Postpartum physico sexual problems and related factors

زمینه و هدف: آگاهی از مشکلات فیزیکی - جنسی بعد از زایمان و عوامل مرتبط با آن می تواند در مراقبت های بعد از زایمان مد نظر و بکار گرفته شود. لذا پژوهش حاضر با هدف تعیین مشکلات فیزیکی ـ جنسی بعد از زایمان و عوامل مرتبط با آن انجام گردیده است. روش بررسی: این پژوهش یک مطالعه توصیفی - تحلیلی بوده و در آن 384 نفر از زنانی که برای اولین بار بعد از زایمان به 12 مرکز بهداشتی درمانی شهر اصفهان مراجعه کرده بودند، مورد بررسی قرار گرفتند. ابزار گردآوری داده ها پرسشنامه خود ساخته مشتمل بر 3 قسمت مشخصات فردی، باروری و مشکلات فیزیکی - جنسی بود که به روش مصاحبه حضوری گردآوری گردید و با استفاده از روشهای آماری توصیفی و استنباطی (آزمون تی مستقل و مجذور کا) مورد تجزیه و تحلیل قرار گرفت. یافته ها: نتایج نشان داد که اکثریت زنان (6/77) مورد پژوهش دچار مشکلات فیزیکی ـ جنسی می باشند، به طوری که 2 از خشکی واژن در هنگام فعالیت جنسی، 7/3 از درد و ناراحتی پرینه (در محل اپی زیوتومی یا پارگی)، 5/14 از فقدان یا کاهش میل جنسی، 9/24 از احساس خستگی و 9/54 از ترکیبی از مشکلات شاکی بودند. با افزایش تعداد زایمان، تعداد فرزندان و مدت ازدواج، مشکلات فیزیکی ـ جنسی کاهش می یابد (05/0

Patient Satisfaction with Nursing and Medical Care in Hospitals Affiliated to Arak University of Medical Sciences in 2009

Background: Patient satisfaction is essential and must be taken into account when decisions are being made about changes and enhancements to services. Objectives: The aim of the current study was to assess patient satisfaction with the medical and nursing services provided to patients admitted to teaching hospitals affiliated to Arak University of Medical Sciences. Materials and Methods: This was a cross-sectional study conducted in 2009. The study population consisted of all patients admitted to the study setting. The instrument consisted of a demographic questionnaire and patient satisfaction questionnaire. Study data were analyzed using Chi-square test, Pearson's and Spearman's rho correlation coefficient. Results: In terms of the medical and nursing care provided, 67% and 69% of the participants were satisfied, respectively. The ‘access to opportune nursing care’ and ‘physician’s manner’ items received 82.7% and 81.7% of scores, respectively. Satisfaction with medical and nursing care was significantly correlated with the participants’ education levels (P < 0.05). Conclusions: The study showed that patient satisfaction was at an average level, therefore, policy makers in the organizations should consider customer-based feedback and apply various methods to improve it

A study on burning behavior and convective flows in Methanol pool fires bound by ice

Abstract (ID: 2017-170) An experimental study on methanol pool fires bound by ice was carried to research the burning behavior and flow field (within the liquid-phase) of methanol. The experiments were conducted in two parts: 1- in a cylindrical ice cavity/pan (10.2 cm diameter and 6 cm depth) at three different conditions to analyze burning parameters of methanol, 2- in a square glass tray with outside dimensions of 10 × 10 cm and a depth of 5 cm to obtain flow field of methanol pool with a two-dimensional PIV (Particle Image Velocimetry) system. The results of the experiments of the first part show the cold boundaries of the ice cavity/pan act as a heat sink causing considerable heat losses. Thus, burning rates and burning efficiencies are found to be lower with cold boundaries. However, the burning rate values in ice cavity are found to be the highest because of the melting of the ice and expansion of the cavity. The analysis of the results obtained by the PIV system showed the velocity magnitudes and flow patterns in the liquid-phase of icy methanol fire significantly change over the course of burning. In the instants after ignition a horizontal flow induced by Marangoni near the surface was observed. Later on, mixing of melt-water with methanol and sinking of this mixture caused a cycle in the tray that resulted in a vortex appearing in the middle of the pool. Magnitudes of velocity were also observed to increase after ignition. The increase in the velocity magnitudes is expected to significantly impact the melting and size of the lateral cavity.</jats:p

Teachers and student nurses’ attitudes towards caring for older adults in Arak, 2012

Background and aim: Nurses are an important part of the care team that in the care of the elderly plays a major role that their attitudes towards working with older people have an impact on the quality of care. This study was aimed to determine the attitude of teachers and nursing students towards the nursing care of the elderly. Methods: In this descriptive analytical study, all of 116 nursing students of third and fourth year and 22 clinical instructors in Arak University of Medical Sciences participated in this study in 2012. Samples were selected with census method. Data collection instrument was an investigator- made questionnaire that its validity and reliability was established. Scores of attitudes were arranged to three levels of weak, average and good after recoded in terms of accepted scores. Results: In terms of attitudes toward care of older people, findings showed that teachers (3.69±0.42) have more positive attitude toward caring for the elderly compared to students with an average of 3.45±0.32. This difference was significant (P=0.01). The majority of nursing students (83.6%) and teachers (72.7%) had moderate attitude towards the care of elderly patients. Conclusion: Although obvious weakness of this approach was less visible teachers can be a suitable model by knowledge and a change in their attitude for their students and try for induction understanding of health value for all members of society, and create better living conditions for them

Advances in Architectures and Tools for FPGAs and their Impact on the Design of Complex Systems for Particle Physics

The continual improvement of semiconductor technology has provided rapid advancements in device frequency and density. Designers of electronics systems for high-energy physics (HEP) have benefited from these advancements, transitioning many designs from fixed-function ASICs to more flexible FPGA-based platforms. Today’s FPGA devices provide a significantly higher amount of resources than those available during the initial Large Hadron Collider design phase. To take advantage of the capabilities of future FPGAs in the next generation of HEP experiments, designers must not only anticipate further improvements in FPGA hardware, but must also adopt design tools and methodologies that can scale along with that hardware. In this paper, we outline the major trends in FPGA hardware, describe the design challenges these trends will present to developers of HEP electronics, and discuss a range of techniques that can be adopted to overcome these challenges

Prioritizing the Researchers’ Important Competencies in Research Centres

Changes caused by the knowledge economy, including the emergence of new idea flows in management, methods and structure of organizations, have led to a change in the roles and skills needed for researchers in organizations. As new age organizations focus on intellectual property, organizational aspirations and organizational change, the researchers, as the wealth creators, in order to quickly adapt to new situations and develop their competencies in the competitive market, need to constantly change and develop a new identity for themselves. Since competencies have a prudential feature through describing skills and behavioural approaches, identifying and explaining researchers’ competencies in research centres is of particular importance. Accordingly, the present paper seeks to identify the factors and indicators of researchers’ competencies in research centres using scientific methods and surveys and then identify, classify, and prioritize researchers’ important competencies using statistical methods. According to the results obtained from the present study, creativity and innovation, integration, accountability and customer orientation competencies have higher priorities; however, all identified important competencies have a significant positive distance to mean. With the help of the results of this study, researchers and managers can clarify expectations about each other