[Comparison of paroxetine versus fluvoxamine in trichotillomania management]

Introduction: Trichotillomania is an impulse control disorder that leads to obvious hair loss. Several treatments are supposed to be effective but there are not enough data to compare effect of this treatment. The aim of this study is to compare effectiveness of treatment with Fluvoxamine vs. Paroxetine in patients with Trichotillomania

Methods: in this study 58 patients were randomly assigned into two therapeutic groups of Paroxetine and Fluvoxamine treatments. National Institute of Mental Health [NIMH] questionnaire was translated into Persian and administered to both groups before the beginning of treatment and 4 weeks and 12 weeks after treatment; patients discontinued the treatment and left the study. Data analysis was done with independent T-test and paired T-test and the data were analyzed using SPSS-20 software

Results: In the group of patients with Fluvoxamine treatment, Effectiveness of therapy in 12[th] week was greater than 4[th] week, whereas the effectiveness of treatment with Paroxetine was seen in both 4[th] week and 12[th] week after initiation of therapy and was more effective than fluvoxamine

Conclusion: regarding the comparison of two therapeutic methods, the effect of Fluvoxamine was started in 12 weeks whereas the therapeutic effect for Paroxetine was both in 4 week and 12 weeks. This shows that patients with Paroxetine treatment responds more rapidly therefore have better therapeutic response

[Effect of nurses empowerment on coping with stresses]

Job stress is one of the important subjects in organizational behavior. It could cause physiological and psychological disruptive effects on personnel leading to possible diverse effects on their well being. To determine effect of nurses empoverment on coping with job stresses in Booali and Qods Hospitals. This research was a quasi-experimental study in which 78 nurses were included using a simple randomized sampling. Data were collected by a questionnaire and analyzed by spss software. Our data showed that the educational program caused a reduction in stress level from 43.6 +/- 3.4 to 38.3 +/- 3.2 and the difference was found to be significant when paired T-test used [p < 0.001]. Education of stress management could help nurses in coping with stress leading to reduction of unpleasant effects of stress on their health and professional performance, effectively

effect of service improvement protocol on patients' satisfaction in Bu-Ali emergency unit

One of the quality assessing indices for providing medical services to patients in different hospital wards is to determine the level of patient's satisfaction on quality of such cares given to them. To determine the level of patients' satisfaction admitted to Bu-Ali hospital emergency unit, Qazvin, following the implementation of newly established service improvement protocol. Through a cross-sectional research, 149 patients admitted to emergency unit were randomly selected and further studied. The data was collected using a questionnaire designed to reflect the level of patients' satisfaction. Results indicated that there were high levels of satisfaction among patients including 79%, 78.3%, 79.4%, 87.4%, 79.4%, and 77.2% on timing of medical cares, medical examinations, paramedical services, filing process, physicians' behavior, and nursing skills, respectively. There was only a moderate level of satisfaction [46.6%] on access to drugs and medical instruments. The patients' satisfaction in emergency unit of Bu-Ali hospital increased following the implementation of service improvement protocol