leila amir mohseni

 Learning is a complex process in which various factors are involved. The quality of the educational environment is one of the most important factors indicating the quality of education and students' learning. Thus, this study aimed to evaluate the learning environment for students of Behbahan Faculty of Medical sciences.

This descriptive-analytical cross-sectional study was conducted at Behbahan Faculty of Medical Sciences with 115 students. Dundee Ready Education Environment Measure (DREEM) model was used for data collection that obtained 50 questions in five domains, including students' perceptions of learning, teachers' perceptions of teachers, students' academic self-perceptions, and students' perceptions of educational atmosphere and students' social self-perceptions. Data analysis was performed using descriptive statistics (frequency, percentage, mean and standard deviation) and one-way ANOVA.

The mean score of the overall DREEM score was 150.28 +13.03 out of a maximum of 200, showing favorable educational quality (75%). The lowest DREEM score was 64% in students' perceptions of learning, and the highest DREEM score was 79% in both students' perceptions of the professors and students' perceptions of the educational atmosphere. The mean difference for the DREEM subscale scores in different fields of study was statistically significant in all DREEM domains (p <0.05).

Overall, the finding of this study showed that the educational environment of Behbahan Faculty of Medical Sciences was assessed as favorable by the majority of the students. But, considering the difference in results in different fields of study, the strengths and weaknesses of disciplines should be considered to improve the educational environments.

Most patients undergoing knee replacement surgery have pain and limited range of motion during recovery and rehabilitation and due to pain and lack of experience and knowledge are not able to run an effective rehabilitation program. So, this study was aimed to determine the effect of blended instruction on the intensity and the admission palliative of patients undergoing knee surgery.
64 patients scheduled for knee replacement surgery randomized block Foursome assigned to two experimental and control groups. The training program including film screenings and providing face to face training, manual and training video in the individual manner was implemented days before the surgery for the experimental group. The control group received routine care. Data by demographic and clinical form and pain assessment checklist were collected using a visual analogue scale. Numerical data about the pain from the second to fifth days and one month after surgery were collected and analyzed useing the SPSS software and Independent t-test, Chi-square and Repeated measure tests.
The results of this study showed that the experimental group reported significantly less pain than the control group at most times (P=0.012). According to independent t-test statistically significant difference between the 2 groups in terms of the amount of admission palliative at the time was found (P>0.054). However, based on analysis of variance with repeated measures between the admission palliative on study, there was a significant difference in both groups (P According to our results, the combined intervention before surgery can reduce the level of pain experienced after surgery and as a training method used to teach these patients after surgery.

Diabetic Foot Ulcer (DFU) is considered as one of the main causes of hospitalization in diabetic patients, which can lead to infection, gangrene, amputation, and even death if the necessary care is not provided. Based on the recent investigations, one of the most effective tactics to manage diabetic foot ulcer is to form a multidisciplinary team including a general practitioner, a nurse, an educator, podiatrists, and some consultants. Although all team members play their own important roles in reduction of DFU and amputation incidence, the role of nurses seems to be more essential. In the developed countries, the diabetes nursing is divided into several categories which one of them is diabetic foot specialist nurse. Totally, these specialists play an effective role in prevention, care, and rehabilitation of the patients with diabetic foot ulcer. Today, the specialist nurses provide effective foot ulcer management and treatment in many countries; however, these specialists, in some developing countries such as Iran, highlight a lack of specialist training as an obstacle to effective healthcare provision. Therefore, the current study aimed to emphasize on the important role of specialist nurses in the improvement of patients with diabetic foot ulcer to encourage the authorities in order to take appropriate strategies..