bluuebunny/crossref_metadata_2025_split huggingface dataset:
Evaluation the relationship between social health and stress of assisted reproductive techniques in infertile women
Authors: Panahi Sahar , Bahadoran Parvin , Pirhadi Masoume 
Published: February 2024

BACKGROUND:
Fertility is highly valued in most cultures. In contrast, infertility as a crisis has the potential to threaten the stability of individuals, relationships, and communities. Many infertile people are at risk in the early stages of infertility treatment for health and mental health problems and severe stress. The present study was conducted to assess the relationship between the social health of infertile women and the stress of infertility treatment.

MATERIALS AND METHODS:
This study was performed descriptively longitudinal correlation on 2020 women in infertility canters in Isfahan. Data collection tool in this study was three parts questionnaire. The first contained demographic information, the second was stress, and the third was the social health dimension questionnaire. Analyze the data was performed using the descriptive statistical methods for the quantitative variables Pearson correlation coefficient. P < 0.05 was considered significant.

RESULTS:
The results showed that the mean standard deviation (SD) of social health was 155.1 (16.46), and the mean (SD) score of treatment stress was 22.91 (7.93). Pearson correlation coefficient showed that treatment stress score was not significantly related to overall social health score and its dimensions (P > 0.05).

CONCLUSIONS:
In this study, no statistically significant relationship was identified between these two variables. Probably, due to the living conditions of the people of our country in these years and the existence of stress and their great concern about economic issues, etc. The results were not observed contrary to the researcher's expectations.
Comparison of reproductive health and its related factors in vulnerable and nonvulnerable women
Authors: Zolfaghari Elham , Boroumandfar Zahra , Nekuei Nafisehsadat 
Published: February 2024

BACKGROUND:
Women's health is supposed to be one of the indicators of development. Reproductive health is an important part of women's health. Vulnerable women are a group of women whose reproductive health needs to be given special attention. The purpose of this study was to compare the reproductive health of vulnerable and nonvulnerable women.

MATERIALS AND METHODS:
This cross-sectional study was conducted on vulnerable women (n = 250) and nonvulnerable women (n = 250). The samples were selected from vulnerable women's centers and comprehensive health centers in Isfahan by quota and using simple random sampling method in 2017. The research tool was a researcher-made questionnaire completed by the researcher using interview method. Internal reliability of the questionnaire was confirmed to be 0.89 using Cronbach's alpha. A P < 0.05 was considered to be statistically significant. Data analysis was performed using SPSS 18 software and independent t-test, Mann–Whitney, Pearson, Spearman, and Chi-square tests.

RESULTS:
The results showed that the mean total score of reproductive health in the nonvulnerable group (81.41) was significantly higher than that of the vulnerable group (68.6). The mean total score and the score of reproductive health components, except some of them, were significantly different between the two groups (P < 0.05). Having an addicted spouse and unsafe sex were the most prevalent features associated with high-risk behaviors.

CONCLUSIONS:
According to the results, reproductive health status of vulnerable women is inappropriate in all dimensions. Given the importance of this issue, the development and implementation of special health programs for this group seem to be necessary.
The psychosocial challenges of mothers of children with thalassemia
Authors: Nabavian Majedeh , Cheraghi Fatemeh , Shamsaei Farshid , Tapak Lily , Tamaddoni Ahmad 
Published: February 2024

BACKGROUND:
Caring for the children suffering from thalassemia is a stressful experience with various aspects making the mothers face various challenges. Thus, the present study aimed to explain the psychosocial challenges of mothers with thalassemia children based on their lived experience.

MATERIALS AND METHODS:
In this qualitative study, which was conducted using the phenomenological method, 14 mothers with thalassemia children were selected from two thalassemia treatment centers in Hamadan and Babol (Iran) in 2020 using the purposive sampling method. Data were collected using in-depth and semi-structured interviews and were analyzed by van Manen's phenomenological methodology.

RESULTS:
In the first stage of data analysis, 534 initial codes were extracted, which were reduced to 290 by comparison and integration. The primary themes turned into 24 secondary themes after clustering. By comparing the secondary themes, three main themes (i.e., “psychological distress,” “bodily burnout,” and “mothers' need to empathy and support”) with 7 secondary themes (i.e., “emotional exhaustion,” “mental strain,” “social stigma,” “acute psychosomatic reactions,” “long-term psychosomatic consequences,” “expectation of family support,” and support needs outside the family) were extracted.

CONCLUSION:
The results indicated that mothers with thalassemia children experience several challenges in various aspects. Therefore, they require care interventions and psychosocial support.
Investigating the predictive power of constructs of extended Pender's health promotion model and some background factors in fruit and vegetable consumption behavior among government employees
Authors: Khatti-Dizabadi Freshteh , Yazdani-Charati Jamshid , Amani Reza , Mostafavi Firoozeh 
Published: February 2024

BACKGROUND:
Daily consumption of fruit and vegetable (F and V) can effectively reduce the risk factors of cardiovascular diseases; therefore it is necessary to identify the factors affecting this behavior. This study aimed to determine the Predictive Power of Pender's Health promotion model (HPM) constructs in F and V consumption behavior and the effects of some background variables on this behavior.

MATERIALS AND METHODS:
A descriptive-correlation study was conducted on 418 employees working in different offices of Qaemshahr, Mazandaran Province from April 8, 2019, to July 23, 2019. The participants filled out a questionnaire about perceived F and V Consumption behavior based on Pender's HPM Constructs. The data were statistically analyzed by descriptive statistics and parametric tests, including the Pearson correlation, Independent– Sample t-test, One-Way analysis of variance test, and multiple linear regression, in SPSS-22.

RESULTS:
The mean age of participants was 40.25 ± 7.56 years. The results showed that F and V consumption behavior was positively correlated with some constructs of Pender's HPM including, behavioral outcome (r = 0.51, P < 0.001), previous related behavior (r = 0.48, P < 0.001), commitment to action (r = 0.47, P < 0.001), perceived self-efficacy and behavior-related emotions (r = 0.39, P < 0.001). Behavioral outcome alone explained 26% of the dependent variable changes (F and V consumption behavior). The results also indicated that there was a significant relationship between gender and F and V consumption behavior (P = 0.01).

CONCLUSION:
The study findings demonstrated that some of Pender's HPM Constructs could predict F and V consumption behavior. Behavioral outcome alone was a strong predictor of this behavior. Therefore, in addition to background variables, these constructs should be taken into account in the development of training interventions and courses.
A comparative study into the effects of topical hot salt and hot sand on patients' perception of low back pain
Authors: Etemadifar Shahram , Dehghan Morteza , Jazayeri Tahereh , Javanbakhtian Raheleh , Rabiei Leili , Masoudi Reza 
Published: February 2024

BACGROUND:
Low back pain (LBP) has been regarded as one of the musculoskeletal problems which is affecting more than three-quarters of individuals in their lifetime. Nowadays, various pharmacological and nonpharmacological therapies are employed for relieving and treating LBP. This study was conducted to compare the effects of topical hot salt and hot sand on patients' perception of LBP.

MATERIALS AND METHODS:
In this, quasi-experimental study patients with LBP referring to the orthopedic clinic of Shahrekord educational hospital were divided randomly into two interventions and one control group in 2020. All three groups were received naproxen cream and daily physiotherapy in the same manner, the interventional groups in addition either topical hot salt or topical hot sand. Data gathering tool for measuring patients' perception of LBP was the McGill Pain Short Form Questionnaire to be completed at the beginning, immediately at the end, and 2 months after the intervention. The data were analyzed using SPSS statistical software (version 21.0).

RESULTS:
Totally, 90 patients were randomized based on the table of random numbers (mean age 51.1 + 11.1), and finally, 87 patients completed the study. Patients' perception of LBP before the intervention was homogenous in hot salt, hot sand, and the control group The mean score of total pain experience before the intervention was 14.1 ± 11.3 for hot sand, 13.9 ± 10.7 for hot salt and 13.7 ± 10.1 for control group The mean scores of these three groups were not significant before the intervention (P > 0.05). The mean score of total pain experience immediately after the intervention was 6.7 ± 4.2 for hot sand, 5.2 ± 3.1 for hot salt and 13.9 ± 9.8 for control group. The mean scores of the hot sand group and the hot salt group were significantly decreased compared with control group (P > 0.05). The mean score of total pain experience two months after the intervention was 5.6 ± 3.27 for hot sand, 4.21 ± 2.14 for hot salt and 13.8 ± 10.4 for control group. Mean score of total pain experience in both intervention groups had significantly reduced two months after the intervention compared to control group (P ≤ 0.001); so that the effect of hot salt treatment on reducing total pain experience was larger than hot sand (P ≤ 0.001). The same trend was observed for VAS and Present pain intensity variables.

CONCLUSIONS:
The findings have revealed that the topical treatments with hot salt and hot sand could have a significant effect on the perception of LBP compared to those in the control group; whereas hot salt might be stronger effects than hot sand on reducing LBP.
Validity and reliability
Authors: Behrouzian Forouzan , Tazik Khalil , Asl Esmaeil Mousavi 
Published: February 2024

BACKGROUND:
Impulsiveness is a multidimensional and multifaceted construct that plays an important role in understanding various psychopathology and problematic behavior. It is necessary to study the psychometric properties of instruments in the new culture before its scientific application, and it also contributes to external validity. The current study was conducted to determine the psychometric properties of the Persian version of Short Form of the Impulsiveness Questionnaire UPPS-P (SUPPS-P) in a sample of male soldiers serving in the military service.

MATERIALS AND METHODS:
The present research design is cross-sectional in 2019–2020. The Iranian version of the SUPPS-P was prepared across forwarding translation, reconciliation, and back-translation. The research sample included 254 soldiers who were selected via convenience sampling method and completed a set of scales, including the SUPPS-P scales, short-form self-compassion scale, McLean Screening Instrument for Borderline Personality Disorder (MSI-BPD), Cognitive Flexibility Inventory (CFI), Perth Alexithymia Questionnaire (PAQ), and the Deliberate Self-harm Inventory (DSHI). The construct validity of SUPPS-P scale was measured using confirmatory factor analysis and convergent and divergent validity. For reliability, Cronbach's alpha and test–retest reliability (with 2 weeks interval) were used. Data were analyzed using LISREL software (version 8.8) and SPSS version 22.

RESULTS:
The results showed that the SUPPS-P scale is a reliable and valid scale with acceptable internal consistency and acceptable test–retest reliability among soldiers. In terms of convergent validity, SUPPS-P showed a significant positive correlation with measures of MSI-BPD, PERS, and DSHI. SUPPS-P showed a negative correlation with self-compassion and cognitive flexibility, thus demonstrated a good divergent validity. The results of this study also provide support for the five-factor model of the SUPPS-P scale.

CONCLUSION:
The SUPPS-P instrument showed acceptable validity and reliability and could be useful in assessing impulsivity in Iranian society. The SUPPS-P scale shows notable promise as a measure for use in impulsivity research and clinical settings.
Health-care workers’ experience of stressors and adaptation strategies for COVID-19
Authors: Atashi Vajihe , Abolhasani Shahla , Afshari Atefeh 
Published: February 2024

BACKGROUND:
The mental health of health-care workers with their unique role in responding to the COVID-19 pandemic is strictly essential. Hence, to react effectively to the pandemic, it is essential to collect further data on the stressors and adaptation strategies. The aim of this study is to explain the health-care workers' experiences of stressors and adaptation strategies used during the COVID-19 pandemic outbreak.

MATERIALS AND METHODS:
A qualitative content analysis approach was employed in this study, with semi-structured in-depth interviews. Nineteen health-care workers participated in the study by purposeful sampling method. The study setting included selective educational hospitals that admitting patients infected with COVID-19. The data were analyzed using content analysis method.

RESULTS:
Stressors were classified under four major categories: idiopathic, i.e., arising from unknown causes, individual and familial, stressful work environment, and socially imposed stressors. The adaptation strategies were classified under inactive and active adaptation strategies.

CONCLUSIONS:
The stressors include the stresses arising from the unknown nature of the disease, stressful work environment, individual and familial stresses, and the socially imposed stresses. The adaptation strategies include inactive and active adaptation strategies. Identification of these factors can help workers and management to effectively react to the pandemic.
A cross sectional study to assess the expressed COVID-19 preventive practices among the health care workers and public visiting tertiary care hospital, AIIMS, Jodhpur
Authors: Sharma Mukesh C. , Raghu V. A. , Balai Manish K. 
Published: February 2024

BACKGROUND:
The corona virus disease-2019 (COVID-19) infection is a current public health crisis, and it is challenging to the world health-care system. As there is no treatment, prevention is the crucial importance to break the chain of transmission of infection and prevent fatality among the high-risk populations. The aim of the study was to assess the Expressed COVID-19 preventive practices among health-care workers (HCWs) and the public visiting tertiary care hospital, AIIMS, Jodhpur.

METHODOLOGY:
A cross-sectional study was conducted among 406 HCWs and 238 public, recruited by convenient sampling technique. A validated and pretested self-structured practice questionnaire used to collect the data regarding COVID-19 preventive practice. The data were collected through online Google Forms and interview techniques and analyzed by software SPSS 26 version.

RESULTS:
Majority of 87.7% HCWs and 76.5% public always followed practice of hand wash with soap and water and sanitize for 20 s. Majority of 79.6% HCWs and 49.2% public maintain social distance in public place. Gender (χ
2 = 18.806 P ≤ 0.001) and education (χ
2 = 43.270 P ≤ 0.001) among HCWs and in public demographic variable income (χ
2 = 21.102 P = 0.002), religion (χ
2 = 13.302 P = 0.006) and source of information (χ
2 = 17.030 P = 0.026) was significantly associated with level of COVID-19 preventive practice.

CONCLUSION:
The study showed moderate level of COVID-19 preventive practice among HCWs and public. Based on this result, an effective IEC intervention programs can be designed to educate public and HCWs and follow a safe COVID-19 preventive practice.
Factors associated with the knowledge about breastfeeding among antenatal and postnatal women in selected rural villages of Chengalpattu, Tamil Nadu
Authors: Rushender Rajan , Krishnamoorthy Yuvaraj , Hussain Siraja Ameenah Anwar 
Published: February 2024

BACKGROUND:
Addressing good breastfeeding practices among antenatal and postnatal mothers is important as it helps in bringing about a positive change in the behavior, attitude, and practice with appropriate health education. Hence, this study was done to determine the awareness level of antenatal and postnatal mothers about the breastfeeding practices and benefits and identify the factors associated with it in rural Chengalpattu, Tamil Nadu, India.

MATERIALS AND METHODS:
We conducted this community-based cross-sectional study among 377 antenatal and postnatal mothers in the selected rural villages of Chengalpattu between October 2019 and September 2020. Details regarding the sociodemographic characteristics and awareness/knowledge about the breastfeeding were collected using pretested semistructured questionnaire. Knowledge adequacy was summarized as proportion with 95% confidence interval (CI), and factors associated with knowledge were interpreted as adjusted prevalence ratio (aPR) with 95% CI using log-binomial regression.

RESULTS:
About 19.6% (95% CI: 15.7%–24.0%) mothers had inadequate knowledge about breastfeeding. Women who were unemployed (aPR = 1.60; 95% CI: 1.02–2.51), belonging to the lower socioeconomic status (aPR = 2.62; 95% CI: 1.80–3.82), belonging to Muslim religion (aPR = 1.63; 95% CI: 1.14–2.35), and living in joint family (aPR = 1.58; 95% CI: 1.12–2.21) had significant higher risk of inadequate knowledge about breastfeeding practices compared to those who were employed, belonging to puper socioeconomic status, Hindu religion, and living in nuclear family.

CONCLUSION:
We found that almost one-fifth of the antenatal and/or postnatal mothers had inadequate knowledge about the breastfeeding benefits and practices. Health education sessions are required to promote the awareness about breastfeeding during antenatal and postnatal check-ups.
Burnout level in Iranian teachers and its related factors
Authors: Khajehnasiri Farahnaz , khazarloo Lila , Poursadeghiyan Mohsen , Dabiran Sohila 
Published: February 2024

BACKGROUND:
Promoting the well-being of students and teachers should be the goal of school mental health programs. A large body of evidence has highlighted that there is an emerging concern regarding the increasing stresses that teachers are dealing with. Burnout is a psychophysical state that is characterized by emotional exhaustion (EE), depersonalization (DP), and low sense of personal accomplishment (PA). We aimed to assess burnout level in teachers’ population and its correlation with demographic characteristics because it not only can be affected teachers’ health promotion but also student well-being promotion.

MATERIALS AND METHODS:
In the present cross-sectional study, 322 high-schoolteachers from the second district of Tehran were randomly selected and were asked to complete the standard Maslach Burnout Inventory questionnaire to evaluate the three areas of burnout. In addition, participants were interviewed for their demographic status (IR.TUMS.MEDICINE.REC.1397.473).

RESULTS:
The results of this study showed that male teachers exhibit significantly lower score compared with female ones in all three indicators of burnout including EE, DP, and PA (P < 0.05). The number of children teachers and income level in men also influenced all three indices (P < 0.05). Regarding the impact of spouse's job status on burnout in men and women, PA was the only unaffected area (P > 0.05). Nevertheless, none of the demographic characteristics effected burnout domains in female teacher population.

CONCLUSION:
Considering the results of this study that shows the higher burnout level in male teachers and its association with several demographic characteristics such as income level and number of children, special attention should be paid to this gender to reduce possible stress and mental illness.
Effectiveness of training program in manual material handling
Authors: Jari Ameneh , Niazmand-Aghdam Nazi , Mazhin Sadegh Ahmadi , Poursadeghiyan Mohsen , Sahlabadi Ali Salehi 
Published: February 2024

BACKGROUND:
Even in an era of automation and digitalization, Manual Material Handling (MMH) can be called the most common industrial task. The aim of this study was to evaluate the prevalence of musculoskeletal disorders (MSDs) induced by manual handling tasks on the workers of a printing factory in Tehran in 2017 and then to evaluate the effectiveness of a training intervention based on health promotion.

MATERIALS AND METHODS:
This study had quasi experimental design and was conducted on 40 men. First, demographic data were collected and the Nordic questionnaire was used to determine the prevalence of MSDs in workers. Then, MMH tasks were assessed using Manual Handling Assessment Chart (MAC). A short training course was designed to promote health. Finally, the same MMH tasks were re-evaluated 3 months after the training intervention.

RESULTS:
Among the various tasks, the highest prevalence of work-related MSDs (WMSDs) was observed in the lower back (77.5%) and shoulder (62.5%). Based on the final scores of the MAC method, the jobs that received the highest scores were cutting (individual lifting), with 22 scores and action level “immediately necessary,” cutting (individual load carrying), with 15 scores with action level “urgently needed.” Arranging the forms (individual lifting) received a similar score. After the training intervention, the estimated risk level reduced by 12, 9, and 6 points, respectively, reaching a safe action level, i.e., “necessary in the future.”

CONCLUSION:
The results demonstrated that educational interventions might be equally effective in low-technology work environments. More in general, the MAC method can be used to make informed planning of educational interventions against WMSDs risk in MSDs. This health promotion approach is critical for care of human recourse.