Volume 2 : Issue 2, June 2012

Table of Contents, 20 Jun 2012

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Investigating the relationship between anxiety and pain catastrophizing in people with chronic low back pain

Original Research, B6
Tangestani Y., Khalafi A., Esmaeliy S.
Asian J. Med. Pharm. Res.
2(2): 26-29, 2012

ABSTRACT: The aim of the present study was to investigate the relationship between anxiety and pain catastrophizing in women and men with chronic low back pain who referred Tehran Milad Hospital's pain clinic. In this cross sectional study, 130 subjects (50 males and 80 females), with the diagnosis of chronic pain disorder referring to the Tehran Milad Hospital's pain clinic were studied from winter of 2011 to spring of 2012.Data was collected using Pain Anxiety Symptoms Scale (PASS-20) (short version) and pain catastrophizing scale (PCS).Data was analyzed using t-test and Pearson correlation coefficient. Results showed a significant positive correlation between anxiety and pain catastrophizing.Therewere significant differences in anxiety between men and women. Moreover, there was significant difference in the pain catastrophizing between men and women. According to the results, therapists may use non-medication treatments such as psychological therapies in order to reduce the anxiety accompanied with pain and to better control of the pain.
Keywords:
Anxiety, Pain Catastrophizing, Chronic Low Back Pain

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Drug: A major cause of infertility in male

Original Research, B7
Onyije F.M.
Asian J. Med. Pharm. Res. 2(2): 30-37, 2012

ABSTRACT: Approximately 50% of known causes of primary infertility are attributed to male factor; while rapid progress is been made in improving fertility in women, the treatment of male infertility has remained very unsatisfactory. For healthy young couples, the probability of getting pregnancy per a reproductive cycle is about 20% to 25%. Their cumulative probabilities of conception are 60% within the first 6 months, 84% within the first year, and 92% within the second year of regular fertility-focused sexual activity. There are different causes of infertility, some causes are more common in some countries than others, such as pelvic inflammatory diseases (PID) and sexually transmitted infections (STI) in Africa. Some personal habits are considered risk factors for infertility, such as excess alcohol intake, cigarette smoking and other forms of drug abuse. Hence this research work is aimed at revealing that drugs such as antibiotics, alcohol, tobacco products, illicit drugs and certain medications can limit the chances of men having children in the present time, or even far into the future.
Keywords: Drug Abuse, Infertility, Reproduction, Sperm, Morphology

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Individual-social effective factors on clinical decision making in nurses

Original Research, B8
Mirsaidi G., Lakdizaji S., Ghojazadeh M.
Asian J. Med. Pharm. Res.
2(2): 38-42, 2012

ABSTRACT: Background and Objective: Clinical decision- making is a vital element in nurses’ professional performance and it makes professional nurses distinct from non- professional personnel in medical care unit. Making clinical decisions by the nurse may affect crucially on therapeutic trend and achieving the expected clinical finding as well as rising satisfaction among patients. The clinical decision making by nurses influences in quality of medical care more than any other factor and process of clinical decision making may contribute to identifying patients’ requirements and determination of the best nursing effort. The present study is aimed at review the individual- social effective factors on way of nurses’ participation in clinical decision making process. Methodology: This investigation is a descriptive- analytical research, which has been carried out as a case study on 285 nurses from medical training centers affiliated to Tabriz University of Medical Sciences. Data gathering tool in this study included a checklist from personal information and Participation in Decision Activities Questionnaire (PDAQ). The collected information was analyzed by SPSS.15 statistical software. Findings: Results came from this study showed that clinical decision making by nurses significantly related to variables of age (p=0.003), gender (p=0.001), working unit (p=0.002) type of employment, and work background (p=0.025) from statistical aspect; however, no significant relationship was statistically obtained with education degree in nurses (p>0.05). Given that clinical decision- making is considered as a vital component in nursing professional practice, improving the nurses’ ability for participation in clinical decision making will be one of the important goals in this profession so that with respect to the findings and by taking these effective variables, one may improve way of nurses’ participation in clinical decision making process; thus, it is suggested to employ proper managerial techniques as well as to adopt educational strategies to enhance clinical decision making.
Keywords: Individual- Social Factors, Decision Making, Nurses

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The determination of hepatic enzymes level in children with sickle cell anemia and correlation with age, gender, HbS and HbF variables

Original Research, B9

Molavi M, Sajjadi H.S, Nazemi A, Gh H,ahramani F, Molavi K,, Amerinia B and Doozandeh H.

Asian J. Med. Pharm. Res. 2(2): 43-46, 2012

ABSTRACT: Sickle cell anemia is an autosomal recessive hematologic and genetic disorder which is due to a variant of Hb, named HbS. presents with impaired liver function test, chronic hepatomegaly. The aim of this study was to determine hepatic enzymes level in children with sickle cell anemia and correlation with age, gender, HbS, HbF variables using them for earlier diagnosis of hepatic injuries in this patients. This descriptive – analytic cross- sectional study was done on children with sickle cell anemia aged 2 months to 18 years old who attended in the Bandar Abbas Pediatric Hospital in 2011. After assessment of CBC and Hb electrophoresis and hepatic enzyme measurement (SGOT, SGPT, and ALKP) and record these, statistical analysis was done using SPSS20 and descriptive statistics (Mean and standard deviation and t-test, analysis Pearson's univariate). A total of 53 patients, 32 males and 21 females, enrolled the study. The most genotype was SB+ (25 cases, 47.1%) and the least genotype was SC (2 cases, 3.7%) cut of point of SGOT, SGPT and ALKP was 45.4 and 1200 respectively. Liver function test was normal in 18 cases (33.9%) and in 35 cases (66.1%) was increased. There was no statistical significant difference in liver enzyme between gender and genotypes and HbF. Univariate analysis revealed that there is no correction between ages and hepatic enzyme but Pearson's correlation test showed decreasing SGOT with increase of age. Increasing HbS with increase of HbS which is statistically significant (p=0.045). The results of this study revealed that physicians and careers need to be more attentive to liver function in children with sickle cell anemia.
Keywords: Sickle Cell Anemia, Hepatic Enzymes, Transaminase

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