مقالات رزومه سید محمود لطیفی

Gestational diabetes is the strongest predictor of diabetes in the future. This study was performed aimed to determine the association between the Hypertriglyceridemic waist phenotype of first trimester and the incidence of gestational diabetes.

This case-control study was designed using the data of gestational diabetes outcomes cohort study. Among 9630 screened mothers in cohort study, 260 women with GDM and 260 healthy pregnant women were compared in terms of clinical, biochemical, and demographic indicators. Gestational diabetes (GDM) was defined by the International Association of Diabetes and Pregnancy Study Group (IADPSG) criteria. Waist circumference and triglyceride levels of all mothers were measured in the first trimester of pregnancy. Data were analyzed by SPSS software (version 23) and Chi-square tests, independent t, univariate and multivariate regression. P<0.05 was considered statistically significant.

According to Logistic regression results, the incidence of gestational diabetes was not significantly associated with triglycerides above 150 mg/dL (OR = 1.03 (0.95% CI: 0.52-2.04, P= 0.91)). Waist circumference above 85 cm was associated with a higher risk of developing GDM (OR = 1.72 (0.95% CI: 1.17-2.53, P = 0.005)). The risk of GDM occurrence in mothers with a waist circumference of more than 85 cm and a triglyceride greater than 150 mg /dL was more than the two indicators alone (OR = 3.21 (0.95% CI: 1.71-6.03, P<0.001).

The combined index of triglyceride and waist circumference of pregnant women in the first trimester of pregnancy is a relatively good indicator for predicting gestational diabetes.

Manual Material handling includes activities in which pushing, pulling, lifting, lowering, carrying, and holding the load, the most common of which is lifting. This study aimed to evaluate the reliability of the KIM-LHC method to identify high-risk manual load lifting tasks.

This cross-sectional study was performed on healthy male workers with a history of manual material handling in a laboratory setting. The sample size was determined according to previous studies of 15 people. The participants were required to perform 25 tasks with four iterations randomly. An inclinometer device was used to determine the forward bending angle at the waist. Compression loads exerted on L5/S1 were estimated using 3DSSPP software using participants' postural and anthropometric information. Also, the tasks were evaluated using the KIM-LHC method, and their final scores and levels of MSD risks were determined. Data were analyzed using SPSS.20 software and the Chi-square test.

The results of compression load estimation for lifting tasks showed that 92% of the tasks had a low-risk level (less than 3400 N), and 8% of the tasks had a medium-risk level (3400 to 6800 N). While the results of the KIM-LHC method showed that 28% of tasks had a low-risk level, 64% had a medium level, and 8% had a high-risk level. 

The results of this study showed no correlation between the risk levels of the KIM-LHC method and the estimated compression load for some designed lifting tasks. Therefore, there is a possibility of error in estimating the risk level of some lifting tasks by the KIM-LHC method, and more biomechanical studies should be performed on kinetics and kinematics.

Diabetes is the most common glandular disease in the world. The peak prevalence of type one is diagnosed during adolescence. Therefore, the issue of diabetes control in adolescence is very important. This study was designed to determine the relationship between family function and adolescent self-care behaviours in adolescents with type 1 diabetes.

In this cross-sectional study, the study population included all adolescents with type 1 diabetes referred to specialized diabetes clinics of Ahvaz Jundishapur University of Medical Sciences and their families. 62 families and their sick children were selected as the research sample by available sampling method and after obtaining informed consent, were studied. Data collection tools included demographic information form, Family Assessment Device and self-care of adolescents with diabetes questionnaire. Data were analyzed using independent t-test and Pearson correlation coefficient and SPSS software version 22.

Among the adolescents studied, 46.7% (29 people) were boys and 53.2% (33 people) were girls. All studied families reported the overall functioning of their families as unhealthy. Most of the adolescents in the study reported poor self-care (51.6%). 96.8% (n = 60) of the adolescents had HbAӏC blood levels higher than 9%. The results showed that there was a significant relationship between family functioning and self-care behaviours in adolescents (p = 0.014).

Based on the results obtained, it can be concluded that the performance of families with adolescents with type 1 diabetes is an important and influential variable on the child's self-care behaviours and blood sugar control. Therefore, helping families to increase their efficiency can play an important role in controlling diabetes.

Attention deficit hyperactivity disorder (ADHD) is one of the most common psychiatric disorders. Children with this disorder put a lot of stress on their parents. The aim of this study was to determine the relationship between family function and the care burden of parents of children with ADHD.

In this cross-sectional study, the population included Families with a child with ADHD who referred to a specialized child psychiatric clinic. 30 families were selected by the available sampling method and were researched. Data collection tools included Family Function Assessment (FAD) and Zarit care burden Questionnaires.

Among the children studied, 21 were boys (70%) and 9 were girls (30%). 93.3% (28 children) experienced severe ADHD. 80.1% of families (24 families) had an unhealthy function. Also, 47.2% (14 families) experienced severe care burdens. There was a significant relationship between overall family function and the amount of care burden (P = 0.0001).

Due to the relationship between family function and care burden, factors affecting family function should be identified. Better family function in controlling ADHD, will reduce the severity of behavioral symptoms and reduce the care burden of the family.

In recent years, extensive roles have been recognized and valued for pharmacists as health care providers. The main question of this cross-sectional study was: How much effective do Pharm.D. students and graduates see the contents of their syllabi in providing optimal services in the pharmacy? For this purpose, the syllabi of courses of Theoretical Pharmacology, Pharmacotherapy, Theoretical and Practical Pharmaceutics, and Community Pharmacist Clerkship were selected as samples. A researcher-made questionnaire with Cronbach validation coefficient of 0.768 for Pharmacology, 0.855 for Pharmacotherapy, 0.838 for Pharmaceutics and 0.903 for Clerkship was prepared. The target population included: senior PharmD students of the year 2017 and graduates with a maximum of 2 years passing after their service commitment. Census method was used for sampling, and the questionnaire was distributed among all students, and as much as possible, to graduates who were entrants of the years 2007 to 2012 from the State and Autonomous Iranian pharmacy schools via sending the electronic questionnaire link, from 22/01/2018 to 20/02/218. Data analysis was done by SPSS ver. 22, and the significance level was P-value >0.05. The results of this survey indicated that many of the content provided in these courses did not have the necessary efficiency to train a skilled pharmacist for pharmaceutical care service in pharmacies. Hence, in order to prepare qualified pharmacists capable of providing pharmaceutical care, it is imperative to modify, with assistance of experts, the way these courses are taught in the Iranian Pharm.D. educational system.

Drug adherence plays an important role in reducing readmission of patients with mental disorders. The aim of this study was to determine the effect of family-based empowerment education with telephone follow-up on drug adherence and readmission of patients with mental disorders.

This interventional study was performed on 66 patients with mental disorders and one of their family members. The study units were selected by available sampling method and randomly divided into intervention and control groups. Data collection tools were demographic information form and Madanloo drug adherence questionnaire. The intervention consisted of 8 training sessions based on the family-centered empowerment model with 3 months of telephone follow-up. Drug adherence and number of readmissions were measured before and after the intervention. Independent t-test, Chi-square, Wilcoxon and SPSS software version 22 were used for statistical analysis.

The two study groups were matched in terms of variables affecting the results. 3 months after the intervention, the results showed that drug adherence increased in the intervention group and independent t-test showed a significant difference (P <0.0001). In terms of the number of readmissions, the results showed that the number of readmissions decreased in the intervention group and Wilcoxon test showed a significant difference (P <0.0001).

Empowerment through education enables the family to play a more effective role in managing the disease of its affected member. Using telephone follow-up after the educational intervention will help a lot in its effectiveness and continuity.

Coping methods and social support play a role in adapting patients with multiple sclerosis (MS) to the complications of the disease. This study was designed and conducted to determine the relationship between social capital and coping styles of MS patients.

The present study was descriptive-analytical. The study population was all patients with MS referred to Ahvaz MS Association. 40 people were selected as the research sample and available sampling method according to the inclusion characteristics. Data collection tools in this study were Onyx and Bullenchr('39')s social capital questionnaires and Lazarus and Folkmanchr('39')s coping strategies. After data collection, the data were analyzed using the Pearson correlation coefficient and SPSS software version 22.

70% of the patients were female, 45% were housewives and 55% had lower diploma literacy. 50% of them reported their social capital as low. Patients used problem-oriented coping styles more than emotion-oriented ones. 45% of them used coping styles to a lesser extent. Based on the results of the correlation coefficient test, there was a positive and statistically a significant correlation between the two variables of social capital and problem-oriented coping strategies in the studied patients (P = 0.03), but between coping styles and its dimensions including Cognitive (P = 0.158), structural (P = 0.264) and communicative (P = 0.355), no statistically a significant correlation was found.

Because social capital has a positive and direct role in adapting to the problems caused by MS, it is necessary to work to increase the capital and social support of these patients and also to focus on the use and application of these funds by patients to cope with their problems.