Effect of methadone on depression, anxiety and quality of life in addicts

Introduction: Addiction treatment and breaking the vicious cycle that is difficult and expensive. And want comprehensive treatment system with different approaches to drug therapy, psychotherapy and rehabilitation. In this study, was assessed the effects of methadone therapy on depression, anxiety and quality of life in addicts referred to addiction Treatment of Health Center of Shahid Ahmadi Tehran. Materials & methods: This study was semi experimental that in 1389- 90 years was performed on addicts refer to addiction treatment center of ShahidAhmadi Tehran with available sampling method. Overall 96 people entered the study. The questionnaire consisted of 4 parts: Demographic information, Beck's depression inventory, STAI anxiety and quality of life, was complete before the start of treatment with methadone and one month after of treatment with methadone. Data were analyzed by using spss16 and paired t-test and wilcoxon. Findings: The results showed that 72 addict, were depressed before the treatment with methadone. One month after treatment, the prevalence of depression in patients was reduced to 46 persons. This decrease was statistically significant. Level of anxiety was reduced after taking the methadone. Also the quality of life after treatment with methadone was significantly more than ago. Conclusion: Use of alternative treatments such as methadone therapy can be effective in reduction the prevalence and severity of depression, anxiety and increase the quality of life

The effect of infant massage on the frequency and duration of breast feeding- A randomized clinical trial

زمینه و هدف: شیر مادر بهترین تغذیه برای نوزاد است، زیرا فواید سلامتی بی شماری را برای مادر و نوزاد فراهم می کند. ماساژ به عنوان بخش روتینی از مراقبت شیرخواران در بسیاری از فرهنگ ها استفاده می گردد. هدف از این مطالعه بررسی تاثیر ماساژ توسط مادر بر دفعات و مدت زمان شیرخوردن شیرخوار بود. روش بررسی: این مطالعه کارآزمایی بالینی بر روی 80 شیرخوار از زنان نخست زای مراجعه کننده به مراکز بهداشتی درمانی منتخب دانشگاه علوم پزشکی شهرکرد در سال 1389 انجام یافته است. شیرخواران به طور تصادفی به دو گروه 40 نفره تقسیم شدند. درگروه آزمون ماساژ توسط مادر 2 نوبت در روز (صبح و عصر) و به مدت 8 هفته، هر بار به مدت 15 دقیقه انجام گرفت؛ در حالی که گروه کنترل تنها مراقبت های معمول را دریافت نمودند. ابزار جمع‌آوری اطلاعات فرم ثبت خاطرات روزانه والدین شیرخوار در خصوص دفعات و مدت زمان شیرخوردن شیرخوار بود که در ابتدای مطالعه و انتهای هفته-های چهارم و هشتم مطالعه توسط مادر تکمیل ‌گردید. یافته ها: یافته های مطالعه نشان داد که مدت و دفعات شیرخوردن در هفته های چهارم و هشتم پس از مداخله در گروه آزمون به طور معناداری بیشتر از گروه کنترل بود (05/0>P). نتیجه گیری: به طور کلی نتایج حاصل از این پژوهش نشان داد که ماساژ بر دفعات و مدت شیر خوردن شیر خواران موثر بوده و آن را ارتقاء بخشیده است. از آنجا که ماساژ یکی از عوامل مهم در موفقیت شیردهی با شیر مادر می باشد؛ لذا تأکید بر اهمیت ماساژ در هر زمان ممکن، با هر طول مدتی پس از تولد توصیه می گردد

THE RELATIONSHIP OF MARITAL ADJUSTMENT AND SEXUAL FUNCTION WITH PSYCHOLOGICAL FACTORS AFFECTING TREATMENT IN INFERTILE WOMEN

Abstract. Infertility is one of the most importantissues of reproductive health that has prominent effects on psychological and social aspects of couple's life. Infertility causes women’s concern about their sexual attractiveness and also their physical and mental health, It is even possible that using assisted reproductive technologies have negative effects on women’s feelings of the sexual values and marital relationships. This study therefore aimed to investigate the relationship of marital adjustment and sexual function with psychological factors affecting treatment in infertile women in 2013 in Mashhad, Iran. This correlational study was performed on 130 infertile women referred to Montaserie Infertility Research Center, Mashhad who selected using convenient sampling. Research tools were consisted of demographic questionnaires including personal and infertility-related information, and valid and reliable ROSEN Female Sexual Function Index (FSFI),Spanier Marital Adjustment Scale(DAS) and Goldbergand Hillier General Health Questionnaire, which were completed by the subjects. Data analysis was carried out by SPSS software using t-test,one way ANOVA, Spearman and Pearson correlation tests. The mean score of awareness of infertility and the length of infertility treatment were 5.24±4.12 and 4±3.95 years, respectively. The cause of infertility in 46.9% was a female factor and in 38.7% a male factor. General health in 49.2% of the infertile women were good. 54.6% of the infertile women had poor sexual function and 76.9% had high maritaladjustment. There was a direct correlation between sexual function and marital adjustment with general health in infertile women (P<0.001).A significantrelationship was also seen between sexual function and spouse accompany during treatment (P<0.05). Also a direct correlation was found between marital adjustment and being hopeful to treatment success and also spouse accompany during treatment in infertile women (P<0.05). The findings showed that infertile women with improved sexual function and good marital adjustment will have better mental health and are more hopeful toinfertility treatment . These results can be incorporated in planning of training and counseling programs, specially for infertile women who suffer from psychological disorders

The effect of massage with oils on the growth of term infants: a randomized controlled trial

Background and Aims: Infant massage could potentially benefit both physiological and psychological health. This study aims to determine the effect of massage with oils on the growth of full-term infants, which is given by their mothers. Study Design: This is a double-blind randomized controlled trial which was conducted on full term infants visited in the nine Public Health Centers of Shahrekord, Iran in 2010. Material and Methods: This study included 217 infants. Inclusion criteria for the infants were age scale between 10 to 15 days, full term gestation, birth weight of 2500 grams at least, Apgar score of 7 or above, no resuscitation after the birth, exclusive breastfeeding during the study, medically stable condition without any need for drugs, nulliparous. The infants were randomized into four groups: massage with sunflower oil, massage with sesame oil, massage without oil, and no massage (control group). Massage was given by mothers twice a day for 4 weeks, starting from the 10 - 15th day of life. Weight and height were measured weekly. At last, Repeated Measures Analysis of Covariance was employed to analyze the data. Birth weight (height) as well as mean frequency of breastfeeding during the study was deemed as covariates. Results: The findings showed that the mean of weight and height was significantly different between groups over time, respectively (P = 0.005, P < 0.001). The infants’ mean weight in sunflower oil massage group increased significantly compared with other three groups (P = 0.005). In addition, infants’ height gain in sunflower and sesame oil massage group were significantly higher than message-only and control groups (p < 0.001). Conclusions: Massage with oil, especially sunflower oil is an inexpensive, simple, and effective intervention which improved weight and height gain in selected samples. Further studies are needed to evaluate the serious adverse effects, if any, to notify midwives and health care staff

The feasibility of introducing total quality management in Oman Telecommunication Company (OMANTEL).

Total Quality Management (TQM) and the issues relating to its implementation have been widely discussed and debated in the business and management literature during the last few years, particularly in the West. The implementation of TQM principles, concepts and methods in an organisation has been regarded as a real movement towards transforming its culture and improving its management processes and the quality of its services and products. Nevertheless, available data on TQM implementation within the context of the developing countries are limited or mainly focused on the manufacturing sector. Little research has been carried out on the subject within the service sector, particularly within the telecommunication sector. The issues relating to TQM implementation in this study are investigated within the context of a developing country; namely Oman; more particularly, within the context of the Omani telecommunication sector. Against this background, this study examines the feasibility of introducing TQM into Oman Telecommunications Company (OMANTEL). The study provides an analysis and assesses the extent to which there is a need for TQM implementation in OMANTEL, and the extent to which the company's internal environment is compatible with the tenets of TQM. The study is based on both secondary and primary data analysis. The secondary data are used to delineate the underpinning principles, methods, tools and techniques of TQM and to offer a background to the organisation under investigation. The secondary data were obtained through a survey of TQM literature and the archival data relating to OMANTEL. The primary data were obtained through an empirical study by questionnaire and conducting several interviews within OMANTEL. The primary data obtained are presented to manifest the extent to which it is feasible to introduce TQM in OMANTEL and to offer recommendations that would enhance this feasibility.The secondary data analysis reveals that there are several emerging trends in the Omani telecom sector that entail some changes in OMANTEL. The secondary data analysis reveals that TQM has much to offer to OMANTEL in order to meet those emerging trends. The primary data analysis reveals that there is a limited knowledge and understanding amongst OMANTEL's personnel of TQM and that there is a significant need for TQM implementation in OMANTEL. The primary data analysis reveals that there are some barriers that could be encountered in implementing TQM in OMANTEL; nevertheless, there are some driving forces that could facilitate this implementation. The primary data also reveals that the internal environment of OMANTEL is conductive to implementing the elements, concepts and principles of the proposed TQM framework