فهرست مطالب heshmatollah tavakol

One of the most important advantages of using mind -mapping technique is to activate both hemispheres of brain to remember the content easily. We aimed to assess the Mind Mapping technique as an alternative method in the epidemiology of common diseases course. The epidemiology of common diseases lesson was taught using Mind-Mapping technique during fourteen sessions. To assess the efficacy and desirability of this technique compared to other traditional methods, the scores obtained by the students those were taught based on Mind-Mapping technique during two years were compared to ones obtained by those who were taught this lesson based on other techniques. In descriptive statistics, mean and standard deviation and in analytic statistics, independent t-test was used. Data analysis was performed using SPSS software version 23. In the first group (n: 41 people), the mean and standard deviation of the students’ scores in the common epidemiology was 1390±2.59 before applying the Mind-Mapping technique. During two years, Public Health under graduates were taught using the Mind-Mapping technique. In the first year, in the second group (n: 33 people), the mean and standard deviation was 16.91±1.82 and in the third group (n: 39 people), in the second year, it was 16.05±1.58. To compare applying the traditional teaching methods to applying Mind-Mapping technique, a statistical significant difference was shown (respectively P>0.001 and P>0.001). This study and other studies have shown positive effects of applying Mind-Mapping technique in teaching epidemiology lesson.

As a chronic inflammatory airway disease, asthma can increase level of markers of inflammation and muscle damage. In this study, we aimed to evaluate the effects of short-term continuous aerobic exercise combined with vitamin D supplementation on high-sensitivity C-reactive protein (hs-CRP), lactate dehydrogenase (LDH) and creatine kinase (CK) levels in asthmatic women.

In this study, 30 overweight (body mass index=26.97± 1.24 kg/m2) women with mild to moderate asthma were purposefully selected.. The subjects received a vitamin D tablet with a daily dose of 1000 IU for six weeks. The training protocol consisted of two sessions of Balke treadmill test (one session before and one session after the vitamin D supplementation). Blood samples were taken before and immediately after the exercise and before and after vitamin D supplementation. Repeated measures ANOVA was used to evaluate changes in the levels of hs-CRP, CK and LDH.

The variables were not significantly affected by the exercise and vitamin D supplementation (P>0.05).

It seems that a single session of short-term aerobic exercise and six weeks of vitamin D supplementation do not significantly affect hs-CRP, CK and LDH levels in asthmatic women.

 Exercise reduction of respiratory symptoms of asthma and Vitamin D by adjusting the immune system can have a significant effect on the health of asthmatic patients. The purpose of this study was to investigate the effect of short-term vitamin D supplementation following a session of increased activity on respiratory parameters and activity tolerance in women with mild asthma.

  This study was quasi-experimental based on pre-post test That Following the announcement of the call, on thirty asthma women volunteered in Ahwaz performed. Balk test for cardiopulmonary patients was used for increasing aerobic exercise. Supplementation with vitamin D tablets at a dose of 1000 units daily for six weeks. About evaluation of pulmonary function we used Vital Capacity (VC) and Maximum Voluntary Ventilation (MVV) indicators by Spirometry devises. In order to determine normality of the data was used Shapiro-Wilk's test, T-test was used to analyze the data.

   Results indicated that there was a significant difference between VC and MVV levels and Activity tolerance to pre-test, supplement and exercise levels after the intervention (P ≤ 0/05.(

 Taking vitamin D supplementation with aerobic exercise can improve respiratory function in asthmatic patients and increase tolerance to activity.

The aim of the present study was threefold: to assess the association between baseline FEF25-75 and Airway Hyper-responsiveness (AHR), to specify whether a decrease in FEF25-75 may reflect severe hyper-responsiveness, and finally to confirm a FEF 25-75 cut-off value. In a cross sectional study in Imam Khomeini Hospital, Ahvaz, patients suffering from respiratory symptoms due the 2013 autumn rainfall with normal FEV1 and FEV1/FVC were evaluated by methacholine challenge test. Those with PD20<1000, 10002000 µg were classified as severe, moderate and mild AHR, respectively. Data were analyzed using Chi-square, Independent t-test, One-way ANOVA and Receiver Operating Characteristic (ROC) curve. Among the 234 patients, mean baseline FEF25-75 was 84.2±22.7% for 54 patients having a negative bronchial provocation test result and 70.9±19.2% for 179 patients with a positive bronchial provocation test result (P < 0.0001). No change was observed in the median PD20 among patients with a higher baseline FEF25-75. ROC analysis showed that FEF25-75 could potentially be a predictor of AHR, but it could not confirm the cut-off value of FEF25-75 for these patients. When asthma begins, AHR could be predicted by impaired FEF25-75 with normal FEV1 and FEV1/FVC. However, we could not determine a cut-off value, and no association was found between a greater impairment of FEF25-75 and a more severe AHR

The purpose of this quasi-experimental study was to investigate the effect of short-term vitamin D supplementation on FVC and FEV1 pulmonary function indices in women with mild asthma following of implementation of aerobic exhausting exercises. The statistical population of this study included all asymptomatic women in Ahvaz city. In a recall process, 35 patients were invited to the physician's office, among them 12 person were considered for the pre-test. To be ensured about their readinesses and VO2max levels, the Rocket test and aerobic training until exhaustion were used for cardio-respiratory patients. The Ganshorn model of the spirometers (IF8) was used to evaluate the pulmonary indexes. The results of the current study showed that FVC and FEV1 levels were significantly different with vitamin D supplementation following aerobic exercise to exhaustion (P≤0.05). The results also showed that six weeks of vitamin D supplementation after an aerobic exercise exhaustion session to be able of FEV1 and FVC respiratory levels parameters were significantly different compared to the untrained group (P≤0.05).

Asthma, obesity or overweight is one of the factors change of heart- espiratory airways that are affected.
Subjects and This quasi-experimental research was carried out in 2015 using two volunteered groups; experimental (n = 13) and control (n = 13). Weber Group was selected by screening of medical records and clinical examination. The experimental group was subjected to a planned submaximal aerobic activity (45 to 80 percent of maximum heart rate) for two months. Indicators (resting heart rate, systolic blood pressure, and minute ventilation, oxygen consumption and endurance activities) were measured relative to the baseline values using standard methods. Data evaluation and analysis of covariance compared with pre-test and post-test.
The results showed that eight weeks of training significantly decreased resting heart rate, systolic blood pressure. While minute ventilation maximal oxygen consumption and endurance activities (P≤0.05) were significantly increased. But the change indicators in the control group was not significant (P≤ 0/05).
The results showed that the aerobic activity strengthens the respiratory muscles and other physiological factors can cause breathing and heart recovery. Aerobic activity also resulted in favorable changes in cardiovascular parameters and tolerance of overweight women with chronic asthma.

Asthma is a chronic respiratory disease that is associated with Reversible airway obstruction. The purpose of this study was to determine the clinical findings associated with asthma severity and determine the concentration of total IgEin patients with Arab ethnicity and Bakhtiari. Subjects and In this survey, 200 patients with asthma patients with Bakhtiari and Arabs ethnicities living in Khuzestan province which were referred to the pulmonary clinic in 2014 in Ahvaz city were studied. Patient data were collected through questionnaires and spirometry was performed and the total IgElevel in patients' serum were tested by ELISA. All data were analyzed with SPSS. In this descriptive study, In Arab ethnicity, 16% had severe asthma, 13%, 15.5% mild asthma and 10.5% had controlled asthma. In Bakhtiaries, 5.9% had severe asthma, 7% moderate asthma, 14% mild asthma and 14.5% had controlled asthma. In total, 33% of the patients were passive smokers by their family members and 69.5% had a BMI greater than 25. Based on the measurement of the total serum IgE 60.1% were atopic asthma and 39.9% non-atopic. Totally, 39.5% of the patients had a family history of asthma. In our study in Khuzestan province, asthma severity was significantly associated with ethnicity and BMI levels (P= 0.012 and 0.009, respectively), but no significant relationship were observed for the IgE, age and sex of patients and tobacco with asthma severity (P=0.58, 0.15, 0.27 and 0.17, respectively).