Meta Analysis
Najmeh Maharlouei; Bahar Morshed Behbahani; Leila Doryanizadeh; Maryam Kazemi
Abstract
Context: Infertility is a complex reproductive issue worldwide. Knowledge about the prevalence of any health problems like infertility is the first step towards policymaking in order to make effective decisions. Methods: An electronic systematic review was conducted in 2019 through search in PubMed, ...
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Context: Infertility is a complex reproductive issue worldwide. Knowledge about the prevalence of any health problems like infertility is the first step towards policymaking in order to make effective decisions. Methods: An electronic systematic review was conducted in 2019 through search in PubMed, Scopus, Web of Science, Science Direct, and EMBASE data bases. Following the evaluation of the articles by the research team, 11 articles were accepted based on the inclusion criteria of the study. The information was analyzed utilizing Stata software version 11. Results: The results of analysis on 58,746 participants showed that the prevalence of primary infertility was 5.0% (95% CI: 4.0, 6.0%; I2: 98.20%) and the prevalence of secondary infertility was 2.0% (95% CI: 1.0, 3.0%; I2: 98.48%). The prevalence of primary and secondary infertility by gender was higher in women (6% and 3%, respectively). The prevalence of primary infertility was more common in people under the age of 35. Conclusions: In Iran, the pattern of infertility presents a higher prevalence of primary infertility, which is probably due to the differences in the pattern of sexual relations in Iran. The more prevalence is primary infertility and infertility in women under the age of 35, the more attention should policymakers pay to provide effective plans for reducing infertility in the future.
Randomized Clinical Trials (RCT)
Maryam Kasraeian; Forouzan Esmaielzadeh; Giti Hozhabrian; Saeedeh Shadmehri; Nasibeh Kazemi
Abstract
Background: Premenstrual syndrome (PMS) is one of the most prevalent adverse physical, behavioral, and psychological changes in women during the luteal phase of the menstrual cycle. It reduces fertility and quality of social life. The current study was conducted to evaluate the effects of an eight-week ...
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Background: Premenstrual syndrome (PMS) is one of the most prevalent adverse physical, behavioral, and psychological changes in women during the luteal phase of the menstrual cycle. It reduces fertility and quality of social life. The current study was conducted to evaluate the effects of an eight-week elastic training and Foeniculum Vulgare consumption on PMS in adolescent girls.Methods: In this experimental study, we selected 40 inactive subjects diagnosed with PMS in Shiraz, Iran in October 2020. They were randomly divided into four groups: elastic training, fennel, elastic training and fennel, and control. Elastic training was performed three sessions (45 minutes) per week for eight weeks. Fennel was consumed as oral drops of phenylene 2% daily, 30 drops every 12 hours for two months. The subjects were assessed using a premenstrual symptom screening questionnaire in pre- and post-test phases. In order to analyze the data, we utilized analysis of variance (ANOVA), analysis of covariance (ANCOVA), paired t-test, and Tukey’s post hoc tests. Results: The results showed that after elastic training and fennel consumption, mood (8.00±1.25 vs 16.50±2.32) and physical (6.17±1.08 vs 15.50±1.92) symptoms of PMS reduced compared to those in the control group (P <0.05). The combined use of elastic training and fennel consumption had the greatest effect on physical (3.14±0.72 vs 15.50±1.92, p <0.001) and behavioral (5.23±1.53 vs 16.50±2.32, P <0.001) symptoms reduction in adolescent girls.Conclusion: It could be recommended to use elastic training along with fennel consumption in order to reduce the physical and mood symptoms of adolescent girls with PMS.
Research Article
Madineh Zarei; Parisa Foroozan; Maryam Koushkie Jahromi; Mohammad Hemmatinafar
Abstract
Background: Efficient exercises for enhancing lipolysis could be implemented in the measures taken regarding obesity reduction and the related risk factors. The present study was conducted to compare the response of lipolysis inhibitory and excitatory hormones, including insulin, epinephrine, and glycerol, ...
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Background: Efficient exercises for enhancing lipolysis could be implemented in the measures taken regarding obesity reduction and the related risk factors. The present study was conducted to compare the response of lipolysis inhibitory and excitatory hormones, including insulin, epinephrine, and glycerol, as index of lipolysis to high-intensity interval resistance exercise (HIIRE) and traditional resistance exercise (TRE) protocols in overweight girls. Methods: This was a kind of acute and semi experimental study, which was performed during the winter of 2019. Eleven overweight young girls with a mean weight of 68.54±4.3 kg participated in this study objectively and voluntarily. The participants took part in HIIRE and TRE programs separately with at least a one-week interval. Blood samples were taken before and immediately after an exercise session in order to measure the levels of epinephrine, insulin, and glycerol. For analysis of the data, we utilized statistical method of paired t-test. Results: Statistical analysis of the data revealed a reduction in the level of insulin (P=0.009) and an increase in that of glycerol (P=0.04) after HIIRE. There were no significant changes in epinephrine following HIIRE (P=0.75) and TRE (P=0.15). Moreover, there were no significant differences concerning the changes of epinephrine (P=0.93), insulin (P=0.15), and glycerol (P=0.13) between HIIRE and TRE protocols (P>0.05). Conclusions: Regarding the decrease in lipolysis inhibitor (insulin) and the increase in glycerol, as an index of adipose lipolysis following HIIRE, it could be recommended as an effective exercise for reducing adiposity.
Research Article
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.
Research Article
Razieh Zahedi; Maysam Rezapour; Hossein Molavi Vardanjani; Mohammad Reza Baneshi; Ali Akbar Haghdoost; Reza Malekpour Afshar; Farzaneh Zolala
Abstract
Background: Previous studies have shown that breast cancer (BC) risk perception could be a motivation for screening behaviors. This study was conducted to compare the level of BC risk perception of women aged between 30-40 and 41-60 years, and to determine the factors affecting screening behaviors and ...
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Background: Previous studies have shown that breast cancer (BC) risk perception could be a motivation for screening behaviors. This study was conducted to compare the level of BC risk perception of women aged between 30-40 and 41-60 years, and to determine the factors affecting screening behaviors and examine the association between BC risk perception and BC screening behaviors. Methods: This cross-sectional study was performed using a Rutherford instrument for BC risk perception on 754 women aged 30 to 60 years with no history of BC in 2018. The questionnaire included demographic information, risk factors of BC, screening practice, and risk perception of BC. The association between screening behaviors with women’s BC risk perception and some other variables were assessed utilizing pathway analysis method with the Structural equation modeling (SEM), which summarized the results by odds ratio index. Results:The mean score of BC risk perception was 28.9±24.3, which was 31.2±24.4 in women aged 30 to 40 and 25.9±23.9 in women aged 41 to 60 years (P value = 0.003). The association between mammography with risk perception was (OR:1 [95%CI: 0.9, 1]). According to this study, the most important variables affecting mammography were increased clinical examination (OR: 34.6 [95%CI: 16.3, 73.7]), age (OR: 8.8 [95%CI: 4.9,16]), family history of breast cancer (OR: 4 [95%CI: 1.3, 12.9]), and higher education level ([OR: 1.4[95%CI: 1.1,1.9]). Conclusions: The results of our study indicated that younger women had higher BC risk perception. BC risk perception was not found to have any direct effects on mammography. This survey revealed that physicians had an important role in encouraging women to perform mammography.
Research Article
Mehdi Yousefnia Pasha; Shohreh Ghorbanshiroudi; Alireza Homayouni
Abstract
Background: One of the most important issues in family psychology that has become more important with social change is marital adjustment. The present study was conducted to predict marital adjustment based on dysfunctional beliefs and self-sacrifice motivations. Methods: This study was a correlational ...
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Background: One of the most important issues in family psychology that has become more important with social change is marital adjustment. The present study was conducted to predict marital adjustment based on dysfunctional beliefs and self-sacrifice motivations. Methods: This study was a correlational study and was conducted in 2020. The statistical population of the study included married women in Babolsar city. In the present study, 305 people were selected using the available sampling method and responded to the tools. The scales of marital adjustment, self-sacrifice motivations and dysfunctional beliefs were used to collect data. SPSS software was used to analyze the data and the multiple regression method was used to test the research hypotheses. Results: The results showed that the variable of dysfunctional beliefs is a negative and significant predictor of marital adjustment (β=-0.50, P=0.001). The approach motive of sacrifice was a positive and significant predictor of marital adjustment (β=0.26, P=0.001). However, the avoidance motive of sacrifice variable was not able to predict the marital adjustment (β=0.14, P=0.178). In addition, the results showed that 31% of the variance of the dependent variable is predicted by independent variables. Conclusion: The results showed that dysfunctional beliefs and approach motive of sacrifice play a role in marital adjustment. Therefore, implementing intervention programs to strengthen the approach motive of sacrifice and reduce dysfunctional beliefs can help improve marital adjustment.
Research Article
Sara Dokuhaki; Fatemeh Ghodrati
Abstract
Background: Anxiety disorders are usually common in the reproductive age in which mothers will have better control with spiritual-religious supports. The objective of the present study was to investigate the association between religiosity and jurisprudential information with anxiety of pregnant mothers ...
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Background: Anxiety disorders are usually common in the reproductive age in which mothers will have better control with spiritual-religious supports. The objective of the present study was to investigate the association between religiosity and jurisprudential information with anxiety of pregnant mothers during labor and postpartum pain. Methods: This cross-sectional study was conducted with a sample of 110 mothers in labor at Shoshtari and Zeinabiyeh hospitals, Shiraz, Iran in 2016. Convenience and purposive sampling methods were used. Research tools including Religious Attitude Questionnaire and Spielberger questionnaire were used to measure the maternal Religious Attitude anxiety level of mothers. The analysis by SPSS software version 16 was conducted using descriptive statistics, Chi-square tests, and ANOVA. Results: There was a significant difference between the mean of anxiety and religious attitude (p <0.001). In mothers with a moderate religious attitude, 78% had moderate anxiety, 74% had mild anxiety and the remainder had no anxiety. The highest level of situational anxiety was moderate (54=49.1%) and had a statistically significant association with the level of religious attitude (p <0.001). The highest level of State anxiety was normal (52=47.3%) and then moderate (48=43.6%) and had no statistically significant association with the level of religious attitude (P=0.327). Conclusion: There was an association between the level of religiosity in mothers and their reduced level of anxiety in labor. According to the culture of our society, it is important to pay attention to the religiosity dimension of human existence and plan to improve and perform them in the field of health care.
Case Report
Leili Hafizi; Seyedeh Azam Pourhosaini; Seyedeh Sepideh Hosseini
Abstract
Introduction:Herlyn-Werner-Wunderlich Syndrome (HWWs) is a rare variant of Mullerian duct anomalies. It is associated with a wide range of gynecological and obstetric complications, such as urinary incontinence, urinary retention, endometriosis, pelvic infection, pelvic pain and infertility. Case presentation: ...
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Introduction:Herlyn-Werner-Wunderlich Syndrome (HWWs) is a rare variant of Mullerian duct anomalies. It is associated with a wide range of gynecological and obstetric complications, such as urinary incontinence, urinary retention, endometriosis, pelvic infection, pelvic pain and infertility. Case presentation: We conducted the present study to investigate and manage HWWs with pelvic pain. The surgery was performed on the operative room of Imam Reza Hospital in April 2018. Conclusion: The reported case is related to Herlyn-Werner-Wunderlich Syndrome, a rare congenital Mullerian duct anomaly, which it is not included in the current classification system of the Mullerian abnormalities of the American Fertility Association and is based on the typical pattern of caudal evolution towards cranial.
