A comparative study about the impact of sensory stimulation performed by family members and nurses on vital signs of patients at ICU: A randomized clinical trial

Some studies have shown the effects of sensory stimulation on vital signs of patients at intensive care unit (ICU). However, little knowledge is available about family role compared to the role of nursing staff in this issue and current results are controversial. The aim of this study is to compare the impact of sensory stimulation performed by family members and nurses on vital signs of patients at ICU. In this study, 9669 patients were categorized into two intervention groups and one control group by stratified block randomization method. Dyang sensory stimulation was provided by family members and nursing staff. No intervention was performed for control group. Sensory stimulation was performed 2 hours a day for 6 consecutive days. The vital signs were assessed 5 minutes before and 30 minutes after intervention. Data analysis was performed by ANCOVA, ANOVA and repeated measures. The results showed that there was significant difference between the experimental groups in terms of vital signs before and after the intervention (p<0.001). Of this aspect, family group was the best, nursing group was the second and control group was the last group in classification. The effect of sensory stimulation on vital signs of comatose patients was greater when provided by family members

تحلیل فقهی حقوقی تمکین زوجین در شرایط بیماری وسواس

Background and Aim: Obsession as one of the common diseases in society, in many cases, disrupts the family system, especially sexual relations. Considering the necessity of special compliance in the couples’ life, the importance of the marital relationship in the continuation of the marriage and the peace of the couple on the one hand, and the possibility of the influence of each couple’s obsession on the other hand, study the non-compliance order in such circumstances is necessary. With this aim, the present research was written to investigate the scope of the non-compliance order on obsessive couples. Materials and Methods: This research examines the non-compliance order on obsessive couples by descriptive analytical method and using library sources. Findings: In psychology, obsession has mild, moderate, severe and obsessive madness stages. When the obsession is in a severe state and obsessive madness, it is out of the patient's will and the behavior is done involuntarily. Based on this, because the obsessive person involuntarily refuses to compliance and "Nashez" and "Nashzeh" are among the titles of intention, it is not possible to impose the non-compliance order. Of course, if the patient refuses the treatment, it is an example of hurting the partner and the non-compliance order applies to him.زمینه و هدف: وسواس به عنوان یکی از بیماری‌های شایع در جامعه، در بسیاری از موارد، مختل‌کننده نظام خانواده به ویژه در حوزه روابط جنسی می‌شود. با توجه به لزوم تمکین خاص در زندگی مشترک زوجین، اهمیت رابطۀ زناشویی در تداوم زوجیت و تسالم زوجین از سویی و احتمال تأثیر وسواس در نشوز هریک از زوجین وسواسی نسبت به طرف مقابل، بررسی حکم نشوز در چنین شرایطی امری لازم و ضروری می‌نماید. با این هدف، پژوهش حاضر در جهت بررسی شمول حکم نشوز بر زوجین وسواسی نگاشته شده است. مواد و روش‌ها: این تحقیق با روش توصیفی تحلیلی و با استفاده از منابع کتابخانه‌ای، حکم نشوز را درخصوص زوجین وسواسی مورد بررسی قرار می‌دهد. یافته‌ها: از منظر روانشناسی وسواس دارای مراحل خفیف، متوسط، شدید و جنون وسواسی است. زمانی که وسواس در حالت شدید و جنون وسواسی باشد، وسواس، از اراده و اختیار بیمار خارج شده و رفتارهای او به شکل غیر ارادی انجام می‌گیرد. بر این اساس به دلیل اینکه فرد وسواسی به صورت غیرارادی از تمکین خودداری می‌‌کند و «ناشز» و «ناشزه» از عناوین قصدیه هستند، نمی‌توان حکم نشوز را بر او بار نمود. البته اگر بیمار از درمان خودداری نماید، مصداق آزار رساندن طرف مقابل بوده، نشوز در مورد او صدق می‌کند

امکان سنجی فسخ نکاح به دلیل بیماری وسواس

Background and Aim: Dissolution of marriage by using the defect option or the option of violation of the conditional characteristic is one of the ways to dissolve a marriage when the woman or man has a defect or lacks a qualifying or conditional characteristic during the marriage. The jurists’ famous case attitude and the dissolution of marriage law has made some researchers to investigate the unwritten factors by taking advantage of Manat's resection, which obsession is one of these diseases. The marriage of an acutely obsessive person causes many important goals of marriage to be disrupted. The purpose of this article is to investigate the role of obsessive disorder in the dissolution of marriage during the severity of the disease. Materials and Methods: This research investigates the possibility of dissolution of marriage with obsessive disorder by descriptive and analytical method and using library sources. Conclusion: According to the narrative evidence and the rules of harmlessness and non-harm, the prescribed defects that cause the dissolution of the marriage are allegorical in the religion and law. Therefore, it is possible to dissolve the marriage based on the criteria of the prescribed defects in the case of one of the spouses’ obsession disorder. So when the obsession is in a severe state or obsessive madness due to the obstacle and disgust of sexual intercourse, it is possible to dissolve the marriage. Also, due to the custom's emphasis on the spouses’ health, if during the marriage, one of the spouses has severe obsessive illness or obsessive insanity, the other party can terminate the marriage by citing the option of violating the condition.زمینه و هدف: فسخ نکاح با استفاده از خیار عیب یا خیار تخلف از شرط صفت، از راههای انحلال نکاحی است که زن یا مرد در حین نکاح، واجد عیب یا فاقد وصفی معهود یا صفتی مشروط باشند. نگرش موردی مشهور فقیهان و قانون به فسخ نکاح، برخی از محققان را به بررسی عوامل غیرمنصوص با بهره‌گیری از تنقیح مناط واداشته که وسواس ازجمله این بیماری‌ها است. ازدواج فرد وسواسی حاد، موجب می‌گردد بسیاری از اهداف مهم نکاح، مختل شود. هدف مرقوم حاضر بررسی نقش بیماری وسواس در فسخ نکاح در زمان شدت بیماری است. مواد و روش‌ها: این تحقیق به روش توصیفی تحلیلی و با استفاده از منابع کتابخانه‌ای امکان فسخ نکاح با وسواس را بررسی می‌نماید. نتیجه‌گیری: طبق ادله روایی و قواعد لاضرر و لاحرج، عیوب منصوص موجب فسخ نکاح، در شرع و قانون تمثیلی بوده ازاین‌رو می‌توان براساس ملاک‌های عیوب منصوص در مورد وسواس یکی از زوجین نیز اقدام به فسخ نکاح نمود. بر این اساس، زمانی که وسواس در حالت شدید یا جنون وسواسی است به دلیل مانعیت و انزجار از رابطه جنسی، فسخ نکاح امکان‌پذیر می‌گردد همچنین به دلیل ابتنای عرف بر سلامت زوجین، اگر در حین نکاح، یکی از زوجین دارای بیماری وسواس شدی

The Effect of Family Presence during Pediatric Intensive Care Unit Bedside on Family General Health: a Clinical Trial Study

Background A child's hospitalization in intensive care units causes stress and worry in other family members. This study aimed to determine the effect of family presence during pediatric ICU bedside on family general health. Materials and Methods In this clinical trial study, 46 family members of the pediatrics hospitalized in the ICU in Teaching hospital affiliated with the Lorestan University of Medical Sciences in Khorramabad in April to November 2014 were divided into two groups using the stratified block randomization. Family members of the intervention group were present at the bedside of their patients two hours a day for six days, but family members of the control group did not visit their patients during six day. The general health status of the family members in the two groups was evaluated immediately before and after the visit on the first, sixth and twelfth visit, by using the General Health Questionnaire (GHQ). The data was analyzed using the repeated measure tests and independent t-tests. Results Results showed there was a significant difference between the groups in terms of the means of the GHQ scores of the family members before and after the intervention (