zahra yazdani

Chronic lymphocytic leukemia (CLL) is the most prevalent hematological cancer, with various medical interventions. In the recent decade, cold physical plasma has become an interesting agent for future cancer therapy. The goal of this study was to see whether cold physical plasma or cold physical plasma-treated liquid (PTL) affected integrin beta 3 (ITGB3) expression, which is hypothesized to mediate an interaction between cancer stem cells and the bone marrow microenvironment, in CLL patients' blood cells. The metabolic activity, cell death pattern, lipid oxidation and ITGB3 gene expression of these treatments was evaluated. Both direct cold physical plasma and PTL exposure enhanced lipid peroxidation in cells of CLL patients, but to a lesser extent in healthy participants. Furthermore, following 48h of cold physical plasma or PTL exposure, the metabolic activity of leukocytes was preferentially reduced in CLL patient leukocytes. In addition, cold physical plasma and PTL treatment elevated ITGB3 mRNA expression in CLL patients' leukocytes compared to untreated and healthy controls. Collectively, our study suggests selective effects of direct cold physical plasma and PTL exposure on blood leukocytes from leukemia patients, but further and more detailed studies are needed to provide additional rationales for such treatment options as future therapy.

Adhering to a gluten-free diet has an important impact on the quality of life of celiac patients, and non-adherence to it will have long-term complications. Therefore, this study was conducted with the aim of investigating the effect of telenursing training on the efficiency and adherence to the diet of adolescents with celiac disease.

This research was a semi-experimental study. Which was conducted on 60 teenagers. Eligible patients were selected in an accessible manner and then were placed in two intervention and control groups. Patients in the intervention group received 5 sessions of virtual telenursing training. Questionnaire of demographic information, self-efficacy and adherence to diet was completed by both groups, before and after the intervention. Data were analyzed by SPSS-22 software. A significance level of p<0.050 was considered.

The two groups did not have a statistically significant difference in terms of the average score of dietary compliance before the intervention (P=0.07). But after the intervention, there was a statistically significant difference in the two groups (P < 0.001). Also, according to the results, the two groups did not have a statistically significant difference in terms of the average self-efficacy score before the intervention (P = 0.12). But after the intervention, a statistically significant difference was observed (P < 0.001).

According to the findings and according to the effectiveness of the intervention, the use of telenursing in health policy related to chronic diseases can play an important role in increasing the health level of the society.

Natural antimicrobials, such as plant extracts (Es) and essential oils (EOs), are gaining popularity in food preservation. This study investigated the attendance of waterborne bacterial pathogens in drinking water samples (DWSs) from various urban centers in Shahrekord. It also examined the sensitivity of these bacteria to Es and EOs derived from Kelussia odoratissima Mozaff. (KOME, KOMO) and Echinophora platyloba (EPE, EPO). In 2022, 200 distinct DWSs were gathered from various places in Shahrekord. Escherichia coli, Salmonella typhimurium, and Helicobacter pylori isolates were identified using routine biochemical and PCR tests, respectively. Following the preparation of hydroalcoholic Es and EOs, the chemical compounds were identified using the Folin-Ciocalteu method and gas chromatography-mass spectrometry (GC-MS), respectively. Using agar diffusion and micro-dilution methods, the antibacterial properties of KOME, EPE, KOMO, and EPO were evaluated against the bacterial isolates from drinking water. The overall frequencies of E. coli, S. typhimurium, and H. pylori were 2.5% (n= 5/200), 1% (n= 2/200), and 2% (n= 2/200), respectively. The total phenol content of KOME and EPE was 92.23±4.1 and 243.6±14.3 mg GAE/g, respectively. 5-methylsalicylic acid (40.57%) and cyclopropane (1-methyl-1,2-propadienyl)- (37.28%) were detected as the highest compounds in KOMO and EPO. The MIC and MBC values for the tested bacteria ranged from 250 to 1500 µg/mL and 500 to 2000 µg/mL, respectively. The most significant inhibition zone was observed for KOMO against S. typhimurium (20.03±0.08 mm). KOMO and EPO had more robust antibacterial properties than EPE and KOME. The findings revealed the presence of pathogens in drinking fountains, posing potential health risks. Moreover, the results demonstrated the efficacy of EOs as potent antimicrobial agents, suggesting their promising applications for reducing pathogenic bacteria in the food industry.

Athletes are often exposed to physical injuries, which reveals the necessity of using sports insurance services. Considering the importance of sports insurance in the satisfaction of injured athletes, the present research was conducted with the aim of investigating the level of satisfaction of team and individual athletes with sports insurance services using data mining techniques. The statistical population of this research was 25,000 athletes in different sports fields in Isfahan, and 384 people were selected as a sample using Morgan's table and sampling was done randomly. The data collection tool was a researcher-made questionnaire, whose validity was confirmed by 12 sports management experts, sports medicine federation experts, and insurance managers, and its reliability was obtained at α = 0.86. Data analysis was done using Spss software version 23. The results related to the satisfaction of athletes using sports insurance services and the ease of reimbursing losses to insured athletes showed that athletes were moderately satisfied with sports insurance services. The results of the present study show that athletes are moderately satisfied with sports insurance services and sports insurers should try to increase the satisfaction of athletes.

In late December 2019, pneumonia originating from nCOV-2019 spread rapidly around the world, and in March 2020, the World Health Organization officially declared it a pandemic and chose the name "COVID-19" for the resulting disease. A significant proportion of COVID-19 patients experience severe pulmonary complications and life-threatening conditions that necessitate respiratory support and admission to the intensive care unit (ICU). Since the detection of the first case of COVID-19 in Iran, the country has experienced several waves, with different strains of the coronavirus prevailing in each wave. According to the studies conducted in this field, in the first wave, the alpha strain (B.1.1) 7), the second wave of the beta strain (B.1.351), the third wave of the gamma strain (P.1), the fourth wave of the delta strain (B.1.617.2) and in the fifth wave the Amicron strain (B.1.1.529) of the strain were dominant in patients. This study aims to evaluate the clinical and paraclinical findings, as well as the outcomes, of COVID-19 patients admitted to the intensive care units at a referral teaching hospital in northern Iran during the first through fifth waves of the pandemic.

This research is a descriptive-analytical retrospective study that was conducted on all patients with COVID-19 who were hospitalized in the ICU of Razi Qaemshahr Hospital (Infectious Diseases Referral Center of Mazandaran Province) in first to fifth waves. Personal information, underlying diseases, time from the onset of symptoms to a hospital visit, laboratory tests, and length of stay of the patient in the intensive care unit was collected through dossier reading and spss25 software was used for statistical analysis.

Out of the 304 patients admitted to the ICU during the first through fifth waves of the COVID-19 outbreak, 50.3% were male. The age range of the patients was from 22 years to 98 years with an average of 65.14±15.08. 244 patients had at least one underlying disease. So 41% of the patients had diabetes and 50% had blood HTN. Among 244 patients with underlying disease, only 28 patients recovered and 216 patients died, which difference was significant (P=0.01). The second wave had the highest number of patients (25.7%), while the third wave had the lowest (16.4%). The average hemoglobin level differed significantly between the second and fourth waves, being 1.37 units lower in the fourth wave. The mortality rates varied significantly across the different waves (P<0.001), with a rate of 100% in wave 1, 85.9% in wave 2, 82% in wave 3, 64.3% in wave 4, and 93% in wave 5. Regarding underlying health conditions, no significant differences were observed among patients across waves 1 to 5. Notably, among the 244 patients with underlying diseases, only 28 recovered, while 216 passed away (P= 0.01).

Male Gender and underlying conditions, particularly diabetes and heart failure, are influential factors in determining the prognosis and severity of the disease. The mortality in the fourth wave has decreased significantly and the maximum rate of recovery of patients was in this wave.

Learning life skills can improve students' performance. This study aimed to investigate the effect of online life skills training courses on resilience, locus of control, general health, and academic performance at Yazd University of Medical Sciences.

This intervention study was performed on 70 third and higher-semester students. For the experimental group, a life skills training program was performed in five sessions during the five weeks. Data collection tools included Connor and Davidson resilience questionnaires, Rutter locus of control, and Goldberg general health and average grade points of the student in the previous and new semester, completed before and one month after the training program. The data were analyzed using SPSS.v22 descriptive statistics and independent and paired t-tests.

Before the study, the mean resilience scores of the intervention and control groups were 57.17±2.40 and 58.70±3.58, respectively. After the study, the mean resilience scores of the intervention and control groups were 73.13±2.27 and 59.50±3.50, respectively. Also, the mean scores of the locus of control before and after the study in the intervention and control groups were 10.22 ± 2.04, 11.59 ± 1.32, and 9.02 ± 3.50, 8.95 ± 2.32, respectively. Statistical analysis showed that there was a significant difference between the two groups in terms of all mentioned variables (P<0.0001) after the study.

Resilience, locus of control, general health, and student academic performance improved after participating in online training courses on life skills.

Rawdat Hosseiniyah, written by Sayyid Ahmad Ardakani Yazdi (13 AH), written by a Persian writer. The main subject of this topic is the influence of Zindgani on Imam Hussein (peace be upon him) and the reality of Jangdaz Ashura and Karbala. Radkani, the transfer of Harqi, a subject of Sanadi, with the memory of Nam Rawi and the owner of his arguments, Dada, with a solution and the interpretation of his relaxation, and the translation of verses, verses, verses, transmission of her, narrators, and killing of his Radakh In the garden of Husseini, there are demands and a reliable chain of transmission with its nonsense, and in the face of the garden of Khawanan and its battle, there are traces of falsehood regarding the reality of Karbala and the testimonies of Imam Hussein (peace be upon him), his opinions, Dadand, Dori Justest. A comprehensive collection of texts, narrations and hadiths of respected Shiite scholars with a sad and sad identity, under the supervision and supervision of Al-Amali Sheikh Saduq, Alaam Al-Wari Tabarsi, Al-Mallah And Sayyid bin Tawoos and... Niz Tafsiri; From the interpretation of Ibn Abbas, Imam Hassan Askari (peace be upon him) and... his counterparts are weak in the face of suspicions and weak narrations regarding the testimonies of Imam Hussein (peace be upon him) and the reality of Karbala, see below. Ardakani has two copies of the books translated by Muqatil, Hamshun Lahof Sayyid Tawoos and... received a response.

Improving students' academic performance is related to various factors. Identifying and modifying these factors can improve academic performance. The study investigated the relationship between resilience, locus of control, and general health with students' academic performance.

The study is a cross-sectional descriptive-analytical study consisting of 415 students. Resilience, source of control, and public health were investigated by using standard questionnaires, and the correlation of these scores with the academic performance of the students was evaluated.

A comparison of the average scores of resilience, locus of control, and general health with the student's academic status showed that those who had a GPA higher than 16.92 had a higher score of resilience, locus of control, and general health, but it was not reported significant. In comparing the internal and external control dimensions of the source of control, it was shown that people with an external source have a significantly higher grade point average. Also, there is a relationship between the variables of resilience, source of control, and general health with academic performance, and between the variables of source of control and resilience with academic performance. Significant was reported.

It is recommended to organize practical education areas and workshops to enhance resilience, general health, and life skills based on the findings of the academic progress study.

Virtual education has provided higher-quality teaching and learning. The current study examines secondary school education experts’ lived experiences and the impact of virtual education networks on students’ scientific, personality, cultural, and religious concepts.

This is a qualitative study using a phenomenological method. All educational experts in the selected countries were interviewed in 2022, and 24 were selected using purposeful and snowball sampling. The data were collected through semi-structured interviews and analyzed using the Colaizzi method. Finally, the validity and reliability of the tool were assessed.

A total of 21 components were created from 131 open codes. The scientific concepts included more prosperous and sustainable learning, the boredom of students, development of learners’ technological skills, acquiring informal skills, fast feedback, and reducing the quality of education (6 components and 41 open codes); the personality concepts included increasing individual-educational efficiency, increasing psychological-social problems, addiction to cyberspace, changes in the student’s social perspective (4 components and 33 open codes); the cultural concepts included changes in the thought pattern, social interactions and lifestyle, fashionism, moral deviation, and development of interpersonal communication (6 components and 33 open codes); and the belief concepts included ambivalence, access to inappropriate content, better understanding of religious facts, tendency to deviant thoughts, and acceptance of opposing patterns (5 components and 24 open codes).

The research findings show that despite some unfavorable outcomes, the positive ones stand out and highlight the significance of parental and school supervision, as it can help students follow this path with the most excellent effectiveness and the slightest vulnerability.

The Covid-19 pandemic changed the world; its most important achievement for education was changing the approach from traditional to virtual education. The present study aimed to investigate the role of virtual education networks on mental health of students including personality, beliefs, scientific, and cultural dimensions, in selected countries.

This was an exploratory and applied study. According to the phenomenology strategy, theoretical saturation occurred after 24 semi-structured and targeted qualitative interviews with teachers from Iran, Iraq, Syria and Lebanon, in 2023. Quantitative data was collected through a researcher-made online questionnaire with 423 participants. Teachers with at least a Bachelor’s degree and five years of teaching experience were selected as the study participants. PLS software version 3 was used to analyze the quantitative data.

After analyzing the qualitative interviews, 131 open codes were extracted, and grouped into 22 components and 4 concepts. The results of the quantitative data analysis (factor load) showed the effect of virtual education networks on personality (0.590), beliefs (0.819), scientific (0.564), and cultural (0.815) dimensions which indicate a statistically significant effect. Accordingly, students’ belief is mostly affected by virtual education networks. The subcomponents of duality and moral-social confusion in the belief dimension, changing life and nutrition patterns in the cultural dimension, increasing communication and interpersonal problems in the personality dimension, and boredom and frustration in the scientific dimension were highly effective.

The study results showed that virtual education acts like a double-edged sword, with both negative and positive effects on the body and mind of students, which necessitates more careful monitoring.

Bioinformatic approaches for designing vaccines have become a promising alternative to conventional methods. We herein designed a multi-epitope-based vaccine against colorectal cancer (CRC).

Used peptides in the CRC vaccines were retrieved from databases of PubMed, Web of Science, Google Scholar, and Clinical trials. The adjuvants of Mycobacterial heparin-binding hemagglutinin and pan DR epitope were inserted in the N and C terminus of the vaccine sequence. Physicochemical properties, immunological characterizations, and prediction of the secondary and tertiary structure of the vaccine were evaluated. Linear and conformational B cells were predicted by IEDB. Docking and molecular dynamics simulations were performed between the vaccine and toll-like receptor of 4 (TLR4). In silico cloning and mRNA stability were predicted to evaluate the expression of the vaccine in Escherichia coli (E.Coli).

The vaccine contains 368 amino acids constructed from peptides of OGT, FTO, CASP5, CASP8, U2SURP, MED25, FMO5, CEA, and TGFβIIR CRC antigens. The vaccine has a high-quality structure and suitable physicochemical and immunological properties. It has large and accessible B-celll epitopes. Docking and molecular dynamics simulation of the vaccine with TLR4 showed an appropriate and stable interaction between the vaccine and immune receptors. In silico cloning showed the vaccine can transcript and translate in E.Coli as a host.

The CRC vaccine is immunogen, non-allergen, and structurally stable. In the next step, the in silico results of this study will verify using in vitro and in vivo studies.

Neuroinflammatory processes in autism spectrum disorder (ASD) is related to the immune system. Regulatory T cells (Tregs) are essential elements of this association. Deficiency in these cells may have a role in worsening of ASD. 

This study reviews the physiology of Tregs and their molecular mechanisms in regulating the immune system, their role in neurological disorders, abnormality in Treg number and function in patients with ASD, and the association of neuroinflammatory processes with Tregs. The comprehensive literature search was performed by electronic databases such as Google Scholar, PubMed, Web of Science, and Scopus to July 2023.

Expression of cytokines in Treg induction decrease in ASD patients which causes Th/Treg cells imbalance and deficiency in Treg cells. This may be clinical evidence of ASD. However, there are scant research on molecular mechanism of Tregs causing healthy behaviors in ASD patients. Future studies on the effect of Th/Treg cells imbalance on attenuating behavior deficits and finding treatments for ASD based on the activation of Tregs and regulation of the immune system are recommended

The use of approaches that balance the function of the immune system, especially through the activation of Tregs, may help improve the health of the patients.

The aim of the present study was to investigate the effect of online collaborative learning on cognitive learning levels in the fifth grade students of Gorgan city. The research method was a semi-experimental pre-test-post-test design with a control group. The statistical population includes all fifth grade students of Gorgan in the academic year of 2019-2019, 30 people (15 people in the experimental group and 15 people in the control group) were selected as a sample using the available sampling method and were divided into two experimental and control groups. they got. The desired classes in the happy student network were held simultaneously and asynchronously in a cooperative manner, and at the beginning and end of the teaching process, the level of learning of the students in the experimental science course was measured. The research collection tool included the test of the progress of the teacher's learning levels based on the learning levels and Bloom's classification. Research findings showed that online cooperative learning has a positive effect on students' learning (p<0.05). Online collaborative learning has no significant effect on the level of knowledge, evaluation and creation (P>0.05). Collaborative learning has had a significant and positive effect on the level of understanding, application and analysis (p<0.05). Based on the result, the online collaborative learning method can be used for different subjects and levels of education.

Science and technology in the field of education gives importance to the methods and techniques that used to develop the educational system quantitatively and qualitatively. In the current educational process, parents evaluate the quality of their children's education based on their academic performance instead of the child's all-round development. In addition, traditional teaching methods do not prepare students to live in the 21st century. Students in the 21st century must move beyond the basic knowledge in the subject field and look for more important issues such as acquiring skills, having the skills of self-efficacy and critical thinking by current students is one of the challenges of the education system. It is necessary to examine appropriate teaching methods that promote these two skills in learners and use all the available capacities in online education to improve self-efficacy and critical thinking skills, because teaching strategies are advancing with the significant development of technology. Education should gradually shift its focus from the physical space of the classroom to virtual environments. Also, considering the impact of self-efficacy and thinking on environmental and cultural factors, considering that education is also an acquired and cultural activity, and considering that second grade students are highly influenced by the environment, usually due to playfulness, attention and interest. They do not teach and this is a weakness for them, stories can play a very important role in the development of a student's personality. Parents and teachers devote most of their time to children's educational issues, and students spend most of their time in passive learning at home and school, and suffer from the difficulty and dryness of lessons and anxiety about exams and grades. In this way, most of the parents and teachers stay away from the main goal of education, which is to raise creative, innovative and efficient people. Considering that no research has yet investigated the effect of digital storytelling, which is a practical method, therefore, the researcher decided to investigate its effect on students' self-efficacy and critical thinking, so that the results will help the authorities to use the method. Use appropriate tools and tools to activate students in the learning process and flourish their different talents, including the development of self-efficacy and critical thinking. The aim of this research is investigating the effect of digital storytelling on the self-efficacy and critical thinking of second grade elementary school students in the Shad system.

This research was a quasi-experimental study with a pre-test-post-test design with a control group. The statistical population included all the second grade female students of Gonbadkavus city in the academic year of 1399-1400. The number of members of each of the control and experimental groups was 10 people; who were placed in two control and experimental groups as a random replacement. Digital storytelling intervention did for the experimental group, while the control group was storytelling in the traditional way. Before and after the implementation of the experiment, pre-test and post-test conducted for two experimental and control groups. Critical Thinking Questionnaire (CTD) and Standard Self-Efficacy Questionnaire of Children and Adolescents (SEQ-C) used to collect data.

The statistical methods used in this research included descriptive statistics (mean, standard deviation) and inferential statistics (multivariate covariance test). According to the results of covariance analysis and adjusted averages, and taking into account the limitations of the research, it said that digital storytelling has been effective in increasing the self-efficacy and critical thinking of second grade students in a happy online environment.The frameworks set by the official curriculum create a limited space for teachers to create and implement educational scenarios according to student needs. As a result, the scope of the teacher's action is limited. However, digital storytelling in schools creates a combined context of action and meaning for students and teachers. In this context, learning opportunities appear both informally and as the results of guided formal education. Therefore, it is suggested that according to the positive results of the research conducted in the field of digital storytelling, teachers, especially teachers working in the primary level, should use digital storytelling either as an assignment for students or as an educational video by the teacher himself. Use and do not see the methods of educating students as exclusive to the official curriculum and expand it. Digital storytelling is effective, accessible and low-cost, and based on research results, it has significant effects on students' deep learning; therefore, this method can be used by any teacher and applicable to any class. There are limitations in every research project that takes into account in the correct interpretation of the results. One of the limitations of the research was that the examined sample was limited to one of the villages of Gonbad Kavos city, so one should be careful in generalizing its results. In addition, boys were not included in this study.Therefore, it suggested that the storytelling method used in other subjects such as sociology, cultural studies, etc. or even in other subjects. It can also be useful to include this method in teachers' tests. Holding webinars to acquaint teachers with active learning methods such as storytelling, film screening, puzzles, etc. It will improve the quality of students' learning at different levels of education.

Medicines are the most widely used interventions in health care, and adverse drug reactions alone are responsible for 5-10% of hospitalizations in elderly patients. Carbamazepine is an anticonvulsant drug, and skin rash is one of its rare symptoms. It requires immediate medical attention and is sometimes life-threatening.

Case Report:

 This case report is about a 72-year-old woman who witnessed the interaction of rivaroxaban and carbamazepine and the side effects of carbamazepine simultaneously.

Patient participation and patient-centered tools are needed to promote patient safety.

 With advances in healthcare options for the medical management of breast cancer, treatment decision-making has become more complex.

 Guided by self-efficacy theory, the study investigated the impact of a question prompt list (QPL) on decision-making outcomes among women with breast cancer in Iran who were post-surgery.

 A randomized controlled trial was conducted at a comprehensive cancer center in Tehran, Iran. Fifty patients were randomized to either a QPL with usual care (n = 25) or to a usual care (n = 25) condition. Data were collected pre- and post-treatment utilizing: 9-item Shared Decision-Making Questionnaire; Decision Self-efficacy Scale; and the Control Preferences Scale. Utilizing SPSS 26 software, descriptive, Shapiro-Wilk test, independent t-test, Fisher's Exact test, and Mann-Whitney U test were used.

 No differences between the usual care and QPL groups on major study constructs were found (P > 0.05).

 The QPL did not impact various decision-making outcomes among women with breast cancer post-surgery. Cross-cultural research is needed with larger samples to further examine the impact of decision aids such as QPL on decision-making outcomes for women with breast cancer.

Psycho‑educational interventions might play a crucial role in the management of diseases. This study was conducted to determine the effect of psycho‑educational interventions via social networks on self‑efficacy and anxiety among Coronavirus Disease 2019 (COVID‑19) patients in home quarantine.

This randomized clinical trial was conducted on 72 COVID‑19 patients, in Shiraz, Iran, in 2020. The patients were randomly assigned to an intervention and control group. Patients in the intervention group underwent psycho‑educational interventions daily for 14 days. The data were collected using the Strategies Used by People to Promote Health (SUPPH) questionnaire and the State‑Trait Anxiety Inventory (STAI ) before and 2 weeks after the intervention.

After the intervention, the mean score of SUPPH was mean = 120.75 (16.56) and mean(SD) 111.27 (14.40) in the intervention and control groups, respectively. Moreover, after the intervention, the mean score of state and trait anxiety were 34.69 (10.75) and 38.31 (8.44) in the intervention group, and mean(SD) 45.75 (13.01) and 43.50 (8.44) in the control group, respectively. After the intervention, a difference was observed between the groups concerning the mean score of SUPPH (t70 = 2.58; p </em>= 0.01), state anxiety (F1 = 16.52; p </em>< 0.001), and trait anxiety (t70 = −2.49; p </em>= 0.01).

Considering the effectiveness of psycho‑educational interventions in self‑efficacy and anxiety, healthcare providers are recommended to use these interventions in COVID‑19 patients.

In this paper, we study a delayed three-cell network which is introduced by coupled cell theory and neural network theory. We investigate this model with two different discrete delays. The aim is to obtain necessary conditions for the stability and the existence of Hopf-zero bifurcation in this model. Moreover, we find the normal form of this bifurcation by using linearization and the Multiple Time Scale method. Finally, the theoretical results are verified by numerical simulations.

The current research is a descriptive correlational research with an emphasis on structural equations. The statistical population consisted of 150 students of the 6th grade of elementary school in Sawad Koh Shamali city. For sampling, 100 people were selected by calculating the sample size through Cochran's equation, and then stratified and multi-stage cluster sampling methods were used to select the sample. To collect data, Appleton et al.'s standard student academic engagement questionnaire (2006), Kim et al.'s virtual education questionnaire (2005) and Dries Cole's standard exam anxiety questionnaire (2007) were used. In this research, descriptive statistics (minimum, maximum, mean, standard deviation, skewness and kurtosis) and inferential statistics (simple linear relationships from Pearson's correlation coefficient and to test the conceptual model of the research from the structural equation model) to analyze the data with The use of spss26 software is used. The findings showed that there is a direct negative and significant relationship between virtual education and exam anxiety. Also, there was a negative and significant relationship between these two variables indirectly with the mediation of academic conflict.

Shared decision making belongs to the continuum between the two decision-making paradigms of the paternalistic perspective and the client’s complete independence. Various interventions, including the Question Prompt List have been developed to facilitate patients’ participation in counseling. This study aims to investigate the effects of question prompt list on shared decision making among cancer patients.

Methods & Materials: 

For this study, the researchers performed a systematic review of the manuscripts available in Embase, PubMed, Scopus, and Web of Science databases which were published until January 2021. And then, the eligible studies investigating the effect of question prompt list on shared decision making were included in the study. The quality of the studies was assessed using the Cochrane risk of bias tool.

Two eligible papers were included in the study, and it was reported that question prompt list was provided before the patients’ consultation with the physician. Both studies have used OPTION 12 to measure shared decision making. The two articles reported that patient communication aid and question prompt list had no significant effect on improving shared decision making through OPTION 12.

The findings of this systematic review could not confirm the impact of using question prompt list on shared decision making. more preliminary studies are needed to answer the question expressed by this systematic review study.

Dentin hypersensitivity (DH) is one of the most common complaints of patients referred to a dental office, so this study aimed to compare the effectiveness of combined diode laser and GLUMA bonding therapy with combined diode laser and 5% sodium fluoride varnish in patients with DH.

Sixty patients were divided into three groups (bonding, laser-bonding, laser-varnish), and before the intervention, the amount of DH was measured with the visual analogue scale (VAS) scale. In the bonding group, GLUMA Desensitizer solution was applied and then air-dried. In the bonding-laser group, first bonding was used, and then the affected tooth was irradiated with a diode laser. In the varnish-laser group, 5% sodium fluoride varnish was coated and then the laser was irradiated with the said method. DH was measured immediately after the treatment and then 2, 7 and 30 days after the treatment.

Laser-varnish treatment was not different from laser-bonding treatment at all measurement times (P = 1). Laser-varnish and bonding treatment were not significantly different up to one week after the intervention, but on the 30th day after the intervention, the difference in pain was significant (P = 0.01). There was no significant difference in laser-bonding treatment up to one week after the intervention, but on the 30th day after the intervention, the difference in pain was significant (P = 0.003).

The combined treatment with GLUMA bonding and the 660 nm diode laser is effective in reducing DH and this is more effective than GLUMA bonding alone in the long term. However, it does not have a significant advantage over the combined varnish-laser method, but it seems that due to its ease of use, it can be a suitable alternative to the varnish-laser method.

 Physicians and health professionals are the cornerstone of health systems and play an indelible role in promoting the health of each community. As mentioned by the World Bank, human capital, particularly elites and highly skilled human resources, is the wealth of countries. Maintaining and preserving them is the prerequisite of sustainable development of the health sector, availability, and quality of health services.

 The main purpose of this study was to identify the effective key variables in the retention of native Iranian physicians and preventing their migration abroad.

 This study was conducted using a mixed-method approach based on a sequential exploratory strategy in 2018. In the qualitative section, semi-structured interviews were conducted with 36 faculty members of Shiraz University of Medical Sciences (SUMS). The theoretical saturation was reached via a purposeful sampling and maximum variation by applying conventional thematic analysis method processes. In the quantitative section, a questionnaire was developed, and its validity and reliability were tested and verified. The questionnaire was distributed among a random sample of 158 physicians out of a target population of 283 first-year medical assistants at SUMS. In addition, the data were reviewed by applying a descriptive-survey method, and thematic analysis was used to analyze the data.

 In total, 60 basic themes, 9 organizing themes, and one global theme were extracted. The strong educational management base for the educational support theme with a factor of 0.91 (P < 0.001) was the best descriptor in the physicians’ preservation model.

 The following critical variables affect the native physicians’ retention: effective and strong medical education administration as educational support, flexible working hours, availability of complete labor market information, emphasis and attention to creativity and scientific, and research innovations in the medical profession.

The purpose of the present study was to Establishing an assessment recommender system to measure athletes' satisfaction with insurance services using Data Mining techniques. The method of this research is descriptive and is of survey type which is objective and applied in terms of collecting field information. The statistical population of the present study was athletes who regularly participated in sports in different sports in 2018, using Morgan and krejcie table 384 as a sample. The data collection tool was a researcher-made questionnaire whose validity was confirmed by 12 Sport management andinsurance specialists and its reliability was α = 0.86. The Kolmogorov-Smirnov test was used to normalize the data and Association Rules and apriori algorithm for classification and clustering of the algorithm. Data analysis was performed using SPSS version 23 and WEKA version 3.9.2. The findings showed that the most common injuries among athletes were upper limbs and dislocation. There is also a higher rate of injury in team disciplines. Results of satisfaction and ease of reimbursement of damages to insured athletes showed that athletes had moderate satisfaction with sports insurance services. as well as ensuring the most important component and accountability was the least important component in improving the satisfaction of athletes from insurance services. The results indicate that the number of athletes referring to the use of sports insurance plays an important role in the satisfaction of athletes with the services of the Sports Medical Federation.

Waste management is responsible for carrying out various processes to attract citizens' satisfaction. Proper placement of temporary storage tanks in the city is important. Therefore, the optimal location of municipal waste tanks is very important. In addition, not using waste storage tanks in suitable places can cause environmental damage and negative effects on the beauty of the city landscape. The purpose of this study is to locate municipal waste tanks using powerful tools of GIS.
Analysis

Waste pollution and its dangers are inevitable for communities. Traditional methods such as manually overlay maps are not possible due to the large amount of data. So, in this research a powerful tool such as GIS has been used in locating municipal waste tanks. For this purpose, 58 blocks in 4 regions with a population of 12 thousand households in the city of Shahindezh in West Azerbaijan province have been studied.

According to the map obtained from GPS, the location of the main tanks in the city of Shahindezh was investigated. With having information on population density, production waste per capita, observing the specified distances and using the geographic information system, the centers purposed for the waste location tanks in this study were determined. So that by weighting the layers and superimposing the layers of maps in GIS software, it resulted in providing 804 points for locating reservoirs in the city.

Looking at the findings and in order to prevent irregular traffic of garbage trucks, reduce fuel, reduce the environmental impact of waste accumulated in inappropriate places and maximize use of the appropriate perspective, using the results of this research, temporary waste storage tanks can be used in appropriate numbers in the right places and created a safe environment which to be environmentally friendly with high security factor.