فهرست مطالب

Razavi International Journal of Medicine
Volume:11 Issue: 1, Winter 2023

  • تاریخ انتشار: 1401/11/12
  • تعداد عناوین: 8
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  • Sahar Shoaei Makanet, Mandana Gholami *, Shahram Soheili, Farshad Ghazalian Page 1
    Background

    Adiponectin and CTRP-9 are adipose tissue secreted adipokines mediating various tissue functions.

    Objectives

    The present study aimed to investigate the effect of eight weeks aerobic training and Omega3 ingestion on the levels of CTRP-9 and adiponectin in women living with overweight and obesity.

    Methods

    Forty women age ranging 20-35 years old (average age of 27.29±3.27 years old, average body mass index (BMI): 29.6±1.93 kg.m2) participated in the present study voluntarily. Participants randomly assigned into four groups (10 persons in each group) including placebo, Omega3, training and training+Omega3 groups. The aerobic training program included eight weeks period (three sessions per week), and the Omega3 and Omega3+training groups consumed 2,000 mg of Omega3 supplements daily. Blood samples were collected pre and post intervention (48 hours after the last training session or Omega3 consumption), and adiponectin, CTRP-9 and insulin levels were measured by ELISA method. Data analysis was performed using analysis of covariance and Bonferroni post hoc test.

    Results

    Significant decrease of CTRP-9 levels and insulin resistance, as well as a significant increase in adiponectin levels in the training and training+Omega3 groups compared to placebo and Omega3 groups were observed (p<0.05).

    Conclusion

    Based on our findings, it seems that positive effects of aerobic training alone or combined with Omega3 supplementation are partially exerted by increased and decreased adiponectin and CTRP-9 levels respectively, and Omega3 supplementation can increase the effectiveness of aerobic training in modulating CTRP-9 and adiponectin levels.

    Keywords: Obesity, Omega3, Adiponectin, Aerobic Training
  • Ali Mozaffaripour, MohammadEbrahim Madahi *, Maryam Kalhornia Golkar Page 2
    Background

    Diabetes mellitus is a common metabolic disorder that involves several organs and has chronic vascular and non-vascular complications.

    Objective

    This study aimed to find out the effectiveness of self-compassion training on psychological symptoms and self-care in patients with type 2 diabetes.

    Methods

    The method of this study was semi-experimental with pre-test and post-test design with the control group. The statistical population of the study consisted of all patients with type 2 diabetes from diabetes association and hospitals in Gilangharb city in 2020, among which 30 patients (self-compassion training and control group) were selected using a convenience sampling method. Data were collected using Psychological Symptoms Questionnaire and Tobert and Glasgow self-care questionnaires. Data were analyzed using multivariate and univariate analysis of covariance tests by SPSS.22.

    Results

    The results showed that self-compassion training was effective on psychological symptoms (P<0.01) and self-care (P<0.01) in patients with type 2 diabetes.

    Conclusion

    It can be concluded that self-compassion training was effective on psychological symptoms and self-care in patients with type 2 diabetes and it can be effective as an efficient treatment method to improve psychological problems in patients with type 2 diabetes.

    Keywords: self-care, self-compassion, Diabetes Mellitus
  • Behrooz Mohammadchenari, Fatemeh Sadat Marashian *, Marzieh Talebzadeh Shoushtari Page 3
    Background

    Health-related quality of life (HRQOL) can predict the amount and impact of the disease, the damages, and inabilities, plus it can measure an individual’s psychological health.

    Objectives

    The present study aimed to investigate the mediating role of social health in the relationship of parenting stress and child-parent interaction with HRQOL in parents of children with a specific learning disorder (SLD).

    Methods

    This descriptive-correlational study was conducted using path analysis. The study population comprised all parents of children with a specific learning disorder in Andimeshk in 2020-21, among whom 174 parents were selected through convenience sampling. The research instruments included the SF-36 Questionnaire (Weber, 1992), Parenting Stress Index (Abidin, 1992), Child-Parent Relationship Scale (Pianta, 1994), and Keyes's Social Health Questionnaire (Keyes, 1998). The proposed model was evaluated using path analysis with AMOS-25 software.

    Results

    The results suggested a significant relationship between child-parent interaction and HRQOL (β=0.204, P=0.004), social health and HRQOL (β=0.383, P<0.001), parenting stress and social health (β=-0.561, P<0.001), and child-parent interaction and social life (β=0.152, P=0.016). Furthermore, the indirect paths of parenting stress and HRQOL mediated by social health (P<0.001) as well as the relationship between child-parent interaction and the HRQOL mediated by social health (P=0.021) were all significant.

    Conclusion

    The final model achieved a desirable good fit. As a result, this model could be considered an important step in understanding the effective factors in the HRQOL in parents of children with SLD.

    Keywords: Parenting, Stress, Parent-child relations, Quality of Life, Specific learning disorder
  • Karim Behnamfar, Alireza Rajaei *, Saeed Teymouri Page 4
    Background

    Children with autism need special care that can cause anxiety for parents, especially mothers, and as well endanger their well-being.

    Aim

    The present study was done to comparing the effectiveness of Acceptance and Commitment Therapy (ACT) and Cognitive-Behavioral Therapy (CBT) on resilience in the mothers of children with autism.

    Methods

    This is a quasi-experimental research, which was carried out on mothers referred to special educational and medical centers for autism in Mashhad. 45 mothers of children with autism were selected using convenience method and randomly allocated in each of experimental groups (two groups) and a control group. The experimental groups of CBT and ACT underwent interventions based on treatment plans of Bieling et al., and Vowles and Sorrell respectively, in 8 sessions of 90 minutes. Research tool was the Connor and Davidson resilience scale.

    Results

    The results showed a significant difference between the CBT and ACT training groups with control group (P<0.001). This difference was more for ACT group in the components of perception of individual competence and spiritual effects (F = 37.24, F = 37.87 respectively); while for CBT group, more differences were observed in the components of trust in individual instincts (F = 03.19), positive acceptance (F = 94.91), and control (F = 06.13, and for all P = 0.00).

    Conclusion

    The results confirmed that CBT is more effective than ACT on the resilience of the mothers of children with autism. It is suggested that CBT be used to promote the mental well-being of these mothers.

    Keywords: Cognitive-Behavioral Therapy, Acceptance, Commitment Therapy, resilience, autism
  • Mahdieh Kaveiy *, Hassan Toozandejani, Mahboobeh Taher, Ahmad Zendehdel Page 5
    Introduction

    This study aimed to compare the effectiveness of pharmacotherapy, modular cognitive-‎behavioral therapy ‎‏‏and their combination in intolerance of uncertainty and meta-worry‎ in female university students with generalized anxiety disorder.

    Method

    The present study was a ‎semi-experimental ‎research. The statistical population comprised all female students of Mashhad Islamic Azad University, of which 60 people were selected by convenience sampling method and were randomly assigned to three experimental groups and one control group. All groups were initially pretested. Then, the first experimental group received modular cognitive-behavioral therapy during ten 90-minute sessions; the second experimental group received pharmacotherapy and one daily dose of paroxetine, and the third experimental group received combination therapy, but the control group was placed on the waiting list. At the end of the treatment period and three months thereafter, the participants were given a posttest and a follow-up test. To collect information, Freeston et al.’s (1994) Intolerance of Uncertainty Scale and Wells Anxious Thoughts Inventory (2005) were used. The data were analyzed based on the repeated measures analysis of variance and with the help of SPSS-24.

    Findings

    The results demonstrated that all three therapeutic approaches compared to the control group were effective in reducing intolerance of uncertainty and meta-worry. But combination therapy has been significantly superior to any of the two treatment approaches alone (p <0.05).

    Conclusion

    Considering the biological and psychological underpinnings of generalized anxiety disorder, the combination of psychological and drug therapies seems to be a more effective approach in improving anxiety states.

    Keywords: Generalized anxiety, intolerance of uncertainty, meta-worry‎, modular cognitive-‎ behavioral therapy, Pharmacotherapy
  • Ali Eshraghi, Farveh Vakilian, Negar Morovatdar, Shahin Farsi * Page 6
    Objective

    Pulmonary artery hypertension is difficult to diagnose because of its nonspecific symptoms. Although echocardiography and more accurately catheterization can recognize the pulmonary artery pressure, chest X ray is widely used because of its availability. The objective of this study was to evaluate the accuracy of Chest radiography parameters for estimation of pulmonary artery pressure.

    Methods & Materials: 

    This cross-sectional study included 81 subjects with a definite diagnosis of pulmonary artery hypertension. Mean pulmonary artery pressure (mPAP) was determined by Catheterization. Hilar widening, projection of the right side of the heart border (PRHB), hilar widening+PRHB and the ratio of these parameters to the thoracic diameter were compared to mPAP to evaluate correlations.

    Results

    Average mPAP was 74.7±21 (ranging from 28 to 120 mmHg). Spearman's test revealed significant correlation between mPAP and hilar widening (r=0.489, P=0.000), hilar/thoracic ratio (r=0.482, P=0.001<) , hilar widening + PRHB (r= 0.517, P=0.001<) and hilar+PRHB/thoracic ratio(r:463, P=0.001<).

    Conclusion

    Hilar widening and hilar/thoracic ratio on the chest radiography is a proper parameter for estimation of the pulmonary artery pressure.

    Keywords: Pulmonary artery pressure, Catheterization, Pulmonary artery hypertension, Chest radiography
  • Mitra Ahadi, Nooshin Dayani *, Hamed Tabesh, Saeid Eslami, Sepideh Hassibian Page 7
    Background

    Colonoscopy is the most accurate tool for diagnosing the large intestine diseases, allowing to see the inner wall of the large intestine. However, the invasiveness of colonoscopy causes anxiety in patients.

    Objective

    This study aimed to investigate the effect of education using multimedia tools on female patients' anxiety before colonoscopy.

    Methods

    The study tools were Spielberger STAI and a Knowledge Questionnaire, which were completed on the visit day. The patients completed the STAI and Knowledge Questionnaire again before receiving the colonoscopy. Statistical analysis was performed using SPSS software version 24 and the analysis of variance (ANOVA) test.

    Results

    booklet group’s patients had lower anxiety scores on the day of colonoscopy compared to multimedia group’s patients. There was no significant difference between the control and multimedia groups in terms of anxiety scores on the day of colonoscopy. However, there was a significant difference in the knowledge scores of the three groups on the colonoscopy day, and this difference was quite evident in the multimedia group. The results of the two-way ANOVA test indicated that increasing the patients’ knowledge on the days of visit and colonoscopy increased their anxiety on the colonoscopy day.

    Conclusion

    According to our results, although multimedia tools increased the patients' understanding and knowledge about the colonoscopy procedure, they were not useful in reducing the patients' anxiety. Thus, using multimedia tools to reduce the colonoscopy anxiety was not effective in patients with a high anxiety.

    Keywords: Colonoscopy, anxiety, Health education, Anxiety-prevention & control, Spielberger State-Trait Anxiety Inventory (STAI)
  • Simin Bayat, Amir Abtahi *, Kaveh Damghani, Reza Zenouz Page 8
    Objective

    with significant gap between waitlisted patients and those who undergo Liver transplantation (LT), it is crucial to have efficient allocation of this scarce resource and improved performance of liver transplantation centers.

    Method

    in this paper, using DEMATEL-modified ANP method, an attempt has been made to identify, weight and prioritize the key factors influencing the transplantation process in a liver transplantation system. For this purpose, the liver transplant center in Mashhad University of Medical Sciences has been piloted to study the transplant process and interview with the medical staff as a specialist to draw the relationship map.

    Results

    the results indicate that the accuracy of patient selection for transplantation, surgical equipment and the level of expertise of personnel play an important role in the success of liver transplantation. Then, by analyzing the obtained results, management suggestions regarding improving the quality of services and improving the system are presented.

    Conclusion

    the results of this research can help the health policy makers and decision makers to better understand the determinants of the performance of a transplantation center and suggest improvement plans. This means saving more lives and at the same time minimizing the cost of service.

    Keywords: Liver Transplantation, Performance Factors, Causal Relations, DEMATEL -modified ANP