Journal of Kermanshah University of Medical Sciences
Year:2020 | Volume:24 | Issue:2|Papers Count:8

Background: Adolescent obesity has been a major concern in numerous studies in terms of the prevention, adjustment of the underlying factors, and assessment of the physical and psychological consequences in recent decades. Objectives: The present study aimed to investigate the psychological consequences of obesity in adolescent girls. Methods: This descriptive study was conducted using the causal-comparative on all the fi rst-and second-year high school girls in the academic year 2019 in Shahrekord Province, Iran. In total, 346 individuals were selected via multistage random cluster sampling for the normal students and purposive sampling for the obese students. Data were collected using Children’ s depression inventory (CDI), Rosenberg self-esteem scale, and Ryff ’ s psychological wellbeing (PWB) scales. Data analysis was performed in SPSS version 23 using the multivariate analysis of covariance. Results: The obese students had higher CDI scores and lower scores in the Rosenberg self-esteem scale and PWB compared to the normal students, with a signifi cant diff erence in this regard (P < 0. 001). Conclusions: According to the results, the variables of CDI, Rosenberg self-esteem scale, and PWB could be considered in the outcomes of obese adolescent girls. Therefore, psychological interventions are recommended for the minimization of these consequences.

Background: Medical malpractice is a major cause of patient complaints and dissatisfaction, which is an alarming event for healthcare professional and medical practitioners. Objectives: The present study aimed to investigate medical malpractice cases in Kerman province, Iran. Methods: This cross-sectional, retrospective study was performed to analyze the complaint cases reported in Kerman Medical Council and Kerman Legal Medicine Organization during 2010-2014. Physician data were recorded on age, gender, academic degree, specialty, work experience, place of failure, and type of medical malpractice. Data analysis was performed in SPSS. Results: In total, 551 complaint cases were investigated, 167 of which (31%) were medical malpractice cases. The most common medical malpractices were imprudence (44. 31%) and carelessness (41. 31%). In addition, most of the medical malpractice cases occurred in governmental hospitals (64. 07%). In most of the cases, physicians with specialty degrees were convicted of medical malpractice (73. 65%), and the highest number of the medical malpractices was observed in ophthalmology (20. 95%). Conclusions: Despite the significant advancement in medical affairs, the rate of patient complaints and medical malpractices has increased noticeably.

Background: Illicit drug use is a major public health concern among university students. Objectives: The present study aimed to determine the prevalence of illicit drug use and the associated factors in a population of Iranian university students. Methods: This cross-sectional study was conducted in Bushehr, located in the Northwest of Iran in 2017. The participants were selected randomly and included 977 university students. Anonymous, structured questionnaires were completed by the students. The self-administered questionnaire consisted of data on illicit drug use, smoking habits, sexual behaviors, alcohol consumption, physical fi ghts, religious beliefs, parental support, and illicit drug use by the family members and friends. Data analysis was performed using chi-square and logistic regression analysis. Results: The prevalence of illicit drug use during the lifetime, past year, past month, and daily/almost daily was estimated at 4%, 3. 3%, 2. 4%, and 0. 9%, respectively. The lifetime prevalence of cannabis, amphetamine-type stimulants, opium, and heroin was 1. 3%, 1. 5%, 1. 5%, and 0. 1%, respectively. After adjustment for other factors, male gender (OR = 4. 06), working along with education (OR = 2. 33), smoking habits (OR = 4. 00), physical fi ghts (OR = 4. 04), and illicit drug use by friends (OR = 2. 71) were associated with illicit drug use. Conclusions: According to the results, the prevalence of illicit drug use was relatively low, albeit signifi cant, among the students in Bushehr. Among the determined factors associated with this issue, illicit drug use was strongly correlated with drug use by friends. Our fi ndings could be used for the planning and evaluation of interventions based on the related risk factors.

Background: Studies on the fractional extracts of Galium verum L. have confirmed their cytotoxicity and anticancer effects on various cancer cell lines. Objectives: The present study aimed to investigate the cytotoxic effects of Galium verum extracts on liver and colon cancer cell lines. Methods: Colon cancer (HT29) and liver (HepG2) cell lines were randomly divided into the test and control groups and exposed to 100, 50, 25, 12. 5, 6. 25, and 3. 125  g/mL of the extract. MTT assay was used to evaluate the viability of the cells, and the groups were compared in the GraphPad Prism software using Tukey's post-hoc test. Results: The chloroform fractional extract of Galium verum exerted cytotoxic effects on HT29 at the concentrations of 100 and 50  g/mL and increased the cell viability of HepG2 cancer cells. On the other hand, the fraction of petroleum ether had cytotoxic effects on HT29 at all the determined concentrations, as well as on HepG2 at the concentration of 3. 125  g/mL. In addition, the treatment of HT29 with various concentrations of the petroleum ether fractional extract and HepG2 treatment with the same extract at the concentration of 3. 125  g/mL significantly decreased cell viability compared to the control group. The IC50 concentration was determined at > 100  g/mL. Conclusions: According to the results, the fractional extract of petroleum ether had cytotoxic effects on HT29 cancer cells at all the concentrations, while it affected HepG2 cancer cells only at the concentration of 3. 125  g/mL.

Background: Klebsiella pneumoniae is an important opportunistic enteric bacterial strain, which is a major cause of pneumonia and urinary tract infection. Antimicrobial resistance is an increasingly severe threat to the Global Public Health, requiring immediate action across governmental sectors and communities. Objectives: The present study aimed to determine the sensitivity pattern of K. pneumonia isolated from various clinical specimens for common antibiotics in Duhok City, Iraq. Methods: This study was conducted in Duhok City during January 2017-February 2019 on 130 clinical samples of urine, blood, sputum, wound swabs, central venous lines, and oral swabs. K. pneumoniae strains were confirmed and tested in terms of susceptibility to various antimicrobial drugs using the VITEK-2 compact system. Results: In total, 130 positive K. pneumoniae cultures from various clinical samples were examined. The isolates were more predominant in the females (n = 99; 76. 2%) compared to males (n = 31; 23. 8%). The antibiotic resistance rate of K. pneumoniae varied among different isolate clinical sample sources. Overall, high resistance rates were recorded for ampicillin (96. 9%), ceftriaxone (65. 8%), and cefepime (60. 8%). However, ertapenem (93. 8%) and imipenem (82. 3%) showed the highest susceptibility rate against the isolates. Conclusions: According to the results, K. pneumoniae isolated from various clinical specimens varied in terms of the antibiotic susceptibility pattern with high resistance to common antibiotics, particularly ampicillin. Ertapenem and imipenem were the most effective antibiotics against the isolates. Our findings could help physicians and clinicians to select appropriate antimicrobial therapies in the region.

Dear Editor, A highly contagious coronavirus disease 2019 (COVID19) is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (1). Since the first patient was hospitalized in Wuhan, Hubei, China, on December 12th, 2019 (1), more than 5 million cases and 300, 000 deaths have been recorded worldwide up to May 18th, 2020 (2). The virus affects the respiratory system of the person, and the patient has the symptoms of fever, cough, fatigue commonly, and having pneumonia with abnormal findings on chest CT (3). Sometimes, sputum discharge, dyspnea, headache, hemoptysis, and in some cases, diarrhea have been reported (3). The first officially confirmed case of COVID-19 was recorded in Sulaymanyaih City, Kurdistan Region, Iraq, on March 1st, 2020 (4). . .

Background: Subjective sleep quality plays a pivotal role in health, quality of life, and efficient performance. Objectives: The present study aimed to investigate the epidemiology of subjective sleep quality in the citizens of Kermanshah, Iran. Methods: This cross-sectional, descriptive study was conducted on all the citizens of Kermanshah in 2017. In total, 450 subjects were selected via multistage random sampling. Based on the inclusion criteria, 416 were evaluated using a self-report questionnaire of demographic characteristics and Petersburg sleep quality index (PSQI; Baisi et al., 1989). Results: In 79% of the participants, the mean score of PSQI was above the cutoff point (m = 6. 64). The analysis of the questionnaires indicated the highest frequency of sleep disorders to be in the components of subjective sleep quality from the perspective of the respondents, delayed sleep, sleep disorders, and daily functional disorders. In addition, 10. 6% of the subjects used very high doses of sedatives, while 10. 3% used relatively high doses of these pills. Minimal sleep disorders were reported as well. Poor sleep quality was less common in women, and significant correlations were observed between age and sleep latency, sleep duration, sleep medication use, and daytime dysfunction due to sleepiness. Conclusions: According to the results, subjective sleep quality was favorable in the citizens of Kermanshah. Considering the significant effects of sleep quality on performance and quality of life, attention must be paid to this aspect of health by healthcare planners and managers.

Background: Postmenopausal women experience tremendous changes that are not only hormonal, but also social and emotional, which reduce their quality of life. Limited research has been focused on perceived stress and the influential factors in women during menstruation. Objectives: The present study aimed to assess the correlation between perceived stress and insomnia severity in postmenopausal women. Methods: This cross-sectional study was conducted on 190 postmenopausal women referring to the healthcare centers in Kermanshah, Iran in 2019. Data were collected using the individual and sociodemographic questionnaire, perceived stress scale, and insomnia severity index. Data analysis was performed in SPSS using independent t-test, one-way ANOVA, and Pearson's correlationcoefficient to evaluate the correlation between perceived stress and insomnia severity. Results: The total mean score of perceived stress was 33. 9-13. 8 (score range: 7-54), and the total mean score of insomnia was 15. 1  4. 8 (score range: 6-28). The comparison of the total mean score of perceived stress showed a significant difference at various severities of insomnia (F [3, 186] = 12. 31; P < 0. 0001). According to the post-hoc results, the women with severe insomnia obtained the highest mean score of perceived stress compared to those with normal, mild, and moderate insomnia. Furthermore, the Pearsonfs correlation-coefficient was indicative of a significant association between insomnia severity and the total score of perceived stress (r = 0. 417; P < 0. 0001). In other words, the women with higher scores of insomnia severity achieved higher scores of perceived stress comparatively. Conclusions: Insomnia and perceived stress are common and correlated in postmenopausal women. Therefore, the identification and treatment of postmenopausal women with stress and sleep disorders could remarkably improve their quality of life.