[Female sexual satisfaction with different contraceptive methods]

The choice, acceptance and satisfaction of women with different types of contraceptive methods would affect their quality of life and sexual function. The aim of this study was to determine and compare the female sexual satisfaction with different types of contraceptive methods in clients referred to Qazvin city clinics. It was a descriptive cross-sectional study that was carried out among 467 women in 6 midwifery units of Qazvin city health centers in 2009 using cluster random sampling method. Sexual satisfaction was assessed with Larson Sexual Satisfaction Scale among women using different contraceptive methods. Data analysis was performed by descriptive and inferential statistics [Chi-square test, Pearson correlation test and ANOVA] using SPSS-PC [v.16]. According to the findings, the percentage of using withdrawal, condom, OCPs, DMPA, IUD, TL and vasectomy were 25.5%, 26.3, 13.3%, 6.6%, 18.8%, 6% and 3.4%, respectively. Most of the participants [54.9%] had moderate sexual satisfaction. There were a significant difference between the mean score of sexual satisfaction and use of different types of contraceptive methods [P=0.041]. The most sexual satisfaction was found with condom [28.6%] and withdrawal [26.5%] methods. The findings revealed that contraceptive methods can affect women's sexual satisfaction. Accordingly, executing family planning training programs for counselors regarding the suitable choose of contraceptive method considering women's sexual satisfaction is recommended

[ effect of Orem based self-care program on physical quality of life in multiple sclerosis patients]

Multiple sclerosis is a chronic, progressive and degenerative myelin sheath of the central nervous system. Which significantly affects quality of life? The aim of this study was to assess the effect of Orem based self-care program on physical quality of life in multiple sclerosis. In this clinical trial a total of 70 patients with multiple sclerosis with age range 20-40 years, [members of multiple sclerosis association] were randomly divided into two groups of experimental and control [35 patients in each group]. The experimental group was treated with self-care program based on Orem self-care frame work compared to the control group. Data were analyzed using x[2], t, and paired t tests. There was no significant difference in the cases of quality of life and demographic characteristics of patients in the control and test groups, before intervention. The mean score of life quality, after intervention, in the test group [66.5 +/- 41.8] was more than that [43.24 +/- 12.79] in the control group [P<0.001]. In the test group and after the intervention, life quality was significantly increased [P<0.001], but no significant difference was seen in the control groups. Drawing and utilizing self care program base on the Orem frame work on physical quality of life in the multiple sclerosis patients would be beneficial. This is a non-invasive intervention and is safe, inexpensive and is complementary to medical intervention that can be used in the multiple sclerosis centers

[Comparison of the effects of lecture and booklet methods on awareness and attention of parents of children with Thalassemia major]

Thalassemia is one of the most important genetic diseases in Iran. Warning of their parents about their children's disease prevents the related problems and reduces its complications. This study was aimed at comparing the influence of lecture and booklet methods on enhancement of awareness and attentions of parents of children with Thalassemia major. In this interventional study, a total of 90 parents of children with Thalassemia who referred to Hajar hospital for medical treatments, were selected using simple sampling and were randomly divided in three groups of 30 parents. The parents in lecture group attended for seasons of lecture for 30 min. each with 3 weeks interval. A booklet with the same contents as the lecture group was given to the booklet group without any intervention. A questionnaire was designed to gather some information about the disease from parents of all three groups. To determine the statistical relationships, student t-test, Spearman's correlation and of ANOVA tests were used. No significant differences were found among the three groups tested in terms of the mean age, gender, level of education, job, number of affected children, and age of the children. The results showed that the mean of knowledge before and after the education in the lecture group was 10.53 +/- 4.37 and 16.5 +/- 4.73 [P<0.05] and in the booklet group was 10.7 +/- 3.06 and 14.6 +/- 2.7 [P<0.05], respectively. There was no significant difference between lecture and booklet groups based education. After the education, the knowledge in the two groups was significantly more than that in control group [P<0.05]. The results showed that lecture and booklet methods have positive effects on increasing of the parent's knowledge about the disease. Thus, providing of the booklet for the parents, particularly in the region with high prevalence of the disease, is recommended

Problems and issues of less- experienced nursing mentors in clinical education

Althorgh remarkable achievement in higher education system, especially in the nursing and medical fields are emerged, there are still several obstacles regarding clinical nursing education concerning novice and less-experienced mentors. Therefore, the objective of this study was to investigate novice nursing mentors problems and providing sound solutions as influencing factors of promoting quality of education. This study was a descriptive analytical design with problem solving approach for nursing mentors regarding clinical educational problems [including 40 novice mentors with less than 5 years experience] in Tehran State Universities, 2006. The data collection tool included demographic and specific nursing mentor's problems questionnaires. Analysis of data showed, the problems of education in different aspects with their priority included: 1: personal domain [determining the place of practical education regardless of the mentor's previous experiences] with the highest score of 134, 2: role performance problems, [inappropriate evaluation of the mentor's role performance by the faculty authorities] with the highest score of 162.5, 3: organizational structure problems [lack of a clear and coordinated organizational relationship between education and practice field] with the highest score of 175. 4: interaction communication problems [inadequate interaction between the novice mentor and the other clinical colleagues] with the highest score of 152.5, 5: equipment and facilities problems [the limitation of physical environment and inappropriate space for educational programs, conferences, etc.] with the highest score of 150, 6: job satisfaction problems [lack of necessary equipments for reducing in-service probable injuries and harms] with the highest score of 180 and finally 7: perceived self-efficacy problems [the ability of discussing the novice mentor's ideas and opinions with the faculty members] with the minimum score of 312.5. According to the study findings and considering appropriate approaches of each domains based on special criteria, establishment of a "Committee of Nursing Clinical Education Quality" would be necessary as the most appropriate strategy for reducing nursing clinical education problems

Clinical and endocrine aspects of pituitary tumors

To study the clinical spectrum and endocrine profile of pituitary tumors presenting to a tertiary care endocrine center. Retrospective analysis of clinical and hormonal data of patients with pituitary tumors admitted in the Endocrinology Department of Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Kashmir India between January 1989 and December 1998. Over a period of one decade, 75 subjects were diagnosed to have pituitary tumors. Somatotroph adenoma was the most common pituitary mass lesion seen [44/75] and followed in the decreasing order of frequency, by non-functioning pituitary tumor [12/75], prolactinoma [11/75] and corticotroph adenoma [8/75]. Overall there was a male preponderance [male to female ratio was 41:34]. Subjects with somatotroph adenoma presented with classical features of acromegaly: mean fasting and post glucose suppression growth hormone levels were 34.04 +/- 11.67 and 36.47 +/- 6.64 ng/ml. Eleven subjects [9 females and 2 males] had prolactinoma; females presented with the classical symptom complex of amenorrhea-galactorrhea while males presented with headache, visual disturbances and impotence. The 12 subjects with nonfunctioning pituitary tumors presented with features of mass lesion. Of the 8 subjects [6 females and 2 males] with corticotroph adenomas, 2 were confirmed to have periodic hormonogenesis. In an endocrine center, functioning pituitary tumors are more often seen than non-functioning tumors

Paget's disease of the bone

Paget's disease of bone is rare in Asia. Association of calcific aortic valve disease with Paget's disease of bone is well documented. We report a patient from north India who also had calcific aortic valve disease