مقالات رزومه دکتر حسام الدین عسکری مجد آبادی
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Background
Diabetes mellitus, if is not well taken care and treated, may exacerbate complications such as ulcers, infections, and amputations. Accordingly, preventive measures and timely treatment are of paramount importance.
ObjectivesThis study sought to collect profound experiences about diabetic ulcer care management with an emphasis on community-based care.
MethodsThe study was carried out using the qualitative content analysis method during 2017 - 2018 in Semnan Province, Iran. The study encompassed 14 participants, including six caregivers, two family members, one nurse, one nursing supervisor, one manager of counseling and nursing care service centers (CNCSCs), one head nurse, and two physicians, who were selected using the purposive sampling method. The analysis process was performed based on Graneheim and Lundma’s approach.
ResultsTwo main categories were as follows: (1) "Dispersion in preventive measures," with subcategories of ‘vague perception of disease symptoms’, ‘inability in self-management’ and ‘low-efficient preventive care’, and (2) "Gradual access to outpatient services" with subcategories of ‘gradual expansion of outpatient ulcer care’, ‘complexity of financial transactions’, ‘improving inter-sectoral cooperation’ and ‘ambiguous professional boundaries’.
ConclusionsCare facilities offering services to diabetic foot ulcers, especially community-based nursing care centers, are gradually expanding, and new wound care methods are being adopted. However, lack of self-care management, insufficient support, treatment-oriented approaches, and all clients’ insufficient access to these services are some of the problems that still exist in the care management of diabetic ulcers.
Keywords: Care Management, Diabetes Complications, Diabetes Foot Ulcer, Challenges} -
BackgroundBreast cancer is the most common cancer among women. The objective of this study was to determine the breast self-examination (BSE) and mammography compliance based on health belief model constructs among female healthcare workers in the city of Aq Qala.MethodsWe conducted this cross-sectional study between November 2015 and February 2016 in Aq Qala city, northern Iran. In this regard, we selected 261 female healthcare workers through census. Data were gathered using Rakowski’s stages of change and Champion health belief model scale. We entered the collected data into SPSS 16 and analyzed them via descriptive statistical techniques along with Kruskal- Wallis, Mann-Whitney, chi-square, and Spearman rank correlation coefficient.ResultsThe results showed that 26.4 % of the participants performed regular BSE and 19.3% underwent regular mammogram. Those with regular BSE had significantly more health motivation and self-efficacy (P≤0.05). Physicians had more susceptibility and self-efficacy for BSE and less BSE barriers (P≤0.05). There was a negative correlation between BSE confidence and barriers (r=-0.376). The results of binary logistic regression revealed that confidence was the only variable influencing BSE (OR=1.77, 95% CI=1.22, 2.572).ConclusionAlmost one-fourth of female healthcare workers of Aq Qala performed regular BSE. Moreover, one-fifth of women over 40 years of age underwent regular mammograms. Participants who performed regular BSE had higher health motivation, BSE self-efficacy, and lower perceived barriers. BSE adherence was more in physicians than in other groups. We recommend increasing confidence to surmount the barriers to perform BSE.Keywords: Breast neoplasms, Breast self-examination, Mammography, Early detection of cancer}
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هدف
پیروی از الگوی مصرف دارو جزء مهمی در درمان فشارخون است. سالمندان غالبا پایبندی پایینی نسبت به مصرف داروهای فشار خون دارند. به نظر می رسد فراموشی یکی از مهم ترین دلایل عدم پایبندی به مصرف داروها و در نهایت عدم کنترل فشار خون در سالمندان است. هدف مطالعه حاضر، بررسی تاثیر ارسال پیامک یادآور مصرف دارو بر کنترل فشارخون سالمندان بود.
مواد و روش هااین مطالعه کارازمایی تصادفی شده بر روی 100 نفر از سالمندان مبتلا به فشارخون مراجعه کننده به کلینیک های فشارخون شهر کرمان در سال 1396 انجام شد. فشارخون افراد قبل از شروع مداخله اندازه گیری شد. در ماه اول روزانه دو بار، ماه دوم هفته ای دو نوبت و ماه سوم هفته ای یک نوبت پیامک یادآور مصرف دارو به گروه مداخله ارسال شد. در گروه کنترل هیچ گونه پیامی ارسال نشد. قبل از شروع مداخله، در پایان ماه اول، دوم و سوم فشارخون بیماران کنترل و ثبت گردید.
یافته هامیانگین سنی افراد مورد مطالعه 72/64 سال و میانگین مدت زمان ابتلا به فشارخون آن ها 46/6 سال بود. قبل از انجام مداخله، تفاوت معنی داری بین فشارخون دو گروه وجود نداشت. یک ماه بعد از مداخله، تفاوت معنی داری بین فشارخون دیاستول دو گروه وجود داشت (0001/0=P). در ماه های دوم و سوم بعد از مداخله، تفاوت معنی داری بین فشارخون سیستول و دیاستول دو گروه وجود داشت (0001/0=P).
نتیجه گیریارسال پیامک یادآور مصرف دارو برای سالمندان می تواند در کنترل فشارخون سیستول و دیاستول سالمندان موثر باشد.
کلید واژگان: پیامک زدن, پرفشاری خون, سیستمهای یادآور, کارآزمایی بالینی تصادفی سازی شده}Koomesh, Volume:22 Issue: 3, 2020, PP 437 -445IntroductionFollowing the drug use pattern is among the important factors in treating hypertension. Elderly people often have low adherence to blood pressure medication. Forgetfulness seems to be one of the most important reasons for non-adherence to medication and ultimately for lack of control of blood pressure in the elderly. The aim of the present study was to evaluate the effect of sending drug use reminder SMS on controlling the blood pressure in elderlies.
Materials and MethodsThe present randomized-clinical trial study was conducted on 100 elderlies suffering from hypertension who referred to blood pressure clinics in Kerman city (Iran) in 2017. Blood pressure of the subjects was measured before the intervention. In the first, second, and third months, a drug use reminder SMS was sent to intervention group twice a day, twice a week, and once a month, respectively. In the control group, no SMS was sent. Before the intervention, and after the first, second, and third months of intervention, the blood pressure of subjects was controlled and recorded.
ResultsThe mean age of subjects was 64.72 years old and the mean age of morbidity was 6.46 years. Before the intervention, no significant difference was observed between two groups in terms of blood pressure. Relatively, one month after the intervention, a significant difference between the two groups was observed in terms of diastolic blood pressure (P=0.0001). In the second and third months after the intervention, there was a significant difference between systolic and diastolic blood pressure (P=0.0001).
ConclusionSending drug use reminder SMS to elderlies can control the systole and diastolic blood pressure
Keywords: Text Messaging, Hypertension, Reminder Systems, Randomized Controlled Trials} -
هدف
تمرینات منظم ورزشی برای پیشگیری و درمان دیابت نوع2 مفید می باشد. هدف مطالعه حاضر بررسی تاثیر 12هفته تمرین ترکیبی هوازی-مقاومتی بر سطوح کمرین و امنتین در مردان مبتلا به دیابت نوع 2 بود.
مواد و روش هادر پژوهش کار آزمایی بالینی حاضر، 20 بیمار مبتلا به دیابت نوع2 به صورت تصادفی در دو گروه تمرین ترکیبی هوازی-مقاومتی (10نفر) و کنترل (10نفر) تقسیم شدند. آزمودنی ها در گروه تمرینی 12هفته تمرین هوازی-مقاومتی را 3 جلسه در هفته با شدت مشخص (مقاومتی: 70-60% یک تکرار بیشینه، هوازی: 70-60% ضربان قلب بیشینه) اجرا کردند. به منظور اندازه گیری کمرین، امنتین، مقاومت به انسولین و گلوکز ناشتا، نمونه گیری خونی قبل و پس از 12هفته برنامه تمرینی، به عمل آمد.
یافته هابعد از 12 هفته، سطوح کمرین (01/0=p)، مقاومت به انسولین (01/0=p) و گلوکز ناشتا (001/0=p) در گروه تمرین ترکیبی نسبت به گروه کنترل به طور معنی داری کاهش و حداکثر اکسیژن مصرفی (001/0=p) به طور معناداری افزایش یافت. تغییر معنی داری در سطوح امنتین (37/0=p) مشاهده نشد.
نتیجه گیری12 هفته تمرین ترکیبی هوازی-مقاومتی در مردان مبتلا به دیابت نوع 2 سطوح کمرین، مقاومت به انسولین و گلوکز ناشتا را کاهش می دهد اما تاثیری بر سطوح امنتین این بیماران ندارد.
کلید واژگان: ورزش, دیابت شیرین نوع 2, مقاومت به انسولین, پروتئین کمرین, پروتئین امنتین}Koomesh, Volume:22 Issue: 1, 2020, PP 155 -163IntroductionRegular exercise training has been shown to be a useful option to treat and prevent type 2 diabetes. Correspondingly, the purpose of this study was to investigate effects of 12 weeks of combined aerobic-resistance exercise training on levels of chemerin, omentin and insulin resistance in men with type 2 diabetes.
Materials and MethodsIn this clinical trial research, 20 male patients with type 2 diabetes were randomly divided into two groups combined aerobic-resistance training (n=10) and control (n=10). Subjects in training group performed 12 weeks aerobic-resistance training, 3 weekly training sessions with given intensity (aerobic: intensity of 60-70% maximum heart rate resistance: intensity 60-70% repetition maximum). Blood sampling was taken measurements of for chemerin, omentin resistance, fasting glucose and insulin resistance in the beginning and after 12 training protocol weeks were conducted.
ResultsAfter 12 weeks, in the combined training group chemerin (p=0.01), resistance insulin (p=0.01) and fasting glucose (p=0.001) decreased significantly and Vo2max increased significantly (p=0.001) than the control group. Significant change was not observed at the levels of omentin (p=0.37).
Conclusion12 weeks of aerobic-resistance training in men with type 2 diabetes decreased the levels of chemerin, insulin resistance and also fasting glucose, but did not affect the level of omentin.
Keywords: Exercise, Diabetes Mellitus Type 2, Insulin Resistance, Chemerin Protein, Omentin Protein}
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