Background: Hypertension affects the quality of life of patients and their caregivers. The aim of this study was to assess the knowledge and self-care behaviors and health-related quality of life (HRQOL) among hypertensive people. Methods: All people aged 35 years and older with hypertension were invited to participate in this study. Information on self-care behavior for hypertension (H-scale), and health-related quality of life (WHOHRQOL-BRFF) were completed by trained interviewer. Data analysis was done using SPSS 16.Results: The median age of hypertensive patients was 62.5(25th to 75th percentile: 55 to 72 years), the correlation between quality of life and overall self-care scores was not significant(r =-0.048, P =0.520). Physical activity was the only significant predictor for quality of life,showing that the quality of life of hypertensive people increased by 3.371 units per day of being physically active in the cohort study (β =0.223, P<0.01). The only significant predictor of quality of life among the elderly was medication use (β =-0.572, P<0.001). Quality of life of participants decreased 3.456 units per day as a result of medication adherence. Conclusion: No association was observed between self-care and HRQOL total score in hypertensive patients in the study. Among the self-care domains, only medication adherence and physical activity had significant association with social health. There was a reverse association between smoking and HRQOL.
Background: Residency programs generally carry out various educational interventions to improve residents’ publication records. Since an intervention may not produce the same effect in different locations, evaluating the effectiveness of individual interventions is essential for examining progress in this field of study. Authorities at the Tabriz University of Medical Science (TUOMS) proposed a research training program targeting a rise in residents’ scholarly activity and publications; this study aimed to evaluate the program and share the findings and experiences. Methods: Questionnaires were sent to 182 residents and the heads of all clinical departments. Evaluators used Kirkpatrick’s four-level model and Stufflebeam’s Context, Input, Process and Product model for data gathering and analyzing. Focus group discussions (FGDs) and in-depth semi-structured interviews were done with faculty members, executive staff, and residents to complement the survey results. Data were summarized and categorized using quantitative and qualitative analysis. Results: The participation rate for residents and heads of departments were 76 (41.7%) and 14(70%), respectively. At the end of the course, residents assessed their knowledge and research skills as weak or medium in most of the subjects. A total of 182 (100 %) residents prepared thesis proposals. Only 82 (49.1%) residents completed their thesis, and 19 (11.3%) published papers.Generally, participants were not satisfied with the course. Barriers noted were: mandatory topics for theses, an intensive course with a one-month duration, a lack of consideration of practical subjects, high cost of the course, and failure to achieve an increase in publications. Conclusion: The Self-assessment results of increased knowledge and research skills did not indicate improvement. Mandatory participation in the course did not result in the expected publication increase.
IntroductionPregnancy is a determining period for both mother and fetus. No mother would jeopardize her baby's health at any cost. Nowadays, most women dye their hair at some points in their lives, sometimes as early as 18 years old (1-3). It is not clear whether hair color would affect the fetus or not. Studies have shown a possible association between hair coloring during pregnancy, and low birth weight (LBW), neuroblastoma, and leukemia in the offspring (4-7). There is a report on increased neonatal abnormalities in mothers who used chlorinated solvents and glycol ether for hair dyeing during pregnancy. Still, the report was criticized because of the lack of biological plausibility (8). Blackmore-Prince et al failed to show the association of dyeing hair three months before pregnancy and during pregnancy with preterm labor or LBW in black women (9). Different studies raised concerns about the association of the effect of glycol ethers and oxygenated solvents which are used in cosmetic products with neurocognitive abnormalities and potential developmental effects on the male genital system (10,11), and thus far, studies have failed to prove the adverse association (12).Despite limited evidence on the adverse effects of hair coloring during pregnancy, with a justification of "minimal systemic absorption on healthy skin", hair dyes are considered to be safe during pregnancy (13,14). However, there is no convincing evidence aimed to examine the relationships between hair coloring during pregnancy and other unwanted outcomes. According to our clinical experience, most Iranian women believe that hair coloring during pregnancy would affect the child; however, if they want to dye their hair, they do it at the end of the third trimester. Considering these, the main goal of this study was to examine the association between hair coloring and intrapartum and neonatal outcomes such as preterm labor and Apgar scores. Materials and MethodsThis was an explorative cross-sectional study; therefore, we did not use a formal sample size calculation and evaluated all participants' data. The study was carried out in Talegani teaching hospital of Tabriz University of Abstract Objectives: Using hair dye has spread globally in recent years. Concerns have arisen about the safety of hair dyes during pregnancy. The primary goal of this study was to examine the association between hair coloring and pregnancy outcomes. Materials and Methods: This cross-sectional study was conducted on 2040 pregnant women aged 14 to 48 years, in Talegani teaching hospital of Tabriz University of Medical Sciences from January 2017 to December 2019. Three trained midwives collected relevant information from the women on the admission to the labor room and recorded pregnancy outcomes. Chi-square test of independence with post hoc tests and logistic regression analysis were used for data analysis. Odds ratios with a 95% confidence interval and contributing effect sizes were reported. The significance level was set at P ≤ 0.05. Results: The majority of participan...
BackgroundConcurrent bleeding or existing clots usually obscure the vision field and decrease the success rate in hysteroscopy. Therefore, any effort to have a clear view during the hysteroscopy will meliorate the diagnostic or treatment outcomes. We examined the effect of preoperative clot evacuation on hysteroscopy and patient outcomes.MethodsIn this parallel-group trial, 114 patients with uterine bleeding were randomly assigned to receive either clot evacuation before standard operative hysteroscopy or standard hysteroscopy alone. The primary endpoints were the clarity of vision, amount of bleeding, the volume of consumed media, duration of the procedure, and postoperative complications.ResultsAll 114 participants completed the study. There were statistically significant differences in the frequency of the clear vision (p < 0.001), the severity of bleeding (p = 0.0006), mean procedure time (p < 0.001), mean serum volume used (p < 0.001), and the postoperative hematocrit levels [95% CI (-3.00, -1.88)] (p < 0.001) between groups. There was no difference related to in-hospital stay (p = 0.081) and anesthetic complications among the patients (p = 0.182). The procedure was successfully performed on all patients of both groups with zero postoperative complications.ConclusionRemoval of clots and other uterine contents before the insertion of the hysteroscope rendered better and faster access to the uterine wall to observe existing abnormalities. This method of starting the hysteroscopy procedure has a significant impact on surgical outcomes.Trial registration: Clinical trial registry name: Iranian Registry of Clinical TrialsUrl: https://en.irct.ir/trial/33369The registration number: IRCT20101130005283N13Date of registration: 2018-11-16
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