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Comparison of posttraumatic growth and posttraumatic stress of nurses with physicians and medical students after caring of COVID‑19 patients

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Journal of Integrative Nursing 2023年第1期5卷 50-58页

作者： Roghayeh AKBARI mahbobeh faramarzi Hemmat GHOLINIA Infectious Diseases and Tropical Medicine Research Center Health Research InstituteBabol University of Medical SciencesBabolIran Department of General Courses Social Determinants of Health Research CenterHealth Research InstituteBabol University of Medical SciencesBabolIran Social Determinants of Health Research Center Health Research InstituteBabol University of Medical SciencesBabolIran

Objectives:The present study compared the prevalence and psychosocial factors affecting posttraumatic growth(PTG),posttraumatic stress disorder(PTSD),and psychological distress in nurses,physicians,and medical students.Materials and Methods:In a cross‑sectional study,three groups of medical staff including nurses(n=57),physicians(n=40),and medical students(n=34)who were responsible for the care/treatment of COVID‑19 patients admitted to a general hospital for 4 months responded to Posttraumatic Growth Inventory,Brief Symptom Inventory‑18,Resilience Questionnaire,PTSD Screen,and Social Capital‑Integrated Questionnaire.Results:After the exposure of medical staff to at least 4 months of treatment/care of COVID‑19 patients,PTG prevalence was higher than PTSD(38.2%vs.14.6%),but they experienced some degrees of psychological distress(65.5%).The nurses had 8.33(confidence interval[CI]:2.5–26.7)times higher PTG rate than medical students(P<0.001).Physicists also experienced 5.00(CI:1.4–26.7)times higher PTG than medical students(P<0.001).PTG was aided by age,married status,strong resilience,and high social capital,but gender had no influence.Resilience played an important protective role to prevent the incidence of psychological distress in nurses,medical students,and physicians.Conclusion:Despite the fact that the PTSD and psychological distress were same in the three groups of medical staff,the nurses had a greater rate of PTG than physicians and medical students.

关键词： COVID-19 medical students nurses physician posttraumatic growth posttraumatic stress psychological distress

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Effect of perineal massage on the incidence of episiotomy and perineal laceration

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Health 2014年第1期6卷 10-14页

作者： Ommolbanin Zare Hajar Pasha mahbobeh faramarzi Department of Midwifery Islamic Azad University Babol Iran Fatemeh Zahra Infertility and Reproductive Health Research Center Babol University of Medical Sciences Babol Iran

Background: Perineal traumas particularly caused by following vaginal delivery are associated with short and long term morbidity for women. Therefore, interventions that increase the probability of intact perineum are necessary. The aim of study was to determine the effect of perineal massage with a sterile lubricant on the incidence of episiotomy and perinea laceration. Materials: This clinical trial study was performed on 145 nulliparous women who referred to Amol Emam Ali teaching center for normal delivery. They were randomly participating in interventional group (massage with lubricant) (45 cases) or control group (100 cases). In massage group when they progressed to full dilatation of the cervix, the midwife inserted two fingers inside vagina and using a sweeping motion gently stretched the perineum with lubricant 5 up to 10 minutes, in and between mother’s pushing in the second stage of labour. In control group just Ritgen Maneuver was applied. At last, we compared the rate of intact perineum, episiotomy and laceration, mean duration of the second stage of labor and Apgar score in 1 and 5 minutes between two groups. Statistical analyses were performed using t-test, Chi Square to determine potentially significant associations, and a p value less than 0.05 was considered significant. Results: The incidences of intact perineum, episiotomy and laceration were 22.2% (10), 44.4% (20), 33.3% (15) respectively in interventional group. In control group, intact perineum, episiotomy and laceration were: 20.2% (20), 49.3% (71), 28.3% (28) respectively. This difference was not statis- tically significant. Rate of first-degree laceration was 33.3% (15) in massage group, while this percent was 28.3% (28) in control group. This difference was not statistically significant. In massage and control groups, second, third and fourth-degree lacerations did not occur. Conclusion: The results showed that massage with a sterile lubricant provides no apparent and significant advantage or disadvantage in reducing perineal trauma. Th

关键词： Perineal Massage Episiotomy Trauma Laceration Delivery

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The Role of Moral Intelligence and Identity Styles in Prediction of Mental Health Problems in Healthcare Students

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Health 2014年第8期6卷 664-672页

作者： mahbobeh faramarzi Kolsoom Jahanian Mohamadreza Zarbakhsh Sirous Salehi Hajar Pasha Counseling Clinic Babol University of Medical Science Babol Iran Department of Psychology Tonekabon Branch Islamic Azad University Tonekabon Iran Fatemeh Zahra Infertility and Reproductive Health Research Center Babol University of Medical Sciences Babol Iran Social Determinants of Health Research Center Psychiatric Department Babol University of Medical Sciences Babol Iran

Background: Assessment of healthcare students’ mental health problems is an important aspect of health promotion. This study examined the roles of moral intelligence (MI) and identity styles in prediction of mental health problems in healthcare students. Methods: In a correlation study, two hundred healthcare students (100 girls, 100 boys) of Medicine, Density, and Paramedicine Colleges of Bobol University of Medical Sciences were selected. The subjects filled out three questionnaires;General Health Questionnaire (GHQ-28), Moral Competency Inventory (MCI), and Identity Style Inventory (ISI), and General Health Questionnaire (GHQ-28). Pearson correlation, multivariate analysis variance model (MANOVA), and multivariate regression used to analyze the data. Results: Boys and girls did not have a meaningful difference in the mean of total GHQ, MCI, normative and informational identity. Girls had significantly higher mean level of diffused-avoidant identity than boys. There was a positive and significant relationship between moral intelligence, normative identity and mental health problems of students. Also, there was a negative relationship (p < 0.05) between diffused-avoidant identity and mental health problems of students. Moral intelligence, informational and normative identity predicted 25.8% of the variance in mental health problems for girls’ students. Normative and diffused-avoidant identity predicted 21.6% of the variance in mental health problems for girls’ students. Conclusions: This study demonstrated that moral intelligence and identity status contributed to the mental health problems of healthcare students. University administrators should adopt strategies that strengthen the moral intelligence and identity maturity associated with university students’ mental health.

关键词： Mental Health Problems Moral Intelligence Identity Style

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A Survey of Correlation Infertility Self-Efficacy with Behavioral Health Scales in Infertile Women

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Health 2014年第10期6卷 943-949页

作者： mahbobeh faramarzi Hajar Pasha Seddigheh Esmailzadeh Farzan Kheirkhah Karimollah Hajian-Tilaki Hajar Salmalian Department of Psychiatry Faculty of Medicine Babol University of Medical Sciences Babol Iran Department of Social Medicine and Health Faculty of Medicine Babol University of Medical Sciences Babol Iran Fatemeh Zahra Infertility and Reproductive Health Research Center Babol University of Medical Sciences Babol Iran

Background: Infertility is a unique medical challenge that can have health behavioral consequence on infertile women including lack of self-esteem, depression, anxiety, fertility problem in infertile couples. The aim of this study was to evaluate correlation between self-efficacy and health behaviors scales in infertile women. Methods: A cross sectional study was conducted on 89 infertile women with mild to moderate depression (Beck scores 10 - 47) who were recruited from Fatemeh Zahra Infertility and Reproductive Health Research Center. All participants completed Self-efficacy Inventory (ISE) and other health behavioral scales (e.g., the Beck Depression Inventory (BDI), Cattle Anxiety Scale (CAS), Fertility Problem Infertility (FPI), and GHQ). Pearson correlation coefficient and Spearman rho correlation coefficient were used to analyze the data. Variables were included in the study if they had a p-value

关键词： Infertility Self-Efficacy Depression Stress Anxiety Health Behaviors Fertility Problem

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Is coping strategies predictor of anxiety and depression in couple infertile?

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Health 2013年第3期5卷 643-649页

作者： mahbobeh faramarzi Hajar Pasha Seddigheh Esmaelzadeh Gholamali Jorsarai Mohamad Reza Aghajani Mir Sharareh Abedi Fatemeh Zahra Infertility and Reproductive Health Research Center Babol University of Medical Sciences Babol Iran

Background: Infertility is a complex crisis of life and increases psychological difficulties such as anxiety and depression. Identification of copy strategies for stressful events like infertility is important. The aim of our study was to investigate the relationship between coping strategies with anxiety and depression symptoms in men and women’s infertile. Methods: This descriptive-analytic study was conducted from 2011-2012 on 168 Iranian infertile couples referred to the Fatemeh Zahra infertility and reproductive health research center of Babol university of medical science to initiate assistant reproductive technologies and completed the Ways of Coping Questionnaire (WCQ), The State-Trait Anxiety Inventory (STAI), and Beck Depression Inventory (BDI).The results were analyzed using t-test, the Pearson correlation and the stepwise model of multiple regression analysis. P Results: Escape/ avoidance contributed the greatest amount of unique variance to the model for anxiety/de-pression of infertile women (P < 0.0001, P < 0.001) and followed by distancing (P < 0.0001, P < 0.01), accepting responsibility(P < 0.0001, P < 0.01). Seeking social support was the negative significantly predictor for both anxiety and depression in infertile women (P < 0.01, P < 0.01), but planful problem solving was the inversely predictor for only depression in infertile women (P < 0.01). Escape/avoidance was the only predictor factor of the model anxiety for infertile men (P < 0.01). Escape/avoidance and self controlling were the positive predictor (P < 0.001) and planful problem solving was the negative predictor for men depression (P Conclusion: men and women infertile who use disproportionally maladaptive coping strategies such as escape/avoidance are predisposed to anxiety and depression symptoms. How using the coping strategies is very important in expressing anxiety and depression in infertile couples and training the adaptive coping strategies suggested by counseling centers.

关键词： Infertility Coping Depression Anxiety

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Test anxiety in objective structured clinical examinations (OSCEs) compared with traditional assessment methods in undergraduate midwifery students

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Health 2013年第12期5卷 2204-2209页

作者： mahbobeh faramarzi Hajar Pasha Afsaneh Bakhtiari Hajar Salmalian Mouloud Agajani Delavar Fatemeh Nasiri Amiri Maryam Nikpour Department of Midwiferyy Babol University of Medical Sciences Babol Iran Fatemeh Zahra Infertility and Reproductive Health Research Center Babol University of Medical Sciences Babol Iran Fatemeh Zahra Infertility and Reproductive Health Research Center Department of Psychiatry Faculty of Medicine Babol University of Medical Sciences Babol Iran

BACKGROUND: Final comprehensive exam is the most important examination for midwifery students to evaluate their professional ability and Test anxiety is a common phenomenon among college students. Because test anxiety is one of the problems of educational systems, this study was performed to compare test anxiety in objective structured clinical examinations (OS-CEs) and traditional assessment methods (TAM) among Undergraduate Midwifery Students. Methods: In this descriptive-analytical study, 52 students of Babol Midwifery College were participated in the study. 20 students were evaluated using TAM in November 2010, and 32 students were evaluated using the OSCE method in July 2011. Data were collected via a two-component questionnaire including demographic data and the test anxiety inventory (TAI). Results: All of midwifery students were women;the mean age of students, ages of father and mother’s were 23.1 ± 0.7, 52.3 ± 3.5 and 47.8 ± 4.9 years, respectively. Most of the students were single (61.5%). The mean education levels of father and mother’s were 11.6 ± 4.5 and 9.9 ± 4.0 years, respectively. The mean score of test anxiety in students was 42.51 ± 13.16. The most of participants did have moderate test anxiety (56.9%), two present not had any test anxiety, 37.3% had low test anxiety, and 3.9% had severe test anxiety. In sum, 98% had some degrees of test anxiety. There were the statistical differences in the mean score of text anxiety in OSCEs Compared with TAM in Undergraduate Midwifery Students (39.38 ± 13.81 vs. 47.35 ± 10.67, P = 0.033). Also, the mean severity of anxiety was different in two groups. The mean of moderate/severe test anxiety was more in TAM compared with OSCEs (52.57% vs. 49.56%, p = 0.000). The test anxiety had a positive correlation with father’s education, mother’s education (0.286, p = 0.042), father’s age, mother’s age, marital status, residency (0.292, p = 0.042). Also, there are negative correlations with student age, satisfaction, total Grade Point Average (GPA) (-0.387, p = 0.007),

关键词： Objective Structured Clinical Examination Test Anxiety Midwifery Student

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ROUTINE ANTENATAL SONOGRAPHY AND HEALTH PROVIDER SOCIOECONOMIC LEVEL

ROUTINE ANTENATAL SONOGRAPHY AND HEALTH PROVIDER SOCIOECONOM...

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ISGE 10th Regional Meeting

作者： mahbobeh faramarzi Seddigheh Esmaelzadeh Ali Haghiahmadi Deparement of Obestetrics and Gynecology.Babol Univarsity of Medical Sciences.Babol University of Medical sciences Gang Afroz Street BabolIran. Deparement of Obestetrics and Gynecology.Babol Univarsity of Medical Sciences.Babol University of Medical sciences Gang Afroz Street BabolIran. Deparement of Obestetrics and Gynecology.Babol Univarsity of Medical Sciences.Babol University of Medical sciences Gang Afroz Street BabolIran.

＜正＞Objective:To answer this question whether there is a relationship between socioeconomic level of health provider and believe to routine antenatal sonography. Material:A descriptive analytic study planned in 20 educational health services of Obstetric and Gynecology Department of Babol University of Medical Sciences in 2005.Health providers answered to questions about

关键词： antenatal sonography health provider

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Electrochemical Reduction of 1,2-Di（p-tolylimino）ethane and 1,2-Di（2,4-dimethylphenylimino）ethane in Dimethylformamide

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Chinese Journal of Chemistry 2007年第10期25卷 1577-1580页

作者： FOTOUHI, Lida ZEIENALI, mahbobeh DEHGHANPOUR, Saeed NEMATOLLAHI, Davood Department of Chemistry Faculty of Science Alzahra University P. O. Box *** Tehran Iran Department of Chemistry Faculty of Sciences Bu-Ali-Sina University P. O. Box 65174 Hamadan Iran

1,2-Di（p-tolylimino）ethane （Ⅰ） and 1,2-Di（2,4-dimethylphenylimino）ethane （Ⅱ） were synthesized and their electrochemical behavior investigated in dimethylformamide using classical voltammetry, differential pulse voltammetry, cyclic voltammetry, chronoamperometry, controlled potential electrolysis and coulometry. Both bis-Schiff base ligands examined show a cathodic irreversible peak which corresponds to one-electron reduction of the substrate to form anion radical. According to the fact obtained from cyclic voltammetry, that the current function （ip/v^1/2） is a decreasing function of the scan rate, it can be concluded that there is a following coupling chemical reaction （EC mechanism）. Thus, the most probable mechanism of electroreduction of both ligands is the coupling of two radicals to form a dimer.

关键词： cyclic voltammetry electrochemistry reduction Schiff base mechanism

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Analysis of electrocautery smoke released from the tissues frequently cut in orthopedic surgeries

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World Journal of Orthopedics 2020年第3期11卷 177-183页

作者： Ali Yeganeh Mikaiel Hajializade Alireza Pahlevan Sabagh Babak Athari mahbobeh Jamshidi Mehdi Moghtadaei Department of Orthopaedics Surgery Rasoul Akram HospitalIran University of Medical SciencesTehran ***Iran Department of Orthopaedics Surgery Shahid Mohammadi HospitalHormozgan University of Medical SciencesHormozganBandarabbas ***Iran Department of Chemistry Payam-e-Nour UniversityGhazvin ***Iran Department of Orthopaedics Surgery Rasoul Akram HospitalIran University of Medical TehranâProvinceTehranSatarkhan ***Iran

BACKGROUND Electrosurgical smoke could be different by the device of cutting or the type of tissue that is being cut.AIM To analyze the electrocautery smoke released from the tissues that are frequently cut in orthopedic surgeries.METHODS The released smoke from electrocautery of five different tissue types(meniscus,ligament,adipose,muscle,and synovium)of five patients who underwent total knee arthroplasty were collected and analyzed for volatile organic compounds(VOCs)and 27 candidate polycyclic aromatic hydrocarbons(n=25).Surgical smoke was produced with an electrocautery device for 4 min.RESULTS None of the 27 evaluated polycyclic aromatic hydrocarbons compounds were detectable in electrocautery smoke collected from the surgical cutting of the different tissues.The number and identity of detected VOCs were similar between the patients but not between tissue types.The number of detected VOCs was the highest in synovial tissue(n=21)and the lowest in the meniscus and adipose tissue(n=12).The number of toxic and/or carcinogenic VOCs were the most in the muscle and meniscus tissues(Toluene,Ethylbenzene,and Styrene).No toxic and/or carcinogenic VOCs were identified in the ligament and adipose tissue.CONCLUSION Meniscus and muscle tissue are associated with the highest number of toxic and/or carcinogenic VOCs.Therefore,we recommend that surgeons avoiding the electrocautery of these tissues.

关键词： Electrocautery smoke Volatile organic compounds Polycyclic aromatic hydrocarbons Surgeon caution

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The Effect of Ginger Capsule on Nausea and Vomiting during and after Caesarean Section under Spinal Anesthesia

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International Journal of Clinical Medicine 2016年第1期7卷 106-112页

作者： mahbobeh Amouee Simin Montazeri Reza Akhond Zadeh Maryam Ghorbani Jondi Shapour University of Medical Sciences Ahvaz Iran Department of Midwifery Jondi Shapour University of Medical Sciences Ahvaz Iran Shahid Beheshti University of Medical Sciences Tehran Iran

Objective: To study the efficacy of ginger on the Nausea and Vomiting during and after Cesarean Section under Spinal Anesthesia. Study Design: Double blind randomized controlled trial. Setting: Department of Obstetrics and Gynecology, Ahvaz University, Razi Hospital. Material and Method: From January 2008 to April 2008, 70 pregnant women underwent for elective cesarean section under spinal anesthesia were randomized received coded drug one hour prior section with 30 ml water. The patients were at term, single pregnancy, uterine and abdominal incision transversal, and spinal anesthesia with lidocain 5%. Patients were matched in two groups by these factors: age, height, weight, BMI, cause of cesarean section, gestational age, hypotention during and after cesarean section, duration of operation and nausea and vomiting in pregnancy. All patients were assessed for severity of nausea by visual analog nausea score (VANS). Frequency of vomiting and need antiemetic drug were evaluated during and 0/5, 1, 2, 4, 6 hours after cesarean section. Results: The results demonstrated the statistically significant differences in severity of nausea and vomiting during cesarean section (p = 0/000). Severity of nausea (p = 0/000) and vomiting (0/046) after cesarean section also was lower in ginger group than placebo group. There were statistically significant differences between two groups for need antiemetic drug during (0/000) and after (0/003) cesarean section. This need was lower in ginger group than placebo group. Side effects caused by ginger were not detected. Conclusion: Ginger has efficacy in decrease severity of nausea and vomiting during and after cesarean section under spinal anesthesia.

关键词： Ginger Cesarean Section Regional Anesthesia Nausea Vomiting

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