مجله زنان مامائی و نازائی ایران
سال هجدهم شماره 146 (هفته چهارم اردیبهشت 1394)

Ovarian cancer is the most common cancer of the female genital tract which is often advanced at the diagnosis. Neoadjuvant chemotherapy is used in advanced cases، but is associated with several side-effects. Propolis is a substance made by bees. Recent studies show that propolis with chemotherapy has therapeutic effect and reduces chemotherapy side-effects and toxicity. This study was performed aimed to comparatively evaluate the efficacy and side-effects of propolis with chemotherapy and chemotherapy alone for neoadjuvant therapy of ovarian cancer.

This double-blind randomized clinical trial study was performed on the women with advanced stages of epithelial ovarian cancer who required neoadjuvant chemotherapy at the department of gynecology oncology of Ghaem and Omid hospitals، Mashhad University of Medical Sciences from 2013 to 2014. The subjects were randomly divided into two groups. In addition to the usual chemotherapy، one group randomly received Propolis tablet and other group received placebo. Two groups were compared in terms of reduced tumor volume and tumor marker of CA125 and nausea، vomiting، cytopenia، liver dysfunction and possibility of optimal cytoreductive surgery after treatment. Data analysis was performed using SPSS statistical software (version 16) and Mann-Whitney، Exact fisher test and Kruskal-Wallis tests.

In both groups، reduced tumor volume and tumor marker of CA125 had a significant decrease، but no significant difference was observed between the two groups (P=….). The rate of leukopenia، nausea، and vomiting was not significantly different between the two groups (P=…). No cases had liver dysfunction. All cases underwent cytoreductive surgery in Propolis group، but optimal cytoreductive surgery was not performable in 2 patients (25%) in the placebo group.

Propolis administration along with chemotherapy improves the efficacy of common chemotherapy without adverse therapeutic effect.

pain is a major problem after cesarean. Aromatherapy with lavender essence and Transcutaneous Electrical Nerve Stimulation (TENS) are non-chemical effective methods in reducing pain. This study was performed with aim to compare two methods of aromatherapy with lavender essence and Transcutaneous Electrical Nerve Stimulation (TENS) on Caesarean postoperative pain This single-blind randomized clinical trial study was performed on 150 pregnant women who had undergone cesarean section in 2014. The subjects were divided into 3 groups (placebo lavender essence and TENS، placebo lavender essence and TENS، lavender essence and placebo TENS). In the recovery، 100mg of rectal diclofenac suppository was administered for all groups. Then، in the recovery، vital signs and VAS of each case were evaluated and registered. 4،8 and 12 hours after cesarean، before and after the intervention، vital signs and VAS were evaluated and registered. Data analysis was performed by SPSS statistical software (version 19) and statistical tests of Shapiro-wilk and ANOVA. P In the comparison of two methods of aromatherapy with lavender essence and Transcutaneous Electrical Nerve Stimulation (TENS) on cesarean postoperative pain، the results showed that the cases in TENS group had experienced the most pain decrease at 4،8 and12 hours after cesarean (P<0. 001). TENS significantly decreases pain during 4، 8 and 12 hours after cesarean section compared to lavender essence and control groups.

Job satisfaction is the extent of positive emotions and attitudes that people have towards their jobs. Identifying the effective factors on job satisfaction plays an important role in the outcomes and efficiency of the organization and even personal life. Majority of studies reveals that job satisfaction is influenced by job، superior، coworkers، position upgrade and income. According to the key role of midwifes as the effective workers of a health system for providing midwifery service to two vulnerable groups of society which are mothers and children، this study was performed with aim to identify job satisfaction and some related factors in the midwifes employed at the hospitals affiliated to Shahid Beheshti University of Medical Sciences and social security hospitals in Tehran. This coefficient descriptive study was performed on 150 midwifes employed at the hospitals affiliated to Shahid Beheshti University of Medical Sciences and social security hospitals in Tehran. Data collection tool was JDI job satisfaction questionnaire. Analysis of data was performed using SPSS statistical software (version 17) and analysis of variance، chi-square، Mann-Whitney and Spearman tests. The majority of subjects (80%) had average job satisfaction. From 5 dimensions related to job satisfaction، most midwifes had average satisfaction in one dimension of job and occupation and had low satisfaction from other dimensions including direct supervisor، coworkers، position upgrade and income. Also، there was no significant relationship between general job satisfaction and age، job history، type of university and type of employment، but significant relationship was found between general job satisfaction and marital status (P=0. 017)، monthly income (P=0. 039)، and organizational post (P=0. 048). According to the average job satisfaction of employed midwives، they probably will have more job satisfaction if they work in the scope of their job description and assume the management responsibilities.