[Evaluation of sexual dysfunction disorders in hemodialysis patients in Akhavan hospital in Kashan, 2013, Iran]

Dialysis patients experience problems related to sexual function due to the nature of their disease and its complications. The present study carried out to determine sexual function in dialysis patients in Kashan city. In this descriptive cross-sectional study, 72 hemodialysispatients referred to dialysis unit of Akhavan Hospital in 2013 were evaluated. Research instruments were demographic questionnaire and Golombok Rust Inventory of Sexual Sate [GRISS]. Data were analyzed using statistical tests, such as chi-square, Fisher's exact, Mann-Whitney, independent sample t-test. In this study, 94.4% of the hemodialysis patients had sexuality dysfunction. Sexual dissatisfaction [79.2%] and decreased sexual contact [76.4%] were the most frequent in both genders. "Lack of erection" and premature ejaculation were observed in men, each one [92.2%], and anorgasmia [90.5%] in women. In this study, there was not a significant difference between sexual dysfunction and age, gender, drug group, and duration of dialysis [p>0.05], while, a significant difference was obtained between sexual dysfunction and education level and cause of dialysis [p<0.05]. The majority of hemodialysis patients suffer from sexual dysfunction, which this problem can seriously affects the patients' quality of life. Thus, sexual dysfunction should be considered as a major health related concern in these patients. Hence, paying attention to sex function in these patients is of importance

Evaluation of the effects of resting in appearance of post lumbar puncture headache

Lumbar puncture [LP] is a procedure for obtaining spinal fluid from spinal meningeal spaces this can be done as a diagnostic or therapeutic procedure which can result in to a typical positional headache named as post lumbar puncture headache .This can cause a lot of discomforts for patients and makes fear from the procedure. This study designed to evaluate the effect of resting position after LP on post lumbar puncture headache [PLPH]. Patients who had a diagnostic lumbar puncture were divided randomly in two groups .Group A patients had one hour rest in the supine position while group B patients had one hour rest in the prone position. Both groups followed for appearance of symptoms of PLPH for 5 days. 119 patients completed the study, 57 [48%] male patients and 62 [52%] female .PLPH totally appeared in 38 [31.9%] patients .In the group A PLPH was present in 20 patients whereas in group B it was present in 18 patients. Statistical analysis showed no significant differences between two groups [P>0.07]. Position of rest after LP has no significant effect on reducing post lumbar puncture headache and there is no need to emphasize on position of rest after LP

Prevalence of psychiatric disorders in the general population of Kashan, Iran

Mental health is one of the most important public health issues because of its major contribution in decreasing the global burden of disease and its important role in assurance, dynamism, and efficacy. The present study evaluates the prevalence of mental disorders in the over 18-year-old population in Kashan, Iran during 2008-2009. This was a descriptive, cross-sectional study. Subjects were selected via stratified random sampling. The study was conducted in two stages. In the first stage, subjects were evaluated using the General Health Questionnaire. In stage two, two psychiatrists used a DSM-IV checklist to conduct clinical interviews. The collected data were analyzed by SPSS version 16, OR, Cl, Chi-square, and Mantel-Heanszel tests. The prevalence of mental disorders in Kashan was 29.2%. In women it was 35.5%, and in men, 21.2%. The most prevalent disorders were mood [9.3%] and anxiety disorders [4.7%]. Among the 505 subjects with mental disorders based on clinical interviews, 162 [32.1%] suffered from mood disorders, 129 [25.6%] anxiety disorders, 21 [4.2%] psychotic disorders, 16 [3.4%] neurologic disorders, 17 [3.4%] dissociative disorders, and 120 [23.7%] had other disorders. In this study, 7.8% of the subjects had more than one mental disorder. In the case of mood disorders, major depression [8.2%] was the most common; as for anxiety disorders, generalized anxiety disorder [7.2%] was the most prevalent. The prevalence was higher in people aged 56-65 [35.8%], widows [35.8%], the illiterate [42.8%], and the unemployed [38.8%]. Mental disorder was significantly affected by gender, education, occupation, and marital status. The results show that psychiatric disorders in Kashan are higher than at the time of the previous research in this region [1999]. Therefore, prevention programs and treatment of psychiatric disorders in this city are of great priority

[Prevalence of mental disorders in general population of Kashan city]

Mental health is one of the most important public health issues, and it has major contribution in decreasing global burden of diseases .the objective of this study was to estimate the point prevalence rate of mental disorders in the population aged 18 years and over in Kashan city in 2009. A classified- randomized sampling method was used. The general health questionnaire and clinical interview were employed to determine of mental disorders. Data were analyzed by using spss v. 16 and OR, and chi-square test. The overall prevalence rate of mental disorders in Kashan was estimated [29%] [female= 35/5%]. The most prevalent disorders were mood disorders and anxiety disorders [9/3%] and [4/7%] respectively. In total five hundred-five [505] individuals with mental disorders, 32.1% had mood disorders, 25.6% had anxiety disorders, 4.2% had psychotic disorders, 3.4% had neurological disorders, 3.4% dissociative disorders and 23.7% had other disorders. In this study 7.8% of subject had one mental disorder at least. The prevalence rate was high in people aged 56-65 years [35.8%] and widow [35.8%], illiterate [42.8%] and unemployed [38.8%]. There were statistically significant differences between genders, education, and occupation and marital status. Mental disorder has a priority for any intention intervention by health policy makers. It should be taken into account for any future agenda by ministry of health

psychopathology of heroin abuse injectors in Kashan prison

Drug abuse has high co-morbidity with mental disorders, thus, controlling and treating it requires multimodal treatment intervention. This cross sectional study evaluates personality traits of 67 IV heroin abusers in Kashan Prison. The utilized instruments included two parts: a demographic questionnaire and MMPI. The data obtained from the questionnaires were statistically analyzed by using Fisher exact test. Fifty [%74/62] participants suffered from abnormal personality traits. Most of them were single and less than 30 years of age. Prominent personality traits were antisocial and depressed. There was a significant relation between abnormal personality traits and educational levels