Effect of Supportive Nursing Care on Self Esteem of Patients Receiving Electroconvulsive Therapy: A Randomized Controlled Clinical Trial

Introduction: Self-esteem is an important potential indicator in etiology, diagnosis and treatment of patients with severe mental illness. ECT is a popular treatment for these patients that can effect on their self-esteem and reinforce their problems. The purpose of this study is to determine the effect of supportive nursing care in increasing self esteem of patients receiving ECT. Methods: This clinical trial was conducted in the Baharan psychiatric hospital of Zahedan. A total of 70 cases of patients who received ECT were randomly allocated to control (n=35) and intervention (n=35) groups. The data were collected by demographic characteristics questionnaire and Rosenberg Self Esteem Scale (RSES). Intervention group received the supportive nursing care. The control group received only routine treatment. Self esteem level was measured and compared before and after intervention for two groups. The data was analyzed by SPSS using the χ2, t-test and ANCOVA. Results: Results showed that both groups were homogeneous on the socio- demographic characteristics. The mean self esteem in the intervention group compared with the control group was significantly increased. While controlling the effects of individual and social variables, the result shows significant differences between two groups in the mean scores of self esteem after the intervention.Conclusion: The results suggest that supportive nursing care can have positive effect on self esteem of patients receiving ECT. It is recommended to use this method for increasing self esteem of these patients

Simulated Tornado Optimization

We propose a swarm-based optimization algorithm inspired by air currents of a tornado. Two main air currents - spiral and updraft - are mimicked. Spiral motion is designed for exploration of new search areas and updraft movements is deployed for exploitation of a promising candidate solution. Assignment of just one search direction to each particle at each iteration, leads to low computational complexity of the proposed algorithm respect to the conventional algorithms. Regardless of the step size parameters, the only parameter of the proposed algorithm, called tornado diameter, can be efficiently adjusted by randomization. Numerical results over six different benchmark cost functions indicate comparable and, in some cases, better performance of the proposed algorithm respect to some other metaheuristics.Comment: 6 pages, 15 figures, 1 table, IEEE International Conference on Signal Processing and Intelligent System (ICSPIS16), Dec. 201

Evaluation of the Effects of Charged Amino Acids on Uncontrolled Seizures

Introduction. Epilepsy is one of themost common diseases of the central nervous system.Theprevalence of epilepsy throughout the world is 0.5 to 1%, and the same rate is 7.8 per 1000 in Kerman. Almost 20 to 30% of epileptic patients do not respond properly to common medications.The present study investigated patients who did not respond to common and, even in some cases, adjuvant therapies, with two seizures or more per week, regardless of the type of the inflicted epilepsy. Methodology. The participants of the present double-blind study were randomly selected into three 10-member groups of uncontrolled epileptic patients (arginine, glutamic acid, and lysine).The patients used amino acid powder dissolved in water (three times the daily need) every day for two weeks before breakfast. The number of seizures was recorded one week prior to commencing amino acid use, as well as the first and the second weeks subsequent to use. Results. A total of 32 patients were studied in three groups.The decline rates of seizures were 53%, 41%, and 13%, and the P value was 0.013, 0.027, and 0.720, respectively. Conclusion. Administration of the charged amino acids, arginine, and glutamic acid can decrease the seizures of patients suffering from uncontrolled epilepsy

Overlapping of Sturge-Weber Syndrome and Klippel-TrenaunayWeber Syndrome With Upper Limb Involvement

Introduction: The phakomatoses are a group of clinical disorders that are linked. Overlap between Sturge-Weber syndrome (SWS) and Klippel-TrenaunayWeber syndrome (KTWS) is very rarely. We presented a case of SWS with KTWS that involved upper limb. Case Presentation: A24- year-old male with extensive port-wine staining over left side of his face, extending to lower eyelids, cheeks, neck and left upper extremity. The size of mid arm circle in left side was 34 cm and in right side was 27 cm. Conclusions: This is a case of overlap SWS and KTWS that involved upper limb. Keywords: SturgeWeber Syndrome, Klippel-TrenaunayWeber Syndrome, Upper Lim

2Dopa-Responsive Dystonia subsequent to 3Lamotrigine Administration: Case Reports

9Epilepsy is a common neurologic disorder affecting approximately 1% of the population. The prevalence 10 of active epilepsy in Kerman,Iran is 7.87/1000 individuals. The past decade has brought many advances 11 to the treatment of epilepsy, including many new pharmacological agents. Lamotrigine is one of the new 12 antiepileptic drugs. Lamotrigine has many side effects; the most important of which are allergic reactions. 13 In this article, the author reports two cases of dopa- responsive dystonia (DRD) after few months 14 administration of lamotrigine for epilepsy. The cases are two girls (4 and 5 years old) who had seizures 15 and received lamotrigine 50 mg/day. They have been free of seizure after treatment but after some time 16 the dystonic attacks developed. Lamotrigine administration discontinued, but dystonic attacks didn’t 17 disappear. Levodopa /carbidopa was started. After a few days, the dystonic pastures disappeared. In 18 conclusion, lamotrigine may introduce dystonia in susceptible patients. These dystonic attacks might 19 beresponsive to levodopa

Prediction of damaged zone in longwall working panels

In longwall mining, the instability of roadways can affect the mine safety, production rate and consequently the economic condition of mine. Therefore their stability analysis is one the most important technical problems in underground mining. The stability analysis and the design of support systems have to be investigated from two points of view; 1) the pressure and displacements of damaged zone around gate roadways due to the construction process and stress redistribution and 2) the working loading due to coal seam extraction and overburden caving that extends the damaged zone size. The aim of this research is the calculation of working effect on the damaged zone around gate roadway considering geomechincal properties of medium and the geometric characteristic of the roads and working. Therefore, a method has been obtained to calculate the total damaged zone area and working influence coefficient using geometric concepts and mathematical relations, then a design algorithm has been suggested based on the obtained method