Effectiveness of Group Psychosexual Training for Marital Adjustment and Sexual Self-Efficacy of Infertile Women: A Randomized Controlled Trial

Objective: Infertility can be associated with unfavorable psychological consequences such as a sense of marital incompatibility and sexual inadequacy. To address these issues, this study aimed to assess the effectiveness of group psycho-sexual training in improving marital adjustment and sexual self-efficacy of infertile women. Method: A randomized controlled clinical trial (RCT) study was conducted in Babol, Iran, with 72 infertile women, randomly assigned to either the intervention group (n = 36) or the control group (n = 36). The intervention group underwent psychosexual training, while the control group received routine care. The Dyadic Adjustment Scale (DAS) and Sexual Self-Efficacy Scale (SSES) were used to assess their marital adjustment and sexual self-efficacy. Data analysis was performed using various tests, including the independent t-test, Chi-squared test, paired t-test, ANCOVA, and MANCOVA. Results: Most infertile women had moderate sexual self-efficacy (80%). The intervention group had a significantly better response to group psycho-sexual training compared to the control group. This intervention improved sexual self-efficacy and marital adjustment and its subscales including marital consensus, satisfaction, cohesion (P < 0.0001), and affectional expression (P < 0.001). The mean pre-to-post treatment scores of sexual self- efficacy, marital adjustment, and its subscales increased significantly in the intervention group, while no significant difference was observed in the control group (P < 0.0001). Conclusion: Based on the findings, it is recommended to provide educational services alongside the infertility treatment process for enhancing the quality of marital adjustment and promoting sexual self-efficacy

Comparison of Health Promoting Lifestyle in Guilan Medical and Non-Medical Sciences Students

Background: Since health-promoting lifestyle is an important determinant of health status, this study aimed to compare the health-promoting lifestyle in medical and non-medical students of Guilan, Iran. Methods: This is a cross-sectional study with a descriptive-analytical approach that was performed on 1319 students of medical sciences and non-medical sciences in Guilan, 2014. The data collection tool was 52-item HPLP Π in six dimensions (health responsibility, physical activity, nutritional habits, stress management, spiritual growth, and interpersonal relationships). Data was analyzed using one-way ANOVA, T-test, and Kruskal–Wallis test. Results: The mean health-promoting lifestyle among students of Guilan University and Guilan University of Medical Sciences was (129.5± 7.17) and (128.1± 19), respectively. There was a significant difference between the two studied population in terms of health responsibility (p= 0.0001). Students of medical sciences had 3.2 times more favorable health promoting lifestyle (OR = 3.123, 95% CI = 1.57-6.3), married students 6.1 times (OR= 1.55, 95% CI = 1.05-2.32), students with mothers with under diploma degree 2.6 times (OR= 2.6 95% CI = 1.49-4.62), students with fathers with diploma 1.7 times (OR = 1.7, 95% CI = 1.2-2.56), and physical education and sports science students 5.8 times (OR = 8.5, 95% CI = 3.42- 20.95) had a more optimal health promoting lifestyle. Conclusion: In the present study, students' health-promoting lifestyles are in an unfavorable condition. Since the students in the future will be responsible for managing different sectors of the country and will play a role in changing the other health-promoting behavior of other strata of the society, it is important to consider their health-promoting lifestyles by providing facilities and eliminating the shortcomings. Keywords: lifestyle, health-promoting, student

Factors affecting students’ attitudes towards reproductive health in the north of Iran: Designing an educational program

Abstract Background It is essential to empower young people to promote reproductive health (RH) and develop effective educational programs to prevent risky behaviors. This study aimed to investigate the factors affecting students’ attitudes towards RH based on the ecological model and then design an educational program. Methods This cross-sectional study was conducted on 461 female students aged 18–29 in the north of Iran. This study was done in two stages. In the first stage, factors affecting the attitude towards RH including demographic questionnaire, interpersonal communication skills, family communication pattern, depression, stress and anxiety, body self-image, and self-confidence were determined. In the second stage, an educational program was designed based on the most effective factors. Independent t-test, ANOVA, and multiple linear regression were employed using SPSS version 20 software. Also, STATA version 15 software was utilized for statistical modeling to predict the best predictive model of attitude towards RH. Results 47.7% of students had a good attitude toward RH. The majority of students had problems with interpersonal communication skills (60.7%). Also, 28.5% experienced depression, 35.8% anxiety, and 12.8% stress at different levels. More than a quarter of the students (26.5%) had poor body self-image and 18.7% had Undesirable self-esteem. Interpersonal skills (P = 0.002), family communication pattern (P = 0.004), stress (p = 0.019), anxiety (P = 0.001), and body self-image (P = 0.034) have a significant relationship with the attitude towards RH. The multiple regression showed that the most important effective factor on RH is the dialogue orientation of family communication pattern (P = 0.041), stress (P = 0.002), and anxiety (P = 0.001). Conclusion Stress and anxiety management training and the use of dialogue orientation in the family communication pattern for young female students are recommended based on the scientific model

Povidone-Iodine and Bleomycin in the Management of Malignant Pleural Effusion

&quot;nMalignant pleural effusion is a common complication in certain malignancies. Pleurodesis is the best option most of the time. The purpose of this study was to compare the choice of belomycin with povidone-iodine, which is not only determined by the efficacy of the agent but also by its cost, accessibility, safety, ease of administration and the number of administrations to achieve a complete response. We performed a randomized clinical trial on 39 patients presenting with symptomatic malignant pleural effusion. Patients were selected and randomly assigned to undergo chemical pleurodesis with either bleomycin or povidone-iodine. Primary characteristics of patients were assessed and graded before and after treatment concerning pain, dyspnea, and chest radiographs. A complete response was obtained in 79% of belomycin group and 75% of povidone-iodine group which was not statistically significant. Patients on belomycin treatment had a significantly lower score for dyspnea in one month follow up. This was significant after controlling for age, pain score and dyspnea score after drainage, using general linear model. Due to similar effect and significant cost advantage between bleomycin and povidone-iodine, we conclude that povidone- iodine is the agent of choice when utilizing pleurodesis for control of symptomatic malignant pleural effusions