مجله دانشگاه علوم پزشکی سبزوار
سال بیست و نهم شماره 1 (پیاپی 120، فروردین و اردیبهشت 1401)

Acceptence and commitment Therapy is One of the Third Wave behavioral Therapies for the treatment of anxiety Disorders.the purpose of this study to investigate the the effectiveness of Acceptance and Commitment Therapy on Resiliency and Self-Concept in children with cancer.

The Present Study was quasi-experimental with post-test pretest design with control group.The statistical population included all children with cancer admitted to Imam Khomeini Hospital in Tehran in 1398 , of which 30 children were randomly assigned to experimental and control group.Pears-Harris (1969) Self-Concept questionnaire and Connor-Davidson(2003) resilience were randomly assigned to experimental and control groups.For the experimental group , Acceptence and commitment Therapy was presented in six session of 60-minutes. Data were analyzed by analysis of covariance using SPSS24 software.

The results showed that the Treatment based on acceptance and commitment had an Effecton self-concept(p = 0.001, F = 24.05) and Resiliency (p = 0.002, F = 11.88)in children with cancer.The findings showed That Acceptance and Commitment based Therapy on the components of Behavior , Anxiety , popularity , Resiliency and self concept on children with cancer.

Acceptance and commitment therapy has a positive effect on resilience and self concept of children with cancer. Therefore the use of such treatments methods is recommended to counselors and child psychologists.

Asthma is one of the most common chronic respiratory diseases and one of the main problems of health care systems in many societies around the world, including Iran. The aim of this study was to determine the effectiveness of immunization against stress on anxiety, perceived stress and adherence of treatment in patients with asthma.

In this quasi-experimental study, 30 patients with asthma aged 25 to 55 years were selected and divided into experimental and control groups. Participants first completed research questionnaires. First, the participants completed the research questionnaires. Then, the stress immunization training package was implemented in 9 sessions for the experimental group. Then the research questionnaires were completed after the sessions and again after three months. The instruments of this study include Beck Anxiety Scale, Cohen Perceived Stress Questionnaire and the scale of adherence to the treatment. In order to analyze the data, repeated measures analysis of variance test was used in SPSS software version 20.

The results showed that the difference between groups was significant for the perceived stress variables (p = 0.023) and treatment follow-up (p = 0.003) but was not significant for the anxiety variable (p = 0.360). Therefore, immunization training against stress had a significant effect on perceived stress and adherence to treatment of patients with asthma.

Immunization against stress by reducing perceived stress in patients with asthma, in addition to reducing the risk of asthma attacks by improving adherence of treatment these patients leads to better control of their disease.

Even in engineered landfills in developed countries, leachate production cannot be avoided and it contains different types of heavy metals. Therefore, landfills are one of the main sources of increased concentrations of heavy metals in the soil. The purpose of this study was to evaluate the severity of contamination of soils around Sabzevar landfill with heavy metals and to prepare a soil contamination map with heavy metals.

Samples of surface and deep soils were collected in 18 stations according to the type of soil and distance from landfill Sabzevar. The concentrations of heavy metals Arsenic, Zinc, Lead, Chromium, Copper, Mercury and Cadmium were analyzed by ICP-OES. The intensity of soil contamination was assessed using Index Geoaccumulation Potential ecological risk index.

The mean concentrations of Arsenic, Zinc, Lead, Chromium and Copper in surface soil, respectively are, 6.013, 41.04, 6.31, 26.77 and 31.45 mg/kg of Mercury and Cadmium, respectively, 60.79 and 61.60 μg/kg, respectively. But the mean concentration of Arsenic, Zinc, Lead, Chromium and Copper in depth soil, respectively are, 5.75, 38.33, 6.25, 22.68 and 31.04 mg/kg, Mercury and Cadmium, respectively, 66.57 and 59.98 μg/kg, the value of all proportion to Natural background values are higher.

Based on estimates of Igeo and RI indices for heavy metals Arsenic, Lead, Zinc, Chromium and Copper in the soil showed no contamination but for Mercury and Cadmium showed severe contamination.

Many heroin-dependent people have defects in cognitive functions. The aim of this study was to investigate the effect of resistance training on cognitive functions of heroin-dependent men.

The research method is quasi-experimental and applied in terms of purpose, which was done by pretest-posttest with the control group. Thirty heroin addicts from the Addiction Treatment Center in Tehran participated in study as a sample and were divided into two groups: experimental and control. Participants performed semantic strop and n-back working memory test in the pre-test. The participants of the experimental group performed resistance training sessions 3 times a week for 8 weeks in a circular manner consisting of three sets of 8-12 repetitions consisting of 6 movements with rest intervals of 1-2 minutes between sets and 3-5 minutes between movements. Finally, after the intervention, the post-test was performed. Analysis of covariance was used to analyze the data.

The results showed that there was a significant difference between the experimental and control groups in the variables of neutral semantic strop (f(1.27)=5/53 p=0.026), positive (f(1.27)=14/75 p=0.001), negative (f(1.27)=6/18 p=0.019) and working memory (f(1.27)=5/29 p=0.029). Due to the difference in means, in working memory, the performance of the experimental group was higher and also the semantic strope reaction time (neutral, positive and negative) was lower in the experimental group.

In a general conclusion, it can be stated that a course of resistance training has a positive effect on cognitive functions (semantic strope and working memory) in heroin-dependent men.

Since participation in leisure activities improves the physical and mental health of the elderly, in this study, the leisure patterns of the elderly are explained and analyzed to reveal the problems, needs and barriers of leisure for policy makers.

This qualitative study was conducted by using conventional content analysis. 21 elderly people over 60 years old were selected based on purposive sampling with maximum diversity and data were collected through semi-structured interviews and continued till data saturation was occurred in 2019. In order to evaluate the accuracy of the data, four criteria of acceptability, reliability, transmission capability and the capability of the proposed approval of Goba and Lincoln were used.

three main themes of the study were included of leisure activities, barriers to participation in leisure activities and factors affecting leisure. The eight main categories of "recreation", "sport", "social interaction", "rest", "artistic activity", "cultural activity", "media" and "religious beliefs" were extracted from the data analysis. The most common leisure activities for the elderly were watching television, hiking, going to parks and mosques. The most important barriers to non-participation in leisure activities were economic problems, disability and lack of access.

Due to the most common leisure activities in the elderly and barriers to non-participation in leisure activities, the provision of recreational, educational and religious programs by responsible institutions and organizations and their availability can provide welfare and health of the elderly.

Increasing antibiotic resistance of bacteria, especially Escherichia coli, is currently a global health problem. The aim of this study was to investigate the drug resistance pattern of E coli strains isolated from broiler poultry of Ardabil city to common twenty antibiotics in the Iran.

Five carcasses were randomly selected from 24 broiler flocks with clinical signs of colibacillosis and sampled from liver and heart using sterile swabs. After culture and isolation, colonies were identified by biochemical and serological methods. Antimicrobial susceptibility testing was performed by disk diffusion method based on CLSI guidelines with antibiotics from various groups.

From 120 samples examined, E. coli was isolated in 111 cases (92.5%). The highest antibiotic resistance was in tetrayclin (100%), chlortetracycline (100%), nalidixic acid (100%), oxytetracycline (97.30%), flomequine (94.60%), tylosin (86.47%), difloxacin (83.78%), doxycycline(82.89%), neomycine (81.08%), and sulphamethoxazole+ terimethoprime (74.77%), respectively. The most sensitivity was seen in antibiotics ceftifour (100%), cefixime (89.19%), gentamicin (80.19%) and lincospectin (72.07%), respectively. Multiple antibiotic resistance was in all isolates.

The results of this study show the highest rate of drug resistance was observed to common antibiotics in the Iranian poultry industry. This can be due to excessive use of antibiotics in poultry farms. These findings are important for public health and health of human societies.Key words: Escherichia coli, multiple antibiotic resistance, antimicrobial susceptibility testing

A hearing-impaired child often has communication problems and Communication problems can lead to social and behavioral problems therefore the purpose of the present study is Survey the effectiveness of group play therapy with cognitive-behavioral approach on anxiety and self-esteem of deaf students.

The present study was a quasi-experimental study with pretest, post-test design and control group. The statistical population of this study included all elementary deaf students in Alborz province in 1398-99. The number of students was 45, of which 30 students were selected by available sampling method and were randomly assigned to the experimental and control groups. Spence children anxiety scale and Cooper Smith self-esteem inventory were used to collect data.

The Findings show that the level of anxiety in deaf children in the experimental group and after performing play therapy with cognitive-behavioral approach has decreased compared to the control group (p <0.05). Also, the findings indicate that the self-esteem of deaf children in the experimental group compared to the control group in the post-test had a significant increase at the level of 0.05.

According to the findings of this study, group play therapy is an effective way to reduce anxiety and increase and strengthen the self-esteem of deaf students. It seems necessary to holding group play therapy sessions in special schools for the deaf.

The aim of this study was to compare the effectiveness of mindfulness-based cognitive therapy and emotion-oriented therapy on self-care, sexual function in type 2 diabetic patients.

The present study was applied in terms of purpose, with pre-test-post-test design, which used a quasi-experimental research design. The statistical population of the study included all people with type 2 diabetes who referred to Sabzevar Diabetes Clinic in 1398. From the mentioned statistical population, 45 people were selected by convenience and randomly divided into 3 groups of 15 people (2 experimental groups and one control group). The experiments of both groups in three stages of pre-test and post-test and follow-up to The self-care questionnaires of Tobert Hampson and Glasgow (2000), the Female Sexual Function Questionnaire (FSFI) and the Male Sexual Function Questionnaire (MSHQ) were answered. In this study, descriptive data analysis was used to describe the collected data and the data were analyzed using SPSS statistical software.

The results showed that mindfulness-based cognitive therapy and emotion-oriented therapy are effective on self-care, sexual function in type 2 diabetic patients and there was no significant difference in their effectiveness.

Cognitive therapies based on mindfulness and emotion-oriented therapy can be used to alleviate the psychological problems of diabetic patients.Keywords: Cognitive

 Colorectal cancer (CRC) is one of the most common cancers in the world. The role of IL-17A in cancer begins in the early stages of tumorigenesis and appears to play an important role in tumorigenesis by causing inflammation. The present study was conducted to investigate the expression of KI67 and P53 genes in HT-29 colon epithelial cells with IL-17A.

IL-17A was purchased and 50 ng/ml was added to HT-29 culture medium and after 24 hours the cells were isolated from the culture medium and cell necrosis was examined by MTT. Then RNA was extracted and the expression levels of P53 and KI67 were analyzed using newly designed primers by Reverse transcription (RT) qPCR method and GeniX6 software.

 The MTT test showed that a concentration of 150 ng/ml for 24 hours had maximal necrosis rate in HT-29. After 24 hours of IL-17A incubation, the expression of KI67 (P = 0.003) and P53 (P = 0.001) genes in HT-29 cells in the IL-17A exposed group decreased and increased, respectively. Also, compared to the control group the number of examined HT-29 cells in the IL-17A treated group showed a significant decrease (P

Family performance is one of the most important indices warranting the family life quality and psychological health and shows family’s coping skill against distresses, conflicts and problems. So the present research seeks to study the efficacy of an education based on schema therapy in married women.

the present research was quasi experimental study with pre- and post- tests and control group. Statistical society was Tehran 5th district family counseling center married women’s clients. Sample size was estimated 30 persons with G*power software. Volunteers through available sampling after considering inclusion criteria were randomly assigned into two experimental and control groups. Family performance in both groups assisted by Mc Master Family assessment device (FAD) (1960). The experimental group received 13 educational sessions based on schema therapy. After the training and one month later, the participants completed again the questionnaire. The data was analyzed by means of spss software version 24 and MANCOVA at a significant level of 0.05.

analysis by MANCOVA showed family performance in experimental group after education were significantly different compaired to control group (p<0.05).

the results of this research showed significant improvement in family performance in experimental group compaired to beginning of the survey. So education based on schema therapy was effective on family performance.

Conflict is a phenomenon that has positive and negative effects on the performance of individuals and organizations. This study aimed to investigate the effect of implementing a conflict management program on job conflict and nurses' conflict resolution styles.

This experimental-interventional and before-after study was performed on 60 nurses in the Kamyab Hospital of Mashhad, Iran, in 2020. A conflict management workshop was held for the intervention group for 6 hours. Then, one week after the workshop, two intra-departmental sessions were held. In both intervention and control groups, Dubrin Job Conflict Questionnaires and Thomas-Kilman conflict mode instrument were completed at the beginning, fifteen days, and one month after the end of the inpatient sessions. Data were analyzed using SPSS software version 16.

Fifteen days and one month after the intervention, the mean score of job conflict in the intervention group significantly decreased compared to the control group and before the intervention (p = 0.003, p = 0.008, and p<0.001, respectively). Implementing a conflict management program increased the tendency to use a collaborative style compared to the control group (p = 0.02). Tendency to this style in the intervention group increased fifteen days and one month after the workshop compared to before the course (p <0.001).

Findings showed that the implementation of conflict management programs for nurses leads to a reduction in job conflicts among them. Further studies are suggested to explain the role of conflict management program implementation in the functioning of the health system.