bluuebunny/crossref_metadata_2025 huggingface dataset:
A retrospective study to assess the influence of anaesthetic type on incomplete excision rate for non-melanoma skin cancers
Authors: Page Daniel W. , Watter Henry , Ng Guat Shi , Silva Munasinghe
Published: February 2021

Background: Australia has the highest incidence of non-melanoma skin cancers (NMSC) in the world estimated to be 2448/100,000 population with the state of Queensland carrying the highest burden of disease. Surgical excision is the primary treatment and makes up a large proportion of general surgical lists in regional Queensland where they are typically removed using either local anaesthetic (LA) alone, local anaesthetic and sedation (LAS), or general anaesthesia (GA). There is little in the literature to suggest if anaesthetic type effects the rate of incomplete excision. The purpose of this study is to establish if anaesthetic type impacts the rate of incomplete excision of NMSC.Methods: A retrospective audit was performed, incorporating a total of 194 squamous and basal cell carcinoma lesions excised between October 2019 and October 2020 at two hospitals in regional Queensland, Australia.  Data was recorded for the type of anaesthetic used and the histopathology of the lesions including type of lesion and clearance of microscopic margins.Results: Of the 194 excised lesions 39 of them had involved margins (20.1%). The rate of involved margins under LA, GA and LAS were found to be 19.79, 18.52 and 22.73% respectively. When comparing these modalities with each other:  LA vs. GA, LAS vs. GA and LA vs. LAS no significant difference was found in the rate of incomplete excision of NMSC with p values (<0.05) of 1, 0.62 and 0.82 respectively.Conclusions: Modality of anaesthetic used for excision of NMSC does not affect the outcome of incomplete excision of NMSC.
Comparative study between BISAP score and Ranson score in predicting severity of acute pancreatitis
Authors: Balasubramaniam V.
Published: February 2021

Background: Acute pancreatitis has widely variable clinical and systemic manifestations spanning the spectrum from a mild, self-limiting episode of epigastric pain to severe, life-threatening, multi-organ failure. Since the morbidity and mortality of acute pancreatitis differ markedly between mild and severe disease (mild <5% versus severe 20–25%), it is very important to assess severity as early as possible. To assess the accuracy of the BISAP scoring system versus Ranson scoring system in predicting severity in an attack of acute pancreatitis.Methods: It is a prospective and retro prospective study that was conducted, from August 2018 to November 2019. All surgical units in the headquarters hospital, Ooty. BISAP score and Ranson’s score is calculated in all such patients based on data obtained within 48 hours of hospitalization.Results: Ranson’s score of more than 3 and the BISAP score of less than or equal to 3 had the best accuracy of predicting the severity of acute pancreatitis. Both Ranson’s score and BISAP score showed higher sensitivity in the prediction of systemic complications than that of local complications.Conclusions: From this study, we can conclude that the BISAP scoring system is not inferior to Ranson’s scoring system in predicting the severity of acute pancreatitis. BISAP scoring system is very simple, cheap, easy to remember and calculate. BISAP scoring system accurately predicts the outcome in patients with acute pancreatitis.
Vitamin D micronutrient and COVID-19: the missing link
Authors: Mishra Sanjukta , Mishra Amaresh , Das Swarnalata
Published: February 2021

The current onset and expeditious increase of COVID-19, caused by severe acute respiratory distress syndrome coronavirus (SARS-CoV-2), has established a global health predicament. Declared as pandemic and public health emergency by the World Health Organization (WHO), it follows an extremely heterogeneous course from mild flu like symptoms to severe acute respiratory distress syndrome. This outbreak intimidates the public with human to human escalation, which is the primary concern worldwide with a still unforeseeable result. With limited data on plausible therapy and vaccination, it is significant to unravel the virulence mechanism of SARS-CoV-2 to delineate chemoprevention that might curb the fatal outcome. It may be acknowledged here that the primary stage of disease prevention depends on the protective immune response to eliminate the virus. This postulation kindles interest in the intervention of vitamin D micronutrient, which might unfold the feasibility of slowing disease advancement and decreasing the risk of mortality. Taking into account, the wide spectrum of beneficial effects ascribed to vitamin D like antiviral, immunomodulatory, anti-inflammatory, and antioxidant action, it can be administered to affect immune cell proliferation and angiotensin-converting enzyme (ACE) 2 expression, which is the basis of pathogenesis of transmission of SARS-CoV-2. Recently, several observational clinical and epidemiological studies underline the hypothesis regarding mean vitamin D level and COVID-19 mortality. More so some retrospective analysis reported the correlation between vitamin D level and disease severity. Nevertheless, potential clinical researches and randomised control trials are recommended in COVID-19 patients with different levels of disease extremity to appraise the useful outcomes.
Knowledge and experience of healthcare workers during the COVID-19 pandemic: a cross-sectional study in Tema, Ghana
Authors: Opare-Addo Mercy N. A. , Mensah Josephine , Donkor Janice Osei , Amoako-Adusei Amos , Opoku-Bona Angela
Published: February 2021

Background: Coronavirus Disease 2019 is a pandemic caused by a novel human coronavirus previously known as 2019-nCov. Healthcare workers are essential in the response to and management of such infectious diseases.  Methods: A hospital-based cross-sectional study was conducted at Tema General Hospital, Ghana. Data was collected from healthcare workers using a structured questionnaire. Descriptive statistics was done for all socio-demographic characteristics of respondents. Level of knowledge about coronavirus disease and factors influencing participants’ willingness to work were summarized as frequencies, percentages and charts. Chi-square test was used to test for association between level of knowledge and all independent variables.  Results: A total of 157 healthcare workers participated in this study. The news media (135, 85.99%) was the commonest source of information for participants. Almost half of participants (47.8%) had been tested for coronavirus disease, and 91.08% had sufficient knowledge about the disease. Occupation (p=0.047) was significantly associated with participants’ level of knowledge. A total of 46.49% disagreed with adequacy of personal protective equipment provided, with 70.06% admitting they have had to use their own personal protective equipment at work. A sense of duty (20, 31.8%) and motivation (14, 22.2%) positively influenced participants’ ability to work while challenges faced included fear of contracting and transmitting the virus (98.7%) and stigmatization (70.7%).  Conclusions: The healthcare workers had sufficient knowledge about coronavirus disease. Insufficient personal protective equipment was evident during the pandemic. Measures must be established to ensure that barriers to work are eliminated while factors that enhance work output are encouraged.
Disemination model of health information for rural poor citizen in dongko trenggalek
Authors: Handayani Diah
Published: February 2021

This study aims to describe the dissemination model developed in Dongko District, Trenggalek Regency. This study uses a dissemination model approach by S. Notoadmodjo which divides the elements of communication into four parts, namely health communicators, media messages, effects and communication context. The data collection process was obtained from observations in rural areas in Dongko Village in Trenggalek Regency. Interviews were conducted with several health personnel such as village midwives, village nurses, posyandu volunteers and PMD (Village Community Empowerment) officers. The results showed that health dissemination for the rural poor in Dongko District was limited to the dissemination of health information and the distribution of health assistance for the rural poor. The role of education through literacy in health media in rural areas is dominated by the role of village leadership and the lack of public awareness of changing their health behavior. This is because changes in behavior through daily communication to educate the public have not been carried out optimally either through personal communication or group communication in rural areas.
Linking the Performance of Entrepreneurial Universities to Technoparks and University Characteristics in Turkey
Authors: Baycan Tuzin , Arkali Olcay Gokcen
Published: February 2021

Universities’ third mission of knowledge commercialization imposes them a core role as being entrepreneurial universities in the triple helix along with the government and industry to contribute to the regional development and innovation. The emergence of entrepreneurial universities is relatively a new concept in Turkey attracting stakeholders of higher education, policy developers and scholars. The contribution of the entrepreneurial universities to the entrepreneurship ecosystem and regional innovativeness has been quantified via an index developed by the Turkish Scientific and Technological Research Council starting in 2012. Using this index as the dependent variable in our model, we explore how being located in a technology development zone and other university-specific characteristics play a role in getting higher scores in this index of the most entrepreneurial and innovative universities. Our analyses highlight how the contribution of universities undertaking technology development activities through a formal channel as in the form of technology development zones differ to the regional entrepreneurship and innovativeness. While the performance of the technology development zone and the composition of the university students with higher ratios of graduate students positively improve the scores of the universities, universities that are smaller in sizes are found to have higher scores.
Primary Aortoenteric Fistulae: What Every Surgeon Should Know About Its Diagnosis and Treatment
Authors: Hassani Mohammad , Zarrintan Sina , Moradmand Mohamad , Bakhshaei Shahrbabaki Peyman
Published: February 2021

Aortoenteric fistula is a rare finding that is potentially fatal and is usually seen as a fistula between the aorta or an aortic graft and the third part of the duodenum. The type without the presence of an artificial graft is considered as primary and the other type as secondary. The patients usually present with the heralding symptom of minor hematemesis, which later leads to massive and mortal GI bleeding. The most important factor in the diagnosis of an aortoenteric fistula is to have a high clinical suspicion after taking an appropriate and accurate history. In hemodynamically stable patients with clinical suspicion, performing an intravenouscontrast-CT scan of the abdomen and pelvis is of assistance in diagnosis. In general, stable hemodynamics greatly reduces the suspicion for diagnosis. Treatment is often surgical, and in regard to the severity of abdominal contamination or the level of visible infection, the extra anatomical or insitu graft repair is considered as the method of choice. This article tries to transfer our experiences in two patients, each of whom presented with hematemesis and melena without a history of underlying aortic aneurysm.
The Relationship between Age-Related Macular Degeneration and Cardiovascular Disease: A Meta-Analysis
Authors: LEE Jungmin , SUH Heuy Sun , HWANG In Cheol
Published: February 2021

Background: Age-related macular degeneration (AMD) and cardiovascular disease (CVD) share pathogenic mechanisms, and their lead-lag relationship remains unclear. We performed a meta-analysis of data from longitudinal studies to evaluate the interactive association between age-related macular degeneration (AMD) and cardiovascular disease (CVD).
Methods: A literature search was performed in PubMed, Embase, and Cochrane Library up to Feb 2019. Estimates were pooled by study quality and type of AMD and CVD. Publication bias was assessed by Begg’s test.
Results: We identified nine studies for the risk of AMD in CVD and ten studies for the risk of CVD in AMD. Overall, evidence for the risk of CVD in AMD patients was most robust. Both early and late AMD preceded CVD, but more solid significance existed in late AMD. Among the types of CVD, stroke was more tightly associated with AMD than coronary heart disease. Publication bias was not significant in either direction.
Conclusion: AMD is a risk factor for CVD, which is primarily driven by the increased risk of stroke in patients with late AMD. Moreover, these results suggested that AMD treatment and screening for CVD in AMD patients may have unexplored clinical benefits.
Zinc Supplementation Might Not Affect Serum Leptin and Adiponectin Levels in Adults: A Systematic Review and Meta-Analysis of Randomized Controlled Clinical Trials
Authors: TABATABAIE Mahtab , SOLTANI Sepideh , MOZAFFARI-KHOSRAVI Hassan , SALEHI-ABARGOUEI Amin
Published: February 2021

Background: Zinc as one of the important trace elements in human health has been suggested to be a supplement for modifying the level of adipokines, whereas findings from studies have been inconsistent. This study aimed to systematically review the evidence provided by randomized controlled trials (RCTs) regarding the effect of zinc supplementation on serum adipokines levels.
Methods: PubMed, Google Scholar, Web of Science, and Scopus were systematically searched up to June 2019. The mean differences and their corresponding standard deviations (SDs) of changes in serum adipokines levels were used as effect size.
Results: Eight eligible RCTs (leptin n=6, adiponectin n=3) were included in the current study. There were no significant changes in serum leptin levels [weighted mean difference (WMD) =0.60 ng/ml, 95% confidence interval (CI): -1.78, 2.99; I-squared (I2 ) = 64.3%] and adiponectin levels (WMD = 1.09 ng/ml, 95% CI: -0.76, 3.18, I 2 = 78.8%) following zinc supplementation compared to placebo group. These findings did not change after considering several subgroups including gender, study duration, health status, body weight and the type of zinc used for supplementation.
Conclusion: No evidence was found to support the efficacy of dietary zinc supplements on serum levels of adipokines. Further, high-quality, long-term controlled clinical trials are warranted to confirm these findings.
The Prevalence of Unsafe Behaviors in Iranian Workers: A Systematic Review and Meta-Analysis
Authors: MALAKOUTIKHAH Mahdi , RABIEI Hadiseh , HASSANIPOUR Soheil , JAHANGIRI Mehdi
Published: February 2021

Background: Unsafe behaviors are the cause of 80% of accidents. However, there has also been no worldwide review and meta-analysis of the prevalence of workers’ unsafe behaviors. Therefore, the present study aimed to investigate and estimate the prevalence of unsafe behaviors among Iranian workers using a systematic review and meta-analysis study.
Methods: This systematic review and meta-analysis were conducted from Nov to Dec 2018. The researchers searched Medline/PubMed, Scopus, Embase, Science Direct, and Google Scholar for international articles and four Iranian databases (Scientific Information Database, MagIran, IranMedex, and IranDoc) for Persian articles. The method of reporting this study was based on the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) checklist.
Results: Overall, 235 articles from databases were imported to EndNote library. Final screening of the included studies produced a total of 38 studies. Based on the random-effect model, the prevalence of total unsafe behaviors, nonuse or inappropriate use of personal protective equipment, and inappropriate work posture was 40.37% (CI 95% = 35.8-44.9), 27.79% (CI 95% = 21.2-34.3), and 14.87% (CI 95% = 10.7-18.9). There was no statistically significant relationship between unsafe behaviors and mean age, mean of work experiences, and year of study.
Conclusion: The prevalence of unsafe behaviors among Iranian workers was relatively high and the most common behaviors were non-use or inappropriate use of PPE; one of the most important causes for this behavior is lack of training, inappropriate working conditions, and lack of positive attitude towards safety. Therefore, further studied are required to investigate the causes of these unsafe behaviors.
Aggression and Non-Suicidal Self-Injury among Depressed Youths: The Mediating Effect of Resilience
Authors: ZHANG Ling , CHEN Meiai , YAO Benxian , ZHANG Ying
Published: February 2021

Background: The global spread of COVID-19 not only exerted an enormous impact on the public in different countries but also aggravated depression among youths. The aggressive tendencies of depressed individuals can harm their body and life and threaten those of others. The aggressive and non-suicidal self-injurious behaviors of depressed youths may seriously affect their physical and psychological health if not identified and mediated promptly.
Method: A total of 875 young respondents (including college students, community youths, migrant workers, and so on) from three provinces in China were surveyed in 2020 using a depression scale, non-suicidal selfinjury scale, aggression scale, and resilience scale.
Results: Depression, non-suicidal self-injury, and aggression are significantly higher among the members of the depression group compared with the members of the healthy control group (P<0.001), and the resilience of the members of the former group is remarkably lower than that of the members of the latter group (P<0.001). Aggression among the depressed youths exhibits a significant positive correlation with non-suicidal self-injury (r= 0.43, P<0.01), whereas aggression (r= –0.18, P<0.05) and non-suicidal self-injury (r= –0.20, P<0.05) demonstrates significant negative correlations with resilience. The resilience of the youths in the depression group plays a partial mediating role in the relationship between aggression and non-suicidal self-injury.
Conclusion: The more aggressive the behaviors of the depressed youths, the more serious their non-suicidal self-injurious symptoms. Furthermore, resilience plays a partial mediating role in the relationship between aggression and non-suicidal self-injury.
Clinical Application of Serum Inflammatory Factors Combined With Dynamic Detection in the Diagnosis and Treatment of Neonatal Sepsis
Authors: SUN Dahong , WANG Qing , ZHANG Xiaoyan , ZHAO Xiuzhen , ZHANG Haiyan , LIU Aimei
Published: February 2021

Background: To investigate the clinical application value of the combination of the inflammatory factors and dynamic detection in the diagnosis and treatment of neonatal sepsis by detecting serum inflammatory factor Creactive protein (CRP), procalcitonin (PCT), and interleukin-6 (IL-6) levels before and after treatment of neonatal infection.
Methods: A total of 138 neonates with different degrees of infection were randomly enrolled, including 88 cases in the sepsis group and 50 cases in the virus infection group. Another 50 non-infected newborns in the same period were enrolled as the normal control group. Venous blood of all subjects for CRP, PCT, IL-6 detection, and send bacterial blood culture for sepsis and virus infection groups were collected at the same time. In the recovery period, venous blood of children in sepsis group was collected again to review CRP, PCT, IL-6, and differences in each test index of each group were compared.
Results: The serum CRP, PCT, IL-6 levels in the sepsis group were significantly higher than those in the virus infection group (all P <0.05); serum CRP, PCT, IL-6 levels in the sepsis group were significantly lower than before treatment (P <0.05); the sensitivity and accuracy of the combined detection of indicators for the diagnosis of neonatal sepsis were significantly improved.
Conclusion: The inflammatory factors CRP, PCT, and IL-6 are closely related to the occurrence and development of neonatal sepsis. Combined detection can effectively improve the diagnostic accordance rate, which is beneficial to the early diagnosis and early clinical intervention of neonatal sepsis.
An Eco-Epidemiological Study on Zoonotic Cutaneous Leishmaniasis in Central Iran
Authors: NEZAMZADEH-EZHIYEH Hossein , MIRHENDI Hossein , JAFARI Reza , VEYSI Arshad , RASSI Yavar , OSHAGHI Mohammad Ali , ARANDIAN Mohammad Hossein , ABDOLI Hamid , BAHRAMI Samad , ZAHRAEI RAMAZANI Ali Reza , FADAEI Reza , RAMAZANPOOR Javad , FARSI Mehdi , AMINIAN Kurosh , SAEIDI Zahra , YAGHOOBI–ERSHADI Mohammad Reza , AKHAVAN Amir Ahmad
Published: February 2021

Background: Leishmaniasis is an expanding neglected tropical disease in the world reporting from 98 countries including Iran. This study focused on eco-epidemiological determinants of the disease following a rapid and unexpected increase of leishmaniasis incidence in a strategic residential district in North-East of Isfahan County, Iran.
Methods: This study was accomplished from Apr 2012 to Jan 2014 in a strategic residential zone in North-East of Isfahan County, Esfahan, Iran. Monthly activity, parity, Leishmania infection and susceptibility tests, were determined on sand flies. Some portion of inhabitants and school children were surveyed to find active or passive cases of leishmaniasis and also wild rodents were collected to determine reservoir host.
Results: Totally 5223 sand flies belonging to Phlebotomus and Sergentomyia genus were collected and identified; Ph. papatasi was the dominant species and started to appear in May and disappeared in Oct. The majority of living dissected sand flies were unfed and parous. Ph. papatasi showed 4.6% Leishmania infection through direct examination and 39.54% by nested-PCR respectively. Phlebotomus papatasi was susceptible against deltametrin 0.05%. Totally 2149 people were surveyed and incidence and prevalence of zoonotic cutaneous leishmaniasis estimated as 45.39 and 314.40 per 1000 population. Rodents showed 73.91% and 80% Leishmania infection by direct examination and nested-PCR respectively.
Conclusion: Cutaneous leishmaniasis due to L. major has been established in this area. Rodent control operation and personal protection are highly recommended to control the disease in this focus.
Cloning and Expression of N-CFTX-1 Antigen from Chironex fleckeri in Escherichia coli and Determination of Immunogenicity in Mice
Authors: JAFARI Hossein , TAMADONI JAHROMI Saeid , ZARGAN Jamil , ZAMANI Ehsan , RANJBAR Reza , HONARI Hossein
Published: February 2021

Background: Most jellyfish species are poisonous. Human victims of jellyfish sting each year are 120 million. Chironex fleckeri is a venomous box jellyfish that inflicts painful and potentially fatal stings to humans. The CfTX1 is one of the antigenic proteins of venom that is suggested to stimulate the immune system for treatment and vaccine. This study aimed to clone and express the CfTX-1 antigen in E. coli and then to determine the synthesis of related antibody in the mice.
Methods: The study was performed in the Persian Gulf and Oman Sea Ecology Research Center, Bandar Abbas, Iran in autumn 2016. The synthetic CfTX-1 gene in PUC57 plasmid was purchased from Nedaye Fan Company. The 723 bp fragment of N-CfTX-1 was amplified by PCR, PUC57 plasmid containing CfTX-1 with BamHI SalI restriction enzyme sites were subcloned in pET28a [+] expression vector and transformed into E. coli BL21 (DE3). The CfTX-1 gene expression was induced by IPTG. Then antibody produced from the mice serum were isolated and confirmed by ELISA. After protein purification, resulted antigen was injected to mice in 4 repeats and then evaluated the rate of antibody in mice serum. Mice were challenged by the Carybdea alata.
Results: The 726 bp of N-CfTX-1 were cloned in a vector of expression pET28a [+] and confirmed by PCR, sequencing and enzymatic analysis. Moreover, the recombinant protein was confirmed by SDS-PAGE and Western blotting. Then the antibody was isolated from mice serum and confirmed by ELISA test. The results showed that immunized mice tolerated 50x LD501 of jellyfish venom.
Conclusion: The CfTX-1 recombinant protein was able to protect the BALB/c mice against jellyfish venom. The produced protein can be used as a candidate for vaccine against jellyfish venom.
Economic Value of Life in Iran: The Human Capital Approach
Authors: BASAKHA Mehdi , SOLEIMANVANDIAZAR Neda , TAVANGAR Fateh , DANESHI Shabnam
Published: February 2021

Background: The human life value is among the most important challenges of the health economic evaluation. This limitation has reduced the feasibility of applying the cost-benefit method in evaluations of health interventions and policies. Using the human capital approach and discounted value of future earnings, the present study calculated the human capital of different age groups.
Methods: The required data were obtained using “income and expenditures of Iranian households” data in 2015 from the Statistical Center of Iran, which included the information on 19380 urban households.
Results: According to the calculation of human capital, the maximum value of a statistical life year in the highincome group was related to the age group of 30-34 yr old (223,286 US$ equals to 9378 million Iranian Rials). The lowest value in all three groups of high, medium and low income is related to the age group of 85 and older. In addition, the economic value of statistical life year for men has been calculated as higher than that of women, however, in older age groups, the human capital of both genders have been converging.
Conclusion: The economic value of life for young people aged between 20 to 30 yr was higher than other demographic groups. The findings of the research help to provide a more accurate base for the cost-benefit analysis of health and social policies. Considering the economic value of the statistical life for different age groups may change policy priorities in areas related to health and life of human beings.
Menopause and the Loss of Skeletal Muscle Mass in Women
Authors: KO Jupil , PARK Young-Min
Published: February 2021

The article's abstract is not available.
Expression and Clinical Significance of CREPT and CDK4 in Cervical Cancer
Authors: YAO Shenghui , SUN Huili
Published: February 2021

The article's abstract is not available.
Negative Claim of Intentional Medical Error Existence
Authors: TOTIC Ibrahim , TOTIC Mirza
Published: February 2021

The article's abstract is not available.
Evidence of Epstein–Barr Virus in Female Breast Cancer
Authors: ALINEZHAD Farbod , AHANGAR OSKOUEE Mahin , BANNAZADEH BAGHI Hossein , TAMIRI OSKOUEE Siamak , ESMAEILI Heidar-Ali
Published: February 2021

The article's abstract is not available.
Exploration of the Processes of “Iranian Journal of Public Health” During 2017-2020
Authors: FARHUD Dariush D
Published: February 2021

The article's abstract is not available.
Epidemiology of Psychotic Disorders Based on Demographic Variables in Iranian Children and Adolescents
Authors: Alavi Seyyed Salman , Mohammadi Mohammad Reza , Hooshyar Zahra , Mohammadi Kalhori Soroush , Salehi Mona , Salmanian Maryam , Khaleghi Ali , Zarafshan Hadi , Ahmadi Ameneh , Kamali Koorosh , Ahmadi Nastran
Published: February 2021

Objective: Psychosis is still among the most debilitating and severe mental disorders. The main objective of the present study was to investigate the estimated prevalence of psychotic disorders and finding the main predictors of psychotic disorders among Iranian children and adolescents.
Method: Our total sample consisted of 30 553 individuals (49% males and 51%females) from 30 provinces of Iran, aged between 6 and 18 years, who were selected via cluster sampling method from urban and rural areas of all provinces. The data were analyzed using descriptive statistical analysis and multiple logistic regression method.
Results: The results of multiple regression analysis showed that prevalence estimate of psychotic disorders was 0.25%. It was 0.3% and 0.2% in males and females, respectively. The age of 10-14 (OR = 2.24; 95% CI, 1.11-4.55) and the age of 15-18 (OR = 3.42; 95% CI, 1.74-6.75) were significant positive predictors, whereas none of the demographic variables were predictors for psychotic symptoms.
Conclusion: This research highlights the main predictors of psychosis in children and adolescents. The study design also allowed a better understanding of predictors of psychotic disorders. The assessment of the prevalence
Efficacy of Acceptance and Commitment Therapy Compared to Cognitive Behavioral Therapy on Anger and Interpersonal Relationships of Male Students
Authors: Masoumian Samira , Ashouri Ahmad , Ghomian Soheila , Keshtkar Mahbobeh , Siahkamary Esfandiar , Vahed Neda
Published: February 2021

Objective: The aim of the present study was to determine the efficacy of acceptance and commitment therapy (ACT) compared to cognitive-behavioral therapy (CBT) on anger and interpersonal relationships among male students.
Method: In the present study, several universities were selected from the public universities in Tehran province, based on random cluster sampling. Then, 400 students from selected universities were selected randomly and Aggression Questionnaire (AGQ) was administered on them. After collecting information, among the participants who gained scores higher than the average, 30 were selected based on the lottery and randomly (sorting their names in alphabetical order and randomly selecting them) and then were placed randomly in ACT (n = 15) and CBT (n = 15) groups. Also, the Fundamental Interpersonal Relation Orientation- Behavior (FIRO-B) and Aggression Questionnaire (AGQ) was performed on both groups before and after intervention.
Results: The results indicated that at the end of treatment, there was a significant decrease in the degree of anger among the participants and a significant improvement in all subscales of interpersonal relationships. Also, a significant difference was found between the 2 groups of ACT and CBT in terms of anger changes. Considering that the anger changes in the ACT group were higher, it can be concluded that the ACT group had more changes than the CBT group, but there was no significant difference between the 2 groups of ACT and CBT in terms of FIRO-B subscales.
Conclusion: In some cases, such as anger, ACT has a better effect than CBT, and in others, such as interpersonal problems, it is as effective as CBT
Specialized Outpatient: Community Mental Health Centers (CMHCs)
Authors: Sharifi Vandad , Hajebi Ahmad , Damar Behzad , Mohammadjafari Atefeh
Published: February 2021

Objective: The Iranian Mental Health Survey (IranMHS) in 2011 has demonstrated that almost 1 out of 4 adult individuals suffer from psychiatric disorders; however, more than two-thirds are left unrecognized and untreated and many of the services have poor quality of care. In this paper we present our experience in developing and employing community-based mental health services through community mental health centers (CMHCs), which has been incorporated in Iran's comprehensive mental and social health services (the Seraj program).
Method: The service model of the CMHCs was developed though an evidence-based service planning approach and was then incorporated as the specialized outpatient services model into the Seraj program in 2015.
Results: The CMHCs in the Seraj program provide mental health care to patients with common mental and severe mental disorders in a defined catchment area. The services include the collaborative care, the aftercare, and day rehabilitation. The collaborative care model works with primary care providers in the health centers to provide detection and treatment of common mental illnesses. In the aftercare, services are offered to patients with severe mental disorders following discharge from the hospital and include telephone follow-ups and home visits. Day rehabilitation is mostly focused on providing psychoeducation and skill trainings. During the first 4 years of implementation in 2 pilot areas, more than 6200 patients (10% having severe mental disorders) received care at CMHCs.
Conclusion: The main challenge of the implementation of the CMHC component in the Seraj program is to secure funds and employ skilled personnel. We need to incorporate Seraj in the existing national health system, and if successful, it can fill the treatment gap that has been so huge in the country.
Health risk assessment of metal fumes in an Iranian Mineral Salt company
Authors: Kalteh Safa , Mozaffari Sajjad , Molaei Iman , Maleki Ramin
Published: February 2021

Introduction: Salt is a crucial mineral for human health, however, workers of salt factories may be exposed to hazardous pollutants such as heavy metals. Heavy metal fumes are considered toxic for human health. This study aimed to investigate concentration and assess health risks posed by toxic fumes in a salt factory.
Materials and methods: Three units in the factory including salt laboratory, maintenance and metalworks were sampled for Arsenic (As), chromium (Cr), cadmium (Cd), cobalt (Co) and lead (Pb) according to the National Institute for Occupational Safety and Health, NIOSH7300 method, and analyzed using Inductively Coupled Plasma-Atomic Emission Spectrometers (ICP-AES)
Results: All hazardous levels of fumes were below the permissible limit. The highest concentration of toxic fumes (Cr) was found in the maintenance unit. With 0.0758 mg/m3 , the highest total concentrations of heavy metals (tHM) was found in the maintenance unit (tHM for Salt laboratory=0.0281 mg/m3 and metalworks=0.0103 mg/m3 ). In salt laboratory, the metal fumes concentrations were ordered as Pb>As>Cd>Cr>Co; in maintenance unit: Cr>Pb>As>Co>Cd; in metalworks: Cr>As>Pb>Co>Cd. The total hazard quotient (tHQ) and Life Time Cancer Risk (LCR) in salt laboratory unit were 5.11 and 4.93E-01, respectively; in maintenance the tHQ=9.35E+01 and Life Time Cancer (LCR) =5.90E-01; in metalworks tHQ=6.57 and LCR=4.95E-02.
Conclusion: The pollutant levels were below the acceptable limit. Yet, the non-carcinogenic and carcinogenic risks that they pose are not negligible. Therefore, enhancing the efficiency of the ventilation system and additional monitoring on wearing protective equipment as preventive strategies are proposed
Quantification of mortality and morbidity in general population of heavily-industrialized city of Abadan: Effect of long-term exposure
Authors: Ghorbanian Akram , Jonidi Jafari Ahmad , Shahsavani Abbas , Abdolahnejad Ali , Kermani Majid , Fanaei Farzad
Published: February 2021

Introduction: In the 21st century, air pollution has become a global and environmental challenge. The increase in cases of illness and mortality due to air pollution is not hidden from anyone. Therefore, in this study, we estimated the mortality rate due to cause by air pollution agents (PM2.5) in the southernmost city of Khuzestan province (Abadan city) at 2018-2019.
Materials and methods: To estimate the mortality duo to air pollution, data related to PM2.5 particles daily concentrations was received from the Abadan Environmental Protection Organization. The average 24-h concentrations of PM2.5 were calculated using Excel. Then, mortality data were obtained from the Vice Chancellor for Health, Abadan University of Medical Sciences. Finally, by AirQ+ software, each of the mortality in 2018-2019 in Abadan was estimated.
Results: The obtained data indicated that the concentration of PM2.5 particles within the one-year period was higher than the value set by WHO guideline and EPA standard. Which caused the citizens of Abadan to be exposed to PM2.5 more than 8.23 times than the guidelines of the WHO and 5.34 times more than the standard of the EPA. The output of the model used in this study was as follows: natural mortality (462 cases, AP: 38.25%), mortality duo to LC (6 cases, AP: 32.18%), mortality duo to COPD (8 cases, AP: 26.64%), mortality duo to Stroke (86 cases, AP: 71.26%), mortality duo to IHD (183 cases, AP: 68.34%) and mortality duo to ALRI (2 cases, AP: 32.9%).
Conclusion: Planning appropriate strategies of air pollution control to reduce exposure and attributable mortalities is important and necessary.
The impact of COVID-19 on air pollution in Iran in the first and second waves with emphasis on the city of Tehran
Authors: Kaviani Rad Abdullah , Shariati Mohsen , Zarei Mehdi
Published: February 2021

Introduction: Air pollution is one of the biggest environmental problems that has gradually spread since the industrial revolution with the consumption of fossil fuels. This situation is more visible in the capitals of industrialized and densely populated countries and towns. In late 2019, with the outbreak of the Coronavirus from China around the world, governments imposed strict restrictions on traffic and transportation to combat the epidemic. With the reduction of consumption of petroleum products in the industry and transportation system, air pollution has decreased in many cities in the world.
Materials and methods: In this study, air pollution in the provinces of Iran has been collected and analyzed more than 4500 data. Data on 40 days of quarantine from 1 March to 9 April 2020 were examined.
Results: The results of this study show that the concentrations of pollutants CO, NO2 , PM10, and PM2.5 decreased by 11, 15, 10, and 6%, respectively, during the lockdown period; but, the SO2 and O3 concentration increased by 15 and 12%. The highest decrease in air pollution is related to Gilan province (-66) and the highest increase in pollution is related to Isfahan province (+37) percent. Calculations show that the AQI has decreased by 6%, but in the second wave of the disease decreased by 75% compared to the lockdown period.
Conclusion: The Coronavirus crisis has shown that air pollution can be addressed through the proper implementation of environmental policies.
Implications of portable gasoline electricity generators on residential indoor air quality
Authors: Patrick Azodo Adinife , Omokaro Idama , Canice Mezue Tochukwu
Published: February 2021

Introduction: Toxic gases emitted from electricity generating plants used for energy production process diffuse in the environment thereby causing environmental air pollution. The effect of the installation and usage of portable gasoline electricity generating plants at the balcony of different households on the indoor air quality was assessed in this study.
Materials and methods: The data collected were the air quality chemical composition variables which include carbon-dioxide, formaldehyde, total volatile organic compounds, coarse (PM10), and fine (PM2.5) particulate matters at the indoor of the households in Abeokuta metropolis, Ogun state, Nigeria. Physical measurement techniques used for the data collection was through the instrumentation design of two air quality testers, models WP6910 and ZN-202S. The indoor air quality assessment followed the generator nighttime usage routine between the hours of 6:30 – 10:00 pm at a measurement height of 1.3 m and the center in the living rooms of the residences assessed.
Results: The analysis of the data obtained showed that the mean values for each of the air quality parameters obtained during generator usages were significantly higher when compared to the indoor air quality parameters before generator usages at p<0.05. The air pollutant levels before and during generator usages were within the established safe standard air quality limit by the world health organization.
Conclusion: However, for the installation of a portable electricity generator at the residents’ balcony, it is recommended that the generators should be adapted with an emission reduction device for the exhaust composition amelioration to avoid possible accumulation effect over time.
Complications of upper urinary system laparoscopic surgery: a single center experience with 942 cases
Authors: EKŞİ Mithat , ŞAHİN Selçuk , ŞENER Nevzat , ŞEKER Kamil Gökhan , EVREN İsmail , KARADAĞ Serdar , YAVUZSAN Abdullah Hızır , ÖZLÜ Deniz Noyan , TUĞCU Volkan
Published: February 2021

Objectives: Since the introduction of laparoscopic nephrectomies, laparoscopic surgeries in the field of urology have become increasingly popular. Laparoscopic surgery has its advantages but carries the risk of complications like all interventions. In our study, we aimed to discuss our complication rates according to difficulty level by presenting our experiences with urological laparoscopic procedures for the upper urinary system.
Methods: This retrospective study includes 942 laparoscopic urological procedures performed by a single surgeon. The procedures divided into three groups according to the European Scoring System (ESS) Classification. The complication rate of each group was calculated separately.
Results: A total of 127 (13.4%) complications were observed. Partial nephrectomy, nephroureterectomy and ureterolithotomy had the highest complication rates. Renal cyst excision, simple nephrectomy and radical nephrectomy had the lowest complication rates. According to the Clavien Complication Classification, the distributions of Grade 1, 2 and 3 complications were 29.1% (n =37), 57.4% (n = 73) and 13.3% (n = 17); respectively. The open conversion rate was 0.84%. When procedures were classified as “easy”, “difficult” and “very difficult” according to the ESS classification; complication rates were found 7.3% in the easy group, 13.3% in the difficult group and 16.6% in the very difficult group. There was no significant difference between the three groups in terms of complication rates (p = 0.329).
Conclusions: Performing easier operations according to ESS in the first years of the learning curve is beneficial in preventing complications. With increasing experience, more complicated procedures can be performed with similar complication rates.
Stress coping strategies of university students
Authors: Yavuz Hatunoglu Bedri
Published: February 2021

The purpose of this study is to examine university students' strategies for coping with stress in terms of various variables. The study was carried out with 215 girls, 86 boys and 301 people studying at Ağrı İbrahim Çeçen University in the 2019-2020 academic year. According to the research findings; It was found that students resort to social support, which does not show a desperate approach to the events in which they are more optimistic and confident in their strategies to deal with stress. It has been observed that students have positive behaviors in their strategies to cope with stress, their irrational beliefs and personal control of university students and their thoughts about being externally supervised, and especially believing in luck and striving, are related to their styles of coping with stress. Opinions differed between university students' genders and the faculty variables they studied.

 

Keywords: Stress, Stress Coping, Stress Coping Strategy, University students,
Features of Emmanuel Macron's Migration Policy
Authors: Streltsova Yana R.
Published: February 2021

During the migration crisis faced by Europe, European countries began to develop national strategies to solve the problems caused by the crisis. In this sense, the practice of modern migration policy of France is relevant, where despite the long history of immigration, the issues of integration of immigrants have not yet been fully resolved. Moreover, the country is forced to find answers to them in a situation of radicalization of society, caused, among other reasons, by the factor of the clash of different cultures and worldviews, to which the current migration policy has led. The article discusses the main directions of migration policy of Emmanuel Macron. It analyzes the policy statements of French president, as well as the laws and government decisions adopted in France in recent years, such as the Law “For controlled immigration, effective right of asylum and successful integration” (August 2018) and “20 measures to improve policy in field of Immigration, Asylum and Integration” (November 2019) which shape modern French migration policy. It is about the policy of France regarding the admission of refugees, student immigration, immigration on the status of “talents”, as well as professional and scientific personnel, the integration of immigrants. Attention is drawn to innovations related to introduction of quotas in labor immigration, as well as to strengthening cooperation with French citizens living outside France, expansion of French education system abroad. The article identifies the features of Macron’s migration policy which distinguish it from the measures taken earlier by his predecessors. It is about policy of admitting refugees, their access to health insurance, professional training, labor migration – the introduction of quotas, the expansion of preferences in student migration and in the status of “talents”. The projects of high importance for the President of France are projects aimed at strengthening France’s position worldwide in culture, education, science and business, and realizing the underestimated potential of compatriots abroad for this purpose as well.
Immigration Problem in the Setting Up of Political Forces in Germany and France
Authors: Guzhev Mikhail S. , Semenova Maria S.
Published: February 2021

The importance of studying migration processes is due to their massive, regular nature, the impact on the political and social environment of the host countries. Often, a poorly thought out, inconsistent and generally ineffective immigration policy leads to problems in the host countries, reduces the quality of life of the indigenous population, thus creating a split in society, which may result in increasing migrant phobia, xenophobia, etc. A particularly striking example of this situation can serve as some countries of the European Union, in particular, Germany and France. The populations of these countries account for one of the largest shares of migrants not only in Europe, but throughout the world. Of particular research interest is the change in the political preferences of the voters in favor of the forces advocating a rigid migration policy. Within the framework of the systematic and historical-descriptive approaches, the electoral processes in Germany and France were analyzed during the period of the most intense manifestation of the migration problem. It was found that in parallel with the migration crisis in the host countries, a reshuffling of political forces is rapidly taking place: lesser-known political leaders, parties, movements not only appear on the political arena, but quickly gain voters’ support, starting to determine immigration policy. There is a clear relationship between anti-immigration slogans and the entry into the arena of Germany and France of right-wing parties, which are fundamentally changing the political alignment of forces and their political course as a whole. Supporters of the right-wing political persuasion quickly gained popularity at the peak of the migration crisis, but with this problem fading into the background, the need for these political forces began to decrease. As a result of the study, the hypothesis that the migration problem is one of the key factors in the alignment of political forces in Germany and France was confirmed.