Zahedan Journal of Research in Medical Sciences最新文献

{"title":"Tubo-Ovarian Abscess Following Normal Vaginal Delivery: A Case Report","authors":"Rasoul Sarmadi, Maryam Nasiri, Fatemeh Montazer, Farahnaz Farzaneh","doi":"10.5812/zjrms-140370","DOIUrl":"https://doi.org/10.5812/zjrms-140370","url":null,"abstract":"Introduction: Pelvic inflammatory disease (PID) is defined as an acute and subclinical infection of the upper genital system, including the uterus, fallopian tubes, ovaries, and ligaments. It can lead to various complications, such as salpingitis, endometritis, oophoritis, perihepatitis, peritonitis, and tubo-ovarian abscess (TOA). Case Presentation: In our case, a 22-year-old Afghan woman presented with generalized pain in the abdomen and pelvis, accompanied by vaginal discharge and fever, following 17 days of normal vaginal delivery (NVD) and septic shock. She had no previous history of PID. Abdominal ultrasonography revealed a significant amount of free fluid in the paracolic grooves and pelvis, along with a perforated mass on the right adnexa. As a result, she underwent laparotomy and right adnexectomy. A 10-day course of meropenem and vancomycin was prescribed, and the woman was discharged with oral antibiotics. Conclusions: Tubo-ovarian abscess following NVD is a rare condition that can occur in patients with preterm premature rupture of membranes (PPROM) and episiotomy. Therefore, it is essential to prescribe antibiotics in cases involving episiotomy and rupture of the membranous.","PeriodicalId":292747,"journal":{"name":"Zahedan Journal of Research in Medical Sciences","volume":"77 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139959817","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":"Effectiveness of Positive Therapy in Emotion Regulation and Distress Tolerance in Patients with Coronary Heart Disease","authors":"Soheila Radmehr, Mohsen Jadidi, Morteza Golestanipour","doi":"10.5812/zjrms-142671","DOIUrl":"https://doi.org/10.5812/zjrms-142671","url":null,"abstract":"Background: Cardiovascular diseases are among the most common chronic diseases. The role of heart attacks in death and the shortening of life is considered one of the most emotionally and psychologically influential diseases among individuals; therefore, the use of psychological and medical treatments for this group of patients is emphasized. Objectives: The present study sought to assess the effectiveness of positive therapy in emotion regulation and distress tolerance in patients with coronary heart disease. Methods: The present study used quasi-experimental designs of pre-test and post-test followed up with a control group. The sample of this study included 45 subjects with coronary heart disease who were selected using available sampling in 2023. The distress tolerance questionnaire developed by Sevens and Gaher (2005) and the emotion regulation questionnaire developed by Granfsky et al. (2001) were used to collect the data in this study. Multivariate analysis of variance (MANOVA) was used to analyze the data, and SPSS software (version 26) was used to carry out statistical analyses. Results: There was a statistically significant difference (0.05) in emotion regulation and distress tolerance in patients with coronary heart disease between the experimental and control groups. Conclusions: Positive therapy can be inferred to be an effective intervention method for enhancing emotion regulation and distress tolerance in patients with coronary heart disease.","PeriodicalId":292747,"journal":{"name":"Zahedan Journal of Research in Medical Sciences","volume":"136 19","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139780734","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":"Effectiveness of Positive Therapy in Emotion Regulation and Distress Tolerance in Patients with Coronary Heart Disease","authors":"Soheila Radmehr, Mohsen Jadidi, Morteza Golestanipour","doi":"10.5812/zjrms-142671","DOIUrl":"https://doi.org/10.5812/zjrms-142671","url":null,"abstract":"Background: Cardiovascular diseases are among the most common chronic diseases. The role of heart attacks in death and the shortening of life is considered one of the most emotionally and psychologically influential diseases among individuals; therefore, the use of psychological and medical treatments for this group of patients is emphasized. Objectives: The present study sought to assess the effectiveness of positive therapy in emotion regulation and distress tolerance in patients with coronary heart disease. Methods: The present study used quasi-experimental designs of pre-test and post-test followed up with a control group. The sample of this study included 45 subjects with coronary heart disease who were selected using available sampling in 2023. The distress tolerance questionnaire developed by Sevens and Gaher (2005) and the emotion regulation questionnaire developed by Granfsky et al. (2001) were used to collect the data in this study. Multivariate analysis of variance (MANOVA) was used to analyze the data, and SPSS software (version 26) was used to carry out statistical analyses. Results: There was a statistically significant difference (0.05) in emotion regulation and distress tolerance in patients with coronary heart disease between the experimental and control groups. Conclusions: Positive therapy can be inferred to be an effective intervention method for enhancing emotion regulation and distress tolerance in patients with coronary heart disease.","PeriodicalId":292747,"journal":{"name":"Zahedan Journal of Research in Medical Sciences","volume":"28 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139840596","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":"Etiology and Antibiotic Susceptibility Pattern of Community-Acquired Sepsis in Isfahan, Iran: Impact on Empiric Antibiotic Treatment","authors":"Sayed Nassereddin Mostafavi Esfahani, S. Rostami, Narges Kakaei, Roya Kelishadi","doi":"10.5812/zjrms-140006","DOIUrl":"https://doi.org/10.5812/zjrms-140006","url":null,"abstract":"Background: Sepsis is a significant cause of morbidity and mortality in humans. Understanding the common pathogens and the antibacterial susceptibility patterns of infections in each region is invaluable for effectively treating this life-threatening condition. Objectives: We studied the etiology and antibiotic susceptibility patterns of community-acquired sepsis in 3 large hospitals in Isfahan, Iran. Methods: Clinical data were extracted from patients' medical files. Bacteria were identified by standard tests, and the data on antimicrobial susceptibility patterns were obtained from the WHONET database software. Results: Among 480 patients, Escherichia coli (26.3%), Klebsiella species (22.7%), and Staphylococcus aureus (14.8%) were the most frequent isolates. The susceptibility patterns of gram-negative isolates to various antibiotics were as follows: imipenem (92.4%), meropenem (78.6%), amikacin (76.4%), gentamicin (72.2%), and ciprofloxacin (66.5%). The sensitivity of these isolates to meropenem, amikacin, and cefepime was more remarkable in females. The sensitivity patterns of gram-positive organisms were as follows: linezolid (100%), amikacin (100%), rifampin (100%), teicoplanin (90%), vancomycin (87.5%), gentamicin (81.7%), and trimethoprim-sulfamethoxazole (71.2%). The susceptibility of these organisms to vancomycin was significantly higher in males. Conclusions: Our data suggested that a combination of a carbapenem with linezolid, teicoplanin, or vancomycin is an appropriate empiric therapy in septicemic patients in the area. Besides, in females, linezolid or teicoplanin would be better than vancomycin for inclusion in the initial treatment.","PeriodicalId":292747,"journal":{"name":"Zahedan Journal of Research in Medical Sciences","volume":"132 34","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139004321","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 Causes of Death among Children Aged 1 to 59 Months in Zahedan University of Medical Sciences from 2018 to 2020 Based on ICD-10","authors":"J. Alipour, Ali Aliabadi, A. Karimi","doi":"10.5812/zjrms-141568","DOIUrl":"https://doi.org/10.5812/zjrms-141568","url":null,"abstract":"Background: The child mortality rate is one of the important indicators that is influenced by various factors such as the health, economic, political, and cultural status of societies. Objectives: The purpose of this study is to determine the causes related to the death of children aged 1 to 59 months in Zahedan University of Medical Sciences (ZAUMS) in the years 2018 to 2020 using the 10th edition of the International Classification of Diseases. Methods: The population of this descriptive study was children aged 1 - 59 months who died in the population covered by ZAUMS from 2018 to 2020. The research data were collected from the mortality surveillance system for children aged 1 to 59 months of the Vice-Chancellors for Health and Treatment Affairs of ZAUMS. The data collection tool was a checklist. The collected data was analyzed using descriptive statistics. Results: The death rates of children aged 1 to 59 months in 2018, 2019, and 2020 were 7.6, 7.9, and 6.9 per thousand live births, respectively. The highest percentage of deaths was related to boys ages 1 to 12 months. Most of the deceased were residents of urban areas. The most common causes of death were related to respiratory system diseases, injuries, poisonings, and other specific consequences of external causes, such as congenital malformations, deformations, and chromosomal abnormalities. Conclusions: Educating parents on timely treatment of respiratory system diseases in children, improving the knowledge of families to control accidents and take better care of children in high-risk environments where there is a possibility of burns, respiratory obstruction, poisoning, and drowning, reforming and promoting policies related to genetic screening plans to identify congenital abnormalities during pregnancy, and premarital counseling to prevent high-risk family marriages can improve children's health index.","PeriodicalId":292747,"journal":{"name":"Zahedan Journal of Research in Medical Sciences","volume":"5 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138585072","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":"Self-Care Status in Healthy Women Visiting Health Care Centers in Zahedan, Southeast Iran","authors":"Saeedeh Sarhadi, Mahdiyeh Irandegani, Javad Nikbakht","doi":"10.5812/zjrms-137335","DOIUrl":"https://doi.org/10.5812/zjrms-137335","url":null,"abstract":"Background: Self-care in health is a set of activities undertaken to promote and restore health, prevent disease, and limit illness. Objectives: This study assessed the self-care status of women in Zahedan, southeast Iran. Methods: This cross-sectional study was conducted on 15-60-year-old women in Zahedan. All the women were interviewed by an expert staff to obtain demographic data. In addition, they filled out a self-care assessment questionnaire that had 75 items in 5 dimensions, including physical health, mental and emotional well-being, management priorities, supportive relationships, and meaning. Results: A total of 250 women with a mean age of 40 ± 11.6 years completed the study. The total self-care score was 191.3 ± 44.9. About 64% of the women had an unfavorable self-care score, while only 6.4% and 30% had good and relatively good scores, respectively. There was a direct correlation between age, mental and spiritual well-being (r = 0.618, P","PeriodicalId":292747,"journal":{"name":"Zahedan Journal of Research in Medical Sciences","volume":"152 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139251473","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":"Bacterial Contamination on Reusable Pulse Oximeter Sensors in Intensive Care Units and Its Manual Disinfection by Alcohol and Sodium Hypochlorite","authors":"Noor Us-Sabah, Mubeen Syed Muhammad, Maira Jamal, M. Quddusi, Farheen Ikram Khan, Danish Ahmed Rao","doi":"10.5812/zjrms-135443","DOIUrl":"https://doi.org/10.5812/zjrms-135443","url":null,"abstract":": Nosocomial infections may result from intensive care unit pulse oximeters. The descriptive study examined pulse oximeter sensor microbiological contamination and the efficacy of manual disinfection with alcohol and sodium hypochlorite in five hospital intensive care units. Sixty-eight reusable pulse oximeter sensors were swabbed, cultured, and evaluated after decontamination. In private and public hospitals, 12 (35.2%) and 13 (37.2%) pulse oximeters tested positive for bacteria. Alcohol 70% reduced the microbial load and more than 10% sodium hypochlorite. The study found that purposeful cleaning and disinfection reduce microorganisms. Alcohol was more efficacious than sodium hypochlorite. Critical care facilities should regularly clean reusable pulse oximeter sensors.","PeriodicalId":292747,"journal":{"name":"Zahedan Journal of Research in Medical Sciences","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128363261","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 Cold and Warm Environments on the Response of Antioxidant Capacity and Oxidative Stress to a Prolonged Running Session","authors":"Hossein Ebrahimi Varmaal, R. Delavar, Majid Vahidian-Rezazadeh","doi":"10.5812/zjrms-134111","DOIUrl":"https://doi.org/10.5812/zjrms-134111","url":null,"abstract":"Background: Recent studies have shown that changes in environmental temperature may affect oxidative stress induced by exercise. Objectives: This study aimed to evaluate the effect of a prolonged running session in cold and warm environments on the catalase, malondialdehyde, and saliva total antioxidant capacity of young non-athlete men. Methods: This semi-experimental study had a crossover design. Participants included 10 non-athlete young men aged 16 (±0.32) years, weight 65 (±3.59) kg, and with a BMI of 22.5 (±1.49) kg/m2 who were selected via the purposive sampling method. The exercise protocol included 2400 m of running on the treadmill with 50 to 60% of maximum heartbeat in the first step at 31°C and in the second step in a 15°C environment. Repeated measurement ANOVA was used at P ≤ 0.05 to analyze the data. Results: The results showed that malondialdehyde increased following a long-running session in cold and warm environments. In contrast, catalase and total antioxidant capacity following involvement in cold and warm environments showed no significant change. In addition, no significant difference was observed among the studied variables following involvement in hot and cold environments. Conclusions: Considering the obtained results, it could be mentioned that to fulfill the profitable effects of aerobics exercise, continuous activity is necessary. At the same time, having individual exercise sessions can increase the danger of inducing oxidative stress in non-athlete people without reinforcing anti-oxidative defenses.","PeriodicalId":292747,"journal":{"name":"Zahedan Journal of Research in Medical Sciences","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124434093","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 Two Types of Intense Interval and Resistance Training and Grape Seed Oil on the Expression of Selected Genes Involved in the Oxidation of Free Fatty Acids in the Gastrocnemius and Soleus Muscles of Male Rats","authors":"Mahboubeh Salkhordeh, Khadijeh Nasiri, Rozita Fathi","doi":"10.5812/zjrms-134862","DOIUrl":"https://doi.org/10.5812/zjrms-134862","url":null,"abstract":"Background: This research aimed to investigate the effect of resistance and high-intense interval training and the consumption of grape seed oil on the expression of HADHA, CPT1, and CD36 genes in male rats' gastrocnemius and soleus muscles. Methods: Thirty male Wistar rats (250 ± 25g) were divided into six groups. The resistance training group performed the training in 3 weekly sessions for 8 weeks, and the interval training group performed high-intensity running on a treadmill for eight weeks, 5 sessions a week. The grape seed oil (3.7g/kg) was administered by gavage. The expression of HADH1, CPT1, and CD36 genes was measured in the gastrocnemius and soleus muscles. Results: The results showed that the expression of the CD36 gene increased in the gastrocnemius muscle in the resistance training group (P = 0.043), grape seed oil group (P = 0.042), and grape seed oil plus intense interval training (P = 0.005) group compared to the saline control group. Moreover, the expression of CD36 (P = 0.021) and CPT1 (P = 0.005) genes in the soleus muscle increased in the resistance training plus grape seed oil group compared to the control group. However, the CPT1 expression in the gastrocnemius muscle had no significant difference among all groups. The HADHA expression in the gastrocnemius significantly increased in the resistance training plus grape seed oil group (P = 0.04) compared to the grape seed oil group. However, its expression in the soleus muscle significantly increased in the intense interval training plus grape seed oil group compared to the control group (P = 0.04). Conclusions: It can be concluded that resistance, high-intensity interval training, and the consumption of grape seed oil can be a good combination to provide energy.","PeriodicalId":292747,"journal":{"name":"Zahedan Journal of Research in Medical Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130060295","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":"Gender Disparities in Ankylosing Spondylitis: An Algerian Retrospective Analytical Cohort Study","authors":"Nassima Farah Beldja, Harir Noria, Fathi Ghariani, K. Zemri, Siheme Ouali, Feriel Sellam, Z. Nadji, A. Sehimi, O. Bensaber, Asmaa Mahieddine","doi":"10.5812/zjrms-135113","DOIUrl":"https://doi.org/10.5812/zjrms-135113","url":null,"abstract":"Background: Ankylosing spondylitis (AS) is an inflammatory disease that can impair function and lower quality of life, which causes spinal bone fusion and new bone production. Several studies have been done on the differences in damage between women and men. Objectives: This study aimed to assess the differences between men and women with AS regarding clinical characteristics, structural damage, and treatment used by Algerian patients. Methods: In this study, 292 patients diagnosed with AS at the Hassani Abdelkader Hospital Rehabilitation Department of Sidi Bel Abbes Region between 2018 and 2021 were enrolled. The studied parameters were age, disease duration, age at disease onset, morning stiffness, joint involvements, laboratory data, disease activity, and treatments. All data were processed and analyzed via Excel and SPSS 20.0 (Statistical Package for the Social Sciences, IBM Corporation, Chicago, IL, August 2011). Results: We assessed 166 females and 126 males. The mean age at disease onset was 31.69 ± 10.675 vs. 30.38 ± 10.250 years, and morning stiffness duration was 26.08 ± 26.977 vs. 23.80 ± 26.529 minutes in females and males, respectively. Positive HLA-B27 was noted more in 71.9% of women and 69.6% of men. Also, the female group suffered more from their lumbar (100%) and high inflammation (83.8% elevated erythrocyte sedimentation rate (ESR) and 59.9% positive C-reactive protein (CRP)) rather than females who suffered from a long disease duration (7.28 ± 4.867 vs. 6.74 ± 3.584). Peripheral joints were primarily affected in males than females (knees involvement: 26.4% vs. 3.6% and hips involvement: 69.6% vs. 3%, respectively). In addition, high disease activity was more noted in men (52.8% vs. 41.9%, respectively). The most noted comorbidities, including uveitis, psoriasis, and diabetes, affected more females than males (40% vs. 29.9%, 4.8% vs. 2.4%, and 2.4% vs. 1.2%, respectively). Concerning the treatment, men used more sulfasalazine than women, 86.4% vs. 76%, while women used more Humira than men (88.6% vs. 74.4%, respectively). Conclusions: According to our findings, women had a higher inflammation rate and more damage in their lumbar, requiring more sulfasalazine and Humira treatment than men who suffered from their peripheral joints and higher disease activity.","PeriodicalId":292747,"journal":{"name":"Zahedan Journal of Research in Medical Sciences","volume":"95 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128828887","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}