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BACKGROUND: Diabetes self-management education is necessary to improve patient outcomes and reduce diabetes-related complications. According to the theory of behavioral reasoning, the likelihood of performing a behavior is predicted by the link between beliefs, motivation, intention, and behavior. This study aimed to investigate the effect of an educational intervention based on the Behavioral Reasoning Theory (BRT) on self-management behaviors in patients with Type 2 Diabetes. METHODS: A randomized controlled trial based on BRT was conducted on 113 patients with type 2 diabetes, with a control group and an intervention group followed for 3and 6 months. Data were collected using a researcher-made demographic questionnaire based on the constructs of BRT and behaviors related to self-management in patients with type 2 diabetes. In the intervention group were provided, 8 sessions of diabetes self-management education based on BRT. The control group only received the usual training of the center. Data was analyzed using SPSS26 software. RESULTS: After the educational interventions in the intervention group, there were statistically significant changes observed in the mean scores of all constructs, fasting blood sugar, and glycosylated hemoglobin. On the other hand, no statistically significant change was observed in the mean grades of the control group. All the observed changes were significant at the 0.05 level. CONCLUSIONS: The results of this study were in favor of the effectiveness of an educational intervention that promotes diabetes self-management behaviors, using the principles of the behavioral reasoning theory. Which can be used in the design of health promotion programs for patients with diabetes. TRIAL REGISTRATION: Iranian Registry of Clinical Trials (IRCT), IRCT20131014015015N21.
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Diabetes Mellitus Tipo 2 , Educação de Pacientes como Assunto , Autogestão , Humanos , Diabetes Mellitus Tipo 2/terapia , Diabetes Mellitus Tipo 2/psicologia , Masculino , Feminino , Pessoa de Meia-Idade , Autogestão/educação , Educação de Pacientes como Assunto/métodos , Irã (Geográfico) , Adulto , Teoria Psicológica , Idoso , Inquéritos e Questionários , Comportamentos Relacionados com a SaúdeRESUMO
Despite the necessity of the study of therapeutic drug monitoring of clonazepam (CLZ), there are only a few fast detection methods available for determining CLZ in biological media. This study aims to develop a cost-effective and ratiometric probe for the quantification of CLZ in plasma samples. Fluorescent polydopamine nanoparticles were produced through a self-polymerization process at a pH of 8.5. Rhodamine B molecules were employed as a fluorescent reference material, emitting stable fluorescence in the visible range. The fabricated probe exhibited a specific detection capability for CLZ. The fluorescence emission of the probe was enhanced in two concentration ranges: from 50 ng/mL to 1.0 µg/mL and from 1.0 to 15.0 µg/mL with a lower limit of quantification of 50 ng/mL, indicating the sensitivity of the probe for detecting CLZ plasma levels. The accuracy of the probe is favorable which could be recommended for CLZ monitoring in the biological media. Furthermore, this probe is highly specific towards CLZ in the presence of various interfering agents which is mainly caused by its ratiometric nature. The developed platform showed high reliability in quantifying CLZ concentrations in patients' plasma samples. Hence, the fabricated probe could be recommended as a reliable method for the routine detection of CLZ in clinical settings.
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Clonazepam , Corantes Fluorescentes , Nanopartículas , Espectrometria de Fluorescência , Clonazepam/sangue , Clonazepam/química , Humanos , Nanopartículas/química , Corantes Fluorescentes/química , Espectrometria de Fluorescência/métodos , Polímeros/química , Rodaminas/química , Indóis/química , Indóis/sangue , Limite de Detecção , Monitoramento de Medicamentos/métodosRESUMO
AIM: This study aimed to determine factors associated with coping strategies used by nursing staff during the COVID-19 pandemic in Iran. DESIGN: Cross-sectional study. METHODS: A convenience sample of 365 nurses were selected from referral hospitals for COVID-19 patients in Tabriz, Iran between February 2022 and July 2022. An online self-administered questionnaire was distributed through social media platforms, including WhatsApp and Instagram. The survey package included a modified Brief COPE scale, socio-demographic and work-related questions, and a measure of psychological distress. Multiple regression analysis examined associated factors with coping strategies in SPSS. The study adhered to the STROBE guidelines for reporting. RESULTS: The mean age of participants was 31.2 (7.3) years old. Of the 365 participants, 209 (58.9%) used maladaptive coping strategies, and 214 (57.6%) reported experiencing psychological distress. Psychological distress was the strongest predictor of maladaptive coping strategies (ß = 4.473, p < 0.001). Female nurses (ß = 3.259, p < 0.05), nurses who were under 35 years of age (ß = 3.214, p < 0.05), nurses with fewer than ten years of experience (ß = 2.416, p < 0.001), those who worked in COVID-19 ICUs (ß = 4.321, p < 0.001), floor nurses (ß = 2.344, p < 0.001), and those who worked two or more years in COVID-19 settings (ß = 3.293, p < 0.001) had higher mean scores in maladaptive coping strategies. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contributions.
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COVID-19 , Angústia Psicológica , Testes Psicológicos , Autorrelato , Humanos , Feminino , Adulto , Estudos Transversais , Capacidades de Enfrentamento , Pandemias , DemografiaRESUMO
Background: Maternal anxiety has been accompanied by many unfavorable effects on breastfeeding in the postpartum period. We aimed to provide scientific evidence in identifying effective interventions for anxiety and breastfeeding self-efficacy (BSE) in a systematic review and meta-analysis. Methods: All published studies with inclusion criteria by 2022 were searched in Embase, Cochrane library, Web of Sciences, Google Scholar, PubMed, Scopus, SID and Magiran. The literature search was performed using PRISMA instructions. Further, 20 eligible interventional studies (RCT and pre-posttest) and one case study were included in this systematic review and meta-analysis. Publication bias was checked with Eggers test and funnel plot methods. The collected data were analyzed using stata version16. Results: It is not possible to provide an explicit and accurate conclusion about the effective intervention method in reducing anxiety and increasing BSE among lactating women during the covid19 pandemic. The results indicated a significant increase in BSE among lactating women after educational and psychological interventions (4.20, 95% CI: 3.61 to 4.80, I2 = 26.38%). Conclusion: It is recommended to conduct further studies with a strong methodology and based on intervention methods during the postpartum period, especially in the first month of birth to reduce the symptoms of stress and anxiety in the mother, establish better mother-child attachment, and improve BSE and maternal performance during the Covid-19 pandemic.
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A graphene oxide-based aerogel was synthesized and applied to the extraction and the determinations with the high-performance liquid chromatography-ultraviolet detector. After the characterization of the produced graphene-aerogel, it was utilized as a dispersive solid-phase extraction sorbent for risperidone extraction from plasma samples. Aerogels are materials with a large surface area-to-mass ratio and plenty of core with functional groups which can easily attach to the analytes to extract them to the second phase. The suggested method determined risperidone in plasma samples in the wide dynamic range from 20 ng/ml to 3 µg/ml. The limits of detection and quantification of the developed method were calculated as 2.4 and 8.2 ng/ml, respectively. As a novel feature, the developed method has no need to precipitate plasma proteins, improving the analytical performance of the analysis. Also, for the first time, the produced materials were utilized for the extraction of risperidone from the plasma samples. The obtained results revealed that the developed approach could be employed as an accurate method for the quantification of risperidone in real plasma samples.
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Grafite , Grafite/química , Risperidona , Extração em Fase Sólida/métodos , Cromatografia Líquida de Alta Pressão/métodosRESUMO
BACKGROUND: Maternal anxiety during pregnancy is sometimes considered a normal mechanism to overcome the mother's mental preoccupation with having a child. However, stress and anxiety might become a medical condition, becoming so severe as to affect the mother's mental health. Therefore, the present study aimed to investigate factors related to maternal anxiety during pregnancy in women referring to prenatal primary care centers in Tabriz. METHODS: The target population in the present cross-sectional study was the pregnant women referring to primary care centers affiliated with Tabriz University of Medical Sciences in 2018-2019 (n = 533). Sampling was carried out using the random cluster technique (separately for municipal centers). The data were collected using the study tools, including a questionnaire on demographic data, prenatal anxiety screening scale (PASS), and researcher-made questions on maternal anxiety during pregnancy. RESULTS: In the present study, 37.5% of pregnant women had anxiety. Of all the demographic and background variables, income (P = 0.015), a history of preterm delivery (P = 0.018), and unintended pregnancy (P = 0.022) were significantly related to anxiety. Of the variables of income, a history of preterm delivery, and unintended pregnancy in the regression model, the odds of anxiety were 41% lower in pregnant women with somewhat adequate income than those with inadequate income after correcting for other variables (P = 0.011). In addition, the variable of unintended pregnancy increased the odds of anxiety up to 49% after correcting for other variables (P = 0.023). CONCLUSION: The present study showed that income and unintended pregnancy significantly affect maternal anxiety during pregnancy. TRIAL REGISTRATION: The protocol of the study was approved by the Ethics Committee of Tabriz University of Medical Sciences under the code (IR.TBZMED.REC.1398.161).
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Nascimento Prematuro , Criança , Recém-Nascido , Gravidez , Feminino , Humanos , Estudos Transversais , Gestantes/psicologia , Ansiedade/epidemiologia , Atenção Primária à SaúdeRESUMO
BACKGROUND: Successful breastfeeding is related to the psychosocial conditions of the mother. Covid19 pandemic resulted in psychological consequences in women during postpartum period. Maternal anxiety and distress reduce the chances of exclusive breastfeeding. The present study aimed to investigate the effect of counseling with stress management approach on postpartum anxiety and distress and breastfeeding self-efficacy (BSE) during COVID-19 pandemic. METHOD: This randomized controlled clinical trial was conducted on 64 breastfeeding mothers referred to health care centers in Tabriz, Iran in 2021. Participants were assigned into the intervention and control groups in a ratio of 1: 1 using block randomization in a block size of 4 and 6. The intervention group participated in six individual 60-90 min sessions. Spielberger State-Trait Anxiety Inventory (STAI), postpartum distress (PMD), and BSE questionnaires were completed before and 4-week after the intervention by the control and intervention groups. Independent t-test and ANCOVA were used to compare the outcomes between two groups. RESULTS: According to the ANCOVA results by controlling the baseline values and after the intervention, the mean score of anxiety in the intervention group was lower than that in the control group [Adjusted Mean Difference (AMD): -13.82, 95%, confidence interval (CI): -12.35 to -15.29, (p < 0.001)]. Further, the mean score of postpartum distress after intervention was lower in the intervention group compared with that in the control group [AMD:5.31 95% CI: -3.00 to -7.37 (p < 0.001)]. After the intervention, the mean score of BSE in the intervention group was significantly higher than that in the control group [AMD: 25.57, 95% CI: 22.85 to 28.29 (p < 0.001)]. CONCLUSION: Stress management counseling can improve postpartum anxiety and distress and BSE and increase breastfeeding. However, more studies are needed for a definitive conclusion. TRIAL REGISTRATION: Iranian Registry of Clinical Trials (IRCT): IRCT20171007036615N6. Date of registration: 15/09/2021.
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Aleitamento Materno , COVID-19 , Feminino , Humanos , Aleitamento Materno/psicologia , Pandemias , Autoeficácia , Irã (Geográfico)/epidemiologia , COVID-19/prevenção & controle , Mães/psicologia , Período Pós-Parto , Ansiedade/prevenção & controle , AconselhamentoRESUMO
The effects of a sufficient amount of vitamins and nutrients on the proper function of the nervous system have always been regarded by scientists. In recent years, many studies have been done on controlling or improving the symptoms of neurological and behavioral disorders created by changes in the level of vitamins and other nutrition, such as omega-3 and iron supplements. Autism spectrum disorder (ASD) is a neurodevelopmental disorder that disrupts individual communication, especially in social interactions. Its symptoms include anxiety, violence, depression, self-injury, trouble with social contact and pervasive, stereotyped, and repetitive behavior. ASD is most noticeable in early childhood. Attention Deficit Hyperactivity Disorder (ADHD) is a lasting pattern of inattention with or without hyperactivity that causes functional disruption in daily life. ADHD symptoms included; impulsivity, hyperactivity, inattention, restlessness, talkativeness, excessive fidgeting in situations such as sitting, meetings, lectures, or at the movies, boredom, inability to make decisions, and procrastination. The exact etiology of ADHD has not yet been found, but several observations have assumed the reduced function of the brain leads to deficits in motor planning and cognitive processing. It has been shown that Pro-inflammatory cytokines and oxidative stress biomarkers could be increased in both ASD and ADHD. Several studies have been done to illustrate if vitamins and other dietary supplements are effective in treating and preventing ASD and ADHD. In this review, we aim to evaluate the effects of vitamins and other dietary supplements (e.g., melatonin, zinc supplements, magnesium supplements) on ASD and ADHD.
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Transtorno do Deficit de Atenção com Hiperatividade , Transtorno do Espectro Autista , Humanos , Pré-Escolar , Transtorno do Espectro Autista/diagnóstico , Transtorno do Deficit de Atenção com Hiperatividade/tratamento farmacológico , Transtorno do Deficit de Atenção com Hiperatividade/etiologia , Vitaminas/uso terapêutico , Encéfalo , Comportamento Impulsivo , Agitação PsicomotoraRESUMO
Major depressive disorder (MDD) is regarded as an inflammatory disorder. Gut microbiota dysbiosis, observed in both MDD and obesity, leads to endotoxemia and inflammatory status, eventually exacerbating depressive symptoms. Manipulation of gut microbiota by prebiotics might help alleviate depression. The present study aimed to investigate the effects of inulin supplementation on psychological outcomes and biomarkers of gut permeability, endotoxemia, inflammation, and brain-derived neurotrophic factor (BDNF) in women with obesity and depression on a calorie-restricted diet. In a double-blind randomised clinical trial, forty-five women with obesity and MDD were allocated to receive 10 g/d of either inulin or maltodextrin for 8 weeks; all the patients followed a healthy calorie restricted diet as well. Anthropometric measures, dietary intakes, depression, and serum levels of zonulin, lipopolysaccharide (LPS), inflammatory biomarkers (TNF-α, IL-10, monocyte chemoattractant protein-1, toll-like receptor-4 and high-sensitivity C-reactive protein), and BDNF were assessed at baseline and end of the study. Weight and Hamilton Depression Rating Scale (HDRS) scores decreased in both groups; between-group differences were non-significant by the end of study (P = 0·333 for body weight and P = 0·500 for HDRS). No between-group differences were observed for the other psychological outcomes and serum biomarkers (P > 0·05). In this short-term study, prebiotic supplementation had no significant beneficial effects on depressive symptoms, gut permeability, or inflammatory biomarkers in women with obesity and depression.
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Transtorno Depressivo Maior , Endotoxemia , Humanos , Feminino , Inulina/farmacologia , Inulina/uso terapêutico , Fator Neurotrófico Derivado do Encéfalo , Restrição Calórica , Depressão , Método Duplo-Cego , Biomarcadores , Prebióticos , Obesidade/complicaçõesRESUMO
BACKGROUND: Given the importance of screening pregnant women's distress, it was intended to investigate the psychometric properties of the Persian version of the Tilburg Pregnancy Distress Scale (TPDS-P) for screening pregnancy distress. METHODS: This methodological psychometric study was conducted with participation of 360 pregnant women. The TPDS was translated into Persian. Factor analysis was used to investigate the construct validity. The results of the correlation test between the results of the two questionnaires, Depression Anxiety Stress Scales-21 (DASS-21) and TPDS-P, were used to determine the criterion validity of TPDS-P. Internal consistency of the items was calculated by the Cronbach's alpha coefficient. Stability of the results was examined by test-retest method and Intra-class Correlation Coefficient (ICC) was calculated. Examining the structure of the factors derived from exploratory factor analysis, fitness of the model was done through confirmatory factor analysis. Statistical analysis was done using SPSS software. RESULTS: Kaiser-Meyer-Olkin (KMO) was 0.846 (p = 0.001). Sixteen items of TPDS-P accounted for 51.42 percent variances. The TPDS-P exhibited appropriate fitness. There was poor to moderate but significant direct correlation between the subscales of DASS-21 and TPDS-P. Cronbach's alpha coefficient of the TPDS-P was 0.81 and ICC was 0.70. CONCLUSIONS: TPDS-P, with appropriate validity and reliability, can be used as a practical scale to evaluate women's distress during pregnancy in Farsi-speaking societies.
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Gestantes/psicologia , Escalas de Graduação Psiquiátrica/normas , Angústia Psicológica , Estresse Psicológico/diagnóstico , Inquéritos e Questionários/normas , Adulto , Análise Fatorial , Feminino , Humanos , Irã (Geográfico) , Gravidez , Complicações na Gravidez/psicologia , Psicometria , Reprodutibilidade dos Testes , Traduções , Adulto JovemRESUMO
Aeroponically grown Physalis acutifolia afforded five new and six known withanolides including 10 physalins. The structures of the new withanolides, acutifolactone (1), 5ß,6ß-epoxyphysalin C (2), 5α-chloro-6ß-hydroxyphysalin C (3), and an inseparable mixture of 5ß,6ß-epoxy-2,3-dihydrophysalin F-3ß-O-sulfate (4) and 5ß,6ß-epoxy-2,3-dihydrophysalin C-3ß-O-sulfate (5), were elucidated by analysis of their spectroscopic data and chemical interconversions. The known withanolides were identified as physalins B (6), D (7), F (8), H (9), I (10), and U (11) by comparison of their spectroscopic data with those reported. Evaluation of 1-11 and the derivatives, 13 and 13a, obtained from 4 and 5 against a panel of four human cancer cell lines [NCI-H460 (non-small-cell lung), SF-268 (CNS glioma), PC-3 (prostate adenocarcinoma), and MCF-7 (breast adenocarcinoma)] and normal human lung fibroblast (WI-38) cells revealed that physalins 2, 3, 8, and 9 exhibited selective cytotoxic activity to at least one of the cancer cell lines tested compared to the normal cells and that 7, 10, and 11 were inactive up to a concentration of 10.0 µM. These data provided some preliminary structure-activity relationships and suggested that the mechanism of cytotoxic activity of physalins may differ from other classes of withanolides.
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Antineoplásicos Fitogênicos/farmacologia , Physalis/química , Vitanolídeos/farmacologia , Antineoplásicos Fitogênicos/isolamento & purificação , Arizona , Linhagem Celular Tumoral , Ensaios de Seleção de Medicamentos Antitumorais , Humanos , Estrutura Molecular , Compostos Fitoquímicos/isolamento & purificação , Compostos Fitoquímicos/farmacologia , Relação Estrutura-Atividade , Vitanolídeos/isolamento & purificaçãoRESUMO
BACKGROUND: Major depressive disorder (MDD) is a common psychiatric disorder, closely associated with obesity. This study aimed to assess the effects of prebiotics combined with calorie restriction on clinical and metabolic response in obese women with MDD. METHODS: In an 8-week double-blind placebo-controlled randomized clinical trial, 62 obese women with MDD were equally allocated into either prebiotic (10â g/day Inulin) or placebo (10â g/day Maltodextrin) group. In addition, all the participants were also prescribed a 25% calorie-restricted diet (registration ID: IRCT20100209003320N15). Depression was assessed by Hamilton depression rating scale (HDRS) and Beck depression inventory (BDI-II) pre- and post-intervention. Anthropometric measures, fasting serum levels of glucose, insulin and lipid profile were assessed, and dietary assessments were performed pre- and post-intervention. Insulin resistance was estimated by homeostasis model assessment of insulin resistance (HOMA-IR). RESULTS: 45 patients completed the trial. There were no significant between-group differences for MDD symptoms and other study outcomes, post-intervention. Weight, waist and hip circumferences, systolic blood pressure, and HDRS score significantly decreased in both groups, while fat mass and total cholesterol (TC) declined only in the prebiotic arm. Those who had ≥1.9â kg weight loss showed significantly improved HDRS score, compared to women with <1.9â kg weight reduction, irrespective of the supplement they took. CONCLUSION: Although prebiotic supplementation had some beneficial metabolic effects, calorie restriction and weight loss seem to play a more important role in improving depressive symptoms among obese women with MDD.
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Restrição Calórica , Transtorno Depressivo Maior/dietoterapia , Obesidade/dietoterapia , Prebióticos/administração & dosagem , Adulto , Transtorno Depressivo Maior/complicações , Transtorno Depressivo Maior/metabolismo , Método Duplo-Cego , Feminino , Humanos , Pessoa de Meia-Idade , Obesidade/complicações , Obesidade/metabolismo , Resultado do TratamentoRESUMO
BACKGROUND: The purpose of the present study was to determine psychometric properties of the Persian version of Postpartum Distress Measure Scale (PDM Scale). METHODS: In this psychometric explorative study, the data were collected using a questionnaire containing demographic information, PDM Scale, and Depression and Anxiety Stress Scale-21 (DASS-21). The content, face and construct validity of the questionnaire was examined with participation of ten experts, 10 and 150 women referring to health care centers, who were under common care during their postpartum period, respectively. The concurrent validity of the tool was evaluated using DASS-21. The reliability of the items was evaluated with the participation of 30 women, calculating Cronbach's alpha coefficient and intra-class correlation coefficient. RESULTS: The Content Validity Index, Content Validity Ratio and Impact Score of the Persian version of the PDM were 0.94, 0.73, and 2.97, respectively. The ten items of the questionnaire were loaded in two factors (general distress and obsessive compulsive symptoms subscale). Those two factors explained 50.78% of the total variance of women's distress. Internal consistency of the items and stability of the results were confirmed by Cronbach's alpha of 0.72 and Intra-class correlation coefficient of 0.75. CONCLUSION: According to the study results, the Persian version of PDM Scale has acceptable psychometric properties. Care providers and researchers can use it as a tool for screening anxiety, depression and obsessive-compulsive disorder in women.
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Transtornos de Ansiedade , Período Pós-Parto , Feminino , Humanos , Psicometria , Reprodutibilidade dos Testes , Inquéritos e QuestionáriosRESUMO
BACKGROUND & AIMS: Depression is a major debilitating health problem with high global prevalence. Gut microbiota dysbiosis might be implicated in pathophysiology of depression. Hence, probiotics, prebiotics and synbiotics (psychobiotics) have been administered in clinical trials in attempt to relieve depressive symptoms. This update systematic review aimed to evaluate the current body of research concerning the effects of psychobiotics on depression. METHODS: PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines were followed in this review. Search was performed in MEDLINE, ProQuest, EMBASE, PsycNET, and Scopus databases for randomized clinical trials which assessed the effects of psychobiotics on depressive symptoms among adults, and were published in English language, since inception until September 2018. RESULTS: Out of 3374 records screened, 32 articles met the study criteria; only seven studies reported significant anti-depressant effects of psychobiotics. Some probiotic strains showed beneficial effects on depressive symptoms; the results were inconsistent, though. Few studies investigated the effects of prebiotics or synbiotics on depression, and did not come up with much promising results The overall risk of bias was judged to be unclear across the included studies, and major confounding factors were not considered in their design. CONCLUSION: Since probiotics may affect depression in strain-specific manner, the current evidence is not sufficient to either support or decline anti-depressant effects of probiotics; results of studies on prebiotics and synbiotics are not conclusive, either. More well-designed studies with emphasis on specific probiotic strains, inter-individual gut microbiota variations, and depression subtypes are warranted. PROSPERO REGISTRATION NUMBER: CRD42018107356.
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Antidepressivos/uso terapêutico , Depressão/terapia , Prebióticos , Probióticos/uso terapêutico , Simbióticos , HumanosRESUMO
OBJECTIVES: This study aimed to identify coping strategies used by family caregivers of patients with schizophrenia and their determinants. METHODS: This was a descriptive correlational study. Participants were 225 family caregivers of patients with schizophrenia who were referred to the psychiatric clinic at one large teaching referral hospital in Iran. They were selected through purposive sampling method. Data collection tools were demographic and clinical data form, the Zarit Burden Interview (ZBI) and the Family Coping Questionnaire (FCQ). RESULTS: The score of caregiver burden was 65.14⯱â¯9.17. Of 225 family caregivers, 23.11% used an avoiding coping strategy. There was a significant relationship between caregiver burden and coping strategies (Pâ¯<â¯0.001). The regression model showed that adaptive coping strategies were significantly associated with some demographic characteristics including age, education level, gender, employment status, losing the job because of caregiving responsibilities, perceived income adequacy, duration of illness, duration of caregiving and caregiver burden (Pâ¯<â¯0.05). CONCLUSION: Family caregivers of patients with schizophrenia experience a high level of burden, which can put them at risk of using maladaptive coping strategies. Mental health professionals should plan programs that support both family caregivers and patients in clinical and community settings.
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Burn injuries are most certainly stressful events, particularly when permanent disfigurement is a result. This situation can lead to the onset of irrational beliefs which can in turn lead to long-term psychological problems such as depression, anxiety, shame, guilt, posttraumatic stress, etc. The objective of this study is to explore the irrational beliefs among burn patients and its correlates in an Iranian sample. This cross-sectional study included 329 patients who had experienced disfigurement, as result of burn injuries. In order to assess irrational beliefs, a Scale for Irrational Thoughts after Burning was used. To identify correlated variables with irrational beliefs, both bivariate and multivariate analysis methods were conducted. In multivariate linear regression, forward strategy was used for building the model. The results of bivariate analysis showed that the location of the burn on bodies (body parts generally exposed in social environment or parts culturally perceived as sensitive areas of body), marital status, urbanities, age group, geographical areas, etiology of burning, and intent of injury had significant relationships with irrational beliefs (P < .05). Using forward linear regression, gender, marital status, geographical areas, etiology of burning, body burn by location (body parts generally exposed in social environment or parts culturally perceived as sensitive areas of body), and intent of injury had significant correlation with irrational beliefs. The models predicted 15.5% (P < .001) of irrational beliefs. Considering to irrational beliefs and development of facilities for screening is necessary. Moreover, consultation with mental health experts after burn injuries is highly recommended.
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Transtornos de Ansiedade/epidemiologia , Queimaduras/diagnóstico , Queimaduras/epidemiologia , Transtorno Depressivo/epidemiologia , Sobreviventes/psicologia , Adaptação Psicológica , Adolescente , Adulto , Fatores Etários , Transtornos de Ansiedade/etiologia , Transtornos de Ansiedade/fisiopatologia , Imagem Corporal/psicologia , Queimaduras/terapia , Estudos Transversais , Cultura , Bases de Dados Factuais , Transtorno Depressivo/etiologia , Transtorno Depressivo/fisiopatologia , Feminino , Seguimentos , Hospitais Universitários , Humanos , Incidência , Escala de Gravidade do Ferimento , Irã (Geográfico) , Modelos Lineares , Masculino , Pessoa de Meia-Idade , Análise Multivariada , Medição de Risco , Fatores Sexuais , Transtornos de Estresse Pós-Traumáticos/epidemiologia , Transtornos de Estresse Pós-Traumáticos/etiologia , Adulto JovemRESUMO
This study aimed to examine the relationship of breastfeeding self-efficacy with self-esteem and general health. This cross-sectional study was conducted on 547 breastfeeding mothers in Falavarjan-Iran. Participants were selected randomly, and questionnaires of socio-demographic characteristics, breastfeeding self-efficacy, self esteem, and the GHQ-28 were completed through interview. The mean score (SD) of breastfeeding self-efficacy was 134.5 (13.3) from the score range of 33-165. The mean score of self-esteem was 5.89 (4.0) from - 10 to + 10 score range, and the mean score of general health was 19.7 (9.13) from the 0-84 score range. Self-esteem, general health and its dimensions showed a significant relationship with breastfeeding self-efficacy. According to the multivariate linear regression, physical symptoms, social dysfunction, age, education, spouse's job, economic status, duration of previous breastfeeding, and receiving breastfeeding education were related to breastfeeding self-efficacy. The results indicated that with an improvement in self-esteem and general health, breastfeeding self-efficacy escalates significantly.
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Aleitamento Materno/psicologia , Aleitamento Materno/estatística & dados numéricos , Mães/psicologia , Mães/estatística & dados numéricos , Autoimagem , Adolescente , Adulto , Estudos Transversais , Feminino , Humanos , Irã (Geográfico) , Serviços de Saúde Materna , Autoeficácia , Inquéritos e Questionários , Adulto JovemRESUMO
Laboratory studies were conducted to determine the effect of two prey species, Agonoscena pistaciae Burckhardt and Lauterer (Hemiptera: Aphalaridae) and Aphis gossypii Glover (Hemiptera: Aphididae) on the biology, reproduction, and food consumption indices of Coccinella septempunctata L. (Coleoptera: Coccinellidae). Both species of prey were readily consumed by C. septempunctata larvae and adults. The predator was able to successfully utilize the psylla prey for larval development, but failed to lay eggs when fed this prey. However, A. gossypii fully supported both development and reproduction of C. septempunctata. Dry mass of ingested food was similar on both diets for each larval instar. However, the dry mass gained during each stadium for C. septempunctata was significantly greater with A. gossypii prey. The aphid diet was superior to the psylla diet in terms of food conversion efficiency as larvae consumed aphids more efficiently than psyllas, regardless of the higher consumption index on the psylla prey. Our results confirm that the study of prey suitability for larvae and adult stages of predatory lady beetles should be studied separately.
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Afídeos , Besouros , Animais , Larva , Comportamento Predatório , ReproduçãoRESUMO
Pharmacological researches in the area of herbal medicine have considerably increased over the last two centuries. Echium amoenum (known as Gol-e-Gavzaban in Persian) is a medicinal plant that has been widely used in Iranian folk medicine. In this review, databases including PubMed, Scopus, and Google Scholar were searched up. Data collecting was completed by January 2019 and available scientific reports regarding the processing methods, main chemical constituents, and effects of E. amoenum on different neuropsychiatric disorders are summarized. Thirteen five studies met the inclusion criteria. According to results, the important phytochemicals of the plant was phenolic compounds, fatty acids, rosmarinic acid, anthocyanidins, and flavonoids. Also, experimental and clinical studies demonstrated the effectiveness of E. amoenum in the treatment of several neuropsychiatric disorders such as anxiety, depression, ischemic stroke, seizure, Alzheimer's disease, and pain. Many of these effects are, at least in part, due to its rosmarinic acid or polyphenolic compounds such as flavonoids and natural pigments such as anthocyanins. Also, fatty acids such as gamma-linolenic acid play critical role in neuroactive properties of this herb. Among these effects, only the antidepressant and anxiolytic properties of the plant extract have been examined both experimentally and clinically. There was some controversy over its toxicity effects. It seems that E. amoenum protects neurons via attenuation of oxidative stress and inflammation as well as blocking of apoptosis in the nervous system. However, more studies are necessary for assessing exact mechanisms of action in neuropsychiatric disorders, finding of bioactive ingredients, and processing methods of this plant.