Background and Purpose: Spiritual health is one of the important aspects of health status that may be influenced by QOL. Researchers have shown the relationship between spiritual well-being & a person's general health, so that religion and spirituality are considered the important resources for coping with stressful life events. This study aims to identify the relationship between spiritual well-being and quality of life in hemodialysis patients. Method: In this descriptive analytical study, 72 hemodialysis patients were selected using convenience sampling method. Information was collected by Paloutzian spiritual health and quality of life questionnaires (SF36). Data were analyzed by using descriptive and analytical statistics (Pearson correlation coefficient, t-test, ANOVA). Results: In line with these findings, the quality of life of the patients (47.8) 88.47 and their spiritual health scores (21.13) 88/91, most were moderate.There was no significant relationship between spiritual well-being and QOL. But there was a significant positive correlation between spiritual existential aspect of well-being and the dimensions of fatigue (P=0.02, r=0.26), emotional health (P=0.003, r=0.34), social functioning (P=0.01, r=0.29) and general health (P=0.01, r=0.29) and social performance (P=0.01, r=0.27). Also social performance had a significant positive correlation with spiritual well-being. Conclusion: According to the results, a significant relationship was observed between some aspects of quality of life and spiritual well-being. In order to understand the factors affecting the quality of life, exploring strategies to improve it and strengthen some aspects of spiritual well-being that affect the quality of life in hemodialysis patients is emphasized.

Educating the families of patients was shown in this study to improve the QOL of the patient. The design of educational programs for nursing students must emphasize the role of the family in the care of chronic patients.

Background: Most health professions, including nursing, create a lot of stress. To alleviate and cope with stresses and strains of the job, awareness of the causes is essential. Burnout and quality of work life are among factors affecting employees' performance degradation.

Background/Objectives Side effects of current treatments and the need for a safe treatment with higher efficiency necessitate seeking new treatment options for vitiligo. Few studies have investigated the combination of psoralen with narrowband ultraviolet B (NBUVB). In this study, we compared the efficacy and safety of psoralen and NBUVB combination (P‐NBUVB) with NBUVB alone in treatment of vitiligo. Methods This randomised clinical trial was carried out during 2015–2017 in dermatology clinics of Ghaem and Imam Reza hospitals, Mashhad, Iran on 40 vitiligo patients with 5–60% body involvement. The patients were randomly divided into two groups of NBUVB alone and P‐NBUVB. Both groups underwent 60 phototherapy sessions (three sessions per week), and the repigmentation rate was measured using vitiligo area severity index (VASI) score. SPSS v. 16 software and appropriate statistical tests were used to analyse the data. P < 0.05 was considered statistically significant. Results The mean age of patients was 33.9 ± 11.3 years. Twenty patients (50%) were females. The P‐NBUVB group showed greater VASI improvement in lower extremities (P = 0.003) and overall (P = 0.026) compared with NBUVB group. Moreover, the treatment response appeared sooner in P‐NUVB group. Conclusion Based on our results, we can conclude that adding psoralen to NBUVB phototherapy can result in increased efficacy. However, more studies are needed to evaluate the long‐term effects and side effects of this treatment.

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Introduction: Statins such as simvastatin are recently introduced as agents that may have beneficial effects in schizophrenia regarding their prominent anti-inflammatory properties. Objectives: This study was designed to evaluate the effects of simvastatin on schizophrenia symptoms. Patients and Methods: In a double-blinded randomized clinical trial, 40 hospitalized schizophrenia patients (according to the DSM-IV-TR criteria) were studied for 6 weeks. One group of the patients (n=20) received simvastatin (with the dose of 40 mg/d) and the other group received (n=20) placebo. The patients were evaluated by the Positive and Negative Syndrome Scale (PANSS) for schizophrenia symptoms. Data were analyzed with mixed model repeated measure ANOVA, t test, and χ2 test or Fischer’s exact test by SPSS software. The significant cutoff was considered at P<0.05. Results: The mean age of the patients was 34.05±9.74 years and 50% of them were men. There was not a significant difference between the two groups regarding negative symptoms reduction. Conclusion: Our study demonstrated that adding simvastatin on atypical antipsychotic treatment had no significant beneficial effects on the negative and positive symptoms in patients with schizophrenia disorder. Trial Registration: The trial protocol was approved by the Iranian Registry of Clinical Trials (identifier: IRCT2017052034046N1; https://en.irct.ir/trial/26134, ethical code; ETH-457).

One of the problems that employees face today in organizations is ethical problems. Many organizations resort to unethical acts due to the intensified competition in achieving efficiency and profitability. This article has been conducted to examine the relationship between the ethical climate and positive organizational behavior at Shahrud University of Medical Sciences. To do this, 224 employees at Shahrud University of Medical Sciences were selected randomly. The research was done based on a survey. The examined questionnaires included standardized questionnaires of ethical climate and positive organizational behavior. SPSS-19 was used to analyze the data in this study. The reliability of the questionnaires was estimated using Cronbach's alpha. Thus, Cronbach's alpha was obtained 0.844 and 0.730 respectively for the ethical climate of the organization and positive organizational behaviors. The results showed that there is a positive and significant relationship between the ethical climate of the organization and positive organizational behaviors of the staff at Shahrud University of Medical Sciences.Additionally, there are significant relationships among the instrumental ethical climate and the ethical climates of independence, caring, organizational rules and regulations, professional ethical rules and regulations and positive organizational behaviors among the staff at Shahrud University of Medical Sciences.