BackgroundDepression and anxiety are common in stroke survivors as well as their family caregivers. However, it is not known whether each person’s emotional distress contributes to their partner’s quality of life (QOL).ObjectiveThis study aimed to examine the effect of depression and anxiety on QOL in stroke survivor-caregiver dyads using dyadic analysis technique - the Actor-Partner Interdependence Model (APIM).MethodsThis was a cross-sectional pilot study with a total of 30 participating dyads (30 stroke survivors and 30 family caregivers) from Hospital Rehabilitasi Cheras, Kuala Lumpur, Malaysia. This pilot study was conducted over a period of 3 months, between December 2014 and February 2015. Depression and anxiety were assessed using the Hospital Anxiety and Depression Scale (HADS). QOL was assessed using the Short Form-12 Health Survey (SF-12). All analyses were carried out using IBM SPSS version 22. Dyadic data were analysed using multilevel modelling (MLM).ResultsDepression was uniquely associated with an individual’s own QOL. Survivors and caregivers with higher depression had poorer physical component summary (PCS) scores and mental component summary (MCS) scores. Stroke survivor’s depression exerted a significant actor effect on their PCS (b=−1.42, p=0.001) and MCS (b=−1.52, p<0.001). Caregiver’s depression exerted a significant actor effect on their PCS (b=−2.53, p<0.001) and MCS (b=−1.51, p=0.004). Caregivers’ anxiety negatively influenced their own MCS (b=−0.58, p=0.031). Furthermore, depression exerted a significant partner effect on PCS in stroke survivors (b=−1.19, p=0.003). Caregivers’ depression was also related to their stroke survivors’ poorer QOL, particularly PCS.ConclusionThe findings suggest that depression affects the QOL of both stroke survivors and caregivers, not only emotionally but also physically. This dyadic study also has evidence pointing to depression in caregivers and its association with stroke survivors’ physical QOL.

Background: Patient satisfaction is used as an important indicator of quality care and is frequently included in healthcare planning and evaluation. A cross sectional study was conducted to examine the relationship between cancer patients’ satisfaction with nursing care in order to assist nurses in defining more clearly their roles in 10 government teaching hospitals in Tehran, Iran.

Method: A proportional stratified sampling method was used. Data was collected via validated Patient Satisfaction Questionnaire (PSQ) within a 3 month period.

Result: The majority of respondents was males (52.3%). The overall median age of respondent was 50 (Inter-quarter range, 26), ranging from 14 years old to 85 years old. The findings revealed that a vast majority of these respondents (82.8%) was satisfied with the nursing care provided to them, while the others (17.2%) were not. There was a significant relationship between patients’ satisfaction and University’s  hospital, types of treatment (P?0.05). Also; the University’s hospitals was the best predictor for level of satisfaction.

Conclusion: This study found that most of the respondents were satisfied with the nursing care, though they suggested some improvements especially with respect to interpersonal relation

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This article is dedicated to analyzing the heat transfer in the flow of water-based nanofluids in a channel with non-parallel stretchable walls. The magnetohydrodynamic (MHD) nature of the flow is considered. Equations governing the flow are transformed into a system of nonlinear ordinary differential equations. The said system is solved by employing two different techniques, the variational iteration method (VIM) and the Runge-Kutta-Fehlberg method (RKF). The influence of the emerging parameters on the velocity and temperature profiles is highlighted with the help of graphs coupled with comprehensive discussions. A comparison with the already existing solutions is also made, which are the special cases of the current problem. It is observed that the temperature profile decreases with an increase in the nanoparticle volume fraction. Furthermore, a magnetic field can be used to control the possible separation caused by the backflows in the case of diverging channels. The effects of parameters on the skin friction coefficient and Nusselt number are also presented using graphical aid. The nanoparticle volume fraction helps to reduce the temperature of the channel and to enhance the rate of heat transfer at the wall.

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