Comparison of quality and type of sleep disorders in good control and uncontroled diabetic type2 patients

Background and aims: Evidence from laboratory and epidemiologic studies has showed that sleep duration and its quality relate with diabetes and may increase diabetes risk. Sleep disorders in Chronic diseases are prevalent. This study was aimed to compare sleep quality and disorders among patients with controled and uncontroled diabetes mellitus and relationship between metabolic controls of glucose and sleep. Methods: In this case control study160 Type 2 diabetic mellitus patients referred to the Qom and Arak diabete center were selected and according to Glycemic control was assessed by hemoglobin A1c (HbA1c) level divided in to groups with good control (n=65) and uncontroled control (n=95). Data were collected using Pittsburgh sleep quality index (PSQI) and DSM-IV-TR schedule and analyzed using chi-square, logestic regression and t-test. Results: In the currentr study, sleep duration and quality were in significant linear corolation with HbA1c level, a key marker of glycemic control and in general, major sleeping disorders in uncontroled diabetes were dissomnia. Conclusion: According to the importance rule of good glycemic control in type 2 diabetic mellitus patients, adjustment of related factors is important. Life style is one of the most important effective factor for care of diabetic patients. Sleep and rest are the most important components of human life, and for glysemic control. So, optimizing sleep duration and quality and identifying and treatment of sleep disorders should be considered as an intervention to improve glucose control in patients with type 2 diabetes. In the other hand, patients with good glycemic control have beter sleep and beter sleep quality

Reading Through Emotions: An Affective Narratolological Approach to Alice Munro's Short Stories

The emergence of fields of study like emotionology, affective narratology, and psychonarratology in recent decades evidences a dramatic rise in research done on the meaning and interpretation of emotions. Affective Narratology as one of the recent fields in emotion studies attempts to identify and account for the figuration of emotions in works of literature. Focusing on three basic emotions (shame, jealousy and love) figuring in Alice Munro’s selected short stories this paper probes the significance of emotional registers in the writer's depiction of daily life. Examined is the way the stories' sincere tone and their comprehensible, ordinary language, contribute to the emotional identification of readers with characters. Applying affective narratological theories, the objective is to show how emotions contribute to plot development and characterization in these stories. Central to the analysis is interpreting emotional moments experienced by characters, especially female character

Atlantic Ocean Variability and European Alps Winter Precipitation

Winter precipitation (snowpack) in the European Alps provides a critical source of freshwater to major river basins such as the Danube, Rhine, and Po. Previous research identified Atlantic Ocean variability and hydrologic responses in the European Alps. The research presented here evaluates Atlantic Sea Surface Temperatures (SSTs) and European Alps winter precipitation variability using Singular Value Decomposition. Regions in the north and mid-Atlantic from the SSTs were identified as being tele-connected with winter precipitation in the European Alps. Indices were generated for these Atlantic SST regions to use in prediction of precipitation. Regression and non-parametric models were developed using the indices as predictors and winter precipitation as the predictand for twenty-one alpine precipitation stations in Austria, Germany, and Italy. The proposed framework identified three regions in the European Alps in which model skill ranged from excellent (West Region–Po River Basin), to good (East Region) to poor (Central Region). A novel approach for forecasting future winter precipitation utilizing future projections of Atlantic SSTs predicts increased winter precipitation until ~2040, followed by decreased winter precipitation until ~2070, and then followed by increasing winter precipitation until ~2100

Examining the Effects of Mindfulness-Acceptance-Commitment Training on Self-Compassion and Grit among Elite Female Athletes

Background: Mindfulness-based interventions are well-established in the field of psychotherapy, and such interventions have also gained increased attention in the field of sport psychology, either to cope with psychological pressure or to improve an athlete’s performance. The goal of the present study was to examine whether a Mindfulness–Acceptance–Commitment (MAC) program could increase self-compassion and grit among elite female athletes compared to an active control condition. To this end, we performed a randomized trial among female adult athletes. Methods: Forty female adult athletes (M(age) = 22.22, SD = 2.40) were randomly assigned either to the Mindfulness–Acceptance–Commitment group (n = 20; 7 group sessions, 60 min each) or the active control group (n = 20; 7 group sessions, 60 min each). At baseline, seven weeks later at the end of the study and again four weeks later at follow-up, participants completed a series of self-rating questionnaires on mindfulness, self-compassion and grit. Results: Dimensions of mindfulness, self-compassion and grit improved over time, but more so in the Mindfulness–Acceptance–Commitment condition compared to the active control condition. Improvements remained stable from the study end to follow-up. Conclusions: While the active control condition improved dimensions of mindfulness, self-compassion and grit among female adult athletes, improvements were much stronger in the Mindfulness–Acceptance–Commitment condition. Importantly, improvements in the Mindfulness–Acceptance–Commitment condition remained stable over a time lapse of four weeks at follow-up after study completion, suggesting that the Mindfulness–Acceptance–Commitment intervention appeared to improve cognitive–emotional learning processes

Reasons of cigarette smoking among the girl students in Kurdistan University of Medical Sciences, Iran

BACKGROUND: Smoking has been a public health problem in the world. In fact, it has been mentioned as a preventable factor of death and diseases. So, the goal of doing this research was to determine the frequency of smoking tendency and its correlate factors among the girl students in Kurdistan University of Medical Sciences, Iran.METHODS: This was a descriptive cross-sectional study using simple random sampling method. Data collection instruments were confirmed questionnaires. The statistical population included all the girl students in Kurdistan University of Medical Sciences. The data were analyzed using SPSS software.RESULTS: The prevalence of smoking cigarette among the girl students in Kurdistan University of Medical Sciences was 1.8%, as well as 2.2% for hookah consumption. Considering the relationship between smoking and residence situation, 22.1% of native students and 24.8% of alien students had experienced smoking.CONCLUSION: Results of this study showed a low prevalence of smoking (1.8%) among the girl students in Kurdistan University of Medical Sciences

Perception of Religious “Other” and the Quality of Its Narration in the Cultural Context of Iran

Human cultural vision in religious rituals and ceremonies of different religions, denominations and sects is of such a difference that this difference sometimes puts them in complete contradiction with each other. Apparently, every religion speaks of the eternal principles that must be followed by that religion’s followers and seeks to raise reasons of the veracity of its own claims as well as the refutation of the claims of other religions in order to prove its own supremacy in the face of the inferiority of the other religions. Today, man needs to have an interpretation and perspective of these diversities and to offer a judgement of their veracity, rightness or deviance may it make the best choice in rational terms. Referring to the ideas of thinkers is one of the methods that can help the humans to identify or mitigate these challenges. Thus, this study aims at assaying the perception of religious other from the point of view of the human scientists. The approach of this research is based on the qualitative method focusing on thematic analysis, data collection through semi-structured interviews as well as the analysis of the findings based on the stages of the thematic analysis. The research field is constituted by the professors of the universities of Tehran city. Sampling process continued in a purposeful manner among the professors of philosophy and sociology up to 8 cases until the theoretical saturation. The results of the research show that religious other within Iranian cultural context includes eight sub themes: Sunni, Zoroastrians, Christians, Jews, Mandaeans, Yarsans, Derwishes and Baha’is

Decomposing socioeconomic inequality in poor mental health among Iranian adult population: results from the PERSIAN cohort study

Background Socioeconomic inequality in mental health in Iran is poorly understood. This study aimed to assess socioeconomic inequality in poor mental health among Iranian adults. Methods The study used the baseline data of PERSIAN cohort study including 131,813 participants from 17 geographically distinct areas of Iran. The Erreygers Concentration index (E) was used to quantify the socioeconomic inequalities in poor mental health. Moreover, we decomposed the E to identify factors contributing to the observed socioeconomic inequality in poor mental health in Iran. Results The estimated E for poor mental health was - 0.012 (95% CI: - 0.0144, - 0.0089), indicating slightly higher concentration of mental health problem among socioeconomically disadvantaged adults in Iran. Socioeconomic inequality in poor mental health was mainly explained by gender (19.93%) and age (12.70%). Region, SES itself, and physical activity were other important factors that contributed to the concentration of poor mental health among adults with low socioeconomic status. Conclusion There exists nearly equitable distribution in poor mental health among Iranian adults, but with important variations by gender, SES, and geography. These results suggested that interventional programs in Iran should focus on should focus more on socioeconomically disadvantaged people as a whole, with particular attention to the needs of women and those living in more socially disadvantaged regions. Keywords:Mental health; Socioeconomic inequality; Concentration index; Decompositio

Prevalence and predictors of low back pain among the Iranian population: Results from the Persian cohort study

Background and objectives: Low back pain (LBP) is a common health condition in populations. Limited large-scale population-based studies evaluated the prevalence and predictors of LBP in developing countries. This study aimed to evaluate the prevalence and factors associated with LBP among the Iranian population. Methods: We used baseline information from the Prospective Epidemiological Research Studies in Iran (PERSIAN), including individuals from 16 provinces of Iran. LBP was defined as the history of back pain interfering with daily activities for more than one week during an individual's lifetime. Various factors hypothesized to affect LBP, such as age, sex, marital status, educational status, ethnicity, living area, employment status, history of smoking, body mass index (BMI), physical activity, sleep duration, wealth score, history of joint pain, and history of morning stiffness in the joints were evaluated. Results: In total, 163770 Iranians with a mean age of 49.37 (SD = 9.15) were included in this study, 44.8% of whom were male. The prevalence of LBP was 25.2% among participants. After adjusting for confounders, the female gender [OR:1.244(1.02-1.50)], middle and older ages [OR:1.23(1.10-1.33) and OR:1.13(1.07-1.42), respectively], being overweight or obese [OR:1.13(1.07-1.19) and OR:1.21(1.16-1.27), respectively], former and current smokers (OR:1.25(1.16-1.36) and OR:1.28(1.17-1.39), respectively], low physical activity [OR:1.07 (1.01-1.14)], and short sleep duration [OR: 1.09(1.02-1.17)] were significantly associated with LBP. Conclusion: In this large-scale study, we found the lifetime prevalence of LBP to be lower among the Iranian population in comparison to the global prevalence of LBP; further studies are warranted to evaluate the causality of risk factors on LBP

Estimates, trends, and drivers of the global burden of type 2 diabetes attributable to PM2.5 air pollution, 1990-2019 : an analysis of data from the Global Burden of Disease Study 2019

Background Experimental and epidemiological studies indicate an association between exposure to particulate matter (PM) air pollution and increased risk of type 2 diabetes. In view of the high and increasing prevalence of diabetes, we aimed to quantify the burden of type 2 diabetes attributable to PM2.5 originating from ambient and household air pollution.Methods We systematically compiled all relevant cohort and case-control studies assessing the effect of exposure to household and ambient fine particulate matter (PM2.5) air pollution on type 2 diabetes incidence and mortality. We derived an exposure-response curve from the extracted relative risk estimates using the MR-BRT (meta-regression-Bayesian, regularised, trimmed) tool. The estimated curve was linked to ambient and household PM2.5 exposures from the Global Burden of Diseases, Injuries, and Risk Factors Study 2019, and estimates of the attributable burden (population attributable fractions and rates per 100 000 population of deaths and disability-adjusted life-years) for 204 countries from 1990 to 2019 were calculated. We also assessed the role of changes in exposure, population size, age, and type 2 diabetes incidence in the observed trend in PM2.5-attributable type 2 diabetes burden. All estimates are presented with 95% uncertainty intervals.Findings In 2019, approximately a fifth of the global burden of type 2 diabetes was attributable to PM2.5 exposure, with an estimated 3.78 (95% uncertainty interval 2.68-4.83) deaths per 100 000 population and 167 (117-223) disability-adjusted life-years (DALYs) per 100 000 population. Approximately 13.4% (9.49-17.5) of deaths and 13.6% (9.73-17.9) of DALYs due to type 2 diabetes were contributed by ambient PM2.5, and 6.50% (4.22-9.53) of deaths and 5.92% (3.81-8.64) of DALYs by household air pollution. High burdens, in terms of numbers as well as rates, were estimated in Asia, sub-Saharan Africa, and South America. Since 1990, the attributable burden has increased by 50%, driven largely by population growth and ageing. Globally, the impact of reductions in household air pollution was largely offset by increased ambient PM2.5.Interpretation Air pollution is a major risk factor for diabetes. We estimated that about a fifth of the global burden of type 2 diabetes is attributable PM2.5 pollution. Air pollution mitigation therefore might have an essential role in reducing the global disease burden resulting from type 2 diabetes. Copyright (C) 2022 The Author(s). Published by Elsevier Ltd.Peer reviewe

Estimates, trends, and drivers of the global burden of type 2 diabetes attributable to PM2.5 air pollution, 1990-2019 : An analysis of data from the Global Burden of Disease Study 2019

Background Experimental and epidemiological studies indicate an association between exposure to particulate matter (PM) air pollution and increased risk of type 2 diabetes. In view of the high and increasing prevalence of diabetes, we aimed to quantify the burden of type 2 diabetes attributable to PM2·5 originating from ambient and household air pollution. Methods We systematically compiled all relevant cohort and case-control studies assessing the effect of exposure to household and ambient fine particulate matter (PM2·5) air pollution on type 2 diabetes incidence and mortality. We derived an exposure–response curve from the extracted relative risk estimates using the MR-BRT (meta-regression—Bayesian, regularised, trimmed) tool. The estimated curve was linked to ambient and household PM2·5 exposures from the Global Burden of Diseases, Injuries, and Risk Factors Study 2019, and estimates of the attributable burden (population attributable fractions and rates per 100 000 population of deaths and disability-adjusted life-years) for 204 countries from 1990 to 2019 were calculated. We also assessed the role of changes in exposure, population size, age, and type 2 diabetes incidence in the observed trend in PM2·5-attributable type 2 diabetes burden. All estimates are presented with 95% uncertainty intervals. Findings In 2019, approximately a fifth of the global burden of type 2 diabetes was attributable to PM2·5 exposure, with an estimated 3·78 (95% uncertainty interval 2·68–4·83) deaths per 100 000 population and 167 (117–223) disability-adjusted life-years (DALYs) per 100 000 population. Approximately 13·4% (9·49–17·5) of deaths and 13·6% (9·73–17·9) of DALYs due to type 2 diabetes were contributed by ambient PM2·5, and 6·50% (4·22–9·53) of deaths and 5·92% (3·81–8·64) of DALYs by household air pollution. High burdens, in terms of numbers as well as rates, were estimated in Asia, sub-Saharan Africa, and South America. Since 1990, the attributable burden has increased by 50%, driven largely by population growth and ageing. Globally, the impact of reductions in household air pollution was largely offset by increased ambient PM2·5. Interpretation Air pollution is a major risk factor for diabetes. We estimated that about a fifth of the global burden of type 2 diabetes is attributable PM2·5 pollution. Air pollution mitigation therefore might have an essential role in reducing the global disease burden resulting from type 2 diabetes