سال:1398 | دوره: | شماره: |تعداد مقالات:8

Background: Sexual dysfunction is common in women and causes serious problems in their lives through affecting their physical and mental health, self-esteem and quality of life. The aim of this study was to determine the frequency of sexual dysfunction in women referred to health centers in north east of Iran in 2016. Methods: The study was cross-sectional. The statistical population consisted of all married women referring to Shahroud health centers in 2016. A total of 478 married women were selected through multi-stage sampling and data extraction methods. Interviews and the (FSFI) questionnaire were used for data collection. Demographic information was also collected. Statistical analysis was performed by Chi-square and independent t-test. Results: The frequency of sexual dysfunction was 48. 5% (232/478), which was obtained for each domain as follows: sexual pain disorder 49. 8% (238/478), orgasm disorder 51. 0% (244/478), lubrication disorder 51. 0% (244/478), sexual desire disorder 23. 2% (111/478), and stimulation disorder 11. 3% (54/478), respectively. In this study, sexual dysfunction was significantly associated with age (P ≤ /0/003) and education (P ≤ /0/001), but and there was no significant relationship with contraceptive methods or number of children (P ≤ /0/32). Conclusions: According to research findings, the frequency of sexual dysfunction is relatively high in the community. It is suggested that counseling centers and sex education centers be established in health centers.

Background: Mother milk provides many health benefits to both the mother and baby. The aim of this study was to investigate the effect of education through cyberspace on continued breastfeeding in primiparous women. Methods: This experimental study was performed on 65 primiparous women aged 28-32 weeks who were referred to Shahroud childbirth preparation centers in 2018. There are four centers in Shahroud city which provide "Preparation for childbirth" education for primiparous mothers. We randomly (random numbers methods) selected two centers of the four health centers for the subjects in the experimental group recruitment. For the control group, we selected mothers who gave birth to their child in Bahar hospital and received routine care. Also, after selection of centers, we selected convenience sampling method for recruitment of both experimental and control groups after obtaining the informed consent. The experimental group received a training program based on continuous breastfeeding in 7 sessions, 45-60 minutes. We use a demographic and continuous breastfeeding questionnaire for collecting the variables. The data were analyzed by SPSS21 using independent t-test, paired t-test, and covariance test. Statistical significance level was set at 0. 05. Results: The mean and standard deviation of continuation of breastfeeding were 28. 72 ± 3. 96 before intervention and 31. 54 ± 4. 5 after intervention in the experimental group and 31. 21 ± 3. 41 before intervention and 29. 43 ± 2. 91 after intervention in the control group. Therefore, the duration of continued breastfeeding was longer in the experimental group (Pvalue = 0. 02) compared to the control group post intervention. Conclusions: According to the results, education through cyberspace is recommended as an easy, safe, inexpensive and effective intervention for controlling and resolving lactating mothers' problems.

Background: It has been suggested that citrulline malate (CM) is one of the effective supplements to improve exercise performance and fatigue resistance. The present study aimed to investigate the effect of consumption of CM at various doses on aerobic power, anaerobic power, as well as plasma levels of lactate and urea in young soccer players. Methods: In this semi-experimental study, performed at Ferdowsi University of Mashhad (2018), through targeted sampling, 40 trained young soccer players with were selectively classified into 4 homogenized groups based on their Vo2max value including low dose (LD) (4g), medium dose (MD) (8g), high dose (HD) (12g), and sugar solution control (C). The supplements were taken slowly within 15 minutes 1 hour prior to the tests. Then, the yoyo recovery test-level 1 and the Repeated-Sprint Ability (RSA) were used to evaluate their aerobic and anaerobic capacity, respectively. Blood biomarkers were also measured in the first 10 seconds after RSA test. Further, one-way ANOVA test was employed for data analysis. Significance level was set at 0. 05. Results: The results showed that among the groups, the higher and lower values belonged to (respectively) Vo2max in HD and LD (51. 13 ± 6. 22, 47. 62 ± 4. 16), for RSA in HD and MD (34. 11 ± 6. 34, 30. 11 ± 5. 6), for urea in HD and LD (4. 64 ± 1. 3, 4. 16 ± 1. 46) and for lactate in C and MD (107. 27 ± 5. 08, 103. 66 ± 7. 34) groups (mean ± S. D), respectively. There was no significant association between the groups for VO2 max value, RSA records as well as plasma levels of urea and lactate in response to taking different doses of CM (Pvalue > 0. 05). Conclusions: The results indicated that acute supplementation of CM at different doses did not affect aerobic and anaerobic power, or blood levels of lactate and urea.

Background: Adolescents are poorly aware of reproductive health issues. Regarding the high importance of reproductive health and selfesteem level, this study aims to determine the relationship between the awareness of reproductive health and self-esteem. Methods: The population of this cross-sectional study consisted of the first-semester students who were admitted at the Shahroud university of medical sciences in january 2017. The demographic information, Cooper Smith scale for self-esteem, and reproductive health researcher-made scale, were completed by the students. SPSS16 software and T-test and Chi-square statistical tests were applied for data analysis. Results: A total of 105 students participated in the study. The average age of students was 20. 2± 1. 8. The average score of reproductive health scale was 51. 48± 16. 24, and the average score for self-esteem questions was 32. 91± 13. 0. There was no statistical difference between the male and female groups. There was a significant relationship between the awareness of reproductive health and self-esteem level (r=0. 25 and Pvalue=0. 001). Conclusions: In the current research, there was a significant relationship between the awareness of reproductive health and selfesteem level. It is suggested that the youth receive more education on reproductive health since this can lead to both mental and physical health.

Background: One of the most important causes of neonatal death is their low birth weight (LBW) (less than 2500 grams). LBW has a lot of risk factors and will cause physical, mental, and growth problems in the future. Concerning the importance of the issue, this study aimed to determine the prevalence rate and risk factors of LBW in Shahroud, Iran. Methods: In a cross-sectional research, all mothers who had given birth at Bahar hospital from 2013 to 2015 were recruited in the study. The information of the mothers and neonates was extracted from their records. Data were analyzed using SPSS16 and t-test and Chi-square tests. Results: A total of 6677 mothers were enrolled in the study. The mean age of mothers was 27. 20± 5. 43. Further, %4. 8 of newborn babies had weights equal to or less than 2500 grams. There was a significant relationship between low birth weight and the mothers who were under 18 years, maternal addiction, and type of delivery (Pvalue=0. 001). Also, there was a significant relationship between preterm labor and prevalence of LBW, and the need to revive and hospitalization of baby in NICU (Pvalue=0. 001). Conclusions: The infants' health is one of the main factors determining the quality of health services in a community. Since the rate of LBW is still high, and this leads to numerous problems for both family and society, preventive measures are recommended.

Background: Hyperactivity disorder is one of the most common psychiatric disorders that can contribute to negative consequences such as addiction in adolescence. The aim of this study was to determine the relationship between addiction and hyperactivity disorder in Shahroud city. Methods: This is a case-control study with a sample size of 240. The case group included methadone-treated addicted drug abusers in Shahroud addiction clinic and the control group including patients admitted to the surgical wards of Imam Hossein hospital with no addiction to any drugs. We used the Conges (CAAR-S: OV) short-acting diagnostic questionnaire of adolescents (CAARS) for collecting the information. SPSS21 was used for data analysis with the significance level being set at 0. 05. Results: This study included 150 controls and 90 cases. The mean age of cases and controls was 36. 97 ± 10. 40 and 31. 57 ± 10. 46 years, respectively. Although the case and control were statistically different in restlessness-hyperactivity (Pvalue = 0. 034), they did statistically differ regarding the presence of hyperactivity disorder (Pvalue = 0. 911). Conclusions: Since only the subgroup of restlessness-hyperactivity in the two groups was significantly different (the value was greater for the control group), it can be argued that in the addicted persons restlessness-hyperactivity is partially reduced by opiate.

Background: Due to the high prevalence of domestic violence among women and more physical and psychological vulnerability during pregnancy, and thus, vulnerability to the growing fetus, there is an urgent need for accurate identification of these individuals. Accordingly, this study aimed to investigate the relationship between domestic violence and maternal-fetal attachment. Methods: In a cross-sectional study, 300 women with a gestational age of 20 to 40 weeks were selected randomly and categorically out of pregnant women covered by these centers. The data collection tool was a demographic questionnaire, a domestic violence questionnaire, and maternal-fetal attachment questionnaire. Results: The mean age of the women was 28. 32 ± 5. 96 years; the mean number of years after the marriage was 7. 01 ± 4. 22 years, and the mean age of the spouse was 31. 37 ± 5. 93. The mean number of pregnancies was 1. 9 ± 1. 67. Further, 65. 7% of the women experienced mild violence, 19. 3% were under moderate violence, and 15. 1% under severe violence. The linear regression of the relationship between the total score of violence and the overall score of the attachment of the mothers was significant, while controlling some of their demographic characteristics (Pvalue < 0. 001). Conclusions: The exact knowledge of the effects of domestic violence on maternal-fetal attachment can empower and inform health center staff effectively to diagnose and manage violence against pregnant women. In this way, they can focus more on maternal and fetal emotional support and encouraging the pregnant women to adopt the right care.

Background: Identifying elderly people with the risk of fall in hospitals is particularly important for prevention of falls. Review of literature suggested that the association between falls and some characteristics of geriatric inpatients. The aim of this study was to determine the predisposing factors of falling among the elderly hospitalized patients. Methods: In this descriptive-analytic cross-sectional study, 1213 elderly hospitalized patients, 60 years old and above recruited to participate in the study. Of all participant 385 subjects met the inclusion criteria of the study. Data collected from a secondary study on falls which was conducted from March to December 2016. A demographic questionnaire and Johns Hopkins fall risk assessment tool were used to evaluate the falls incident and risk of fall among the elderly people. The scores were analyzed by SPSS software version 16. Chi square test and exact test of Fisher and logistic regression were employed for data analysis. Significance level was set at 0. 05. Results: The mean of age in the subjects was 71. 68 + 8. 32 years old. Off all 385 eligible aged hospitalized patients, the rate of falls estimated to be 1. 05 per 1000 bed-day. Approximately 12% of cases experienced at least one fall during hospitalization period. According to the results of logistic regression analysis, the most predisposing factors for falls in hospital was the past history of falling with odds ratio of 12. 7. Moreover, older age (age ≥ 80 years old), use of medication/equipment, low cognitive ability, and polypharmacy with odds ratios of 2. 63, 1. 49, 2. 26, 0. 988, and 3. 34 were related to the falling in the past, respectively. Conclusions: The results of the study indicated that the incident of falls among geriatric patients were relatively low, due to clinical interventions in hospital to prevent falls or to routine underestimation and under report of falls.