RAZAVI INTERNATIONAL JOURNAL OF MEDICINE
Year:2022 | Volume:10 | Issue:3|Papers Count:11

Introduction: Coronary artery bypass grafting (CABG) is one of the most common surgical methods in patients with coronary artery disease, a well-known complication of which is renal injury after surgery. Here we try to understand the factors involved in the incidence of acute renal injury in our patients. Objective: The present study aimed to evaluate the incidence and etiology of acute kidney injury (AKI) following CABG. Methods: This study was performed on 181 patients undergoing CABG surgery. The AKI was also recorded after registering demographic information and clinical indications. Chi-square, Mann-Whitney, and independent t-tests were used for data comparison. Results: The findings of our study pointed out that AKI following CABG in our patients was 3. 9% and showed no significant relationship with age, gender, hypertension, diabetes, type of surgery, hypercholesterolemia, number of clogged arteries, smoking, and length of surgery,however, blood urea was found to be significantly higher preoperatively in patients with AKI. Conclusion: As evidenced by the obtained results, AKI following CABG in the studied patients was 3. 9% and was not significantly associated with age, gender, hypertension, diabetes, type of surgery, hypercholesterolemia, number of clogged vessels, smoking, and the length of surgery. Nonetheless, urea was observed to be significantly higher in patients with AKI before surgery. Studies with larger sample sizes are recommended.

Introduction: Precise diagnosis and staging was required for effective management pationts. Imaging techniques, such as ultrasound, computed tomography (CT), and magnetic resonance imaging (MRI), are commonly used for the detection of the location, size, as well as morphological and structural changes of adjacent tissues. Nonetheless, these modalities provide little information about tumor biology. Objective: This study presents the experiences of a private clinical center regarding the role of F-fluorodeoxyglucose positron emission tomography/computed tomography (18F-FDG PET/CT) in the diagnosis, staging, restaging, and monitoring of treatment response in the management of patients with sarcoma. Methods: The records of patients with bone and soft tissue sarcoma referred to a private specialized hospital for 18F-FDG PET/CT from 2016 to 2019 were evaluated in this study. Information, such as radiotherapy, chemotherapy, and pathology of patients, was recorded. Results: Regarding gender, 66. 7% of cases were male (mean age of 26. 37 years) and 33. 3% of subjects were females (mean age of 28. 76 years). Among SUVmax reported in observed lesions, either metastasis or recurrence, and primary tumor, the highest value was observed in the lymph node on the right side of the neck due to metastasis of the giant cell tumor of the bone (SUVmax = 18. 23) and the lowest in the right lung pulmonary node due to the retroperitoneal sarcoma metastasis (SUVmax=0. 88). Furthermore, the mean SUVmax of the hepatic right lobe was not significantly different between diabetic and non-diabetic patients (P=0. 761). Conclusion: As evidenced by the obtained results, 18F-FDG PET/CT appears to be a noninvasive measurement method for the prediction of events and outcomes,nonetheless, it is currently considered an optional test, which calls for further studies to corroborate its case-effectiveness.

Background: Obesity is a medical condition in which excess fat tissues have been accumulated in a person's body. Excessive accumulation of adipose tissue can cause a decline in health indicators, including reduced life expectancy or decreased quality of life. Objective: This study aimed to evaluate the effectiveness of dialectical behavior therapy on emotion regulation, food cravings, and body mass index (BMI) of obese female students. Methods: This quasi-experimental study was conducted based on a pretest-posttest control group design and follow-up. The statistical population of this study included all female obese students studying in the first year of high school in Sari, Mazandaran Province, Iran, in the academic year of 2019-20 referring to endocrinology and obesity centers. The samples (n=24) were selected by the convenience sampling method and considering the inclusion and exclusion. They were then randomly assigned into two groups, namely experimental and control. The tools that were used to gather the necessary data included the Food Cravings Questionnaire and Difficulties in Emotion Regulation Scale. The collected data were analyzed in SPSS software (version 22) using repeated-measures analysis of variance. Results: The results showed that dialectical behavior therapy had an effect on the components of emotion regulation, BMI, and food craving. This result was significant up to the follow-up stage (P<0. 01). Conclusion: It can be concluded that dialectical behavior therapy reduced negative emotions in obese people, and according to one of the main factors of craving (i. e., negative emotions), effective emotion regulation could reduce craving. As a result, it led to weight loss in obese female students.

Introduction: Music therapy as an intervention improves mental health in the work environment. Objective: The present study aimed to investigate the effectiveness of the Iranian traditional music package on job performance and the positive and negative emotions of employees by gender. Method: The present applied study is quasi-experimental with a pretest-posttest design and a control group. The statistical population included all employees of Mehr Asa Bam Company, Tehran, Iran. A total of 60 employees who were always available volunteered. Then, the participants were matched based on gender, marital status, and educational status, and randomly assigned to each group (30 employees). Data were analyzed using SPSS software (version 22). Results: The results of multivariate analysis of covariance (MANCOVA) revealed that the Iranian traditional music package increased job performance and positive emotions of male and female employees and decreased their negative emotions (P<0. 001). Therefore, music therapy was found to be effective. Conclusion: Music therapy can be said to improve job efficiency in the workplace and is an appropriate tool for organizational development and related variables.

Introduction: Having sufficient skilled manpower in the field of health is one of the leading factors for improving the quality of public service delivery. The shortage of manpower may impose costs on health and society. Objective: The current study is descriptive-analytic to determine the needs of human resources in hospitals with a high degree of national accreditation. Methods: The force estimation was used in this study based on following methods: traditional, WHO guideline, system-oriented attitude determination, California index, health care and treatment, Abdullah and Levin, and Young and Wolf. Force estimation is different with each method. Conclusion: The employees of Razavi hospital work under pressure due to a shortage of manpower. Proper management and planning of human resources are improving the work efficiency by ensuring the optimal volume of work. The population of this study is a private hospital with several available beds.

Background: Nowadays, comparing the effectiveness of treatment methods to reduce mental problems in patients with diabetes is of great interest to different psychologists. Objectives: This study aimed to compare the effectiveness of compassion-focused therapy and cognitive behavioral therapy in emotional schemas and resilience in diabetic patients referred to Pasteur Hospital in Bam. Materials & Methods: The research method was semi-experimental with pre-test, post-test, and follow-up design. The statistical population of this study included all diabetic patients referred to Pasteur Hospital in Bam in the second half of 2018 (152 patients). From the statistical population, 45 patients were selected by simple random sampling and randomly divided into three groups (cognitive behavioral therapy group, compassion-focused therapy, and control group). Before and after training, the subjects responded to Conor and Davidson's resilience questionnaires (2003) and Leahy's emotional schemas questionnaire (2009). Data were analyzed using Multivariate analysis of covariance by spss. 22. Results: The findings of this study showed that compassion-focused therapy and cognitive behavioral therapy improve emotional schemas (P<0. 001) and increase resilience (P<0. 001). The effect of compassion-focused therapy was greater than cognitive-behavioral and maintained its effectiveness over time (P<0. 001). Conclusion: It can be concluded that compassion-focused therapy had a greater effect on improving emotional schemas and increasing resilience in patients with type 2 diabetes.

Background: Internalizing behaviors problems, such as anxiety and depression, are two common disorders in adolescents. These problems result in negative outcomes, including dropping out of school, drug abuse, a higher risk of suicide, and other psychological consequences. The present study aimed to investigate the effectiveness of Schema Mode Therapy for Children and Adolescents (ST-CA) in the internalizing behaviors problems among adolescents referred to consulting center in Ahvaz, Iran. Methods: This quasi-experimental study was conducted based on a pretest-posttest design and a control group. The statistical population comprised adolescents aged 12-14 years having behavioral, educational, and mood problems who were referred to counseling centers in Ahvaz, Iran. The sample consisted of 30 adolescents (11 boys and 19 girls) selected by the convenience sampling method and randomly divided into experimental and control groups (15 cases per group). The experimental group underwent 14 sessions (120-min sessions per week) of ST-CA. The research instrument included the Child Behavior Checklist. Data analysis was performed using SPSS software (version 26). Results: The findings of the present study revealed that ST-CA had a significant effect on the improvement of the internalizing problems (anxiety-depression, withdrawal-depression, and somatic complaints) (P<0. 001). Conclusion: It seems that the ST-CA well reduces internalizing problems,therefore, it is recommended that this method be used for adolescents.

Background: Infertility as one of the major life crises puts considerable pressure on infertile couples, leading to disrupted quality of marital life, reduced communion, and helplessness. Objective: The current study sought to ascertain the efficacy of couple therapy based on choice theory in marital burnout and infertile couples' communication styles. Methods: This quasi-experimental study was conducted based on a pre-test post-test control group design with a follow-up period. The statistical population of the study consisted of all infertile couples referred to counseling and treatment centers in Tehran in 2019. Out of this population, 30 subjects were selected by convenience sampling method and randomly assigned to two groups (n=15 in each group). The couple therapy program based on choice theory was performed weekly in the experimental group, while the control group did not receive any intervention. The two groups responded to marital burnout and communication styles questionnaires in the pre-test, post-test, and follow-up. Data analysis was performed in SPSS software (version 22) using covariance analysis. Results: Based on the obtained results, couple therapy based on choice theory was effective in disillusionment (P<0. 01) and communication styles (P<0. 01) of infertile couples. Conclusion: Given the good effect of choice theory-based couple therapy on marital burnout and communication styles of infertile couples, it is advised that these capacities and training be used in the planning of mental health measures, particularly for infertile couples.

Background and Aims: Numerous health service-providing organizations have recently focused on patient satisfaction as a health service quality index. The present study aimed to determine the hospitalized patients' satisfaction with health services and the nursing index at a hospital during the unfavorable conditions arising from the COVID-19 outbreak. Materials and Methods: The statistical population included all patients and nurses working in a private hospital in Mashhad, Iran. In total, 180 nurses and 377 patients were selected, and data were collected using a questionnaire developed by Qiu et al. (2019) and a patient satisfaction survey. Data analysis was performed in SPSS software (version 24) and Smart PLS. Results: Based on the results, efficient management had a significant positive effect on patients’,satisfaction with the nursing index. Moreover, it positively affected patients’,increased loyalty. Satisfaction with the nursing index exerted a significant positive effect on patients’,increased loyalty and strengthens the relationship between efficient management and patients’,increased loyalty. Conclusion: Efficient management in hospitals had a significant positive effect on patients’,satisfaction with the nursing index, the result of which could be patients’,increased loyalty. Considering the current unstable economic conditions, this can increase revenue and prevent the closure of hospital wards.

Background: Anorexia nervosa is a refusal to maintain the lowest normal body weight, a severe fear of weight gain, and a significant impairment in body image. Objectives: The purpose of this study was to evaluate the impact of cognitive behavior therapy on anorexic patients' psychological distress, body image, and eating disorder beliefs in anorexic patients. Methods: This was a semi-experimental study based on a pre-test, post-test, and follow-up design with a control group. The statistical population of the study included patients with eating disorders who were referred to obesity treatment centers in Tehran, from whom 30 patients were selected using a purposeful sampling method and were randomly assigned to two groups of experiment and control. Before the intervention, the Eating Disorder Beliefs Questionnaire was used as a pre-test. After then, the experimental group received the intervention (no intervention was carried out on the control group). The Body Image Concern Inventory, Psychological Distress Questionnaire, and Eating Disorder Beliefs Questionnaire were used to gather the data. Multivariate covariance analysis was used to examine the data using the SPSS program (Version 22). Results: According to the findings, cognitive behavior therapy helped anorexic patients with their psychological distress (P<0. 001), body image issues (P<0. 001), and eating disorder beliefs (P<0. 001), respectively. Conclusion: It is evident that cognitive behavior therapy helps anorexic patients by lowering psychological discomfort, issues with their bodies, and ideas about eating disorders.

Background: The present study aimed to assess the effectiveness of the cognitive rehabilitation program based on optimal cognitive load in self-regulation and academic achievement in children with special learning disorders. Method: This quasi-experimental applied research was conducted based on a pre-test-post-test control group design with a follow-up period. The statistical population of this study included all children aged 8-10 years with symptoms of special learning disorder who were referred to public learning disorders centers in Tehran in the academic year 2019-2020. To this end, 25 subjects were selected by the available sampling method and randomly assigned to two groups of experimental and control. Data were collected using the Second Learning Disorder Assessment Scale (LDES-R2), McCarney & Armwood (2007), Wechsler Children's Intelligence Scale (WISC-IV), and Novak and Clayton's Self-Regulation Questionnaire (2001). Results: Based on the results of the multivariate covariance analysis test, the cognitive rehabilitation program affected academic self-regulation, its cognitive, behavioral, and emotional components, as well as academic performance, in students with special learning disorders. Conclusion: As evidenced by the results of this study, it can be concluded that cognitive rehabilitation program can be used as a suitable method to promote self-regulation and academic performance of students.