OTHERS_CITABLE The Role of Continuous Education in Decreasing Unnecessary Transfers to Emergency Department by Emergency Medical Services; a Before-After Study Emergency medical services (EMS) staff can play an important role in reducing emergency department (ED) overcrowding by decreasing unnecessary transfers. The present study was designed to evaluate the role of continuous education of EMS staff in decreasing the unnecessary transfers to ED. In this before-after study, analysis of 1500 EMS calls according to transferred and not transferred patients to ED was done and an educational package consisting of indications for transferring patients to ED based on existing references was prepared. EMS staff underwent an educational course by mentioned package and data of patients’ transportation after training was gathered and compared to the period before training. 3000 calls to pre-hospital emergency service were evaluated (1500 cases before and 1500 cases after training). The number of cases not transferred by EMS increased from 243 (16.2%) cases before training to 461 (30.7%) after that and the decreasing number of transfers to ED after training was significant (p<0.001). The highest percentage of decrease in transfer to ED belonged to complaints of lower back pain with 45%, mental problems with 27.7%, and direct extremity trauma with 23.4%, respectively. Patients not transferred to ED on the first call to EMS and coming with daily to ED during one week from the first call with the same complaint decreased from 13.6% (33 cases) to 8% (40 cases) after training. The highest percentage of the delayed coming patient to ED during 1 week after the first call to EMS belonged to cardiac complaints with 4.6% and mental complaints with 2.4%. Based on the findings of the present study, empowering pre-hospital emergency staff by continuous education leads to a 14.5% decrease in unnecessary referral cases and a 5.6% drop in unnecessary visits in ED. http://jrhms.thums.ac.ir/article-1-31-en.pdf 2021-12-22 1 6 Emergency medical dispatch Emergency medical services Triage Patient safety Crowding Hossein Dinpanah 1 Torbat Heydariyeh University of Medical Sciences AUTHOR Elham Azmoude 2 Torbat Heydariyeh University of Medical Sciences AUTHOR Ali Izadi 3 Health Sciences Research Center, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran. AUTHOR Mostafa Kamali 4 Torbat Heydariyeh University of Medical Sciences AUTHOR Reza Ghasemi 5 Torbat Heydariyeh University of Medical Sciences AUTHOR Farimah Beheshti 6 Torbat Heydariyeh University of Medical Sciences AUTHOR Samaneh Kakhki 7 Torbat Heydariyeh University of Medical Sciences AUTHOR Seyed Reza Khatibi 8 Torbat Heydariyeh University of Medical Sciences AUTHOR
OTHERS_CITABLE ندارد http://jrhms.thums.ac.ir/article-1-29-fa.pdf 2021-12-22 7 16 The worldwide challenge of COVID-19 patient overload on hospitals: A modelling, meta-analysis-based study Since a huge load of infected incoming people in the time of COVID-19 needs to be managed in medical facilities, estimation of the load extent of the outbreak and design of the facilities accordingly, can help the authorities to be equipped for such challenges. The basic reproduction number (R0) was obtained from a random-effects model in the meta-analysis procedure. The cumulative death numbers (CDN) were then estimated using the cubic curve estimations, which in turn, was based to estimate the required beds in each country. The shortages of beds were calculated from the difference between the available and required beds. Finally, a multiple barriers strategy was proposed according to epidemiological parameters to decrease patient overload during the outbreaks. The mean pooled R0 was found to be 3.04 (95%CI: 2.62-3.45). The correlation coefficients for the cubic curve estimations for different countries were 0.97-0.99. From hospital beds shortage standpoint, the results showed that Australia, South Korea, and Turkey are in a better position relative to other countries studied. However, Italy, Spain, France, the USA, and the UK will experience limitations if no action be taken to prevent COVID-19 from spreading. If the exponential growth of infection remains for the next weeks, the related authorities should consider much more hospital beds (as well as related supplementary equipment and medical-based staff) for COVID-19 infected cases. Although the considerable changes in the medical-based footprints can allocate the side effects of the challenge, it seems that we need to refine our frameworks to prevent or minimize, at least, the life losses. http://jrhms.thums.ac.ir/article-1-29-en.pdf 2021-12-22 7 16 COVID-19 Hospital beds Critical Care Beds Modelling Meta-analysis Maryam Foroughi maryam_foroghi88@yahoo.com 1 Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran AUTHOR Edris Bazrafshan ed_bazrafshan@yahoo.com 2 Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran AUTHOR Behnaz Alafchi 3 Hamedan Heydariyeh University of Medical Sciences, Hamedan , Iran AUTHOR Mohammad Sarmadi msarmadi2@gmail.com 4 Torbat Heydariyeh University of Medical Sciences AUTHOR Sedighe Abbaspour abbaspours1@thums.ac.ir 5 Torbat Heydariyeh University of Medical Sciences AUTHOR
OTHERS_CITABLE مصرف سیاه دانه در دوران شیردهی باعث افزایش میزان سرمی پرولاکتین در رت های دارای تیروئید و بدون تیروئید می شود مقدمه: Nigella sativa (NS) در طب عامیانه پیشنهاد شده است که در دوران شیردهی اثرات مفیدی خواهد داشت. این مطالعه به منظور بررسی اثرات تغذیه با عصاره هیدروالکلی NS در طی شیردهی بر سطح پرولاکتین مادران و افزایش وزن فرزندان پروپیل تیوراسیل (PTU) ناشی از موشهای هیپوتیروئید و یوتیروئید انجام شد. روش ها: چهل موش صحرایی باردار به طور تصادفی به 8 گروه تقسیم شدند و تحت درمان قرار گرفتند: (1) آب آشامیدنی معمولی به عنوان یک گروه کنترل. (2) 0.005٪ PTU در آب آشامیدنی ؛ (3-5) 100 ، 200 یا 400 میلی گرم در کیلوگرم عصاره آبی الکلی NS: عصاره به میزان 100، 200 و 400(6-8) میلی گرم در کیلوگرم  در آب آشامیدنی بدون PTU. مادران از روز اول پس از زایمان از طریق دوره شیردهی درمان های آزمایشی را دریافت کردند. فرزندان تا دو ماه اول زندگی خود به درمان های آزمایشی ادامه دادند. ده فرزند پسر از هر گروه به طور تصادفی انتخاب و در روزهای 10 ، 30 و 60 پس از زایمان وزن شدند. برای تعیین سطح هورمون تحریک کننده تیروئید (TSH) ، تیروکسین و پرولاکتین ، نمونه خون از مادران پس از دوره شیردهی جمع آوری شد. در روز 60- پس از زایمان ، نمونه خون از فرزندان برای اندازه گیری سطح تیروکسین سرم جمع آوری شد. یافته ها: PTU غلظت تیروکسین سرم مادران و سدهای آنها را در مقایسه با گروه شاهد کاهش داد (001/0> P) که با عصاره گیاه بهبود یافت (001/0> P). از نظر غلظت TSH اختلاف معنی داری بین دو گروه مشاهده نشد. از نظر طول دوره شیردهی و همچنین از نظر سطح پرولاکتین سرم بین PTU و گروه کنترل تفاوت معنی داری وجود نداشت. تمام دوزهای عصاره گیاه باعث افزایش مدت دوره شیردهی هر دو موش هیپوتیروئید و یوتیروئید در مقایسه با گروه کنترل و PTU که با غلظت پرولاکتین سرم همراه بود (P <0.001). این عصاره همچنین باعث افزایش وزن بدن موشهای صحرایی شد (P <0.01- P <0.001). نتیجه گیری: در مطالعه حاضر ، وضعیت هیپوتیروئید ناشی از PTU در طول دوره شیردهی نشان داد که سطح پرولاکتین سرمی تغییر نمی کند. تجویز عصاره NS در طول دوره شیردهی باعث بهبود غلظت پرولاکتین در موشهای صحرایی کم کاری تیروئید و یوتیروئید ، دوره شیردهی طولانی مدت و افزایش وزن فرزندان شد. http://jrhms.thums.ac.ir/article-1-28-fa.pdf 2021-12-22 17 23 سیاه دانه پروپیل تیو یوراسیل کم کاری تیروئید پرولاکتین Feeding of Nigella sativa during lactation improved serum prolactin level of hypothyroid and euthyroid rats This study was done to investigate the effects of feeding by the hydro-alcoholic extract of Nigella sativa (NS) during lactation on prolactin level of mothers and weight gain of offspring in propylthiouracil (PTU) induced- hypothyroid and euthyroid rats. Forty pregnant rats were randomly divided into 8 groups and treated by: (1) Normal drinking water as a control group; (2) 0.005% PTU in drinking water; (3-5) 100, 200, or 400 mg/kg hydro-alcoholic extract of NS plus PTU (6-8) 100, 200 or 400 mg/ kg of the plant extract in drinking water without PTU. Mothers received the experimental treatments from the first day after delivery through the lactation period. The offspring continued to receive the experimental treatments up to the first two months of their life. PTU decreased serum thyroxin concentration of mothers and their dams compared to the control ones (P<0.001) which improved by the plant extract (P<0.001). There was no significant difference between the groups in TSH concentration. There was no significant difference between PTU and control groups in the duration of the lactation period and also in serum prolactin level. All doses of the plant extract increased the duration of lactation period of both hypothyroid and euthyroid rats compared to both control and PTU groups which were accompanied by serum prolactin concentration (P<0.001). The extract also increased the body weight gain of offspring rats (P < 0.01- P<0.001). In the present study we showed hypothyroid status induced by PTU during the lactation period did not change serum prolactin level. Administration of NS extract during lactation period improved prolactin concentrations in both hypothyroid and euthyroid rats, prolonged lactation period, and improved weight gain of the offspring. http://jrhms.thums.ac.ir/article-1-28-en.pdf 2021-12-22 17 23 Nigella Sativa Propylthiouracil Hypothyroid Lactation Prolactin. Hossein Bakhtiari-Dovvombaygi hs.bakhtiari1998@gmail.com 1 Mashhad University of Medical Sciences AUTHOR Saeideh Saadat saadats@zaums.ac.ir 2 Zahedan University of Medical Sciences AUTHOR Farimah Beheshti beheshtif1@thums.ac.ir 3 Torbat HeydariyehUniversity of Medical Sciences AUTHOR
OTHERS_CITABLE بررسی شیوع عوارض مرتبط با بیماری دیابت در مراجعه کننده به بیمارستانهای شهرستان تربت حیدریه در سال 96،97 بیماری دیابت به عنوان یکی از بزرگترین چالش­های بهداشت عمومی در جهان با چندین عارضه مزمن، همراه است. به دلیل تغییرات عمده­ای در اغلب ارگان­های بدن ایجاد می­کند باعث بروز عوارض زودرس و یا دیررس می­شود و عمده ترین هزینه ها به دلیل مراقبت­های بستری در معالجه عوارض دیابت گزارش شده است. باتوجه به اهمیت شیوع دیابت و عوارض آن و از آنجا که تاکنون مطالعه­ای در خصوص شیوع عوارض بیماری دیابت در شهرستان تربت حیدریه انجام نگرفته است لذا پژوهش حاضر با هدف" بررسی عوارض بیماری دیابت در بیماران مراجعه کننده به بیمارستان­های تربت حیدریه در سال 96،97" انجام شد. این مطالعه مقطعی بر روی 250 پرونده بیماران دیابتی بستری شده در بیمارستان آموزشی شهرستان تربت حیدریه انجام شده اطلاعاتی دموگرافیک و همچنین عوارش ناشی از بیمار دیابت از پرونده بیماران استخراج و جهت تجزیه و تحلیل از نرم افزار SPSS و از روش­های آماری توصیفی و تحلیلی استفاده شد. نتایج این مطالعه نشان می­دهد بیشترین عارضه تشخیص داده شده عارضه گردش خون(5/41%) و کمترین عارضه عصبی(4%) بود.بین متغیر نوع عارضه بیماری دیابت با متغیرهای جنسیت، سن، وضعیت تأهل و نوع دیابت بیمار رابطه معنی داری بدست آمد(05/0>p). اما بین متغیر نوع عارضه بیماری دیابت با متغیرهای شغل، محل سکونت و قند خون ناشتا رابطه­ی معنی داری وجود نداشت. با ارائه آموزشهای مناسب به بیمار و خانواده آنها می توان باعث کنترل سطح قند خون شد که بار عوارض دیابت را درکشور به شدت کاهش می­دهد. http://jrhms.thums.ac.ir/article-1-27-fa.pdf 2021-12-22 24 30 شیوع بیماری دیابت عوارض مرتبط با دیابت The Prevalence of Diabetes-Related Complications in Patients Referred to Hospitals in Torbat Heydariyeh, Iran, in 2018-2019 Diabetes mellitus (DM), as one of the cumbersome challenges facing public health worldwide, is characterized by numerous chronic complications. Concerning major changes occurring in most organs of the body, this condition gives rise to early or late complications, so that the overall costs of healthcare in this respect have been mostly reported for hospitalization as well as treatment and care for the disease and its complications. Given the prevalence of DM and its complications and the fact that no surveys have been so far conducted on the prevalence of DM-related complications in Torbat Heydariyeh, Iran. This study aimed to reflect on DM-related complications in patients referred to the hospitals located in Torbat Heydariyeh, Iran, in 2018-2019. This cross-sectional study was performed on 250 medical records of patients with DM admitted to 9-Dey Education Hospital in this city. For this purpose, the demographic characteristics information, as well as the complications caused by DM, was extracted from the patients’ medical records. The data were further analyzed using the SPSS Statistics software 20 including descriptive and analytic methods. The study results suggested that the most frequent DM-related complication was observed for circulatory system diseases (41.5%) and the least frequent one was about neurotic disorders (4%), respectively. There was also a significant relationship between the type of complication and the variables of gender, age, marital status, and type of DM (p<0.05). Nevertheless, no significant difference was found between the variable of the type of complication and the variables of occupation, place of residence, and fasting blood sugar levels. Ultimately, it was concluded that providing patients and their families with appropriate training could help them control blood sugar levels, which could significantly reduce DM-related complications. http://jrhms.thums.ac.ir/article-1-27-en.pdf 2021-12-22 24 30 Prevalence Diabetes Mellitus Diabetes Mellitus-Related Complications Nayyereh Kasiri kasirin1@thums.ac.ir 1 Department of Public Health, School of Health, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran AUTHOR Somaye Barzanouni 2 Department of Public Health, School of Health, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran AUTHOR Seyedeh Nahid Seyedhasani 3 Department of Health Information Technology, School of Paramedical Sciences, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran AUTHOR
OTHERS_CITABLE Soil contamination with Toxocara spp. eggs in the public parks and primary schools of Kermanshah, west of Iran Toxocariasis is a common parasitic infection in the world that is caused by the larvae stage of two members of the family Ascarididae, Toxocara canis and Toxocara cati. The main source of soil contamination with Toxocara eggs is dogs' and cats' faces. The soil, where Toxocara eggs become infective, is the natural source of infection. This study was carried out to determine the rate of soil contamination with Toxocara spp. eggs in primary schools and public parks in Kermanshah city, Western Iran. This survey was conducted from September 2014 to January 2015 in Kermanshah city, West of Iran. A total of 192 soil samples were collected from different parks and primary schools, 24 parks, and 24 primary schools, of six regions. Soil samples were investigated for the presence of Toxocara eggs by flotation technique using sucrose solution and examined under a light microscope using 10X and 40X objectives. Out of 192 soil samples, 56 (29.2%) were found to contain Toxocara spp. eggs. Toxocara eggs were observed in 21(87.5%) out of 24 studied parks and 11(45.8%) out of 24 studied primary schools. Forty-three (44.8%) out of 96 samples from public parks and 13(13.5%) out of 96 samples from primary schools were found to contain Toxocara eggs. Data analysis through the chi-square test revealed that there is a significant relationship in the contamination rate between parks and primary schools (P<0.001). The results of this study illustrate that Toxocara spp. are common parasites in the soil in the public parks and primary schools in Kermanshah. Thus, soil contamination with Toxocara eggs can be regarded as a potential health problem in this city. http://jrhms.thums.ac.ir/article-1-26-en.pdf 2021-12-22 31 35 Soil Toxocara Iran Flotation technique Mohammad Reza Rezaiemanesh rezaimanesh@gmail.com 1 Department of Laboratory Sciences, School of Paramedical Sciences, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran. AUTHOR Mohammad Reza Vafaei mohammad_reza1368@yahoo.com 2 Department of Parasitology and Mycology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran AUTHOR Zahra Jabalameli z.jabalameli@yahoo.com 3 Department of Laboratory Sciences, School of Paramedical Sciences, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran AUTHOR Mohammad Falahati falahati.1982@gmail.com 4 Department of Parasitology and Mycology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran AUTHOR Mohsen Ghomashlooyan mgn1370@yahoo.com 5 Department of Parasitology and Mycology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran AUTHOR Mohammad Ali Mohaghegh mohaghegh1982@yahoo.com 6 Department of Laboratory Sciences, School of Paramedical Sciences, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran AUTHOR
OTHERS_CITABLE بررسی وضعیت آسیب‌های اجتماعی در مراجعین به اداره پیشگیری و ساماندهی آسیب دیدگان اجتماعی شهر شیراز در سال 1395 مقدمه: آسیب­های  اجتماعی به عنوان یک تهدید، سلامت افراد جامعه را با چالش جدی مواجه کرده است. لذا پژوهش حاضر با هدف بررسی وضعیت آسیب‌های اجتماعی در مراجعین به اداره پیشگیری و ساماندهی آسیب دیدگان اجتماعی شهر شیراز انجام گرفت. روش: در این مطالعه مقطعی به صورت سرشماری اطلاعات 5289 نفر که توسط تیم‌های اداره پیشگیری و ساماندهی آسیب دیدگان اجتماعی شهر شیراز طی سال 1395 از سطح شهر جمع‌آوری و یا به صورت خود معرف به این مرکز مراجعه کرده بودند، از طریق یک فرم محقق ساخته جمع‌آوری گردید. تحلیل داده­ها با استفاده آزمون‌ کای - دو و با کمک نرم افزار SPSS  انجام شد. یافته­ها: نتایج نشان داد از این تعداد 3950 (7/74%) نفر مرد، 813 (4/15%) نفر زن و 526 (9/9%) نفر افراد زیر 15 سال بودند. نتایج مطالعه نشان داد که 4827 (3/91%) نفر ایرانی، 320 (1/6%) نفر تبعه افغانستان و 142 (7/2%) نفر تبعه کشور پاکستان بودند. از کل افراد وارد شده به این مرکز 1435 (1/27%) نفر با اخذ تعهد آزاد، 556 (5/10%) نفر معرفی به واحد اشتغال و 1652 (2/31%) نفر به مراکز بازپروری معرفی شده‌اند. نتیجه گیری: با توجه به این­که بحث آسیب‌های اجتماعی به یکی از مهم‌ترین چالش­های بزرگ درسال های اخیر تبدیل شده است و این وضعیت می تواند بر وضعیت سلامت جسمی و روانی افراد جامعه تأثیر سوء داشته باشد، برخورد سازمان یافته و علمی با این موضوع ضروری است.   http://jrhms.thums.ac.ir/article-1-24-fa.pdf 2021-12-22 36 40 آسیب اجتماعی اپیدمیولوژی شیراز Investigation of Social Harm in Clients Referred to the Department of Prevention and Rehabilitation of the Social Hurt in Shiraz in 2016 As a threat, social harm imposes a serious challenge to the health of individuals in the community. The purpose of this study was to investigate the status of social harm in clients referred to the Department of Prevention and Rehabilitation of the social hurt in Shiraz. 5289 individuals who had been brought to or referred to the center by the teams of Prevention and Rehabilitation in the city of Shiraz in 2016 participated in this cross-sectional study. The data were collected through a researcher-made form. Data analysis was performed using the chi-square test and SPSS software. The results showed that 3950 (74.7%) participants were male adults, 813 (15.4%) were female adults and 526 (9.9%) were under 15 years old. The findings showed that 4827 (91.3%) participants were Iranian, 320 (6.1%) were Afghan and 142 (2.7%) were Pakistani. And finally, from the total number of people admitted to the center, 1435 (27.1%) individuals were freed on parole, 556 (10.5%) were referred to the recruitment unit, and 1652 (31.2%) were referred to rehabilitation centers. Given that the issue of social harm has become one of the most important challenges in recent years and this situation can adversely affect the physical and mental health of individuals in the community, there is a need for an organized and scientific approach accordingly. http://jrhms.thums.ac.ir/article-1-24-en.pdf 2021-12-22 36 40 Social harm Epidemiology Shiraz Seyyedhamid Hoseini hamidhoseini47@yahoo.com 1 Vice Chancellery of Student And Cultural Affairs, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran AUTHOR Mohammad Ghorbani Ghorbanim1@thums.ac.ir 2 Department of Public Health, School of Health, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran AUTHOR Somayeh Barzanouni s.barzanouni@gmail.com 3 Health Sciences Research Center, Torbat Heydariyeh University of Medical Sciences, Torbate Heydariyeh, Iran AUTHOR Seyyed Mehdi Hashemi hashemi.seyyedmehdi@yahoo.com 4 Islamic City Council of Shiraz, Shiraz, Iran AUTHOR Hekmat Alla Moradi Mogarmoon hamidhoseini951@gmail.com 5 PHD student of of Health in disasters and Emergencies, Department of Healthcare Services Management, School of Management and Medical Information Health Human Resources Research Center.Shiraz University of Medical Science, Iran AUTHOR
OTHERS_CITABLE اثربخشی رفتاردرمانی دیالکتیک (DBT) بر سطح سروتونین خون و تنظیم شناختی هیجانی در مصرف کنندگان مواد مخدر زمینه : سوء مصرف مواد مخدر منجر به مشکلات جسمی و روانی می شود. با توجه به پیامدهای منفی و فزاینده اختلال سوء مصرف مواد مخدر در جامعه و اهمیت این موضوع، به بررسی اثربخشی درمانهای روانشناختی در کاهش اختلال سوء مصرف مواد بر روی آن پرداخته شد.  هدف: این مطالعه با هدف اثربخشی درمان رفتاری دیالکیک بر سطوح سروتونین خون و تنظیم شناختی هیجانی در مصرف کنندگان مواد مخدر انجام شد. روش بررسی: این مطالعه یک مطالعه شبه تجربی با گروه کنترل و طراحی پیش آزمون- پس آزمون بود. جمعیت آماری شامل تمام مردان دارای سوء مصرف مواد مخدر مراجعه کننده به کلینیک سوء مصرف مواد مخدر بزرگسالان تربت حیدریه بود که 40 نفر از آنها به روش نمونه گیری تصادفی ساده برای گروه آزمایش (DBT) و یک گروه کنترل انتخاب شدند. گروه آزمایش به مدت 10 جلسه 90 دقیقه در هفته آموزش دیده بودند اما گروه کنترل در لیست انتظار قرار داشت و هیچ آموزشی دریافت نمی کرد. پرسشنامه جمعیت شناختی، پرسشنامه تنظیم شناختی هیجان توسط گرانفسکی و سطوح سرمی سروتونین در آزمایشگاهی برای جمع آوری داده ها قبل و بعد از مداخله مورد استفاده قرار گرفت. داده ها با استفاده از تحلیل کوواریانس در نرم افزار SPSS 24 مورد تجزیه و تحلیل قرار گرفتند. یافته ها: نتایج تحلیل کوواریانس چند متغیره نشان داد که در گروه های درمان رفتاری دیالکتیک، مداخله بر تنظیم شناختی هیجانی و سروتونین خون تأثیر معنی داری بر پس آزمون داشت (p <0.05). نتیجه گیری: با توجه به یافته های پژوهش، درمان رفتاری دیالکتیکی در بالا بردن سروتونین خون و تنظیم شناختی هیجانی در مصرف کنندگان مواد موثر بود.   http://jrhms.thums.ac.ir/article-1-23-fa.pdf 2021-12-22 41 47 رفتار درمانی دیالکتیکی سطح سروتونین خون تنظیم شناختی هیجانی سوء مصرف مواد مخدر Effectiveness of dialectical behavior therapy (DBT) on blood serotonin levels and cognitive emotional regulation in drug abusers Drug abuse leads to physical and psychological problems. Considering the negative and increasing consequences of drug abuse disorder in the community and the importance of this issue, we decided to investigate the efficacy of psychological therapies on reducing drug abuse disorder. This study aimed at the efficacy of dialectical behavioral therapy on blood serotonin levels and cognitive-emotional regulation among drug abusers. It was a quasi-experimental study with a pretest-posttest design and control group. The statistical population consisted of all men with drug abuse referring to Torbat Heydariyeh Adult Drug Abuse Clinic, 40 of whom were selected by simple random sampling for the experimental group (DBT) and a control group. The experimental group was trained for 10 sessions of 90 minutes per week, but the control group was on the waiting list and received no training. Demographic questionnaire, cognitive emotion regulation questionnaire was developed by Granefski and in vitro serum levels of serotonin were used for data collection before and after the intervention. Data were analyzed using the analysis of covariance in SPSS 24 software. The results of multivariate analysis of covariance showed that in the groups of dialectical behavioral therapy, intervention on cognitive-emotional regulation and blood serotonin had a significant effect on post-test (P <0. 05). According to the findings, dialectical behavioral therapy was effective in elevating blood serotonin and cognitive-emotional regulation among drug abusers. http://jrhms.thums.ac.ir/article-1-23-en.pdf 2021-12-22 41 47 Dialectical behavioral therapy Blood serotonin level Cognitive emotional regulation Drug abuse Abbas Ghodrati ghodratita171@yahoo.com 1 Department of Nursing, School of Nursing and Midwifery, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran AUTHOR Javad Rajab Zadeh ghodratita171@yahoo.com 2 Department of Nursing, School of Nursing and Midwifery, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran AUTHOR Anahita Zandi 3 Department of Nursing, School of Nursing and Midwifery, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran AUTHOR Iman Seyyedmoharami 4 PhD student in conseling, Departement of conseling and Educational Psychology, Faculty of Educational Sciences and Psychology, Ferdowsi University of Mashhad, Mashhad, Iran AUTHOR Mohamad Reza Mishmast 5 Department of Nursing, School of Nursing and Midwifery, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran AUTHOR
OTHERS_CITABLE فاکتورهای تاثیر گذار بر بقای بیماران سرطان سینه مراجعه کننده به جهاد دانشگاهی تهران با استفاده از مدل شفا http://jrhms.thums.ac.ir/article-1-22-fa.pdf 2021-12-22 48 54 Factors Affecting the Survival of Patients with Breast Cancer Referring to the Motamed Cancer Institute, ACECR Tehran Using the Cure Model Breast cancer is the most common cancer among women. This study aimed to determine the disease-free survival and its prognostic factors among Iranian patients. In this longitudinal study, 559 cases of breast cancer were studied. The subjects were registered in Motamed Cancer Institute, Tehran, Iran, during the period 1997-2007 and were followed up to 2013. The data were analyzed using STATA version 11 software. The results of this study showed that lymph node involvement and tumor size were associated with disease-free survival time. The group with lymph nodes involvement had an odds of survival 55%   lower than the other group (P = 0.01). With one unit increase in the tumor size, the odds of survival decreased by 53% (P < 0.001). Level of education, type of surgery, ER, and age was not identified as prognostic factors. The impact of lymph node involvement and tumor size on survival is verifying the importance of early detection of the disease, the need for awareness of women and the implementation of screening programs in this regard. http://jrhms.thums.ac.ir/article-1-22-en.pdf 2021-12-22 48 54 breast cancer cure model disease free survival Mahbubeh Abdollahi abdollahim2@thums.ac.ir 1 Department of Public Health, School of Health, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran. AUTHOR Fatemeh Zahra Karimi abdollahim2@thums.ac.ir 2 Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. AUTHOR Zeynab Avazzadeh abdollahim2@thums.ac.ir 3 , School of Health, Kerman University of Medical Sciences, Kerman, Iran. AUTHOR