Payam Sharifan; Mahdi Rafiee; Niloofar Shabani; Sara Saffar Soflaei; Susan Darroudi; Mahnaz Amini; Maryam Mohamadi Bajgiran; Zahra Ghazizadeh; shima Dehghani; zahra Aghaee; Mahshid Farsi; Melika Malek; Niloofar Safari; Hamideh Ghazizadeh; Reza Assaran Darban; Mahsa Rastegar Moghaddam Poorbagher; Gordon A. Ferns; Habibollah Esmaily; Majid Ghayour
Abstract
Introduction: Depression, anxiety, and stress have been shown to be associated with quality of life and sleep quality. This association did not examine separately in men and women. In the present study, we aim to examine the association between depression, anxiety and stress with RLS, Epworth, insomnia, ...
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Introduction: Depression, anxiety, and stress have been shown to be associated with quality of life and sleep quality. This association did not examine separately in men and women. In the present study, we aim to examine the association between depression, anxiety and stress with RLS, Epworth, insomnia, apnea, PSIQ and QoL by gender in Mashhad-study data.Methods: A total of 289 individuals (143 male and 146 female) aged 30-50 years old who completed the SUVINA study. They completed the Epworth sleepiness scale (ESS), Pittsburg sleep quality index (PSQI) and quality of life (QoL). For statistical analysis, SPSS software was used for data analysis and p value 0<0.05 was considered significant.Results: Depression scores were correlated with higher scores for RLS, ESS, insomnia, and PSQI in men but inversely related to QoL (P < 0.05). RLS and PSQI was positively correlated with anxiety in women, and subjects without anxiety had lower mean of RLS and PSQI scores than the other anxiety groups (P < 0.05 for both). QoL was conversely associated with anxiety in women. Stress was related with higher scores of RLS, ESS, insomnia and PSQI in men (all P <0.05).Conclusion: OlderAlthough scores for depression, anxiety and stress were higher in women compared to men, the association of depression, anxiety and stress with RLS, quality of life and sleep quality varies between genders and unlike our expectation these disorders were more highly correlated with RLS, QoL and sleep quality in men.
Mahboubeh Neamatshahi; Maryam Salehi; Masoud Pezeshkirad; Maryam Emadzadeh; Sanam Yaghoubi
Abstract
Introduction: Lower-limb varicose is a common disorder, which is caused in some occupations and is exacerbated over time, imposing direct and indirect costs on individuals and the community. The present study aimed to validate the Persian version of Aberdeen varicose vein questionnaire (AVVQ). Methods: ...
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Introduction: Lower-limb varicose is a common disorder, which is caused in some occupations and is exacerbated over time, imposing direct and indirect costs on individuals and the community. The present study aimed to validate the Persian version of Aberdeen varicose vein questionnaire (AVVQ). Methods: This cross-sectional study was conducted on 75 patients with varicose veins referring to Imam Reza Hospital in Mashhad, Iran in 2014. The subjects were selected via census sampling. The AVVQ was translated into Persian, and its reliability and validity were assessed using face, content, criterion, and construct validity and Cronbach’s alpha coefficient for reliability. To evaluate content validity, the content validity ratio (CVR) was calculated, and the criterion validity was determined based on Pearson’s correlation-coefficient. In addition, the correlation of the obtained score of each questionnaire item with the total score was verified. Results: The mean age of the patients was 43±16 years. Content validity was assessed based on Lawshe’s method and CVR index of >0.7. The mean score achieved in the AVVQ was 62.3± 8.8, and significant correlations were observed between the total score of AVVQ and physical domain (P<0.001; r=-0.62), mental domain (P<0.001; r=-0.39), and mean total score of SF-36 (P<0.001; r=-0.56). Moreover, the Cronbach’s alpha for the internal consistency of the questionnaire was estimated at 0.71.Conclusion: According to the results, assessment of the score of quality of life in varicose patients could be an effective approach to the development of proper interventions to improve their quality of life.
Mahmoud Reza Ashrafi; Morteza Heidari
Abstract
The primary aim of epilepsy treatment is seizure control, and the treatment is principally prophylactic. Although complete seizure control is the most important predictor of improved quality of life, antiepileptic drugs (AEDs) could cause severe side effects in the patients. Therefore, the risk-benefit ...
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The primary aim of epilepsy treatment is seizure control, and the treatment is principally prophylactic. Although complete seizure control is the most important predictor of improved quality of life, antiepileptic drugs (AEDs) could cause severe side effects in the patients. Therefore, the risk-benefit ratio must be considered before the initiation of AED treatment. Accurate recognition and differentiation of epileptic and non-epileptic paroxysmal events and the diagnosis of the seizure type and epilepsy syndrome are essential procedures before AED treatment. It is often recommended that AED treatment start after two seizures, and being seizure-free for a minimum of two years is a prerequisite for treatment withdrawal. The AED treatment process must be initiated with a single drug at a low maintenance dose, along with further upward titration. Overall, the first attempt in AED treatment has been reported to effectively control seizures in 50-70% of the cases. Moreover, there is a consensus that being seizure-free for two years is the most valid approach to discontinue AED treatment. Approximately 50% of the children with epilepsy outgrow their disease. The present study aimed to provide a systematic method for the treatment and management of epilepsy in children.