Introduction and Objective: Spiritual health is an integral component of health with a significant impact on physical and mental health. Spirituality facilitates coping with the adverse effects and complications of diseases. Therefore, the present study aimed to evaluate spiritual health of patients visiting Jahrom Honari Clinic. Method: This was a descriptive-analytical study on 384 patients visiting Jahrom Honari Clinic in 2016. A demographic questionnaire and Spiritual Health Questionnaire (developed by Freydoun Azaizi)) were used to collect the required data, the validity and reliability of the latter has been confirmed in Iran. Data was analyzed using SPSS, Kolmogorov-Smirnov, Mann- Whitney U and Kruskal-Wallis statistical tests. Findings: The results showed that women enjoyed greater spiritual health than men. The Mann-Whitney U test results showed a statistically significant difference between gender and spiritual health (p<0.05). Spiritual health was also higher in more educated, older (51 to 100 years of age), and married people as well as in housewives (p<0.05). However, no significant difference was found between the mean spiritual health scores in terms of place of residence (urban and rural areas of Jahrom). The mean spiritual health score of patients was higher in cognitive/behavioral dimension than behavioral dimension. Conclusion: Acceptance of disease, adaptation and treatment process are facilitated by highlighting various health dimensions, phonariicularly spirituality, in patients given their demographic characteristics. Health care officials should pay specific attention to this factor.

Keeping your employees motivated is the key to delivering great service that keeps customers coming back to your business, regardless of which industry you operate in and thus giving the business the time needed to develop its brand awareness. In most cases, this process does not happen overnight while the ultimate goal is for the company to identify the success level of brand awareness campaigns, the business should always continue to appreciate and track even the slightest progress. Customers of your products and services need to ask honest opinion of the goods and services you and your organisation provide and organisations and individuals that want to get ahead of their competitors and succeed must be those businesses that are prepared to meet regularly with their employees and appraise performance levels as well as getting feedback about their customers and especially what they want. This is one of the most single attribute that differentiates your brand from that of your competitors and this as perceived by your consumers. Every brand has a story to tell and how well you tell it will give your customers a reason to believe in your employees and come back to buy your brand or prefer your brand to those of your competitors. Guinness Cameroon SA and les brassseries du Cameroun Ltd, these two brewery companies that deals in both alcoholic as well as non-alcholoic brands put a lot of effort and time to tell their own side of the story to their customers in an effort to woe them to selecting their products over those of their competitors.

Indonesia is the fourth most populous country in the world with population in 2017 reached 261 million people. Perfitri reported that in 2012, blockage was the main common cause of infertility, regarding identified for 12.5 percent of women who underwent IVF. Most of causes of infertility are such as blockage, ovulatory dysfunction, diminished ovarian reserve, cervical abnormalities and endometriosis. A 44 years old woman Para 1 Abortus 1, came to us after several FSH shots and failed IUI procedures. Then we performed hysteroscopy to diagnose and treat the patient. The hysteroscope 3.5 mm sheath couldn’t be inserted into internal cervical os. Then we tried with the smaller sonde and we couldn’t managed to penetrate the uterine cervix. At the next step, we did adhesiolysis by sharp using scissors. After the hysteroscope entered the cervix lumen, the cervical polyps were appeared and well visualized. After we did polypectomy, adhesiolysis and dissection by scissors, the hysteroscope smoothly could be inserted through the cervix, relayed visualization for next investigation to whole area. Diagnostic hysteroscopy helps in identifying the hidden etiology of infertility so that a therapeutic intervention can be initiated, by avoiding unnecessary empiric medical treatment that costly, considering that fertility treatments are generally not covered by health insurance. Check before receive the “cheque”.

Background: Intrauterine device (IUD) is one of the most commonly used long-acting reversible contraceptives (LARCs) method worldwide. IUD may pose some disadvantages regarding its use and may cause unwanted events. IUD displacement with both arms embedded through myometrial tissue is one of the unwanted events that could occur rarely. This condition has been confered a diagnostic challenge to many physicians . However, most cases could accurately be detected using 3D transvaginal sonography. Mangement of IUD displacement with invisible arms is very challenging that needs to be performed cautiously. Hysteroscopic evaluation and treatment may be the last resort when other approaches fail. Case presentation: A 33-year-old female had had Nova T IUD inserted during caesarean section one year before presentation. The patient had no remarkable medical history except for myomectomy performed two years earlier. She was about to have another pregnancy so she needed to get her IUD removed. 2D and 3D transvginal sonography was performed to confirm IUD position. Sonography results showed displacement of IUD with both arms embedded through myometrial layer. Hysteroscopic evaluation under regional anesthesia was then performed to evaluate this condition. Hysteroscopic views did not reveal the IUD arm but IUD stem that was transversely displaced suggesting the both arms was deeply embedded into myometrial layer. Hysteroscopic removal was then performed with astonishing result. Post-procedural condition was uneventful without any significant complications. Conclusion: Intrauterine device displacement with embedment of both arms occurs infrequently therefore still confers a great diagnostic and management challenges. Hysteroscopic evaluation and management may be the best option available when this condition is suspected.

The effect of vacuum frying process on the quality of germinated soybean seeds was evaluated to develop the empirical models for description of the water loss, oil uptake and bioactive compounds degradation during frying. Germinated soybean seeds were subjected to the frying at vacuum pressure of 660 mmHg and the temperatures of 130, 140, and 150°C up to 12 minutes with 1 minute intervals. The plots of the water and oil contents versus the frying time were recorded. They showed first-order exponential kinetic models adequately predicted the water loss and oil uptake and there was a strong relationship between oil uptake and moisture loss during frying of germinated soybean seeds. The degradation kinetics of total polyphenol content (TPC) and vitamin C during frying were well represented by first-order reactions. The temperature dependence of the kinetic constants was described by an Arrhenius type equation. The activation energies for moisture loss, oil uptake, TPC and vitamin C degradation were 24.15, 18.74, 21.37 and 60.59 kJ mol–1, respectively.