مجله علوم پزشکی پارس
سال هجدهم شماره 1 (پیاپی 51، بهار 1399)

In order to control Hypertension, it is necessary to understand the methods of blood pressure measurement. Recent guidelines emphasize on employing appropriate blood pressure measurement techniques and white coat hypertension. Definition and methods of blood pressure measurement have changed in the American guideline based on SPRINT trial (Systolic Blood Pressure Intervention Trial), though Europeans still insist on the standard method of office blood pressure measurement. The differences made by SPRINT method are not fully understood yet. This article compares the measurements done by mercury sphygmomanometers and digital devices, and also evaluates the effect of applying the SPRINT method on these readings.

87 patients were enrolled in this study, For all of whom blood pressure was measured in a quiet room after 5 minutes of resting for 3 times (using an automated device for the first 2 times and a mercury sphygmomanometer for the third time). The mean of them was considered as SPRINT like blood pressure. The results were compared to the measurements done by a cardiologist and a nurse using an automated device at the same visit.

Office based SBPs were about 8.47 mmHg higher than SPRINT like measurements (p<0.001). Diastolic blood pressures were about 7.05 mmHg higher in office (p<0.001).

the methods employed to measure the blood pressure have a pivotal effect on the results. It seems that further studying is needed in this field in Iran.

The metabolism of many fats, including free fatty acids and oxidized low density lipoprotein (ox-LDL) play an important role in the development of atherosclerosis. The aim of this study was to determine the association between circulating ox-LDL and acute myocardial infarction.

The case control study conducted on 43 patients with acute myocardial infarction and 43 volunteers who had no signs, symptoms or history of cardiovascular or cerebrovascular disease and matched to patients for age and sex (control). We used ELISA kit (company of Mercodia, Sweden) to measure circulating ox-LDL. The data recorded and then analyzed by SPSS software version 16. Statistical significance was considered as p-value less than 0.05.

Two study groups significantly were no differences as age, sex, smoking, family history of ischemic heart disease, hypertriglyceridemia, hypercholesterolemia, hypertension, diabetes mellitus type 2, and disease existence. There was a significant difference between the mean concentration of ox-LDL in AMI and control group as it was higher in the patients (2.14 ± 1.67 µg/ml) than the controls (1.03 ± 1.18 µg/ml, p= 0.001). Using logistic regression analysis and entering variables of study in the model, ox-LDL factor was independently associated with the risk of myocardial infarction (OR= 1.74, CI95%: 1.23-2.45, P= 0.002).

Elevated ox-LDL is associated with the acute myocardial infarction and may also be helpful in the early detection of myocardial infarction.

Pain is an unpleasant feeling that usually occurs as a result of tissue injuries. Salep could have significant analgesic effects in acute and chronic pain modalities due to its glucomannan content. Considering the fact that there has not been any study on the antinociceptive effects of Salep, and considering the antioxidant and anti-inflammatory properties of the Salep root’s compounds, the aim of this study was to investigate the effect of Salep root extract on the reduction and prevention of formalin-induced pain.

In this experimental study, 56 male Wistar rats were randomly divided into 7 groups, including Control, Sham (distilled water), Ibuprofen (6 mg/kg/BW) groups and four groups receiving the aqueous extract of Salep root (80, 160, 320 and 640 mg/kg/BW). All treatments were injected intraperitoneally. Formalin test was performed 30 minutes after injection of Salep extract. Data were analyzed by one-way ANOVA and Duncan's post-test at a significance level of 0.05.

Salep at concentrations of 320 and 640 mg/kg caused a significant reduction in acute pain and at concentrations of 160, 320 and 640 mg/kg significantly decreased chronic pain. Ibuprofen also reduced acute and chronic pain induced by formalin.

This research demonstrated the dose-dependent antinociceptive effect of Salep root extract which is probably related to glucomannan and its antioxidant and anti-inflammatory properties.

A successful cardiopulmonary resuscitation depends on various factors such as age, sex, patient, etiology of cardiopulmonary arrest, CPR onset, and so on. The aim of this study was to evaluate the status of cardiopulmonary resuscitation and its related factors in Shahid Motahhari Hospital of Marvdasht.

In this cross-sectional descriptive study, all cases of cardiopulmonary resuscitation during one year from April 2014 to April 2105 were evaluated in all treatment units. This study included all factors associated with cardiopulmonary resuscitation, including age, sex, underlying disease, etiology of respiratory arrest, timing of CPR, presence or absence of related features, presence or absence of specialist or general practitioner, outcome of CPR, and complications It was examined. Data were analyzed using descriptive and inferential tests.

46.7% of CPRs were successful. There was a significant relationship between age and CPR success (P = 0.018). There was a significant relationship between gender and CPR success (P = 0.001). The success rate of CPR in women was significantly higher than in men. The most common reason for CPR failure was due to the failure of the CPR team or physician to arrive on time.

The rate of successful CPRs in Marvdasht hospital is in a good level compared to similar studies. Therefore, it is recommended to improve the CPR success rate by better planning and considering the results of this study.

Pregnancy toxemia causes many pregnant mothers at risk for adverse midwifery complications and sometimes the risk of death. If this complication occurs early in the second trimester of pregnancy, the mother will be deprived of having a child as a result of this complicated pregnancy. Here we present a woman who has had premature pregnancy toxsemia. The known risk factors in this woman were not positive

Chronic Pain Refers To Persistent And Long-Lasting Pain That Extends Beyond Normal Range And Over 6 Months. The Most Commonly Used Therapies, Such As Analgesia, Have Not Been Successful In Significantly Reducing The Severity Of Chronic Pain; Thus, Neurofeedback Training Is a New Approach To The Treatment Of Chronic Musculoskeletal Pain With Better Efficacy Than Other Interventions. The Purpose Of This Review Article Is To Investigating Effectiveness Of Neurofeedback Exercises In Chronic Musculoskeletal Pain Reduction.

The Search Articles From Databases Pubmed, Science Direct, Elsevier, Springer To Language Both English and Persian Began And Articles From 2000 Up To 2019 Were Extracted. To Extract The Articles, We Used Neurofeedback Pain Treatment , Chronic Pain, Musculoskeletal Chronic Pain Key Word. 850 Articles Were Found And Aafter Reviewing The Abstract, Titles And Considering The Main Subject Of The Present Study And Criteria Inclusion And Exclusion, 10 Article Were Selected For Final Investigating.

After Reviewing 10 Article Related selected, The Results Of Those Articles Are Described As Detail In Table 2 And Full In Section Discussion.

Neurofeedback Training Appears To Reduce Perceived Pain Severity, But Does Not Treat The Cause Of Pain In This Group Of Patients, Rather Modulates The Response To Pain Processing. As a Result Appears, Combination Of Neurofeedback Interventions And Rehabilitation Exercises Be More Effective In Improving The Symptoms Of This Group Of Patients.</span>

Surgery is one of the most widely used health care that High levels of morbidity and mortality is attribute to this care, while half of these outcomes are preventable. The purpose of the present study was to evaluate the effect of surgical safety checklist on morbidity and mortality in operated patients.

The present descriptive-analytical and prospective study was performed in three general steps with before-after method at a public hospital in Tehran. 1604 patients among the operated patients were randomly selected in the control and intervention groups before and after the intervention and their data were extracted based on WHO standardized surgical safety checklist. Statistical analysis was performed using descriptive tests (mean, percentage) and analytical tests (chi-square, paired t-test) by Stata software.

The validity of the study instrument was determined by face validity and its reliability was determined by Cronbach's alpha. According to the results, there was no significant difference before and after the implementation of surgical safety checklist in morbidity and mortality of operated patients (P˃0.05).

The effectiveness of an instrument depends on a set of conditions and using method and the attitude of the staff towards it is very determinative, Therefore, it seems that completing the surgical safety checklist merely as one of the stages of the surgical process cannot improve the situation and reduce the morbidity and mortality of the operated patients.

The effect of exercise on the expression of genes affecting cardiac hypertrophy is unclear. Evidence suggests that some miRNAs play an important role in improving heart function. The aim of this study was to evaluate the response of mir133a and some markers of cardiac hypertrophy to endurance training.

To implementation of this experimental research, 10 male Wistar rats randomly were divided into 2 groups control and endurance training. endurance training performed 5 days a week at a speed of 25 m/min and a gradient of zero degrees for 12 weeks. The expression of mir133a, IGF-1 and IGF-R genes were measured by Real Time PCR. Data were analyzed by independent t-test at the P <0.05.

The results showed that after 12 weeks of aerobic exercise the expression of mir-133 and IGF-1 gene was significantly higher in the exercise group than in the control group (P=0.001). Also, after 12 weeks of aerobic training, no significant difference was observed in IGF-R gene expression between the two groups (P <0.05).

According to the findings of the present study, twelve weeks of aerobic exercise may possibly increase cardiac protection activities through cardiac hypertrophy indices.