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در نشریات گروه پزشکی
  • امیر زال پور، احسان گرایی، محمدرضا هاشمیان، فیروزه زارع فراشبندی*
    مقدمه

    اختلالات اطلاعاتی پیامد توسعه ی جوامع شبکه ای است. این مطالعه با هدف شناسایی پیامدهای انتشار اختلالات اطلاعاتی سلامت و راهکارهای مقابله با آن انجام شده است.

    روش ها

    این پژوهش کیفی با رویکرد تحلیل محتوای قراردادی انجام شد. داده ها به کمک مصاحبه های نیمه ساختاریافته با 26 شرکت کننده شامل متخصصان سلامت، کتابداری و اطلاع رسانی پزشکی، بیماران و اصحاب رسانه و به شیوه نمونه گیری هدفمند گردآوری شد. اطمینان از صحت داده ها با روش تکنیک سه گانگی شامل استفاده از منابع و روش های چندگانه در استخراج داده ها، مصاحبه با گروه های مختلف، یادآورها و یادداشت های دامنه به منظور تایید و تصدیق مفاهیم انجام شد.

    یافته ها

    پیامدها، روش های تشخیص و راهکارهای مقابله با اختلالات اطلاعاتی را می توان در چهار طبقه اصلی شامل فرستنده، پیام (محتوا)، کانال و گیرنده جای داد. طبقات فرعی پیامدها شامل مواردی چون عموم مردم، متخصین، مسائل اطلاعاتی، مسائل محتوایی، رسانه، مسائل انتشار، واکنش به اطلاعات، مسائل فردی و مسائل اجتماعی بود. طبقات فرعی روش های تشخیص نیز شامل مواردی چون عموم مردم، متخصصین، مسائل اطلاعاتی و محتوایی، صحت سنجی و ارزیابی، مسائل فنی و استفاده از فناوری بودند. همچنین، طبقات فرعی روش های مقابله شامل سواد و دانش، صحت سنجی و ارزیابی، مسائل روانشناختی، مسائل اطلاعاتی و محتوایی، رسانه، مسائل انتشار، همکاری بین حرفه ای و مسائل فناوری بودند.

    نتیجه گیری

    نتایج این پژوهش به درک عمیق تر پیامدهای اختلالات اطلاعاتی در حوزه سلامت کمک می کند و راهکارهای عملی برای تشخیص و مقابله با آن ارائه می دهد که می تواند به تصمیم گیری های سیاستگذاران حوزه سلامت و رسانه ها برای انتشار اطلاعات موثق سلامت، به ویژه در زمان بحران های سلامت مانند همه گیری ها یاری رساند.

    کلید واژگان: اختلالات اطلاعاتی سلامت، اطلاعات نادرست، اطلاعات فریبنده، بداطلاعات، پیامدها، راهکارها، تشخیص
    Amir Zalpour, Ehsan Geraei, Mohammadreza Hashemian, Firoozeh Zare-Farashbandi*
    Introduction

    Information disorders arise as a consequence of the evolution of networked societies. This study aims to identify the consequences of spreading health information disorders and to explore strategies for addressing these issues.

    Methods

    This qualitative research employed a conventional content analysis approach. Data were collected through semi-structured interviews with 26 participants, including health specialists, librarian and medical information specialists, patients and media representatives, utilizing purposive sampling. Accuracy and robustness of the data were ensured through triangulation methods, including the use of multiple sources and methods in data extraction, interviews with diverse groups, reminders and domain notes to confirm the concepts.

    Results

    The consequences, detection methods, and solutions for addressing information disorders can be categorized in four main categories including sender, message (content), channel and receiver. The subcategories of outcomes included the general public, specialists, information-related issues, content-related issues, media, dissemination issues, responses to information, individual issues, and social issues. The subcategories of detection methods included the general public, specialists, information and content issues, validation and evaluation, technical issues, and technology use. The subclasses of solutions consisted of literacy and knowledge, verification and evaluation, psychological aspects, information and content issues, media, publication issues, interprofessional cooperation, and technology considerations.

    Conclusion

    The results of this research enhance the understanding of the consequences of health information disorders and provide practical solutions for diagnosing and addressing these issues thereby improving health decision-making process.

    Keywords: Health Information Disorders, Misinformation, Disinformation, Malinformation, Detection, Consequences, Solutions
  • Milkessa Jagemma *, Hailu Worku
    Background
    This study sought to determine the spatial distribution of heavy metal concentrations in water, soil, and vegetables that were irrigated with industrial wastewater in Ethiopia’s Oromia Special Zone. We aimed to make recommendations for corrective actions that would reduce the negative environmental effects of untreated waste.
    Methods
    Five sampling sites were meticulously chosen within the Sululta, Laga Tafo Laga Dadi, Galan, Sabata, and Burayu regions, taking into account the varying stressors across the upper stream, middle stream, and downstream segments of the rivers. These sampling sites were strategically selected to capture a comprehensive understanding of heavy metal aggregation within the area. The sampling encompassed the collection and analysis of 25 water and wastewater samples, 13 soil samples, and 8 vegetable samples. The distribution of sampling efforts was tailored to reflect the availability of irrigation sites within the respective areas, resulting in a harmonized amalgamation of 5, 3, and 1 samples for water and wastewater, soil, and vegetable matrices, respectively.
    Results
    The lettuce in the Gelan area had the greatest quantity of lead, suggesting higher cancer risk. The sites of Gelan and Burayu had significant levels of chromium contamination in their lettuce, followed by their cabbage, according to the WHO/FAO and USEPA. As a result, those who eat vegetables that have high levels of heavy metal contamination may be at risk for developing cancer.
    Conclusion
    The concerned institutions and stakeholders must work to mitigate the high concentration of heavy metals in water, soil, and vegetables by the installation of treatment plant.
    Keywords: Bioaccumulation, Carcinogenic, Detection, Heavy Metal, Pollution
  • Hosnie Hoseini*, A. Sarani, Sh. Shahraki, I. Shahraki

    One of the factors that is widely scattered in nature and causes contamination of food sources in humans and animals is aflatoxin-producing fungi, which can have dangerous effects on the consumer. It seems that aflatoxins produced by Aspergillus species are very dangerous and toxic and cause severe food contamination and high carcinogenic power. It seems that even a low concentration of aflatoxin has dangerous side effects, so the identification and quantification of this toxin in food and feed can have a high degree of sensitivity. In this field, there are strong methods for identification and quantification, which necessitates the development of aflatoxin research. The existence of appropriate methods for quantifying these poisons, accurate diagnosis and control can ensure the health of consumers and prevent the occurrence of dangers and side effects of poisons. There are various laboratory methods such as chromatography for the detection of aflatoxins. in this study, we will compare the analytical and analytical methods of aflatoxin determination, which can be effective in deciding to choose the right method with the appropriate sensitivity level for the qualitative and quantitative analysis of aflatoxin identification in food.

    Keywords: Aflatoxins, Extraction, Clean-Up, Analysis, Detection
  • مهدی رشدی ملکی*، مریم ضیائی نافچی
    زمینه

    جنس مایکوباکتریوم شامل بیش از 160 گونه است،که برخی از آنها برای انسان بیماریزا هستند. انواع بیماری ها، از جمله بیماری های ریوی، عفونت های پوست و بافت نرم، لنفادنیت و بیماری های منتشره، توسط مایکوباکتریوم ها ایجاد می شوند. تشخیص دقیق گونه ها در درمان صحیح بیماری های ناشی از مایکوباکتریوم ها از اهمیت بالایی برخوردار است. متداول ترین روش های مورد استفاده برای تشخیص مایکوباکتریوم ها شامل علایم بالینی و آزمایش نمونه ها، روش های میکروسکوپی، سرولوژی، رادیولوژی، آزمون های بیوشیمیایی، کشت، تکنیک های برپایه تقویت اسیدهای نوکلییک (NAATs) از جمله PCR، تکثیر و توالی یابی ژن ها و غیره می باشد. دراین مقاله مروری، پیشرفت های اخیر در آزمایش های مولکولی برای تشخیص سل و سایر بیماری های مایکوباکتریایی را با در نظر گرفتن حساسیت و ویژگی آنها مورد بررسی قرار می دهیم.

    کلید واژگان: تشخیص، مایکوباکتریوم، روش های مولکولی
    Mehdi Roshi Maleki*, Maryam Ziaei Nafchi
    Background

    The genus mycobacterium comprises more than 160 species, some of which are pathogenic to humans. A variety of diseases, including pulmonary disease, skin and soft tissue infections, lymphadenitis, and disseminated disease, are caused by mycobacteria. Accurate detection of species is of great importance in the correct treatment of diseases caused by mycobacteria. The most commonly used methods for the diagnosis of mycobacteria include clinical symptoms and testing samples, microscopic methods, serology, radiology, biochemical tests, culture, nucleic acid amplification techniques (NAATs) including PCR, gene amplification and sequencing, etc. Here, we review recent advances in molecular tests for the detection of tuberculosis and other mycobacterial diseases, considering their sensitivity and specificity.

    Keywords: Detection, Mycobacteria, Molecular methods
  • محسن رضائیان*

    تجمع خودکشی به جمع آمدگی یا گردآمدگی دو مورد یا موارد بیشتر از خودکشی اطلاق می گردد که این موارد از نظر زمان و مکان آن قدر به هم نزدیک هستند که نمی توانند به صورت تصادفی رخ داده باشند. رخداد تجمع خودکشی به ویژه اگر در نوجوانان و جوانان یک منطقه رخ دهد، می تواند نظام بهداشتی را با چالش های فراوانی مواجه نماید. همچنین، عدم شناسایی به موقع و نداشتن برنامه مقابله ای موثر با هر تجمع خودکشی، باعث بدبینی و عدم اعتماد مردم جامعه به مسیولان محلی و منطقه ای می گردد. در سال های اخیر، مواردی از تجمع خودکشی در ایران و جهان گزارش شده است که متاسفانه تبعات گوناگون و ناخواسته ای به همراه داشته است. از این رو، مقاله حاضر به دنبال پاسخ گویی به دو سوال مهم است: اول این که، چطور می توان یک تجمع واقعی خودکشی را در کوتاه ترین زمان ممکن تشخیص داد؟ دوم این که، چطور می‏توان یک برنامه مقابله ای موثر با تجمع خودکشی را طراحی، اجرا و ارزشیابی نمود؟

    کلید واژگان: تجمع خودکشی، شناسایی، مقابله، ارزشیابی
    Mohsen Rezaeian*

    The suicide cluster refers to the gathering of two or more cases of suicide that are so close in terms of time and place that they cannot have happened by chance. The occurrence of suicide cluster, especially if it occurs among teenagers and young people of an area can bring about many challenges to the health system. In addition, lack of timely identification and an effective plan to deal with suicide clusters can lead to pessimism and distrust in people towards the local and regional authorities. In recent years, there have been some reports of suicide clusters in Iran and around the world, which unfortunately has brought various unwanted consequences. Therefore, this article seeks to answer two important questions: First, how it would be possible to detect a real suicide cluster in the shortest possible time? Second, how it would be possible to design, implement, and evaluate an effective program to deal with a suicide cluster?

    Keywords: Suicide cluster, Detection, Confrontation, Evaluation
  • Mohammad Shoushtari, Mehdi Zeinoddini *, Javad Fathi, Hani Keshavarz Alikhani, Fatemeh Shiekhi
    Background

    SARS-CoV-2 as the cause of novel coronavirus disease (COVID-19) is a member of the family Coronaviridea that has generated an emerging global health concern. Controlling and preventing the spread of the disease requires a simple, portable, and rapid diagnostic method. Today, a standard method for detecting SARS-CoV-2 is quantitative real-time reverse transcription PCR, which is time-consuming and needs an advanced device. The aim of this study was to evaluate a faster and more cost-effective field-based testing method at the point of risk. We utilized a one-step RT-LAMP assay and developed, for the first time, a simple and rapid screening detection assay targeting the Envelope (E) gene, using specific primers.

    Methods

    For this, the total RNA was extracted from respiratory samples of COVID-19 infected patients and applied to one-step a RT-LAMP reaction. The LAMP products were visualized using green fluorescence (SYBR Green I). Sensitivity testing was conducted using different concentrations of the designed recombinant plasmid (TA-E) as positive control constructs. Additionally, selectivity testing was performed using the influenza H1N1 genome. Finally, the results were compared using with conventional real time RT-PCR.

    Results

    It was shown that the RT-LAMP assay has a sensitivity of approximately 15 ng for the E gene of SARS-CoV-2 when using extracted total RNA. Additionally, a sensitivity of 112 pg was achieved when using an artificially prepared TA-E plasmid. Accordingly, for the detection of SARS-CoV-2 infection, the RT-LAMP had high sensitivity and specificity and also could be an alternative method for real-time RT-PCR.

    Conclusion

    Overall, this method can be used as a portable, rapid, and easy method for detecting SARS-CoV-2 in the field and clinical laboratories.

    Keywords: COVID-19, Detection, LAMP Assay, Real time PCR, SARS-CoV-2
  • Alaleh Valiallahi*, Mehdi Zeinoddini, Shirin Jalili
    Background

     E. coli O157:H7-related food poisoning is one of the most well-known causes of bloody diarrhea illness around the world. Therefore, devising a rapid, highly sensitive, and convenient detection technique for this species is crucial. In this work, we optimized a colorimetric Loop-mediated isothermal amplification (LAMP) for detecting the intimin gene from E. coli O157:H7.

    Methods

      In this study, eae (intimin), one of the virulence factors of E. coli O157:H7, was selected as the target gene, and specific primers were designed for the sequence of this gene using the Primer Explorer V5 software. The LAMP reaction was optimized with three variable factors of MgSO4 concentration, temperature, and incubation time, in a traditional (separate) way and by Taguchi experimental design. Finally, the LAMP products were visualized by 2% agarose gel electrophoresis stained with ethidium bromide or green fluorescence (SYBR green I) and the pink fluorescence (KBC power load), which can be observed using the naked eye. 

    Results

     The LAMP reaction was optimized at 63°C and 8 mM MgSO4 for 40 min. Also, the naked eye can readily visualize the LAMP products within 40 minutes and have a detection limit of 3.2×104 CFU/mL according to 0.38 fg from the genome. Designed primers based on the gene sequence proved their specificity by testing 4 species of other common foodborne pathogenic microorganisms. 

    Conclusion

     The rapid, sensitive, one-step-visually developed LAMP assay could be of interest for screening functions in food analytical laboratories without special equipment or trained personnel.

    Keywords: Colorimetric LAMP assay, Food poisoning, E. coli O157:H7, Detection, Optimization
  • محمدابراهیم مینایی*، سید محمدجواد رئیس السادات
    زمینه و هدف

    هدف از این مطالعه، بررسی کاربرد روش LIBS (طیف سنجی تخلیه القای لیزری) برای تشخیص عوامل بیولوژیک در تهدیدات بیوتروریستی است. شناسایی از راه دور و در لحظه (زمان واقعی) عوامل بیولوژیکی هم اکنون یکی از نیازهای کلیدی ابعاد دفاعی و امنیتی در جهان است.

    روش ها

    در این تحقیق، از روش توصیفی و تحلیلی استفاده شده که پس از جمع آوری مطالعات کتابخانه ای و جستجوی اینترنتی، نتایج مورد تجزیه و تحلیل قرار گرفته است.

    یافته ها

    روش LIBS بر اساس طیف سنجی پلاسمای القا شده توسط لیزر می تواند منجر به تعیین مقدار عناصر مختلف در میکروارگانیسم ها شود. در این روش، در محل تمرکز لیزر مقدار کمی از ماده سطح هدف تبخیر و بر اثر برخوردهای متوالی مولکول ها در فاز بخار، پیوندهای مولکولی آن ها شکسته می شود که اتم و یون های برانگیخته شده، پلاسمای القای لیزری را بوجود می آورند.

    نتیجه گیری

    آشکارسازی تهدیدات بیوتروریستی با ابزاری سبک و ساده که در لحظه و با فاصله بتواند عامل بیولوژیک را تشخیص دهد، بسیار اهمیت دارد. با توجه به نتایج حاصل از گزارشات محققان، مشخص می شود که روش LIBS جهت تشخیص تهدیدات بیوتروریستی کاربرد دارد و استفاده از آن برای آشکارسازی عوامل بیولوژیک به سرعت در حال توسعه است.

    کلید واژگان: آشکارسازی، بیوتروریسم، روش طیف سنجی تخلیه القایی لیزری
    Mohammadebrahim Minaei *, Seyyed Mohammadjavad Raissadat
    Background and Aim

    The aim of this study was the evaluate using of techniques LIBS (laser-induced breakdown spectroscopy) to detect biological agents in bioterrorism threat. Remote and real-time identification of biological agents is now one of the key needs for defense and security dimensions in the world.

    Methods

    In this study, has been used a descriptive method that after collecting the literature and the internet search.

    Results

    LIBS technique based on laser-induced plasma spectroscopy can lead to determining of amount various elements in the microorganisms. In this method, in place of laser focus was evaporate a small amount of the target surface and on the impacts of successive molecules in the vapor phase, was break the molecular bonds which the atoms and ions excited were create laser induced plasmas.

    Conclusion

    Detection of bioterrorism threats by means of light and simple at the online and distant is very important. According to the results of the research showed that LIBS technique is used to detect bioterrorism threats and its utilizations is being rapidly developed for the detection of biological agents.

    Keywords: Detection, Bioterrorism, Laser Induced Break Down Spectroscopy
  • Parisa Sadighara, Sara Mohamadi, Namra Irshad, Melina Sadighara, Reyhaneh Ramezankhani

    Food is the most unavoidable substance for contamination. It can be contaminated naturally and unintentionally by toxins. Some of these food contaminants contain nephrotoxins. For this purpose, a narrative review study was performed to identify the types of nephrotoxin found in food. This study was performed with the keywords; nephrotoxin, contamination, pollution, and food. The nephrotoxic toxins consist mainly of three categories of toxins; mycotoxins, heavy metals, and Aristolochic acids. About 70% of the selected studies investigated ochratoxin A (OTA). Evaluation of OTA contamination in baby food and infant formula should be considered. We can mention nickel, lead, and cadmium from the category of nephrotoxic heavy metals in food. Also, from compounds with radionucleotide activity, contamination with uranium was observed. Onions and carrots can be good biomarkers for contaminating an area with Aristolochic acids. Some of the nephrotoxins occurred more than permissible levels. Given that the kidneys are a vital organ of the body, human biomonitoring of nephrotoxins is recommended in countries where food is over the permissible level.

    Keywords: Nephrotoxin, Food, Contamination, Detection, Mycotoxin
  • Majid Ebnalnassir, Arash Ghalyanchi Langeroudi*, Hamideh Najafi, Hossein Hosseini, Zahra Ziafati Kafi, Naser Sadri, Pouria Motamed Chaboki, Behrooz Asadi, Shabnam Aghajantabar, Soroush Sarmadi, Nastaran Zeirani

    We detected a novel strain of picornavirus from dead backyard ducks from Gilan province, In Iran. This new isolated was demonstrated a genome like picornavirus design, specifically Aalivirus (Avihepatovirus/Avisivirus-like virus). Usually, Aalivirus were observed in domestic ducks, turkey and chickens. Ten pooled feces samples were collected from samples. We implemented partial genome sequencing of VP1 gene. We nominated the new strain as duck Aalivirus isolate UT-Ebrahimi. Based on our investigation with phylogenetic tree, we considered this strain is a member of the Aalivirus genus of picornavirus. In this study, we demonstrated that the UT-Ebrahimi is 96.23 % similar to Pacific_black_duck_megrivirus_(MK204391.1).

    Keywords: DHAV, picornavirus, duck, detection, Iran
  • سید محمد سعید غیاثی، نرگس یداللهی موحد، داود اسماعیلی*
    زمینه و اهداف

      این مطالعه با هدف تکثیر اسید نوکلئیک ایزوترمال برای شناسایی کووید-19 انجام شد.

    مواد و روش کار

      در این مطالعه 200 نمونه نازوفارنکس و اوروفارنکس از بیمارستان قلب جماران تهران جمع آوری شد. کووید-19 توسط LAMP-RT PCR و Real-Time RT-PCR مورد بررسی قرار گرفت. نمونه ها هم با کیت استخراج RNA پیشتاز و هم نمونه مستقیم بررسی شدند، اما نمونه های Real-Time RT-PCR تنها با استخراج RNA مورد آزمایش قرار گرفتند. مخلوط پروب-پرایمر این کیت با یک روش ژن هدف دوگانه طراحی شده است که به طور همزمان توالی های ژنومی ناحیه اسپایک و نوکلئوکپسید N را مورد هدف قرار می دهد. فلورسانس توسط Real-Time RT-PCR و LAMP-RT PCR اندازه گیری شد.

    یافته ها

      از این 200 نمونه، 112 نمونه بالینی توسط Real-Time RT-PCR مثبت گزارش شدند که میانگین Ct کمتر از 30 مثبت و 88 نمونه منفی بود. در واکنش RT-LAMP نمونه های استخراج RNA ژنومی، 104 نمونه بالینی مثبت بودند. تکنیک RT-LAMP حساسیت 92.8 درصد را نشان داد. روش RT-LAMP بدون استخراج RNA دارای حساسیت 85.7 درصد بود.

    نتیجه گیری

      تکنیک LAMP به عنوان یک جایگزین مناسب برای روش Real-Time RT-PCR در حال ظهور است. این تکنیک دارای مزایای اساسی مانند دارا بودن دمای ثابت، حذف سیکل حرارتی، نتایج آزمایش سریعتر و ظرفیت تشخیص بالقوه بیشتر است، در حالی که با داشتن همان حساسیت و ویژگی تقریبا RT-PCR از این نظر، برای بیماری های همه گیر مناسب است.

    کلید واژگان: سریع، تشخیص، SARS-CoV-2، RT-LAMP، RT-PCR Real-Time-، مقایسه
    Seyyed Mohammad Saeed Ghiasi, Narges Yadollahi Movahed, Davoud Esmaeili*
    Background and Aim

     Rapid antigen and antibody, serological tests, and RT ‑ PCR-based molecular methods are widely used to detect microorganisms worldwide. This study aimed to detect the covid-19 using Isothermal nucleic acid amplification techniques.

    Materials and Methods

     In this study, we collected 200 samples of nasopharynx and oropharynx from Jamaran Heart Hospital in Tehran. Covid -19 was examined by LAMP-RT PCR and Real-Time RT- PCR techniques. The nasopharynx and oropharynx nucleic acids were extracted both by pishtaz RNA extraction kit. LAMP-RT-PCR was performed on direct samples, while Real-Time RT-PCR samples were tested only using RNA extraction samples. The probe-primer mixture of this kit was designed using a dual-target gene method that simultaneously targets the genomic sequences of the spike region and N nucleocapsid. Fluorescence was measured using Real-Time RT-PCR and LAMP-RT PCR.

    Results

    Clinical specimens (56%) were positive using Real-Time RT-PCR technique, with mean Ct values less than 30. Clinical samples (52%) were positive for Covid-19 in the RT-LAMP technique of RNA extraction samples. RT-LAMP technique indicated a sensitivity of 92.8%. Also in the RT-LAMP method without RNA extraction, the sensitivity of the technique was 85.7%.

    Conclusion

     The LAMP-RT PCR technique is emerging as an appropriate alternative to the Real-Time RT-PCR method. This technique has basic advantages, such as constant temperature amplification, thermal cycle elimination, faster results, and potentially greater detection capacity. Therefore, the RT-LAMP-PCR can be used as a quick and cost-effective technique that can be employed in all areas.

    Keywords: Rapid, Detection, SARS-CoV-2, RT-LAMP-PCR, Real-time RT-PCR
  • Fatemeh Sheikhi, Mehdi Zeinoddini *, Shirin Jalili
    Introduction
    Bacterial food poisoning is considered a global concern in terms of economical and human health. Staphylococcus aureus produces low molecular weight extracellular toxins. These enterotoxins (SEs) are similar in structure and bioactivity. Today, there are several methods to detect SE genes. Nevertheless, culture-based and immunological methods are simple and cheaper than molecular techniques, they are time-consuming, with low sensitivity and specificity. In this field, loop-mediated isothermal amplification (LAMP) is a fast and simple method for gene amplification. The aim of this work was to optimize the LAMP reaction using the Taguchi method.
    Materials and Methods
    For this, in order to improve and accelerate the LAMP diagnostic process, essential factors for the identification of enterotoxin, including MgSO4 concentration, time, and temperature reaction were optimized separately and using Taguchi experimental design.
    Results
    The results showed that 57 µg/ml of S. aureus genome as template is suitable for the replication, and in optimization of LAMP assay in separate condition the best replication rate was observed at 6 mM MgSO4, 45 min, and 65 °C. Whereas using Taguchi methods, the optimum condition was at 8 mM MgSO4, 60 min and 65 °C.
    Conclusions
    The one-step-visual developed LAMP assay with the optimum conditions could be of interest for screening functions in food analytical laboratories, and a portable detection method could be used to design a suitable identification kit for S. aureus without the need for special equipment or trained personnel.
    Keywords: Food poisoning, Staphylococcus Aureus, Enterotoxin, Detection, optimization
  • Sepideh Amiri, Mina Akbarabadi, Shahnaz Rimaz, _ Fatemeh Abdolali, Reza Ahadi, Mohsen Afshani, Zahra Alaei Askarabad, Tahereh Kowsarirad, Sohrab Sakinehpour, Nazila Ayvazzadeh, Susan Cheraghi *
    Purpose

    Diagnosis of musculoskeletal abnormalities is critical because of the large number of people affected by these disorders worldwide. The recent advances in deep learning techniques show that convolutional neural networks can be a useful tool for the computer-aided detection of radiographic abnormalities. This study focuses on diagnosing musculoskeletal abnormalities in the lower extremities using X-Ray images by deep architecture neural networks.

    Materials and Methods

    The dataset contains 61,098 musculoskeletal radiographic images, including 42,658 normal and 18,440 abnormal images. Each image belongs to a single type of lower extremity radiography, including the toe, foot, ankle, leg, knee, femur, and hip joints, which were prepared with standard projection without artifacts and with high quality. A novel deep neural network architecture is proposed with two different scenarios that perform the lower extremity lesion diagnosis functions with high accuracy. The foundation of the proposed method is a deep learning framework based on the Mask Regional Convolutional Neural Network (R-CNN) and Convolutional Neural Network (CNN). The model with the best results incorporated the Mask R-CNN algorithm to produce the bounding box, followed by the CNN algorithm to detect the class based on that.

    Results

    The proposed model can identify different types of lower limb lesions by an Area Under the Curve (AUC) of the Receiver Operating Characteristics (ROC) curve 0.925 with an operating point of 0.859 of sensitivity and a specificity of 0.893.

    Conclusion

    The results indicated that the consecutive implementation of Mask R-CNN and CNN has a higher efficiency than Mask R-CNN and CNN separately in lesion detection of lower limb X-ray images.

    Keywords: X-Ray, Lower Limb, Deep Learning, Detection, Mask Regional Convolutional Neural Network
  • Mohammad Raiszadeh, MohamadAli Khosravi, Hadis Fathizadeh, Morteza Khodaparast, Seyyed MohammadSaeed Ghiasi, Davoud Esmaeili *
    Background

     Broad-spectrum antibiotic resistance genes are one of the most common developing resistance genes worldwide. Accordingly, it is of paramount importance to study the extended-spectrum beta-lactamase genes to report them to physicians to select the most appropriate treatment.

    Objectives

     This study aimed to detect three genes of ESBL such as TEM, AmpC, and KPC simultaneously.

    Methods

     Primers were designed for ESBL genes such as TEM, AmpC, and KPC with Genscript software. In this study, control-positive genes were used for the PCR set-up. Fifty isolates of Escherichia coli isolated in the Baqiyatallah Hospital were confirmed and checked by Multiplex PCR.

    Results

     This study revealed that TEM, AmpC, and KPC primers could detect positive control genes. The sensitivity and specificity of the multiplex PCR technique for these genes were 0.001 ng and 100%, respectively.

    Conclusions

     This study revealed that a Multiplex PCR with a sensitivity of 0.001 ng and 100% specificity can detect ESBL genes precisely. Accordingly, the rapid and precise detection of the antibiotic resistance genes and the recommendation of an appropriate treatment pattern can decrease the distribution of antibiotic resistance occurrence and economic cost.

    Keywords: Multiplex PCR, Detection, Antibiotic, Resistance, ESBL
  • Hasibe Bahadır *, Çiğdem Çelik
    Background
    The International Caries Detection and Assessment System (ICDAS) was developed to integrate several criteria systems into one standard system for caries detection and assessment. The aim of this study was to identify Turkish dental practitioners’ perceptions and experience about ICDAS II and assess how they could affect clinical decision-making.
    Methods
    A web-based data collection form, including demographic characteristics, experience of caries detection systems, and two different clinical images with caries and treatment options, was given to Turkish dental practitioners. Data were analyzed with the chi-square test and logistic regression using SPSS 22.0 software (IBM, Chicago, IL) at a significance level of P < 0.05.
    Results
    Data collection forms were completed by 382 general dental practitioners. For the first clinical scenario 70.7% of the practitioners decided that no treatment was required. For the second clinical scenario 89.5% of the practitioners decided to perform tooth restoration. Considering the clinical scenario 2 treatment options, while practitioners working in the public hospital marked amalgam restoration at a higher rate, practitioners working in private clinics marked composite resin restoration and root canal treatment at a higher rate (P < 0.05). With regard to effects on treatment choices for clinical scenarios, binary logistic regression analysis found no significant effects of gender, age, or institution (P > 0.05).
    Conclusion
    The visual caries detection system, ICDAS II, was a useful tool in standardizing caries diagnostic skills for practitioners and improving decision-making abilities on caries treatment.
    Keywords: Assessment, Clinical decision-making, Dental Caries, Detection, Dental practice management
  • Kioomars Saliminejad, Habibollah Mahmoodzadeh, Shahrzad Soleymani Fard, Marjan Yaghmaei, Hamid Reza Khorram Khorshid, Seyed Asadollah Mousavi, Mohammad Vaezi, Seyed Hamidollah Ghaffari*
    Background

     The high mortality rate of Gastric Cancer (GC) is a consequence of delayed diagnosis. The early diagnosis of GC could increase the five-year survival rate among patients. We aimed to find a panel of microRNAs (miRNA) for the detection of GC in the early stages.

    Methods

     In this case-control study, we selected consistently upregulated miRNAs from the results of 12 high-throughput miRNA profiling studies in GC. In the profiling phase, the differential expressions of 13 candidate miRNAs were analyzed by quantitative reverse-transcription PCR (qRT-PCR) in two pooled RNA samples prepared from the plasma of eight GC patients and eight matched controls. In the validation phase, significantly upregulated miRNAs from the profiling phase were further evaluated in the plasma samples of 97 patients with stage I-IV gastric adenocarcinoma and 100 healthy controls.

    Results

     In the profiling phase, six miRNAs (miR-18a, 21, 25, 92a, 125b and 221) were significantly upregulated in the GC patients compared to the controls (p<0.05). However, in the validation phase, only significant up-regulation of miR-18a, 21 and 125b was confirmed (p<0.05). A panel of miR-18a/21/125b was able to detect GC patients with stage I-IV from the controls (p<0.001; AUC=0.92, sensitivity=86%; specificity=85%). In addition, the panel could distinguish the early-stage GC (I+II) from the control group with an AUC of 0.83, a sensitivity of 83%, and a specificity of 75%.

    Conclusion

     A panel of circulating miR18a/21/125b could be suggested as a potential biomarker for the early detection of GC.

    Keywords: Biomarker, Circulating microRNA, Detection, Gastric cancer, Gene expression
  • Reza Khoshbakht, Hosna Zare, Reza Kamali Kakhki, Alireza Neshani, Maryam Arfaatabar *
    Background

    Staphylococcus epidermidis (S. epidermidis) is the most frequently isolated pathogen from prostheses infections in the body. Therefore, improving its diagnostic methods, including rapid Nucleic Acid Amplification Tests (NAAT), seems necessary. Since the first step in designing a NAAT is to find a specific sequence and all DNA targets that have been introduced so far are not completely specific, we introduced a new 100% specific DNA target sequence to identify S. epidermidis in this study.

    Methods

    Modified comparative genomic analysis was used to find the best specific target sequence to detect S. epidermidis. A PCR method was designed for the evaluation of this target. To determine the detection limit and analytical specificity, pure genomic DNA of 18 bacteria include 12 standard strains (one S. epidermidis and 11 non-S. epidermidis) and six clinical isolates (five S. epidermidis and one non-S. epidermidis) were used.

    Results

    The 400 bp sequence of S. epidermidis ATCC 14990 was identified as the most specific sequence (Se400), having a 100% sequence similarity to S. epidermidis genomes but not with other bacteria. The detection limit of Se400-PCR was 10 fg, equal to about 4 copies of S. epidermidis genomic DNA/μl. All pure DNA templates from S. epidermidis generated a detectable amplicon by 264 bp length, but the PCR test was negative for the non-S. epidermidis group.

    Conclusion

    The Se400 sequence can be considered as a specific target for detecting S. epidermidis, based on our findings.

    Keywords: Comparative genomic analysis, Detection, Pathogen, Polymerase chain reaction, Se400, Staphylococcus epidermidis
  • Abbas Morovvati, Ali Javadi, Somayeh Dehghani Sanij, Mohamadreza Zarei, Shima Molazadeh, Mina Badakhsh, Mohsen Zargar*
    Background & Objective

    Coronavirus disease 2019 spreads worldwide and needs detection systems capable of rapid diagnostic of this virus (SARS-CoV-2). The aim of this study is to design the homemade RT-PCR method for the Detection and phylogenetic analysis of this virus

    Material & Methods

    The genes selected for diagnosis were E and M genes for this virus. PCR product was cloned in pTZ57R/T plasmid for preparation of positive control. In order to determine the sensitivity of this molecular method, the genes mentioned in the clone pTZ57R/T vector and the Limit of detection (LOD) the genes were determined and phylogenetic analysis was performed using partial E and M gene sequences.

    Results

    PCR product was observed for E and M genes 156 and 547 bp on the Agarose gel. The LOD of the E and M gene was 60 and 82 copies. There was also a positive response to the samples of patients who were positive by other methods.

    Conclusions

    Since this virus is considered to be the cause of a pandemic in different countries all over the world, the present study is very important as a method of rapid and low-cost molecular diagnosis for monitoring this virus. Phylogenetic analysis is necessary for epidemiological studies for the control and prevention of the disease.

    Keywords: RT-PCR, Covid-19, Detection, LOD, Phylogenetic Analysis
  • Saghar Fatemi, Robabeh Soleimani *, Mohammad Ali Yazdanipour, Elahe Abdollahi
    Introduction

    Substance use disorder is one of the most critical social problems in Iran. For this disorder, weneed a proper assessment tool based on our indigenous culture.

    Objective

    This study assesses the factor structure and psychometric properties of 10-item and 20-item Persian versions of Drug Abuse Screening Tests (DAST-10 and DAST-20).

    Materials and Methods

    In this cross-sectional study, we randomly selected 200 participants referred to addiction treatment centers in Rasht City, Iran. After translation to Persian and back-translation to English, the face and content validity of DAST-10 and DAST-20 Persian versions were evaluated using the opinions of a panel of expertsand calculatingthe content validity ratio and content validity index. Then, the construct validity was evaluated by Confirmatory Factor Analysis(CFA), the Cronbach α coefficient was used for assessing internal consistency, and the Intraclass Correlation Coefficient (ICC) was used for assessing test-retest reliability.

    Results

    The Mean±SD age of participants was 39.02±11.67 years. The majority (50%) were in the age range of 30-50 years. Based on the CFA fit indices, the two instruments had a good fit to the data, confirming the theoretical model Root Mean Square Error of Approximation (RMSEA) (RMSEA for DAST-20=0.080; RMSEA for DAST-10=0.055). The Cronbach α values of DAST-20 and DAST-10 were 0.772 and 0.749, respectively, indicating their good and acceptable internal consistency. Their test-retest reliability was reported at 0.997 and 0.995 based on the results of ICC, respectively. There was a strong and significant positive correlation between the scores of Persian DAST-20 and DAST-10 (r=0.851, P=0.001).

    Conclusion

    The DAST-20 and DAST-10 Persian versions which after correcting the model using confirmatory factor analysis, they were studies in DAST-8 and DAST-16 have good validity and reliability and can be used for screening the possible involvement of drugs in Iranian samples.

    Keywords: Substance Abuse, Detection, Substance-related disorder, Psychometrics, Surveys andquestionnaires
  • Mozhgan Shoghi Jamil, Vahid Abdossi, Ali Mehrafarin, Kambiz Larijani, Raheleh Ebrahimi

    Mentha is a genus from the family Lamiaceae, whose essential oils has long been used in different forms. This herbal plant has traditionally been used as an alternative medicine to treat candidiasis. So, it seems crucial to find new antimicrobials that have fewer side effects. In this study, we investigated the antifungal effects of Mentha aquatica L essential oil on pathogenic Candida spp. This descriptive cross-sectional study was performed on 137 Candida spp isolated from vulvovaginal candidiasis. These yeasts were confirmed by Polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP). Mentha aquatica L essential oil was prepared by water distillation and Clevenger apparatus. The antifungal activity of Mentha aquatica L essential oil and fluconazole versus Candida spp was determined by microbroth dilution method using CLSI guidelines. The most common species were identified that Candida albicans (63.5%), Candida glabrata (28.5%) and Candida krusei (8%), respectively. MIC50, MIC90 and geometric mean (GM) of fluconazole were 0.5 µg/ml, 4 µg/ml and 0.573 µg/ml and for Mentha aquatica L essential oil 1 µg/ml, 4 µg/ml and 0.931 µg/ml, respectively. The antifungal effect of fluconazole on Candida spp was higher than that of essential oil of plant. It seems that the inhibitory effect of essential oil of Mentha aquatica L has shown that this plant can be considered as a potential candidate for the development of antifungal drug in the treatment of vulvovaginal candidiasis.

    Keywords: antimicrobial, detection, fungal infection, plant, yeast
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