Spinal cord injury and women's sexual life: case-control study.

Study design :This is a case-control study. OBJECTIVE: The objective of this study was to estimate the magnitude of association between spinal cord injury (SCI) and women's quality of sexual life and sexual function. SETTING: This study was conducted in the Brain and Spinal Cord Injury Research Center, Tehran University of Medical Sciences, Tehran, Iran. METHODS: From the referral university-based clinics, we used simple random sampling to recruit 62 women: 31 women with SCI and 31 women without SCI. Socio-demographic and reproductive traits questionnaire, Sexual Quality of life-Female (SQOL-F), Female Sexual Function Index (FSFI) and Spinal Cord Independence Measure (SCIM) were completed using telephone and face-to-face interviews in the cases and controls. After univariate analyses, multivariate linear and proportional odds regression models were conducted to investigate the relation between SCI and women's quality of sexual life, as well as sexual function. RESULTS: The mean age of cases and controls was 35.42±6.51 and 33.77±4.02 years. Most women were high school-educated and housewives. Adjusting for probable confounders, the proportional odds regression model showed a significant relationship between the spinal cord injury (AOR=4.2, 95% CI: 1.8-9.2), non-college-educated (AOR=3.1, 95% CI: 1.2-5.9) and employed (AOR=1.8, 95% CI: 1.1-1.8) variables and being in one of the moderate or poor quality of life classes. Scores of SQOL-F and FSFI domains, except satisfaction, were significantly worse in cases versus controls (P<0.001). CONCLUSION: Although our participants showed low sexual dysfunction, they tended to report moderate to poor quality of sexual life. Our findings support the implication that sexual rehabilitation must be provided for women with SCI soon after injury.

Psychometric properties of the Sexual Adjustment Questionnaire (SAQ) in the Iranian population with spinal cord injury.

STUDY DESIGN: This is a cross-sectional study. OBJECTIVES: The objective of this study was to examine the psychometric properties of the Sexual Adjustment Questionnaire (SAQ) for Iranian people with spinal cord injury. SETTING: This study was conducted in the brain and Spinal Cord Injury Research Center, Tehran University of Medical Sciences, Tehran, Iran. METHODS: We assessed the psychometric properties of the SAQ, with 200 participants (men=146, women=54) completing the scale. An evaluation of its test-retest reliability was performed over a 2-weeks period, on a subsample of 30 patients recruited from the overall group. Cronbach's α-coefficient was computed for assessment of internal consistency reliability. In addition, content and face validity were examined by an expert committee. Construct validity was assessed by examining convergent and discriminant validity. Finally, exploratory factor analysis was used to extract the factor structure of the questionnaire. RESULTS: The Cronbach's α and intraclass correlation coefficient were 0.77 and 0.72 retrospectively. With regard to construct validity, there was a significant (P=0.009) negative correlation (r=-0.28) between the SAQ score and age. Those with lower levels of educations scored significantly lower on the SAQ (P=0.04). The exploratory factor analysis indicated a four-factor structure for the questionnaire, accounting for 68.9% of the observed variance. The expert committee approved the face and content validity of the developed measure. CONCLUSION: The SAQ is a valid measure for assessing sexual adjustment in people with spinal cord injury. The evaluation of sexual well-being may be useful in clinical trials and practical settings.

Challenges of measuring a faculty member activity in medical schools.

BACKGROUND: One of the features of Mission Based Management is measuring the activities of faculty members and departments and their contributions to the school's mission. As it is important to assess the school's readiness for such a system, in this study we assessed the view points of Tehran Medical School's department chairs about faculty members' activities. METHODS: We used focus group technique to identify participants' view points. We divided 30 department chairs into homogenous groups of 4-6. After a brief introduction, the moderator presented questions to determine the participants' idea and a secretary recorded them. We categorized view points into main themes and subthemes. RESULTS: Ninety three percent of chairs participated in the sessions. Department chairs' view points were categorized into 3 main themes: "system is effective and important", "system is effective and important but some challenges should be considered" and "system is ineffective and should not be implemented". Subthemes included chairs' concerns, views, fears and reasons. CONCLUSIONS: The results of the study provided reliable information about department chairs' concerns and reactions to this system. Finally, we determined points of strengths and anticipated threats for developing a faculty member activity measurement system.

Comparative study of depression and consent among brain death families in donor and nondonor groups from March 2001 to December 2002 in Tehran.

OBJECTIVE: The aim of this research was to study the relationship between depression and organ donation among families of brain death cases. MATERIALS AND METHODS: This descriptive, cross-sectional study included a sample of first-degree relatives of brain death cases: 54 relatives among 27 organ donor families and 104 relatives among 58 nonorgan donor families participated in the research by the counting method. All families were questioned about their willingness for organ donation and at least 3 months had passed from their relative's death to the time we performed the research. Data were collected via a demographic questionnaire and Beck depression inventory (BDI) with a cutoff point of 16; persons with scores over 16 were considered depressed. Data were analyzed using descriptive statistics, Student t test, and chi-square test. RESULTS: Depression was observed in 20.4% of donor families and 17.3% of nondonor families; there was no significant difference between them. There were no significant differences in the frequency of depression between parents, spouses, and children of the 2 groups. The organ donors' relatives reported the effectiveness of organ donation to alleviate their grief: 66% completely and 32% partially. CONCLUSION: Organ donation does not have a significant effect on the course of grief and later depression among relatives of brain death cases.