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Abstract Background The characteristics of electrocardiogram (ECG) abnormalities related to cardiac channelopathies potentially linked to sudden cardiac death (SCD) are not widely recognized in Iran. We examined the prevalence of such ECG patterns and their related factors among adult residents of Tehran, Iran. Methods The clinical characteristics and 12-lead ECGs of Tehran Cohort Study participants were examined. Long QT intervals, short QT intervals, Brugada syndrome (BrS) patterns, and early repolarization (ER) were evaluated using computer-based assessment software validated by cardiologists. Logistic regression models were employed to identify the factors associated with the prevalence of different ECG patterns. Results Out of 7678 available ECGs, 7350 were included in this analysis. Long QT interval, ER pattern, BrS patterns, and short QT interval were found in 3.08%, 1.43%, 0.31%, and 0.03% of participants, respectively. The prevalence of long QT interval increased with age, opium consumption, and presence of hypertension. Younger age, lower body mass index (BMI), alcohol use and male sex were independently linked to an elevated prevalence of ER pattern. Most individuals with BrS patterns were men (95%) and had lower BMI, high- and low-density lipoprotein, and total cholesterol compared to those without the BrS pattern. At a mean follow-up of 30.2 ± 5.5 months, all-cause mortality in the group exhibiting abnormal ECG patterns (6.3%) was approximately twice as high as that in the group without such patterns (2.96%). Conclusion Abnormal ECG patterns corresponding to channelopathies were relatively rare among adult residents of the Tehran population, and their prevalence was influenced by various factors. Clinical trial number Not applicable.

Abstract Background The clinical readiness of newly graduated nurses is crucial in meeting the growing demand for health services. Consequently, it is essential to develop a scale that accurately evaluates the clinical readiness of these novice nurses. Aim This study aimed to translate and psychometrically evaluate the Persian version of the Nursing Practice Readiness Scale (NPRS) for new graduate nurses. Methods This methodological and cross-sectional study was conducted on new graduate nurses from June to November 2023 in Kermanshah City, Iran. The translation of the scale was performed using the forward–backward translation method. Construct validity was assessed using Exploratory Factor Analysis (EFA) with a sample of 180 participants and Confirmatory Factor Analysis (CFA) with a sample of 318 participants, both employing the convenience sampling method. The internal consistency of the tool was measured using Cronbach’s alpha coefficient. Additionally, the tool’s reliability was evaluated using the intraclass correlation coefficient (ICC). The analyses were conducted using SPSS version 27 and LISREL version 8 software. Results The results of EFA and CFA confirmed the tool’s structure, comprising five factors and 35 items. The CFA results showed a well-fitting model (CFI = 0.96, NNFI = 0.96, GFI = 0.893, RMSEA = 0.062, SRMR = 0.049). Pearson’s correlation coefficient indicated a significant relationship between the items, subscales, and the main scale. Additionally, the Cronbach's alpha coefficient of the tool was 0.932, and the intraclass correlation coefficient (ICC) was 0.891(0.724–0.957). Conclusion The Persian version of the Nursing Practice Readiness Scale (NPRS) is a valid and reliable tool, comprising 35 items and five factors. This scale can be effectively used to evaluate the clinical readiness of newly graduated nurses within the Iranian community.

Abstract Background Results from studies investigating the association between ultra-processed foods (UPFs) and breast cancer are scarce and, in some cases, contradictory. Therefore, we aimed to evaluate the association between the intake of processed foods (PFs) and UPFs with the risk of breast cancer in Iranian women. Methods The present case (n = 133) - control (n = 266) study was carried out at two general hospitals in Tehran, Iran. A 168-item semi-quantitative food frequency questionnaire was used to assess the participants’ dietary intake. Also, the NOVA classification was used to identify PFs and UPFs. The association between PFs and UPFs with the odds of breast cancer was analyzed using logistic regression models. Results According to Model 1 of conditional logistic regression, the odds of breast cancer were higher in the last tertile of UPFs than in the first tertile (odds ratio (OR) = 1.930; 95% confidence interval (CI): 1.080–3.449). In Model 2, no significant association was observed between the second and last tertiles of PFs and UPFs with the odds of breast cancer compared to the reference tertile. Also based on menopause status, the odds of breast cancer increased in the last tertile only among premenopausal women in Model 2 (OR = 3.656; 95% CI: 1.326–10.079). Conclusions This study demonstrated that higher consumption of UPFs is associated with higher odds of breast cancer in premenopausal women.

Abstract Background Motivation is a critical factor in the success of nursing students, as it significantly influences their ability to acquire the necessary knowledge and skills for the nursing profession. Insufficient motivation can result in a lack of engagement with learning activities, thereby impeding the development of essential competencies. Aim This study aimed to translate the Motivation for Nursing Student Scale (MNSS) into Persian and evaluate its psychometric properties within the context of nursing students in Iran. Method This methodological cross-sectional study involved a sample of 542 nursing students selected through convenience sampling. The MNSS was translated into Persian following the guidelines recommended by the World Health Organization. Exploratory factor analysis (EFA), confirmatory factor analysis (CFA), and assessments of internal consistency were conducted to evaluate the validity and reliability of the instrument. Results The EFA and CFA validated the structure of the instrument, identifying four factors and 20 items, which explained 58.68% of the total variance. The CFA results indicated a well-fitting model with the following indices: CFI = 0.91, GFI = 0.93, IFI = 0.946, TLI = 0.92, RMSEA = 0.061, and SRMR = 0.049. The Cronbach’s alpha coefficient and Intraclass Correlation Coefficient (ICC) for the scale were 0.882 and 0.802, respectively. Conclusion The Persian version of the MNSS demonstrates satisfactory reliability and validity, making it a dependable instrument for measuring the academic motivation of nursing students. This tool can be effectively used to assess the motivation of nursing students in Iran.

Abstract Postbiotics are the non-viable bacterial products or the low molecular weight metabolites produced by probiotics that have received considerable attention owing to their health promoting effects. The present study aimed to investigate the safety and antibacterial properties of postbiotic components of Lacticaseibacillus rhamnosus (Lra) and Limosilactobacillus reuteri (Lre) for their potential applications in food products. The freeze dried postbiotic metabolites (FD-P) from Lra and Lre were extensively analyzed for their physico-chemical properties and antibacterial actions against common food borne pathogens. Higher levels of total flavonoids (1971.79 ± 20 mg Qu/ g), total short-chain fatty acid (23 µg/g), sugar contents, CAT, and SOD anti-oxidative enzymes were detected in the Lra postbiotic, while GSH-px levels and riboflavin were higher in Lre postbiotics (P

Abstract Background Variant analysis of distinct HPV types is important from different aspects including epidemiology, pathogenicity, and evolution. Methods For this reason, the full sequence of the E6 and E7 genes of HPV 58 was examined in 130 HPV 58-infected cervical samples using PCR and sequencing. Results Our results revealed that three lineages A, B, and D were found in this study; among which the B lineage was more common (91.50%). About sublineages, all samples of the B lineage belonged to the B1 sublineage, and samples that were classified as the A and D lineages were found to belong to the A1 (0.77%), A2 (5.38%), A3 (1.50%), and D2 (0.77%) sublineages. No statistically significant differences were found between lineages and stages of disease or amino acid changes (P > 0.05). Conclusion Our results showed that lineage B, sublineage B1, was dominant in Iran. However, more studies with larger sample sizes from different parts of Iran are essential for assessing the pathogenicity risk of HPV 58 lineages in Iranian women with cervical cancer.

Abstract In mountainous areas, wild edible plants are an important part of the local diet. Climate change and anthropogenic activities have profound effects on wild edible plants in these areas. Ethnobotanical studies are important for understanding the use patterns and harvest impacts on these plants. In this regard, the Shahrood region, with its diverse historical/ethnic background, is an appropriate starting point to investigate exploitation patterns and impacts of harvest of wild edible plants. During 2021–2022, ethnobotanical surveys were conducted in 12 villages in the region using semi-structured interviews and participatory observations. Data collection included assessing wild edible plant species diversity, their habitats, collection time and quantities, plant parts used and methods of consumption and preparation. The data were analyzed using use report indicators, relative frequency of citations, and use value (UV). A total of 1086 use reports were documented from a total of 44 interviews. A total of 67 wild species (66 plants and 1 fungus) belonging to 54 genera and 24 families were used as edible in the study area. Rosaceae (9 species), Apiaceae (8), Lamiaceae (8), Asteraceae (7), and Amaryllidaceae (5) were the families with the most reported species. Allium (5 species) was the most diverse genus in terms of species diversity. Herbs were the most commonly used life form (79.1%), followed by shrubs (13.4%) and trees (6%). The most consumed plant parts were young leaves (25%) and young aerial parts (21.4%). There were 13 use categories identified. The majority of edible plants were collected in April–May, mainly from areas nearby villages (37.7%) and rangelands (33.7%). The most important edible plants in the study area were Allium iranicum (Wendelbo) Wendelbo (UV = 1.7), Mentha longifolia (L.) Huds. (1.5), Allium umbilicatum Boiss. (1.47), Tragopogon graminifolius DC. (1.38), Lepidium draba L. (1.27), Urtica dioica L. (1.18), Falcaria vulgaris Bernh. (1.13), Malva neglecta Wallr. (1.11) and Eremurus sp. (1.09). Our results showed diverse and valuable knowledge for wild edible plants in this region, which should be considered in the conservation and management plans in the region.

Abstract Background Several preliminary studies have been conducted in the field of the prevalence of depression, anxiety, and stress in the elderly population. These studies have examined the prevalence in limited geographic areas with small sample sizes. Also, there are many limitations in the meta-analysis studies. The objective of the present study was to synthesize the global prevalence statistics of depression, anxiety, and stress in the elderly population through a systematic review and meta-analysis. Methods The present systematic review included retrieval of primary studies from the oldest relevant study up to 2023. To find the relevant studies, international databases such as Scopus, Embase, PubMed, and Web of Science (WoS) were systematically searched. Also, a manual search was performed through the Google Scholar search engine and a review of the sources of related articles. The qualitative assessment of the studies was conducted using the Joanna Briggs Institute (JBI) checklist. Due to a high heterogeneity among the study results, a Random Effects model was chosen. Results A total of 42 articles on depression, 47 articles on anxiety and 13 articles on stress were included in the meta-analysis. The overall estimates for prevalence based on a random-effects model were as follows: depression, 19.2% (95% CI: 13.0 − 27.5%); anxiety, 16.5% (95% CI: 11.1 − 22.8%); and stress, 13.9% (95% CI: 5.5 − 30.9%). The highest prevalence of depression and anxiety was recorded in Africa. The prevalence of depression was higher in nursing homes, and stress was more prevalent in individuals with COVID-19 compared to other populations. Conclusion The findings revealed a high prevalence of depression, anxiety, and stress in the elderly population. Therefore, it is recommended that healthcare professionals and policymakers pay more attention to the prevention and management of these disorders in the elderly population.

Abstract Background The benefits and risks of coronary artery bypass grafting (CABG) in octogenarians remain unclear. This study aimed to identify the predictors of increased risk of all-cause mortality in octogenarian patients after CABG. Methods We retrospectively analyzed the data of 1636 octogenarians who underwent isolated elective on-pump CABG between 2007 and 2016. The primary endpoint was mortality from any cause. The Kaplan–Meier curve was generated for mortality. A univariate Cox regression was performed for preprocedural and procedural variables. The Akaike information criterion (AIC) using the Cox proportional hazard model was applied to determine the strongest predictors. We designed a nomogram based on the selected variables to calculate the mortality risk after one, five, and ten years. The bootstrap resampling based on the C-index was performed to validate the final model. Calibration plots were created at different time points. Results The mean age of the patients was 82.03 years (SD = 1.74), and 74% were male. In a median follow-up of 9.2 (95% CI 9.0,9.5) years, 626 (38.2%) patients died. After the selection of best predictors based on AIC, the multivariable Cox regression showed that ejection fraction

Accumulation of reactive oxygen species during testicular torsion causes oxidative stress, which in turn causes ischemia-reperfusion (I/R) injury to the testis. In testicular torsion/detorsion (T/D) in male mice, the purpose of this study was to investigate the influence of Mito-TEMPO (MT) on I/R injury. Forty-two male mice were divided into seven groups, including a control group and six treatment groups (360° T/D, 720° T/D, 360° T/D + 0.70 mg/kg MT, 360° T/D + 1 mg/kg MT, 720° T/D + 0.70 mg/kg MT and 720° T/D + 1 mg/kg MT). After inducing testicular torsion, oxidative enzymes, and testicular histopathology were evaluated. The results showed that 720° T/D resulted in increased testicular malondialdehyde levels and histological damage, along with reduced activities of catalase, superoxide dismutase, and glutathione peroxidase. Treatment with MT reduced tissue malondialdehyde levels and increased the activities of catalase, superoxide dismutase, and glutathione peroxidase. These findings suggest that MT administration protects against acute testicular T/D injury in mice.

Background and Objective: Colorectal cancer is the third most common cancer in men and the second most common in women. The use of parasites or parasite antigens is one of the newest therapeutic approaches for cancer, although it has not yet been used or approved in human trials. This study aimed to determine the cytotoxic effects of purified carbohydrates from the hyaline layer, fluid, and protoscolices of hydatid cysts on the human colorectal cancer cell line (LS174T). Methods: This descriptive-analytical study was conducted on two sheep and two cow livers infected with hydatid cysts, and the human colorectal adenocarcinoma cell line (LS174T) purchased from the Pasteur Institute of Iran at the Faculty of Veterinary Medicine, Shahid Chamran University of Ahvaz, Iran during 2022. Cyst fluid, protoscolices, and the hyaline layer were isolated from the hydatid cyst-infected livers, and glycoproteins and glycolipids from different parts of the cyst were extracted using the chloroform-methanol method. Carbohydrates were purified using the beta-elimination method and their presence was confirmed using the phenol-sulfuric acid method. The cytotoxicity of purified carbohydrates on the LS174T cell line was evaluated using the methyl tetrazolium (MTT) assay for 24 hours. Results: Concentrations of 0.5 and 0.25 of purified carbohydrates from glycoproteins and glycolipids of hydatid cysts significantly inhibited the growth of LS174T cells (P

The investigation focused on exploring the potential applications of the BN nanocage (B12N12) as both an adsorbent and a sensor for removing and detecting fosfomycin (FM) using density functional theory computations. In this respect, the interaction of FM with B12N12 was evaluated at 3 different configurations and the most stable one was determined. The results showcased the interaction between FM and B12N12, highlighting the feasibility, exothermic nature, and spontaneity of the interaction, emphasizing the effectiveness of B12N12 as an FM adsorbent. Moreover, the study scrutinized the influence of water as a solvent and different temperatures on the thermodynamic parameters. Interestingly, the results indicated that these factors had negligible impacts on the interactions. Nonetheless, it was noted that the interactions were a bit stronger in vacuum and at lower temperatures. Additionally, the Frontier Molecular Orbital (FMO) analysis exhibited a bandgap of 6.716 eV for B12N12, which increased by approximately 90 % to 13.381 eV upon FM adsorption, indicating a significant reduction in the electrochemical conductivity of BN nanocage during the FM adsorption process, thereby hinting at its potential use as an analytical signal for the electrochemical detection of FM.

Abstract This study investigates the solubility behavior of Naproxen (NAP) in binary solvent mixtures of 1-propanol (1-PrOH) and 2-propanol (2-PrOH) with ethylene glycol (EG) across a range of temperatures. The solubility of NAP was experimentally determined at five different temperatures (293.15 to 313.15 K), and the data were correlated using various thermodynamic models, including the van’t Hoff, Jouyban-Acree, modified Wilson, mixture response surface, Jouyban-Acree-van’t Hoff. The results demonstrated that NAP’s solubility increases with temperature in both solvent systems. Notably, NAP exhibited higher solubility in mixtures with 1-PrOH compared to 2-PrOH, despite the lower polarity of 2-PrOH. This unexpected trend is attributed to the distinct molecular interactions, including hydrogen bonding, influenced by the structural differences between 1-PrOH and 2-PrOH. The X-ray diffraction analysis confirmed that no polymorphic transformation occurred in NAP during dissolution, maintaining its crystalline structure. The solubility data were well-correlated by the applied models, with overall MRDs% (mean relative deviation percentage) below 6.1.

Abstract This article recounts the stories of Afghan migrants who have returned from Iran to Afghanistan. I frame these accounts of ordinary Afghans’ life experiences as “narratives of pride,” juxtaposing these stories with narratives of victimhood that dominate the immigration discourse on Afghanistan and more generally. In these narratives, migrants are predominantly characterized as victims in need of being saved. This article instead asks: why do returnees from Iran focus mostly on the positive parts of their mobility while downplaying the difficulties of dealing with the Iranian state, which does not have a good track record of dealing with migrants? In telling stories of years of living and working in Iran or other countries, I find that my interlocutors characterize themselves as sophisticated men of the world with a deep understanding of social and political phenomena that give them the ability to navigate life in foreign lands—an image far from victimhood as it is commonly portrayed in the literature and media. The article argues that in order to better understand the agency of migrants, it is crucial to form long-term connections with them to gain a more nuanced understanding of their experiences, rather than simply reproducing stories of victimhood.

Abstract Background Red-flesh apples (Malus sieversii f. niedzwetzkyana) have attracted attention from consumers and researchers due to their pleasant appearance and taste. These exotic apples are rich sources of nutrients and health-promoting polyphenols and phenolics. This study aimed to investigate morphological (40 quantitative and 13 qualitative traits) and biochemical (5 traits) characteristics of four socioeconomically important red-fleshed apple populations in North and Northeast region of Iran, which are understudied and under serious extinction risk. Results The examined characters exhibited wide and statistically significant variations, especially in leaf color (68.86%) and the number of seeds per fruit (61.61%), and more dramatically in the total flavonoids (146.64%) and total phenolics contents (105.81%). There were also strong variations in fresh fruit weight and fruit length, diameter, and flesh thickness. Red, with 34 accessions, was the dominant ripe fruit skin color. All biochemical traits also showed high variations, particularly in total flavonoid content. Red-fleshed Gavramak and Kalateh Khij apples contained the highest biochemical and morphological values, respectively. Principal component analysis (PCA) revealed that the first five principal components together accounted for more than 60.83% variation of the total observed variations. Moreover, the cluster dendrogram analysis based on Ward’s method indicated three different clusters based on the characters measured, indicating high variation among the accessions. Conclusion red-flesh apples can be considered suitable sources of natural antioxidants with great potential as healthy foods and nutraceutical applications. Based on the commercial characters, Red-fleshed Gavramak and Kalateh Khij apples showed the highest fruit quality with proper size and thus can be suggested as superior for cultivation or use in breeding programs due to having higher quality fruits.

HbF induction is an appropriate strategy to ameliorate the severity of β-thalassemia symptoms. Hydroxyurea (HU) is the most common chemical agent introduced as an HbF inducer but responsiveness to HU is variable and the introduction of HbF inducers alternative to HU with low cytotoxicity has been a crucial challenge. Resveratrol is an HbF inducer agent that may have favorable effects on the differentiation of hematopoietic erythroid progenitors (HEPs). The present study aimed to investigate the effect of resveratrol on γ-globin, stress response, and anti-apoptotic gene expression among hydroxyurea (HU)-responders and HU-nonresponders (HU-NR). Four cases of HU-R and four cases of HU-NR were studied. HEPs of the patients were cultured, and the expression of γ-globin, Foxo3, and Bclxl was assessed. Moreover, the differentiation and apoptotic rate of the cells were investigated using flow cytometry analysis. In three cases, the γ-globin gene expression increased after resveratrol treatment. All of the HU-NR patients were also non-responders to resveratrol (Res-NR). The expression of Foxo3 and Bclxl genes was higher in responders to resveratrol (Res-R) compared to non-responders (Res-NR). The rate of apoptosis in Res-R patients was also lower than in Res-NR. Responders to resveratrol also had a higher rate of HEP maturation. The cells of both HU–NR and Res-NR patients could not adapt to stress conditions and proceed to the erythroid differentiation. In conclusion, resveratrol increased the γ-globin expression in HEPs of β-thalassemia patients. The response was observed only in R-HU patients with similar cellular pathways.

Background & Objective: Non-cognitive and personality variables, such as grit, have been shown to play an important role in medical science education. In order to facilitate studies in this field, it is necessary to have a reliable and valid instrument. The purpose of this study was to evaluate the factor structure and psychometric properties of the short Grit Scale (Grit-S) for Iranian dental students. Material & Methods: For this psychometric study, the short Grit-S was administered to a sample of dental students (n = 226) during the first semester of the academic year 2022-2023 at the School of Dentistry of Zanjan University of Medical Sciences. First, the questionnaire was translated, and then the psychometric properties of the Short Grit-S were evaluated. Descriptive statistics and Exploratory Factor Analysis (EFA) were performed using SPSS 26, while Confirmatory Factor Analysis (CFA) was conducted through AMOS 24. Results: The results of this study provide evidence for the validity and reliability of the Short Grit-S as a measure of grit among Iranian dental students. The internal consistency coefficient (Cronbach's alpha), split-half reliability, and test-retest were 0.80, 0.82, and 0.84, respectively. The Short Grit-S was found to be a valid and reliable instrument with good factorial validity, internal consistency, convergence, and criterion validity. The Short Grit-S was found to be useful for finding out how persistent Iranian dental students were in their efforts (Eigenvalue 3.53; variance explained 50.44) and how interested they were in learning (Eigenvalue 1.16; variance explained 16.55). The two-factor model with 7 items (item 2 was omitted) was found to be the best factor structure for the Persian version of the Short Grit-S. Conclusion: In conclusion, the study found that the Persian version of the Short Grit-S with 7 items was a reliable and valid instrument for measuring grit among Iranian dental students.

Abstract Background Premenstrual syndrome affects many women in their reproductive years and often disrupts their social connections and work. This study aimed to compare the effects of positive psychology and physical activity on depression, anxiety, and stress among students with premenstrual syndrome. Methods In this four-group parallel clinical trial with blinded data analysis, 120 eligible students who experienced premenstrual syndrome were recruited based on inclusion/exclusion criteria and randomly allocated to four groups (n = 30) including three experiment groups as positive psychology, physical activity, and positive psychology, physical activity, and control group, using a simple randomization method. All four groups completed premenstrual syndrome screening and the DASS-21 questionnaire before the intervention. Then, the positive psychology intervention group received eight sessions of 70–90 min weekly intervention, the second group received eight weeks of aerobic physical activity intervention, and the third group received positive psychology and physical activity intervention for eight weeks. The control group did not receive any interventions. The DASS-21 was completed immediately after the intervention and two months later by all four groups. In this study, the participants and investigators were not blinded; however, the analysts were. The recruitment process took place from September 2018 to March 2019. One hundred twenty participants fulfilled the study. The Data were collected and analyzed using SPSS (v18). Results Before and immediately after the intervention, there was no statistically significant difference in depression, anxiety, and stress mean scores among the positive psychology, physical activity, positive psychology, and physical activity and control groups (p ≥ 0.05). However, two months after the intervention, a significant difference was observed between the four groups so there was a difference between the scores of the three intervention groups and the control group (p

Abstract Background The COVID-19 pandemic has led to the broad acceptance of distance education (DE), with university professors and students conducting the teaching–learning process remotely from their homes. The propose of this study to investigate the prevalence of musculoskeletal disorders (MSDs) before and during the COVID-19 pandemic and identify risk factors associated with DE that may contribute to an increased incidence of these disorders among university professors. Methods This cross-sectional analytical study took a comparative approach and involved 310 university professors in Iran. Data were gathered using an online questionnaire. Initially, demographic and occupational information of the professors, hours of physical activity, and hours spent using electronic devices were recorded. Participants were then asked to report MSDs in various body areas throughout the previous year and the previous seven days. Finally, MSDs risk factors such as workstation ergonomics during computer, laptop, smartphone, and tablet use, as well as working postures during online teaching or offline content development during the COVID-19 pandemic, were examined. Results The majority of the participants were male (66.13%), with a PhD (46.77%) and a faculty member position (74.2%). On average, the use of computers and laptops increased by 2.67 h and 2.72 h, respectively, during the pandemic compared to before the pandemic. This increase was statistically significant (P

Botulinum toxin can be used for various purposes to enhance neck aesthetics, addressing concerns such as platysmal bands, optimizing the cervicomental angle, preventing worsening of horizontal neckline and decolletage lines during aging, submandibular gland hypertrophy, and hypertrophied superior trapezius muscle. Understanding the anatomy of muscles such as the trapezius, platysma, and submandibular gland is crucial for achieving desirable outcomes with botulinum toxin administration. Techniques for injecting botulinum toxin into these muscles are discussed, emphasizing safety and efficacy. Specific injection points and methods are detailed for treating platysmal bands, optimizing the cervicomental angle, addressing submandibular gland hypertrophy, and managing hypertrophied superior trapezius muscle. Careful consideration of anatomical landmarks and potential complications is essential for successful botulinum toxin injections in these areas.

Globalization has led to a rapid rise in energy consumption, making climate change one of the world's most pressing issues. As wastewater treatment plants (WWTPs) contribute to climate change by emitting greenhouse gases (GHGs), this study estimated the total GHG emissions of WWTPs by classifying them as either direct or indirect carbon emissions. The effectiveness of the use of solar photovoltaic systems and biogas produced by WWTPs in increasing energy recovery and reducing GHG emissions was investigated. This study demonstrated that the use of an up-flow anaerobic sludge blanket (UASB) reactor with a biogas flow of 9 120.77 m3/d and an activated sludge processing system (ASPS) reactor with a biogas flow of 14 004 m3/d, in addition to the energy production from the UASB reactor (6 421.8 MW⸱h per year) and the ASPS reactor (9 860.0 MW⸱h per year), yielded a reduction of 3 316.85 and 5 092.69 t of CO2 equivalent per year, respectively. Furthermore, the co-design of wastewater processes could be utilized to optimize biogas energy recovery. Moreover, the use of solar photovoltaic systems reduced GHG emissions from WWTPs. This is important to the transition to renewable energy because it resulted in a 10%–40% reduction in carbon emissions from WWTPs. Integrating renewable energy sources, biogas, and solar energy could provide up to 88% of the annual energy requirements of WWTPs. Recommendations are provided for further research considering the limited availability of integrated resources for studying the simultaneous utilization of photovoltaic and biogas systems.

The present study aimed to investigate (1) whether country categories and type of DLD predict the type of therapy (direct, indirect, and mixed) the child receives, and (2) whether there is an association between country categories, type of therapy, and type of DLD (receptive, expressive, and mixed). European countries were categorised based on Sapir's typology into Continental, AngloSaxon, Nordic and Mediterranean groups. A fifth group i.e. Central European (including Baltic countries) was added. The data to address these questions comes from an online survey, translated and adapted into 30 languages, and is based on reports by 4685 professionals delivering services for children with DLD. This survey was developed by the COST Action IS1406 members and distributed online among practitioners in the year 2017 across European countries. Results indicated that country categories and type of DLD predicted type of therapy. It was suggested that cultural and contextual factors might play a key role in driving clinical practice above and beyond language profiles, patient characteristics and evidence-based practice.

IntroductionChickpea (Cicer arietinum L.) is a plant from the legume family, which is usually cultivated under rainfed conditions. This crop is mostly cultivated in late winter or early spring. In these conditions, there is a high probability of heavy rains (short or long term) and there is a possibility of waterlogging in early spring and during the early growing stages of chickpea. In waterlogged conditions, due to the lack or absence of oxygen in the plant roots occur anaerobic conditions and greatly reduced the amount of energy production in the roots. In this case, the root does not have the necessary energy to transport materials from the cell membrane, and plants face ionic stress, reduced hydraulic conductivity, and reduced water absorption. Reduced and disrupted root growth leads to diminished shoot growth, impaired water and nutrient absorption, and ultimately lower grain yield. In general, the extent of damage caused by oxygen deficiency depends on the plant species, variety, growth stage, soil type, and environmental conditions. Therefore, the purpose of this experiment was to investigate the effects of waterlogging on chickpea cultivars (Desi and Kabuli), physiological characteristics, root growth and yield. Materials and MethodsThis experiment was carried out as factorial based on completely randomized design (CRD) in three replications in the research farm via pot of the Campus of Agriculture and Natural Resources, Razi University, Kermanshah, Iran in 2013-2014. Factors included chickpea cultivars ILC482 and Azad (from Kabuli type) and Kaka and Pirooz (from Desi type) and duration of waterlogging including no waterlogging (control), 4, 8 and 12 days at 30 days after planting (vegetative stage). Physiological traits (relative water content, membrane stability and pigments) as well as total root length, root dry weight, number of nodes, main root length and root volume in a destructive way in the pod setting stage, as well as in the ripening stage, root traits, remobilization, relative water content, membrane stability, pigments, seed protein, biological yield, seed yield, 100-seed weight and plant height were investigated. Planting was done in the first year on March 11, 2013 and in the second year on March 15, 2014. The size of plastic pots was 30 x 30 cm. 30 days after planting were applied treatments. Compound analysis of data was done with SAS software and means comparisons were performed using the least significant difference (LSD) at the 5% level. Results and DiscussionThe results of compound analysis showed that there were significant differences between the two years in seed yield and the number of seeds per plant. In the second year, the seed yield and the number of seeds per plant compared to the first year increased by 16.9% and 12.1%, respectively. In the second year, the ambient temperature was lower. At a lower temperature, the waterlogging damage is more severe to plants. The total dry matter yield of chickpea cultivars in waterlogged conditions was significantly different and Kaka, Pirooz, ILC482 and Azad cultivars were 4.42, 3.19, 2.99 and 2.54 g.plant-1, respectively. The highest damage to seed yield in waterlogging in 12 days was related to Azad variety (71% compared to the control). In waterlogged conditions, the seed yield was in Kaka (1.51 g.plant-1), Pirooz (1.16 g.plant-1), ILC482 (0.95 g.plant-1) and Azad (0.97 g.plant-1). There was a significant difference between Kabuli type and Desi type, however, grain yield in Desi type was 28.3% higher than Kabuli type. In the pod setting stage, the Pirooz cultivar in the control treatment had the highest total root length with 7741 cm (in the first year) and 7432 cm (in the second year), but the lowest was in the second year at the Kaka cultivar and 12 days with 440 cm. In general, with the increase of the duration of flooding in chickpea cultivars, the total root length decreased significantly and between 4 days, 48.4 to 60.4 percent, 8 days to 8.8 to 70.8 percent, and 1.12 days from 81 to 89.4 percent. In all treatments, the control treatment (without waterlogging) had the highest chlorophyll a, and the amount of chlorophyll a decreased in other treatments. However, no reduction was observed in Pirooz in 4, 8 and 12-day treatment. Chlorophyll b had a different response to waterlogging levels and cultivar. Chlorophyll b was the highest in ILC482 in control treatment, while in Azad, Kaka and Pirooz treatments, chlorophyll b increased with increasing duration of waterlogging. Pigment carotenoids in ILC482 and Azad significantly decreased with increasing duration of waterlogging, but it was not significant in Kaka and Pirooz cultivars. Overall, carotenoids were less fluctuating in the desi type. ConclusionsWaterlogging in the vegetative stage even for 4 days with a decreasing effect on total root length, number of nitrogen fixing nodes, plant height, total dry matter, chlorophyll and carotenoids content, membrane stability index, relative leaf water content, biological yield, seed protein, the number of seeds per plant and the weight of 100 seeds and finally caused a decrease in seed yield. Among the components of seed yield, the amount of damage was higher on the number of seeds per plant. In general, the seed yield of ILC482 and Azad (Kabuli type) was lower than that of Kaka and Pirooz (Desi type). In the second year, due to the lower air temperature compared to the first year, the damage to the total root length and total dry matter decreased. This experiment provides valuable results on the response mechanisms of chickpea to waterlogging stress and can help develop strategies to improve its performance in waterlogged environments, which are expected to waterlogging increase due to climate change. However, more research is needed to investigate the response of different chickpea species to short-term and long-term waterlogging conditions.