69 1735-3165 Journal of Rafsanjan University of Medical Sciences 5449 Nursing Knowledge, Attitude and Practice of Prenatal Care Among Women in Rafsanjan (2000) 1 9 2002 1 3 147 155 14 06 2020 14 06 2020 Background: Prenatal care plays an important role in the reduction of the maternal and infant mortality rates. This study was conducted in order to assess the level of knowledge, attitude and practice of prenatal care among women in Rafsanjan. Materials and Methods:  This descriptive and cross-sectional study was done in the year 2000.  The KAP eas determined by interviewing 642 women during three months in six urban health centers. Results: Findings of this study showed a high awareness level (70.9) with a high positive attiude (90.1%) and a high practice level (94.79%) of prenatal care among women.  The relation between knowledge, attitude and practice was statistically significant (P<0.05). Conclusion: This study showed that women reffering to the health care centers had a high and positive attitude and knowledge about prenatal care, and are actively involved in their prenatal care.   Keywords: Prenatal care, Women, KAP, Rafsanjan
5451 روانپزشکی The Effect of the Movement Therapy on Depression in Elderly Women 1 9 2002 1 3 157 163 14 06 2020 14 06 2020 Background: Depression is one of the most common psychiatric disorders in the world.  Today in Iran depression constitutes 35-45% of psychaitric disorders which unfortunately, this rate is increasing.  Therefore new methods for treatment and prophylaxis  must be suggested.  The purpose of this study was to determine the effect of movement therapy on this burden in elderly women, convened at Mashhad, Toos elderly center. Materials and Methods: This study was a semi-experimental research.  The sample size consisted of 30 women 60-74 years old.  These individuals accomplished movment therapy program 30 sessions for 30-45 minutes every day in presence of the researchers. The depression score was measured by Beck test, and demographic data was collected by questionnaire.  The depression score of samples was measured before and after the movement therapy program. Results: The mean of the depression score was 20.87 before the movement therapy program; and after the program it was decreased to 16.4. Conclusion: The results of this study showed that movement therapy program has decreased the depression score in the elderly women.   Keywords: Depression, Movement therapy, Elderly women. 5450 Physiology Effects of Vanadyl Sulphate on Glucose Homeostasis in Severe Diabetes Induced by Streptozotocin in Rats 1 9 2002 1 3 170 177 14 06 2020 14 06 2020 Background: There is not any in vivo studies that shows inducing of euglycemia by vanadyl is independent from plasma insulin.  Therefore in the present study we planned to investigate the antidiabetic effects of vanadyl in diabetic rats. Materials and Methods: Rats became severely diabetic by an IV injection of 50-55mg/kg streptozotocin (STZ), 15 days after the injection, the blood glucose of animals was more than 500mg/dl, with plasma insulin 14±3 μu/ml that was 25% of normal rats, the daily water consumption also increased. Subsequently, the rats were divided into two groups, group I received 0.5-1 mg/ml Vanadyl sulphate in a base solution orally, and group II received base solution containing 50meq/l NaCl. Results: Vanadyl therapy for 90 days did not change blood glucose in group I from (420±10 mg/dl) to normal levels, therefore euglycaemia was achieved for a period of two months by intraperitoneal (IP) injection of NPH insulin.  The required daily doses of insulin in vanadyl-treated rats of group I (8±1 U/kg/day) were only 8 percent of those in group II animals (103±7 U/kg/day).  Conclusion: It seems that vanadyl per se cannot induce normoglycaemia in diabetic rats with very low plasma  insulin levels, but can augment the sensitivity of peripheral tissues to insulin.   Keywords: Diabetes, Insulin sensitivity, Vanadyl, Glucose, Rat 5452 cardiology Peripheral Eosinophilia and History of Allergy in Patients with Coronary Artery Disease 1 9 2002 1 3 177 181 14 06 2020 14 06 2020 Background: Coronary artery diseases (CAD) is the most common cause of death in the developing counteries.  Atherosclerosis is the leading cause of CAD. A number of studies have shown that total leukocyte count is a risk factor for CAD but there is little information on the role of eosinophilia and allergy.  The aim of this study was to determine the relationship between eosinophilia and history of allergy with CAD. Materials and Methods: This case-control study was performed on 95 cases with known  CAD and 95 age and sex matched controls.  History of allergy was taken by physician.  Blood samples were collected from all subjects early in the morning .  The white blood cells(WBC), neutrophils and eosinophils count and eosinophil/leukocyte ratio were determined by the use of blood coulter and evaluation of the peripheral blood smear. Results: Mean and standard error of means (SEM) of leukocyte count was 8802±253 and 9813±351 cell/mm3 in case and control groups respectively.  This difference was statistically significant (P<0.05). The mean and SEM of eosinophil count was 124.8±15.6 and 79.1±11.8 in case and control groups , this difference was statistically significant (P<0.05).  Eosinophil to leukocyte ratio was 1.43 and 0.88 percent in case and control groups respectively.  This diference was also statistically significant (P<0.01).  There was no significant difference between the two groups for history of allergy. Conclusion: There is a positive correlation between peripheral blood eosinophilia and CAD, therefore blood eosinophilia may predict higher rate of CAD.   Keywords :CAD, Eosinophilia , Risk factor , History of allergy 5453 cardiology Cerebrovascular Accident Risk Factors in Patients with Stroke in Nourology Ward of Ali Ibn Abitaleb Hospital, Rafsanjan 1 9 2002 1 3 181 188 14 06 2020 14 06 2020 Background: C.V.A is an important health problem.  Efforts to reduce the incidence of C.V.A are essential and such attempts should be based on the knowledge of risk factors.  In this study C.V.A risk factors were evaluated. Materials and Methods: We used a case control method. The cases comprised of 146 patients admitted to stroke unit with acute stroke.  The controls comprised of 147 participants free of stroke. Two groups were matched by sex, age and place of residence. Diagnosis of stroke was based on clinical findings and the results of MRI.  The risk factors included high blood pressure, diabetes, history of cardiovascular diseases and smoking. Results: The mean age of the study group was 63.8 years and the control group was 63.4.  Mean of the risk factors in the study group was 2.3±1.3 and in the control group was 1.3±1.2 which shows a significant difference between the two groups P<0.01.  Prevalence of risk factors such as hypertension, atrial fibrillation (AF), diabetes mellitus, smoking and coronary artery disease were significantly higher in the case group (P<0.05).  In laboratory finding only fasting blood sugar was significantly higher in the case group (P<0.05). Conclusion: Control of C.V.A risk factors significantly reduce this fatal health problem.  This study showed that the accidental risk factors include high blood pressure, smoking, diabeties and cardiovascular diseases. Keywords: Cerebro vascular accident, Risk factors, Rafsanjan