Medical Journal of Mashhad University of Medical Sciences
Year:2018 | Volume:61 | Issue:4 |Papers Count:7

Introduction It is important investigative association anthropometric indexes with cardiovascular risk factors for determining cardiovascular disease. Therefore, the aim of the present study was to evaluate the relationship between anthropometric indexes and cardiovascular risk factors in academic members of Islamic Azad University of Khomeinishahr. Methods and Materials A total of 158 (30 women and 128 men) faculty members aged between 30 to 65 years from university of Khomeinishahr were selected in a sampling based, cross-sectional survey. The Relationship between anthropometric indexes (Hight, Wight, Waist Circumference, Hip Circumference, WHR, WSR, BMI and BF% with cardiovascular risk factors (Tg, Tcho, HDL, and LDL) were determined. For data analysis, statistical significances were assessed by t test and Pearson Correlation. Results The results of this study showed that in females group there were significant relationships were observed between Tg with wight, WC, WHR and BMI indexes (P <0/05). While, no significant relationships were observed between Tcho, LDL and HDL with anthropometric indexes (P > 0/05). Furthermore, 26. 4% of variance in women's HDL can be explained by changes in their hip circumference. However, in males group there were positive significant correlations between Tcho and height, WHR, WHtR and BF% (P <0/05). But, no significant relationships were observed between LDL with anthropometric indexes (P > 0/05). Conclusion Results of this study indicate probably there is overweight and obesity in both genders. Therefore, evaluations and presentation of interventional programs in the lifestyle and raising awareness to control and prevent the problems associated with overweight and obesity are suggested.

Introduction Colorectal cancer (CRC) is the third common cancer worldwide and its death rate is increasing in Iran. The present study was conducted with the purpose of determining related factors to CRC patients’ survival using Cox regression model. Methods In a historical cohort, we examined 404 subjects who were diagnosed with CRC and referred to Omid Hospital in Mashhad from 2006 through 2011. First demographic and clinical information of patients were gathered and then followed until September 2016. In this study, Cox regression was utilized to investigate related factors to CRC patients’ survival. For statistical analysis SPSS software was applied and significant level was 0. 05. Results In this research, 217 men (53. 7%) and 187 women (46. 3%) were studied. The mean± sd of subjects’ age was 56. 4± 14. 7 years and 3-year, 5-year and 7-year survival rates of patients were 0. 60, 0. 50 and 0. 48 respectively. In this study, the median (95% confidence interval) of survival times was calculated 5. 48 (3. 07, 7. 90). According to Cox regression model, BMI (p=0. 024), first treatment (p=0. 019), stage (p<0. 0001) and relapse (p=0. 002) were related to patients’ survival. Conclusion Numerous studies are conducted for survival analysis of CRC patients that they differ in results in some cases. Doing more researches, applying other statistical analysis methods is suggested; therefore, with identifying related factors to patients’ survival we can contribute suitable medical resources to high risk patients.

Introduction The use of mouthwashes has recently been effective in reducing ventilator-associated pneumonia in patients admitted to ICU. However, in this study, the effects of chlorhexidine mouthwash and Green tea mouthwash are compared on prevention of ventilatorassociated pneumonia in the patients in PICU of Imam Hossein Hospital in 1395-1396. Methods In this clinical trial study, 80 patients admitted to PICU were enrolled according to the study and then they were divided into two groups, under treatment with 0. 2% chlorhexidine gluconate and green tea mouthwashes. The frequency, time, and manner of mouthwash in both groups were performed in one form three times a day, every eight hours, for 5 days. The incidence of pneumonia and mortality were studied in patients after drug use. Results The incidence of pneumonia was 10% in the chlorhexidine group and 12. 5% in the green tea group, so there was no significant difference between two groups based on the incidence of pneumonia (P = 0. 72). The results of the treatment in the chlorhexidine group were: 65% complete recovery, 22. 5% recovery with complication and 12. 5% death, and Green tea were: 57. 5% complete recovery, 35% recovery with complication and 7. 5% death, and the difference between two groups was not significant (P = 0. 43). Conclusion Both chlorhexidine and dine mouthwash can be effective in reducing the incidence of ventilator associated pneumonia and mortality in patients, admitted to ICU.

Introduction: It is unclear whether triage scales are able to identify high risk patients with heart failure (HF) or not. The aims of study were to compare the effect of heart failure triage scale (HFTS) and emergency severity index (ESI) on mistriage among patients with heart failure who were admitted to the emergency department(ED). Materials and Methods: A randomized clinical trial was conducted from April to June 2017. A total of 153 HF patients with dyspnea were randomly assigned to HFTS or ESI groups. Triage level and used resources were compared between both groups among HF patients who admitted to coronary care unit (CCU), cardiac unit (CU) and discharged patients from the ED. Content validity was examined using Kappa designating agreement on relevance (k*). Reliability of both scales were evaluated using interobserver agreement (Kappa). Results: Mean age was 62. 53 years old overall. Seventy five and 78 HF patients were assigned to HFTS and ESI groups respectively. Triage level between HFTS and ESI groups was significantly different among patients admitted to CCU (1. 0 vs. 2. 8), cardiac unit (2. 26 vs. 3. 06) and discharged patients from the ED (3. 53 vs. 2. 86). Used resources in HFTS group was significantly different among triage levels (H = 25. 89; df = 3; p < 0. 001(. Conclusions: HFTS was valid and reliable. HFTS provides a more accurate method for triaging HF patients compared to ESI. It is recommended to make use of HFTS to triage HF patients in the ED.

Introduction The control of risk factors and lifestyle modification in cardiovascular patients plays an important role and leads to ability of these patients for self-care. Methods and Materials The aim of this study was to investigate validity and reliability of cardiovascular management self-efficacy scale in Isfahan city. The method of this study was descriptive-correlational. A total of 150 cardiovascular patients were selected using convenience sampling method. The cardiovascular management self-efficacy scale was completed by patients. In order to determine the reliability of the questionnaire, the internal consistency method (alpha coefficient) and for verifying validity of exploratory the confirmatory factors analysis were used. Results The results showed that alpha coefficient of the whole scale was 0. 80 and its sub-scales ranged from 0. 57 to 0. 97. The results of analysis of main components with the varimax rotation showed that special value of 3 factors was significant, which totally explains 72. 80% of the cardiovascular management self-efficacy variance. The model was confirmed by goodness of fit index indicators. Conclusion Therefore, cardiovascular management self-efficacy scale has a desirable internal consistency and sufficient narrative in the sample of Iranian patients.

Introduction: Breast cancer is a disease that may have a potential impact on the daily lives of women, including their physical and social activities, which contribute to a number of factors, and the recognition of these factors can be effective in the treatment of baldness. This research that aimed to investigate the effect of group therapeutic spirituality on cognitive regulation of excitement and toleration in women with breast cancer, Metod: is a quasi-experimental study that has been done on the basis of pre-test and post-test scheme with the control group. The statistical society of this research was comprised of all the patients with breast cancer who were in Taleghani Hospital of Tehran in 1395. 24 patients were selected out of this society and divided into two groups that each group had 12 members (experimental and control). Then the experimental group was interred to this therapy for 12 weeks, one 60 to 90 minutes session each week. The group therapeutic spirituality that was discussed by Richards and Bergin (2005) was the therapeutic protocol. Both groups were tested using research tools before and after the 12th session of group therapy. Measurement tools included organized clinical interview for I and II and DSM-IV axis disorders, Kumar and Davison toleration questionnaire (CD-RISC, 2003) and excitement cognitive regulation questionnaire (CER). The multivariate and one-way covariance method was used to analyze the collected data. finding: The results showed that the spiritual therapy group was caused to increase of excitement cognitive coclusion: regulation in the experimental group. Among excitement cognitive regulation components, self-blame, rumination, catastrophizing and blaming others were reduced in the experimental group and acceptance, positive refocusing, refocus on planning, positive reappraisal and view making was increased in the experimental group.

Some neurological diseases such as parkinson, stroke, and spinal injury are as a result of cellular loss in the otherwise normal nervous system. Replacing damaged cells with healthy ones has opened a new hope window to treat or prevent the further disease progression. Different studies have shown that stem cells can differentiate and replace the lost neurons and glial cells in the central nervous system. However, the right cell type selection, treatment procedure, the best cell delivery method, and the treatment followup are among the major challenges faced this therapeutic vision. In this review, we have got through significant basic and clinical studies for neurological disease cell therapy to provide a basis for future applications of this therapeutic approach in clinics. Indeed, continuous and noticeable progress in cell therapy through the basic and clinical investigations will offer new hopes to people suffer from these diseases across the globe.