Iranian Red Crescent Medical Journal Iranian Red Crescent Medical Journal Iran Red Crescent Med J http://www.ircmj.com 2074-1804 2074-1812 10.5812/ircmj en jalali 2017 6 27 gregorian 2017 6 27 17 9
en 26473070 10.5812/ircmj.16544 Sunflower Seed and Acne Vulgaris Sunflower Seed and Acne Vulgaris research-article research-article Conclusions

Sunflower seed intake appears to aggravate acne vulgaris; however, further evidence is needed to ban sunflower seed intake in patients with acne. Considering the observed potential negative effect in this trial, future randomized clinical trials may base their design on randomly assigning the exposed patients to give up use of sunflower seed intake.

Patients and Methods

In a randomized controlled trial, 50 patients aged 15 - 30 years old with acne vulgaris were enrolled through consecutive convenient sampling, in a dermatology clinic in Ardabil, Iran. They were randomly allocated into two trial arms. Those in the control group were asked to stop eating sunflower seeds if they did before. In the intervention group, they consumed 25 g sunflower-containing food daily for seven days. The primary outcome of interest was 10% increase/decrease in the baseline acne severity index (ASI), sustained to the end of the follow-up period on day 14.

Results

The mean ASI did not change significantly through the study period in the control group, but it increased in the sunflower group from 62 at the baseline to 86.8 after two weeks (P < 0.001). The ASI mean change was 24.8 in the sunflower group compared to 4.9 in the control group (P < 0.001). The global acne grading score (GAGS) did not significantly change in any of the groups and the difference in the change of GAGS was not significant between the groups (2.4 in the sunflower group versus 1.6 in the control group). Twenty two subjects (88%) in the sunflower group versus 9 (36%) in the control group had at least 10% increment in ASI throughout the follow-up period (P < 0.001). The relative risk of developing the primary outcome in taking the sunflower seed intervention was 2.4 (95% CI: 1.4 - 4.2). The observed risk difference was 0.52 (95% CI: 0.29 - 0.75).

Objectives

The aim of this study was to assess the effect of dietary intake of sunflower seeds on acne severity and the pattern of acne lesions.

Background

Regardless of the overall association between diet and acne which cannot be easily ignored, there might be an association between specific nutrients and acne development or improvement.

Conclusions

Sunflower seed intake appears to aggravate acne vulgaris; however, further evidence is needed to ban sunflower seed intake in patients with acne. Considering the observed potential negative effect in this trial, future randomized clinical trials may base their design on randomly assigning the exposed patients to give up use of sunflower seed intake.

Patients and Methods

In a randomized controlled trial, 50 patients aged 15 - 30 years old with acne vulgaris were enrolled through consecutive convenient sampling, in a dermatology clinic in Ardabil, Iran. They were randomly allocated into two trial arms. Those in the control group were asked to stop eating sunflower seeds if they did before. In the intervention group, they consumed 25 g sunflower-containing food daily for seven days. The primary outcome of interest was 10% increase/decrease in the baseline acne severity index (ASI), sustained to the end of the follow-up period on day 14.

Results

The mean ASI did not change significantly through the study period in the control group, but it increased in the sunflower group from 62 at the baseline to 86.8 after two weeks (P < 0.001). The ASI mean change was 24.8 in the sunflower group compared to 4.9 in the control group (P < 0.001). The global acne grading score (GAGS) did not significantly change in any of the groups and the difference in the change of GAGS was not significant between the groups (2.4 in the sunflower group versus 1.6 in the control group). Twenty two subjects (88%) in the sunflower group versus 9 (36%) in the control group had at least 10% increment in ASI throughout the follow-up period (P < 0.001). The relative risk of developing the primary outcome in taking the sunflower seed intervention was 2.4 (95% CI: 1.4 - 4.2). The observed risk difference was 0.52 (95% CI: 0.29 - 0.75).

Objectives

The aim of this study was to assess the effect of dietary intake of sunflower seeds on acne severity and the pattern of acne lesions.

Background

Regardless of the overall association between diet and acne which cannot be easily ignored, there might be an association between specific nutrients and acne development or improvement.

Acne Vulgaris;Diet;Sunflower;Dietary Fats;Feeding Pattern Acne Vulgaris;Diet;Sunflower;Dietary Fats;Feeding Pattern http://www.ircmj.com/index.php?page=article&article_id=16544 Alireza Mohebbipour Alireza Mohebbipour Department of Dermatology, Faculty of Medicine, Ardabil Branch, Islamic Azad University, Ardabil, IR Iran Department of Dermatology, Faculty of Medicine, Ardabil Branch, Islamic Azad University, Ardabil, IR Iran Homayoun Sadeghi-Bazargani Homayoun Sadeghi-Bazargani Road Traffic Injury Research Center, Department of Statistics and Epidemiology, Tabriz University of Medical Sciences, Tabriz, IR Iran; Road Traffic Injury Research Center, Department of Statistics and Epidemiology, Tabriz University of Medical Sciences, Tabriz, IR Iran. Tel: +98-9144027218 Road Traffic Injury Research Center, Department of Statistics and Epidemiology, Tabriz University of Medical Sciences, Tabriz, IR Iran; Road Traffic Injury Research Center, Department of Statistics and Epidemiology, Tabriz University of Medical Sciences, Tabriz, IR Iran. Tel: +98-9144027218 Mona Mansouri Mona Mansouri Department of Dermatology, Faculty of Medicine, Ardabil Branch, Islamic Azad University, Ardabil, IR Iran Department of Dermatology, Faculty of Medicine, Ardabil Branch, Islamic Azad University, Ardabil, IR Iran
en 26473067 10.5812/ircmj.16168 Progressive Hemifacial Atrophy With Contralateral Uveitis: A Case Report Progressive Hemifacial Atrophy With Contralateral Uveitis: A Case Report case-report case-report Conclusions

The individuals should have multidisciplinary approach for the variety of disorders to maintain the appropriate treatment for a better appearance of the patients.

Case Presentation

We describe a patient with progressive hemifacial atrophy at right facial side who developed granulomatous uveitis and periferic retinal vasculitis in his left eye. We started topical and systemic steroid therapy. Uveitic reaction had regressed almost entirely after a 3-month steroid treatment.

Introduction

Progressive hemifacial atrophy, known as Parry-Romberg syndrome (PRS), was first described by Parry in 1825. There is a progressive atrophy of facial tissues including skin, bones and muscles. Ophthalmic disorders are common and include keratitis, uveitis, cataract, ipsilateral enophthalmos, optic neuritis, retinal vasculitis and scleral melting.

Conclusions

The individuals should have multidisciplinary approach for the variety of disorders to maintain the appropriate treatment for a better appearance of the patients.

Case Presentation

We describe a patient with progressive hemifacial atrophy at right facial side who developed granulomatous uveitis and periferic retinal vasculitis in his left eye. We started topical and systemic steroid therapy. Uveitic reaction had regressed almost entirely after a 3-month steroid treatment.

Introduction

Progressive hemifacial atrophy, known as Parry-Romberg syndrome (PRS), was first described by Parry in 1825. There is a progressive atrophy of facial tissues including skin, bones and muscles. Ophthalmic disorders are common and include keratitis, uveitis, cataract, ipsilateral enophthalmos, optic neuritis, retinal vasculitis and scleral melting.

Progressive Hemifacial Atrophy;Parry Romberg Syndrome;Uveitis Progressive Hemifacial Atrophy;Parry Romberg Syndrome;Uveitis http://www.ircmj.com/index.php?page=article&article_id=16168 Onder Ayyildiz Onder Ayyildiz Department of Ophthalmology, Gulhane Military Medical Academy, Ankara, Turkey; Department of Ophthalmology, Gulhane Military Medical Academy, Ankara, Turkey. Tel: +90-5052538690 Department of Ophthalmology, Gulhane Military Medical Academy, Ankara, Turkey; Department of Ophthalmology, Gulhane Military Medical Academy, Ankara, Turkey. Tel: +90-5052538690 Simel Ayyildiz Simel Ayyildiz Department of Prosthodontics, Dental Health Sciences Center, Gulhane Military Medical Academy, Ankara, Turkey Department of Prosthodontics, Dental Health Sciences Center, Gulhane Military Medical Academy, Ankara, Turkey Ali Hakan Durukan Ali Hakan Durukan Department of Ophthalmology, Gulhane Military Medical Academy, Ankara, Turkey Department of Ophthalmology, Gulhane Military Medical Academy, Ankara, Turkey Gungor Sobaci Gungor Sobaci Department of Ophthalmology, Hacettepe Univeristy, Ankara, Turkey Department of Ophthalmology, Hacettepe Univeristy, Ankara, Turkey
en 26473069 10.5812/ircmj.16305 Predictors of Change in Substance Abuse Status in Soldiers Predictors of Change in Substance Abuse Status in Soldiers research-article research-article Conclusions

Considering non-modifiable risk factors, leaders and commanders may recognize more vulnerable soldiers and try to resolve modifiable factors and decrease the risk of getting worse (with respect to substance abuse) about 7.3 times.

Results

Totally, 6.7% of soldiers improved, 82% remained without change, 6.1% deteriorated, and 5.2% severely deteriorated with regard to their substance abuse. Modifiable predictors were distance from home lower than 200 km (OR =1.54), bad relationship with commanders (OR = 1.88), service place dissatisfaction (OR = 1.39), and always feeling lonely (OR = 1.83). Non-modifiable factors were alcohol use within family and friends (P = 0.000); psychiatric drug use history (OR = 1.72); suicidal attempt history (OR = 1.31); divorce, separation, and extramarital contact (P = 0.001); unemployment (P = 0.019); leisure time dissatisfaction (P = 0.004); living alone (OR = 2.43); and substance abuse onset before age 15 (OR = 1.71).

Objectives

This study aimed to determine the predictors of change in substance abuse status in soldiers.

Patients and Methods

This cross-sectional research was conducted to evaluate the substance abuse status among Iranian soldiers in 2010. The target population was the soldiers who had spent at least 3 months of their military service. Cluster sampling was done from army service garrisons in 12 provinces in Iran. A total of 3960 soldiers were selected with different levels of education and age. Data gathering was done with demographic questionnaires, Texas Christian university (TCU) drug screen II and ASI questionnaire (fifth edition). Four types of dependent variables were defined: “improvement”, “without change”, “deterioration”, and “severe deterioration”. Backward ordinal regression analysis was done and P values, OR, and SE were calculated by SPSS19 software.

Background

Military service is a stressful task that influences the life style of army personnel. Several factors can make soldiers less capable of coping with stressful events; so they may try to start drug abuse or increase in the amount or diversity of substance abuse. Understanding factors responsible for this misbehavior among soldiers is crucial for their commanders to modify these factors.

Conclusions

Considering non-modifiable risk factors, leaders and commanders may recognize more vulnerable soldiers and try to resolve modifiable factors and decrease the risk of getting worse (with respect to substance abuse) about 7.3 times.

Results

Totally, 6.7% of soldiers improved, 82% remained without change, 6.1% deteriorated, and 5.2% severely deteriorated with regard to their substance abuse. Modifiable predictors were distance from home lower than 200 km (OR =1.54), bad relationship with commanders (OR = 1.88), service place dissatisfaction (OR = 1.39), and always feeling lonely (OR = 1.83). Non-modifiable factors were alcohol use within family and friends (P = 0.000); psychiatric drug use history (OR = 1.72); suicidal attempt history (OR = 1.31); divorce, separation, and extramarital contact (P = 0.001); unemployment (P = 0.019); leisure time dissatisfaction (P = 0.004); living alone (OR = 2.43); and substance abuse onset before age 15 (OR = 1.71).

Objectives

This study aimed to determine the predictors of change in substance abuse status in soldiers.

Patients and Methods

This cross-sectional research was conducted to evaluate the substance abuse status among Iranian soldiers in 2010. The target population was the soldiers who had spent at least 3 months of their military service. Cluster sampling was done from army service garrisons in 12 provinces in Iran. A total of 3960 soldiers were selected with different levels of education and age. Data gathering was done with demographic questionnaires, Texas Christian university (TCU) drug screen II and ASI questionnaire (fifth edition). Four types of dependent variables were defined: “improvement”, “without change”, “deterioration”, and “severe deterioration”. Backward ordinal regression analysis was done and P values, OR, and SE were calculated by SPSS19 software.

Background

Military service is a stressful task that influences the life style of army personnel. Several factors can make soldiers less capable of coping with stressful events; so they may try to start drug abuse or increase in the amount or diversity of substance abuse. Understanding factors responsible for this misbehavior among soldiers is crucial for their commanders to modify these factors.

Military Personnel;Substance-Related Disorders;Risk Factors Military Personnel;Substance-Related Disorders;Risk Factors http://www.ircmj.com/index.php?page=article&article_id=16305 Alireza Mehrazmay Alireza Mehrazmay Behavioral Sciences Research Center, Baqiyatallah University of Medical Sciences, Tehran, IR Iran Behavioral Sciences Research Center, Baqiyatallah University of Medical Sciences, Tehran, IR Iran Alireza Karambakhsh Alireza Karambakhsh Behavioral Sciences Research Center, Baqiyatallah University of Medical Sciences, Tehran, IR Iran Behavioral Sciences Research Center, Baqiyatallah University of Medical Sciences, Tehran, IR Iran Mahmood Salesi Mahmood Salesi Behavioral Sciences Research Center, Baqiyatallah University of Medical Sciences, Tehran, IR Iran Behavioral Sciences Research Center, Baqiyatallah University of Medical Sciences, Tehran, IR Iran Mostafa Heydari Mostafa Heydari Behavioral Sciences Research Center, Baqiyatallah University of Medical Sciences, Tehran, IR Iran Behavioral Sciences Research Center, Baqiyatallah University of Medical Sciences, Tehran, IR Iran Khodabakhsh Ahmadi Khodabakhsh Ahmadi Behavioral Sciences Research Center, Baqiyatallah University of Medical Sciences, Tehran, IR Iran; Behavioral Sciences Research Center, Baqiyatallah University of Medical Sciences, P. O. Box: 19945-581, Tehran, IR Iran. Tel: +98-2182482475 Behavioral Sciences Research Center, Baqiyatallah University of Medical Sciences, Tehran, IR Iran; Behavioral Sciences Research Center, Baqiyatallah University of Medical Sciences, P. O. Box: 19945-581, Tehran, IR Iran. Tel: +98-2182482475
en 26473079 10.5812/ircmj.28380 The Association between Human Leukocyte Antigen Class II DR3–DQ2 Haplotype and Type 1 Diabetes in Children of the East Azerbaijan State of Iran The Association between Human Leukocyte Antigen Class II DR3–DQ2 Haplotype and Type 1 Diabetes in Children of the East Azerbaijan State of Iran research-article research-article Conclusions

Our investigation demonstrated that there is a highly significant association between the studied alleles and T1D. It can be construed that haplotype HLA-DR3-DQ2 has a very modest effect with respect to the risk of T1D.

Patients and Methods

This study was a case-control study. The number of samples was determined using the Cochran formula. Eighty unrelated T1D patients, including 42 (52.5%) females and 38 (47.5%) males, were randomly recruited from the East Azerbaijan state of Iran. Typing of HLA was performed by polymerase chain reaction-sequence-specific priming (PCR-SSP) on DNA extracted from peripheral blood mononuclear cells of 80 unrelated patients and 80 unrelated healthy control donors, who were selected randomly. For haplotype analysis, the logistic regression model was performed that allows joint estimation of Single-nucleotide polymorphisms (SNPs) via haplotypes.

Background

Type 1 diabetes mellitus (T1D) is an autoimmune disease. Several associations between human leukocyte antigen (HLA) complex and T1D were found in various populations. Associations with various HLA types depend on the investigated populations. However, such associations have not yet been investigated in the East Azerbaijan state of Iran with Turkish ethnicity.

Objectives

The aims of the current study was to describe T1D genetic susceptibility conferred by HLA class II alleles (DRB1*0301, DQA1*0501 and DQB1*0201) and to determine haplotype frequencies among T1D patients.

Results

The frequency of drb1*0301 (82.5% vs. 11.3%), dqa1*0501 (82.5% vs. 36.3%) and dqb1*0201 (81.3% vs. 35%) were significantly higher among patients compared with that of healthy subjects.

Conclusions

Our investigation demonstrated that there is a highly significant association between the studied alleles and T1D. It can be construed that haplotype HLA-DR3-DQ2 has a very modest effect with respect to the risk of T1D.

Patients and Methods

This study was a case-control study. The number of samples was determined using the Cochran formula. Eighty unrelated T1D patients, including 42 (52.5%) females and 38 (47.5%) males, were randomly recruited from the East Azerbaijan state of Iran. Typing of HLA was performed by polymerase chain reaction-sequence-specific priming (PCR-SSP) on DNA extracted from peripheral blood mononuclear cells of 80 unrelated patients and 80 unrelated healthy control donors, who were selected randomly. For haplotype analysis, the logistic regression model was performed that allows joint estimation of Single-nucleotide polymorphisms (SNPs) via haplotypes.

Background

Type 1 diabetes mellitus (T1D) is an autoimmune disease. Several associations between human leukocyte antigen (HLA) complex and T1D were found in various populations. Associations with various HLA types depend on the investigated populations. However, such associations have not yet been investigated in the East Azerbaijan state of Iran with Turkish ethnicity.

Objectives

The aims of the current study was to describe T1D genetic susceptibility conferred by HLA class II alleles (DRB1*0301, DQA1*0501 and DQB1*0201) and to determine haplotype frequencies among T1D patients.

Results

The frequency of drb1*0301 (82.5% vs. 11.3%), dqa1*0501 (82.5% vs. 36.3%) and dqb1*0201 (81.3% vs. 35%) were significantly higher among patients compared with that of healthy subjects.

Haplotype;Genotype;HLA-DRB1;HLA-DQB1 Haplotype;Genotype;HLA-DRB1;HLA-DQB1 http://www.ircmj.com/index.php?page=article&article_id=28380 Sima Mansoori Derakhshan Sima Mansoori Derakhshan Immunology Research Center, Tabriz University of Medical Sciences, Tabriz, IR Iran; Department of Medical Genetic, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, IR Iran Immunology Research Center, Tabriz University of Medical Sciences, Tabriz, IR Iran; Department of Medical Genetic, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, IR Iran Fatemeh Zeinali Sehrig Fatemeh Zeinali Sehrig Department of Biological Science, Ahar Branch, Islamic Azad University, Ahar, IR Iran Department of Biological Science, Ahar Branch, Islamic Azad University, Ahar, IR Iran Nasrin Sohrabi Nasrin Sohrabi Immunology Research Center, Tabriz University of Medical Sciences, Tabriz, IR Iran; Department of Medical Genetic, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, IR Iran Immunology Research Center, Tabriz University of Medical Sciences, Tabriz, IR Iran; Department of Medical Genetic, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, IR Iran Siamak Shiva Siamak Shiva Department of Pediatrics, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, IR Iran Department of Pediatrics, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, IR Iran Behzad Baradaran Behzad Baradaran Immunology Research Center, Tabriz University of Medical Sciences, Tabriz, IR Iran Immunology Research Center, Tabriz University of Medical Sciences, Tabriz, IR Iran Mahmoud Shekari Khaniani Mahmoud Shekari Khaniani Immunology Research Center, Tabriz University of Medical Sciences, Tabriz, IR Iran; Department of Medical Genetic, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, IR Iran; Department of Medical Genetic, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, IR Iran. Tel: +98-4113371587, Fax: +98-4113371587 Immunology Research Center, Tabriz University of Medical Sciences, Tabriz, IR Iran; Department of Medical Genetic, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, IR Iran; Department of Medical Genetic, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, IR Iran. Tel: +98-4113371587, Fax: +98-4113371587
en 26473077 10.5812/ircmj.27492 Supportive Nursing Care and Satisfaction of Patients Receiving Electroconvulsive Therapy: A Randomized Controlled Clinical Trial Supportive Nursing Care and Satisfaction of Patients Receiving Electroconvulsive Therapy: A Randomized Controlled Clinical Trial research-article research-article Conclusions

Results of the current study confirmed the effect of supportive nursing care on increasing the level of satisfaction in ECT receiving patients, recommending the use of this therapeutic method.

Results

The results showed similarities in socio-personal characteristics of both groups. However, there was a significant difference (P < 0.001) between the means of satisfaction in the groups, predominantly for the intervention group. In other words, a significant difference (P < 0.001) was observed between the means of satisfaction of the intervention (54.71 ± 5.27) and control (36.28 ± 7.00) groups after intervention by controlling the effect of socio-personal variables.

Objectives

The current study aimed to determine the effect of supportive nursing care on the satisfaction of patients receiving ECT.

Patients and Methods

This randomized controlled trial was conducted in the education center of Baharan psychiatric hospital, Zahedan, Iran. Seventy hospitalized patients receiving ECT were randomly divided into two groups of control (n = 35) and intervention (n = 35).The socio-personal and Webster Satisfaction Questionnaire were used as data collection tools. The intervention group received supportive nursing care by nurses trained in informational, emotional, and physical aspects. The control group received only regular nursing care. The levels of satisfaction were measured and compared between groups, before and after the intervention. Data were analyzed using the SPSS software, and Chi-square, independent and paired t tests, as well as covariance analysis were performed.

Background

Patient satisfaction is the most important criterion in evaluating the quality of care. Besides, its assessment in patients with severe mental disorder treated by electroconvulsive therapy (ECT) is highly appropriate. The ECT is accompanied by lower satisfaction and may exacerbate the patients’ condition.

Conclusions

Results of the current study confirmed the effect of supportive nursing care on increasing the level of satisfaction in ECT receiving patients, recommending the use of this therapeutic method.

Results

The results showed similarities in socio-personal characteristics of both groups. However, there was a significant difference (P < 0.001) between the means of satisfaction in the groups, predominantly for the intervention group. In other words, a significant difference (P < 0.001) was observed between the means of satisfaction of the intervention (54.71 ± 5.27) and control (36.28 ± 7.00) groups after intervention by controlling the effect of socio-personal variables.

Objectives

The current study aimed to determine the effect of supportive nursing care on the satisfaction of patients receiving ECT.

Patients and Methods

This randomized controlled trial was conducted in the education center of Baharan psychiatric hospital, Zahedan, Iran. Seventy hospitalized patients receiving ECT were randomly divided into two groups of control (n = 35) and intervention (n = 35).The socio-personal and Webster Satisfaction Questionnaire were used as data collection tools. The intervention group received supportive nursing care by nurses trained in informational, emotional, and physical aspects. The control group received only regular nursing care. The levels of satisfaction were measured and compared between groups, before and after the intervention. Data were analyzed using the SPSS software, and Chi-square, independent and paired t tests, as well as covariance analysis were performed.

Background

Patient satisfaction is the most important criterion in evaluating the quality of care. Besides, its assessment in patients with severe mental disorder treated by electroconvulsive therapy (ECT) is highly appropriate. The ECT is accompanied by lower satisfaction and may exacerbate the patients’ condition.

Nursing Care;Patient Satisfaction;Electroconvulsive Therapy;Support Nursing Care;Patient Satisfaction;Electroconvulsive Therapy;Support http://www.ircmj.com/index.php?page=article&article_id=27492 Ali Navidian Ali Navidian Department of Counseling, Pregnancy Health Research Center, Zahedan University of Medical Sciences, Zahedan, IR Iran Department of Counseling, Pregnancy Health Research Center, Zahedan University of Medical Sciences, Zahedan, IR Iran Hossein Ebrahimi Hossein Ebrahimi Department of Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, IR Iran Department of Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, IR Iran Roghaieh Keykha Roghaieh Keykha Department of Nursing, Faculty of Nursing and Midwifery, Zahedan University of Medical Sciences, Zahedan, IR Iran; Department of Nursing, Faculty of Nursing and Midwifery, Zahedan University of Medical Sciences, Zahedan, IR Iran. Tel: +98-5433442482, Fax: +98-5433442481 Department of Nursing, Faculty of Nursing and Midwifery, Zahedan University of Medical Sciences, Zahedan, IR Iran; Department of Nursing, Faculty of Nursing and Midwifery, Zahedan University of Medical Sciences, Zahedan, IR Iran. Tel: +98-5433442482, Fax: +98-5433442481
en 26473071 10.5812/ircmj.16640 Factors Affecting Depression During Pregnancy and the Correlation Between Social Support and Pregnancy Depression Factors Affecting Depression During Pregnancy and the Correlation Between Social Support and Pregnancy Depression research-article research-article Background

Women are seriously subjected to psychiatric diseases during pregnancy and depression is the most prevailing one among these diseases. There is a relation between the social support and depression in pregnancy whose predisposing factors are genetic, psychological, biological, environmental, and hormonal.

Objectives

This study aimed to determine the frequency of depression symptoms, and its risk factors. Also it studied the correlation between social support and pregnancy depression.

Patients and Methods

This research is a descriptive cross-sectional study. It was conducted on 266 pregnant women selected by simple random method from all pregnant women admitted at the Maternity Hospital of Trabzon, Turkey from May 21 to June 13, 2008. The data were collected with a questionnaire form, the Beck depression inventory (BDI), and the multidimensional scale of perceived social support (MSPSS).

Results

The mean BDI score of the pregnant women was 11.12 ± 6.65. According to the BDI, 46.2% of the pregnant women had no depression symptoms, 34.59% of them had mild, 13.91% had moderate, and 4.89% had severe level of depression symptoms. It was found that such factors as the educational level of the pregnant women and their husbands, having an undesired pregnancy, suffering from a chronic disease before pregnancy, presence of pregnancy-related problems, having a child with disability or having relatives whose children had disability, and smoking during pregnancy were the risk factors affecting the severity of the depression symptoms and these results were statistically significant (P < 0.05). On the other hand, the mean MSPSS score was 67.89 ± 14.26 and it was found that the pregnant women got the highest social support from their husbands. It was found that there was a significant correlation between BDI and MSPSS total score and its subscale scores (P < 0.05).

Conclusions

According to this study, one-fifth of pregnant women were found to experience depressive symptoms, which require treatment during pregnancy, and the factors such as having no support from relatives was found to be associated with the severity of depressive symptoms during pregnancy.

Background

Women are seriously subjected to psychiatric diseases during pregnancy and depression is the most prevailing one among these diseases. There is a relation between the social support and depression in pregnancy whose predisposing factors are genetic, psychological, biological, environmental, and hormonal.

Objectives

This study aimed to determine the frequency of depression symptoms, and its risk factors. Also it studied the correlation between social support and pregnancy depression.

Patients and Methods

This research is a descriptive cross-sectional study. It was conducted on 266 pregnant women selected by simple random method from all pregnant women admitted at the Maternity Hospital of Trabzon, Turkey from May 21 to June 13, 2008. The data were collected with a questionnaire form, the Beck depression inventory (BDI), and the multidimensional scale of perceived social support (MSPSS).

Results

The mean BDI score of the pregnant women was 11.12 ± 6.65. According to the BDI, 46.2% of the pregnant women had no depression symptoms, 34.59% of them had mild, 13.91% had moderate, and 4.89% had severe level of depression symptoms. It was found that such factors as the educational level of the pregnant women and their husbands, having an undesired pregnancy, suffering from a chronic disease before pregnancy, presence of pregnancy-related problems, having a child with disability or having relatives whose children had disability, and smoking during pregnancy were the risk factors affecting the severity of the depression symptoms and these results were statistically significant (P < 0.05). On the other hand, the mean MSPSS score was 67.89 ± 14.26 and it was found that the pregnant women got the highest social support from their husbands. It was found that there was a significant correlation between BDI and MSPSS total score and its subscale scores (P < 0.05).

Conclusions

According to this study, one-fifth of pregnant women were found to experience depressive symptoms, which require treatment during pregnancy, and the factors such as having no support from relatives was found to be associated with the severity of depressive symptoms during pregnancy.

Pregnancy;Depression;Risk Factors;Social Support;Turkey Pregnancy;Depression;Risk Factors;Social Support;Turkey http://www.ircmj.com/index.php?page=article&article_id=16640 Songul Aktas Songul Aktas Obstetrics and Gynecology Nursing Department, Faculty of Health Science, Karadeniz Technical University, Trabzon, Turkey; Obstetrics and Gynaecology Nursing Department, Faculty of Health Science, Karadeniz Technical University, Trabzon, Turkey. Tel: +90-4622300476, Fax: +90-4622300475 Obstetrics and Gynecology Nursing Department, Faculty of Health Science, Karadeniz Technical University, Trabzon, Turkey; Obstetrics and Gynaecology Nursing Department, Faculty of Health Science, Karadeniz Technical University, Trabzon, Turkey. Tel: +90-4622300476, Fax: +90-4622300475 Kiymet Yesilcicek Calik Kiymet Yesilcicek Calik Obstetrics and Gynecology Nursing Department, Faculty of Health Science, Karadeniz Technical University, Trabzon, Turkey Obstetrics and Gynecology Nursing Department, Faculty of Health Science, Karadeniz Technical University, Trabzon, Turkey
en 26473066 10.5812/ircmj.15984 Congenital Thymic Cyst in the Retro Cava Position: A Case Report Congenital Thymic Cyst in the Retro Cava Position: A Case Report case-report case-report Conclusions

To our knowledge, this is the first case of CTC that was identified incidentally in the retrocaval position and caused intermittent obstruction of vena cava.

Case Presentation

The present study reports on a 66-year-old female with coronary artery disease (CAD) who was scheduled for coronary artery bypass grafting (CABG) at our hospital. During mediastinal exploration and pericardiotomy for CABG, a large CTC was incidentally found in the retrocaval position, as a watery cyst from its anatomic location and content. Pathological examination revealed that it was a CTC. No cases of retrocaval position of CTC have been reported. Thus, here we report on this case and review the previously reported cases.

Introduction

Congenital thymic cyst (CTC) is a rare mediastinal mass and the retrocaval position of this cyst has not been reported in the medical literature so far.

Conclusions

To our knowledge, this is the first case of CTC that was identified incidentally in the retrocaval position and caused intermittent obstruction of vena cava.

Case Presentation

The present study reports on a 66-year-old female with coronary artery disease (CAD) who was scheduled for coronary artery bypass grafting (CABG) at our hospital. During mediastinal exploration and pericardiotomy for CABG, a large CTC was incidentally found in the retrocaval position, as a watery cyst from its anatomic location and content. Pathological examination revealed that it was a CTC. No cases of retrocaval position of CTC have been reported. Thus, here we report on this case and review the previously reported cases.

Introduction

Congenital thymic cyst (CTC) is a rare mediastinal mass and the retrocaval position of this cyst has not been reported in the medical literature so far.

Coronary Artery Disease;Cronary Artery Bypass;Cyst Coronary Artery Disease;Cronary Artery Bypass;Cyst http://www.ircmj.com/index.php?page=article&article_id=15984 Freidoun Sabzi Freidoun Sabzi Department of Cardiovascular Surgery, Imam Ali Heart Center, Kermanshah University of Medical Sciences, Kermanshah, IR Iran Department of Cardiovascular Surgery, Imam Ali Heart Center, Kermanshah University of Medical Sciences, Kermanshah, IR Iran Babak Eizadi Babak Eizadi Department of Pathology, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, IR Iran Department of Pathology, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, IR Iran Nasrin Javid Nasrin Javid Department of Cardiovascular Surgery, Imam Ali Heart Center, Kermanshah University of Medical Sciences, Kermanshah, IR Iran Department of Cardiovascular Surgery, Imam Ali Heart Center, Kermanshah University of Medical Sciences, Kermanshah, IR Iran Reza Faraji Reza Faraji Department of Cardiovascular Surgery, Imam Ali Heart Center, Kermanshah University of Medical Sciences, Kermanshah, IR Iran; Department of Cardiovascular Surgery, Imam Ali Heart Center, Kermanshah University of Medical Sciences, Kermanshah, IR Iran. Tel: +98-8318360295, Fax: +98-8319360043 Department of Cardiovascular Surgery, Imam Ali Heart Center, Kermanshah University of Medical Sciences, Kermanshah, IR Iran; Department of Cardiovascular Surgery, Imam Ali Heart Center, Kermanshah University of Medical Sciences, Kermanshah, IR Iran. Tel: +98-8318360295, Fax: +98-8319360043
en 26473073 10.5812/ircmj.19978 Factors Related to Return to Work in Women After Breast Cancer in Iran Factors Related to Return to Work in Women After Breast Cancer in Iran research-article research-article Conclusions

The results of this study show the factors related to the return-to-work after BC treatment in working women in Mashhad city, Iran. These predictors should be taken into account in order to improve the patient’s life quality.

Background

Most women are diagnosed with breast cancer (BC) when they are still at the appropriate age for employment. The increasing survival rates of patients with BC call for more attention to their ability to return to work.

Objectives

The aim of this study was to identify factors related to the return to work in Iranian women underwent BC treatment.

Patients and Methods

A total of 175 women with BC, who met the inclusion criteria, were enrolled in this cross-sectional study. The subjects were recruited from four hospitals affiliated to Mashhad university of medical sciences. These hospitals are oncology referral centers in eastern Iran. All records of employed women with BC were studied in four hospitals of Mashhad city, Iran, during 2000 - 2010. The researchers designed a questionnaire, which consisted of questions regarding social/demographic, health/disease, and work characteristics. The questionnaires were completed through interviews. Data were analyzed using SPSS software, version 11.5.

Results

The mean age of the patients at the time of interview was 44.3 ± 6.72 years. Mean age of “Return- to-work” group was 42.71 and “No return-to-work” group was 51.06. Most women (80%) were married. At the time of the interview, 80% had returned to work after a BC diagnosis. Older patients (OR = 0.796; 95% CI, 0.625 - 0.907, P = 0.002), and those with a great deal of work experience (OR = 0.861; 95% CI, 0.752 - 0.986, P = 0.030) were less likely to return to work. Also, women who had no pain or surgery scar (OR = 23.03; 95% CI, 4.53 - 117.02, P < 0.001) as well as those who had no lymphedema after the BC treatment were more likely to return to work (OR = 22.373; 95% CI, 4.04 - 23.892, P < 0.001).

Conclusions

The results of this study show the factors related to the return-to-work after BC treatment in working women in Mashhad city, Iran. These predictors should be taken into account in order to improve the patient’s life quality.

Background

Most women are diagnosed with breast cancer (BC) when they are still at the appropriate age for employment. The increasing survival rates of patients with BC call for more attention to their ability to return to work.

Objectives

The aim of this study was to identify factors related to the return to work in Iranian women underwent BC treatment.

Patients and Methods

A total of 175 women with BC, who met the inclusion criteria, were enrolled in this cross-sectional study. The subjects were recruited from four hospitals affiliated to Mashhad university of medical sciences. These hospitals are oncology referral centers in eastern Iran. All records of employed women with BC were studied in four hospitals of Mashhad city, Iran, during 2000 - 2010. The researchers designed a questionnaire, which consisted of questions regarding social/demographic, health/disease, and work characteristics. The questionnaires were completed through interviews. Data were analyzed using SPSS software, version 11.5.

Results

The mean age of the patients at the time of interview was 44.3 ± 6.72 years. Mean age of “Return- to-work” group was 42.71 and “No return-to-work” group was 51.06. Most women (80%) were married. At the time of the interview, 80% had returned to work after a BC diagnosis. Older patients (OR = 0.796; 95% CI, 0.625 - 0.907, P = 0.002), and those with a great deal of work experience (OR = 0.861; 95% CI, 0.752 - 0.986, P = 0.030) were less likely to return to work. Also, women who had no pain or surgery scar (OR = 23.03; 95% CI, 4.53 - 117.02, P < 0.001) as well as those who had no lymphedema after the BC treatment were more likely to return to work (OR = 22.373; 95% CI, 4.04 - 23.892, P < 0.001).

Return to Work;Breast Cancer;Women;Iran Return to Work;Breast Cancer;Women;Iran http://www.ircmj.com/index.php?page=article&article_id=19978 Fatemeh Azarkish Fatemeh Azarkish Iranshahr University of Medical Sciences, Iranshahr, IR Iran Iranshahr University of Medical Sciences, Iranshahr, IR Iran Khadijeh Mirzaii Najmabadi Khadijeh Mirzaii Najmabadi Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences (MUMS), Mashhad, IR Iran; Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences (MUMS), Mashhad, IR Iran. Tel: +98-5118546025, Fax: +98-5118597313 Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences (MUMS), Mashhad, IR Iran; Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences (MUMS), Mashhad, IR Iran. Tel: +98-5118546025, Fax: +98-5118597313 Robab Latifnejad Roudsari Robab Latifnejad Roudsari Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences (MUMS), Mashhad, IR Iran Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences (MUMS), Mashhad, IR Iran Fatemeh Homaei Shandiz Fatemeh Homaei Shandiz Cancer Research Center, Faculty of Medicine, Mashhad University of Medical Sciences (MUMS), Mashhad, IR Iran Cancer Research Center, Faculty of Medicine, Mashhad University of Medical Sciences (MUMS), Mashhad, IR Iran
en 26473072 10.5812/ircmj.19960 Wound Healing Activity of a Traditionally Used Poly Herbal Product in a Burn Wound Model in Rats Wound Healing Activity of a Traditionally Used Poly Herbal Product in a Burn Wound Model in Rats research-article research-article Conclusions

Poly herbal cream experimentally and histopathologically revealed a burn wound healing activity probably due to the antioxidant, anti-inflammatory and antimicrobial activities of its phytochemical contents. Therefore, this study confirms the use of M. sylvestris, S. nigrum and R. damascena in burn prescriptions in ITM.

Results

There was a significant improvement in healing percentage of PHC-treated rats in comparison to the other groups at the end of the treatment period (87.0% ± 2.1% for PHC in comparison to 32.2% ± 1.6%, 57.0% ± 5.3% and 70.8% ± 3.5% for the control, cream base and SS groups, respectively). Moreover, the healed wounds in PHC-treated animals contained less inflammatory cells and had desirable re-epithelialization with remarkable neovascularization. In addition to the antioxidant activity, PHC exhibited antibacterial effect against Staphylococcus aureus.

Background

Burns are known as one of the most common and destructive forms of injury with a vast spectrum of consequences. Despite the discovery of various antibacterial and antiseptic agents, burn wound healing still has remained a challenge to modern medicine. Plants, with a valuable traditional support, have been considered as potential agents for prevention and treatment of disorders in recent years. However, modern scientific methods should be applied to validate the claims about the therapeutic effects of the herbal products.

Objectives

This study was conducted to evaluate the wound-healing activity of a poly herbal cream (PHC), retrieved from Iranian Traditional Medicine (ITM), in a rat burn wound model in Iran.

Materials and Methods

In this experimental study, PHC containing aqueous extracts of Malva sylvestris and Solanum nigrum leaves and oily extract of Rosa damascena petals was used. Second-degree burn wounds were induced in four groups of five rats each. Group 1 received no treatment while groups 2, 3 and 4 were given cream base, silver sulfadiazine (SS) 1% and PHC, respectively to compare the efficacy of PHC with the negative and positive control groups. The percentage of wound healing on days 2, 6, 10 and 14 and histopathological parameters of healed wounds on the 14th day were assessed. Antioxidant and antimicrobial activities of PHC were evaluated using 2, 2-diphenyl-1-picrylhydrazyl (DPPH) and micro-dilution methods, respectively.

Conclusions

Poly herbal cream experimentally and histopathologically revealed a burn wound healing activity probably due to the antioxidant, anti-inflammatory and antimicrobial activities of its phytochemical contents. Therefore, this study confirms the use of M. sylvestris, S. nigrum and R. damascena in burn prescriptions in ITM.

Results

There was a significant improvement in healing percentage of PHC-treated rats in comparison to the other groups at the end of the treatment period (87.0% ± 2.1% for PHC in comparison to 32.2% ± 1.6%, 57.0% ± 5.3% and 70.8% ± 3.5% for the control, cream base and SS groups, respectively). Moreover, the healed wounds in PHC-treated animals contained less inflammatory cells and had desirable re-epithelialization with remarkable neovascularization. In addition to the antioxidant activity, PHC exhibited antibacterial effect against Staphylococcus aureus.

Background

Burns are known as one of the most common and destructive forms of injury with a vast spectrum of consequences. Despite the discovery of various antibacterial and antiseptic agents, burn wound healing still has remained a challenge to modern medicine. Plants, with a valuable traditional support, have been considered as potential agents for prevention and treatment of disorders in recent years. However, modern scientific methods should be applied to validate the claims about the therapeutic effects of the herbal products.

Objectives

This study was conducted to evaluate the wound-healing activity of a poly herbal cream (PHC), retrieved from Iranian Traditional Medicine (ITM), in a rat burn wound model in Iran.

Materials and Methods

In this experimental study, PHC containing aqueous extracts of Malva sylvestris and Solanum nigrum leaves and oily extract of Rosa damascena petals was used. Second-degree burn wounds were induced in four groups of five rats each. Group 1 received no treatment while groups 2, 3 and 4 were given cream base, silver sulfadiazine (SS) 1% and PHC, respectively to compare the efficacy of PHC with the negative and positive control groups. The percentage of wound healing on days 2, 6, 10 and 14 and histopathological parameters of healed wounds on the 14th day were assessed. Antioxidant and antimicrobial activities of PHC were evaluated using 2, 2-diphenyl-1-picrylhydrazyl (DPPH) and micro-dilution methods, respectively.

Burn Wound Healing;Iranian Traditional Medicine (ITM);Malva sylvestris;Rosa damascena;Solanum nigrum Burn Wound Healing;Iranian Traditional Medicine (ITM);Malva sylvestris;Rosa damascena;Solanum nigrum http://www.ircmj.com/index.php?page=article&article_id=19960 Shirin Fahimi Shirin Fahimi Traditional Medicine and Materia Medica Research Center and Department of Traditional Pharmacy, School of Traditional Medicine, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran Traditional Medicine and Materia Medica Research Center and Department of Traditional Pharmacy, School of Traditional Medicine, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran Mohammad Abdollahi Mohammad Abdollahi Department of Toxicology and Pharmacology, Faculty of Pharmacy and Pharmaceutical Sciences Research Center, Tehran University of Medical Sciences, Tehran, IR Iran Department of Toxicology and Pharmacology, Faculty of Pharmacy and Pharmaceutical Sciences Research Center, Tehran University of Medical Sciences, Tehran, IR Iran Seyed Alireza Mortazavi Seyed Alireza Mortazavi Department of Pharmaceutics, School of Pharmacy, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran Department of Pharmaceutics, School of Pharmacy, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran Homa Hajimehdipoor Homa Hajimehdipoor Traditional Medicine and Materia Medica Research Center and Department of Traditional Pharmacy, School of Traditional Medicine, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran; Traditional Medicine and Materia Medica Research Center and Department of Traditional Pharmacy, School of Traditional Medicine, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran. Tel/Fax: +98-2188776027 Traditional Medicine and Materia Medica Research Center and Department of Traditional Pharmacy, School of Traditional Medicine, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran; Traditional Medicine and Materia Medica Research Center and Department of Traditional Pharmacy, School of Traditional Medicine, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran. Tel/Fax: +98-2188776027 Amir Hossein Abdolghaffari Amir Hossein Abdolghaffari Medicinal Plants Research Center, Institute of Medicinal Plants, ACECR, Karaj, IR Iran; International Campus, ICTUMS, Tehran University of Medical Sciences, Tehran, IR Iran Medicinal Plants Research Center, Institute of Medicinal Plants, ACECR, Karaj, IR Iran; International Campus, ICTUMS, Tehran University of Medical Sciences, Tehran, IR Iran Mohammad Amin Rezvanfar Mohammad Amin Rezvanfar Department of Toxicology and Pharmacology, Faculty of Pharmacy and Pharmaceutical Sciences Research Center, Tehran University of Medical Sciences, Tehran, IR Iran Department of Toxicology and Pharmacology, Faculty of Pharmacy and Pharmaceutical Sciences Research Center, Tehran University of Medical Sciences, Tehran, IR Iran
en 26473065 10.5812/ircmj.12596 RETRACTED ARTICLE: Resistant Strains of Enterotoxigenic Staphylococcus aureus; Unknown Risk for Multiple Sclerosis Exacerbation RETRACTED ARTICLE: Resistant Strains of Enterotoxigenic <italic>Staphylococcus aureus</italic>; Unknown Risk for Multiple Sclerosis Exacerbation research-article research-article Conclusions

Our findings should raise awareness about the role of sea and sec enterotoxins, in resistant strains of S. aureus, as a risk factor for MS exacerbation. It is better to keep MS patients away from polluted environments of hospitals and health centers.

Objectives

The present study was carried out to investigate the role of resistant strains of enterotoxigenic S. aureus in MS exacerbation.

Materials and Methods

Two-hundred nasal swab samples were collected from non-MS (n = 80), MS stable (n = 60) and MS exacerbation (n = 60) groups. Samples were cultured and those that were S. aureus-positive were analyzed for the presence of enterotoxins, using polymerase chain reaction (PCR). Antimicrobial susceptibility was performed using disk diffusion method.

Results

Ninety out of 200 nasal samples (45%) were positive for S. aureus. The highest levels of nasal colonization were seen in MS exacerbation group (68.33%). The most commonly detected enterotoxins were sea (30%), sec (15.55%) and seb (11.11%). There were significant differences between S. aureus colonization and type of samples (P = 0.026) and, also, between type of samples and prevalence of enterotoxins (P = 0.022). The highest levels of enterotoxigenic genes were seen in MS exacerbation group. The S. aureus strains had the highest levels of resistance against tetracycline (80%), ampicillin (72.22%), methicillin (66.66%), erythromycin (66.66%), oxacillin (63.33%), trimethoprim-sulfamethoxazole (61.11%) and cotrimoxazole (55.55%).

Background

Despite all advances in neurological sciences, there are unknown aspects in the epidemiology of multiple sclerosis (MS). Based on this hypothesis, the enterotoxigenic strains of Staphylococcus aureus (S. aureus) are possible risk factors for exacerbations of MS.

Conclusions

Our findings should raise awareness about the role of sea and sec enterotoxins, in resistant strains of S. aureus, as a risk factor for MS exacerbation. It is better to keep MS patients away from polluted environments of hospitals and health centers.

Objectives

The present study was carried out to investigate the role of resistant strains of enterotoxigenic S. aureus in MS exacerbation.

Materials and Methods

Two-hundred nasal swab samples were collected from non-MS (n = 80), MS stable (n = 60) and MS exacerbation (n = 60) groups. Samples were cultured and those that were S. aureus-positive were analyzed for the presence of enterotoxins, using polymerase chain reaction (PCR). Antimicrobial susceptibility was performed using disk diffusion method.

Results

Ninety out of 200 nasal samples (45%) were positive for S. aureus. The highest levels of nasal colonization were seen in MS exacerbation group (68.33%). The most commonly detected enterotoxins were sea (30%), sec (15.55%) and seb (11.11%). There were significant differences between S. aureus colonization and type of samples (P = 0.026) and, also, between type of samples and prevalence of enterotoxins (P = 0.022). The highest levels of enterotoxigenic genes were seen in MS exacerbation group. The S. aureus strains had the highest levels of resistance against tetracycline (80%), ampicillin (72.22%), methicillin (66.66%), erythromycin (66.66%), oxacillin (63.33%), trimethoprim-sulfamethoxazole (61.11%) and cotrimoxazole (55.55%).

Background

Despite all advances in neurological sciences, there are unknown aspects in the epidemiology of multiple sclerosis (MS). Based on this hypothesis, the enterotoxigenic strains of Staphylococcus aureus (S. aureus) are possible risk factors for exacerbations of MS.

Multiple Sclerosis;Antibiotic Resistance;Iran;Enterotoxins;Staphylococcus aureus Multiple Sclerosis;Antibiotic Resistance;Iran;Enterotoxins;Staphylococcus aureus http://www.ircmj.com/index.php?page=article&article_id=12596 Farzad Mehrabi Farzad Mehrabi Department of Neurology, AJA University of Medical Sciences, Tehran, IR Iran Department of Neurology, AJA University of Medical Sciences, Tehran, IR Iran Ali Asgari Ali Asgari Department of Infectious Diseases, AJA University of Medical Sciences, Tehran, IR Iran; Department of Infectious Diseases, AJA University of Medical Sciences, Tehran, IR Iran. Tel: +98-9123811056 Department of Infectious Diseases, AJA University of Medical Sciences, Tehran, IR Iran; Department of Infectious Diseases, AJA University of Medical Sciences, Tehran, IR Iran. Tel: +98-9123811056
en 26473080 10.5812/ircmj.29933 Effect of Patient-Focused Clinical Pathway on Anxiety, Depression and Satisfaction of Patients With Coronary Artery Disease: A Quasi-Experimental Study Effect of Patient-Focused Clinical Pathway on Anxiety, Depression and Satisfaction of Patients With Coronary Artery Disease: A Quasi-Experimental Study research-article research-article Background

Coronary artery diseases (CAD) are associated with psychological problems such as anxiety and depression in patients. Thus, management of these problems can consider as an important intervention by health care workers, especially nurses.

Objectives

The purpose of this study was to investigate the effectiveness of patient-focused clinical pathway on anxiety, depression and satisfaction of patients with CAD.

Conclusions

According to the positive effects of CP on patients with CADs, it can be considered as a useful, safe and simple instrument for the improvement of patients’ outcomes. Thus, the findings of this study can provide a new insight in patient care for clinical nurses.

Results

Prevalence rates of anxiety and depression in total of patients were 7.2% and 8.7%, respectively. In terms of anxiety, the mean of difference between pretest and posttest scores in the CP group (0.52 ± 1.39) was higher compared to the RUT group (-0.17 ± 1.69) and there was a significant difference between the two group (P = 0.009). In terms of depression, the mean of this difference in the CP group (0.75 ± 2.05) was higher compared to the RUT group (0.00 ± 1.08), as there was a significant difference between the two group (P = 0.024). Also, the mean of patients’ satisfaction scores in the CP group (3.69 ± 0.39) was higher compared to the RUT group (3.45 ± 0.47) and there was a significant difference between the two groups (P = 0.002).

Patients and Methods

In this quasi-experimental study, 138 patients suffering from CAD in a coronary care unit of a referral teaching hospital affiliated to Semnan University of Medical Sciences in Semnan, Iran, were recruited using a convenience sampling method. The participants were assigned to two groups: Clinical pathway (CP) and routine (RUT) care. The level of anxiety and depression of patients were measured in admission and discharge in both groups. Also, the level of patients’ satisfaction was measured at the time of discharge. Data were analyzed using descriptive and inferential statistics.

Background

Coronary artery diseases (CAD) are associated with psychological problems such as anxiety and depression in patients. Thus, management of these problems can consider as an important intervention by health care workers, especially nurses.

Objectives

The purpose of this study was to investigate the effectiveness of patient-focused clinical pathway on anxiety, depression and satisfaction of patients with CAD.

Conclusions

According to the positive effects of CP on patients with CADs, it can be considered as a useful, safe and simple instrument for the improvement of patients’ outcomes. Thus, the findings of this study can provide a new insight in patient care for clinical nurses.

Results

Prevalence rates of anxiety and depression in total of patients were 7.2% and 8.7%, respectively. In terms of anxiety, the mean of difference between pretest and posttest scores in the CP group (0.52 ± 1.39) was higher compared to the RUT group (-0.17 ± 1.69) and there was a significant difference between the two group (P = 0.009). In terms of depression, the mean of this difference in the CP group (0.75 ± 2.05) was higher compared to the RUT group (0.00 ± 1.08), as there was a significant difference between the two group (P = 0.024). Also, the mean of patients’ satisfaction scores in the CP group (3.69 ± 0.39) was higher compared to the RUT group (3.45 ± 0.47) and there was a significant difference between the two groups (P = 0.002).

Patients and Methods

In this quasi-experimental study, 138 patients suffering from CAD in a coronary care unit of a referral teaching hospital affiliated to Semnan University of Medical Sciences in Semnan, Iran, were recruited using a convenience sampling method. The participants were assigned to two groups: Clinical pathway (CP) and routine (RUT) care. The level of anxiety and depression of patients were measured in admission and discharge in both groups. Also, the level of patients’ satisfaction was measured at the time of discharge. Data were analyzed using descriptive and inferential statistics.

Coronary Artery Disease;Patient Satisfaction;Anxiety;Depression;Clinical Pathways Coronary Artery Disease;Patient Satisfaction;Anxiety;Depression;Clinical Pathways http://www.ircmj.com/index.php?page=article&article_id=29933 Ali Fakhr-Movahedi Ali Fakhr-Movahedi School of Nursing and Allied Medical Sciences, Semnan University of Medical Sciences, Semnan, IR Iran School of Nursing and Allied Medical Sciences, Semnan University of Medical Sciences, Semnan, IR Iran Mohsen Soleimani Mohsen Soleimani School of Nursing and Allied Medical Sciences, Semnan University of Medical Sciences, Semnan, IR Iran; School of Nursing and Allied Medical Sciences, Semnan University of Medical Sciences, Semnan, IR Iran. Tel: +98-23133654190 School of Nursing and Allied Medical Sciences, Semnan University of Medical Sciences, Semnan, IR Iran; School of Nursing and Allied Medical Sciences, Semnan University of Medical Sciences, Semnan, IR Iran. Tel: +98-23133654190 Razeyeh Ghazvininejad Razeyeh Ghazvininejad School of Nursing and Allied Medical Sciences, Semnan University of Medical Sciences, Semnan, IR Iran School of Nursing and Allied Medical Sciences, Semnan University of Medical Sciences, Semnan, IR Iran Mohammad Kazem Maher Mohammad Kazem Maher Rajaei Cardiovascular, Medical & Research Center, Iran University of Medical Sciences, Tehran, IR Iran Rajaei Cardiovascular, Medical & Research Center, Iran University of Medical Sciences, Tehran, IR Iran Raheb Ghorbani Raheb Ghorbani Research Center for Social Determinants of Health, Semnan University of Medical Sciences, Semnan, IR Iran Research Center for Social Determinants of Health, Semnan University of Medical Sciences, Semnan, IR Iran
en 26473068 10.5812/ircmj.16200 Treatment of Congenital Complete Atrioventricular Heart Block With Permanent Epicardial Pacemaker in Neonatal Lupus Syndrome Treatment of Congenital Complete Atrioventricular Heart Block With Permanent Epicardial Pacemaker in Neonatal Lupus Syndrome case-report case-report Conclusions

Mothers with SLE should be screened and closely followed up during pregnancy for the development of fetal atrioventricular (AV) block.

Case Presentation

A term infant with fetal bradycardia, detected at the 23rd gestational age, was diagnosed with CHB due to NLS and was successfully treated with a permanent epicardial pacemaker. The patient was reported here due to rarity of the procedure in neonatal period.

Introduction

Neonatal lupus syndrome (NLS) is a passively acquired autoimmune condition due to the transplacental passage of maternal anti-Ro/SSA and anti-La/SSB antibodies in mothers with systemic lupus erythematosus (SLE), and congenital complete heart block (CHB) is its most serious manifestation. Skin and hepatic involvement may occur in later infancy.

Conclusions

Mothers with SLE should be screened and closely followed up during pregnancy for the development of fetal atrioventricular (AV) block.

Case Presentation

A term infant with fetal bradycardia, detected at the 23rd gestational age, was diagnosed with CHB due to NLS and was successfully treated with a permanent epicardial pacemaker. The patient was reported here due to rarity of the procedure in neonatal period.

Introduction

Neonatal lupus syndrome (NLS) is a passively acquired autoimmune condition due to the transplacental passage of maternal anti-Ro/SSA and anti-La/SSB antibodies in mothers with systemic lupus erythematosus (SLE), and congenital complete heart block (CHB) is its most serious manifestation. Skin and hepatic involvement may occur in later infancy.

Heart Block;Neonatal Lupus Syndrome;Artificial Cardiac Pacemaker;Therapy Heart Block;Neonatal Lupus Syndrome;Artificial Cardiac Pacemaker;Therapy http://www.ircmj.com/index.php?page=article&article_id=16200 Sema Tanriverdi Sema Tanriverdi Department of Pediatrics, Ege University, Faculty of Medicine, Division of Neonatology, Izmir, Turkey; Department of Pediatrics, Ege University, Faculty of Medicine, Division of Neonatology, Izmir, Turkey. Tel: +90-2323901306, Fax: +90-2323901011 Department of Pediatrics, Ege University, Faculty of Medicine, Division of Neonatology, Izmir, Turkey; Department of Pediatrics, Ege University, Faculty of Medicine, Division of Neonatology, Izmir, Turkey. Tel: +90-2323901306, Fax: +90-2323901011 Zulal Ulger Zulal Ulger Department of Pediatrics, Ege University, Faculty of Medicine, Division of Pediatric Cardiology, Izmir, Turkey Department of Pediatrics, Ege University, Faculty of Medicine, Division of Pediatric Cardiology, Izmir, Turkey Betul Siyah Bilgin Betul Siyah Bilgin Department of Pediatrics, Ege University, Faculty of Medicine, Division of Neonatology, Izmir, Turkey Department of Pediatrics, Ege University, Faculty of Medicine, Division of Neonatology, Izmir, Turkey Nilgun Kultursay Nilgun Kultursay Department of Pediatrics, Ege University, Faculty of Medicine, Division of Neonatology, Izmir, Turkey Department of Pediatrics, Ege University, Faculty of Medicine, Division of Neonatology, Izmir, Turkey Mehmet Yalaz Mehmet Yalaz Department of Pediatrics, Ege University, Faculty of Medicine, Division of Neonatology, Izmir, Turkey Department of Pediatrics, Ege University, Faculty of Medicine, Division of Neonatology, Izmir, Turkey Yuksel Atay Yuksel Atay Department of Cardiovascular Surgey, Ege University, Faculty of Medicine, Izmir, Turkey Department of Cardiovascular Surgey, Ege University, Faculty of Medicine, Izmir, Turkey Ozge Altun Koroglu Ozge Altun Koroglu Department of Pediatrics, Ege University, Faculty of Medicine, Division of Neonatology, Izmir, Turkey Department of Pediatrics, Ege University, Faculty of Medicine, Division of Neonatology, Izmir, Turkey
en 26473074 10.5812/ircmj.20074 Effect of Fresh Royal Jelly Ingestion on Glycemic Response in Patients With Type 2 Diabetes Effect of Fresh Royal Jelly Ingestion on Glycemic Response in Patients With Type 2 Diabetes research-article research-article Conclusions

It seems that RJ does not appear to have significant immediate effects on glycemic factors in patients with type 2 diabetes. However, further studies with larger sample sizes and different doses of RJ are needed to achieve more precise results.

Background

Type 2 diabetes is the fourth major public health problem worldwide. Royal Jelly (RJ) insulin-like activity and blood glucose modulating properties have been reported in animal and healthy volunteers.

Objectives

This study aimed to investigate the effect of a single dose of fresh RJ as a complementary therapy on glycemic response in patients with type 2 diabetes.

Patients and Methods

In this randomized clinical trial, 40 patients with type 2 diabetes were assigned into the RJ (n = 20) and placebo (n = 20) groups and received either 10 g fresh RJ or placebo after overnight fasting. Serum glucose, insulin and C-peptide concentrations were determined at 0, 60, 120 minutes after the intervention. Independent t-tests and repeated measures ANOVA were used to analyze data.

Results

The mean serum glucose levels were significantly decreased in RJ and placebo groups; however, mean serum level was different but not statistically. (P = 0.77). One hour after RJ ingestion the mean serum insulin concentrations were increased and after 2 hours it was decreased insignificantly (P = 0.54, P = 0.20). The mean C-peptide concentrations were significantly increased after 1 and 2 hours of RJ ingestion; however, in the placebo group we observed a slight but insignificant reduction at the time of 1 and 2 hours in the mean C-peptide serum levels (P = 0.40). Moreover, there was no significant difference in none of the glycemic control parameters between both studied groups (P > 0.05).

Conclusions

It seems that RJ does not appear to have significant immediate effects on glycemic factors in patients with type 2 diabetes. However, further studies with larger sample sizes and different doses of RJ are needed to achieve more precise results.

Background

Type 2 diabetes is the fourth major public health problem worldwide. Royal Jelly (RJ) insulin-like activity and blood glucose modulating properties have been reported in animal and healthy volunteers.

Objectives

This study aimed to investigate the effect of a single dose of fresh RJ as a complementary therapy on glycemic response in patients with type 2 diabetes.

Patients and Methods

In this randomized clinical trial, 40 patients with type 2 diabetes were assigned into the RJ (n = 20) and placebo (n = 20) groups and received either 10 g fresh RJ or placebo after overnight fasting. Serum glucose, insulin and C-peptide concentrations were determined at 0, 60, 120 minutes after the intervention. Independent t-tests and repeated measures ANOVA were used to analyze data.

Results

The mean serum glucose levels were significantly decreased in RJ and placebo groups; however, mean serum level was different but not statistically. (P = 0.77). One hour after RJ ingestion the mean serum insulin concentrations were increased and after 2 hours it was decreased insignificantly (P = 0.54, P = 0.20). The mean C-peptide concentrations were significantly increased after 1 and 2 hours of RJ ingestion; however, in the placebo group we observed a slight but insignificant reduction at the time of 1 and 2 hours in the mean C-peptide serum levels (P = 0.40). Moreover, there was no significant difference in none of the glycemic control parameters between both studied groups (P > 0.05).

Royal Jelly;Hyperglycemia;Glycemic Control Royal Jelly;Hyperglycemia;Glycemic Control http://www.ircmj.com/index.php?page=article&article_id=20074 Majid Mobasseri Majid Mobasseri Department of endocrinology,Emam Reza hospital, Bone Research Center, Tabriz University of Medical Sciences, Tabriz, IR Iran Department of endocrinology,Emam Reza hospital, Bone Research Center, Tabriz University of Medical Sciences, Tabriz, IR Iran Shahram Ghiyasvand Shahram Ghiyasvand Department of endocrinology,Emam Reza hospital, Bone Research Center, Tabriz University of Medical Sciences, Tabriz, IR Iran Department of endocrinology,Emam Reza hospital, Bone Research Center, Tabriz University of Medical Sciences, Tabriz, IR Iran Alireza Ostadrahimi Alireza Ostadrahimi Nutrition Research Center, Faculty of Health and Nutrition, Tabriz University of Medical Sciences, Tabriz, IR Iran Nutrition Research Center, Faculty of Health and Nutrition, Tabriz University of Medical Sciences, Tabriz, IR Iran Morteza Ghojazadeh Morteza Ghojazadeh Liver and Gastrointestinal Disease Research Center, Tabriz University of Medical Sciences, Tabriz, IR Iran Liver and Gastrointestinal Disease Research Center, Tabriz University of Medical Sciences, Tabriz, IR Iran Hamid Noshad Hamid Noshad Chronic Kidney Disease Research Center, Tabriz University of Medical Sciences, Tabriz, IR Iran; Chronic Kidney Disease Research Center, Tabriz University of Medical Sciences, Tabriz, IR Iran. Tel: +98-4113298247; +9143115927, Fax: +98-4113298247 Chronic Kidney Disease Research Center, Tabriz University of Medical Sciences, Tabriz, IR Iran; Chronic Kidney Disease Research Center, Tabriz University of Medical Sciences, Tabriz, IR Iran. Tel: +98-4113298247; +9143115927, Fax: +98-4113298247 Samira Pourmoradian Samira Pourmoradian Department of Community Nutrition, National Nutrition and Food Technology Research Institute (NNFTRI), Faculty of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical Sciences (SBMU), Tehran, IR Iran Department of Community Nutrition, National Nutrition and Food Technology Research Institute (NNFTRI), Faculty of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical Sciences (SBMU), Tehran, IR Iran
en 26473078 10.5812/ircmj.28328 Psychometric Properties of the Procrastination Assessment Scale-Student (PASS) in a Student Sample of Sabzevar University of Medical Sciences Psychometric Properties of the Procrastination Assessment Scale-Student (PASS) in a Student Sample of Sabzevar University of Medical Sciences research-article research-article Conclusions

The Farsi version of the PASS is a valid and reliable tool to measure academic procrastination in Iranian undergraduate medical students.

Background

Procrastination is a common behavior which affects different aspects of life. The procrastination assessment scale-student (PASS) evaluates academic procrastination apropos its frequency and reasons.

Objectives

The aims of the present study were to translate, culturally adapt, and validate the Farsi version of the PASS in a sample of Iranian medical students.

Patients and Methods

In this cross-sectional study, the PASS was translated into Farsi through the forward-backward method, and its content validity was thereafter assessed by a panel of 10 experts. The Farsi version of the PASS was subsequently distributed among 423 medical students. The internal reliability of the PASS was assessed using Cronbach’s alpha. An exploratory factor analysis (EFA) was conducted on 18 items and then 28 items of the scale to find new models. The construct validity of the scale was assessed using both EFA and confirmatory factor analysis. The predictive validity of the scale was evaluated by calculating the correlation between the academic procrastination scores and the students’ average scores in the previous semester.

Results

The corresponding reliability of the first and second parts of the scale was 0.781 and 0.861. An EFA on 18 items of the scale found 4 factors which jointly explained 53.2% of variances: The model was marginally acceptable (root mean square error of approximation [RMSEA] =0.098, standardized root mean square residual [SRMR] =0.076, χ2 /df =4.8, comparative fit index [CFI] =0.83). An EFA on 28 items of the scale found 4 factors which altogether explained 42.62% of variances: The model was acceptable (RMSEA =0.07, SRMR =0.07, χ2/df =2.8, incremental fit index =0.90, CFI =0.90). There was a negative correlation between the procrastination scores and the students’ average scores (r = -0.131, P =0.02).

Conclusions

The Farsi version of the PASS is a valid and reliable tool to measure academic procrastination in Iranian undergraduate medical students.

Background

Procrastination is a common behavior which affects different aspects of life. The procrastination assessment scale-student (PASS) evaluates academic procrastination apropos its frequency and reasons.

Objectives

The aims of the present study were to translate, culturally adapt, and validate the Farsi version of the PASS in a sample of Iranian medical students.

Patients and Methods

In this cross-sectional study, the PASS was translated into Farsi through the forward-backward method, and its content validity was thereafter assessed by a panel of 10 experts. The Farsi version of the PASS was subsequently distributed among 423 medical students. The internal reliability of the PASS was assessed using Cronbach’s alpha. An exploratory factor analysis (EFA) was conducted on 18 items and then 28 items of the scale to find new models. The construct validity of the scale was assessed using both EFA and confirmatory factor analysis. The predictive validity of the scale was evaluated by calculating the correlation between the academic procrastination scores and the students’ average scores in the previous semester.

Results

The corresponding reliability of the first and second parts of the scale was 0.781 and 0.861. An EFA on 18 items of the scale found 4 factors which jointly explained 53.2% of variances: The model was marginally acceptable (root mean square error of approximation [RMSEA] =0.098, standardized root mean square residual [SRMR] =0.076, χ2 /df =4.8, comparative fit index [CFI] =0.83). An EFA on 28 items of the scale found 4 factors which altogether explained 42.62% of variances: The model was acceptable (RMSEA =0.07, SRMR =0.07, χ2/df =2.8, incremental fit index =0.90, CFI =0.90). There was a negative correlation between the procrastination scores and the students’ average scores (r = -0.131, P =0.02).

Validation Studies;Students;Education;Medical;Undergraduate Validation Studies;Students;Education;Medical;Undergraduate http://www.ircmj.com/index.php?page=article&article_id=28328 Forough Mortazavi Forough Mortazavi Department of Education, Development Center, Sabzevar University of Medical Sciences, Sabzevar, IR Iran Department of Education, Development Center, Sabzevar University of Medical Sciences, Sabzevar, IR Iran Saideh S. Mortazavi Saideh S. Mortazavi Department of Chemistry, University of Texas at El Paso (UTEP), Texas, USA Department of Chemistry, University of Texas at El Paso (UTEP), Texas, USA Razieh Khosrorad Razieh Khosrorad Department of Education, Development Center, Sabzevar University of Medical Sciences, Sabzevar, IR Iran; Department of Education, Development Center, Sabzevar University of Medical Sciences, P. O. Box: 9613873136, Sabzevar, IR Iran. Tel: +98-5144446070, Fax: +98-5144445648 Department of Education, Development Center, Sabzevar University of Medical Sciences, Sabzevar, IR Iran; Department of Education, Development Center, Sabzevar University of Medical Sciences, P. O. Box: 9613873136, Sabzevar, IR Iran. Tel: +98-5144446070, Fax: +98-5144445648
en 26473075 10.5812/ircmj.20596 Nurses’ Clinical Judgment Development: A Qualitative Research in Iran Nurses’ Clinical Judgment Development: A Qualitative Research in Iran research-article research-article Background

Clinical judgment development is necessary because it leads to appropriate nursing diagnoses, clinical decision-making and health promotion.

Objectives

In this study we explored the process of Iranian nurses’ development in clinical judgment.

Patients and Methods

This qualitative study was conducted in 2013 at hospitals of Kurdistan University of Medical Sciences, located in the Sanandaj city of Iran. The data were collected based on semi-structured interviews and the study included 24 participants. Data analysis was carried out concurrently with data collection using the grounded theory method.

Results

The study participants’ main concern was ‘being non-professional in clinical judgment’. In response to this concern, they were struggling for gaining professional autonomy, striving for integrating clinical judgment skills, scrambling to make effective educational interventions and striving for professional and inter professional collaboration in clinical judgment. The core category was ‘struggling for becoming professional in clinical judgment development’. When nurses were supported professionally, they were able to develop their professional clinical judgment.

Conclusions

The findings of this study provided critical information about nurses’ professionalization in clinical judgment. Accordingly, the participants adopted different strategies to develop their clinical judgment ability. Integrating these strategies into nursing theory and clinical education can improve nurses’ clinical judgment ability.

Background

Clinical judgment development is necessary because it leads to appropriate nursing diagnoses, clinical decision-making and health promotion.

Objectives

In this study we explored the process of Iranian nurses’ development in clinical judgment.

Patients and Methods

This qualitative study was conducted in 2013 at hospitals of Kurdistan University of Medical Sciences, located in the Sanandaj city of Iran. The data were collected based on semi-structured interviews and the study included 24 participants. Data analysis was carried out concurrently with data collection using the grounded theory method.

Results

The study participants’ main concern was ‘being non-professional in clinical judgment’. In response to this concern, they were struggling for gaining professional autonomy, striving for integrating clinical judgment skills, scrambling to make effective educational interventions and striving for professional and inter professional collaboration in clinical judgment. The core category was ‘struggling for becoming professional in clinical judgment development’. When nurses were supported professionally, they were able to develop their professional clinical judgment.

Conclusions

The findings of this study provided critical information about nurses’ professionalization in clinical judgment. Accordingly, the participants adopted different strategies to develop their clinical judgment ability. Integrating these strategies into nursing theory and clinical education can improve nurses’ clinical judgment ability.

Judgment;Nurse;Qualitative Research;Iran Judgment;Nurse;Qualitative Research;Iran http://www.ircmj.com/index.php?page=article&article_id=20596 Jamal Seidi Jamal Seidi Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, IR Iran; Kurdistan University of Medical Sciences, Sanandaj, IR Iran Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, IR Iran; Kurdistan University of Medical Sciences, Sanandaj, IR Iran Fatemeh Alhani Fatemeh Alhani Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, IR Iran; Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, IR Iran. Tel: +98-2182883898, Fax: +98-2182883856 Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, IR Iran; Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, IR Iran. Tel: +98-2182883898, Fax: +98-2182883856 Mahvash Salsali Mahvash Salsali Department of Medical and Surgical Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, IR Iran Department of Medical and Surgical Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, IR Iran
en 26473076 10.5812/ircmj.23732 Platelet-Rich Plasma Treatment With Physical Therapy in Chronic Partial Supraspinatus Tears Platelet-Rich Plasma Treatment With Physical Therapy in Chronic Partial Supraspinatus Tears research-article research-article Patients and Methods

Seventy patients with chronic partial supraspinatus tears in magnetic resonance imaging were randomized into two groups; PRP (n = 35) and PT (n = 35). Before the treatment, at the end of the treatment and at the 12th month after the end of the treatment, range of motion (ROM), visual analog scale (VAS) for pain, Disabilities of Arm, Shoulder and Hand questionnaire (DASH), Neer’s, Hawkins’ and drop arm tests and Beck Depression Inventory were investigated.

Results

Statistical analysis was made for 62 subjects (PRP group, n = 30; PT group, n = 32). There were no differences between the groups according to demographic data. At the 12th month after the end of the treatment, significant improvement in ROM was detected in both groups, pain was reduced significantly in both groups and improvement of the DASH score was observed in both groups. At all the evaluation steps, increases in ROM degrees were significantly higher in the PT group than the PRP group. For VAS in activity and in rest, after the treatment, improvement was higher in the PT group than the PRP group. However, improvement of the DASH score of the PRP group was significantly better than the PT group.

Conclusions

When we compared with PT, PRP seemed to be a well-tolerated application which showed promising results in patients with chronic partial supraspinatus tears.

Background

Despite the insufficient evidence, due to potential contribution to the improvement, platelet-rich plasma (PRP) is emerging as a promising method.

Objectives

The aim of this study was to assess the effectiveness of PRP injection in partial supraspinatus tears by comparing with physical therapy (PT).

Patients and Methods

Seventy patients with chronic partial supraspinatus tears in magnetic resonance imaging were randomized into two groups; PRP (n = 35) and PT (n = 35). Before the treatment, at the end of the treatment and at the 12th month after the end of the treatment, range of motion (ROM), visual analog scale (VAS) for pain, Disabilities of Arm, Shoulder and Hand questionnaire (DASH), Neer’s, Hawkins’ and drop arm tests and Beck Depression Inventory were investigated.

Results

Statistical analysis was made for 62 subjects (PRP group, n = 30; PT group, n = 32). There were no differences between the groups according to demographic data. At the 12th month after the end of the treatment, significant improvement in ROM was detected in both groups, pain was reduced significantly in both groups and improvement of the DASH score was observed in both groups. At all the evaluation steps, increases in ROM degrees were significantly higher in the PT group than the PRP group. For VAS in activity and in rest, after the treatment, improvement was higher in the PT group than the PRP group. However, improvement of the DASH score of the PRP group was significantly better than the PT group.

Conclusions

When we compared with PT, PRP seemed to be a well-tolerated application which showed promising results in patients with chronic partial supraspinatus tears.

Background

Despite the insufficient evidence, due to potential contribution to the improvement, platelet-rich plasma (PRP) is emerging as a promising method.

Objectives

The aim of this study was to assess the effectiveness of PRP injection in partial supraspinatus tears by comparing with physical therapy (PT).

Platelet-Rich Plasma;Shoulder;Tear Platelet-Rich Plasma;Shoulder;Tear http://www.ircmj.com/index.php?page=article&article_id=23732 Ilker Ilhanli Ilker Ilhanli Department of Physical Medicine and Rehabilitation, School of Medicine, Giresun University, Giresun, Turkey; Department of Physical Medicine and Rehabilitation, School of Medicine, Giresun University, Giresun, Turkey. Tel: +90-4543101690, Fax: +90-4543101699 Department of Physical Medicine and Rehabilitation, School of Medicine, Giresun University, Giresun, Turkey; Department of Physical Medicine and Rehabilitation, School of Medicine, Giresun University, Giresun, Turkey. Tel: +90-4543101690, Fax: +90-4543101699 Necip Guder Necip Guder Physical Medicine and Rehabilitation State Hospital, Giresun, Turkey Physical Medicine and Rehabilitation State Hospital, Giresun, Turkey Murat Gul Murat Gul Department of Statistics, Faculty of Science, Giresun University, Giresun, Turkey Department of Statistics, Faculty of Science, Giresun University, Giresun, Turkey
en 26473081 10.5812/ircmj.30974 Catastrophic Health Expenditure Among Iranian Rural and Urban Households, 2013 - 2014 Catastrophic Health Expenditure Among Iranian Rural and Urban Households, 2013 - 2014 research-article research-article Conclusions

Considering Iran’s economic condition during the last five years, the catastrophic health expenditure headcount ratio was more than 2% in Iran.

Materials and Methods

This descriptive study on Iranian rural and urban households was conducted from April to June 2015. The sample sizes were 19437 rural and 18888 urban households that Iranian Statistical Centre (ISC) selected them through a three -step randomized clustered sampling. The headcount and overshoot measures for catastrophic health expenditure were calculated. Also, the concentration index was calculated in order to investigate the inequality in distribution of the mentioned measures.

Results

The catastrophic health expenditure headcount ratio varied from 0.5% to 14.3% and from 0.48% to 13.27% for rural and urban households, respectively. Also, the overshoot of catastrophic health expenditure varied from 9.62% to 18.72% and from 8.8% to 17.74% for rural and urban households, respectively.

Background

During the last two decades, the trend of out-of-pocket payments (OOP) for health services by Iranian households has been a matter of concern and it has exposed a significant proportion of them to catastrophic and impoverishing health expenditures.

Objectives

The current study aimed to investigate three objectives: First, the mean of out-of-pocket payments among Iranian households for health services; second, the headcount and overshoot measures of catastrophic health expenditure; and finally the level of inequality in its distribution.

Conclusions

Considering Iran’s economic condition during the last five years, the catastrophic health expenditure headcount ratio was more than 2% in Iran.

Materials and Methods

This descriptive study on Iranian rural and urban households was conducted from April to June 2015. The sample sizes were 19437 rural and 18888 urban households that Iranian Statistical Centre (ISC) selected them through a three -step randomized clustered sampling. The headcount and overshoot measures for catastrophic health expenditure were calculated. Also, the concentration index was calculated in order to investigate the inequality in distribution of the mentioned measures.

Results

The catastrophic health expenditure headcount ratio varied from 0.5% to 14.3% and from 0.48% to 13.27% for rural and urban households, respectively. Also, the overshoot of catastrophic health expenditure varied from 9.62% to 18.72% and from 8.8% to 17.74% for rural and urban households, respectively.

Background

During the last two decades, the trend of out-of-pocket payments (OOP) for health services by Iranian households has been a matter of concern and it has exposed a significant proportion of them to catastrophic and impoverishing health expenditures.

Objectives

The current study aimed to investigate three objectives: First, the mean of out-of-pocket payments among Iranian households for health services; second, the headcount and overshoot measures of catastrophic health expenditure; and finally the level of inequality in its distribution.

Financial Risk Protection;Out-of-Pocket Expenditure;Catastrophic Health Expenditures;Concentration Index Financial Risk Protection;Out-of-Pocket Expenditure;Catastrophic Health Expenditures;Concentration Index http://www.ircmj.com/index.php?page=article&article_id=30974 Hesam Ghiasvand Hesam Ghiasvand Department of Health Economics, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, IR Iran Department of Health Economics, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, IR Iran Hassan Abolghasem Gorji Hassan Abolghasem Gorji Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, IR Iran; Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, IR Iran Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, IR Iran; Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, IR Iran Mohammadreza Maleki Mohammadreza Maleki Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, IR Iran Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, IR Iran Mohammad Hadian Mohammad Hadian Department of Health Economics, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, IR Iran; Department of Health Economics, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, IR Iran. Tel: +98-2188794302, Fax: +98-2188883334 Department of Health Economics, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, IR Iran; Department of Health Economics, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, IR Iran. Tel: +98-2188794302, Fax: +98-2188883334