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Effectiveness of Self-management Interventions Based on Cognitive-behavioral Group Therapy on Life-style Among Adults With Metabolic Syndrome: A Randomized Clinical Trial 基于认知行为团体治疗的自我管理干预对成人代谢综合征患者生活方式的有效性:一项随机临床试验
Pub Date : 2021-03-10 DOI: 10.32598/JRH.11.2.321.3
Ali Delshad Noghabi, M. H. Bayazi, A. Rajaei
Background: Metabolic syndrome is an asymptomatic disorder and an important risk factor for cardiovascular disease and type 2 diabetes. Lifestyle modification and self-management of health-promoting behaviors are the most important actions to control metabolic syndrome. This study was done to investigate the effectiveness of self-management interventions based on group Cognitive-Behavioral Therapy (CBT) on lifestyle among adults with metabolic syndrome. Methods: This research was a randomized clinical trial study. First, 80 adults with metabolic syndrome were selected using the convenience sampling method, and then, using the randomized blockchain method, they were divided into two groups of 40 people (intervention and control groups). Data collection using the Health Promotion Lifestyle Profile II Questionnaire (HPLP II) was performed in two stages before and three months after the intervention. Teaching self-management interventions based on cognitive-behavioral therapy was done twice a week for eight 90-minute sessions. Data were analyzed using the Chi-square test, independent t-tests, and Analysis of Covariance (ANCOVA). A P-value less than 0.05 was considered significant. Results: the results of ANCOVA showed that self-management intervention based on group CBT had a significant effect on the dimensions of lifestyle, including exercise and physical activity with an effect size of 0.51, nutrition with 0.49, health responsibility with 0.39, and stress management with 0.32 (P<0.05), but it did not significantly affect the two dimensions of self-actualization and spiritual growth (effect size= 0.003, P=0.669) and interpersonal relationships (effect size= 0.029, P=0.151). Conclusion: Self-management interventions based on group CBT can improve lifestyle and some dimensions in adults with metabolic syndrome. Identifying people with metabolic syndrome and performing effective interventions with the active participation of the individual through self-management based on cognitive-behavioral therapy seem necessary.
背景:代谢综合征是一种无症状的疾病,是心血管疾病和2型糖尿病的重要危险因素。生活方式的改变和促进健康行为的自我管理是控制代谢综合征最重要的行动。本研究旨在探讨基于群体认知行为疗法(CBT)的自我管理干预对代谢综合征成人生活方式的影响。方法:采用随机临床试验研究。首先采用方便抽样法选取80名成年代谢综合征患者,然后采用区块链随机化方法将其分为两组,每组40人(干预组和对照组)。采用健康促进生活方式问卷(HPLP II)进行数据收集,分为干预前和干预后三个月两个阶段。基于认知行为疗法的自我管理干预教学每周进行两次,每次90分钟。数据分析采用卡方检验、独立t检验和协方差分析(ANCOVA)。p值小于0.05为显著性。结果:ANCOVA结果显示,以群体CBT为基础的自我管理干预对生活方式维度(运动与身体活动)有显著影响(效应值为0.51,营养(效应值为0.49),健康责任(效应值为0.39),压力管理(效应值为0.32)(P<0.05),但对自我实现与精神成长(效应值= 0.003,P=0.669)和人际关系(效应值= 0.029,P=0.151)没有显著影响。结论:以团体CBT为基础的自我管理干预可以改善成人代谢综合征患者的生活方式和某些方面。识别代谢综合征患者,并通过基于认知行为疗法的自我管理,在个体的积极参与下进行有效的干预似乎是必要的。
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引用次数: 2
Modern and Traditional fast foods consumption in Benghazi, Libya 利比亚班加西的现代和传统快餐消费
Pub Date : 2021-01-01 DOI: 10.53626/jimrhs.2021.1204
Mohammed H. Buzgeia, M. Madi, Mohammed S. Hamza, Hamdi S. EL-Taguri
The study was conducted to compare between Modern and Traditional fast foods in terms of consumption, and to evaluate the calorific value of the most preferred Modern and Traditional fast foods. This study included 400 participants randomly selected from individuals attending fast foods restaurants, parks, and malls from 21 regions in Benghazi city. Questionnaires were used to collect data among the study population; the questioners were filled by the investigator. From five different restaurants, ten types of fast foods (sandwiches) were collected; five traditional and five modern fast foods. The results shows that the majority of participants were young people especially those under forty years of age, mostly men and the predominant categories were students and employees. Most of participants consume fast foods on a daily basis especially at dinner and lunch, they preferred both modern and traditional fast foods, and more preferable to sandwiches than meals. Modern fast food samples were higher in terms of total caloric content than traditional fast food samples, which mainly came from its higher fat content and serving size. This study indicated that fast foods consumption were a growing phenomenon among consumers in Benghazi city and revealed that fast food is a concentrated source of energy which simply means “an empty caloric food”.
这项研究是为了比较现代和传统快餐在消费方面的差异,并评估最受欢迎的现代和传统快餐的热值。这项研究包括400名参与者,他们是从班加西市21个地区的快餐店、公园和购物中心随机挑选的。调查问卷用于收集研究人群的数据;调查者回答了提问者的问题。从五家不同的餐厅,收集了十种快餐(三明治);五种传统快餐和五种现代快餐。结果表明,参与者以年轻人为主,尤其是40岁以下的年轻人,以男性为主,以学生和员工为主。大多数参与者每天都吃快餐,尤其是晚餐和午餐,他们更喜欢现代和传统的快餐,更喜欢三明治而不是正餐。现代快餐样品的总热量含量高于传统快餐样品,这主要来自于其更高的脂肪含量和份量。这项研究表明,快餐消费在班加西市的消费者中是一种日益增长的现象,并揭示了快餐是一种集中的能量来源,简单地说就是“一种没有热量的食物”。
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引用次数: 0
Albumin-Fibrinogen ratio in rheumatoid arthritis and its relation to disease severity and radiographic progressive changes 类风湿关节炎的白蛋白-纤维蛋白原比值及其与疾病严重程度和影像学进展变化的关系
Pub Date : 2021-01-01 DOI: 10.53626/jimrhs.2021.1305
Gihan O. Taher, Faiza A. Elhamdy, A. Alfituri, Awad M. Alhasnony
Aim of the work: To evaluate the relationship between albumin-fibrinogen ratio (AFR) and radiographic changes in rheumatoid arthritis (RA) Patients and Methods: 50 rheumatoid patients and 30 control subjects were collected for the study, they were investigated for RF, Anti CCP, ESR, CR, fibrinogen and albumin. Also, they were subjected to x ray and MRI examination Results: There was significant increase in laboratory parameters and increase in albumin fibrinogen ratio in rheumatoid patients as compared to healthy control subjects. Also, there was positive correlation of the ratio with X ray and MRI score for synovitis and bone destruction Conclusion: AFR may be easily, rapidly detected and prognostically useful markers of ongoing inflammation and joint affection correspondingly to radiological findings. Albumin-Fibrinogen Ratio in rheumatoid arthritis and its relation to disease severity and radiographic progressive changes. O J Radio Med Img. 5: 01-06.
研究目的:探讨白蛋白-纤维蛋白原比值(AFR)与类风湿关节炎(RA)患者影像学变化的关系。方法:收集50例类风湿关节炎患者和30例对照者,进行RF、Anti - CCP、ESR、CR、纤维蛋白原和白蛋白的检测。结果:类风湿患者的实验室参数和白蛋白-纤维蛋白原比值均较健康对照者显著升高。结论:AFR可能是一种容易、快速检测和预后有用的持续炎症和关节影响的标志物,与影像学表现相对应。类风湿关节炎的白蛋白-纤维蛋白原比值及其与疾病严重程度和影像学进展变化的关系。[J] .中华医学杂志。
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引用次数: 0
Comparing the effect of pool therapy and land therapy on balance in elderly population 池疗法与土地疗法对老年人平衡能力的影响比较
Pub Date : 2021-01-01 DOI: 10.53626/jimrhs.2021.1302
K. Vadivelan, Shravanthi
Balance is defined as the dynamic process by which the position of the body is maintained in equilibrium. As age increases balance decreases that lead to falls. To improve the balance, land, and pool therapies are used. Studies have shown that land-based exercises improve joint flexibility, muscle strength, balance, and reaction time in an older population. The physical properties of water are an effective rehabilitation program. Water-based exercises provide a viable alternative for the elderly who are unable to participate in land-based exercise programs as water exercise has reduced the risk of falls. The objective of the study is to compare the effect of pool therapy and land therapy on balance in the elderly population. The Study methodology: Quasi-experimental study.30 elderly people between 60-75 years (both male and female) were included in the study based on inclusion and exclusion criteria. Tinetti falls efficacy scale questionnaire was given to the subjects and they were asked to fill it and then a timed up and go test was done before and after the exercise protocol. The 30 individuals were divided into 2 groups of 15 members each (Group A and Group B). Group A was given pool therapy and Group B was given land-based therapy for 6 weeks. The results of statistical analysis showed a significant difference between land therapy and pool therapy. This study concludes that pool therapy is more effective in improving balance in the elderly population.
平衡被定义为身体位置保持平衡的动态过程。随着年龄的增长,平衡感会下降,从而导致跌倒。为了改善平衡,使用陆地和泳池疗法。研究表明,陆上锻炼可以改善老年人的关节灵活性、肌肉力量、平衡能力和反应时间。水的物理特性是一种有效的康复方案。水上运动为无法参加陆上运动项目的老年人提供了一个可行的选择,因为水上运动可以降低跌倒的风险。本研究的目的是比较池疗法和土地疗法对老年人平衡能力的影响。研究方法:准实验研究。根据纳入和排除标准,将30名年龄在60-75岁之间的老年人(包括男性和女性)纳入研究。蒂内蒂跌倒效能量表问卷给了受试者,他们被要求填写问卷,然后在运动方案之前和之后进行计时测试。将30例患者分为2组,每组15人(A组和B组),A组采用池疗法,B组采用陆上疗法,疗程6周。统计分析结果显示,土地疗法与池疗法之间存在显著差异。本研究得出结论,泳池疗法在改善老年人平衡方面更有效。
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引用次数: 0
A Woman in Her Forties with Six Months of Worsening Dyspnea 一名四十多岁的妇女,呼吸困难恶化六个月
Pub Date : 2021-01-01 DOI: 10.18488/JOURNAL.9.2021.81.8.12
Dilpat Kumar, M. Nguyen, S. Kenth, F. Warsha
Uterine leiomyosarcoma (ULMS) is a rare cancer that originates from the smooth muscle of the uterine wall. ULMS is aggressive with a high rate of recurrence and mortality. Although the majority of ULMS are initially diagnosed within the uterus, they possess a high metastatic potential. Two thirds of metastatic ULMS sites involve the lung. However, the clinical presentations of such metastases are surprisingly not well described. In this case, we describe a case of a woman in her forties who presented with 6 months of worsening dyspnea and chronic cough. Her pulmonary function test demonstrated severe restrictive lung disease. Computed tomography (CT) of the chest was done which showed multiple pulmonary nodules. CT abdomen and pelvis identified multiple uterine masses with largest being 17 cm. Biopsy of uterine masses confirmed the diagnosis of UMLS. Her restrictive lung disease was diagnosed to be secondary to UMLS, as patient had no other identifiable risk factors.
子宫平滑肌肉瘤(ULMS)是一种起源于子宫壁平滑肌的罕见癌症。ULMS具有侵袭性,复发率和死亡率高。虽然大多数ULMS最初是在子宫内诊断出来的,但它们具有很高的转移潜力。三分之二的ULMS转移部位累及肺部。然而,令人惊讶的是,这种转移的临床表现并没有得到很好的描述。在这个病例中,我们描述了一个40多岁的女性,她出现了6个月恶化的呼吸困难和慢性咳嗽。肺功能检查显示她患有严重的限制性肺病。胸部计算机断层扫描显示多发肺结节。腹部及骨盆CT示子宫多发肿块,最大17cm。子宫肿块活检证实了UMLS的诊断。她的限制性肺部疾病被诊断为继发于UMLS,因为患者没有其他可识别的危险因素。
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引用次数: 0
The Association between Long Term Alcohol Consumption and Dementia 长期饮酒与痴呆之间的关系
Pub Date : 2021-01-01 DOI: 10.18488/JOURNAL.9.2021.81.13.23
Joseph Marfoh
The study assessed the association between long-term alcohol consumption and risk of dementia in a panel study of 177 countries from 2000 to 2009. The study used econometric techniques to analyze the association between long-term alcohol consumption and risk of dementia. However, it employed the ordinary least square regression method and the fully modified ordinary least square regression method for robust inference. The study found that alcohol consumption is heterogeneously associated with dementia regarding the associated risk factors such as alcoholic disorder, anxiety disorder, depression disorder, bipolar disorder, and Schizophrenia. Moreover, some contributing factors such as age, eating disorder, smoking, and educational level play a significant role in attributing to dementia with the risk factor. However, it is recommended that alcohol consumption be reasonably taken to avoid its consequences. More specifically, ethanol is neurotoxic, crosses the blood-brain barrier to enter neurons directly, and can cause pathological processes leading to brain damage in high concentrations and its metabolite acetaldehyde. This study uses an econometric methodology to assess the association between long-term alcohol consumption and risk of dementia in a panel study. The study found that alcohol consumption is heterogeneously associated with dementia regarding the associated risk factors such as alcoholic disorder, anxiety disorder, depression disorder, bipolar disorder, and Schizophrenia.
该研究在2000年至2009年期间对177个国家进行了小组研究,评估了长期饮酒与痴呆风险之间的关系。该研究使用计量经济学技术分析了长期饮酒与痴呆风险之间的关系。采用普通最小二乘回归方法和完全修正的普通最小二乘回归方法进行稳健推理。研究发现,饮酒与痴呆的相关风险因素,如酒精障碍、焦虑症、抑郁症、双相情感障碍和精神分裂症,有着不同程度的关联。此外,年龄、饮食失调、吸烟和教育水平等因素在将痴呆与风险因素联系起来方面也起着重要作用。然而,建议合理饮酒以避免其后果。更具体地说,乙醇是神经毒性的,它会穿过血脑屏障直接进入神经元,高浓度的乙醇及其代谢物乙醛会引起导致脑损伤的病理过程。在一项小组研究中,本研究采用计量经济学方法评估长期饮酒与痴呆风险之间的关系。研究发现,饮酒与痴呆的相关风险因素,如酒精障碍、焦虑症、抑郁症、双相情感障碍和精神分裂症,有着不同程度的关联。
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引用次数: 0
A Scientometric Analysis of Highly Cited Publications and a Summary of Top 25 Articles Regarding Covid-19 高被引出版物的科学计量分析和关于Covid-19的前25篇文章摘要
Pub Date : 2021-01-01 DOI: 10.18488/JOURNAL.9.2021.81.24.35
A. K. Erenler, M. Ay, A. Baydın
ABSTRACT
摘要
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引用次数: 0
Effect of temperature and relative humidity on conidial germination of the causal agent of cucumber powdery mildew 温度和相对湿度对黄瓜白粉病病原菌孢子萌发的影响
Pub Date : 2021-01-01 DOI: 10.53626/jimrhs.2021.1203
Nagah Milod, G. Saad, Hanan Khalifa
This study was conducted in the plant protection department, faculty of agriculture and botany department, faculty of art and Science in AL. Gubba. Omar AL-Mukhtar University during season 2019-2020. The effects of relative humidity (RH) and temperature on conidial Germination of E. cichoracearum were studied in controlled environments to define conditions that affect the disease development of cucumbers in AL.Gabel, AL-Akhder region. Libya. Gradients of RH (20–90%) at constant temperatures (20–30°C) were generated in single growth chambers to determine their effect on mildew development on mature cucumber plants, temperature from 5 to 35 are evaluated their effect of Temperatures of 30°C and above were deleterious for spore germination, germ tube elongation, and disease development Lesion growth and rate of disease progression were significantly higher at 20°C than at 25°C. Low RH levels (20–40%) reduced spore germination and lesion growth, accelerated host tissue death, and reduced disease progress. Intermediate RH levels (50–70%) increased spore germination and optimized disease development, provided temperatures were maintained within favorable limits. High RH levels (80–90%) were favorable for spore germination but continued exposure to these conditions led to a limited lesion growth and disease progress. Short daily periods (two or three daily exposures of at least 2 h) of high temperatures (35°C) suppressed disease development by 70–92%.
本研究在古巴大学植物保护系、农业与植物系、艺术与科学学院进行。Omar AL-Mukhtar大学2019-2020赛季。以AL-Akhder AL.Gabel地区黄瓜为研究对象,研究了相对湿度和温度对黄瓜分生孢子萌发的影响。利比亚。在恒温(20 - 30°C)条件下,在单个生长室中产生RH梯度(20 - 90%),以确定其对成熟黄瓜植株霉病发展的影响,评估温度从5到35,温度在30°C及以上对孢子萌发、芽管伸长和疾病发展有害,病变生长和疾病进展速度在20°C下显著高于25°C。低RH水平(20-40%)降低孢子萌发和病变生长,加速宿主组织死亡,减缓疾病进展。中等相对湿度水平(50-70%)增加了孢子的萌发,并优化了疾病的发展,只要温度保持在有利的范围内。高RH水平(80-90%)有利于孢子萌发,但持续暴露在这些条件下导致病变生长和疾病进展有限。每天短时间的高温(35°C)(每天两次或三次,至少2小时)抑制了70-92%的疾病发展。
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引用次数: 2
Effect of Quercetin on Liver Oxidative Stress Parameters Induced by Butylparaben in Male Wistar Rats 槲皮素对雄性Wistar大鼠对羟基苯甲酸丁酯诱导的肝脏氧化应激参数的影响
Pub Date : 2021-01-01 DOI: 10.18488/JOURNAL.9.2021.81.1.7
Adebayo Adegoke, Rex-Clovis C. Njoku, O. Bamigbowu, Utibeabasi Idem Idung
Article History Received: 17 July 2020 Revised: 13 October 2020 Accepted: 26 November 2020 Published: 4 January 2021
收稿日期:2020年7月17日修稿日期:2020年10月13日收稿日期:2020年11月26日发布日期:2021年1月4日
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引用次数: 2
The truth of diabetes reversal 糖尿病逆转的真相
Pub Date : 2021-01-01 DOI: 10.53626/jimrhs.2021.1201
S. P. Dhangar
Diabetes is a real threat to health globally. It neither sees socioeconomic status nor the boundaries. There are now studies that show, at least in short term, that diabetes can be reversed. Various forms of the standard of care are available but suitability differs. Patients would surely choose reversal of their disease if given a choice. The choice can only be given if physicians are not only aware that reversal of diabetes is possible but also need to educate their patients and discuss with them various possibilities and modes of treatment. We here discuss various approaches and studies that prove that diabetes can be reversed and to what extent it is possible to reverse, the real truth about the reversal of diabetes. Apart from these approaches, further research in understanding the mechanism of diabetes reversibility and its overlapping mechanism and pathways that are lacking need to be focussed and emphasized in the future.
糖尿病是全球健康的真正威胁。它既不看社会经济地位,也不看边界。现在有研究表明,至少在短期内,糖尿病是可以逆转的。有各种形式的护理标准,但适用性不同。如果可以选择,病人肯定会选择逆转他们的疾病。只有当医生不仅意识到糖尿病的逆转是可能的,而且还需要教育他们的病人,并与他们讨论各种可能性和治疗模式时,才能给出选择。我们在这里讨论各种方法和研究,证明糖尿病可以逆转,在多大程度上可能逆转,关于糖尿病逆转的真实真相。除了这些途径之外,未来还需要进一步研究了解糖尿病可逆性的机制及其重叠机制和途径。
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引用次数: 0
期刊
International Journal of Medical Research and Health Sciences
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