Investigation of the relationship between gallstone wall thickness before surgery of cholecystectomy Laparoscopic and the rate of conversion to open surgery
farokh
savaddar
Department of Surgery, Faculty of Medicine, Qom University of Medical Sciences, Qom, Iran
author
ahmad
kachoie
Department of Surgery, Faculty of Medicine, Qom University of Medical Sciences, Qom, Iran
author
mozdeh
bahadorzadeh
Department of Surgery, Faculty of Medicine, Qom University of Medical Sciences, Qom, Iran
author
mostafa
vahedian
PhD in Epidemiology, Clinical Research Development Center (CRDC), Qom University of Medical Sciences, Qom, Iran
author
enayatollah
noori
Medical student of Qom University of Medical Sciences Qom Iran
author
fatemeh
amirkanian
Student Research Committee of Qom University of Medical Sciences, Qom, Iran
author
mohmadmehdi
shater
Student research committee, Medical school, Qom university of medical scineces, Qom, Iran
author
ali akbar
mohamadi
Student research committee, Medical school, Qom university of medical scineces, Qom, Iran
author
text
article
2019
per
Introduction: Identifying the risk factors for the conversion of laparoscopic cholecystectomy to open surgery is necessary and essential. The aim of this study was to determine the relationship between the thickness of the gallbladder wall before the operation of cholecystectomy and the rate of conversion to open surgery. Methods: In this retrospective cross-sectional study 1104 patients, including age, sex, gallbladder thickness, and disease history of the case were extracted. Then, the thickness of the gallbladder was successfully compared with those who completed laparoscopic cholecystectomy and the group that had open-laparoscopic cholecystectomy surgery. Data were analyzed by SPSS software version 22. Results: 1104 patients were entered the study. 765 women (69.3%) and 339 men (30.7%) were female. Mean age of patients in conversion group was 45.49±8.9 years. Conversion to open surgery occurred in 104 (9.4%) including 67 female (6.06%) and 37 male (3.35%). In 326 cases of ultrasonography, patients had a pre-surgical increase in thickness of the gallbladder wall. There was no significant relationship between age, sex, and conversion (P≥0.05) (P = 0.26), but between emergency surgery and gallbladder wall thickness Meaningful found. (P≤0.05). Conclusion: According to the study’s results, gall bladder wall thickness had a direct relation to conversion rate to open surgery.
Jundishapur Scientific Medical Journal
Ahvaz Jundishapur University of Medical Sciences
2252-052X
18
v.
3
no.
2019
225
231
https://jsmj.ajums.ac.ir/article_94159_97ea967183214438e8ff82810da1a215.pdf
dx.doi.org/10.22118/jsmj.2019.185547.1662
Acoustic analysis of voice in children with cleft palate and velopharyngeal insufficiency
ali
dehqan
Assistant Professor, Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
author
text
article
2019
per
Introduction: Acoustic analysis of voice can provide instrumental data concerning vocal abnormalities. These findings can be used for monitoring clinical course in cases of voice disorders. Cleft palate severely affects the structure of the vocal tract. Hence, voice quality can also be also affected. The purpose of this study was to investigate the effect of cleft palate on acoustic parameters of voice. Method: This study was a descriptive- analytic one and the participants consisted of30 children (15 girls and 15 boys) who had persistent velopharyngeal insufficiency (VPI) with cleft repair surgery and 30 children(17 girls and 13 boys) participated as normal peers. The age range of children in the both groups was 6-12 year-old. Severity of hypernasality was moderate to severe. Participates phonated vowel /a/ minimum for 5 seconds and mid 3 seconds of that was used for acoustic analysis by PRAAT 6.0.55 software. The Kolmogorov-Smirnov test was used to assess normality of distributions in the groups. Independent sample T tests were used for comparing mean differences of both groups. Results: There were significant differences in acoustic parameters in F0, jitter, F0 High, Low intensity, DSI and MPT between two persistent VPI and normal groups. Conclusion: Regarding to the results of the present study, it seems reasonable to include strategies for voice therapy in the speech and language pathology intervention plans for patients with VPI and future research should focus on voice disorders in patients with VPI is needed.
Jundishapur Scientific Medical Journal
Ahvaz Jundishapur University of Medical Sciences
2252-052X
18
v.
3
no.
2019
215
223
https://jsmj.ajums.ac.ir/article_94161_4502909f80d5f34bf12a6f9f310ea824.pdf
dx.doi.org/10.22118/jsmj.2019.189201.1691
Effect of hydrotherapy on brain-derived neurotrophic factor in children with an Autism Spectrum disorders
Hadi
Farahani
Department of Physical Education and Sport Sciences, Faculty of Humanities, Rasht Branch, Islamic Azad University, Rasht, Iran
author
alireza
elmieh
Department of Physical Education and Sport Sciences, Faculty of Humanities, Rasht Branch, Islamic Azad University, Rasht, Iran
author
Sayyed Ali
Samadi
Institute of Nursing and Health Research, Ulster University, N. Ireland
author
Ramin
Shabani
Department of Physical Education and Sport Sciences, Faculty of Humanities, Islamic Azad University, Rasht Branch, Rasht, Iran
author
text
article
2019
per
Hydrotherapy has positive effects on the behavior of people with autism. Studies have shown that BDNF plays an important role in autism neurobiology. The aim of this study was to determine the effect of hydrotherapy on the BDNF level in children with autism spectrum disorders. In this semi-experimental study, a pretest-posttest, control-group design was applied. A total of 32 participants were randomly assigned to the control (n, 16) and experimental (n, 16) groups. The Halliwick intervention continued for eight weeks, three sessions per week for 60 minutes. Blood samples were collected to measure the BDNF level before and after eight weeks of intervention. There was no significant difference between BDNF in pre-test and post-test in control group and experimental groups. There was no significant difference between BDNF levels the control and experimental groups in the pre-test and post-test. (P≤0.05) According to the results, Hydrotherapy on serum BDNF level does not have a significant effect on children with autism spectrum disorders.
Jundishapur Scientific Medical Journal
Ahvaz Jundishapur University of Medical Sciences
2252-052X
18
v.
3
no.
2019
233
243
https://jsmj.ajums.ac.ir/article_94162_eeac6e9c4b9242b7a96954ee237ffea1.pdf
dx.doi.org/10.22118/jsmj.2019.190692.1715
A study on the pathological indices reports of neuroendocrine tumors registered in Shahid Sadoughi Hospital, Yazd from 2011 to 2015 and comparing it with standard pathological indices
Mojtaba
Babaei Zarch
Resident of Ophthalmology, Kermanshah University of Medical Sciences, Kermanshah, Iran
author
Mansour
Moghimi
Department of Pathology, School of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
author
Ehsan
Alavi Rad
School of Medicine, Shahid Sadoughi university of medical sciences, Yazd, Iran
author
Seyed Mojtaba
Ghelmani
Medical Student, School of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
author
Farzin
Banehei
Medical Student, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
author
text
article
2019
per
Introduction: Neuroendocrine tumors (NETs) originate from peptide and amine producing cells of neuroendocrine system. Data presented in pathology reports, determine the prognosis and therapeutic approach of patients. The aim of this study was to investigate that how these indicators are reported in Shahid Sadoughi Hoaspital. Methods: In this cross-sectional and descriptive study, all neuroendocrine tumors reported by pathology department of Shahid Sadoughi Hospital, were studied by census method from 2011 to 2015. Finally, 73 cases were studied regarding pathologic standard indices including pathology diagnosis, anatomic origin of the tumor, amount of mitosis, immunohistochemical staining, immunohistochemical staining type, determination of Ki67 index, the status of necrosis, vascular and perineural invasion. Findings: Among 73 investigated pathology reports, small cell carcinoma was the most common pathologic diagnosis with 46.6% of cases. The most common anatomic site was respiratory system with 49.3% of cases. Amount of mitosis, Ki67 index, the status of necrosis and vascular, perineural invasion were mentioned in 31.5%, 28.8%, 34.2% and 15.1% of pathology reports respectively. Discussion: According to the results, most pathologic reports of neuroendocrine tumors lack one or more factors that is necessary for reporting. However, these factors are pivotal for determination of prognosis and therapeutic approach in patients.
Jundishapur Scientific Medical Journal
Ahvaz Jundishapur University of Medical Sciences
2252-052X
18
v.
3
no.
2019
245
252
https://jsmj.ajums.ac.ir/article_94174_dd64e67204411174176f1f009915861d.pdf
dx.doi.org/10.22118/jsmj.2019.187661.1681
The Effectiveness of Transdiagnostic Therapy Based on Repetitive Negative Thoughts on the Alexithymia, Emotional Regulation in patient with Psychogenic Non Epileptic Seizures
ASRA
bagherzadeh
Clinical psychology, college of psychology and education, Shahid Chamran University, Ahvaz, Iran
author
najmeh
hamid
associate professor of clinical psychology- dept of psychology- shahid chamran university, ahwaz,iran
author
kiomars
beshlide
professor of psychology, college of psychology and education, Shahid Chamran University, Ahvaz, Iran
author
mahnaz
mehraby
professor of Clinical psychology, college of psychology and education, Shahid Chamran University, Ahvaz, Iran
author
text
article
2019
per
The purpose of this study was to investigate the effectiveness of Transdiagnostic Therapy Based on Repetitive Negative Thought on the Alexithymia, Emotional Regulation in patients with Psychogenic Non Epileptic Seizures. Method: In this research, an experimental single-case design with asynchronous multiple base line was used. The efficacy of Transdiagnostic Therapy Based on Repetitive Negative Thought was evaluated during three stages of intervention including baseline, treatment and follow up. Three patients were selected through purposive sampling and entered the study. In this study, Alexithymia Toronto Questionnaire and Barking Emotional Regulation were used. The data were analyzed using the Reliable Change Index, clinical significances and visual inspection.Results: In this study, the reliable change index for the Alexithymia variable in the first to third patients was 4.46, 4.08 and 4.46, respectively, which was significant (RCI >1.96), and therefore, no random changes were made. Recovery rates are 53%, 47% and 57% for the first patient, respectively, indicating that they are successful in the first and third patients and the relative success in the second patient. In the emotional regulation variable, the change in reliable change index was 2.02 in all three patients, which was significantly (RCI > 1.96) significant. The percentage of emotional regulation recovery in these three patients is 75%, 72%, and 57%, which is in the range of recovery and treatment success. Conclusion: The findings indicate the effectiveness of Transdiagnostic Therapy Based on Repetitive Negative Thought in decreasing Alexithymia and increased emotional regulation.
Jundishapur Scientific Medical Journal
Ahvaz Jundishapur University of Medical Sciences
2252-052X
18
v.
3
no.
2019
263
274
https://jsmj.ajums.ac.ir/article_94186_aa192f7eb1b61195b4eb6977fb06d78c.pdf
dx.doi.org/10.22118/jsmj.2019.192913.1749
The effect of six weeks aerobic training on serum and hepatic ascorbic acid levels and hepatic SVCT2 level in diabetic Wistar rats
Amin
Boyerahmadi
Kermanshah Branch, Islamic Azad University, Kermanshah, Iran
author
Vahid
Tadibi
Department exercise physiology, School of Sport Sciences, Razi University, Kermanshah, Iran.
author
Sedigheh
Hosseeinpoor Delavar
Department of physical education and sport science, Kermanshah branch, Islamic Azad University, Kermanshah, Iran.
author
Naser
Behpour
Department exercise physiology, School of Sport Sciences, Razi University, Kermanshah, Iran
author
text
article
2019
per
Introduction: Sodium-dependent vitamin C transporter 2 (SVCT2) plays an important role in the transport of ascorbic acid into the cell. The purpose of this study was to investigate the effect of diabetes induction and exercise training on hepatic ascorbic acid and SVCT2 levels in Wistar rats. Methods: In this experimental study, 20 male Wistar rats were randomly divided into 4 groups: 1) healthy control) diabetes control, 3) diabetes training and 4) sham. After diabetes induction training program consisted of 6 weeks of running on the treadmill, 5 sessions per week and each session of 20 to 40 minutes at a speed of 10-20 m / min was applied. Liver and serum tissues were evaluated to investigate the effect of exercise training on ascorbic acid metabolism. Results: The results showed that induction of diabetes significantly decreased serum and hepatic ascorbic acid levels in the diabetic and diabetic & exercise groups compared with the control and sham groups (P <0.001). Also, hepatic SVCT2 was significantly increased in the diabetic group compared to the control group (P = 0.041) and significantly increased in the diabetic and diabetic & exercise groups compared to the sham group (P <0.05). Conclusion: According to the results of this study, induction of diabetes reduces hepatic ascorbic acid levels, this appears to be associated with a decrease in serum ascorbic acid levels, and increased levels of liver SVCT2 are an up regulation mechanism to compensate for lower levels of liver ascorbic acid.
Jundishapur Scientific Medical Journal
Ahvaz Jundishapur University of Medical Sciences
2252-052X
18
v.
3
no.
2019
253
261
https://jsmj.ajums.ac.ir/article_94216_65a98ea664541a3c8ea1efb7dc0303f4.pdf
dx.doi.org/10.22118/jsmj.2019.197599.1792
Comparison of brain waves of couples with anxious personality with style people
Roya
Kiani
Visiting Professor Payame Noor University of Ahvaz
author
Roya
Kiani
Department of Counseling, Boroujerd Branch, Islamic Azad University, Boroujerd, Iran.
author
Kourosh
GHodarzi
Department of Counseling, Boroujerd Branch, Islamic Azad University, Boroujerd, Iran.
author
Mehdi
Rozbahani
PhD of Motor Behavior.Department of Motor Behavior, Broujerd Branch, Islamic Azad University, Boroujerd, Iran.
author
text
article
2019
per
Abstract: Background and Aim: This study aims compare brain waves couples having an anxious personality with ordinary people. Couples with this disorder often experience stressful life together. This disorder reduces marital adjustment in their lives. Therefore, this study investigates and compares the brain waves couples with an anxious personality with ordinary people. Analysis method: sample containing 40 couples was selected equally from both sexes by convenient sampling method. In the comparison group, 40 couples without anxious personality were also selected equally both sexes. These two groups were matched based the variables age, gender, and education level. Then, Collins & Read’s RAAS (Revised Adult Attachment Scale) and The Locke-Wallace’s MAT (Marital Adjustment Test) questionnaires were used identify personality disorder and attachment style couples and determine degree marital adjustment, respectively. Also, Quantitative Electroencephalogram (QEEG) was used to record electrical activity the brain. Then, data obtained SPS22 software was analyzed using statistical multivariate analysis variance analysis with respect its assumptions. Results: The findings showed that beta brain waves men anxious personality and without are different in the PZ and F4 regions, (P>0.05). They also showed that there is significant and meaningful difference between alpha brain waves women with anxious personality and ordinary ones in F3, FZ, CZ, and PZ regions (P>0.05). Conclusion: it can be generally concluded that brain waves men and women with an anxious personality are different. Keywords: brain waves, personality, Electroencephalogram.
Jundishapur Scientific Medical Journal
Ahvaz Jundishapur University of Medical Sciences
2252-052X
18
v.
3
no.
2019
275
285
https://jsmj.ajums.ac.ir/article_94224_fae61194cc8141b730b5c5732d90c112.pdf
dx.doi.org/10.22118/jsmj.2019.190578.1713
Identification of attitude in aged in compare with middle aged persons in the matter of speech communication
bijan
shafiei
speech therapy, isfahan university of medical sciences, isfahan, iran
author
hedieh
hashemi
doctoral student
author
text
article
2019
per
Background and Aim: Geriatric period has such particular conditions that the aged feel the need of helpful and dynamic communication more than any other time. In this research, we are going to measure the aged people attitude toward their speech communication in comparison with middle-aged people. Methods and Materials: In this descriptive-analytic study, one hundred staffs of Isfahan education department are compared with one hundred staffs working in Isfahan education department. In this study data was collected by the adjustment and attitude scale (AAS) and results were analyzed by SPSS16 and through chi-square and T- test. Results: This survey revealed that Attitude toward ability to communication in experimental group was 35% (generally). It was reported 84% in male group and 26/5% in females based on gender and based on marriage, in single group are 50% and 34/8% in marrieds. In the control group attitudes are 37/2% in males and 33/3% in females, 44/4% in single group and 35/2% among the marrieds. Conclusion: There is no significant difference between attitudes toward the ability to speech communication in elderly compared with middle-aged people, but in the attitude of two groups by sex, male subjects with p = 0.003 and marital status, married people with p = 0.04, there is a significant relationship with the ability to communicate..
Jundishapur Scientific Medical Journal
Ahvaz Jundishapur University of Medical Sciences
2252-052X
18
v.
3
no.
2019
301
310
https://jsmj.ajums.ac.ir/article_94246_d81ba598126cfa454f26492683bc980e.pdf
dx.doi.org/10.22118/jsmj.2019.166571.1562
Effects of midazolam and dexmedetomidine on sedation levels, hemodynamics and, complications under brain stereotaxic surgery.
Mehrdad
Masoudifar
Assistant professor, Department of Anesthesiology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
author
Behzad
Nazemroaya
Department of Anesthesiology and Critical Care, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
author
Zahra
Rahimi
Assistant professor, Department of Anesthesiology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
author
Mehdi
Khademi
School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
author
text
article
2019
per
Background: Sedation in critical surgeries such as brain stereotaxic surgeries is an important issue due to the need for hemodynamic stability of the patients. Midazolam and dexmedetomidine account as important sedative drugs in clinic. Their role as sedatives are well proven in different studies but there has been no previous study, comparing their influence on hemodynamic and post operation complication in brain stereotaxic surgery. Methods: In this clinical trial, 64 patients candidate for brain stereotaxic surgery went under sedation with midazolam and dexmedetomidine and hemodynamic values such as systolic and diastolic blood pressure, heart rate, respiratory rate, sedation level, patient and surgeon satisfaction, recovery time after surgery and post operation complications were evaluated and collected and data were analyzed. Results: In both groups (midazolam and dexmedetomidine) mean systolic and diastolic blood pressure and heart rate had no differences but respiratory rate in midazolam group was lower than dexmedetomidine group and they also experienced more frequent apnea episodes and decreased O2 saturation. Conclusion: Dexmedetomidine is safer drug in comparison to midazolam and use of this drug is suggested in those critical surgeries such as brain stereotaxic surgeries in which hemodynamic stabilities are important. And dexmedetomidine causes fewer respiratory complications than midazolam.
Jundishapur Scientific Medical Journal
Ahvaz Jundishapur University of Medical Sciences
2252-052X
18
v.
3
no.
2019
311
317
https://jsmj.ajums.ac.ir/article_95283_dd6c013b9c840539d9dc862fd7680800.pdf
dx.doi.org/10.22118/jsmj.2019.192929.1748
Comparison of high-intensity interval and continuous training effects on plasma levels of fibrinolytic factors in CAD patients
Hamid
rajabi
Department of Exercise physiology, Faculty of Physical Education and Sport Sciences, Kharazmi University, Tehran, Iran.
author
Ehsan
Khedmatgozar
Department of Exercise physiology, Faculty of Physical Education and Sport Sciences, Kharazmi University, Tehran, Iran.
author
jalal
dastmalchi
Cardiovascular Specialist, Flushing Cardiovascular Interventions (International Cardiology), Yazd, Iran
author
mohmmadreza
dehkhoda
Department of Exercise physiology, Faculty of Physical Education and Sport Sciences, Kharazmi University, Tehran, Iran.
author
text
article
2019
per
Background and Aim: The degradation of fibrinolysis is considered as a very important pathogenic factor in CAD progression and different exercises improve the function of the fibrinolytic system in these patients in various ways. This study surveys the effects of two types of high intensity interval and continuous training on some fibrinolytic indicators - of CAD patients. Materials and Method: A total of 30 volunteered eligible patients divided into three groups of interval training, continuous training, and control group and exercised for 12 weeks, 3 sessions per week. Changes of TAFI antigene and the t-PA / PAI-1 complex were analysed by covariance test before and after the training period. Results: There was no significant differences in changes of TAFI antigene between control and interval group as well as control and continuous group (p > 0/05) but the t-PA / PAI-1 complex in both interval groups (p = 0/001) And continuous (p = 0/001) had a significant decrease regarded to control group. Decrease of the TAFI anti-gene was significantly more than the continuous group (p = 0/028) , however, the reduction of t-PA / PAI-1 complex was significantly more than the periodic group (p = 0/024). Conclusion: The interval and continuous training create desirable effects in the fibrinolytic system of CAD patients through a separate mechanism it might be concluded that applying both types of these two exercises is essential for improving performance of this system.
Jundishapur Scientific Medical Journal
Ahvaz Jundishapur University of Medical Sciences
2252-052X
18
v.
3
no.
2019
287
300
https://jsmj.ajums.ac.ir/article_95412_13d309c06170f44d2269b36128003b0f.pdf
dx.doi.org/10.22118/jsmj.2019.193157.1755