Pub Date : 2021-01-01DOI: 10.30483/RIJM.2021.254167.1021
Bahman Hajatnia, Buick Tajeri, K. H. Alizadeh
Background: Aging currently has a major share of population composition. The aim of this study was to determine the effectiveness of acceptance and commitment therapy (ACT) on sleep quality, resilience, and death anxiety of the elderly. Methods: The research method was pre-test, post-test with two-month follow-up period with control group. The statistical population of this study included all elderly residents in nursing homes in Shiraz in 2019. The sample consisted of 30 people from the mentioned population who were selected by convenience sampling method and assigned to two groups of acceptance and commitment therapy (n=15), and control group (n=15) using simple randomization method. Data were collected using a resilience questionnaire (Conner-Davidson, 2003), Death Anxiety Scale (Collette-Lester, 1969), and Pittsburgh Sleep Quality Questionnaire. Data were analyzed using the repeated measure ANOVA, and the above statistical analysis was performed using SPSS.22 software. Results: The results showed that acceptance and commitment therapy was effective on improving sleep quality (p <0.001) and resilience (p <0.001) and death anxiety (p <0.001) in elderly people. Conclusion: It can be concluded that acceptance and commitment therapy was effective on improving sleep quality and resilience and death anxiety in elderly people.
{"title":"Effectiveness of Acceptance and Commitment Therapy in Sleep Quality, Resil- ience, and Death Anxiety in the Elderly","authors":"Bahman Hajatnia, Buick Tajeri, K. H. Alizadeh","doi":"10.30483/RIJM.2021.254167.1021","DOIUrl":"https://doi.org/10.30483/RIJM.2021.254167.1021","url":null,"abstract":"Background: Aging currently has a major share of population composition. The aim of this study was to determine the effectiveness of acceptance and commitment therapy (ACT) on sleep quality, resilience, and death anxiety of the elderly. Methods: The research method was pre-test, post-test with two-month follow-up period with control group. The statistical population of this study included all elderly residents in nursing homes in Shiraz in 2019. The sample consisted of 30 people from the mentioned population who were selected by convenience sampling method and assigned to two groups of acceptance and commitment therapy (n=15), and control group (n=15) using simple randomization method. Data were collected using a resilience questionnaire (Conner-Davidson, 2003), Death Anxiety Scale (Collette-Lester, 1969), and Pittsburgh Sleep Quality Questionnaire. Data were analyzed using the repeated measure ANOVA, and the above statistical analysis was performed using SPSS.22 software. Results: The results showed that acceptance and commitment therapy was effective on improving sleep quality (p <0.001) and resilience (p <0.001) and death anxiety (p <0.001) in elderly people. Conclusion: It can be concluded that acceptance and commitment therapy was effective on improving sleep quality and resilience and death anxiety in elderly people.","PeriodicalId":20994,"journal":{"name":"Razavi International Journal of Medicine","volume":"9 1","pages":"40-46"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70076945","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 : 2021-01-01DOI: 10.30483/RIJM.2021.249708.0
E. Deyreh, Sara Asgarian
Background: Present study aimed to investigate effectiveness of couples’ relationships enrichment based on emotion-focused therapy on psychological well-being, and marital quality and satisfaction among mothers of children with specific learning disability. Method: This study was a semi-experimental work with pretest-posttest design and control group. The statistical population included mothers of children with specific learning disability referring to Talash clinic in district 1 of Tehran in 2017-2018. 30 mothers of children with specific learning disability were chosen as samples and randomly were divided into 2 groups (control and experimental). The experimental group was exposed to 8 sessions of couples’ relations enrichment based on emotion-focused therapy. Then, post-test was performed. For data collection, Ryff’s psychological well-being scale, Revised Dyadic Adjustment Scale and marital satisfaction questionnaire were used. Data analysis was conducted using MANCOVA. Results: Statistical data analysis indicates that the enrichment program caused a significant improvement on psychological well-being, and marital quality and satisfaction of experimental group compared to the controls (P
{"title":"Effectiveness of Emotion-focused Therapy-based Enrichment Program on Psychological Well-being, Marital Relationship Quality and Marital Satisfaction in Mothers of Children with Specific Learning Disabilities","authors":"E. Deyreh, Sara Asgarian","doi":"10.30483/RIJM.2021.249708.0","DOIUrl":"https://doi.org/10.30483/RIJM.2021.249708.0","url":null,"abstract":"Background: Present study aimed to investigate effectiveness of couples’ relationships enrichment based on emotion-focused therapy on psychological well-being, and marital quality and satisfaction among mothers of children with specific learning disability. Method: This study was a semi-experimental work with pretest-posttest design and control group. The statistical population included mothers of children with specific learning disability referring to Talash clinic in district 1 of Tehran in 2017-2018. 30 mothers of children with specific learning disability were chosen as samples and randomly were divided into 2 groups (control and experimental). The experimental group was exposed to 8 sessions of couples’ relations enrichment based on emotion-focused therapy. Then, post-test was performed. For data collection, Ryff’s psychological well-being scale, Revised Dyadic Adjustment Scale and marital satisfaction questionnaire were used. Data analysis was conducted using MANCOVA. Results: Statistical data analysis indicates that the enrichment program caused a significant improvement on psychological well-being, and marital quality and satisfaction of experimental group compared to the controls (P","PeriodicalId":20994,"journal":{"name":"Razavi International Journal of Medicine","volume":"70 1","pages":"63-68"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70076759","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 : 2021-01-01DOI: 10.30483/RIJM.2021.254157.1012
Ahmadreza Varmazyar, B. Makvandi, Naser Seraj Khorrami
Background: Depression is a syndrome that includes many symptoms and can have a negative impact on a patient's life. The aim of this study was to investigate the effectiveness of schema therapy on social anxiety, rumination and psychological well-being in depressed patients. Methods: The research method was semi-experimental with pre-test, post-test, follow-up, and control group. The statistical population of this study included all patients with depression referred to Abadan Health Center in 2019. In this study, 30 patients with depression who wished to participate in the study were selected by convenient sampling method from among patients with research centers and were randomly assigned to experimental and control groups (each group consisted of 15 patients). The experimental group underwent schema therapy in 10 sessions of 90 minutes, but the control group did not receive any treatment. Data were collected using the Beck Depression Inventory, Social Anxiety Inventory, Rumination Questionnaire, and Psychological Well-Being Questionnaire. Data analysis was performed by repeated measure analysis of variance using SPSS software version 23. Results: The results showed that schema therapy was effective on rumination (P=0.034), social anxiety (P=0.004), and psychological well-being (P=0.022) in depressed patients. Conclusion: It can be concluded that schema therapy was effective on rumination, social anxiety, and psychological well-being in depressed patients.
{"title":"Effectiveness of Schema Therapy in Social Anxiety, Rumination, and Psychological Well-Being among Depressed Patients Referred to Health Centers in Abadan, Iran","authors":"Ahmadreza Varmazyar, B. Makvandi, Naser Seraj Khorrami","doi":"10.30483/RIJM.2021.254157.1012","DOIUrl":"https://doi.org/10.30483/RIJM.2021.254157.1012","url":null,"abstract":"Background: Depression is a syndrome that includes many symptoms and can have a negative impact on a patient's life. The aim of this study was to investigate the effectiveness of schema therapy on social anxiety, rumination and psychological well-being in depressed patients. Methods: The research method was semi-experimental with pre-test, post-test, follow-up, and control group. The statistical population of this study included all patients with depression referred to Abadan Health Center in 2019. In this study, 30 patients with depression who wished to participate in the study were selected by convenient sampling method from among patients with research centers and were randomly assigned to experimental and control groups (each group consisted of 15 patients). The experimental group underwent schema therapy in 10 sessions of 90 minutes, but the control group did not receive any treatment. Data were collected using the Beck Depression Inventory, Social Anxiety Inventory, Rumination Questionnaire, and Psychological Well-Being Questionnaire. Data analysis was performed by repeated measure analysis of variance using SPSS software version 23. Results: The results showed that schema therapy was effective on rumination (P=0.034), social anxiety (P=0.004), and psychological well-being (P=0.022) in depressed patients. Conclusion: It can be concluded that schema therapy was effective on rumination, social anxiety, and psychological well-being in depressed patients.","PeriodicalId":20994,"journal":{"name":"Razavi International Journal of Medicine","volume":"48 1","pages":"32-39"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70076884","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 : 2021-01-01DOI: 10.30483/rijm.2021.254196.1048
M. Bahadori, M. Honarmand, P. Asgary, H. Ahadi, L. Moradi
Background and Objective: Diabetic patients experience a plethora of emotional problems in addition to physiological physical problems, which can affect the course of their disease. Therefore, the purpose of the present study was to investigate the effectiveness of compassion-focused therapy (CFT) in alexithymia, adaptive behavior, treatment adherence, and blood sugar of patients with type 2 diabetes. Materials and Methods: In this study, a quasi-experimental design with pretest-posttest and control group was adopted. The study population included the patients with type 2 diabetes in Ahvaz, Iran, in 2020 referring to my center. The sample size (n=30) was selected using convenience sampling, and the participants were randomly and equally assigned to the experimental (CFT) and control groups. To collect study data, the Toronto Alexithymia Scale, Psychosocial Adjustment to Illness Scale, Treatment Adherence Questionnaire, and blood sugar test were used. The CFT group received eight sessions of intervention (each session lasting for 2 h). Multivariate analysis of covariance was used to analyze the data. Results: The obtained results showed that CFT had a significant effect on alexithymia (F=9.27;P=0.006), adaptive behavior (F=6.75;P=0.016), and treatment adherence (F=15.26;P=0.001) of patients with type 2 diabetes in the posttest. There was no significant difference between the experimental and control groups in the blood sugar test (F=0.08;P=0.786). Conclusion: Based on the obtained findings, it can be concluded that CFT is effective in increasing the level of adaptive behavior and treatment adherence.
{"title":"Effectiveness of compassion-focused therapy in alexithymia, adaptive behavior, treatment adherence, and biological factors in patients with type 2 diabetes","authors":"M. Bahadori, M. Honarmand, P. Asgary, H. Ahadi, L. Moradi","doi":"10.30483/rijm.2021.254196.1048","DOIUrl":"https://doi.org/10.30483/rijm.2021.254196.1048","url":null,"abstract":"Background and Objective: Diabetic patients experience a plethora of emotional problems in addition to physiological physical problems, which can affect the course of their disease. Therefore, the purpose of the present study was to investigate the effectiveness of compassion-focused therapy (CFT) in alexithymia, adaptive behavior, treatment adherence, and blood sugar of patients with type 2 diabetes. Materials and Methods: In this study, a quasi-experimental design with pretest-posttest and control group was adopted. The study population included the patients with type 2 diabetes in Ahvaz, Iran, in 2020 referring to my center. The sample size (n=30) was selected using convenience sampling, and the participants were randomly and equally assigned to the experimental (CFT) and control groups. To collect study data, the Toronto Alexithymia Scale, Psychosocial Adjustment to Illness Scale, Treatment Adherence Questionnaire, and blood sugar test were used. The CFT group received eight sessions of intervention (each session lasting for 2 h). Multivariate analysis of covariance was used to analyze the data. Results: The obtained results showed that CFT had a significant effect on alexithymia (F=9.27;P=0.006), adaptive behavior (F=6.75;P=0.016), and treatment adherence (F=15.26;P=0.001) of patients with type 2 diabetes in the posttest. There was no significant difference between the experimental and control groups in the blood sugar test (F=0.08;P=0.786). Conclusion: Based on the obtained findings, it can be concluded that CFT is effective in increasing the level of adaptive behavior and treatment adherence.","PeriodicalId":20994,"journal":{"name":"Razavi International Journal of Medicine","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70076511","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 : 2021-01-01DOI: 10.30483/RIJM.2021.254151.1006
Parisa Khoraminejad, J. Khalatbari, M. Seirafi
Introduction: The aim of this study was to compare the effectiveness of acceptance and commitment-based therapy and compassion-focused therapy on the quality of life of mothers with gestational diabetes. Methods: The research method is quasi-experimental with pre-test-post-test-three-group follow-up. The statistical population of the study was all pregnant mothers who referred to Milad Hospital in Tehran in 2019, who were diagnosed with gestational diabetes. In order to form three groups using purposive sampling method (considering the inclusion and exit criteria), 45 patients were selected and then randomly divided into three groups of 15 (acceptance and commitment therapy, compassionate treatment and group Witness) were assigned. Forman and Herbert (2008) acceptance and commitment group training, and Gilbert (2007) self-compassion training were performed for the second experimental group. Also, a three-month follow-up phase was performed on all three groups. The research tool was the quality of life of the World Health Organization (1986). Data analyzed by repeated measure analysis of variance and spss.22. Results: The results showed that acceptance and commitment therapy and compassion-focused therapy had a significant effect on improving the quality of life in mothers with gestational diabetes (p <0.001). Conclusion: As a result, acceptance and commitment therapy has a greater impact on the quality of life of mothers with gestational diabetes than compassion-focused therapy.
前言:本研究的目的是比较接受和承诺为基础的治疗和同情为重点的治疗对妊娠期糖尿病母亲的生活质量的有效性。方法:采用准实验方法，采用前测后测三组随访。该研究的统计人群是2019年转诊到德黑兰米拉德医院的所有孕妇，她们被诊断患有妊娠糖尿病。采用目的抽样法(考虑纳入标准和退出标准)，将45例患者随机分为接纳与承诺治疗组、体恤治疗组和群体见证组，每组15人。第二实验组采用Forman and Herbert(2008)的接受与承诺组训练和Gilbert(2007)的自我同情训练。此外，对所有三组进行了为期三个月的随访。研究工具是世界卫生组织的生活质量(1986年)。数据分析采用重复测量方差分析和spss分析。结果:接受承诺治疗和同情治疗对改善妊娠期糖尿病母亲的生活质量有显著作用(p <0.001)。结论:接受与承诺治疗对妊娠期糖尿病母亲生活质量的影响大于同情治疗。
{"title":"Comparison of the effectiveness of acceptance and commitment-based therapy and compassion-focused therapy on the quality of life of mothers with gestational diabetes","authors":"Parisa Khoraminejad, J. Khalatbari, M. Seirafi","doi":"10.30483/RIJM.2021.254151.1006","DOIUrl":"https://doi.org/10.30483/RIJM.2021.254151.1006","url":null,"abstract":"Introduction: The aim of this study was to compare the effectiveness of acceptance and commitment-based therapy and compassion-focused therapy on the quality of life of mothers with gestational diabetes. Methods: The research method is quasi-experimental with pre-test-post-test-three-group follow-up. The statistical population of the study was all pregnant mothers who referred to Milad Hospital in Tehran in 2019, who were diagnosed with gestational diabetes. In order to form three groups using purposive sampling method (considering the inclusion and exit criteria), 45 patients were selected and then randomly divided into three groups of 15 (acceptance and commitment therapy, compassionate treatment and group Witness) were assigned. Forman and Herbert (2008) acceptance and commitment group training, and Gilbert (2007) self-compassion training were performed for the second experimental group. Also, a three-month follow-up phase was performed on all three groups. The research tool was the quality of life of the World Health Organization (1986). Data analyzed by repeated measure analysis of variance and spss.22. Results: The results showed that acceptance and commitment therapy and compassion-focused therapy had a significant effect on improving the quality of life in mothers with gestational diabetes (p <0.001). Conclusion: As a result, acceptance and commitment therapy has a greater impact on the quality of life of mothers with gestational diabetes than compassion-focused therapy.","PeriodicalId":20994,"journal":{"name":"Razavi International Journal of Medicine","volume":"9 1","pages":"47-56"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70076842","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 : 2021-01-01DOI: 10.30483/RIJM.2021.254163.1017
B. Bayani, M. Bayani
Background:Ischemic cardiomyopathy is accompanied with some degrees of decreased metabolism.So,a method to facilitate cellular absorption and use of glucose may promote myocardial function and viability .Glucose,Potassium.Insulin solution(GIK) has been used by some successful results in acute ischemic heart disease and decreases the extent of ischemic zone in myocardium and promote ventricular function. Method and Materials: 25 patients with ischemic cardiomyopathy(EF 0.005) but diastolic function of left ventricle were improved significantly after administration of GIK (p 0.005), but because of metabolic improvements and increased in ventricular function after GIK administration, clinical symptoms were decreased. Conclusion:GIK solution administration(As an accessible and cost-effective agent) may improve ventricular diastolic function and clinical symptoms,so we suggest GIK as an effective therapeutic method in ischemic cardiomyopathy.
{"title":"Effect of Glucose-Insulin-Potassium infusion on systolic and diastolic functions in patients with chronic ischemic cardiomyopathy","authors":"B. Bayani, M. Bayani","doi":"10.30483/RIJM.2021.254163.1017","DOIUrl":"https://doi.org/10.30483/RIJM.2021.254163.1017","url":null,"abstract":"Background:Ischemic cardiomyopathy is accompanied with some degrees of decreased metabolism.So,a method to facilitate cellular absorption and use of glucose may promote myocardial function and viability .Glucose,Potassium.Insulin solution(GIK) has been used by some successful results in acute ischemic heart disease and decreases the extent of ischemic zone in myocardium and promote ventricular function. Method and Materials: 25 patients with ischemic cardiomyopathy(EF 0.005) but diastolic function of left ventricle were improved significantly after administration of GIK (p 0.005), but because of metabolic improvements and increased in ventricular function after GIK administration, clinical symptoms were decreased. Conclusion:GIK solution administration(As an accessible and cost-effective agent) may improve ventricular diastolic function and clinical symptoms,so we suggest GIK as an effective therapeutic method in ischemic cardiomyopathy.","PeriodicalId":20994,"journal":{"name":"Razavi International Journal of Medicine","volume":"193 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70076894","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 : 2021-01-01DOI: 10.30483/RIJM.2021.249741.0
Seyed Saleh Tabatabaie, A. Alavi, M. Bazaz
Background: One proposed methods to reduce the amount of bleeding during and after cesarean section, is the use of drugs such as Tranexamic acid and Misoprostol.This study aimed to compare the effect of Tranexamicacid and Misoprostol on bloodloss during and after cesarean section. Methods: This is a randomized clinicaltrial performed in Shariati and Khalij-e-Fars Hospitals of Bandar Abbas, Hormozgan, during 2015-2016. The study population included all candidates for cesarean section. 300 pregnant women aged 18-40 years with gestational age of 37-42 weeks were included, divided into three groups each: A received tranexamic acid,B, misoprostol, and C, 200 cc normal saline. During C/S , all patients received 20 and 30 units of oxytocin, respectively. The level of blood loss during the operation was determined by measuring the total blood volume suctioned after removing the placenta and the difference in the weight of bloody sterile pads and surgical sheets before and after the operation. Results: Preoperative hemoglobin level was 11.96±1mg/dl in the groupA,11.62±1.21mg/dl in the groupB, and 12.28±1.26mg/dl in the placebo group, which was statistically significant (P=0.001). Postoperative hemoglobin level was reduced about 1.02±0.35(10.9 ±0.99mg/dl) in the groupA, 1.19±0.52(10.46±1.04mg/dl) in the groupB, and 1.36±0.50(10.93±1.34mg/dl) in the placebo group. There was a significant difference between the three groups in the volume of bloodloss during the operation and the first two hours after the operation(P
{"title":"Comparison of the Effect of Tranexamic Acid and Misoprostol on Blood Loss During and After Cesarean Section: A Randomized Clinical Trial","authors":"Seyed Saleh Tabatabaie, A. Alavi, M. Bazaz","doi":"10.30483/RIJM.2021.249741.0","DOIUrl":"https://doi.org/10.30483/RIJM.2021.249741.0","url":null,"abstract":"Background: One proposed methods to reduce the amount of bleeding during and after cesarean section, is the use of drugs such as Tranexamic acid and Misoprostol.This study aimed to compare the effect of Tranexamicacid and Misoprostol on bloodloss during and after cesarean section. Methods: This is a randomized clinicaltrial performed in Shariati and Khalij-e-Fars Hospitals of Bandar Abbas, Hormozgan, during 2015-2016. The study population included all candidates for cesarean section. 300 pregnant women aged 18-40 years with gestational age of 37-42 weeks were included, divided into three groups each: A received tranexamic acid,B, misoprostol, and C, 200 cc normal saline. During C/S , all patients received 20 and 30 units of oxytocin, respectively. The level of blood loss during the operation was determined by measuring the total blood volume suctioned after removing the placenta and the difference in the weight of bloody sterile pads and surgical sheets before and after the operation. Results: Preoperative hemoglobin level was 11.96±1mg/dl in the groupA,11.62±1.21mg/dl in the groupB, and 12.28±1.26mg/dl in the placebo group, which was statistically significant (P=0.001). Postoperative hemoglobin level was reduced about 1.02±0.35(10.9 ±0.99mg/dl) in the groupA, 1.19±0.52(10.46±1.04mg/dl) in the groupB, and 1.36±0.50(10.93±1.34mg/dl) in the placebo group. There was a significant difference between the three groups in the volume of bloodloss during the operation and the first two hours after the operation(P","PeriodicalId":20994,"journal":{"name":"Razavi International Journal of Medicine","volume":"9 1","pages":"7-13"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70076769","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 : 2021-01-01DOI: 10.30483/RIJM.2021.249751.0
Hamid Hoseinikhah, Mohammad-Hossein Akbari, Kambiz Alizadeh, Kayhan Mizani, Mahsa Moallemi, Omid Javdanfar, Mohammad Ali Roohi Gholkhatmi, Aliasghar Moeinipour
Although most of the Coronary Artery Fistulae to venous system are congenital , we present a case who was treated conservatively and developed an acquired post CABG fistula formation between Right Coronary Artery and Superior Vena Cava that due to with allow-flow shunt and few symptoms. Case presentation We present a 65 year-old man with history of CABG 3 years earlier who present with chest pain. He had developed a 3-vessel diseases well as a recent Myocardial Infarction (MI) with reduced EF (EF= 25%) he presented a Chest Discomfort since 2 month after discharge that increasing by any physical activity. Consultant Cardiologist decided to perform Coronary Angiography to assess the condition of Native Coronary Artery and also Coronary Grafts well. on coronary angiography all of grafts was patents and but there was an abnormal communication between proximal of native Right Coronary Artery and Superior Vena Cava that finally fill the Right Atrium. Conclusion Clinically, although most of Coronary Artery Fistulae are silent and asymptomatic due to Limited amount of shunt, but in some rare cases in which there is a large shunt and steal of coronary circulation, symptoms and signs of Ischemic Heart disease appears that there are surgical and interventional options for closure of this abnormal communications.
{"title":"Right Coronary Artery to Superior Vena Cava Fistula Following CABG: A Very Rare Case Report","authors":"Hamid Hoseinikhah, Mohammad-Hossein Akbari, Kambiz Alizadeh, Kayhan Mizani, Mahsa Moallemi, Omid Javdanfar, Mohammad Ali Roohi Gholkhatmi, Aliasghar Moeinipour","doi":"10.30483/RIJM.2021.249751.0","DOIUrl":"https://doi.org/10.30483/RIJM.2021.249751.0","url":null,"abstract":"Although most of the Coronary Artery Fistulae to venous system are congenital , we present a case who was treated conservatively and developed an acquired post CABG fistula formation between Right Coronary Artery and Superior Vena Cava that due to with allow-flow shunt and few symptoms. Case presentation We present a 65 year-old man with history of CABG 3 years earlier who present with chest pain. He had developed a 3-vessel diseases well as a recent Myocardial Infarction (MI) with reduced EF (EF= 25%) he presented a Chest Discomfort since 2 month after discharge that increasing by any physical activity. Consultant Cardiologist decided to perform Coronary Angiography to assess the condition of Native Coronary Artery and also Coronary Grafts well. on coronary angiography all of grafts was patents and but there was an abnormal communication between proximal of native Right Coronary Artery and Superior Vena Cava that finally fill the Right Atrium. Conclusion Clinically, although most of Coronary Artery Fistulae are silent and asymptomatic due to Limited amount of shunt, but in some rare cases in which there is a large shunt and steal of coronary circulation, symptoms and signs of Ischemic Heart disease appears that there are surgical and interventional options for closure of this abnormal communications.","PeriodicalId":20994,"journal":{"name":"Razavi International Journal of Medicine","volume":"9 1","pages":"69-72"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70076779","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 : 2020-10-01DOI: 10.30483/RIJM.2020.254159.1014
َAlireza Bibak, N. Amini, E. Deyreh, K. Mirzaei
Background: Family cohesion affects health, mental and physical well-being, academic achievement, and emotional health of the family with disturbance of family environment and feelings of depression, aggressive behaviors and delinquency, and disruption of family members' self-concept. Objectives: This study aimed to investigate the effectiveness of psychological education based on Olson's model on family cohesion of schizophrenic patients in Bushehr. Method: The research method was semi-experimental with a pretest-posttest and follow-up design. The statistical population consisted of 425 patients in all families of schizophrenic patients who were treated in the province's medical centers (both governmental and non-governmental) in Bushehr in 2019. The sample size in this study will be 30 parents of schizophrenic patients. All of them had inclusion criteria and were selected by convenience sampling method and randomly assigned to the experimental and control group. Data obtained by Faces-III Scale (Olson et al., 1983)and analyzed using multivariate analysis of covariance and post-test by Spss.22. Results: The results showed that psychological training based on the Olson model effectively improved family cohesion of schizophrenic patients (p <0.001). Conclusion: Providing psychological services is necessary to promote and cohere the families of schizophrenic patients, so it can be said that psychological training based on family cohesion and flexibility can be used to promote and cohere the families of schizophrenic patients and provide the ground for their psychological care.
{"title":"The Effectiveness of Psychological Education Based on Olson Model on Family Cohesion of Schizophrenic Patients in Bushehr","authors":"َAlireza Bibak, N. Amini, E. Deyreh, K. Mirzaei","doi":"10.30483/RIJM.2020.254159.1014","DOIUrl":"https://doi.org/10.30483/RIJM.2020.254159.1014","url":null,"abstract":"Background: Family cohesion affects health, mental and physical well-being, academic achievement, and emotional health of the family with disturbance of family environment and feelings of depression, aggressive behaviors and delinquency, and disruption of family members' self-concept. Objectives: This study aimed to investigate the effectiveness of psychological education based on Olson's model on family cohesion of schizophrenic patients in Bushehr. Method: The research method was semi-experimental with a pretest-posttest and follow-up design. The statistical population consisted of 425 patients in all families of schizophrenic patients who were treated in the province's medical centers (both governmental and non-governmental) in Bushehr in 2019. The sample size in this study will be 30 parents of schizophrenic patients. All of them had inclusion criteria and were selected by convenience sampling method and randomly assigned to the experimental and control group. Data obtained by Faces-III Scale (Olson et al., 1983)and analyzed using multivariate analysis of covariance and post-test by Spss.22. Results: The results showed that psychological training based on the Olson model effectively improved family cohesion of schizophrenic patients (p <0.001). Conclusion: Providing psychological services is necessary to promote and cohere the families of schizophrenic patients, so it can be said that psychological training based on family cohesion and flexibility can be used to promote and cohere the families of schizophrenic patients and provide the ground for their psychological care.","PeriodicalId":20994,"journal":{"name":"Razavi International Journal of Medicine","volume":"8 1","pages":"28-32"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49376121","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 : 2020-10-01DOI: 10.30483/RIJM.2020.254165.1019
Kambiz Alizadeh, A. Hosseinpour, M. Tabari, Majid Rajabian Noghondar, Narges Morovat, A. Izanloo
Introduction: This study aims to investigate the role of coronary artery bypass graft (CABG) surgery by off-pump and on-pump methods in the severity of postoperative inflammation based on serum levels of interleukin 6 (IL6) and interleukin 17 (IL17). Methods: This is a cross-sectional study in which 39 patients’ candidate for CABG were evaluated in terms of serum levels of IL17 and IL6 before and after surgery in two groups of off-pump and on-pump CABG. Results: Thirty-nine patients with an average age of 63±8.9 in the on-pump group and 59±7.74 in the off-pump group were evaluated. There was no significant difference between the two groups in terms of baseline information and underlying diseases. IL6 serum level (p=0.249) was not significantly difference between the two groups. However, IL17 serum level (p=0.012) demonstrated a significant difference between the two groups. Conclusion: In general, the results of this study showed that increased IL6 serum level following coronary artery bypass was not different between the two methods of CABG surgery. Besides, IL17 exhibited a significant difference between the two groupsi that it was reduced in on-pump group in after surgery. It can be due to special condition’s patients or low sample size of study. Moreover, the postoperative complications were not significantly different between the two groups. This valuable outcome contradicts the popular belief that the use of the CARDIO PULMONARY BYPASS (CPB) system stimulates the immune system and hence its application should be limited.
{"title":"A comparative study of interleukin 6 and 17 serum levels in patients undergoing coronary artery bypass surgery using off-pump and on-pump methods","authors":"Kambiz Alizadeh, A. Hosseinpour, M. Tabari, Majid Rajabian Noghondar, Narges Morovat, A. Izanloo","doi":"10.30483/RIJM.2020.254165.1019","DOIUrl":"https://doi.org/10.30483/RIJM.2020.254165.1019","url":null,"abstract":"Introduction: This study aims to investigate the role of coronary artery bypass graft (CABG) surgery by off-pump and on-pump methods in the severity of postoperative inflammation based on serum levels of interleukin 6 (IL6) and interleukin 17 (IL17). Methods: This is a cross-sectional study in which 39 patients’ candidate for CABG were evaluated in terms of serum levels of IL17 and IL6 before and after surgery in two groups of off-pump and on-pump CABG. Results: Thirty-nine patients with an average age of 63±8.9 in the on-pump group and 59±7.74 in the off-pump group were evaluated. There was no significant difference between the two groups in terms of baseline information and underlying diseases. IL6 serum level (p=0.249) was not significantly difference between the two groups. However, IL17 serum level (p=0.012) demonstrated a significant difference between the two groups. Conclusion: In general, the results of this study showed that increased IL6 serum level following coronary artery bypass was not different between the two methods of CABG surgery. Besides, IL17 exhibited a significant difference between the two groupsi that it was reduced in on-pump group in after surgery. It can be due to special condition’s patients or low sample size of study. Moreover, the postoperative complications were not significantly different between the two groups. This valuable outcome contradicts the popular belief that the use of the CARDIO PULMONARY BYPASS (CPB) system stimulates the immune system and hence its application should be limited.","PeriodicalId":20994,"journal":{"name":"Razavi International Journal of Medicine","volume":"8 1","pages":"18-21"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49395561","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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