is one of the issues that are faced by primary caregivers, and this role is played by mothers in most cases. In addition to these problems, mothers experience frustration in performing tasks, isolation and failure due to inadequate education about the disease and inadequate information support. The aim of the present study was to determine the effect of education on the caregiver burden (CB) among mothers of children with leukemia. Material and methods. The present quasi-experimental study was performed on mothers of children with leukemia in the Hematology Ward of Ali ibn Abi Talib Hospital of Zahedan in 2019. Convenience sampling was used to select eligible mothers. At the baseline, the control group was selected according to the inclusion criteria (this method was to prevent the effect of the intervention on the control group). Then, a questionnaire including demographic information, and caregiver burden inventory (CBI) were completed in two stages: pre-test and post-test. To this end, after completing the questionnaire, the first training session was held in the hematology department individually for 30 to 45 minutes with a specific content. Also, after completing three training sessions, phone follow-up was performed weekly for 4 weeks to ensure that the intervention was implemented. The questionnaires were redistributed and recompleted by intervention and control groups again four weeks after the intervention. Results. The mean pre-intervention CB score in the intervention and control groups was 19.97 ± 5.25 and 18.97 ± 10.03, respectively. The mean post-intervention CB score was also 17.17 ± 4.78 and 19.18 ± 9.93, respectively. Intervention significantly reduced CB score in the intervention group (p < 0.001). Conclusions. The findings showed that training was effective in reducing the CB score among mothers of children with leukemia. Therefore, it is recommended to use training as a non-pharmacological and appropriate method in reducing CB among mothers of children with leukemia

Predictive Power of Injury Reporting Rate and its Dimensions by Perceived Organizational Support for Safety

Background and Purpose: Researchers have mentioned that perceived organizational support for safety may predict occupational accidents and psychological distresses in the workplace. The present study examined the degree of perceived organizational support for safety related to injuries reporting rate and its dimensions among workers&rsquo; Isfahan Steel Company. Materials and Methods: A self-administered anonymous was distributed to 189 workers. The survey included demographic factors, injuries reporting rate and its components (physical symptoms, psychological symptoms and accidents) and perceived organizational support for safety. The data were analyzed using Multivariate and correlation techniques. Results: The results showed that: (1) there were significant correlations between perceived organizational support with injuries reporting rate and its&rsquo; dimensions namely physical and psychological symptoms (P < 0.050); (2) There was not a significant relationship between perceived organizational support and accidents (P > 0.050); (3) Multivariate analysis indicated that perceived organizational support significantly predicted respectively about 14, 13 and 10 percent of the variance of variables of injuries reporting rate, physical symptoms and psychological symptoms (P < 0.050). Conclusion: Improving employees&rsquo; perception of support can be important to prevent the development of job injuries and to promote employees&rsquo; safety and well-being

Cxcr4 expression is associated with time–course permanent and temporary myocardial infarction in rats

Objective(s): Experimental myocardial infarction triggers secretion of Stromal cell-derived factor1 and lead to increase in the expression of its receptor "CXCR4" on the surface of various cells. The aim of this study was to evaluate the expression pattern of CXCR4 in peripheral blood cells following time-course permanent and temporary ischemia in rats. Materials and Methods: Fourteen male Wistar rats were divided into two groups of seven and were placed under permanent and transient ischemia. Peripheral blood mononuclear cells were isolated at different time points, RNAs extracted and applied to qRT-PCR analysis of the CXCR4 gene.  Results: Based on repeated measures analysis of variance, the differences in the expression levels of the gene in each of the groups were statistically significant over time (the effect of time) (P-value< 0.001). Additionally, the difference in gene expression between the two groups was statistically significant (the effect of group), such that at all times, the expression levels of the gene were significantly higher in the permanent ischemia than in the transient ischemia group (P-valu

The burden of prostate cancer in North Africa and Middle East, 1990–2019: Findings from the global burden of disease study

Background: Prostate cancer (PCa) is the second most prevalent cancer among men worldwide. This study presents estimates of PCa prevalence, incidence, death, years-of-life-lost (YLLs), years-lived-with-disability (YLDs), disability-adjusted-life-years (DALYs), and the burden attributable to smoking during 1990-2019 in North Africa and Middle East using data of Global Burden of Diseases (GBD) Study 2019. Methods: This study is a part of GBD 2019. Using vital registration and cancer registry data, the estimates on PCa burden were modeled. Risk factor analysis was performed through the six-step conceptual framework of Comparative Risk Assessment. Results: The age-standardized rates (95 UI) of PCa incidence, prevalence, and death in 2019 were 23.7 (18.5-27.9), 161.1 (126.6-187.6), and 11.7 (9.4-13.9) per 100,000 population. While PCa incidence and prevalence increased by 77 and 144 during 1990-2019, respectively, the death rate stagnated. Of the 397 increase in PCa new cases, 234 was due to a rise in the age-specific incidence rate, 79 due to population growth, and 84 due to population aging. The YLLs, YLDs, and DALYs of PCa increased by 2 (-11.8-23.1), 108 (75.5-155.1), and 6 (-8.9-28.1). The death rate and DALYs rate attributable to smoking have decreased 12 and 10, respectively. The DALYs rate attributable to smoking was 37.4 (15.9-67.8) in Lebanon and 5.9 (2.5-10.6) in Saudi Arabia, which were the highest and lowest in the region, respectively. Conclusions: The PCa incidence and prevalence rates increased during 1990-2019; however, the death rate stagnated. The increase in the incidence was mostly due to the rise in the age-specific incidence rate, rather than population growth or aging. The burden of PCa attributable to smoking has decreased in the past 30 years. Copyright © 2022 Abbasi-Kangevari, Saeedi Moghaddam, Ghamari, Azangou-Khyavy, Malekpour, Rezaei, Rezaei, Kolahi, GBD 2019 NAME Prostate Cancer Collaborators, Amini, Mokdad, Jamshidi, Naghavi, Larijani and Farzadfar

Epidemiology and outcomes of hospital-acquired bloodstream infections in intensive care unit patients: the EUROBACT-2 international cohort study

Purpose: In the critically ill, hospital-acquired bloodstream infections (HA-BSI) are associated with significant mortality. Granular data are required for optimizing management, and developing guidelines and clinical trials. Methods: We carried out a prospective international cohort study of adult patients (≥ 18 years of age) with HA-BSI treated in intensive care units (ICUs) between June 2019 and February 2021. Results: 2600 patients from 333 ICUs in 52 countries were included. 78% HA-BSI were ICU-acquired. Median Sequential Organ Failure Assessment (SOFA) score was 8 [IQR 5; 11] at HA-BSI diagnosis. Most frequent sources of infection included pneumonia (26.7%) and intravascular catheters (26.4%). Most frequent pathogens were Gram-negative bacteria (59.0%), predominantly Klebsiella spp. (27.9%), Acinetobacter spp. (20.3%), Escherichia coli (15.8%), and Pseudomonas spp. (14.3%). Carbapenem resistance was present in 37.8%, 84.6%, 7.4%, and 33.2%, respectively. Difficult-to-treat resistance (DTR) was present in 23.5% and pan-drug resistance in 1.5%. Antimicrobial therapy was deemed adequate within 24 h for 51.5%. Antimicrobial resistance was associated with longer delays to adequate antimicrobial therapy. Source control was needed in 52.5% but not achieved in 18.2%. Mortality was 37.1%, and only 16.1% had been discharged alive from hospital by day-28. Conclusions: HA-BSI was frequently caused by Gram-negative, carbapenem-resistant and DTR pathogens. Antimicrobial resistance led to delays in adequate antimicrobial therapy. Mortality was high, and at day-28 only a minority of the patients were discharged alive from the hospital. Prevention of antimicrobial resistance and focusing on adequate antimicrobial therapy and source control are important to optimize patient management and outcomes.</p

Epidemiology and outcomes of hospital-acquired bloodstream infections in intensive care unit patients: the EUROBACT-2 international cohort study

Purpose In the critically ill, hospital-acquired bloodstream infections (HA-BSI) are associated with significant mortality. Granular data are required for optimizing management, and developing guidelines and clinical trials. Methods We carried out a prospective international cohort study of adult patients (≥ 18 years of age) with HA-BSI treated in intensive care units (ICUs) between June 2019 and February 2021. Results 2600 patients from 333 ICUs in 52 countries were included. 78% HA-BSI were ICU-acquired. Median Sequential Organ Failure Assessment (SOFA) score was 8 [IQR 5; 11] at HA-BSI diagnosis. Most frequent sources of infection included pneumonia (26.7%) and intravascular catheters (26.4%). Most frequent pathogens were Gram-negative bacteria (59.0%), predominantly Klebsiella spp. (27.9%), Acinetobacter spp. (20.3%), Escherichia coli (15.8%), and Pseudomonas spp. (14.3%). Carbapenem resistance was present in 37.8%, 84.6%, 7.4%, and 33.2%, respectively. Difficult-to-treat resistance (DTR) was present in 23.5% and pan-drug resistance in 1.5%. Antimicrobial therapy was deemed adequate within 24 h for 51.5%. Antimicrobial resistance was associated with longer delays to adequate antimicrobial therapy. Source control was needed in 52.5% but not achieved in 18.2%. Mortality was 37.1%, and only 16.1% had been discharged alive from hospital by day-28. Conclusions HA-BSI was frequently caused by Gram-negative, carbapenem-resistant and DTR pathogens. Antimicrobial resistance led to delays in adequate antimicrobial therapy. Mortality was high, and at day-28 only a minority of the patients were discharged alive from the hospital. Prevention of antimicrobial resistance and focusing on adequate antimicrobial therapy and source control are important to optimize patient management and outcomes