BACKGROUND Mental health complaints are quite common in health care employees and can have adverse effects on work functioning. The aim of this study was to evaluate an e-mental health (EMH) approach to workers' health surveillance (WHS) for nurses and allied health professionals. Using the waiting-list group of a previous randomized controlled trial with high dropout and low compliance to the ...

Open-heart surgery patients report anxiety and pain with chair rest despite opioid analgesic use. The effectiveness of non-pharmacological complementary methods (sedative music and scheduled rest) in reducing anxiety and pain during chair rest was tested using a three-group pretest-posttest experimental design with 61 adult postoperative open-heart surgery patients. Patients were randomly assig...

The Bayesian analysis was used in this study to investigate the diagnostic value of the bronchial provocation test with methacholine in patients with asthma. The best cutoff value of accumulated concentration of methacholine administered that caused a 20 percent fall in FEV1 post-saline (PC20) in our sample, determined with a receiver operator characteristic curve, was 15 mg/ml. The interval se...

BACKGROUND The Pulmonary Embolism Rule-out Criteria (PERC) rule is a clinical diagnostic rule designed to exclude pulmonary embolism (PE) without further testing. We sought to externally validate the diagnostic performance of the PERC rule alone and combined with clinical probability assessment based on the revised Geneva score. METHODS The PERC rule was applied retrospectively to consecutive...

Introduction: Breast cancer is the most common type of cancer in women. This study has been conducted with the aim of investigating the effectiveness of behavioral activation group therapy on attributional styles, depression, and quality of life in women with breast cancer. Materials and Methods: This clinical trial carried out using a pretest-posttest control group design. Of all the women suf...

BACKGROUND Early in the postpartum period, mothers are often nervous and tired from the delivery, breast-feeding and caring for a new-born. The aim of this study was to evaluate the process and outcome of using aromatherapy treatments to increase relaxation and decrease fatigue for mothers during the first to the seventh day of the postpartum period. METHODS This non-randomized controlled stu...

OBJECTIVE The purpose of this study is to propose an innovative method of knowledge transfer that aims to improve health literacy about pediatric infectious diseases prevention in families. Children have an appreciable role in this scheme. METHODS This study is a before and after trial that has been conducted in Hamedan in 2009. After changing seven infectious disease topics into childish poe...

OBJECTIVE To report on the effect of the Breast and Cervical Cancer Intervention Study (BACCIS), a multicomponent intervention conducted in the San Francisco Bay Area between 1992 and 1997. METHODS BACCIS targeted approximately 25,000 multiethnic, underserved women in eight neighborhoods and the public health clinics that served them. An outreach intervention using lay health worker peers and...

Objective: To estimate the pretest probability of Cushing’s syndrome (CS) diagnosis by a Bayesian approach using intuitive clinical judgment. Materials and methods: Physicians were requested, in seven endocrinology meetings, to answer three questions: “Based on your personal expertise, after obtaining clinical history and physical examination, without using laboratorial tests, what is your prob...