The impact of yoga on successful aging based on the selection, optimization, and compensation model in elderly women: A quasi-experimental study.

OBJECTIVE: To investigate the impact of yoga on successful aging based on the selection, optimization, and compensation model in elderly women. DESIGN: Quasi-experimental study. SAMPLE: Seniors' meeting points and parks and clubs for the old age pensioners of the ministry of education, ministry of healthcare, and the oil corporation in Shiraz, Iran. 68 elderly women within the age range of 60-86 years were divided into a yoga and a control group. MEASUREMENTS: The subjects in both groups were asked to complete the selection, optimization, and compensation model questionnaire before and after the intervention. Successful aging was measured using the selection, optimization, and compensation questionnaire. INTERVENTION: The yoga training program was implemented in 1-h sessions twice a week for eight weeks. RESULTS: After eight weeks of yoga training, the results showed a significant difference between the pretest and posttest successful aging total scores of the yoga group (P = .005). However, the difference between the yoga and control groups' posttest mean total scores was not significant (P = .601). CONCLUSION: Based on the results, it seems that yoga training can improve successful aging. Thus, yoga is recommended as an inexpensive and entertaining method.

Adaptation of patients diagnosed with human papillomavirus: a grounded theory study.

BACKGROUND: Human papillomavirus is the most common cause of sexually transmitted diseases. Various studies report that positive human papillomavirus diagnosis results in psychosexual issues for the infected and reduces their quality of life. However, the adaptation of the infected has not been addressed yet. The present study aims to identify the process by which individuals infected with human papillomavirus adapt to their disease. METHOD: This is a qualitative work of research with a grounded theory design. The setting of the study was the skin clinic of Shahid Faghihi Hospital in Shiraz. The participants consisted of 27 individuals: 18 patients, 3 doctors, 2 counselors, and 4 spouses of patients. The subjects were selected via purposeful and theoretical sampling method until data saturation was reached. Data were collected through face-to-face, in-depth, semi-structured interviews from April 2019 to December 2020. The collected data were analyzed using Corbin and Strauss's method (2015) and MAXQDA 2018. RESULTS: The theory which emerged from the data was "trying to maintain resilience in the absence of psychological security." Analysis of data showed the main concern of participants in adapting to their diagnosis with human papillomavirus was "life stress". "Stigma and ignorance" was found to be a contextual condition and "paradox in support" was an intervening condition in the patients' adaptation. The patients' action/interaction responses to their main concern in the context in question were "emotional confrontation" and "maintaining resilience." The outcome was "oscillation between tension and tranquility." CONCLUSION: The present study explains the process by which patients with human papillomavirus adapt to their condition. Identification of the concerns of patients with human papillomavirus and the factors which affect their adaptation can help healthcare policy-makers and providers develop effective support plans in order to increase patients' quality of life. Early interventions, e.g. counseling care providers to modify their behaviors toward alleviating the psychosexual tension of the infected, can facilitate the adaptation of the infected and decrease the consequences of the infection for them.

Human papillomavirus (HPV) is the most common cause of sexually transmitted diseases. Almost all men and women get the infection at least once throughout their lives. The high-risk types of HPV account for about 5% of cancer cases globally. HPV can cause anogenital cancers and warts in both genders. In this grounded theory study, we conducted 27 in-depth interviews with Iranian patients, their spouses, and health care providers from April 2019 to December 2020. The collected data were analyzed using Corbin and Strauss's method (2015) and MAXQDA 2018. The participants were concerned about tension in family relationships, being stigmatized, getting cancer, recurrence of warts, transferring their disease to others, and changes in the appearance of their genitalia. They stated that HPV is regarded as a shameful disease in society. Most of the participants said they had never heard anything about HPV. The patients' action/interaction responses to their concerns were "emotional confrontation" and "maintaining resilience." These strategies helped the patients recover some of their tranquility. However, some of patients' concerns were persistent and kept them oscillating between tension and tranquility. An understanding of the patients' perception of their disease is essential to development of effective educational interventions to change patients' perspective on their situation and improve their recovery. Furthermore, because of the low level of public awareness about HPV and sexual health and the flow of misinformation to the infected, it is recommended that educational interventions focus on the patients' concerns.

Perceived Supportive Paradox After Diagnosing Human Papillomavirus: A Qualitative Content Analysis.

BACKGROUND: Human papillomavirus (HPV) is the most globally-prevalent sexually-transmitted disease. Many stresses experienced by the patients after their disease is diagnosed affect the disease progression, and these problems and consequences demonstrate the importance of the support for the patients. The present research was conducted to explore the perception and experience of support in patients diagnosed with HPV. METHODS: In this qualitative study, 24 participants (17 patients, 2 spouses of these patients, and 5 health service providers), selected using purposeful and snowballing sampling from April 2019 to March 2020, underwent an inductive content analysis conducted in dermatology clinic of Shahid Faghihi hospital, Shiraz, Iran. The data were collected through in-depth semi-structured interviews, all of which were recorded and transcribed. The data were analyzed in MAXQDA 2018 until data saturation was reached. RESULTS: The patients aged 19-50 years old were married in 14 of the cases and their majority had genital or anal warts. Their level of education ranged from junior high school to an MSc degree. Perceived supportive paradox emerged as the main theme which consisted of 2 categories of supportiveness and lack of support. CONCLUSION: The present findings showed many challenges for the patients in the face of contradictory behaviors by their relatives and health service providers. Integrated systems are required to develop in order to promote the understanding of health service providers of HPV and counsel the patients to take appropriate strategies and, therefore, eliminate their confusion and reduce their anxiety.

Effectiveness of an Educational Intervention to Increase Human Papillomavirus Knowledge and Attitude in Staff and Nursing Students.

PURPOSE: To evaluate the effect of education about human papilloma virus and its vaccine on awareness and attitude of healthcare workers and nursing students. DESIGN: This was a quasi-experimental study. METHODS: The sample size was 250 (155 healthcare workers and 95 students), and both groups received educational intervention. Questionnaires were used to collect data before, after, and also 3 months following the intervention. FINDINGS: The mean age of participants was 30.1 ± 10.23 years. Results showed a significant increase in knowledge (P < .001), overall attitude (P = .000), and perceived behavior (P < .001) of the participants after the educational intervention. CONCLUSION: Educational intervention was effective in knowledge, attitude, and behavior of students and healthcare workers. CLINICAL EVIDENCE: Educational intervention can be one of the strategies to prevent individuals from acquiring the virus and to increase vaccine compliance.

Use of Cardiopulmonary Bypass for Management of Massive Air Embolism During Hysteroscopic Metroplasty.

The patient was a 32-year-old woman who presented with infertility secondary to uterine didelphys. Hysteroscopic metroplasty was chosen as the corrective surgical procedure for this anatomical defect. During the surgical repair, the patient developed a massive air embolism (MAE) leading to hypotension, arrhythmia, and cardiogenic shock. Resuscitation was started by placing the patient in the right-side up position, and emplacement of central venous catheter, but it was unsuccessful. The decision was then made to bypass the patient's cardiopulmonary system to effectively treat the MAE. Cannulation was done via femoral vein and artery. During cardiopulmonary bypass (CPB), the MAE was quickly eliminated, oxygen saturation was normalized, and the patient was hemodynamically stabilized. The surgical repair was successfully completed and the patient was decannulated and recovered without any incident.

The Effect of Yoga on Balance and Fear of Falling in Older Adults.

OBJECTIVE: To determine the effect of yoga on balance and fear of falling in older adults. DESIGN: Randomized controlled trial. SETTING: Jahandidegan Center in Shiraz, southern Iran. PARTICIPANTS: Forty persons (17 men and 23 women) between the ages of 60-74 years with a Modified Falls Efficacy Scale (MFES) score <8 and a Berg Balance Scale (BBS) score <45. After completing the MFES questionnaire and BBS measurement, the participants were divided into intervention and control groups. BBS measurement and the MFES questionnaire were completed again immediately after the intervention. INTERVENTION: The intervention group participated in 2 yoga practice sessions per week for 8 weeks. The control group received no intervention. MAIN OUTCOME MEASUREMENTS: Fear of falling was measured with the MFES and balance was measured with the BBS. RESULTS: We found significant changes in both variables (P < .0001). Mean differences before and after the intervention for the BBS for yoga and control groups were 10.19 and -1.16, respectively. Mean differences before and after the intervention for the MFES for yoga and control groups were 1.62 and -0.21, respectively. CONCLUSION: Yoga is a potential intervention to reduce fear of falling and improve balance in older adults.