2024-03-28T23:17:52+03:30 http://intjmi.com/browse.php?mag_id=35&slc_lang=en&sid=1
35-517 2024-03-28 10.1002
International Journal of Medical Investigation Int J Med Invest 2322-2913 2345-640x no 2020 9 3 An early Bayesian Network Meta-analysis of Coronavirus Diseases 2019 (COVID-19) clinical trials Farshid Javdani Mohammad Hashem Abdi Samaneh Abiri Marzieh Haghbeen Ahmad Rastgarian Mohammad Hasan Damshenas Pouyan Keshavarz Mohammad Amin Akbarnejad Naser Hatami Sayyed Reza Ahmadi Seyed Reza Habibzadeh Neema John Mehramiz Mahdi Foroughian Navid Kalani In this paper, we conducted a Bayesian Network Meta-analysis of the latest COVID-19 clinical trials including 5 studies on 591 patients receiving 4 different agents of Arbidol, Favipiravir, lopinavir- ritonavir, and Hydroxychloroquine and standard treatment protocol. We ranked the best agent based on patient improvement using Markov-Monte-Carlo-Chain. Hydroxychloroquine showed the best efficiency following the Favipiravir, Arbidol, lopinavir-ritonavir, and standard regimen in the first week of treatment. In the second week, with excluding Hydroxychloroquine arm (as some reporting studies hadn't addressed its efficacy in the second week), Favipiravir was the best treatment following by lopinavir-ritonavir, standard care, and Arbidol. As we saw a huge change in the ranking of the drugs by evaluating outcomes in the second week of treatment, we think that COVID-19 randomized clinical trials should be performed based on a standard study protocol worldwide, that could help  policy makers to make a decision on the treatment protocol. Network Meta-analysis Favipiravir SARS-CoV-2 COVID-19 lopinavir-ritonavir. 2020 10 01 1 4 http://intjmi.com/article-1-517-en.pdf
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International Journal of Medical Investigation Int J Med Invest 2322-2913 2345-640x no 2020 9 3 The Relationship between Preoperative Anxiety and Religious Beliefs in Patients in Peymaniyeh Hospital Ahmad Rastgarian Mohammad Sadegh Sanie Jahromi Abdol Ali Sepidkar Seyed Abdolali Mosavat Jahromy Nafiseh Esmaealpour Navid Kalani Mohammad Hasan Damshenas Introduction: Since the diseases affect the both body and mind along with anxiety, may be associated with poor treatment outcomes and prolonged recovery process and postoperative complications. So in this study we investigated The Relationship between preoperative anxiety and religious beliefs. Methods: This study is a cross-sectional descriptive study in which 209 patients admitted to hospitals affiliated to Jahrom University of Medical Sciences entered the study. The data collection tools in this study were the Spielberger Anxiety Questionnaire and the Religious Beliefs Questionnaire. Data analysis was performed using descriptive and analytic statistical tests at a significance level of P <0.05. Results: According to the results of the Pearson correlation coefficient between preoperative anxiety variables and religious beliefs in hospitalized patients in Jahrom's Peymaniyeh Hospital, it was observed that there was not any significant relationship between religious beliefs score and Trait anxiety (r=0.067, p = 0.396) and state anxiety (r=0.086, p=0.270). Conclusion: In the present study, there was no significant relationship between preoperative anxiety variables and religious beliefs in hospitalized patients, so it is recommended that further studies be conducted in this field. Preoperative Anxiety Surgery Religious Beliefs Hospital Patients 2020 10 01 5 16 http://intjmi.com/article-1-516-en.pdf
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International Journal of Medical Investigation Int J Med Invest 2322-2913 2345-640x no 2020 9 3 A model for predicting social competence from resilience by interpreting the mediating role of academic adjustment of medical students of Mazandaran Malihe Talebi Amrei Nastaran Sharifi Afsaneh Taheri Introduction: Developing social competence is considered as one of the best predictors of academic and social success as well as conducting behavior in the present and future. The aim of this research was to present a structural model with regards to relationship between resilience and social competence by interpreting the mediating role of academic adjustment. Methods: In terms of objective, this research is applied, and regarding the method, it is descriptive correlational. The statistical population consisted of all students studying at Mazandaran University of medical sciences in the second half of 2018-2019 academic year and first half of 2019-2020. Using proportionate stratified sampling method, a sample of 320 students was chosen. For data collection, Felner social competence, Conner and Davidson resilience (2003), and Baker and Seriak academic adjustment (1986) questionnaires were used. To determine the validity of the questionnaires, content validity and confirmatory factor analysis were used. Also, internal consistency of the questionnaires was obtained based on Cronbach alpha coefficients as 0.89, 0.83, and 0.94, respectively. In the descriptive statistics, mean and standard deviation were used. To examine the correlation, Pearson correlation coefficient, and for testing hypotheses, path analysis modeling method was used. Results: The results of Pearson correlation coefficient indicated that there is a significant relationship between resilience and academic adjustment (r=0.57), resilience and social competence (r=0.596), as well as academic adjustment and social competence (r=0.599). Also, the results obtained from path analysis indicated that the past coefficient between resilience and academic adjustment (t=0.33, ß =4.19), resilience and social competence (t=0.15, ß =2.12), and academic adjustment and social competence (t=4.38, ß =0.28) were confirmed to be significant. Conclusion: According to the results of research on resilience training interventions such as cognitive behavioral programming (CBT), mindfulness-based interventions are recommended to increase resilience. resilience social competence academic adjustment. 2020 10 01 17 36 http://intjmi.com/article-1-515-en.pdf
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International Journal of Medical Investigation Int J Med Invest 2322-2913 2345-640x no 2020 9 3 The relationship between mental disorders, emotional intelligence and criminal thinking Mostafa Abuozari Mina Mozhdehi Introduction: Mental disorder is a general term used for describing a wide range of psychiatric disorders which compromise a person’s ability for thinking, feeling and functioning properly in society. Mental disorder is a behavioral or psychological syndrome or pattern that appears in an individual and can bring hardship and disability with it, and he/she is usually reviewed as bizarre or annoying by other people. These disorders can manifest themselves as extreme rage, resentment, fear and confusion. Some mental disorders can easily affect professional and social life of the patient and leave him/her incapacitated. There is a relationship between mental disorders and emotions; emotions play a major role in the emergence of dysfunctional behaviors or mental disorders. Emotional dysregulation can threaten mental and psychological health of a person. The aim of the present study is assessing the relationship between mental disorders, emotional intelligence and criminal thinking (A case study of prisoners incarcerated in Yazd province). Methods: This is a correlational research. Statistical population was the whole prisoners incarcerated in Yazd province in 2019. Sample size was 147 prisoners whom were chosen via stratified-random sampling method. For research tools we used questionnaires presented in the following texts: Wong and Law emotional intelligence scale, symptom checklist (SCL-25) and Knight et al. an assessment for criminal thinking were uses. Statistical analysis was carried out using SPSS ver. 22 and Smart PLS. Pearson correlation coefficient, regression and path analysis tests were performed. Results: A negative correlation was found between emotional intelligence and mental disorders. A positive correlation was calculated between mental disorders and criminal thinking, and finally a negative correlation was found between emotional intelligence and criminal thinking. Emotional thinking was found to be an important mediator variable between mental disorders and criminal thinking. Conclusion: Based on the results, it is concluded that mental disorders and criminal thinking have influence on criminal behaviors of perpetrators. This result indicates that while studying the etiology of criminality, judicial authorities and law enforcement should consider cognitive impairments and problematic thinking styles as important factors. 2020 10 01 37 48 http://intjmi.com/article-1-514-en.pdf
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International Journal of Medical Investigation Int J Med Invest 2322-2913 2345-640x no 2020 9 3 Evaluation of prevalence of mesiodens in panoramic images of 6-12 years old children referred to Sari Dental School during 2013-2019 Haleh Hali Forouzan Farahbod Mahmood Moosazadeh Mehdi Azami Background and purpose:  Mesiodens are supernumerary tooth between the two central incisors. Mesiodens are usually responsible for eruption disturbances, midline diastema, crowding and finally root resorption of adjacent teeth. The aim of this study was to evaluate the prevalence of mesiodens in the panoramic images of 12-6-year-old children referred to Sari Dental School. Methods: This cross-sectional study evaluated all radiographs of 6-12 year-old children referred to pediatric department of Sari Dental School. Radiographic examination of mesiodensis included the presence and number of mesiodensis. Results: Mesiodensis was observed In 6 cases (0.6%) of the studied population. In each case only one mesiodens was observed and 5 of them male and only one was female. The difference in the prevalence of mesiodensis was statistically significant in both sexes (P-value =0.025) But there was no significant relationship between the prevalence of mesiodenes and age (P-value =0.444). Conclusion: Despite the low prevalence in this population, approximately 90% mesiodens has been associated with dental problems therefore early diagnosis and treatment is recommended. Supernumerary teeth Mesiodense Panoramic Radiography. 2020 10 01 49 56 http://intjmi.com/article-1-513-en.pdf
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International Journal of Medical Investigation Int J Med Invest 2322-2913 2345-640x no 2020 9 3 Comparison of hemoglobin and sodium levels after percutaneous nephrolithotomy by two methods of Prone and Supine under spinal anesthesia Reza Sahraie Fatemeh Eftekharian Navid Kalani Ahmad Rastgarian Introduction: Percutaneous nephrolithotomy (PCNL) is widely used as a minimally invasive procedure. On the other hand, during the PCNL surgery, there are many changes, especially in the electrolyte level. Bleeding can also be a complication of this procedure. This study aimed to compare two positions of supine and prone surgery effect on the amount of hemoglobin and sodium after surgery in the PCNL with spinal anesthesia. Methods: This study was a clinical trial on 200 patients in 4 groups (group A: 3 cc Marcaine 0.5% spinal in supine position, group B: 2 cc Marcaine 0.5% spinal + 20 micrograms fentanyl in Supine position, group C: 3 cc Marcaine 0.5% spinal in the prone position, group D: 2 cc Marcaine 0.5% spinal + 20 micrograms fentanyl in the prone position). The patient's heart rate and blood pressure before anesthesia and performing Spinal anesthesia, after anesthesia and 10 and 15 minutes later during the operation were recorded. Also, in recovery and after leaving the recovery room, these variables were recorded. The patient's hemoglobin and sodium levels were recorded before surgery and 24 hours after surgery. Data were analyzed using SPSS. Results: there was no significant difference between the two methods of supine and prone position with different doses of Marcaine in terms of sodium content before the change of position (p <0.05). However, there was a significant difference between the two methods of supine and prone position with different doses of Marcaine in terms of sodium level after the change of position (p <0.05). The highest amount of sodium was observed in group A and the lowest amount of sodium was observed in group B. Also, there was no significant difference between the amounts of hemoglobin between the groups. The highest mean systolic blood pressure was in the prone position followed by group D. the lowest mean systolic blood pressure was in the supine position and group A, after anesthesia. The heart rate between the two supine and prone position with different doses of Marcaine at different times had not any significant difference before the change of position until after recovery. Conclusion: The results of this study showed that there is no relationship between hemoglobin level, blood pressure, heart rate, and PCNL surgery position, but in the case of two methods of supine and prone position with different doses of Marcaine, sodium levels may have differences after a position change. So, monitoring of sodium levels is more important in PCNL surgery. Hemoglobin Sodium Prone Supine Kidney Stone. 2020 10 01 57 65 http://intjmi.com/article-1-512-en.pdf
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International Journal of Medical Investigation Int J Med Invest 2322-2913 2345-640x no 2020 9 3 A Study of Women\'s Beliefs toward the Breast Cancer Screening Methods Marzieh Haghbeen Ahmad Nazemifard Navid Kalani Mojtaba Ghaedi Abdol Ali Sepidkar Introduction: Early detection of breast cancer will have a significant impact on reducing mortality and increasing the women's quality of life. Given the important role of women's beliefs and performance toward educational and encouraging breast cancer screening programs, it is important to first determine their level of knowledge and beliefs. Methods: In this cross-sectional descriptive study, 312 women referring to Khatam al-Anbiya breast cancer Center of Jahrom city, south Iran, were studied between 2019-2020. Data collection was performed by a validated and reliable questionnaire. Data analysis was performed using SPSS software version 21. Results: The findings of this study showed that the mean and standard deviation of women's health belief scores in the field of mammography benefits was 11.91±3.7; 223 (71.47%) people had moderate health beliefs. In the field of breast self-examination benefits were 9.85±2.22; 254 (78.53%) people had moderate health beliefs. in the field of clinical examination benefits score was 6.09±3; 135 (43.27%) had poor health beliefs. People having higher education had a lower feeling of barriers toward the breast self-examination (B = - 0.851, p = 0.03). Also, health workers versus. Housekeeper women had the lowest score about the barriers of the self-examination (B = 0.663 P = 0.016). Conclusion: Although health belief was at a good level in most of the fields studied, the low rate of early detection behaviors indicates that there is a need for the implication of further studies to identify factors that increase the acceptance of breast cancer screening methods and these factors should be taken into account in Brest cancer screening programs. Health Belief Screening Breast Cancer. 2020 10 01 66 75 http://intjmi.com/article-1-511-en.pdf
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International Journal of Medical Investigation Int J Med Invest 2322-2913 2345-640x no 2020 9 3 Ascaris worm incidentally found during the appendectomy: A case report of Parasitic Appendicitis Mojtaba Ghaedi Amir Hossein Pourdavood Marzeieh Haghbeen Abdol Ali Sepidkar Mahdi Foroughian Mohammad Etezadpour Lohrasb Taheri Acute abdominal pain leads to many differential diagnoses, all of which make it difficult to put them together during a clinical examination. One of rare causes of abdominal pain is Ascaris worm infection that can have various manifestations. This study reports a patient with acute abdominal pain with intestinal ascariasis. A 30-year-old male patient with Right Lower Quadrant pain (RLQ) of the abdomen, nausea, and vomiting referred to the Emergency Department (ED). An incidental discovery of Ascaris worm with 25 cm length occurred after Appendectomy. Although the clinical signs of ascariasis are nonspecific, a complete history and careful examination, and especially attention to epidemiological considerations, are very effective in diagnosing the disease. It is also recommended that surgeons consider such etiologies in the mind, to search further in the intestinal tract to find the cause. 2020 10 01 76 80 http://intjmi.com/article-1-510-en.pdf