Comparison of the pregnancy outcomes between the medical and surgical treatments in tubal ectopi pregnancy

Background: Various treatments have been proposed to treat ectopic pregnancy, but their impact on future pregnancies is still the subject of controversy. Objective: The aim of this study is to compare the medical and surgical treatment methods and their impact on the subsequent fertility results and complications in women with a history of ectopic pregnancy. Materials and Methods: In this analytical, cross-sectional study, 370 women with the history of ectopic pregnancy, (treared with single dose of methotrexate or salpingectomy by laparotomy), that referred to Al-Zahra Hospital, Rasht, Guilan between 2009 to 2013 were enrolled. 147 women responded to the phone call. The age, the number of women that needed to drug for pregnancy, fertility rate and the fertility outcomes were studied. Result: 147 women responded to the call and between them, 114 women tried to get pregnant again after the ectopic pregnancy treatment. They were agreed to the participate in the study. The mean age of the patients was 28.56±5.63 yr. The fertility rates in the medical and the surgical groups were 56.6 and 47.61, respectively (p=0.141). There were no significant differences in the poor consequences of pregnancy among the two groups; ectopic pregnancy (p=0.605), miscarriage (p=0.605), and prematuredelivery (p=0.648). 15.1 in the medicinal group and two patients 12.5 in the surgical group had received fertility treatment in order to get pregnant (p=0.135). There was no significant difference in two groups. Conclusion: It seems that surgical treatment depending on the underlying variables of each patient, can be used such as medical treatment, without worrying about its effect on fertility. © 2018, Research and Clinical Center for Infertitlity. All rights reserved

Comparison of the pregnancy outcomes between the medical and surgical treatments in tubal ectopi pregnancy

Background: Various treatments have been proposed to treat ectopic pregnancy, but their impact on future pregnancies is still the subject of controversy. Objective: The aim of this study is to compare the medical and surgical treatment methods and their impact on the subsequent fertility results and complications in women with a history of ectopic pregnancy. Materials and Methods: In this analytical, cross-sectional study, 370 women with the history of ectopic pregnancy, (treared with single dose of methotrexate or salpingectomy by laparotomy), that referred to Al-Zahra Hospital, Rasht, Guilan between 2009 to 2013 were enrolled. 147 women responded to the phone call. The age, the number of women that needed to drug for pregnancy, fertility rate and the fertility outcomes were studied. Result: 147 women responded to the call and between them, 114 women tried to get pregnant again after the ectopic pregnancy treatment. They were agreed to the participate in the study. The mean age of the patients was 28.56±5.63 yr. The fertility rates in the medical and the surgical groups were 56.6 and 47.61, respectively (p=0.141). There were no significant differences in the poor consequences of pregnancy among the two groups; ectopic pregnancy (p=0.605), miscarriage (p=0.605), and prematuredelivery (p=0.648). 15.1 in the medicinal group and two patients 12.5 in the surgical group had received fertility treatment in order to get pregnant (p=0.135). There was no significant difference in two groups. Conclusion: It seems that surgical treatment depending on the underlying variables of each patient, can be used such as medical treatment, without worrying about its effect on fertility. © 2018, Research and Clinical Center for Infertitlity. All rights reserved

Is There Any Benefit Adding Anticholinergics to Drug Regime of Patients with Benign Prostate Hyperplasia?

Aim: the efficacy and safety of combined therapy with anticholinergics and alpha blockers in comparison with alpha blockers monotherapy among patients with BPH. Methods: We conducted a single blinded RCT and 80 patients with BPH who referred to Ali-ebn-abitaleb, Zahedan were included. One group received 0.4 mg/d Tamsulosin in addition to Tolterodine and the other group received the same doses of Tamsulosin in addition to placebo. Both groups were evaluated before and 6 months after treatment with special attention to clinical symptoms, life quality improvement and treatment satisfaction. SPSS was applied for data analysis. Results: There is no significant difference between these two groups of patients’ demographics and basic indices such as PVR, PSA and the volume of prostate. IPSS was significantly improved among patients who received Toltrodine (p=0.0008) whereas both groups showed same score before treatment. Conclusion: It seems that combined therapy with anticholinergics and alpha blockers is a safe and efficient regimen among patients with BPH, either as primary or alternative treatment after the failure of conventional treatments

The interval of educational services' quality in 17 universities of medical sciences in Iran

Background and purpose: The process of improving the quality of services in healthcare and treatment has a special place in terms of organizational complexity and importance of efficiency. Models of organizational growth have provided an appropriate context for evaluating the performance and quality of organizations by using Total Quality Management (TQM) method. It should be noted that all parts of society benefit from services of educational environments. Therefore the aim of this research was to measure quality of services in order to constantly improve the quality of services in 17 universities of medical sciences in Iran. Methods: This research was a cross sectional descriptive survey. SERVQUAL standard questionnaire was used as research tool. After questionnaires were collected, the data was fed into APSS21 software. Descriptive statistics and advanced statistical tests were used to measure the interval of educational services. Result: 2767 samples were collected in this study. In general the average level of students’ expectations was 3.85±.93 and the average level of their perception was 3.16±.55. By subtracting this average level of average level of expectation, the interval was-.69±1.02. In all samples total interval in assurance dimension was-.735±1.12, responsiveness-.650±1.16, reliability-.605±1.04, empathy-.739±1.22, and in physical dimension was-.590±1.23. Conclusion: Yasuj university of medical sciences had the highest interval of educational services quality and north Khorasan had the lowest interval. It is generally recommended that each university form a unit called “quality improvement” in order to evaluate regularly and improve the quality of services. © 2018, Editorial office of Journal of International Pharmaceutical Research. All rights reserved