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کاربرد نوع شرط:
- جایگاه : پژوهشی
- مجله: Reviews in Clinical Medicine
- نوع مقاله: Journal Article
- کلمات کلیدی: Logistic regression,influential factors,Tuberculosis
- چکیده:
- چکیده انگلیسی: Introduction: Tuberculosis (TB) is a chronic bacterial disease and a leading cause of mortality among single-agent infectious diseases following the human immunodeficiency virus infection across the world. Logistic regression is a method of statistical analysis with predictive capability. This multivariate statistical method could be used to evaluate the correlations between independent variables (albeit confounding) and a dependent variable. The present study aimed to assess the influential factors in the incidence of TB based on the estimations of a logistic regression predictive model.
Methods: This cross-sectional study was conducted on two groups consisting of 189 TB patients and 189 controls. The influential factors in TB were compared between the groups, including age, gender, marital status, risk of acquired immunodeficiency syndrome (AIDS), smoking habits, history of asthma, organ transplantation, body mass index (BMI), vitamin D3 level, diabetes, and rate of hemoglobin and malignant diseases. In addition, the predictive potential of the logistic regression model was determined based on various indices, such as sensitivity, specificity, and receiver operating characteristic (ROC) curve.
Results: The sensitivity and specificity of the regression model were estimated at 78% and 68%, respectively, and the area under the ROC curve was calculated to be 0.821. Among the available influential factors in the dependent variable (i.e., TB), the variables of vitamin D3 and hemoglobin levels and BMI were considered significant.
Conclusion: According to the results, the logistic regression model is appropriate for the prediction of TB considering the accuracy and predictive power of its criteria, as well as the area under the ROC curve (0.821), which could provide the test accuracy for the diagnosis TB.- انتشار مقاله: 21-04-1398
- نویسندگان: Kiarash Ghazvini,Shamsoddin Mansouri,Mohammad-Taghi Shakeri,Masoud Youssefi,Mohammad Derakhshan,Masoud Keikha
- مشاهده
- جایگاه : پژوهشی
- مجله: Reviews in Clinical Medicine
- نوع مقاله: Journal Article
- کلمات کلیدی: Human,Pandemics,Influenza A virus
- چکیده:
- چکیده انگلیسی: Type A influenza viruses causes infections in human and animals, especially in birds. Wild aquatic birds are the natural hosts for all known influenza type A viruses. Avian type viruses are divided into two groups: highly pathogenic avian influenza (HPAI) and low pathogenic avian influenza (LPAI). HPAI virus is very dangerous, but LPAI virus is much weaker. Two forms of mutations including drift and shift have been recognized for antigenic changes in influenza viruses. Antigenic shift is responsible for producing re-assortment viruses with a potentiality to be transmissible to human and possibly resulting in pandemic. Emerging new species of viruses, the loss of previous immunity in human population and the transmission from human to human are the three major conditions that result in the occurrence of influenza pandemic in human. When pandemic happens, public health is a major concern due to probability of high fatality rate and other socioeconomic consequences.
- انتشار مقاله: 11-07-1394
- نویسندگان: Mohammad Derakhshan,Mohammad Derakhshan,Mohammad Derakhshan
- مشاهده
- جایگاه : پژوهشی
- مجله: Reviews in Clinical Medicine
- نوع مقاله: Journal Article
- کلمات کلیدی: Polymorphism,Toll-Like Receptor,Mycobacterium Tuberculosis
- چکیده:
- چکیده انگلیسی: Introduction: Susceptibility to tuberculosis (TB) infection varies in individuals and is linked to genetic variations in the toll-like receptors (TLRs) genes. The current study employed a systematic literature review and meta-analysis to describe the most prevalent single nucleotide polymorphisms (SNPs) from various TLRs and to assess the association between these polymorphisms and tuberculosis susceptibility.
Methods: The PubMed, Google Scholar, Scopus, and ISI Web of Knowledge databases were searched for all articles published before May 25, 2015, that contained the target keywords. Following the application of the inclusion and exclusion criteria, a total of 37 relevant articles were identified that examined the association between the TLRs gene polymorphism and susceptibility to tuberculosis.
Result: A meta-analyses approach to the research determined that there is a statistically significant association between TLR1 rs4833095, TLR6 rs5743810, and TLR8 rs3788935 in the allelic model and also TLR1 rs4833095, TLR1 rs5743018, TLR2 rs5743708, TLR6 rs5743810, and TLR8 rs3761624 in the co-dominant model with increased or decreased susceptibility to tuberculosis. No associations were observed between the other TLRs polymorphisms and tuberculosis risk.
Discussion: Several studies have found that host genetic factors, such as SNPs in TLRs gene, may increase an individual’s susceptibility to tuberculosis. Therefore, the identification of these SNPs is important to investigate immune responses to TB.
Conclusion: The present study concluded that there is an association between some polymorphisms of TLRs and tuberculosis risk. Thus, for a better understanding about the role of SNPs to TB susceptibility, additional studies on alternative TLRs SNPs are needed.- انتشار مقاله: 15-03-1394
- نویسندگان: Farzad Khademi,Mohammad Derakhshan,Ramin Sadeghi
- مشاهده
- جایگاه : پژوهشی
- مجله: Reviews in Clinical Medicine
- نوع مقاله: Journal Article
- کلمات کلیدی: Logistic regression,influential factors,Tuberculosis
- چکیده:
- چکیده انگلیسی: Introduction: Tuberculosis (TB) is a chronic bacterial disease and a leading cause of mortality among single-agent infectious diseases following the human immunodeficiency virus infection across the world. Logistic regression is a method of statistical analysis with predictive capability. This multivariate statistical method could be used to evaluate the correlations between independent variables (albeit confounding) and a dependent variable. The present study aimed to assess the influential factors in the incidence of TB based on the estimations of a logistic regression predictive model.
Methods: This cross-sectional study was conducted on two groups consisting of 189 TB patients and 189 controls. The influential factors in TB were compared between the groups, including age, gender, marital status, risk of acquired immunodeficiency syndrome (AIDS), smoking habits, history of asthma, organ transplantation, body mass index (BMI), vitamin D3 level, diabetes, and rate of hemoglobin and malignant diseases. In addition, the predictive potential of the logistic regression model was determined based on various indices, such as sensitivity, specificity, and receiver operating characteristic (ROC) curve.
Results: The sensitivity and specificity of the regression model were estimated at 78% and 68%, respectively, and the area under the ROC curve was calculated to be 0.821. Among the available influential factors in the dependent variable (i.e., TB), the variables of vitamin D3 and hemoglobin levels and BMI were considered significant.
Conclusion: According to the results, the logistic regression model is appropriate for the prediction of TB considering the accuracy and predictive power of its criteria, as well as the area under the ROC curve (0.821), which could provide the test accuracy for the diagnosis TB.- انتشار مقاله: 21-04-1398
- نویسندگان: Kiarash Ghazvini,Shamsoddin Mansouri,Mohammad-Taghi Shakeri,Masoud Youssefi,Mohammad Derakhshan,Masoud Keikha
- مشاهده
- جایگاه : پژوهشی
- مجله: Reviews in Clinical Medicine
- نوع مقاله: Journal Article
- کلمات کلیدی: Human,Pandemics,Influenza A virus
- چکیده:
- چکیده انگلیسی: Type A influenza viruses causes infections in human and animals, especially in birds. Wild aquatic birds are the natural hosts for all known influenza type A viruses. Avian type viruses are divided into two groups: highly pathogenic avian influenza (HPAI) and low pathogenic avian influenza (LPAI). HPAI virus is very dangerous, but LPAI virus is much weaker. Two forms of mutations including drift and shift have been recognized for antigenic changes in influenza viruses. Antigenic shift is responsible for producing re-assortment viruses with a potentiality to be transmissible to human and possibly resulting in pandemic. Emerging new species of viruses, the loss of previous immunity in human population and the transmission from human to human are the three major conditions that result in the occurrence of influenza pandemic in human. When pandemic happens, public health is a major concern due to probability of high fatality rate and other socioeconomic consequences.
- انتشار مقاله: 11-07-1394
- نویسندگان: Mohammad Derakhshan,Mohammad Derakhshan,Mohammad Derakhshan
- مشاهده
- جایگاه : پژوهشی
- مجله: Reviews in Clinical Medicine
- نوع مقاله: Journal Article
- کلمات کلیدی: Polymorphism,Toll-Like Receptor,Mycobacterium Tuberculosis
- چکیده:
- چکیده انگلیسی: Introduction: Susceptibility to tuberculosis (TB) infection varies in individuals and is linked to genetic variations in the toll-like receptors (TLRs) genes. The current study employed a systematic literature review and meta-analysis to describe the most prevalent single nucleotide polymorphisms (SNPs) from various TLRs and to assess the association between these polymorphisms and tuberculosis susceptibility.
Methods: The PubMed, Google Scholar, Scopus, and ISI Web of Knowledge databases were searched for all articles published before May 25, 2015, that contained the target keywords. Following the application of the inclusion and exclusion criteria, a total of 37 relevant articles were identified that examined the association between the TLRs gene polymorphism and susceptibility to tuberculosis.
Result: A meta-analyses approach to the research determined that there is a statistically significant association between TLR1 rs4833095, TLR6 rs5743810, and TLR8 rs3788935 in the allelic model and also TLR1 rs4833095, TLR1 rs5743018, TLR2 rs5743708, TLR6 rs5743810, and TLR8 rs3761624 in the co-dominant model with increased or decreased susceptibility to tuberculosis. No associations were observed between the other TLRs polymorphisms and tuberculosis risk.
Discussion: Several studies have found that host genetic factors, such as SNPs in TLRs gene, may increase an individual’s susceptibility to tuberculosis. Therefore, the identification of these SNPs is important to investigate immune responses to TB.
Conclusion: The present study concluded that there is an association between some polymorphisms of TLRs and tuberculosis risk. Thus, for a better understanding about the role of SNPs to TB susceptibility, additional studies on alternative TLRs SNPs are needed.- انتشار مقاله: 15-03-1394
- نویسندگان: Farzad Khademi,Mohammad Derakhshan,Ramin Sadeghi
- مشاهده
- جایگاه : پژوهشی
- مجله: Journal of Patient Safety & Quality Improvement
- نوع مقاله: Journal Article
- کلمات کلیدی: Drug prescription, Family Physician,Iran, Rational Use of Medicine, Prescription
- چکیده:
- چکیده انگلیسی: Introduction: The issue of managing and controlling pharmaceutical affairs is one of the most important affairs of the Ministry of Health and Medical Education. The aim of this study was to Survey the indexes of Principles of prescribing in Mashhad Medical Sciences Medical Centers and compare them with national indicators. It is hoped that by promoting the rational use of medicine, we will take a step towards a healthier and safe society.
Materials and methods: The present study is a Sectional. 77,964 prescriptions were reviewed of People referring to the centers covered by the Rural Family Physician Program in 2017. Data were analyzed by SPSS software version 21 and analyzed by T-test, one-way ANOVA and Chi-square. The level of significance was considered to be less than 5%.
Results: The average of Medicines Per Prescription Was 2.51 ± 1.11. Antibiotics are among the most frequently prescribed medications by 44.9%, followed by NSAIDs with 20.77%. According to the results, 3.8% of prescriptions contained more than 4 drugs. The number of prescribed prescription drugs is higher for doctors with a higher employment status (P<0.01). Also, the number of drug items for older people is higher than for other age groups (P<0.01). The age of the patients is effective in the administration of antibiotics, in this study 69% of the children and adolescents who have received antibiotics are prescribed (P<0.01).
Conclusion: Precise policies on the rational use of drugs are essential to facilitate the use of electronic health records and the launch of electronic prescriptions. Based on the results, there are scientific and educational interventions to promote the principles of rational drug administration.
- انتشار مقاله: 12-02-1398
- نویسندگان: Reza Eftekhari Gol,Hamid Reza Bahrami,Mohammad Hasan Derakhshan Dooghaee,Ehsan Mosa Farkhany,Najmeh Mohajeri
- مشاهده
- جایگاه : پژوهشی
- مجله: Iranian Journal of Pathology
- نوع مقاله: Journal Article
- کلمات کلیدی: Cloning,Mycobacterium Tuberculosis,antigens,genetic vectors
- چکیده:
- چکیده انگلیسی: Background & objective: Tuberculosis (TB) remains a major cause of death around the world. Bacillus Calmette Guérin (BCG) is the only vaccine used in TB prevention that has a protective effect in children, but its effectiveness declines in adults. Design and development of new vaccines is the most effective way against TB.
The aim of this study was to design and construct a DNA vaccine encoding mtb32C and mpt51 fusion genes of Mycobacterium tuberculosis.
Methods: First, mpt51 fragment was amplified by PCR method. The pcDNA3.1+/mtb32C plasmid was transformed into E. coli JM109 and then extracted. The mpt51 gene and pcDNA3.1+/mtb32C plasmid were both digested with EcoRI and BamHI restriction enzymes followed by ligation of mpt51 fragment into the digested vector. The recombinant plasmid containing mtb32C and mpt51 was subsequently transformed into competent E. coli TOP10 strain. The clones were confirmed by colony-PCR, restriction enzyme digestion and sequencing.
Results: Using agarose gel electrophoresis, a 926 bp fragment corresponded to mpt51 was observed. Digestion of the vector pcDNa3.1+/mtb32C and mpt51 gene was confirmed by electrophoresis. Then, the pcDNA3.1+/mtb32C plasmid was extracted. Sequencing results confirmed the accuracy of the desired plasmid.
Conclusion: In this study, we constructed a cloning vector encoding Mtb32C/Mpt51 gene of Mycobacterium tuberculosis. The eukaryotic expression of this vector can be confirmed in future studies. It can be considered as a DNA vaccine in animal models later. Successful cloning provides a basis for the development of new DNA vaccines against tuberculosis.- انتشار مقاله: 04-02-1396
- نویسندگان: Faria Hasanzadeh Haghighi,Ehsan Aryan,Mohammad Derakhshan,Aida Gholoobi,Zahra Meshkat
- مشاهده
- جایگاه : پژوهشی
- مجله: Iranian Journal of Basic Medical Sciences
- نوع مقاله: Journal Article
- کلمات کلیدی: Immunization,Mycobacterium Tuberculosis,Multistage subunit vaccine,PLGA:DDA nanoparticle,MPLA
- چکیده:
- چکیده انگلیسی: Objective(s): A new strategy in recent studies is using effective tuberculosis (TB) subunit vaccines combined with appropriate carriers and adjuvants which have shown promising results in preclinical and clinical studies. The aim of the present study was to evaluate the PLGA:DDA hybrid nanoparticles (NPs) for subcutaneous delivery of a novel multistage subunit vaccine along with MPLA adjuvant against Mycobacterium tuberculosis (M. tuberculosis).
Materials and Methods: PLGA and PLGA:DDA NPs containing HspX/EsxS fusion protein and MPLA were prepared by double emulsion method (w/o/w). After characterization, these NPs were subcutaneously administered to BALB/c mice aged 6-8 weeks old. Immunogenicity of formulations were assessed by measuring the level of IFN-γ, IL-4, IL-17 and TGF-β cytokines as well as IgG1, IgG2a and IgA antibodies using ELISA.
Results: Both particles had spherical shape and smooth surface with 316.7 ± 12.7 nm in size, surface charge of -33 ± 1.7 mV, and encapsulation efficiency of 92.2 ± 2% for PLGA NPs and 249.7 ± 16.7 nm in size, surface charge of 39 ± 1.8 mV, and encapsulation efficiency of 35.7 ± 1.4% for PLGA:DDA NPs. The highest IFN-γ response and also IgG2a and IgG1 antibodies titers were observed in groups immunized with PLGA:DDA/HspX/EsxS/MPLA and PLGA:DDA/HspX/EsxS/MPLA as booster as well as PLGA:DDA/HspX/EsxS and PLGA:DDA/HspX/EsxS as booster.
Conclusion: With regard to effective induction of IFN-γ and IgG2a immune responses, PLGA:DDA hybrid NP along with MPLA adjuvant have good potentials for improving the immunogenicity of HspX/EsxS multistage subunit vaccine as well as promoting BCG efficacy as a BCG prime-boost.- انتشار مقاله: 15-05-1397
- نویسندگان: Farzad Khademi,Arshid Yousefi,Mohammad Derakhshan,Adel Najafi,Mohsen Tafaghodi
- مشاهده
- جایگاه : پژوهشی
- مجله: Iranian Journal of Basic Medical Sciences
- نوع مقاله: Journal Article
- کلمات کلیدی: Immunization,Mycobacterium Tuberculosis,Multistage subunit vaccine,PLGA:DDA nanoparticle,MPLA
- چکیده:
- چکیده انگلیسی: Objective(s): A new strategy in recent studies is using effective tuberculosis (TB) subunit vaccines combined with appropriate carriers and adjuvants which have shown promising results in preclinical and clinical studies. The aim of the present study was to evaluate the PLGA:DDA hybrid nanoparticles (NPs) for subcutaneous delivery of a novel multistage subunit vaccine along with MPLA adjuvant against Mycobacterium tuberculosis (M. tuberculosis).
Materials and Methods: PLGA and PLGA:DDA NPs containing HspX/EsxS fusion protein and MPLA were prepared by double emulsion method (w/o/w). After characterization, these NPs were subcutaneously administered to BALB/c mice aged 6-8 weeks old. Immunogenicity of formulations were assessed by measuring the level of IFN-γ, IL-4, IL-17 and TGF-β cytokines as well as IgG1, IgG2a and IgA antibodies using ELISA.
Results: Both particles had spherical shape and smooth surface with 316.7 ± 12.7 nm in size, surface charge of -33 ± 1.7 mV, and encapsulation efficiency of 92.2 ± 2% for PLGA NPs and 249.7 ± 16.7 nm in size, surface charge of 39 ± 1.8 mV, and encapsulation efficiency of 35.7 ± 1.4% for PLGA:DDA NPs. The highest IFN-γ response and also IgG2a and IgG1 antibodies titers were observed in groups immunized with PLGA:DDA/HspX/EsxS/MPLA and PLGA:DDA/HspX/EsxS/MPLA as booster as well as PLGA:DDA/HspX/EsxS and PLGA:DDA/HspX/EsxS as booster.
Conclusion: With regard to effective induction of IFN-γ and IgG2a immune responses, PLGA:DDA hybrid NP along with MPLA adjuvant have good potentials for improving the immunogenicity of HspX/EsxS multistage subunit vaccine as well as promoting BCG efficacy as a BCG prime-boost.- انتشار مقاله: 15-05-1397
- نویسندگان: Farzad Khademi,Arshid Yousefi,Mohammad Derakhshan,Adel Najafi,Mohsen Tafaghodi
- مشاهده