Original article
fatemeh farkahi
Abstract
AbstractThis research was aimed at studying the stress, anxiety, and depression epidemiology among highschoolers in Mashhad, Iran. The sample included 605 students (341 males & 264 females) coming from various grades of high school ranging in age from 14 to 19. To fulfill the objectives of the study, ...
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AbstractThis research was aimed at studying the stress, anxiety, and depression epidemiology among highschoolers in Mashhad, Iran. The sample included 605 students (341 males & 264 females) coming from various grades of high school ranging in age from 14 to 19. To fulfill the objectives of the study, three instruments (scales) were employed including the Perceived Stress Scale (PSS), Cattell Anxiety Scale (CAS), and Children Depression Scale (CDS-A). Since the PSS and CDS-A had no norm in Iran, they were then normed revealing reliability of 0.76 for PSS through Spearmen-Brown split half while it was 0.77 through Cronbach’s alpha. Similarly, the reliability for CDS-A was 0.9 and 0.89, respectively. In addition, the validity of the tests proved to be significant at p<0.001 once the correlation of each item with the whole test was obtained. Besides, factor analysis was conducted and examining the items which had the highest loadings on each item indicated that the items of the two tests were completely reliable. The epidemiology results indicated that the stress prevalence was 9.1% among the boys and 22% among the girls while it was 14.7% in the whole sample. This implies that the EBtela rate in girls was two and half times greater that the boys.
Systematic review
ali shamsa
Abstract
Magnetic resonance spectroscopy (MRS) is an imaging technique that provides spectroscopic information about the changes of biological markers. Studies suggest that MRS can be helpful in the prognosis of patients with diffuse axonal injury (DAI)Methods: PubMed and Scopus as two major database were systematically ...
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Magnetic resonance spectroscopy (MRS) is an imaging technique that provides spectroscopic information about the changes of biological markers. Studies suggest that MRS can be helpful in the prognosis of patients with diffuse axonal injury (DAI)Methods: PubMed and Scopus as two major database were systematically searched in June 2015 by using following search strategy ((((Magnetic resonance spectroscopy OR MRS OR MR spectroscopy)) AND (Diffuse axonal injury OR DAI)) AND Prognosis) to find relevant articles in which the prognostic value of MRS had been investigated in patients with traumatic DAI. All necessary information were extracted and used for data synthesis based on the main purpose of this study. Of total 19 articles found in PubMed and 151 found in Scopus, 8 documents were selected for data extraction in several steps of article selection according to inclusion/exclusion criteria. Total number of patients participated in the selected documents was 197. All of the selected documents showed that MRS can be used for quantitative analysis of metabolite changes in patients with DAI.Discussion: The results of studies show that MRS imaging as a sensitive method can quantitatively determine even small variation of metabolites. Since any changes in metabolite level of the brain after traumatic injury may be useful in the prediction of patient’s outcome; therefore, if such sensitivity of MRS is proven, this method can have prognostic value in patients with DAI. Based on the concluded results of included articles, MRS as a sensitive tools is helpful in the prognosis of patients with DAI.
Review
Mojtaba Yousefi Zoshk; Melika Zamanian; Melika Farshidianfar; Alireza Masoumi; Mohammad Mobin Mirimoghaddam; Elahe Bakhshi; Anoush Azarfar
Abstract
The coronavirus disease 2019 (COVID-19) has afflicted individuals of all ages, which has a high rate of morbidity and fatality. Although most children with COVID-19 infection experience minor symptoms, a growing proportion of COVID-19 infections in children are linked to a novel multisystem inflammatory ...
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The coronavirus disease 2019 (COVID-19) has afflicted individuals of all ages, which has a high rate of morbidity and fatality. Although most children with COVID-19 infection experience minor symptoms, a growing proportion of COVID-19 infections in children are linked to a novel multisystem inflammatory syndrome with Kawasaki disease-like clinical features. Multisystem inflammatory syndrome in children (MIS-C) is a novel hyperinflammatory syndrome that can impact about any organ system. The most frequent symptoms are fever and gastrointestinal disorders, although neurologic and dermatologic manifestations are also well-documented. The clinical symptoms of MIS-C coincide with those of Kawasaki disease, toxic shock syndrome, and shock syndrome, making diagnosis challenging. Elevated inflammatory markers are common in MIS-C patients, and an abnormal echocardiogram or electrocardiogram may be present. Intravenous immunoglobulin, anticoagulation, and corticosteroids should all be considered in the treatment of MIS-C patients. Even those with significant cardiovascular involvement, the majority of patients recover without complications. Echocardiographic follow-up is required as coronary aneurysms have been documented. This narrative review is to review the epidemiology, pathophysiology, clinical presentations, laboratory findings, diagnostic criteria, and treatment options for MIS-C patients in order to increase pediatricians’ knowledge of this novel syndrome.
Original article
Asadollah Shakeri; Nazli Farnoosh; Aidin Shakeri; Mohammadreza sabouri
Abstract
Abstract
Background: Preoperative anxiety and fear of anesthesia represent significant psychological burdens for surgical patients, yet their demographic predictors remain understudied in Middle Eastern populations. This study examined the prevalence and correlates of these stressors among first-time ...
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Abstract
Background: Preoperative anxiety and fear of anesthesia represent significant psychological burdens for surgical patients, yet their demographic predictors remain understudied in Middle Eastern populations. This study examined the prevalence and correlates of these stressors among first-time surgical patients in Iran.
Methods: In this cross-sectional study, 100 patients scheduled for first-time surgery at two Zahedan hospitals (2021-2022) completed validated questionnaires assessing anxiety and anesthesia fear. Data were analyzed using descriptive statistics, t-tests, and regression analyses (SPSS v26).
Results: The study revealed that 74% of participants experienced clinically significant preoperative anxiety (mean score 13.21±9.04), with particularly elevated fears related to procedural pain (1.64±1.06), anesthesia needles (1.09±1.16), and potential ICU admission (1.47±1.37). Notably, patients with intermediate education levels (high school/diploma) demonstrated significantly higher anxiety (p=0.019) and fear (p<0.001) compared to both less-educated and more-educated counterparts. While no significant associations emerged with age, gender, or marital status (p>0.05), a strong positive correlation was observed between general anxiety and anesthesia-specific fear (r=0.422, p<0.001).
Conclusion: These findings highlight the substantial prevalence of preoperative psychological distress, particularly among patients with intermediate health literacy. The results underscore the need for tailored preoperative education programs targeting vulnerable subgroups to improve surgical experiences and outcomes.