فهرست مطالب meysam shafiei

SARS-CoV-2 infection have been reported to have a greater mortality rate in adults receiving dialysis, as compared to general population. Hence, vaccination is very important in this vulnerable population group, in order to achieve an acceptable level of immunity. The aim of this study was to compare the level of anti-SARS-CoV-2 anti-spike protein receptor-binding domain IgG neutralizing antibody before and after vaccination with two doses of Sinopharm® vaccine, in patients undergoing hemodialysis.

Ninety patients on maintenance in-center hemodialysis received two doses of Sinopharm® COVID-19 vaccine with an interval of about 28 days. Anti-SARS-CoV-2 anti-spike protein receptor-binding domain IgG (Anti-RBD) neutralizing antibody was measured with an ELISA kit. All statistical analyses were performed by SPSS-26 software.

The absolute mean (± SE) change in antibody titer following full-scheduled vaccination was 8.98 ± 1.49 μg/mL. The rate of seroconversion was 31.1% after two doses of vaccine. In addition, the rate of seroconversion was higher in those with a history of COVID-19 than in those without a history of COVID-19.

Conclusion. The administration of booster doses, doubling of the dose in each episode of vaccination schedule as well as combination of different vaccine platforms are recommended to increase COVID-19 vaccine efficacy in hemodialysis patients.

Recent studies suggest that treatment should be begun immediately in children who have recently started to stutter. The purpose of this study was to design a telehealth application for parents of young children who stutter. It is an evidence-based treatment that can be administered from an early age compared to the current “wait and see” approaches.

This research involved a qualitative content analysis. At first, a comprehensive review was performed on different well-established therapeutic programs, and their main therapeutic components were extracted via several sessions held by our focused group. Subsequently, six independent stuttering experts and five parents of stutter children were asked to rate the program’s items regarding its content and face validities by a 5-point Likert questionnaire. Finally, the entire program was used to form an easy to use, family-friendly software.

Seven therapeutic principles and five common factors were extracted from all available well-established stuttering treatment programs. They were designed in an easy to use software program. The final telehealth program was found to have a high face and content validities.

This program might be used in future clinical practice for stuttering children under the age Four. However, its efficacy has yet to be examined.

This paper describes the validation process of the final form of the Persian version of the Overall Assessment of the Speaker’s Experience of Stuttering for Adults (OASES-A-P). The impact of stuttering on the Persian-speaking people who stutter was compared to other languages.
This study with a cross-sectional design involved 92 Persian-speaking adults who stutter (24 females and 68 males; mean age=20.05±4.85 years). Face and content validity, internal consistency, test-retest reliability, and item analysis for discriminant validity were examined. The impact scores and impact ratings were calculated in total and for the sections separately.
Cronbach’s alpha and ICC proved to be high (0.98; 0.95, P The results of the current study offer a reliable and valid form of the OASES, which is applicable for Persian-speaking Iranian adults who stutter. The predominant impact rating of stuttering was shown to be mild-to-moderate and moderate.

Narrative assessment is an important evaluative tool for determining literacy outcomes، academic performance and social appropriateness. It can be viewed as rich approach for the description of how language develops in early childhood environments. The aim of this study was to report some language structures in narrations produced by 4-year-olds and to explore any association that may be observed between those structures and the sex of these children according to Narrative Assessment Protocol (NAP). In this cross-sectional descriptive study، NAP method was used to evaluate particular language structures in spontaneous narrations of 126 Persian-speaking children that had been produce while they were describing a picture book. Intra-rater، inter-rater and online- offline reliabilities were also calculated. Target language structures were evident in the most of narratives. The most commonly used structure was possessive noun and the least common one was tier-two noun. Agreement percentage for each of the NAP items ranged from 53% to 100% of accuracy. The final NAP score for each subject and the scores obtained for each structure were not significantly different between girls and boys. The results were in agreement with the past results about the Mean Length of Utterance (MLU) in various ages and the relationship between MLU and the development of language structures in this age range.

Evidence-based practice incorporates research into clinical skills along with recognizing and accepting client’s ideas. In recent years, speech and language pathologists have been expected to justify their clinical decision makings on the grounds of reliable evidence-based practices. The purpose of this study was to investigate speech-language pathologists’ attitude, knowledge and behavior toward evidence-based practice and its relationships with personal and interventional variants.

In this cross-sectional, descriptive-analytic and retrospective study, 40 available speech and language pathologists in Isfahan were assessed via a checklist called “attitude, knowledge and behavior of speech and language pathologists toward evidence-based practice”.

The results showed that %79 of graduates and B.Sc. or M.Sc. students had positive attitude toward evidence-based practice. %90 of participants responded that they had not received any instruction on the subject. %32 of speech and language pathologists reported that they usually read less than 2 articles a month and one-third of respondents was found to use resource materials less than 2 times a month in order to make clinical decisions. Only half of the sample had online access to information either in home or in office.

Study results show that there is a need for teaching evidence-based practice and providing appropriate strategies to increase its application.