Internal Medicine Today
Volume:26 Issue: 1, 2020

Obese or overweight people are more likely to have complications after coronary artery bypass graft surgery (CABG). Performing this surgery in these patients affects the patient's postoperative ability to perform Activity Daily Living (ADL) and Instrumental Activities of Daily living (IADL). The aim of this study was to determine the predictive factors for performing activities in overweight and obese patients undergoing CABG.

An analytical, cross-sectional study with available sampling was conducted over a period of four months in 84 patients, one month after CABG. Data collection was done using a questionnaire including demographic and social characteristics, Charlson comorbidity index, Kats Index, and Lawton Instrumental Activities of Daily Living Scale. The collected data were analyzed using descriptive and inferential statistics.

The majority of obese and overweight patients (94%), one month after surgery, were independent of their ADL, while most of the units needed help and dependence on their IADL (88.1%). Logistic regression model showed that the variables of the sex (P = 0.004, OR = 10.51 CI 95% = 2.15-15.41), carotid artery involvement (P = 0.01, OR = 0.12, CI 95% = 0.02- 0.64) were predictors of ADL, IADL in these patients.

Obese and overweight people are impaired in IADL and attention to predictors of sex and carotid artery involvement in their return to normal life style after surgery is very important.

Pregnancy is a very important and critical stage in women's lives. The support and support of women in this era will greatly help them to cope with the tensions of this period. This study was conducted to compare the effectiveness of self-care education with two methods of return education and group discussion focused on lifestyle of pregnant women.

This research was conducted in 2018 in Gonabad city, in which 90 pregnant women were selected and randomly divided into two groups of intervention and one control group. The training program was designed in accordance with the Teach-Back procedure and a focused group discussion for each intervention group. The data gathering tool was a demographic questionnaire, and a Walker-enhancing lifestyle questionnaire, and self-care checklist that were completed in three groups before and one month after intervention. The training program was conducted for intervention groups and the control group did not receive any training. Evaluation of the effects of the training program was conducted one month after the training. The results were analyzed by SPSS software. and P value less than 0.05 was considered significant.

The results of this study showed, In all dimensions of lifestyle, the stress management in both groups after intervention significantly increased. there was a significant difference between the three groups in the lifestyle between the three groups of interventional intervention, The central focus was on the return method.

two methods have been effective in maintaining the level of  lifestyle of pregnant women, but the method of focused group discussion has a greater effect In promoting lifestyle, she had a return on education

More people, for occupational and therapeutic purposes, is exposed to its harmful effects including chromosomal abnormalities every day. Radioprotective agents are able to reduce these kinds of damages through mechanisms such as free radical scavenging, donating hydrogen to damaged molecules and increasing activity of antioxidant enzymes. Medicinal plants which have been traditionally used in different societies, have special advantages to chemical radioprotectors due to their less side effects and affordable prices. Rosa damascene is one of the herbs which is widely used in traditional medicine.

In this study the radioprotective effect of one week use of brewed Rosa damascene against induced damages by 2 Gy X-irraidaiton in comparison to vitamin E in peripheral blood lymphocytes of 5 volunteers, 1, 24 and 96 hours as well as one week post last intake was investigated using binucleated micronucleus assay.

Results showed that brewed Rosa damascene one-hour post last intake was able to significantly reduce the frequency of micronucleus. This results were similar for vitamin E at the same time after last intake.

Results indicated that brewed Rosa damascene had the ability to protect cells from ionizing-induced damages and could be used as a radioprotector with less side effects in comparison to vitamin E.

the goal of this study was to describe the mediating role of coping strategies in relationship between difficulties in emotion regulation and internet addiction.

this study was a descriptive-correlational study. the sample group in this study included 375 students, which were selected by convenience sampling from Karaj Islamic Azad University in 2018. Data were collected by self-report method. Data collection instruments used for this study were: internet addiction Questionnaire, difficulties of emotion regulation scale and coping strategies scale. Data were analyzed by SPSS v.25 and using descriptive statistics, Pearson correlation coefficients and concurrent hierarchical regression analysis.

according to the result, a significant relationship was observed between difficulties of emotion regulation with maladaptive coping (p> 0.05, r= 0.527), maladaptive coping with internet addiction (p> 0.05, r= 0.386) and difficulties of emotion with internet addiction (p> 0.05, r= 0.548). Also, hierarchical regression analysis by Baron and Kenny method showed that maladaptive coping is mediator between difficulties of emotion regulation and internet addiction.

in general, these results indicate that high level of difficulties of  emotion regulation are associated with high levels of internet addiction and  difficulties of  emotion regulation has positive impact on maladaptive coping strategy, subsequently emotion-focused coping increases internet addiction.

The purpose of this study was to determine the effect of exercise training with resveratrol on PGC-1α and PDK4 gene expression in gastrocnemius muscle tissue of elderly type 2 diabetic rats.

42 male rats with type 2 diabetes, 250 to 300 g were divided into 6 groups; healthy-control, diabetic-control, diabetic+interval exercise, Diabetic+Supplement, Diabetic+interval exercise+ Supplement and Saline. The exercise included 10 sets of one-minute activity with 50% intensity and 2 minutes of rest between sets, and each week increased by 2 m per minute. The daily 20 mg/kg body weight Resveratrol supplementation was injected to rats. Gene expression PDK4 and PGC-1α in the muscle gastrocnemius were measured by RT-PCR method.

The results showed that the highest expression of PDK4 and PGC-1α gene in gastrocnemius muscle was observed in supplementation+interval exercise and lowest levels in patient and saline groups.

The results showed that the combination of resveratrol and interval exercise can have beneficial effects on PDK4 and PGC-1α gene expression in gastrocnemius muscle of elderly with type 2 diabetes mice and ultimately reduce the risks of diabetes complications.

Despite the high prevalence of obsessive-compulsive personality disorder (OCPD), there are few therapeutic resources in the field of treatment. Therefore, the purpose of this study is to examine and compare of efficacy of Two therapeutic approaches of cognitive-behavioural (CBT) and acceptance and commitment (ACT) on improving the perfectionism as the main symptom of this disorder. For this purpose, a quasi-experimental research method was used for pre-test, post-test with control group. The target population was 73 client to the Ehya counseling center in 2017 who were diagnosed with OCPD, of whom 45 were selected by targeted method and randomly assigned to two groups Experiments and one control group (each group of 15 people). The research variables were evaluated using of inventories of Hill perfectionism in the pretest, posttest and follow up phases.The data obtained from multivariate analysis of covariance showed a significant effect of both methods on this component of OCPD. Comparison of couples' paired groups by using Bonferroni test showed a higher and significant effect of ACT in comparison with CBT on perfectionism (P = 0.035). Therefore, it can be concluded that ACT, by focusing on psychological flexibility, is more effective than CBT on perfectionism. Meanwhile, a one-month follow-up to the results showed sustainability and strengthening.

The Linum usitatissimum and Rosa domascena are highly therapeutic. In this study, the effect of different doses of these two herbs on liver and serum glucose activity was investigated.

In this experimental study, 42 male rats were divided into 6 groups. The control group or group 1 received only sufficient water and food, groups 2 and 3 were 300 and 500 mg / kg respectively of Linum usitatissimum extract, and group 4 and 5 were 500 and 1000 mg / kg, rosa domascena and group 6, 100 mg / kg of Linum usitatissimum extract with 250 mg / kg rosa domascena extract received intraperitoneal for 28 days. After the last injection, the mice were weighed and blood samples collected. The parameters were calorimetric and using spectrophotometer, measurements were performed using ANOVA and Tukey tests in SPSS Version 18 were analyzed at the significant level (P <0.05).

There was a significant difference between total protein and albumin of the groups receiving the Rosa domascena compared with the control group (P <0.05).

Finding that Linum usitatissimum and Rosa domascena have no negative effect on the various activities of the liver. The probability of occurrence of diarrhea effects on total protein and serum albumin in Rosa domascena should be considered. Considering the different effects of different doses of Linum usitatissimum on glucose, you should consider the serum glucose status of the patient.

Any drug product made in the pharmacy, hospital or factory may be infection with microbes. This infection can be originated from raw materials or during manufacture of the product. It is also important to study the physical and chemical properties and stability of compound products.

In this study, a specific sample of a compound drug was ordered to 63 drugstores with prescription. Were investigated Some parameters such as: Microbial infection, viscosity, particle size distribution and their stability after collecting samples. The samples and their results were adapted to the standards.

The results of the experiments showed that 31.7 percent of the samples had color changes and 23.8 percent of the samples were uniformly non-homogeneous. In terms of particle size measurement, 57.1 percent of samples had a 20-40 μm in size and 49.2 percent of samples had 2500- 3000 centipoise in viscosity. In the stability study, 12.6 percent of the samples show phase change at 30-40 °C. About of the determination of the amount of hydroquinone in random samples, used 35% of the cases in suitable amount. In 23.8% of the samples, fungal Infection was observed.

Probably contrary to the opinion of most people it is a mistake attitude that only compound drugs in the pharmacy have microbial infection. because the results showed that the microbial burden of compound products in the pharmacy is low.