Different SARS-CoV-2 Subvariants and Coagulation Markers Trend: A Retrospective Multicentric Study From Iranian Network for Research in Viral Diseases (INRVD) Alireza Razavi, Masoud Pourghahramani Koltapeh, Tina Nazari, Arefe Morvaridi, Behrooz Banivaheb, Sepideh Saeb, Melina Moulaeian, Alireza Zakaryaei, Arash Sabzalian, Maedeh Raei, Bahar Razavi, Saeed Motlaghzadeh, Somayeh Sadat Hosseini, Hassan Karami, Parsa Ghafari, Amir Aboofazeli, Sogol Nastarvand, Negin Kaseb navaz Sarabi, Alex Avakian, Sara Ebadinejad, Tara Keyhani, Parand Danafar, Rozhin Rahimlou, Sedigheh Heidarian, Mozhgan Mondeali, Fatemeh Nafe‐Monfared, Mobina Jafarpour, Marziyeh Samiee, Fatemeh Birang, Amirhossein Mirzazadeh, Seyed Ariana Feiz Abadi, Khabat Barkhordari, Saba Siavoshi, Mahdi Biklari, Mohammad khodabakhsh, AmirHossein Javadi, Samaneh Mirzaee, Farshideh Didgar, Mostafa Etebari, Saedeh Soltanmohamad, Babak Shahbaz, Ebrahim Kord, Seyed Mohammad Hashemi Shahri, Majid Ebrahimzade, Alireza Ansari Moghaddam, Fariba Shahraki Sanavi, Afagh Moattari, Fahime Edalat, Majid Fardi Sheijani, Mohsen Moghadami, Tofigh Yaghubi, Ali Mojtahedi, Abtin Heidarzadeh, Mohammadreza Naghipour, Maryam Sharifi Luyeh, Pershang Nazemi, Kian Alipasandi, Maryam Albaji, Mahdieh Afzali, Nasim Shokouhi, Akram Ezani, Hamid reza Najari, Mirshamsedin Hosseini, Arefeh Ghobadi, Abdoalmabood Momeni, Seyedeh Zeinab Fattahi, Mehdi Mohsenzadeh, Mohammad Jafari, Adeleh Azizi, Sajad Pouryousef, Alijan Tabarraei, Abdolvahab Moradi, Sadeghali Azimi, Yousef Yahyapour, Masoumeh Bayani, Vahdat Poortahmasebi, Mojtaba Varshochi, Masood Ziaee, Shokouh Ghafari, Davod Javanmard, Alireza Soleimani, Sayed‐Hamidreza Mozhgani, Zakiye Mokhames, Zohreh Akhoundimeybodi, Akram Astani, Alireza Abdollahi, Azar Hadadi, Mohammad reza Salehi, Mahboubeh Hajiabdolbaghi, Seyed Reza Raeeskarami, Samira kafan, Mahnaz Montazeri, Marzieh Pazoki, Taghi Riahi, Mahshid Talebi‐Taher, Angila Ataei‐Pirkooh, Farah Bokharaei‐Salim, Seyed Hamid Reza Faiz, Saeed Kalantari, Zeinab Yasin, Seyed Mohammad Jazayeri Health Science Reports, 2026 Background and Aims This study aims to examine the prevalence and progression of coagulation disorders in adult COVID‐19 patients and evaluate the effect of severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) on coagulation markers. Methods This retrospective study included 1885 hospitalized COVID‐19 patients, aged 20 to over 90 years, from January 23, 2020, to March 9, 2021, across 23 centers in 13 provinces in Iran. Patients were categorized into three epidemiological peaks corresponding to different pandemic waves and SARS‐CoV‐2 variants (wild‐type, B.1.36, and B.1.1.413). Data collection and statistical analysis adhered to the Iranian Center for Disease Control guidelines, with laboratory assessments focusing on hematologic and coagulation markers, including prothrombin time (PT), activated partial thromboplastin time (aPTT), platelet (PLT) count, and Hemoglobin (Hb). Parameters were assessed to monitor coagulation dynamics and thrombotic risk over time and across epidemic waves. Estimated marginal means enabled evaluation of biomarker fluctuations by time and sex. Results The majority of patients were below 70 years of age, with hypertension and diabetes as common underlying conditions. The study revealed a trend of increasing white blood cells, neutrophils, neutrophil‐to‐lymphocyte ratio, and PLTs during the initial week. Conversely, hemoglobin and lymphocytes exhibited a downward trend. PLT, lymphocyte, and neutrophil levels were not significantly affected by sex, age groups, or different peaks. Notably, hospitalized patients exhibited prolonged PT and aPTT. Overall, 81.1% of patients recovered, while 18.9% succumbed to the disease. Conclusion This multicenter study provides valuable insights into the coagulation dynamics of COVID‐19 patients, highlighting specific coagulation disorders associated with SARS‐CoV‐2. The findings emphasize the importance of monitoring coagulation markers for effective patient management and treatment decisions. Understanding how genetic and non‐genetic factors influence outcomes is crucial for comprehensive care. Standardized data collection across centers strengthens the study's reliability.
Development of the Attitude & Practice Towards Social Distancing Questionnaire and Evaluation of Its Validity and Reliability During the COVID-19 Pandemic in Iran Rouhollah Rouhandeh, , Sajad Pouryousef, Sedigheh Yeganeh, Esmail Parsayee Manesh, Tayebeh Bahmani, Ahmad Reza Simin, Misagh Mashi, Samira Daneshvar Dehnavi, , , , , , , and Health in Emergencies and Disasters Quarterly, 2022 Background: Social distancing is an effective way to prevent the spread of COVID-19 and its new variants. This study aims to develop the Attitude & Practice towards Social Distancing (APSD) Questionnaire and evaluate its validity and reliability during the COVID-19 pandemic in Iran. Materials and Methods: This mixed-method study, used Waltz’s 4-step method to develop the APSD questionnaire. The initial items were formulated based on a semi-structured interview with the participants and social distancing guidelines. After confirming the face validity and content validity of the questionnaire, it was distributed among the participants online. Its internal consistency was assessed by calculating the Cronbach’s alpha (α). The exploratory factor analysis and confirmatory factor analysis (CFA) were carried out in SPSS software, version 16 and AMOS version 24. Finally, the reliability was evaluated using the test-retest method. Results: The preliminary draft with 33 items (15 for the attitude and 18 for the practice) were answered by 623 participants. After CFA, the final draft consisted of 7 items and three factors (CVR=0.77, CVI=0.92, α=0.73) for the attitude subscale, and 8 items and three factors for the practice subscale (CVR=1, CVI=0.98, α=0.76). Conclusion: The 15-item APSD questionnaire is a valid and reliable tool to evaluate the status of social distancing during the COVID-19 pandemic in Iran.
The Effect of an educational Intervention on Anxiety of Pregnant Women: A Quasi-Experimental Study Sajad Pouryousef, Marzieh Kargar Jahromi, Sedigheh Yeganeh, Rouhollah Rouhandeh, Somayeh Paki, Mozhgan Jokar Investigacion Y Educacion En Enfermeria, 2022 Objective. The aim of study is the effect of educational intervention on anxiety of pregnant women.
 Methods. This quasi-experimental study is done on the pregnant women referring to family physician’s offices in Gerash City, Iran. 62 women were selected and divided into 2 groups (control and intervention). In intervention group the anxiety reduction training classes were held as a group discussion in 4 weekly 90-minute sessions. Control group received routine care. The anxiety assessment completed by two groups before and after the educational intervention. The measurement instruments included a demographic information questionnaire and the short form of the Pregnancy Related Anxiety Questionnaire (PRAQ-17).
 Results. Comparison of the mean scores of different dimensions of pregnancy anxiety in the pre-intervention and post-intervention stages in the intervention group using paired t-test indicated a statistically significant difference in the dimensions Fear of childbirth, Fear of giving birth to a physically or mentally disabled child, Fear of mood swings and Fear of changes in marital relations (p < 0.05) in comparison with control group. 
 Conclusion. Holding pregnancy-training classes using group discussion method is a good strategy to reduce anxiety in pregnant women. Therefore, it is recommended that this educational strategy classes be used with mothers from the second trimester of pregnancy in urban family physician centers or those referred to a nearby clinic.
A study of social support among non-depressed and depressed mothers after childbirth in Jahrom, Iran Marzieh Kargar Jahromi, Fatemeh Mohseni, Esmail Parsayee Manesh, Sajad Pouryousef, Farzad Poorgholami Bangladesh Journal of Medical Science, 2019 The purpose of this study was to evaluate the social support provided for non-depressed women and women with postpartum depression referring to health centers in Jahrom.
 Method: In order to achieve the mentioned goal, three health care centers randomly selected. 60 referring women who had the required criteria were selected by convenience sampling method and were divided into two groups of postpartum depression (30) and non-depressed (30) people. For evaluation of social support, the Phillips Social Support scale was used, and Edinburgh Postpartum Depression Questionnaire was used to evaluate postpartum depression. Data were analyzed by T-test.
 Results: The results showed that there was a significant difference between the non-depressed and those with postpartum depression in terms of social support (P = 0.03). These findings are remarkable in that they can be used to prevent the progression of treatment for postpartum depression.
 Conclusion: It is necessary to implement social and behavioral interventions in order to encourage and educate families, friends and kinship networks in order to provide socially desirable support for mothers, as well as cultural interventions in order to modify the morbidity of men to reduce postpartum depression.
 Bangladesh Journal of Medical Science Vol.18(4) 2019 p.736-740
