Background: Vitamin C and kombucha contain a high amount of glucuronic acid that can prevent cholesterol accumulation and convert cholesterol to a more water-soluble compound. Objectives: The aim of this study was to compare the effects of kombucha and vitamin C on the coronary arteries and aorta of male rabbits exposed to lead acetate fed with a high-cholesterol diet. Methods: Forty male rabbits were divided randomly into four groups of 10 animals. Group 1 served as a control group. Rabbits in group 2 received water containing 547 ppm of lead acetate and a high-cholesterol diet (1%). Group 3 received water containing 547 ppm lead acetate and a high-cholesterol diet (1%) in combination with ascorbic acid (500 mg/kg), and group 4 rabbits were treated with water containing 547 ppm lead acetate and kombucha extract (10 ml/kg) for 40 days orally on a high-cholesterol diet (1%). Results: The results showed that in groups 3 and 4, no significant atherosclerotic plaques could be detected in coronary arteries, compared to the control animals. However, large atherosclerotic plaques were observed in the aortas of those treated only with kombucha. The data were analyzed using analysis of variance (ANOVA) statistical methods. The mean ± standard error of the mean (SEM) triglyceride (TG) serum levels in groups 1, 2, 3, and 4 were 122.70 ± 66.77, 280.60 ± 88.66, 120.10 ± 8.33, and 107.86 ± 8.61 mg/dL, respectively. The mean ± SEM TG serum levels in groups 1, 2, 3, and 4 were 67.80 ± 10.33, 67.90 ± 10.10, 60.80 ± 8.16, and 58.71 ± 4.78 mg/dL, respectively. The mean ± SEM TG serum levels in groups 1, 2, 3, and 4 were 194.50 ± 6.58, 182.60 ± 13.75, 178.30 ± 18.01, and 166.00 ± 7.65 mg/dL, respectively. P-values for low-density lipoprotein (LDL), high-density lipoprotein (HDL), and TG were reported as P < 0.001, P = 0.077, and P < 0.001, respectively. Conclusions: It could be concluded that kombucha, unlike vitamin C, cannot prevent the formation of large plaques in the aorta, although it seems that it can prevent atherosclerotic lesions in coronary arteries. Therefore, further studies are required to evaluate the long-term use of kombucha to assess whether higher doses are beneficial in preventing atherosclerotic events or not.
{"title":"Comparison of the Effect of Kombucha and Vitamin C on Coronary Arteries in Rabbits Exposed to Lead and High-Cholesterol Diet","authors":"Asghar Rajabzadeh, P. Vahedi, Hadi Vahedi","doi":"10.5812/semj-141017","DOIUrl":"https://doi.org/10.5812/semj-141017","url":null,"abstract":"Background: Vitamin C and kombucha contain a high amount of glucuronic acid that can prevent cholesterol accumulation and convert cholesterol to a more water-soluble compound. Objectives: The aim of this study was to compare the effects of kombucha and vitamin C on the coronary arteries and aorta of male rabbits exposed to lead acetate fed with a high-cholesterol diet. Methods: Forty male rabbits were divided randomly into four groups of 10 animals. Group 1 served as a control group. Rabbits in group 2 received water containing 547 ppm of lead acetate and a high-cholesterol diet (1%). Group 3 received water containing 547 ppm lead acetate and a high-cholesterol diet (1%) in combination with ascorbic acid (500 mg/kg), and group 4 rabbits were treated with water containing 547 ppm lead acetate and kombucha extract (10 ml/kg) for 40 days orally on a high-cholesterol diet (1%). Results: The results showed that in groups 3 and 4, no significant atherosclerotic plaques could be detected in coronary arteries, compared to the control animals. However, large atherosclerotic plaques were observed in the aortas of those treated only with kombucha. The data were analyzed using analysis of variance (ANOVA) statistical methods. The mean ± standard error of the mean (SEM) triglyceride (TG) serum levels in groups 1, 2, 3, and 4 were 122.70 ± 66.77, 280.60 ± 88.66, 120.10 ± 8.33, and 107.86 ± 8.61 mg/dL, respectively. The mean ± SEM TG serum levels in groups 1, 2, 3, and 4 were 67.80 ± 10.33, 67.90 ± 10.10, 60.80 ± 8.16, and 58.71 ± 4.78 mg/dL, respectively. The mean ± SEM TG serum levels in groups 1, 2, 3, and 4 were 194.50 ± 6.58, 182.60 ± 13.75, 178.30 ± 18.01, and 166.00 ± 7.65 mg/dL, respectively. P-values for low-density lipoprotein (LDL), high-density lipoprotein (HDL), and TG were reported as P < 0.001, P = 0.077, and P < 0.001, respectively. Conclusions: It could be concluded that kombucha, unlike vitamin C, cannot prevent the formation of large plaques in the aorta, although it seems that it can prevent atherosclerotic lesions in coronary arteries. Therefore, further studies are required to evaluate the long-term use of kombucha to assess whether higher doses are beneficial in preventing atherosclerotic events or not.","PeriodicalId":507014,"journal":{"name":"Shiraz E-Medical Journal","volume":"64 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140261511","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}
Mohammad Fararouei, Z. Deldar, S. Pourrezaei, M. Mousavi
Background: Correctly estimating the prevalence of sexually transmitted infections (STIs) is crucial for monitoring and managing these diseases effectively. Objectives: This study aimed to estimate the prevalence of STI syndromes and evaluate the surveillance systems for STIs in Marvdasht. Methods: We conducted a cross-sectional study in 2018 involving a population-based random sample of 3 879 participants aged 18-50 in Marvdasht city. Genital ulcers and secretions in both genders were used as the primary outcomes to assess the completeness of the system and calculate the correction factor. A mathematical model was developed to estimate the correction factor for the prevalence of selected syndromes in each gender. The correction factor was determined by dividing the cases estimated through the mathematical model by the cases reported by the surveillance systems. Results: The estimated prevalence (with 95% confidence intervals [CI]) of urethral discharge in men and women, based on the model, was 25.32% (23.08 - 27.56) and 47.03% (39.93 - 54.13), respectively, and for genital ulcers, it was 5.16% (4.06 - 6.86) for men and 15.50% (9.5 - 21.5) for women. In both genders and for both syndromes, the reported prevalence by the care system (men: discharge 0.09% [0.07 - 0.11], ulcer 0.04% [0.03 - 0.06]; women: discharge 0.12% [0.1 - 0.15], ulcer 0.19% [0.16 - 0.22]) was severely underestimated. The highest and lowest underreporting correction ratios in the national STI monitoring system were observed for urethral discharge in men (124.5) and genital ulcers in women (7.26), respectively. Conclusions: The study revealed that the reported prevalence of STI syndromes in Iran is significantly underestimated compared to the actual prevalence in the population. Fundamental revisions are necessary to enhance the system's validity and completeness in detecting and reporting STIs.
{"title":"Estimation of Prevalence of Sexually Transmitted Infection Syndromes and Evaluation of the Surveillance Systems for Sexually Transmitted Infection in Marvdasht","authors":"Mohammad Fararouei, Z. Deldar, S. Pourrezaei, M. Mousavi","doi":"10.5812/semj-141549","DOIUrl":"https://doi.org/10.5812/semj-141549","url":null,"abstract":"Background: Correctly estimating the prevalence of sexually transmitted infections (STIs) is crucial for monitoring and managing these diseases effectively. Objectives: This study aimed to estimate the prevalence of STI syndromes and evaluate the surveillance systems for STIs in Marvdasht. Methods: We conducted a cross-sectional study in 2018 involving a population-based random sample of 3 879 participants aged 18-50 in Marvdasht city. Genital ulcers and secretions in both genders were used as the primary outcomes to assess the completeness of the system and calculate the correction factor. A mathematical model was developed to estimate the correction factor for the prevalence of selected syndromes in each gender. The correction factor was determined by dividing the cases estimated through the mathematical model by the cases reported by the surveillance systems. Results: The estimated prevalence (with 95% confidence intervals [CI]) of urethral discharge in men and women, based on the model, was 25.32% (23.08 - 27.56) and 47.03% (39.93 - 54.13), respectively, and for genital ulcers, it was 5.16% (4.06 - 6.86) for men and 15.50% (9.5 - 21.5) for women. In both genders and for both syndromes, the reported prevalence by the care system (men: discharge 0.09% [0.07 - 0.11], ulcer 0.04% [0.03 - 0.06]; women: discharge 0.12% [0.1 - 0.15], ulcer 0.19% [0.16 - 0.22]) was severely underestimated. The highest and lowest underreporting correction ratios in the national STI monitoring system were observed for urethral discharge in men (124.5) and genital ulcers in women (7.26), respectively. Conclusions: The study revealed that the reported prevalence of STI syndromes in Iran is significantly underestimated compared to the actual prevalence in the population. Fundamental revisions are necessary to enhance the system's validity and completeness in detecting and reporting STIs.","PeriodicalId":507014,"journal":{"name":"Shiraz E-Medical Journal","volume":"34 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140261997","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}
B. Honarvar, Hasan Rahgozar, Sepideh Niknejad, Samaneh Zare, Fariba Rezaei, Fatemeh Shaygani, Mohammad Hassan Zahedroozegar, Fatemeh Jamali, Fatemeh Bita, K. Bagheri Lankarani
Background: The transcendental society is characterized by cohesive, purpose-driven, and flourishing families. To achieve this, marital satisfaction (MS) plays a crucial role in the lives of married couples. Objectives: This study aimed to determine MS and its influencing factors among newly married women. Methods: A prospective cohort study was conducted in Shiraz, Iran, involving 495 young first-married women within the first 2 years of their marriage. The participants completed a valid questionnaire encompassing demographic information, socioeconomic characteristics, and mate-selection criteria at the onset and after 2 years of marriage. The questionnaire in the second stage consisted of updated demographic and socioeconomic data and assessments of MS. These questionnaires demonstrated reliability rates of 70.6% and 88.6% in the first and second stages, respectively. Marital satisfaction was measured on a scale of 1 to 10, with scores ≤ 5 and > 5 indicating low and high satisfaction levels, respectively. The data were analyzed using SPSS software version 25. Results: The mean age of the participants was 28.2 ± 5.3 years. Most women (70.7%) had an age difference of 1 - 7 years with their husbands; however, 78.4% had an academic education. Additionally, 73.5% reported no blood relation with their spouses, 74.5% did not have children, 62.8% were employed, and 87.3% did not live with their parents after marriage. The average follow-up period was 23.8 ± 8.3 months. Marital satisfaction was reported as high in 442 (89.3%) participants and low in 53 (10.7%). Multiple regression analysis revealed that the following factors significantly influenced MS among young married women: belief in the correctness of mate-selection criteria (OR = 21.4, P < 0.001), meeting husband's expectations (OR = 13.1, P < 0.001), sexual satisfaction within the marriage (OR = 11.5, P < 0.001), pre-existing acquaintance with the husband (OR = 9.4, P < 0.001), and abstaining from cigarette, alcohol, substances, or psychological drugs after marriage (OR = 8.5, P = 0.001). Furthermore, not living with the husband's family (OR = 6.4, P = 0.002), having a healthy husband (OR = 5.9, P = 0.002), receiving support from the husband's family (OR = 5.9, P = 0.001), husband's abstinence from cigarette, alcohol, substances, or psychological drugs after marriage (OR = 3.6, P = 0.04), engaging in regular communication with the husband regarding mutual expectations (OR = 3.5, P = 0.03), and higher age of the husband (OR = 1.1, P = 0.03) were also correlated with MS. Conclusions: This study highlights the significance of various pre-marriage and post-marriage personal and familial factors in determining MS among young married women. These findings underscore the importance of providing guidance, education, and support to couples and their parents regarding these influential factors before and after marriage.
{"title":"Marital Satisfaction in Newly Married Women: A Two-Year Prospective Cohort Study from Iran","authors":"B. Honarvar, Hasan Rahgozar, Sepideh Niknejad, Samaneh Zare, Fariba Rezaei, Fatemeh Shaygani, Mohammad Hassan Zahedroozegar, Fatemeh Jamali, Fatemeh Bita, K. Bagheri Lankarani","doi":"10.5812/semj-139999","DOIUrl":"https://doi.org/10.5812/semj-139999","url":null,"abstract":"Background: The transcendental society is characterized by cohesive, purpose-driven, and flourishing families. To achieve this, marital satisfaction (MS) plays a crucial role in the lives of married couples. Objectives: This study aimed to determine MS and its influencing factors among newly married women. Methods: A prospective cohort study was conducted in Shiraz, Iran, involving 495 young first-married women within the first 2 years of their marriage. The participants completed a valid questionnaire encompassing demographic information, socioeconomic characteristics, and mate-selection criteria at the onset and after 2 years of marriage. The questionnaire in the second stage consisted of updated demographic and socioeconomic data and assessments of MS. These questionnaires demonstrated reliability rates of 70.6% and 88.6% in the first and second stages, respectively. Marital satisfaction was measured on a scale of 1 to 10, with scores ≤ 5 and > 5 indicating low and high satisfaction levels, respectively. The data were analyzed using SPSS software version 25. Results: The mean age of the participants was 28.2 ± 5.3 years. Most women (70.7%) had an age difference of 1 - 7 years with their husbands; however, 78.4% had an academic education. Additionally, 73.5% reported no blood relation with their spouses, 74.5% did not have children, 62.8% were employed, and 87.3% did not live with their parents after marriage. The average follow-up period was 23.8 ± 8.3 months. Marital satisfaction was reported as high in 442 (89.3%) participants and low in 53 (10.7%). Multiple regression analysis revealed that the following factors significantly influenced MS among young married women: belief in the correctness of mate-selection criteria (OR = 21.4, P < 0.001), meeting husband's expectations (OR = 13.1, P < 0.001), sexual satisfaction within the marriage (OR = 11.5, P < 0.001), pre-existing acquaintance with the husband (OR = 9.4, P < 0.001), and abstaining from cigarette, alcohol, substances, or psychological drugs after marriage (OR = 8.5, P = 0.001). Furthermore, not living with the husband's family (OR = 6.4, P = 0.002), having a healthy husband (OR = 5.9, P = 0.002), receiving support from the husband's family (OR = 5.9, P = 0.001), husband's abstinence from cigarette, alcohol, substances, or psychological drugs after marriage (OR = 3.6, P = 0.04), engaging in regular communication with the husband regarding mutual expectations (OR = 3.5, P = 0.03), and higher age of the husband (OR = 1.1, P = 0.03) were also correlated with MS. Conclusions: This study highlights the significance of various pre-marriage and post-marriage personal and familial factors in determining MS among young married women. These findings underscore the importance of providing guidance, education, and support to couples and their parents regarding these influential factors before and after marriage.","PeriodicalId":507014,"journal":{"name":"Shiraz E-Medical Journal","volume":"27 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140081452","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}
Mohammad Kazem Emami Meybodi, Shahram Shirvani, Morteza Jannesari Ladani, Sajjad Mohammadnabi, M. Shater
Background: Total hip arthroplasty (THA) is a surgical technique to correct developmental dysplasia of the hip (DDH). Various THA-based methods have been developed for managing end-stage osteoarthritis in patients with DDH Crowe type III or IV. Objectives: In this study, we evaluate the Harris hip score (HHS) before and after cementless THA without subtrochanteric shortening osteotomy (STO) in patients with DDH Crowe type III or IV who were candidates for THA, as well as complications and the need for revision surgery. Methods: This retrospective cohort study was conducted on patients with DDH Crowe type III and IV, who were candidates for cementless THA using the Watson Jones technique without shortening STO. The HHS was calculated and recorded in their medical files before surgery. Patients with missing or incomplete medical files, without written informed consent, with neurovascular diseases, immunosuppressive drug use, congenital bone and articular anomalies, low back pain radiating to the lower extremities, simultaneous fractures, a history of lower extremity fractures, or joint infections were excluded. The HHS was recalculated during outpatient follow-up. Neurovascular defects and the need for reoperation were also evaluated. All data were recorded and analyzed. Results: Thirty-two patients were enrolled with a mean ± SD age of 50.34 ± 15.45 years, most of whom were women (75%). The patients were followed for 2 to 7 years. Postoperative nerve defects were observed in only 1 (3.1%) patient. Hip reoperation was performed in 1 (3.1%) patient. The mean ± SD of HHS before surgery was 50.10 ± 12.48, which increased significantly to 77.99 ± 15.60 after surgery (P < 0.001). Furthermore, the HHS was evaluated before and after the intervention for each gender, showing a significant increase in both. Conclusions: Cementless THA without shortening osteotomy can improve HHS in patients with DDH Crowe III and IV, providing satisfactory outcomes. Furthermore, complications, such as neurological defects and the need for reoperation, are minimal with this method.
背景：全髋关节置换术（THA）是一种矫正髋关节发育不良（DDH）的外科技术。目前已开发出多种基于 THA 的方法，用于治疗 DDH 克罗 III 型或 IV 型患者的终末期骨关节炎。目的：在这项研究中，我们评估了 Crowe III 型或 IV 型 DDH 患者在接受无骨水泥 THA（无转子下缩短截骨术，STO）前后的 Harris 髋关节评分（HHS），以及并发症和翻修手术的需求。方法：这项回顾性队列研究的对象是DDH Crowe III型和IV型患者，他们都是使用Watson Jones技术进行无骨水泥THA的候选者，但没有缩短STO。术前，他们的医疗档案中记录了HHS的计算结果。缺失或医疗档案不完整、未获得书面知情同意、患有神经血管疾病、使用免疫抑制剂、先天性骨骼和关节异常、腰痛放射至下肢、同时发生骨折、有下肢骨折史或关节感染的患者被排除在外。在门诊随访期间重新计算 HHS。此外，还对神经血管缺陷和再次手术的必要性进行了评估。所有数据均已记录和分析。结果32名患者的平均年龄为（50.34±15.45）岁，其中大多数为女性（75%）。对患者进行了 2 至 7 年的随访。仅有1例（3.1%）患者术后出现神经缺损。1例（3.1%）患者进行了髋关节再手术。术前 HHS 的平均值（± SD）为 50.10 ± 12.48，术后显著增加到 77.99 ± 15.60（P < 0.001）。此外，在干预前后对男女患者的 HHS 进行了评估，结果显示，男女患者的 HHS 均有显著增加。结论无骨水泥 THA 无需缩短截骨术可改善 DDH Crowe III 和 IV 期患者的 HHS，并提供令人满意的结果。此外，这种方法的并发症（如神经系统缺陷和再次手术的需要）极少。
{"title":"The Outcome of Total Hip Arthroplasty Without Subtrochanteric Shortening Osteotomy in Severe Developmental Dysplasia of the Hip","authors":"Mohammad Kazem Emami Meybodi, Shahram Shirvani, Morteza Jannesari Ladani, Sajjad Mohammadnabi, M. Shater","doi":"10.5812/semj-139738","DOIUrl":"https://doi.org/10.5812/semj-139738","url":null,"abstract":"Background: Total hip arthroplasty (THA) is a surgical technique to correct developmental dysplasia of the hip (DDH). Various THA-based methods have been developed for managing end-stage osteoarthritis in patients with DDH Crowe type III or IV. Objectives: In this study, we evaluate the Harris hip score (HHS) before and after cementless THA without subtrochanteric shortening osteotomy (STO) in patients with DDH Crowe type III or IV who were candidates for THA, as well as complications and the need for revision surgery. Methods: This retrospective cohort study was conducted on patients with DDH Crowe type III and IV, who were candidates for cementless THA using the Watson Jones technique without shortening STO. The HHS was calculated and recorded in their medical files before surgery. Patients with missing or incomplete medical files, without written informed consent, with neurovascular diseases, immunosuppressive drug use, congenital bone and articular anomalies, low back pain radiating to the lower extremities, simultaneous fractures, a history of lower extremity fractures, or joint infections were excluded. The HHS was recalculated during outpatient follow-up. Neurovascular defects and the need for reoperation were also evaluated. All data were recorded and analyzed. Results: Thirty-two patients were enrolled with a mean ± SD age of 50.34 ± 15.45 years, most of whom were women (75%). The patients were followed for 2 to 7 years. Postoperative nerve defects were observed in only 1 (3.1%) patient. Hip reoperation was performed in 1 (3.1%) patient. The mean ± SD of HHS before surgery was 50.10 ± 12.48, which increased significantly to 77.99 ± 15.60 after surgery (P < 0.001). Furthermore, the HHS was evaluated before and after the intervention for each gender, showing a significant increase in both. Conclusions: Cementless THA without shortening osteotomy can improve HHS in patients with DDH Crowe III and IV, providing satisfactory outcomes. Furthermore, complications, such as neurological defects and the need for reoperation, are minimal with this method.","PeriodicalId":507014,"journal":{"name":"Shiraz E-Medical Journal","volume":"76 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139806980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Zahra Tabandeh, L. Zarshenas, M. Mehrabi, A. Nekooeian, Ebrahim Moghimi Sarani
Background: Familiarity with and management of drug side effects is among nurses' main educational needs with respect to pharmacological care in psychiatry departments. Objectives: This study aimed to determine the effects of psychotropic drug education through mobile learning and group discussion on nursing students’ learning, satisfaction, and attitude. Methods: This educational intervention was done at EbneSina Psychiatric Hospital, affiliated with Shiraz University of Medical Sciences, in 2018. A total of 28 students were randomly divided into 2 groups, each containing 16 and 12 subjects. The first group underwent the educational intervention through mobile learning. The second group received the educational intervention through group discussion. The students’ learning and satisfaction were assessed and compared before and 2 weeks after the intervention. Attitudes were also assessed within the mobile learning group. Data were analyzed using paired and independent sample t-tests. Results: The results revealed a significant difference in satisfaction between the 2 groups after the intervention (38.69 ± 4.78 in the mobile learning group vs 33.13 ± 5.51 in the discussion group; P = 0.02). However, no significant difference was found after adjustment for baseline, age, and sex. The results also indicated that the students in the mobile learning group developed a significantly more positive attitude after the intervention compared to the baseline (P = 0.038). Conclusions: The study findings indicated that the utilization of smartphones for learning about psychotropic drug management in psychiatric departments might be effective in enhancing student's learning outcomes, satisfaction, and attitude. Thus, further studies with larger sample sizes are recommended to be conducted on other medical and nursing apprenticeships.
{"title":"The Effects of Mobile Learning and Group Discussion for Psychotropic Drug Education on Nursing Students’ Learning, Satisfaction, and Attitude: An Educational Intervention","authors":"Zahra Tabandeh, L. Zarshenas, M. Mehrabi, A. Nekooeian, Ebrahim Moghimi Sarani","doi":"10.5812/semj-134770","DOIUrl":"https://doi.org/10.5812/semj-134770","url":null,"abstract":"Background: Familiarity with and management of drug side effects is among nurses' main educational needs with respect to pharmacological care in psychiatry departments. Objectives: This study aimed to determine the effects of psychotropic drug education through mobile learning and group discussion on nursing students’ learning, satisfaction, and attitude. Methods: This educational intervention was done at EbneSina Psychiatric Hospital, affiliated with Shiraz University of Medical Sciences, in 2018. A total of 28 students were randomly divided into 2 groups, each containing 16 and 12 subjects. The first group underwent the educational intervention through mobile learning. The second group received the educational intervention through group discussion. The students’ learning and satisfaction were assessed and compared before and 2 weeks after the intervention. Attitudes were also assessed within the mobile learning group. Data were analyzed using paired and independent sample t-tests. Results: The results revealed a significant difference in satisfaction between the 2 groups after the intervention (38.69 ± 4.78 in the mobile learning group vs 33.13 ± 5.51 in the discussion group; P = 0.02). However, no significant difference was found after adjustment for baseline, age, and sex. The results also indicated that the students in the mobile learning group developed a significantly more positive attitude after the intervention compared to the baseline (P = 0.038). Conclusions: The study findings indicated that the utilization of smartphones for learning about psychotropic drug management in psychiatric departments might be effective in enhancing student's learning outcomes, satisfaction, and attitude. Thus, further studies with larger sample sizes are recommended to be conducted on other medical and nursing apprenticeships.","PeriodicalId":507014,"journal":{"name":"Shiraz E-Medical Journal","volume":"1991 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139807434","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}
Mohammad Kazem Emami Meybodi, Shahram Shirvani, Morteza Jannesari Ladani, Sajjad Mohammadnabi, M. Shater
Background: Total hip arthroplasty (THA) is a surgical technique to correct developmental dysplasia of the hip (DDH). Various THA-based methods have been developed for managing end-stage osteoarthritis in patients with DDH Crowe type III or IV. Objectives: In this study, we evaluate the Harris hip score (HHS) before and after cementless THA without subtrochanteric shortening osteotomy (STO) in patients with DDH Crowe type III or IV who were candidates for THA, as well as complications and the need for revision surgery. Methods: This retrospective cohort study was conducted on patients with DDH Crowe type III and IV, who were candidates for cementless THA using the Watson Jones technique without shortening STO. The HHS was calculated and recorded in their medical files before surgery. Patients with missing or incomplete medical files, without written informed consent, with neurovascular diseases, immunosuppressive drug use, congenital bone and articular anomalies, low back pain radiating to the lower extremities, simultaneous fractures, a history of lower extremity fractures, or joint infections were excluded. The HHS was recalculated during outpatient follow-up. Neurovascular defects and the need for reoperation were also evaluated. All data were recorded and analyzed. Results: Thirty-two patients were enrolled with a mean ± SD age of 50.34 ± 15.45 years, most of whom were women (75%). The patients were followed for 2 to 7 years. Postoperative nerve defects were observed in only 1 (3.1%) patient. Hip reoperation was performed in 1 (3.1%) patient. The mean ± SD of HHS before surgery was 50.10 ± 12.48, which increased significantly to 77.99 ± 15.60 after surgery (P < 0.001). Furthermore, the HHS was evaluated before and after the intervention for each gender, showing a significant increase in both. Conclusions: Cementless THA without shortening osteotomy can improve HHS in patients with DDH Crowe III and IV, providing satisfactory outcomes. Furthermore, complications, such as neurological defects and the need for reoperation, are minimal with this method.
背景：全髋关节置换术（THA）是一种矫正髋关节发育不良（DDH）的外科技术。目前已开发出多种基于 THA 的方法，用于治疗 DDH 克罗 III 型或 IV 型患者的终末期骨关节炎。目的：在这项研究中，我们评估了 Crowe III 型或 IV 型 DDH 患者在接受无骨水泥 THA（无转子下缩短截骨术，STO）前后的 Harris 髋关节评分（HHS），以及并发症和翻修手术的需求。方法：这项回顾性队列研究的对象是DDH Crowe III型和IV型患者，他们都是使用Watson Jones技术进行无骨水泥THA的候选者，但没有缩短STO。术前，他们的医疗档案中记录了HHS的计算结果。缺失或医疗档案不完整、未获得书面知情同意、患有神经血管疾病、使用免疫抑制剂、先天性骨骼和关节异常、腰痛放射至下肢、同时发生骨折、有下肢骨折史或关节感染的患者被排除在外。在门诊随访期间重新计算 HHS。此外，还对神经血管缺陷和再次手术的必要性进行了评估。所有数据均已记录和分析。结果32名患者的平均年龄为（50.34±15.45）岁，其中大多数为女性（75%）。对患者进行了 2 至 7 年的随访。仅有1例（3.1%）患者术后出现神经缺损。1例（3.1%）患者进行了髋关节再手术。术前 HHS 的平均值（± SD）为 50.10 ± 12.48，术后显著增加到 77.99 ± 15.60（P < 0.001）。此外，在干预前后对男女患者的 HHS 进行了评估，结果显示，男女患者的 HHS 均有显著增加。结论无骨水泥 THA 无需缩短截骨术可改善 DDH Crowe III 和 IV 期患者的 HHS，并提供令人满意的结果。此外，这种方法的并发症（如神经系统缺陷和再次手术的需要）极少。
{"title":"The Outcome of Total Hip Arthroplasty Without Subtrochanteric Shortening Osteotomy in Severe Developmental Dysplasia of the Hip","authors":"Mohammad Kazem Emami Meybodi, Shahram Shirvani, Morteza Jannesari Ladani, Sajjad Mohammadnabi, M. Shater","doi":"10.5812/semj-139738","DOIUrl":"https://doi.org/10.5812/semj-139738","url":null,"abstract":"Background: Total hip arthroplasty (THA) is a surgical technique to correct developmental dysplasia of the hip (DDH). Various THA-based methods have been developed for managing end-stage osteoarthritis in patients with DDH Crowe type III or IV. Objectives: In this study, we evaluate the Harris hip score (HHS) before and after cementless THA without subtrochanteric shortening osteotomy (STO) in patients with DDH Crowe type III or IV who were candidates for THA, as well as complications and the need for revision surgery. Methods: This retrospective cohort study was conducted on patients with DDH Crowe type III and IV, who were candidates for cementless THA using the Watson Jones technique without shortening STO. The HHS was calculated and recorded in their medical files before surgery. Patients with missing or incomplete medical files, without written informed consent, with neurovascular diseases, immunosuppressive drug use, congenital bone and articular anomalies, low back pain radiating to the lower extremities, simultaneous fractures, a history of lower extremity fractures, or joint infections were excluded. The HHS was recalculated during outpatient follow-up. Neurovascular defects and the need for reoperation were also evaluated. All data were recorded and analyzed. Results: Thirty-two patients were enrolled with a mean ± SD age of 50.34 ± 15.45 years, most of whom were women (75%). The patients were followed for 2 to 7 years. Postoperative nerve defects were observed in only 1 (3.1%) patient. Hip reoperation was performed in 1 (3.1%) patient. The mean ± SD of HHS before surgery was 50.10 ± 12.48, which increased significantly to 77.99 ± 15.60 after surgery (P < 0.001). Furthermore, the HHS was evaluated before and after the intervention for each gender, showing a significant increase in both. Conclusions: Cementless THA without shortening osteotomy can improve HHS in patients with DDH Crowe III and IV, providing satisfactory outcomes. Furthermore, complications, such as neurological defects and the need for reoperation, are minimal with this method.","PeriodicalId":507014,"journal":{"name":"Shiraz E-Medical Journal","volume":"43 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139866600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Zahra Tabandeh, L. Zarshenas, M. Mehrabi, A. Nekooeian, Ebrahim Moghimi Sarani
Background: Familiarity with and management of drug side effects is among nurses' main educational needs with respect to pharmacological care in psychiatry departments. Objectives: This study aimed to determine the effects of psychotropic drug education through mobile learning and group discussion on nursing students’ learning, satisfaction, and attitude. Methods: This educational intervention was done at EbneSina Psychiatric Hospital, affiliated with Shiraz University of Medical Sciences, in 2018. A total of 28 students were randomly divided into 2 groups, each containing 16 and 12 subjects. The first group underwent the educational intervention through mobile learning. The second group received the educational intervention through group discussion. The students’ learning and satisfaction were assessed and compared before and 2 weeks after the intervention. Attitudes were also assessed within the mobile learning group. Data were analyzed using paired and independent sample t-tests. Results: The results revealed a significant difference in satisfaction between the 2 groups after the intervention (38.69 ± 4.78 in the mobile learning group vs 33.13 ± 5.51 in the discussion group; P = 0.02). However, no significant difference was found after adjustment for baseline, age, and sex. The results also indicated that the students in the mobile learning group developed a significantly more positive attitude after the intervention compared to the baseline (P = 0.038). Conclusions: The study findings indicated that the utilization of smartphones for learning about psychotropic drug management in psychiatric departments might be effective in enhancing student's learning outcomes, satisfaction, and attitude. Thus, further studies with larger sample sizes are recommended to be conducted on other medical and nursing apprenticeships.
{"title":"The Effects of Mobile Learning and Group Discussion for Psychotropic Drug Education on Nursing Students’ Learning, Satisfaction, and Attitude: An Educational Intervention","authors":"Zahra Tabandeh, L. Zarshenas, M. Mehrabi, A. Nekooeian, Ebrahim Moghimi Sarani","doi":"10.5812/semj-134770","DOIUrl":"https://doi.org/10.5812/semj-134770","url":null,"abstract":"Background: Familiarity with and management of drug side effects is among nurses' main educational needs with respect to pharmacological care in psychiatry departments. Objectives: This study aimed to determine the effects of psychotropic drug education through mobile learning and group discussion on nursing students’ learning, satisfaction, and attitude. Methods: This educational intervention was done at EbneSina Psychiatric Hospital, affiliated with Shiraz University of Medical Sciences, in 2018. A total of 28 students were randomly divided into 2 groups, each containing 16 and 12 subjects. The first group underwent the educational intervention through mobile learning. The second group received the educational intervention through group discussion. The students’ learning and satisfaction were assessed and compared before and 2 weeks after the intervention. Attitudes were also assessed within the mobile learning group. Data were analyzed using paired and independent sample t-tests. Results: The results revealed a significant difference in satisfaction between the 2 groups after the intervention (38.69 ± 4.78 in the mobile learning group vs 33.13 ± 5.51 in the discussion group; P = 0.02). However, no significant difference was found after adjustment for baseline, age, and sex. The results also indicated that the students in the mobile learning group developed a significantly more positive attitude after the intervention compared to the baseline (P = 0.038). Conclusions: The study findings indicated that the utilization of smartphones for learning about psychotropic drug management in psychiatric departments might be effective in enhancing student's learning outcomes, satisfaction, and attitude. Thus, further studies with larger sample sizes are recommended to be conducted on other medical and nursing apprenticeships.","PeriodicalId":507014,"journal":{"name":"Shiraz E-Medical Journal","volume":"7 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139867095","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}
Tayebeh Saki, Fatemeh Rashidi, M. Mamene, Hamed Azadi, A. Azadi
Background: Healthy aging is an important concept developed by the World Health Organization with the aim of enhancing the health of older adults, highlighting the positive aspects of aging, and reinforcing their social roles. Objectives: Since the concept of healthy aging can be interpreted differently by older adults in various societies, this study aimed to explore the perspectives of Iranian older adults regarding healthy aging. Methods: A qualitative descriptive design and content analysis was employed to gather data from 15 purposively selected community-dwelling older adults aged over 60 years in Ilam and Khuzestan provinces, Iran. Semi-structured interviews were conducted and analyzed following Graneheim and Lundman's (2004) content analysis guide. Results: Five main themes and 16 subthemes emerged. These 5 main themes include social participation, mental health, a healthy lifestyle, maintenance of functional ability, and adequacy of economic status. Conclusions: Based on the results, healthy aging is a multidimensional concept. It is recommended that health policy-makers and providers of elderly healthcare services take these factors into account when planning and delivering services aimed at promoting the health of older adults.
{"title":"Healthy Aging from the Perspective of Older Adults: A Descriptive Qualitative Study","authors":"Tayebeh Saki, Fatemeh Rashidi, M. Mamene, Hamed Azadi, A. Azadi","doi":"10.5812/semj-141332","DOIUrl":"https://doi.org/10.5812/semj-141332","url":null,"abstract":"Background: Healthy aging is an important concept developed by the World Health Organization with the aim of enhancing the health of older adults, highlighting the positive aspects of aging, and reinforcing their social roles. Objectives: Since the concept of healthy aging can be interpreted differently by older adults in various societies, this study aimed to explore the perspectives of Iranian older adults regarding healthy aging. Methods: A qualitative descriptive design and content analysis was employed to gather data from 15 purposively selected community-dwelling older adults aged over 60 years in Ilam and Khuzestan provinces, Iran. Semi-structured interviews were conducted and analyzed following Graneheim and Lundman's (2004) content analysis guide. Results: Five main themes and 16 subthemes emerged. These 5 main themes include social participation, mental health, a healthy lifestyle, maintenance of functional ability, and adequacy of economic status. Conclusions: Based on the results, healthy aging is a multidimensional concept. It is recommended that health policy-makers and providers of elderly healthcare services take these factors into account when planning and delivering services aimed at promoting the health of older adults.","PeriodicalId":507014,"journal":{"name":"Shiraz E-Medical Journal","volume":"21 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139868030","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}
Tayebeh Saki, Fatemeh Rashidi, M. Mamene, Hamed Azadi, A. Azadi
Background: Healthy aging is an important concept developed by the World Health Organization with the aim of enhancing the health of older adults, highlighting the positive aspects of aging, and reinforcing their social roles. Objectives: Since the concept of healthy aging can be interpreted differently by older adults in various societies, this study aimed to explore the perspectives of Iranian older adults regarding healthy aging. Methods: A qualitative descriptive design and content analysis was employed to gather data from 15 purposively selected community-dwelling older adults aged over 60 years in Ilam and Khuzestan provinces, Iran. Semi-structured interviews were conducted and analyzed following Graneheim and Lundman's (2004) content analysis guide. Results: Five main themes and 16 subthemes emerged. These 5 main themes include social participation, mental health, a healthy lifestyle, maintenance of functional ability, and adequacy of economic status. Conclusions: Based on the results, healthy aging is a multidimensional concept. It is recommended that health policy-makers and providers of elderly healthcare services take these factors into account when planning and delivering services aimed at promoting the health of older adults.
{"title":"Healthy Aging from the Perspective of Older Adults: A Descriptive Qualitative Study","authors":"Tayebeh Saki, Fatemeh Rashidi, M. Mamene, Hamed Azadi, A. Azadi","doi":"10.5812/semj-141332","DOIUrl":"https://doi.org/10.5812/semj-141332","url":null,"abstract":"Background: Healthy aging is an important concept developed by the World Health Organization with the aim of enhancing the health of older adults, highlighting the positive aspects of aging, and reinforcing their social roles. Objectives: Since the concept of healthy aging can be interpreted differently by older adults in various societies, this study aimed to explore the perspectives of Iranian older adults regarding healthy aging. Methods: A qualitative descriptive design and content analysis was employed to gather data from 15 purposively selected community-dwelling older adults aged over 60 years in Ilam and Khuzestan provinces, Iran. Semi-structured interviews were conducted and analyzed following Graneheim and Lundman's (2004) content analysis guide. Results: Five main themes and 16 subthemes emerged. These 5 main themes include social participation, mental health, a healthy lifestyle, maintenance of functional ability, and adequacy of economic status. Conclusions: Based on the results, healthy aging is a multidimensional concept. It is recommended that health policy-makers and providers of elderly healthcare services take these factors into account when planning and delivering services aimed at promoting the health of older adults.","PeriodicalId":507014,"journal":{"name":"Shiraz E-Medical Journal","volume":"95 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139808189","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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