Journal of Research in Medical and Dental Science最新文献

{"title":"Iran’s Need for Medical Tourism Development","authors":"F. Hemmati, F. Dabbaghi, Ghahraman Mahmoudi","doi":"10.24896/JRMDS.20186144","DOIUrl":"https://doi.org/10.24896/JRMDS.20186144","url":null,"abstract":"Background and Objectives : Diversity, high quality, and low price of medical services in Iran, and its geographic locations and situation in the region are among the factors that contribute to attracting medical tourism in Iran. This study aimed to examine the impact of medical tourism on the development of Iran. Methods : This applied study was conducted in 2017 with the statistical population of health tourists in a year. Considering the unlimited population, Cochran's sampling formula was used to select 384 subjects. For this purpose, Iran was divided into five regions, and sampling was performed using the multi-stage cluster random sampling method. The construct validity of the questionnaire was confirmed using confirmatory factor analysis, and its reliability was confirmed using Cronbach's alpha of greater than 0.7. Data were analyzed using factor analysis by SPSS 18 and LISREL 8.50, and the final model was developed using mathematical models. The model was validated using confirmatory factor analysis. Findings : Factor analysis showed that medical tourism has an impact on the development of Iran. The ratio of chi-square to degrees of freedom was less than 3. RMSEA was 0.09, and normed fit index (NFI), non-normed fit index (NFI), incremental fit index (IFI), and comparative fit index (CFI) were higher than 0.9. Conclusion : Iran can enjoy a comprehensive development by employing a systematic and comprehensive medical tourism and taking into account its capabilities.","PeriodicalId":17001,"journal":{"name":"Journal of Research in Medical and Dental Science","volume":"6 1","pages":"269-273"},"PeriodicalIF":0.0,"publicationDate":"2018-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47045476","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":"Studying the Effect of Aloe Vera Ointment on Wound Healing of CABG Surgery in Diabetic Patients","authors":"Keivan Babaei, Sooraia Nejatii, Bahareh Najafi, Tohid Mohammadi Khosh boo, Faezeh Ghesmati, Mahdi Firoozi, Shookooh Varaeii","doi":"10.24896/JRMDS.20186141","DOIUrl":"https://doi.org/10.24896/JRMDS.20186141","url":null,"abstract":"Background and Purpose: one of morbidities of diabetes is delay in wound healing. Among treatment common procedures in diabetic patients with coronary artery bypass graft. Therefore, delay in CABG wound healing is one of common problems of diabetic patients. Aloe vera plant contains collagen which heightens the tissue granules and contributes in wound healing process with its anti-inflammatory properties. Thus, the researcher tries to examine the effect of Aloe vera on wound healing. Methodology: the study was random clinical trial with intervention and control groups. 60 diabetic patients who attended to Imam Ali Hospital, Kermanshah for CABG surgery have been assigned to two 30-person groups as intervention and control groups. From second day after surgery, after putting out the sternum area chip pipe of intervention group patients, after washing with betadine they were bandaged by 2% aloe vera ointment which was made by Karaj academic Jihad organization medicinal herbs research center in a daily basis. In control group only daily washing with betadine and bandage has been done. This has been conducted till 14 days after surgery. Wound healing in days 7, 4 and 14 after surgery has been evaluated by Bates Jenson wound healing scale. One used SPSS version 16 for analyzing the data. In this study, for describing the samples, one used descriptive statistical methods including tables of frequency distribution, determining average, SD and when it comes to study objectives and hypothesis, determining the homogeneity of samples one uses Chi two and Mann Whitman non-parametric test. Findings: mean and SD of total score of wound healing of two groups is calculated at day 4 after intervention by independent Mann Whitman test that P>0,5 therefore two groups had no significant different in wound healing, in day 7 after intervention the mean and SD of wound healing score had significant different based on Mann Whitman test P<0.001 at day 14 after intervention based on Mann Whitman test, there was a significant different between two groups in terms of wound healing p<0.001. Conclusion: 2% Aloe vera ointment can speed up the healing of wound of CABG surgery in diabetic patients after at least one week use.","PeriodicalId":17001,"journal":{"name":"Journal of Research in Medical and Dental Science","volume":"6 1","pages":"256-260"},"PeriodicalIF":0.0,"publicationDate":"2018-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43158958","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":"KIT Testing and Survival in Malignant Melanoma Patients","authors":"M. Sadeghi, M. Payandeh, Edris Sadeghi","doi":"10.24896/JRMDS.20186142","DOIUrl":"https://doi.org/10.24896/JRMDS.20186142","url":null,"abstract":"Malignant melanoma is the most common lethal cutaneous malignancy. It arises from melanocytes that originate from neural crest [1]. Alterations in KIT proto-oncogene define a unique molecular subset in malignant melanoma. Mutations and amplification of KIT are observed in 3% of all melanomas and are more common in melanoma cases arising from mucosal, acral or chronically sun-damaged surfaces [2]. The clinical application of KIT inhibition in melanomas driven by KIT alterations has been reported in patients treated with agents such as imatinib, dasatinib, sorafenib and sunitinib [3]. The study consisted of 11 of cases of malignant melanoma that had referred to the oncology clinic in Kermanshah, Iran. There were 5 male and 6 female patients with mean age ± SD of 57.2±18.94 years (range, 18-78 years). Of 11 patients, 5 (45.5%) showed KIT positivity. Two patients had lymph node involvement and all patients had BRAF of wild-type. The 5-year survival rate for all patients was 54.5% and mean survival was 37.5 months (Figure 1A). The 5-year survival rate of the patients with KIT positivity and KIT negativity was 60% and 50%, respectively, mean survival was 42.2 and 33.6 months, respectively (Figure 1B). There was no significant difference in terms of overall survival rate between KIT positive or negative groups (Hazard ratio=0.456; 95%CI=0.065 to 3.189; P=0.428).","PeriodicalId":17001,"journal":{"name":"Journal of Research in Medical and Dental Science","volume":"6 1","pages":"261-262"},"PeriodicalIF":0.0,"publicationDate":"2018-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46766138","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 Effect of Cognitive-Behavioral Interventions on Sexual Satisfaction in Type II Diabetic Patients","authors":"R. Abbas, B. Tofighi, K. Leila","doi":"10.24896/JRMDS.20186146","DOIUrl":"https://doi.org/10.24896/JRMDS.20186146","url":null,"abstract":"Introduction: Diabetes mellitus is a metabolic disorder that leads to many problems including psychological problems such as depression, anxiety and reduced sexual satisfaction. The purpose of this study was to determine the effectiveness of cognitive-behavioral interventions on sexual satisfaction in type 2 diabetic patients referred to Bushehr medical centers in 1394. Objectives: The aim of this study was to determine the effect of cognitive-behavioral interventions on the sexual satisfaction of type II diabetic patients referred to Bushehr clinics in 1394. Method: This is a quasi-experimental study and this research was done as a pre and post test with a control group. The statistical population included all type II diabetic patients referred to the medical centers of Bushehr city. Of these, 40 subjects were selected by simple random sampling and assigned to two groups of intervention (20 subjects) and control (20 persons). In the intervention group, ten sessions and each session were treated cognitive-behavioral group therapy for one hour in a week. Data collection was done using the Hudson Sexual Satisfaction Questionnaire. Data were analyzed by SPSS software version 18, descriptive statistics (frequency, mean, standard deviation) and ancova analysis at a significant level of P <0.05. Results: The mean sexual satisfaction of the intervention and control groups after intervention was  95.00 and 75.74, Respectively . The mean of sexual satisfaction score in the intervention group was significantly more than the control group(p=0/048) and, in other hand , cognitive behavioral intervention was effective in increasing the sexual satisfaction of patients with type 2 diabetes. Conclusion: Using psychological treatments beside drug therapy can be effective in increasing the sexual satisfaction of type 2 diabetic patients.","PeriodicalId":17001,"journal":{"name":"Journal of Research in Medical and Dental Science","volume":"6 1","pages":"279-284"},"PeriodicalIF":0.0,"publicationDate":"2018-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42117109","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":"Septorhinoplasty with and without Nasal Packing:A Comparative Study from North of Iran","authors":"A. Habibi, S. Nemati, P. Alizadeh, Siavash Razaghi","doi":"10.5455/JRMDS.2018633","DOIUrl":"https://doi.org/10.5455/JRMDS.2018633","url":null,"abstract":"Septorhinoplasty are the most common nose surgical procedures widely used the world over. The main aim of this study was comparing the results of septorhinoplasty with and without nasal packing. This case control interventional study was conducted on patients who underwent septorhinoplasty in an ENT university hospital in north of Iran. Two separate groups, with or without nasal tampon (each group consisted of 35 patients) were includedin the study. Open surgical approach for repairment was executed for all and nasal packing (ie. tetracycline impregnated mesh, that was removed after 48 hours) for 35 patients inserted postoperatively.Patients were studied in three time periodsfor pain (using Visual Analogue Scale) and other postoperative signs and symptoms and convenience and overall satisfaction. No significant difference for postoperative bleeding, ecchymosis, hematoma and rhinorrhea was founded between the groups (pEƒ0.05), but there was a significant difference in short-term outcomes in terms of convenience (p=0.006), edema two days after surgery (p= 0.001), right side and left side edema (p=0.002). The overall satisfaction was significantly higher in patients without nasal packing (p= 0.002). In assessment of the pain rate one week after surgery, there was no significant difference in various age and sex groups (pEƒ0.05). Based on our 8indings routine nasal packing is not working well in septo-rhinoplasty cases and it is recommended to be avoided in these patients.","PeriodicalId":17001,"journal":{"name":"Journal of Research in Medical and Dental Science","volume":"6 1","pages":"12-17"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70826900","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":"Evaluation of hepatic, renal and hematologic parameters during single, double and multiple treatment with Methotrexate in patients with ectopic pregnancy hospitalized in AL Zahra hospital","authors":"M. Asgharnia, Apameh Azarpira, Soudabeh Kazemi, Z. Roushan, D. Pourmarzi","doi":"10.24896/JRMDS.2017564","DOIUrl":"https://doi.org/10.24896/JRMDS.2017564","url":null,"abstract":"Treatment of ectopic pregnancy with Methotrexate (MTX) is very common. Nowadays available principles include repeated hematologic, hepatic and renal tests a week after administration of MTX but the importance of these tests in healthy woman with no previous history is not clear. The aim of this study was the evaluation of alternation patterns of CBC, LFT and RFT in 1, 7 and 14 days after treatment with single, double and multiple dose of MTX in healthy women with ectopic pregnancy. So that the necessity of performing these tests during MTX treatment in healthy women was determined. Material and Methods: study performed on 275 patients with ectopic pregnancy which hospitalized in AL-Zahra hospital and treated with MTX. Patients divided in three groups according to prescription of single, double and multiple doses of MTX and hepatic and renal functional tests and hematologic cell count evaluated for all patients in 1,7 and 14 days after MTX administration. Demographic data include: age, BMI, gravidity, parity and type of ectopic pregnancy were recorded for all patients. Overall data from three groups were compared. Homogeneity of age and BMI between three groups confirmed. Analysis of hepatic and renal function test and hematologic parameters showed that in single and double treatment route mean of AST, ALT, total and direct bilirubin, white hematologic cell and platelet count were significantly different in 1 and 7 days. However, there was no significant difference observed in multiple dose route. According to results, hepatic, renal and hematologic parameters in different treatment routs were significantly different. However, means in normal range and toxicity was not observed. It seems that measurement of hepatic, renal and hematologic parameters in 0 and 7 days after administration of MTX in healthy woman with no medical history of hepatic, renal or hematologic disorders is not necessary.","PeriodicalId":17001,"journal":{"name":"Journal of Research in Medical and Dental Science","volume":"5 1","pages":"20-24"},"PeriodicalIF":0.0,"publicationDate":"2017-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45902595","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":"Association of oral hygiene status with caries incidence in primary teeth","authors":"D. Damyanova, S. Angelova","doi":"10.4172/2161-1122-C4-039","DOIUrl":"https://doi.org/10.4172/2161-1122-C4-039","url":null,"abstract":"Tooth socket preservation has become a key component of contemporary clinical dentistry. This term designates alveolar preservation that achieved by immediate filling of the undamaged tooth socket with biomaterials. Different types of bone substitutions and membranes have been utilized for socket augmentation. Our goal was to evaluate the efficacy of the amniotic membrane, as a new material, on bone density in comparison with conventional methods in this study. In this randomized clinical trial 75 patients (48 females and 27 males) underwent mandibular molar extraction and socket preservation by using allograft bone in control group: allograft bone with collagen membrane in group 1 and allograft bone with amniotic membrane in group 2. All 25 stages of socket preservation procedures in each group were done by the same surgeon and evaluated by the same radiographic machine. The data were statistically analyzed by SPSS software, one-way ANOVA and Tukey post-hoc tests. P value <0.05 was considered as significant. The results of this study showed that after 4 months the mean density difference in extracted site was 1736.88 in control group; for patients who underwent socket preservation with allograft and collagen membrane it was 1746.20 and in cases with allograft in addition amniotic membrane it was 1762.48. The results demonstrated that, compared with control group, both collagen membrane and amniotic membrane showed a higher bone density mean (P Value =/998 and P Value = /918), but this difference was not statistically significant. Whereas amniotic membrane showed a higher bone density than the collagen membrane, there are no significant differences between these two groups (P Value =/994). Although socket preservation methods may be effective on alveolar bone contour stability, we cannot significantly confirm the efficacy of these methods on bone quality and density.","PeriodicalId":17001,"journal":{"name":"Journal of Research in Medical and Dental Science","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70618823","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":"A rare presentation of Retiform Hemangioendothelioma in sacral area","authors":"S. Kekade, Sadaf Haiyat, Mohammad Feroz Alam","doi":"10.24896/JRMDS.2017531","DOIUrl":"https://doi.org/10.24896/JRMDS.2017531","url":null,"abstract":"Retiform Hemangioendothelioma is an extremely rare tumor. It was first explained by Calonje et al in 1994. It is a vascular neoplasm of borderline malignancy, mostly seen in young age, and extremities. A 65 years old female patient presented with a recurrent growth in the sacral region, along with skin ulceration. FNAC revealed a cystic lesion with inflammation. Previous biopsy showed granulation tissue only. The growth was surgically removed for the third time and sent to Histopathology lab. Gross examination revealed a partial skin covered tissue mass of 15x10x3 cm. Cut section showed solid cystic growth of 2x2x1.5 cm. Microscopically, proliferating neoplastic elements, vascular in nature, in a net like pattern seen. Monomorphic cells with scant cytoplasm with hobnail nuclei lined the vessels. Scant mitotic figures, lymphocytic infiltration, and focal fibrocollagenous material were seen. Dermis was focally involved. On immunohistochemistry, Ki-67 (low proliferation) and CD 34 were positive. Hence the diagnosis of Retiform Hemangioendothelioma was made.","PeriodicalId":17001,"journal":{"name":"Journal of Research in Medical and Dental Science","volume":"5 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2017-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45163786","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":"Postoperative sensitivity after placement of bulk-fill posterior restoration","authors":"M. Ayar","doi":"10.24896/JRMDS.2017539","DOIUrl":"https://doi.org/10.24896/JRMDS.2017539","url":null,"abstract":"The purpose of this observational retrospective clinical study was to assess the post-operative sensitivity reported by patients following the placement of bulk-fill composite restorations. Patient records of the seventy-two subjects with previously untreated teeth requiring restorations due to caries lesions were used. Seventy-two restorations that were radiographically judged to be located in neither middle nor inner one-third of dentin were included in the study. Two resin composites had been used: Group 1- bulk-fill posterior resin composite (Filtek Bulk Fill Posterior Restorative); Group 2- conventional resin composite (Filtek Z250). The same resin adhesive system (Single Bond Universal Adhesive) had been used with both composites. Patients had been contacted on days 2, 7, 14 and 30 postoperatively and asked about any presence sensitivity, the stimuli that created the sensitivity, if any, the duration of any sensitivity, and the intensity of any sensitivity using a rating from none too severe. The chi-square test showed cavity deepness (p=0.003) significantly affected post-operative sensitivity, while no significances between the different resin composites (p=0.465), cavity sizes (p=0.702) were revealed at day 2, respectively. By day 2, 8.3% of restorations placed in the middle one-third, and 37.5% of restorations placed in the inner one-third of dentin were slightly sensitive. By day 14, there had been no sensitive tooth. Both composite types have potential post-operative sensitivity with limited duration following their placements. The use of bulk-fill posterior restorative for restoration of the deep carious lesion does not seem to affect postoperative sensitivity of composite restorations.","PeriodicalId":17001,"journal":{"name":"Journal of Research in Medical and Dental Science","volume":"5 1","pages":"53-58"},"PeriodicalIF":0.0,"publicationDate":"2017-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47317812","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":"Barriers and facilitators of evidence-based practice from the perspective of nurses who working in northwestern psychiatric centers of Iran","authors":"H. Ebrahimi, A. Seyedrasooli, E. Khodadadi, F. Yousefi","doi":"10.24896/JRMDS.2017536","DOIUrl":"https://doi.org/10.24896/JRMDS.2017536","url":null,"abstract":"Evidence-based practice is an indicator of the quality of health and treatment care and plays an important role in improving the quality of nursing care. The purpose of the study was to determine the barriers and facilitators of evidence-based practice from the perspective of nurses working in psychiatric centers in the northwest of Iran. This research is a descriptive cross-sectional study with statistical population includes 270 nurses working in northwest psychiatric hospitals of country. Sample size was selected using census method. Data collecting tools consisted of two parts. The first part of the questionnaire included demographic information of nurses and the second part included a standard questionnaire of barriers and facilitators the evidence-based practice. The collected data were analyzed using descriptive and analytical statistics and SPSSsoftware(ver. 21). The mean score of evaluating the barriers and facilities to apply the results of research in the field of practice in in nurses on the Bases of practice knowledge dimension was 41.54 ± 10.85 , which they had a low score .low in. The overall score in dimension of access barriers and review of evidences was 18.86 ± 7.19, which nurses had a medium score. The mean of total score was 9.93 ± 3.23, which nurses had a low score In the dimension of barriers to practice change based on scientific evidences. Also, the mean total score in self-assessment skills dimension was 13.70 ± 4.56, that nurses had a medium to low score. It is necessary to do needed facilities to reduce existing barriers in order to change the methods of care based on scientific evidences, with proper planning and policy making, and create an appropriate context for nurses in providing care with quality considering the essential role of nurses in maintaining care and promoting the health of the patients.","PeriodicalId":17001,"journal":{"name":"Journal of Research in Medical and Dental Science","volume":"5 1","pages":"29-36"},"PeriodicalIF":0.0,"publicationDate":"2017-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43417114","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}