bluuebunny/crossref_metadata_2025 huggingface dataset:
Early Stages Non-Traumatic Avascular Necrosis of Femoral Head Treated by Core Decompression With and Without Platelets Rich Plasma Injection: A Comparative Study
Authors: H. Majeed Ghadeer , Sh Al-Edanni Mohammed , Abbood Luay Jasim , Al-Mukhtar Sadik A
Published: January 2021

Core decompression is one of the commonest used techniques in the handling of osteonecrosis of the pre-collapsed head of the femur. Core decompression had succeeded in preserving the hip joint and delaying the requisite for total hip replacement, but it had failed in the induction of osteogenesis in the necrotic area, thus augmenting core decompression with biological agents to induce osteogenic activity. To assess the effects of platelet-rich plasma in non-traumatic avascular necrosis of the hip joint (early stage) after core decompression. Interventional comparative study for twenty-four patients (32 hip joints) with AVN of the head of the femur was involved in this prospective study, and they were separated into two groups of 16 hips, group (A) treated by core decompression and PRP injection and group (B) treated by core decompression alone. There was a significant statistical difference in Harris Hip Score and Visual Analogue of the two groups at six months follow up (P<0.05), but this difference was insignificant statistically at 12 months follow up. The radiological success was better in the group (A) as compared to group (B) (13 of 16 versus 10 of 16 hips). The addition of PRP to core decompression for pre-distorted stages of the head of the femur had resulted in improved pain alleviation and functional results and had slowed the disease progression in the one year of follow up.
Liver Stiffness Measurement by Fibroscan in Patients With Hepatitis B
Authors: Bahari Ali , Hoseinian Seyed Mahmoud , Esmaeelzadeh Abbas , Ganji Azita , Bari Zohre
Published: January 2021

About 6 percent (2%-7%) of the world’s population is chronically infected by the hepatitis B virus (HBV). The role of fibroscan for fibrosis assessment in HBV patients has not been widely studied. The present study was designed for the assessment of hepatic fibrosis by fibroscan in HBV positive patients. This is a cross-sectional study with two groups of case and control. According to the physical examination, lab data, abdominal ultrasound, and hepatitis viral load, the case group was categorized into three subgroups: inactive carrier, chronic hepatitis, and cirrhosis. The Control group was selected from a healthy population of 145 HBV patients, and 370 healthy persons entered the study. The case group included 35 inactive carriers, 63 chronic hepatitis B, and 47 cirrhotic patients, and their mean amount of fibrosis (measured by fibroscan) was 6.169 kpa, 7.758 kpa, and 24.0255 kpa, respectively. Also, the mean amount of fibrosis was 5.5510 (SD=2.43) in the control group. There was a statistically significant difference between cirrhotic patients and other groups (P<0.001). Also, a strong association between viral load and fibrosis degree was observed in chronic hepatitis B patients (P<0.001, R2=0.7811). Fibroscan is a novel instrument for the estimation of the liver fibrotic stage in HBV cirrhotic patients.
Correlation Between Stigma and Quality of Life in Leprosy Patients in Mehrab Khan Region of Mashhad
Authors: Bayat Zahra Safavi , Brakel Wim Van , Ebrahimi Hamideh , Naderi Ravesh Nadere , Shakeri Nezhat , Ebrahimi Masomeh
Published: January 2021

Leprosy is one of the oldest chronic diseases, and similar to other infectious diseases, it causes long-term physical and social effects on the lives of patients and their families. This was a cross-sectional study conducted with 103 patients with leprosy in Mashhad in the Mehrab Khan region in March 2016. The sampling method was convenience sampling. The data was analyzed using SPSS version 19. Descriptive statistics (frequency, percentage, mean and standard deviation) and inferential tests (ANOVA, Pearson correlation, and independent t-test) were used. The results showed that the mean age of patients was 65.2±8.1 years and the mean age of developing leprosy was 15.3±7.03. There was an inverse correlation between the score of overall stigma, internal stigma, and all dimensions of quality of life that was statistically significant, except for the social dimension (r= -0.181…; P=0.067). There was an inverse correlation between the psychological dimension of quality of life and experienced stigma. The highest score of the overall quality of life was related to divorced patients with a mean score of 79.7, which was statistically significant (P=0.016) from those who were not divorced. In post-hoc test, just the difference between widow and divorced were significant regarding quality of life. According to results, there was a negative correlation between the quality of life and all aspects of stigma using the SARI tool.
Dealing With Sparse Data Bias in Medical Sciences: Comprehensive Review of Methods and Applications
Authors: Panahi Mohammad Hossein , Mohammad Kazem , Bidhendi Yarandi Razieh , Ramezani Tehrani Fahimeh
Published: January 2021

This study aims to illustrate the problem of (Quasi) Complete Separation in the sparse data pattern occurring medical data. We presented the failure of traditional methods and then provided an overview of popular remedial approaches to reduce bias through vivid examples. Penalized maximum likelihood estimation and Bayesian methods are some remedial tools introduced to reduce bias. Data from the Tehran Thyroid and Pregnancy Study, a two-phase cohort study conducted from September 2013 through February 2016, was applied for illustration. The bias reduction of the estimate showed how sufficient these methods are compared to the traditional method. Extremely large measures of association such as the Risk ratios along with an extraordinarily wide range of confidence interval proved the traditional estimation methods futile in case of sparse data while it is still widely applying and reporting. In this review paper, we introduce some advanced methods such as data augmentation to provide unbiased estimations.
The Predictors of Hospital-Death Among Children in Western Iran
Authors: Siabani Soraya , Babakhani Maryam , Soroush Ali , Siabani Hossein , Babaei Homa
Published: January 2021

Analyzing child mortality, an important indicator of health and development of countries, can help policymakers to develop health programs that resulted in improving Childs’s health. Recognizing the causes of in-hospital deaths also assists health caregivers to revise their medical services. The aim of this study was to explore the causes of death in the largest hospital in western Iran. This retrospective descriptiveanalytical study was conducted in Imam Reza Hospital (IRH) in Kermanshah, data including demographic characteristics (e.g., age), medical information, and causes of death of patients aged ≤18 years, from April 2012 to March 2017 were collected using a checklist. The causes of mortalities were categorized based on the International Coding of Diseases (ICD, Version 10). Using logistic regression, Chi-square, and Cramer's V test in SPSS, the relationships between the outcome and predicting variables were assessed. The results showed 1113 deaths among 21,247 people≤, 18 years people admitted to IRH for five years. About 55% were female and 74% neonate, with a dropping trend from 2011 (4.62%) to 2016 (4.00%). Medical records, mostly, used a variety of usual medical terms for the causes of death, rather than using ICD10 categories. Data were analyzed after alternating medical terms and re-coding data using ICD10. Respiratory system diseases by 34% (dominancy of hyaline membrane diseases), infectious diseases by 28% (leading by sepsis), and diseases of the blood by 13% (mostly disseminated intravascular coagulation (DIC)), respectively, were the most common causes of death. Age was the most important associated factor for all-cause mortality associated with infectious diseases and respiratory system diseases (P=0.01). Having a significant number of neonatal mortality, paying more attention to the neonatal, prenatal, and antenatal care is recommended. In addition, the fatality of infectious diseases is concerning and needs paying serious attention to the health care system.
Vertebral Fractures Due to Metastatic Tumors: A Case Report
Authors: Mohammadi Susan , Abouzaripour Morteza , Shariati Nastaran Hesam , Fathi Fardin , Gholami Farashah Mohammad Sadegh , Bakhtiar Hesam Shariati Mohammad
Published: January 2021

Metastasis is responsible for most cancer-related morbidity and mortality. In principle, metastasis is the spread of cancer from the primary site to distant tissues. Pathological consistency may be compromised during metastasis. We report the case of a 55-year-old man with MRI images of the dorsal spine showing the effects of a fifth dorsal collapse. He was referred to our hospital because of back pain, imbalance, inability to walk, and weakness of the lower limb. The histological features of bone tumors were corresponding with cell carcinoma, and bone damage was considered metastatic from a site in the lung. His general situation gently diminished, and He died during radiotherapy.
In Memoriam: Javad TavakkolyBazzaz (1967-2020)
Authors: Rezaei Nima
Published: January 2021

The article's abstract is not available.
Spirituality and Integrative and Complementary Health Practices in Brazil: A Scope Review
Authors: Inocêncio Santos Raimundo Luiz , Bermudes Fernando Torres , Barcellos Judá Câmara , Guerrero Thiago Nunes , Da Silva Valmin Ramos , Da Costa Solange Rodrigues , Rezende Coelho Maria Carlota de
Published: January 2021

This study aims to know the Brazilian medical literature scientific production on spirituality as a health care practice, as well as to identify the principal interventions-executed by these professionals-that have been characterized as Integrative and Complementary Health Practices. A scope methodology proposed by the Joanna Briggs Institute was used in the following phases: identification of research questions; identification of relevant studies; selection of studies; data mapping; grouping, synthesis of results. Two researchers alone carried out the searches, and a third researcher responded to the doubts of inclusion and exclusion of the identified articles. PubMed was the database, with the descriptors in Portuguese and English. Among the 71 articles identified, 27 were analyzed. The largest number of studies is concentrated in 2016 (44.44%). Concerning the type of study, the clinical trial prevails (77.77%). It was through meditation (29.63%) and Yoga (25.92%) that the discussion of spirituality-as Integrative and Complementary Practices in Health-materialized. Both had positive implications on the health of the groups participating in the studies. Based on the articles synthesis and on the regulations by the Ministry of Health and World Health Organization, it is plausible to assert that spirituality is ingrained in Integrative and Complementary Health Practices and that the concern in these practices has been enhancing.
Diagnostic Value of the Glasgow-Blatchford Scoring System in Patients With Upper Gastrointestinal Bleeding
Authors: Shadkam Omid , Bahari Ali , Farzanehfar Mohammadreza , Namdar Ali Beheshti , Ahadi Mitra , Ganji Azita , Goshayeshi Ladan , Rezayat Kambiz Akhavan
Published: January 2021

- There are disagreements about the diagnostic value of the current risk stratification systems in patients with acute upper gastrointestinal bleeding (UGIB). The present study aimed to determine the diagnostic value of the Glasgow-Blatchford score in UGIB patients. This study was conducted on 182 patients with UGIB who underwent endoscopy in the Emergency Department of Imam Reza Hospital, Mashhad, Iran. Glasgow-Blatchford Score (GBS) of each patient was estimated by using the clinical and laboratory parameters. The relationship between Blatchford score and endoscopic findings was assessed. Additionally, the sensitivity and specificity of GBS were measured based on high- and low-risk patients. According to the results, GBS had a high sensitivity (90.9%), specificity (79%), as well as positive (76%), and negative predictive values (92.2%). However, no significant relationship was observed between the Glasgow-Blatchford score and re-bleeding. As the findings of the present study indicated, GlasgowBlatchford was a good predictive method for the determination of the high-risk and low-risk patients with UGIB. Nevertheless, this method showed poor performance in the prediction of re-bleeding.
Efficacy of 25% Glucose in Pain Alleviation During Retinopathy of Prematurity (ROP) Screening: A Randomized Controlled Trial
Authors: Sagheb Setareh , Mosayebi Ziba , Karimi Nooshin , Nikseresht Zahra , Ani Mohammad Mehdi
Published: January 2021

Retinopathy of prematurity (ROP) remains a painful examination, despite the common application of local anesthetic eye drops. This study aimed at examining the analgesic effects of 25% glucose in a premature infant pain profile (PIPP) in the first eye examination of infants with ROP. This three-group, randomized clinical trial was conducted from March to February 2017. One oral dose of 25% glucose solution (1 cc/kg) was administered one minute before the first examination of ROP. Mydriatic and anesthetic eye drops were locally instilled in the eyes before the examination for each group. Then, comparisons were made with the control group, which did not receive oral glucose (B), as well as the group which received 1 ml/kg of distilled water (C). The main investigator, who was blinded to the groups, evaluated pain using PIPP at one minute before, during, and one and five minutes after the procedure (ethics code: IR.TUMS.MEDICINE.REC.1396.3130). The baseline characteristics were comparable between the groups. During the procedure, the group receiving oral 20% glucose showed significantly lower PIPP scores (13.8±1.39) compared to the other groups (group B: 15.95±1.27 and group C: 15.10±1.19) (P=0.001). The positive effects persisted for five minutes in this group after the procedure (7.6±1.26), compared to the other groups (P=0.034). During and after ROP screening, oral 25% glucose in combination with local anesthetic eye drops can cause a significant reduction in pain.
The Comparison Between Intravenous Acetaminophen Versus Oral Ibuprofen in Preterm Newborns With Patent Ductus Arteriosus: A Clinical Trial
Authors: Mohammadpour Ahranjani Behzad , Dalil Hosein , Harif Nashtifani Zeinab , Shariat Mamak , Khorgami Mohammadrafie
Published: January 2021

Oral ibuprofen has been known as a conventional treatment for closing patent ductus arteriosus (PDA) in preterm newborns. Since the use of it might lead to various side effects, other treatments needed to be evaluated. Therefore in a prospective study, we compared the efficacy and safety of intravenous acetaminophen versus oral ibuprofen for the closure of PDA. In this study which was done prospectively and under control, 50 preterm neonates with gestational ages and weights less than 37 weeks old and 2500 grams, respectively, who had PDA, large enough hemodynamically, were included in the study. The patients were divided into two groups: A (intravenous acetaminophen) & B (oral ibuprofen). The two groups were given at most two 3-day courses of the medication (the second course if necessary) and evaluated at the end of each course by echocardiography so as to determine the response to the treatment at each step. The rate of ductal closure, the need for additional treatment, side effects, complications and the newborn’s clinical status were recorded. The rate of ductal closure in the both groups after one course of treatment was similar and showed no meaningful significance statistically (P=0.306). But that of the side effects was much higher in group B with a P=0.021. Intravenous Acetaminophen is not only as efficacious as oral Ibuprofen for the treatment of PDA in preterm infants, but also is less likely to lead to side effects and complications.
Looking at the Levels of Bloom's Taxonomy in a Flipped Classroom Utilizing Study Guide and Interactive Assignment for Undergraduate Medical Students
Authors: Nassiri Toosi Mohsen , Alizadeh Maryam , Khodadadegi Mahmood , Armandei Mahdi , Ajalooian Zohreh , Alikhani Reihaneh
Published: January 2021

Our aims were determining the student’s views about the effect of using the study guide on advance preparation in a flipped class setting and testing the effect of flipped class on higher cognition. Using a quasiexperimental design in Tehran University of Medical Sciences, one batch was taught using a flipped classroom and another batch by a lecture in 3 sessions. The student’s views were assessed using a questionnaire, and the effect of flipped class on levels of higher cognition based on Bloom's taxonomy was measured using two tests in two-time intervals. Seventy-two students believed that the study guide helped them to devote their time to study. Data did not support our hypothesis that flipped class could result in higher cognition one month and four months after the intervention T=-0.75, df=197, P=0.45 in knowledge Questions, T=-1.08, df=197, P=0.28 in comprehensive questions, T=-0.30, df=197, P=0.76 in an application, and T=-0.91, df=197, P=0.36 in analytical questions. Study guides could be effective tools to get students to interact with pre-assigned readings in a flipped class context. Our hypothesis that flipped class could result in higher cognition was not supported.
Oral Mucous Membrane Pemphigoid With Positive Nikolsky’s Sign: A Case Report
Authors: Akbari Narjes , Mozafari Ghazaleh , Abbaszadeh Hamid
Published: January 2021

Mucous membrane pemphigoid (MMP) is a rare inflammatory, autoimmune, and subepithelial vesiculobullous disease in which tissue-bound autoantibodies are produced against one or more components of the basement membrane. Oral lesions of the pemphigoid begin in the form of vesicles or bullae that often involve throughout the mouth but may be confined to specific areas, especially the gingiva, in a pattern known as desquamative gingivitis. The positive Nikolsky's sign is characteristic of pemphigus vulgaris, in which a blister can appear on the normal-appearing skin if exerting lateral pressure, and is very rare in the mucosa and other vesiculobullous diseases. Here we report a case of mucous membrane pemphigoid that developed as desquamated gingivitis in a 46-year-old woman with positive Nikolsky's sign in the gingival mucosa. In the histopathologic view, a subepithelial cleft was observed. The results of direct and indirect immunofluorescence tests and related therapeutic interventions are also presented. Positive Nikolsky's sign can be observed in the mucosa as well as in the mucous membrane pemphigoid in addition to pemphigus vulgaris, and vesiculobullous lesions should be diagnosed based on the sum of clinical, histopathological, and immunofluorescence findings.
Absence of Infrarenal Portion of the Inferior Vena Cava With Acute Lower Extremities Venous Thrombosis: A Case Report
Authors: Mohammadi Susan , Hesam Shariati Nastaran , Fathi Fardin , Arshadi Siamak , Rajabi Fahimeh , Bakhtiar Hesam Shariati Mohammad
Published: January 2021

A lack of congenital Inferior Vena Cava (IVC) is an uncommon malformation that has been identified in combination with idiopathic Deep Venous Thrombosis (DVT), exclusively. It may not even be revealed during the lifetime. A 63-year-old female was accepted with three months of abdominal and pelvic pain and localized edema on the right flank. During this admission, she was examined and recognized for deep vein thrombosis (DVT). Ct scan images showed a lack of the Inferior Vena Cava with enormous thrombosis collaterals of the superficial vein in the abdomen. In this case report, we report a woman with side pain who has an absence of the IVC.
Social Consequences of COVID-19 Pandemic in Iran
Authors: Jahangiri Katayoun , Sahebi Ali
Published: January 2021

The article's abstract is not available.
Measuring patient satisfaction
Authors: Dimitrios Theofanidis
Published: January 2021

The article's abstract is not available.
Barriers for nurse participation in multidisciplinary ward rounds: An integrative review
Authors: Zamanzadeh Vahid , Orujlu Samira , Beykmirza Raziyeh , Ghofrani Marjan
Published: January 2021

Background & Aim: The purpose of this integrative literature review was to find, critically evaluate, and describe publications about barriers against nurse participation and collaboration in multidisciplinary ward rounds. Although multidisciplinary ward rounds are the right place for doctors and nurses to communicate, nurses’ attendance in these rounds is missed. The nurses' absence at the multidisciplinary ward rounding has negative effects on the patients, their relatives, other team members, and their care.
Methods: A systematic approach to searching, screening, and analyzing the literature was applied. The original and review papers were used. This study was an integrative review based on Whittemore and Knafl’s framework. Web of Science, PubMed, Scopus, Cochrane, Magiran, and SID were searched by time limitation for ten years (2009-2019). The search was conducted between February 2019–March 2019. The language was limited to English and Persian.
Results: After duplicate removal, title, and abstract review, 63 papers remained. After full-text control, finally, 7 papers chased for this review. Barriers for rounding were divided into 4 main categories: time limitation, reluctance to participate, ineffective communication, and infrastructure and administration. Nurse time limitation, feeling not being valued by medicines, lack of standard and structure, and nurse unawareness from time of round are the most repeated barriers. 
Conclusion: Barriers may need to be removed until nurse participation in multidisciplinary ward rounds improves. Some study needs to take place about this issue in Iran to identify the situation, facilitators, and barriers specific to our country. Based on them, a relevant intervention can be chased.
The relationship between missed nursing care and teamwork in emergency nurses: A predictive correlational study
Authors: Najafi Ghezeljeh Tahereh , Gharasoflo Samira , Haghani Shima
Published: January 2021

Background & Aim: Missed nursing care can reduce nursing care quality by eliminating or delaying any aspect of the patient’s necessary nursing care. Teamwork has been a solution to improve the quality of care and safety of patients. The present study was conducted to determine the relationship between missed nursing care and emergency nurses’ teamwork in the educational-medical centers affiliated to Iran University of Medical Sciences in 2019.
Methods & Materials: This cross-sectional study is predictive correlational in nature. It was conducted on 213 nurses working in the emergency department who were selected based on the census method from March 2018 to December 2019. The self-report data were collected using Nursing Teamwork Survey and Missed Nursing Care questionnaires. The data were analyzed through conducting ANOVA, t-test, Pearson correlation, and multiple regression analysis in SPSS version 16.
Results: The mean score of missed nursing care in the emergency nurses was 2.25±0.65, and the nurses’ average teamwork was 3.53±0.55. There was a statistically significant yet inverse correlation between teamwork and missed nursing care (p<0.001) (r= -0.29). The determination coefficient of the multiple linear regression modeling was used to predict the missed nursing care based on the total teamwork score indicated that 14% of the missed nursing care was explained under the influence of independent variables.
Conclusion: Due to the inverse relationship between teamwork and missed nursing care, it is necessary to design and plan training courses to further enhance the nurses’ ability to perform teamwork and collaborative work.
What women know about breast cancer: In the case of Ethiopia
Authors: Biratu Terfa Yonas , Aliyu Samuel Abdu , Reta Ebrahim Yimam , Germossa Gugsa Nemera , Akuma Adugna Olani
Published: January 2021

Background & Aim: Breast cancer is the leading cause of death among women worldwide. Good knowledge of breast cancer enhances timely screening, early detection, and treatment; however, women's knowledge about breast cancer is very low. Thus, this study assesses the level of knowledge regarding breast cancer among women of childbearing age living in Jimma town.
Methods & Materials: A community based cross-sectional study was conducted in Jimma town in 2018. Respondents were identified using multistage sampling methods. Data was collected using a standard questionnaire developed by cancer research UK and used in different languages in many parts of the world. Multiple logistic regression analyses were used to identify a variable with a significant association based on OR, with 95%CI and P-value of less than 0.05.
Results: Out of 724 respondents, 686 gave their complete responses. The majority of 496 (72.3%) of the respondents were young adults with a mean age of 31, and about 307 (44.8%) of them had completed secondary school (9-12). Only 35% of respondents knew breast cancer; more specifically, 20% had knowledge of risk factors, 45% had knowledge of signs and symptoms, and 39 % had knowledge of screening methods. Maternal age, educational level, marital status, occupation, source of information, and monthly income, and positive family history of breast cancer were significantly associated with women’s breast cancer knowledge.
Conclusion: Just over one-third (35%) of women are knowledgeable about breast cancer. However, women's breast cancer knowledge plays a great role in controlling before reaching an advanced stage.
The effect of local heat therapy on fatigue among patients with chronic obstructive pulmonary disease: A randomized controlled clinical trial
Authors: Shahpasand Masume , Mohammadpour Ali , Najafi Samane , Sobhani Mansooreh
Published: January 2021

Background & Aim: Fatigue is one of the most prevalent symptoms among people with chronic obstructive pulmonary disease (COPD). Heat therapy is considered as one of the proposed methods to relieve the symptoms in these patients. Therefore, the aim of this study was to determine the effect of local heat therapy on fatigue among patients with COPD.
Methods & Materials: This randomized controlled clinical trial study was conducted on 46 patients with chronic obstructive pulmonary disease referred to Allameh Bohlool Hospital in Gonabad, Iran in 2019. The participants were selected according to the inclusion criteria and were then randomly assigned to the two groups of intervention and placebo. Local packs were placed on the anterior of the chest twice a day for 23 minutes and for five days among the participants of both groups. The hot pack was 50ºC for the patients in the intervention group, but it was equal to body temperature in the placebo group. The severity of fatigue was once measured before the intervention and then one day after the final intervention in both groups. The demographic information form and Krupp fatigue severity scale were used to collect the data. Descriptive statistics and chi-square, MannWhitney, and Wilcoxon tests were used to analyze the data. Besides, the level of significance was considered at least 0.05.
Results: The results indicated that the two groups were homogenous in terms of demographic information and the type of disease (P>0.05). There was no statistically significant difference between the mean score of fatigue before the intervention in the experimental and placebo groups (P=0.9). However, the mean score of fatigue decreased significantly among the intervention group patients compared to those in the placebo group (P<0.001) after the intervention. There was also a significant difference between the two groups in the mean score of fatigue before and after the intervention (P<0.01).
Conclusion: According to the results, topical heat therapy is effective in reducing fatigue among patients with COPD, but it is recommended to conduct further studies before the implementation of this approach.
The relationship between leader-member exchange and intention to stay in Korean nurses: Focusing on the mediating role of compassion satisfaction
Authors: Park Jin-Hwa , Lee Eun-Kyung
Published: January 2021

Background & Aim: Recently, there has been a growing interest in the nursing shortage. Although the number of nursing school has been increased and refreshment programs for inactive nurses have been run, the lack of nurses is still a common problem in Korea. Considering the importance of nurses' role in hospitals, it is important to investigate how to reduce turnover rates. This study aimed to investigate the mediating role of compassion satisfaction on the relationship between leader-member exchange (LMX) and intention to stay in Korea.
Methods & Materials: A cross-sectional study design was used. Data were collected from 131 nurses from three university hospitals in South Korea. A demographic data form, LMX-7 scale, compassion satisfaction of the professional quality of life scale, and the nurses’ retention index were used to collect data.
Results: Our results indicate that LMX has a positive effect on compassion satisfaction and intention to stay and compassion satisfaction has a positive effect on the intention to stay. In addition, compassion satisfaction was found to mediate the impact of LMX on the intention to stay.
Conclusion: The present study is significant in that it confirms the relationship between LMX and intention to stay and the mediating role of compassion satisfaction. The nursing managers should pay attention to find ways to improve LMX and compassion satisfaction in hospitals in order to increase nurses’ intention to stay.
IGestSaúde a mobile application for the self-management of symptoms associated with chemotherapy treatment: Development protocol
Authors: Fernandes Carla Sílvia , Magalhães Bruno , Santos Célia , Martinez Galiano Juan Miguel
Published: January 2021

Background & Aim: People undergoing chemotherapy treatment of an oncologic disease refer to the need to promote the process of self-management of the disease and the symptoms associated with treatment. This study aims to describe a mobile application's development protocol to support the self-management of symptoms associated with chemotherapy treatment, the IGestSaúde.
Methods & Materials: The research is divided into six stages, using an exploratory/descriptive pilot study conducted over 36 months. The stages include research and fundamentals, development, validation of therapeutic guidelines, field study, technological development, implementation, and mobile application evaluation.
Discussion: The project will monitor and improve patients' compliance to chemotherapy, to prevent patients’ complications through preventive indications for self-care, and to improve patients' responses to uncontrolled symptoms or complications.
Conclusion: Mobile applications can be considered a viable and effective means for selfmanagement of complications associated with chemotherapy treatment, supported by scientific evidence and these people's specific needs.
Hope under the shadow of fear and uncertainty : Resilience factors among working adolescents
Authors: Cheraghi Mohammad Ali , Khoshnavay Fomani Fatemeh , Ebadi Abbas , Gartland Deirdre , Ghaedi Yahya
Published: January 2021

Background & Aim: Working adolescents need to cope with extreme situations they face, and it is important to identify what factors influence their resilience to better support their health and well-being. The purpose of this study was to explore resilience in working adolescents.
Methods & Materials: The directed content analysis approach based on the ecologicaltransactional resilience model was employed across five domains of resilience (Self, Family, Peers, School, and Community). Semi-structured interviews with a purposive sample of working adolescents were conducted. Inclusion criteria were being 12-18 years of age, Persian speaker, and direct experience of being forced to work for at least one year. Hsieh & Shannon (2005) instruction was used for data analysis.
Results: 17 participants were interviewed, 59% were male, 88% immigrants, and 41% had started working by age 6. Adolescents reported experience of significant adversity. A dichotomic range of resilience-related factors was identified within five domains, embedded with distinct themes. There was evidence of self-care, patience, empathy, and emotional insight within extremely difficult life circumstances. Peers and schools were identified as supporting resilience. Very few Family or Community resilience factors were identified; instead, adolescents reported hurt, alienation, and voicelessness within the family; and fear and insecurity in the community.
Conclusion: Working adolescents in this study revealed some dichotomic strengths and vulnerabilities. Individual, peer, and school factors were more evident than family and community factors in fostering resilience among working adolescents.
Evaluation of SF-36 Questionnaire Dimensions in Quality of Life of Postmenopausal Women Referring to Yazd City Health Centers in 2019
Authors: Fallahzadeh Hossein , Balanian Sahar , Morovati Sharifabad Mohammad Ali
Published: January 2021

Introduction: Menopause can have negative effects on the quality of life of postmenopausal women. The main purpose of this study was to evaluate the quality of life of post-menopausal women in Yazd City, Iran.
Methods: This descriptive cross-sectional study was conducted among 250 postmenopausal women over 50 years of age in Yazd. The standard SF-36 quality of life questionnaire was used to collect the data. The mean score of quality of life was calculated for the postmenopausal women in different domains based on their age, education, menopausal age, and number of children. Furthermore, the effect of participants’ age, education, menopausal age, and number of children was studied on the questionnaire domains and the mean menopausal age.
Results: The participants’ mean age  was 62±5/198 years and the mean age of menopause was 54±4/419years. Life expectancy had a significant relationship with  education variables, BMI, and number of children, but it had no significant relationship with occupation and age at menopause. The variables of education, employment, and BMI had a direct and significant relationship with the mean age of menopause, but the number of children did not show a significant relationship with the mean age of menopause.
Conclusion: Based on the findings, postmenopausal women were at an undesirable level in terms of physical health and social vitality. The information collected through this study can help the authorities to plan appropriate programs and take measures to improve the quality of life in these women.
The Effectiveness of Pattern of Quranic - Narration of Hope Therapy with Integrated Monotheistic Treatment Approach on Life Expectancy in Students of Shahid Sadoughi University of Medical of Yazd
Authors: Hakimzadeh Ardekani Ali , Fallah Mohammad Hossein , Vaziri Saeed , Asi Mozneb Abolghasem
Published: January 2021

Introduction:  Recently, positive thinking and having a hopeful outlook on life have been considered as one of the most effective treatments for mental illness, especially hopelessness and depression among Western psychologists and humanities scientists. In this regard, monotheistic integrated treatment showed a good effect. The aim of this study was to investigate the effectiveness of the Quranic-narrative model of hope therapy with the approach of integrated monotheistic treatment on the life expectancy of students of Shahid Sadoughi University of Medical Sciences in Yazd.
Method: In this quasi-experimental study,  a sample of 30 people was selected from all students of Shahid Sadoughi University of Medical Sciences in Yazd by convenience sampling. The participants were divided into two groups randomly (each group had 15 members). The group-counseling course was conducted in 5 sessions for the experimental group. To collect the data, Islamic Hope Scale of the Khalilian Shalamzari, Jandaghi, and Pasandideh (2013) was used. Data were analyzed using multivariate covariance test.
Results: The Quranic-narrative model of hope therapy using the integrated monotheistic treatment approach (in the form of group counseling) can be an effective treatment method on the life expectancy of students of Shahid Sadoughi University of Medical Sciences in Yazd.
Conclusion: The effect size coefficient showed that 89% of the difference between the experimental and control groups was related to the experimental intervention (P <0.000). The value of F indicated that the dimensions of life expectancy (purpose, effort, means, support, barriers to hope, relationship between person and support, and solution) increased in the experimental group  at the significant level of α=0.05.
Comparison between Efficiency of Poisson Regression Model and Negative Binomial Regression in the Analysis of Factors Affecting Mortality from Cardiovascular Diseases in Yazd Province in 2017
Authors: Mirjani Arjenan Mohammad , Askarshahi Mohsen , Vakili Mahmud
Published: January 2021

Introduction: Despite the advances in cardiovascular diseases, death caused by these diseases is still considered as the leading cause of mortality. In this study, some of the effective factors on the deaths caused by cardiovascular diseases were investigated
Methods: This cross-sectional analytical study investigated the efficacy of Poisson regression models and negative binomial regression models on factors affecting mortality from cardiovascular diseases. The death data were extracted from the death registration system for Yazd province in 2017.Gender, age, education, occupation, location, and city of death were also extracted for each deceased. The two regression models were then fitted to the data
Results:  A total of 5,015 deaths were recorded, of which 1,642 were due to cardiovascular diseases. Cardiovascular disease mortality rates were significant using negative binomial regression in terms of the educational variables, place of residence, type of residence, and age. Death rates caused by cardiovascular diseases were not significant for age and occupational, educational, and residential variables.
Conclusion: If the time of death is considered as an offset variable, the regression model of two negative sentences is more effective in showing the factors affecting death due to cardiovascular diseases according to AIC and BIC criteria. In the case that the total number of deaths is considered as the offset variable, the Poisson regression model is more efficient.
Assessment of Elementary Schools in District Three of Tehran based on the Sustainable School Indicators
Authors: Naeimi Shirmard Alireza , Sadeghian HosseinAli , Ghaneian Mohammad Taghi , Jambarsang Sara , Meiboudi Hossein , Hejazi Shirmard Mahnaz
Published: January 2021

Introduction: Due to the climate changes and reduction of energy resources, the human-made environment and buildings should be more sustainable and use less levels of energy. In this regard, optimizing energy consumption and utilizing sustainable architecture approaches, especially in schools, can do a great help to the growth and development. The aim of the present study was to evaluate elementary schools in district three of Tehran based on indicators of sustainable schools.
Methods: This descriptive-cross sectional study included all elementary state schools in district three of Tehran in 2018. In this way, 28 schools were evaluated. The data collection instrument was a questionnaire containing 14 sub-criteria in terms of engineering-architectural and behavioral criteria. Data were analyzed using descriptive and inferential statistical tests by SPSS 23.
Results: Findings of the research showed that most (82.1%) elementary schools of district three of Tehran are second-grade green schools and only 17.9% are first-grade. No significant relationships were found between the school officials’ concern about environmental issues with the school’s sustainability score. 
Conclusion: Elementary schools in district three of Tehran are at a relatively desired status based on the indicators of sustainability, but given the importance of designing ecosystem-compatible educational spaces, more attention should be paid to the design of schools based on the sustainability index.
Determinants of Skin Cancer Prevention Behaviors in Yazd Students: Application of the Extended Parallel Process Model
Authors: Mazloomy Mahmoodabad Seyed Saeed , Gerayllo Sakineh , Khaleghi Moori Mahdiye , Yoshany Nooshin
Published: January 2021

Introduction: Skin cancer is one of the most common cancers with an increasing global rate. In preventing this disease, the most basic measure is sun protection behaviors. Given the importance of health for medical students as health ambassadors, the aim of this study was to investigate the effect of extended parallel process model on the skin cancer preventive behaviors in Yazd students.
Methods: This descriptive-analytical study was conducted on 280 students of Yazd universities in 2019. The participants were selected using the random sampling method. A questionnaire based on the extended parallel processes model was used to collect the information. After entering SPSS 18 software, the data were analyzed using appropriate parametric statistical tests including independent t-test, analysis of variance, Pearson correlation, and linear regression at the significance level of 0.05.
Results: The participants’ mean age and standard deviation was 22.69±3.18 years within the range of 18 to 41 years. Among the participants, 62.5% were women. Application of hats and sunscreen was 15.7% and 30.9%, respectively. According to the findings, the perceived severity structural had the highest score among the model structures. Among the constructs of model, self-efficacy was the strongest predictor of behavioral intention (β = 0.376) and preventive behaviors of skin cancer (β = 0.109).
Conclusion: Due to the low level of protective behaviors and self-efficacy perceived construct, as the most effective factors on the preventive behaviors of skin cancer, it is recommended to consider educational interventions in this regard.
Sumac Can Be Offered as an Alternative Treatment for Controlling Abnormal Bleedings Based on Persian Medicine
Authors: Zakeri Somayeh , Enayati Ayesheh , Kolangi Fatemeh
Published: January 2021

The article's abstract is not available.
Long-Term Ice-Cold Water Drink Induced Testicular Damage and Altered Sperm Characteristics in Rats
Authors: Ghafour Saeedy Said Abdul , Faisal Faiz Ahmad , Lorian Keivan , Nikbakhtzadeh Marjan , Minaei Zangi Bagher , Keshavarz Mansoor
Published: January 2021

An inappropriate lifestyle and nutritional habits such as high fat, high calorie food intake and quality of drinking water can change sperm parameters. Despite the fact that there are different and sometimes contradictory beliefs about the suitable temperature for drinking water, unfortunately, there is not much proven evidence. There are some long-term adverse effects of cold-water intake like liver, gastrointestinal and other internal organ damages and dysfunction. Regarding the high consumption of ice-cold water as a beverage and its probable role for infertility based on some trivial evidence and clinical senses, evaluation of the effects of ice-cold water drinking on reproductive system is noteworthy. Therefore, the main aim of this study is to assess the effect of long-term drinking of ice-cold water on the sperm count, morphology and motility and testis histology. Twenty-four male Wistar rats randomly divided into four groups (n = 6): Intervention groups that used ice-cold water (4°C) for two months (CW2M), three months (CW3M), two months ice-cold water and then one-month room-temperature water (CW2M + 1MRW), and control group that used room-temperature water. Spermatogram and histology of testis were assessed. Ice-cold water drink for the long run, reduced sperm count and sperm progressive motility; increased the percentage of non-motile sperm; changed normal morphology of sperm and destroyed Sertoli and Leydig cells. In conclusion, long-term ice-cold water drinking ought to be noxious for testis function and structure.
Antihyperlipidemic Effect of Seeds of Jamun (Eugenia jambolana) in Subjects of Intermediate Hyperglycemia: A Pilot Study
Authors: Parveen Shagufta , Khan Asim Ali , Khan Qamar Alam
Published: January 2021

Intermediate hyperglycemia (Prediabetes) is a type of metabolic disorder with slight increase in the blood glucose levels from the normal but not reaching up to the level of diabetes. It is associated with many micro-vascular as well as macro-vascular complications. Abundance of Unani medicines are known for anti-hyperlipidemic activity, among them is Maghz-e-Jamun (Eugenia jambolana). The present study was to evaluate the anti-hyperlipidemic effect of Maghz-e-Jamun (Eugenia jambolana) in intermediate hyperglycemia. Patients diagnosed with prediabetes as per ADA criteria were randomly divided in two groups- group A was supplemented with 4.5g powder /day jamun seed powder in the form of capsules and group B was given placebo capsules. Lipid profile assessment was done at baseline and end of the treatment i.e., 84th day. There is considerable improvement in the lipid profile of the prediabetic subjects enrolled in the study especially significant improvement in total cholesterol level (from 266.47 ± 62.92 to 216.058 ± 40.14 with p value of 0.008**) and LDL (from 189.23 ± 55.07 to 138.58 ± 34.86 with p value of 0.003**). -Maghz-e-Jamun (Eugenia jambolana) show substantial effect on dyslipidemia in the patients of intermediate hyperglycemia.
Traditional Persian Medicine Suggestions to Prevent Fasting Headache
Authors: Fadaei Fatemeh , Rezaeizadeh Hossein
Published: January 2021

Headache is one of the most common medical problems experienced by the majority of general population. In the latest version of the International Classification of Headache Disorders (ICHD-III) beta in 2013, fasting headache, has been classified as a secondary headache, and a subheading of “Headache attributed to fasting”. Suggested controversial hypothesis of this medical condition include associations with hypoglycemia, sleep quality and caffeine withdrawal, although these relationships have not been confirmed yet. The principal purpose of the present study is to review the etiology and proposed preventive and treating strategies regarding fasting headache in Persian Medicine (PM) literature. This complaint is regarded as a headache associated with dryness in PM. Therefore, words related to "dryness" from PM references. Relevant keywords were also searched in modern medical literature and PubMed, Scopus, Google scholar, Web of science and Sid databases. Obtained results were subsequently compared following classification. Fasting plays a causative role in increasing heat in the heart, liver, and stomach (and other organs), and also decreasing body moisture. Therefore, the effective management as proposed by PM is reducing the heat and increasing body moisture. More research is needed to provide academic evidence in this regard.