hadi ghazalbash

One of the main issues in treating, preserving and promoting the human dignity is caring for patients' satisfaction and preventing harm, maltreatment, or damage to the patient. Therefore, the level of moral development based on Kohlberg's theory was studied among medical students of Rafsanjan University of Medical Sciences.

In the current cross-sectional study, eligible medical students (N=220) of Rafsanjan University of Medical Sciences were enrolled over a 12-months period. Data were collected by demographic checklist and Kohlberg's ethical evolution questionnaires. Data were analyzed using SPSS-20, by Kruskal-Wallis, Mann-Whitney, ANOVA, and t-tests.

There were no significant differences in terms of gender, educational level, marital status, and place of residence for decision-making positions and questions. The mean and standard deviation of the scores related to “questions, priority, decision-making position and degree” showed that the highest mean was obtained in “priority” with 17.9 ± 3.6 and the lowest in “degree” with 1. 9 ± 1.09. The frequency and percentage of similar decision-making were reported in the study participants; the highest score was related to the decision-making in position 3 (Adults death wish) with frequency of 94 and percentage of 41.6% and the lowest score was related to position 5 (Patient at the end stage of disease) with frequency of 8 and percentage of 3.5%. None of the indicators of age, sex, marital status, and the level of admission was not significant in this study and cannot be mentioned as a predicator in the stages of moral evolution.

Given the importance of discussing ethics as one of the most important modalities of the human and social sciences and its impressive impact on all aspects of human life, it is clear that applying a scientific approach can determine all aspects of the factors that affect the observance of ethical principles.

In this comparative study, we aimed to investigate the effectiveness of group reality therapy versus desipramine pharmacotherapy in reducing the craving and relapse of methamphetamine-dependent patients.

This semi-experimental research was conducted using a control group and two experimental groups of reality therapy and desipramine pharmacotherapy. The statistical population of this study included all methamphetamine-dependent patients under methadone treatment who were referred to the health clinics of Yazd city, Iran. We selected 30 patients using convenience sampling and then categorized them randomly into three groups of reality therapy, desipramine pharmacotherapy, and control. In the pre-test stage, the risk questionnaire was administered to evaluate the stimulants. The first experimental group attended 10 reality therapy sessions once a weak and was assessed immediately after the treatment. The data were analyzed using the covariance analysis.

The findings showed no significant difference between the total mean score of the reality therapy and desipramine pharmacotherapy groups (F= 3.289, P= 0.087). Hence, these two interventions did not affect attenuating craving to use the drugs. To check the homogeneity presumptions of the covariance matrix and variances of the two groups, the Box (6.241) and Levine (0.250) tests were applied, respectively. The results about the experimental groups (Reality therapy and Desipramine group) compared to the control group were meaningful.

There was no significant difference between reality therapy and desipramine pharmacotherapy groups in reducing the craving to use the drugs.  The scope of changes showed that craving for drug consumption reduced in reality therapy (51.0) and desipramine pharmacotherapy (36.0) groups.

Divorce, as a consequence of family disruption, is a common phenomenon within all communities. Considering the increased frequency of divorce cases in Yazd city during recent years, this study was conducted to investigate the distribution of divorce causes and aimed to design an efficient program to deal with it.

This descriptive cross-sectional analytic study was conducted on the data collected from 118 male and female individuals referring to Yazd courts with divorce requests during  12 months. The participants were randomly selected and asked to complete a researcher-made questionnaire about the divorce. one of which include the participantschr('39') general information The second section contain 18 sub-scales and dealt with different causes of divorce. The collected data were analyzed by ANOVA using SPSS version 17.

The most effective divorce factor was misunderstanding and disagreement (44.9%), while the least important factor was friends (1.7%). Based on the results, the involvement of friends had the lowest effect on the incidence of divorce (1.7 %), while misunderstanding and disagreement were among the most frequent causes of divorce (44.9 %). Causes of divorce included addiction, unemployment, delinquency and infidelity, mental illness, violence, insults, and immorality. In terms of gender differences and economic conditions, a significant difference was revealed in the divorce rate in this respect, as well as other factors of divorce. The findings also representea a significant difference in the divorce rate with respect to education status (p = 0/6).

The findings showed that disagreement was the main underlying cause of divorce. Disagreement includes various moral, cultural, and religious aspects. Infidelity was also another most frequent cause of divorce in Iran and other countries. Considering different factors that affect the incidence of divorce, some strategies should be seriously consider before and after marriage to prevent and decrease its frequency within the society.