The effect of an education program based on the family-centered empowerment model on addiction severity among methamphetamine users

Introduction: In the process of treatment and prevention of relapsing to drug use, it is important to pay attention to mental health and supportive training interventions based on empowerment models. The present study was conducted to investigate the impact of training intervention based on the family - centered empowerment model upon the severity of damages caused by addiction among methamphetamine (MA) users. Material and methods: This study was a randomized trial. Subjects were divided into the intervention (95 individuals) and control (95 individuals) groups, randomly. The data collection tools included a demographics checklist and the Addiction Severity Index (ASI) standard questionnaire which were completed before, and three and six months after the educational intervention. The educational intervention was conducted in nine 90-minute sessions using the 5As method, group discussion and distribution of educational pamphlets. Statistical tests like the independent and paired t-test were used to analyze data. Results: The research findings indicated that the average scores of ASI subscales including family status, mental status and use of drugs were significantly different between before and three months after the training intervention in the intervention group (P < 0.05). The results also showed that the average scores of ASI subscales including medical status, employment, income, family, mental status, legal status and use of drugs were significantly different before and six months after the training intervention in the intervention group (P < 0.05). Conclusions: It was feasible to implement the family-centered empowerment model among MA users and it improved the severity of damages caused by drug abus

Imperforate Hymen and Hydrocolpos: A Case Report

Introduction: Although the exact incidence rate of vaginal atresia is not clear, studies show that this disorder is often accompanied with imperforate hymen associated with hydrocolpos. We &nbsp;reported a 30-day-old infant with vaginal atresia and hydrocolpos secondary to imperforate hymen who went under a two-stage vaginoplasty for treatment. Case description: The patient was a 30-day-old female infant who was referred to the Taleghani Hospital in Gorgan with symptoms of abdominal distension and urinary retention, in 2016. The patient went under emergency laparotomy.&nbsp; A large hydrocolpos was observed in the initial exploration. Fluid within the hydrocolpos was drained. A week later, the second surgery was done for vaginal repair and hymen reconstruction. Conclusion: We performed a two-stage vaginoplasty that consisted hydrocolpos drainage in the first stage and hymen repair by cruciate incision in the second stage. Early use of imaging techniques and surgical treatment can prevent the secondary complications of the disorder such as hydronephrosis and sepsis