Southeastern Iran Research Articles

The effect of a training program on the self-care efficacy of hemodialysis patients with mineral and bone disorders: A quasi-experimental study.

Patients who have chronic kidney disease (CKD) and mineral and bone disorders (MBD) often do not know much about their diseases. A training program can help them improve their quality of life. This study aimed to assess the effect of a training program on the self-care efficacy of the hemodialysis patients with MBDs in southeastern Iran. We conducted a quasi-experimental study involving 49 patients with CKD-MBD in southeastern Iran in 2021. The patients were randomly assigned to either the control or intervention group. The intervention group received 12 self-care training sessions delivered through WhatsApp, whereas the control group received routine information. We administered CKD-MBD knowledge and behavior questionnaires of the intervention, and measured laboratory parameters before and 1 month after the intervention. The data were analyzed by SPSS15 with descriptive and analytical statistics. Paired t test, independent t, analysis of covariance, and Mann-Whitney U tests were using for data analysis. The mean knowledge scores of the control group were 4.78 ± 1.78 and 6.22 ± 2.11 before and after the intervention, respectively (p = 0.200), whereas the mean knowledge scores of the intervention group were 6.08 ± 2.24 and 22.23 ± 4.55 before and after the intervention, respectively (p = 0.001). The mean behavior scores of the control and intervention groups were 75.61 ± 7.13 and 73.85 ± 7.49 before the intervention, respectively (p = 0.070), but they received the mean scores of 78.87 ± 5.58 and 82.50 ± 5.35 after the intervention, respectively (p = 0.001). The result showed a significant increase in the mean knowledge and behavior scores after the intervention. The researchers found no significant difference in the mean scores of the laboratory parameters between them before and after the intervention (p = 0.090); therefore, the intervention could not affect the laboratory parameters. To sum up, the study found that the training program improved the knowledge and behavior of hemodialysis patients with MBD. WhatsApp was a good and cheap way to teach them self-care, and it helped them do it better. These results implied that this training program could help the patients have a better quality of life.

Hospital challenges and managerial approaches to combat COVID-19 outbreak: a qualitative study in southeastern Iran

BackgroundDuring the covid-19 pandemic, hospitals have faced several challenges, so they need to identify and address effective management strategies to cope with these challenges that enhance their current knowledge to deal with similar challenges in the future. This study aimed to identify managerial strategies for dealing with Covid-19 pandemic challenges at a hospital in southeastern Iran.MethodsThis qualitative content analysis study used purposive sampling to select eight managers, three nurses, and one worker from Shahid Bahonar Hospital. In this study, semi-structured interviews were used to collect data and Lundman and Graneheim’s approach was used to analyze them.ResultsThree hundred fifty codes remained after constant comparison, compression, and merging. The results demonstrated one theme “Managerial reengineering in the healthcare system during the Covid-19 crisis”, two main categories, seven subcategories and, 19 sub- subcategories. The first main category was “The difficulty of managing challenges,“ including “Insufficient resources and physical space”, “Socio-organizational challenges” and, “Incompetence and unpreparedness of managers.“ The second main category was “Reforming the management duties.“ This category included “Planning and decision-making,“ “Organization,“ “Leadership and motivation,“ and “Monitoring and control.” ConclusionsHospitals and managers were less prepared to cope with the Covid-19 crisis challenges due to health system organizations’ less attention to biological crises. Healthcare organizations can carefully evaluate these challenges, and the strategies managers adopt to deal with these problems. They also can identify the strategies’ strengths and weaknesses and propose more effective strategies. As a result, healthcare organizations will be better prepared for similar crises.

The Ediacaran metamorphosed banded iron formation (BIF) at Gohar Zamin mine (Gol-e-Gohar #3 anomaly), Sirjan (southeastern Iran): Perspective from ore structures, bulk ore-rock geochemistry and O-S-Pb isotopic signatures

Little is known about the occurrence of the Neoproterozoic banded iron formations (BIFs), except few cases of the glaciogenic Cryogenian BIFs. In this investigation, we describe an Ediacaran metamorphosed BIF interbedded with metamorphosed rocks. The Gohar Zamin iron deposit (643 Mt @ 54.3 % Fe, 2.04 % S, 0.12 % P) is hosted by mica schist, quartz schist and meta-basite that formed by metamorphism of the Fe-oxy-hydroxides, terrigenous (pelitic)-chemical (carbonate) sediments, silica gel and repeated phases of MORB-type submarine basic eruptions in shallow marine syn-rift basins. The sediments, basaltic eruptions and iron oxides were lithified to BIFs and then metamorphosed to greenschist facies during Cimmerian orogeny. The presence of macro-meso-microbandings in BIFs, coarse-grained quartz dropstones and magnetite clasts in the ores-host rocks, chemical index of alteration (CIA) (41.83 to 95.42 %) and positive correlation of Al2O3 against TiO2 and SiO2 values suggests a possible syn-glaciogenic BIF deposition. Fe/Ti-Al (Al + Fe + Mn), Fe-P, Co-Ni, V-Ti, V-Ni and Ni/ (Cr + Mn)-Ti + V diagrams suggest similarity to BIFs rather than the I-type granitoid magmatic-hydrothermal-skarn iron ores. REE + Y patterns display LREE depletion to slight enrichment, low-moderate Y/Ho ratios, HREE flat patterns, a nearly-zero to a seawater-like negative Ce anomaly and negative Eu anomaly. Such signatures may reflect low-T (300–200 °C) hydrothermal fluids for the origin of Fe-oxy-hydroxides formed by seawater-basaltic interaction and syn-glaciogenic meltwater influxes. Delta 18O values in magnetite-hematite (+3.3 to + 9.5 ‰) are in equilibrium with seawater and global BIFs. Delta 34S values in pyrite (+21.51 to + 26.59 ‰) reflect similarity to the Ediacaran pyrite composition formed by both thermal sulfate reduction (TSR) and bacterial sulfate reduction (BSR) processes. The radiogenic ratios of 206Pb/204Pb (19.228–25.105), 207Pb/204Pb (15.50–16.158) and 208Pb/204Pb (38.526–39.895) plot on the right side of 0.0 Ga geochron and were probably originated from the highly radiogenic zircon or galena clasts deposited by glaciogenic deposits. Geochemostratigraphy records zigzag elemental halos with the highest values of Fe (59.08 wt%) and Au (49.9 ppb). Exploration guides may be oriented to surficial sampling of the gossanized outcrops and heavy mineral surveys in drainage crosscutting the schistose rocks.

Geology, mineralization, zircon U-Pb geochronology and Hf isotopes of Serenu porphyry copper prospect, Kerman Cenozoic magmatic arc, southeastern Iran

Serenu porphyry copper prospect is situated 22 km northwest of the Meiduk copper mine, Kerman Cenozoic magmatic arc in southeastern Iran. The study area is characterized by a simple lithology including Eocene volcanic and volcaniclastics, Neogene sediments, and sub-volcanic rocks (Hezar complex) which is intruded by a late Miocene porphyry diorite to quartz-diorite stock that has developed alteration and mineralization in the area. Phyllic, argillic, and propylitic alteration types are well-distributed in the Serenu prospect; potassic alteration is only locally observed. Hypogene mineralization occurs in the Serenu porphyry and the host Eocene volcanic rocks as scattered vein-veinlets, stockworks, and disseminated mineralization related to potassic and phyllic alteration types.The mineralogy and cross-cutting relationships, allow the vein-veinlets to be classified into five groups including (I) magnetite ± quartz, (II) quartz ± magnetite ± chalcopyrite ± pyrite ± chlorite ± anhydrite (III) quartz ± pyrite ± chalcopyrite ± anhydrite, (IV) pyrite, and (V) quartz ± calcite veinlets. Oxide and supergene enriched ores are poorly developed in the area. Zircon U-Pb dating on two samples from the Serenu porphyry provided consistent ages at 9.83 ± 0.4 Ma and 10.2 ± 0.17 Ma (±2σ) indicative of late Miocene emplacement of the intrusion. The zircons are characterized by positive εHf (t) values of 8.52 to 12.27 and TDM of 200–370 Ma and a TCDM of 310–590 Ma indicating that they originated from a juvenile mafic and thickened lower crust and depleted mantle-derived magma.The late Miocene age determined for the Serenu porphyry copper prospect is consistent with the ages reported for many other shallow intrusions related to porphyry-type mineralization in the Kerman belt and further emphasizes the Miocene metallogenic epoch as the preferred time for porphyry Cu-Mo-Au mineralization in this belt, coinciding with a significant stage of continental collision between the Arabian and Iranian plates. The results of this study reveal that the juvenile mafic lower crust together with input from a depleted mantle and older subduction-related magma has a very significant impact on the formation of the Serenu porphyry host magma.

A virtual training program for improving cultural competence among academic nurse educators

BackgroundEveryday, nursing students interact with culturally diverse clients. Nursing education recognizes that cultural competence is a necessary outcome of nursing programs. Nurse educators expect all nursing students to provide culturally congruent care to multicultural clients. Therefore, nurse educators must be culturally competent in order to prepare culturally competent nursing students for clinical practice. This study aimed to evaluate the effect of virtual training program on the cultural competence of academic nurse educators.MethodsThis randomized controlled study included nurse educators working in six nursing schools affiliated with medical universities of Kerman province in southeastern Iran. Sixty-nine nurse educators were randomly assigned to the intervention (n = 35) and control (n = 34) groups. The training program consisted of three 2-hour sessions for a month. Cultural Diversity Questionnaire for Nurse Educators Revised (CDQNE-R) was used to evaluate the cultural competence of educators before and one month after the virtual training program.ResultsBoth the intervention (3.29 ± 0.58) and control (3.24 ± 0.58) groups demonstrated a similar level of cultural competence before the training program (t = 0.05, p = 0.95). After the training, the intervention group showed a significant increase in cultural competence (3.80 ± 0.7) compared to the control group (3.23 ± 0.67). This improvement resulted in culturally competent participants becoming culturally proficient, as evidenced by a large effect size (t = -4.76, p = 0.001).ConclusionThe virtual training program had a positive impact on the cultural competence of nurse educators. Given the importance of cultural competence in nursing education, continuing education programs that focus on strengthening the cultural competence of nurse educators should be prioritized. The experiences gained from implementing virtual training programs can serve as a valuable resource for nurse educators seeking to enhance their cultural competence.

Satellite-based prediction of surface dust mass concentration in southeastern Iran using an intelligent approach

Satellite-based prediction of surface dust mass concentration in southeastern Iran using an intelligent approach

Improving robustness of water supply system using a multi-objective robust optimization framework

Due to the uncertainty of rainfall and water demand, the water supply of various participants has been challenged in such a way that this challenge has accelerated the failure of water supply system. Thus, this study proposes a multi-stage Adjustable Robust Optimization integrated to the multi-objective programming framework to drive water supply system to the failure safety zone and thereby improve robustness of system under different scenarios. Indeed, Adjustable Robust Optimization framework is applied to investigate the two uncertain factors of rainfall and water demand. A real arid area of Sistan basin in southeastern Iran is considered to analyze the proposed multi-objective programming model. Next, various comparative feasibilities under different levels of uncertainty are carried out to examine the robustness status in more detail. In the following, due to the deterioration of climatic patterns in the coming years, some managerial insights are highlighted. According to the final outputs, the domestic sector has reached more optimal value compared to that of the agricultural and industrial participants in all objectives due to less water intake, and as a result, it has a significant impact on the robustness of water supply system.

Simulation of the potential impact of climate change on malaria incidence using artificial neural networks (ANNs).

Climate change can increase the spread of infectious diseases and public health concerns. Malaria is one of the endemic infectious diseases of Iran, whose transmission is strongly influenced by climatic conditions. The effect of climate change on malaria in the southeastern Iran from 2021 to 2050 was simulated by using artificial neural networks (ANNs). Gamma test (GT) and general circulation models (GCMs) were used to determine the best delay time and to generate the future climate model under two distinct scenarios (RCP2.6 and RCP8.5). To simulate the various impacts of climate change on malaria infection, ANNs were applied using daily collected data for 12 years (from 2003 to 2014). The future climate of the study area will be hotter by 2050. The simulation of malaria cases elucidated that there is an intense increasing trend in malaria cases under the RCP8.5 scenario until 2050, with the highest number of infections occurring in the warmer months. Rainfall and maximum temperature were identified as the most influential input variables. Optimum temperatures and increased rainfall provide a suitable environment for the transmission of parasites and cause an intense increase in the number of infection cases with a delay of approximately 90 days. ANNs were introduced as a practical tool for simulating the impact of climate change on the prevalence, geographic distribution, and biological activity of malaria and for estimating the future trend of the disease in order to adopt protective measures in endemic areas.

Modeling the Effect of Climate Change on the Distribution of Main Malaria Vectors in an Endemic Area, Southeastern Iran.

Although malaria is endemic in some areas of southeastern Iran, following the successful national malaria elimination plan (NMEP), the local transmission area has been shrunk. This study was aimed to evaluate the effect of climate change on the distribution of main vectors. All documents related to research investigations conducted in Kerman Province on malaria vectors published during 2000-2019 were retrieved from scientific databases. Spatial distributions of the main vectors were mapped and modeled using MaxEnt ecological model. The future environmental suitability for main vectors was determined under three climate changes scenarios in the 2030s. Five malaria vectors are present in Kerman Province. The best ecological niches for these vectors are located in the southern regions of the province under the current climatic condition as well as different climate change scenarios in the 2030s. Climate change in 2030 will not have a significant impact on the distribution of malaria vectors in the region. Entomological monitoring is advised to update the spatial database of Anopheles vectors of malaria in this malaria receptive region.

Fascioliasis associated with chronic cholecystitis in a woman from Sistan and Baluchestan province, a non-endemic region in Southeastern Iran

BackgroundFascioliasis, caused by Fasciola hepatica, is a neglected zoonotic food-borne trematodiasis. The Caspian littoral in northern Iran is endemic for the disease, and human fascioliasis is well-known in that region. In the present study, we report the diagnosis, identification, and clinical management of a human case of fascioliasis associated with common bile duct (CBD) obstruction from a non-endemic remote area in southeastern Iran.Case presentationA 42-year-old female was admitted to Afzalipour Medical Center hepatobiliary surgery ward in Kerman with abdominal pain for the past three months. Dilated biliary tract and an ill-defined mass in CBD were reported in abdominal ultrasonography and magnetic resonance cholangiopancreatography, respectively. During distal CBD operation, nine leaf-like motile flatworms were isolated. A morphological study confirmed all the isolates as Fasciola, and further molecular investigations, identified the flukes as F. hepatica using both pepck multiplex PCR and cox1 sequencing.ConclusionMolecular and morphological findings of the study indicated the presence of human fascioliasis in the southeastern province of Sistan and Baluchestan in Iran. Fascioliasis is among the etiologies of chronic cholecystitis, and physicians should consider chronic cholecystitis associated with fascioliasis in the differential diagnosis. In the present report, endoscopic ultrasound was usefully applied for the accurate diagnosis of biliary fasciolosis.

Analysis of the potential reasons for repeated radiography: a study in a major hospital in south eastern Iran

Introduction
 Rejecting, removing and repeating the process of taking diagnostic X-ray images could lead to professional and moral challenges in the case of radiologic imaging. The aim of this study was to investigate the reason for repetitive imaging and the types of images mostly repeated. 
 Methods
 Radiographic images taken in this center in the first half of 1400 were evaluated. At the end of each week, repetitive images were referred to the researcher to analyze the frequency of repetitive radiographies and the causes.
 Results
 In this study, a total of 4916 radiographies taken in Ali Ibn-e-Abitibi Hospital during the first 6 months of the year 1400 were evaluated. Among 398 repetitive radiographies, 94 repetitions (23.62%) were due to inappropriate positioning, 92 repetitions (23.12%) were due to patient's movements, 56 repetitions (14.07%) were due to inadequate radiation, 51 repetitions (12.81%) were due to inadequate processing, 46 repetitions (11.56%) were due to inadequate preparation of the patient, and 59 repetitions(14.82 %) were due to other reasons
 Conclusion
 In this study, the rate of repetitive radiographies taken in Ali Ibn-e-Abi Talib Hospital was estimated as 8.10%, with the most common reason for repetitions being estimated inappropriate positioning. Considering the fact that repetitive radiography mostly depends on operator-related factors, it is recommended to repeat the study after educating staff in order to compare the rate and reason of repetition.

Maternal and Neonatal Outcomes Following COVID-19 Vaccination in Pregnancy

Objective: The present study was done with the aim of investigating maternal and neonatal outcomes following COVID-19 vaccination in Pregnancy. Materials and Methods: This cross-sectional study was carried out on 1645 pregnant women (685 COVID-19 vaccinated during pregnancy and 960 non- vaccinated). The study was conducted in the public hospitals of Kerman, located in southeastern of Iran, from January to March ,2022. Maternal and neonatal outcomes were measured by interview and observation during labor, delivery and postpartum. Results and Discussions: All vaccinated women had received the Sinopharm vaccine The mean birth weight of the neonates was 2778.9 ± 877.9 grams in the vaccinated and 2827± 843.6 grams in the non-vaccinated group. The first minute Apgar score was 8.05 ± 1.89 in the vaccinated and 8.15 ± 2.05 in the non-vaccinated group. The risk of maternal morbidities was not significantly different in two groups (p>0.001). Only the risk of NICU admission was higher in vaccinated women than in non-vaccinated women (OR=3.39, P < 0.001). Conclusion: Since serious complications associated with receiving COVID-19 vaccines during pregnancy were not observed in the present study, and COVID-19 can have serious and fatal effects during pregnancy, it seems reasonable to recommend vaccination during pregnancy to prevent the potential risk posed by COVID-19.

The prevalence and associated factors of overweight/obesity and abdominal obesity in South-eastern of Iran: a cross-sectional study based on Rafsanjan cohort study

BackgroundObesity has become a major health issue in both high and middle-income countries, increasing the risk of cardiovascular diseases and all-cause mortality. Risk of obesity is related to both unchangeable factors such as genetics and gender, and modifiable lifestyle factors. Most importantly, finding the major modifiable lifestyle factors which contribute to obesity may provide valuable benefits to every society. This study aimed to determine the association of demographic and lifestyle parameters with overweight/obesity and abdominal obesity in a population of Iranian adults.MethodsIn this cross-sectional study, adult participants of Rafsanjan Cohort Study (RCS) (as one of the district areas of the PERSIAN cohort (Prospective Epidemiological Research Studies in IrAN) included the study population. RCS is a population-based prospective cohort of men and women aged 35–70 years, launched in August 2015. Individuals were recruited from four urban and suburban areas of Rafsanjan, south-eastern of Iran. Trained experts interviewed each participant and completed the related questionnaires about his/her socioeconomic status, demography, anthropometric features, personal habits, physical activity and medical history. Multinomial logistic regression models were used to examine the relationships between overweight/obesity/abdominal obesity and associated factors.ResultsFrom 9980 participants, 1974 (42.42%) males and 2115 (39.70%) females were overweight, 784 (16.85%) males, 2223 (41.73%) females were obese and 1895 (40.73%) males and 989 (18.57%) females were normal weight. Also, 832 (17.9%) males and 4548 (85.4%) females had abdominal obesity and 3819 (82.1%) males and 778 (14.6%) females didn’t have abdominal obesity. Based on the adjusted multiple logistic regression, overweight/obesity (BMI > 25) was associated with age > 45, female gender, education ≥ 13 years, heavy physical activity, wealth status index (WSI), alcohol consumption, current cigarette smoking and opium consumption compared to reference group. Also, odds of abdominal obesity displayed a significant association with age > 45, female gender, education > 5 years, physical activity, WSI, current cigarette smoking, alcohol and opium consumption compared to reference group.ConclusionsOur results recommend local public health strategies that promote training the society on the health benefits of avoiding alcohol, getting more physical exercise and gaining more personal education on the health-threatening lifestyle.

Brain Structural Changes in Schizophrenia Patients Compared to the Control: An MRI-based Cavalieri’s Method

Introduction: Schizophrenia is a severe psychotic brain disorder. One of the potential mechanisms underlying this disease may be volumetric changes in some brain regions. The present study aimed to employ magnetic resonance imaging (MRI) to estimate and quantitatively analyze the brain of patients with schizophrenia compared to the controls. Methods: This case-control study was conducted on MRI scans of 20 patients with schizophrenia and 20 healthy controls in Zahedan City, Southeastern Iran. MRIs with 4 mm slice thickness and 5 mm intervals in coronal and sagittal planes were captured. Then, quantitative parameters, including volume and volume density of various brain regions, were estimated in both groups using Cavalieri’s point counting method. Data analyses were performed using the Mann-Whitney U test. Results: The findings of this investigation revealed that volumes of gray matter, hippocampus, and gray/white matter in patients with schizophrenia were significantly lower than the controls (P˂0.05). The volumes of lateral ventricles in patients with schizophrenia (36.60±4.32 mm3) were significantly higher than the healthy individuals (30.10±7.98 mm3). However, there were no statistically significant differences between the two groups regarding the changes in the brain’s total volume, cerebral hemispheres, white matter, brain stem, cerebellum, and corpus callosum (P˃0.05). Conclusion: Volumetric estimations on brain MRI-based stereological technique can be helpful for elucidation of structural changes, following up the treatment trends, and evaluating the therapeutic situations in schizophrenia patients. Volumetric alternations in specific brain areas might be linked to cognitive impairments and the severity of symptoms in patients with schizophrenia. Further research is needed in this regard.

Upper and Lower Gastrointestinal Bleeding: A Retrospective Study on 10 Years Experiences in Southeastern Iran.

Background: Gastrointestinal bleeding (GIB) is an emergency medical situation that is very common, although often benign but can cause considerable morbidity and mortality and health care costs. The aim of this study was to analyze the endoscopic evaluation of upper GIB (UGIB) and lower GIB (LGIB) in Sistan and Balouchestan, southeast Iran. Methods: Data from patients with GIB in a referral university-affiliated hospital in Zahedan, Southeastern Iran during a 10-year period, were obtained. A total of 21884 reports of adult patients' endoscopy and colonoscopy from 2011 to 2020 who were admitted to Ali-Ibn-Abitaleb hospital were studied of which 5862 reports were related to GIB. Incomplete files were excluded. Information on age, sex, and endoscopic diagnosis of the 5053 reports was analyzed and compared using chi-square statistical test. Results: There were 3310 men (65.6%) and 1743 women (34.4%) with a mean (±SD) of age 48.4 (±19.83) years. 3079 patients had UGIB (60.8%) and 1974 patients had LGIB (39.2%). Peptic ulcer (72.8% duodenal ulcer and 27.2% gastric ulcer) was seen as the main reason for UGIB (29.7%) and hemorrhoids were the main reason for LGIB (44.2%). Mallory-Weiss syndrome was significantly common in the age<40 years old, and the incidence rate of malignancy was significantly higher in those aged>40 years old than in the younger age group (P<0.001). Conclusion: Peptic ulcer was the most common etiological factor and it was more common in men than in women. Gastroesophageal varices were the second most common cause of UGIB. Hemorrhoids and anal fissures were observed as the most common colonoscopic findings of LGIB. The prevalences of UGIB and LGIB are more common in men than women and increase with age. It is important for physicians to constantly update their information about the spectrum of diseases in their region and their changing over time to provide accurate diagnosis and management timely.

The relationship between use of complementary and alternative medicine and health literacy in chronically ill outpatient cases: a cross-sectional study in southeastern Iran.

Chronically ill outpatient cases use a variety of complementary and alternative medicines due to their diseases and therapeutic complications. Chronic condition, quality of life, and health literacy all affect the use of complementary medicine among chronically ill outpatient cases. Health literacy helps patients make fully informed decisions about the use of complementary and alternative medicine. This study aimed to investigate the relationship between complementary and alternative medicine and health literacy in chronically ill outpatient cases. This cross-sectional analytical-descriptive study was conducted on 400 chronically ill outpatient cases referred to medical centers affiliated to Kerman University of Medical Sciences. Convenience sampling was used. Research tools included the complementary and alternative medicine questionnaire and the health literacy questionnaire. SPSS25 was used to analyze data. The mean use of complementary and alternative medicine in a recent year was 16.75 ± 7.89, which was lower than the mid-point of the questionnaire (84). Prayer, medicinal plants, vitamin supplements, music therapy, and art therapy were the mostly used complementary and alternative medicine methods. The most common reasons for using complementary medicine were to reduce physical complications and improve anxiety and stress. The mean satisfaction with the use of complementary and alternative medicine was 34.96 ± 6.69. The mean health literacy score was 67.13 ± 19.90. Decision-making and the use of health information had the highest mean score among the dimensions of health literacy, whereas reading skills received the lowest mean score. We found a significant and direct relationship between the use of complementary and alternative medicine, health literacy, and all its dimensions. The study results showed that health literacy predicted the use of complementary and alternative medicine. Health education and promotion programs may be useful for improvement of health literacy in the community.

Factors affecting the number of road traffic accidents in Kerman province, southeastern Iran (2015–2021)

Road traffic accidents (RTAs) are among the top causes of mortality and disability globally, particularly in developing nations like Iran. In this study, RTAs were analyzed to develop precise predictive models for predicting the frequency of accidents in the Kerman Province (southeastern Iran) using the autoregressive integrated moving average (ARIMA) and autoregressive integrated moving average with explanatory variables (ARIMAX) modeling methods. The findings demonstrate that including factors regarding humans, vehicles, and elements of nature in the time-series analysis of accident records resulted in the development of a more reliable prediction model than utilizing only aggregated accident count. The understanding of safety on the road is increased by this research, which also offers a method for forecasting that utilizes a variety of parameters relating to people, cars, and the environment. The findings of this research are likely to contribute to lowering the incidence of RTAs in Iran.

The relationship between beliefs in substance craving and quality of life among narcotics anonymous: a cross-sectional study in southeastern Iran

BackgroundAddiction is a chronic and relapsing disorder characterized by compulsive drug seeking and lasting changes in the brain. Low quality of life may influence the substance craving, which leads to relapsing. Therefore, the present study aimed to investigate the relationship between beliefs in substance craving and quality of life among narcotics anonymous.MethodsThis cross-sectional study was performed on 202 narcotics anonymous in Kerman, southeastern Iran. Convenience sampling was used to select anonymous patients in the Narcotics Anonymous (NA) association in Kerman city. Narcotics anonymous completed the demographic questionnaire, the Craving Beliefs Questionnaire (CBQ), and the World Health Organization Quality of Life-BREF (WHOQOL-BREF). Multiple linear regression model was used to determine the predictors of craving beliefs. The data were then analyzed using SPSS 22.ResultsThe mean age of the participants was 38.48 ± 11.32 years. The majority of the samples were male (86.1%), married (65.4%), educated (93.6%) and urban (86.1%). The mean scores of craving beliefs and overall Quality of Life (QOL) were 77.58 ± 20.70 and 64.42 ± 23.13, respectively. Forty-two-point 1% had high level of craving beliefs. We found a significant negative and weak correlation between beliefs in substance craving, physical health domain (r = -0.16, p = 0.02), and overall quality of life (r = -0.15, p = 0.03). History of crack use, job, and physical health domain of QOL were predictors of beliefs in substance craving among the NAs.ConclusionBased on the study results, the participants had a high level of substance craving, and some aspects of the quality of life had an impact on the beliefs of addiction. However, it is necessary to conduct more studies in this field; psychological interventions and programs to increase the quality of life may reduce the substance craving.

Nasopharyngeal myiasis due to Cephalopina titillator in Southeastern Iran: a prevalence, histopathological, and molecular assessment.

The Cephalopina titillator is one of the most important causative agents of nasal myiasis in camels. This study aimed to explore the prevalence, histopathological effects, and molecular identification of C. titillator infestation in camels of Kerman province, South-Eastern Iran, between 2019 and 2021. The larvae were placed in 10% formalin for histopathological evaluation and species identification. Pieces of larval abdominal segments of C. titillator were selected for extraction of DNA. Partial mitochondrial CO1 genes were sequenced for final analysis. Out of the 870 camels examined, 339 (38.9%) were infested with larval stages of C. titillator. There was a significant difference between age and infection rate (P = 0.001), while no association between males and females (P = 0.074) was found. The infection rate was significantly higher in the winter (P < 0.001) than in the other seasons. In this study, different lesions depending on duration, locations, and the depth of larval adhesion notably degeneration changes, necrosis, and ulceration were observed. Also, in chronic cases, granulation tissue reactions were organized. Cephalopina titillator was confirmed by PCR sequencing analysis using mitochondrial CO1 region. A 582bp nucleotide sequence was deposited in GenBank under the MW136151 accession number. Phylogenetic analysis of CO1 produced a single uniform sister clade to MZ209004 and MW167083 records from China and Iraq, respectively. The high prevalence of C. titillator in camels in this region and other areas of Iran declares that the country is in an endemic status and displays the existence of the potential risk for camels.

Integrating the norm activation model and theory of planned behaviour to investigate farmer pro-environmental behavioural intention

Sustainable agriculture requires cooperative and coordinated action across multiple sectors and policy domains. However, farmer-stakeholder behaviors and action remain pivotal to sustainable food system management in many rural development contexts. We assess farmer pro-environmental behavioral intention through the development and application of a novel integrated approach combining two dominant psychological theories of behavior change: the Norm Activation Model (NAM) and Theory of Planned Behavior (TPB). We apply this framework to targeted research with potato growers of Kerman Province in southeastern Iran, using survey data (sample n = 381) analyzed through structural equation modeling (SEM). The integrated NAM-TPB model provides insight into both pro-social and self-interested motivations for farmer pro-environmental behavioral intention, with the model explaining 77% of total variance. We found that three variables, Awareness of Consequence (AC), Perceived Behavioral Control (PBC), and Subjective Norms (SN) were the strongest indicators of pro-environmental behavioral intention. We recommend therefore that agricultural extension and state-led farmer education should first emphasize awareness-raising of negative environmental impacts of current farming practices within training programs, and second, improve social learning amongst farmer communities through sustained farmer community engagement, thus “stabilizing” a social norm of environmental protection amongst peer networks of agricultural workers.