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Journal of Vessels and Circulation - Volume:3 Issue: 2, Spring 2022

Journal of Vessels and Circulation
Volume:3 Issue: 2, Spring 2022

  • تاریخ انتشار: 1401/11/12
  • تعداد عناوین: 7
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  • Vajihe Maghsodi, Jafar Ahmadi, Habib Farahmand, Sajjad Rezvan, Mojtaba Darabi, Hamid Reza Khorasani, Zahra Khodaei* Pages 55-60
    Background and Aim

    The present study was conducted to investigate cerebrovascular accidents in brain computerized tomography (CT) scans of COVID-19 patients during 6 months in Ali Ibn Abi Talib Hospital in Rafsanjan City, Iran.

    Materials and Methods

    The present research was descriptive and correlational. The statistical population of this research included the records of all patients referred to Ali Ibn Abi Taleb Hospital from October 2019 to March 2020, whose corona test results were positive and they underwent brain imaging (computerized tomography [CT] scan). The results were obtained from the patient’s files and the census sampling method. After collecting the data, SPSS software was used to analyze the data.

    Results

    The results showed no relationship between the variables of age, sex, medical and drug history, disease severity, and outcome (death, recovery) with the occurrence of acute cerebral hemorrhage (P>0.05). However, a relationship is observed between the variable of medical and drug history, disease severity, and outcome (death, recovery) with the incidence of ischemia (P<0.05)

    Conclusion

    Considering the relationship between the patient’s medical and drug history, the severity of the patient’s disease, and the outcome (death, improvement) of the disease on the patient with the occurrence of acute ischemia, it is suggested that the results of this research be investigated more precisely.

    Keywords: Cerebrovascular, Computerized tomography (CT) scan, COVID-19
  • Hamideh Bahaoddini, Alireza Agha Yousefi*, Sohrab Abdi Zarrin Pages 61-67
    Background and Aim

    Blood pressure is a common problem in people exposed to stress and is an important part of the physiological science of the heart. The purpose of this study was to investigate the effect of coping therapy on blood pressure as an important indicator of the physiological function of the heart in women exposed to stress.

    Materials and Methods

    Blood pressure is a common problem in people exposed to stress and is an important part of the physiological science of the heart. The purpose of this study was to investigate the effect of coping therapy on blood pressure as an important indicator of the physiological function of the heart in women exposed to stress.

    Results

    In the post-test phase, coping therapy reduced systolic blood pressure (P<0.05 and F=5.87), but diastolic blood pressure (P<0.05 and F=1.86) had no effect. follow-up stage, treatment was not significant for systolic blood pressure (P<0.05 and F=0.48) and diastolic blood pressure (P<0.05 and F=2.97).

    Conclusion

    Coping therapy can be effective in improving blood pressure in women with stress in interpersonal relationships. As a result, this treatment can be a way to improve the physiological function of the heart, especially women's blood pressure.

    Keywords: Coping therapy, Blood Pressure, Women, Stress
  • Mohsen Akbarpour, Fazlollah Fathollahi Shorabeh*, Abbas Ali Abvisani Pages 69-76
    Background and Aim

    Aging is a process in which the physiological capacity of the body decreases continuously after the age of 30. One of these major changes in body mass (sarcopenia) is caused by a reduction in blood flow due to angiogenesis disorder. Therefore, the purpose of this study was to examine the effect of eight weeks of resistance training on some angiogenesis indices in elderly men.

    Materials and Methods

    The sample of this study was 30 elderly men (average age 61.65 and average weight 68 kg) who were randomly divided into control (15) and experimental (15) groups. The experimental group received 8 weeks of aerobic exercise, which included 55-50% MHR in the 1st week, with a high 80%-75% MHR in the eighth week. Studies were performed 48 hours before vascular endothelial growth factor (VEGF), fibroblast growth factor (FGF), and nitric oxide (NO) and after the last session of the 5-cc protocol of the blood from the elderly’s arms. To analyze the findings, independent and dependent T test was used for inter-group and intra-group evaluations. Statistical tests were performed using SPSS 16 software at a significance level of α=0.05.

    Results

    Eight weeks of aerobic training significantly increased the levels of VEGF (P=0.000), NO (P=0.000), and FGF (P=0.000) in elderly men. There were no significant changes in the control group.

    Conclusion

    The results of this study showed that eight weeks of aerobic training increased significantly in the angiogenesis levels of the elderly. Therefore, aerobic exercise can be used as an appropriate method for increasing angiogenesis in the elderly.

    Keywords: Aerobic exercise, Angiogenesis, Elderly
  • Zahra Asgarian Moghaddam, Zahra Taheri Kharame* Pages 77-83
    Background and Aim

    Coronary artery disease is recognized as a major cause of mortality and an important health priority worldwide. The patient's adherence to the treatment regimen is one of the important factors in disease control. Many patients do not adhere to the treatment and ignore the physician's instructions. Spiritual needs can affect adherence to a patient's treatment. This study was conducted to determine the spiritual needs and their relationship with adherence to refill and medication in patients with coronary artery disease.

    Materials and Methods

    This descriptive-analytical cross-sectional study was conducted in 2017 in Qom, Iran. In this study, 100 patients with coronary artery disease hospitalized in Qom educational hospitals were selected by convenience sampling method. The required information was collected via interview using four questionnaires of demographic characteristics, spiritual needs questionnaire, hospital anxiety and depression scale, and adherence to treatment regimen questionnaire. Finally, the data were analyzed using SPSS software version 22.

    Results

    The Mean±SD spiritual needs in the elderly was 44.65±12.18 and 30% of patients had adherence to refill the average. The results of multiple regression analysis showed that two variables of depression (P=0.012; β=-0.37) and active/productive forgiveness (P=0.007; β=0.41) were significantly associated with adherence to the treatment regimen among the variables included in the model.

    Conclusion

    The results of this study showed that spiritual needs have a significant relationship with adherence to refill. Also, depression is an important predictor of adherence to refill and healthcare providers need to pay attention to the role of these factors in improving adherence to patients› treatment regimens.

    Keywords: Spiritual needs, Adherence to refill, Coronary artery disease
  • Mohsen Eshraghi, Mostafa Vahedian, Hanieh Hajian, Mohammad Gomeisi, Maryam Derakhshani, Farbod Eshraghi, Ahmad Kachoei, Saeed Karimi Matloub, Saba Momeni, Seyedeh Fatemeh Seif, Milad Siamaki* Pages 85-90
    Background and Aim

    Trauma is considered one of the causes of mortality worldwide, among which chest injury is responsible for most of these deaths. This study aims to investigate the success rate of emergency thoracotomy in penetrating chest trauma in the emergency department of Shahid Beheshti and Farghani Hospital.

    Materials and Methods

    This study was conducted retrospectively by reviewing the files of patients with penetrating trauma from 2011 to 2021. The inclusion criteria comprised all cases that underwent emergency thoracotomy with chest trauma. Meanwhile, the exclusion criteria were incomplete cases and cases that underwent thoracotomy for other reasons (such as non-emergency thoracotomy, open heart operation, or non-traumatic thoracotomy). In addition, the files of other patients who had underlying diseases, such as cardiovascular diseases were excluded from the study. The study variables, including age, gender, mechanism of trauma, the severity of the trauma, area of ​​trauma, vital signs on arrival, time to reach the operating room, and death or survival of patients were extracted from patient files and entered into the SPSS software, version 22. Finally, the data were analyzed by the Chi-square test and the paired t-tests. The significance level for all tests was considered 0.5.

    Results

    The average age of the patients was 32.67±13.16 years and 50(34.7%) patients were female while 94(65.3%) patients were male. A total of 91(63.2%) patients died and 53(36.8%) patients survived. The average time from injury to thoracotomy in the emergency department was 20.4±8.9 minutes. Thoracotomy was successful in 19(13.2%) women and 94 (65.3%) men. No significant correlation was found between gender (P=0.82), the mechanism of injury (P=0.58), the severity of injury (P=0.27), and the location of injury (P=0.15). The referral method of patients with successful thoracotomy was not found (P=0.39). The average duration of patients reaching the hospital until thoracotomy was performed in the emergency department was 17.5±6.69 minutes among the patients who survived and 22.14±9.6 among the patients who died. A significant correlation was found between the time from the injury and thoracotomy and the success of thoracotomy in patients (P=0.03).

    Conclusion

    Finally, the results showed as the average time between injury and thoracotomy gets shorter, the chance of success in thoracotomy increases.

    Keywords: Thoracotomy, Trauma, Thorax
  • Fatemeh Bahiraie, Monir Sadat Mirzadeh, Alireza Sharifi, Mohammad Amin Habibi, Maryam Sharifi, Saeed Karimi Matloub, Pooya Jafari, Mojde Bagheri, Mahdi Zarei* Pages 91-95
    Background and Aim

    Cerebral venous thrombosis (CVT) is a rare type of stroke and usually occurs in young people. The most common early clinical sign is a headache and the most common finding on clinical examination is bilateral papillary edema.

    Results

    Herewith, we have reported the frequency of clinical features, and imaging findings of cerebral venous thrombosis patients. A total of 17 patients with cerebral venous thrombosis with symptoms of stroke were evaluated, 64.7% of patients were female. The Mean±SD age of the patients was 40.41±12.08 years and the Mean±SD number of hospitalization days was 11.76±3.71 days. The most location of thrombosis and neurological symptoms were sigmoid headaches and blurred vision, respectively.

    Conclusion

    Based on our study, we found that the most common clinical manifestation of CVT is a headache. Papilledema and seizure are also very common, and the most common site of thrombosis in these patients is the sigmoid sinus.

    Keywords: Cerebral venous thrombosis, Frequency, Clinical, Symptoms, Imaging
  • Leila Ghanbari Afra, Mohsen Adib Haj Baghery*, Parisa Sadat Bahrood Pages 97-105
    Background and Aim

    Nurses should provide their care and interventions in a practical framework. Performance-based theories make nursing interventions based on principles and rules. Therefore, the present study was conducted to implement Betty Newman’s systemic model in a patient with heart failure.

    Materials and Methods

    A case study was conducted in November 2020 in one of the hospitals of the Tehran University of Medical Sciences, Tehran, Iran. A patient with heart failure was examined and Newman’s model was applied to him. Nursing care was performed based on Newman’s nursing process.

    Results

    A patient with heart failure was evaluated according to Newman’s model. Intrapersonal stressors (in the physiological dimension, including weakness and lethargy and the inability of the person, fatigue, bowel movements disorder, and shortness of breath), interpersonal stressors (away from family and children), and extrapersonal stressors (wife’s aggression and psychological pressure) were found. Based on the investigations, 10 nursing diagnoses and nursing care are presented based on three levels of prevention that are vital according to Newman. The results were used in the classification of nursing interventions and the classification and results of nursing, respectively.

    Conclusion

    According to the results of the present study, the implementation of nursing care based on the Newman model can be effective in reducing the physiological and psychological needs of patients with heart failure. Nurses can play a more effective role in improving the problems of these patients by applying nursing care based on Newman’s systemic model.

    Keywords: Betty Newman, Nurses, Heart failure