fatemeh khazaee

One of the most important needs of the elderly is information. Public libraries are among the centers that can play an effective role in providing information services year after year. The purpose of this study was to investigate the situation of public libraries affiliated with the Cultural and Artistic Organization of Tehran Municipality in the Health Information Report for 2020 in Tehran province.

The present study was descriptive-analytical in nature and with applied results. In this study, due to the comprehensiveness of the work, sampling was not done and in other words, the research sample was with the research community. The research community of Tehran Province Public Librarians was affiliated with the Cultural and Artistic Organization of Tehran Municipality (87 people). The validity of this questionnaire was confirmed based on the opinions of seven experts in the field of library and medical information. And its reliability was calculated 0.9 through Cronbach’s alpha. The research tool was a researcher-made questionnaire. Data were analyzed by SPSS software using descriptive statistics and one-sample t-test.

The situation of resources, tools and technology as well as the services of public libraries affiliated to the Cultural and Artistic Organization of Tehran Municipality in providing health information to the elderly are unfavorable and below average (P>0.05). Findings show that services can be provided Health services in public libraries affiliated to the Cultural and Artistic Organization of Tehran Municipality for the elderly, respectively, insufficient budget and lack of facilities and equipment for the elderly and lack of up-to-date, lack or reporting of information sources.

According to the results, the situation of public libraries affiliated to the Cultural and Artistic Organization of Tehran Municipality in providing health information to the elderly in Tehran province was unfavorable. Due to demographic changes in the coming years, it is necessary for the public libraries of their country to prepare to provide appropriate services to the previous years.

Protective strategies planning and prioritizing for protected areas management based on existing status, plays an important role in conservation plan success. In order to achieve the best conservation strategy for managing the Mouteh Wildlife Refuge based on existing status, first, we identified the current status and the challenges facing this refuge using the DPSIR technique, with regard to protection. Afterwards, using the SWOT analysis, the weaknesses and strengths as well as threats and opportunities of the study area were identified and 12 protective strategies were suggested. Then, the strategies were ranked based on expert opinions and by applying IFE matrix and EFE matrix, strategic position and action evaluation (SPACE) matrix, and quantitative strategic planning matrix (QSPM). The result of this study indicated that Mouteh Wildlife Refuge is now more in need of a competitive strategy (ST). The competitive strategies selected in this study for Mouteh Wildlife Refuge in order of priority are: (i) considering a zone for grazing of livestock (due to the high area of the refuge), (ii) monitoring and patrolling in the area to prevent illegal hunting (considering the proper number of environment-guards and large area of the study area), (iii) providing tourism programs in these areas to change local people's attitudes and raise their awareness.

Iranian literature and culture are full of metaphysical deterministic trends that are associated with the Ash’ri approach. Metaphysical determinism is a theoretical approach about cognition and action and is not a legend making to be the simple subject of a morphological analysis. In this study we show the narrative pattern of the cognition and the action in two tales of the Javame-ol-Hekayat by Ofi based on the hypothesis that any meaning making is based on the understanding of the destruction of meaning and the quest of object value. The results show that in the determinist approach the cognition is eternal, and the transformation and metamorphosis do not occur in it. And the narrative cognition finds its coherence just if to be reduced as a cognitive unit and being transformed to an eternal metacognition.

Massive bone allograft is an option in cases of limb preservation and reconstruction after massive benign and malignant bone tumor resection. The purpose of this study was to analyze the outcome of these procedures at Imam Reza Hospital, Mashhad University of Medical Sciences.
In this study, 113 cases have been presented. Eleven cases were excluded (patients has a traumatic defect or they passed away before the completion of the study’s two-year follow up period). Each patient completed a questionnaire, went through a physical examination and, if indicated, X-ray information was collected. The patients were divided into three groups: chemotherapy, chemotherapy plus radiation therapy, and no-adjuvant-therapy.
Fifty-four cases were male and the mean age was 24.5±5.39. The number of cases and indications for surgery were: 33 cases of aggressive benign tumors or low grade malignant bone tumors (large bone defects) including 16 germ cell tumors, eight aneurysmal bone cysts, five low grade osteosarcomas, and four chondrosarcomas. Another 69 cases were high-grade malignant bone tumors including 42 osteosarcomas, 21 Ewing’s sarcoma, and six other high grade osteosarcomas. Patients were divided into three groups: the first group received no adjuvant therapy, the second group received chemotherapy, and the third group received chemotherapy plus radiotherapy. The location of tumors were as follows: eight cases in the pelvic bone, 12 in the proximal femur, 18 in the femoral shaft, 36 in the distal femur, 12 in the proximal tibia, and 16 in the humeral bone. The 12 cases of proximal femoral defects were reconstructed by allograft composite prosthesis, 18 diaphyseal defects with intercalary allograft, and 36 distal femoral defects were reconstructed using osteoarticular allograft. The rate of deep infection was 7:8% (eight patients) and in this regard, we found a significant difference among the three groups, such that most cases of infection occurred in the adjuvant chemotherapy plus radiation therapy group. Allograft fracture occurred in six patients and prevalence was the same in all groups. Only in six cases of radio-chemotherapy nonunion occurred, so we used autogenous bone graft for union. Local recurrence was observed in six patients: three belonged to the adjuvant chemotherapy group and the other three were in the chemo-radiotherapy group; no significant difference was observed between these two groups. However, there was a significant difference between these two and the group that received no adjuvant therapy. Also, there were 11 cases of metastases and Restriction of knee joint motion occurred in 48 cases of osteo-cartilaginous grafts of the distal femur and proximal tibia.
Although structural allograft is an appropriate choice in limb reconstruction after massive resection of involved tissues in malignant and invasive bone tumors, the risk of complications such as nonunion and infection in massive allograft increases in cases of adjuvant (chemotherapy and radiotherapy) modalities of treatment. Whereas the rate of tumor recurrence, metastasis, and restrictions in range of motion during a short term follow up after implantation showed no significant difference among the evaluated groups. Consequently, further attention and constant periodic visits of the patients and checking for local recurrence and distant metastasis should be done after surgery.