فهرست مطالب shahla hemmatzadeh

The present study aimed to determine the unfulfilled needs of patients with breast cancer and the predictors of this disease in order to plan for appropriate interventions based on these needs. This cross-sectional study was conducted on 190 females with breast cancer in Arak-Iran, who were selected by the convenience sampling method. Patients were evaluated by Socio-demographic and Disease Questionnaire, Perceived Illness Questionnaire, and Supportive Care Needs Survey Short Form. Data were analysed using SPSS, one-way ANOVA, chi-square, independent t test, the Pearson correlation coefficient, and multivariate linear regression. Based on the results, the average number of supportive care needs was 100 (31.9). In addition, the greatest needs of patients were related to psychological, health-information, and physical sub-scales with a mean of 31.3 (12.5), 36.0 (12.5), 14.9 (5.8), respectively. Finally, multivariate linear regression analysis showed that family income and the perception of illness were among the predictors of supportive care needs. In general, health attention providers are required to pay particular attention to the psychological, health, witting, and physical needs of females with mamma cancer and the related predictive factors of this disease

Persian medicine (PM) encompasses preventive medicine, as well as disease control and treatment fields. PM believes in the existence of cold and hot natures in humans (Mizaj). A person›s temperament is mostly related to the recognition of the most appropriate diet and way of life in order to promote health. Accordingly, the present study aimed to examine the correlation between uterine temperament and primary dysmenorrhea. This research which is a cross-sectional descriptive-correlational study was conducted on 105 students within the age range of 18 to 35 years old who lived in dormitories of Tabriz University of Medical Sciences for 3 months during 2017. These students were selected by random sampling technique. Data were analyzed using the SPSS software, version 24 by the chi-square, biserial rb, and Mann-Whitney tests. The frequency of cold-dry temperament in patients with dysmenorrhea was higher than that of other temperaments (26.2 %). In addition, no significant correlation was found between the intensity of pain and body temperament (P = 0.421) or between the intensity of pain and uterine temperament (P = 0.508). However, there was a meaningful relationship between the duration of pain and body temperament (P = 0.049) and between the duration of pain and uterine temperament (P = 0.027). Generally, the duration of menstrual pain was longer in patients with cold temperament compared to those with hot temperament. Accordingly, adherence to traditional Iranian medicine recommendations in dealing with cold temperament can be effective in reducing the duration of pain in these patients.

The aim of care at birth is having a healthy mother and baby and achieving a successful vaginal delivery. Since unripe cervix leads to increased cesarean rate and causing maternal and neonatal complications, this study was performed with aim to investigate the relationship between Bishop Score at admission and delivery outcomes in nulliparous women.
This descriptive and analytic study was performed on 300 nulliparous women referring to 29 Bahman Hospital, Tabriz in 2015. Data collection tools included a checklist of individual characteristics, obstetric history, information about Bishop Score at admission, and delivery outcomes. Data were collected through observation of delivery course and studying the contents of the patient’s file. Data was analyzed by SPSS statistical software (version 21) and correlation test. P
There was significant relation between Bishop Score and duration of the first and second stage of labor (P=0.0001), duration of uterine contractions in the first stage of labor (P=0.001), abnormal fetal heart rate pattern in the first and second stage of labor (P=0.0001), using oxytocin (P=0.0001), frequency of using oxytocin (P=0.0001), the distance between the amniotomi or rupture of membranes and delivery (P=0.0001), doing episiotomy (P=0.01), pressure on the fundus during delivery (P=0.001), excessive postpartum hemorrhage (P=0.014), first minute Apgar (p=0.014), and measures taken on newborn (P=0.009). Mode of delivery (P=0.0001) was significantly related to Bishop Score at admission, so that 41 cases (31.1%) with Bishop Score ≤4 and 6 (3.6%) with Bishop Score >4 needed to perform cesarean.
Low bishop score and unripe cervix lead to an increase in adverse delivery outcomes and according to the results of this study, proceedings must be done for cervical ripening to promote Bishop score.

According to the statement of World Health Organization، about 70–80% of people use of herbal medicine in their primary care. This study was performed with aim to determine the frequency and type of herbal medicine used pregnant women referred to health centers of Tabriz. This cross-sectional and descriptive studywas performed on 318 pregnant women referred to health centers of Tabriz for performing pregnancy care at the second half of 2013. A researcher-made questionnaire was used for data collection. Data was analyzed with statistical software (version 21) and descriptive statistics and Chi-square test. The results indicated that 100 pregnant women (31. 4%) had used herbal plants during pregnancy. The most common reason (36%) for using herbal medicines during pregnancy was cold. The majority of studied pregnant women used of herbal plants and the most common reason for using herbal medicines during pregnancy was cold.

Mental health is an important part of individual, social and occupational life. World Health Organization defines mental health as absolute ability of performing social, physical and mental roles. Inattention to mental health is one of the important factors that lowers efficacy, uses up human powers, causes physical and mental complications and job exhaustion, especially in professional services. As health personnel is major part of health services and their high job incentive is a necessity for their health insurance, this research was implemented to assess their mental health quality. This is a descriptive cross-sectional, correlative study which is conducted on 190 health personnel. The questionnaire consisted of two parts: Demographic characteristics and Goldenberg general health questionnaire-28 data analysis was performed by using SPSS and statistical methods were independent samples t-test, chi-square, one-way ANOVA and Pearson correlative index. Two-third of cases were female, mean age was 32.22. 76.3% were married, 49.5% had no child, and most of the others had one child. 32.2% of cases had mental disorders (score > 23). Mean score of cases was 21, this score comparing with the general population of Iran is high. Mental health of health personnel for many reasons is at risk. According to these findings, great stressors of such jobs are: Facing with unexpected situations, work turns, especially night turns, organizational and individual factors.