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1.
J Antimicrob Chemother ; 75(11): 3366-3372, 2020 11 01.
Article in English | MEDLINE | ID: mdl-32812051

ABSTRACT

OBJECTIVES: Sofosbuvir and daclatasvir are direct-acting antivirals highly effective against hepatitis C virus. There is some in silico and in vitro evidence that suggests these agents may also be effective against SARS-CoV-2. This trial evaluated the effectiveness of sofosbuvir in combination with daclatasvir in treating patients with COVID-19. METHODS: Patients with a positive nasopharyngeal swab for SARS-CoV-2 on RT-PCR or bilateral multi-lobar ground-glass opacity on their chest CT and signs of severe COVID-19 were included. Subjects were divided into two arms with one arm receiving ribavirin and the other receiving sofosbuvir/daclatasvir. All participants also received the recommended national standard treatment which, at that time, was lopinavir/ritonavir and single-dose hydroxychloroquine. The primary endpoint was time from starting the medication until discharge from hospital with secondary endpoints of duration of ICU stay and mortality. RESULTS: Sixty-two subjects met the inclusion criteria, with 35 enrolled in the sofosbuvir/daclatasvir arm and 27 in the ribavirin arm. The median duration of stay was 5 days for the sofosbuvir/daclatasvir group and 9 days for the ribavirin group. The mortality in the sofosbuvir/daclatasvir group was 2/35 (6%) and 9/27 (33%) for the ribavirin group. The relative risk of death for patients treated with sofosbuvir/daclatasvir was 0.17 (95% CI 0.04-0.73, P = 0.02) and the number needed to treat for benefit was 3.6 (95% CI 2.1-12.1, P < 0.01). CONCLUSIONS: Given these encouraging initial results, and the current lack of treatments proven to decrease mortality in COVID-19, further investigation in larger-scale trials seems warranted.


Subject(s)
Antiviral Agents/administration & dosage , Betacoronavirus , Coronavirus Infections/drug therapy , Imidazoles/administration & dosage , Pneumonia, Viral/drug therapy , Ribavirin/administration & dosage , Sofosbuvir/administration & dosage , Adult , Aged , COVID-19 , Carbamates , Coronavirus Infections/mortality , Drug Therapy, Combination , Female , Humans , Male , Middle Aged , Pandemics , Pneumonia, Viral/mortality , Pyrrolidines , SARS-CoV-2 , Treatment Outcome , Valine/analogs & derivatives
2.
J Educ Health Promot ; 13: 103, 2024.
Article in English | MEDLINE | ID: mdl-38726090

ABSTRACT

BACKGROUND: Coronavirus disease (COVID-19) pandemic caused the closure of many face-to-face classes in Iran's universities of medical sciences, so e-learning was adopted as the alternative method. This study aims to examine the medical students' perspectives on e-learning continuance intention. MATERIALS AND METHODS: In this quantitative study, the population included 1,453 students and the statistical sample size was determined to be 305 students using the Cochran formula. The participants were selected using stratified sampling method based on the field of study and the data were collected by e-learning evaluation questionnaire. The data were analyzed using SPSS 26.0 in addition to descriptive statistics. RESULTS: The results showed the mean perceived autonomy, perceived competence, and communication in e-learning, intrinsic motivation, information quality, e-learning applicability and students' satisfaction with e-learning courses were 2.61, 2.81, 2.91, 3.03, 2.98, 2.92, and 3.31, respectively. There was no significant correlation between the competence and applicability, user satisfaction and e-learning continuance intention. Moreover, e-learning continuance intention had the highest correlation with students' satisfaction (0.787) and information applicability (0.784), respectively. CONCLUSION: Medical students had a tendency to continue e-learning, even after controlling the COVID-19 outbreak, and health education policymakers can be of use in this opportunity to developing educational services.

4.
Data Brief ; 16: 817-821, 2018 Feb.
Article in English | MEDLINE | ID: mdl-29379853

ABSTRACT

The present work examined data obtained during the analysis of Hearing Reduction (HR) of Abadan Petroleum Refinery (Abadan PR) workers of Iran with a history of disease and injuries. To this end, all workers in the refinery were chosen. In this research, the effects of history of disease and injury including trauma, electric shock, meningitis-typhoid disease and genetic illness as well as contact with lead, mercury, CO2 and alcohol consumption were evaluated (Lie, et al., 2016) [1]. After the completion of the questionnaires by workers, the coded data were fed into EXCELL. Statistical analysis of data was carried out, using SPSS 16.

5.
Data Brief ; 14: 15-19, 2017 Oct.
Article in English | MEDLINE | ID: mdl-28761912

ABSTRACT

The present work contains data obtained during the analysis of pregnant women referred to Abadan Health Centers Organization (Abadan HCO) with confirmed acute hypothyroidism diagnosis. From among all pregnant women referred to Abadan HCO, 600 were chosen consisting of 120 pregnant women from each of the health centers in quintuple areas. In this paper, the effects of family history, occupation, death, abortion, type of diabetes, smoking, lithium consumption, allergy, radiotherapy, ovarian cysts (OC) and oral contraceptive pills (OCP) consumption have been studied (Yassaee et al., 2014) [1]. After completion of the questionnaires by the patients, the obtained coded data were fed into ECSELL software. Statistical analysis of the data was carried out using Special Package for Social Sciences version 16 (SPSS 16).

6.
Data Brief ; 15: 155-159, 2017 Dec.
Article in English | MEDLINE | ID: mdl-29159211

ABSTRACT

The aim of this study was to identify the relationship between the knowledge of leadership and knowledge management practices. This research strategy, in terms of quantity, procedure and obtain information, is descriptive and correlational. Statistical population, consist of all employees of a food industry in Kurdistan province of Iran, who were engaged in 2016 and their total number is about 1800 people. 316 employees in the Kurdistan food industry (Kurdistan FI) were selected, using Cochran formula. Non-random method and valid questions (standard) for measurement of the data are used. Reliability and validity were confirmed. Statistical analysis of the data was carried out, using SPSS 16. The statistical analysis of collected data showed the relationship between knowledge-oriented of leadership and knowledge management activities as mediator variables. The results of the data and test hypotheses suggest that knowledge management activities play an important role in the functioning of product innovation and the results showed that the activities of Knowledge Management (knowledge transfer, storage knowledge, application of knowledge, creation of knowledge) on performance of product innovation.

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