مجله دانشگاه علوم پزشکی سبزوار
سال بیست و نهم شماره 5 (پیاپی 124، آذر و دی 1401)

Hyperbilirubinemia is a common neonatal problem that occurs in about 60% of term and 80% of preterm infants during the first week of life. The increase of intestinal enteropathic cycle by intestinal beta-glucuronidase is one of the main mechanisms in the exacerbation of jaundice. Despite the relative lack of bacterial flora in the intestines of neonates during the first week of life and considering the differences in intestinal bacteria in term and preterm neonates, the present study evaluated the therapeutic response to pedilact in two groups of neonates.

This clinical trial study was performed on 97 term and preterm neonates aged 2 to 15 days after obtaining the approval of the Ethics Committee and parental consent. Inclusion criteria included age 3-14 days, serum bilirubin 15-22mg/dl, exclusive breastfeeding, and no risk factor for hemolysis. In addition to phototherapy, all infants received 5 drops of pedilact daily. Phototherapy conditions were the same in both groups. Serum bilirubin checked daily. The variables of sex, gestational age, and daily bilirubin level were recorded and compared.

The minimum and the maximum gestational age of the neonates were 35 and 41 weeks, respectively. There was no difference between median, mean, and standard deviation of bilirubin reduction during hospitalization days between two groups (P= 0.451).

The results of this study indicate that the Micrococcus luteus SEHD031RS strain can be used as an effective microorganism in removing chromium from industrial wastewater or environmental bioremediation.

Work-family conflict and work-related mental disorders and how to deal with issues related to them are among the problems of today's working community. The aim of this study was to investigate the effectiveness of narrative and solution-oriented methods in reducing mental disorders and work-family conflict among employees with these problems.

The present study was applied in terms of purpose, with a quasi-experimental design with two groups of pretest-posttest. Using the available sampling method, among the volunteers referred to the inclusion and exclusion criteria unit, 36 people were selected and randomly assigned to three groups (experimental and control; all subjects at first according to the clinical interview in terms of Mental disorders and work-family issues were interviewed; then all subjects answered the SCL 90 and work-family conflict questionnaires.

Data analysis was performed using SPSS software and using the analysis of covariance. > p) And solution-oriented (Lamidae velex - 0/36, p> 0.05). Compared to the control group, there was a significant difference in reducing work-family conflict; Also, in relation to the effectiveness of the narrative method on work-related mental disorders, a significant difference was observed in only one of the components (depression) (Lamidae-Blacks - 008, p <0.05). None of the components of psychological trauma were observed. And the research hypothesis was not confirmed.

Both treatments can be used in the context of work-related mental disorders and work-family conflict.

In relation to mental health, self-efficacy indicates that a person with high Self-efficacy has the ability to change their negative mental states, in other words, strong self-efficacy beliefs bring peace and can be an appropriate predictor for mental health. Therefore, the current research was conducted to investigate the effect of virtual training of relaxation methods on self-efficacy and mental health of medical students of Sabzevar University of Medical Sciences during the outbreak of the Covid 19.

The present study is an intervention type that was conducted by random method based on double replacement blocks in 2019 on 26 samples (14 in the intervention and 12 in the control group) from undergraduate students of anesthesiology and operating room. The criteria for entering the study included not suffering from mental disorders and taking psychoactive drugs, as well as willingness to participate in the study. Checklist of demographic characteristics and standard questionnaires of mental health and self-efficacy were completed in both groups before and after the intervention.

The results of the study showed that there was no statistically significant difference between self-efficacy (P-Value >0/05) and mental health (P-Value >0/05) of students in both groups before and after the intervention.

The findings of the present study showed that Benson's relaxation technique had no effect on students' self-efficacy and mental health, so other relaxation methods can be used.

Internet addiction is one of the effective factors in reducing academic and communication development in students. The aim of this study was to predict cyber victimization in high school high school intelligence students based on emotional self-awareness due to smartphone addiction.

The statistical population included all gifted students in Alborz province in the academic year 1399-1400. 253 people were selected by available sampling method and then answered the standard questionnaires of emotional self-awareness of Grant et al., Quan et al. Data were analyzed by path analysis method using Amos-23.

According to the findings, the direct relationship between emotional self-awareness and cyber victimization in gifted students is not significant (p <0.05), but the direct relationship between smartphone addiction and cyber victimization in gifted students is negative and significant. (P 01 0.01 and β = -0.29). Also, the direct relationship between emotional self-awareness and smartphone addiction in gifted students is negative and significant (p /0 0.01 and β = -0.15).Regarding the mediating role of smartphone addiction in the relationship between emotional self-awareness and cyber victim, they show that this path is significant (β = 0.09 p 01 0.01).

It can be said that there is a connection between emotional self-awareness and mobile phone addiction. As a result, smartphone addiction can be reduced by increasing students' emotional self-awareness and helping their academic growth.

Social anxiety disorder is one of the causes of poor social and academic functioning of students. The aim of the present study was to compare the effectiveness of Psychodrama and Group Therapy Based on Acceptance and Commitment on Students' Social Anxiety.

This study was a quasi-experimental study. The statistical population included students referring to Mashhad University of Medical Sciences counselling center, from which 60 students were selected through purposeful sampling in this quasi-experimental study and randomly divided into three groups of Psychodrama (N=20), Group Therapy Based on Acceptance and Commitment (N=20) and control group (N=20). All participants were evaluated before and after the intervention and three months after the end of intervention. Social Phobia Inventory (2000) (SPIN) were used for data collection. Data analyzed by SPSS-21 software using Mixed Variance analysis and were analyzed at the significance level (P <0.05).  

The results showed that both Psychodrama and Group Therapy Based on Acceptance and Commitment had significant effect on reducing Social Anxiety compared to the control group. The effectiveness and continuity of the therapeutic effects of theatrical therapy and the treatment of acceptance and commitment on social anxiety have been the same.

Both treatments were able to reduce all symptoms of social anxiety after treatment and follow-up for three months by eliminating the vicious cycle of social anxiety. Therefore, these two therapeutic approaches can be used in the form of life skills programs in universities

Streptococcus galloliticus is one of the bacteria associated with colorectal cancer in humans. No studies have been performed to identify this bacterium in the large intestine using PCR test and compare it with microbial culture in patients undergoing colonoscopy in northern Iran.

In a descriptive study to diagnose Streptococcus gallolyticus, biopsy specimens were obtained from 55 individuals undergoing colonoscopy referred to Babol and Chalous hospitals. To detect bacteria after DNA extraction, first designed primers (PCO3, PCO4) were used to qualitatively analyze the extracted DNA and then the specific gene of Streptococcus gallolyticus was amplified. In addition to culture, diagnostic tests such as gram staining, catalase test, hydrolase, hydrate hydrolysis and scolin hydrolysis were used.

In this descriptive study, out of 55 biopsy specimens of individuals undergoing colonoscopy, 3 specimens (5.5%) with 95% confidence interval were positive and 52 cases (5.94%) were negative for Streptococcus gallolyticus DNA. There was a significant relationship between the two diagnostic methods of culture and PCR (p.value 0.015).

The simultaneous application of the two methods is recommended in cases where the result is rapid.

Hypertension, which is referred to as silent death, is one of the most important causes of cardiovascular disease. Therefore, the aim of this study was to determine the effectiveness of mindfulness-based stress reduction (MBSR) on psychological distress, cognitive fusion. And Self-compassionof people with high blood pressure.

The present study is applied and semi-experimental in terms of purpose and is based on a randomized controlled application with pre-test, post-test with control group. The statistical population of the study was all patients with hypertension in Mahdishahr in 1399. The sample of this study included 48 patients with hypertension who were randomly selected from the women who had referred to the comprehensive health service centers of Mehdi Shahr city, were selected according to the inclusion criteria and were randomly replaced in the control and experimental groups. Usage tools included the Gilanders Cognitive Fusion Diagnostic Scale, the Kessler Form 10 Psychological Distress Questionnaire, and the Self-Compassion Questionnaire. Data were analyzed using SPSS software version 23 using multivariate analysis of covariance (MANCOVA) and univariate analysis (ANCOVA).

The results showed that after adjusting the pre-test scores, there was a significant difference between the studied groups in the variable of psychological distress (including depression, anxiety and stress), as well as cognitive fusion and self-compassion... 001/0 = p.

In general, it can be said that mindfulness-based stress reduction training had an effect on psychological distress, cognitive fusion and self-compassion dimensions of people with hypertension.

This study aimed to provide a thematic network of systematic HSE management elements in sports places.

This study was an applied, qualitative, and thematic analysis research in terms of purpose, strategy, and implementation, respectively. The participants in this study were pundits and informed persons in the field of sports facilities management. The maximum variation sampling was conducted and the total number of participants was 11. Semi-structured interviews were used to collect the required data and Lincoln and Cuba's (1985) assessment criteria including credibility, transferability, dependability, and conformability were used in the present study to check the validity.

The findings of this study indicated that the illustration of the elements in HSE management in sports facilities includes 6 global themes (occupational health activities, active planning and prevention, requirements, projecting, participation and monitoring, resource provisioning), 16 organizing themes (environmental health, Personal hygiene,  hardware, risk management, incident management, safety requirements, legal requirements, environmental requirements, standardization, waste management, supervision, system integration, stakeholders engagement, financing, human resource provisioning (recruitment), and facilities/ equipment), and 75 basic themes.  

The thematic network provided in this study does not support the existence of any hierarchy among the elements of systematic HSE management; instead, it supports thematic buoyance that is necessary to emphasize the interdependence and interrelationship between them.

In Persian medicine, fumitory has been used in the treatment of many diseases, especially gastrointestinal disorders. On the other hand, among the studies that have been done on the plants of Fumaria species, the gastrointestinal and hepatic effects have been considered by researchers. The purpose of this study is to review the comparative therapeutic effects of fumitory in Persian medicine and modern medical studies.

First, the uses of fumitory were extracted, studied and categorized from the reference books of Persian medicine, including: Qanoon, Al-Havi, Makhzan al-Adviyah, Qarabadin Kabir, Tahfa al-Momenin, and Riyaz al-Adviyah. Then, the related articles were searched in PubMed, Scopus, Cochrane, Google scholar, Magiran and SID databases. Finally, a comparative study of the applications of this plant in conventional medicine and Persian medicine was performed.

This plant has been used in Persian medicine as a gastric and hepatic tonic and an opener of obstructions of the liver and spleen. Other functions include blood purifying, laxative, appetizing, and cleansing effects on the gastrointestinal tract. Today, in basic and clinical studies on plants of the genus fumaria, the hepatoprotective effect, reducing effects of liver enzymes, anti-inflammatory effect in hepatic disorders, antidiarrheal effects, reducing effect of inflammatory factors in digestive disorders, and ameliorative effect on irritable bowel syndrome have been proven.

According to the Persian medicine literatures and modern medicine studies, Fumaria species can have therapeutic potential in some gastrointestinal and hepatic disorders.

Due to the work in emergency situations, having high work technique and large volume of work, the operating room is known as a stressful part. Which can cause problems for the personnel working in it. The aim of this study was to investigate the effect of deep breathing on anxiety, fatigue and sleep quality of operating room personnel.

This clinical trial was performed by pre-test-post-test method in 2020 on operating room technologists and anesthesia technicians. Thirty-five people who met the inclusion criteria were randomly selected and performed deep breathing exercises for four weeks. Multidimensional fatigue intensity, Pittsburgh Sleep Quality and Beck Anxiety Questionnaires were completed and compared before, two weeks and four weeks after the intervention.

The mean anxiety score changed from 19.65 ± 9.57 to 14.2 ± 6.34 after two weeks and 10.68 ± 5.67 after four weeks. The mean fatigue scores changed from 64.37 ± 10.07 to 56.79 ± 8.72 and then 52.75 ± 8.76 Which is quite significant in both time effects (P <0.001). The average sleep quality score changed from 9.89 ± 3.41 to 8.92 ± 2.7 and then 7.71 ± 2.7. There was no significant difference in the previous time - 2 weeks later (P = 0.57). However, at 2-4 weeks later, There was significant difference (P = 0.04).

Due to the positive effects of deep breathing on operating room personnel, the use of this non-pharmacological and uncomplicated method is recommended to maintain the mental and physical health of personnel and increase safety and quality of work.