per Shahid Sadoughi University of Medical Sciences, Yazd Tolooebehdasht 1728-5127 2538-1598 2024-08 23 3 1 15 article Fatemeh Yaghoobi Siahgoorabi fatemehyaghoobi@msc.guilan.ac.ir 1 Sajjad Rezaei Sajjad.Rezaei@guilan.ac.ir 2 Azra Zebardast zebardast@guilan.ac.ir 3 University of Guilan University of Guilan University of Guilan Introduction: Anxiety and depression are common mental health disordersthat threaten physical and mental health and quality of life of adolescents and cause defects in their performance.. This study aims to determine the prevalence of anxiety and depression among adolescent girls in Lahijan, along with the associated demographic factors. Methods: This analytical-cross-sectional survey involved 291 girls aged 15 to 18, selected through convenience sampling method from public all-female' high schools in Lahijan in early 2024. Youth Anxiety Measure for DSM-5 and Kutcher Adolescent Depression Scale were the research tools. Data analysis was conducted using SPSS-26, independent t-tests, univariate and multivariate analyses of variance. Results: The prevalence rates of anxiety and depression among girls were 3/8% and 3/1%. Girls with physical illnesses exhibited higher levels of major depression, suicide, overall depression score, overall anxiety score, and panic compared to their healthy peers(P<0/05). Those with mental disorders reported higher levels of major depression, suicide, overall depression score, selective mutism, and panic compared to those without such disorders(P<0/05). 11th-grade girls demonstrated higher levels of separation anxiety, generalized anxiety, and overall anxiety score than 10th-grade girls(P<0/05). No significant differences were observed in anxiety and depression among girls from different fields of study(mathematics, empirical sciences, and humanities)(P>0/05). Conclusion: The study revealed a relatively low prevalence of anxiety and depression, which was associated with the girls' histories of physical and mental disorders, as well as their educational grade. These findings hold significant implications for school administrators and health professionals.   http://tbj.ssu.ac.ir/article-1-3649-en.pdf Prevalence Anxiety Depression Adolescent per Shahid Sadoughi University of Medical Sciences, Yazd Tolooebehdasht 1728-5127 2538-1598 2024-08 23 3 16 29 article masomeh nabaei Lailanabaei504@gmail.com 1 zahra alizadeh birjandi z.a.birjandi@gmail.com 2 Islamic Azad University of Torbat Jam Imam Reza University  Introduction: A large proportion of the healthcare workforce reports significant distress and burnout, which can lead to poor patient care. Several psychological interventions, one of the psychological interventions is integrated therapy, which can be effective in improving mental fatigue and stress tolerance. So, the purpose of research is to investigate the effectiveness of integrated cognitive-behavioral therapy with acceptance and commitment-based therapy on reduce Psychological Distress and mental fatigue in nurses with burnout symptoms in Imam Reza Hospital in Mashhad city. Materials and Method: The research was a semi-experimental pre-test-post-test study with a control group. The statistical population was all female nurses working in Imam Reza Hospital which had symptoms of burnout, and so 30 nurses were selected by purposeful sampling considering the inclusion criteria and then randomly divided into an experimental and a control group. Subjects of both groups responded to Meshach Job Burnout Inventory, Smits et al.'s Multidimensional Fatigue Inventory and Kessler Psychological Distress Scale. Before and after the intervention. After the pre-test, therapeutic intervention was provided to the experimental group twice a week for 10 sessions of 45 minutes. Results: The results showed that there was a significant difference between the two groups after the combined treatment intervention in terms of Psychological Distress and mental fatigue in nurses with signs of job burnout . Conclusion: suggested to use CBT-ACT in a continuous and regular manner in hospitals and universities in the form of training classes in order to reduce Psychological Distress and mental fatigue and job burnout.   http://tbj.ssu.ac.ir/article-1-3638-en.pdf sychological Distress Psychological Fatigue Combined Therapy (Cognitive-Behavioral (CBT) and Acceptance and Commitment (ACT) Job Burnout Nurses per Shahid Sadoughi University of Medical Sciences, Yazd Tolooebehdasht 1728-5127 2538-1598 2024-08 23 3 30 45 article Fereshteh Izadkhah zamouzadeh@yahoo.co 1 Jalil Moradi jalilmoradi@gmail.com 2 Alireza Bahrami a-bahrami@arak.ut.ac.ir 3 Zohreh Janbozorgi janbozorgi@gmail.com 4 Assistant professor Associate Professor Associate Professor Masters, Department Introduction: Athletes with attention-deficit/hyperactivity disorder (ADHD)  have deficits in executive functions, and it is very important to find new non-pharmacological methods to help them. The aim of this study was to determine the effect of motor and cognitive exercises on working memory and selective attention in athletes with ADHD. Methods: A quasi-experimental design with a pretest-posttest and follow-up was employed, including a control group. A total of 120 athletes(males and females) with ADHD, aged 9 to 11, from Lorestan province, were initially considered. Among them, 75 athletes were randomly assigned to three groups: control, motor exercises, and cognitive exercises, with each group consisting of 25 participants. The first experimental group received motor exercises, while the second experimental group received cognitive exercises (Captain’s Log), both delivered in 10 sessions of 20 minutes each. The control group did not receive any interventions. Post-tests were conducted immediately one day after the intervention period, followed by a two-week follow-up test. Working memory and selective attention were assessed using the N-back and Stroop tests. Data analysis included mixed ANOVA, one-way ANOVA, and Benferroni's post hoc test performed using SPSS version 22 statistical software. Results: The results demonstrated a significant difference between the group of motor exercises (P= 0/0001) and cognitive exercises (P= 0/0001) with the control group. However, no significant difference was found between the two experimental groups(P= 0/536). Conclusion: The mentioned exercises can be used as an effective treatment in improving working memory and selective attention in athletes with hyperactivity disorder and attention deficit disorder.   http://tbj.ssu.ac.ir/article-1-3646-en.pdf Memmory Attention Exercises Athletes ADHD per Shahid Sadoughi University of Medical Sciences, Yazd Tolooebehdasht 1728-5127 2538-1598 2024-08 23 3 46 65 article Paymaneh Sanjari paymanesanjari@gmail.com 1 Majid Hashemi m.hashemi120@gmail.com 2 Tania Dehesh tania_dahesh@yahoo.com 3 Sayed Vahid Ahmadi Tabatabaei v.tabatabai@gmail.com 4 Maryam Faraji m_faraji28@yahoo.com 5 Introduction: Marginal immigrants cause many problems in economic, social and cultural, physical ,and environmental aspects of cities. This study aims to investigate the factors affecting migration to Kerman city and the problems of marginalized immigrants using the analytical hierarchy process (AHP) and technique for order of preference by similarity to ideal solution (TOPSIS) models. Methods: This cross-sectional study was conducted in 2022, with a sample size of 147 households selected from Kerman suburban region. The data were collected by a standardized questionnaire measuring effective factors on the migration and the checklist of the immigrant problems. Results: The most important immigration factors were economic, social, geographical, political, educational and religious-cultural factors, respectively. Among 37 components studied, transferring the job of the family man as the family head, being on the main  land, air and rail ways, having a special position at the international level, burying the family’s dead members in the desired city, and the education of the wife or one of the children of the family were the most important components.  According to the results, more than 90% did not have access to public baths, sports facilities, government centers, private institutions, and parks, and recreational spaces. Conclusion: According to AHP model, economic factors ,and then social factors, were the most important reasons for migrating to the suburbs of Kerman. Therefore, it is suggested to create stable and long-term job opportunities , improve employment and business environment in the cities, and develop infrastructure to control migration to the city capitals.   http://tbj.ssu.ac.ir/article-1-3640-en.pdf Migration Analytical Hierarchy Process (AHP) Technique for Order of Preference by Similarity to Ideal Solution (TOPSIS) Kerman. per Shahid Sadoughi University of Medical Sciences, Yazd Tolooebehdasht 1728-5127 2538-1598 2024-08 23 3 66 75 article Mahsa Hajizade Tabriz mahsahajizade1992@yahoo.com 1 Khalil Ali Mohammadzade dr_khalil_amz@yahoo.com 2 Mahboobe Safavi msafavi@iautmu.ir 3 Department of Health Services ManagementFaculty of Health,Tehran Medical Sciences , Islamic Azad University. Economics Policy Research Center, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran. Department of Health Services ManagementFaculty of Health,Tehran Medical Sciences , Islamic Azad University. Economics Policy Research Center, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran. Department of Health Services ManagementFaculty of Health,Tehran Medical Sciences , Islamic Azad University. Economics Policy Research Center, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran. Purpose and background:  Caesarean section saves the life of mother and child. Unnecessary cesarean has complications. To reduce unnecessary cesarean sections, the health transformation plan was implemented. By editing this program in 2013, team services were added to it. The present study was conducted with the aim of investigating the status of team work among gynecologists and midwives. Methods: The current research is a descriptive-analytical study that was carried out cross-sectionally in the year 2021. The sample population included all the 45 gynecologists and midwives working in the maternity block of hospitals affiliated with Islamic Azad University of Tehran, and sampling method was convenience sampling. Nachioni questionnaire with appropriate CVI (0.87-1) and Cronbach's alpha coefficient of 0.94 was used to collect data. Statistical analysis of data was done using wilcoxon test with SPSS24 software. Results: The results of this study showed that the state of teamwork and its dimensions in the studied group are significantly higher than the average (p<0/001). The highest score in the dimensions of the questionnaire was related to the objective dimension (3/97 ± 0/63) and the lowest score was related to the constructive approach dimension (3/39 ± 0/35). Conclusion: The score of team work in the study group was medium to high. The highest score belonged to the dimensions of objective, trust, and accountability . It should be noted that the study cases have scored lower in the two dimensions of constructive interaction and responsibility.   http://tbj.ssu.ac.ir/article-1-3641-en.pdf Cesarean section Interprofessional collaboration Healthcare professionals per Shahid Sadoughi University of Medical Sciences, Yazd Tolooebehdasht 1728-5127 2538-1598 2024-08 23 3 76 91 article Farideh Maleki Avarsin Bikaran_fm@yahoo.com 1 Alireza Pirkhaefi Apirkhaefi@gmail.com 2 Maryam Kalhornia Golkar Maryamgol1986@yahoo.com 3 United Arab Emirates Garmsar, Iran Karaj, Iran Introduction: Diabetes, as one of the common causes of mortality worldwide, extends beyond physical aspects and can impact psychological and emotional dimensions as well. Therefore, the present research aimed to determine the effectiveness of spiritual therapy on the psychological well-being and self-efficacy of patients with type 2 diabetes in Tehran. Methods: This study was a semi-experimental research with a pretest-posttest and a three-month follow-up design with a control group. The study population consisted of all the patients with type 2 diabetes who attended treatment centers in Tehran (Masih Daneshvari, Nikan, and the Iranian Diabetes Association) from August to November 2023. Among the patients, 37 were selected using purposive sampling and were randomly assigned to two groups: the experimental group (N=18) and the control group (N=19). The data collection tools included a demographic information form, the standardized Ryff's scale of psychological well-being– short form (Cronbach's alpha= 0/72), and the General Self-Efficacy Scale (Cronbach's alpha= 0/83). Data analysis was conducted using SPSS-21 software. Additionally, given the different stages of measurement (pre-test, post-test, and follow-up), repeated measures ANOVA was used for data analysis. Results: The results indicated that spiritual therapy led to an increase in psychological well-being (F=132/56, P<0/001) and self-efficacy (F=15/51, P<0/001) in patients with type 2 diabetes. Furthermore, the effect size of spiritual therapy on psychological well-being was 79%, and self-efficacy was 31%, and the sustainability of its effects was observed up to three months after treatment. Conclusion: The findings suggest the impact of spiritual therapy on enhancing psychological well-being and self-efficacy in patients with type 2 diabetes. Therefore, it is recommended that, in addition to the routine treatment of patients with type 2 diabetes, spiritual therapy be utilized to enhance the psychological well-being of the patients.   http://tbj.ssu.ac.ir/article-1-3644-en.pdf Psychological well-being Self-efficacy Spirituality Diabetes Mellitus Type 2 per Shahid Sadoughi University of Medical Sciences, Yazd Tolooebehdasht 1728-5127 2538-1598 2024-08 23 3 92 106 article zahra farokhnjad zahrafarokh02@gmail.com 1 ladan hosseini abreshamei l.abrishami@khayyam.ac.ir 2 atna yazdanshenas Atena.yazdanshenas@gmail.com 3 saydeh saeedeh hosseini saeedeh0510@gmail.com 4 Binaloud non-profit organization KKhayyam University Binaloud non-profit organization Binaloud non-profit organization Introduction: Aging and sedentary lifestyle are associated with a decrease in physical and mental abilities. The purpose of this study is to investigate the effect of eight weeks of selected vestibular exercises on functional balance, walking speed, and quality of life of sedentary elderly men. Methods: This semi-experimental research was conducted from the winter of 1402 to the summer of 1403 with the participation of 30 sedentary elderly men from Tawheed Golmkan Elderly Care Center in Mashhad. The samples were selected purposefully and based on previous studies (25) and were divided into two experimental and control groups of 15 people. The experimental group performed selected vestibular exercises three sessions a week for eight weeks, while the control group did not perform any exercises. Dynamic comparison test, 10-meter walking speed and short-term life questionnaire were used to evaluate the quality of life. Data analysis was performed using Shapiro-Wilk test, analysis of covariance, and t-test at a significance level of P<0/05. Results: The results of paired t test showed that dynamic balance (P=0/001), walking speed (P=0/001), and quality of life (P=0/001) of the experimental group improved significantly after the exercise program.  This was while there was no improvement in the control group. The covariance results did not show a significant difference between the groups in the pre-test phase, but there was a significant increase in the scores of the experimental group in the post-test phase. Conclusion: It is recommended to use exercises to prevent the disabilities of the elderly and improve their quality of independent life.     http://tbj.ssu.ac.ir/article-1-3647-en.pdf Aging Vestibular system Balance Walking speed Quality of life per Shahid Sadoughi University of Medical Sciences, Yazd Tolooebehdasht 1728-5127 2538-1598 2024-08 23 3 107 122 article mehdi Zanganeh Baygi dr.mzanganeh@yahoo.com 1 Mostafa peyvand mp.peyvand@yahoo.com 2 Faezeh Mirani Bahabadi yldamyrany@gmail.com 3 Sayedeh Narges Noormohamadi 4 Zahedan University of Medical Sciences Zahedan University of Medical Sciences Zahedan University of Medical Sciences M.S.c. Student Introduction: One of the most important challenges in cancer patients is the long treatment period, and as a result, non-compliance with the treatment, considering the cultural and indigenous context of Sistan and Baluchistan province, the importance of this position is felt more. Therefore, the present study was conducted with the aim of explaining the experiences of non-adherence to treatment in Leukemia cancer patients. Methods: This cross-sectional study was conducted qualitatively with a content analysis approach via a purpose-based sampling method on 34 leukemia cancer patients with a mean age of 46±7 in 2022. The data collection tool was a semi-structured interview guide. All interviews were recorded and implemented daily on paper. Finally, the data was coded using conventional content analysis method. Results: In this study, 17 women and 17 men were included in the study. 9 (26.5%) of them were more than 50 years old. After summarizing and coding the issues raised by the participants, 114 initial codes were obtained, five main themes (financial problems, lack of access to medical services, distrust of the health system and treatment, drug interactions and lack of motivation to continue treatment) and 10 sub-themes were extracted. Conclusion: It can be concluded that adherence to drug regimen in cancer patients is a complex issue that depends on many factors. The financial and spiritual support of the government, increasing insurance coverage, and developing infrastructure for better access of patients to medicines and medical centers are among the implementation suggestions of this study.     http://tbj.ssu.ac.ir/article-1-3624-en.pdf Hospital Cancer Leukemia patients Contract content analysis