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Objective (s): Health system responsiveness and meeting patients' expectations are important in creating public trust in the health system. This study was conducted to determine the relationship between health system responsiveness and public trust in the health system in Gorgan, Iran. Methods: This cross-sectional study was conducted in 2020. The sample size in this study was 450 households. To collect data, a health system responsiveness questionnaire including 32 questions in 8 dimensions, and a public trust questionnaire including 25 questions in 6 dimensions were used. The validity and reliability of the instruments were confirmed. The path analysis was used in AMOS software to determine the relationship between responsiveness and public trust in the health system. Results: The mean score of responsiveness was 3.4 (±0.53) out of 5, the highest score was related to social support and the lowest was related to the right to choose a doctor. The mean score of public trust was 3.3 (± 0.52) out of 5, the highest score was related to the quality of care, and the lowest was related to macro health policies. The hypothesis test findings showed a positive and significant relationship between all dimensions of responsiveness and public trust in the health system. In general, 64% of the variance in public trust is explained by the health system responsiveness. Conclusion: The health system responsiveness and public trust in the health system were evaluated at an average level, and responsiveness plays an important role in influencing public trust in the health system. Therefore, the government should play its role in properly managing citizens' needs in order to regulate its credibility and most importantly to maintain public trust.

This article focuses on an approach to the concept of historical time in early childhood education through the lens of cognitive psychology. It consists of three parts: (1) theoretical approaches, inspired by three broad scientific fields -- cognitive psychology, pedagogy and history; (2) the presentation of educational examples, formed by empirical data and case studies; and (3) conclusions. Its main purpose is to combine theoretical approaches and findings from contemporary scientific research with empirical data from the educational process, so as to argue that kindergarten children can represent and be taught the concept of historical time and, with its help, can be introduced to history education.

Abstract Background Cognitive flexibility is an important construct that contributes to one’s own thoughts, behaviors, and feelings to achieve his or her goals. Thus, it could play an essential role in students’ educational achievements. This study aimed to investigate the mediating role of cognitive flexibility in the relationship between self-regulation and resilience among students. Method This was a cross-sectional study conducted on a sample of students during the 2022 and 2023 academic years. Students were selected from Tehran and Karaj universities (two metropolitans in central Iran). Data collection instruments included the Bouffard’s Self-Regulation Scale, the Cognitive Flexibility Inventory (CFI), and the Connor-Davidson Resilience Scale (CD-RSC). Subsequently, the data were analyzed using structural equation modeling via SPSS and AMOS software to examine the relationships among variables. Results In all 302 students participated in the study. The mean age of students was 25.8 (SD = 4.05) years. The findings indicated that self-regulation had a marked positive direct effect on cognitive flexibility (β = 0.23, p

Although first identified 120 years ago, knowledge of the Toalean technoculture of Middle Holocene Sulawesi, Indonesia, remains limited. Previous research has emphasised the exploitation of largely terrestrial resources by hunter-gatherers on the island. The recent recovery of two modified tiger shark teeth from the Maros-Pangkep karsts of South Sulawesi, however, offers new insights. The authors combine use-wear and residue analyses with ethnographic and experimental data to indicate the use of these artefacts as hafted blades within conflict and ritual contexts, revealing hitherto undocumented technological and social practices among Toalean hunter-gatherers. The results suggest these artefacts constitute some of the earliest archaeological evidence for the use of shark teeth in composite weapons. Keywords: Southeast Asia, Indonesia, Toalean, weapons, residue analysis, use-wear, hafting, Introduction Between c. 8000 and 1500 years ago, the south-western peninsula of Sulawesi was home to the Toalean hunter-gatherers, a group identified from characteristic archaeological assemblages first excavated in 1902 [...]

Diabetic ulcers are defined as erosion of the skin that extends from the dermis layer to deeper tissue, resulting from various factors, namely neuropathy, ischemia and infection, resulting in damage to the patient's skin integrity. Bhayangkara Hospital Makassar Medical Records 2022 number of diabetic ulcer patients was 5,743 people, the number of inpatient diabetic ulcer patients was 586 people (2.70%), and the number of outpatients was 5,157 people (4.38%). This research aims to find out a general description of the application of wound cleaning using 0.9% NaCl to avoid damage to skin integrity in patients in the PMerak Room, Bhayangkara Hospital, Makassar. This research method uses descriptive research with a case study approach, using 4 effective methods for collecting data, namely Interview, Observation, Physical Examination and documentation methods. The results of applying wound cleaning with 0.9% NaCl to patients who had diabetic ulcers in the swallow room at Bhayangkara Makassar Hospital for 3 days showed that the nursing problem was that damage to skin integrity had not been resolved. After implementing the intervention, the result was that pus in the wound was reduced, and a new network emerged. Conclusion: After applying wound care using 0.9% NaCl liquid, "Skin integrity has not been resolved in diabetic ulcer wounds. On the last day of the study, the surgical wound on the little finger had dried, and the base of the second, third and fourth toes of the right toe looked scaly and dry and sore. In the ulcers, new tissue appears in the center of the wound.

Objective (s): Breast cancer is one of the most common cancers in women, which seriously affects patients’ psychological wellbeing. There are many interventions to deal with psychological impact of the disease. This study aimed to review the effectiveness of spiritual therapy in breast cancer patient. The secondary aim was to review studies that compared the effectiveness of spiritual therapy with others psychological interventions. Methods: This scoping review examined studies published in Persian language with related keywords, including ‘spiritual therapy’ and ‘breast cancer’ in Google Scholar up to July 2023. The data were extracted and tabulated to summarize evidence. Results: Overall, 554 article were retrieved. After excluding unrelated articles, 27 articles (18 articles reporting effectiveness of spiritual therapy and 9 articles comparing effectiveness of the spiritual therapy with others psychological interventions) were selected for final review. All studies confirmed the effectiveness of spiritual therapy on improved quality of life, resilience and hope. It also reduced anxiety, stress, depression, fear of the cancer among breast cancer patients. The findings showed that spiritual therapy is more effective than other psychological interventions except 2 studies that showed other psychological interventions are more effective. Conclusion: The findings showed that spiritual therapy was effective on improving the quality of life, resilience, hope and decreasing the fear of cancer, anxiety, stress and depression.

Conclusions: Cell differentiation potential in the developing swine apex is progressively restricted to the newly formed dental pulp, whereas phenotypic expression of apical papilla cells remains undetermined unless the new microenvironment triggers cell differentiation towards the odontoblastic lineage.

In this paper, we employ a q-Noor integral operator to perform a q-analogue of certain fractional integral operator defined on an open unit disc. Then, we make use of the Hadamard convolution product to discuss several related results. Also, we derive a class of convex functions by utilizing the q-fractional integral operator and apply the inspired presented theory of the differential subordination, to geometrically explore the most popular differential subordination properties of the aforementioned operator. In addition, we discuss an exciting inclusion for the given convex class of functions. Over and above, we investigate the q-fractional integral operator and obtain some applications for the differential subordination.

The objective of this study is to find out how the entrepreneurial intention of Tindouf’s individuals seemed during the period 2007-2020 in this paper the method adopted is the focus analytical paradigm on based ARMA model, the findings have revealed that Tindouf’s entrepreneurs have acted to create their own businesses, and the entrepreneurial mindset has looked up in 2011it’s be 18.38%, in 2016 decreased to -3.46%, and in 2020 went it up to 6.25%. This study also explores the entrepreneurial intention on tindouf’s area during the period 2021-2022.

In this paper, we employ the concept of the $ q $-derivative to derive certain differential and integral operators, $ D_{q, \lambda}^{n} $ and $ I_{q, \lambda}^{n} $, resp., to generalize the class of Salagean operators over the set of univalent functions. By means of the new operators, we establish the subclasses $ M^n_{q, \lambda} $ and $ D^n_{q, \lambda} $ of analytic functions on an open unit disc. Further, we study coefficient inequalities for each function in the given classes. Over and above, we derive some properties and characteristics of the set of differential subordinations by following specific techniques. In addition, we study the general properties of $ D_{q, \lambda}^{n} $ and $ I_{q, \lambda}^{n} $ and obtain some interesting differential subordination results. Several results are also derived in some details.

Abstract Objective The genomic response and the role of genetic variants in hypoxia condition are always interesting issues about adaption pathways at genomic level. Herein, we carried out a comparative genomic study between highland and lowland native chickens, in order to identify the adaptive variants in hypoxia condition. We generated more than 20 million genetic variants in highland and lowland chickens. Finally, 3877 SNVs including the mtDNA ones, were discovered as novel adaptive genetic variants. The generated data set can provide new insight about mechanism of adaptation to hypoxia at genomic level. Data description To investigate the role of genetic variants in adaptation to hypoxia, 10 whole-genome sequencing data sets associated to highland and lowland native chickens were provided. DNA was extracted by salting-out protocol. Paired-end 125 bp short reads were sequenced by Illumina Hiseq 2000. Variants calling of highland and lowland native chickens were performed by fix ploidy algorithm in CLC Genomic Workbench. Total genetic variants of highland chickens were compared to lowland chickens in order to identify the differential genetic variants (DGVs) between highland and lowland chickens. In this way, 3877 novel SNVs (VCF format) including the mtDNA ones, were deposited at EBI database ( https://identifiers.org/ena.embl:ERZ491574 ) for the first time.

By taking socio-economic, terrain, and meteorological impacts into account, an eco-friendly methodology to sort the potential locations for installation of renewable energy infrastructure has been proposed, which is also able to address the most important challenge in the field, i.e., determination of the best contribution of the renewable energy sources. For this purpose, three advanced approaches, namely, remote sensing by geographic information system (GIS), optimization, and weighted decision-making are employed. Moreover, a sensitivity analysis is conducted to evaluate the influence of land prices, nominal capacity, and relative importance of technical and economic indicators in decision-making. Iran is chosen as the case study because it has significant solar and wind energy potential and also has serious energy, economic, and environmental issues. The findings indicate an optimal land price of $200 per m2, a hub nominal capacity of 50 MW, and an equal weighting of objective functions for the case study. The average energy generation, levelized cost of energy (LCOE), PV ratio, and land utilization are projected to reach 288.5 GWh.year−1, 0.3260 $.(kWh)-1, 4.15 %, and 2362334 m2, respectively when the optimal procedure is applied. The sensitivity study also shows that relative to PV, the contribution of wind turbines increases with plant size.

Objective (s): Chronic low back pain is one of the most common chronic diseases that influence people's health and quality of life. The first line of non-medical management of chronic low back pain is psychological interventions. The current scoping review aimed to determine psychological interventions usually are used to treat chronic low back pain. Methods: This scoping review examined studies published in English language with related keywords including ‘chronic low back pain’, ‘cognitive behavior therapy’, ‘behavioural/behavioral therapy’, ‘mindfulness’, ‘mediation’, ‘stress reduction’, ‘biofeedback’, ‘pain education’, ‘counselling’ and ‘acceptance and commitment therapy’ in PubMed. The data were extracted and tabulated to summarize evidence. In addition, information on instruments used to measure pain were addressed. Results: In all 156 papers was retrieved. Of these, 21 papers fulfilled the inclusion criteria. 19 articles out of 21 articles had a control group. The findings of the study showed that cognitive behavioral therapy, behavioral therapy, mindfulness and biofeedback were used more than other types of interventions. The results of cognitive behavioral therapy, behavioral therapy and mindfulness interventions confirmed their effectiveness, but using biofeedback intervention did not show certain result in the treatment of chronic back pain. The Numerical Rating Scale (NRS) was the most widely used instrument for pain assessment. Conclusion: The findings showed that psychological interventions were effective in the treatment of chronic low back pain (especially back pain with psychosomatic causes). In cases where chronic low back pain has a specific cause, psychological intervention alone is not effective and should be used in combination with clinical interventions or other non-medical interventions such as rehabilitation.

In this article, we investigate a class of analytic functions defined on the unit open disc U={z:∣z∣0\alpha \gt 0, 0≤β≤10\le \beta \le 1, 00{\rm{Re}}\left\{\frac{f^{\prime} \left(z)+\frac{1-\gamma }{\alpha \gamma }z{f}^{^{\prime\prime} }\left(z)-\beta }{1-\beta }\right\}\gt 0 holds. We find conditions on the numbers α,β\alpha ,\beta , and γ\gamma such that Pα(β,γ)⊆SP(λ){{\mathcal{P}}}_{\alpha }\left(\beta ,\gamma )\subseteq SP\left(\lambda ), for λ∈(−π2,π2)\lambda \in \left(-\frac{\pi }{2},\frac{\pi }{2}), where SP(λ)SP\left(\lambda ) denotes the set of all λ\lambda -spirallike functions. We also make use of Ruscheweyh’s duality theory to derive conditions on the numbers α,β,γ\alpha ,\beta ,\gamma and the real-valued function φ\varphi so that the integral operator Vφ(f){V}_{\varphi }(f) maps the set Pα(β,γ){{\mathcal{P}}}_{\alpha }\left(\beta ,\gamma ) into the set SP(λ)SP\left(\lambda ), provided φ\varphi is non-negative normalized function (∫01φ(t)dt=1)\left({\int }_{0}^{1}\varphi \left(t){\rm{d}}t=1) and Vφ(f)(z)=∫01φ(t)f(tz)tdt.{V}_{\varphi }(f)\left(z)=\underset{0}{\overset{1}{\int }}\varphi \left(t)\frac{f\left(tz)}{t}{\rm{d}}t.