Background and Objective: Caregivers of chronic renal failure are faced with Hemodialysis related problems and coping with caring responsibilities.The Caregiver Burden is The negative effect of living with these patients. The aim of this study was to determine The Burden on Cargivers from Hemodialysis Patients and related factors.

  Material and Methods: ­ In this descriptive and analytical study, 120 Caregivers of chronic renal failure­ patients treated by Hemodialysis Gorgon's Panje Hospital were selected via census method . The construment was a demographics chek list and Caregiver Burden scale. We did Data analysis by spss software with, independent T-test, oneway, pearson and spearman test
(p< 0.05).

  Results: The majority of Caregivers (74.2%) have severe Burden. There is a direct significant correlation between total Burden and the duration,of discase and revers significant correlation between total Burden and the ability to perform patients daily life activities ­­(p< 0.05). The caregivers with a disease endure the heavier Burden (p< 0.05). The caregivers with poor economic condition and Caregivers of with high dependenc y patients bear more Burdens
(p< 0.05).

  Conclusion:­ According to the findings, because of high Burden on Caregivers, we recommend that designing some plans to be designed to for improve the coping strategies and control of the factors affected on Caregiver Burden to promote their health .

 Background and Objective : ­ Teachers’ evaluation is considered one of the important strategies for education quality enhancement in universities. The objective of the current study was to investigate the students’ viewpoints about the evaluation criteria of teacher’s performance in theoretical courses in Golestan University of Medical Sciences.

  Material and Methods: This cross- sectional study was conducted, in 2008, on 330 students of various disciplines. They were recruited via stratified random sampling and asked to fill out a valid and reliable questionnaire including 63 closed questions, which are related to individual, scientific and professional fields. ­Using SPSS software, we analyzed the data by descriptive statistics, independent t­-test, and Anova and Pearson correlation.

 Results: Seventy-three-point-three (n=242) are females and 26.7% (n=88) males. ­The most important factors in teacher's evaluation are Professional characteristics (4.22±0.42).­­Their scientific ability (4.14) and individual characteristics (3.86%), respectively, are the other factors. In professional characteristics, ­“The verbal skills and teaching methods " with the mean of 4.64 in scientific ability, "the knowledge and scientific power" with the mean of 4.65 and in individual issue, “patience and good humor" with the mean of 4.61 are the most important issues. Sixty-two-point-four percent of students believe that they are honest about their evaluation and 59.4% of them claim that their evaluation is reliable.

  Conclusion : In spite of the importance of the scientific abilities, the verbal skills and teaching methods are considered the most prominent ones. ­The Students’ viewpoints can be used as an important part of teachers' evaluation for recognizing and eliminating the shortcomings.

  Background and Objective: ­ With the development of human societies,­ the needs for different types of health services are increasing. Because of limitations and shortage of national resources, the awareness of health administrators about appropriate allocation of resources leads to efficient use of assets. The aim of this study was to measure the workload and efficacy of nursing staff in internal ward.

  Material and Methods: ­ This descriptive and cross sectional study was conducted on, via census sampling, all nursing activities performed by 10 nurses for 94 patients in Panje-Azar Hospital of Gorgan. ­To determine the efficacy, we asked the subjects to fill out a researcher made, validated questionnaire and measured the time of their presence in the ward. Data analysis was performed by analysis variance, using SPSS-16 software.

  Results: Of ­­total time of presence,­ ­20.3% is spent for documentary activities whereas only 0.49% for patient education. Overall, the spent time for direct and indirect nursing activities is 46.46% and 53.54%, respectively. The efficacy of nursing staff is 62%, ­the highest (66.6­ %) for morning shift and the lowest for night shift (58.34­ %). There is no significant difference, using analysis variance, in efficacy rates of work shifts­ (morning, evening and night).

  Conclusion : In spit of efficacy of over 50 percent in different shifts, the educational programs related to time management, human resource development and electronic nursing are necessary to increase the efficacy.

  Background and Objective: surgery is a stressful experience and in open heart surgery, the patients are greatly faced with anxiety, which has been reduced by different approaches. This study aimed to investigate the effects of aromatherapy on anxiety level.

  Material and Methods: This blinded- randomized- controlled clinical trial was carried out on 90 patients divided into two groups of intervention and control. the patients of intervention group were asked to inhale two drops of lavender essential oil and those of control group two drops of distilled water poured on a gauze , for 20 minutes. In addition to measuring patients’ anxiety level by Spielberger questionnaire, we recorded their vital signs. Using SPSS 16 software, the data was described via mean, standard deviation and percent, and analyzed by using independent t-test, paired t-test, Chi Square and Covariance (0.05).

  Results: The mean age of intervention group was 50.49 ± 10.92 and control group was 50.13 ± 9.20. Anxiety score in intervention group was significantly decreased from 56.37±5.6 to 54.73±5.42 and in control group meaningfully reduced from 55.18±7.35 to 54.0±7.22 (p<0.05). The mean anxiety score in the intervention group was significantly higher than that of control group (p<0.05).

  Conclusion: Because anxiety reduction in aromatherapy group was more than control group it can be concluded that aromatherapy with lavender essential oil have significant effect in reducing anxiety and therefore can be used in clinical situations.

  Background and Objective: Non-alcoholic fatty liver disease is the most prevalent cause of hepatic related problems. , which has not been introduced any crucial treatment for it so far. Insulin resistance and oxidative stress are the most important risk factors for this disease. As anti-oxidant and insulin resistance decreasing effect of Cinnamon has been shown in prior studies, we carried out this research to determine the effect of cinnamon on lipid profile, liver enzymes, insulin resistance and hs-CRP inflammatory factor in patients with nonalcoholic fatty liver.

  Material and Methods: this clinical trial was conducted on 50 patients with fatty liver, selected on the basis of including criteria. The Intervention group was given 1.5 gram Cinnamon and placebo group taken placebo for 12 weeks. Lipid profile (triglycerides, total cholesterol, HDL and LDL), fasting blood glucose, serum insulin , hs - CRP inflammatory factor, liver enzymes (ALT and AST and GGT), insulin resistance index (HOMA-IR) and insulin sensitivity (QUICKI), diet, physical activity and anthropometric indices were measured in the beginning and end of the study. Statistical analysis was performed by SPSS software, using Covariance, Students t-test, Paired t-test, Wilcoxon and Mann-Whitney.

  Results: A significant decrease in HOMA, fasting blood glucose, total cholesterol, ALT, AST, GGT and hs-CRP , and a significant increase in Quicki were seen in Cinnamon group (p <0.05). The change of LDL cholesterol in both groups was significant (p <0.05), whereas the reduction of HDL cholesterol wasn’t significant ­­ (p=0.130).

  Conclusion: based on the results, the use of Cinnamon may be effective in the patients with non-alcoholic fatty liver disease.

Background and Objective: Attitude toward the use of drug has an effective role in tendency to the use and withdrawal of the drug.  This study aimed to determine the predictive role of demographic factors and personality attitudes towards the impacts, risks and Substance Abuse in the students of Azad University, Damghan Branch.

Material and Methods: This descriptive-analytic study was conducted on 200 students via convenience sampling. The  data  was collected  by Delavar Addiction  Questionnaire and NEO personality inventory , and analyzed by  Pearson correlation coefficient and multiple  regression analysis.

Results: Accordance with regression analysis, eight factors of conscientiousness, openness to experiences, neuroticism, Agreeableness, gender, household income, parental education, and age can significantly predict 41% of the variance related to the attitude toward the effects of drug. Furthermore, agreeableness, conscientiousness, neuroticism can predict 35% of the variance referring to the attitudes about the dangers of drug.

Conclusion: It can be concluded that personality characteristics, marital status and income can play  a decisive role in people's attitudes towards drugs.