JOURNAL OF ISFAHAN MEDICAL SCHOOL (I.U.M.S)
Year:2016 | Volume:34 | Issue:402|Papers Count:7

Background: Support for infertile couples and offering them training programs are part of the health reform plan. Considering that infertility causes problems in the marital relationships of infertile couples, the current study was conducted to determine the effect of relationship enrichment training on marital intimacy amomg infertile couples with domestic violence.Methods: This was a semi-experimental study with pre- and post-test on 36 infertile couples with domestic violence referred to the infertility center of Sari City, Iran, in 2015. The couples were randomly divided to control and experimental groups. Domestic violence screening among infertile couples was performed with the Conflict Tactic Scales (CTS) standard questionnaire. Data were collected using marital intimacy questionnaire, which was completed by both groups before and immediately and two months after the intervention. The validity and reliability of both questionnaires were approved before in other Iranian studies. The intervention consisted of seven 90-minute training sessions and was conducted by a graduate student of midwifery counselling. Data were analyzed using SPSS20 software.Findings: Intervention improved the mean score of marital intimacy (P<0.001) and emotional (P<0.001), intellectuality (P<0.001), physical (P<0.001), social (P<0.001), communication (P<0.001), spiritual (P<0.001), sexual (P<0.001) and general (P<0.001) dimensions significantly. However, there was no statistically significant improvement in psychological dimension (P<0.180).Conclusion: Relationship enrichment increased the marital intimacy; therefore, using the relationship enrichment training workshops is recommended. Although mean score of psychological dimension was not statistically significant, it increased after intervention. Furthermore, other dimensions showed significant improvement in post-test.

Background: Electroconvulsive therapy (ECT) is one the most effective therapies for the treatment of patients with psychotic disorders. Ketamine increases the seizure duration after electroconvulsive therapy. However, the routine use of ketamine may be limited due to concerns about the side effects. The aim of this study was to compare the effect of ketamine and sodium thiopental on blood pressure and heart rate during and after electroconvulsive therapy.Methods: The study included 64 patients who were candidates for receiving electroconvulsive therapy seizures.Consequently, patients were divided into two groups of 32 patients. Each patient received drug randomly. The collected data were analyzed using independent t and chi-square tests.Findings: Mean arterial pressure (MAP) at the fifth (P=0.001) and tenth (P=0.003) minutes after the seizures was higher in ketamine group. Mean heart rate at the first (P=0.020), fifth (P=0.001) and tenth (P=0.002) minutes after the seizures was significantly greater in ketamine group, too. In addition, the duration of seizures in ketamine group was significantly higher than the sodium thiopental group (P=0.001).Conclusion: Although, anesthesia induced by ketamine during electroconvulsive therapy increased blood pressure, heart rate and seizure duration, but due to lower medical complication, ketamine is an appropriate option for anesthesia in electroconvulsive therapy.

Background: Hirsutism, male-pattern hair growth, affects 5 to 10 percent of women of reproductive age.Polycystic ovary syndrome (PCOS) is the cause of hirsutism in 7.2-8.2 percent of cases. This study aimed to compare the effects of auriculotherapy and pharmacotherapy on hirsutism due to polycystic ovary syndrome in unmarried 18-35-years-old women.Methods: This clinical trial study was conducted on 60 women, 18 to 35 years old, in two groups of auriculotherapy and pharmacotherapy comparing clinical, laboratory and ultrasound findings. Pharmacotherapy and auriculotherapy groups were treated for 3 and 2 months, respectively. Results were evaluated in three phases using SPSS15 software.Findings: The mean scores of hirsutism before (P=0.240), immediately after (P=0.100) and three months after completion of the intervention (P=0.075) were not significantly different between the two groups. There was no significant difference between the mean scores of hirsutism in the pharmacotherapy group at mentioned three times (P=0.080). Comparing he results between the before and immediately after the intervention showed significant difference in auriculotherapy (P=0.010); in pharmacotherapy group, this difference was not significant (P=0.650). In comparison of immediately and three months after the intervention, in auriculotherapy group, the difference was not significant (P=0.160); but, in the pharmacotherapy group, it was significantly different (P=0.010).Conclusion: According to the results, auriculotherapy compared to pharmacotherapy is more associated with significant decrease of hirsutism.

Background: Increasing in resistance among Escherichia coli causing urinary tract infection led to increased concern in the world. Quinolones are widely used in the treatment of urinary tract infections and a few studies have been done about plasmid-mediated quinolone resistance determinants. The aim of this study was to determine the frequency of oqxA and oqxB plasmid-mediated quinolone resistance genes, which encodes efflux pumps, among Escherichia coli isolated from urine of hospitalized patients with urinary tract infection in Yazd City, Iran.Methods: In this descriptive–analytical study, 94 Escherichia coli strains were isolated from urine specimens of inpatients with urinary tract infections in Yazd City, at first 6 months of 2014. The susceptibility testing for quinolones were performed using the disk diffusion method according to protocols of Clinical and Laboratory Standards Institute (CLSI-2013). Polymerase chain reaction (PCR) method and specific primers were used for detection of oqxA and oqxB genes. The results were analyzed using SPSS software.Findings: Among 94 Escherichia coli isolates, the lowest and highest quinolone-resistance was observed for norfloxacin (51.0%) and nalidixic acid (73.4%), respectively. In this study, oqxA and oqxB genes were present in 4 (4.2%) and 3 (3.2%) Escherichia coli isolates, respectively.Conclusion: According to the results, resistance to quinolones is higher than some other studies. The low frequency of oqxA and oqxB in this study was similar to other studies. It is recommended that antibiotic susceptibility test must be performed routinely before initiating treatment of urinary tract infections and studies about the plasmid-mediated quinolone resistance determinants should be done regularly.

Background: Sacroiliac joint dysfunction (SID) is the cause of low back pain in 15-30 percent of cases. Several studies have introduced different treatments for sacroiliac joint dysfunction that include manipulation but there is not any accepted treatment for that.Methods: The patients with low back or buttock pain, who had at least three positive diagnostic tests, did not have any other cause of low back pain in lumbosacral magnetic resonance imaging (MRI) and had other inclusion criteria were included to study. The patients took posterior innominate rotation and then, they did posterior innominate self-mobilization at home for 1 month. The visual analog scale (for pain) and Oswestry Disability Index (for disability measurement) were measured before intervention and 1 month after it.Findings: Thirty four subjects were evaluated for pain that 22 patients (64.70%) had pain reduction after the intervention (P<0.05). Disability was evaluated in 29 subjects that after intervention, 23 patients (79.31%) had improvement (P<0.05).Conclusion: Posterior innominate rotation and self-mobilization at home for 1 month could improve low back pain and ability in sacroiliac joint dysfunction.