Reducing symptoms of attention deficit/hyperactivity disorder (ADHD) in elementary students: the effectiveness of neurofeedback.

Introduction and importance: This research was conducted to investigate the effectiveness of neurofeedback on the symptoms of hyperactivity and attention deficit in primary school students with attention deficit/hyperactivity disorder (ADHD) disorder. Case presentation: The present study utilized a randomized clinical trial with pre-test and post-test measurements and included a control group. The research population included all primary school students with ADHD in 2023; 50 of these children were selected as the experimental group based on the accessible sampling method, and 50 were also included in the control group. Neurofeedback treatment sessions for the experimental group were 30 sessions. Research data were collected in three stages: pre-test and post-test, using a questionnaire based on the Conners rating scale from parents. SPSS-25 analyzed the data. Clinical discussion: The results showed that neurofeedback is associated with significant effectiveness in the symptoms of attention deficit disorder and hyperactivity of students (P<0.05). Conclusion: Based on the findings of this research, it can be said that neurofeedback treatment is effective in reducing attention deficit and hyperactivity symptoms of students with ADHD disorder. It is suggested to widely use neurofeedback to reduce the symptoms of attention deficit and hyperactivity disorder.

Redesign and ergonomic assessment of a chest-support baby walker.

BACKGROUND: Parents often use baby walkers (BWs) as assistive devices to improve their infants' independent movement and motor skill acquisition. However, the literature suggests that conventional baby walkers (CBW) may cause delays in an infant's ability to walk independently and musculoskeletal burden on parents. OBJECTIVE: In the current study, a baby walker (RBW) with chest support was redesigned and ergonomically assessed during an infant-walking task. METHODS: The anthropometric dimensions of 90 infants aged 7-11 months were measured in the city of Urmia, northwestern Iran. Following redesigning based on the results from expert panel meetings and prototyping of the RBW, 18 mothers (age: 28.33±4.27 and height: 163.75±5.32 and weight: 59.45±5.99) with their infants (9 boys and 9 girls) performed a simulated infant walking task in two experimental sessions using the CBW and RBW over a repeated measurements design. The infants' feet track patterns, including the number of steps and step distances were assessed via the image analysis of the footprints. The mothers' body posture and lower back spinal load were evaluated using Rapid Upper Limb Assessment (RULA) technique and 3D Static Strength Prediction Program (3DSSPP), respectively. RESULTS: Wilcoxon signed-rank tests showed infants walked more steps with the RBW (p = 0.002). Similarly, the distance between the infants' left heel strike (p = 0.008) and their right and left toe-off (p = 0.03 and 0.02 respectively) was also significantly lower in the RBW use. Additionally, the body posture of mothers was improved (RULA final score from 7 for CBW to 5 for RBW). Moreover, lower back compression and shear forces were reduced significantly (p = 0.002) by the RBW use. CONCLUSION: According to the feet track pattern, infants took more balanced steps when the RBW was used. In addition, mothers were subjected to less pressure on the lumbar region when they placed and lifted their infant from the RBW. However, further work is necessary to investigate potential long-term effects of the RBWs use.

Development of a novel Electrical Industry Safety Risk Index (EISRI) in the electricity power distribution industry based on fuzzy analytic hierarchy process (FAHP).

Many workers are exposed to electrical energy during the fulfillment of their tasks. It is necessary to identify the potential risk factors for electrical damages. The present study aimed to develop a novel Electrical Industry Safety Risk Index (EISRI) in the electricity power distribution industry based on fuzzy analytic hierarchy process (FAHP). In this study several different safety risk assessment methods were analyzed. Then, common activities in the electricity distribution industry were classified into ten occupational groups. To identify the general structure of risk assessment and determine three main components, including personal, environmental, and organizational a three-stage Delphi study was conducted with the participation of 30 experts. The fuzzy analytic hierarchy process approach was used to weight the components and parameters in each job group. Finally, the results of the EISRI were compared with the failure mode and effect analysis (FMEA) method. The most effective component in determining the risk level was the personal component (PC), with a 0.537 weighted average. Cronbach's alpha values for each of the personal, environmental, and organizational components and the entire model were 0.90, 0.85, 0.82, and 0.86, respectively, and model reliability was confirmed. The results obtained from the EISRI method were compared with the FMEA method, the results of both methods were very close to each other (p < 0.05). The results of this study revealed that the highest weighted average was related to the personal component due to the high impact of the human factors in carrying out activities in various occupations. The EISRI can be applied as a substitute for general risk assessment methods due to the suitability of this method with the nature of activities in this industry. The present technique can be a practical step toward developing suitable risk management algorithm.

The effect of CPR educational package on knowledge and performance of nurses working in intensive care units: A review study.

Because nurses are present at the bedside of patients with cardiopulmonary arrest at the earliest opportunity, they should be sufficiently skilled in performing cardiopulmonary resuscitation (CPR). Since 1980s, several studies have been performed on the skill of CPR. These studies showed the effect of the presence of trained people on the outcome of resuscitation, so the results of one of these studies indicated that the presence of a more skilled person can have a dramatic effect on the outcome of resuscitation. Researchers believe that each training leads to learning, but the depth and stability of learning are different in various teaching methods. Recent Studies have examined the effectiveness of various educational programs in creating sustainable learning. One of the most common methods for teaching CPR is the workshop method, which has been used in nursing since 1941. Considering the importance of the subject and the need to study the effect of training courses on the level of knowledge and CPR performance of health care professionals, especially nurses, the present study aimed to review the effect of training package on knowledge and CPR performance of nurses working in intensive care units (ICU). A review of the literature showed that the level of knowledge and performance of nurses about CPR increased significantly after training compared to before training. However, most nurses perform CPR based on old protocols, it is necessary to express these changes during retraining courses. In addition, due to the decrease in the level of knowledge and skills, it is necessary to repeat these courses overtime.

Dosimetry investigation of a prototype of 169Yb seed brachytherapy for use in circular stapler.

This study aims to investigate dosimetry parameters for the new design of 169Yb seed in the form of a surgical staple for circular staplers commonly used in the abdominal incision and the esophageal and gastric surgery, which facilitates the precise placement. This seed includes a titanium tube with the inner diameter and outer diameter 0.68 mm and 2.2 mm, respectively, and length of 0.8 mm. Both sides of the tube are closed by titanium wires with the thickness of 0.65 mm by the laser. Natural ytterbium oxide is used after the thermal neutron activation; it is necessary for cooling time of 40 days. The dosimetry parameters were calculated based on the TG-43U1 using Monte Carlo MCNP5 code. The experimental dosimetry was performed by EBT3 radiochromic film to determine 2D dosimetry at near distance of the source and validate the MC code. The dose rate constant of MC calculation was obtained at 1.39cGyh-1U-1 ± 4% with the difference of 5% compared to another study. The dose distribution was symmetrical along the Z-axis and Y-axis (around the seed) and there was a uniform activity inside the tube. The distinction of dose rate was not noticeable at the 90 and 270 degrees on the Z-axis, which indicated a slight effect on staple legs in the matter of delivery dose. However, to understand dose distribution and introduce this source in a pre-clinical study, 3D dosimetry as well as further studying the heterogeneous function is required.