IntroductionThe clinical significance of enterococci is mostly related to its antibiotic resistance which contributes to colonization and infection, in particular amongst the hospitalized patients. The present review has examined the literature to provide a comprehensive data on enterococci antibiotic resistance during the last 20 years in Iran.MethodsSearch engines such as Google Scholar and PubMed were used to identify all Persian and English-language articles investigating enterococci in Iran from 1996 to 2017. The search terms were “enterococci”, “enterococcal”, “enterococcus”, “Iran”, “bacterial resistance”, “antibiotic resistance” and “resistance”.ResultsDecrease in the resistance trend against ampicillin, gentamycin and ciprofloxacin was observed over a period of 15 years (2001 to 2016) in Iran. During a 10 years period from 2001 to 2015, the rate of resistance among Enterococcus faecalis species was less than Enterococcus faecium. The resistancerate, however, was considerably increased for both species during this period. The mean resistance rates for vancomycin, gentamicin, ciprofloxacin, erythromycin, nitrofurantoin, chloramphenicol, trimethoprim-sulfametoxazol, imipenem and teicoplanin were higher among complicated cases (patients with underlying debilitating disorders) compared to general cases (hospitalized or outpatients with no specific underlying disorder).ConclusionsE. faecalis and E. faecium showed a rise in the mean resistance against all the antibiotics during a 10-year period from 2010 to 2015. With the exception of penicillin and ampicillin, resistance to all antibiotics was higher amongst complicated cases compared to general patients.
Background: Atherosclerosis is the main cause of mortality in heart disease patients that its dependence on cholesterol levels has been shown. The side effects of chemical drugs have created a tendency toward medicinal plants for treatment of diseases.
Background: Diabetes was one of the most important metabolic and public health diseases all over the world. It was the most common endocrine disease caused by metabolic disorders. Type 2 diabetes is rapidly progressing in world. The incidence of diabetes is predicted to double in the following 20 years. Objectives: The current study was aims to evaluate the effect of standard nutrition and exercise on glucose and lipid levels in diabetic patients. Patients and Methods: It was an intervention study whose target population is consisting of 120 diabetic patients who had referred to PARSIAN Diabetes Research Center. Sampling size has been non-randomly selected. Mean and standard deviation are quantitative data applied in this study. T-test and independent sample T-test have been respectively utilized to compare changes within and between the groups. The amount of p-value has been calculated less than 0.05 which indicates statistical significance.Results: The achieved findings shows that glucose level has significantly decreased in experiment group using a pretest-posttest design (P < 0.05). Conclusions: Eight-week standard nutrition and regular exercise have significant effect on decrease of glucose level, insulin resistance and plasma lipoproteins. It is suggested to apply these programs in diabetes centers.
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