At the time of preoperative coronary angiography in 44 patients left ventricular angiograms immediately after high frequency stimulation and after administration of nitroglycerin were performed. For interpretation we used the shortening (in percentage) of 8 vertical semi-diameters and of longitudinal axis in biplane angiograms. The data found in 15 healthy persons were used for comparison. Looking at the rate of shortening after high frequency stimulation myocardial areas endangered by hypoxia could be unmasked. By giving nitroglycerin thereafter we were able to differentiate between reversibly and irreversibly damaged areas. In 7 patients this has already been proven by postoperative examination. In preoperatively reversibly damaged myocardial areas no hypokinesis could be observed any more after successful revascularization. In contrast there was no improvement seen in preoperatively irreversibly damaged areas in spite of graft patency. The described preoperative angiography-test allows: 1. to unmask myocardial areas endangered by hypoxia. 2. to differentiate preoperatively between reversibly and irreversibly damaged areas. 3. more precise indication as well as better control of the results of revascularization.
Introduction: Elderly people often have complex and unknown needs but we have not yet fully recognized them in accordance with international standards in our country.Therefore, the present study attempts to more accurately identify the types of fulfilled or unmet needs related to the health of the elderly in Sabzevar city using valid and specialized tools.Methods: This descriptive cross-sectional study was performed on 240 elderly people over 60 years old without any cognitive problems in Sabzevar city in 2019.They were selected by Stratified sampling from population areas of 6 health centers in the city.Data were collected by a questionnaire consisting of two parts demographic and need assessment based on Cambrol standardized instrument (CANE) and were analyzed by Stata v.14 and statistical methods. Results:The mean age of the study units was 68/1 ± 7/2.Based on the main findings of the study, the elderly with unmet needs ranked first in terms of benefits (23%), physical health (16%), medicine (15%), money / budget (14%), sight / hearing (10%), Daily activities (9.5%), nutrition (9%), mobility (9%), housekeeping (8%), caring for another (6%), mental comfort (5%) and They have savings (5%).On the other hand, the most fulfilled needs were medication (39%), physical illness (35%) and visual and hearing improvement (28%). Conclusions:The results of the present study showed that the most unmet needs of the elderly were physical and then social needs and environmental needs were the least priority for them.
Background: Depression is one of the most common psychological problems in diabetic patients. Peer support groups focusing on shared experiences may affect patients' minds. Aim: This study aimed to evaluate the effect of peer support groups on the level of depression in type 2 diabetic patients. Method: This randomized controlled clinical trial was conducted on 64 patients with type 2 diabetes in Sabzevar, Iran, during 2018. The level of depression was assessed before and six weeks after the intervention using the Beck Depression Inventory-II. The intervention group attended peer support group sessions, whereas the control group received training by a nurse at the diabetes center. The data were analyzed in STATA software (version 12) using repeated measures ANOVA. Results: According to the results, the mean ages of the patients were 51.7±9.2 and 51.5±8.5 years in the intervention and control groups, respectively. Moreover, the total depression scores in the intervention and control groups were obtained at 24.7±2.9 and 23.3±2.8, respectively. However, these values changed to 15.1±6.1 and 24.3±4.8 immediately after the intervention, as well as 15.8±6.1 and 24.7±4.3 six weeks later, in the intervention and control groups, respectively. The repeated measures ANOVA revealed a significant difference between these two groups in terms of the effect of the group (P<0.001), the effect of time (P<0.001), and mutual effect (P<0.001). Implications for Practice: Peer support group could decrease the level of depression in diabetic patients therefore, it is recommended that peer education be considered as a part of patients’ therapeutic program with the aim of reducing mental symptoms.
Background: Hyperbilirubinemia is considered one of the most prevalent problems in newborns. Phototherapy, exchange transfusion, and herbal medicine are common therapeutic approaches for preventing any neurologic damage in infants with neonatal jaundice. However, herbal medicine is less commonly used. Aim: This study aimed to investigate the effect of bilineaster drop on neonatal hyperbilirubinemia. Method: This study was a randomized clinical trial conducted on 98 term neonates (aged 2-14 days) with neonatal jaundice admitted to Ghaem Hospital of Mashhad, Iran, during 2015. These newborns were randomly assigned into intervention (phototherapy and bilineaster drop) and control (only phototherapy) groups. Total and direct serum bilirubin levels were measured at the time of admission and then 12, 24, 36, and 48 h after treatment. Data were analyzed using independent t-test and repeated measures ANOVA through Stata software (Version 12). Results: The mean ages of the newborns at the time of admission were 6.2 ±2.5 and 6.04 ±2.4 days in the intervention and control groups, respectively. The intervention group showed higher reduction in mean duration of hospital stay, readmission rate, and bilirubin levels 12 and 24 h after the intervention, compared to the control group (P>0.001). However, the two groups demonstrated no statistically significant difference 36 h and 48 h after the intervention (P=0.06, P=0.22, respectively). Repeated measures ANOVA indicated that the intervention had no significant effect on the reduction trend of bilirubin levels (P=0.10 [total], P=0.06 [indirect]) in both groups. Nonetheless, bilirubin levels significantly diminished in both groups over time (P<0.001). Implications for Practice: The results of this study demonstrated that the use of bilineaster drop along with phototherapy could cause a significant decrease in the levels of total and direct bilirubin; however, the intervention had no effect on the downward trend of bilirubin.
Investigating the Association between COVID-19 Prognosis and Demographic and Clinical Features, Underlying Diseases, and Drug and Supplement Use in Patients Hospitalized in Zabol, Iran: A Single-Center Retrospective Study
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