Modern Care Journal
Volume:18 Issue: 1, Jan 2021

 Despite advances in the treatment of substance abuse disorders, some clients experience lapse and relapse after treatment. As a stage before relapse, the lapse is a major challenge in the treatment of addiction.

 This study attempted to develop and psychometrically assess a lapse management program and its educational content after quitting in patients with substance use disorders.

 This study was performed in two parts. In the first part, the program and its educational content were designed, and in the second part, it was validated using the opinions of 10 experts in two phases. For program validation, face validity and content validity were used both qualitatively and quantitatively.

 The lapse management program and its educational content were designed based on self-awareness skills in eight sessions. The validation results showed that the minimum and maximum CVR values for each component of the program were calculated as 0.8 and 1, respectively. Also, the minimum and maximum CVI values were 0.86 and 1, respectively. Moreover, the average content validity index for the entire program was 0.94.

 The results showed that the lapse management program and its educational content had a good face and content validity for recovering clients and enjoyed the necessary validity for educational, clinical, and research applications.

 High physical activity level (PAL) and anthropometric characteristics (AC) are positively associated with quality of life (QoL). Several studies have investigated rural-urban differences in PAL, AC, and QoL. However, cultural and geographical differences have not been studied yet.

 This study aimed to examine PAL, AC, and QoL of middle-aged women living in rural and nomadic Areas of Kermanshah province (Sarpol-e-Zahab, Paveh, and Kangavar cities).

 In this descriptive-analytical study, using the multi-stage (Cluster) sampling techniques, 1635 nomadic rural women from three cities of Kermanshah province (Sarpol-e Zahab (n = 609); Paveh (n = 480) and Kangavar (n = 546)) were volunteered. After filling out the consent form, the PAL and QOL questionnaires were completed and anthropometric parameters were measured. The PAL was assessed using the Baecke physical activity questionnaire, and the QOL was measured by the QoL Questionnaire (short-form-SF-12).

 The findings showed that BW, BMI, BFP, and WHR were 68.01 ± 14.90, 27.46 ± 5.33, 29.41 ± 9.28, and 0.91 in Sarpol-e Zahab; 67.90 ± 15.56, 27.88 ± 17.85, 33.03 ± 11.97, and 0.93 in Paveh; and 69.24 ± 14.74, 28.31 ± 5.59, 30.91 ± 11.67, and 0.92 in Kangavar, respectively. In Paveh city, the PAL and QOL (14.37 ± 5.10; 23.08 ± 2.32; P = 0.001, respectively) were significantly higher than Kangavar (12.23 ± 3.18; 20.28 ± 3.32) and Sarpol-e-Zahab (10.57 ± 6.11; 16.24 ± 7.22) cities. A significant association was found between PAL and QOL (P = 0.001).
Calculation: Based on the findings, increasing the PAL of middle-aged women might improve QoL and AC.

 Exclusive breastfeeding (EBF) for the first six months of life is the best nutritional option for the growth and development of infants. EBF has a unique biological and emotional effect on the health of the infant and mother. Despite this, the prevalence of EBF is lower than the standard recommended by the World Health Organization (WHO).

 The current study aimed to investigate the determinants of exclusive breastfeeding’ intention based on the Integrated Behavioral Model (IBM) in pregnant women living in Birjand.

 Following a descriptive-analytical design, 292 pregnant women referred to health centers of Birjand (Iran) in 2020 were recruited. Sampling was performed using the multistage cluster random technique. Data were collected using a researcher-made questionnaire based on the constructs of IBM. Analyses were conducted by SPSS-19 using Pearson correlation and regression analysis at the significance level of P < 0.05.

 There was a significant positive correlation between EBF intention and the mean value of different constructs of IBM (P < 0.001). According to the results of regression analysis, perceived self-efficacy, experiential attitude, and injunctive norm could predict EBF intentions (R2 = 0.58).

 This study demonstrated that a considerable part of the changes relevant to EBF intention could be predicted by the constructs of the integrated behavioral model. Hence, using this model to analyze other health behaviors is a promising option.

 Learning styles, as individual characteristics, form and evolve as we grow older, which in turn may improve the students' educational outcomes. Identifying factors that contribute to learning styles helps us further to better achieve this goal.

 The present study aimed to, firstly, determine learning styles and, secondly, investigating their relationship with self-esteem and self-efficacy.

 In this cross-sectional study, 150 nursing students were selected through a convenience sampling method. Data were collected using VARK standard questionnaire, Rosenberg self-esteem scale, and Sherer self-efficacy scale. Data were analyzed using SPSS v22 by descriptive and analytical tests.

 The mean age of participating students was 21.04 ± 3.43 years. Overall, 83.2% of them preferred one learning style. The most common preferred style was "auditory style". Mean scores of self-esteem and self-efficacy were 21.25 ± 5.07 and 62.66 ± 7.31, respectively. No significant relationship was observed between students' self-esteem and self-efficacy with their learning styles (P > 0.05).

 Determining students’ preferences for learning style is the first step to improve their educational outcomes.

 Cardiopulmonary resuscitation (CPR) is an integral part of prehospital emergency care. Addressing the barriers to successful CPR may help improve the quality of CPR in the future.

 The present study aimed to identify the barriers to successful CPR from the perspective of EMS providers.

 This cross-sectional analytical study was conducted from May 2015 to Jan 2016. One hundred sixty EMS providers who were employed at EMS affiliated to Birjand University of Medical Sciences (Iran) were selected through simple random sampling. To assess barriers to the success of CPR, data were collected using a researcher-made questionnaire (60 questions) categorized in six subscales. Study data were analyzed by SPSS v.16, descriptive (frequency, mean, and standard deviation), and inferential statistics (t-test and ANOVA).

 Among the subscales of barriers to successful CPR from the perspective of EMS providers, the EMS structure subscale was the most important (3.06 ± 0.38, out of a 0 - 4 range). In this subscale, public inaccessibility automated external defibrillator (AED) (3.59 ± 0.49) and Lack of telephone-CPR advice by the dispatcher (3.58 ± 0.55) were the most important barriers, respectively. There was a significant difference between the mean score of barriers to successful CPR and educational status, which increased in EMS providers with BS degree (P = 0.003). There was no significant difference between the mean score of barriers to successful CPR compared to the other demographic characteristics of EMS providers (P > 0.05).

 EMS providers perceived public inaccessibility AED and Lack of telephone-CPR training as the most important barriers to success CPR in prehospital emergency care. Therefore, public access to AED must be emphasized to promote immediate response and improve CPR's outcome in EMS. Moreover, telephone-CPR training by dispatchers should be recommended to help increase the success of CPR.
 

 Diabetes and hepatitis are among the most common diseases in the world. Hepatitis C virus leads to extra-liver manifestations, including endocrine disease and diabetes. The prevalence of hepatitis C and B in diabetic patients and the prevalence of diabetes in hepatitis C and B patients are higher than those in normal populations, and if each is added to the other, the complications will be more and the consequences will be worse.

 This study aimed to compare the frequency distribution of diabetes and serum lipid levels in hepatitis B and C patients and other people.

 In this retrospective case-control study, 80 patients with hepatitis B and C and 160 patients without hepatitis were included. In both groups, those with two glucose levels above 126 mg/dL were considered as diabetic subjects. Also, the tests for factors such as cholesterol, TG, LDL, HbA1c, HDL, and liver ultrasonography were performed for patients. Data were collected and entered into SPSS 23 software and analyzed using descriptive statistical tests (t test and chi-square or Fisher's exact test) at a significance level of α = 0.05.

 A total of 240 patients [80 cases (hepatitis B or C positive) and 160 controls] were enrolled. Of them, 46.3% were females and most of them were in the age range of 45-55 years. Besides, 14 (5.8%) subjects had high fasting blood glucose levels of more than 126 mg/dl twice, and were considered to have diabetes. Among them, four (5.0%) cases (all having hepatitis B) and 10 (6.3%) controls were diabetics. Statistical analysis showed no significant difference in the mean serum lipids of cholesterol and LDL between the case and control groups (P < 0.1) but there was a significant association between HDL and TG in both groups (P = 0.02).

 All patients with hepatitis B and C should be screened for diabetes, and in addition to fasting blood glucose, we suggest that HbA1c be measured to confirm or rule out diabetes.