effect of family-centered psycho-education on mental health and quality of life of families of adolescents with bipolar mood disorder: a randomized controlled clinical trial

Background: bipolar Mood Disorder [BMD] is a type of mood disorder which is associated with various disabilities. The family members of the patients with BMD experience many difficulties and pressures during the periods of treatment, rehabilitation and recovery and their quality of life [QOL] is threatened. In the present study, we aimed to evaluate the effect of family-centered education on mental health and QOL of families with adolescents suffering from BMD

Methods: in this randomized controlled clinical trial performed on 40 families which were mostly mothers of the adolescents with BMD referred to the psychiatric clinics affiliated to Shiraz University of Medical Sciences during 2012-13.They were randomly assigned to intervention and control groups

Results: the results of single factor multivariate ANOVA/single-factor multivariate analysis of variance and Bonferroni post hoc tests showed that the interaction between the variables of group and time was significant [P<0.001]. The mean of QOL and mental health scores increased in the intervention group, but it decreased in the control group at three measurement time points

Conclusion: the study findings confirmed the effectiveness of family-centered psychoeducation program on Mental Health and Quality of life of the families of adolescents with Bipolar Mood Disorder

Prevalence and risk factors of alcohol and substance abuse among motorcycle drivers in Fars province, Iran / 中华创伤杂志(英文版)

<p><b>PURPOSE</b>The aim of this present study is to investigate the prevalence of alcohol and substance abuse (ASA) and its relationship with other risky driving behaviors among motorcycle drivers.</p><p><b>METHODS</b>This is a cross sectional study which is performed at Shiraz city of Iran. Data from motorcycle drivers were collected using a standard questionnaire in eight major streets at different times of the day. The data includes consumption of alcohol and other substances two hours before driving and some of the risky behaviors during driving.</p><p><b>RESULTS</b>A total of 414 drivers with a mean ± SD age of (27.0 ± 9.3) years participated in the study. Alcohol or substance consumptions two hours before driving was significantly associated with risky driving behaviors such as using mobile phone during driving, poor maneuvering, and driving over the speed limit (both p < 0.001). It was also associated with carelessness about safety such as driving with technical defects (p < 0.001) and not wearing a crash helmet (p=0.008).</p><p><b>CONCLUSION</b>Screening for alcohol and substance consumption among motorcycle drivers is an efficient way to identify drivers that are at a greater risk for road traffic accidents.</p>

Efficacy of fluoride varnish and casein phosphopeptide-amorphous calcium phosphate for remineralization of primary teeth: a randomized clinical trial

We aimed to evaluate the efficacy of oral hygiene instruction, fluoride varnish and casein phosphopeptide-amorphous calcium phosphate [CPP-ACP] for remineralizing white spot lesions [WSL], and the effect of these on the dmft index in primary teeth.Subjects and In this 1-year, randomized clinical trial, 140 children aged 12-36 months with WSL in the anterior maxillary teeth were selected and randomly divided into 4 groups of 35 children each. Group 1 [control] received no preventive intervention. In group 2, there was oral hygiene and dietary counseling. In group 3, there was oral hygiene and the application of fluoride varnish at 4, 8 and 12 months after baseline. In group 4, there was oral hygiene and tooth mousse was applied by the parents twice a day over a 12-month period. At baseline and 4, 8 and 12 months after the intervention, the size of WSL in millimeters and the dmft index were recorded. One hundred and twenty-two children completed the study. Data were analyzed using the repeated-measures ANOVA test. In group 1, the mean percent WSL area and dmft index values had increased significantly at 12 months after baseline [p < 0.001]. The interventions led to significant decreases in the size of the WSL; the greatest reduction was in group 4 [63%] followed by group 3 [51%] and group 2 [10%] after 12 months. The smallest increase in the dmft index was in group 4 [0.17], followed by groups 3 [0.3] and 2 [0.42]. However, there were no significant differences between the groups [p < 0.001]. Oral hygiene along with four fluoride varnish applications or constant CPP-ACP during the 12- month period reduced the size of WSL in the anterior primary teeth and caused a small increase in dmft index values