About IJWPH
Correlation Between HMGB1 Gene Expression and CCK Hormone Levels in Patients with Gallbladder Disorders
Methods: This study was conducted at the College of Science, Wasit University, Iraq. Patient samples were collected from Al Karama Teaching Hospital and Al Zahraa Hospital between October 2023 to July 2024 The study included (40) patients with cholecystitis who were divided into two categories (40 patients) pre- surgery and (20) continuance as post-surgery samples, along with 20 healthy controls. with an age range of 20–79 years. Serum CCK levels were measured using ELISA, whereas HMGB1 gene expression was analyzed using real-time PCR.
Results: The results indicated a significant increase in serum CCK concentration across all study groups (P < 0.05), with no significant difference between postsurgical patients and healthy controls (P > 0.05). HMGB1 gene expression was significantly higher in pre-surgical patients (4.91 ± 0.51) compared to post-surgical patients (1.95 ± 0.24) and healthy controls (1.0) (P < 0.05). ROC analysis revealed that CCK had an area under the curve (AUC) of 0.717 (P = 0.002), with 72.5% sensitivity, while HMGB1 gene expression showed excellent diagnostic accuracy with an AUC of 0.950 (P = 0.001) and 95.0% sensitivity. Statistical analysis also showed a significant positive correlation between HMGB1 gene expression and CCK levels both before (r = 0.323, P = 0.042) and after surgery (r = 0.419, P = 0.033).
Conclusion: This study suggests that HMGB1 gene expression is significantly associated with gallbladder disease progression, with levels decreasing after cholecystectomy. This is the first study to observe a correlation between HMGB1 and CCK, indicating a potential interaction between inflammation and gallbladder motility. These findings highlight HMGB1 as a potential biomarker for gallbladder disease and postsurgical recovery.
Impact of Face Masks on Cardiopulmonary Efficiency During Exercise in Older Adults: A Crossover Study
Aims: The widespread adoption of prolonged use of medical facial masks became particularly prevalent to prevent infectious respiratory diseases. Nevertheless, there is a paucity of information regarding the physiological effect of various types of facial masks on the cardiorespiratory functions of older individuals during physical exercise. The current study aims to examine the physiological effects of different face masks on older adults cardiopulmonary efficiency during exercise.
Materials and methods: 26 healthy older adults were assessed under four conditions in the current study: no mask, disposable 3-ply surgical mask, disposable N95 mask, and cloth mask (CM) in random order. The participants' blood pressure, SPO2 level, heart rate, respiratory rate, distance traversed, and pulmonary function were measured at baseline and following a 6-minute walk test for each condition, respectively.
Findings: There were no statistically significant changes in the outcome variables as a result of the participants' use of different masks in this study. With the N95 mask, however, reductions in SPO2 levels were seen upon completion of the 6-minute walk test.
Conclusion: Wearing masks during moderate-intensity physical activity has no significant impact on blood pressure, heart rate, or pulmonary function. However, older individuals with heart or lung conditions should undergo a comprehensive assessment.
Impact of Digital Health Literacy upon Quality of Life among People with Physical Disabilities: A Mediating Role of E-Health Service Utilization
Methods: A cross-sectional descriptive study was conducted on 120 people with physical disabilities at the Babylon Rehabilitation Center in Iraq. Data were collected using validated questionnaires measuring quality of life (DHL), use of e-health services, and quality of life (WHOQOL-BREF). Statistical analysis included Pearson correlation coefficients, multiple regression, and mediation analysis using the Hayes macro PROCESS model.
Results: DHL technology was significantly associated with both use of e-health services (r = .56) and quality of life (r = .42). Regression analysis showed that both DHL technology (β = .28, p = .003) and eHealth use (β = .39, p < .001) significantly predicted QOL. Mediation analysis revealed a statistically significant indirect effect (B = 0.20) of DHL technology on quality of life through the use of e-health services.
Conclusion: Digital health literacy improves quality of life, in part through increased engagement in eHealth. People with physical disabilities are recommended programs that promote digital health services (DHL) and provide them with access to e-health tools.
Generation and Characterization of Purkinje Like Cells from Differentiated Mouse Bone Marrow Mesenchymal Stem Cells
Instrument & Methods MSCs were isolated from the bone marrow of mice and characterized using specific markers (CD34, CD44, CD45, and CD73). Then, the MSCs were differentiated into neural stem cells and characterized by immunocytochemistry and neurosphere formation (Nestin and SOX2). Finally, neural stem cells were differentiated into Purkinje-like cells via specific culture media and identified by morphology and immunocytochemistry (calbindin D28K and IP3R1).
Findings According to the International Society for Cell and Therapy criteria, isolated MSCs adhered to the flask surface and expressed the CD73 and CD44 markers but did not express the CD34 and CD45 markers. The identity of neural stem cells was confirmed through their morphology, expression of Nestin and SOX2 markers, and neurosphere formation. Calbindin D28K and IP3R1 markers were significantly expressed in Purkinje-like cells differentiated from MSCs.
Conclusion Given the broad need for innovative strategies in neural repair, the generation of Purkinje-like neurons from readily accessible stem cells presents a promising therapeutic avenue for treating neurological disorders. Beyond its general applications in public health, this approach holds particular potential for improving outcomes in patients affected by brain injuries, including those resulting from war-related trauma.
Effect of Nurse-led Pain Management on Quality of Life Mediated by Sleep Quality in Patients with Chronic Musculoskeletal Disorders
Methods: A cross-sectional study was conducted on 280 adults attending the outpatient rehabilitation clinic of a university hospital in Najaf city. Participants were selected based on eligibility criteria and were surveyed using four validated instruments: the Pain Management Inventory–Nurse Version (PMI-N), the Pittsburgh Sleep Quality Index (PSQI), the WHOQOL-BREF, and a sociodemographic questionnaire. Data were analyzed using descriptive statistics, Pearson correlation coefficient, and mediation analysis (PROCESS macro, Model 4).
Results: Pain management strategies were positively associated with quality of life (r = 0.53, p < 0.01) and negatively associated with poor sleep quality (r = -0.46, p < 0.01). Sleep quality was also negatively related to quality of life (r = -0.58, p < 0.01). Mediation analysis confirmed that sleep quality partially mediated the relationship between pain management and QoL (indirect effect β = 0.23, 95% CI: 0.14-0.34).
Conclusion: Effective nurse-led pain management improves quality of life in patients with chronic sleep disorders, in part due to improved sleep quality. Training programs should focus on integrated pain strategies that address both pain and sleep disorders.
Multiple Oral Squamous Cell Carcinoma in a patient with a history of chemical warfare
Oral squamous cell carcinoma usually occurs primary and lonely. Multifocal is considered a rare complication. Various factors have been reported in the literature as contributing to the multiplicity of oral squamous cell carcinoma (OSCC) lesions. It is also possible that chemical warfare agents, due to their cumulative effects, may play a role in the development of multiple lesions.
Case report: A 60-year-old male patient with history of chemical warfare and the chief complaint of a painful ulcer in his mouth from the past two months referred to us at Shahid Beheshti Medical University. Intra‑oral examination revealed multifocal White non removable non-homogenies plaque lesion on the left pterygomandibular, left maxillary mucosa and on the anterior mandibular ridge. Incisional biopsy of lesions was performed from all sections. The final diagnosis was early invasive squamous cell carcinoma.
Conclusion:
In patients with head and neck cancer, particularly squamous cell carcinoma (SCC), in addition to risk assessment, inquiring about a history of participation in war may also be helpful.
A study of Clinical changes in Adiponectin, Leptin and Some Inflammatory Parameters in Obese Patients with Type-2 diabetes and Hypertension in Thi-Qar Province
Objective: The current study was aimed to investigate the changes in adiponectin, leptin and some inflammatory factors in serum obese patients with Type-2 diabetes and hypertension in Thi-Qar province/ Iraq.
Material and method: The present study was conducted at the “Al-Nasiriya Teaching Hospital in Thi-Qar Governorate” and Biochemistry Laboratory in the “College of science” in the period between August (2024) to January (2025). The study included a total of 140 subjects (male and female), 105 patients diagnosed with obese (BMI ≥30) among them, and 35 as control with (BMI ˂25) and their ages range from (35–65) years. They divided into four groups as the following: Cont. group: included (35) normal healthy, Obes. group: Included (35) Just obese patients, ODM group: Included (35) obese diabetes patients and OHTN group: Included (35) obese hypertensive patients.
Results: the results in this study showed significant increase (P≤0.05) in (LEP), (Hs-CRP) and (IL-6) levels and significant decrease in (ADP) level in all patients’ groups in comparison with control group, whereas no significant change (p≤0.05) in serum HIF-1α in patients’ groups when compared with control group. While no significant deference in each serum (ADP), (LEP), (Hs-CRP), (IL-6) and (HIF-1α) levels between obese-DM group and obese-HTN group compared with obese group (p≤0.05).
Conclusion: This study concluded that the obese patients with T2DM and with HTN had high significant level of LEP and inflammatory factors and low significant level of ADP than control group.
Investigating the Effects of Emotion Regulation-Based Educational Intervention on Psychological Resilience Among Spouses of Veterans Hospitalized at EbneSina Psychiatric Hospital
Methods: Forty participants were randomly assigned to experimental (n=20) and control (n=20) groups. The experimental group underwent eight 90-minute emotion regulation training sessions twice weekly, incorporating Gross’s and Lazarus’s models, while controls received no intervention. Psychological resilience was assessed using the Connor-Davidson Resilience Scale (CD-RISC) at pretest and posttest. Data were analyzed via ANCOVA using SPSS-26.
Findings: Posttest resilience scores significantly increased in the experimental group (72.6±7.8) compared to controls (57.3±8.9) (p<0.001). All CD-RISC subscales—tolerance of negative emotions, trust in instincts, acceptance of change, control, and spiritual influences—showed statistically significant improvements (p<0.001 for all), with large effect sizes (Cohen’s d=1.35–1.82).
Conclusion: Structured emotion regulation training effectively enhances psychological resilience in veterans’ spouses. Integrating such interventions into mental health programs for veterans’ families is recommended to mitigate caregiving-related stress.
Review of therapeutic effect of trans cranial magnetic stimulation in psychological disorders
Human brain can be stimulated safely and non invasively by powerful magnetic field. This magnetic field causes a current in stimulated tissue, which stimulates the brain neurons. In psychological disorders, focal brain activity is observed in clinical syndromes. Application of trans-cranial magnetic stimulation as a therapeutic technique proposes to change the selective brain activities. Low frequency repetitive trans-cranial magnetic stimulation (rTMS) is a new method in evaluation and treatment of hyper excitability brain syndromes, which changes brain plasticity. In this review article, therapeutic effect of rTMS in some psychological disease such as depression, post traumatic stress disorder, epilepsy, obsessive compulsive disorder and schizophrenia is discussed.
Examining the effects of ’bad’ and ‘good’ fitting conditions supracondylar PTB socket on interface pressure and comfort of unilateral transtibial amputees: Case Study
Background: Changes in the volume and shape of the stump causes difficulties in maintaining A comfortable and exact fit. Improper fit causes pain, discomfort and movement between stump and socket. There is not enough document to identify how much volume fluctuation causes fitting problem . To identify and understand the relationship between the changes of interface pressure between stump and socket with mentally feeling of amputees in "good" and "bad" fitting conditions.
Method and Material: The study was conducted on two below knee amputees. The method has 2similar stages, SCS was evaluated at both stages with the difference that one was done in bad and other in good fitting condition. To examine stump-socket interface pressure at each stage,static tests with applying half and full body weight to the artifical limb and walking tests were done.
Results: With volume reduction, it seems adding several sock layers to improve fitting condition (force couple correction)imposes high interface pressure to patellar tendon and fibular head which lowers amputees feeling of comfort. Without adding sock layers,stump movement to distal causes unbearable pressure to the distal of tibia.
Conclusion: In static tests, interface pressure increased in good fitting condition at patellar tendon and popliteal region. Walking tests in good fitting condition showed less movement between stump and socket and less improper pressure. Using too many layers of socks to improve fitting causes intolareable interface pressure at regions such as petellar tendon and fibular head.
Frequency of Phantom Pain among patients with Spinal Cord Injury
Summary: Background: Patients with spinal cord injury (SCI) usually have permanent and often devastating neurologic deficits and disability and pain (1). According to the National Institutes of Health, "among neurological disorders, the cost to society of automotive SCI is exceeded only by the cost of mental retardation"(2). Neurogenic pain constitutes one of the enigmatic clinical syndromes faced by patients, clinicians, and researchers (3). Materials and Methods: Current observational descriptive cross-sectional survey is performed among 270 patients with spinal cord injuries including veterans and non-veteran disabled subjects in Tehran-City during 2005. Results: Mean age of the subjects was 37.8±12.2 years. 26.3% were female and 73.7% were male. 17.4% had spinal cord injury in cervical level, 41.5% thoracic, 38.1% lumbar, and 3% Quada Equina level. 76.3% had complete and 23.7% incomplete injuries. 19.3% had injury duration of less than 5 years, 11.9% between 5 to 10 years, and 68.9% upper than 10 years. Phantom pain below the lesion level was present in 89 patients (33%) that included 26% of veterans and 37% of non-veterans. There was a statistically significant association between age, marital status, and injury duration with having phantom pain (P< 0.05). Conclusion: it is concluded that frequency of phantom pain in current study is less than all of previous studies and our patients were totally resistant to analgesic treatments which may be due to physiopathologic basis of such pains in comparison with other pains due to spinal cord injuries.
survey of relationship between abnormalities of the spine and spirometric indices of spinal cord injury veterans
Background & Purpose: In addition to any disability, especially spinal cord injury level of sensory and motor performance of shows, other serious complications in other parts of the body, leaving lasting. . One of these complications, the spine is deformed. Many of the deformation of the spine, opening the chest to reduce this mode reduces the vital capacity and respiratory disorders, negative effects on the cardiovascular system and ultimately cause a change in the amount of their lung capacity is. The objective of this study, survey of relationship is between abnormalities of the spine (Lordosis, Kyphosis, scoliosis) and spirometric parameters (FEV1/FVC, FVC, FEV1, FEF75, PEF).
Materials & Methods:For this purpose, the present study was performed on 60 cases of spinal cord injury veterans And spirometric indices including FEV1/FVC, FVC, FEV1, FEF75, PEF was assessed using spirometry. For data analysis descriptive statistics were used and the test of Pearson inferential statistics were used.
Results: Based on survey results, a relation between Lordosis, scoliosis Kyphosis and spirometric indices, the rate and Kyphosis and Lordosis abnormalities was significant
(P<0.05). But there is no significant difference in the rate of scoliosis (P>0.05).
Conclusion: Due to the complications of spinal deformity and subsequent loss of lung volume in the injured spinal cord injury, for deformity correction protocols and a regular exercise program continued to increase indicators lung is recommended.
Localization of Hemoxigenase in the epithelium of human air way wall induced by sulfur mustard
Introduction: Sulfur mustard (SM) as an effective chemical agent was used recently in the Iraq war against Iran. Currently more than 40,000 chemical casualty of war left with lung lesions caused by mustard gas.
This combination induce the production of oxygen free radicals are molecules that activate inflammatory processes. Heme Oxigenase is one of the important proteins that decrease the harmful effects of free radicals and involved in many cellular functions such as oxidant/antioxidant system balance in respiratory system.
Methods: 12 biopsy samples of the airway wall (8 chemical samples and 4 control samples) obtain by bronchoscopy. After fixation in Parafrmaldehyd 4%, 20 microns slices were prepared by Cryostat. The expression of HO1, a polymorphism of HO, by immunohistochemistry method in samples of veterans and control groups analysed and were compared.
Results: SM exposed samples were immunonegative for HO1 antibodies in compare to unexposed patients, while Normal ones expressed in high intensity in epithelium as a basal expression.
Conclusion: These findings indicate that this molecule play an important role in protecting cells against oxidative stress, including the poisoning of SM. So it concluded that the absence of this protective factor may be cause for chronic obstructive pulmonary disease and continuity of problem.
Relation between perceived social support and health promotion behaviors in chemical veterans in Ilam province on 2012-13
Background & Purpose: Chemical attacks in war can make short term and long term personal, family and social damages and limited social relationships of victims as compared to ordinary people. The aim of this study was to investigate the relationship between social support and health promoting behaviors in chemical veteran in Ilam province 2012-13.
Methods & Materials: This cross-sectional study was performed in the entire moderate and severs chemical veterans, who they were covered by the Department of Veterans and Martyrs of Ilam province. Information was collected by using standard questionnaires for health-promoting behavior and Multidimensional scale of perceived social support (family, friends, and important people). The reliability and validity of these instruments was desirable. Inclusion criteria were percentage of disability with moderate and sever levels and enough physical strength to answer questions, and exclusion criteria were also lack of cooperation and have no permanent residence in Ilam province. After data collection, all data were analyzed by SPSS statistical soft ware and Pearson correlation coefficient and linear regression.
Results: All of 239 veterans indicated that all of them were men with mean and standard deviation age 51.17± 8.87 years and there is a significant relation between all subscales of social support and health-promotion behavior subscales (p<0.05). Among the subscales of social support, friend support had the highest correlation with health-promoting behaviors (r= 0.391), and support from important people showed the lowest correlation (r= 0.367). The all regression models of health promotion behavior and its subscales were significant.
Conclusion: There is a relation between perceived social support especially friend support and health-promotion behaviors, therefore suggest that the friend as a resource support was used in design of educational programs.
The relationship between basic need satisfaction and general healthof veteransofIsfahan’s AmiralmomeninHosptital
Background& Purpose: The onlyforcethat hastargetedhealth,physicalandmental. Satisfythebasicneedsrequiredto grow theconsistency,specificityandprovidepsychological well-being. The present study aims at analyzing the efficiency of basic need satisfaction in general in predicting the veterans’ general health at Isfahan’s AmiralmomeninHosptital.
Methods&Material:132 veterans were chosen randomly at AmiralmomeninHospital. They answered the questionnaires of the Basic Need Satisfaction (Basic Needs Satisfaction) and General Health (General Health Questioner ). In order to analyze the data, multivariate (step by step) regression analysis was used.
Result: The results indicated that satisfying the basic need satisfaction has correlation with the veterans’ general health (p<0.001) and also, the results indicated that among the psychological needs, satisfying the autonomy need and general health are predicted significantly (p<0.001).
Conclusion: To sum up, the results of the present study confirmed the efficiency of the basic needs satisfaction in predicting general health.
Psychological- social consequences chemical bombardment of the Sardasht victims (a qualitative study)
Purpose: Aim of the present research is study of psychic and social consequences of chemical bombarding on the victims of Sardasht City by qualitative method.
Material & Method: 15 men and 15 women of Sardasht City victims were selected as available sampling and they were interviewed in semi-structured manner. Method of qualitative research is interpretive. Results of the interviews were divided into several categories.
Results: Results show that psychic and social consequences of chemical bombarding on the victims include complaints such as social complaints, psychic complaints, exhaustion problems, economical complaints, characteristic complaints, anger, no safety sensation, emotional interdependent, decrease of social interaction exist in victims.
Conclusion: Results of the research demonstrate social and psychological problems have higher role in psychic- social consequences of chemical bombarding in ratio with other psychic- social consequences. Finally, we involved in limitations and providing several recommendations
Validation of a Device for Registering Orthotic Wearing Time during the Laboratory Climate Tests on Normal Volunteers
Laboratory instrumentation of orthoses and prostheses can be used to objectively gain accurate information. In this study the measurement of orthosis wearing time during laboratory climate tests with normal volunteers were accomplished to determine the validity and reliability of the device for registering orthotic wearing time that was designed and fabricated in
Energy Storing and -Revealing Prosthetic Feet A Review Study
Aims: Since 1990 a new generation of prosthetic feet as "energy storing" in order to improve the performance and mobility of amputees entered to the markets. The aim of this study was to expansion and explanation of the concept of energy and terms relating to energy transfer as well as an overview of energy storing and returning measurement of prosthetic.
Information & Methods: In this review study, a systematic search of electronic databases, Google Scholar and PubMed was done and papers published from 1950 to 2013 were studied. Key words used were included various combinations of energy analysis, ESAR prosthetic feet and their synonym terms.
Findings: The results obtained from articles classified and examined in the three domains of concepts of energy and energy-related terms, methods of energy analysis in the prosthetic feet and functional classifications and naming of the feet enable to energy storing.
Conclusion: Analysis of the structure and components of prosthesis make it possible to understand how it works. One of the major issues in the analysis of energy transfer of prosthesis is the proper amount of absorption and energy release and the effect of it on amputee. Optimal performance and health of amputee is effective in designing these kinds of prosthesis.
The effect of lateral wedge insole with and without subtalar strap on vertical component of ground reaction force in knee osteoarthritis
Objective: The effects of lateral wedge insoles with and without subtalar strap on vertical component of ground reaction force were compared. Methods: Twenty five patients aged over 40 years with grades I or II of medial compartment knee osteoarthritis based on Kellgrene and Lawrence grading system were participated in this study. They were tested in 3 conditions while walking in a 3-meter walkway: bare foot, lateral wedge insole and lateral wedge insole with subtalar strap. Three successful trials were recorded in each condition. Gait analysis was performed to compare the immediate effect of lateral wedge insole with and without subtalar strap on vertical component of ground reaction force.
Results: There was significant effect of lateral wedge insole with subtalar strap on second peak of vertical ground reaction force related to lateral wedge insole and without insole conditions. But no significant effect of lateral wedge insole with and without subtalar strap was found on first peak of vertical ground reaction force and walking speed.
Conclusion: The results of this study suggest that lateral wedge insole can reduce second peak of vertical ground reaction force. Also it was understood lateral wedge insole with subtalar strap might be more efficacious than lateral wedge insole in mild knee osteoarthritis patients.
The Comparison of the quality of life of the war veterans families with/without Post traumatic Stress Disorder
Introduction: The aim of current study was comparison of the quality of life of the war veteran’s families with/without PTSD.
Method: In this purpose 300 war veterans' families were selected by clustering random sampling in Hamedan province. The measures of this research were quality of life questionnaire 28 items and demographic inventory.
Results: The results of independent samples t-test have shown the war veterans with PTSD reported lower scores on Physical Function, Bodily Pain, General Health, Vitality, Social Functioning, and mental health in comparison of the war veterans without PTSD. The spouses of the war veterans with PTSD also have reported lower quality of life in all subscales in comparison of the spouses of war veterans without PTSD. The children of the war veterans with PTSD have reported lower scores only on general health in comparison of the children of the war veterans without PTSD.
Conclusion: In respect to results, it appears that consideration of family's health in war veterans' families is necessary with special attention to war veterans with PTSD. However, planning, and instructional, therapeutic policies can be useful
Investigating the Influence of training religious coping skillson resiliency, adaptability and stress management in veterans' spouses
Background & Purpose: The purpose of this article is to study the effect of training religious coping skills on Resiliency and adaptability components and stress management in veterans' spouses.
Methods & Materials: This study is quasi-experimental. Statistical population included 70 veterans' spouses whose children were studying in Shahed primary school of Mashhad in district5, in 1392-1391education year. For sampling, Available method was used and all the testees were given Connor & Davidson Resilience Questionnaire and bar-on emotional intelligence Questionnaire for investigating two components.30 spouses, results who gained the lowest score in both tests, were selected after the Survey. The testees were divided to two Equal experiment and control groups, through random assignment. Then experiment group was provided religious coping skills training with the Islamic approach in10 sessions. Finally, a post-test was taken from both groups.
Results: The data analysis was performed, for obtaining covariance and Pearson correlation test. Results show a meaningful measure of 0.01 and variables showed direct relationship to the testing component in Pearson correlation test therefore it can be concluded that training of religious coping skills may be useful for veterans' spouses on their resiliency, adaptability.
Conclusion: On the basis of the results of this study, It is concluded that training spouses of veterans, religious coping skills can be effective in Improving their level of mental health and empowering them to deal with their problems.
Correlation between mindfulness and executive functions in blinds veterans
Background and Aim : Mindfulness is ability of self regulating attention and direct it for task. The purpose of present study is evaluation of correlation between mindfulness and executive function in blind veterans.
Materials & Methods : we evaluate 93 blind veterans with Dys executive function and mindfulness questionnaire. Pearson Correlation Test was used to evaluation.
Results : findings show significant correlation between mindfulness and executive function specially inhibition and memory (P<0.01) and arousal (P<0.01) subscale. No correlation found in intentionality and hyperactivity subscale (P>0.05).
Conclusion : Cause of correlation between mindfulness and inhibition, arousal and memory is common structural and functional overlap. Mindfulness can be used as a proper predictor of this subscale of executive functions.
Effectiveness of Emotional Schema Therapy on Cognitive Emotion Regulation Strategies of Combat-Related Post Traumatic Stress Disorder Veterans
Introduction: This study aims to examine the effectiveness of Emotional Schema Therapy on The Emotional Schema & Cognitive Emotion Regulation Strategies of patients suffering from Post-Traumatic Stress Disorder (PTSD).
Method: 6 patients from the clients of psychiatric clinic of Baqiyatallah hospital, were selected through available sampling, matched together and then divided into 3 groups (Emotional Schema Therapy combined with Medications, Cognitive Behavioral Therapy combined with Medications & Medications) Patients were examined 5 & 3 times by Leahy Emotional Schema Scale (LESS) and the Short Form of Cognitive Emotion Regulation Questionnaire (CERQ-18) and The Persian versions of the Impact of Event Scale-Revise (IES-R). To analyze the data, indexes of effect size, cohen’s d, process changes, slope and interpretation of ups & downs in charts were employed.
Result: After treatment, scores of patients who Emotional Schema Therapy received showed decrease in Negative Emotional Schema(Rumination, guilt, uncontrollability) & Maladaptive Cognitive Emotion Regulation strategies (Self-blaming, Rumination, Catastrophizing) additionally, in some Adaptive Cognitive Emotion Regulation strategies (Positive refocusing, Refocusing on planning, Positive Reappraisal)and Adaptive Emotional Schema (higher values, acceptance, consensus, Comprehensibility) an increase was observed.
Conclusion: Emotional Schema Therapy via targeting directly mechanisms of pathological Emotional Schemas & Maladaptive Cognitive Emotion Regulation strategies. can be appropriate choice for treatment of Post-Traumatic Stress Disorder (PTSD).
Quality of life in fibromyalgia syndrome referred to clinic of Physical Medicine and Rehabilitation in Baqiyatallah Hospital, Tehran
Background & Purpose: Fibromyalgia syndrome is a chronic disease with unknown etiology musculoskeletal pain and tender points throughout the body are numerous. The aim of this study was to measure quality of life in patients with fibromyalgia syndrome that referred to Physical Medicine and Rehabilitation clinic in Baqiyatallah Hospital.
Methods & Materials: Patients that referred to Physical Medicine and Rehabilitation Clinic by a trained physician were asked about diffuse chronic pain, fatigue, sleep disturbance, age, body mass index, level of education and number of children. To assess quality of life, 36-SF questionnaire was used. Also to assess pain, Visual Analog Scale (VAS) was used. The same physician did a thorough physical examination with special attention to the tender points in order to diagnose fibromyalgia according to the American College of Rheumatology (ACR) criteria.
Results: In the study of 59 patients referred to the Baqiyatallah hospital, the findings showed that there was statistically significant relationship between quality of life and pain (p=0.002), age (p=0.01), body mass index (p=0.04) and morning stiffness (p=0.001). However, there is no statistically significant relationship between level of education and quality of life (p=0.09). Also, according to the finding, all quality of life components, especially the physical components, is affected by Fibromyalgia syndrome.
Conclusion: According to the study findings, the quality of life of fibromyalgia patients affected by multiple factors such as diffuse chronic pain, body mass index, age, morning stiffness.
Fertility and sexual function after spinal cord injury
Following damage to spinal cord, sexual function and fertility of the survivors would greatly be affected and using assistive reproductive therapies would be inevitable. During a 2-year program, 1429 SCI survivors of Iran-Iraq War were thoroughly examined by urologists. Patients' demographic characteristics and information relevant to sexual and fertility status as date of marriage, number of children and use of assistive reproductive therapies, were recorded. The mean age of the survivors was 37.9±8.5 y/o and the mean period after injury was 14.6±2.9 years. 87.4% of the subjects suffered from paraplegia and 98.4% of them were men. Sexual dysfunction reported in 69.9% of the subjects while fertility problems observed in 58.5%. 23.7% of the cases had no child and 30.4% had a single one. Success rate following IUI, IVF and were 21.9%, 24.1% and 20% respectively. Statistical analysis revealed no relation between level of spinal cord injury and fertility. Relatively high success rate after assistive reproductive therapies would maintain the hope of bearing a child after Spinal Cord Injury.
گزارش درمان یک مورد زخم فشاری مقاوم به درمانهای متداول در جانباز نخاعی بوسیله لیزرکمتوان
Comparative of Mental Health Disabled People of Athletic and Non-Athletic
Background: In the field of exercise and mental health was already on the perception that sport is beneficial for physical health. Today physical exercise can also be effective in promoting mental health.
Purpose: The main purpose of this study was to compare mental health of athletic and non-athletic disabled people in Arak city.
Materials and Method: A descriptive-analytical study and cross method, was done to evaluate the mental. Disabled man in the entire city was considered as a population study. Samples were selected randomly into two groups with 120 athletes (60) and non-athletes (60). Mental health of participants was assessed by GHQ-28. Descriptive statistics and ANOVA test and Tukey post hoc test was used for data analysis.
Results: Findings of study showed significant differences between mental health of athletic and non-athletic disabled people. Disabled people that participant in physical activity were in better mental health situation than the non-athletic disabled people.
Conclusion: According to sport effective role on mental health of people, especially disabled people recommend responsible organizations for making the bed than the rest of the act.
Viewpoints of Veterans Affected by Psychological Disorders towards usage of telemental services for War Veterans
Background & Purpose: The use of telemedicine in military capabilities, access to specialized medical services, resulting in a continuing care for veterans is possible. This study aimed to investigate psychological warfare point of using mental health systems has been done remotely for war veterans.
Methods & Materials: This cross - sectional study was conducted in 2013 A questionnaire was designed and standardized by receiving comments from telemedicine experts and psychiatrist. The researcher personally visited respondents, thus 100% data were collected. Data analysis using 17.0 SPSS software and descriptive statistics were performed.
Results: Veterans on the effectiveness and necessity of mental health service use remote stressed. And concerns about access to a computer, provided the drug, the need for further training and active involvement of families.
Conclusion: It is clear that the Telemental health is practical solutions to meet the mental health needs of veterans. .In the discussion, such as user training requirements, reliability, confidentiality and other legal policies should be considered. Experiences of other countries indicate the success of this type of service needs assessment, feasibility and planning is correct.
