Saeed Hosseini Teshnizi; Samiyeh Sadeghpour; Aref Faghih
Abstract
Background: Patients’ adherence to the therapeutic regimen predicts the success of treatment and reduces the complications and severity of the disease. The purpose of this study was to determine the effectiveness of an educational intervention based on Teach-back method with adherence to treatment ...
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Background: Patients’ adherence to the therapeutic regimen predicts the success of treatment and reduces the complications and severity of the disease. The purpose of this study was to determine the effectiveness of an educational intervention based on Teach-back method with adherence to treatment in patients with type 2 diabetes.Methods: We performed a quasi-experimental study on 90 patients with type 2 diabetes in the control and experimental groups. Data collection tools were a two-part questionnaire which consisted of the demographic information and the Mandaloo treatment adherence questionnaire with 40 questions. An educational intervention was performed for the members of the intervention group. One week and forty days after the intervention, the two groups filled out the treatment adherence questionnaire again. The gathered data were analyzed in SPSS software version 22 using statistical tests of Wilcoxon, Chisquare, Makhli, Ben Foroni, the repeated-measures variance of analysis, and independent t-test. The significance level in this study was considered less than 0.05.Results: The mean scores of adherence to treatment in the training group before the intervention, one week, and forty days after the intervention were 120.52±11.49, 157.60±17.96, and 140.65±18.80, respectively; also, in the control group, the mean scores were 113.38±16.89, 150.67±18.58, and 145.02±18. 47, respectively. There was no difference in terms of adherence to treatment between the control and experiment groups (P=0.164).Conclusion: The findings also showed that adherence to treatment in both groups in all three measurement times was at the fitness level.
Mohammad-Rafi Bazrafshan; Ahmadreza Eidi; Omid Soufi; Hamed Delam
Abstract
Background: In the last two decades, the number of people who have referred to mental health services due to concerns about gender identity has increased dramatically. The aim of this study was to present the most important and fundamental results of studies on transgender psychological and behavioral ...
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Background: In the last two decades, the number of people who have referred to mental health services due to concerns about gender identity has increased dramatically. The aim of this study was to present the most important and fundamental results of studies on transgender psychological and behavioral disordersand compare these results.
Methods: This is a narrative review study. Search for articles related to common psychological and behavioral disorders in transgender people was done by two trained researchers between December 2019 and March 2020 in 5 Latin scientific databases (Google Scholar, PubMed / Medline, Scopus, ISI Web of Science and Embase).
Results: Psychological and behavioral disorders were much higher in transgender people than in the general population. The most common disorders included anxiety and depression, suicidal attempt, drug abuse, self-injury without suicidal tendency, and HIV.
Conclusion: Transgender people are constantly harassed and abused by friends, acquaintances, classmates and teachers, and even their families. Having multiple sexual partners increases the risk of HIV infection and other sexual misconduct. Therefore, governments need to implement their support programs through training centers and counseling for transgender individuals.
Soudabeh Sabetian; Bahia Namavar Jahromi; Farnia Feiz; Isabella Castiglioni; Claudia Cava; Sina Vakili
Abstract
Background: The coronavirus disease-2019 (COVID-19), caused by a severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is now spread worldwide. Therefore, informative and reliable data related to the exact effects of COVID-19 on fertility and pregnancy is still of great interest until the ...
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Background: The coronavirus disease-2019 (COVID-19), caused by a severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is now spread worldwide. Therefore, informative and reliable data related to the exact effects of COVID-19 on fertility and pregnancy is still of great interest until the pandemic is declared over. General guidelines regarding the protection and management of COVID-19 have been published and new information will continue to be updated daily.
Methods: In this review, we summarized clinical health guidelines for reproductive and infertility centers to improve quality management in assisted reproductive technology and minimize the potentially harmful consequences of COVID-19 on pregnancy and fertility.
Results: As specified in the literature, protocols consist of five categories, including protocols for couples, protocols for women, protocols for men, labor and delivery, and postpartum and breastfeeding.
Conclusion: General protocols for patients and staff may vary depending on specific conditions. However, this review provides some rules to ensure their safety against the disease during the pandemic.
Parviz Mirzaei; Nafiseh Vaez; Mohammad Hassan Talebian
Abstract
Background: The nature of population policies in the field of health, especially population, fertility, and childbearing is complicated, so the families’ and policymakers’ decision on the quantity and quality of the reproduction and the childbearing process has been controversial. This paper ...
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Background: The nature of population policies in the field of health, especially population, fertility, and childbearing is complicated, so the families’ and policymakers’ decision on the quantity and quality of the reproduction and the childbearing process has been controversial. This paper was conducted to identify and explain the adverse effects of population policies on reproductive health and childbearing in 1978-2020. Methods: This study has a cross-sectional descriptive-analytical design. The study participants were 30 managers and specialists who studied in the fields of policy, demography, sociology, and health at university of medical sciences in Khuzestan in 2019-2020. Delphi method was used and the data collection tool was a researcher-made questionnaire that was standardized by calculating the validity and reliability using the Cronbach's alpha coefficient. The authors analyzed data using descriptive and inferential statistics,. The main question was whether the population policies adopted after the Islamic Revolution have challenged decision-making on reproductive health and childbearing at both levels of operational managers and the society? The main hypothesis allocated the answer "yes" to itself. However, since policymakers still do not frequently use policy-making knowledge as a criterion for public policy, there is dissatisfaction and mistrust among families who have to implement the policies.. Thereforethe new message of the researchis that in the future, any decision and manipulation on health and population should be all-inclusive and comprehensive along with conservatism and maturity. Results: The significance level was observed in 18 items, and it indicates that population policies on reproductive health and childbearing in the studied variables have been facing challenges. The main challenges included lack of experts in reproductive health policymaking, lack of sufficient evidence to make decisions, lack of attention to spatial planning infertility policy making, lack of a coordinated system between the Ministry of Health and other ministries, lack of ideological-based reproductive health policymaking, lack of attention to the socio-economic evaluation of population policies, and lack of long-term strategic and sustainable vision in health-based policymaking. Conclusion: Population policies on reproductive health and childbearing after the revolution are not adequate for the country's decision-making system to achieve a proportionate and balanced population. Therefore, practical work and special responsibility accomplish the most promising demographic result
Faith Ireye; Alphonsus O Aigbiremolen; Olubowale Ekundare Famiyesin; Grace Ireotoi; Ephraim Ogbaini-Emovon; Osamwonyi Irowa; Osasu Imafidon; Wisdom William
Abstract
Background
Edo State has recorded recurrent Lassa fever (LF) outbreaks in the past and had the highest proportion of confirmed cases in Nigeria in 2018. The aim of this study was to profile Lassa fever contacts and demonstrate the implications of contact tracing in the control of the disease.
Methods
This ...
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Background
Edo State has recorded recurrent Lassa fever (LF) outbreaks in the past and had the highest proportion of confirmed cases in Nigeria in 2018. The aim of this study was to profile Lassa fever contacts and demonstrate the implications of contact tracing in the control of the disease.
Methods
This is a cross-sectional study which was based on secondary analysis of information derived from Lassa fever contact tracing forms used during the response to the LF outbreak of 2018 in Edo State. Contact tracing and data management were part of WHO’s support to the State. Using SPSS, associations and other relationships between selected variables were tested. The significance level was set at p< 0.05.
Results
Total contacts followed up were 2527 during the period under consideration. Higher mean contacts per case (CPC) was significantly associated with contacts in Edo South, with contacts of cases that died and with cases with symptomatic contacts (F= 8.307, p<0.001; t= 14.995, p<0.001; t= 6.161, p= 0.014 respectively). Following the integration of contact tracing with awareness campaigns, the number of newly diagnosed cases per week dropped from over 30 in the 7th week to 2 in the 13th week (42 days or 2 incubation periods).
Conclusion
Effective contact tracing contributed significantly to the identification of symptomatic contacts and to rapid control of the 2018 Lassa fever outbreak in Edo State. We recommend the deployment of effective contact tracing in the control of outbreaks of viral haemorrhagic fevers especially Lassa fever.
Leila Bazrafkan; Masoud Yousefi; Javad Kojuri; Mohammad Ansarizadeh; Habibolah Rezaei
Abstract
Background: The current study examines general dental students’ views about the ethics level in education, research, and provision of dental services.Methods: This descriptive cross-sectional study was performed on all general dental students at Yasuj University of Medical Sciences selected in ...
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Background: The current study examines general dental students’ views about the ethics level in education, research, and provision of dental services.Methods: This descriptive cross-sectional study was performed on all general dental students at Yasuj University of Medical Sciences selected in the census. The researcher-made questionnaire was prepared online with PorsLine. In this questionnaire, examples of observing or not observing ethics in education, research, and provision of dental services by faculty members were presented to the dental students. Finally, all collected data were analyzed by SPSS software version 26.Results: 47 students participated in the current study. The participant’s mean age was 25.95 with a standard deviation of 3.5. Results of the study showed that the mean and standard deviation of non-observance of ethics in education, the provision of dental services, and research were 3.05±0.9, 2.37±1.03, and 3.04±1.15, respectively.Conclusion: General dental students reported that the level of ethics in education, research, and provision of dental services by faculty members was unfavorable, so it is recommended that medical education courses related to ethics should be held for faculty members.
Mohammad-Rafi Bazrafshan; Hamed Delam; Maasumeh Elahi; Sahar Akbarpoor; Zohreh Faramarzian
Abstract
Background: The mental health of healthcare workers has been a concern during the outbreak of 2019 novel Coronavirus Disease (Covid-19). Therefore, the present study was designed to evaluate the anxiety of the healthcare workers during Covid-19 epidemic and to discover the factors affecting it.
Methods:The ...
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Background: The mental health of healthcare workers has been a concern during the outbreak of 2019 novel Coronavirus Disease (Covid-19). Therefore, the present study was designed to evaluate the anxiety of the healthcare workers during Covid-19 epidemic and to discover the factors affecting it.
Methods:The present study was a cross-sectional descriptive-analytical study. In this study, the anxiety of 124 nurses, operating room staff, midwives and anesthetists working in different wards of Imam Reza Hospital in Lar in 2020 was assessed using the Corona Anxiety Scale Questionnaire.
Results: The results showed that most of the samples were female, married, with a bachelor's degree and an average age of 33 years. 53 (42.8%) participants had mild anxiety and 34 (27.4%) had severe anxiety. Comparison of anxiety levels based on demographic variables of participants in the study showed that there was no significant relationship between anxiety levels with gender, marital status, education level, and field of study (P> 0.05).
Conclusion:According to the results of the study and the worsening of the COVID-19 epidemic, there is a need to strengthen the awareness and address the issues related to mental health of healthcare workers.
Ratnakar Shukla; Nidhi Shah; Sharmila Patil; Anant Patel; Mohammad Goldust; Ruchita Hasija; Nitin Nadkarni
Abstract
Background: This study was performed to describe clinical profile of patients with androgenic alopecia and investigate the efficacy of autologous platelet-rich plasma (PRP) injection in androgenic alopecia.Methods: In this prospective study, adult patients in stage III-VI androgenic alopecia were enrolled. ...
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Background: This study was performed to describe clinical profile of patients with androgenic alopecia and investigate the efficacy of autologous platelet-rich plasma (PRP) injection in androgenic alopecia.Methods: In this prospective study, adult patients in stage III-VI androgenic alopecia were enrolled. Their clinical profile, i.e., age, duration of alopecia, history of previous treatment, family history of alopecia, pattern of alopecia, grade of alopecia, and hair pull test were noted. The enrolled patients were treated with PRP once a month for 3 months and evaluated with clinical photographs. Hair density and hair thickness were measured using USB portable digital trichoscope and digital computerized trichoscan analysis. Clinical evaluation was performed using a 4-point scale including worsening, no improvement, mild improvement, and moderate to significant improvement. Patients were followed every month for 4 months after the procedure.Results: Out of 36 patients, 7 (20%) had a history of previous treatment and 12 (33.3%) had a positive family history of alopecia. The mean (SD) hair count of 17.33 (4.42) at visit 1 increased to 19.20 (6.24) at visit 4 (P<0.0001). The mean hair thickness increased from 0.07 (0.058) mm at visit 1 to 0.11±0.09 mm at visit 4 (P<0.0001). Overall, clinically significant and mild improvement was observed in 11 (33.66%) and 9 (30%) patients, respectively. No improvement was observed in 4 (13.33%) patients, whereas 2 (6.66%) patients experienced worsening of the condition.Conclusion: PRP is effective in increasing the hair count and hair thickness. However, clinically significant improvement was observed in only one third of the patients. PRP can be considered as an adjuvant treatment for patients with androgenic alopecia.
Kourosh Azizi; Mohsen Kalantari; Masoumeh Amin
Abstract
Background: Scorpions, as a group of venomous invertebrates, are distributed worldwide including the Middle East. These arthropods are distributed throughout Iran, are dangerous to humans and animals, and can cause severe damages and even death.Methods: In this cross-sectional study, scorpions were collected ...
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Background: Scorpions, as a group of venomous invertebrates, are distributed worldwide including the Middle East. These arthropods are distributed throughout Iran, are dangerous to humans and animals, and can cause severe damages and even death.Methods: In this cross-sectional study, scorpions were collected from different parts in southern Iran such as Kohgiluyeh and Fars provinces using hand catch method with U.V torch. Morphological identification of scorpion specimens was done using specific keys.Results: Besides different species of scorpions, Hottentotta jayakari Pocock, was identified in Amir Oncology Hospital, Shiraz city, Fars province, South of Iran, 1895.Conclusion: Hottentotta jayakari is endemic in tropical regions and its existence in Shiraz with a mild climate seems unexpected. In addition, Amir Hospital is an oncology treatment center and this scorpion was caught on the hospital grounds. It is possible that more species can be identified in this province by conducting more studies.
Monireh Alipoor; Jeyran Ostovarfar; Mahin Nazari; Ahmad Maghsoudi
Abstract
Background: Adolescence is a period of important emotional, physical, and mental changes characterized by significant adjustment problems. Adjustment with others is the most essential aspect of personal development. On the other hand, the inability to adjust with others may disrupt the normal flow ...
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Background: Adolescence is a period of important emotional, physical, and mental changes characterized by significant adjustment problems. Adjustment with others is the most essential aspect of personal development. On the other hand, the inability to adjust with others may disrupt the normal flow of everyday life and emotional, social, and cognitive aspects. The present study aimed to investigate the relationship between adjustment and individual and family characteristics in secondary school female students in Mahshahr city.
Methods: This cross-sectional study was conducted on 194 students. The participants were selected through multi-stage sampling. First, the data were collected using two questionnaires, including demographic and Adjustment Inventory for School Students (AISS). Then, the data were analyzed using descriptive and inferential statistics, chi-square, correlation coefficient, and one-way ANOVA.
Results: The results showed a significant relationship between the mother’s educational level, the families’ economic conditions , and leisure time management with total and emotional adjustment in students(P<0.05). There was a significant relationship between the number of brothers and the educational level of the mother, with educational adjustment in students. (P <0.05). The correlation coefficient results showed a positive and significant correlation (P <0.05) between emotional, social, and educational adjustment,
Conclusion: According to the research findings, family factors need special attention to increase student adjustment.
Zohreh Hatami; Fariba Hasani; Roya Kochakentezar; Fatemeh Golshani
Abstract
Background: Having an appropriate appearance in adolescent girls is one of the important traits of adolescence that is affected by various psychological factors and causes the formation of different eating attitudes and behaviors. The aim of this study was to investigate the mediating role of body checking ...
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Background: Having an appropriate appearance in adolescent girls is one of the important traits of adolescence that is affected by various psychological factors and causes the formation of different eating attitudes and behaviors. The aim of this study was to investigate the mediating role of body checking behaviors associated with alexithymia and parenting behavior to eating attitudes of adolescent girls.
Methods: The research method was cross-sectional, descriptive-correlation based on structural equations. The statistical samples of the study included all female high school students in Torbat-e Heydarieh, Khorasan Razavi in the academic year of 2018-2019 (N = 2832); of them, 390 were selected according to the Slovin formula and multi-stage cluster sampling. They filled out alexithymia questionnaires by Bagby et al., and parental rearing methods by Baumrind, and body checking by Reese et al. The obtained data were analyzed by regression equations using SPSS 23 and Amos 18 software.
Results: The findings showed a positive and significant correlation between the variables of alexithymia, permissive, authoritarian parenting behavior and body checking behaviors with eating attitude; also, there was a significant negative correlation between the variables of assertive and authoritative parenting behavior with eating attitude (P<0.01). Also, eating attitude based on alexithymia, authoritarian and authoritative parenting behaviors could be directly and indirectly predictable through the mediation of body checking behaviors, and the research model was approved. It can be concluded that when alexithymia and parental behavior are combined with body checking behaviors, they have more effects on the intensity of eating attitudes.
Conclusion: According to the results, training parenting methods and emotional skills affect the formation of positive attitudes about the body checking and creating normal eating attitude.
Efat Mohamadi; Zhila Najafpour; Mohammad Mehdi Kiani; Morteza Mohammadzadeh; Amirhossein Takian; Alireza Olyaeemanesh
Abstract
Background: There are substantial differences in the health outcomes across countries. Then, assessment of the status of health indicators can give us a valuable information to adjust policies to improve the health status in the world. This paper examines differences and relationships of health status ...
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Background: There are substantial differences in the health outcomes across countries. Then, assessment of the status of health indicators can give us a valuable information to adjust policies to improve the health status in the world. This paper examines differences and relationships of health status and contextual factors.Methods: This is a multi-country cross-sectional study performed using secondary data of different sources in 2019. We identified indicators that revealed the relationships of health status and health coverage and also contextual factors by expert panel which consist of two categories of indicators: (1) producing health indicators as dependent variables (Life expectancy, Healthy life expectancy, Maternal mortality ratio, Under-five mortality rate and Universal Health Coverage (UHC) service coverage indicator); (2) contextual indicators as independent variables (Current Health Expenditure, Skilled health professionals density, Population density and Government Type). Also, countries were categorized based on the income level and six regions of World Health Organization (WHO). We used SPSS 20 software for a descriptive analysis and R 2018 software for statistical analysis and also drawing of scatter charts.Results: Results showed a considerable gap between the average of life expectancy (84.2 vs. 53 years) and healthy life expectancy rate (72-63.3 years). This disparity was observed in the Maternal mortality and Under-5 mortality rate (from 882 to 3 per 100000 live births), (5 is 2.1 and the highest is 127.3). Although there was a marginal correlation between population density indicator and life expectancy, healthy life expectancy, and under-5 mortality rate indicators (±0.2), there was no correlation between population density and maternal mortality rate with UHC (P>0.05).Conclusion: There is a considerable difference between countries in producing health indicators based on contextual indicators; a comprehensive health system approach that can result in improvement in the health outcome.
Qasem Asgari; Seyedeh-Zahra Zandavi; Mohammad Djaefar Moemenbellah-Fard; Amin Hosseinpour; Mohsen Kalantari; Aboozar Soltani
Abstract
Background: Leishmaniasis, as a neglected health issue, is spreading in most parts of the world. It is one of the most important vector-borne diseases in Iran. Bee venom has shown a wide range of medicinal properties. The present study aimed to survey the effect of venom and propolis of Apis mellifera ...
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Background: Leishmaniasis, as a neglected health issue, is spreading in most parts of the world. It is one of the most important vector-borne diseases in Iran. Bee venom has shown a wide range of medicinal properties. The present study aimed to survey the effect of venom and propolis of Apis mellifera on Leishmania major in different environments, including in vivo and in vitro.Methods: In this experimental study, bee venom was extracted using the modified Benton method, and propolis was prepared by the soxhletation method. The promastigotes of L. major were exposed to the different doses of the venom (0.03125-1 μg/ml) and propolis (2.5-80 μg/ml) and then evaluated by MTT assay and Flowcytometry after 24 hours. In vivo phases, 107 promastigotes of the L. major in stationary phase were intradermally inoculated into 48 mice based on the study design. After appearance of the wounds, the mice were topically treated with the lotion containing different doses (5 and 10 μg/ml) of the venom and propolis. The size of the ulcers was measured for four weeks.Results: The results showed that propolis and BV had no significant effects on the vitality of Leishmania promastigotes. However, they had a high mortality effect on macrophages. The highest mortality belonged to propolis (78.39 %). In vivo results showed significant differences between some treated and control groups in terms of the mean ulcer size.Conclusion: It seems that a combination of honeybee venom and propolis in a particular dosage can prevent the development of the ulcers caused by L. major. More studies are needed to evaluate the effects of their constituent compounds precisely.
Mahtab Ardeshirzadeh; Saeed Bakhtiarpour; Rezvan Homaei; Zahra Eftekhar Saadi
Abstract
Background: Divorce, as an issue, can contribute to the development of a wide range of problems and consequences and frequently lead to an increased risk of social problems at both individual and social levels. The present study aimed to investigate the effectiveness of compassion-focused therapy (CFT) ...
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Background: Divorce, as an issue, can contribute to the development of a wide range of problems and consequences and frequently lead to an increased risk of social problems at both individual and social levels. The present study aimed to investigate the effectiveness of compassion-focused therapy (CFT) and acceptance and commitment therapy (ACT) on post-divorce adjustment in divorced women referred to the counseling center in Ahvaz city in 2019.
Methods: The research method was quasi-experimental with a pre-test, posttest, and follow-up design and a control group. Using convenience sampling, we selected 45 divorced women willing to participate in the study. Then, we randomly divided them into two experimental groups (compassion-focused therapy and acceptance and commitment therapy) and a control group (n = 15 per group). The research instrument included the Fisher Divorce Adjustment Scale (FDAS). The first intervention program consisted of eight 60-minute sessions of compassion-focused therapy and the second intervention program consisted of ten 90-minute sessions of acceptance and commitment therapy.
Results: The results showed that both compassion-focused therapy (CFT) and acceptance and commitment therapy (ACT) were effective in increasing post-divorce adjustment in divorced women (p<0.01). There was no significant difference between the CFT and ACT on post-divorce adjustment in this group of women (p>0.05). These results continued until the follow-up stage.
Conclusion: According to research findings, both CFT and ACT were efficient therapies in increasing post-divorce adjustment in divorced women. Thus, both approaches can strengthen treatment interventions to increase adjustment in divorced women
Azadeh Mehrdoost; Reza Jalilzadeh Yengejeh; Mohammad Kazem Mohammadi; Ali Akbar Babaei; Azadeh Haghighatzadeh
Abstract
Background: Pharmaceutical pollutants are one of the most important pollutants for water resources, and their health and environmental effects have been well estimated.Absorption is one of the best methods of the removal of antibiotics using nanocomposite.
Methods: This experimental study was performed ...
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Background: Pharmaceutical pollutants are one of the most important pollutants for water resources, and their health and environmental effects have been well estimated.Absorption is one of the best methods of the removal of antibiotics using nanocomposite.
Methods: This experimental study was performed on Nano composites. The PAC/Fe/Si/Zn Nano composite was successfully synthesized using a co-precipitation method in which iron (Fe), silicon (Si) and zinc (Zn) were loaded on the activated carbon powder (PAC). The structural features of the as-synthesized Nano composite were determined using X-ray diffraction (XRD), field emission scanning electron microscopy (FESEM) and energy dispersive X-ray spectroscopy (EDS). The as-synthesized Nano composite was utilized to remove azithromycin and cefixime from aqueous solution with the assistance of UV light. The effect of operational parameters such as pH, irradiation time, initial azithromycin/cefixime concentration and Nano composite dose on UV-assisted removal performance was evaluated using an optimization process.
Results: The UV-assisted removal activities indicated more removal percentage (99.7%) for azithromycin compared to cefixime (95.6%). The kinetics of removal was tested using Langmuir-Hinshelwood model, indicating the first-order reaction kinetics as the best model for UV-assisted removal of both azithromycin and cefixime. Adsorption equilibrium data were modeled using Langmuir and Freundlich isotherms. Azithromycin equilibrium adsorption showed a good fit with both Langmuir and Freundlich models, while the most suitable model for cefixime adsorption was estimated to be Langmuir isotherm.
Conclusion: The findings showed that PAC/Fe/Si/Zn Nano composite were well able to degrade non-biodegradable antibiotics in aqueous solutions, which is very valuable from environmental aspects.
Maryam Hajihashemy; Shadi Zamansaraei; Abbasali Pourmomeni; Vida Sarmadi; Mahtab Ebrahim Babaei
Abstract
Background: Pelvic floor disorders include urinary incontinence, fecal incontinence, pelvic visceral prolapse, and sexual dysfunction, which are more common in women after childbirth. In the present study, we aimed to investigate and compare pelvic floor disorders in primiparous women 2 and 6 months ...
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Background: Pelvic floor disorders include urinary incontinence, fecal incontinence, pelvic visceral prolapse, and sexual dysfunction, which are more common in women after childbirth. In the present study, we aimed to investigate and compare pelvic floor disorders in primiparous women 2 and 6 months after vaginal delivery and cesarean section by using a questionnaire, clinical examination, and perineometer at the same time.Methods: This Prospective cohort study was performed on 76 primiparous mothers under normal delivery and cesarean section. All participants were examined after 2 to 6 months after delivery by perineometer pelvic organ prolapse quantification test (POPQ), pelvic floor distress questionnaire (PFDI-20), and female sexual function index (FSFI).Results: The mean of perineometer power and FSFI in the cesarean section group was significantly higher than in the vaginal delivery group (P<0.001). Otherwise, the mean of Anterior and posterior wall prolapse severity and mean of PFDI in the vaginal delivery group were significantly higher than cesarean section patients (P<0.05 and <0.001, respectively).Conclusion: Although the symptoms of pelvic floor muscle weakness, pelvic floor disorder, and the severity of prolapse in the vaginal delivery group was greater than the cesarean section, the improvement in sexual function and prolapse symptoms over time in the vaginal delivery group and obtaining the sameresults in questionnaires after 6 months, shows that most of these symptoms are temporary in the women who had an uncomplicated vaginal delivery, and passing of time, environmental factors and lifestyle are effective in improving most of the pelvic symptoms after delivery.
Behnam Afsar; Ebrahim Fataei; Ali Akbar Imani
Abstract
Background: Failure to observe proper hygiene principles of water and swimming pool environment is effective in causing health problems and transmission of infectious diseases to swimmers. This study aimed to analyze the level of Escherichia coli and Heterotrophic Plate Count in mineral pools in Sarein.Methods: ...
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Background: Failure to observe proper hygiene principles of water and swimming pool environment is effective in causing health problems and transmission of infectious diseases to swimmers. This study aimed to analyze the level of Escherichia coli and Heterotrophic Plate Count in mineral pools in Sarein.Methods: For this purpose, sampling was performed in each season, and the samples were tested according to the standard method. Shapiro-Wilk and Kolmogorov-Smirnov test was used to determine the normality or abnormality of the data. Then, through ANOVA, the differences between the seasons and the pools were compared in terms of the studied parameters.Results: The results of the analysis of variance showed that there was no significant difference between the spas in terms of the measured parameters. A comparison of the average data showed that the amount of contamination of mineral spas during the seasons with E. coli was more than the allowable value announced by the National Standard Organization of Iran. The amount of residual chlorine in all samples was zero and the pH was equal to 6.8. The results of principal component analysis showed that mineral spas No. 6, 2, and 11 had the highest HPC (Heterotrophic Plate count) and pH and 9 Cheshmeh, Ershad, and Ghahveh Sui mineral spas based on the second component had the highest E. coli; No. 7 had the lowest E. coli.Conclusion: Finally, it can be concluded that the cause of the contamination of mineral swimming pools in Sarein city is the high volume of passengers and the lack of proper sanitary management of swimming pools.
Leila Ghahremani; Fatemeh Maghsoudi; Abdolrahim Asadollahi
Abstract
Background: Aging and retirement are a passage to a new course of life for veterans. The role of army grandparents in relation with their adult children is important; therefore, it is necessary to study grandparent-adult children interactions during retirement. Unfortunately, there was no Iranian ...
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Background: Aging and retirement are a passage to a new course of life for veterans. The role of army grandparents in relation with their adult children is important; therefore, it is necessary to study grandparent-adult children interactions during retirement. Unfortunately, there was no Iranian version of an instrument to measure this interaction. Hence, the study aimed to evaluate the Persian version of the Perceived Parenting Roles Inventory (PPRI-2019). The translation process was conducted based on WHO’s guidance of instruments translation and adaptation.
Methods: The research method was descriptive and had a psychometric type. A total of 251 grandparents were randomly selected from the Iranian Veterans Association. The PPRI and demographic questionnaire were used to gather data at the end of 2019. The scale structure was evaluated using confirmatory factor analysis (CFA). Cronbach’s alpha assessed internal consistency and the optimal cut-off points were obtained by calculating the area under the curve (ROC). Data were analyzed using IBM-SPSS version 26 and AMOS version 24. Results: The construct validity of PPRI based on CFA showed that the two subscales explained a total of 73.017 % of the variance. The PPRI scale demonstrated excellent reliability, and Cronbach’s alpha obtained 0.792 for the entire scale (p< 0.000). The optimal cut-off point of PPRI was 19.50, with a sensitivity of 100%, a 1-specificity of 0.127.
Conclusions: Based on the results, the Persian version of PPRI is a valid and reliable tool that other researchers can use to measure perceived parenting roles among other retirees. But further investigations are suggested.
Narges Kaydani; Kourosh Zarea; Ahmad Soltanzadeh
Abstract
Background: Gastrointestinal and cardiovascular diseases are considered to be among the consequences of shiftwork in nursing staff. This study aimed to investigate the prevalence of gastrointestinal and cardiovascular diseases and model their consequences in nurses.Methods: This cross-sectional study ...
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Background: Gastrointestinal and cardiovascular diseases are considered to be among the consequences of shiftwork in nursing staff. This study aimed to investigate the prevalence of gastrointestinal and cardiovascular diseases and model their consequences in nurses.Methods: This cross-sectional study was conducted in seven hospitals in Khuzestan Province in 2020. The participants of the study were 652 nurses. The data were collected through a questionnaire developed by Choobineh et al. The questionnaire included demographic questions and shift work related health effects. The modeling was performed via logistic regression in SPSS 22.Results: The prevalence of gastrointestinal (52.53% vs. 35.19%) and cardiovascular (35.02% vs. 22.22%) disorders were significantly higher in shift working nurses than in day-working ones (P<0.05). In addition to shiftwork, work experience, working hours per week, and hospital wards significantly affected the prevalence of gastrointestinal disorders in nurses (P<0.05). The shiftwork system, age, work experience, and working hours per week had significant positive correlations with the prevalence of cardiovascular diseases in nurses (P<0.05). Furthermore, the chance of having gastrointestinal and cardiovascular diseases was 2.73 and 2.08 times more in shift-working nurses than in day-working ones, respectively.Conclusion: Beside the shift work, the findings of the study indicated the important role of other risk factors, such as age, work experience, working hours per week, and hospital wards for the prevalence of gastrointestinal and cardiovascular diseases in nurses. Therefore, it is recommended that these factors should be taken into account while trying to manage, control, and reduce such negative consequences in nurses.
Mohammad Ansarizadeh; Tayebeh Tabatabaei; Mohammad Reza Samaei; Mostafa Leili; Mohammad Mehdi Baneshi
Abstract
Background: Discharging antibiotics into the environment could cause great concern for scientists. In the present study, tetracycline (TC) antibiotic was photodegraded with titanium dioxide (TiO2) and zinc oxide (ZnO) fixed on the polyurethane (PU) in the presence of ultraviolet (UV) irradiation and ...
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Background: Discharging antibiotics into the environment could cause great concern for scientists. In the present study, tetracycline (TC) antibiotic was photodegraded with titanium dioxide (TiO2) and zinc oxide (ZnO) fixed on the polyurethane (PU) in the presence of ultraviolet (UV) irradiation and optimized through response surface methodology (RSM).
Methods: This experimental study was conducted on the most effective variables (pH, contact time, TC concentration, and catalyst doses) for experimental design. The experiments of degradation with the process of PU/UV/nanocatalyst composite were conducted with a reactor glass vessel (1000 mL) as batch mode.
Results: The results showed that the quadratic model can be used for the interpretation of experiments. The results of the model represented that all parameters had a significant effect on the tetracycline removal, and the degradation of antibiotics was obtained at the optimum condition that was 95% for ZnO/UV/PU and 97% for TiO2/UV/PU. The main radical for the degradation of TC was hydroxyl ions based on the scavenger study and the first-order kinetic model was best fitted with data. The highest removal efficiency was obtained at pH of 5.2, catalyst dose of 2.64g/m2, TC concentration of 25.21, reaction time of 82 min using ZnO/UV/PU and pH of 5.8, catalyst dose of 2.9 g/m2, TC concentration of 25.12, and reaction time of 90 min using TiO2/UV/PU.
Conclusion: It could be concluded that the process of nanocatalyst fixed on polyurethane can significantly eliminate the antibiotic in the presence of ultraviolet irradiation from the effluent of the wastewater treatment plant.
Fatemeh Gorjinpour; Zahra Tavana
Abstract
Introduction: Academic achievement is the most important indicator of the efficiency of any educational system. The objective of the present study was to determine the relationship between attachment styles and Internet addiction and its impact on the academic achievement of female high school students.
Methods: ...
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Introduction: Academic achievement is the most important indicator of the efficiency of any educational system. The objective of the present study was to determine the relationship between attachment styles and Internet addiction and its impact on the academic achievement of female high school students.
Methods: This research is a descriptive correlation study with a multi-stage cluster random sampling method. The statistical sample of this study was 200 female high school students in the second district of Shiraz in 2020. The data collection tools were the demographic questionnaire, Young's dependency on the Internet questionnaire, Collins and Reed's attachment styles questionnaire, and students' GPA as a measure of their academic achievement. Data were analyzed using spss22 software.
Results: The results showed a significant and direct relationship between attachment styles and Internet addiction (p = 0.011). The results also showed a meaningful and positive relationship between attachment styles and academic achievement (p = 0.010).
Conclusion: According to the findings, the importance of attachment styles and Internet addiction on students' academic achievement is emphasized.
Kaveh Houman; Alireza Ghorbani; Behrouz Fathi; Bahram Nabilou; Hasan Yusefzadeh
Abstract
Background: CT-scan is one of the radiology units in which various services are carried out by injection and without injection to describe the patient’s anatomy better. Given the increasing costs of the CT due to diagnostic equipment, it is necessary to calculate the exact costs of services provided ...
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Background: CT-scan is one of the radiology units in which various services are carried out by injection and without injection to describe the patient’s anatomy better. Given the increasing costs of the CT due to diagnostic equipment, it is necessary to calculate the exact costs of services provided to determine optimal pricing and logical tariff of these services.Methods: The present study is an applied and cross-sectional research performed by step-down costing method using the data of 2018 at the CT-scan unit of the radiology department of Imam Reza Hospital in Urmia. In this study, standard forms related to direct and indirect costs of CT units and other activity centers have been used to collect the data. Appropriate sharing bases were used to determine the share of the costs of other departments in the services of this unit.Results: The cost of a brain scan without injection was calculated 66.7$PPP, the brain with injection 143.9$, the chest without injection 84.4$PPP, the chest with injection 163.5$PPP, upper and lower limbs without injection 150.1$PPP, spine (cervical, thoracic, lumbar) 135.6$PPP, abdomen and pelvis without injection 149.2$PPP, abdomen and pelvis with injection 243.9$PPP, sinus 94.1$PPP, carotid CT angiography (extracranial) 287.5$PPP, and thoracic aortic CT angiography 277.8$PPP.Conclusion: The study results showed a significant difference between the actual price of CT scan services and tariffs. Also, the shorter the service time and the more services in the CT scan department, the lower the unit cost. Comparing the cost of selected CT services in this study, we found that some timeconsuming services, which were mainly related to injection services, imposed higher costs on the centers.
Fazel Rajabi; Hamidreza Mokarami; Payam Farhadi; Sean Banaee; Mehdi Jahangiri
Abstract
Background: Personality traits, due to having a relative stability, are important factors for predicting employees’ safety behavior. Consideration of Future Safety Consequence (CFSC) is a personality trait that was recently introduced to predict the safety behaviors. The purpose of this study was ...
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Background: Personality traits, due to having a relative stability, are important factors for predicting employees’ safety behavior. Consideration of Future Safety Consequence (CFSC) is a personality trait that was recently introduced to predict the safety behaviors. The purpose of this study was to translate and assess the psychometric properties of the Persian version of the CFSC scale.Methods: In the first stage of this cross-sectional study, the instrument was prepared by the forward-backward forward translation technique and evaluated by 487 employees of a gas refinery. The validity of the scale was evaluated through face, concurrent, validity, and construct validity. The safety performance questionnaire was used to examine the concurrent validity. The reliability of the questionnaire was evaluated using internal consistency (Cronbach’s alpha coefficient) and test-retest.Results: Content validity index was 0.885. The results of exploratory and confirmatory factor analysis indicated that the CFSC scale had a single factor. Also, Pearson correlation showed a positive correlation between the safety performance and the Persian version of CFSC (R=0.401). Test-retest reliability and internal consistency were calculated as 0.86 and 0.82, respectively.Conclusion: It is concluded that the psychometric properties of the Persian version of CFSC scale are desirable and can be used in future studies
Serajeddin Mahmoudiani
Abstract
Background: Dramatic changes in the demographic behaviors of Iranian women have led to declining fertility after the mid-1980s. Childlessness is an important and growing issue and has increasingly become the focus of the problem by Iranian population policymakers.
Methods: The present study was conducted ...
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Background: Dramatic changes in the demographic behaviors of Iranian women have led to declining fertility after the mid-1980s. Childlessness is an important and growing issue and has increasingly become the focus of the problem by Iranian population policymakers.
Methods: The present study was conducted using the quantitative secondary data analysis method. Using the census microdata of population and housing in 2016, the researchers attempted to investigate the level and predictors of childlessness among married women aged 40–49. The data of 85799 married women aged 40–49 was analyzed.
Results: About 4% of the sample were childless. Logistic regression analysis indicated that the probability of childlessness for married women with university degrees, immigrant women, and employed women is higher than their counterparts. Furthermore, the findings suggested that women who live in apartments and those who live in private houses are less likely childless than their counterparts. Bigger houses lower the probability of being childless.
Conclusion: Government planning and policymaking to reducethe proportion of childlessness should improve household circumstances, especially their housing.
Mohammad-Rafi Bazrafshan; Hamed Delam; Esmaeil kavi
Abstract
Introduction: Drug abuse problem is one of the four global crises and the most important social crisis in Iran. This study was conducted to investigate the importance of life skills training in preventing the recurrence of addiction among young people. Methods: The present article is a narrative review ...
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Introduction: Drug abuse problem is one of the four global crises and the most important social crisis in Iran. This study was conducted to investigate the importance of life skills training in preventing the recurrence of addiction among young people. Methods: The present article is a narrative review performed by two researchers between January and February 2020 by searching in scientific databases in articles published in Scopus, Pubmed, Google scholar and Google search engine including the terms “addiction”, “youth” , “Coping skills”, “adaptability skills”, “life skills training”, and “drug abuse”. Results: The results of various studiesindicate that the life skills training program increases the feeling of happiness, improves the quality of life of people, and increases the ability to control emotions. Conclusion: Due to the positive impact of life skills training and its applicability to all segments of society, planners and managers in the community's mental health sector can set up centers to continuously hold such classes and conduct life skills training even as in-service training program.
