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Educational Attainment and Exercise Frequency in American Women; Blacks' Diminished Returns. 美国妇女的教育程度和锻炼频率;黑人的递减收益。
Pub Date : 2019-07-01 Epub Date: 2019-09-04 DOI: 10.5812/whb.87413
Shervin Assari

Background: Minorities' Diminished Returns (MDRs) refer to smaller protects health effects of socioeconomic status (SES) indicators for Blacks and other minority groups than Whites.

Objectives: The current study aimed to explore Black- White differences in the association between educational attainment and exercise frequency among women in the US.

Methods: For the current study, we used the National Survey of American Life's (NSAL) data which included 3,175 women who were either White (n = 876) or Black (n = 2,299). The independent variable was educational attainment. The dependent variable was exercise frequency. Age, region, household income, financial distress, marital status, unemployment, and depression were the covariates. Race was the focal moderator. Linear regression was applied for data analysis.

Results: In the overall sample of women, high educational attainment was associated with higher exercise frequency (b = 0.07, 95% CI = 0.02-0.12). Race and educational attainment showed a significant interaction (b = -0.09, 95% CI = -0.19-0.00), suggestive of a smaller effect of education attainment on exercise frequency for Black women than White women. In race specific models, high educational attainment was associated with higher exercise frequency for White (b = 0.12, 95% CI =0.04-0.20) but not Black (b = 0.03, 95% CI = -0.03-0.08) women.

Conclusion: In line with the past research on MDRs, White women gain more health from their educational attainment than Black women. It is not race or class but race and class that shape the health behaviors of American women.

背景:少数族裔的递减回报率(MDR)是指黑人和其他少数族裔群体的社会经济地位(SES)指标对健康的保护作用小于白人。目的:本研究旨在探讨美国女性受教育程度和锻炼频率之间的黑人-白人差异。方法:本研究,我们使用了美国国家生活调查(NSAL)的数据,其中包括3175名白人(n=876)或黑人(n=2299)女性。自变量是受教育程度。因变量是运动频率。年龄、地区、家庭收入、经济困难、婚姻状况、失业和抑郁症是协变量。Race是焦点主持人。数据分析采用线性回归。结果:在整个女性样本中,高教育程度与较高的运动频率相关(b=0.07,95%CI=0.02-0.12)。种族和教育程度表现出显著的交互作用(b=0.09,95%CI=-0.19-0.00),这表明黑人女性受教育程度对运动频率的影响小于白人女性。在特定种族的模型中,白人女性(b=0.12,95%CI=0.04-0.20)的高教育程度与较高的运动频率相关,而黑人女性(b=0.03,95%CI=-0.03-0.08)的运动频率与较高的教育程度无关。结论:与过去对MDR的研究一致,白人女性比黑人女性从教育程度中获得更多的健康。影响美国女性健康行为的不是种族或阶级,而是种族和阶级。
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引用次数: 0
Late Diagnosis Ended up in Small Intestine Gangrene and Near - Total Enterectomy in Late Pregnancy 晚期妊娠以小肠坏疽及近全肠切除术结束
Pub Date : 2018-06-25 DOI: 10.5812/whb.63829
Seyedeh Azam Pour Hosseini, Sara Mirzaeian, Reza Jafarzadeh Esfehani, N. Ghomian
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引用次数: 0
Protective Effects of Aerobic Intervention on the Profile of Liver Enzymes with Emphasis on AST to ALT ratio in Adult Females with Obesity 有氧干预对成年肥胖女性肝酶特征的保护作用,重点是AST / ALT比值
Pub Date : 2018-06-25 DOI: 10.5812/WHB.57194
M. Farbod, M. Eizadi, Sakineh Davoodzadeh
Background: Obesity is a worldwide epidemic with a high prevalence of chronic diseases such as metabolic syndrome and fatty liver. Objectives The current study aimed at evaluating the role of aerobic exercise program on aspartate aminotransferase (AST) and alanine aminotransferase (ALT) as enzymes indicative of fatty liver in adult females with obesity. Methods: Twenty-eight inactive females with obesity matched by age (mean: 37 ± 6 years) and weight (mean: 83 ± 7 kg) were enrolled in the current study and randomly divided into exercise and control groups. Exercise subjects underwent a three-month aerobic exercise intervention (three sessions per week for up to 45 minutes) as running at 60 - 75 of maximum heart rate in fall 2016, Saveh city, Iran. Before and after the intervention, liver enzymes and their ratio as well as anthropometrical markers were measured in the two groups. Statistical tests were applied using independent and paired t-tests (P < 0.05). Results: There was a significant reduction in the mean values of body weight (P = 0.001), body mass index (BMI) (P = 0.002), body fat percentage (P = 0.001), abdominal circumference (P = 0.001), and visceral fat (P = 0.028) was observed following the aerobic training in the exercise group. No significant change was observed in AST (P = 0.096) and ALT (P = 0.104) levels following the training program in the exercise group. Despite unchanged AST and ALT levels, aerobic training resulted in a significant decrease in AST/ALT ratio in the exercise subjects (P = 0.021). There were no changes in these variables in the control group. Conclusions: With emphasis on improved AST/ALT ratio and obesity indicatives, it was concluded that regular aerobic training can be preventing fatty liver in female adults with obesity.
背景:肥胖是一种世界性的流行病,代谢综合征和脂肪肝等慢性疾病的发病率很高。目的探讨有氧运动对成年肥胖女性脂肪肝患者谷草转氨酶(AST)和丙氨酸转氨酶(ALT)的影响。方法:选取28名年龄(平均37±6岁)、体重(平均83±7 kg)匹配的非运动肥胖女性,随机分为运动组和对照组。2016年秋季,在伊朗萨维市,运动对象进行了为期三个月的有氧运动干预(每周三次,每次45分钟),以最大心率60 - 75的速度跑步。干预前后测量两组患者肝酶及其比值及人体测量指标。采用独立t检验和配对t检验进行统计学检验(P < 0.05)。结果:运动组在进行有氧训练后,体重(P = 0.001)、体重指数(BMI) (P = 0.002)、体脂率(P = 0.001)、腹围(P = 0.001)、内脏脂肪(P = 0.028)的平均值均显著降低。运动组AST (P = 0.096)和ALT (P = 0.104)水平在训练后无显著变化。尽管AST和ALT水平不变,有氧训练导致运动受试者AST/ALT比值显著降低(P = 0.021)。在对照组中,这些变量没有变化。结论:通过提高AST/ALT比值和肥胖指标,我们认为有规律的有氧训练可以预防肥胖女性成人脂肪肝。
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引用次数: 0
Vitamin D Level, Thyroid Function, and Maternal Depression in Late Pregnancy 妊娠后期维生素D水平、甲状腺功能和产妇抑郁
Pub Date : 2018-06-20 DOI: 10.5812/WHB.68256
M. Dabbaghmanesh, F. Vaziri, F. Najib, S. Nasiri
Background: Based on a possible association between thyroid function or serum 25-hydroxyvitamin D concentration and perinatal psychological symptoms, this study examined the potential link between antenatal depression and thyroid function or vitamin D level in the population of Shiraz city. Methods: This cross-sectional study was conducted on mothers, who were under prenatal care at a teaching hospital in Shiraz, during year 2015. Evaluation of depression was performed by the Edinburgh postnatal depression scale (EPDS). Eligible pregnant females aged ≥ 18 and at 26 to 28 weeks of gestation were passed to the laboratory to offer a blood sample to determine serum 25-hydroxyvitamin D, TSH, FT4, and TPOAb. Finally, data from 184 pregnant females was analyzed. Results: The mean depression score was 9.19 ± 4.44, with a median value of 9.50, and mode value of 13. Overall, 52 mothers (28.3%) had depression (depression score > 12). The mothers with and without depression were not different in relation to 25hydroxyvitamin D, TSH, FT4, and TPOAb levels. No association was established between thyroid function and antenatal depression with a binary logistic regression analysis. Also, vitamin D deficient mothers did not have more chance of being depressed. No correlation was detected between thyroid function and vitamin D levels. Conclusions: Based on the current findings, no association was observed between antenatal depression and thyroid function or vitamin D deficiency.
背景:基于甲状腺功能或血清25-羟基维生素D浓度与围产期心理症状之间的可能关联,本研究调查了设拉子市人口中产前抑郁与甲状腺功能或维生素D水平之间的潜在联系。方法:对2015年在设拉子某教学医院接受产前护理的母亲进行横断面研究。采用爱丁堡产后抑郁量表(EPDS)进行抑郁评估。年龄≥18岁、妊娠26 ~ 28周的符合条件的孕妇被送到实验室提供血液样本,以测定血清25-羟基维生素D、TSH、FT4和TPOAb。最后,对184名孕妇的数据进行了分析。结果:抑郁评分平均值为9.19±4.44,中位数为9.50,模式值为13。总体而言,52名母亲(28.3%)患有抑郁症(抑郁评分> 12)。有抑郁症和没有抑郁症的母亲在25羟基维生素D、TSH、FT4和TPOAb水平方面没有差异。二元logistic回归分析未发现甲状腺功能与产前抑郁之间存在关联。此外,缺乏维生素D的母亲患抑郁症的几率并不高。甲状腺功能与维生素D水平之间没有相关性。结论:根据目前的研究结果,产前抑郁与甲状腺功能或维生素D缺乏之间没有关联。
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引用次数: 1
Maternal and Neonatal Complications Leading to Midwifery Errors in Referred Cases to the Iranian Legal Medicine Organization and Medical Council of Forensic Medicine from 2006 - 2011 in Isfahan, Iran 2006 - 2011年在伊朗伊斯法罕向伊朗法律医学组织和法医医学委员会提交的病例中导致助产错误的孕产妇和新生儿并发症
Pub Date : 2018-06-20 DOI: 10.5812/whb.64599
L. Asadi, M. Beigi, Mahbube Valiani
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引用次数: 3
Comparison of Isosorbide Mononitrate Versus Misoprostol in Cervical Ripening at Term Before Induction of Labor: A Clinical Trial 单硝酸异山梨酯与米索前列醇在引产前足月宫颈成熟中的比较:一项临床试验
Pub Date : 2018-06-20 DOI: 10.5812/whb.12248
Marzieh Lotfalizade, Nayereh Khadem Ghaebi, F. G. Keshtan, Vida Taghipour Bazargani
Objectives: The aim of this study was to compare the effect of nitric oxide (Isosorbide mononitrate) versus misoprostol in cervix ripening and labor progression. Methods: This study was a clinical trial. One hundred females with term pregnancies, referred for induction of labor with bishop score of six or less, were randomly allocated to receive either 40 mg Isosorbide Mononitrate (IMN) tablet vaginally or 25 µ g misoprostol vaginally every six hours for a maximum of three doses. P value of less than 0.05 was considered statistically significant. Results: The bishop score decreased significantly due to increasing abortion numbers (P = 0.04; r = -0.19), yet this relationship in thetwostudiedgroupswasn’tsignificant(Pmisoprostol=0.67;r=-0.06,andPIMN=0.57;r=-0.05). Themeanprimarybishopscore was similar in the two groups (P = 0.06) yet the final score in the IMN group was significantly lower than the misoprostol group (P = 0.001). Also, Apgar score in the IMN group was significantly higher than the misoprostol group (P = 0.02). There was a significant difference between the side effects (meconium amniotic fluid, nausea, atony, abdominal pain and tachysystole) and medication group, while this was significantly lower in IMN than the misoprostol group (P = 0.001). P values of less than 0.05 were considered statistically significant. Conclusions: CervicalripeningwithIMNresultedinfeweradverseeffects,anditwassafertouseforcervicalripening. Therefore,it could be a good substitute for patients with a contraindication for misoprostol.
目的:本研究的目的是比较一氧化氮(单硝酸异山梨酯)和米索前列醇在子宫颈成熟和产程中的作用。方法:本研究为临床试验。100名推荐引产的足月妊娠女性,bishop评分为6分或以下,随机分配每6小时阴道服用40毫克单硝酸异山梨酯(IMN)片或25微克米索前列醇,最多3次。P值小于0.05认为有统计学意义。结果:流产次数增加,主教评分显著降低(P = 0.04;r= -0.19),但这一关系在两个研究组中并不显著(Pmisoprostol=0.67, r=-0.06, pimn =0.57, r=-0.05)。两组的平均初级评分相似(P = 0.06),但IMN组的最终评分明显低于米索前列醇组(P = 0.001)。IMN组Apgar评分显著高于米索前列醇组(P = 0.02)。不良反应(胎粪羊水、恶心、紧张、腹痛、心动过速)与用药组比较差异有统计学意义,而IMN组明显低于米索前列醇组(P = 0.001)。P值小于0.05认为有统计学意义。结论:CervicalripeningwithIMNresultedinfeweradverseeffects anditwassafertouseforcervicalripening。因此,它可能是米索前列醇禁忌症患者的良好替代品。
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引用次数: 0
Women’s Optimism: Role of Psychological Climate and Psychological Capital 女性乐观主义:心理气候与心理资本的作用
Pub Date : 2018-06-20 DOI: 10.5812/WHB.64166
A. Abbaspour, H. Barati, H. Rahimian, Hossein Abdollahi, H. Asadzadeh
Background: Psychological capital is considered as the basis of sustainable competitive advantage in today’s organizations and can be developed and managed with minimal costs compared to tangible assets and can lead to significant results. Objectives: This quantitative research was carried out to determine the direct and indirect impact of psychological capital on female’s organizational optimism with psychological climate acting as the meditating variable. Methods: This study was a descriptive correlational research that included 45 females, who were employed at Farhangian University between the academic year of 2016 and 2017. A sample of 45 was determined using the census method. Data were collected using a standard questionnaires, including psychological capital questionnaire, psychological climate questionnaire, and organizational optimism questionnaire. The reliability of the instruments was measured using Cronbach’s alpha, combined reliability and factor load, and the validity of the instruments was determined using a convergent and divergent validity method. Cronbach’s alpha test obtained a value of 0.98, 0.96, and 0.93. The data were analyzed by the structural equation modeling and Smart PLS2 software. Results: The results indicated that the female’s organizational optimism had a mean value of 3.46 ± 0.75. Also, on average, the participants were 35 ± 0.43 years old and had 25 ± 0.38 years of work experience. Psychological capital and female’s organizational optimism are antecedents and consequences of psychological climate among students, respectively, and psychological climate has a significant mediating role on the relationship between psychological capital and female’s organizational optimism; 53% of the total effect of female’s organizational optimism was indirectly explained by the psychological climate (P < 0.05). Conclusions: The findings suggest the need of implementing programs, which strengthen women’s psychological capital in order to improve psychological climate and achieve a greater organizational optimism.
背景:心理资本被认为是当今组织可持续竞争优势的基础,与有形资产相比,它可以以最小的成本开发和管理,并能产生显著的结果。目的:以心理气候为中介变量,定量研究心理资本对女性组织乐观情绪的直接和间接影响。方法:本研究采用描述性相关研究,纳入2016 - 2017学年在法汉吉安大学工作的45名女性。用普查方法确定了45个样本。采用标准问卷,包括心理资本问卷、心理气候问卷和组织乐观问卷。采用Cronbach’s alpha法、联合信度法和因子负荷法测量仪器的信度,采用收敛效度法和发散效度法确定仪器的效度。Cronbach’s alpha检验的值分别为0.98、0.96和0.93。采用结构方程建模和Smart PLS2软件对数据进行分析。结果:女性组织乐观情绪均值为3.46±0.75。此外,参与者的平均年龄为35±0.43岁,工作经验为25±0.38年。心理资本和女性组织乐观主义分别是学生心理气候的前因变量和后因变量,心理气候对心理资本与女性组织乐观主义的关系具有显著的中介作用;心理气候间接解释了53%的女性组织乐观总效应(P < 0.05)。结论:研究结果表明,需要实施强化女性心理资本的方案,以改善心理氛围,实现更大的组织乐观主义。
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引用次数: 1
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Women''s Health Bulletin
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