In vitro maturation of germinal vesicle oocytes in stimulated intracytoplasmic sperm injection cycles

Objective: This study evaluated in vitro maturation (IVM) of oocytes in the germinal vesicle (GV) stage in stimulated intracytoplasmic sperm injection (ICSI) cycles. Materials and Methods: A total of 26 women, aged 18-37 years, who were candidates for ICSI at the Fatemeh Zahra Infertility and Health Reproductive Research Center in 2007 were recruited for this study. We used the standard long protocol for ovarian stimulation. Follicles >11 mm were punctured 36-38 hours after administration of 10000 IU human chorionic gonadotrophin (hCG). Immature oocytes were cultured for 24-30 hours. Oocytes that liberated polar bodies were injected by sperm prepared within the previous day. IVM fertilized oocytes were cultured an additional 24-30 hours for cleavage. The rates of maturation, fertilization and cleavage in IVM oocytes were recorded and statistically compared to in vivo matured sibling oocytes. Results: There were 279 collected oocytes (mean±SD: 10.73 ±6.2), of which 4.08±2.79 were subjected to IVM. An average of 2.73 ±2.15 GV oocytes (70%) developed to metaphase II (MII). Although the maturation rate significantly differed between the IVM and in vivo Mil sibling oocyte groups (p=0.027), the numbers of fertilized oocytes (p=0.795) and cleaved embryos (p=0.529) were not significantly high in the in vivo group. Transfer of IVM embryos occurred in only three cases with one pregnancy that resulted in the delivery of a healthy baby. Conclusion: This study shows that culturing GV oocytes can produce acceptable numbers of four-cell embryos on the transfer day. The developmental competence of oocytes is not significantly different between early stage IVM and in vivo sibling embryos

Access to internet and using for health information in women's that referred to health centers of universities in Tehran City

Introduction: Internet a useful source for health information and it can be changed through the management and control of diseases. the aim of this study was to determine women's access to the Internet and Using the Internet for health information and correlation with demographic factor in women's whom will be visited in medical center of universities in Tehran city (Shahid Beheshti, Tehran). Material and method: this study was cross- sectional, for this study 450 women were enrolled by continuous sampling. Results: The findings indicate that 46/2 percent of the samples were had computer at home and 38 /2 percent had access to the Internet, While 44/4 percent of women and 38/9 percent of her husband's had knowledge about internet. 33/1 of all respondents (respondents with Internet access) had used the Internet to search for health information. 16/7 of them had search for reason that referred to health center. 5/1 percent of the respondents who did have Internet access never searched for health information. result of X2- test showed that there was difference between access to the Internet and age, education level, employment status, income level (p=0/00). conclusion: Considering that one-third of our patients without proper guidance, search for health information and the information found by a patient could become harmful rather than helpful, they should be directed towards reliable sites and easily accessible. Many organizations and companies now have their own web site, Provided more control in sites and informed client to consult about Information that obtained from the Internet with caregivers and other health provider. Recommended that have been designed sites for each health center with good quality and information will be available in sites for solving problem of patients and easily access for health information

"PREVALENCE, MATERNAL COMPLICATIONS AND BIRTH OUTCOME OF PHYSICAL, SEXUAL AND EMOTIONAL DOMESTIC VIOLENCE DURING PREGNANCY"

The prevalence of physical violence during pregnancy varies widely in different societies. To assess the incidence of self-reported physical, emotional and sexual violence in pregnancy and describe the association with maternal complication and birth outcomes, 3275 women who gave birth to live-born infants from October 2002 to November 2003 were assessed for self-reported violence in postpartum units of Obstetrics Department of Babol university of Medical Sciences. Outcome data included maternal antenatal hospitalizations, labor and delivery complications and low birth weights and preterm births. Odds ratios and 95% confidence intervals were calculated to measure the association between violence, maternal morbidity and birth outcomes. The prevalence of physical, sexual and emotional domestic violence was respectively 9.1%, 30.8% and 19.2%. Compared with those not reporting physical, sexual and emotional violence, women who did were more likely to deliver by cesarean and to have abnormal progress of labor, premature rupture of membranes, low birth weight, preterm birth and any hospitalization before delivery. Prevalence of physical, emotional or sexual violence during pregnancy was high and was associated with adverse fetal and maternal conditions. These findings support routine screening for physical, emotional and sexual violence in pregnancy and postpartum period to prevent consequences of domestic violence

Trend of exercise and believes about it in women's that referred to health center of Iran university

Back ground: The best time for doing health behavior for promoting quality of life is in pregnancy and postpartum. One of the health behaviors that have multi dimensional advantage is exercise. Material and method: The aim of this study was to determine ine the Trend of mother's physical exercise in before, during pregnancy, postpartum and believes about it, this was a Retrospective longitudinal of study, for this study 225 were enrolled by continuous sampling. Result: The most important exercise in before,during pregnancy and postpartum was walking, the result of Repeated mature test show that trend of exercise before pregnancy to 3 months after that was decreased. The main advantages of behavioral belief during pregnancy and post partum were that exercise: make the sense of happiness and enjoying 94/7, 94/2 The main behavioral disadvantages during pregnancy and post partum were that exercise: make the fatigue 68, 49/9 the courage person influences during pregnancy and postpartum were physician 91/6, 88/9. The control beliefs obstructing exercise during pregnancy were Fear of harming to baby and 3month after post partum were don't receipt any consultant about exercise 80 Conclusion: this study show that the trend of physical activity was regressed from the period before pregnancy to 3 month after that so it suggested that professional care with attention to theory of planned behavior in ward of prenatal care, vaccination, family planning, try to advance exercise between women during pregnancy and postpartum period. © 2010, INSInet Publication

Momasi Model in Need Assessment of Faculty Members of Alborz University

Background: The first step in developing human resources to improve the performance of universities is to indentify accurate educational needs. Models may draw on a number of theories to help understand a particular problem in a certain setting or context. Momasi model is an integrated of the existing models in educational needs assessment field which has sufficient comprehensiveness of data collection. the aim of this study was application of Momasi model in need assessment of faculty members in seven areas duties. Methods: This study is a cross- sectional study which was formed based on Momasi model between34 faculty members of Alborz university. Results: Different areas of educational needs were respectively prioritized as: personal development, research, administrative and executive activities, education, health services and health promotion, and specialized activities outside the university. The most mean and standard deviation belong to area of research, The first priority in the area of research was the publications in English, in personal development area: familiarity with SPSS software ,and the area of education it was creativity nurture. Conclusion: Based on assessment results, research area in this needs assessment study has the most important priority and frequency. Therefore it is recommended that data gathered in research area section put in first priority for empowering for faculty members Of Alborz University

The Effect of Health Literacy Counselling on Self-Care in Women after Mastectomy: a Randomized Clinical Trial

Introduction: Breast cancer has a high prevalence, constituting a major cause of mortality in women around the world. Health literacy has a vital role in the self-care of chronic diseases such as cancer and is an essential element in the ability of each person to engage with health promotion. The aim of this study was to determine effect of health literacy counselling on self-care in women after mastectomy. Methods: This study is a randomized, controlled, clinical trial carried out on 72 women with breast cancer after mastectomy in Fars province. The eligible women entered the study using convenience sampling and were then divided into an intervention and a control group through randomized blocks of four. Health literacy questionnaire and self-care questionnaire were distributed among the participants before, immediately after and three weeks following the intervention. Data analysis was performed in SPSS ver.13. Results: The results showed no significant differences between the two groups in terms of their health literacy and self-care scores before the intervention (P=0.299 and 0.059). A comparison of the mean values showed a greater increase in the mean score of health literacy and score of self-care immediately and three weeks after the intervention in the intervention group compared to the control group. Also, the mean score of the dimensions of self-care in chemotherapy increased over time in the intervention group. Conclusion: The findings of this study confirm the higher effectiveness of counseling with a health literacy approach on overall self-care in chemotherapy and all its dimensions