vahideh moghaddam hosseini

Increased Doppler indices of uterine artery correlate with adverse pregnancy outcomes. The present study was conducted with aim to investigate the relationship between elevated resistance in the pulsatility index (PI) of the uterine artery at 18-20 weeks of pregnancy and adverse pregnancy outcomes.

In this prospective cohort study, colour Doppler ultrasonography was performed on 173 patients referred to the perinatology office at Sabzevar University of Medical Sciences during 18-20 weeks of pregnancy. The 95th percentile of the average uterine PI was recorded. After delivery, adverse pregnancy and childbirth outcomes were evaluated. Data were analysed using SPSS (version 26) and Fisher's exact test and Mann-Whitney U test.

In terms of maternal and fetal outcomes, one case (2.3%) experienced intrauterine fetal death (IUFD), two (4.5%) had premature births, eight infants (18.2%) were hospitalized in the neonatal intensive care unit (NICU), and four (9.1%) had low birth weight (LBW). No cases of infant deaths or intrauterine growth restriction (IUGR) were reported. A significant relationship was found between mean PI exceeding 1.5 and high blood pressure during pregnancy (p=0.003). Additionally, significant relationship was found between an elevation in resistance beyond the 95th percentile of the PI and increased blood pressure (p=0.005) and premature delivery (p=0.04). However, no significant relationships were noted between mean and the 95th percentile of the PI and other maternal and fetal outcomes.

No cases of infant deaths and IUGR were reported. The elevated uterine artery PI is associated with increased risk of gestational hypertension and preterm delivery.

Family caregivers of cancer patients are at a high risk of physical, psychological and emotional problems, which could adversely affect their quality of life. This study aimed to evaluate the quality of life of the female caregivers of breast cancer patients in Sabzevar, Iran.
This cross-sectional study was conducted on 105 participants in Sabzevar, Iran in 2013. Subjects were selected via purposive sampling, and required data were collected using the Caregiver Quality of Life Index-Cancer (CQOLC) scale, which was completed by the family caregivers of breast cancer patients through interviews. Data analysis was performed in SPSS version 20 using independent t-test, analysis of variance, Pearson’s correlation-coefficient, and stepwise multiple regression analysis.
Mean age of the participants was 36.9±10.9 years, and total mean score of quality of life was 55.48±10.87. The highest score was observed in the subscale of “lifestyle disruption” (mean: 66.14±17.31), while the lowest score belonged to the subscale of “emotional/mental burden” (mean: 49.43±18.49). Total mean score of quality of life in the sisters of breast cancer patients was 4.678 units higher compared to the caregivers who were the daughter of the patients. Moreover, total mean score of quality of life in breast cancer patients with no insurance was 5.457 scores lower compared to those with insurance.
According to the results of this study, emotional and psychological needs of the female caregivers of patients with breast cancer (as informal caregivers) must be considered in developing related educational programs for the formal caregivers of these patients, especially mental health nurses.

The incidence of molar pregnancy and a live fetus is extremely low; however, since it can lead to some sever complications in pregnancy, its correct diagnosis is really vital. Moreover, making decision about termination or continuation of pregnancy is yet controversial. This study presents a dizygotic twin pregnancy with a partial mole and a coexistent fetus which resulted a live neonate with some abnormalities.

Background and Older people are one of the most vulnerable groups in every society and elder abuse is an important issue when considering their care and support. This study aimed at investigating the prevalence of elder abuse against women and related factors in Sabsevar (north east of Iran). This analytical-descriptive study was conducted in 180 women older than 60 years of age who met our inclusion criteria. They were selected through stratified sampling in 2013. Data was collected using domestic elder abuse questionnaire. To analyze the data descriptive and non-parametric analytical tests were performed in SPSS V. 16. Among the studied population 49. 39% were observed to suffer from elder abuse. The criteria with highest and lowest prevalence of elder abuse against women were emotional neglect (69%) and abandonment (42. 87%)، respectively. Significant association was seen between three types of elder abuse namely care neglect، psychological abuse، and abandonment and re-hospitalization (P=0. 000). But no significant relationship was observed between elder abuse and educational level، economic state، income resources، and suffering from a chronic disease. This study showed that almost half of older women experience some types of abuse which can lead to different diseases and re-hospitalization.