Iranian nursing staff's self-reported general and mental health related to working conditions and family situation.

BACKGROUND: There is increasing global evidence that today's work environment results in higher risk of adverse health among nursing staff than among other professions. AIM: To investigate self-reported general and mental health among Iranian nursing staff, and associations with organizational, physical and psychosocial working conditions and family situation. METHODS: 520 nursing personnel from 10 university hospitals in Tehran participated in this cross-sectional study. Data were collected using a validated questionnaire in the Persian language, containing the Copenhagen Psychosocial Questionnaire, physical items from the Nurse Early eXit Study and two scales relating to general health and mental health from the Short Form-36. The Chi-square test with P<0.05 and logistic regression were used to analyse data. RESULTS: Three out of four nursing staff reported overtime work. The self-reported general and mental health rates of participants were poor/fair (38%, 41%), good (44%, 39%) and very good/excellent (18%, 20%), respectively. Family demands were associated with general health but were not associated with mental health. Adverse physical and psychosocial work conditions gave an elevated odds ratio for poor health. CONCLUSION: Poor general and mental health was associated with adverse working conditions and family demands. Physical and psychosocial working conditions of nursing personnel should be improved. Social facilities such as daycare for children and care for the elderly should be available during work shifts to help Iranian nurses play their family roles.

Synthesis and characterization of thermosensitive and pH-sensitive poly (N-isopropylacrylamide-acrylamide-vinylpyrrolidone) for use in controlled release of naltrexone.

In this article N-isopropylacrylamide (NIPAAm)-acrylamide (AAm)-vinyl pyrrolidone (VP) terpolymers were prepared using free radical copolymerization method by varying feed ratios of monomers. The composition ratio and structure of polymer were determined by NMR and FTIR. The glass transition temperature was examined by DSC. The thermo-responsive behaviors of polymeric solutions were investigated by turbidimetry using UV-Visible spectroscopy. The sol-gel transition of the polymer solutions occurred reversibly within 1 min in response to the temperature. By alternating the monomer feed ratio, the synthesized terpolymers had their own distinctive lower critical solution temperature (LCST). In addition to the thermosensitivity, the terpolymers also showed a response to pH changes. The increase in ionic strength of the buffer solution with addition of salt lowered the LCST of the polymers. The ability to shift the phase transition temperature of the terpolymers provided excellent flexibility in tailoring transitions for specific uses. Swelling experiments were performed on the terpolymer disks in buffer solutions with different pH and ionic strength at varying temperature. We investigated naltrexone release as a model drug in phosphate buffer. Drug loading efficiency was varying from 8.75 to 55%. Gel composition, pH, and ionic concentration affected the drug loading. Finally in vitro drug release studies at 36-37 degrees C indicating 35-70% naltrexone release from terpolymers at the end of 30 days. In addition, these gels sustained naltrexone release for 30 days.