Background and Objectives Transfer of antibiotic resistance genes by integrons is the main cause of drug-resistant bacteria. This study aims to evaluate the prevalence of class I, II, and III integrons among uropathogenic Escherichia Coli (UPEC) strains isolated from patients with Urinary tract infection (UTI). Subjects and Methods This cross-sectional study was carried out on 50 UPEC strains isolated from patients with UTI referred to hospitals in Shiraz, Iran in 2020. Antibiotic susceptibility pattern was evaluated by the disk diffusion susceptibility test. Then, the prevalence of class 1 to 3 integrons in the isolates was investigated by the polymerase chain reaction test. Data were statistically analyzed in SPSS software using chi-square test. P≤0.05 was statistically significant. Results 42% of isolates had multi-drug resistance. The highest antibiotic resistance and sensitivity were related to trimethoprim/sulfamethoxazole (52%) and gentamicin (90%), respectively. There was a significant relationship between the presence of class I integron and resistance to amikacin and ciprofloxacin, between the presence of class II integron and resistance to gentamicin, and between the presence of class III integron and resistance to trimethoprim/sulfamethoxazole and nalidixic acid (P<0.05). Conclusion There is a significant association between the presence of class I, II and III integrons and antibiotic resistance in UPEC strains isolated from patients with UTI. Infection control measures and suitable treatment methods are needed for preventing the spread of these isolates in the hospitals and health centers in Shiraz city.
{"title":"Prevalence of Class I, II and III Integrons in Uropathogenic Escherichia Coli Strains Isolated from Patients with Urinary Tract Infection in Shiraz, Iran","authors":"Afsoon Shariat, Fatemeh Fathpoor","doi":"10.32598/jsmj.21.4.2384","DOIUrl":"https://doi.org/10.32598/jsmj.21.4.2384","url":null,"abstract":"Background and Objectives Transfer of antibiotic resistance genes by integrons is the main cause of drug-resistant bacteria. This study aims to evaluate the prevalence of class I, II, and III integrons among uropathogenic Escherichia Coli (UPEC) strains isolated from patients with Urinary tract infection (UTI). Subjects and Methods This cross-sectional study was carried out on 50 UPEC strains isolated from patients with UTI referred to hospitals in Shiraz, Iran in 2020. Antibiotic susceptibility pattern was evaluated by the disk diffusion susceptibility test. Then, the prevalence of class 1 to 3 integrons in the isolates was investigated by the polymerase chain reaction test. Data were statistically analyzed in SPSS software using chi-square test. P≤0.05 was statistically significant. Results 42% of isolates had multi-drug resistance. The highest antibiotic resistance and sensitivity were related to trimethoprim/sulfamethoxazole (52%) and gentamicin (90%), respectively. There was a significant relationship between the presence of class I integron and resistance to amikacin and ciprofloxacin, between the presence of class II integron and resistance to gentamicin, and between the presence of class III integron and resistance to trimethoprim/sulfamethoxazole and nalidixic acid (P<0.05). Conclusion There is a significant association between the presence of class I, II and III integrons and antibiotic resistance in UPEC strains isolated from patients with UTI. Infection control measures and suitable treatment methods are needed for preventing the spread of these isolates in the hospitals and health centers in Shiraz city.","PeriodicalId":17808,"journal":{"name":"Jundishapur Journal of Medical Sciences","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90308899","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}
A. Saki, Fatemeh Rezaei Sharif, A. Taghipour, M. Tajfard
Background and Objectives Angiography is a common and invasive method in diagnosing cardiovascular diseases. Some patients refuse to perform angiography due to reasons such as fear, high cost, and lack of confidence in the decision of physician for angiography. This study aims to determine the factors predicting coronary artery occlusion to predict the outcome of angiography. Subjects and Methods In this cross-sectional study, participants were 1187 patients received angiography in Ghaem Hospital in Mashhad, Iran. Demographic data, lipid profile, blood sugar level, and history of underlying disorders were used in two prediction models of logistic regression and zero-inflated negative binomial (NB), fitted using R3.6.1 software. Then, their sensitivity and specificity were compared. Results Of 1187 patients, 404 (34%) had negative angiography. The results of both models showed that the risk of positive angiography was significantly higher in male and diabetic patients. The risk increased with the increase of age. The area under the ROC curve (sensitivity and specificity) for logistic regression and zero-inflated NB models were 78.4(70.4%, 70.5%) and 78.2(71.4%, 71.5%). Conclusion Age, gender, smoking, and history of diabetes are significant predictors of the angiography outcome. There is no significant difference between logistic regression and zero-inflated NB models in predicting the outcome of angiography. Due to the ease of use of logistic regression model, it can be used to predict the results of angiography.
{"title":"Prediction of Angiography Results Using Logistic Regression and Zeroinflated Negative Binomial Models","authors":"A. Saki, Fatemeh Rezaei Sharif, A. Taghipour, M. Tajfard","doi":"10.32598/jsmj.21.4.2350","DOIUrl":"https://doi.org/10.32598/jsmj.21.4.2350","url":null,"abstract":"Background and Objectives Angiography is a common and invasive method in diagnosing cardiovascular diseases. Some patients refuse to perform angiography due to reasons such as fear, high cost, and lack of confidence in the decision of physician for angiography. This study aims to determine the factors predicting coronary artery occlusion to predict the outcome of angiography. Subjects and Methods In this cross-sectional study, participants were 1187 patients received angiography in Ghaem Hospital in Mashhad, Iran. Demographic data, lipid profile, blood sugar level, and history of underlying disorders were used in two prediction models of logistic regression and zero-inflated negative binomial (NB), fitted using R3.6.1 software. Then, their sensitivity and specificity were compared. Results Of 1187 patients, 404 (34%) had negative angiography. The results of both models showed that the risk of positive angiography was significantly higher in male and diabetic patients. The risk increased with the increase of age. The area under the ROC curve (sensitivity and specificity) for logistic regression and zero-inflated NB models were 78.4(70.4%, 70.5%) and 78.2(71.4%, 71.5%). Conclusion Age, gender, smoking, and history of diabetes are significant predictors of the angiography outcome. There is no significant difference between logistic regression and zero-inflated NB models in predicting the outcome of angiography. Due to the ease of use of logistic regression model, it can be used to predict the results of angiography.","PeriodicalId":17808,"journal":{"name":"Jundishapur Journal of Medical Sciences","volume":"57 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74356716","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}
Zahra Kosarian, Mehrnoosh Zakerkish, M. Mehravar, Mohammad Jafar Shaterzadeh Yazdi, Saeed Hesam
Background and Objectives Reduced ability to control balance is one of the disorders affecting the quality of life and daily activities of people with diabetic polyneuropathy (DPN), which can lead to dangerous consequences such as falling. By identifying the causes of balance disorders, we can better understand this condition to provide effective and evidence-based treatments for these patients. This study aims to investigate and compare the use of motor strategies in people with and without impaired sensory organization suffering from DPN. Subjects and Methods In this cross-sectional study, 40 people with DPN participated. Their demographic information were recorded and then underwent balance performance test using the sensory organization test. Based on the results, they were divided into two groups: Control group without impaired sensory organization (n=18) and Patient group with impaired sensory organization (n=22). Results The prevalence of inappropriate use of motor strategies to restore balance in DPN patients with impaired sensory organization was higher than in the control group. The adopted inappropriate strategy was mostly in using ankle strategy, where the somatosensory and visual perturbations were higher. Conclusion Patients with DPN use ankle strategy, instead of hip strategy, to restore balance. This non-use of hip strategy is more common in patients with impaired sensory organization.
{"title":"Motor Strategies Used to Restore Balance in People With and Without Impaired Sensory Organization Suffering From Diabetic Polyneuropathy","authors":"Zahra Kosarian, Mehrnoosh Zakerkish, M. Mehravar, Mohammad Jafar Shaterzadeh Yazdi, Saeed Hesam","doi":"10.32598/jsmj.21.4.2844","DOIUrl":"https://doi.org/10.32598/jsmj.21.4.2844","url":null,"abstract":"Background and Objectives Reduced ability to control balance is one of the disorders affecting the quality of life and daily activities of people with diabetic polyneuropathy (DPN), which can lead to dangerous consequences such as falling. By identifying the causes of balance disorders, we can better understand this condition to provide effective and evidence-based treatments for these patients. This study aims to investigate and compare the use of motor strategies in people with and without impaired sensory organization suffering from DPN. Subjects and Methods In this cross-sectional study, 40 people with DPN participated. Their demographic information were recorded and then underwent balance performance test using the sensory organization test. Based on the results, they were divided into two groups: Control group without impaired sensory organization (n=18) and Patient group with impaired sensory organization (n=22). Results The prevalence of inappropriate use of motor strategies to restore balance in DPN patients with impaired sensory organization was higher than in the control group. The adopted inappropriate strategy was mostly in using ankle strategy, where the somatosensory and visual perturbations were higher. Conclusion Patients with DPN use ankle strategy, instead of hip strategy, to restore balance. This non-use of hip strategy is more common in patients with impaired sensory organization.","PeriodicalId":17808,"journal":{"name":"Jundishapur Journal of Medical Sciences","volume":"102 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80666226","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}
Tahereh Haqparast, Houman Shahsavari, M. Zarei, Shima Haqhani, Arpi Manoukian
Background and Objectives The patients undergoing lower limb fracture surgery face with several complications and problems. One of these complications is related to use of urinary catheters and their indwelling which may affect the patients’ satisfaction. This study aims to determine the effect of urinary catheter removal time on the satisfaction of patients undergoing lower limb fracture surgery. Subjects and Methods This is a non-randomized clinical trial that was conducted during 2018-2019 in Tehran, Iran. By using a convenience sampling method, 84 patients undergoing lower limb fracture surgery in the orthopedic department of Imam Khomeini and Bank Melli hospitals were selected and divided into three groups of 28: Catheter removal after 24 hours, catheter removal after 48 hours, and catheter removal after 72 hours. The data were collected through self-reporting and interview. 72 hours after catheterization and voluntary urination, they completed a demographic form and a patient satisfaction questionnaire. The gathered data were analyzed by using descriptive and inferential statistics in SPSS software, version 16. Results All three groups showed high satisfaction with their urination and there was no significant difference among the groups (P=0.86). Regarding overall satisfaction, there was a significant difference among three groups (P=0.031), where the overall satisfaction was higher in patients with 24-hour catheterization. Conclusion Early removal of urinary catheters in patients undergoing lower limb fracture surgery is associated with their higher overall satisfaction.
{"title":"Effect of Urinary Catheter Removal Time on Satisfaction of Patients After Lower Limb Fracture Surgery: A Clinical Trial","authors":"Tahereh Haqparast, Houman Shahsavari, M. Zarei, Shima Haqhani, Arpi Manoukian","doi":"10.32598/jsmj.21.4.2289","DOIUrl":"https://doi.org/10.32598/jsmj.21.4.2289","url":null,"abstract":"Background and Objectives The patients undergoing lower limb fracture surgery face with several complications and problems. One of these complications is related to use of urinary catheters and their indwelling which may affect the patients’ satisfaction. This study aims to determine the effect of urinary catheter removal time on the satisfaction of patients undergoing lower limb fracture surgery. Subjects and Methods This is a non-randomized clinical trial that was conducted during 2018-2019 in Tehran, Iran. By using a convenience sampling method, 84 patients undergoing lower limb fracture surgery in the orthopedic department of Imam Khomeini and Bank Melli hospitals were selected and divided into three groups of 28: Catheter removal after 24 hours, catheter removal after 48 hours, and catheter removal after 72 hours. The data were collected through self-reporting and interview. 72 hours after catheterization and voluntary urination, they completed a demographic form and a patient satisfaction questionnaire. The gathered data were analyzed by using descriptive and inferential statistics in SPSS software, version 16. Results All three groups showed high satisfaction with their urination and there was no significant difference among the groups (P=0.86). Regarding overall satisfaction, there was a significant difference among three groups (P=0.031), where the overall satisfaction was higher in patients with 24-hour catheterization. Conclusion Early removal of urinary catheters in patients undergoing lower limb fracture surgery is associated with their higher overall satisfaction.","PeriodicalId":17808,"journal":{"name":"Jundishapur Journal of Medical Sciences","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75534978","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}
Background and Objectives In this study, we aim to investigate the relationship of the numbers of days until blood expiration and pre-transfusion hemoglobin level with mortality rate in patients admitted to the intensive care unit (ICU) and received packed red blood cell (PRBC) transfusion. Subjects and Methods This is a retrospective cross-sectional study that was performed in 2020 on 205 patients admitted to the ICU of Al-Zahra Hospital in Isfahan, Iran in the past year and received PRBC transfusion. Their demographic information as well as information about related to the blood such as the number of days until PRBC expiration and pre-transfusion hemoglobin level were extracted from the patient’s medical records. Results The mean pre-transfusion hemoglobin level of patients was 10.53±2.8 g/dL. Male patients had significantly higher hemoglobin level than female patients (P<0.05). Of 205 patients, 55(26.8%) had a death outcome. The mortality rate was significantly higher in males than in females (P<0.05). The number of days until PRBC expiration was 11.52±3.71 days. It was not significantly different between the deceased and surviving patients (P>0.05). Also, the hemoglobin level of the deceased patients was significantly lower than that of surviving patients (P<0.05). The patients with underlying diseases had significantly lower pre-transfusion hemoglobin level and higher mortality. Conclusion The mortality rate among ICU patients received PRBC transfusion in the study hospital is 26.8%.
{"title":"Relationship Between Hemoglobin Level and the Expiration Date of Transfused Blood With the Death of Patients Admitted to the Intensive Care Unit","authors":"Babak Alikiaii, S. Hashemi, M. Mokhtari","doi":"10.32598/jsmj.21.4.2519","DOIUrl":"https://doi.org/10.32598/jsmj.21.4.2519","url":null,"abstract":"Background and Objectives In this study, we aim to investigate the relationship of the numbers of days until blood expiration and pre-transfusion hemoglobin level with mortality rate in patients admitted to the intensive care unit (ICU) and received packed red blood cell (PRBC) transfusion. Subjects and Methods This is a retrospective cross-sectional study that was performed in 2020 on 205 patients admitted to the ICU of Al-Zahra Hospital in Isfahan, Iran in the past year and received PRBC transfusion. Their demographic information as well as information about related to the blood such as the number of days until PRBC expiration and pre-transfusion hemoglobin level were extracted from the patient’s medical records. Results The mean pre-transfusion hemoglobin level of patients was 10.53±2.8 g/dL. Male patients had significantly higher hemoglobin level than female patients (P<0.05). Of 205 patients, 55(26.8%) had a death outcome. The mortality rate was significantly higher in males than in females (P<0.05). The number of days until PRBC expiration was 11.52±3.71 days. It was not significantly different between the deceased and surviving patients (P>0.05). Also, the hemoglobin level of the deceased patients was significantly lower than that of surviving patients (P<0.05). The patients with underlying diseases had significantly lower pre-transfusion hemoglobin level and higher mortality. Conclusion The mortality rate among ICU patients received PRBC transfusion in the study hospital is 26.8%.","PeriodicalId":17808,"journal":{"name":"Jundishapur Journal of Medical Sciences","volume":"41 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91264641","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}
Nahid Hosseinzade, Niloofar Rajai GhasemGheshlagi, R. Tahmasbi, A. Khorjahani, Mozafar Ghalavand
Background and Objectives Supplementation with amino acids for muscle recovery can be effective on oxidative stress and muscle damage. This study aims to compare the effects of pea protein and whey protein supplements on muscle damage, delayed onset muscle soreness (DOMS), and functional performance after high-intensity functional training (HIFT) bout in untrained overweight young men. Subjects and Methods In this randomized, double-blind, placebo-controlled clinical trial, 30 untrained overweight young men were selected by a purposive sampling method and divided randomly into three different groups of pea protein (n=10), Whey Protein (n=10), and placebo (n=10). Variables related to muscle damage and DOMS were measured 24 hours after HIFT. Repeated measures ANOVA and Bonferroni post hoc test were used to compare the differences between groups. Results There was a significant difference between the two evaluation stages. There was a significant difference between the Whey protein and pea protein groups compared to the placebo group (P<0.05), but no significant difference was found between the Whey protein and pea protein groups (P<0.05). Conclusion The use of Whey protein, compared to pea protein, can reduce muscle damage and DOMS following HIFT
{"title":"The Effect of Pea and Whey Protein Isolate Supplementation on Muscle Injury Following a Session of Intense Functional Activity","authors":"Nahid Hosseinzade, Niloofar Rajai GhasemGheshlagi, R. Tahmasbi, A. Khorjahani, Mozafar Ghalavand","doi":"10.32598/jsmj.21.4.2547","DOIUrl":"https://doi.org/10.32598/jsmj.21.4.2547","url":null,"abstract":"Background and Objectives Supplementation with amino acids for muscle recovery can be effective on oxidative stress and muscle damage. This study aims to compare the effects of pea protein and whey protein supplements on muscle damage, delayed onset muscle soreness (DOMS), and functional performance after high-intensity functional training (HIFT) bout in untrained overweight young men. Subjects and Methods In this randomized, double-blind, placebo-controlled clinical trial, 30 untrained overweight young men were selected by a purposive sampling method and divided randomly into three different groups of pea protein (n=10), Whey Protein (n=10), and placebo (n=10). Variables related to muscle damage and DOMS were measured 24 hours after HIFT. Repeated measures ANOVA and Bonferroni post hoc test were used to compare the differences between groups. Results There was a significant difference between the two evaluation stages. There was a significant difference between the Whey protein and pea protein groups compared to the placebo group (P<0.05), but no significant difference was found between the Whey protein and pea protein groups (P<0.05). Conclusion The use of Whey protein, compared to pea protein, can reduce muscle damage and DOMS following HIFT","PeriodicalId":17808,"journal":{"name":"Jundishapur Journal of Medical Sciences","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81251470","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}
Roya Alasvand Javadi, M. Tavalla, M. Beiromvand, Samira Razzaghi, R. Arjmand
Background and Objectives Acanthamoeba can cause serious diseases in humans such as amoebic keratitis and granulomatous amebic encephalitis which are most common in immunocompromised individuals. The present study aims to investigate the genotype of Acanthamoeba strains isolated from the oral and nasal cavities of immunocompromised individuals. Subjects and Methods In this study, the samples from the oral and nasal cavities of 179 patients with immunodeficiency were first collected by swap and then transferred to the laboratory of the department of parasitology at Ahvaz Jundishapur University of Medical Sciences. They were cultured in basic agar medium and positive samples were used for molecular studies. Results Of 179 patients, the samples of 6 people were positive for Acanthamoeba. They were sequenced and belonged to the T4 genotype. There was a significant difference between positive samples obtained from oral (4%) and nasal (1.5%) cavities. Conclusion The prevalence of infection with Acanthamoeba parasite is higher in immunocompromised individuals.
{"title":"Determining the Genotype of Acanthamoeba Strains Isolated From the Oral and Nasal Cavities of Individuals With Immunodeficiency","authors":"Roya Alasvand Javadi, M. Tavalla, M. Beiromvand, Samira Razzaghi, R. Arjmand","doi":"10.32598/jsmj.21.4.2181","DOIUrl":"https://doi.org/10.32598/jsmj.21.4.2181","url":null,"abstract":"Background and Objectives Acanthamoeba can cause serious diseases in humans such as amoebic keratitis and granulomatous amebic encephalitis which are most common in immunocompromised individuals. The present study aims to investigate the genotype of Acanthamoeba strains isolated from the oral and nasal cavities of immunocompromised individuals. Subjects and Methods In this study, the samples from the oral and nasal cavities of 179 patients with immunodeficiency were first collected by swap and then transferred to the laboratory of the department of parasitology at Ahvaz Jundishapur University of Medical Sciences. They were cultured in basic agar medium and positive samples were used for molecular studies. Results Of 179 patients, the samples of 6 people were positive for Acanthamoeba. They were sequenced and belonged to the T4 genotype. There was a significant difference between positive samples obtained from oral (4%) and nasal (1.5%) cavities. Conclusion The prevalence of infection with Acanthamoeba parasite is higher in immunocompromised individuals.","PeriodicalId":17808,"journal":{"name":"Jundishapur Journal of Medical Sciences","volume":"57 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82178591","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}
Shamsaldin Torfiamidpoor, A. Heydarei, B. Makvandi, Saeeid Bakhtiyarpoor
Background and Objectives Cancer is one of the most important diseases of the century. It is the second leading cause of death after cardiovascular diseases. Diagnosis of cancer followed by long treatment process is a stressful experience. This study aims to evaluate the effect of mindfulness-based stress reduction (MBSR) therapy on illness perception and rumination in patients with cancer. Subjects and Methods This quasi-experimental study was conducted with a pre-test, post-test, follow-up design. The statistical population consists of all patients (males and females) with cancer in Ahvaz, Iran in 2021. Using a purposive sampling method, 40 were selected and divide into the experimental and control groups (20 in each group). To collect data, the illness perception questionnaire of Moss-Morris et al. (2003) and the ruminative response scale of Nolen-Hoeksema and Morrow (1991) were used. The experimental group underwent MBSR (8 sessions 60 minutes), while the control group received no treatments. Data were analyzed using analysis of covariance. Results The MBSR was effective in improving illness perception and reducing rumination in patients (P<0.001). Conclusion MBSR can be used to improve illness perception and reduce rumination in patients with cancer.
背景与目的癌症是本世纪最重要的疾病之一。它是仅次于心血管疾病的第二大死因。诊断出癌症之后的长期治疗过程是一种压力很大的经历。本研究旨在探讨正念减压疗法(MBSR)对癌症患者疾病感知和反刍的影响。实验对象与方法本研究采用前测、后测、随访设计。统计人口包括2021年伊朗阿瓦士的所有癌症患者(男性和女性)。采用目的抽样的方法，选取40人分为实验组和对照组(每组20人)。收集数据采用Moss-Morris et al.(2003)的疾病知觉问卷和Nolen-Hoeksema and Morrow(1991)的反思反应量表。实验组接受正念减压(8次，60分钟)，对照组不接受任何治疗。数据分析采用协方差分析。结果正念减压能有效改善患者的疾病感知，减少反刍(P<0.001)。结论正念减压可以提高癌症患者的疾病感知，减少反刍。
{"title":"Effect of Mindfulness-based Stress Reduction Method on Illness Perception and Rumination in Patients With Cancer","authors":"Shamsaldin Torfiamidpoor, A. Heydarei, B. Makvandi, Saeeid Bakhtiyarpoor","doi":"10.32598/jsmj.21.4.2728","DOIUrl":"https://doi.org/10.32598/jsmj.21.4.2728","url":null,"abstract":"Background and Objectives Cancer is one of the most important diseases of the century. It is the second leading cause of death after cardiovascular diseases. Diagnosis of cancer followed by long treatment process is a stressful experience. This study aims to evaluate the effect of mindfulness-based stress reduction (MBSR) therapy on illness perception and rumination in patients with cancer. Subjects and Methods This quasi-experimental study was conducted with a pre-test, post-test, follow-up design. The statistical population consists of all patients (males and females) with cancer in Ahvaz, Iran in 2021. Using a purposive sampling method, 40 were selected and divide into the experimental and control groups (20 in each group). To collect data, the illness perception questionnaire of Moss-Morris et al. (2003) and the ruminative response scale of Nolen-Hoeksema and Morrow (1991) were used. The experimental group underwent MBSR (8 sessions 60 minutes), while the control group received no treatments. Data were analyzed using analysis of covariance. Results The MBSR was effective in improving illness perception and reducing rumination in patients (P<0.001). Conclusion MBSR can be used to improve illness perception and reduce rumination in patients with cancer.","PeriodicalId":17808,"journal":{"name":"Jundishapur Journal of Medical Sciences","volume":"161 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77419080","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}
Introduction: Hypertension is the most important risk factor for death and cardiovascular disease (CVD). Blood was referred to the clinic of Shariati Hospital in Isfahan in 2017-2018. Methods: The present study was a clinical trial with a pretest- post test design with a control group. 90 patients with hypertension referred to the internal clinic of Shariati Hospital were randomly divided into two groups of 45 people (control and intervention). For the intervention group, training based on health belief model and the control group performed routine training.Data collection tools included a health belief model questionnaire, a pamphlet and an educational booklet that was presented to each member of the individual education intervention group in two sessions two months apart. In the second visit, blood pressure of all patients was taken by the student and questionnaires were completed by the patients after the intervention. Results: The results showed that there was a statistically significant difference between the mean of the main indicators of sensitivity, severity, benefits and barriers in the intervention and control groups before and after the intervention (p-v <0.05). Conclusion: It seems that the health model is effective in controlling blood pressure in patients with hypertension. Keywords: education, hypertension and health belief pattern
{"title":"The effect of educational intervention based on health model on blood pressure control in patients with hypertension referred to the clinic of Shariati Hospital in Isfahan in 2017-2018","authors":"Samaneh Shojaeifar, hamed shojaeifar, A. Sobhani","doi":"10.32598/jsmj.20.6.1889","DOIUrl":"https://doi.org/10.32598/jsmj.20.6.1889","url":null,"abstract":"Introduction: Hypertension is the most important risk factor for death and cardiovascular disease (CVD). Blood was referred to the clinic of Shariati Hospital in Isfahan in 2017-2018. Methods: The present study was a clinical trial with a pretest- post test design with a control group. 90 patients with hypertension referred to the internal clinic of Shariati Hospital were randomly divided into two groups of 45 people (control and intervention). For the intervention group, training based on health belief model and the control group performed routine training.Data collection tools included a health belief model questionnaire, a pamphlet and an educational booklet that was presented to each member of the individual education intervention group in two sessions two months apart. In the second visit, blood pressure of all patients was taken by the student and questionnaires were completed by the patients after the intervention. Results: The results showed that there was a statistically significant difference between the mean of the main indicators of sensitivity, severity, benefits and barriers in the intervention and control groups before and after the intervention (p-v <0.05). Conclusion: It seems that the health model is effective in controlling blood pressure in patients with hypertension. Keywords: education, hypertension and health belief pattern","PeriodicalId":17808,"journal":{"name":"Jundishapur Journal of Medical Sciences","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85571784","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}
Maryamsadat Heydarian, Maryam Gholamzadehjefreh, M. Shahbazi
Background and objective: Sexual pain disorders including dyspareunia and vaginismus are important in the field of pain because this type of pain is part of emotional behaviors in marital relationships such as sexual intimacy and vaginal intercourse. Methods: This study was conducted with a qualitative approach and using inductive contractual content analysis method. 9 female participants with pain disorders were selected by purposive sampling method and data collection through semi-structured interviews until the data reached saturation. continued. After data collection, the main components were extracted. First, the semantic units were identified and then turned into psychological expressions. Finally, the general structure was determined and combined. In general, thirteen predictive categories were identified using research data analysis. Accordingly, previous categories of this experience include incorrect family sex education, incorrect religious attitude, sexual abuse, phobia, fatigue, lack or insufficiency of sexual awareness, sexual disorders of the spouse, psychological disorders of the spouse, fear of pregnancy , Lack of foreplay, suppression of sexual desire, previous failed marriage and viewing pornographic images.
{"title":"Explaining the antecedents vaginismus and dysparonia disorder in women:A qualitative study","authors":"Maryamsadat Heydarian, Maryam Gholamzadehjefreh, M. Shahbazi","doi":"10.32598/jsmj.20.6.2365","DOIUrl":"https://doi.org/10.32598/jsmj.20.6.2365","url":null,"abstract":"Background and objective: Sexual pain disorders including dyspareunia and vaginismus are important in the field of pain because this type of pain is part of emotional behaviors in marital relationships such as sexual intimacy and vaginal intercourse. Methods: This study was conducted with a qualitative approach and using inductive contractual content analysis method. 9 female participants with pain disorders were selected by purposive sampling method and data collection through semi-structured interviews until the data reached saturation. continued. After data collection, the main components were extracted. First, the semantic units were identified and then turned into psychological expressions. Finally, the general structure was determined and combined. In general, thirteen predictive categories were identified using research data analysis. Accordingly, previous categories of this experience include incorrect family sex education, incorrect religious attitude, sexual abuse, phobia, fatigue, lack or insufficiency of sexual awareness, sexual disorders of the spouse, psychological disorders of the spouse, fear of pregnancy , Lack of foreplay, suppression of sexual desire, previous failed marriage and viewing pornographic images.","PeriodicalId":17808,"journal":{"name":"Jundishapur Journal of Medical Sciences","volume":"54 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87041911","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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