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Hejazi SH, Kalantari R, Jafari R, Ghayour Z, Nokhodian Z, Esmaeilifallah M. Seroprevalence of Toxoplasma infection in individuals occupationally exposed to livestock and raw meat: A case-control study. Vet Med Sci 2023; 9:2642-2647. [PMID: 37656467 PMCID: PMC10650349 DOI: 10.1002/vms3.1255] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2023] [Revised: 07/27/2023] [Accepted: 08/18/2023] [Indexed: 09/02/2023] Open
Abstract
BACKGROUND The expectancy of Toxoplasma gondii transmitted from livestock and raw meat to humans is a public health problem and is an example of the One Health theory. OBJECTIVES This survey aimed to determine the seroprevalence and risk factors related to this common infection in individuals occupationally exposed (IOE) to livestock, raw meat and viscera in industrial slaughterhouses and livestock fields in Isfahan province, central Iran. METHODS This study is a case-control survey carried out on the 401 serum samples of IOE (including slaughterhouse workers, butchers, veterinarians, veterinary technicians, livestock farmers and farm workers) compared to 401 archived samples of the general population (that all matched with cases by region, age and gender). All 802 samples were investigated for anti-T. gondii IgM and anti-T. gondii IgG using enzyme-linked immunosorbent assay. RESULTS A statistically significant higher anti-T. gondii IgG occurrence (p < 0.001) was observed in IOE compared to the control group (46.1% vs. 31.4%). According to our knowledge, this is the first case-control study on the seroprevalence of anti-T. gondii in IOE to livestock in central Iran. CONCLUSIONS These findings show a potentially significant association between T. gondii seropositivity and occupational exposure to livestock. Therefore, it is essential to develop guidelines for preventing disease transmission among IOE to livestock, raw meat and viscera in industrial slaughterhouses and livestock fields.
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Affiliation(s)
- Seyed Hossein Hejazi
- Department of Parasitology and Mycology, School of MedicineIsfahan University of Medical SciencesIsfahanIran
| | - Reza Kalantari
- Department of Parasitology and Mycology, School of MedicineIsfahan University of Medical SciencesIsfahanIran
- Student Research CommitteeIsfahan University of Medical SciencesIsfahanIran
| | - Rasool Jafari
- Department of Medical Parasitology and Mycology, School of MedicineUrmia University of Medical SciencesUrmiaIran
| | - Zahra Ghayour
- Department of Parasitology and Mycology, School of MedicineIsfahan University of Medical SciencesIsfahanIran
| | - Zary Nokhodian
- Infectious Diseases and Tropical Medicine Research CenterIsfahan University of Medical SciencesIsfahanIran
| | - Mahsa Esmaeilifallah
- Department of Parasitology and Mycology, School of MedicineIsfahan University of Medical SciencesIsfahanIran
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Kalantari R, Zamanian Z, Hasanshahi M, Jamali J, Faghihi A, Niakan MH, Gheysari S. An observational study to assess circulating nurses' non-technical skills. J Perioper Pract 2023; 33:296-301. [PMID: 36062532 DOI: 10.1177/17504589221117673] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
BACKGROUND Non-technical skills are cognitive and social skills that are necessary for safe and efficient practices in operating theatre. These skills are inseparable parts of circulating nurses' duties and help them have a good performance during surgical processes. Circulating nurses' non-technical skills have not been closely measured, and much uncertainty still exists about the quality of their skills. This study aimed to assess circulating nurses' non-technical skills. METHODS A cross-sectional study was conducted on 300 circulating nurses who worked in four public hospitals in Iran, during 2020. The data of demographics of the studied population were collected using a demographic questionnaire. Kalantari et al's Circulating Practitioner's List of Non-Technical Skills was used to assess the circulating nurses' non-technical skills. RESULTS The situational awareness domain had the highest score, while leadership was the domain with the lowest mean score. There was a moderate positive relationship between the mean score of non-technical skills and the number of working years as a circulating nurse. CONCLUSION Although the circulating nurses had a moderate level of non-technical skills, they had low scores in several behaviours. However, they did well in some other behaviours. Educational interventions and policymaking solutions can help improve circulating nurses' non-technical skills.
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Affiliation(s)
- Reza Kalantari
- Department of Ergonomics, Faculty of Public Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Zahra Zamanian
- Department of Ergonomics, Faculty of Public Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mehdi Hasanshahi
- Department of Operating Room, School of Nursing, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Jamshid Jamali
- Department of Biostatistics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Aliakbar Faghihi
- Clinical Educational Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mohammad Hadi Niakan
- Department of Surgery, Faculty of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Somayeh Gheysari
- Department of Operating Room, School of Nursing, Shiraz University of Medical Sciences, Shiraz, Iran
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Chelgerdi Dehkordi B, Esmaeilifallah M, Kalantari R, Benchimol M, Khamesipour F. Induction of apoptosis by essential oil of Dracocephalum kotschyi on Trichomonas vaginalis. Vet Med Sci 2023; 9:1008-1016. [PMID: 36253818 PMCID: PMC10029889 DOI: 10.1002/vms3.977] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
BACKGROUND Trichomonas vaginalis is a protist parasite that causes trichomoniasis, a sexually transmitted disease. Metronidazole is the current treatment for trichomoniasis. However, this drug can provoke severe side effects, and some strains present resistance, making the development of alternative treatments for trichomoniasis urgent. OBJECTIVES We investigate the use of essential oil obtained from Dracocephalum kotschyi on T. vaginalis. D. kotschyi has antispasmodic and analgesic properties and is well known in Iran. METHODS The essential oil was obtained by hydrodistillation from 1000 g of the powdered plant. Gas chromatography-mass spectrometry analysis was used for the chemical composition of the essential oil, and 11 substances were identified, corresponding to 91.5% of the oil. Copaene (22.15%), Methyl geranate (16.31%), Geranial (13.78%) and Carvone (11.34%) were the main substances. A cell viability test was used to determine the percentage of growth inhibition (GI%) and the half-maximal inhibitory concentration (IC50) on T. vaginalis after incubation with the prepared essential oil. RESULTS The oil induced an IC50 of 84.07 µg/ml after 24 h contact with trophozoites. Cytotoxicity was determined by MTT assay on the J774.A1 haematopoietic cell line. In addition, the initial stage of apoptosis was assayed using the fluorescein isothiocyanate Annexin V Apoptosis Detection Kit. Evaluation of the in vitro anti-trichomonal properties of D. kotschyi essential oils showed that it effectively induces apoptosis on T. vaginalis between 100 and 700 µg/ml after 48 h without toxicity on haematopoietic cells, suggesting that D. kotschyi essential oil can induce programmed death in T. vaginalis. CONCLUSIONS The anti-trichomonal properties of D. kotschyi essential oil indicate that they could be suitable for new pharmacologic studies after new tests with human vaginal epithelial cells.
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Affiliation(s)
| | - Mahsa Esmaeilifallah
- Department of Medical Parasitology and Mycology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Reza Kalantari
- Department of Medical Parasitology and Mycology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
| | | | - Faham Khamesipour
- Shahrekord Branch, Islamic Azad University, Shahrekord, Iran
- Center for Research and Training in Skin Diseases and Leprosy, Tehran University of Medical Sciences, Tehran, Iran
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Kalantari R, Esmaeilifallah M, Jafari R, Mirhendi Esfahani H, Yousofi Darani H. A large-scale study on the seroprevalence of Toxoplasma gondii infection in humans in Iran. Folia Parasitol (Praha) 2023; 70. [PMID: 36960776 DOI: 10.14411/fp.2023.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2022] [Accepted: 09/20/2022] [Indexed: 02/04/2023]
Abstract
It is estimated that nearly one-third of the world's human population is infected with Toxoplasma gondii (Nicolle et Manceaux, 1908). Human infection is commonly asymptomatic, multifaceted, and can manifest in severe pathological forms in congenital toxoplasmosis and immunocompromised individuals. This study attempted to recognise the seroprevalence of T. gondii infection in Iranian residents referred to medical laboratories for toxoplasmosis tests throughout the country. This retrospective cross-sectional study was conducted from 2015 to 2019 on individuals referred to diagnostic laboratories in 26 provinces, and these laboratories sent their samples to the referral centres. Accordingly, data associated with serodiagnosis of toxoplasmosis, age, sex, anti-T. gondii IgG, and IgM status in Iranian residents were collected from two referral diagnostic laboratories. All individuals were evaluated using the antibody immunocapture-chemiluminescence assay (CLIA) method with the Immulite®2000s XPi system. In this study, the first large-scale assay of T. gondii infection in Iran, an overall seroprevalence of 30.4% was among 35,047 patients examined. The highest IgM seropositivity rate was in the 10-20 years old patients. In addition, this study showed a very different prevalence of T. gondii across the country, highest in the humid areas, such as the Caspian Sea basin in the North, and the North West with seroprevalence of 48.6%.
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Affiliation(s)
- Reza Kalantari
- Department of Parasitology and Mycology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
- Student Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Mahsa Esmaeilifallah
- Department of Parasitology and Mycology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
- Student Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Rasool Jafari
- Department of Medical Parasitology and Mycology, School of Medicine, Urmia University of Medical Sciences, Urmia, Iran
| | - Hossein Mirhendi Esfahani
- Department of Parasitology and Mycology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
- Acquired Immunodeficiency Research Centre, Isfahan University of Medical Sciences
| | - Hossein Yousofi Darani
- Department of Parasitology and Mycology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
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Esmaeilifallah M, Sadraei J, Pirestani M, Kalantari R. Molecular characterization and genotyping of Toxoplasma gondii in free-living animals in Iran: Effect of One Health. Vet Parasitol Reg Stud Reports 2022; 36:100808. [PMID: 36436895 DOI: 10.1016/j.vprsr.2022.100808] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2022] [Revised: 09/21/2022] [Accepted: 11/07/2022] [Indexed: 11/13/2022]
Abstract
To understand the transmission of Toxoplasma gondii, this parasite's genetic diversity distribution in free-living hosts is essential. This research's objective is the molecular genotyping of T. gondii isolates from the brain and muscles of Columbidae, Corvidae, Rattus, and Felidae of Mianeh County, East-Azerbaijan Province, Northwest Iran. Three hundred fifty samples were taken. For the genotyping of T. gondii, the GRA6 gene was amplified and digested by the Tru1I (MseI) enzyme. Results of RFLP were confirmed by sequencing and phylogenetic analysis. In total, 52%, 34%, 24%, and 50% of Columbidae, Corvidae, Rattus, and Felidae were positive for T. gondii DNA, respectively. All isolated Columbidae were identified as genotype III (100%). Also, 94.1% and 5.9% of Corvidae isolates, 84.4% and 15.6% of the Rattus isolates, and 51.7% and 48.3% of the Felidae isolates belonged to genotypes III and II, respectively. This study is the first to evaluate genetic similarity and phylogenetic analysis between many definitive and intermediated hosts in northwestern Iran. The finding indicates that the T. gondii cycle is maintained among these hosts. As a result, their presence in the environment can be a risk factor for transmitting the infection to humans. Due to demographic and geographic differences in various regions, further studies are required to determine the genetic population structure.
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Affiliation(s)
- Mahsa Esmaeilifallah
- Department of Parasitology, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
| | - Javid Sadraei
- Department of Parasitology, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
| | - Majid Pirestani
- Department of Parasitology, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
| | - Reza Kalantari
- Department of Parasitology, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
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Esmaeilifallah M, Khanahmad H, Ghayour Z, Saberi S, Kalantari R, Hejazi SH. Evaluation of the antileishmanial effect of polyclonal antibodies and cationic antimicrobial peptides. Pathog Glob Health 2022; 117:366-380. [PMID: 35861705 PMCID: PMC10177747 DOI: 10.1080/20477724.2022.2101838] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
Abstract
Leishmaniasis is one of the tropical and subtropical diseases which, according to WHO, has the priority of control. The list of anti-leishmanial drugs is limited and requires side effects, high costs, and long-term treatments. Various species, parasite resistance, and simultaneous diseases are among the factors that affect the effectiveness of treatment. Due to these problems and based on satisfactory records of previous studies using antimicrobial peptides (AMPs) against infectious diseases, this study aimed to evaluate the antileishmanial effect of Leishmania-infected macrophage polyclonal antibody (LIMPA) with or without different concentrations (2, 4, 6, 8, 10, 20, 40, 60, and 100 µg/ml) of CM11 and (40, 80, and 100 µg/ml) BufIIIb, two AMPs, in vitro and their therapeutic effects against CL of Balb/c mice. Results showed that LIMPA induced an anti-proliferative effect on Leishmania major growth in macrophages in vitro and intramacrophage-amastigotes in vivo. CM11 with IC50 of 8.73 and 10.10 μg/ml at 48 hours, and BufIIIb with IC50 of 66.83 and 80.26 μg/ml, at 24 hours showed the most significant inhibition of L. major promastigotes and amastigotes. In addition, the CM11 and BufIIIb, with a CC50 of 9.7 μg/ml and 40.34 μg/ml, showed the most significant inhibition effect on the J774.A1 cell line at 48 hours, respectively. In addition, in vivo experiments using LIMPA with a 0.01 mg/kg dosage showed a significant difference (p < 0.001) in the last week of the measurement compared to the control. The results of this study may be a promising prospect for further investigations.
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Affiliation(s)
- Mahsa Esmaeilifallah
- Department of Parasitology and Mycology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.,Student Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Hossein Khanahmad
- Department of Genetics and Molecular Biology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Zahra Ghayour
- Department of Parasitology and Mycology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Sedighe Saberi
- Department of Parasitology and Mycology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Reza Kalantari
- Department of Parasitology and Mycology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.,Student Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Seyed Hossein Hejazi
- Skin Diseases and Leishmaniasis Research Centre, Department of Parasitology and Mycology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
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Kalantari R, Zamanian Z, Hasanshahi M, Faghihi SAA, Niakan MH, Jamali J, Gheysari S. An interview study to identify circulating nurses’ nontechnical skills. Surgical Practice 2022. [DOI: 10.1111/1744-1633.12540] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Reza Kalantari
- Department of Ergonomics, Faculty of Public Health Shiraz University of Medical Sciences Shiraz Fars Iran
| | - Zahra Zamanian
- Department of Ergonomics, Faculty of Public Health Shiraz University of Medical Sciences Shiraz Fars Iran
| | - Mehdi Hasanshahi
- Department of Operating Room, Faculty of Nursing Shiraz University of Medical Sciences Shiraz Fars Iran
| | | | - Mohammad Hadi Niakan
- Department of Surgery, Faculty of Medicine Shiraz University of Medical Sciences Shiraz Fars Iran
| | - Jamshid Jamali
- Department of Biostatistics, Faculty of Public Health Mashhad University of Medical Sciences Mashhad Khorasane razavi Iran
| | - Somayeh Gheysari
- Department of Operating Room, Faculty of Nursing Shiraz University of Medical Sciences Shiraz Fars Iran
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Garosi E, Kalantari R, Zanjirani Farahani A, Zuaktafi M, Hosseinzadeh Roknabadi E, Bakhshi E. Concerns About Verbal Communication in the Operating Room: A Field Study. Hum Factors 2020; 62:940-953. [PMID: 31306042 DOI: 10.1177/0018720819858274] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
OBJECTIVE To assess verbal communication patterns which could contribute to poor performance among surgical team members in an operating room. BACKGROUND There exist certain challenges in communication in health care settings. Poor communication can have negative effects on the performance of a surgical team and patient safety. A communication pattern may be associated with poor performance when the process of sending and receiving information is interrupted or the content of conversation is not useful. METHOD This cross-sectional field study was conducted with 54 surgical teams working in two Iranian hospitals during 2015. Two observers recorded all verbal communications in an operating room. An in-depth assessment of various annotated transcripts by an expert panel was used to assess verbal communication patterns in the operating room. RESULTS Verbal communication patterns which could contribute to poor performance were observed in 63% of the surgeries, categorized as communication failures (17 events), protests (23 events), and irrelevant conversations (164 events). The anesthesiologists and the circulating nurses had the most concerning communication patterns. The failure of devices and poor planning were important factors that contributed to concerning patterns. CONCLUSION Concerning patterns of verbal communication are not rare in operating rooms. Analyzing the annotated transcripts of surgeries can conduce to identifying all these patterns, and their causes. Concerning communication patterns can be reduced in the operating room by providing interventions, properly planning for surgeries, and fixing defective devices. APPLICATION The method used in this study can be followed to assess communication problems in operating rooms and to find solutions.
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Kalantari R, Zanjirani Farahani A, Garosi E, Badeli H, Jamali J. Translation and Psychometric Properties of the Persian Version of Oxford Non-technical Skills 2 System: Assessment of Surgical Teams' Non-technical Skills in Orthopedic Surgery Wards. Arch Bone Jt Surg 2019; 7:173-181. [PMID: 31211196 PMCID: PMC6510912] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 01/06/2018] [Accepted: 06/10/2018] [Indexed: 06/09/2023]
Abstract
BACKGROUND Non-technical skills are interpersonal and cognitive skills involved in safe performance and preventing adverse events during surgery. it is necessary to dominate the non-technical skills to ensure patient safety. This study has aimed to assess the validity and reliability of Oxford Non-technical skills 2 system (Oxford NOTECHS 2) in Iran and to evaluate surgical teams' non-technical skills in orthopedic surgery wards. METHODS This cross-sectional study was conducted in Tehran, Iran during 2015. The level of evidence is III based on Canadian Task Force on the Periodic Health Examination. We followed the Beaton's guideline for Persian translation and cross-cultural adaptation of the checklist. In this study, 60 orthopedic surgical team members working in two selected public hospitals were selected by cluster random sampling method.Oxford NOTECHS 2 system which is consisted of four subscales including leadership and management, teamwork and collaboration, decision-makingand problem-solving, and situational awareness was used to collect the data. RESULTS The overall mean score of non-technical skills was 69.52±6.64. The mean score for surgery, anesthesia, and nursing sub-teams were 24.98±3.71, 21.12±4.29, and 23.42±3.60, respectively. The teams' scores in total, leadership and management, teamwork and collaboration, problem solving and decision making, and situational awareness at the standard level were 74.70%, 76.95%, 73.75%, 66.87%, and 74.70% of maximum score, respectively. CONCLUSION The validity and reliability of the Persian version of Oxford NOTECHS 2 scale in Iran was confirmed. The results of this study showed that surgical teams' non-technical skills were at a moderate level in orthopedic surgery wards. The minimum score of the surgical teams' non-technical skills belonged to anesthesia and maximum to surgery sub-team. Using the training programs and setup workshop is recommended to improve the surgical teams' non-technical skills, especially surgery-nursing sub-team.
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Affiliation(s)
- Reza Kalantari
- Department of Ergonomics, School of Health and Nutrition, Shiraz University of Medical Sciences, Shiraz, Iran
- Department of Occupational Health Engineering, School of Health, Tehran University of Medical Sciences, Tehran, Iran
- Department of Occupational Health Engineering, School of Health, Tehran University of Medical Sciences, Tehran, Iran
- Department of Anatomy, School of medicine, Shiraz University of Medical Sciences, Shiraz, Iran
- Department of Biostatistics and Epidemiology, Faculty of Health, Mashhad University of Medical Sciences, Mashhad, Iran
- Research performed at at two selected public hospitals of Tehran, Iran
| | - Ahmad Zanjirani Farahani
- Department of Ergonomics, School of Health and Nutrition, Shiraz University of Medical Sciences, Shiraz, Iran
- Department of Occupational Health Engineering, School of Health, Tehran University of Medical Sciences, Tehran, Iran
- Department of Occupational Health Engineering, School of Health, Tehran University of Medical Sciences, Tehran, Iran
- Department of Anatomy, School of medicine, Shiraz University of Medical Sciences, Shiraz, Iran
- Department of Biostatistics and Epidemiology, Faculty of Health, Mashhad University of Medical Sciences, Mashhad, Iran
- Research performed at at two selected public hospitals of Tehran, Iran
| | - Ehsan Garosi
- Department of Ergonomics, School of Health and Nutrition, Shiraz University of Medical Sciences, Shiraz, Iran
- Department of Occupational Health Engineering, School of Health, Tehran University of Medical Sciences, Tehran, Iran
- Department of Occupational Health Engineering, School of Health, Tehran University of Medical Sciences, Tehran, Iran
- Department of Anatomy, School of medicine, Shiraz University of Medical Sciences, Shiraz, Iran
- Department of Biostatistics and Epidemiology, Faculty of Health, Mashhad University of Medical Sciences, Mashhad, Iran
- Research performed at at two selected public hospitals of Tehran, Iran
| | - Hamze Badeli
- Department of Ergonomics, School of Health and Nutrition, Shiraz University of Medical Sciences, Shiraz, Iran
- Department of Occupational Health Engineering, School of Health, Tehran University of Medical Sciences, Tehran, Iran
- Department of Occupational Health Engineering, School of Health, Tehran University of Medical Sciences, Tehran, Iran
- Department of Anatomy, School of medicine, Shiraz University of Medical Sciences, Shiraz, Iran
- Department of Biostatistics and Epidemiology, Faculty of Health, Mashhad University of Medical Sciences, Mashhad, Iran
- Research performed at at two selected public hospitals of Tehran, Iran
| | - Jamshid Jamali
- Department of Ergonomics, School of Health and Nutrition, Shiraz University of Medical Sciences, Shiraz, Iran
- Department of Occupational Health Engineering, School of Health, Tehran University of Medical Sciences, Tehran, Iran
- Department of Occupational Health Engineering, School of Health, Tehran University of Medical Sciences, Tehran, Iran
- Department of Anatomy, School of medicine, Shiraz University of Medical Sciences, Shiraz, Iran
- Department of Biostatistics and Epidemiology, Faculty of Health, Mashhad University of Medical Sciences, Mashhad, Iran
- Research performed at at two selected public hospitals of Tehran, Iran
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Garosi E, Mazloumi A, Kalantari R, Vahedi Z, Shirzhiyan Z. Design and ergonomic assessment of an infusion set connector tool used in nursing work. Appl Ergon 2019; 75:91-98. [PMID: 30509542 DOI: 10.1016/j.apergo.2018.09.008] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/24/2017] [Revised: 09/12/2018] [Accepted: 09/12/2018] [Indexed: 06/09/2023]
Abstract
Nursing is a physically demanding job characterized by a high prevalence of fatigue and musculoskeletal disorders. One of the high-exertion and repetitive nursing tasks is the manual connection of an infusion set to a medical fluid bottle. Such physical work can be eased by the design of new hand tools. Correspondingly, this study designed and ergonomically assessed an infusion set connector tool (ISCT) and compared it with that of manual connection. First, a prototype of ISCT was designed to perform infusion set connecting task in the mechanical form. Subsequently, 12 nurses were asked to connect an infusion set to medical bottle in the form of manual and mechanical tasks and these tasks were evaluated using ergonomic indices including muscular activity level, force, posture, and subjective (Borg scale CR10) measures. Results showed that the activity levels (root mean square) of the extensor digitorum communis, flexor carpi radialis, biceps, triceps, and deltoid muscles remarkably decreased when the nurses used the ISCT. The postures of the wrist, arm, and shoulder regions were corrected from Rapid Upper Limb Assessment action level 3 to 2 when the designed tool was used. Additionally, the subjective perception of exertion was significantly lower with the use of the prototype.
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Affiliation(s)
- Ehsan Garosi
- Department of Occupational Health Engineering, School of Public Health, Tehran University of Medical Sciences, Iran
| | - Adel Mazloumi
- Department of Occupational Health Engineering, School of Public Health, Tehran University of Medical Sciences, Iran; Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran.
| | - Reza Kalantari
- Department of Ergonomics, School of Health, Shiraz University of Medical Sciences, Iran
| | - Zahra Vahedi
- Department of Occupational Health Engineering, School of Public Health, Tehran University of Medical Sciences, Iran
| | - Zahra Shirzhiyan
- Department of Biomedical Systems & Medical Physics, Tehran University of Medical Sciences, Iran
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Samadi H, Kalantari R, Mostafavi F, Zanjirani fFarahani A, Bakhshi E. Using the Need for Recovery Scale to Assess Workload in Mine Workers and Its Relationship With Demographics. ACTA ACUST UNITED AC 2017. [DOI: 10.21859/joe-04041] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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12
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Van den Wyngaert T, Duprez P, Marcelis L, Mitine C, Focan C, Kerger J, Geurs F, Kalantari R, Lechat I. 3025 Determinants of pain response in patients (pts) with skeletal metastases receiving zoledronic acid (ZOL). EJC Suppl 2009. [DOI: 10.1016/s1359-6349(09)70624-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Abstract
OBJECTIVE To compare the efficacy and safety of high dose oxytocin in the augmentation of labor. METHOD Two hundred pregnant women requiring augmentation of labor were randomly assigned to receive oxytocin by either a low dose protocol (1.5 microm/min initially, increased by 1.5 microm/min every 30 min) or a high dose protocol (4.5 microm/min initially, increased by 4.5 microm/min every 30 min). RESULTS High dose of oxytocin was associated with a significant shortening of labor 4 (1.10-10) vs. 6 (1-10) h, p<0.0001 without a significant difference in cesarean delivery rate, neonatal and maternal outcome. CONCLUSION The use of high dose oxytocin is associated with significantly shorter labor without any adverse fetal and maternal effects.
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Affiliation(s)
- A Jamal
- OB/GYN Department, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.
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