Evaluation of the Effects of Diabetes Self-Management Education based on 5A Model on the Quality of Life and Blood Glucose of Women with Gestational Diabetes Mellitus

Abstract Introduction: Gestational diabetes mellitus (GDM) is an important condition during pregnancy. The aim of the current study was to evaluate the effects of self-management education based on 5A model on the quality of life and blood glucose level of women with GDM. Methods: This quasi-experimental study was conducted on 54 pregnant women who referred to the urban health care centers affiliated to the Gonabad University of Medical Sciences from March 2019 to March 2020 based on purposive sampling method. Participants were randomly allocated into intervention and control groups based on stratified random sampling using permuted block randomization method. The intervention group received self-management education program based on 5A model in five sessions during two months. Demographic data, blood glucose level, and diabetes quality of life (DQOL) questionnaire were recorded for each participant. Data analysis was performed using the SPSS software version 16 and the level of statistical significance was set at 0.05. Results: Mean age of the participants was 33.11 ± 5.35 years old. At the end of the intervention, the mean blood glucose level of the participants in the intervention group was significantly lower compared to the control group (p<0.001). The quality of life in the intervention group was significantly improved at the end of the intervention compared to the control group (p<0.001). Conclusions: Self-management education based on 5A model can effectively improve quality of life and blood glucose levels in women with GDM

Assessment of risk factors for suicidal behavior: results from the Tehran University of Medical Sciences Employees' Cohort study

IntroductionSuicide is a major issue of concern for public health. It is estimated that suicide accounts for 700,000 deaths every year. A personal history of one or more suicide attempts is the most important determinant of suicide among the general population. This study aimed to assess the major risk factors associated with suicidal behaviors among Iranian employees in a medical setting.MethodsIn this study, 3,913 employees of Tehran University of Medical Sciences who participated in the employees' cohort study conducted by the university were recruited. Suicidal behaviors (SBs) and their associated risk factors were evaluated using the World Mental Health Composite International Diagnostic Interview (CIDI) Version 3.0. Univariate and multivariate logistic regressions were performed to identify the determinants of SBs among the participants, and crude and adjusted odds ratios (ORs) with corresponding 95% confidence intervals (95% CIs) were calculated.ResultsOverall, 49.6% of respondents (n = 1,939) reported that they were tired of life and thinking about death. The lifetime prevalence rate of suicidal ideation (SI) was 8.1% (n = 317), that of suicide planning (SP) was 7.3% (n = 287), and that of suicide attempts (SA) was 3.1% (n = 122). Being female (OR: 1.87, CI: 1.64–2.12), being divorced (OR: 3.13, CI: 1.88–5.22), having a low level of education (OR: 1.57, CI: 1.15–2.14), and working in clinical and medical services (OR: 1.25, CI: 1.09–1.43) were associated with being tired of life and thinking about death. These factors were also associated with SI, SP, and SA.DiscussionThese findings highlight the need to prioritize mental health for suicide prevention, especially for high-risk groups, in workplace mental health promotion programs and policies

Social capital and related factors in Western Iran students

Abstract  Background & Aim: Social capital involves a set of norms available in social systems which improves the interaction between people and reduces the costs of interactions and communications. The purpose of this research was to Study of the social capital of the students of Kurdistan University of Medical Sciences and its related factors, 2017. Material and Methods: The method of this study was descriptive survey method. The statistical community of this study included all students of Kurdistan University of Medical Sciences  among whom 378 students were selected randomly as samples of the study. Delaviz questionnaire of social capital was employed for data collection and data analysis was performed using Spss software,  descriptive statistics(mean, standard deviation) and Inferential statistics (U-Mann Whitney, Kruskal-Wallis). Results: The means of social capital was 70.56±10/88. Minimum and maximum mean was measured for “participation in local community” and “group participation”. In this study, There were significant associations between social capital with gender, field of study and and marital status.(p<0/01). Conclusion: Social capital as the most important factor for people dealing with stressful situations known, and can facilitate problem tolerate for them. Social capital as an important factor, can help the health and life satisfaction of students

The study of Self-care agency and some associated factors in patients with type 2 diabetes referred to the diabetes clinic of Tohid Hospital in Sanandaj in 2016

Background and Aims: Diabetes is considered as a major public health problem all over the world. Self-care behaviors is the most important strategy for controlling chronic diseases, such as diabetes. Therefore, this study was conducted to determine the self-care agency and some associated factors in patients with type 2 diabetes. Materials and Methods: This cross-sectional study was performed on a descriptive-analytic approach on 374 patients referring to the Diabetes Clinic of Tohid Hospital in Sanandaj, selected using systematic sampling. Data were collected using a questionnaire including demographic and background information questionnaire and a valid and reliable questionnaire for assessing the self-care agency of diabetic patients. Data were analyzed by using SPSS software version 16 and appropriate tests. All stages of the study were conducted according to moral standards. Results: The mean and standard deviation of self-care agency score was 58.40 ± 12.49 from 105, that is considered moderate. There was a significant difference in self-care agency of patients according to variables such as gender, ability to measure blood glucose, occupational status, history of education about diabetes, regular dental examinations and annual infusion of influenza vaccine (P<0.05). There was a significant and inverse correlation between the number of years elapsed since diabetes diagnosis and self-care agency (P<0.05 and r=0.24). Conclusion: Regarding the average self-care level in the majority of patients and the important role of self-care in controlling diabetes, the need to implement self-care education is increasingly felt in diabetic patients. Keywords: Self-care, Type 2 diabetes, Sananda

Sexual Risk Behaviors and Condom Use Barriers in Iranian Men with Substance Use Disorders

Background: We aimed to investigate risky sexual behaviors (RSBs) and condom use barriers in Iranian men with substance use disorders (SUDs).Methods: Of the total 1800 outpatient drug free (ODF) and methadone maintenance treatment program (MMTP) active centers in Tehran, Iran, six were selected to participate in the current study. Data were collected (n = 300 men) using three questionnaires including a demographic questionnaire, the Risky Sexual Behavior Questionnaire (RSBQ), and the Condom Barriers Scale (CBS). The statistical software R, analysis of variance post hoc and multivariate analysis of variance (MANOVA) logistic regression tests were used in data analysis.Findings: The majority, (n = 194, 64.7%) reported at least one lifetime episode of RSBs. Compared to married participants (23.1%), 88.5% of single and 87.0% of divorced men had a history of RSB. Generally, the lowest and highest subscale scores of the CBS were related to sexual experience (2.60 ± 0.71) and access/availability structure (3.77 ± 0.54), respectively. The results of MANOVA analysis showed that there was a statistically significant difference between the CSB subscales based on the participants' education and marital status (P < 0.001). Only the partner barrier subscale had a significant negative relationship (P = 0.003) with RSB.Conclusion: Sexual dynamic of Iranian men with SUDs is different. Barriers to condom use seem to be socio-culturally determined. Culturally acceptable strategies need to be utilized in Iranian clinical settings reaching beyond simply condom accessibility for this at risk population

Ucinek dolocitve ucnega nacrta in usmerjanja pouka,ki ga izvaja ravnatelj, na delo uciteljev: pomen solske kulture, opolnomocenja in znacilnosti poklica

In the article, the relations between the principal’s instructional leadership, school culture, psychological empowerment, job characteristics, and teachers’ work engagement was examined on a sample of 310 elementary school teachers. The results showed no direct effects of the principal’s instructional leadership on work engagement; however, they proved the belief that the principal could have an indirect effect on teachers’ work engagement through indirect variables: school culture, teacher empowerment, and job characteristics. The research method is structural equation modelling, for the purpose of which five research tools (the Principal Instructional Management Rating Scale, the School Culture Survey, the Job Diagnostic Survey, the Psychological Empowerment Questionnaire, and the Job Engagement Questionnaire) were used for data collection. The participants were selected through a stratified sampling method. The reliability was assessed by Cronbach’s alpha. The results showed that the model fitted the data and that the relationship between instructional leadership and job engagement was established entirely through school culture, empowerment, and the job characteristics of teachers. The principals are recommended to apply the instructional leadership approach. By assisting teachers in collaboration, instilling collective leadership, and communicating a shared vision, the principals can contribute to developing a positive and participatory school culture. (DIPF/Orig.

Comparison of the Metal Concentrations in the Muscles of Slaughtered Cows, Calves, and Sheep in Sanandaj City, Iran

Background: Heavy metals contaminated environment constitutes a serious problem for human and other organisms. Moreover, metals such as Cd, Pb, and Cr are toxic metals. Therefore, the purpose of this study was to evaluation of Cd, Pb, and Cr in the muscle of cow, calf, and sheep slaughtered in Sanandaj city from Iran. Methods: This was a descriptive cross-sectional study in Sanandaj city in November 2014. A total number of 40 individual animals belonging to cow, calf, and sheep were analyzed for Cd, Pb, and Cr concentrations in the muscle samples. Heavy metals were assayed by using a graphite furnace atomic absorption spectrophotometer. Results: The results of present study indicated that the mean concentrations of Pb in the muscle of cow, calf, and sheep were 15.1, 13.1, and 9.9 mg/kg. However, the Cd concentrations in the muscle of cow, calf, and sheep were 12.7, 1.8, and 2.8 mg/kg. The results of this study showed that the highest Cd and Pb concentrations were detected in the muscle samples of cow. Conclusion: The metal concentration in the muscle samples was generally lower than the maximum acceptable concentration in European Commission

Analysis the concept of “Eminent Domain” Case Study Public Use Clause with special reference to “Kelo” case

Eminent Domain is the legal term describing the government's right to take private property, without the owner’s consent, to provide some benefit to the public use, but the power of eminent domain and the classic freedom stemming from property rights are fundamentally opposed. So the power may be invoked only for a public purpose, but what constitutes public purpose is wide open to interpretation and use. This article interprets the “public use” clause & presents narrow & broad definition of public use within eminent domain law through a case study the U.S. Supreme Court’s decision in Kelo v. City of New London and decisions in several other important cases are problematic. The article concludes that the theory of public use based on secret purchases and private influence provides a socially desirable, administrable, and constitutional mechanism for distinguishing between public and private uses and reforming the law of eminent domain

Comparison the Effects of Different Root Canal Irrigants on the Retention of Quarts Fiber Posts Cemented by Resin Cement

Introduction: Root canal irrigants could change the structure of root dentin and affect the posts retention the purpose of this study was to compare the effects of three different endodontic irrigants on the retention of quarts fiber posts cemented by different resin cements. Materials & Methods: In this in-vitro study, 10 mm long post spaces were prepared in root canals of 120 premolars after endodontic therapy and cutting the crowns at the cementoenamel junction. The teeth were randomly divided into four equal groups based on the irrigants as follows: distilled water, 2% chlorhexidine, 0.25% iodine and 1% NaOCl. Quarts fiber posts were cemented by Panavia F2. Samples were stored at 370c and humidity of 100% for one week. After thermocycling, the retention of fiber posts were measured by tensile test and modes of failure were reported. Data were analyzed by One-Way ANOVA, Tukey and Fisher's exact tests.Results: The mean and standard deviation of the posts retention were 367.08±63.07, 377.59±72.02, 363.11±68.53 and 342.89±74.94 for distilled water, chlorhexidine 2%, iodine 0.25% and sodium hypochlorite, respectively. One-way ANOVA showed that there was a significant difference among the groups (P<0.001). The results of Tukey test showed that posts retention was significantly higher after rinsing by chlorhexidine (P<0.01)Conclusion: According to the results of this study, chlorhexidine rinse had a favorable effect on retention of posts cemented by resin cement

The male-focused marital relationship enrichment and sexual well-being interventions: A scoping review

Background: There is an increasing need for sexual well-being and health promotion strategies that effectively engage men. Researchers have evaluated the efficacy of sexual and reproductive health-related and marital enhancement interventions in maledominated societies. However, few have focused on culturally appropriate and genderspecific program effects. Objective: This review aims to evaluate evidence of existing interventions aimed at enriching marital relationships and sexual well-being in adult men. Materials and Methods: This scoping review was conducted by searching various databases (CINAHL, PsycINFO, EMBASE, Google Scholar, PubMed, Scopus, SID, and Noormags), and other available resources in both English and Persian languages. We located all publications up to January 2023 with no time restriction. Inclusion criteria were studies targeting men in the enrichment of marital and sexual relationships, which focus on marital/sexual enrichment, Sexual and reproductive health (SRH) program, passionate relationship, or sexual satisfaction as the main outcomes. PRISMA guidelines were utilized in this review. Results: Of records 34,405 retrieved by searching, after removing duplicate articles, 8 articles were included based on the inclusion criteria. SRH program was the main focus of 6 articles. Marital and sexual enhancement were common areas of focus in 2 studies. Research methods included 2 semi-experimental, 3 clinical trials, 1 systematic review, 1 content analysis, and a mixed method. According to the assessment result, 4 articles were moderate and 4 were of high quality. Conclusion: Our findings reveal that a small number of interventions specifically offering SRH or marital and sexual enhancement programs to men should be conducted. As the majority were heterosexual couples, we recommend male-focused programs recognizing men’s sexuality. Key words: Sexual health, Men, Marriage, Health promotion