مجله دانشکده پزشکی زابل
سال ششم شماره 2 (پیاپی 19، تابستان 1402)

Self-immolation is one of the most common methods of suicide among Iranian women. This study was designed and conducted to investigate factors related to self-immolation and its association with depression, anxiety, and stress in women of reproductive age.

The present descriptive-analytical study was performed on self-immolated women admitted to the burn ward of Imam Khomeini Hospital in Urmia during the years 2021-2020 the nineteen women of reproductive ages were included in the study through convenience and census. Data collection tools included a demographic questionnaire and DASS-21.

The average age of the participants in this project was 29.57 ± 7.79 years. About half of the women lived in rural areas and lived in the house of their father-in-law and lived with him. And the wife's family stated. Most of them were married, housewives and Kurdish speakers had low incomes and economic status and undergraduate education, and most of them had set themselves on fire with oil. 89.5% of the participants had severe depression, 94.5% had severe anxiety, and 52.6% had severe stress.

This study showed that the rate of depression, anxiety, and stress is high in women who have attempted suicide by self-immolation. It is suggested that special measures be taken to reform the culture of the northwestern region of the country to perhaps reduce the burden of the problems of women in this region.

COVID-19 is considered the most dangerous virus of the coronavirus family. COVID-19 is detected by RT-PCR from nasal and oropharyngeal swab samples. The present study was conducted to compare the clinical, paraclinical, and demographic characteristics of COVID-19 patients admitted to Shahid Jalil Hospital in Yasuj City in two RT-PCR+ and RT-PCR- groups.

The present study is a retrospective descriptive study. Which was done by reviewing the files of 330 patients by random sampling method.

There was no significant difference between RT-PCR+ and RT-PCR- groups in most of the demographic characteristics, including age and gender. A significant correlation was observed between the RT-PCR test result and the clinical symptoms of fever, headache, impaired sense of smell, impaired sense of taste, nightmares, and heaviness in the chest (p value < 0.05). A statistically significant relationship between RT-PCR results and the number of neutrophils, BUN, and platelets was observed (p value < 0.05).

With the help of some clinical symptoms such as loss of sense of taste, smell, and fever, it can be used to diagnose COVID-19 disease in the early stages of the disease when the patient's RT-PCR test is negative due to low viral load.

The autoimmune disease of multiple sclerosis is characterized by inflammation and nerve tissue destruction. There are documents for the nutritional factors' effects on the occurrence and disease cycle. Food pattern is an essential factor in chronic disease prognosis. This study was designed to investigate the status of the nutritional pattern and quality of life of MS patients.

The number 40 MS patients who have been referred to Zabol Red Crescent and MS Association for Services and Medicine during the past year were enrolled in the initial stage of registration. Finally, 30 patients were included in the study and were examined in three types of diet (unhealthy, Mediterranean, and traditional).

Their Mean ± SD of age, height, and weight of women and men were (35.69 ± 1.8; 40.57 ± 4.22.) years, (162.69 ± 1.25; 175.29 ± 2.54) cm, and (64.0 ± 2.36; 71.14 ± 3.78) kg respectively. The majority of women and men were at the high school level 56.67% and 57.14% respectively. 61.89 percent of patients followed the Mediterranean pattern. 82.6% of the women and 71.42% of the men suffered from low levels of mental disorders. The most frequency of body mass index belonged to the women group in the third level (39.13%) and the lowest to the fourth group (8.69%). 63.33% of the patients did not do any type of sports. 6.7% of patients with high activity did not have any symptoms of physical disorders. The economic index of the good level in the women and men was 34.78% and 42.85% respectively.

In this study, the Mediterranean pattern was the most attractive, and the number of physical disorders was more than the number of mental. It was uncovered that providing the required training for modifying dietary patterns can be very effective in the management of disease symptoms.

Doxorubicin is a universal drug in the treatment of all types of cancers, which is limited due to its many side effects. Therefore, the present study has investigated the effect of aerobic exercise and the use of curcumin nano micelles on the activity levels of BAX, BCL2, and MDA concentration in doxorubicin-induced cardiotoxicity in mice with breast cancer.

In this research, which was of a fundamental type and controlled experimentally, 24BalbC female rats were randomly divided into 4 groups: doxorubicin, doxorubicin patient and exercise, doxorubicin patient and nano curcumin supplement and doxorubicin patient, exercise and supplement. Breast cancer induction was done with MC4-L2 cells. Doxorubicin 2mg/kg was injected subcutaneously 6 times on day 28, 21, 14, 7, 1 and 35. The aerobic program consisted of 5 sessions per week for 42 days with an increase in the speed of the treadmill every two weeks including 14, 16, and 18 meters per minute and the use of nano curcumin at a dose of 100mg/k. The collected data were analyzed with a two-way analysis of variance with a significance level of 0.05 in the tests.

6 weeks of aerobic training had no effect on BCL2 activity and MDA concentration, but it significantly decreased BAX activity. Taking nano curcumin supplement for 6 weeks decreased BAX activity and MDA concentration and significantly increased BCL2 activity. Conclusion 6 A week of aerobic training along with nano curcumin supplementation did not affect BAX activity and MDA concentration, but it caused an increase in BCL2 activity (p value < 0.05).

Aerobic exercise and the use of curcumin nano micelle supplement separately or at the same time can be effective in reducing the cardiac toxicity of doxorubicin in patients with breast cancer.

Hypothyroidism is one of the disorders that is associated with an increased risk of cardiovascular disease. One of the first responses to thyroid hormone administration is to reduce systemic vascular resistance and increase cardiac output and heart contraction.

In this study, which was performed as a quasi-experimental study (before and after), 50 patients were referred to the endocrinology and internal medicine clinic of Towhid Hospital in Sanandaj (in two groups of 25 patients receiving medication and the group that did not receive medication) They were included in the study based on inclusion and exclusion criteria. Blood pressure, heart rate, and ECG were performed by a cardiologist after recording them.

The mean age of patients participating in the study was 48.0 ± 7.74 years. Compared the patients receiving the drug and the other group, in terms of sex distribution and age, showed results; There was no statistically significant difference between the two groups (p value > 0.05) However, in terms of comparing blood pressure and heart rate indices in the before and after stages, the two groups showed a statistically significant difference between patients receiving medication and patients who did not receive medication in terms of systolic and diastolic blood pressure in the previous phase of hormone therapy (p value < 0.01).

Special attention to hypothyroid patients according to the obtained results, Control, follow-up, and planning for these patients, by those involved in the matter and those responsible for the health sector, seems important and necessary and should be taken into consideration.

One of the indicators for evaluating the performance of medical centers is the waiting time of patients to receive services. The purpose of this research is to determine the level of satisfaction with the appointment system of Chamran Ferdous Hospital clinic from the patient's point of view in 2019.

The current study is a cross-sectional descriptive-analytical study that was conducted in 2019. The population of this research was all patients referred to the clinic of Chamran Ferdous Hospital. To collect data, a researcher-made questionnaire was used, which included three sections: satisfaction with the online, telephone, and face-to-face appointment system.

Examining the usage rate of the research community of all kinds of scheduling methods indicates that most people choose the telephone scheduling method with a frequency of 40% and the lowest usage rate is related to the face-to-face method with 16.8%. Regarding the online appointment method, 35% reported low satisfaction, 60% reported moderate satisfaction, and 5% reported high satisfaction. About the telephone appointment method, 59% rated low satisfaction, 40% moderate satisfaction, and only 1% rated high-level satisfaction. And about face-to-face appointments, 84% reported low satisfaction, 8% reported moderate satisfaction, and 8% reported high satisfaction.

It may be possible to improve patient satisfaction by using advanced reception systems, but the need to pay attention to all dimensions and aspects is felt.