Type 2 diabetes is one of the most common chronic diseases worldwide, and one of the long-term complications of this disease is sexual dysfunction in women with type 2 diabetes, which has been studied in fewer studies. The aim of this study is to determine the overall prevalence of sexual dysfunction in women with type 2 diabetes and its indicators with systematic and meta-analysis approach. The present meta-analysis study reviewed articles published foreign journals by searching the MEDLINE, Cochrane Library, Science direct, Embase, Proquest and Persian databases, including Iranmedex, Magiran, and SID between January 2000 to December 2018. The heterogeneity of studies was studied using the I 2 index and data analysis was carried out in Comprehensive Meta-Analysis software. The Meta-analysis review of 25 studies and 3892 individuals aged 70–18 years showed that the overall prevalence of sexual dysfunction in women with type 2 diabetes was 68.6% (95% CI 61.1–75.3%). The highest and lowest prevalence of sexual dysfunction was 94.4% in Iranian women with type 2 diabetes (95% CI 91.9%–96.3%) in 2014 and 17% in Italian women with diabetes Type 2 (95% CI 6.4–36.9%) in 2015. Results of meta-regression showed that with the increase in sample size and year of study, the overall prevalence of sexual dysfunction decreased and increased, respectively and the differences were statistically significant (P < 0.05). Regarding the high prevalence of sexual dysfunction in women with type 2 diabetes, health policymakers need to take appropriate measures to address this disorder in patients with type 2 diabetes.

Introdution:One of the most common methods to control chronic renal failure, Hemodialysis creates numerous changes in the style and the quality of life in patients. Educating patients is one of effective factors to improve the quality of life. The present study aims to investigate influences of self-care education by face-to-face method on determining quality of life in hemodialysis patients in Jahrom, Iran, during 2014-2015.Methods:This is a quasi-experimental, single-blind study in which 50 patients undergoing hemodialysis at Shahaid Mottahari Hospital, Jahrom. The patients were placed in two groups of 25 individuals: the face to face educational group and the control group. The control group received only routine care in hemodialysis unit. The face to face educational group received 8 instruction sessions of 60 minutes before starting dialysis and received an instruction booklet. Data collection tools were a questionnaire consisting of demographic characteristics, a checklist of needs assessment for hemodialysis patients and a quality of life questionnaire, whose reliability and validity were previously approved. The questionnaires were completed face to face, before and after the intervention.Results:The results show that the research units did not have any significant difference in terms of demographic variables. Also increase in various aspects of the quality of life compared with the control group is observed after the intervention in the face to face educational group (p<0.001).Discussion and Conclusion:Given the results, representation of adequate training in hemodialysis ward can cause improve in physical function, mental health and thus increase the quality of life in hemodialysis patients, through raising the awareness level.

Stevia rebaudiana Bertoni is one of the most important biologically sourced and low-calorie sweeteners that contains a lots of Steviol glycosides. Tissue culture is the best method for propagation of stevia and micro nutrients can affect both morphological traits and steviol glycosides production. In the present study, we investigated the effect of different concentrations of glutamine (10, 20, 30 and 40 g/l) on expression of UGT74G1 and UGT76G1 genes and stevioside and rebaudioside A accumulation in the leaves of stevia under in vitro conditions. The highest level of expression for UGT74G1 (1.000 Total lab unit) was seen at plants grown in MS media without glutamine and the highest gene expression level for UGT76G1 (1.321 Total lab unit) was observed at plants grown in 2% glutamine. Based on HPLC results, the highest amount of stevioside (22.74) was accumulated in plants which were under 3% glutamine treatment and the lowest production level of stevioside (16.19) was resulted under MS (0 glutamine) medium. The highest rebaudioside A (12.19) accumulation was observed under 2% glutamine treatment and the lowest accumulation of rebaudioside A (8.41) was seen at plants grown in MS medium.

Introduction: Patients under hemodialysis treatment face various physical and mental problems. One of the basic principals in prevention of complications in these patients is education. But education, solely, does not result in improve hemodialysis control situation, therefore, more attention should be paid to follow-up. Currently, by coming new communications systems and telemedicine, using them, such as follow-up methods, is inevitable. This study aimed to determine the effect of self-care education with telephone follow-up on the self-efficacy level in hemodialysis patients. This study is a quasiexperimental study conducted from October 2013 to March 2014 recruiting 60 hemodialysis patients referring to dialysis ward, Motahhari Hospital, Jahrom, Iran. The data collection instruments included demographic questionnaire and SUPPH (Strategies Used by Patients to Promote Health). The data were collected in two steps, before and two months after training intervention. Questionnaires were completed in interview method by research assistance. At the first, participants took part in 5 consecutive one-hour training instructions and then they received an instruction booklet. Then 60 patients were randomly assigned into two groups including self-care training group (30 patients) and self-care training with telephone follow-up group (30 patients). The self-care training with telephone follow-up group was received 24 phone calls (three times a week during the first and second months after the instruction) in addition to receiving 5 instructional sessions and instruction booklet. Phone call schedule was given in writing to the patients after the fifth session of instruction. The duration of each call was 20 minutes, which could also vary according to the patients' needs. The data were analyzed by SPSS version 20, Chi-square, Paired t and Independent t tests. There were no statistically significant differences in demographic variables between the groups. Pre-test mean scores for self-efficacy did not differ between the groups. There was a significant difference between the self-care training with telephone follow-up group and selfcare training group in terms of pre-to post-intervention changes in overall self-efficacy scores, stress reduction, and decision making (p<0.001). Our study demonstrates that a combination of self-care training and telephone follow-up improves self-efficacy in hemodialysis patients. self-care training with telephone follow-up should be considered in hemodialysis centers to assist patients with the management of their health-related problems.