bluuebunny/crossref_metadata_2025_split huggingface dataset:
Bio-psycho-social health assessment in prehospital emergency technicians
Authors: Delshad Vahid , Stueck Marcus , Ebadi Abbas , Bidzan Mariola , Khankeh Hamidreza 
Published: February 2024

BACKGROUND:
Health is a complex structure and has physical, psychological, and social approaches. The importance and impact of health assessment have caused considerable attention to be paid to the employees of the health system and the determining factors of this relationship. Hence, the main purpose of this study was to find out the bio-psycho-social health situation in prehospital emergency technicians as the research question staff.

MATERIALS AND METHODS:
The present study is a systematic review and data have retrieved through extensive search in Scopus, Web of Science, PubMed (including Medline), Cochrane Library, Irandoc, Magiran, MedLib, and SID databases with a combination of keywords of “Health, “ “Assessment, “ “Social,” “Psychological,” “Biological,” “Emergency,” and “prehospital,” according to the search strategy, between 2000 and 202111 studies were reviewed; then, they were entered based on the objectives of the study and narrative analysis was performed by the researcher.

RESULTS:
After analyzing the articles, a total of 4 factors affecting bio-psycho-social health in prehospital emergency technicians have been extracted and identified, which included health management, bio-psycho-social factors, occupational factors, and behavioral factors.

CONCLUSION:
This research showed four factors, namely health management, bio-psycho-social factors, occupational factors, and behavioral factors which could be effective in Bio-Psycho-Social health. Since prehospital emergency services have an important role in maintaining the health of the community, which requires attention to the bio-psycho-social health of emergency personnel, more studies have focused on health management among the four mentioned factors, but the need to examine the other three factors for a more accurate assessment of the health of emergency personnel seems necessary. Therefore, prevention and response strategies based on bio-psycho-social health assessment models are proposed to promote the health of prehospital emergency technician staff.
The effectiveness of sexual health counseling based on cognitive-behavioral therapy on sexual satisfaction and inefficient sexual beliefs of primigravida women
Authors: Bokaie Mahshid , Gashiri Marzie Zarei , Khoshbin Azam , Salimi Hajar 
Published: February 2024

BACKGROUND:
Pregnancy may change sex life, this period may be associated with decreased sex, and this is due to fear of miscarriage, nausea and vomiting, fear of harm to the fetus, fatigue, and fear of ruptured membranes. Midwives could help them to improve their sexual life during this period. One of the important approaches to improving sexual life during pregnancy is cognitive-behavioral therapy (CBT). This nonmedical approach could improve misconceptions about sex during pregnancy. The aim of this study was the effect of sexual health counseling based on CBT on sexual satisfaction and inefficient sexual beliefs of primigravida women.

MATERIALS AND METHODS:
This was a randomized clinical trial study, the research population being 52 pregnant women who were randomly divided into groups, the experimental (26) and the control (26). Before the sexual health counseling based on CBT, the Sexual Satisfaction Questionnaire and the Inefficient Sexual Beliefs Questionnaire were filled by both the groups. These standard questionnaires were completed three times (before, immediately, and 4 weeks after intervention). After pretest, eight sexual health counseling sessions (90 min) were performed for the experimental group. The control group received routine care. Data analysis was performed by using descriptive statistics tests, ANOVA, and post hoc tests by Bonferroni method in SPSS version 22. P < 0.05 was considered statistically significant.

RESULTS:
The mean score of inefficient sexual beliefs in the interventional group before intervention, immediately after the intervention, and 1 month later was obtained 22.85 ± 9.57, 12.92 ± 7.25, and 7.86 ± 13.88, respectively (P < 0.001). The mean score of sexual satisfaction before the study, immediately after the intervention, and 1 month later was 88.77 ± 11.89, 95.62 ± 9.27, and 94.65 ± 8.28, respectively, in the experimental group (P < 0.001).

CONCLUSION:
Sexual health counseling based on CBT could reduce inefficient sexual beliefs and increase the sexual satisfaction of the primigravida women during pregnancy, but most participants preferred fewer sessions.
Relationship between psychological factors and perceived stigma of addiction among women with substance use disorders, Thailand
Authors: Yangyuen Suneerat , Kanato Manop , Somdee Thidarat 
Published: February 2024

BACKGROUND:
Substance use disorders (SUDs) are one of the most stigmatized health conditions that impact drug user's treatment engagement. However, to date, little is known about perceived stigma and its correlates with psychological factors among high-risk groups such as people with SUDs in the criminal justice system. This study aimed to determine the association of psychological factors and perceived stigma of addiction among women with SUDs.

MATERIALS AND METHODS:
This cross-sectional design was conducted on 652 women with SUDs who were treated in all 7 compulsory drug detention centers in Thailand with consecutive sampling technique. The data were collected by standardized interviewers with interviewing questionnaire. Multiple logistic regression was applied to examine the effect of psychological factors and perceived stigma.

RESULTS:
More than half of SUD patients (57.2%) were methamphetamine abuse or dependence, approximately 69.9% reported high level of perceived stigma, 56.7% had mild depression, 34.8% had low level of perceived social support, and the average perceived stress score was 19.2 (standard deviation, 7.5). The perceived stigma was positively related to depressive symptom and perceived stress while was inversely related to perceived social support.

CONCLUSION:
The psychological factors were strongly associated with perceived stigma of addiction. Thus, the detection of psychological problems among SUD patients may be benefit clinicians for identifying which patients are most at risk of perceived stigma and are the potential targets of intervention to reduce stigma in clinical practice.
Comparing the effect of education based on PRECEDE – PROCEED model in person-centered and supportive group methods on women’s psychological well-being in the menopausal period
Authors: Moshki Mahdi , Yaghubi Reza , Pariafsai Fariba 
Published: February 2024

BACKGROUND:
Positive psychology introduce mental health as a positive psychological functioning and represent it as well-being psychology. From this point of view, psychological health is more supposed to be known as having positive characteristics such as self-esteem, positive social relationships, and satisfaction. This study was conducted to compare the effect of education in two methods of person-centered and supportive group based on the PRECEDE-PROCEED model on women's psychological well-being during menopause.

MATERIALS AND METHODS:
The present study was a clinical trial. One hundred and ten menopausal women have been placed in two groups (tests and control). The training program was designed according to the PRECEDE-PROCEED model. The educational intervention was implemented for two groups (person-centered and the supportive group) and the control group did not receive any training. Data analysis was used by descriptive statistics and in the case of normal distribution of alternative tests such as Kruskal–Wallis test, Man–Whitney test, Wilcoxon, spearman correlation, Spearman correlation was used.

RESULTS:
Results of variance analysis showed that awareness, attitude, self-efficacy, enabling factors, reinforcement, support, behavioral environment, six psychological well-being factors were significantly different from the individual group and control group. Furthermore, the overall score of the psychological well-being was significantly higher than the control group.

CONCLUSIONS:
As a result of the design and deployment of health care monitoring system, building and reform of community beliefs toward women's status in decision making and their role in menopause, the design and development of support group meetings in women's health care system and enhancing women's access to specialist and heterogeneous health services tailored to the needs of the menopause.
Assessment of educational intervention and Acupressure during labor on the mother's anxiety level and arterial oxygen pressure of the umbilical cord of infants (PO2). A randomized controlled clinical Trial
Authors: Masoudi Zahra , Kasraeian Maryam , Akbarzadeh Marzieh 
Published: February 2024

BACKGROUND:
Natural delivery is distressing, and the mother's anxiety in this condition can have negative impacts on the fetus, mother, and the delivery process. Hence, many women tend to use pharmacological or nonpharmacological methods for reduction of labor stress and anxiety. The aim was to assess the effect of supportive care and acupressure during labor on the mother's anxiety level and arterial oxygen pressure of the umbilical cord of infants.

MATERIALS AND METHODS:
This performed on 150 pregnant women were randomly assigned to two interventions and a control group in the delivery ward of the selected educational center of Shiraz University of Medical Sciences (Shoushtari Hospital) in Iran. Mothers’ anxiety scores before (beginning of the active stage of labor) and after intervention (the end of the first stage of labor) were measured using Spielberger's questionnaire. Then, infants’ cord blood samples for arterial blood gas and hematologic analyses were sent to the hospital's laboratory. After all, the data with SPSS version 16 and using Pearson's correlation coefficient, one-way ANOVA, were analyzed.

RESULTS:
The mean of anxiety score in the control group was 21.1% and in the supportive group and the acupressure group, respectively, decreased by 37.5% and 34.8%, respectively (P < 0.001). The mean of PO2 was also reported in the maternal supportive, acupressure, and control groups, 40.4 ± 8.8, 27.4 ± 2.8, and 18.1 ± 3.7, respectively. Additionally, a significant correlation was found between mothers’ anxiety scores after the intervention and the mean of PO2 (P = 0.014).

CONCLUSION:
The supportive care and acupressure at BL32 acupoint reduced mothers’ anxiety and consequently improved fetal oxygenation. Therefore, these methods are recommended to be used during labor for improving birth outcomes.
The effect of hypnosis on perceived stress in women with preeclampsia
Authors: Vahdat Sedighe , Fathi Mahdi , Feyzi Zhaleh , Shakeri Mohammad Taghi , Tafazoli Mahin 
Published: February 2024

BACKGROUND:
Perceived stress is one of the causes of preeclampsia; one of the ways to manage mental stress is hypnosis. The aim of this study was to determine the effect of hypnosis on perceived stress in women with preeclampsia.

MATERIALS AND METHODS:
This randomized clinical trial was performed on 80 (40 people in each group) pregnant women 28–32 weeks with preeclampsia and hospitalized in two public hospitals in Mashhad in 2020. The Cohen Perceived Stress Questionnaire was first completed in two groups. Then, in the intervention group, three half-hour sessions of hypnosis were performed with an interval of 3 days (hypnosis consists of three sessions: each session is held for three consecutive nights). After each session, the intervention package, which included recording the dialogs of each session for posthypnotic suggestion, was delivered to the mothers on a CD to listen to every night before bed. The control group received routine care. Then, 2 weeks after the intervention, the Perceived Stress Questionnaire was completed by both groups. The results were analyzed by independent t-test, paired t-test, Mann–Whitney, Chi-square, Friedman and covariance tests, and by SPSS 16.

RESULTS:
At the beginning of the study, there was no statistically significant difference between demographic characteristics and the perceived stress score before the intervention between the two groups (P > 0.05). However, after the intervention, the mean perceived stress score was a statistically significant difference between the intervention and control groups (P = 0.005). Perceived stress after the intervention was significantly reduced in the intervention group, which was significant between the two groups.

CONCLUSION:
Perceived stress in mothers with preeclampsia is reduced by hypnosis.
Strategies for sharing pedagogical knowledge in clinical education in adapting to the impact of COVID-19
Authors: Ramazanzade Khaironnesa , Ayati Mohsen , Abedi Farshid , Shokohifard Hossein 
Published: February 2024

BACKGROUND:
The extent and complexity of knowledge in the field of medicine necessitate modern education systems. Rational performance in the education system depends on the synergy of educators through knowledge sharing as the basis of education. The aim of this study was to investigate the knowledge-sharing strategies in clinical education and its changes during the COVID-19 pandemic.

MATERIALS AND METHODS:
The content analysis was conducted in 2019 at Birjand University of Medical Sciences. Twenty-seven clinical instructors with enough experience and knowledge in the field of clinical education were chosen based on purposive theoretical sampling. Data collection was done by semi-structured interviews, which continued until data saturation. The interviews were recorded, transcribed, and read several times to obtain a whole understanding. Next, the meaning units and initial codes were identified, and then, they were classified into subcategories and categories. To ensure the trustworthiness of the data, Lincoln and Guba criteria were considered.

RESULTS:
The results of the study include five pedagogical knowledge-sharing strategies: “peer-helping, clinical education workplace,” “use of cyberspace,” “student mediation,” “working teams,” and “scientific communities.” Coronavirus pandemic was identified as the “facilitator” and the “culturalization factor” of knowledge sharing. In addition, “lack of shared knowledge management,” “lack of compliance with needs,” and “dispersion of content” were considered as barriers to the efficiency of pedagogical knowledge sharing during the coronavirus pandemic.

CONCLUSIONS:
Sharing knowledge in a clinical education setting could continue by various strategies. The results can be used in planning for the professional development of professors.
Persian mobile health applications for COVID-19
Authors: Nouri Rasool , Salari Raheleh , Kalhori Sharareh R. Niakan , Ayyoubzadeh Seyed Mohammad , Gholamzadeh Marsa 
Published: February 2024

BACKGROUND:
Since the beginning of the COVID-19 outbreak, a significant number of mobile health apps have been created around the world and in Iran to help consequence reduction of this emerging pandemic.

OBJECTIVES:
This study aimed to review the characteristics of Persian Android and iOS apps related to COVID-19 and determine their use-cases based on a reference model.

METHODS:
This was a cross-sectional descriptive study conducted in three main steps. First, a systematic search was conducted via Iranian mobile apps’ markets using the keywords related to COVID-19 in January 2021. Then, the retrieved apps were analyzed according to their characteristics. Finally, the use-cases of the given apps were determined and categorized based on a reference model.

RESULTS:
Based on our inclusion criteria, 122 apps were selected and evaluated. Most of these apps (87.7%) was free. Small proportions (5%) of reviewed apps have been developed with participation of clinical expert and half of the apps mentioned the references they used. Furthermore, about half of the apps (50.8%) were provided contact information of the developers. The studied apps were classified into four use-case major categories, including educational (98%), fulfilling a contextual need (18%), communicating, and/or sharing the information (0.83%), and health-related management (2%).

CONCLUSION:
The results showed that the Persian mobile apps for COVID-19 are not in a satisfying situation. Furthermore, although these apps are significant in quantity but in terms of use-cases, they are not widespread.
Job burnout among nurses during COVID-19 pandemic
Authors: Zareei Mahdi , Tabanejad Zeinab , Oskouie Fatemeh , Ebadi Abbas , Mesri Morteza 
Published: February 2024

BACKGROUND:
Nurses are in close contact with COVID-19 patients and due to the high risk of infection, they experience fear and anxiety that can result in burnout. This study aimed to review the studies on burnout among nurses during the COVID-19 epidemic.

MATERIALS AND METHODS:
The study followed the guideline for Preferred Reporting Items for Systematic Review and Meta-analysis (PRISMA). Using the keywords: “burnout,” “nurse,” and “COVID-19” and with the help of Boolean operators, “AND” and “OR” the online databases, namely PubMed, Scopus, Google Scholar, Web of Science, and Science Direct were searched. Articles published from the first of February 2020 to 30 October, 2020 were retrieved. After the quality appraisal, the required data were extracted and analyzed.

RESULTS:
Out of 85 articles identified in the initial search, and after removing duplicates and those that did not have the required data, seven articles entered the analysis. Among these articles, four (57.14%) reported moderate burnout and three articles (42.86) reported high level of burnout among nurses during the COVID-19 pandemic.

CONCLUSIONS:
A majority of the studies reported that nurses experienced a moderate level of burnout during the COVID-19 pandemic. Given the prevalence of burnout in nurses and because nurses are the largest portion of the healthcare providers who are in close contact with patients infected by COVID-19, it is necessary for health care policymakers to adopt strategies for preventing or reducing burnout among nurses.
Relationship of eating behavior and self-esteem with body image perception and other factors among female college students of University of Delhi
Authors: Kapoor Abhilasha , Upadhyay Madhu Kumari , Saini Narinder Kumar 
Published: February 2024

BACKGROUND:
Eating disorders (EDs) can lead to life-threatening nutritional deficiencies whereas self-esteem influences interpersonal relationships and academic performance. Excessive concerns about body image resulting in body dissatisfaction not only affect psychological well-being but also predisposes to disordered eating behaviors. The objective of this study is to assess the eating behavior and level of self-esteem, their relationship with body image perception and also identify factors associated with them among undergraduate female college students.

MATERIALS AND METHODS:
This cross-sectional study was conducted among 180 female undergraduate students of University of Delhi. Sociodemographic characteristics and anthropometric measurements were recorded. Eating Attitude Test-26, Rosenberg Self-esteem Scale, Contour Drawing Rating Scale and Body Shape Questionnaire 34 were used to assess eating behavior, self-esteem, body image dissatisfaction and body shape concerns, respectively. Both descriptive and inferential statistics were used and binary logistic regression was applied to identify the factors determining high risk eating behavior and low self-esteem.

RESULTS:
In this study, 27.8% of the study participants were overweight or obese, 30.6% had body shape concerns and 76.7% had body image dissatisfaction. Significant proportion (13.9%) of the participants was identified as high risk for the development of EDs and having low self-esteem (12.8%). Body shape concern and family influences were significant predictors of high risk eating behavior whereas type of college and family influences significantly predicted low self-esteem.

CONCLUSIONS:
The study concluded that factors such as nutritional status, family influences, type of college and body shape concerns lead to high risk eating behavior and low self-esteem. These findings will help in creating awareness on importance of concept of positive body image, healthy weight control behaviors and in developing future interventions.
Knowledge about attention-deficit/hyperactivity disorder among primary schoolteachers in Sharjah, UAE
Authors: Saad Sara , Aljanahi Farida , Coumaravelou Saravanan , Agha Ammar , Alsamiri Muna , Allami Sajad 
Published: February 2024

BACKGROUND:
Teachers’ knowledge and awareness about the signs and symptoms, behavioral problems, and treatment are imperative to handling children with attention-deficit/hyperactivity disorder (ADHD) in the school. This study aimed to assess the level of knowledge about ADHD among primary schoolteachers in Sharjah, UAE.

MATERIALS AND METHODS:
In this cross-sectional study, a convenient sampling method was used to collect data from 239 teachers working in private schools and 25 teachers working at the public schools in Sharjah. A self-administered questionnaire was used to measure the sociodemographic characteristics and the Knowledge of Attention-Deficit Disorders Scale was used to measure the knowledge about ADHD. Data were analyzed using both descriptive and inferential methods.

RESULTS:
Private schoolteachers have more knowledge about ADHD than public Schoolteachers (P = 0.016). Teachers obtain information about ADHD through educational workshops (32%), social media (23%), friends and relatives (12%), TV and radio (9%), scientific journals (8%), campaigns (7%), and other sources (9%) such as the Internet, lectures, personal experience, and reading. Most of the teachers (56.3%) have knowledge about the signs and symptoms of ADHD, whereas teachers’ knowledge about the associated features and treatment of ADHD is 34.4% and 34.1%, respectively.

CONCLUSION:
Teachers’ level of knowledge about ADHD-associated features and treatment was inadequate in Sharjah. Hence, enhancing knowledge about ADHD by providing various training workshops and conducting social events, and campaigns are warranted to enhance their knowledge on ADHD.