Alborz University of Medical sciences
Alborz University Medical Journal
2322-3839
4
3
2015
8
1
Is There Any Benefit Adding Anticholinergics to Drug Regime of Patients with Benign Prostate Hyperplasia?
145
149
FA
A.
Mortazavi
Department of Urology, Zahedan University of Medical Sciences, Zahedan, Iran
F.
Fazeli
Department of Urology, Zahedan University of Medical Sciences, Zahedan, Iran
S.
Yousefnezhad
General Practitioner, Zahedan University of Medical Sciences, Zahedan, Iran
Aim: the efficacy and safety of combined therapy with anticholinergics and alpha blockers in comparison with alpha blockers monotherapy among patients with BPH. Methods: We conducted a single blinded RCT and 80 patients with BPH who referred to Ali-ebn-abitaleb, Zahedan were included. One group received 0.4 mg/d Tamsulosin in addition to Tolterodine and the other group received the same doses of Tamsulosin in addition to placebo. Both groups were evaluated before and 6 months after treatment with special attention to clinical symptoms, life quality improvement and treatment satisfaction. SPSS was applied for data analysis. Results: There is no significant difference between these two groups of patients’ demographics and basic indices such as PVR, PSA and the volume of prostate. IPSS was significantly improved among patients who received Toltrodine (p=0.0008) whereas both groups showed same score before treatment. Conclusion: It seems that combined therapy with anticholinergics and alpha blockers is a safe and efficient regimen among patients with BPH, either as primary or alternative treatment after the failure of conventional treatments.
Alborz University of Medical sciences
Alborz University Medical Journal
2322-3839
4
3
2015
8
1
Factors A Effecting Students Academic Achievement in the Alborz Medical Sciences Faculty of Medicine in 2012-2013
150
156
FA
H.
Avary
MA, Psychology, Alborz University of Medical Sciences, Karaj, Iran
Gh.A.
Najafi Parizi
Assistant Professor of Dental, Alborz University of Medical ,Karaj, Iran
K.
Kabir
Assistant Professor of Epidemiology, Alborz University of Medical Sciences ,Karaj, Iran
L.
Sadati
Tutor of Operating room, Alborz University of Medical Sciences, Karaj, Iran
M.
Kohan
Tutor of Operating room, Alborz University of Medical Sciences, Karaj, Iran
M.
Rahimzadeh Kivi
Assistant Professor of Biostatistics, Alborz University of Medical Sciences, Karaj ,Iran
Back ground: Academic achievement is influenced by several factors. these factors would seem to be necessary to achievement process and objectives. This study assessment factors affecting students academic achievement in the Alborz medical sciences School of Allied Medical Sciences in 2013-2014. Methods: This study is a cross- sectional analysis. 188 students participated with the inclusion and exclusion criteria. The researcher made questionnaire and (GHQ-28) was used. The collected data were analyzed using SPSS-16 software. Chi Square, Fisher ,Exact Independent t-tests and ANOVA, analysis of variance and Kruskal-Wallis test was used to analyze the data. Result: Of the 188 samples, 71 students were male (37.8%) and 117 females (62.2%), 91 students were studying Anesthesiology (48.4 %)and the others Operating room and 162 students were studying bachelor(86.2%) and the others were undergraduate batch(13.8%). The mean age was 22.45(7.56). The mean grade point average was 17/21(1.28).students were in good health(46.21%), average general health (42.35%) and low health (9.44%).Average score for the mental health of students participating in study were 22.00(10.31). Age, education, economic satisfaction, friends and classmates Cleans Regular attendance in practical courses were reported as the most influential factors. Conclusion: Many factor have influenced on the academic achievement. Detect these factors can help in the improvement of trend of academic purpose.
Alborz University of Medical sciences
Alborz University Medical Journal
2322-3839
4
3
2015
8
1
Factors Influencing Patterns of Antibiotic Prescribing in Primary Health Care Centers in the Savodjbolaq District During 2012-13: A Cross-Sectional Study
157
167
FA
Gh.
Karimi
MSc Student of Epidemiology, Faculty of Health, Student Research Center, Ilam University of Medical Sciences, Ilam, Iran
P.
Ahmadi
Pharmacist, Savodjbolaq Health care Network, Alborz University of Medical Sciences, Karaj, Iran
A.
Delpisheh
Associated Prof of Clinical Epidemiology, Research Center for Prevention of Psycho-social Injuries, Ilam University of Medical Sciences, Ilam, Iran
K.
Kabir
Assistant prof of Community Medicine, Social Medicine Department, School of Medicine ,Alborz University of Medical Sciences, Karaj, Iran
M.
Soleiman Fallah
Dentist, Savodjbolaq Health care Network, Alborz University of Medical Sciences, Karaj, Iran
Z.
Dadashi Ein Sheikh
General Practitioner, Savodjbolaq health center, Savodjbolaq Health care Network, Alborz University of Medical Sciences, Karaj, Iran
K.
Sayehmiri
Associated Prof of Biostatistics, Research Center for Prevention of Psycho-social Injuries, Ilam University of Medical Sciences, Ilam, Iran
E.
Abbaszadeh
BSc of Public Health, Savodjbolaq health center, Savodjbolaq Health care Network, Alborz University of Medical Sciences, Karaj, Iran
H.
Azizi
MSc Student of Epidemiology, Faculty of Health, Student Research Center, Ilam University of Medical Sciences, Ilam, Iran
Background and Objective: Inappropriate prescribing of antibiotics is one of the main reasons for antibiotic resistance in the world which has an increasing pressure and cost on health system and also household economy. The present study aimed to determine the pattern of antibiotic prescribing and related it,s factors in health centers.
Materials and Methods: In a cross-sectional design, 1068 random prescriptions of General Physicians (GPs) who work in Savodjbolaq Health Centers were studied. Variables included age, gender of patients and physicians, frequency of antibiotic prescribing, rate of combination therapy, methods of prescribing, type of patient’s insurance booklet and seasons. Statistical analysis was performed by SPSS version 18 software.
Results: More than half of prescriptions (56.8%) included at least one antibiotics. One in every four prescriptions had some sort of antibiotic combination therapy. According to the scientific criteria, 57.1% of antibiotics were prescribed inappropriately. among these criteria, the highest error belongs to doses per day with 67.72%. Frequency of antibiotic prescribing based on age, gender, type of patient’s insurance booklet, physicians experience, different seasons was significantly different (p<0.05).
Conclusions: Combination therapy and unscientific prescribing of antibiotics for youths are concern for public health and household economy. Review of protocols and methods of supervision, Changes in purchasing medical services, Design and implementation of operational and targeted educational interventions, Training physicians emphasizing on logical aspects of antibiotic prescription and prescribing skills, are recommended.
Alborz University of Medical sciences
Alborz University Medical Journal
2322-3839
4
3
2015
8
1
Effectiveness of Cognitive Behavioral Therapy on the Reduction of Pathological Symptoms of Posttraumatic Stress Disorder in Adolescents
168
175
FA
M.
Darharaj
M.Sc. in Clinical Psychology, Faculty of Education and Psychology, Kharazmi University, Karaj, Iran
A.R.
Moradi
Professor of Clinical Psychology, Faculty of Education and Psychology, Kharazmi University, Karaj, Iran
J.
Hasani
Associate Professor of Clinical Psychology, Faculty of Education and Psychology, Kharazmi University, Karaj, Iran
A.
Ghaednia Jahromi
M.Sc. in Clinical Psychology, Alborz University of Medical Sciences, Karaj, Iran
Background: This study aimed to investigate the effectiveness of Cognitive Behavior Therapy (CBT) on the reduction of the pathological symptoms of Posttraumatic Stress Disorder (PTSD) in adolescents. Methods: To do so, a total of 12 adolescents with PTSD were selected from one of the quake-stricken cities of eastern Azarbaijan, Heris, based on their scores in the Impact of Event Scale- Revised (IES-R) and the Structured Clinical Interview for DSM-IV (SCID) and divided into the experimental and control group randomly. The experimental group participated in 10-session CBT, while there was no intervention into the control group. The instruments included IES-R and the Multidimensional Anxiety Scale that were completed by the participants in pre-test, post-test, & follow-up. Results: Analyzing data with mixed ANOVA indicated that CBT has significant effects on the reduction of pathological symptoms of PTSD in all aspects. Conclusion: These results not only confirm the previous findings about CBT effectiveness on symptoms of PTSD, but also emphasize the importance of early interventions in crises to prevent the maintenance of the negative consequences of experiencing traumas, especially in young age groups.
Alborz University of Medical sciences
Alborz University Medical Journal
2322-3839
4
3
2015
8
1
Patient Satisfaction in the Emergency Department of Savodjbolaq Hospitals
176
183
FA
E.
Abdollahi
Public Health Expert of Savodjbolaq Health Network
S.
Farshi
Medical assistant at Tehran Health & Sciences University
N.
Hajian Motlaq
Psychiatrist. Bahonar Hospital, Karaj, Iran
S.
Abdollahi
Nursing Expert of Kermanshah Health & Sciences University, Kermanshah, Iran
Objective: Determination of patient satisfaction in the emergency department. Methods: Patient satisfaction in the emergency department was evaluated by a questionnaire in a descriptive analytic cross-sectional study. This questionnaire contained some questions about physician and nursing services, medical equipments, and physical environment of the emergency department. Satisfaction scores were converted to a binary score (unsatisfied and satisfied) and the association of this binary variable (satisfaction) with other demographic characteristics was measured in logistic regression model. Results: Patient satisfaction from acceptance portion and physical environment of the hospitals was moderate though from physician and nursing services was good. The correlation between satisfaction and willingness to return and also waiting time was statistically significant (OR= 1/81 CI 95% 1/10– 3/06, OR= 0/34 CI 95% 0/22– 0/74) on logistic regression analysis. The correlation between satisfaction and age, gender, refers' time and work shift did not significantly differ. Overall patient satisfaction in Hashtgerd hospital was significantly more than Nazarabad hospital (p<0/05). Conclusion: This study revealed that physician waiting times are an important factor in patient satisfaction. In present study, most of the patients were visited in less than 15 minutes and the presence of other more emergency cases were the most reason for delay in visiting times. These findings suggest that emergency department patient satisfaction improvement efforts should focus on a limited number of modifiable and easily measured factors.
Alborz University of Medical sciences
Alborz University Medical Journal
2322-3839
4
3
2015
8
1
Effect of Alkaline Water on the Lipid Profile in Wistar Rats
184
190
FA
Z.
Salemi
Associate Professor, Department of Biochemistry, Arak University of Medical Sciences, Arak, Iran
H.
Farahani
Laboratory scientist , Department of Biochemistry, Arak University of Medical Sciences, Arak, Iran
B.
Moradi
MA,Department of Microbiology, Scientific and Research Department of neutrons, Iran
R.
Sharif Moghadasi
Laboratory scientist , Department of Biochemistry, Arak University of Medical Sciences, Arak, Iran
Backgrounds: Alkaline water could be prepared through both electro-chemical and natural ways and previous studies have shown that alkaline water scavenges oxygen radicals in cell culture. It’s expected that alkaline water has positive and preventive effects on diseases related to stress oxidative like atherosclerosis and cardiovascular disease. In recent study, we showed the effects of alkaline water on serum lipid profile in wistar rats. Materials and Methods: In this study 32 male wistar rats weighing 250-200 g were used. Rats divided randomly into four groups, namely control group, alkaline group 1, alkaline group 2 by adding sodium bicarbonate, and acidic group by adding acetic acid to their drinking water. After 32 weeks, blood samples were obtained and lipid profile was measured in all groups, the data was analyzed with SPSS statistical software. Results: Relay on obtained results, cholesterol and triglyceride concentrations in alkaline water group1 and 2 to control group and LDL concentrations in alkaline water group1 have been reduced significantly (p<0.5). While LDL concentration in alkaline water group2 and HDL concentrations in alkaline water group1 and 2 to control group have not significant changes. Conclusion: Results of this study declare that daily administration of alkaline water can improve serum lipid profile and maybe reduced risk of oxidative stress diseases.
Alborz University of Medical sciences
Alborz University Medical Journal
2322-3839
4
3
2015
8
1
Determination Effective Dose of Radon 222 in the Packaged Drinking Water in Various age Groups Tehran, Iran
191
198
FA
A.H.
Mahvi
Assistant Professor Environment Health Engineering Department, Faculty of Health, Tehran University Medical Sciences, Tehran, Iran
K.
Dindarloo
Assistant Professor Social Determinants in Health Promotion Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
Y.
Fakhri
Lecturer Social Determinants in Health Promotion Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
Background: Radon 222 is a natural radioactive material with a half-life of 3.8 days, colorless and odorless. Consumption of water containing high concentration of Radon 222 leads to increase in the effective dose received in different age groups and following that increase in the prevalence of gastric cancer. Material and Methods: In this descriptive cross-sectional study, concentration of Radon 222 of 17 packaged widely-consumed water in Tehran city was measured by portable Radon detector RTM1688-2 model. Also the received effective dose by the group ages of adult men and women, children and infants was calculated through the provided equation of UNSCEAR. Results: The mean and range concentration of Radon 222 was 69.6±0.58 Bq/m3 and 0 – 458.6±5.3 Bq/m3, respectively. The received effective dose by the age groups of infants, children, adult men and women was 0009, 0.004, 0.006 and 0.008 mSv/y, respectively. Conclusion: The mean concentration of Radon 222 is lower than WHO and EPA standard limits. The arrangement of the received effective dose in different age groups is infants>adult men>adult women>children. The received effective doses of Radon 222 in all age groups especially infants and adult men was lower than the of 0.1 mSv/y standard limit.
Alborz University of Medical sciences
Alborz University Medical Journal
2322-3839
4
3
2015
8
1
A Review of Telemedicine in Pediatrics
199
208
FA
K.
Purrostami
Assistant Professor of Pediatrics, Alborz University of Medical Sciences, Karaj, Iran
H.
Avary
MA, Psychology, Alborz University of Medical Sciences, Karaj, Iran
Assistant Professor of Pediatrics, Alborz University of Medical Sciences, Karaj, Iran
Assistant Professor of Pediatrics, Alborz University of Medical Sciences, Karaj, Iran
Extending in science technology and communication changes a lot in life and society has become. Medical science does not exclude the use of this technology is always a step ahead. Health services in the field of information technology is growing increasingly. In fact, to apply information technology to provide remote treatment and training and access to health information and appropriate access to health services is called telemedicine. This service can be used in various medical fields such as pediatric assessment. It is obvious that the current state of all medical practitioners in all health centers and small towns is not possible. The use of telemedicine techniques can lead to reduced health care costs, travel health, mortality and life expectancy is increasing. And since most children are at risk for various diseases So care needs to be fast and timely use of remote method is effective in the treatment of children in care.