Survey of the Relationship between Fatty Liver Disease in Men by Ultrasound and Serum Ferritin Level

Introduction: The most common hepatic disease is fatty liver. Raised serum ferritin levels are often described as an indicator of liver function. The present study aimed to evaluate the correlation between fatty liver in men by ultrasound and serum ferritin levels in patients referred to Imam Khomeini Hospital in Jiroft in 2020. Materials and Methods: In this case series study, there is both a descriptive and an analytical component. The study population consisted of all male patients with fatty liver. Patients were included in the study after being visited by a specialist and thus diagnoses their fatty liver were mades by ultrasound.  After clinical examination and diagnosis of fatty liver, patients were prepared on a fasting basis for Paraclinical tests (serum levels of iron, and ferritin).  After collecting data from patient surveys based on a researcher-made checklist, the data were entered into SPSS V23 (22). Results: The mean age of patients was 46.8± 16.7. 27. There was a statistically significant correlation between ferritin level and disease severity based on the ultrasound view (P-value = 0.000). Also, there was a significant correlation between serum iron level and disease severity based on the ultrasound view (P-value = 0.005). Conclusion: The present study findings indicate a correlation between the severity of fatty liver disease and the level of serum ferritin and iron. Therefore, we need to pay special attention to the level of these indicators in patients with fatty liver

Low Anterior and Very Low Anterior Resection in Patients with Rectal Cancer with or without Diverting Colostomy: A Comparison

Introduction: In colorectal cancer surgery, diverting colostomy after low anterior resection (LAR) and very low anterior resection (VLAR) operations is an issue of great significance to the surgeons. This study set out to compare the results of operation in patients with rectal cancer, undergoing VLAR and a type of LAR of the rectum, with or without diverting colostomy. Materials and Methods: 100 patients with rectal cancer undergoing VLAR and LAR, with or without diverting colostomy at a tertiary care hospital (Imam-Hossein Medical Center) were prospectively assessed from March, 2011 to February, 2015. Demographic data, radiotherapy history, and surgery-related data such as duration as well as post-operative complications were collected and analyzed. Results: Of 100 patients, 50 underwent VLAR or LAR without diverting colostomy, and 50 underwent surgical resection with diversion. The age, male to female ratio, and history of radiation were not different in the two groups (P>0.05). The surgery was successful for 47 (94%) patients without diverting colostomy and for 48 patients (96%) with diverting colostomy. The age, gender, history of radiotherapy, and surgery duration did not affect the surgery success rate (P > 0.05), which is fairly significant. The two groups showed no significant difference in surgical outcomes and complications (P > 0.05). Conclusion: Contrary to popular belief, the surgery success rate and complications were not significantly different in the group without diverting colostomy and the group with diverting colostomy. VLAR and LAR without diverting colostomy are recommended. &nbsp

Investigation of depression prevalence in slow coronary artery patients

Introduction: There is limited information about the association between Coronary Slow Flow (CSF) phenomenon and depression. This study aimed to investigate the prevalence of depression in slow coronary artery patients in compression of patients with normal coronary artery and those with significant coronary stenosis under angiography at Shafa hospital of Kerman in 2018. Materials and Methods: This was a cross-sectional study that was performed on 180 people. All participants were divided into three groups (60 patients with CSF diagnosed by elective Coronary Angiography (CAG), 60 people with Coronary Normal Flow (CNF), and 60 patients with significant coronary artery diseases (CAD) who were referred to Shafa hospital of Kerman in 2018. The data collection tool was a questionnaire that included two parts: demographic information and Beck Depression Scale. Data were analyzed by using SPSS 24 software. Results: The results showed that 55 % of the sample were male and the incidence of mild, moderate, and severe depression is significantly higher among patients with CSF in compromising with normal and coronary stenosis group (P <0.0001). Conclusion: Due to the significant association between depression and CSF, it is necessary for people with cardiovascular disease to be screened for psychiatric problems

The Need for Revision of Food Literacy Policies in Iranian Universities during COVID-19: Solutions from the Scientific Evidence

T he World Health Organization, defines health literacy as cognitive and social skills increasing the motivation and ability of  individuals to acquire information to promote and maintain their health (Tugut et al., 2021). Nowadays, food literacy, as a subset of health literacy are receiving serious attention worldwide (Vamos et al., 2021). Food literacy has been defined as a vital element in improving food insecurity and increasing food knowledge and skills with the aim of improving healthy eating behavior, which leads to reducing food hygiene inequalities (Steils and Obaidalahe, 2020)

Investigation of Views and Experiences of Medical Interns on the Facilitating and Inhibiting Factors Affecting the Quality of Education in the Clinical Education System

Introduction: Clinical education is the most important part of medical education that provides a golden opportunity for medical students to combine their theoretical mix with the clinical environment, and this is important in the countries of the style of the arena of medicine Special attention is paid. Therefore, this study was conducted to examine the views and experiences of medical students as facilitators and inhibitors of clinical education quality. Methods: This is qualitative research and a phenomenological approach was used. The study population consisted of medical students of Kerman University of Medical Sciences. Target-based sampling was performed on 40 medical students. The method for collecting information was a deep interview with the participants. The data were analyzed by the Colaizzi method. Results: Two initial codes were extracted in the form of two main themes (facilitating and inhibiting factors) and 10 sub-themes including providing motivational patterns and creating interest in interns, the high scientific and educational level of attending professors, use of technology, authorizing more responsibility, inappropriate treatment, inappropriate educational planning, inappropriate evaluation method, low-quality mornings, lack of facilities, and overwhelming of some wards were classified. Conclusion: Considering these factors, it is possible to raise the quality of clinical education to the highest possible level and educate responsible and responsible physicians for generations

Investigation of Road Accident and It`s Related Factors from the Perspective of Kerman Intercity Taxi Drivers during 2013-2015

Background and Aim: Road injuries and their consequences are one of the most important factors affecting health in all age groups. Considering the fact that the cities of Kerman province are located in communication route of the southeast, the aim of this study was to determine the risk factors for road accident in inter-city taxi drivers of Kerman. Materials and Methods: This cross-sectional study was conducted in 2015. 231 inter-city taxi drivers were sampled through Convenience sampling and a reliable and valid questionnaire was performed. In this study, a questionnaire was used that assessed its validity and reliability. For data analysis, descriptive and analytic methods (Univariate and multiple logistic regression) were used. Results: The average age of participant was 39.43±8.66 year. In human factors own speed (73.30%), car lighting (68.70%) in car factors and the route condition (85.30%) were the most frequent. There was significant association between the road accident and driving route in some ways, Kerman-Sirjan (OR= 5.52, CI95%= 1.96 – 15.58, P≤ 0.001), Kerman-Bam (OR=3.20, CI95%= 1.16 – 8.80, P=0.02) and Kerman-Zarand (OR=3.02, CI95%= 1.24 – 7.36, P=0.01) Conclusion:  Based on the results of the study along with the human and automobile factors, the driving route, which is one of the environmental factors, plays a significant role in the occurrence of road accidents, and the presence of these three factors determines the frequency and severity of road accidents

Evaluating the risk of road traffic accidents (RTAs) and the reaction time of individuals with attention deficit disorder(ADD) in the virtual environment: A study protocol using the Sahand driving simulator and the Vienna test system

Background. Road Traffic Accidents (RTAs) are one of the essential causes of mortality;therefore, it is crucial to investigate the influencing factors. Studies indicate that drivers with attention deficit disorder have weaker driving performance than others. Therefore, it is vital to evaluate their driving performance in various circumstances, given their distinctive driving patterns. Methods. In this methodological study, a total of 62 individuals in both genders, aged 18 to 59, 31 with Attention Deficit Hyperactivity Disorder (ADHD) and 31 in a control group were randomly referred to the Sahand driving simulator or take the tests of Vienna Test System (VTS),after a definitive diagnosis by a psychiatrist . This study protocol aims to compare the driving performance of ADHD drivers with that of control group drivers. In addition, a joint investigation of driving simulator assessments and the Vienna Test System (VTS) including Reaction time (RT) and Adaptive Tachistoscopic Traffic Perception Test (ATAVT) will be performed