Anxiety disorders are the most frequent psychiatric disorder that results in major illnesses, overusing the health care services and extreme functional disorders. According to the cognitive approach, the psychiatric harm, made by formation and fixation of early maladaptive schemas and habitual thinking patterns are very general and pervasive that determines the type of vulnerability to them. Therefore the present study aims at investigating the role of early maladaptive schemas in clarification of anxiety disorders. The present study is post-hoc (casual-comparative) which was carried out on a sample of 105 people (71women and 34 men) with various anxiety disorders who were chosen in random sampling method in six groups of panic disorder with or without agoraphobia, specific phobia, social phobia, obsessive-compulsive disorder (OCD), post-traumatic stress disorder (PTSD) and acute stress disorder and generalized anxiety disorder (GAD). After the structured clinical interview for DSM-IV-TR (SCID-I), subjects were assessed using Young early maladaptive schemas questionnaire (short form). One way analysis of variance was used to analyze data. Emotional deprivation schemas, abandonment-instability, subjugation, self-sacrifice, emotional suppression and unrelenting standards schemas in panic disorder with or without agoraphobia group; mistrust-abuse, self-sacrifice, emotional suppression, unrelenting standards and entitlement schemas in social phobia disorder; unrelenting standards schema in specific phobia disorder, self-sacrifice, unrelenting standards and entitlement schemas in obsessive-compulsive disorder; emotional deprivation schemas, abandonment-instability, self-sacrifice, unrelenting standards and entitlement schemas in post-traumatic stress and acute stress disorder; and vulnerability to harm or illness, self-sacrifice and unrelenting standards schemas in generalized anxiety disorder were considered active. Findings revealed a significant difference in early maladaptive schemas in (various) anxiety disorder groups. In addition, mistrust-abuse schema can expose someone to social phobia disorder, vulnerability to harm or illness can expose to general anxiety disorder and the subjugation schema expose to panic disorder with or without agoraphobia.
Hepatitis A Virus (HAV) infection is often asymptomatic or mildly symptomatic in pediatric population, the severity of the disease increases by age. Immune-mediated extrahepatic manifestations and hematologic complications are mainly reported in adults with acute and chronic hepatitis B and C. However, they are relatively rare in children with HAV infection. There are few available pediatric reports in English literature about autoimmune complications of HAV infection. We reported two pediatric cases who presented with hemophagocytic lymphohistiocytosis and immune thrombocytopenic purpura as the sole manifestations of HAV infection therefore in patients with these hematologic disorders HAV infection should be kept in mind in the differential diagnosis even if they are not jaundiced
In order to achieve high efficiency and high specific work with lower emissions, the use of advanced gas turbine cycle in power systems is unavoidable. There are so many methods for this purpose. In this research, inlet air cooling has been analyzed thermodynamically. The utilize of inlet fogging for entrance of air in the compressor of gas turbine has these advantages such as easy installation, law primitive cost and maintaining cost also it causes to increase output power and improving the heat efficiency, special in during the peak loud, in power plant. In this study, the gas turbine cycle with steam injection and inlet fogging cooler has investigated because of second low of thermodynamic irreversibility in different parts of cycle has evaluated, and paying attention irreversibility in combustion chamber and wasting from outlet exhaust gas will be help full the obtained results are compared with normal injected gas. Also, our research data has analyzed in by EES software which is a computer program for modeling of gas turbine cycles. The obtained result in indicates that the output power in steam injected gas turbine cycle with inlet fogging cooler (FSTIG) is more outstanding them the simple steam injected gas turbine cycle (STIG).
The purpose of this research was studying and determining the relative factors (manpower, monitoring and evaluation) to Sport Facilities Productivity. The methodology was based on descriptive survey and field study type. The statistical population includes all managers and their deputies in physical education offices in Lorestan Province, Iran. The population and sample was equal in 55.The data collection tool of the research were researcher made questionnaire of effective factors on Sport Facilities Productivity. For determination of its reliability the Cronbach coefficient of alpha was used and the result was 0/ 92. For data analysis in the inferential statistics scope, Kolmogorov-Smirnov tests and Freedman analysis of variance were used. The results showed that in monitoring and evaluation part of sport facilities the suitable organizational structure for monitoring and evaluation of sport facilities activities is the main factor and creating and using of management information system has least importance. Also in manpower part employing individuals with academic degrees in the field of physical education and sports science is the main factor and job security of the managers and other persons in charge of sports facilities has the least importance.
This study is to determine the effect of surgical treatment of psychiatric patients with hip fractures. Seventeen psychiatric patients and twenty patients with hip fractures but without psychiatric diseases were consecutively admitted in this study. The patients were divided into 4 groups, including psychiatric patients with intertrochanteric fractures, psychiatric patients with femoral neck fractures, control patients with intertrochanteric fractures, and control patients with femoral neck fractures. Surgical time, complications and Harris scores after 1 year were all analyzed. The psychiatric patients with intertrochanteric fractures had longer preoperative preparation time (5.28 ± 2.56) than the non-psychiatric control patients (3.3 ± 1.16) with intertrochanteric fractures (t = 2.174, P = 0.0231). The psychiatric patients with femoral neck fractures also had longer preoperative preparation time (4.8 ± 1.75) than the non-psychiatric control patients (2.8 ± 1.31) with femoral neck fractures (t = 2.887, P = 0.0049). A strong and effective internal fixation device should be chosen in psychiatric patients with intertrochanteric fractures. Cemented bipolar femoral head replacement surgery has good therapy effects on psychiatric patients with femoral neck fracture. The psychiatric patients need longer time for preparing the surgery than the non-psychiatric patients with fractures.
Objective - Appropriate application of principles of smile designing for any restorative work can drastically improve the aesthetics of the patients. This case report describes the treatment for fractured maxillary anterior teeth using digital smile designing technique rather the conventional approach.\nBackground - Much Literature is available on conventional smile designing but discussion on digital smile designing is sparse.\nClinical Considerations - The treatment plan included digital smile designing and measurements using digital ruler, diagnostic wax up and fabrication of crowns.\nConclusion-Digital smile designing is a promising treatment option for good esthetic outcomes
The aim of the present study is to compare the short-term and long-term mortality in patients with ST-segment elevation myocardial infarction (STEMI) and non-ST-segment elevation acute coronary syndrome (NSTE-ACS) after percutaneous coronary intervention (PCI). A total number of 266 STEMI patients and 140 NSTE-ACS patients received PCI. Patients were followed up by telephone or at medical record or case statistics center and were followed up for 4 years. Descriptive statistics and multivariate survival analyses were employed to compare the mortality in STEMI and NSTE-ACS during 4 years of follow-up. All statistical analyses were performed by SPSS19.0 software package. NSTE-ACS patients had significantly higher clinical and angiographic risk profiles at baseline. During the 4 years of follow-up, all-cause mortality in STEMI was significantly higher than that in NSTE-ACS after coronary stent placement (HR 1.496, 95% CI 1.019–2.197). In a landmark analysis no difference was seen in all-cause mortality for both STEMI and NSTE-ACS between 6 month and 4 years of follow-up (HR 1.173, 95% CI 0.758–1.813). Patients with STEMI have a worse long-term prognosis compared to patients with NSTE-ACS after PCI, due to higher short-term mortality. However, NSTE-ACS patients have a worse long-term survival after six months.