Jessenkramer6143

Within the last 12 months, 3.9% of individuals used Opium and its derivatives, 0.4% used Cannabis, 0.3% used Amphetamine stimulants, 5.8% used Sedative drugs, and 1.9% used Alcoholic beverages. With the exception of Sedatives drugs men used more drugs than women and residents of rural areas used more opium and its derivatives than other groups of drugs. Based on the provincial distribution, Kerman and Qom used the highest and lowest prevalence percentage of Opium and its derivatives respectively.

Overall, 2340000 individuals were addicts used Opium and its derivatives in 2015, therefore, medical and health officials should take all necessary measures to deal with these serious social problems.

Overall, 2340000 individuals were addicts used Opium and its derivatives in 2015, therefore, medical and health officials should take all necessary measures to deal with these serious social problems.Majority of patients with clear-cell renal cell carcinoma (ccRCC) at first line (1L) treatment are classified in the intermediate-risk (IR) subgroup according to International Metastatic Renal Cell Carcinoma Database Consortium (IMDC) score. As these patients have different prognosis, the aim of this study is to better characterize IR patients in order to better tailor the treatment. Retrospective analysis was performed from IGReCC (Institut Gustave Roussy Renal Cell Carcinoma) database. Overall survival (OS) was defined from start of 1L therapy to death or last follow-up. A multivariable Cox model with backward selection procedure (α = 0.01) and a Classification and Regression Tree (CART) analysis were performed to identify which prognostic factors were associated to OS in IR patients. From 2005 to 2017, 777 patients with ccRCC were treated with an anti-VEGF 1L therapy. Among 571 evaluable patients for IMDC score, 290 (51%) were classified as IR. With median follow-up 5.8 years (min 0, max 12.4) 212 deaths (73%) were observed and median OS was 25 months. Only platelet count was significantly associated to OS (hazard ratio 1.88 [95% CI 1.27-2.88] p = 0.0017). Median OS for patients with PLT > UNL was 18 months [95% CI 12-23] versus 29 months [95% CI 21.4-35.7] for patients with normal PLT count. The selection of PLT count was confirmed on bootstrap samples and was also selected for the first split of the CART-tree analysis. Patients in the IR group have a heterogeneous prognosis. Elevated PLT count seems identifies a subgroup of patients with poor outcome in the IMDC intermediate-risk population with ccRCC.

One of the major causes of various work-related health problems among nurses is occupational stress. Hence, the main purpose of the present research was to find association between occupational stress of nurses and risk factors of cardiovascular disease.

In this cross-sectional study, the Osipow job stress questionnaire was employed to assess the occupational stress among the 250 nurses in Emam Khomeini hospital of Tehran in 2018. Based on stress score for participants, subjects divided into two groups Scoring of group one was 60-179 (mild and average stress) and group two between 180 and 300 (average to acute and acute stress). Systolic and diastolic blood pressures were recorded for subjects after 10hrs fasting. Then the blood samples were collected to measure cholesterol, triglyceride and glucose levels. For determining the association between education level, job experience and study groups, the Chi-square test and for comparing job stress between two groups of study the Mann-Whitney U test was used.

Subjects with job stress in group one was 70(28%) and group two was 180(72%). PT-100 concentration The association between level of education and two study groups was not significant (

=0.129) while between job experience and two study groups was significant (

=0.004). Mean of Blood glucose levels for group I (98.0± 37.5), was higher than group II (82.5±12.0) and statistically significant (

=0.001). No significant difference was found between two groups of study for other parameters.

High level of work-related stress among subjects affected the values related to blood glucose level, but no significant relationship was found between other risk factors of cardiovascular diseases and occupational stress among nurses.

High level of work-related stress among subjects affected the values related to blood glucose level, but no significant relationship was found between other risk factors of cardiovascular diseases and occupational stress among nurses.

The application of information and communication technologies (ICTs) in disaster relief is increasingly widespread, but it is still unclear whether ICT can reduce casualties and economic losses in disaster response phase.

We searched studies in the databases of Scopus, EI, MEDLINE and EMBASE from Jan 1, 1990, to Mar 22, 2019. Excel 2016 and VOSviewer (version 1.6.11) were used to analyze the extracted data and visualize the network diagram.

We included 169 eligible articles. The number of ICTs-related disaster-relief articles published annually shows an overall trend of growth since 1990. The United States has the greatest influence in this field. The 169 articles reported twenty-four technologies and the top three reported most frequently were remote sensing, social media, and geographic information system (GIS). The main roles of ICTs in natural disaster rescue included information dissemination, post-disaster image collection and damage assessment. However, of the 169 articles, only five reported that ICTs reduced casualties or economic losses in disaster response phase, two concluded that rescue robot was ineffective in mudslide rescue, and the remaining 162 (95.86%) did not evaluate the effect of ICTs on the rescue.

ICTs have the potential to reduce casualties and economic losses, but some technologies are not applicable to all rescue scenarios. In addition, most studies did not pay attention to the effect of technology on the rescue.

ICTs have the potential to reduce casualties and economic losses, but some technologies are not applicable to all rescue scenarios. In addition, most studies did not pay attention to the effect of technology on the rescue.