فهرست مطالب زهرا قوامی

Internet addiction is a type of behavioral disorder. One of the most common complications of this disorder is low sleep quality. Therefore, the present study was conducted to investigate the effects of Internet addiction on the sleep quality of students of Hormozgan University of Medical Sciences in 2021.

In this cross-sectional study, 389 students from Hormozgan University of Medical Sciences in 2021 were selected by proportional stratified sampling. The data were collected using demographic, Young Internet addiction, and Pittsburgh sleep quality questionnaires. The data were analyzed using SPSS software and descriptive statistics such as mean, standard deviation, percentage and frequency and analytical statistics of One-way ANOVA.  

About 1% (4) of participants had severe internet addiction and about 24% (96) had moderate internet addiction. Participants with severe internet addiction (11.5±2.88675) had poorer sleep quality than other groups. However, the mean score of the sleep quality questionnaire in non-addicted participants was 6.2852±3.0248, which was also higher than normal. The scores of all the sections of sleep quality except sleep efficiency were higher in addicted students.

The results of the present study show the high prevalence of Internet usage among students and also there was a significant negative relationship between Internet addiction and sleep quality. Given that Internet addiction can have inevitable effects on various aspects of health; the proper planning must be done to control the activities of students in Internet.

Satisfactory sexual relations promote women's health and quality of life. Some medicinal Plants can have an effect on sexual satisfaction due to the presence of certain compounds. This study was performed with aim to investigate the effect of herbal composition (Oak Gall, pomegranate peel and Fenugreek Seed) on female sexual satisfaction.

This double-blind randomized clinical trial study was performed as parallel in 2020 on 60 women aged 15-45 years referred to Ardabil Comprehensive Health Centers. Subjects were divided into two groups of herbal vaginal suppositories (n=30) and placebo (n=30), and both groups used the suppository 2 days a week for 1 month. Data collection tools were Larson Questionnaire and Orgasm Questions (FSFI). Data were analyzed by SPSS software (version 23) and paired t-test, independent t-test, Chi-square and analysis of covariance. P<0.05 was considered statistically significant.

Before treatment, there was no significant difference between the two groups in terms of orgasm scores and level of sexual satisfaction (p <0.05). After treatment, orgasm scores were significantly higher in the group consuming herbal suppositories than the control group (p <0.001), but the two groups did not have a significant difference in terms of sexual satisfaction (p = 0.14).

The use of herbal compounds (Oak Gall, pomegranate peel, Fenugreek Seeds) can improve orgasm. Further studies in this field are recommended to ensure the effect of this herbal compound on sexual satisfaction.

Sigmoid volvulus is rare in pregnancy, but can cause many complications during pregnancy. The complications of disease will increase during pregnancy due to late diagnosis and treatment. Clinical triad of abdominal pain, abdominal distension and absolute constipation can help to diagnose this condition during pregnancy. In this study, a case of sigmoid volvulus during cesarean section is reported.

The patient was a 31-year-old woman with gestational age of 36 weeks and 2 days who had referred to Ardabil Alavi hospital with complains of abdominal pain. She had no symptoms of acute abdomen and complete bowel obstruction at the time of referral. The day after visit, due to recording of uterine contractions and the onset of delivery symptoms underwent emergency cesarean section under general anesthesia. During the operation, because of abnormal bowel distension, a general surgical emergency consultation was requested. Sigmoid volvulus was detected and removed by general surgeon. After stabilization of the symptoms, the patient was transferred to the general surgeon's service and the elective surgery was done in the relevant service.

Due to dangerous maternal and neonatal complications of volvulus during pregnancy, it is recommended that one of the differential diagnoses of abdominal distention during pregnancy be sigmoid volvulus.

Awareness of prevalence of chronic pain after breast cancer surgery and possible contributing factors in the continuation of pain after breast cancer treatment is essential in preventing this pain in improving the quality of life in patients with breast cancer. Therefore, this study was performed with aim to determine the relationship between BMI and chronic pain after breast surgery in women with breast cancer.

This descriptive-correlational study was conducted on 170 patients who had inclusion criteria in Tabriz hospitals from 2017 to 2018. VAS checklist was used to measure the intensity of postoperative chronic pain over six months and a checklist of chronic risk factors affecting chronic pain for research purposes. Data were analyzed by SPSS software (version 22) and Independent t-test, ANOVA, Chi-square and Fisher tests. P<0.05 was considered statistically significant.

The results indicated that chronic pain at all levels was associated with increased BMI, so that with increasing BMI, the chronic pain was also increased (P <0.001)

High BMI can be a risk factor for chronic pain after breast cancer surgery and attention to this index can be helpful in predicting chronic pain

Neuropathic pain can be one of the main causes of decreased sleep quality, and undesirable sleep quality has negative effects on quality of life and treatment continuation. This study was performed with aim to evaluate neuropathic pain and factors affecting sleep quality in women with breast cancer after radiotherapy. This descriptive-correlational study was performed from 21March 2017 to 20February 2019 on women with breast cancer undergoing radiotherapy in Imam Reza Educational Center, Tabriz University of Medical Sciences. The tools included demographic characteristics, VAS pain questionnaire, and Pittsburgh Sleep Disorders Questionnaire which measured neuropathic pain and sleep status. Data was analyzed by SPSS software (version 20) and multivariate regression test. P <0.05 was considered statistically significant. Mean of pain severity in patients participating in the study was 06.55±1.03 and mean score of sleep was 12.29±3.20. According to regression results, the variables of age (P=0.012), pain intensity (P=0.001), mastectomy (P=0.011), lymph nodes removal (P=0.03), number of radiotherapy sessions (P=0.003), history of chemotherapy (P=0.002) and stage of disease (P=0.01) significantly predicted sleep disorder. Prevalence of neuropathic pain after radiotherapy in women with breast cancer was high in this study, and this pain was the predictor of sleep disorder in these women.

Since sexual violence is not known in Iranian society, undesirable consequences of this type of violence are also unclear. Therefore, this study was performed with aim to investigate the prevalence of sexual violence in women with improved breast cancer mastectomy. This descriptive cross-sectional study was performed on 320 women with improved breast cancer breast cancer mastectomy in educational hospitals of Tabriz University of Medical Sciences in 2018. Sexual violence of women with breast cancer was assessed by Sexual Violence Questionnaire. Data were analyzed with SPSS software (version 22) and descriptive statistical methods and Kolmogorov-Smirnov, linear regression and Spearman tests. P <0.05 was considered statistically significant. Mean of sexual violence was 51.35 ± 9.53 and in level of "average sexual violence". Among sexual violence areas, the area of "wife's contempt during sexual intercourse" with score of 14.11 ± 1.03 had obtained the highest score. Sexual violence had correlation with age (P=0.003), history of cancer recovery (P=0.049), patient’s education (P=0.013) and her husband education (P=0.001) and patient’s general health status (P=0.001). Sexual violence is moderate in women with breast cancer after mastectomy.