2026-08-08T14:55:45+03:30 http://jccs.yums.ac.ir/browse.php?mag_id=10&slc_lang=en&sid=1

10-125 2026-08-08 10.1002

Journal of Clinical Care and Skills J Clinic Care Skill 2645-7687 2645-7687 10.58209/jccs 2022 3 1 Z. Javid M. Salari salarimo@yums.ac.ir A. AfrasiabiFar V. Minasian R. Abbasi Larki Aims: Hemodialysis treatment affects the long-term life of the patients. Therefore, most hemodialysis patients have an inactive lifestyle. Inactivity is associated with a high risk of poor quality of life, hospitalization, and mortality among dialysis patients. Therefore, this study aimed to compare the effect of aerobic and resistance training on the quality of life of hemodialysis patients. Methods: In this clinical trial study, 64 hemodialysis patients of Shahid Beheshti Hospital in Yasuj who were eligible to participate in the study were selected by convenience sampling method. The subjects were randomly assigned into three groups (aerobic exercise, resistance exercise, and control group). Patients in the aerobic exercise group were provided fixed bicycle aerobic exercise for 8 weeks during hemodialysis, and the subjects in the resistance exercise group were provided resistance training by stretches and dumbbells. The control group did not receive any intervention. A demographic questionnaire, Kidney Disease Quality Of Life-Short Form (KDQOL-SF) was used immediately before and after the interventions. Data were analyzed using SPSS 21 through a one-way analysis of variance. Findings: There was no statistically significant difference in the mean score of the public quality of life (p=0.8) and specific quality of life (p=0.2) between the experimental and control groups, before the intervention. There was a statistically significant difference in the public and specific quality of life (p=0.001) between the aerobic and resistance training groups with the control group. However, there was no statistically significant difference in the public and specific quality of life between the aerobic and resistance exercise groups (p>0.05). Conclusion: Both types of aerobic and resistance exercises can be done by the individual as complementary and practical, effective, affordable, and available therapy. Therefore, it is suggested to provide interventions in the educational program for patients undergoing hemodialysis by the health team members. Aerobic Exercise Resistance Training Hemodialysis Quality of Life 2022 3 01 1 8 http://jccs.yums.ac.ir/article-1-125-en.pdf 10.52547/jccs.3.1.1

10-123 2026-08-08 10.1002

Journal of Clinical Care and Skills J Clinic Care Skill 2645-7687 2645-7687 10.58209/jccs 2022 3 1 Z. Saeedinezhad N. Dabiri dabirin.2019@gmail.com Aims: Psoriasis is a common immune-related skin disorder that affects 2-3% of worldwide people. This study aimed to determine the disease characteristics of psoriasis patients. Materials & Methods: In this descriptive cross-sectional study, using the convenience sampling method, 164 psoriatic patients who were referred to a dermatology clinic in Yasuj from 2013 to 2014 participated. Demographic information and medical parameters were collected by a dermatologist through observation and using a researcher-made checklist. SPSS software version 19 was used for the statistical analysis of data. Findings: Participants were consisting of 106 males and 58 females. The mean age of females was 28.72±15.89, and for males was 29.83±23.19. Most of them had the mild disease (48.3%), and common plaque-type psoriasis (87.7%). Sites of skin involvement were 80.4% on extremities. Nail involvement was 31.7% and arthritis was detected in 3% of cases. There was a history of pruritus or burning sensation in 41.5% of cases. There was only a 17.1% positive family history. Conclusion: According to the results of this study, the ratio of men with psoriasis to women was higher. Most of the skin lesions caused by this disease were observed in the extremities, head, face and trunk, respectively, and in this respect both gender were similar and few participants reported a positive family history in this regard. Psoriasis Injury Severity Scores Diagnosis History 2022 3 01 9 12 http://jccs.yums.ac.ir/article-1-123-en.pdf 10.52547/jccs.3.1.9

10-121 2026-08-08 10.1002

Journal of Clinical Care and Skills J Clinic Care Skill 2645-7687 2645-7687 10.58209/jccs 2022 3 1 N. Roustaei H. Hosayni S. Jokar F. Zinat Motlagh motlaghf@yahoo.com Aims: Medication adherence is one of the most important concepts in the field of physical diseases, including hypertension. Many patients do not adhere to the treatment and ignore the doctor's instructions, which can cause many economic, physical, and cultural problems for the individual, family, and society. This study aimed to investigate the factors related to mediation adherence using social cognitive theory in hypertensive patients. Instrument & Methods: This descriptive-analytical study was carried out on 112 patients (male and female) with hypertension in Yasuj, Iran in 2020. Data collection tools included the demographic information questionnaire, the Maurice therapy adherence questionnaire, and the bandura social theoretical constructs questionnaire (including self-efficacy, social support, and self-regulatory constructs). the collected data were analyzed using SPSS 22 software. Findings: The rate of treatment adherence was 46.4% among patients (55.6% for men and 40.3% for women). There was a statistically significant relationship between age, education, and adherence to treatment (p<0.0001). The self-efficacy self-regulatory constructs predicted 22% of the variance in treatment adherence. Conclusion: The results of this study showed that medication adherence in hypertensive patients referred to medical centers in Yasuj is at a weak level. Due to the correlation between the constructs of social cognitive theory and mediation adherence, the constructs of this theory can be used in adherence to treatment in patients with hypertension.   Social Cognitive Theory Medication Adherence Hypertension 2022 3 01 13 18 http://jccs.yums.ac.ir/article-1-121-en.pdf 10.52547/jccs.3.1.13

10-122 2026-08-08 10.1002

Journal of Clinical Care and Skills J Clinic Care Skill 2645-7687 2645-7687 10.58209/jccs 2022 3 1 S. Zareei S.H. Nabavizadeh N. Zareei R. Abbasi abbasir86@yahoo.com Aims: Stevens-Johnson syndrome and toxic epidermal necrolysis are serious severe cutaneous adverse reactions with high mortality and morbidity induced by medications. In this cross sectional study, we investigated, suspected drugs, and potential treatments of Stevens-Johnson Syndrome/Toxic Epidermal Necrolysis. Methods: A cross- sectional descriptive study was conducted on 60 patients admitted with a diagnosis of Stevens-Johnson Syndrome (47 patients) or Toxic Epidermal Necrolysis (13 patients). Except for the therapeutic procedure, data related to pharmacological causes and treatment was obtained from electronic medical records. They were treated daily with either co-administration of intravenous immunoglobulin (1-2mg/kg) and corticosteroid (Prednisolone Forte 1-2mg/kg; maximum 60mg/kg) or exclusive corticosteroid. Finding: Stevens-Johnson Syndrome/Toxic Epidermal Necrolysis were more frequent among females (56.7%) and young people (73.4%). Sepsis was observed in 11.8% of Stevens-Johnson Syndrome patients treated with intravenous immunoglobulin and corticosteroid (mean hospitalization days 2.2±0.6) but not in those who were treated with a corticosteroid (mean hospitalization days 1.6±0.5 days), though all Stevens-Johnson Syndrome patients improved after treatment. In Toxic Epidermal Necrolysis patients, 76.9% of the them showed sepsis that received intravenous immunoglobulin and corticosteroid. The mortality rate was 5%. Antibiotics and anticonvulsant drugs were found to be the main causes of Stevens-Johnson Syndrome/Toxic Epidermal Necrolysis. Conclusion: Either intravenous immunoglobulin and corticosteroid or corticosteroid treatments seem to be effective for Stevens-Johnson Syndrome improvement. Potential drug Causes of Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis included Antibiotics and anticonvulsant drugs. Anticonvulsants Adrenal Cortex Hormones IVIG Phenobarbitals Lyell's Syndrome 2022 3 01 19 26 http://jccs.yums.ac.ir/article-1-122-en.pdf 10.52547/jccs.3.1.19

10-126 2026-08-08 10.1002

Journal of Clinical Care and Skills J Clinic Care Skill 2645-7687 2645-7687 10.58209/jccs 2022 3 1 T. Zaheri A. Dabbaghi T. Daneshnia tahadaneshnia@yahoo.com Aims: The morphology of the condyle varies according to the race of the population in different places. Moreover, the identification of morphologies can be effective in diagnosing the pathogenesis and type of treatment of patients. This study aimed to examine condyle morphology images using digital panoramic imaging. Material & Methods: This study was performed as a retrospective using panoramic images available in the archives of the Private Radiology Center located in Ahvaz in Iran 2021. The digital panoramic images were taken by a South Korean VATECH.PEH 2500 panoramic device. The images were investigated in terms of condyle shape, age, sex, and bilateral symmetry. SPSS 16 software was used for data analysis. The Chi-square test was used for the statistical analysis of data. Finding: The results showed that 47.7% of patients had round morphology, 11.9% had diamond morphology, 21.9% had finger morphology and 18.5% had bird beak morphology. After evaluations, the results showed that there was no significant relationship between age and sex of patients with condylar morphology. Conclusion: Round morphology was higher in all populations than in other morphologies. Also, its prevalence was higher in both sexes than in other morphologies. However, no significant relationship was observed between them.   Temporomandibular Joint Mandible Condyles Panoramic Radiography 2022 3 01 27 30 http://jccs.yums.ac.ir/article-1-126-en.pdf 10.52547/jccs.3.1.27

10-128 2026-08-08 10.1002

Journal of Clinical Care and Skills J Clinic Care Skill 2645-7687 2645-7687 10.58209/jccs 2022 3 1 M. Hosseini B. Mohammadi J. Mohammadi j.mohammadi.4554@gmail.com Aims: This study aimed to examine the acute effects of exhaustive incremental exercise on serum leptin, glucose, and lactate in one session in trained 18-26 years old men. Material & Methods: The present study was conducted in 2021 on male physical education students available at the Faculty of Sports Sciences of the Shahid Chamran University of Ahvaz in Iran. Thirty students who had 18-26 years old, with body fat between 15-25% and VO2max between 35-45ml/kg/min, were simple randomly selected through 200 physical education students, and they were divided into two equal training and the control groups (each of them consists of 15 subjects). The exercise test included the Astrand test on a treadmill that performed exhaustive incremental exercise. Blood samples have been collected from two groups in pre and post-test and 9 hours after exhaustive incremental exercise. The statistical analyses used were the Independent T-test and one-way ANOVA tests by SPSS version 20. Findings: Results showed that serum leptin did not change between three measurement sets in the training group in comparison to the control group (p>0.05). Plasma glucose significantly changed between pre and post-test and pretest and 9 hours later (p<0.001). Plasma lactate significantly changed in post-test in comparison to pretest and 9 hours later to post-test (p<0.001). Conclusion: Incremental exhaustive exercise has no significant effect on serum leptin.   Exercise Leptin Lactic Acid Glucose 2022 3 01 31 36 http://jccs.yums.ac.ir/article-1-128-en.pdf 10.52547/jccs.3.1.31

10-124 2026-08-08 10.1002

Journal of Clinical Care and Skills J Clinic Care Skill 2645-7687 2645-7687 10.58209/jccs 2022 3 1 Gh. Sabz M. Derakhshan S.R. Panahi roghayehpanahi2@gmail.com Aims: Sphenoid sinus is one of the most inaccessible paranasal sinus, and is closely correlated to many vascular and neural structures. Anatomic variation of the sphenoid sinus can complicate surgery in this area. The present study aimed to define the sphenoid sinus variations and the relevant structures using cone-beam computed tomography. Material & Methods: This cross-sectional descriptive study was performed on cone-beam computed tomography of 129 patients. Simple random sampling was used to select cone-beam computed tomography to specify the sphenoid sinus anatomical variations. Data was gathered in the form and analyzed using the descriptive and analytic tests, including the Chi-square test. Finding: The most common sphenoid sinus variations were observed for sagittal sellar (89.1%) and the lowest was Sagittal conchal (1.6%). A significant difference was also found between the frequency of axial-anterior type pneumatization and Sagittal sellar between age groups. But, no significant differences were found between males and females in terms of sphenoid sinus variations. Significant associations were also found between some sphenoid sinus variations (p<0.05). Conclusion: The sphenoid sinus has a highly anatomical structure variation. Sellar and pre-sellar type pneumatization are more common than conchal and post-sellar types. T   Sinonasal Tract Anatomic Sphenoid Sinus Cone Beam Computed Tomography 2022 3 01 37 40 http://jccs.yums.ac.ir/article-1-124-en.pdf 10.52547/jccs.3.1.37

10-129 2026-08-08 10.1002

Journal of Clinical Care and Skills J Clinic Care Skill 2645-7687 2645-7687 10.58209/jccs 2022 3 1 M. Dadkhah-Tehrani M. Adib-Hajbaghery adib1344@yahoo.com Aims: Currently, the outbreak of COVID-19 has imposed a wide range of stressors that can negatively affect nurses and other health care workers. This study aimed to investigate the severity of burnout among nurses working in COVID-19 wards. Instrument & Methods: This cross-sectional descriptive study was conducted in 2019 on 372 nurses working in the clinical wards of Shahid Beheshti Hospital of Kashan, Iran. A two-part questionnaire was used for data collection. The first part consisted of demographic questions and the second part was the Maslach burnout inventory. Data analysis was conducted by the SPSS 16 using Mann-Whitney U and independent samples t-test. Findings: Of 372 nurses who participated in this study the mean overall occupational burnout was 45.16±22.84 which shows burnout at a moderate level. The mean occupational burnout was significantly higher in nurses over the age of 30 (p< 0.01), in males (p=0.05), and nurses working in operating rooms (p<0.001). Conclusion: The level of nurses' burnout was moderate.   COVID-19 Nurses Occupational Burnout Pandemic 2022 3 01 41 46 http://jccs.yums.ac.ir/article-1-129-en.pdf 10.52547/jccs.3.1.41