scholarly journals Evaluation of Educational Atmosphere and Its Related Factors from the Point of View of the Students of Qom University of Medical Sciences in 2018, (Iran)

2019 ◽  
Vol 13 (1) ◽  
pp. 39-48
Author(s):  
Zahra Bagheri ◽  
siamak moghebi ◽  
Seyed Hasan Adeli ◽  
Fatemeh Rajati ◽  
◽  
...  
2005 ◽  
Vol 49 (1) ◽  
pp. 366-379 ◽  
Author(s):  
A. R. Gomes ◽  
S. Vinga ◽  
M. Zavolan ◽  
H. de Lencastre

ABSTRACT Methicillin-resistant Staphylococcus aureus (MRSA) isolates have previously been classified into major epidemic clonal types by pulsed-field gel electrophoresis in combination with multilocus sequence typing (MLST) and staphylococcal cassette chromosome mec typing. We aimed to investigate whether genetic variability in potentially polymorphic domains of virulence-related factors could provide another level of differentiation in a diverse collection of epidemic MRSA clones. The target regions of strains representative of epidemic clones and genetically related methicillin-susceptible S. aureus isolates from the 1960s that were sequenced included the R domains of clfA and clfB; the D, W, and M regions of fnbA and fnbB; and three regions in the agr operon. Sequence variation ranged from very conserved regions, such as those for RNAIII and the agr interpromoter region, to the highly polymorphic R regions of the clf genes. The sequences of the clf R domains could be grouped into six major sequence types on the basis of the sequences in their 3′ regions. Six sequence types were also observed for the fnb sequences at the amino acid level. From an evolutionary point of view, it was interesting that a small DNA stretch at the 3′ clf R-domain sequence and the fnb sequences agreed with the results of MLST for this set of strains. In particular, clfB R-domain sequences, which had a high discriminatory capacity and with which the types distinguished were congruent with those obtained by other molecular typing methods, have potential for use for the typing of S. aureus. Clone- and strain-specific sequence motifs in the clf and fnb genes may represent useful additions to a typing methodology with a DNA array.


2015 ◽  
Vol 7 (1) ◽  
pp. 53-58 ◽  
Author(s):  
Vishal C Soyam ◽  
Jyoti Das ◽  
Rajeeva TC ◽  
Pallavi Boro ◽  
Charu Kohli

Background: Knowledge of HIV status of a TB patient is critical from both patient and public health point of view. Early HIV diagnosis among TB patients could serve as an entry point for HIV care and treatment. Surveillance of HIV among TB patients has been recognized to be important as the HIV epidemic continues to fuel TB epidemics. Hence, this study was conducted with an objective to assess the socio-demographic profile and the prevalence of HIV among TB patients.Methodology: Cross sectional study was carried out in eight DOTS cum DMCs of Delhi. Data was collected from January 2012 to December 2012. Registered TB patients (new and retreatment) were interviewed on a predesigned questionnaire at the end of five months of treatment.Results: In 2012, out of the total 552 TB patients interviewed, 524 (94.9%) had been tested for HIV by the end of fifth month of their TB treatment. In them, 13 patients (2.4%) were HIV positive. All of them had been initiated on ART and CPT during continuation phase of TB treatment. In present study no variable was found to be significantly associated with HIV status except number family member and patients on retreatment category.Conclusions: The prevalence of HIV infection in TB patients in current study was (2.4%) substantially lower than reported in studies from other states. If HIV testing done by all TB patients then routine reporting of HIV status for all TB patients would provide even better information on which to base future planning.Asian Journal of Medical Sciences Vol.7(1) 2015 53-58


2020 ◽  
Vol 13 (37) ◽  
pp. 65-75
Author(s):  
Sajjad Ramazani ◽  
Hamed Ramazani ◽  
Abbasali Ramazani ◽  
Mina Hemmati ◽  
◽  
...  

1925 ◽  
Vol 44 ◽  
pp. 98-130 ◽  
Author(s):  
A. G. M'Kendrick

In the majority of the processes with which one is concerned in the study of the medical sciences, one has to deal with assemblages of individuals, be they living or be they dead, which become affected according to some characteristic. They may meet and exchange ideas, the meeting may result in the transference of some infectious disease, and so forth. The life of each individual consists of a train of such incidents, one following the other. From another point of view each member of the human community consists of an assemblage of cells. These cells react and interact amongst each other, and each individual lives a life which may be again considered as a succession of events, one following the other. If one thinks of these individuals, be they human beings or be they cells, as moving in all sorts of dimensions, reversibly or irreversibly, continuously or discontinuously, by unit stages or per saltum, then the method of their movement becomes a study in kinetics, and can be approached by the methods ordinarily adopted in the study of such systems.


Author(s):  
Mina Danaei ◽  
Ali Akbar Rohani ◽  
Ali Sajadi ◽  
Mohsen Momeni

Introduction: Internet addiction is a global phenomenon with an increasing trend in university students. The aim of this study was to investigate the frequency and factors affecting internet addiction in externship and internship medical students of Kerman University of Medical Sciences in 2018. Methods: This cross-sectional study was carried out on externship and internship medical students of Kerman University of Medical Sciences in 2018 during a 6-month period using convenience sampling method. In this study, the valid and reliable self-administered questionnaire of “Kimberly-Young internet addiction questionnaire” was used to collect the research data. The attainable scores in this questionnaire range from 20 to 100, so that  higher scores show greater dependence on the Internet. Data were analyzed by SPSS version 20 using the Chi-square test. A significant level was set at lower than 0.05. Results: Among the participants, 46 participants (18.4%) were normal users, 127 (50.8%) were at risk, and 77 (30.8%) were addicted to the Internet. Among the demographic factors, a significant relationship was found between gender (p = 0.041) and educational level (p = 0.024) with Internet addiction. Conclusion: policymakers should pay particular attention to the issue of Internet addiction in medical students, since Internet addiction may cause these students to neglect their critical duties during externship and internship. In this regard, holding effective training courses can be helpful.


2019 ◽  
pp. 2-3

Overcrowding in emergency departments (ED) could delay and alter the quality of critical services provided. Despite the generalization of developed triage system, the rate of nonurgent applicants is still considerable worldwide. This usually leads to long waiting patients lists, healthcare practitioners over stress, and patients unsastisfaction. A recent literature review reported that between 4.8% to 90% of ED patients were potentially nonurgent cases and the sudden death cases reported in ED should be simply urgent; long waiting unmanaged cases [1]. Among the leading reasons for unsuitable use of ED for “nonurgent complaints.”; patients related factors are most frequent. Elderly patients with heavy chronic conditions and lack of familial support are frequent ED users. Some patients prefer the ED due to the easy access and availability of all investigation tools. Ed is always convenient providing nonstop care by trained specialized team. According to some studies; it has been proved that a higher rate of nonemergency application is noticed in case of unavailability of primary health care centers access and during off-clinic hours [2]. The delayed appointments, and the lack of access to outpatient clinics on evenings and weekends is usually influencing the patient’s attitude. Interestingly, some other reports showed that most of the patients admitted to the ED with mild and simple complaints are well educated, have good social status and do not have chronic diseases [3]. For these cases, wrong perception could be bilateral. The patient is always considering his personal case as extremely urgent; and the health practitioner could not infirm the emergency before the investigations. This risk-averse patient risk-averse doctor relationship could explain the major part of non-emergency applications [4]. With these overwhelmed available resources, the increase of nonurgent visits results in risks for patient safety. This problematic has been recognized long time ago. Since early 90s many triage systems were implemented. However only five level triage instruments are significantly correlated with resource utilization, rate of admission for inpatient treatment, duration of emergency management, and frequency of transfer to intensive care or mortality. Unfortunately, these instruments could not be generalized to all ED [5]. Several other solutions have been proposed. Gatekeeping; redirecting patient systems, or health services cost sharing were not enough and difficult to implement. The benefit a financial penalty for patients categorized as nonurgent after the consultation or targeting frequent users by case management approach is still unclear [6]. In our point of view; the solution to decrease the rate of nonurgent visits is outside of emergency room and not inside. The only valuable option is to provide an alternative to ED by improving the outpatient departments and primary healthcare centers services quality. With patient large sensibilization, the benefit should be perceptible.


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