فهرست مطالب

Chronic Diseases Journal - Volume:7 Issue: 4, 2020
  • Volume:7 Issue: 4, 2020
  • تاریخ انتشار: 1398/12/06
  • تعداد عناوین: 8
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  • Negin Ronasi, Setareh Shojaei, Ghodratollah Roshanaiee, Reza Taghiollahi, Shokoofeh Jamshidi* Pages 219-225
    BACKGROUND

    Some of the oral lesions including malignant tumors of mesenchymal and epithelial origin have same clinical features. Most of them are white or red patches with undermined edge. Also, in some cases, the microscopic view of histopathologic examination is not diagnostic. So, the integration of clinical and pathological information leads to the correct diagnosis. The aim of this study was the evaluation of consistency rate between clinical and histopathological diagnosis of oral malignant tumors of mesenchymal and epithelial origin.

    METHODS

    This cross-sectional retrospective study was performed in four centers of oral pathology of Hamadan University of Medical Sciences, Hamadan, Iran, during January to June, 2016. The data were collected using the archived files of patients. Collected data from the files included age, sex, lesion location, lesion type, and first and second clinical and histopathologic diagnosis. Finally, histopathological findings were compared with the first and second clinical diagnosis. Data were analyzed using SPSS software.

    RESULTS

    Ninety-one and seventy-nine of studied files were related to men and women, respectively. Most frequent malignant lesion was related to squamous cell carcinoma (SCC) (52.9%), followed by melanoma (29.4%). The consistency rate of first and second clinical and histopathologic diagnosis was 68.2% and 15.2%, respectively. Higher consistency rate was observed in melanoma, SCC, and fibrosarcoma lesions.

    CONCLUSION

    High inconsistency rate between clinical and histopathological diagnosis was found in some cases which may have originated from low diagnostic knowledge of clinicians or their misconception from misdiagnosis. Therefore, the improvement of knowledge and awareness of clinicians by conducting retraining courses is necessary.

    Keywords: Clinical Laboratory Techniques, Histopathology, Oral Soft Tissue Lesions
  • Pooya Valizadeh Ardalan*, Hero Yazdanpanah, Karo Servatyari, Nabi Mardani, Milad Parkalian Pages 233-239
    BACKGROUND

    Adolescence is the most risky part of life for beginning of substance abuse. Substance use in adolescence can affect the rest of the person's life in addition to his youth. The purpose of this study was to determine the frequency of substance abuse and its related factors among high school students in the city of Divandarreh, Kurdistan Province, Iran, in 2018.

    METHODS

    This was a cross-sectional study. The statistical population consisted of all high school students (16-18 years old) in Divandarreh City in 2018. The sample size was 386. The instruments of this study were demographic information and Zargar et al. addiction questionnaires. Data were entered into SPSS software and chi-square test was used to evaluate the analytical data.

    RESULTS

    According to the results, 279 (75%) of students had low addiction tendency, 66 (17%) had moderate addiction tendency, and 25 (6%) tended to severe addiction. 117 students (31%) had at least one experience of using alcohol, smoking, drugs, and other substances and 53 (15%) claimed daily consumption of substances and drugs. There was a significant relationship between sex (P = 0.001), father's education (P = 0.028), mother's education (P = 0.011), father's job (P = 0.001), educational grade (P = 0.002), economic status (P < 0.001), and average of study (P = 0.019) with substance abuse tendency.

    CONCLUSION

    According to the results of this study, providing a quiet and full of confidence environment for adolescents should be one of the fundamental priorities of each family. In addition to this result, parents' educational growth leads to less willingness of children to addiction.

    Keywords: Substance Abuse, Substance-Related Disorders, Mental Disorders, Students
  • Asma Zamiri, Sepide Amoiyan, Sina Mostafavi Toroghi, Mahdi Babaei Hatkehlouei, Amirhossein Moaddabi, Mehran Ebrahimzadeh Hassanabadi, Tahereh Bakhshi* Pages 240-245
    BACKGROUND

    The main components in controlling and treating seizures are antiepileptic drugs (AEDs). Mostly, the systemic side effects of these drugs are regarded very important; however, these drugs can also cause serious mucocutaneous side effects. Carbamazepine is a drug which is used to treat epilepsy. Side effects of this drug can range from skin rash to toxic epidermal necrolysis (TEN) and Stevens-Johnson syndrome (SJS). The purpose of this study was to evaluate skin complications of carbamazepine in children with epilepsy.

    METHODS

    This study was performed on 99 children, aged 2 months to 11 years, with the diagnosis of skin complications after taking carbamazepine. Records were examined and their initial profiles including their medical skin conditions and rashes were recorded within the checklist. Data were entered into SPSS software. Measures of central tendency and dispersion were achieved. Finally, the relationship between the drug and the cutaneous reactions of these patients was analyzed using the chi-square test.

    RESULTS

    The most common complications among the patients were maculopapular lesions and skin erythroderma, with the prevalence of 37.4% for each. Other types of skin lesions included papules with 14.1%, macules with 8.1%, and SJS with 3.0%. A significant association (P = 0.02) between the types of the skin lesion and the dose of carbamazepine was observed; the more the dosage was, the more severe skin lesions were.

    CONCLUSION

    The most common cutaneous reactions to carbamazepine were erythroderma and maculopapular rash in the patients. The findings of this study also revealed that the lack of drug compliance was of high importance

    Keywords: Asma Zamiri, Sepide Amoiyan, Sina Mostafavi-Toroghi, Mahdi Babaei-Hatkehlouei, Amirhossein Moaddabi, Mehran Ebrahimzadeh-Hassanabadi, Tahereh Bakhshi
  • Fouad Rahimi*, Abbas Ebadi, Fatemeh Oskoie Pages 246-251
    BACKGROUND

    Since the concept of hope in the family members of patients admitted to the intensive care unit (ICU) is of particular importance and the role of this concept in the health of this group of people is evident, it seems that a valid and reliable scale for measuring this concept is necessary. The purpose of this study was to design a hope measurement questionnaire for family members of patients admitted to the ICU of Besat Hospital in Sanandaj, Iran.

    METHODS

    The families of patients in the ICUs were selected using the convenience sampling method and completed the "Hope Questionnaire" along with demographic characteristics questionnaire and Beck Depression Inventory (BDI) (criterion scale). The validity of the instrument was determined by construct validity and criterion validity and the reliability was evaluated through calculation of internal correlation coefficient and test-retest. Data were analyzed by factor analysis, correlation coefficients, and Cronbach's alpha.

    RESULTS

    The items having the most factor loading were named based on the nature and size of the variables from which the extracted factors had the most share. First factor, including 15 items alone, represented 14.867% of the total variance and was named "Optimistic Thinking towards the Future" and the second factor, representing 14.666% of the total variance, was named "Pessimistic Thinking towards the Future" which had 7 items. The correlation between the scores of Hope Scale and the BDI, which was performed for assessing the criterion validity of the scale (P < 0.01).

    CONCLUSION

    The Hope Scale helps researchers gauge the different dimensions of hope through a deeper understanding of this concept. The scale had high validity and reliability in all fields. Considering the simplicity of its application and implementation, it can be used in various researches in which hope is considered as one of the studied variables

    Keywords: Questionnaire Design, Hope, Intensive Care, Psychometric, Intensive Care Unit
  • Reza Davoodi*, Shahrbanoo Ghahari Pages 258-265
    BACKGROUND

    Early maladaptive schemas (EMSs) and difficulty in emotion regulation are mechanisms leading to dysfunctional behaviors and reduction of mental health; hence, this study aimed to compare EMSs, emotion regulation, and general health in prisoners and non-prisoners.

    METHODS

    The research method was causal-comparative (post-event). Statistical society comprised all of prisoners and non-prisoners in Fuman City in Iran. Of them, 100 prisoners were selected using random sampling and they were compared with 100 matched non-prisoner men based on the inclusion criteria and. Non-prisoners were matched with prisoners in terms of age, job, and education level. Both groups filled out Young Early Maladaptive Schemas Questionnaire (YEMSQ), Persian version of the Cognitive Emotion Regulation Questionnaire (CERQ-P), and 12-item General Health Questionnaire (GHQ-12). Data were analyzed using independent t-test and multivariate analysis of variance (MANOVA).

    RESULTS

    A significant difference was observed between two groups in total score of EMSs, emotion regulation, and general health (P < 0.001).

    CONCLUSION

    There is a significant difference between two groups in general health, maladaptive schema, and emotion regulation which indicates that EMSs, inability to regulate emotions, and low general health could play a critical role in criminal behaviors.

    Keywords: Maladaptive Schemas, Emotion Regulation, General Health, Prisoners
  • Saphenous vein versus total arterial graft in coronary artery bypass graft Karzan / Saphenous vein versus total arterial graft in coronary artery bypass graft
    Karzan Saieamend Hamad Palani*, Bashar Hanna Azar, Chalak Abdulsamad Ismael Pages 266-271
    BACKGROUND

    Coronary artery bypass graft (CABG) surgery remains the gold standard treatment for left main coronary artery and multivessel disease. In the last decade, arterial conduit clearly has had superiority over venous conduit. The aim of this study is to report and compare both types of conduit in Erbil Cardiac Center, Iraq.

    METHODS

    A retrospective cohort study was used to compare patients who received total arterial grafts (n = 25) with patients who had saphenous-vein bypass grafts (n = 25), at the point of gender, age, operation duration, postoperative complications, hospital stay, and the 6-month cardiac ejection fraction (EF) improvement.

    RESULTS

    All patients of arterial group were men in comparison to 68% men versus 32% women in venous group; mean age of the patients was 50 years and 61 years for arterial and venous conduits, respectively. Duration of operation was 3.97 hours and 4.27 hours, hospital stay was 5.42 days and 7.20 days, and EF improvement was 11.48% and 4.40% for arterial and venous conduits, respectively. Although the duration of operation was not statistically significant, the total duration of hospital stay and EF improvement were statistically significant.

    CONCLUSION

    Arterial conduit has started in the last decades. Although it technically needs more accuracy and time, it has a better outcome compared to the venous conduit.

    Keywords: Saphenous Vein, Arterial Graft, Coronary Artery Bypass
  • Kumars Ahmadi, Farid Yousefinejad, Rozhin Mehrabani*, Mehran Amini Pages 279-287
    BACKGROUND

    Futures studies is a managerial tool which is also regarded as a soft knowledge to gather the information on what may happen in the future or what is more likely to happen mainly to reduce risk factors. This study aims to identify the favorable future and the most probable occurring scenarios concerning the demands in the healthcare services and medical treatments in Sanandaj City, Iran.

    METHODS

    In this study, environmental monitoring, Delphi method, and scenario planning were utilized. To determine the drivers of content and the periphery, we used a non-structured questionnaire. A total of 12 experts in the field of medicine, management, sociology, psychology, and economics as well as health care management participated in the study.

    RESULTS

    In the present study, in order to calculate the scenario planning and relative data analysis, we reflected on the morphology between the key factors that influenced the health care. Two important uncertainties were identified: the quality of service by suppliers and the level of attitudinal knowledge of the clients. In addition, using a cross (matrix) method, we were able to identify four passable future scenarios.

    CONCLUSION

    Based on the findings and results of this study, Apple Health Scenario where two uncertainties of suppliers' services of a qualitative increase status and the increasing level of knowledge and attitude of health Applicants have the best conditions. Consequently, a favorable future will be required for health services, health and medical treatment and other future prospects will not be desirable for this matter.

    Keywords: Futures Studies, Scenario Planning, Health Services
  • Boshra Vahabi, Ahmad Vahabi*, Masoud Moradi, Sirvan Sayyad, Mahin Ahmadian, Abdolvahed Narmashiri Pages 288-292
    BACKGROUND

    Academic achievement is considered as one of the main results of the educational system and focusing on factors affecting it is of great importance. The present study was performed with the aim to determine the relationship between handedness and academic achievement in high school students in Sanandaj City, Iran, in 2016.

    METHODS

    This was a cross-sectional study the population of which included the high school students of Sanandaj and 2630 pupils were selected from among them. The study tool was the Annette's questionnaire. To measure the academic achievement, the average score of the first semester of the 2016-2017 school year of the students was used. The collected data were analyzed using the SPSS software and descriptive and statistical tests such as the Mann-Whitney and Kruskal-Wallis tests.

    RESULTS

    Among the samples, 7.7%, 87.4%, 4.9% were left handed, right handed, and of no handedness, respectively. The average score of handedness in the school children was 16.75 ± 11.99 out of 24. There was no relationship between academic achievement and handedness (P = 0.105).

    CONCLUSION

    The results suggested that other factors than handedness affect the success and academic achievement of the students.

    Keywords: Handedness, Students, Academic Achievement