Background: The present research aimed to explore the relationship between tobacco consumption an... more Background: The present research aimed to explore the relationship between tobacco consumption and menopause characteristics in women in southern Iran. Materials and Methods: The current cross-sectional study used the basic data of Bandar Kong Cohort in southern Iran. A cross-sectional analysis was conducted on these 867 postmenopausal women . The data collection instrument was a questionnaire based on a review of the related literature, actual experiences, and the existing instruments utilized in cohort studies in Iran and foreign countries. The chi-square test, independent samples t test, and logistic regression analysis were employed for analyses in SPSS. Results: Overall, 867 postmenopausal women were included in the study. Their average age was 57.42±6.34 years. Menopause-smoker women had a lower level of education and body mass index (BMI), and the difference was statistically significant. In the present study, the widows, divorcees, and others used at least one tobacco produc...
Smoking is a developing health challenge all over the world. Studies showed that more than 30% of... more Smoking is a developing health challenge all over the world. Studies showed that more than 30% of women of reproductive age smoke in some countries. Researchers reported that smoking can cause various problems (1). Sexual dysfunction includes psychiatric experiences that are apparent as impaired libido, sexual arousal, orgasm, and intercourse pain. Female sexual dysfunction affects about 40-45% of women. Sexual dysfunction is an important component that impacts the quality of life (2, 3). The prevalence of sexual disorders among smokers has increased in the domain of arousal, orgasm, and sexual satisfaction. Libido disorder, sexual arousal disorder, and pain are more common in the passive smoker (4). With the increase in the number of cigarettes, the sexual function score in women decreases, so the score of sexual function in moderate-to-heavy smokers is significantly higher than that in other types of cigarettes. Different mechanisms have been mentioned regarding the effect of nicotine on sexual dysfunction among women. Nicotine can inhibit ovarian function and have an anti-estrogenic effect by increasing the formation of catechol estrogen metabolites. On the other hand, the reproductive system is sensitive to estrogen, and the anti-estrogens effect of nicotine and cigarettes reduces blood flow. Cigarette smoke may reduce genital engorgement and vascularization by increasing the atherogenic index and vasoconstrictive effect. Reducing the level of nitric oxide, increasing the formation of b-adrenergic receptors, and increasing the anticholinergic effect caused by nicotine are effective on the blood flow disorder of the genital area and may reduce vaginal lubrication, causing painful intercourse (5). In the last few years, hookah smoking (the old method of tobacco smoking) has been increasing among women. The side effects of hookah smoking are higher in women than in men (6). Based on our searches, the studies on sexual dysfunction and hookah are extensively incomplete. Due to the high prevalence of smoking and positive attitude to hookah among women,
Nowadays, polycystic ovary syndrome (PCOS) and cognitive dysfunction are major health problems am... more Nowadays, polycystic ovary syndrome (PCOS) and cognitive dysfunction are major health problems among female. This narrative review aimed to investigate cognitive dysfunction in female with PCOS. English and Persian articles published in PubMed, Scopus, Web of Science, Google Scholar, PsycINFO, Scientific Information Database, and Cochrane Database of Systematic Reviews until May 2022 were searched. Sixteen studies involving 850 female with PCOS and 974 controls were assessed. In these studies, the association between biochemical factors and symptoms of PCOS and memory, attention, executive functioning, information processing speed, and visuospatial skills was evaluated. The literature review revealed the possible cognitive changes in female with PCOS. This study summarized the different aspects of cognitive function in female with PCOS due to medication, psychological problems (mood disorders caused by disease symptoms and complications), and biochemical markers, such as metabolic and sex hormone abnormalities. Considering the existing scientific gap regarding the possibility of cognitive complications in female with PCOS, further biological studies should be conducted to evaluate the potential mechanisms involved.
Background: AIDS is one of the perilous infectious diseases and according to the WHO, the only ef... more Background: AIDS is one of the perilous infectious diseases and according to the WHO, the only effective way to prevent AIDS is through health education. Therefore, high-risk and vulnerable groups, including adolescents, should be prioritized in educational programs. Objectives: This systematic review study aims to investigate the effects of model-based educational interventions on promoting AIDS preventive behaviors in Iranian adolescents. Methods: International databases, including Scopus, PubMed/MEDLINE, Web of Science, ISC, and Google Scholar, along with national databases, including Magiran, SID, IranDoc, and IRCT were consulted for eligible articles. The following keywords were selected based on MeSH and combined with Boolean (AND, OR) operators: "Adolescent, " "Health model, " "Education, " "HIV, " "Iran, " and "Knowledge." A total of 2969 articles published from April 1, 2005, to May 1, 2020, were extracted. Subsequently, two researchers reviewed the articles independently for screening and selection. The main inclusion criteria were Persian and English studies and model-based educational interventions. Data extraction was performed by two researchers via a researcher-made form independently according to the inclusion criteria. Results: Of the 12 final articles with a total sample size of 2013 adolescents, 8 articles were from the national databases and 4 from the international databases. Based on the results, although the health belief model is the most prevalent framework in designing educational interventions related to AIDS-preventive behaviors, it does not seem appropriate for changing long-term behaviors. It was also indicated that educational interventions based on the social cognitive theory did not have much effect on their attitudes, despite increasing adolescents' awareness. Educational interventions based on the theory of planned behavior also improved attitudes and significantly increased rejection skills while delaying risky AIDS-related suggestions in students. Conclusions: Different types of health belief model, theory of planned behavior, and the social cognitive theory educational interventions can be effective in increasing the knowledge of adolescents and promoting their HIV-related preventive attitudes and cognitive perceptions. Given their effectiveness, the design and implementation of such interventions are recommended in schools.
Background: Genital misconceptions can lead to sex avoidance in women with genital pelvic pain an... more Background: Genital misconceptions can lead to sex avoidance in women with genital pelvic pain and penetration disorder (GPPPD). Therefore, this study was conducted to examine the sexual cognition of Iranian women with GPPPD. Methods: This comparative analytical descriptive study was performed on 200 GPPPD and non-GPPPD Iranian women who referred to women’s clinics in Hormozgan province in 2021. In this study, availability samples were used, and data were collected using a demographic questionnaire and a localized vaginal penetration cognitive questionnaire. Statistical analysis was performed using SPSS version 25, and the significance level was assumed to be 0.05. Results: The mean age of participants was 29.14±5.44 years. Mean scores for negative self-images, and catastrophic and control cognition were higher in the GPPPD group compared to the non-GPPPD group (P<0.001), while the mean scores of positive cognitions in the GPPPD group were lower (P<0.001). Conclusion: The find...
Spontaneous rupture of the urinary bladder (SRUB) during pregnancy is a potentially fatal event t... more Spontaneous rupture of the urinary bladder (SRUB) during pregnancy is a potentially fatal event that necessitates immediate surgery. The aim of this systematic review is to determine the symptoms, causes, associated factors, and prognosis of SRUB in pregnancy. We searched the literature from inception until December 2022 using the Cochrane Central Register, PubMed, EMBASE, ProQuest, Scopus, and Google Scholar. Articles not in English and those unrelated to the topic were excluded. The JBI Critical Appraisal Checklist for case reports was employed for the risk of bias assessment. The search strategy yielded 312 citations; 29 full-text articles were evaluated for eligibility after screening. Five case reports were included in this review. The age range of the cases was 27-39 years. Four cases were in their second trimester of pregnancy, and one was in her third. Two cases had undergone previous cesarean sections, and one had an appendectomy and salpingectomy due to an ectopic pregnancy. One case reported a history of alcohol and drug abuse. The most common symptoms were abdominal pain, abdominal distension, oliguria, voiding difficulty, hematuria, fever, and vomiting. The diagnosis of SRUB was primarily made via emergency laparotomy due to the patients' critical conditions. Beyond its diagnostic role, laparotomy was also the treatment method in all cases. Tear repair, antibiotic therapy, and urinary catheterization were all integral parts of the treatment. Four cases resulted in an uneventful pregnancy and a healthy, full-term baby. In one case, a hysterectomy was performed due to a combined uterus and bladder rupture. SRUB often presents with non-specific symptoms, leading to a delayed diagnosis. A high index of suspicion is essential when a pregnant woman exhibits urinary symptoms and severe abdominal pain, especially in those with a history of previous surgery. Early detection and treatment of SRUB are critical for an uneventful recovery.
International Journal of Reproductive BioMedicine (IJRM)
Background: The Coronavirus disease (COVID-19) may lead to couples not being physically and menta... more Background: The Coronavirus disease (COVID-19) may lead to couples not being physically and mentally ready to assume a parenting role. Objective: Given the changes in reproductive behaviors and the lack of accurate information about childbearing factors during the Coronavirus pandemic, this study was conducted to investigate the role of the COVID-19 pandemic in Iranian couples’ childbearing intentions based on the theory of planned behavior model. Materials and Methods: This cross-sectional study was conducted on 400 married Iranian women from July to October 2020 using official online popular social networks. Data were collected using a demographic checklist and the researcher-made questionnaire, which was designed based on the main constructs of the planned behavior model. Results: Testing the indirect relationships of the mediation model effect showed a positive relationship between knowledge (β = 0.226, p < 0.001) and subjective norms (β = 0.155, p = 0.001) about COVID-19. An...
Background: AIDS is one of the perilous infectious diseases and according to the WHO, the only ef... more Background: AIDS is one of the perilous infectious diseases and according to the WHO, the only effective way to prevent AIDS is through health education. Therefore, high-risk and vulnerable groups, including adolescents, should be prioritized in educational programs. Objectives: This systematic review study aims to investigate the effects of model-based educational interventions on promoting AIDS preventive behaviors in Iranian adolescents. Methods: International databases, including Scopus, PubMed/MEDLINE, Web of Science, ISC, and Google Scholar, along with national databases, including Magiran, SID, IranDoc, and IRCT were consulted for eligible articles. The following keywords were selected based on MeSH and combined with Boolean (AND, OR) operators: “Adolescent, ” “Health model, ” “Education, ” “HIV, ” “Iran, ” and “Knowledge.” A total of 2969 articles published from April 1, 2005, to May 1, 2020, were extracted. Subsequently, two researchers reviewed the articles independently f...
BackgroundVaginismus is known as a type of sexual pain disorder. Regarding the multifactorial nat... more BackgroundVaginismus is known as a type of sexual pain disorder. Regarding the multifactorial nature of vaginismus, the biopsychosocial model is one of the best models to describe this sexual disorder.AimThe present research was conducted to study the determinants of sexual function in women with and without vaginismus based on the biopsychosocial model.MethodsThis case-control study was conducted in Iran on 420 women with and without primary vaginismus who met the inclusion criteria. All eligible people were included in the research once their eligibility was verified and their informed permission was acquired; convenience and purposive sampling techniques were used continually. Data collection tools included the demographic and obstetric information form and multiple published scales and questionnaires. Structural equation modeling with LISREL 9.2 software (Scientific Software International) was used to evaluate the determinants of the sexual function of vaginismus.OutcomesPartici...
Background and Aim: Sexual function is one of the important aspects of human health and quality o... more Background and Aim: Sexual function is one of the important aspects of human health and quality of life that is affected by various factors. Recently, some evidence reported the relationship between hypovitaminosis and sexual dysfunction, and some studies show the effect of vitamin D supplementation on sexual function. The aim of this study was to evaluate the effect of vitamin D on sexual function in both men and women. Methods: This systematic review study assessed all clinical trial articles found in search databases (Cochrane, PubMed / Medline, Embase via Ovid, ProQuest, Scopus, and WOS) without language restriction, until 24/01/2022. Article extraction was performed using the Endnote X8.2 software and duplicate titles were excluded. After screening the titles and abstracts, the two researchers independently conducted quality assessments of studies using the Cochran's risk of bias tool and RevMan 5.4 software. Then, the data were extracted by three authors independently usin...
Background: Human papillomavirus (HPV) is the most common sexually transmitted infection worldwid... more Background: Human papillomavirus (HPV) is the most common sexually transmitted infection worldwide, especially in people with age of under 25 years. It is often caused due to lack of awareness and misconception. Given the precancerous role of this virus and the importance of its prevention, HPV vaccination has been considered in all countries; so it is necessary to improve the knowledge and attitude of adolescents. Therefore, awareness and attitudes among high-risk groups need to be improved, especially among the vulnerable teens. This systematic review was conducted to evaluate the effect of educational interventions on knowledge and attitude of adolescent girls about HPV vaccine. Methods: All quantitative studies, which were published without time limit, were entered in this systematic review article. The investigation was performed in the English and national databases such. Keywords were as Knowledge, Attitudes, Papillomavirus Vaccines, Gardasil, and Intervention study combined ...
IntroductionSpontaneous bladder rupture during pregnancy is a potentially life-threatening event ... more IntroductionSpontaneous bladder rupture during pregnancy is a potentially life-threatening event requiring immediate surgery to reduce morbidity and mortality. This systematic review aims to identify associated factors of spontaneous bladder rupture during pregnancy and propose a diagnostic and therapeutic algorithm.Methods and analysisTo improve the reporting of this protocol, the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) 2020 statement was used. The primary objective is to identify and summarise the associated factors with spontaneous bladder rupture during pregnancy. The secondary outcome was to determine the diagnostic and treatment approach. From inception to June 2022, a systematic search of the following electronic databases of peer-reviewed journal articles and online search records will be conducted: the Cochrane Central Register, PubMed, Medline (Via PubMed), Embase (Via Ovid), ProQuest, Scopus, WOS and search engine Google Scholar. All typ...
BACKGROUND Induction of labor is a common obstetric procedure. Acupressure is a natural method th... more BACKGROUND Induction of labor is a common obstetric procedure. Acupressure is a natural method that is used for inducing uterine contractions. Nevertheless, few studies have examined the impact of acupressure on the induction of labor. AIM The aim of this study was to evaluate the effect of acupressure on the initiation of labor. MATERIAL AND METHODS In this randomized clinical trial, 162 nulliparous pregnant women were admitted to the hospital. They were categorized into 3 groups; acupressure, sham acupressure and control. Acupressure points SP6, BL 60 and BL 32 were pressured bilaterally. The intervention was done by the researcher every other day between 9 am and 11 am. The intervention was carried out on women in the afternoon and the following day. Subjects were examined to determine the initiation of labor symptoms48 and 96h after the start of intervention and at the time of hospitalization. Data were analyzed using the ANOVA, Kruskal-Wallis and Chi-square tests (p<0.05). RESULTS There was no significant difference among the groups for spontaneous initiation of labor within 48h (P=0.464), and 49-96h after beginning the intervention (P=0.111) and 97h after beginning the intervention to the time of hospitalization for the spontaneous initiation of labor (P=0.897). There were no significant differences in the secondary outcomes between the groups. CONCLUSION According to the finding of this study, it seems that acupressure treatment was not effective in initiating labor as compared with the sham acupressure and the routine care groups.
Background: According to the importance of postpartum sexual dysfunctions and their effects of th... more Background: According to the importance of postpartum sexual dysfunctions and their effects of these cases on the quality of life of the couple, this study aimed to determine vaginal postpartum sexual function and dyspareunia. Methods: This descriptive-analytical study was performed on 400 women with a history of natural childbirth in 2020 - 2021 in Hormozgan Province, Iran. The demographic and obstetric checklist, sexual function, and postpartum dyspareunia questionnaires (Carol Scale) were used. For data analysis, “SPSS 18.0” Software and for Partial least squares (PLS) modeling, Smart PLS Software was used. Results: The mean age of the women was 26.74 ± 6.12 years, and the average overall sexual function and postpartum dyspareunia score were 27.18 ± 8.62. All amounts of cross-validated communality indicated the appropriate and acceptable quality of the present research model. The absolute goodness of fit (GOF) for the tested model was 0.41, indicating the tested model's appro...
Background: Adolescents need services that improve their physiological, cognitive, emotional, and... more Background: Adolescents need services that improve their physiological, cognitive, emotional, and social alteration into adulthood. Since the adolescent health needs have been identified, the focus of service delivery has mainly been on access to sexual health care assistance, including HIV issues. Objectives: This systematic review aims to assess the perceived barriers and facilitators of adolescent friendly health services in the world because teens are a positive and energetic force for the present and future of a community. Methods: All qualitative studies from 2000 to 2019 have been considered in this review. The searched databases include Cochrane Central Register, MEDLINE, Google Scholar, Embase, ProQuest, Scopus, Web of Science, CINAHL, and the Ovid platform. The studies included those conducted on all gender and ethnic groups adolescents between 10 to19 years that received health services, as well as their families and health care providers. Selected studies will be critica...
Background: The present research aimed to explore the relationship between tobacco consumption an... more Background: The present research aimed to explore the relationship between tobacco consumption and menopause characteristics in women in southern Iran. Materials and Methods: The current cross-sectional study used the basic data of Bandar Kong Cohort in southern Iran. A cross-sectional analysis was conducted on these 867 postmenopausal women . The data collection instrument was a questionnaire based on a review of the related literature, actual experiences, and the existing instruments utilized in cohort studies in Iran and foreign countries. The chi-square test, independent samples t test, and logistic regression analysis were employed for analyses in SPSS. Results: Overall, 867 postmenopausal women were included in the study. Their average age was 57.42±6.34 years. Menopause-smoker women had a lower level of education and body mass index (BMI), and the difference was statistically significant. In the present study, the widows, divorcees, and others used at least one tobacco produc...
Smoking is a developing health challenge all over the world. Studies showed that more than 30% of... more Smoking is a developing health challenge all over the world. Studies showed that more than 30% of women of reproductive age smoke in some countries. Researchers reported that smoking can cause various problems (1). Sexual dysfunction includes psychiatric experiences that are apparent as impaired libido, sexual arousal, orgasm, and intercourse pain. Female sexual dysfunction affects about 40-45% of women. Sexual dysfunction is an important component that impacts the quality of life (2, 3). The prevalence of sexual disorders among smokers has increased in the domain of arousal, orgasm, and sexual satisfaction. Libido disorder, sexual arousal disorder, and pain are more common in the passive smoker (4). With the increase in the number of cigarettes, the sexual function score in women decreases, so the score of sexual function in moderate-to-heavy smokers is significantly higher than that in other types of cigarettes. Different mechanisms have been mentioned regarding the effect of nicotine on sexual dysfunction among women. Nicotine can inhibit ovarian function and have an anti-estrogenic effect by increasing the formation of catechol estrogen metabolites. On the other hand, the reproductive system is sensitive to estrogen, and the anti-estrogens effect of nicotine and cigarettes reduces blood flow. Cigarette smoke may reduce genital engorgement and vascularization by increasing the atherogenic index and vasoconstrictive effect. Reducing the level of nitric oxide, increasing the formation of b-adrenergic receptors, and increasing the anticholinergic effect caused by nicotine are effective on the blood flow disorder of the genital area and may reduce vaginal lubrication, causing painful intercourse (5). In the last few years, hookah smoking (the old method of tobacco smoking) has been increasing among women. The side effects of hookah smoking are higher in women than in men (6). Based on our searches, the studies on sexual dysfunction and hookah are extensively incomplete. Due to the high prevalence of smoking and positive attitude to hookah among women,
Nowadays, polycystic ovary syndrome (PCOS) and cognitive dysfunction are major health problems am... more Nowadays, polycystic ovary syndrome (PCOS) and cognitive dysfunction are major health problems among female. This narrative review aimed to investigate cognitive dysfunction in female with PCOS. English and Persian articles published in PubMed, Scopus, Web of Science, Google Scholar, PsycINFO, Scientific Information Database, and Cochrane Database of Systematic Reviews until May 2022 were searched. Sixteen studies involving 850 female with PCOS and 974 controls were assessed. In these studies, the association between biochemical factors and symptoms of PCOS and memory, attention, executive functioning, information processing speed, and visuospatial skills was evaluated. The literature review revealed the possible cognitive changes in female with PCOS. This study summarized the different aspects of cognitive function in female with PCOS due to medication, psychological problems (mood disorders caused by disease symptoms and complications), and biochemical markers, such as metabolic and sex hormone abnormalities. Considering the existing scientific gap regarding the possibility of cognitive complications in female with PCOS, further biological studies should be conducted to evaluate the potential mechanisms involved.
Background: AIDS is one of the perilous infectious diseases and according to the WHO, the only ef... more Background: AIDS is one of the perilous infectious diseases and according to the WHO, the only effective way to prevent AIDS is through health education. Therefore, high-risk and vulnerable groups, including adolescents, should be prioritized in educational programs. Objectives: This systematic review study aims to investigate the effects of model-based educational interventions on promoting AIDS preventive behaviors in Iranian adolescents. Methods: International databases, including Scopus, PubMed/MEDLINE, Web of Science, ISC, and Google Scholar, along with national databases, including Magiran, SID, IranDoc, and IRCT were consulted for eligible articles. The following keywords were selected based on MeSH and combined with Boolean (AND, OR) operators: "Adolescent, " "Health model, " "Education, " "HIV, " "Iran, " and "Knowledge." A total of 2969 articles published from April 1, 2005, to May 1, 2020, were extracted. Subsequently, two researchers reviewed the articles independently for screening and selection. The main inclusion criteria were Persian and English studies and model-based educational interventions. Data extraction was performed by two researchers via a researcher-made form independently according to the inclusion criteria. Results: Of the 12 final articles with a total sample size of 2013 adolescents, 8 articles were from the national databases and 4 from the international databases. Based on the results, although the health belief model is the most prevalent framework in designing educational interventions related to AIDS-preventive behaviors, it does not seem appropriate for changing long-term behaviors. It was also indicated that educational interventions based on the social cognitive theory did not have much effect on their attitudes, despite increasing adolescents' awareness. Educational interventions based on the theory of planned behavior also improved attitudes and significantly increased rejection skills while delaying risky AIDS-related suggestions in students. Conclusions: Different types of health belief model, theory of planned behavior, and the social cognitive theory educational interventions can be effective in increasing the knowledge of adolescents and promoting their HIV-related preventive attitudes and cognitive perceptions. Given their effectiveness, the design and implementation of such interventions are recommended in schools.
Background: Genital misconceptions can lead to sex avoidance in women with genital pelvic pain an... more Background: Genital misconceptions can lead to sex avoidance in women with genital pelvic pain and penetration disorder (GPPPD). Therefore, this study was conducted to examine the sexual cognition of Iranian women with GPPPD. Methods: This comparative analytical descriptive study was performed on 200 GPPPD and non-GPPPD Iranian women who referred to women’s clinics in Hormozgan province in 2021. In this study, availability samples were used, and data were collected using a demographic questionnaire and a localized vaginal penetration cognitive questionnaire. Statistical analysis was performed using SPSS version 25, and the significance level was assumed to be 0.05. Results: The mean age of participants was 29.14±5.44 years. Mean scores for negative self-images, and catastrophic and control cognition were higher in the GPPPD group compared to the non-GPPPD group (P<0.001), while the mean scores of positive cognitions in the GPPPD group were lower (P<0.001). Conclusion: The find...
Spontaneous rupture of the urinary bladder (SRUB) during pregnancy is a potentially fatal event t... more Spontaneous rupture of the urinary bladder (SRUB) during pregnancy is a potentially fatal event that necessitates immediate surgery. The aim of this systematic review is to determine the symptoms, causes, associated factors, and prognosis of SRUB in pregnancy. We searched the literature from inception until December 2022 using the Cochrane Central Register, PubMed, EMBASE, ProQuest, Scopus, and Google Scholar. Articles not in English and those unrelated to the topic were excluded. The JBI Critical Appraisal Checklist for case reports was employed for the risk of bias assessment. The search strategy yielded 312 citations; 29 full-text articles were evaluated for eligibility after screening. Five case reports were included in this review. The age range of the cases was 27-39 years. Four cases were in their second trimester of pregnancy, and one was in her third. Two cases had undergone previous cesarean sections, and one had an appendectomy and salpingectomy due to an ectopic pregnancy. One case reported a history of alcohol and drug abuse. The most common symptoms were abdominal pain, abdominal distension, oliguria, voiding difficulty, hematuria, fever, and vomiting. The diagnosis of SRUB was primarily made via emergency laparotomy due to the patients' critical conditions. Beyond its diagnostic role, laparotomy was also the treatment method in all cases. Tear repair, antibiotic therapy, and urinary catheterization were all integral parts of the treatment. Four cases resulted in an uneventful pregnancy and a healthy, full-term baby. In one case, a hysterectomy was performed due to a combined uterus and bladder rupture. SRUB often presents with non-specific symptoms, leading to a delayed diagnosis. A high index of suspicion is essential when a pregnant woman exhibits urinary symptoms and severe abdominal pain, especially in those with a history of previous surgery. Early detection and treatment of SRUB are critical for an uneventful recovery.
International Journal of Reproductive BioMedicine (IJRM)
Background: The Coronavirus disease (COVID-19) may lead to couples not being physically and menta... more Background: The Coronavirus disease (COVID-19) may lead to couples not being physically and mentally ready to assume a parenting role. Objective: Given the changes in reproductive behaviors and the lack of accurate information about childbearing factors during the Coronavirus pandemic, this study was conducted to investigate the role of the COVID-19 pandemic in Iranian couples’ childbearing intentions based on the theory of planned behavior model. Materials and Methods: This cross-sectional study was conducted on 400 married Iranian women from July to October 2020 using official online popular social networks. Data were collected using a demographic checklist and the researcher-made questionnaire, which was designed based on the main constructs of the planned behavior model. Results: Testing the indirect relationships of the mediation model effect showed a positive relationship between knowledge (β = 0.226, p < 0.001) and subjective norms (β = 0.155, p = 0.001) about COVID-19. An...
Background: AIDS is one of the perilous infectious diseases and according to the WHO, the only ef... more Background: AIDS is one of the perilous infectious diseases and according to the WHO, the only effective way to prevent AIDS is through health education. Therefore, high-risk and vulnerable groups, including adolescents, should be prioritized in educational programs. Objectives: This systematic review study aims to investigate the effects of model-based educational interventions on promoting AIDS preventive behaviors in Iranian adolescents. Methods: International databases, including Scopus, PubMed/MEDLINE, Web of Science, ISC, and Google Scholar, along with national databases, including Magiran, SID, IranDoc, and IRCT were consulted for eligible articles. The following keywords were selected based on MeSH and combined with Boolean (AND, OR) operators: “Adolescent, ” “Health model, ” “Education, ” “HIV, ” “Iran, ” and “Knowledge.” A total of 2969 articles published from April 1, 2005, to May 1, 2020, were extracted. Subsequently, two researchers reviewed the articles independently f...
BackgroundVaginismus is known as a type of sexual pain disorder. Regarding the multifactorial nat... more BackgroundVaginismus is known as a type of sexual pain disorder. Regarding the multifactorial nature of vaginismus, the biopsychosocial model is one of the best models to describe this sexual disorder.AimThe present research was conducted to study the determinants of sexual function in women with and without vaginismus based on the biopsychosocial model.MethodsThis case-control study was conducted in Iran on 420 women with and without primary vaginismus who met the inclusion criteria. All eligible people were included in the research once their eligibility was verified and their informed permission was acquired; convenience and purposive sampling techniques were used continually. Data collection tools included the demographic and obstetric information form and multiple published scales and questionnaires. Structural equation modeling with LISREL 9.2 software (Scientific Software International) was used to evaluate the determinants of the sexual function of vaginismus.OutcomesPartici...
Background and Aim: Sexual function is one of the important aspects of human health and quality o... more Background and Aim: Sexual function is one of the important aspects of human health and quality of life that is affected by various factors. Recently, some evidence reported the relationship between hypovitaminosis and sexual dysfunction, and some studies show the effect of vitamin D supplementation on sexual function. The aim of this study was to evaluate the effect of vitamin D on sexual function in both men and women. Methods: This systematic review study assessed all clinical trial articles found in search databases (Cochrane, PubMed / Medline, Embase via Ovid, ProQuest, Scopus, and WOS) without language restriction, until 24/01/2022. Article extraction was performed using the Endnote X8.2 software and duplicate titles were excluded. After screening the titles and abstracts, the two researchers independently conducted quality assessments of studies using the Cochran's risk of bias tool and RevMan 5.4 software. Then, the data were extracted by three authors independently usin...
Background: Human papillomavirus (HPV) is the most common sexually transmitted infection worldwid... more Background: Human papillomavirus (HPV) is the most common sexually transmitted infection worldwide, especially in people with age of under 25 years. It is often caused due to lack of awareness and misconception. Given the precancerous role of this virus and the importance of its prevention, HPV vaccination has been considered in all countries; so it is necessary to improve the knowledge and attitude of adolescents. Therefore, awareness and attitudes among high-risk groups need to be improved, especially among the vulnerable teens. This systematic review was conducted to evaluate the effect of educational interventions on knowledge and attitude of adolescent girls about HPV vaccine. Methods: All quantitative studies, which were published without time limit, were entered in this systematic review article. The investigation was performed in the English and national databases such. Keywords were as Knowledge, Attitudes, Papillomavirus Vaccines, Gardasil, and Intervention study combined ...
IntroductionSpontaneous bladder rupture during pregnancy is a potentially life-threatening event ... more IntroductionSpontaneous bladder rupture during pregnancy is a potentially life-threatening event requiring immediate surgery to reduce morbidity and mortality. This systematic review aims to identify associated factors of spontaneous bladder rupture during pregnancy and propose a diagnostic and therapeutic algorithm.Methods and analysisTo improve the reporting of this protocol, the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) 2020 statement was used. The primary objective is to identify and summarise the associated factors with spontaneous bladder rupture during pregnancy. The secondary outcome was to determine the diagnostic and treatment approach. From inception to June 2022, a systematic search of the following electronic databases of peer-reviewed journal articles and online search records will be conducted: the Cochrane Central Register, PubMed, Medline (Via PubMed), Embase (Via Ovid), ProQuest, Scopus, WOS and search engine Google Scholar. All typ...
BACKGROUND Induction of labor is a common obstetric procedure. Acupressure is a natural method th... more BACKGROUND Induction of labor is a common obstetric procedure. Acupressure is a natural method that is used for inducing uterine contractions. Nevertheless, few studies have examined the impact of acupressure on the induction of labor. AIM The aim of this study was to evaluate the effect of acupressure on the initiation of labor. MATERIAL AND METHODS In this randomized clinical trial, 162 nulliparous pregnant women were admitted to the hospital. They were categorized into 3 groups; acupressure, sham acupressure and control. Acupressure points SP6, BL 60 and BL 32 were pressured bilaterally. The intervention was done by the researcher every other day between 9 am and 11 am. The intervention was carried out on women in the afternoon and the following day. Subjects were examined to determine the initiation of labor symptoms48 and 96h after the start of intervention and at the time of hospitalization. Data were analyzed using the ANOVA, Kruskal-Wallis and Chi-square tests (p<0.05). RESULTS There was no significant difference among the groups for spontaneous initiation of labor within 48h (P=0.464), and 49-96h after beginning the intervention (P=0.111) and 97h after beginning the intervention to the time of hospitalization for the spontaneous initiation of labor (P=0.897). There were no significant differences in the secondary outcomes between the groups. CONCLUSION According to the finding of this study, it seems that acupressure treatment was not effective in initiating labor as compared with the sham acupressure and the routine care groups.
Background: According to the importance of postpartum sexual dysfunctions and their effects of th... more Background: According to the importance of postpartum sexual dysfunctions and their effects of these cases on the quality of life of the couple, this study aimed to determine vaginal postpartum sexual function and dyspareunia. Methods: This descriptive-analytical study was performed on 400 women with a history of natural childbirth in 2020 - 2021 in Hormozgan Province, Iran. The demographic and obstetric checklist, sexual function, and postpartum dyspareunia questionnaires (Carol Scale) were used. For data analysis, “SPSS 18.0” Software and for Partial least squares (PLS) modeling, Smart PLS Software was used. Results: The mean age of the women was 26.74 ± 6.12 years, and the average overall sexual function and postpartum dyspareunia score were 27.18 ± 8.62. All amounts of cross-validated communality indicated the appropriate and acceptable quality of the present research model. The absolute goodness of fit (GOF) for the tested model was 0.41, indicating the tested model's appro...
Background: Adolescents need services that improve their physiological, cognitive, emotional, and... more Background: Adolescents need services that improve their physiological, cognitive, emotional, and social alteration into adulthood. Since the adolescent health needs have been identified, the focus of service delivery has mainly been on access to sexual health care assistance, including HIV issues. Objectives: This systematic review aims to assess the perceived barriers and facilitators of adolescent friendly health services in the world because teens are a positive and energetic force for the present and future of a community. Methods: All qualitative studies from 2000 to 2019 have been considered in this review. The searched databases include Cochrane Central Register, MEDLINE, Google Scholar, Embase, ProQuest, Scopus, Web of Science, CINAHL, and the Ovid platform. The studies included those conducted on all gender and ethnic groups adolescents between 10 to19 years that received health services, as well as their families and health care providers. Selected studies will be critica...
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Papers by mojdeh banaei