A systematic review of variables used to assess clinically acceptable alignment of unilateral transtibial amputees in the literature.

Prosthetic alignment is a subjective concept which lacks reliability. The outcome responsiveness to prosthetic alignment quality could help to improve subjective and instrument assisted prosthetic alignment. This study was aimed to review variables used to assess clinically acceptable alignment in the literature. The search was done in some databases including: Google Scholar, PubMed, EBSCO, EMBASE, ISI Web of Knowledge and Scopus. The first selection criterion was based on abstracts and titles to address the research questions of interest. The American Academy of Orthotics and Prosthetics checklists were used for paper risk of bias assessment. A total of 25 studies were included in this study. Twenty-four studies revealed the critics of standing position or walking to locate clinically acceptable alignment, only one study measured outcomes in both situations. A total of 253 adults with transtibial amputations and mean age of 48.71 years participated in included studies. The confidence level of included studies was low to moderate, and before-after trial was the most common study design (n = 19). The joint angle, load line location with respect to joints and center of pressure-related parameters were reported as sensitive outcomes to prosthetic alignment quality in standing posture. The amount of forces at various parts of gait cycle and time of events were sensitive to prosthetic alignment quality during walking. Standing balance and posture and temporal parameters of walking could help to locate clinically acceptable alignment.N/

The Relationship of Emotional Intelligence and Social Skills With Psychological Well-being in the Elderly

Objectives Elderly People experience feelings of loneliness and isolation which is due to lack of social and emotional skills. Hence, we aimed to examine the relationship between emotional intelligence and social skills with psychological well-being in the elderly. Methods & Materials In this cross-sectional study, 210 elderly of Tehran City were enrolled using convenient sampling method. They completed Emotional Intelligence Inventory, Social Skill Inventory and Psychological Well-Being Inventory. Data were analyzed using Pearson and Canonical Correlation.  Results Results indicated that components of emotional intelligence and social skills were positive predictors of psychological well-being in elderly. Canonical correlation analysis showed that four fundamental variables are needed to understand the relationships between the set of criterion and predicate variables. Fundamental coefficients for the first four dimension were 0.85, 0.58, 0.45 and 0.31 (P<0.005). Conclusion Lack of social skills and emotional intelligence are associated with low psychological well-being in elderly. So, training programs for improving these skills in the elderly are recommended

Qualitative study of divorced women\'s experiences of the consequences of divorce (case study: divorced women in behbahan)

Background: Post-divorce consequences is a context-based phenomenon and in every community it is affected by the personal, social and cultural factors of that community. A number of studies have been carried out on the consequences of divorce over the world, but there is a reaearch gap on its consequences for divorced women, espicially in small and traditional citiez in Iran. Aims: The purpose of this study is qualitative study of the experiences of divorced women in Behbahan of the consequences of divorce. Methods: The present study is the result of a qualitative study and a semi-structured interview with 13 divorced women in Behbahan, who were selected using purposive sampling method. The data collection method was semi-structured interview and these interviews continued until theoretical saturation. The thematic analysis method (Braun & Clarke, 2006), were selected in order to analyze the data. Results: Data analysis showed 210 codes in 4 main themes (Socio-cultural, Psychological, Personal consequences, Economic consequences) and 15 sub-themes (mposing society's perceptions on divorced women, social stigma, greed, reconnection, relationships with friends and relatives, the role of family, conflicting emotions, emotional thoughts, lack of life skills, communication with children, meta-parenting, crisis of residence, seeking of psychological help, behavioral measures and economic insecurity). Conclusion: Divorce for women is a cycle of vulnerability and individual and social consequences that lead them to use protective mechanisms such as isolation, secrecy and aggression in interpersonal relationships to try to adapt to new circumstances