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1.
Phytother Res ; 38(5): 2234-2248, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38410857

RESUMO

Considering the main component of cardiovascular disease and due to the high prevalence of hypertension, controlling blood pressure is required in individuals with various health conditions. Randomized clinical trials (RCTs) which studied the effects of pomegranate consumption on blood pressure have shown inconsistent findings. As a result, we intended to assess the effects of pomegranate consumption on systolic (SBP) and diastolic (DBP) blood pressure in adults. Systematic literature searches up to January 2024 were carried out using electronic databases, including PubMed, Web of Science, and Scopus, to identify eligible RCTs assessing the effects of pomegranate on blood pressure as an outcome. All the individuals who took part in our research were adults who consumed pomegranate in different forms as part of the study intervention. Heterogeneity tests of the selected trials were performed using the I2 statistic. Random effects models were assessed based on the heterogeneity tests, and pooled data were determined as the weighted mean difference (WMD) with a 95% confidence interval (CI). Of 2315 records, 22 eligible RCTs were included in the current study. Our meta-analysis of the pooled findings showed that pomegranate consumption significantly reduced SBP (WMD: -7.87 mmHg; 95% CI: -10.34 to -5.39; p < 0.001) and DBP (WMD: -3.23 mmHg; 95% CI: -5.37 to -1.09; p = 0.003). Individuals with baseline SBP > 130 mmHg had a significantly greater reduction in SBP compared to individuals with baseline SBP < 130 mmHg. Also, there was a high level of heterogeneity among studies (SBP: I2 = 90.0% and DBP: I2 = 91.8%). Overall, the results demonstrated that pomegranate consumption lowered SBP and DBP in adults. Although our results suggest that pomegranate juice may be effective in reducing blood pressure in the pooled data, further high-quality studies are needed to demonstrate the clinical efficacy of pomegranate consumption.


Assuntos
Pressão Sanguínea , Hipertensão , Punica granatum , Humanos , Pressão Sanguínea/efeitos dos fármacos , Punica granatum/química , Adulto , Ensaios Clínicos Controlados Aleatórios como Assunto
2.
Mult Scler Relat Disord ; 83: 105454, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38306888

RESUMO

BACKGROUND: Multiple sclerosis (MS), as a demyelinating disease correlated with inflammation and oxidative stress, affects the central nervous system and causes a wide range of complications, including psychiatric disorders. Considering the anti-inflammatory and antioxidant properties associated with the bioactive components of saffron, such as crocin (trans-crocetin bis(ß-d-gentiobiosyl) ester), and their potential impact on ameliorating psychiatric symptoms, our study aimed to investigate the effect of crocin on biomarkers of inflammation, oxidative stress, and mental health, e.g., depression and anxiety in individuals with MS. METHOD: Patients with MS were randomized into two groups, taking either 15 mg crocin tablets twice a day (n = 25; 30 mg/day) or placebo tablets (n = 25) for 8 weeks. The valid and reliable Beck depression and anxiety scale questionnaire was recorded, and fasting blood samples were collected to measure biomarkers, including high-sensitivity C-reactive protein (hs-CRP), malondialdehyde (MDA), and nitric oxide (NO) at baseline and week 8 following the intervention. RESULTS: The data analysis using ANCOVA showed that supplementation with crocin for 8 weeks significantly lowered hs-CRP levels (p-value= 0.01). In addition, within-group comparisons showed crocin significantly decreased anxiety (p-value= 0.01). However, crocin did not affect serum MDA and NO after 8 weeks of intervention. CONCLUSION: Our findings suggest that crocin may keep promise in attenuating inflammation, evidenced by reducing hs-CRP in patients with MS. However, supplementation for 8 weeks may not be sufficient to improve mental health, and future clinical studies with higher sample sizes and various doses and durations are recommended.


Assuntos
Proteína C-Reativa , Carotenoides , Esclerose Múltipla , Humanos , Proteína C-Reativa/metabolismo , Esclerose Múltipla/complicações , Esclerose Múltipla/tratamento farmacológico , Método Duplo-Cego , Biomarcadores , Inflamação/tratamento farmacológico , Nível de Saúde , Suplementos Nutricionais
3.
Complement Ther Med ; 80: 103008, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38040096

RESUMO

BACKGROUND: We performed a systematic review and meta-analysis of all published clinical trial studies to provide a more accurate estimation of pomegranate effects on liver enzymes in different clinical conditions. METHODS: A systematic literature search was carried out using electronic databases, including PubMed, Web of Science, and Scopus, up to March 2023 to identify eligible randomized clinical trials (RCTs) evaluating the effect of pomegranate consumption on liver function enzymes. Heterogeneity tests of the selected trials were performed using the I2 statistic. Random effects models were assessed based on the heterogeneity tests, and pooled data were determined as the weighted mean difference with a 95% confidence interval. RESULTS: Out of 3811 records, 9 eligible RCTs were included in the current study. However, there are limitations in the included studies, which can be mentioned in the dose, duration, and type of interventions that are different among the studies, as well as the small number of included studies. All this causes heterogeneity among studies and this heterogeneity limits the consistency of the results. Our meta-analysis showed that pomegranate intake had a significant effect on lowering aspartate aminotransferase (AST) levels in long-term intervention (> 8 weeks), obese (BMI≥30) individuals, or patients with metabolic disorders. Furthermore, results showed a significant decrease in alanine aminotransferase (ALT) levels in the long-term intervention (> 8 weeks) or in patients with metabolic disorders following the pomegranate intake. Combined results from the random-effects model indicated a significant reduction in gamma-glutamyl transferase (GGT) levels (WMD: -5.43 IU/L 95% CI: -7.78 to -3.08; p < 0.001;) following the pomegranate intake. The results of Egger's test mentioned a significant publication bias for the trials examining the effect of pomegranate intake on AST (p = 0.007) and ALT (p = 0.036). CONCLUSION: Our results suggest that long-term pomegranate intake may be effective in ameliorating liver enzymes in adults with obesity and metabolic disorders who are more likely to have elevated baseline liver enzymes due to some degree of liver injury or tissue damage. However, some studies failed to conduct independent biochemical characterization of the product used, including the presence and quantity of polyphenols, antioxidants, and proanthocyanidins.


Assuntos
Hepatopatias , Doenças Metabólicas , Punica granatum , Adulto , Humanos , Alanina Transaminase , Fígado , Hepatopatias/tratamento farmacológico , Testes de Função Hepática
4.
Inflammopharmacology ; 31(5): 2283-2301, 2023 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-37507609

RESUMO

BACKGROUND: Several studies have shown the effects of pomegranate on oxidative stress and inflammation biomarkers, while some studies showed no effects of pomegranate on these biomarkers. Therefore, we aimed to evaluate the effects of pomegranate consumption on C-reactive protein (CRP), interlukin-6 (IL-6), tumor necrosis factor α (TNF-α), total antioxidant capacity (TAC), and malondialdehyde (MDA) in adults. METHODS: A systematic literature search was performed using databases, including PubMed, Web of Science, and Scopus, up to May 2023 to identify eligible randomized controlled trials (RCTs). Heterogeneity tests of the included trials were performed using the I2 statistic. Random effects models were assessed based on the heterogeneity tests, and pooled data were determined as the weighted mean difference with a 95% confidence interval. RESULTS: Of 3811 records, 33 eligible RCTs were included in the current study. Our meta-analysis of the pooled findings showed that pomegranate consumption significantly reduced CRP (WMD: -0.50 mg/l; 95% CI -0.79 to -0.20; p = 0.001), IL-6 (WMD: -1.24 ng/L 95% CI -1.95 to -0.54; p = 0.001), TNF-α (WMD: -1.96 pg/ml 95%CI -2.75 to -1.18; p < 0.001), and MDA (WMD: -0.34 nmol/ml 95%CI -0.42 to -0.25; p < 0.001). Pooled analysis of 13 trials revealed that pomegranate consumption led to a significant increase in TAC (WMD: 0.26 mmol/L 95%CI 0.03 to 0.49; p = 0.025). CONCLUSION: Overall, the results demonstrated that pomegranate consumption has beneficial effects on oxidative stress and inflammatory biomarkers in adults. Therefore, pomegranate can be consumed as an effective dietary approach to attenuate oxidative stress and inflammation in patients with cardiovascular diseases. PROSPERO REGISTRATION CODE: CRD42023406684.


Assuntos
Punica granatum , Adulto , Humanos , Punica granatum/metabolismo , Fator de Necrose Tumoral alfa/metabolismo , Interleucina-6/metabolismo , Biomarcadores/metabolismo , Proteína C-Reativa/metabolismo , Inflamação/tratamento farmacológico , Estresse Oxidativo , Antioxidantes/farmacologia , Antioxidantes/metabolismo , Suplementos Nutricionais
5.
Front Nutr ; 9: 1051418, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36532545

RESUMO

Objectives: Given the current controversy concerning the efficacy of omega 3 supplements at reducing inflammation, we evaluated the safety and efficacy of omega 3 on reducing inflammation in people with a 6-year lung cancer risk >1.5% and a C reactive protein (CRP) level >2 mg/L in a phase IIa cross-over study. Materials and methods: Forty-nine healthy participants ages 55 to 80, who were still smoking or had smoked in the past with ≥30 pack-years smoking history, living in British Columbia, Canada, were randomized in an open-label trial to receive 2.4 g eicosapentaenoic acid (EPA) + 1.2 g docosahexaenoic acid (DHA)/day for 6 months followed by observation for 6 months or observation for 6 months first and then active treatment for the next 6 months. Blood samples were collected over 1 year for measurement of plasma CRP, plasma and red blood cell (RBC) membrane levels of EPA, DHA and other fatty acids, Prostaglandin E2 (PGE2), Leukotriene B4 (LTB4) and an inflammatory marker panel. Results: Twenty one participants who began the trial within the active arm completed the trial while 20 participants who started in the control arm completed the study. Taking omega 3 resulted in a significant decrease in plasma CRP and PGE2 but not LTB4 levels. Importantly, the effect size for the primary outcome, CRP values, at the end of the intervention relative to baseline was medium (Cohen's d = 0.56). DHA, but not EPA levels in RBC membranes inversely correlated with PGE2 levels. Omega 3 also led to a significant reduction in granulocytes and an increase in lymphocytes. These high-dose omega 3 supplements were well tolerated, with only minor gastrointestinal symptoms in a subset of participants. Conclusion: Omega 3 fatty acids taken at 3.6 g/day significantly reduce systemic inflammation with negligible adverse health effects in people who smoke or have smoked and are at high risk of lung cancer.ClinicalTrials.gov, NCT number: NCT03936621.

6.
Heliyon ; 7(1): e06008, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-33495739

RESUMO

Recently, the novel coronavirus disease 2019 (COVID-19), has attracted the attention of scientists where it has a high mortality rate among older adults and individuals suffering from chronic diseases, such as chronic kidney diseases (CKD). It is important to elucidate molecular mechanisms by which COVID-19 affects the kidneys and accordingly develop proper nutritional and pharmacological strategies. Although numerous studies have recently recommended several approaches for the management of COVID-19 in CKD, its impact on patients with renal diseases remains the biggest challenge worldwide. In this paper, we review the most recent evidence regarding causality, potential nutritional supplements, therapeutic options, and management of COVID-19 infection in vulnerable individuals and patients with CKD. To date, there is no effective treatment for COVID-19-induced kidney dysfunction, and current treatments are yet limited to anti-inflammatory (e.g. ibuprofen) and anti-viral medications (e.g. Remdesivir, and Chloroquine/Hydroxychloroquine) that may increase the chance of treatment. In conclusion, the knowledge about kidney damage in COVID-19 is very limited, and this review improves our ability to introduce novel approaches for future clinical trials for this contiguous disease.

7.
Appl Physiol Nutr Metab ; 46(4): 309-317, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-32941737

RESUMO

The main objective of this study was to determine whether acute ingestion of a ketone monoester (KME) supplement impacted mixed-meal tolerance test (MMTT) glucose area under the curve (AUC). Nineteen healthy young volunteers (10 males/9 females; age, 24.7 ± 4.9 years; body mass index, 22.7 ± 2.4 kg/m2) participated in a double-blind, placebo-controlled crossover study. Following overnight fasting (≥10 h), participants consumed 0.45 mL/kg of a KME supplement or taste-matched placebo followed by an MMTT 15 min later. Blood samples were collected every 15-30 min over 2.5 h. KME supplementation acutely raised ß-hydroxybutyrate AUC (590%, P < 0.0001, d = 2.4) and resulted in decreases in blood glucose AUC (-9.4%, P = 0.03, d = 0.56) and nonesterified fatty acid (NEFA) AUC (-27.3%, P = 0.023, d = 0.68) compared with placebo. No differences were found for plasma insulin AUC (P = 0.70) or gastric emptying estimated by co-ingested acetaminophen AUC (P = 0.96) between ketone and placebo. Overall, results indicate that KME supplementation attenuates postprandial glycemic and NEFA responses when taken 15 min prior to a mixed meal in young healthy individuals. Future studies are warranted to investigate whether KME supplementation may benefit individuals with impaired glycemic control. Novelty: Acute ketone monoester supplementation 15 min prior to a mixed meal decreased postprandial glucose and NEFA levels without significantly impacting postprandial insulin or estimates of gastric emptying. Glucose- and NEFA-lowering effects of ketone monoester supplementation are apparently not mediated by changes in insulin release or gastric emptying.


Assuntos
Glicemia , Suplementos Nutricionais , Cetonas/administração & dosagem , Adulto , Estudos Cross-Over , Método Duplo-Cego , Ingestão de Alimentos , Ácidos Graxos não Esterificados/sangue , Feminino , Esvaziamento Gástrico , Humanos , Insulina/sangue , Masculino , Refeições , Período Pós-Prandial , Adulto Jovem
8.
Phytother Res ; 34(8): 1745-1760, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32157749

RESUMO

Curcumin is a naturally occurring nutraceutical compound with a number of therapeutic and biological activities such as antioxidant, anti-inflammatory, anti-diabetic, antitumor, and cardioprotective. This plant-derived chemical has demonstrated great potential in targeting various signaling pathways to exert its protective effects. Signal transducers and activator of transcription (STAT) is one of the molecular pathways involved in a variety of biological processes such as cell proliferation and cell apoptosis. Accumulating data demonstrates that the STAT pathway is an important target in treatment of a number of disorders, particularly cancer. Curcumin is capable of affecting STAT signaling pathway in induction of its therapeutic impacts. Curcumin is able to enhance the level of anti-inflammatory cytokines and improve inflammatory disorders such as colitis by targeting STAT signaling pathway. Furthermore, studies show that inhibition of JAK/STAT pathway by curcumin is involved in reduced migration and invasion of cancer cells. Curcumin normalizes the expression of JAK/STAT signaling pathway to exert anti-diabetic, renoprotective, and neuroprotective impacts. At the present review, we provide a comprehensive discussion about the effect of curcumin on JAK/STAT signaling pathway to direct further studies in this field.


Assuntos
Curcumina/uso terapêutico , Janus Quinases/metabolismo , Fatores de Transcrição STAT/metabolismo , Transdução de Sinais/efeitos dos fármacos , Produtos Biológicos , Curcumina/farmacologia , Humanos
9.
Phytother Res ; 34(4): 721-728, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-31972874

RESUMO

Effective management and treatment of cancer depend on developing novel antitumor drugs with the capability of targeting various molecular pathways. Identification and subsequent targeting of these pathways are of importance in cancer therapy. MicroRNAs (miRNAs) are small noncoding RNA molecules responsible for post-transcriptional regulation of genes. Notably, miRNAs participate in a number of biological processes such as proliferation, apoptosis, differentiation, and cell cycle regulation. So, any impairment in the expression and function of miRNAs is associated with development of disorders, particularly cancer. Naturally occurring nutraceutical compounds have attracted much attention due to their great antitumor activity. Among them, sulforaphane isolated from Brassica oleracea (broccoli) is of interest due to its therapeutic and biological activities such as antidiabetic, antioxidant, anti-inflammatory, hepatoprotection, and cardiprotection. Sulforaphane has demonstrated great antitumor activity and is able to significantly inhibit proliferation, viability, migration, malignancy, and epithelial-to-mesenchymal transition of cancer cells. These antitumor effects have widely been investigated, and it appears that there is a need for a precise review to demonstrate the molecular pathway that sulforaphane follows to exert its antitumor activity. At the present review, we focus on the modulatory impact of sulforaphane on miRNAs and exhibit that how various miRNAs in different cancers are regulated by sulforaphane.


Assuntos
Antineoplásicos Fitogênicos/farmacologia , Isotiocianatos/farmacologia , MicroRNAs/fisiologia , Neoplasias/tratamento farmacológico , Neoplasias/genética , Animais , Apoptose/efeitos dos fármacos , Apoptose/genética , Brassica/química , Transição Epitelial-Mesenquimal/efeitos dos fármacos , Transição Epitelial-Mesenquimal/genética , Regulação Neoplásica da Expressão Gênica/efeitos dos fármacos , Humanos , Isotiocianatos/isolamento & purificação , MicroRNAs/metabolismo , Neoplasias/patologia , Extratos Vegetais/farmacologia , Extratos Vegetais/uso terapêutico , Sulfóxidos
10.
Florence Nightingale J Nurs ; 28(3): 243-249, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34263203

RESUMO

AIM: This study was examined the prevalence of psychological symptoms in patients on dialysis and their relationship with spiritual well-being. METHOD: This descriptive study was conducted in Iran, and the sample consisted of 150 patients on hemodialysis. The data were collected using a checklist for demographic variables; Depression, Anxiety and Stress Scales 21; and Palutzian & Ellison Spiritual Well-being Scale. RESULTS: Among the 150 participants in this study, 57.3% were female, and the others were male. The mean age of the participants was 44.6 years. The mean scores of depression, anxiety, and stress in the studied patients were 17.3, 17.6, and 19.3, respectively. The mean of the total score of spiritual well-being was 75.02±9.1. The results showed that there was a reverse and significant correlation between the total score of spiritual well-being and the levels of stress (r= -0.265, p<0.001), anxiety (r= -0.243, p<0.003), and depression (r -0.281, p<0.001). CONCLUSION: Depression, anxiety, and stress were highly prevalent in patients undergoing hemodialysis; all three had a strong relationship with the patients' level of spiritual well-being. In other words, patients with higher levels of spiritual well-being showed lower psychological symptoms.

11.
J Relig Health ; 58(4): 1453-1461, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-28932973

RESUMO

The purpose of this study was to assess the effect of spiritual care on hopelessness and depression among suicide attempts. This semi-experimental study that 60 suicide attempts and these samples were divided in to two cases and control groups. For case group, service package of spiritual care was designed and conducted during their visits to psychiatrists' offices. Findings showed that there was a significant difference after performing spiritual care in depression in both groups (X2 = 22, P = 0.002) and their hopelessness (X2 = 20, P = 0.001). The use of spiritual intervention is suggested in order to implement holistic nursing care during treatment should be considered as a matter of principle.


Assuntos
Depressão/terapia , Transtornos do Humor/terapia , Terapias Espirituais/métodos , Espiritualidade , Tentativa de Suicídio/psicologia , Adulto , Estudos Transversais , Depressão/epidemiologia , Depressão/psicologia , Feminino , Humanos , Masculino , Transtornos do Humor/epidemiologia , Transtornos do Humor/psicologia , Escalas de Graduação Psiquiátrica , Autoimagem , Tentativa de Suicídio/estatística & dados numéricos , Adulto Jovem
12.
J Physiol ; 596(8): 1385-1395, 2018 04 15.
Artigo em Inglês | MEDLINE | ID: mdl-29446830

RESUMO

KEY POINTS: The recent development of exogenous ketone supplements allows direct testing of the metabolic effects of elevated blood ketones without the confounding influence of widespread changes experienced with ketogenic diets or prolonged fasting. In the present study, we determined the effect of (R)-3-hydroxybutyl (R)-3-hydroxybutyrate ketone monoester on the glycaemic response and insulin sensitivity index during a 2 h oral glucose tolerance test (OGTT) in humans. The results obtained show that consuming a ketone monoester supplement 30 min prior to an OGTT reduced the glycaemic response and markers of insulin sensitivity without affecting insulin secretion. The findings of the present study provides evidence that ketone supplements could have therapeutic potential for future application as a glucose-lowering nutritional supplement. ABSTRACT: The main objectives of the present study were: (i) to determine whether acute ingestion of ketone monoester (Kme ); (R)-3-hydroxybutyl (R)-3-hydroxybutyrate impacts plasma glucose levels during a standardized oral glucose tolerance test (OGTT) and (ii) to compare changes in insulin concentrations and estimates of insulin sensitivity after acute Kme supplementation. Twenty healthy participants (n = 10 males/females) aged between 18 and 35 years took part in a randomized cross-over study. After an overnight fast, participants consumed a Kme supplement (ΔG®; TΔS Ltd, UK, Oxford, UK; 0.45 ml kg-1 body weight) or placebo (water) 30 min before completing a 75 g OGTT. Blood samples were collected every 15-30 min over 2.5 h. The participants and study personnel performing the laboratory analyses were blinded to the study condition. Kme acutely raised blood d-beta-hydroxybutyrate (ß-OHB) to 3.2 ± 0.6 mm within 30 min with levels remaining elevated throughout the entire OGTT. Compared to placebo, Kme significantly decreased the glucose area under the curve (AUC; -17%, P = 0.001), non-esterified fatty acid AUC (-44%, P < 0.001) and C-peptide incremental AUC (P = 0.005), at the same time as improving oral glucose insulin sensitivity index by ∼11% (P = 0.001). In conclusion, a Kme supplement that acutely increased ß-OHB levels up to ∼3 mm attenuated the glycaemic response to an OGTT in healthy humans. The reduction in glycaemic response did not appear to be driven by an increase in insulin secretion, although it was accompanied by improved markers of insulin sensitivity. These results suggest that ketone monoester supplements could have therapeutic potential in the management and prevention of metabolic diseases.


Assuntos
Hidroxibutiratos/uso terapêutico , Hiperglicemia/prevenção & controle , Hipoglicemiantes/uso terapêutico , Resistência à Insulina , Adolescente , Adulto , Glicemia/metabolismo , Suplementos Nutricionais , Feminino , Humanos , Hidroxibutiratos/administração & dosagem , Hipoglicemiantes/administração & dosagem , Masculino
13.
J Evid Based Complementary Altern Med ; 22(1): 37-40, 2017 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-26865602

RESUMO

BACKGROUND AND AIM: Migraine is a common form of headache that affects patients quality of life negatively. In addition to pharmacologic treatment, there are a variety of nonpharmacologic treatments for migraine headache. In present study, we examined the effect of prayer on intensity of migraine pain. METHODS: In a prospective, randomized, controlled trial from October 2013 to June 2014, this study has been conducted in Kerman, Iran. We randomly assigned 92 patients in 2 groups to receive either 40 mg of propranolol twice a day for 2 month (group "A") or 40 mg of propranolol twice a day for 2 months with prayer (group "B"). At the beginning of study and 3 months after intervention, patients' pain was measured using the visual analogue scale. RESULTS: At the beginning of study and before intervention, the mean score of pain in patients in groups A and B were 5.7 ± 1.6 and 6.5 ± 1.9, respectively. According to results of independent t test, mean score of pain intensity at the beginning of study were similar between patients in 2 groups (P > .05). Three month after intervention, mean score of pain intensity decreased in patients in both groups. At this time, the mean scores of pain intensity were 5.4 ± 1.1 and 4.2 ± 2.3 in patients in groups A and B, respectively. This difference between groups was statistically significant (P < .001). CONCLUSIONS: The present study revealed that prayer can be used as a nonpharmacologic pain coping strategy in addition to pharmacologic intervention for this group of patients.


Assuntos
Cura pela Fé , Transtornos de Enxaqueca/terapia , Religião , Adulto , Feminino , Humanos , Irã (Geográfico) , Masculino , Propranolol/uso terapêutico , Vasodilatadores/uso terapêutico , Adulto Jovem
14.
Complement Ther Clin Pract ; 21(4): 229-32, 2015 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-26573448

RESUMO

BACKGROUND & AIM: Pain is a common experience for women during labor. In the present study, we compared the effect of two types of non-pharmacological pain relief methods "music therapy" and "Hoku point ice massage" on the severity of labor pain. METHODS: This prospective, randomized, controlled trial was conducted in Shahrekord, Iran, from September 2013 to June 2014. We randomly assigned 90 primiparous women who expected a normal childbirth into three groups: group "A" received music therapy, group "B" received Hoku point ice massage, and group "C" received usual labor care. At the beginning of the active phase (4 cm cervical dilation) and before and after each intervention (at dilations 4, 6, and 8 cm), the intensities of labor pain were measured using Visual Analogue Scale (VAS). RESULTS: At the beginning of the active phase, the mean VAS scores were 5.58 ± 1.29, 5.42 ± 1.31, and 6.13 ± 1.37 in the women in groups "A," "B," and "C," respectively (P > 0.05). After the intervention, the mean pain scores were significantly lower at all of the time points in groups "A" and "B" than in group "C" women (P < 0.05). Although the pain scores showed a more decreasing trend after the intervention in group "A" than that in group "B," the difference between the two groups was not statistically significant (P > 0.05). CONCLUSIONS: Music therapy and Hoku point ice massage are easily available and inexpensive methods and have a similar effect in relieving labor pain.


Assuntos
Crioterapia/métodos , Gelo , Dor do Parto/terapia , Musicoterapia/métodos , Adolescente , Adulto , Feminino , Humanos , Irã (Geográfico) , Medição da Dor , Gravidez , Estudos Prospectivos , Adulto Jovem
15.
Glob J Health Sci ; 6(3): 97-103, 2014 Feb 22.
Artigo em Inglês | MEDLINE | ID: mdl-24762351

RESUMO

BACKGROUND & AIM: Addiction leads to many problems which may adversely affect addicted people, their families and impose health care agencies with many challenges. This study aimed to examined quality of life (QoL), social desirability and their relationship among opium addicted persons in southeast of Iran. MATERIAL & METHODS: In a cross-sectional study conducted from September 2012 to January 2013, 123 addicted people were studied. Date collection tools were; checklist of demographic data, Iranian version of the 36-item short form QoL (SF-36) and Marlowe-Crowne Social Desirability Scale (MC-SDS). RESULTS: While mean score of QoL was 60.4±29.5, mean score of social desirability were 14.2±3.7. Low, moderate and high levels of social desirability were observed in 4.9%, 90.2% and 4.9% of participants, respectively. Pearson's correlation were not significant between mean score of social desirability and mean score of QoL (p=0.969, r=0.004). CONCLUSION: Addicted participants of present study showed a moderate level of QoL and social desirability, without any significant relationship between QoL and social desirability. Further research is suggested in addicts with social and cultural differences.


Assuntos
Relações Interpessoais , Transtornos Relacionados ao Uso de Opioides/epidemiologia , Ópio , Qualidade de Vida , Desejabilidade Social , Adulto , Estudos Transversais , Feminino , Nível de Saúde , Humanos , Irã (Geográfico)/epidemiologia , Masculino , Saúde Mental , Transtornos Relacionados ao Uso de Opioides/psicologia , Psicometria , Fatores Socioeconômicos
16.
Glob J Health Sci ; 7(2): 264-72, 2014 Nov 16.
Artigo em Inglês | MEDLINE | ID: mdl-25716384

RESUMO

BACKGROUND & OBJECTIVES: Nursing students provide health services and their behavior may affect the clinical services that they provide to clients. In addition, Health-promoting behaviors among nursing students may affect the quality of patient education. Therefore, the aim of this study was to determine the relationship between health-promoting behaviors and certain demographic characteristics of nursing students in Tehran. METHODS: This cross-sectional study was performed on 404 undergraduate nursing students (107 males and 297 females) of universities of Tehran who were selected through stratified random sampling procedure. The data collection tools were: demographic characteristics questionnaire and health-promoting lifestyle profile 2. This standard instrument has 6 subscales of nutrition, physical activity, spiritual growth, health responsibility, interpersonal relations, and stress management. In order to keep the weight of the expressions of the tool and subscale scores the mean were calculated. For this purpose, each expression was scored on a scale of 1 to 4. Internal consistency (Cronbach's Alpha) of this tool was a=0.86. Data was analyzed by using statistical tests of Chi Square, Independent T and ANOVA. RESULTS: According to the results, health-promoting behaviors among the students scored highly. The analysis of subscales of health-promoting lifestyle profile 2 showed that the highest mean belongs to the subscale of spiritual growth and the lowest mean belongs to the subscale of physical activity. The mean of health-promoting behaviors among married students was higher than among single students. Moreover, as students advanced through academic years, health responsibility increased and stress management reduced. DISCUSSION: Undoubtedly, physical activity and stress management have a significant role in personal health and occupational satisfaction of students, which consequently help them provide better services to clients. Therefore, considering the low scores of students in these sections, nursing education managers, policymakers and planners should pay attention to these problems.


Assuntos
Comportamentos Relacionados com a Saúde , Promoção da Saúde/métodos , Estudantes de Enfermagem/estatística & dados numéricos , Adulto , Análise de Variância , Atitude do Pessoal de Saúde , Estudos Transversais , Feminino , Humanos , Relações Interpessoais , Irã (Geográfico) , Estilo de Vida , Masculino , Atividade Motora , Espiritualidade , Estudantes de Enfermagem/psicologia , Inquéritos e Questionários , Universidades , Adulto Jovem
17.
Saudi Med J ; 33(2): 128-33, 2012 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-22327751

RESUMO

OBJECTIVE: To examine the effect of green tea extract on body weight, serum levels of glucose, and lipids in streptozotocin-induced diabetic rats. METHODS: This experimental study was carried out in the Diabetes Research Center, Ahvaz University of Medical Sciences, Ahvaz, Iran from January 2011 to March 2011. Forty-eight male wistar rats (200-250 g) were divided randomly into 6 groups. Diabetes was induced by a single intraperitoneal injection of stereptozotocin (55 mg/kg). The experimental groups received alcohol extract of green tea leaves (100 mg/kg and 200 mg/kg) for 4 weeks and the body weight of animals were measured every day. Finally, blood samples were collected and analyzed for glucose and lipid profile levels. RESULTS: Administration of green tea extract caused a significant decrease in serum glucose and total cholesterol levels and significantly improved the body weight loss in diabetic rats treated with 200 mg/kg green tea in comparison to diabetic control group. No significant changes were observed in triglyceride (p=0.04), low-density-lipoprotein cholesterol (p=0.000), and high-density-lipoprotein cholesterol levels (p=0.01) following intervention. CONCLUSION: It appears that green tea extract had both antihyperglycemic and hypocholesterolmic effects in diabetic rats, although further work is needed to determine their mechanism.


Assuntos
Glicemia/efeitos dos fármacos , Peso Corporal/efeitos dos fármacos , Camellia sinensis , Diabetes Mellitus Experimental/tratamento farmacológico , Lipoproteínas/efeitos dos fármacos , Fitoterapia , Extratos Vegetais/uso terapêutico , Chá , Animais , Lipoproteínas/sangue , Lipoproteínas HDL/efeitos dos fármacos , Lipoproteínas LDL/efeitos dos fármacos , Masculino , Extratos Vegetais/farmacologia , Ratos , Ratos Wistar , Triglicerídeos/sangue
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