sf. jalali

Diabetes is a common metabolic disease that increases the risk of mortality of COVID-19. This study was done to compare the clinical characteristics and laboratory parameters of COVID-19 in diabetic patients using different glucose-lowering drugs to find out the proper predictors of disease severity.

157 diabetic patients with confirmed COVID-19 were enrolled in three groups according to the antidiabetic medications used before admission (metformin, insulin and sulfonylurea).

In 157 diabetic patients, the hospitalization length in the metformin group was lower than the no metformin group while duration of hospitalization and critical form of the disease in the insulin group were higher than the no insulin group. Furthermore, the levels of blood sugar, BUN, ALT and WBC were lower in the metformin group while ALP, ALT, BUN and creatinine levels were significantly higher in insulin group. In sulfonylurea group the levels of BUN and ALT were lower compared to the no sulfonylurea group. We also found that BUN and total bilirubin were the proper parameters to predict COVID-19 severity and mortality in metformin and insulin group respectively.

It seems that the outcomes of renal function test, bilirubin and O2 saturation are important parameters to predict COVID-19 severity in diabetic patients using different antidiabetic medications.

Professional assistants are among the learners whose ability in terms of professional ethics and commitment influences their future performance after graduation so that, as an excellent physician, they can combine patient care with confidence and desirable medical skills. Considering that no comprehensive assessment of the national guideline on regarding of establishment of medical residents to the professional ethics has been published, so far this study aimed to evaluate the activities of medical universities to conduct this program.

This cross-sectional study was conducted to assess the activities of the major medical universities in region one, where had medical residents, during 2015-2018. Information on the formation of committees related to the evaluation of feedback, teaching the basics of professional ethics and how to respond to residents by asking managers of different levels of the university in the Medical Ethics Council, the Vice Chancellor for Education, medical School, department heads and departments Educational and medical centers with assistants.

Four universities of medical sciences (80% of the target population) with 4 faculties, 8 educational hospitals and 8 educational departments were evaluated. The implementation and activities of committees to investigate the professional ethics of assistants in the educational departments and hospitals of different universities has not been exactly in accordance with national guidelines. The hospital committee and the medical school committee have been established in accordance with the national guideline only at one university. None of the universities in the region had a fourth-level university committee.

This study shows the establishment of a national program of commitment of medical assistants to the principles of professional ethics in the majority of macro medical universities in region one and the attention of different levels of universities, including senior administrators, faculties, educational centers and clinical departments in different dimensions of this program especially training for assistants to commitment to professional principles in these universities.

Managers and experts training is one of the areas of creation and development infrastructure of passive defense in health system organizations including hospitals. This study was conducted to assess the educational needs of disaster management committee members in Iranian public hospitals for passive defense.

This cross-sectional study was conducted in 2018. The study environment population was hospitals covered by medical universities  that were randomly selected based territorial preparation  and study population was disaster management committee members  that were selected as a census. The data were collected using a researcher-made questionnaire including two parts of individual variables, and 15 closed-ended questions for passive defense. The data were analyzed by SPSS 23 software.

Of the 410 members of the hospital crisis and disaster management committee who were studied, the need for education in all subjects was above average. The mean of total educational needs was 3.95±0.79. The highest level of need (4.17±0.9) for non-structural safety assessment and the lowest level of need (3.70±1.2)  for soft defense. Managers and experts in Lorestan University of Medical Sciences declared the highest need (4.25±0.6) and in Esfarain Medical School the lowest need (3.34±1.2). There was a significant relationship between total educational needs and gender, field of study, unit of work and occupation (p<0.05).

This study showed that most of managers and experts need to be trained on passive defense issues. Therefore, it is suggested that educational interventions be designed and implemented.