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Alhaddad I, Hammoudeh A, Mdanat E, Makhamreh H, Ibdah R, Fakhri M, Tabbalat R. COVID-19 pandemic triggers acute myocardial infarction, stroke, and out-of-hospital cardiac arrest in non-infected individuals: the final results of the JoCORE study. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.2746] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Introduction
The relentless COVID-19 pandemic caused a devastating sickness and loss of life at a global level. The stress related to the pandemic lockdown and near total paralysis of most human activities was associated with behavioral changes. It is largely unknown if these stresses could trigger acute cardiovascular events among non-infected individuals.
Purpose
To explore the relation between COVID-19 associated stresses and acute cardiovascular events among non-infected individuals.
Methods
Adult patients presented with acute myocardial infarction (AMI), stroke or out-of-hospital cardiac arrest (OHCA) at 11 hospitals in Jordan from March 2020 through February 2021 were assessed for potential exposure to stressful life events related to the COVID-19 pandemic. None of the patients was COVID-19 infected or a health care worker.
Results
Of 297 patients enrolled (mean age 58.4±13.1 years, 18.5% females), 267 patients (89.8%) had AMI, 15 patients (5.1%) had stroke, and 15 patients (5.1%) had OHCA. Cigarette smoking was present in 59.6%, hypertension in 50.5%, dyslipidemia in 42.8%, diabetes in 37.4%, and 35% had prior diagnosis of cardiovascular disease. Coronary revascularization was performed in 228 (85.4%) of AMI patients. In-hospital mortality among the AMI and stroke patients was 4.3% and none of the OHCA patients survived. The most common stresses preceded these events included financial hardships (50.8%), lockdown stress (25.9%), fears from the pandemic (24.9%), anger (22.6%), loneliness (19.2%), smoking binges (19.9%), death of a significant person (6.4%), and food binges (3.4%).
Conclusions
The COVID-19 pandemic and lockdown caused immense psychosocial and financial stresses that triggered life threatening acute cardiovascular events in non-infected individuals. Early recognition of stress-related symptoms during this unremitting pandemic warrants proper referral and evaluation.
Funding Acknowledgement
Type of funding sources: Foundation. Main funding source(s): ABDEL HAMEED SHOMAN FOUNDATION (AHSF) RESEARCH FUND
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Affiliation(s)
- I Alhaddad
- Jordan Hospital, Cardiovascular Department, Amman, Jordan
| | - A Hammoudeh
- Istishari Hospital, Cardiology, Amman, Jordan
| | - E Mdanat
- Abdali Hospital, Cardiology, Amman, Jordan
| | | | - R Ibdah
- King Abdullah Hospital, Irbid, Jordan
| | - M Fakhri
- Jordan Hospital, Cardiovascular Department, Amman, Jordan
| | - R Tabbalat
- Abdali Hospital, Cardiology, Amman, Jordan
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Gourabi H, Bazrgar M, Yazdi P, Vazirinasab H, Fakhri M, Hassani F, Valojerdi M. P-16 DNA repair signaling pathway genes are overexpressed in complex aneuploid preimplantation embryos. Reprod Biomed Online 2013. [DOI: 10.1016/s1472-6483(13)60079-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Fakhri M, Johann H, Görrn P, Riedl T. Water as origin of hysteresis in zinc tin oxide thin-film transistors. ACS Appl Mater Interfaces 2012; 4:4453-4456. [PMID: 22939293 DOI: 10.1021/am301308y] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
The hysteresis behavior of transparent zinc tin oxide (ZTO) thin film transistors (TFTs) is identified to be a result of short-term bias stress induced by the measurement. The related density of shallow defect states can be adjusted by the amount of water in the ambient. Time-resolved studies of the TFTs under varied ambient demonstrate that hysteresis can be immediately switched on and off by the adsorption and desorption of water, respectively. These findings are expected to be of general importance also for other oxide-based TFTs.
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Affiliation(s)
- M Fakhri
- Institute of Electronic Devices, University Wuppertal, Rainer-Gruenter-Strasse 21, 42119 Wuppertal, Germany
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Bazrgar M, Gourabi H, Eftekhari-Yazdi P, Vaziri H, Fakhri M, Hassani F, Valojerdi MR. P59 Over-expression of ATR and XRCC1 as potential biomarkers for poor prognosis in human preimplantation embryos. Reprod Biomed Online 2012. [DOI: 10.1016/s1472-6483(12)60276-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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5
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Harirchian M, Oghabian M, Rezvanizadeh A, Fakhri M, Ghoreishi A, Firouznia K. PO10-TU-18 Non-invasive brain mapping of motor related areas of four limbs in CIS patients compared with normal subjects. J Neurol Sci 2009. [DOI: 10.1016/s0022-510x(09)70767-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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6
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Heshmati Y, Mirabzadeh A, Feizzade G, Gilanipour M, Etminan MR, Khoram Khorshid HR, Kamali K, Fakhri M, Moghimi N, Najmabadi H, Ohadi M. A novel polymorphic purine complex at the 1.5 kb upstream region of the human caveolin-1 gene and risk of Alzheimer's disease; extra-short alleles and accumulated allele homozygosity. Am J Med Genet B Neuropsychiatr Genet 2009; 150B:248-53. [PMID: 18561140 DOI: 10.1002/ajmg.b.30805] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
Crucial interaction of caveolin-1 (CAV1) with beta- and gamma-secretases, and aberrant expression of the gene encoding this protein in Alzheimer's disease (AD) support a role for CAV1 in the pathophysiology of this disease. We report a novel polymorphic purine complex stretching approximately 150 bp of genomic DNA at the 1.5 kb upstream region of the human CAV1 gene, alleles and genotypes of which are associated with sporadic late-onset AD. Extra-short alleles were observed in the case group that were absent in the control subjects. Remarkably, 63% of these alleles were observed to be homozygous in length, forming 23.7% of the homozygote length compartment in the AD cases (chi(2) = 19.08, df = 1, P < 0.000007). Increased homozygosity for length was also observed at this region in the Alzheimer's cases, for the allele lengths shared by the case and control groups [(chi(2) = 30.75, df = 1, P < 0.0000000, OR = 4.54, CI 95% (2.56-8.3)]. This region contains GGAA and GAAA motifs, the consensus binding sites for the Ets and IRF family transcription factors, respectively, and is highly conserved in distantly related non-human primates in respect with location and motif sequence. The effect of this complex sequence on the expression of CAV1, and the related mechanisms in the pathophysiology of AD remain to be clarified.
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Affiliation(s)
- Y Heshmati
- Genetics Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
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Mohseni-Bandpei MA, Fakhri M, Bagheri-Nesami M, Ahmad-Shirvani M, Khalilian AR, Shayesteh-Azar M. Occupational back pain in Iranian nurses: an epidemiological study. ACTA ACUST UNITED AC 2006; 15:914-7. [PMID: 17077782 DOI: 10.12968/bjon.2006.15.17.21904] [Citation(s) in RCA: 55] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
The aim of this study was to identify the prevalence and risk factors for low back pain (LBP) in nursing personnel and to analyze how individual and occupational characteristics contribute to the risk of LBP. Following ethical approval, 1226 nurses were randomly recruited from 13 general hospitals in northern Iran. Different questionnaires were designed to cover personal and professional data, the prevalence, and associations of risk factors with LBP. Results indicated that prevalence of LBP in nurses was over 50%. Lifting was the most common mechanism for LBP (30.4%). Prolonged standing and rest were found to be the significant aggravating and relieving factors (57.6% and 59.2%, respectively). Absence from work because of LBP in the month before the questionnaire was completed was reported by 33.7% of the sample. The results demonstrate that the magnitude of LBP among nursing personnel appears to be high and therefore more resources should be allocated to prevent such an injury occurring in the nursing profession.
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Affiliation(s)
- M A Mohseni-Bandpei
- Rehabilitation Department, School of Medicine, Mazandaran University of Medical Sciences, Iran
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Wearden JH, Edwards H, Fakhri M, Percival A. Why "sounds are judged longer than lights": application of a model of the internal clock in humans. Q J Exp Psychol B 1998; 51:97-120. [PMID: 9621837 DOI: 10.1080/713932672] [Citation(s) in RCA: 77] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
Three experiments, using temporal generalization and verbal estimation methods, studied judgements of durations of auditory (500-Hz tone) and visual (14-cm blue square) stimuli. With both methods, auditory stimuli were judged longer, and less variable, than visual ones. The verbal estimation experiments used stimuli from 77 to 1183 msec in length, and the slope of the function relating mean estimate to real length differed between modalities (but the intercept did not), consistent with the idea that a pacemaker generating duration representations ran faster for auditory than for visual stimuli. The different variability of auditory and visual stimuli was attributed to differential variability in the operation of a switch of a pacemaker-accumulator clock, and experimental data suggested that such switch effects were separable from changes in pacemaker speed. Overall, the work showed how a clock model consistent with scalar timing theory, the leading account of animal timing, can address an issue derived from the classical literature on human time perception.
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Affiliation(s)
- J H Wearden
- Department of Psychology, The University, Manchester, U.K.
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Wearden JH, Denovan L, Fakhri M, Haworth R. Scalar timing in temporal generalization in humans with longer stimulus durations. J Exp Psychol Anim Behav Process 1997; 23:502-11. [PMID: 9335137 DOI: 10.1037/0097-7403.23.4.502] [Citation(s) in RCA: 55] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
Three experiments investigated temporal generalization performance in humans by using stimulus durations similar to those previously used with rats. In most conditions, chronometric counting was prevented by concurrent shadowing of temporally irregular numbers. Experiment 1 examined performance with visual stimuli, when the standard was 4.0 s long and nonstandard stimuli were spaced either linearly or logarithmically around the standard. Generalization gradients were asymmetrical with linear spacing but symmetrical with logarithmic spacing, a result obtained previously with humans. Experiment 2 used auditory stimuli and varied the standard across values of 2.0, 4.0, 6.0, and 8.0 s. All gradients were asymmetrical, and good superposition was obtained, indicating conformity to scalar timing. Experiment 3 prevented or encouraged chronometric counting by changing instructions, and temporal generalization gradients differed when counting was and was not used.
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Affiliation(s)
- J H Wearden
- Department of Psychology, University of Manchester, United Kingdom.
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Ali BH, abdel Gayoum A, el Gawarsha K, Fakhri M. Lipid peroxidation, glutathione and ascorbic acid concentrations in tissues of mice treated with oltipraz: influence of cysteine and olive oil pretreatments. Gen Pharmacol 1991; 22:985-90. [PMID: 1761201 DOI: 10.1016/0306-3623(91)90242-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
1. The effects of treatment with the antischistosomal drug oltipraz on reduced glutathione (GSH), lipid peroxide (LP) and ascorbic acid (AA) concentrations in the liver, kidney and brain were studied in mice 24 h after drug administration. 2. The influence of pretreatment with cysteine or olive oil on the above variables in oltipraz-treated mice was also investigated. 3. Oltipraz, at single oral doses of 25 and 125 mg/kg, did not affect significantly the concentrations of GSH, LP or AA in any of the tissues studied. 4. At a dose of 625 mg/kg, the drug produced significant increases in GSH concentration in the liver (about 34%), kidney (38%) and brain (24%). 5. AA concentrations were not significantly affected by the drug treatment in any of the organs studied. 6. However lipid peroxide formation in the liver of mice treated with oltipraz (625 mg/kg) was less than that in control animals by about 45% (P less than 0.05). 7. In other organs it was not significantly affected by the treatment. 8. Oltipraz (625 mg/kg) was given orally to mice which were pretreated with cysteine (25, 50 and 100 mg/kg for 7 days intramuscularly). 9. The cysteine pretreatments did not affect significantly the increases in GSH caused by oltipraz alone, although they were effective in significantly increasing GSH concentrations in saline-treated mice. 10. The oltipraz-induced increases in the concentrations of GSH in liver and kidney was enhanced (by about 16%) by olive oil (0.2, 02 and 0.4 ml/mouse) when given 1 h before oltipraz treatment. 11. Concentrations of LP and AA were not significantly affected by olive oil pretreatment.
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Affiliation(s)
- B H Ali
- Department of Pharmacology, Faculty of Medicine, Al-Arab Medical University, Benghazi, Libya
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Mir NA, Fakhri M, Abdelaziz M, Kishan J, Elzouki A, Baxi AJ, Sheriff DS, Prasanan KG. Erythrocyte glucose-6-phosphate dehydrogenase status of newborns and adults in eastern Libya. Ann Trop Paediatr 1985; 5:211-3. [PMID: 2418771 DOI: 10.1080/02724936.1985.11748395] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
One hundred and twenty cord and 320 venous blood samples were collected from Libyan newborns and adults respectively for the estimation of glucose-6-phosphate dehydrogenase (G-6-PD) activity by a screening technique and by quantitative estimation. The mean (S.D.) enzyme activity in the non-deficient neonates and adults was 1.13 (0.23) and 0.87 (0.21) IU/ml RBC/min respectively. The incidence of G-6-PD deficiency in the male population was 2.8%. The enzyme activity in the deficient male population ranged from 0-19.5%; none of them was symptomatic or had haematological abnormality. Of the female subjects 1.8% had enzyme activity of 50-65%. The frequency of enzyme deficiency appears to be low compared with that found in other Arab populations and is comparable with the incidence in other mediterranean countries.
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