Episiotomy discomforts relief using cold gel pads in primiparaus Iranian women (a comparative study)

Abstract: Episiotomy is the most common perineal surgical in obstetric and midwifery. Application of Cooling devices is a new approach in pain relief but the pain related to episiotomy is typically treated with oral analgesic medications. This clinical trial involved 60 qualified primiparaus women admitted for labor in Kamali Hospital inKaraj, Iran. They were randomly allocated into two groups: cases (using Gel pads) and control (receiving the hospital routine). The participant's pain and discomforts were recorded on the VAS and REEDA scales, respectively. Pain was evaluated 4, 12 h and 5 days after episiotomy. The obtained data were analyzed in SPSS 14 using independent t-test and chi-square. There were statistically difference in pain intensity scores of 2 groups in 4 h (p = 0.014), 12 h (p = 0.002) and 5 days (p = 0.000) after episiotomy. The REEDA score was significantly low in the experimental group (Gel pads group) at 5 days after episiotomy (p = 0.000). This study application of cold gel pads instead of betadine for episiotomy wound care. © Medwell Journals, 2011

Measuring Sexual Performance: Development and Psychometric Properties of the Sexual Performance Questionnaire in Iranian People with Spinal Cord Injury

Sexual performance refers to activities served by sexual capacity and motivation. As a culturally sensitive issue, to date the scalar invariance of sexual performance has not been examined for Iranians with spinal cord injuries (SCIs). Aim: To develop and assess properties of an instrument evaluating sexual performance of an Iranian population with SCIs., in Brain and Spinal Cord Injury Research Center (BASIR), Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran. Using multi-modal methods, we developed and assessed the Sexual Performance Questionnaire (SPQ). This included collecting expert opinions; engaging with patients with SCI referred to BASIR; pilot testing to assess the scale; and a formal investigation. Participants (men = 156, women = 58) completed the SPQ. Internal consistency and reliability were measured using Cronbach’s α coefficient. Content and face validity were examined by academic experts. Construct validity was assessed by examining convergent and discriminant validity. Finally, exploratory factor analysis was used to extract the factor structure of the questionnaire. The Cronbach’s α coefficient was 0.77. There was a significant (p = 0.04) correlation (r = − 0.23) between the SPQ score and age. Those with a partner scored higher (p = 0.001). We found three components: Spouse as initiator, self-initiation, and genital-oriented sex which accounted for 59 of the observed variance. The face and content validity was approved by an expert committee. The development and application of the 13-item SPQ provides a thorough understanding of sexual performance amongst persons with SCI. It facilitates the development of efficient sexual rehabilitation interventions and SCI-specific sexuality education programs. © 2020, Springer Science+Business Media, LLC, part of Springer Nature

Birth ball or heat therapy? A randomized controlled trial to compare the effectiveness of birth ball usage with sacrum-perineal heat therapy in labor pain management

Objective: Labor pain and its management is a major concern for childbearing women, their families and health care providers. This study aimed to investigate the effects of two non-pharmacological methods such as birth ball and heat therapy on labor pain relief. Material & methods: This randomized control trial was undertaken on 90 primiparous women aged 18-35 years old who were randomly assigned to two intervention (birth ball and heat) and control groups. The pain score was recorded by using Visual Analogue Scale (VAS) before the intervention and every 30 min in three groups until cervical dilatation reached 8 cm. Results: The mean pain severity score in the heat therapy group was less than that of in control group at 60 and 90 min after intervention (p < 0.05). In addition there were significantly differences between the pain scores in the birth ball group after all three investigated times in comparison to control group. Conclusion: Both heat therapy and birth ball can use as inexpensive complementary and low risk treatment for labor pain. � 2016 Elsevier Ltd

Assessing Iranians' parental competence: Development and psychometric properties of the Children's Sexual Behavior Questionnaire (CSBQ-IR), Iranian Version

Background: Parents are the first line mediators in sexuality development of children. However, the majority of parents tend to have close supervision on children sexual behaviors, particularly in the conservative cultures. This article describes the development and psychometric evaluation of an instrument to measure Iranian parents' competence in caring and nurturing their children sexually. Methods: The questionnaire was designed based on the principles in measurement, Waltz's theory. The Iranian version of Children's Sexual Behavior Questionnaire (CSBQ-IR) was developed and completed by 386 mothers and 101 fathers who participated in a community-based sexuality education program in Tehran, capital of Iran. Reliability was assessed by Kuder-Richardson reliability coefficient and Split half. CSBQ-IR was evaluated for its construct, inclusiveness and content validity by principle component analysis. Results: The Kuder-Richardson reliability coefficient and Split half reliability were found 0.425 and 0.457 that was on acceptable range. Meaning, grammar, wording and item allocation of the questionnaire were found to be appropriate with (content validity ratio CVR = 0.99) and (content validity index CVI = 0.8) respectively. Conclusion: CSBQ-IR provides a valid assessment of the parents' competency or incompetency in nurturing, communication, and managing their children's sexual behaviors. © 2019 Tabriz University of Medical Sciences. All rights reserved

Sexual satisfaction in postmenopausal women

Background and aimOne of aspects in marital satisfaction is sexual. It has a significant role in mental health of families. With respect to increasing age and life expectancy of Iranian women, studying about sexual aspects of postmenopausal women can promote their health and quality of life. This descriptive study was conducted to determine sexual satisfaction of postmenopausal women referring to healthcare clinics affiliated to Medical Universities in Tehran in 2008. Materials and methods270 women were selected by convenience sampling method. A questionnaire completed by interview was used for data collection. It included 2 parts: demographic and sexual satisfaction items. Different statistical tests were used for data analysis. FindingsMean age of women was 52.49±4.93. Their sexual satisfaction was desired (58.9%) but their sexual drive was undesired (66.3%). All sexual aspects had a significant relationship with the satisfaction of women from sexual activities (

Comparative study of CNN and RNN for deep learning based intrusion detection system

© Springer Nature Switzerland AG 2018. Intrusion detection system plays an important role in ensuring information security, and the key technology is to accurately identify various attacks in the network. Due to huge increase in network traffic and different types of attacks, accurately classifying the malicious and legitimate network traffic is time consuming and computational intensive. Recently, more and more researchers applied deep neural networks (DNNs) to solve intrusion detection problems. Convolutional Neural Network (CNN) and Recurrent Neural Network (RNN), the two main types of DNN architectures, are widely explored to enhance the performance of intrusion detection system. In this paper, we made a systematic comparison of CNN and RNN on the deep learning based intrusion detection systems, aiming to give basic guidance for DNN selection