Effectiveness of Play Therapy Based on Social Cognition in Children With Internalized Behavioral Disorders

Objectives: Internalizing disorders include disorders, such as major depressive disorder, dysthymia, and somatic disorders. In the diagnostic and statistical manual of mental disorders, 5th edition (DSM-5), post-traumatic stress disorder (PTSD) is recognized as a distinct group, but anxiety is a common symptom. This study aimed to investigate the effectiveness of play therapy programs based on social cognition in children with internalized behavioral disorders. Methods: This study was an experimental design with a pre-test, post-test, and follow-up. The subjects were screened based on the inclusion criteria, then 20 children with internalized behavioral disorders were selected after the matching process, and they were randomly assigned to experimental and control groups (10 persons in each group). The intervention program was implemented in 10 sessions over 3 months. In this research, the Achenbach questionnaire (teacher report form) was used to assess students’ behavioral problems. Results: The results showed that play therapy with the social cognition method decreased the behavioral problems in children with the internalizing disorder (P≤0.05).  Discussion: It suggested that this supportive program can be implemented in a community of children with internalizing behavioral disorders

Facilitating and Preventing Factors of Tracheostomy Patient Care by Home Caregivers: A Qualitative Study

Background: The unstable condition of tracheostomy patients and the lack of support resources for patients and their families during discharge is the biggest challenge, especially for their home and non-professional caregivers. The present study aimed to identify the factors affecting the care of tracheostomy patients provided by home caregivers. Materials and Methods: This qualitative research was conducted from September 2018 to December 2019 using the content analysis method and interviews with nine home caregivers and one professional caregiver in Lorestan Province, Iran. The required data were collected by holding in-depth semi-structured interviews and continued until reaching data saturation. Simultaneously, the gathered data were analyzed using the 5-step approach of Graneheim and Lundman (2004). Results: The results led to the extraction of 2 themes of preventing and facilitating care factors, 7 categories, and 21 subcategories. The categories related to the theme (preventing factors) of patient care challenges included neglecting the caring role of informal caregivers by the healthcare system, interaction challenges, the high pressure of caregiving, and lack of trust. The categories related to the facilitating factors theme were the experience of the care facilitating over time, the intensification of care with the aim of prevention, and hope and inner satisfaction underlying the care. Conclusion: The challenges of the family's lack of readiness to accept the new role, the exhausting nature of caregiving, and the caregivers’ lack of skills, and as a result, the imposition of a burden of caregiving, and the emergence of harmful consequences for them in various dimensions, the existence of non-governmental organizations that aim to continue to care for these patients and support their families seems necessary. With support systems and gaining experience over time, the care transition process is facilitated

Optimal Expansion Planning of Distribution System and DG Placement Using BPSO

A new method to solve the single and multi-objective distribution expansion planning problems including DG is investigated in this paper. The sizing and placement of DG as well as the required power of the main grid would be optimized using proposed method to meet the demand. Binary Particle Swarm Optimization (BPSO) algorithm is used to solve the optimization problem for three objective functions: total expansion cost, total voltage deviation, and total system loss. The goal of presented model is to satisfy operational and economic requirements by using DG as an alternative candidate for distribution system planning to avoid or at least reduce the expanding existing substations and upgrading existing feeders. The 30-bus distribution system is used in this work to evaluate the proposed algorithm. The conventional Weighted Aggregation Method is used to solve the multi-objective optimization problem so that further objective functions and constraints can be easily added to the proposed algorithm. Optimization results show that the DG has economical and electrical advantages in comparison with the traditional method

Genetic evaluation of survival and productivity traits in Arman crossbred sheep

Abstract Background: Arman sheep breed was synthesized by crossing several breeds, including Baluchi, Ghezel, Chios, and Suffolk. Objective: To estimate the (co)variance components and genetic parameters using the restricted maximum likelihood via twelve animal models for lamb survival and four animal models for ewe productivity traits. Methods: Data and pedigree information were collected at Abbasabad Sheep Breeding Station, Khorasan Razavi province, north-east of Iran, from 1999 to 2011. The traits studied were lamb survival rate (LSR), litter size at birth (LSB), litter size at weaning (LSW), litter mean weight per lambing (LMWL), litter mean weight per lamb weaned (LMWLW), total litter weight at birth (TLWB), and total litter weight at weaning (TLWW). Moreover, multivariate analyses were performed to estimate covariance between the traits. Results: Direct heritability estimates (h2a) for LSR was 0.081 and increased to 0.253 after correcting. Maternal genetic effects (h2m) and common litter effects (l2) accounted for 4 and 11.3% of the phenotypic variance for LSR, respectively. The estimations of h2a were 0.131, 0.080, 0.111, 0.190, 0.118, and 0.150 for LSB, LSW, LMWL, LMWLW, TLWB, and TLWW, respectively. The estimated fractions of variance -attributed to permanent environmental effects on ewe, (pe2) were 0.038, 0.050, 0.071, 0.060, and 0.050 for LSB, LSW, LMWL, TLWB, and TLWW, respectively. Service sire effects (S2) were significant for LSW, LMWL, and TLWB, being 0.038, 0.030, and 0.049, respectively. Direct genetic correlations showed a vast range from 0.13 for LSB-LMWL to 0.91 for LMWL-TLWW. Conclusion: Results indicate that genetic change not only depends on the heritability of traits, but also on the observed phenotypic variation; therefore, improvement of non-genetic factors should be included in the breeding programs.Resumo Antecedentes: Arman ovelhas foi sintetizado pelo cruzamento de quatro raças incluindo Balúchi, Ghezel, Chios e Suffolk. Objetivo: Estimar os componentes de (co)variância e parâmetros genéticos por máxima verossimilhança restrita através de doze modelos animais para a sobrevivência dos cordeiros e quatro modelos animais para características de produtividade. Métodos: Os dados e as informações de pedigree foram coletadas no Abbāsābād Estação de Criação, província de Khorasan Razavi, nordeste do Irã desde 1999 a 2011. As características estudadas foram a taxa de sobrevivência de cordeiro (LSR), tamanho de leitegada ao nascimento (LSB), tamanho de leitegada ao desmame (LSW), peso médio da leitegada por entrega (LMWL), peso médio da leitegada por cordeiro desmamado (LMWLW), o peso total da leitegada ao nascimento (TLWB) e peso total da leitegada ao desmame (TLWW). Além disso, as análises multivariadas foram realizadas para estimar a covariância entre as características. Resultados: As estimativas de herdabilidade direta (h2 ) para 2a LSR foi 0,081 e aumentada até 0,253 após correcção. Os efeitos genéticos maternos (h m) e os efeitos comuns de leitegada (l2) representaram 4 e 11,3% da variância fenotípica de LSR, respectivamente. Estimativas de 2 foram 0,131, 0,080, 0,111, 0,190, 0,118 e 0,150 para a LSB, LSW, LMWL, LMWLW, TLWB e TLWW, a2 respectivamente. As fracções de variância -atribuídos aos efeitos ambientais permanentes em ovelhas, (pe ) foram 0,038, 0,050, 0,071, 0,060 e 0,050 para a LSB, LSW, LMWL, TLWB e TLWW. Os efeitos de serviço de carneiros (s2) foram significativos para LSW, LMWL e TLWB sendo 0,038, 0,030 e 0,049, respectivamente. As correlações genéticas diretas mostrou uma gama de 0,13-0,91 LSB-LMWL para LMWL-TLWW. Conclusão: Os resultados indicaram que a modificação genética não só depende da hereditariedade de traços, mas também da variação fenotípica observada; portanto, a melhoria dos fatores não-genéticos devem ser incluídos em nos programas de melhoramento.Resumen Antecedentes: Las ovejas Arman fueron sintetizadas a través del cruzamiento de varias razas, incluyendo Baluchi, Ghezel, Chios y Suffolk. Objetivo: Estimar los componentes de (co)varianza y parámetros genéticos por máxima verosimilitud restringida a través de doce modelos animales para la sobrevivencia de los corderos y cuatro modelos para características de productividad. Métodos: Los datos y la información de pedigrí se recogieron en la Estación de Cría Abbasabad, provincia de Khorasan Razavi, noreste de Irán, entre 1999 y 2011. Las características estudiadas fueron la tasa de supervivencia de los corderos (LSR), tamaño de la camada al nacimiento (LSB), tamaño de la camada al destete (LSW), peso promedio de la camada por parto (LMWL), peso promedio de la camada por cordero destetado (LMWLW), peso total de la camada al nacer (TLWB), y peso total de la camada al destete (TLWW). Además, se realizaron análisis multivariados para estimar la covarianza entre los rasgos. Resultados: La estimacion de heredabilidad directa (h2 ) para LSR2a fue 0,081 y aumentó a 0,253 después de la corrección. Los efectos genéticos maternos (h m) y los efectos comunes de la camada (l2) representaron el 4 y el 11,3% de la varianza fenotípica para LSR, respectuvamente. Las estimaciones de h2 fueron 0,131, 0,080, 0,111, 0,190, 0,118 y 0,150 para LSB, LSW, LMWL, LMWLW, TLWB y TLWW, respectivamente. Las fracciones estimadas de varianza -atribuidas a los efectos ambientales permanentes en las ovejas, (pe2) fueron 0,038, 0,050, 0,071, 0,060 y 0,050 para LSB, LSW, LMWL, TLWB y TLWW, respectivamente. Los efectos del servicio de carneros (S2) fueron significativos para LSW, LMWL y TLWB, siendo 0,038, 0,030 y 0,049, respectivamente. Las correlaciones genéticas directas mostraron un amplio rango de 0,13 para LSB-LMWL a 0,91 para LMWL-TLWW. Conclusión: Los resultados indicaron que el cambio genético no sólo depende de la heredabilidad de los caracteres, sino también de la variación fenotípica observada; por lo tanto, el mejoramiento de los factores no genéticos debe ser incluido en las programas de mejora

Genetic evaluation of survival and productivity traits in Arman crossbred sheep

Abstract Background: Arman sheep breed was synthesized by crossing several breeds, including Baluchi, Ghezel, Chios, and Suffolk. Objective: To estimate the (co)variance components and genetic parameters using the restricted maximum likelihood via twelve animal models for lamb survival and four animal models for ewe productivity traits. Methods: Data and pedigree information were collected at Abbasabad Sheep Breeding Station, Khorasan Razavi province, north-east of Iran, from 1999 to 2011. The traits studied were lamb survival rate (LSR), litter size at birth (LSB), litter size at weaning (LSW), litter mean weight per lambing (LMWL), litter mean weight per lamb weaned (LMWLW), total litter weight at birth (TLWB), and total litter weight at weaning (TLWW). Moreover, multivariate analyses were performed to estimate covariance between the traits. Results: Direct heritability estimates (h2a) for LSR was 0.081 and increased to 0.253 after correcting. Maternal genetic effects (h2m) and common litter effects (l2) accounted for 4 and 11.3% of the phenotypic variance for LSR, respectively. The estimations of h2a were 0.131, 0.080, 0.111, 0.190, 0.118, and 0.150 for LSB, LSW, LMWL, LMWLW, TLWB, and TLWW, respectively. The estimated fractions of variance -attributed to permanent environmental effects on ewe, (pe2) were 0.038, 0.050, 0.071, 0.060, and 0.050 for LSB, LSW, LMWL, TLWB, and TLWW, respectively. Service sire effects (S2) were significant for LSW, LMWL, and TLWB, being 0.038, 0.030, and 0.049, respectively. Direct genetic correlations showed a vast range from 0.13 for LSB-LMWL to 0.91 for LMWL-TLWW. Conclusion: Results indicate that genetic change not only depends on the heritability of traits, but also on the observed phenotypic variation; therefore, improvement of non-genetic factors should be included in the breeding programs

Long-term trends of Nitrogen oxides and surface ozone concentrations in Tehran city, 2002–2011

Background and aim: Tropospheric ozone is a problem with multi aspects - hazard to human health, plant, and welfare and a key factor to climate change, air pollution and atmosphere chemistry, as well. Behavior of ozone and nitrogen oxides (NO, and NO2) concentration is highly complex and variable; therefore, their trends as short and long-term were significantly attended. Most of the studies were carried out on the behavior of pollutant concentrations in North America, Europe, and East Asia, but few studies have been conducted in west Asia. The aim of this study was to assess daily changes and long-term trend of ozone and nitrogen oxides concentrations in Tehran city, Iran from March 2002 to September 2011. Material and methods: Data were collected from 18 air quality monitoring stations. The data were sorted as daily mean of 10 years (daily changes) and annual mean for each year (long-term trend). One-sample test was used to assess the statistical significance. Results: Current findings indicated that changes of ozone, NO, and NO2 concentrations are dependent from job shifts and photochemical reactions. Annual mean concentrations of ozone and NO2 were gradually increased, long-term trend of ozone and NO2 concentration indicated. The correlation between long term trend of ozone and NO2 was significant (p < 0.05). Conclusion: The controlling program was the most important factor in long-term concentration of ozone, and nitrogen oxides, but some problems and difficulties were accounted to perform controlling program. © 2015 Motesaddi Zarandi et al

Long-term trends of Nitrogen oxides and surface ozone concentrations in Tehran city, 2002–2011

Background and aim: Tropospheric ozone is a problem with multi aspects - hazard to human health, plant, and welfare and a key factor to climate change, air pollution and atmosphere chemistry, as well. Behavior of ozone and nitrogen oxides (NO, and NO<inf>2</inf>) concentration is highly complex and variable; therefore, their trends as short and long-term were significantly attended. Most of the studies were carried out on the behavior of pollutant concentrations in North America, Europe, and East Asia, but few studies have been conducted in west Asia. The aim of this study was to assess daily changes and long-term trend of ozone and nitrogen oxides concentrations in Tehran city, Iran from March 2002 to September 2011. Material and methods: Data were collected from 18 air quality monitoring stations. The data were sorted as daily mean of 10 years (daily changes) and annual mean for each year (long-term trend). One-sample test was used to assess the statistical significance. Results: Current findings indicated that changes of ozone, NO, and NO<inf>2</inf> concentrations are dependent from job shifts and photochemical reactions. Annual mean concentrations of ozone and NO<inf>2</inf> were gradually increased, long-term trend of ozone and NO<inf>2</inf> concentration indicated. The correlation between long term trend of ozone and NO<inf>2</inf> was significant (p < 0.05). Conclusion: The controlling program was the most important factor in long-term concentration of ozone, and nitrogen oxides, but some problems and difficulties were accounted to perform controlling program. © 2015 Motesaddi Zarandi et al

Diagnostic Accuracy of Ultrasonography for Identification of Elbow Fractures in Children; a Systematic Review and Meta-analysis

Introduction: In spite of the results of previous studies regarding the benefits of ultrasonography for diagnosis of elbow fractures in children, the exact accuracy of this imaging modality is still under debate. Therefore, in this diagnostic systematic review and meta-analysis, we aimed to investigate the accuracy of ultrasonography in this regard. Methods: Two independent reviewers performed systematic search in Web of Science, Embase, PubMed, Cochrane, and Scopus for studies published from inception of these databases to May 2023. Quality assessment of the included studies was performed using Quality Assessment Tool for Diagnostic Accuracy Studies (QUADAS-2). Meta-Disc software version 1.4 and Stata statistical software package version 17.0 were used for statistical analysis. Results: A total of 648 studies with 1000 patients were included in the meta-analysis. The pooled sensitivity and specificity were 0.95 (95% CI: 0.93-0.97) and 0.87 (95% CI: 0.84-0.90), respectively. Pooled positive likelihood ratio (PLR) was 6.71 (95% CI: 3.86-11.67), negative likelihood ratio (NLR) was 0.09 (95% CI: 0.03-0.22), and pooled diagnostic odds ratio (DOR) of ultrasonography in detection of elbow fracture in children was 89.85 (95% CI: 31.56-255.8). The area under the summary receiver operating characteristic (ROC) curve for accuracy of ultrasonography in this regard was 0.93. Egger's and Begg's analyses showed that there is no significant publication bias (P=0.11 and P=0.29, respectively). Conclusion: Our meta-analysis revealed that ultrasonography is a relatively promising diagnostic imaging modality for identification of elbow fractures in children. However, clinicians employing ultrasonography for diagnosis of elbow fractures should be aware that studies included in this meta-analysis had limitations regarding methodological quality and are subject to risk of bias. Future high-quality studies with standardization of ultrasonography examination protocol are required to thoroughly validate ultrasonography for elbow fractures