فهرست مطالب

مجله پایش
سال هفتم شماره 4 (پیاپی 28، پاییز 1387)

82 صفحه، بهای روی جلد: 10,000ريال
تاریخ انتشار: 1387/09/01
تعداد عناوین: 11

فارسی
English

انتخاب همه

Factors influencing the use of herbal remedies/medicinal herbs among the general population in Tehran, Iran

Moradi Lakeh M., Ramezani M., Ansari H. Page 313

Objective(s)
To determine the demographic and socioeconomic factors influencing the use of herbal remedies/medicinal herbs among the general population in Tehran, Iran.
Methods
Data including demographic, educational status, paid employment, area of residence, weighted asset index (calculated by weighting 16 assets), ethnicity/religion and the use of herbal remedies/medicinal herbs were collected for a sample of 4722 individuals aged 15 and over living in Tehran, Iran.
Results
Using multiple logistic regression analysis in results showed that the use of herbal remedies/medicinal herbs was lower in male than female and in never-married persons than in married or widowed/divorced. There was no association between the use of herbal remedies/medicinal herbs with age, educational status, paid employment, area of residence, having insurance, asset index or ethnicity/religion.
Conclusion
It seems that the current pattern of use of herbal remedies/medicinal herbs is similar to the pattern of healthcare utilization; however it is not influenced by having insurance, educational or economic status.

Abstract View Paper Original: Persian
Assessing herbalist's knowledge on herbal medicine

Moradi Lakeh M., Saeedi M., Naserbakht M. Page 321

Objective(s)
To assess the herbalists’ knowledge about characteristics of herbal medicine in Tehran, Iran.
Methods
A questionnaire containing 52 false/true phrases was designed. 206 herbalists have been chosen by cluster random sampling (in 34 clusters) and were interviewed by 5 educated interviewers.
Results
Total score of herbalists’ knowledge was 48.8±2.02. The knowledge regarding the “drug preparing methods” was the highest (71.8%) and minimum score was related to “morphology of herbal drugs” (34.3%). There was a positive correlation between years of experience and total scores (P=0.008, Spearman’s ρ=0.19). Total scores in college-educated people were significantly higher than other groups (P<0.001). The scores for people who were participated in “educational courses” was significantly higher than who reported “mentorship training” or other methods as their training methods (P=0.009).
Conclusion
The results of this study showed the inadequacy of knowledge of some herbalists about herbal medicine. Improving herbalists’ knowledge by educational interventions and monitoring their work by the health administrator organizations would be effective in improving the quality of herbalists’ services and making the use of herbal medicines much more logical.

Abstract View Paper Original: Persian
Complementary / Alternative Medicine and medical education

Mousavizadeh K., Ansari H Page 329

Objective(s)
To determine the prevalence, scope, and diversity of medical education in complementary / alternative Medicine (CAM) and to offer clear goals and concrete suggestions for incorporating CAM therapies as an integral part of medical curriculum.
Methods
The information for this review was compiled by searching the Pub Med and MEDLINE databases looking for articles published until 1 September 2006. Only articles published in English were considered. The search terms included keywords "complementary and alternative medicine" combined with "medical education", and "medical curriculum".Full texts of articles were obtained and their references were checked for additional data when appropriate.
Results
Public interests in and use of CAM modalities has grown markedly over the last decade. Increased use of CAM has made it necessary that the topic be included in medical education from the preclinical years through residency and beyond. There has been progress in this direction in recent years, with a steady increase in the number of medical schools that include CAM therapies in their curricula. There, remains, however, a lack of clear goals and objective suggestions for implementing these changes. There is tremendous heterogeneity and diversity in content, format and requirements among courses in CAM.
Conclusion
An initiative with administrative and institutional support is necessary to incorporate CAM therapies as an integral part of the medical curriculum.

Abstract View Paper Original: Persian
Traditional and Complementary/Alternative Medicine (TCAM)in medical theses (1991-2006)

Moradi Lakeh M., Goushegir S.A., Amini M. Page 337

Objective (s): To assess TCAM in medical theses during the recent 15 years in medical schools of Tehran, Iran.
Methods
All medical theses in 4 main medical schools (Iran, Shahid Beheshti, Shahed and Tehran medical schools) registered during 1991-2006 were assessed to find subjects related to TCAM. Theses were evaluated regarding the type of study, grade/ specialty of author and type of TCAM.
Results
In all, 28344 medical theses have been registered during the study period. Of these, 110 theses (3.88 per 1000) were related to TCAM. There was a statistically significant increasing trend in the proportion of TCAM subjects (P<0.001, X2 for trends=42.7). Among the TCAM studies, 37.3 percent were related to clinical aspects. The proportion of clinical topics was significantly higher for specialized degrees than the general medicine (P<0.001).
Conclusion
Even though there was an increasing trend during recent years, the proportion of TCAM subjects was relatively low. Re-orienting medical students could play an important role in increasing the production of scientific evidences on the topic.

Abstract View Paper Original: Persian
Efficacy and safety of ginger to reduce nausea and vomiting of pregnancy: a systematic review and meta-analysis

Moradi Lakeh M., Taleb A.M., Saeidi M. Page 345

Objective(s)
To assess the efficacy and safety of ginger (rhizome of Zingiber officinale) to reduce severity of nausea and numbers of vomiting in early pregnancy.
Methods
MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, CINAHL and SID databaseswere searched for relevant sources. Randomized trials of oral ginger in comparison with placebo for nausea and/or vomiting in early pregnancy were selected. Two reviewers assessed the trial quality and extracted the data independently. Five trials met the inclusion criteria to assess the efficacy.
Results
Based on these trials, there was a significant reduction in severity of nausea after taking ginger compared with placebo (Pooled SMD= 0.882, 90% confidence interval 0.267 to 1.496). Also there was similar effect in reducing number of vomiting (Pooled SMD= 0.631, 90% confidence interval 0.433 to 0.829). In addition, there were 5 trials or observational studies which had assessed the potential fetomaternal side effects of ginger. There was no supporting evidence for increasing pregnancy complications after using Ginger.
Conclusion
Based on the current evidences, Ginger reduces the severity of nausea and frequency of vomiting in early pregnancy. There are considerations about adverse effects, but they are not supported by the clinical evidence. It seems that ginger could be used during pregnancy in therapeutic doses (almost 1 gr per day) for limited durations.

Abstract View Paper Original: Persian
The use of Complementary/Alternative Medicine among the general population in Tehran, Iran

Tehrani Banihashemi S.A., Asgharifard H., Haghdoost A.A., Barghmadi M., Mohammadhosseini N Page 355

Objective(s)
This study was conducted to assess the prevalence of CAM use in Tehran, Iran.
Methods
This cross sectional study was carried out on 6148 citizens of Tehran by cluster sampling. A questionnaires which were tested for validity and reliability in a pilot study, was used to collect data. The prevalence of use, number of methods, the costs and type of diseases were asked.
Results
Prayer(94.7%), herbal remedies (94.5%), Hajamat (90.8%) and Hydrotherapy (86.9%) were the most familiar and chiropractic (4.3%), pressure therapy (6.2%), homeopathy (10.3%) were the most unfamiliar reported methods by the study sample. Also, herbal remedies (54.6%) and prayer (24.2%) were the most prevalent and pressure therapy (0.3%), chiropractic (0.4%) and hypnotism (0.5%0 were the least prevalent methods were using by people. The supreme satisfaction was in yuga/meditation, traditional medicine and hydrotherapy. The most common reasons of selection of the CAM methods were successful past experiences of CAM, no response to conventional medicine and lower side effects of CAM. The most chief complaints were gastric and abdominal pain or discomfort, anxiety and other psychological disorders, cough and dyspnea. Peppermint (45.5%), borage (golgavzaban) (24.6%), chartokhmeh (7.9%) and oregano (avishan) (5.9%) were the most common plants have been used. Blood clotting disorders,low back pain and other musculoskeletal disorders, cutaneous disorders in hejamat and headache, musculoskeletal disorders and neuropsychological disorders in other CAM methods were the most common reason to apply.
Conclusion
About half of the citizens in Tehran use at least one method of CAM at 1 year before the study. Prayer and herbal remedies were the most common methods have been applied. There is need to plan educational programs for people and train some experts in CAM to use and practice CAM in a more safer and effective way.

Abstract View Paper Original: Persian
Effect of acupressure by Sea-Bands on nausea and vomiting of pregnancy

Seidaghamiri Z.B., Hosseini N.S., Ramezanzadeh F., Haghollahi F., Vijeh M Page 369

Objective(s)
To determine the effect of continuous acupressure at P6.applied by Sea –Bands with acupressure buttons on the frequency and severity of nausea and vomiting of pregnancy during the 8-20 weeks.
Methods
A two-group quasi-experimental posttest-only and posttest-repeated measure in seventeen medical clinics or offices in southern Tehran was carried out. A convenience sample of Persian-speaking; healthily pregnant women in their 8-20 weeks of pregnancy; who had at least one episode of nausea, vomiting, or both before their prenatal clinic/ office visit where they were recruited. The women were randomly assigned to treatment or placebo groups.Treatment group (1) applied Sea-Bands with acupressure buttons to both wrists for 4 days and removed the Sea-Bands for 3 subsequent days. Placebo group (2) applied the Sea-Bands with out acupressure buttons to both wrists on the same time schedule as group 1.Self-reported daily diaries of the number of times per day that participants experienced nausea, the severity of nausea, the number of vomiting episodes per day, and the severity of vomiting were recorded.
Results
Mann-Whitney U test revealed that the treatment group had significantly less frequency and severity of nausea and vomiting of pregnancy while wearing the Sea-Bands than did the placebo group. The treatment group also had significantly less frequency and severity of nausea and vomiting of pregnancy while wearing the Sea-Bands than when not wearing the Sea-Bands.
Conclusion
Sea-Bands with acupressure buttons are a noninvasive, inexpensive, safe, and effective treatment for the nausea and vomiting of pregnancy.

Abstract View Paper Original: Persian
Application of honey in treatment of surgical wound of Pilonidal Sinus: a randomized clinical trial

Vasei N., Jahangiri K. Page 375

Objective(s)

To compare the effects of honey dressing versus saline-soaked dressing on healing of Pilonidal Sinus surgical wound.

Methods

In a randomized controlled clinical trials we compared topical application of honey with saline-soaked gauze of 24 patients with surgical wound of Pilonidal Sinuses.

Results

The group treated with honey (n=12) had infection eradicated and achieved complete healing compared with the control group(n=12). The findings showed that honey gave better control of infection but there was no difference between the average duration of hospitalizations with the honey treatment and control group but response to treatment and alleviation of morbidity in intervention group were faster.

Conclusion

This RCT indicate the effectiveness of honey in rapidly clearing infection from wounds, with no adverse effects to slow the healing process; there is also some evidence to suggest that honey may actively promote healing. However, further research is needed to optimise the effective use of this agent in clinical practice.

Abstract View Paper Original: Persian

علمی مصوب

مجله پایش

Payesh

دوماهنامه پزشکی به زبان فارسی و انگلیسی

آخرین شماره | آرشیو

ISSN: 1680-7626

صاحب امتیاز:

جهاد دانشگاهی

مدیر مسئول و سردبیر:

دکتر علی منتظری

تلفن نشریه: ۰۲۱-۶۶۹۵۱۸۷۷-۹

اطلاعات بیشتر نشریه

درباره نشریه پیام به نشریه سایت اختصاصی نشریه پذیرش الکترونیکی مقاله راهنمای نویسندگان

به جمع مشترکان مگیران بپیوندید!

فهرست مطالب

مجله پایش سال هفتم شماره 4 (پیاپی 28، پاییز 1387)

مجله پایش

Payesh

مجله پایش
سال هفتم شماره 4 (پیاپی 28، پاییز 1387)