Effect of 12 weeks of yoga practice on glucose, insulin and triglycerides serum level in women with diabetes type II

Diabetes mellitus is one of the most common serious metabolic disorders. This study was done to determine the effect of 12-week yoga intervention on glucose, insulin and triglyceride serum levels in women with type II diabetes mellitus. In this clinical trial, 26 women with Type II diabetes were divided into interventional [n=16] and control groups [n=10]. Program of yoga exercise including: 75 minutes daily, three sessions in a week, and for 12 weeks. The level of glucose, insulin, leptin, HDL-C, LDL-C, triglyceride, total cholesterol were measured prior and post - training period. The levels of glucose, insulin and triglycerides in the interventional group significantly reduced compared to control group following the training period [P<0.05]. The level of leptin, HDL-C, LDL-C, total cholesterol was not significantly altered in intervention group in compare to controls. 12 weeks of yoga exercises can improve blood glucose, insulin and triglyceride in women with type II diabetes

[Chronic incisional pain after open appendectomy]

Although appendectomy is the most common emergency abdominal surgery, there is no epidemiologic study on chronic pain after open appendectomy. The aim of this study was to evaluate the incidence and possible risk factors of chronic pain following this common surgical procedure. In this cross-sectional survey, a questionnaire was completed regarding the pain at the surgical site by calling available patients who had undergone open appendectomy from 1999-2004 in a hospital in Fasa. The patients records were checked for the results of pathology. Out of 1130 patients operated by open appendectomy, 155 were available. The mean time left after appendectomy was 28 months. At the time of study, 41 [26%] patients still had pain at the site of operation and 9.85% of them had severe pain at rest and 22% suffered from severe pain during daily activities. Chronic pain was significantly more common among patients who had the memory of severe acute post-operative pain and there was no significant difference in the chronicity of pain according to age, sex and positive appendectomy. Chronic post-appendectomy pain is provalent. It is more common in patients with severe acute post-operative pain but it seems not to be related with age, sex, and positive appendectomy

[Translation and validation of the Amsterdam preoperative anxiety and information scale [APAIS] for Iranian population]

Although anesthesia and surgery have become safer and more successful than ever before, preoperative anxiety is still a common problem. In this study, we translated and validated the Amsterdam Preoperative Anxiety and Information Scale [APAIS] for Iranian population. We first translated the English version into Farsi, then translated back into English. The translation to English was authorized by the correspondent author of English version [Tim Wysocki].The questionnaires were completed by 130 patients with A.S.A I and II scheduled for elective outpatient surgeries. They also completed 20-item Spielberger's State Anxiety Inventory [STAI-State] questionnaire concurrently as a gold standard for evaluation of preoperative state anxiety. Cronbach's alpha was 0.84 for the anxiety scale and 0.82 for the need-for-information scale. The correlation between the anxiety items of the APAIS and the STAI-State was high [0.68] and the correlation between the information items and the STAI-State were intermediate [0.50]. Factor analysis with oblique rotation revealed two factors which explained 72% of the total variance: anxiety and need-for-information. Female sex and need-for-information were independently associated with preoperative anxiety. Anxiety was significantly higher in females [9.30 +/- 4.12] than males [5.8 +/- 2.30] [P < 0.001]. Assuming APIAS for anxiety equal or more than 11 as cut-off point, 21% of our study patients were anxious and 68% of our patients had a positive-information attitude. Farsi version of APAIS is a valid and reliable instrument for evaluation of preoperative anxiety and information requirement. Gender and information requirement are independently associated with preoperative anxiety