Background and Objective : Anemia is one of the most common complications of end stage renal diseases. Inadequate production of erythropoietin is the main cause of anemia in these patients, and iron deficiency is the other important factor. We designed this study to survey the prevalence of iron deficiency anemia in hemodialysis patients referred to hemodialysis ward of Panje Azar hospital in Gorgan, Iran.

  Material and Methods: The subjects of this descriptive and cross-sectional study were all 97 patients undergone permanent hemodialysis. Hemoglobin, Serum Iron, Ferritin, Transferrin saturation and Hemoglobin index were measured to assess iron deficiency anemia. We did data analysis by using chi square, fisher exact test and independent T test in spss 13 environment.

  Results: The prevalence of anemia and iron deficiency anemia were 57.6 and 31.1 percent, respectively. Tranferrin saturation in 29.16 percent of the patients is less than 20%. There was no significant correlation between signs of anemia and variables such as, duration of dialysis, causes of the disease and iron- deficiency anemia (p=0.06). But signs of anemia were significantly correlated (p<0.0001) with erythropoietin. In comparison with patients consumed iron orally, those who used injectable iron had higher serum iron, Hemoglobin and Transferrin saturation (p<0.001).

  Conclusion: Because of high frequency of iron- deficiency that may results in resistance to erythropoietin therapy and leads to inappropriate treatment of iron deficiency. We recommend first treating of ID to prevent from useless administering of erythropoietin.

  Background and Objective : Recirculation rate is essential for the quality of Hemodialysis . Since the treatment of patients is based on the Dialysis Adequacy, the evaluation of recirculation is especially important. This study was performed with the aim of measuring arteriovenous fistula recirculation and its relationship with some factors in Hemodialysis patients.

  Material and Methods: In this Descriptive-Analytical study, all Hemodialysis patients (n=100), in Panje Azar Hospital of Gorgan, whose vessels were accessed by arteriovenous Fistula was studied in the summer of 2009. In order to determine recirculation rate ، we used urea based classic method. The cut point of recirculation was considered 10%. The variables studied are Fistula longevity ، direction of needle insertion ، the space between needles and the place of needles fistula and KUF filteration. Data were analyzed by using descriptive statistics and logistic regression test (odds ratio and ci reported) in the SPSS software.

  Results: Patients were male (53) and female (47) with the mean age of 50.93± 17.23. The mean year of Dialysis history was 4.04 ± 5.04. Fifteen percent of patients had recirculation. Average access recirculation of all patients was 0.067 ± 0.118. Recirculation rate had significant relationship (P <0­.­05) with direction of two Arterial-Venous needle and the place of the two needles ، which may have been higher.

Background and Objective: Sexual self-concept (SSC) is considered as an important factor in human sexual performance. This study aimed at assessing the relationship between SSC and sexual performance in a group of Iranian married women.

Material and Methods: This correlational study was conducted on 374 married women selected via cluster random sampling in health centers of Mobarakeh, 2013. The data was collected by Multidimensional Sexual Self-concept Questionnaire (MSSCQ) and female sexual function index (FSFI), and analyzed by pearson correlation and multiple regressions.

Results: In accordance with the mean scores of positive SSC (106.32±35.03), negative SSC (36.64±5.16) and sexual performance (22.30±2.68), there was a significant correlation between positive SSC and sexual performance(r= 0.23, p<0.001), and between negative SSC and sexual performance (r= 0.38, p<0.001). Furthermore, positive SSC directly and negative SSC inversely was the predictor of sexual performance of married women.

Conclusion: Given the results, the women with higher positive SCC may have better sexual function. It seems that SCC score can be a significant predictor of women's sexual functioning.