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Mohammad Reza Ghanbari, Dr Hadi Salari, Dr Sadegh Ali Taziki, Leila Padash, Dr Mohammad Reza Yousefi, Elham Lotfalinejad,
Volume 10, Issue 1 (4-2013)

Background and objective:­ In accordance with­ general studies, the prevalence of psychological disorders is increasing worldwide in that it is the cause of one percent of mortality  rate in the world esp. Iran. Because of susceptibility of women to psychological disorders and fewer studies in this field, this study aimed at evaluating ­mental health status of over- fifteen- year- old women in urban population of Gorgan, Iran. 

Material and Methods: In this study, 1088 women aged over 15 were selected by randomized cluster sampling. The data was collected by demographic data sheet and General Health Questionnaire (GHQ-28), and analyzed by Chi Square and Fisher Exact test.   

Results: Based on our findings, the prevalence of psychiatric disorders is 17.5%.­ ­Based on cut-off score of 6 for each of the four disorders, Anxiety disorder and insomnia are with the highest prevalence (5.5%) and depression is with the lowest (3.1%). The Prevalence of disorders has positive significant relationship with variables like age,­ ­marital status and family history of addiction.

Conclusion: The prevalence of present study is average compared to similar reports. Nevertheless it is a necessity to have further attention to the mental health of women and it is essential to train efficient workforce and provide appropriate facilities in order to give mental health services to both rural and urban population. 

Fouzieh Bakhsha, Solmaz Halakou , Seyed Yaghoub Jafari, Zahra Yousefi, Mohammad Aryaee,
Volume 15, Issue 2 (7-2018)

Introduction: Surgery and anesthesia are the common practice for anesthetist on the one hand and very worrying for the patient and his family on the other. This fear can have potentially dangerous consequences. The aim of this study was to determine the relationship between the awareness and fear of patients and their companions towards anesthesia.
Methods: The present study employed a descriptive-analytic design. The instrument was a questionnaire with 38 items consisting of 20 items for fear of anesthesia, 13 items for awareness of anesthesia, and 3 items for the role of anesthesia personnel. The research population included patients undergoing surgery and their companions. The sample population was selected using non-random sampling. Data was analyzed using SPSS software version 16.
Results: In this study, 328 patients and 325 patients' companions (n = 653) were enrolled. The mean score of fear of anesthesia for patients and their companions was 77.56 ± 20.15 and 82.56 ± 20.51, respectively. The mean score of anesthesia awareness for patients and their companions was 6.27 ± 2.33, 33.6 ± 2.86, respectively. No significant correlation was found between fear and anesthesia awareness among patients.
Conclusion: The results of the study showed that patients and their companions had a relatively high degree of fear towards anesthesia and did not have enough awareness about anesthesia and its related factors. Therefore, it seems that provision of educational and anesthetic counseling before surgery can be very helpful in order to improve the conditions.
Keywords: Anesthesia, Patient, Fear, awareness
Mohammad Hossein Taziki, Mohammad Reza Yousefi , Hamid Reza Tajari,
Volume 15, Issue 2 (7-2018)

Background and objectives: Pieces of food or other material maybe accidentally ingested and entrapped in the alimentary tract. In rare cases, this material may be ingested by the patient purposely, and leads to some problems. In addition to ingestion of foreign body, they may perform some unusual behavior such as the insertion of wire into the bladder.
Methods: The patient is a 37-year-old man that referred to hospital with dysphasia and odynophagia following the ingestion of a big peach nucleus. After diagnostic interventions, he was investigated by Esophagoscopy.  After that, he said that he ingested a big nail cutter. X-Ray examination showed that this nail cutter was in stool.
Results: Immediately he said that he chewed a Fluor cent   lump and ingested some of it. In the past, he inserted an electrical wire to the bladder by himself after sometimes it is extracted frame the bladder by urologist. Finally, the patient referred to psychiatric ward for continuing the treatment.
Conclusion: When patient ingest foreign body unduly, evaluation of psychologic dimensions is mandatory, and for the treatment team a psychiatrist is necessary.   

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