Effect of a Family-Oriented Communication Skills Training Program on Depression, Anxiety, and Stress in Older Adults: A Randomized Clinical Trial

Background: Older adults face several physical and psychological problems such as hearing loss, vision loss, and memory loss, which diminish the quality of their communication. Poor communication in turn affects their psychological wellbeing and induces substantial depression, anxiety, and stress. The family has an important role in the mental health of older adults. Objectives: This study aimed to investigate the effect of a family-oriented communication skills training program on depression, anxiety, and stress in older adults. Patients and Methods: For this randomized controlled clinical trial, we enrolled 64 older adults from two healthcare centers affiliated to the Isfahan University of Medical Sciences. The subjects were randomly allocated to an experimental group (n = 32) and a control group (n = 32). In the experimental group, older adults along with their primary caregiver participated in six sessions of communication skill education. The control group participated in two training sessions on nutrition and exercise. All participants answered the DASS21 questionnaire three times—at the start of the study, at the end of the sixth week, and a month after the last educational session of the experimental group. Data were analyzed using chi-square, Fisher’s exact and t tests and by repeated measures analysis of variance (ANOVA). Results: In the experimental group, the mean depression score significantly reduced from 10.56 ± 3.34 before intervention to 7.46 ± 2.80 and 6.30 ± 2.75 after intervention and at follow-up, respectively; the mean anxiety score significantly reduced from 8.46 ± 1.88 before intervention to 5.83 ± 1.93 and 5.80 ± 2.12 after intervention and at follow-up, respectively; and the mean stress score significantly decreased from 11.40 ± 4.53 before intervention to 8.90 ± 3.81 and 8.43 ± 3.31 after intervention and at follow-up, respectively (P < 0.05 for all three domains). In contrast, the control group did not show any significant change in the mean depression, anxiety, and stress scores. Conclusions: Family-oriented education on communication skills could reduce depression, anxiety, and stress in the elderly. Therefore, such programs should be adopted as a non-pharmacological and cost-effective method for reducing depression, anxiety, and stress in older adults

Effect of massage therapy on children with asthma

Objective: Asthma is the most common chronic illness in childhood and despite significant improvements for disease control and development of many different drugs, its prevalence is increasing worldwide. Recently, the use of complementary and alternative medicine (CAM) in treatment of many diseases is increasing. The aim of this study was to investigate the effect of massage therapy on children with asthma. Material & Methods: In this work, 44 asthmatic children aged 5 to 14 years were studied in the allergy and asthma clinic. The samples were chosen randomly divided into two groups. The first group received massage therapy the second group received routine therapy and care (control group). Parents in the massage group were instructed and asked to conduct a 20 minutes child massage every night at bedtime for one month. The massage involved stroking and kneading motions in face, head, neck, shoulders, arms, hands, legs, feet and back. Data was collected through interview and spirometry measurements. The control group received only standard asthma therapy for one month. A spirometry along with exercise was done in both groups at baseline. A one month ambulatory observation followed. Descriptive and inferential statistics were used to analyze the findings. Findings. There was a statistically significant difference in mean spirometric indexes in massage group at baseline and after one month follow up forced vital capacity (FVC) with (P=0.05) Forced expiratory volume in 1 second (FEV1) with (P=0.02) and FEV1 after exercise with (P= 0.0005). Indeed; there is significant difference between mean changes of FVC (2-1) with (P=0.05) and FEV1 (2-1) in two groups with (P=0.04). Conclusion: According to the obtained results, daily massage can improve airway tonicity, decrease airway sensitivity, and better control of asthma. Applying this method can decline the use of non reasonable drugs and can be considered as a complementary method to pharmaceutical methods

Designing a model of professional ethics excellence for clinical librarians

Objective: Developing and promoting professional ethics principles for clinical librarians can help the health care system balance the interests of all stakeholders, including clinical librarians, health care professionals, and patients. Therefore, the goal of this study was to design a model of professional ethics excellence for clinical librarians. Methods: The authors conducted a descriptive applied study using literature review and the delphi method. The delphi panel included eleven experts in medical librarianship, library and information sciences, or information sciences and knowledge studies. Results: After the delphi rounds, five concepts and forty-six components were identified and confirmed to provide a model of professional ethics excellence for clinical librarians. The highest-rated concept was excellence in communication. The highest-rated component was mastery in developing search strategies in information resources and databases. Conclusions: Identifying and applying principles of professional ethics among clinical librarians can enhance the professionalization of clinical librarians and result in better information services for physicians. Furthermore, incorporating these principles into the curriculum for health sciences library and information sciences students or into workshops for active clinical librarians can further formalize the profession and practice of evidence-based medicine. © 2020, Medical Library Association. All rights reserved

Optimum design of reinforced concrete retaining walls with the flower pollination algorithm

The flower pollination algorithm (FPA) is anefficient metaheuristicoptimizationalgorithm mimickingthe pollinationprocessof flowering species. In this study, FPA is applied, for first time, to the optimum design of reinforced concrete (RC) cantilever retaining walls. It is foundthat FPA offers important savings with respect to conventional design approachesand that it outperformsgenetic algorithm (GA)andthe particle swarm optimization (PSO) algorithm in this designproblem.Furthermore, parameter tuning reveals that the best FPA performance is achieved for switch probability values ranging between 0.4 and 0.7, a population size of 20 individualsand aLévy flightstep sizescale factor of 0.5. Finally, parametric optimum designs show that theoptimumcost of RC retaining walls increases rapidly with the wallheight and smoothly with the magnitude of surcharge loadin

Iranian joint registry (iranian national hip and knee arthroplasty registry)

Periodic evaluation and monitoring the health and economic outcome of joint replacement surgery is a common and popular process under the territory of joint registries in many countries. In this article we introduce the methodology used for the foundation of the National Iranian Joint Registry (IJR) with a joint collaboration of the Social Security Organization (SSO) and academic research departments considering the requirements of the Iran's Ministry of Health and Education. ©BY THE ARCHIVES OF BONE AND JOINT SURGERY

Shear behavior of sand-expanded polystyrene beads lightweight fills

Through direct shear and triaxial compression tests, effects of expanded polystyrene (EPS) mass ratios in sand-EPS mixtures and stress status on materials’ shear behavior were investigated. Hyperbolic curves were used to fit relationship between shear stress and shear displacement. The shear behavior is marginally associated with the EPS ratios and normal/confining stresses. Increases of EPS ratios and decreases of normal/confining stresses result in shear strength decreases. The shapes of Mohr-Coulomb’s envelope include linear and piecewise linear types, which are basically determined by the EPS ratio. Such difference is thought related to the embedding or apparent cohesion effect under relatively high EPS ratio conditions. Shear strength parameters can be used for further modeling and design purposes.DENG An (邓 安), XIAO Yang (肖 杨

Iranian joint registry (iranian national hip and knee arthroplasty registry)

Periodic evaluation and monitoring the health and economic outcome of joint replacement surgery is a common and popular process under the territory of joint registries in many countries. In this article we introduce the methodology used for the foundation of the National Iranian Joint Registry (IJR) with a joint collaboration of the Social Security Organization (SSO) and academic research departments considering the requirements of the Iran's Ministry of Health and Education. ©BY THE ARCHIVES OF BONE AND JOINT SURGERY