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جستجوی مقالات مرتبط با کلیدواژه « Seasonal » در نشریات گروه « پزشکی »

  • سالم جعفری، بهمن کرد تمینی*، فرهاد کهرازئی
    هدف
    بیماری سرطان، یکی از شایع ترین بیماریهای جهان است که برسلامتی فرد اثرمخرب مثل افسردگی و نشخوارذهنی می گذارد. پژوهش حاضر با هدف، تعیین تفاوت اثربخشی طرحواره درمانی، درمان مبتنی بر پذیرش وتعهد و مهارت فصول بر کاهش افسردگی و نشخوارذهنی زنان مبتلا به سرطان، انجام شد.
    مواد و روش ها
    این پژوهش یک مطالعه نیمه آزمایشی با گروه های پیش آزمون-پس آزمون و کنترل بود. جامعه آماری شامل کلیه زنان مبتلا به سرطان مراجعه کننده به بنیادامید بیمارستان نمازی و سعدی شیراز در سال 1399 بود که از میان آنها نمونه ای به حجم 100نفر به شیوه دردسترس انتخاب شد که به صورت تصادفی به سه گروه آزمایش و یک گروه کنترل تقسیم شدند. ابزارهای گردآوری داده ها پرسشنامه 21سوالی بک و آزمون نشخوارذهنی نولن هوکسما و مارلو بود. گروه آزمایش اول، مداخله طرحواره درمانی، گروه آزمایش دوم درمان مبتنی بر پذیرش وتعهد و گروه آزمایش سوم درمان مبتنی بر مهارت فصول را طی 12جلسه 90 دقیقه ای دریافت کردند و گروه کنترل هیچ نوع مداخله ای دریافت نکرد.
    یافته ها
    نتایج نشان از تفاوت معنی داری در نمرات افسردگی و نشخوارذهنی گروه های آزمایش و کنترل داشت. هر سه رویکرد درمانی، بر کاهش افسردگی و نشخوارذهنی موثر بوده اند. همچنین نتایج آزمون تعقیبی بنفرونی نشان داد که درمان مبتنی بر طرحواره درمانی به مراتب تاثیر بیشتری نسبت به دو درمان دیگر بر افسردگی ونشخوارذهنی داشت.
    نتیجه گیری
    کاربرد مداخله های طرحواره درمانی، پذیرش وتعهد و مهارت فصول در مراکز درمان سرطان می تواند به عنوان یک درمان درکنار درمان های پزشکی جهت کاهش افسردگی ونشخوارذهنی بیماران در نظرگرفته شود.
    کلید واژگان: طرحواره درمانی, پذیرش و تعهد, مهارت فصول}
    Salem Jaafari, Bahman Kord Tamini *, Farhad Kahrazei
    Aim
    The aim of this study was to determine the differences in the effectiveness of schema therapy, acceptance-based therapy, commitment and skill seasons on reducing depression and rumination in women with cancer.
    Materials and Methods
    This study was a quasi-experimental study with pre-test-post-test and control groups. The statistical population included all women with cancer referred to the Omid Foundation of Namazi and Saadi Hospitals in Shiraz in 2020, from which a sample of 100 womens was selected by random sampling, which was randomly divided into three experimental groups and a control group. Data collection tools were Beck 21-item questionnaire and Nolan Hoxma and Marlowe ruminant test. The first experimental group received schema therapy intervention, the second experimental group received acceptance-commitment therapy and the third experimental group received skill-based therapy in 12 sessions of 90 minutes, and the control group did not receive any intervention.
    Results
    The results showed a significant difference in the scores of depression and rumination in the experimental and control groups. All three treatment approaches were effective in reducing depression and rumination (P <0.05). Also, the results of Benfroni post hoc test showed that therapy-based treatment therapy had a much greater effect on depression and mental rumination than the other two treatments.
    Conclusion
    The use of interventions based on schema therapy, acceptance and commitment therapy and seasonal skill in cancer treatment centers can be considered as a treatment along with medical treatments to reduce depression and rumination in patients.
    Keywords: Schema therapy, Commitment, Acceptance Therapy, Seasonal}
  • Jose Ramon Auso Perez *, Gloria Maria Rodríguez Blanes
    Objective

    To describe the demographic characteristics and to assess possible risk factors related to the moment of presentation at Emergency Department (ED) for pediatric humeral supracondylar fractures.

    Methods

    This was cross-sectional study being conducted during 5-year period from 2013 to 2017 at ED of a regional hospital in Spain. We have included all the pediatric patients (

    Results

    We have included 52 pediatric patients with supracondylar fractures in this series. The mean age was 7.48 ± 2.97 years with a minimum age of 2 years and a maximum of 14 years. Among the patients there were 32 (61.54%) male and 20 (38.46%) female. Age less than 7 years found to be a protective factor against unstable fractures [OR 0.33 (0.10 - 1.02)]. Fractures presented during daytime hours showed a greater instability [OR 3.49 (1.07-11.39)]. However, the risk of presentation at nighttime was higher during the summer months (June to September).

    Conclusion

    The older is the child, the greater is the risk of suffering an unstable fracture, which increases the need for surgery. This risk is greater during the daytime. Otherwise, during the summer months, there is a higher risk of patient presentation at nighttime.

    Keywords: Supracondylar, Elbow, pediatric, Epidemiology, Seasonal}
  • نرگس نجفی، علیرضا داودی بدابی، ارغوان آموزگار، هدیه قلیان *، محبوبه حاتمی
    سابقه و هدف
    آنفلوانزا بیماری حاد تنفسی با همه گیری های سالیانه است که در افراد با بیماری های زمینه ای از قبیل دیابت، پرفشاری خون، بیماری های کلیوی و تنفسی وافراد چاق عوارض شدید ایجاد کرده و تهدیدکننده حیات است. هدف از این مطالعه بررسی ریسک فاکتورها و عوامل زمینه ای در ایجاد عوارض آنفلوانزا می باشد.
    مواد و روش ها
    این مطالعه به صورت توصیفی- مقطعی با بررسی پرونده 459 بیمار مبتلا به آنفلوانزا بستری در بیمارستان رازی قائم شهر از اردیبهشت1394 تا اسفند 1394 انجام شده است.
    یافته ها
    از بین بیماران مورد بررسی 227 مورد زن ( 5/49 درصد) و 232 نفر مرد( 5/50 درصد) در محدوده سنی 5 الی 89 سال با میانگین 5/18±6/43سال بوده اند. طول مدت بستری از 1 الی 43 (انحراف معیار 27/3) روز بوده است. شایع ترین یافته در سی تی اسکن قفسه سینه نمای گرند گلس بوده و 23 نفر (5 درصد) از بیماران نیاز به مراقبت های ویژه داشتند. شایع ترین بیماری زمینه ای دیابت و پرفشاری خون و شایع ترین شکایت اصلی بیماران تب و سرفه و به دنبال آن تب و لرز بوده است.
    استنتاج: این مطالعه نشان داد که ابتلا به آنفلوانزا به جنس و سن خاصی محدود نشده و عوامل زمینه ای مثل چاقی، بیماری مزمن ریوی، قلبی و مصرف کورتون و فاصله بین شروع علایم تا مراجعه به بیمارستان ریسک فاکتورهای مهم در ایجاد عوارض آن است که باید مورد توجه قرار گیرد.
    کلید واژگان: آنفلوانزا H1N1, فصلی, عوارض}
    Narges Najafi, Alireza Davoudi Badabi, Arghavan Amouzegar, Hedieh Gholian *, Mahbobeh Hatami
    Background and
    Purpose
    Influenza is an acute respiratory disease with annual epidemics which can cause life-threatening complications in people with underlying illnesses such as diabetes, hypertension, kidney and respiratory diseases, and obesity. The aim of this study was to evaluate the risk factors and the underlying factors causing Influenza complications.
    Materials And Methods
    This descriptive cross-sectional study was performed using the medical records of 459 patients with influenza in Ghaemshahr Razi Hospital between May 2015 and March 2016.
    Results
    The patients were 49.5% females (n=227) and 50.5% males (n= 232) whose median age was 43.6±18.5 years (5-89 years of age). The duration of hospitalization varied from 1 to 43 days (SD= 3.27). The most common findings in chest CT scans were grand glass. Among the patients, 23 (5%) needed special care. The most common underlying illnesses were diabetes and hypertension and the most common complaints were fever and cough, followed by fever and chills.
    Conclusion
    This study showed that influenza is not limited to a specific sex and age, and some underlying factors such as obesity, chronic pulmonary diseases, heart disease, and taking corticosteroids, and the time interval between the onset of symptoms and hospital arrival are amongst the major risk factors for its complications. More attention on these factors could be of great benefit in reducing the complications of Influenza.
    Keywords: Influenza H1N1, seasonal, complication}
  • Yu-Hao Wang, Hsing-Hao Su, Lan Hsu, Chung-Yang Wang, Pi-Hsiung Wu
    Background
    With a global rising trend in prevalence of allergic diseases, more attention has been paid to investigation of environmental risk factors. Many risk factors have so far been identified. However, novel risk factors specific to Taiwanese environment and lifestyle were still relatively unknown.
    Objective
    To investigate the potential effects of a number of little-known indoor risk factors on the frequency of doctor's visit for respiratory problems in context of Taiwanese environment and lifestyle.
    Methods
    A cross-sectional, population-based study was performed on a 861 participants around Kaohsiung area, Taiwan. Survey investigation was employed to assess the household environment and the frequency of doctor's visit for respiratory problems.
    Results
    Participants who performed “daily cleaning” was shown to have a significantly (p=0.007) higher mean number of doctor's visits in comparison to those who did not. Similar observation was made for participants who periodically took out beddings (p=0.042). Age had a significant positive correlation (linear regression β 0.089) with frequency of respiratory problems.
    Conclusion
    The habit of daily cleaning was implicated as a potential indoor risk factor due to the unique nature of Taiwanese cleaning habit and close contact with cleaning supplies, which could serve as chemical irritants. Bedding takeout was predicted to be an indicator of chronic allergies rather than an actual risk factor. However, both were controversial in their role as potential indoor risk factor, and required further examination.
    Keywords: Air pollution, indoor, Volatile organic compounds, Allergens, Asthma, Rhinitis, allergic, seasonal, Hypersensitivity, Environment, Fungi, Taiwan}
  • Elham Shirazi, Sara Hosseinpoor, Seyyed Mohammad Mahdy Mirhosseini, Reza Bidaki*

    Childhood disintegrative disorder (CDD) is a rare autistic-like clinical condition with unknown etiology, in that previously acquired age-appropriate language, social and adaptive abilities deteriorate significantly in 2-10-year-old healthy children, although physical and neurological evaluations display no observable abnormality. Our case is a 22-year-old female born of a consanguineous marriage, with the appearance of CDD symptoms in her fifth year of age following normal mental and physical development during her initial four years of life. Without any precipitating factor, she gradually lost her language abilities, social relational skills, affectionate behavior, adaptive capacities, peer play and meaningful interest in her surrounding, friends and family members over a period of 4 years, reaching a plateau in her ninth year of age. The unique special clinical symptom in this case is a seasonal total mutism, which after the beginning of her CDD symptoms is revealing every year covering the spring. As no additional physical or psychological change accompanies her total seasonal speech loss, it cannot be attributed to any mental condition known as having a seasonal pattern. Because in the literature CDD is presented mostly as case reports with lacking of advanced research data, describing any new case is recommended to improve the knowledge about this rare condition, especially if it displays some new unusual signs, not reported till now.

    Keywords: Childhood disintegrative disorder, mutism, seasonal, speech loss}
  • Mohammad Moqaddasi Amiri, Abdolkarim Ahmadi Livani, Mahmood Moosazadeh *, Mohammadreza Mirzajani, Azizallah Dehghan
    Background
    Various studies have shown a seasonal pattern in suicide in the developed societies; however, this pattern is not taken into consideration in most countries including Iran.
    Objectives
    The current paper studied the seasonal pattern of committing suicide in Northern Iran.
    Materials And Methods
    The present study was a longitudinal study with time series features. Subject included suicide attempts recorded by emergency wards of all hospitals in Mazandaran province, Iran. The variable time, in this study, was defined as each month of study years (2005 - 2011), which included 84 monthly time points. To analyze data, the Student’s independent t-test and analysis of variance (ANOVA) test were used.
    Results
    Of the 14,437 suicide attempts reported during the seven-year period, 5359 (37.1%) were related to males. Suicide attempts reached a peak in June (1418 cases) and November (1352 cases), but were at their lowest level in March (991 cases) (P = 0.877).
    Conclusions
    The suicide seasonality range is broad in this part of Iran. Moreover, there were two noticeable suicide peaks in June and November.
    Keywords: Attempted Suicide, Seasonal, Suicide}
  • M. Moradinazar *, Dr F. Najafi, Dr J. Hassanzadeh
    Background
    This study attempted to investigate traffic accident fatalities during 2004-2009 and the effect of fuel rationing on traffic accident fatalities.
    Materials And Methods
    This was a cross-sectional study on available data of all traffic accident fatalities in Fars Province, Iran, during 2004-2009. To identify and fit the best model, various instruments, including the autocorrelation function (ACF), partial autocorrelation function (PACF), and Akaike information criterion (AIC), were used. To determine the accuracy of the model, the residual chart was evaluated in terms of independency, normality, and stationary. Then, the best model in terms of more accurate estimation was selected and analyzed using ITMS, Minitab, and Microsoft Excel software.
    Results
    During 2004 to 2009, 12954 people died due to road traffic fatalities in Fars Province. Among them, 10442 (80%) were male, and mean age at death was 36 ± 20. The number of traffic accident fatalities in Fars Province reduced from 45.5 per 100000 in 2004 to 44.8 per 100000 in 2007. After petroleum rationing, the traffic accident fatality average further reduced (to 42.2 per 100000 in 2009). T here was a difference between the observed value and predicted value with two different predication methods, as the number of observed fatalities was less than the estimated numbers. Seasonal Holt-Winters and autoregressive moving average (ARMA) methods’ predications were a close estimation of the accident fatality rate after petroleum rationing, and the difference between their estimations was not considerable.
    Conclusions
    Although the overall rate of fatalities reduced after petroleum rationing, variation in fatality rate did not show any association with petroleum rationing. However, decrease in fatalities had a seasonal pattern. Further decrease in road traffic fatalities requires reinforcement of educational programs as well as application of effective laws.
    Keywords: Traffic accident, Petroleum, rationing, Time series, Seasonal}
  • الهام زینلی، مهدی رحیم ملک *
    مقدمه و هدف
    بومادران زاگرسی filipendulina) Achillea ( یکی از مهم ترین گونه های خانواده کاسنی است و از جمله گیاهان دارویی و زینتی با ارزش محسوب می شود. شرایط آب و هوایی بر کیفیت و کمیت ترکیبات موثره گیاهان دارویی اثر می گذارد. لذا، تعیین فصل مناسب، جهت برداشت گیاه بومادران باعث بالا رفتن عملکرد ماده موثره می شود. هدف از این مطالعه بررسی اثر تنوع فصلی بر عملکرد اسانس و برخی خصوصیات مورفوفیزیولوژیک بومادران زاگرسی است.
    روش تحقیق
    در این تحقیق، آزمایشی در قالب طرح اسپلیت پلات بر پایه بلوک کامل تصادفی با دو ژنوتیپ از گونه A. filipendulinaدر سه تکرار اجرا شد. نمونه های اندام هوایی در هر فصل با استفاده از دستگاه کلونجر اسانس گیری گردید و عملکرد اسانس فصول مختلف مورد ارزیابی قرار گرفت.
    نتایج و بحث
    ژنوتیپ Afc کمترین میزان را از لحاظ صفات ارتفاع ، طول برگ و عرض برگ در فصل زمستان نشان داد در حالی که ژنوتیپ Af21 بیشترین میزان را از لحاظ صفات ارتفاع و عرض برگ در فصل تابستان نشان داد. محدوده عملکرد اسانس بین ژنوتیپ ها در فصول مختلف از 01/0 تا 84/0 درصد متغیر بود. بیشترین و کمترین میزان عملکرد اسانس به ترتیب مربوط به ژنوتیپ های Afc در فصل تابستان و Af21 در فصل زمستان بود. کمترین و بیشترین میزان تجمع پراکسید هیدروژن به ترتیب مربوط به ژنوتیپ Af21در فصل بهار و Afcدر فصل زمستان بود. علاوه بر این، میزان تجمع مالون دی آلدهید از 3/0 تا 37/3 (نانوگرم بر وزن تر) متغیر بود. ژنوتیپ های Afc در فصل بهار و Af21 در فصل تابستان به ترتیب کمترین و بیشترین میزان تجمع مالون دی آلدهید را از خود نشان دادند.
    توصیه کاربردی/صنعتی
    با توجه به نتایج حاصل از تحقیق حاضر، جهت حصول حداکثر عملکرد وزن خشک و میزان اسانس، برداشت گیاه به منظور اسانس گیری در اوایل تابستان توصیه می شود.
    کلید واژگان: بومادران, تنوع فصلی, اسانس}
    Elham Zeinali, Mehdi Rahimmalek *
    Background & Aim
    Achillea filipendulina is one of the most important species of the family Asteraceae and, it considered as one of the most valuable medicinal and ornamental plants. Environmental factors affected on quality and quantity of the essential oil of medicinal and aromatic plants. So, selecting of appropriate season for harvesting can lead to increase quality and quantity yield. The aims of the present study were to assess the effect of seasonal variation on essential oil yield and some morphophysiological traits of A. filipendulina.
    Experimental
    In this research, split plot experiment based on complete block design was conducted in three replicates. The aerial parts were harvested and the essential oil extracted by Clevenger approach in different seasons.
    Results & Discussion
    Afc genotype showed the lowest amount concerning the plant height, leaf length and leaf width in winter, while Af21 had the highest height and leaf width in summer. The essential oil yield varied between 0.01 to 0.84% in all seasons. The highest and the lowest essential oil yield belonged to Afc in summer and Af21 in winter, respectively. The lowest and the highest hydrogen peroxide accumulation were in Af21 in spring and Afc in summer, respectively. Furthermore, malonede-aldehide (MDA) accumulation varied from 0.3 to 3.37 ng/fw. Afc in spring and Af21 in summer showed the lowest and the highest MDA, respectively.
    Recommended applications/industries
    According to the results of present study, in order to increase dry matter and essential oil yield of Achillea filipendulina, harvesting for essential oil extraction is suggested in early summer.
    Keywords: Achillea filipendulina, Seasonal, variationEssential oil}
نکته
  • نتایج بر اساس تاریخ انتشار مرتب شده‌اند.
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