وحیده آقامحمدی

Mindfulness, a psychological concept involving an individual's ability to focus on current experiences and regulate them, plays a crucial role in mental health. Depression and anxiety are prevalent issues among students, affecting their academic and psychological performance. Given the significance of mindfulness and its impact, this study aims to explore the correlation between mindfulness, depression, anxiety, and demographic factors in students at the Khalkhal Faculty of Medical Sciences.

This cross-sectional descriptive-analytical study involved 106 students from Khalkhal School of Medical Sciences. The research instrument was a four-part questionnaire covering demographic information, anthropometry, Beck's depression, Beck's anxiety, and five facets of mindfulness. Data were analyzed using Pearson's statistical tests and regression analysis.

The study found that 1.9% of students were severely depressed, and 22.6% were severely anxious. There was a significant inverse relationship between depression scores and mindfulness (p=0.001) and a significant relationship between anxiety and mindfulness (p=0.0001). The multiple linear regression model indicated that anxiety and depression could predict changes in the average mindfulness score (R²=38.45).

The findings suggest that mindfulness is significantly related to depression and anxiety, with an inverse relationship between overall anxiety scores and mindfulness. Therefore, emphasizing mindfulness is vital for health.

Neuroarthropathy occurs following the loss of pain sensation in a joint. Martin Charcot was the first researcher who explained this strange, non-infectious destruction of bone and joints. This disease mostly affects the lower extremity of patients, especially their feet and ankle. In this paper, we present a rare case of simultaneous neuroarthropathy in the wrist and ankle of a 39-year-old man with no history of diabetes. Simultaneous neuroarthropathy of two joints and its occurrence in uncommon parts of the body like the wrist is quite rare and might lead to misdiagnosis and incorrect treatment.

Adherence to ethical standards is an effective factor in improving the performance of nurses in providing quality care. Nursing ethics and ethical care is one of the main goals of the health care system in the world. The aim of this study was to investigate the level of professional ethics and factors related to facilitate its observance in nurses working in Ardabil and Khalkhal teaching hospitals.

The present study is a descriptive-correlation study that was conducted in 2020 on 435 nurses working in Ardabil and Khalkhal universities of medical sciences. Samples were selected by random sampling method and completed the questionnaires for ethical standards and the factors that facilitate the observance of ethical standards. Data were analyzed using SPSS 22 software by pair T test.

The findings of the study showed that 59.8% of nurses had good moral performance. Also, 42.41% of nurses in dimension of responsibility, 69% in dimension of improving the quality of care and 55.9% in dimension of patient respect had good performances. Adequate scientific knowledge and awareness about nursing care with 62.8% was the most important factor facilitating ethics in nurses. The results of paired t-test showed that there was a statistically significant relationship between compliance with ethical criteria and its facilitators (P <0.05).

The findings of the present study showed that the moral performance of nurses was good and adequate scientific knowledge and awareness about nursing care was the most important factor facilitating the observance of ethical principles in nurses. Survey the current situation and identifying the causes and factors affecting the observance of professional ethics can be considered by nursing managers in eliminating the ethical and professional shortcomings of nursing.

The nursing process is a scientific and purposeful method that its use leads to coordination in the provision of services and allows nurses to use critical thinking for their clinical judgments and care activities. This study aimed to investigate the barriers to the implementation of the nursing process from the perspective of nurses working in Ardabil and Khalkhal University Hospitals from May to October 2020.

The cross-sectional descriptive study was performed on 300 nurses working in Ardabil and Khalkhal university hospitals. Sampling was done simply randomly. The instrument used is the Nursing Process Barriers Questionnaire. Data were analyzed using SPSS/26 software.

The findings of the present study show that in the implementation of the nursing process, "lack of complete knowledge of the concept of the nursing process" with 79% of the most individual barrier and "lack of access to new nursing resources by officials" with 83.3% and the most barriers of Management barrier is from the perspective of nurses. There was a statistically significant difference between gender and individual barrier "lack of complete knowledge of the concept of nursing process" (P <0.05).

The sum of the findings of the present study shows that from the perspective of nurses working in Ardabil and Khalkhal University Hospitals, the most important individual barrier is the lack of full knowledge of the concept of the nursing process and the most important managerial barrier is the lack of access to new nursing resources by officials.

Missed nursing care includes all aspects of the partial and general care needed by the patient that has been forgotten or delayed. The aim of this study was to determine the missed care and its related factors in nurses of Ardabil and Khalkhal educational and medical centers in 2020.

The present study was a descriptive-analytical study performed on 414 nurses of Ardabil and Khalkhal educational centers who were selected by random sampling method. Data collection tools were questionnaire of Kalish missed nursing care and its related factors. Data were analyzed using SPSS software and t-test, Chi-square, Pearson correlation and Mann-Whitney tests.

The mean and standard deviation of total score of missed nursing care was 40.47± 9.68 and the highest mean score of missed care was assigned to "rotating the patient every 2 hours" and the highest mean score of related factors with missed care was "the unavailability of drugs when needed". Also, there was no statistically significant difference between the views of nurses working in two universities in missed nursing care and its related factors.

The findings of this study showed that status of missed nursing care was moderate, which can be improved by planning and principled management. Also, the unavailability of all the medicines needed by the patients was the main related factor in the missed nursing care. These medicines and equipment needed by the patients can be provided by managing financial resources. It seems that providing the drugs needed by patients will play a key role in reducing neglected care.

Rising follicular keratin secretion, increasing sebum production, and Propionibacterium acnes are among the main etiology of acne vulgaris formation. Antibiotics are the predominant conventional treatment of acne. Antibiotic resistance is the main problem in the ordinary treatments of acne. Therefore, newer treatments are necessary. Intense pulsed light (IPL) is a novel therapeutic option with rapid application in this field.

Patients referred to us were randomized into two groups: group A (cases) and group B (controls). In addition to conventional antibiotic therapy, IPL was prescribed to group A while azithromycin alone was prescribed to group B. IPL treatment was performed weekly for five weeks and the patients were followed for three months. Declining inflammatory lesions count after the intervention was considered the remission scale.

In group A, moderate, partial, and complete remission occurred in 4, 9, and 7 patients, respectively. In group B, moderate, partial, and complete remission occurred in 10, 7, and 3 patients, respectively. Statistically, the remission difference was meaningful between the two groups.

IPL with conventional antibiotics is an effective treatment choice in moderate to severe acne vulgaris but also is a more accelerating agent in treatment versus antibiotics alone.

Aging is a biological and natural phenomenon and one of the stages of life. One of the undeniable facts of aging is getting closer to death. The purpose of this study was to determine the relationship between attachment to God and attitude toward death in the elderly of Ardabil in 2019.

The present research was a correlational study performed on 400 elderly people in Ardabil city in 2019 by random sampling method. The instruments used in the study were Beck and McDonald's attachment to God and attitude to death (DAP-R) questionnaire. Data were analyzed by SPSS/23 software.

The findings of this study showed that the mean and standard deviation of total score of attachment to God and attitude toward death were 36.52±9.52 and 77.31±12.60, respectively. The correlation between attachment to God and attitude to death in elderly was 0.58. According to the linear regression model, attention to God, trust in God, and the total score of attachment to God predict 52% of the variance in attitudes toward death.

The findings indicated that higher secure attachment styles to God are effective in promoting positive attitudes toward death and mental health in the elderly