Green Synthesis of Cerium-Based Metal-Organic Framework (Ce-UiO-66 MOF) for Wastewater Treatment.

Green synthesis of metal-organic frameworks (MOFs) in aqueous solutions under ambient conditions with reduced production costs and environmental effects is an efficient technique to transfer lab-scale production to industrial large scale. Hence, this work proposes a green, low-cost, sustainable, rapid, and innovative synthetic strategy to produce cerium-based (Ce-UiO-66) MOFs under ambient conditions in the presence of water as a green solvent. This synthetic strategy exhibits great potential compared to conventional solvothermal synthetic techniques, and it does not need external activation energy and organic solvents, which can achieve the standards of green chemistry. Ce-UiO-66 MOF was synthesized successfully and utilized as a green adsorbent to efficiently eliminate anionic Congo Red (CR) dye from dye-containing wastewater. The experimental adsorption results were well matched to the pseudo-second-order kinetic and Langmuir isotherm models, in which the maximum CR adsorption capacity was measured to be about 285.71 mg/g. To evidence the applicability of Ce-UiO-66 MOFs in CR adsorption, the CR adsorption reaction was performed in the presence of interfering pollutants [e.g., salts (NaCl, KCl, and MgCl2) and cationic organic dyes (Malachite Green (MG) and Methylene Blue (MB)], where the results prove the promising adsorption performances of Ce-UiO-66 MOFs toward CR dye. Interestingly, the synthesized adsorbent exhibited high structural stability during repeated adsorption-desorption cycles, where the surface area of MOFs decreased from 555 to 376 m2/g after three cycles, while its CR adsorption capacity decreased by only 10% compared to that of the fresh adsorbent. All these outstanding properties indicate that the Ce-UiO-66 MOFs will be an effective adsorbent for water and wastewater treatment applications.

Three-dimensional opto-thermo-mechanical model for predicting photo-thermal optical coherence tomography responses in multilayer geometries.

Photothermal optical coherence tomography (PT-OCT) is a functional extension of OCT with the ability to generate qualitative maps of molecular absorptions co-registered with the micron-resolution structural tomograms of OCT. Obtaining refined insight into chemical information from PT-OCT images, however, requires solid understanding of the multifactorial physics behind generation of PT-OCT signals and their dependence on system and sample parameters. Such understanding is needed to decouple the various physical effects involved in the PT-OCT signal to obtain more accurate insight into sample composition. In this work, we propose an analytical model that considers the opto-thermo-mechanical properties of multi-layered samples in 3-D space, eliminating several assumptions that have been limiting previous PT-OCT models. In parametric studies, the model results are compared with experimental signals to investigate the effect of sample and system parameters on the acquired signals. The proposed model and the presented findings open the door for: 1) better understanding of the effects of system parameters and tissue opto-thermo-mechanical properties on experimental signals; 2) informed optimization of experimentation strategies based on sample and system parameters; 3) guidance of downstream signal processing for predicting tissue molecular composition.

Systematic review of productivity loss among healthcare workers due to Covid-19.

OBJECTIVE: To assess existing evidence on the effects of COVID-19 on healthcare workers (HCWs) using the health-related productivity loss approach. METHODS: A systematic search of online databases including PubMed, Scopus, Ovid, Web of Science, and EMBASE was conducted up to 25 August 2020. Following two screening stages, studies related to the effects of COVID-19 on healthcare workers were included in the study. RESULTS: 82 studies were included in the analysis. The COVID-19 related death rate among HCWs ranged from 0.00-0.7%, while the positive test incidence varied between 0.00 and 24.4%. 39 evidences assessed psychological disorders. A wide range of psychological disorders observed among HCWs: 5.2 to 71.2% in anxiety, 1.00 to 88.3% in stress, 8.27 to 61.67% in insomnia, and 4.5 to 50.4% in depression. CONCLUSIONS: The early evidence suggests that healthcare workers are one of the most vulnerable groups when it comes to positive COVID-19 infection, mortality, and mental illness.

Transient-mode photothermal optical coherence tomography.

Photothermal optical coherence tomography (PT-OCT) is an emerging extension of OCT, which forms images based on both scattering and absorption of light. The speed of PT-OCT, however, has been limited by the necessity for lock-in detection with extensive temporal sampling of the sample's PT response. Here, we demonstrate transient-mode PT-OCT (TM-PT-OCT), which increases the effective A-line rate by orders of magnitude from 10-100 Hz to 1.5-7.5 kHz, by interrogating the sample's transient thermal response to a single diode laser pulse. Functional imaging of moving samples with TM-PT-OCT at video rate is also presented. This significant improvement in imaging speed is expected to open the door for downstream integration of PT-OCT in clinical systems for in vivo imaging.

Genetic evaluation of dystocia and its relationship with productive and reproductive traits in Holstein cows¤ / Evaluación genética de distocia y su relación con las características productivas y reproductivas en vacas Holstein / Avaliação genética de distocia e sua relação com características produtivas e reprodutivas em vacas da raça Holandesa

Abstract: Background: dystocia is one of the most economically significant secondary traits in dairy cows and has adverse effects on the subsequent survival, health, and performance of mothers and offspring. Objective: the aim of this study was to estimate direct and maternal genetic parameters for calving ease (CE) and its relationship with productive and reproductive traits in Iranian Holstein cows. Methods: data from 1991 through 2011 were collected from the Animal Breeding Center of Iran, and contained 132,831 records of CE, 183,203 records of productive traits including 305-d adjusted milk yield (MY305), 305-d adjusted fat yield (FY305) and 305-d adjusted protein yield (PY305), and 129,199 records of reproductive traits including days open (DO), days to first service (DFS) and calving interval (CI). Univariate and bivariate linear animal models were used for the analysis of traits in two different models on which direct genetic effect (model 1) and direct + maternal genetic effects (model 2) using AI-REML algorithm were included. Results: estimated heritabilities for CE in model 1 were 0.02 in univariate and 0.02-0.03 in bivariate analyses. Direct and maternal heritabilities in model 2 were 0.02 and 0.002 for univariate, and 0.03 and 0.0004-0.006 in bivariate analyses, respectively. Genetic correlations between direct effects of CE with MY305, FY305, and PY305 were -0.99, 0.02 and-0.07 in model 1, and -0.2, -0.02 and -0.13 in model 2, respectively. Conclusion: this study suggested that a selection index that includes both direct and maternal effects should be included in CE breeding programs.

Resumen Antecedentes: la distocia es uno de los rasgos secundarios económicamente más significativos en las vacas lecheras y tiene efectos adversos sobre la posterior supervivencia, salud y el rendimiento de las madres e hijos. Objetivo: estimar parámetros genéticos directos y maternos para facilidad de parto (CE) y su relación con las características productivas y reproductivas en vacas Holstein iraníes. Métodos: se recogieron datos desde 1991 hasta 2011 en el Centro de Reproducción Animal de Irán, que contenían 132.831 registros de la CE, 183.203 registros de características productivas, incluyendo 305-d ajustado la producción de leche (MY305), 305-d de rendimiento graso ajustado (FY305) y 305-d de producción de proteína ajustada (PY305), y 129.199 registros de características reproductivas, incluyendo días abiertos (DO), días al primer servicio (DFS) y el intervalo entre partos (CI). Se utilizaron modelos animales lineales univariantes y bivariantes para el análisis de rasgos en dos modelos diferentes en los que se incluyeron el efecto genético directo (modelo 1) y los efectos genéticos maternos directos + (modelo 2) usando el algoritmo AI-REML. Resultados: las heredabilidades estimadas para la CE en el modelo 1 fueron 0,02 en uni y 0,02-0,03 en los análisis bivariados. Las heredabilidades directas y maternas en el modelo 2 fueron 0,02 y 0,002 para univariado, y 0,03 y 0,0004 a 0,006 en el análisis bivariado, respectivamente. Las correlaciones genéticas entre los efectos directos de la CE con MY305, FY305 y PY305 fueron -0,99, 0,02 y -0,07 en el modelo 1 y -0,2, -0,02 y -0,13 en el modelo 2, respectivamente. Conclusión: este estudio sugiere que un índice de selección que incluye tanto los efectos directos y maternos se debe incluir en los programas de mejoramiento de la CE.

Resumo Antecedentes: distocia é uma das características secundárias economicamente mais significativas em vacas leiteiras e tem efeitos adversos sobre a subsequente sobrevivência, saúde e desempenho de mães e filhos. Objetivo: o objetivo deste estudo foi estimar parâmetros genéticos direto e maternos para facilidade de parto (CE) e sua relação com características produtivas e reprodutivas em vacas da raça Holandesa iranianos. Métodos: dados de 1991 a 2011 foram coletados a partir do Centro de Melhoramento Animal do Irã, estes continham 132.831 registros da CE, 183.203 registros de características produtivas, incluindo 305-d rendimento ajustado leite (P305), 305-d produção de gordura ajustada (FY305) e 305-d rendimento ajustado proteína (PY305), e 129.199 registros de características reprodutivas, incluindo jornadas de portas abertas (DO), dias para o primeiro serviço (DFS) e intervalo entre partos (CI). Modelos animais lineares univariados e bivariados foram utilizados para a análise de características em dois modelos diferentes em que foram incluídos efeito genético direto (modelo 1) e efeitos genéticos maternos diretos + (modelo 2) usando o algorítmo AI-REML. Resultados: a herdabilidade estimada para CE no modelo 1 foi 0,02 na análise univariada e 0,02-0,03 na análise bivariada. A herdabilidade direta e materna no modelo 2 foi 0,02 e 0,002 para univariada, e 0,03 e 0,0004-0,006 na bivariada, respectivamente. As correlações genéticas entre os efeitos diretos da CE com P305, FY305 e PY305 foram -0,99, 0,02 e -0,07 no modelo 1 e -0,2, -0,02 e -0,13 no modelo 2, respectivamente. Conclusão: este estudo sugere que um índice de seleção que inclua efeitos diretos e maternos deve ser incluído em programas de melhoramento para CE.

Caustic ingestion in children in south of Iran. Retrospective study from Shiraz - Iran.

Caustic ingestion is a major health concern in both developed and developing countries, that may lead to serious esophageal injury. The clinical presentation of caustic ingestion in children vary from asymptomatic to serious and fatal sequelae, such as perforation and stricture formation. OBJECTIVE: Due to the lack of a comprehensive study in our area, this study has evaluated clinical and endoscopic manifestations and complications of caustic ingestion in children in south of Iran. MATERIALS AND METHODS: In this retrospective study, we reviewed 75 children with caustic ingestion who admitted in Nemazee Hospital of Shiraz University of Medical Science during 6 years (2006-2011). Sign and symptoms were recorded for each case. RESULTS: The most common symptoms were dysphagia, oral lesions, vomiting, and drooling. Esophageal injuries were detected in both acid and alkali ingestion, but gastric injuries was significantly more in acid ingestion. During follow up period, 20% of all cases developed esophageal stricture. CONCLUSION: Dysphagia, oral lesions, vomiting, and drooling were the most common findings.Esophageal stricture was found in 20% of cases during 3 months of follow up.

Caustic ingestion in children in south of Iran: Retrospective study from Shiraz - Iran / Ingestión de cáusticos en niños del sur de Irán: Estudio retrospectivo de Shiraz - Irán

Caustic ingestion is a major health concern in both developed and developing countries, that may lead to serious esophageal injury. The clinical presentation of caustic ingestion in children vary from asymptomatic to serious and fatal sequelae, such as perforation and stricture formation. Objective: Due to the lack of a comprehensive study in our area, this study has evaluated clinical and endoscopic manifestations and complications of caustic ingestion in children in south of Iran. Materials and methods: In this retrospective study, we reviewed 75 children with caustic ingestion who admitted in Nemazee Hospital of Shiraz University of Medical Science during 6 years (2006-2011). Sign and symptoms were recorded for each case. Results: The most common symptoms were dysphagia, oral lesions, vomiting, and drooling. Esophageal injuries were detected in both acid and alkali ingestion, but gastric injuries was significantly more in acid ingestion. During follow up period, 20% of all cases developed esophageal stricture. Conclusion: Dysphagia, oral lesions, vomiting, and drooling were the most common findings. Esophageal stricture was found in 20% of cases during 3 months of follow up.

La ingestión de cáusticos es una gran preocupación de salud tanto en países desarrollados como en vías de desarrollo, que puede llevar a lesiones esofágicas graves. La presentación clínica de la ingestión de cáusticos en niños varía desde asintomática hasta tener secuelas fatales, como perforación y/o estenosis. Objetivo: Debido a la ausencia de estudios en nuestra área, este estudio ha evaluado las manifestaciones clínicas, endoscópicas y las complicaciones de la ingesta de cáusticos en niños en el sur de Irán. Materiales y métodos: En estudio retrospectivo, revisamos 75 niños con ingesta de cáusticos que ingresaron al Nemazee Hospital of Shiraz University of Medical Science durante 6 años (2006-2011). Los signos y síntomas fueron recolectados para cada caso. Resultados: Los síntomas más frecuentes fueron disfagia, lesiones orales, vómitos y salivación. Las lesiones esofágicas se detectaron tanto en ingestión de ácido como de álcali, pero las lesiones gástricas fueron definitivamente más frecuentes con la ingestión de ácidos. Durante el periodo de seguimiento el 20% de los casos desarrolló estrechez esofágica. Conclusión: La disfagia, lesiones orales, vómitos y salivación fueron los hallazgos más comunes. La estrechez esofágica se encontró en el 20% de los casos durante los tres meses de seguimiento de los pacientes.

The relationship between learning style preferences and gender, educational major and status in first year medical students: a survey study from iran.

BACKGROUND: Identifying and employing appropriate learning styles could play an important role in selecting teaching styles in order to improve education. OBJECTIVES: This study aimed to determine the relationship between learning styles preferences and gender, educational major and status in first year students at Isfahan University of Medical Sciences. PATIENTS AND METHODS: A cross-sectional study employing the visual-aural-read/write-kinesthetic (VARK) learning style's questionnaire was done on 184 first year students of medicine, pharmacy, dentistry, nursing and health services management at Isfahan University of Medical Sciences in 2012. The validity of the questionnaire was assessed through experts' views and reliability was calculated using Cronbach's alpha coefficients (α = 0.86). Data were analyzed using the SPSS ver.18 software and x(2) test. RESULTS: Out of 184 participants who responded to and returned the questionnaire, 122 (66.3%) were female; more than two-thirds (68.5%) of the enrolled students were at the professional doctorate level (medicine, pharmacy, dentistry) and 31.5% at the undergraduate level (nursing and health services management). Eighty-nine (48.4%) students preferred a single-modal learning style. In contrast, the remaining 95 students (51.6%) preferred multi-modal learning styles. A significant relationship between gender and single modal learning styles (P = 0.009) and between status and learning styles (P = 0.04) was observed. CONCLUSIONS: According to the results, male students preferred to use the kinesthetic learning style more than females, while, female students preferred the aural learning style. Knowledge about the learning styles of students at educational institutes is valuable and helps solve learning problems among students, and allows students to become better learners.

Distribution of hospital beds in Tehran Province based on Gini coefficient and Lorenz curve from 2010 to 2012.

INTRODUCTION: Fair distribution of hospital beds across various regions is a controversial subject. Resource allocation in health systems rarely has focused on those who need it most and, in addition, is often influenced by political interests. The study assesses the distribution of hospital beds in different regions in Tehran, Iran, during 2010-2012. METHODS: This cross-sectional study was conducted in all regions of Tehran (22 regions) during 2010 to 2012. All hospital beds in these regions are included in the study. Data regarding populations of each region were obtained from the Statistics Center of Iran. According to the data, the total number of beds (N.B) and population (P) in 2010 (N.B=19075, P= 7585000), 2011 (N.B=21632, P= 9860500), and 2012 (N.B=21808, P=12818650). The instrument was a form, including the name of the hospital, the district in which the hospital was located, the number of staffed beds, the name of each region, and its population. Data analysis was performed using DASP software version 2.3. RESULTS: The results demonstrate that the Gini coefficient of distributed beds in 22 regions of Tehran was 0.46 in all three years and specifically calculated 0.4666 in 2010, 0.4658 in 2011 and 0.4652 in 2012. The Gini coefficient of beds in 22 regions of Tehran is not fair in comparison with the population of each region during the years 2010 to 2012. CONCLUSION: The results demonstrate that the distribution of beds in regions in Tehran is not fair in relation to the population of each region-and some regions had no hospitals. Therefore, it is essential for policymakers to frequently monitor this issue and investigate the fair distribution of hospital beds.

Discharge against medical advice: a case study in a public teaching hospital in Tehran, Iran in 2012.

 Discharging against medical advice is to leave the hospital despite the advice of the doctor, which can result in complications and readmissions. This study aimed to examine the prevalence of patients' discharge against medical advice (DAMA) and their reasons in a public teaching hospital in Tehran, Iran in 2012. This was an applied and cross-sectional study in which all patients (2601 patients) who had been discharged against medical advice from the studied hospital in 2012 were studied. Required data were collected using a data collection form. Collected data were analyzed using SPSS 18.0 and descriptive and analytical tests including Frequencies and Fisher's Exact Test. The most and least common reasons for DAMA were, respectively, feeling complete recovery by patients (45.4%) and financial problems (1.3%). The results showed that there were significant differences between DAMA prevalence and patients' sex and age (P<0.001). The prevalence of DAMA in the studied hospital was high and according to the existence of social work units in every hospital, it is recommended that patients' consultation with the hospital social workers should be considered as an obligatory stage of the discharge against medical advice process in order to inform patients about its complications and adverse consequences.

Application of WHO model for evaluating Patient Safety Friendly Hospital Initiatives (PSFHI) in an Eye hospital in Tehran, Iran.

BACKGROUND: Patient safety is one of the major issues concerning the medical community and the World Health Organization (WHO) in most countries. This study aimed to evaluate the patient safety status in an Eye Hospital in Tehran, using the WHO model for Patient Safety Friendly Hospital Initiatives (PSFHI) in 2012. METHODS: This Cross-Sectional study was done in an Eye Hospital in Tehran. Measurement tool was a checklist related to the PSFHI, including 140 standards in three groups of critical, core and developmental. It was covering five domains of: a) Leadership and management, b) Patient and public involvement, c) Safe evidence-based clinical practices, d) Safe environment, and e) Lifelong learning. RESULTS: Compliance with critical, core and developmental standards were 77.78%, 75.29%, and 21.42% respectively. The Rates of Meeting Standards in the leadership and management, patient and public involvement, safe evidence-based clinical practices, secure environment and for lifelong learning were 66.89%, 42.85%, 75.68%, 73.68%, and 63.63% respectively. CONCLUSIONS: The PSFHI standards play important role in improving patient safety using leadership, safety practices and creating good working conditions and environment for the staff. So focus on these standards is essential in improving the patient safety in hospitals in Iran.

Estimation of nursing staff in selected hospitals of ilam and ahvaz provinces, Western iran.

BACKGROUND: The nurses as the largest group among different groups of hospital workforce play a crucial role in success of the hospital activities and promotion of community health. OBJECTIVES: This study aimed to obtain an estimation of the necessary nursing workforce status in educational hospitals affiliated to Ilam and Ahvaz University of Medical Sciences based on the scientific formula. MATERIALS AND METHODS: This research was a cross sectional-descriptive study, which was done in hospitals affiliated to Ilam and Ahvaz University of Medical Sciences during 2010. Using three researcher-made forms, data was collected from all clinical, para-clinical, financial, administrative and support departments of hospitals. Data was analyzed in accordance to the standards of Iran's Ministry of Health and Medical Education using the Excel software. RESULTS: The results showed that the nursing staffs in the 42 wards (89.5 %) were lower than the standards, only one ward (2 %) matched the standards and the rest of the wards (8.5%) were higher than the standards. The organizational dislocation (utilization of nurses in non-related jobs) of nursing staffs obtained for Imam Khomeini of Ilam, Mostafa Khomeini, Taleghani, Razi and Imam Khomeini of Ahvaz Hospitals were 8, 5, 3, 8 and 21, respectively. CONCLUSION: Generally, the studied hospitals were faced with a lack of nursing manpower and distribution of manpower was not appropriate. Proper planning and management of manpower in accordance with the lack of personnel, compensates and achieves the standards required for hospital's nursing manpower and this would lead to an increase in the efficiency of hospitals activities and can provide satisfaction for the nursing staff.

Acute glomerulonephritis: a 7 years follow up of children in center of Iran.

Acute glomerulonephritis (AGN) is a type of renal disease which indicates the inflammation of glomerulus and nephrons. This study was carried on 94 children, <15 years old with the diagnosis of AGN who were admitted to Qom and Yazd's hospitals between 2000 and 2006. Data were collected using hospital records on admission, progression notes and outpatient follow up. Among 94 patients, 55.3% were male and 44.6% were female. Mean age of patients was 8.2±2.7 years old. Acute post streptococcal glomerulonephritis (APSGN) was reported in 92.5%, membranoproliferative glomerulonephritis in 4.2%, hemolytic uremic syndrome in 2.1% and IgA nephropathy in 1.06%. There was no significant differences between GN types and gender (P=0.54). Clinical manifestation included edema in 68.8%, oliguria in 36.3%, gross hematuria in 69.1%, HTN in 61.7% and anuria in 1.06%. Microscopic hematuria was detected in all patients. In the time of follow up none of patients had hypertension, 3.1% had proteinuria and 6.3% had microscopic hematuria. APSGN is the most common causes of AGN in Qom and Yazd's children. Early diagnosis and treatment of APSGN may protect children from long term morbidity and mortality and improve quality of life.