Caspian Journal of Health Research
Year:2022 | Volume:7 | Issue:2|Papers Count:6

Background: COVID-19 patients across the globe have been reporting several post-COVID health conditions such as respiratory, vascular, cardiac and renal complications and opportunistic infections,the most common of which has been fungal infections. Objectives: The objective of our study was to identify socio-demographic characteristics, risk factors, clinical parameters, site of involvement and outcome of patients with COVID-19 Associated Mucormycosis (CAM) at a tertiary care centre in Rewa (Madhya Pradesh, India). Materials & Methods: This was a prospective observational study, conducted between 1st May to 30th June 2021,including 40 patients who had Mucormycosis with recent or active COVID-19. The data was collected using a structured data collection form by trained interviewers who were already working in Mucormycosis Ward. Results: The overall mean and median age of the patients was 50. 8 years and 52. 5 years respectively, with majority of the males (72. 5%). Of total, 47. 5% patients had active COVID-19, whereas 50% had recent COVID-19 infection. Twenty-two patients (55%) had co-morbidities, among whom the majority had underlying diabetes mellitus (50%). History of Oxygen supplementation and use of steroids was found in 75% and 45% of the patients respectively. History of self-consumption of decoction (Kadha) and selfadministration of inhalation drugs was found among 22 (80%) and 8 (20%) patients respectively. Twntyone patients (52. 5%) had gone through operative procedure/intervention and 11 (27. 5%) patients received conservative treatment. In terms of outcome, 20 patients (50%) had been successfully discharged, followed by 14 deaths (35%), 3 referrals (7. 5%) to the higher centres and 3 readmissions (7. 5%). Conclusion: Addictions and Indian traditional therapies might have played crucial role in occurrence of CAM. In addition, although Oxygen supplementation and steroid consumption have been life-saving against COVID-19, yet might be responsible for acute surge in CAM cases.

Background: Type 1 diabetes patients may find it difficult to cope with diabetes-related stress, which can be improved by accessible interventions. Objectives: The goal of this study was to determine whether coping skill training could increase self-efficacy among adolescents with type 1 diabetes during the COVID-19 pandemic lockdown. Materials & Methods: This study was conducted as a pretest-posttest design with a control group. The study population was adolescents diagnosed with type 1 diabetes at Tehran Diabetes Center during the COVID-19 pandemic lockdown from June to August 2021. Sixteen adolescents with type 1 diabetes were selected using a purposeful sampling method. The participants were divided into experimental (n=9) and control groups (n=7). The measurement tool was the General Self-efficacy Scale. A total of eight sessions of coping skill training took place for the experimental group,no intervention was performed for the control group. A multivariate analysis of covariance was used to analyze the data. Statistical analysis was performed utilizing SPSS software, v. 23. Results: There was no significant difference between the intervention and control groups in terms of age sex, and baseline score of self-efficacy. In the posttest, self-efficacy score significantly improved in the intervention (71. 52±, 13. 86) compared to the control group (48. 13±, 12. 96) (F=18. 97, P<0. 001, η, 2=0. 59). Conclusion: According to this study, adolescents with type 1 diabetes who received training in coping skills showed increased self-efficacy. As a result, it can be concluded that adolescents with type 1 diabetes need coping skills training interventions, including self-management support.

Background: Invasive diagnostic tests such as angiography cause stress and anxiety in patient and most of them experience relatively high levels of anxiety. Objectives: The aim of this study was to evaluate the effect of aromatherapy on anxety and physiologic parameters of patients undergoing angiography. Materials & Methods: This clinical trial was performed in the angiography department of Heshmat hospital in north of Iran. Eighty patients with anxiety score of above 43 were randomly assigned into two groups of aromatherapy and placebo groups. Fifteen minutes Before and then angiography, the physiologic parameter and anxiety of the patients were measured, and the intervention group sniffed three drops of essential oil of orange blossom for three minutes. Results: In the intervention group, there was no significant difference between the mean score of the manifest and hidden anxiety and the physiological indices before and after the intervention. The adjusted post-intervention values showed that systolic and diastolic blood pressure in the control group were significantly lower than intervention group (P<0. 001). The mean reduction of systolic blood pressure in the intervention and control group was 3% and 13%, respectively. The mean diastolic blood pressure reduction was 2% vs 7% in the intervention and control group, respectively. Conclusion: This study revealed no significant effect of aromatherapy on anxiety of the patients undergoing angiography. Among physiologic parameter, systolic and diastolic blood pressure significantly reduced after intervention.

Background: Spirituality is an important concept among human societies, and the relation of this concept to other human characteristics is important for health professionals. Objectives: The purpose of this study was to investigate the relationship between Spiritual Well-Being (SWB) and happiness among the students of health sciences in Guilan University of Medical Sciences (GUMS). Materials & Methods: This was a cross-sectional and descriptive-analytic study carried out among 322 students studying at school of health in GUMS, Iran. The Spiritual well-being scale and Oxford Happiness Questionnaire were used to measure SWB and happiness. Correlation coefficient and multivariate linear regression model were used to assess the association of SWB and happiness. Results: The Mean±, SD of SWB and happiness were 55. 82±, 4. 71 and 60. 88±, 12. 9, respectively. Spiritual health was significantly associated with age and marital status. There was strong correlation between cognitive dimension of spiritual health and welfare dimension (r=0. 92, P=0. 005) and positive mood dimension (r=0. 90, P=0. 007) of happiness. The adjusted model for age and marital status showed that satisfaction was significantly associated with SWB (β, =0. 66, P=0. 02) Conclusion: The results revealed a lower than mean value of happiness and SWB among students of health sciences. Satisfaction was the most important predictor of SWB.

Background: Ovarian Torsion (OT) is a common gynecological emergency. Clinical presentation is nonspecific, and diagnosis is based on a high index of suspicion. Current recommendations strongly are based on ovarian support. Objectives: To assess clinical findings and therapeutic approach of patients diagnosed with OT. Materials & Methods: In this retrospective study 104 patients with confirmed OT in surgery were investigated. Clinical symptoms, laboratory indices, ultrasonography finding, and therapeutic approach were collected from hospital records of patients from 2001 to 2021. Results: The Mean±, SD age of patients was 34. 7±, 14. 1 years old. The Mean±, SD duration from hospitalization to surgery was 6. 4±, 3 hours. The most common symptom in patients was abdominal pain (100%) followed by nausea and vomiting (76. 9%). Ovarian cyst (71. 2%) was the most gynecologic etiology of OT. Local tenderness (92. 3%) and rebound tenderness (46. 2%) were the most prevalent sign in physical examination. Necrotic ovary was found in 60 patients (57. 7%) at surgery. Detorsion was possible in only 26 patients (25%). Conclusion: This study revealed that most objective findings in patients were nondifferential. The majority of patients with OT were in the reproductive ages, but just one fourth of them treated with conservative management.

Background: Occupational noise is an occupational risk factor that might affects the body system. Objectives: A literature review research was implemented to review the published studies that reported relationships between occupational noise and Cardiovascular Diseases (CVDs). Materials & Methods: Three databases were searched. A total of eight articles were identified and included. Results: The results show that noise exposure and high noise levels were associated with an increased CVDs. Additionally, some environmental factors such as temperature imbalance, job strain as well as other social and individual risk factors influence the risk of CVDs. Conclusion: Evidence shows that occupational noise is a prominent risk factor for CVDs. Therefore, it is suggested that noise levels exposure should be reduced by personal and social protective equipment or revision measures.