fatemeh sadat tabatabaei

Depression and anxiety are the most frequent and devastating mental diseases among older adults. Several variables are identified as contributing to the development of these illnesses. The present study was conducted to investigate the prevalence of depression, anxiety, and their related factors in older individuals residing in Ardakan.

The current cross-sectional study was based on the data obtained from the first phase of the Ardakan aging cohort of 5176 older adults. Depression and anxiety were evaluated using CESD-10 and HADS-A scales, respectively. Moreover, the relationships between these outcomes and the related factors were evaluated using the logistic and linear regression.

The prevalence of depression and anxiety was estimated to be about 17% and12%, respectively. Poor perception of health) OR=2.29, CI95% 1.79 to 2.93), Low perceived economic status (OR=2.11, CI95% 1.71 to 2.60), Receiving care (OR=1.66, CI95% 1.39 to 1.97), affecting by neurological disease (OR=1.37, CI95% 1.11 to 1.69), Gastrointestinal diseases (OR=1.48, CI95% 1.23 to 1.77) were significantly associated with the presence of depression. Female gender, Poor perception of health and economic status, receiving, and providing care, and suffering from neurological, cardiovascular, gastrointestinal, and respiratory diseases were related to higher anxiety scores.

The prevalence of depression and anxiety among the participants was relatively significant, and these variables were significantly correlated with several factors, including health and economic status and receiving/providing care. These findings highlight the significance of taking into account several socio-economic, health-related, and gender-specific aspects when dealing with mental health disorders including depression and anxiety in this particular age demographic. By identifying the risk factors, healthcare professionals can better target interventions and support systems to manage and mitigate the effect of these mental health disorders.

Divorce within families has various and often detrimental effects on adolescents, and lack of understanding adolescents' psychosocial experience regarding their parents' divorce is considered an obstacle in employing effective intervention methods. Therefore, the aim of this present study was to investigate and identify the components of adolescents' lived experiences after their parents' divorce in Iran.

This qualitative exploratory study was conducted using Colaizzi's theory in collecting, conducting, and analyzing the data. To this end, 24 adolescents aged 12 to 18 from Yazd city, who had experienced their parents' divorce, were identified through purposive sampling method, and their information was collected through semi-structured interviews in 2022. It is worth mentioning that all data were recorded, and the sampling continued until data saturation was achieved.

Analysis of the lived experiences of the participants revealed 9 main thematic units out of a total of 126 meaningful units. Subsequently, through integration and linking of the concepts, 3 main themes of positive emotional experiences (calmness and positive adjustment to divorce), negative emotional experiences (anger, fear, guilt, and helplessness), and negative behavioral experiences (changes in family structure and support networks, and personal problems) were inferred, and their related components and concepts were interpreted separately.

After parental divorce, adolescents encounter various positive and negative emotional experiences as well as different negative behavioral experiences. Lack of awareness and timely treatment of these experiences can lead to more severe problems in their mental-social health. . Therefore, it is suggested that therapists interpret life experiences of these people more deeply and provide therapeutic interventions based on the themes obtained from the current research.

Well-being is related to various social, psychological, and physical factors. This study investigated these factors and their relationship with the well-being of the elderly.

This cross-sectional study was conducted based on the data of Ardakan Cohort Study on Aging (ACSA) in 2020, including 5190 people aged 50 and above. The World Health Organization (WHO)-5 questionnaire was used to measure wellbeing. Using a logistic regression model and adjusting the variables, the relationship between well-being and related factors was measured.

Among the participants, 2586 people (49.8%) were women. Well-being was good in 3014 people (58.2%). According to the findings, the poor well-being of the elderly has an inverse and significant relationship with medium to high economic status (OR = 0.63, P ˂ 0.001), physical activity (OR = 0.99, P ˂ 0.001), and social support (OR = 0.90, P ˂ 0.001). The elderly with high school education (OR = 1.43, P = 0.005) and extremely bad health status (OR = 1.32, P = 0.008) had poor well-being. Furthermore, the odds of depression (OR = 1.21, P = 0.035) and anxiety (OR = 1.05, P ˂ 0.001) were higher in the elderly who had poor well-being. The mental and physical quality of life were also higher in the group with good well-being (P < 0.05).

To promote the elderly’s well-being, they should be involved in regular physical activity, which should be planned to increase their quality of life (physical and mental) and improve their economic status as well as social support.

In this research, we investigated the role of conscious control propensity in determining the effects of attentional foci on performance and learning of basketball accuracy pass in children (10-12 years old).

To determine the children’s conscious control propensity, the Movement Specific Reinvestment Scale was used. Seventy-two children in two high and low conscious control groups that each group divided to three sub-groups (internal, external, and control) entered the acquisition and transfer and retention tests in the basketball accuracy pass task.

The results showed that during the acquisition period, low and high conscious control propensity did not have any effect. Though there was a significant interaction between conscious control propensity and attentional foci in transfer and retention tests, but the main effects were not significant.

Based on these results, children's motor learning is more effective when the instructions for attentional foci suited their natural tendencies.

In recent years, the presence of various pharmaceutical residues such as cefixime (CFX) in aquatic environments has been gaining attention due to its adverse effects on health and ecosystems. Since conventional treatment methods are unable to remove antibiotics, sustainable and efficient approaches are needed to remove these compounds from aquatic environments. In this study, granular ferric oxide (GFO) was used to remove CFX, and the experiments were designed using Design Expert software. The findings were then analyzed using ANOVA test. The results showed that the proposed regression model fit the experimental condition (R2=0.9701, R2 adjusted=0.9432, R2 predicted=0.83). Several residual plots were used to confirm the suitability of the model. The initial concentration of 1.84 mg/L, GFO dose of 3.05 mg/L, and contact time of 24.32 minutes were found to be the ideal conditions for CFX adsorption. Moreover, the findings showed that GFO can be effective in absorbing and removing CFX from aqueous environments.

The objective of this study was to assess the prevalence of falls, fear of falling (FOF), complications arising from falls, and identify possible sociodemographic and health-related factors associated with these outcomes among older adults.

This cross-sectional study was based on the first wave of the Ardakan Cohort Study on Aging (ACSA), which includes participants over 50 years of age residing in Ardakan, Iran. Fall history, number of fall events, FOF, hospitalizations, and fractures in the past 12monthswere assessed through a face-to-face interview. Health-related factors were recorded on a self-expressed basis. Associations were assessed using multiple logistic regression.

Among the 4,990 participants, fall history in the past 12months was prevalent in 19.9%, with 10.1% reporting more than two fall events. Women (p < 0.001) and older participants (p< 0.001) had a higher prevalence. In females, 28.8% reported moderate to severe FOF, while 21%experienced disruptions in their daily activities as a result of this fear. The prevalence of fractures following falls was 5.1% in males and 8.6% in females. After adjusting for confounding factors, FOF (OR: 1.59, 95% CI: 1.33-1.91, p<0.001), imbalance (OR: 2.45, 95% CI: 1.68-3.58, p<0.001), urinary incontinence (OR: 1.44, 95% CI: 1.04-1.9, p=0.025), cognitive impairment (OR: 1.21, 95% CI: 1.01-1.46, p=0.049), vertigo or dizziness (OR: 1.39, 95% CI: 1.15-1.68, p<0.001), osteoporosis (OR: 1.24, 95% CI: 1.03-1.50, p=0.023), osteoarthritis (OR: 1.33, 95% CI: 1.13-1.56, p=0.001), depression (OR: 1.30, 95% CI: 1.06-1.60, p=0.010), and Central Nervous System (CNS)-affecting diseases (OR: 1.99, 95% CI: 1.33-2.97, p=0.001) were found to have positive associations with falls.

This study showed that about one-fifth of those over 50 in Iran have experienced at least one fall within a year. Self-expressed imbalance, FOF, and urinary incontinence were the most prominent risk factors. Due to resulting in hospitalization and fractures, falls also lead to fear of falling and the associated limitation of activities.

Cervical cancer, the most common gynecological cancer, is a matter of concern, especially in developing countries. The present study investigates survival rates, associated factors, and post-treatment follow-up status in cervical cancer patients. Study Design: A retrospective cohort study.

This study was conducted on 187 patients referred to an academic referral cancer center in Iran from 2014-2020. Overall survival (OS) and event-free survival (EFS) were evaluated using Kaplan Meyer analysis. The event was defined as recurrence, metastasis, or death.

The patients came for post-treatment visits for a median of 36 months (interquartile range [IQR]: 18-51). The median OS and EFS were 24 and 18 months, respectively. The 1- and 3- year OS rates were 90% and 72%, respectively. The 1- and 3- year EFS rates were 76% and 61%, respectively. Stage ≥ III (hazard ratio [HR]: 3.1, 95% confidence interval [CI]: 1.5, 6.5, P < 0.001) and tumor size > 4 cm (HR: 2.5, 95% CI: 1.2, 4.9, P = 0.006) predicted lower OS. The most common histopathology was squamous cell carcinoma (SCC) (71.1%) with non-significant higher 3- year OS (HR: 0.62, 95% CI: 0.33, 1.16, P = 0.13). No significant difference in OS was found between adjuvant and definitive radiotherapy in both early and advance-staged patients (Log-rank = 0.7 P = 0.4, log-rank = 1.6, P = 0.2, respectively).

As evidenced by the obtained results, the survival of patients was lower compared to that in developed countries. Higher stage and tumor size led to shorter survival. The histopathology and type of treatment in comparable stages did not have any significant impact on survival.

Despite the increasing vaccination coverage, COVID-19 is still a concern. With the limited health care capacity, early risk stratification is crucial to identify patients who should be prioritized for optimal man- agement. The present study investigates whether on-admission lactate dehydrogenase to albumin ratio (LAR) can be used to predict COVID-19 outcomes.

This retrospective cross-sectional study evaluated hos- pitalized COVID-19 patients in an academic referral center in Iran from May 2020 to October 2020. The area under the receiver operating characteristic (ROC) curve (AUC) was used to evaluate the value of LAR in the pre- diction of mortality. The Yuden index was used to find the optimal cut-off of LAR to distinguish severity. Patients were classified into three groups (LAR tertiles), first: LAR<101.46, second: 101.46 ≤ LAR< 148.78, and third group: LAR ≥ 148.78. Logistic regression analysis was used to identify the association between tertiles of LAR, as well as the relationship between each one-unit increase in LAR with mortality and ICU admission in three models, based on potential confounding variables.

A total of 477 patients were included. Among all patients, 100 patients (21%) died, and 121 patients (25.4%) were admitted to intensive care unit (ICU). In the third group, the risk of mortality and ICU admission increased 7.78 times (OR=7.78, CI: 3.95-15.26; p <0.0001) and 4.49 times (OR=4.49, CI: 2.01-9.04; p <0.0001), respectively, compared to the first group. The AUC of LAR for prediction of mortality was 0.768 (95% CI 0.69- 0.81). LAR ≥ 136, with the sensitivity and specificity of 72% (95%CI: 62.1-80.5) and 70% (95%CI: 64.9-74.4), respectively, was the optimal cut-off value for predicting mortality.

High LAR was associated with higher odds of COVID-19 mortality, ICU admission, and length of hospitalization. On-admission LAR levels might help health care workers identify critical patients early on.

Based upon WHO (World Health Organization) Coronavirus Dashboard more than 5 million deaths worldwide have been attributed to the COVID-19 (Coronavirus Disease 2019) caused by the SARS-Cov-2 virus (Severe Acute Respiratory Syndrome Coronavirus) till November 2021. The annual flu vaccination has raised many questions about the vaccine's effects on Covid-19 outcomes. Several possible mechanisms including cross-reactivity and cross-protection have been reported to be responsible for the potential protective effect of the flu vaccine on the COVID-19 infection. This study was performed to evaluate the possible effect of the influenza vaccine on the disease severity, the mortality rate, and the length of hospitalization in COVID-19 patients. 

The data of 1300 patients were recorded from May 2020 to October 2020. Patients with a previous history of COVID-19, patients under 18 years old, and patients who did not have accurate information about their influenza vaccination history were excluded. 498 hospitalized unvaccinated COVID-19 patients with typical clinical manifestations and a positive PCR (Polymerase Chain Reaction) test for COVID-19 were included in this observational, cross-sectional study. The participants were divided into two groups (vaccinated and unvaccinated) based on the history of influenza vaccination at the time of admission.

The length of hospital stay was lower in the vaccinated compared to the unvaccinated group (p < 0.05). However, there was no significant difference between the mortality rate, the need for ICU (Intensive Care Unit) admission, and the severity of the disease between the two groups (p> 0.05).

Since the patients studied in this article did not receive any of the Covid-19 vaccines; Therefore, the effect of influenza vaccination on the clinical course of Covid-19 can be evaluated using the results of this study. A longer length of hospital stay was observed in the unvaccinated patients in our study, which may suggest the possible protective effect of the influenza vaccine against COVID-19.

The family resilience approach provides a practical and positive framework that strengthen the family to solve existing problems. It goes beyond problem solving and prevention, reforms families and prepares them to face future challenges.

The present study aimed to evaluate the effectiveness of family resilience training on social adjustment of military families in residential complex

This quasi-experimental consisted of control and experimental groups. Using the convenience sampling method, 60 people with the lowest resilience score were selected voluntarily and randomly assigned to the experimental and control groups. The experimental group was trained for ten sessions and the control group did not receive any treatment. In present study, researchers used Bell Social Adjustment Levels Questionnaire. The obtained data were analyzed by analysis of covariance.

The results showed the effectiveness of family resilience training on military families’ social adjustment (F= 66.6 and E = P =0.53).

The present study indicated the effect of social adjustment training on promoting social adjustment components, and raising the awareness.

Aminoglycosides (AG) such as Amikacin that are widely used to prevent and treat infections in neonates have nephrotoxic effects. The aim of this study was to evaluate the role of urinary index to Glomerular filtration rate (GFR) in diagnosis of tubular renal injury following administration of Amikacin in neonates admitted to neonatal intensive care unit (NICU).

In this descriptive cross-sectional study, 45 neonates admitted to NICU with confirmed sepsis undergone treatment with Amikacin and Ampicillin and 45 neonates were treated with Ampicillin and Cefotaxime. GFR was calculated using Schwartz's formula (serum creatinine/height * 0.45) and categorized based on Fanaroff table. In both groups, BUN, Cr, and GFR were measured at days one and seven. Data analysis was performed in SPSS.

Two (4.4%) patients in the group treated with Amikacin and Ampicillin and one (2.2%) in the group who received Ampicillin and Cefotaxime developed acute kidney injury (AKI). GFR changes and Cr levels at day seven were not found to be significantly different between septic neonates treated with Amikacin and Ampicillin and neonates treated with other non-aminoglycosidic antibiotics (P>0.05).

There was no difference in incidence of AKI between neonates receiving Amikacin and Ampicillin and those who received Ampicillin and Cefotaxime. Hence, AKI in these neonates requires further evaluations.

Teacher training programs play a vital role in developing student-teachers’ understanding of their professional selves as an effective factor in successful teaching. Though the number of studies regarding the effects of teacher education on foreign language teachers’ self-images continues to proliferate, little attention has been paid to Iranian EFL student-teachers, particularly females, in terms of future images of professional selves being developed during their training at Teacher Education University. Using the Possible selves theory (Markus & Nurius, 1986), the present qualitative study explores and compares the future professional self-images of EFL student-teachers at Iranian Teacher Education University. Eight female student-teachers in the first, third, and last year of their studies from several female teacher education colleges around the country accepted to participate in the interviews. They were asked to discuss their desired and feared selves, as well as their plans for achieving or avoiding these selves, respectively. In-depth phenomenological interviewing was adopted to collect the data. Before fieldwork experience, student-teachers’ hopes and fears were mostly geared to classroom routines, while by the end, their statements were predominantly theory-based and sophisticated. Most student-teachers made reference to some plans for attaining their desired professional self-images and avoiding feared ones. The study put forward some implications for teacher training and education programs.

Binge eating disorder as a psychological disorder commonly leads to confusion and problems for people.  A problem People with binge eating disorder is low capacity of distress tolerance, and this increases the tendency of an individual to Binge eating. This study aimed to compare the effectiveness of cognitive-behavioral therapy and self-healing therapy on Distress tolerance in women with bulimia nervosa.

Methods and Materials: 

This study was quasi-experimental (pre-test post-test with the control group). The statistical population of the present study included all women with bulimia nervosa who were referred to specialists and medical centers in Isfahan in 1398. 45 women were selected by purposive sampling and randomly placed in experimental and control groups. Data collection tools were Distress tolerance Simon and Gaherchr (2005) questionnaires. Each of the experimental groups underwent 12 sessions of Michellechr  cognitive-behavioral group therapy, and Marvi and Latifichr  self-healing therapy, but the control group did not receive an educational certificate. Research  data  were analyzed using  Mancova  and chi-square test.

Based on the chi-square test, no significant difference was observed in terms of age, education, and disease duration between the three groups (P <0.05). The results showed that the cognitive-behavioral and self-healing experimental groups were significantly different from the control group in the Distress tolerance variable (P <0.05). Also, self-healing therapy has increased the Tolerance and absorption dimensions and Distress tolerance more than cognitive-behavioral therapy (P < 0.05).

According to this study, cognitive-behavioral therapy and self-healing can be used to increase the Distress tolerance of women with bulimia nervosa. However, self-healing treatment seems to be more than effective cognitive-behavioral therapy in this case.

Cefixime (CFX) is one of the most extensively used antibiotics across the world. Nonetheless, the entrance of this pharmaceutical compound into water resources has posed a serious problem to the environment. With this background in mind, the present study aimed to analyze the effectiveness of CFX removal from aqueous solutions by potato starch.

The current study assessed the effect of four main effective parameters, namely pH (3-9), potato starch dose (0-300mg/L), CFX initial concentration (0-16mg/L), and retention time (20-120min), on CFX removal using Response Surface Methodology (RSM).

Under the optimum conditions, the maximum CFX removal efficiency was reported as 65.57%, with the optimum values of pH=4.5, potato starch dose=225mg/L, CFX initial concentration=7.9, and retention time=95min. As demonstrated by the results of RSM, the current study follows the quadratic model (R2=0.987).

Considering the appropriate results of CFX removal by potato starch, it is recommended to be used as a successful method to remove this contaminant from water sources.

Remaining pharmaceutical compounds cause environmental pollution. Therefore, refining these compounds has become a major challenge. In this study, the function of eliminating Cefixime (CFX) using rice starch was evaluated under controlled conditions.

Response Surface Methodology (RSM) was used to design, analyze, and optimize experiments, and the interaction between four variables including pH (3-9), rice starch dose (0–300 mg/L</em>), CFX initial concentration (0–16 mg/L</em>) and time (20–120 min</em>) was investigated on CFX removal.

The optimum pH, starch dose, initial concentration and time were 4.5, 225 mg/L</em>, 7.9 mg/L</em> and 95 min</em>, respectively. The maximum efficiency of CFX removal was 70.22%. According to RSM, this study follows a quadratic model (R2</sup>=0.954).

Rice starch has been successful in removing CFX from the aqueous solution. Therefore, it is recommended to utilize this process to remove CFX from aqueous solutions.

Acute Necrotizing Encephalopathy in childhood (ANEC) is a kind of fast growing illness accompanied with progressive Encephalopathy. The aim of this article is to report a rare case of ANEC in a 4-year-old boy with bilateral thalamic necrosis and a nonfatal outcome.

The patient was a 4-year-old Iranian boy who had no prior history of health problems and hospitalization except for a period of jaundice and phototherapy as a neonate. In the neurological consultation a brain MRI was requested for the patient to analyze the possibility of brain damage, which showed the involvement of cerebellum, thalamus and the existence of  basal ganglia which led to the diagnosis of ANEC.

In conclusion, although ANEC is a rare disease, it should not be underestimated.

Despite the importance of Iranian teacher education programmes at Teacher Education universities for preparing EFL teachers in terms of effective teaching, no research has surveyed the role of these programmes in preparing effective teachers. This cross-sectional study was conducted to evaluate Iranian Teacher Education universities programmes for EFL student-teachers regarding five areas of teaching knowledge which conform to California Standards for the Teaching Profession (CSTP) that are stated in Commission on Teacher Credentialing (2009). This study employed a mixed-method design in which 126 in-service EFL teachers from six cities and 212 EFL student-teachers from six Iranian Teacher Education universities participated in a survey; then interviews were conducted with 12 selected volunteers from participants. The student-teachers’ expectations of TEPs at the beginning, their evaluations of the programmes at the end, and in-service teachers’ evaluations after years of teaching in terms of their preparation for teaching were compared. The results of Mixed Between-within (Repeated Measures) ANOVA as well as interview analyses and interpretations showed that there was a difference between the first-year group’s expectations and the last-year group’s evaluations. The difference was significant between female first- and last-year groups, female in-service and last-year groups as well as male in-service and male first- and last-year groups. Both male and female in-service teachers acknowledged the effectiveness of their four years of education at Teacher Education universities. Implications for providing more effective teacher education programmes are discussed.