مجله تعالی بالینی
سال سیزدهم شماره 3 (پیاپی 41، زمستان 1402)

Nature is a destructible resource, which its destruction can be prevented or delayed, and it can be revived using different strategies. Environment is the most important platform for the life of humans, animals, and plants, and its preservation is directly related to the way humans deal with it. Therefore, operational methods with short-term, medium-term, and long-term goals should be used to preserve the environment. Among the goals, education from childhood is one of the effective goals in preserving the environment. Since childhood education leads to the creation of sustainable behavior in adolescence, adulthood, and old age, the present study was conducted to investigate the educational and research approach in green schools. The current study is a simple descriptive review that was conducted by searching databases: UptoDate, ISI, PubMed, Google Scholar during the years 2006 to 2022 with keywords; green school, education and research, education, environment, biological changes during the year It took place. In the initial search, 153 Persian and English articles were found, and by applying the inclusion criteria, 15 articles were finally extracted. The findings showed that promoting the culture of building educational and research environments, such as the green school (emphasis on the generalization and development of the culture of environmental protection in the areas of urban development), can effectively increase promotion of the green schools. Therefore, providing green schools for students potentially leads to achieving short-term, medium-term, and long-term goals with the strategy of providing human and environmental health; consequently, the environment will be preserved for all living beings.

Some psychological disorders, such as anxiety and depression, are more common among deaf children than their hearing peers. Usually, the resilience of the parents of deaf children is lower than the parents of hearing children. For this reason, some resilience programs used for children and parents are more helpful to parents of deaf children. Friends resilience program, which is based on a cognitive-behavioral approach, is among these programs. The present research aimed to review the role of Friends resilience programs in reducing anxiety and depression in deaf children and their parents. This study was a descriptive and review research. Articles available in reliable scientific databases such as IranDoc, SID, Magiran, ISC, Science Direct, Scopus, PubMed, and Medline were used to collect information. The Friends Resilience programs consist of 10-12 sessions, and it has four separate standardized programs for different age groups, namely, Fun Friends, Friends for Life, My Friends’ Youth, and Adult Resilience Program, respectively. The findings showed that the Friends resilience program reduces the anxiety and stress of parents of hearing children and children with special needs, including deaf and hard-of-hearing children. Therefore, this program can be used as a helpful and practical intervention to reduce psychological problems and improve the mental health of deaf children and their parents.

The nature and consequences of COVID-19 have engendered various challenges for vulnerable groups, particularly the elderly. This study aims to scrutinize the mental health disorders experienced by the elderly during the COVID-19 pandemic, along with associated contributing factors.
This systematic review conducted in 2023 adhered to the guidelines of York University. Articles were identified using a combination of keywords, including mental health, the elderly, COVID epidemic, mental problems, psychological effects, psychological distress, and with no time constraints.
A total of 5 articles were published in Iran, while 26 articles were sourced from international journals. Among these, 21 articles employed quantitative methods, 4 were qualitative, and 4 constituted systematic reviews. The results were categorized based on the study's objectives into three groups: symptoms of mental distress in the elderly during the COVID-19 epidemic, factors contributing to increased psychological distress in the elderly and factors associated with decreased psychological distress in the elderly.
Given that the elderly are susceptible to numerous risk factors such as loneliness, physical ailments, and home quarantine, it is imperative to not only assess their physical well-being but also screen for mental health. Prioritizing elements such as home entertainment and virtual communication, alongside emphasizing faith, self-care and maintaining a normal lifestyle, can play a pivotal role in mitigating the adverse effects of COVID-19 on the mental health of the elderly.

Different educational systems in the world need reform, restoration, and development in the fields of education and research to help organizations achieve improvement indicators. The choice of efficient development approaches and educational stimulus, such as the green business process approach can guarantee the speed of development. Therefore, in the present study, a health-oriented solution has been presented with the aim of sustainable development of education in the university with a green entrepreneurial orientation. This simple descriptive review was conducted by searching various Persian and English databases between 2011 and 2023 using the following keywords: sustainable development, education, university, green entrepreneurship, and health-oriented. Eighty-five studies in two languages (Persian and English) were found in the database. After reviewing, criticizing, screening, and extracting the findings, 17 articles were included in the study. Based on the purpose of the study, the findings of the extractive research showed that green entrepreneurship is among the important factors in solving the challenges of sustainable educational development and can play a significant role in regional, international, and global health using its effective methods. Institutions, schools, universities and all educational and research organizations can be a significant factor in maintaining and promoting educational development and the spread and expansion of sustainable education by making correct decisions in the green entrepreneurship method.

Disruption in metacognitive beliefs, including cognitive trust, positive beliefs about worry, negative beliefs about uncontrollability, and the need to control thoughts, can overshadow a person's attention to physical and mental health. Considering the high number of children with mental disabilities, the presence of these children in the family exerts various effects on different aspects of the lives of families and parents. Therefore, the level of self-care in these parents and factors (positive and negative emotions and metacognitive beliefs) that affect their self-care are paramount. Therefore, the present study aimed to assess the metacognitive beliefs and self-care of parents of children with mental disabilities. A query was conducted on Scopus, Science Direct, Iranmedex, Springer, and ProQuest within the time frame of 2003-2022. After reviewing and summarizing the full text of the articles, 31 papers were selected. The findings pointed out that mental disability is a condition that is formed by various factors, such as attention disabilities, learning disabilities, and social disabilities, along with related behavioral problems. Parents of children with intellectual disabilities need special support, self-care, and guidance. Negative metacognitive beliefs may decrease confidence in one's own abilities, intensify stress, decrease motivation and energy, and destroy family relationships. On the other hand, positive metacognitive beliefs cause positive dealing with challenges, self-control, and self-acceptance, helping parents achieve high self-care in this regard. Parents who believe that healthy eating and taking care of the mother's physical and mental health during pregnancy can accelerate the improvement of their children's health. They pay more attention to this issue and will consider preventive approaches before birth as an essential part of their care. Parents who believe that appropriate educational methods can improve their behavior towards their children and their children's abilities plan their children's education according to these beliefs.

The aims and objectives of medical science education -as one of the effective social organizations- require the use of appropriate organizational policy approaches. Before providing healthcare services, the health system needs to ensure the health of its own organization. Due to the importance of political health, especially the health system, the present study was conducted with the aim of reviewing the health of organizational politics. A simple descriptive review was conducted by searching two approaches of books and databases during the years 2014-2024 (10 years) in Persian and English. The keywords used in the search include: organizational health, organizational policy, system. Health, health policy has been in the study of library and database databases including; ISI, isc Googlescholar, Pubmed, there were 4 bases.
The search was conducted in a targeted manner in 4 stages and by reducing the number of articles in 3 stages by applying the inclusion criteria, and at the end, 9 Persian articles and 4 English articles were included in the study.
The findings showed that having organizational health requires having a perceived organizational policy format in order to elevate the organization, and an organization like medical sciences needs to restore organizational policy and have intra-organizational health. Based on the results of the studies, the way forward for the advancement of medical science education requires the modification and restoration of the current policies of the health system in order to form a new vision of medical science education with predictable goals.

Coaching is one of the new methods in medical science education that plays an important role in meeting the needs of learners. The requirement of professional coaching is the growth and development of faculty members. The issue of coaching education and the growth and development of faculty members and their role in clinical education is felt more than ever before. Therefore, in the current research, a reverse process has been done for the autopsy of this knowledge. Therefore, this study has been done with an overview of the application of the coaching approach in the growth of faculty members and especially its application in higher health education. The present study is a systematic review in which the keywords were determined based on MESH and then searched in Web of Science, Scopus, Cochrane, Google scholar, Pubmed, Iran Medex, SID, Uptodate, and Magiran databases in the period of 2003-2021. Two languages Persian and English were conducted and during 5 stages of review, 34 articles were found, including 17 English articles and 17 Persian articles. There has been very little examination of the results of this in the field of medical sciences; However, using the models of coaching and development of faculty members of other universities can greatly help the process of organizational improvement of higher health education. Based on the results of studies, coaching plays a significant role in the development of faculty members of higher health education and health and treatment approaches. Injecting the concept of coaching and its role in the growth of faculty members is a road map for improving the quality of higher health education and applying their principles in the operational plan of the health system transformation document and a practical goal in providing health and treatment services.

Hereditary tyrosinemia type III is an uncommon inherited disorder of tyrosine metabolism caused by a deficiency of 4-hydroxyphenylpyruvate dioxygenase (HPD). This metabolic condition is passed down in an autosomal recessive pattern. Due to the rarity of the disease, the clinical presentation can be quite varied and unclear, but the primary symptoms are usually associated with elevated levels of tyrosine and phenolic metabolites, such as seizures, ataxia, and mental retardation. We presented the clinical, biochemical, and molecular features of a patient with tyrosinemia type III and his subsequent progress. Whole-exome sequencing revealed a novel HPD (276710) mutation (c.G1079C) in a homozygous pattern. Despite adhering to the prescribed diet, subsequent increased tyrosine level, the patient maintained normal neuropsychiatric development during the follow-up, raising questions about the effectiveness of a low-tyrosine diet. As a result, high tyrosine concentration may not act directly in neuronal damage of tyrosinemia type III patients.