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                  <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 32 ISSUE 3.&#13;
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.&#13;
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                <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 32 ISSUE 3.&#13;
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.&#13;
Comparing the Effects of Paracetamol and Pethidine on First-stage Labor Pain Relief and Their Maternal and Neonatal Complications </text>
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                <text>Labor pain, Paracetamol, Pethidine, Neonatal outcomes, Maternal outcomes</text>
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                <text>Introduction: The pain relief effect of Paracetamol, as a safe analgesic drug in labor, compared&#13;
to Pethidine, as a well-known analgesic drug, need to be more evaluated.&#13;
&#13;
Objective: This study aims to compare the effects of Paracetamol and Pethidine on the first-&#13;
stage labor pain relief and neonatal and maternal complications.&#13;
&#13;
Materials and Methods: This single-blind, parallel group, randomized clinical trial conducted&#13;
on 100 nulliparous pregnant women referred to a maternity hospital in Rafsanjan Iran&#13;
in 2018 who were selected using a convenience sampling method and by assigned into&#13;
two groups Paracetamol (n=49, receiving 100 mg intravenous Paracetamol) and Pethidine&#13;
(n= 51, receiving 50 mg intravenous Pethidine) using the minimization method. The&#13;
drugs were administered when there was at least a 4-cm cervical dilation. Maternal&#13;
complications and infant’s 1 and 5-min the Apgar scores and ability to breastfeed were&#13;
evaluated. Pain intensity measured by the Visual Analogue Scale (VAS) and compared&#13;
using two-way repeated measures ANOVA before and 30 minutes, 1, 2, 3 and 4 hours&#13;
after drug administration.&#13;
Results: There were no significant differences between the two groups in term of age, body&#13;
mass index, and gestational age, and no significant difference in pain intensity in any groups&#13;
among the time points. Maternal complications were significantly lower in the Paracetamol&#13;
group than in the Pethidine group; however, the difference was statistically significant only in&#13;
terms of nausea (P=0.04). Infants’ breastfeeding ability was significantly better in Paracetamol&#13;
group than in the Pethidine group (P=0.04). The results of two-way ANOVA showed that the&#13;
mean VAS score was not significantly different between the two groups.&#13;
Conclusion: Paracetamol can alleviate the first-stage labor pain similar to Pethidine, but with&#13;
fewer maternal and neonatal complications.</text>
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            <description>An entity primarily responsible for making the resource</description>
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              <elementText elementTextId="9698">
                <text>Masoumeh Khammar , Zohreh Ghorashi, Azita Manshoori</text>
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                <text>July 2022, Volume 32, Number 3</text>
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                <text>PERI IRAWAN</text>
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        <name>Jurnal Internasional</name>
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        <name>labor pain</name>
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        <name>Maternal outcomes</name>
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                  <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 32 ISSUE 3.&#13;
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.&#13;
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                <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 32 ISSUE 3.&#13;
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.&#13;
Effect of a Discharge Planning Program on the Quality of Life in Women With Breast Cancer </text>
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                <text>Breast cancer, Chemotherapy, Quality of Life (QoL), Patient discharge</text>
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                <text>Introduction: Women with Breast Cancer (BC) under chemotherapy are at risk of complications&#13;
affecting their Quality of Life (QoL), which need specific discharge planning.&#13;
Objective: This study aims to investigate the effect of a discharge planning program on the&#13;
QoL of women with BC.&#13;
Materials and Methods: This quasi-experimental study was conducted on 72 women&#13;
with BC undergoing chemotherapy referred to oncology wards in Kermanshah, Iran.&#13;
They were divided into groups of intervention (n=35) and control group (n=35) using the&#13;
block randomization method. For the intervention group, the discharge planning program&#13;
was implemented individually and in group at least 4 sessions, each for 30-45 minutes.&#13;
Patients’ QoL in both groups was measured before, one month after, and three months&#13;
after intervention using two questionnaires of European Organization for Research and&#13;
Treatment of Cancer (QLQ C-30 and QLQ-BR23). The collected data were analyzed using&#13;
ANOVA, chi-square test, t-test, and repeated measures ANOVA. The significance level was&#13;
set at 0.05.&#13;
Results: The mean age of participants was 47.71±10.4 years, and majority of them were in&#13;
the second stage of BC. There was a significant difference in all functional scales of QoL in the&#13;
intervention group over time from baseline to three months after discharge (P&lt;0.05), except&#13;
in sexual functioning (P=0.119) and sexual enjoyment (P=0.210).&#13;
Conclusion: The discharge planning program has a positive effect on the Quality of Life of&#13;
women with Brest Cancer.</text>
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            <description>An entity primarily responsible for making the resource</description>
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                <text>Yasaman Tamri , Zohreh Parsa Yekta</text>
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            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
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                <text>July 2022, Volume 32, Number 3</text>
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            <description>An entity responsible for making contributions to the resource</description>
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                <text>PERI IRAWAN</text>
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                  <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 32 ISSUE 3.&#13;
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.&#13;
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            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="9659">
                <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 32 ISSUE 3.&#13;
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.&#13;
Effect of Classical Turkish Music on Pain and Anxiety of Patients undergoing Bone Marrow Aspiration and Biopsy: A Randomized Controlled Clinical Trial </text>
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          <element elementId="49">
            <name>Subject</name>
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                <text>Music, Pain, Anxiety, Bone marrow biopsy</text>
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                <text>Introduction: Bone Marrow Aspiration and Biopsy (BMAB) is a painful procedure that can&#13;
causes anxiety in patients. Music can help reduce pain and anxiety levels in patients by&#13;
directing their attention from negative stimuli towards pleasant and encouraging thoughts.&#13;
Objective: This study aims to determine the effect of classical Turkish music on pain and&#13;
anxiety of patients undergoing BMAB.&#13;
Materials and Methods: This is a randomized, controlled trial conducted on 68 patients&#13;
undergoing BMAB who were selected from the hematology outpatient clinics in a hospital&#13;
in İzmir, western Turkey. They were randomly divided into two groups of control (n=34)&#13;
who received the general procedure only and the music group (n=34) who listened to&#13;
classical Turkish music for 15 minutes before the procedure. Data were collected using a&#13;
demographic form, Visual Analogue Scale (VAS), and State Anxiety subscale of Spielberger’s&#13;
State-Trait Anxiety Inventory. Chi-square was used for comparing categorical variables,&#13;
and t-test and ANOVA ​​were used for comparing numerical variables. Bonferroni test was&#13;
used for post hoc comparisons. A P&lt;0.05 statistically significant. In case of a significant&#13;
difference between the groups, Cohen’s d effect size was calculated.&#13;
Results: In the music group (Mean±SD age=63.73±14.81 years), 62% were male, 71% were&#13;
married, 76% had a secondary education or lower, and 49.1% reported that biopsy was for&#13;
diagnostic purposes. I n the control group (Mean±SD age=51.76±19.45 years), 50% were&#13;
female, 53% were married, 62% had a secondary education or lower, and 50.9% reported&#13;
that biopsy was for diagnostic purposes. A statistically significant difference was found in&#13;
the mean VAS scores of both groups before and after the treatment (P=0.001). A significant&#13;
difference was found in the state anxiety level only in the music group before and after the&#13;
treatment (P=0.003).&#13;
Conclusion: Classical Turkish music prior to BMAB can reduce the pain and anxiety of patients.&#13;
It is recommended for nurses to use music therapy to reduce the pain and anxiety of patients&#13;
undergoing BMAB.</text>
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                <text>Eda Ergin , Fatma Kahriman , Hatice Coşan Ay , Şebnem Çınar Yücel</text>
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              <elementText elementTextId="9663">
                <text>July 2022, Volume 32, Number 3</text>
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            <description>An entity responsible for making contributions to the resource</description>
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                <text>PERI IRAWAN</text>
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        <name>Anxiety</name>
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        <name>Bone marrow biopsy</name>
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                  <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 32 ISSUE 3.&#13;
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.&#13;
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            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="9668">
                <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 32 ISSUE 3.&#13;
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.&#13;
Effect of Motivational Enhancement Therapy on Patterns of Substance Abuse in Postpartum Women: A Randomized Clinical Trial </text>
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          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
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                <text>Motivational interviewing, morbidity, Postpartum, substance-related disorders</text>
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                <text>Introduction: As a biopsychosocial phenomenon, substance abuse is a major public health&#13;
problem with negative economic, social, and cultural consequences.&#13;
Objective: This study aims to determine the effect of Motivational-Enhancement Therapy&#13;
(MET) on substance abuse patterns in postpartum women with Substance Use Disorder (SUD).&#13;
Materials and Methods: This clinical trial was conducted on 60 eligible postpartum women&#13;
with SUD (30 in the intervention group and 30 control), who were selected using a random&#13;
sampling method from the postpartum unit of a hospital in Kerman, Iran in 2019. The&#13;
participants in the intervention group attended four individual MET sessions and received&#13;
four telephone follow-ups. All participants completed a researcher-made substance use&#13;
pattern checklist before and after the intervention. Data analysis was carried out using&#13;
McNemar’s test, paired t-test, independent t-test, Fisher’s exact test, and chi-square test.&#13;
A P&lt;0.05 was considered statistically significant.&#13;
Results: The mean age of women was 29.25±5.89 years, and most of them were housewives&#13;
with elementary education. A significant reduction was observed in the number of opium&#13;
(P=0.008) and methadone (P=0.003) users after the intervention. Moreover, there was a&#13;
significant difference in the amount of opium and methadone use (P&lt;0.05). However, no&#13;
significant difference was found between the two groups in the method and frequency of&#13;
substance use before and after the intervention.&#13;
Conclusion: MET is effective in the type and amount of opium and methadone used in&#13;
postpartum women with SUD. Therefore, it can be used along with other treatments for the&#13;
treatment of SUD in women after delivery.</text>
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                <text>Fatemeh Esmaeilinejad Hasaroeih , Nasim Shahrahmani , Atefeh Ahmadi , Moghaddameh Mirzaee , Katayoun Alidousti, Morteza Hashemian</text>
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                <text>July 2022, Volume 32, Number 3</text>
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                <text>PERI IRAWAN</text>
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        <name>Jurnal Internasional</name>
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      <tag tagId="887">
        <name>morbidity</name>
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      <tag tagId="886">
        <name>Motivational interviewing</name>
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        <name>Postpartum,</name>
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                  <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 32 ISSUE 3.&#13;
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.&#13;
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            <description>A name given to the resource</description>
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              <elementText elementTextId="9677">
                <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 32 ISSUE 3.&#13;
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.&#13;
Maternal Knowledge and Beliefs About Child Growth Monitoring and Promotion Program Based on the Health Belief Model and Its Relationship With Child Growth Parameters </text>
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          <element elementId="49">
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            <description>The topic of the resource</description>
            <elementTextContainer>
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                <text>Child Growth Monitoring and Promotion, Anthropometry, Health Belief Model. </text>
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                <text>Introduction: The efficacy of Growth Monitoring and Promotion (GMP) program depends on active&#13;
participation. However, its low acceptance by mothers is believed to reduce their participation in the program.&#13;
Objective: This study aims to assess maternal beliefs and knowledge about GMP and examine its association&#13;
with the child growth parameters.&#13;
Materials and Methods: This cross-sectional study was conducted on 470 mother-child dyads who were&#13;
recruited from public health centers of Ahvaz and Bushehr cities from August 2018 to February 2019&#13;
using a convenient sampling method. A questionnaire surveying anthropometric and socio-demographic&#13;
characteristics as well as maternal knowledge and beliefs based on the Health Belief Model (HBM) was used&#13;
to gather data. Child growth parameters were obtained from their medical records. Multinomial logistic&#13;
regression was applied to determine the predictors of child growth parameters from among the HBM domains.&#13;
Results: The mothers had a mean age of 29.56±5.10 years, and 92% had a planned pregnancy. Favorable&#13;
growth percentage based on parameters of length-for-age, weight-for-age, weight-for-length and head&#13;
circumference-for-age was 94.3%, 93.2%, 90.6%, and 93.1%, respectively. The mean scores for HBM&#13;
constracts of self-efficacy, cues to action, risk susceptibility, barriers to action, benefits to action, risk&#13;
severity, and GMP knowledge were 64.09±9.92, 89.95±11.77, 44.71±6.73, 54.81±10.52, 60.23±9.59,&#13;
&#13;
66.52±9.33, and 46.83±5.44, respectively. Higher GMP knowledge was associated with higher weight-for-&#13;
length (β=0.345, 95%CI; 0.064- 0.625, P=0.016) and head circumference-for-age (β=0.287, 95%CI; 0.022-&#13;
&#13;
0.596, P=0.025). Higher weight-for-age was significantly associated with higher scores of GMP knowledge&#13;
(β=0.409, 95%CI; 0.011-0.806, P=0.044), barriers to action (β=0.155, 95%CI; 0.025-0.284, P=0.019) and&#13;
cues to action (β=0.190, P=0.03, 95%CI; 0.017- 0.362).&#13;
Conclusion: Mothers’ beliefs and knowledge about GMP can affect child growth and should be considered&#13;
in educational interventions to increase their participation in GMP program and ultimately improve their&#13;
child growth.</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="9680">
                <text>Raziye Tahmasebi , Fatemeh Najafi Sharjabad , Maryam Seyedtabib , Marzieh Araban , Kambiz Ahmadi Angali , Fatemeh Borazjani</text>
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            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
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              <elementText elementTextId="9681">
                <text>July 2022, Volume 32, Number 3</text>
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          <element elementId="37">
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            <elementTextContainer>
              <elementText elementTextId="9682">
                <text>PERI IRAWAN</text>
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        <name>Anthropometry</name>
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        <name>Child Growth Monitoring and Promotion</name>
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      <tag tagId="885">
        <name>Health Belief Model.</name>
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      <tag tagId="25">
        <name>Jurnal Internasional</name>
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                  <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 32 ISSUE 3.&#13;
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.&#13;
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="9722">
                <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 32 ISSUE 3.&#13;
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.&#13;
Prevalence of Self-Harm Behaviors and Deliberate Self-Cutting in High School Students in Northern Iran and Its Relationship with Anxiety, Depression, and Stress </text>
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          <element elementId="49">
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            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="9723">
                <text>Self-harm, Depression, Anxiety, Stress, Adolescents</text>
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          <element elementId="41">
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            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="9724">
                <text>Introduction: Self-harm has increased among adolescents in recent years, turning it to one of the&#13;
major public and mental health concerns.&#13;
&#13;
Objective: The present study aims to investigate the prevalence of self-harm and deliberate self-&#13;
cutting in high school students in northern Iran, and its relationship with anxiety, depression, and stress.&#13;
&#13;
Materials and Methods: In this analytical cross-sectional study, participants were 617 high school&#13;
students in Rasht, Iran in 2018 who were selected through multistage cluster random sampling.&#13;
Data collection tools were a demographic form, the Self-Harm Inventory (SHI), and the 21-item&#13;
Depression, Anxiety, and Stress Scale (DASS-21). Data analysis was done by independent t-test,&#13;
Kruskal–Wallis test, one-way analysis of variance, chi-square test, Fisher’s Exact test, and linear&#13;
and logistic regression.&#13;
Results: The mean age of students was 16.11±1.35 years, and the majority of them were male&#13;
(64.2%). The prevalence of self-harm behaviors was 54.9% (n=339), 20.3% in females and 79.7% in&#13;
males. Deliberate self-cutting was found in 11% of students. The score of SHI was significantly higher&#13;
in boys than in girls, while the prevalence of deliberate self-cutting was more in girls (P=0.001).&#13;
Self-harm behaviors increased with increasing depression, anxiety, and stress (P=0.001). Gender&#13;
(B=0.704, 95%CI; 0.149-1.258, P=0.013), grade (B=-1.011, 95%CI;-1.517- -0.504, P=0.001), family&#13;
size (B=0.620, 95%CI; 0.344-0.895, P=0.001), age (B=0.624, 95%CI; 0.286-0.962, P=0.001), and the&#13;
grade point average in the past year (B=-0.945, 95%CI; -1.197- -0.693, P= 0.001) had significant&#13;
relationship with self-harm behaviors (R2&#13;
&#13;
= 0.145). Moreover, gender (OR=4.874, 95%CI; 2.297-&#13;
10.344, P=0.001), grade point average in the past year (OR=0.727, 95%CI; 0.567-0.932, P=0.012),&#13;
substance abuse (OR=7.972, 95%CI; 3.424-18.564, P=0.001), depression (OR=1.163, 95%CI; 1.065-&#13;
1.271, P=0.001), stress (OR=1.105, 95%CI; 1.006-1.213, P=0.036), and father’s educational level&#13;
(OR=7.897, 95%CI; 1.138-54.807, P=0.001) had significant relationship with deliberate self-cutting.&#13;
Conclusion: Self-harm behaviors in adolescents are associated with anxiety, depression, and stress.</text>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="9725">
                <text>Elahe Abdollahi , Maryam Kousha , Arvin Bozorgchenani , Mohammadreza Bahmani , Elahe Rafiei , Fatemeh Eslamdoust-Siahestalkhi </text>
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            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="9726">
                <text>July 2022, Volume 32, Number</text>
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          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="9727">
                <text>PERI IRAWAN</text>
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          <element elementId="42">
            <name>Format</name>
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            <description>A language of the resource</description>
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        <name>Adolescents</name>
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        <name>Anxiety</name>
      </tag>
      <tag tagId="259">
        <name>Depression</name>
      </tag>
      <tag tagId="25">
        <name>Jurnal Internasional</name>
      </tag>
      <tag tagId="846">
        <name>Self-harm</name>
      </tag>
      <tag tagId="263">
        <name>stress</name>
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          <elementContainer>
            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="9649">
                  <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 32 ISSUE 3.&#13;
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.&#13;
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        <description>The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.</description>
        <elementContainer>
          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="9650">
                <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 32 ISSUE 3.&#13;
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.&#13;
Psychometric Properties of 20-Item and 10-Item Persian Versions of Drug Abuse Screening Test </text>
              </elementText>
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          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="9651">
                <text>Substance Abuse, Detection, Substance-related disorder, Psychometrics, Surveys and questionnaires </text>
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          <element elementId="41">
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            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="9652">
                <text>Introduction: Substance use disorder is one of the most critical social problems in Iran. For&#13;
this disorder, weneed a proper assessment tool based on our indigenous culture.&#13;
Objective: This study assesses the factor structure and psychometric properties of 10-item&#13;
and 20-item Persian versions of Drug Abuse Screening Tests (DAST-10 and DAST-20).&#13;
Materials and Methods: In this cross-sectional study, we randomly selected 200 participants&#13;
referred to addiction treatment centers in Rasht City, Iran. After translation to Persian&#13;
and back-translation to English, the face and content validity of DAST-10 and DAST-20&#13;
Persian versions were evaluated using the opinions of a panel of expertsand calculatingthe&#13;
content validity ratio and content validity index. Then, the construct validity was evaluated&#13;
by Confirmatory Factor Analysis(CFA), the Cronbach α coefficient was used for assessing&#13;
internal consistency, and the Intraclass Correlation Coefficient (ICC) was used for assessing&#13;
test-retest reliability.&#13;
Results: The Mean±SD age of participants was 39.02±11.67 years. The majority (50%) were&#13;
in the age range of 30-50 years. Based on the CFA fit indices, the two instruments had a good&#13;
fit to the data, confirming the theoretical model Root Mean Square Error of Approximation&#13;
(RMSEA) (RMSEA for DAST-20=0.080; RMSEA for DAST-10=0.055). The Cronbach α values ​​of&#13;
DAST-20 and DAST-10 were 0.772 and 0.749, respectively, indicating their good and acceptable&#13;
internal consistency. Their test-retest reliability was reported at 0.997 and 0.995 based on the&#13;
results of ICC, respectively. There was a strong and significant positive correlation between&#13;
the scores of Persian DAST-20 and DAST-10 (r=0.851, P=0.001).&#13;
Conclusion: The DAST-20 and DAST-10 Persian versions which after correcting the model using&#13;
confirmatory factor analysis, they were studies in DAST-8 and DAST-16 have good validity and&#13;
reliability and can be used for screening the possible involvement of drugs in Iranian samples.</text>
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            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="9653">
                <text>Saghar Fatemi , Robabeh Soleimani, Mohammad Ali Yazdanipour , Mohammad Hassan Novin , Elahe Abdollahi</text>
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              <elementText elementTextId="9654">
                <text>July 2022, Volume 32, Number 3</text>
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              <elementText elementTextId="9655">
                <text>PERI IRAWAN</text>
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      <tag tagId="892">
        <name>Substance Abuse,</name>
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                  <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 32 ISSUE 3.&#13;
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                <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 32 ISSUE 3.&#13;
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.&#13;
Relationship Between Caregiver Burden and Cognitive Impairment in Adult Patients with Type 2 Diabetes </text>
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          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="9687">
                <text>Caregiver burden, Cognitive function, Diabetes Mellitus</text>
              </elementText>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
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                <text>Introduction: Caregivers play a critical role in health management of patients with&#13;
chronic diseases. Caregiving is associated with experiencing different emotional and&#13;
psychological problems.&#13;
Objective: This study aims to determine the relationship between caregiver burden and&#13;
cognitive function in adult patients with Type 2 Diabetes (T2D).&#13;
Materials and Methods: In this cross-sectional study, 215 family caregivers of adult patients&#13;
with T2D were selected by a systematic random sampling method. A socio-demographic&#13;
form, the Caregiver Burden Inventory (CBI), and the Mini-Mental State Examination&#13;
(MMSE) were used for data collection. Data were analyzed using Kruskal-Wallis test,&#13;
Spearman’s rho correlation test. The multinomial logistic regression model was used&#13;
to examine the power of Cognitive Impairment (CI) in predicting the caregiver burden.&#13;
P&lt;0.05 was considered as the statistically significance level.&#13;
Results: The mean age of caregivers and patients were 48±9 and 52±2 years, respectively. The&#13;
mean score of CBI was 24.57±18.2, indicating a moderate level of caregiver burden. The mean&#13;
score of MMSE was 25.25±3.6, indicating a mild CI in patients. Caregiver burden showed a&#13;
significant correlation with cognitive function (r=-0.336, 95% CI; 0.53–0.89, P=0.001) such&#13;
that the decreased CI was associated with an increase in total caregiver burden (r=-0.348, 95%&#13;
CI; 0.43–0.87, P=0.001). The regression results showed that the CI levels were not predictors&#13;
of caregiver burden severity.&#13;
Conclusion: The CI of patients with T2D may affect their caregivers’ burden. Therefore,&#13;
assessing the cognitive function of these patients can help healthcare providers conduct&#13;
interventions to enhance the caregivers’ quality of life.</text>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
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              <elementText elementTextId="9689">
                <text>Sorur Javanmardifard , Fatemeh Shirazi , Sheida Jamalnia , Erfan Sadeghi</text>
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          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="9690">
                <text>July 2022, Volume 32, Number 3</text>
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          <element elementId="37">
            <name>Contributor</name>
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                <text>PERI IRAWAN</text>
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            <name>Format</name>
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                <text>PDF</text>
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            <name>Language</name>
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                <text>ENGLISH</text>
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        <name>Caregiver burden</name>
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        <name>Cognitive function</name>
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      <tag tagId="3">
        <name>Diabetes Mellitus</name>
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      <tag tagId="25">
        <name>Jurnal Internasional</name>
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              <name>Title</name>
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                <elementText elementTextId="9649">
                  <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 32 ISSUE 3.&#13;
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.&#13;
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="9713">
                <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 32 ISSUE 3.&#13;
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.&#13;
Relationship Between Socio-demographic Variables and Minor Discomforts in Pregnancy: A Retrospective Survey in Nigeria </text>
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          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
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              <elementText elementTextId="9714">
                <text>Midwifery, Pregnancy, Pregnant women, Prenatal care, Maternal Health</text>
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            <name>Description</name>
            <description>An account of the resource</description>
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                <text>Introduction: Many pregnant women experience discomforts during their pregnancy that&#13;
are not severe, but may reduce their well-being. These minor discomforts such as vomiting,&#13;
heartburn, and leg cramps can be troublesome and may affect the women’s quality of life.&#13;
Objective: This research aims to determine the relationship between socio-demographic&#13;
variables and minor discomforts in pregnancy.&#13;
Materials and Methods: This is an analytical cross-sectional study. Participants were 202&#13;
pregnant women in Birnin-Kebbi, Kebbi State, Nigeria. Systematic sampling was used for&#13;
their recruitment. A self-report questionnaire was used for surveying socio-demographic&#13;
characteristics and assessing the pattern and severity of minor discomforts. Chi-square(X2&#13;
)&#13;
test and ordinal logistic regression analysis were used for analyzing the collected data at 95%&#13;
Confidence Interval(CI).&#13;
Results: The age range of most women (42.1%) was 20-24 years. Most of them had their&#13;
2-4th pregnancy(37.6%) and a tertiary education (62.4%). There was a significant relationship&#13;
between the variables of age, number of pregnancies and occupation and the occurrence of&#13;
minor discomforts in pregnancy (P&lt;0.05). There was a significant relationship between the&#13;
occupation and duration of minor discomforts (P&lt;0.05), and between educational levels and&#13;
mode of treatment for minor discomforts (P=0.05). The Odds Ratios(OR) in ordinal logistic&#13;
regression models indicated that with one unit change in age, number of pregnancies and&#13;
occupation, the duration of minor discomforts was 1.05(95% CI; 0.457-1.722, P=0.0001),&#13;
1.07(95% CI; 0.316-2.021, P=0.0001) and 1.07(95% CI; 0.662-2.063, P=0.0001) times more&#13;
likely to change, respectively.&#13;
Conclusion: Healthcare professionals should consider the factors of age, number of&#13;
pregnancies, and occupation when providing care to pregnant women. More research to&#13;
address the minor discomforts in pregnancy is recommended using different methods.</text>
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            <name>Creator</name>
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              <elementText elementTextId="9716">
                <text>Yahaya Jafaru</text>
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            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="9717">
                <text>July 2022, Volume 32, Number 3</text>
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          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
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              <elementText elementTextId="9718">
                <text>PERI IRAWAN</text>
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            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
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              <elementText elementTextId="9719">
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          <element elementId="44">
            <name>Language</name>
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                <text>ENGLISH</text>
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        <name>Maternal Health</name>
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        <name>Midwifery</name>
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        <name>pregnancy</name>
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        <name>Pregnant women</name>
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        <name>Prenatal care</name>
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