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مقدمه: بارداری با تغییرات فیزیکی و روانشناختی عمیقی در زندگی هر زن همراه است که این تغییرات بر روی کلیه ابعاد زندگی زنان از جمله روابط جنسی زوجین تأثیرگذار می باشد. مطالعه حاضر با هدف بررسی تأثیر آموزش بر تغییرات فعالیت جنسی در دوران بارداری انجام شد. روشکار: مطالعه حاضر از نوع کارآزمایی در عرصه همراه با گروه کنترل بود که در سال 1390 بر روی مادران باردار مراجعه کننده به مراکز بهداشتی درمانی عظیما و باغزندان شهرستان شاهرود، که دارای پرونده بهداشتی بودند، انجام شد. 87 زن باردار انتخاب شدند و به طور تصادفی در دو گروه کنترل (41 نفر) و مداخله (46 نفر) قرار گرفتند. ابزار گردآوری داده ها شامل پرسشنامه مشخصات فردی و تغییرات فعالیت جنسی در بارداری بود. داده ها پس از گردآوری با استفاده از نرم افزار آماری SPSS (نسخه 16) و آزمون های من ویتنی و کای دو و ویلکاکسون مورد تجزیه و تحلیل قرار گرفت. میزان p کمتر از 0/05 معنی دار در نظر گرفته شد. یافتهها: در گروه مداخله قبل از آموزش، 23 نفر (50%) از زنان از نظر رضایت از روابط جنسی در حد متوسط، 13 نفر (28/3%) خوب و 10 نفر (21/7%) ضعیف بودند. زنان دو گروه در شروع مطالعه از نظر رضایت از روابط جنسی تقریباً یکسان بودند. دو ماه پس از انجام مداخله، 25 نفر (54/3%) از زنان گروه مداخله از نظر رضایت از روابط جنسی در حد خوب، 18 نفر (39/1%) در حد متوسط و 3 نفر (6/5%) ضعیف بودند. بر اساس آزمون های آماری، میزان رضایت از روابط جنسی زنان شرکت کننده در گروه مداخله پس از مداخله بیشتر از گروه کنترل بود (p=0/016). نتیجهگیری: آموزش جنسی بر رضایت زنان از روابط جنسی تأثیری مثبت دارد و باعث افزایش رضایت مندی زنان از روابط جنسی در بارداری می شود.

Background and Aim: The impact of hospital management on COVID-19 mortality involves examining various management strategies, assessing the adequacy of hospital resources, and evaluating the efficiency of healthcare systems in response to the COVID-19 pandemic. Evidence suggests that effective hospital management and adequate hospital equipment can significantly reduce COVID-19 mortality rates. However, evidence regarding the role of these factors in military hospitals in Iran is limited. The present study aims to investigate the effect of human resource management and hospital equipment in COVID-19 related mortality in five military hospitals in Iran. Methods: Hospital data, including the number of hospital beds, number of nurses, number of ICU beds, number of ICU nurses, number of hospital ventilators, availability of CT scan or PCR devices, and hospital infection rates, were collected from the specified hospitals in Tehran, Tabriz, Kerman, Isfahan, and Kermanshah during the period from February 2021 to July 2022. Data collection was done through in-person and interview methods. Results: The study analyzed data from the records of 2,500 patients who died from COVID-19 in five medical centers in Tehran, Tabriz, Isfahan, Kerman, and Kermanshah. Factors such as the percentage of ICU beds relative to the total number of hospital beds, the percentage of ICU nurses relative to the total number of hospital nurses, and the percentage of ICU beds relative to the total number of hospital admissions showed an inverse relationship with COVID-19 mortality, although this relationship was not statistically significant. The most significant factor associated with mortality was an increase in the number of occupied hospital beds. Conclusion: Military hospitals in Iran have been relatively successful in controlling the COVID-19 epidemic, and human resource management and hospital equipment do not have a significant correlation with high mortality rates. However, a high number of patient admissions in the context of insufficient resources can affect COVID-19 mortality. Increasing the number of treatment-related equipment, such as ventilators, and optimizing ICU can improve hospitals' ability to combat against COVID-19, thereby helping to reduce mortality rates. [ABSTRACT FROM AUTHOR]

Introduction: Breast cancer is one of the most common cancers among women, which reduces the quality of life and causes depression. The present study was conducted with aim to compare the effect of acupressure and aromatherapy on depression and quality of life of breast cancer patients. Methods: In this randomized clinical trial study, 96 women with breast cancer who visited the clinic or chemotherapy unit at Baqiyatullah and Shahid Chamran hospitals in Tehran were randomly assigned to three groups: aromatherapy, acupressure, and control. The data collection tool was the standard questionnaire for assessing the quality of life in breast cancer patients and Beck's depression questionnaire. Data analysis was performed using SPSS software (version 21) and ANOVA and paired t-test. Results: In terms of quality of life, both in functional and symptomatic dimensions, the aromatherapy and acupressure groups had significantly better performance than the control group (p=0.003 and p<0.001, respectively). Additionally, both the aromatherapy and acupressure groups demonstrated a significant reduction in depression scores compared to the control group (p<0.001). Conclusion: Aromatherapy and acupressure significantly improve quality of life and reduce depression in patients with breast cancer. These interventions can be utilized as complementary methods in managing the physical and psychological symptoms of these patients. Further research with larger sample size is needed to confirm the long-term efficacy and explore the broader applicability of these approaches. [ABSTRACT FROM AUTHOR]

Introduction: The aim of this study was to evaluate the survival rate and complications and compare surgical and non-surgical treatment methods in esophageal cancer patients referred to Baqiyatallah Hospital in Tehran. Methods:In this retrospective cohort study, 96 patients with esophageal cancer between 2011 and 2016 were included using census sampling. The patients were categorized into esophagectomy and non-surgical treatment groups. The data was analyzed using SPSS 24 software, employing descriptive methods and the Chi-square test for analysis. Results: Among 96 patients with esophageal cancer, 58 (60.4%) were male and 38 (39.4%) were female. Among all patients, 37 (38.5%) underwent esophagectomy surgery while 59 (61.5%) received non-surgical treatment. The highest incidence of tumors was found in the lower 1/3 of the esophagus, affecting 47 patients (48.95%). The most frequent post-surgery complication was minor, occurring in 14 patients (37.8%). In the surgical group, the average survival time was 28.1 months, whereas in the nonsurgical group, it was 13.1 months on average. When comparing survival rates, a significant difference was observed between the one-year and three-year survival periods in both the surgical and non-surgical groups. Conclusion: The results indicate that esophageal cancer patients who underwent esophagectomy had longer survival times compared to those receiving other treatments, with fewer complications and lower mortality rates. The low incidence of complications following esophagectomy at the Baqiyatallah treatment center reflects the center's effective approach to treatment procedures. [ABSTRACT FROM AUTHOR]

Background & Aims: Along with laboratory testing, chest CT scans may be helpful to diagnose COVID-19 in individuals with a high clinical suspicion of infection. Due to their availability and rapid turnaround time, the role of chest computed tomography (CT) scan is growing for early diagnosis of patients with COVID-19. However, due to the low efficiency of viral nucleic acid detection as well as low specificity of chest CT scan for detecting COVID-19 pneumonia, this method shows incomplete clinical performance for proper COVID-19 disease diagnosis. Due to the highly contagious nature of the Coronavirus 2019 and the importance of early detection of the disease, a limited number of nucleic acid test kits, such as rRT-PCR and the possibility of false negative rRT-PCR results, chest CT scan as a non-invasive method, it can be a highly accurate tool for early detection of suspected COVID-19 cases. The purpose of this study was the Interpretation of chest CT scan of patints with COVID-19 in Imam Khomeini Hospital of Jiroft University of Medical Sciences from December to March 2019 Methods: This research is a retrospective study that was conducted with the aim of interpreting CT scans of the chest in patients with covid-19 in Imam Khomeini Hospital, Jiroft University of Medical Sciences from March 2018 to June 2019. After obtaining permission from the ethics committee of the university, the researcher appeared in the research environment according to the pre-determined schedule for sampling. The desired data were extracted from the patients' files and recorded in a questionnaire form that was designed for this purpose. The criteria for entering the study included cases whose demographic information, clinical and laboratory data were complete and the positive PCR test along with chest CT imaging findings were available in the file, the exclusion criterion was the presence of low quality chest images. The data were extracted from the hospital information system based on clinical electronic medical records. including demographic information including age, sex, level of education and data related to the underlying disease, disease symptoms (cough, fever, phlegm, shortness of breath, chest pain, etc.) and the frequency of imaging findings in the chest CT scan that They were examined and evaluated according to age, gender, level of education, clinical symptoms, underlying disease and based on lymphopenia and lymphocytosis. and chest CT scan report of patients with COVID- 19, which was available in the PACS system of this hospital, were evaluated. In this way, all the CT images of the chest by a radiologist as well as a lung specialist who were not aware of the clinical and laboratory data of the patients, in terms of the types of findings include, Patchy ground glass opcification, diffuse ground glass opacification, Air space opacity, Consolidation, pleural effusion, Atelectasis, Bronchiectasis, Fibrotic change, Cavitation, Lymphadenopathy. And the distribution of conflict was investigated as peripheral, central, bilateral, and unilateral. Results: The highest number of people with Covid-19 were in the age range of 30 to 59 years and men. In CT scan findings, the highest CT scan imaging findings as well as the highest mortality rate in patients were PGGO view (63.3%) and peripheral and bilateral involvement and the lowest frequency was related to Cavitation findings. In the examination of CT scan findings, PGGO and peripheral and bilateral involvement were the most frequent and Cavitation was the least frequent. Also, the findings of PGGO, Peripheral and Bilateral in the CT scan of the people who died had the highest frequency. In none of the imaging findings of the chest scan, there was no statistically significant relationship with the level of education, the level of education and death of patients due to COVID-19 . There was no significant difference between gender and the findings of PGGO and Cavitation and peripheral involvement and Bilateral, but between the findings of DGGO and gender and there was a significant relationship between Bronchiectasis and gender. In general, the results showed that there is no significant relationship between gender and death of patients due to COVID-19. In terms of symptoms, the findings showed that there is no significant relationship between the symptoms of myalgia, chest pain, loss of sense of smell and taste, and digestive symptoms and CT scan findings, but between the feeling of weakness and Peripheral involvement, there was a statistically significant difference between the decrease in level of consciousness and the finding of Pleural effusion and the finding of CavitationP, and in general, a statistically significant relationship was observed between the death of patients and myalgia and the decrease in level of consciousness. Conclusion: Among findings of this research, the symptoms of cough, fever, shortness of breath, and headache were present in most of the patients. In line with this finding, Kazemini and colleagues also concluded in their study that fever and cough are two important factors in identifying patients with Covid-19 is high . In this study, CT scan findings in the form of PGGO, Peripheral and Bilateral had the most frequency, which was also reported in a study that at the time of the onset of the disease, the findings of PGGO and Bilateral distribution were the most frequent in CT scans of patients . The reason that the lesions have a marginal distribution and are not limited to certain parts of the lung lobes can probably be due to the small size of the virus, which has a greater tendency to deposit in the peripheral lobes of the lung and thus cause damage to the epi The telium becomes alveolar and affects several adjacent lobules . Also, according to Wei li et al.'s study, GGO is the most common chest CT imaging manifestation in pneumonia caused by the corona virus, which indicates that the pneumonia of COVID-19 mainly includes interstitial secretions. This means that the pathological mechanism of the disease is secondary to the expansion and congestion of alveolar capillaries and interstitial edema in the interlobular septum . unlike COVID-19, in SARS, most cases of lung involvement are unilateral. In the present study, the findings of Air space opacity and Consolidation imaging were also found to be of high frequency compared to other findings, in the study of SONG et al., it was also reported that GGO image is more frequent in young people and Consolidation image is more frequent with increasing age. This issue is also evident in the present study, so that Consolidation was less frequent at ages less than 30 years compared to ages 30-59 years. Consolidation is one of the characteristics of CT in patients with COVID-19, which is a sign of disease progression, Pan et al. found that consolidation is rare in the early stages of the disease. Consolidation begins to appear with the progress of the disease and gradually becomes the main imaging feature. Therefore, the analysis of chest CT imaging can help the doctor in identifying the early stages or the progress of the disease. By identifying the common findings in chest CT scan in people with coronavirus, based on appropriate epidemiological and demographic characteristics, COVID-19 cases can be identified in a timely manner and immediate preventive measures can be taken. Therefore, due to the accuracy of this diagnostic tool and its rapid results, CT imaging should be at the forefront of COVID-19 screening tools and easy access to it in different areas compared to rRT-PCR kits should be provided. [ABSTRACT FROM AUTHOR]

Background & Aim: Although pain control in patients with burns has improved over recent years, the ineffectiveness of some treatments to reduce pain in this group of patients remains a challenging issue for health care professionals. This systematic review was conducted to investigate nursing interventions in the field of pain relief in burn patients. Methods & Materials: In this systematic review and meta-analysis, relevant information was searched from databases PubMed, Science Direct, Scopus, Irandoc, SID, and Cochrane library with keywords nursing interventions, pain, burns and their equivalent Persian keywords in the period 2010-2020. To increase the validity and reliability of the study, three people evaluated the quality of the articles separately and Jedad criterion was used to evaluate the articles. Results: After assessing 181 articles on the databases, 19 articles were systeatically reviewed. Nursing interventions to reduce pain in burn patients included using breathing techniques, new dressings, muscle relaxation, music therapy, transcutaneous electrical nerve stimulation (TENS), electrical brain stimulation, play therapy, aromatherapy, use of Zekr Allah, massage, guided imagery, distraction techniques, and eye movement desensitization. In eight meta-analyses, total mean differences of pain relief score were estimated 1.28 (0.95% CI: 0.78-1.78). Conclusion: Most nursing interventions reduced pain in burn patients. Easierto- use pain relief techniques such as muscle relaxation, guided imagery, and spiritual care are emphasized. [ABSTRACT FROM AUTHOR]

Background: The patient's position during the recovery time after arthroplasty surgery can be a factor in reducing complications and improving patients’ condition. Therefore, this study was performed to compare the knee range of motion after soft tissue repair in both flexion and extension positions of total knee arthroplasty. Methods: This study is a double-blind clinical trial. The study population was all candidates for total knee arthroplasty surgery in Al-Zahra and Kashani hospitals in Isfahan from July 2011 to September 2012. The sample size was selected using the statistical formula of 88 patients and randomly divided into two groups of flexion and extension. In the first group during the knee soft tissue repair, the knee was in flexion and in the second group it was in extension and then it was repaired. Information such as age, sex, body mass index and surgical position were recorded in the checklist. The knee range of motion was measured at the end of the first, second, fourth, eighth and twelfth weeks and recorded in a checklist. In order to compare the pattern of changes in mean knee range of motion over time in the two groups, mixed linear models and conventional marginal models to generalized estimator equations were used by STATA software. Results: The results showed that there was no significant difference between the flexion and extension groups in knee range of motion. In both groups, the mean knee range of motion increased with time (P<0.001). The mean scores of knee function after the end of the twelfth week in the flexion and extension groups were 141.04±23.19 and 143.09±22.34, respectively, and this difference was not significant. Conclusion: Soft tissue repair in a particular position is not so effective on the outcome that we want to institutionalize it by spending a considerable amount of budget for training surgeons. [ABSTRACT FROM AUTHOR]