مجله دانشگاه علوم پزشکی رفسنجان
سال چهاردهم شماره 5 (پیاپی 76، امرداد 1394)

Possible implications of psychological disorders for optimal functionality in daily life have not received enough attention in the literature. To fill this gap, the present study investigated the relationship between generalized anxiety disorder and obsessive-compulsive personality disorder and psychological well-being through the mediator variable of passionate obsessive love. In this descriptive study, three hundred students of Lorestan University of Medical Sciences were recruited using multi-stage cluster sampling method from January to mid-February 2014. The questionnaires consisted of demographic questions, the Psychological Well-being Scale (PWBS-18), the Passionate Love Scale (PLS-30) and the Millon Clinical Multi axial Inventory-III (MCMI-III). Descriptive indices and structural equations model were used for data analysis. The results indicated that the relationship between psychological well-being with obsessive love (r= -0.44), generalized anxiety disorder (r= -0.28) and obsessive-compulsive personality disorder (r=-0/27) was negative and relatively weak (p<0.001). The results of structural equation modeling demonstrated that, as expected, this relationship was fully mediated by passionate obsessive love. These results indicate that passionate obsessive love may be an important factor through which the negative effects of generalized anxiety disorder and obsessive-compulsive personality disorder on psychological well-being are brought about. Psychologists could draw on these results in order to develop appropriate clinical techniques to improve romantic relationships in young people, and cultivate emotion management skills in order to manage the adverse effects of mental disorders.

The quality of nursing cares and nurses’ performance in patient care dimension is affected by the professional values. Studies have shown that a person's personality has an important role in professional values. This research aimed to investigate any probable relationship between personality characteristics and professional values among nurses. This descriptive study was conducted on 200 nurses working in educational hospitals of Ahwaz University of Medical Sciences in 2014. Nurses were randomly selected and fulfilled demog raphical checklist, NEO Personality Inventory and Nursing Professional Values Scale- Revised (NPVS-R). Data was analyzed using t-test, one -way ANOVA and Pearson's correlation test. Findings showed a significant relationship between the sex and some personality characteristics (p<0.05), whereas any significant relationship was observed between demographical charactristics and professional values (p>0.05). There was a significant and inverse relationship between neuriticism and some professional values. In addition, a significant and positive relationship was observed between extroversion, agreeableness and conscientiousness and some professional values (p<0.05). However, it was seen any significant relationship between openness and professional values (p>0.05). The results of this study showed that there is a significant relationship between some personality characteristics and some professional values of nurses. So, these characteristics should be considered in employing nurses.

Emotional intelligence is a series of emotions, feelings, social knowledge and abilities that prepare people to adapt to the environment. Considering the importance of emotional intelligence and lack of information about its quantity among students, this study aimed to investigate emotional intelligence of students. This cross-sectional study was conducted on 303 students of the Jundishapur, Azad and Chamran Universities of Ahvaz in 2014. Data was collected by demographic checklist and emotional intelligence Bradbry-Graves questionnaire and analyzed by SPSS19 software using descriptive (mean and standard deviation) and inferential (t-test, ANOVA, Tukey) statistical methods. Emotional intelligence of most students (77.23%) was in the middle range. Mean of emotional intelligence score of students was 77.02±9.26 and the mean scores of self-consciousness, self-management, social awareness and relationship management subscales were 82.81±5.58, 70.47±13.93, 81.36±7.30 and 73.44±10.26, respectively. Results showed no significant relationship between total emotional intelligence and students age, sex, job, marital status, degree, overall grade point average and kind of university, while a significant relationship was seen between some emotional intelligence subscales and above variables (p<0.05). As emotional intelligence of most students was medium and regarding its importance in students’ health promotion and their academic improvement, it is suggested that the university authorities should pay more attention to developing educational programs in the dimension of emotional intelligence among students.

Eating disorders are common mental / physical health disorders which cause psychosomatic and psychological dysfunction and also the poor quality of life and even death. The purpose of this study was to investigate the prevalence of eating disorders among adolescents of Gonabad city.

This is a cross-sectional study. The samples were attained from the first- and second- grade students of 20 high schools of Gonabad city in 2014. They were selected by stratified randomization and Participated in this study. Data were obtained using eating attitudes questionnaire (26- EAT). Chi-square test was used for data analysis.

The participants were in the 13-18 age range with an average of 15.50±1.70. In this study, 15.7% of students were at risk for eating disorders. Mental anorexia disorder and bulimia were, 1.1% and 3.2%, respectively.There was a significant difference in eating disorder between girls and boys (p= 0.001). The prevalence of this disorder also had a significant association with age and educational level (p= 0.001). The prevalence of mental anorexia disorder was similar between the opposite sex (p= 0.079) and various educational levels (p=0.115). The results showed that the prevalence of eating disorders among girls is higher. There was a significant association in prevalence of this disorder among these opposite sexes (p=0.014), with different ages and grads (p=0.003).

The results showed that the eating disorders are more common in girls which may be due to the expansion of the West culture, poor nutritional patterns, racial and social factors. It is recommended to investigate the mentioned factors in a similar study.

Avoidance of thoughts related to traumatic events in traumatized people can play a role in incidence and persistence of posttraumatic stress disorder (PTSD). Given the importance of this issue, the current study was conducted in order to determine the role of experiential avoidance and mindfulness in predicting the symptoms of the PTSD in people exposed to trauma. In this descriptive study, 100 subjects were selected through the stratified random sampling from traumatized people who are supported by Emdad Committee and Bonyade Shahid organization located in Gilan Gharb city. Mississippi Scale for PTSD, Acceptance and Action Questionnaire and Mindfulness Questionnaire were used for gathering data. Collected data were analyzed by Pearson’s correlation coefficient test and multiple linear regression. The correlation results showed that the symptoms of PTSD have positive relationship with experiential avoidance (r=0.768; p<0.001) and negative relationship with total score of mindfulness(r=-0.351; p<0.001) and components of observing (r=-0.328; p<0.001), mindful describing (r=-0.420; p<0.001), non-judgmental acceptance (r=-0.263; p=0.009). The results of linear regression analysis showed that 63% of variance of posttraumatic symptoms was positively explained by experiential avoidance and negatively by mindfulness (mindful describing). The results of the current study show that the avoidance of thoughts related to the traumatic events and low mindfulness can play a role in predicting the symptoms of PTSD in traumatized people.

The learning quality of students would be increased provided that university professors and academy members utilize appropriately communication skills. Therefore, this study was conducted in order to investigate the status and level of communication skills of Rafsanjan University of Medical Sciences (RUMS) faculty members. In this cross-sectional study, a two-part questionnaire was used. The first section has been designated to demographic questions including gender, age, the history of teaching, the administrative type of engagement, academic rank, number of presented credits, administrative duties, department, school and participation in communication skills workshops. The second part consisted of questions of Communication Skills Test-Revised based on Likert's five-choice scale. The data were analyzed by descriptive and analytical statistical methods including correlation coefficient, and comparison of means tests. The score of communication skills in our study was equal to 92.56±7.25. There was no statistically significant relation between communication skills score and variables such as age, gender, the history of teaching, the number of presented credits, department, school, academic rank, administrative duties, the administrative type of engagement, and participation in communication skills workshops. Overall,the level of communication skills of RUMS faculty members was determined as intermediate compared to that of their colleagues in other Iranian universities. The results emphasize that academy members need to be educated more for these skills.

Staphylococcus aureus is a major pathogen of human in the world. Methicillin-resistant Staphylococcus aureus is associated with nosocomial infections. Recently, staphylococcal infections have been associated with the community. The purpose of this study was to isolate and identify Staphylococcus aureus virulence Panton-Valentine leukocidin (PVL) and methicillin resistance genes in clinical samples using PCR techniques.In this experimental study after collecting samples, it was performed biochemical and microbial tests and then antibiotic susceptibility testing by disk diffusion method according to CLSI guidelines with antibiotics of different groups. To identify the virulence and resistance genes multiplex PCR test was used. The findings showed that the prevalence of methicillin-resistant gene (mecA) in clinical samples are 50% and PVL 2.5%, respectively. Among the antibiotics, resistance to azithromycin, linezolid, ofloxacin and methicillin were 32.5%, 35%, 27.5% and 27.5%, respectively. There is a serious threat for public health because of the importance of Staphylococcus aureus as a major pathogen in developing countries and due to the increasing use of antibacterial agents. Multiplex PCR is a simple, sensitive, inexpensive, relatively quick, and very unique test to identify multiple of genes, simultaneously.

Of all blood group systems, RH is one of the most important blood groups, which its compatibility is one of the essential principals of transfusion. Two genes (RhD and RhCE) locate on chromosome 1, and encode the Rh proteins. RhD is an immunogenic antigen. We describe a rare Rh phenotype D-- in this report.Case Report: A forty- nine- year- old man, who received two O+ packed cells once time was studied in this report. He was admitted to hospital for kidney transplantation that reiterative mismatch cross matches were seen. Serologic tests of patient showed a rare Rh phenotype D-- with frequency of one in ten thousand. Considering the importance of Rh in blood transfusion complications, typing erythrocyte and preparing autologous blood will reduce transfusion complications.