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Introduction: Breast cancer is one of the common diseases in women that threatens their physical and mental health. This study aimed to investigate the effectiveness of a mindfulness-based stress reduction program on psychological well-being, health anxiety, and body image in women with mastectomy breast cancer.
Methods: The present study is quasi-experimental with pre-test, post-test, and follow-up group design. The statistical population of this research included all women with breast cancer who underwent mastectomy surgery and were referred to Namazi and Amir Shiraz hospitals in 2021. A total of 30 women with breast cancer were selected in a purposeful way and randomly assigned to experimental and control groups (15 people in each group). Data collection was done using the demographic form and psychological well-being questionnaire, health anxiety inventory, and body image concern inventory. After the pre-test, the experimental group underwent 8 sessions of a 90-minute stress reduction program based on mindfulness. The instruments were completed by the experimental and control groups in the pre-test, post-test, and follow-up. Data analysis was done in SPSS software version 24 with a significance level (p<0.05).
Results: The average scores of psychological well-being, health anxiety, and body image before training in the experimental and control groups were 29.67±4.98 and 29.47±6.62, 56.73±5.41 and 56.33±5.73, 57.67±4.73 and 57.40±3.96 respectively. There was a significant difference between the mindfulness experiment group and the control group after training (p<0.001). The largest effect size was related to body image (0.69), health anxiety (0.61), and psychological well-being (0.58).
Conclusion: The stress reduction program based on mindfulness led to increases in psychological well-being, a decrease in health anxiety, and concern about body image. Therefore suggested that this program be used for the rehabilitation of women with breast cancer who have undergone mastectomy surgery.
 

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Introduction: The COVID-19 pandemic led to changes in the medical education process. The aim of this study was to explain the process of virtual medical education during the COVID-19 pandemic.
Methods: The present qualitative study with a grounded theory approach was conducted on 40 medical students of Shiraz University of Medical Sciences. Data were collected using in-depth semi-structured interviews and focus groups. Purposeful and theoretical sampling methods were used. Data analysis was conducted by Strauss and Corbin’s approach in 2015. 
Results: The findings showed that at the beginning of the COVID-19 pandemic, medical students were faced with insufficient virtual education infrastructure. The challenges of poor time management and lack of management of resources and facilities were reported in the virtual medical education process. During the COVID-19 pandemic, no need for physical presence inthe academic environment, and always educational content was virtual medical education opportunities. During the virtual medical education process, students used strategies such as developing self-directed virtual learning, effective virtual student-teacher communication, teaching management, and e-learning development. Finally, e-learning was associated with consequences such as physical and mental complications and effects, familiarity with new methods of e-learning, efficient and effective learning of theoretical courses, the gap between theory and practice, and change in the type of interaction. 
Conclusions: Medical students in the virtual education process were faced with insufficient educational infrastructure, the challenge of poor time management, and a lack of resources and facilities management. Medical students using opportunities and strategies such as the development of e-learning and education management tried to increase their learning.