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The Impact of Four Interventions in Lower Back Pain Treatment: A Longitudinal Study 四种干预措施对腰痛治疗的影响:一项纵向研究
Pub Date : 2021-06-30 DOI: 10.5812/jamm.111892
Reza Khalifeh, A. Zareian, Nafiseh Hosseini Yekta
: To study the effect of four interventions on lower back pain (LBP) alongside time and to identify whether changes in nutrition and doing traditional Persian remedies (massage and rubbing white Lily oil) could relieve the LBP using a short-time treatment. The population of this study consisted of 89 subjects with chronic LBP collected in traditional Persian medicine clinics. The outcomes were two indices for LBP, Oswestry disability index (ODI), and numerical rating scale (NRS), measured three times with an interval of four weeks. Age was not an effective variable in both LBP indices. Effective interventions for both indices are almost the same. For ODI, sex (= male), nutrition, massage, using White Lily oil, and time had decreasing effects on ODI, but interactions of sex with nutrition and massage had increasing effects on ODI. For NRS, sex (= female), using White Lily oil, time, and interactions of sex with massage and nutrition had decreasing effects, but nutrition, massage, and interactions of sex with White Lily oil had increasing effects on NRS.
研究四种干预措施对腰痛(LBP)的影响,并确定营养的改变和传统的波斯疗法(按摩和涂抹白百合油)是否可以在短时间内缓解腰痛。本研究的人群包括89名在传统波斯医学诊所收集的慢性腰痛患者。结果为两项LBP指标,Oswestry残疾指数(ODI)和数值评定量表(NRS),测量3次,间隔4周。年龄在两个LBP指数中都不是有效变量。对这两个指数的有效干预几乎是相同的。对于ODI,性别(=男性)、营养、按摩、使用白百合油和时间对ODI的影响减小,但性别与营养和按摩的相互作用对ODI的影响增大。对于NRS,性别(=雌性)、使用白百合油、时间、性别与按摩和营养的交互作用对NRS的影响呈下降趋势,而营养、按摩和性别与白百合油的交互作用对NRS的影响呈上升趋势。
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引用次数: 0
A Restrictive Blood Transfusion Strategy and Patient Blood Management Improved Clinical Outcomes in Cardiac Surgery Patients 限制性输血策略和患者血液管理改善了心脏手术患者的临床疗效
Pub Date : 2021-06-22 DOI: 10.5812/jamm.114661
S. Yarahmadi, Hassan Najafizadeh, H. Teimouri
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引用次数: 0
COVID-19 in Continental Europe 欧洲大陆的COVID-19
Pub Date : 2021-06-21 DOI: 10.5812/jamm.114719
L. Moradi
Background: COVID-19 is an emerging disease that was first identified in China and then spread to most countries around the world. The disease was caused by the coronavirus and led to restrictions in most parts of the world. Definitive causes have been identified, and mortality from the disease is high in continental Europe. Objectives: This study aims to investigate the epidemiology of COVID-19 in continental Europe. Methods: This was an ecological study and described the characteristics of COVID-19 in continental Europe. Data related to the definite cases of diagnosis and death due to this disease and World Health Organization reports were recruited and transferred to Excel and SPSS software. Case fatality rates were also calculated for each country. Results: The highest confirmed number of diagnosed cases of COVID-19 was in Russia with 4,333,029 cases, and the highest number of deaths reported due to COVID19 was in the United Kingdom with 124,419 cases. The highest case fatality rates were from Bulgaria 4.08%. Conclusions: COVID-19 is a highly contagious and deadly disease, and until an effective vaccine is available, the prevention of disease transmission is possible only through observing social distancing.
背景:COVID-19是一种新兴疾病,最早在中国发现,然后传播到世界大多数国家。这种疾病是由冠状病毒引起的,并导致世界大部分地区采取了限制措施。已经确定了明确的病因,在欧洲大陆,该病的死亡率很高。目的:本研究旨在调查COVID-19在欧洲大陆的流行病学。方法:这是一项生态学研究,描述了COVID-19在欧洲大陆的特征。收集与确诊病例和死亡病例有关的数据以及世界卫生组织的报告,并将其转移到Excel和SPSS软件中。还计算了每个国家的病死率。结果:新冠肺炎确诊病例最多的国家是俄罗斯,为4333029例;报告死亡人数最多的国家是英国,为124419例。病死率最高的是保加利亚,为4.08%。结论:COVID-19是一种高度传染性和致命性疾病,在获得有效疫苗之前,只有通过保持社会距离才能预防疾病传播。
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引用次数: 0
Effects of Six-Week Endurance Training in Liver Enzymes, Lipid Profile, Interleukin-6 and High-Sensitivity C-Reactive Protein (hs-CRP) Responses in People with a Family History of Coronary Artery Disease 6周耐力训练对冠状动脉疾病家族史患者肝酶、血脂、白细胞介素-6和高敏c反应蛋白(hs-CRP)反应的影响
Pub Date : 2021-06-16 DOI: 10.5812/JAMM.112886
Farzad Shiri, A. Monazzami, M. Azizi
Background: Research on the effects of moderate-intensity endurance training on inflammatory indices and cardiovascular risk factors is limited. Objectives: The aim of this study was to determine the effects of six weeks of endurance training on liver enzymes, body composition, fat profile, interleukin-6, and C-reactive protein responses in people with a family history of coronary artery disease (CAD). Methods: Thirty men (30 - 45years) participated in this study who were divided into two groups, including the control group (n = 10) and training group (n = 20) systematically. The training group program consisted of running on a treadmill for 30 minutes with an intensity of 55 to 60% of maximum heart rate. These training programs were continued three times a week for six weeks. The control group did not perform any exercise program. ELISA technique was used to measure lipid profile, liver enzymes, interlukin-6 (IL-6), and high-sensitivity C-reactive protein (hs-CRP), respectively. Results: The results showed that the variables of weight, liver enzymes, fat profile, IL-6, and hs-CRP were significantly different from the pre-test (P < 0.05). Also, in between-group comparison, the results showed that except for the variables of fat percentage and BMI in the other variables of the study, a significant difference was observed (P < 0.05). Conclusions: The results of this study suggest that moderate-intensity endurance training could be used as a useful way to reduce weight, levels of inflammatory markers, liver enzymes and cardiovascular risk factors in people with a family history of CAD.
背景:中等强度耐力训练对炎症指标和心血管危险因素的影响研究有限。目的:本研究的目的是确定6周耐力训练对有冠状动脉疾病(CAD)家族史的人肝酶、体成分、脂肪谱、白细胞介素-6和c反应蛋白反应的影响。方法:30 ~ 45岁男性30例,系统分为对照组(n = 10)和训练组(n = 20)两组。训练组计划包括在跑步机上跑步30分钟,强度为最大心率的55%至60%。这些训练项目每周三次,持续六周。对照组没有进行任何锻炼计划。采用ELISA技术分别测定血脂、肝酶、白细胞介素-6 (IL-6)和高敏c反应蛋白(hs-CRP)。结果:体重、肝酶、脂肪谱、IL-6、hs-CRP等指标与前测比较差异有统计学意义(P < 0.05)。组间比较结果显示,本研究中除脂肪率和BMI变量外,其他变量间差异均有统计学意义(P < 0.05)。结论:本研究的结果表明,中等强度的耐力训练可以作为一种有效的方法来减轻有CAD家族史的人的体重、炎症标志物、肝酶和心血管危险因素的水平。
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引用次数: 0
Human Rhinovirus Molecular Epidemiology and Genotyping in Iranian Military Trainees with Acute Respiratory Symptoms 伊朗军事学员急性呼吸道症状的人鼻病毒分子流行病学和基因分型
Pub Date : 2021-04-28 DOI: 10.5812/JAMM.111224
F. S. Tameshkel, Ali Salimi Jeda, A. Tavakoli, M. K. Niya, M. Izadi, F. Zamani, H. Keyvani
Background: Human rhinovirus (HRV) is still the most prevalent viral infection in humans and a significant cause of acute respiratory tract infections (ARTIs) in many communities, including military personnel undergoing basic training. Objectives: In this research, we assessed the molecular epidemiology, genotyping, and phylogenetic classification of HRVs in Iranian military trainees with respiratory infections (RI). Methods: For HRV identification and genotyping, respiratory specimens were obtained, and RT-PCR was conducted for genotyping and phylogenetic analysis of HRV utilizing primers for the 5-UTR region. Results: Among 400 Iranian military trainees (average age of 21 ± 4 years, the range of 18 - 57 years) with respiratory infections, HRV was detected in 29 patients (7%) using RT-PCR. The direct sequencing of PCR products from 10 specimens showed that the incidence of type A (n = 5, 50%) was higher than that of type B (n = 4, 40%) and type C (n = 1, 10%). There were no significant associations between HRV and respiratory and clinical symptoms, blood group, and indoor or outdoor conditions (P-value > 0.05). Conclusions: This research was the first to record HRV as a significant cause of respiratory problems among military trainees in Iran, with a frequency of 7%. The most prevalent genotype was HRV-A, which may be applicable in epidemiological and clinical studies, as well as vaccination plans.
背景:人鼻病毒(HRV)仍然是人类中最流行的病毒感染,也是许多社区(包括接受基础训练的军事人员)急性呼吸道感染(ARTIs)的重要原因。目的:在本研究中,我们评估了伊朗军事学员呼吸道感染(RI)的hrv的分子流行病学、基因分型和系统发育分类。方法:采集呼吸道标本进行HRV鉴定和基因分型,利用5-UTR区引物进行RT-PCR分型和系统发育分析。结果:400例伊朗军事学员(平均年龄21±4岁,18 ~ 57岁)呼吸道感染患者中,RT-PCR检测出HRV 29例(7%)。对10份标本的PCR产物直接测序结果显示,A型(n = 5, 50%)的发病率高于B型(n = 4, 40%)和C型(n = 1, 10%)。HRV与呼吸症状、临床症状、血型、室内外条件无显著相关性(p值> 0.05)。结论:这项研究首次记录了HRV是伊朗军事受训人员呼吸问题的重要原因,发病率为7%。最普遍的基因型是HRV-A,这可能适用于流行病学和临床研究,以及疫苗接种计划。
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引用次数: 0
Ethical Challenges Around Multiple Authorship in Journal Articles 期刊论文中多重作者身份的伦理挑战
Pub Date : 2021-04-26 DOI: 10.5812/JAMM.111263
S. Ebrahimi, A. Ebrahimi
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引用次数: 0
COVID-19 in Eastern Mediterranean Region Countries 东地中海地区国家的COVID-19
Pub Date : 2021-04-11 DOI: 10.5812/JAMM.112671
L. Moradi
Background: COVID-19, as an emerging disease, is characterized by acute respiratory syndrome and caused by a coronavirus. The disease was first seen in China and gradually spread across other parts of the world. Objectives: This study aimed to investigate COVID-19 characteristics in the Eastern Mediterranean Region. Methods: The data of confirmed COVID-19 cases and related deaths in different countries were extracted from the reports of the World Health Organization and transferred to SPSS software, where final calculations were performed, and fatality rates were obtained. Results: The highest rate of COVID-19 was observed in Iran, with 975951 confirmed cases. The highest COVID-19 death rate was also in Iran, with 48628 deaths, and the highest fatality rate was in Yemen with 29.12%. Conclusions: The findings related to the confirmed cases of COVID-19, including death reports, showed that the quality and accuracy of reports were not the same in different countries, in different countries, including Iran, in which health equipment and facilities are comparable with developed countries. Observing social distancing and avoiding unnecessary travel are essential to prevent the disease from spreading across the Eastern Mediterranean region.
背景:COVID-19是一种新型疾病,以急性呼吸综合征为特征,由冠状病毒引起。这种疾病首先在中国发现,并逐渐蔓延到世界其他地区。目的:本研究旨在调查东地中海地区COVID-19的特征。方法:从世界卫生组织的报告中提取不同国家的COVID-19确诊病例和相关死亡数据,并转移到SPSS软件中进行最终计算,得到病死率。结果:伊朗的新冠肺炎感染率最高,确诊病例975951例。伊朗的新冠肺炎死亡率最高,为48628人,也门的死亡率最高,为29.12%。结论:与COVID-19确诊病例(包括死亡报告)相关的调查结果表明,在不同的国家,包括伊朗在内的不同国家,报告的质量和准确性并不相同,这些国家的卫生设备和设施与发达国家相当。保持社会距离和避免不必要的旅行对于防止该疾病在东地中海区域蔓延至关重要。
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引用次数: 2
The Outstanding Role of Iranian Military Forces in the Fight Against COVID-19 伊朗军队在打击 COVID-19 中的突出作用
Pub Date : 2021-04-11 DOI: 10.5812/JAMM.112378
Yalda Mousazadeh
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引用次数: 0
Effect of Cognitive-Behavioral Group Therapy on the Anxiety and Depression of War-Handicapped 认知行为团体治疗对战残焦虑抑郁的影响
Pub Date : 2021-03-31 DOI: 10.5812/JAMM.114085
Mehryar Anasseri
Background: Depression and anxiety as the most common psychiatric problems in survivors of traumatic events pose a significant burden on health systems and families. Objectives: This study was conducted to determine the impact of group cognitive-behavioral therapy on the anxiety and depression of war veterans. Methods: This was a quasi-experimental study with pre-test and post-test and a control group. The statistical population included all men with war disabilities who visited Sadra Psychiatric Hospital in Tehran. By convenience and purposive sampling, 116 people were selected and randomly assigned to two groups. Therapeutic interventions (group cognitive-behavioral therapy and Jacobsen's progressive muscle relaxation technique) were applied to each group for 12 sessions, 2 sessions per week and 2 sessions each. Beck’s Depression Scale (Beck, 1961) and Spielberger’s Anxiety Scale (Spielberger, 1970) were used to collect the data. Data was analyzed using analysis of covariance. Results: The mean scores of anxiety and depression in the post-test phase decreased compared to the pre-test phase (P < 0.05). Therefore, group cognitive-behavioral therapy improved the psychological symptoms of the participants. Conclusions: Cognitive-behavioral therapy improved cognitive flexibility and diminished anxiety-depression symptoms in war veterans; thus, it can be considered a useful treatment strategy to improve the psychological status of war veterans.
背景:作为创伤性事件幸存者中最常见的精神问题,抑郁和焦虑给卫生系统和家庭带来了重大负担。目的:探讨团体认知行为疗法对退伍军人焦虑抑郁的影响。方法:采用准实验研究,采用前测、后测和对照组。统计人口包括到德黑兰Sadra精神病院就诊的所有战争残疾男子。为了方便和有目的的抽样,116人被随机分为两组。治疗干预(群体认知行为疗法和Jacobsen渐进式肌肉放松技术)应用于每组12次,每周2次,每次2次。使用Beck抑郁量表(Beck, 1961)和Spielberger焦虑量表(Spielberger, 1970)收集数据。数据分析采用协方差分析。结果:测试后焦虑、抑郁均分较测试前下降(P < 0.05)。因此,团体认知行为疗法改善了参与者的心理症状。结论:认知行为疗法提高了退伍军人的认知灵活性,减轻了焦虑抑郁症状;因此,它可以被认为是一种有效的治疗策略,以改善退伍军人的心理状况。
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引用次数: 1
Neutrophil-to-Lymphocyte Ratio in Asthmatic Patients and Healthy People: A Meta-analysis 哮喘患者和健康人中性粒细胞与淋巴细胞比率的meta分析
Pub Date : 2021-03-31 DOI: 10.5812/JAMM.111447
Liping Lei, Jiangfa Li, Haihui Liu, B. Mo
Objectives: The purpose of this study was to investigate the differences in neutrophil-to-lymphocyte ratio (NLR) between asthmatic patients and healthy individuals. Methods: PubMed, EMBASE, and Cochrane Library databases were searched for studies on NLR among asthmatic patients and healthy people. Review Manager (RevMan) software was used for statistical analysis. Results: Six studies, including 1584 patients, were analyzed in this study. NLR was significantly different between asthmatic patients and healthy people. Conclusions: NLR in the peripheral blood of asthmatic patients was higher than that of healthy people. This result has certain clinical value in distinguishing asthma patients from healthy people.
目的:探讨哮喘患者与健康人群中性粒细胞/淋巴细胞比值(NLR)的差异。方法:检索PubMed、EMBASE和Cochrane图书馆数据库,检索哮喘患者和健康人NLR的相关研究。采用Review Manager (RevMan)软件进行统计分析。结果:本研究共纳入6项研究,共纳入1584例患者。哮喘患者与健康人NLR差异有统计学意义。结论:哮喘患者外周血NLR高于健康人。该结果对哮喘患者与正常人的鉴别有一定的临床价值。
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引用次数: 0
期刊
Journal of Archives in Military Medicine
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