Respecting the dignity of the patient results in the reduction of her/his suffering and prepares her/him for a comfortable death.

Objective Hypertension disorders are associated with higher rates of maternal, fetal, and infant mortality, and severe morbidity, especially in cases of severe preeclampsia, eclampsia, and HELLP syndrome. The aim of the study was to determine maternal outcomes in pregnant women with severe preeclampsia. Data Source The data source consisted of 349 cases with severe preeclampsia. Design A cross-sectional study was undertaken on 349 cases of severe preeclampsia in pregnancy. Setting/Period The patients selected for this study were from those who presented at Kermanshah University of Medical Sciences, Department of Obstetrics and Gynecology during [2007][2008][2009]. Materials and Methods Statistical analysis was performed using SPSS 16 software and conducting Chi square and independent sample t tests. Demographic data involving age, parity, gestational age, clinical, and laboratory findings were recorded from the medical files. In addition, delivery route, indications of cesarean delivery, and maternal complications were determined. Results Of the 349 severely preeclampsia cases, among the 22 cases (6.3 %) who had suffered from eclamptic seizers, 17 cases (77.3 %) were in the age group of 18-35 years (P = 0.351) and 13 cases (59.1 %) in the gestational age group of 28-37 weeks (P = 0.112). One case (0.3 %) was demonstrated to have HELLP syndrome. Placental abruption was obstetric complication in 7.7 % (27 cases). Delivery route was vaginal in 120 cases (34.4 %), while 229 cases (65.6 %) underwent cesarean delivery. The most frequent maternal complication (37 cases) reported was coagulopathy (10.6 %). Conclusions We concluded that severe preeclampsia and eclampsia are associated with higher rates of maternal severe morbidity and that these two factors still remain the major contributors to maternal morbidity in Iran.

Background: Asthma is one of the chronic diseases that could affect quality of life (QOL). Therefore, one of the goals of healthcare interventions for this disease is improving the QOL. The current study aimed at determining the effect of the Orem self-care model on QOL in adolescents with asthma. Methods: The current prospective study assigned 64 adolescents with asthma referring to Shariati Hospital into 2 groups of control and intervention by the simple random sampling method. Then, the Orem-based training was implemented through 8 sessions of 2 hours and the asthma QOL questionnaire was presented to both groups prior to and 2 months after completion of the training. The data were analyzed by descriptive and analytical statistics consisting of the paired and independent t tests with SPSS version 20. Results: There was a significant change in the mean score of different QOL dimensions before and after the training in the intervention group by respiratory status (P = 0.001), mood functioning (P = 0.03), social functioning (P = 0.005), physical activity (P = 0.006), and general understanding of health (P = 0.004), but there was no significant difference in the mean score of different QOL dimensions before and after the training in the control group (P > 0.05). Conclusions: Based on the contribution of the Orem self-care model to increase QOL in the adolescents with asthma, it seems better to use this model as a healthcare intervention to improve asthma control and patient adherence.

Background Pediatric metabolic disorders are a major health problem. The prevalence of child and adolescent metabolic disorders particularly obesity has globally shown a growing pattern. The aims of this study were to estimate the prevalence of different metabolic phenotypes of obesity in children and adolescents. Methods This multi-centric cross-sectional study was conducted in 2015 in 30 provinces of Iran. Participants consisted of 4200 school students aged 7-18 years, studied in a national school-based surveillance program (CASPIAN-V) in Iran. Metabolic syndrome (MetS) and obesity was defined according to ATP III and WHO criteria respectively. Subjects were classified into four different metabolic phenotypes of obesity; metabolically healthy nonobese (MHNO), metabolically healthy obese (MHO), metabolically non-healthy non-obese (MNHNO) and metabolically non-healthy obese (MNHO). Moreover students were classified in four different phenotypes of obesity; normal; only abdominal obesity (AO), only generalized obesity (GO) and combined obesity (CO).