مجله سازمان نظام پزشکی جمهوری اسلامی ایران
سال سی و نهم شماره 4 (پیاپی 156، زمستان 1400)

In today's law one of the most important issues discussed is the criminal responsibility of those in charge of medical affairs professionals which has been assigned regulations in the Islamic Penal Code 1392 (2013). The criminal responsibility of those in charge of medical affairs ‎professionals can be divided into two categoriesm; general criminal responsibility and special criminal responsibility. Recent responsibility depends on the necessary coordination between criminal law and specific medical law. It is suggested that shortcomings and defects to the drafters, implementers in order to resolve the ambiguities and defects in the laws regarding the criminal responsibility of the medical officers by stating solutions such as taking the initiative to establish and formulate laws that have a stronger logical support and with legal principles and foundations as well as requirements.

One year is a limited time to know what to do exactly in confronting with the newly recognized corona virus. In this situation we must welcome any action that would reduce the mortality rate due to COVID-19. In literature review, we come across the use of drugs with known uses that lead to serious inhibition of immune reactions. SSRIs are among these drugs. Therefore, the goal of the current research is evaluating the effectiveness of SSRIs on transferring of COVID-19 patients to ICU.

The research design is practical and the method is clinical trial. The sample of this study included 180 patients with COVID-19 hospitalized in Dr. Massih Daneshvari Hospital. They entered the research by targeted method of sampling. Half of them received SSRI drugs under the supervision of a psychiatrist and then their transference to ICU was examined. All data were analyzed by SPSS using descriptive and inferential statistical methods.

52.8% were female, 47.2% were male. According to the results significantly smaller number of patients who had received SSRIs, were transferred to ICU and intubated (P.V < 0.01) as compared to patients who did not receive SSRIs.

According to the present study, SSRIs can simultaneously improve psychological and physical status and decrease the risk of their transference to ICU and intubation. And therefore, ultimately save the lives of COVID-19 patients.

The Covid-19 disease is a crisis that has recently not only put human health at risk but also caused a lot of damage in the field of tourism. Medical tourism is one of the most profitable and competitive industries in the world. Iran can increase its foreign exchange earnings by using its capabilities in medical tourism. In this research, we aim to present the effective factors and indicators of the control of the covid-19 pandemic in the marketing model of medical tourism in the social security organization.

Based on the purpose, this research is of the basic, applied type of research and descriptive-survey in terms of data collection. Also, in terms of the research approach, this research is an exploratory mixed method. In a qualitative approach, using the Delphi technique, by reviewing authentic texts and using the opinions of 17 members of the expert panel, and in a quantitative approach, a questionnaire was completed with a statistical population of 422 people. the factor analysis and structural equation model was used order to confirm and fit the factors obtained from.

Based on this research, the control factor of the Covid-19 pandemic has an effect on the marketing of medical tourism of the Social Security Organization. and this factor with five components (in the order of the highest factor load); The limitations caused by the disease, universal treatment and vaccination, the number of patients and deaths, compliance with health guidelines and protocols, and the occurrence of the epidemic of Covid-19 have been identified.

Through the government's policy and its implementation by organizations in charge of medical tourism, it is possible to increase the attraction of medical tourists by focusing on the control components of the Covid-19 pandemic.

Breast cancer is the most common female cancer, and early diagnosis is possible in case the patients seeks medical attention before appearance of any symptom, or at first clinical presentation. For this, the patient must be aware of the subject and not to be afraid of the diagnosis, but women have many unanswered questions about this cancer. In this study, we decided to ask the patients themselves about their information needs and the questions they want to be answered during the training.

Women attending different clinics of Arash Women's Hospital were asked to note all the questions they would like to be approached in a breast cancer educational program in a form. This was continued until there was no new question in 15 consecutive forms.

A total of 60 patients were included in the study. The average number of questions in each form was 3 (1 to 14), with a total of 194 questions. The questions were matched and categorized according to common scientific terms, which resulted in 63 questions in 5 categories.

Many studies have been conducted on breast cancer education, but none have addressed patients' own questions. This study shows that women have many questions about breast cancer that need to be addressed in educational programs. The authors suggest using the results of this study to develop educational packages as well as conducting similar research at multi-center levels.

While medical cosmetic interventions are increasing, there has also been a rise in complaints around medical malpractice. The aim of this study was to determine the socio-demographic characteristics of youths who are dissatisfied with results of cosmetic medical intervention.

Statistical society of this descriptive-analytic study were 18-30 year olds youth who had experience of cosmetic medical interventions, and due to dissatisfaction of medical intervention, they filed a lawsuit in dispute resolution council. Through a complete enumeration survey method 95 files were studied. Data were collected by social-demographic questionnaire and analyzed by descriptive statistics via SPSS-24.

67.8% of participants were female and 32.2% were male; 70.7% were single and 29.3 were married. 49.1 had high socioeconomic status, 42.4% had moderate socioeconomic status and 8.5% had low socioeconomic status. Education level of most of youths (56.9%) in this study was bachelor degree. There was a significant relation between marital status and education level with dissatisfaction of medical intervention’s results (p<0.05).

The study showed that female sex, singles, people with bachelor degree and low socioeconomic status had the highest frequency among young plaintiffs of medical malpractice. Marital status and educational attainment had significant relationship with filing complaint about medical malpractice in cosmetic field.

One year is a limited time to know what to do exactly in confronting with the newly recognized corona virus. In this situation we must welcome any action that would reduce the mortality rate due to COVID-19. In literature review, we come across the use of drugs with known uses that lead to serious inhibition of immune reactions. SSRIs are among these drugs. Therefore, the goal of the current research is evaluating the effectiveness of SSRIs on transferring of COVID-19 patients to ICU.

The research design is practical and the method is clinical trial. The sample of this study included 180 patients with COVID-19 hospitalized in Dr. Massih Daneshvari Hospital. They entered the research by targeted method of sampling. Half of them received SSRI drugs under the supervision of a psychiatrist and then their transference to ICU was examined. All data were analyzed by SPSS using descriptive and inferential statistical methods.

52.8% were female, 47.2% were male. According to the results significantly smaller number of patients who had received SSRIs, were transferred to ICU and intubated (P.V < 0.01) as compared to patients who did not receive SSRIs.

According to the present study, SSRIs can simultaneously improve psychological and physical status and decrease the risk of their transference to ICU and intubation. And therefore, ultimately save the lives of COVID-19 patients.

Celiac disease is one of the most common gastrointestinal diseases. Due to the wide variety of symptoms and complications and also the lack of sufficient food sources, Celiac disease causes a decrease in the quality of life in patients, and thus it is essential to identify the relevant food sources and its quality. Therefore, the purpose of this study was to investigate the types of food products offered in the distribution centers of food products for celiac patients and compare them with similar food products in Zahedan city.

In this descriptive-analytical study, the energy and micronutrients of 60 food products, including 30 products of celiac and gluten-free patients and 30 similar food products, were investigated and evaluated. Chi-square and Mann-Whitney tests were used to compare the data.

The average energy and fiber per 100 grams of celiac products were significantly lower than non-celiac products. It was also found that the abundance of starch in potatoes, whey powder and rice flour in celiac products is significantly higher than in non-celiac products. On the other hand, wheat flour was significantly higher in non-celiac products.

The findings of this research showed that the nutritional value of gluten-free products is lower than gluten-containing products in such a way that their dietary fiber and energy are less. Also, the price of these products is three times that of similar products, which requires proper management regarding the increase of gluten-free products in the city.

Nowadays, patients' access to proficient doctors is limited due to increased demand for medical services and insufficient manpower, as well as the unbalanced distribution of specialists. On the other hand, due to the high sensitivity of blood pressure diseases and the time of care, treatment and follow-up, telecardiology can be a solution for these patients to be considered with the aim of improving access and medical services.

 In this study, software was designed to monitor patients' blood pressure at home. Patients were divided into two groups: clients of public centers and clients of private office. Then, to evaluate the cooperation of patients with this program and monitor blood pressure, and also to remind patients to send blood pressure measurements, the patients were asked to install the application and finally a comparison was made between the two groups.

Among the 105 patients who installed the app, only 24 contributed, including 9 from the hospital and 15 from the private office. Patients did not cooperate for the following reasons: lack of blood pressure monitor, inability to use the application, lack of a person to help cooperate, and low level of knowledge. Survey of patients' satisfaction showed that the doctor's contact with them caused a sense of security in the patients studied.

The results of the study showed more cooperation of private patients than public hospital patients. The findings also showed that following up of the patients gives them a sense of security and adequate care and reminds them of the importance of controlling blood pressure.

Borderline personality disorder affects many cognitive, behavioral and even emotional domains of individuals, so the aim of this study was to evaluate the effectiveness of functional analytical therapy on cognitive regulation of emotion in patients with borderline personality disorder.

The research method was quasi-experimental pre-test-post-test with experimental and control groups. The statistical population of this study included all 43 women hospitalized in Mehrafarin Psychiatric Care Center in Karaj in 2020. A total of 33 patients with moderate borderline personality disorder were selected by simple random sampling from each entry and were randomly assigned to two groups of 12 (12 experimental group) (12 control group). The functional analytical psychotherapy package of Tsai, Kohlenberg, Kanter & Waltz (2010) was performed on the experimental group in 10 sessions of 45 minutes. Before and after the sessions, members of experimental and control groups were assessed with pre-test and post-test cognitive regulation of emotion Questionnaire of Garnefski, Kraaij, Spinhoven (2001). Data were analyzed using analysis of covariance mixed with SPSS18 software.

The results showed that functional analytical therapy has a significant effect on improving object relations and coping with hypertensive conditions in patients with borderline personality disorder (p≤0.001).

These results emphasize the level of performance of functional analytical psychotherapy in different areas of cognitive, behavioral and emotional in the treatment of people with borderline personality disorder.