Medical Journal of the Islamic Republic of Iran最新文献

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Parental Adherence to Cranial Remolding Orthotic Treatment of Infants with Positional Cranial Deformities: A Qualitative Content Analysis. 家长对颅骨位置畸形婴儿颅骨重塑矫形治疗的依从性:定性内容分析。
Medical Journal of the Islamic Republic of Iran Pub Date : 2023-10-16 eCollection Date: 2023-01-01 DOI: 10.47176/mjiri.37.111
Naeimeh Rouhani, Mohammad Kamali, Taher Babaee
{"title":"Parental Adherence to Cranial Remolding Orthotic Treatment of Infants with Positional Cranial Deformities: A Qualitative Content Analysis.","authors":"Naeimeh Rouhani, Mohammad Kamali, Taher Babaee","doi":"10.47176/mjiri.37.111","DOIUrl":"https://doi.org/10.47176/mjiri.37.111","url":null,"abstract":"<p><strong>Background: </strong>This qualitative study was designed to investigate parental adherence to cranial remolding orthotic (CRO) treatment of infants with positional cranial deformities.</p><p><strong>Methods: </strong>A qualitative content analysis was employed in this study. Researchers sought to find parental behavior while using a CRO for their infant with cranial deformity. Through in-depth and in-person interviews, researchers collected data from 22 participants using semi-structured questions regarding adherence to CRO treatment. Data were examined for patterns until saturation occurred, yielding categories that focused on the parents' main barriers and facilitators.</p><p><strong>Results: </strong>Two general themes of \"potential barriers to CRO treatment adherence\" and \"potential facilitators to CRO treatment adherence\" were extracted from 12 subthemes of parental burden, transportation, availability of CRO services in hometown, financial responsibility, maternal/paternal attachment attitudes, CRO-related problems, others feedback, adjustment to the treatment, motivation and self-confidence, aesthetic satisfaction, communication with orthotist, and wife's empathy/spousal support.</p><p><strong>Conclusion: </strong>Getting time off work, transportation to the orthotics' clinic, the lack of medical insurance coverage for CRO, reduced physical contact between parents and their child, and getting negative feedback from others were the most reported challenges. However, overcoming the initial difficulties and adjustment to the treatment with CRO, the high motivation of parents during therapy, an orthosis with good fitting and minor complications, a strong relationship between the parents and orthotist, and the father's companionship were revealed to facilitate the treatment process and increase adherence of treatment with CRO.</p>","PeriodicalId":18361,"journal":{"name":"Medical Journal of the Islamic Republic of Iran","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10744128/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139032436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Absconding from a Psychiatric Hospital in a Developing Country, Related Factors, and the Consequences. 发展中国家精神病院的潜逃、相关因素及后果。
Medical Journal of the Islamic Republic of Iran Pub Date : 2023-10-11 eCollection Date: 2023-01-01 DOI: 10.47176/mjiri.37.110
Seyyed Taha Yahyavi, Saba Faraji
{"title":"Absconding from a Psychiatric Hospital in a Developing Country, Related Factors, and the Consequences.","authors":"Seyyed Taha Yahyavi, Saba Faraji","doi":"10.47176/mjiri.37.110","DOIUrl":"https://doi.org/10.47176/mjiri.37.110","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to investigate the factors related to absconding and consequences of absconding in a psychiatric hospital in a developing country within 3 years.</p><p><strong>Methods: </strong>This was a retrograde descriptive cross-sectional study from a psychiatry hospital in a developing country, Iran. The registered data of absconding between March 2018 and February 2021 were extracted. Furthermore, a retrograde follow-up by telephone on what happened after the absconding and the remembered motives was done. The obtained data were analyzed using SPSS statistical software for Windows Version 23 by descriptive statistics. The chi-square test, Fisher exact test, Student t test, or Mann-Whitney U tests were used for data analysis. P ˂ .05 was considered statistically significant.</p><p><strong>Results: </strong>Out of 7069 admitted patients during a 36-month period, 51 (39 men and 12 women) had absconded. The total absconding rate was 0.72%. The mean ± (SD) age of the patients was 29.7 ± (10.46) years, with a range of 10 to 54 years. No statistical difference between men and women emerged in terms of age (P = 0.89). Most of the absconders were men (76%), young (mean age, 29.7 years), single (70.6%), and involuntarily hospitalized (78.4%) in an urban area (90.2%), and absconded in the evening shift (58.8%) via the route of the main gate (58.8%) in the early days of admission (5 days). In terms of psychiatric diagnosis, the highest rank belonged to bipolar disorder (33.33%) and substance-related disorders (33.33%). About one-third of absconders had a current substance-related problem and most of them had experienced withdrawal symptoms or cravings days before absconding (75%). Absconders mentioned that \"no need for admission\" (45.1%), \"economic problems\" (23.5%), and \"substance craving\" (13.7%) were the most common reasons for leaving the hospital. Most of the absconders were hospitalized later (70.5%). The risk for self-harm (21%) or harm to others (2%) after absconding was low.</p><p><strong>Conclusion: </strong>The general profile of absconders was concordant with previous studies. It was highlighted that economic problems in recent years had an evident impact on patients and it could be postulated that consideration of substance withdrawal may decrease absconding. It is advised to adhere to the policies that support community-based psychiatry and place an emphasis on early discharge and continuity of outpatient care.</p>","PeriodicalId":18361,"journal":{"name":"Medical Journal of the Islamic Republic of Iran","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10744138/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139032416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical Practice Guideline Development for Autonomic Dysreflexia in Spinal Cord Injury. 脊髓损伤自律神经反射障碍临床实践指南的制定。
Medical Journal of the Islamic Republic of Iran Pub Date : 2023-10-09 eCollection Date: 2023-01-01 DOI: 10.47176/mjiri.37.109
Hannan Ebrahimi, Seyed Farzad Maroufi, Shayan Abdollahzadegan, Vafa Rahimi-Movaghar
{"title":"Clinical Practice Guideline Development for Autonomic Dysreflexia in Spinal Cord Injury.","authors":"Hannan Ebrahimi, Seyed Farzad Maroufi, Shayan Abdollahzadegan, Vafa Rahimi-Movaghar","doi":"10.47176/mjiri.37.109","DOIUrl":"https://doi.org/10.47176/mjiri.37.109","url":null,"abstract":"<p><strong>Background: </strong>Autonomic Dysreflexia (AD) is a crucial emergency complication of cervical and upper thoracic spinal cord injury (SCI). Although there are several treatment options for AD, unfortunately, there is no consensus on the treatment of AD.This study aimed to present Clinical Practice Guidelines (CPG) development for AD in SCI in different conditions.</p><p><strong>Methods: </strong>The project was carried out by an executive team of general practitioners and neurosurgeons. A national multidisciplinary panel of experts performed the decision-making step, which consisted of deciding on the final list of recommendations and articulating novel recommendations regarding the infrastructure and fundamental elements necessary for managing patients suffering from AD. Four appraisers evaluated the guidelines using the Appraisal of Guidelines for Research and Evaluation (AGREE II) tools.</p><p><strong>Results: </strong>A total of 575 articles were found after searching different databases. After the primary screening, title, abstract, and full-text screening were performed, which yielded 9 records. Five were excluded after the AGREE II evaluation. The source guidelines' recommendations were tabulated as possible scenarios for 15 patient/population, intervention, comparison, and outcomes clinical questions. Based on the expert panel's opinion, all the recommendations were adaptable. Finally, the suggestions were transformed into a protocol for managing patients suffering from autonomic dysreflexia.</p><p><strong>Conclusion: </strong>This guideline presented the treatment and pharmacotherapy of autonomic dysreflexia. However, the treatment is being updated. We suggest more educational multimedia for health care professionals, primarily in the emergency department.</p>","PeriodicalId":18361,"journal":{"name":"Medical Journal of the Islamic Republic of Iran","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10744198/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139032418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A New Approach to Arthroscopic Stitching of the Knee Joint Meniscus: A Mathematical Justification. 膝关节半月板关节镜缝合新方法:数学论证。
Medical Journal of the Islamic Republic of Iran Pub Date : 2023-10-04 eCollection Date: 2023-01-01 DOI: 10.47176/mjiri.37.108
Ergali Nabiyev, Arnat Baizakov, Khadisha Kashikova, Ramazan Askerov, Zhassulan Argynbayev, Bauyrzhan Bissaliyev
{"title":"A New Approach to Arthroscopic Stitching of the Knee Joint Meniscus: A Mathematical Justification.","authors":"Ergali Nabiyev, Arnat Baizakov, Khadisha Kashikova, Ramazan Askerov, Zhassulan Argynbayev, Bauyrzhan Bissaliyev","doi":"10.47176/mjiri.37.108","DOIUrl":"10.47176/mjiri.37.108","url":null,"abstract":"<p><strong>Background: </strong>This article presents a mathematical justification for a new approach to arthroscopic stitching of the knee joint meniscus, based on a 3D computer model of the meniscus developed using the COMPASS-3D (APMFEM) program and AutodeskInventorPRO. The research with the patent RK No. 35413 dated 10.12.2021, titled \"Method of arthroscopic stitching of the meniscus of the knee joint\" builds upon the work of Yu.V. Labunsky.</p><p><strong>Methods: </strong>Mathematical analysis was performed to compare two methods of stitching the meniscus: the new oblique-vertical stitch and the classical vertical stitch. The contact area of the meniscus tissues in the area of the rupture was measured for both stitching methods.</p><p><strong>Results: </strong>The findings demonstrate that the new oblique-vertical stitch offers a 1.5 times larger contact area of the meniscus tissues in the area of the rupture, compared to the classical vertical stitch. Additionally, the new method provides a more significant grip on the radial and circular fibers of the meniscus, surpassing the capabilities of the classic seam.</p><p><strong>Conclusion: </strong>The results of this study can be utilized to develop practical recommendations for traumatologists regarding arthroscopic stitching of the meniscus in the knee joint. The new approach, supported by mathematical analysis and a 3D computer model, offers improved outcomes in terms of contact area and grip on the meniscus fibers, potentially leading to enhanced surgical techniques and patient outcomes.</p>","PeriodicalId":18361,"journal":{"name":"Medical Journal of the Islamic Republic of Iran","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10744200/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139033166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Intra-Rater Reliability of Ultrasonography for the Measurement of Lumbar Multifidus and Erector Spinae Thickness in Different Positions in People with and without Active Extension-Related Non-Specific Low Back Pain. 在有和没有主动伸展相关非特异性腰痛的人群中,不同体位下测量腰部多裂肌和脊肌厚度的超声波检查的内部评分者可靠性。
Medical Journal of the Islamic Republic of Iran Pub Date : 2023-10-03 eCollection Date: 2023-01-01 DOI: 10.47176/mjiri.37.107
Gitta Kalbassi, Nader Maroufi, Ismail Ebrahimi Takamjani, Mahyar Salavati, Asghar Rezasoltani, Saeed Talebian, Sara Salamat, Kieran O'Sullivan
{"title":"The Intra-Rater Reliability of Ultrasonography for the Measurement of Lumbar Multifidus and Erector Spinae Thickness in Different Positions in People with and without Active Extension-Related Non-Specific Low Back Pain.","authors":"Gitta Kalbassi, Nader Maroufi, Ismail Ebrahimi Takamjani, Mahyar Salavati, Asghar Rezasoltani, Saeed Talebian, Sara Salamat, Kieran O'Sullivan","doi":"10.47176/mjiri.37.107","DOIUrl":"https://doi.org/10.47176/mjiri.37.107","url":null,"abstract":"<p><strong>Background: </strong>The paraspinal muscles, including multifidus (MF) and erector spinae (ES) play key roles in the stability and movement of the lumbar spine. This study aimed to determine the intra-rater reliability of the ES and MF muscle thickness measures of the rehabilitative ultrasound imaging (RUSI) in people with active extension pattern (AEP) non-specific chronic low back pain and controls.</p><p><strong>Methods: </strong>Fifteen females with AEP and 19 controls participated in this test-retest intra-rater reliability study, including two different testing sessions performed in four to seven days apart. The primary (raw) and derived (normalized) measures of the L4 MF and ES muscles`thickness were examined in three different positions (prone, sitting, and standing) on both days. A two-way mixed average of intra-class correlation coefficient (ICC3, K) with confidence interval (CI = 95%) was used to determine the relative reliability. The standard error of measurement (SEM) and minimal detectable change (MDC) values at a CI of 95% were computed to examine the absolute reliability.</p><p><strong>Results: </strong>The ICC values for the primary thickness of the L4 ES and MF muscles were from 0.85 to 0.91, except for MF muscle thickness in standing (ICC = 0.67) and sitting (ICC = 0.66) positions . The ICC values for derived data were lower in both groups. The SEM and MDC values were small enough to confirm the absolute reliability of the primary data.</p><p><strong>Conclusion: </strong>This study supports the use of RUSI for examining the primary measures of the L4 MF and ES muscles in asymptomatic and AEP participants, but it should be used cautiously for assessing the derived measures.</p>","PeriodicalId":18361,"journal":{"name":"Medical Journal of the Islamic Republic of Iran","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10744124/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139032441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Presenting a Comprehensive Definition of Unnecessary Healthcare Services and Their Drivers: A Systematic Review and Meta-synthesis. 提出了一个全面的定义,不必要的医疗服务及其驱动因素:一个系统的回顾和综合。
Medical Journal of the Islamic Republic of Iran Pub Date : 2023-10-02 eCollection Date: 2023-01-01 DOI: 10.47176/mjiri.37.106
Zeinab Derakhshan, Bagher Larijani, Ehsan Shamsi-Gooshki, Pooneh Salari
{"title":"Presenting a Comprehensive Definition of Unnecessary Healthcare Services and Their Drivers: A Systematic Review and Meta-synthesis.","authors":"Zeinab Derakhshan, Bagher Larijani, Ehsan Shamsi-Gooshki, Pooneh Salari","doi":"10.47176/mjiri.37.106","DOIUrl":"https://doi.org/10.47176/mjiri.37.106","url":null,"abstract":"<p><strong>Background: </strong>Providing unnecessary healthcare services is a major common problem in every health system. The scope and cause of healthcare services must be identified in order to be managed and controlled. Finding the most complete definition of the problem and its causes are the goals of this meta-synthesis.</p><p><strong>Methods: </strong>A comprehensive search strategy was performed using a wide range of keywords and databases. Based on the defined inclusion and exclusion criteria, 22 articles were selected for content analysis and meta-synthesis. The Graneheim and Lundman method was used for content analysis. The MAXQDA software Version 18.2.0 was used for the first round of content analysis. Content analysis and meta-synthesis were used to comprehensively define the term \"unnecessary healthcare services\" and find the etiologic factors driving healthcare providers to unnecessary healthcare services.</p><p><strong>Results: </strong>The term \"unnecessary healthcare services\" is defined as \"overproviding healthcare services that could be harmful, low-value, insufficient, and inappropriate.\" The etiologic pattern of unnecessary healthcare services shows intrinsic and extrinsic factors as a driving force for unnecessary healthcare services.</p><p><strong>Conclusion: </strong>A multilayer strategy for efficient management and prevention of unnecessary healthcare services is appropriate due to the multifaceted character of these services. This approach consists of the modification of the intrinsic factors and extrinsic drivers.</p>","PeriodicalId":18361,"journal":{"name":"Medical Journal of the Islamic Republic of Iran","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10657265/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138460801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prevalence of Persisting and New Symptoms Following Recovery from COVID-19 in the Jordanian Population. 约旦人群中COVID-19康复后持续出现和新出现症状的发生率
Medical Journal of the Islamic Republic of Iran Pub Date : 2023-09-27 eCollection Date: 2023-01-01 DOI: 10.47176/mjiri.37.105
Hatim M Jaber, Mohammad Abusamak, Sajedah N Obeid, Nizar Heissat, Razan Qashou, Mohammad Ab Shtaiyat, Ibrahim Alasad, Dana Aldaghlise
{"title":"Prevalence of Persisting and New Symptoms Following Recovery from COVID-19 in the Jordanian Population.","authors":"Hatim M Jaber, Mohammad Abusamak, Sajedah N Obeid, Nizar Heissat, Razan Qashou, Mohammad Ab Shtaiyat, Ibrahim Alasad, Dana Aldaghlise","doi":"10.47176/mjiri.37.105","DOIUrl":"https://doi.org/10.47176/mjiri.37.105","url":null,"abstract":"<p><strong>Background: </strong>Many patients do not have a clear idea about the recovery from COVID-19 infection. This study focuses on the prevalence of persistent symptoms of COVID-19 infection as well as new symptoms that appear after recovery, and it aids in determining the relationships between these symptoms and a variety of variables.</p><p><strong>Methods: </strong>An online observational study was conducted between April and June 2022. It consisted of a self-administered web-based questionnaire conducted using social media platforms. Inclusion criteria were residency in Jordan, being 18 years of age or older, having recovered from COVID-19 for at least 90 days, and giving consent to participate. Participants whose infection was not confirmed by a positive PCR were excluded.</p><p><strong>Results: </strong>The most common persistent symptoms were loss of smell (34.7%), fatigue (34.6%), loss of taste (29.5%), myalgia (26.3%), and headache (25.9%), while the most common newly appearing symptoms after recovery were smell hallucinations (15.8%), fatigue (15.5%), taste hallucinations (14.9%), and focus impairment (12.9%) and smell impairment (12.8%). The symptoms persisted more in females, non-smokers, and those who needed medical care sor oxygesnation and with increased infection duration.</p><p><strong>Conclusion: </strong>The study about persistent and new symptoms after COVID-19 among Jordanians found a greater prevalence of symptoms related to the sense of smell. There is no association between persistent and new symptoms after COVID-19 recovery with comorbidities or oxygen therapy during illness. We recommend studying the effect of COVID-19 mutants and vaccination on the persistence of symptoms after recovery.</p>","PeriodicalId":18361,"journal":{"name":"Medical Journal of the Islamic Republic of Iran","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10657256/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138460803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Effect of Combined Intervention on Improvement of Early Lexical Development in Minimally Verbal Children with Autism Spectrum Disorder. 综合干预对自闭症谱系障碍患儿早期词汇发展的促进作用。
Medical Journal of the Islamic Republic of Iran Pub Date : 2023-09-25 eCollection Date: 2023-01-01 DOI: 10.47176/mjiri.37.104
Salman Abdi, Maryam Tarameshlu, Noureddin Nakhostin Ansari, Leila Ghelichi, Mitra Hakim Shooshtari
{"title":"The Effect of Combined Intervention on Improvement of Early Lexical Development in Minimally Verbal Children with Autism Spectrum Disorder.","authors":"Salman Abdi, Maryam Tarameshlu, Noureddin Nakhostin Ansari, Leila Ghelichi, Mitra Hakim Shooshtari","doi":"10.47176/mjiri.37.104","DOIUrl":"https://doi.org/10.47176/mjiri.37.104","url":null,"abstract":"<p><strong>Background: </strong>Autism spectrum disorder (ASD) is a neurodevelopmental disorder defined by severe communication deficits and limited and repetitive behavioral tendencies. There are several treatment approaches and methods for minimally verbal children with ASD; nonetheless, there is inconclusive evidence about how early lexical development could be improved. The present study aimed to investigate the effect of combined intervention derived from the principles of different theories-including contemporary behaviorism, schemas, sociocultural, and event representation theories-to improve early lexical development in minimally verbal children with ASD.</p><p><strong>Methods: </strong>In this single-group pretest-posttest study, 10 children with ASD (mean age, 47.9 ± 8.3 months), including 7 boys and 3 girls, participated. Participants received 16 intervention sessions in 8 weeks. The combined intervention consisted of various methods derived from contemporary behaviorism, schemas, sociocultural, and event representation approaches. The MacArthur-Bates Communicative Development Inventory 1 (Infant form) assessed early lexical development before and after intervention and after a 2-month follow-up. The Friedman test was used to analyze the data, and pairwise comparisons were performed with the Will-Coxon test. Cohen's d was used to investigate the effect sizes.</p><p><strong>Results: </strong>Significant increases in expressive vocabulary (<i>P</i> < 0.001) and receptive language (<i>P</i> < 0.001) were seen after the end of the intervention and at the follow-up (<i>P</i> = 0.005). Large effect sizes were found for expressive vocabulary (d = 3.7) and receptive vocabulary (d = 2.17).</p><p><strong>Conclusion: </strong>This study suggests that the combination of intervention based contemporary behaviorism, schemas, sociocultural, and event representation approaches improved receptive and expressive vocabulary in minimally verbal children with ASD.</p>","PeriodicalId":18361,"journal":{"name":"Medical Journal of the Islamic Republic of Iran","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10657262/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138460805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of Bathing Skills Training on Independence and Satisfaction of Older Adults Living in a Nursing Home: A Randomized Controlled Trial. 沐浴技能训练对养老院老年人独立性和满意度的影响:一项随机对照试验。
Medical Journal of the Islamic Republic of Iran Pub Date : 2023-09-20 eCollection Date: 2023-01-01 DOI: 10.47176/mjiri.37.103
Mohammad Khayatzadeh-Mahani, Sepide Riyahi, Elham Amiri, Kambiz Ahmadi Angali
{"title":"Effects of Bathing Skills Training on Independence and Satisfaction of Older Adults Living in a Nursing Home: A Randomized Controlled Trial.","authors":"Mohammad Khayatzadeh-Mahani, Sepide Riyahi, Elham Amiri, Kambiz Ahmadi Angali","doi":"10.47176/mjiri.37.103","DOIUrl":"https://doi.org/10.47176/mjiri.37.103","url":null,"abstract":"<p><strong>Background: </strong>Dependence in bathing is the most common activities of daily living (ADLs) dependency among older adults. The aim of this study was to evaluate the effect of bathing skills training on the independence and satisfaction of older adults living in nursing homes.</p><p><strong>Methods: </strong>In this randomized controlled trial, 80 participants were assigned randomly to the intervention (n = 40) and control groups (n = 40). The intervention group received 10 weekly bathing skills training sessions, with each session lasting about 60 minutes, while the control group received no direct training. The evaluation was conducted using the Modified Barthel Index (MBI) and the Canadian Occupational Performance Measure (COPM). Analysis of variance for repeated measurements was used to test the effect of intervention at the baseline, post-intervention, and follow-up.</p><p><strong>Results: </strong>The mean improvement in the MBI was greater for the intervention group (<i>P</i> < 0.001; partial η2 = 0.34), which remained significant at the follow-up (<i>P</i> < 0.001; partial η2 = 0.41). The greater mean change of the COPM-Performance was significant in the intervention group (<i>P</i> < 0.001; partial η2 = 0.17), which remained significant at the follow-up (<i>P</i> < 0.001; partial η2 = 0.19). The greater mean improvement of the COPM-Satisfaction was observed for the intervention group (<i>P</i> < 0.001; partial η2 = 0.36), which remained at the follow-up (<i>P</i> = 0.001; partial η2 = 0.42).</p><p><strong>Conclusion: </strong>Bathing skills training is effective in improving the ADLs independence and satisfaction in older adults living in nursing homes; thus, it is recommended to be included in the schedules of nursing homes.</p>","PeriodicalId":18361,"journal":{"name":"Medical Journal of the Islamic Republic of Iran","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10657268/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138460795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Identifying the Factors Affecting Methamphetamine Use: A Scoping Review. 确定影响甲基苯丙胺使用的因素:范围审查。
Medical Journal of the Islamic Republic of Iran Pub Date : 2023-09-19 eCollection Date: 2023-01-01 DOI: 10.47176/mjiri.37.102
Azam Rastegari, Ali Akbar Haghdoost, Mohammad Reza Baneshi, Mahdieh Azizian, Mohammad Hossain Mehrolhassani
{"title":"Identifying the Factors Affecting Methamphetamine Use: A Scoping Review.","authors":"Azam Rastegari, Ali Akbar Haghdoost, Mohammad Reza Baneshi, Mahdieh Azizian, Mohammad Hossain Mehrolhassani","doi":"10.47176/mjiri.37.102","DOIUrl":"https://doi.org/10.47176/mjiri.37.102","url":null,"abstract":"<p><strong>Background: </strong>One of the critical factors affecting chronic diseases is the use of drugs, especially industrial substances, such as methamphetamine. Methamphetamine use is increasingly common among the younger members of society. Methamphetamine is not only physically and mentally destructive, but also has a significant impact on the families of abusers and society, and imposes a financial burden on society. The present study aims to identify the factors affecting methamphetamine use in a scoping review.</p><p><strong>Methods: </strong>Different keywords of methamphetamine were selected in the Mesh database and were searched in valid English databases from January 1, 2008, to April 5, 2022. Inclusion and exclusion criteria in this study were languages, reported findings, time range, and type of article. This study was designed by scoping review method developed by Askey Malley'O.</p><p><strong>Results: </strong>The total articles that were finally analyzed in this article were 42 including 12 English articles and 30 Persian articles. Among these articles, the most important factors affecting Methamphetamine are individual, social, and family factors, which have received the most cited.</p><p><strong>Conclusion: </strong>The majority of research highlights the importance of individual factors, society, and family factors, respectively, while formulating policies for prevention, treatment, and rehabilitation must be considered. It is suggested that structural path analysis be determined by prioritizing the identified factors and the weights of these components.</p>","PeriodicalId":18361,"journal":{"name":"Medical Journal of the Islamic Republic of Iran","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10657270/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138460797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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