RESUMEN
Burn with disfigurement and disability causes physiologic and psychological disruption. One of the important disorders is the disturbance in self-concept and body image that causes diverse effects on burnt person's well-being. The current study was aimed to examine the effectiveness of cognitive-behavioral group therapy on self-concept and body image in burnt women. This was a quasi-experimental study carried out on two pre-test and post-test groups composed of 30 burnt women aged 20-40 years with 2[nd] or 3[rd] degree burn who had passed their acute phase and admitted to Rajaei Hospital in Qazvin during March to September 2011. Patients were selected through convenience sampling and divided into two groups of 15 members each. One group received cognitive-behavioral therapy and the other only received usual medical treatment. Data were collected using two questionnaires, the victim's body image of burn injury questionnaire [Ali Hosseini] and the Beck self-concept questionnaire and further data analyzed by using of the co-variance test and t-test the comparison of the independent median. There were significant differences regarding both the body image [F=8.92] and self concept [F=9.23] between the experimental and control groups [P<0.05]. In the follow up made one month later, there was positive improvement in body image [t=3.69] with no continuous positive effect on self-concept [t=1.64]. CBT positively improved the body image and increased the self-concept in burnt women. Hence, to achieve continuous positive change, arrangement for workshops with serious supervision is recommended
RESUMEN
The characters and demographic data of migraine in 1200 patients suffering from migraine were studied to compare the results at the sea level and at high altitude. It was found that 60% of the patients came from high altitude areas, while 40% came from sea level areas. In both locations women had a greater frequency of headaches. 56.4% of the patients were aged between 20 and 50 years, there was no big difference between both locations regarding the age distribution except in children below 9 years and the elderly above 60 years. 60% of patients at the sea level reported having one attack or less per month while 61% of high altitude patients have three or more attacks per month. The frequency rate of the attacks reported to be increased in 60% of high altitude patients during or after physical exertion. The average duration of attacks for patients at the sea level was 18 hours, compared with 23 hours for patients at high altitude. EEG was abnormal in 22% of the sea level patients compared with 20% in high altitude. Alpha depression was the main abnormality as it represented 85%, while transient slow activity represented 15%. Migraine is not an uncommon disease with high percentage at even moderately high altitude areas