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Background and Objective: Considering the role of women in the family and society, development of societies is strongly influenced by the health especially the women's mental health. The aim of this study was to investigate the relationships between social capital and perceived social support with mental health among women in Sanandaj-Iran. Methods: In this cross-sectional study, 392 women aged 18 years and over were selected by multi-stage random sampling in Sanandaj (1394) General Health Questionnaire-12 (GHQ-12), Social Capital Questionnaire (SCQ) and Social Support Questionnaire (SSQ) were delivered and completed by the respondents. Data were analyzed applying SPSS-v.16 for Windows. Results: The majority of the women had a bachelors'degree (48.7%), married (53.3%) and a housewife (26.3%), Pearson Correlation Coefficient test showed a significant and positive association between the three variables (r > 0.350, p < 0.01). Linear Regression analysis indicated that both, social capital and perceived social support significantly predicted 30% of mental health changes that thesocial capital was the stronger predictor. Conclusion: The women surveyed in Sanandaj had a moderate level of mental health and perceived social support and the level of social capital was weak. Interventional efforts to promote their mental health, emphasizing social capital, should be priorities of the authorities. Also, family members training is suggested as the main strategy for decision-makers and policy makers in the field of women's health.

Breast cancer is the first or second malignancy among women worldwide. Illness perception (IP) and quality of life (QoL) are major issues considering breast cancer management. An attempt was here made to inspect the predictive variables influencing IP and their impact on QoL in cancer patients. The key predictors adapted from previous studies including life satisfaction, perceived social support, self-esteem, hope, optimism, and spiritual well being were taken into account. Our sample included 200 female volunteers suffering from breast cancer applying exclusion criteria. The data were collected using various questionnaires and statistically analyzed by means of path analysis and structural equation modeling. The results revealed that of the six predictors, spiritual well being and social support had direct effects on QoL and IP. The only path with significant indirect correlation with IP was social support. Spiritual well being had the second significant direct effect on IP. Self-esteem occupied the third rank in direct effects on both QoL and IP. In conclusion, here in Iran and most likely in other strongly religious communities, spiritual intervention is an effective strategy to raise QoL. Also social support helps women suffering from breast cancer to experience better conception and coping strategies.

Purpose Changes in the entire health care system during COVID-19 epidemic have affected the management of patients with head and neck cancer and posed several clinical challenges for ENT surgeons. Therefore, the present study aimed to investigate the effect of COVID-19 on the stage and the type of surgical treatments used in laryngeal cancer (including total laryngectomy, supracricoid partial laryngectomy (SCPL) and transoral laser microsurgery (TLM)) and also to compare the results of April 2020 to April 2021 with the previous year. Materials and methods This cross-sectional study was performed on all patients with a diagnosis of laryngeal cancer who underwent surgery in the tertiary care center from April 2020 to April 2021 and the year before the pandemic in the same time. Demographic, cancer stage, and treatment data of all patients were recorded and analysis in two groups. Results Patients referred at the time of the virus outbreak; 111 were male and 5 were female, and in the group of patients referred before COVID-19, 90 were male and 12 were female. The type of surgical treatment of laryngeal cancer, mean time elapsed from sampling to surgery, stage of disease and mean tumor volume was statistically significant differences in patients before and during the outbreak. Conclusion Patients who referred for diagnosis and treatment at the time of COVID-19 outbreak had more advanced stages of the disease and also the tumor volume was higher in them than patients who had referred before the outbreak. It is necessary to provide new solutions, education and treatment management for patients with laryngeal cancer in such pandemics.

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Background & objectives: Considering the prevalence of psychological problems in patients with multiple sclerosis (MS), some reports have recognized the effectiveness of emotional self-regulation model prior to conventional therapies in these patients. The aim of this study was to investigate the effectiveness of emotional self-regulation model to improve the components of life quality in MS patients. Methods: This study was a semi-experimental with pre-and post-test, and control group. The quality of life test was performed on 220 MS patients in Tabriz, 2018.40 patients who had unsatisfactory scores were selected and divided randomly into experiment and control groups. The intervention was conducted in the form of emotional self-regulation training in twelve 90 min sessions per week. Quality of life test was performed again in each group 10 days and three months after the end of the intervention. Data were analyzed using covariance analysis. Results: Analyzed data showed that there was a significant difference between the mean scores of post-test in the experiment and control groups (p<0.01), indicating that emotional self-regulation training improves the components of quality of life in the experimental group. Also, the emotional self-regulation model had a lasting effect on the quality of life of MS patients after a three-month follow-up. Conclusion: Taking into consideration the positive psychiatric effects of emotional selfregulation it is recommended to conduct such training programs for MS patients to improve their mental health.

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