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Showing 2 results for Dehestani

Farzaneh Dehestani, Bahram Mirzaian , Ramazan Hassanzadeh , Payam Saadat ,
Volume 24, Issue 3 (10-2022)
Abstract

Background and Objective: Neuropathic pain is a large and difficult group of peripheral nerve diseases, which are complicated to treat. This study was designed to determine the effectiveness of acceptance and commitment therapy (ACT) on psychological well-being and pain perception among patients with chronic neuropathic pain.
Methods: This clinical trial was performed on 30 patients with chronic neuropathic pain who were referred to the Rohani Hospital and private clinic of a neurologist in Babol (Iran) in 2022. The patients were randomly divided into an interventional and a control group. The patients completed the psychological well-being scale (Ryff) and pain belief and perception inventory (Williams and Thorn) in the pretest. Then, ACT (120 minutes) was performed for the interventional group, 8 sessions a week. The patients completed the scales after the treatment course and 2 months after the posttest.
Results: In the first follow-up, there were significant differences between the two groups in terms of total score of psychological well-being (P<0.05), the subscales of self-acceptance (P<0.05), positive relationships with others (P<0.05), autonomy (P<0.05), environmental mastery (P<0.05), purpose in life (P<0.05), personal growth (P<0.05), the total score of pain perception (P<0.05), the subscales of belief in the stability of pain in the present (P<0.05) and belief in the mysteriousness of pain (P<0.05). The treatment results were maintained in the second follow-up phase. In the first follow-up, the subscales of belief in the continuation of pain in the future and belief in self-blame did not differ significantly between the two groups, but in the second follow-up, the subscales of belief in the continuation of pain in the future (P<0.05) and belief in self–blame (P<0.05) differed significantly between the two groups. In addition, the average psychological well-being in the intervention group was higher than that in the control group, and the average pain perception in the intervention group was lower than that in the control group.
Conclusion: This study shows the ACT could be an effective intervention for improving psychological well-being and pain perception among patients with chronic neuropathic pain.
 
Alie Nikdoust , Alireza Dehestani , Reza Shabanian , Minoo Dadkhah ,
Volume 25, Issue 1 (3-2023)
Abstract

Background and Objective: Echocardiographic measurement of ventricular elastance is essential for evaluating cardiac function. With the technological advancements in echocardiography devices, assessing fetal heart function has become more accurate. Ventricular elastance reflects ventricular function, while arterial elastance measures ventricular afterload. Ventricular-arterial coupling demonstrates the interaction between the ventricle and artery. This study aimed to estimate ventricular end-systolic elastance, arterial elastance, and ventricular-arterial coupling using a non-invasive echocardiographic method.
Methods: This descriptive-analytical study was conducted on 67 fetuses with a gestational age of 19-24 weeks (38 female fetuses and 29 male fetuses) and 43 infants aged 10-60 days (25 female and 18 male) referred to the cardiac echocardiography clinic of the Children's Medical Center over a period of 14 months. Mothers and infants were healthy, and there was no structural heart disease in the fetuses and infants. Those with abnormal rhythm, a vague view, and an unfavorable quality of Doppler signal were excluded. Ventricular end-systolic elastance (Ea), arterial elastance (Ees), and ventricular-arterial coupling (Ea/Ees) were compared in fetuses with the calculated values in newborns. An estimation of the normal value for ventricular and arterial elastances and ventricular-arterial coupling in healthy fetuses and newborns were obtained.
Results: The mean arterial elastance of fetuses and newborns was determined as 84.4±20.04 mmHg/ml and 12.6±2.88 mmHg/ml, respectively (P<0.05). The mean ventricular elastance of fetuses and newborns was 88.5±20.49 mmHg/ml and 15.07±2.89 mmHg/ml, respectively (P<0.05). Fetal and newborn ventricular-arterial coupling were calculated as 0.96±0.14 mmHg/ml and 0.84±0.13 mmHg/ml, respectively (P<0.05).
Conclusion: The amounts of arterial and ventricular elastance and ventricular-arterial coupling in fetuses were significantly higher than infants and decreased with increasing age.
 


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مجله دانشگاه علوم پزشکی گرگان Journal of Gorgan University of Medical Sciences
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