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کاربرد نوع شرط:
- جایگاه : پژوهشی
- مجله: Nursing and Midwifery Studies
- نوع مقاله: Journal Article
- کلمات کلیدی: Women,attitude,Natural Childbirth,Medical Ethics,Validation Studies
- چکیده:
- چکیده انگلیسی: Background Vaginal delivery is one of the challenging issues in medical ethics. It is important to use an appropriate instrument to assess medical ethics attitudes in normal delivery, but the lack of tool for this purpose is clear. Objectives The aim of this study was to develop and validate a questionnaire for the assessment of women’s attitude on medical ethics application in normal vaginal delivery. Patients and Methods This methodological study was carried out in Iran in 2013 - 2014. Medical ethics attitude in vaginal delivery questionnaire (MEAVDQ) was developed using the findings of a qualitative data obtained from a grounded theory research conducted on 20 women who had vaginal childbirth, in the first phase. Then, the validation criteria of this tool were tested by content and face validity in the second phase. Exploratory factor analysis was used for construct validity and reliability was also tested by Cronbach’s alpha coefficient in the third phase of this study. SPSS version 13 was used in this study. The sample size for construct validity was 250 females who had normal vaginal childbirth. Results In the first phase of this study (tool development), by the use of four obtained categories and nine subcategories from grounded theory and literature review, three parts (98-items) of this tool were obtained (A, B and J). Part A explained the first principle of medical ethics, part B pointed to the second and third principles of medical ethics, and part J explained the fourth principle of medical ethics. After evaluating and confirming its face and content validity, 75 items remained in the questionnaire. In construct validity, by the employment of exploratory factor analysis, in parts A, B and J, 3, 7 and 3 factors were formed, respectively; and 62.8%, 64% and 51% of the total variances were explained by the obtained factors in parts A, B and J, respectively. The names of these factors in the three parts were achieved by consideration of the loading factor and medical ethics principles. The subscales of MEAVDQ showed significant reliability. In parts A, B and J, Cronbach’s alpha coefficients were 0.76, 0.72 and 0.68, respectively and for the total questionnaire, it was 0.72. The results of the test–retest were satisfactory for all the items (ICC = 0.60 - 0.95). Conclusions The present study showed that the 59-item MEAVDQ was a valid and reliable questionnaire for the assessment of women’s attitudes toward medical ethics application in vaginal childbirth. This tool might assist specialists in making a judgment and plan appropriate for women in vaginal delivery management.
- انتشار مقاله: 11-10-1348
- نویسندگان: Firoozeh Mirzaee Rabor,Ali Taghipour,Moghaddameh Mirzaee,Khadigeh Mirzaii Najmabadi,Masoud Fazilat Pour,Seyed Hosein Fattahi Masoum
- مشاهده
- جایگاه : پژوهشی
- مجله: Journal of Kerman University of Medical Sciences
- نوع مقاله: Journal Article
- کلمات کلیدی: Outcome,Mean platelet volume,Hospital mortality,Sepsis
- چکیده:
- چکیده انگلیسی: Background: The purpose of the present study was to examine the role of mean platelet volume (MPV) in comparison with Sequential Organ Failure Assessment (SOFA), quick SOFA (qSOFA), and Mortality in Severe Sepsis in the Emergency Department (MISSED) scoring systems in predicting hospital mortality among patients with severe sepsis. Methods: This follow-up study was conducted on patients over 18 years with severe sepsis, who were referred to the emergency department. Complete blood count (CBC) samples were sent to the laboratory for MPV measurement. Also, the required samples for determining SOFA and MISSED scores were collected. A senior emergency medicine resident completed the questionnaires upon patient admission and during follow-ups. Hospital mortality was considered as the outcome of the study. All statistical analyses were performed using SPSS version 20. Results: Among 428 patients with severe sepsis, 200 cases were recruited in this study from May 1, 2017, to May 1, 2018. The frequency of hospital mortality was 56 (28%). In the univariate analysis, there was a significant relationship between hospital mortality and age, base excess (BE), MPV, platelet distribution width (PDW), SOFA score, qSOFA score, and MISSED score (P< 0.0001). Based on the backward conditional method in the multivariate analysis, three variables, including SOFA, qSOFA, and MISSED scores, which showed a significant relationship with hospital mortality, remained in the final model. Conclusion: It seems that MPV plays a less significant role in determining the outcomes of severe sepsis in patients. qSOFA and MISSED scores, especially SOFA score, are of great significance in determining the prognosis of these patients.
- انتشار مقاله: 16-11-1397
- نویسندگان: Amirhossein Chalabi,Mehdi Torabi,Moghaddameh Mirzaee
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of School Health
- نوع مقاله: Journal Article
- کلمات کلیدی: Iran,Factor analysis,aggression,environment,safety
- چکیده:
- چکیده انگلیسی: Background: The lack of a comprehensive instrument to measure school climate with good psychometric properties in Iran is strongly felt. This study aimed to examine the construct validity of the multidimensional structure of the Maryland Safe and Supportive Schools Climate Survey (MDS3) among Iranian pupils.
Methods: This validation study was peformed on a sample of 1540 pupils from 42 schools in Mazandran province in 2017. Confirmatory factor analyses (CFA) and exploratory structural equation modeling (ESEM) were employed to evaluate the construct validity of each of the three scales of the questionnaire (Safety, Engagement, and Environment). The current study tested measurement invariance across gender, school type, and grade levels.
Results: Our findings confirmed the factor structures and measurement invariance across gender, school types, and grade levels regarding Safety, Engagement, and Environment scales of the Persian version of the MDS3 Climate Survey. This study revealed a conceptual overlap between the dimensions of school climate which can be well shown by ESEM (CFI=0.975, TLI=0.945, RMSEA=0.053, SRMR=0.029 for Safety scale; CFI=0.987, TLI=0.961, RMSEA=0.027, SRMR=0.018 regarding Engagement scale; CFI=0.960, TLI=0.926, RMSEA=0.036, SRMR=0.025 concerning Environment scale). Furthermore, the Pearson correlations of all school climate sub-scales were significant (P<0.05) with the exception of correlations between disorder subscale and connection to teachers (r=0.03, P=0.239), academic engagement (r=0.04, P=0.116), and culture of equity (r=0.02, P=0.432).
Conclusion: The Persian version of MDS3 Climate Survey can be used to measure the three key domains of school climate (Safety, Engagement, and Environment) in Iranian context and the epidemiological studies associated with student health and behaviors.- انتشار مقاله: 22-10-1398
- نویسندگان: Maysam Rezapour,Narges Khanjani,Moghaddameh Mirzaee
- مشاهده
- جایگاه : پژوهشی
- مجله: Addiction and Health
- نوع مقاله: Journal Article
- کلمات کلیدی: Iran,Sex workers,Age of onset,Survival analysis
- چکیده:
- چکیده انگلیسی: Background: A significant proportion of Female Sex Workers (FSWs) as a vulnerable population begin selling
sex at an early age, which may lead the person to develop sexually-transmitted infections (STIs) and human
immunodeficiency virus (HIV). Thus, this study seeks to identify the factors which influence the age of first
sex for sale among the Iranian FSWs.
Methods: In 2010, 872 FSWs from 21 centers in 12 Iranian provinces were selected through multistage
sampling and were interviewed individually by a standard questionnaire. Survival analysis of interval
censored data was used to investigate factors which influence the age of first selling sex. The collected data
were analyzed using Weibull parametric model and the hazard ratio (HR) index was reported. The software
employed in this study was R version 3.4.2 and icenReg package was used.
Findings: The mean age of first selling sex was 24.94 ± 7.34 years. About 22% of the participants started to
sell sex before the age of 18. The risk of experiencing the first selling sex was 23% higher in those individuals
who had experienced alcohol consumption (HR = 1.23) and 51% higher in those who had drug injections
(HR = 1.51). Also, age, education, and marital status were significant variables.
Conclusion: In order to cope with the issue of first selling sex at an early age, the following strategies are
suggested: providing necessary trainings and building culture about the dangers of alcohol consumption and
drug injections, poverty reduction, facilitating education and marriage for young females, and combating sex
trafficking
- انتشار مقاله: 16-02-1399
- نویسندگان: Mahboobeh Mousavi-Ramezanzade,Yunes Jahani,Moghaddameh Mirzaee,Hamid Sharifi
- مشاهده
- جایگاه : پژوهشی
- مجله: Addiction and Health
- نوع مقاله: Journal Article
- کلمات کلیدی: drugs,Iran,Sex workers,Survey,Ordinal logistic
- چکیده:
- چکیده انگلیسی: Background: Due to the high level of sexual relationships, prostitute women are faced with many dangers, including acquired immune deficiency syndrome (AIDS), sexually transmitted infections (STIs), fertility problems, drug use, etc. In this regard, addict prostitute women are exposed to more risks because drug use is considered as an outstanding factor in those associated with transmission of AIDS and being in an insecure sexual relationship. The purpose of this study was to find out the variables influential on the level of drug use, before or during sexual relationship. Methods:In 2010, 625 prostitute women were selected by multistage sampling from 21 centers out of
12 provinces. Then, we used a standard questionnaire for gathering data by a face-to-face interview. The multilevel ordinal logistic regression in survey model was used to find out the relationship between variables and the level of drug use before or during sexual relationship. Findings: The number of monetary customers at the last working day [adjusted odds ratio (AOR): 1.87, 95% confidence interval (CI): 1.50-2.32] and having sexual relationship during the past month with monetary customers (AOR: 4.77, 95% CI: 2.61-8.70) were significantly related to the level of drug use before or during sexual relationship in the past month. Conclusion: Since the level of drug use before or during sexual relationship was higher in women who had more daily sexual relationships, these women are exposed to the consequences of drug use; thus, identifying the status of this group of women is important to plan for future injuries.- انتشار مقاله: 22-02-1398
- نویسندگان: Atiyeh Kamel-Khodabandeh,Moghaddameh Mirzaee,Yunes Jahani,Hamid Sharifi
- مشاهده