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Showing 3 results for Mahfoozi


Volume 1, Issue 1 (spring 2020)
Abstract

The item of livability is one of the closest concepts to the quality of life that through it an ideal environmental society can be estimated. Therefore, any increasing or decreasing in the amount of livability is a means to evaluate staying inhabitants in the neighborhoods, regions, and cities. Also, it is a measurement for estimating the quality of life. While the city is developing, at the same time, all its traditional, new and periphery neighborhoods are facing to variety of physical, cultural, etc changes. So, due to existence of some challenging issues and necessity of livability to inhabitants, this needs to be assessed. In this study, three different neighborhoods including Haji, Etemadieh, and Mazdaghineh are investigated. It is interesting that all of them situated in 2 region municipality in Hamedan. There would be four components including physical-spatial, social-cultural, economic, and environmental items. The analytical-comparative methodology is used and in order to data analyzing and final evaluations, SPSS 19 and Expert Choice 10 technique is implemented and finally AHP method is used. To gather data observing, completion questionaires by residetial neighborhood and interviews with experts are used. Final results exhibited that the amount of livability in the neighborhood of Etemadieh is the most, nearly 0.431 points, and Haji and Mazdaghineh respectively are the second and the third livability neighborhoods with 0.322 and 0.246 points. The physical and economic components in Haji neighborhood are more favorable than other neighborhoods, but the social component in Mazdaqineh neighborhood is superior to the other two neighborhoods. The Etemadiyeh neighborhood is also a priority in the environmental component over other neighborhoods.


Volume 6, Issue 2 (Spring 2020)
Abstract

Aims: Numerous microbial agents have been identified as the causative agents of UTIs, such as Escherichia coli. The spread of antibiotic resistance is increasing among strains causing UTIs. The present study aimed to investigate the prevalence of etiological agents of UTIs and their antibiotic resistance patterns and to determine related risk factors and treatment outcomes of antibiotic resistance in Razi teaching hospital, Guilan, North of Iran.
Material & Methods: This retrospective cross-sectional study was performed from April 2017 to September 2018. All patients with clinical symptoms of UTI were included. The patients’ complete medical records were assessed. Moreover, bacterial isolation and identification were performed by conventional bacteriological and standard biochemical tests. Antibiotic susceptibility testing was performed using the disk diffusion method based on the CLSI recommendation.
Findings: Gram-negative bacilli were identified as the most common causative agents of UTIs in all cases (140, 100%), of which E. coli had the highest isolation rate with 76 cases (54.3%), followed by Klebsiella spp. with 23 cases (16.4%).  Antibacterial susceptibility tests revealed that 64.3% of the isolates were resistant to three antibiotics of different classes (MDR phenotype).
Conclusion: In conclusion, Gram-negative bacilli were the most common causative agents of UTIs, and E. coli had the highest isolation rate (54.3%). Regarding the high prevalence of antibiotic resistance and MDR phenotype, paying attention to drug resistance patterns of pathogens and proper and correct administration of antibiotics as well as proper and timely monitoring of treatment, could help physicians decrease the patients’ mortality rate.

 

Volume 7, Issue 3 (Summer 2021)
Abstract

Backgrounds: The present study aimed to determine the quick Sepsis-related Organ Failure Assessment (qSOFA) score in comparison with systemic inflammatory response syndrome (SIRS) criteria to predict adverse consequences of a suspected bacterial infection in patients outside the intensive care unit (ICU).
Materials & Methods: This retrospective study was conducted on patients during March 2018 to March 2019. All hospitalized patients with this suspected infection were positive for both SIRS and microbial cultures. Demographic and laboratory variables were recorded for all patients to determine the presence and time of various components of both SIRS criteria and the qSOFA score.
Findings: Out of 128 patients with suspected sepsis, 87 (68%) patients were confirmed to have septicemia based on SIRS criteria. SIRS criteria classified 68% of patients in the sepsis group (87 of 128), of which 39(44.8%) had a positive qSOFA score. The sensitivity and specificity ratios of qSOFA were 44.83 and 80.49%, respectively.
Receiver operating characteristic (ROC) curve analysis results showed that the area under the ROC curve (AUC) of pSOFA scores for predicting sepsis patients was not significantly different. Moreover, regarding the sepsis-related mortality, the area under ROC showed that qSOFA criteria (score ≥ 2) were able to predict mortality in patients with 71% sensitivity and 72% specificity.
Conclusion: This study findings revealed that the qSOFA score was significantly efficient in predicting mortality. However, SIRS criteria were more sensitive than the qSOFA score in predicting the definitive diagnosis of sepsis. Therefore, the qSOFA score seems to be an invaluable tool for predicting outcome in sepsis patients.

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