"Effect of Sunset Yellow on Testis: Molecular Evaluation, and Protective Role of Coenzyme Q10 in Male Sprague-Dawley Rats".

In recent years, Sunset Yellow (SY) has been widely used as a food additive, sparking debates about its potential toxicity. This research aims to investigate SY's effects at both the molecular and histopathological levels, along with the protective benefits of Coenzyme Q10 (CoQ10) supplementation in male rat testes. Forty-two male Sprague-Dawley rats were randomly divided into six groups (n = 7) and given daily oral gavages for six weeks. The groups included: a low dose of Sunset Yellow (2.5 mg/kg/day), a high dose of Sunset Yellow (70 mg/kg/day), CoQ10 (10 mg/kg/day), CoQ10 with the low dose of Sunset Yellow, CoQ10 with the high dose of Sunset Yellow, and deionized water as a control. After anesthesia, the rats' testes were removed for molecular and histological analysis. The findings showed a dose-dependent rise in the expression of oxidative stress genes (Sod, Gpx, and Cata) and a notable decrease in the expression of the steroidogenic acute regulatory (Star) gene (P value < 0.05) with increasing SY doses. Histological results supported these outcomes. Additionally, there was no significant distinction between rats treated with CoQ10 along with low doses of Sunset Yellow (CoQ10+LD) and control rats given low doses of Sunset Yellow (SY-LD). Conclusions: This study illustrates that SY, as an artificial food dye, has harmful effects on the male reproductive system, while the utilization of CoQ10 can alleviate the negative impacts of SY exposure.

Differences in boundary behavior in the 3D vertex and Voronoi models.

An important open question in the modeling of biological tissues is how to identify the right scale for coarse-graining, or equivalently, the right number of degrees of freedom. For confluent biological tissues, both vertex and Voronoi models, which differ only in their representation of the degrees of freedom, have effectively been used to predict behavior, including fluid-solid transitions and cell tissue compartmentalization, which are important for biological function. However, recent work in 2D has hinted that there may be differences between the two models in systems with heterotypic interfaces between two tissue types, and there is a burgeoning interest in 3D tissue models. Therefore, we compare the geometric structure and dynamic sorting behavior in mixtures of two cell types in both 3D vertex and Voronoi models. We find that while the cell shape indices exhibit similar trends in both models, the registration between cell centers and cell orientation at the boundary are significantly different between the two models. We demonstrate that these macroscopic differences are caused by changes to the cusp-like restoring forces introduced by the different representations of the degrees of freedom at the boundary, and that the Voronoi model is more strongly constrained by forces that are an artifact of the way the degrees of freedom are represented. This suggests that vertex models may be more appropriate for 3D simulations of tissues with heterotypic contacts.

The Impact of Microelectrode Pattern on the Sensitivity of Tracing Environmental CO2 Deficiency in Cellular Metabolism by a New Design of Electrochemical Biosensor.

Here, two different electrode patterns are described as cyclic voltammetry (CV) biosensors to detect the effect of a hypo CO2 condition (for 6 h) in ambient on cellular secretion. The cells were selected from breast cancer and endothelial standard lines. Changes in CV peaks of the secretions were recorded by the modified pattern whereby increasing the interactive surface with homogenous electric paths was considered by simulation before fabrication. The results of the simulation and experimental procedures showed a meaningful correlation between hypo CO2 samples and the occurrence of CV oxidative peaks at about 0.07 V and reductive peaks at approximately -0.22 V in the modified biosensor in all cell lines, while no apoptosis was found in any of the control and hypo CO2 samples. This observation could not be related to the lack of H+ (alkaline pH induction) in the media solution as such peaks were not observed in the pure cell culture medium but had been maintained in the hypo CO2 ambient. This approach could be used as a cell-free sensor to monitor ambient shocks. This may not induce apoptosis but may be vital in the proliferation and protein expression of the cells, such as the hypo CO2 ambient. The sensor is not disposable in use and showed repeatable responses after rinsing.

Weed Species from Tea Gardens as a Source of Novel Aluminum Hyperaccumulators.

Increased availability of toxic Al3+ is the main constraint limiting plant growth on acid soils. Plants adapted to acid soils, however, tolerate toxic Al3+, and some can accumulate Al in their aerial parts to a significant degree. Studies on Al-tolerant and Al-accumulating species have mainly focused on the vegetation of acid soils distributed as two global belts in the northern and southern hemispheres, while acid soils formed outside these regions have been largely neglected. The acid soils (pH 3.4-4.2) of the tea plantations in the south Caspian region of Northern Iran were surveyed over three seasons at two main locations. Aluminum and other mineral elements (including nutrients) were measured in 499 plant specimens representing 86 species from 43 families. Al accumulation exceeding the criterion for accumulator species (>1000 µg g-1 DW) was found in 36 species belonging to 23 families of herbaceous annual or perennial angiosperms, in addition to three bryophyte species. Besides Al, Fe accumulation (1026-5155 µg g-1 DW) was also observed in the accumulator species that exceeded the critical toxicity concentration, whereas no such accumulation was observed for Mn. The majority of analyzed accumulator plants (64%) were cosmopolitan or pluriregional species, with a considerable rate of Euro-Siberian elements (37%). Our findings, which may contribute to phylogenetic studies of Al accumulators, also suggest suitable accumulator and excluder species for the rehabilitation of acid-eroded soils and introduce new model species for investigating Al accumulation and exclusion mechanisms.

Post-Weaning Exposure to Sunset Yellow FCF Induces Changes in Testicular Tight and Gap Junctions in Rats: Protective Effects of Coenzyme Q10.

Studies on adverse health consequences of azo dyes are limited and conflicting. Coenzyme Q10 (CoQ10) supplementation has been shown to have benefits associated with antioxidant and anti-inflammatory characteristics on several body systems. This work investigates the possible toxic effects of the widely used food additive sunset yellow and the probable protective effects of CoQ10 on testicular tight and gap junctions in rats by assessing molecular, immunohistochemical, and histopathological changes. Sixty Sprague-Dawley male weanling rats were randomly divided into six groups (n = 10). The rats received their treatments via daily oral gavages for 6 weeks. The treatments included as follows: low dose of sunset yellow (SY-LD) (2.5 mg/kg/day), high dose of sunset yellow (SY-HD) (70 mg/kg/day), CoQ10 (10 mg/kg/day), CoQ10 with low dose of sunset yellow (CoQ10 + LD), CoQ10 with high dose of sunset yellow (CoQ10 + HD), and distilled water as the control treatment. At the end of the experiment, the rats were anesthetized, and the testes were removed for molecular (real-time quantitative PCR), immunohistochemical, and histopathological (H & E staining) assessments. Claudin 11 and occludin gene expression significantly decreased in HD and CoQ10 + HD groups compared with the controls. Connexin 43 (Cx43) expression in the control and CoQ10 groups was significantly higher than in the HD group. The immunohistochemical and histopathological data were largely in line with these findings. The results showed that exposure to a high dose of sunset yellow led to disturbances in cell-to-cell interactions and testicular function. Simultaneous treatment with CoQ10 had some beneficial effects but did not completely improve these undesirable effects.

EFL teachers' coping strategies amidst the Covid-19 virtual education and their association with work engagement and teacher apprehension.

Teaching can be considered as an extremely demanding and stressful occupation and being a language educator brings about its own distinctive challenges. In the wake of COVID-19 pandemic, teachers worldwide experienced fundamental changes in their profession and their lives as a whole. Coping with such an unprecedented situation and responses to it have created new and extra stressful factors for teachers to cope with, including the difficulties created by quick transition from direct teaching to virtual and remote teaching. This study examined EFL teachers' coping strategies during the Covid-19 virtual education and their association with work engagement and teacher apprehension. A total of 296 language instructors contributed to this study by participating in a survey in January 2021. To determine what coping strategies teachers use in virtual teaching during Covid-19, the researchers adapted the Brief-COPE scale designed and validated by Carver (Int J Behav Med 4:92-100, 1997) to make it appropriate for virtual education. The survey measured 11 coping strategies divided into two broad types, approach and avoidant. For measuring work engagement, the Work and Well-being Survey (UWES) scale designed and validated by Schaufeli and Bakker (Test manual for the Utrecht work engagement scale, vol 3. Utrecht University, The Netherlands, pp. 44-52, 2003. http://www.schaufeli.com) was utilized. To assess teachers' apprehension, the research employed the Sources of Teachers' Apprehension Scale (STAS) developed by Ghanizadeh et al. (Asia-Pac Educ Res 1-14, 2020). The result demonstrated that the adapted coping strategies scale enjoys acceptable reliability and validity indices. The results estimated via structural equation modeling (SEM) revealed that EFL teachers' approach coping strategies positively and significantly predicted work engagement (ß = 0.72, t = 10.56). Work engagement was negatively predicted by avoidant coping strategies (ß = - 0.29, t = - 3.36). Teacher apprehension was negatively influenced by approach coping strategies (ß = - 0.44, t = - 5.57) and positively by avoidant coping strategies (ß = 0.43, t = 5.29). The study proposes some practical recommendations for overcoming the Covid-19 related challenges which could further deliver valuable guidance for supporting future training of teachers.

Can Early Neuromuscular Rehabilitation Protocol Improve Disability after a Hemiparetic Stroke? A Pilot Study.

BACKGROUND: The impairment of limb function and disability are among the most im portant consequences of stroke. To date, however, little research has been done on the early reha bilitation trial (ERT) after stroke in these patients. The purpose of this study was to evaluate the impact of ERT neuromuscular protocol on motor function soon after hemiparetic stroke. The sample included twelve hemiparetic patients (54.3 ± 15.4 years old) with ischemic stroke (n = 7 control, n = 5 intervention patients). ERTwas started as early as possible after stroke and included passive range of motion exercises, resistance training, assisted standing up, and active exercises of the healthy side of the body, in addition to encouraging voluntary contraction of affected limbs as much as possible. The rehabilitation was progressive and took 3 months, 6 days per week, 2-3 h per session. Fu gle-Meyer Assessment (FMA), Box and Blocks test (BBT) and Timed up and go (TUG) assessments were conducted. There was a significantly greater improvement in the intervention group com pared to control: FMA lower limbs (p = 0.001), total motor function (p = 0.002), but no significant difference in FMA upper limb between groups (p = 0.51). The analysis of data related to BBT showed no significant differences between the experimental and control groups (p = 0.3). However, TUG test showed significant differences between the experimental and control groups (p = 0.004). The most important finding of this study was to spend enough time in training sessions and provide adequate rest time for each person. Our results showed that ERT was associated with improved motor function but not with the upper limbs. This provides a basis for a definitive trial.

Chalarosthrix gen. nov., a new taxon of the Sphingothrix-Triathrix clade (Harpacticoida: Cletodidae) from the Province of Cortez, Eastern Mexican Pacific.

Seven species of four cletodid genera previously described or reported from Mexico (Cletodes, Enhydrosoma, Geehydrosoma, and Stylicletodes) and an undescribed genus presumably related to Sphingothrix and Triathrix, were found in sediment samples from a coastal system in north-western Mexico. The Bayesian analysis of 95 morphological characters of thirty-four cletodid genera revealed that the new genus, Chalarosthrix gen. nov., is closely related to Sphingothrix. The clade Sphingothrix-Chalarosthrix bears a sister group relationship with Triathrix. These three genera constitute a monophyletic group defined by the presence of a posterior chitinous extension of the cephalothorax with four sensillum-bearing socles, and the presence of a median tube-pore on the anal operculum. Other synapomorphies for Sphingothrix and Triathrix proposed by earlier researchers are re-evaluated upon the latest definition of the Cletodidae. Our analysis supports previous studies in that Sphingothrix can be objectively defined by i) the reduction of the distal outer seta of the last exopodal segment of the first swimming leg being at most as long as the subdistal outer spine, and ii) the distal inner seta of the same segment inclined outwards intersecting the distal outer element at its base. On the other hand, no (aut)apomorphies were detected for Triathrix. The new genus, Chalarosthrix gen. nov., is defined here by the apomorphic secondary loss of the inner element of the second endopodal segment of the first swimming leg. Some comments on the relationships of the new genus are given.

Phylogenetic relationships among species of Tigriopus (Multicrustacea: Copepoda: Harpacticoida) with comments on its biogeography.

Here we present some hypothetical phylogenetic relationships and the evolutionary history of the harpacticoid copepod genus Tigriopus Norman, 1869 using morphological data. Cladistic analyses were performed with 21 morphological characters, including 15 ingroup and eight outgroup species. Inferred topology from Bayesian inference supported the monophyletic status of the genus, and revealed two main evolutionary lineages. One of these lineages (the brachydactylus-iagi lineage) comprises species from the Indo-Pacific, the northern Pacific, the southern Pacific, and the southern Atlantic; it is supported by the tetrasetose female P5 endopod. The fulvus-angulatus lineage is composed of three clusters with species from the north Atlantic and the Mediterranean Sea (the fulvus-brevicornis clade), the northwestern Pacific and the Indo-Pacific (the japonicus-sirindhoranae clade), and from the southern Pacific, the Indian Ocean, and the Southern Ocean (the crozettensis-angulatus clade). The groundpattern of the mandibular basis of the fulvus-angulatus lineage seems to include a bisetose mandibular basis, and, the presence of three setae on this segment in the japonicus-sirindhoranae clade is interpreted here as a character reversal. Biogeographic analyses suggest that the tropical Indo-Pacific region is the most probable ancestral area of the genus that diversified through vicariance events.

The Effect of Emotional Freedom Technique on Fatigue among Women with Multiple Sclerosis: A Randomized Controlled Trial.

BACKGROUND: This study aimed to investigate the effect of Emotional Freedom Technique (EFT) on the severity of fatigue among women with Multiple Sclerosis (MS). MATERIALS AND METHODS: This was a single-blind, randomized controlled trial study conducted on 50 women with MS in Isfahan, Iran. Sampling was performed using simple sampling method, then the participants were randomly divided into two groups of case and sham using the minimization method. The EFT intervention was performed on the case group, 2 sessions per week for a 4-weeks period. In the sham group, with the same psychological part of the EFT technique like case group, mild tapping was applied on false points for the same period of time. Fatigue severity score was obtained using the Fatigue Severity Scale (FSS) before and immediately and 4 weeks after the intervention in the two groups. Data analysis was conducted using descriptive and inferential statistical methods. RESULTS: The results of the independent t-test indicated that the mean (SD) score of fatigue severity before the intervention was not significantly different between the case and sham groups 5.48 (0.75) and (5.39 (0.71) with (p = 0.67). However, this difference was significant immediately [(3.05 (0.89) and 5.15 (0.94)] and 4 weeks after the intervention 3.10 (0.81) and 5.59 (0.57) (p < 0.001). CONCLUSIONS: It seems that EFT is effective in diminishing fatigue among patients with MS and is recommended as a convenient and safe non-medicament strategy for self-management of fatigue among these patients, and can be used at the bedside by nurses.

Effects of blended aromatherapy using lavender and damask rose oils on the test anxiety of nursing students.

BACKGROUND: People experience extreme anxiety in testing situations, so it considers as a psychological condition and can actually impair learning and hurt test performance. People experience some degree of stress and anxiety before and during examinations. This study aimed to investigate the effect of blended aromatherapy using lavender and damask rose oils on the test anxiety of nursing students. MATERIALS AND METHODS: The present study was a single-blinded clinical trial study. Seventy nursing students were selected and randomly assigned to two experimental and sham groups. For the experimental group, seven droplets of lavender, 10%, and three droplets of damask rose oil, 10%, and for the sham group, ten droplets of sesame oil were poured on a nonabsorbent pad which was placed within a 20-cm distance from the students' noses on their chairs' handles. The data were collected by using a two-part questionnaire including demographic information and State-Trait Anxiety Inventory 1, before, 15 min after the intervention, and immediately at the end of the test. Data were analyzed using descriptive (frequency, mean, and standard deviation) and inferential (independent t-test, ANOVA with repeated measure, Fisher's exact test, and least significant difference post hoc test) statistics. RESULTS: It was found that no significant difference between the two groups in terms of age, the number of credits, Semester Grade Point Average and, gender, place of residence and marital status and the two groups were almost identical in regard of the above variables (P > 0.05). State anxiety mean scores of the experimental group were lower than the mean scores of the sham group, 15 min after the intervention and at the end of the test, and the difference between the groups was statistically significant (P < 0.05). CONCLUSIONS: Blended aromatherapy is effective in improving the test anxiety of nursing students. Therefore, it can be used as a therapeutic approach to reduce test anxiety.

A new species of Paralaophonte Lang 1948 (Harpacticoida: Laophontidae), with notes on the phylogeny of the genus and its relationships with Loureirophonte Jakobi 1953 using Bayesian inference.

Early studies during the 1990s supported a close relationship between the genera Paralaophonte and Loureirophonte. Subsequent studies carried out during the first decade of the 2000s suggested the monophyly of the latter and that it could be nested within Paralaophonte, rendering the latter paraphyletic. However, efforts to synonymize these two genera were hampered by the lack of phylogenetic analyses at the species level. Here we describe a new species of Paralaophonte from north-western Mexico, P. ullama sp. nov., and we formally synonymize Loureirophonte with Paralaophonte for which we propose two monophyletic subgenera, Pa. (Paralaophonte) and Pa. (Loureirophonte). The detection of the species most closely related to P. ullama sp. nov. is controversial. Our Bayesian analysis indicates that the new species might be related to Pa. (Pa.) gurneyi, and to Pa. (Pa.) ormieresi and Pa. (Pa.) septemarticulata, with which they form a larger clade supported by a very low Bayesian Posterior Probability value. However, the precise nature of the relationship between the new species and Pa. (Pa.) gurneyi is hampered by the gap in our knowledge of the armature formulae of the swimming legs of the latter, and by the lack of the male of the new species. On the other hand, the new species share several characters with Pa. (Pa.) problematica, Pa. (Pa.) pacificavicinum, Pa. (Pa.) pacificaemulator, and Pa. (Pa.) pacifica, with which it might be related. Our Bayesian analysis of forty-two morphological characters at the species level confirmed earlier suspicions about the relationships between Paralaophonte and Loureirophonte, the latter being nested within the former, and showed the monophyly of the Paralaophonte-Loureirophonte clade with high Bayesian Posterior Probability value, thus confirming the synonymy of these genera. The Paralaophonte-Loureirophonte clade is defined by the synapomorphic dimorphism in the second endopodal segment of the second swimming leg of the male. We did not detect any (aut)apomorphy for Pa. (Paralaophonte). Paralaophonte (Loureirophonte) is defined by the presence of one seta only on the second endopodal segment of the second swimming leg, and the one-segmented endopod of the fourth swimming leg.

Proposal of Arktourella gen. nov., a new genus of the family Normanellidae Lang 1944 (Copepoda: Harpacticoida) from the Province of Cortez.

A new genus, Arktourella gen. nov., is proposed to accommodate a new member of the harpacticoid family Normanellidae, A. margarethae gen. et sp. nov., from a polluted estuary in north-western Mexico. The new genus was attributed to the laophontoidean family Normanellidae on account of the lack of outer spinous processes on the second antennulary segment, one abexopodal seta on the antennary allobasis, four setae on the one-segmented antennary exopod, endopod of first swimming leg two-segmented with first segment elongated and with two distal elements on second segment, endopods of second to fourth legs two-segmented, distal setae on the male second endopodal segment of second and third legs reduced, and outer spine of the male second endopodal segment of third leg fused to segment. The new, so far monotypic genus, differs from the other normanellid genera in the presence of four elements on the third exopodal segment of the first leg, and two outer spines on the third exopodal segment of second to fourth legs. No synapomorphies were observed for Arktourella gen. nov. and Normanella, but they are unique within the Normanellidae in that the mandibular basis and endopod are not fused. Maximum parsimony analysis and Bayesian inference using 59 morphological characters to assess the relationships between the genera of the family Normanellidae confirmed the affinity of Arktourella gen. nov. and Normanella, and their sister group relationship with Sagamiella. Paranaiara and Pseudocletodes were shown consistently to be closely related and are the sister taxa of Normanella-Arktourella gen. nov.-Sagamiella. Arktourella gen. nov., Paranaiara and Pseudocletodes share the presence of a large spinulose spine on the fifth and sixth segments of the female antennule, but its significance is not clear. Additionally, we propose a key to the genera of the Normanellidae.

Tigriopus iranicus sp. nov., a new species of Harpacticidae (Copepoda, Crustacea) from Iran, with a redescription of T. raki Bradford, 1967.

The first representative of Tigriopus Norman, 1869 from the north-western Indian Ocean is described from rock pools on the Iranian coast. Tigriopus iranicus sp. nov. is distinguishable from its congeners by i) the possession of two maxillary endites, each with two setae; ii) a two-segmented mandibular endopod; iii) P1enp-3 with one pinnate claw, a well-developed geniculate spine and a small seta; and iv) female P6 with two setae. Additionally, we present a complete redescription of Tigriopus raki Bradford, 1967 on the basis of paratype material and a key to the species of the genus.

Quality of life among patients with multiple sclerosis and voiding dysfunction: a cross-sectional study.

BACKGROUND: Evaluating the usefulness of treatment requires a direct measurement of the health-related quality of life (QOL). Therefore, this study was carried out aiming to determine the QOL of patients with MS and voiding dysfunction. METHODS: This cross-sectional study was carried out using multi-stage random cluster sampling method on 602 patients with MS in Isfahan, Iran. All data were collected through interviews using standard questionnaires including International Prostate Symptom Score (IPSS), and the Multiple Sclerosis Quality of Life-54 (MSQOL-54). Data were analyzed using descriptive and inferential statistical tests. RESULTS: The prevalence rate of mixed, irritative, and obstructive urinary symptoms was 52.2, 25.5, and 6.5%, respectively. The mixed symptom had the highest prevalence among men and women with rates of 56.5 and 51.1%, respectively. The prevalence of irritative and obstructive symptoms was, respectively, higher and statistically significant among women alone and men alone (P <  0.05). The prevalence of irritative symptoms was higher among patients with MS, EDSS score ≤ 3, disease duration of less than 5 years, and with clinically isolated syndrome. In addition, the prevalence of mixed symptoms was higher among patients with MS of over 30 years of age with a Pre-high school degree, severe disability, disease duration of over 10 years, and progressive MS; the difference was statistically significant (P <  0.05). There was a difference in the combined dimensions of physical and mental health of QOL between the two groups with and without urinary symptoms (P <  0.05). Logistic regression analysis revealed that there was a higher probability of a urinary problems among patients with MS and high age [3.273 (1.083-9.860); P = 0.035]. CONCLUSIONS: Mixed urinary symptoms are highly prevalent among MS patients and affect QOL dimensions. In order to improve QOL, more attention and focus should be paid to urinary problems in MS patients.

Toxicity of microwave-synthesized silver-reduced graphene oxide nanocomposites to the microalga Chlorella vulgaris: Comparison with the hydrothermal method synthesized counterparts.

The increased applications of nanomaterials in industry and biomedicine have resulted in a rising concern about their possible toxic impacts on living organisms. It has been claimed that the phytosynthesized nanomaterials have lower toxicity in comparison to their chemically synthesized counterparts. Therefore, it is important to evaluate their toxic effects on the environment. In the present study, we investigated the toxic effects of microwave-synthesized silver-reduced graphene oxide nanocomposites (MS-Ag-rGO) on Chlorella vulgaris. Algal cells were treated by 1, 2, 4 and 6 mg L-1 MS-Ag-rGO for 24 h. The obtained data with three replicates were examined using analysis of variance. Analysis of different growth parameters revealed that MS-Ag-rGO possessed significant dose-dependent toxic effect on C. vulgaris. Scanning electron microscope and fluorescence microscope images of the treated cells established morphological shrinkages and alteration in position of nucleoli. Moreover, reduction in the phenol and flavonoid contents, enhancement of H2O2 content, changes in the antioxidant enzymes activity and decreases in the growth parameters as well as photosynthetic pigments quantities confirmed the toxicity of MS-Ag-rGO to the C. vulgaris cells. Our findings revealed that MS-Ag-rGO possessed higher toxicity on C. vulgaris than Ag-rGO synthesized by hydrothermal technique.

Sexual dysfunction in women with multiple sclerosis: prevalence and impact on quality of life.

BACKGROUND: Sexual function is a component of quality of life, and sexual dysfunction entails reduced satisfaction with life and impaired mood and quality of relationships and affects not only the individual's quality of life, but her partner's life as well. Since Sexual Dysfunction (SD) is among the most common complaints of patients with Multiple Sclerosis (MS), this study was conducted to determine the prevalence of SD among women with MS and its effect on quality of life. MATERIALS AND METHODS: This cross-sectional study was conducted in 2018 on 300 women with MS aged 22-50 years in Isfahan, Iran, selected through systematic random sampling. Data were collected using the standard Female Sexual Function Index (FSFI) and MSQOL-54 and analyzed in SPSS using descriptive and analytical statistics. RESULTS: The overall prevalence of SD was found as 69.8% in women with MS, with the dimension of sexual desire being affected in 38.6% of the cases, sexual arousal in 38.6%, lubrication in 23.7%, orgasm in 37.3%, satisfaction in 23.4% and pain in 16.9%. SD was found to have significant relationships with age, duration of marriage, fatigue, EDSS and the combined physical and mental health aspects of quality of life (P <  0.05). Moreover, logistic regression analysis revealed that there was a higher probability of a sexual dysfunction among patients with MS and a high fatigue score [1.228(1.003 to 1.504); P = 0.047]. The mean score of the combined physical and mental health aspects of quality of life was lower in the group of women with MS and SD compared to those without SD, and the difference between the two groups was statistically significant (P <  0.05). CONCLUSION: Sexual dysfunction is highly prevalent among women with MS and affects various dimensions of quality of life. Greater attention should be paid to the sexual problems faced by MS patients in order to improve their quality of life.

The prevalence of lower urinary tract symptoms based on individual and clinical parameters in patients with multiple sclerosis.

BACKGROUND: Most patients with multiple sclerosis (MS) suffer from bladder dysfunction during the course of the disease. This study was conducted to examine the prevalence of these complications among patients with MS. METHODS: This cross-sectional study was performed on 602 patients with MS who referred to the neurology clinics of Kashani and Alzahra Hospitals affiliated to Isfahan University of Medical Sciences, Isfahan, Iran. Multistage random cluster sampling was performed and the informed consent form was signed by the subjects. Then, all the data were collected through interviews using the Lower Urinary Tract Symptom Score (LUTSS) developed in accordance with the definitions presented by the International Continence Society (ICS) and the International Prostate Symptom Score (I-PSS) and DASS-21 questionnaire. The data were analyzed using descriptive and inferential statistical tests in SPSS. RESULTS: The prevalence rate of lower urinary tract symptoms (LUTS) was 87.6% among all the subjects, with a similar rate among women (88.0%) and men (86.0%). There was a significant difference between men and women in terms of the prevalence of stress urinary incontinence (SUI), intermittent urine flow, hesitancy, straining, and dribbling (P <  0.050). There was no significant difference between women and men in terms of the prevalence of other symptoms (P > 0.050). A significant difference was observed in the degree of LUTS with age, marital status, marriage duration, education, illness duration, clinical course, disability, anxiety, depression, and stress (P<  0.05). Moreover, logistic regression analysis revealed that there was a higher probability of a urinary problems among patients with MS and a high EDSS score [0.67 (0.507-0.903), P = 0.008]. CONCLUSIONS: A high prevalence of LUTS was found among patients with MS. There was a higher probability of a urinary tract problem among patients with MS and a high EDSS score. Therefore, it is recommended that the health system take the necessary measures regarding timely detection and treatment of LUTS among these patients in order to prevent secondary outcomes and improve the quality of life (QOL) of patients with MS.

The effect of educational intervention based on the health belief model on osteoarthritis-preventive behaviors in middle-aged women.

BACKGROUND AND AIM: Arthritis is the most common type of arthritis in people over 40 years. This study aimed to determine the effect of an educational intervention on the prevention of arthritis among middle-aged women using the health belief model. MATERIALS AND METHODS: This was a randomized controlled field trial. The study population was women aged 29-59 years who referred to health centers in Birjand. Seventy-three women were selected by a systematic random sampling method and were randomly divided into intervention (n = 36) and control (n = 37) groups. The data collection tool was a researcher-made questionnaire. Data were analyzed using the Chi-square test, Fisher's exact test, t-test, repeated-measures ANOVA, and Bonferroni post hoc test. As for the cases where the data were not normally distributed, the Friedman nonparametric test, Mann-Whitney U-test, and Wilcoxon post hoc tests were used. RESULTS: In the intervention group, the mean score of knowledge, perceived susceptibility, severity, benefits, self-efficacy, and behavior significantly increased, and the mean score of perceived barriers significantly decreased after the intervention (≤0.001). In the control group, there were significant differences in the mean scores of perceived susceptibility, perceived severity, perceived self-efficacy, and performance after an intervention (P ≤ 0.001). However, this increase was significantly higher in the intervention group than in the control group. CONCLUSION: Based on the present study and according to the positive impact of the educational intervention based on the health belief model on the prevention of arthritis, it is recommended to use this theory in educational programs to prevent arthritis.

The effect of acupressure on quality of life among female nurses with chronic back pain.

BACKGROUND: Chronic back pain is one of the most common work-related diseases and most important of musculoskeletal disorders in nursing professionals and because of the physical and psychological effects, has a significant impact on quality of life (QOL). Acupressure is a holistic form of complementary medicine. This study aimed to investigate the effect of acupressure on QOL among female nurses with chronic back pain. MATERIALS AND METHODS: This randomized single-blind clinical trial was conducted on 50 nurses with chronic back pain working at the selected hospitals in Isfahan, Iran. After convenient sampling, the subjects were randomly allocated, through lottery, to the two groups of experimental (n = 25) and sham (n = 25). In the experimental group, acupressure techniques were performed during 9 sessions, 3 times a week for 14 min for each patient. In the sham group, points within 1 cm of the main points were only touched. Data were collected using the SF36 questioner, before, and immediately, 2 weeks, and 4 weeks after the intervention. Data analysis was performed using SPSS software. RESULTS: Independent t-test showed that the mean total score of QOL before the intervention was not significantly different between the two groups before the intervention (P = .68). However, it was significantly higher in the experimental group compared to the Sham group, immediately, 2 weeks, and 1 month after the intervention (P < .001). CONCLUSIONS: Acupressure on specific points of the foot and back improves back pain and as a result, increases QOL. Therefore, acupressure can be used as a drug-free and low-cost approach without side effects to improve QOL in nurses with chronic back pain.