مهدی سیاح برگرد

The present study was carried out to determine the compliance of the social medicine training program with the roles and duties of general practitioners.The present study was a descriptive-analytical and cross-sectional study and the statistical population consisted of all physicians who graduated in the last 5 years of Ahvaz Jundishapur University of Medical Sciences. The sample was randomly selected based on the sampling formula and finally, 170 people were included in the study. Data were collected through a researcher-made questionnaire. All analyses were performed using SPSS software version 24 and at a significance level of less than 0.05.Finally, the results were significant between the total dimensions in the training program of medical internship and internship at the level of p<0.01.It is suggested that all dimensions be regularly reviewed with modern science so that it can meet the needs of graduates. Also in this field, for example, 5 years of needs assessment of graduates should be done.

Today, E-learning is an integral part of the education system, which has become a practical tool for implementing educational programs in many universities due to its many benefits and Covid 19 epidemic. The aim of this study is evaluating the quality of virtual education from the point of view of Ahvaz Jundishapur University of Medical Sciences students. The information of this descriptive-analytical study was collected using a researcher made questionnaire with five main components including educational content, technological infrastructure, educational environment, evaluation and feedback and interaction between student and teacher based on Likert scale. Data analysis was performed using SPSS version 22 Software. After determining the validity and reliability of the questionnaire, it was completed by 404 students. The mean of educational content 20.75±10.29, technological infrastructure 13.50±5.89, educational environment 18.31±6.61, evaluation and feedback 26.80±6.85 and interaction between student and teacher 16.64±5.73, were reported medium, medium, medium, good and medium, respectively. The general satisfaction of students was calculated with the virtual education method in the Navid system 5.49±2.59 and the review and supervision of the Education Development Center on the quality of educational content provided 2.56±1.43. Considering the economic, educational, cultural and temporal benefits of virtual education, it is suggested that in the coming semesters and in the post crisis period, university officials and policy makers have the necessary planning for combined education.

Professional ethics is considered as one of the success factors of the organization today and is recognized as a competitive advantage. The aim of this study was to compare the status of professional ethics in first year and last year residents of Jundishapur University of Medical Sciences. In the present descriptive cross-sectional study, all first year (100 people) and fourth year (35 people) residents completed a questionnaire of professional ethics and demographic information. The professional ethics questionnaire consists of 25 questions and its score range is 25 to 125 points. Data were analyzed by descriptive and analytical statistics tests with SPSS software version 22. Based on results, the mean score of compliance with professional ethic of the first year residents was 79.89 ±12.40 and fourth year residents was 92.23 ±13.43 which had a significant difference (p <0.05). Spearman correlation test showed no significant association between the score of compliance with professional ethics and age of the first (r = -0.097, p = 0.335) and fourth year (r = -0.195, p = 270) residents. Compliance with professional ethic of the first year residents had a significant difference based on the study field and dermatology and ophthalmology had the highest level of professional ethics (p <0.05). Compliance with professional ethic of the fourth year residents was not significantly different based on study field. Overall the findings showed that, the residents of Jundishapur University of Medical Sciences have moral competence, but strategies must be presented and implemented to improve it.

Propose: Generalized anxiety disorder (GAD) is one of the most common psychiatric disorders. So far, no study has examined their respiratory system changes. The purpose of this study was to compare the respiratory pattern indices of healthy individuals and individuals with generalized anxiety disorder.

  In the current cross-sectional study, 16 patients with clinical diagnosis of generalized anxiety disorder (GAD) with referral to a psychiatrist were compared with 16 matched healthy individuals. The information of the respiratory system was collected using a chronograph and spirometery. The Pulmonary function tests recorded were FVC, FEV1, FEV1/FVC end-tidal CO2 pressure and respiratory rate were measured using Capnograph. The Nijmegen questionnaire was used to quantify hyperventilation complaints.

The results of this study showed that anxiety patients had significantly lower levels of FEV1 and FEV1% in comparison with healthy subjects. Exhaled carbon dioxide and respiratory rate were significantly different between the two groups The Niggins questionnaire score was significantly higher in the group of anxiety patients than in the healthy subjects.

Respiratory pattern in people with generalized anxiety disorder was changed by respiratory volume, increased respiratory rate and decreased CO2. The current findings suggest that assessment of respiratory system in GAD patients can be effective in the early diagnosis and treatment process of breathing problems in physiotherapy centers.

HIV/AIDS is a community medicine issue and has a wide range of negative consequences and challenges. This research aimed to investigate the effect of cognitive-behavioral group therapy on improving the quality of life and increasing CD4+ lymphocyte count in HIV/AIDS patients.

The present study was a quasi-experimental study with pre-test and post-test design and control group. The statistical population included HIV/AIDS patients in Ahvaz Behavioral Counseling Center who were selected by simple random sampling method. The sample consisted of 30 patients who were randomly assigned to two groups of cognitive-behavioral therapy and control group. After implementing pre-test on the cognitive-behavioral and control groups, the experimental intervention was administered in 8 sessions for one hour and a half as one session per week for experimental group. Quality of Life Scale, CD4 Index and Demographic Factor Questionnaire were used for data collection. Multivariate analysis of covariance with SPSS software version 22 was used for data analysis.

The results showed that in the experimental group that received cognitive-behavioral therapy, the mean (SD) quality of life score increased from 166.9 (26.7) in the pre-test to 199.5 (21.4) in the post-test (P<0.001) but in control group, the mean (SD) varied from 167.8 (25.5) in pre-test to 168.2 (18.3) in posttest, which was not significant. Also, the mean (SD) of the CD4+ lymphocyte count in the experimental group increased from 247.8 (65.1) in the pre-test to 341.8 (71.1) in the post-test (P<0.001); however, the mean (SD) count in the control group varied from 254.2 (46.2) in the pre-test reached to 256.26 (56.8) in the post-test which was not significant.

It can be concluded that cognitive-behavioral therapy improved the quality of life and CD4+ lymphocyte count in HIV/AIDS patients.

The purpose of this study was to evaluate the effectiveness of e-learning and self-assessment based on peer-to-peer evaluation in “Teaching How to Use Medication Forms to Patients” for Pharmacy Students. This quasi-experimental study was conducted on 80 pharmacy students of Jundishapur University of Ahwaz in two groups (40-person test population with lecture training and 40-person test population with e-learning) in 2017-2017. First, an e-learning package was designed and developed to teach pharmacy students how to use pharmaceutical forms. One group of students received training on how to use pharmaceutical forms through lecture and the other group received electronic and developmental assessment based on peer-to-peer assessment. The result of t-test analysis with two independent samples (p

Background and Pregnancy creates permanent changes in life of women and brings new responsibilities which could lead to a great level of stress in women. Stress could result in some complications to mother and her neonate during delivery. This study aimed at determining the effect of cognitive behavioral therapy (CBT)-based self-management intervention on labor outcome in nulliparous women.
This randomized clinical trial was performed in 64 nulliparous women in Ahvaz, Iran 2016. The subjects were selected using purposive sampling and were assigned into two groups of case (n=32) and control (n=32). The intervention group attended eight sessions of CBT-based self-management programme in 28-32 weeks gestational age, while the control group received routine prenatal care. Demographic characteristics were recorded at the beginning of the study and variables of labor outcome (length of delivery, labor pain, infant’s Apgar score, the use of oxytocin for augmentation of labor pain, and satisfaction from delivery process) were recorded using a researcher-made questionnaire.
The mean values for pain intensity in the active phase of labor, length of active phase and second stage of labor, the use of oxytocin for augmentation of labor pain, neonatal Apgar score in 1 and 5 min were significantly different in case group compared with those in the control group (P0.05).
According to current study, CBT-based self-management programme could improve labor outcome.

Drug abused and addicting to narcotics could be one of the most complicated problem among the world health issues. Hence, this descriptive-sectional study investigated relationships between drug abused and students’ educational achievement among 302 nursing students at Abadan medical school and Islamic Azad University in Abadan. Data collection was conducted through a researcher-made questionnaire in which collected data based on students’ personal demography and the participants’ drug abused. The research result showed thatnone of the students had no history of glass, cannabis, crack and heroin. The use of cigarette (25.5%) and hookah (16.2%) were higher than other narcotics. Moreover, there was a significant correlation between the male students’ average scores and the use of hookah (p=0.001), medical school students with Tramadol (p=0.002)Azad University students with hookah (p=0.001), Abused drug history in their families (p=0.001) and use of cigarette (p=0.001), too. The findings also indicated that prevalence of cigarette and hookah abused were highly demonstrated among male, single, Azad university students, and abused drug history in their families. It was also found academic achievement of students with a history of substance abuse were significantly lower level than other students (p= 0.03). As a result, there is a need to make the students be aware of the effects of abused drugs on their physical and educational phenomena to enhance their learning capabilities.

The mobile phones play a main role in developing wide social communications. Excessive usage of mobile phones can cause a lot of physical and mental problems, and probably affects on different aspects of students lifestyles such as social activities, job duties and Educational status. As educational progression or slump is one of the efficiency criterions for educational system, investigation of effective variables to it seems to be necessary. This study has been performed with analytical epidemiologic method in 1392 among 195 students at Ahwaz Judishapour University of medical science. The accumulation of data was accomplished by general health questionnaire, intensive use of mobile phones questionnaire and mean of 2 previous semesters (for investigation of their educational success); thereafter, the data were analyzed by SPSS software. The results revealed that academic success and the rate of mobile phone usage among females were more than males (p-value=0.015, 0.030); and males had better psychological health status (p-value=0.037). There was not observed any significant correlation between rate of mobile phone usage and educational success (Pearson correlation= -0.015), rather there was a significant correlation among psychological health status and amount of mobile phone usage (spirman rho=0.38). At the other hands, the more usage of mobile phone, the less psychological health for individuals;. moreover, significant correlation between psychological health and academic success was not found. Marriage had no effect on academic achievement and psychological health, and not be related to the usage rate of mobile phones.

Nowadays in contrast to previous decades that man was distinguished as a 3-dimensional being consist of biology, psych and society, then a 4th dimension added and that is moral aspect of human. In addition, Religion plays an impressive role in life of every member of society especially students. As success and failing in education is one of the scales that shows the effectiveness of educational system; so finding the effective variables on educational performance leads to better cognition and prediction of variables in educational system. Furthermore, many investigations showed that happiness and religious beliefs lead to educational progress. Hence, present study was held in 1392 among 200 medical students accepted between 1386 to 1st academic semester in 1391 in analytic epidemiologic way at Ahwaz Jundishapur University of Medical Sciences.. Research material consisted of 2 questionnaires includingReligious Tendency and Oxford Happiness Questionnaire, and mean of 2 previous semesters averages were used. Afterwards, this data was analysed by SPSS and used Pearson correlation coefficient in order to evaluate relationship between variables. Consequently, findings showed that religious beliefs and educational success among girls were more than boys. Between happiness and religious beliefs in two genders, men and women, and between educational success and religious beliefs just among women were realized a positive significant relationship. Findings, therefore, indicated that we can help educational success in medical students specially women by enhancing religious beliefs although, besides by participating in religious activity make them happier

Today, due to the presence of new technologies and changes in library' mission, they have become a place for providing information services rather than to store books; therefore,this challenges assessing the quality and suitability of the resources that it contains. This study aimed to evaluate the efficiency and utilization of the Central University Library' databases of medical students and faculty deals.This descriptive study was conducted; the population encompassed EBSCO databases, PubMed, Science Direct and Springer shared to the central library of Ahvaz Jundishapour University of Medical Sciences; and frequency method was used to collect data.After data collection, findings indicated that significant differences existed between the usage rate of databases, and Pubmed was the highest use in this regard. Moreover, according to the academic disciplines variation, the use of databases between different users was so significant that most users of Medical School and School of Dentistry showed the lowest rate. In addition, EBSCO databases and Springer which rarely provide full-text articles were indicated the lowest rate among users mentioned that due to time allocated and it was not economically affordable.It is the fact that the use of databases is inevitable, since some databases are required to pay a subscription, therefore, users must be more careful to select and subscribe them in order to reduce affordably the university' economical cost and to increase its usefulness to users.

Due to the importance of scientific collaboration and interaction, and using social networks, present research was conducted to investigate on the scholars participation, at Ahvaz Universities including Medical Science, Azad and Governmental, in Research Gate seen as an academic social network. In current study, Scientometrics approach and Altmetrics method were used. Findings indicated that most scholars of 3 main and important universities in Ahvaz named JundiShapur Ahvaz, Shahid Chamran Ahvaz and Azad werer active in Research Gate and shared their works with others scholars. This paper revealed that scholars of Ahvaz Azad University (Science and Research Unit) had the highest presence and action in the Research Gate. Accordingly, Scholars must adapt themselves with new technologies and information ground, moreover, establishing some workshops for scholarsand faculty members to make them familiar with academic social networks and to use them can increase their scientific status.

This study examined the relationship between motivational beliefs and self-learning strategies and academic performance of students in the Faculty of Medical Sciences, Ahvaz Jundishapur University. In this study, 200 students were selected by random cluster sampling. Two questionnaires were used to assess the variables of self-regulated learning strategies (SRLS) and motivational strategies for learning (MSLQ). Moreover the students’average scores that already had been passed were used to Measure the academic performance of students in units. The multivariate analysis (logistic regression) showed that the self-regulated learning strategies’ initiatives include seek help from a teacher, seek help from adults captured, and recorded notes and also among motivational strategies for learning cognitive strategies and test anxiety components can be the best predict of academic performance. Based on deserving students develop ment and improve ment in learning skills such as self-regulated learning strategies and cognitive strategies to broaden their knowledge and improve their academic performance and academics, The authors proposed, creating a relaxed atmosphere without the stress and yet challenging to learn give students more opportunities to learn.

Some people use opioid substances to relief their chronic somatic pains. There are differences in the personality traits of this individuals and others who abuse opioid substances. The purpose of the present study was to compare these two groups in regard to their personality traits and disorders. In a cross-sectional study between 2007 to 2011, all patients referred for drug quit to the outpatient addiction clinic of Imam Hospital affiliated to Jundishapur University were investigated demographically. In addition, all of them underwent physical examination, MMPI test and psychiatric interview. Then they were divided into two groups of "with pain complaint" and "without pain complaint". Their personality traits were compared using t-test and χ2. The total number of patients was 488, including 478 males and 10 females. Mean scores of Psychatenia (pt) and paranoia (Pa) indexes in the patients who suffered from chronic non- cancer pain was lower in comparison to the patients without pain complaint. Based on the results of psychological interview, the prevalence of personality disorder was higher in the "without pain" group. Patients with chronic pain had higher educational degrees and they were more likely under the influence of their friends at the onset of opioid abuse. In the present study those who used opioid for pain relief, had healthier psychiatric profiles and personalities. Their psychiatric interviews were more valid and reliable and their psychological problems were less than the other group and their addiction was a maladaptive behavior.

Radiology is one of the basic sciences in dentistry and has a fundamental role in diagnosis and treatment plan. Radiographic reports have several advantages for dental student for example they must carefully examine the teeth and surrounding tissues, and probably increase the ability of student to detects caries and periodontal disease. In this study a class of thirty-one dental student was divided into a group wrote report (n=16) and a group did not write report (n=15). Students were assessed with a questionnaire that consisted of 12 periapical and bitewing films were evaluated. The scores of diagnosis of caries and periodontal disease were calculated separately for each student. Measure of average and standard deviation of caries and periodontal disease knowledge were not significantly different between two groups. It seems to write the radiographic report did not has significant effect in improving the ability of student to diagnosis of caries and periodontal disease. However the radiographic report has advantages that result of this study does not lessen the value of benefits.

Drug's dependence is a common and debilitating disorder. These patients interested to herbal therapy. Lack of valid documents about that is an important problem. Portulaca oleracea L. grows almost all points of distribution and areas of Khuzestan in southern Iran as eating vegetables. This plant is an anti-septic, anti-spasmodic, anti-fever, muscle relaxant. Objective this study was evaluated efficacy of Portulaca oleracea L. in comparison with methadone for symptoms’ of morphine withdrawal. Aqueous extracts and methadone given to 36 patients with morphine dependency. CINA scales were used by days 0, 2, 5, 7 and 10 for evaluation. In two groups withdrawal symptoms controlled good and behavior treatment in two groups was similar. The aqueous extract of Portulaca oleracea L. can be as effective in controlling withdrawal symptoms.

Improving community health and reduce mortality social needs seem to be more rehabilitation medicine services. Therefore medical students must be familiar with this area. While in their curriculum courses related to these fields have not been incorporated. This study assessed the educational needs of medical students training in this field was to Ahwaz Jundishapur University. Lesson plan based on approved Rehabilitation Medicine Department - Health and Medical Education, the number of educational topics to some seventeen fourth year medical students who had chosen the course, were taught. Their views by the end of the questionnaire were assessed. Validity questions on course content through the preliminary assessment and formal content. 70 percent of students were expressed in sufficient theoretical training course in the field of rehabilitation medicine have not and 85 percent believed that education for medical students in this area needs is treatment. They need to feel different lesson headlines from 28 to 100 percent resolution was different. According to the experts stressed on improving health, reducing mortality, increased complications illnesses and change the type of patients and require students to declare theory lessons and practical skills training in rehabilitation medicine can cause changes of thought, individual skills and habits students Medical treatment is in order.

IntroductionChronic non-cancer pain has been considered as causes of Opium addiction in human beings. The knowledge of its incidence as an initial reason for Opium consumption among Opium addict people may affect a) addiction prevention plans, b) addiction treatment programmes and even 3) educational goals for training medical students. Therefore,this study aimed to determine this incidence among Opium addict people referred to an addiction treatment center. Materials and MethodsThis is a cross sectional study which was performed in Ahwaz during 2006-2008.First, a pilot study was carried out in which the study sample size was calculated. Participants were evaluated by physical examination, pain scaling via VAS, physical examination and psychological interview based on DSM4 criteria and SCL90 questionnaire. The obtained data were analyzed by descriptive analysis of SPSS and χ square test. ResultsFinally, 21 patients out of 224 participants were found to suffer from a type of chronic physical pain before Opium addiction. Psychological abnormalities were more frequent in pain suffered patients (p<0.007).ConclusionThere were some people who seek for getting rid of physical pain. But, they were deviating to a street drug abuse status. This issue should be considered in prevention and treatment of addiction.

The aim of this study was to evaluate the efficacy and safety of a constant dose of aqueous extract of Echium amoenum. Thirty-five patients with mild to moderate major depressive disorder who had a score  18 on the Hamilton Depression Rating Scale were enrolled in the study and randomly assigned to receive either placebo or 375mg of aqueous extract of Echinum amoenum. Patients were followed for 6 weeks. Efficacy was assessed by the Hamilton Depression Rating Scale, in week 0, 1, 2, 4, and 6. In the week 4 and 6, drug was superior to placebo. This difference was significant at the fourth week (p =0.018) and marginally non-significant at the sixth week. The extract of Echium amoenum did not cause more adverse effects than placebo during the study. It is concluded that the aqueous extract of Echium amoenum can be considered as an effective and safe treatment for major depressive disorder. However further studies in warranted.