Hormozgan Medical Journal
Year:2017 | Volume:21 | Issue:4 |Papers Count:8

Introduction: The effect of statins in reducing the risk of acute cardiovascular events is not only due to their effect on serum cholesterol level but also from their anti-inflammatory effects, particularly those resulting from reducing of C - reactive protein (CRP), is important. Atorvastatin dose and duration of treatment display different effects. This study compared the effects of high and low doses atorvastatin in reducing serum level of high sensitivity C reactive protein (hs-CRP).Methods: One hundred patients with unstable angina or Non ST Elevation Myocardial Infarction (NSTEMI) randomized into two groups. Group 1 (n=50) received atorvastatin 80, 20 and 20 mg in three days but group 2 (n=50) received atorvastatin 80 mg/day for three days. High sensitivity C-Reactive protein was measured at admission time and after three dose atorvastatin therapy.Results: Hs-CRP significantly decreased from baseline to end of three doses treatment in both groups (P=0.0001). However, the reduced level was greater in the group2 than group1 (-39.5% vs -31.2%, P=0.0185).Conclusion: We found that both treatment methods have significantly effect on hs-CRP in short term but high dose (80 mg/day) atorvastatin being associated with significantly greater reductions in hs-CRP concentration.

Introduction: Malaria is a major global public health problem and a leading cause of morbidity and mortality in many countries. Malaria elimination is the common goal of World Health Organization and the health system in Iran. Following a decline in malaria cases in recent years, the malaria elimination program, technically supported by the WHO, has initiated since 2009 in Iran. In order to successfully implement a malaria elimination program, all positive cases particularly low parasitemia and asymptomatic cases are required to be detected. The main objective of this study was to identify asymptomatic malaria infection in a low transmission area in Rudan district, Hormozgan Province, southern Iran.Methods: In this cross-sectional study a total of 200 blood samples were randomly collected from symptomless residents of Rudan to evaluate Plasmodium infection rate where microscope, RDT and nested-PCR techniques were used.Results: According to the analysis of microscopic methods, RDT and Nested-PCR, no asymptomatic cases were seen among the participants.Conclusion: The results of this investigation reveal that Malaria Elimination Program is administrable in Rudan district irrespective of low-parasitemia and asymptomatic cases.

Introduction: In recent years, attraction toward drinking bottled mineral water has increased. Therefore, chemical composition and safety of these waters considering trace elements and heavy metals should confirm the national or international standard limits. The aim of this study was to evaluate and comparison of the mineral and heavy metal composition of bottled waters in Bandar Abbas with Iranian national standard range.Methods: A total of 125 samples from 25 bottled mineral water brands were analyzed for 17 elements including Zn, Cu, Ca, Mg, Na, K, Al, Mn, As, Pb, Cr, Se, Cd, Co, Ni, Mo, Ba using ICP-OES technique. Concentrations were compared to the desirable and permissible limits of Iran national standard.Results: Zn, Cu, Ca and Mg were lower than desirable limits. Na concentration in all brands was lower than maximum permissible limit. Concentrations of Cr and Se were higher than maximum permissible limit in 7 brands. As, Pb, Cd, Co, Ni, Mo and Ba concentrations were lower than maximum permissible limit in all brands.Conclusion: The results showed that the studied mineral waters could not provide clinically important dietary intake of Ca, Mg, Cu and Zn. Low Na concentration was a proper characteristic. Except for 7 brands with high Cr and Se concentrations, other bottled mineral waters were safe for daily intake.

Introduction: The phenomenon of running away from home is taken into account as one of the highly sensitive and complicated issues in the field of social harms. According to a report released by the WHO, the annual rate of running away from home is more than 2.3 million. Thus, the purpose of the present study was to compare family structure and process, attachment style, and emotional intelligence among runaway and normal girls.Methods: In this study, all runaway girls covered by social welfare organization of Iran in Bandar Abbas city were selected by using the convenience sampling method 40 individuals were selected including 20 runaway girls and 20 normal girls who were matched in terms of demographic characteristics. Two groups were compared with t-test and Pearson correlation coefficient was used for evaluating relationship between variables.Results: According to the findings, there was a statistically significant difference between family structure, family process, attachment style, and emotional intelligence in normal and runaway girls (P<0.001). Moreover, there was a significant relationship between family structure and emotional intelligence.Conclusion: Family structure and process, attachment style, and emotional intelligence can affect the phenomenon of running away.

Introduction: Marriage is described as the most important and the most basic human relationship. Increasing intimacy and marital satisfaction and reducing marital conflicts are among the most important components of a stable marriage. Counselling and therapies based on choice theory have been used as one of the effective methods on improving stable marriage components. This study was performed to determine the effect of group counselling based on choice theory on increasing intimacy and marital satisfaction and reducing marital conflicts in married women in the city of Bandar Abbas.Methods: This research was semi-experimental, with pre-test and post-test design with control group. The statistical population included married women referred to consulting centers in Bandar Abbas and volunteered to participate in group counselling. So, 45 of these individuals, after personal interviews, were selected, and randomly placed in the experimental and the control groups. The two groups were subjected to research questionnaires (including marital intimacy, marital satisfaction, and marital conflicts questionnaires), before the experiment. Group counselling based on choice theory sessions were held, and after eight weeks, the questionnaires were filled by both groups again. Data was analyzed using single - and multi-variable covariance analysis test and the Tukey post hoc test.Results: Findings showed that group counselling based on Choice Theory caused an increase in intimacy and marital satisfaction, and a decrease in marital conflicts in married women in the experimental group compared to the control group (P<0.01 and P<0.05).Conclusion: According to the results, it can be said that group counselling based on Choice Theory has a considerable effect on the improvement of marital relations between couples.

Introduction: Brain tumorr is a deadly disease but patients can have positive growth psychologically. It is important to find factors that lead psychological growth of patients. Therefore, this study was aimed to predict the post traumatic growth based on social support, coping styles and optimism in patients with brain tumor.Methods: In this correlational and descriptive study, the statistical population included all patients with brain tumor who referred to the hospitals of Bandar Abbas in 2015, 200 patients were selected through convenience sampling method. Posttraumatic Growth Inventory (PTGI), Social Support Inventory (SSA), Ways of Coping Questionnaire (WOCQ) and Life Orientation Test (LOT) were used to gather data. For data analysis, Pearson correlation and stepwise multivariate regression analyses were used to determine the relationship between variables and examine the role of predictor variables and their contribution in predicting the criterion variable. Data were analyzed using SPSS 22.Results: Pearson correlation results showed that there was a significant correlation between social support, problem-based and emotion-focused coping strategies with posttraumatic growth (P<0.05). But there wasn' t a significant relationship between optimism and post-traumatic growth. The results of stepwise regression analysis also showed that social support and problem-based coping strategies explained 30.3% of posttraumatic growth variance together, but emotion-focused coping strategies and optimism cannot predict posttraumatic growth.Conclusion: According to the findings it can be suggested that training and intervention on improving patients' social support and coping strategies are effective way on increasing posttraumatic growth and improving the psychological state.

Introduction: Multiple and sometimes contradictory evidence exists on the relationship between dust exposure and respiratory symptoms with pulmonary disorders. The study was conducted to examine the effects of chronic exposure to street dust on the pulmonary parameters and respiratory complaints in sweepers.Methods: This cross-sectional study was conducted on 100 sweepers working in district 3 Bandar Abbas municipality in 2014. The control group was selected from the staff of the same municipality with an office/administrative position who lacked occupational respiratory exposures. In order to investigate pulmonary parameters, spirometry with Spirolab MIR3 were performed and FVC, FEV1, FEV1/FVC, PEF and FEF25-75 parameters were measured. Data were analyzed using STATA 12 software. Two Way ANOVA was used to compare respiratory parameters between two groups.Results: Prevalence of respiratory symptoms including cough, sputum, shortness of breath and wheezing had no significant differences in two groups. Values of FEV1, FEF25-75 and PEF showed significant decrease when adjusted for the effect of smoking on sweeper compared with administrative personnel (P<0.05). There were no statistically significant differences between two groups and other variables of FVC and FEV1/FVC.Conclusion: It seems that sweepers cleaning street, who are constantly exposed to dust, are at risk of developing respiratory symptoms and decline in spirometric indices. It is useful to apply protective measures to prevent exposure to dust and to perform annual spirometry for early detection of respiratory disorders in sweepers.

Introduction: It is widely accepted that low grade systemic inflammation plays a key role in obesity and related diseases and metabolic syndrome. The objective of this work was to evaluate the effect of aerobic training intervention on CRP and IL-10 in adult obese females.Methods: Thirty adult obese women (30£BMI£36) aged 30 to 40 years were randomly assigned to exercise (3 months aerobic training, 3 time per week at 60-75% of maximum heart rate, n=15) and control (no training, n=15). At baseline and after 3 months, anthropometrical indexes as well fasting serum IL-10 and CRP were assessed in 2 groups. Inter and intra-group changes were analyzed by independent and paired sample T test. P<0.05 was considered statistically signigcant.Results: After the 3 months of aerobic intervention, a significant decrease were observed in BMI, abdominal circumference, body weight, body fat (%) and visceral fat of exercise subjects (P<0.05). No significant difference was found in all variables between 2 groups at baseline (P>0.05). Aerobic intervention resulted in significant increase in serum IL-10 (from 14.79±3.04 to 17.79±3 pg/ml, P=0.001) and decrease in CRP (from 5670±1971 to 3848±1092 ng/ml, P=0.002). All variables remained no change in control subjects (P>0.05).Conclusion: With emphasis on IL-10 and CRP, long-term aerobic training can be considered as a anti-inflammatory treatment in sedentary obese females.