Comparison of the Efficacy of Educational Film and Clinical Demonstration for Instruction of Fiber-Reinforced Composite Post Restorations to Dental Students

Objective: Different educational tools are now commonly used in universities worldwide such as illustrations, audio and videotapes, etc. This study aimed to compare the efficacy of educational film and clinical demonstration for instruction of Fiber-Reinforced Composite (FRC) post restorations to dental students in Department of Restorative Dentistry.Methods: This interventional study was conducted on 70 fifth year dental students in Mashhad University. Students were divided into two groups. Group 1 students watched live demonstration of a treatment procedure (FRC post restoration) while group 2 watched the educational film of the same procedure. Both groups participated in a post-test. Also, students' perspectives were sought via a questionnaire. Data were analyzed using SPSS, Student’s t-test and Chi-square test.Results: The mean post-test score of group 2 students (educational film) was greater than that of group 1 students (clinical demonstration) and the difference in this respect between the two groups was statistically significant (p=0.008). Considering the score of 7 as an acceptable score, 44 students gained scores 7 or higher; out of which, 16 were in group 1 (clinical demonstration) and 28 were in group 2 (educational film). The difference in this regard between the two groups was statistically significant (p=0.003). Most students preferred watching the educational film to the crowded clinical demonstration sessions.Conclusion: Watching the educational film yielded greater test scores than the clinical demonstration

The Relationship between Psychological Status (Depression and Anxiety) and Social Support and Sexual Function

AbstractIntroduction: Given that large numbers of marital problems arise from lack of proper satisfaction with sexual desire (libido) as well as lack of awareness towards the complicated dimensions of this fundamental motive, the purpose of the present study was to determine correlations between psychological state (depression and anxiety), social support, and sexual function among females of the reproductive age.Methods: This study was a descriptive-analytic research on 400 females referred to clinics affiliated with Shahid Beheshti University of Medical Sciences in the city of Tehran, during year 2015. The study sample was recruited by cluster and multi-stage random sampling method. The Sexual Function Questionnaire, Demographic Questionnaire, Scale of Perceived Social Support, Spielberger’s Anxiety Inventory, and Beck Depression Inventory were also used to collect the data. The obtained data was analyzed through the SPSS software via descriptive statistics, t test, one way Analysis of Variance (ANOVA), as well as chi-square test.Results: The findings revealed that 4.5% of females had poor level of sexual functioning. In addition, 24.5% of females benefited from low social support and also 75% and 9% of the given individuals had chronic depression and severe anxiety, respectively. According to the results of this study, sexual functioning was correlated with female’s age, husband’s age, age of first pregnancy, length of marriage, duration of having private rooms, and history of infertility (P ˂ 0.05). Furthermore, there were relationships between sexual functioning and depression as well as anxiety and social support (P ˂ 0.05).Conclusions: It was concluded that sexual functioning was correlated with psychological state (depression and anxiety) and social support. Thus, it was recommended to conduct screening tests in terms of the variables examined

Educational Program Evaluation Model, From the Perspective of the New Theories

Introduction: This study is focused on common theories that influenced the history of program evaluation and introduce the educational program evaluation proposal format based on the updated theory. Methods: Literature searches were carried out in March-December 2010 with a combination of key words, MeSH terms and other free text terms as suitable for the purpose. A comprehensive search strategy was developed to search Medline by the PubMed interface, ERIC (Education Resources Information Center) and the main journal of medical education regarding current evaluation models and theories. We included all study designs in our study. We found 810 articles related to our topic, and finally 63 with the full text article included. We compared documents and used expert consensus for selection the best model. Results: We found that the complexity theory using logic model suggests compatible evaluation proposal formats, especially with new medical education programs. Common components of a logic model are: situation, inputs, outputs, and outcomes that our proposal format is based on. Its contents are: title page, cover letter, situation and background, introduction and rationale, project description, evaluation design, evaluation methodology, reporting, program evaluation management, timeline, evaluation budget based on the best evidences, and supporting documents. Conclusion: We found that the logic model is used for evaluation program planning in many places, but more research is needed to see if it is suitable for our context

The Correlation between Adaptation to the Maternal Role and Social Support in a Sample of Iranian Primiparous Women

AbstractIntroduction: Adaptation to the maternal role is an important factor for health ofmothers and infants. With regards to numerous stresses after childbirth and effect ofsocial support in modifying stresses, the present study was conducted for detecting thecorrelation between adaptation to the maternal role and social support in primiparousfemales.Methods: This cross-sectional study was performed on 260 primiparous females, whohad referred to public health centers of Shahid Beheshti University of Medical Sciencesin Tehran, during year 2016. Data gathering tools included the «DemographicQuestionnaire», «Adaptation to the Maternal Role in Iranian Primiparous WomenQuestionnaire», «Multidimensional Scale of Perceived Social Support», andEdinburgh Postnatal Depression Scale. Data analysis was done using the SPSS software(version 22) and it was based on descriptive statistics and statistical independent t-test,Analysis of Variance (ANOVA), Spearman correlation, and linear regression. P value <0.05 was considered significant.Results: The score of adaptation to a maternal role had a significant correlation witha total score of social support and its subscales (P = 0.001). Also, the adaptation toa maternal role had a reverse significant correlation with the mother and father’seducation and the rate of family income, yet the results of the linear regressiondemonstrated that only two variables, “social support” and “mother’s education”, weresignificant in predicting the adaptation to a maternal role (P = 0.001), and they couldpredict 15% of variance for adapting to a maternal role.Conclusions: Social support is an effective factor for adaptation to the maternal role inprimiparous females. Therefore, providing an appropriate situation for these supportsis recommended. Also, it is required for health care providers to make sure about anadaptation to a maternal role, especially in mothers with higher education

Muscle contraction can improve psychological resilience during the COVID-19 lockdown: Neural effects of resistance training at home

Dear Editor-in-ChiefThe world has recently experienced one of the hardest pandemics, COVID-19. Clinical signs of this disease include fever, dry cough, and diarrhea, or different symptoms that lead to acute respiratory distress syndrome with a further increase in the severity of the disease. Although the first observations of this disease are the involvement of symptoms and respiratory and heart injuries, various studies have also shown the nerve damage caused by this disease. Common neurological symptoms include headache, dizziness, anosmia, seizures, or paralysis. The elderly and critically ill are in the high-risk group and have shown severe neurological symptoms after COVID-19. Apart from COVID-19-induced cellular and neurological damage, this disease has a profound effect on the mental health of people around the world. Increasing the duration of this disease and staying at home causes social and economic problems and as a result mental health problems (Verma et al., 2020). Neurological and mental illnesses are very common all over the world.Psychological resilience was an important issue during COVID-19 epidemic. In other words, during an epidemic, mental health of people should be consider and cheeked, and entertainment programs should be prevented from causing psychological damage. Research during the COVID-19 epidemic found that because of the psychological pressures to increase psychological resilience, people tended to be more exposed to the outdoors, exercise more, receive more social support from family, friends and important people, sleep better, and pray more, that these factors were effective in mitigating psychological trauma. In most studies, spiritual health affects mental health, because repeated prayers and worships have been more independently associated with psychological resilience (Killgore et al., 2020). In other words, those who actively participate in these spiritual activities and strengthen their relationship with God are found to have the most psychological resilience to the mental health challenges imposed by COVID-19. In addition, the effects of exercise at the cellular level can help improve memory and psyche and be effective in improving psychological resilience. To date, no studies have been performed on secretions due to muscle contraction and its effect on the brain and psychological function, and psychological resilience especially to control the psychological damage caused by an epidemic.Exercise has many beneficial effects on brain health and helps reduce the risks of dementia, depression, and stress, and is involved in restoring and maintaining cognitive function and metabolic control. The fact that exercise is sensed by the brain suggests that environmental factors induced by the muscle allow a direct link between muscle function and the brain. Muscles secrete myokines that help regulate hippocampal function. Evidence is accumulating that myokine cathepsin B crosses the blood-brain barrier to increase brain-derived neurotrophic factor production, resulting in neurogenesis, memory, and learning. In addition, the muscle tissue itself can affect the central nervous system, memory, and psyche in form of endocrine by increasing BDNF expression. Exercise also increases the expression of the neurogenic gene FNDC5 (which encodes myogenic FNDC5-dependent PGC1α), which in turn can help increase levels of brain-derived neurotrophic factor (Pedersen, 2019).Serum levels of myokine, IL-6, increase with exercise and may have beneficial effects on the central nervous system. Exercise also increases PGC1α-dependent muscle expression and the enzymes kynurenine aminotransferase, which beneficially alters the balance between the neurotoxic kynurenine and the neuroprotective Kynurenic acid, thereby reducing depressive symptoms. Signaling myokine and other muscle factors and exercise-induced hepatokines and adipokines play a role in the beneficial effects of exercise on neurogenesis, cognitive function, appetite, and metabolism, thus supporting the existence of a muscle-brain endocrine axis. Also, it can affect psychological resilience which needs more studies

Prescription pattern among Iranian community dwelling older adults

Aim To assess prescription pattern among Iranian community-dwelling older adults. Methods This cross-sectional study employed a cluster random sampling to obtain a sample of 1591 patients aged 60 years and over referred to pharmacies in Tehran, 2017. Data were collected using a questionnaire: socio-demographic characteristics, type of pharmacy visited, the municipal district, the university covering the pharmacy, the number and names of prescribed drugs, drug category, type of insurances and physician’s socio-demographic profile (age, gender, type of specialization, and work experience). Results The mean age of the patients was 70.51±7.84. A total of 5838 drugs were prescribed, giving an average of 3.73±2.24 drugs per patient (ranging of 1-15). Polypharmacy was noticed in 32.4% patients. Cardiovascular ‏drugs accounted for 20.8% of the prescriptions, antidiabetics 8.8%, nutritional agents and vitamins 7.6%, and analgesics, anti-inflammatory drugs and antipyretics accounted for 7.5%. Conclusion Developing educational programs on geriatric pharmacology general practitioners and more supervision among community-dwelling older adults might have effects on prescription pattern. There is a need for prescriber training and retraining with emphasis on the geriatric population

The Effect of Group Counselling on Body Image Coping Strategy among Adolescent Girls

Background Adolescents, pay particular attention to their body image. Dissatisfaction with body image in people can lead to stress. Accordingly, this study aimed to investigate the effectiveness of group counselling on body image and coping strategies among adolescent girls. Materials and Methods This clinical trial study was conducted on 60 adolescent girls in Karaj City, Iran. The samples were selected using a multi stage sampling technique. For the intervention group, four counseling sessions were held weekly and each session lasted 60 to 90 minutes. The control group received an educational body image package at the end. The Multidimensional Body-Self Relations questionnaire and Body Image Coping Strategy Inventory were completed by participants in both groups before and two weeks after the intervention. The collected data were analyzed using the SPSS-19.0 software.   Results The mean score of the positive rational acceptance before the intervention in intervention and control groups were 43.541±2.798 and 41.875±13.146, respectively. These values after the intervention were 62.708±2.484 and 46.972±16.545 in the intervention and control groups, respectively. There was a significant difference between the intervention and control groups in the mean score of body image and the positive rational acceptance two weeks after the completion of the intervention (P = 0.0001). Conclusion The overall results of this study indicated the effectiveness of intervention (Group Counseling) in improving the body image score and increasing the positive strategic skills

Global, regional, and national cancer incidence, mortality, years of life lost, years lived with disability, and disability-Adjusted life-years for 29 cancer groups, 1990 to 2017 : A systematic analysis for the global burden of disease study

Importance: Cancer and other noncommunicable diseases (NCDs) are now widely recognized as a threat to global development. The latest United Nations high-level meeting on NCDs reaffirmed this observation and also highlighted the slow progress in meeting the 2011 Political Declaration on the Prevention and Control of Noncommunicable Diseases and the third Sustainable Development Goal. Lack of situational analyses, priority setting, and budgeting have been identified as major obstacles in achieving these goals. All of these have in common that they require information on the local cancer epidemiology. The Global Burden of Disease (GBD) study is uniquely poised to provide these crucial data. Objective: To describe cancer burden for 29 cancer groups in 195 countries from 1990 through 2017 to provide data needed for cancer control planning. Evidence Review: We used the GBD study estimation methods to describe cancer incidence, mortality, years lived with disability, years of life lost, and disability-Adjusted life-years (DALYs). Results are presented at the national level as well as by Socio-demographic Index (SDI), a composite indicator of income, educational attainment, and total fertility rate. We also analyzed the influence of the epidemiological vs the demographic transition on cancer incidence. Findings: In 2017, there were 24.5 million incident cancer cases worldwide (16.8 million without nonmelanoma skin cancer [NMSC]) and 9.6 million cancer deaths. The majority of cancer DALYs came from years of life lost (97%), and only 3% came from years lived with disability. The odds of developing cancer were the lowest in the low SDI quintile (1 in 7) and the highest in the high SDI quintile (1 in 2) for both sexes. In 2017, the most common incident cancers in men were NMSC (4.3 million incident cases); tracheal, bronchus, and lung (TBL) cancer (1.5 million incident cases); and prostate cancer (1.3 million incident cases). The most common causes of cancer deaths and DALYs for men were TBL cancer (1.3 million deaths and 28.4 million DALYs), liver cancer (572000 deaths and 15.2 million DALYs), and stomach cancer (542000 deaths and 12.2 million DALYs). For women in 2017, the most common incident cancers were NMSC (3.3 million incident cases), breast cancer (1.9 million incident cases), and colorectal cancer (819000 incident cases). The leading causes of cancer deaths and DALYs for women were breast cancer (601000 deaths and 17.4 million DALYs), TBL cancer (596000 deaths and 12.6 million DALYs), and colorectal cancer (414000 deaths and 8.3 million DALYs). Conclusions and Relevance: The national epidemiological profiles of cancer burden in the GBD study show large heterogeneities, which are a reflection of different exposures to risk factors, economic settings, lifestyles, and access to care and screening. The GBD study can be used by policy makers and other stakeholders to develop and improve national and local cancer control in order to achieve the global targets and improve equity in cancer care. © 2019 American Medical Association. All rights reserved.Peer reviewe

Population and fertility by age and sex for 195 countries and territories, 1950–2017: a systematic analysis for the Global Burden of Disease Study 2017

Background: Population estimates underpin demographic and epidemiological research and are used to track progress on numerous international indicators of health and development. To date, internationally available estimates of population and fertility, although useful, have not been produced with transparent and replicable methods and do not use standardised estimates of mortality. We present single-calendar year and single-year of age estimates of fertility and population by sex with standardised and replicable methods. Methods: We estimated population in 195 locations by single year of age and single calendar year from 1950 to 2017 with standardised and replicable methods. We based the estimates on the demographic balancing equation, with inputs of fertility, mortality, population, and migration data. Fertility data came from 7817 location-years of vital registration data, 429 surveys reporting complete birth histories, and 977 surveys and censuses reporting summary birth histories. We estimated age-specific fertility rates (ASFRs; the annual number of livebirths to women of a specified age group per 1000 women in that age group) by use of spatiotemporal Gaussian process regression and used the ASFRs to estimate total fertility rates (TFRs; the average number of children a woman would bear if she survived through the end of the reproductive age span [age 10–54 years] and experienced at each age a particular set of ASFRs observed in the year of interest). Because of sparse data, fertility at ages 10–14 years and 50–54 years was estimated from data on fertility in women aged 15–19 years and 45–49 years, through use of linear regression. Age-specific mortality data came from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2017 estimates. Data on population came from 1257 censuses and 761 population registry location-years and were adjusted for underenumeration and age misreporting with standard demographic methods. Migration was estimated with the GBD Bayesian demographic balancing model, after incorporating information about refugee migration into the model prior. Final population estimates used the cohort-component method of population projection, with inputs of fertility, mortality, and migration data. Population uncertainty was estimated by use of out-of-sample predictive validity testing. With these data, we estimated the trends in population by age and sex and in fertility by age between 1950 and 2017 in 195 countries and territories. Findings: From 1950 to 2017, TFRs decreased by 49\ub74% (95% uncertainty interval [UI] 46\ub74–52\ub70). The TFR decreased from 4\ub77 livebirths (4\ub75–4\ub79) to 2\ub74 livebirths (2\ub72–2\ub75), and the ASFR of mothers aged 10–19 years decreased from 37 livebirths (34–40) to 22 livebirths (19–24) per 1000 women. Despite reductions in the TFR, the global population has been increasing by an average of 83\ub78 million people per year since 1985. The global population increased by 197\ub72% (193\ub73–200\ub78) since 1950, from 2\ub76 billion (2\ub75–2\ub76) to 7\ub76 billion (7\ub74–7\ub79) people in 2017; much of this increase was in the proportion of the global population in south Asia and sub-Saharan Africa. The global annual rate of population growth increased between 1950 and 1964, when it peaked at 2\ub70%; this rate then remained nearly constant until 1970 and then decreased to 1\ub71% in 2017. Population growth rates in the southeast Asia, east Asia, and Oceania GBD super-region decreased from 2\ub75% in 1963 to 0\ub77% in 2017, whereas in sub-Saharan Africa, population growth rates were almost at the highest reported levels ever in 2017, when they were at 2\ub77%. The global average age increased from 26\ub76 years in 1950 to 32\ub71 years in 2017, and the proportion of the population that is of working age (age 15–64 years) increased from 59\ub79% to 65\ub73%. At the national level, the TFR decreased in all countries and territories between 1950 and 2017; in 2017, TFRs ranged from a low of 1\ub70 livebirths (95% UI 0\ub79–1\ub72) in Cyprus to a high of 7\ub71 livebirths (6\ub78–7\ub74) in Niger. The TFR under age 25 years (TFU25; number of livebirths expected by age 25 years for a hypothetical woman who survived the age group and was exposed to current ASFRs) in 2017 ranged from 0\ub708 livebirths (0\ub707–0\ub709) in South Korea to 2\ub74 livebirths (2\ub72–2\ub76) in Niger, and the TFR over age 30 years (TFO30; number of livebirths expected for a hypothetical woman ageing from 30 to 54 years who survived the age group and was exposed to current ASFRs) ranged from a low of 0\ub73 livebirths (0\ub73–0\ub74) in Puerto Rico to a high of 3\ub71 livebirths (3\ub70–3\ub72) in Niger. TFO30 was higher than TFU25 in 145 countries and territories in 2017. 33 countries had a negative population growth rate from 2010 to 2017, most of which were located in central, eastern, and western Europe, whereas population growth rates of more than 2\ub70% were seen in 33 of 46 countries in sub-Saharan Africa. In 2017, less than 65% of the national population was of working age in 12 of 34 high-income countries, and less than 50% of the national population was of working age in Mali, Chad, and Niger. Interpretation: Population trends create demographic dividends and headwinds (ie, economic benefits and detriments) that affect national economies and determine national planning needs. Although TFRs are decreasing, the global population continues to grow as mortality declines, with diverse patterns at the national level and across age groups. To our knowledge, this is the first study to provide transparent and replicable estimates of population and fertility, which can be used to inform decision making and to monitor progress. Funding: Bill & Melinda Gates Foundation

Population and fertility by age and sex for 195 countries and territories, 1950–2017: a systematic analysis for the Global Burden of Disease Study 2017

Background: Population estimates underpin demographic and epidemiological research and are used to track progress on numerous international indicators of health and development. To date, internationally available estimates of population and fertility, although useful, have not been produced with transparent and replicable methods and do not use standardised estimates of mortality. We present single-calendar year and single-year of age estimates of fertility and population by sex with standardised and replicable methods. Methods: We estimated population in 195 locations by single year of age and single calendar year from 1950 to 2017 with standardised and replicable methods. We based the estimates on the demographic balancing equation, with inputs of fertility, mortality, population, and migration data. Fertility data came from 7817 location-years of vital registration data, 429 surveys reporting complete birth histories, and 977 surveys and censuses reporting summary birth histories. We estimated age-specific fertility rates (ASFRs; the annual number of livebirths to women of a specified age group per 1000 women in that age group) by use of spatiotemporal Gaussian process regression and used the ASFRs to estimate total fertility rates (TFRs; the average number of children a woman would bear if she survived through the end of the reproductive age span [age 10–54 years] and experienced at each age a particular set of ASFRs observed in the year of interest). Because of sparse data, fertility at ages 10–14 years and 50–54 years was estimated from data on fertility in women aged 15–19 years and 45–49 years, through use of linear regression. Age-specific mortality data came from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2017 estimates. Data on population came from 1257 censuses and 761 population registry location-years and were adjusted for underenumeration and age misreporting with standard demographic methods. Migration was estimated with the GBD Bayesian demographic balancing model, after incorporating information about refugee migration into the model prior. Final population estimates used the cohort-component method of population projection, with inputs of fertility, mortality, and migration data. Population uncertainty was estimated by use of out-of-sample predictive validity testing. With these data, we estimated the trends in population by age and sex and in fertility by age between 1950 and 2017 in 195 countries and territories. Findings: From 1950 to 2017, TFRs decreased by 49·4% (95% uncertainty interval [UI] 46·4–52·0). The TFR decreased from 4·7 livebirths (4·5–4·9) to 2·4 livebirths (2·2–2·5), and the ASFR of mothers aged 10–19 years decreased from 37 livebirths (34–40) to 22 livebirths (19–24) per 1000 women. Despite reductions in the TFR, the global population has been increasing by an average of 83·8 million people per year since 1985. The global population increased by 197·2% (193·3–200·8) since 1950, from 2·6 billion (2·5–2·6) to 7·6 billion (7·4–7·9) people in 2017; much of this increase was in the proportion of the global population in south Asia and sub-Saharan Africa. The global annual rate of population growth increased between 1950 and 1964, when it peaked at 2·0%; this rate then remained nearly constant until 1970 and then decreased to 1·1% in 2017. Population growth rates in the southeast Asia, east Asia, and Oceania GBD super-region decreased from 2·5% in 1963 to 0·7% in 2017, whereas in sub-Saharan Africa, population growth rates were almost at the highest reported levels ever in 2017, when they were at 2·7%. The global average age increased from 26·6 years in 1950 to 32·1 years in 2017, and the proportion of the population that is of working age (age 15–64 years) increased from 59·9% to 65·3%. At the national level, the TFR decreased in all countries and territories between 1950 and 2017; in 2017, TFRs ranged from a low of 1·0 livebirths (95% UI 0·9–1·2) in Cyprus to a high of 7·1 livebirths (6·8–7·4) in Niger. The TFR under age 25 years (TFU25; number of livebirths expected by age 25 years for a hypothetical woman who survived the age group and was exposed to current ASFRs) in 2017 ranged from 0·08 livebirths (0·07–0·09) in South Korea to 2·4 livebirths (2·2–2·6) in Niger, and the TFR over age 30 years (TFO30; number of livebirths expected for a hypothetical woman ageing from 30 to 54 years who survived the age group and was exposed to current ASFRs) ranged from a low of 0·3 livebirths (0·3–0·4) in Puerto Rico to a high of 3·1 livebirths (3·0–3·2) in Niger. TFO30 was higher than TFU25 in 145 countries and territories in 2017. 33 countries had a negative population growth rate from 2010 to 2017, most of which were located in central, eastern, and western Europe, whereas population growth rates of more than 2·0% were seen in 33 of 46 countries in sub-Saharan Africa. In 2017, less than 65% of the national population was of working age in 12 of 34 high-income countries, and less than 50% of the national population was of working age in Mali, Chad, and Niger. Interpretation: Population trends create demographic dividends and headwinds (ie, economic benefits and detriments) that affect national economies and determine national planning needs. Although TFRs are decreasing, the global population continues to grow as mortality declines, with diverse patterns at the national level and across age groups. To our knowledge, this is the first study to provide transparent and replicable estimates of population and fertility, which can be used to inform decision making and to monitor progress