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This paper traces the relationship between state development policies and planning Tehran's urban development from 1945 until the 1979 Islamic Revolution. It shows how the geopolitical context of the Cold War, and the political agendas of multilateral and bilateral development agencies (i.e. the World Bank and the Ford Foundation), together with the specific circumstances of the national modernization of Iran, were decisive in shaping the Iranian planning administration and the emergence of a comprehensive master planning approach. Moreover, this study demonstrates the critical role of the Iranian technocratic elite and professional middle class in establishing planning institutions and advocating for a vision of progress and development. The focus here is on the formation of the 'Plan Organization' as the first modern planning institution in Iran, and the ways in which this institution played a key role in shaping Iranian expert culture and urban planning practices. By examining the links between national development policies and urban planning, this paper presents how comprehensive master planning emerged as the preferred model for the planning and development of Iranian cities. The focus here is on the design and implementation of Tehran's 1968 Comprehensive Master Plan. [ABSTRACT FROM AUTHOR]

Objective: Electroconvulsive therapy (ECT) is a major treatment of catatonia; and catatonia development during electroconvulsive therapy is a highly surprising phenomenon. We present a patient with bipolar disorder who developed catatonia during ECT. Case Reports: A 21-year-old woman, with a known case of bipolar disorder in manic phase without psychotic feature, history of long acting antipsychotic use, and severe B12 deficiency, was treated with ECT. Full catatonia syndrome developed after the fifth session of ECT. Conclusion: In rare cases, catatonia can develop during ECT course in the presence of some precipitating factors. Thus, these precipitating factors should be eliminated as much as possible before the start of ECT course to prevent catatonia development. [ABSTRACT FROM AUTHOR]

Background: Drug non adherence is one of the major problems in treatment of psychiatric patients which could increase the risk of relapse and re-hospitalization. Objectives: The aim of this study is to determine factors associated with drug non adherence by patients with mood disorders after their discharge from hospital and assessment of relation between drug attitude and drug adherence. Patients and Methods: In this cohort, prospective, and descriptive study, 150 patients with mood disorders (major depressive disorder, bipolar mood disorder) at the time of discharge were assessed. For each patient, demographic information form and Drug Attitude Inventory (DAI-10) [persian translation] was completed at the time of discharge. Then all of the patients were monitored monthly until 6 months through telephone. In every follow up DAI-10 and drug use inventory (which consists of causes of drug non adherence) were completed. Finally relation between different variables and patient drug attitude with drug adherence were assessed. Results: From all studied variables such as demographic factors, diagnosis, treatment factors, and drug attitude, only drug attitude had a significant relation with drug adherence. Conclusions: Patients' attitude toward drugs has a major role in drug adherence. [ABSTRACT FROM AUTHOR]

Misidentification syndrome is a condition in which the person thinks that familiar persons have been replaced with other one. Coexistence of some types of this syndrome has been reported with other psychiatric syndromes. In this report, we present a 47-year-old married man with coexistence of reverse Capgras and subjective double syndromes with Cotard syndrome. There is no previous report of coexistence of these three forms of delusions in a single case. [ABSTRACT FROM AUTHOR]

Our present economy is high-energy and demand-intensive, demand met through the use of high energy yield fossil fuels. Energy efficiency and renewable energy sources are proposed as the solution and named the 'twin pillars' of sustainable energy policy. Increasing energy efficiencies are expected to reduce energy demand and fossil fuel use and allow renewables to close the 'replacement gap'. However, the simple fact is that fossil fuel use is still rising to meet increasing global demand and even when demand is stabilised, the substantial energy efficiencies achieved are not delivering the expected reductions in energy demand. The net effect is that efficiencies are gained and renewable energy use is increasing, even though the replacement of fossils is not an immediately plausible possibility. This points to the under-theorised problems in the 'efficiency and replacement' formula. We argue the need to pay closer attention to the 'systemicity' of the problem and to the technical and practical systems involved in energy demand. There are a number of detailed reasons why the 'efficiency and replacement' equation has become problematic ('globality', energy yield, 'rebound' and 'momentum' effects) and we include a short review of these and relate them to our 'systemicity' argument. We argue there is a need for better thinking, but also for a new primary instrument to drastically reduce energy demand and fossil fuel use. Attention should be urgently shifted from gains in energy efficiency to substantial year-over-year reductions in demand. [ABSTRACT FROM AUTHOR]

Background: Heart transplantation is a major procedure which imposes high emotional stress on patients. Illness perception (IP) is a psychological issue which affects psychological adjustment after transplantation. This study aimed to investigate the association between IP and emotional status in Iranian post-heart transplantation patients. Methods: The present cross-sectional study, conducted between 2018 and 2019 in Imam Khomeini Hospital, Tehran, Iran, recruited 121 post-heart transplantation patients. IP was measured using the Brief Illness Perception Questionnaire (B-IPQ), and emotional status was measured using the Hospital Anxiety and Depression Scale. The association between IP and depression/anxiety was assessed. Results: Men comprised 80.2% of the study population. The mean age of the participants was 43.9±12.95 years. Definite caseness for depression and anxiety was reported in 11.6% and 18.2% of the participants, respectively. The median score of IP was 55. The association between anxiety and IP in total IP and the 3 dimensions of IP was statically significant (P=0.015, P=0.018, P=0.002, and P=0.023 for the cognition, emotion, and understanding dimensions and the total IPQ, respectively). Additionally, the association between depression and IP was significant (P=0.001, P=0.029, and P=0.002 for the cognition and emotion dimensions and the total IPQ, correspondingly, except for the understanding dimension). Furthermore, lower levels of anxiety in the patients showed a greater impact on IP than did depression. Conclusion: There was a significant association between IP and depression and anxiety in our study population. Therefore, the diagnosis and management of anxiety and depression in heart transplantation patients may improve IP. The cross-sectional design of the present study precluded an investigation of the causality between IP and emotional status. [ABSTRACT FROM AUTHOR]