پروین امینی

The current research was performed aiming to train spirituality based on Islamic teachings on resilience and social adjustment in substance-dependent individuals. This study was an experimental research conducted in the form of pretest-posttest with control group. The population under study consisted of substance-dependent individuals in the Methadone Addiction Treatment Center of the city of Ghorve (Nikoosalamat) in 2013. At first, the sample size included 90 substance-dependent individuals referred to the addiction treatment clinic who were selected based on simple random sampling. Then, the number of 30 individuals who had received the lowest scores in the Connor-Davidson Resilience Scale (CD-RISC) and the Social Adjustment Scale (SAS) were selected and randomly divided into two experimental and control groups. The experimental group received 9 two-hour spirituality sessions, but the control group received no training. The CD-RISC and the SAS were applied to collect data, and covariance analysis was used to analyze the data. The findings showed that the mean of social adjustment scores in the posttest of the experimental group was significantly lower than that of posttest scores in the control group and, in other words, adjustment was increased. Also, the mean of resiliency scores in the posttest of the experimental group was significantly higher than the mean of posttest scores in the control group. It can be concluded that the training of spirituality with emphasis on the teachings of the Islamic religion can be used to significantly increase the level of resilience and social adjustment in substance-dependent individuals

Background and Closure of the alveolar cleft using bone grafts is very important in patients with alveolar cleft. Adjunct use of platelet rich fibrin (PRF) with bone graft enhances the bone volume. The aim of the present study was to evaluate the efficacy of grafting by allografts with PRF in stability of bone volume following alveolar cleft grafting using radiographic scales.
A clinical trial was conducted in 10 patients (6 females and 4 males) with unilateral alveolar cleft. After applying Freeze Demineralized Bone Allograft (FDBA) in the cleft site, half of the patients received PRF on the graft site while the rest (control group) did not receive it. Prior the surgery, 6 months, and 1 year after surgery CBCT radiographs were obtained to evaluate the changes in bone volume. Data was analyzed in SPSS with 95% of confidence interval. Shapiro- wilk, Bonferroni, and Spearman analytical tests were used in this study.
Both the control and intervention groups included 2 males and 3 females (mean age: 9.25± 1.83 years). No significant difference was observed in the mean age of participants (P>0.05). Changes in bone volume during the study period were significant in both groups (P0.05). But, 6 and 12 month follow-ups showed significantly higher bone volume in intervention group compared with the control group (P Using PRF in combination with FDBA could enhance the process of bone augmentation and decrease bone loss in the alveolar cleft sites.

Since there are no precise reports about maxillofacial fractures in Mashhad, we conducted a study to assess the pattern of maxillofacial fractures at Shahid Kamyab Centre during 17 months in Mashhad. In this cross sectional study, 495 patients of Mashhad Shahid Kamyab trauma center with maxillofacial trauma during 17 months were evaluated. Age, sex, site of fracture, etiology and treatment were recorded by observation and questions. Data were by analyzed with software SPSS 11.5. Eighty point two percent of all 495 patients were male and 20% were female. The most frequent age was 21-30 years and the most frequent causes of maxillofacial fractures were motor vehicle accidents (75.4%) and assaults (15.2%). The average number of fractures was 1.8 and the most frequent site of fractures were mandible (27.3%) and zygoma (20.9%). Open reduction had been done for 2.6% of the cases. The main cause of maxillofacial fractures is motor vehicle accident, which necessitates better promotion of traffic rules and safety.

Mandibular symphysis and parasymphysis fractures are common fractures following mandibular trauma. The success of open or closed reduction treatment depends on the type of fracture, the experience of the surgeon, the facilities available, and the medical conditions of the patient. Each treatment has its own complications. The purpose of this study was to examine the side effects and the complications following open reduction treatment in mandibular symphsis and parasymphysis fractures. In this retrospective study, conducted at Shahid Kamyab Educational-Treatment Center in Mashhad, 208 patients suffering from symphysis and parasymphysis fracture who had undergone treatment with internal fixation were studied. The patients were also subjected to a follow-up period of 8 weeks and the subsequent complications from their treatment were recorded. Chi-square and Fisher’s Exact tests were used for statistical analysis (α=0.05). The results of study showed that the complications arising from open reduction treatment in mandibular symphysis fracture were at an acceptable level and the risk of complications was reduced if treatment started not later than ten days after fracture. In order to reduce the risk of complications after open reduction treatment in mandibular fracture, the open reduction surgery should be started as soon as possible.