eng
Caspian Journal of Neurological Sciences
2383-4307
2423-4818
2018-10
4
4
137
143
article
The Relationship Between Perceived Social Support and Self-Esteem in Patients With Epilepsy
Jafar Mehvari Habibabadi
meh1338@yahoo.com
1
Navid Naghibi
navidnaghibi.neuro@gmail.com
2
Masih Falahatian
3
Maryam Izadi
maryam.izadi91@yahoo.com
4
Department of Neurology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
Department of Neurology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
Department of Neurology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
Epilepsy Nurse, School of Nursing, Isfahan University of Medical Sciences, Isfahan, Iran
Background: Epilepsy is a neurologic functional disorder occurs due to the abnormal electrical discharge in neurons of the brain.
Objectives: The current study aimed at evaluating the relationship between perceived social support and self-esteem in patients with epilepsy referring to Kashani Hospital in Isfahan, Iran, from 2017 to 2018.
Materials & Methods: The present cross sectional, correlational study was conducted on 211 patients with epilepsy, referring to Kashani Hospital in Isfahan from 2017 to 2018, selected through a consecutive sampling method according to the inclusion criteria. The data collection instruments used in the current study were self-esteem and social support questionnaires. The collected data were analyzed using descriptive and statistical inference with SPSS V. 23. In addition, multiple regression analysis and Pearson correlation coefficient were employed.
Results: The results of multiple regression analysis showed that social support dimensions including spouse (F=44.88), family members (F=47.64), friends (F=31.57), physician (35.28), and nurse (F=44.25) have a significant effect on self-esteem (P<0.05).
Conclusion: Effective support from spouse, family members, friends, physician, and nurse can increase the self-esteem of patients with epilepsy.
http://cjns.gums.ac.ir/article-1-226-en.pdf
Epilepsy
Social support
Self concept
eng
Caspian Journal of Neurological Sciences
2383-4307
2423-4818
2018-10
4
4
144
151
article
Do Computer Games Affect Arousal Level in Children With Attention/Deficit Hyperactivity Disorder?
Mohammad Ali Nazari
nazaripsycho@yahoo.com
1
Maryam Taghavi Jelodar
m.taghavi@alzahra.ac.ir
2
Hasan Shahrokhi
shaahrokhi.hasan@yahoo.com
3
Cognitive Neuroscience Laboratory, Department of Psychology, Faculty of Education & Psychology, University of Tabriz, Tabriz, Iran
Department of Psychology, Faculty of Educational Sciences and Psychology, Alzahra University, Tehran, Iran
Research Centre of Psychiatry and Behavioral Sciences, Tabriz University of Medical Sciences, Tabriz, Iran
Background: Attention-Deficit Hyperactivity Disorder (ADHD) is a common psychiatric complication in children, which affects about 5-10% of the population. Although ADHD is a multi-factorial disorder, one of its causes refers to dysfunction of the arousal.
Objectives: The current study aimed at investigating whether a change in arousal level in children with ADHD differs from the control group.
Materials & Methods: To achieve the research objectives, the mean Skin Conductance Levels (SCLs) as an useful index of measuring arousal levels was used, and then the changes during resting eyes-open condition and after that during playing computer games on 15 male subjects aged 8 to 12 years as the ADHD group and other 15 age-gender matched in the control group were evaluated; then, the recorded data were analyzed with repeated measures analysis of variance. The study was conducted in a child mental health services center in Tabriz, Iran, in 2012.
Results: Across conditions, mean SCL index was lower in the ADHD group than that of controls. Computer games caused a significant increase in SCL index, which was not different between the both groups. The findings showed a similar pattern of changes during testing conditions for both the ADHD and control groups F(1,28)=85.90; P<0.0001).
Conclusion: Results confirmed a primary deficit related to autonomic hypoarousal in children with ADHD. The SCL results, in addition to behavioral findings, made the authors to suggest that the dynamic changes of activities in neural system are impaired in children with ADHD.
http://cjns.gums.ac.ir/article-1-240-en.pdf
Attention
Attention Deficit Disorder With Hyperactivity
Arousal
Video games
eng
Caspian Journal of Neurological Sciences
2383-4307
2423-4818
2018-10
4
4
152
158
article
The Efficacy of Superficial and Deep Dry Needling Techniques on Functional Parameters in Subjects With Upper Trapezius Myofascial Pain Syndrome
Kamran Ezzati
Ez_kamran@ yahoo.com
1
Javad Sarrafzadeh
j.sarrafzadeh@gmail.com
2
Ismael Ebrahimi Takamjani
Ebrahimi.pt@gmail.com
3
Saemeh Khani
saemeh.khani63@gmail.com
4
Neuroscience Research Center, Poorsina Hospital, Faculty of Medicine, Guilan University of Medical Sciences, Rasht, Iran
Department of Physiotherapy, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
Department of Physiotherapy, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
Department of Physiotherapy, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
Background: Few studies have compared superficial and deep dry needling techniques in treatment of trigger points in patients with Myofascial Pain Syndrome (MPS).
Objectives: To compare the effects of Superficial Dry Needling (SDN) and Deep Dry Needling (DDN) on Range of Motion (ROM) and functional ability in subjects with upper trapezius MPS.
Materials & Methods: This is a quasi-experimental study conducted on 50 patients with MPS of upper trapezius muscle. They were randomly divided into two groups of 25 treated with SDN and DDN. They were examined in Physiotherapy Clinic of Iran University of Medical Sciences during 2016-2017. Neck disability and cervical ROM were measured using Neck Disability Index (NDI) instrument a goniometer, respectively. The subjects were evaluated before the treatment, after the treatment, and 7-and 15-day follow-up periods. The Independent t-test and ANOVA were used to compare the two groups at different times of evaluation.
Results: There was no significant difference between SDN and DDN groups in terms of age (P=0.41), weight (P=0.99), and height (P=0.51). Interaction effect between group and time on the lateral cervical ROM over the unaffected side and NDI were significant (P<0.001). The simple main effect of time and group on NDI and ROM were also significant (P<0.001).
Conclusion: The changes in the ROM and NDI were observed over time when SDN and DDN techniques were used, but these changes were more significant in patients treated with DDN, especially in the follow-up periods.
http://cjns.gums.ac.ir/article-1-191-en.pdf
Myofascial Pain Syndrome
Disability
Neck pain
Range of Motion
eng
Caspian Journal of Neurological Sciences
2383-4307
2423-4818
2018-10
4
4
159
168
article
Anxiety, Depression, and Their Related Factors in Patients Admitted to Intensive Care Units
Shahrokh Yousefzadeh-Chabok
sh.yousefzadeh@gmail.com
1
Naema Khodadadi-Hassankiadeh
n_khodadady@yahoo.com
2
Alia Saberi
alia.saberi1@gmail.com
3
Atefeh Ghanbari Khanghah
at_ghanbari@gums.ac.ir
4
Homa Zarrabi
dr_zarrabi2000@yahoo.com
5
Mohammad Reza Yeganeh
yeganeh@gums.ac.ir
6
Hamideh Hakimi
hakimi.hb@gmail.com
7
Anoush Dehnadi Moghadam
dehnadi@gtrc.ir
8
Neuroscience Research Center, Guilan University of Medical Sciences, Rasht, Iran
Neuroscience Research Center, Guilan University of Medical Sciences, Rasht, Iran
Neuroscience Research Center, Guilan University of Medical Sciences, Rasht, Iran
Determinants of Health Research Center (SDHRC), Department of Nursing (Medical-Surgical), School of Nursing, Guilan University of Medical Sciences, Rasht, Iran
Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, Iran
Instructor of Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran
Instructor, Department of Nursing, Lahijan Branch, Islamic Azad university, Lahijan, Iran
Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, Iran
Background: Anxiety and depression are among the most common psychological symptoms in patients with life-threatening illnesses, and have a close relationship with hospitalization in specialized care units.
Objectives: This study aimed at evaluating anxiety and depression and their related factors in patients admitted to Intensive Care Units (ICUs).
Materials & Methods: This is an analytical cross-sectional study conducted on 135 patients hospitalized in ICUs (neuro ICU and general ICU) of Poursina Medical Education Center in Rasht City, Iran. The patients were selected by convenience sampling method. The study data were collected using a checklist surveying demographic, clinical and psychosocial characteristics of the patients, and Hospital Anxiety and Depression Scale (HADS). Then, the obtained data were analyzed by Mann-Whitney U and Kruskal-Wallis tests in SPSS V. 18.
Results: The Mean±SD anxiety and depression scores of the study patients were 6.12±9.3 and 7.10±2.3, respectively. There was a significant relationship between short-term hospitalization and anxiety (P=0.03), and a high score of depression was observed in those with middle-school education (P=0.03) and non-invasive ventilation (P=0.01). Moreover, administration of sedatives (P=0.001) and tracheostomy ventilation (P=0.04), showed a significant correlation with depression.
Conclusion: Anxiety and depression (symptoms of mood disorders) among ICU patients were relatively high and the duration of hospitalization was significantly associated with anxiety. Moreover, the administration of sedative drugs had significant correlation with depression. In addition, the type of received mechanical ventilation was associated with both disorders. Routine screening of anxiety and depression by nurses in ICUs is useful for early treatment, and can prevent long-term complications of these disorders.
http://cjns.gums.ac.ir/article-1-246-en.pdf
Anxiety
Depression
Intensive Care Units
eng
Caspian Journal of Neurological Sciences
2383-4307
2423-4818
2018-10
4
4
169
177
article
Evaluating the Duration of Hospitalization and Its Related Factors Among Stroke Patients
Maedeh Majidi Shad
m.caduceus.shad@gmail.com
1
Alia Saberi
alia.saberi1@gmail.com
2
Maryam Shakiba
shakiba_mm@yahoo.com
3
Shademan Rezamasouleh
4
Student of Medicine, Student Research Committee of Neurosciences Research Center, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
Professor of Neurology, Neurosciences Research Center, Neurology Department, Poursina Hospital, Guilan University of Medical Sciences, Rasht, Iran
Assistant Professor of Epidemiology, Road Trauma Research Center, School of Health, Guilan University of Medical Sciences, Rasht, Iran
Lecturer in Nursing, Department of Medical Surgical Nursing, Shahid Beheshti School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran
Background: Prolong hospitalization after a stroke is associated with increased cost, higher risk of complications, and adverse effects.
Objectives: The purpose of this study was to determine the length of stay and its related factors among stroke patients admitted to one of the educational and therapeutic centers in the north of Iran.
Materials & Methods: In this descriptive-analytic study, 253 stroke patients admitted to an academic hospital affiliated to Guilan University of Medical Sciences were enrolled during 2016-2017. Their socio-demographic characteristics and medical records associated with their admission were collected. A linear regression model was used to estimate the adjusted risk factors in predicting the duration of hospitalization in SPSS 21.
Results: The Mean±SD duration of hospitalization in stroke patients was 5.6±2.1 days (range 2-12 days). The multivariate regression model indicated that the unemployed versus the self-employed subjects (β=0.74), hemorrhagic versus the ischemic stroke (β=0.84), strokes with moderate volume (β=0.61) and large volume (β=1.22) compared to small volume, infectious complications, and certain physicians had an independent and significant association with increased duration of hospital stay.
Conclusion: Assessing the duration of hospitalization and identifying its potential predictors can be useful in the proper use of the resources and discharge of patients with stroke.
http://cjns.gums.ac.ir/article-1-250-en.pdf
Length of stay
Stroke
per
Caspian Journal of Neurological Sciences
2383-4307
2423-4818
2018-10
4
4
178
183
article
Intravenous Thrombolysis, Time Window, Dosage, and Off-Label
Kavian Ghandehari
kavianghandehari@yahoo.com
1
Sharife Shahedi
2
Zahra Valipour
3
Mohammad Reza Sobhani
4
Hojat Salehian
5
Shokat Nazemian
6
Masumeh Rezae
7
Department of Neurology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
Department of Neurology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
Department of Neurology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
Department of Neurology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
Department of Neurology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
Despite the development of Intravenous thrombolysis with tissue Plasminogen Activator (IVtPA) guidelines in each affiliated stroke center, protocol violations may be observed in each hospital with IVtPA facilities. An extensive search of scientific electronic databases including PubMed, OVID, Index Medicus, Index Copernicus, Google, ISI, and Scopus was performed with keywords of Thrombolysis, Off-label, Out of Protocol, Violation, Time Window, Dose, tPA, and Stroke terminated on 01 May 2018. Safety and functional outcomes are less favorable beyond three hours; however, the wider time window until 4.5 hours is recommended. Lower dose of alteplase (0.6 mg/kg) is approved in Japan. The proposed dose of tPA in Iranian population is similar to that of the Japanese. Overall, the outcomes in patients treated with off-label IVtPA or protocol violation were better than those of the controls based on registry data. There is little disagreement about time window of IVtPA. The dose of 0.6 mg/kg is used in some Asian countries with similar therapeutic results.
http://cjns.gums.ac.ir/article-1-255-en.pdf
Stroke
Tissue Plasminogen Activator
eng
Caspian Journal of Neurological Sciences
2383-4307
2423-4818
2018-10
4
4
184
189
article
Ischemic Strokes in a Young Woman With Manifestations of Multiple Sclerosis
Mohsen Janghorbani
janghorbani@yahoo.com
1
Mahdi Barzegar
barzegar_mahdi73@yahoo.com
2
Omid Mirmosayyeb
omid.mirmosayyeb@gmail.com
3
Vahid Shaygannejad
shaygannejad@med.mui.ac.ir
4
Department of Epidemiology and Biostatistics, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran
Student Research Committee, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
Student Research Committee, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
Isfahan Neurosciences Research Center, Al-Zahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran
Background: The current case report aimed at describing the clinical, radiological, and immunological findings of a case of ischemic stroke due to acute thrombosis of the left internal carotid artery and multiple watershed infarctions mimicking Multiple Sclerosis (MS).
Clinical Presentation and Intervention: A 24-year-old right-handed Iranian female was initially diagnosed with Multiple Sclerosis (MS). She presented with weakness in right lower limb. The cerebral Fluid Attenuation Inversion (FLAIR) Magnetic Resonance Imaging (MRI) showed few small and round lesions in deep white matter, semi-oval centrums, paraventricular region, and subcortical region on left hemisphere. MS was suspected. The patient’s neurological status worsened, after four days she presented hemi-paresis, dysarthria, and hemi-facial paresis. The cerebral Diffusion-Weighted (DW)-MRI, Apparent Diffusion Coefficient (ADC), Duplex Scan (DS), Complete Blood Count (CBC), coagulation, blood chemistry, blood lipids, and autoimmune and immunodiagnostic pathology were performed. Test for Anti-double stain DNA (dsDNA), IgG anti-cardiolipin antibodies, and lupus anticoagulant were positive. DNA bound lactoferrin, anti-Sm antibodies, Anti-Sjögren’s-Syndrome-related Antigen (Anti-SSA) autoantibodies, IgM anti-cardiolipin antibodies, and Anti-beta-2 glycoprotein-1 (IgMIgG) were negative. Ischemic stroke due to acute thrombosis of the left internal carotid artery and multiple watershed infarctions were confirmed in the patient. Heparin and then warfarin therapy was started. At that time she was treated with warfarin, hydroxychloroquine (200 mg/d) and atorvastatin (20 mg/d). The outcome was favorable.
Conclusion: The current case presented with clinically susceptible symptoms of MS, but had a stroke. Therefore, stroke in young patients can mimic MS symptoms.
http://cjns.gums.ac.ir/article-1-202-en.pdf
Diagnosis
Multiple Sclerosis
Stroke