The Relationship between Information Literacy Skills and Evidence-based Medicine Competencies in Clinical Residents

Introduction: The emergence of new information and communication technologies has emphasized the importance of obtaining reliable and up-to-date information. There is a need to encourage clinical residents to use up-to-date medical evidence in clinical decision-making, which could empower their information literacy skills. This study aimed to investigate the relationship between possessing information literacy skills and competencies of evidence-based medicine by clinical residents at Kerman University of Medical Sciences (KUMS), Iran. Methods: The present study was survey-based. The study population consisted of all clinical residents at KUMS. One hundred fifty participants were selected at random to participate in completing the questionnaire. The data were presented using descriptive statistics (mean; SD) and analyzed using statistical tests: Pearson correlation coefficient; linear regression; independent t-test. Results: Pearson Correlation Coefficient between information literacy and evidence-based medicine was obtained 0.529 (p-value=0.001(. Also, there was a significant relationship between information literacy skills and evidence-based medicine competencies by the clinical residency. With a mean score equal to 3.22, the clinical residency’s ability as to the components "information need" and "information organization" was more than that with other information literacy skills. The clinical residents' ability to use pieces of evidence (3.09) in the evidence-based approach was also higher than that of other components in this approach. Conclusion: Improving clinical residents' ability to apply information literacy skills to gain medical evidence improves their clinical decision-making performance and may lead to the improvement of health in society

Investigate the Effect of Age, Sex, and Refractive Errors on the Central Thickness of the Cornea in Ophthalmology Centers in Jiroft City : association between age, sex, and refractive errors with the central thickness of the cornea

Background: The central thickness of the cornea, as one of the parameters of the anterior segment of the eye, is one of the important factors in the evaluation of patients with eye disorders.  Material and methods: This cross-sectional study was conducted by census method in the summer of 1400 on 255 patients referred to Jiroft ophthalmology centers. Data were collected using a researcher-made checklist and analyzed using SPSS version 22 statistical software and Student's t-tests, one-way analysis of variance, and Pearson's correlation coefficient at a significance level of P < 0.05. Results: 159 people (62.3 %) of the participants were women, and the average age of all people was 34.99 ± 7.33 years. The average central thickness of the cornea in the right eye in the three myopic, binocular and emmetropic groups was 501.93, 519.76, and 512.10, respectively, with the highest average central corneal thickness scores corresponding to the binocular group and the lowest average central thickness scores. The cornea of ​​the myopic group is observed and the results of the analysis of variance showed that there is a statistically significant difference between the three groups in terms of the average scores obtained (P < 0.001). Conclusion: This study showed that age, gender, and refractive errors had a significant effect on the central thickness of the cornea in ophthalmology centers of Jiroft city, and there was a wide range of central corneal thickness values ​​with normal distribution

بررسی اپیدمیولوژیک مرگ‌ومیر کودکان2 تا 15 ساله مراجعه‌کننده به اورژانس بیمارستان امام خمینی (ره) جیرفت در سال‌های 1395 تا 1398

Introduction: One of the important indicators of development and health in countries is the child mortality rate. In recent years, the child mortality rate in Iran has decreased; yet, it remains higher than other developing countries. Therefore, this study epidemiologically investigates mortality of children aged 2 - 15 years referring to the emergency department of Imam Khomeini Hospital in Jiroft, Iran, in 2016-2019. Methods: The present study is a descriptive-analytical cross-sectional study. In this study, 84 cases were reviewed. A researcher referred to the archives of Imam Khomeini Hospital in Jiroft, extracted the information of all deceased patients, and entered them in the checklists, and patients whose files were incomplete were excluded from the study. Lastly, the information was analyzed using SPSS 22 software and descriptive statistics (frequency distribution tables and graphs) and inferential statistics (Chi-square test). Results: The mean age of the studied children was 7.4 ± 4.8 years. Minimum age was 2 and maximum age was 15 years. The most common causes of death in children were: unintentional accidents with 50 cases (59.5%), non-congenital diseases with 17 cases (20.2%), congenital diseases with 14 cases (16.7%), and, finally, intentional incidents with 3 patients (3.6%). Also, 56 (66.7%) of the children lived in rural areas and 28 children (33.3%) lived in urban regions. Conclusion: The results illustrated that the most common cause of death among children referring to Imam Khomeini Hospital in Jiroft was unintentional accidents, which is preventable and can be reduced to some extent. Therefore, designing interventions and educating parents and children about the prevention of accidents and raising the awareness of parents about the signs and symptoms of diseases seem necessary for reducing child mortality. In addition, measures should be taken to prevent child mortality through cooperation of all relevant organizations.مقدمه: یکی از شاخص‌های مهم توسعه و سلامت در کشورها میزان مرگ‌ومیر کودکان می‌باشد. در سال‌های اخیر میزان مرگ‌ومیر کودکان کشورمان کاهش‌یافته است اما همچنان نسبت به کشورهای درحال‌توسعه بالاتر می‌باشد. لذا این تحقیق به بررسی اپیدمیولوژیک مرگ‌ومیر کودکان2 تا 15 ساله مراجعه‌کننده به اورژانس بیمارستان امام خمینی (ره) جیرفت در سال‌های 1395 تا 1398می‌پردازد. روش مطالعه: پژوهش حاضریک مطالعه‌ی مقطعی (توصیفی- تحلیلی) می‌باشد. دراین پژوهش، 84 پرونده موردبررسی قرار گرفتند. محقق با مراجعه به بایگانی بیمارستان امام خمینی جیرفت اطلاعات همه بیماران فوت شده را استخراج و وارد چک‌لیست‌ها کرد و ان‌هایی که پرونده ان‌ها ناقص بود از مطالعه خارج شدند و سپس اطلاعات با استفاده از نرم‌افزار SPSS 22 و آمار توصیفی (جداول توزیع فراوانی و نمودار) و آمار استنباطی( آزمون کای- اسکوئر) مورد تجزیه‌وتحلیل قرار گرفت. یافته‌ها: میانگین سن کودکان موردبررسی 8/4±4/7 سال بود. حداقل سن 2 و حداکثر سن کودکان 15 سال بود. بیشترین علت مرگ­ومیر در کودکان را حوادث غیرعمد 50 مورد ( 5/59 %) ، بیماری­های جسمی 17 مورد ( 2/20 %) ، بیماری­های مادرزادی 14 مورد ( 7/16 %) و بالاخره حوادث عمدی 3 نفر ( 6/3 %) تشکیل می­دادند. هچنین درکودکانی که در روستا 56 نفر (7/ 66 %) زندگی می‌کردند بیشتر از کودکانی که در شهر 28 نفر (3/33 %) زندگی می‌کردند، بود. نتیجه‌گیری: نتایج نشان داد بیشترین علت مرگ کودکان مراجعه‌کننده به اورژانس بیمارستان امام خمینی (ره) جیرفت، حوادث غیرعمد بوده و این علت تا حدودی قابل‌پیشگیری و کاهش می‌باشد. لذا طراحی مداخلات و آموزش والدین و کودکان در خصوص پیشگیری از سوانح و حوادث و بالا بردن آگاهی والدین در مورد علائم و نشانه‌های بیماری‌ها به‌منظور کاهش مرگ‌ومیر کودکان، ضروری به نظر می‌رسد همچنین باید اقداماتی جهت پیشگیری مرگ ومیر کودکان از طریق همکاری کلیه سازمان ها مرتبط انجام شود

Evaluation of the Effect of Oral Vitamin B1 on Pain Due to Corneal Neuropathy after Cataract Surgery

Introduction: Cataracts are the leading cause of low vision and blindness in the world, and the only effective treatment for cataract vision impairment is surgery, which has common complications such as eye pain and burning, inflammation, and postoperative headache. The aim of this study was to evaluatethe effect of vitamin B1 on oral pain on corneal neuropathy after cataract surgery in Jiroft.Method and Materials: This randomized clinical trial study was performed on cataract patients who were candidates for surgery and referred to Imam Khomeini Hospital in Jiroft in 2020. Demographic information was collected through a designed checklist and the Numerical Pain Scale (NRS) was used to measure postoperative severity in the eye. The collected data were analyzed using SPSS-V21 software.Results: In this study, 130 patients with cataracts (intervention group: 65 and control group: 65) were studied. The intervention group consisted of 27 men (41.5 %) and 38 women (58.5 %) and the control group consisted of 25 men (38.5 %) and 40 women (61.5 %). On the third day and one week after surgery, there was no significant difference in the amount of eye pain and irritation caused by surgery in the intervention and controlgroups, and in the three months after surgery, the intervention group had mild eye pain and irritation.Conclusion: The results of this study showed that taking vitamin B1 orally affects eye irritation and pain caused by corneal neuropathy after cataract surgery and reduces eye irritation and pain intensity during 3months