Abdoul Reza Sabahi; Zahra Amini-Ranjbar; Ali Sharifi; Ali Kheradmand
Volume 6, 1-2 , Winter 2014, , Pages 81-84
Abstract
Background: Enucleation is a topic discussed in psychiatry which is a self-injury matter. Enucleation is observed as psychotic disorder due to substance abuse. In people with mental disorders who also have substance use leading to hallucinations and delusions, unusual eye evacuation were reported. In ...
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Background: Enucleation is a topic discussed in psychiatry which is a self-injury matter. Enucleation is observed as psychotic disorder due to substance abuse. In people with mental disorders who also have substance use leading to hallucinations and delusions, unusual eye evacuation were reported. In most cases, enucleation was done using sharp tools. Case Report: This report describes a man suffering from psychosis after consuming hashish and has attempted to evacuate his eyes with his finger. Conclusion: Given the increasing prevalence of hashish use by young people, and false beliefs about the use of hashish in order to withdraw other substances, preventive methods and education for young and vulnerable people are suggested.
Hakimeh Hoseainrezaee; Sedigheh Khodabandeh; Ali Kheradmand; Motahareh Pilehvarzadeh
Volume 5, 1-2 , Winter 2013, , Pages 51-56
Abstract
Background: Nicotine is one of the strongest poisons. Every year about 75 thousand of Iranians die due to smoking. Since doctors and nurses have a major role in controlling smoking, this study tried to investigate the prevalence of cigarette smoking among doctors and nurses and their awareness about ...
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Background: Nicotine is one of the strongest poisons. Every year about 75 thousand of Iranians die due to smoking. Since doctors and nurses have a major role in controlling smoking, this study tried to investigate the prevalence of cigarette smoking among doctors and nurses and their awareness about the effects of smoking. Methods: This descriptive study was conducted on all doctors (n = 150) and nurses (n = 400) of hospitals affiliated with Kerman University of Medical Sciences (Kerman, Iran). Data was collected through a questionnaire with reliability of 0.8 and validity of 0.79. It consisted of two parts to assess demographic characteristics of the participants and their awareness about the side effects of smoking. Their awareness was ranked from poor to excellent based on the number of correct answers. Chi-square and Mann-Whitney tests were then used to analyze the collected data. Findings: Of 550 questionnaires, 524 were completed (51.3% by the nurses and 48.7% by the doctors. While 21.2% of all participants smoked cigarettes, 71.8% of doctors and 95.3% of nurses did not smoke. The levels of awareness among nurses and doctors were determined as poor and moderate, respectively.Conclusion: The higher prevalence of smoking among nurses confirms the significance of education. The level of awareness among the studied doctors and nurses was not desirable. Enhancing the awareness and attitude of medical staff will improve not only their own performance but also the behavioral pattern of the society.Keywords: Cigarette, Smoking, Doctors, Nurses, Knowledge
Yasamin Abedini; Bibi Eshrat Zamani; Ali Kheradmand; Ghodratollah Rajabizadeh
Volume 4, 3-4 , Autumn 2012, , Pages 102-110
Abstract
Background: Addiction to computer (video) games in adolescents and its relationship with educational progress has recently attracted the attention of rearing and education experts as well as organizations and institutes involved in physical and mental health. The current research attempted to propose ...
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Background: Addiction to computer (video) games in adolescents and its relationship with educational progress has recently attracted the attention of rearing and education experts as well as organizations and institutes involved in physical and mental health. The current research attempted to propose a structural model of the relationships between parenting styles, mothers’ occupation status, and addiction to computer games, self-control, and educational progress of secondary school students. Methods: Using multistage cluster random sampling, 500 female and male secondary school students in Kerman (Iran) were selected and studied. The research tools included self-control, parenting styles, and addiction to computer games questionnaires and a self-made questionnaire containing demographic details. The data was analyzed using exploratory factor analysis, Cronbach’s alpha coefficient and route analysis (in LISREL). Findings: We found self-control to have a linking role in the relationship between four parenting styles and educational progress. Mothers’ occupation status was directly and significantly correlated with addiction to computer games. Although four parenting styles directly and significantly affected addiction to computer games, the findings did not support the linking role of addiction to computer games in the relationship between four parenting styles and educational progress. Conclusion: In agreement with previous studies, the current research reflected the impact of four parenting styles on self-control, addiction to computer games, and educational progress of students. Among the parenting styles, authoritative style can affect the severity of addiction to computer games through self-control development. It can thus indirectly influence the educational progress of students. Parents are recommended to use authoritative parenting style to help both self-management and psychological health of their children. The employed mothers are also recommended to have more supervision and control on the degree and type of computer games selected by their children.Keywords: Self control, Parenting styles, Addiction to video games, Mothers’ occupation, Academic achievements.
Mahmood Karimi-Mobarake; Ali Nemati; Ali Kheradmand; Ghodratollah Rajabyzadeh
Volume 4, 3-4 , Autumn 2012, , Pages 117-121
Abstract
Background: Osteonecrosis is common after taking Temgesic and Norgesic. This study intended to suggest the preferable surgical treatment in osteonecrosis patients who use these drugs. Methods: Twenty tree patients with hip osteonecrosis who were hospitalized in the Kerman hospitals after using Temgesic ...
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Background: Osteonecrosis is common after taking Temgesic and Norgesic. This study intended to suggest the preferable surgical treatment in osteonecrosis patients who use these drugs. Methods: Twenty tree patients with hip osteonecrosis who were hospitalized in the Kerman hospitals after using Temgesic and Norgesic were followed for about 14 months from 2008 to 2010 (from a minimum of 2 months to a maximum of 2 years). 65% of patients underwent total hip arthroplasty (THA) and core decompression was performed for 35% of them. Patients were compared based on functional scoring of hip before and after surgery. Findings: Duration of drug use was 38 months on average and injection frequency of drug was averagely 3 months. The average functional scoring of hip was 9.1 before operation while it was 16 after surgery (P < 0.001). Recovery rate of patients in THA was very good and in core decompression was good.Conclusion: In treatment of osteonecrosis after taking Temgesic and Norgesic, the THA surgery in comparison with core decompression showed better results and caused significant clinical improvement.Keywords: Total hip arthroplasty, Core decompression, Avascular necrosis, Temgesic, Norgesic.
Bibi Eshrat Zamani; Yasamin Abedini; Ali Kheradmand
Volume 3, 3-4 , Winter 2011, , Pages 85-91
Abstract
Background: The new phenomenon of Internet addiction among teenagers and young adults is one of the modern addictions in industrial and post-industrial societies. The purpose of this research was to predict the Internet addiction based on the personality characteristics of high school students in Kerman. ...
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Background: The new phenomenon of Internet addiction among teenagers and young adults is one of the modern addictions in industrial and post-industrial societies. The purpose of this research was to predict the Internet addiction based on the personality characteristics of high school students in Kerman. Methods: This research was a descriptive correlational study. The statistical population included 538 male and female students in the second grade of high school in Kerman during 2010. The subjects were randomly selected by multistage clustering. Data was collected by two questionnaires including the five-factor Revised NEO Personality Inventory and the Internet dependency questionnaire. The data was analyzed using ANOVA test and multivariable regression analysis. Findings: The findings showed a significant relationship between the personality trait of emotional stability and academic fields, i.e. students with higher emotional stability experience less negative emotions when confronting with problems. Therefore, it is less likely for them to alleviate the negative emotions by the extreme and obsessed usage of the Internet. In addition, it appears that the students with high extroversion scores prefer social, face to face interactions with other people to interaction with the virtual world. Conversely, more introvert students avoid interactions with other people due to their shyness. Thus, they communicate with the virtual world more. Conclusion: Three personality traits of loyalty, emotional stability, and extroversion are the most significant predictors of Internet addiction in high school students. Keywords: Internet addiction, Characteristics of personality, Students, Kerman.
Alireza Ghaffari Nejad; Ali Kheradmand; Mahdieh Mirzaiee
Volume 3, 1-2 , Winter 2011
Abstract
Background: The incidence of suicide is higher in individuals with post-traumatic stress disorder (PTSD) than the general population. This prevalence rate is related to many factors including drug dependence. This study was conducted in people wounded during the Iran-Iraq war with PTSD, in order to compare ...
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Background: The incidence of suicide is higher in individuals with post-traumatic stress disorder (PTSD) than the general population. This prevalence rate is related to many factors including drug dependence. This study was conducted in people wounded during the Iran-Iraq war with PTSD, in order to compare the risk of suicide in those with and without drug and nicotine dependence.Methods: This cross-sectional study, conducted in 2007–2008, comprised 104 male individuals who had participated in the Iran-Iraq war and had a current diagnosis of PTSD. They had been referred to a psychiatry hospital and the psychiatrists' offices in Kerman, Iran. Three questionnaires were used including Davidson Trauma Scale, California Risk Estimator for Suicide and the Fagerstrom Test for Nicotine Dependence to assess the severity of PTSD, the risk of suicide, and nicotine dependence, respectively. Data were analyzed by descriptive and analytical statistics using Chi square, regression, analysis of variance (ANOVA), student-t and correlation tests.Findings: The sseverity of PTSD was significantly different in individuals with low to moderate dependence on cigarette smoking than in those with heavy dependence on smoking (P = 0.002). However, the corresponding figures were not significantly different in individuals with and without substance abuse. Although the risk of suicide had no significant difference among individuals with low to moderate dependence on cigarettes compared to those with high nicotine dependence, it was higher in subjects with substance abuse than in those without it (P = 0.0001).Conclusion: Our findings suggest that dependence on cigarettes may not play a role in increasing the risk of suicide, whereas the dependence on opium and its derivatives may increase this risk. Therefore, prevention and treatment of drug abuse may be effective on the incidence of suicide in patients with war injuries and PTSD.Keywords: Suicide, Drug dependency, Post-traumatic stress disorder, Iran.
Nooshin Parvaresh; Hassan Ziaaddini; Ali Kheradmand; Hamidreza Bayati
Volume 2, 3-4 , Spring 2010
Abstract
Background: Attention deficit hyperactivity disorder and conduct disorder are among relatively prevalent disorders during childhood and adolescence. Considering the negative impact of the parents' drug dependency and bipolar disorder, the present study aimed to determine the prevalence of ADHD and conduct ...
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Background: Attention deficit hyperactivity disorder and conduct disorder are among relatively prevalent disorders during childhood and adolescence. Considering the negative impact of the parents' drug dependency and bipolar disorder, the present study aimed to determine the prevalence of ADHD and conduct disorder in children of drug-dependent and bipolar parents. Methods: In this case-control study, the case group included two groups of patients with drug dependency and bipolar disorder hospitalized in Shahid Beheshti hospital in Kerman who had 7 to 11-year-old children. The control group included healthy individuals without any drug dependency or other psychiatric disorders. Data were collected using Rutter scale Form A (parents' form) and a demographic questionnaire. Data were analyzed with ANOVA, Chi-square and Tamhane's post-hoc test. Findings: Rutter's abnormal scores were generally 7.11% in children of drug dependent parents, 14% in children of bipolar parents and 1.6% in children of healthy parents demonstrating no significant difference. The frequency of conduct disorder in the bipolar and drug dependent group was higher than the healthy group, but the difference was not significant. The frequency of ADHD was 8.9% in the drug dependency group and 1% in the control group which shows a significant difference. Conclusion: Drug dependency in parents may be a leading factor to mental disorders such as ADHD and conduct disorder in children. Keywords: ADHD, Conduct disorder, Drug dependency .
Ali Kheradmand; Nabi Banazadeh; Heidarali Abedi
Volume 2, 3-4 , Spring 2010
Abstract
Background: Studies have shown that methadone maintenance treatment (MMT) is effective in improving the client’s quality of life and physical health. This study aimed to describe the nature and structure of drug dependents' experiences and the physical effects of MMT Methods: The present study ...
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Background: Studies have shown that methadone maintenance treatment (MMT) is effective in improving the client’s quality of life and physical health. This study aimed to describe the nature and structure of drug dependents' experiences and the physical effects of MMT Methods: The present study is a qualitative and a phenomenology study on 32 clients referred to methadone clinics in the city of Kerman in 2008. Colaizzi’s method was used for data analysis and to evaluate the data, validity and reliability criteria were used. Findings: Encoded concepts were categorized in general groups of effectiveness on general health, sleep, appetite and weight, sexual desire, appearance and other effects. These six categories showed the main structure of experience and physical effects of MMT. Conclusion: The clients' viewpoints towards this treatment had a role in their experience expression and feelings, but MMT had an overall positive physical effect on the clients Keywords: Methadone maintenance treatment, Physical effects.
Alireza Ghaffari Nejad; Ali Kheradmand; Khatereh Toofani
Volume 2, 1-2 , Winter 2010
Abstract
Abstract Background: Identity disturbance is one of the DSM-IV criteria for borderline personality disorder, but there has been little attention to its nature. Four subsets of identity disturbance (role absorption, painful incoherence, inconsistency and lack of commitment) have been assessed. ...
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Abstract Background: Identity disturbance is one of the DSM-IV criteria for borderline personality disorder, but there has been little attention to its nature. Four subsets of identity disturbance (role absorption, painful incoherence, inconsistency and lack of commitment) have been assessed. This study aimed to assess the role of these subsets in patients with borderline personality disorder and to examine the relationship between identity disturbances and substance-dependence. Methods: This case-control study was conducted on 40 patients with borderline personality disorder who were referred to Shahid Beheshti Hospital in Kerman from 1383 to 1384 and 40 healthy people who were matched with the case group in term of gender and educational level. Data gathering was carried out with three questionnaires including a demographic-related questionnaire, disturbance questionnaire (including 35 items) and a questionnaire related to substance-dependence and its related factors. Statistical analysis was performed using SPSS 11 for Windows, t test and ANOVA. Findings: The mean score of 33 items of the identity disturbance questionnaire were greater with significant difference in the case group (p < 0.05). The means differences in the two groups in all subsets were statistically significant, except for role absorption (p < 0.05). The means differences in all subsets in substance-dependent and substance-independent subjects in both groups were not significant statistically. The most common substance-dependence in both groups was related to cigarette smoking and cannabis. Opium and cannabis dependence was significantly greater in patients with borderline personality disorder. Conclusion: Identity disturbance is one of the major criteria for borderline personality disorder, but in different societies the role of its subsets are different. On the other hand, assessing subsets of identity disturbance has no value in assessing substance-dependence in patients with borderline personality disorder. Keyword: Borderline personality disorder, Identity disturbance, Substance- dependency
Noshin Parvaresh; Ali Kheradmand; Masoumeh Darijani
Volume 2, 1-2 , Winter 2010
Abstract
Abstract Background: Socio-behavioral consulting centers offer methadone maintenance therapy which is a very useful method for drug dependents. These centers offer a wide range of services like education, consulting, prevention, care taking of patients and treatment for high risk groups such ...
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Abstract Background: Socio-behavioral consulting centers offer methadone maintenance therapy which is a very useful method for drug dependents. These centers offer a wide range of services like education, consulting, prevention, care taking of patients and treatment for high risk groups such as AIDS-infected patients. Methadone maintenance therapy (MMT) is helpful in harm minimization and increasing the quality of the drug dependent's life; therefore, reducing infection in HIV patients. This study intends to investigate the importance of MMT on harm reduction in opioid dependents in Kerman. Methods: This descriptive, cross sectional study was performed on 110 patients referred to No. 1 and No. 2 socio-behavioral consulting centers in Kerman city in 2005 and 2006. Data was gathered by questionnaires once at the beginning of treatment and once 6 months after. Then the data was analyzed by SPSS13 and chi square test. Findings: MMT resulted in a 97.3% reduction in common injections, 96.4% decrease in arrest and imprisonment, 80% decrease in family problems and 68.2% decrease in drug abuse and negative morphine tests in these centers. After 6 months of treatment, drug consumption expenses were also diminished. Conclusion: This study showed that treatment with MMT in these centers reduced dangerous behaviors, increased the quality of life and controlled transmission of dangerous diseases such as AIDS and hepatitis in the community. Keyword: Methadone maintenance therapy, Harm reduction, Socio-behavioral consulting centers
Nabi Banazadeh Mahani; Ali Kheradmand; Heidarali Abedi
Volume 1, Issue 2 , Autumn 2009
Abstract
Abstract Backgrounds: To assess patients' satisfaction and to evaluate methadone therapy program, it is important to understand the experiences of opium dependents during the treatment period in methadone centers and determine the quality of this program and revise standards based on that. This ...
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Abstract Backgrounds: To assess patients' satisfaction and to evaluate methadone therapy program, it is important to understand the experiences of opium dependents during the treatment period in methadone centers and determine the quality of this program and revise standards based on that. This study aimed to describe the nature and structure of patients' experiences during treatment in methadone centers. Methods: This was a qualitative method using phenomenology. Sampling was purposive and the participants were selected from opium dependents referred to Kerman methadone centers during 2007. Sampling continued until data saturation and the sample size was 32. Colaizzi's method was applied for data analysis. Findings: The findings of this study included 27 codes categorized in four main groups: experiences of structure, personnel, patients, and regulations. These four categories showed the main structure of experiences in methadone centers. Conclusion: Lack of treatment centers in near-by cities or the problems of those centers suggest that it is necessary to establish new centers or solve the problems of centers in near-by cities. The type of patients referring to the centers plays a role in treatment process. The regular presence of physicians and other personnel and their concerns and care for patients as well as longer working hours of the centers have roles in patients' satisfaction and increase of consistency with treatment. Discussing the rules and regulations of the center with patients including the obligatory of daily reference to the center to obtain medicine and injections sound necessary. Also, it is necessary to find ways for solving problems of urine tests. Keywords:Experiences, Methadone, Performance, Qualitative study.
Alireza Ghaffarinejad; Ali Kheradmand
Volume 1, Issue 2 , Autumn 2009
Abstract
Abstract Background: Methylphenidate is one of the classic amphetamines which can cause or exacerbate psychotic symptoms in schizophrenia patients. Methods: In this paper, a young man is presented with injection of methylphenidate tablets with acute cellulitis due to this injection and the related ...
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Abstract Background: Methylphenidate is one of the classic amphetamines which can cause or exacerbate psychotic symptoms in schizophrenia patients. Methods: In this paper, a young man is presented with injection of methylphenidate tablets with acute cellulitis due to this injection and the related symptoms. In the first hospitalization and after recovery from psychotic disorder due to tablet injections, he was under treatment with anti-psychotics because of other symptoms related to schizophrenia. Although the patient was regularly under schizophrenic medication after discharge, he was hospitalized twice more due to psychotic symptoms that appeared after injecting methylphenidate. Findings: This report shows psychotic symptoms in schizophrenic patients after injecting methylphenidate. These symptoms cannot be prevented even by anti-psychotic medication of background disease. This case shows the existence of two kinds of psychoses, functional (due to schizophrenia) and organic psychoses (due to methylphenidate use) in the same patient. Keywords: Methylphenidate, Injection, Schizophrenia, Psychotic disorders.
