seyyed mohammadmehdi hosseini

 Cervical insufficiency occurs in the second trimester. Herein, we report a successful term pregnancy in a woman with glucose intolerance and a history of cervical insufficiency after two consecutive preterm deliveries in the second trimester.

 We present a 35-year-old woman, G3P2L0, with a history of two preterm deliveries in the second trimester. In the second pregnancy, vaginal cerclage at the 18th gestational week did not prevent premature delivery. Following two pregnancies with borderline fasting blood sugar (FBS) results, we decided to further evaluate the gestational diabetes mellitus (GDM) state with a two-hour postprandial (2 hpp) glucose test and glucose tolerance test (GTT). By impaired 2 hpp and GTT results, an insulin regimen was started with subsequent vaginal cerclage in the third pregnancy. She delivered a healthy 2,750-g girl at 38 weeks of gestation by tight blood sugar control.

 More attention should be paid to evaluating glucose intolerance in pregnancy, especially in patients with cervical insufficiency. Blood glucose control in these patients can probably improve pregnancy outcomes.

Ali Asadi is one of the experts in the fields of social sciences and communications, who has experienced and studied Iran before and after the Islamic Revolution, and in his opinion, a significant system of thought can be extracted about the development of Iran. In this article, by reviewing Asadi's developmental ideas, his views are categorized in terms of development, transition period, technology, communication, culture and underdevelopment. Asadi proposes a comprehensive and technology-oriented development model for Iran. Despite understanding the issues of development for developing countries, he believes that with a strong nation-state, the steps of economic, political, cultural and technological development should be realized on the basis of a comprehensive strategic plan. His approach to development is somewhat close to the linear approaches to development. He measures development by global standards and the use of technology, and believes that each country must develop in its own way, according to its own ecological and traditional conditions.

Objectives Aim of this study is to investigate the self-narration of patients with schizophrenia.
Methods The study was done by narrative analysis and the statistical sample consisted of nine patients with schizophrenia, who were selected through purposive sampling. Research instruments used were Mental Status Examination form (MSE) and McAdams life story interview. Structural analysis and content analysis methods were used for analyzing data.
Results Results showed that the narrations of these patients began with an unstable situation in which there were some clues of a great chaos. This chaos is usually caused due to schizophrenia that totally impacts the narrator’s life. According to content analysis the main theme of the narrations of patients with schizophrenia was be sacrificed. Rejection, insecurity, loneliness, shame, and guilt were other important themes in their narrations. The absence of a father and an over-involved mother were also the themes of the narration.
Conclusion Data showed that the self-perception of patients with schizophrenia was self-centered perception and the illness had a critical role to play in that.