Razavi International Journal of Medicine
Volume:7 Issue: 1, Winter 2019

Depression is a common disorder that is often associated with other mental and physical disorders. One of the innovative approaches applied in depressed patients is Transcranial Direct Current Stimulation (tDCS).

The study aimed to determine the effectiveness of transcranial direct electrical stimulations on reducing the severity of depression and negative automatic thoughts.

A quasi-experimental study wasconducted on 24 depressed women between 2015 and 2016 who were randomized via clinical interview in Tehran, district 2.The patients’ age range was from 20 to 55 years old.The process was done through the convenience sampling which was randomly assigned into test (n = 12) and control (n = 12) groups. The applied assessment tool in the clinical interview was Beck Depression Inventory (BDI- Form 21) and Automatic Thoughts Questionnaire (ATQ) respectively. All the patients underwent15-20 minutes anodal stimulation of T3 region, and Kathodal stimulation of FD1 with a current of 2-mAintensity along with a Transcranial Direct Current Stimulation (tDCS). The Data were analyzed using the independent t-test analysis.

The results showed that there was a significant difference between tdcs and control groups in the rates of depression (P

Complementary and alternative medicine (CAM) is a group of diverse medical and health care systems, practices, and products that are not presently considered to be part of conventional medicine and its efficacy is different from that of conventional medicine.

Owing to the growing use of CAM in our country, the aim of this study was to evaluate the level of awareness, attitude, and performance of employees in Gonabad, 2014.

This was a cross-sectional study in 2014 conducted in Gonabad healthcare center with 237 workers (122 male and 115 female) and with a mean age of 31.57±8.34. A questionnaire was used for data collection. Data was analysed using SPSS software.

The results were considered significant when P value was less than 0.05. The level of staff knowledge was low (21.08 ± 6.61), but 94.1% of the staff had positive attitude and more than 60% of them had a good performance level. As many as 5.1% had experience of traditional medicine courses, while 53.2% had experience of using a CAM for treatment. As many as 56.11% said that traditional medicine had been useful in their treatment. The most used method was the use of herbal medicine (48.3%), while the least used methods were meditation, hypnosis, traditional bath, and aromatherapy. As many as 65% of employees would recommend to others different methods of traditional medicine, and 90.7% knew the necessity of allocating traditional medicine course.

According to the findings,Gonabadhealth carestaff have a low level of knowledge, but a good attitude and practice of CAM are necessary through workshops to raise awareness of the CAM.

The interaction between genetic and environmental factors has resulted in growing prevalence of obesity around the world. IL6-174 G/Cgene polymorphism is widely studied as the involved factor in developing obesity.

The aim of the present study is to evaluate the relationship between Interleukin 6-174 G/C promoter gene polymorphism and obesity in a systematic review and meta-analysis study.

In the present study Science Direct,Medline, Embase, Google Scholar, PubMedand SID search engines have been searched until March 2016. Articles were evaluated using the key words IL6 plus polymorphism or mutation or variant and adiposity, BMI and obesity. Data was analyzed using STATA software (12th version). OR ratio was calculated with 95% confidence interval to evaluate the strength in link between IL6 gene and obesity. Heterogeneity was calculated using I2 test. Articles bias was evaluated using funnel plot versus standard error (SE). The asymmetrydegree of the funnel plot was tested using linear regression tests ofEgger's and Begg's.

Generally, 12 articles entered systematic review and 6 articles entered final meta-analysis. After data was extracted, the total case group consisted of 5343 people and control group consisted of 3449 people. The odds ratio was estimated for additive model CC vs GC (OR= 1; CI: 95%: 0/9-1/12), recessive model CC + GC vs GG (OR= 1/04; CI: 95%: 0/95- 1/15) and for dominant model (OR= 1/10; CI: 95%: 1-1/21). Also the results showed that there is a statistically significant relationship between IL-61-74 G/C gene polymorphism and obesity (P

Spontaneous pneumomediastinum (SPM) is a rare condition that is defined as the presence of free air in the mediastinal structures without underlying cause. It commonly happens after coughing, vomiting or intensive physical exercise. Most patients present to emergency department (ED) with dyspnea and chest pain. Young healthy adults are the most population that involve with this problem. Chest X-ray and Chest CT are modalities that can be used for approving the diagnosis. Although SPM seldom accompany with life threatening complications, it is usually a benign and self-limiting disorder. Here we introduce a patient with spontaneous pneumomediastinum with atypical presentation.

A 19-year-old man presented to ED with chief complaint of dyspnea without chest trauma. He denied any drugs consumption and his past medical history did not have noticeable problems. Patient’s vital signs were normal and in physical examination, except mild emphysema of neck, other system inspection did not have any pathologic findings correspond with his complication. Chest X-ray and chest CT scan exhibited air in mediastinum without any other pathology like rib fracture. After three days his symptoms was resolved with no requiring to specific treatment.

It is a rare condition and if it present with rare symptoms the diagnosis would be very difficult. More, physical examination and chest x-ray as the first diagnostic imaging in respiratory complaints may detect no obvious findings. SPM should be considered as differential diagnosis in young adults, with any respiratory complaint.

Sick leave is one of the important areas inHealth Professional. Since various unknown factors may be result in sick leave, shift work can be considered as one of the effective factors on the number of sick leave in occupational Medicine.

This study aimed to consider the effect of shift work on the number of sick leave among steel industry staffs.

This cross-sectional study is carried out on Esfahan’s Mobarakeh Steel Company (EMSC) staffs in 2016 using census sampling method.

A total number of 21168 staffs with mean age of 39.96years were entered in this study. 14248 staffs (67.3%) were shift workers. Our results revealed that shift working is significantly correlated with cardiovascular diseases (OR=1.891; p

Context:

 Iran has been known as one of the most common areas of esophageal cancer in the world. Actually, North of Iran is well known as a high-incidence endemic region located on the belt of esophagus cancer which is extended from the north of China to the south of Caspian Sea.

Evidence Acquisition: 

This paper is going to have an overview on the esophageal cancer in Iran through reviewing the results of some new researches have been completed in recent years in Khorasan, Iran.

Epidemiology of esophageal cancer has been changing in recent years in Khorasan, Iran and the incidence rate of the disease is declining. Although the exact reasons for the high incidence rate and yet for declining incidence of the disease are not known, there has been some points of view for this evolution. Still the great majority of esophageal cancers are squamous cell carcinoma and the females and males are almost equally involved in the disease. The most interesting aspect of the disease in this region is long survival of most of the patients.

It seems there are some differences in esophageal cancer disease between Iran and other countries especially western onesin terms of the etiologic risk factors of the disease, some of its epidemiologic aspects, as well as outcome of the disease which seems to be better in Iran.