ORIGINAL_ARTICLE
Cost Analysis of Educational Activities of Graduate Students of Medical School in Independent Hospitals of Iran University of Medical Sciences
Introduction: Expenditure credits are allocated to universities and institutes of higher education every semester based on the number of students and the number of courses, but identifying the actual completed cost of the various courses can help to better allocate scarce resources. The purpose of this study was to determine the cost of educational activities of postgraduate students of medical school in independent hospitals of Iran University of Medical Sciences. Methods: The purpose of this study was to calculate the direct costs of educational services for postgraduate students (MSc and Ph.D.) in the independent medical education centers of Iran University of Medical Sciences in the academic year 2018-2019. After identifying the cost headings, interviews were conducted with vice chancellors for education, department chairs, heads of clinical and financial departments, professors, and students in the medical school (about 20). Then, to determine the students' use of cost headings, work, and time Measurement were done. Firoozgar, Rasoul Akram, Akbarabadi, Shahid Rajaee and Ali Asghar hospitals were the study sites. The calculation and analysis were performed in Excel 2013 software. Results: The costs of educational activities of postgraduate students were reported to be 49000000 Rials for Ph.D. students and 400,000 Rials for postgraduate students. Conclusion: Postgraduate and Ph.D. students do not impose significant costs for their internships. These learners rotate their practice units in the teaching hospitals of the University of Iran under the supervision of their respective instructors and more in an observational approach.
https://smsj.sums.ac.ir/article_47648_6a6a2662a52cca619c787d4c8dec87fe.pdf
2021-04-21
109
118
10.30476/smsj.2021.84660.1090
: Economics of Education
Costing
Direct cost
Graduate Students
Medical Schools
Teaching
Budgets
Shima
Nikjoo
shimanikjoo@gmail.com
1
Ph.D. student in Health Economics, Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran
AUTHOR
Aziz
Rezapour
rezapoor_a57@yahoo.com
2
Associate Professor, Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran
AUTHOR
Tourandokht
Baluch Nejad Mojarad
tmojarad@yahoo.com
3
Professor, Department of Physiology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
AUTHOR
Asma
Rashki kemak
a.raashki@gmail.com
4
Asistant Professor, Health promotion Research center, Zahedan University of Medical Sciences, Zahedan, Iran
AUTHOR
Sajad
Vahedi
vahedi.s3@gmail.com
5
Asistant Professor, Department of Health Services Management, School of Public Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
AUTHOR
Hero
Farabi
herofarabi@gmail.com
6
Ph.D. student in Health Economics, Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran
AUTHOR
Reza
Jahangiri
reza.jahan67@gmail.com
7
Ph.D. student in Health Economics, Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran
LEAD_AUTHOR
Ghaffari S, Mohamadzadeh A, Akbari S, Salem Safi P, Yousefi M. Costing in hospital services: economists and accountants' approaches Journal of Hospital 2013; 4 (17): 75-84. (Persian)
1
Franzini L, Low MD, Proll MA. Using a cost-construction model to assess the cost of educating undergraduate medical students at the University of Texas- Houston Medical School. Academic Medicine: Journal of the Association of American Medical Colleges. 1997; 72 (3): 228-237. (Persian)
2
Moradi S, Hedayatizadeh-Omran A, Janbabaei G, Alizadeh-Navaei R, Panbehchi M, Geraili B, et al. Activity Based Costing of Educational Services in Faculty of Medicine in Mazandaran University of Medical Sciences, Iran, 2015. Journal of Mazandaran University of Medical Sciences 2018; 28 (163): 86-92. (Persian)
3
Goodwin MC, Gleason WM, Kontos HA. A pilot study of the cost of educating undergraduate medical students at Virginia Commonwealth University. Academic medicine: journal of the Association of American Medical Colleges. 1997; 72 (3): 211-7.
4
Rezapour A, Soleimani movahed M, Yousefzadeh N, Nikjoo Sh, Hosseini Barqzan S. Third Millennium Universities Opportunities and Challenges. Tehran: Arvan Publications; 2019. (Persian)
5
Abbasi H, Nasiri B, Sourani Yancheshmeh R, Mosleh M. Toward the third generation of medical universities, a strategy for knowledge-based economics. Teb Va Tazkiye 2018; 27 (3): 179-189. (Persian)
6
Hosseinzadeh F, Firoozi H, Syaehposh Khachki A. Towards the third generation of medical universities. Medical Education and Development 2018; 12 (4): 240-247. (Persian)
7
Chang OH, Chow CW. The balanced scorecard: A potential tool for supporting change and continuous improvement in accounting education. Issues in Accounting Education. 1999; 14 (3): 395-412.
8
Rajabi A. Activity Based Costing (ABC), New Outlook for Calculating Cost Price of Students' Education in Different Majors of Medical Group (Case study: Medical Science Universities of Shiraz, Fasa and Yazd). Journal of Accounting and Auditing Review. 2011; 18 (64): 35-56. (Persian)
9
Daugherty SR, Baldwin Jr DC, Rowley BD. Learning, satisfaction, and mistreatment during medical internship: a national survey of working conditions. JAMA 1998; 279 (15): 1194-1199.
10
Ebadi Azar F, Gori HA, Hadian M, Ahari AM. Unit cost calculation of student training at different levels trough Activity Base Costing method (ABC) at the School of Management and Medical Information, Iran University of Medical Science: academic year, 2006-2007. Journal of Health Admininistration 2006; 9 (24):23-28. (Persian)
11
Rahimniya R, Ram M, Siavashi E, Ghasempour S, Baruni M, KHakian M, et al. Calculating the cost of student services through activity based costing method (ABC) at the department of student and cultural affairs of Tehran university of medical sciences in 2011. Interdisciplinary Journal of Virtual Learning in Medical Sciences (IJVLMS) 2014; 5 (2):8-15. (Persian)
12
Haghdoot AA, Amirimoghadam M, Loloei M, Banesh MR, Sabbah F, Mehrolhassani MH. Cost analysis of the education of students in School of Public Health, Kerman University of Medical Sciences, Iran, using activity-based costing model. 2014; 11 (1):13-22. (Persian)
13
Ghasempour S, Rahimniya R, Rajabnezhad Z, Dargahi H. Calculating the Final Cost of Student Training by Activity Based Costing in School of Allied Medicine, Tehran University of Medical Sciences. Journal of Payavard Salamat. 2016; 10: 104-118. (Persian)
14
Gharun M. Application of activity-based costing to estimate the cost per student cost in Iran. Quarterly Journal of Research and Planning in Higher Education 2007; 13(2):79-107.
15
Esmaeili R, Kianmehr M, Tahanzadeh A, Ehtiati M, Ghorbani A, Pourfatemi A, et al. Calculating the unit cost of student training at Gonabad University of Medical Sciences in 2017: Using a step-down method. Teb Va Tazkieh 2018; 27 (3):169-178. (Persian)
16
Rezaei M. Calculating the Cost of Student Services Through Activity Based Costing Method (ABC) in Health Area. Health Research Journal. 2018; 3(3): 147-154. (Persian)
17
ORIGINAL_ARTICLE
The Effects of Satureja Khuzestanica on Lipid Profile, Liver Enzymes, and Oxidative Stress Markers in Male Hamsters with High Fat Diet
Introduction: Satureja Khuzestanica (S. Khuzestanica) is one of the native plants of Iran that grows in areas such as Khuzestan and Lorestan. The current study was designed to evaluate the effects of S. Khuzestanica on lipid profile, especially on decreasing serum cholesterol, liver enzymes, and lipid peroxidation in male hamsters with high fat diet. Methods: 26 male hamsters were randomly divided into control, high fat diet (HFD), and high fat diet treated with S. Khuzestanica (HFD+S) groups. After 10 days of beginning the study, the two latter groups were fed with high fat diet for 30 days. During the last 10 days, the HFD+S group was treated with 100mg/kg/day S. Khuzestanica through the gavage. Results: Data showed that administration of S. Khuzestanica for 10 days resulted in a significant reduction of total cholesterol, LDL cholesterol, liver enzymes, and malondialdehyde in the HFD+S group. Conclusion: These results support the potential effects of the use of Satureia Khuzestanica in the prevention and treatment of cardiovascular diseases.
https://smsj.sums.ac.ir/article_47650_4626b0743004170da2c05c7ba4f507cb.pdf
2021-05-21
119
130
10.30476/smsj.2021.84031.1072
Satureja
Cardiovascular diseases
Liver
High fat diet
Oxidative stress
Sina
Vakili
sinavakili68@gmail.com
1
Ph.D, Infertility Research Center, Shiraz University of Medical Sciences, Shiraz,
AUTHOR
Fatemeh
Zal
fatemehzal@yahoo.com
2
Associate Professor, Biochemistry Department, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Ghasem
Ebrahimi
oldooz2002@yahoo.com
3
M.Sc. in Clinical Biochemistry, Student Research Committee, Kerman University of Medical Sciences, Kerman, Iran
LEAD_AUTHOR
Mahboobe
Akbari
mahboobe.akbari67@gmail.com
4
M.Sc. in Clinical Biochemistry, Department of Biochemistry, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran
AUTHOR
Mohammad Amin
Momeni-Moghaddam
aminmomeni90@gmail.com
5
Assistant Professor, Department of Nutrition and Biochemistry, Gonabad University of Medical Sciences, Gonabad, Iran
AUTHOR
Rosenson RS, Brewer Jr HB, Barter PJ, Björkegren JL, Chapman MJ, Gaudet D, et al. HDL and atherosclerotic cardiovascular disease: genetic insights into complex biology. Nature Reviews Cardiology. 2018;15(1):9.
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2
Siri-Tarino PW. Effects of diet on high-density lipoprotein cholesterol. Current atherosclerosis reports. 2011;13(6):453-60.
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Talayero BG, Sacks FM. The role of triglycerides in atherosclerosis. Current cardiology reports. 2011;13(6):544.
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Malmir M, Gohari AR, Saeidnia S, Silva O. A new bioactive monoterpene–flavonoid from Satureja khuzistanica. Fitoterapia. 2015;105:107-12.
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Fallahi S, Rostami A, Delfan B, Pournia Y, Rashidipour M. Effect of olive leaf, Satureja khuzestanica, and Allium sativum extracts on Giardia lamblia cysts compared with metronidazole in vitro. Journal of parasitic diseases. 2016;40(4):1204-9.
17
Vakili S, Savardashtaki A, Moghaddam MAM, Nowrouzi P, Shirazi MK, Ebrahimi G. The effects of saffron consumption on lipid profile, liver enzymes, and oxidative stress in male hamsters with high fat diet. Trends in Pharmaceutical Sciences. 2017;3(3):201-8.
18
Rodríguez Villanueva J, Rodriguez Villanueva L. Experimental and clinical pharmacology of Ziziphus jujuba Mills. Phytotherapy research. 2017;31(3):347-65.
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20
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Ahmadi SA, Boroumand M-A, GOUHARI MK, Tajik P, Dibaj S-M. The impact of low serum triglyceride on LDL-cholesterol estimation. 2008.
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Levine RL, Garland D, Oliver CN, Amici A, Climent I, Lenz A-G, et al. Determination of carbonyl content in oxidatively modified proteins. Methods in enzymology. 186: Elsevier; 1990. p. 464-78.
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Buege JA, Aust SD. [30] Microsomal lipid peroxidation. Methods in enzymology. 52: Elsevier; 1978. p. 302-10.
24
Shikov AN, Pozharitskaya ON, Makarova MN, Kovaleva MA, Laakso I, Dorman HD, et al. Effect of Bergenia crassifolia L. extracts on weight gain and feeding behavior of rats with high-caloric diet-induced obesity. Phytomedicine. 2012;19(14):1250-5.
25
Balzan S, Hernandes A, Reichert CL, Donaduzzi C, Pires VA, Junior AG, et al. Lipid-lowering effects of standardized extracts of Ilex paraguariensis in high-fat-diet rats. Fitoterapia. 2013;86:115-22.
26
Mertz D. "Atherosclerosis-index" (LDL/HDL): risk indicator in lipid metabolism disorders. Medizinische Klinik. 1980; 75(4): 159-61.
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Bandonienė D, Venskutonis PR, Gruzdienė D, Murkovic M. Antioxidative activity of sage (Salvia officinalis L.), savory (Satureja hortensis L.) and borage (Borago officinalis L.) extracts in rapeseed oil. European Journal of Lipid Science and Technology. 2002;104(5):286-92.
28
Ćavar S, Maksimović M, Šolić ME, Jerković-Mujkić A, Bešta R. Chemical composition and antioxidant and antimicrobial activity of two Satureja essential oils. Food Chemistry. 2008;111(3):648-53.
29
Shojaee-Aliabadi S, Hosseini H, Mohammadifar MA, Mohammadi A, Ghasemlou M, Ojagh SM, et al. Characterization of antioxidant-antimicrobial κ-carrageenan films containing Satureja hortensis essential oil. International journal of biological macromolecules. 2013;52:116-24.
30
Güllüce M, Sökmen M, Daferera D, Aǧar G, Özkan H, Kartal N, et al. In vitro antibacterial, antifungal, and antioxidant activities of the essential oil and methanol extracts of herbal parts and callus cultures of Satureja hortensis L. Journal of agricultural and food chemistry. 2003;51(14):3958-65.
31
Alizadeh A, Khoshkhui M, Javidnia K, Firuzi O, Tafazoli E, Khalighi A. Effects of fertilizer on yield, essential oil composition, total phenolic content and antioxidant activity in Satureja hortensis L.(Lamiaceae) cultivated in Iran. Journal of Medicinal Plants Research. 2010;4(1):033-40.
32
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39
Limdi J, Hyde G. Evaluation of abnormal liver function tests. Postgraduate medical journal. 2003;79(932):307-12
40
ORIGINAL_ARTICLE
The Frequency of Serologic Celiac Disease in Obese Children Referring to Endocrine Clinic in Shiraz
Introduction: Celiac disease results from the interaction of gluten, the immune system, and genetic and environmental factors, which is diagnosed via clinical symptomsincludingweight loss, steatorrhea, and malnutrition. It is usually presented in children who have malnutrition and failure to thrive, but it has been recently reported in some obese children. Since nowadays screening of high-risk/susceptible groups has been emphasized, this study aimed to evaluate the frequency of serologic celiac disease in obese children. Methods: This cross-sectional study was conducted on 104obese children who referred to the Endocrine Clinic of Shiraz University of Medical Sciences, Shiraz, Iran in 2016. Data were collected using a questionnaire through face to face interviews. To measure Anti TTG IgA and total IgA Ab, 5 ml blood sample was taken. Data analysis was done using SPSS version 18. Results: The mean age and BMI of the participants were 10.33±2.39 and 24.71±4.78, respectively, 65% of whom were girls. In this study, five patients (4.9%) had positive Anti TTG IgA, 80% of whom had reported positive gastrointestinal symptoms. The statistical tests suggested a positive and significant correlation between gastrointestinal symptoms and Anti TTG IgA. Conclusion: Compared to 2% prevalence of serological TTG Anti in our community, a 5% prevalence Anti TTG IgA in obese children may indicate that there is an increased risk of potential celiac in obese children compared to the normal population. Therefore, it is recommended to screen obese children for celiac disease periodically and perform endoscopy and biopsy in the cases with persistence of anti-TTG.
https://smsj.sums.ac.ir/article_47651_2a113b6fcff7fdab3cdc680c795e11a4.pdf
2021-05-21
131
138
10.30476/smsj.2021.88110.1174
Celiac Disease
Child
Obesity
prevalence
Serology
Naser
Honar
honarn@sums.ac.ir
1
Associate Professor, Neonatal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Negar
Yazdani
yazdani.n2017@yahoo.com
2
Ph.D., Neonatal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
LEAD_AUTHOR
Maryam
Ataollahi
mataolahi@sums.ac.ir
3
Assistant Professor, Department of Pediatric Gastroenterology, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Mohammad Hadi
Imanieh
imaniehm@sums.ac.ir
4
Professor, Gastroenterohepatology Research Center, Shiraz University of Medical Sciences, Iran
AUTHOR
Zohreh
Karamizadeh
zkaramizadeh@yahoo.com
5
Professor, Division of Endocrinology, Department of Pediatrics, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Malekzadeh R, Shakeri R. Celiac disease in Iran. Tehran University Medical Journal. 2007; 64(2):1-11.
1
Ciampolini M, Bini S. Serum Lipids in Celiac Children. Journal of Pediatric Gastroenterology and Nutrition. 1991; 12(4): 459–460.
2
Parzanese I, Qehajaj D, Patrinicola F, Aralica M, Chiriva-Internati M, Stifter S, Elli L, Grizzi F. Celiac disease: From pathophysiology to treatment. World journal of gastrointestinal pathophysiology. 2017;8(2):27.
3
Fasano A. Clinical presentation of celiac disease in the pediatric population. Gastroenterology. 2005 Apr 1;128(4): S68-73.
4
Honar N, Barkhordarian M, Ghanizadeh A, Radanfar R. Association of Celiac Disease with Attention Deficit Hyperactivity Disorder, J Compr Ped. Online ahead of Print. 2020; 11(1): e97114.
5
Rossi TM, Albini CH, Kumar V. Incidence of celiac disease identified by the presence of serum endomysial antibodies in children with chronic diarrhea, short stature, or insulin-dependent diabetes mellitus. The Journal of Pediatrics. 1993; 123(2): 262–264. doi:10.1016/s0022-3476(05)81699-3
6
Patwari AK, Anand VK, Kapur G, Narayan S. Clinical and nutritional profile of children with celiac disease. Indian Pediatr. 2003 Apr; 40(4):337-42.
7
Dickey W, Kearney N. Overweight in celiac disease: prevalence, clinical characteristics, and effect of a gluten-free diet. Am J Gastroenterol. 2006;101(10):2356-2359.
8
Bhatnagar S, Gupta SD, Mathur M, Phillips AD, Kumar R, Knutton S, Bhan MK. Celiac Disease with Mild to Moderate Histologic Changes is a Common Cause of Chronic Diarrhea in Indian Children. Journal of Pediatric Gastroenterology and Nutrition. 2005 41(2): 204–209. doi: 10.1097/01.mpg.0000172261.24115.29 Kk.
9
Akbari MR, Mohammadkhani A, Fakheri H, Javad Zahedi M, Shahbazkhani B, Nouraie M, et al. Screening of the adult population in Iran for coeliac disease: comparison of the tissuetransglutaminase antibody and anti-endomysial antibody tests. Eur J Gastroenterol Hepatol. 2006; 18: 1181-6.
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Khoshnia M, Pourshams A, Mohammadkhani A, Tavangar SM, Shahbazkhani B, Malekzadeh R. Celiac Disease in Gonbad-Kavoos. Govaresh. 2005;10(3):131–4.
11
Dehghani SM, Haghighat M, Mobayen A, Rezaianzadeh A, Geramizadeh B. Prevalence of celiac disease in healthy Iranian school children. Ann Saudi Med. 2013;33(2):159-61.
12
Venkatasubramani N, Telega G, Werlin SL. Obesity in Pediatric Celiac Disease. Journal of Pediatric Gastroenterology and Nutrition. 2010; 1. doi: 10.1097/mpg.0b013e3181d1365a
13
Capriate T, Francavilla R, Ferretti F, Castellaneta S, Ancinelli M, Diamanti A. Celiac disease screening among a large cohort of overweight/obese children. Eur J Clin Nutr. 2016; 70(2): 282-4.
14
Oso O, Fraser NC. A boy with coeliac disease and obesity. Acta Paediatr. 2006; 95: 618–619.
15
Ludvigsson JF, Brandt L, Montgomery SM. Symptoms and signs in individuals with serology positive for celiac disease but normal mucosa. BMC Gastroenterology. 2009; 9(1). doi:10.1186/1471-230x-9-57.
16
Nenna R, Mosca A, Mennini M, Papa RE, Petrarca L, Mercurio R, Vania A. Coeliac Disease Screening Among a Large Cohort of Overweight/Obese Children. Journal of Pediatric Gastroenterology and Nutrition. 2015; 60(3): 405–407.
17
Telega G, Bennet TR, Werlin S. Emerging New Clinical Patterns in the Presentation of Celiac Disease. Archives of Pediatrics & Adolescent Medicine. 2008; 162(2): 164. doi:10.1001/archpediatrics.2007.38
18
Hull CM, Liddle M, Hansen N, Meyer LJ, Schmidt L, Taylor T, et al. Elevation of IgA anti-epidermal transglutaminase antibodies in dermatitis herpetiformis. British Journal of Dermatology. 2008;159(1):120-4.
19
Brow JR, Parker F, Weinstein WM, Rubin CE. The small intestinal mucosa in dermatitis herpetiformis: I. Severity and distribution of the small intestinal lesion and associated malabsorption. Gastroenterology. 1971;60(3):355-61.
20
Murray JA, Watson T, Clearman B, Mitros F. Effect of a gluten-free diet on gastrointestinal symptoms in celiac disease. The American journal of clinical nutrition. 2004;79(4):669-73.
21
West J, Logan RF, Card TR, Smith C, Hubbard R. Risk of vascular disease in adults with diagnosed coeliac disease: a population-based study. Alimentary pharmacology & therapeutics. 2004 Jul;20(1):73-9. doi: 10.1111/j.1365-2036.2004. 02008.x
22
Magazzù G, De Luca F. Obesity in a child with untreated coeliac disease. Helvetica paediatrica acta. 1987;42(1):45-8.
23
Lucille A, Semeraro MD, Kenneth W. Gryboski obesity in celiac sprue. J Clin Gastroenterol. 1986; 8:177-80.
24
Czaja-Bulsa G, Garanty-Bogacka B, Syrenicz M, Gebala A. Obesity in an 18-year-old boy with untreated celiac disease. Journal of pediatric gastroenterology and nutrition. 2001;32(2):226.
25
ORIGINAL_ARTICLE
The Long-Term Prospective Follow up Protocol for the Treatment of Chronic Subdural Hematoma: A Dexapril Study
Introduction: Today, chronic subdural hematoma (CSDH) is one of the most usual/common neurosurgical conditions and the conservative management like Dexapril (Dexamethasone and Captopril) protocol is achievable in patients with CSDH. In this prospective cohort study, we proposed and evaluated the effectiveness of Dexapril protocol for the management of CSDH. Methods: The study population included all patients (N= 117) who referred to Emtiaz Hospital in Fars Province from January 2014 to December 2016. A CT scan was performed at the time of referral; after that, Dexamethasone and Captopril were administered. Then, control CT scan was performed at 24 hour, 48 hour, and 96 hour intervals from the moment of admission. One case was excluded due to a decrease in blood pressure after the first administration of Captopril. Follow up visits have been conducted continuously at intervals of 1 month, 3months, 6 months, and 12 months since the date of the first admission. Results: 13 (11.2%) CSDH cases had chronic subdural hematoma who presented with multiple loculations “suggesting repeated hemorrhages in the subdural space.” 11 (9.4%) of all cases underwent a burr-hole craniostomy due to the patient's unwillingness to continue his/her treatment, an increase in unilateral or bilateral weakness of the limb, and significantly increased BS (more than 250) after taking Dexamethasone. In 71 (61.2%) cases, there was not any changes in the first and last weakness score and there was no compelling reason for this lack of difference. Furthermore, none of the CT scans had a midline shift of more than 5mm after 3 months of follow ups. Also, no mortality due to relapse or an increase in the volume of chronic subdural was witnessed in the follow up sessions. Conclusion: We have currently revealed that Dexapril protocol is effective in non-surgical treatment of CSDH with minimum side effects. Adjuvant Dexapril therapy may contribute to the surgical therapy in reaching a lower recurrence rate.
https://smsj.sums.ac.ir/article_47652_142a0df6335a859837176f8f4b6e0251.pdf
2021-05-21
139
144
10.30476/smsj.2021.86891.1137
Chronic subdural hematoma
CT scan
Dexapril study
Intracranial subdural hematoma, Dexamethasone, Captopril
Amin
Niakan
aminniakan@yahoo.com
1
Assistant Professor of Neurosurgery, Trauma Research Center, Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Hosseinali
Khalili
2
Associate Professor of Neurosurgery, Trauma Research Center, Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Reza
Taheri
reza.neuro@gmail.com
3
Assistant professor of Neurosurgery, Department of Neurosurgery, Trauma Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
LEAD_AUTHOR
Yadav YR, Parihar V, Namdev H, Bajaj J. Chronic subdural hematoma. Asian journal of neurosurgery. 2016;11(4):330.
1
Chari A, Hocking KC, Broughton E, Turner C, Santarius T, Hutchinson PJ, et al. Core outcomes and common data elements in chronic subdural hematoma: a systematic review of the literature focusing on reported outcomes. Journal of Neurotrauma. 2016;33(13):1212-9.
2
Edlmann E, Thelin EP, Caldwell K, Turner C, Whitfield P, Bulters D, et al. Dex-CSDH randomised, placebo-controlled trial of dexamethasone for chronic subdural haematoma: report of the internal pilot phase. Scientific Reports. 2019;9(1):58-85.
3
Doan NB, Nguyen H, Janich K, Montoure A, Mohit P, Shabani S, et al. A novel application of the integra camino bolt for the drainage of chronic subdural hematoma: A technical note. Asian Journal of Neurosurgery. 2018;13(2):380.
4
Weigel R, Hohenstein A, Schlickum L, Weiss C, Schilling L, Angiotensin converting enzyme inhibition for arterial hypertension reduces the risk of recurrence in patients with chronic subdural hematoma possibly by an antiangiogenic mechanism. Neurosurgery. 2007;61(4):788-92; discussion 792-3.
5
Neidert MC, Schmidt T, Mitova T, Fierstra J, Bellut D, et al., Preoperative angiotensin converting enzyme inhibitor usage in patients with chronic subdural hematoma: Associations with initial presentation and clinical outcome. J Clin Neurosci. 2016; 28:82-6.
6
Oktay K, Olguner SK, Sarac ME, Özsoy KM, Cetinalp NE, Gezercan Y, et al. Treatment of chronic subdural hematoma: 5-year clinical experience. Gaziantep Medical Journal. 2016; 22(3):118-23.
7
Fu S, Li F, Bie L. Drug therapy for chronic subdural hematoma: bench to bedside. Journal of Clinical Neuroscience. 2018; 56: 16-20.
8
ORIGINAL_ARTICLE
The Effect of Lumbopelvic Control Disorders on Balance and Lower Extremity Function in Professional Athletes with Frequent Landings: A Single-Blind Cross-Sectional Study
Introduction: Recent studies have shown relationship between lumbopelvic control, function, kinematics, and lower extremity loading. However, poor lumbopelvic control has not been studied as a risk factor for lower extremity injury in sports with frequent jump-landing. This study aimed to investigate the effect of lumbopelvic control disorders on balance and lower extremity function in professional athletes with frequent landings. Methods: 34 professional players participated in this assessor-blind case-control study. Lumbopelvic control was assessed with four tests including Knee Lift Abdominal Test, Bent Knee Fall out, Active Straight Leg Raising, and PRONE with Pressure Biofeedback Unit. Based on the results, participants were divided into two groups with lumbopelvic control (n = 17) and without lumbopelvic control (n = 17). Dynamic balance with Y test, semi-dynamic balance with Lafayette Stability Platform, and lower extremity function with single-leg hopping tests (single-hop for distance, triple hop for distance, and 6-meter timed hop test, triple-crossover hop for distance) were evaluated. Results: The results showed that there was a significant difference between the two groups with and without lumbopelvic control in Y balance test scores (P=0.001), single hop for distance (P=0.001), triple hop for distance (P=0.001), 6-meter timed hop (P=0.001), triple hop for distance (P = 0.001), and lower extremity symmetry index (P=0.001). However, no significant difference was observed in the semi-dynamic balance (P>0/05). Conclusion: Poor lumbopelvic control affects lower extremity function and dynamic balance of professional athletes with frequent landings, so it can be considered a risk factor for lower extremity injuries.
https://smsj.sums.ac.ir/article_47653_071934c843244b367355b1b90adc3996.pdf
2021-05-21
145
160
10.30476/smsj.2021.90272.1225
Leg
Knee
Athletes
Biofeedback
Risk factors
Pariya
Fadaei Dehcheshmeh
p.fadaei2018@gmail.com
1
M.Sc. Student, Sport Injuries and Corrective Exercises Department, Physical Education and Sport Sciences Faculty, Razi University, Kermanshah, Iran
AUTHOR
Farzaneh
Gandomi
gandomi777@gmail.com
2
Assistant Professor, Sport Injuries and Corrective Exercises Department, Physical Education and Sport Sciences Faculty, Razi University, Kermanshah, Iran
LEAD_AUTHOR
De Blaiser, C., et al., Is core stability a risk factor for lower extremity injuries in an athletic population? A systematic review. Physical therapy in sport, 2018. 30: p. 48-56.
1
Laudner, K.G., R. Wong, and K. Meister, The influence of lumbopelvic control on shoulder and elbow kinetics in elite baseball pitchers. Journal of Shoulder and Elbow Surgery, 2019. 28(2): p. 330-334.
2
Plisky, P.J., et al., Star Excursion Balance Test as a predictor of lower extremity injury in high school basketball players. Journal of orthopaedic & sports physical therapy, 2006. 36(12): p. 911-919.
3
Numata, H., et al., Two-dimensional motion analysis of dynamic knee valgus identifies female high school athletes at risk of non-contact anterior cruciate ligament injury. Knee Surgery, Sports Traumatology, Arthroscopy, 2018. 26(2): p. 442-447.
4
Chaudhari, A.M., et al., Lumbopelvic control and days missed because of injury in professional baseball pitchers. The American journal of sports medicine, 2014. 42(11): p. 2734-2.
5
Padua, D.A., et al., National Athletic Trainers' Association position statement: prevention of anterior cruciate ligament injury. Journal of athletic training, 2018. 53(1): p. 5-19.
6
De Blaiser, C., et al., Impaired core stability as a risk factor for the development of lower extremity overuse injuries: a prospective cohort study. The American journal of sports medicine, 2019. 47(7): p. 1713-1721.
7
Grosdent, S., et al., Lumbopelvic motor control and low back pain in elite soccer players: a cross-sectional study. Journal of sports sciences, 2016. 34(11): p. 1021-1029.
8
Willson, J.D., et al., Core stability and its relationship to lower extremity function and injury. JAAOS-Journal of the American Academy of Orthopaedic Surgeons, 2005. 13(5): p.325-316.
9
Perrott, M.A., et al., Athletes with a clinical rating of good and poor lumbopelvic stability have different kinematic variables during single leg squat and dip test. Physiotherapy Theory and Practice, 2019: p. 1-10.
10
Barwick, A., J. Smith, and V. Chuter, The relationship between foot motion and lumbopelvic–hip function: A review of the literature. The foot, 2012. 22(3): p. 224-231.
11
Butler, R.J., et al., Dynamic balance performance and noncontact lower extremity injury in college football players: an initial study. Sports health, 2013. 5(5): p. 417-422.
12
Solana-Tramunt, M., et al., Diagnostic accuracy of lumbopelvic motor control tests using pressure biofeedback unit in professional swimmers: A cross-sectional study. Journal of orthopaedics, 2019. 16(6): p. 590-595.
13
Roussel, N., et al., Altered breathing patterns during lumbopelvic motor control tests in chronic low back pain: a case–control study. European Spine Journal, 2009. 18(7): p. 1066-1073.
14
Cuenca-Martínez, F., et al., Effects of Motor Imagery and Action Observation on Lumbo-pelvic Motor Control, Trunk Muscles Strength and Level of Perceived Fatigue: A Randomized Controlled Trial. Research Quarterly for Exercise and Sport, 2020. 91(1): p. 34-46.
15
Zech, A., et al., Effects of barefoot and footwear conditions on learning of a dynamic balance task: a randomized controlled study. European journal of applied physiology, 2018. 118(12): p. 2699-2706.
16
Coughlan, G.F., et al., A comparison between performance on selected directions of the star excursion balance test and the Y balance test. Journal of athletic training, 2012. 47(4): p. 366-371.
17
Schmitt, L.C., M.V. Paterno, and T.E. Hewett, The impact of quadriceps femoris strength asymmetry on functional performance at return to sport following anterior cruciate ligament reconstruction. journal of orthopaedic & sports physical therapy, 2012. 42(9): p. 750-759.
18
Kibler, W.B., J. Press, and A. Sciascia, The role of core stability in athletic function. Sports medicine, 2006. 36(3): p. 189-198.
19
McKeon, P.O. and J. Hertel, Systematic review of postural control and lateral ankle instability, part II: is balance training clinically effective? Journal of athletic training, 2008. 43(3): p. 305-315.
20
Long, M., The Effects of a Six Week Lumbopelvic Control and Balance Training Program in High School Basketball Players. 2017.
21
Filipa, A., et al., Neuromuscular training improves performance on the star excursion balance test in young female athletes. Journal of orthopaedic & sports physical therapy, 2010. 40(9): p. 551-558.
22
Sarto, F., et al., Do lower extrimiry previous injuries affect balance performance? An observational study in volleyball players. Physical therapy in sport, 2019. 37: p. 49-53.
23
Caldemeyer, L.E., S.M. Brown, and M.K. Mulcahey, Neuromuscular training for the prevention of ankle sprains in female athletes: a systematic review. The Physician and Sportsmedicine, 2020: p. 1-7.
24
McKenzie, C.R., et al., The effect of the NetballSmart Dynamic Warm-up on physical performance in youth netball players. Physical Therapy in Sport, 2019. 37: p. 91-98.
25
Fitzgerald, G.K., et al., Hop tests as predictors of dynamic knee stability. Journal of Orthopaedic & Sports Physical Therapy, 2001. 31(10): p. 588-597.
26
Leetun, D.T., et al., Core stability measures as risk factors for lower extremity injury in athletes. Medicine & Science in Sports & Exercise, 2004. 36(6): p. 926-934.
27
Hodges, P.W., Core stability exercise in chronic low back pain. Orthopedic Clinics, 2003. 34(2): p. 245-254.
28
Maribo T, 2006.Aarhas University Hospital. One Leg Stand Test- a measure of postural control?.J Athl Train.42(1): pp: 33-40.
29
Ortiz, A., et al., Reliability of selected physical performance tests in young adult women. The Journal of Strength & Conditioning Research, 2005. 19(1): p. 39-44.
30
Hoseini, M., H. Minonejad, and R. Rajabi, The Influence of Soccer Specific Fatigue in Different Ambient Temperatures on Balance and Performance of Soccer Players with Functional Ankle Instability. Research on Biosciences and Physical Actiuity, 2016. 3(4): p. 1-10.
31
Baban K, MohamadFarhangian SM, Mohamadi F. The Relationship between the amounts of Core Stability and Lower Extremity Injuries in Male Karate-Ka Elites. International Journal of Sport Studies. 2015;5(6):721-5.
32
Leetun DT, Ireland ML, Willson JD, Ballantyne BT, Davis IM. Core stability measures as risk factors for lower extremity injury in athletes. Medicine & Science in Sports & Exercise. 2004 Jun 1;36(6):926-34.
33
Jacobs CA, Uhl TL, Mattacola CG, Shapiro R, Rayens WS. Hip abductor function and lower extremity landing kinematics: sex differences. Journal of athletic training. 2007 Jan;42(1):76.
34
Okada T, Huxel KC, Nesser TW. Relationship between core stability, functional movement, and performance. The Journal of Strength & Conditioning Research. 2011 Jan 1;25(1):252-61.
35
Basinger SK, King MA, Arnold BL. Core stability and functional performance assessments are moderately related. J Ath Train. 2002;37(2):13-4.
36
Greig M, Walker-Johnson C. The influence of soccer-specific fatigue on functional stability. Physical Therapy in Sport. 2007 Nov 1;8(4):185-90.
37
ORIGINAL_ARTICLE
A Comparison of the Gait Harmonic Ratio between Faller and Non-faller Iranian Older Adults, under Single-task and Dual-task Conditions
Introduction: Performing a secondary task while maintaining postural control can aggravate balance impairments among older individuals. The present study aimed to compare the gait harmonic ratio between faller and non-faller community-dwelling older adults. Methods: In this cross-sectional study, 20 faller older adults (13 females and 7 males) and 20 non-faller older adults (12 females and 8 males) were recruited from the members of a retirement center. Before the trial, a medical code of ethics was granted and the written consent forms were signed by all participants. The variable, the gait harmonic ratio in medial-lateral, vertical, and anterior-posterior directions under single-task and dual-task conditions, was measured using an accelerometer. Results: Under the single-task condition, there was no statistically significant difference between the faller and non-faller groups in any direction of gait harmonic ratio. Under the dual-task condition, the faller group revealed significantly lower harmonic ratios in medial-lateral (p < /em>=0.010) and vertical (p < /em>=0.032) directions compared to the non-faller group. However, no statistically significant difference was reported between the two groups for the anterior-posterior direction in dual-task walking. Conclusions: The findings of the present study indicated that the medial-lateral and vertical gait harmonic ratios can considerably be affected under dual-task conditions in faller older individuals.
https://smsj.sums.ac.ir/article_47654_181280e62c3d89d4a28bb9e9d80bdeba.pdf
2021-05-21
161
172
10.30476/smsj.2021.90245.1223
Aging
Cognition
Falling
Gait
Postural Balance
Shahla
Zahednejad
snejad@ajums.ac.ir
1
Ph.D., Musculoskeletal Rehabilitation Research Center, Department of Physical Therapy, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
AUTHOR
Samira
Javadpour
2
M.Sc., Musculoskeletal Rehabilitation Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
AUTHOR
Alireza
Motealleh
3
Ph.D., Department of Physical Therapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Reza
Salehi
salehi200@yahoo.com
4
Ph.D., Rehabilitation Research Center, Department of Rehabilitation Management, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran
LEAD_AUTHOR
Değer TB, Saraç ZF, Savaş ES, Akçiçek SFJG. The relationship of balance disorders with falling, the effect of health problems, and social life on postural balance in the elderly living in a district in Turkey. 2019;4(2):37.
1
Milat AJ, Watson WL, Monger C, Barr M, Giffin M, Reid M. Prevalence, circumstances and consequences of falls among community-dwelling older people: results of the 2009 NSW Falls Prevention Baseline Survey. New South Wales public health bulletin. 2011;22(4):43-8.
2
Salvà A, Bolیbar I, Pera G, Arias C. Incidence and consequences of falls among elderly people living in the community. Medicina clinica. 2004;122(5):172-6.
3
Gerards MH, McCrum C, Mansfield A, Meijer K. Perturbation‐based balance training for falls reduction among older adults: Current evidence and implications for clinical practice. Geriatrics & Gerontology. 2017;17(12):2294-303.
4
Resende SM, Rassi CM. Effects of hydrotherapy in balance and prevention of falls among elderly women. Brazilian Journal of Physical Therapy. 2008;12(1):57-63.
5
Sobhani S, Sinaei E, Motealleh A, Hooshyar F, Kashkooli NS, Yoosefinejad AK. Combined effects of whole body vibration and unstable shoes on balance measures in older adults: A randomized clinical trial. Archives of Gerontology and Geriatrics. 2018;78:30-7.
6
Rezaei K, Nami M, Sinaei E, Bagheri Z, Kordi Yoosefinejad A. Engineering. A Comparison between Effects of Neurofeedback and Balance Exercise on Balance of Healthy Older Adults. Journal of Biomedical Physics and Engineering. 2020, 2251-7200.
7
Yen C-W, Li P-C, Yu T-Y, Chen S-S, Chang J-K, Fan S-C, editors. A User-Centered Virtual Reality Game System for Elders with Balance Problem. Congress of the International Ergonomics Association; 2018: Springer.
8
Motealleh A, Sinaei E, Nouraddinifard E, Rezaei I. Comparison of postural control in older adults under different dual-task conditions: A cross-sectional study. Journal of Bodywork and Movement Therapies. 2021;26:443-7.
9
Plummer P, Eskes GJFihn. Measuring treatment effects on dual-task performance: a framework for research and clinical practice. Frontiers in Human Neuroscience. 2015;9:225.
10
Sinaei E, Kamali F, Nematollahi A, Etminan Z. Comparing the effects of balance training with and without cognitive tasks on the quality of life and balance performance in community-dwelling older adults: a single-blind randomized clinical trial. Journal of Rehabilitation Sciences & Research. 2016;3(4):91-6.
11
Patla AE, Adkin A, Ballard T. Online steering: coordination and control of body center of mass, head and body reorientation. Experimental brain research. 1999;129(4):629-34.
12
Cromwell RL, Aadland-Monahan TK, Nelson AT, Stern-Sylvestre SM, Seder B. Sagittal plane analysis of head, neck, and trunk kinematics and electromyographic activity during locomotion. Journal of Orthopaedic & Sports Physical Therapy. 2001;31(5):255-62.
13
Ratcliffe RJ, Holt KG. Low frequency shock absorption in human walking. Gait & Posture. 1997;5(2):93-100.
14
Al-Yahya E, Dawes H, Smith L, Dennis A, Howells K, Cockburn J. Cognitive motor interference while walking: a systematic review and meta-analysis. Neuroscience & Biobehavioral Reviews. 2011;35(3):715-28.
15
Brach JS, McGurl D, Wert D, VanSwearingen JM, Perera S, Cham R, et al. Validation of a measure of smoothness of walking. Journals of Gerontology Series A: Biomedical Sciences and Medical Sciences. 2010;66(1):136-41.
16
Menz HB, Lord SR, Fitzpatrick RC. Acceleration patterns of the head and pelvis when walking on level and irregular surfaces. Gait & posture. 2003;18(1):35-46.
17
Latt MD, Menz HB, Fung VS, Lord SR. Acceleration patterns of the head and pelvis during gait in older people with Parkinson's disease: a comparison of fallers and nonfallers. Journals of Gerontology Series A: Biomedical Sciences and Medical Sciences. 2009;64(6):700-6.
18
Doi T, Hirata S, Ono R, Tsutsumimoto K, Misu S, Ando H. The harmonic ratio of trunk acceleration predicts falling among older people: results of a 1-year prospective study. Journal of neuroengineering and rehabilitation. 2013;10(1):7.
19
Bellanca J, Lowry K, VanSwearingen J, Brach J, Redfern M. Harmonic ratios: a quantification of step to step symmetry. Journal of biomechanics. 2013;46(4):828-31.
20
Kavanagh J, Morrison S, Barrett R. Coordination of head and trunk accelerations during walking. European Journal of Applied Physiology. 2005;94(4):468-75.
21
Menz HB, Lord SR, Fitzpatrick RC. Acceleration patterns of the head and pelvis when walking are associated with risk of falling in community-dwelling older people. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences. 2003;58(5):M446-M52.
22
Menz HB, Lord SR, Fitzpatrick RCJTJoGSABS, Sciences M. Acceleration patterns of the head and pelvis when walking are associated with risk of falling in community-dwelling older people. 2003;58(5):M446-M52.
23
Hernandez D, Rose DJJAopm, rehabilitation. Predicting which older adults will or will not fall using the Fullerton Advanced Balance scale. 2008;89(12):2309-15.
24
Crum RM, Anthony JC, Bassett SS, Folstein MF. Population-based norms for the Mini-Mental State Examination by age and educational level. Jama. 1993;269(18):2386-91.
25
Yesavage JA, Brink TL, Rose TL, Lum O, Huang V, Adey M, et al. Development and validation of a geriatric depression screening scale: a preliminary report. Journal of psychiatric research. 1983;17(1):37-49.
26
Silsupadol P, Shumway-Cook A, Lugade V, van Donkelaar P, Chou L-S, Mayr U, et al. Effects of single-task versus dual-task training on balance performance in older adults: a double-blind, randomized controlled trial. Archives of physical medicine and rehabilitation. 2009;90(3):381-7.
27
Brach JS, McGurl D, Wert D, VanSwearingen JM, Perera S, Cham R, et al. Validation of a measure of smoothness of walking. 2011;66(1):136-41.
28
Howcroft J, Kofman J, Lemaire ED, McIlroy WE. Analysis of dual-task elderly gait in fallers and non-fallers using wearable sensors. Journal of biomechanics. 2016;49(7):992-1001.
29
Smidt GL, Arora JS, Johnston RC. Accelerographic analysis of several types of walking. American Journal of Physical Medicine & Rehabilitation. 1971;50(6):285-300.
30
Beauchet O, Dubost V, Aminian K, Gonthier R, Kressig RWJJomb. Dual-task-related gait changes in the elderly: does the type of cognitive task matter? 2005;37(4):259.
31
McGibbon CA, Krebs DE. Age-related changes in lower trunk coordination and energy transfer during gait. Journal of neurophysiology. 2001;85(5):1923-31.
32
Hausdorff JM, Rios DA, Edelberg HK. Gait variability and fall risk in community-living older adults: a 1-year prospective study. Archives of physical medicine and rehabilitation. 2001;82(8):1050-6.
33
Ansai JH, Aurichio TR, Rebelatto JR. Relationship between balance and dual task walking in the very elderly. Geriatrics & gerontology international. 2016;16(1):89-94.
34
Makizako H, Shimada H, Yoshida D, Ito K, Kato T, Ando H, et al. Brain atrophy and trunk stability during dual-task walking among older adults. The Journals of Gerontology: Series A. 2012;67(7):790-5.
35
Menant JC, Sturnieks DL, Brodie MA, Smith ST, Lord SR. Visuospatial tasks affect locomotor control more than nonspatial tasks in older people. PloS one. 2014;9(10):e109802.
36
Allali G, Dubois B, Assal F, Lallart E, de Souza LC, Bertoux M, et al. Frontotemporal dementia: pathology of gait? 2010;25(6):731-7.
37
Doi T, Asai T, Hirata S, Ando H. Dual- task costs for whole trunk movement during gait. Gait & posture. 2011;33(4):712-4.
38
Yogev‐Seligmann G, Hausdorff JM, Giladi N. The role of executive function and attention in gait. Movement disorders. 2008;23(3):329-42.
39
Yogev G, Giladi N, Peretz C, Springer S, Simon ES, Hausdorff JM. Dual tasking, gait rhythmicity, and Parkinson's disease: which aspects of gait are attention demanding? European journal of neuroscience. 2005;22(5):1248-56.
40
Yogev-Seligmann G, Rotem-Galili Y, Mirelman A, Dickstein R, Giladi N, Hausdorff JM. How does explicit prioritization alter walking during dual-task performance? Effects of age and sex on gait speed and variability. Physical therapy. 2010;90(2):177-86.
41
Springer S, Giladi N, Peretz C, Yogev G, Simon ES, Hausdorff JM. Dual‐tasking effects on gait variability: The role of aging, falls, and executive function. Movement Disorders. 20.7-950 (7)21;06.
42
Brodie MA, Menz HB, Smith ST, Delbaere K, Lord SR. Good lateral harmonic stability combined with adequate gait speed is required for low fall risk in older people. Gerontology. 2015;61(1):69-78.
43
Coelho T, Fernandes آ, Santos R, Paْl C, Fernandes L. Quality of standing balance in community-dwelling elderly: Age-related differences in single and dual task conditions. Archives of gerontology and geriatrics. 2016;67:34-9.
44
ORIGINAL_ARTICLE
The Effect of Spiritual Needs and Resiliency on Quality of Life in Diabetics
Introduction: Diabetes, as the most common chronic metabolic disease, decreases the quality of life in patients. This disease causes a crisis in the physical, psychological, and spiritual aspects, which increases the use of the spiritual resource as a coping mechanism. Resilience is one of the variables that enhance the quality of life by coordinating different aspects of human life. it is considered necessary to adapt to the disease. This study aimed to investigate the effect of spiritual needs and resilience on quality of life in diabetics. Methods: The study is a descriptive-correlational one. The participants were 165 patients with cancer diseases (female 105, male 60) from Sari city selected through convenience sampling. The data were collected using the quality-of-life scale (WHO), spiritual needs scale (Büssing), and resilience scale (Connor & Davidson). For data analysis, Stepwise regression analysis was carried out by means of SPSS 19. Results: The data were analyzed using stepwise regression analysis. According to the results, there was a significant and positive correlation between scores on the components of Spiritual Needs and spiritual well- being. Moreover, subscales of the Spiritual Needs such as "Religious needs" (p < 0.001), "Existentialistic needs" (p < 0.001) "need for Inner peace" (p < 0.001) and "Actively Giving needs" (p < 0.001) had a positive correlation with the quality of life. And among all components of Spiritual Needs, Religious needs, Existentialistic needs, and Inner Peace needs had more predictive power in quality of life. And also there was a significant correlation between scores of resiliency and quality of life while the component of resiliency (p < 0.001) had more predictive power in quality of life. Conclusion: It is concluded that components of Spiritual needs and resiliency, as two psychological constructs, can play a significant role in quality of life. Therefore, developing plans and approaches to address the patients' spiritual needs and resiliency can be beneficial since it promotes quality of life in diabetics.
https://smsj.sums.ac.ir/article_47655_ba54de40cf7f70fc3b4a38d091270602.pdf
2021-05-21
173
186
10.30476/smsj.2021.88768.1182
Spiritual needs of patients
Quality of life
diabetes mellitus
Resilience
Psychological
Mostafa
Abdevali
fpourmousavi@ymail.com
1
Master of Psychology, Department of clinical of Psychology, Faculty of Psychology and Educational Sciences, shahid Beheshti University, Tehran, Iran
LEAD_AUTHOR
Abbas
Zabihzadeh
2
Ph.D. in Psychology, Associate Professor, Department of clinical of Psychology, Faculty of Psychology and Educational Sciences, shahid Beheshti University, Tehran, Iran
AUTHOR
Sadri Damirchi E, Samadifard H. Predicting of Life Expectancy in Diabetic Patients Based on Self-efficacy, Self-esteem and Perceived Social Support. The Horizon of Medical Sciences. 2019: 25 (2): 85-92.
1
Connell J, Carlton J, Grundy A, Buck ET, Keetharuth AD, Ricketts T, et al. The importance of content and face validity in instrument development: lessons learnt from service users when developing the Recovering Quality of Life measure (ReQoL). Quality of Life Research.2018: 27(7): 1893-902.
2
Marzban A. Relationship between Spiritual Health and Quality of Life in Type II Diabetic Patients: A cross-sectional study in Yazd. Journal of Diabetes Nursing. 2018: 6 (4):641-652.
3
Badr H, Shen MJ. Pain intensity and dyadic adjustment influence patient and partner depression in metastatic breast cancer. The clinical journal of pain. 2010: 30(11):923-33.
4
AlBuhairan F, Nasim M, Al Otaibi A, Shaheen NA, Al Jaser S, & Al Alwan I. Health related quality of life and family impact of type 1 diabetes among adolescents in Saudi Arabia. Diabetes research and clinical practice. 2016:114: 173-179.
5
Costa WA, Giraldo PC, Gonçalves AK. Quality of life in breast cancer survivors.Revista da Associacao Medica Brasileira. 2017: 63(7): 583-89.
6
Busch EL, Martin CH, DeWalt D, Sandler R. Functional health literacy, chemotherapy decisions and outcomes among a colorectal cancer cohort. Cancer Control. 2015:22: 95-101.
7
Mousavi SH, Bagherian-Sararoudi R, Meschi F, Khalatbari J, Tajeri B.The Role of Mediating Resilience in the Relationship Between Health Literacy and Specific Quality of Life in Breast Cancer Patients. Quarterly Journal of Health Psychology. 2020:9(1):79-94.
8
Khodavirdi T, Eskandari H, Borjali A, Farrokhi N. Explaining the spiritual needs of breast cancer patients: A qualitative study. mejds. 2019: 9:125-125.
9
Ahangarkani M, Rahimian Boogar I, Makvand Hosseini Sh. The Relationship between Contextual Factors and Spiritual Needs with Spiritual Well-being in Patients with CancerDiseases. Sadra Medical Sciences Journal. 2019: 7(4): 335-356.
10
Rohani C, Moosavi S, Borhani F, Akbari M. Consequences of Spiritual Care for Cancer Patients and Oncology Nurses: a Qualitative Study. Asia-Pacific Journal of Oncology Nursing. 2019:6(2):137. [Persian].
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Breitbart W, Rosenfeld B, Gibson C, Pessin H, Poppito S, Nelson C, et al. Meaning-centered group psychotherapy for patients with advanced cancer: a pilot randomized controlled trial. Psycho-Oncology. 2010:19(1):21–8.
12
Büssing A, Balzat HJ, Heusser P. Spiritual needs of patients with chronic pain diseases and cancer Validation of the spiritual needs questionnaire. European Journal of Medicine Research 2010: 15:266–73.
13
Seddigh R, Keshavarz-Akhlaghi A.A, Azarnik S. Questionnaires Measuring Patients’ Spiritual Needs: A Narrative Literature Review. Iran Journal of Psychiatry Behavioral Science 2016: 10(1): 232-244.
14
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15
Kiani J, Jahanpour F, Abbasi F, Darvishi SH, Gholizadeh B. Evaluation of effectiveness of spiritual therapy in mental health of cancer patients. Nursing Journal of the Vulnerable. 2016: 2 (5):40-51.
16
Winkelman WD, Lauderdale K, Balboni MJ, Phelps AC, Peteet JR, Block SD, et al. The Relationship of Spiritual Concerns to the Quality of Life of Advanced Cancer Patients: PreliminaryFindings. Journal of Palliative Medicine. 2011:14(9):1022–8.
17
Chaar EA, Hallit S, Hajj A, Aaraj R, Kattan J, Jabbour H, Khabbaz LR. Evaluating the impact of spirituality on the quality of life, anxiety, and depression among patients with cancer: an observational transversal study. Supportive Care in Cancer. 2018:26(8):2581-2590.
18
Flannelly KJ, Galek K, Bucchino J, Vane A. The Relative Prevalence of Various Spiritual Needs. Health and Social Care Chaplaincy. 2013:9 (2):25–30.
19
Hodge DR, Bonifas RP, Chou RJA. Spirituality and older adults: Ethical guidelines to enhance service provision. Advances in Social Work 2010: 11(1): 1-16.
20
Bussing A, Pilchowska I, Surzykiewicz J. Spiritual needs of polish patients with chronic diseases. Journal of Religion and Health.2015: 54:1524-42.
21
Ahangarkani M, Rahimian Boogar I, Makvand Hosseini S. Prediction of Spiritual Wellbeing based on Contextual Factors and Spiritual Needs in Patients with Cardiovascular Diseases. Ilam University of medical sciences. 2019:27 (5):73-84.
22
Abdi F, Banijamli S, Ahadi H, Koushki S. Psychometric properties of Resilience scale (CD-RISC) among women’s with breast cancer. Journal of Research in Psychological Health. 2019: 13 (2):81-99
23
Markovitz SE, Schrooten W, Arntz A, Peters ML. Resilience as a predictor for emotional response to the diagnosis and surgery in breast cancer patients. Psycho-oncology. 2015: 24 (12):1639-1645.
24
Dooley LN, Slavich GM, Moreno PI, Bower JE. Strength through adversity: Moderate lifetime stress exposure is associated with psychological resilience in breast cancer survivors. Stress Health. 2017: 33(5): 549-557.
25
Seiler A, Jenewein J. Resilience in Cancer Patients. Front. Psychiatry.2019:10(208): 1-35.
26
Cole NN, Nonterah CW, Utsey SO, Hook JN, Hubbard RR, Opare- Henaku A, Fischer NL. Predictor and moderator effects of ego resilience and mindfulness on the relationship between academic stress and psychological well-being in a sample of Ghanaian College Students. Journal of Black Psychology. 2015: 41(4): 340-357.
27
Habibi M, Salmani K, Amani O, Rafezi Z, Nematalahzadeh Mahani SS. The Comparison of Spiritual Experience and Resilience between Women with Breast Cancer and Healthy Women. Journal of research in behavioural scienes. 2016: 14(1): 50-5.
28
Allen RC, & Palk G. Development of recommendations and guidelines for strengthening resilience in emergency department nurses. Traumatology. Advance online publication.2018.
29
Axelsson U, Rydén L, Johnsson P, Edén P, Mهnsson J, Hallberg IR, Borrebaeck CAK. A multicenter study investigating the molecular fingerprint of psychological resilience in breast cancer patients: study protocol of the SCAN-B resilience study.BMC cancer. 2018: 18: 789.
30
Ahangarkani M , Rahimian Boogar I, Maboudi M , FardAfshari S, Ismail Dukht R. The Relationship between Contextual Factors and Spiritual Needs with Spiritual Well - Being in Patients with Diabetic Diseases. Journal of Medical Ethics.2019:13(44): 22-33.
31
Connor KM, Davidson J RT. Development of a new resilience scale: The connor- Davidson Resilience Scale (CD-RISC). Journal of Depression and Anxiety. 2003: 18: 76- 82.
32
Jokar B, Shmani S, Sarahgard N. Resilience, mental Health, Satisfaction of Life٫٫ Journal of Psychiatry Clinical. 2008:13:290-295.
33
Nejat S, Montazeri A, Holakouie Naieni K, Mohammad K, Majdzadeh S. The World Health Organization quality of Life (WHOQOL-BREF) questionnaire: Translation and validation study of the Iranian version. School of public health and institute of public health research. 2006: 4 (4):1-12.
34
Koenig H. Spirituality, wellness, and quality of life. Sexuality, Reproduction and Menopause. 2004:2(2):76–82.
35
Wu LF, Koo M, Chenliao YCH, Chen YM, Yeh DCH. Development and validation of the spiritual care needs inventory for acute care hospital patients in Taiwan. Clinical Nursing Research.2016: 25: 590-606.
36
Hekmatipour N, Hojjati H. The relationship between praying and life expectancy in cancerous patients. Journal of Medicine and Life. 2015: 8: 60 -64.
37
Hassan J, Sheikhan R, Mahmoudzadeh A, Nikro M. The role of spiritual well-being and coping strategies in teenage High-risk behaviors. Thought and Behavior. 2014: 9 (33): 17-27
38
Dale SK, Cohen MH, Kelso GA, Cruise RC, Weber KM, Watson C, et al. Resilience among women with HIV: Impact of silencing the self and socioeconomic factors. Sex Roles. 2014:70(5-6):221-31.
39
27. Doustdar Tousi S A, Dabbaghi P. Evaluating Relation the Resiliency and Memory in Patients with Cardiovascular Diseases. Middle Eastern Journal of Disability Studies. 2016: 6:8-14
40
Hojjati H, ghsaran H. Relationship Between Resilience and Quality of Life in Parents with Thalassemia Major Children in Zahedan City. Iranian Journal of Rehabilitation Research in Nursing. 2018: 5 (1):36-43.
41
ORIGINAL_ARTICLE
The Effect of Resveratrol and Quercetin on Colon Cancer
Introduction: Cancer is one of the most common diseases throughout the world. One out of eight deaths in the world happen as a result of cancer. Cancer is the third cause of mortality in Iran. Colon cancer is the fourth cause of mortality in the world and 1.2 million people with the disease are being diagnosed annually. Methods: The method of data collection was through review and original articles. Results: About 8% of overall mortality rate is associated with colon cancer. Conclusion: Colon cancer has considerably increased in Iran over the last three decades and it is the second common cancer in Iran according to the annual report of the National Cancer Institute of Iran. The prevalence of colon cancer in Iran is estimated to be 8 out of 100.000 people. 3641 new cases of cancer are reported annually in the country and 2262 people die every year as a result of colon cancer. The prevalence of the disease in Iranian population is equal to 22%.
https://smsj.sums.ac.ir/article_47649_a4c08917f61f4b84aa79a1101af0c4a2.pdf
2021-05-21
178
200
10.30476/smsj.2021.84071.1074
cancer
Colon
prevalence
Neoplasms
Resveratrol
Quercetin
Parvin
Ekhlaspour
ekhlaspoor.parvin@gmail.com
1
M.Sc., Student in Nutrition, Department of Nutrition, Faculty of Nutrition and Food Sciences, Tabriz University of Medical Sciences, Tabriz, Iran
AUTHOR
Fatemeh
Nazari Robati
fatemehnazari50@yahoo.com
2
Mph Candidat, Social Diameters of Health Research center, Kerman Urban Health Center, Shafa Street, Kerman, Iran
AUTHOR
Sajjad
Tezerji
sajjadt70@yahoo.com
3
M.Sc., Student in Nutrition, Department of Nutrition, Faculty of Nutrition and Food Sciences, Tabriz University of Medical Sciences, Tabriz, Iran
LEAD_AUTHOR
Núñez‐Sánchez MA, González‐Sarrías A, Romo‐Vaquero M, García‐Villalba R, Selma MV, Tomás‐Barberán FA, et al. Dietary phenolics against colorectal cancer—From promising preclinical results to poor translation into clinical trials: Pitfalls and future needs. Molecular nutrition & food research. 2015;59(7):1274-91.
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3
Shadi Kolahdoozan MD M, Alireza Sadjadi MD M, Radmard AR, Hooman Khademi MD M. Five common cancers in Iran. Archives of Iranian medicine. 2010;13(2):143.
4
Somi MH, Golzari M, Farhang S, Naghashi S, Abdollahi L. Gastrointestinal cancer incidence in East Azerbaijan, Iran: update on 5 year incidence and trends. Asian Pac J Cancer Prev. 2014;15(9):3945-9.
5
Pourhoseingholi MA, Fazeli Z, Ashtari S, Bavand-Pour FSF. Mortality trends of gastrointestinal cancers in Iranian population. Gastroenterology and Hepatology from bed to bench. 2013;6.
6
Cai H, Scott E, Kholghi A, Andreadi C, Rufini A, Karmokar A, et al. Cancer chemoprevention: Evidence of a nonlinear dose response for the protective effects of resveratrol in humans and mice. Science translational medicine. 2015;7(298):298ra117-298ra117.
7
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47
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48
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49
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50
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51
ORIGINAL_ARTICLE
Philosophical Foundations of Ethics in Medical Sciences with Islamic Approach
Introduction: Any area of human knowledge is based on special philosophical foundations. These foundations determine the basic framework and paradigm of the area. Ontology, epistemology, methodology, and anthropology are the philosophical foundations that form a specific knowledge area. Ethics in medical sciences has its own philosophical foundations in Islamic framework. Using Islamic texts in general and the holy Quran in particular, this research/study attempts to analyze and identify these foundations, and, in an attempt to execute a part of the objectives of the Comprehensive and Scientific Map of Iran, it tries to localize and Islamicize these foundations. Methods: This is a qualitative research that is based on emergent design. The data collection procedure is documentary and library resource and the data analysis approach is considered to be descriptive-interpretive. Islamic texts and the holy Quran in particular are sources of extraction of our intended components and criteria. Results: According to the foundations of Ontology, Epistemology, Methodology, and Islamic Anthropology, the most important characteristics of ethics in medical sciences include monotheism, motivations for closeness to God, kindness, and virtue. Other practical concepts such as thralldomand purification of soul are also taken into account in this study. Conclusion: Using the capacity of Islamic moral education system, doctors and other healthcare providers could achieve Islamic and humanity goals in medical sciences. The medical education system of universities of medical sciences can use philosophical principles of Islamic ethical system in their curriculum programs and internships as a basis to improve students’ attitude, motivation and skills based on Islamic foundations.
https://smsj.sums.ac.ir/article_47656_6686786f62fc9bb4b47a1f2048c50417.pdf
2021-05-21
201
218
10.30476/smsj.2021.87437.1150
Islamic Approach
Medical Ethics
Medical education
Anthropology
Hossein
Mahmoodian
mahmoodian@sums.ac.ir
1
Assistant Professor, Department of Medical Ethics and Philosophy of Health and Member of Research Center of Quran, Hadith and Medicine, Shiraz University of Medical Sciences , Shiraz, Iran
AUTHOR
Mohammad
Mazidi
mmazidi52@gmail.com
2
Associate Professor, Department of Philosophy of Education, Shiraz University, Shiraz, Iran
LEAD_AUTHOR
Seyed Ziya-Addin
Tabei
3
Professor, Department of Medical Ethics and Philosophy of Health, Shiraz University of Medical sciences, Shiraz, Iran
AUTHOR
Mohammad Hasan
Karimi
4
Assistant Professor, Department of Philosophy of education, Shiraz University, Shiraz, Iran
AUTHOR
Saeid
Rahimian
5
Professor, Department of Philosophy, Shiraz University, Shiraz, Iran
AUTHOR
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24