Journal of Rafsanjan University of Medical Sciences
Year:2022 | Volume:21 | Issue:1|Papers Count:9

Background and Objectives: Behavioral incompatibility of students is currently one of the concerns of the educational system. The aim of this study was to determine the effectiveness of commitment-based treatment and acceptance on academic procrastination and behavioral maladaptation of students with test anxiety. Materials and Methods: The present study was a quasi-experimental study with a pretest-posttest design with a control group. The statistical population of the study consisted of all seventh-grade male students in the District 2 of Kerman in the academic year 2019. Thirty students were selected as the research sample and randomly assigned to the experimental and control groups (15 in each group). First, Sinha and Singh’, s Behavioral Adjustment Questionnaire and Solomon and Rothblum’, s Academic Procrastination Questionnaire were administered as a pretest in both groups. Then, the treatment based on acceptance and commitment was performed in the experimental group for 2 months. The control group did not receive any treatment. Data were analyzed using MANCOVA. Results: The mean (standard deviation) of academic procrastination in the pre-test stage was 77. 39 (5. 74) in the experimental group and 76. 79 (5. 66) in the control group, and in the post-test stage it was 54. 82 (5. 12) in the experimental group and 74. 25 (6. 94) in the control group (p<0. 001). Also the mean (standard deviation) of behavioral incompatibility in the pre-test stage was 48. 15 (7. 04) in the experimental group and 49. 12 (6. 37) in the control group, and in the post-test stage it was 35. 87 (5. 12) in the experimental group and 48. 29 (6. 61) in the control group (p<0. 001). Conclusion: Considering the effectiveness of commitment and acceptance therapy, it is recommended to be used to improve and reduce academic procrastination and behavioral maladaptation of students with test anxiety.

Background and Objectives: Parenting as a set of behaviors by parents to raise their children has always been a challenging topic for parents and educating parents is one of the basic ways to reduce these challenges. The aim of this study was to determine the effectiveness of parenting education package on reducing the problems of aggression and lawlessness in adolescents in Ahvaz. Materials and Methods: The present study was a quasi-experimental design with experimental and control groups with pretest-posttest. Out of all parents with adolescent children with aggression and lawlessness problems referred to Ahvaz counseling centers in 2020, 34 people were selected and randomly (lottery) divided into experimental (17 people) and control (17 people) groups. The experimental group was trained in parenting package for 8 sessions and the control group did not receive any training. The Child Behavior Checklist (CBCL) was used to collect data. Data were analyzed using one-variable analysis of covariance. Results: The results showed that parenting education had a significant effect on the score of law-breaking problems (F=18. 335, p<0. 001) and aggression (F=15. 346, p<0. 001). Conclusion: Based on the findings of the present study, it can be concluded that the developed package of adolescent parenting is effective in improving the problems of aggression and lawlessness of adolescents, and in order to improve the behavioral problems of adolescents, this package is recommended to the parents.

Background and Objectives: Fear of coronavirus disease 2019 (Covid-19) may lead to sexual disinterest and frustration and affect sexual function. This study aimed to determine the relationship between fear of Covid-19 disease and the sexual function of married people. Materials and Methods: In this descriptive study, 400 married residents of Qazvin participated in 2020. Data was collected as random multi-stage clusters. The study tools included the International Index of Erectile Function (IIEF) in Men and Female's Sexual Function Index (FSFI) in Women, and Coronavirus Fear Questionnaire (FDCS). Data were analyzed using independent t-test, one-way ANOVA, and Spearman’, s correlation test. Results: There was a significant reverse relationship between the fear of coronavirus and the total score of female sexual function (r=-0. 261, p= 0. 007), but there was no significant relationship between the fear of coronavirus and the total score of male sexual function (r=-0. 060, p= 0. 812). The mean score of sexual function of men and women in people with a fear of having sex and employment in health centers was significantly lower, while in people that used sex flirting was significantly higher (p<0. 05) Conclusion: Fear of Covid-19 disease may harm the sexual function of married people, especially women, and reduce their quality of married life. Therefore, to prevent the destructive psychological effects of the epidemic, more attention and interventions are needed to improve sexual function.

Background and Objectives: The process of chronic diseases and aging is associated with reduced telomere length. The aim of this study was to investigate the effect of high-intensity interval training (HIIT) and low-intensity interval training (LIIT) on telomere repeat binding factor 1 and 2 (TRF1 and TRF2) in Soleus (SOL) muscle as a slow-twitch (ST) and Extensor Digitorum Longus (EDL) muscle as a fast-twitch (FT) of mice skeletal muscle. Materials and Methods: In this experimental study, the subjects were C57BL/6 mice (n=24) that were randomly divided into four groups of 6 mice: 1-Base control, 2-control, 3-high-intensity interval training (HIIT), and 4-lowintensity interval training (LIIT). The exercise included 5 days a week for 8 weeks. The gene expression of muscle tissues was measured using RT-PCR. The data were evaluated using two-way ANOVA with Tukey’, s post hoc test. Results: By comparing ST and FT muscles (p=0. 791) and HIIT and LIIT groups (p=0. 164) and also the interaction between muscle type and training intensity (p=0. 929), there was no significant difference in the expression of TRF1 gene. There was no significant interaction between TRF2 gene expression in ST and FT muscles at different intensities (p=0. 868). But the results of Tukey’, s post hoc test showed that in terms of TRF2 gene expression, HIIT (p=0. 031) and LIIT (p=0. 035) groups showed more increase compared to the control group. Conclusion: HIIT and LIIT similarly improved the telomere system in skeletal muscle of both muscle types, and this system was more affected by telomere elongation effect of TRF2.

Background and Objectives: One of the most common problems in the general population is somatization symptoms. Therefore, identifying the factors that play a role in causing these symptoms will be effective in preventing their occurrence. Therefore, this study aimed to determine the relationship between object relations patterns and somatization symptoms mediated by alexithymia. Materials and Methods: The method of this research was descriptive modeling. For this purpose, 295 people living in Semnan in the age range of 18 to 60 years were selected by convenience sampling method and answered the questionnaires of Bell Object Relations, somatization symptoms (PHQ-15), and Toronto Alexithymia with an internet survey in February and March 2021. Data were analyzed by Pearson’, s correlation test and structural equation modeling. Results: The results showed that this model has a good fitness, and there was a significant positive relationship (p<0. 05) between object relations patterns and somatization symptoms (T= 3. 601, β, = 0. 538) and alexithymia (T=11. 756, β, = 0. 800), but no significant relationship was observed between somatization symptoms and alexithymia (T=0. 816, β, =0. 110) and as a result, the mediating role of alexithymia in data analysis was not significant (p>0. 05). Conclusion: These findings show that by identifying the object relations patterns in individuals, it is possible to predict the likelihood of developing somatization symptoms and alexithymia to some extent. Therefore, it is recommended that clinical therapists need to consider the object relations patterns of the individuals with somatization symptoms in communicating with them.

Background and Objectives: Medical students are considered a high-risk group for COVID-19 anxiety due to their health and medical activities. The aim of this study was to determine the level of anxiety caused by the COVID-19 epidemic among medical students in rafsanjan. Materials and Methods: In this descriptive study, 400 students of Rafsanjan University of Medical Sciences were selected by regular stratified sampling and participated in the study. The data collection tool was a standard questionnaire. Data were analyzed using independent t-test, one-way analysis of variance, and non-parametric KruskalWallis test. Results: 228 (57%) were girls and the rest were boys. 29% (116 people) had a history of corona. 62. 3% (249 people) of family members or relatives of participants had a history of infection or death due to corona. 25. 3% (101 people) of the participants were active in the field of corona control. The mean scores of anxiety and psychological and physical subscales were 12. 97±, 8. 03, 10. 06±, 5. 07, and 2. 91±, 3. 69, respectively. Conclusion: The results of the study indicated that there was anxiety among students. The reasons were more exposure to patients, contaminated work environment, wearing protective clothing and masks, and fear of contamination of oneself and family. Greater awareness of the disease, access to personal protective equipment, and vaccination are strategies that can be effective in reducing anxiety.

Background and Objectives: Covid-19 disease, which appeared in Wuhan, China in December 2019, spread rapidly around the world. According to the World Health Organization (WHO), the virus has exposed us to a global crisis. Therefore, this study aimed at investigating the factors associated with the hospitalization of patients with Covid-19. Materilas and Methods: In this systematic review, the information of studies carried out concerning surveying the factors associated with the hospitalization of patients with COVID-19 was extracted with no time limit up to April 2021, using the keywords "2019-nCoV", "COVID-19", "SARS-CoV-2", "Coronaviruses", "Hospitaliz*", and "Factor*" in SID, MagIran, Embase, ProQuest, Scopus, PubMed, Web of Science (ISI), and Google Scholar engine. Results: Finally, out of 8710 received articles and after eliminating the articles irrelevant to inclusion criteria, 13 articles with a sample size of 129022 people were included in the study. According to various studies, aging, male gender, black race, obesity, high BMI, smoking, diabetes, cardiovascular disease, kidney disease, hypertension are directly related to the hospitalization of patients with COVID-19 (p<0. 05), but more research is needed on alcohol consumption and asthma. Conclusion: The results of this study showed that the elderly, men, blacks, obese people, smokers, hypertension, diabetics, and patients with cardiovascular and kidney disease are at a higher risk of hospitalization due to COVID-19, which may be of interest to the related specialists.

Background and Objectives: The risk of transmission of various infections threatens nursing students. The aim of this study was to evaluate the level of knowledge, attitude, and adherence to standard infection control precautions among nursing students during the Corona pandemic. Materials and Methods: This descriptive study was performed on 70 senior nursing students in Khoy in 2021. Data collection tools included a demographic information questionnaire, a questionnaire of nursing students' knowledge and attitudes about standard infection control precautions, and a standard precautions checklist. The collected data were analyzed using descriptive statistics, Pearson’, s correlation test, and multiple linear regression. Results: The results showed a direct significant and relationship between the knowledge score of nursing students and attitude score (r=0. 524, p<0. 001), and compliance score (r=0. 325, p=0. 005). The attitude score of nursing students was also directly and significantly related to the score of compliance with standard infection control precautions (r=0. 240, p=0. 002). Conclusion: The results of the present study showed that knowledge and adherence to standard infection control precautions of most students are at a moderate level. It is necessary to take appropriate educational measures in order to increase knowledge and follow standard precautions.