مجله دانشکده پزشکی اصفهان
پیاپی 598 (هفته دوم دی 1399)

Past studies have shown that people's spiritual experiences can play a prominent role in their health. The aim of this study was to investigate the relationship between spiritual experiences with life expectancy and death anxiety in burned patients.

In a cross-sectional study, burned patients aged 16-80 years referred to Velayat hospital in Rasht, Iran, who suffered burns more than 20% of whole body surface or/and burns more than 10% of head and face surface were included using available sampling method. Data collection tools were 4 questionnaires including demographic characteristics, Snyder's Hope Life Questionnaire, Templer Death Anxiety Scale (DAS) and Daily Spiritual Experiences Scale (DSES). Data were collected through face-to-face interviews with burn patients.

There was a statistically significant positive relationship between spiritual experiences and life expectancy; so that patients with stronger spiritual experiences had higher life expectancy. There was also a significant inverse relationship between burn extent and death anxiety. By controlling demographic variables, a statistically significant relationship was observed between spiritual experiences with death anxiety and life expectancy.

The results of this study showed a positive and significant relationship between life expectancy and patients' daily spiritual experiences. It seems that in order to enhance the positive effects of life expectancy in care programs for burned patients, things such as support, facilitation, and attention to the spiritual desires and needs of patients should be considered.

Notice to importance of traumatic triangular fibrocartilage complex (TFCC), this study aimed to compare the effect of open surgery and supportive medical treatment on the improvement of trauma and quality of life in patients with TFCC.

In a clinical trial study, 32 patients with triangular fibrocartilage trauma were selected and randomly divided into two groups of intervention and control. The intervention group underwent open surgery and the control group were receiving supportive treatments as non-steroidal anti-inflammatory drugs (NSAIDS), physiotherapy, and corrective action. All patients were followed for 3 months after intervention, and quality of life and improvement was evaluated using Mayo score, and compared between the two groups.

The mean Mayo score before intervention was 30.0 ± 7.8 and 29.4 ± 10.7 in open surgery and supportive treatment groups, respectively, and no statistically difference was seen between the two groups (P = 0.560). The mean Mayo score after intervention was 68.2 ± 6.4 and 42.2±10.3 in surgery and supportive treatment groups, respectively, and the difference between groups was statistically significant (P < 0.001).

Our study showed that open surgery in patients with TFCC is better than the conservative treatment

The aim of this study was to investigate the effect of aerobic exercise on heart cells specific biochemical indicators in women with type 2 diabetes mellitus.

This randomized clinical trial study was performed on 30 women with type 2 diabetes mellitus randomly divided into experimental and control groups. The experimental group participated in an increasing aerobic exercise (running) for eight weeks, three sessions per week [55% to 75% of maximum heart rate and rating perceived exertion (RPE) of 12 to 13]. Blood samples were taken before and after the protocol. The enzyme-linked immunosorbent assay (ELISA) and enzymatic method were used to measure the variables.

Troponin I decreased significantly 6 hours after the last training session in the experimental group compared to 6 hours after the last training session in the control group (P = 0.001). There was no significant difference in troponin I, 6 hours after the first training session in the experimental group compared to 6 hours after the first training session in the control group (P = 0.983). Creatine kinase-MB (CK-MB) values significantly increased in both groups; this increase was higher in the experimental group than the control group (P = 0.001).

The results showed that the training instructions significantly decreased troponin I despite the increase in CPK-MB, which may be due to the nature of training and muscle damage during training. This can confirm the protective nature of this exercise protocol for heart tissue against the injury in women with type 2 diabetes mellitus.