مجله علمی پزشکی جندی شاپور
سال هجدهم شماره 1 (پیاپی 118، فروردین و اردیبهشت 1398)

Goal: The aim of this study was to investigate the effectiveness of the acceptance therapy integrative approach on compatibility and hope in couples diagnosed with Obsessive – compulsive personality disorder (OCPD). The statistical population of this study were couples in which one or both partners were diagnosed with OCPD. For the purpose of this study, 20 couples (N=40) with the inclusion criteria were selected through convenience sampling and were equally and randomly assigned intro two groups of experimental and control group (N=20). Participants in both groups were administered two questionnaires as pre-test including, (1) Spenery's marital adjustment questionnaire (1990) and (2) Herth's life expectancy questionnaire (1999), Revised: screening for marital discord. While the participants in control group received no treatment in waiting list, the couples in the experimental group participated in a twelve session- two hours each – ACT-based integrative psycheducational course delivered once a week. After the final session both groups were administered the questionnaires as post-test. The Data was analyzed using Covariance analysis the result of which shows that experimental treatment was effective on improving compatibility and hope in the participants (P<0.01). Conclusion. The finding of this study has some insights for researchers and reactionaries in the field of clinical psychology and family counseling.

The objective of this study was to compare the effects of Jaftex and Persica mouthwashes on salivary pH and buffer capacity. This clinical, double-blind, on two groups of 20 people. The salivary pH and buffer capacity of all samples were determined. Persica mouthwash was given to group A and Jaftex mouthwash was given to group B. At minutes 5, 10, 15, 20, and 30, after using mouthwashes, the saliva samples were re-collected and the pH and degree of buffer capacity of the samples were measured. After 72 hours of washout period for both groups, Jaftex was given to group A and Persica was given to group B and the saliva samples were re-collected in the mentioned minutes and the pH and the degree of buffer capacity were determined. The results were analyzed by repeated measures test. Significant level was considered The mean pH of saliva in the times before and after 5, 10, 15, 20 and 30 minutes was 7.05, 6.78, 6.67, 6.74, 6.65, and 6.82, respectively, Jaftex mouthwash was 6.99, 7.30, 6.69, 6.66, 6.67, and 6.99, respectively, and pH difference between the first 5 minutes and before the use of Persica and Jaftex mouthwashes was significant (P <0.05). The results of this study did not show an increase in salivary buffer capacity in two groups. The use of Jaftex as an herbal mouthwash is effective in preventing tooth decay and it is recommended to the people with high risk of decay.

Todays one of the most common anorectal problems is hemorrhoid. Minor symptom of disease can be treated by medical treatment but at high grade disease we should consider surgery. Although conventional surgery is standard operation for hemorrhoid, it is associated with some complication. Many techniques were designed to overcome these problems. One of these procedures stapled hemorrhoidopexy that this study was done to compare it with conventional hemorrhoidectomy. Subjects and This is a clinical trial study was conducted on 40 patients with hemorrhoids in Ahvaz Razi Hospital. Patients were randomly divided into two groups. Group A (n=20) was treated with stapled hemorrhoidopexy and Group B (n=20) was treated with conventional hemoroidectomy method. Sphincter tone, resting and pressing before and after surgery was measured and compared between two groups. . Data analysis showed that there was no significant differences in tone sphincter resting and pressing before and after surgery in stapled hemorrhoidopexy group and conventional hemoroidectomy group (P-value=0.32). Also, there was no significant difference between the mean scores of pain in groups (P-value=0.32). However, the loss of blood, the need for analgesic drugs and return to work in stapled hemorrhoidopexy group was significantly lower than that of conventional surgery group (P-value<0.001). Findings of study showed that stapled hemorrhoidopexy is an alternative and effective treatment that can be used in adult age groups to reduce pain, side effects, duration of hospitalization and time to return to work.

This research aimed to compare the Theory of Mind (TOM) ability in stuttering pre- school children and their normal peers and also to investigate the effect of the TOM on the stuttering severity of children that was studied in a case-control study. The participants included pre- school children (girls and boys) who stutter and normal peers in Zahedan city. The age of children in the both groups was 6 year-old (Mean:6±0.2). Sixteen Persian language children who stutter (CWS) in a convenient sampling method with a minimum of six months of stuttering were selected. Eighteen normal peers homogeneous in terms of demographic variables were selected as a control group. To collect data, Theory of mind questionnaire was used that its validity and reliability was reported by Qumrani et al (2005). The data was analyzed by ANOVA. Results showed that the CWS received more scores than the normal children in the Theory of Mind test, and there was a significant difference between the two groups (P <0.0001). Findings of the current study showed that the stuttering children considered and interpreted the stimuli in a different way than the normal peers.

Upper air spaces are among the most important elements involved in breathing. There is a close correlation between the size of airway space and the morphology of the face. The aim of this study was to evaluate the depth of upper airway by radiographies of cephalometrics in individuals with skeletal classes and vertical growth patterns. Subjects and This is a retrospective study using digital lateral cephalometric images in the Archives of Radiology Department of Ahvaz Dental School. 105 radiographic samples were examined in sagittal and vertical dimensions, and nasopharyngeal, oropharyngeal and hypopharyngeal depths were measured in each dimension. Data were analyzed by SPSS software version 22 and the results were determined by Tukey HSD and variance tests. In Sagittal dimension, there is a significant statistical difference in depth of the nasopharyngeal between skeletal classes I and III and also in the depth of the oropharyngeal between classes II and III. Compared with classes I and II and classes II and III, mean hypopharynx depth is significantly different.(P<0.05) No significant statistical difference was found among the different individuals in the vertical dimension.(P>0.05) According to the results, skeletal deep bite, nasopharyngeal depth and skeletal open bite increase the depth of the oropharyngeal and hypopharynx. In sagittal dimension, in class I, nasopharyngeal depth and in grade III increases the depth of oropharyngeal and hypopharyngeal. In the vertical dimension, people with skeletal deep bite, nasopharyngeal depth and skeletal open bite individualy increase the depth of oropharyngeal and hypopharyngeal.

Selenium (Se) is a potent antioxidant and therefore can prevent unwanted and harmful reactions that occur in the body due to the accumulation of free radicals and toxins. Se deficiency can be a result of an inappropriate diet or illness. Hemodialysis is considered as the dominant treatment in the end stage of renal failure. The level of some trace elements in the blood of these patients increases and some others are reduced. The aim of this study was to determine the blood Se level in these patients. 123 hemodialysis patients were evaluated. Se content in whole blood was measured by atomic absorption spectrophotometric method with graffiti furnace after digestion. In this study, 123 cases of dialysis patients were 67 men (54.47%) and 56 women (45.56%). The amount of Se in the blood of hemodialysis patients was 52.24 ± 12.66 μg /L. Se levels in male and female were 52 ± 13.04 and 53 ± 12.77 μg /L respectively, which were not statistically significant. The present study also showed that dialysis duration did not have a significant effect on Se blood levels. The results of this study showed that the blood level of Se in hemodialysis patients is less than normal, and there is no significant difference between the two sexes regarding the content of Se blood. Keywords: Selenium. hemodialysis. oxidative stress

Domestic violence against women and its related factors in Ahvaz in 2016-2017 Background & Domestic violence is the most common against women with negative effect on mother’s health, family, children and society. The aim of this study was to estimate the prevalence and determinants of domestic violence against women in Ahvaz. This descriptive cross - sectional study was conducted on 310 of peoples referred to the forensic medicine of Ahvaz at 2016-2017 years. Information about age, sex, job, education, type of injury and damage tools were collected through a person's case file. Data were analyzed using SPSS with 95% confidence interval. The most common violence against subjects was physical violence (73.1%). The prevalence of mental-emotional violence was 26.9%. The results showed that housewives (78 percent) than employed women (21.9 percent) are more vulnerable to domestic violence, and there was significant relationship between unemployment and the rate of domestic violence (p≤0.01). The results showed that all types of violence against women associated with education (p≤0.001), and most common violence was against those with high school diploma (54.5 percent) and under diploma (25.7%) compared to academic subjects (19.9 percent). Physical violence was the most widespread form of domestic violence and was related to the occupation and education of individuals. Regarding the high prevalence of domestic violence, screening programs are necessary to reduce this problem, and education is the best proposed solution to reduce domestic violence against women. Keywords: Domestic Violence; Physical Violence; Emotional Violence; Ahvaz

Free radicals play a role in the pathology of many diseases, such as cancer, diabetes, heart disease, and especially in the aging process. The use of antioxidant agents, especially antioxidants with plant sources, can play a significant role in the treatment of these diseases. The aim of the present study was to prepare the nanoemulsion formulation of sour cherry kernel oil and to investigate its antioxidant and cytotoxic effects on normal and cancerous cells. Nanoemulsion was prepared by the use of polysorbate 80 and polysorbate 20 in water as an emulsion of oil in water. Polyethylene glycol was used as the co-surfactant. Antioxidant effects of concentrations of 1000, 500, 250, 125, 62.5 and 31.25 μg/ml of nanomulsion were investigated on DPPH and ABTS radicals and compared with glutathione as standard. In addition, the cytotoxic effects of nanomulsion on cancer cells A549 and normal HUVEC cells were investigated. The antioxidant results show the potential of nanoemulsion in the removal of radicals of DPPH and ABTS. Furthermore, the results of the cytotoxicity test indicate the greater effects of nanoemulsion on the elimination of cancer cells compared to normal cells. Overall, the results of this study indicate the potentially antioxidant and anti-cancer effects of nanoemulsion of cherry kernel oil, which can be used to prevent and treat many diseases that are associated with the production of reactive oxygen species.

The Test of Gross Motor Development is broadly used in research and clinical settings. The aim of study was to Evaluation of the Psychometric Properties of TGMD–3 in 7-10 year old children with intellectual disability in Tehran. The research method was descriptive-normative. 208 children aged 7-10 years were selected by cluster sampling from Tehran. Our research tool was TGMD-3. The Factor analysis, inter-class and Pearson correlation coefficients Statistical methods were used. The Content Validity ratio ranged from 0.60 to 1. Content Validity Index shows a range of 0.80 to 1. The internal consistency for the locomotor, ball skills subtests and total TGMD-3 was 0.75, 0.71 and 0.83 respectively. The test-retest reliability was 0.94, 0.93 and 0.94, respectively. The intra-rater reliability coefficient for the locomotor, ball skills subtests and total TGMD-3 was 0.99, 0.99 and 0.99 respectively, while inter-rater was 0.94, 0.88 and 0.95, respectively. The Correlation coefficients of the subtests with age for the locomotor, ball skills subtests and TGMD-3 was 0.64, 0.68 and 0.72 respectively. The construct validity was confirmed through confirmatory factor analysis. Characteristics of goodness were fitted in the factor of locomotor and ball skills. (χ2(78)=645.7, p=.0001, RMSEA=.02, GFI=.95, AGFI=.93, NFI=.95, NNFI=.99, CFI=1, IFI=1, SRMR=.04). Validity and reliability of TGMD-3 in children with intellectual disability were confirmed. They can be safely used to evaluate the motor development. However, for children with other disorders, results cannot be generalized. Further studies should consider the psychometric properties of TGMD-3 in other developmental disorders.

The peripheral Neuropathic pain is one of the largely untreated pains which physical activity is consider of the main streams as a treatment for it . The purpose of this study was the effect of six weeks aerobic training on peripheral neuropathic pain and expression of the NOTCH1 receptor and JAK/STAT pathway in the spinal cord of diabetic male rats. 40 male Wistar rats (age: 8 weeks old; weight 220±10/2g) were randomly divided into 4 groups: diabetic neuropathy training (DNT), diabetic neuropathy control (DNC), healthy training (HT) and healthy control (HC). two weeks after induction of diabetes, behavioral pain tests were administered and endurance training protocol was performed for 6 weeks To evaluate the expression of NOTCH1 ,IL6,TNF-a and STAT3 was used Real Time PCR technique. And used one-way ANOVA and significant level was P <0.05 After 6 weeks of aerobic training, the expression of NOTCH1 ,IL6,TNF-a and STAT3 genes in diabetic training group was significantly lower than the diabetic neuropathy control group. The mean weight of the diabetic training group was more than the diabetic control group. Also, exercise significantly decreased blood glucose levels in the diabetic group. It seems that aerobic exercise on rats with diabetic can effect on pain sensation and the levels of NOTCH1 ,IL6,TNF-a and STAT3 factors, and aerobic exercise is a suitable method for preventing, controlling and treating pain associated with diabetes.