فهرست مطالب فاطمه نکویی

The purpose of this study was to investigate the effectiveness of story therapy on emotion regulation and anxiety symptoms in children with autism spectrum disorder. The research method was semi-experimental with a pre-test and post-test design with a control group. The statistical population of the present study included children with autism who referred to autism treatment centers in the age range of 9 to 14 years in Gonbad (42 people) and the number of 30 sick children was selected in a purposeful way and randomly divided into two experimental groups and Controls were assigned. The experimental group underwent the story therapy protocol of Moradian et al. (2013) during 8 sessions of 60 minutes, while no intervention was done for the control group. The questionnaires used in the present study included the emotion regulation questionnaire (Shields and Chiketi, 1995) and the anxiety symptoms questionnaire (Spence, 1999). Data were analyzed using multivariate covariance test (MANCOVA). Findings showed that story therapy is effective in regulating emotion and anxiety symptoms in children with autism spectrum disorder. Based on the results of the present research, it can be seen that the regulation of emotions and anxiety symptoms is the basis of physiological and emotional flexibility in a person, which enables him to have the optimal level of resilience. In this optimal state, a person can successfully participate in social activities and find the ability to increase the continuity of social interactions, effective communication and adaptation to changes in the surrounding environment, that it is suggested to be considered by counselors and psychologists in rehabilitation programs.

  Regarding the availability of an effective vaccine against hepatitis B virus, global vaccination is the best cost-effective strategy to prevent HBV infection. However, some people may not respond to the vaccine or the titer of antibody decreases by time. Therefore, the present study aimed to determine the frequency of anti-HBs antibody (anti-HBsAb), among university students in Fars province, southern Iran.

 In this cross-sectional study, 825 medical students were enrolled. Blood samples were taken from the subjects, and the serum separated and stored at – 20 ºC until use. Next, HBs Ab titer was measured by ELISA method.

 Out of 825 students 54% was male and 46% were female. The mean age of the students was 19.5±1.9. The titer of anti-HBsAb in 529 (64%) of subjects was lower than 10 mIU/mL. Significant relationship was observed between age and the titer of anti-HBsAb (P=0.001), although no significant relationship was observed between gender (P=0.19), history of blood transfusion (P=0.58) and the titer of anti-HBsAb.

 Finding of this study showed that the titer of anti-HBsAb in more than half of students was lower than 10 mIU/mL and by time the anti-HBsAb titer decreased, indicating the necessity of measurement of anti-HBsAb titer in medical students.

In stent restenosis (ISR) following endovascular interventions is the main limitation of their long-term success. Despite advances have been made during recent years to decrease restenosis, it remains a challenging clinical problem.The aim of this study was to evaluate the relationship between angiographic coronary in stent restenosis, inflammation after successful stent implantation.

This study included 78 patients, 35year old and higher who underwent coronary angiography more than 1 year after drug-eluting stent (DES) implantation because of symptoms suggestive ischemia. Patients were divided into ISR group (case) and patent stent group (control) according to angiography results. For all patients blood lipids and high sensitivity C-Reactive Protein (hsCRP) were measured simultaneously.

Age, sex, hypertension, current smoking, and lipid profile other than High Density Lipoprotein (HDL-C) of patients in the case and control groups were similar. However, HDL-C < 40mg/L was more prevalent with ISR (66.7% vs. 30.8%, p=0.002). The hsCRP level was 2.98±2.06 mg/L in the case group and 2.50±1.80 mg/L in the control group. There were no significant differences in mean hsCRP concentration between the two groups (p=0.14), however mean hsCRP level was significantly higher in men of case group than control group (3.35mg/L vs. 2.21mg/L, p<0.05).

This study demonstrates that in men but not in women inflammation may be a predictor of in stent restenosis more than 1 year after drug eluting stent implantation. Also, high-density lipoprotein (HDL) probably has protective effect against stent restenosis.

According to World Health Organization report, chronic obstructive pulmonary disease (COPD) is the fourth cause of death which is increasing, and in the year 2015 it will be responsible for 10% of all deaths globally. Most of current researches focus on cigarette, and its association with diseases such as COPD, while many people in developing countries, including Asia, smoke tobacco using waterpipes.

A total of 245 sex -and age- matched waterpipe smokers for at least 15 years, and 245 nonsmokers, were randomly selected in Bushehr, and Tangestan districts of Bushehr Province. Salbutamol spray was used for assessing the airways reversibility. Spirometry was done three times for all subjects using a portable spirometer.

The prevalence of COPD among waterpipe smokers was 10.2% and none of the nonsmokers had COPD (P<0.001). A total of 66.6% of the cases had severe to very severe airway obstruction. Sex (male), age, smoking period, daily waterpipe runs, and job had significant correlations with COPD. Clinical symptoms such as dyspnea, cough, sputum, and cough and sputum for more than 2 years, were higher in subjects with COPD. COPD prevalence was 2.84 times higher in farmers and construction workers (95% CI: 1.06-7.63).

Chronic obstructive pulmonary disease is extremely high in waterpipe smokers. Thus, its risk for COPD should be considered as cigarette.