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

Impact of early admission in labor on maternal and neonatal outcomes in Hajar health-care center of Shahr-e-Kord, Iran.

Background and Aim: Time of hospitalization of women for delivery can have an important impact on the outcome of labor and attention to it could prevent many complications affecting mother and fetus. The aim of this study was to detect the impact of early admission of women in labor and maternal and neonatal outcomes. Materials and Methods: In this descriptive and analytical study , 463 women with low risk Pregnancy ; single fetus and vertex presentation, that had been admitted in their latent phase (group 1) and 287 women who had similar characteristics and had been admitted in their active phase (group 2) were assessed in Hajar hospital from February to November 2004. Information recording forms and check lists were used for data collection. SPSS software, t-test, chi -square and logistic regression tests were used to analize the obtained data. P<0.05 was considered as the significant level. Results: 463 (61.7%) of women admitted were in their latent phase and 287 (38.3%) cases were in their active phase of labor. Mean age of mother, gestational age based on left mentoposterior (LMP) and sonography, mean birth weight and Apgar score of neonates were not significant in the two groups. Although the number of women who were augmentated with oxytocin due to dystocia were similar in the two groups (79.9% ,76.5%), the incidence of cesarean section in women who received oxytocin was more in group 1 than in group 2 (57.2% versus 25.8% , P<0.001). Total rate of cesarean section was more in group 1 than in group 2 (363 versus 118, P<0.001).The main Cause of cesarean section in group 1 was dystocia and in group 2 it was fetal distress. There was no difference in the rates of forceps delivery, vacuum extraction, neonatal intubation and postpartum hemorrhage in two groups. Conclusion: It is suggested that pregnant women should be sufficiently instructed about prenatal care regarding the signs of the beginning of active labor and they had better refer to the hospital when in the active phase of labor in order to prevent complications which could be resulted from early admission

The effect of teaching using, problem base learning and lecture on behavior, attitude and learning of nursing (BSc) students

Background and aim: Problem base learning results in the clarification of the words and concepts, the definition of the concepts, problem analysis, providing a systematic method to describe the situation during analysis process, the determination of learning objectives, getting more knowledge according to learning requirements and merging of the new knowledge with solutions. Regarding the progress of nursing science across the world and the importance of promotion in nursing education using new educational methods, the aim of this research was to determine the effect of teaching using both problem base learning and lecture on behavior, attitude and learning of nursing (BSc) students at Shahre-Kord university of medical science. Methods: This research was a semi-experimental study involved 40 of nursing (at 4th semester) students at Shahre-Kord university of medical sciences who were learning the internal course (surgery 2). They were selected using conventional sampling method and divided into two equal groups of case and control, using random sampling method. The problem base learning and lecture methods were used to teach individuals of case and control groups, respectively. At the end of the course, using a questionnaire, behavior, attitude, and learning of the students were assessed. Using T and Manvitni tests, the data was analyzed. Results: The students were 95% female and single. The mean of age in both groups was 22/04±1 years. There was no significant difference between the two groups in terms of the three former semester average scores, using t-test. The mean of learning in the case and control was 68.24±6.8 and 44.98±9.8, respectively. The mean of attitude in the case and control was 123.3±21 and 96.8±8 and the mean of behavior in the two groups was 69.5±2.5 and 63±3.1, respectively (p<0.001). There was significant statistical difference (p<0.05) in the two categories of evaluation and application between the two groups studied (p<0.05). There was also slight difference in the level of understanding between these two groups. Conclusion: Based on the results, teaching by problem base learning is more useful than lecture in modification and improvement of learning and attitude of the students studied. The results of this research is offered and recommended to the educational officials to substitute this method for the traditional ones

Study of the effect of plant growth regulators, size, and cultivar of the grape inflorescence explant on production of phenolic compounds in an <em>in vitro </em>condition

Introduction: Phenolic compounds are a large number of secondary metabolites that have useful and desirable effects in the field of agriculture, medicine, and food. This research was aimed to achieve methods of in vitro propagation of grapevine in order to apply biotechnologies for correction, growth, and optimization of products and compounds of the cultivated plant in relation to phenol ratio. Methods: In this interventional study, the effects of cultivar and size of the inflorescence explant and the gibberellin hormone in two levels, benzylaminopurine, and auxin hormones in three levels with three replicates per treatment were evaluated in relation to phenol ratio, in order to evaluate the effect of plant growth regulators, the type and size of the grape inflorescence explant on the phenol production. Results: The type of plant growth regulators affected phenolic substances production. The production of phenolic substances decreased in a medium with the highest concentration of growth regulators, 4 and 2.5 &mu;M concentration of benzylaminopurine, and 4.9 &mu;M of auxin. Production of phenolic substances increased in the free-plant hormone medium. In smaller samples tendency to turn brown was more regarding high amount of the sugar. Conclusion: The plant sample and the cultivar as important factors in producing phenol environment are induced by environmental stimuli like sugar, light, temperature, stress, ozone, and wound and can be actually applied to increase phenol production.</p

Serum biochemical status and morphological changes in mice ovary associated with copper oxide nanoparticles after thiamine therapy

Introduction: Nanoparticles (NPs) can induce inflammatory responses and oxidative stress and are also cytotoxic to the genital organs of animals after exposure. The aim of this study was to assess the effects of copper oxide (CuO) and CuO NPs alone and in combination with thiamine on the ovaries of mice and on antioxidant enzymes.Methods: Sixty adult mice were randomly divided into five groups. Group A served as the control. Group B received CuO NPs and group C received CuO at 0.2 mL/kg intraperitoneally (IP). Mice in groups D and E respectively received CuO and CuO NPs along with thiamine (30 mg/L) therapy. The responses of the ovaries to the treatments were appraised by histopathology studies. The values for catalase (CAT), superoxide dismutase (SOD), and lipid peroxidation were determined after 20 days of treatment.Results: The degree of degeneration and apoptosis of the different zones within the ovaries were recorded in groups B and C. The decrease in CAT value and increase in SOD activity were significant for groups B and C at 20 days compared to the control group. The thiobarbituric acid reactive substances (TBARS) level in groups B, C and E were significantly higher at 20th day when compared with control group. The groups treated with thiamine showed histopathological and enzymatic results that were similar to those of the control group.Conclusion: These findings suggest the combination of CuO NPs and CuO with thiamine improves serum enzyme activity and has positive effects on the ovary

The effect of occupational therapy on positive and negative symptoms in schizophrenic patients

Background and aim: Poor social, self-care, and vocational functioning are criteria for a diagnosis of schizophrenia in most diagnostic systems. Consequently, improving the social behaviors of persons with schizophrenia has been a key target of psychiatric rehabilitation. The occupational therapy is a non organic therapeutic that causes elevated self stem, foppishness and strengthening of occupational behaviour. The aim of this survey is the effect of occupational therapy on the positive and negative symptom’s of schizophrenic patients with bear out their symptoms. Methods: This survey is an experimental study that, positive and negative symptom’s of schizophrenic patients assessed with scale for the assessment of positive and negative symptoms. Then the samples consisted of schizophrenic patients divided randomly into case (30) and control (30) groups. Occupational therapy was performed in case group within a period 20 hours in week for 6 months, then patiants assessed repeatly with SAPS.SANS. Quantative analysis of data was undertaken by using paired and dependent t students tesats and Willcoxon test . Results: Results demonestrated the mean of the total score of negative symptom 72.5±19.5 and posetive symptom 112±32.57. Also occupational therapy effected on the posetive and negative symptom’s of schizophrenic patiants. In posetive symptom occupational therapy effected on the hallusination and bizzare behaviour (P<0.001), for all noeffected on dellusions and thought. In negative symptom occupational therapy effected on the apathy and involition, attention disorders, anhedonia and thought disorders (P<0.001), for all noeffected on inappropiate affect. Conclusion: The occupational therapy is a non organic therapuitic that causes elevated self steem, foppishness and strengthening of occupational behaviou

Biomass variation in red algae along the tidal areas of Bushehr province

This study was carried out during October 2008 to July 2009 in Bushehr coastal areas at 6 stations to examine biomass variations in red algae. Algal samples were collected by hand from intertidal zone, during low tide. Quadrates 50 ×50cm each were marked randomly in the study area, and all algal samples were collected within the quadrate area. Total biomass was found to be 2598.91g. m belonging to 15 Rhodophyta species. The maximum biomass was 1114.32g. m (43%) observed at the Nirougah station. Summer showed maximum biomass 1076.36g. m (41%) compared to other seasons. Results of this study showed Rhodophyta species are dispersed more in mid littoral and sub-tidal areas. Also, the maximum biomass was observed in the sub-tidal zone. The highest biomass of the species belonged to Gracilaria canaliculata

Relationship between cancer characteristics and quality of life in the cancer patients under chemotherapy referred to selected clinic of Tehran university of medical sciences

زمینه و هدف: بیماران مبتلاء به سرطان دچار مشکلات جسمی، روحی و اجتماعی زیادی می شوند که این مشکلات باعث اختلال در روند طبیعی زندگی و کیفیت آن می گردد. لذا با توجه به اینکه در جامعه ما به مفهوم کیفیت زندگی و عوامل مرتبط با آن از جمله درد، خستگی وغیره در بیماران سرطانی کمتر پرداخته شده است شناخت این عوامل به پرستاران کمک می کند تا فعالیت های خود را در جهت ارتقاء سطح سلامت و بهبود کیفیت زندگی بیماران سازماندهی نمایند. پژوهش حاضر یک مطالعه توصیفی از نوع ارتباطی است که به منظور بررسی ارتباط بین ویژگی های سرطان و کیفیت زندگی در بیماران سرطانی تحت شیمی درمانی مراجعه کننده به درمانگاه منتخب انکولوژی دانشگاه علوم پزشکی تهران صورت گرفته است. روش مطالعه: در این تحقیق 200 نفر از بیماران مبتلا به انواع سرطان (تومورهای توپر)که به منظور شیمی درمانی به درمانگاه منتخب انکولوژی دانشگاه علوم پزشکی تهران مراجعه نموده بودند بصورت نمونه گیری در دسترس انتخاب شدند. گردآوری داده ها از طریق مصاحبه، گزارش خود بیمار و مراجعه به پرونده بیمار انجام شد. ابزار گردآوری اطلاعات بر اساس پرسشنامه Qol-BC ( (Quality of Breast Cancerبود که توسط پژوهشگر تعدیل شده است. جهت دستیابی به اهداف از آمار توصیفی و استنباطی استفاده شده و جهت تعیین ارتباط آماری از آزمون کای دو استفاده شده است. نتایج: یافته ها نشان داد اکثریت واحدهای مورد پژوهش 35 مبتلاء به سرطان گوارش، 5/35 بیماران در مرحله 3 بیماری، در 5/61 طول مدت بیماری از زمان تشخیص کمتر از یکسال، 41 دارای شدت درد خفیف بودند، 91 بیماری خود را قبول داشتند، 5/84 کاهش یا از دست دادن عملکرد اعضاء بدن از زمان بیماری داشتند و 5/69 شدت خستگی متوسط داشته اند. نتیجه گیری: نتایج پژوهش بیانگرآن بود که کیفیت زندگی اکثریت واحدهای مورد پژوهش (66) متوسط بوده است در رابطه با ارتباط ویژگی های سرطان با کیفیت زندگی نتایج نشان داد که بین نوع سرطان (05/0

Skin tissue engineering: wound healing based on stem-cell-based therapeutic strategies

Normal wound healing is a dynamic and complex multiple phase process involving coordinated interactions between growth factors, cytokines, chemokines, and various cells. Any failure in these phases may lead wounds to become chronic and have abnormal scar formation. Chronic wounds affect patients' quality of life, since they require repetitive treatments and incur considerable medical costs. Thus, much effort has been focused on developing novel therapeutic approaches for wound treatment. Stem-cell-based therapeutic strategies have been proposed to treat these wounds. They have shown considerable potential for improving the rate and quality of wound healing and regenerating the skin. However, there are many challenges for using stem cells in skin regeneration. In this review, we present some sets of the data published on using embryonic stem cells, induced pluripotent stem cells, and adult stem cells in healing wounds. Additionally, we will discuss the different angles whereby these cells can contribute to their unique features and show the current drawbacks