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Comparison of The Effect of Intra-Articular Injection of Autologous (Orthokine) Interleukin-1 (IL-1Ra) Receptor Antagonist and Hyaluronic Acid in Pain Control of Knee Osteoarthritis 关节内注射自体白细胞介素-1 (IL-1Ra)受体拮抗剂与透明质酸对膝关节骨性关节炎疼痛控制效果的比较
Pub Date : 2019-08-09 DOI: 10.22037/NBM.V7I3.25121
M. Hashemi, M. Taheri, Hossein Adlkhoo, Payman Dadkhah, M. Abbasian
Background: Due to the limitations of more common treatments of osteoarthritis, pharmaceutical research has been increasingly conducted during the past two decades with the aim of determining the rate of recovery of the disease' symptoms and making the process of disease progression slow. The purpose of this study was to compare the effect of intra-articular injection of autologous interleukin-1 Receptor Antagonist and hyaluronic acid in pain control of knee osteoarthritis. M aterials and Methods: A total of 60 patients with knee osteoarthritis were allocated to two groups of 30 in this randomized double-blind clinical trial. In the intervention group, injection of 2 milliliter of interleukin-1 receptor antagonist (Orthokine) into the knee joint was performed three times at intervals of one week (base time, seventh day and fourteenth day). In the control group, three injections of two milliliters of hyaluronic acid solution into the knee joint were performed at intervals of one week. Pain, symptoms, daily activities, sport-recreational performance, and knee-related quality of life were five outcomes investigated by completing two questionnaires, the knee injury and osteoarthritis outcome score (KOOS), Western Ontario, and McMaster Universities Arthritis Index (WOMAC) by the patients on two occasions before the start of treatment and six months after the last injection. Repeated measure and t-test were statistical tests used in this study. R es ults: The mean score of pain in the first month (p=0.005) and the sixth (p=0.049) in the intervention group was less than the control group. Based on the scores of the KOOS questionnaire, the mean score of symptoms (p=0.006), daily activities (p=0.001) and sport-recreational performance (p=0.037) in the Orthokine group were higher than the hyaluronic acid group after six months. Also, the results of the questionnaire WOMAC show that while before the start of treatment, the mean of physical performance in the Orthokine group is greater than the control group, there is no difference in any of the indicators of pain, dryness of the joint, physical performance, and total score (p=0.319) in the sixth month. C onclusion: According to the findings of this study, it seems that Orthokine has beneficial biological effects in patients with knee osteoarthritis. Intra-articular injection of Orthokine is a low invasive, safe and effective method, which can be considered as an appropriate choice in patients with chronic knee pain.
背景:由于骨关节炎常见治疗方法的局限性,在过去的二十年中,越来越多的药物研究以确定疾病症状的恢复速度和减缓疾病进展的过程为目的。本研究的目的是比较关节内注射自体白细胞介素-1受体拮抗剂和透明质酸对膝关节骨关节炎疼痛控制的效果。材料与方法:将60例膝关节骨性关节炎患者随机分为两组,每组30人。干预组膝关节内注射白细胞介素-1受体拮抗剂(Orthokine) 2毫升,每隔一周(基础时间、第7天、第14天)注射3次。在对照组中,每隔一周向膝关节内注射三次2毫升透明质酸溶液。疼痛、症状、日常活动、运动娱乐表现和膝关节相关生活质量是患者在治疗开始前两次和最后一次注射后六个月完成的两份调查问卷,膝关节损伤和骨关节炎结局评分(oos)、安大略省西部和麦克马斯特大学关节炎指数(WOMAC)。本研究采用重复测量和t检验进行统计检验。结果:干预组患者第1个月和第6个月的疼痛平均评分(p=0.005)均低于对照组(p=0.049)。根据oos问卷评分,6个月后,Orthokine组的症状平均评分(p=0.006)、日常活动(p=0.001)和运动-娱乐表现(p=0.037)均高于玻尿酸组。同时,问卷WOMAC结果显示,治疗开始前,Orthokine组的体能表现均值大于对照组,但在治疗第6个月时,疼痛、关节干燥、体能表现、总分等指标均无差异(p=0.319)。C结论:根据本研究结果,Orthokine似乎对膝关节骨关节炎患者具有有益的生物学效应。关节内注射Orthokine是一种低侵入性、安全有效的方法,可以考虑作为慢性膝关节疼痛患者的合适选择。
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引用次数: 2
The explanation and effectiveness of intellectual and behavioral components in satisfying the lives of married women 已婚妇女生活满意度中智力和行为因素的解释和有效性
Pub Date : 2019-08-09 DOI: 10.22037/NBM.V7I3.24673
Akram Ghashghayi, K. Farahbaksh, Asieh Shariatmadar, A. Moatamedi
Background: The aim of this study was to determine the components of the educational model of intellectual and behavioral principles in healthy interpersonal relationships based on the Holy Quran and its effectiveness on marital satisfaction of married women. Research was arranged in two sections. Materials and Methods: The research method was qualitative in the first part and was quantitative in the second part. In the qualitative section, after researching and searching in the sources of the Quran, which was carried out by a qualitative method in the form of thematic analysis, ultimately the intellectual and practical principles in the healthy interpersonal relations based on the Holy Quran were determined and explained. The method of the second part of the research is quantitative and of type Semi-experimental, with pre-test-posttest design with control group and random selection. For this purpose, 30 married women with children from Tehran selected in a sample of 30-97 years old and randomly assigned to two groups of 15 subjects. The instrument of this research was a survival satisfaction questionnaire (SWIS). The experimental group was placed under the training of the principles of intellectual and behavioral training in healthy interpersonal relationships based on the Holy Qur'an for two months. Results: The results of the hypothesis test showed that the components of the educational model of intellectual and behavioral principles in healthy interpersonal relationships based on the Holy Quran On the other hand, life satisfaction variable (83.36, F=0.001) had a significant effect. This power is 100%. In other words, there was a significant difference between the experimental group and the control group in terms of the variables. Conclusion: In explaining this finding, it could be said that the sacred religion of Islam in various aspects of family life has provided useful commands and teachings. In Islamic religion, marriage and family are declared the most beloved and dearest human institution to God, and the adoption of these orders can affect the satisfaction of couple’s life.
背景:本研究的目的是确定以《古兰经》为基础的健康人际关系的智力和行为原则教育模式的组成部分及其对已婚妇女婚姻满意度的影响。研究分为两部分。材料与方法:第一部分采用定性研究方法,第二部分采用定量研究方法。在定性部分,通过专题分析的定性方法,对古兰经的来源进行研究和搜索,最终确定并解释了以《古兰经》为基础的健康人际关系的知识原则和实践原则。第二部分的研究方法是定量的半实验型,采用前测后测设计,随机选择对照组。为此,从30-97岁的德黑兰已婚妇女中选出30名有孩子的妇女,随机分为两组,每组15人。本研究的工具是生存满意度问卷(SWIS)。实验组接受以《古兰经》为基础的健康人际关系的智力和行为训练原则的训练,为期两个月。结果:假设检验结果显示,以《古兰经》为基础的健康人际关系的智力原则和行为原则教育模式的组成部分,生活满意度变量(83.36,F=0.001)对健康人际关系有显著影响。这个幂是100%。换句话说,实验组和对照组在变量方面存在显著差异。结论:在解释这一发现时,可以说神圣的伊斯兰教在家庭生活的各个方面提供了有用的命令和教义。在伊斯兰教中,婚姻和家庭被宣布为上帝最喜爱和最亲爱的人类制度,这些秩序的采用可以影响夫妻生活的满意度。
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引用次数: 0
Cause-Specific Mortality among HIV-Infected Persons in One Medical Center, Tehran, Iran 伊朗德黑兰一家医疗中心艾滋病毒感染者的病因特异性死亡率
Pub Date : 2019-08-09 DOI: 10.22037/NBM.V7I3.24278
Zahra Arab-Mazar, Fahimeh Hadavand, P. Tabarsi, F. Abbasi
Background: Human immunodeficiency virus (HIV) is one of the major infectious agents, which has important role in the public health challenges, which have affected the world's economic and social situation recent decades. During the last decades, millions of people died due to HIV infection worldwide. However, data remain limited on the causes of death among HIV-infected in Iranian population. The aim of the present study was to assess the cause specific death among HIV positive inpatient persons in Iran. M aterials and Methods: This surveillance was conducted on inpatient HIV positive admissions at Masih Daneshvari Hospital, Tehran, Iran during October 2016 and April 2017.All patient’s data were collected via abstraction form, which were ascertained, from medical records and from written logbooks that were kept by the nursing staff on the ward. The data of each admission was recorded from the medical reports at the time of admission and upon discharge. All laboratory data were collected and recorded separately. R es ults: Fifty persons were diagnosed as HIV-infected patients, of which 58% of them were classified as AIDS patients. Our findings indicated that the cause of hospitalization were pulmonary 54%, neurological 20%, gastrointestinal 16%, and dermal 10% complications. Overall, 21 patients (42%) were diagnosed with pulmonary tuberculosis, of which one patient died from tuberculosis complications. Four patients died during the study period. C onclusion: In conclusion, early treatment and/or early use of ART can be improved outcomes. Therefore, early HIV testing and early ART use play important role in mortality reduction among eligible persons.
背景:人类免疫缺陷病毒(HIV)是主要的传染性病原体之一,在公共卫生挑战中发挥着重要作用,近几十年来影响着世界经济和社会形势。在过去的几十年中,全世界有数百万人死于艾滋病毒感染。然而,关于伊朗艾滋病毒感染者死亡原因的数据仍然有限。本研究的目的是评估伊朗艾滋病毒阳性住院患者的死因特异性死亡。材料和方法:对2016年10月至2017年4月在伊朗德黑兰Masih Daneshvari医院住院的HIV阳性患者进行监测。所有患者资料均通过抽取表格收集,抽取表格由病区护理人员保存的病历和书面日志中确定。每次入院的数据都记录在入院时和出院时的医疗报告中。所有实验室数据均单独收集和记录。结果:50人被诊断为hiv感染者,其中58%的人被归为艾滋病患者。我们的研究结果表明,住院的原因是肺部并发症占54%,神经系统并发症占20%,胃肠道并发症占16%,皮肤并发症占10%。总体而言,21名患者(42%)被诊断为肺结核,其中1名患者死于肺结核并发症。4名患者在研究期间死亡。结论:总之,早期治疗和/或早期使用抗逆转录病毒治疗可以改善预后。因此,早期艾滋病毒检测和早期使用抗逆转录病毒治疗在降低符合条件的人的死亡率方面发挥着重要作用。
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引用次数: 0
Effect of ankle sprain on postural control and electrical activity of selected muscles after single-leg jump landing task 踝关节扭伤对单腿起跳落地后姿势控制及部分肌肉电活动的影响
Pub Date : 2019-08-09 DOI: 10.22037/NBM.V7I3.24860
B. Maleki, Zahed Mantashloo, Shahin Salehi, Amir Hosein Abedi Yekta
Background: Ankle joint plays an important role in restoring the balance of individuals. Ankle sprain injury effects on balance of affected individuals. The changes in the postural control and activity of the ankle muscle, because of ankle sprain, can put the patients at reinjure risk and lower extremity injuries, especially during dynamic activities. The aim of this study was to investigate the electrical activity of ankle joint stabilizer muscles and postural stability after single-leg jump landing in individuals with ankle sprain. M aterials and Methods: In this cross-sectional study, 30 non-athletic students were participated. They were divided in two groups of 15 people, in the form of accessible and purposeful. Subjects was asked to land on a force plate with Single-leg, by at least 80% of their maximum jump. The com-cop changes assessment was used as an indicator for postural control evaluation. After jump landing, muscles activity was recorded on the ankle joint by surface electromyography (EMG) device. MATLAB software was used to analyze data, and MANOVA test was performed to compare two groups. R es ults: The results showed a significant reduction in EMG of soleus, gastrocnemius, and peroneus longus muscles (p=0.03, p=0.01 and p=0.006 respectively). Tibialis anterior activity significantly increased (p=0.001) in patient group than to healthy group. Postural control was significantly lower in patient group than healthy group, in all directions (p=0.00 and p=0.00 respectively). C onclusion: Decreased postural control indicates changes in EMG of the stabilizer muscles of this joint in people with ankle sprain injury.
背景:踝关节在恢复个体平衡中起着重要的作用。踝关节扭伤对患者平衡能力的影响。踝关节扭伤引起的踝关节肌肉姿势控制和活动的改变,使患者有再损伤和下肢损伤的危险,尤其是在进行动态活动时。本研究的目的是研究踝关节扭伤患者单腿跳着地后踝关节稳定肌的电活动和姿势稳定性。材料与方法:本研究以30名非运动学生为研究对象。他们被分成两组,每组15人,以方便和有目的的形式。被试者被要求单腿着地在一个力板上,至少是他们最大起跳的80%。体位控制评价指标采用体位变化评价。跳落地后,用肌表电(EMG)仪记录踝关节肌肉活动。采用MATLAB软件对数据进行分析,两组比较采用方差分析检验。结果:结果显示比目鱼肌、腓肠肌、腓骨长肌肌电图明显减少(p=0.03, p=0.01, p=0.006)。患者组胫骨前肌活动明显高于健康组(p=0.001)。在各方向上,患者组的姿势控制均明显低于健康组(p=0.00和p=0.00)。C结论:踝关节扭伤损伤患者的姿势控制能力下降表明该关节稳定肌的肌电图发生了变化。
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引用次数: 2
Evaluating the Effect of Melatonin on Pain Control and Quality of Life in Patients with Chronic Low Back Pain: A Randomized Clinical Trial 评估褪黑素对慢性腰痛患者疼痛控制和生活质量的影响:一项随机临床试验
Pub Date : 2019-06-23 DOI: 10.22037/NBM.V7I3.23691
M. Hashemi, Payman Dadkhah, M. Taheri, M. Ghasemi
Background: Almost everyone experiences low back pain at some point in his or her lives. Low back pain is becoming more prevalent in low-income and middle-income countries much more rapidly than in high-income countries. The objective of this study was to evaluate the effect of melatonin on pain control and quality of life in patients with chronic low back pain. M aterials and Methods: Sixty patients with low back pain aged 45 and 75 years, with a history of back pain more for than 12 weeks and visual analogue scale (VAS) score more than three, who were referred to pain clinics of Akhtar Hospitals (Tehran, Iran) during June to August 2018. Patients were randomly assigned to one of the melatonin or control groups. Control group received diclofenac sodium 25mg tablet two or three times daily and the experimental or melatonin group, in addition to receiving diclofenac sodium 25mg tablet twice a day, received melatonin tablet (3mg) 30 to 40 minutes before bedtime for four weeks. Before the beginning of the study, at the end of the fourth week, both groups underwent VAS test and the levels of IL-1β and TNF-α were measured in these groups and they were asked to complete the quality of life questionnaire. Analysis of the data done by using covariance and Shapiro-Wilk tests through SPSS 22. R es ults: Melatonin consumption reduced the pain and level of IL-1β and TNF-α in the experimental group compared to the control group (p 0.05). C onclusion: In general, it can be stated that use of melatonin, in addition to reducing the pain, reduces the anti-inflammatory factors in patients with chronic low back pain. Based on the results of this study, melatonin can be recommended as a supplement for treatment of chronic low back pain.
背景:几乎每个人在他或她的生活中的某个时候都会经历下腰痛。腰痛在低收入和中等收入国家变得更加普遍,比在高收入国家要快得多。本研究的目的是评估褪黑素对慢性腰痛患者疼痛控制和生活质量的影响。材料与方法:2018年6月至8月在伊朗德黑兰Akhtar医院疼痛门诊就诊的60例腰痛患者,年龄45岁至75岁,腰痛病史超过12周,视觉模拟评分(VAS)评分超过3分。患者被随机分配到褪黑素组或对照组。对照组患者给予双氯芬酸钠25mg片,每日2 ~ 3次;试验组或褪黑素组患者在每日2次双氯芬酸钠25mg片的基础上,于睡前30 ~ 40分钟给予褪黑素片(3mg),连续4周。在研究开始前,第四周结束时,两组患者均进行VAS测试,测量各组患者IL-1β和TNF-α水平,并填写生活质量问卷。数据分析采用协方差和夏皮罗-威尔克检验通过SPSS 22。结果:与对照组相比,褪黑素治疗组疼痛减轻,IL-1β、TNF-α水平降低(p < 0.05)。C结论:总的来说,可以认为使用褪黑激素除了减轻疼痛外,还可以降低慢性腰痛患者的抗炎因子。基于本研究的结果,褪黑素可以推荐作为治疗慢性腰痛的补充。
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引用次数: 0
Cytotoxic activity of Rosa damascene mill, Alliumsativum, Allium hirtifolium Boiss, and Prosopis farcta extracts on human cervical carcinoma cell line 大马士革蔷薇、葱、毛叶葱和羊参提取物对人宫颈癌细胞系的细胞毒活性
Pub Date : 2019-06-19 DOI: 10.22037/NBM.V7I3.24373
E. Khadem, E. Faghihloo, T. Mokhtari-azad, M. Kamalinejad, K. razavi, M. Norouzi
Background: Cervical cancer is one of the major reasons of cancer-related mortality. Human papillomavirus is the most common sexually transmitted viral infection, which can lead to cervical cancer. There is no powerful chemotherapeutic agent for HPV infection and cervical cancer. Some plants have the proper potential to be used for treatment of cervical cancer caused by HPV type 18. Materials and Methods: In this study, cytotoxic effect of extract of four indigenous Iranian plants including Rosa damascene mill, Allium sativum, Allium hirtifolium boiss and Prosopis farcta were investigated on the HeLa cell line. HeLa cells were incubated with different concentrations of extracts and then the cell viability was measured by MTT assay. Results: The viable cell numbers were decreased by increase of the extracts concentration. The Allium sativum showed the higher cytotoxicity in all concentrations than the other ones. Afterwards, Allium hirtifolium Boiss, Rosa damascene mill, and Prosopis farcta showed maximum efficiency to decrease cell viability, respectively. Conclusion: The above four mentioned plants might be used for death of HeLa cell harboring HPV type 18. Therefore, they could be employed as a chemotherapeutic agent in the cervical cancer treatment in future.
背景:宫颈癌是癌症相关死亡的主要原因之一。人乳头瘤病毒是最常见的性传播病毒感染,可导致宫颈癌。目前还没有针对HPV感染和宫颈癌的有效化疗药物。一些植物有适当的潜力用于治疗由HPV 18型引起的宫颈癌。材料与方法:研究了4种伊朗本土植物(Rosa damascene mill、Allium sativum、Allium hirtifolium boiss和Prosopis farcta)提取物对HeLa细胞系的细胞毒作用。用不同浓度的提取物培养HeLa细胞,用MTT法测定细胞活力。结果:随着提取物浓度的增加,活细胞数量减少。在不同浓度下,大蒜的细胞毒性均高于其他浓度。其次,葱、蔷薇和棘豆对细胞活力的降低效果最大。结论:上述4种植物可用于hpv18型HeLa细胞的死亡。因此,它们可以作为一种化疗药物用于宫颈癌的治疗。
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引用次数: 0
A Comparative Study of Anxiety and Depression in Patient Undergoing Assisted Reproductive Technology with Donated Oocyte in Comparison with autologous oocyte in Infertile Women 不孕妇女接受捐赠卵母细胞与自体卵母细胞辅助生殖技术患者焦虑和抑郁的比较研究
Pub Date : 2019-06-19 DOI: 10.22037/NBM.V7I3.23764
Zahra Haidari, Masoumeh Mirzamoradi, Maryam Soleymannezhad
Background: Since healthy psychological condition, influence the quality of life and social function. Infertility can be one of the stressful situation for every human. Therefore, in this study we assessed some psychological factors such as stress and depression in women who are candidates for taking ART with donated oocytes or autologous oocytes. M aterials and Methods: This cross sectional study was done in Tehran, Mahdieh hospital, during the 2016-2017. Patients who came one day before replacement of embryos, filled Beck and STAI questionnaires and their demographic information. R es ults: The incidence of severe degrees of depression and state anxiety and trait anxiety in patients treated by donated oocytes is more in patients who treated by autologous oocytes. C onclusion: Psychological situation was worse in patients treated by donated oocytes.
背景:由于健康的心理状况,影响生活质量和社会功能。不孕不育对每个人来说都是一种压力。因此,在这项研究中,我们评估了一些心理因素,如压力和抑郁的妇女谁是接受捐赠卵母细胞或自体卵母细胞抗逆转录病毒治疗的候选人。材料和方法:本横断面研究于2016-2017年在德黑兰Mahdieh医院完成。在胚胎置换前一天来的患者填写Beck和STAI的问卷以及他们的人口统计信息。结果:自体卵母细胞治疗患者重度抑郁、状态焦虑和特质焦虑的发生率高于自体卵母细胞治疗患者。结论:接受卵母细胞捐献的患者心理状况较差。
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引用次数: 2
Determination of Effect of Platelet Rich Plasma Injection on Improving Pain and Function in Young Healthy Athletes with Isolated Grade 2 or 3 Knee Medial Collateral Ligament Sprains 富血小板血浆注射对改善年轻健康运动员孤立性2级或3级膝关节内侧副韧带扭伤疼痛和功能的影响
Pub Date : 2019-06-19 DOI: 10.22037/NBM.V7I3.23862
Farzad Sharaki, M. P. Esfahani, M. Sajjadi, Shahin Salehi, A. A. Yekta, Mohamad Hasabi
Background: Knee medial collateral ligament (MCL) sprain is common in athletes, which keeps them away from trainings. Platelet-rich plasma (PRP) injection is used as an adjunct for treatment of musculoskeletal injuries. This study was supposed to define effect of PRP injection on high-grade MCL sprain healing, in comparison to rehabilitation alone. M aterials and Methods: This study was performed on 46 healthy athletes with high-grade MCL sprains who came to sports medicine clinic of Taleghani Hospital, Tehran over a one-year period (2017-2018). In first visit injury grade, its location, baseline pain, Lysholm score and joint stability was determined. Participants randomly allocated to 2 groups (n=23), “group A” had 12-week functional rehabilitation and “group B” had the same rehabilitation plus a single PRP injection. At 4-week intervals valgus stress testing, pain and Lysholm scores was reassessed. The scores of 4 th , 8 th and 12 th weeks was compared to the baseline scores. R es ults: Mean baseline pain score in control and intervention group was 5.09±0.949 and 5.26±0.810 respectively that in the fourth week of study reduced to 1.30±0.765 and 2.43±0.507 (p<0.001). In intervention group, fourth week pain was significantly reduced while stability and Lysholm scores of the groups had no significant difference. C onclusion: PRP injection had a short-term statistically significant pain reduction effect that may assist in faster rehabilitation progress, shorter return to play and less detraining which is crucial to professional athletes.
背景:膝关节内侧副韧带(MCL)扭伤在运动员中很常见,使他们无法进行训练。富血小板血浆(PRP)注射被用作治疗肌肉骨骼损伤的辅助手段。本研究旨在确定PRP注射对重度MCL扭伤愈合的影响,与单独康复相比。材料与方法:本研究选取了2017-2018年在德黑兰Taleghani医院运动医学诊所就诊的46名患有重度MCL扭伤的健康运动员为研究对象。首次就诊时,确定损伤等级、位置、基线疼痛、Lysholm评分和关节稳定性。参与者随机分为2组(n=23), A组进行为期12周的功能康复,B组进行相同的康复治疗并注射单次PRP。每隔4周进行外翻压力测试,重新评估疼痛和Lysholm评分。第4周、第8周和第12周的评分与基线评分比较。结果:对照组和干预组基线疼痛评分分别为5.09±0.949和5.26±0.810,研究第4周分别为1.30±0.765和2.43±0.507 (p<0.001)。干预组第四周疼痛明显减轻,各组稳定性和Lysholm评分无显著差异。C结论:PRP注射具有短期统计学意义的疼痛减轻效果,可能有助于更快的康复进度,更短的恢复比赛和更少的去训练,这对专业运动员至关重要。
{"title":"Determination of Effect of Platelet Rich Plasma Injection on Improving Pain and Function in Young Healthy Athletes with Isolated Grade 2 or 3 Knee Medial Collateral Ligament Sprains","authors":"Farzad Sharaki, M. P. Esfahani, M. Sajjadi, Shahin Salehi, A. A. Yekta, Mohamad Hasabi","doi":"10.22037/NBM.V7I3.23862","DOIUrl":"https://doi.org/10.22037/NBM.V7I3.23862","url":null,"abstract":"Background: Knee medial collateral ligament (MCL) sprain is common in athletes, which keeps them away from trainings. Platelet-rich plasma (PRP) injection is used as an adjunct for treatment of musculoskeletal injuries. This study was supposed to define effect of PRP injection on high-grade MCL sprain healing, in comparison to rehabilitation alone. M aterials and Methods: This study was performed on 46 healthy athletes with high-grade MCL sprains who came to sports medicine clinic of Taleghani Hospital, Tehran over a one-year period (2017-2018). In first visit injury grade, its location, baseline pain, Lysholm score and joint stability was determined. Participants randomly allocated to 2 groups (n=23), “group A” had 12-week functional rehabilitation and “group B” had the same rehabilitation plus a single PRP injection. At 4-week intervals valgus stress testing, pain and Lysholm scores was reassessed. The scores of 4 th , 8 th and 12 th weeks was compared to the baseline scores. R es ults: Mean baseline pain score in control and intervention group was 5.09±0.949 and 5.26±0.810 respectively that in the fourth week of study reduced to 1.30±0.765 and 2.43±0.507 (p<0.001). In intervention group, fourth week pain was significantly reduced while stability and Lysholm scores of the groups had no significant difference. C onclusion: PRP injection had a short-term statistically significant pain reduction effect that may assist in faster rehabilitation progress, shorter return to play and less detraining which is crucial to professional athletes.","PeriodicalId":19372,"journal":{"name":"Novelty in Biomedicine","volume":"21 1","pages":"147-157"},"PeriodicalIF":0.0,"publicationDate":"2019-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89339116","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}
引用次数: 2
Assessing the effectiveness of cognitive behavioral stress management (CBSM) on pain perception of cancer patients 认知行为应激管理(CBSM)对癌症患者疼痛感知的影响
Pub Date : 2019-05-01 DOI: 10.22037/NBM.V7I2.24272
Ali Asadbeygi, H. Ahadi, H. Mirzaei
Background: Disease-related cancer pain is a multidimensional phenomenon. Psychological factors that may alter pain perception in cancer patients have not been well studied. The purpose of this study was to determine the effectiveness of cognitive-behavioral stress therapy on distress in patients with cancer. Patients and Methods: In a cross-sectional study of consecutive patients (32-70 years ) , progression of their disease was at levels 1 to 3, high cycle education, and 3 months of chemotherapy, of which 40 were randomly available to the study and allocated to two groups (20 in experimental and 20 in control groups). The instrument was a McGill pain questionnaire (1997). Data were analyzed using two methods of Kolmogorov-Smirnov inferential statistics and multivariate analysis of covariance using SPSS Ver.17. R es ults: Correlation analysis showed that the experimental group had a significant reduction in perception of pain, in the posttest after the experiment compared with the control group. C onclusion: The short-term cognitive-behavioral stress management program could reduce the perception of pain in cancer patients.
背景:与疾病相关的癌痛是一个多维度的现象。可能改变癌症患者疼痛感知的心理因素尚未得到很好的研究。本研究的目的是确定认知行为应激疗法对癌症患者痛苦的有效性。患者和方法:在一项连续患者(32-70岁)的横断面研究中,他们的疾病进展为1至3级,高周期教育,化疗3个月,其中40人随机进入研究,并分为两组(实验组20人,对照组20人)。该工具为McGill疼痛问卷(1997)。数据分析采用Kolmogorov-Smirnov推理统计和SPSS Ver.17多变量协方差分析两种方法。结果:与对照组相比,实验组在实验结束后的后测中对疼痛的感知明显降低。结论:短期认知行为应激管理方案可降低肿瘤患者的疼痛感。
{"title":"Assessing the effectiveness of cognitive behavioral stress management (CBSM) on pain perception of cancer patients","authors":"Ali Asadbeygi, H. Ahadi, H. Mirzaei","doi":"10.22037/NBM.V7I2.24272","DOIUrl":"https://doi.org/10.22037/NBM.V7I2.24272","url":null,"abstract":"Background: Disease-related cancer pain is a multidimensional phenomenon. Psychological factors that may alter pain perception in cancer patients have not been well studied. The purpose of this study was to determine the effectiveness of cognitive-behavioral stress therapy on distress in patients with cancer. Patients and Methods: In a cross-sectional study of consecutive patients (32-70 years ) , progression of their disease was at levels 1 to 3, high cycle education, and 3 months of chemotherapy, of which 40 were randomly available to the study and allocated to two groups (20 in experimental and 20 in control groups). The instrument was a McGill pain questionnaire (1997). Data were analyzed using two methods of Kolmogorov-Smirnov inferential statistics and multivariate analysis of covariance using SPSS Ver.17. R es ults: Correlation analysis showed that the experimental group had a significant reduction in perception of pain, in the posttest after the experiment compared with the control group. C onclusion: The short-term cognitive-behavioral stress management program could reduce the perception of pain in cancer patients.","PeriodicalId":19372,"journal":{"name":"Novelty in Biomedicine","volume":"49 1","pages":"130-133"},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83661235","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}
引用次数: 0
Fabrication and Characterization of Covalently Functionalized poly Caprolactone Scaffold for Bone Tissue Engineering Application 骨组织工程用共价功能化聚己内酯支架的制备与表征
Pub Date : 2019-05-01 DOI: 10.22037/NBM.V7I2.22015
N. Sadeghzade, M. Nouri, A. Nateri, M. Soleimani
Background: Healing bone involves osteoconductive and osteoinductive components as well as a scaffold with adequate porosity to allow good cell infiltration. M aterials and Methods: Herein, cytocompatibility and osteogenic induction potential of polycaprolactone (PCL) nanofibrous electrospun scaffold with different electron microscopy, MTT assay, DAPI and alizarin porosities (35%-90%) and chemical bonding was assessed through scanning red S staining, calcium content and alkaline phosphatase assay. Moreover, the relative expression of three important osteogenic-related genes Col I, RUNX 2 and osteocalcin was studied. R es ults: Covalent bonding played a more significant osteogenic role in scaffolds in scaffolds with lower porosity, namely H35cov. Although low porosity limits cell infiltration, substrate with lower porosities were easier to handle. On the other hand, substrates with higher porosity showed higher levels of cell proliferation, mineralization as well as osteogenic differentiation. C onclusion: Results indicated that PCL scaffold with higher porosity degree up to 90%, covalently functionalized by collagen, and hydroxyapatite nanoparticles was a good candidate for bone tissue engineering applications.
背景:骨愈合包括骨传导和骨诱导成分以及具有足够孔隙度的支架,以允许良好的细胞浸润。材料和方法:通过扫描红S染色、钙含量和碱性磷酸酶测定,对聚己内酯(PCL)纳米纤维电纺丝支架的细胞相容性和成骨诱导电位进行了不同的电镜、MTT测定、DAPI和茜素孔隙率(35% ~ 90%)及化学键的评价。此外,我们还研究了三个重要的成骨相关基因Col I、runx2和骨钙素的相对表达。结果:在孔隙率较低的支架中,即H35cov,共价键对支架的成骨作用更为显著。虽然孔隙率低限制了细胞的渗透,但孔隙率低的基质更容易处理。另一方面,孔隙度越高的基质细胞增殖、矿化和成骨分化水平越高。结论:孔隙度高达90%、胶原共价功能化、羟基磷灰石纳米颗粒的PCL支架具有良好的骨组织工程应用前景。
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引用次数: 2
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Novelty in Biomedicine
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