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Effects of stress management training and problem solving on quality of life and life expectancy among infertile women
Mohammad Reza Zarbakhsh Bahri,Zahra Shoa Hasani,Ziba Zahiri Sorori,Farideh amirsadat Hafshejani
Pajouhan Scientific Journal , 2013,
Abstract: Introduction: This study aims to evaluate the effectiveness of stress management training and problem-solving training on quality of life and life expectancy of infertile women was conducted.Material and Methods: The method of this study was experimental with pretest – posttest design with a control group. population of 400 infertile women who referred to infertility center in Rasht were randomized to 250 of them were selected and the quality of life and life expectancy of the study were the 45 members of the quality of life and life expectancy lower were more randomly in three groups of 15 people, including two experimental groups and one control group were replaced. Each experimental groups were trained for 10 sessions of 90 minutes, respectively, stress management and problem-solving. Upon completion of the training program, participants were assessed again.Results: The result of present study showed that there was a significant difference between the experimental groups and control group in the scores of quality of life and life expectancy (p<0.05) while there was no significant difference between 2 experimental groups in these scores (p>0.05).Conclusion: Stress management and problem solving training were effective on life expectancy and quality of life of infertile women but there was no significant difference between the effectiveness of these two methods on life expectancy and quality of life of infertile women.
Seasonal variation of the onset of preeclampsia and eclampsia
Ziba Zahiri,Hajar Gharami,Roya Faraji
Journal of Research in Medical Sciences , 2007,
Abstract: BACKGROUND: Preeclampsia is one of the three leading causes of maternal mortality. Studies have suggested that the incidence of preeclampsia may be partially dependent on the month or season of delivery. This study was conducted to evaluate whether seasonal variation has any effect on the incidence of eclampsia or preeclampsia. METHODS: From 1999 to 2001, a cross-sectional study in Alzahra Hospital was performed using all deliveries with gestational age more than 20 weeks. Variables of maternal age, parity, occurrence of preeclampsia and eclampsia, and season were evaluated and analyzed by chi-square test in SPSS 10. RESULTS: During the period of the study, there were 12,142 deliveries at Alzahra Hospital in Rasht. There were 2,579 (21.3%) deliveries in spring, 2,696 (22.2%) in summer, 3,645 (30%) in autumn, and 3,222 (26.5%) in winter. There was no statistically significant relationship between the age, parity and season. Hypertensive disorder was reported in 609 pregnancies (5%), with 11,533 (95%) having no hypertensive disorder. Data showed that 397 patients (3.3%) had preeclampsia and eclampsia. The highest rate of preeclampsia was in spring (3.6%), and the lowest rate was in summer (3%), but it revealed no statistical difference in the incidence of preeclampsia with season. CONCLUSIONS: We found no correlation between preeclampsia or eclampsia and season. It may be due to relative similarities between seasons in North of Iran. For example, there are relative similarities between spring and summer, and between autumn and winter. KEY WORDS: Pregnancy-induced hypertension, preeclampsia, eclampsia, seasonal.
Maintenance Therapy by Vaginal Progesterone after Threatened Idiopathic Preterm Labor: A Randomized Placebo-Controlled Double-blind Trial
Seyede Hajar Sharami,Ziba Zahiri,Maryam Shakiba,Frozan Milani
International Journal of Fertility & Sterility , 2010,
Abstract: Background: Patients with arrested preterm labor (PTL) are at increased risk for recurrence ofpreterm birth (PTB). Maintenance tocolysis after arrest of acute PTL is of questionable value. Theobjective of this study was to evaluate the efficacy of 200 mg vaginal progesterone in order toprevent PTB in women with episodes of threatened PTL.Materials and Methods: This is a randomized double blind clinical trial study.Women with singletonpregnancies between 28-36 weeks of gestation, who were hospitalized for PTL were included. Atotal of 173 pregnant patients were randomly allocated to receive 200 mg vaginal progesteronesuppositories (n=86) or placebo (n=87) daily until the 36th gestational week. The two groups werecompared relative to demographic characteristics, incidence of PTB before 34 and 37 weeks, andmaternal and neonatal complications. Data were analyzed by chi-square and Fisher’s exact tests.Results: Mean latency until delivery in the cases was longer than the control group (23.88 ± 18.01vs. 16.67 ± 12.9; p=0.004).Treatment with progesterone was not associated with a reduction inthe rate of PTB before 34 weeks [cases: 9 (10.8%) vs. controls: 8 (10%)] and 37 weeks [cases: 45(54.2%) vs. controls: 33 (41.2%)]. Log rank analysis revealed a significant difference for mean timeto delivery between the two groups (p=0.028). There were no significant differences for neonataland maternal complications in the two groups.Conclusion: Prophylactic administration of 200 mg vaginal progesterone suppositories aftersuccessful tocolysis in patients with threatened idiopathic PTL is associated with a longer latencyto delivery, but failed to reduce the rate of PTB (Registeration Number: IRCT138706051096N1).
The relation between endometrial thickness and pattern with pregnancy rate in infertile patients
Ziba Zahiri,Seideh Hajar Sharami,Zahra Atrkar Roshan
Journal of Research in Medical Sciences , 2007,
Abstract: BACKGROUND: The usefulness of determination of endometrial thickness and pattern by ultrasound for pregnancy prediction has been confirmed as well as questioned in the literature. In an effort to help clarify this controversial issue and to find the relation between endometrial thickness and pattern and pregnancy rates, this study was undertaken. METHODS: This was a cross-sectional study. One thousand and thirty infertile couples with ovulatory factor infertility that underwent 1,030 cycles of induction of ovulation were included in this study. All patients charts were reviewed for endometrial thickness (<7, 7-14 and >14 mm) and pattern (triline versus homogenous) on the time of HCG administration. Age, duration of infertility and number of follicles were evaluated in all patients. Treatment outcome was clinical pregnancy rate. The SPSS 10 software and chi-square t-test and ANOVA were applied for statistical analysis. P<0.05 was determined as statistical significant. RESULTS: The overall pregnancy rate was 25.8% (266 from 1030). There was no statistically significant difference in pregnancy rates in three groups of endometrial thickness (<7, 7-14, >14 mm) and two groups of endometrial patterns (trilene and homogenous). CONCLUSIONS: This study showed that there is no significant relation between endometrial thickness and pattern and pregnancy rate. Further studies are recommended. KEY WORDS: Endometrial thickness, endometrial pattern, pregnancy, ultrasound.
Role of dyslipidemia in preeclamptic overweight pregnant women
Seyede Hajar Sharami,Azita Tangestani,Roya Faraji,Ziba Zahiri
Iranian Journal of Reproductive Medicine , 2012,
Abstract: Obesity is an independent risk factor of preeclampsia with unknown mechanism and hyperlipidemia might be a probable case of it. Objective: The objective of this study was to determine the role of hyper-triglyceridemi in association with high prepregnancy body mass index and the risk of preeclampsia. Materials and Methods: The authors conducted this case-control study of 42 preeclamptic and 41 normotensive overweight pregnant women. The two groups were comparable with respect to age, gestational age, and body mass index. Blood samples were collected at the time of diagnosis of preeclampsia, after 14 hour fasting to determine plasma lipid concentrations. Enzymatic photometric tests were used to determine lipid profile. Data was analyzed with independent “t-test”, Chi-square and one-way ANOVA and post HOC Tukey HSD test. The statistical significance was set at 0.05 levels. Results: In the subjects with preeclampsia, serum triglyceride and total cholesterol levels were significantly increased and plasma HDL-cholesterol concentrations were decreased compared with the controls, (p<0.05), but plasma LDL cholesterol levels didn’t differ between the two groups. Women who developed severe preeclampsia had higher concentrations of TG and cholesterol and lower levels of HDL compared to noromotensive group. Mean TG: 375.16 vs. 202.85, p<0.001, Mean cholesterol: 245.64 vs. 214.32, p=0.04, Mean HDL: 40.80 vs. 48.95, p=0.03). Conclusion: We noted that dyslipidemia, particularly hypertriglyceridemia was highly correlated with prepregnancy high BMI in preeclamptic women. These findings continue to support a role for dyslipidemia in BMI related preeclampsia
The comparison between suppository diclofenac and pethidine in post-cesarean section pain relief: a randomized controlled clinical trial
Ziba Zahiri Soroori,Seyedeh Hajar Sharami,Abtin Heidarzadeh,Leila Shokri
Journal of Research in Medical Sciences , 2006,
Abstract: BACKGROUND: Narcotic drugs are usually used for postoperative pain control which could cause several complications such as respiratory depression and apnea. Therefore, replacement of these drugs with safer analgesics is recommended. The aim of this study was to compare the analgesic effects of suppository diclofenac and pethidine in post-cesarean section (C/S) patients. METHODS: In this clinical trial, pregnant women who were admitted to Alzahrah Hospital, Isfahan, Iran, between August and February 2004 and met the inclusion criteria were recruited. After obtaining informed consent, the patients were randomly assigned (block randomization) to two groups. In group A, 100 mg rectal suppository diclofenac was used after operation at four time points: at the end of operation and 8, 16 and 24 hours after the operation. Group B received pethidine 1 mg/kg intramuscularly at similar time points. The pain scores were assessed at 2, 10, 18 and 26 hours after C/S using the Visual Analogue Scale (VAS). Age, gestational age, parity, history of previous abortion, C/S and abdominal surgery, level of education, pain score, side effects and satisfaction level were assessed. Analysis was carried out with ANCOVA model and χ2 Mantel Haenszel tests by SPSS.10 software. P<0.05 was considered significant. RESULTS: Two hundred forty patients met inclusion criteria. Age, parity, history of previous abortion, history of previous C/S and abdominal surgery, level of education and satisfaction level were similar in the two groups (P>0.05). There was no significant difference between side effects in the two groups except for dizziness in 11 cases in group B. There were significant statistical difference between pain intensity in 10, 18 and 26 hours after C/S in group A and group B (2.05 ± 2.07, 1.4 ± 1.6 and 0.5 ± 1.1 vs. 2.6 ± 2.2, 2.3 ± 2.2 and 1.3 ± 1.9) respectively. CONCLUSIONS: The results of the present study showed that the use of suppository diclofenac is an appropriate replacement therapy for pain relief after C/S. KEY WORDS: Diclofenac, pethidine, cesarean section, pain relief.
Imaging Finding in 222 Patients with Vestibular
A. Zahiri
Iranian Journal of Radiology , 2008,
Abstract: Background/Objective: Vestibular Schwannoma is the most common cranial schwannoma with gradually produce sensorineural deafness. In this study we observed the effect of Gamma Knife therapy for control of this type of schwannoma."nPatients and Methods: We observed imaging findings of 250 patients with vestibular schwannoma from September 2003 to October 2007. We performed the Gamma Knife with C model (Elekta Company) for the treatment and control of the tumor."nResults: The minimum age of our patients was 14 years and maximum age was 90 years. Twenty six patients was N.F.2, and female to male ratio was 2/1. The most common imaging finding was loss of central contrast enhancement in contrast MRI beginning after nine months after Gamma Knife. Loss of volume and cystic changes were other imaging findings and regrowth of tumor was seen in same case. After three years follow up, tumor control, tumor regression, and tumor enlargement were seen in 85%, 10%, and 5% of our patients respectively."nConclusion: Gamma Knife should be considered as a suitable treatment option for the treatment of Vestibular Schwannoma.
The Plusiinae of Iran (Lepidoptera: Noctuidae)
R. Zahiri,M. Fibiger
SHILAP Revista de Lepidopterología , 2008,
Abstract: Sobre la base de un extenso material de la colección del Hayk Mirzayans Insect Museum (HMIM), el museo de insectos más grande de Oriente Medio, que pertenece al IRIPP, ITRD (Insect Taxonomy Research Department), algunos materiales de la colección Vartain del Naturhistorisches Museum Wien, Austria; Staatliches Museum für Naturkunde Karlsruhe, Alemania y Zoologische Staatssammlung München (ZSM), Alemania, han sido registradas 29 especies de la subfamilia Plusiinae, Noctuidae. Esta información incluye más de 1.412 ejemplares y 679 localidades de estos ejemplares. Los materiales del HMIM fueron colectados de algunas expediciones de los entomólogos iraníes del PPDRI desde hace cuarenta a os hasta la actualidad. Se proponen algunos futuros cambios taxonómicos. Para cada especie se representan sus genitalias, imágenes de los adultos, información del taxón incluyendo la de sui descripción original y el material tipo, periodos de vuelo, localidades donde se han recogido, altitud, distribución global, mapas de distribución basados sobre software de biodiversidad BIOOFFICE y algunas plantas nutricias de las larvas. También en este estudio, 2 géneros y 4 especies se han marcado con un asterisco como nuevas citas para Irán.
AVM imaging in Gamma knife (G.K)
A.R. Zahiri
Iranian Journal of Radiology , 2005,
Abstract: Introduction & Background: We reported more than 50 cases of AVM imaging before & 2 years after G.K. Surgery and embolization therapy were used for many years in the treatment of arteriovenous mal-formations (AVM). Here we discuss how Gamma Knief is used in the treatment of AVM. The nidus of the AVM was first defined with DSA and multiple sequences of MRI. Planning was then performed by the Gamma Knife team as the 3D MR angiography (MRA) and CT angiography (CTA) are not suitable for planning. Important factors for the selection of cases are size, volume, and location. We will also dis-cuss the role of radiologists in target definition and relation of vital organs around the AVM that might also receive radiation. We will also discuss other vas-cular lesions such as cavernous hemangioma that are currently treated using Gamma Knife. Multiple cases of AVM with follow up imaging treated with Gamma Knife in Iran are demonstrated. Complications of G.K, radiation necrosis, and several case studies are also presented.
Client Satisfaction with Health Services Delivery in Urban and Rural Health Centers in Markazi Province
R Zahiri,M Taheri
Journal of School of Public Health and Institute of Public Health Research , 2010,
Abstract: Background and Aim: Pressure ulcer is a common problem and a large drain on hospital resources, especially in wards such as ICU where patients stay for a long time. The aim of this study was to explore the likely factors contributing to pressure ulcers in the ICU units of Tehran University of Medical Sciences teaching hospitals, Tehran, Iran. Materials and Methods: This project was conducted in all the seven ICUs of four teaching hospitals affiliated to Tehran University of Medical Sciences. In the first phase the researcher performed a direct observation of all the 90 patients who were admitted to the ICU units to check the presence of any pressure ulcer. In the second phase, 310 patients discharged from the same ICU units between March 2007 and February 2008 was randomly selected and their medical records reviewed. A structured questionnaire was used to collect the data. Results: Pressure ulcer occurred more frequently in the elderly; women; patients who were less active and had less mobility, hospitalized for a long time, or those with fever, diabetes, high blood pressure, paralysis, or respiratory diseases. In addition, pressure ulcer was seen more frequently in the patients hospitalized in the general ICUs, as well as in those with infections and different types of tumors. Conclusion: Using a standard risk assessment tool and paying attention to the main risk factors of pressure ulcer can be a useful method for identifying the high-risk patients before admission in order to prevent them from developing such ulcers.
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