ahmad vosough taghi dizaj

As treatment focus has shifted from disease to patient, the importance of patient-centered care has increased. This study is aimed to investigate on patient centeredness in an infertility care center.
This was a cross sectional study of a sample of 268 patients attending to the Royan Institute infertility care center, in Tehran, Iran. We used The Patient-centeredness Questionnaire-Infertility (PCQ-Infertility) to collect the data. It has 45 questions and 8 dimensions (access, information and explanation, communication, patient involvement in treatment, respect for patient's values, continuity of care, competence of staff and organization of services).
The analysis showed that out of 0 to 3, the score of patient centeredness in infertility care was 1.26. The highest score with mean of 1.49 was for communication and the lowest score with mean of 1.02 was for continuity of care. Also the result showed that there was no significant difference among patient centeredness care score among men and women (p=0.50) and also among patients who were pregnant and those who were not (p=0.058).
Providing patient centered care especially in infertility care, the process of care apart from providing patient participation should include emotional support for patients.

Several studies have assessed the correlation of fetal choroid plexus cyst (CPC) and the risk of congenital anomalies, but few ones have discussed isolated CPC (with no other abnormal sonographic finding).

The aim of this study was to determine the outcome of isolated fetal choroid plexus cyst and to specify its clinical significance.

This cross sectional study was carried out at Royan Institute in Tehran, Iran, between April 2009 and December 2012. All prenatal sonographies in this period of time were assessed using a computerized database and fetuses who had isolated CPC were recruited in the study. Sonography reports, mother serum screening test results, fetal echocardiography and amniocentesis were evaluated until birth. A follow-up phone call was made to all individuals to learn about the neonatal outcomes.

Overall, 6240 prenatal sonographies were performed in this setting during this period. Isolated CPC was detected in 64 fetuses. The results of double test (N=30), triple test (N=5) and fetal echocardiography (N =24) were normal. Quadruple test result showed 3 abnormal out of 29 cases that all had normal karyotypes. Four samples were dropped out due to premature rupture of membranes (N=3) and intrauterine fetal death (N=1). It was found that the outcomes of all remaining fetuses (N=60) were normal and no anomaly ones were seen until birth.

Isolated CPC is a benign regressive condition with no clinical significance.

Patient centeredness care is the extent of interaction between physicians and patient that requires vision and understanding of the patient as a person in addition to the illness. Since the aim of establishing quality management systems is accountability, transparency, and justice, this study was aimed to assess the impact of quality management system on patient centeredness.
The study population included all patients at infertility care center with a sample size of 384 cases obtained from Morgan method. The confirmed patient centeredness questionnaire-infertility with 45 questions in 8 aspect, access (2 questions), information and explanations (12 questions), communication skills of employees (6 questions), participation in treatment (3 questions), respect for the values and needs (6 questions), duration of treatment (6 questions), qualified staff (6 questions), and organization of care (4 questions) was measured. After the establishment of quality management system, the same questionnaire was applied again.
The results showed that there is no significance difference at any dimension of patient centeredness before and after establishment of quality system management.
The quality management system is not effective on patient-centered treatment and should be used alongside other quality models.

A family traditionally consisted of a married man, his wife, and their children. The new reproductive technologies including use of the third party as egg, sperm and embryo donation and also surrogacy have changed the traditional meanings of lineage, ancestry and family. The increasing number of lesbians and gays in addition to single women requesting fertility treatment from IVF centers in the world has brought a debate: “Can fertility treatment be offered to single persons or homosexuals?” According to ASRM and ESHRE taskforces, there is no such limitation, but as legislations and law, also ethical and social considerations depending on the culture, believes and religion of societies must be considered as limitations in some contexts like Iran. In this study we review the Iran law and also some Islamic resources about offering the fertility treatment to single mothers or homosexuals. Homosexuality is not accepted in Islamic contexts and is considered as a crime. Children should have a family with both mother and father, unless they lose one of them or both. In the latter situation Islamic court will hand over the custody of the child to someone else like uncle or grandfather We concluded that according to Islam and Iran’s law, fertility treatment cannot be offered to single mothers and homosexuals mostly because of welfare of the child.