[Comparison the efficacy of honey mouthwash with hydrogen peroxide mouthwash on oral lesions healing in patients with Pemphigus]

Pemphigus is a rare and potentially life-threatening disease. It produces blisters in the skin and mucous membranes. In more than 81% of cases, pemphigus involves oral mucosa. This study assessed the efficacy of mouthwash with honey compared with hydrogen peroxide on oral lesions healing in Pemphigus patients. A randomized design clinical trial was carried on 49 patients with oral pemphigus lesions. Patients randomly divided into experimental and control groups. Patients were assessed for 10 days. Data were collected by questionnaire, Oral Mucositis Visual Assessment Guide of WHO, visual analog scale of pain intensity and time Diaries. Age, sex, educational level, marital status, history of crisis in the past 6 months, history of autoimmune disease and history of pemphigus disease in their family, were not statistically significant differente in experimental [honey mouthwash] and control [hydrogen peroxide mouthwash] groups. Degree of oral lesions faster was improved in experimental [honey mouthwash] group compared with control [hydrogen peroxide mouthwash] group. Reducing pain intensity in the experimental group was significant from the third day[P=0.001], while it was not statistically significant in the control group until the tenth day of assessment. Honey mouthwash compared with hydrogen peroxide has had faster effect on oral lesions healing and more effective on reducing pain in pemphigus patients. Honey mouthwash has no complication in this group of patients

[Marital satisfaction and therapeutic regimen compliance in hemodialysis patients in hospitals of Shahid Beheshti University of Medical Sciences and Health Services in 1388- 89]

Therapeutic regimen non compliance is a common problem in hemodialysis patients. It is associated with many side effects. Marital satisfaction and conflictions in dyadic relationships have an important effect on compliance of a complex regimen. This study aims to determine the correlation between marital satisfaction and therapeutic regimen compliance in hemodialysis patients in hospitals of Shahid Beheshti University of Medical Sciences and Health Services in 1388-89. In this descriptive correlatiional study 100 hemodialysis patients were selected through the judgmental sampling method. Data gathering tool was a questionnaire consisting three parts: demographic data, disease and ENRICH Marital Satisfaction Inventory. The latter part is validated by content validity method. The reliability of ENRICH Marital Satisfaction Inventory was determined by Chronbach's=method. The questionnaires were completed by patients during hemodialysis. In order to determine the compliance of therapeutic regimen, the researcher recorded the mean of the last three months' values of P, K, interdialytic weight gain, and the numbers of missed dialysis sessions using patient's documents. Data were analyzed by SPSS statistical software While 56% of patients had compliance in therapeutic regimen. 59% had low and very low and 41% of patients had moderate and high marital satisfaction. There was a significant correlation between marital satisfaction and therapeutic regimen compliance and marital satisfaction in patients with therapeutic regimen compliance was high. Planning for counseling and supportive programs concerning marital satisfaction can be beneficial for patients and their families in order to increase their therapeutic regimen compliance