فهرست مطالب nooshin hatamizadeh

The rate of COVID-19 vaccination hesitation among Iranian pregnant women is around 50%. The objective of the present study was to determine the reasons for the refusal of COVID-19 vaccination among pregnant and postpartum women.

This descriptive cross-sectional study was performed on 304 pregnant and postpartum women in the comprehensive health centers of Yazd, Iran, between October 2022 and April 2023. Researchers collected the data of unvaccinated women through phone calls using a validated questionnaire. Data was collected using a questionnaire consisting of baseline characteristics and reasons for refusing vaccination. Descriptive statistics were used to analyze the data using SPSS version 22.

The mean age of the pregnant and postpartum women participating in this study was 28.31 ± 6.47 years. The most common reasons for refusing the COVID-19 vaccine included fear of harming the fetus (32.2%), fear of side effects in the mother (25.7%), disbelief in COVID-19 disease and vaccine (13.8%), lack of information about the vaccine (12.8%), and negative opinions of the media and society (12.8%). Less common reasons included husband's disagreement (8.2%), history of COVID-19 infection (6.9%), gynecologists' disagreement (6.3%), history of infertility (5.9%), and underlying disease (3.3%). Astonishingly, among participants who did not inject a booster dose of the vaccine, 76% reported they didn't receive any training and recommendation on booster dose injection from health providers.

Findings highlight that the most common reasons for refusing the COVID-19 vaccine were fear of harming the fetus and fear of side effects in the mother.

Coronary artery diseases (CAD) are leading causes of death in developed countries. Also, 10-15% of elderly people of the United State of America have gallstone. These two diseases have similar risk factors, such as obesity, elderliness, diabetes, hyperlipidemia, and hyper tension. Determining the correlation of coronary artery disease and gallstone is the main Aim of this study. This analytical cross-sectional study was done on 130 patients whom were suspected to CAD and have been referred to Shohadaye Kargar Hospital of Yazd echocardiography department. They have been randomly selected and echo test and sonography have been done for all by expert specialists. Data were analyzed by chi-square, Exact Fisher and Mantel-Haenszel tests. Stress test were negative in 80 (61.53%) and were positive in 50 (38.47%) patients. Of 80 negative stress test subjects, negative gallbladder sonography was observed in 77 (96.25%) patients; while in 3 (3.75) patients gallbladder sonography was positive. Among 50 positive stress test patients, 42 (84%) and 8 (16%) patients had negative and positive gallbladder sonography, respectively. There not found statistically significant association between CAD and gallston (p= 0.022). Patients who had coronary artery disease, compared with healthy individuals, are at increased risk of gallstones. In men older than 50 years suffering from vague upper abdominal pain, Liver and gallbladder sonography ultrasound is recommended for detection of probable biliary stones.