The effect of endometrial thickness and endometrial blood flow on pregnancy outcome in intrauterine insemination cycles.

OBJECTIVE: To investigate whether endometrial thickness and endometrial blood flow on the day of hCG administration is a predictor of intrauterine insemination (IUI) success. METHOD: A cross-sectional prospective clinical study with simple randomized sampling; Patient: 100 women experiencing the IUI cycle; Interventions: a comparison was made between pregnant and non-pregnant patients in terms of the endometrial thickness and pattern as well as the color Doppler flow on the day of hCG administration and also cycle parameters. Main outcome measures: endometrial thickness and patterns as well as the blood flow in color Doppler. RESULTS: With the overall pregnancy rate being 38%, it was demonstrated that the endometrial blood flow was significantly greater in the cycle pregnancy obtained on the day of hCG administration, yet it was realized that the endometrial thickness and pattern of sonography did not have any predictive values for endometrial receptivity . In a multivariate analysis, the pregnancy rate was affected by the following variables: the duration of infertility, the women's age, the type number of IUI cycles, the number of injections to stimulate dominant follicles, and the sperm count. In the current study, the variability was realized to be of no predictive values for the IUI outcome, yet the endometrial flow in color Doppler was found to be positively connected with the pregnancy outcome.

A comparative study of satisfaction and family conflicts among married nurses with different working hours.

OBJECTIVE: Compared with other employees, Iranian nurses can lead a very difficult and exhausting life, especially when they are married and have different working hours. In this regard, the present study was carried out in order to compare satisfaction and family conflict among married nurses with different working hours in Tehran. MATERIALS AND METHOD: Multistage cluster sampling was employed to select 230 individuals from among 3,000 married female nurses working in teaching hospitals in Tehran. Among the selected participants, 115 were working morning shift and 115 on evening shift on a rotating shift basis. Enrich marital satisfaction scale and Carlson's work--family conflict questionnaire were employed in order to measure the study's variables. RESULTS: Results showed that there was no significant difference between the two groups in terms of marital satisfaction (P > 0.05). However, they were significantly different with regard to work--family conflict (P < 0.05). CONCLUSION: It can be concluded that being a nurse implies this notion to other people that nurses are not dissatisfied with their marriage; however, family members may not have such a mutual understanding about them.

An Investigation of the Effects of the Acceptance and Commitment Therapy in Groups on the Cognitive Strategies of Emotion Regulation and Self-Control in Coronary Heart Disease Patients.

Coronary heart diseases are amongst the most common and severe diseases; also, the prevalence and emergence of these diseases are largely affected by psychological and social factors. The present study was conducted in order to investigate the effects of acceptance and commitment therapy in groups on the cognitive strategies of emotion regulation and self-control in patients with cardiovascular diseases. The present work is a quasi-experimental research with a pretest-posttest design and a control group. The statistical population of this study included all patients with coronary heart disease aged 35-55 years who referred to hospitals, health centers, and cardiovascular clinics of Isfahan in the spring of 2018. Among these patients, 30 patients were selected based on the inclusion criteria of the study using a convenience sampling method. They were then divided randomly into two experimental and control groups, with 15 participants in each group. The patients in the experimental group participated in eight 60-minute sessions of the Hayes' Acceptance and Commitment Therapy (ACT) (2002). However, no intervention was applied to the control group. The participants responded to the research questionnaires in two phases. The questionnaires included the Garnefski's Cognitive Emotion Regulation Questionnaire (CERQ) (2001) and the Tangji's self-control questionnaire (2004). The research data were analyzed using covariance analysis in SPSS 24. The results of the covariance analysis indicated that the group-based acceptance and commitment therapy exerted a significant effect on the total score of the two strategies, i.e., the positive strategy of the cognitive regulation of emotions and the negative strategy of the cognitive regulation of emotions (p<0.05). However, no significant difference was observed in terms of self-control (p> 0.05). The findings of the present study showed that the treatment intervention resulted in increased use of acceptance strategies, positive re-focus, and re-focus, as well as reduced use of rumination and other-blaming strategies in cardiovascular patients in Isfahan.

The relationship between job motivation and its dimensions with organizational commitment and its dimensions in midwives of sanitary and therapeutic centers, Arak University of Medical Sciences, 2017.

INTRODUCTION AND AIM: Human resources with the quality of desirable performance are the most important assets of the organization and increase the probability of success, survival, and progress of the organization. Midwives have a critical role in promoting the health of mothers and infants and survey the relationship between job motivation and organizational commitment can help health system managers and planners to improve the quality of the services provided. METHODS: This is a cross-sectional and correlational study; samples of midwives in Arak University of Medical Sciences were selected by stratified sampling with proportional allocation method. The instrument of gathering was demographic information questionnaire, Herzberg's job motivation, and organizational commitment of Allen and Meyer. Data were analyzed by SPSS 16 software and (P < 0.05) were considered significant. RESULTS: There was a significant relationship between job motivation and organizational commitment and their dimensions (r = 0.68, P < 0.001). The highest correlation between job motivation and emotional commitment (r = 0.77), normative commitment (r = 0.62), and continuous commitment (r = 0.55). The most related emotional commitment by way of communication (r = 0.74), continuous commitment to salary and wages (r = 0.54), and normative commitment with the nature of midwifery was r = 0.61. CONCLUSION: The results show the importance of communication dimensions, salaries, and wages and the nature of job in the commitment of midwives in Markazi Province. More attention from health system administrators to these dimensions can be useful in increasing the motivation and organizational commitment of midwives in this province.