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Comparison of the Effectiveness of Compassion-focused Therapy and Mindfulness-based Stress Reduction in Reducing Type D Personality Traits in Patients With Coronary Heart Disease 以同情为中心的治疗和以正念为基础的减压在降低冠心病患者D型人格特征方面的效果比较
Pub Date : 2021-10-01 DOI: 10.32598/jvc.2.4.58.2
Maryam Karimi, Seyedeh Zahra Emadi, Yazdan Mohsen Zadeh, Maryam Izanloo
Background and Aim: Coronary patients with type D personality have high stress and inhibit negative emotions. Despite receiving similar medical procedures as other coronary patients they show a slower recovery process and recurrent heart attacks. This study aimed to compare the effectiveness of compassion-focused therapy (CFT) and mindfulness-based stress reduction (MBSR) in reducing type D personality traits in patients with coronary heart disease. Materials and Methods: The present research method was quasi-experimental with a pretest- post-test-follow-up design with a control group. The statistical population of this study was all patients with coronary heart disease in Rajai Alborz Hospital in Karaj City, Iran, in 2019. A total of 45 people were selected by convenience sampling and randomly assigned to three groups under the title of CFT, MBSR, and control group. Subjects responded to the type D personality scale by Denollet (2005) for pre-test, post-test, and follow-up. CFT and MBSR were each held in 8 sessions of 90 minutes. In the present study, the statistical method of repeated measure analysis of variance in SPSS software, version 18, was used to analyze the data with 0.05 and 0.01 significance levels. Results: After the intervention, the average score of type D traits symptoms of the test group (73.26 with a standard deviation of 4.49) was significantly lower than the control group (53.36 with a standard deviation of 27.4). CFT and MBSR had a reducing effect on type D personality traits over time (P<0.001). Also, a significant difference was observed between the effectiveness of CFT and MBSR in reducing type D personality traits (P=0.020). Conclusion: CFT and MBSR are both effective in treating patients with type D personality but CFT is more effective.
背景与目的:冠状动脉D型人格患者具有较高的压力和抑制负面情绪的能力。尽管接受了与其他冠状动脉患者相似的医疗程序,但他们表现出较慢的恢复过程和复发性心脏病发作。本研究旨在比较以同情为中心的治疗(CFT)和以正念为基础的减压(MBSR)在降低冠心病患者D型人格特征方面的有效性。材料与方法:本研究方法为准实验,采用前测-后测-随访设计,设对照组。本研究的统计人群为2019年伊朗卡拉杰市Rajai Alborz医院的所有冠心病患者。采用方便抽样法,将45人随机分为三组,分别为CFT组、正念减压组和对照组。被试对Denollet(2005)的D型人格量表进行前测、后测和随访。CFT和MBSR各分8次,每次90分钟。本研究采用SPSS软件18版重复测量方差分析的统计方法,对0.05和0.01显著水平的数据进行分析。结果:干预后,试验组D型特征症状平均得分(73.26分,标准差为4.49)显著低于对照组(53.36分,标准差为27.4)。随着时间的推移,CFT和MBSR对D型人格特征有降低作用(P<0.001)。此外,CFT和MBSR在降低D型人格特质方面的效果也有显著差异(P=0.020)。结论:CFT与正念减压法治疗D型人格均有效,但CFT效果更好。
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引用次数: 0
Pre-nutritional Effects of Hot (Cinnamon) and Cold (Lentil) Temperaments on the Animal Model of Stroke 热(肉桂)和冷(扁豆)气质对中风动物模型的营养前作用
Pub Date : 2021-10-01 DOI: 10.32598/jvc.2.4.88.1
Leila Ghassemifard, Narjes Khavasi, S. Hejazi, M. Bahrami, M. Hosseini, Solmaz Najjari, Sadegh Yoosefi, Hossein Mostafavi
Background and Aim: Stroke, mainly caused by atherosclerosis, is the second leading cause of death worldwide. Atherosclerosis may be caused by spleen dysfunction, and oxidative stress intensifies the brain damage induced by cerebral ischemia. According to the studies, cinnamon and lentils as hot and cold temperaments, respectively, contain antioxidant compounds and affect spleen function. This study investigated and compared the effect of cinnamon and lentils in preventing stroke. Materials and Methods: Cinnamon and lentil extracts were injected intraperitoneally daily to adult male Wistar rats for 30 days, and at the end, a rotarod test was carried out. Then, blood samples were taken from their eyes. The rats were submitted to the ischemic stroke, and the activity level of Catalase (CAT), Superoxide Dismutase (SOD), and total antioxidant were measured. The ischemic stroke model was implemented using the MCAO method. Infarct area and ischemic tolerance were measured by the MCAO (Middle Cerebral Artery Occlusion) method, and infarct volume was assessed by 2,3,5-triphenyl tetrazolium chloride. Results: Chronic use of lentil extract decreased motor function, CAT, SOD, and total antioxidant activity compared with cinnamon extract. The cinnamon extract improved the ischemic tolerance and reduced the infarct size. The group receiving lentil extract could not tolerate ischemia and died during the experiment. Conclusion: It seems that diet adjustment can effectively reduce the incidence of stroke or its complications. Awareness of food temperament and its relationship with various diseases can reduce disease burden, though further studies should be conducted on this topic.
背景和目的:中风主要由动脉粥样硬化引起,是全球第二大死亡原因。脾功能障碍可引起动脉粥样硬化,氧化应激可加重脑缺血引起的脑损伤。根据研究,肉桂和扁豆分别作为热性和冷性,含有抗氧化化合物,影响脾功能。本研究探讨并比较了肉桂和扁豆预防中风的作用。材料与方法:每天腹腔注射成年雄性Wistar大鼠肉桂和扁豆提取物30 d,最后进行轮虫试验。然后,从他们的眼睛中提取血液样本。将大鼠灌注缺血性脑卒中后,测定其过氧化氢酶(CAT)、超氧化物歧化酶(SOD)和总抗氧化剂的活性水平。采用MCAO方法建立缺血性脑卒中模型。用MCAO(大脑中动脉闭塞法)测定梗死面积和缺血耐受性,用2,3,5-三苯四氮唑测定梗死体积。结果:与肉桂提取物相比,长期使用扁豆提取物可降低运动功能、CAT、SOD和总抗氧化活性。肉桂提取物改善缺血耐受性,减小梗死面积。小扁豆提取物组不能耐受缺血,在实验期间死亡。结论:饮食调整可有效降低脑卒中及其并发症的发生率。认识食物气质及其与各种疾病的关系可以减轻疾病负担,但这方面的研究还有待进一步深入。
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引用次数: 0
The Effect of Six Weeks of Aerobic Exercise on Malondialdhyde and Superoxide Dismutase of Heart Tissue in Rats Poisoned With Steroid Dianabol 六周有氧运动对类固醇地那酚中毒大鼠心脏组织丙二醛和超氧化物歧化酶的影响
Pub Date : 2021-10-01 DOI: 10.32598/jvc.2.4.76.3
S. Ramezani, Lotfali Bolboli, Bahman Valinejad, Mohsen Yaqoubi
Background and Aim: Anabolic steroids cause damage to various tissues, including the heart. This study aimed to evaluate the effect of aerobic exercise on Malondialdehyde (MDA) and superoxide dismutase (SOD) of heart tissues in rats poisoned with the anabolic steroid Dianabol. Materials and Methods: In this experimental-fundamental study, 18 rats were selected and divided into three 6-series groups, including normal saline intake (Sh), Dianabol (D), and steroid intake with aerobic exercises (D+RT). For six weeks, the steroid and aerobic exercise groups received 5 mg/kg of Dianabol per day peritoneally, and the steroid aerobic exercise group performed aerobic exercise five sessions per week. Measurement of MDA and SOD gene expression in heart tissue was measured by ELISA. Kolmogorov-Smirnov statistical tests, a 1-way analysis of variance with Tukey post hoc test were used to analyze the results (P≤0.05). Results: Steroid Dianabol had a significant effect on increasing MDA (P=0.001) and decreasing SOD (P=0.001) in heart tissue. However, aerobic exercise decreased MDA (P=0.001) and increased the SOD antioxidant index (P=0.000) in the heart tissue of rats exposed to Dianabol. Conclusion: Anabolic steroids appear to increase oxidative stress indices and decrease antioxidants in heart tissue, while aerobic exercise can improve elevated levels of oxidative stress and decreased levels of antioxidants.
背景和目的:合成代谢类固醇对包括心脏在内的多种组织造成损害。本研究旨在探讨有氧运动对合成代谢类固醇Dianabol中毒大鼠心脏组织丙二醛(MDA)和超氧化物歧化酶(SOD)的影响。材料与方法:在本实验基础研究中,选择18只大鼠,分为3个6系列,包括生理盐水组(Sh), Dianabol组(D)和有氧运动类固醇组(D+RT)。在六周的时间里,类固醇和有氧运动组每天腹腔注射5mg /kg的Dianabol,类固醇有氧运动组每周进行五次有氧运动。ELISA法检测心肌组织中MDA、SOD基因表达。采用Kolmogorov-Smirnov统计检验,单因素方差分析和Tukey事后检验(P≤0.05)。结果:甾体Dianabol对心肌组织MDA升高(P=0.001)、SOD降低(P=0.001)有显著影响。然而,有氧运动降低了大鼠心脏组织中丙二醛(MDA) (P=0.001),增加了SOD抗氧化指数(P=0.000)。结论:合成代谢类固醇可增加心脏组织氧化应激指数,降低抗氧化剂水平,而有氧运动可改善氧化应激水平升高和抗氧化剂水平降低。
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引用次数: 0
The Effect of an Aerobic Exercise Course on Cardiac Tissue Apoptosis in Adult Male Rats Poisoned With Oxygenated Water 有氧运动对含氧水中毒成年雄性大鼠心脏组织凋亡的影响
Pub Date : 2021-10-01 DOI: 10.32598/jvc.2.4.97.1
S. Rezaei, B. Abedi, Hossein Fath Elahi
Background and Aim: Exercise is a strong physiological stimulus that can directly or indirectly affect the process of cardiac apoptosis by affecting some extracellular and intracellular signaling pathways. This study aimed to investigate the effect of aerobic exercise on cardiac tissue apoptosis in rats poisoned with oxygenated water. Materials and Methods: In this experimental study, 24 male Wistar rats with a weight range of 200-220 g and a mean age of 8-10 weeks were divided into 3 groups, each group containing 8 rats: (1) healthy control (HC), (2) toxicant control (TC), and (3) toxic aerobic exercise (AE). To induce apoptosis, a 9% oxidant, with a large amount of oxygenated water was used by inhalation for 3 hours daily. Twenty-four hours after the last exercise, rats were sacrificed, and their tissue samples were isolated and kept at -80 ° C. Then, the expression of BAX, Caspase 3, and BCL2 genes in cardiac tissue was measured using RTPCR. Kolmogorov-Smirnov statistical test and one-way analysis of variance with Tukey post hoc test in SPSS software v. 22 were used to analyze the data (P≥0.05). Results: Exposure to oxygenated water significantly increased BAX (P=0.001) and Caspase 3 (P=0.002) and significantly decreased BCL2 gene expression (P=0.001) in cardiac tissue. While aerobic exercise decreased levels of BAX (P=0.001) and Caspase 3 (P=0.001) and increased BCL2 (P=0.000) in the cardiac tissue of rats poisoned with oxygenated water. Conclusion: It seems that a period of aerobic exercise with significant changes in the expression of genes involved in oxygenated apoptosis can be used as a complementary therapy and other methods to modulate the apoptosis of cardiac tissue.
背景与目的:运动是一种强烈的生理刺激,可以通过影响一些细胞外和细胞内信号通路,直接或间接影响心脏细胞凋亡的过程。本研究旨在探讨有氧运动对含氧水中毒大鼠心脏组织凋亡的影响。材料与方法:选取体重200 ~ 220 g、平均年龄8 ~ 10周龄的雄性Wistar大鼠24只,分为3组,每组8只:(1)健康对照组(HC)、(2)毒性对照组(TC)、(3)毒性有氧运动组(AE)。为了诱导细胞凋亡,每天吸入9%的氧化剂和大量含氧水3小时。末次运动24小时后处死大鼠,分离组织标本,-80℃保存,采用RTPCR法检测心脏组织中BAX、Caspase 3、BCL2基因的表达。采用SPSS软件v. 22的Kolmogorov-Smirnov统计检验和Tukey事后检验的单因素方差分析(P≥0.05)。结果:氧合水显著增加心脏组织BAX (P=0.001)和Caspase 3 (P=0.002),显著降低BCL2基因表达(P=0.001)。有氧运动降低了含氧水中毒大鼠心脏组织中BAX (P=0.001)和Caspase 3 (P=0.001)的水平,增加了BCL2 (P=0.000)。结论:一段时间的有氧运动可显著改变氧合性凋亡相关基因的表达,可作为辅助治疗等方法调节心脏组织凋亡。
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引用次数: 0
The Effect of a HIIT Training Course on the Expression of PGC-1α, SIRT1, and SIRT3 Genes in the Cardiac Tissue of Elderly Female Rats HIIT训练课程对老年雌性大鼠心脏组织中PGC-1α、SIRT1和SIRT3基因表达的影响
Pub Date : 2021-10-01 DOI: 10.32598/jvc.2.4.100.1
Khadijeh Hassanpour, B. Abedi, Lida Moradi
Background and Aim: Exercise improves the function of mitochondrial proteins and enzymes in old age. This study aimed to investigate the effect of a high-intensity interval training (HIIT) training course on the expression of PGC-1α, SIRT1, and SIRT3 genes in the cardiac tissue of elderly female rats. Materials and Methods: In this experimental study, 14 female Sprague-Dawley rats with a mean age of 16-18 months and a weight range of 280-320 g were randomly divided into 2 groups of 7, including the control group and the HIIT training group. The experimental group performed HIIT training for 8 weeks and 5 days a week with an intensity of 85%- 110% VO2max. Forty-eight hours after the last training session, rats were anesthetized by intraperitoneal injection of ketamine and xylazine, and the target tissue was immediately removed for examination. Shapiro-Wilk statistical test and one-way analysis of variance in SPSS software v. 22 analyzed the findings (P≥0.05). Results: The results showed that the expression of PGC-1α, SIRT1, and SIRT3 genes increased in the cardiac tissue of the experimental group compared to the control group after 8 weeks of HIIT training, but this increase was not significant (P≤0.05). Conclusion: It seems that in elderly conditions, exercise from pathways other than PGC- 1α improves mitochondrial function. However, further research is needed on the effect of HIIT exercise on the expression of these genes in cardiac tissue.
背景与目的:运动可以改善老年人线粒体蛋白和酶的功能。本研究旨在探讨高强度间歇训练(HIIT)对老年雌性大鼠心脏组织中PGC-1α、SIRT1和SIRT3基因表达的影响。材料与方法:选取平均年龄16-18月龄、体重280-320 g的雌性Sprague-Dawley大鼠14只,随机分为对照组和HIIT训练组,每组7只。实验组进行为期8周,每周5天的HIIT训练,强度为85%- 110% VO2max。最后一次训练48小时后,大鼠腹腔注射氯胺酮和噻嗪麻醉,立即取出靶组织进行检查。Shapiro-Wilk统计检验及SPSS软件v. 22的单因素方差分析分析结果(P≥0.05)。结果:结果显示,HIIT训练8周后,实验组心脏组织中PGC-1α、SIRT1、SIRT3基因的表达较对照组有所增加,但差异不显著(P≤0.05)。结论:在老年条件下,运动可能通过PGC- 1α以外的途径改善线粒体功能。然而,HIIT运动对心脏组织中这些基因表达的影响还需要进一步的研究。
{"title":"The Effect of a HIIT Training Course on the Expression of PGC-1α, SIRT1, and SIRT3 Genes in the Cardiac Tissue of Elderly Female Rats","authors":"Khadijeh Hassanpour, B. Abedi, Lida Moradi","doi":"10.32598/jvc.2.4.100.1","DOIUrl":"https://doi.org/10.32598/jvc.2.4.100.1","url":null,"abstract":"Background and Aim: Exercise improves the function of mitochondrial proteins and enzymes in old age. This study aimed to investigate the effect of a high-intensity interval training (HIIT) training course on the expression of PGC-1α, SIRT1, and SIRT3 genes in the cardiac tissue of elderly female rats. Materials and Methods: In this experimental study, 14 female Sprague-Dawley rats with a mean age of 16-18 months and a weight range of 280-320 g were randomly divided into 2 groups of 7, including the control group and the HIIT training group. The experimental group performed HIIT training for 8 weeks and 5 days a week with an intensity of 85%- 110% VO2max. Forty-eight hours after the last training session, rats were anesthetized by intraperitoneal injection of ketamine and xylazine, and the target tissue was immediately removed for examination. Shapiro-Wilk statistical test and one-way analysis of variance in SPSS software v. 22 analyzed the findings (P≥0.05). Results: The results showed that the expression of PGC-1α, SIRT1, and SIRT3 genes increased in the cardiac tissue of the experimental group compared to the control group after 8 weeks of HIIT training, but this increase was not significant (P≤0.05). Conclusion: It seems that in elderly conditions, exercise from pathways other than PGC- 1α improves mitochondrial function. However, further research is needed on the effect of HIIT exercise on the expression of these genes in cardiac tissue.","PeriodicalId":318985,"journal":{"name":"Journal of Vessels and Circulation","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121892669","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
Serum Neutrophil Gelatinase-associated Lipocalin: A Biomarker of Renal Impairment in Hypertensive Patients 血清中性粒细胞明胶酶相关脂钙素:高血压患者肾损害的生物标志物
Pub Date : 2021-07-01 DOI: 10.32598/jvc.2.3.84.1
H. Saghafi, Z. Haghighi, L. Tabrizi, Saade Sadat Havaeji, M. Vahedian, Tahereh Komeili Movahed, Abdollah Jafari Taheri
Background and Aim: Hypertension is one of the leading causes of chronic kidney disease (CKD). Neutrophil gelatinase-associated lipocalin (NGAL) is a novel and sensitive biomarker in acute and chronic renal injury. The present study investigated serum and urinary NGAL as markers of kidney damage in hypertensive and CKD patients. Materials and Methods: This case-control study was performed on 28 hypertensive patients, 28 patients with CKD, and 33 healthy volunteers. Serum and urinary NGAL levels were measured using the ELISA method. Creatinine and urea concentrations were measured by the routine methods. Receiver-operating characteristic (ROC) curve analysis was employed to find the best serum and urinary NGAL cut-off values for detecting renal function. Results: Both serum and urinary NGAL levels were higher in CKD patients than in hypertensive patients and healthy controls (serum NGAL: 193.48±50.62 vs 99.47±26.65 and 48.74±12.07, P<0.001; urinary NGAL: 63.78±16.54 vs 23.24±6.87 and 11.36±3.4, P<0.001 respectively). There was a significant positive correlation between serum and urinary NGAL with serum urea and creatinine. Serum and urinary NGAL levels showed a significant inverse correlation with the estimated glomerular filtration rate. In ROC analysis, serum NGAL had the best diagnostic profile with an AUC of 0.938 (95% CI: 0.865–0.978) and the best cut-off value of 64.61 ng/mL (sensitivity 97.73%; specificity 77.27%. Conclusion: These results revealed that serum NGAL is a reliable marker for early diagnosis of renal injury in hypertensive patients.
背景与目的:高血压是慢性肾脏疾病(CKD)的主要原因之一。中性粒细胞明胶酶相关脂钙蛋白(NGAL)是一种新的、敏感的急性和慢性肾损伤生物标志物。本研究探讨了血清和尿NGAL作为高血压和CKD患者肾脏损害的标志物。材料与方法:本病例对照研究对28例高血压患者、28例CKD患者和33名健康志愿者进行研究。采用ELISA法测定血清和尿液NGAL水平。采用常规方法测定肌酐和尿素浓度。采用受试者工作特征(ROC)曲线分析,寻找血清和尿液NGAL检测肾功能的最佳临界值。结果:CKD患者血清和尿NGAL水平均高于高血压患者和健康对照组(血清NGAL: 193.48±50.62 vs 99.47±26.65和48.74±12.07,P<0.001;尿NGAL: 63.78±16.54 vs 23.24±6.87和11.36±3.4,P分别<0.001)。血清、尿NGAL与血清尿素、肌酐呈显著正相关。血清和尿NGAL水平与肾小球滤过率呈显著负相关。在ROC分析中,血清NGAL具有最佳诊断价值,AUC为0.938 (95% CI: 0.865-0.978),最佳临界值为64.61 ng/mL(灵敏度97.73%;特异性77.27%。结论:血清NGAL是早期诊断高血压患者肾损伤的可靠指标。
{"title":"Serum Neutrophil Gelatinase-associated Lipocalin: A Biomarker of Renal Impairment in Hypertensive Patients","authors":"H. Saghafi, Z. Haghighi, L. Tabrizi, Saade Sadat Havaeji, M. Vahedian, Tahereh Komeili Movahed, Abdollah Jafari Taheri","doi":"10.32598/jvc.2.3.84.1","DOIUrl":"https://doi.org/10.32598/jvc.2.3.84.1","url":null,"abstract":"Background and Aim: Hypertension is one of the leading causes of chronic kidney disease (CKD). Neutrophil gelatinase-associated lipocalin (NGAL) is a novel and sensitive biomarker in acute and chronic renal injury. The present study investigated serum and urinary NGAL as markers of kidney damage in hypertensive and CKD patients. Materials and Methods: This case-control study was performed on 28 hypertensive patients, 28 patients with CKD, and 33 healthy volunteers. Serum and urinary NGAL levels were measured using the ELISA method. Creatinine and urea concentrations were measured by the routine methods. Receiver-operating characteristic (ROC) curve analysis was employed to find the best serum and urinary NGAL cut-off values for detecting renal function. Results: Both serum and urinary NGAL levels were higher in CKD patients than in hypertensive patients and healthy controls (serum NGAL: 193.48±50.62 vs 99.47±26.65 and 48.74±12.07, P<0.001; urinary NGAL: 63.78±16.54 vs 23.24±6.87 and 11.36±3.4, P<0.001 respectively). There was a significant positive correlation between serum and urinary NGAL with serum urea and creatinine. Serum and urinary NGAL levels showed a significant inverse correlation with the estimated glomerular filtration rate. In ROC analysis, serum NGAL had the best diagnostic profile with an AUC of 0.938 (95% CI: 0.865–0.978) and the best cut-off value of 64.61 ng/mL (sensitivity 97.73%; specificity 77.27%. Conclusion: These results revealed that serum NGAL is a reliable marker for early diagnosis of renal injury in hypertensive patients.","PeriodicalId":318985,"journal":{"name":"Journal of Vessels and Circulation","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115139881","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
Epidemiological Study of AIDS in Qom Province, Iran 伊朗库姆省艾滋病流行病学研究
Pub Date : 2021-07-01 DOI: 10.32598/jvc.2.3.64.4
J. Khodadadi, Hoda Balzadeh, A. Heidari, M. Assi, Qasem Amiri, E. Noori
Background and Aim: Unfortunately, AIDS has high morbidity and mortality due to its easy transmission, secrecy, severe complications, and no definitive treatment. This study aimed to investigate the epidemiology of HIV in Qom Province, Iran. Materials and Methods: This analytical cross-sectional study was performed on patients with AIDS referred to the Behavioral Diseases Counseling Clinic in Qom Province from its opening until the first half of 2019. Sampling was done by census and reviewing all registered files in this clinic. The inclusion criteria were completed files of all patients. However, records of patients who were incomplete or had other sexually transmitted diseases and neurological disorders were excluded from the study. After data collection, the files were entered in SPSS software, version 22. Results: A total of 612 patients were studied in this study. The mean age of the patients was 36.63±9.41 (±SD) years. Also, 523 patients were males (85.5%), and 89 were females (14.5%). The numbers (percentages) of single, divorced, and widows people were 217 (39.6%), 89 (16.2%), and 12 (2.2%), respectively. Most people (221 people, 42.5%) had primary education, and only 3 (0.6%) had a bachelor’s degree. Most of them lived in urban areas (501, 97.9%) and were unemployed (323, 58.7%). Also, 403 (83.4%) had a history of addiction, 392 (95.7%) were injecting drug users, 345 (95%) had a history of injection among injecting drug users, 277 (66.1%) had extramarital sex, 245 (96.1%) had several sexual intercourses, 26 (10.4%) used condom, and 18 patients (7.8%) had an infected child. The number of HIV-infected people in Qom until 2012 was about 477 people, which comprised 0.041% of the province’s population (1151672 people the population of this province according to the 2011 census registered in the Statistics Center of Iran). Conclusion: According to the study findings and the national statistics regarding the change of the primary method of transmission from injection to sex from 1997 to 2013 in Qom Province, we can conclude that Qom Province is also moving towards changing the main method of transmission from drug injection to sexual transmission.
背景和目的:不幸的是,艾滋病由于其易传播、隐蔽性、严重并发症和无明确治疗而具有高发病率和死亡率。本研究旨在调查伊朗库姆省艾滋病流行病学。材料和方法:本分析性横断面研究是对库姆省行为疾病咨询诊所从开业到2019年上半年的艾滋病患者进行的。抽样是通过人口普查和审查该诊所的所有登记文件来完成的。所有患者的纳入标准均已完成。然而,记录不完整或患有其他性传播疾病和神经系统疾病的患者被排除在研究之外。数据收集完成后,将文件录入SPSS软件,版本22。结果:本研究共纳入612例患者。患者平均年龄36.63±9.41(±SD)岁。男性523例(85.5%),女性89例(14.5%)。单身、离婚、丧偶人数分别为217人(39.6%)、89人(16.2%)、12人(2.2%)。大多数人(221人,42.5%)受过初等教育,只有3人(0.6%)拥有学士学位。其中以城镇居民居多(501,97.9%),无业人口居多(323,58.7%)。有吸毒成瘾史的403人(83.4%),有注射吸毒史的392人(95.7%),有注射吸毒史的345人(95%),有婚外性行为的277人(66.1%),有多次性行为的245人(96.1%),使用安全套的26人(10.4%),有感染儿童的18人(7.8%)。截至2012年,库姆感染艾滋病毒的人数约为477人,占该省人口的0.041%(根据伊朗统计中心2011年登记的人口普查,该省人口为1151672人)。结论:根据1997 - 2013年库姆省艾滋病主要传播途径由注射传播向性传播转变的统计数据,库姆省艾滋病主要传播途径也正在由药物注射传播向性传播转变。
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引用次数: 0
Underlying Factors Associated With Failure to Achieve Therapeutic Lipid Goals by Intensive Statin Therapy in Post-myocardial Infarction Patients 心肌梗死后患者强化他汀类药物治疗未能达到血脂目标的潜在因素
Pub Date : 2021-07-01 DOI: 10.32598/jvc.2.3.64.1
Seyed Fakhreddin Hejazi, Kobra Doostali, M. Shater, Leili Iranirad, S. Rahimi, E. Noori, Mohamad Hussein Assi
Background and Aim: Treatment of hyperlipidemia, as a significant risk factor of cardiovascular disease with a leading role in atherosclerosis and adverse cardiovascular effects, is now a medical dilemma worldwide. Despite the comprehensive knowledge about the impact of this factor on the cardiovascular system, the achievement of therapeutic goals of medical therapy remains an unattained desire. This study aims to evaluate the underlying causes apart from the medication itself. Materials and Methods: This cross-sectional study was conducted for 6 months from March 2016. During which, 50 patients were thoroughly evaluated and followed up. The inclusion criteria were patients with acute myocardial infarction who were newly diagnosed when the first total dose of statin (atorvastatin 80 mg) was started. The exclusion criteria were a history of taking fat-reducing drugs before the study. Predetermined data extraction forms, including medical and laboratory variables and the multidimensional scale of perceived social support questionnaire (MSPSS), were completed for all patients at the first visit and after 6 months. The obtained data were analyzed using SPSS software. Results: Among 50 studied patients, 28 were men (56%), and 22 were women (44%) (P˃0.05), with Mean±SD age of 60±10.19 years. Only 20 patients (40%) could achieve the therapeutic goal of low-density lipoprotein cholesterol (˃70 mg/dL). Irregular drug consumption was the only factor that significantly differed between patients who achieved the goals and those who could not (P=0.034). Subgroup analysis among patients with regular and irregular drug consumption demonstrates that low educational levels and poor socioeconomic support significantly differed between these patients (P˃0.05). Conclusion: Some conditions independently influence the efficacy of a medical treatment to improve hyperlipidemia, including educational and socioeconomic determinants. These factors are independent of the medication. Therefore, patient’s lifestyle and their condition have to be considered in planning medical therapy.
背景与目的:高脂血症作为心血管疾病的重要危险因素,在动脉粥样硬化和心血管不良反应中起主导作用,其治疗是目前世界范围内的一个医学难题。尽管对这一因素对心血管系统的影响有了全面的了解,但医学治疗目标的实现仍然是一个未实现的愿望。这项研究旨在评估药物本身之外的潜在原因。材料与方法:本横断面研究自2016年3月开始,为期6个月。在此期间,对50例患者进行了全面评估和随访。纳入标准为首次开始使用他汀类药物(阿托伐他汀80mg)时新诊断的急性心肌梗死患者。排除标准是在研究前有服用减脂药物的历史。所有患者在第一次就诊时和6个月后完成预定的数据提取表格,包括医学和实验室变量以及感知社会支持问卷的多维量表(MSPSS)。所得数据采用SPSS软件进行分析。结果:50例患者中,男性28例(56%),女性22例(44%)(P > 0.05),平均±SD年龄为60±10.19岁。只有20例(40%)患者能达到低密度脂蛋白胆固醇(70 mg/dL)的治疗目标。不规律用药是实现目标与未实现目标患者之间唯一有显著差异的因素(P=0.034)。规律用药与不规律用药患者的亚组分析显示,两组患者文化程度低、社会经济支持差差异有统计学意义(P > 0.05)。结论:一些条件独立影响药物治疗改善高脂血症的疗效,包括教育和社会经济因素。这些因素与药物无关。因此,在制定药物治疗计划时,必须考虑患者的生活方式和病情。
{"title":"Underlying Factors Associated With Failure to Achieve Therapeutic Lipid Goals by Intensive Statin Therapy in Post-myocardial Infarction Patients","authors":"Seyed Fakhreddin Hejazi, Kobra Doostali, M. Shater, Leili Iranirad, S. Rahimi, E. Noori, Mohamad Hussein Assi","doi":"10.32598/jvc.2.3.64.1","DOIUrl":"https://doi.org/10.32598/jvc.2.3.64.1","url":null,"abstract":"Background and Aim: Treatment of hyperlipidemia, as a significant risk factor of cardiovascular disease with a leading role in atherosclerosis and adverse cardiovascular effects, is now a medical dilemma worldwide. Despite the comprehensive knowledge about the impact of this factor on the cardiovascular system, the achievement of therapeutic goals of medical therapy remains an unattained desire. This study aims to evaluate the underlying causes apart from the medication itself. Materials and Methods: This cross-sectional study was conducted for 6 months from March 2016. During which, 50 patients were thoroughly evaluated and followed up. The inclusion criteria were patients with acute myocardial infarction who were newly diagnosed when the first total dose of statin (atorvastatin 80 mg) was started. The exclusion criteria were a history of taking fat-reducing drugs before the study. Predetermined data extraction forms, including medical and laboratory variables and the multidimensional scale of perceived social support questionnaire (MSPSS), were completed for all patients at the first visit and after 6 months. The obtained data were analyzed using SPSS software. Results: Among 50 studied patients, 28 were men (56%), and 22 were women (44%) (P˃0.05), with Mean±SD age of 60±10.19 years. Only 20 patients (40%) could achieve the therapeutic goal of low-density lipoprotein cholesterol (˃70 mg/dL). Irregular drug consumption was the only factor that significantly differed between patients who achieved the goals and those who could not (P=0.034). Subgroup analysis among patients with regular and irregular drug consumption demonstrates that low educational levels and poor socioeconomic support significantly differed between these patients (P˃0.05). Conclusion: Some conditions independently influence the efficacy of a medical treatment to improve hyperlipidemia, including educational and socioeconomic determinants. These factors are independent of the medication. Therefore, patient’s lifestyle and their condition have to be considered in planning medical therapy.","PeriodicalId":318985,"journal":{"name":"Journal of Vessels and Circulation","volume":"74 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133210624","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
Effect of Aerobic Exercises on Reduced and Oxidized Glutathione in Aortic Endothelial Cells of Rats Exposed to Arsenic 有氧运动对砷暴露大鼠主动脉内皮细胞中还原性和氧化性谷胱甘肽的影响
Pub Date : 2021-07-01 DOI: 10.32598/jvc.2.3.93.1
Mehdi Badkoubeh Hazaveh, B. Abedi, Saleh Rahmati Ahmadabad
Background and Aim: Arsenic is an environmental pollutant that can damage tissue by producing free radicals. However, regular aerobic exercise is essential in enhancing antioxidant defense and resistance to oxidative stress. This study aimed to evaluate the effect of aerobic exercise on reduced glutathione (GSH) and oxidized glutathione (GSSG) and aortic endothelial cells of of heart tissue in rats exposed to arsenic. Materials and Methods: In this experimental study, 24 male Wistar rats with a weight ranged 220-240 g and a mean age of 6-8 weeks were divided into 3 groups of 8: healthy control, toxic control, and toxic aerobic exercise. Rats receiving arsenic were prescribed 25 ppm arsenic daily in oral water for 8 weeks. The exercise program consisted of 8 weeks of aerobic exercise, five sessions per week with an intensity of 75%-80% of maximum oxygen consumption. Eventually, 24 hours after the last exercise session, the rats were anesthetized and killed, and the target tissue was removed for examination. The Kolmogorov-Smirnov statistical test and one-way analysis of variance with Tukey post hoc test were used to analyze the findings in SPSS software, version 22 (P≥0.05). Results: Exposure to arsenic significantly reduced GSH and GSSG levels in heart tissue and aortic endothelial cells (P≥0.05). In contrast, aerobic exercise increased GSH and GSSG levels in heart tissue and aortic endothelial cells in arsenic-poisoned rats (P≥0.05). Conclusion: Aerobic exercise effectively reduces oxidative stress and increases antioxidant defense against arsenic toxicity in heart disorders.
背景与目的:砷是一种环境污染物,可通过产生自由基对人体组织造成损伤。然而,有规律的有氧运动对于增强抗氧化防御和抵抗氧化应激是必不可少的。本研究旨在探讨有氧运动对砷暴露大鼠心脏组织还原性谷胱甘肽(GSH)、氧化性谷胱甘肽(GSSG)及主动脉内皮细胞的影响。材料与方法:选取体重220 ~ 240 g、平均年龄6 ~ 8周龄的雄性Wistar大鼠24只,分为健康对照组、毒性对照组和毒性有氧运动组,每组8只。接受砷治疗的大鼠每天在口服水中添加25 ppm的砷,持续8周。运动计划包括8周的有氧运动,每周五次,强度为最大耗氧量的75%-80%。最终,在最后一次运动后24小时,大鼠被麻醉并杀死,目标组织被移除进行检查。采用Kolmogorov-Smirnov统计检验和Tukey事后检验的单因素方差分析,采用SPSS软件进行分析(P≥0.05)。结果:砷暴露可显著降低心脏组织和主动脉内皮细胞GSH和GSSG水平(P≥0.05)。相比之下,有氧运动增加了砷中毒大鼠心脏组织和主动脉内皮细胞中GSH和GSSG的水平(P≥0.05)。结论:有氧运动可有效降低心脏疾病的氧化应激,增强对砷中毒的抗氧化防御。
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引用次数: 0
The Effect of a Selected Period of Exercise in Water on Cardiovascular Risk Indicators of Overweight Elderly Men 选择一段时间的水中运动对超重老年男性心血管危险指标的影响
Pub Date : 2021-07-01 DOI: 10.32598/jvc.2.3.90.1
Rahim Mir Nasuri, M. Yaghoubi, Asadollah Chezani Sharahi, S. Ramezani
Background and Aim: Voluntary activity decreases in the elderly with increasing age, and this activity causes many physical problems and cardiovascular risk factors. This study aimed to investigate the effect of 8 weeks of selected aerobic exercise in water on some cardiovascular risk indicators in overweight elderly men. Materials and Methods: After measuring anthropometric indices, 34 overweight men (64.84±5.56 years old, body mass index [BMI]≥25 kg/m2) were randomly selected and divided into water exercise (n=17) and control (n=17) groups. The water exercise group did the aerobic exercise in the water with an intensity of 45% to 65% of maximum heart rate for 8 weeks. Before and after the intervention, blood samples were taken from all subjects to measure serum levels of triglyceride (TG), total cholesterol (TC), low-density lipoprotein (LDL) cholesterol, and high-density lipoprotein (HDL) cholesterol. The Shapiro-Wilk test was used to check the normality of data distribution, and after assuming the normality of the data, the paired t test was used to examine within-group changes and an independent t test for between-group differences. Data analysis was performed using SPSS software. The results were evaluated at a significance level of less than 0.05. Results: Water exercise significantly reduced mean blood pressure (P≤0.001), systolic blood pressure (P≤0.000), TG (P≤0.00), cholesterol (P≤0.01), and LDL (P≤0.02) in elderly men. However, there was no significant difference between the two groups in the HDL index. Conclusion: Eight weeks of water aerobic exercise can positively reduce cardiovascular risk factors in overweight elderly men. Therefore, these exercises can be recommended by sports and health experts.
背景与目的:随着年龄的增长,老年人的自愿活动减少,这种活动导致许多身体问题和心血管危险因素。本研究旨在探讨8周选择性水中有氧运动对超重老年男性心血管危险指标的影响。材料与方法:测量人体测量指标后,随机选取34名体重超重男性(64.84±5.56岁,体重指数[BMI]≥25 kg/m2),分为水上运动组(n=17)和对照组(n=17)。水中运动组在水中进行有氧运动,强度为最大心率的45%至65%,持续8周。在干预前后,采集所有受试者的血样,测量血清中甘油三酯(TG)、总胆固醇(TC)、低密度脂蛋白(LDL)胆固醇和高密度脂蛋白(HDL)胆固醇的水平。采用Shapiro-Wilk检验检验数据分布是否符合正态性,在假设数据符合正态性后,采用配对t检验检验组内变化,采用独立t检验检验组间差异。采用SPSS软件进行数据分析。结果以小于0.05的显著性水平进行评价。结果:水上运动显著降低老年男性平均血压(P≤0.001)、收缩压(P≤0.000)、TG (P≤0.00)、胆固醇(P≤0.01)、LDL (P≤0.02)。然而,两组在HDL指数上没有显著差异。结论:8周水中有氧运动对老年超重男性心血管危险因素有积极的降低作用。因此,运动和健康专家可以推荐这些运动。
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引用次数: 0
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Journal of Vessels and Circulation
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