[Effect of education on management of blood glucose in children with diabetes]

Adequate education of patients and good metabolic control can improve clinical outcome in children with diabetes. This study aimed to investigate the effect of education on management of glycemic control in diabetic children aged 10 to 14 years in Diabetes Research Center of Hamadan, Iran in 2013. This quasi-experimental study had a single-group with pre-post test design. Forty diabetic children from 10 to 14 years of age were selected by random sampling. In order to empower them, we conducted four sessions of group training; each session took 30 to 45-minutes. The scales included a record form of blood glucose levels and diabetic children behavioral management questionnaire. Cronbach's alpha of 0.74 -0.93 indicated stability of the questionnaire domains. Data analysis was conducted using SPSS version 19 using descriptive statistics and paired t-test, Kolmogorov-Smirnov, and Pearson correlation coefficient at 95% confidence level. There was a statistically significant difference between mean scores of behavioral management of diabetic children in four domains: "blood glucose measurement [t=7.44, P<0.001]", "following principles of insulin therapy [t=7.43, P<0.001]", Observing Dietary Behaviors [t=9.72, P<0.001] and "physical activities [t=12.18, P<0.001] ". Moreover, there was a statistically significant difference between mean level of recorded blood glucose in the diabetic children a week before and a week after training intervention [t=-3.97, P<0.001]; as well as, between mean level of glycosylated hemoglobin before and three months after the intervention [t=-5.23, P<0.001]. Systematic training and empowering children with diabetes aged 10-14 years to perform blood glucose measurements, observing insulin therapy principles, Observing Dietary Behaviors, and doing physical activities reduces blood glucose and HbA1C. Therefore, systematic training and involvement of diabetic children in the care and treatment can improve management of blood glucose

[Prevalence of body dysmorphia and psychological disorders relatives in rhinoplasty volunteer]

Body dysmorphia [BDD] is a psychiatric illness experienced by up to 20% of patients requesting cosmetic surgery. BDD should be searched out and recognized by the plastic surgeon. This study aimed todetermine the prevalence of Prevalence of body dysmorphia and psychological disorders relatives in cosmetic rhinoplasty volunteer. In the cross-sectional study first 400 patients who referred for treatment to a clinic surgery in Hamedan city in 2009 were selected by convenience sampling and clinical interview with criteria DSM-IV to assess BDD. In the next phase, patients with body dysmorphia were assessed with MMPI questionnaire and clinical interview to identify otherrelative mental disorders. Data analyzed were descriptive statistical. 21 patients had body dysmorphia disorder whose mean and standard deviation of MMPI questionnaire were hypochondrias is 6.14[3.32], Depression 9.85[4.30], hysteria 12.28[3.45], antisocial 9[4], paranoia 5.33[2.31], Psychatseni 9.57[4.33], schizophrenia 9[5] and hypomania 5.66[3.16]. Body dysmorphia is a psychiatric illness experienced by cosmetic surgery and necessary appropriate consultation and intervention