Mahmud Baghbanian, Hasan Salmanroghani, Mohadese Mofidi Naiini, Mohammadkazem Amirbeigy, Saaideh Rezvaninejad, Mohsen Akhondi, Hassanali Vahedian Ardakani,
Volume 25, Issue 12 (Feb 2018)
Abstract
Introduction: Most common causes of lower gastrointestinal bleeding (LGIB) in young patients are benign perianal lesions, but serious colorectal disease may be underlying etiology in this group. The aim of this study was identification of LGIB etiologies in the patients under 40 years old.
Materials: In this retrospective descriptive study, which has been done during 2012-2013, 333 young patients (less than 40 years old) with lower GIB referred to Endoscopy Ward of Yazd Shahid Sadoughi Hospital assessed by colonoscopy with or without histopathology.
Resultus: In this study, 57% of patients were males. Majority of them were between 30-40 years old. The most common presentation was hematochezia (49%) and the most common cause was internal hemorrhoid (17%). Other causes included: inflammatory bowel disease (15%), polyp (9%), infectious colitis (8%), anal fissure (6%), colon cancer (4%), solitary rectal ulcer (4%), vascular lesion (2%), aphtus lesion (1.1%), diverticulosis (0.6%) ,anal tuberculosis (0.3%) and normal colon (33%).
Considerable number of our cases had inflammatory bowel disease and malignancy. Seven patients had serious disease and simple anal disease simultaneously.
Conclusion: Significant portion of LGIB in the patients less than 40 years old are due to serious colorectal disease. So, careful approach and appropriate timing for colonoscopy is recommended
Khadijeh Dehghani, Marzieh Vahedian, Naiire Salmani,
Volume 27, Issue 6 (10-2019)
Abstract
Introdution: Newborn individualized developmental care and assessment program (NIDCAP) is emphasized. This study aimed to determining the barriers to implementation of NIDCAP from nurses' perspectives in neonatal intensive care units in Shahid Sadoughi Hospital in Yazd.
Methods: This descriptive study was conducted using a census sampling method. The samples were54 nurses working in the intensive care unit of Shahid Sadoughi and Afshar Hospitals in Yazd. Data were gathered using two questionnaires,( demographic and barrier assessment questionnaires) . Data analysis was performed in SPSS version 24 using descriptive statistics, Chi-square, independent t-test and fisher test.
Results: Results showed that in terms of mean and standard deviation, in the area barriers of sleep care, lack of skill (3.08± 1.28 ), In the area of pain and stress assessment management, lack of skill (2.86. ±1.31), in the area of activities of daily living and family-centered care, lack of effective communication with parents respectively (2.83 ± 1.39) and ( 2.86± 1.32), in the area of provision of healing environment, lack of standard light and sound in unit (2.76 ± 1.81) and in the area of organizational barriers, the disproportionate number of nurses to the patients (3.47±0.84) were identified as the most important barriers
Conclusion: Based on the findings, lack of skill, lack of effective communication with parents, lack of standard environment and disproportionate number of nurses and patients are the most important barriers to the implementation of NIDCAP in NICUs that managers need to plan appropriate design for addressing them.
Mehdi Shomali Ahmadabadi, Seyed Moazeddin Heidari Khormizi, Mohsen Zabihi, Ghasem Dastjerdi, Zahra Movahedian, Atefeh Barkhordari Ahmadabadi6,
Volume 31, Issue 2 (5-2023)
Abstract
Introduction: This study aimed to evaluate the effectiveness of combination therapy with sertraline and compassion-enriched act on depression, stress, and anxiety in opioid abuse patients treated with methadone compared to intervention based on compass-enriched acceptance and commitment treatment alone.Methods: This study was a clinical trial with a pre-test and post-test design. Forty people were selected by voluntary sampling method; after matching, they were divided into two groups with 15 participants. The first group received compassion-enriched acceptance and commitment treatment and the second group received combination therapy with compassion-enriched acceptance and commitment treatment and sertraline for 28 days. Patients were evaluated based on the Anxiety-Stress-Depression Questionnaire (DASS-21). Data were analyzed using SPSS version 16, multivariate analysis of covariance test at the level of 0.05.
Results: The results showed that both interventional methods effectively treat depression, stress, and anxiety (p<0.01), while the combined treatment of enriched acceptance and commitment treatment with compassion plus sertraline has the most significant effect on the studied parameters (p<0.01).
Conclusion: Acceptance and commitment treatment enriched with compassion plus drug therapy effectively reduces depression, stress, and anxiety in opioid addicts under methadone maintenance treatment and can be used as an effective method in the treatment of addiction.
Akbari Valiollah, Mostafa Vahedian, Parvin Rahmatinejad,
Volume 31, Issue 6 (9-2023)
Abstract
Introduction: Non-Suicidal Self-Injury (NSSI) has high prevalence among the patients with psychiatric disorders. Self-Injury plays an important role in the treatment, prognosis and risk of suicide, which highlights the need for an appropriate tool to assess the nature and psychological functions of NSSI. Therefore, the aim of this study was to determine the psychometric properties of the Persian version of the Ottawa Self-Injury inventory (OSI) in hospitalized patients.
Methods: The present study was a psychometric study based on analytical method. The research has been performed on 310 patients with non-suicidal self-injury who have been referred to Nekoei-Hedayati Hospital in Qom City. Sample group completed Persian version of the Ottawa Self-Injury inventory. Data were analyzed using SPSS-16 and Cronbach’s alpha coefficient, Content Validity Index (CVI) and Content Validity Ratio (CVR).
Results: The results showed that content validity index in this study was more than 0.75 and content validity ratio for validity of questions was more than 0.79. The impact score of all items (Except for the tenth question) was higher than 1.5 that confirmed the face validity of inventory. The total Cronbach's alpha coefficient was calculated 0.71. Another result of this study was that 52% of patients reported at least one addictive characteristic.
Conclusion: The finding showed that Persian version of Ottawa Self-Injury inventory has appropriate validity (face /content) and reliability in the inpatient population.
