رومینا حمزه پور

 Sertraline is one of the most commonly used selective serotonin-reuptake inhibitors for patients with major depressive disorder. The prevalence of sexual dysfunction among patients who use selective serotonin-reuptake inhibitors is 40%–45% for women and 20%–30% for men. A strategy to prevent this side effect is combination therapy with medications such as buspiron and Ritalin. The aim of this study was to compare the effects of bupropion and Ritalin on sexual dysfunction among patients who use sertraline.

 This single-blind randomized controlled trial was conducted in 2018. Fifty eligible women aged 20–45 years old were purposefully selected from the psychiatric clinics of Yahyanejad and Ruhani hospitals, Babol, Iran. Structured interview was used to screen participants for major depressive disorder, sertraline use, and sexual dysfunction. All participants completed the Arizona Sexual Experience Scale and were randomly allocated to the bupropion and the Ritalin group through block randomization. All participants re-completed the Scale one month after the intervention. Data were analyzed through SPSS software by repeated measure analysis of variance.

 All fifty participants (25 in each group) completed the study. The mean of participants’ age was 36.38±5.64 years and the mean score of their sexual dysfunction was 23.44±3.14 at pretest and 19.52±4.92 at posttest. Between-group differences respecting the mean scores of sexual dysfunction and all its items were insignificant both at pretest (P= 0.886) and posttest (P= 0.872). However, within-group comparisons revealed that the mean score of sexual dysfunction significantly decreased in both groups (P<0.001).

 This study concludes the same efficacy of sustained release bupropion and Ritalin in significantly reducing sexual dysfunction among patients who used sertraline.

Practical Implications: 

 According to the results of the present study and the similar efficacy of slow-release bupropion and Ritalin in improving sexual dysfunction caused by sertraline, it seems that Ritalin, due to its effectiveness in treatment, is an easier drug to use. It is more cost-effective and a better alternative to bupropion in improving sexual dysfunction in patients who are candidates for treatment with serotonin- reuptake inhibitors.

Teaching, learning and evaluation in the field of psychiatry has always been considered. During the psychiatric assistantship course, learning the skill of interviewing the patient and prescribing appropriate therapies is one of the highest educational priorities. In this study, an attempt has been made to investigate the effect of the Objective Structured Clinical Exam (OSCE) on improving the skills of residents.

In this cross-sectional study from the academic year 2015-2016 to 2009-2010, all psychiatry residents were tested weekly by the OSCE method according to the curriculum topics. After the test, the satisfaction of professors and residents was assessed using a questionnaire. Also, the scores of these tests were compared with the scores at the end of the year.

The mean scores of residents for OSCE and end-of-year exams were 21 ± 3.04 and 125.54 ± 18.48, respectively. Pearson correlation coefficient for the relationship between OSCE score and end-of-year score during these 4 consecutive academic years was r = 0.830 and P <0.001. The results of the survey of professors and assistants showed a high level of satisfaction with the tests.

The relationship between end-of-year scores and OSCE test scores and the results shown in the success of residents in the specialized board exam is evidence of the success of the design and implementation of the OSCE method to improve the skills of residents in OSCE evaluation.

Due to the change in educational methods and virtualization of university classrooms following the COVID-19 epidemic, after the necessary activities in this regard, in order to examine studentschr('39') feedback on what they experienced during the academic year 1399-1400, in this Study we measured the satisfaction of students of Self-Governing Campus of Babol University of Medical Sciences about virtual education.

In this cross-sectional study, the level of studentschr('39') satisfaction with virtual education and end-of-semester tests was assessed using a researcher-made questionnaire. The poll was conducted through the Faradid system. Results were reported in frequency and frequency percentage.

A total of 250 students with 66.85% participation in 4 fields of general medicine, general dentistry, bachelor of physiotherapy and bachelor of nursingparticipated in the study. The general satisfaction of students with virtual education, and the possibility of establishing a two-way relationship between professors and students and providing appropriate feedback, all 4 disciplines were moderate satisfaction. Regarding the evaluation method at the end of the semester, 84.5% of students had average and lower level of satisfaction. Regarding the preferred teaching method, the choice of students in all fields was face-to-face teaching method.

Given the current situation and accepting the fact that education should move towards virtualization, it seems that more decision should be taken to raise the quality of e-learning so that interactive methods can take their place in the method of education.

Parents of children with attention deficit hyperactivity disorder (ADHD) have more problems than parents of normal children due to the prevalence of behavioral abnormalities in children with ADHD. Mood disorders in parents, including mothers can lead to lower tolerance thresholds and the use of punitive methods to control the children, which can cause other complications. Therefore, evaluation of mood disorders and timely treatment could be of great help in treating these children and improving the prognosis of the disease.

This cross-sectional study was conducted in 125 mothers of children with ADHD attending two psychiatric clinics in Babol, Iran 2014-2016. Data were collected using the Conners' Parent Rating Scales - Revised (CPRS-R) and Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I). Data analysis was done in SPSS V22.

The prevalence of mood disorders in mothers of 6-14 year-old children with ADHD was 44% (n=55). Among the mood disorders, dysthymia (27%) was the most common disorder. Forty-five mothers (36%) had depression and 9 (7.2%) had bipolar disorder.

According to current study, depression was the most common mood disorder in mothers. Maternal depression influences the management of a child with ADHD, so, early diagnosis and treatment of maternal depression play major roles in the prognosis of ADHD in a child with this disorder.

Multiple sclerosis,is the most prevalent disabling neurologic disorder, that manifest itself with limb weakness, visual and sensory symptoms, depression, and cognitive impairment. Psychotic symptoms particularly in the onset of disease are rare. We report a young patient with gradual onset of psychotic symptoms including hallucination, delusion and disorganized behavior. In further investigations the patient was diagnosed with multiple sclerosis.