فصلنامه نوید نو
پیاپی 87 (پاییز 1402)

The present study was implemented with the aim of investigating the outcomes of pregnancy in cases affected by COVID-19.

The study is a case series of a record review type, which examines the characteristics of 27 pregnant women with COVID-19 referred to the Qaem Hospital in Mashhad in 2020. The case series of all pregnant women with a positive PCR or features of COVID-19 on lung CT scans. Maternal consequences were medical records, signs, disease progress, laboratory and imaging findings, and fetal-neonatal outcomes. All data were analyzed using SPSS version 24.0 software.

The mean age of the pregnant women with COVID-19 was 31.07 ± 5.86 years. Most cases (63.0%) were in the third trimester of pregnancy and only 14.8% were in the second trimester. Cough and Fever were the most common complaints. Maternal mortality was reported in 4.7% of the cases and Neonatal death was 14.8%. Among maternal messages, preeclampsia (18.5%) was the most common. Among the newborns’ consequences, the hospitalization of newborns in the neonatal intensive care unit (44.4%) was the highest.

COVID-19 infection in pregnant women can lead to severe maternal complications, including an increased risk of maternal death and preterm delivery, as well as fetal and neonatal consequences such as fetal distress, neonatal asphyxia, admission to the neonatal intensive care unit, and neonatal death. However, to reduce the risk of infection and the associated severe side effects, COVID-19 vaccination is recommended for pregnant women.

Despite the increasing progress in the construction and operation of the hospital, this project is still one of the major challenges in the country. This research is of a qualitative-descriptive type, with the method of contractual content analysis, with in-depth semi-structured interviews and open-ended questions, from the administrators and officials of Jahrom University of Medical Sciences, who play an important role in the construction and operation of the Seyed Al-Shohada Hospital project. Were done the interview was conducted in a quiet atmosphere away from interfering factors. The interviews continued until data saturation. The officials' experience of building the hospital was examined in the form of a general question, and then by entering into the depth of the subject, we tried to ask more questions and examine the depth of their experience. In total, after analyzing the interviews, the main classes are: 1- the process of operating the hospital; 2- Educational-therapeutic hospital; 3- Challenges; 4- The solutions provided to solve the challenges; 5- Documentation of documents and documents; 6- Proposals were extracted in the direction of similar projects. The results of this study showed that since health is one of the most important pillars in the development of any society and the health system of any country, especially hospitals, plays a key role in this field. have; Therefore, preparing all hospital infrastructures such as: the physical building of the hospital, provision of personnel and manpower,

The quality of the health-treatment system, proper access to treatment facilities and improvement of environmental conditions are among the important factors of sustainable development and long-term economic development of regions. The purpose of the research; Analyzing the consequences of inequality in the field of health among the natives of the western region of the country (Ilam, Kermanshah and Kurdistan).

The grounded theory research method, which is a qualitative method, uses purposive sampling. The technique of data collection was interviews with the informed consent of the interviewees, the statistical community included households living in the provinces of Kermanshah,Kurdistan and Ilam. The sample size includes20 participants from university lecturers, educators and medical workers living and working .

 Main topics1. Inflation2. Lack of sanitary equipment and hoarding3. Lack of sufficient credits to access facilities4. Medical insurances and credits. Sub-topics1. Decreasing the quality of sanitary equipment2. Not supporting specific diseases3. Decreased quality of life4. Increased stress and anxiety5. Seclusion and isolation6. Family conflicts7.Abandoning treatment8. Migration to big cities10. Lack of medicine and the cost of providing it11. Lack of specialist manpower12. High cost of medicine13. Increase in corona epidemic14. Healthy drinking water and health and treatment facilities have been extracted and used as the basis of analysis.

 including the important consequences of the occurrence of some common diseases such as Corona, increasing treatment costs and imposing treatment costs on the health system and reducing their quality of life, reducing the hope of recovery. patients due to lack of facilities and services.

Background & Goals: 

With the spread of the COVID-19 epidemic, the fields of Iranian society, including the educational system, were overshadowed, and electronic education gave way to the traditional method, and evaluation in virtual space was raised as an important discussion in education and evaluation. The purpose of this research is to determine the level of anxiety caused by students' virtual exams.

This descriptive-analytical study was conducted on undergraduate midwifery students in the academic year of 2020- 2021 using a three-part questionnaire including demographic information, an exam Anxiety questionnaire, and a General Health questionnaire., standard deviation, and relative and absolute frequency of the data, and the research data were analyzed using central indices, dispersion, one-way analysis of variance, and Spearman's correlation coefficient.

The average score of students' anxiety was 71.51±13.36 with a range of 29-97, which shows that students' anxiety is moderate to high. The average score of students' general health was 28.84 ± 14.5. The results showed that there was a direct and significant relationship between the total score of anxiety and general health (p<0.0001 and r=0.487).

In general, the findings of the present study showed the effect of virtual exams on the anxiety of midwifery students of the Islamic Azad University of Neyshabur, and this anxiety is effective on the general health of students. It is necessary to take necessary measures in this field so that virtual exams can be used as a safe method of evaluation.

The nutritional status of pregnant women significantly affects their health. Immigrants, as a vulnerable group, often experience food insecurity and an increased risk of malnutrition. However, there has been a lack of research on the nutritional status of Afghan pregnant women in Mashhad. Therefore, this study aims to investigate the nutritional status of Afghan pregnant women attending health centers in Mashhad.

116 Afghan pregnant women who visited health centers in Mashhad during summer and autumn 2022 were included in this cross-sectional study. Four centers with high concentrations of Afghan migrants were selected, and participants were randomly enrolled after meeting inclusion criteria. Written consent was obtained, and 24-hour dietary intake data were recorded. Data were coded using N4 software and analyzed using SPSS21.

The mean energy intake was found to be 503 ± 1395 kcal, while the average intake of macronutrients, such as fat, protein, and carbohydrates, were 53 ± 89 g, 20 ± 50 g, and 84 ± 211 g, respectively. Additionally, the mean intake of iron was 4 ± 10 mg, calcium was 268 ± 497 mg, folic acid was 122 ± 191 μg, vitamin D was 42.1 ± 23.2 IU, and zinc was 2.93 ± 34.5 mg.

Afghan migrant women have lower energy intake, protein intake, and insufficient levels of important micronutrients such as iron, calcium, folic acid, vitamin D, and zinc. It is crucial for policymakers and planners to prioritize the nutrition of this vulnerable group when designing health programs.

Nursing is basically described as a practical discipline or pragmatism and there are many similarities  between it and the pragmatism. This study was designed aimed to determin the degree of adherence of nursing Ph.D. curriculum, especially in Iran, to pragmatism as a philosophical foundation.

This study is a narrative review. Using the keywords of curriculum/educational program, doctorate in nursing/ nursing Ph.D., pragmatism, and also the English equivalent of these keywords in foreign databases such as PubMed, Web of Science, Scopus, CINAHL and persian databases including Irandoc, Magiran and SID as well as The Google Scholar search engine was searched for studies up to the year 1402 (2023) without time limit and individually and combined.

The results showed that little attention has been paid to pragmatism as the philosophical basis of nursing Ph.D. curriculum in different countries, especially in Iran, and this problem is caused by challenges such as: the course is not responsive to the needs of society, the health system and the nursing profession, as well as neglect from the main nature of nursing field (clinical care), and excessive attention to less necessary issues.

It seems that the spirit of pragmatism is not included in the nursing curriculum (especially in Iran), while this foundation can act as a bridge between education, practice and research. Therefore, it is recommended to make changes in this educational program and move the curriculum more towards pragmatism.