Canon Journal of Medicine
Volume:4 Issue: 3, Summer 2023

The arts and humanities have been used more frequently in medical education over the last 30 years as a teaching modality. Arts-based teaching approaches have a significant impact on medical education. Today, the art and medical sciences have complimentary interactions with each other, as medical schools incorporate arts-based activities into their curricula. These techniques have a wide range of educational goals, from more practical applications like improving theoretical bases to encouraging contemplation on the nature of medicine and the experience of illness. However, there are many different methods to use art, from studying artworks in museums to having students create their own art.

When a foreign body (FB) traverses or penetrates a body cavity or extremity is called impalement injury. Impalement injuries to the craniofacial region are rare. Surgical approaches should be chosen according to the patterns, mechanisms, materials of the injury, and adjacent vital structures. Current case report aimed to introduce endoscopic- assisted approach as a novel technique in removing penetrating foreign body of the orbit and paranasal sinuses.

A thirty-year-old man was brought to the emergency department with a rebar penetrated into his left side of his face just superior to his orbital rim, through the orbit, adjacent to medial canthus. Computed tomography scan showed a metallic rod extending from area near medial canthus up to pterygoid plates. Patient underwent endoscopic assisted surgery under general anesthesia. After releasing of the rebar endoscopically, it was pulled out from the proximal portion.

Endoscopic-assisted surgery is a useful and novel approach in removing impacted FBs in PNS, particularly the FBs adjacent to arterial or venous plexus, dura, and the orbit.

Vaginismus is a sexual dysfunction presented as pain and fear during sexual intercourse. According to various potential etiologies, a multidimensional approach should be considered for treatment of vaginismus. We introduce a new radiofrequency-assisted therapeutic method with combination of reassurance to patients for the first time in Iranian female patients with vaginismus.

In this quasi-experimental within subject study, we applied non-invasive radiofrequency to perineal area and vagina in patients with vaginismus. Patients received intervention in two 40-minute sessions with a one-week interval. The outcome measures were Questionnaire of Cognitive Schema Activation in Sexual Context (QCSASC) and Vaginismus Diagnosis and Severity Questionnaire which were administered to patients before and two weeks after intervention.

Finally, 20 female patients with a mean age of 29.1±5.42 years (minimum 21 and maximum 38 years) underwent analysis. Mean duration of marriage was 5.21±3.71 years in our study individuals with the minimum length of 6 months and maximum length of 12 years. Mean Cognitive Schema Activation in Sexual Context (QCSASC) score was 74.3±15.39 before and 58.95±13.11 after the intervention (p<0.001). Statistical analysis showed that most (13 out of 17) questions of Vaginismus Diagnosis and Severity Questionnaire were significantly improved after intervention

we found that a two-session non-invasive radiofrequency of perineal area and vagina, in combination with reassurance, improves sexual function two weeks after the final therapeutic session.

Abstract Recently, a fat injection procedure called lipofilling has been widely used for many skin pathologies. So far, limited studies have examined the use of fat injections to treat burn scars. Given the importance of burn wounds and their psychological, social and economic burden, in this study, we compared the effect of Lipofilling on the healing of burn scars. In this study, people who underwent burn scar lipofilling in the plastic surgery clinic between April 2020 and April 2021 were included in the study. The primary information of the patients was collected. Then, visits were made on days 30, 90, and 180, and the size, color, and symptoms of the scar were recorded in each visit. The results showed that 65% of the patients were satisfied with the treatment. In 75% of the subjects, a high effect of lipofilling was observed and in 20%, a moderate effect was observed in the healing of burn wound color. The mean overall resizing of the burn scar was 8.65 mm. The average size of a burn scar after one month was 2.98 mm. The average size change after the third month compared to the first month was 3.65 mm and in the sixth month compared to the third month it was 2.1 mm. The results showed that the lipofilling method of fat injection had a high effect in reducing the size and improving the color of burn scars. It is suggested to conduct studies with a higher sample size and multicenter.

Role of clinical teachers in education of clinical skills and appropriate performance of medical students is important. Multiple studies were done to date. The aim of this study was clarifying the characteristic of an effective professor in clinical education.

In pediatric department of Mashhad University of Medical Sciences, Mashhad, Iran, we asked pediatric residents about effective professor. Our tools were a checklist according to Kano model. Our questions were in three categories; human characteristics, teacher, and physician. Quality of each item clarify as: basic, expected and or attractive qualities. Participants could mention any item as questionable, indifferent or reverse.

thirty pediatric resident participate in our study. Among human characteristics, having sense of responsibility (86%) and good communication skills (77%) were two of most expected qualities. Logical thinking ability (68%) and problem solving skills (68%) were mentioned as expected qualities as physicians. Accessibility (68%) and encourages of trainees to be independent (63%) were two of most teacher attributes expected by pediatric residents. Ten percent of participants don’t like criticize of trainees while 65% were indifferent about this item.

Clarifying attribute of clinical professors have high importance in clinical education. Among all items, sense of responsibility, good communication skills and broad prospective were most expected based on students’ point of view. Determining important qualities for teaching staffs would help professors to improve their selves.

Academic self-efficacy, which refers to an individual's ability to understand their skills, is an important aspect of self-efficacy. The aim of this study was to investigate the relationship between academic self-efficacy and psychological well-being in students of Birjand University of Medical Sciences, Birjand, Iran in 2020-2021. In this cross-sectional study, a census sampling method was used to enroll 315 students of Birjand University of Medical Sciences, Birjand, Iran. The data collection tools were standard questionnaires for psychological well-being and academic self-efficacy scale. The validity of the instruments was confirmed in previous research by Khanjani et al. and Saadat et al studies. The findings showed a significant relationship between students' academic self-efficacy and psychological well-being and its components (p<0.01). This coefficient also showed a relationship between psychological well-being and academic self-efficacy with students' average grade point (p<0.01), but not with their age. The results of an independent t-test showed no significant difference in the mean of psychological well-being and academic self-efficacy between male and female students. However, the analysis of variance test showed a significant difference in the mean of these variables based on the faculty and educational level. Based on the results of this study, it can be concluded that higher psychological well-being is associated with higher academic self-efficacy in students. Therefore, it is important to regularly review students' psychological well-being to address any problems in this area.

Melatonin, a hormone intricately linked to circadian rhythms, has garnered increasing attention for its potential therapeutic role in counteracting cancer. This review navigates the landscape of melatonin's influence in cancer research, emphasizing its promising capacity to counteract various facets of cancer development and progression. With widespread expression of melatonin receptors in diverse organs, its systemic impact underscores its potential as a cancer-modulating agent. The anticancer effects of melatonin have been extensively investigated, revealing its involvement in antiproliferative, antioxidative, and immunomodulatory mechanisms. Studies in cell lines and animal models have demonstrated its ability to impede cancer initiation, promotion, and progression. Clinical trials exploring melatonin's synergy with conventional therapies, including chemoradiotherapy, provide encouraging evidence of its therapeutic efficacy in counteracting cancer. Despite these promising aspects, challenges persist in translating melatonin's potential into clinical applications. Issues such as optimal dosage, administration methods, and standardization of melatonin measurements need meticulous consideration. Overcoming these challenges is essential to harness the full therapeutic potential of melatonin in cancer counteraction. This review advocates for further exploration into novel drug formulations to enhance melatonin bioavailability, establishment of standardized measurement criteria, and comprehensive clinical studies to delineate optimal dosages and long-term safety. Understanding the molecular intricacies of melatonin's counteracting effects on cancer will not only enrich our comprehension of its therapeutic potential but also pave the way for its strategic integration into cancer treatment paradigms. I hope that this assessment will motivate us to create standardized methods for researching and utilizing melatonin in the treatment of cancer.