Journal of Guilan University of Medical Sciences最新文献

{"title":"Relationship Between Sexual Satisfaction and Mental Health in Married Older Women","authors":"E. Abdollahi, S. Shokrgozar, Mahboobe Sheerojan, Mahboobeh Golshahi, Roghayyeh Zare","doi":"10.32598/jgums.30.1.1401.2","DOIUrl":"https://doi.org/10.32598/jgums.30.1.1401.2","url":null,"abstract":"Background: The aging population is increasing rapidly; therefore, paying attention to the needs of older people is necessary. Sexual satisfaction, which is needed to feel happy, is often neglected in older women. Objective: This study aims to evaluate the relationship between sexual satisfaction and mental health in older women. Materials and Methods: In this analytical study with a cross-sectional design, 195 married women aged ≥60 years covered by urban and rural health centers of Guilan, Iran were recruited using a cluster sampling method. A demographic form, the 28-item General Health Questionnaire (GHQ-28) and a Sexual Satisfaction Questionnaire were completed by participants and collected data were analyzed in SPSS v. 22 software using descriptive statistics (frequency, mean, standard deviation, median), and Mann-Whitney U, Kruskal-Wallis and Spearman correlation tests. Results: There was a significant relationship between sexual satisfaction and mental health in older women (P<0.0001). 51.2%, 27.7% and 21.08% of participants had low, moderate and high sexual satisfaction, respectively. Sexual satisfaction was directly related to monthly income (P<0.0001) and women’s and their husbands’ education (P<0.0001 and 0.006) while it was inversely related to physical illness (P=0.030), medication use (P=0.009), age (P<0.0001), number of children (P=0.022), and duration of marriage (P<0.0001). The median score of mental health in participants was 38 (ranging 24-53) and the percentage of participants with mental problems (79.4%) was higher than those without mental problems (20.6%). Conclusion: Mental health and sexual satisfaction in older women are directly related to each other; therefore, providing effective and appropriate sexual care programs is recommended for them.","PeriodicalId":15994,"journal":{"name":"Journal of Guilan University of Medical Sciences","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75073254","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}

{"title":"Male Adolescents’ Health Needs in Iran and the Associated Factors","authors":"Amir Mohammad Safardoost, Z. Khalesi, E. Rad","doi":"10.32598/JGUMS.30.1.700.1","DOIUrl":"https://doi.org/10.32598/JGUMS.30.1.700.1","url":null,"abstract":"Background: Attention to adolescent health is one of the Millennium Development Goals. Adolescent health planning to achieve an acceptable level of health and prevention of waste of capital should be based on attention to all aspects of health and performing needs assessment. Objective: This study aims to determine the health needs of male adolescents in Iran and the factors associated with their needs. Materials and Methods: This is a cross-sectional study. Participants were boys studying in the first and second year of high school in the fields of mathematics, experimental sciences, humanities, and technical sciences at public, non-profit, and gifted & talented schools in Rasht, Iran. The sampling was done using a multi-stage cluster sampling method. Data were collected by using a demographic form and the Male Adolescent Health Needs-Assessment Scale. Results: The boys’ Mean±SD scores of physical, sexual, mental, and social health needs was 49.65±0.15, 11.39±0.12, 89.28±0.29 and 47.3±0.24, respectively. Majority of them obtained excellent scores in physical (76%) and mental health (94%) needs and a good score in social health (81.3%) need, while they earned a moderate score in sexual health need (57.8%). Liner regression analysis results showed that the physical health need of boys had a statistically significant relationship with the type of study school (P= 0.001); their sexual health need with age (P= 0.002), type of study school (P= 0.015), mother’s education (P= 0.025), and mother’s occupation (P= 0.005); their mental health need with the type of study school (P= 0.009), birth rank (P= 0.048), father’s job (P= 0.021), and mother’s job (P= 0.022); and their social health need with the type of study school (P= 0.001). Conclusion: Most important health needs of male adolescents in Iran is sexual health need followed by social, physical and mental health needs. The most important factors related to their health needs are type of study school, mother’s job and education, birth rank, and father’s job. The results of this study can be effective and useful in designing and implementing need-based interventions to promote male adolescents’ health.","PeriodicalId":15994,"journal":{"name":"Journal of Guilan University of Medical Sciences","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90465521","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}

{"title":"Effect of Cardiac Rehabilitation on Sexual Satisfaction of Patients After Coronary Artery Bypass Graft Surgery","authors":"P. Pourghane, Pegah Amiri Nejad, Syeed Mohammad Taghi Razavi Tousi","doi":"10.32598/jgums.30.1.1469.2","DOIUrl":"https://doi.org/10.32598/jgums.30.1.1469.2","url":null,"abstract":"Background: Providing sexual counseling in cardiac rehabilitation program can improve patients’ sexual satisfaction and performance after Coronary Artery Bypass Graft (CABG) surgery. Objective This study aims to determine the effect of cardiac rehabilitation on sexual satisfaction of patients after CABG surgery. Materials and Methods: This descriptive-analytical study with a cross-sectional design was conducted on 108 patients with CABG surgery referred to cardiac rehabilitation centers in Rasht and Tehran, Iran in 2017-2018. A demographic form and Larsson’s sexual satisfaction questionnaire were used for data collection before and after 10 sessions of cardiac rehabilitation program. The collected data were analyzed in SPSS v. 18 software using paired t-test, Wilcoxon test, and ANCOVA considering a significance level at P<0.05. Results: The mean age of participants was 58.60±6.37 years. Their sexual satisfaction score significantly increased after the intervention and there was a statistically significant difference in sexual satisfaction before and after the intervention (P<0.001). The pre-test and post-test sexual satisfaction scores had no significant relationship with age, gender, years of marriage, duration of heart disease, comorbidities, occupational status, educational level, and economic status (P>0.05). Conclusion: It is necessary to pay attention to the sexual satisfaction of patients after CABG surgery to improve their sexual function and quality of life by creating an opportunity for them to participate in postoperative cardiac rehabilitation programs.","PeriodicalId":15994,"journal":{"name":"Journal of Guilan University of Medical Sciences","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82794595","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}

{"title":"Comparison of Health-related Quality of Life in Patients With Allergic Rhinitis and Controls","authors":"R. Soleimani, M. Jalali, Ali Faghieh Habibi","doi":"10.32598/jgums.29.4.220.3","DOIUrl":"https://doi.org/10.32598/jgums.29.4.220.3","url":null,"abstract":"Background: Allergic rhinitis is an inflammatory disease of the nasal mucosa that can affect the quality of life of patients. Objective: The purpose of this study was to evaluate and compare the Health-Related Quality of Life (HRQOL) in patients with allergic rhinitis and healthy people. Materials and Methods: In this cross-sectional study, participants were 100 patients with persistent allergic rhinitis (Mean±SD age = 30.1±7.6 years) and 100 healthy individuals (Mean±SD age = 29.7±6.0 years) referred to Amir Al-Momenin Hospital in Rasht, Iran. After obtaining an informed consent from them, a demographic form and the 36-Item Short-Form Health Survey (SF-36) were completed for them. T-test was used to compare the scores between the two groups. All statistical analyzes were performed in SPSS V. 19 software. Results: The Mean±SD of the HRQOL score in patients (66.66±13.77) was lower than in controls (72.88±12.40). This difference was statistically significant (P<0.001). Results showed a significant relationship of low HRQOL with male gender and higher level of education (P<0.001). Conclusion: HRQOL in patients with allergic rhinitis is significantly poor. Further studies on the effect of this disease in different age groups and the role of pharmaceutical and non-pharmacological treatment methods in improving their HRQOL are recommended.","PeriodicalId":15994,"journal":{"name":"Journal of Guilan University of Medical Sciences","volume":"42 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88180269","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}

{"title":"Effects of Powder, Extracts, and Components of Ganoderma Lucidum in Treatment of Diabetes","authors":"Mansooreh Sadat Mojani Qomi, Monireh Hatami","doi":"10.32598/JGUMS.29.4.1509.1","DOIUrl":"https://doi.org/10.32598/JGUMS.29.4.1509.1","url":null,"abstract":"Ganoderma lucidum is known in China and Japan as Ling-Zhi and Reishi. Due to medicinal properties and different nutritional compositions, ganoderma lucidum is currently used in food products. It contains essential fatty acids, essential amino acids, and a wide range of polysaccharides; all of which seem to be effective in lowering blood sugar level. This study aims to review the anti-diabetic and hypoglycemic effects of various powders, extracts, and components of ganoderma lucidum, by searching articles in Persian and English published from 2001 to 2020 in SID, MagIran, Scopus, PubMed, Web of Science and Google Scholar databases using the keywords: Active compounds, ganoderma lucidum, diabetes mellitus, hyperglycemia. The results showed that ganoderma lucidum uptake in most cases reduced fasting blood sugar, glycosylated hemoglobin, and insulin resistance in diabetic patients due to the its active compounds including the extracted polysaccharides, proteins and triterpenoids. Moreover, its antioxidant and antiinflammatory properties seems to reduce the complications of diabetes. In conclusion, the consumption of ganoderma lucidum in diabetic patients can be effective in controlling and preventing the disease, although more studies are needed on its effective dose, side effects and toxicity in human samples. A B S T R A C T","PeriodicalId":15994,"journal":{"name":"Journal of Guilan University of Medical Sciences","volume":"34 1","pages":"86-101"},"PeriodicalIF":0.0,"publicationDate":"2021-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72717742","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}

{"title":"Epidemiology and Trends of Skin Cancers in Guilan Province, Iran During 2010-2014","authors":"A. Darjani, N. Alizadeh, K. Nejad, H. Eftekhari, R. Rafiei, Seyyedeh Sareh Shafaei Tonekaboni, F. Shamsa","doi":"10.32598/JGUMS.29.4.1606.1","DOIUrl":"https://doi.org/10.32598/JGUMS.29.4.1606.1","url":null,"abstract":"Background: Skin cancer is the most common type of cancer in the world. Pattern of skin cancer is different in various geographical regions, depending on the genetic and environmental factors. Objective: This study aims to investigate the incidence rate of skin cancer and its trends in Guilan province of Iran during 2010-2014. Materials and Methods: In this descriptive cross-sectional study, the five-year data related to all cases of skin cancer recorded for Guilan Province during 2010-2014 were used. The age-sex incidence of skin cancer was standardized using the standard population of the World Health Organization. The age-standardized incidence rate of skin cancers including Basal Cell Carcinoma (BCC), Squamous Cell Carcinoma (SCC) and Melanoma was calculated, and then its trends were evaluated. Results: A total of 1664 cases with skin cancer, 1014 men and 650 women, were reported in the province from 2010 to 2014. Incidence of skin cancer was higher in men. BCC was the most common skin cancer. The most common site for BCC was face and scalp, and for SCC it was the lip. Melanoma was mostly occurred on acral regions. The incidence of skin cancer had a rising trend and had raised in all age groups. Conclusion: There is an increasing trend of skin cancers in Guilan Province. Therefore, planning for detection, prevention and control of its risk factors is necessary.","PeriodicalId":15994,"journal":{"name":"Journal of Guilan University of Medical Sciences","volume":"73 1","pages":"154-165"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77481579","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}

{"title":"Effect of Dialectical Behavior Therapy on Perceived Stress and Coping Skills of Patients With Acute Myocardial Infarction","authors":"Azam Nourisaeed, Shohreh Ghorban Shiroudi, A. Salari","doi":"10.32598/JGUMS.29.3.1562.1","DOIUrl":"https://doi.org/10.32598/JGUMS.29.3.1562.1","url":null,"abstract":"Background: Acute Myocardial Infarction (AMI) is the first and the most important leading cause of mortality in Iran. Psychological factors play a key role in the onset and exacerbation of this disease. Objective The purpose of this study was to evaluate the effect of Dialectical Behavior Therapy (DBT) on perceived stress and coping skills of patients following AMI. Materials and Methods: This is a clinical trial with pre-test/ post-test/follow-up design conducted in 2018 on 30 patients with diagnosed AMI after discharge from Noor Heart Clinic in Rasht, Iran. The patients were randomly divided into intervention (5 females and 10 males) and control (8 females and 7 males) groups. Assessment tools included the Perceived Stress Scale and the Ways of Coping Questionnaire that were completed before and after intervention and during a 3-month follow-up period. The intervention group received DBT at 8 sessions of 90 minutes per week for 2 months. Data were analyzed using independent t-test, repeated measures ANOVA, and Bonferroni Post Hoc test. Results: The DBT had significant effects on the perceived stress (F=6.21, P<0.05), problem-focused coping strategy (F=5.00, P<0.05) and emotion-focused coping strategy (F=15.20, P<0.001). Conclusion: Dialectical behavior therapy can reduce the perceived stress and improve the coping skills of patients following AMI","PeriodicalId":15994,"journal":{"name":"Journal of Guilan University of Medical Sciences","volume":"14 1","pages":"2-13"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72993451","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}

{"title":"Socioeconomic Factors Associated With Mortality Rate Caused by Severe Stroke","authors":"M. Hosseininezhad, Yaser Moadabi, N. Mohseni, S. Saadat, Ehsan Kazemnezhad Leyli, Paria Nasiri","doi":"10.32598/JGUMS.29.3.1374.1","DOIUrl":"https://doi.org/10.32598/JGUMS.29.3.1374.1","url":null,"abstract":"Background: Stroke is one of the most important causes of disability-adjusted life years lost. Low socioeconomic status is associated with increased stroke-related morbidity and mortality. Objective: This study aimed to investigate in-hospital mortality rate caused by severe cases of ischemic and hemorrhagic stroke and its relationship with patients’ socioeconomic status. Materials and Methods: This comparative analytical study with a cross-sectional design was conducted from April 2018 to March 2019 on 384 patients diagnosed with severe stroke admitted to the neurology department of Poursina Hospital in Rasht, Iran, who were selected using a purposive sampling method. They completed a demographic checklist and the Socio-Economic Status Questionnaire. Data analysis was carried out in SPSS V. 21 software. Results: It was reported a stroke death rate of 59.9%, of which 75.7% occurred in the hospital. Stroke-related mortality rate had a significant relationship with age (P=0.021), gender (P=0.047), not owning a home (P<0.001) and socioeconomic status (P<0.001). Conclusion: Some demographic factors including old age, male gender, not owning a home, and low socioeconomic status increase the risk of stroke-related mortality.","PeriodicalId":15994,"journal":{"name":"Journal of Guilan University of Medical Sciences","volume":"34 1","pages":"72-85"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88027873","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}

{"title":"Comparing the Incidence of Residual Cholesteatoma Using two Canal Wall Down and Endoscopic-assisted Intact Canal Wall Tympanomastoidectomy Methods","authors":"P. Borghei, S. Nemati, S. Adel, M. Nikkhah","doi":"10.32598/JGUMS.29.3.1","DOIUrl":"https://doi.org/10.32598/JGUMS.29.3.1","url":null,"abstract":"Background: For many years, Canal Wall Down (CWD) tympanomastoidectomy has been the gold standard for treatment of cholesteatoma; however, this method has long-term complications for the patients. The Intact Canal Wall (ICW) tympanomastoidectomy has relatively lower complications, but access to the middle-ear recesses is difficult in this method. Therefore, endoscopy is used to visualize the underexposed recesses. Objective: This study aims to compare the incidence of residual cholesteatoma using the two methods of CWD and endoscopic-assisted ICW. Materials and Methods: In this prospective randomized clinical trial, participants were 40 patients with cholesteatoma in the middle ear and mastoid who were candidates for tympanomastoidectomy. They were randomly divided into two groups. In the first group, ICW was performed with endoscopic assisted visualization, while in the second group, conventional CWD technique was performed without ossicular reconstruction. All the patients were microscopically examined at 3, 6, 9 and 12 months after surgery. Revision middle ear surgery and possible ossicular reconstruction under local anesthesia were performed one year after the surgery. The presence of cholesteatoma pearl in the middle-ear, evaluated by using a 2.7mm 30° endoscope, was recorded as the sign of residual cholesteatoma. Fisher’s exact test and Mann-Whitney U test were used for statistical analysis. Significance level for the tests was set at 5%. Results: The incidence of residual cholesteatoma was not statistically significant between the two groups (P>0.05). In each group, 20% (n=4) had residual cholesteatoma. The difference in time interval from the first to second surgery was not statistically significant between the study groups (P>0.05). Conclusion: Endoscopic-assisted ICW tympanomastoidectomy is comparable with CWD tympanomastoidectomy in eradication of cholesteatoma, having possibly fewer complications. It is recommended that more studies be conducted with a larger sample size and longer follow-up period.","PeriodicalId":15994,"journal":{"name":"Journal of Guilan University of Medical Sciences","volume":"61 1","pages":"50-57"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79615523","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}

{"title":"The Relationship Between Executive Function and Severe Traumatic Brain Injury","authors":"M. Mozaffari, S. A. Mehrinejad, Mehrangiz Peyvstegar, S. Soltani","doi":"10.32598/JGUMS.29.3.1544.1","DOIUrl":"https://doi.org/10.32598/JGUMS.29.3.1544.1","url":null,"abstract":"Background: Cognitive impairment is a common complication of Severe Traumatic Brain Injury (STBI). One of cognitive problems following STBI is impaired executive functions which involve high-level cognitive processes and their dysfunction can lead to reduced quality of life. Objective: This study aims to investigate the cognitive impairment in men with STBI compared to healthy men. Materials and Methods: This causal-comparative study was conducted from February 2017 to July 2019 on 20 male patients aged 30-55 years with a history of STBI in the past one year admitted to the intensive care units of Shohaday-e-Haftom-e-Tir and Baqiyatallah hospitals in Tehran, Iran and 64 healthy men who had met all inclusion criteria. Both groups were measured by the Wisconsin Cards Sorting Test (WCST). Results: There were significant differences between the two groups in WCST parameters including the number of categories completed, perseverative errors, correct and wrong responses, response time, number of trials to successfully complete first category, and conceptual level responses (P<0.01). Patients with STBI had a lower overall WCST score than the healthy subjects. Conclusion: It is necessary to pay special attention to cognitive impairment in STBI patients in their clinical and legal evaluations and psychological interventions.","PeriodicalId":15994,"journal":{"name":"Journal of Guilan University of Medical Sciences","volume":"47 1","pages":"22-33"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79187287","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}