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کاربرد نوع شرط:
- جایگاه : پژوهشی
- مجله: Journal of Rehabilitation Sciences and Research
- نوع مقاله: Journal Article
- کلمات کلیدی: Trigger point,Dry Needling,Referred Pain,Tennis Elbow
- چکیده:
- چکیده انگلیسی: Background: Lateral epicondylitis, also known as tennis elbow, is the most common overuse syndrome of the elbow. The severity of pain may not be directly caused by tendinopathy of wrist extensors since trigger points of the shoulder muscles have a referral zone in the arm and elbow. Therefore the aim of this study was to evaluate the effect of dry needling of shoulder myofascial trigger points on wrist extensors muscles pain and function.Methods: Fourteen female patients with tennis elbow (aged 20 - 45 years old) were recruited after primary evaluation by an orthopedist. They entered the study if they had pain in the lateral aspect of elbow of the dominant hand for more than 3 months along with the presence of myofascial trigger points in any muscles of supra spinatus, infra spinatus, sub scapularis or scalenes. Pain pressure threshold, maximal grip force and pain intensity of the hand extensors on lateral epicondyle of elbow were measured before and after treatment. Pain intensity was measured on a one to ten scale of visual analogue scale (VAS). A hand dynamometer used to measure the maximal grip force value of the affected hand in 0˚shoulder flexion/abduction, 90˚ elbow extension and mid-poison of forearm in sitting position .A pressure algometer was applied on hand extensor muscles to define their trigger point sensitivity. For the control group, treatment regimens consisted of routine physical therapy of tennis elbow. This regime was accompanied by dry needling of mentioned muscles for the intervention group. Wilcoxon and Mann-Whitney non-parametric tests were used for statistical analysis.Results: Comparison of the results after intervention showed that the patients’ pain significantly decreased in both groups (P <0.001); but the patient’s PPT and grip force significantly increased solely in the intervention group (P <0.05). Mann Whitney test showed significant pain differences in both groups (P = 0.001).The comparison of differences showed that the grip force and PPT statistically improved in the intervention group (P <0.05).Conclusion: Dry needling of affected shoulder muscles along with routine physical therapy has a more significant effect on improvement of pain, sensitivity and grip power of patient’s with tennis elbow syndrome.
- انتشار مقاله: 13-10-1394
- نویسندگان: Alireza Kheradmandi,Maryam Ebrahimian,Farahnaz Ghafarinejad,Venous Ehyaii,Mohammadreza Farazdaghi
- مشاهده
- جایگاه : پژوهشی
- مجله: Journal of Advances in Medical Education and Professionalism
- نوع مقاله: Journal Article
- کلمات کلیدی:
- چکیده:
- چکیده انگلیسی: Introduction: Academic institutions are the most importantorganizations for implementation of internationalization policiesand practices for integrating an international, intercultural andglobal dimension in higher education system. Also, a globallyincreasing demand for higher education has been seen in the pasttwo decades so that the number of students enrolled in highereducation institutions in the worldwide nation-states has increaseddramatically. The National Plan of International Developmentof Medical Education was designed with the aim of identifyingavailable potentials in all the universities of medical sciences,encouraging the development of international standards ofmedical education, and planning for the utilization of the existingcapacity in Islamic republic of Iran.Methods: Authors have tried to review the several aspectsof international activities in higher education in the world anddescribe national experiences and main policies in globalization ofmedical education in Iran within implementation of the NationalPlan for Development and Innovation in Medical Education.Results: The findings of some global experiences providethe policy makers with clear directions in order to developinternationalization of higher education.Conclusion: The Program for International Development ofMedical Education was designed by the Deputy of Educationin the Ministry of Health and the effective implementationof this Program was so important for promotion of Iranianmedical education. But there were some challenges in thisregard; addressing them through inter-sectoral collaborationis one of the most important strategies for the development ofinternationalization of education in the field of medical sciences.Keywords: Medical education, Higher education, Innovation
- انتشار مقاله: 13-10-1396
- نویسندگان: EHSAN SHAMSI GOOSHKI,ATA POURABBASI,HAMID AKBARI,NIMA REZAEI,ALI ARAB KHERADMAND,ZAHRA KHEIRY,NILOUFAR PEYKARI,FATEREH MOMENI JAVID,FIROUZEH HAJIPOUR,BAGHER LARIJANI
- مشاهده
- جایگاه : پژوهشی
- مجله: Addiction and Health
- نوع مقاله: Journal Article
- کلمات کلیدی: Methadone,Buprenorphine,Opium tincture,Sexual dysfunctions,Opioid substitution therapies
- چکیده:
- چکیده انگلیسی: Background: Opioid use disorder is a major concern to public health, and opioid maintenance treatment on
methadone or buprenorphine is a widely used approach. On the other hand, in recent years, there has been
more regards for the use of opium tincture for detoxification and maintenance treatment of opioid
dependence in certain parts of the world. The purpose of our research was to compare sexual impairments of
methadone maintenance treatment (MMT), buprenorphine maintenance treatment (BMT), and opium
tincture maintenance treatment (OMT) in patients.
Methods: The study sample consisted of opium-addicted men candidates for maintenance treatment in an
addiction quitting clinic in Tehran, Iran, from November 2017 to February 2018. Participants (n = 84) were
randomly assigned to three groups (of the equal number), receiving either methadone tablet, buprenorphine
sublingual tablet, and opium tincture. The average score for sexual function was evaluated using the Arizona
Sexual Experiences Scale (ASEX) at the beginning and after 3 months after treatment.
Findings: Although there was no significant different in ASEX scores between the groups at the beginning
and end of the study (P > 0.05), but the difference was significant in each group in comparing by themselves.
Conclusion: These results showed that sexual dysfunction became better after opioid substitution therapies,
and no differences were observed on sexual dysfunction between the three groups
- انتشار مقاله: 15-04-1398
- نویسندگان: Ali Kheradmand,Ahad Fazeli,Azadeh Mazaheri-Meybodi
- مشاهده
- جایگاه : پژوهشی
- مجله: Addiction and Health
- نوع مقاله: Journal Article
- کلمات کلیدی:
- چکیده:
- چکیده انگلیسی: Abstract Background: Methylphenidate is one of the classic amphetamines which can cause or exacerbate psychotic symptoms in schizophrenia patients. Methods: In this paper, a young man is presented with injection of methylphenidate tablets with acute cellulitis due to this injection and the related symptoms. In the first hospitalization and after recovery from psychotic disorder due to tablet injections, he was under treatment with anti-psychotics because of other symptoms related to schizophrenia. Although the patient was regularly under schizophrenic medication after discharge, he was hospitalized twice more due to psychotic symptoms that appeared after injecting methylphenidate. Findings: This report shows psychotic symptoms in schizophrenic patients after injecting methylphenidate. These symptoms cannot be prevented even by anti-psychotic medication of background disease. This case shows the existence of two kinds of psychoses, functional (due to schizophrenia) and organic psychoses (due to methylphenidate use) in the same patient. Keywords: Methylphenidate, Injection, Schizophrenia, Psychotic disorders.
- انتشار مقاله: 18-08-1389
- نویسندگان: Alireza Ghaffarinejad,Ali Kheradmand
- مشاهده
- جایگاه : پژوهشی
- مجله: Addiction and Health
- نوع مقاله: Journal Article
- کلمات کلیدی:
- چکیده:
- چکیده انگلیسی: Abstract Backgrounds: To assess patients' satisfaction and to evaluate methadone therapy program, it is important to understand the experiences of opium dependents during the treatment period in methadone centers and determine the quality of this program and revise standards based on that. This study aimed to describe the nature and structure of patients' experiences during treatment in methadone centers. Methods: This was a qualitative method using phenomenology. Sampling was purposive and the participants were selected from opium dependents referred to Kerman methadone centers during 2007. Sampling continued until data saturation and the sample size was 32. Colaizzi's method was applied for data analysis. Findings: The findings of this study included 27 codes categorized in four main groups: experiences of structure, personnel, patients, and regulations. These four categories showed the main structure of experiences in methadone centers. Conclusion: Lack of treatment centers in near-by cities or the problems of those centers suggest that it is necessary to establish new centers or solve the problems of centers in near-by cities. The type of patients referring to the centers plays a role in treatment process. The regular presence of physicians and other personnel and their concerns and care for patients as well as longer working hours of the centers have roles in patients' satisfaction and increase of consistency with treatment. Discussing the rules and regulations of the center with patients including the obligatory of daily reference to the center to obtain medicine and injections sound necessary. Also, it is necessary to find ways for solving problems of urine tests. Keywords:Experiences, Methadone, Performance, Qualitative study.
- انتشار مقاله: 18-08-1389
- نویسندگان: Nabi Banazadeh Mahani,Ali Kheradmand,Heidarali Abedi
- مشاهده
- جایگاه : پژوهشی
- مجله: Addiction and Health
- نوع مقاله: Journal Article
- کلمات کلیدی:
- چکیده:
- چکیده انگلیسی: Abstract Backgrounds: To assess patients' satisfaction and to evaluate methadone therapy program, it is important to understand the experiences of opium dependents during the treatment period in methadone centers and determine the quality of this program and revise standards based on that. This study aimed to describe the nature and structure of patients' experiences during treatment in methadone centers. Methods: This was a qualitative method using phenomenology. Sampling was purposive and the participants were selected from opium dependents referred to Kerman methadone centers during 2007. Sampling continued until data saturation and the sample size was 32. Colaizzi's method was applied for data analysis. Findings: The findings of this study included 27 codes categorized in four main groups: experiences of structure, personnel, patients, and regulations. These four categories showed the main structure of experiences in methadone centers. Conclusion: Lack of treatment centers in near-by cities or the problems of those centers suggest that it is necessary to establish new centers or solve the problems of centers in near-by cities. The type of patients referring to the centers plays a role in treatment process. The regular presence of physicians and other personnel and their concerns and care for patients as well as longer working hours of the centers have roles in patients' satisfaction and increase of consistency with treatment. Discussing the rules and regulations of the center with patients including the obligatory of daily reference to the center to obtain medicine and injections sound necessary. Also, it is necessary to find ways for solving problems of urine tests. Keywords:Experiences, Methadone, Performance, Qualitative study.
- انتشار مقاله: 18-08-1389
- نویسندگان: Nabi Banazadeh Mahani,Ali Kheradmand,Heidarali Abedi
- مشاهده
- جایگاه : پژوهشی
- مجله: Addiction and Health
- نوع مقاله: Journal Article
- کلمات کلیدی:
- چکیده:
- چکیده انگلیسی: Abstract Background: Methylphenidate is one of the classic amphetamines which can cause or exacerbate psychotic symptoms in schizophrenia patients. Methods: In this paper, a young man is presented with injection of methylphenidate tablets with acute cellulitis due to this injection and the related symptoms. In the first hospitalization and after recovery from psychotic disorder due to tablet injections, he was under treatment with anti-psychotics because of other symptoms related to schizophrenia. Although the patient was regularly under schizophrenic medication after discharge, he was hospitalized twice more due to psychotic symptoms that appeared after injecting methylphenidate. Findings: This report shows psychotic symptoms in schizophrenic patients after injecting methylphenidate. These symptoms cannot be prevented even by anti-psychotic medication of background disease. This case shows the existence of two kinds of psychoses, functional (due to schizophrenia) and organic psychoses (due to methylphenidate use) in the same patient. Keywords: Methylphenidate, Injection, Schizophrenia, Psychotic disorders.
- انتشار مقاله: 18-08-1389
- نویسندگان: Alireza Ghaffarinejad,Ali Kheradmand
- مشاهده
- جایگاه : پژوهشی
- مجله: Addiction and Health
- نوع مقاله: Journal Article
- کلمات کلیدی:
- چکیده:
- چکیده انگلیسی: Abstract Background: Lycanthropy is an unusual belief or delusion in which the patient thinks that he/she has been transformed into an animal. In rare cases, the patient believes that another person has been transformed into an animal. Case Report: We report a patient with an uncommon variant of lycanthropy is introduced. The symptoms appeared after consumption of ecstasy. This shows the occurrences of uncommon and rare psychosis after ecstasy drug use especially in patients susceptible to schizophrenia. Ecstasy drug can induce paranoid psychosis similar to schizophrenia. In the presented case, ecstasy seemed to have a role in patient's underlying susceptibility to schizophrenia. Keywords: Lycanthropy, Ecstasy
- انتشار مقاله: 17-08-1389
- نویسندگان: Mansoureh Nasirian,Nabi Banazadeh,Ali Kheradmand
- مشاهده
- جایگاه : پژوهشی
- مجله: Addiction and Health
- نوع مقاله: Journal Article
- کلمات کلیدی:
- چکیده:
- چکیده انگلیسی: Abstract Background: Tramadol is a centrally acting opioid analgesic used to treat moderate to sever pain. It has more advantage and less opioid adverse effects than conventional opioid analgesia. Case Report: This article reports a patient with tramadol dependency that had psychosis after tramadol withdrawal. Conclusion: By the increase of tramadol usage for relief of chronic pain, tramadol abuse and dependency is increased. Some of tramadol withdrawal symptoms are not related to opioid, for example when the effectiveness is not only on opioid receptors, but on catecholamine and serotonin receptors. So, together with typical symptoms of withdrawal, atypical symptomes had been reported. Psychosis is one of tramadol atypical withdrawal symptoms which subsided a few days after suppression of withdrawal symptoms. In such cases, the diagnosis is substance withdrawal instead of psychotic disorder due to substance withdrawal and treatment is based on this diagnosis. Keywords: Tramadol, Psychosis, Atypical withdrawal
- انتشار مقاله: 17-08-1389
- نویسندگان: Ghodratolah Rajabizadeh,Ali Kheradmand,Mansoureh Nasirian
- مشاهده
- جایگاه : پژوهشی
- مجله: Addiction and Health
- نوع مقاله: Journal Article
- کلمات کلیدی:
- چکیده:
- چکیده انگلیسی: Abstract Background: Methadone maintenance therapy is a treatment of choice for opiate addiction. Understanding opiate dependents’ experiences of patients' treatment is a key to continue the treatment and can provide help to revise the standards of methadone centers and improve the quality of treatment. This study aimed to describe the essence and structure of opiate dependents’ experiences with methadone maintenance therapy. Methods: It was a qualitative phenomenological study, in which participants were selected from opiate dependents referred to methadone centers in Kerman city in 2007. Sampling was purposive and continued until data saturation, which was achieved at 32 participants. Data were collected by in-depth interviews. Colaizzi's method was applied for data analysis. The rigor of the present study was assessed based on the criteria of confirmability and credibility. Findings: A total of 26 themes were extracted and categorized into three main themes including positive therapeutic alliance, negative therapeutic alliance and therapeutic alliance requests. Conclusion: Client–centered therapy in methadone clinics creates a positive therapeutic alliance, and persuades patients to continue their treatment. Establishing a good relationship with patients during their treatment procedure is an effective way to meet the goals. Individual and group counseling sessions and advices on family and career related issues during the treatment should be considered as well. Keywords: Methadone, Experiences, Professional Patient Relationships, Qualitative research, Opiate dependence
- انتشار مقاله: 17-08-1389
- نویسندگان: Nabi Banazadeh,Ali Kheradmand,Heidarali Abedi
- مشاهده