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Background: COVID-19 is a new disease, so we don’t know what comes next. Since information on delayed symptoms is limited, this study was conducted to assess the frequency of delayed symptoms in patients with COVID-19. Methods: This follow-up cross-sectional study was conducted in a referral general hospital in Tehran, Iran from Feb to Apr 2020. Two hundred patients hospitalized for COVID-19 and were discharged were assessed for delayed symptoms 6 wk after discharge. Results: The mean age of the participants was 55.58±13.52, and 160 (80%) Of them were male. On admission to hospital, patients reported a mean of 5.63±2.88 symptoms per patient, range from 1 to 14 symptoms. Dyspnea was seen in 119 (59.5%) 0f them as the most frequent symptom. Then weakness, myalgia, and shivering were reported with a frequency of 111 (55.5%), 107 (53.5%), and 103 (51.5%), respectively. Six weeks after discharge reassessment was done. None of the patients was readmitted to the hospital. Ninety-four (42%) of them were symptom-free. Fatigue was the most frequent delayed symptom with a frequency of 39 (19.5%), and then dyspnea, weakness, and activity intolerance with a frequency of 37 (18.5%), 36 (18%), and 29 (14.5%) were reported, respectively. Conclusion: Fatigue, dyspnea, weakness, anxiety, and activity intolerance were most frequent delayed symptoms, respectively. Majority of patient was symptoms free and those with symptom, had mild to moderate symptoms. The importance of symptoms is not fully recognized. Follow up clinics and in some cases rehabilitation programs may be helpful

Objectives: The sudden outbreak of Coronavirus (COVID-19) as a deadly disease worldwide has caused widespread psychological problems and physical problems. Given the importance of preventing and controlling mental health problems in patients with this disease, the present study was conducted to investigate the Perceived Stress level of health care and non- health care in Exposed to COVID-19 pandemic. Methods: This is a descriptive-cross-sectional study conducted in April 2020. A total of 528 medical and non-medical workers entered the study by simple sampling method. Include criteria as follows Employees exposed to the Coronavirus (COVID-19) who had access to a smartphone. People with a history of mental illness were excluded from the study. The tools used included a demographic questionnaire, and the Cohen 10-item Perceived Stress Scale distributed online via the mobile phone. Results: Among 528 participants in the study, the majority (68.2%) were married (52.7%) were male, and (47.3%) were in the age group of 46-46 years. Most research units (90.2%) had moderate stress, and (4.2%) had severe stress. The Kruskal–Wallis test showed that students were more stressed than formal and contract workers. In comparison with the averages in the Mann-Whitney test, women were more stressed than men. People who were not taking medication had more stressed than people who were taking medication. Also, people with therapeutic occupations were more stressed than Non-therapeutic jobs. Conclusion: Discussion and Conclusion: The findings of the present study showed the need for more vulnerable groups in society such as women, students, and staff of therapeutic occupations in the Coronavirus (COVID-19) crisis prevention and care, which should be reviewed by effective coping strategies and epidemic disease management, access to healing resources and psychological services system should be further strengthened for this group. Also, the planning of national strategies and first aid in crises should be emphasized through telemedicine and online services

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Background Physiological and psychological changes during menopause can affect the quality of marital satisfaction. The aim of this study was to evaluate the effect of self-care education program on the severity of menopause symptoms and marital satisfaction in postmenopausal women. Methods In this randomized controlled clinical trial, 70 postmenopausal women who referred to the gynecology clinic of Baqiyatallah and 502 Artesh hospitals in Tehran, Iran, and met the all inclusion criteria were randomly allocated into two equal groups (intervention and control groups) using block randomization. The intervention group received self-care training program in physical, psychological, social and sexual dimensions in 5 sessions during a week. The control group also had 5 sessions exactly the same as the intervention group, except that they received only routine care and training. Data were collected pre- and post-intervention using Menopause Symptoms' Severity Inventory (MSSI-38) questionnaire and the Revised Dyadic Adjustment Scale (RDAS) questionnaire. Results In the control and intervention groups before the intervention, socio-demographic characteristics (P > 0.05), the mean scores of MSSI-38 (P = 0.388) and RADS (P = 0.476) were not statistically significant. However, in the intervention group the mean scores of MSSI-38 (49.88 ± 3.3 vs. 39.33 ± 3.7, P < 0.001) and RADS (35.15 ± 4.3 vs. 49.48 ± 3.2, P < 0.001) after the intervention changed significantly and this change were statistically significant compared to the control group. Significant inverse correlation between severity of menopausal symptoms and marital satisfaction was observed with r = -0.461, P < 0.001. Conclusion Our findings indicate that self-care training has a positive effect on the severity of menopause symptoms and also improves marital satisfaction in postmenopausal women. Therefore, we recommend that more attention be paid to providing self-care educational content to improve the marital satisfaction in postmenopausal women. Clinical trial registration Iranian Registry of Clinical Trials; https://www.irct.ir/trial/49225 (IRCT20200624047910N1), registered (10/11/2020).