Spirituality Concept by Health Professionals in Iran: A Qualitative Study

Background. For years, researchers have sought to provide a clear definition of spirituality and its features and consequences, but the definitions provided of this concept still lack transparency. The present qualitative research was conducted to clarify this concept within the religious-cultural context of Iran. Materials and Methods. The present conventional qualitative content analysis was conducted with an inductive approach. Data were collected through semistructured interviews with 17 spiritual health experts and activists selected through purposive sampling. Results. Three themes emerged from the analysis of the data, including (1) the structure of spirituality, (2) defects in the conceptualization of spirituality, and (3) spirituality in practice, which are explained in this paper with their relevant subthemes and codes. The definition which this study proposes for this concept is that "spirituality is the sublime aspect of human existence bestowed on all humans in order for them to traverse the path of transcendence that is closeness to God (Allah)." Conclusion. The definition provided by this study is similar to the previous definitions of this concept in its main part (transcendence) and in incorporating a God-centered view of spirituality within the context of an Islamic society. This definition has implications for health services' education, research, and practice in similar societies. © 2016 Nadereh Memaryan et al

Study of mycoflora in cultured Indian white shrimp (Penaeus indicus) in Abadan, Iran

The development of the commercial culture of penaeid shrimps has been accompanied by the occurrence of infectious and noninfectious diseases. The most important penaeid diseases are caused by organisms that are part of the normal microflora of penaeids. In 1998, the samples were collected from five farms in Ghofase area (Ahadan) 2-5 ponds in each farm. The shrimps of these ponds were preserved in full hygienic conditions, from each pond, at least 5 samples were collected and then transferred to the Aquatic Diseases Laboratory of Khouzestan Fisheries Research Center. The main tissues of Gill, Hemolymph, Hepatopancreas and cuticle of live-shrimps were studied in the laboratory. In this research, a total of 40 fungal species were isolated from different tissues with high abundance in Hepatopancrease (19 species) and Hemolymph (12 species). Aspergillus niger was identified as the most abundant species

A Spoof Surface Plasmon Polaritons (SSPPs) Based Dual-Band-Rejection Filter with Wide Rejection Bandwidth.

This paper presents a novel single-layer dual band-rejection-filter based on Spoof Surface Plasmon Polaritons (SSPPs). The filter consists of an SSPP-based transmission line, as well as six coupled circular ring resonators (CCRRs) etched among ground planes of the center corrugated strip. These resonators are excited by electric-field of the SSPP structure. The added ground on both sides of the strip yields tighter electromagnetic fields and improves the filter performance at lower frequencies. By removing flaring ground in comparison to prevalent SSPP-based constructions, the total size of the filter is significantly decreased, and mode conversion efficiency at the transition from co-planar waveguide (CPW) to the SSPP line is increased. The proposed filter possesses tunable rejection bandwidth, wide stop bands, and a variety of different parameters to adjust the forbidden bands and the filter's cut-off frequency. To demonstrate the filter tunability, the effect of different elements like number (n), width (WR), radius (RR) of CCRRs, and their distance to the SSPP line (yR) are surveyed. Two forbidden bands, located in the X and K bands, are 8.6-11.2 GHz and 20-21.8 GHz. As the proof-of-concept, the proposed filter was fabricated, and a good agreement between the simulation and experiment results was achieved

Make Fitness Fun: Could Novelty Be the Key Determinant for Physical Activity Adherence?

The benefits of physical activity (PA) are well known and are extensively delineated in the scientific literature. Regular participation in PA, or exercise as its subset (structured, preplanned form of PA), is positively associated with numerous physical and psychological health benefits across all population subgroups (i.e., different age groups, gender, ethnicity, and socioeconomic status) (Paterson and Warburton, 2010; Warburton and Bredin, 2017). The current PA guidelines for adults, proposed by the American College for Sports Medicine and American Heart Association (ACSM/AHA), recommend the accumulation of at least 150 min of moderate intensity aerobic PA per week (Nelson et al., 2007). Additionally, it is recommended that adults should engage in muscle-strengthening activities at least two times per week (Garber et al., 2011). Despite this, sedentary behavior remains a major challenge, and insufficient PA rates have remained stable at the global level between 2001 and 2016 (Guthold et al., 2018). Physical inactivity is the fourth leading cause of death worldwide and its annual health-care costs have been estimated at 53.8 billion US dollars in 2012 internationally (Ding et al., 2016). However, it has recently been shown that with sufficient PA, as many as 3.9 million premature deaths could be averted annually (Strain et al., 2020), and thus more needs to be done to improve engagement and maintenance of PA throughout the lifespan

3,3′-[(4-Nitro­phen­yl)methyl­ene]bis­(4-hy­droxy-2H-chromen-2-one)

The molecular conformation of the title compound, C25H15NO8, is stabilized by strong intramolecular O—H⋯O hydrogen bonds, resulting in the formation of S 1 1(7) ring motifs. In the crystal, π–π stacking inter­actions are observed between adjacent nitrobenzene and pyranone rings with a centroid–centroid distance of 3.513 (12) Å. The dihedral angles between the nitrobenzene ring and the coumarin ring systems are 65.61 (8) and 66.11 (8)° while the coumarin ring systems are inclined at 65.69 (8)°

Epidemiologic characteristics of orthopedic surgical site infections and under-reporting estimation of registries using capture-recapture analysis

Background: Surgical Site Infections (SSIs) are among the leading causes of the postoperative complications. This study aimed at investigating the epidemiologic characteristics of orthopedic SSIs and estimating the under-reporting of registries using the capture-recapture method. Methods: This study, which was a registry-based, cross-sectional one, was conducted in six educational hospitals in Tehran during a one-year period, from March, 2017 to March, 2018. The data were collected from two hospital registries (National Nosocomial Infection Surveillance System (NNIS) and Health Information Management database (HIM)). First, all orthopedic SSIs registered in these sources were used to perform capture-recapture (N = 503). Second, 202 samples were randomly selected to assess patients` characteristics. Results: Totally, 76.24 of SSIs were detected post-discharge. Staphylococcus aureus (11.38) was the most frequently detected bacterium in orthopedic SSIs. The median time between the detection of a SSI and the discharge was 17 days. The results of a study done on 503 SSIs showed that the coverage of NNIS and HIM was 59.95 and 65.17, respectively. After capture-recapture estimation, it was found that about 221 of orthopedic SSIs were not detected by two sources among six hospitals and the real number of SSIs were estimated to be 623 ± 36.58 (95 CI, 552�695) and under-reporting percentage was 63.32. Conclusion: To recognize the trends of SSIs mortality and morbidity in national level, it is significant to have access to a registry with minimum underestimated data. Therefore, according to the weak coverage of NNIS and HIM among Iranian hospitals, a plan for promoting the national Infection Prevention and Control (IPC) programs and providing updated protocols is recommended. © 2021, The Author(s)

Chitosan-based Nanoparticles in Mucosal Vaccine Delivery

Most infectious diseases are caused by pathogenic infiltrations from the mucosal tract. Nowadays, the use of vaccines has been widely investigated for the prevention of different infectious diseases, infertility, immune disorders, malignancies, and allergies. Broad-spectrum adjuvant substances have been studied for immune system stimulation with a greater efficiency against specific antigens. Various adjuvants have been developed such as inorganic, oil-based, and emulsion adjuvants, bacterial products and their derivatives, cytokines, cytosine-guanine dinucleotide (CpG) motifs, and particulate systems. Mucosal vaccine delivery is an alternative route to induce both humoral and cellular immune responses. Applying nanoparticles in vaccine formulations allows not only improved antigen stability and immunogenicity, but also targeted delivery, and consequently, more specific release of the agent of interest. Chitosan nanoparticles have immunological activity and mucoadhesive properties. They have been used as a mucosal vaccine delivery system for many antigens. This review provides an overview of the recent advances in chitosan nanoparticles as a novel mucosal vaccine delivery system

Modeling Progressive Fibrosis with Pluripotent Stem Cells Identifies an Anti-fibrotic Small Molecule.

Progressive organ fibrosis accounts for one-third of all deaths worldwide, yet preclinical models that mimic the complex, progressive nature of the disease are lacking, and hence, there are no curative therapies. Progressive fibrosis across organs shares common cellular and molecular pathways involving chronic injury, inflammation, and aberrant repair resulting in deposition of extracellular matrix, organ remodeling, and ultimately organ failure. We describe the generation and characterization of an in vitro progressive fibrosis model that uses cell types derived from induced pluripotent stem cells. Our model produces endogenous activated transforming growth factor β (TGF-β) and contains activated fibroblastic aggregates that progressively increase in size and stiffness with activation of known fibrotic molecular and cellular changes. We used this model as a phenotypic drug discovery platform for modulators of fibrosis. We validated this platform by identifying a compound that promotes resolution of fibrosis in in vivo and ex vivo models of ocular and lung fibrosis

The national rate of intensive care units-acquired infections, one-year retrospective study in Iran

Background: Hospital-acquired infections (HAIs) in intensive care units (ICUs) are among the avoidable morbidity and mortality causes. This study aimed at investigating the rate of ICU-acquired infections (ICU-AIs) in Iran. Methods: For the purpose of this multi-center study, the rate of ICU-AIs calculated based on the data collected through Iranian nosocomial infections surveillance system and hospital information system. The data expanded based on 12 months of the year (13,632 records in terms of �hospital-ward-month�), and then, the last observation carried forward method was used to replace the missing data. Results: The mean (standard deviation) age of 52,276 patients with HAIs in the ICUs was 47.37 (30.78) years. The overall rate of ICU-AIs was 96.61 per 1000 patients and 16.82 per 1000 patient-days in Iran�s hospitals. The three main HAIs in the general ICUs were ventilator-associated events (VAE), urinary tract infection (UTI), and pneumonia events & lower respiratory tract infection (PNEU & LRI) infections. The three main HAIs in the internal and surgical ICUs were VAE, UTI, and bloodstream infections/surgical site infections (BSI/SSI). The most prevalent HAIs were BSI, PNEU & LRI and eye, ear, nose, throat, or mouth (EENT) infections in the neonatal ICU and PNEU & LRI, VAE, and BSI in the PICU. Device, catheter, and ventilator-associated infections accounted for 60.96, 18.56, and 39.83 of ICU-AIs, respectively. The ventilator-associated infection rate was 26.29 per 1000 ventilator-days. Based on the Pabon Lasso model, the lowest rates of ICU-AIs (66.95 per 1000 patients and 15.19 patient-days) observed in zone III, the efficient area. Conclusions: HAIs are common in the internal ICU wards. In fact, VAE and ventilator-related infections are more prevalent in Iran. HAIs in the ICUs leads to an increased risk of ICU-related mortality. Therefore, to reduce ICU-AIs, the specific and trained personnel must be responsible for the use of the devices (catheter use and ventilators), avoid over use of catheterization when possible, and remove catheters earlier. © 2021, The Author(s)

Rate of the incidence of hospital-acquired infections in Iran based on the data of the national nosocomial infections surveillance

Hospital-acquired infections (HAIs) lead to increased length of hospital stay, inappropriate use of broad-spectrum antibiotics and multiple antibiotic resistance. This study aimed to investigate the rate of HAIs in Iran. In this multi-centre study, the rate of HAIs was calculated based on the data collected through Iranian nosocomial infections surveillance for patients with HAIs, as well as through hospital statistics and information systems on hospital-related variables. Data were analysed using STATA software; in addition, ArcGIS was used for plotting the geographical distribution of HAIs by different provinces. The mean age of the 107 669 patients affected by HAIs was 52 ± 26.71 years. Just over half (51.55) of the patients were male. The overall rate of HAIs was 26.57 per 1000 patients and 7.41 per 1000 patient-days. The most common HAIs were urinary tract infections (26.83; 1.99 per 1000 patient-days), ventilator-associated events (20.28; 1.5 per 1000 patient-days), surgical-site infections (19.73; 1.45 per 1000 patient-days) and bloodstream infections (13.51; 1 per 1000 patient-days), respectively. The highest rate of HAIs was observed in intensive care units. Device, catheter and ventilator-associated infections accounted for 38.72, 18.79 and 16 of all HAIs, respectively. Based on the results, HAIs are common in intensive care units, and urinary tract infections and device-related infections are more prevalent in Iran. To reduce HAIs it is recommended to implement appropriate policies and interventions, train staff about the use of devices, and prepare and update protocols and guidelines for improving the quality of care. © 2020 The Author(s