فرهاد عباسی

Early identification of high-risk patients with COVID19- using non-laboratory data at the time of admission may help the effective use of limited healthcare resources and improve clinical decision-making which reduces cost and time, and consequently the death of patients.

This study aims to provide an intelligent approach to triaging COVID19- patients by analyzing effective risk factors and predicting the risk of death due to COVID19- using an ensemble learning method.

This is a descriptive-applied study that was conducted in 2021. Non-laboratory data were used during the admission of 4558 confirmed patients with COVID19- referred to the Shohaday-e-Khalij-e-Fars Hospital in Bushehr registered in the medical care information system. After data preprocessing, the risk factors affecting the death were identified and ranked in importance. The ensemble learning (voting) method was used to develop the death prediction model, and the confusion matrix criteria evaluated its performance.

From a total of 5433 patient records, the data of 4558 cases were included in the study, of which %45.5( 2222) were women and %64.5( 2663) were men. The average age of the patients was 47.6. Out of all the investigated factors, 17 characteristics were identified as effective in predicting the death of patients, and their ranking indicated that the first six factors for predicting the death of patients are state of blood oxygen, age, state of consciousness, fever, cough, and body pain, respectively. The proposed model estimated the risk of death with an accuracy of %85, sensitivity of %85, specificity of %0.85, and AUROC of 0.91.

The results of the study provide a low-cost, fast, and innovative solution for the early identification of patients with COVID19- at risk of death to triage them more effectively, which can be used by the managers of healthcare systems to manage resources by continuously updating new data and providing appropriate treatments for high-risk patients.

“Imamate” is one of the most influential topics in the major jurisprudential discussions regarding the governance of the Islamic society, and it serves as a beneficial measure in preventing deviations within the Ummah and liberating it from the ignorance of pre-Islamic life and death. The analysis of the issue of imamate, apart from its conceptual meaning, in terms of legislative and guardianship roles within the community, is a Quranic and narrational principle reflected in the report of Kulayni from “Al-Hujjah,” and its absence leads to negligence of valuable branches, including religious democary, the appointment nature of the Imam’s position, the obligation to migrate from the tyranny of oppressive rule, and the obligation of intellectual, emotional, and behavioral obedience of the Ummah to the rightful Imam. The present research, utilizing descriptive and analytical methods, initially reveals the systematic relationship of the Leader’s statements in interpreting the verse of completing the religion and related statements around the topic of imamate. Then, by analyzing the structure of the comprehending-hadith reports from Kulayni’s book, “Al-Hujjah of al-Kafi,” it attempts to discover the intended network of the Shari’a concerning the culmination of blessings upon the Islamic Ummah and demonstrate that the Imam is the reality of divine authority on Earth. When it becomes the focal point of action for the members of the Islamic Ummah, the realization of monotheistic unity and justice in society, the connection between worldly and hereafter felicity, unity and solidarity, salvation from modern ignorance, and the elevation of the community’s internal motivation through the Imam’s supervision will be part of the fruits of it. This paper posits that perspective of the esteemed position of leadership (Ayatollah Khamenei) as the Imam of the Islamic Ummah today is comparable to a portion of the reports that Late Kulayni had during the minor occultation period regarding the principle of imamate and its requirements, and the current management of the society can be considered as a continuation of the imamate of the Ahl al-Bayt.

Splenic abscess is a rare disease with growing incidence due to the increasing number of immunocompro-mised patients and usage of improved diagnostic imaging modalities. Hematogenous infections are the most common cause of splenic abscess. Because of nonspecific clinical presentation, diagnosis might be de-layed. CT-scan is the imaging method of choice for diagnosis. Ttreatment includes antibiotics alone or antibiotic therapy with percutaneous drainage or splenectomy. In this article, we present a rare case of multiple splenic abscess (MSA) in a patient undergoing hemodialysis in Bushehr.

One of the etiquettes of Quranic recitation that has received attention in the narrations of two major sects of Islam i.e. Shia and Sunni is related to how melodious tones are performed during the recitation of the Holy Quran. Some narrations refer to the concept of “beautiful recitation”, while others highlight the issue of “voice modulation” during Quranic recitation. This article investigates the concepts of beautiful recitation and voice modulation in the narrations of Shia and Sunni using a descriptive and analytical approach, drawing upon library resources. Among the most important findings of this article is that both of these concepts are emphasized in the narrations of Shia and Sunni. Verses related to beautiful recitation can be categorized into two groups: those that directly address beautiful recitation during Quranic recitation and those that may not directly pertain to Quranic recitation but can be used to confirm the concept of beautiful recitation. The narrations on this subject contain both direct and indirect indications. Both Shia and Sunni sources have given attention to the qualities of beautiful recitation and voice modulation. Voice modulation can also imply intensity and strength in recitation etiquette.

Tetanus is a life-threatening neurologic disease caused by an infectious agent, Clostridium Tetani, and is one of the infectious diseases that is preventable by vaccination. Tetanus is characterized by painful muscle spasm and increased muscle tone, that is caused by tetanospasmin, a powerful toxin elaborated by Clostridium tetani. Due to worldwide regular vaccination, this disease rarely seen recently. The case we present here is a patient admitted in Shohadaye khalije Fars hospital with severe generalized tetanus due to incomplete vaccination.

Mahriya philosophy was a pleasing affair for a woman to start a life. As soon as the marriage takes place, the woman owns the mahriyah. When she want,and when she requests must be paid this the debt. The dominance of misconceptions and rivalry has caused numerous in limit of mahriyah has given the eye and eye of metathyroidism. Lack of enough skills to solve family disputes, Patience and tolerance of young girls and Immediately and promptly referring to press her husband by resorting to get mahriyah has caused a lot of damages. Since The Law of the Implementation of Financial Convictions has benefitted from prison. women Imprison her husbands by misusing this rule. Since the law on how to execute financial convictions has been used to disenfranchise individuals, it has been the subject of family lawsuits. This article is an analytical and descriptive method of jurisprudential and legal criticism of denial of couples' freedom in mahriyah lawsuits. The monopoly of deprivation of liberty appears to be defensible in cases of deliberate non-payment of dowry despite financial hardship. In other cases, attempts to resolve the main family problem by consulting, and practicing religion rather than depriving the husband of a better life can be Achieve life and marriage goals and take a step toward reducing divorce rates and inmates.

Organ transplant is considered the treatment of choice for patients with end-stage organ disorders. This process improves recipient’s longevity and quality of life. However, organ shortage for transplantation has remained an unresolved global issue. One of the primary sources of organ donation is brain-dead bodies. The most important factor that impedes the success of donation is lack of family's consent. Exploring effective factors on decision making of the families of brain-dead patients for organ donation helps policy makers plan how to facilitate organ donation. A cross-sectional study was conducted with 223 employees and 222 clients of Shohadaye-Khalij-e-Fars Hospital in Bushehr province in 2016. Samples were selected through a proportionate stratified random sampling from each hospital. Knowledge and Attitude towards Organ Donation and Brain Death Questionnaire, developed by Iranian Society of Organ Donation, was used for data collection. Data were analyzed in SPSS 16. Mean scores of employees' knowledge and attitude towards donation were higher than those of hospital clients. However, clients' mean score of religious belief was higher than employees'. There was a significant positive relationship between employees' attitude and religious belief. A significant relationship was also observed between employees' knowledge and probable causes of disagreement with organ donation. Furthermore, the relationship of hospital clients' attitude towards donation with their religious belief, knowledge and probable causes of disagreement with organ donation was significant. The relationship of their knowledge with their religious belief and probable causes of disagreement with organ donation was also significant. Considering that organ donation can save people's lives, the need to train and improve the factors observed in this research is felt to encourage people to donate organs.

The aim of the present study was to investigate the efficacy of cognitive-behavioral therapy and hope therapy on quality of life, life expectancy, resiliency in patients with thalassemia who went to Bushehr Thalassemia Therapy Center in 2017. The study was experimental and census was used. It consisted of 21 patients with thalassemia in Bushehr province who were randomly divided into two experimental groups of cognitive-behavioral therapy and hope therapy and one control group. To conduct the research, World Health Organization Quality of Life Questionnaire, Life Expectancy Questionnaire by Schneider and Connor–Davidson Resilience Scale were used. All the patients completed the questionnaires before and after the intervention. In order to analyze data, analysis of covariance was performed. In the therapy group, the majority of the patients were female, single and held a bachelor's degree. Similarly, in the control group, the highest proportion belonged to females and married patients, whereas a minority held a bachelor's degree. Compared with the control group, the findings of analysis of covariance revealed that both cognitive-behavioral therapy and hope therapy were significantly effective (p-value<0.05). Cognitive-behavioral therapy significantly increased quality of life, life expectancy and resiliency (37%), (14%) and (20%), respectively. Also, hope therapy significantly increased quality of life, life expectancy and resiliency (98%), (29%) and (11%), respectively. The findings showed that hope therapy was more effective than cognitive-behavioral therapy in increasing quality of life, life expectancy and resiliency. The results indicated that cognitive-behavioral therapy and hope therapy were effective in enhancing the quality of life, life expectancy and resiliency in the patients with thalassemia. Hence, considering psychological interventions, in addition to physical therapies, is of particular importance.

The phenomenon of hadith and research regarding it has brought about a vast narrative heritage throughout history. In the contemporary period, and with the advent of the Islamic Revolution of Iran in 1979 that focused on Islamic refrains, the attention to hadith has increased exponentially and in various aspects. Hadith research has become more developed and this has led to the establishment of universities, research centers etc. that primarily focus on hadith. One of the areas of growth and development in hadith studies pertains to its research. As to how much growth it has undergone and at what rate, that is the question that has been answered in the present article. By reviewing the important indicators of the study of hadith, such as journals, dissertations, publications, libraries etc. , after the victory of the Islamic Revolution, we note that it has grown significantly. Furthermore, it is seen that some of the research has only been the developed after the victory of the revolution

Measles is one of the most highly communicable of all infectious diseases in healthcare settings, and may transmit to medical personnel. This study was designed to assess measles immunity in a group of healthcare workers (medical students) and its relationship with age, sex and duration of working in hospital.
Material and All medical students of the clinical courses were informed of the study in spring and summer of 2016. After collecting demographic information, 5 ml of blood was drawn from each student. Serum level of measles IgG was measured using IBL-America enzyme-linked immunosorbent assays kits in the laboratory of the Persian Gulf Research Center for Infectious Diseases.
A total of 90 students with a mean age of 25±3.2 years were included. All students had a history of one shot of measles vaccination. The positivity rate of measles antibody was found 48.9% (44 cases) while 12.2% (11 cases) had borderline titers and 35 (38.9%) were reported negative. No relationship was observed between positivity of measles antibody and the variables of age, sex and duration of working in hospital.
This study demonstrates more than one-third of medical students were at risk of measles, which mandates periodic surveillance and revaccination of susceptible healthcare workers. Furthermore, adequate respiratory precautions should be taken when visiting patients with febrile exanthema and cough.

The developments in the Arab countries and the outcome of revolutionary uprisings are closely related to the military›s involvement in these protests. The main question posed by this article is as follows: What was the approach and role of the army in the Arab revolutions and uprisings? The research hypothesis suggests that in Egypt and Tunisia, the army was placed alongside the revolutionaries. In Libya, army forces broke up in the face of popular protests, and the opponents were able to defeat Gaddafi›s regime in the civil war. In Syria and Yemen, although escaping from the military, it was not enough to break the military›s coherence. In Bahrain, the army adhered to the reign of Al-Khalifa during the opposition protests. Therefore, the approach of the Army to the protest processes has not only been effective but also decisive. This paper is based on analytical-descriptive method and in the form of second-generation theories, especially Johnson and Tilley, and, the influence and impact of the Arab armies on the revolutions and uprisings in th

Existing political currents in every political system are considered important and influential phenomena in the history and developments of societies. For this reason, knowing the current situation, the future and factors influencing them are of great importance. Future studies aims at analyzing designing and shaping the future. Given the extension of future studies to the various fields of political and social life, this article tries to study some scenarios for political currents in Iran in 2025. To do this, we used the uncertainty matrix method. First, we put forward the most important driver forces affecting political currents in Iran in different areas, then we selected the most influential driver forces based on interviews with experts, as the main driver forces of political currents. Finally, we wrote scenarios accordingly. The findings of research suggest that given the two important uncertainties of "leader" and "people", four scenarios for the future of pilitical currents in Iran could be envisaged that the first of them could be considered the most desirable. In this regard, neglecting unifying elements and challenging and threatening domestic and foreign factors could undermine the desirable future for political currents in Iran and challenge the future of the Islamic revolation and the Islamic Republic of Iran

Stress is a negative emotional experience and assessment of unreasonable events that will lead to environmental disturbance. Nursing is a difficult and stressful job. The contradiction between trying to provide care for patients and poor management policy on productivity and job satisfaction can lead to emotional exhaustion, decreased motivation and interest in the work environment, apathy, and emotional burnout syndrome.
Aims: The aim of this experimental study was to determine the effectiveness of stress management training and emotional regulation on job satisfaction of nurses. For this purpose 90 nurses working in Bushehr Shohadaye Khalij-e Fars hospital, randomly selected and divided into two case and control groups. The case group was trained for stress management and emotional regulation for three weeks.
The results indicate the effectiveness of the intervention on overall job satisfaction (t=4.75, p Implementation of these interventions, in addition to increasing the productivity of nurses, copes with the challenges of their jobs and could decrease the psychological problems.

Normal functioning of life disrupts in cancer patients and this disruption has a negative impact on mental health.
Having a purpose in life, spiritual beliefs, tolerance and spiritual approach to health can help these patients to improve the quality of life.
This study was design to determine the effectiveness of spiritual therapy in mental health of cancer patients. Seventy patients was randomly selected in Bushehr Cancer Center and categorized to case and control groups. Patients of case group have participated in eight sessions of spiritual approach class. The control group did not participate in any educational sessions. After one month, mental health questionnaires (GHQ-28) were completed by both case and control groups.Spss20 and t-test were used for data analysis.
The results showed that mean score of mental health experimental group (t=4.97, p Spiritual therapy can modify patient's attitudes toward the disease and suggested to use in cancer patients by health giver.

The value and renown of the Nahj al-Balāgha is¡ on the one hand¡ due to the beautiful and profound enlivening words of Amīr al-Mu’minīn ʿAlī (‘a) and on the other hand¡ due to the skillful selection of Sayyid Raḍī¡ its compiler. The compiler’s introduction clearly elucidates his artistic structure¡ his motive and his outlook. Since his primary objective in this work was to compile what represents the most beautiful discourses of ʿAlī (‘a)¡ he consciously divided the work based on three different forms of discourse¡ which is beneficial when examining one type of discourse in relation to another. Being selective¡ not expounding upon the chains of transmission and avoiding repetition are some of the other creative choices of the compiler that he purposefully applied¡ and which played an important role in the persistency of this work. Not only is this not a point of weakness¡ it is one of the laudable achievements of his work. In this paper¡ we aim to compare the structure of the book to see how it conforms to what is mentioned in the introduction and then answer the various criticisms about it from both Shi‘i and Sunni scholars.