مجله پزشکی قانونی
سال سی‌ام شماره 1 (پیاپی 109، بهار 1403)

The issue of the possible relationship between criminal acts and seizures, which are symptoms of epilepsy, is of vital importance. If there is such a relationship, the seizure may be considered an exculpatory or mitigating factor in the judicial trial. There are many case reports of patients with epilepsy who have been called to court for criminal acts and acquitted. But other studies show that seizures are rarely the cause of criminal acts. Therefore, the purpose of this research is to review the literature and reports related to the relationship between seizures and the occurrence of criminal acts and how to distinguish a guilty person with epilepsy from an innocent person. The results of this research show that violence leading to crime occurs too rarely in the ictal period, and in the interictal period, factors other than the seizure itself, such as low intelligence, the economic and social status of the patient, or other comorbidity diseases, play a very important role in the occurrence of crime. Therefore forensic experts should follow the existing instructions to investigate the claim of the defendants regarding the role of seizures in the occurrence of criminal acts.

Considering the legalization of marijuana use in some countries and regions, its health effects and side effects have been investigated in scientific studies. In this review study, the health benefits and possible side effects of marijuana were investigated.

In a systematic review, all valid studies that investigated the side effects and therapeutic benefits of marijuana were analyzed. The search for articles and theses in Iranian sources was conducted in Medline, PubMed, Web of Science and Embase, Scopus, and Google Scholar by searching for keywords Marijuana, Therapy, Treatment, Therapeutics and side effects from 2010 to 2022. Also, the reference list of all the articles that were identified in the first steps was reviewed in order to obtain the cited articles that were not found by the electronic searches.

The findings of this study showed that marijuana increases energy and improves the quality of sleep, improves mood, improves appetite, calorie intake, sense of taste and perception of taste in cancer patients, increases the quality of sleep and relaxes the quality of life, improves pain control in It is effective for patients with chronic pain, relieving muscle spasm, treating chronic and neuropathic pain, treating symptoms in MS, and improving symptoms of inflammatory bowel disease (IBD). Also, anti-vomiting effects and improvement of quality in cancer patients, anti-cancer activity, treatment of anxiety and insomnia caused by PTSD in children, increase in general quality of life, mobility and mood, by reducing inflammation, intraocular pressure, spasm, convulsions, Treatment of pain, headache and migraine and in patients with MS plays a role in reducing the severity of the disease, stiffness of the hind limbs, motor function, neuroinflammation and demyelination. However, this substance may have side effects such as cognitive impairment, drowsiness, dizziness, dependence and addiction, as well as the possibility of fungal infection in patients with immune suppression.

Although marijuana has some known therapeutic contraindications and side effects, to ensure the therapeutic uses of marijuana, double-blind clinical tests are recommended in specific treatment target groups.

Vestibular schwannoma tumor in advanced levels can cause a wide range of disorders, the aim of this study was to determine the frequency of balance disorders in patients with vestibular schwannoma tumor after surgery in Isfahan city.

The present study is a cross-sectional descriptive study that was conducted in 1402. In this study, the files of all patients with Vestibular schwannoma tumor who were referred to the teaching hospitals of Isfahan, including Kashani, Al-Zahra, Seyyed al-Shohada and Imam Hossein (AS) between 1392 and 1401, were examined. The sampling method was census and included 55 patients.

The average age of the patients was about 46 years and ranged from 10 to 78 years. 61.8% were men, 87.3% were married and only 1.8% had a family history of tumor. 15 patients (27.3%) had balance disorder after surgery, and muscle strength was lower in patients with balance disorder. Three of the patients had also died.

Based on the obtained results, following up the condition of patients, especially balance disorders, can be fruitful for improving the quality of life of patients.

One of the common problems of old age is cognitive disorders that seriously affect the daily life of the elderly. This research was conducted with the aim of the effectiveness of perceptual-motor exercises on the working memory of elderly women with mild cognitive impairment who use drugs.

This research was practical and with a semi-experimental method with a pre-test-post-test design with a control group. The statistical population consisted of elderly women over 65 years of age with mild cognitive impairment, drug users and inactive residents of nursing homes in Tehran. 30 elderly people living in one of the nursing homes were selected based on the inclusion criteria and randomly divided into two groups of 15 people, experimental and control. Participants completed Folstein Cognitive Status and Wechsler Memory questionnaire. The control group did their daily activities. The experimental group participated in the perceptual-motor training program three sessions a week for eight weeks. Both groups took their medicines regularly. After the training program, both groups completed the Wechsler Memory questionnaire again. Univariate analysis of covariance and SPSS version 20 software were used for data analysis (P≤0.05).

The results of the statistical analysis after the training intervention showed a significant improvement in the post-test scores of the experimental group in the working memory variable (P=0.009) compared to the control group.

According to the results of the research, it is suggested to the elderly and managers of nursing homes to use perceptual-motor exercises in order to improve cognitive health, according to their individual ability and environmental facilities.

Adolescence is the most important developmental stage of every human being, which may be associated with behavioral disorders and be neglected by the family.

The present study was conducted with the aim of the effectiveness of family-oriented communication skills enrichment program in order to improve marital satisfaction and emotional regulation of adolescent children with emotional disorders.

The research was of pseudo-experimental type with random assignment and with pre-test, post-test and follow-up. The research tools were Marital Satisfaction Questionnaire (1390), Cognitive Emotion Regulation Questionnaire (2013), and family-oriented communication skills enrichment program (Vadoudi et al., 1402) was held in the form of 23 group sessions for the experimental group. Data analysis showed multivariate covariance analysis of repeated measurements type.

The family-oriented communication skills enrichment program has improved marital satisfaction, emotion regulation, and also reduced the clinical symptoms of children with emotional disorders, and these results are stable in the follow-up (p<0.01).

In the enrichment program of family-oriented communication skills, behavior signs and negative thoughts, the causes of events, emotional and cognitive signs are identified and ways to correct and get rid of false beliefs and healthy alternatives are taught. which will improve the interpersonal relationships of the couple and the experienced emotions. The training of family-oriented communication skills will ensure that the person is prepared in terms of knowledge and insight to perform some interpersonal interactive skills because the person has learned an optimal level of cognitive functioning and the methods and It has preparations that are healthy, safe, effective and affordable.

Degenerative spondylolisthesis is one of the most common diseases of the spine, which means sliding forward (listhesis) of the spine (spondylosis). The precise role of fast joint tropism in the development of degenerative spondylolisthesis is doubtful and debated. The purpose of the present study was to determine the relationship between the pedicle-facet angle and the vertebral facet orientation in the sagittal plane in patients with degenerative spondylolisthesis.

The present study was of an analytical type comparing two groups, which was conducted in 1402 at Al-Zahra Hospital in Isfahan. 120 people were randomly included in the study, 60 people were in the case group (patients with back pain or sciatica pain) and 60 people were in the control group (without back pain and sciatica pain). CT scan images were prepared for patients according to the protocol, and then images were made in other anatomical planes using MPR. Axial CT scan images were taken to observe the upper surface of L3-S1 vertebral pedicle. Data was analyzed by using SPSS.

The findings showed that the average facet pedicle angle at all levels in the case group was higher than the control group at the same level. At L3-L4 level, a significant difference was seen between the average pedicle fast angle in the case and control groups. The incidence of tropism in L3-L4 and L5-S1 levels was higher in the case group than in the control group. In this study, there was no significant difference between the average tropism in the case and control groups in any of the levels. Also, the study did not show a significant difference between the average vertebral slip in the case and control groups in any of the levels.

This study showed that the percentage of people with fast tropism in two groups is not significantly different. The findings of this study indicate that fast tropism is not related to degenerative spondylosis.