مجله دانشگاه علوم پزشکی رفسنجان
سال نوزدهم شماره 12 (پیاپی 143، اسفند 1399)

Suicidal ideation is the tendency of a person to die that is highly prevalent among students and due to the important role of paramedical students as future treatment staff, this study was conducted to investigate the frequency of thoughts and planning for suicide attempt among paramedical students in Rafsanjan University of Medical Sciences.

In this cross-sectional descriptive study, 209 paramedical students participated from entrance 2015 to 2018 by census. For collecting data, a questionnaire for demographic information and Beck standard questionnaire for suicidal ideation were used in from of self-reporting. Data were analyzed using chi square, one- way ANOVA and logistic regression.

In this study, 209 paramedical students participated, of whom 14/4% (n=30) had suicidal ideation, 3.3% (n=7) were ready to carry out suicide. The prevalence of suicidal ideation was higher in male students than female students (p=0.886), and higher in single students than married ones (p=0.166), but no significant relationship was observed between them. There was a significant relationship between suicidal ideation and history of love failure (p= 0.301), history of non-scoring in courses (p<0.001), course failure (p<0.001), smoking (p<0.001), and field satisfaction (p<0.001).

The results of this study showed that the prevalence of suicidal ideation among paramedical students is relatively high. Therefore, the results of the study highlighted that  necessary planning should be done to prevent suicidal ideation among students.

Parenting styles play an important role in raising children. These methods can play an important role in preventing or developing addiction in children. The aim of this study was to predict adolescent addiction readiness based on parenting styles and the mediating role of the locus of control.

The method of this research is descriptive and structural equation modeling. The statistical population of this study included all adolescent boys in the second year of high school, along with their parents in Izeh in the academic year 2018-19. From the mentioned population, 300 people were selected by cluster random sampling. In this study, students completed the Rutter Control Source Questionnaire and the Addiction Readiness Questionnaire and their parents also completed the Baumrind Parenting Styles Questionnaire. Data analysis was performed by path analysis method.

In this study, the results of path analysis indicated the fit of the hypothetical research model. Data analysis showed that the path coefficients of easy parenting style on addiction readiness (β=0.301, p<0.001), the path coefficients of authoritarian parenting style on addiction readiness (β=0.310, p<0.001) and the path coefficients of authoritative parenting style on addiction readiness (β=-0.398, p<0.001) are significant in the model under study. Moreover, the locus of control plays a mediating role in the relationships between adolescent addiction readiness and parenting styles.

According to the results, the variables of parenting styles and locus of control can be used to explain the readiness of adolescents for addiction. Therefore, it is suggested that the results of this study be used in designing educational and treatment programs for adolescents’ addiction.

Bipolar disorder has a lot of cost for treatment system. Adjunctive psychotherapies are used in treatment of bipolar disorder for reducing signs, preventing recurrence and increasing drug adherence. The aim of current research was developing and validating cognitive behavioral therapy based on detachment of emotion and goal for bipolar disorder.

The present research was developed using a descriptive method and based on the theoretical foundations of current treatments and adjunctive treatment. Fourteen cognitive behavioral therapy sessions based on detachment of emotion and goal were developed and their validity was evaluated using the APA Criteria for Evaluating Treatment Guidelines and the Forty-two questionnaire by professors and specialists. Data were analyzed using content validity index (CVI) and content validity ratio (CVR).

CVI in this research in the development phase was 0.89 and CVR for validity of therapy sessions was confirmed for all sessions except sessions 1, 8 and 9 and CVI for therapy sessions was more than 0.79.

Validity of theoretical foundations of cognitive behavioral therapy based on detachment of emotion and goal and form of sessions were confirmed by specialists. According to the research results, specialists believe this treatment can be used as an adjunctive psychotherapy for individuals with bipolar disorder along with drug therapy.

Many preventable occupational accidents occur annually in the world. Almost 2228 work accidents occurred in Kerman province from 2012 to 2016. Reports of occupational accidents are recorded in the Work Inspection Software (WIS) by inspectors. The purpose of this study was to investigate the quality of WIS of the Ministry of Cooperatives, Labour and Social Welfare in Iran based on Kerman data and present appropriate strategies to address its problems and improve it.

In this descriptive study, in order to investigate the quality of WIS, we referred to the Department of Cooperatives, Labor and Social Welfare in Kerman province. Then different parts of software and the information registered in this software were examined. Moreover, the number of active workplaces and inspections done in Kerman province during 2016-2018 were studied.

WIS is has various sections for recording information on manufactories, workers, and work accidents. However, this software is not web-based and duplicate information is recorded in it. The information of injured workers is not searchable. Completing many of the fields in the software is not mandatory and as a result they will be left blank. Reporting from the software is in Portable Document Format (PDF), so it is not possible to analyze this information.

WIS is a useful software. However, if its bugs are fixed and it is designed under the web, it can play an important role in making better management decisions and will be useful to plan safety training plus identifying and reducing workplace hazards.

Piriformis syndrome is a neuromuscular disease mostly caused by compression of the sciatic nerve by the piriformis muscle. The purpose of this study was to review the efficacy of different types of physiotherapy interventions on the signs and symptoms in patients with piriformis syndrome.

PubMed, Scopus, Web of Science and Google Scholar databases were searched to identify the published articles on the efficacy of physiotherapy interventions for the treatment of piriformis syndrome. The search was conducted from 1980 to august 2020. The used keywords were: piriformis syndrome, manual therapy, muscle stretch and electrotherapy. The references of the included studies were also reviewed. Finally, after studying 752 probable articles and removing irrelevant ones, 10 clinical trial articles were selected.

The included studies presented that manual therapy accompanying with stretching techniques show great improvement in range of motion of the hip joint and reducing pain in patients with piriformis syndrome. It is impossible to conclude a certain method of electrotherapy modalities such as laser and shockwave therapy for the treatment of patients, due to lack of valid studies.

Based on the current evidence, it seems that using muscle energy techniques (MET) with stretching of the piriformis and other hip muscles are effective in reduction of pain and disability and improvement of range of motion in patients suffering from piriformis syndrome.

Musculoskeletal disorders are among the most common injuries in dentists. Therefore, the present study was conducted to determine the relationship between studentschr('39') level of knowledge of the principles of ergonomics and body position during dental treatments.

In this descriptive study, 41 dental students of Guilan University of Medical Sciences at the clinical level were enrolled in 2017. Ergonomic condition was assessed using Rapid Entire Body Assessment (REBA) standard index. Data were analyzed using Spearman’s correlation coefficient test and independent t-test.

The results showed 21 (51.2%) students were at high and also 15 (36.6 %) students were at very high-risk levels. Also a negative correlation was found between the level of knowledge and REBA score (r=-0.137, p=0.036).

Most students were at high risk for musculoskeletal problems and low ergonomic awareness. The results of the study raise the need for ergonomic knowledge training.

Today, in addition to the acute pancreatitis, hyperamylasemia is seen among some other acute surgical conditions. Therefore, the aim of this study was to introduce a case of hyperamylasemia as a rare case in a patient with uncomplicated appendicitis.

The present study was a case report in which a 10-year-old patient referred to Ali-ebn Abi Taleb Hospital in Rafsanjan city with abdominal pain. During hospitalization, serum amylase levels were monitored twice, which were 259 U/L and 287 U/L, respectively. The patient eventually underwent surgery with a diagnosis of acute appendicitis and was discharged with good general condition after 4 days of admission.

An increase in serum amylase level should not distract the surgeon from other diagnoses of acute abdominal surgery, especially if acute appendicitis is suspected for the patient.