Journal of Clinical Research in Paramedical Sciences
Volume:9 Issue: 2, Dec 2020

Context:

 The purpose of the present study was to investigate the context of research into the physiological roles of VEGF and the most important potential mechanisms that may lead to a temporary decrease in serum VEGF, as well as to perform a desirable conclusion and provide more relevant data from previous research.

 In this study, articles were searched in specialized databases and 40 related articles were selected based on inclusion and exclusion criteria. Then the effect of physical activity on VEGF and HIF-1 signaling was investigated.

 Exercise and physical activity by stimulating and activating VEGF and HIF-1 signals may induce generating new arteries and angiogenesis.

 The present study showed that physical activity increases capillary density by increasing the level of diffusion, increasing the time of exchange between blood and tissue, and decreasing the oxygen diffusion distance. As a result, capillary dilatation and capacity increase and ultimately it improves athletes' performance.

 Obesity of children and adolescents has many different detrimental effects on body image, self-esteem (SE), depression and social isolation that are effective on their mental and social health.

 The purpose of this study was to predict the quality of life (QOL) of obese and overweight girl students in Kermanshah city based on self-esteem, mental health and sleep quality variables.

 The research is a descriptive-analytical study that 419 obese and overweight girl students were selected using multi-stage cluster sampling and simple random sampling. For collection of needed data, several questionnaires including demographic, Rosenberg self-esteem, Goldberg general health, Pittsburgh sleep quality questionnaires and quality of life questionnaire related to word health organization were used. The BMI estimation method of the centers for disease control was used to determine overweight and obesity. Obtained data were analyzed using regression analysis in SPSS (Ver. 19) software environment.

 The result of simple linear regression analysis showed that self-esteem, sleep quality and mental health variables, predict 0.11, 0.20, and 0.25 of the variance of total score for QOL, respectively. Multiple regression results indicated that mental health and sleep of quality variables had a significant effect on all dimensions and overall QOL scores (P < 0.01) simultaneously. The increasing effect of self-esteem on the dimensions of social relationships (P < 0.005), environmental health (P < 0.01) and overall QOL score (P < 0.01) was significant. According to obtained results, QOL has a direct and significant correlation with self-esteem (P < 0.01) mental health (P < 0.001) and, sleep quality (P < 0.001).

 Based on the obtained results, it can be concluded that mental health is the most important and influential factor on the quality of life of obese adolescent girls. The results of this study indicated that a planning is need to promote girls’ mental health.

 A prospective study of the epidemiology of sports injuries in boys and girls students participating in the first sport for all Olympiad in Iranian universities and institutes.

 The Olympiad attended 1123 athletes from 183 universities and higher education institutions for 6 days in 6 sports. In this study, the injury is referred as any musculoskeletal complaints that require medical intervention and people who referred to the clinic at the Olympiad because of the injury were the samples. The information completed through the injury registration forms. For analysis of data, SPSS software version 18 and χ2 test were used and the tables and charts were used to express the findings.

 A total of 136 injuries were recorded in 190 competitions. In boys, the 43 injuries at the rate of 0.07 were reported. In girls, 93 injuries were at the rate of 0.16 per person were reported. Boys' injured regions were more related to knees and shins (21.4%), in girls, thighs (28.3%), and ankles (20.7%) were the most injured. The most injuries in boys and girls were muscle cramps. The most injuries severity of participants were mild. The reason for most injuries for boys, where the lack of warm-up (29.78%) and the girls was excessive exercises pressure (27%).

 The injury rate was significant compared to other studies and there were higher in girls than boys. Thighs were the most injured region in girls, shins and knees were the most injured in boys. The most severe type of injuries was mild.

 Diabetes is one of the most prevalent diseases caused by metabolic disorders, which is considered as a major global challenge.

 The aim of this study was to compare the effects of two aerobic and concurrent (aerobic and resistance training) training protocols with supplementation of cinnamon on the level of some selected adipokines (visfatin and adiponectin) in overweight men with type 2 diabetes.

 for this purpose among The overweight and type II diabetic men in Kermanshah who were referred to a medical clinic, fifty people with BMI 28.55 ± 2.52 and age of 45.98 ± 6.79 who were volunteer to participate in research design, divided in five 10 people group consist of four experimental and one control group randomly. The experimental groups involve aerobic training, concurrent training, aerobic training along with cinnamon supplementation and eventually concurrent training along with cinnamon supplementation. While the experimental groups did the specific training, the control groups did no training throughout research design. Blood sampling were taken in experimental and control groups during pretest and posttest from anterior brachial vein. The variables were measured by ELISA method.

 The results of ANCOVA and Bonferroni tests showed that both aerobic training and concurrent training (aerobic and resistance training) with and without cinnamon supplementation caused significant increase in plasma levels of adiponectin and significant decrease in plasma levels of visfatin in type two diabetic men.8 weeks of concurrent training in comparing with aerobic training was more effective in increasing the plasma levels of adiponectin and the difference between them was significant but the difference about plasma level of visfatin was insignificant.

 The results of this study showed that the effect of both aerobic and concurrent training with and without cinnamon supplementation has significant effect on plasma levels of adiponectin and visfatin and except more increase in adiponectin level in concurrent group in comparing with aerobic group, nearly there are no differences in terms of training type and taking and no taking of cinnamon supplementation. Based the finding of this study, both aerobic and concurrent training especially with cinnamon supplementation is effective in improving the health of men with type 2 and overweight diabetes.

 The main objective of this study was to understand the nurses' attitudes in implementation and adoption of CPOE system through Rogers’ innovation diffusion theory.

 This study was cross-sectional and performed in four months (from March to June, 2017). In order to understand the acceptance of the CPOE investigated level of nursing staff’s computer literacy. The major factors influencing the nursing staff’s acceptance and use of the CPOE system were examined through Rogers’ innovation diffusion theory. Data were collected using a researcher.

 Majority of the nursing staff adopt this innovation. The level of nursing staff’s computer literacy was high (71.32%). Highly educated nursing staff were more likely to accept computer work. The acceptance or rejection of the use of a computer is related to experiencing the HIS system in nursing. Our finding showed that the received relative advantages, compatibility, the complexity of the system were 66.29%, 71.94% and 40.36% for the nursing staff.

 Majority of the nursing staff had a good degree of computer literacy. The analysis of the finding shows that CPOE systems improve the quality and safety of healthcare. CPOE increases the security and quality of health care and reduces errors.

 Osteoarthritis is the most common joint disease (arthropathy) and a cause of disability in aging ages. The prevalence rate of the osteoarthritis is different and is related to different indicators.

 The purpose of the present study was to investigate the effect of eight weeks of hand-selected exercises and cinnamon supplementation on inflammatory biomarkers in elderly women with osteoarthritis.

 The participants of this study were 48 women with hand-osteoarthritis. They divided into four groups (strength exercises, cinnamon-honey supplementation, combinatory and control) randomly. The first group underwent the hand-selected strength exercises. The second group used the supplementations for 8 weeks. The third group also applied hand-selected exercises and supplements simultaneously. The fourth group also participated as a control group without any exercise or supplementation. Patients’ TNfα and IL6 levels were measured before and after applying the independent variables and were compared. The dependent t-test was used to compare between pre and posttest and the ANOVA test to compare TNfα and IL6 levels between the four groups. The significance level P ≤ 0.05 was considered.

 The results showed that by applying variables, the strength exercises and cinnamon-honey supplementary as well as the combination of exercises and supplementary have had a positive effect on inflammatory biomarkers and in fact, 8 weeks of resistance exercises and using cinnamon-honey supplements in women with hand osteoarthritis have led to a decrease in IL 6 and TNfα levels.

 Therefore, it is recommended to use wrist resistance exercises with supplements (cinnamon and honey) to accelerate the recovery of the disease and improve the wrist inflammatory.

 The most important factor representing the performance and utilization of hospital services are hospital indicators.

 The aim of study was comparison performance indices before and after health reform plan in Kermanshah and compared with the standard of the Iranian Ministry of Health.

 the study was comparative and descriptive-analytical that performed cross-sectional in 2017 and conducted in seven educational hospitals in Kermanshah. The data were related to 37 indices in five areas from hospitals that were submitted to the Department of Statistics in Deputy of Treatment. The data were collected using data extraction form. The validity of the form was confirmed by 7 experts. Data analyzed using SPSS 20.

 results showed that comparing indices of bed and hospital stay, patient indices, and indicators for outpatient and inpatient department services from para-clinical services except endoscopic increased and the mortality indices decreased. Comparing indices with Pabon-laso and standards show that status of some indices for several years before and one year after health reform plan were in unfavorable condition.

 results showed that the implementation of the health reform plan may have caused changes in most of the indicators, but these changes were significant in a few number of indices. So it is needed that policymakers evaluate indices periodically.

 The prevalence of anabolic steroids abuse in athletes and non-athletes is associated with the risk of injury to various organs, but there are limited studies of oxidative changes in kidney tissue following nandrolone (N) administration.

 the aim of this study was to investigate the effect of N treatment with and without resistance training (RT) on superoxide dismutase (SOD) concentration and tissue pathology of kidney tissue in rats.

 In this experimental study, 20 male Wistar rats were randomly divided into four groups of five rats including 1) control (C), 2) sham (normal saline) (Sh), 3) N, and 4) N + RT. Groups 3 and 4 received 10 mg/kg N peritoneally, and the N + RT group performed 1 m ladder climbing for eight weeks and three sessions per week. SOD levels of kidney tissue were measured by ELISA and radioimmunoassay. Hematoxylin-eosin (H&E) staining was used to evaluate oxidative stress levels in kidney tissue. One-way ANOVA with Bonferroni’s post- hoc tests were used for analysis of research findings in SPSS version 22 (P ≤ 0.05).

 SOD levels in the C group were higher than the Sh (P = 0.001), N (P = 0.001), and N + RT (P = 0.001) groups. SOD levels were lower in the Sh group than in the N (P = 0.049) and N + RT (P = 0.001) groups. However, there was no significant difference in SOD levels in the N + RT group and N group (P = 0.28). Also, oxidative stress levels were normal in tissue studies in all groups.

 It seems that N treatment with and without RT reduces SOD activity in kidney tissue, but more studies are needed in this regard given the normality of tissue oxidative stress results.