مجله علمی پزشکی جندی شاپور
سال بیست و سوم شماره 2 (پیاپی 149، خرداد و تیر 1403)

Deep vein thrombosis (DVT) is a common vascular condition that affects 1 to 3 per 1,000 people annually. Proximal thrombosis (including iliac arteries) is at higher risk for postthrombotic syndrome (PTS). Therefore, in the present study, we investigated the effect of venoplasty by stent placement in patients with chronic venous symptoms following DVT in the iliofemoral segment.

In this cross-sectional study, patients with an age range of 20 to 70 years who presented with chronic symptoms of iliofemoral obstructive venous lesion following DVT were included in the study if satisfied. They were placed under local anesthesia with lidocaine and, if necessary, by venous sedation under lower extremity venography by catheter with popliteal vein surgery on the same side and placement of a sheet. Variables related to before the intervention and six months after the intervention were reviewed, recorded and analyzed.

Of the 24 patients participating in the study, 70.8% were male and 29.2% were female with a mean age of 51.42 8 8.27 years. There was a significant difference in pain and wound condition before and 6 months after the intervention (P <0.001). After the intervention, 58.3% of patients were in painless condition and the frequency of patients without wounds increased from 12.5% to 66.7%. Edema changes were not significant (P = 0.29)

Stent implantation in patients with chronic venous symptoms following DVT in the iliofemoral segment reduces pain and wound healing and is an effective, usable and practical method.

Sarcopenia is one of the important and prevalent disorders that occurs with age and is associated with a significant reduction in muscle strength and volume. The purpose of this study was to investigate the effect of selected aquatic training on Serum Levels of Insulin-like Growth Factor-1 and Myostatin in Middle-aged male swimmers.

22 men, were selected and randomly divided into two groups, experimental group (n=11) and the control group (n=11).The training program were demonstrated 3 sessions a week, from simple to difficult exercises, Considering the principle of overload and increasing the intensity of training. Plasma levels of IGF-1 and myostatin were measured (before and 48 hours after the protocol). The data were analyzed using the statistical test of covariance (ANCOVA) at the level (P<0.05).

The intragroup evaluation of the data showed that there is a significant difference between the pre-test and the post-test of the experimental group in IGF-1 and myostatin variables (P<0.05). The results of ANCOVA indicated that the selected aquatic training led to a significant increase in plasma levels of IGF-1 (P<0.05) and a significant decrease myostatin (P<0.05) in the experimental group compared to the control group.

According to the results, eight weeks of selected aquatic training changed the resting levels of factors related to muscular atrophy in middle-aged male swimmers. For this reason, this type of exercise can be effective in muscle rehabilitation and improving the physical fitness of these people. However, further investigation seems necessary.

COVID-19 is a new disease and there is limited information about the risk factors. This study aimed to determine epidemiologic and clinical characteristics of hospitalized COVID-19 patients in Abadan.Subjects and

In this case-control study, the patients who died from COVID-19 were selected as the cases and those hospitalized in Taleghani Hospital with a definite diagnosis of COVID-19 who were finally discharged from the hospital with a favorable general condition, were considered as control group. Data were extracted from patient records. Logistic regression and Generalized Estimating Equation(GEE) analyses were used to determine the risk factors for death from COVID-19. The analysis was performed using SPSS software version 27 at the significance level of 0.05.

Demographic, clinical and laboratory data of 221 discharged individuals and 221 deaths were assessed. 47.5% of control and 40.89% of cases were female. Cases had higher mean age, higher rate of underlying disease, and low oxygen saturation compared to controls, but the incidence of diarrhea was higher in the control group than the case group.

Although the diarrhea are associated with reduced mortality in the studied patients, it is necessary to consider other unexamined hidden factors for correct judgment.

The present study was conducted with the aim of determining the level of knowledge, attitude and performance of nursing students about artificial intelligence.

This is a cross-sectional descriptive study that was conducted in the winter of 1402. The population under study are nursing students from 2nd to 8th semesters, with available sampling, 200 nursing students completed the researcher-made questionnaire of knowledge, attitude and performance of artificial intelligence with informed consent. SPSS software version 26 were analyzed.

200 nursing students with an average age of 22.89 ± 2.90 years were examined. The knowledge level of 182 students (91%) had positive knowledge about the use of artificial intelligence in nursing. In terms of performance, 112 people (56%) have poor performance. In most cases, students have a positive attitude towards the use of artificial intelligence in nursing. In this study, the increase in age with the increase in the level of knowledge and male gender has also had an effect on the increase in the level of attitude and performance. Using Pearson's correlation coefficient, there is a significant and direct correlation between knowledge and attitude with performance (P<0.001).

Students do not have sufficient performance in the use of artificial intelligence in nursing care, but they have a good level of knowledge and views about the use of artificial intelligence in the field of medicine and nursing. The Ministry of Health and international organizations should suggest the use of artificial intelligence in the field of nursing.

Patellofemoral pain syndrome (PFPS) is one of the most common forms of knee pain and is a term used for various pathologies or anatomical abnormalities that lead to anterior knee pain. The aim of the current research was the effect of different levels of weight adjustment on the motor performance of women with PFPS.

In this semi-experimental study, 75 women with PFPS were selected by purposeful sampling and randomly were divided into 5 groups with equal numbers including weight adjustment (1- ¼ of body weight, 2- ½ of body weight, 3- ¾ of body weight), the group without weight adjustment and the control group. The training protocol included selected resistance and functional exercises to strengthen hip and knee muscles, which were performed on stable and unstable surfaces. Analysis of covariance and Bonferroni's post hoc test were used for statistical analysis.

Exercise intervention reduced pain and improved motor performance in the exercise groups compared to the control group (P<0.001). Corrective exercises with weight adjustment with ½ and ¾ of body weight resulted in more effectiveness in pain variables and movement performance than the weight adjustment groups with ¼ of body weight and without weight adjustment (P < 0.01).

Based on the findings of this research, weight adjustment during corrective exercise can improve the quality of exercise by reducing mechanical pressure on the knee and reducing pain, which results in improved motor function in patients with PFPS.

Health system workers, especially those like emergency medical personnel who are in direct contact with patients, are highly susceptible to workplace violence. A significant consequence of such violence is occupational stress. This study aims to explore the prevalence of workplace violence and its association with occupational stress among emergency medical workers in Alborz province in the year 2022.

This descriptive correlational study was conducted with 124 emergency medical workers at road and urban bases in Alborz province. The research tools included a Persian-adapted standard workplace violence questionnaire and the occupational stress questionnaire from the Health and Safety Institute of England. Data were analyzed using descriptive and inferential statistics via SPSS software, version 26.

The findings revealed that 62.1% of participants experienced physical violence, and 90% faced psychological violence. The highest incidence of physical (47.4%) and psychological (41.4%) violence occurred during the evening shift, while the morning shift saw the lowest rates. The average occupational stress levels for workers at road and urban bases were significantly high, measured at 120.5 ± 11.49 and 110.8 ± 16.76, respectively. Occupational stress was found to correlate negatively with the age and work experience of the employees, indicating lower stress levels with increasing age and experience.

Emergency medical workers often face highly stressful and anxious situations involving patients and their families. The nature of their work frequently exposes them to violence from patients or their companions, leading to heightened occupational stress.

Pregnancy is associated with many physical and mental changes. These changes can lead to sexual dysfunction. Targeted and appropriate training can be effective in reducing this disorder. Therefore, the present study was conducted with the aim of determining the effect of sexual health empowerment based on the James Brown model on the sexual performance of pregnant women.

This study was a randomized controlled field trial was conducted in 2018 on 68 pregnant women referring to health centers. The women were placed in two intervention and control groups, and the intervention group was given 4 training sessions based on the James Brown model. Evaluation of sexual function before, two weeks and one month after the intervention was done with the FSFI tool. Data analysis was done using SPSS software (version 20) and Statistical tests . p value of less than 0.05 was considered significant.

Before the intervention, the mean and standard deviation of the sexual function score of pregnant women in two groups were homogeneous with independent t-test (P=0.081). 2 weeks after the intervention, the difference in the total score of sexual performance between the intervention and control groups was significant (P<0.001) and one month later between the intervention and control groups (p<0.001).

Sexual health education based on the James Brown model is effective on the sexual performance of pregnant women, so by training based on this model, it is possible to increase awareness and then improve the sexual performance of pregnant women.

The soft palate has morphological variations in lateral cephalometric images. Several studies are available on the analysis of the dimensions of the soft palate, but few studies have investigated the morphology of the soft palate. The aim of this study is to investigate the relationship between morphological variations of the soft palate and types of malocclusion in Ahvaz city.

In this study, the lateral cephalometric images of 162 patients with abnormal skeletal pattern available in the archive of Radiology Department of Jundishapur School of Dentistry in Ahvaz were used. The radiographs were divided into 6 groups suggested by You et al under the supervision of a radiologist. The data were analyzed to determine the relationship between soft palate morphology and skeletal pattern.

The results showed that 51.2% of the people had class two, 37% class one and 11.8% class three skeletal pattern. Rat tail shape soft palate morphology with a frequency of 61.7% was the most common morphology in all people and it was also more common in each of the skeletal patterns. Leaf-shaped palate ranked second in prevalence with 18.5%. S-shaped morphology with a frequency of 2.5% had the lowest prevalence in all and also in each skeletal patterns.

Rat tail shape of soft palate was by far the most common and distorted S-shaped soft palate was the rarest form of soft palate. There is no relationship between the skeletal pattern of jaw and morphology of soft palate in the studied population.