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1.
Journal of Gorgan University of Medical Sciences. 2016; 18 (1): 101-107
in Persian | IMEMR | ID: emr-178920

ABSTRACT

Background and Objective: Colorectal cancer can significantly cause physical, psychological and social problems. This study was done to determine the prevalence of anxiety and depression in patients with colorectal cancer in Babol located in north of Iran


Methods: This cross-sectional, analytical study was done on 120 [75 males, 45 females] patients with colorectal cancer which registered in the Babol cancer registry in north of Iran during 2008-12. A questionnaire containing demographic information, aspects of the disease and HADS questionnaire was completed by interviewing to assess anxiety and depression for each patient


Results: The prevalence rate of depression and anxiety in patients was 23.4% and 30.8%, respectively. Gender, residency of rural area, and having comorbidities are related to depression among which location was identified as an independent predictor. Urban residency had 79% less risk of depression than rural residents [95% CI=0.06-0.67, OR=0.21, P<0.009]. Gender, resident of rural areas, unemployed, having comorbidities, low income and lack of education were associated with anxiety, among which only education was identified as an independent predictor [95% CI=L32-13.81, OR=4.27, P<0.015]


Conclusion: The prevalence of anxiety and depression in colorectal cancer patients was high in this area. Therefore, interventions are recommended to increase awareness and greater attention to rural women and controlling comorbidities


Subject(s)
Humans , Female , Male , Anxiety , Depression , Prevalence , Cross-Sectional Studies , Surveys and Questionnaires
2.
Journal of Holistic Nursing and Midwifery. 2016; 26 (1): 41-47
in Persian | IMEMR | ID: emr-187108

ABSTRACT

Introduction: In the first 6 months of life, infant growth had maximum of its speed but abnormality growth may reflect on a chronic disease, inadequate nutrition or may be depend on another complications such as dietary, psychosocial development


Objective: The goal of this study was to investigate relationship of In-Arms holding a baby during breast feeding and growth rate in Kashan health centers


Methods: This study was a descriptive correlational design. 94 mothers entered in study who reffered to Kashan health center. A questionnaire developed by the researcher was tool that was completed by interview. Data were analyzed by descriptive and inferential statistical tests [t-test, Pearson, chi-square test]


Results: Mean maternal age was 27.980 [6.836 +/- ]. The mean birth weight was 3272.5 [427.133 +/- ], mean of height 49.280[3.022 +/- ] and mean of head circumference was 34.928[2.371 +/- ]. Time of infant In-Arms Holding by mother was between zero to five hours a day and average time was 4/55 [845/0 +/- ]. Time of In-Arms Holding for other family members and relations was 1 to 5 hours and mean time of In-Arms Holding was 4/910 [223/1 +/- ]. T-test showed that there aren't significant relationship between In-Arms Holding baby by the mother and friends and indices of growth in 2, 4 and 6 months[p>0.05]


Conclusion: in this study relationship between skin to skin contacts of neonatal growth rate was irrelevant, but due to conflicting results on similar studies, interventional studies with the higher sample size are recommended

3.
EMHJ-Eastern Mediterranean Health Journal. 2016; 22 (5): 309-317
in English | IMEMR | ID: emr-181484

ABSTRACT

Pregnant women have a major role to play in assessing and improving their own quality of care. This study in Tabriz, Islamic Republic of Iran, aimed to assess the effectiveness of an intervention for pregnant women-based on education and support groups and involvement in quality assessment activities-in order to improve the technical quality of public maternity care at public health centres. The intervention phase took place between September 2012 and may 2013. The outcome measure was health-care providers' degree of adherence to the Iranian maternity care standards. An intervention group of 92 pregnant women from 10 health centres was compared with a control group of 93 pregnant women from 11 centres. Logistic regression analysis showed that the self-assessed technical quality of maternity care received by the women was significantly better in the intervention that the control group for several of the standards concerning clinical examinations, maternal education and vitamin and mineral supplements


Subject(s)
Humans , Women , Pregnant Women , Prenatal Care , Hospitals, Maternity/standards , Logistic Models , Maternal Behavior
4.
Journal of Medicinal Plants. 2016; 15 (58): 63-71
in Persian | IMEMR | ID: emr-179451

ABSTRACT

Background: The vermicompost and compost as an alternative of chemical fertilizers for plant nutrient and improvement soil conditions is one of the principles of sustainable agriculture, environmental protection and food safety


Objective: This research was conducted to evaluate the effects of different amounts of municipal solid waste compost and vermicompost on quantitative and qualitative traits of lemon verbena


Methods: Greenhouse experiment was conducted as factorial based on randomized complete blocks design with three replications. In this study three the ratio of the volume of municipal solid waste compost and vermicompost with loamy soil containing 0: 100, 90: 10 and 80: 20 were studied


Results: Effects of municipal compost and vermicompost on all traits were significant [P<0.05] and caused increasing dry weight, plant height, number of leaves, chlorophyll index, photosynthesis, essential oil percentage and oil components. So that level of 20% for each fertilizer had the greatest impact on the studied traits than the control. The interaction effect of compost and vermicompost were significant on dry weight and essential oil percentage [P<0.01], photosynthesis, limonene and linalool percentage of essential oils [P<0.05], But had no significant effect on plant height, number of leaves, chlorophyll index and percentage of essential oil linalool


Conclusion: The effect of vermicompost application was better than compost in all studied traits. Combined use of compost and vermicompost improved qualitative and quantitative traits of lemon verbena compared to individual consumption. But in the treatment of 20% vermicompost with 20% compost was obtained best result. Therefore fertilizers complete each other's effects

5.
Journal of Paramedical Science and Rehabilitation. 2015; 4 (1): 7-14
in Persian | IMEMR | ID: emr-169500

ABSTRACT

Hearing impairment is one of the most important causes which results in delays in language development and can also influence different aspects of language production and comprehension. Expressive and receptive language skills development of hearing impaired children depends on using appropriate educational rehabilitation programs. This study aims to investigate the effectiveness of linguistic plays on aforementioned skills in pre-school hearing impaired children. In this quasi-experimental study, 10 hearing impaired children with hearing aids, aged between 5 and 7 years were randomly assigned into two groups [5 children in each group]. The expressive and receptive language skills of these children were evaluated via the TOLD-P: 3 [Persian Version]. In addition, their level of intelligence was assessed by Raven test. The difference between the scores of control and treatment groups using U Mann - Whitney test revealed that there is a statistically significant difference in expressive language skills [p= 0.009] and receptive language skills [p= 0.009] of the children who participated in linguistic plays. In other words, the present findings suggest that linguistic plays have a significant impact on improvement of aforementioned skills in pre-school hearing impaired children. Hearing impaired children have a lot of difficulties in language production and comprehension. Therefore, new educational rehabilitation programs needs to be planned to improve language problems of these children. According to the results of the present study, linguistic plays should be involved in the routine rehabilitation program to improve the expressive and receptive language difficulties of hearing impaired children. After sessions of linguistic plays, these children could make significant improvements to comprehend the meaning of sentences and words; also they can recognize, understand, and use common Persian morphological forms, utter and recognize the differences in important Persian speech sounds

6.
JNE-Journal of Nursing Education. 2015; 3 (4): 3-10
in Persian | IMEMR | ID: emr-179720

ABSTRACT

Introduction: having an intellectually disabled child imposes many physical, mental, and social predicaments on the family. Appropriate interventions to improve attitude and create constructive caring behaviors can greatly support those families and provide them a healthier quality of life. This study conducted to determine the effect of the educational intervention on the attitudes and behaviors of family caregivers caring for children with intellectual disability


Method: this study is a randomized, controlled, intervention study conducted in Narges rehabilitation center, Miyaneh in 2013. A total of 64 caregivers of children with intellectual disabilities aged 6-18 years were randomly divided into two groups. Intervention group received training classes [6 sessions] but control group did not receive any intervention. Data were collected based on the researcher made, behavior and attitude questionnaires at beginning and the end of the study. Data were analyzed using SPSS version 21, paired t-test, t-test, and chi square


Results: mean score of attitude and behavior in both groups was not statistically significant before the intervention. However, 90 days after the intervention, attitude and caring behavior of caregivers in the intervention group increased significantly [P<0.05]


Conclusion: educational intervention improved attitudes and behaviors of family caregivers significantly. Therefore, authors recommend further studies to evaluate the effectiveness of this model on other chronic conditions

7.
Journal of Medicinal Plants. 2015; 14 (56): 139-148
in Persian | IMEMR | ID: emr-181082

ABSTRACT

Background: Salinity is one of the most important factors limiting growth and crop production. Mycorrhizal fungi as a biological fertilizer provides food needs plants and can be useful in decrease the effects of environmental stresses on plants


Objective: Improving quantitative and qualitative traits of anise plant using mycorrhizal fungi under salt stress


Methods: This study was done in greenhouse of the research farm of the Islamic Azad University [Saveh branch] as factorial based on randomized complete blocks design. The first factor was mycorrhiza inoculation in three levels of non-inoculated, inoculated with Glomus intraradices strain and inoculation by Glomus mosseae strains and second factor was salinity in three levels control or non-saline water, salinity 50 Mm and 100 Mm


Results: The salinity and mycorrhiza affected all studied traits [P<0.01]. The interaction of salinity and mycorrhiza was significant on the number of seeds per plant, Essential oil percentage of seed and K concentration in leaves [P<0.01], plant height, plant dry weight, number of umbels per plant, number of shed in the umbrella, number of seeds in the shed and sodium concentration in leaves [P< 0.05]. Increasing soil salinity decreased all the studied traits, So that greatest damage was observed at 100 Mm salt. Of course salinity decreased sodium concentration of leaves. Also mycorrhizal inoculation improved all the studied traits in the saline and control condition than non inoculated plants


Conclusion: The results showed that mycorrhizal inoculation with both strains improved plants growth and essential oil of anise in salinity conditions, and effect of Glomus mosseae strain was better on anise than Glomus interaradices strain

8.
Holistic Nursing and Midwifery Journal. 2015; 25 (4): 91-101
in Persian | IMEMR | ID: emr-186314

ABSTRACT

Introduction: Primary dysmenorrhea is common in women during reproductive age


Objective: this study aimed to determine the effect of acupressure on sixth spleen point [SP6] on relief of primary dysmenorrheal


Methods: this study is a clinical trial. Students with primary dysmenorrheal living in dormitory were studied during three menstrual cycles. Pain intensity was measured on the first cycle without intervention. Subjects were divided into two parallel groups [pressure on SP6 and placebo groups], using a randomized block design with odds ratio of 1:1 based on the intensity of pain. In the second and third cycles, pressure was exerted by the samples. Pain intensity was compared with the visual analogue scale before and after intervention. Samples, person dividing the groups, data analyzer were blinded to study groups. At the end data related to 30 students in experiment group and 32 students in control group were analyzed. T test, chi-square, Friedman, Mann-Whitney and ordinal regression were used to compare the pain severity in experiment and control groups


Results: pain severity up to 3 hours after giving pressure on SP6 [p<0.004] and four hours after giving pressure on control point [p<0.001] was decreased compared to before intervention. There was no difference observed pain in groups before and after intervention


Conclusion: since pain severity was less in both groups after intervention, more studies are recommended

9.
Journal of Health Administration. 2014; 17 (57): 46-57
in Persian | IMEMR | ID: emr-180938

ABSTRACT

Introduction: About 10-15 percent of Iranian couples are infertile which is due to different causes determining particular diagnostic and treatment methods. In this study, the model presented is based on basic features and simple tests, helping physicians predict the causes of infertility


Methods: The data were taken from Sarem hospital infertility data bank by using data mining methods. First, K-means clustering was run; then, support vector machine and artificial neural network classification methods were used to predict the type of infertility, and finally, the results of two classification algorithms were compared. In addition, SPSS Clementine 12.0 was used to analyze the data and implement the algorithm in modeling part


Results: In k-means clustering, the data were divided into five clusters. In each cluster, one or more causes of infertility were observed. Then, by applying SVM and artificial neural network classification algorithms, the SVM algorithm with a polynomial kernel appeared to have the maximum accuracy


Conclusion: The findings of this study, could contribute to the understanding of the factors responsible for infertility and pave the way for future investigations. These findings can be used in future studies to develop a system for applying this model since by diagnosing the causes of infertility prior to secondary stages and before performing heavy tests, a considerable amount of time and cost will be saved, and physical burden on patient will be decreased

10.
Journal of Gorgan University of Medical Sciences. 2014; 15 (4): 79-83
in English, Persian | IMEMR | ID: emr-139740

ABSTRACT

Fanconi anemia is the most prevalent inherited aplastic anemia. Diagnosis based solely on the recognition of clinical symptoms is not reliable. This study was done to determine chromosomal aberrations in patients suspected with the risk of Fanconi anemia in the Eastern Azarbaijan province- Iran. This descriptive study was conducted on 20 patients in the Eastern Azarbaijan province-Iran. The cytogenetic method was used to determine type and number of chromosomal disorders. Nine eight and nine patients had co-morbid anemia, platelet deficiency and 9 patients had hand and finger deformities, respectively. Using cytogenetic method, Fanconi anemia was confirmed in 5 [25%] of the cases. The percentage of mitotic abnormalities in the chromosomes without administration of mitomycin C varied between 5-30% in the cultures of the 5 affected and between 0-4% in the 15 unaffected patients with the administration of mitomycin C, the percentages were increased up to 35-78% and 0-20% in affected and unaffected patients, respectively. Fanconi anemia is confirmed precisely in 25% of suspected patients using cytogenetic method


Subject(s)
Humans , Chromosome Aberrations , Cytogenetic Analysis , Mitomycin
11.
Journal of Veterinary Research. 2013; 68 (1): 7-12
in Persian | IMEMR | ID: emr-142803

ABSTRACT

Based on our knowledge, there have been no ultrasonographic studies on uterine involution following induction of abortion in the bitch. To evaluate ultrasonographic features of uterine involution following induction of abortion. In a concurrent study, pregnancy was terminated in 6 bitches in the third trimester of pregnancy by ultrasound guided induced fetal death. Ultrasonographic examination of the reproductive tract was carried out after the day of complete abortion up to complete uterine involution, in which uterine dimensions were unchanged within two consecutive evaluations. Uterine shape, size, and echogenicity as well as wall layering were evaluated in ultrasonographic evaluations, and mean values were measured in both placental and interplacental regions. Ultrasonographic features revealed that, uterine wall is detected on ultrasound images having six different layers on the basis of its echogenicity. Wall layering was very explicit and distinct within the first week after abortion and lost its distinction in the course of uterine involution. On the day after abortion, placental regions measured approximately twice the size of the uterus in interplacental areas. In the first week, the mean values of the placental and interplacental thickness were 2.11 +/- 0.31cm and 1.12 +/- 0.20 cm respectively, measured in uterine horns. After the third week, the placental and interplacental regions lost their distinction and thickness. In the last two weeks, uterine horns were almost equal in dimension in every part. The time of complete involution varied amongst these 6 different bitches, being in the 6[th], 8[th], 9[th], 10[th], and 13[th] week after the induction of abortion. The findings of this study could be a basis for ultrasonographic evaluation of abnormal uterine structures and also detection of uterine involution time after abortion or parturition


Subject(s)
Female , Animals , Abortion, Induced/veterinary , Fetal Death , Cohort Studies , Evaluation Studies as Topic , Parturition , Pregnancy
12.
Journal of Health Administration. 2013; 16 (54): 46-56
in Persian | IMEMR | ID: emr-183552

ABSTRACT

Introduction: Infertility is one of the problems that has caused a lot of psychological and worldly costs on infertile couples. Intrauterine Insemination [IUI] is one of the medically-Assisted Reproduction Techniques [ART] to help infertile couples to have a successful pregnancy. Because of unpredictable results of this technique, identifying the factors influencing the effectiveness of IUI is important. The aim of this study was to identify factors influencing the failure of IUI using data mining techniques


Methods: By utilizing K means algorithm, a descriptive technique of data mining, and Davis-Buldin index, the patients were divided into seven clusters and the features of each cluster were analyzed


Results: Increasing age, overweight, obesity, length and type of infertility in women appeared to be effective factors which were revealed by cluster analysis and investigation of the features of each cluster. Male factors including duration of infertility and spermogram type were other causes of failure in this method of infertility treatment


Discussion: By analyzing the results of clustering technique, the effective factors in the failure of IUI treatment in infertile couples were identified. The obtained results of clustering technique with the consultant of experts can be used for predicting the result of IUI treatment and helping researchers, physicians and infertile couples to choose the best treatment

13.
Iranian Journal of Public Health. 2012; 41 (5): 46-57
in English | IMEMR | ID: emr-161728

ABSTRACT

With regard to the willing and starting tobacco smoking among young people in Iran. The aim of the study was to model the underlying factors in predicting the behavior of tobacco smoking among employed youth and students in Iran. In this analytical cross-sectional study, based on a random cluster sampling were recruited 850 high school students, employed and unemployed youth age ranged between 14 and 19 yr from Iran. The data of demographic and tobacco smoking related variables were acquired via a self-administered questionnaire. A series of univariate and multivariate logistic regressions were performed respectively for computing un-adjusted and adjusted Odds Ratios utilizing SPSS 17 software. A number of 189 persons [25.6%] were smoker in the study and the mean smoking initiation age was 13.93 [SD= 2.21]. In addition, smoker friend, peer persistence, leaving home, and smoking in one and six month ago were obtained as independent predictors of tobacco smoking. The education programs on resistance skills against the persistence of the peers, improvement in health programs by governmental interference and policy should be implemented

14.
Iranian Journal of Nutrition Sciences and Food Technology. 2012; 6 (4): 1-12
in Persian | IMEMR | ID: emr-117564

ABSTRACT

Considering the high prevalence of hypertension and dyslipidemia in type 2 diabetic patients, the aim of the present study was to investigate the effects of probiotic yoghurt on blood pressure and serum lipid concentrations in these patients. In this controlled, double-blind, randomized clinical trial, 60 patients [23 males and 37 females] with type 2 diabetes and an LDL-cholesterol level higher than 100 mg/dL were assigned to one of two groups. Subjects in the intervention group consumed daily 300 gr of probiotic yoghurt containing Lactobacillus acidophilus and Bifidobacterium lactis, and those in the control group consumed daily 300 gr of conventional yoghurt, for 6 weeks. Dietary intakes, anthropometric measurements, blood pressure and serum lipids concentrations were measured at the baseline and at the end of the study. Statistical analyses were performed using the SPSS software, the statistical tests being analysis of covariance and paired-samples t-test. Systolic and diastolic blood pressure remained unchanged in both groups, while the total cholesterol and LDL-cholesterol concentrations decreased by 4.54% and 7.45% in the intervention group, respectively, as compared with the control values [P = 0.008 andP = 0.004, respectively]. However, no significant differences were observed between the initial and final triglyceride and HDL-cholesterol concentrations in the intervention group. Consumption of probiotic yoghurt can decrease the total cholesterol and LDL-cholesterol in type 2 diabetic patients; however, it has no effect on blood pressure. This study shows that probiotic yoghurt may help reduce cardiovascular disease risk factors in type 2 diabetes


Subject(s)
Humans , Male , Female , Hypertension/prevention & control , Dyslipidemias/prevention & control , Diabetes Mellitus, Type 2/complications , Double-Blind Method , Lipids/blood
15.
Iranian Journal of Public Health. 2012; 41 (6): 97-102
in English | IMEMR | ID: emr-124852

ABSTRACT

This study aimed to investigate the relationship between health Related quality of life [HRQOL], motor ability and weight status in children. Two hundred forty children ages 9-11 yr who were selected via multi stage cluster sampling design from primary schools in the Shahre Qods at Tehran, Iran in 2007. HRQOL was assessed by the pediatric quality of life inventory [PedsQL]. Motor abilities were determined by a Basic Motor Ability Test [BMAT]. Body mass index was calculated to determine weight status. Psychosocial, physical, and total health related qualities of life [all P< 0.05] were significantly lowered for obese when compared to normal weight participants. In contrast, the mean scores for each HRQOL domain in motor ability category were not significant. No significant interaction was apparent when examining HRQOL scores, BMAT variables and weight status. Regardless of motor ability levels, reducing body weight among children is a potential avenue for promoting improved HRQOL. Over weight boys reported significantly worse school performance than over weight girls, suggesting the importance in considering such dimensions in programs aimed at further understanding obesity in children


Subject(s)
Humans , Obesity/psychology , Motor Activity , Health Status , Child , Population , Body Mass Index , Obesity/epidemiology
16.
Iranian Journal of Nutrition Sciences and Food Technology. 2011; 6 (3): 31-38
in Persian | IMEMR | ID: emr-108935

ABSTRACT

Because of the high perishability of fish, keeping the quality of fresh fish is one of the most important problems in the fish-processing industry and for the consumers. The aim of this study was to determine the antibacterial and antioxidant effects of bacteriocine Z on silver carp fillets during refrigerated storage. After being weighed, fish fillets were sprayed with nisin Z [0.2 g/kg] packaged in vacuum and refrigerated [4°C]. Microbial [TVC, PTC, LAB] and chemical [PV, TBA, TVB-N] parameters were measured at days 0, 3, 6 and 9. As compared with the nisin Z-treated fish samples, the psycrotrophic, lactic-acid, and aerobic-mesophilic bacterial counts were higher in the control samples. The microbial parameters decreased significantly in the nisin Z-treated samples at the beginning of the period, followed by a slower rate of increase than the control; the chemical parameters showed a slower rate of decrease. Using metabolites as natural preservatives in fish fillets may increase shelf-life of silver carp fillets during refrigerated storage. Bacteriocine Z may extend their shelf-life at 4°C by 3 days

17.
IJEM-Iranian Journal of Endocrinology and Metabolism. 2010; 11 (5): 553-560
in English | IMEMR | ID: emr-93059

ABSTRACT

The purpose of this study was to investigate the effect of active recovery [AR] vs passive recovery [PR] on serum levels of interleukin 6 [IL]-6, IL-8, IL-10 and Creatine Kinase [CK] after eccentric strenuous exercise. Twenty-eight female students of physical education participated in this study, age [23.8 +/- 1.99] years, height 164.0315.61 cm, weight 58.21 [8.23] kg and fat percent 27.18 [4.86]]. The subjects were randomly divided into two groups and completed a set of strenuous workouts, including a 30 min of treadmill downhill running [-5% grade] at 80-85% of Maximal Heart Rate [MHR], followed by AR for 15 min at 50-60% of MHR, or complete rest in the seated position [PR]. Blood samples were collected pre- and post exercise, and after recovery in order to measure the levels of IL-6, IL-8, IL-10 and CK. Both the AR and PR groups showed increase in the levels of serum cytokines after exercise and recovery, except IL-10 that decreased after exercise. IL-6 levels after recovery were higher in AR. Also, there were significant differences between the two groups after recovery in IL-8 and IL-10. The results show no significant differences in the levels of IL-6 in either group. It also seems that the post exercise increase in the levels of circulating cytokines is not due to the muscle damage, in spite of the increase in CK indicating that the increase of cytokines after AR is probably because of their anti-inflammatory effects


Subject(s)
Humans , Female , Adult , Exercise , Interleukin-10/blood , Interleukin-8/blood , Interleukin-6/blood , Creatine Kinase/blood
18.
Journal of Shahrekord University of Medical Sciences. 2010; 12 (2): 51-64
in Persian | IMEMR | ID: emr-105711

ABSTRACT

Different diagnostic factors of colon and rectal cancer [CRC] affect the survival of patients, prognosis and consequently treatment application. The rate of colorectal cancer is being increased in Iran, especially in younger ages, made it more valuable to study this type of cancer. However, evaluation of the risk factors of the cancer as a whole would not provide thorough understanding of the cancer. Therefore, the aim of this study was to determine specific risk factors affecting colon and rectum cancers. A total of 1219 patients with CRC diagnosis, according to the pathology report of cancer registry of RCGLD from 1 January 2002 to 1 October 2007, were entered into the study. Data were analyzed using univariate and multivariate Accelerated Failure Time [AFT] parametric survival model with frailty, utilizing STATA statistical software. Based on the results of this analysis, for colon cancer, females, patients without inflammatory bowel disease [IBD], patients with poorly differentiated tumor grade and patients pathologic with stage of I had higher survival probability. For these patients, there was not any correlation between history of alchol consumption and the size tumor. In the rectal cancer, patients with surgery as the kind of first treatment used, had higher survival probability. For these patients personal history and pathologic stage weren't statistically significant. In addition, in both types of cancers, 25-29.9 and over than 30 categories of body mass index [BMI] had higher survival probability, respectively and patients with BMI less than 18.5 had lower survival probability. In general, the survival rate in rectal cancer patients was higher than those with colon cancer. Site-specific evaluation of colon and rectum can lead to a deeper understanding of factors affecting these cancers. It may help design the clinical trials, better diagnosis of diseases and optimal administration of specific treatments


Subject(s)
Humans , Rectal Neoplasms , Colonic Neoplasms , Survival Analysis , Disease-Free Survival , Survival Rate , Risk Factors
19.
Iranian Journal of Epidemiology. 2010; 6 (3): 35-49
in Persian | IMEMR | ID: emr-108492

ABSTRACT

Cholera is always being considered as a public health threat in poor and developing countries. However outbreaks of cholera are not very common in central area of Iran; in 2008 district health authority reported a cluster of diarrhea cases. We investigated this cluster to identify the etiological agent, source of transmission and propose control measures. We analyzed the data of total of 1219 patients with colorectal cancer who registered between 1 January 2002 to 1 October 2007. Data were analyzed using univariate and multivariate Accelerated Failure Time [AFT] parametric survival model with frailty, utilizing STATA statistical software. In the univariate analysis for age at diagnosis, gender, marital status, race and education level, the survival of patients with colon cancer were approximately between half to one fourth and for BMI, alcohol history, Inflammatory Bowel Disease [IBD], familial history of cancer and the pathologic stage of tumor, the survival of patients with colon cancer were significantly [between 0.12 to 0.56 times] shorter than those patients with rectal cancer. In the multivariate analysis, for age at diagnosis [45-65 years], there was significant difference between colon and rectum cancer. But for BMI, alcohol history, IBD and pathologic stage there were not significant differences. The adjusted survival and 1, 2, 3, 4 and 5 year survival of patients with rectal cancer were better than those with colon cancer. Site-specific evaluation of colon and rectum could give a better perspective of factors affecting these cancers. It may help to design of clinical trials, better diagnosis of diseases and optimal administration of specific treatments


Subject(s)
Humans , Male , Female , Middle Aged , Aged , Colonic Neoplasms/mortality , Rectal Neoplasms/pathology , Rectal Neoplasms/mortality , Prognosis , Survival Analysis
20.
Journal of Shahrekord University of Medical Sciences. 2006; 8 (2): 45-51
in Persian | IMEMR | ID: emr-78195

ABSTRACT

Anxiety and stress are among the most important problems of modern life. These problems, particularly in elders who their adaptation to the problems is low, result in serious complications in health. This study was performed to assess the effects of progressive muscle relaxation [PMR] technique on anexiety and stress in the hepertensive elders. This quasi-experimental study was conducted in Kahrizak charity foundation in Tehran, in 2005. In this study, 55 elderly men and women who resided in the centre and suffered from hypertension, were randomly divided into two groups; experimental [27] and control [28]. PMR technique was administrated to the individuals of experimental group for 6 weeks [3 times a week, for 20 minutes]. Subsequently, using depression anxiety stress [DAS] questionair, the level of anxiety and stress was measured in the two groups at the beginning, in the third week and at the end of the study. The data was analyzed, using Manvitni, Wilkakson and ANOVA tests. Using PMR, mean of anxiety and stress in the individuals of experimental group was 38.8 +/- 4.02, before intervention and decreased to 3434.3 +/- 3.7, at the third min. and to 33 +/- 5.17, at the end of intervention [p<0.01]. In the control group, the means were 38.6+4.14, before intervention, 37.5+6.07 at the third week and 39.5 +/- 4.16 at the end of intervention. These differences were statistically significant [p<0.05]. Also, in the individuals of experimental group, there was a significant decrease in SBP, DBP, HR, RR [p<0.01], whereas in the control group, these parameters, except RR were increased [p<0.01]. Our results showed that using non therapeutic techniques such as PMR may control both stress and anxiety and their complications such as hypertension in elders. This would result in healthy and prolonged life in this age group like others


Subject(s)
Humans , Male , Female , Anxiety/therapy , Stress, Physiological/therapy , Aged , Hypertension/therapy , Muscle Relaxation
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