نشریه دانشگاه علوم پزشکی خراسان شمالی
سال سیزدهم شماره 4 (زمستان 1400)

The aim of this study was to evaluate the effectiveness of short-term psychoanalysis on psychological distress and psychosomatic symptoms in patients with gastrointestinal dysfunction with personality type D.

This research was an experimental study with the pre and post-test with a control group and with a two-month follow-up design. The statistical population in this study was all female patients with gastrointestinal functional disorders (FGID) with personality type D who in 2020 referred to the Hamdame Hamrah Psychiatric and Psychotherapeutic Services Center located in Tehran. The statistical sample consisted of 24 female patients who were selected by available sampling method and randomly assigned to experimental and control groups (12 patients for each group).Data were collected using Personality Type Scale D (DS-14), ROME III Questionnaire and Mental Anxiety and Stress-Anxiety-Depressive Symptoms (DASS-21). Data analysis was performed using analysis of variance tests with repeated measures in SPSS-19.

The results indicated that short-term psychoanalytic treatment had a significant effect on reducing psychological distress and psychosomatic symptoms.

Short-term psychoanalytic treatment is effective on psychological distress and psychosomatic symptoms of patients with gastrointestinal dysfunction with personality type D and can be used to improve the psychological problems of patients with gastrointestinal dysfunction.

Adolescents are among the groups that are most vulnerable due to puberty symmetry and corona prevalence. The aim of this study was to evaluate the effectiveness of acceptance and commitment therapy matrix training on reducing Internet addiction and the perception of family social support of adolescent girls during the outbreak of corona.

Quasi-experimental research method and pre-test-post-test design and one-month follow-up were performed with the control group. The statistical population of this study includes all high school girls in Bojnourd who were studying in the academic year 1399-1499. Out of 220 volunteers entering the research, 30 were purposeful and based on the criteria for entering the research, ie a score higher than the cut line (46) in the Internet addiction test and a score less than one standard deviation from the average of the normal sample (13.40) They were selected as a statistical sample on the family social support scale. Then they were replaced randomly by a simple lottery in two groups of 15 experimental and control. The experimental group received 90 minutes of educational interventions for 8 sessions and the control group did not receive any training. The research instruments were the Young Internet Addiction Questionnaire and the Procidano and Heller Family Social Support Questionnaire. Data analysis was performed using multivariate analysis of variance with repeated measures.

The findings showed that Acceptance and Commitment Therapy Matrix training had a significant effect on reducing Internet addiction and increasing the perception of family social support of adolescent girls (P < 0.001).

According to the findings of the present study, Acceptance and Commitment Therapy Matrix training is effective on reducing Internet addiction and increasing the perception of family social support of adolescent girls.

Optimal performance of individuals depends on meeting their psychological needs. Failure to meet the primary needs of couples causes primary disturbance and primary distress in turn provides the basis for secondary distress, hence the purpose of this study was to investigate the relationship between Primary Distress and Social Support with secondary distress in nurses who work in Educational-Health centers Isfahan city.

The present study is descriptive–correlational study that 171 married nurses from educational and medical centers in Isfahan were selected by simple random sampling. Psychological needs and Self-actualization questionnaires were used to collect data related to primary Distress, marital adjustment questionnaire was used for data related to secondary Distress, and social support questionnaire was used for data related to social support. Mean and standard deviation were used to describe the data and Pearson correlation and stepwise multiple regression were used for inferential analysis.

The results showed that a meaningful relationship between primary distress, social support, and secondary distress (P < 0.001). In the next step, stepwise multiple regression showed that the primary distress predicted 45.5% of the variance of the secondary distress (P < 0.001), and finally, with the social support of all variables, 46% the variance predicts secondary distress (P < 0.001).

The results indicate the importance of attention to the variables of primary distress and social support with secondary distress in married life, so paying attention to these variables as an obstacle to the tendency to divorce and increasing marital satisfaction is important.

The mother's vital signs change in the face of stressful phenomena Acupressure improves vital function by secreting enkephalins. The aim of this study was to determine the effect of acupressure, LV3 point on maternal physiological parameters and non-stress testing of the fetus.

A clinical trial study was performed on 84 primiparous mothers. The study tool was a questionnaire in three sections: demographics, maternal vital signs and interpretation of non-stress fetal test. After measuring the mother's vital signs, non-stress testing of the fetus was done. After 5 minutes, in the intervention group, the researcher applied a pressure of 3 kg to the LV3 point for 1 minute, rested for 30 seconds and performed 2.5 minutes for each leg. In the control group, the researcher touched a point near LV3 (the tip of the big toe). Five minutes after the non-stress test, the vital signs of the mothers were re-measured and the NST print was interpreted by a specialist and an uninformed person. The collected information was entered into SPSS software, analyzed.

In the intervention group, the difference between the mean variables of fetal heart rate and fetal movements was statistically significant, in the second 10 minutes after the intervention was more than the first 10 minutes (p <0.05). The difference between the means in increasing the basal rate of fetal heart rate and the number of fetal movements in the first and second stages in the intervention group was more than the control group and was statistically significant (p <0.05). But the pressure on LV3 point on pulse and blood pressure of pregnant mothers in the study group was not statistically significant.

Acupressure can be used to reduce the false non-reactive test results of non-stress fetal test.

The nurses in the health care environment, because of their professional roles, are increasingly faced with complex moral and ethical dilemmas. This study aims to investigate the association of moral courage and moral sensitivity of the nurses in selected hospitals of North Khorasan University of Medical Sciences.

Current study is a cross-sectional analytical study with 220 sample sizes selected by convenience sampling method, in which, questionnaire, demographic, moral sensitivity and moral courage are used to collect data. The validity and reliability of the questionnaires were considered based on the studies and the researcher. Data were analyzed by SPSS version 20.

Based on the results, the mean score of moral sensitivity was 90.33 ±17.08 and the highest moral sensitivity was in the dimension of moral behavior. Moral courage with an average of 91.96 ±12.60 and the highest moral courage in the Going beyond compliance was reported with an average of 18.95±4.87. Statistical analysis showed a positive correlation between moral sensitivity and moral courage (P = 0.0002, r = 0.25).

The positive correlation between moral courage and moral sensitivity in nurses suggest that raising the level of nurses' awareness of moral principles and increasing their moral sensitivity can also lead to the development of moral courageous behaviors.

Although cesarean section has saved the lives of countless mothers and infants, in many cases, medical necessities do not lead to cesarean delivery, but misbehavior has led to cesarean delivery. Therefore, the present study was conducted to determine the effect of education based on the theory of planned behavior in choosing the type of delivery in pregnant women referred to the Mashhad Comprehensive Health Service Center in 2020.

This study was a quasi-experimental study that was performed on 96 pregnant women who were in the third trimester of pregnancy. Data collection tools included demographic information questionnaire and delivery type selection questionnaire based on the theory of planned behavior. The educational intervention was carried out in the framework of the theory of planned behavior in the experimental group. Data were collected at three time points before, immediately and three months after the intervention. Data analysis was performed using SPSS 23 software and statistical tests of Kolmogorov-Smirnov, Mann-Whitney, Wilcoxon, Friedman and t-test.

The mean age of pregnant women participating in this study was 29.05 ± 1.6. There was no significant difference between the experimental and control groups before the intervention in terms of attitude, intention, abstract norm and perceived behavioral control (P > 0.001). But after the educational intervention, in all these variables except the behavioral intention in the experimental group increased significantly (P < 0.001). The rate of normal delivery was 37% in the control group and 63% in the experimental group, so there was a statistically significant difference between the control and experimental groups in the behavior of choosing the type of delivery (P = 0.01).

Education based on the theory of planned behavior is an effective intervention in choosing the type of delivery in pregnant women.

Lipid metabolism disorders, especially raised levels of cholesterol and triglycerides increases the risk of atherosclerosis. The adenosine triphosphate ABC transporter family plays an important role in reverse cholesterol transport process; Therefore, the aim of this study was to investigate The effect of combined training Courses on the Expression of ABCG4 Gene and interleukin 10 in men after coronary artery bypass grafting.

In this semi-experimental study, the statistical sample consisted of 20 middle-aged men who previously had undergone coronary artery bypass grafting. After selection, these individuals were divided into two groups of control (n=10) and combined training (n=10). The subjects of the training group performed combined aerobic-resistance exercises 3 sessions per week for 24 weeks. At the beginning and end of training sessions, blood samples were obtained to isolate mononuclear cells and extract mRNA. Real-Time PCR was used for gene expression analysis, and IL-10 was determined by ELISA. SPSS software version 16 was used for data analysis.

Eight weeks of combined training resulted in a significant increase in ABCG4 gene expression (P = 0.001) and interleukin 10 (P = 0.001) in the combined training group compared to the control group.

It seems that exercise as by effecting on ABCG4 gene expression and interleukin 10, involved in fat metabolism, improves reverse cholesterol transfer process.

Nowadays, the use of energy substances has become a complex problem in sports, in which the role of anabolic-androgenic asteroids is undeniable. The aim of this study was to evaluate the effect of a period of resistance training on BDNF gene expression and poor memory in rats poisoned with anabolic steroid stanazolol.

In this experimental study, 18 Sprague-Dovali rats with a weight range of 150 to 200 g and an average age of 8 weeks were randomly divided into three groups of 6 series including 1) sham (normal saline intake), 2) stanazole, 3) Stanazol was administered with resistance training. For eight weeks, the stanazol and resistance training + stanazole groups received 5 mg / kg of stanazole peritoneally daily, and the resistance training + stanazol group performed three sessions per week of resistance training. BDNF was measured in hippocampal tissue by ELISA and retention memory using shuttle box test. Kolmogorov-Smirnov test was used to evaluate the normality of the distribution of findings and one-way analysis of variance with Tukey post hoc test in SPSS software was used to analyze the results (P≥0.05).

Stanazolol had a significant effect on reducing BDNF gene expression and nausea memory (P ≤ 0.001). However, resistance training increased BDNF (P ≤ 0.001) and nausea memory (P ≤ 0.006) in mice. Field poisoned with stanazolol.

According to the results of the present study, it seems that resistance training has synergistic effects on improving BDNF and laziness in rats poisoned with stanazol.

The widespread outbreak of coronavirus-2019 has challenged the general health of the world. Considering the possible effects of quarantine on family relationships and the importance of adolescence, this study was conducted to investigate the parent-child relationship of adolescents in quarantine caused by COVID-19 in 2020.

This cross-sectional study was performed on 201 adolescents Greater Khorasan in 2020. Participants were randomly selected according to the inclusion criteria. Demographic information form and parent-child relationship assessment questionnaire (PCRS) were used to collect data; According to the existing conditions and changing the items of the questionnaire, the virtual method (registration in the porslinerobot) was used to complete it. Data were analyzed using SPSS software version 23, Mean & SD and statistical tests of Pearson correlation coefficient and one-way analysis of variance.

Most of the research units were female (68.2%). The mean ±SD age of the subjects was 15.58±.1.968. The mean ±SD of Father and mother’s was097.7±.60.46 and 269.6±.99.41. The results showed that mother-child scores have increased compared to the past; While the father-son scores have not changed. Also, the two subscales of "positive emotions" and "communication" of the mother-child relationship were reported more than in the past; The results of independent t-test showed that these two subscales have a direct and significant relationship with gender (P < 0.05).

The results showed that in most areas, the parent-child relationship during the Covid outbreak was not different; However, effective and sufficient education to improve the parent-child relationship, especially during the quarantine period, is very necessary due to the limitation of social communication and the significant role of limitations in the psychological development of adolescence.

This study was aimed to assess the rate of respecting patients’ rights according to Patient Bill of Rights among hospitalized patients in the internal departments of Ghaem & Imam Reza hospitals, Mashhad University of Medical Sciences.

This cross-sectional study was conducted on patients admitted to the internal medicine wards of Ghaem and Imam Reza hospitals of Mashhad. To collect data, a questionnaire consisted of demographic variables and variables related to patient bill of rights, filled out by the patients, was used. Data were analyzed using version 23 of SPSS software. Chi-square test was used to examine the relationship between qualitative variables with each of the patient rights charter axes. The significance level in this study was considered 0.05.

Overall, 80 patients with a mean age of 44.9 ± 12.97 years were enrolled in this study. Among patients, 53.8% were female, 85% were married, and 33.8% of them had a diploma degree. The highest satisfaction rate was observed in the axis of the right to choose and freely decide on receiving health care services (65.7%, 66.7% in Imam Reza and Ghaem hospitals, respectively); while the lowest was seen in the axis of handling patients’ complaints and reporting the outcomes (14.3%, 13.3% in Imam Reza and Ghaem hospitals, respectively). There was a significant relationship between place of residence and patient privacy; and educational level and handling patient complaints.

Satisfaction of compliance to patient bill of rights was acceptable in 4 axes and desirable only in one axis. One way of improving the satisfaction of patients to optimal levels is by educating both the medical staff and patients about the patient bill of rights. In addition, identifying the factors effective on patients’ satisfaction from the patient bill of rights could help improve the situation.

In the field of management, the statistics and performance of the deputies and functions of the organization are always of great importance, which requires instant access to the latest status of the system under coverage and minimal forecast of the future situation, to provide quality services Also improve. All of this justifies the existence of an intelligent statistical system with decision-making capabilities.

In this study, we try to create an integrated web-based system in order to electronicize the processes of defining and recording statistical information along with the aggregation of scattered data in the system and finally extract reliable knowledge from this data using modern artificial intelligence methods. In order to make decisions in the fields of health, treatment, medical education as well as health management. The intelligent management system of North Khorasan University of Medical Sciences has been designed and implemented under the web with the technique of making Webserver software & Learning & data mining in three phases for 48 months in PHP language and MySQL database.

For this study, the statistical turnover structure of the university was classified into 1058 units. By classification based on the decision tree algorithm and reviewing the records of reports submitted to organizations at the same level and above, we reached 269833 units of data, 376 data types and 3885 data content. In the proposed method, the time cost of data transfer is less than one minute per item, and the required human resources due to the addition of multiple control sensors is 2640 people-hours per year, and significant time and financial savings were made.

According to the findings, it seems necessary to create a mechanized system for distribution, collection, control, analysis and reporting of statistical indicators that can have high accuracy and time and financial savings.

The large body of research, from theorizing to empirical findings, suggests that positive cognitive Re-evaluation of trauma may further support positive post-traumatic outcomes by enhancing post-traumatic growth. The aim of this study was to investigate the direct and indirect role coping strategies, core beliefs disruption, social support, spirituality, religious cope and intrusive rumination with PTG and also examining the mediating role of positive re-evaluation and rumination were within the framework of a causal model.

The present study was a cross-sectional study that was done using causal modeling methods that included path analysis and structural equation modeling. The statistical population included all cancer patients who referred to Omid Oncology Hospital and Imam Reza Oncology Ward in Mashhad in 1398. Sampling method was available. 420 patients with cancer answered the questionnaires used in this study. Data were analyzed using SPSS-16 version and PLS software (version2).

The findings generally showed that positive Re-evaluation mediated between post-traumatic growth and social support variables, presence and search for meaning, positive religious cope, negative religious cope, deliberate rumination, and core beliefs disruption. Deliberate rumination was also a mediator between growth and core beliefs disruption and automatic rumination. On the other hand, social support, presence and search for meaning, core beliefs disruption and deliberate rumination, problem-based and emotion-based coping methods had a direct and positive effect, and intrusive rumination and self-distraction coping had a direct and negative effect on growth.

The results of the present study showed that in addition to confirming the direct paths of coping, social support, spirituality, deliberate rumination, core beliefs disruption in growth, positive re-evaluation of one of the explanatory passages of social support paths, religious cope, spirituality, intrusive rumination, core beliefs disruption It was about post-traumatic growth.

Mucormycosis is a rare, progressive, and dangerous fungal infection with a high mortality rate. There have been several reports of increased mucormycosis rate during the COVID-19 pandemic.

Here, we report a 69 years old men of sinoorbital mucormycosis as a late complication of COVID-19. Endoscopic sinus surgery was performed underwent general anesthesia and all necrotic tissues were removed. Nasal biopsy showed inflammatory and necrotic tissue, fungal infestation along with mucormycosis and aspergillus.

It seems that diabetes, improper use of corticosteroids, and COVID-19 are the three key causes of increased incidence of mucormycosis. Therefore, further research is warranted for the improved evaluation, prevention, and management of opportunistic infections in these patients. Also, the use of immunosuppressants should be accompanied by perfect supervision.