فهرست مطالب gh .sabz

Managing pain and mental distress in cancer patients is one of the main priorities of care. Therefore, the aim of the present study was to determine and evaluate the effect of desensitization with eye movements and reprocessing on pain intensity in cancer patients with 24-month follow-up.

The present clinical trial study was conducted on cancer patients suffering from pain at Shahid Jalil Hospital, Yasuj, in 2019. A total of 60 patients were selected by convenience sampling and randomly divided into two groups of intervention and control based on the allocation of random blocks and in parallel. In the intervention group, the technique of desensitization with eye movements and reprocessing in 7 one-hour sessions daily (one session per day) was held individually in the counseling room. In the control group, no intervention was performed by the researcher and they received only routine hospital treatment and care. The severity of pain and mental distress of patients before the intervention, after the intervention and at 24-month follow-up in both groups was measured by the pain rating scale and the mental distress scale. The collected data were analyzed using descriptive statistics, Chi-square, independent t-test and analysis of variance using SPSS 24 software.

Analysis of variance with repeated measures disclosed that the mean pain intensity in the intervention group, before, after the intervention and at 24-month follow-up were 0.73±9.46, 1.51±3/03 and 1.23±5.66 respectively which had a statistically significant decrease (p<0.0001). Moreover, mental distress in patients in the intervention group before and after the intervention, and at 24-month follow-up, respectively; 0.56±9.76, 1.52±3.26 and 1.62±6.61 which had a statistically significant decrease(p<0.0001). In the control group, using repeated measures analysis of variance, the mean pain intensity and mental distress before, after, and 24-month follow-up were not statistically significant(p> 0.05).

The results indicated that the method of desensitization with eye movements and reprocessing was effective in reducing pain in cancer patients and its effect was still lasting after 24 months of follow-up. Therefore, it is recommended to use this new and effective method in reducing pain in cancer patients.

Adenoid hypertrophy is one of the childhood complications in which bacteria are involved in its etiology. The aim of the present study was to determine the relative abundance of biofilms and genes associated with biofilm formation in Staphylococcus aureus isolates and also to determine the genotypic patterns of S. aureus isolates from adenoids and tonsils of children with adenoid hypertrophy by Spa typing method.

The present cross-sectional study was conducted on 86 pair isolates of S. aureus collected from adenoid and tonsil of children with adenoid hypertrophy. Phenotypic method used for assessing of biofilm production in S. aureus isolates and the presence of icaA,icaD,fnbA and clfA genes evaluated using polymerase chain reaction method. The spa typing method was apllied for typing of isolated. Data were analyzed using descriptive statistics method and SPSS software.

S. aureus isolated from adenoids and tonsils were positive in 49 (57%) and 40 (46.5%) biofilms, respectively. In 47 cases, pairs of isolates from the adenoids and tonsils were similar in terms of biofilm production. In the present study, 4 types of spa types were identified in S. aureus including t081 type, the most dominant type in 67.5%, t701 in 11.6%, t2419 in 9.3% and t4870 in 8.2% of adenoid isolates. In total, 79.45% of adenoid and tonsil isolates had similar typing. highest frequency of genes was related to fnbA, which was detected in adenoids in 64% and in tonsils in 41.9% of isolates.

Due to the relative frequency of biofilm formation, biofilm is of moderate importance in the establishment of Staphylococcus aureus in the tonsils and adenoids of patients. Moreover, the role of fnbA gene in biofilm formation was higher than other studied genes. High spa similarity Staphylococcus aureus isolates isolated from the adenoids and tonsils indicate the initial colonization of bacteria in the tonsils and then act as a source of infection for the adenoids.

Tooth occlusion is a common anomaly that is caused by several factors including local and systemic factors. The most common teeth that may be occluded are tertiary permanent teeth, maxillary canines, maxillary and mandibular premolars, and maxillary central incisors. The aim of the present study was to investigate the prevalence of occlusion of different teeth in patients referred to the Oral and Maxillofacial Radiology Clinic in Yasuj during 2017-2018

In this retrospective study, 2536 digital panoramic radiographs were studied among patients who were over 14 years old and referred to the Oral and Maxillofacial Radiology Clinic in Yasuj during the years 2016 to 2017. Patients with a history of trauma, developmental abnormalities, syndromic, pathological problems, and edentulousness were excluded. Radiographs were taken with the VATECH digital panoramic device (pax-i3D). The graphs were examined and a tooth was considered to be occluded, which was prevented from growing normally by a bone or a lateral tooth, as well as a tooth whose occlusal surface was visibly lower than the occlusal surface of adjacent teeth. Chi-square test was used to examine the relationship between age and type of impacted teeth and the difference between men and women in terms of impacted teeth.

Out of 2536 patients, the maxillary molar teeth (number=57) were 2.2%, mandibular molar teeth (number = 46) 1.8%, maxillary canine (number=39), 1.5%, maxillary premolars, respectively. Number=8) 30%, canine (number=7) 3% and incisor (number=4) was 4.2%, which had the most impacted teeth related to the maxillary molars and there were no mandibular premolars and mandibular incisors in this study. There was no significant difference between age and sex in terms of latency.

Dental occlusion in Yasuj city is not considered high, and the highest prevalence of occlusion is after maxillary molars, mandibular molars and maxillary canines. Therefore, if the canine teeth do not grow in time, radiography is recommended to examine their occlusion and use appropriate treatment.