73 research outputs found
The Effectiveness of Aloe Vera on Relief of Irritation and Nipple Pain in Lactating Women: Systematic Review and Meta-Analysis
No full textBackground. Aloe vera is one of the herbal products with anti-inflammatory, antioxidant, moisturizing, bactericidal, anti-viral, and anti-fungal effects that were used to relieve pain and irritation. The aim of the current systematic review and meta-analysis is to determine the effect of Aloe vera on the relief of irritation and nipple pain in lactating women. Methods. A search was carried out in four English electronic databases including Scopus, Embase, PubMed, and Web of Science until November 2021. All clinical trials that assessed the effect of Aloe vera on the relief of irritation and nipple pain in lactating women were included. The study’s risk of bias was assessed using the Cochrane risk of bias checklist. Study heterogeneity was determined using the I2 statistic and publication bias using Begg’s and Egger’s tests. Results of the random-effects meta-analysis were presented using standard mean difference (SMD) with 95% confidence intervals (CIs). Data were analyzed using STATA software version 16 MP. Results. In total, 7 articles with 1670 subjects were included in the meta-analysis. Overall, we found a positive impact of Aloe vera on reducing breast pain (pooled SMD= −0.45; CI= −0.83, −0.07, P value <0.02) and irritation (pooled SMD= −0.48; CI= −0.64, −0.32, P value<0.001) in lactating women. There is a high heterogeneity among pain studies (I2= 86%) but was low within irritation studies (I2= 26%). Conclusion. Our result showed that Aloe vera can be considered a choice for relieving breast pain or irritation in lactating women compared with routine care or another treatment. Considering the limited number of studies conducted on this topic and the low sample size, future studies with a larger sample will be required to draw better conclusions
Corrigendum to “The association of food consumption and nutrient intake with endometriosis risk in Iranian women: A case-control study” [Int J Reprod BioMed 2019; 17: 661-670]
No full textThe authors have been informed of an error that occurred on page 661 in which the word “Iran” has been missed in the affiliation of the third author (Azadeh Mottaghi), which should be corrected as: “Research Center for Prevention of Cardiovascular Diseases, Institute of Endocrinology and Metabolism, Iran University of Medical Sciences, Tehran, Iran”. On behalf of the author, the publisher wishes to apologize for this error. The online version of article has been updated on 15 November 2022 and can be found at https://doi.org/10.18502/ijrm.v17i9.5102
The effect of music-based interventions on short-term postpartum episiotomy pain: A systematic review and meta-analysis
No full textBackground: Episiotomy took over as the most common surgery in the field of midwifery that was performed in the second stage of labor to facilitate delivery, and reduce perineal damage. Music is one of the methods used to combat pain. We applied a meta-analysis to investigate whether music-based interventions can reduce short-term postpartum episiotomy pain. Four main English databases including Embase, PubMed, Web of Science, and Scopus were searched until July 2022. All randomized controlled trials (RCTs) with at least two groups (control and intervention) that aimed to measure the effect of music therapy on episiotomy pain were included in the present review. The Cochrane risk of bias checklist was used to assess study quality. Study heterogeneity was determined using the I2 statistic and publication bias using Begg’s and Egger’s tests. Results of random effect analysis are presented as Standard Mean Difference (SMD) with 95% confidence intervals (CI). Data were analyzed using the STATA software version 16. In total, seven articles with 677 subjects were included in the meta-analysis. Overall, the pool estimates of the meta-analysis demonstrated that music therapy has a positive impact on reducing short-term pain derived from episiotomy in both primiparous and multiparous compared to the control group (pooled SMD = −1.60; CI = −2.18, −1.02, p-value<0.001). The heterogeneity was high among including studies (I2 = 95.7%, p < 0.001). Our result showed that music-based interventions can be considered a choice for the management of short-term postpartum episiotomy pain among both primiparous and multiparous women. Future studies with large sample sizes and longer follow-up periods will be required to draw better conclusions about the long-term effects on postpartum pain
Promoting adolescent mother self-efficacy for parenting roles, and self-care after childbirth: protocol for a mixed methods study
No full textAbstract Background Pregnancy, and childbirth can encounter many challenges for the teen mother, family, and health system. The simultaneity of two transition periods, i.e. transition to adulthood and post-partum period may disrupt the acceptance of new roles. Lack of knowledge, information and life skills in managing this situation may threaten the physical and mental health of the mother, and child, as well as reduce the level of role adaptation. One way to increase women's empowerment in postpartum care is self-efficacy promotion training program. The current mixed methods study will be conducted to provide an interventional program sensitive to the culture of the Iranian society for adolescent mothers to improve their self-efficacy. Method This study will be conducted as an exploratory sequential mixed methods study (Qual-quan) based on a pragmatism paradigm in four phases. In the first phase, a qualitative study will be performed using a directed content analysis method to explore the needs and strategies related to promote postpartum self-efficacy from the viewpoint of teen mothers, their family, healthcare providers, and policymakers. In the second phase, using a scoping review, self-efficacy promotion strategies, and postpartum care service packages, programs, guidelines, and protocols in other countries will be identified. In the third phase, with integrating the results of qualitative phase and scoping review, the first draft of program will be developed, and validated by an expert panel based on the Delphi approach in three rounds. In the last step, the effectiveness of the interventional program will be evaluated on postpartum self-efficacy of teen mother. Discussion Developing an interventional program that includes teen mother’s experiences, evidence based practice principles, and health staff opinions in a distinct cultural and social context can supply new direction to lead manager, policymakers, and other health care provider to improve the maternal self-efficacy in infant, family, and self-care with considering their age characteristics
The impact of obstetric violence on postpartum quality of life through psychological pathways
No full textPregnancy and childbirth as important events in women’s lives should be guided based on quality and
humanized principles. This study aimed to test a conceptual model considering the interrelated role
of obstetric violence, mental health, self-esteem, and PTSD on the postpartum quality of life (PQOL)
using path analysis. This cross-sectional study was conducted on 385 parturient women who have
given birth from January to May 2022 using the convenience sampling method. Data were collected
using a socio-demographic checklist, EPREVO, DASS-21, PCL-5, Rosenberg Self-Esteem Scale, and
PQOL scales. Path analysis was applied to generate specified patterns of causal relationships between
variables and to determine the type of relationships between predictor and response variables using
LISREL software ver.8.8. We found that obstetric violence (β = − 0.659), self-esteem (β = 0.223), mental
health (β = − 0.396), and PTSD (β = 0.345) are the main predictors of postpartum QoL. In addition to its
direct effect, obstetric violence can impress the PQOL through the effect on mental health (β = 0.533),
self-esteem (β = 0.222), and PTSD (β = 0.229), indirectly. Our finding highlighted the negative effect
of obstetric violence on mental health, self-esteem, PTSD, and PQOL. Therefore, it is recommended
that policymakers and managers adopt programs to promote respectful maternal care and prevent
obstetric violence to prevent the occurrence of adverse effects in parturient women
Corrigendum to “Lunar Dust Induces Minimal Pulmonary Toxicity Compared to Earth Dust” [Life Sciences in Space Research, Volume 45, May 2025, Pages 72-80] (Life Sciences in Space Research (2025) 45 (72–80), (S2214552425000252), (10.1016/j.lssr.2025.02.005))
No full textThe author Samaneh Toukhanbeigli has been added. This author was added during the revisions process to the document, but this was not updated in the system and was missed during the proofs. The author contributed greatly to the experiments conducted during revisions
Socio-economic inequalities in health-related quality of life among Iranian young people in the middle stage of adolescence: application of Health Equity Assessment Toolkit
No full textBACKGROUND: One of the main concerns of public health is the increasing inequality of health status, which has an adverse effect on people’s life. PURPOSE: The current study aims to analyze the role of socioeconomic inequalities in health-related quality of life (QoL) among Iranian young people in the middle stage of adolescence. METHODS: A cross-sectional descriptive study was conducted on 576 young people in the middle stage of adolescence. The samples were selected using the Multi-stage sampling method. Data were collected by a demographic checklist, and KIDSCREEN-52 questionnaire and analyzed by SPSS ver.16. The Health Equity Assessment Toolkit (HEAT) Version 4.0 (beta) was used to assess adolescents’ QoL inequalities in terms of socio-economic subgroups. RESULTS: The results show that 27.2 adolescents had low quality of life. The score of physical and autonomy components of QoL was significantly more in male versus school environment in female adolescents. Also, the asset index, father’s, and mother’s education, and family income in female adolescents, and the assets and family income in male adolescents were significantly related to the quality of life (p < 0.05). The risk of lower QOL in the poorest quintile was 1.12 times more than in the richest quintile. The consideration index of Asset in terms of sex was 4.5 and the modified Gini index was more than 0.5 in females and males. CONCLUSION: Our findings highlight the significant effects of socioeconomic inequality on the HRQL of Iranian adolescents. Requires a targeted policy approach to reach the poorest quintile for improving the quality of life of adolescents
The Effect of Educational Intervention on Improvement of Breastfeeding Self-Efficacy: A Systematic Review and Meta-Analysis
No full textBackground. Self-efficacy is an important psychological and motivational factor in breastfeeding, and it is a valuable framework that predicts breastfeeding outcomes and demonstrates maternal confidence in breastfeeding. The meta-analysis evaluated the effectiveness of educational interventions on improving breastfeeding self-efficacy (BSE). Methods. The English and Persian databases including Medline, Embase, Cochrane Database of Systematic Reviews (CDSR), PubMed, Web of Science, Scopus, CINAHL, Sid, IRANDOC, and Marg-Iran were systematically searched for studies published from January 2005 to December 2020. The quality of studies was evaluated using the Cochrane risk of bias tool and the heterogeneity by I2 statistic. The extracted data were analyzed using RevMan 5 statistical software and presented using random effects standardized mean difference (SMD). The funnel plot was used for evaluating publication bias. Results. Results from 40 RCTs showed that educational intervention had a positive effect on the BSE compared with the usual/standard care (pooled SMD = 1.20; 95% CI = 0.75–1.64, p value <0.001). The subgroup analysis indicated that the educational intervention was based on theory, group class format, direct method education, during the first week of postpartum, doing during pregnancy, on primiparous women, and health center setting, and the Asian region has a more effect on BSE than the others. Conclusion. Breastfeeding education is considered an influential factor in the improvement of BSE. It is recommended that breastfeeding education should be continued for several weeks after childbirth for gaining its benefit. The Asian region has a more effect on BSE than the others. Therefore, it is important to add the values in content of education in each country
The association of food consumption and nutrient intake with endometriosis risk in Iranian women: A case-control study
No full textBackground: Endometriosis, defined as the attendance of endometrial-like lesions in extra uterine locations, causes pain, infertility, and reduced quality of life.
Objective: To evaluate the relationship between food consumption and nutrient intake with risk of endometriosis.
Materials and Methods: Of the 156 women approached for the study, 78 women had endometriosis and 78 healthy women were included in the control group. Dietary data were collected using a validated 147-item semi-quantitative Food Frequency Questionnaire (FFQ) with the standard serving size. A logistic regression model was used to determine the association of macronutrients and energy intake with the risk of endometriosis.
Results: In women with higher intake of protein, especially animal protein, monounsaturated fatty acids, soluble and insoluble fiber, oleic acid, eicosapentaenoic acid, and docosahexaenoic acid endometriosis is less common (p < 0.05). High consumption of vegetables, fruits, red meat, yellow vegetables, potatoes, legumes, dairy products, liquid oil, and low intake of fried potatoes was associated with a lower risk of endometriosis (p < 0.05).
Conclusion: Regarding the association of dietary intake on endometriosis risk, counseling about improving the dietary structure can contribute toward the prevention and control of endometriosis.
Key words: Endometriosis, Macronutrient, Diet, Case-control study
A research about the real author of Marzbanname Tabari
No full textMarzbanname is the name of a book which includes narrations and allegories and marzban wrote it in old tabari language. Mohammad Ibn Ghazi maltivi in 598 A.H. and sadoddin varavini in the first half of seventh century translated it to farsi. Onsorolma' ali keykavos, the writer of Ghaboosname and Ibn Esfandyar, the writer of tarikhe – Tabarestam believe that marzban ibne Rostam ibne shervin (the 13th king of Bavandiya kiyosiye chain) in the real writer of marzbanname. But sa'daddin varavini believes that marzban ibne shervin (shervin = 5th king of Bavandiye kiyosiye) is the writer of it. Reza Gholi khane – hedayat knows marzban- Ibn – e – rostam as the outher of marzban-e-Deylami in some other books. Among the contemporaries, shefer knows marzban-ibn –e-rostam-ibn –e- sorkhab – ibn – e- Gharan as the author of marzban name, but Allame Ghazvini rejects this hierarchical order. Allame Dehkhoda, Esmaeil mahjouri, Ardeshir Barzegar and Hossein Eslami believe that marzban- ibn- e- Rostam wrote maezban name. mohammad Roshan reject all and say that there is no book named marzban name tabari.This article believes that varavini's speech about the writer of marzbanname is correct but not of onsorolma' ali keykavoos and ibne Esfandyar's speech
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