Validation of the World Health Organization-5 well-being index; assessment of maternal well-being and its associated factors

Objective: The aim of this study was to validate the World Health Organization-5 Well-Being Index (WHO-5) in a sample of pregnant Iranian women, to explore the changes in maternal well-being from pregnancy to postpartum, and to determine the factors associated with maternal well-being. Materials and Methods: This study included 341 pregnant women that presented to healthcare centers affiliated with Shahroud University of Medical Sciences, Iran, in 2011. The participants completed the General Health Questionnaire (GHQ-28) and Farsi version of WHO-5 during the third trimester of pregnancy and at 2 months postpartum. Results: Cronbach's alpha coefficient for WHO-5 items was 0.85. The correlation coefficient between WHO-5 and GHQ-28 was -0.64 (P < 0.001). Exploratory factor analysis yielded 1 factor with an eigen value equal to 3.15, which explained 63.1% of the total variance. Confirmatory factor analysis confirmed the 1-factor structure. The area under ROC curve was 0.82. A WHO-5 cut-off score of <50 exhibited optimal sensitivity (0.84) and specificity (0.59) for identifying psychological symptoms (GHQ-28 score ≥24). There was a significant difference between third trimester (58.4 ± 22) and postpartum (64.1 ± 22.3) mean WHO-5 scores (P < 0.001). Maternal level of education (OR = 1.130; 95% CI: 1.307, 1.232) was the only predictor of maternal well-being during third trimester. Breastfeeding difficulty (OR = 0.923; 95% CI: 0.882, 0.965) and maternal well-being scores during third trimester (OR = 1.038; 95% CI: 1.019, 1.058) were predictors of maternal well-being during the postpartum period. Conclusions: The Farsi version of WHO-5 was observed to be a reliable and valid instrument for screening psychological symptoms in pregnant Iranian women. The present findings show that maternal well-being improved following childbirth

Quality of life after cesarean and vaginal delivery

Objective: Cesarean rates in recent decades have been increasing and a number of studies have shown that cesarean increases maternal morbidities. The aim of this study is to compare the quality of life after cesarean and vaginal delivery. Methods: This prospective study was carried out on 356 pregnant women visiting urban health centers in Shahroud City, Northeast Iran, in 2011. The subjects completed the quality of life questionnaire in the third trimester of pregnancy and at 8 weeks postpartum. Results: In primiparas, the mean global QOL scores for the cesarean and vaginal delivery groups were 67.65±12.7 and 72.12±11.8, respectively. Also, the scores for the physical, psychological and social domains of QOL as well as the global score of QOL were higher in the vaginal delivery group than the cesarean group (p<0.05). In the case of primiparas, multiple regression analysis revealed that after adjusting for education, desirability of pregnancy and the General Health Questionnaire score, the delivery type remained as a predictor of the scores for the physical (R2=1.7%; B=-3.826; p=0.031; CI [-7.301, -.350]) and social (R2=2.5%; B=-5.708; p=0.017; CI [-10.392, -1.023]) domains of QOL and the global QOL score (R2=2.6%; B=-4.065; p=0.006; CI [-6.964, -1.164]). While multiparas, there was no relationship between QOL and type of delivery. Conclusion: In this sample of low-risk women, cesarean negatively affected the QOL of primiparas. More studies with larger sample sizes should be conducted to examine the effects of cesarean on QOL in both primiparas and multiparas within a shorter period after delivery. © OMSB, 2013

Ameliorative effect of Myristica fragrans (nutmeg) extract on oxidative status and histology of pancreas in alloxan induced diabetic rats

Background: Many traditional treatments have been recommended in the alternative system of medicine for the treatment of diabetes mellitus. The aim of this study was to assess oxidative stress and histological changes in the pancreas of alloxan-induced diabetic rats following Myristica fragrans seed (nutmeg) extract treatment. Materials and methods: Forty-eight male Wistar rats weighing 200–250 g were randomly divided into six groups of 8 rats each — group I, non-diabetic rats; group II, diabetic rats; groups III, IV and V, diabetic rats given orally nutmeg extract at levels of 50, 100 and 200 mg/kg, respectively; and group VI, diabetic rats given orally metformin (100 mg/kg). The experiment lasted for 28 days. Results: Data showed that nutmeg extract (100 and 200 mg/kg) significantly decreased the blood glucose levels and increased the levels of serum insulin in diabetic rats. Administration of nutmeg extract to diabetic rats reduced oxidative stress and improved the antioxidant activities in pancreatic tissue. Histopathologic results of treated groups revealed marked improvement in the morphology of the pancreas compared with the control diabetic group. In addition, number of pancreatic islets and per cent of β-cells increased significantly in these groups in comparison with diabetic untreated group. Conclusions: These results suggest that nutmeg extract has potent antidiabetic and β-cell protection activities in alloxan induced diabetic rats, possibly via its antioxidant properties

Simulation of Film Boiling Heat Transfer in Complex Geometries using Front Tracking Method

Film boiling has various industrial applications especially in heat exchangers. Studying this phenomenon on complex geometries and investigating heat transfer coefficient is desired by many industries. The numerical method used here is a finite difference/front tracking method which is developed independently for film boiling in complex geometries. The film boiling over one, two or more cylinders is simulated using this method. The effect of dimensionless parameters namely Grashof and Jacob numbers are investigated for one cylinder. The effects of spacing, angle, and diameter are investigated for two cylinders. For the case with many cylinders, the effects of different geometrical configurations (regular and staggered) and number of rows are investigated by calculating the average Nusselt number on each cylinder. It is observed that the cylinder spacing does not have any significant effect on the Nusselt number for the upper cylinder. However the angle and cylinder diameter significantly affect the Nusselt number for the upper cylinder. In regular configuration, the Nusselt numbers for the upper cylinders are relatively uniform and higher than lower cylinders. In the staggered configuration, however, the Nusselt numbers of the upper cylinders are different, non-uniform, and higher than those of the regular arrangement

The Lateral Migration of a Drop under Gravity between Two Parallel Plates at Finite Reynolds Numbers

A finite difference / front tracking method is used to examine the lateral migration of a three-dimensional deformable drop in plane Poiseuille flow at a finite-Reynolds-number. The computations are based on an improved implementation of the front tracking method at finite Reynolds numbers that include convective terms. The elliptic pressure equation is solved by a multigrid method. Both neutrally buoyant and non-neutrally buoyant drop are studied. The computation is performed within a unit cell which is periodic in the direction along the channel. A neutrally buoyant drop lags the fluid slightly, and the wall effect balances the effect of the curvature of the velocity profile, giving rise to an equilibrium lateral position about halfway between the wall and the centerline (the Segre- Silberberg effect). Results are presented over a range of density ratios. In the non-neutrally buoyant case, the gravity force is imposed along the flow direction. Non-neutrally buoyant drops have more complicated patterns of migration, depending upon the magnitude of the buoyancy force. When the density difference is small, the equilibrium position is either near the wall or near the centerline, depending on whether the drop leads or lags the local fluid. When the density difference is large enough, the equilibrium position shifts towards the centerline, irrespective of whether the drop is lighter or heavier than the fluid. The effect of Reynolds number and capillary number on the non-neutrally buoyant drops is investigated. The accuracy of the method is assessed by comparison with the other simulations and experiments

Quality of life, Work ability and other important indicators of women's occupational health

Objectives: Work ability may be considered as an important aspect of well-being and health status. One of the most important factors in association with work ability is health-related quality of life (HRQoL). The aim of this study has been to determine the association between work ability, individual characteristics and HRQoL of female workers. Material and Methods: The design of this study has been cross-sectional. The work ability index (WAI) and Short-Form General Health Survey (SF-12) questionnaires were used to collect data. Three hundred and twenty female workers were selected from food supplier factories in Karaj. One-way analysis of variance, Pearson's correlation analysis, independent sample t-test and multiple linear regression methods were used to analyze data. Results: Mean (M) and standard deviation (SD) of the WAI stood at 35.02 and 5.57, respectively. The categories of the WAI for women being as follows: 8.8 poor, 62 moderate, 25.4 good and 3.7 excellent. Mean±SD for the physical component summary (PCS) and mental component summary (MCS) of quality of life was 58.84±11.12 and 57.45±9.94, respectively. There was a positive significant association between the PCS and MCS with the WAI (p = 0.0001). Workers with higher education had a better work ability (p = 0.002) and shift-work workers had a worse work ability (p = 0.03). Conclusions: Work ability of majority of women was moderate. Considering mean age of studied women (27.6 years old), this work ability is not satisfactory. Physical and mental components of the HRQoL were the important factors associated with work ability

Effects of N-Acetylcysteine on auditory brainstem response threshold shift in rabbits exposed to noise and carbon monoxide

Problem statement: Noise Induced Hearing Loss (NIHL) is one of the most important occupational disease in worldwide. NIHL has been found to be potentiated by simultaneous Carbon monoxide (CO) exposure. Exposure to noise plus CO is common in occupational and environmental settings. Free radicals have been implicated in cochlear damage resulting from exposure to noise and due to CO hypoxia This study examined whether N-Acetylcysteine (NAC) administration cause attenuation of Auditory Brainstem Response (ABR) threshold shifts resulting from noise exposure and noise plus CO exposure. Approach: Forty-two rabbits were divided into seven groups including control, noise+ saline, noise+ CO +saline, noise+ NAC, noise+ CO+ NAC, CO+ NAC and NAC alone. ABR was assessed before exposure, 1 hour and 14 days post exposure. Results: The administration of 325 mg kg-1 of NAC prior, following and post exposure to noise or noise plus CO recovered permanent ABR threshold shift at 1 and 2 kHz almost to the baseline and provided significant attenuation in permanent ABR threshold shift at 4 and 8 kHz in subjects which were exposed to noise but it did not block the potentiating of threshold elevation by CO exposure (extra threshold loss by combined exposure) at 4 and 8 kHz. Conclusion: NAC provides protective effect against hearing loss resulting from noise exposure and simultaneous exposure to noise plus CO. © 2010 Science Publications

Defining polypharmacy in the elderly: A systematic review protocol

Introduction: Ageing-along with its associated physiological and pathological changes-places individuals at a higher risk of multimorbidity and treatment-related complications. Today, polypharmacy, a common and important problem related to drug use, occurs subsequent to this multimorbidity in the elderly in all populations. In recent decades, several scientific investigations have studied polypharmacy and its correlates, using different approaches and definitions, and their results have been inconclusive. Differences in definitions and approaches in these studies form a barrier against reaching a conclusion regarding the risk factors and consequences of polypharmacy. It is therefore imperative to establish an appropriate definition of polypharmacy. Methods and analysis: A systematic review will be conducted using PubMed, Scopus, Web of Science, EMBASE, PsycINFO and AgeLine bibliographic databases, as well as the grey literature on polypharmacy in older adults to answer these two questions: What definitions in the literature are being used for polypharmacy in older people?, and Which definitions are more comprehensive and applicable? 2 independent reviewers will conduct the primary screening of the articles and data extraction, and eligible sources will be selected after discussing nonconformities. All extracted data from selected articles will be categorised based on the type of study participants, study design and setting, the methodological quality of primary studies and any other potential source of heterogeneity, and results will be summarised in a table, which will contain the levels of evidence and methodological quality of the included studies. The most comprehensive definition of polypharmacy will be selected from the final list of definitions through an international expert webinar. Ethics and Dissemination: This research is exempt from ethics approval because the work is carried out on published documents. We will disseminate this protocol in a related peer-reviewed journal