Journal of Guilan University of Medical Sciences最新文献_第5页

Evaluating the Quality of Obtaining Informed Consent for Spinal Anesthesia in Candidates for Gynecological Surgery Referred to Al-Zahra Hospital During 2021 评估在Al-Zahra医院转诊的2021年妇科手术候选人获得脊髓麻醉知情同意的质量

Journal of Guilan University of Medical Sciences Pub Date : 2022-10-01 DOI: 10.32598/jgums.31.3.1329.3

Gelareh Biazar, Abbas Sedighinejad, Bahram Naderi Nabi, Samaneh Ghazanfar Tehran, A. Etezadi, Zahra Atrkarroushan, Sarina Rajaei, M. Ahmadi, Mahin Tayefeh Ashrafiyeh

{"title":"Evaluating the Quality of Obtaining Informed Consent for Spinal Anesthesia in Candidates for Gynecological Surgery Referred to Al-Zahra Hospital During 2021","authors":"Gelareh Biazar, Abbas Sedighinejad, Bahram Naderi Nabi, Samaneh Ghazanfar Tehran, A. Etezadi, Zahra Atrkarroushan, Sarina Rajaei, M. Ahmadi, Mahin Tayefeh Ashrafiyeh","doi":"10.32598/jgums.31.3.1329.3","DOIUrl":"https://doi.org/10.32598/jgums.31.3.1329.3","url":null,"abstract":"Background Obtaining informed consent (IC) is essential for any diagnostic or therapeutic procedure. Objective IC is an important legal communication process between the patient and the physician. Methods In 2021, this cross-sectional study was performed in Alzahra Hospital. Eligible patients over the age of 18 years, who were candidates for elective gynecological surgeries under SA enrolled in the survey. A questionnaire containing demographic data and 20 specific questions divided into 4 areas (providing information, comprehensibility of the consent form, voluntary informed consent, and communication with the doctor), was completed via a direct interview. Results The data from 259 eligible patients were analyzed. In terms of providing information to the patient, comprehensibility of the consent form, and the voluntary obtaining consent were in poor condition. However, in terms of communication with the physician, 46.3% of the patients were in a good state and 20.1% were in an excellent state. A significant relationship was also observed between the level of education and the quality of obtaining IC (P=0.034). Conclusion It was concluded that the IC process was not acceptable in this academic center, and efforts should be made to improve the current conditions.","PeriodicalId":15994,"journal":{"name":"Journal of Guilan University of Medical Sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80263328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Investigating the Effectiveness of Emotion-Focused Therapy on Perceived Stress and Alexithymia in Patients With Coronary Heart Disease in Rasht City, Iran 在伊朗拉什特市调查情绪集中疗法对冠心病患者感知压力和述情障碍的有效性

Journal of Guilan University of Medical Sciences Pub Date : 2022-10-01 DOI: 10.32598/jgums.31.3.1739.1

J. Kheirkhah, M. Aghel Masjedi

{"title":"Investigating the Effectiveness of Emotion-Focused Therapy on Perceived Stress and Alexithymia in Patients With Coronary Heart Disease in Rasht City, Iran","authors":"J. Kheirkhah, M. Aghel Masjedi","doi":"10.32598/jgums.31.3.1739.1","DOIUrl":"https://doi.org/10.32598/jgums.31.3.1739.1","url":null,"abstract":"Background Coronary heart disease is one of the most common diseases that can affect the mental and bodily health of people. Objective This study aims to evaluate the effectiveness of emotion-focused therapy (EFT) on perceived stress and alexithymia in patients with coronary heart disease. Methods This was a quasi-experimental study with a pre-test-post-test design with a control group in 2019 on 30 patients diagnosed with coronary heart disease who were referred to Dr. Heshmat Hospital in Rasht City, Iran. The patients were selected by simple random sampling and assigned to 2 groups of 15, including an experimental group and a control group. The assessment tools included the 14-item perceived stress scale (PSS-14) and the 20-item Toronto alexithymia scale (TAS-20), which were completed before and after the intervention. The experimental group received EFT in eight 90-min sessions for two months. The data were analyzed using descriptive statistics, multivariate analysis of covariance and the Bonferroni post hoc test. Results There was a significant difference between the experimental group that underwent EFT and the control group that did not receive any treatment (F2, 25= 170.5, P<0.001, η2P=0.932). Meanwhile, according to the adjusted means, this difference indicates the effectiveness of EFT. Conclusion EFT training can play an important role as an adjunctive and psychological treatment along with drug intervention in reducing the perceived stress and alexithymia.","PeriodicalId":15994,"journal":{"name":"Journal of Guilan University of Medical Sciences","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90935796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Role of Personality Traits and Lifestyle in Predicting Anxiety and Depression During the Covid-19 Pandemic: A Web-Based Cross-Sectional Study 人格特质和生活方式在预测Covid-19大流行期间焦虑和抑郁中的作用:一项基于网络的横断面研究

Journal of Guilan University of Medical Sciences Pub Date : 2022-06-22 DOI: 10.32598/jgums.31.2.1883.1

Zeinab Norouzi Zad, A. Bakhshayesh, Maryam Salehzadeh Abarghoui

{"title":"The Role of Personality Traits and Lifestyle in Predicting Anxiety and Depression During the Covid-19 Pandemic: A Web-Based Cross-Sectional Study","authors":"Zeinab Norouzi Zad, A. Bakhshayesh, Maryam Salehzadeh Abarghoui","doi":"10.32598/jgums.31.2.1883.1","DOIUrl":"https://doi.org/10.32598/jgums.31.2.1883.1","url":null,"abstract":"Background: Social gathering restrictions and quarantine for reducing the spread of coronavirus can reduce social interactions and cause mental health problems such as depression and anxiety. Objective This study aims to investigate the role of personality traits and health-promoting lifestyles in predicting anxiety and depression during the COVID-19 pandemic in Najafabad, Iran Methods: This is a cross-sectional study conducted in April 2021 during the fourth wave of the COVID-19 outbreak. The study population consisted of people aged >18 years old living in Najafabad. Using a convenience sampling method, 225 people were selected and completed questionaries online. Of these, the data of 217 questionnaires were analyzed. Beck Depression Inventory, Corona Disease Anxiety Scale, short form of Big-Five-Factor Inventory, and Walker’s Health Promoting Lifestyle Profile were used to collect data. Data analysis was performed using Multiple Linear Regression and SPSS v. 24 statistical software. Results: The personality traits of neuroticism (r=0.343, r=0.176) and extraversion (r=-0.503, r=-0.375) were positively and negatively correlated with depression and anxiety, respectively, and were the predictive of depression and anxiety (P<0.05). The agreeableness trait (r=0.233) was also negatively correlated with anxiety, and was its significant predictor (P<0.05). Among the health-promoting lifestyle domains, self-fulfillment (r=-0.489) and physical activity (r=-0.348) had a negative correlation with depression, while health responsibility (r=-0.285) had a negative correlation with anxiety; they were the significant predictors of depression and anxiety (P<0.05) during the COVID-19 pandemic. Conclusion: Given the effect of personality traits and health-promoting lifestyles on depression and anxiety during the COVID-19 outbreak, the interventions focused on these components can be effective in improving the mental health of people.","PeriodicalId":15994,"journal":{"name":"Journal of Guilan University of Medical Sciences","volume":"49 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85695178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

The Mediating Role of Emotion Regulation Strategies in the Relationship Between Emotional Abuse and Self-Harm Behaviors in Adolescents: A Cross-Sectional Study 情绪调节策略在青少年情绪虐待与自残行为关系中的中介作用:一项横断面研究

Journal of Guilan University of Medical Sciences Pub Date : 2022-06-22 DOI: 10.32598/jgums.31.2.1892.1

Fatemeh Shahnazdoust, N. Mikaeili, Seifollah Aghajani

{"title":"The Mediating Role of Emotion Regulation Strategies in the Relationship Between Emotional Abuse and Self-Harm Behaviors in Adolescents: A Cross-Sectional Study","authors":"Fatemeh Shahnazdoust, N. Mikaeili, Seifollah Aghajani","doi":"10.32598/jgums.31.2.1892.1","DOIUrl":"https://doi.org/10.32598/jgums.31.2.1892.1","url":null,"abstract":"Background: It is important to pay attention to the self-injury behaviors in adolescence as one of the high-risk behaviors with adverse consequences for the individual and society. Objective: This study aims to investigate the mediating role of emotion regulation strategies in the relationship between emotional abuse in childhood and self-injury behaviors in female adolescents. Methods: This is an analytical cross-sectional study. Participants were 200 female high school students in Rasht, Iran in the academic year 2020-2021 who were selected using a convenience sampling method. Data collection tools included the self-harm inventory (SHI), childhood trauma questionnaire (CTQ), and emotion regulation questionnaire (ERQ). The collected data were analyzed using structural equation modeling (SEM) and path analysis in SPSS Software v. 23 and Amos v. 26. Results: There was a significant relationship between emotional abuse and self-injury behaviors (P<0.001). The reappraisal domain had a significant negative relationship with emotional abuse and self-injury behaviors, and the suppression domain had a significant positive relationship with emotional abuse and self-injury behaviors. Emotion regulation strategies had partial mediating role in the relationship between emotional abuse and self-injury behaviors (P<0.001). Conclusion: Considering the mediating role of emotion regulation strategies, more attention to the use of these strategies should be paid to reduce the occurrence of self-injury behaviors in female adolescents.","PeriodicalId":15994,"journal":{"name":"Journal of Guilan University of Medical Sciences","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79870586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Environmental Risk Factors in Multiple Sclerosis: A Narrative Review 多发性硬化症的环境危险因素:叙述性回顾

Journal of Guilan University of Medical Sciences Pub Date : 2022-06-22 DOI: 10.32598/jgums.31.2.1374.2

S. Saadat, A. Saberi

引用次数: 0

Estimating the Future of Electronic Health Information System in Society 电子健康信息系统在社会中的应用前景

Journal of Guilan University of Medical Sciences Pub Date : 2022-06-22 DOI: 10.32598/jgums.31.2.1439.2

Ali Nosrati, Sareh Jalali

{"title":"Estimating the Future of Electronic Health Information System in Society","authors":"Ali Nosrati, Sareh Jalali","doi":"10.32598/jgums.31.2.1439.2","DOIUrl":"https://doi.org/10.32598/jgums.31.2.1439.2","url":null,"abstract":"Background: The health information system provides an integrated platform and an information connection between the actors of the health system regardless of temporal and spatial limitations. Objective This study aims to investigate the factors affecting the development of electronic health record (EHR) system and predict the future of this system in Iran. Methods: In this descriptive study, identification of the main factors for the development of HER and designing the future scenarios of this system was done using a questionnaire completed by 33 managers and experts of information technology in hospitals and medical universities in Guilan and Qazvin provinces of Iran. Data were analyzed in SPSS v. 22 and Expert Choice v. 11 applications. Results: Three dimensions and six criteria were determined to explain the HER development. Dimensions included: information content, information architecture, and information security. The criteria were: Manpower, hardware and software infrastructure, speed of access to health services, operating costs, not dependent on the internet, and comprehensiveness. Moreover, eight scaled scenarios were determined for the future of the EHR system. Conclusion: It is necessary to pay attention to information content, architecture, and security in development of the HER system in Iran.","PeriodicalId":15994,"journal":{"name":"Journal of Guilan University of Medical Sciences","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73982655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effect of L-Carnitine Consumption and Endurance Training on Lung Tissue Structure Damage in Male Boldenone-Poisoned Rats 左旋肉碱消耗和耐力训练对雄性百乐酮中毒大鼠肺组织结构损伤的影响

Journal of Guilan University of Medical Sciences Pub Date : 2022-06-22 DOI: 10.32598/jgums.31.2.1814.1

Sayed Javad Ziaolhagh, Narges Hajabutalebi, Maliheh Ardakanizadeh, M. Gholami

{"title":"Effect of L-Carnitine Consumption and Endurance Training on Lung Tissue Structure Damage in Male Boldenone-Poisoned Rats","authors":"Sayed Javad Ziaolhagh, Narges Hajabutalebi, Maliheh Ardakanizadeh, M. Gholami","doi":"10.32598/jgums.31.2.1814.1","DOIUrl":"https://doi.org/10.32598/jgums.31.2.1814.1","url":null,"abstract":"Background: Performing endurance training and taking L-carnitine supplements is effective in improving the performance of athletes, but its effect on repairing lung damage caused by boldenone injection is still unknown. Objective: The present study aims to assess the effect of L-carnitine consumption alone with endurance training on lung tissue structure damage in male rats poisoned with boldenone. Methods: In this experimental study, 30 male Wistar rats (weight= 228.53±7.94 g) were randomly divided into five groups: Control, boldenone, boldenone+training, boldenone+supplementation, and boldenone+training+supplementation. Boldenone (5 mg/kg) was injected in the biceps femoris once a week, and L-carnitine supplementation (600 mg/kg) was administrated in gavage into the stomachs of animals, three days per week. The endurance training program was included running on a treadmill for 8-week, three days per week, each for 30 minutes at a speed of 12 m/min, which reached 60 minutes and 30 m/min in the final week. Histopathological changes in bronchioles and alveoli were examined using a light microscope. Results: The weight of two groups of boldenone+supplementation, and boldenone+training+supplementation increased significantly compared to the boldenone group (P=0.005). In the boldenone+training+supplementation group, a significant improvement in bronchioles and alveoli was observed compared to the boldenone group (P=0.001). Conclusion: It seems that performing endurance training along with L-carnitine supplementation has a great effect on reducing the destructive effects of boldenone on lung tissue.","PeriodicalId":15994,"journal":{"name":"Journal of Guilan University of Medical Sciences","volume":"272 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86257382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effect of Central Stability and Dynamic Neuromuscular Stabilization Exercises on Pain, Flexibility, Balance, Muscle Endurance and Quality of Life in Men With Nonspecific Chronic Low Back Pain 中枢稳定和动态神经肌肉稳定训练对男性非特异性慢性腰痛患者疼痛、柔韧性、平衡、肌肉耐力和生活质量的影响

Journal of Guilan University of Medical Sciences Pub Date : 2022-06-22 DOI: 10.32598/jgums.31.2.1789.1

Seyyed Mohammad Ebrahim Mousavi, Rezvan Mirsafaei Rizi

{"title":"Effect of Central Stability and Dynamic Neuromuscular Stabilization Exercises on Pain, Flexibility, Balance, Muscle Endurance and Quality of Life in Men With Nonspecific Chronic Low Back Pain","authors":"Seyyed Mohammad Ebrahim Mousavi, Rezvan Mirsafaei Rizi","doi":"10.32598/jgums.31.2.1789.1","DOIUrl":"https://doi.org/10.32598/jgums.31.2.1789.1","url":null,"abstract":"Background: Study on the effectiveness of new methods of low back pain treatment is very important due to its high prevalence. There is no consensus on the most effective treatment for low back pain, despite the existence of different treatments options. Objective: This study aims to assess the effect of 8 weeks of dynamic neuromuscular stabilization (DNS) and core stability (CS) exercises on pain, hamstring flexibility, balance, abdominal muscle strength, and quality of life (QoL) in men with chronic low back pain. Methods: Participants were 20 men with non-specific low back pain, randomly divided into two groups of DNS (Age=47.8±9.82 years, BMI=25.8±2.9 kg/m2) and CS (Age=42.4±11.8 years, BMI=28.1±13.1 kg/m2). Subjects performed exercises for 8 weeks. Before and after exercises, their pain, hamstring flexibility, static and dynamic balances, abdominal muscle strength, and QoL were assessed. For data analysis, the paired t-test and analysis of covariance were used, considering a significance level of P<0.05. Results: Both training methods improved pain, abdominal muscle strength and static balance. The CS exercise significantly improved hamstring muscle flexibility, and DNS exercise significantly improved QoL. The comparison between the two methods showed no significant difference in any study variables. Conclusion: Both CS and DNS exercises can be used in designing the interventions for patients with chronic low back pain.","PeriodicalId":15994,"journal":{"name":"Journal of Guilan University of Medical Sciences","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75101319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Predicting the Keratoconus Disease Severity Based on Pachymetric Progression Indices Measured by Pentacam Pentacam测定角膜厚度进展指数预测圆锥角膜疾病严重程度

Journal of Guilan University of Medical Sciences Pub Date : 2022-06-22 DOI: 10.32598/jgums.31.2.1819.1

Reza Soltani Moghadam, Ebrahim Azaripour, M. Akbari

引用次数: 0

Efficacy of Family Physician Program in Providing Primary Care in Talesh, Iran 家庭医生项目在伊朗塔莱什提供初级保健的效果

Journal of Guilan University of Medical Sciences Pub Date : 2022-04-01 DOI: 10.32598/jgums.31.1.1760.1

L. Shams, Elham Pajooman

{"title":"Efficacy of Family Physician Program in Providing Primary Care in Talesh, Iran","authors":"L. Shams, Elham Pajooman","doi":"10.32598/jgums.31.1.1760.1","DOIUrl":"https://doi.org/10.32598/jgums.31.1.1760.1","url":null,"abstract":"Background The healthcare providers are always seeking improvements in the health care delivery system in order to achieve better results. Objective This study aims to evaluate the efficacy of Family Physician Program (FPP) in providing primary care in Talesh, Iran. Methods This is a cross-sectional study conducted on 50 physicians working in Talesh city as family physician in 2020, and 384 patients referred to the comprehensive health service centers of Talesh city. The census method was used for selecting physicians, and a simple random method was used for selecting patients. The data collection tool was a researcher-made two-part questionnaire with acceptable validity and reliability. The collected data were analyzed using one-sample t test in IBM SPSS Statistics software. Results According to t-test results, access to services (P<0.001) and coordination of care (P= 0.028) in the FPP were significantly at a lower level according to physicians, while the continuity of care (P<0.001) and comprehensiveness of care (P=0.003) were significantly at a higher level. Furthermore, access to finance and location (P<0.001) was significantly at a lower level according to patients, while access to educational services (P<0.001), quality of services (P<0.001), and continuity of health and medical care (P<0.001) in the FPP were significantly at a higher level. Conclusion Policy makers and managers should increase the quality of services in the FPP for patients by maintaining and developing access to primary care and educational services to increase their satisfaction.","PeriodicalId":15994,"journal":{"name":"Journal of Guilan University of Medical Sciences","volume":"37 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80103391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0