per
Alborz University of Medical sciences
Alborz University Medical Journal
2322-3839
2588-3046
2013-05
2
2
59
66
article
The Effect of Massage Therapy by Sunflower Oil on Neonates for Length of Hospital Stay from the Hospital
P. Alizadeh
1
Z. Godarzi
2
M. Shariat
3
Sh. Nariman
4
E. Nik Zinat Matin
matin_elahe@yahoo.com
5
Department of Pediatrics, Bahrami Children Hospital, Tehran University of Medical Sciences, Tehran, Iran
Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
Maternal, Fetal & Neonatal Research Center- Tehran University of Medical Sciences, Iran
Department of Pediatrics, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
Introduction: Infants are the most sensitive and injury of people in society that will make the feature of our country so they are needed special attention to take care of their physical &mental health. According to many studies one of the intervention for decrease of length of stay (LOS) in Intensive Care Unit (NICU) is massage therapy by oil because of rapidly recovery & early discharge. The aim of this study was to the effect of massage on neonates in Nicu ward for decreasing of LOS. Materials & Methods:. This one- blinded clinical trial was conducted on 44 infants who were born within 30-37weeks gestational age with 1000-2500gr in Nicu of Arash & Shariati hospitals. The infants were assigned randomly into two group of sunflower oil massage &without massage. The massage is done one hour after milk when the infants were stable (heart rate-respiratory rate and color of their skin become control). Each massage was 15minute 3 times in every 2 hours in the afternoon for 5 days. Observation was tools of collecting data by researcher which done before &after every intervention by respiratory heart rate monitoring & pulse oximetry. Data were analyzed using the repeated measure ANOVA. Results: Within 5 days of following increasing pattern of infant weight in study group was significant (P=0.001) and comparison growth head circumference in 2 groups was not significant (P=0.01) about LOS variable within 5days massage was significant (P=0.04). Conclusion: Fortunately there were statistical significant difference between the infants weight and decreasing length of hospitalization in 2 groups , but difference between head circumference between 2 group was not significant.
http://aums.abzums.ac.ir/article-1-92-en.pdf
Infant
LOS
Massage
Nicu
Sunflower oil
per
Alborz University of Medical sciences
Alborz University Medical Journal
2322-3839
2588-3046
2013-05
2
2
67
75
article
A Study of the Incidence of Substance Abuse in Patients with Borderline Personality Disorder with or without Self Injurious Behavior in Roozbeh Hospital in Tehran from Tir, 1387 to Tir, 1388
R. Fatehi
Fatehi_roya@yahoo.com
1
M. Saberi
2
H. Tofighi Zavare
3
H. Banifatemi
4
Specialist of Forensic Medicine & Toxicologist, Sarem Hospital, Tehran, Iran
Psychiatrist, Forensic Medical Center of Tehran, Iran
Specialist of Forensic Medicine & Toxicologist, Tehran University of Medical Sciences, Tehran, Iran
Pharmacist, Pharmacy of Naft Hospital, Tehran, Iran
Background: The goal of this study was to evaluate the incidence of substance abuse in patients with borderline personality disorder with or without self injurious behavior who referred to Rouzbeh hospital in Tehran from July 2008 to July 2009.
Methods: This cross-sectional study was performed in 70 patients with Borderline personality disorder. Only patients who were diagnosed according to DSM IV and psychiatric interview were recruited. A questionnaire was given to all patients including different items about self injurious behaviors, drug and substance abuse. Data was analyzed by SPSS 16.00 statistical software using Chi square and t test.
Results: Of 70 patients, 35.7% were female and 64.3% were male. Rate of self injury was higher in male patients (58.6%). Moreover, substance abuse was significantly higher in patients with self injury. There was an inverse correlation between education level and self injury. In addition, 66.7% of the patients reported that they need medical management after self injury behavior. Forty (57.1%) of patients with self injury has history of psychiatry drugs consumption but there were no relationship between psychiatry drugs abuse and self injury. The most common substance abuses were (62.9%) alcohol, (57.1%) cannabis, (41.4%) Tramadol, (24.3%) crack, and (22.9%) ecstasy. Patients with self injury had higher rate of substance abuse.
Conclusion: The result of this study as some similar studies indicated the high prevalence of substance abuse in borderline patients with or without self injury. Thus, it seems that considering substance abuse as a significant problem in these patients is essential.
http://aums.abzums.ac.ir/article-1-93-en.pdf
Borderline personality disorder; Self-mutilation; Substance abuse
per
Alborz University of Medical sciences
Alborz University Medical Journal
2322-3839
2588-3046
2013-05
2
2
76
81
article
The Average Age of Menopause and Its Associated Factors Among Women in Tehran
F. Jafari
jafarifarhaddr@yahoo.com
1
N. Zafarghandi
2
M. Abbasi
3
Z. Khodashenas
4
Department of Social Medicine, Shahed University of Medical Sciences, Tehran, Iran
Obstetrician & Gynecologist, Department of Gynecology, Shahed University, Tehran, Iran
Student of Medicine, Medical Faculty, Shahed University, Tehran, Iran
Student of Medicine, Medical Faculty, Shahed University, Tehran, Iran
Background: Menopause means the permanent cessation of menstruation and lead to the fixed and permanent changes in women and is predisposing factors of chronic diseases. So the investigating of average age of menopause and some predictive factors are very important that this study was designed with this goal.
Methods: This study was a cross sectional study with descriptive and analytical aspects that was done on the 403 women residing in 1 to 4 regions of Tehran and they had at least 1 year of the last menstruation and their menopause had occurred naturally. Data collection tool was a researcher made questionnaire. Then data were analyzed with SPSS software and Chi square, t-test, analysis of variance and correlations.
Results: The mean age of subjects was 51.30±4.8 years. 89.4 percent were married and the average number of children was 2.61±1.07 and mean body mass index was 26.19±3.66. The average age at first menarche was 13.59±1.58 years. The average age at menopause in the understudy population was 46.57±4.95 years. Also, association between menopause and underlying demographic variables including age at menarche, education, height, weight, BMI, number of children, abortion, history of hormone use were examined in this study.
Conclusion: With regard to life expectancy, women spend approximately one third of their life after menopause. Identification of factors associated with these issue particularly aspects of quality of life is important.
http://aums.abzums.ac.ir/article-1-94-en.pdf
Age of onset; Menopause; Menstruation
per
Alborz University of Medical sciences
Alborz University Medical Journal
2322-3839
2588-3046
2013-05
2
2
82
88
article
Abundance of Stress, Anxiety and Depression in Multiple Sclerosis Patients
A. Dehghan
1
S.
kerman_s@modares.ac.ir
2
R. Memarian
3
Nursing MA، Educated in Tarbiat Modares University. Tehran, Iran
Mohammadkhan Kermanshahi
Department of Nursing, Medical Sciences School, Tarbiat Modares University. Tehran, Iran
Background: Multiple Sclerosis As a chronic disease for some reasons including sudden attack, occur in young Ages, no prognosis and definitive cure causes stress, anxiety and depression in patients. It seems that the more we know the extent of stress, anxiety and depression of patients the more we can control the symptoms. This study was to examine the Abundance of stress, anxiety and depression in Multiple Sclerosis Patients.
Materials and Methods: A cross sectional- descriptive study was conducted using convenient sampling to recruit 110 patients suffering from MS. Data collection tool was DASS 21 questionnaire. Descriptive statistics, chi-square test and Correlation coefficient were used to analysis the data.
Results: Based on the findings Suffer 46.4% Multiple Sclerosis Patients from severe stress, 19.2% of severe anxiety and 29.2% of severe depression. Results of spearman Correlation coefficient showed a significant relationship between the stress, anxiety and depression with Expanded Disability Status and duration of disease (P<0.05). So chi-square test showed a significant relationship between the stress, anxiety and depression with Hospitalizations (P<0.05).
Conclusion: The findings of this research revealed high stress, anxiety and depression in Multiple Sclerosis Patients that can jeopardize their health. Hence the providing appropriate education for coping and adapting with the symptoms in Multiple Sclerosis Patients seems to be necessary.
http://aums.abzums.ac.ir/article-1-95-en.pdf
Anxiety; Depression; Multiple sclerosis; Stress
per
Alborz University of Medical sciences
Alborz University Medical Journal
2322-3839
2588-3046
2013-05
2
2
89
96
article
Job Stress Risk Factors Among Power Generation and Machine Production Employees: A Case Study-2010
Z. Naghavi
z.naghavi@yahoo.com
1
M.R. Hajgholami
2
Y. Shokoohi
3
F. Zayeri
4
MS.c in Occupational Health Engineering ,Department of Occupational Health Engineering, School of Public Health, Alborz University of Medical Sciences, Karaj, Iran
MS.c in Occupational Health Engineering, School of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
MS.c in Occupational Health Engineering ,Department of Occupational Health Engineering, School of Public Health, Alborz University of Medical Sciences, Karaj, Iran
Statistics PHD, Department of Paramedical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Background and Objective: Job stress has been adverse effects on performance, quality of work, absents, unsafe behaviors and occupational accidents and also health problems. Risk factors of job stress can be different in various workplaces. Risk factors determination is the first step of job stress management. Identifying these risk factors among workers of Power production & Machine production industries was the aim of this study.
Methods: First parts of Osipow questionnaire was used for investigating of different dimensions of job stress. The questionnaire with 60 items based on a 5 point Likert scale, is evaluated in six stress-inducing work roles (1) role overload, (2) role insufficiency, (3) role ambiguity, (4) role boundary, (5) responsibility, and (6) physical environment. We add some question for assessing physical and mental signs that are related with stress. Questionnaire was completed by voluntaries after oral explanations.
Results: Mean score of stress for investigated subjects at two industries was within the normal range. Employees in two industries for the investigated dimensions inclusive role overload and role responsibility has experienced moderate stress and severe stress for physical environment. Compare of mean stress score by ANOVA test in three groups of employees including operational workers, office workers and managers showed the significant statistic difference (P<0.01) for experiencing in job stress by two groups of operational and office workers.
Conclusion: Workload should be set up base on personnel ability, skills and also their physical and mental limitations. Clear definition of role responsibility is very important. Workers participation in decision making and improving physical environment of workplace were suggested for job stress mitigation approaches.
http://aums.abzums.ac.ir/article-1-96-en.pdf
Stress; Questionnaire; Employees
per
Alborz University of Medical sciences
Alborz University Medical Journal
2322-3839
2588-3046
2013-05
2
2
97
102
article
Knowledge and Practice of Women Referred to Health Centers Boroujerd on Complementary Feeding
A.A. Soheili Azad
1
L. Yeghaneh Ghasemi
2
V. Naserkhaki
naserkhakimail@gmail.com
3
The Member of Scientific Health College of Tehran University Of Medical Sciences, Department of Health, Faculty of Health, Tehran University of Medical Sciences, Tehran, Iran
Student Licentiates Degree Public Health, Department of Health, Faculty of Health, Tehran University of Medical Sciences, Tehran, Iran
MSc Student of Health Education, Department of Health, Faculty of Health, Tehran University of Medical Sciences, Tehran, Iran
Background: In order to improve knowledge and practice of mothers about infant feeding and subsequent improvement of nutritional status of infants in their consumption of malnutrition this research was Health centers Boroujerd.
Methods: This study is a descriptive - analytical (cross) in mothers who are selected by systematic random sampling interviews with 400 mothers of knowledge about complementary feeding practice and its associated risk factors, was assessed with a questionnaire and using a statistical program spss chi-square test and data were analyzed.
Findings:The findings show that the majority of mothers had good knowledge (61%) the desired function (49%) about their complementary feeding. Between knowledge and practice of mothers about complementary feeding with such parent education, child age, birth order, source of information and communication are significant. If the age of the mother's job, with the area's job performance and knowledge in areas such relationship and the sex of the infant with a chi-square test of the relationship between knowledge and practice domains do not show.
Conclusion: Relatively strong correlation between the two domains of knowledge and practice is often mothers who have adequate knowledge about infant nutrition to show its good behavior.
http://aums.abzums.ac.ir/article-1-97-en.pdf
Complementary feeding; Infant; Knowledge; Practice
per
Alborz University of Medical sciences
Alborz University Medical Journal
2322-3839
2588-3046
2013-05
2
2
103
107
article
Investigation of Nitrate and Fluoride Concentration in Karaj Water Supply July to December 2012
A. Mohammadi Kalhori
1
M. Noori Sephr
2
M. Zarrabi
3
Ms. of Environmental Health Engineering, Department of Environmental Health Engineering, Alborz University of Medical Sciences, Karaj, Iran
Associated Professor, Department of Environmental Health Engineering, Alborz University of Medical Sciences, Karaj, Iran
Ms. of Environmental Health Engineering, Department of Environmental Health Engineering, Alborz University of Medical Sciences, Karaj, Iran
Background and Objectives: Fluoride is an essential element for human health body, since in standard levels, it prevents the tooth decay and then in maximium levels it leads to florsis. On the other hands, nitrate is another constitutes which is introduced to ground water resource due to release of industrial and municipal wastewater. The presence of nitrate in ground water well demonstrates the introduction of wastewater and lead to blue baby.
Material and Methods: In this work, concentration of nitrate and fluoride during 6 months was investigated in Karaj water supply system. The samples were taken monthly from 12 area of Karaj City. For each area, about 8 samples were taken. After sampling, concentration of nitrate and fluoride was measured and compared with available standards.
Results: The results reveal that maximum and minimum of nitrate was 32.53 and 4.11 mg/L, respectively. In addition, minimum level of fluoride was zero and maximum was measured to be as 0.72 mg/L. Based on results, nitrate concentration was bellow the available standards and therefore has no health risk to consumer. However, the fluoride concentration was below the permitted level for human being and therefore needs to establish fluoridation facility.
Conclusion: We can conclude that Karaj water supply system is suitable considering nitrate concentration but it need to establish a fluoridation facility to prevent dental disease.
http://aums.abzums.ac.ir/article-1-98-en.pdf
Drinking Water; Nitrate; Fluoride; Dental Caries
per
Alborz University of Medical sciences
Alborz University Medical Journal
2322-3839
2588-3046
2013-05
2
2
108
112
article
Study the Pattern of Unusual Attachments of Pronator Teres in Flexor Muscles Group of the Forearm
A.R. Shams
arshams_2000@yahoo.com
1
N. Abedpour
2
A.R. Darabi
3
M. Abbasi
4
PHD in Anatomy, Department of Anatomy, Alborz University of Medical Sciences, Karaj, Iran
Qazvin University of Medical Sciences, Qazvin, Iran
PHD in Anatomy, Arak University of Medical Sciences, Arak, Iran
PHD in Anatomy, Tehran University of Medical Sciences, Tehran, Iran
Background and Objectives: Study of the variations in the muscles, nerves and arteries formation and course is useful for the clinicians during surgery and for differential diagnosis of uncommon clinical conditions. As the arm and forearm are the point of formation of many body structures, variations are not uncommon but variations of Pronator teres (PT) are rare in literature. The role of PT is critical as one of the main flexors and pronators of the elbow joint. We present an unusual case of PT formation found during routine cadaveric dissection. PT is the most lateral muscle of the superficial group muscles of forearm. In pronation, it acts as a medial rotator of radius on ulna. PT has two origins, the humeral head, arises from the medial supracondylar ridge, and from the common flexor tendon which arises from the medial epicondyle of the humerus and the ulnar head which arises from the medial side of the coronoid process of the ulna. Median nerve crosses between these ends. The muscle passes obliquely across the forearm, and ends in a flat tendon, which is inserted at the middle of the lateral surface of the body of the radius.
Material and Methods: During routine dissection of a 60 year-old male preserved corpse, whom we had no information from previous diseases, variations were found in PT.
Results: There was an abnormal origin of PT and absence of its coronoid attachment. Due to its important relation with median nerve and brachial artery this variation may be important after probable trauma injuries. Furthermore there was a neural variance in this region as too early branching of anterior interosseus branch of median was seen.
Conclusion: It is concluded that PT variations may affect the function of upper limb. Knowledge of such variations is important to anatomists, radiologists, anesthesiologists and surgeons in evaluation of unexplained sensory and motor loss after trauma and surgical interventions to the upper limb. The presence of anatomical variations is often used to explain unexpected clinical signs and symptoms and for differential diagnosis of uncommon clinical conditions. In this study Clinical consideration of the present variations has been discussed. The present variation should be considered in the etiology of PT syndrome.
http://aums.abzums.ac.ir/article-1-99-en.pdf
Cadaver; Median nerve; Pronator teres; Anatomical Variation