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Background and purpose: Sexual satisfaction is a pleased experience or satisfaction of an individual or a couple during any stage of sexual intercourse including libido, arousal and orgasm that could change during pregnancy due to multiple physical or psychiatric changes. This study aimed at investigating the level of sexual satisfaction in pregnant women with gestational diabetes.

Materials and methods: We conducted a cross-sectional study in which 150 pregnant women attending Sayyad-e-Shirazi Hospital in Gorgan, Iran, were recruited. Using non-randomized convenience sampling they were classified into two groups: getational diabetes group and non-diabetic control group. Two questionnaires were administered including ENRICH Marital Satisfaction Scale consisting of 35-items (previously validated in Iran) and Female Sexual Function Index-FSFI.

Results: The mean scores for sexual satisfaction according to ENRICH Marital Satisfaction Scale and FSFI were 61 ±10 (moderate to high) and 24±4, respectively, which the latter represented a poor sexual function. Sexual satisfaction level was found to be higher in those aged 25-30 years old but this difference was not statistically significant.

Conclusion: Our results showed no significant difference between diabetic pregnant women and non-diabetics in sexual satisfaction. But sexual function was affected in pregnant diabetic women that could be due to the coincidence of pregnancy and diabetes.

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Background and purpose: The impact of cancer on various aspects of life is definitely proven in many studies. In this research, we aimed to study the psychological, social, and economic status of patients with different types of cancer in Mazandaran province, Iran.
Materials and methods: This cross-sectional study was conducted in patients with cancer who were admitted to Sari Imam Khomeini Hospital, 2017. Data was collected using a researcher-made form that was designed to determine the frequency of the most important and the most common psychological, social, and economic components. The form was completed by researchers, at the Cancer Research Center, for 375 patients with cancer who were selected by convenience sampling.
Results: Psychologically, most of the patients accepted their disease at the time of diagnosis (46.9%). Most of the participants mentioned the death of loved ones as the most important bitter incident before the disease (41.6%). Children status was one of the main concerns among the patients (57.3%). From the social point of view, the majority of patients reported optimum emotional relationship with their spouse (75.4%). The results also showed that most of the patients were financially dependent on their spouse (62.7%).
Conclusion: This study suggests that simultaneous attention to psychological, social, and economic aspects of cancer patients can lead to significant outcomes.
 

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Background and purpose: Patient safety culture is essential in preventing patient injuries in hospitals. Safety attitude is one of the valid tools used in assessment of safety culture among nurses. The purpose of this study was to investigate the nurses safety attitude and also understanding the effect of demographic characteristics, work shifts, and job demands on that.
Materials and methods: This cross-sectional study was conducted in 325 nurses in Babol, north of Iran, 2016.  Demographic and organizational information were recorded. The Safety Attitude Questionnaire (SAQ) and Job Content Questionnaire (JCQ) were used. Data analysis was done using regression analysis in SPSS V24.
Results: The average values for psychological and physical demands of nurses were 32.7±9.4 and 8.8±2.8, respectively. According to the SAQ, the dimensions of stress recognition (73.6 ±17.9) and perception of management (48.8±16.2) were found with the highest and lowest mean scores, respectively. Also, regression model showed the wards, psychological demands, and physical work demands as the predictors of nurses attitude toward safety (P <0.05).
Conclusion: According to this study, reducing the psychological and physical demands associated with work could improve safety attitude in nurses. Also, nursing managers should provide nurses with some training courses on controlling unsafe behavior and safety attitudes.
 

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Background and purpose: Cognitive performance in workplace encompasses a wide range of work-related psychological activities. Meanwhile, personality traits as a mediating variable has a determining role in mental functions and occurrence of errors. The aim of this study was to investigate the effect of urban traffic noise pollution on working memory and sustained attention considering personality features in university students.
Materials and methods: This interventional laboratory study was performed in 70 students. Urban traffic noise (Sari, north of Iran) was recorded and then the Cool Edit Pro software was used to check, edit the recorded noise, and prepare an audio clip. The students' cognitive performance were assessed using working memory (n-back task) and psychomotor consciousness task (PVT).
Results: The mean ages of male and female students were 23.63±3.15 and 24.17±4.23, respectively. According to the Wilcoxon test, a significant relationship was seen between cognitive performances before and after exposure to urban traffic noise (P<0.05). In fact, after exposure to traffic noise, the mean reaction time, response time, and the number of incorrect answers in cognitive tests increased by 8.54%, 9.11%, and 60.61%, respectively. Also, there was an inverse significant correlation between neuroticism and reaction time and accuracy (percentage of correct answers) in students' cognitive performance associated with working memory and sustained attention (P<0.05).
Conclusion: Current study can be effective in improving cognitive performance, adopting management strategies in selection of individuals, and establishing a balance between traffic noise and cognitive features in the workplace.

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 Background and purpose: Low quality of life and complications of high blood sugar are among the problems of patients with diabetes. This study aimed to compare the effect of patient-centered education and family-centered education on quality of life and HBA1C in patients with type 2 diabetes.
Materials and methods: A clinical trial was performed in diabetic patients in Rafsanjan Diabetes Clinic. The sample size was 120, who were randomly assigned into three groups: patient-centered intervention, family-centered intervention, and control. Participants in family-centered intervention and patient-centered intervention groups attended 1-hour training program in 12 sessions and the control group received routine care. In the family-centered intervention group, in addition to the patient, a family member attended the training sessions. Data were collected using SF-36 quality of life questionnaire and measuring HBA1C before the intervention and after 12 weeks.
Results: Before the intervention, no significant difference was found between the three groups in quality-of-life score and HBA1C (P>0.05). But after the intervention, the quality-of-life was seen to be significantly different between the three groups (P=0.001(. The mean HBA1C level was not significantly different between the three groups after the intervention (P=0.187).
Conclusion: Educational programs in patients with type 2 diabetes and their families can improve their quality of life and are recommended to be implemented by health care professionals.

(Clinical Trials Registry Number: IRCT20150713023190N5)
 

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 Background and purpose: During the onset of the COVID-19 pandemic, some studies showed that control of blood pressure reduces the burden of the SARS-CoV-2 virus. The present study was conducted to investigate the effect of antihypertensive drugs on the outcome of COVID-19.
Materials and methods: In this cross-sectional retrospective study, we used the medical records of 129 patients with high blood pressure and COVID-19 hospitalized in hospitals affiliated with Mazandaran University of Medical Sciences. The outcome of the disease such as length of stay in hospital, transfer to intensive care units, the need for ventilator, death, etc. were recorded. Data analysis was done in Stata 17. Fisher's exact test, Chi-square, Mann-Whitney, and simple logistic regression were used.
Results: The average age of patients was 64.4±11.3 years and 44.2% had at least one underlying disease. There was no significant relationship between the type of antihypertensive drugs, underlying diseases, gender, age and the outcome of COVID-19 such as ICU admission, use of mechanical ventilation, and death (P>0.05). A significant relationship was observed between hospital length of stay and the dosage of antihypertensive drugs (P<0.01, 95% CI: -0.85, -4.47).
Conclusion: Antihypertensive drugs were not linked to the prognosis of hypertensive patients with COVID-19.