---

Background and Aim: The development of any society depends on the educational system of that society. The educational system can be efficient and successful when considering the academic performance of learners in different courses. This study aimed to investigate the effects of mental self-care education on students’ mental health and academic motivation.
Methods & Materials: This was a quasi-experimental study with unequal control and experimental groups. The statistical population of this study was students referring to school counseling centers; 40 of them (n=20/group) were selected by random sampling method. The Depression, Anxiety, and Stress Scale - 21 Items (DASS-21), and Academic Performance Rating Scale were used to collect the necessary data. Psychological self-care training was presented to the experimental group in ten 2-hour sessions. Then, a posttest was conducted on the study groups. Data analysis was performed using Multivariate Analysis of Covariance (MANCOVA).
Ethical Considerations: This article was approved by the Ethics Committee of the Islamic Azad University, Khomeini Branch (Code: IR.IAU.ARAK.REC.1399.001).
Results: The obtained findings indicated that mental self-care education was effective on students’ mental health (P<0.05). Furthermore, psychological self-care education was ineffective on students’ academic motivation.
Conclusion: Mental self-care education was used to improve mental health; however, this training did not affect academic motivation in the examined subjects.

---

Background and Aim:  It is almost impossible to imagine life without electromagnetic waves. Such waves play a key role in the function of melatonin and create numerous diseases. 
Methods & Materials: This descriptive-analytical study was conducted on 230 kV substations in Golestan Province, Iran in 2016. In total, 44 workers of electrical substations (the case group) and 23 workers of healthcare centers (the control group) with 24-hour shift works were enrolled in this study.
Ethical Considerations: This  study was approved by the Ethics Committee of Shahid Beheshti University Medical Sciences( Code: IR.SBMU.THNS.REC.1395.9). 
Results: The obtained data suggested that 100% of the electric field intensity and the magnetic flux density measured at the substations were within the permissible range of occupational exposure. The mean level of melatonin in the case group was lower than that in the control group; however, no significant difference was observed in this regard (P=0.761). Additionally, there was no significant difference between melatonin level and age (P=0.381), work experience (P=0.213), job groups (P=0.515), and employee activity area (P=0.482).
Conclusion: According to this study, no significant relationship was observed between electromagnetic waves and melatonin levels. Moreover, electromagnetic waves were within the permissible exposure. Thus, electromagnetic waves did not affect the level of melatonin hormone in male employees of 230 kV substations in Golestan Province. However, there was a decrease in the case group, compared to the controls. Therefore, definite comments require further investigation.

---

Background and Aim: Considering the increasing use of dental implants in replacing lost teeth, the odds of failure over time in this treatment are inevitable, as with other dental treatments; thus, it requires careful and regular follow-up. Accordingly, the present study aimed to evaluate the awareness and attitude of general dentists about the follow-up of the dental implants to create baseline information to schedule future workshops concerning dental implants.
Methods & Materials: In this analytic cross-sectional study, 98 general dentists of Arak City, Iran were evaluated. Questionnaires were designed in 3 sections, as follows: demographic, awareness, and attitude. After checking the validity and reliability of the questionnaires, they were distributed among the research participants. The obtained data were analyzed using descriptive analysis, Chi-squared test, and Independent Samples t-tests. The significance level was considered 0.05.
Ethical Considerations: This article was approved by the Ethics Committee of Arak University of Medical Sciences (Code: IR.ARAKMU.REC.1397.283).
Results: The average score of awareness of the questionnaires was equal to 10.8 (based on the score of 0-19); the mean score of attitude was measured as 12.8 (based on the score of 7-21). Fifty-Three of the explored dentists had performed implant treatment, whose awareness and attitude toward implants follow-up were significantly higher than those of the dentists who did not perform such treatment (P=0.0001). Work experience presented no significant effect on the examined dentists’ awareness and attitude (P>0.05).
Conclusion: General dentists have low awareness and attitude about implant follow-up. Follow-up plays an important role in the long-term success of implant therapy; therefore, dental education/retraining programs should be reviewed in this field.

---

Background and Aim: Needlestick injury (NSJ) is a common occupational health problem among dental healthcare workers, putting them at significant risk for blood-borne infections. This study aimed to investigate occupational exposure to NSJ and the psychological factors associated with it among dentistry students.
Methods & Materials: This descriptive cross-sectional study was carried out on students in the Arak school of dentistry training curriculum in the last three years in 2018. The questionnaires included questions about students’ awareness of NSJ conditions, the frequency of vaccinations, and antibody titration tests. The SCL-90 (Symptom checklist-90) questionnaire assessed psychological factors after NSJ in four dimensions of anxiety, phobia, self-morbidity, and depression. Data analysis was performed using descriptive statistical methods and a chi-square test.
Ethical Considerations: The study was approved by the Arak University of Medical Sciences (Code: IR.ARAKMU.REC.1397.269).
Results: Of the eighty students surveyed, 59 students had experienced NSJ at least once. However, only 25.4% of students had reported the NSJ occurrence. The highest incidence rate of NSJ was reported in the endodontics section. In addition, 80% of students had received hepatitis B vaccinations. Based on the SCL-90 test, the anxiety dimension was more affected by NSJ than the other dimensions.
Conclusion: Despite the high prevalence of NSJ in dental students, the rate of reporting after the accident is very low. Also, due to the lack of attention to vaccination in some students, there is a need for more infection control training. Based on the SCL-90 test, the occurrence of NS is effective in causing psychological problems.

---

Background and Aim: Acquisition skill in sentence producing is one of the criteria for speech development. By developing and increasing the age, we are witnessing the emergence of compound sentences in speech. Clinical treatments for language disorders in Iran are mostly based on the experiences of Speech Language Therapists or in accordance with English language norms. We need to examine how the length of utterance and compound sentences develop in Persian. The study aimed to report the development of compound sentences and Mean Length of Utterance (MLU) for a Persian-speaking child from 15 to 34 months.
Methods & Materials: In this longitudinal case report, based on Developmental-Descriptive model, MLU and emergence of simple compound sentences of a Persian speaking girl sampled and described from 15 to 34 months by daily scripting. R software version 4.0.2 was used for data analysis. Correlation of age with linguistic variables through Pearson correlation coefficient was evaluated. 
Ethical Considerations: In this paper, the principles of publication ethics were considered.
Results: At the age of 21 months and 13 days, the child uttered her first simple two-word sentence, and at the age of 26 months and 29 days, she used a four-word compound sentence. With the emergence of compound sentences, the increase in the MLU has gained considerable speed. In a few days, we see the addition of a unit to the length of the sentence (word). There was a significant relationship between the MLU and age (r=‌0.925, P=‌0.001), Mean length of sentence and number of words in Persian speaking child (r‌=‌0.910, P=‌0.002) and total number of words and age (r‌=‌0.928, P<0.001). 
Conclusion: Although several longitudinal studies have been conducted on the development of MLU and number of words in other languages, similar studies are rare in Persian. It is important to conduct studies of this type in order to make cross-linguistic comparisons and to study the linguistic universality and language specificity. By increasing age, we see an increase in the number of words in a child's vocabulary, the emergence of compound sentences, and an increase MLU. At 27 to 28 months, there is a dramatic change in the development expressive language as the compound sentences appear. It seems that emergence of compound sentences in the language output, also plays a significant role in increasing the MLU and can be considered in clinical language assessments.

---

Background and Aim: The World Health Organization has recently identified COVID-19 as a pandemic. The outbreak of the disease has caused many people around the world to become extremely frightened and they show phobic signs. The purpose of the present study was to develop and normalize of Germophobia Questionnaire (GPQ).
Methods & Materials: The participants were 113 individuals (74-female) of the Iranian population. They completed the GPQ and Y-BOCS.
Ethical Considerations: All ethical principles and privacy policies of the results informed the participants. This study was approved in the second session of the Psychological Committee of the Islamic Azad University of Tehran’s province in March 2020.
Results: The results illustrate that the GPQ has acceptable internal consistency with Cronbach’s alpha coefficient (a=0.67), reliability coefficients with split-half (0.72), and one-week test-retest (r=0.73); in addition, the GPQ demonstrate moderate convergent validity with contamination obsessions checklist of Y-BOCS (r=0.44) as a convergent coefficient; and finally, the exploratory factor analysis indicates three-factors of the GPQ. 
Conclusion: Based on these findings, the GPQ has acceptable and good psychometric properties; researchers can use the GPQ as a reliable and valid instrument for assessing the germophobia levels in epidemic and pandemic crises like COVID-19.

---

Background and Aim: A common infection in complete or partial denture wearers is denture stomatitis. One of the most important factors in the adhesion of Candida albicans is the surface and chemical properties of the denture base materials. The aim of this study was to investigate the surface roughness and adhesion of Candida albicans to two different types of acrylic materials.
Materials and Methods: In this experimental study, 16 samples were prepared from each of Vertex and Ivoclar acrylic resin. The surface roughness of the samples was measured by a profilometer. The samples were then placed in a cell suspension of Candida albicans. After incubation and staining with acridine orange, the yeast cells attached to the acrylic samples were counted using a fluorescent microscope. Data were statistically analyzed by T-test.
Ethical considerations: This article is approved by the ethics committee of Arak University of Medical Sciences with the ethics code: IR.ARAKMU.REC.1398.301.
Findings: There was no statistically significant difference in the mean of surface roughness between the two study groups (P = 0.311). However, Candida albicans colonization in ivoclar acrylic was significantly lower than vertex acrylic. (P = 0.000).
Conclusion: Differences in surface topography and physical and chemical properties of Vertex and Ivoclar acrylic resin affect the adhesion of Candida albicans.

---

Background:  Rotator cuff injuries are one of the most common causes of shoulder pain.
There are different therapeutic approaches in this disease. The evidence of the positive effect of exercise therapy in this pathology is inconclusive. This study aimed to investigate the effect of a complete exercise protocol on improvement of the patients with rotator cuff injuries.
Methods: The patients with shoulder pain received the 12-week exercise protocol in 4 phases if they had confirmed rotator cuff injuries in clinical examination and shoulder MRI. 
Pain was measured by visual analog scale (VAS) and function was measured by two questionnaires; disabilities of the arm, shoulder and hand (DASH) and western Ontario rotator cuff index (WORC). Range of shoulder joint motion (ROM) was measured in five directions by goniometry. All of the outcomes were evaluated before intervention and in 6, 12, 24 weeks after starting the intervention.
Ethic: This study was registered in Iranian Registry of Clinical Trials (IRCT20100718004409N13). A written consent was taken from All participants before the study. 
Results: In this study Twenty-four patients with rotator cuff tendinopathy and tear were analyzed finally in terms of effectiveness of exercise therapy. The average of their age was 51.7 years old. 14 patients (53.8%) with Supraspinatus tendinopathy, 6 patients (23%) with Supraspinatus tear, 3 patients (12.5%) with Supraspinatus plus biceps tendinopathy, and one patient (4.16%) with Subscapularis plus Biceps tendinopathy were assessed. The pain score (Visual Analog Scale) decreased at all fallow-ups specially after 24 weeks (3±0.1) versus before intervention (8±0.1) (P value < 0.001). Shoulder range of motions by goniometer and also the patients function based on WORC and DASH Questionnaires were improved after 24 weeks versus before intervention that was significant statistically and clinically (P value < 0.001). 
Conclusion: A 12- week exercise protocol including strengthening, stretching, PNF and dynamic stabilizer exercises was effective on pain reduction and improvement of function and shoulder joint range of motion improvement in the patients with shoulder rotator cuff tendinopathy and partial tear. The improvement of the variables lasted 6 months.
 

---

Background and Aim: Different implant angulation, which is unavoidable in clinical situations, can affect the accuracy of impression. The aim of this study was to investigate the effect of fixture position on the accuracy of connecting impression coping to implants with internal hex.
Materials and Methods: A gypsum model with 4 implants with internal hex connection was prepared. The implants were installed in different mesiodistal angles of 0, 15, 25 and 35 degrees to the longitudinal axis in the gypsum model. To simulate the gums, a gingival mask was injected around the implants to a height of 2 mm. After a training session for senior dental students on how to close the impression coping, forty students were asked to close the impression copings on four implants. The correctness of the impression coping was evaluated by an expert prosthodontist. Data were statistically analyzed using Cochran Q test. Significance level was considered 0.05.
Ethical Considerations: this article is approved by ethics committee of Arak University of Medical Sciences.
Findings: The correct performance of students in connecting the impression coping to the implant at angles of 0, 15, 25 and 35 degrees was equal to 85%, 72%, 52%, 35%, respectively. With the exception of 0 and 15 degree groups, a statistically significant difference was observed between different study groups.
Conclusion: The fixture position has a significant effect on the accuracy of connecting impression coping to the implants with the internal hex and by increasing the implant angulation, the accurate connection the impression coping to the implant decreases. 

---

---

Background and Aim This study aimed to investigate the clinical and laboratory characteristics of hydatid cyst disease in patients admitted to Imam Reza, Imam Hossein, and Bisotoon hospitals in Kermanshah City, Iran, from 2014 to 2018. 
Methods & Materials In this descriptive study, we studied and analyzed the medical records of 350 patients with hydatid cysts who were hospitalized and underwent surgical treatment in Kermanshah hospitals from 2014 to 2018. Also, the demographic characteristics of patients, including gender, age, occupation, place of residence, and affected organs, were extracted and recorded.
Ethical Considerations The Ethics Committee of Kermanshah University of Medical Sciences approved this study (Code: IR.KUMS.REC.1398.366).
Results In total, 350 patients with a Mean±SD age of 43.2±19.7 in women and 43.3±20.7 in men were admitted with a diagnosis of hydatid cyst. The highest and lowest prevalence of hydatid cysts were in the age groups of 41-50 (16.5%) years and 1-10 (4.8%) years, respectively. The prevalence was 181 (51.7%) in women and 169 (48.2%) in men. The organs mostly infected with hydatid cysts were the liver, lung, and brain, with 241 cases (68.8%), 55 (15.7%), and 24 (6.8%), respectively. 
Conclusion This study shows that hydatid cyst disease is an important disease, especially in rural areas of Kermanshah Province, Iran.

---

---

Introduction: Performing aerobic exercise programs during pregnancy will have positive effects on various characteristics related to the health of mother and children. Therefore, the aim of this study is to investigate the effect of aerobic activity of the mother during pregnancy on the levels of leptin hormone in the blood serum of adult rats.
Methods: This research is of an experimental type with a post-test design with a control group, including 20 female rats with an average age of 8 weeks, randomly divided into two training (T) (221 ± 8.9 grams) and control (C). (223±12.8 grams) groups. Pregnancy sports activity was performed immediately after the observation of vaginal plaque for 21 days and for 5 sessions per week with moderate intensity on the treadmill, and it was terminated 2 days before delivery. The comparison of leptin hormone level in two control and exercise groups was analyzed using independent t-test in 8-week-old mice at a significant level of P≥0.05.
Ethical considerations: This study was an experimental and interventional type, and the ethical standards in maintaining and conducting experiments are in accordance with the ethics code of this study (IR.QUMS.REC.1396.288) which has been approved by the Ethics Committee of the Faculty of Basic Sciences of Qazvin University of Medical Sciences.
Results: The amount of leptin hormone (p=0.002) in adult rats whose mothers had exercised during pregnancy was significantly lower than the control group, the weight of food consumed by the mother in the last weeks of pregnancy in the group training was less than the control group and the weight of the adult rats in the training group was less than the control group.
Conclusions: It seems that sports activity during pregnancy can have positive effects on weight control and prevention of obesity in adult children.
 

---

Introduction: The purpose of this study was to compare the effectiveness of cognitive-behavioral therapy and motivational interviewing on self-esteem in divorced women.
Methods: The current study was a semi-experimental pre-test and post-test design. The statistical population consisted of 260 divorced women aged 20 to 50.  60 women were selected based on the inclusion criteria and randomly assign to three groups of cognitive-behavioral therapy, motivational interview therapy and control group. The instrument of data collection was Rosenberg Self- Esteem Questionnaire. For the experimental groups, 12 sessions of 75 minutes were held. No intervention was done for the control group. Before the interventions and at the end of the study, people in all groups filled out the questionnaire. The data was analyzed using SPSS version 25 software and analysis of covariance (ANCOVA).
Results: There was a significant difference between the three groups of cognitive-behavioral therapy, motivational interview and the control group in the comparison of the mean score of self-esteem variables (P<0.05). Also, in the one-by-one comparison of the cognitive-behavioral therapy and motivational interview therapy groups with the control group, there was a significant difference in the post-test stage (P<0.05).
Ethical considerations: In this research, the principle of confidentiality, preservation of personal information and non-disclosure of the identity of the participants were ensured and it was reminded that the obtained information will only be used statistically.
Conclusions: The findings indicate that cognitive-behavioral therapy and motivational interviewing are effective in enhancing self-esteem in divorced women. It suggests that these two methods are used along with other psychological and pharmaceutical therapies for divorced women as a clinical intervention.

---

Introduction: Considering the destructive effects of the prevalence of infectious diseases such as Covid-19 and the resulting social crisis on physical and mental health, a leading study was conducted to investigate Pattern of structural relationships of Covid-19 epidemic anxiety based on self-control mediated by emotional resilience.
Methods: The method of this research was descriptive-correlational and the statistical population of the present study included all students of Mohaghegh University in the academic year 2021-2022. Corona, resilience, completed the self-control questionnaire. Pearson correlation coefficient tests and structural equation modeling using Spss.25 and Lisrel 8.8 software were used to analyze the data.
Ethic: This research has been approved by the ethics code IR.ARUMS.REC.1400.045 in the ethics committee of Ardabil University of Medical Sciences.
Results: The results showed that coronary anxiety was negatively associated with self-control and emotional resilience. Emotional resilience is also positively associated with self-control. Model fit indices also confirmed the path of self-control over coronary anxiety mediated by emotional resilience.
Conclusions: According to the results of the current study, psychiatric clinics, counseling centers and health networks can use the findings of the research in the field of mental health and to face the covid-19 epidemic.

---

---

Introduction: Breast cancer causes psychological problems and decreases psychological health in people, therapeutic interventions are needed to solve these problems. This research was conducted to determine the effectiveness of group meaning therapy intervention on the quality of life, emotional regulation, and life expectancy of women with breast cancer.
Methods: The research method was semi-experimental with a pre-test-post-test design with a control group. The statistical population included all women with breast cancer referring to the health centers of Kerman city in 2023. Among them, 30 people were selected by the available sampling method and were replaced randomly and by lottery in two experimental and control groups (15 individuals in the experimental group and 15 in the control group). The people in the experimental group received group-meaning therapy intervention (10 sessions) and two sessions weekly for 90 minutes. The questionnaires used in this research included quality of life, emotion regulation, and life expectancy questionnaires administered in two phases: pre-test and post-test.
Results: The results showed that before the intervention, there was no significant difference between the average scores of the quality of life, emotion regulation, and life expectancy of the intervention and control groups, but there was a statistically significant difference between the average scores of the intervention and control groups after the intervention. The mean and standard deviation of the quality of life in the post-test was 6.91 ± 29.75, emotion regulation was 10.25 ± 98.28, and life expectancy was 6.49 ± 39.51 (P < 0.001).
Conclusions: According to the results of this research, group therapy increased the quality of life, emotion regulation, and life expectancy in women with cancer. Since the favorable mental state of the patient affects their recovery, the use of this method is recommended as an effective strategy to reduce the psychological problems of patients.

---

Introduction: Delinquency is a serious challenge for teenagers and has significant negative social effects. The main goal of this research was to find out the structural equation modeling of extraversion and delinquent behavior disorder: the mediating role of moral intelligence among the juveniles of Kerman Correctional Center.
Methods: This was a descriptive correlational research of structural equation model type. The statistical population of this research was made up of 80 juveniles of Kerman Correctional Center, who were selected and studied by simple random sampling using Morgan's table. To collect information, Hans Eysenck's (1963) Personality Type Questionnaire, Goodman's Conduct Disorder Questionnaire (1997), Aiti Juvenile Delinquency Questionnaire (2013) and Link and Keel's Moral Intelligence Questionnaire (2005) were used. Descriptive and inferential statistics (structural equation modeling) were used for data analysis through SPSS-28 and Smart PLS-3 software.
Results: The results of this research showed that there is a direct and positive relationship between extraversion and juvenile delinquency. There is a significant direct and positive relationship between conduct disorder and juvenile delinquency. There is a direct and positive relationship between extroversion and moral intelligence of teenagers. There is a significant direct and negative relationship between conduct disorder and moral intelligence of adolescents. There is a direct negative relationship between moral intelligence and delinquency. There was no relationship between extraversion and juvenile delinquency as a mediator of moral intelligence. There was no relationship between conduct disorder and juvenile delinquency with the mediating role of moral intelligence.
Conclusions: According to the results, it can be acknowledged that moral intelligence is an effective component of delinquency affected by extroversion and behavior disorder in teenagers. Therefore, education and training programs should be implemented to strengthen moral intelligence in schools and families, because these programs can strengthen moral skills and moral decision-making power in teenagers and help reduce behavioral disorders and, as a result, delinquency.

---

Introduction: The Symptoms of Omicron are still unknown. Primary data show that the Omicron symptoms are mainly related to the respiratory system, including runny nose, sore throat, headache, fatigue, and sneezing. Based on the need for more evidence about Omicron symptoms, this study was conducted to investigate the symptoms of this COVID serotype.
Methods: This descriptive-analytical cross-sectional study was performed for 6 months in Arak city on 160 definitively diagnosed patients with Omicron. For all patients who entered the study, the information evaluation checklist, including demographics and symptoms (24 symptoms), was completed. Disease diagnosis was done by PCR.
Results: The disease of 55% of people was mild, 35% moderate, and 10% severe. Fifty-one people (31.9%) mentioned a history of previous infection with COVID-19. Pulmonary involvement, the type of drug used, and anxiety at the time of infection were related to the severity of the disease (P < 0.05). The five most common symptoms of Omicron (%) were sore throat (86.3), cough (82.5), weakness and lethargy (76.3), headache (72.5) and dry mouth (62.5). There was also a relationship between old age with dry mouth and headache, underlying disease with sneezing, anxiety during illness with joint pain and chest pain, and smoking with abdominal pain (P < 0.05).
Conclusions: The most common symptoms included sore throat, cough, weakness and lethargy, headache, and musculoskeletal pain. However, reduced smell and taste, night sweats, fever, and joint pain, common in the previous serotypes, were among the less frequent symptoms of Omicron.

---

Introduction: Deep physical and psychological changes in pregnancy can affect women's sexual relations. This study aims to investigate the effect of psychological counseling on problem-solving skills on sexual dysfunction and satisfaction of pregnant women.
Methods: In a pre-test-post-test intervention study, 70 pregnant volunteers meeting the inclusion criteria, referring to health centers in Arak City, and with sexual function and sexual satisfaction questionnaire scores of less than 28 and 42, respectively, were randomly assigned to two intervention groups of 35 and a control group. The intervention group received six counseling sessions based on problem-solving, and both groups received routine care. Rosen's sexual performance questionnaire and Larson's sexual satisfaction questionnaire were answered by both groups before, immediately, and one month after the intervention. Data analysis was done using Chi-square, Fisher's exact test, and Repeated measure tests.
Results: The repeated measure design test showed that immediately and one month after the intervention, the average sexual performance (26.82 ± 1.61 and 28.88 ± 1.1) and sexual satisfaction (39.22 ± 2.27 and 15.15) (43.19 ± 2) compared to the control group (23.69±1.97, 22.63±2.08) (36.23±2.44, 35.06±2.46) compared to the control group (P < 0.05).
Conclusions: This study showed that counseling based on problem-solving improves the performance and sexual satisfaction of pregnant women effectively and can be included in educational protocols during pregnancy to improve the quality of sexual life.