Search

Purpose Multiple Sclerosis (MS) can negatively affect patients' work, education, family, and social and economic activities. Unemployment is a social problem leading to many negative consequences for patients with MS. Therefore, this study aimed to explore lived experiences of MS patients regarding their Return to Work (RTW). Methods This qualitative study was conducted in Urmia MS Association in Iran. Twelve patients with MS were selected through purposive sampling. Data were collected from July 2019 to March 2020 using semi-structured face-to-face interviews. Data were analyzed using the interpretative phenomenological approach suggested by Dickelman, Allen, and Tanner. Results Data analysis led to the development of four main themes of 'interactive patterns,' 'supportive system,' 'challenges,' and 'stability/volatility.' The theme of 'interactive patterns' was supported by two sub-themes of ' social interaction ' and 'Social stigma.' Four sub-themes of 'family support,' 'workplace support,' 'MS Association support,' and 'professional support' formed the theme of 'supportive system.' The theme of 'challenges' was supported by two sub-themes of 'individual problems' and 'social constraints.' The theme of 'stability-volatility' was made up of two sub-themes of ' adaptative and compatible behaviors ' and ' non-adaptive and incompatible behaviors.' Conclusion Patients with MS encounter challenges that can have devastating mental, social, and financial health consequences. Meanwhile, healthcare professionals should provide patients with emotional and educational support to help them cope with a changed outlook on life. Employers and policymakers should take practical steps to maintain the employment of these patients for a more extended period to help them better manage their cost of living and treatment., Author(s): Azam Shahbaz [sup.1] , Naser Parizad [sup.2] Author Affiliations: (1) grid.518609.3, 0000 0000 9500 5672, School of Nursing and Midwifery, Urmia University of Medical Sciences, , Urmia, Iran (2) [...]

Key Clinical Message: Maggots in a wound ("myiasis") cannot be considered maggot therapy (therapeutic myiasis) unless, at a minimum, the species is known to be safe and effective, and the maggots have been properly disinfected. Documenting treatment details is critical and allows us to determine the cause of problems, if they arise. [ABSTRACT FROM AUTHOR]

AbstractThis study aimed to explore the experiences of families of brain-dead patients regarding religio-cultural facilitators and barriers in decision-making for organ donation. This is a qualitative descriptive study, in which a total of eighteen families of brain-dead patients were recruited using purposive sampling. Data were collected using semi-structured face-to-face interviews. After recording and transcribing the interviews, concepts were extracted using conventional content analysis. The main theme was entitled “religio-cultural facilitators and barriers in decision-making on organ donation” and consisted of four main categories, including two facilitators of “life-giving culture” and “life-giving sacredness” and two barriers of “decision-making skepticism” and “opportunity-burning religiousization”. Therefore, cultural and religious issues require further attention and a more realistic and logical cultural and religious perspective toward organ donation should be created at the societal level. [ABSTRACT FROM AUTHOR]

Aim: To investigate the effect of family‐centred education on treatment adherence, glycosylated haemoglobin and blood glucose level in patients with Type 1 Diabetes Mellitus. Design: Randomized controlled trial. Methods: Sixty patients with Type 1 Diabetes Mellitus were randomly allocated into the intervention and control group. Data were collected using demographic and Modanloo Adherence to Treatment Questionnaires. The patients received 12 family‐centred educational sessions in the intervention group. Results: A significant difference was found in the mean score of treatment adherence between the two groups after the intervention (p < 0.001). The mean score of treatment adherence significantly increased in the intervention group after family‐centred education. The mean score of Fasting Blood Glucose and Glycosylated Haemoglobin A1C significantly decreased in the intervention group after the intervention (p < 0.001). Conclusion: Relevant authorities need to consider family‐centred education as one of the most important education methods in Type 1 Diabetes Mellitus patients. Trial registration: IRCT20131112015390N4; August 21, 2020. [ABSTRACT FROM AUTHOR]