مجله دانشکده پزشکی زابل
سال چهارم شماره 3 (پیاپی 12، پاییز 1400)

Due to the many developments in the field of science and knowledge, self-directed learning can play a key role in lifelong learning and empowerment as a very important skill. Therefore, this study was conducted to determine the attitude of healthcare services management students of Zabol University of Medical Sciences towards self-directed learning in 2019.

In this descriptive-analytical study, 62 students of health care management major were selected using the census method. A standard questionnaire was used in this study. Data were analyzed using appropriate descriptive and inferential tests.

The most frequent elements were "lack of influence from the teacher" (3.24 ± 0.935) in the category of perception of self-direct learning, "higher arousal power than the traditional method" (2.65 ± 0.791) in the category of how to effect learning, "quizzes and tests" (2.73 ± 0.961) in the category of barriers and "good lecture" (3.02 ± 1.000) in the category of motivational factors.

From the students' point of view, Individual characteristics played an important role in determining self-directed learning efficiency and lack of knowledge was one of the major obstacles.

The aim of this study was to determine the risk factors for carpal tunnel syndrome and its relationship with the severity of the disease.

A total of 131 patients with clinical symptoms of CTS and 131 normal subjects were enrolled, of whom 121 were female both in the CTS cases and the controls. All cases were electro diagnostically confirmed and assigned to three severity groups. BMI, wrist ratio, shape index, digit index and hand length/height ratio were measured in all participants. Mean values for each item were compared between cases and controls and severity subgroups. A logistic regression analysis was performed to determine independent CTS risk factors.

The mean values of BMI, wrist ratioand shape index were significantly higher in all CTS patients and females compared to controls, whereas in males only BMI and wrist ratio were higher. The patients in the mild severity subgroup had a significantly lower age and wrist ratio. BMI, wrist ratio and shape index were found to be independent risk factors of CTS development in all patients and females.

Our study showed BMI, wrist ratio and shape index as independent risk factors for CTS. These findings are important anatomically and clinically and these are the risk factors of anatomical malfunction of the wrist in CTS.

Aging is a critical period of human life. The aim of this study was to evaluate the quality of physical and mental health of retired elderly in Saravan (Sistan and Baluchestan province).

The present descriptive-analytical-cross-sectional study wasperformed on 150 elderly people in Saravan. The sampling method was cluster based on urban population distribution. Using the Physical Health and General Health Questionnaire (GHQ), different dimensions of their health were assessed. Data were analyzed using at descriptive and inferential levels.

75% of the population were men and 25% were women. The mean of the overall physical health score (212.09 ±70.89) which indicated moderate health. The overall general health score was (43.31 ±19.73) which is in the moderate disorder group in the qualitative evaluation. There was also a significant relationship between physical and mental health of the evaluated retirees (p value < 0.001).

The physical health of the retirees was moderately expressed and evaluated. Also, the general health studied in this group had moderate problems. Since there is a close relationship between mental health and physical health, and since the retired class is very vulnerable, these problems should be carefully evaluated.

It is widely believed that the growth of deciduous teeth can be accompanied by systemic and localized symptoms. This study was conducted in Kashan in 2019 with the aim of parents' performance and beliefs in the face of tooth eruption and its associated factors.

This study is a cross-sectional study. The study population consisted of 290 parents with children aged 6 to 36 months who were referred to Kashan health centers who were selected by available sampling. The researcher-made questionnaire was completed by the participants and the data were analyzed using descriptive statistics and Fisher's exact Chi-Square test by SPSS16 statistical software. Pvalue < 0.05 was considered as a significant level.

The most common symptoms reported by parents include; Restlessness (78.6), chewing (70.0), loss of appetite (65.5), weight loss 55.2), fever (53.4), swelling, and redness of the gums (51.7), runny mouth (50.0). Most parents' beliefs came from those around them. There was a statistically significant relationship between parents' education with weakness and colds (p value < 0.01). There was a significantdifference between parents' performance in controlling symptoms and their education (p value < 0.01).

Although tooth growth is a physiological phenomenon, it can be accompanied by a series of local and systemic symptoms. Educating parents willimprove their beliefs and help their children's health.

Postoperative nausea and vomiting is a common complication after surgery that no single theory has been expressed as to the cause of this complication so far. The aim of this study was to determine the relationship between PaCO2and nausea, vomiting and pain after laparoscopic cholecystectomy.

In this cross-sectional study, 88 patients in Alzahra hospital, underwent laparoscopic cholecystectomy were selected and the level of pre and postoperative PaCO2, as well as duration of postoperative nausea, incidence of vomiting, and severity of postoperative pain was assessed. The correlation between PaCO2, HCO3 and PH with these postoperative complications were evaluated. The patients’ data were analyzed by using Chi-square, t-test, Pearson correlation, Paired t-test and Repeated Measure ANOVA tests. P value < 0.05 was considered statistically significant.

The correlation between duration of nausea and PaCO2levels before and after surgery was 0.05 and 0.04, respectively, which was not statistically significant (p value = 0.63 and p value = 0.72, respectively). In addition, the correlation between PaCO2level and severity of postoperative pain was 0.2 (p value = 0.07), which was not statistically significant.

The findings of the present study showed that PaCO2level has not statistically significant effect on duration of postoperative nausea, incidence of vomiting, and severity of postoperative pain.

Proper reduction of labor pain has always been one of the most important goals of medicine and the patient's request for labor pain relief is a sufficient necessity for the use of pain relief methods. The aim of this study was to evaluate the maternal and fetal outcomes of mothers who underwent spinal analgesia in comparison with the control group in mothers who referred to the maternity ward of Ali Ibn Abitaleb Hospital in Zahedan in 2020.

The present study was a case-control study that was performed on 200 pregnant women in 1398. Pregnant women whose criteria for admission and selection of ananesthesiologist were divided into painless (spinal) delivery groups. The control group was selected by simple random sampling from among those who met the inclusion criteria but did not want to have a painless delivery. The two groups were compared usingANOVA, Kruskal-Wallis, Linear regression, Chi-Square and Fisher's exact tests. A significance level of 0.05 was considered.

The length of the first and second stages of labor in the non-intervention group was significantly shorter than the painless groups. In the analgesic method used, the Apgar score of the infant had no negative effects on the type of delivery and did not lead to complications in the mother in the postpartum stage.

Findings from this study showed that spinal analgesia had no negative effects on maternal and neonatal outcomes.