Koomesh journalPub Date : 2021-09-01DOI: 10.52547/koomesh.23.5.556
Zahra Bahreman, M. Yousefi, M. Mogharnasi, Hossein Taherichadorneshin, Z. Ebrahimabadi
{"title":"Lower leg electromyography activation during gait initiation in multiple sclerosis patients","authors":"Zahra Bahreman, M. Yousefi, M. Mogharnasi, Hossein Taherichadorneshin, Z. Ebrahimabadi","doi":"10.52547/koomesh.23.5.556","DOIUrl":"https://doi.org/10.52547/koomesh.23.5.556","url":null,"abstract":"","PeriodicalId":291099,"journal":{"name":"Koomesh journal","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125055107","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}
Koomesh journalPub Date : 2021-09-01DOI: 10.52547/koomesh.23.5.563
N. Borghei, Aida Niazy, Nasre Behnampour, M. Esfehani
{"title":"Effect of mindfulness based interventon on sleep quality in nulliparous pregnant women","authors":"N. Borghei, Aida Niazy, Nasre Behnampour, M. Esfehani","doi":"10.52547/koomesh.23.5.563","DOIUrl":"https://doi.org/10.52547/koomesh.23.5.563","url":null,"abstract":"Introduction : mindfulness intervention may effect on mothers sleep quality. This study was done to determin the effect of group counseling based on mindfulness on sleep quality in nulliparous Materials and Methods : In This clinical trial study, between 135 nulliparous pregnant women at 14-24 weeks, 29 women with poor sleep quality randomly assigned to intervention and control group. Intervention group attended weekly counseling sessions, for eight week, and the control group received only the usual prenatal care. The data collection tool were Pittsburgh sleep quality questionnaire and demographic information form. Intervention group, completed Pittsburgh sleep quality questionnaire at the beginning of intervention, after the end of the eighth session and one month after the end session and control group, at the beginning of study, 8 and 12 week after that, the questionnaire was completed. Results: The results of study showed that although the average score of sleep quality in two groups before the intervention was not statistically significant difference, but after intervention, sleep quality improved in the intervention group ( P <0.001), and in follow-up, this result remained relatively stable until one month after intervention ( P <0.004). Conclusion: It seems that group counseling mindfulness based on stress reduction can be used to improve the sleep quality of pregnant women to have better mental health during pregnancy.","PeriodicalId":291099,"journal":{"name":"Koomesh journal","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131492841","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}
Koomesh journalPub Date : 2021-09-01DOI: 10.52547/koomesh.23.5.646
F. Ábbasi Balochkhaneh, S. Farhang Dehghan, A. Haghparast, N. Gharari, Soheila Khodakarim Ardakani
{"title":"Effects of co- exposure to heat and psychological stresses on serum levels of testosterone in male rats","authors":"F. Ábbasi Balochkhaneh, S. Farhang Dehghan, A. Haghparast, N. Gharari, Soheila Khodakarim Ardakani","doi":"10.52547/koomesh.23.5.646","DOIUrl":"https://doi.org/10.52547/koomesh.23.5.646","url":null,"abstract":"","PeriodicalId":291099,"journal":{"name":"Koomesh journal","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124522168","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}
Koomesh journalPub Date : 2021-09-01DOI: 10.52547/koomesh.23.5.591
Mohajereh Allahbakhshi, A. Ravari, T. Mirzaei, M. Mirzaei, Mojtaba Mirza Mohamadi
{"title":"A comparative study on the effect of acupressure and ice bag on the pain during removal of femoral artery sheath in angioplasty patients: A clinical trial study","authors":"Mohajereh Allahbakhshi, A. Ravari, T. Mirzaei, M. Mirzaei, Mojtaba Mirza Mohamadi","doi":"10.52547/koomesh.23.5.591","DOIUrl":"https://doi.org/10.52547/koomesh.23.5.591","url":null,"abstract":"The pain in the pack and acupressure groups ± ± respectively, ± the arterial in terms pain score P = lower score the pain in the ice bag group, showed no significant difference with the acupuncture group ( P = 0.065). Conclusion: Both intervention methods were effective in pain control. In addition, patients did not complain of either applying the ice bag or acupuncture. Thus, both of them can be used for this purpose.","PeriodicalId":291099,"journal":{"name":"Koomesh journal","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126134175","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}
Koomesh journalPub Date : 2021-09-01DOI: 10.52547/koomesh.23.5.582
Mahnaz Ghadimi Yari, Farshad Foroughi, S. Hashemipour, Mohamadreza Rashidi Nooshabadi, M. Ahmadi, Bahman Ahadi Nezhad, Hossein Khadem Haghighian
{"title":"Effects of ellagic acid supplementation on glycemic index and insulin resistance in type 2 diabetics: A double blind randomized clinical trial","authors":"Mahnaz Ghadimi Yari, Farshad Foroughi, S. Hashemipour, Mohamadreza Rashidi Nooshabadi, M. Ahmadi, Bahman Ahadi Nezhad, Hossein Khadem Haghighian","doi":"10.52547/koomesh.23.5.582","DOIUrl":"https://doi.org/10.52547/koomesh.23.5.582","url":null,"abstract":"Introduction The beneficial effects of polyphenols to improve glycemic in with 2 diabetes have been reported in scientific studies. The aim of this study was to investigate the effect of oral ellagic acid (EA) supplement on glycemic index and insulin resistance in type 2 diabetic patients. Materials and Methods : In this double blind randomized clinical trial, 44 diabetic patients were selected, and were randomly assigned to the intervention group (22 subjects) and placebo (22 subjects) and received a capsule containing 180 mg of EA per day or placebo for 8 weeks, respectively. At the beginning and end of the study, demographic information, anthropometric indices, food intake and physical activity, biochemical factors of fasting and two-hour blood sugar, plasma insulin level, glycosylated hemoglobin percentage (HbA1c) and insulin resistance (IR) were measured. Results: At the beginning and end of the study, there was no significant difference between the two groups in terms of anthropometric indices, food intake and physical activity ( P >0.05). At the end of the study, receiving EA in the intervention group significantly reduced fasting and two-hour blood sugar means, plasma insulin levels, HbA1c percentage, and IR levels compared with placebo group ( P <0.05). Conclusion: EA supplementation can be helpful as a dietary antioxidant supplement in patients with type 2 diabetes by improving chronic side effects. This may be due to the antioxidant power of this polyphenol.","PeriodicalId":291099,"journal":{"name":"Koomesh journal","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129546638","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}
Koomesh journalPub Date : 2021-09-01DOI: 10.52547/koomesh.23.5.541
Reyhaneh Karimi, M. Nezhadali, M. Hedayati
{"title":"Association of visfatin gene polymorphism rs4730153 with anthropometric characteristics, visfatin level, insulin resistance and lipid metabolism in Iranian diabetic/pre-diabetic population","authors":"Reyhaneh Karimi, M. Nezhadali, M. Hedayati","doi":"10.52547/koomesh.23.5.541","DOIUrl":"https://doi.org/10.52547/koomesh.23.5.541","url":null,"abstract":"Introduction : Visfatin is a pro-inflammatory adipokine that is abundantly expressed in visceral adipose tissue. The cytokine visfatin is increased in obesity and type 2 diabetes. Visfatin is an insulin-mimetic adipokine that may also play a role in the development of diabetes and inflammatory reactions. The aims of the present study were to investigate the association of visfatin gene polymorphism rs4730153 with anthropometric characteristics, visfatin level, insulin resistance and lipid metabolism in an Iranian diabetic/pre-diabetic population. Materials and Methods : This case-control study was conducted on 70 participants with pre-diabetes/diabetes and 70 participants as a control group. Serum levels of insulin and visfatin were measured using ELISA kits and other parameters were determined by standard methods. The genotyping was performed by polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) method. Results: The results showed no significant differences in the levels of cholesterol, insulin, visfatin between diabetic and non-diabetic subjects ( P >0.05). Regression analysis of genotypes showed that rs4730153 polymorphism is not associated with type 2 diabetes ( P >0.05). There was no significant difference in genotype distribution and allelic frequencies between the insulin- sensitive, insulin- resistance, and intermediate groups ( P >0.05). A significant difference in cholesterol levels were observed between patients with different genotypes ( P <0.05). Conclusion: These results indicate that there is no association between visfatin and Type 2 diabetes. There is no significant relation between rs4730153 polymorphism with diabetes and insulin resistance but it has association with lipid metabolism.","PeriodicalId":291099,"journal":{"name":"Koomesh journal","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114663545","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}
Koomesh journalPub Date : 2021-09-01DOI: 10.52547/koomesh.23.5.654
Shaghayegh Modaberi, M. Shahbazi, N. Naghdi, F. Bagherzadeh
{"title":"Effects of bilateral microinjections of ibotenic acid into neostriatal region and forced exercise on spatial learning and memory and anthropometric characteristics of male rats","authors":"Shaghayegh Modaberi, M. Shahbazi, N. Naghdi, F. Bagherzadeh","doi":"10.52547/koomesh.23.5.654","DOIUrl":"https://doi.org/10.52547/koomesh.23.5.654","url":null,"abstract":"the in of and forced treadmill exercise on anthropometric characteristics and learning and spatial of Materials and Methods : 48 male Wistar rats were randomly divided into six groups: Control, Sham-lesioned, Lesioned, Exercise, Exercise + Sham-lesioned and Exercise + lesioned. Lesion was made by bilateral microinjection of ibotenic acid into neostriatum. The exercise groups were subjected to a protocol of running on a treadmill for four weeks Results: Findings showed that ibotonic acid microinjection significantly decreased learning and spatial memory ( P <0.05). Forced treadmill exercise could get better learning and spatial memory, but it could not significantly improve learning and spatial memory impairment induced by ibotenic acid injection in striatum. On the other hand, four weeks forced treadmill exercise enhanced anthropometric characteristics in lesion group ( P = 0.03). Conclusion: The present results suggest that striatum had a main role on learning and spatial memory, while four forced treadmill exercise could not improve spatial learning and memory impairment induced by ibotenic acid injection in striatum.","PeriodicalId":291099,"journal":{"name":"Koomesh journal","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133220059","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}
Koomesh journalPub Date : 2021-09-01DOI: 10.52547/koomesh.23.5.617
F. Gharibi, J. Jandaghi, E. Moshiri
{"title":"ssessing the performance of comprehensive health care centers in Aradan district based on the national accreditation model","authors":"F. Gharibi, J. Jandaghi, E. Moshiri","doi":"10.52547/koomesh.23.5.617","DOIUrl":"https://doi.org/10.52547/koomesh.23.5.617","url":null,"abstract":"present study conducted to assess the performance of Aradan comprehensive health service centers (Semnan, Iran) based on the national accreditation model. Materials and Methods : Four comprehensive health service centers in the Aradan district participated in this cross-sectional study during fall 1399. The research tool was a checklist consisting of 39 standards and 231 evaluation measures defined in twelve performance dimensions extracted from the national accreditation model to comprehensive health care centers. The study was conducted in two stages of self-assessment and external assessment after educating managers and staff of healthcare canters regarding the nature of accreditation, contents of the assessment tool and method of completing it. The performance level of healthcare centers was determined based on compliance of accreditation requirements, which is embedded in the used model. In this regards, the scores of 1, 0.5 and 0 were allocated to \"full compliance\", \"partially compliance\" and \"no compliance\" respectively; therefore, the level of compliance of embedded requirements from healthcare centers in each measure, standard and dimension were calculated as a percentage. Results: The compliance rate of comprehensive health service centers with accreditation standards/measures in the “self-assessment” and “external evaluation” are 71.47 and 15.43 percent, respectively. The “community-centered services” dimension with a score of 93.75% and the “service delivery evaluation” dimension with a score of 0, had the highest and lowest performance levels in terms of compliance with accreditation standards in the self-assessment part; while in the external evaluation part, the “service continuity” dimension with 29.63% and the dimensions of “community-centered services”, “quality and safety of services” and “health systems research” with a score of 0, had the highest and lowest level of performance, respectively. Conclusion: The performance of the centers, which took part in this study, has notable weaknesses, which emphasizes the need to design and implement promotional interventions with the participation of experts and process owners.","PeriodicalId":291099,"journal":{"name":"Koomesh journal","volume":"275 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134207003","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}
Koomesh journalPub Date : 2021-09-01DOI: 10.52547/koomesh.23.5.599
Seyed Ramesh Kamallan, Khodayar Oshvand, S. Vafaei, S. Khazaei, H. Ranjbar, Fatemeh Mohammadi
{"title":"Effect of sodium bicarbonate mouthwash in preventing the incidence and severity of oral mucositis in patients undergoing chemotherapy","authors":"Seyed Ramesh Kamallan, Khodayar Oshvand, S. Vafaei, S. Khazaei, H. Ranjbar, Fatemeh Mohammadi","doi":"10.52547/koomesh.23.5.599","DOIUrl":"https://doi.org/10.52547/koomesh.23.5.599","url":null,"abstract":"","PeriodicalId":291099,"journal":{"name":"Koomesh journal","volume":"69 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133548813","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}
Koomesh journalPub Date : 2021-09-01DOI: 10.52547/koomesh.23.5.574
Z. Karimi, Shahram Molavynejad, Simin Jahani, M. Rashidi, A. Saki Malehi
{"title":"Effect of pain control algorithm on pain intensity and duration of patients' connection to the ventilator","authors":"Z. Karimi, Shahram Molavynejad, Simin Jahani, M. Rashidi, A. Saki Malehi","doi":"10.52547/koomesh.23.5.574","DOIUrl":"https://doi.org/10.52547/koomesh.23.5.574","url":null,"abstract":"levels of high of the duration of connection to the ventilator. study to evaluate the effect of on and duration of to Materials and Methods : This clinical trial was conducted on 396 patients undergoing mechanical ventilation conveniently recruited from intensive care units of teaching hospitals affiliated to Ahvaz Jundishapur University of Medical Sciences (Ahvaz, Iran) from August 2017 to June 2016. Participants were allocated to the intervention (n=198) and control (n=198) groups through permuted block randomization. Block size was four. In the experimental group, pain intensity was measured daily for 10 days using pain behavioral instrument and pain relief was performed based on pain control algorithm. In addition, the two groups were examined daily by a researcher-made checklist for weaning criteria from the ventilator for 10 days. Results: In the experimental group, pain intensity started to decrease from the first day of intervention ( P <0.0001). The connection time to the ventilator was also reduced and this difference was statistically significant compared to the control group ( P <0.0001). this study showed that the use of pain control algorithm could lead to better pain management and reduce the duration of ventilator connection in patients admitted to intensive care units. However, to increase clinical utility and to achieve more targeted pain treatment, more focus on implement an algorithm and reassessment of patients’ pain is needed.","PeriodicalId":291099,"journal":{"name":"Koomesh journal","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126946229","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}