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Mohammad Hosein Yazdanpanah,1,2 Sepideh Sayyadipoor,2 Sayed Reza Hojati,2 Amirreza Nikmanesh,2 Mojtaba Farjam,1 Reza Homayounfar1,3 1Noncommunicable Diseases Research Center, Fasa University of Medical Sciences, Fasa, Iran; 2Student Research Committee, Fasa University of Medical Sciences, Fasa, Iran; 3National Nutrition and Food Technology Research Institute, Faculty of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, IranCorrespondence: Reza HomayounfarNoncommunicable Diseases Research Center, Fasa University of Medical Sciences, Fasa, IranTel +989125140840Email r_homayounfar@yahoo.comBackground: Metabolic syndrome (MetS) as a set of cardiac risk factors and its growing prevalence is one of the major concerns in different societies. In this study, we aimed to investigate the relationship between Mets and electrocardiogram (ECG) parameters and abnormalities as indicators for subclinical cardiovascular diseases (CVD).Methods: In this sub-analysis study, we used the data from Fasa PERSIAN Cohort Study which includes subjects age 35– 70 years. Subjects with available ECG data included in the study (n=7002) and subjects with missing data on MetS components and non-sinus rhythm ECG were excluded (n=44). The MetS definition based on the Adult Treatment Panel (ATP) III guidelines and also a 12-lead ECG was obtained from all participants.Results: Our study population (n=6958) showed a mean age of 48.60± 9.34 years and also 1656 (24.2%) subjects had MetS. Except for P duration, PR interval and S amplitude in men and P amplitude, S amplitude, Sokolow-Lyon Index, and QT interval in women, other ECG parameters differ significantly between subjects with and without Mets (P< 0.05). Also among ECG abnormalities, prolonged P duration (≥ 120ms), QRS duration (≥ 100ms), and QTc interval (> 450ms in male, > 470ms in female) had a significant association with MetS in the total population. Waist circumferences (WC) showed the most count of significant relationship with ECG parameters in both genders. In males, WC more than ATP cut-points had significant associations with prolonged P and QRS duration, and also blood pressure (BP) had significant associations with prolonged P and QRS durations and QTc interval. In females, the MetS component except triglyceride had at least a significant relationship with prolonged P and/or QRS duration.Conclusion: MetS and its component especially WC and BP were associated with ECG parameters and abnormalities. These associations with ECG as a marker of subclinical CVD showed the importance of MetS and each component in our population to monitor in the further longitudinal studies.Keywords: electrocardiogram, metabolic syndrome, P wave, QRS complex, QTc interval

Fateme Mohammadi,1 Mojtaba Farjam,2 Yousef Gholampour,2 Banafsheh Tehranineshat,3 Khodayar Oshvandi,4 Mostafa Bijani5 1Chronic Diseases (Home Care) Research Center and Autism Spectrum Disorders Research Center, School of Nursing and Midwifery, Department of Nursing, Hamadan University of Medical Sciences, Hamadan, Iran; 2Noncommunicable Diseases Research Center (NCDRC), Fasa University of Medical Sciences, Fasa, Iran; 3Community-Based Psychiatric Care Research Center, Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran; 4Mother and Child Care Research Center, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran; 5Department of Medical Surgical Nursing, Fasa University of Medical Sciences, Fasa, IranCorrespondence: Mostafa BijaniDepartment of Medical Surgical Nursing, Fasa University of Medical Sciences, Fasa 81936-13119, IranTel +98 9173308451Email bizhani_mostafa@yahoo.comBackground: Medical personnel act as the protectors of people’s health by preventing, controlling, and treating emerging diseases, including the coronavirus infection. COVID-19 is a highly infectious and contagious disease which has presented the Iranian healthcare system with a variety of clinical challenges. There is a lack of research on clinical challenges in health crises especially those caused by emerging diseases, hence a need for more exploration of these clinical challenges and dilemmas. The present study aims to determine the different aspects of health professionals’ perception of the psychological safety of patients infected with the coronavirus (COVID-19).Methods: The present study is a qualitative work which uses conventional content analysis. The participants were 17 health professionals who were responsible for COVID-19 patients and met the inclusion criteria. They were selected via purposeful sampling. The study lasted from February to March 2020. Data were collected through semi-structured, individual interviews which were conducted via video call. The collection of data was kept up to the point of saturation. The collected data were analyzed using the conventional content analysis method.Results: Three themes such as “respect for dignity”, “comprehensive support” and “peaceful environment” with 11 categories were extracted from the findings of the study.Conclusion: According to the results of the present study, patients infected with the coronavirus should be given care in a peaceful environment where they receive comprehensive support and have their dignity respected. Such conditions can guarantee the psychological safety of these patients and produce positive behavioral results on their part. Thus, it is essential that the cultural, professional, and organizational prerequisites of protecting all the dimensions of the psychological safety of these patients be provided.Keywords: Patient Safety, Safety Management, medical personnel, emerging diseases, coronavirus, qualitative research