Effectiveness of an educational intervention on pain duration and severity of herniated disc

BACKGROUND: One of the causes of low back pain is herniated disc that puts pressure on the nerve roots and cause pain radiating down the legs. Specific body movements tend to aggravate pain. Among treatment approaches, patient education could be considered as an effective way of pain management. We did not find any study showing the effects of educational intervention on pain management in searched medical literature. This study aimed to investigate effects of educational intervention on the level of pain due to herniated disc. METHODS: In this study, 83 patients with lumbar disc pain were selected and pain intensity and duration were recorded based on a scale from one to ten. The average pain intensity and duration before and after intervention were recorded. Then the data were analyzed using SPSS software. RESULTS: Frequency of L4-L5 herniated disc was 39.7%, L5-S1 was 36.1% and L4-S1 was 24.1%. Mean intensity of pain before intervention was 8.33. After intervention, duration of pain decreased from 8.34 ± 0.73 to 6.76 ± 5.54 (P < 0.001) and mean duration of pain before and after intervention were 65.6 ± 5.21 and 53.5 ± 5.83 minutes, respectively (P < 0.001). CONCLUSION: Educational intervention for patient with lumbar herniated disc could be used as a practical complementary method beside other therapeutic approaches in the treatment of low back pain

MODELING THE MEDIATING ROLE OF JOB BURNOUT IN INFLUENCE OF JOB STRESS ON THE COMMITMENT AND TURNOVER OF EMPLOYEES OF BRANCHES OF SADERAT BANK IN ZABOL

Abstract. The purpose of this study was to examine the effect of job stress on the commitment and turnover of the employees of Saderat Bank in Zabol by considering the mediating role of job burnout. The statistical population of this study consists of all employees and managers of branches of Saderat Bank in Zabol, who are currently working. According to the prosecution, the size of the population is estimated 1248 people. For sampling, the Cochran sample size formula with limited population was used. Finally, 295 statistical units were analyzed. The data collection instrument used in this study was a series of standard questionnaires. Additionally, in order to describe the data analysis and to test the hypothesis of the research, inferential statistics and structural equation modeling method have been usedand analyzed via LISREL. After analyzing the data, the results of research hypothesis testing indicate that job stress has a positive effect on job burnout and job stress has positive effect on turnover. In addition, the negative effect of job burnout on organizational commitment was accepted.Keywords: Job Stress, Job Burnout, Organizational Commitment, Branches of Saderat Bank in Zabol

The value of serum osteoprotegerin levels in patients with angina like chest pain undergoing diagnostic coronary angiography

Background: Osteoprotegerin (OPG) is a member of the tumor necrosis factor superfamily.Recent evidence supports a relationship between serum OPG level and atherosclerosis. Theaim of this study was to evaluate the possible association of OPG with the presence of coronary artery disease (CAD), its severity and prognosis in patients with chest pain and suspected coronary stenosis.Methods: In this cross-sectional analytic study, 180 candidates of elective coronary artery angiography were recruited. Serum level of OPG was measured by ELISA method in all patientsand its relation with presence and severity of CAD based on a coronary atherosclerosis score (CAS) was assessed. Patients were followed for a mean period of about 24 ± 3.2 months andthe relationship between OPG levels and future cardiac events were evaluated.Results: The mean serum level of OPG was 1637 ± 226 pg/mL in those with CAD and 1295 ± 185 pg/mL (nonparametric p = 0.001) in those without it. There was a significant directcorrelation between the level of serum OPG and CAS (rho = 0.225, p = 0.002). The optimalcut-off point for predicting a significant coronary artery obstruction was a serum level of ≥ 1412 pg/mL with a sensitivity and specificity of 60% and 57.8%, respectively. Major adversecardiac events (MACE) including cardiovascular death, admission with acute coronary syndrome,or heart failure, was significantly higher in those with higher OPG levels (22 [34.3%]vs. 15 [16%], p = 0.012).Conclusions: There was a direct and significant correlation between the serum level of OPGand CAS. MACE occurred more commonly in those with higher baseline OPG levels

Effectiveness of an educational intervention on pain duration and severity of herniated disc

BACKGROUND: One of the causes of low back pain is herniated disc that puts pressure on the nerve roots and cause pain radiating down the legs. Specific body movements tend to aggravate pain. Among treatment approaches, patient education could be considered as an effective way of pain management. We did not find any study showing the effects of educational intervention on pain management in searched medical literature. This study aimed to investigate effects of educational intervention on the level of pain due to herniated disc. METHODS: In this study, 83 patients with lumbar disc pain were selected and pain intensity and duration were recorded based on a scale from one to ten. The average pain intensity and duration before and after intervention were recorded. Then the data were analyzed using SPSS software. RESULTS: Frequency of L4-L5 herniated disc was 39.7%, L5-S1 was 36.1% and L4-S1 was 24.1%. Mean intensity of pain before intervention was 8.33. After intervention, duration of pain decreased from 8.34 ± 0.73 to 6.76 ± 5.54 (P < 0.001) and mean duration of pain before and after intervention were 65.6 ± 5.21 and 53.5 ± 5.83 minutes, respectively (P < 0.001). CONCLUSION: Educational intervention for patient with lumbar herniated disc could be used as a practical complementary method beside other therapeutic approaches in the treatment of low back pain

Transport injuries and deaths in the Eastern Mediterranean Region : findings from the Global Burden of Disease 2015 Study

Transport injuries (TI) are ranked as one of the leading causes of death, disability, and property loss worldwide. This paper provides an overview of the burden of TI in the Eastern Mediterranean Region (EMR) by age and sex from 1990 to 2015. Transport injuries mortality in the EMR was estimated using the Global Burden of Disease mortality database, with corrections for ill-defined causes of death, using the cause of death ensemble modeling tool. Morbidity estimation was based on inpatient and outpatient datasets, 26 cause-of-injury and 47 nature-of-injury categories. In 2015, 152,855 (95% uncertainty interval: 137,900-168,100) people died from TI in the EMR countries. Between 1990 and 2015, the years of life lost (YLL) rate per 100,000 due to TI decreased by 15.5%, while the years lived with disability (YLD) rate decreased by 10%, and the age-standardized disability-adjusted life years (DALYs) rate decreased by 16%. Although the burden of TI mortality and morbidity decreased over the last two decades, there is still a considerable burden that needs to be addressed by increasing awareness, enforcing laws, and improving road conditions.Peer reviewe

Neonatal, infant, and under-5 mortality and morbidity burden in the Eastern Mediterranean region: findings from the Global Burden of Disease 2015 study

Objectives Although substantial reductions in under-5 mortality have been observed during the past 35 years, progress in the Eastern Mediterranean Region (EMR) has been uneven. This paper provides an overview of child mortality and morbidity in the EMR based on the Global Burden of Disease (GBD) study. Methods We used GBD 2015 study results to explore under-5 mortality and morbidity in EMR countries. Results In 2015, 755,844 (95% uncertainty interval (UI) 712,064–801,565) children under 5 died in the EMR. In the early neonatal category, deaths in the EMR decreased by 22.4%, compared to 42.4% globally. The rate of years of life lost per 100,000 population under 5 decreased 54.38% from 177,537 (173,812–181,463) in 1990 to 80,985 (76,308–85,876) in 2015; the rate of years lived with disability decreased by 0.57% in the EMR compared to 9.97% globally. Conclusions Our findings call for accelerated action to decrease child morbidity and mortality in the EMR. Governments and organizations should coordinate efforts to address this burden. Political commitment is needed to ensure that child health receives the resources needed to end preventable deaths

Burden of cancer in the Eastern Mediterranean Region, 2005-2015: findings from the Global Burden of Disease 2015 Study

Fitzmaurice C, Alsharif U, El Bcheraoui C, et al. Burden of cancer in the Eastern Mediterranean Region, 2005-2015: findings from the Global Burden of Disease 2015 Study. INTERNATIONAL JOURNAL OF PUBLIC HEALTH. 2018;63(Suppl. 1):151-164.To estimate incidence, mortality, and disability-adjusted life years (DALYs) caused by cancer in the Eastern Mediterranean Region (EMR) between 2005 and 2015. Vital registration system and cancer registry data from the EMR region were analyzed for 29 cancer groups in 22 EMR countries using the Global Burden of Disease Study 2015 methodology. In 2015, cancer was responsible for 9.4% of all deaths and 5.1% of all DALYs. It accounted for 722,646 new cases, 379,093 deaths, and 11.7 million DALYs. Between 2005 and 2015, incident cases increased by 46%, deaths by 33%, and DALYs by 31%. The increase in cancer incidence was largely driven by population growth and population aging. Breast cancer, lung cancer, and leukemia were the most common cancers, while lung, breast, and stomach cancers caused most cancer deaths. Cancer is responsible for a substantial disease burden in the EMR, which is increasing. There is an urgent need to expand cancer prevention, screening, and awareness programs in EMR countries as well as to improve diagnosis, treatment, and palliative care services

Burden of cardiovascular diseases in the Eastern Mediterranean Region, 1990-2015 : findings from the Global Burden of Disease 2015 study

To report the burden of cardiovascular diseases (CVD) in the Eastern Mediterranean Region (EMR) during 1990-2015. We used the 2015 Global Burden of Disease study for estimates of mortality and disability-adjusted life years (DALYs) of different CVD in 22 countries of EMR. A total of 1.4 million CVD deaths (95% UI: 1.3-1.5) occurred in 2015 in the EMR, with the highest number of deaths in Pakistan (465,116) and the lowest number of deaths in Qatar (723). The age-standardized DALY rate per 100,000 decreased from 10,080 in 1990 to 8606 in 2015 (14.6% decrease). Afghanistan had the highest age-standardized DALY rate of CVD in both 1990 and 2015. Kuwait and Qatar had the lowest age-standardized DALY rates of CVD in 1990 and 2015, respectively. High blood pressure, high total cholesterol, and high body mass index were the leading risk factors for CVD. The age-standardized DALY rates in the EMR are considerably higher than the global average. These findings call for a comprehensive approach to prevent and control the burden of CVD in the region.Peer reviewe

Trends in HIV/AIDS morbidity and mortality in Eastern 3 Mediterranean countries, 1990–2015: findings from the Global 4 Burden of Disease 2015 study

Objectives We used the results of the Global Burden of Disease 2015 study to estimate trends of HIV/AIDS burden in Eastern Mediterranean Region (EMR) countries between 1990 and 2015. Methods Tailored estimation methods were used to produce final estimates of mortality. Years of life lost (YLLs) were calculated by multiplying the mortality rate by population by age-specific life expectancy. Years lived with disability (YLDs) were computed as the prevalence of a sequela multiplied by its disability weight. Results In 2015, the rate of HIV/AIDS deaths in the EMR was 1.8 (1.4–2.5) per 100,000 population, a 43% increase from 1990 (0.3; 0.2–0.8). Consequently, the rate of YLLs due to HIV/AIDS increased from 15.3 (7.6–36.2) per 100,000 in 1990 to 81.9 (65.3–114.4) in 2015. The rate of YLDs increased from 1.3 (0.6–3.1) in 1990 to 4.4 (2.7–6.6) in 2015. Conclusions HIV/AIDS morbidity and mortality increased in the EMR since 1990. To reverse this trend and achieve epidemic control, EMR countries should strengthen HIV surveillance,and scale up HIV antiretroviral therapy and comprehensive prevention services