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Showing 48 results for Rahimi
Mahin Jamshidi Makiani, Seiyed Abdollah Moosavi, Farshid Abedi, Shafei Rahimi, Elham Goodarzi,
Volume 10, Issue 1 (spring 2010)
Abstract
Background & Objectives : One of the first steps in diagnosis of pleural effusion is distinction between exudative and transudative types. The aim of this study was to assess C – reactive protein (CRP) level as one of the diagnostic marker for differentiation of exudative from transudative pleural effusions. Methods : In this descriptive and sectional study, 80 patients with confirmed pleural effusion were assessed. These patients were divided into two groups based on Light´s criteria. Serum and pleural CRP were measured with Latex Agglutination Test. Results : Out of 80 patients with pleural effusion 26 were transudative (32.5%) and 54 were exudative (67.5%). In exudative group, 72.2% of cases were CRP positive (1+ to 3+), and in transudative group, only 38.5% of cases were CRP positive (p < 0.05). There was no significant differences between different exudative pleural effusion etiologies (infectious and non infectious, malignant and non malignant and tuberculosis) and the number of CRP positive cases (p > 0.05). The rate of CRP positivity in exudative pleural effusion group was more than transudative group (p < 0.05). Conclusion: According to our study it seems that CRP criterion could help in distinction between exudative and transudative types of pleural effusion.
Gity Rahimi , Zahra Tazakori , Niloofar Shateri ,
Volume 10, Issue 2 (summer 2010)
Abstract
Background & Objectives : Preeclapsmia representing as one of the most important complications of pregnancy, affects up to 8% of all pregnancies nevertheless little has been known about its etiology. It is, however, generally accepted that the pathophysiology of preeclampsia is related to systemic maternal endothelial dysfunction. Homocysteine, a cytotoxic compound, adversely affects the endothelial system. Main objective of this study was to assess plasma levels of homocysteine in women with normal pregnancies and those who suffering from preeclapsmia . Methods: A case –control study was designed for 165 preeclamptic patients and 165 normal cases. Controls were matched for gestational age and age of mothers. Blood samples were obtained from patients attending Alavi hospital in Ardabil (after 6-8 hour NPO). Two milliliters blood was collected in tubes containing ice bag stored ethylenediaminetetraacetic acid (EDTA) and homocysteine level was analyzed. Results: Mean levels of homocysteine were elevated in the preeclamptic cases compared to control group (7.4±3.3 vs. 4.09±2.3 _mmol/l, P < 0.001) the levels of BMI and Arms sizes have been shown to be different statistically in two groups and other variables revealed no significant differences between the groups. Conclusion:It is concluded that in our study homocysteine Levels, BMI and Arms sizes are signiffantly effected patients with preeclampsia compared with control group and can increase the risk of developing severe side effect to mothers and neonates.
Farhad Pourfarzi , Afsaneh Enteshari Mogaddam, Abbas Yazdanbod , Zahra Tazakkori , Esmaeil Farzaneh , Mehrdad Mirzarahimi,
Volume 11, Issue 1 (spring 2011)
Abstract
Background & Objectives : Irritable bowel syndrome (IBS) is a functional gastrointestinal disorder that is common through the world including Iran. Because of its chronic nature and lack of effective treatment, patients are always anxious and stressful and physicians are also exhausted of untreated patients. The cause of IBS is unclear and it has not effective treatment. Therefore, there is a need to find and introduce a proper method of treatment to control symptoms including abdominal pain and defecation changes. This study was aimed to determine the effectiveness of probiotic yogurt on the general relief of symptoms associated with IBS. Methods : Subjects were recruited from patients of gastroenterology clinic in Imam Khomeini Hospital, Ardabil. A total of sixty patients fulfilling the Rome II criteria took part in this study. Subjects were randomized into two groups of trial and control. Pre- and post- treatment symptoms were investigated using a questionnaire. Thirty one patients received probiotic and 29 patients normal yogurt for 4 weeks. Bottles of yoghurt were manufactured, and coded by a company. Both participants and researcher were blinded for the bottles' code. The symptoms were followed before and after two and four weeks of treatment and two weeks post- discontinuing of trial, too. Data were analyzed by SPSS (Ver. 17) and differences between groups were compared statistically using of chi-square and t-test. Results: A total number of 60 patients were recruited in this study of whom 36 (60%) were female and 24(40%) male. The average age of participants was 34.1±9 which did not differ between two groups. The onset of symptoms did not show any difference between two groups. The trial group had a history of 5.7±5.1 years while this was 6.5±4.9 for the controls. In overall, patients who were given probiotic yogurt had shown a better response in the control of abdominal pain and flatulence than those who were treated with normal yogurt. There was not a significant difference between two groups in the response to treat for other symptoms including epigastric pain, vomiting, frequency of defecation and feces consistency. Conclusion: According to our research, adding probiotic yogurt to the patient diet may help ease symptoms of IBS especially, abdominal pain and flatulence. Considering the high prevalence of irritable bowel syndrome and the lack of effective therapies, even a slight reduction in symptoms can have positive public health consequences.
Parviz Mohajeri , Babak Izadi , Mansour Rezai , Badie Falahi , Hosna Khademi , Roya Ebrahimi ,
Volume 11, Issue 1 (spring 2011)
Abstract
Background & Objectives: Nowadays, appearance of ESBL producing bacteria is medical problem in the treatment of infections. Uropathogenic Escherichia coli like many other bacteria can produce these types of enzymes. T he assessment of the ESBL production by clinical isolates is not done routinely in laboratories. The aim of this study was to determine the prevalence of ESBL producing E.coli and its antibiotic resistance pattern in Kermanshah. Methods: This cross - sectional study was done on 200 Uropathogenic E. coli strains isolated from people in Kermanshah. Sensitivity of isolates to different antibiotics was determined by disk diffusion test and ESBL production was assessed by DDST method. Results: The E. coli strains showed high susceptibility to imipenem (100%), amikacin (97%), nitrofurantoin (95.5%), gentamicin (85%), cefepime (75%), ceftazidime (74%), ofloxacin (73.5%), ciprofloxacin, ceftriaxone and aztreonam (71%) and cefotaxime (70%) respectively. The highest resistance was seen to ampicillin (77%), carbenicillin (76%), pipracillin (74%) and SXT (62.5% ). Resistance rate to third generation cephalosporins was 63-75%. Fifty seven isolates (27%) were ESBL producers and 47 isolates (87%) produced all four types of ESBL enzymes. Conclusion: There are some similarities and differences in the antibiotic resistance pattern and ESBL production among the isolates in different areas of Iran and other countries. Identification of ESBL producing bacteria and determining its antimicrobial resistance pattern are recommended to effective treatment of infections.
Manoochehr Barak , Setareh Mamishi , Seiyed Ahmad Siadati , Peyman Salamati , Ghamartaj Khotaii, Mehrdad Mirzarahimi ,
Volume 11, Issue 2 (summer 2011)
Abstract
Background & objectives: Nosocomial infections increase patient’s mortality and are considered as a health problem. The aim of this study was to assess the risk factors for nosocomial infections and antimicrobial resistance pattern of isolated bacteria in NICU and PICU, in Bahrami and Children’s Medical Center hospitals, Tehran . Methods: In a prospective cross-sectional study from October 2008 to September 2009, risk factors and etiology of nosocomial infections were evaluated in all patients who showed infectious signs upon 48h admission. Infectious agents were diagnosed by the standard microbiological tests and antibiotic sensitivity of isolates was determined using dick diffusion method. The data for location of the hospital, admission history, presence of immunodeficiency, fever and using venous and urine catheters, suction, venous injection as well as cerebral shunt and surgery have been collected by a questionnaire and analyzed, statistically . Results: About 9.3% (70 individuals) of cases encountered with nosocomial infections. From whom, 24.3% were infected by Pseudomonas aeroginosa and 18.6% and 3.14% by Klebsiella pneumonia and Enterobacter spp, respectively. The location of the hospital, using of suction and surgery were the most common risk factors related to nosocomial infections (p<0.05). Conclusion: Our findings showed that the hospital location, suction and surgery were the most common risk factors and Pseudomonas aeroginosa, Klebsiella pneumonia and Enterobacter spp were the common infectious threats. So, we need to design the special program to improve nosocomial infection control in hospitals .
Mehrdad Mirzarahimi, Adel Ahadi , Afsaneh Enteshari Mogaddam, Manoochehr Barak,
Volume 11, Issue 3 (autumn 2011)
Abstract
Protein C is a vitamin K dependent glycoprotein. Protein C deficiency is a rare genetic disorder and its major sites of involvement are skin, eyes, lungs, central nervous system, and kidneys. This article presents a case of neonatal protein C deficiency with severe purpura fulminans and bilateral cataracts. He was initially treated with fresh-frozen plasma and then followed by warfarin. All necrotic skin lesions improved with treatment. He was the first child of his parents who were asymptomatic for protein C deficiency. We also reviewed literatures about coexistence of cataracts and protein C deficiency.
Motahhar Heidari-Beni , Masoud Haji Maghsood, Mehranghiz Ebrahimi-Mameghani, Mohammad Kazem Tarzamni , Javad Mohtadinia ,
Volume 12, Issue 2 (summer 2012)
Abstract
Background & Objectives: Excess body fat percentage is one of the risk factors in the progression of chronic diseases. Anthropometric indices of obesity are screening tools to determine subjects at risk of cardiovascular disease all over the world. The aim of this study was to investigate the relationship between abdominal obesity and the early stage of atherosclerosis by Carotid Intima- Media Thickness (CIMT) on women . Methods: This cross-sectional study involved 100 healthy women aged 18–50 year. Anthropometric indices were measured and calculated according to standard protocol. Cut off points for waist circumference (WC), waist to hip ratio (WHR) and waist to height ratio (WHtR) were 88 cm, 0.8 and 0.5 respectively Carotid Intima- Media Thickness was determined by using non-invasive ultrasound as an indicator of early stage of atherosclerosis. Subjects with mean CIMT≤0.8 mm and CIMT>0.8 mm were considered as "normal subjects" and "subjects at risk", respectively. Results: Average age of subjects was 30.96±8.1 and the mean of WC, WHR, WHtR and CIMT were 95±0.17, 0.87±0.08, 0.61±0.11 and 0.63±0.15, respectively. All abdominal anthropometric indices significantly associated with mean CIMT. Waist circumference with cut off point of 88 Cm had sum of sensitivity and specificity higher than WHR and WHtR. Conclusion: Waist circumference index with cut off point of 88 cm is better than WHR and WHtR to identify subjects at high risk of atherosclerosis.
Eiraj Feizi, Abbas Naghizadeh Baghi , Alireza Rahimi , Seddigheh Nemati,
Volume 12, Issue 2 (summer 2012)
Abstract
Background & Objective: Today obesity and depression are two important diseases which are growing all over the world and threat the human health. That how much these two affect each other is a major health question. This study aimed to investigate the relationship between body mass index (BMI) and depression in female students of Ardabil University of Medical Sciences. Method: In a descriptive study 230 female students were selected through classified random sampling and their height and weight were measured. To measure the rate of depression a Beck test, and to analyze the data a descriptive method, and finally to indicate the relationship between BMI and depression Pearson correlation through SPSS15 software were used. Results : 40% of the students in the depression test were in the normal level, 29% had mild depression, 24% moderate depression and 7% severe depression. In addition 77% of the students, regarding body mass index were in an acceptance level, 14% were overweight and 9% were underweight. Pearson correlation method showed that there was a positive significant relationship between BMI and depression among female students (p≤ 0.01). Conclusion: The prevalence of depression in female students of university is 60% and the prevalence of obesity is 14% and there is positive significant relationship between BMI and depression.
Ghodrat Akhavanakbari, Masoud Entezariasl, Khatereh Isazadehfar, Tiba Mirzarahimi,
Volume 12, Issue 4 (winter 2012)
Abstract
Background & Objectives: Uncontrolled postoperative pain can cause many adverse effects such as tachycardia, hypertension, myocardial ischemia, decreased alveolar ventilation and poor wound healing. In this study we evaluated the preoperative administration of pregabalin in relieving postoperative pain after lower limb orthopedic surgery and reducing the need for opioids and their possible side effects. Methods: This study is a randomized, double-blind clinical trial. It was performed on 60 patients under lower limb surgery in Fatemi Hospital. Patients were randomly allocated to two groups, one group has received a 150 mg pregabalin capsule 2 hours before surgery and the other group has received placebo as a control. In both groups at 2, 6, 12 and 24 hours after surgery, the patients were evaluated and the pain score by a visual analogue scale (VAS), the score of sedation by Ramsay sedation scale and the incidence of nausea and vomiting were recorded in the checklists. Then, the data were analyzed by SPSS v16. P <0.05 was considered significant. Results: In this study 51.7% of patients were male and 48.3% were female. The age averages of these patients in both group were similar (p=0.578). Visual analog pain scores at 2 h after surgery reduced in pregabalin group (p<0.0001). Similar reduction was observed in other studied hours (p<0.0001) too. In the pregabalin group nausea and vomiting scores at all hours, sedation levels at 2 h and 6 h postoperation, and pethidine consumption in all hours have significantly been reduced (p<0.05). Conclusion: Preoperative administration of pregabalin is an effective method for reducing postoperative pain for patients, and with reduction in pethidine consumption, it can decrease problems of opioid usage.
Manoochehr Barak , Farhad Pourfarzi , Shima Jirodi , Gity Rahimi , Yasamin Pahlavan ,
Volume 12, Issue 5 (suppl 2012)
Abstract
Background & Objectives: Nosocomial infections occur following admission of patients in the hospitals and usually are accompanied by significant mortalities. This study was conducted to determine the frequency of nosocomial infections and the causatives in Ardabil Bu Ali hospital during 2010. Methods: This study was a cross-sectional study which has been done on collection of information through practical examinations, laboratory tests and files of nosocomillay infected patients in Ardabil Bu Ali hospital during 2010. Data were analyzed by SPSS. Results: From a total of 3254 patients, 42 (1.3%) had got nosocomial infections. Of these infected patients 47.6% was males and 52.4% was females. Infection was more frequent in patients with ages between 1 month to1 year old (45.2%). Sepsis (33.3%), pneumonia and blood stream infections (23.8%) and urinary tract infection (19%) were the most frequent infections. The mean length of hospital stay was 26.86 days. Klebsiella pneumoniae was the most common pathogen reported (23.8%). Infection was more common in NICU (38.1%). Conclusion: In this study, the frequency of nosocomial infection was lower than other studies. Distribution of infection differed with age, ward and length of stay in the hospital.
Manoochehr Barak , Saeid Sadeghieh Ahari , Firouz Amani , Gholamreza Asadi, Gity Rahimi , Elham Khadem,
Volume 12, Issue 5 (suppl 2012)
Abstract
Background & Objective: Currently, migration of rural population to cities and developing slums around them are main problems in population settlement that lead to imbalance in health standards such as difference in age groups death. The aim of this study was to examine factors associated with infant mortality in slums of the Ardabil city. Methods: This was a case- control study. All infants’ deaths from 2008 to 2010, which occurred in slums as a case, were included. For each case, tow controls, were chosen. Controls the ones who survived and were living in non marginalized area and years of birth and sex were matched in two groups. Information collected from health centers through questionnaires, interviews with parents and child death files. Results: The majority of mortalities (74.6%) were in neonatal period and 25.4% was in post- neonatal period. The most important causes of deaths in neonatal were prematurity (57%), and in post neonatal period were congenital abnormality (35.4%). Analysis of effective factors showed that birth weight, parents age and education, family income and occupation and smoking of father were highly associated with mortalities. Conclusion: Infant mortality of the family that their father is a smoker and they have low income, and low parental education level is significantly higher and should be taken into serious consideration to reduce the mortality.
Esmaeil Farzaneh, Firouz Amani , Saeid Sadeghiyeh , Eiraj Sayad Rezaeei , Mehrdad Mirzarahimi , Babak Mostafazadeh, Ali Ghorbanzadeh ,
Volume 12, Issue 5 (suppl 2012)
Abstract
Background & Objective s: Poisoning is one of the most common causes that referred to the Emergence and one of the most important Medicine immediacy. Correct and immediate diagnosis and accommodative treatment can be life saving. Knowing the overall pattern of poisoning in any geographical area would help to better manage and treat the victims. Methods : In a cross sectional descriptive study, the required information was collected from the records of patients showing drugs and chemical poisoning who referred to Imam Khomeini hospital Collected data was statistically analyzed using SPSS software. Results : Out of 2852 case of poisoning, 106 people passed away due to severe complication. Of these 56.8% were men and 43.2% were women. The majority of cases (76.8%) were from urban areas. Suicide was the main cause of poisoning (66.53%). Accidental poisoning was recorded for 5.01% of cases. In 28.45% of cases, the cause of poisoning was not identified. The age group 21-30 years made the highest number of cases (52.3%). Tramadol, Benzodiazepines and Aceteminophen were the most poisons used respectively. Benzodiazeine was the most taken drug is in suicide (19.97%). Conclusion : Results showed that poisoning with Tramadol and Benzodiazepines is high in Ardabil Province. Opioids, Aluminum Phosphide and Organophosphores are the main causative of death in poisoned victims in the province of Ardabil.
Samira Babaeian , Mehranghiz Ebrahimi-Mameghani, Mitra Niafar , Sarvin Sanaii,
Volume 13, Issue 1 (spring 2013)
Abstract
Background & objectives: Diabetes mellitus is one of the prevalent metabolic disorders in the world and mostly it is related to Obesity. Central obesity results in higher risk of diabetes, cardiovascular disease and hyperinsulinemia. Hyperinsulinemia is the main reason of central obesity disorders. Studies have been shown that the fruits, vegetables and drinks are rich in phenolic and antioxidants components may alleviate diabetes diseases. One of these fruits is pomegranate that is rich in flavonoids. Therefore, this study was designed to determine the effect of unsweetened pomegranate juice consumption on insulin resistance, inflammatory factor and anthropometric measures in diabetic patients. Methods : In this clinical trial, 50 patients with type 2 diabetes aged 30-50 years were recruited into the study and randomly assigned into two groups: (1) intervention group (n=25) who drank 240 ml unsweetened pomegranate juice daily and (2) control group (n=25) who drank 240 ml water daily for two months. Fasting blood glucose, inflammatory factors including hs-CRP, anthropometric measures including weight, height, waist and hip circumference, BMI were determined at the baseline and after 8 weeks. Nutritionist IV program, Independent sample t-test, Paired sample t-test were used for data analyses. Results : Comparison of fasting blood glucose, HbA1C, body mass index, hs-CRP between the two groups before intervention did not reveal a significant difference. The result of the study showed a significant decrease in insulin resistance, body weight, hip circumstance, waist circumstance in intervention group ( p <0.05 ، p <0.01 ، p <0.05 ، p <0.05 respectively) w hereas no significant changes were found for serum glucose, HbA1C, hs-CRP in this group . Conclusion : These findings indicate the beneficial effect of the daily consumption of unsweetened pomegranate juice on insulin resistance, body weight, waist and hip circumstances.
Homayoun Ebrahimian, Seyied Mohammad Firoozabadi, Mahyar Janahmadi, Mehri Kaviani Moghadam,
Volume 13, Issue 2 (summer 2013)
Abstract
Background & Objectives: The development of technology has naturally given rise to an increase in environmental low-frequency electromagnetic fields and consequently has attracted scholars' attention. Most of the studies have focused on transmission lines and power system distribution with 50 Hz. This research is an attempt to show the effect of 50 Hz magnetic fields on bioelectric parameters and indicates the possible influence of this change in F1 cells of Helix aspersa . Methods: The present research used Helix aspersa neuron F1 to identify the location of magnetic fields as well as the rate of effects of environmental magnetic fields on nervous system. Control group was used to study the effect of elapsed time, electrode entering and the cell membrane rupture. Intuition group and environmental group were considered in order to study the potential impact of interfering environmental factors and identify the effectiveness rate of magnetic fields, respectively. For the purpose of producing uniform magnetic field Helmholtz coil was used. Electrophysiological recording was realized under the requirements of current clamp. And, in order to show the impacts from magnetic fields on ion channels Hodgkin-Huxley cell model was applied. All data were analyzed taking the advantage of SPSS 16 software and two-way ANOVA statistical test. P < 0.05 was considered as significance level. And MATLAB software environment and PSO were used in order for applying the algorithm and estimating the parameters. Result: No statistically significant difference was found between control and sham groups in different time intervals. Once the 45.87 microtesla was applied significant differences were observed 12 minutes after the application. The highest amount of change happened 14 minutes after the application of more fields. With the application of the field, the amplitude of the sodium action potential shows decreasing trend . No significant changes were observed in different time intervals, whereas significant differences were seen in frequency of action potential during different time intervals. The amplitude of AHP shows no significant changes . Conclusion: The results indicated that low-frequency magnetic fields with 50 Hz frequency will directly lead to change in bioelectric activities of neurons through a change in amount and rate of opening and closing of ionic channels and the conductivity of sodium and potassium channels reduces together with increase in conductance of potassium dependent calcium channel (AHP).
Fatemeh Rahimikian, Forooq Talebi, Shahnaz Golian Tehrani, Abbas Mehran,
Volume 13, Issue 4 (Winter 2013)
Abstract
Background and Aim: Birth in the 21st century is characterized by interventions. That interventions increase the risk for mother and baby without improving outcomes. The aim of this study was to compare the effect of physiological birth and routine normal delivery on some of maternal and fetus outcomes. Methods: This quasi-experimental study was performed on 160 pregnant women. The participants were allocated in two groups of physiological birth (n=80) and routine normal delivery (n=80). Inclusion criteria were as following: Apgar score between one and five dilatation between three and four cm maternal age between 18-35 years gestational age between 37-40 weeks cephalic presentation and neonatal birth weight of 2500-4000 gr. Physiological birth care included labor begins on its own, freedom of movement throughout labor, continuous labor support, spontaneous pushing, no separation of mother and baby. Routine birth cares include routine interventions in labor or birth. Rate of cesarean, Apgar score and neonatal intensive care unit were evaluated in both groups. Data were analyzed by SPSS 16. The t-test, chi-square and Mann Whitney were the statistical tests of choice. Results: Rate of cesarean was significantly different between two groups (p=0.005). First minute Neonatal Apgar score was significantly different (p=0.011), but fifth minute Apgar was similar in both groups (p=0.470). The transmission to neonatal intensive care unit had also significant difference among two groups (p=0.029). Conclusion: The present study showed that the physiological birth is safe. It seems that the physiological birth decreases the rate of cesarean and transmission to neonatal intensive care unit, also improves the first minute neonatal Apgar scores.
Majid Mobasseri, Armin Sadeghi, Alireza Ostadrahimi, Samira Pourmoradian,
Volume 13, Issue 4 (Winter 2013)
Abstract
Background: Obese patients are at high risk of numerous chronic diseases including diabetes, hypertension, heart disease, dyslipidemia and stroke. Recently researchers focused on complementary medicine along with routine treatments to reduce obesity complications. Therefore we aimed to investigate the effects of omega 3 fatty acids supplementation on serum lipid profiles, C-peptide and fasting blood glucose in obese individuals. Methods: In this randomized clinical trial 56 obese volunteers with the mean age of 33.94±8.15 years were assigned into the supplemented (n=30) and placebo (n=26) groups, given two omega 3 fatty acids soft gel (360 mg EPA and 240 DHA) or placebo respectively for 4 weeks. At the onset and the end of the intervention, blood samples were collected after overnight fasting and serum lipid profiles, C-peptide and fasting blood glucose were measured. Data were analyzed with SPSS program and p-value less than 0.05 considered as significant. Results: In comparison with placebo group, omega 3 supplementation resulted in a significant decrease in the mean triglyceride (108.37±11.22 mg/dl vs 148.84±59.40 mg/dl). After 4 weeks, the mean C-peptide concentrations increased in both groups but elevation in omega 3 group was more dramatic (p<0.01). However, we didn’t find any significant changes in the mean total cholesterol, LDL-C and HDL-C levels. Conclusion: Our finding indicated that 4 weeks Omega 3 supplementation leads to amelioration in some of serum lipid profiles indices and insulin secretion in obese individuals. Although, further studies are needed to achieve precise results.
Esmaeil Farzaneh, Firouz Amani, Mehrdad Mirzarahimi, Mahboubeh Nasrollahtabar, Iraj Sayad Rezaei,
Volume 14, Issue 1 (spring 2014)
Abstract
Background & Objectives : Poisoning is a common cause of hospital emergency visits in many countries. Incidence of poisoning is different based on cultural and economic characteristics. The aim of this study was to investigate the epidemiology of poisoning in pediatrics. Methods: This cross sectional study was performed on 336 patients under 13 years of age referring to Bu-Ali hospital during five years (2007-2011). Variables such as age, sex, residency place, hospitalized duration, cause of the poisoning, clinical signs, treatment and outcome were obtained by a checklist. Collected data analyzed by statistical methods in SPSS v16. Results : Among the subjects, 197 patients (58.6%) were male. The average age of the children was 4.1 years and the most common age range was 1 to 4 years with (210 patients, 62.5%). The mean duration of hospitalization of children was 1.7 day (SD= 0.2), 77.7 % of the children were living in the city and the summer was accounted as a common season in which the patients referred to the hospital (32.7 %). The most used materials were drugs with 60.71% and in 86.6% of patients the cause of poisoning was accidental. Conclusion : Results showed that the most common cause of poisoning among children are drugs and methadone was the most commonly abused substance. It requires that parents should be trained about keeping their children away from drugs somewhere.
Akbar Atadokht, Sajjad Basharpoor, Neda Rahimi, Elmira Nouri, Parviz Molavi,
Volume 14, Issue 4 (winter 2014)
Abstract
Background & objectives: Chronic psychiatric patients not only become inactive members of community but also the heavy costs of their maintenance and rehabilitation burden on society and their family. According to importance of subject, this study aimed to investigate the role of percieved social support in predicting positive and negative syndrome in patients with schizophrenia. Methods: In this descriptive-correlational study, 124 patients have been selected among patients with schizophrenia hospitalized in Issar Psychiatric Hospital and Rehabilitation Centers in first 3 mounths of 2014 in Ardabil, Iran and completed Positive and Negative Syndrome Scale (PANSS), Multidimensional Scale of Perceived Social Support (MSPSS) and a researcher made demographic checklist. Data were analyzed by Pearson correlation coefficient and multivariate regression analysis on SPSS-16 software and P values less than 0.05 were considered statistically significant. Results: The mean age of participants was 36.34±9.09 and their education level was mostly (58%) primary or illiterate. Results showed that there is a negative relationship between patients positive symptoms index and their family, some others and total social support (p<0.01) and also between negative symptoms index and patients friends, some others and total social support (p<0.05). Results of multivariate regression analysis showed that 11% of positive and negative symptom syndrome are explained by percieved social support in patients with schizophrenia (p<0.01). Conclusion: Percieved social support has relationship with positive and negative syndrome of patients with schizophrenia and measures to increase resources of social support and promotion of patients percieved social support can be used as an effective intervention by clinicians, patients and their family.
Parviz Molavi , Niloufar Mikaeili , Neda Rahimi , Saeid Mehri ,
Volume 14, Issue 4 (winter 2014)
Abstract
Background & Objectives : Social phobia is one of the common anxiety disorders characterized by fear of social situations, shame and embarrassment in communicating with unfamiliar people. The aim of this study was to examine the effectiveness of acceptance and commitment therapy in reducing anxiety and depression in students with social phobia . Methods: An experimental pretest-posttest with control group design was used to conduct the study. The population consists of all female students in Ardabil city, 2013-2014 academic years. Using a multiple-stage cluster sampling method, a representative sample consists of 400 students was selected for the study. Then, among the students those with social phobia (based on the cut-off point), 34 participants were randomly selected and divided into two groups of 17 people (one experimental group and one control group) . The participants in experimental group received acceptance and commitment therapy for 10 sessions of 90 minutes. The control group did not receive any intervention. Anxiety, depression and social phobia questionnaires were administered to the two groups before and after the intervention. Descriptive statistics and multivariate ANOVA (MANOVA) were used for data analysis. Results: The results of data analysis showed that treatment based on acceptance and commitment therapy reduces anxiety, depression and social phobia of students in the experimental group compared with the control group (p<0.001) . Conclusion: The present study showed that acceptance and commitment therapy for students with social phobia can be used as a psychological intervention along with other intervention mechanisms.
Hamidreza Rahimi , Mohsen Dehghani , Pirasteh Norouzi, Mojghan Fazli ,
Volume 15, Issue 1 (spring 2015)
Abstract
Background & objectives: Intestinal parasitic infections are the most health threatening agents around the world, developing countries in particular. The aim of the present study was to determine the prevalence of Giardia lamblia and Enterobiusvermicularis among the children of kindergartens in Shahroud, Iran.
Methods: In this descriptive cross sectional study from 811 children of 15 kindergartens fecal samples were collected by way of census in 2013. Thisworkwas conductedwith education of parentsandtheirfull consent . All samples were examined at Central Laboratory of Shahroud University of Medical Sciences based on formalin ethyl acetate method. In addition direct smear was also applied for the watery and loose samples. Finally, collected scotch tape samples were examined microscopically. Descriptive statistics indices including means , standard deviations, and frequencieswere used for reporting the results .
Results: The overall prevalence of intestinal parasitic infections among the children of Shahroud's kindergartens was 22.2%. Also, the prevalence of the infections among males and females were 24.1% and 20.4%, respectively. The highest prevalence of infections were belongs to Giardia lamblia and Endolimax nana (7.4 and 4.8%), respectively. Also, Trichomonashominis had the lowest prevalence (0.5%). Prevalence of infection caused by Enterobiusvermicularis was (2.1%), the average agesof children infected by Enterobiusvermicularis and Giardia were 5.1 and 4.7, respectively. There was no difference in order of parasites infection on the basis of gender.
Conclusion: The prevalence of infection caused by Enterobiusvermicularis among the children was considerably low. Also, the prevalence of Giardia lamblia was lower than the average of its prevalence in countrywide scale. Although the health services have been effectively enhanced, the prevalence of intestinal parasites, Giardia lamblia in particular, is still problematic.
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