مجله پرستار و پزشک در رزم
سال نهم شماره 31 (تابستان 1400)

Today, the corona virus has crossed all international borders and the emergence of this unknown virus has affected the lives and health of millions of people. The spread of coronavirus in the world, in addition to affecting all political, economic and social dimensions, has caused many psychological effects on the communities involved.

Published papers in Web of sience، pubmed، Magiran Scopus، Embase، Google Scholar، Science direct، ProQuest and Scopus databases were reviewed. Search items have included corona virus, psychological disorders, stress, anxiety, depression, obsessive-compulsive disorder, mental health, etc. which searched in the mentioned databases in the period of 2019-2020. A total of 65 papers were found in which by eliminating similar cases, based on inclusion criteria and citing updated reports, finally 23 article were included in the study.

One of the most important consequences of the epidemic of coronavirus is its psychological effects. Concern factors related to the risk of disease, future employment status and sources of income for individuals and families, as well as the long period of home quarantine were influential in the development of psychological symptoms in the general public.

The level of anxiety created during the corona virus epidemic had a significant negative effect on self-efficacy and quality of life. Identifying the factors that endanger the mental health of different people in the community is essential to improve the mental health of people using appropriate treatment methods

Gastrointestinal tract may act as a transmission route of infection apart from the respiratory tract in the spread of viral diseases. Covid pneumoniae 19 is a highly contagious infectious disease. There is growing evidence that patients with Covid 19 can develop gastrointestinal symptoms. The present study was performed to investigate the possibility of Covid 19 infection through the lower gastrointestinal tract.

The present study is a systematic review study using the English keywords Gastrointestinal, Endoscopy, SARS-CoV-2, COVID-19 in the international international databases Pub Med, Science Direct, Google scholar from January to May 2020. AD is done. The total search for related resources was 474 articles and finally 22 articles were selected.

Although Covid 19 often causes respiratory symptoms; But gastrointestinal manifestations may be just the first sign in some patients with Covid. Emerging evidence suggests persistence of SARS-Covid-2 virus RNA in fecal samples even after a negative breath test, and the gastrointestinal tract may be a potential route for transmission of Covid-19 infection.

We recommend that RT-PCR be performed before lower endoscopy; Even in cases where respiratory RT-PCR is negative, it can be considered as a standard in the guidelines of health commissions.
Keywords: Gastrointestinal tract, Endoscopy, Covid 19, SARS-Covid-2

In recent years, the trend towards aging in Iran has been very rapid. Since aging causes changes in cognitive and motor functions and disruption in the daily activities of the elderly, so the aim of this study was to investigate the effectiveness of cognitive rehabilitation based on Rehacom software on improving cognitive function in the elderly in Mashhad.

The method of this research was quasi-experimental pre-test-post-test with control and follow-up groups. Initially, volunteer seniors received ACE-R (to screen for cognitive function and eliminate people with dementia) and SCID structured interview. Based on the results, 30 elderly people aged 60 years and older were selected and randomly assigned to two equal experimental and control groups. The intervention for cognitive rehabilitation was performed using RehaCom software in 45-minute daily sessions for two consecutive weeks. The tools used in this study included SDMT, Digit Span and IVA tests that people answered their questions in the pre-test and post-test. Data analyzed using repeated measure analysis of variance.

The results showed that there was a significant difference between the experimental and control groups in terms of working memory, information processing speed and attention and concentration (p <0.001).

Cognitive rehabilitation based on RehaCom software has improved the cognitive performance of the experimental group compared to the control group and is one of the useful therapies in this field and can be one of the useful and practical therapies in this field.

Traditional medicine is one of the rich branches of medicine in Iran and the world. Falcaria vulgaris is one of the medicinal and native plants of the western region of Iran. It is used in traditional medicine to accelerate the prevention of bleeding and heal skin wounds. War wounds are usually accompanied by tissue damage and bleeding. During eight years of holy defense, Iranian warriors in Kermanshah used this plant to accelerate the blood clotting of war wounds. Considering that Falcaria vulgaris is native to the western region of the country and this region is of great strategic importance, in this study, the anti-bleeding effects of this plant were investigated.

 In this project, 5% and 10% alcoholic extracts of plant leaves were used. Prothrombin time (PT), activated partial thromboplastin time (APTT), and coagulation time (CT) tests were used to evaluate coagulation indices on the blood samples of 10 healthy men aged 23-24 years in the laboratory.

The results showed that Falcaria vulgaris in both concentrations of 5 and 10% had accelerating effects on blood coagulation (p<0.05), but there was no significant difference between the two concentrations (p> 0.05).

Falcaria vulgaris has anti-bleeding effects. It is suggested that these results be used in the production of a plaster or dressing to accelerate the prevention of bleeding from war wounds by the Army of the Islamic Republic of Iran. Achieving the best anti-bleeding concentration requires further studies.

The aim of this study was to investigate the relationship between behavioral inhibition system, victimization and reward experience and body dysmorphic with mediating role of interpersonal cognitive distortions. The research method was descriptive – correlational which was done through path analysis.

The study population consisted of high school students in academic year of 2019-2020 in Tehran. 364 participants were selected via multistage cluster random sampling method and were assessed with Yale- Brown obsessive compulsive scale modified for body dysmorphic disorder (BDD- YBOCS), behavioral inhibition subscale (BIS), Moradi victimization scale and interpersonal cognitive distortions scale(ICDS).

The result of path analysis showed behavioral inhibition system, victimization and interpersonal cognitive distortions had a positive and direct relationship with body dysmorphic. Also the results indicated that interpersonal cognitive distortions play a significant mediating role on the relationship between behavioral inhibition system, victimization, and body dysmorphic symptoms.

behavioral inhibition system, victimization, and interpersonal cognitive distortions play a role in students’ body dysmorphic. The result can be used to design counseling and therapeutic program for students.

Sepsis can be defined as a systemic inflammatory response to infections. Various parameters used in the diagnosis of sepsis include platelet count (PLT), mean platelet volume (MPV), C reactive protein (CRP), neutrophil to lymphocyte ratio (NLR), blood culture, etc.

In the present systematic and meta-analysis review, a comprehensive search of the Advanced Search section was performed on various databases, including SCIENCE DIRECT, SCOPUS, COCHRANE LIBRARY, EMBASE, and PUBMED. Articles with related titles were checked. Extracted studies were not limited to gender, age, and review articles.

In this systematic and meta-analysis review, the data of 1246 patients and 1125 controls were collected from the original/trial articles. All patients were registered with proven sepsis and the control population were healthy. The patient group is divided into two separate groups of infants and children-adults. this division has also been made for the control group.

Data analysis showed that infection and sepsis may have approximately the same effects on blood parameters in both neonates and children-adults. The results of MPV study in the neonatal group showed that this parameter had a greater increase in septic neonates than the control group (CI: 95%, P. value <0.00001, Chi2: 0.86 in neonatal patients). However, this index had a slight increase for the control group. The study of platelet count changes showed that both groups of patients (infants and children-adults) showed a significant decrease compared to the control group (CI: 95%, P = 0.01, Chi2 = 36.01 in children-adults) and (CI: 95%, P. value = 0.0002, Chi2 = 0.74 in neonatal patients). in cases of severe sepsis is due to increased consumption of white blood cells in the fight against the infection, these cells are significantly reduced. (Infants and children-adults) (CI: 95%, P Value: 0.2, Chi2 = 27.94 01 01 in children-adults) and (CI: 95%, P value: 0.65, Chi2 = 3.20 in infants).

Due to chronic renal failure and hemodialysis and covid-19 epidemic, hemodialysis patients have a lot of stress and anxiety about performing hemodialysis in the hospital. This study was performed to determine the level of anxiety and depression in patients with hemodialysis in the coronary epidemic.

This is a cross-sectional study which 250 hemodialysis patients referred to one military Hospital at Tehran for hemodialysis were examined in the covid-19 epidemic from 25 November 2020 to 5 April 2021. The data collection tool was a researcher-made checklist that was completed during face-to-face interviews with hemodialysis patients in the dialysis ward and using their medical records and to evaluate the level of anxiety and depression, the Hospital Anxiety and Depression Scale questionnaire (HADS) was used. Then, using SPSS22 software, statistical data analysis was performed.

The results of the study showed that there is a statistically significant difference in the level of anxiety and depression in hemodialysis patients during covid19 epidemic (Pvalue =). They cause fear and isolation that can be used as a personal and social crisis which has led to stress and psychological problems.

supporting the family and society and allocating financial and human resources and increasing the level of awareness of patients and their families is effective in promoting the mental health of hemodialysis patients

Eight years of imposed war between Iran and Iraq has caused a considerable number of soldiers and disabled war veterans to experience symptoms of post-traumatic stress disorder (PTSD).

This applied study was conducted in the form of a quasi-experimental study with a pretest-posttest design and a control group at Sadr Psychiatric Hospital in Tehran during the year 2017-18. A total of 30 disabled war veterans with PTSD were selected through an available sampling method, and were divided into two groups: an experimental and a control group. The experimental group underwent cognitive-behavioral therapy for 14 sessions. The Depression, Anxiety and Stress Scales (DASS-21) was used for data collection, Data were analyzed with the aid of SPSS 21 software and a univariate analysis of covariance (ANCOVA). An analysis of covariance (ANCOVA) was used to eliminate the pretest effect. And Levene’s test was used to homogenize variances.

After modifying pretest scores, the difference between the experimental and control groups became significant. Based on the one-way ANCOVA carried out on the subjects’ total scores, there was a significant difference between the experimental and control groups in the variable “anxiety” (P < 0.05) and (F 8/227).

This intervention showed that cognitive-behavioral therapy had increased resilience among disabled war veterans with PTSD.

Hyperactivity Disorder (ADHD) is one of the most common disorders of childhood. The present study was conducted with the aim of the effectiveness of neurotherapy on reducing the risk of impulsivity and high-risk decision making in high school female students with attention de ficit hyperactivity disorder (ADHD).

The present study was a semi-experimental design with two groups of subjects that was conducted in the 2017-18 academic year. The statistical sample of the study included 30 subjects, in which a group of 15 people included people with attention de ficit hyperactivity disorder syndrome (ADHD) and 15 patients in the placebo group, that is, people with the following disorder syndrome, but interfering with them It was not real. The research instrument was a neurotherapy device, a go-nogo response inhibitory test, a balloon risk test, and a questionnaire for attention de ficit / hyperactivity disorder in adults. Data analysis was done by SPSS software version 19 using multivariate covariance analysis.

Data analysis showed that there was a signi ficant difference between the mean of pre- and post-test scores of the experimental and control groups There was a signi ficant correlation (p <0.01) with neurotherapy reducing impulsivity and high risk decision making in people with hyperactivity disorder.

Considering the positive effects of this method on reducing the risk of impulsivity and high risk decision making in people with attention deficit hyperactivity disorder, this study showed that neurotherapy can be an effective way to achieve optimal performance in people who disorders of attention de ficit hyperactivity disorder can be used.