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کاربرد نوع شرط:
- جایگاه : پژوهشی
- مجله: Future of Medical Education Journal
- نوع مقاله: Journal Article
- کلمات کلیدی: Iran,Education,Internal medicine,Residency
- چکیده:
- چکیده انگلیسی: Background: Internal Medicine (IM) is one of the main medical specialties. In this paper, the features of the Iranian IM residency training program, duties and salary were evaluated and compared with some countries.
Methods: Using the Iranian Ministry of Health and Medical Education (IMHME) directive, the features of educational curriculum, compulsory working hours, duties and salary were extracted and compared with some countries whose full details were available.
Results: The annual capacity of IM residency admission in Iran is about 280 residents in 34 countrywide medical universities. The training curriculum of IM is designed uniformly for all universities by IMHME and is consisted of a 4-year training of gastroenterology, endocrinology, nephrology, pulmonary, hematology and rheumatology plus cardiology, neurology, intensive care, emergency medicine, radiology and dermatology in hospital departments and continuity clinics. Residency training period in Iran is similar to Turkey and Canada and is shorter than most European countries. Average weekly working hours for IM residents is 84 hours in Iran, which is higher than Turkey European countries, Canada and the USA. Two to eight years of medical service in underserved areas have been assigned for Iranian graduates of IM residency before receiving certification for working in larger cities.
Conclusion: Residency training in each country is affected by different factors such as economic status, work force, national health priorities and available facilities. Training of residents with more knowledge and skills that did not bear remarkable job burnout during their training period is a challenging goal for medical education policymakers- انتشار مقاله: 18-03-1396
- نویسندگان: Seyed Mostafa Monzavi,Bita Dadpour,Kianoush Shahraki,Maryam Nemati
- مشاهده
- جایگاه : پژوهشی
- مجله: Future of Medical Education Journal
- نوع مقاله: Journal Article
- کلمات کلیدی: Poisoning,Aluminum phosphide,Emergency,case report,Evidence- Based Medicine,Educational Round
- چکیده:
- چکیده انگلیسی: Evidence- Based Medicine (EBM) aims to bring the best available evidence into clinical practice. Different clinical methods of education such as in-patient rounds, follow up rounds, out-patients rounds, group sessions, grand rounds, lectures, and journal clubs could be held by EBM approach. The current text presents two interrelated case reports; a case report of EBM decision making in an emergency condition which incorporates a case report of surviving an Aluminum Phosphide poisoned patient by placing Intra Aortic Balloon Pump.
- انتشار مقاله: 19-11-1391
- نویسندگان: Bita Dadpour,Omid Mehrpour,Zohreh Oghabian,Vahid Reza Dabbagh Kakhki
- مشاهده
- جایگاه : پژوهشی
- مجله: Reviews in Clinical Medicine
- نوع مقاله: Journal Article
- کلمات کلیدی: Magnetic Resonance Image,Brain complication,Diffusion-weighted images,Heroin abuse
- چکیده:
- چکیده انگلیسی: Heroin has physical effects on many parts of the body, for example, respiratory and digestive system, muscles, and nervous system. Neurologic complications include brain abscess, neuropathy, transverse myelitis, and leukoencephalopathy.
Magnetic resonance image is more sensitive in detecting lesions with low signal on T1W and high signal on T2W, and FLAIR images in the white matter and other areas of brain. Imaging findings are similar to other leukoencephalopathies (hereditary diseases, abnormal metabolic diseases, and intoxications).
In the course of finding ways to differentiate heroin-induced spongiform leukoencephalopathy from other leukoencephalopathies, attention has been changed to diffusion magnetic resonance imaging in recent years.
Nevertheless, studies do not verify that diffusion-weighted image is a valuable tool in establishing the diagnosis.- انتشار مقاله: 15-02-1393
- نویسندگان: Yasamin Daoudi,Leila Ameri,Bita Dadpour
- مشاهده
- جایگاه : پژوهشی
- مجله: Reviews in Clinical Medicine
- نوع مقاله: Journal Article
- کلمات کلیدی: Pancreatitis,Pharmacologic agent,Endoscopic Retrograde,Cholangiopancreatography (ERCP)
- چکیده:
- چکیده انگلیسی: Pancreatitis is the most common and important complication of endoscopic retrograde cholangiopancreatography (ERCP). Several risk factors play a role in the formation and progression of pancreatitis. These risk factors may be related to the patient, procedure or operator. All of these risk factors should be considered and should be lowered as far as possible with attention to pathogenesis of the development of post-ERCP pancreatitis. The pathogenesis include sphincter spasm, infection, contrast toxicity and pancreatic secretion that induce the activation of proteolytic enzymes and inflammatory processes. Some methods and pharmacologic agents assessed for the prevention of pathway in the pathogenesis to decrease post-ERCP pancreatitis.
- انتشار مقاله: 01-11-1392
- نویسندگان: Seyed Mousalreza Hoseini,Abbas Esmaeelzadeh,Masoumeh Salari,Bita Dadpour,Khadijeh Yekta Roudi,Mohammad Yekta Roudi,Zahra Javid Arabshahi
- مشاهده
- جایگاه : پژوهشی
- مجله: Reviews in Clinical Medicine
- نوع مقاله: Journal Article
- کلمات کلیدی: Magnetic Resonance Image,Brain complication,Diffusion-weighted images,Heroin abuse
- چکیده:
- چکیده انگلیسی: Heroin has physical effects on many parts of the body, for example, respiratory and digestive system, muscles, and nervous system. Neurologic complications include brain abscess, neuropathy, transverse myelitis, and leukoencephalopathy.
Magnetic resonance image is more sensitive in detecting lesions with low signal on T1W and high signal on T2W, and FLAIR images in the white matter and other areas of brain. Imaging findings are similar to other leukoencephalopathies (hereditary diseases, abnormal metabolic diseases, and intoxications).
In the course of finding ways to differentiate heroin-induced spongiform leukoencephalopathy from other leukoencephalopathies, attention has been changed to diffusion magnetic resonance imaging in recent years.
Nevertheless, studies do not verify that diffusion-weighted image is a valuable tool in establishing the diagnosis.- انتشار مقاله: 15-02-1393
- نویسندگان: Yasamin Daoudi,Leila Ameri,Bita Dadpour
- مشاهده
- جایگاه : پژوهشی
- مجله: Reviews in Clinical Medicine
- نوع مقاله: Journal Article
- کلمات کلیدی: Pancreatitis,Pharmacologic agent,Endoscopic Retrograde,Cholangiopancreatography (ERCP)
- چکیده:
- چکیده انگلیسی: Pancreatitis is the most common and important complication of endoscopic retrograde cholangiopancreatography (ERCP). Several risk factors play a role in the formation and progression of pancreatitis. These risk factors may be related to the patient, procedure or operator. All of these risk factors should be considered and should be lowered as far as possible with attention to pathogenesis of the development of post-ERCP pancreatitis. The pathogenesis include sphincter spasm, infection, contrast toxicity and pancreatic secretion that induce the activation of proteolytic enzymes and inflammatory processes. Some methods and pharmacologic agents assessed for the prevention of pathway in the pathogenesis to decrease post-ERCP pancreatitis.
- انتشار مقاله: 01-11-1392
- نویسندگان: Seyed Mousalreza Hoseini,Abbas Esmaeelzadeh,Masoumeh Salari,Bita Dadpour,Khadijeh Yekta Roudi,Mohammad Yekta Roudi,Zahra Javid Arabshahi
- مشاهده
- جایگاه : پژوهشی
- مجله: Journal of Patient Safety & Quality Improvement
- نوع مقاله: Journal Article
- کلمات کلیدی: toxicology,Fellowship,likert,heart training
- چکیده:
- چکیده انگلیسی: Introduction: Nowadays, patients referring to emergency department due to poisoning and its complications, make up most of the patients in emergency wards. One of the major complications of these poisonings is heart problems. With this in mind, we decided on training courses to repeat the topics and cardiovascular emergencies for toxicology assistants and other toxicology specialists.
Materials and Methods: For this study invited of clinical toxicology residents and toxicologists and forensic specialists and other specialists in toxicology ward to attend ECG training classes and cardiac emergencies. Ten people attended classes. Pre-test training with eight items was taken before the start of training. It was explained that individuals should score from 1(very poor) to 5(very strong) based on Likert. And after the end of the course, the post- test was done with the same condition.
Results: According to the results obtained from the table and questions, we came to the conclusion that the training courses have improved results in all items and courses are required at least once a year.
Conclusion: It seems that cardiovascular training is repeated annually for toxicology assistants and other toxicology specialists can be helpful in remembering previous material and better treating patients in toxicology emergency.- انتشار مقاله: 20-09-1398
- نویسندگان: Zahra Ataee,Bita Dadpour,Maliheh Ziaee,Majid Jalalyazdi
- مشاهده
- جایگاه : پژوهشی
- مجله: Journal of Patient Safety & Quality Improvement
- نوع مقاله: Journal Article
- کلمات کلیدی: mortality,Herbicide,hemodialysis,Paraquat toxicity
- چکیده:
- چکیده انگلیسی: Introduction: Exposure to Paraquat is usually fatal. Paraquat causes several organ failure and respiratory failure with pulmonary fibrosis. Therefore, doctors should get familiar with the approach to treatment and the prognosis of this type of poisoning.
Case report: An average age-old man admitted to Sabzevar Emergency Department after taking half a cup of herbicide during suicide attempt. He was fully alert and awake at the time of admission, complaining of epigastric pain. Significance of BP: 115/80 RR: 14 PR: 85 T: 37urin, the quality of urine was positive for paraquat. Hemodialysis was performed and continued due to the positive urine test for paraquat, and, in addition, the increase of urea, creatinine and oliguria that occurred on the second day after bursts. Increases in icteric and transaminases on the fifth day were observed. Abdominal ultrasound was normal. Respiratory distress developed on day 5 and deteriorated over time until it was intubated on the 11th day after admission. Prescribing cyclophosphamide and prednisolone was carried out on days 2 to 5 after reception.
Conclusion: The toxicity of paraquat remains with the use of hepatitis and immunosuppressive therapy. The doctor should be aware of the symptoms of this toxicity, the prognosis and treatment recommended is the goal of this study.- انتشار مقاله: 04-02-1398
- نویسندگان: Vahideh Mohammadzadeh,Bita Dadpour,Alireza Esmaeili
- مشاهده
- جایگاه : پژوهشی
- مجله: Journal of Kerman University of Medical Sciences
- نوع مقاله: Journal Article
- کلمات کلیدی: Aluminum phosphide,Clinical Diagnosis,Management of poisoning,Antioxidant therapy
- چکیده:
- چکیده انگلیسی: Aluminum phosphide (AlP) is an important fumigant, a commendable and very effective outdoor and indoor insecticide. AlP, locally named “rice tablet”, is widely used to protect rice. As soon as taking a very small amount of an AlP tablet, phosphine vaporizes due to the exposure to the air and affects different kinds of organs. Although, in most cases, clinical history can help making the final diagnosis, analytical tests such as gas chromatographic method in post-mortem specimens and survivors have been developed to measure the level of phosphine and to distinguish between ZnP and AlP poisoning. AlP poisoning management should be started quickly. In addition to supportive therapy, various antioxidant agents, as candidate protective factors, such as N-acetylcysteine (NAC), melatonin, glutathione, magnesium, β-carotene, and vitamin C and E have also been recommended to decrease oxidative damage and cardiotoxicity due to the limited antioxidant defense systems. The present study highlights the fact that Antioxidant therapy in severe ALP poisoning confers different survival benefits. This literature review showed that the administration of antioxidant therapy in addition to the supportive treatment may decrease the mortality rate and could be considered in the treatment of acute AlP poisoning in combination with other therapeutic protocols.
- انتشار مقاله: 18-04-1398
- نویسندگان: Fahimeh Nourbakhsh,Samira Barangi,Bita Dadpour,Shahrad Tajoddini
- مشاهده
- جایگاه : پژوهشی
- مجله: Journal of Kerman University of Medical Sciences
- نوع مقاله: Journal Article
- کلمات کلیدی: Addiction,lead poisoning,Heavy metal poisoning,Lead Intoxication
- چکیده:
- چکیده انگلیسی: Background: Lead poisoning is an issue of concern in developing countries and high levels of lead in blood could be resulted following occupational and environmental exposures. Several reports have raised concerns on the increasing prevalence of lead intoxication among opioid addicts. This study investigated the clinical manifestations and demographic data of subjects who were diagnosed with lead poisoning and also possible correlations of job type and opium abuse with lead poisoning. Methods: This cross-sectional study was carried out on 82 patients admitted to Imam Reza Hospital, Mashhad, from 2004 to 2016 with the diagnosis of lead poisoning. Demographic information, clinical signs and symptoms, as well as, hematological and biochemical profiles and their possible correlations were investigated. Opium-addiction status was judged based on patient self-report. Results: In this study, 82 patients were admitted to Toxicology Department. Patients’ age ranged between 19 and 81 years old (mean ±SD: 42.2±14.90) and 78 patients were male (95.1%). With regard to the occupational exposure, 29 individuals (35.4%) had occupational risk factors for lead poisoning; however, no significant relation was found between the type of occupation and blood lead level (p=0.95). Moreover, 43 individuals (52.4%) were opioid-addicted but opioid addiction was not significantly correlated with blood lead level (p=0.91). Among all, 70 individuals (85.4%) were anemic and with increasing blood lead level, the levels of Hb (p= 0.011, r= -0.279) and Hct (p=0.003, r= -0.332) showed significant decrease. Conclusion: Though blood lead level was not significantly correlated with opioid addiction, but most of patients were opioid addicts. Apparently, public awareness and health-care-providers’ knowledge should be improved about the potential hazardous effects of using adulterated opium.
- انتشار مقاله: 30-03-1397
- نویسندگان: Bita Dadpour,Samaneh Silakhori,Shahrad Tajoddini,Mahdieh Jafari Shahroudi,Mona Najaf Najafi
- مشاهده