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کاربرد نوع شرط:
- جایگاه : پژوهشی
- مجله: Evidence Based Care Journal
- نوع مقاله: Journal Article
- کلمات کلیدی: Stress,labor,Mint,Alternative Medicine,Chewing gum,salivary cortisol
- چکیده:
- چکیده انگلیسی: Background: Delivery is one of the critical stressful incidents in lives of most women and its associated complications can disturb the progress of labor and exacerbate post partum problems. Chewing gum is one of the new non-pharmacological methods to reduce stress. So far no study has been conducted to investigate the effect of chewing gum on the stress of labor.
Aim: To determine the effect of mint chewing gum on salivary cortisol in nulliparous women in the first stage of labor.
Methods: The study was a randomized, single-blind, controlled clinical trial in which 60 nulliparous women, who admitted at the first stage of labor in Omolbanin Hospital in Mashhad in 2012, were allocated to two experimental and control groups. The experimental group was asked to chew mint gum (1 gr) for 20 minutes and then their saliva sample were taken to measure cortisol level. Data were analyzed by independent and paried t-test in 5 percent level of significance with SPSS software version 11.5.
Results: The mean salivary cortisol levels at the first and second measurement were respectively 44/9 ± 12/7 and 41/4 ± 13/0 in experimental and also 39/3 ± 10/3 and 42/8 ± 11/0 nmol in control group. The salivary cortisol level showed a significant increase from the first to the second measurement in control group(P<0.009), whereas a significant decrease was seen in these two measurments in experimental group (P<0.014).Two groups were significantly different in terms of the changes in stress levels between two measurements (P>0/001).
Conclusion: Mint chewing gum reduces salivary cortisol level at the first stage of labor in nulliparous women, which is an evidence for reducing stress. Although careful judgment aboute the exact changes in stress level are needed both laboratory and clinical studies.- انتشار مقاله: 21-12-1391
- نویسندگان: Parvin Salari,Fatemeh Alavian,Mohammad Reza Fayyazi Bordbar,Eshagh Hashemi
- مشاهده
- جایگاه : پژوهشی
- مجله: Iranian Journal of Otorhinolaryngology
- نوع مقاله: Journal Article
- کلمات کلیدی: complication,Rhinoplasty,Acne,Psychological status
- چکیده:
- چکیده انگلیسی: Introduction Acne is a common complain among post rhinoplasty patients. While rhinoplasty is done for aesthetic reasons and acne expressively affects the individual’s appearance, we aimed to study its incidence and role players. Materials and Methods: A descriptive cross-sectional study was performed on 152 (143 females and 9 males) patients admitted for rhinoplasty during January 2016 to March 2017. Patients were examined by a dermatologist prior to surgery and 7, 30 and 90 days after rhinoplasty using the Global Acne Grading System and responded to a list of questions on the probable risk factors of acne. Psychological status was examined by the perceived stress scale-14 and the Hospital Anxiety and Depression Scale. Results: The patients' mean age was 28.9±3.82 yrs. Mild and moderate acne were observed in 21.7% (n=33) of the cases in the preoperative visit. The incidence of mild and moderate acne was 36.1%, 42.8% and 23% after 7, 30 and 90 days of surgery, respectively. One week after rhinoplasty, acne manifested in 14.9% of cases with no history of acne. Mean age significantly differed between those with and without post-surgical acne at all post-surgical visits (P> 0.001 and P=0.001 and P=0.015, respectively). Hospital anxiety and depression and perceived stress levels were significantly higher in patients who presented with acne on the first post-surgical visit compared to those with no acne presentations (P=0.04 and P=0.02, respectively). Conclusion: External psychological stress may be the main role player in post-rhinoplasty acne. Consultation or referral of patients to an experienced psychologist is highly recommended for a better outcome and fewer complications.
- انتشار مقاله: 21-06-1398
- نویسندگان: Mehdi Bakhshaee,Mehdi Poursadegh,Majid Irani,Mohammad Javad Yazdanpanah,Mohammad Reza Fayyazi Bordbar,Bashir Rasoulian
- مشاهده
- جایگاه : پژوهشی
- مجله: Iranian Journal of Medical Sciences
- نوع مقاله: Journal Article
- کلمات کلیدی: Quality of Life,psychopathology,Anogenital wart,Condylomata acuminata
- چکیده:
- چکیده انگلیسی: Anogenital warts (AGW) are one of the most common venereal diseases. Psychosocial complications and quality of life (QoL) of AGW patients have been considered only in recent years. Herein, the QoL and psychopathology in patients with AGW are evaluated. In total, 37 AGW patients and 37 healthy controls were recruited in the present cross-sectional study. All participants were provided with the symptom checklist 90-R (SCL-90-R) and short-form (SF-36) questionnaires. All analyses were performed using the SPSS software, version 16.0.1 for Windows. QoL was not significantly different between the study groups (P=0.12). The data showed that mental health, general health, and social functioning were significantly decreased in AGW patients (P<0.05). In addition, AGW patients were significantly more depressed and anxious than the control group (P=0.01 and P=0.04, respectively). AGW has adverse effects on psychological and QoL elements of the infected individuals. Psychological factors should be carefully considered when treating a patient with the HPV virus; hence, referral to a psychiatrist seems mandatory in these cases.
- انتشار مقاله: 13-12-1395
- نویسندگان: Mahsa Nahidi,Yalda Nahidi,Ali Saghebi,Golsan Kardan,Lida Jarahi,Behzad Aminzadeh,Pardis Shojaei,Mohammad Reza Fayyazi Bordbar
- مشاهده
- جایگاه : پژوهشی
- مجله: Iranian Journal of Medical Sciences
- نوع مقاله: Journal Article
- کلمات کلیدی:
- چکیده:
- چکیده انگلیسی: Background: Bipolar mood disorder type 1 is one of the most serious psychiatric disorders. We aimed to assess the efficacy of a short-term family–focused treatment for patients with bipolar mood disorder type 1 in a one-year follow-up period. Methods: Sixty patients with bipolar mood disorder and acute mania episodes who referred to Ibn-e-Sina Psychiatric Hospital in Mashhad were recruited. Half of them were randomly assigned to the psycho-education group. Their available adult family members received a psycho-educational training session before the patients' discharge from the hospital. All patients received concurrent appropriate pharmacotherapy and psychotherapy. All the patients were evaluated by a blind home-visit team every 3 months for a period of one year. The evaluation included the number of psychiatric visits, patients' adherence, relapse status, number of re-hospitalizations, and time to relapse. Results: Fifty-seven patients completed the trial. In the experimental group, there were four patients with relapse (13.79%) and in the control group nine patients (31.58%) had relapse of the disorder (P=0.006). The mean time of taking medications in the education group was 11.41 months. This time was 9.14 months in the control group (P<0.001). There was also a significant difference between the two groups in terms of frequency of psychiatric visits (P<0.001). Conclusion: Short–term family-focused psycho-education is an effective adjunct to pharmacotherapy for bipolar mood disorder. Further studies are needed to evaluate the efficacy and cost-effectiveness of long-term family-focused psycho-educational treatment for patients with bipolar mood disorder.
- انتشار مقاله: 22-02-1394
- نویسندگان: Mohammad Reza Fayyazi Bordbar,Atefeh Soltanifar,Ali Talaei
- مشاهده