Mahdiyar Mansooreh; Javad Mollazadeh
Abstract
Background: Along the cognitive and behavioral changes during adolescence, some changes emerge in the quality and quantity of teenage females’ interactions. They spend increasing amount of time with their peers and begin to place more importance on their views and advice. Therefore, parents are ...
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Background: Along the cognitive and behavioral changes during adolescence, some changes emerge in the quality and quantity of teenage females’ interactions. They spend increasing amount of time with their peers and begin to place more importance on their views and advice. Therefore, parents are not the exclusive source of emotional experiences in this period. On the other hand, emotion socialization is 1 of the factors that affect behavioral problems in this period. Despite the growing body of research which shows the effect of parents and peers’ emotion socialization on children’s psychopathology, there is no study in Iran to compare the role of parents and peers’ emotion socialization in predicting teenage females’ psychopathology. An understanding of the parental and peer influences on teenage females’ behavioral problems might suggest directions for the focus of interventional programs and family training.
Methods: For this purpose, 202 teenage females selected by the convenient sampling method from Shiraz high schools, Iran, completed the measure of emotion socialization (the emotions as a child; EAC2) scale, peer emotion socialization (you and your friends; YYF) scale, and adolescents’ problem status (the youth self-report; YSR) questionnaire.
Results: Results showed that reward was the most popular strategy that parents and peers used. Also, results showed that parents’ magnification and negligence can significantly and positively predict teenage females’ psychopathology (P value < 0.001). Parental emotional practices are also shown to have a more important role in prediction of teenage females’ psychopathology.
Conclusions: Families should be viewed as central to the well-being of adolescents, and informed about their effect on their teenage females’ behavioral problems. They should also be trained how to respond to their children emotions.
Shiva Rafatie; Maryam Rabiee; Shabnam Golmohammadie; Shahrzad Hadavand
Abstract
Background: Work related factors have been suggested to adversely impact outcomes of pregnancy. The aims of this study were to compare neonatal birth weight in employed and non-employed women and to investigate the relation of 5 common occupational factors including working hours, shift work, standing, ...
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Background: Work related factors have been suggested to adversely impact outcomes of pregnancy. The aims of this study were to compare neonatal birth weight in employed and non-employed women and to investigate the relation of 5 common occupational factors including working hours, shift work, standing, bending forward, and physical workload intensity to neonatal birth weight.
Methods: This cross sectional study was carried out on 370 pregnant women, 185 employed and 185 non-employed. Information were collected about working conditions including working hours, shift work, standing, walking, bending, squatting, physical workload intensity, socio - demographic characteristic, as well as obstetric history of each patient by interview. Association between maternal occupational activity and neonatal birth weight was adjusted for medical and obstetric, occupational details were studied using logistic regression analysis.
Results: The mean birth weight in employed and non-employed women were 3052 ± 359.3, 3236.3 ± 377.2, respectively, which had a meaningful difference (P = 0.001). The mean of birth weight in employed women had a significant correlation with shift work (P = 0.0001), working hours per week (P = 0.001), and heavy a work load (P = 0.0001). After using linear multivariate regression, this study showed that employment and preterm delivery had the most significant effects on low birth weight.
Conclusions: Neonatal birth weight in employed women is less than non-employed women. Therefore, careful prenatal visits to monitor growth of fetus and adjustment of working hours will be suggested.
Petra Jansen; Sandra Kaltner; Lukas Prantl; Britta A. Kuehlmann
Abstract
Background: Several studies have shown cognitive impairment occurring in patients after treatment of breast cancer. In this study, we investigated the mental rotation ability of patients with breast cancer (13 women) and 13 healthy control subjects.
Methods: Participants solved a chronometric mental ...
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Background: Several studies have shown cognitive impairment occurring in patients after treatment of breast cancer. In this study, we investigated the mental rotation ability of patients with breast cancer (13 women) and 13 healthy control subjects.
Methods: Participants solved a chronometric mental rotation test with object-based and egocentric transformations between May and June 2016 in a laboratory at the Center for Plastic, Aesthetic, Hand, and Reconstructive Surgery. Two repeated measure analyses of variance were performed with “stimulus condition”, “group”, and “angular disparity” as independent variables and “reaction time” (RT) and “accuracy rate” as dependent measurements. Furthermore, depression score, physical self-appearance, and cognitive speed were measured. Three separate univariate analyses of variance (significance level alpha = 0.05) were performed with those three measurements as dependent variables and the factor “group”.
Results: The findings showed that women with breast cancer differed in their reaction time from subjects in the healthy control group: Women with breast cancer experienced fewer difficulties in solving the egocentric (1813.96 ± 1257.43) compared to the object-based transformations (2236.05 ± 1613.71, P = 0.043). There was no significant difference between the object-based transformation (1706.08 ± 473.11) and egocentric condition (2027.76 ± 932.66) in healthy women (P = 0.218).
Conclusion: The results give a hint that relation to egocentric transformations increases in women with breast cancer compared to healthy women.
Abbas Abbaspour; Hadi Barati; Hamid Rahimian; Hossein Abdollahi; Hassan Asadzadeh
Abstract
Background: Psychological capital is considered as the basis of sustainable competitive advantage in today’s organizations and can be developed and managed with minimal costs compared to tangible assets and can lead to significant results.
Objectives: This quantitative research was carried out ...
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Background: Psychological capital is considered as the basis of sustainable competitive advantage in today’s organizations and can be developed and managed with minimal costs compared to tangible assets and can lead to significant results.
Objectives: This quantitative research was carried out to determine the direct and indirect impact of psychological capital on female’s organizational optimism with psychological climate acting as the meditating variable.
Methods: This study was a descriptive correlational research that included 45 females, who were employed at Farhangian University between the academic year of 2016 and 2017. A sample of 45 was determined using the census method. Data were collected using a standard questionnaires, including psychological capital questionnaire, psychological climate questionnaire, and organizational optimism questionnaire. The reliability of the instruments was measured using Cronbach’s alpha, combined reliability and factor load, and the validity of the instruments was determined using a convergent and divergent validity method. Cronbach’s alpha test obtained a value of 0.98, 0.96, and 0.93. The data were analyzed by the structural equation modeling and Smart PLS2 software.
Results: The results indicated that the female’s organizational optimism had a mean value of 3.46 ± 0.75. Also, on average, the participants were 35 ± 0.43 years old and had 25 ± 0.38 years of work experience. Psychological capital and female’s organizational optimism are antecedents and consequences of psychological climate among students, respectively, and psychological climate has a significant mediating role on the relationship between psychological capital and female’s organizational optimism; 53% of the total effect of female’s organizational optimism was indirectly explained by the psychological climate (P < 0.05).
Conclusions: The findings suggest the need of implementing programs, which strengthen women’s psychological capital in order to improve psychological climate and achieve a greater organizational optimism.
Afshin Mansourian; Leila Malekmakan; Taraneh Tadayon; Narges Izadpanahi
Abstract
Background: This research evaluated the effects of propofol and midazolam/fentanyl on maternal blood pressure, heart rate, recall, and full satisfaction with spinal anesthesia. A double-blinded randomized controlled trial was designed.
Methods: The sample size was calculated as 100 patients (a type ...
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Background: This research evaluated the effects of propofol and midazolam/fentanyl on maternal blood pressure, heart rate, recall, and full satisfaction with spinal anesthesia. A double-blinded randomized controlled trial was designed.
Methods: The sample size was calculated as 100 patients (a type I error of 5% and statistical power of 80%) who were scheduled for elective cesarean delivery under spinal anesthesia. These patients were randomized into two equal groups by block randomization used for allocation sequence: midazolam/fentanyl and propofol groups. We measured the maternal heart rate (HR), systolic, and diastolic blood pressure (SBP and DBP) before induction, every three minutes in the operating room, and every five minutes until discharge from the recovery room. Data were analyzed by SPSS 18.0 and P value < 0.05 was considered as the significance level.
Results: 100 women (mean age: 29.7 ± 5.1 years and gestational age: 37.2 ± 1.2 weeks) were enrolled. The SBP and HR decreased during the study in both groups, but it was significant only in the midazolam/fentanyl group (SBP: from 120.0 ± 10.3 to 113.9 ± 4.8, P = 0.025; and HR: from 75.0 ± 7.6 to 65.3 ± 5.5, P = 0.046). DBP reduced in both groups, but it was only significant in the propofol group (from 68.5 ± 7.2 to 56.9 ± 2.1, P = 0.039). The maternal recall of the birth time, child weight, and full satisfaction were significantly better in the propofol group than in the midazolam/fentanyl group (P = 0.046, P = 0.009, and P = 0.039, respectively).
Conclusions: Propofol and midazolam/fentanyl could be useful in cesarean sections under spinal anesthesia thought propofol may induce more effective sedation with higher satisfaction. Accordingly, the propofol use during caesarian sections under spinal anesthesia is suggested due to its anti-stress effects, good delivery recall, and good sedation satisfaction.
Khadijeh Asadi Sarvestani; Abdolrasool Hasanifar; Reyhaneh Bagheri
Abstract
Background: Iran is among the countries located on the thalassemia gene belt. Approximately one-fourth of new thalassemia cases in Iran live in Sistan and Baluchestan Province. The employment of appropriate family planning methods in couples carrying thalassemia gene is one of the major preventive strategies. ...
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Background: Iran is among the countries located on the thalassemia gene belt. Approximately one-fourth of new thalassemia cases in Iran live in Sistan and Baluchestan Province. The employment of appropriate family planning methods in couples carrying thalassemia gene is one of the major preventive strategies. Objectives: The present study aimed at examining the determinants of contraceptive use in women of reproductive age who have children with thalassemia major living in Sistan and Baluchestan Province, Iran. Methods: The current cross sectional study was conducted on 150 women of reproductive age having children with thalassemia major in Sistan and Baluchestan Province. Data were collected from the thalassemia units of three hospitals in Zahedan, Iranshahr, and Chabahar cities from 2017 to 2018. Data collection tool was a researcher-made questionnaire consisted of three parts: the cover letter, items on the socioeconomic status and demographic characteristics, as well as questions about contraception use. SPSS version 20 was employed to analyze data. Pearson chi-square, two-sample t-test, and enter and backward logistic regression were employed to analyze the study data. Results: Concerning knowledge about contraceptives, 16.4% of respondents were not familiar with any contraception methods. Additionally, 49.3% of the women said that they did not use any contraception methods and about 8% of users did not benefit from safe methods. Results of chi-square/t-tests indicated significant differences between users and nonusers of contraceptives in terms of ethnicity, women’s age, spousal age difference, couple education level, place of residence, polygamy, the desired number of children, distance from health center, and knowledge about contraceptives. Enter and backward logistic regression results also revealed that spousal age difference (odds ratio (OR) = 0.914, P < 0.001), place of residence (OR = 7.68, P < 0.001), and polygamy (OR = 0.127, P < 0.001) were the main predictors of contraceptive use. Conclusions: Despite Iran’s success in lowering thalassemia births, socioeconomic and cultural factors contribute to the risk of new birth with thalassemia major among couples with minor thalassemia in Sistan and Baluchestan Province.
Ardeshir Bahmanimehr; Bahia Namavar Jahromi; Najmeh Moein-Vaziri
Abstract
Background: Assisted reproductive technology (ART) helps infertility treatment. In this study, the researchers tried to find several prognostic factors for ART success.
Methods: Data of 189 couples that had undergone ART at Qadir-Mother and Child hospital, were retrospectively explored. Cycles were ...
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Background: Assisted reproductive technology (ART) helps infertility treatment. In this study, the researchers tried to find several prognostic factors for ART success.
Methods: Data of 189 couples that had undergone ART at Qadir-Mother and Child hospital, were retrospectively explored. Cycles were classified as succeeded/failed and female/male/combined causes. Three classes of ovarian response based on the number of retrieved oocytes were determined. Duration of ovarian stimulation, dosages of gonadotropins, and sperm parameters were evaluated. Chi square, t-test and Pearson correlation were used for the analysis.
Results: Couples with male factor infertility had a higher success rate. Female age had a negative correlation with follicle count (r = -0.25), retrieved oocytes (r = -0.25), fertilized oocytes (r= -0.2), and clinical pregnancy (r = -0.21). Female age was negatively correlated with AMH, although not significant. The fertilization rate had a reverse correlation with the basal FSH (r = -0.22, P= 0.01) and LH (r= -0.18, P= 0.05). Finally, ART success rate was positively correlated with the number of follicles before (r = 0.18, P = 0.05) and after retrieval (r = 0.15, P = 0.05) and fertilized oocyte (r = 0.23, P = 0.01).
Conclusions: Female age, the number of mature follicles before retrieval, the number of retrieved oocyte, and fertilized oocytes are predictive factors in ART outcomes.
Mehrnoosh Babolhavaeji; Elaheh Khoshnevis; Sahar Jafarzadeh Rastin
Abstract
Background: Betrayal and marital infidelity are a kind of disorder and illness in behavior, which, due to its adverse effects, causes various injuries and problems for each person. This study aimed to determine the effect of training, based on cognitivebehavioral group therapy (CBGT), on depression and ...
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Background: Betrayal and marital infidelity are a kind of disorder and illness in behavior, which, due to its adverse effects, causes various injuries and problems for each person. This study aimed to determine the effect of training, based on cognitivebehavioral group therapy (CBGT), on depression and coping styles of women exposed to infidelity of a spouse, of course, the marital infidelity did not continue. Methods: This research was quasi-experimental, including pretest-posttest and control group. The population consisted of all women seeking psychological services due to the infidelity of their husbands during the second half of the Iranian year (from late September to late March) in 2017. Twenty two volunteers who met the requirements of the study were selected and randomly divided into two groups, experimental group (11 patients) and control group (11 patients). The experimental group participated in the 8th sessions (once a week, for 90 minutes) of CBGT. Subjects in both groups were asked to take a pre-test and post-test, responding to Coping Inventory for Stressful Situations Questionnaire and Beck Depression Inventory. Statistical analysis was performed using SPSS software version 13. To analyze the data, the descriptive statistics and analysis of covariance test were used. Results: The results showed that there was a significant difference between the mean of depression (54.10±5.3) and coping styles in the experimental group comparing with the post-test (p <0.001). The mean of problem-focused coping (09.58±35.7) of the experimental group increased in the post-test compared with the pre-test and the mean of the experimental group’s avoidance coping (90.48±88.4) and emotion-focused coping (25.41±59.11) decreased in the post-test compared with the pre-test. Thus, CBGT reduces depression and the use of ineffective coping styles (emotional and avoidance-coping styles), as well as, increasing the use of effective coping style (problem-focused coping style) in women after the marital infidelity of their spouses. It can be concluded that the implementation of CBGT has affected women after the marital infidelity of the spouse, which was 0.61 and created by an independent variable intervention. Also, the statistical power was 0.99. Conclusions: According to the results, it can be concluded that training, which is based on CBGT can improve depression and coping styles in women who exposed to infidelity of a spouse. It is suggested that counselors and psychologists use CBGT in dealing with women after the marital infidelity of their spouses. This way can help reduce their depression, behavioral abnormalities, and also improve coping styles.
Fatemeh Fallahi Farrash; Rahman Sheikhhoseini; Farideh Babakhani
Abstract
Background: Ankle sprain is one of the most common injuries in taekwondo fighters. This study aimed to investigate the effect of eight-week functional training on soft surfaces on the balance and electromyographic activity of the muscles of female taekwondo fighters. Methods: In this randomized field ...
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Background: Ankle sprain is one of the most common injuries in taekwondo fighters. This study aimed to investigate the effect of eight-week functional training on soft surfaces on the balance and electromyographic activity of the muscles of female taekwondo fighters. Methods: In this randomized field trial study conducted in Tehran, we selected 16 female taekwondo athletes and assigned them to experimental and control groups. The experimental group performed functional exercises on soft surfaces for eight weeks and three sessions per week. We collected the electromyography activity of muscles by a 16-Channel wireless Electromyography Model V 4.24 (Bayamed Company, Iran) in the biomechanics laboratory of the Allameh Tabataba’i University. Before and after the functional training protocol, we recorded the electrical activity of tibialis anterior, medial and lateral gastrocnemius, rectus femoris, and biceps femoris muscles of stance leg while performing Dollyo Chagi. We analyzed the data using ANCOVA at a significant level of P≤0.05. Results: Eight-week taekwondo training on soft surfaces was significantly effective in reducing the Center of Pressure displacement (P=0.002 and P=0.045) and standard deviation (P=0.023 and P=0.022) concerning internal-external and anteriorposterior directions, respectively. Moreover, we observed an increase in the electromyographic activity of medial gastrocnemius muscle at 100 ms before foot initial contact (P=0.030). Conclusions: The results of this study showed that functional taekwondo training on soft surfaces was able to increase the balance of athletes and augment the feed-forward electrical activity of medial gastrocnemius muscle. Therefore, it seems that these exercises can be used to prevent ankle injuries in these athletes.
Adebukunola Olajumoke Afolabi; Adenike Ayobola Olaogun; Kolade Afolayan Afolabi
Abstract
Background: The gap between women’s reproductive intention and contraceptive behavior could be attributed to the increasing rate of unintended pregnancies globally. The present study was conducted to explore nursing mothers’ perception of contraception,identify the pattern of contraceptive ...
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Background: The gap between women’s reproductive intention and contraceptive behavior could be attributed to the increasing rate of unintended pregnancies globally. The present study was conducted to explore nursing mothers’ perception of contraception,identify the pattern of contraceptive uptake, examine the variations in pregnancy intention, and ultimately, to identify factors influencing contraceptive uptake and pregnancy intention in Nigeria.Methods: The current study adopted sequential explanatory mixed method. We collected the quantitative data from 400 nursing mothers in Irewole and Ife Central Local Government Areas of Osun State, Southwest Nigeria employing semi-structuredquestionnaire. Our nursing mothers were selected through multi-stage sampling technique. This excluded mothers whose index child were older than 2 years old. Focus Group Discussion was conducted with use of focus group discussion guide was conducted for the qualitative survey. Eight discussants selected by convenient sampling participated in each session. We analyzedthe quantitative data using SPSS software at univariate, bivariate and multivariate levels. Binary and multinomial regression analysis examined the association between dependent and independent variables while the level of significance was consideredat p < 0.05. The qualitative findings were reported thematically.Results: The participants in this work perceived that inappropriate contraceptive use influenced pregnancy intention, 8.5% of the nursing mothers used barrier method of contraception, 9.5% used intrauterine device, 4% hormonal pills, 8% hormonal injections,6.5% implants, 1% calendar methods, and 0.5% traditional methods whereas 62% did not use any form of contraception. About 37% of the nursing mothers had previous pregnancies unintended, 52% were ambivalent while 11% had their pregnanciesplanned. Age (P=0.02, relative risk ratio (RRR)=0.42, CI=0.20-0.87), parity (P=0.001, RRR=10.38, CI=3.27-32.92), ethnicity (P=0.002, RRR=0.13,CI=0.03-0.48), and religion (P=0.048, RRR=0.26, CI=0.07-0.99) were the main predictors of pregnancyintention while Islamic religion (P=0.02, OR=2.23, CI=1.16 - 4.26) and grand multiparty (P=0.01, OR=3.61, CI=1.37-9.51) significantly influenced contraceptive choices.Conclusion: Nursing mothers’ parity, age, religion and ethnicity were the main predictors of pregnancy intention, among which religion and parity significantly influenced contraceptive choices. These variables should be incorporated into future interventionprograms which aim to develop effective strategies towards improving uptake and utilization of reproductive health services
Ojo Adesola Ojoawo; Rosemary Aisosa Igbinidu; Odunayo Theresa Akinola; Faderera Adepoju; Taofeek Oluwole Awotidebe
Abstract
Background: Non-steroidal anti-inflammatory drug has been reported to be effective in the management of primary dysmenorrhea, but it has associated side effects. The present study determined the influence of electrical stimulation on the pain intensity in female undergraduates with primary dysmenorrhea. ...
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Background: Non-steroidal anti-inflammatory drug has been reported to be effective in the management of primary dysmenorrhea, but it has associated side effects. The present study determined the influence of electrical stimulation on the pain intensity in female undergraduates with primary dysmenorrhea. Methods: This is a randomized control study including 50 participants with primary dysmenorrhea lasting for five days equally. They were randomly allocated into two groups: transcutaneous electrical nerve stimulation (TENS) and Control. Subjects in TENS group were treated with TENS for 15 minutes twice daily while the other group served as control. Participants were treated for five days, the severity of pain was examined in both groups pre-treatment and post-intervention. Values of the obtained variables were analyzed and the significant level was set at 0.05. Results: Results revealed a significant reduction (t=7.956, p <0.001) in the severity of pain between pre-treatment and posttreatment on the 1st day; also, in the TENS group, there was a substantial change (t=3.610, p <0.001) in the severity of pain on the 5th day post-treatment. There was a substantial reduction (t=2.599, p <0.001) in the severity of pain in the TENS group compared with the control group on the 3rd day (1.80 1.15, 2.38±1.77,) and 5th day (0.52±0.65, 0.94±1.33), respectively. Conclusion: Transcutaneous Electrical Nerve Stimulation was found to be an effective approach to relieving primary dysmenorrhea among female undergraduates.
Forough Darabi; Mandana Gholami; Hossein Abed Natanzi
Abstract
Background: Exercise training and zataria multiflora exert anti-inflammatory effects alone and together; these anti-inflammatory effects are partly related to modulating adipokines secretion from adipose tissue. This research aimed to investigate the effect of combined training (aerobic-resistance) and ...
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Background: Exercise training and zataria multiflora exert anti-inflammatory effects alone and together; these anti-inflammatory effects are partly related to modulating adipokines secretion from adipose tissue. This research aimed to investigate the effect of combined training (aerobic-resistance) and zataria multiflora supplementation on serum resistin and retinol binding protein 4 (RBP-4) in sedentary women. Methods: The present randomized clinical trial, under the registration number IRCT20200812048388N1, was conducted in the winter and spring of 2021. The participants included 40 overweight and obese women who were assigned in four groups (10 women in each group), namely combined training with zataria multiflora (TZ), combined training (T), zataria multiflora (Z), and placebo (C) groups. Each combined training session consisted of 30 min of aerobic exercise, followed by 30 min of resistance exercise. Zataria multiflora supplement was also consumed at 500 mg daily. We carried out blood sampling before and after (48 hours after the last training session) the intervention period and measured the serum levels of RBP-4 and resistin via ELISA method. For data analysis, the SPSS software version 24, and analysis of covariance (ANCOVA) with Bonferroni post-hoc tests were used. Results: We observed a significant decrease in RBP-4 levels of T compared to that of C group (P=0.045), and in TZ compared to C and Z groups (p <0.001). In addition, the obtained findings indicated a significant decrease in resistin of T compared to that of C group (P=0.046), and in TZ group compared to C and Z groups (p <0.001). In addition, there was a significant decrease in HOMA-IR of T and TZ groups compared to that of C and Z groups (p <0.05). Conclusion: According to the results, Zataria multiflora supplementation amplified the anti-inflammatory properties of combined training and combined training effect in insulin resistance improvement. Furthermore, it was found to have a synergistic effect along with combined training.
Mehrab Sayadi; Leila Malekmakan; Khojaste Rahimi Jaberi
Volume 6, Issue 3 , July 2019, , Pages 31-35
Abstract
Objectives: The aim of this study was to determine the level of knowledge, attitude, and practice of adolescent girls toward menstrual health during puberty in the rural areas of Fars province.
Methods: This was a cross-sectional analytical study of 550girlsfromrural areas in two groups of students ...
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Objectives: The aim of this study was to determine the level of knowledge, attitude, and practice of adolescent girls toward menstrual health during puberty in the rural areas of Fars province.
Methods: This was a cross-sectional analytical study of 550girlsfromrural areas in two groups of students (n=318) and non-students (n = 232). Data were collected via a 47-item researcher-made questionnaire that included questions on knowledge, attitude, and practice of menstrual health that was completed during interviews. The significance level was set at < 0.05.
Results: In our study, the age distribution of the subjects was between 10 and 17 years and the mean age was 14.1±1.1 years. About 77.5% of the subjects had experienced menstruation, of whom 83.1% stated that they had information about the issue before menstruation. Moreover, 10.0% of them experienced fear and worries, 5.4% were surprised, and only 10.8% expressed satisfaction. The analysis of questions related to knowledge showed that the two groups had a moderate level of knowledge. There was no statistically significant difference between the two groups in all items except for the exercise item. From the practice point of view, the two groups were compared, while the two groups were significantly different in pain sensation (P = 0.006).
Conclusions: The results of this study showed that the level of knowledge, attitude, and practice was low among rural students and non-students in Fars province and education is an important and essential factor that should be put on the agenda.
James Forty
Abstract
Background: Population growth is considered a problem in Malawi, Africa and fertility is reportedly a key factor in the growth of this population. The subject of studies on fertility-related factors has been period fertility rather than lifetime fertility. However, period fertility is reported to be ...
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Background: Population growth is considered a problem in Malawi, Africa and fertility is reportedly a key factor in the growth of this population. The subject of studies on fertility-related factors has been period fertility rather than lifetime fertility. However, period fertility is reported to be associated with a tempo effect and therefore may not represent lifetime fertility accurately. The present study; therefore, examined whether age at first marriage or birth has an effect on lifetime fertility in Malawi, as it is the case with period fertility.Methods: Secondary data from the Malawi Demographic and Health Survey were used for this study. The study was conducted from October 2015 to February 2016 and surveyed 24562 women of reproductive age (15-49 years). The research was limited to a subsample of 3583 women because the focus of this paper is on women aged 40-49 years. The number of children ever born was used to determine fertility. Analysis of variance and Poisson regression model were used as statistical tests. The multivariable association between the number of children ever born and the independent variables was predicted using the Poisson regression model, while the bivariate relationship was calculated using analysis of variance.Results: The results of the bivariate analysis showed that age of first cohabitation (P=0.01) and age of first birth (P=0.01) were strongly associated with total number of births. Both unadjusted and adjusted Poisson regression models showed significant associations for multivariable outcomes. Accordingly, the number of children ever born was significantly associated with the following variables: an adjusted model with age of 26 years and older as the reference category, beginning cohabitation (AIRR=1.09, P=0.04) or first birth (AIRR=1.61, P=0.03) at age younger than 18 years; cohabitation (AIRR=1.09, P=0.04) or first birth (AIRR=1.48, P=0.03) at age of 18 to 21 years.Conclusions: Based on the findings of the study, the study recommends stakeholders to support household income-generating capacity, expand access to education for both boys and girls, and maintain the use of modern contraceptives.
Mary I Aliu; Ngozi Okafor; Ayomide Aliu; Matthew Idowu Olatubi; Grace Ademuyiwa
Abstract
Background: Cervical Cancer Vaccine is known to be one the effective ways of preventing cervical cancer. The present study aimed to assess parents’ knowledge on uptake of human papilloma virus vaccine (HPVV) by adolescents, describe their perception on the uptake of HPVV by adolescents, and identify ...
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Background: Cervical Cancer Vaccine is known to be one the effective ways of preventing cervical cancer. The present study aimed to assess parents’ knowledge on uptake of human papilloma virus vaccine (HPVV) by adolescents, describe their perception on the uptake of HPVV by adolescents, and identify their cultural beliefs which could influence HPV uptake.Methods: This work is a cross-sectional study. We conducted the current study in a local government area in Nigeria from December 2019 to February 2020. A total of 350 participants were recruited using a multi-stage sampling technique. A foursectioned, 44-item-structured questionnaire was used for data collection. We strictly adhered ethical principles. The data was analysed via descriptive statistics.Results: The obtained findings revealed that only 56.0% of the parents were aware of HPV, out of whom 73% had a good level of knowledge of cervical cancer vaccine. On the contrary, 1.7% of them had good perception of cervical cancer vaccine uptake while 67.1% had low perception. We also indicated that educational status of the parents influenced the uptake of HPVV by their adolescents (F=0.54, P=0.54). Additionally, 75% of the participants had negative cultural beliefs which prevent them from allowing their adolescents to take up the vaccine.Conclusion: Awareness of HPV was found to be moderate while the majority of those who are aware of HPV had high knowledge of cervical cancer screening. Most of the parents had low perception of cervical cancer vaccine. Similarly, a big proportion of the parents had negative cultural beliefs about HPVV uptake. Thus, parents should be provided with further education in this regard so that they promote the uptake of HPVV for their female adolescents.
Hashem Piri; Maryam Hajian; Seyyed Hossein Mirkarimpour; Rahman Sheikhhoseini; Mohammad Rahimi
Abstract
Background: Upper crossed syndrome (UCS) is believed to be a prevalent deformity among female beauticians. This study designed to investigate the effect of 12 weeks of corrective exercises on the postural angles, namely, forward shoulder, forward head, and kyphosis of female beauticians with UCS. Methods: ...
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Background: Upper crossed syndrome (UCS) is believed to be a prevalent deformity among female beauticians. This study designed to investigate the effect of 12 weeks of corrective exercises on the postural angles, namely, forward shoulder, forward head, and kyphosis of female beauticians with UCS. Methods: In this clinical trial study, 40 females were selected through purposive sampling. This study was conducted in Tehran between September 2020 and March 2021. Photogrammetric method was employed to measure forward head and forward shoulder angles. Thoracic kyphosis angle was measured using flexible ruler. The participants were assigned to two groups employing simple randomization. The intervention group carried out corrective exercises for 12 weeks. Paired-sample t-test and analysis of covariance (ANCOVA), at the significance level of p <0.05, were used for data analysis. The clinical trial registration number of this study is IRCT20180626040244N2. Results: The within group comparisons revealed significant changes in all of the postural variables (P=0.001), including forward head, forward shoulder, and thoracic kyphosis of the intervention group. The between group comparisons indicated that a 12-week corrective exercise program significantly decreased forward head (P=0.001) and shoulder (P=0.001), and thoracic kyphosis (P=0.001) angles. Conclusion: The substantial reduction in forward shoulder, forward head, and thoracic kyphosis angles after corrective exercises indicated the effectiveness of these exercises in correcting the postural abnormalities in the beautician females.
Sedigheh Sakkaki; Farah Naderi; Fariba Hafezi
Abstract
Background: The diagnosis of cervical cancer significantly affects the health-related quality of life (HRQOL) of women. This study aimed to investigate the relationships between chronic fatigue syndrome (CFS) and experiential avoidance (EA) with HRQOL, mediated by depression in women with cervical cancer.Methods: ...
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Background: The diagnosis of cervical cancer significantly affects the health-related quality of life (HRQOL) of women. This study aimed to investigate the relationships between chronic fatigue syndrome (CFS) and experiential avoidance (EA) with HRQOL, mediated by depression in women with cervical cancer.Methods: This descriptive-correlational study selected 261 cervical cancer cases in Mashhad, Iran in 2021, using purposive sampling from October 10, 2021 to December 24, 2021. The research tools include the SF-36 Questionnaire, the Chalder Fatigue Scale, the Brief Experiential Avoidance Questionnaire, and Beck Depression Inventory. Data analysis was done using Pearson correlation coefficient and structural equation modeling in SPSS version 27 and AMOS version 24.Results: The results indicated that all direct paths, with the exception of CFS, significantly correlated with HRQOL (P<0.001). Depression mediated the significant indirect paths of CFS to HRQOL and the significant relationship between EA and HRQOL (P<0.001).Conclusions: The findings of this study revealed that CFS and EA were negatively related to HRQOL in women with cervical cancer. Moreover, depression mediated the relationship of CFS and EA with HRQOL.
Abbas Saremi; Karim Zohrevandian; Mohammad Parastesh; Samira Khaleghi
Abstract
Background: Urinary incontinence (UI) is prevalent among women and seriously impairs the quality of life. Urinary incontinence is believed to be associated with a decrease in estrogen and estrogen regeneration improves these signs. We conducted the present study to assess the effects of aquatic exercise ...
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Background: Urinary incontinence (UI) is prevalent among women and seriously impairs the quality of life. Urinary incontinence is believed to be associated with a decrease in estrogen and estrogen regeneration improves these signs. We conducted the present study to assess the effects of aquatic exercise on multiple domains of urinary leakage and estradiol level in postmenopausal women. Methods: In this semi-experimental study, 24 postmenopausal women with UI were selected from October to December 2019 in Arak, Iran. They were randomized into the aquatic exercise (n=12) and control (n=12) groups. Aquatic exercise was carried out at moderate intensity, three days per week for eight weeks in 33–34°C, swimming pool. The control group did not participate in a supervised program. The International Consultation on Incontinence Questionnaire–Short Form (ICIQ-SF) was used to assess urinary incontinence and blood samples were collected 48 hours before and after the last sessions of exercise training. In addition, UI-related practices and the use and modification of daily protection were examined. Estradiol was assessed using enzyme-linked immunosorbent assay (ELISA assay). The data were analyzed utilizing paired t test or Wilcoxon test in SPSS version 21. Results: The mean age of the subjects was 56.77 years old; 78.6% were married and 58% were overweight. The ICIQ-SF score (P=0.03) as well as severity of urinary incontinence symptoms (P=0.05) in the exercise group improved significantly compared to those in the control group. Furthermore, no significant differences in estradiol level were observed between the groups (P>0.05). Conclusion: Aquatic exercise was found to be beneficial and improved fitness and severity of urinary incontinence in postmenopausal women although this improvement occurred without changes in estrogen levels.
Bahar Morshed Behbahani; Leila Doryanizadeh; Mohammad Ebrahim Parsanezhad; Mohammad Hossein Dabbaghmanesh; Azam Jokar; Seyede Zahra Ghaemi; Marjan Zare; Parvin Ghaemmaghami
Abstract
Background: Hysterosalpingography is a vital diagnostic method for identifying anatomical causes of infertility, often used as a cost-effective screening test. This study aimed to investigate hysterosalpingography results in infertile women.Methods: A quantitative, descriptive, and analytic cross-sectional ...
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Background: Hysterosalpingography is a vital diagnostic method for identifying anatomical causes of infertility, often used as a cost-effective screening test. This study aimed to investigate hysterosalpingography results in infertile women.Methods: A quantitative, descriptive, and analytic cross-sectional study was conducted on 180 infertile couples referred to Ghadir Maternal and Child Hospital in Shiraz, Iran between February and July 2015-2016. Data were collected from patient records and hysterosalpingography findings. A questionnaire encompassing demographic information and hysterosalpingography results was utilized. Qualitative and quantitative variables were described using frequency and mean± standard deviation. Data were analyzed using Kolmogorov-Smirnov normality test, Chi-square, and generalized linear models via IBM SPSS version 22.Results: Hysterosalpingography (HSG) revealed that 145 women (80.6%) exhibited normal uterine and tubal findings, while 35 women (19.4%) displayed abnormal results (classified as normal and abnormal HSG findings). Women with abnormal hysterosalpingography were observed to have a higher likelihood of primary infertility (OR=3.8, 95%CI (1.427-10.10), P=0.008). Furthermore, the study assessed the impact of Body Mass Index (BMI) and identified that women in the abnormal HSG group had a higher body mass index (OR=0.89, 95%CI (0.794-0.992), P=0.035).Conclusions: Tubal adhesion stemming from undiagnosed and untreated sexual infections can lead to primary infertility. Limited resources may hinder timely detection and treatment access, exacerbating the issue. The correlation between obesity and infertility could be attributed to an unhealthy lifestyle in low-income families. Encouraging health education within low to middle-income communities is recommended to prevent sexually transmitted infections and promote healthier lifestyles, ultimately reducing the incidence of primary infertility.
Mohamad Reza Farshad; Sayed Abdolvahab Samavi
Abstract
Background: Self-criticism is one of the psychological impairments with inappropriate consequences for all members of a family, especially women. It is affected by various factors. The present study aimed to assess the mediating role of cognitive fusion and experiential avoidance in the correlation between ...
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Background: Self-criticism is one of the psychological impairments with inappropriate consequences for all members of a family, especially women. It is affected by various factors. The present study aimed to assess the mediating role of cognitive fusion and experiential avoidance in the correlation between self-criticism and external shame.Methods: The present research utilized the structural equation modeling. The statistical population included all the married women aged 20 to 60 years in Bandar Abbas, Iran in 2022, out of whom 293 were selected via available sampling. For data collection, self-critical questionnaires (Louise, 2004), external shame questionnaire (Gross et al., 1994), cognitive fusion questionnaire (Gilanders et al., 2014), and experiential avoidance questionnaire (Bund et al., 2011) were used. The data were analyzed using correlation and path analysis methods via SPSS Version 26 and AMOS Version 24.Results: The results indicated that external shame (P<0.001), cognitive fusion (P<0.001), and experiential avoidance (P<0.001) had a direct, significant, and positive effect on self-criticism. The results of a path analysis revealed that external shame through cognitive fusion (P<0.001) had a significant indirect effect on self-criticism. Furthermore, external shame had a significant indirect effect on self-criticism through experiential avoidance (P<0.001).Conclusions: The results suggested that psychologists and counselors reduce the psychological impairment threatening the family system by holding educational workshops and performing individual and group therapies.
Habibeh Mohammadi; Javad Khalatbari; Khadijeh Abolmaali
Abstract
Background: Psychological distresses and stresses are believed to significantly increase the symptoms of irritable bowel syndrome (IBS). In contrast, healthy lifestyle plays an effective role in the prevention and treatment of IBS. The present article investigated the effect of integrating cognitive-behavioral ...
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Background: Psychological distresses and stresses are believed to significantly increase the symptoms of irritable bowel syndrome (IBS). In contrast, healthy lifestyle plays an effective role in the prevention and treatment of IBS. The present article investigated the effect of integrating cognitive-behavioral therapy and mindfulness therapy on the lifestyle of patients with IBS in Tehran. Methods: This study was quasi-experimental (pre-test, post-test, and a one-month follow-up design, and a control group). The statistical population herein included all the women with IBS referred to the Gastroenterology Research Center of Shariati Hospital in Tehran in 2020. We selected 30 patients who were willing to participate in the study using convenience sampling and randomly divided them into the control and experimental groups (n=15 per group). The experimental group underwent 12 sessions (90-minute sessions, two days a week) of integrating cognitive-behavioral therapy and mindfulness therapy, yet the control group received no intervention. The research instrument included the Lifestyle Questionnaire (LSQ). Data analysis was carried out using repeated measures ANOVA. Results: The results indicated that integrating cognitive-behavioral therapy and mindfulness therapy effectively improved lifestyles in women with IBS (p <0.001). The mean post-test and follow-up scores of the experimental group were 162.58±30.83 and 166.00±26.61, respectively, which increased compared to the pre-test (110.58±10.02), post-test (107.17±9.52), and follow-up (103.33±7.24) of the control group. Conclusion: Integrating cognitive-behavioral therapy and mindfulness therapy could be recommended as an effective training to improve the lifestyle of women with IBS.
Khadije Rezaie-Kheikhaie; Marie Hastings-Tolsma; Mohammadreza Firouzkouhi; Abdolghani Abdollahimohammad; Fatemeh Mirzaie; Sanaz Nehbandani
Abstract
Background: Pregnant women represent a vulnerable demographic to COVID-19. In addition to the physical health risks posed to both the mother and fetus, COVID-19 engenders intricate and unique post-recovery experiences among pregnant women. This study explored the lived experiences of pregnant women who ...
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Background: Pregnant women represent a vulnerable demographic to COVID-19. In addition to the physical health risks posed to both the mother and fetus, COVID-19 engenders intricate and unique post-recovery experiences among pregnant women. This study explored the lived experiences of pregnant women who have recovered from COVID-19.Methods: A descriptive phenomenological approach was employed for this research, conducted in southeastern Iran from January to May 2021. A purposive sampling method was utilized to select 12 participants, and data collection was accomplished through semi-structured interviews. The Colaizzi approach was employed for data analysis.Results: The study initially generated 278 codes, from which three principal themes aligned with the research objective. These primary themes encompass health risks, maternal responsibilities, and challenges associated with recovery.Conclusion: Pregnant women in the process of recovering from COVID-19 confront various health-related challenges, as well as those about child health. Policymakers, obstetricians, and midwives must provide support to enhance these individuals’ postrecovery quality of health.
Iran Jahanbin; Elham Aflaki; Haleh Ghaem
Abstract
Background: Osteoporosis is a serious problem worldwide, mainly because of the consequences of the diagnosis. However, many osteoporotic fractures can be prevented and treated.
Objectives: The aim of the study was to determine the relationship between lifestyle and bone mineral density (BMD) in women ...
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Background: Osteoporosis is a serious problem worldwide, mainly because of the consequences of the diagnosis. However, many osteoporotic fractures can be prevented and treated.
Objectives: The aim of the study was to determine the relationship between lifestyle and bone mineral density (BMD) in women referring to bone densitometry Research center.
Materials and Method: This cross-sectional study was conducted on 1170 Pre-menopausal and post-menopausal women. Demographic, anthropometric, lifestyle data including physical activities, smoking habits, dairy intake and its consumption pattern, calcium intake, as well as, history of steroid intake was asked.. Lumbar and femoral bone mineral density (BMD) was measured by dual energy X-ray absorptiometry (DXA). Based on the WHO definition the T-score value was considered for analysis.
Results: Participants' mean age was 52.77 (± 9.8) years. Adjusted for age, the BMD significantly correlated to body weight for women. A lower body weight was a risk factor for the osteoporotic process in our participants (P < 0.001). The BMD of women who had more than four pregnancies showed a positive relationship with the osteoporosis of femoral neck and lumbar spine (P < 0.001). Physical activities were positively associated with BMD. This effect was stronger with hip than with spine BMD. Weakly positive associations were found between consumption of dairy products and BMD at the two measurement sites. Low dietary calcium intake and poor physical activity together with advancing age since menopause were independent risk factors for low BMD.
Conclusions: Bone densitometry should be used to assess the severity of bone loss, and to identify those in need of therapy. The follow up and early diagnosis of osteopenia should be carried out in order to institute proper therapy and prevent further osteoporosis.
Zinat Mohebbi; Shahla Najafi; Zahra Molazem; Giti Setoodeh
Abstract
Background: Burns are among the most prevalent mortality causes in developing countries, particularly Iran. In addition to large treatment expenses, burn victims suffer from long-term physical and psychological injuries.
Objectives: This study intends to recognize the epidemiologic factors, causes and ...
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Background: Burns are among the most prevalent mortality causes in developing countries, particularly Iran. In addition to large treatment expenses, burn victims suffer from long-term physical and psychological injuries.
Objectives: This study intends to recognize the epidemiologic factors, causes and outcome of burns among hospitalized women in the Burn Wards of Ghotbeddin Hospital in Shiraz, Iran.
Patients and Methods: This was a cross-sectional study carried out for a period of 2.5 years. The population consisted of all women hospitalized in the Burn Wards of Ghotbeddin Hospital from March 2009 until September 2011. Patients' information was entered in a checklist using old records and documents after which the collected data were analyzed by SPSS software version 15.
Results: A total of 619 women were hospitalized over a 2.5 year period due to burns. Their mean age was 25.78 ± 17 years with a range of 3 months to 103 years. Approximately half of the burns (45.4%) occurred at home, most of which (35.0%) occurred during the spring season. Kerosene was the most prevalent cause of burns (30.0%). Of these, 210 (33.92%) women were referred due to self-immolation; familial disputes were the main cause (46.6%) for these referrals. There were 232 (37.48%) cases whose deaths were attributed to burns and its complications during this period.
Conclusions: Annually, many women have been admitted and treated in burn hospitals, which result in tremendous financial expenses, physical deformities, psychological disabilities and mortality. Therefore, public education of burn prevention measures seems to be necessary.
Marzieh Akbarzade; Bahare Rafiee; Nasrin Asadi; Najaf Zare
Abstract
Background: An increase in maternal body mass index (BMI) before pregnancy can cause overweight during pregnancy, and negatively affect both the mother and the fetus. Non-stress test (NST) is the most common way to evaluate the fetus during pregnancy.
Objectives: This study aimed to evaluate the correlation ...
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Background: An increase in maternal body mass index (BMI) before pregnancy can cause overweight during pregnancy, and negatively affect both the mother and the fetus. Non-stress test (NST) is the most common way to evaluate the fetus during pregnancy.
Objectives: This study aimed to evaluate the correlation between maternal BMI and NST parameters as well as the pregnancy outcomes in nulliparous women.
Materials and Methods: This case-control study, comprised 67 nulliparous women with the gestational age of 24-28 weeks, selected by simple random sampling, who were admitted to Shooshtari and Hafez hospitals from 2011 to 2012. The case group included 35 pregnant women with BMI greater than 26. The control group consisted of 32 pregnant women with BMI lower than 26. NST was applied to groups and evaluated reactive and non-reactive parameters, basal fetal heart rate, and number of accelerations. Chi-square test was used to examine the reactive and non-reactive parameters and type of delivery. Other variables were statistically analyzed using 1-way analysis of variance (ANOVA).
Results: Our results indicated that the frequency of NST reactive and non-reactive parameters was 41%, 59% in the case group, respectively and 55%, 45% in the control group, respectively. Besides, a significant difference was found between the case and the control group regarding reactive parameters (P = 0.02). However, no significant difference was observed between the two groups concerning the mean of basal fetal heart rate ( P= 0.3). However, the number of accelerations in the case group was significantly lower than that of the control group ( P= 0.001). Significant increases were found in the case group regarding the mean of post-delivery weight ( P= 0.02), BMI after delivery ( P= 0.005), neonatal birth weight ( P= 0.001), gestational age ( P= 0.001), and caesarian section (CS) delivery ( P= 0.01).
Conclusions: This study revealed that the increase in maternal BMI was accompanied by a decrease in non-reactive parameters of NST and the number of accelerations of the fetal heart rate which is the most important index for fetal health. Also, a significant increase was observed regarding maternal BMI one month after delivery, neonatal birth weight, gestational age, and CS delivery.
