جستجوی مقالات مرتبط با کلیدواژه "شکایات" در نشریات گروه "پزشکی"

Considering the increase in complaints and its negative impact on the quality of dental services, it seems necessary to review complaint files.The aim of this study was to determine the frequency of complaints referred by patients to dental professionals in the field of oral and maxillofacial surgery, periodontal, oral & maxillofacial medicine, oral & maxillofacial pathology to the Department of Forensic Medicine Commissions of Tehran Province in the years 1397-1399.

This descriptive study was performed by referring to the center of Tehran Forensic Medicine Commission and reviewing the relevant files and available data. Data collection was done through an information form that included the demographic characteristics of the complainant, the defendant, the type of treatment and the outcome of the first and second commissions.

Among the 245 complaints that have been registered in the Forensic Medicine Commissions of Tehran Province in the years 1397-1399 in relation to the mentioned fields of treatment, most of the complainants were in the age group of 30- 39 years (34.9%), women (58.4%), diploma (30.3%), unemployed (34%) and married (69.3%). 13.2% of therapists were non-dentists. Most therapists were 50-59 years old (30.9%), male (73.3%) and had a doctor of dental surgery degree (74.1%). Most complaints were from oral & maxillofacial surgery (82.9%).

Most of the complainants appear to be women, married, in the age range of 30-39, and have a diploma. Most therapists are male, general dentist and in the age range of 50-59 years. Most complaints are about oral & maxillofacial surgery.

According to the study of patient's complaints about dental treatments and the fact that patients' complaints have been less about dental implant treatment, this study aimed to investigate the dental complaints in implants treatment and related factors during 2016-2018. 

Following a descriptive method, the relevant permissions were obtained after referring to the Forensic Medical Commission of Tehran. The files of all the dentists were evaluated during 2016 until 2018. Then, the files related to the complaints about tooth implantation services were separated. The patient relevant factors were evaluated and documented such as age, gender, and the reason of complaint, as well as dentist related factors including age and gender. Afterwards, the judgements of the commission were determined including exoneration or obvious negligence and the frequency of each judgement in the samples. The real judgement frequency (CI) was estimated and the roles of relevant factors were statically determined using the Chi Square Test.

Amongst all dental services complainers, one-third (30%) of the files were related to the tooth implantation services during 2016-2018, that included inappropriate implant installation (58%), damage to the implant surrounding tissue (29%), high service costs (6%), and other problems (7%). Also, the complainers were 50% women and 50% men and the dentists were 9% women and 91% men. Moreover, the judgements of Forensic Medical Commission were exoneration in 45% of the cases and negligence (55%) in the remaining cases.

This rate of failure in implant services was high, especially for non-specialized dentists. The results of the present study suggest taking necessary actions to reduce the problem.

Circumcision is one of the most important and well-known surgical procedures in the world. This clinical trial was performed to evaluate the advantages and disadvantages of ring circumcision in two groups: under one year and over one year.

In this study, 1904 children were circumcised during the years 1396 to 1399 in Shahid Beheshti Hospital in Hamadan and Sheikh Al-Rais Clinic. These children were divided into two groups: under one year and one  to three years( 952 cases in each group). Local anesthesia with 2% lidocaine was used in all children. The two groups were visited on the second day and the second week after circumcision in terms of complications and beauty of the surgery site. Parents were also justified in terms of complications and necessary actions.

In this study, there was no case of Meatal stricture in these patients. In the group under one year, three cases of infection occurred (0.003%) which improved with antibiotic treatment. In both groups under one year and one to three years, a total of 5 cases (three cases in under one year and two cases in one to three years group) of bleeding occurred, which were controlled by the initial measures of bleeding. The average ring fall time in children under one year was 8±1 days and in children one to three years was 9±1 days. Also, five cases of glans edema( two cases in under one year group and three cases in one to three group)  were seen, which were quickly removed by cutting on the fibrin ring at 3, 6 ,9 and 12 ochr(chr('39')39chr('39'))clock.

Awareness of the complications of circumcision and its treatment methods are important factors in the success of this method.

Complaint is the expression of dissatisfaction that needs a response and investigation. It is an effective tool to improve the quality of services. The aim of this study was the survey of complaints, factors affecting them, and the complaint process in Firoozgar Hospital. This was a retrospective descriptive study. All registered complaints, such as written, verbal and telephone complaints were reviewed in 2012. The data were extracted from the complaint forms of Firoozgar Hospital, which included several parts: personal information, ward name, person complained of, and explanations about the problem. Then, effective factors in complaints were classified and then analyzed by descriptive statistics. The most frequent complaints were related to nurses (192 cases). Complaints about doctors were 171 cases. Inappropriate communication (23.64%) was at the top of patient complaints; and complaints about fees (14.18%) was the next. Among paraclinical and support units, installations unit had the highest number of complaints (52 cases). Since inappropriate communication was the point being complained of more than any other issue, interventions in this area should be considered. Hospitals should identify the root of problems systematically.

Medicine cannot be practice without accident or complication. Like medicine doctors، dentists practice in a field that despite their attempt to relieve patients'' pain، sometimes an accident hurts patient and make unsatisfactory for them. This study assesses dental claims of dentists and experimental technicians in Shiraz. In this analytic cross- sectional study، we assessed all dental claims documents registered in Islamic Republic of Iran Medical Council and Legal Medicine Organization during 2006- 2011. Data were entered to 17 version of SPSS statistics software and Chi- square test was used in order to analysis of findings. During these 6 years، 107 dental claim documents had been registered in these 2 organizations which the most of claims were against general dentists who were working in private solo- practice clinics. The most of complaints were related to oral and maxillofacial surgery specialty because of hurting adjacent structures during tooth extraction. Based on the results of this study and other studies in Iran، it seems that we need to educate our dentists more about correct case selection، science، practical skills and correct communication with patient in order to reduction of malpractice and unsatisfactory and complaint against them.

We aimed to assess available evidence about medical misconducts and complaints in Iranian health system. We used systematic review methodology. We systematically searched four national databases and hand-searched three relevant journals. After quality appraisal, data was extracted from the literature and analyzed using qualitative synthesis approach. We retrieved 50 relevant reports and articles. They were classified into 3 categories: Medical negligence (26 reports), medical crimes (6 reports) and health care frauds and abuses (18 reports). Most of the papers in the first category focused on the results of complaints registered for litigation and few focused on their context or causes. We didn’t find any primary data in the majority of articles in the second and third categories. There was no estimation of the quantity, severity, or the effects of any of the misconduct and complaint categories. Conclusios: Studies only focused on some elements of the problem and rarely on process-related or systematic causes of misconduct. Studies that focused on medical criminal offences did not discuss potential legal limitations. Despite considerable financial impacts of healthcare fraud and abuse, this aspect of the problem had received even less attention.

The Premenstrual Syndrome (PMS) is a combination of distress, physical, psychological and behavioral changes that occurs in the luteal phase of the menstrual cycle. Although, the etiology of the PMS is not clear, to relief from the symptoms of this syndrome different methods including, safe exercise are recommended. The aim of this investigation was to determine the effects of a three-month regular aerobic exercise on the PMS symptoms. Ninety one women aged 16-48 years (31.6±8) with regular menstrual cycle accepted to participate in this quasi-experimental study. A Modified Menstrual Distress Questionnaire (MMDQ) was used. Participants were divided into two groups: 1- Fourty eight women who did not have any past experience of regular experience and also did not have any form of aerobic exercise in the duration of this study, 2- Fourty three women who accepted to have regular aerobic exercise for a duration of three months. Twenty two women in the second group had a history of regular exercise and aerobic exercise program was only prescribed for this group. The exercise program consisted of a five-minute warming up, 45 minutes limbs and trunk fast exercise and a ten-minute stage for cooling down. Each exercise session time was an hour and was carried out three times per week during three months. Data were analyzed using SPSS and parametric tests (ANOVA, paired t-test and Pearson correlation) were used where appropriate. Among women with aerobic exercise the severity of electrolytic, neurovegititive and cognitive symptoms was significantly decreased after the 3 months. Furthermore, the skin and neurovegatitive symptoms were also changed in experimental group who had a history of regular exercise. There were no correlation between age, education, marital status and severity of premenstrual syndrome symptoms. Based on the results of this study it can be concluded that a three-month regular aerobic exercise could reduce the severity of physical symptoms of premenstrual syndrome.