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Showing 4 results for Prevention
Seyyed Moslem Mahdavi Shahri, Ali Soltani, Payam Abbasi, Zahra Moradi,
Volume 3, Issue 3 (12-2014)
Abstract
Aim. This paper reviews articles and clinical trial evidence regarding diet for cardiovascular disease (CVD) prevention.
Background. CVD is rapidly becoming a primary cause of death worldwide. Thus, identification of dietary changes that most effectively prevent CVD is necessary.
Method. This review was conducted by searching out electronic databases and hand searching of library resources. Searching out articles and research projects was conducted by using keywords on the internet and relevant sites.
Findings. According to the findings, at least 3 dietary strategies are effective in preventing CVD: substituting non-hydrogenated unsaturated fats for saturated and trans-fats increasing consumption of omega-3 fatty acids from fish, fish oil supplements, or plant sources and consuming a diet high in fruits, vegetables, nuts, and whole grains and low in refined grain products.
Conclusion. According to the current evidence, diets using non-hydrogenated unsaturated fats as the main form of dietary fat, whole grains as the main form of carbohydrates, an abundance of fruits and vegetables, and adequate omega-3 fatty acids can offer significant protection against CVD. Such diets, along with regular physical activity, avoidance of smoking, and maintenance of ideal body weight may prevent the majority of cardiovascular disease.
Nasrin Daliri, Masoumeh Zakeri-Moghadam,
Volume 5, Issue 1 (6-2016)
Abstract
Abstract
Aim. This review examines
cardiovascular diseases as the most common disease of the elderly population,
and discusses about causes and methods of prevention, mitigation and treatment.
Background. Nowadays, with
increased level of health and life expectancy, the phenomenon of elderly and
increase in chronic diseases is a main issue. In modern societies, aging and diseases of this
period of life create a high cost for health care system.
Methods. This review was
conducted by searching out databases such as Google Scholar, Elsevier, PubMed,
PMC, and Springer for the time period of 2008 to 2016.
Findings. In addition to the
impact of aging on the body organs, especially the cardiovascular system, many factors including biological factors,
lifestyle, risk factors for heart disease, underlying disease, psychosocial
factors and personality factors, may influence the acuity of cardiovascular
diseases. During aging, many irreversible changes occurs in all body systems
including cardiovascular system. These changes cause hardness, thickening and
narrowing of the arteries. With the narrowing of the heart arteries and
increased blood pressure, the heart needs to work harder to pump the blood,
resulting in left ventricular hypertrophy. Impaired cell growth and
proliferation of fibrous tissue occurs as a result of the problem in production
of impulse and electrical conductivity of the heart. Increase in volume of the
left ventricle and blood vessel narrowing lead to ischemia of the heart. Early
heart disease with progression to irreversible heart failure results in
disability, exercise intolerance, and taking multiple medications in elderly,
and ultimately, death may occur. By understanding the mechanisms of aging and
cardiovascular disorders and modifying influential factors, the process of
development of cardiovascular disease can be slowed down and the complications
can be prevented.
Conclusion. Aging may lead to
irreversible cardiovascular disease with the ultimate result of chronic heart
failure. Compliance with lifestyle modification may prevent early occurrence of
this phenomenon and some of its complications such as disability and death.
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Pardis Moradnejad, Shiva Khaleghparast, Parisa Firoozbakhsh,
Volume 11, Issue 1 (3-2022)
Abstract
ABSTRACT
Aim. We sought to review studies regarding interventions to prevent or reduce catheter-related bloodstream infections (CRBSIs).
Background. CRBSIs are associated with peripheral and central intravenous catheters, including nontunneled central catheters, tunneled central catheters, peripherally inserted central venous catheters (PICC), totally implanted intravascular access devices (ports), pulmonary artery catheters, and arterial lines. CRBSIs constitute one of the most frequent complications of intravenous catheters. Infections can be reduced by applying recommendations concerning CRBSIs prevention.
Method. Articles published between 2010 and 2022 were searched out in databases PubMed, Cochrane, Medline, SID, Scopus, IRANDOC, and Magiran using the keywords “prevention”, “bacteremia”, and “catheter-related bloodstream infection” and their Persian equivalents. Original articles and systematic reviews in Persian and English on CRBSI prevention that were published in reliable scientific databases from 2010 to 2022 and had available full texts were selected. The primary research yielded 324 articles via title and abstract reviews and in some cases, full-text perusal. Ultimately, 10 articles fulfilling the research purpose of the present study were reviewed.
Findings. According to the articles reviewed herein, medical centers should lessen CRBSIs incidence by educating healthcare personnel regarding intravascular catheter-use indications, proper intravascular catheter insertion procedures, and appropriate infection-control measures. Additionally, they should periodically assess healthcare personnel’s knowledge of and adherence to guidelines vis-à-vis intravascular catheter insertion and maintenance.
Conclusions. It is advisable that healthcare personnel’s knowledge of and adherence to the latest guidelines concerning CRBSIs prevention be continually monitored and enhanced.
Parisa Firoozbakhsh, Shiva Khaleghparast Athari, Saiedeh Mazloomzadeh, Pardis Moradnejad,
Volume 11, Issue 1 (3-2022)
Abstract
Abstract:
Aim. The aim of this article is to review studies that have evaluated effective interventions in the prevention of mediastinitis following cardiothoracic surgery.
Background. Mediastinitis and deep surgical wound infections (DSWI) are life-threatening complications of median sternotomy and have a prevalence of 0.4-5 percent. They can produce a significant financial burden on the patient and also the health care system by prolonging the hospitalization period and the need for repeated surgeries or long-term antibiotics. Several risk factors have been identified for mediastinitis following cardiothoracic surgery, many of which are easily preventable by proper diagnosis.
Method. In this literature review, databases including PubMed, Medline, UpToDate, Scopus, Science
Direct, SID, and Magiran were searched out using the keywords Mediastinitis, Prevention, Cardiothoracic
surgery, and their Persian equivalents. Persian and English original articles (including cross-sectional, case- control, cohort studies, and clinical trials) investigating the effective interventions in the prevention of me- diastinitis following cardiothoracic surgeries and were published between 2000 and 2021 and had an available full text, were included in the current study; review articles, letter to editors, and case reports published in non-authoritative journals were excluded from this study. After primary search, 62 relevant articles were found and based on inclusion/exclusion criteria, 16 articles were finally selected and reviewed in the cur- rent study.
Findings. Mediastinitis ca n be prevented before surgery by hand hygiene, weight loss, smoking cessa-tion, proper prophylactic antibiotics, decolonization of nasopharynx and oropharynx from Staph aureus by Mupirocin ointment, and removing hair using depilatory cream (not the blade). Tight blood glucose monitoring before, after, and during the surgery, disinfection of the surgical field by chlorhexidine, using a proper surgical technique for wound closure and stabilizing the sternum, and proper patient training by nurses about red flags of infection can play an important role in the prevention of mediastinitis.
Conclusion. Mediastinitis ca n be easily prevented by identifying its risk factors and controlling them accurately and in a timely manner.
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