The effect of solution-focused counseling on violence rate and quality of life of pregnant women at risk of domestic violence: a randomized controlled trial

Background: Domestic violence during pregnancy as one of the most common social problems and major challenges of health systems can affect the health of the mother and fetus. The study aimed to compare the two groups of intervention based on solution-focused counseling and control in terms of violence and quality of life amounts in women who had experienced domestic violence. Methods: A randomized controlled trial on 90 pregnant women was blocked into two intervention groups (n = 45) and a control (n = 45). The intervention group received six counseling sessions with a solution-focused approach. Study tool included conflict tactics scale (CTS- 2) and short form health survey (SF-36). The tools were completed once before the intervention and again 6 weeks after the end of the counseling sessions by the participants of both groups. The P-value less than 0.05 was considered statistically significant. Results: A total of 82/90 pregnant women were analyzed. The results showed that median and interquartile range (IQR) of physical, psychological and sexual violence significantly decreased in the intervention group than the control group (Ps = 0.001). Moreover, quality of life scores significantly improved in the intervention group compared to the control group (P = 0.001). Conclusion: Solution-focused counseling could be an effective approach to reduce the amount of violence and increase the quality of life in women exposed to domestic violence. Trial registration: Iranian Registry of Clinical Trials IRCT2017040628352N4. Date of registration: August 20th 2017. © 2021, The Author(s)

A922 Sequential measurement of 1 hour creatinine clearance (1-CRCL) in critically ill patients at risk of acute kidney injury (AKI)

Meeting abstrac

Sexual compatibility and its associated factors among heterosexual couples: a systemic review

Despite numerous studies on sexual behaviors, there are limited studies investigating compatibility between two partners. The objective of this study was to review the factors associated with sexual compatibility in couples. A review study was conducted using Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines and through searching for published English and Persian articles on factors associated with sexual compatibility with a time limit up to December 2019. International and Iranian Electronic databases including Web of Science, PsycINFO, PubMed, Scopus, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Scientific Information Database (SID), Irandoc, and Magiran were searched using search terms relating to "sexual compatibility" and other equivalents. All quantitative and qualitative full-text studies that had addressed associated factors with sexual compatibility were included. Six quantitative articles and one qualitative article were selected based on the inclusion criteria. Sexual compatibility was related to self-awareness, mental body image, personality-psychological maturity, and some sexual behaviors of the subjects. Couples' sexual companionship was a necessary component for their sexual compatibility. Considering the association of sexual compatibility with variables such as positive self-awareness and mental body image, personality-psychological maturity, sexual behaviors, and sexual companionship, it seems that using these variables can help predict the sexual compatibility of couples

Life Style-Related Osteoporosis Preventive Behaviors among Nursing and Midwifery Students

Normal 0 false false false MicrosoftInternetExplorer4 /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-parent:""; mso-padding-alt:0pt 5.4pt 0pt 5.4pt; mso-para-margin:0pt; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman"; mso-ansi-language:#0400; mso-fareast-language:#0400; mso-bidi-language:#0400;} Background & Objective: Life style has potential role in bone mass density and prevention of osteoporosis in adolescents. The aim of this study was to determine the life style of female students influencing osteoporosis prevention in Nursing and Midwifery school at Zanjan University of Medical Sciences."n"n Methods & Materials: All female students (n=166) were recruited in this cross-sectional study. Data were gathered using three questionnaires: 1) demographic questionnaire, 2) General Practitioner Physical Activity Questionnaire, and 3) dietary recall questionnaire. Validity and reliability of the questionnaires were determined. Date was analyzed using descriptive statistic, Chi-square, and t-test."n"n Results: Mean calcium intake was statistically different between dormitory and non-dormitory students (P<0.001). Regarding physical activity, only 19.2% of the students had appropriate activity. The main activity of the students was walking (83.5%). There was a significant difference between economic status and life style (P=0.047). There was no statistically significant difference between life style with the parents' educational level, and the educational program."n"n Conclusion: It seems that life style-related osteoporosis preventive behaviors are not appropriate among nursing and midwifery students. Planning appropriate educational programs could promote high standard nutritional plans and physical activity among the female students."n"n  "n"n Key words: life style, osteoporosis, student

Barriers and Motivating Factors Related to Cervical Cancer Screening

Background & Aim: Although cervical cancer has high prevalence, few qualitative studies have been carried out to reflect the perceptions of women on the influential factors that affect cervical cancer screening in Iran. The aim of this study was to explore a culturally-based experience of Karaji women regarding the barriers to and motivating factors for Pap smear screening test among Karadj women in 2007. Methods & Materials: In this content analysis, eight focus groups were conducted using semi-structured guide questions (n=86). Results: Findings revealed that factors such as medical advice, advice from friends and family, knowledge about symptoms and pap smear screening method, free and accessible services, and perceived threats would influence the women to undergo a Pap test. Major barriers were lack of knowledge about cervical cancer and its causative factors, inappropriate beliefs, fear from cancer diagnosis, and pain related to the procedure. Conclusion: Regarding the influencing factors on the rate of Pap smear screening test, it seems that designing appropriate educational programs in order to promote knowledge and correct health beliefs using mass media and local communications will result in referring more women to undergo Pap smear screening test.   "nKey words: cervical cancer, Pap smear, qualitative research, screening test "n&nbsp

No detection of Helicobacter pylori in atherosclerotic plaques in end stage renal disease patients undergoing kidney transplantation

Chronic infection known to be a predisposing factor for the development of atherosclerosis. Several studies have found a possible role of Helicobacter pylori in the pathogenesis of atherosclerosis. The aim of this study was to investigate the presence of H. pylori in atherosclerotic plaques in iliac arteries in 25 end stage renal disease (ESRD) patients undergoing kidney transplantation. Esophagogastroduodenoscopy was performed in all patients before transplantation. Biopsy specimens obtained from gastric antrum were sent for pathologic evaluation. Gastric H. pylori infection was confirmed by microscopic assessment and rapid urease test. Arterial specimens were obtained from iliac arteries during kidney transplantation. Presence of H. pylori DNA in atherosclerotic plaques and healthy vessel samples was evaluated by the polymerase chain reaction (PCR). The mean age of patients was 44.1 ± 22.6 years. Risk factors in patients with atherosclerosis were hypertension (68%), diabetes mellitus (20%), hyperlipidemia (20%), positive family history (16%). Atherosclerotic plaques were found in 21 (84%) patients. PCR analysis did not detect H. pylori in any case. There was a significant relationship of atherosclerosis with hypertension ( P = 0.006) but not with diabetes mellitus and hyperlipidemia ( P = 0.5). There was no significant relationship between atherosclerosis and gastric H. pylori infection ( P = 0.6). This study revealed no association between the presence of H. pylori as a pathogen of vessel walls and atherosclerosis in ESRD

Comparing the Effect of Extended PLISSIT Model and Group Counseling on Sexual Function and Satisfaction of Pregnant Women: A Randomized Clinical Trial

Introduction: Changes in the performance and sexual satisfaction of women during pregnancy can be one of the important factors involved in the emergence of sexual problems in women. This study aimed to compare the effect of Extended Permission, Limited Information, Specific Suggestion, Intensive Therapy (Ex-PLISSIT) and group counseling on sexual function and satisfaction of pregnant women. Methods: A randomized clinical trial was conducted on 111 pregnant women from 2016 to 2018 in Zanjan, Iran. Eligible participants were selected through convenience sampling method and allocated into three groups Ex-PLISSIT model, group counseling and control group, using block randomization method. Sexual function and sexual satisfaction were evaluated via the Female Sexual Function Index (FSFI) and Hudson's sexual satisfaction questionnaire at baseline and four weeks after the last counseling session. Data were analyzed using SPSS ver. 13 and ANCOVA, ANOVA, Wilcoxon, chi-square, Mann-Whitney U, and Kruskal Wallis tests. Results: Median (interquartile range) of the participants' sexual function in the Ex-PLISSIT group was 25.9 (4) in the counseling group, 26 (5.5), in the control group, and 25.8 (4.8) at the baseline. These scores changed to 28.9 (5.4), 27.9 (5.1), and 25.2 (4.3) at the 4-week follow-up, respectively. These differences were statistically significant. Moreover, there was a statistically significant difference in the mean sexual satisfaction scores between the three groups, at the follow up period. Conclusion: Providing sexual counseling by any approach during routine prenatal care by community midwives may improve couples' sexual health. © 2022 The Author(s)

Effects of atorvastatin and metformin on development of pentylenetetrazole-induced seizure in mice

Biochemistry; Toxicology; Pharmacology; Clinical Toxicology; Medical Ethics; Atorvastatin; Metformin; Pentylenetetrazole kindling; seizure © 2020 Recent studies have shown that statins and Metformin may have beneficial effects on seizure through different mechanisms. In the current study, we investigated whether Metformin, Atorvastatin, and concomitant uses of them have beneficial effects on pentylenetetrazole (PTZ)-induced kindling. Adult male C57BL/6 mice were randomly divided into four experimental groups with seven mice in each group. Group 1, control group; group 2, received Metformin (200 mg/kg, i.p); group 3, received Atorvastatin (10 mg/kg, i.p.); group 4, received Atorvastatin (10 mg/kg, i.p.) plus Metformin (200 mg/kg, i.p.). Twenty minutes after injection of the mentioned drugs, the experimented mice received 37/5 mg/kg of PTZ intraperitoneally on alternating days. Then the convulsive behavior signs were evaluated for 20 min after each PTZ injection. There were significant differences in the stage 2 latency parameter among group 2 (p = 0.033, F = 8.46)/group 3 (p = 0.032, F = 10.42)/group 4 (p = 0.008, F = 24.57) as compared to the control group, while no significant differences were found comparing only group 2,3, and 4 with eachother excluding the control group. Pretreatment with Atorvastatin (p = 0.002, F = 33), Atorvastatin + Metformin (p = 0.006, F = 20.77), and Metformin alone increased stage 5 latency as compared to the PTZ group, significantly. Also, our results have shown that pretreatment with Atorvastatin (p = 0.013, F = 14.48), Metformin (p = 0.015, F = 16.67), and concomitant usage of them significantly decreased stage 5 duration as compared to the control group. Our findings clearly demonstrate that concomitant use of Metformin and Atorvastatin has no more protective effect against the development of kindling as compare to these drugs alone. Thus, we concluded that, these drugs may inhibit kindling via a similar mechanism and we suggested that it is probably through regulation of autophagy. © 202

Psychometric Assessment of the Persian Version of the Hurlbert Index of Sexual Compatibility

The Hurlbert Index of Sexual Compatibility is a questionnaire for determining sexual compatibility between two partners who have intimate relationships. This study aimed to determine the psychometric properties of the index in the Iranian population. The original questionnaire was translated into Persian. The face and content validity of the index was assessed by interviews of the target group and judgment by an expert panel. The convergent validity of the index was assessed by a native reliable questionnaire. Structural validity was assessed using exploratory factor analysis in 550 eligible males and females in Zanjan, Iran. The reliability of the instrument was assessed by determining internal consistency. The face validity of the 24 items of the original questionnaire was confirmed. The content validity ratio of items was higher than 0.59, and their validity index was higher than 0.79. Four factors were identified based on exploratory factor analysis, accounting for 53.67 of the variance. However, the highest variance was related to the first factor (34.4), and the other factors accounted for very little variance. Therefore, as was the case for the original questionnaire, one domain was considered in Iran. The reliability of the questionnaire was confirmed by Cronbach�s alpha of 0.87. We conclude that this questionnaire can be used by researchers and family counselors to evaluate the sexual compatibility of Iranian couples. © 2020, Springer Science+Business Media, LLC, part of Springer Nature