نشریه پژوهش سلامت
سال ششم شماره 1 (پیاپی 21، پاییز 1399)

Helicobacter pylori is a micro-aerophilic gram-negative bacteria that is colonized in the gastric mucosa and duodenum using its own factors such as urease, catalase and lipase. While the stomach is considered the main source of it, other tissues such as the Walder ring, gallbladder, gums, oral lesions and dental plaque have also been suggested as potential sources. Recent studies suggest that adenotonsillar tissue is susceptible to Helicobacter pylori colonization, but the results are very contradictory. Therefore, in the present study, we tried to evaluate the presence of this bacterium in this tissue.

In this cross-sectional study, which was conducted from October 2017 to October 2016, cases of adenotonsillectomy surgery without a history of antibiotics and bismuth in the last two weeks were included in the study. 2 to 5 mm samples were removed and placed in a filled vial up to half of the urease test kit solution. Change of color of the solution from yellow to purple was a positive result and no color change after a maximum of one hour, a negative result was recorded.

A total of 114 samples were obtained from 64 patients, of which 63 were tonsil samples and 51 were adenoids. In 5 samples (all tissues removed from the tonsil), the urease test was positive (4.4%) and the other 109 samples (95.6%) were negative. There was no significant relationship between urease test result with tissue type (P value = 0.063), reason for surgery (P value = 0.65) and age (P value = 0.07).

Our results showed that Helicobacter pylori colonization in adenotonsillar tissue had a frequency of 4.4%, in other words, 5 out of 64 patients (7.8%) had tonsil colonization with Helicobacter pylori, which showed a small amount.

On average, 7% of all newborns have a birth weight of less than 2,500 grams. One of the most important causes of low birth weight babies is maternal anemia during pregnancy. This study investigates the relationship between maternal hemoglobin level and birth weight. 

Methods and Materials:

 This cross-sectional study was performed on prim gravid women. Maternal information such as age, body mass index (BMI) and hemoglobin concentration in the first and third trimesters and then birth weight were recorded. Data were analyzed statistically by SPSSv18 software and Pearson regression and linear logistics tests.

In this study, 160 prime women with a mean age of 17-43 years were studied. The mean hemoglobin concentrations in pregnant women in the first and third trimesters were (range 7.5-5.5) and (range 7.15-7.1), respectively, 21.9% in the first trimester and 16.3% in the third trimester was anemic. The birth weight range of all infants was 5000-900 g and the average birth weight of LBW infants was in the range of 1800-900 g. 17 infants (10.6%) were underweight (LBW), 135 (84.4%) were normal and 8 (5%) were macrosomic. There was a significant positive relationship between maternal hemoglobin concentration in the first and third trimesters with birth weight (P = 0.0001).

It seems that low maternal hemoglobin levels are associated with low birth weight and LBW. Therefore, special attention to maternal hemoglobin levels during pregnancy and its control reduces the prevalence of LBW. Therefore, paying attention to nutrition and controlling iron levels in pregnant women is very effective in ensuring the health of their babies.

Discussing the work ethic of individuals in the organization can be considered as an opportunity or a threat to the organization and its evaluation is essential. Therefore, the present study has identified and compared work ethic in different occupational groups of a health-related organization.

This descriptive-analytical survey study was conducted in 2018 in Tehran (Iran). The data collection tool was the Standard Ethics Questionnaire (OWEI) by Gregory C. Petty (1990) whose validity and reliability were also confirmed (Cronbachchr('39')s alpha 92%). SPSS software and descriptive and inferential statistics (analysis of variance and Friedman and Leven test) were used to analyze the data.

616 people participated in this study. The level of work ethic and its dimensions are different in all job groups and different organizational categories. Also, the level of adherence to work ethic and its indicators is higher among the upper levels of the organization than the lower levels. Employeeschr('39') work ethic score was 78.21%. Also, among all occupational groups, the index of attachment and interest in work had the highest rank and the index of collective spirit and participation had the lowest rank.

The results showed a high level of work ethic and each of its indicators in this medical center. According to the research results, increasing work ethic will lead to improved performance in the organization and alignment of people and activities.

Due to the difficulty of treatment in patients with insomnia and obstructive sleep apnea, the present study sought to investigate the effect of cognitive-behavioral therapy on weekly changes in sleep parameters and drowsiness in patients with moderate and severe respiratory distress.

The research method was quasi-experimental with pre-test and post-test design with a control group. The statistical population of the study was 100 patients with sleep apnea and insomnia at the sleep clinic in Tehran who were selected by purposive sampling. Research tools include Epworth Drowsiness Scale, polysomnography, sleep diary recording, positive airflow pressure device, and cognitive-behavioral therapy for insomnia. A mixed linear model was used to analyze the data.

Patientschr('39') daily drowsiness increased slightly in the first week and returned to pre-treatment levels in subsequent weeks. Patients also experienced a gradual improvement in sleep delay, the first wake-up call, improved sleep quality, bedtime, and drowsiness during the weeks of treatment.

Cognitive-behavioral therapy for insomnia in the presence of moderate to severe respiratory failure is a safe and effective treatment. However, it seems that patients should be closely monitored to increase daily drowsiness in the first weeks of treatment.

Non-alcoholic fatty liver disease is a chronic disease that is associated with the accumulation of fats in the liver. Regular exercise can be considered as an effective strategy in the treatment of non-alcoholic fatty liver disease. The aim of this study was to evaluate the effect of eight weeks of intense interval training on plasma levels of glucagon, GLP-1 and blood lipid indices in patients with non-alcoholic fatty liver.

The present study was a quasi-experimental study in which the study population was women with non-alcoholic fatty liver disease, 25 of whom were randomly divided into two groups of exercise (n = 13) and control (n = 12). Were. Intense intermittent training protocol was performed for 8 weeks and four sessions per week, each session lasting 60 minutes. Blood samples were taken from the brachial vein in pre-test and post-test conditions. Statistical analysis of data was performed using analysis of covariance and paired and independent t-test by spss21 software at a significant level of p <0.05.

After eight weeks of intense interval training, the glucagon, GLP-1 and HDL plasma levels in the training group increased significantly compared to the control group (P<0.05). Also, LDL, TG, TC, insulin resistance index and body fat percentage in the exercise group had a significant decrease compared to the control group (P<0.05).

According to the findings of this study, intense interval training can be suggested as a treatment and prevention strategy for non-alcoholic fatty liver disease.

Diabetes is one of the chronic and most common metabolic diseases in humans and is closely related to many debilitating diseases. The aim of this study was to determine the prevalence of risk factors for chronic non-communicable diseases in diabetic patients in Zahedan.

This descriptive study was performed on 270 patients referred to the Diabetes Clinic of Zahedan in an easy and accessible method in 2017-2017. Measurement indicators include four checklists a) Record the latest laboratory test information in the patient file, b) Researcher-made checklist to collect demographic information based on the objectives of the study c) Cigarette and alcohol consumption checklist and a short questionnaire International physical activity was IPAQ. Data were processed using SPSS-v19 software and descriptive statistics.

According to the results, most of the patients were women (75.2%) in the age range of 40 to 60 years. 40.7% of patients were illiterate. Most of the subjects (93.3%) had type 2 diabetes. 28 (10.3%) patients were smokers or hubble-bubble users and 11 (4.0%) were drug (opiate) users. 40 patients (14.8%) had blood pressure higher than 140 mm Hg. None of them had a history of alcohol consumption.

The findings showed that health threatening factors are increasing in diabetic patients. Therefore, it is necessary to intervene to change the lifestyle. Since the chronic problems of diabetes can be prevented and treated, the need for proper education and improving patientschr('39') knowledge about the disease and its complications, along with the necessary care and screening with more accuracy and early diagnosis of diabetes are recommended.

Hypertension is one of the most common health problems with chronic consequences which its management is mainly related to self-care status. One of the factors in achieving better psychological self-care is learning self-healing techniques. The aim of this study was to investigate the effect of self-healing method on lifestyle and improvement of symptoms in women with hypertension.

The present quasi-experimental study was conducted with pre-test, post-test and two-month follow-up on two experimental and control groups. Thirty female patients with hypertension were selected from one of the clinics in Isfahan province through available sampling and then randomly assigned to two groups (n=15). Data collected by valid questionnaire of Taghizadeh and Rezvani relaxed lifestyle questionnaire (2017) and a researcher made demographic form and then analyzed using repeated measures statistical method.

The results showed that self-healing training had a significant effect on increasing relaxation-oriented lifestyle and reducing and stabilizing participantschr('39') blood pressure after the test and follow-up (P <0.05).

It seems that self-healing training by reducing physiological stress through the treatment of destructive cellular memories, lifestyle modification and training relaxation techniques, has increased relaxation and decreased blood pressure in patients. Therefore, this method can be used as a new approach with relatively lasting effects to increase the self-care skills of patients with hypertension in health-related centers.

Acupressure is one of the most common forms of complementary medicine that has been always common in ancient times and now become popular again. Also, there are evidence of its application in midwifery. Given the importance of this issue, this study survey the effect of acupressure on nausea and vomiting during pregnancy, childbirth and dysmenorrhea. Most studies have found that acupressure is effective in reducing pregnancy problems and decrease need for medication. The results of studies on the effect of acupressure are contradictory. One of the causes of these contradictions is the required time for its effect, the difference in duration and intensity of pressure and selecting various points for a particular problem. But despite these differences, most articles emphasize on the effectiveness of this method. Acupressure is a good non-pharmacological method to reduce pregnancy problems and control labor pain and dysmenorrhea. Due to the convenience, cheapness and safety, the tendency to use this method is high. This method is non-invasive, without complications, and can be done easily by mothers and is used in maternity care centers, but, due to the contradictory results of studies, standardization of this method seems necessary.