فهرست مطالب ghazaleh sheikhani

Women's orgasm is a biopsychosocial experience that causes a woman to experience sincere communication and pleasure, and possibly pregnancy. To date, limited studies conducted for evaluation of the efficacy of drugs on sexual function in women with anorgasmia. Therefore, the purpose of this study was to evaluate the efficacy of bupropion on the sexual function of a group of Iranian women with orgasmic disorders. This was a pilot randomized clinical trial study on 32 women with orgasm disorders, who referred to the psychosexual clinic of Khorshid hospital, Isfahan, Iran. Patients were selected by simple sampling method, and randomly divided into equal intervention and control groups. In intervention group, bupropion was started at a dose of 75 mg, and increased weekly to 300 mg; the control group received a placebo. Scores of sexual satisfaction and sexual function of participants were evaluated using the Persian version of the Larsson Sexual Satisfaction Questionnaire and the Female Sexual Function Index (FSFI) before the intervention and 2, 4, 6, and 8 weeks after the onset of intervention. The data were analyzed using Mann-Whitney U and Friedman tests. There was a significant difference in desire subscale between the two experimental and control groups from the second week, and in mental arousal and vaginal lubrication from the fourth week of the trial. This significant difference was observed in orgasm, sexual satisfaction, and pain only at the sixth and eighth weeks, and between experimental and control groups in the total scores of sexual satisfaction from the second week (P < 0.010 for all). Bupropion caused improvement in sexual satisfaction of women with orgasmic disorders and these changes occurred in all subscales of sexual performance. Further studies are warranted with greater sample sizes and more extended periods.

Depression and anxiety are two common mood disorders in modern societies with global expansion, which reduce the quality of life. A number of recent studies have investigated the relationship between anxiety and depression in patients with asthma. Due to the lack of studies in this area, especially in Iran, we studied this issue in Iranian population. This was a cross-sectional study on 151 patients with asthma referred to lung subspecialty clinics in Isfahan and Shahrekord cities, Iran, in 2016. The participants were included using sequential sampling method. The Hospital Anxiety and Depression Scale (HADS) questionnaire was used as an instrument for measuring anxiety and depression. Data were analyzed using t and Spearman correlation tests via SPSS software. 151 patients with asthma entered the study. By controlling demographic characteristics, and considering the underlying disease, the relationship of depression scores with the severity of asthma was not significant. Anxiety scores related to having the disease and gender. It can be concluded that the level of anxiety and depression was not related to the severity of asthma. Considering the high prevalence of asthma and the role of depression and anxiety in people's quality of life, more studies, using different tools to measure the level of anxiety and depression, shows to be needed.

Sleep is an effective factor in physical and psychological health that its lack can cause a malfunction in the daily functioning, as well as loss of overall performance. This cross-sectional study was conducted on 918 students of Isfahan University of Medical Sciences, Isfahan University of Technology, and the University of Isfahan in Isfahan City, Iran. Clustered random sampling method was used to select the participants. The instruments used were the demographic questionnaire and sleep health scale. Data were analyzed using covariance analysis and Tukey’s post hoc test. The mean total score of the sleep hygiene questionnaire was 297.90 ± 39.15, which varied from 195 to 425. The mean score of the total score of the questionnaire was higher in students of Isfahan University of Medical Sciences compared to other universities (P < 0.050). Girls of Isfahan University of Medical Sciences scored the highest score (P < 0.050). The average score of knowledge of sleep health was significantly higher in students of Isfahan University of Medical Sciences than in Isfahan University of Technology (P < 0.001) and in University of Isfahan (P < 0.001). The mean score of sleep hygiene knowledge had a significant and direct relation with different years of study and age (P < 0.050). The average score of sleep attitude was higher in dentistry students than other students (P < 0.001). Results showed that medical students have a better attitude and function of sleep health. Mean scores of attitude, performance, and sleep hygiene were significantly higher in students of Isfahan University of Medical Sciences than in other two universities, and the mean score of girls in Isfahan University of Medical Sciences was higher than other groups.

Prediction of difficult laryngoscopy is an essential part of airway management in general anesthesia .The purpose of the present study was comparison of commonly used tests of prediction of difficult laryngoscopy and endotracheal intubation ratio of height to thyromental distance (RHTMD), Modified Mallampati test (MMT), upper lip bite test (ULBT), ratio of neck circumference to thyromental distance (NC/TMD) with acromio-axillo-suprasternal notch index (AASI) in general anesthesia.
A total of 728 patients scheduled for surgery under general anesthesia with endotracheal intubation were enrolled in this study. The dimensional predictive test measurements (AASI, ULBT, RHTMD, NC/TMD, MMT) were accomplished on all patients. The laryngoscopic view was graded with Cormack-Lehane (CL) grading system. Receiver operating characteristic (ROC) curve, Sensitivity, specificity, and Positive predictive value (PPV) were used to compare the tests.
Findings: Our study showed that the incidence of difficult view laryngoscopy (DVL) is about 2.9%. AASI had the highest specificity, positive likelihood ratio, PPV and NPV in comparison with the other predictive tests. AASI with cutoff point ≤ 0.6 had the higher cut off point. AASI has the highest ROC with significant difference to other prediction tests. RHTMD had the least sensitivity.
Our study showed that AASI can be a good screening test to predict difficult laryngoscopy in general anesthesia.