مجله دانشکده پزشکی زابل
سال پنجم شماره 3 (پیاپی 16، پاییز 1401)

 Type 2 diabetes is a metabolic abnormality that results in increased plasma glucose, glycosylated hemoglobin and decreased quality of life due to decreased insulin secretion. Considering the side effects of chemical drugs, researchers are looking for alternative and complementary methods such as herbal treatments. The aim of this study was to determine the effect of the tea of pistaciakhinjuk plant on the indicators of metabolic control and the quality of life of type 2 diabetes patients.

 72 patients with type 2 diabetes were randomly divided into 2 intervention and control groups. The intervention group consumed 240 cc of pistaciakhinjuk leaf tea daily after breakfast and dinner for one month. The control group continued their treatment process. Data collection was done with Jacobsen's questionnaire measuring the quality of life of diabetes patients and data analysis was done using descriptive and inferential statistics methods.

 The independent t-test and also the analysis of variance test with repeated observations showed that the average score of metabolic indicators and quality of life one month and three months after the intervention in the test group was significantly lower than the control group (P≺0.05). .

 The results showed that there was a statistically significant difference in the experimental group before and after the intervention. This means that pistaciakhinjuk leaves billardieri has been able to affect fasting sugar, glycosylated hemoglobin and quality of life in patients with type 2 diabetes.

Nowadays, there is a growing tendency to prevent cancer-reducing fertility in women with cancer. This study was designed to evaluate the ovarian response and In vitro fertilisation (IVF) results in infertile women with and without cancer in Zahedan and Mashhad University of Medical Sciences.

Two groups of cancer patients (30 patients) and non-cancer patients (60 patients) were studied. Initially, 225 units of FSH were started for patients on days 1 to 3, after the follicles reached 13-14 mm, the steroid antagonist was started, after observing at least two follicles larger than 17 mm HCG was injected. Metaphase 2 eggs were microinjected and three days later the embryos were evaluated for quality and frozen. For all patients, a questionnaire was completed by the researcher.

90 patients with a mean age of 30.42 30 5.30 years were studied. Most patients in the case group had breast cancer (15.6%). In this study, age variables, number of eggs with M1 quality, number of eggs with M2 quality, number of punctured eggs, and duration of ovulation stimulation, number of third day embryosB, were not significant between the two groups. Variables such as number of eggs with GV quality and mean number of frozen embryos and number of third day embryos A-C quality, mean number of third day embryos statistically significant between the two groups.

According to the results of this study, in many cases, no statistically significant difference was observed between the control and case groups, and ovarian stimulation could provide a good chance for future pregnancy and women with cancer to produce similar eggs and embryos. Women achieved without cancer.

 Congenital heart defects (CHDs) are the most costly congenital disorders and despite significant advances in the diagnostic modalities, still its perinatal and neonatal consequences require extensive studies. In the current study, we investigated diagnostic value of fetal heart echocardiography for CHDs diagnosis while postnatal echocardiography was considered as Gold standard. Additionally, maternal and perinatal outcomes were evaluated.

 In this prospective Cohort study, 400 high risk pregnant women with regards to carrying a fetus with CHDs underwent fetal echocardiography during pre and postnatal period and maternal, fetal and neonatal outcomes were followed. Moreover, diagnostic value of fetal echocardiography for predicting CHDs was calculated.

 Among 400 fetal echocardiographies done, CHDs was found in
63 fetuses and consequently postnatal echocardiography confirmed the diagnosis in 52 (82.53%) of them. The most common CHDs were atrial and ventricular septal defects (ASD and/or VSD). Although there were no association between presence of CHDs with consanguineous marriage, maternal age, maternal body mass index, smoking, pregnancy complications, fetal weight, gestational age, neonatal gender, and associated anomalies, the first and fifth Apgar Scores were significantly lower in neonates with CHDs on postnatal echocardiography.

 Second trimester fetal echocardiography, especially among high risk mothers has high diagnostic value for fetal CHDs diagnosis. This Imaging technique can lessen postnatal complications by facilitating early diagnosis and subsequent planned delivery in a proper well-equipped center.

Cleft Lip and Palate (CL±CP) are congenital malformations that occur in two forms CL±CP and CL only. The aim of this study was to investigate the prevalence of CL±CP and associated risk factors in a group of newborns in Zabol in 2020.

In the present descriptive-analytical study, we examined all newborns born at Amir Al-Momenin (AS) Hospital in Zabol between April 2018 and the end of March 2019. Eighty-eight births in which this complication occurred were studied.

The prevalence of CL±CP in the total study population was 0.22% or 2.22 newborns per 1000 live births. In the present study, 35.2% had left unilateral CL±CP (n = 31), 31.8% had CL (n = 28), 20.5% had bilateral CL±CP (n = 18), 10.2% (n = 9) had CL±CP unilateral at the right side, CL 1.1% (n = 1) and 1.1% had medial cleft. The most common disorders in boys were CL, CL and unilateral left lip. In girls, CL± unilateral CP were the most common complications. Babies with left unilateral cleft lip and palate had the highest rate of anomalies.

The present study showed that the prevalence of CL±CP in newborns in Sistan region is higher than national level. The prevalence of unilateral CL±CP on the left side and cleft palate is one of the most common types of CL±CP. This anomaly occurred more frequently in males.

 Inability to calculate the dose in various wards hospital the most common medical Errors which can lead to serious injuries and even death in very badly ill patients. This study aims to determine capability of pharmaceutical calculation in nursing staff in various wards of Hazrat Fatemeha zahrae Mehreize Hospital.

 This research is an analytic descriptive study which capability of pharmaceutical calculation in nursing staff in various wards of Hazrat Fatemeha zahrae Mehreize Hospital.Data collection tool was a dimerism questionnaire that the first part included10 questions about. Individual occupational and second part included 8 questions about the nursing personnel’s knowledge regarding proper calculation of the dosage of widely used drugs.

The findings showed that drug calculation ability level in study samples was 16.3% in good level 18.6 % in medium level and 51.3% in poor level, and, 13.8% of the participants were not able to answer any of the questions.  

Considering the nursing personnel’s lack of knowledge regarding pharmaceutical calculations, Also, due to the low percentage of correct calculation drug samples under study. The importance of proper planning in order to improve drug calculation seems necessary.

 Life satisfaction is an important and effective factor in maintaining the physical and mental health of human beings. Maintaining sleep quality and internet addiction are among the factors that can affect life satisfaction. The aim of this study was to investigate the relationship between life satisfaction, internet addiction and sleep quality among students of Isfahan University of Medical Sciences.

 This questionnaire-based cross-sectional study was conducted in Isfahan University of Medical Sciences. The collected data consisted of four axes: 1) demographic information 2) life satisfaction questionnaire (SWLS) 3) Pittsburgh Sleep Quality Index (PSQI) and 4) assessing internet use level with the Young Internet Addiction Questionnaire (IAT). Multivariate regression was used to test the relationship between SWLS, PSQI and IAT scores.

 572 male and female students with mean age (3.10 ± 22.40) participated in this study. Among the subgroups of internet addiction, Anticipation and among sleep quality subgroups predicted subjective sleep quality, sleep disturbances and daytime dysfunction of life satisfaction. Also, poorer sleep quality was correlated with internet addiction. After controlling the effect of age, educational level, marital status, multivariate regression, there was a significant relationship between overall scores of life satisfaction and sleep quality (B=-0.66: -0.78 ˷ -0.53, P<0.001).

 Of the total number of participants in this study, 33.7% had moderate to severe internet addiction, 51.9% had poor sleep quality and 55% had some levels of life satisfaction. Also, life satisfaction was higher among people with good sleep quality and less in people who had more access to the Internet.