Background: Considering the side effects of common drugs used to treat polycystic ovary syndrome (PCOS), researchers have turned their attention to natural compounds, including medicinal plants. Foeniculum vulgare has estrogenic properties and has been traditionally used to treat gynecological disorders. Bunium persicum has medical aspects that have not yet been evaluated, so the aim of this study was to evaluate the effects of combination therapy with these extracts on clinical symptoms of women with PCOS. Materials and Methods: In this double-blind clinical trial study, 70 women with PCOS referred to infertility clinics, were selected and randomly divided into two groups. The intervention group received B. persicum capsule 60 mg plus F. vulgare capsule 25 mg) twice daily for 4 months and the control groups received routine intervention. Before and after the intervention, levels of luteinizing hormone (LH), follicle-stimulating hormone, progesterone, prolactin, testosterone and dehydroepiandrosterone sulfate (DHEAS) levels, hirsutism score, and menstrual pattern were recorded and endometrial thickness and follicle count were determined by ultrasound. Data were analyzed by the SPSS21 software. Results: Treatment with B. persicum and F. vulgare extracts significantly decreased LH and DHEAS levels, hirsutism score, and significantly increased menstrual duration compared to the control group. Before the intervention, 5.7% of the intervention and control groups had the normal menstrual pattern, while after the intervention 31.4% of the intervention group and 25.7% of the control group had the normal pattern. Conclusion: Regarding the effect of these extracts combination and because they have no side-effects, which is a great advantage over chemical drugs, using of these plants recommend.

This article is available in open access under Creative Common Attribution-Non-Commercial-No Derivatives 4.0 International (CC BY-NC-ND 4.0) license, allowing to download articles and share them with others as long as they credit the authors and the publisher, but without permission to change them in any way or use them commercially.

Objective: Running exercise courses in different sectors of the health system is one of the important steps to prepare and deploy disaster risk management programs. The present study aimed to identify and explain the components affecting the design of preparedness exercises of the health system in disasters. Methods: This study was a qualitative content analysis. Data were collected by purposeful sampling through in-depth and semi-structured individual interviews with 25 health professionals in disasters who had experience in designing, implementing, and evaluating an exercise. The data were analyzed using the content analysis method. Results: The data analysis resulted in the production of 50 initial codes, 12 subcategories, 4 main categories of “Coordination, Command, and Guidance of Exercise,” “Hardware and Software Requirements of Exercise,” “Organizational Exercise Resources,” and “Communication and Exercise Public Information” with the original theme of “Exercise Design.” Conclusion: This study provides a clear picture and rich, constructive information on the concept of designing health system preparedness exercises in disasters. The findings of this study can greatly increase the attention of senior managers in all areas of health, especially managers of prehospitals and hospitals who are in the front line of the response to disasters to design standard and scientific preparedness exercises.

Background Coronavirus disease 2019 (COVID-19) has become the most important challenge in the world healthcare system today. We investigated the effect of a family-centered empowerment program on the self-efficacy and quality of life daily activity level of patients with COVID-19. Methods A quasi-experimental study on 60 patients with COVID-19 discharged from Shahrekord hospitals was performed. For the intervention group, family-based empowerment training was performed, which included three training sessions for patient caregivers, and for the control group, only routine discharge training was performed. all patients fulfill questionaries’ include World Health Organization (WHO) quality of life, daily activities and Sherer self-efficacy before and three months after the study. data were analyzed by SPSS/21 with chi-square, ANOVA and Pearson tests. Results The results of a recent study showed that family-centered empowerment program in patients leads to improved quality of life (p = 0.001) and also a significant change in the level of daily activity in the intervention group compared to the control group (p = 0.001 but there was no significant difference between the two groups in terms of self-efficacy after three months. Conclusion In line with the results of a recent study, studies have shown that the empowerment program for patients' family caregivers can increase patient participation and daily activity level and overall quality of life by increasing their participation in patient care. It is recommended that this program be included in day-to-day care by nurses and patient caregivers in their training programs.