Jundishapur Journal of Chronic Disease Care最新文献

{"title":"Facing Disaster During a COVID-19 Outbreak: What Emergency Medicine Experts Should Know?","authors":"Meisam Moezzi, Kambiz Masoumi, A. Forouzan, Manda Poladzadeh, F. Rahim","doi":"10.5812/JJCDC.114295","DOIUrl":"https://doi.org/10.5812/JJCDC.114295","url":null,"abstract":"Context: Since December 2019, the new coronavirus (COVID-19) has been identified as one of the significant challenges in the health systems of countries. Recently, the development and equipping of hospitals and medical centers have been considered as a priority, providing a variety of advanced services in the areas of diagnostic, therapeutic, and supportive services to patients. The present review aimed to shed light on the importance and crucial role of knowledge in the field of emergency medicine during the COVID-19 pandemic and to compare the local and international guidelines. Finally, in addition to the workplace and emergency practitioners’ acts, alongside the especial need to frequently disinfect with appropriate antiseptic materials, negative pressure ventilation should also be in the triage and emergency rooms. Besides, personal protection requirements should be sufficiently accessible, and emergency physicians should be trained to use them properly while adhering to safety principles. It is also recommended to use a cap, gown, appropriate mask, shield, and gloves during treatment, diagnostic and supportive measures, and practice frequent hand washing with antiseptic materials like alcohol solutions, as it reduces the risk of infection transmission. Moreover, it is imperative that nurses and physicians working in emergencies follow all safety principles at the end of the shift before entering their homes. Conclusions: Ultimately, the final goal is to reduce the virus transmission through early detection, supportive, diagnostic, and therapeutic actions, and appropriate follow-up.","PeriodicalId":271852,"journal":{"name":"Jundishapur Journal of Chronic Disease Care","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125804923","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 Use of Neck Sonography in Identifying Cervical Lymph Node: A Single Center Study from 2019 to 2020","authors":"A. Motamedfar, Mohammad Momen Gharibvand, Mojgan Sametzade, Mahsa Akhavan Sabagh","doi":"10.5812/JJCDC.112926","DOIUrl":"https://doi.org/10.5812/JJCDC.112926","url":null,"abstract":"Background: Tumor metastasis, as one of the most important prognostic factors in solid tumors, affects survival remarkably. Cervical lymphadenopathy (LAP) reflects an advanced-stage disease and changes the tumor-node-metastasis (TNM) staging of tumor, resulting in a multidisciplinary approach to the management of cancer. Objectives: This study aimed to assess the importance of neck sonography in monitoring primary tumors. Methods: Records of 166 patients with distant primary cancers who underwent neck sonography from February 2019 to February 2020 were studied. Abnormal lymph nodes were reported, and then the patients underwent neck sonography and fine needle aspiration (FNA) or core needle biopsy (CNB) under direct US guidance. Thirty-two patients who were confirmed for malignant cervical LAP underwent neck lymph node biopsy as an easy and safe way to provide tissue diagnosis instead of providing biopsy from the primary source of tumor. Results: Malignant cervical LAP was confirmed in 32 patients (19.2%) by neck sonography. Seventy-seven patients (46.4%) were male and 89 patients (53.6%) were female. The patients were 22 to 88 years old (mean age = 57.7 years; standard deviation = 12.7). Thirty-two patients (19.2%) had pathological cervical lymph nodes and 134 patients (80.8%) did not have. Conclusions: Metastatic cervical LAP found by neck ultrasound will change pretreatment TNM staging of disease to provide optimal treatment on a case-by-case basis. According to the result of this study, routine neck sonography in patients with distant primary tumors is recommended.","PeriodicalId":271852,"journal":{"name":"Jundishapur Journal of Chronic Disease Care","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114221433","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":"COVID-19 and Depression from the Nigerian Perspective; A Mini Review","authors":"John Chukwuma Oyem, P. Ichipi-Ifukor, Chukubueze Caleb Obi-Ojinika","doi":"10.5812/JJCDC.111199","DOIUrl":"https://doi.org/10.5812/JJCDC.111199","url":null,"abstract":"Context: The outbreak of the highly infectious COVID-19 has led to a global public health and economic crisis, especially in developing countries. Due to the global burden and spread and the high mortality rate of the virus, as well as an inadequate mental health care system in Nigeria, inhabitants often experience fear, depression, and anxiety that, if left unaddressed, may lead to long-term consequences. Although depression was a concerning issue in Nigeria before COVID-19, the pandemic has caused a surge in depression cases. This review highlighted the possible causes of depression among Nigerians during the COVID-19 pandemic and identified potential mitigating interventions to prevent depression. Evidence Acquisition: We searched PubMed for the articles published from January 2019 to September 2020 using the terms of “depression”, “COVID-19”, and “Nigeria”. The articles resulting from these searches and the relevant references cited in those articles were reviewed. Results: Nigerians are likely to fall into depression due to the challenges and limitations affecting the economy and development of Nigeria. Conclusions: During the COVID-19 struggle, providing sound mental health services for individuals is imperative to maintain nations’ mental health for a more rapid recovery across various measures of societal well-being post-COVID-19.","PeriodicalId":271852,"journal":{"name":"Jundishapur Journal of Chronic Disease Care","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134603300","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 Body Mass Index, Smoking, Vitamin E and Type of Oil Consumed Between Patients Suffering From Non-alcoholic Fatty Liver Disease versus Non-affected Patients: A Case-Control Study","authors":"Mehran Naghibeiranvand, Atefeh Visskaramian, Fatemeh Mehrabirad, Z. Mohammadi","doi":"10.5812/JJCDC.108713","DOIUrl":"https://doi.org/10.5812/JJCDC.108713","url":null,"abstract":"Background: Non-alcoholic fatty liver disease (NAFLD) has an increasing trend in the world and can lead to liver failure and death if left untreated. Lifestyle modification is very important in the treatment of this disease. Objectives: This study aimed to determine the comparison of body mass index (BMI), smoking, vitamin E consumption, and type of oil consumed by patients with NAFLD with non-alcoholic patients. Methods: The present study was a retrospective case-control study that was performed on 120 patients referred to the ultrasound unit of Nomadic Martyrs Hospital in Khorramabad. The participants were divided into two groups, including case (61 people) and control (59 people). The questionnaire consisted of three parts: (1) the first part was related to demographic information; (2) the second part was related to liver ultrasound results; (3) and the third part was related to height, weight, BMI, weekly vitamin E intake, daily smoking status, and type of oil consumed. Data were analyzed using SPSS-23 software and descriptive and inferential statistical methods. Results: Most of the participants in the study were 69 (55.8%) and 92 (76.66%) were married. The mean BMI of patients with NAFLD was significantly higher than non-alcoholic patients (P = 0.003). There was no statistically significant difference in daily smoking and weekly intake of vitamin E in patients with and without non-alcoholic fatty liver disease (P < 0.05). According to Fisher's exact test, it was found that there was a statistically significant difference in the frequency by patients with NAFLD and non-alcoholic (P = 0.014). Also, a statistically significant difference was observed in the frequency of the type of oil consumed by patients with NAFLD (P = 0.014). Conclusions: Consumption of olive and sesame oil along with weight loss is recommended. Smoking as a risk factor, as well as the use of vitamin E to prevent and treat NAFLD, require further studies with a larger sample size.","PeriodicalId":271852,"journal":{"name":"Jundishapur Journal of Chronic Disease Care","volume":"102 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117281083","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 Mediating Role of Sexual Self-esteem in the Relationship Between Marital Quality and Psychological Adaptation to Illness in Women with Chronic Pain Illness","authors":"E. Sadri Damirchi, N. Ayadi, Shahriar Dargahi, Soleiman Ahmad Bukani, Saeed Pireinaladin","doi":"10.5812/JJCDC.108549","DOIUrl":"https://doi.org/10.5812/JJCDC.108549","url":null,"abstract":"Background: Chronic pain is recognized as an important public health concern that leads to significant economic and social problems. Thus, identifying variables affecting the psychological adaptation of patients with chronic pain is necessary to prepare an effective intervention and treatment program. Objectives: This study investigated the mediating role of sexual self-esteem in the relationship between marital quality and psychological adaptation to disease in women with chronic pain. Methods: This descriptive-analytic study of correlation type was conducted on 200 women with chronic pain admitted to orthopedic centers in Ardabil City, Iran. The participants were selected using the available sampling method. The Psychological Adaptation questionnaire, the Sexual Self-Esteem scale, and the Marital Relationship Quality questionnaire were used to collect data. The standard mean, standard deviation, Pearson correlation, and multiple regressions were used for data analysis. Results: The findings revealed significant positive relationships between marital quality (r = 0.49) (P < 0.01) and sexual self-esteem (r = 0.60) (P < 0.01) with psychological adaptation. Moreover, significant positive relationships were found between marital quality and sexual self-esteem (r = 0.48) (P < 0.01). Sexual self-esteem also mediated the relationship between marital quality and psychological adaptation (β = 0.23) (P < 0.01). Conclusions: The study revealed that sexual self-esteem served a fully mediating role between marital quality and psychological adaptation in women with chronic pain. Therefore, it is of utmost importance to pay attention to sexual self-esteem’s role in therapeutic interventions related to these women.","PeriodicalId":271852,"journal":{"name":"Jundishapur Journal of Chronic Disease Care","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129193832","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":"An Investigation of Mental Health and Its Association with Demographic and Clinical Variables in Psoriasis Patients Referred to the Rheumatology Clinic of Golestan Hospital in Ahvaz","authors":"Masomeh Nazarinasab, S. Negahban, Elham Rajaei, Shima Ahmadi","doi":"10.5812/JJCDC.106452","DOIUrl":"https://doi.org/10.5812/JJCDC.106452","url":null,"abstract":"Background: Psoriasis is a relatively common inflammatory skin disease characterized by red, scaly plaques in different parts of the body. Although the etiology of the disease is not fully understood, psychological stress is mentioned as a potential factor in developing the disease. Objectives: In this study, in response to the lack of sufficient information obtained from assessing the influence of psoriasis on mental health, an attempt has been made to evaluate the prevalence of mental health problems in a sample of patients with psoriasis. Methods: This study was conducted following an applied, descriptive-correlational study design. A total of 104 patients with psoriasis were selected using the census sampling method. Data were collected using the standardized Symptom Checklist-90 (SCL-90) questionnaire. This self-administering questionnaire contains 90 items. The reliability and validity of the questionnaire were confirmed. Results: The mean score of mental health was 177.51 ± 69.35, which indicates moderate psychiatric disorders. The positive symptom distress index (PSDI) was 0.22 ± 0.08. There was a significant association between all dimensions of mental health and the total score of mental health with gender (P 0.05), but there was a significant association between other dimensions of mental health and income level (P < 0.05). Conclusions: Although in the present study, psychiatric disorders in patients with psoriasis were moderate, psychological counseling and psychiatric consultation are key to reduce the consequences of the disease and its progression.","PeriodicalId":271852,"journal":{"name":"Jundishapur Journal of Chronic Disease Care","volume":"152 4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115053770","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 Between Serum Ferritin Level and Gene Mutations in Patients with Thalassemia Major and Intermediate","authors":"Mohsen Anafje, K. Jaseb, H. Yousefi","doi":"10.5812/JJCDC.110304","DOIUrl":"https://doi.org/10.5812/JJCDC.110304","url":null,"abstract":"Background: Beta-thalassemia is one of the most important health problems worldwide. Identifying common mutations as well as the relationship between serum ferritin level and gene mutations in patients with intermediate and major thalassemia can be helpful in preventive programs. Objectives: The purpose of this study was to assess the association between serum ferritin level and gene mutations in patients with intermediate and major thalassemia. Methods: This descriptive cross-sectional study was done using patients' medical records available in the hospital archives, and data of 132 patients with mutated genes referred to Ahvaz Shafa hospital from 2012-2017 were evaluated. In addition to determining the frequency of different gene mutations, the relationship between different gene mutations and serum ferritin levels, as well as hemoglobin levels before the first blood transfusion and the age of the patients (month) before the first blood transfusion, were investigated. Results: There was no significant relationship between mutated genes and serum ferritin levels (P = 0.2). There was a significant difference between the types of gene mutations and the levels of hemoglobin before the first blood transfusion (P = 0.01). There was no significant difference between the types of gene mutations and the age of the patients before the first blood transfusion (P = 0.4). Conclusions: There was no association between the types of mutations and serum ferritin levels as an indicator of disease severity. Patients with hemoglobin levels of 6 to 7 mg/dl were found with a higher likelihood of receiving a blood transfusion, with a higher percentage having the IVSII-I gene mutation, but given that many mutations were random and we just had one or two patients with these mutations, it cannot be used as an indicator for disease severity. We need to conduct studies with a larger sample size to be used as an indicator for disease severity. Since the influence of the other accompanying genes and polymorphism plays an important role in the clinical manifestations of genetic diseases, it can be the reason for some negative results.","PeriodicalId":271852,"journal":{"name":"Jundishapur Journal of Chronic Disease Care","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125010148","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":"Fibrinogen Versus Fresh Frozen Plasma on the Patients’ Outcome with Hemorrhagic Shock Induce Chronic Diseases Caused by Multiple Trauma: A Randomized, Double-blinded, Clinical Trial Study","authors":"Meisam Moezzi, J. Mozafari, Hassan Barzegari, Ehsan Karimpour","doi":"10.5812/JJCDC.110313","DOIUrl":"https://doi.org/10.5812/JJCDC.110313","url":null,"abstract":"Objectives: The current study aimed to investigate the effect of fibrinogen compared to fresh frozen plasma (FFP) on outcomes of patients with traumatic hemorrhagic shock (THS). Methods: In this double-blind RCT study, traumatic hemorrhagic shock patients with chronic diseases referred to the emergency department (ED) were evaluated. Patients were randomly divided into three equal groups; The first group received fibrinogen concentrate (70 mg/kg), the second group was treated with FFP, and the third group received crystalloid. Transfusion of FFP and packed red blood cells (PRBC) was in a 1:1 ratio. The need for admission in intensive care units, PRBC transfusion units, multiple organ failure, hospitalization days, and mortality rate were compared in both groups. Results: In total, 45 patients were studied. The number of red blood cells (RBCs) transfused in patients treated with crystalloid, FFP, and Fibrinogen was 2.93, 2.37, and 2, respectively, which was statistically significant (P = 0.03). Two patients (13.3%) in the Fibrinogen-treated group, 4 (26%) in the FFP group, and 2 in the control group had multiple organ failure (P = 0.5). The incidence of sepsis was significantly higher in the FFP-treated group. In addition, mortality was significantly higher in patients who received crystalloid (46.7%) (P = 0.13). Conclusions: This study demonstrated that treating patients with fibrinogen concentrate was associated with a decreased number of pRBC transfusion units and mortality. Therefore, management of traumatic patients with fibrinogen concentrate not only can improve the outcomes but also declines patients’ exposure to allogeneic blood products.","PeriodicalId":271852,"journal":{"name":"Jundishapur Journal of Chronic Disease Care","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127017108","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":"Chronic Obstructive Pulmonary Disease (COPD) and Air Pollution: A Review","authors":"N. Tahery, Kourosh Zarea, M. Cheraghi, N. Hatamzadeh, Majid Farhadi, Sina Dobaradarn, M. Mohammadi","doi":"10.5812/JJCDC.110273","DOIUrl":"https://doi.org/10.5812/JJCDC.110273","url":null,"abstract":": Air pollution exposure is one of the main risk factors for respiratory system diseases, including airway diseases, Chronic Obstructive Pulmonary Disease (COPD), and lung cancer. Few studies have been done concerning Interstitial Lung Disease (ILD) and its relationship with air pollution. Particulate Matter (PM10), sulfur dioxide (SO2), nitrogen dioxide (NO2), ozone (O3), Polyaromatic Hydrocarbons (PAHs), and Heavy Metals (HM) are the most important air pollutants found to exert harmful effects on the human and environment. This review aimed to study the health effects of air pollution on respiratory systems, especially COPD. A narrative review of the literature was done from 1978 to 2020 in various databases, including Google Scholar, Science Direct, Web of Science, Springer, PubMed, NCBI, and BMJ. The results indicated that air pollution exposure could increase respiratory diseases, especially COPD. According to the results, COPD is caused by poor airflow and long-term breathing problems due to disrupted lung tissue. Based on the results, hazardous air pollutants induce destructive effects on the lung and result in COPD. Thus, COPD is a critical public health issue in Iran and the world. To decrease the rate of COPD attributed to air pollutants, we should use policies to decrease pollutant emissions.","PeriodicalId":271852,"journal":{"name":"Jundishapur Journal of Chronic Disease Care","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126728753","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":"Kawasaki Disease and COVID-19 in Children: Is There a Causal or Usual Relationship?","authors":"B. Keikhaei, F. Rahim","doi":"10.5812/JJCDC.111107","DOIUrl":"https://doi.org/10.5812/JJCDC.111107","url":null,"abstract":"<jats:p />","PeriodicalId":271852,"journal":{"name":"Jundishapur Journal of Chronic Disease Care","volume":"341 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122758996","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}