Potential Effect of Opium Consumption on Controlling Diabetes and Some Cardiovascular Risk Factors in Diabetic Patients
Najmeh
Rahimi
Resident, Department of Internal Medicine, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran
author
Mohamad Hossain
Gozashti
Assistant Professor, Physiology Research Center, Department of Endocrinology, Kerman University of Medical Sciences, Kerman, Iran
author
Hamid
Najafipour
Professor, Physiology Research Center, Department of Physiology, Kerman University of Medical Sciences, Kerman, Iran
author
Mostafa
Shokoohi
Research Center for Modeling in Health, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
author
Hamid
Marefati
Assistant Professor, Department of Exercise Physiology, School of Physical Education and Sport Sciences, Shahid Bahonar University of Kerman AND Physiology Research Center, Kerman University of Medical Sciences, Kerman, Iran
author
text
article
2013
eng
Background: Due to this belief that opium may have beneficial effects on diabetes or cardiovascular risk factors, the present study aimed to assess the potential and possible effects of opium consumption on diabetes control and some cardiovascular risk factors in diabetic patients. Methods: This study enrolled 374 diabetic subjects from diabetes care centers in Kerman, Iran including opium user group (n = 179) and a non opium user group (n = 195). The data were collected through a questionnaire completed by interviewing, physical examination and laboratory assessment. Findings: Opium did not show any statistically significant effect on blood glucose, glycated hemoglobin (HbA1C), fasting blood sugar (FBS), low-density lipoprotein (LDL) and diastolic blood pressure. However, systolic blood pressure and prevalence of high systolic blood pressure were significantly higher in opium user group (P < 0.050). In addition, lower serum high-density lipoprotein (HDL) and frequency of lower HDL was significantly higher in opium user group (P < 0.001). Conclusion: According to this study, opium does not seem to have beneficial effects on diabetes control or cardiovascular risk factors. Therefore, it would not be advisable to consume opium as an anti-diabetes or cardioprotective agent.
Addiction and Health
Kerman University of Medical Sciences
2008-4633
6
v.
1-2
no.
2013
1
6
https://ahj.kmu.ac.ir/article_84610_aa7998e901ef245d9c55b1aa51e7d3cc.pdf
Enucleation of Eye Using Finger Following Cannabis Consumption
Abdoul Reza
Sabahi
Assistant Professor, Department of Psychiatry, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran
author
Zahra
Amini-Ranjbar
Nurse, Kerman University of Medical Sciences, Kerman, Iran
author
Ali
Sharifi
Associate Professor, Department of Ophthalmology, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran
author
Ali
Kheradmand
Assistant Professor, Psychiatrist, Neuroscience Research Center, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran
author
text
article
2014
eng
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.
Addiction and Health
Kerman University of Medical Sciences
2008-4633
6
v.
1-2
no.
2014
81
84
https://ahj.kmu.ac.ir/article_84620_3d735c06577dc3c1086536dc1c8d519f.pdf
Effect of Opium Addiction on Aspirin Resistance in Stable Angina Pectoris
Afsaneh
Forood
Assistant Professor, Department of Cardiology AND Physiology Research Center, Kerman University of Medical Sciences, Kerman, Iran
author
Reza
Malekpour-Afshar
Associate Professor, Neuroscience Research Center, Kerman University of Medical Sciences, Kerman, Iran
author
Jamshid
Sarnevesht
Resident, Department of Cardiology, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran
author
text
article
2014
eng
Background: The rate of cardiovascular diseases in developing countries is approximately 60% and it is still has an increasing trend. The clinical effectiveness of aspirin in preventing cardiovascular events has been well proven. Although aspirin is an effective and inexpensive drug, its consumption is not equally beneficial for all patients. Many factors can be affective on the efficacy of antiplatelet drugs such as aspirin. Methods: This study was carried out on 260 patients who had stable angina pectoris and coronary artery disease was approved by coronary angiography. Based on opium addiction, the patients were divided into two groups. Opium addiction was diagnosed base on Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM IV) criteria. The mid stream morning urinary sample were collected for measuring the urinary 11-dehydroxy thromboxane B2 level (UTXB2). Urinary level of UTXB2 was considered as an aspirin resistance index. Findings: The mean age of patients was 57.3 ± 8.9; and 44.6% of them were females. The aspirin resistance rate was 41.5%. Significant difference in aspirin resistance was observed between the opium addicts and non-addicts. (51.5% vs. 31.5%) (P = 0.001). The effects of confounding variables such as diabetes, hypertension, and hyperlipidemia were eliminated by regression logistic multivariable analysis. Conclusion: The prevalence of aspirin resistance in patients with stable angina pectoris was 41.5%. The prevalence of aspirin resistance in patients with stable angina pectoris who had opium addiction was significantly higher them non-addicts.
Addiction and Health
Kerman University of Medical Sciences
2008-4633
6
v.
1-2
no.
2014
7
13
https://ahj.kmu.ac.ir/article_84618_9ea174a1af65614e13af956b282311dd.pdf
Challenges in the Area of Training and Prevention at the HIV Triangulation Clinic, Kerman, Iran
Farzaneh
Zolala
Assistant Professor, Regional Knowledge Hub for HIV/AIDS Surveillance, Institute for Futures Studies in Health, School of Health, Kerman University of Medical Sciences, Kerman, Iran
author
Ali Akbar
Haghdoost
Professor, Research Center for Modeling in Health, School of Health, Kerman University of Medical Sciences, Kerman, Iran
author
Roohollah
Zahmatkesh
General Practitioner, Deputy for Health, Kerman University of Medical Sciences, Kerman, Iran
author
Mehdi
Shafiei
General Practitioner, Deputy for Health, Kerman University of Medical Sciences, Kerman, Iran
author
text
article
2014
eng
Background: Since 2000, Iran has been delivering training and treatment services, including methadone therapy, to HIV positive patients through triangular clinics. This study aims to evaluate the effectiveness of these activities at the HIV Triangulation Centre in the city of Kerman, Iran, through clients’ views. Methods: Participants were recruited using a convenience sample and assessed through in-depth interviews, and observations. Data were analyzed using a thematic analysis, matrix based method. Findings: The results found problems in training and counseling which was described by the staff to be due to the effects of the economic difficulties of the clients, not being of the same sex as the consultant, and lack of utilization of a variety of training methods by the clients. Furthermore, the absorption of clients was perceived as being affected by the appearance of the center, gossip around the center, limited working hours, and interpersonal relations between clients and staff. The clients also criticized the building of the center as it failed to maintain anonymity of the patients. The need for supplementary services, such as dentistry, was perceived by many clients. Conclusion: The application of appropriate strategies such as providing adequate training and removing the obstacles of absorption should be taken into account to increase the utility and coverage of the triangular clinic. These interventions could be a range of activities, such as relocating the center to a more decent place and encouraging the staff to appear in a professional white coat to help gain the trust of clients.
Addiction and Health
Kerman University of Medical Sciences
2008-4633
6
v.
1-2
no.
2014
14
21
https://ahj.kmu.ac.ir/article_84611_6b7240e2e400408dbadbf918efbbcb9b.pdf
Drug Use among Residents of Juvenile Correctional Center in Kerman, Iran, and its Relationship with Personality Dimensions and Self-concept
Amin
Gousheh
General Practitioner, Research Center for Health Services Management, Institute of Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
author
Hassan
Ziaaddini
Associate Professor, Department of Psychiatry, Research Center for Social Determinants of Health, Institute of Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
author
Mohammad Reza
Baneshi
Associate Professor, Research Center for Modeling in Health, Institute of Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
author
Nouzar
Nakhaee
Professor, Neuroscience Research Center, Institute of Neuropharmacology, Kerman University of Medical Sciences, Kerman, Iran
author
text
article
2014
eng
Background: Identifying the status of substance misuse and its psychosocial correlates among residents of juvenile correctional centers, as a high risk group, could potentially illuminate the roadmap to prevention of drug use in this group. Methods: In this cross-sectional study, 93 individuals aged 13 to 18 were enrolled. A self-administered questionnaire was completed and dropped in a sealed box. It consisted of 4 parts of Piers-Harris Children’s Self-Concept Scale, NEO Personality Inventory, drug use questions, and demographic variables. All questionnaires were well adapted in the Persian language. MANOVA was used to compare the subscale scores between the drug users and nonusers. Findings: All respondents were male and 40% were illiterate. More than 40% had drug dependent fathers. Use of cigarette, opium, and alcohol in the previous 30 days was reported by 31.9, 52.2, and 15.9% of respondents, respectively. In this population, the score of 3 of the 5 personality factors (i.e., neuroticism, extraversion, and openness) were higher than in the general population (P < 0.001). More than 88% of subjects had negative self-concept. Both the scores of personality and self-concept showed no significant difference based on the status of drug use. Conclusion: Prevalence of lifetime and last-month drug use was found to be high. Regarding the profiles of personality and self-concept, more comprehensive evidence-based interventions are needed for improvement of their mental health.
Addiction and Health
Kerman University of Medical Sciences
2008-4633
6
v.
1-2
no.
2014
22
29
https://ahj.kmu.ac.ir/article_84612_3048f378234dfc0cfc4541c38b021d52.pdf
The Prevalence of Musculoskeletal Pain and Forward Head Posture among Heroin Users during their Withdrawal with Methadone
Fahimeh
Kamali-Sarvestani
Associate Professor, Department of Physiotherapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
author
Tahereh
Motiallah
Lecturer, Department of Physiotherapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
author
Farahnaz
Ghaffarinejad
PhD Student, Department of Physiotherapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
author
text
article
2014
eng
Background: Heroin is an extremely addictive narcotic drug derived from morphine. Its continued use requires increased amounts of the drug to achieve the same effect, resulting in tolerance and addiction. This study was done in order to determine the prevalence of musculoskeletal pain and forward head posture among heroin users during their withdrawal. Methods: This research was a cross-sectional study that was done on 90 heroin users (83 males, 7 females) aged between 20 to 40 years (32.5 ± 3.81) during their withdrawal in Shiraz, Iran. They were selected by simple randomized sampling. Data were collected by a form regarding age, sex, the duration of heroin use, and musculoskeletal pain. Pain was measured by VAS (visual analog scale) and forward head posture was evaluated by plumb line. Pearson correlation technique and chi-square were used for analyzing the data. Findings: The results revealed that the majority of heroin users suffered from musculoskeletal pain during their withdrawal. At the end of withdrawal 53.4% had severe pain, 38.8% had moderate pain, and 7.8% of them had mild pain. Pain in the lower extremities and low back was more common than the upper extremities. The intensity of pain before withdrawal was mild, during withdrawal was moderate, and at the end was sever, but there was no significant correlation between them. The results also showed 43.3% of subjects had normal posture and 56.7% had forward posture. Conclusion: According to the results, the intensity of pain increased during the withdrawal period; therefore, more attention must be paid to this complication in heroin users for better evaluation and a successful withdrawal.
Addiction and Health
Kerman University of Medical Sciences
2008-4633
6
v.
1-2
no.
2014
30
35
https://ahj.kmu.ac.ir/article_84613_ab8e03da27e32ea903e08dda3fab08b1.pdf
Selection of Variables that Influence Drug Injection in Prison: Comparison of Methods with Multiple Imputed Data Sets
Saiedeh
Haji-Maghsoudi
PhD Candidate, Regional Knowledge Hub and WHO Collaborating Centre for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
author
Ali Akbar
Haghdoost
Professor, Regional Knowledge Hub and WHO Collaborating Centre for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
author
Mohammad Reza
Baneshi
Associate Professor, Research Center for Modeling in Health, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
author
text
article
2014
eng
Background: Prisoners, compared to the general population, are at greater risk of infection. Drug injection is the main route of HIV transmission, in particular in Iran. What would be of interest is to determine variables that govern drug injection among prisoners. However, one of the issues that challenge model building is incomplete national data sets. In this paper, we addressed the process of model development when missing data exist. Methods: Complete data on 2720 prisoners was available. A logistic regression model was fitted and served as gold standard. We then randomly omitted 20%, and 50% of data. Missing date were imputed 10 times, applying multiple imputation by chained equations (MICE). Rubin’s rule (RR) was applied to select candidate variables and to combine the results across imputed data sets. In S1, S2, and S3 methods, variables retained significant in one, five, and ten imputed data sets and were candidate for the multifactorial model. Two weighting approaches were also applied. Findings: Age of onset of drug use, recent use of drug before imprisonment, being single, and length of imprisonment were significantly associated with drug injection among prisoners. All variable selection schemes were able to detect significance of these variables. Conclusion: We have seen that the performances of easier variable selection methods were comparable with RR. This indicates that the screening step can be used to select candidate variables for the multifactorial model.
Addiction and Health
Kerman University of Medical Sciences
2008-4633
6
v.
1-2
no.
2014
36
44
https://ahj.kmu.ac.ir/article_84614_69f607e89825415a327175ff55ebaecd.pdf
The Relationship between Perfectionism and Coping Strategies in Drug-dependent Men
Nahid
Kaviani
MSc Student, Department of Psychology, Province Health Center, Islamic Azad University, Science and Research Branch of Hormozgan, Bandarabbas, Iran
author
Kourosh
Mohammadi
Associate Professor, Department of Psychology, University of Hormozgan, Bandarabbas, Iran
author
Eghbal
Zarei
Associate Professor, Academic Member, Department of Psychology, University of Hormozgan, Bandarabbas, Iran
author
text
article
2014
eng
Background: The aim of this study was to examine the relationship between perfectionism and coping strategies in drug-dependent men. This study is a descriptive correlational study. Methods: The statistical population of this study consisted of all drug-dependent men (n = 6237) in years 2010-2011, who were admitted to all self-referral rehabs in Kerman. From this statistical population, 361 individuals were selected using randomized cluster sampling. The measurement tools applied in this study were positive and negative perfectionism questionnaires (Terry short et al., 1995) and coping responses (Blinger and Moose, 1981). Findings: The data was analyzed using statistical methods, Pearson Coefficient Correlation and multivariable regression inferential statistics. The results showed that there is a significant correlation between positive and negative perfectionism and problem- focused and emotion-focused coping strategies (P ≤ 0.01). Conclusion: The results of the current study show that positive and negative perfectionism predicts problem- focused and emotion-focused coping strategies for drug-dependent men.
Addiction and Health
Kerman University of Medical Sciences
2008-4633
6
v.
1-2
no.
2014
45
53
https://ahj.kmu.ac.ir/article_84615_1d911ea7b5600766c0a517500ba44c99.pdf
Single and Repeated Ultra–Rapid Detoxification Prevents Cognitive Impairment in Morphine Addicted Rats: A Privilege for Single Detoxification
Leila
Ghamati
MSc Student, Department of Physiology, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran
author
Vahid
Hajali
Assistant Professor, Department of Physiology, School of Medicine, Bojnord University of Medical Sciences, Bojnord, Iran
author
Vahid
Sheibani
Professor, Neuroscience Research Center, Institute of Neuropharmacology, Department of Physiology, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran
author
Khadije
Esmaeilpour
Researcher, Neuroscience Research Center, Institute of Neuropharmacology, Kerman University of Medical Sciences, Kerman, Iran
author
Gholamreza
Sepehri
Professor, Neuroscience Research Center AND Department of Physiology, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran
author
Mojtaba
Shojaee
General Practitioner, Welfare Organization, Kerman, Iran
author
text
article
2014
eng
Background: Opioids have been shown to affect learning and memory processes. Different protocols of morphine withdrawal can substantially vary in their success to prevent opioid induced impairments of cognitive performance. In the present study, we report the effects of single and repetitive ultra-rapid detoxification (URD) on spatial learning and memory in morphine addicted rats. Methods: Morphine (10 mg/kg) was intraperitoneally (IP) injected in male rats once a day over one week and after which they were detoxified with naloxone administration under anesthesia. For the repetitive procedure, a second one week morphine treatment with a second subsequent detoxification was performed. Control groups received an equivalent volume of saline injections. Spatial learning and memory was evaluated using the Morris water maze (MWM) task. Findings: Both protocols of morphine administration resulted in a severe spatial memory impairment that could be significantly prevented by both single and repetitive URD. However, memory abilities in animals treated with repetitive URD were still significantly lower than in animals of the corresponding control group. Alterations in motor activity or sensory-motor coordination between morphine treated and control animals could be ruled out by comparing swimming speed and visible platform performances that were not different between groups. Thus, URD and, specifically single URD, can prevent the spatial memory impairments in addicted rats. Conclusion: As opioid addiction is an extending and serious concern in many societies, these findings may have clinical values and therapeutic implications for patients who experience multiple opioid relapses.
Addiction and Health
Kerman University of Medical Sciences
2008-4633
6
v.
1-2
no.
2014
54
64
https://ahj.kmu.ac.ir/article_84616_95f1f268c116b37a5ae479a7ef67899e.pdf
Ginger (Zingiber Officinale Roscoe) Prevents Morphine-Induced Addictive Behaviors in Conditioned Place Preference Test in Rats
Shima
Torkzadeh-Mahani
Associate Professor, Department of Biology, Payame Noor University, Tehran Branch, Tehran AND Laboratory of Molecular, Neuroscience Research Center, Kerman University of Medical Sciences, Kerman, Iran
author
Sima
Nasri
Associate Professor, Department of Biology, Payame Noor University, Tehran Branch, Tehran, Iran
author
Saeed
Esmaeili-Mahani
Associate Professor, Department of Biology, School of Sciences, Shahid Bahonar University of Kerman, Kerman, Iran
author
text
article
2014
eng
Background: Consumption of chronic morphine induces neuro-inflammation and addictive seeking behavior. Ginger (Zingiber Officinale Roscoe), a well-known spice plant, has been used traditionally in the treatment of a wide variety of ailments. It has been shown that ginger has anti-inflammatory, anti-oxidative and antinociceptive properties. However, its influences on morphine-induced addictive behaviors have not yet been clarified. Methods: For conditioning to the morphine, the male Wistar rats received morphine (12 mg/kg intraperitoneally or i.p.) for 6 consecutive days and treatment groups were given different doses of ginger (25, 50 and 100 mg/kg intragastrically or i.g.) 30 min before morphine injection. For investigating addictive seeking behavior, conditioned place preference test (CPP) was used. Findings: Our result demonstrated that injection of morphine for 6 days induces dependency to morphine and creates addictive seeking behavior and ginger (100 mg/kg) could decrease time spend in conditioning box (addictive seeking behavior). Conclusion: The data indicated that ginger extract has a potential anti-addictive property against chronic usage of morphine.
Addiction and Health
Kerman University of Medical Sciences
2008-4633
6
v.
1-2
no.
2014
65
72
https://ahj.kmu.ac.ir/article_84617_e016a94a0dcb915e580f32defd07094e.pdf
Attitudes, Practices and Perceived Barriers in Smoking Cessation among Dentists of Udaipur city, Rajasthan, India
Nagesh
Bhat
Professor, Department of Public Health Dentistry, Darshan Dental College and Hospital, Loyara, Udaipur, Rajasthan, India
author
Jaddu
Jyothirmai Reddy
Senior Lecturer, Department of Public Health Dentistry, Darshan Dental College and Hospital, Loyara, Udaipur, Rajasthan, India
author
Mandeepsinh
Gohil
MSc Student, Department of Public Health Dentistry, Darshan Dental College and Hospital, Loyara, Udaipur, Rajasthan, India
author
Megha
Khatri
BSc Student, Department of Public Health Dentistry, Darshan Dental College and Hospital, Loyara, Udaipur, Rajasthan, India
author
Mridula
Ladha
Undergraduate Student, Department of Public Health Dentistry, Darshan Dental College and Hospital, Loyara, Udaipur, Rajasthan, India
author
Meenakshi
Sharma
Undergraduate Student, Department of Public Health Dentistry, Darshan Dental College and Hospital, Loyara, Udaipur, Rajasthan, India
author
text
article
2014
eng
Background: Tobacco is one of the most important causes of morbidity and mortality. Tobacco toll in India has one-fifth of all worldwide death attributed to tobacco. There are 700000 deaths per year due to smoking and 800000-900000 per year to all forms of tobacco use of exposure in India. The role of dentist in supporting their patients to quit smoking has been recognized. The present study was conducted to know the attitudes, practices and barriers in tobacco cessation among dentists of Udaipur city (Rajasthan, India). Methods: A pretested, close-ended, self-administered, coded questionnaire was distributed among all the 262 dental health practitioners and the teaching staff. Out of 262 questionnaires distributed among the dentist, 151 dentists filled out and returned the questionnaire. Findings: The majority of the dentists (98.7%) agreed that it was their responsibility to provide smoking cessation counseling. 54.3% of dentists agreed that such discussions were too time consuming. 37.1% thought they lacked knowledge regarding this subject. 35.8% feared to an extent about patient leaving their clinic if counseled much. Conclusion: In general, the dentists were in favorable attitude in tobacco cessation counseling for the patients; however, the lacks of time and knowledge and to an extent, a fear that the patients would leave their clinic, were the main identified barriers.
Addiction and Health
Kerman University of Medical Sciences
2008-4633
6
v.
1-2
no.
2014
73
80
https://ahj.kmu.ac.ir/article_84619_7886c14011808021ddde44450c02cf97.pdf