فهرست مطالب

Report of Health Care
Volume:5 Issue: 2, Spring 2019

  • تاریخ انتشار: 1398/02/11
  • تعداد عناوین: 8
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  • Mojtaba Jafarinia *, Morteza Jafarinia Pages 1-7
    Introduction

    Traditional medicinal plants have gained increasing popularity in the last decades due to the natural origin, low price and fewer side effects. Herbal products are complex mixture of organic chemicals that may come from raw or processed part of plants.Studies have shown that lots of drugs have herbal bases.Over time, the effect of herbal medicines on the immune system has been paid lots of attention. Asteraceae or Compositae is an exceedingly large, annual and widespread family of flowering plants. They produce secondary metabolites, such as flavonoidsand terpenoids which have lots of effect on our body. Many of Asteraceaefamily are plants which have been used in traditional medicine.Many studies have shown the effect of Asteraceae family plants or their extract on immune-mediated diseases, especially their anti-inflammatory effect.

    Methods

    In this article, we reviewed the medicinal properties of fivegenuses of Asteraceae family plants which influence the immune system.

    Keywords: Medicinal Properties, Asteraceae Family, Immune System
  • GolamReza Merzaie, Siroos Sarvghad *, Hosan Bagholi, Maryam Kouroshnia Pages 8-16
    Introduction

    Self-efficacy refers to the judgment of individuals about their ability to perform a task or to adapt to a particular situation. In this vein, the purpose of this study was to investigate the effectiveness of training Grass's cognitive emotion regulation strategies on self-efficacy dimensions in married workers of Shahid Beheshti Hospital in Shiraz.

    Methods

    In this semi-experimental study, 40 married workers of Shahid Beheshti Hospital in Shiraz with mean age of 40 who received a low self-efficacy score were selected and randomly divided into two groups of 20 subjects including (1) control and (2) experimental groups. Then, in the experimental group, Grass's cognitive emotion regulation strategies were trained in eight 90-minute sessions. Sherer's self-efficacy scale was used as self-efficacy questionnaire for pre-test and post-test. Data analysis was done using multivariate analysis of covariance (MANCOVA) in SPSS software at a significance level of p≤ 0.05.

    Results

    It was found that there is a positive and significant relationship between the training of Grass's cognitive emotion regulation strategies and increased self-efficacy in married workers of Shahid Beheshti Hospital (p = 0.0001).

    Conclusion

    It seems that by training cognitive emotion regulation strategies, an individual may find the desire to use his/her capabilities.

    Keywords: Cognitive Regulation, Self-efficacy, Hospital Workers
  • Solmaz Bbbasi, Seyed Mohsen Avandi *, Rouhollah Haghashenas Pages 17-26
    Introduction
    In old age, people develop muscle atrophy due to motor constraints. As a result, these factors have a significant impact on the quality of life and health of the elderly. The purpose of the present study was to investigate the effect of eight weeks of concurrent training on total protein plasma levels and muscle strength in elderly men.
    Methods
    In this study, 16 elderly men (mean age ± SD: 63.25 ± 3.87 years; weight: 80.25 ±13.69 and BMI: 27.04 ±4.19 kg / m2) were randomly divided into two groups of eight, including: (1) concurrent training, and (2) control. The training protocol consisted of eight weeks of resistance and endurance combinations, three sessions per week, taking into account the overload principle. The control group continued its routine life without any regular activity. Blood samples were taken to measure blood variables in fasting conditions before and after the training protocol. Measurement of one-repetition maximum (1RM)was done in two stages of pretest and post-test. To analyze the results, statistical procedures of dependent and independent samples t-test were used at significance level of P≤0.05.
    Results
    Based on the results, eight weeks of training increased total protein plasma levels (P=0.002) and 1RM in leg extension and dumbbell shoulder press (P=0.0001), but this was not the case in the control group.
    Conclusion
    It seems that concurrent training improves total protein plasma levels and maximal strength, which consequently results in muscle mass and muscle strength in elderly people.
    Keywords: Elderly, Concurrent Training, Total Protein Plasma, Strength
  • Abdolhamid Zokaei, Feridoun Sabzi, Mehran Ghahramani * Pages 27-31
    Introduction
    Levosimendan is a calcium sensitive inotrope and ATP-sensitive potassium channel opener that is effective in the prevention and treatment of low cardiac output syndrome (LCOS) after cardiac surgery. The purpose of this study was to investigate the need for inotrope during ICU admission, the incidence of myocardial infarction within 3 days after surgery, the need for insertion of intra-aortic balloon pump within 3 days after surgery, and examining the time of extubation of the endotracheal tube and the time of discharge from the ICU.
    Methods
    In this randomized clinical trial, 60 patients with mean age of 65 years with left ventricular ejection fraction (% 30 ≥) (LVEF), who were candidates of off pump coronary artery bypass graft surgery were examined.Patients were screened for 20 days before surgery and those with renal insufficiency or liver failure as well as those who simultaneously needed to use inotropic or vasopressor drugs or were candidates for cardiac surgery using a cardiopulmonary pump were excluded. Patients were randomly divided into experimental and control groups. After insertion of the arterial catheter and simultaneously with the skin incision in the experimental group, intravenous prophylactic levosimendan (0.1μg / kg / min) was used from the start of surgery to 24 hours after surgery. The control group did not receive any inotrope. For statistical analysis of data U Mann-Whitney test and Chi-square test were used (P< 0.05).
    Results
    The use of levosimendan had no significant effect on the time of extubation of the endotracheal tube in the ICU (p = 0.336); Also, levosimendan had no significant effect on the time of discharge of patients from ICU (p = 0.292). However, the use of levosimendan had a significant effect on the need for insertion of intra-aortic balloon pump (IABP) (p = 0.038) as well as the incidence of myocardial infarction (p <0.001), and reduced the incidence of myocardial infarction (p=0.001) and the percentage of need for insertion of intra-aortic balloon pump (IABP).) (p = 0.038).
    Conclusion
    According to findings of the present study, it is recommended to use levosimendan to reduce the incidence of myocardial infarction and reduce the need for insertion of intra-aortic balloon pump in patients with left ventricular dysfunction in off pump coronary artery bypass graft surgery.
    Keywords: Levosimendan, Coronary Artery Bypass Graft Surgery, Off Pump
  • MohammadReza Yabandeh, Hossein Bagholi *, Siroos Sarvghad, Maryam Koroshnia Pages 32-43
    Introduction

    The purpose of the current study was to compare the effectiveness of acceptance and commitment group therapy with cognitive behavior group therapy on reduction of experiential avoidance and fear of negative evaluation in university students with social anxiety.

    Methods

    In this research, using two groups of experimental and one control group, an experimental interventional method was used. A sample of 45students with social anxiety was selected by purposive sampling method and then randomly assigned to two experimental and one control groups. The experimental groups received 12 sessions of acceptance and commitment therapy and cognitive behavioral therapy, while no therapy administered on the control group. The experiential avoidance and fear of negative evaluation of the subjects were assessed using the AAQ-II and BFNE-II tests in two stages of the research. Final data were analyzed by Covariance analysis and Bonferronis post hoc test.

    Results

    Comparison of the groups did not show any significant difference in the experimental avoidance component between the three groups. In the fear of the negative component, the evaluation showed while both treatments reduced fear of the negative evaluation, acceptance and commitment therapy outperformed cognitive behavioral therapy.

    Conclusion

    Treatment based on acceptance and commitment therapy is effective in reducing the fear of negative evaluation of students, and it is recommended to be used in working with students with social anxiety.

    Keywords: Acceptance, Commitment Group Therapy, Cognitive Behavior Group Therapy, Experiential Avoidance, Fear of Negative Evaluation
  • Ladan Hosseni Abrishami, Seyed Mahmoud Hejazi *, Amir Rashidlamir, Rambod Khajei Pages 44-55
    Introduction
    Adhesive molecules of cellular markers have been applied to identify the process of formation of atherosclerotic plaque of vascular endothelial wall. The present research aimed to evaluate the effect of continuous and interval aerobic trainings on body mass index and serum levels of ICAM-1 and VCAM-1 in men with heart failure.
    Methods
    In the present research, 42 middle-aged men with heart failure were purposefully and randomly divided to three equal groups (each 14 participants) including continuous, periodic, and control aerobic exercises. Continuous exercise (with the intensity of 45-70% maximum heart rate) and periodic exercises (with the intensity of 45-80% of MHR) were done for 3 days a week, with a total term of 8 weeks. Before and after the implementation of the exercise plan, blood samples were taken from three groups. Data were analyzed by one-way ANOVA (P≤0.05).
    Results
    Comparison of mean of intra-group indicated a significant decrease in the level of cellular adhesion molecule-1 and vascular adhesion molecules-1 and body mass index in the exercise groups (P≤0.05). In Intragroup comparison, the two groups of exercise, VCAM-1(P=0.0001) and body mass index (P=0.002) were significantly decreased, but no significant change was observed in ICAM-1(P=0.107). Decrease in VCAM-1 levels and BMI between the two exercise groups were more significant than the control group, but there was no significant difference between the two groups of periodic and aerobic.
    Conclusion
    With decreasing BMI and VCAM-1 levels, aerobic exercises may have a significant role in the prevention and control of cardiovascular disease in patients with heart failure.
    Keywords: ICAM-1, VCAM-1, BMI, Aerobic Training, Heart Failure
  • Soheila Rezakhani *, Mahmood Motamedi Pages 56-60
    Introduction

    Deviation of the eyes may occur with seizures involving any cerebral lobe. Most notably, a lesion of the FEF that causes excess neural activity, like a focal seizure, or spreading of ictal discharges to the FEF will drive the eyes contralaterally during the period of the seizure. The head also may turn contralateral to the seizure focus during the ictus. In the post-ictal state, when there may be lingering hypoactivity of the FEF neurons, the eyes may deviate ipsilateral to the side of the lesion because of a relative increase in the input from the unaffected FEF on the opposite side of the brain.

    Methods

    A 14- year old right handed boy with refractory epilepsy was admitted for video EEG monitoring in an attempt to better define his seizures and to evaluate him for possible epilepsy surgery. He had thirteen clinical seizures with different semiology. In one of these, he had disconjugated head and eye movement that is an unusual finding. In this investigation, we noted his brain MRI with and without contrast that reported focal signal abnormality in the right prerolandic region indicative of AV malformation and also abnormal intraaxial infratentorial cystic mass located in the left cerebellar peduncle.

    Results

    In the present case, disconjugated head and eye movement occurred during the seizure, probably; due to brain stem cystic lesion that is mainly located in mesencephalic area that may interrupt the connections between FEF and superior colliculus.

    Conclusion

    The patient studied in the present study experienced Rt. Side (ipsilateral) eye gaze with dis-conjugated left sided (contralateral) head version during his seizure. While long term video-EEG monitoring and imaging studies pointed to epileptogenic zone of right centroparietal region. This is probably due to a cystic lesion located in the mesencephalic region mainly in the left cerebellar peduncle.

    Keywords: Disconjugated Head, Eye Movement, Seizure, Frontal Eye Field
  • Elham Mollaie, Ghasem Naziry * Pages 61-68
    Introduction

    Irritable bowel syndrome (IBS) is a functional disorder of the digestive system which can neither be cited for its psychological causes, nor can its organic causes be limited. Therefore, the aim of this study was to compare family cohesion, quality of life and early maladaptive schemes in married women with IBS and normal married women.

    Methods

    In this study, 80 participants (40 individuals with irritable bowel syndrome and 40 normal individuals) were selected by available sampling method. Data were collected through questionnaires of family cohesion, quality of life and early maladaptive schemes. To analyze the data, multivariate analysis of variance and independent sample t-test were used (p≤0.05).

    Results

    There is no significant difference between family cohesion in women with irritable bowel syndrome and normal women (p ≤0.05). Physical function score, physical pain, general health and overall quality of life score in normal women were significantly higher than women with IBS (p≤0.05). Also, cuts and rejection, autonomy and impaired function, impaired constraints, and excessive alert in women with IBS were higher than normal women (p≤0.05).

    Conclusion

    It seems that irritable bowel syndrome leads to a decrease of family cohesion and quality of life in married women.

    Keywords: Family Cohesion, Quality of Life, early maladaptive schemas, Irritable Bowel Syndrome