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BACKGROUND: Spiritual health and maternal-fetal attachment behaviors are considered as beneficial coping strategies used to adapt to pregnancy. The present study was conducted to determine the correlation between spiritual health and maternal-fetal attachment behaviors in pregnant women referring to health centers in Qazvin. METHODS: The present descriptive correlational study was conducted on 200 pregnant women referring to health centers in Qazvin, in 2015. A multi-stage sampling was carried out and data were collected in a self-report manner, using the Persian version of Spiritual Well-Being scale developed by Paloutzian and Ellison, Persian version of Cranley's maternal-fetal attachment scale, and a demographic and midwifery questionnaire. Data were analyzed in SPSS-20, using Pearson's correlation coefficient and the multivariate linear regression. P<0.05 was considered statistically significant. RESULTS: The mean scores of attachment and spiritual health were 95.91±8.92 and 104.15±10.59, respectively. A weak positive correlation was observed between attachment behaviors and spiritual health (P<0.001, r=0.40). Regression analysis showed that spiritual health (P<0.001, ß=0.40), religious health (P<0.001, ß=0.30), and existential health (P<0.001, ß=0.43) could predict the maternal-fetal attachment behaviors. CONCLUSION: The results showed that a higher spiritual health was associated with an increase in maternal-fetal attachment behaviors. These results suggest the importance of strengthening spirituality during pregnancy as an effective strategy for increasing the attachment behaviors.
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All conjoined twins are originally born as a result of fertilizing one zygote (egg) and also called monozygotic twins experiencing an incomplete division of an embryo into two portions of the embryo usually causing the formation of the primary streak stage. The main reason for the creation of this defect is not obvious. Dead twin goat with one head, one trunk, four anterior limbs, and four posterior organs was referred to the Laboratory of the Faculty of Veterinary Medicine, Islamic Azad University, Shoushtar Branch, Shoushtar, Iran. The radiographic and three-dimensional images showed one normal skull and pelvic bone vertebral column. The ribs and sternum of the newborn goat were quite normal and confirmed two pairs of extra limbs. There were no doubles in describing the internal organs. This report seems to be the first report regarding a case of a monocephalus, tetrabrachius, and tetrapod newborn goat.
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CONTEXT: Pre-hospital care plays a vital role in saving trauma patients. OBJECTIVES: This study aims to review studies conducted on the pre-hospital emergency status in Iran. DATA SOURCES: Data were sourced from Iranian electronic databases, including SID, IranMedex, IranDoc, Magiran, and non-Iranian electronic databases, such as Medline, Embase, Cochrane Library, Scopus, and Google Scholar. In addition, available data and statistics for the country were used. DATA SELECTION: All Persian-language articles published in Iranian scientific journals and related English-language articles published in Iranian and non-Iranian journals indexed on valid sites for September 2005 - 2014 were systematically reviewed. DATA EXTRACTION: To review the selected articles, a data extraction form developed by the researchers as per the study's objective was adopted. The articles were examined under two categories: structure and function of pre-hospital emergency. RESULTS: A total of 19 articles were selected, including six descriptive studies (42%), four descriptive-analytical studies (21%), five review articles (16%), two qualitative studies (10.5%), and two interventional (experimental) studies (10.5%). In addition, of these, 14 articles (73.5%) had been published in the English language. The focus of these selected articles were experts (31.5%), bases of emergency medical services (26%), injured (16%), data reviews (16%), and employees (10.5%). A majority of the studies (68%) investigated pre-hospital emergency functions and 32% reviewed the pre-hospital emergency structure. CONCLUSIONS: The number of studies conducted on pre-hospital emergency services in Iran is limited. To promote public health, consideration of prevention areas, processes to provide pre-hospital emergency services, policymaking, foresight, systemic view, comprehensive research programs and roadmaps, and assessments of research needs in pre-hospital emergency seem necessary.
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BACKGROUND: This research aimed to systematically study and outline the methods of hospital performance evaluation used in Iran. METHODS: In this systematic review, all Persian and English-language articles published in the Iranian and non-Iranian scientific journals indexed from Sep 2004 to Sep 2014 were studied. For finding the related articles, the researchers searched the Iranian electronic databases, including SID, IranMedex, IranDoc, Magiran, as well as the non-Iranian electronic databases, including Medline, Embase, Scopus, and Google Scholar. For reviewing the selected articles, a data extraction form, developed by the researchers was used. RESULTS: The entire review process led to the selection of 51 articles. The publication of articles on the hospital performance evaluation in Iran has increased considerably in the recent years. Besides, among these 51 articles, 38 articles (74.51%) had been published in Persian language and 13 articles (25.49%) in English language. Eight models were recognized as evaluation model for Iranian hospitals. Totally, in 15 studies, the data envelopment analysis model had been used to evaluate the hospital performance. CONCLUSION: Using a combination of model to integrate indicators in the hospital evaluation process is inevitable. Therefore, the Ministry of Health and Medical Education should use a set of indicators such as the balanced scorecard in the process of hospital evaluation and accreditation and encourage the hospital managers to use them.
