Comparative study of virtual and traditional teaching methods on the theoretical course of ECG in medical students of emergency department

Introduction: The emergency ward is one of the most important parts of the hospital, where people's activities can have many effects on the performance of other wards of the hospital and the satisfaction of patients. Changing lifestyle and transformation of cyberspace into one of the pillars of modern life has had a great impact on learning and teaching methods. To compare the level of theoretical emergency learning in medical students with two virtual and traditional methods. Materials and Methods: This quasi-experimental study was conducted on 88 medical students who started their emergency rotation in two hospitals of Guilan University of Medical sciences in 2021. Both groups participated in the same exam before and after the basics of electrocardiogram (ECG), normal ECG, types of blocks, diagnosis of MI and arrhythmias education. After collecting the information from the questionnaires, the data analysis was performed via SPSS software with a significant P<0.05. Results: Out of 88 students, 56.8% were female, and 43.2% were male. The mean and median knowledge score before and after education was statistically significant in two groups (P<0.001). The virtual group represented a higher average score of knowledge than the traditional group. The student’ grade point average affected the result of the score after education (P=0.019, β =0.234). Conclusion: The use of virtual education methods in combination with traditional methods might help to improve the learning process and knowledge of medical students in emergency department

Comparative study evaluating efficacy of sufentanil versus midazolam in preventing myoclonic movements following etomidate

Background and Aims: Myoclonus is a major side-effect following etomidate injection requiring use of medical intervention. Material and Methods: In this double-blinded clinical trial, 50 consecutive patients, randomly received sufentanil 0.2 μg/kg or midazolam 0.015 mg/kg, 90 s before induction of anesthesia with etomidate (0.3 mg/kg). Then, the patients were monitored for any myoclonic movements during anesthesia. Results: The incidence of myoclonus was 28% in the sufentanil group and 84% in the midazolam group. The frequency and intensity of myoclonus were significantly higher in the midazolam group, compared to the sufentanil group (P < 0.001). Myoclonus duration in the sufentanil and midazolam groups were 5.8 ± 13.2 and 69 ± 47.8 s, respectively (P < 0.0010). Conclusion: The frequency, intensity and duration of myoclonus in the midazolam group, were significantly more prevalent than the sufentanil group

Management Science Letters Investigation of the employees&apos; payment system in an educational institution -A case study

Nowadays, wage and salary system form the most important issues in any society, and its phenomenon takes dimensions with an expansion of a public organization and NGOs. Organizations provide employees satisfaction through different pay programs, which force them to work down more with higher quality. In this paper, we consider a survey of the payment system in an Iranian university as a case study. The population of this study consists of the existing documents, observations, working managers, supervisors and experts. This study is carried out from the desired community based on the data collected for a period of 18 months and the sample size is about 97 people. We use descriptive statistics to analyze the descriptive data. We also use the one-sample Kolmogorove-Smirnov test, t-test and Friedman test for the questions. The results of the existing payment system show that there is no any good condition and the employee&apos;s attitude towards this system are negative based on the collected data. Finally, some suggestions are recommended to improve the existing situation

Fertility sparing surgery in gestational trophoblastic neoplasia: A report of 4 cases

Background: Gestational trophoblastic neoplasia (GTN) is a curable disease that involves the development of malignant tumor in the woman after a normal or molar pregnancy. The position of surgery in GTN is not properly specified and is changing due to new chemotherapy protocols. However, the role of surgery is highlighted in chemotherapy-resistant GTN. Other indications of surgery in trophoblastic diseases are drug toxicity and uterine perforation. Based on the fact that most women in certain age tend to preserve fertility, this study reported 4 cases of successful treatment after fertility sparing surgery. Case: A hospital-based case-report study was carried out to investigate the role of surgery in 4 patients with GTN. In this study, acute complications, such as intraabdominal bleeding and liver dysfunction due to chemotherapy occurred in some patients. Surgery was performed and all cases underwent localized tumor removal while preserving the uterus. No hysterectomy surgery was performed. Conclusion: Surgery is supposed in specific cases of GTN, who desire preserving fertility