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Introduction: A woman due to menstruation, pregnancy and poor iron intake and absorption it is prone to iron deficiency anemia and its effects. The aim of this study was to investigate the effectiveness of process-based treatment on anxiety in women suffering from iron deficiency anemia and generalized anxiety disorder. Methods: It was performed by utilizing a single-case experimental design. In doing this, six female participants suffering from iron deficiency anemia were selected through purposive sampling and placed under the individual process-based therapy during nine 60-minute sessions. In the pre-treatment stage, the participants responded to Newman, Zueling, Kachin and Constantino's fourth version of the generalized anxiety disorder questionnaire and underwent clinical interviews. They also completed the Beck's depression inventory in the baseline stages and third, sixth and ninth sessions of the intervention and finally at the 3-month follow up stages. The data were analyzed by the method of visual analysis, stable change index and recovery percentage formula, and the effectiveness of the treatment was evaluated using the Ingram criteria. Results: The results showed that the percentage of overall recovery in depression for the first to sixth participants in the intervention stage was 49/26 ،50/54 ،59/27, 76/20 ،54/41 ۸۳/٥۷ و and in the follow-up stages was 70/10 ،64/70 ،75/93 ،78/61 ،77/57 ۹۳/۸٤ و ;respectively. Also, the percentage of overall recovery in the intervention and follow-up stages was 57/90 and 75/30; respectively indicating to a success in therapy. Conclusions: Process-based therapy reduces depression of the research participants and it is suggested to be used as a method of treatment and complementary to medical treatment to remedy comorbid mental disorders and improve the general performance of people with anemia. [ABSTRACT FROM AUTHOR]

Introduction: Patients with COVID-19 can have various and complex coagulation disorders that cause hypercoagulable conditions. Investigating the role of anticoagulants with different doses in the outcome of patients with COVID-19 seems to be needed. Therefore, the present study was conducted with the aim of predicting factors of severe disease, including the number of lymphocytes, LDH, and the recovery status of patients. Methods: A cross-sectional study was conducted in patients with COVID-19 hospitalized in Hazrat Rasool Akram (PBUH) Hospital. Study entry includes acute respiratory symptoms caused by COVID-19 disease (uncontrollable cough, dyspnea, prolonged medicine and blood saturation drop) along with lung involvement in chest spiral CT scan without injection, SARS RT-PCR–CO virus test was positive and transfer to intensive care unit (ICU) was indicated. Anticoagulant starting time, type and dose of anticoagulant received and duration of use were recorded. Two groups of prophylaxis dose, higher dose than prophylaxis (medium dose and therapeutic dose) were divided. Results: Out of the total number of patients referred to Rasul Akram Hospital, 90 people (43 women (47.8%) and 47 men (52.22%)) participated in this study. The average hospitalization in the ICU was 13.50 ± 12.39 days and 17.18 ± 13.36 days in the hospital. Also, the duration of coagulant therapy was 17.13 ± 13.38 days. 53 patients (58.9%) received a prophylactic dose, 28 patients (31.1%) received a therapeutic dose, and 9 patients (10%) received a moderate dose of anticoagulant. Anticoagulant in 74 patients (82.2%) was unfractionated heparin (UFH) and in 16 cases (17.8%) low molecular weight heparin (LMWH). The changes of LDH, number of lymphocytes, dimer, fibrinogen, ferritin and FDP according to the dose of anticoagulant assessed in the three groups of prophylaxis, treatment and no statistically significant difference. The mean of ICU admission days according to different doses of anticoagulant did not show a statistically significant difference. Conclusions: Finally, the findings obtained from the study showed that the use of different doses of anticoagulant does not cause a difference in the level of LDH, number of lymphocytes, ferritin and FDP at different measurement times. Also, the length of stay in the hospital and the time of hospitalization in the intensive care unit did not differ between the groups receiving prophylactic anticoagulant, medium dose and therapeutic dose. [ABSTRACT FROM AUTHOR]

Introduction: The nature of septorhinoplasty surgery and hemodynamic instability in patients causes intraoperative bleeding, which affects the quality of the surgical field of view, intraoperative and postoperative complications, and surgical outcome. Materials and Methods: This double-blind randomized clinical trial study was conducted on 60 patients aged 18 to 44 who were candidates for septoranioplasty surgery. Patients were randomly divided into two equal groups. Group 1: received bisoprolol 2.5 mg and group 2 received placebo as a control group. Hemodynamic symptoms will be measured before induction, after induction, 1 minute after induction, 5 minutes after induction, 30, 60, 90 and 120 minutes during operation, entering recovery and exiting recovery. The amount of bleeding during the operation was estimated based on the amount of bleeding in the suction. Data analysis was done using spss software version 21 and descriptive statistics (mean and standard deviation) and inferential statistical tests. Result: In the times before and after induction, 1 minute, 5, 15, 30, 60, 90, 120, in recovery and outside of recovery, there was a significant difference between the two groups in the average systolic and diastolic blood pressure and blood pressure. There was no mean arterial (P<0.05). While the heart rate in these minutes was reported to be significantly lower in the bisoprolol group than in the control group (P<0.05). There was a significant difference between the bisoprolol and control groups in terms of average recovery time (P=0.017) and total surgery time (P=0.044); However, there was no significant difference in the average amount of bleeding between the two groups (P=0.06). Conclusion: The results of this study showed that the use of a dose of 2.5 mg of bisoprolol before the operation can significantly reduce the heart rate, but it does not make a significant difference in the hemodynamic changes and the bleeding rate of patients in septorhinoplasty surgery. [ABSTRACT FROM AUTHOR]

Background & Aims: Background and Aim: Studies have shown that participation in intense and increasing exercise causes delayed damage to the muscle fiber membrane. Because the best type of recycling is not known between training sessions, using methods such as active recycling or creatine supplementation may have beneficial effects through faster removal of fatigue-related factors or the availability of energy sources such as creatine phosphate. On the other hand, the processes of anemia - re-injection of blood, autoxidation of catecholamines, induction of the activity of inflammatory cells as well as neutrophils due to tissue damage in this active species, intensify this activity. Continuation of this process increases free radicals and consequently oxidative stress, and the body of living organisms needs an antioxidant system to limit the harmful effects of free radicals. The range of active antioxidants in the body includes endogenous enzymatic antioxidants and non-enzymatic antioxidants present in meals. Studies have shown that the production of free radicals during strenuous exercise stimulates the production of heat shock proteins (HSPs). Research shows that under physiological conditions, such as strenuous exercise, in which athletes at competitive levels experience excessive training, such as frequent repetitions of competitions throughout the day, to achieve high levels of performance, endogenous antioxidants cannot be completely eliminated. Prevent oxidative damage. For this reason, in recent years, researchers have been looking for strategies to reduce fatigue and maintain performance for athletes by reducing the factors that affect physical performance during and after intense intermittent exercise. Creatine supplementation is one of the most commonly used strategies by athletes. Therefore, the aim of the present study was to investigate the effect of high-intensity interval training with creatine supplementation and two types of active in-water and out-of-water recovery on heat shock protein in men and women swimmers. Methods: In this quasi-experimental study, 32 non-professional swimmers (16 men and 16 women) with at least 6 months of swimming experience and position in the city with an average anaerobic power of 497 watts per kg participated. Men and women were each randomly divided into two subgroups: in-water recovery (8 men and 8 women) and out-of-water recovery (8 men and 8 women). All groups performed 6 50-meter sprints with a 120-second rest interval (depending on the type of recovery in and out of the water) before and after 6 days of creatine supplementation (4 servings of 5 g per day for 6 days). Data were analyzed by twoway analysis of variance with repeated measures. Results: The findings of the combined analysis of variance test showed that the main effect of measurement time was significant. The main effect of recovery was also significant. In addition, the interaction of measurement time with recovery was significant. The interactive effect (measurement time وري recovery × gender) was not significant. In addition, the results of intragroup analysis of variance test with repeated measures on the measurement factor showed that complementary intervention improves HSP72 in both sexes. Also, differences between groups using two-way analysis of variance test showed that the amount of HSP72 after rest, the third and sixth repetition without creatine was not significant. Also at rest and after the third repetition with creatine was not significant but after the sixth Recurrence with creatine supplementation was significant in both sexes. Conclusion: The results of the present study show that despite the relative decrease in the mean HSP of the groups after the supplementation period, this difference is not significant and there is no interaction between the independent variables in relation to HSP. Regarding the better condition of the in-water group than the out-of-water group, the present study on further reduction of HSP72 also pointed to the possibility of better regulation of body temperature in water during methionine recycling, which leads to removing or reducing the excitatory effect of heat as a production stimulus. HSP70 caused a drop in the group average after recycling. The lack of significant HSP adjustment among research groups after recovery probably led to the indirect inference that HSP was not highly adjusted in athletes following exercise. The researchers explain why HSP decreases in people who train with high repetition. When a muscle trains better progressively, there is a decrease in HSP due to cellular regulatory mechanisms. Also, when people who have not exercised begin to exercise, there is a false increase in their HSP, which will decrease over time and as the exercise progresses. The researchers said that the higher the amount of exercise, the thinner the amount of HSP. Researchers believe that HSP has a negative selfregulatory mechanism that is regulated by its own synthesis. It can probably be said that HSP does not change as much in trained people as it does in the untrained ones. However, in terms of the type of recycling, the in-water group was in a better position than the out-of-water group. In the present study, supplementation had no significant effect on HSP compared to the period without supplementation, and its interaction with the type of recycling did not make a significant difference in HSP. Studies show that 95% of creatine is stored in skeletal muscle, and creatine supplementation also increases muscle creatine content. Research on the effects of creatine supplementation on muscle phosphocreatine has provided evidence of increased creatine vigor. Another issue addressed in this study was the difference in HSP72 response between men and women to exercise, and the issue of gender impact was raised. In this study, it was concluded that the level of HSP72 in male and female athletes is similar on average and there is no significant difference. Although exercise increased HSP72, it was similar in male and female athletes and was not affected by gender. Also, in this study, the positive effects of specialized recovery in the mentioned indicators following high-intensity intermittent swimming were not found. [ABSTRACT FROM AUTHOR]

Background & Aims: : Coronavirus (Covid-19) is a large family of viruses that may cause respiratory infections from colds to more severe diseases such as MERS and Sars. Recently, this virus has been named Covid-19. contextual factors surrounding covid-19; including ease of transmission, lack of immunity among the global population, delayed testing, limited medical equipment, and uncertainty of the path of the pandemic; There is a level of public anxiety that shows the importance of investigating the issue. Research has reported a relationship between well-being and more effective coping strategies. Currently, psychological conceptualizations of unhealthy coping preferences often focus on individual coping strategies that are conceptualized as illness or part of the illness, for example, eating disorders, substance use disorders, self-harm, suicide, rather than biological causes. Psychological distress, antecedents of unhealthy coping strategies, and total coping strategies. Understanding the relationship between coping strategies and overwhelming distress is essential to inform diagnosis and the best targets for interventions. While healthy and unhealthy conceptualizations of coping strategies are empirically supported, to date there has been no assessment of the continuum of coping, implying that the use of coping preferences varies depending on the level of distress and relationship. According to healthy coping theory, people use unhealthy coping strategies when they feel better about a difficult situation, even if they risk other negative consequences to feel better, but this does not happen. between healthy and unhealthy coping strategies. The high individual morbidity and mortality and societal costs associated with the chronic use of unhealthy coping preferences highlight the need to understand better their relationship to overwhelming distress and healthy coping strategies. In the new theory of stress, coping skill is a major composite function that is often used due to individual differences in response to stress. Coping skills are also affected by homelessness and the special conditions of street children and adolescents for several reasons. Since the level of mental health among humans has been significantly reduced during the covid-19 epidemic and has been taken into consideration. High prevalence rates of depression, sleep disorders, and post-traumatic stress disorder (PTSD) have been reported at the peak of the disease outbreak in China; Symptoms of psychological distress are expected to be long-lasting and warrant the need for evidence-based psychological treatments aimed at immediate stress relief and prevention of psychological distress in this population. Research Background Cognitivebehavioral therapy (CBT) is effective in the treatment and prevention of several stress-related disorders in the human population. Among the treatments that can be effective for posttraumatic stress disorder and psychological events after an unexpected event is a cognitivebehavioral therapy. Cognitive-behavioral group therapy is one of the most widely used methods and one of the most important choices in the field of psychological treatment of this disorder, which has wide applications. This treatment consists of four components: exposure, prevention of response, and connection between events and thoughts. It uses maladaptive thoughts to improve cognition, emotion, and behavior by changing cognition. According to the mentioned materials, this research has addressed the question of whether cognitive behavioral therapy affects the resilience and preference of coping actions of patients who have recovered from the corona pandemic (COVID-19) at the height of the epidemic. Methods: This research was a semi-experimental type of research with a pre-test-post-test and control group. The statistical population of this research included all recovered patients of the Corona pandemic at the peak of the epidemic in Isfahan, 30 people were selected by purposeful sampling and randomly assigned to two experimental and control groups (15 people in each group). After the pre-test, the experimental group received the cognitive behavioral therapy program for 12 sessions, and then the post-test was performed. The data required for the research were collected using the scale of preference for confrontational actions by Carver, Shier, and Weintraub (1989). The resulting data were analyzed using descriptive statistics (mean and standard deviation) and inferential statistics (analysis of variance) with the help of SPSS-20 software. Results: The findings showed that cognitive behavioral therapy led to an increase in problemoriented confrontational preference and a decrease in emotion-oriented and avoidance confrontational preference in the members of the experimental group had a significant effect (P<0.01). Conclusion: Based on the findings, it can be concluded that cognitive behavioral therapy can be considered an effective treatment in reducing the problems and psychological indicators of patients who have recovered from the corona pandemic. This research finding can be explained that in cognitive behavioral therapy, tasks such as functional analysis, skill training, and dealing with impulsive desire are presented to people, which creates a feeling of mastery and empowerment in people, and is effective in improving the person's coping preference. In cognitive-behavioral therapy, people learn that they should not ignore problems and should accept problems and act to solve them. They learn to follow clear policies and try to see the bright side of things and control their emotions. In this way, they learn to take advantage of the guidance of others, but not to interfere with their problems, instead of just seeking support from others. This method teaches people to have a plan for their life (and especially their recovery). This research, like other research, has limitations such as the impossibility of holding face-to-face meetings (due to the corona situation) and the limitations related to the participation of both sexes in the interventions (the training was conducted only among female patients who have recovered from the corona pandemic). It comes with It is also suggested that in future research, the influence of other factors involved in the psychological problems of patients who have recovered from the corona pandemic should be controlled during training. Also, according to the results of this study and the effectiveness of cognitive behavioral therapy, it is suggested to conduct long-term follow-up in a larger sample in future research to evaluate the stability of the results, and also to implement educational and therapeutic courses based on cognitive therapy for patients who have recovered from the corona pandemic. [ABSTRACT FROM AUTHOR]

Background and Objectives Gamma irradiation (GI) to platelet products is a usual therapeutic procedure for preventing the transfusion associated graft versus host disease (TA-GVHD) in susceptible recipients. Nevertheless, some studies indicate a decrease in platelet recovery after transfusion, associated with higher levels of platelet storage lesion (PSL) in gamma irradiated platelets. In addition, the induction of oxidant stress, especially the increase in the production of reactive oxygen species (ROS) following the treatment of platelet products with gamma rays, has been reported in some studies. Therefore, given the known effects of ROS on PSL induction, the review presented here, while introducing different sources of ROS production during storage, also discusses the importance of storage-dependent oxidative stress in platelet products exposed to gamma radiation. For this purpose, studies published in MEDLINE, PubMed and Google scholar were searched for relevant keywords, among which 66 studies were cited in this review. [ABSTRACT FROM AUTHOR]

Background & Aims: There are different definitions of patient satisfaction provided by researchers. In general, the definition of patient satisfaction includes the patient's expectations and the excellence of health care and medical services (1). Various factors are involved in creating patient satisfaction, which include nursing care, medicine, support and various organizational departments (2). Information related to patient satisfaction can be used in many health-care facilities and designs and be effective in improving the quality of health care (1). The importance of patient satisfaction is that if this is achieved, the patient will establish a better and more appropriate relationship with the treatment team, and in this way, recovery will be accelerated. By building trust towards hospital personnel, the patient will be more cooperative in treatment procedures (3). According to the above content, it is clear that firstly, the level of patients' satisfaction with hospitals is very low compared to the rest of the world, and on the other hand, the conducted researches have considered other dimensions that are contrary to the dimensions of the present research. In the context of the subject, it has not been done in Gorgan hospitals, so in this study, we investigated the level of patients' satisfaction with the health and treatment services of Gorgan Philosophical Hospital in order to add a point to the existing information in this field in order to solve the existing deficiencies. For this purpose, a satisfaction questionnaire was completed by the patients and the obtained information was analyzed. Methods: The current research is a descriptive-cross-sectional type that was conducted in 1401. For this purpose, from among the patients who were admitted in the departments of internal medicine and male surgery (Milad), neurology and psychology (Aghaz), CCU, general department (Pegah), internal medicine and female surgery (Shafaq) and maternity ward, available during a 173 patients were selected as samples. Then, the satisfaction level of referring patients was investigated using a questionnaire whose validity and reliability were confirmed by the professors of Golestan University of Medical Sciences. The questionnaire contained demographic information including age, gender, level of education and the department where the patient was admitted. Questionnaire topics include security with one question, reception with two questions, department secretary with one question, medical staff with 5 questions, nursing staff with 8 questions, nutrition with 5 questions, laboratory with 3 questions, pharmacy with one question, discharge and cashier with 4 questions, imaging with 3 questions and amenities with 13 questions. Results: Out of 173 patients included in the study, 13 patients were excluded due to the incompleteness of the questionnaires and their lack of consent to participate in the study. A total of 160 patients were examined. The demographic information of the patients is presented in Table 1. According to the information obtained, the age of men was higher than the age of women, while the number of female participants was higher than that of men. The educational level of most of the participating patients (38%) was diploma and most of the patients (25%) from Milad department of the hospital participated in this The frequency distribution of patients based on different health and treatment services provided in Philosophical Hospital is presented in Table 1. The most satisfied was with "doctors' encounter" where 129 people (80.62 percent) gave an excellent answer. The lowest level of satisfaction was "providing necessary training regarding the amount of tariffs and service insurance coverage" where 83 people (51.87%) gave an excellent answer. Of course, the lowest level of satisfaction was related to "how to provide ambulance services" that not all patients used this service. The most weak answer was related to the question of "providing necessary information for admission" and 7 people (4.37) gave this answer. Conclusion: Based on the results, more than 50% of patients had an excellent opinion on all the services provided. In general, in the medical staff department with 5 services, on average, 73.25% of patients had an excellent opinion and 19.50% had a good opinion. In general, patients' satisfaction with the services of the nursing staff was slightly lower than that of the medical staff. The importance of satisfaction with nursing services is to the extent that it affects patients' satisfaction with the entire hospital services (6). In this regard, Aiken et al. (2018), in an extensive study on patients discharged from 161 British hospitals, point out the important role of the quality of nurses' work and the presence of the right number of professional and experienced nurses in patients' trust in nurses and doctors (7). In the nutrition department, on average, 63.22% of the patients gave an excellent response and 29.37% gave a good response to the service. The highest level of satisfaction was related to "time of food distribution" and the highest level of satisfaction was related to food quality. In the laboratory department, on average, 58.33% of patients gave an excellent response and 28.33% gave a good response to the service. In this department, the percentage of patients with no response was increasing. This result is worth considering. In the departments of pharmacy, discharge and fund, imaging and comfort facilities, the satisfaction of the patients gradually decreased, which should be noticed by the hospital officials. In the security department, reception and department secretary, the responses were mostly excellent and good. But the presence of 7 weak answers in "providing the necessary information at the time of admission" was significant and requires more cooperation of the admission staff. In this context, Moin et al. (2016) investigated the satisfaction of 400 patients with the emergency services in Shahid Mostafa Khomeini Hospital, Tehran. The findings showed that 91.3% of patients had satisfactory satisfaction. The highest level of satisfaction was with the medical staff. The lowest level of satisfaction was reported in the received costs, the facilities of the emergency department compared to the comfort facilities and park clinic affairs. They stated that the status of health insurances, activating hospital staff, equipping comfort facilities and finding committed and experienced human resources were the things that needed more attention from the managers of the mentioned hospital (3). In our study, similar to the study of Moin et al., satisfaction with the medical staff (doctors and nurses) was more than other services. Overall, patient satisfaction is one of the factors that increase patients' loyalty to the hospital and its services. In this regard, Yousefi et al. (2017), in the study of the factors affecting the loyalty of patients to the hospital brand in the educational and therapeutic hospitals of Shiraz University of Medical Sciences, named three factors affecting the increase of loyalty, which are patient satisfaction, trust and commitment. to the relationship in the hospital (14). [ABSTRACT FROM AUTHOR]

Background & Aims: From the beginning of the Covid-19 epidemic, a number of recommendations were made by health organizations, such as maintaining social distance, using masks, and hand hygiene. Hand washing with soap or alcohol-based disinfectants and high hygiene as a precautionary measure to prevent the spread of this emerging virus is widely promoted, and almost all people follow these recommendations. Although hand washing and hygiene are more serious than ever before, and is certainly helpful in preventing the spread of Covid-19, but there is the question of how this can affect different people who have not previously had obsessive-compulsive disorder, and also peoples with mild and sub-threshold symptoms (1,6). The Covid-19 epidemic in the late winter of 2019 / spring 2020 became a global crisis and spread widely and rapidly across borders and continues to this day (3). Covid19 disease may have different effects on people with different socioeconomic status, as shown in several studies (11,9,8,20,21,22). Very little is known about the impact of the emerging Covid-19 disease on the prevalence or development of mental disorders, and little research has been done in this area. The aim of this study was to evaluate the prevalence of obsessivecompulsive disorder in recovered hospitalized patients with Covid-19 six months after discharge from the hospital, evaluate the existence of a statistically significant relationship between the prevalence of obsessive-compulsive disorder, socioeconomic status and demographic variables such as gender, age, level of education and marital status. Methods: In this cross-sectional study, 479 patients with a history of definitive diagnosis of Covid-19 and subsequent hospitalization were studied. The participation of all sample members in this study was completely voluntary and the present study has been approved by the ethics committee of Kermanshah University of Medical Sciences, Iran. The sample members were selected using random number generation software and through a completely random selection from the list of hospitalized patients. After selecting the sample, they were invited to participate in the study by telephone. After initial satisfaction, research questionnaires were provided to the sample members face to face. In this study, Maudsley Obsessional Compulsive inventory (MOCI), Ghodrat Nama et al. Socio-Economic Status Questionnaire (GHSESQ) were used. The validity and reliability of these questionnaires have been studied in Iran and both of them are valid and reliable. Also, after completing the questionnaires, each member of the sample was examined through a short face-to-face supplementary interview (maximum 10 minutes) for the presence of DSM5 diagnostic criteria for obsessive-compulsive disorder and the results were recorded. After data collection, the overall point prevalence of obsessive-compulsive disorder was calculated. Also, the point prevalence of obsessive-compulsive disorder were obtained based on each of the classes of demographic variables in the study. Descriptive statistics, chi-square test, one-way analysis of variance and Tukey test were used in this study. SPSS 21 statistical software was used for data analysis. Results: After reviewing and analyzing the completed questionnaires and the results of the supplementary interview, 92 members of the sample were diagnosed with obsessivecompulsive disorder. The overall prevalence of obsessive-compulsive disorder in all samples was 19.20%. According to the results of statistical analysis, there was a significant relationship between gender and obsessive-compulsive disorder and this disorder was more common in women than men (χ2 = 5.3793; P-value = 0.020378; p≤0.05). There was a significant relationship between age variable and obsessive-compulsive disorder and the prevalence of this disorder was more common in other age groups of 38-58 and 18-38, respectively (χ2 = 10.3501; P-value = 0.015813 ; p≤0.05). There was no significant relationship between education and disorder (χ2 = 2.9693; P-value = 0.562976; p≤0.05). Finally, in the case of marital status, there was no significant relationship between marital status and obsessivecompulsive disorder (χ2 = 4.4587; P-value = 0.107601; p≤0.05). The prevalence of obsessivecompulsive disorder was 12.16% in very low socio-economic status, 15.16% in low socioeconomic status, 18.12% in medium socio-economic status, 35.84% in high socio-economic status and 40.00% in very high socio-economic status. The results of this study showed that there was a significant relationship between socioeconomic status and obsessive-compulsive disorder in recovered hospitalized patients with Covid-19 (χ2 = 20.7756; P-value = 0.000351; p≤0.05). The prevalence of obsessive-compulsive disorder has increased with increasing in level of socioeconomic status. The highest prevalence of disorders was in very high and high socio-economic status. One-way analysis of variance (one-way ANOVA) was performed to compare the mean scores of obsessive-compulsive disorder in different socioeconomic statuses and the value of F was 4.67467, Which shows that there is a significant difference in the mean scores of obsessive-compulsive disorder between socio-economic statuses. The results of Tukey test on the mean scores of obsessive-compulsive disorder in different socioeconomic statuses showed that the differences between very low and high socioeconomic status (p = 0.00597), very low and very high socioeconomic status (p = 0.00179), low and high socioeconomic status (p = 0.03153) were statistically significant. Conclusion: Evidence from research to date suggests that anxiety and fear of being infected by a person or family member, as well as fear of death and threat to life at the time of infection, especially in hospitalized cases, can lead to or the trigger for mental disorders such as obsessive-compulsive disorder. Hospitalized people who have experienced a severe illness and whose life and health are seriously threatened can be one of the groups with the highest rates of mental disorders caused by this epidemic. It is suggested that institutions and organizations related to the maintenance and promotion of mental health in the community take the necessary plans and measures to prevent the occurrence or exacerbation of mental disorders and reduce the psychological consequences of this epidemic in the general population and especially highrisk populations, like people who have experienced the intense and critical state of Covid-19. Considering that the prevalence of obsessive-compulsive disorder in recovered hospitalized patients with Covid-19 is much higher than the prevalence of this disorder in the general population, it can be concluded that covid-19 infection and subsequent hospitalization can lead to obsessive-compulsive disorder. prevalence of Covid-19 exacerbates obsessive-compulsive behaviors and thoughts related to cleanliness and avoidance of the virus. In addition to threatening people's physical health, Covid-19 also threatens their mental health. [ABSTRACT FROM AUTHOR]

Liver abscess can be defined as an accumulation of secretions within the liver parenchyma, which may be caused by bacterial, fungal, or parasitic microorganisms. In this study, we reported a case of liver microabsorption in a 16-year-old girl with no history of underlying diseases, which could ultimately lead to the diagnosis of Crohn's disease in this patient. The patient was a 16-yearold girl presenting with nausea, vomiting, diarrhea, and anorexia. Of the accompanying symptoms, she mentioned two occasions of fever and chills. The patient was also hospitalized a week ago and in the tests performed, the number of white blood cells was 12400 and the positive occult blood test in the fecal test was 8-10 red blood cells and 4-45 white blood cells. She was treated with a diagnosis of gastroenteritis and was discharged with partial recovery. There was nothing special in the examination. The only ultrasonography revealed the presence of free fluid in the loop near the ovaries. The patient-specific tests that were requested were all normal. Repeat ultrasonography of the patient reported normal liver with numerous hypovaccal nodules in the entire parenchymal artery, which had increased in size and number compared with the previous assessment. Finally, the patient was discharged 5 days after the fever stopped and due to the improvement of her general condition with the prescription of levofloxacin and metronidazole, and was referred to the clinic one week later. In this case, we attempted to review the literature on the etiology, diagnosis, and treatment of hepatic abscess for a physician. [ABSTRACT FROM AUTHOR]

Background and Aim Postoperative shivering is a common complication after recovering from anesthesia, and due to its subsequent side effects, its prevention and treatment is of special importance for anesthetists. In this study, the efficacy and onset of action of meperidine (which is a potential cause of hemodynamic and respiratory complications) in treatment of post-anesthesia shivering are compared with those of ondansetron. Methods & Materials In this clinical trial study, patients with post-anesthetic shivering during recovery were randomly divided into two groups of meperidine (n=27) and ondansetron (n=29). Their shivering scores were recorded every minute for up to 10 minutes. After this time, if patients did not improve, meperidine was used in both groups to treat shivering. Ethical Considerations The study obtained its ethical approval from the Research Ethics Committee of Iran University of Medical Sciences and has been registered in Iranian Registry of Clinical Trials (IRCT201109224969N3). Results The number of patients completely treated at 10 minutes was higher in the meperidine group (P= 0.05), and the decrease in mean shivering score occurred faster in meperidine group (P= 0.047) Conclusion Although ondansetron has been shown to be effective in treatment of postoperative shivering, the effectiveness and onset of action of meperidine was clearly better. [ABSTRACT FROM AUTHOR]

Background and Objectives To perform open heart surgery, the patient needs to be placed on the bypass system. This initial volume causes excessive dilution of the patient's blood and the use of blood products, which can alter the surgical procedure and recovery of the patient. The purpose of this study was to evaluate the usefulness of performing a retrograde autologous prime to reduce blood products consumption. Materials and Methods This is a prospective randomized clinical trial to evaluate whether RAP can reduce hemodilution in CPB and prevent allogeneic blood transfusion. In this study, 59 consecutive patients were randomly divided into two groups of RAP - with reverse autologous priming (n = 28) and control (Non RAP) - with normal priming (n = 31) being evaluated at Shahid Rajaee Cardiovascular Center between 1396-97. Results Statistical evaluations were performed with Chi Square, T-Test, and Mann-Whitney U tests. It was identified by placing patients on bypass, hemoglobin and hematocrit in the first and second samples, end of bypass, and on ICU that was significantly higher in the experimental group. The number of patients receiving the product and the number of products consumed in the control group were significantly higher. The duration of mechanical ventilation was significantly lower but the ICU stay was not significantly different. Conclusions From these results, it can be concluded that the implementation of RAP retrograde autologous priming can effectively preserve hemoglobin and hematocrit of patients in acceptable range and reduce the use of blood products in patients undergoing bypass. [ABSTRACT FROM AUTHOR]

Background and Aim: Burn wound is a susceptible site for incidence of resistant infections. Therefore, research for finding effective drugs against Pseudomonas aeruginosa, the leading pathogen causing burn wound infection, is necessary. The current study aimed at investigating the antibacterial effect of herbs including: Daenensis thyme, Chavill (Frulago angulata), and Harmala on burn infection caused by Pseudomonas aeruginosa and then comparing the obtained results with the results of selected antibiotics on the infection. Methods and Materials: Anti-Pseudomonas activity of plants' extractions was evaluated by well diffusion method. The evaluation of burn wound recovery treated with Peganum harmala and daenensis thyme on burn wounds of albinos. Wound area and recovery percentage was measured. The number of neutrophils and lymphocytes, from all infected groups the sample of blood was obtained. Results: The measurement results of the zone of inhibition against Pseudomonas aeruginosa showed better consequences for Thymus daenensis. The number of colonies in the treated group with plants and ciprofloxacin showed significant differences as compared with the control group and the group treated with gentamicin. In counting the white blood cells of infected control group and gentamicin treated group, the number of white blood cells was below the normal level while the number of blood cells in groups treated with medicinal plants and ciprofloxacin were normal. Conclusion: Based on the obtained results of this study on these plant species and their positive activity on treatment of infected burn wounds, it was concluded that these plants can be considered and used as an anti-Pseudomonas. [ABSTRACT FROM AUTHOR]

Introduction: Motivation is a key element in treatment and recovery of substance use disorders by influencing patients to seek, complete, and acceptance of treatment and make successful long-term changes Objective: the current study was conducted in other to evaluate treatment motivation based on cognitive self-control and self-compassion in people with substance dependency. Materials and Methods: The study carried out was a cross sectional type. The whole people with substance dependency referred to Shiraz centers of addiction treatment in the second half of 1392, comprised our statistical population of this research. One hundred and fifty people were selected by multistage random sampling method. Having conducted clinical interview, they were asked to respond to questionnaires of cognitive self-control, self-compassion and treatment motivation. Collected data were analyzed by tests of Pearson correlation and multivariate and multiple regressions. Results: The results showed that treatment motivation is negatively correlated with low self-control (r=-0.41; P<0.001), and positively with self-kindness(r=0.37; P<0.001), self-judgment(r=0.32;P<0.001), common humanity(r=0.33; P<0.001), isolation(r=0.32; P<0.001), mindfulness(r=0.40; P<0.001), and over-identification(r=0.36; P<0.001). The results of multiple regression showed that 30% variance of motivation, 30% variance of problem recognition, 28% variance of ambivalence and 24% variance taking steps are explained by self- compassion and cognitive self-control. Conclusion: The results of this study demonstrate that cognitive self-control and self- compassion play a role in predicting treatment motivation and readiness to change in drug-dependent individuals. [ABSTRACT FROM AUTHOR]