Notes

A specific nursing jobs instructional enter in individuals along with Cushing's affliction.
Volunteers are valuable human resources for service-providing organizations. Health system requires their participation and cooperation in all sectors to achieve more success. The present study was conducted to recognize factors influencing the use of volunteer clinical forces (VCFs) in Tehran hospitals from 2018 to 2020.

This is a qualitative study, based on grounded theory approach, and was done through semi-structured interviews. The studied population included the experts, managers of hospitals, and high-ranking managers in the Ministry of Health, Iranian Red Crescent Organization, and health nongovernmental organizations (NGOs). Nineteen persons were selected by purposeful sampling method and interviewed. buy JNK inhibitor The achieved data were analyzed by content analysis method.

The results showed that using VCFs in Tehran's hospitals was affected by eight following factors organizational, legal, policy-making, economic, social, security, personal, and cultural dimensions. These findings illustrated the necessitye of VCFs cause to develop hospitals' resilience, develop social participation, and improve social capitals in medical field.
Making decision for separation from the spouse is one of the crises which are followed by unpleasant feelings such as self-criticism in the people. The purpose of the present study was to investigate the effectiveness of compassion-focused therapy (CFT) on self-criticism of the women applying for divorce.

The research design was quasi-experimental with pretest, posttest, and control group type. The population included all the women applying for divorce who referred to an intervention-in-crisis center under the supervision of the organization of well-being in the city of Tehran in 2019. It had the convenient sampling method where the subjects were accommodated into two groups of fifteen women both in the experimental and control groups. The present study had the convenient nonrandom sampling method and the statistical population included 30 women from whom 15 women were accommodated into experimental group and so were 15 in the control group. Sampling method was in available, nonrandom type wherein 15 womebe able to confront this issue effectively and achieve mental health.
Foot problems are most common among patients with diabetes, and they are an important cause of morbidity in patients with diabetes mellitus (DM). They can be prevented by following a simple foot care practice. The study objective was to stratify the level of risk for diabetic foot ulcer (DFU) among patients with diabetes by screening.

A descriptive cross-sectional study design was adopted in this study. The sample size was 196, and a standardized INLOW'S 60-s diabetic foot screening tool was used to assess the risk of diabetic foot. link2 Data collection was done by face-to-face interview, and diabetic foot risk (DFR) was assessed by direct observation, inspection, and palpation methods.

Among the 196 patients, majority required yearly foot screen in both feet. The mean and standard deviation of the level of DFR in the left foot (LF) and right foot (RF) was 4.31 ± 2.267 and 4.51 ± 2.391, respectively. There was a statistically significant association between the practice of treatment and level of foot screening recommendation in the LF with Chi-square value of χ
= 8.20 (
= 2) and RF with Chi-square value of χ
= 7.95 (
= 2) at
< 0.05 level.

Health-care providers should be made aware of the regular practice of screening the foot of diabetic patients along with health education awareness programs. It may be helpful to identify the foot ulcer risk at an early stage. It will prevent further complications of DFU and recurrence of ulcer and will reduce the economic burden to patients and their family members and the health-care system.
Health-care providers should be made aware of the regular practice of screening the foot of diabetic patients along with health education awareness programs. It may be helpful to identify the foot ulcer risk at an early stage. It will prevent further complications of DFU and recurrence of ulcer and will reduce the economic burden to patients and their family members and the health-care system.
Childbearing is an important event in a couple's life. link3 The parents might have children with disability that affected on their well-being after the children's birth. Well-being considered as an important aspect of a couple's quality of life which may alter the future of their fertility. The present study was conducted to the association of psychological well-being and fertility intention in parents with educable intellectually disabled children.

The study was a cross-sectional descriptive research conducted on parents of children with intellectual disability (
= 386). Parents were selected randomly of schools of exceptional education and welfare. The data were collected using Ryff's scale of psychological well-being, demographic information, and fertility intention questionnaire. Data were analyzed using descriptive and analytical tests including independent
-test, Chi-square test, Mann-Whitney U-test, and Logistic regression.

The majority of parents (83.9%) reported the negative infertility intentio also indicated parents' age and the number of children correlated with fertility intention. The findings can be used to advance counseling programs in the field of healthy reproduction for this group of parents.
Clinical supervision is a mechanism that allows medical trainees to learn their profession through the practice of clinical activities alongside more experienced physicians who ensure safe and timely care delivery. Therefore, recognizing of medical students experiences as people who will provide health services to people in future can be an important source for gathering information and planning to improve the quality of clinical education. The aim of this study was to explain the experiences of medical students from clinical educational supervision.

This study was a qualitative content analysis conducted on 15 interns of the surgery and internal departments of medical and educational centers in Islamic Azad University Najafabad Branchin Isfahan, Iran to discover. The sampling method was purposive, and data were collected through semi-structured interviews in 2019. Data analysis was performed using a qualitative content analysis method with a conventional inductive approach.

Five main categories and ninesubcategories were developed. The main categories include fundamental role, relaxed alertness, shadow education, toxic education, and abandoned educational.

The educational clinical supervisory has an efficient performance in clinical teaching which needs to be more assessed and improved.
The educational clinical supervisory has an efficient performance in clinical teaching which needs to be more assessed and improved.
"Stress" acts as both etiological link and also as an outcome in the case of diabetes mellitus. There is a paucity of literature regarding stress levels and also factors associated with it among diabetic patients in India.

To assess the perceived stress levels and their associated factors among diabetic inpatients in a rural tertiary health care center, South India.

A facility-based cross-sectional analytical study was conducted among inpatient diabetics seeking care at a rural tertiary care center in Kolar district of Karnataka. A pre-tested semi-structured questionnaire was used to capture the sociodemographic, disease-related, treatment-related and behavior-related characteristics of the inpatients. The outcome of "perceived stress" was captured using a standard questionnaire of Cohen Perceived Stress Scale-10. Poisson regression was used for multivariable analysis, and the association was expressed as prevalence ratio with 95% confidence intervals (CI).

Out of the 247 study participants analysed, "perceived stress" was seen among 97 (39.3%) of the participants (95% CI 33.3%-45.5%). Multivariable analysis showed that factors like younger age, lesser duration of diabetes, presence of any comorbidity, being underweight, having conflicts at work place/home in the last 1 month, and not having enough money for treatment had shown higher levels of "perceived stress."

About two out of five inpatient diabetics seeking care from rural tertiary health centres had shown to have "perceived stress." There is a need for the inclusion of stress management techniques in the diabetes education program at all levels of health-care systems.
About two out of five inpatient diabetics seeking care from rural tertiary health centres had shown to have "perceived stress." There is a need for the inclusion of stress management techniques in the diabetes education program at all levels of health-care systems.Inappropriate and irrational use of numerous advanced diagnostic imaging technologies has recently been highlighted in many countries and has gathered the attention of policymakers. This matter has not only increased health costs in countries but also resulted in adverse health results. Various factors are involved in the inappropriate or unnecessary use of advanced medical imaging techniques including patient-related, physician-related, technological, and ultimately radiologist-related factors. This calls for the provision of new guidelines by policymakers to encourage all service providers to make appropriate use of such techniques. One of the main approaches in this regard is the application of clinical guidelines and decision support systems. The present study was a systematized review that conducted in January 2019, and the articles related to palliative care requirements on databases of Web of Science, PubMed, Scopus, ScienceDirect, Ovid, ProQuest, Wiley, and Google Scholar from January 1, 2009, to January 20, 2019, were searched. Strategy for searching and selecting the articles was Preferred Reporting Items for Systematic Reviews and Meta-Analyses Guidelines. Overview of the studies shows that various reasons for the overuse of diagnostic imaging technologies and effects of applying clinical guidelines on reducing diagnostic costs of treatment are investigated in this article with respect to various aspects and viewpoints. Clinical guidelines can be significantly effective in evaluating suitability and quality of referrals for diagnostic imaging, if only adapted properly.
Health promotion is one of the most important aspects in pregnancy, and health-promoting behaviors are one of the major determinants of health under the influence of various factors. This study aimed to determine the association between social support and psychological factors with health-promoting behaviors in pregnant women.

This cross-sectional was performed on 375 pregnant women when they had 24-28 weeks in Ilam, October 2018 to May 2019. Two-stage cluster sampling was performed after checking the inclusion criteria. Data collection tools consisted of four questionnaires that were completed in self-report form. The collected data were analyzed by the descriptive and inferential tests with the SPSS software version 19.

The mean score of health-promoting behaviors was 139.87 (21.26) and self-healing and physical activity had the highest and the lowest mean 27.67 (4.84) and 16.29 (4.84), respectively. Linear regression analysis showed a significant difference between different level of stress, anxiety, depression, and social support with health-promoting behaviors (
< 0.
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