A Systematic Review of Psychometric Properties of the Edinburgh Postnatal Depression Scale in Iranian Population

Background: Regarding adverse effects of postpartum depression on maternal mental health and the reduction of mother-infant attachment, there is a need to comprehensively understand Edinburgh Postnatal Depression Scale (EPDS). We aimed to review the validity and reliability of the EPDS in Iranian population to provide comprehensive information for the health providers. Materials and Methods The search procedure was fulfilled on the databases of Medline (via PubMed), Scopus, Cochran Library and Web of Science from inception to April 2018. The quality of studies was assessed by COSMIN checklist. Search keywords include (Edinburgh Postnatal Depression Scale) AND (Psychometric Properties). Results: Three studies identified a two-factor structure and one study found a three-factor structure. Discriminant validity of the EPDS was able to differentiate three groups (minor depression, major depression, and healthy women); but failed to distinguish between women with caesarean section, and women with normal delivery. Internal consistency was reported by four studies. Cronbach’s alpha ranged from 0.7 to 0.79 for total EPDS score. Test-retest reliability was reported only in a study with Intraclass Correlation Coefficient (ICC) > 0.80. In terms of convergent validity, the EPDS was significantly positively correlated with General Health Questionnaire (GHQ) (r=0.76;

Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

Summary Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030

Hydrochemical evaluation of river water quality—a case study: Horroud River

Abstract Surface waters, especially rivers are the most important sources of water supply for drinking and agricultural purposes. Water with desirable quality is necessary for human life. Therefore, knowledge of water quality and its temporal changes is of particular importance in sustainable management of water resources. In this study, available data during 20 years from two hydrometry stations located in the way of Horroud River in Lorestan province were used and analyzed using Aq.QA software. Piper, Schoeller, Stiff, and Wilcox diagram were drawn and Mann–Kendal test was used for determining data trend. According to Wilcox diagram, water of this river in both stations is placed in c2s1 class which is good for agricultural purposes, and according to Schoeller diagram, there is no restrict for drinking purposes. Results of Man–Kendal test show increasing trend for colorine, EC, TDS while decreasing trend for potassium in Kakareza station. On the other hand in Dehnu station, positive trend was seen in calcium and colorine while negative trend for sulfate and potassium. For other variables, no specific trend was found

Effect of Perineal Massage with Ostrich Oil on the Episiotomy and Lacerations in Nulliparous Women: A Randomized Controlled Clinical Trial

Background: Perineal lacerations resulting from vaginal delivery may cause short and long complications, which lead to some problems in women after the delivery. Ostrich oil is safe for use in skincare and beauty products. The aim of this study was to examine the effect of perineal massage with Ostrich oil on the episiotomy and lacerations in nulliparous women. Materials and Methods: This single‑blind randomized controlled trial was conducted on 77 nulliparous women referred to Razi Hospital in Qazvin (Iran) from May to December 2018. After screening of potential participants, 80 out of 105 pregnant women were selected by convenience sampling and were assigned into the intervention and control groups by block randomization technique. In the intervention group, participants received a perineal massage with Ostrich oil in the active phase and the second stage of labor. The rates of episiotomy and perineal laceration were compared between the two groups. Data were analyzed using Chi-square, t-test and Mann-Whitney. Results: Perineal massage with Ostrich oil in the intervention group significantly decreased the rate of episiotomy compared to the control group (2 = 18.32, df = 1, p < 0.001). However, there was no statistically significant difference in perineal lacerations between the two groups. Conclusions: The results revealed that perineal massage with Ostrich oil could be recommended as an effective, safe, and inexpensive method to improve the rate of episiotomy in vaginal delivery. Perineal massage can be performed by midwives in the first and second stages of labor

The effect of perceived social support on organizational silence in order to present models in free universities of Mazandaran province

The goal is to be able to distribute as a social complex, the brother of the organizational silence for decision making in the Islamic Azad universities of Mazandaran province. The present study was published in 1977-98. 15 experts working in the field of 15 scientific elite subject matter as well as experienced professors and experts of Islamic Azad University as well as Mazandaran Special Magazines offer Sononite of this company. Manage your own re-coding, re-coding, modifying, and re-interpreting your own, and using them, as well as using your own resources to access services Manage and research. The statistical population of the present study enables 140 persons and can refer to 104 eligible persons by referring to Cochran formula. Confidential Research Questionnaire with 57 Can you prepare and adjust your questions from the suggested sources using qualitative references? After verifying the face validity and cyberspace in the weak end of the Cronbach's alpha computation, it can be higher than the extreme computation of 0.7, which represents the final expression. Structural equation modeling and Pls software were used to design the model. With this conclusion, you can eliminate your Brazilian credible service

Effect of Perineal Massage with Ostrich Oil on the Episiotomy and Lacerations in Nulliparous Women: A Randomized Controlled Clinical Trial

Background: Perineal lacerations resulting from vaginal delivery may cause short and long complications, which lead to some problems in women after the delivery. Ostrich oil is safe for use in skincare and beauty products. The aim of this study was to examine the effect of perineal massage with Ostrich oil on the episiotomy and lacerations in nulliparous women. Materials and Methods: This single‑blind randomized controlled trial was conducted on 77 nulliparous women referred to Razi Hospital in Qazvin (Iran) from May to December 2018. After screening of potential participants, 80 out of 105 pregnant women were selected by convenience sampling and were assigned into the intervention and control groups by block randomization technique. In the intervention group, participants received a perineal massage with Ostrich oil in the active phase and the second stage of labor. The rates of episiotomy and perineal laceration were compared between the two groups. Data were analyzed using Chi-square, t-test and Mann-Whitney. Results: Perineal massage with Ostrich oil in the intervention group significantly decreased the rate of episiotomy compared to the control group (2 = 18.32, df = 1, p < 0.001). However, there was no statistically significant difference in perineal lacerations between the two groups. Conclusions: The results revealed that perineal massage with Ostrich oil could be recommended as an effective, safe, and inexpensive method to improve the rate of episiotomy in vaginal delivery. Perineal massage can be performed by midwives in the first and second stages of labor

Applicability of generalized additive model in groundwater potential modelling and comparison its performance by bivariate statistical methods

Groundwater is the most valuable natural resource in arid areas. Therefore, any attempt to investigate potential zones of groundwater for further management of water supply is necessary. Hence, many researchers have worked on this subject all around the world. On the other hand, the Generalized Additive Model (GAM) has been applied to environmental and ecological modelling, but its applicability to other kinds of predictive modelling such as groundwater potential mapping has not yet been investigated. Therefore, the main purpose of this study is to evaluate the performance of GAM model and then its comparison with three popular GIS-based bivariate statistical methods, namely Frequency Ratio (FR), Statistical Index (SI) and Weight-of-Evidence (WOE) for producing groundwater spring potential map (GSPM) in Lorestan Province Iran. To achieve this, out of 6439 existed springs, 4291 spring locations were selected for training phase and the remaining 2147 springs for model evaluation. Next, the thematic layers of 12 effective spring parameters including altitude, plan curvature, slope angle, slope aspect, drainage density, distance from rivers, topographic wetness index, fault density, distance from fault, lithology, soil and land use/land cover were mapped and integrated using the ArcGIS 10.2 software to generate a groundwater prospect map using mentioned approaches. The produced GSPMs were then classified into four distinct groundwater potential zones, namely low, moderate, high and very high classes. The results of the analysis were finally validated using the receiver operating characteristic (ROC) curve technique. The results indicated that out of four models, SI is superior (prediction accuracy of 85.4%) following by FR, GAM and WOE, respectively (prediction accuracy of 83.7, 77 and 76.3%). The result of groundwater spring potential map is helpful as a guide for engineers in water resources management and land use planning in order to select suitable areas to implement development schemes and also government entities

Delineation of groundwater potential zones using remote sensing and GIS-based data-driven models

The rapid increase in human population has increased the groundwater resources demand for drinking, agricultural and industrial purposes. The main purpose of this study is to produce groundwater potential map (GPM) using weights-of-evidence (WOE) and evidential belief function (EBF) models based on geographic information system in the Azna Plain, Lorestan Province, Iran. A total number of 370 groundwater wells with discharge more than 10 m3s−1were considered and out of them, 256 (70%) were randomly selected for training purpose, while the remaining114 (30%) were used for validating the model. In next step, the effective factors on the groundwater potential such as altitude, slope aspect, slope angle, curvature, distance from rivers, drainage density, topographic wetness index, fault distance, fault density, lithology and land use were derived from the spatial geodatabases. Subsequently, the GPM was produced using WOE and EBF models. Finally, the validation of the GPMs was carried out using areas under the ROC curve (AUC). Results showed that the GPM prepared using WOE model has the success rate of 73.62%. Similarly, the AUC plot showed 76.21% prediction accuracy for the EBF model which means both the models performed fairly good predication accuracy. The GPMs are useful sources for planners and engineers in water resource management, land use planning and hazard mitigation purpose

Massage Therapy in Iranian Traditional Medicine

Background and Aim: Massage training and how the body is influenced by massage are common issues which are seriously under study and discussion in Iranian traditional medicine. Iranian physicians considered motion and massage as major principles of health maintenance.In this study, we examined the available literature of traditional medicine to evaluate location, purpose and use of massage therapy in Iranian medicine in comparison with other popular conventional styles.The aim of Iranian massage is to regulate the core body temperature and aid to eliminate the waste products from the body. This type of massage is divided into five categories including solid, soft, moderate, great and aggressive, based on the intensity, speed, duration and techniques of massage.Iranian physicians proposed general body massage or massage of a particular area based on subjective complaints. They recommended specific massages in particular groups including children, pregnant women, the elderly and athletes. In some cases, the effects of these recommendations have been studied in clinical trials.Conclusion: It seems that the major difference between Iranian massage and other styles of massage is special attention of Iranian massage to the individual circumstances, and the cause of the problem rather than technique of the massage