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Showing 7 results for Modarres

M Modarres, Sh Ghasizadeh, A Mehran, T Dadghah Tehrani,
Volume 7, Issue 1 (10 2001)
Abstract

This study was a randomized double - blind controlled clinical trial to investigate the effect of nitroglycerine ointment on primary dysmenorrhea and its side effects among the students resident of selected dormitory of Tehran university of medical sciences in 1999.The investigated units consisted of 112 students suffering from primary dysmenorrhea grade 2 and 3.The samples were randomly assigned into two equal groups : control Group (56 students )and experimental group (56 students )as well.The severity of pain and side effects were evaluated once before and five times after applying the ointment. Then ,a comparison was made to assess the effect of drug and placebo on two groups according to severity of pain and side effects.The results showed that severity of pain in case group was significantly lower than control group during 30 minutes and one, two and four hours after applying the ointment, (in all cases p=o.oo)Moreover , 15 -30 minutes after applying the ointment, it was effective in relieving pain and it reached its highest degree when two hours passed, then the effectiveness of the ointment in relieving pain was reduced , but it continued to be effective within four hours after applying as well. Furthermore, the findings revealed that 5 mg of Nitroglycerine 1% was effective in relieving primary dysmenorrhea, however, it was accompanied with following side effects in two groups: headache 21.4% in case group VS 1.8% in control group (p=0.00), dizziness 21.4%in case group VS 1.8% in control group (p=0.00), hotflashing 35.7% in case group vs 1.8% in control group (p=0.00), arrhythmia 10.8% in case group VS 0% in control group (p= C.05), a significant falling in systolic and diastolic blood pressure (p=0.05) and a significant increasing in heart beat. (p=0.05).
M Modarres, M Moshrefy,
Volume 8, Issue 3 (12 2002)
Abstract

For diagnosing PROM, the need has been acutely felt for special care in obstetrics. Coordinated management for patient care between the clinician and midwives is the custom in several obstetric care centers. Diagnosis and treatment by the physician has greatly facilitated the work of midwives, to the extent that they now play an important role in the special nursing of women in solving obstetrics. This article reviews important topics such as: epidemiology, physiology, pathology and patho-physiology. It also covers preventive measures, objective and subjective evaluation, diagnostic tests and management of PROM, as well as the psychological aspects of hazards for motherhood, fetus and childbirth.
M Modarres , M Moshrefy , T Mirmawlai , M Zyaee Bidhendi ,
Volume 10, Issue 2 (7 2004)
Abstract

Introduction: According to WHO, prolonged labour is one of the most important causes of maternal and newborn mortality. This study was carried out to assess the impact of education of partogramm on quality of midwifery’s care.

Materials and Methods: This survey was a quasi experimental study with one group pretest-posttest design which was carried out in some of governmental hospitals in Tehran in 2002. Subjects were 53 midwives who were working in different hospitals. The data was collected with an special questionnaire, WHO’s partogramm, and a check list to assess quality of midwifery care in labour. Result were analyzed with SPSS software.

Results: The findings showed that after education of partogramm a statistically significant improvement occurred in recording of twelve of fifteen variables including fetal heart rate, condition of amniotic fluid, vaginal bleeding, vital signs of mother, urine examination, drugs and fluid use, correct plotting of cervical dilatation, correct movement of dilatation graph to alert line, number of vaginal exams, recording time of rupture of membranes and time of amniotomy (p<0.0001).

Conclusion: The findings of this study indicate education of partogramm has a positive effect an quality of midwifery’s care and emphasis important of its education to midwifery’s students


F Rahimikian, M Modarres, Sh Niromanesh, A Mehran, T Rahiminia,
Volume 17, Issue 2 (2 2011)
Abstract

Background & Aim: The Non Stress Test (NST) is a main assessment tool for fetal wellbeing however, it has a high rate of false-positive results. External stimulation with halogen light has been recommended to aid in provoking fetal response, decreasing false-positive results and promoting the test. This study aimed to assess the effect of halogen light stimulation on nonreactive pattern of NST.

Methods & Materials: From 850 women who underwent NSTs, 50 women with singleton and cephalic fetuses who had nonreactive NSTs were allocated to receive halogen light stimulation through a halogen light source of 1,000,000 candle power. The light was applied to the lower abdomen above symphysis pubis over fetal head for 10 seconds. Results were compared to BPP scores as a backup test. We used mean± SD, chi-square Test and Fisher&aposs Exact Test. The >α0.05 was considered as significant level.

Results: Following stimulation, 68% of nonreactive results changed to reactive patterns. In half of the cases, first acceleration occurred in less than two minutes. Almost 90% of fetuses had reactive pattern within nine minutes.

Conclusion: Halogen light stimulation decreased the incidence of non reactive tests and testing time. Halogen light stimulation is safe and efficient in fetal well being assessment.


Maryam Modarres, Fatemeh Rahimikian, Elaheh Booriaie,
Volume 18, Issue 4 (15 2013)
Abstract

Background & Aim: Most of the psychological turmoil of marital conflicts is related to sexual dissatisfaction. Sexual satisfaction is influenced by physical and mental illnesses. Pelvic floor muscle relaxation is a major health problem in which prolapsed pelvic floor muscles causes paralysis, pelvic organs&apos prolpases, pelvic organs&apos dysfunction, dyspareunia, and back pain. The aim of this study was to assess the effect of pelvic floor muscle exercise on sexual satisfaction in primiparous women.

Methods & Materials: This clinical trial was conducted among 100 primiparous women selected through cluster randomized sampling from five clinics of Tehran University of Medical Sciences. Samples were randomly divided into two equal groups. The intervention group received pelvic floor exercises (Kegel) for 16 weeks. The control group did not receive any intervention. Data were collected using the Linda Berg questionnaire before the intervention and 16 weeks after the intervention in both groups. Data were analyzed using descriptive statistics and chi-square, t-test in the SPSS v.18.

Results: After 16 weeks, significant differences were reported in the levels of sexual satisfaction in the intervention and control groups (P<0.001).

Conclusion: The Kegel exercises are easy and non-expensive methods that should be offered by health professionals to increase sexual satisfaction in women after childbirth.


Zohre Maryami, Maryam Modarres, Simin Taavoni, Abbas Rahimi Foroushani,
Volume 19, Issue 1 (7-2013)
Abstract

  Background & Aim: Hysterectomy is a common gynecologic surgery leading to great concerns in women. This study aimed to determine the effect of foot massage on anxiety level after hysterectomy.

  Methods & Materials: In this double-group randomized clinical trial, 60 women undergone hysterectomy were selected using convenience sampling method and were randomly allocated into two intervention or control groups. Patients in the intervention group received foot massage three sessions during three consecutive days (every session lasted 20 minutes). In the control group, the researcher was only beside the women for 20 minutes. The Spilberger anxiety questionnaire was used to measure the anxiety level. Data were analyzed using repeated measures ANOVA and independent t-test.

  Results: The mean of the anxiety score was not significantly different between the two groups before the intervention (P=0.21). After the intervention, there was significant difference between the two groups in the anxiety scores (P<0.001). There was also significant difference between the two groups in the anxiety scores one week after the surgery (P<0.001).

  Conclusion: Foot massage can reduce anxiety in patients who underwent hysterectomy.


Maryam Modarres, Fatemeh Rahimikian, Abbas Mehran,
Volume 19, Issue 2 (11-2013)
Abstract

  Background & Aim: Hysterectomy is the second most common major surgery among women of reproductive age. Studies have suggested that women do not usually receive adequate information regarding hysterectomy before the surgery. Depression is a common psychiatric condition diagnosed after hysterectomy. The aim of this study was to assess the impact of pre-hysterectomy counseling on depression among women.

  Methods & Materials : In this clinical trial, 100 women who had undergone hysterectomy for non-malignant conditionswere selected from two hospitals (women’s’ hospital and Imam Khomeini hospital) and completed the informed consent forms. Participants were randomly divided into two intervention and control groups. In the intervention group, we implemented the supportive counseling within two sessions. Depression was assessed 1-2 weeks before the surgery and two monthsafter the surgery. Data were gathered using the 30-item SAMA questionnaire (modified BECK questionnaire in Iran)for depression and a demographic questionnaire. The two groups were assessed using the Wilcoxon rank-sum test, Mann Whitney U test and paired-t test. Data were analyzed in the SPSS-14.0. The p-value less than 0.05 was considered significant forall tests.

  Results: Mann Whitney U test showed no significant difference between the control and intervention groups in the mean score of depression (p<0.001). In the intervention group, the mean score of depression was 44.46 ± 6.7 at baseline and 20.86 ± 5.9 after the intervention.

  Conclusion : Pre-hysterectomy counseling should be provided for women in order to reduce negative psychological consequences.



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