K. Ghasemi, Maryam Esteghamati, Seyed Mahmood Ahmadi Koupaie
Background: To date, limited studies have evaluated the role of vitamin A in acute pyelonephritis (APN). Accordingly, we aimed to investigate the effect of this vitamin on the prevention of renal damage in children with APN. Methods: This assessor-blind randomized controlled trial included 108 children with APN, aged 3 months to 14 years, who were admitted to Bandar Abbas Children’s Hospital, Bandar Abbas, Iran, in 2020. Patients were randomly allocated to two equal groups. Children in the vitamin A group received vitamin A in addition to antibiotics (ceftriaxone), while those in the control group only received antibiotics. Then, children in both groups underwent dimercaptosuccinic acid (DMSA) scanning once at baseline and four months after treatment. Photopenic areas in the DMSA scan were regarded as damaged areas. Further, serum vitamin A levels, C-reactive protein (CRP) levels, and erythrocyte sedimentation rate (ESR) were measured in all participants before the initiation of treatment. Finally, the demographic features of the participants were noted, including age and gender. Results: Patients in both groups were comparable regarding age and sex. Serum vitamin A levels, CRP, and ESR did not differ significantly between groups before treatment. The mean number of photopenic areas in the baseline DMSA scan was similar in both groups (P=0.481); however, the mean number of photopenic areas in the DMSA scan after four months was significantly lower in the vitamin A group compared to controls (P=0.004). Conclusion: Therefore, the use of vitamin A, along with antibiotics can significantly decrease renal damage in children with APN.
{"title":"Vitamin A for the Prevention of Renal Parenchymal Injury in Children With Acute Pyelonephritis: An assessor-blind Randomized Controlled Trial","authors":"K. Ghasemi, Maryam Esteghamati, Seyed Mahmood Ahmadi Koupaie","doi":"10.34172/hmj.2022.33","DOIUrl":"https://doi.org/10.34172/hmj.2022.33","url":null,"abstract":"Background: To date, limited studies have evaluated the role of vitamin A in acute pyelonephritis (APN). Accordingly, we aimed to investigate the effect of this vitamin on the prevention of renal damage in children with APN. Methods: This assessor-blind randomized controlled trial included 108 children with APN, aged 3 months to 14 years, who were admitted to Bandar Abbas Children’s Hospital, Bandar Abbas, Iran, in 2020. Patients were randomly allocated to two equal groups. Children in the vitamin A group received vitamin A in addition to antibiotics (ceftriaxone), while those in the control group only received antibiotics. Then, children in both groups underwent dimercaptosuccinic acid (DMSA) scanning once at baseline and four months after treatment. Photopenic areas in the DMSA scan were regarded as damaged areas. Further, serum vitamin A levels, C-reactive protein (CRP) levels, and erythrocyte sedimentation rate (ESR) were measured in all participants before the initiation of treatment. Finally, the demographic features of the participants were noted, including age and gender. Results: Patients in both groups were comparable regarding age and sex. Serum vitamin A levels, CRP, and ESR did not differ significantly between groups before treatment. The mean number of photopenic areas in the baseline DMSA scan was similar in both groups (P=0.481); however, the mean number of photopenic areas in the DMSA scan after four months was significantly lower in the vitamin A group compared to controls (P=0.004). Conclusion: Therefore, the use of vitamin A, along with antibiotics can significantly decrease renal damage in children with APN.","PeriodicalId":271947,"journal":{"name":"Hormozgan Medical Journal","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123919739","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}
F. Bagheri Sheykhangafshe, H. Farahani, A. Fathi-Ashtiani
During the spread of coronavirus disease 2019 (COVID-19), the number of casualties increased, and strict measures such as closing schools and universities were taken to curb the spread of the disease in various parts of the world. Many students were taking virtual classes for the first time and had not experienced such a pandemic, which led to significant fear and stress in them (1). On the other hand, being in an environment contaminated with COVID-19 has caused widespread psychological disorders such as anxiety, depression, stress, and sleep problems in many students (2). Medical and paramedical students, in particular, experienced significant stress during the outbreak due to academic stress, exposure to infection and contamination, networking, and lack of sleep, which affected their mental health (3). During the COVID-19 pandemic, medical students who underwent internships in hospitals were at higher risk for infection because they were in COVID19-contaminated environments. This led to increased stress and anxiety for these students compared to other students. On the other hand, many medical students were afraid of contracting COVID-19 in the hospital setting and transmitting it to their family and relatives as an asymptomatic carrier (4). The lack of an effective vaccine or an effective treatment alternative for the treatment of COVID-19 has become a difficult challenge in all countries worldwide. Although several solutions were tried in this regard, including home quarantine, social distancing, masking, and controlling the prevalence of COVID-19, the global COVID-19 pandemic cannot be expected to significantly decrease until an effective and efficient vaccine is developed against this new virus (5). Finally, after much effort, the FDA licensed the Pfizer-BioNTech vaccine on December 11 and the modern one on December 18. According to studies, these two vaccines are 95% effective against COVID-19 for people over 16 years of age (6). However, public vaccination cannot be guaranteed even after public access to safe vaccines because we are facing resistance to vaccination (7). Resistance to various vaccines has been widely observed throughout medical history and is not a new phenomenon. Considering that previous research has shown that adaptation to vaccines is variable and contradictory, achieving public acceptance requires extensive training in the safety and efficacy of different vaccines (8). In fact, it should be noted that all vaccines challenge the immune system and increase inflammatory markers within a few hours of vaccination, as well as in people with severe allergies. Vaccination causes unusual reactions, thus the medical record of individuals should be examined before starting universal vaccination (9). To prevent the spread of COVID-19, high-risk groups such as hospital staff and medical students should be given priority over the COVID-19 vaccine. However, medical students may not be accepted for the COVID-19 vaccine for various re
{"title":"Resistance to COVID-19 Vaccine in Medical Students","authors":"F. Bagheri Sheykhangafshe, H. Farahani, A. Fathi-Ashtiani","doi":"10.34172/hmj.2022.39","DOIUrl":"https://doi.org/10.34172/hmj.2022.39","url":null,"abstract":"During the spread of coronavirus disease 2019 (COVID-19), the number of casualties increased, and strict measures such as closing schools and universities were taken to curb the spread of the disease in various parts of the world. Many students were taking virtual classes for the first time and had not experienced such a pandemic, which led to significant fear and stress in them (1). On the other hand, being in an environment contaminated with COVID-19 has caused widespread psychological disorders such as anxiety, depression, stress, and sleep problems in many students (2). Medical and paramedical students, in particular, experienced significant stress during the outbreak due to academic stress, exposure to infection and contamination, networking, and lack of sleep, which affected their mental health (3). During the COVID-19 pandemic, medical students who underwent internships in hospitals were at higher risk for infection because they were in COVID19-contaminated environments. This led to increased stress and anxiety for these students compared to other students. On the other hand, many medical students were afraid of contracting COVID-19 in the hospital setting and transmitting it to their family and relatives as an asymptomatic carrier (4). The lack of an effective vaccine or an effective treatment alternative for the treatment of COVID-19 has become a difficult challenge in all countries worldwide. Although several solutions were tried in this regard, including home quarantine, social distancing, masking, and controlling the prevalence of COVID-19, the global COVID-19 pandemic cannot be expected to significantly decrease until an effective and efficient vaccine is developed against this new virus (5). Finally, after much effort, the FDA licensed the Pfizer-BioNTech vaccine on December 11 and the modern one on December 18. According to studies, these two vaccines are 95% effective against COVID-19 for people over 16 years of age (6). However, public vaccination cannot be guaranteed even after public access to safe vaccines because we are facing resistance to vaccination (7). Resistance to various vaccines has been widely observed throughout medical history and is not a new phenomenon. Considering that previous research has shown that adaptation to vaccines is variable and contradictory, achieving public acceptance requires extensive training in the safety and efficacy of different vaccines (8). In fact, it should be noted that all vaccines challenge the immune system and increase inflammatory markers within a few hours of vaccination, as well as in people with severe allergies. Vaccination causes unusual reactions, thus the medical record of individuals should be examined before starting universal vaccination (9). To prevent the spread of COVID-19, high-risk groups such as hospital staff and medical students should be given priority over the COVID-19 vaccine. However, medical students may not be accepted for the COVID-19 vaccine for various re","PeriodicalId":271947,"journal":{"name":"Hormozgan Medical Journal","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117243284","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}
Elham Mansoorabadi, Maryam Sattarian, Mohammad Reza Rezania, E. Moradi, Mohammad Shamsadiny
Background: In March 2020, the world health organization declared the outbreak of novel coronavirus disease 2019 (COVID-19) as a pandemic. COVID-19 is a highly contagious disease. Kish is a touristic island that is located in the south of Iran. The aim of the present study was to investigate the epidemiology of COVID-19 on Kish island. Methods: In the present cross-sectional study, the residents of Kish Island, Iran, who were checked with COVID-19 polymerase chain reaction (PCR) test from February to August 2020 were included. The PCR test was obtained from symptomatic individuals or those people who had exposure to suspected COVID-19 cases. Data were collected from their medical records and analyzed based on their PCR test results. Results: A total of 4859 individuals were checked with COVID-19 PCR test. The result was positive in 1251 (25.75%) cases and negative in 3608 (74.25%). The mean age was 37.32 years. The majority of the individuals were men. Most of the participants were office employees. The number of housewives was approximately double in COVID-19 positive patients compared with the patients with negative results. About 40% of the individuals with positive results had a history of exposure to suspected COVID-19 cases. The prevalence of exposure to suspected COVID-19 cases and recent travel was significantly higher among positive cases (P<0.001). There was a significant correlation between the delay between the onset of the symptoms and performing PCR. Longer delays were seen among the deceased patients. Conclusion: It seems that more precise policies should be taken to avoid contact with symptomatic patients and people who had a history of travel to the island.
{"title":"Epidemiology of COVID-19 in Kish Island from February to August 2020","authors":"Elham Mansoorabadi, Maryam Sattarian, Mohammad Reza Rezania, E. Moradi, Mohammad Shamsadiny","doi":"10.34172/hmj.2022.36","DOIUrl":"https://doi.org/10.34172/hmj.2022.36","url":null,"abstract":"Background: In March 2020, the world health organization declared the outbreak of novel coronavirus disease 2019 (COVID-19) as a pandemic. COVID-19 is a highly contagious disease. Kish is a touristic island that is located in the south of Iran. The aim of the present study was to investigate the epidemiology of COVID-19 on Kish island. Methods: In the present cross-sectional study, the residents of Kish Island, Iran, who were checked with COVID-19 polymerase chain reaction (PCR) test from February to August 2020 were included. The PCR test was obtained from symptomatic individuals or those people who had exposure to suspected COVID-19 cases. Data were collected from their medical records and analyzed based on their PCR test results. Results: A total of 4859 individuals were checked with COVID-19 PCR test. The result was positive in 1251 (25.75%) cases and negative in 3608 (74.25%). The mean age was 37.32 years. The majority of the individuals were men. Most of the participants were office employees. The number of housewives was approximately double in COVID-19 positive patients compared with the patients with negative results. About 40% of the individuals with positive results had a history of exposure to suspected COVID-19 cases. The prevalence of exposure to suspected COVID-19 cases and recent travel was significantly higher among positive cases (P<0.001). There was a significant correlation between the delay between the onset of the symptoms and performing PCR. Longer delays were seen among the deceased patients. Conclusion: It seems that more precise policies should be taken to avoid contact with symptomatic patients and people who had a history of travel to the island.","PeriodicalId":271947,"journal":{"name":"Hormozgan Medical Journal","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125339424","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}
Elham Momeni Gazestan, A. Heidarei, B. Makvandi, F. Moradimanesh
Background: Cancer is the second largest cause of child mortality after accidents worldwide. Childhood cancers have an average incidence in Iran, with 176 cases in one million people. The objective of this study was to examine the efficacy of music therapy on anxiety, self-esteem, and social adjustment of children with cancer in Kerman in 2019. Methods: A quasi-experimental method with a pre-test and post-test design with a control group was used in this study. The statistical population of research included all children with cancer admitted to Afzalipour hospital in Kerman (Iran) in 2019, and thirty children were selected by the convenience sampling method and then randomly divided into experimental (n=15) and control (n=15) groups. Data were collected using the children’s Multidimensional Anxiety Scale, the Coopersmith Self-esteem Inventory, and California Social Adjustment Scale. Finally, the data were analyzed using SPSS22 through the multivariate analysis of covariance. Results: The results indicated that music therapy was effective in reducing anxiety (P<0.001, F=179.29) while increasing self-esteem (P=0.001, F=120.60) and social adjustment (P=0.001, F=48.56) in children with cancer. Conclusion: It can be argued that music therapy in children with cancer has been successful for anxiety, self-esteem, and social adjustment and can be applied to alleviate psychological issues in children with cancer
{"title":"The Effectiveness of Music Therapy on Anxiety, Self-esteem, and Social Adjustment of Children With Cancer in Kerman","authors":"Elham Momeni Gazestan, A. Heidarei, B. Makvandi, F. Moradimanesh","doi":"10.34172/hmj.2022.31","DOIUrl":"https://doi.org/10.34172/hmj.2022.31","url":null,"abstract":"Background: Cancer is the second largest cause of child mortality after accidents worldwide. Childhood cancers have an average incidence in Iran, with 176 cases in one million people. The objective of this study was to examine the efficacy of music therapy on anxiety, self-esteem, and social adjustment of children with cancer in Kerman in 2019. Methods: A quasi-experimental method with a pre-test and post-test design with a control group was used in this study. The statistical population of research included all children with cancer admitted to Afzalipour hospital in Kerman (Iran) in 2019, and thirty children were selected by the convenience sampling method and then randomly divided into experimental (n=15) and control (n=15) groups. Data were collected using the children’s Multidimensional Anxiety Scale, the Coopersmith Self-esteem Inventory, and California Social Adjustment Scale. Finally, the data were analyzed using SPSS22 through the multivariate analysis of covariance. Results: The results indicated that music therapy was effective in reducing anxiety (P<0.001, F=179.29) while increasing self-esteem (P=0.001, F=120.60) and social adjustment (P=0.001, F=48.56) in children with cancer. Conclusion: It can be argued that music therapy in children with cancer has been successful for anxiety, self-esteem, and social adjustment and can be applied to alleviate psychological issues in children with cancer","PeriodicalId":271947,"journal":{"name":"Hormozgan Medical Journal","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134517901","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}
S. Saadat, Rakhshaneh Goodarzi, Simin Yazdi, S. Zare
Background: Zinc plays an important role in some metabolic and signaling pathways of the immune system and may improve the signs and symptoms of neonatal sepsis. This study aimed to evaluate the efficacy of zinc supplementation in neonatal sepsis. Methods: This randomized controlled trial included 50 neonates with sepsis admitted to Bandar Abbas Children’s hospital, Iran, from 2018 to 2019. Patients were randomly allocated into two groups: the zinc group received standard antibiotics plus 1 mg/kg zinc gluconate twice a day for 7 days starting within the first 24 hours after admission, while the control group only received antibiotics. Complete blood count (CBC) with differential, C-reactive protein (CRP), and platelets were measured on the first day of admission. Blood sampling was done again after 48 hours based on the patients’ condition. Patients’ information such as age, sex, gestational age, birth weight, time to the improvement of clinical and laboratory findings, hospital length of stay, mortality, change in the antibiotic regimen, and signs of sepsis were noted. Results: The two study groups were similar concerning age and sex. Birth weight, gestational age, duration of hospital stay, time to the improvement of clinical findings, baseline CRP, and change in the antibiotic regimen were comparable in both groups (P>0.05). The time to the improvement of laboratory findings was significantly lower with zinc supplementation compared with controls (6.56±2.95 vs. 8.36±3.34 days, P=0.022). Further, final CRP significantly decreased compared to baseline CRP in both groups (P<0.001); however, this reduction was greater in the zinc group (final CRP: 3.60±1.87 vs. 5.12±2.11 mg/L, P=0.015). Moreover, no mortality was reported in either of the groups. Conclusion: Zinc supplementation had no effect on hospital length of stay in neonatal sepsis; however, it reduced the time to the improvement of laboratory findings, especially CRP.
{"title":"The Effect of Zinc Supplementation on the Treatment of Neonatal Sepsis: A Randomized Controlled Trial","authors":"S. Saadat, Rakhshaneh Goodarzi, Simin Yazdi, S. Zare","doi":"10.34172/hmj.2022.37","DOIUrl":"https://doi.org/10.34172/hmj.2022.37","url":null,"abstract":"Background: Zinc plays an important role in some metabolic and signaling pathways of the immune system and may improve the signs and symptoms of neonatal sepsis. This study aimed to evaluate the efficacy of zinc supplementation in neonatal sepsis. Methods: This randomized controlled trial included 50 neonates with sepsis admitted to Bandar Abbas Children’s hospital, Iran, from 2018 to 2019. Patients were randomly allocated into two groups: the zinc group received standard antibiotics plus 1 mg/kg zinc gluconate twice a day for 7 days starting within the first 24 hours after admission, while the control group only received antibiotics. Complete blood count (CBC) with differential, C-reactive protein (CRP), and platelets were measured on the first day of admission. Blood sampling was done again after 48 hours based on the patients’ condition. Patients’ information such as age, sex, gestational age, birth weight, time to the improvement of clinical and laboratory findings, hospital length of stay, mortality, change in the antibiotic regimen, and signs of sepsis were noted. Results: The two study groups were similar concerning age and sex. Birth weight, gestational age, duration of hospital stay, time to the improvement of clinical findings, baseline CRP, and change in the antibiotic regimen were comparable in both groups (P>0.05). The time to the improvement of laboratory findings was significantly lower with zinc supplementation compared with controls (6.56±2.95 vs. 8.36±3.34 days, P=0.022). Further, final CRP significantly decreased compared to baseline CRP in both groups (P<0.001); however, this reduction was greater in the zinc group (final CRP: 3.60±1.87 vs. 5.12±2.11 mg/L, P=0.015). Moreover, no mortality was reported in either of the groups. Conclusion: Zinc supplementation had no effect on hospital length of stay in neonatal sepsis; however, it reduced the time to the improvement of laboratory findings, especially CRP.","PeriodicalId":271947,"journal":{"name":"Hormozgan Medical Journal","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133838906","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: Multiple sclerosis (MS) is a common disease of the central nervous system. The main cause of this disease is related to the myelin damage of nerve cells. This study aimed to compare the effectiveness of acceptance and commitment therapy (ACT) and mindfulness-based cognitive therapy (MBCT) on illness perception and adherence to the treatment of patients with MS. Methods: This is a quasi-experimental study with a pre-test, post-test, and follow-up design with a control group. The statistical population of this study included all patients with MS under the auspices of the MS Society of Tehran (Iran) in 2019. Forty-five women with MS were purposefully selected and randomly divided into MBCT, ACT, and control (n=15) groups. Data were obtained using the revised illness perception questionnaire (IPQ-R) and the MS treatment adherence questionnaire (MS-TAQ). The repeated measurement analysis of variance and SPSS.22 were used to analyze data. Results: The results showed that the effect of MBCT was greater than that of the acceptance and commitment-based therapy group on illness perceptions (P<0.001) and treatment adherence (P<0.001). Conclusion: Overall, the effectiveness of MBCT was greater than that of the ACT group on illness perceptions and adherence to treatment. MBCT and ACT can be employed as effective methods for patients with MS.
{"title":"The Effectiveness of Acceptance and Commitment Therapy and Mindfulness-Based Cognitive Therapy on Illness Perception and Adherence to the Treatment of Patients With Multiple Sclerosis","authors":"P. Sami, Suzan Emamipoor, A. Rafiepoor","doi":"10.34172/hmj.2022.32","DOIUrl":"https://doi.org/10.34172/hmj.2022.32","url":null,"abstract":"Background: Multiple sclerosis (MS) is a common disease of the central nervous system. The main cause of this disease is related to the myelin damage of nerve cells. This study aimed to compare the effectiveness of acceptance and commitment therapy (ACT) and mindfulness-based cognitive therapy (MBCT) on illness perception and adherence to the treatment of patients with MS. Methods: This is a quasi-experimental study with a pre-test, post-test, and follow-up design with a control group. The statistical population of this study included all patients with MS under the auspices of the MS Society of Tehran (Iran) in 2019. Forty-five women with MS were purposefully selected and randomly divided into MBCT, ACT, and control (n=15) groups. Data were obtained using the revised illness perception questionnaire (IPQ-R) and the MS treatment adherence questionnaire (MS-TAQ). The repeated measurement analysis of variance and SPSS.22 were used to analyze data. Results: The results showed that the effect of MBCT was greater than that of the acceptance and commitment-based therapy group on illness perceptions (P<0.001) and treatment adherence (P<0.001). Conclusion: Overall, the effectiveness of MBCT was greater than that of the ACT group on illness perceptions and adherence to treatment. MBCT and ACT can be employed as effective methods for patients with MS.","PeriodicalId":271947,"journal":{"name":"Hormozgan Medical Journal","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130239738","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: Promiscuity and attitude towards infidelity can harm family health and cause many family problems. They are also two important reasons for divorce and separation. This study aimed to investigate the association of emotional and cognitive intimacy with promiscuity through the mediating role of attitude towards infidelity in married men. Methods: This applied descriptive study had a correlational design and adopted the structural equation modeling method. The statistical population included all married men in Bushehr (Iran) who visited marriage counseling centers in 2020. A total of 384 married men were selected as the sample using convenience sampling. The research tools included the Personal Assessment of Intimacy in Relationships, Attitudes towards Infidelity Scale, and the Justifications for Extramarital Relationships. Data were analyzed via the Pearson correlation method and structural equation modeling. SPSS version-24 and AMOS-24 were further used for analyzing the data. Results: The results indicated that there was a direct association between emotional intimacy and attitude towards infidelity (β=0.18, P=0.001), cognitive intimacy and attitude towards infidelity (β=-0.62, P=0.001), emotional intimacy and promiscuity (β=0.11, P=0.014), attitude towards infidelity and promiscuity (β=0.68, P=0.001), but there was no a significant association between cognitive intimacy and promiscuity. The findings also revealed a significant relationship of emotional (β=0.19, P=0.009) and cognitive (β=-0.39, P=0.007) intimacy and promiscuity with mediating role of attitude towards infidelity in men. Conclusion: In general, this study revealed that emotional-cognitive intimacy is a predictor of promiscuity. Therefore, the findings can contribute to studies that lead to marital stability.
{"title":"Association of Emotional and Cognitive Intimacy With Promiscuous Married Men Through Mediating Role of Attitude Towards Infidelity","authors":"Kimia Zarei, M. Shahbazi, A. Koraei","doi":"10.34172/hmj.2023.5131","DOIUrl":"https://doi.org/10.34172/hmj.2023.5131","url":null,"abstract":"Background: Promiscuity and attitude towards infidelity can harm family health and cause many family problems. They are also two important reasons for divorce and separation. This study aimed to investigate the association of emotional and cognitive intimacy with promiscuity through the mediating role of attitude towards infidelity in married men. Methods: This applied descriptive study had a correlational design and adopted the structural equation modeling method. The statistical population included all married men in Bushehr (Iran) who visited marriage counseling centers in 2020. A total of 384 married men were selected as the sample using convenience sampling. The research tools included the Personal Assessment of Intimacy in Relationships, Attitudes towards Infidelity Scale, and the Justifications for Extramarital Relationships. Data were analyzed via the Pearson correlation method and structural equation modeling. SPSS version-24 and AMOS-24 were further used for analyzing the data. Results: The results indicated that there was a direct association between emotional intimacy and attitude towards infidelity (β=0.18, P=0.001), cognitive intimacy and attitude towards infidelity (β=-0.62, P=0.001), emotional intimacy and promiscuity (β=0.11, P=0.014), attitude towards infidelity and promiscuity (β=0.68, P=0.001), but there was no a significant association between cognitive intimacy and promiscuity. The findings also revealed a significant relationship of emotional (β=0.19, P=0.009) and cognitive (β=-0.39, P=0.007) intimacy and promiscuity with mediating role of attitude towards infidelity in men. Conclusion: In general, this study revealed that emotional-cognitive intimacy is a predictor of promiscuity. Therefore, the findings can contribute to studies that lead to marital stability.","PeriodicalId":271947,"journal":{"name":"Hormozgan Medical Journal","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122920919","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}
Mehrdad Sayadinia, Ali Hadavandkhani, Mahan Sayadinia
Background: Diltiazem is a calcium channel blocker that can prevent calcium absorption by myocytes and decrease the tone of the internal anal sphincter. Thus, it can be used for the treatment of anal fissures; however, its effect on post-hemorrhoidectomy pain is unclear. Accordingly, the current study aimed to evaluate the effect of topical diltiazem on post-hemorrhoidectomy pain. Methods: This cohort study included 50 candidates of hemorrhoidectomy referred to Shahid Mohammadi Hospital, Bandar Abbas, Iran from March 20, 2020, to March 21, 2021. First, the characteristics of the patients, including age, gender, degree of hemorrhoid, and the number of hemorrhoid pockets were recorded based on the study purpose. One group received topical diltiazem 2% three times a day for three days after hemorrhoidectomy, and the other group received Vaseline®. Both groups also received 500 mg paracetamol tablets. Post-hemorrhoidectomy pain was assessed using a numerical rating scale (NRS) by patients on the first and third days after surgery. The cumulative amount of consumed paracetamol was also noted on the third day. Results: Patients in both groups were comparable regarding age, gender, degree of hemorrhoids, and the number of pockets. There was no significant difference between groups in terms of pain on the first day after surgery (P=0.626), while the mean pain score was significantly lower in the diltiazem group on the third day compared to the placebo group (P<0.001). Finally, the cumulative amount of consumed paracetamol was significantly higher in the placebo group (P=0.001). Conclusion: Overall, topical diltiazem appears to be more effective than placebo for post-hemorrhoidectomy pain reduction.
{"title":"The Effect of Topical Diltiazem on Post-Hemorrhoidectomy Pain: A Cohort Study","authors":"Mehrdad Sayadinia, Ali Hadavandkhani, Mahan Sayadinia","doi":"10.34172/hmj.2023.8168","DOIUrl":"https://doi.org/10.34172/hmj.2023.8168","url":null,"abstract":"Background: Diltiazem is a calcium channel blocker that can prevent calcium absorption by myocytes and decrease the tone of the internal anal sphincter. Thus, it can be used for the treatment of anal fissures; however, its effect on post-hemorrhoidectomy pain is unclear. Accordingly, the current study aimed to evaluate the effect of topical diltiazem on post-hemorrhoidectomy pain. Methods: This cohort study included 50 candidates of hemorrhoidectomy referred to Shahid Mohammadi Hospital, Bandar Abbas, Iran from March 20, 2020, to March 21, 2021. First, the characteristics of the patients, including age, gender, degree of hemorrhoid, and the number of hemorrhoid pockets were recorded based on the study purpose. One group received topical diltiazem 2% three times a day for three days after hemorrhoidectomy, and the other group received Vaseline®. Both groups also received 500 mg paracetamol tablets. Post-hemorrhoidectomy pain was assessed using a numerical rating scale (NRS) by patients on the first and third days after surgery. The cumulative amount of consumed paracetamol was also noted on the third day. Results: Patients in both groups were comparable regarding age, gender, degree of hemorrhoids, and the number of pockets. There was no significant difference between groups in terms of pain on the first day after surgery (P=0.626), while the mean pain score was significantly lower in the diltiazem group on the third day compared to the placebo group (P<0.001). Finally, the cumulative amount of consumed paracetamol was significantly higher in the placebo group (P=0.001). Conclusion: Overall, topical diltiazem appears to be more effective than placebo for post-hemorrhoidectomy pain reduction.","PeriodicalId":271947,"journal":{"name":"Hormozgan Medical Journal","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127853696","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: Multiple sclerosis (MS) is considered a chronic disease in which physical and mental disorders are common among these patients. This study aimed to evaluate the effectiveness of the Lazarus multimodal approach intervention on psychological distress, working memory, and anxiety in patients with MS. Methods: A quasi-experimental research method with pre-test, post-test, and follow-up and a control group was used in this study. The statistical population of the study included the patients who were members of the "MS Patient Support Society" in Tehran who had been referred to this center during January and March 2017. The sample consisted of 32 people selected by the convenience sampling method from the members of the MS community. The data were obtained through the Kessler psychological distress scale (K10), the Wechsler’s Working Memory Index, and the Beck Anxiety Inventory. The experimental group underwent the Lazarus multimodal approach in ten 90-minute sessions of two sessions per week for one and a half months. The control group received no intervention. The follow-up was performed three months after the post-test. The repeated measurement method and SPSS 22 were used to analyze the data. Results: The findings showed that the Lazarus multimodal approach had a significant effect on decreasing anxiety (P<0.001), psychological distress (P<0.001), and increasing working memory (P<0.001). Conclusion: It can be concluded that Lazarus’ multimodal approach was effective on anxiety, psychological distress, and working memory and can be employed to reduce psychological problems in patients with MS.
{"title":"The Effectiveness of Lazarus Multimodal Approach on Psychological Distress, Working Memory, and Anxiety in Patients With Multiple Sclerosis","authors":"Soha Shahlapour, M. Sedaghat, Sara Pashang","doi":"10.34172/hmj.2022.20","DOIUrl":"https://doi.org/10.34172/hmj.2022.20","url":null,"abstract":"Background: Multiple sclerosis (MS) is considered a chronic disease in which physical and mental disorders are common among these patients. This study aimed to evaluate the effectiveness of the Lazarus multimodal approach intervention on psychological distress, working memory, and anxiety in patients with MS. Methods: A quasi-experimental research method with pre-test, post-test, and follow-up and a control group was used in this study. The statistical population of the study included the patients who were members of the \"MS Patient Support Society\" in Tehran who had been referred to this center during January and March 2017. The sample consisted of 32 people selected by the convenience sampling method from the members of the MS community. The data were obtained through the Kessler psychological distress scale (K10), the Wechsler’s Working Memory Index, and the Beck Anxiety Inventory. The experimental group underwent the Lazarus multimodal approach in ten 90-minute sessions of two sessions per week for one and a half months. The control group received no intervention. The follow-up was performed three months after the post-test. The repeated measurement method and SPSS 22 were used to analyze the data. Results: The findings showed that the Lazarus multimodal approach had a significant effect on decreasing anxiety (P<0.001), psychological distress (P<0.001), and increasing working memory (P<0.001). Conclusion: It can be concluded that Lazarus’ multimodal approach was effective on anxiety, psychological distress, and working memory and can be employed to reduce psychological problems in patients with MS.","PeriodicalId":271947,"journal":{"name":"Hormozgan Medical Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116964242","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}
Since the spread of the coronavirus disease 2019 (COVID-19) pandemic, many countries have been suffering from the disease, and patients exhibit an extensive spectrum of symptoms from mild to severe, and in some cases, it leads to death. Identifying vulnerability factors may help detect very high-risk subjects to prevent disease mortality. Since people have different human leukocyte antigen (HLA) alleles, and the frequency of the alleles varies between different races and geographic regions, it is inferred that there is an association between HLA and the vulnerability of the population. The present study aimed to find the most frequent HLA alleles that profoundly affect COVID-19 outcomes. To find the relevant articles, medical databases (Medline, PubMed, EMBASE, Cochrane Library, and the like) were searched by the keywords, and the results related to the association between HLA and COVID-19 morbidity were selected and briefly presented. Regarding the extracted information from several studies, HLA alleles with a strong affinity to COVID-19 epitopes such as HLA-A*11:01, HLA-A*02:06, and HLA-B*54:01 could result in mild symptoms, while those with weak affinity such as HLA-B*44:06 and HLA-B*46:01 contributed to severe symptoms and high mortality rate. Further, heterozygosity and frequency of HLA alleles could affect the disease outcome within populations. As a result, the vulnerability of the patients can be predicted through their HLA pattern, and preventive measures can be taken instantly for populations expressing high-risk alleles. HLA can be assumed as a global predictor of COVID-19 disease outcomes. High frequent alleles which affect the outcome of the disease are introduced as susceptibility-determining alleles.
自2019年冠状病毒病(COVID-19)大流行传播以来，许多国家都遭受了这种疾病的困扰，患者表现出从轻微到严重的广泛症状，在某些情况下还会导致死亡。确定易感因素可能有助于发现高危人群，以预防疾病死亡。由于人类白细胞抗原(HLA)等位基因不同，且等位基因的频率在不同种族和地理区域之间存在差异，因此可以推断HLA与人群易感性之间存在关联。本研究旨在找到影响COVID-19预后的最常见HLA等位基因。通过关键词检索医学数据库(Medline、PubMed、EMBASE、Cochrane Library等)查找相关文献，选取HLA与COVID-19发病相关的结果并简要介绍。从多项研究提取的信息来看，HLA- a *11:01、HLA- a *02:06、HLA- b *54:01等与COVID-19表位亲和力较强的HLA等位基因可导致症状较轻，HLA- b *44:06、HLA- b *46:01等亲和力较弱的HLA等位基因可导致症状较重、死亡率较高。此外，HLA等位基因的杂合性和频率可能影响人群内的疾病结果。因此，可以通过HLA型预测患者的易感性，对表达高危等位基因的人群及时采取预防措施。HLA可以被认为是COVID-19疾病结局的全球预测因子。影响疾病结果的高频率等位基因被引入作为决定易感性的等位基因。
{"title":"Human Leukocyte Antigen as a Predictor of COVID-19 Severity","authors":"A. Jandaghi, Afshin Samiei, Narges Khaghanzadeh","doi":"10.34172/hmj.2022.27","DOIUrl":"https://doi.org/10.34172/hmj.2022.27","url":null,"abstract":"Since the spread of the coronavirus disease 2019 (COVID-19) pandemic, many countries have been suffering from the disease, and patients exhibit an extensive spectrum of symptoms from mild to severe, and in some cases, it leads to death. Identifying vulnerability factors may help detect very high-risk subjects to prevent disease mortality. Since people have different human leukocyte antigen (HLA) alleles, and the frequency of the alleles varies between different races and geographic regions, it is inferred that there is an association between HLA and the vulnerability of the population. The present study aimed to find the most frequent HLA alleles that profoundly affect COVID-19 outcomes. To find the relevant articles, medical databases (Medline, PubMed, EMBASE, Cochrane Library, and the like) were searched by the keywords, and the results related to the association between HLA and COVID-19 morbidity were selected and briefly presented. Regarding the extracted information from several studies, HLA alleles with a strong affinity to COVID-19 epitopes such as HLA-A*11:01, HLA-A*02:06, and HLA-B*54:01 could result in mild symptoms, while those with weak affinity such as HLA-B*44:06 and HLA-B*46:01 contributed to severe symptoms and high mortality rate. Further, heterozygosity and frequency of HLA alleles could affect the disease outcome within populations. As a result, the vulnerability of the patients can be predicted through their HLA pattern, and preventive measures can be taken instantly for populations expressing high-risk alleles. HLA can be assumed as a global predictor of COVID-19 disease outcomes. High frequent alleles which affect the outcome of the disease are introduced as susceptibility-determining alleles.","PeriodicalId":271947,"journal":{"name":"Hormozgan Medical Journal","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126734424","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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