مجله دانشکده علوم پزشکی نیشابور
پیاپی 31 (تابستان 1400)

Nowadays anthropometric characteristics and physical fitness factors are used for talent identification and evaluation of the athletechr('39')s fitness. This study aimed to investigate the relationship between some anthropometric characteristics with physical fitness factors among young male athletes aged 11-17 in Kermanshah.

The statistical populations of this study were young male athletes in Kermanshah, among which 100 male athletes were randomly selected as samples. Anthropometric characteristics, weight, height (standing and sitting positions), contracting arm circumference, arm circumference, leg circumference, BMI, body fat percentage were measured and the physical fitness factors tests, including 100 m speed test, 4×9 agility test, 1500 m aerobic power test, and flexibility test were conducted.

The results of the present study showed that there was a significant inverse correlation between body weight, body mass index, body fat percentage, and waist circumference with fitness tests. However, no significant relationship between height (standing and sitting), leg circumference, arm circumference with flexibility, and anaerobic power was observed. Also, a significant inverse relationship between height (sitting and standing), and leg circumference with agility, while a positive significant relationship with speed test was observed among the subjects.

According to the results of the present study, physical fitness decreases with increasing anthropometric indices (body weight, body mass index, body fat percentage, and waist circumference); As a result, to improve anthropometric indices, trainers should be provided with the proper educational program and appropriate information on sports nutrition. In addition, coaches can use anthropometric indicators and fitness factors to identify athletes.

Hyperprolactinemia in women results in menstrual disorders, irregular ovulation, amenorrhea, and reduction of progesterone Level after ovulation, due to corpus luteum failure. This study aimed at comparing the effect of Vitagnus fruit extract on blood prolactin level and its effect on altered serum lipids in Hyperprolactinemic women with Bromocriptine and Dustinex.

Among the women with Hyperprolactinemia referring to medical Centers, 105 subjects were chosen and classified into 3 groups: Bromocriptin Dustinex and Vitagnus. They were treated during (i.e. 4 cycles), and finally, the blood levels of prolactin, Cholesterol, HDL, LDL, triglycerides were measured.

The results showed that, except in Bromocryptin, in other groups, there was a meaningful difference in each step compared to the earlier step in terms of prolactin level change.In the Bromocryptin group, after two cycles of treatment, each step showed a meaningful difference from the earlier step (p<0.05). examination of cholesterol levels showed that the reduction of cholesterol levels in various cycles was meaningful. In Dustinex group, there was observed meaningful difference in all steps except the final step of treatment. In the case of Vitagnus, the impact of treatment was meaningful, except in the first step.The results showed that all drugs had a meaningful effect on LDL level, after the third stage. The increase in serum HDL level for Vitagnus was more than other Tablets in all stages.

Vitagnus decreases the prolactin level meaningfully, Similar to Bromocryptin and Dustinx. Also decreased cholesterol, LDL, and triglyceride, wherever increased HDL level.

Rheumatoid arthritis is the most common inflammatory disease of the joints and in addition to physical disability, mental disorders are very common in these patients. mental rumination is one of the problems that patients with rheumatoid arthritis face, and one of the factors that has a great impact on it is the perception of pain and functional dysfunction of patients. Therefore, the aim of this study was to investigate the role of pain perception and functional disability in predicting the mental rumination of women with rheumatoid arthritis in Khorramabad.

The research design was correlational. The statistical population included all women with rheumatoid arthritis in Khorramabad in 1398. Sample size including 120 people were selected from among women with rheumatism. The tools used in this study were mental rumination questionnaires, pain perception and functional disability. Descriptive statistics (mean and standard deviation) and inferential (correlation and regression) methods of SPSS 24 software were used to analyze the data.

The results showed that 44% of womenchr('39')s mental rumination with rheumatoid arthritis can be predicted through pain perception and functional disability.

Perception of pain and functional disability has a positive and significant relationship with mental rumination in rheumatoid arthritis  women and has a relatively decisive role in reducing the mental rumination of these patients. Therefore, in order to reduce the mental rumination of patients with rheumatoid arthritis, it is possible to reduce the perception of pain and functional disability rheumatoid arthritis women.

In the last two decades, the interest in understanding the nature of generalized anxiety disorder (GAD) and the development of effective treatment methods for GAD has increased among psychologists. This study aimed to compare the effectiveness of pharmacotherapy, modular cognitive-behavioral therapy and their combination in distress tolerance, ambiguity tolerance and meta-worry in female students with generalized anxiety.

This study was a semi-experimental research with a pretest-posttest and follow-up control group design. The selection of 60 students among the female students of the Islamic Azad University of Mashhad was done by purposive sampling and were randomly assigned into three experimental groups (pharmacotherapy, modular therapy and combination therapy) and a control group. The participants were pretested using Generalized Anxiety Disorder Questionnaire (GAD-7; Spitzer et al., 2006) Wells ,Anxious Thoughts Inventory (2005), Simmons and Gahr turbulence tolerance scale (2005) and McDonald Ambiguity Tolerance Scale (1970). At the end of the treatment and three months after it, participants underwent post-test and follow-up test. The data in this article was analysed with repeated measures analysis of variance (ANOVA).

The results of the repeated measures ANOVA showed that all three treatment approaches were effective in reducing turbulence tolerance, ambiguity tolerance and meta-worry compared to the control group (Eta-squared 0.37, 0.22, 0.45, respectively), but combination therapy had a significant advantage over the other two therapeutic approaches alone (p <0.05).

Based on the biological and psychological underpinnings of generalized anxiety disorder, it seems that the combination of psychological therapies and pharmacotherapy is a more effective approach in improving anxiety conditions.

Mirror neurons play an important role in the understanding of emotional functions. On the other hand, ADHD people are having difficulty understanding both emotional aspects. Therefore, the purpose of this study was to investigate the effect of the emotional processes on the functioning of the mirror neuron system in people with ADHD traits.

At first, 500 students of Kharazmi University of Tehran were randomly selected and They were screened by Adult Barclaychr('39')s ADHD scoring scale and Then 15 people who had a standard z score equal to or higher than +1.5 were selected as the sample group Then, an interview was conducted based on DSM-5 criteria and ensured the presence of ADHD symptoms in these people. And these people together with 15 normal students formed the sample size of the research Then the activity of neurons was measured using an EEG device while performing emotional processing tasks. In this study, the data collected after registration, with an alpha level of 0.05 in SPSS 21 software based on descriptive statistics (mean, standard deviation, minimum, maximum) and inferential (multivariate analysis of variance, univariate analysis of variance) were analyzed.

The results of this study showed that the activity of the mirror neurons system during emotional tasks is lower in people with ADHD than in normal people.

The results of this study suggest that mirror neurons should be considered as an important factor in the diagnosis and treatment of ADHD disorder.

Hypertension is the major risk factor for cardiovascular disease. The purpose of this study was to quantify the prevalence of hypertension in adults of Torbat-e Heydarieh City.

this cross-sectional study was performed on 278 volunteers over the age 18, who referred Torbat-e Heydarieh Health centers. Demographic information was collected by a questionnaire and then blood pressure was measured by standard method, and those with high blood pressure were re-measured two weeks later. The SPSS software and Chi square test were used for data analysis. P<0.05 was considered statistical significance level.

the prevalence of hypertension was 23.03% and no statically differences were observed between men and women (p= 0.069). 32.8% of participants with hypertension were unaware of their disease and 48.4% of them using antihypertensive medication. There is a significant correlation between hypertension prevalence and aging, urbanization (p=0.008), low physical activity (p=0.047), low level of education (p=0.046) and family history of hypertension (p=0.003). But there was no significant association between high blood pressure and smoking (p=0.101), alcohol consumption (p=0.433) and diet (P>0.05).

The prevalence of hypertension is high in the study community, especially in the urban community. On the other hand, the rate of awareness and treatment is low. Therefore, the intervention of health organizations in order to educate, prevent, change lifestyles and monitor people from an early age is essential.

Lead is one of the most important metal ions that has many disadvantages for the environment and organisms, especially humans. One of the most effective methods for causing lead from aqueous solutions is the use of biological adsorbents. The purpose of this study was to investigate the biological biosorption of lead (II) from aqueous solutions using Padina algae.

Padina algae was collected from Bushehr coastal and dried in an oven at 70 ° C for 24 hours, then adsorption experiments were carried out at pH(2-9), contact time (15-150)minutes, different amounts of biomass(0.1-2) and initial concentration(10-50) mg/L of the solution and  Isotherm also.

The results showed that the removal efficiency of lead ion on the bio-absorbent Padina increased with increasing contact time ( lowest at 15 minutes with 22% and highest at 120- 150 minutes with 75%) and Biosorbent dose ( the highest at 10mg/L concentration with 92%) decreased with an increasing initial concentration of the solution. It also increases the removal efficiency by increasing the pH and finally reaches the maximum at pH = 6. The data obtained from the study of isotherm adsorption showed that the mechanism of adsorption of lead ion (II) to the bio-absorbent of the Padina follows well Langmuir isotherm.

Padian biomass can be used as an adsorbent for the removal of lead ions (II) from aqueous solutions as a cheap absorbent and can be prepared under various conditions.

Heart disease is the most common cause of mortality in world and CABG  is  frequently  performing  and  its finally results strongly  related to life style modification especially exercise training. Therefore, the aim of this study was to evaluate the impact of aerobic training on  Lipid profile ،Blood pressure ، Pro BNP and  Functional   Capacity in  male  heart failure patients undergoing CABG.

This clinical trial was performed on 20 male heart failure  patients after CABG randomely in two group(control &exercise).Training was performed for 24 sessions  and each session was 60 minutes with70% maximal heart rate . Evaluation of  exercise  capacity  ،Lipid profile ،Blood pressure and Pro BNP levels  was done  before and after intervention.  Data was analyzed by  using  independent and   paired t-test and prism(ver.8) software.

After eight weeks functional capacity in exercise group change from 8.4±1.6to 9.4±1.64 and in control group change from 9.56±3.3 to 9.71±3.3, there was significantly increased in exercise group (p=0.002).  Total CHOL /HDL ratio in exercise group change from 3.96±0.3 to 3.3±0.4 and in control group change from3.53±0.4to3.6±0.47, there was significantly decreased in exercise group (p=0/016). Diastolic blood pressure in exercise group change from 79±8 to 74±6 and in control group change from 80±9 to 78±8, there was significantly increased in exercise group (p=0.023).  ProBNP level in exercise group change from 444±66 to 421±65 and in control group change from 276±66 to 236±65, there was not significantly decreased in two groups (p=0.528, p=0.512).

According to the results of the present study, the causative agent was identified as the most important factor in the development of evidence-based strategic decision making in hospitals in Tehran, which indicates the importance of paying attention to these factors in hospitals.

Patient-centered care is one of the major priorities of the health system to improve patient safety and satisfaction, but in many cases it is not provided in accordance with the Patient Rights Charter. Therefore, the present study aimed to design a patient-centered model of care with the approach of the Charter of Patient Rights in Arbitrary Hospitals of the Ministry of Health of Iran.

This study was a qualitative study. Participants included 21 expert managers and nurses, nursing managers of educational hospitals and selected hospitals. The method of data collection was in-depth interviews. The data were analyzed by qualitative content analysis.

The process of data analysis led to the emergence of 6 themes. These themes were titled with nursing services management, information, resource and care, patient charter, patient safety, and spiritual care, each of them derived from categories, subcategories, and primary codes, which are described in detail in the article.

Paying attention to the dimensions of patient-centered care and the need to promote patient rights is one of the priorities of the health care system. It is recommended that the patient-centered model of care with the patient rights charter approach be used in order to provide better health care services and satisfy the patients.

Phytase is an enzyme that has the ability to break down phytic acid into myoinositol and mineral phosphate, and widely uses as an additive in animal foods. The aim of this study was to achieve a high level of bacterial phytase expression in PET26b expression host.

To generate the recombinant phytase enzyme, the target gene was introduced into the expression vector pET-26b-Phytase, and the recombinant vector was transferred to Escherichia coli BL21 as a host of expression after replication in E. coli DH5α. The SDS-PAGE method was used to isolate recombinant phytase and the amount of produced recombinant protein was investigated. by electrophoresis.

The bacterial phytase enzyme was successfully expressed in Escherichia coli and the molecular weight of recombinant phytase produced at about 85 kDa was estimated. The optimum pH for recombinant bacterial phytase was estimated at 5.5.

The results showed that phytase derived from Escherichia coli due to its low production cost and high production of recombinant phytase is a desirable alternative for use in domestic animal feed industry.

Preventive measures such as training and preventive people skills are for personal protection in endemic areas that the aim of this study was to determine the predictors of preventive behaviors of cutaneous leishmaniasis in students based on Health Belief Model and BASNEF model.

In this descriptive-analytical study, 379 students of Neyshabur city were selected and studied by multistage cluster sampling. A questionnaire was designed to collect data and was completed based on the study patterns.

Significant correlation (P <.01) was found between all constructs of the models except perceived sensitivity and awareness with behavioral intention. Comparing the two models studied, the BASNEF model constructs predicted 32% of the total and the Behavioral belief model constructs 24% of the variance in intention to prevent leishmaniasis behaviors.

The prevalence of Leishmaniasis prevention behaviors in the studied community was moderate, which should be improved through educational interventions given that the disease is endemic in Neyshabur. Training programs aimed at enhancing attitudes, abstract norms, self-efficacy and perceived benefits as well as reducing perceived barriers can be effective in promoting leishmaniasis prevention behaviors.

Diabetes is one of the most serious problems in health care systems all over the world as well as in Iran. The aim of this study was to compare the effectiveness of metacognitive therapy and reality therapy on self-care, blood pressure and fasting blood sugar in patients with type 2 diabetes.

The method of study was quasi-experimental with pre-test-post-test design and follow-up study with a control group. The statistical population consisted of all female patients with type 2 diabetes in Karaj in 1399. 45 of the qualified candidates were  made available to  the sampling method and entered into the study by accident. Eight 90-minute sessions were held for reality therapy and metacognitive therapy groups. The Toobert and Glasgow (2000) self-care questionnaire, analog blood pressure monitor and fasting blood glucose test were used to collect data. Pre-test and post-test were performed for all groups and finally, follow-up was performed In order to analyze the data in the descriptive discussion, the mean and standard deviation were used and in the discussion of inferential statistics, , the data were analyzed using repeated measures method and Bonferroni ‎post hoc test in SPSS22 software with a significance level of less than 0.05.

The results showed that the two groups of metacognitive therapy and reality therapy had an increasing effect on self-care (P <0.001) and over time (P <0.001) and in follow-up. It was stable but had no significant effect on fasting blood sugar and blood pressure.

Based on the findings of this study, reality therapy and metacognitive therapy were effective in increasing self-care of patients with type 2.