شیما صالحی

The aim of this study was to explain the model of psychological well-being based on wisdom mediated by humor styles in teachers. This research was applied in terms of purpose and descriptive-correlational in nature based on the structural equation model. The statistical population included all teachers in Tehran in 1400. The sample was selected by available sampling method and finally 342 teachers answered the questionnaires as a sample. The research instruments included Ryff (1995) Short Form of Psychological Well-Being Questionnaire, Martin (1998) Humor Styles Questionnaire and Ardelt 3D Wisdom Short Form Questionnaire. After executing and completing the questionnaires, the answers were analyzed in SPSS-24 and Amos-24 software. Findings showed that the conceptual model of the research was approved with a suitable fit. Accordingly, there is a positive and significant relationship between psychological well-being and wisdom and adaptive humor styles. There is also a significant negative relationship between psychological well-being and wisdom and uncompromising humor styles. Humor styles play a significant mediating role in the relationship between wisdom and psychological well-being. In fact, wise people make more practical use of affilative and self-enhancing humor styles by building relationships with others and linking to practical concerns. In this way, he raises his self-esteem and builds self-worth, As a result, they develop different dimensions of their psychological well-being.

Psychological factors play an important role in the development, sustainability, and treatment outcomes of cancer. This study aimed to predict anxiety sensitivity based on secure and insecure attachment styles in adolescents with cancer. The method of the present study was descriptive-correlational. The study population consisted of adolescents with cancer in Isfahan City, Iran. Research samples were selected by convenience sampling method (N=150). To collect data, Hazan and Shaver Attachment Styles in Adults Inventory and Wong Death Attitude Inventory were used. Data were analyzed using the Pearson correlation coefficient and Enter method of Multiple Regression. The results showed that secure, avoidant, and ambivalent attachment styles could significantly predict fear of death in adolescents with cancer, and in general, 26 percent of the changes in fear of death were explained by attachment styles.:In general, the results of this research showed that the fear of death can be predicted based on attachment styles in adolescents with cancer.

Integration of supply chain decisions reduces costs and delivery time to customers, but uncertainty in supply chain offending parameters, including demand, disrupts this integration. This demand uncertainty has led to an increase in interest in the use of probabilistic planning and simulation models in supply chain modeling. Therefore, the overall purpose of this study was to model and develop a multi-level, multi-product, multi-period supply chain network model with conflicting objectives such as cost minimization, delivery time minimization, and maximizing system-wide reliability. The supply chain network under study had 4 levels or subsystems of suppliers, manufacturers, distributors and retailers. In this study, it was assumed that demand is random and follows a probabilistic distribution function. Therefore, the simulation technique was used to estimate costs including shipping costs and lost sales costs and other costs. After developing a multi-objective model, for the studied problem, scenario building was done based on different perspectives on inventory levels (minimum inventory, maximum inventory and average inventory level) and based on each scenario, values related to the objectives were estimated. In the end, based on the Parthian answers obtained for each case of the model, based on Vickor decision-making method, the final ranking of the answers and selection of the best case from the proposed model was performed. The results showed that the second scenario, ie considering the average inventory level, was selected as the best solution for the described model

In recent years, various methods have been used to treat anxiety in children, art therapy is accepted today as one of the most effective methods of treatment. One of these art programs is play (Holmwood, 2017). Drama therapy is group therapy and active and experiential therapy (Berger, 2019) that uses a combination of various theatrical techniques such as role-play, pantomime, puppetry, improvisation, and other methods (Leather & Kewley, 2019).

This study was quasi-experimental using a pretest-posttest design with a control group and follow-up stage. The statistical population included all labor children in the age range of 8-12 years living in Ahvaz in 2020-2021 under the supervision of a welfare organization. The Spence Children Anxiety Scale was used to choose the main participants of the study and 30 children with the highest anxiety scores were selected and then divided into two groups of 15 (experimental and control). Children's Anxiety Scale (CAS): The instrument was designed by Spence in Australia in 1997 to assess the anxiety of children aged 8-15 years based on the DSM-IV diagnostic and statistical classification. The Spence questionnaire has two versions of the child (with 45 items) and the parents (with 38 items). In the present study, the reliability of this scale was 0.90 using Cronbach's alpha. Intervention sessions in the welfare organization were held for 13 sessions of 90 minutes and two sessions a week. This intervention is designed based on the five-step integrated method of Emunah (1999).

The results show that the difference between the pretest-posttest scores of the experimental and control groups is significant for the anxiety variable (p≤0.05, F=39.9). Therefore, the obtained results indicate the effect of drama therapy on reducing the anxiety of the experimental group. Also, the difference between the pre-test and follow-up scores of the experimental and control groups is significant for the anxiety variable (p≤0.05, F=18.377). Therefore, the results indicate the effect of drama therapy on reducing the anxiety of the experimental group.

One of the most important problems in today's world is the issue of labor children. Psychological problems of these children, especially high anxiety, are among the factors that make these children more vulnerable. Accordingly, the drama therapy method is effective in reducing the anxiety of labor children. Drama therapy seems to be able to reduce the anxiety of labor children by using techniques such as characterization, role play, pantomime, etc. It seems that changes in cognitive insight, establishing a link between consciousness and unconsciousness, direct and indirect training of coping strategies with anxiety, self-awareness, real-world experience in a safe environment, and refining and suppressing repressed and hidden negative emotions are among the reasons for reducing anxiety and stability of treatment. The results of comparing the control and experimental groups in a one-month follow-up show that the difference between the experimental group and the control group has been stable over time. drama therapy can be considered as a sustainable therapy in reducing the anxiety of labor children, and therefore, the condition should be provided for the use of these methods to reduce the anxiety of labor children.

Long QT syndrome (LQTS) is a disorder in which electrical cardiac ventricular repolarization is impaired. It results in an increased risk of an irregular heartbeat which can result in palpitations, fainting, drowning, or sudden death. Long QT Syndrome may present as tonic-clonic seizure or a seizure-like disorder. By taking a superficial electrocardiogram (ECG) and proper diagnosis, Sudden death, one of the most important complications of Long QT syndrome can be easily prevented.

This is a prospective case-control study that was conducted in the emergency department of Taleghani Childrenchr('39')s Hospital of Gorgan University during 2017.Four hundred and eighty subjects in three groups (two cases and one control groups), were included in this study. These comprised as patients with afebrile convulsion (n: 160), patients with seizures associated with fever (n: 160), and the control group (patients who have been hospitalized for any reason other than seizure (n: 160)). Those with severe cerebral palsy, acute meningitis, prolonged loss of consciousness, severe disturbances of electrolytes and those who were taking drugs that affect the QT interval were excluded. Once admitted with a primary diagnosis of seizure, a 12 leads superficial ECG was performed.

 In the group of patients with febrile convulsion, 123 children were Low probability Long QT syndrome, 33 cases were Intermediate and 4 were high probability Long QT syndrome. Probability of Long QT syndrome in children with afebrile seizures showed that 112 children were in Low probability Long QT syndrome, 42 children in Intermediate and 6 children in High probability Long QT syndrome group. Comparison of Probability of Long QT syndrome among the three evaluated groups showed that children with afebrile seizure (48 children) and subsequently children with febrile seizure (37 children) were more in Intermediate and High categories than others. Only 11 children in the control group were in the Intermediate and High groups. Chi-square test results showed a significant difference with P<0.001.

 The results of this study show that in patients who present with seizure as the initial symptom, it is always mandatory to account Long QT syndrome into differential diagnosis. Doing a simple electrocardiogram makes it easy to distinguish two issues and prevent sudden death.

Today, cardiac involvement is one of the major obstacles in the treatment of patients with rheumatologic diseases. Such an involvement was introduced at the beginning of 20th century, but in the last decades, newly recognized clinical entities have been introduced owing to emerging highly sensitive, non-invasive or semi-invasive cardiac imaging techniques. Cardiac involvements in patients with rheumatologic diseases are different ranging from subclinical to severe manifestations. These manifestations are heterogeneous affecting different structures (pericardium, myocardium or endocardium). Arrhythmias may be the first manifestation of sarcoidosis. An intracardiac clot may also be a manifestation of Behcetchr('39')s disease, and finally, pericarditis may be a manifestation of scleroderma. In ankylosing spondylitis, cardiac disorders can cause gradual complaints such as decreased ability to function or weaken, which are misleadingly attributed to non-clinical aspects of the disease. They are presented at the time of diagnosis of rheumatologic disorder or afterward. The cardiac involvements can also be the first presentation of rheumatologic circumstances so that some patients with rheumatologic diseases may primarily visit a cardiologist when they are attacked by this disease. Cardiac involvements can cause mortality and morbidity in patients with rheumatologic diseases. Prompt recognition of cardiovascular abnormalities is necessary for timely and appropriate management. Therapies directed towards inflammatory process are crucial to reduce cardiovascular disease morbidity and mortality. They may require aggressive immunosuppressive therapy. Although aggressive treatment of primary rheumatologic diseases can reduce the mortality rate and improve them, there are no specific guidelines and recommendations for them so far.

Chest pain is one of the most common causes of children visit in the cardiology clinic. In a significant number of pediatric patients the cause is non cardiac origin. Anxiety and depressive disorders in children are common and can be the cause of many other disorders. This study was designed to evaluate anxiety and depressive disorders in children with chest pain.
In this study, children with complaint of chest pain during 2014-15, referring to Gorgan city Taleghani Hospital, after ruling out the cardiac and common non cardiac causes, were referred to a children psychiatric physician. Children with depression and anxiety were treated with fluoxetine.
During the survey, 18% of all patients had anxiety disorder and 1% of study subjects had depression. In 92% of patients, the chest pain and symptoms of underlying mental illness improved.
Based on our findings, a significant percentage of children with non-somatic chest pain had different types of anxiety disorder and depression. The results of this study can be a very good fact to show the influence of treatment on the inhibition of anxiety disorders and depression-related illnesses such as chest pain and other underlying symptoms.