Report of Health Care
Volume:5 Issue: 4, Autumn 2019

The aim of this research was to study the effect of eight weeks of aerobic training with ginger supplementation on plasma visfatin and lipid profile in obese men. Forty volunteer middle-aged obese men were divided randomly into four equal groups (n=10) including; placebo, ginger supplement, aerobic training and aerobic training with ginger supplement. Aerobic training consisted of eight weeks, three sessions per week and intensity of 55-65 percentage of maximum heart rate. Ginger supplementation consisted of 3 gr ginger consumption as capsule, three times before each meal for eight weeks. Changes of plasma levels of visfatin and lipid profile were assayed before and after eight weeks. Data were analyzed using one-way ANOVA test and Tucky’s post-hoc comparison (p<0.05). There was significant difference between groups in plasma levels of visfatin (p=0.03), VLDL (p=0.01) and TG (p=0.03). The observed difference was related to placebo and aerobic training with ginger supplement groups. It seems that eight weeks of aerobic training with ginger supplementation may improve some cardiovascular risk factors in middle-agesd obese men.

The risk of developing deep vein thrombosis is very high among the surgery patients if appropriate precautions are not taken. Graduated compression stockings, that are used to prevent deep vein thombosis, may threaten patient’s safety if they are not used properly. This study was carried out to examine the use of graduated compression stockings in surgery patients and the effect of training given about deep vein thrombosis in a cross sectional and semi-experimental design. The study was conducted in General Surgery, Brain Surgery and Urology Clinics of a Healthcare Practice and Research Center located in the western Black Sea region between February 2017 and February 2018. Sample of the study was composed of a total of 166 patients who were assigned to both groups randomly. Patients in Group I were given training about deep vein thrombosis during preoperative period; and patients included in Group II were provided routine nursing care in the clinics. The use of graduated compression stockings by the patients and the problems they experienced were evaluated within the first 48 hours following surgery. Descriptive tests, the Kolmogorov Smirnov test, Independent-samples t test, Mann Whitney U test, Pearson, Yates and Fisher exact chi-square tests and McNemar test were used for statistical analyses. The risk of deep vein thrombosis was found to be comparable between both patient groups during preoperative assessment. It was determined that all of the patients who were given training about deep vein thrombosis used graduated compression stockings, and 33.7% of the patients who got routine care did not know how to use them. The problems of itching (p=0.729) and sweating (p=0.225) were found to be experienced by both goups. It was also observed that graduated compression stockings slided downwards (p=0.001) and redness (p=0.001) occurred in the patients group who got routine care. The training provided by the nurses had a positive effect on the adjustment to the use of graduated compression stockings among the patients who underwent surgical intervention. Providing training to the patients is suggested to be crucial in order to provide an efficient and reliable care to the surgery patients who are under risk for deep vein thrombosis, and it is important not to neglect it.

Substance abuse disorder with chronic and recurrent nature has dedicated a wide range of psychosocial interventions and drug therapy. Today, a combination of pharmaceutics and psychological treatments for treatment and prevention of re-use and subsequent increase in psychological co-existence in these patients have been used. One of the most important guidelines for recovery and prevention of recurrence, is psychological treatments and maintenance therapy with drugs such as methadone. Accordingly, the present study has taken place for comparison of the effect of the cognitive behavior combinatory therapy with MMT (Methadone Maintenance Therapy) on uncompromising cognitive emotion regulation strategies in patients with substance abuse. The present study was a quasi-experimental pretest-posttest with a control group. Accordingly, 30 addict participants referring to drug rehabilitation centers were considered as the sample of the study and were randomly assigned into three groups: cognitive-behavior therapy, methadone maintenance therapy, and control. The subjects completed the Cognitive Emotion Regulation Questionnaire, before and after the intervention. Data were analyzed using descriptive statistical methods and analysis of covariance. The findings showed that cognitive behavior therapy led to the reduction of uncompromising cognitive emotion regulation strategies compared to methadone maintenance therapy. However, methadone maintenance therapy was also effective (p <0.05). Cognitive-behavior therapy, by changing the cognitive and behavioral variables associated with drug abuse, such as uncompromising emotion regulation strategies, helps the addicts for drug rehabilitation.

Although resistance training and resveratrol is recommended as a stimulant for muscle regeneration in healthy subjects their effects on cancer-related cachexia indices are unclear. This study aimed to investigate the effect of a course of resistance training with resveratrol supplement on PAX-7 and eMHC in Gastrocnemius muscle tissue of mice bearing colon cancer induced cachexia. This was an experimental study conducted on 20 six-week-old BALB/c mice implanted with CT-26 tumor. The mice were randomly divided into four groups: resistance training, resveratrol, resveratrol with resistance training, and control. The resistance training group performed 6 weeks of progressive resistance training, the resveratrol group received 100 mg/kg resveratrol per day. 48 hours after the last experimental session, the mice were sacrificed and PAX-7 and eMHC protein levels were measured using ELISA test through specimen taken from gastrocnemius muscles. Statistical test of one way ANOVA was used for data analysis. PAX-7 level was significantly lower in resveratrol with resistance training group compared to control (P=0.009), resveratrol (P=0.005), and resistance training groups (P=0.002). eMHC was significantly lower in the resistance training group compared to the control (P=0.08), resistance training, and resveratrol groups (P=0.002). Resistance training was not an appropriate intervention for treating reduced muscular regeneration due to cachexia. However, regarding reducing effect of resveratrol supplementation with resistance training on PAX-7 level, it may be recommended to improve muscular regeneration.

assured diagnosis of heart problems. However, the amount of this factor in response to exercise and in different times of the day is not determined. Therefore, the present study aimed to investigate the effect of training time (morning and evening) on ischemia-modified albumin (IMA) plasma levels in male patients with cardiovascular disease. 15 male patients with cardiovascular disease were chosen to participate in this quasi-experimental study. Before the outset of exercise protocol under specialist supervision, pre-test blood samples were taken from subjects at 7:00 in the morning. After taking blood samples, all participants took part in an exercise test until exhaustion. This test was designed based on Bruce protocol including 7 stages and each of these 3 minute stages followed predetermined speed and grade. One week later, subjects went through the same process at 7:00 in the evening. Paired sample t- test was used to analyze and compare pre-test and post-test means of each training period (morning and evening) and compare the mean of both times in the morning and in the evening. SPSS.20 was used to analyze study data. there is no significant difference between pre-test means during morning and evening exercises (P=0.292). In addition to this, no significant relation was observed between post-test mean and three-hour-after test in the morning and evening, (P=0.185) and (P=0.250), respectively. Based on this study it could be said that circadian rhythm and circadian cycle have no severe effect on chemical responds and cardiac risk factors. Thus, cardiovascular patients can engage in their desired exercise during morning and evening.

The epidemiology of MRSA strains is constantly changing and the potential utility of genomic surveillance in defining its population structure and outbreaks of possible high-risk lineages in Sokoto state cannot be overstated. This study brings to light the various clones, spa-types, sequence types (ST) and the resultant clonal complexes (CC) of MRSA strains in Sokoto state as a step towards an all-inclusive MRSA surveillance system. Phenotypic determination of the presence of MRSA was carried out by subjecting the isolates to Oxacillin resistance screening agar base test (ORSAB). The PCR products (mecA and spa) where electrophoresed on 1.5% agarose gel and the spa positive isolates were sequenced and analyzed. Based upon repeat pattern (BURP) algorithm was used to compute spa clonal complexes (spa-CCs) In this study, analysis of 16 MRSA strains revealed 10 different spa-types, varying in length between 1 (t267, t021), 2 (t044, t127) and 4 (t1839, t202) repeats, which were clustered into 2 different groups and 2 singletons. The MLST mapping of the spa types of 16 MRSA isolates revealed seven different sequence types (ST-1, ST-9, ST-55, ST-93, ST-97, ST-80 and ST-463) clustered into spa-CC 07and spa-CC 003. The present study provides an understanding of the MRSA clonal population in Sokoto, revealing the 10 different spa-types in circulation and providing awareness of the proliferation of spa-types t091 and t044. Genetic Surveillance for these clones needs to be coordinated nationally and locally because successful clones are not confined by state or country boundaries.

Test anxiety is a type of situational anxiety (certain phobia) that has a certain state of general anxiety including phenomenological, physiological, and behavioral responses to fear of failure and negatively affects one's quality of life. The purpose of this study was to investigate the effectiveness of cognitive behavioral hypnotherapy on reducing anxiety symptoms and improving the quality of life of students with test anxiety. The present study was an experimental study (with pre-test, post-test, and a 3-month post hoc study) in which repeated measures analysis of variance with control group were used. From among the first period high school male students of CHENAR SHAHIJAN in Fars province, 50 individuals with test anxiety disorder were selected and assigned into experimental and control groups. Data were collected using Friedman & Jacob Test Anxiety Inventory (1997) and the World Health Organization Quality of Life Instrument- Short Form (WHOQOL-BREF). The treatment protocol comprised using Wildermouth Cognitive Behavioral Therapy techniques in a hypnosis trance state for 9 sessions of one and a half hour weekly. Data were analyzed using repeated measures ANOVA and Bonferroni’s post hoc test using SPSS 22. The results showed that the psychological intervention in the post-test and post hoc reduced students' test anxiety scores in three dimensions of social humiliation, cognitive error and stress, and improved their quality of life. Cognitive behavioral hypnotherapy causes significant changes in the posttest test and post hoc of both variables, and thus this method can be part of the treatment of anxiety in the future and can be effective in improving the quality of life of individuals with test anxiety.

In recent time, terror, war or community conflict commonly occur and children as a vulnerable population are not immune to the effect of trauma and violence. Unaccompanied refugee minors (URM) seem to be likely more vulnerable and to have been victim to four or more traumatic events than children with families. Posttraumatic stress disorder (PTSD) is one of the most prevalent psychological disturbances among individuals exposed to traumatic events. This study aims to review the management of PTSD among children who have mental health issues related to migration to other countries without parents, adult relatives or proxy.

The present study was conducted by searching and identifying appropriate sources related to therapy for PTSD among unaccompanied refugee minors through four journal databases including DOAJ, Google Scholar, Proquest, and Science Direct.

Some studies have shown the effectiveness of cyber-therapy especially virtual reality to manage PTSD symptoms, however, the majority of participants in these studies are military and veterans.

Further studies and evidence focus on the role of cyber-therapy so that virtual reality in managing PTSD symptoms among unaccompanied refugee minors is highly needed.