Effects of a Spiritual Care Program on Body Image and Resilience in Patients with Second-Degree Burns in Iran.

This research was conducted with the aim of investigating the effect of a spiritual care program (SCP), on the body image and resilience of second-degree burn patients in Iran. In this semi-experimental study, 60 patients with second-degree burns were selected in the Tehran Mottahari Burns Hospital, Iran in 2022. These patients were divided through random allocation into two intervention and control groups. The patients of both groups filled out Beck's self-esteem Test (BSCT) and Connor-Davidson Resilience Scale (CD-RISC) before, immediately, and 3 months after the intervention. In the intervention group, SCP was performed for eight sessions over two weeks. Firstly, the 4D Model of Spiritual Health and Well-Being was examined, then two one-hour sessions were held with each patient about each dimension, with a total of four dimensions including eight sessions, in which these dimensions were examined and discussed. There was no difference in the score of body image (P = 0.326) and resilience (P = 0.597) before intervention in the control and intervention groups. However, the mean of body image score in the intervention group immediately (109.56 ± 4.86) and 3 months after (109.16 ± 6.06) the intervention was significant, respectively. Also, the mean of resilience score in the intervention group was significant immediately (85.86 ± 6.78) and 3 months after the intervention (85.73 ± 6.27). It is suggested for healthcare providers to use the SCPs to reduce the recovery time of burned patients and reduce complications and treatment costs.

A spatiotemporal study on contamination and bioaccumulation of heavy metals in sediment and cyprinid fish (Capoeta razii) from Telar River, Iran.

The concentrations of heavy metals (Cr, Cd, Ni, and Pb) were investigated in sediment and cyprinid fish (Capoeta razii) from Telar River, Iran in spring, summer, and autumn. Mean concentration of metals in fish and sediment over the seasonal sampling was as follows: Cr > Ni > Pb > Cd. Metal deposition in sediment was higher than their bioaccumulation in fish tissue. Unlike sedimentary metals, the tissue-content of Pb and Cr varied seasonally. Enrichment Factor (EF) values of Cr and Ni showed partial enrichment, implicating the role of anthropogenic inputs, while Pb was derived from natural weathering. When considering Pollution Load Index (PLI), an uneven temporal and spatial distribution of contamination was observed in sediment with moderate contamination level in spring and summer and no pollution in autumn. Tissue-contents of Pb, Cr, and Cd were below permissible limits while a higher risk level of Ni was noted for human consumption.

Comparison of Frozen and Permanent Section Diagnosis in Ovarian Neoplasms: Analysis of Factors Affecting Accuracy.

Ovarian cancer is the seventh most common form of cancer among women worldwide. The aim of the study was to determine the accuracy of a frozen section and the factors affecting the accuracy of frozen diagnosis of ovarian neoplasms. This retrospective, cross-sectional study was conducted on 401 patients with ovarian masses with frozen section diagnosis in Shahid Faghihi Hospital affiliated to Shiraz University of Medical Sciences between 2014 and 2018. Each ovarian tumor sample was evaluated for histopathologic diagnosis using frozen and paraffin-embedded sections, which were reviewed by an expert gynecologic pathologist. Accuracy and diagnostic values were estimated by comparing the results of the 2 techniques, using the paraffin section as the gold standard. The overall accuracy of the frozen section was 94.5%. Its sensitivity was 85.3% for malignant, 88.2% for borderline, and 99.6% for benign tumors. Its specificity was also 99.7% for malignant, 98.0% for borderline, and 90.9% for benign tumors. The positive predictive value was 98.9% for malignant, 86.5% for borderline, and 94.6% for benign tumors. Most false negatives occurred in mucinous and borderline tumors. The sensitivity of malignant tumors of germ cell and sex cord-stromal cell types were 64.3% and 95.5%, respectively. The specificity of germ cell and sex-cord stromal tumors were 100% and 93.8%, respectively. Frozen section seems to be a precise technique for histopathologic diagnosis of ovarian tumors. However, borderline and mucinous tumors are the most problematic issues during frozen section diagnosis and malignant germ cell tumors have the lowest sensitivity.

Biogenic silica, eutrophication risk and different forms of phosphorus in surface sediments of Anzali wetland, Caspian Sea.

This investigation aimed to determine the contents of biogenic SiO2 and different phosphorus forms (P) and to evaluate phosphorus ecological risk in surface sediment of Anzali wetland. According to the results, biogenic SiO2 ranged from 0.29 to 3.04%. Also, the average biogenic SiO2 at all studied stations was 1.36 ± 0.83%. Results indicated that total P (TP) was between 493 and 771 ppm, averaged 637.20 ± 79.41 ppm. Moreover, inorganic P (INTP) ranged from 256.63 to 376.89 ppm and composed 51.46 ± 4.68% of total P. The percentage of P-forms was in descending order: residual-P > Fe-P > Ca-P > Al-P > labile-P. Phosphorus pollution index (PPI) ranged from 0.82 to 1.29, with an average of 1.06 in the sediment of the Anzali wetland. The Sediment P saturation (SPS) values varied considerably from 40.96 to 83.57, with an average SPS value of 49.1. Based on the eutrophication risk index, all stations except one had a low eutrophication risk index.

Long-term Results of Endoscopic Balloon Dilatation for Gastric Outlet Obstruction Caused by Peptic Ulcer Disease.

BACKGROUND Gastric outlet obstructions (GOO) is a disabling complication of peptic ulcer disease (PUD). The introduction of endoscopic through the scope balloon dilatation (EBD) has eased the management but there are few reports on the long term results of this modality of treatment on patients' symptoms. METHODS Over a period of 4 years from January 2012 to December 2015 in two major referral hospitals affiliated to Shiraz university, medical endoscopy reports were reviewed retrospectively to identify those who received EBD for the treatment of GOO due to PUD .All of these patients were recalled and their current status were evaluated. RESULTS 22 consecutive patients with symptomatic GOO secondary to benign stricture underwent endoscopic balloon dilatation by a single operator. Of them, 14 had balloon dilatation twice and 6 had ballooning three times. The interval between the first referral and the last follow-up was 25.2 ± 10.3 (min: 4.8 max:43.4) months. The averages of maximum balloon size were 14.4 ± 5 mm in the first session, 14.3 ± 3.1mm in the second session, and 16 ± 2.4 mm in the third session. 73% of the patients had a significant improvement in clinical symptom with two sessions of EBD and did not require repeat dilatation. CONCLUSION EBD is a safe and efficient method in the management of GOO with good long term results.

Bioavailability and geochemical speciation of phosphorus in surface sediments of the Southern Caspian Sea.

The purpose of this study was to quantify phosphorus bioavailability and various forms of this element in surface sediments of the southern Caspian Sea. To do, sediment samples were collected from different depths in autumn 2015 using a Van Veen Grab. Phosphorus forms were recognized by a sequential extraction procedure (SEDEX). Results revealed that the range of total phosphorus (TP) was between 431ppm and 594ppm with a mean value of 535.25±45.05ppm. Organic phosphorus (OP) ranged from 62 to 99ppm and contributed 14.85±2.21% of total phosphorus in average. The contents of loosely phosphorus, iron-bound phosphorus, authigenic phosphorus and detrital phosphorus varied 35-55ppm, 50-94ppm, 125-189ppm and 152-217ppm, respectively. Generally, inorganic phosphorus (IP) was between 365 and 522ppm which comprised 81.9-88.53% of total phosphorus. Findings showed levels of different phosphorus forms in a descending order: detrital P>Authigenic P>Organic P>Fe-P>Loosely P. Bioavailable phosphorus concentration was between 153ppm and 240ppm and consisted 37.21±3% of total phosphorus. Based on molar ratio of TOC/OP, organic matter obtained from the studied stations suggested a terrestrial origin.