Relationship of Controlling Negative Thoughts and Parenting Stress with Marital Satisfaction in Parents of Children with Learning Disability: Mediated by Sexual Satisfaction

AbstractIntroduction: Lack of satisfying sexual relations weakens marital relationships. The present study aimed to investigate the relationship between controlling negative thoughts and parenting stress with the marital satisfaction of parents of children with learning disabilities as influenced by the mediating role of sexual satisfaction.Methods: The statistical population of this descriptive correlational study covered all parents of children with learning disabilities in Tehran in 2020, 212 of whom were selected as the statistical sample using convenience sampling based on the inclusion and exclusion criteria. The research instruments included the Marital Satisfaction Scale, the Thought Control Questionnaire, the Parenting Stress Questionnaire, and the Sexual Satisfaction Questionnaire. Descriptive statistics including mean and standard deviation as well as Pearson's correlation coefficient were used for data analysis. The proposed model was evaluated using structural equation modeling (SEM) via SPSS-25 and AMOS-25 software.Results: The results showed that the correlations between marital satisfaction and controlling negative thoughts (r = 0.33), parenting stress (r = -0.40), and sexual satisfaction (r = 0.049) were significant (P < 0.01). In addition, the correlations between sexual satisfaction and controlling negative thoughts (r = 0.60) and parenting stress (r = -0.39) were also significant (P < 0.01). The relationship between the indirect path of controlling negative thoughts with marital satisfaction via the mediating role of sexual satisfaction was significant (β = 0.32, P = 0.010). Moreover, sexual satisfaction had a mediating role in the relationships between parenting stress and marital satisfaction in the parents (β = -0.08, P = 0.044). The results indicated a good fit of the model (IFI = 0.98, CFI = 0.96, RMSEA = 0.071).Conclusions: The results suggest that the proposed model had a good fit and could be considered an important step toward identifying the factors influencing the marital satisfaction of parents having children with learning disabilities

Students’ Perception toward Elements of Globalization in Four Interdisciplinary Summer Schools in Shiraz University of Medical Sciences in Iran

Background & Objective: Globalization is one of the most important topics in higher education today, which presents a powerful challenge and an opportunity for medical sciences university and healthcare provider. Nowadays, increasingly faced with healthcare challenges that require an understanding of global health trends and practices, yet little is known about what constitutes appropriate global health training. The main purpose of this research was to review the association between perception of globalization and information mastery and curriculum planning. Methods: This was a descriptive-analytical study on medical students. The study population consisted of 180 medical sciences students who were selected with random sampling methods. In order to measure attitudes of students towards globalization, measures were developed and used by researchers. For the purpose of evaluating of the validity of the measures, construct validity was utilized by factor analysis. In order to determine the reliability of the measures Cronbach's alpha was used, as well. Results: Findings indicated that the total respondents agreed or had positive approach towards globalization. Based on the results of the factor analysis, four factors i.e. personal and social attitude with 15 questions, sociopolitical attitude, and 7 question, two questions for performance and the fourth factor was the resource management concept of globalization which were identified with only one question in the questionnaire. Analysis of variance (ANOVA) results showed that there was no statistically significant association the students' perspective and demographic variables gender, school and age. Conclusion: The positive perception of globalization highlighted the needs of global health educational competencies and approaches used in medical schools and the need to facilitate greater consensus amongst medical educators and students on appropriate global health training for future health care providers. This process led to world integration, density of human awareness and world culture formation Keywords Globalization Medical sciences students Factor analysi

The Innovativeness and Value of Quick Response Code Payment for MSMEs: The Influence of Security-Related Factor

The implementation of QR code technology aims to make it easier for MSMEs and consumers to create a cashless society. However, many MSMEs still need to implement digital payment methods over time. This research aims to evaluate the acceptance of QR codes for MSMEs, especially regarding the role of innovativeness, security, and ease of use. This research targets MSMEs in Indonesia that have used the QR Code as a tool for making transactions. Questionnaires were distributed via Google form online, totalling 489 respondents who filled out. After the data is obtained, it is analyzed using a partial least square using smart-pls 4.0. Behaviour intention (BIQ) is the most influential construct on user behaviour (UBQ). The other most significant factors are convenience (PEUQ) and security (PSQ) for users. Meanwhile, other variables such as Personal innovativeness (PI), PEUQ, PSQ, and perceived usefulness (PUQ) can increase the positive impact on Perceived value (PVQ). Several factors, such as PEUQ and PSQ, can positively influence PUQ. However, there is a construct with few results: Perceived usefulness on intention to use. This is because MSMEs are more oriented toward consumer needs to buy products and services. So these findings provide insight for the government and service providers to improve security, convenience, and necessary QR code features that support MSME business activitie

Socioeconomic inequalities in prevalence, awareness, treatment and control of hypertension: evidence from the PERSIAN cohort study

Background Elevated blood pressure is associated with cardiovascular disease, stroke and chronic kidney disease. In this study, we examined the socioeconomic inequality and its related factors in prevalence, Awareness, Treatment and Control (ATC) of hypertension (HTN) in Iran. Method The study used data from the recruitment phase of The Prospective Epidemiological Research Studies in IrAN (PERSIAN). A sample of 162,842 adults aged > = 35 years was analyzed. HTN was defined according to the Joint National Committee)JNC-7(. socioeconomic inequality was measured using concentration index (Cn) and curve. Results The mean age of participants was 49.38(SD = +/- 9.14) years and 44.74% of the them were men. The prevalence of HTN in the total population was 22.3%(95% CI: 20.6%; 24.1%), and 18.8%(95% CI: 16.8%; 20.9%) and 25.2%(95% CI: 24.2%; 27.7%) in men and women, respectively. The percentage of awareness treatment and control among individuals with HTN were 77.5%(95% CI: 73.3%; 81.8%), 82.2%(95% CI: 70.2%; 81.6%) and 75.9%(95% CI: 70.2%; 81.6%), respectively. The Cn for prevalence of HTN was -0.084. Two factors, age (58.46%) and wealth (32.40%), contributed most to the socioeconomic inequality in the prevalence of HTN. Conclusion The prevalence of HTN was higher among low-SES individuals, who also showed higher levels of awareness. However, treatment and control of HTN were more concentrated among those who had higher levels of SES, indicating that people at a higher risk of adverse event related to HTN (the low SES individuals) are not benefiting from the advantage of treatment and control of HTN. Such a gap between diagnosis (prevalence) and control (treatment and control) of HTN needs to be addressed by public health policymakers

Assessment of Medicine Students’ academic Achievement in Shahed University during 1993-2011

Introduction: Continuous evaluation of students' academic achievement in different periods is the basic and inevitable principle for improving the quality of the educational system. Since any change in the planning, management and action for improving quality needs to assess the current situation, this study aimed to assess the educational status of all graduate students at Shahed University. Methods: This cross-sectional study was designed and implemented at Shahed University during 2011-2012. Subjects were all medicine students entered 1993 and graduated in 2011. The checklist has been prepared according to goals. Demographic information and history of students’ academic achievement has been extracted from students’ educational records. All students who have entered this university from 1993 -2003 were assessed. Data analysis was done by descriptive and inferential statistics (T-Test, ANOVA, Pearson correlation). Results: During these 10 years, 46 percent students used the Shahed quota and 54% had free quota. The mean diploma score was 15.86±2.79. Minimum input average was in 1372 and maximum was in 1379. Analysis showed positive correlation between mean diploma score with mean scores of basic sciences, apprenticeship and clerkship. There was inverse correlation between the mean diploma score and the number of probation period. There were significant differences between male and female students’ mean score of diploma, basic Sciences, apprenticeship and clerkship. Girls’ scores were higher than boys’ scores. This difference was observed in frequency of academic probation. Male students had more probation. Conclusion: Institutions are required to review the status of their students and revise necessary items and monitor these revisions. It is essential to pay more attention to students who enter with weak background of secondary school, students who are rejected or have the probation during first years

Environmental Risk Assessment of Ilam Petrochemical Company Using Analytical Network Analysis and the Technique for Order of Preference by Similarity to Ideal Solution Methods in 2016

Introduction: The main objective of the petrochemical industry is the production of petrochemical and chemical products and sub-products from oil, oil derivatives, and natural gas. Accordingly, the activities and processes have the potential to cause adverse effects on the environment.This study aimed to evaluate the environmental risks of Ilam Petrochemical Company using analytical network analysis (ANP)andTechnique for Order of Preference by Similarity to Ideal Solution Methods (TOPSIS)by proposing appropriate management measures to reduce the risk effects of multiple incidents in processes.   Materials & Methods: At first, potential dangers and risks of the Ilam Petrochemical Complex wereidentified through field visits and interviews with project technical experts.Accordingly, a questionnairewasdesignedand20 experts from the Petrochemical Company and the Environmental Protection Agencywere asked to complete the designed questionnaire. The obtained results led to the identification of significant risksfactors, which were then categorized according to physio-chemical, biological, and socio-cultural-economic environment hazards. Subsequently, the weight associated with the each index was determinedusinganalytical network analysis (ANP) as well as the analysis of data in Super Decision software. In the next step, the obtained weights were prioritized for the identified risks by TOPSISmethod, and critical risks were identified. Finally, we propose the proper strategies for the controlandomissionof these risks.   Findings: According to the obtained results,thehigh risk factors include the risk of air pollution with the rate of 0.972 inthephysico-chemicalenvironment, the risk of lowwater quality with therate of 0.883in the biological environment, and the risk ofgeneral health with a rate of 0.679 inthe socio-cultural-economic environment.   Discussion & Conclusions: The results showed that the most important petrochemical riskswereair pollution, low water quality, and publichealth hazard. Therefore, it is recommendedto take the inspection and monitoring measures in accordance with the identified risksin order to eliminate the factors generatingenvironmental risks. It is also suggested to set these measures asthe main objectives of management planning

Relationship between Spiritual Health and Academic Achievement among Students of Bushehr University of Medical Sciences

Introduction: Spiritual health is one of the four dimensions of health and it is a way to deal with stress during education. Considering the effect of cultural and geographical factors on both the spiritual health and educational achievement study was done to investigate the relationship between spiritual health and academic achievement of students of Bushehr University of Medical Sciences in the academic year 2018. Methods: This study is a descriptive-analytical and cross Population was 2100 students of Bushehr University of Medical Sciences and the sample size was 330 and they were selected from the fields of medicine, dentistry, paramedical, nursing and health by simple random method. For collection of data, a form of information including demographic variables was used. A self-regulatory in learning and spiritual well-being scale (SWBS) questionnaire was employed. Kruskal-Wallis and Mann-Whitney tests were used to analyze the data. Results: The mean spirituality well-being score was 81.27 ± 17.43, of 120 which 82.4% of the subjects had a moderate score (41-99). Spiritual health and age (P=./0001), academic years (P=./005) gender (P=./0001), place of residence (P=./008) and father's education(P=./012) were among the significant relationships. The mean self-regulation score for learning was 94.91 ± 13.61. There was also a positive and significant correlation between spiritual health and self-regulation in learning (r=./22 , p=./001) Conclusion: Considering the role of spiritual health in positivism, creating relaxation and helping to improve individual performance, it seems that spiritual health needs to be introduced in educational and cultural planning, especially in the field of practice

Outcomes of near confluent laser versus combined less dense laser and bevacizumab treatment of prethreshold ROP Type 1 Zone 2: a randomized controlled trial

Abstract Background To evaluate the results of near confluent laser therapy versus combined less dense laser and intra vitreal bevacizumab in treatment of infants with type 1 retinopathy of prematurity (ROP) in zone II. Methods This is a prospective double-blinded randomized clinical trial study. Infants with Type 1 ROP in Zone 2 were randomized into case and control groups. Conventional laser therapy was executed for control group and combination of IVB and laser treatment was employed for the case group. Results Eighty-six eyes from 43 infants were analyzed in this trial. The first group included 42 eyes from 21 infants receiving a combination of laser ablation and IVB. The second group contained 44 eyes from 22 infants who received only conventional laser therapy. The combined IVB and laser ablation group demonstrated the neovascularization regression (20 out of 21 infants) one week after the procedure. In the conventional laser therapy group, this regression was found in (12 out of 22 infants) within one week after laser therapy (P = 0.001). Plus disease regression was observed in 20 (20/21) of combined treatment group and 7 infants (7/22) of conventional laser treatment group after one week. Conclusion Combined less dense laser and bevacizumab treatment resulted in more rapid regression in comparison with the conventional laser treatment. Trial registration IRCT20201120049450N1, 27/12/2021

Correlation between health literacy and health-related quality of life in patients with hypertension, in Tehran, Iran, 2015–2016

Background and Objective: Hypertension is considered an important public health problem in developed and developing countries. This disease is closely associated with the quality of life of patients, and it seems that health literacy plays a role in this regard. Due to lack of information on the role of health literacy on the quality of life in patients with hypertension, this study has aimed to determine the correlation between health literacy and health-related quality of life in patients with hypertension. Methods: This study is cross-sectional. The sample consisted of 400 patients with hypertension who were enrolled if available. To collect data, a demographic questionnaire (SF-36), Short Form Health Survey, and Health Literacy for Iranian Adults (HELIA) Inventory were used. Data were analyzed using SPSS software version 21 for descriptive and inferential statistics (e.g., mean, standard deviation, t-test, and Pearson correlation coefficient). Results: The mean and standard deviation scores of health literacy and health-related quality of life were, respectively, 68.66 (±13.56) and 52.94 (±15.20). There was positive and significant correlation between health literacy and health-related quality of life (p<0.01, r=0.30). Conclusion: According to research findings, there was a significant positive correlation between health literacy and health-related quality of life. Given the importance of health literacy in the quality of life in patients with hypertension, it seems essential that nursing officials and policymakers take steps to promote patients’ health and quality of life by using training programs appropriate for the patients’ health literacy level

The Investigation of Garlic (Allium Sativum) Extract on Lead Detoxification of Neonatal Rats Kidney

&nbsp;Background & Objectives:&nbsp;Lead&nbsp;as a naturally-occurring element has different effects on hematopoitic system, nervous system, kidney, reproductive system and bone. In this investigation, was determined the effect of garlic alcoholic-water extract in kidney poisoning treatment induced by lead in neonatal rat.Materials & Methods: Rats were divided into 7 groups of 8. The First group was the control group, which had received no materials. The second group had received 0/1 ml distilled water, the third group had received the lead with a dose of 0/6 gram per liter. The forth group had just received 0/4 g/kg garlic alcoholic – water extract. The fifth, sixth, and seventh group had first received 0/6 g lead perliter and then received doses of 0/1, 0/2, 0/4 g/kg garlic. Then, injections was performed orally in 10 consecutive days. The data were analysed then using T. Results: Based on the obtained results, there is a significant increase in the body weight and the kidney of the third, fifth, sixth and seventh groups compared with the control group. However, the body weight and kidney of rats in the fourth group showed a meaningful decrease comparing with the lead group. Regarding the third group, there was a meaningful increase in Urea, uric acid, creatinine and potassium compared with the control group but a significant decrease in the sodium. Conclusion: Protective effects of garlic on kidney are related to antioxidant properties, since different types of oxidation reactions have negative effects on glomerular filtration rate. Garlic is eliminating the poisoning effect of lead on the kidney because of having properties such as antioxidant and protective effect