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Lifestyle (LS)-related risk factors are the most important factors for increasing noncommunicable chronic diseases (NCDs). Coronavirus disease 2019 (COVID-19) is known to have a significant impact on LS, exposing patients with NCDs to adverse outcomes. This study aimed to investigate the LS changes after the COVID-19 pandemic and the strategies that can be used to manage the LS changes in the four levels of disease prevention. The prevalence of LS-related problems such as obesity and overweight has an upward trend and physical activity has declined dramatically in COVID-19 pandemic time. COVID-19 pandemic can worsen the patients' mental disorders or, as a major stressor, trigger mental disorders in the people. Moreover, stress and anxiety of pandemic situation may induce the consumption of smoking and alcohol in societies under disease. In addition, poor sleep and excessive use of social networks have been associated with poor health outcomes. LS modification is a substantial strategy for the prevention and management of NCDs that due to the pandemic situation, has become more serious now. The comprehensive LS modification program can promote various dimensions of knowledge, attitude, and LS-related behaviors at four levels of prevention. Primordial prevention by preventing LS-related risk factors, primary prevention by reducing or eliminating LS-related risk factors, secondary prevention by using LS modification in the treatment approach, and tertiary prevention by integrating LS interventions into rehabilitation make up the basics of a comprehensive LS reform program. [ABSTRACT FROM AUTHOR]

Background and Objectives: The present study aimed to determine the prevalence of post-traumatic stress disorder (PTSD) and its related factors in the survivors of Covid-19. Materials and Methods: In this descriptive study 413 patients who had a history of hospitalization due to covid-19 disease were selected using the convenience sampling method. Data were collected using a questionnaire and analyzed by binary logistic regression. Results: Out of 402 participants, 148 participants (36.8%) had PTSD. In addition, suffering from coronary heart disease (OR=1.80, p<0.001) and adverse mental health status (OR=1.21, p<0.001) increased the odds ratio of PTSD by 80% and 21%, respectively. Conclusion: This study showed that more than one-third of the survivors of Covid-19 have PTSD. Therefore, it is recommended mental health status screening be integrated into the discharge plans of these patients. [ABSTRACT FROM AUTHOR]

Background: The spread of COVID‐19 as an infectious disease brings about many newly arrived challenges, which call for further research on the scope of its effect on life due to the special conditions of this disease. The present study is, therefore, an attempt to understand the lived experience of inpatients hospitalized with COVID‐19. Method: In this phenomenological study, among patients with COVID‐19 who were hospitalized in COVID‐19 referral hospitals, 17 people were selected by random sampling method. Data were gathered by interviews and analysed using MAXQDA10 software. Findings: Analysis revealed 4 main themes and 16 subthemes. Main themes included the (1) denial of the disease, (2) negative emotions upon arrival, (3) perception of social and psychological supports and (4) post‐discharge concerns and problems. Conclusion: Patients with COVID‐19 experience a different world of stresses, concerns and feelings in the course of their disease. Gaining a deeper insight into patients' experiences with this disease can help handle this disease more effectively and provide better post‐corona nursing and psychological care and services. [ABSTRACT FROM AUTHOR]

Factors affecting the time of survival after breast cancer (BC) diagnosis remain unknown. However, some of the prognostic factors have been identified. The aim of this study was to investigate the effects of biologic and socioeconomic factors on long-term survival of BC patients. This was a descriptive chart review and survey of all women with a confirmed diagnosis of BC registered in Shohada-e-Tajrish Cancer Research Center database from March 2004 to March 2015. The checklist of study consisted of biologic, demographic, reproductive, genetic, medical, and therapeutic information of patients. The minimum time of follow-up was 3 years and the maximum was 10 years. We then evaluated possible associations of these variables with BC survival using Cox and parametric regression models of survival analysis. The study population was 1276 BC patients. Their mean survival was 23 (range 1–120) months. Between the parametric models, Weibull regression model demonstrated the lowest Akaike information criterion and thus the best fit, and tumor size, number of lymph nodes, BC stage, educational level, and high-fat diet were significant in this model. Based on our findings, educational level, consumption of fat, and characteristics of tumor at the time of diagnosis (disease stage, tumor size, number of involved lymph nodes) are the most important prognostic factors affecting long-term survival of BC patients. We suggest that future studies assess the efficacy of possible interventions for these factors. [ABSTRACT FROM AUTHOR]

Background: Health care failure mode and effect analysis is a prospective and systemic approach for identifying failure modes and preventing them before their occurrence, which is used extensively in healthcare. The present study was conducted aiming at the investigation of the application of the prospective approach of healthcare failure mode and effect analysis in the risk assessment of healthcare systems. Methods: In this narrative systematic review, a search was carried out in english data bases (web of knowledge, PubMed, Scopus, Ovid, Proquest, Science direct) and Persian data bases (SID, Magiran and Iranmedex) using keywords such as risk assessment, proactive risk, health failure mode and effect analysis, health care, patient safety, without no time limits. Results: A total of 620 studies were identified in our searching which of them 24 studies were included. According to the investigation, in applying the steps of HFMEA several methods and various tools such as "Voting method using rating", "Activity breakdown structure", "Triangular method", "Scorecard", "Set forms", "Intervention levels matrix", "Classification of failure modes", "Classification of root causes of errors", "Five why method", "Fault tree" and "Theory of inventive problem solving method" have been used in order to increase the reliability of HFMEA method and reduce the effects of its restrictions. Conclusion: HFMEA is considered an effect tool for risk assessment. However, there are methodological challenges in validity of the HFMEA model. Applying and combining other methods and tools other than the team's experience and knowledge in the stages and steps of HFMEA, it is possible to enhance the validity of the method. [ABSTRACT FROM AUTHOR]

Purpose: This study was performed with the aim to evaluate the effect of postpartum home visitation and providing breastfeeding consultation services on exclusive breastfeeding. Materials and Methods: This clinical trial study was conducted on 276 women who delivered in hospitals affiliated the Shahid Beheshti University in 2013. Consecutively, 92 people in the intervention group and 184 people in control group were enrolled. The intervention group at home received cares and breastfeeding consultation and the control group did not receive these services. The outcomes were recorded and compared in both groups at 60 days postpartum. Results: In terms of type of newborns feeding, the group who received services after delivery in the home had 84.8% exclusive breastfeeding and the rate in the group who did not receive services after delivery in the home was 64.7%. There was a statistically significant difference between the two groups Conclusion: This study showed that providing home care for mother and newborns and counseling increase the exclusive breastfeeding rate. [ABSTRACT FROM AUTHOR]

Background: Postpartum home care plays an important role in prevention of postpartum complications. Regular visits of mothers during this period are imperative. This study aimed to provide postpartum home care for mothers to assess its effects on mothers' health in Iran. Materials and Methods: This study was carried out in two phases. First, a comprehensive postpartum home care program was compiled by performing a comparative study, using the available guidelines in this regard in different countries and based on the opinions of the experts. Next, a clinical trial was carried out on 276 women who gave birth in the university hospitals affiliated to Shahid Beheshti University of Medical Sciences. There were 92 mothers in the intervention and 184 in the control group. The intervention group mothers were provided with postpartum home care service while the control group did not receive such a service. Results: Outcome assessment at 60 days' postpartum revealed a significant difference between the two groups in terms of the use of supplements, birth control methods, postpartum depression, breastfeeding problems, constipation, and fatigue (P < 0.05). No significant differences were noted between the two groups with regard to hospitalization, hemorrhoids, backache and lumbar pain (P > 0.05). Conclusion: The postpartum home care program had a positive effect on some aspects of the mothers' health status and their satisfaction in our society. [ABSTRACT FROM AUTHOR]

Introduction: The hospitals are a stressful environment for employees, especially nurses. Stress and other health problems may lead to occupational burnout and reduction of nurses' efficiency. The aim of the current study is to investigate the effect of emotional intelligence training on health promotion of nurses in Sabzevar Hospitals., Methodology: The current study is a field trial with a random control group. The sample group was 135 nurses of Sabzevar Hospitals. They were then divided randomly into experimental and control groups. First, all of the samples answered the questionnaire of personal information, Bar-On Emotional Intelligence, and General Health Questionnaire. The first group (intervention) was trained by giving the speech, and the second group (control) did not receive any intervention about the subject of the study. The experimental group was then trained for the components of emotional intelligence and answered the questionnaire again. The significance level was considered as P < 0.05., Results: The results showed that the distribution of qualitative variables in the study was similar and also the scores of emotional intelligence and the dependent variables after intervention in the intervention group had a significant and inverse relationship, meaning that the score of emotional intelligence decreased with the score of general health score. This could be significant in comparison to the two groups. Findings showed that emotional intelligence at the beginning of the study in the intervention and control groups were 35.03 ± 32 and 30.89 ± 33, respectively, and after the intervention, it was 29.68 ± 35 and 42.89 ± 34, respectively. Total general health was 19.76 ± 84 and 18.77 ± 77 in the case group before intervention and 14.55 ± 56 in the case group and 17.68 ± 52 in the control group, respectively ( P < 0.001)., Conclusion: Findings indicated the significant mutual effect of emotional intelligence changes and general health variables. It means as the score of emotional intelligence gets more, health score decreases and the rate of general health increases., Competing Interests: There are no conflicts of interest., (Copyright: © 2020 Journal of Education and Health Promotion.)

Introduction: Nocturnal enuresis (enuresis) is one of the most common developmental problems of childhood, which has often a familial basis, causes mental and psychological damage to the child and disrupts family solace., Objectives: In this study, we compared therapeutic effects of combination therapy of desmopressin plus oxybutynin with desmopressin plus tolterodine, in the treatment of children with primary nocturnal enuresis., Patients and Methods: The present study is a clinical trial study, where 59 patients with primary nocturnal enuresis in the age range of 5 to 14 years old were selected from the visitors of nephrology clinic of Dr. Sheikh pediatrics hospital (Mashhad, Iran). Patients were divided into 2 treatment groups where the first group received combined therapy with desmopressin and oxybutynin, and the second group received combined therapy with desmopressin and tolterodine. Data was analyzed using SPSS 16 software and descriptive and analytical statistics (chi-square test)., Results: The mean of age of patients in total was 2.55 ± 7.90 years. In the treatment group with desmopressin and oxybutynin, 26 of 30 patients (86.7%) achieved a complete remission and 4 patients (13.3%) still suffered from enuresis during a 3-month evaluation. The comparison of 2 groups, in terms of the outcome of the 3-month treatment, showed significant differences between the remission and recovery of 2 groups, where the recovery in the group with desmopressin plus tolterodine was higher than the group with desmopressin plus oxybutynin (P = 0.001)., Conclusion: The results showed that combined treatment with desmopressin plus tolterodine performs better than desmopressin plus oxybutynin .

Background: Knee pain is one of the most common reasons patients visit their physician. In this regard Magnetic Resonance Imaging (MRI) is the tool of preference for diagnosis. The aim of this study was to determine appropriate guidelines for knee MRI administration using the RAND Appropriateness Method (RAM)-2013., Methods: This qualitative study was done in the Mashhad University of Medical Sciences in 2013. The most appropriate approved knee MRI administration clinical guidelines were evaluated using Guidelines Evaluation and Research Appraisal (AGREE). Panel members consisting of six orthopedic and three rheumatologic doctors gave scores ranging from 1 to 9 for each scenario. The indications were grouped as appropriate, equivocal and inappropriate. Data were analyzed by descriptive statistics and SPSS ver. 18 software., Results: Sixty-three scenarios were extracted from the guidelines and then the scenarios were evaluated in 26 indications. Thirty-two (50.79%) cases were considered appropriate, 12 (19.04%) cases uncertain and 19 (30.1%) cases inappropriate., Conclusions: The RAND appropriateness method is helpful in identifying the opinion of stakeholders in health care systems. Moreover, making practical use of clinical guidelines can improve patients' quality of care and prevent unnecessary costs.