The menopausal age and associated factors in Gorgan, Iran

Background: Considering the physical, emotional and psychological complications of early or delayed menopause on women's life, it is necessary to determine associated factors of menopause age. This study designed to determine menopausal age and associated factors in women of Gorgan, i.e. the capital of Golestan province in the north-east of Iran. Methods: In this cross-sectional study, 804 menopausal women in Gorgan were selected via two-stage sampling method in 2009. The study included only women who had undergone natural menopause and had their last menstrual bleeding at least one year before. Data were gathered through structured questionnaire that included individual characteristics, socioeconomic characteristics, menstrual and fertility characteristics and climacteric complaints. Socioeconomic status was defined using principal component analysis. Data were analyzed with Tstudent's and ANOVA tests using SPSS version 16 (SPSS Inc, Chicago, IL, USA) for Windows. Results: The mean menopause age was 47.6±4.45 years with the median age of 48 years. The mean menopause age in women with first pregnancy before 30 years (47.58±4.47years), without pregnancy (46.26±4.90years) and without delivery (46.30±4.47years) was significantly lower than others (p 0.05). Socioeconomic status was not associated significantly with menopause age (p>0.05). Conclusion: This study illustrated that menstrual and fertility factors have influence on menopausal age while socioeconomic factors were not effective

A sham-controlled trial of acupressure on the quality of sleep and life in haemodialysis patients

Background Sleep disorder in haemodialysis patients can lead to disturbance in their psychosocial function and interpersonal relations, and reduced quality of life. The aim of the present study was to investigate the effect of acupressure on the quality of sleep of haemodialysis patients. Methods In a randomised controlled trial, 108 haemodialysis patients were randomly divided into three groups: true acupressure, placebo acupressure, and no treatment. The two acupressure groups received treatment three times a week for 4 weeks during dialysis. Routine care only was provided for the no treatment group. The main study outcome was sleep quality. Results The total Pittsburgh Sleep Quality Index score decreased significantly from 11.9±3.13 to 6.2±1.93 in the true acupressure group, from 11.3±3.69 to 10.6±3.82 in the sham acupressure group, and from 10.9±4.10 to 10.7±3.94 in the no treatment group. There was a significant difference between groups (p<0.001). Conclusions Acupressure seems to have a positive effect on the sleep quality in haemodialysis patients. Clinical trial registration IRCT201106145864N2

Political parties: extent and nature

The political party is a means of connecting the political process with society and it helps to improve the political system. In addition, a central feature of any democracy is political party which serve as a vehicle through which citizens can come together freely to define their political and policy aspirations and campaign for public office. In fact political parties have developed alongside democracy, and it is commonly assumed that democracy cannot survive without them. This article is an overview from the extent and nature of the political party in any society

Determinants of childhood obesity in representative sample of children in north east of iran

Childhood obesity has become, a global public health problem, and epidemiological studies are important to identify its determinants in different populations. This study aimed to investigate factors associated with obesity in a representative sample of children in Neishabour, Iran. This study was conducted among 1500 randomly selected 6-12-year-old students from urban areas of Neishabour, northeast of Iran. Then, through a case-control study, 114 obese (BMI � 95 th percentile of Iranian reference) children were selected as the case group and were compared with 102 controls (15 th � BMI 85 th percentile). Factors suggested to be associated with weight status were investigated, for example, parental obesity, child physical activity levels, socio-economic status (SES), and so forth. The analysis was conducted using univariate and multivariate logistic regression (MLR) in SPSS version 16. In univariate logistic regression model, birth weight, birth order, family extension, TV watching, sleep duration, physical activity, parents job, parents education, parental obesity history, and SES were significantly associated with childrens obesity. After MLR analysis, physical activity and parental obesity history remained statistically significant in the model. Our findings showed that physical activity and parental obesity history are the most important determinants for childhood obesity in our population. This finding should be considered in implementation of preventive interventions. Copyright © 2012 Fereshteh Baygi et al

(R1458) A New Finite Difference Scheme for High-Dimensional Heat Equation

In this research‎, ‎a new second-order finite difference scheme is proposed to solve two and three- dimensional heat equation‎. Finite difference equations are determined via a discretization approach in which spatial second order partial derivatives in x and y directions are approximated simultaneously‎ while in the classic method, each spatial partial derivative is replaced by a central finite difference approximation, separately. By this new discretization scheme and also using the forward difference to the first-order time derivative, a finite difference equation is obtained for the parabolic equation. This approach is explicit and similar to other explicit approaches, an interval for the Courant number, r is determined. This region for r is obtained through Fourier stability analysis. The advantage of this approach is that its stability interval is larger than the interval for traditional methods. Numerical experiments are presented to confirm the theoretical results‎. It is shown that more accurate approximations can be obtained by the new scheme

Spiritual Well-Being, Depression, and Stress Among Hemodialysis Patients in Jordan

Purpose: The spiritual dimension of a patient’s life is an important factor that may mediate detrimental impacts on mental health. The lack of research investigating spiritual well-being, religiosity, and mental health among Jordanian hemodialysis patients encouraged this research. This study explored levels of spiritual well-being and its associations with depression, anxiety, and stress. Design: A quantitative, cross-sectional correlational study. Method: A sample of 218 Jordanian Muslim hemodialysis patients completed a structured, self-administered questionnaire. The data were analyzed using descriptive statistics and linear multivariate regression models. Findings: The hemodialysis patients had, on average, relatively low levels of spiritual well-being, moderate depression, severe anxiety, and mild to moderate stress. The results of the regression models indicated that aspects of spiritual well-being were negatively associated with depression, anxiety, and stress, but only existential well-being consistently retained significant associations after controlling for religious well-being, religiosity, and sociodemographic variables. Conclusions: Greater spiritual and existential well-being of Jordanian hemodialysis patients were significantly associated with less depression, anxiety, and stress. It appears that these patients use religious and spiritual beliefs and practices as coping mechanisms to overcome their depression, anxiety, and stress. The implications for holistic clinical practice are explored

Magical Realism and its European Essence

Magical realism is known with its oxymoronic characteristic, magic plus realism. It became known with the boom of the magical realist novel in the 1960s in Latin America and became globally recognized from 1980 onwards. However, it is mostly forgotten that it had started its journey from Europe. The term “magic realism” first appeared in German philosophy in 1798 in Novalis’ notebook. Then, it entered art criticism in 1925 through Roh’s essay and developed in Italy through by Bontempelli. Later, after transformation and formation, magical realism appeared in the novels as a popular mode first in Latin America and then worldwide. The present study charts the path and discusses the development of magical realism from its commencement in Europe. In addition to presenting the views of Novalis, Roh and Bontempelli on initiating the term, it compares their views to show what characteristic in their views inspires today’s magic realism

Assessing the level of CO2 emission in Iran via the econometric approach

The main objective of this study is to investigate the production of carbon dioxide and its effective factors on CO2 emission in Iran and other parts of the world. The results show that by increasing the population and to meet their needs, it is necessary to increase the production of fossil fuels, in the less-developed or developing countries. Also in developing countries by increase in the gross domestic product (GDP), expenditure in these countries arises. Since there is no suitable infrastructure for optimal use of resources properly. In Iran, the rate of CO2 emission arises by increased population and GDP. However, in developed countries, due to the high technology available to the society and government, the amount of CO2 emission is decreasing or under the control. In order to create suitable infrastructure for proper management of resources and expenditure, as well as to reduce CO2 emission, long-term planning is suggested to be drawn. Hence, transferring the technology to the country and domesticating it, will help in this trend. Furthermore, cooperation with successful countries in the field of reduction and control of CO2 emission and using experiences of successful countries facilitated this trend