Pub Date : 2022-10-01DOI: 10.32598/jgums.31.3.1329.3
Gelareh Biazar, Abbas Sedighinejad, Bahram Naderi Nabi, Samaneh Ghazanfar Tehran, A. Etezadi, Zahra Atrkarroushan, Sarina Rajaei, M. Ahmadi, Mahin Tayefeh Ashrafiyeh
Background Obtaining informed consent (IC) is essential for any diagnostic or therapeutic procedure. Objective IC is an important legal communication process between the patient and the physician. Methods In 2021, this cross-sectional study was performed in Alzahra Hospital. Eligible patients over the age of 18 years, who were candidates for elective gynecological surgeries under SA enrolled in the survey. A questionnaire containing demographic data and 20 specific questions divided into 4 areas (providing information, comprehensibility of the consent form, voluntary informed consent, and communication with the doctor), was completed via a direct interview. Results The data from 259 eligible patients were analyzed. In terms of providing information to the patient, comprehensibility of the consent form, and the voluntary obtaining consent were in poor condition. However, in terms of communication with the physician, 46.3% of the patients were in a good state and 20.1% were in an excellent state. A significant relationship was also observed between the level of education and the quality of obtaining IC (P=0.034). Conclusion It was concluded that the IC process was not acceptable in this academic center, and efforts should be made to improve the current conditions.
{"title":"Evaluating the Quality of Obtaining Informed Consent for Spinal Anesthesia in Candidates for Gynecological Surgery Referred to Al-Zahra Hospital During 2021","authors":"Gelareh Biazar, Abbas Sedighinejad, Bahram Naderi Nabi, Samaneh Ghazanfar Tehran, A. Etezadi, Zahra Atrkarroushan, Sarina Rajaei, M. Ahmadi, Mahin Tayefeh Ashrafiyeh","doi":"10.32598/jgums.31.3.1329.3","DOIUrl":"https://doi.org/10.32598/jgums.31.3.1329.3","url":null,"abstract":"Background Obtaining informed consent (IC) is essential for any diagnostic or therapeutic procedure. Objective IC is an important legal communication process between the patient and the physician. Methods In 2021, this cross-sectional study was performed in Alzahra Hospital. Eligible patients over the age of 18 years, who were candidates for elective gynecological surgeries under SA enrolled in the survey. A questionnaire containing demographic data and 20 specific questions divided into 4 areas (providing information, comprehensibility of the consent form, voluntary informed consent, and communication with the doctor), was completed via a direct interview. Results The data from 259 eligible patients were analyzed. In terms of providing information to the patient, comprehensibility of the consent form, and the voluntary obtaining consent were in poor condition. However, in terms of communication with the physician, 46.3% of the patients were in a good state and 20.1% were in an excellent state. A significant relationship was also observed between the level of education and the quality of obtaining IC (P=0.034). Conclusion It was concluded that the IC process was not acceptable in this academic center, and efforts should be made to improve the current conditions.","PeriodicalId":15994,"journal":{"name":"Journal of Guilan University of Medical Sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80263328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-01DOI: 10.32598/jgums.31.3.1739.1
J. Kheirkhah, M. Aghel Masjedi
Background Coronary heart disease is one of the most common diseases that can affect the mental and bodily health of people. Objective This study aims to evaluate the effectiveness of emotion-focused therapy (EFT) on perceived stress and alexithymia in patients with coronary heart disease. Methods This was a quasi-experimental study with a pre-test-post-test design with a control group in 2019 on 30 patients diagnosed with coronary heart disease who were referred to Dr. Heshmat Hospital in Rasht City, Iran. The patients were selected by simple random sampling and assigned to 2 groups of 15, including an experimental group and a control group. The assessment tools included the 14-item perceived stress scale (PSS-14) and the 20-item Toronto alexithymia scale (TAS-20), which were completed before and after the intervention. The experimental group received EFT in eight 90-min sessions for two months. The data were analyzed using descriptive statistics, multivariate analysis of covariance and the Bonferroni post hoc test. Results There was a significant difference between the experimental group that underwent EFT and the control group that did not receive any treatment (F2, 25= 170.5, P<0.001, η2P=0.932). Meanwhile, according to the adjusted means, this difference indicates the effectiveness of EFT. Conclusion EFT training can play an important role as an adjunctive and psychological treatment along with drug intervention in reducing the perceived stress and alexithymia.
{"title":"Investigating the Effectiveness of Emotion-Focused Therapy on Perceived Stress and Alexithymia in Patients With Coronary Heart Disease in Rasht City, Iran","authors":"J. Kheirkhah, M. Aghel Masjedi","doi":"10.32598/jgums.31.3.1739.1","DOIUrl":"https://doi.org/10.32598/jgums.31.3.1739.1","url":null,"abstract":"Background Coronary heart disease is one of the most common diseases that can affect the mental and bodily health of people. Objective This study aims to evaluate the effectiveness of emotion-focused therapy (EFT) on perceived stress and alexithymia in patients with coronary heart disease. Methods This was a quasi-experimental study with a pre-test-post-test design with a control group in 2019 on 30 patients diagnosed with coronary heart disease who were referred to Dr. Heshmat Hospital in Rasht City, Iran. The patients were selected by simple random sampling and assigned to 2 groups of 15, including an experimental group and a control group. The assessment tools included the 14-item perceived stress scale (PSS-14) and the 20-item Toronto alexithymia scale (TAS-20), which were completed before and after the intervention. The experimental group received EFT in eight 90-min sessions for two months. The data were analyzed using descriptive statistics, multivariate analysis of covariance and the Bonferroni post hoc test. Results There was a significant difference between the experimental group that underwent EFT and the control group that did not receive any treatment (F2, 25= 170.5, P<0.001, η2P=0.932). Meanwhile, according to the adjusted means, this difference indicates the effectiveness of EFT. Conclusion EFT training can play an important role as an adjunctive and psychological treatment along with drug intervention in reducing the perceived stress and alexithymia.","PeriodicalId":15994,"journal":{"name":"Journal of Guilan University of Medical Sciences","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90935796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-22DOI: 10.32598/jgums.31.2.1883.1
Zeinab Norouzi Zad, A. Bakhshayesh, Maryam Salehzadeh Abarghoui
Background: Social gathering restrictions and quarantine for reducing the spread of coronavirus can reduce social interactions and cause mental health problems such as depression and anxiety. Objective This study aims to investigate the role of personality traits and health-promoting lifestyles in predicting anxiety and depression during the COVID-19 pandemic in Najafabad, Iran Methods: This is a cross-sectional study conducted in April 2021 during the fourth wave of the COVID-19 outbreak. The study population consisted of people aged >18 years old living in Najafabad. Using a convenience sampling method, 225 people were selected and completed questionaries online. Of these, the data of 217 questionnaires were analyzed. Beck Depression Inventory, Corona Disease Anxiety Scale, short form of Big-Five-Factor Inventory, and Walker’s Health Promoting Lifestyle Profile were used to collect data. Data analysis was performed using Multiple Linear Regression and SPSS v. 24 statistical software. Results: The personality traits of neuroticism (r=0.343, r=0.176) and extraversion (r=-0.503, r=-0.375) were positively and negatively correlated with depression and anxiety, respectively, and were the predictive of depression and anxiety (P<0.05). The agreeableness trait (r=0.233) was also negatively correlated with anxiety, and was its significant predictor (P<0.05). Among the health-promoting lifestyle domains, self-fulfillment (r=-0.489) and physical activity (r=-0.348) had a negative correlation with depression, while health responsibility (r=-0.285) had a negative correlation with anxiety; they were the significant predictors of depression and anxiety (P<0.05) during the COVID-19 pandemic. Conclusion: Given the effect of personality traits and health-promoting lifestyles on depression and anxiety during the COVID-19 outbreak, the interventions focused on these components can be effective in improving the mental health of people.
背景:为减少冠状病毒传播而采取的限制社交和隔离措施，会减少社交活动，引发抑郁、焦虑等心理健康问题。目的本研究旨在探讨人格特质和促进健康的生活方式在预测伊朗纳贾法巴德2019冠状病毒病大流行期间焦虑和抑郁的作用。方法:这是一项横断面研究，于2021年4月在第四波2019冠状病毒病疫情期间进行。研究人群由居住在纳贾法巴德的18岁至18岁的人组成。采用方便抽样法，选取225人在线完成问卷调查。其中，对217份问卷的数据进行分析。采用贝克抑郁量表、冠状疾病焦虑量表、大五因素短量表和沃克健康促进生活方式量表收集数据。数据分析采用多元线性回归和SPSS v. 24统计软件。结果:神经质(r=0.343, r=0.176)和外向性(r=-0.503, r=-0.375)分别与抑郁、焦虑呈正相关和负相关，并可预测抑郁、焦虑(P<0.05)。亲和性与焦虑呈显著负相关(r=0.233)，是焦虑的显著预测因子(P<0.05)。在促进健康的生活方式领域中，自我实现(r=-0.489)和体育活动(r=-0.348)与抑郁呈负相关，健康责任(r=-0.285)与焦虑呈负相关;它们是新冠肺炎大流行期间抑郁和焦虑的显著预测因子(P<0.05)。结论:考虑到人格特质和促进健康的生活方式对新冠肺炎疫情期间抑郁和焦虑的影响，针对这些因素进行干预可以有效改善人们的心理健康状况。
{"title":"The Role of Personality Traits and Lifestyle in Predicting Anxiety and Depression During the Covid-19 Pandemic: A Web-Based Cross-Sectional Study","authors":"Zeinab Norouzi Zad, A. Bakhshayesh, Maryam Salehzadeh Abarghoui","doi":"10.32598/jgums.31.2.1883.1","DOIUrl":"https://doi.org/10.32598/jgums.31.2.1883.1","url":null,"abstract":"Background: Social gathering restrictions and quarantine for reducing the spread of coronavirus can reduce social interactions and cause mental health problems such as depression and anxiety. Objective This study aims to investigate the role of personality traits and health-promoting lifestyles in predicting anxiety and depression during the COVID-19 pandemic in Najafabad, Iran Methods: This is a cross-sectional study conducted in April 2021 during the fourth wave of the COVID-19 outbreak. The study population consisted of people aged >18 years old living in Najafabad. Using a convenience sampling method, 225 people were selected and completed questionaries online. Of these, the data of 217 questionnaires were analyzed. Beck Depression Inventory, Corona Disease Anxiety Scale, short form of Big-Five-Factor Inventory, and Walker’s Health Promoting Lifestyle Profile were used to collect data. Data analysis was performed using Multiple Linear Regression and SPSS v. 24 statistical software. Results: The personality traits of neuroticism (r=0.343, r=0.176) and extraversion (r=-0.503, r=-0.375) were positively and negatively correlated with depression and anxiety, respectively, and were the predictive of depression and anxiety (P<0.05). The agreeableness trait (r=0.233) was also negatively correlated with anxiety, and was its significant predictor (P<0.05). Among the health-promoting lifestyle domains, self-fulfillment (r=-0.489) and physical activity (r=-0.348) had a negative correlation with depression, while health responsibility (r=-0.285) had a negative correlation with anxiety; they were the significant predictors of depression and anxiety (P<0.05) during the COVID-19 pandemic. Conclusion: Given the effect of personality traits and health-promoting lifestyles on depression and anxiety during the COVID-19 outbreak, the interventions focused on these components can be effective in improving the mental health of people.","PeriodicalId":15994,"journal":{"name":"Journal of Guilan University of Medical Sciences","volume":"49 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85695178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-22DOI: 10.32598/jgums.31.2.1892.1
Fatemeh Shahnazdoust, N. Mikaeili, Seifollah Aghajani
Background: It is important to pay attention to the self-injury behaviors in adolescence as one of the high-risk behaviors with adverse consequences for the individual and society. Objective: This study aims to investigate the mediating role of emotion regulation strategies in the relationship between emotional abuse in childhood and self-injury behaviors in female adolescents. Methods: This is an analytical cross-sectional study. Participants were 200 female high school students in Rasht, Iran in the academic year 2020-2021 who were selected using a convenience sampling method. Data collection tools included the self-harm inventory (SHI), childhood trauma questionnaire (CTQ), and emotion regulation questionnaire (ERQ). The collected data were analyzed using structural equation modeling (SEM) and path analysis in SPSS Software v. 23 and Amos v. 26. Results: There was a significant relationship between emotional abuse and self-injury behaviors (P<0.001). The reappraisal domain had a significant negative relationship with emotional abuse and self-injury behaviors, and the suppression domain had a significant positive relationship with emotional abuse and self-injury behaviors. Emotion regulation strategies had partial mediating role in the relationship between emotional abuse and self-injury behaviors (P<0.001). Conclusion: Considering the mediating role of emotion regulation strategies, more attention to the use of these strategies should be paid to reduce the occurrence of self-injury behaviors in female adolescents.
背景:青少年自伤行为作为个体和社会的高危行为之一，值得重视。目的:探讨情绪调节策略在童年情绪虐待与青少年自伤行为之间的中介作用。方法:这是一项分析性横断面研究。参与者是伊朗拉什特2020-2021学年的200名女高中生，她们是通过方便抽样方法选出的。数据收集工具包括自我伤害问卷(SHI)、童年创伤问卷(CTQ)和情绪调节问卷(ERQ)。收集的数据使用结构方程模型(SEM)和路径分析在SPSS软件v. 23和Amos v. 26中进行分析。结果:情绪虐待与自伤行为有显著相关(P<0.001)。重评价域与情绪虐待和自伤行为呈显著负相关，抑制域与情绪虐待和自伤行为呈显著正相关。情绪调节策略在情绪虐待与自伤行为之间具有部分中介作用(P<0.001)。结论:考虑到情绪调节策略的中介作用，应重视情绪调节策略的使用，以减少女性青少年自伤行为的发生。
{"title":"The Mediating Role of Emotion Regulation Strategies in the Relationship Between Emotional Abuse and Self-Harm Behaviors in Adolescents: A Cross-Sectional Study","authors":"Fatemeh Shahnazdoust, N. Mikaeili, Seifollah Aghajani","doi":"10.32598/jgums.31.2.1892.1","DOIUrl":"https://doi.org/10.32598/jgums.31.2.1892.1","url":null,"abstract":"Background: It is important to pay attention to the self-injury behaviors in adolescence as one of the high-risk behaviors with adverse consequences for the individual and society. Objective: This study aims to investigate the mediating role of emotion regulation strategies in the relationship between emotional abuse in childhood and self-injury behaviors in female adolescents. Methods: This is an analytical cross-sectional study. Participants were 200 female high school students in Rasht, Iran in the academic year 2020-2021 who were selected using a convenience sampling method. Data collection tools included the self-harm inventory (SHI), childhood trauma questionnaire (CTQ), and emotion regulation questionnaire (ERQ). The collected data were analyzed using structural equation modeling (SEM) and path analysis in SPSS Software v. 23 and Amos v. 26. Results: There was a significant relationship between emotional abuse and self-injury behaviors (P<0.001). The reappraisal domain had a significant negative relationship with emotional abuse and self-injury behaviors, and the suppression domain had a significant positive relationship with emotional abuse and self-injury behaviors. Emotion regulation strategies had partial mediating role in the relationship between emotional abuse and self-injury behaviors (P<0.001). Conclusion: Considering the mediating role of emotion regulation strategies, more attention to the use of these strategies should be paid to reduce the occurrence of self-injury behaviors in female adolescents.","PeriodicalId":15994,"journal":{"name":"Journal of Guilan University of Medical Sciences","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79870586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-22DOI: 10.32598/jgums.31.2.1374.2
S. Saadat, A. Saberi
Background Multiple sclerosis (MS) is one of the chronic autoimmune diseases and a progressive disease of the central nervous system that have unknown causes. Objective This study aims to review the environmental risk factors of MS. Methods In this review study, a search was conducted in databases such as PubMed, Scopus, ScienceDirect, Google Scholar and MagIran on related studies published in Persian and English from 2000 to 2021 using the keywords: Multiple Sclerosis, MS, Environmental risk factors, and Epidemiology. Results The studies showed that MS is an autoimmune disease with unknown genetic backgrounds. The age of 20-40 years, female gender, distance from the equator, migration, Epstein-Barr virus infection, smoking, air pollution, vitamin D deficiency, alcohol and coffee consumption, circadian disruption, and psychological factors are the environmental risk factors of MS. Conclusion Given the environmental risk factors of MS, their control is potentially helpful in preventing the disease and its rapid progression. It is necessary for health care providers to pay attention to these risk factors.
{"title":"Environmental Risk Factors in Multiple Sclerosis: A Narrative Review","authors":"S. Saadat, A. Saberi","doi":"10.32598/jgums.31.2.1374.2","DOIUrl":"https://doi.org/10.32598/jgums.31.2.1374.2","url":null,"abstract":"Background Multiple sclerosis (MS) is one of the chronic autoimmune diseases and a progressive disease of the central nervous system that have unknown causes. Objective This study aims to review the environmental risk factors of MS. Methods In this review study, a search was conducted in databases such as PubMed, Scopus, ScienceDirect, Google Scholar and MagIran on related studies published in Persian and English from 2000 to 2021 using the keywords: Multiple Sclerosis, MS, Environmental risk factors, and Epidemiology. Results The studies showed that MS is an autoimmune disease with unknown genetic backgrounds. The age of 20-40 years, female gender, distance from the equator, migration, Epstein-Barr virus infection, smoking, air pollution, vitamin D deficiency, alcohol and coffee consumption, circadian disruption, and psychological factors are the environmental risk factors of MS. Conclusion Given the environmental risk factors of MS, their control is potentially helpful in preventing the disease and its rapid progression. It is necessary for health care providers to pay attention to these risk factors.","PeriodicalId":15994,"journal":{"name":"Journal of Guilan University of Medical Sciences","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85355790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-22DOI: 10.32598/jgums.31.2.1439.2
Ali Nosrati, Sareh Jalali
Background: The health information system provides an integrated platform and an information connection between the actors of the health system regardless of temporal and spatial limitations. Objective This study aims to investigate the factors affecting the development of electronic health record (EHR) system and predict the future of this system in Iran. Methods: In this descriptive study, identification of the main factors for the development of HER and designing the future scenarios of this system was done using a questionnaire completed by 33 managers and experts of information technology in hospitals and medical universities in Guilan and Qazvin provinces of Iran. Data were analyzed in SPSS v. 22 and Expert Choice v. 11 applications. Results: Three dimensions and six criteria were determined to explain the HER development. Dimensions included: information content, information architecture, and information security. The criteria were: Manpower, hardware and software infrastructure, speed of access to health services, operating costs, not dependent on the internet, and comprehensiveness. Moreover, eight scaled scenarios were determined for the future of the EHR system. Conclusion: It is necessary to pay attention to information content, architecture, and security in development of the HER system in Iran.
背景:卫生信息系统提供了一个综合平台和卫生系统行为体之间的信息连接，不受时间和空间的限制。目的探讨影响伊朗电子健康档案(EHR)系统发展的因素，并对该系统的未来进行预测。方法:采用描述性研究方法，对伊朗桂兰省和加兹温省33名医院和医科大学的管理人员和信息技术专家进行问卷调查，确定影响HER发展的主要因素，并设计该系统的未来方案。数据在SPSS v. 22和Expert Choice v. 11应用程序中进行分析。结果:确定了三个维度和六个标准来解释HER的发展。包括的维度:信息内容、信息架构和信息安全。这些标准包括:人力、硬件和软件基础设施、获得医疗服务的速度、运营成本、不依赖互联网和全面性。此外，确定了未来EHR系统的8个规模情景。结论:伊朗HER系统的发展需要重视信息内容、体系结构和安全性。
{"title":"Estimating the Future of Electronic Health Information System in Society","authors":"Ali Nosrati, Sareh Jalali","doi":"10.32598/jgums.31.2.1439.2","DOIUrl":"https://doi.org/10.32598/jgums.31.2.1439.2","url":null,"abstract":"Background: The health information system provides an integrated platform and an information connection between the actors of the health system regardless of temporal and spatial limitations. Objective This study aims to investigate the factors affecting the development of electronic health record (EHR) system and predict the future of this system in Iran. Methods: In this descriptive study, identification of the main factors for the development of HER and designing the future scenarios of this system was done using a questionnaire completed by 33 managers and experts of information technology in hospitals and medical universities in Guilan and Qazvin provinces of Iran. Data were analyzed in SPSS v. 22 and Expert Choice v. 11 applications. Results: Three dimensions and six criteria were determined to explain the HER development. Dimensions included: information content, information architecture, and information security. The criteria were: Manpower, hardware and software infrastructure, speed of access to health services, operating costs, not dependent on the internet, and comprehensiveness. Moreover, eight scaled scenarios were determined for the future of the EHR system. Conclusion: It is necessary to pay attention to information content, architecture, and security in development of the HER system in Iran.","PeriodicalId":15994,"journal":{"name":"Journal of Guilan University of Medical Sciences","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73982655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-22DOI: 10.32598/jgums.31.2.1814.1
Sayed Javad Ziaolhagh, Narges Hajabutalebi, Maliheh Ardakanizadeh, M. Gholami
Background: Performing endurance training and taking L-carnitine supplements is effective in improving the performance of athletes, but its effect on repairing lung damage caused by boldenone injection is still unknown. Objective: The present study aims to assess the effect of L-carnitine consumption alone with endurance training on lung tissue structure damage in male rats poisoned with boldenone. Methods: In this experimental study, 30 male Wistar rats (weight= 228.53±7.94 g) were randomly divided into five groups: Control, boldenone, boldenone+training, boldenone+supplementation, and boldenone+training+supplementation. Boldenone (5 mg/kg) was injected in the biceps femoris once a week, and L-carnitine supplementation (600 mg/kg) was administrated in gavage into the stomachs of animals, three days per week. The endurance training program was included running on a treadmill for 8-week, three days per week, each for 30 minutes at a speed of 12 m/min, which reached 60 minutes and 30 m/min in the final week. Histopathological changes in bronchioles and alveoli were examined using a light microscope. Results: The weight of two groups of boldenone+supplementation, and boldenone+training+supplementation increased significantly compared to the boldenone group (P=0.005). In the boldenone+training+supplementation group, a significant improvement in bronchioles and alveoli was observed compared to the boldenone group (P=0.001). Conclusion: It seems that performing endurance training along with L-carnitine supplementation has a great effect on reducing the destructive effects of boldenone on lung tissue.
{"title":"Effect of L-Carnitine Consumption and Endurance Training on Lung Tissue Structure Damage in Male Boldenone-Poisoned Rats","authors":"Sayed Javad Ziaolhagh, Narges Hajabutalebi, Maliheh Ardakanizadeh, M. Gholami","doi":"10.32598/jgums.31.2.1814.1","DOIUrl":"https://doi.org/10.32598/jgums.31.2.1814.1","url":null,"abstract":"Background: Performing endurance training and taking L-carnitine supplements is effective in improving the performance of athletes, but its effect on repairing lung damage caused by boldenone injection is still unknown. Objective: The present study aims to assess the effect of L-carnitine consumption alone with endurance training on lung tissue structure damage in male rats poisoned with boldenone. Methods: In this experimental study, 30 male Wistar rats (weight= 228.53±7.94 g) were randomly divided into five groups: Control, boldenone, boldenone+training, boldenone+supplementation, and boldenone+training+supplementation. Boldenone (5 mg/kg) was injected in the biceps femoris once a week, and L-carnitine supplementation (600 mg/kg) was administrated in gavage into the stomachs of animals, three days per week. The endurance training program was included running on a treadmill for 8-week, three days per week, each for 30 minutes at a speed of 12 m/min, which reached 60 minutes and 30 m/min in the final week. Histopathological changes in bronchioles and alveoli were examined using a light microscope. Results: The weight of two groups of boldenone+supplementation, and boldenone+training+supplementation increased significantly compared to the boldenone group (P=0.005). In the boldenone+training+supplementation group, a significant improvement in bronchioles and alveoli was observed compared to the boldenone group (P=0.001). Conclusion: It seems that performing endurance training along with L-carnitine supplementation has a great effect on reducing the destructive effects of boldenone on lung tissue.","PeriodicalId":15994,"journal":{"name":"Journal of Guilan University of Medical Sciences","volume":"272 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86257382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-22DOI: 10.32598/jgums.31.2.1789.1
Seyyed Mohammad Ebrahim Mousavi, Rezvan Mirsafaei Rizi
Background: Study on the effectiveness of new methods of low back pain treatment is very important due to its high prevalence. There is no consensus on the most effective treatment for low back pain, despite the existence of different treatments options. Objective: This study aims to assess the effect of 8 weeks of dynamic neuromuscular stabilization (DNS) and core stability (CS) exercises on pain, hamstring flexibility, balance, abdominal muscle strength, and quality of life (QoL) in men with chronic low back pain. Methods: Participants were 20 men with non-specific low back pain, randomly divided into two groups of DNS (Age=47.8±9.82 years, BMI=25.8±2.9 kg/m2) and CS (Age=42.4±11.8 years, BMI=28.1±13.1 kg/m2). Subjects performed exercises for 8 weeks. Before and after exercises, their pain, hamstring flexibility, static and dynamic balances, abdominal muscle strength, and QoL were assessed. For data analysis, the paired t-test and analysis of covariance were used, considering a significance level of P<0.05. Results: Both training methods improved pain, abdominal muscle strength and static balance. The CS exercise significantly improved hamstring muscle flexibility, and DNS exercise significantly improved QoL. The comparison between the two methods showed no significant difference in any study variables. Conclusion: Both CS and DNS exercises can be used in designing the interventions for patients with chronic low back pain.
{"title":"Effect of Central Stability and Dynamic Neuromuscular Stabilization Exercises on Pain, Flexibility, Balance, Muscle Endurance and Quality of Life in Men With Nonspecific Chronic Low Back Pain","authors":"Seyyed Mohammad Ebrahim Mousavi, Rezvan Mirsafaei Rizi","doi":"10.32598/jgums.31.2.1789.1","DOIUrl":"https://doi.org/10.32598/jgums.31.2.1789.1","url":null,"abstract":"Background: Study on the effectiveness of new methods of low back pain treatment is very important due to its high prevalence. There is no consensus on the most effective treatment for low back pain, despite the existence of different treatments options. Objective: This study aims to assess the effect of 8 weeks of dynamic neuromuscular stabilization (DNS) and core stability (CS) exercises on pain, hamstring flexibility, balance, abdominal muscle strength, and quality of life (QoL) in men with chronic low back pain. Methods: Participants were 20 men with non-specific low back pain, randomly divided into two groups of DNS (Age=47.8±9.82 years, BMI=25.8±2.9 kg/m2) and CS (Age=42.4±11.8 years, BMI=28.1±13.1 kg/m2). Subjects performed exercises for 8 weeks. Before and after exercises, their pain, hamstring flexibility, static and dynamic balances, abdominal muscle strength, and QoL were assessed. For data analysis, the paired t-test and analysis of covariance were used, considering a significance level of P<0.05. Results: Both training methods improved pain, abdominal muscle strength and static balance. The CS exercise significantly improved hamstring muscle flexibility, and DNS exercise significantly improved QoL. The comparison between the two methods showed no significant difference in any study variables. Conclusion: Both CS and DNS exercises can be used in designing the interventions for patients with chronic low back pain.","PeriodicalId":15994,"journal":{"name":"Journal of Guilan University of Medical Sciences","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75101319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-22DOI: 10.32598/jgums.31.2.1819.1
Reza Soltani Moghadam, Ebrahim Azaripour, M. Akbari
Background Keratoconus (KCN) is a bilateral, progressive, and non-inflammatory disorder in the cornea, which results in thinning and protrusion of the cornea. Objective This study aims to determine the effectiveness of using pachymetric progression indices (PPIs) in grading the severity of KCN disease. Methods In this study, 76 patients with different stages of KCN were enrolled. The severity of KCN was graded according to maximum keratometry, cornea thickness, and spherical equivalent. The PPIs measured by Pentacam and the demographic characteristics were recorded and their correlation with the severity of KCN was assessed. Results In terms of KCN severity, 18% of patients were at grade 1, 31% at grade 2, 42% at grade 3, and 7% at grade 4. The power of PPIs in predicting KCN grade 4, grade 3 and grade 2 based on the area under the curve ranged from 0.722 to 0.993. Conclusion The PPIs (Minimum, Maximum, Average) can predict the severity of KCN disease with good sensitivity and specificity.
{"title":"Predicting the Keratoconus Disease Severity Based on Pachymetric Progression Indices Measured by Pentacam","authors":"Reza Soltani Moghadam, Ebrahim Azaripour, M. Akbari","doi":"10.32598/jgums.31.2.1819.1","DOIUrl":"https://doi.org/10.32598/jgums.31.2.1819.1","url":null,"abstract":"Background Keratoconus (KCN) is a bilateral, progressive, and non-inflammatory disorder in the cornea, which results in thinning and protrusion of the cornea. Objective This study aims to determine the effectiveness of using pachymetric progression indices (PPIs) in grading the severity of KCN disease. Methods In this study, 76 patients with different stages of KCN were enrolled. The severity of KCN was graded according to maximum keratometry, cornea thickness, and spherical equivalent. The PPIs measured by Pentacam and the demographic characteristics were recorded and their correlation with the severity of KCN was assessed. Results In terms of KCN severity, 18% of patients were at grade 1, 31% at grade 2, 42% at grade 3, and 7% at grade 4. The power of PPIs in predicting KCN grade 4, grade 3 and grade 2 based on the area under the curve ranged from 0.722 to 0.993. Conclusion The PPIs (Minimum, Maximum, Average) can predict the severity of KCN disease with good sensitivity and specificity.","PeriodicalId":15994,"journal":{"name":"Journal of Guilan University of Medical Sciences","volume":"44 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86653652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-01DOI: 10.32598/jgums.31.1.1760.1
L. Shams, Elham Pajooman
Background The healthcare providers are always seeking improvements in the health care delivery system in order to achieve better results. Objective This study aims to evaluate the efficacy of Family Physician Program (FPP) in providing primary care in Talesh, Iran. Methods This is a cross-sectional study conducted on 50 physicians working in Talesh city as family physician in 2020, and 384 patients referred to the comprehensive health service centers of Talesh city. The census method was used for selecting physicians, and a simple random method was used for selecting patients. The data collection tool was a researcher-made two-part questionnaire with acceptable validity and reliability. The collected data were analyzed using one-sample t test in IBM SPSS Statistics software. Results According to t-test results, access to services (P<0.001) and coordination of care (P= 0.028) in the FPP were significantly at a lower level according to physicians, while the continuity of care (P<0.001) and comprehensiveness of care (P=0.003) were significantly at a higher level. Furthermore, access to finance and location (P<0.001) was significantly at a lower level according to patients, while access to educational services (P<0.001), quality of services (P<0.001), and continuity of health and medical care (P<0.001) in the FPP were significantly at a higher level. Conclusion Policy makers and managers should increase the quality of services in the FPP for patients by maintaining and developing access to primary care and educational services to increase their satisfaction.
{"title":"Efficacy of Family Physician Program in Providing Primary Care in Talesh, Iran","authors":"L. Shams, Elham Pajooman","doi":"10.32598/jgums.31.1.1760.1","DOIUrl":"https://doi.org/10.32598/jgums.31.1.1760.1","url":null,"abstract":"Background The healthcare providers are always seeking improvements in the health care delivery system in order to achieve better results. Objective This study aims to evaluate the efficacy of Family Physician Program (FPP) in providing primary care in Talesh, Iran. Methods This is a cross-sectional study conducted on 50 physicians working in Talesh city as family physician in 2020, and 384 patients referred to the comprehensive health service centers of Talesh city. The census method was used for selecting physicians, and a simple random method was used for selecting patients. The data collection tool was a researcher-made two-part questionnaire with acceptable validity and reliability. The collected data were analyzed using one-sample t test in IBM SPSS Statistics software. Results According to t-test results, access to services (P<0.001) and coordination of care (P= 0.028) in the FPP were significantly at a lower level according to physicians, while the continuity of care (P<0.001) and comprehensiveness of care (P=0.003) were significantly at a higher level. Furthermore, access to finance and location (P<0.001) was significantly at a lower level according to patients, while access to educational services (P<0.001), quality of services (P<0.001), and continuity of health and medical care (P<0.001) in the FPP were significantly at a higher level. Conclusion Policy makers and managers should increase the quality of services in the FPP for patients by maintaining and developing access to primary care and educational services to increase their satisfaction.","PeriodicalId":15994,"journal":{"name":"Journal of Guilan University of Medical Sciences","volume":"37 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80103391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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