The prevalence of stuttering, voice disorder and speech sound disorders in preschoolers in Shahrkord, Iran

Abstract: The inability to communicate easily and clearly can have far-reaching debilitating effects, not only in childhood, but throughout a lifetime. The aim of this study was to determine the prevalence of stuttering, voice disorder, and speech sound disorders in Persian preschoolers in Shahrekord, Iran. Information about 1,387 children ages 5 to 6 was obtained via face-to-face screening and assessment. The total prevalence of speech disorders was 17.1%. The prevalence of stuttering was 1.5%, while 13.4% had a speech sound disorder, and 2.2% had voice disorder. The prevalence of stuttering was higher in males (2.2%) than females (0.7%); of speech sound disorders was higher in males (17.4%) than females (9.1%); and of voice disorder was higher in males (2.6%) than females (1.6%). The prevalence of stuttering and speech sound disorder was significantly different according to gender and positive family history. The prevalence figures revealed that a considerable number of preschoolers with speech disorders were missed in parents’ and teachers’ reports. Those children required more intensive communication support than they were receiving. Therefore, classroom teachers should work with speech and language pathologists to identify and assess preschoolers with communication disorders, and to develop intervention strategies

Evaluation of preoperative anxiety and stress, and ways to modify it, the patients in Kashani hospital operating room in 2013

زمینه و هدف: با وجودی که در عصر حاضر بی هوشی و جراحی نسبت به گذشته کم عارضه تر و موفقیت آمیز تر شده است، ولی اضطراب قبل از عمل جراحی همچنان به قوت خود باقی است. اضطراب نوعی تشویش و نگرانی است که به دنبال وجود نوعی احساس تهدید یا خطر در فرد ایجاد می شود و می تواند در کاهش یا افزایش توانایی درک فرد، موثر باشد. این مطالعه با هدف ارزیابی عوامل اضطراب و استرس قبل از عمل جراحی و راه های تعدیل آن در بیماران جراحی شده انجام شده است. روش بررسی: این مطالعه ی توصیفی در سال 1392 بر روی 120 بیمار جراحی شده در اتاق عمل بیمارستان کاشانی شهرکرد انجام گرفت. افراد به روش تصادفی سیستماتیک انتخاب شدند. جهت سنجش اضطراب، از پرسشنامه محقق ساخته استفاده شد. یافته ها: بیشترین میزان اضطراب مربوط به نگرانی های قبل از عمل جراحی (13/15)، عوامل تنش زا و مراقبت انجام شده در بخش (12/19)، عوامل تنش زا در رابطه با کارکنان اتاق عمل (10/35) و عوامل تنیدگی آور محیط فیزیکی اتاق عمل (7/26) بوده است. نتیجه گیری: یافته های نهایی این پژوهش حاکی از آن است که با شناسایی عوامل مؤثر بر اضطراب قبل از عمل و رفع آن ها می توان میزان اضطراب قبل از عمل را به حداقل رساند؛ لذا پیشنهاد می گردد با به کارگیری روش های متنوع جهت آموزش بیماران و مشخص کردن برنامه مدون آموزشی در جهت رفع عوامل موثر بر اضطراب اقدام گردد

Biochemical components of Berberis lycium fruit and its effects on lipid profile in diabetic rats

Introduction: Diabetes mellitus is characterized by chronic hyperglycemia with disturbances of carbohydrate, fat, and lipid metabolism resulting from defect in insulin secretion, insulin action, or both. It not only leads to hyperglycemia but also may cause hyperlipidemia. Herbal medicines have always been considered as a healthy source of life. Although medicinal herbs and their derivatives have long been used for hyperlipidemia, their definite effects have not yet been proven by valid research. The aim of this study was to measure minerals in B. lycium fruit and to evaluate the effects of its ethanolic extract on lipid profile in diabetic rats. Methods: For this study 40 male Wistar rats were used and were divided into five equal groups. For induction of diabetes in animals, alloxan monohydrate was used. The animals were under treatment for 42 days. For healthy and diabetic control groups distilled water, for positive diabetic control metformin, for the fourth and fifth diabetic groups Berberis lycium extract in respectively 200 and 600 mg/kg dose were used, daily. Blood samples were collected from heart and lipid profile was measured with autoanalyzer and HPLC. Results: The results of the study indicated that iron level in Berberis lycium fruit was considerably high. In diabetic rats administered with Berberis lycium fruit extract in 600 mg/kg dose, the lipid profile decreased significantly (p&lt;0.05). Conclusion: The present investigation showed that the Berberis lycium fruit extract alleviates lipid profile level and might be used efficiently in hyperlipidemia, especially in diabetic patients. It may also be beneficial in iron deficiency.</p

EFFECTIVE FACTORS IN THE QUALITY OF LIFE IN PATIENTS WITH TYPE 2 DIABETES IN CHAHARMAHAL & BAKHTEYARI PROVINCE

Abstract: Background and objectives: Quality of life can be considered as a marker of the quality of health care and is a part of the patient's treatment plan. Its measurement in type 2 diabetic patients provides useful information to health authorities Material and Methods: This study is a descriptive-analytic cross–sectional study that has attempted to measure the quality of life in diabetic patients in Chaharmahal & Bakhteyari Province. The number of patients was 254 and they were selected randomly in two stages. Data were collected

Herbalism in Iran: A systematic review

Historically because of safety of use, efficiency, cultural acceptability, and fewer side effects, herbal drugs have been frequently used in most communities. In light of acceptability of use and convenient accessibility to these plants among Iranians as well as possible side effects due to inappropriate use of them, this review article sought to investigate the attitudes toward use of herbal drugs and the used doses and methods of preparation and use of these plants among Iranians. In this review article, firstly 55 articles in Persian and English languages were examined and 30 articles were excluded from the study because of containing irrelevant content. After detailed analysis of 25 articles, 15 articles were selected and their findings were presented with regards to the purposes of this review article. Overall, 73.5% of women and 72% of men in Iran (totally 71.5% of Iranians) use herbal drugs, 82.9% of the people consider use of herbal drugs as effective, and 41.8% use them as tea. The sources of information are relatives and acquaintances for 37.5% of the Iran and Echium L., Valerianaceae officinalis L. Sisymbrium L. were the most frequently used herbal drugs. Herbal drugs are used mostly for gastrointestinal problems followed by respiratory problems, neurological problems, genitourinary problems and metabolic diseases. In view of high consumption of herbal drugs in Iran, potential side effects due to their excessive use, and current campaigns encouraging further use of them, it is necessary for experts, to offer necessary training on the preparation, dosage, maintenance, and side effects of herbal drugs to Iranians at various classes

Effect of hydroalcoholic Allium ampeloprasum extract on oxidative stress, diabetes mellitus and dyslipidemia in alloxan-induced diabetic rats

Allium ampeloprasum (AA) is a medicinal plant which is used in Iranian traditional medicine to treat or prevent different diseases. The aim of this study is to investigate the effect of AA extract on oxidative stress and dyslipidemia in diabetic rats induced by alloxan. In this experimental study, 60 male Wistar rats weighing 200–250 gr were randomly divided to five groups of 12 each including healthy control (group I), diabetic control (group II), metformin-treated diabetic positive control (group III) and two groups treated with doses 400 (group IV) and 800 (group V) mg/kg/BW of AA extracts. Diabetes mellitus was experimentally induced by injection of two doses of alloxan-120 and 65 mg/kg-within two consecutive days. Alloxan-induced diabetes caused significant increase in serum glucose, triglyceride (TG), total cholesterol (TC), low density lipoprotein (LDL), very low density lipoprotein (VLDL) and high density lipoprotein (HDL) levels in group II (p < 0.05). Furthermore, serum malondialdehyde (MDA) levels increased significantly and liver catalase activity decreased significantly in the 2nd group compared to 1st control; respectively p = 0.0001 and p = 0.009. In the group IV has seen a significant decrease in serum TG (p = 0.01), TC (p = 0.0001), VLDL (p = 0.01), and MDA (p = 0.0001) levels and significant increase in the liver and kidney catalase activities of the rats compared to the group II; respectively p = 0.0001 and p = 0.0001. In Conclusion our results highlight potentially relevant health beneficial effects of AA extract which exerts hypoglycemic, hypolipidemic, and anti-oxidative stress effects in rats with alloxan-induced diabetes. Therefore, it may be considered as useful dietary supplements in diabetic patients

Comparison effects of olive leaf extract and oleuropein compounds on male reproductive function in cyclophosphamide exposed mice

Spermatogenesis is a complicated process in which sperm is susceptible to various chemotherapy drugs such as cyclophosphamide (CP). As olive leaf extract (OLE) and its active ingredient, oleuropein, have variousantioxidant, anti-apoptotic, and anti-inflammatory properties the aim of the present study was to investigate the effects of OLE and oleuropein on male reproductive function focusing antioxidative effects and histological modifications in the testes of CP-exposed mice. In order to do this, 80 NMRI male mice were divided into eight groups including control group, group received CP, group received OLE, group received oleuropein, group received OLE following CP exposure, group received oleuropein following CP exposure, group received OLE plus oleuropein and group received OLE plus oleuropein following CP exposure. In all groups CP (single dose of 100 mg/kg (, OLE (100 mg/kg for consequence 28 days) and oleuropein (100 mg/kg for consequence 28 days) were injected intraperitoneally. Moreover, testis histology, sperm parameters and serum levels of LH, FSH, MDA and antioxidant capacity were investigated. Results showed that CP caused oxidative state and abnormal changes in sperms and testes. Besides, treatments with oleuropein and OLE led to mitigate the harmful effects of CP on the male reproductive system. In conclusion, our findings showed that olive's compounds can diminish the hazardous effects of CP on spermatogenesis in mice. © 2020 The Authors Spermatogenesis; Olive leaf extract; Cyclophosphamide; Mice; Oleuropein; Cell biology; Plant biology; Pharmaceutical science; Pathophysiology; Laboratory medicine © 2020 The Author

Empathy in senior year and first year medical students: a cross-sectional study

<p>Abstract</p> <p>Background</p> <p>The importance of fostering the development of empathy in undergraduate students is continuously emphasized in international recommendations for medical education. Paradoxically, some studies in the North-American context using self-reported measures have found that empathy declines during undergraduate medical training. Empathy is also known to be gender dependent- (highest for female medical students) and related to specialty preference - (higher in patient-oriented than technology-oriented specialties). This factor has not been studied in Portuguese medical schools.</p> <p>Methods</p> <p>This is a cross-sectional study of undergraduate medical students on self-rated measures of empathy collected at entrance and at the conclusion of the medical degree, and on the association of empathy measures with gender and specialty preferences in one medical school in Portugal. Empathy was assessed using the Portuguese adaptation of the Jefferson Scale of Physician Empathy-students version (JSPE-spv) among three cohorts of undergraduate medical students in the first (N = 356) and last (N = 120) year. The construct validity of JSPE-spv was cross-validated with Principal Component Analysis and Confirmatory Factor Analysis. Reliability was assessed using Cronbach' Alpha. Global JSPE-spv score differences were examined by year of medical school, gender and specialty preferences (people-oriented vs technology-oriented specialties).</p> <p>Results</p> <p>The empathy scores of students in the final year were higher as compared to first year students (F (1,387) = 19.33, p < .001, ɳ²_p= 0.48; π = 0.99). Female students had higher empathy scores than male students (F (1,387) = 8.82, p < .01, ɳ ²_p= 0.23; π = 0.84). Significant differences in empathy were not found between the students who prefer people-oriented specialties compared to those who favor the technology-oriented specialties (F (1,387) = 2.44, p = .12, ɳ ²_p= 0.06; π = 0.06).</p> <p>Conclusions</p> <p>This cross-sectional study in one medical school in Portugal showed that the empathy measures of senior year students were higher than the scores of freshmen. A longitudinal cohort study is needed to test variations in students' empathy measures throughout medical school.</p

Associations between medical student empathy and personality: A Multi-institutional study

Background: More empathetic physicians are more likely to achieve higher patient satisfaction, adherence to treatments, and health outcomes. In the context of medical education, it is thus important to understand how personality might condition the empathetic development of medical students. Single institutional evidence shows associations between students' personality and empathy. This multi-institutional study aimed to assess such associations across institutions, looking for personality differences between students with high empathy and low empathy levels. Methods: Participants were 472 students from three medical schools in Portugal. They completed validated adaptations to Portuguese of self-report measures of the NEO-Five Factor Inventory(NEO-FFI) and the Jefferson Scale of Physician Empathy(JSPE-spv). Students were categorized into two groups: "Bottom" (low empathy, N = 165) and "Top" (high empathy, N = 169) according to their empathy JSPE-spv total score terciles. Correlation analysis, binary logistic regression analysis and ROC curve analysis were conducted. Results: A regression model with gender, age and university had a predictive power (pseudo R2) for belonging to the top or bottom group of 6.4%. The addition of personality dimensions improved the predictive power to 16.8%. Openness to experience and Agreeableness were important to predict top or bottom empathy scores when gender, age and university were considered." Based on the considered predictors the model correctly classified 69.3% of all students. Conclusions: The present multi-institutional cross-sectional study in Portugal revealed across-school associations between the Big5 dimensions Agreeableness and Openness to experience and the empathy of medical students and that personality made a significant contribution to identify the more empathic students. Therefore, medical schools may need to pay attention to the personality of medical students to understand how to enhance the empathy of medical students

Psychometric properties of the Spanish version of the Jefferson Scale of Empathy: making sense of the total score through a second order confirmatory factor analysis

Background: Empathy is a key aspect of the physician-patient interactions. The Jefferson Scale of Empathy (JSE) is one of the most used empathy measures of medical students. The development of cross-cultural empathy studies depends on valid and reliable translations of the JSE. This study sought to: (1) adapt and assess the psychometric properties in Spanish students of the Spanish JSE validated in Mexican students; (2) test a second order latent factor model. Methods: The Spanish JSE was adapted from the Spanish JSE-S, resulting in a final version of the measure. A non-probabilistic sample of 1104 medical students of two Spanish medical schools completed a socio-demographic and the Spanish JSE-S. Descriptive statistics, along with a confirmatory factor analysis, the average variance extracted (AVE), Cronbach's alphas and composite reliability (CR) coefficients were computed. An independent samples t-test was performed to access sex differences. Results: The Spanish JSE-S demonstrated acceptable to good sensitivity (individual items - except for item 2 - and JSE-S total score: -2.72 < Sk < 0.35 and -0.77 < Ku < 7.85), convergent validity (AVE: between 0.28 and 0.45) and reliability (Cronbach's alphas: between 0.62 and 0.78; CR: between 0.62 and 0.87). The confirmatory factor analysis supported the three-factor solution and the second order latent factor model. Conclusions: The findings provide support for the sensitivity, construct validity and reliability of the adapted Spanish JSE-S with Spanish medical students. Data confirm the hypothesized second order latent factor model. This version may be useful in future research examining empathy in Spanish medical students, as well as in cross-cultural studies.info:eu-repo/semantics/publishedVersio