فهرست مطالب shima heydari

Marital relationships play an important role in the health and strength of the family. Cognitive behavioral couple therapy can be effective in improving marital satisfaction by modifying cognitive and behavioral patterns. This research was conducted with the aim of investigating the effectiveness of cognitive behavioral couple therapy on sexual desire and entitlement in women.

This is a semi-experimental research of pre-test-post-test type with a control group and a 1-month follow-up. The statistical population of the research was all married women aged 19 to 42 who referred to Shahr Karaj counseling centers in the first 6 months of 1401. For sampling, 30 people from the community group who referred for marital problems were selected using the available method and were randomly assigned to experimental and control groups. The experimental group underwent 8 1-hour sessions of cognitive behavioral couple therapy, but the They did not receive an intervention control. Data collection was done using Halbert's Sexual Desire Questionnaire and Sexual Entitlement Questionnaire. The data were analyzed using the mixed variance analysis method.

The results showed that there is a significant difference in terms of sexual desire and sexual entitlement in the studied groups in the post-test stage; So that cognitive-behavioral couple therapy has been able to significantly increase the scores of sexual desire and sexual entitlement in the experimental group (p<0.001). In addition, the effects of the treatment were more stable according to the follow-up period in all indicators of sexual desire and entitlement.

Based on the results of this study, cognitive behavioral couple therapy can be effective in increasing sexual desire and sexual rights.

Multiple myeloma (MM) is a neoplastic proliferation of immunoglobulin-producing plasma cells that have multiple presentations due to the infiltration of plasma cells in the bonemarrowand other organs. Commonmanifestations include anemia, bone pain, fatigue, and hypercalcemia. MMpresented with rectorrhagia is very rare.

A74-year-oldwomanwith a history of rectorrhagia episodes from about nine months ago presented with severe anemia, weakness, and lethargy. The findings of endoscopy and colonoscopy did not justify the patient’s manifestation, and finally, due to thrombocytopenia and anemia, a bone marrow biopsy was performed, and multiple myeloma was diagnosed.

Although GI bleeding in Multiple myeloma is a very rare manifestation, this diagnosis must be considered in the differential diagnosis of patients with unexplained and refractory GI bleeding.

The aim of this study was to investigate the effectiveness of emotional self-control skills training on self-esteem in the elderly of Karaj.

The aim of this study was to investigate the effectiveness of emotional self-control skills training on self-esteem in the elderly of Karaj.

The present study was a quasi-experimental design of 40 elderly people in Karaj nursing home from all elderly people in Karaj who were staying in a nursing home in autumn and winter of 1399, selected by random sampling method in two groups of emotional self-control skills training. And the control group was included. Using a pre-test-post-test experimental design with a control group, the experimental group was trained in emotional self-control skills training in 8 sessions of 1 to 1.5 hours, while the control group did not intervene during this period. Didn't receive. Both pretest and posttest groups were assessed using the CSWS self-assessment questionnaire by Crocker et al. (2003) and the results were analyzed using multivariate analysis of covariance.

The results showed that the training of emotional self-control skills had an effect on increasing the sense of worth of the elderly in Karaj. Considering the ETA square, it can be said that about 77% of these changes were due to the effect of intervention or training of emotional self-control skills.

Due to the effectiveness of this approach on self-esteem, this treatment can be used for these people.

COVID-19 is a pandemic and general health urgency with global concern which is rapidly spreading with the new sign. A 72-years-old man with diagnosis of myocardial infarction is transferred to the operating room for the coronary artery bypass surgery. The coronavirus-2019 test and the other diagnostic methods related to it were done and the result was negative. He returned to the hospital with hypotension two months after surgery. At first, the surgeon thought that these symptoms were related to the side effects of the cardiac medicines, so stopped taking and decreased the dose of those medicines. However, the hypotension persisted while the patient complained of anorexia, dizziness, and nausea. Considering the fact that the patient’s daughter was a health care worker who suffered from COVID-19, chest High-Resolution CT (HRCT) was conducted showing multi-focal peripheral consolidations in both lungs purposing viral pneumonia. Consequently, the patient was isolated. COVID-19 Polymerase Chain Reaction (PCR) was cheeked, which turned out to be positive and confirmed the diagnosis. Patients received intensive care in the hospital for six days and were discharged in good general condition to pass the rest of the isolation period at home. It is recommended according to the common symptoms of the coronavirus-2019 disease and the side effects of the cardiac patients’ medicines, such as vertigo, nausea, and vomiting, that these symptoms, in the case of these symptoms’ occurrence for the patients of coronary artery bypass surgery, can be resulted from the coronavirus-2019 disease, not from the medicine effects.

The aim of this study was to investigate the effectiveness of emotional self-control skills training on self-esteem in the elderly of Karaj.

The present study was a quasi-experimental design of 40 elderly people in Karaj nursing home from all elderly people in Karaj who were staying in a nursing home in autumn and winter of 1399, selected by random sampling method in two groups of emotional self-control skills training. And the control groups were included. Using a pre-test-post-test experimental design with a control group, the experimental group was trained in emotional self-control skills training in 8 sessions of 1 to 1.5 hours, while the control group did not intervene during this period. Both pretest and posttest groups were assessed using the CSWS self-assessment questionnaire by Crocker et al. (2003) and the results were analyzed using multivariate analysis of covariance.

The results showed that the training of emotional self-control skills had an effect on increasing the sense of worth of the elderly in Karaj. Considering the ETA square, it can be said that about 77% of these changes were due to the effect of intervention or training of emotional self-control skills.

Due to the effectiveness of this approach on self-esteem, this treatment can be used for these people.

Mastering aging and having a successful old age mean not only not having physical and debilitating diseases, but also being mentally healthy, having good social activities and communication with others and having cognitive and motor skills. Therefore, the aim of the present study was to investigate the effectiveness of training of emotional self-control skills (ESCSs) on resilience in the Karaj elderly.

In this quasi-experimental study, 40 elderly people from nursing homes in Karaj were randomly selected and divided into two groups: a) training of ESCSs and b) control. With the control group, a quasi-experimental pre- and post-tests design were used. Moreover, the ESCSs were trained in the experimental group in 8 sessions of 1 to 1.5 hours, while the control group received no interventions during this period. Both groups were assessed in pre- and post-tests using the Connor-Davidson Resilience Scale (2003), and the results were analyzed using multivariate analysis of covariance.

The results showed that ESCSs training had an effect on increasing the resilience of the elderly in Karaj. Considering the ETA square, it can be said that 85.7% of these changes were due to the effect of the intervention or training of ESCSs.

The results suggest that ESCSs training is effective in influencing resilience in older people, and the skills of this training can be used to increase resilience.

For childrens mental health, different levels of family environment dysfunction are considered as risk factors.

The aim of the study was to comparatively interpret the family drawings test for normal and divorced children as well as orphans and abandoned (9 to 14 years old) with an emphasis on the study of anxiety, depression, and aggression.

The present study was causal-comparative research. The statistical population included children aged 9 to 14 years from normal families, children of divorce, orphans, and abandoned in Tehran. The sample size consisted of 50 normal and 50 children from the other three groups who were determined based on the purposive assignment method and available sampling. For collecting the data, the Buss and Perry's Aggression Questionnaire, Revised Children's Manifest Anxiety Scale, Child Depression Inventory, and also the Corman family Drawing test were used. The collected data were analyzed using SPSS software version 22 through analysis of variance and multiple comparisons (Scheffe).

Findings showed that there is a high correlation between the scores of the anxiety index, depression, and aggression of children with the scores of these variables in the children's drawing test (P=0.000) on the other hand, the results of analysis of variance and Scheffe test showed that there was a significant difference between normal children and divorced children as well as orphans and abandoned (P=0.000, F=581.870) and the level of anxiety, depression, and aggression of abandoned children (196.15), orphaned children (186.69) and divorced children (174.55) was more than normal children (111.94).

According to the interpretation of the tests, it can be concluded that children from divorced as well as orphans and abandoned children are more depressed, anxious, and aggressive than normal children and regarding these components, abandoned children were worse off than orphans and divorced children

There is a scarcity reports on the situation of psychotherapy as an effective treatment for mental illness and interpersonal problems in Iran.

The study aimed to explore the situation of psychotherapy in Iran.

The present qualitative study was performed using conventional content analysis in 2017. The current sample included 13 experts in psychotherapy. A semi-structured interview was used for data collection. All interviews were audio recorded and subsequently transcribed. Qualitative analysis using constant comparisons was performed for transcribed interviews.

Two main categories were emerged to describe situation of psychotherapy in Iran: challenges and opportunities. Additionally, specific subcategories within each main category were documented. The challenges category described the problems in psychotherapy education and services delivery including lack of coordination in training and lack of insurance coverage. The opportunities category also described the improvement in psychotherapy status including the psychiatrists tendency towards psychotherapy, the varity in psychotherapy approaches and increasing awareness to psychotherapy in community.

The results showed that psychotherapy in Iran is facing challenges and opportunities that can affect the provision of psychotherapy services. These results can be used in policies related to psychotherapy in Iran.

Cystic echinococcosis (CE) is an important zoonotic disease between humans and mammalians that causes remarkable economic loss and public health problem in different regions of the world.

We present the case of a 43-year-old male patient living in Nehbandan city, Iran. He referred to the Nehbandan Hospital with sudden dyspnea. Two days before admission, he had suddenly suffered from the shortness of breath and had admitted to the Nehbandan Hospital to receive penicillin, but was discharged. The next morning, due to the exacerbation of the shortness of breath, he returned to the hospital. Pleural effusion in the left lung was observed in radiography. The patient was transferred to Valiasr Hospital in Birjand city for CT scanning. The anti-Echinococcus specific total IgG antibody was positive.

Hydatid disease should be considered as one of the differential diagnoses in every patient with respiratory symptoms and in those who are living in endemic areas. The early identification of the cyst and its surgical removal will improve the patient’s symptoms. In the present case, following the definitive diagnosis, a surgery was done while treatment with albendazole had started one week before surgery that continued after discharge from the hospital.

  The image analysis methods are auxiliary methods of pathological diagnosis, which can increase the accuracy and speed of evaluation of the samples.

This cross-sectional study was performed on 50 samples of cervicovaginal smear cytology from Pathology Department of Ghaem Hospital, Mashhad, Iran. Firstly, samples were divided into four diagnostic groups, including reactive epithelial changes, normal, low-grade squamous intraepithelial lesion (LSIL), and high-grade squamous intraepithelial lesion (HSIL) using Bethesda method. Afterwards, the images of cytology slides were prepared using an Olympus microscope imaging system and Olympus DP3 image. The next step included the analysis of factors, such as the area and the perimeter, gray value of cells.

The mean values of cell area were statistically different among the normal, LSIL, HSIL groups (P>0.01). The mean values of the circular index for three groups were not statistically different (P=0.151). The mean scores of gray value were significantly different between the normal and HSIL groups in terms (P=0.00), meaning that intensity of the color was higher in the nucleus of the HSIL group. This means that cells appear darker in the HSIL group (P>0.01).

Discussion & The obtained results of the study indicated that an image analysis could extract useful information from digital images related to cytology of cervical smear. The findings of the four diagnostic groups, namely reactive epithelial changes, normal, LSIL, HSIL were in line with those of pathologists’ eye evaluation

The high comorbidity of psychiatric disorders and substance dependence has been reported in children clinical and epidemiological as a study. The aim of this study was to determine the prevalence of childhood attention-deficit/hyperactivity disorder (ADHD) among methamphetamine dependence. This study was a descriptive cross - sectional study that has been done in 2015 - 2016. The study population consisted of individuals referred with methamphetamine dependence to Kermanshah Farabi hospital. Among them, 960 patients were chosen through access selection to collect data the epidemiological characteristics questionnaire and the Wender Utah rating scale for ADHD children were used. Data were analyzed through SPSS 18 software descriptive statistical methods and chi-square test. The prevalence of childhood ADHD was 29.9%. In the study population 155 patients (16.17) had hyperactivity disorder, 402 patients (41.9%) had attention deficit disorder, and 141 patients (14.7%) had hyperactivity and attention deficit disorders simultaneously. In addition, data analysis reveals the meaningful relationship between childhood ADHD and gender marital status education as well as age range (P < 0.001). For participants, job and age of first methamphetamine use, which P = 0.484 and P = 0.453, respectively, no meaningful relationship was found to ADHD. Behavioral disorders, especially ADHD, can make a background for methamphetamine dependence tendency. ADHD treatments may prevent this disposition towards methamphetamine dependence

A lot of studies is done about various components of the metabolic syndrome in association with non-alcoholic fatty liver due to increasing carotid intima media thickness as a risk factor of cardiovascular diseases. But few studies have been done on the role of non-alcoholic fatty liver as an independent risk factor for carotid intima media thickening. The present study aimed at evaluating the effect of non-alcoholic fatty liver on the extent of carotid intima media thickness, as a risk factor for atherosclerosis.
In the current study, mean thickness of carotid intima media was measured in 105 patients divided into three equal groups. Two groups included patients with mild to severe fatty liver with or without cardiovascular risk factors, respectively. The third group was the control one. The obtained data was fed into SPSS software (V:22) using ANOVA and Tukey test at α=0.05.
It was found that the thickness of the right carotid intima media in the control group was 0.5±0.09, but in the fatty liver groups ,with or without a risk factor, it was 0.26±0.08; respectively. But, in the left carotid intima media in the control groups having the same condition it was 0.8±0.18 and 0.82 ±0.26, respectively.
P value revealed that mean thickness of the right carotid intima media and the left one in the control groups was significantly less than that of fatty liver groups with or without risk factor.
Fatty liver disease leads to atherosclerotic arteries and thickening of the carotid artery as an indicator of atherosclerotic intima media, which is even visible when a mild degree of fatty liver is concerned.

The aim of this study was to investigate the effect of neurofeedback training whith Alpha frequency band on the improvemet of the performance of working memory in children with attention deficit and hyperactivity disorder (ADHD).
To perform this study, eight children with attention deficit and hyperactivity disorder (ADHD) were selected by random sampling. They participated in 10 sessions of neurofeedback training with Alpha up training Protocol. To evaluate the working memory, the N-Back Working Memory Test and Wechsler Memory Scale (Direct Numbers) were used. Data were analyzed by covariance analysis (ANCOVA) and SPSS.
Results showed that there was a significant difference between pretest and posttest (p

This study examines the effect of short-term psychoanalytic psychotherapy with self-psychology approach on change of attachment style in students with insecure attachment.20 students recognized as having insecure attachment are selected as the sample for this research. 10 students are categorized under the ambivalent attachment and ten others under the avoidant attachment groups. These students filled the Hazan & Shaver attachment style questionnaire. Both groups had received therapy (12 sessions, once every week and individually). Finally the data were analyzed using the dependent T tests, and results show that the said type of therapy can affect the attachment style. It can be concluded that short-term psychoanalytic psychotherapy increases secure and decreases avoidant attachment style scores. However, no significant change is seen in the ambivalence attachment style scores.