[ impact of multi-dimensional model of psychiatric rehabilitation care on hemodialysis patient's depression]

Hemodialysis in chronic renal failure, which has affected all aspects of the incidence of disease and disorders such as, depression. One of the ways to have an appropriate quality care in hemodialysis units is to employ nursing care model. This study aimed to determine the effect of multi-dimensional model of psychiatric rehabilitation care on hemodialysis patients who were depressed. This study is a quasi-experimental study of two groups before and after the sampling method based on 35 hemodialysis patients of Razi hospital in Rasht [test] and 35 hemodialysis patients from Shahid Beheshti Hospital in Anzali [control]. Intervention was based on psychiatric rehabilitation of multi-dimensional model with a doctor, nurse, psychologist, nutritionist, and comprehensive client and family as a team and with consideration of physical, mental, social and spiritual clients separately and each was done in three months. The instruments included a questionnaire for collecting demographic and the Beck Depression Inventory [BDI], which was measured before and three months after the intervention. Then the data were analyzed using SPSS 16 software and descriptive statistical, paired t-test, independent t-test, analysis of covariance, Chi-square and Fisher test. Data analysis between the mean depression score of samples before [8/285 +/- 30/11] and after the intervention [10/309 +/- 24/20] group showed a significant difference [p<0/001]. The multi-dimensional model of psychiatric rehabilitation care, a significant difference in depression scores in hemodialysis patients is caused, so the implementation of this model of care is associated with better living conditions in hemodialysis patients

[ Relationship between Breastfeeding and body mass index in primary school children of Rasht/Iran]

Nowadays in many parts of the world, obesity and overweight problems in children is considered essential. Overweight in childhood has been known as a factor affecting on the overweight in adult ages and the incidence of cardiovascular diseases, hypertension, hyperlipidemia, asthma and diabetes. Considering of the risky role of increasing of weight for children's health, researchers aimed to determine the relationship between breastfeeding and Body Mass Index in primary school children of Rasht/Iran. This was a case-control study which after obtaining the necessary licenses was performed in 8 primary schools of Rasht. 320 samples including 80 in case group [BMI>85th percentile for age and sex] and 240 in control group [BMI=5th to 85th percentile for age and sex] were selected. Data gathering tool were questionnaire, scales and tape meter. Finally, data were analyzed statistically by Chi-square and Mann-Whitney tests. The findings showed that the mean and standard deviation of total duration of breastfeeding in case group were 19.02 +/- 9.14 and in control group were 19.36 +/- 8.66, and there was no significant difference between these means. On the other hand, 82.5 percent of the samples in case group and 92.9 percent in control group had exclusive breastfeeding for 4-6 months and it showed significant difference [P=0.024]. The mean and standard deviation of meals frequency, duration of television watching, sleep duration of day and night and start time for complementary feeding in case and control group showed no significant statistical difference. In this study, the average of duration of breastfeeding [up to 2 years and more] in overweight and obese group was lower than the average in group with normal weight, but this difference was not statistically significant. On the other hand, the percent of children that had exclusive breastfeeding for 4-6 months in normal weight group was significantly more than overweight and obese children. In other words, this study showed that exclusive breastfeeding in the first six months after birth can be associated with reducing overweight and obesity in primary school children. On this basis, we can probably help to prevent overweight and obesity in children in the future by teaching more and more accurate about exclusive breastfeeding for parents, especially mothers and health care providers

effects of acupressure on anxiety nursing, midwifery and operating room students

Anxiety is a type of worry and fear can effects learning, decision making and performance of medical sciences and clinical decision making. Based on literature review, acupressure non medical method for decrease of anxiety is an appropriate method to reduce anxiety. Determine the effects of acupressure on anxiety nursing, midwifery and operating room students in the beginning of clinical training. In this single-blind clinical trial study, 66 students of nursing, midwifery and operating room that were in the parts of neonatal, delivery and operating room in the beginning of training course were selected. They were divided to P6 and Thumbs groups. The questionnaire included two parts: l] demographic data [sex and age], 2] Silberberg state trait anxiety scale completed before and after applying pressure in each group. Data analyzed by SPSS 16 software. Stata software used for study power analysis. The mean and standard deviation was 21/26+1/80 for age and 93/9%of samples were female. Also P6 and thumb group were equal in age and sex. There were not any significant difference between state and trait anxiety before intervention in all of the students and two groups were equal. In addition after acupressure we found increased mean of state and trait anxiety in nurse and operative room students than before acupressure, but it decreased in midwifery students that this was not significant statistically. It seems that ineffectiveness of acupressure on nurse, midwifery neonatal and operative room parts, causes of client's referral and their condition sensitivity

Preecamplsia is an important complication of pregnancy which can result in morbidity and mortality in mother, fetus and the neonate

This study was designed to determine the effect of garlic tablet [Gariet] on plasma lipids, and platelet aggregation levels and the efficacy of this treatment in the prevention of preeclampsia in four government hospitals in Tehran. in a randomized, single - blind, placebo - controlled study, 100 primigravidas with positive roll-over test were treated with daily doses of 800 mg/day Gariet [n=50] or 800 mg/day placebo [n=50] during the third trimester of pregnancy. In this study serum total cholesterol, LDL- an HDL cholesterol, triglyceride, and platelet aggregation were measured before and after the treatment. Blood pressure, weight, and edema were also examined during the entire study period. in the case group, there was no significant difference in the means of total cholesterol, HDL, LDL, and triglyceride before and after the experiment. Furthermore, the inhibition of platelet aggregation did not show any significant difference before and after the treatment. There were not significant differences in the means of HDL, LDL, triglyceride, inhibition of platelet aggregation, the means of systolic and diastolic blood pressure and the mean arterial blood pressure [MAR], between the two groups, but there was a significant difference in the means of total cholesterol [p=0.038] and hypertension alone [p=0.043]. the administration of 800 mg/day of garlet during the third trimester of pregnancy was effective in reducing the occurrence of hypertention alone, but it was no effective in preventing preeclampsia