42 research outputs found

    Corrigendum to “The effectiveness of counseling based on acceptance and commitment therapy on body image and self-esteem in polycystic ovary syndrome: An RCT” [Int J Reprod BioMed 2020; 18: 243–252]

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    This is a Corrigendum to “The effectiveness of counseling based on acceptance and commitment therapy on body image and self-esteem in polycystic ovary syndrome: An RCT” [Int J Reprod BioMed 2020; 18: 243–252]

    The effectiveness of counseling based on acceptance and commitment therapy on body image and self-esteem in polycystic ovary syndrome: An RCT

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    Background: Polycystic ovary syndrome (PCOS) is one of the most common endocrine and metabolic disorders known with irregular menstruation, hirsutism, alopecia, obesity, infertility, and acne. These symptoms cause a negative effect on the satisfaction of body image, self-esteem, and quality of life in such patients. Recent studies emphasize the need to consider the psychological problems in these women and also the need for appropriate interventions. Objective: The aim of this study was to determine the effectiveness of group counseling based on acceptance and commitment therapy (ACT) on body image and self-esteem in patients with PCOS. Materials and Methods: In this randomized controlled trial, 52 women with PCOS were randomly allocated to intervention and control groups (n = 26/each) using the table of random numbers. Group counseling based on the ACT was held in eight sessions of 90 min once a week for the intervention group. The demographic questionnaire, Littleton development of the body image concern inventory and Rosenberg self-esteem scale were completed in both groups before, immediately after, and one month after the intervention. Results: The mean scores of body image concern (p = 0.001) and self-esteem (p ≀ 0.001) in the intervention group after the intervention and follow-up were significantly different from the control group. Conclusion: Based on the findings of this study, use of cognitive-behavioral therapies in health care centers is recommended as a complementary method. Key words: Acceptance and commitment therapy, Body image, Self-esteem, Polycystic ovary syndrome, Cognitive behavior therapies

    Comparative evaluation of prophylactic single-dose intravenous antibiotic with postoperative antibiotics in elective urologic surgery

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    Mohammad K Moslemi1, Seyed M Moosavi Movahed2, Akram Heidari3, Hossein Saghafi2, Mehdi Abedinzadeh41Department of Urology, 2Department of Nephrology, 3Department of Health, Kamkar Hospital, Qom University of Medical Sciences, Qom, Iran; 4Department of Urology, Moradi Hospital, School of Medicine, Rafsanjan University of Medical Sciences, Rafsanjan, IranBackground: Unrestricted antibiotic use is very common in Iran. As a result, emergence of resistant organisms is commonplace. Antibiotic prophylaxis in surgery consists of a short antibiotic course given immediately before the procedure in order to prevent development of a surgical site infection. The basic principle of prophylaxis is to maintain effective concentrations of an antibiotic active against the commonest pathogens during the entire surgery.Materials and methods: We prospectively investigated 427 urologic surgery cases in our department between August 2008 and September 2009 (Group1). As reference cases, we retrospectively reviewed 966 patients who underwent urologic surgery between May 2004 and May 2008 (Group 2) who were administered antibiotics without any restriction. Prophylactic antibiotics such as cefazolin were administered intravenously according to our protocol. Postoperative body temperature, peripheral white blood cell counts, urinalysis, and urine culture were checked.Results: To judge perioperative infections, wound condition and general condition were evaluated in terms of surgical site infection, as well as remote infection and urinary tract infection, up to postoperative day 30. Surgical site infection was defined as the presence of swelling, tenderness, redness, or drainage of pus from the wound, superficially or deeply. Remote infection was defined as occurrence of pneumonia, sepsis, or urinary tract infection. Perioperative infection rates (for surgical site and remote infection) in Group 1 and Group 2 were nine of 427 (2.6%) and 24 of 966 (2.5%), respectively. Surgical site infection rates of categories A and B in Group 1 were 0 and two (0.86%), respectively, while those in Group 2 were 0 and five (0.92%), respectively. There was no significant difference in infection rates in terms of remote infection and surgical site infection between Group 1 and Group 2 (P = 0.670). The amounts, as well as the prices, for intravenously administered antibiotics decreased to approximately one quarter.Conclusion: Our protocol effectively decreased the amount of antibiotics used without increasing perioperative infection rates. Thus, our protocol of prophylactic antibiotic therapy can be recommended as an appropriate method for preventing perioperative infection in urologic surgery. Keywords: surgical site infection, antibiotic prophylaxis, single dose, urologic surger

    Comparative analysis of soft computing techniques RBF, MLP, and ANFIS with MLR and MNLR for predicting grade-control scour hole geometry

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    The main aims and contributions of the present paper are to use new soft computing methods for the simulation of scour geometry (depth/height and locations) in a comparative framework. Five models were used for the prediction of the dimension and location of the scour pit. The five developed models in this study are multilayer perceptron (MLP) neural network, radial basis functions (RBF) neural network, adaptive neuro fuzzy inference systems (ANFIS), multiple linear regression (MLR), and multiple non-linear regression (MNLR) in comparison with empirical equations. Four non-dimensional geometry parameters of scour hole shape are predicted by these models including the maximum scour depth (S), the distance of S from the weir (XS), the maximum height of downstream deposited sediments (hd), and distance of hd from the weir (XD). The best results over train data derived for XS/Z and hd/Z by the MLP model with R2 are 0.95 and 0.96 respectively; the best predictions for S/Z and XD/Z are from the ANFIS model with R2 0.91 and 0.96 respectively. The results indicate that the application of MLP and ANFIS results in the accurate prediction of scour geometry for the designing of stable grade control structures in alluvial irrigation channels

    The Effectiveness of Acceptance and Commitment Therapy(ACT) enriched with Compassion Focus Therapy(CFT) for high school males obsession with obsessive-compulsive disorder

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    The purpose of this study was to determine the effectiveness of Acceptance and Commitment Therapy (ACT) enriched with compassion for high school students’ obsession with obsessive-compulsive disorder in Isfahan. The research method was quasi-experimental based on a pre-test, post-test design and follow-up with control group. The statistical society were high school males with obsessive-compulsive disorder in Isfahan during the second semester of the academic year of 2015-2016; who were referred to Isfahan psychotherapy and counseling centers.They were 30 students who were selected by purposive sampling method. Then they were randomly divided into experimental (15 students and 15 parents) and control groups (15 students and 15 parents). Acceptance and Commitment Therapy (ACT) enriched with compassion was implemented for 2- hour 28 counseling sessions weekly, but the control group did not receive any intervention. The research instrument was obsessive-compulsive Yale - Brown Scale. Data was analyzed by using variance analysis of repeated measures. The results indicated that ACT enriched with compassion influenced on obsessive symptoms of high school males with Obsessive Compulsive Disorder. Therefore, the use of Acceptance and Commitment Therapy (ACT) enriched with compassion is an effective treatment for obsessive-compulsive disorder in high school males’ obsessions with Obsessive Compulsive Disorder

    Effect of the Artificial Night with Facilitated Tucking and Artificial Night Alone on the Physiological Indices of Premature Infants

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    Background: Preterm birth and admission to neonatal intensive care unit as stressors can cause physiologicalinstability that may lead to prolong hospitalization and mortality. This study aimed to determine the effect of artificialnights and facilitated tucking on the physiological indices of premature infants.Methods: This randomized clinical trial was conducted on 60 preterm infants admitted to the neonatal intensive careunit at Shohadaye Kargar Hospital in Yazd, Iran, during 2017-18. The infants were selected through a convenientsampling method, and were randomly assigned into three groups of arti icial nights with facilitated tucking (group 1)(n=20), arti icial nights (group 2) (n=20) and control group (group 3) (n=20). Subsequently, the physiological indices(i.e., heart rate, respiration rate, arterial oxygen saturation) were measured twice a day at 7:00 a.m. and 19:00 p.m. for3 days. The data were analyzed in SPSS software (version 20). A p-value less than 0.05 was considered statisticallysignificant.Results: There was a significant difference among the three groups in terms of mean values of heart, respiratory, andarterial oxygen saturation rates (Prespiratory rate on the third day (at 19:00 p.m.), as well as a greater increase in arterial oxygen saturation rate on thesecond (at 19:00 p.m.) and third days (at 7:00 a.m. and 19:00 p.m.), compared to the other two groups (PAdditionally, , the mean value of heart and respiratory rates were lower and arterial oxygen saturation rates werehigher in the intervention group 1, compared to the other groups.Conclusion: According to the results of the study, the simulation of the mother’s womb environment through creatingartificial night and maintaining facilitated tucking resulted in the improvement of physiological indices of thepremature infants. Furthermore, artificial night together with facilitated tucking leads to better results, compared toartificial night alone

    Development and validation of preschool children's well-being questionnaire

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    Abstract Well-structured multi-dimensional and consists of emotional, cognitive, experience positive and negative emotions such as frustration and discomfort, and judging from the quality of individual lives. Psychological well-being criterion not only reflects child affections but also demonstrates aspects that person's life. The purpose of the present study was to develop and study characteristics of psychometric properties of suitable questionnaire to measure well-being of preschool children among their mothers. The research method of study was correlational and validation through developing its reliability. The sample consisted of 580 children that were selected by cluster multistage random sampling method. Preschool children's well-being questionnaire was evaluated by construct validity (explanatory factor analysis and internal consistency), convergent validity and reliability (internal consistency) and Pearson correlation index in study group. As exploratory factor analysis of the five dimensions of well-being were extracted which including psychological, social, cognitive, educational, and family. As well as significant correlation between children's well-being of questionnaire and Q-set Questionnaire scores confirmed convergent validity. The reliability of each of the subscales of psychological, social, cognitive, educational, family and general well-being questionnaire preschoolers by Cronbach's alpha, respectively were 0. 73, 0.83, 0.77, 0.70, 0.73, and 0.89. According to results of this research, the preschool children's well-being questionnaire had good validity and reliability which can be used for evaluating preschool children's well-being

    The efficacy of circle of security on attachment and well-being in preschool children

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    The purpose of this study was to determine the efficacy of Circle of Security (COS) on preschool children's attachment and well-being. 48 mothers with children's age 4 to 6 year were randomly selected through cluster sampling and randomly assigned to experimental and control groups (24 mothers and child in each group). Then the experimental group received 20 weekly COS sessions in the center of preschool. The attachment Q-set and Preschool children well-being questionnaire (PCWQ) were used as the pretest, post-test and in the course of follow-up. Results of Multivariate Analysis of Covariance (MANCOVA) showed that the mean scores of attachment, in the experimental group, was significantly greater than the control group in post-test (P = 0.000) and follow-up (P = 0.002). Results also showed that the scores of well-being in experimental group was significantly greater than the control group in post-test (P = 0.006) and follow–up (P = 0.018). The finding of the study emphasized the importance of training of attachment in improvement of preschool children's attachment and well-being. More studies are suggested to understand better efficacy of maternal behavior on preschool children's well-being
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