Mashhad Razavi Hospital Razavi Journal of Medicine 3115-753X 9 1 2021 03 01 Effect of Glucose-Insulin-Potassium infusion on systolic and diastolic functions in patients with chronic ischemic cardiomyopathy 1 6 118336 10.30483/rijm.2021.254163.1017 EN Baktash Bayani Saman Heart Clinic, Mashhad, Iran Cardiology department, Mehr Hospital, Mashhad, Iran and Saman Heart Clinic, Mashhad, Iran Mahtab Bayani Internal Medicine Department, Mehr Hospital, Mashhad, Iran Journal Article 2020 07 01 Background:Ischemic cardiomyopathy is accompanied with some degrees of decreased metabolism.So,a method to facilitate cellular absorption and use of glucose may promote myocardial function and viability .Glucose,Potassium.Insulin solution(GIK) has been used by some successful results in acute ischemic heart disease and decreases the extent of ischemic zone in myocardium and promote ventricular function. Method and Materials: 25 patients with ischemic cardiomyopathy(EF<40%)with stable clinical condition who referred to emergency department or clinic of cardiology were enrolled in our study.They were assessed by echocardiographic indexes before and after GIK administration to evaluate the effects of GIK on systolic and diastolic function of the heart in chronic ischemic cardiomyopathy. Results: Male to female ratio was 4:1 in our study. According to echocardiographic findings, left heart end diastolic indexes didn't show any significant statistical changes (p>0.005) but diastolic function of left ventricle were improved significantly after administration of GIK (p <0.005) .Despite there wasn't outstanding change on improvement of systolic left and right ventricular function (p>0.005), but because of metabolic improvements and increased in ventricular function after GIK administration, clinical symptoms were decreased. Conclusion: GIK solution administration(As an accessible and cost-effective agent) may improve ventricular diastolic function and clinical symptoms,so we suggest GIK as an effective therapeutic method in ischemic cardiomyopathy.

https://journal.razavihospital.ir/article_118336_faa99e32729f8855c86bd3b7b8adabd2.pdf

Mashhad Razavi Hospital Razavi Journal of Medicine 3115-753X 9 1 2021 03 01 Comparison of the Effect of Tranexamic Acid and Misoprostol on Blood Loss During and After Cesarean Section: A Randomized Clinical Trial 7 13 118337 10.30483/rijm.2021.249741.0 EN Seyed Saleh Tabatabaie Research Assistant, ENT-HNS Research Center,Hazrat-e- Rasool Hospital,Iran University of Medical Sciences, Tehran, Iran 0000-0001-5099-4013 Azin Alavi Assistant professor of obstructs and gynecology, Bandar abas Medical University of Medical Science, Hormozgan, Iran Marjan Bazaz Resident of gynecology and obstetrics, Bandar abas Medical University of Medical Science, Hormozgan, Iran Journal Article 2020 05 23 Background: One of the methods proposed for the reduction of blood loss during and after cesarean section is the use of such drugs as Tranexamic acid and Misoprostol. Therefore, the present study aimed to compare the effect of Tranexamic acid and Misoprostol on blood loss during and after cesarean section. Methods: This randomized clinical trial was performed in Dr. Ali Shariati and Persian Gulf Hospitals of Bandar Abbas, Iran, between 2015 and 2016. The study population included all candidates for the cesarean section. A total of 300 pregnant women aged 18-40 years with a gestational age of 37-42 weeks were included and assigned to three groups (n=100 in each group): Group A received tranexamic acid, group B received misoprostol, and group C received 200 cc normal saline. During cesarean section, all patients received 20 and 30 units of oxytocin, respectively. The level of blood loss during the operation was determined after measuring the whole blood volume suctioned after the removal of the placenta, as well as differences in the weight of bloody sterile pads and surgical sheets before and after the operation. Results: Based on the results, the mean scores of hemoglobin before the operation were obtained at 11.96±1, 11.62±1.21, and 12.28±1.26mg/dl in the Tranexamic acid group, the Misoprostol group, and the placebo group, respectively, demonstrating a statistically significant difference (P=0.001). Postoperative hemoglobin level was reduced about 1.02±0.35 (10.9±0.99 mg/dl) in the Tranexamic acid group, 1.19±0.52 (10.46±1.04 mg/dl) in the Misoprostol group, and 1.36±0.50 (10.93±1.34 mg/dl) in the placebo group. There was a significant difference among the three groups in the amount of blood loss during and the first two hours after the operation (P<0.001). According to the post-hoc test analysis, there were significant differences between the two groups (P<0.001). Conclusion: As evidenced by the obtained results, both medicines are effective in reducing the amount of blood loss during and after cesarean section; nonetheless, Misoprostol is more effective than Tranexamic acid.

https://journal.razavihospital.ir/article_118337_4358b34290de9fb2a4b9a1f99df07be2.pdf

Mashhad Razavi Hospital Razavi Journal of Medicine 3115-753X 9 1 2021 03 01 Comparison of the Effectiveness of Dialectical Behavior Therapy and CompassionFocused Therapy on Blood Cortisol and Serotonin Levels in Drug Abusers 14 20 118338 10.30483/rijm.2021.249763.0 EN Abbas Ghodrati Torbati Department of Nursing, School of Nursing and Midwifery, Torbat Heydariyeh Univercity of Medical Sciencees, Torbat Heydariyeh, Iran Ali Akbar Samari Assistant Professor, Department of Psychology, Kashmar Branch, Islamic Azad University, Kashmar, Iran Hoseyn Akbari Amarghan Assistant Professor, Department of Psychology, Quchan Branch, Islamic Azad University, Quchan, Iran Hamid Nejat Assistant Professor, Department of Psychology, Quchan Branch, Islamic Azad University, Quchan, Iran Hasan Toozandehjani Associate Professor, Department of Psychology, Neyshabur Branch, Islamic Azad University, Neyshabur, Iran Journal Article 2019 06 23 Background and Aims: This study aimed to compare the efficacy of dialectical behavioral therapy (DBT) and compassion-focused therapy (CFT) on the blood cortisol and serotonin levels in drug abusers. Materials: This quasi-experimental study was conducted based on a pretest-posttest control group design. The statistical population consisted of all male drug abusers who were referred to the Adult Drug Abuse Clinic of Torbat-e-Heydariyeh, Iran, during 2018. In total, 60 cases were selected through simple random sampling and subsequently divided into two experimental (DBT, CFT) and one control group. Afterward, the experimental group participated weekly in 90-min training sessions for 10 weeks. On the other hand, the control group was on the waiting list and received no training. Afterward, the data were collected using a demographic characteristic form, as well as in vitro serum test of cortisol and serotonin levels before and after the intervention. Eventually, the data were analyzed in SPPS software (version 24) using Multivariate analysis of covariance (MANCOVA). Results: The results of MANCOVA revealed that self-control and blood cortisol had a significant effect on post-test in both DBT and CFT groups (P<0.005). However, given the mean differences, CFT showed more significant effects on the blood cortisol and serotonin levels, compared to DBT. Conclusion: According to the findings, both DBT and CFT were effective in the reduction of cortisol and elevation of blood serotonin in drug abusers; however, CFT was more effective than DBT.

https://journal.razavihospital.ir/article_118338_b29422c55ce52e7181b51ff364d0f18b.pdf

Mashhad Razavi Hospital Razavi Journal of Medicine 3115-753X 9 1 2021 03 30 Factors affecting the social skills in the curriculum of mentally retarded students from the viewpoints of educational managers in Bushehr Province, Iran 21 26 118339 10.30483/rijm.2021.249706.0 EN Aghdas Safari Ph.D. student in General psychology, Bushehr Branch, Islamic Azad University, Bushehr,Iran Ezat Deyreh Assistant professor, Department of Psychology, Bushehr Branch, Islamic Azad University, Bushehr, Iran Journal Article 2020 09 15 Background: Due to considerable importance of education among children with intellectual disability, present study aimed at examination of effective factors on social skills curriculum among the students with mental retardation. Materials and methods: The statistical universe included all experts in organization of exceptional students’ education, all curriculum planning specialists in vocational high-school grade and all teachers of high-school mentally retarded students in Busher Province. Using Cochran’s formula, the statistical sample was selected through simple random sampling. A total number of 40 experts of exceptional students’ education, 80 curriculum planners and 93 teachers answered the questionnaire. The researcher-generated questionnaire was used for data collection. Results: The analyses suggest teachers’ belief on less suitability of vocational high-school curricula to social interests of such students, less individual self-sufficiency achievement among graduates and an insignificant role in vocational rehabilitation of mentally retarded students. Conclusion: More efforts should be taken to improve social interests and willingness, self-sufficiency and vocational rehabilitation of intellectual disabled children.

https://journal.razavihospital.ir/article_118339_5b0b55167543597b26b9da4c7412d70b.pdf

Mashhad Razavi Hospital Razavi Journal of Medicine 3115-753X 9 1 2021 03 30 Application of data mining techniques to present model of tourist’s health behavior analysis 27 31 118340 10.30483/rijm.2021.254183.1036 EN Masoumeh Sheikhhassan Student of information technology management, department of management, faculty of management and economics, Tehran Science and research branch, Islamic Azad University, Tehran, Iran branch, Islamic Azad University, Tehran, Iran Mehdi Sadeghzadeh Assistant professor of computer engineering, department of computer, faculty of electrical and computer engineering, Mahshahrbranch, Islamic Azad University, Mahshahr, Iran University, Mahshahr, Iran Mahdi Faghihi Assistant professor of information technology management, department of management, faculty of management and economics, Tehran Science and research branch, Islamic Azad University, Tehran, Iran Journal Article 2020 05 31 Background and Objectives: Today, increasing consumer desire for health tourism has led to a greater understanding of the behavioral patterns of tourists. It becomes clear that intervention in that process is necessary to achieve the desired results The development of tourism services at a specific time is essential for the target market and meeting the needs of tourists to succeed in the tourism market. Methodology: In this article, a Quantitative and qualitative method has been used. In the qualitative method, 50 people were interviewed and in the quantitative part, 156 questionnaires were distributed, and finally, its validity and reliability were examined. SmartPLS2 software has been used for modeling and data analysis. Results: After analyzing the data, the effective factors in tourists' decision to choose Iran as a health tourism destination were examined. By focusing on the obtained factors, the needs of health tourists can be met and more motivation can be created. Conclusion: In this article, the behavior of health tourists is analyzed and finally a model based on tourist behavior is designed to better manage capacity and meet the challenges and needs of tourists So that agencies can predict their future behavior based on the past behavior of tourists.

https://journal.razavihospital.ir/article_118340_a098e41f026d8a5deb0c243f4120a958.pdf

Mashhad Razavi Hospital Razavi Journal of Medicine 3115-753X 9 1 2021 03 30 Effectiveness of Schema Therapy in Social Anxiety, Rumination, and Psychological Well-Being among Depressed Patients Referred to Health Centers in Abadan, Iran 32 39 118341 10.30483/rijm.2021.254157.1012 EN Ahmadreza Varmazyar Department of Health Psychology, Khorramshahr- Persian Gulf International Branch, Islamic Azad University, Khorramshahr, Iran Behnam Makvandi Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran Naser Seraj Khorrami Department of Psychology, Dezful Branch, Islamic Azad University, Dezful, Iran Journal Article 2020 07 15 Background: Depression is a syndrome that includes many symptoms and can have a negative impact on a patient's life. The aim of this study was to investigate the effectiveness of schema therapy on social anxiety, rumination and psychological well-being in depressed patients. Methods: The research method was semi-experimental with pre-test, post-test, follow-up, and control group. The statistical population of this study included all patients with depression referred to Abadan Health Center in 2019. In this study, 30 patients with depression who wished to participate in the study were selected by convenient sampling method from among patients with research centers and were randomly assigned to experimental and control groups (each group consisted of 15 patients). The experimental group underwent schema therapy in 10 sessions of 90 minutes, but the control group did not receive any treatment. Data were collected using the Beck Depression Inventory, Social Anxiety Inventory, Rumination Questionnaire, and Psychological Well-Being Questionnaire. Data analysis was performed by repeated measure analysis of variance using SPSS software version 23. Results: The results showed that schema therapy was effective on rumination (P=0.034), social anxiety (P=0.004), and psychological well-being (P=0.022) in depressed patients. Conclusion: It can be concluded that schema therapy was effective on rumination, social anxiety, and psychological well-being in depressed patients.

https://journal.razavihospital.ir/article_118341_95967b423a7ca64f2127302481b55144.pdf

Mashhad Razavi Hospital Razavi Journal of Medicine 3115-753X 9 1 2021 03 30 Effectiveness of Acceptance and Commitment Therapy in Sleep Quality, Resil- ience, and Death Anxiety in the Elderly 40 46 118342 10.30483/rijm.2021.254167.1021 EN Bahman Hajatnia Department of Psychology, Kish International Branch, Islamic Azad University, Kish Island, Iran Biuok Tajeri Department of Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran Kobra Haji Alizadeh Associate Professor, Department of Psychology, Bandar Abbas Branch, Islamic Azad University, Bandar Abbas, Iran Journal Article 2020 07 02 Background: Aging currently has a major share of population composition. The aim of this study was to determine the effectiveness of acceptance and commitment therapy (ACT) on sleep quality, resilience, and death anxiety of the elderly. Methods: The research method was pre-test, post-test with two-month follow-up period with control group. The statistical population of this study included all elderly residents in nursing homes in Shiraz in 2019. The sample consisted of 30 people from the mentioned population who were selected by convenience sampling method and assigned to two groups of acceptance and commitment therapy (n=15), and control group (n=15) using simple randomization method. Data were collected using a resilience questionnaire (Conner-Davidson, 2003), Death Anxiety Scale (Collette-Lester, 1969), and Pittsburgh Sleep Quality Questionnaire. Data were analyzed using the repeated measure ANOVA, and the above statistical analysis was performed using SPSS.22 software. Results: The results showed that acceptance and commitment therapy was effective on improving sleep quality (p <0.001) and resilience (p <0.001) and death anxiety (p <0.001) in elderly people. Conclusion: It can be concluded that acceptance and commitment therapy was effective on improving sleep quality and resilience and death anxiety in elderly people.

https://journal.razavihospital.ir/article_118342_34fb8503013d127f9b5cbbd8ebeb1e0e.pdf

Mashhad Razavi Hospital Razavi Journal of Medicine 3115-753X 9 1 2021 03 30 Comparison of the effectiveness of acceptance and commitment-based therapy and compassion-focused therapy on the quality of life of mothers with gestational diabetes 47 56 118343 10.30483/rijm.2021.254151.1006 EN Parisa Khoraminejad Department of Psychology, UAE Branch, Islamic Azad University, Dubai, United Arab Emirates Javad Khalatbari Department of Psychology, Tonekabon Branch, Islamic Azad University, Tonekabon, Iran Mohammad Reza Seirafi Department of Psychology, Karaj Branch, Islamic Azad University, Alborz, Iran Journal Article 2020 08 09 Introduction: The aim of this study was to compare the effectiveness of acceptance and commitment-based therapy and compassion-focused therapy on the quality of life of mothers with gestational diabetes. Methods: The research method is quasi-experimental with pre-test-post-test-three-group follow-up. The statistical population of the study was all pregnant mothers who referred to Milad Hospital in Tehran in 2019, who were diagnosed with gestational diabetes. In order to form three groups using purposive sampling method (considering the inclusion and exit criteria), 45 patients were selected and then randomly divided into three groups of 15 (acceptance and commitment therapy, compassionate treatment and group Witness) were assigned. Forman and Herbert (2008) acceptance and commitment group training, and Gilbert (2007) self-compassion training were performed for the second experimental group. Also, a three-month follow-up phase was performed on all three groups. The research tool was the quality of life of the World Health Organization (1986). Data analyzed by repeated measure analysis of variance and spss.22. Results: The results showed that acceptance and commitment therapy and compassion-focused therapy had a significant effect on improving the quality of life in mothers with gestational diabetes (p <0.001). Conclusion: As a result, acceptance and commitment therapy has a greater impact on the quality of life of mothers with gestational diabetes than compassion-focused therapy.

https://journal.razavihospital.ir/article_118343_57dd0e845717b9dc072ff089f86f741e.pdf

Mashhad Razavi Hospital Razavi Journal of Medicine 3115-753X 9 1 2021 03 30 Effectiveness of Cognitive Behavioral Therapy and Rational Emotive Behavior Therapy in Reducing Social Anxiety among Overweight Adolescents 57 62 118344 10.30483/rijm.2021.254170.1023 EN Nazanin Habibi Department of Psychology, Kish International Branch, Islamic Azad University, Kish Island, Iran Saeedeh Bazzazian Department of Psychology, West Tehran Branch, Islamic Azad University, Tehran, Iran Hassan Ahadi Department of Psychology, Karaj Branch, Islamic Azad University, Alborz, Iran Journal Article 2020 04 04 Background and objective: In recent decades, emphasis on diet and thinness has been considered by all social and racial classes. This study aimed to compare the cognitive-behavioral approach's effectiveness and rational-emotional behavior therapy in reducing social anxiety in overweight adolescents. Methods: The research method was quasi-experimental with pre-test and post-test design with the control and two-month follow-up. The statistical population of this study consisted of male and female adolescents who had been referred to clinics in Tehran in 2019 with overweight and obesity problems, among whom 60 were selected by convenience sampling method. After selecting the subjects, they were randomly assigned to experimental and one control groups. Interventions in both groups were group therapy and consisted of eight sessions for 120 minutes. Data were obtained by social anxiety questionnaire and analyzed using repeated-measures ANOVA and SPSS.22 software. The significance level in this study was considered to be 0.05. Results: The results showed that cognitive-behavioral approaches and rational-emotional behavior therapy effectively reduced social anxiety in overweight adolescents (p <0.001). However, there was no significant difference between the effectiveness of cognitive-behavioral and rational emotional behavior therapy on social anxiety. Conclusion: It can be concluded that the cognitive-behavioral approach and rational-emotional behavior therapy can have positive effects on reducing social anxiety in adolescents.

https://journal.razavihospital.ir/article_118344_259ae3f80c53658df9cd5db0d5d2bdcb.pdf

Mashhad Razavi Hospital Razavi Journal of Medicine 3115-753X 9 1 2021 03 30 Effectiveness of Emotion-focused Therapy-based Enrichment Program on Psychological Well-being, Marital Relationship Quality and Marital Satisfaction in Mothers of Children with Specific Learning Disabilities 63 68 118345 10.30483/rijm.2021.249708.0 EN Ezat Deyreh Assistant professor, Department of Psychology, Bushehr Branch, Islamic Azad University, Bushehr, Iran Sara Asgarian PhD student in General psychology, Islamic Azad University, Bushehr Branch, Bushehr, Iran Journal Article 2020 07 23 Background: Since learning disability is a shortage in general educational skills and the mothers of children with such a defect should be aware of the skills to deal with incoming issues. Objectives: Present study aimed to investigate effectiveness of emotion -focused therapy-based enrichment program on psychological well-being, marital quality and marital satisfaction in mothers of children with specific learning disabilities. Methods: This study was a semi-experimental work with pretest-posttest design and control group. The statistical population included mothers of children with specific learning disability referring to Talas hClinic in District 1 of Tehran in 2017-2018. 30 mothers of children with specific learning disability were chosen as samples and randomly were divided into 2 groups (control and experimental). Initially, the pretest was conducted on the two groups. The experimental group was exposed to 8 sessions of emotion-focused therapybased enrichment program. Then, post-test was carried out. For data collection, Ryff’s psychological well-being scale, Revised Dyadic Adjustment Scale and Marital Satisfaction questionnaire were used. Data analysis was conducted using MANCOVA. Results: Statistical data analysis indicated positive effectiveness of the enrichment program on psychological well-being, and marital quality and satisfaction of experimental group compared to the controls (P<0/05). Conclusion: The enrichment program can be an efficient way to increase psychological well-being, and marital quality and satisfaction among mothers of children with specific learning disability.

https://journal.razavihospital.ir/article_118345_59e0b849c431806edbaac049ac0a77c3.pdf

Mashhad Razavi Hospital Razavi Journal of Medicine 3115-753X 9 1 2021 03 30 Right Coronary Artery to Superior Vena Cava Fistula Following CABG: A Very Rare Case Report 69 72 118346 10.30483/rijm.2021.249751.0 EN Hamid Hoseinikhah Assistant Professor, Department of Cardiac Surgery, Faculty of Medical Sciences, Mashhad University of Medical Sciences, Mashhad, Iran Mohammadreza Akbari General Physician, Faculty of Medical Sciences, Mashhad University of Medical Sciences, Mashhad, Iran Kambiz Alizadeh Assistant Professor, Department of Cardiac Surgery, Faculty of Medical Sciences, Mashhad University of Medical Sciences, Mashhad, Iran Kayhan Mizani Student Research Committee, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran Mahsa Moallemi Student Research Committee, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran Omid Javdanfar Resident of Cardiac Surgery, Department of Cardiac Surgery, Faculty of Medical Sciences, Mashhad University of Medical Sciences, Mashhad, Iran Mohammad Ali Roohi Gholkhatmi Nursing Anesthesia of Cardiovascular Surgery, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran Aliasghar Moeinipour Associated Professor, Department of Cardiac Surgery, Faculty of Medical Sciences, Mashhad University of Medical Sciences, Mashhad Journal Article 2020 05 21 Introduction : Although most coronary artery fistulas to the venous system are congenital, we present a case who was conservatively treated and developed an acquired post-coronary artery bypass grafting (CABG) fistula between the right coronary artery (RCA) and superior vena cava (SVC) that due to with allow-flow shunt and few symptoms. Case presentation: We report a 65-year-old man with a history of CABG 3 years ago presenting with chest pain. He developed a 3-vessel disease as well as a recent myocardial infarction with a reduced ejection fraction (25%). The case had chest discomfort since 2 months ago after discharge increasing by any physical activity. The consultant cardiologist decided to perform coronary angiography to assess the condition of the native coronary artery and coronary grafts. On coronary angiography, all of the grafts were patent; however, there was an abnormal communication between the proximal of native RCA and SVC that finally filled the right atrium. Conclusion: Clinically, although most coronary artery fistulas are silent and asymptomatic due to the limited size of the shunt, in some rare cases in which there is a large shunt and steal of coronary circulation, the symptoms and signs of ischemic heart disease appear that there are surgical and interventional options for closure of this abnormal communications.

https://journal.razavihospital.ir/article_118346_30d3aeebc6c22635a21f32e6ad355505.pdf