2024-03-29T10:31:05+04:30
http://rjms.iums.ac.ir/browse.php?mag_id=129&slc_lang=en&sid=1
129-3423
2024-03-29
10.1002
Razi Journal of Medical Sciences
RJMS
2228-7043
2228-7051
2014
21
126
THE EFFECT OF PHYSICAL EXERCISE AND TRAINING ON SERUM LEPTIN LEVELS
fereshteh
shahidi
sajad
pirhadi
Background: Introduction of leptin, a product of the obese gene, recently has led to numerous
experiments to better understand body weight and composition function. Based on
these findings, leptin is proposed to be an important factor in energy balance
and metabolism to influence body weight. In addition, investigators have
reported contradictory findings about the influence of physical exercise under
various experimental conditions on leptin secretion regulation from adipose
tissue stores. Thus, this review has been focused on the conflicts in the
literature and the acute effect of various physical exercises on leptin and
leptin’s response to acute exercise and trainings. Methods: In this review, the studies that examined the influence of a
variety exercise on leptin and the complications in the literature are
summarized then the implication with physical exercise and training are
discussed. Results: The effect of physical exercise and training on leptin
concentrations is currently controversial. Several researchers revealed that
exercise may result in reductions depending on the duration and calorie
expenditure whereas others have reported no change in concentrations. Conclusions: This review appears that involving in physical exercise longer
than 60 minutes with a significant caloric agitation (>800 kcals) is
necessary for acute exercise to result in a significant reduction in leptin
concentrations in non-athletes.
Leptin
Obese
Physical exercise
Training
Aerobic exercise
Resistance exercise
2014
12
01
1
14
http://rjms.iums.ac.ir/article-1-3423-en.pdf
129-3424
2024-03-29
10.1002
Razi Journal of Medical Sciences
RJMS
2228-7043
2228-7051
2014
21
126
Catastrophic health expenditures and its determinants among households in Tehran in 2011 , Urban HEART-2 study
Asma
Sabermahani
Soraya
nooraee-motlagh
Mohamad
Vaeze Mahdavi
Mohamad
Hadian
Mohsen
Asadi-Lari
Growing in health care costs lead to increasing concern about
the economic impact of health costs on the family facing the disease. The aim
of this study was to investigate factors affecting the probability of
catastrophic expenditures exposure among households in Tehran. Methodology: The
main goal of research was understanding the factors affecting the probability
of catastrophic expenditures
exposure among households in Tehran using Econometrics Logit model. The
study considered all the areas of the Tehran city. The data were gathered with Urban Health Equity
Assessment and Response Tool
(Urban HEART) has been used in the research. Findings: In the year 2011 about 11 percent of people in Tehran have
been faced to catastrophic health costs. The results of Econometrics models show that
households with the number of members under 5 years or over 65 years,
unemployed or less educated head, or households with a chronic patient and
without insurance supports are more likely to face with catastrophic health
care costs. Conclusion:
This study showed that catastrophic health care
costs of the various groups and households had significant difference, of
course, clearly, with the performance of the health system transformation
project, changes have taken place in this important indicator and factors
affecting it, that requires a separate study and research
catastrophic health care costs
Urban HEART survey
Tehran
2014
12
01
15
26
http://rjms.iums.ac.ir/article-1-3424-en.pdf
129-3425
2024-03-29
10.1002
Razi Journal of Medical Sciences
RJMS
2228-7043
2228-7051
2014
21
126
The Effect of family physician program on health indicators in rural population of Qazvin province, 2004-2010.
Morteza
Mansourian
Babak
Rastgari Mehr
Zahra
Kalantari
Manochehr
Mahram
Maryam
Hosainzadeh Milani
Zahra
Shafieyan
Aziz
Rezapoor
Mostafa
Qorbani
Background: Health indicators are being used
in health planning and management. The aim
of this survey was to find effects of family physician program on health indicators
in Qazvin province. Methods: This study was a descriptive cross sectional study. Data were gathered
using a check list adopted from Zige
Hayati of Village Health House. A total of 864 Zige Hayati
from 108 villages between 2004 and 2010 were
studied. Data were analyzed by SPSS 11.5. Results: Results showed that family
physician program improved some indices include of under 5-year population percentage, the percentage of
women between 49-15 years old, crude birth
rate, TL, vasectomy and IUD, vaccine and also the percentage of
stillbirths and LBW. At the same time the indicators
of maternal deaths, deaths less than one month
and one year, the
percentage of births attended by trained person has had
a decline.
Conclusion: According
to this finding, family physician program improved health indicator. Because of
limitations of cross sectional study, other studies are suggested for more accurate evaluation by eliminating confounding variables
Family physician
Zige Hayati
Rural population
Qazvin
2014
12
01
27
32
http://rjms.iums.ac.ir/article-1-3425-en.pdf
129-3427
2024-03-29
10.1002
Razi Journal of Medical Sciences
RJMS
2228-7043
2228-7051
2014
21
126
The survey of sleep self-efficacy and perceived social support status in patients with poor sleep quality after coronary artery bypass surgery
Soheila
Ranjbaran
Tahereh
Dehdari
Mahmood
Mahmoodi Majdabadi
KHosro
Sadeghniiat-Haghighi
Background: Given the prevalence of sleep disorders among patients with heart disease and importance of recognizing determinants of it, the purpose of this study was to determine the status of sleep self-efficacy and perceived social support in patients with poor sleep quality after coronary bypass surgery in 2013.
Methods: This is a cross-sectional study. First, 100 patients whit poor sleep quality referred to the cardiac rehabilitation clinic of Tehran Heart Center were selected through simple sampling method and completed questionnaires of sleep self-efficacy and interpersonal support evaluation list–short form. Data were analyzed by the SPSS and one way-ANOVA, independent samples t test and Pearson correlation coefficient.
Results: The results indicated that sleep self-efficacy of patients for performing various sleep health promoting behaviors was low. For example, only 37% of patients were confident to themselves ability for turning out negative thoughts after lying in bed. Some 34% of them were confident that not allow a poor night's sleep interfere with daily activities. About 27% of them stated that awake after a poor night's sleep without feeling upset about it. The result also showed that acquired tangible assets support domain of patients was low. Other domains of social support were satisfactory. There was a significant relation between perceived social support and sleep self-efficacy (p=0.004, r= 0. 28).
Conclusion: In developing interventions for increasing sleep quality of patients may be increase their sleep self-efficacy to performing sleep health promoting behaviors.
Sleep quality
Coronary artery bypass surgery
Sleep self-efficacy
Social support
2014
12
01
33
42
http://rjms.iums.ac.ir/article-1-3427-en.pdf
129-3428
2024-03-29
10.1002
Razi Journal of Medical Sciences
RJMS
2228-7043
2228-7051
2014
21
126
The process of atrial fibrillation treatment in hospitals in Iran
Hamid Reza
Hatamabadi
Afshin
Amini
Hossein
Alimohammadi
Anita
Sabzghabaie
Anahita
Lashkari
Background: Lack of
attention to standardized guidelines has caused tragic outcome in patients with
atrial fibrillation and ultimately increase of financial burden imposed on the
community structure of the economic system. Therefore, the present study was
aimed to assess the exposure of patients with atrial fibrillation. Methods: A total of 506
patients with atrial fibrillation were evaluated. After setting the gold
standard (America Heart Association protocol) and data collection, kappa (κ)
coefficient was calculated for inter-rater reliability of the measures taken by
physicians with the gold standard. Results: The most
common procedure was the use of digoxin in controlling the rate prescribed.
Kappa coefficient obtained in this area with 0.12 (95% CI: 0.096-0.14), which was
in poor condition means that the measures provided by physicians was far from
the gold standard (p<0.0001). The kappa coefficient of anticoagulation
therapy was also equal to 0.07 (95% CI: 0.001-0.14). Hence, the consistency of
adopted procedure by physicians with the gold standard anticoagulation was low
(p=0.023). Conclusion: This study
showed that a large percentage of physicians are not aware of the standards of
care, and are using the old method. This may cause serious consequences and
increased disease burden on patients and the healthcare system of the country.
Atrial fibrillation
Treatment
Golden Standard
2014
12
01
43
54
http://rjms.iums.ac.ir/article-1-3428-en.pdf
129-3429
2024-03-29
10.1002
Razi Journal of Medical Sciences
RJMS
2228-7043
2228-7051
2014
21
126
Effects of educational intervention on promoting skin cancer preventive behaviors and its predisposing factors among female students in Yazd city: An application of some PRECEDE Model constructs
Haidar
Nadrian
Zohreh
Rahaee
Seyed Saeed
Mazloomy Mahmoodabad
Valee
Bahrevar
Zahra
KHajeh
Sarisa
Najafi
Azar
Tol
Background: Skin
cancer is the third prevalent cause of mortality and morbidity and the second
widespread cancer based on organ involvement in Yazd province. This study aimed
to assess the effects of educational intervention on promoting skin cancer
preventive behaviors of female students based on of some PRECEDE Model constructs. Methods: Semi-
experimental interventional study with 75 sample size in each group performing
random sampling from Yazd universities was implemented. Validity and reliability
of researcher made scales were approved. Questionnaires filled by participants
and data were analyzed. Based on problem and weakness of preventive skin cancer
and its predisposing factors adoption analysis was distinguished and
educational intervention planned and performed. Educational strategy was
compromised face to face and group discussion. After three months follow up,
data using descriptive and inferential statistics were analyzed. Significance
level was set less than 0.05. Results: Before
intervention, predisposing factors was in the moderate level (%56.6) [Knowledge
in moderate (%51.6), attitude relatively good (%66.1)] and preventive behavior
adoption was poor (%48). Knowledge with attitude and practice, also attitude
with practice had direct significant correlation. Knowledge and attitude as
predisposing factor accounted for 25.1% of the variation of skin cancer
preventive behavior changes with the attitude as the strongest predictor.
Conclusion: Based on more attitude power in predicting skin cancer preventing
behavior, more attention to attitude changes in order to prevent skin cancer
epidemic is suggested. It seems that The PRECEDE model is the effective model
in planning interventional programs to promote skin cancer preventive behaviors
Educational intervention
Skin cancer
Student
PRECEDE model
Predisposing Factors
attitude
2014
12
01
55
64
http://rjms.iums.ac.ir/article-1-3429-en.pdf
129-3430
2024-03-29
10.1002
Razi Journal of Medical Sciences
RJMS
2228-7043
2228-7051
2014
21
126
Comparison of vital exhaustion and type D personality in a patient with acute myocardial infarction and heart failure
Amir
Azizi
Mansour
Biram
Nasrin
Etemadifar
Negin
Peyda
Background: Considering roles of
social-psychological risk factors, behavior and unhealthy life etiology and
pathogenesis of cardiovascular diseases, this study explores vital exhaustion
and type D personality in patients with heart disease, acute myocardial
infarction and heart failure with normal individuals. Methods: In the is causal-comparative
study, 100 patients diagnosed with cardiovascular disease (50 patients with
heart failure and 50 with acute myocardial infarction) and 50 healthy
individuals matched with the patient groups were selected. The study instruments were Vital exhaustion
Maastricht questionnaire and Denollet
type D personality form. Multivariate analysis of variance was used for data analysis. Results: The findings showed that among
heart patients and normal subjects in terms of type D personality and its
components (social inhibition and negative affect) there were significant
differences in vital exhaustion. But no difference was observed between
patients with acute myocardial infarction and heart failure. Conclusion: Since vital exhaustion and type
D personality are from important risk factors for patients with heart disease, the
results of this study have important implications in the field of education and
health interventions to improve the quality of life of patients with
cardiovascular diseases.
Acute myocardial infarction
Heart failure
Vital exhaustion and Type D personality
2014
12
01
65
72
http://rjms.iums.ac.ir/article-1-3430-en.pdf
129-3431
2024-03-29
10.1002
Razi Journal of Medical Sciences
RJMS
2228-7043
2228-7051
2014
21
126
Comparison of Resiliency and depression in cardiac patients and normal people
Raziyeh
Etesami pour
Borzoo
Amirpour
Background: Long-term chronic diseases such as AIDS, cancer and heart
disease affect patients’ attitude, always create crises in individuals’ life.
The main purpose of this study was to compare the situation resiliency and
depression in cardiac patients with healthy People. Methods: During
a descriptive of causal–comparative study and using convenience sampling 106
cardiac patients (58 women and 48 men) were selected from Motahari Hospital in Jahrom
city in 2013. Also 102 healthy volunteers (52 females and 50 males) based on
demographic variables matched with the patient groups were selected. Beck
Depression Inventory and Resiliency
Scale and Connor Davison were administered to participants. Data
based on level of 95% were analyzed
using SPSS v.16. Finding:
Independent t-test revealed a significant increase in depression scores and
significant reduction in resiliency between people with heart disease and
normal samples (p<0.001). In
addition, analysis of variances revealed that women are better than men at resiliency
(p<0.003). The
education level was positively associated with resiliency in coping with the
diseases (p<0.011). Conclusion: resiliency plays mediating role in heart disease outset,
and its low levels are as a risk factor for people with cardiovascular disease.
Heart disease
Resiliency
Depression
2014
12
01
73
82
http://rjms.iums.ac.ir/article-1-3431-en.pdf
129-3432
2024-03-29
10.1002
Razi Journal of Medical Sciences
RJMS
2228-7043
2228-7051
2014
21
126
Pregnancy and Rheumatic diseases
Mozhdeh
Zabihiyeganeh
Pregnancy could be a challenge for physicians managing women with rheumatic diseases. Many of these diseases affect women of child-bearing age. Awareness of safe drugs, pregnancy effects on disease, and the effect of pregnancy are vitally important. For better results a group consisted of a gynecologist and internal physician should work together to these women. In general, active inflammation from rheumatic diseases immunosuppressant medications pose threat to health of both mother and fetus. In recent years availability of biologic therapies for treating resistant rheumatic diseases has created a great challenge concerning their safety during pregnancy and breastfeeding. During this study, we reviewed treatment of the most common rheumatic diseases including Rheumatoid Arthritis, Systemic Lupus Erythematous and Antiphospholipid syndrome. Prior, during and after pregnancy, the most relevant issues regarding medications will be discussed.
Pregnancy
Rheumatic diseases
Rheumatoid Arthritis
Systemic lupus erythematous
2014
12
01
83
90
http://rjms.iums.ac.ir/article-1-3432-en.pdf
129-3455
2024-03-29
10.1002
Razi Journal of Medical Sciences
RJMS
2228-7043
2228-7051
2014
21
126
Babak
Farzad
Hamid
Rajabi
Sadegh
Hasan-Nia
Reza
Gharakhanlou
Mohammad Reza
Dehkhoda
2014
12
01
91
94
http://rjms.iums.ac.ir/article-1-3455-en.pdf
129-3572
2024-03-29
10.1002
Razi Journal of Medical Sciences
RJMS
2228-7043
2228-7051
2014
21
126
Study of the effects of short- term REM sleep deprivation on neurogenesis and spatial memory of adult male rats
Ali
Naseri
Hasan
Ahahdi
Hasan
Ashayeri
Seyed Behnamedin
Jameie
Nour ali
Farokhi
Background: Sleep is a universal circadian biological rhythm which
is seen among all vertebrate and has two separate steps including REM and
Non-REM. Total or partial sleep deprivation would lead to cognitive
dysfunction. It seems that the cognitive dysfunction following sleep
deprivation is resulted from cellular changes in certain area involved in this
phenomenon. Regarding the role of hippocampus in cognitive dysfunction and
behavior and also the continuation of neurogenesis in this area, the present
research was designed to study the effects of short-term sleep deprivation on
neurogenesis in hippocampus and memory of adult male rats. Methods: Twenty four Wistar adult male rats were used in this
study. The animals randomly divided into three groups of trials and control.
Flower pot technique was used for REM-SD. To study spatial memory Morris Water
Maze was used. In order to evaluate
neurogenesis Brdu immunohistochemistry was used. Data were analyzed using SPSS
and the results presented in the form of Mean± SD, the p < 0.05 considered
as significant. Results: Short-term REM-SD led to significant decrease of
neurogenesis in hippocampus of trial groups comparing control group. We showed
that REM-SD significantly affected some certain parameters of memory in
REM-SD.
Conclusion:
Based on our findings it could be concluded that any cognitive dysfunction
following REM-SD might be related to cellular changes of brain certain area
that indirectly involve in sleep control and regulation
Neurogenesis
Hippocampus
Memory
REM-SD
2014
12
01
95
106
http://rjms.iums.ac.ir/article-1-3572-en.pdf