Journal of Surgery and Trauma
Volume:11 Issue: 2, Summer 2023

Dear Editor, I read with interest Amouzeshi et al.’s article which has been recently published in your journal under the title “Comparison of medical and nursing students’ readiness for interprofessional education in the surgical department” (1). While the article is potentially of interest to readers, there are several aspects that need attention. First of all, under the Section “Materials and Methods”, the score of 52 for the whole questionnaire is considered as the cut-off point and the upper limit is considered good and the lower limit as poor. How was this determined? What references were taken to determine this? What about subscales?Secondly, considering the title of thd article, I did not find any findings regarding the role of the surgical department in this research. What was the reason for the researchers to emphasize the surgical department in the title of the article? Is readiness for interprofessional education different in the surgical department than in other departments? Is there a specific tool to measure students' readiness for interprofessional education in the surgical department? Thirdly, under the Section “Conclusion”, there is a claim that it is appropriate that before the start of IPE training, educational workshops have been conducted to learn interprofessional principles and also to analyze the concepts of teamwork and cooperation, professional identity, roles, and responsibilities. In my opinion, this approach is not suitable for the workplace, requiring students to take their ‘lessons learned’ back to their own contexts. Clearly, a re-orientation of activities from the workshop to the workplace such as grand rounds can increase students’ participation and motivation. Moreover, by moving to the workplace and taking advantage of working together and participating in the activities of a larger community, students can build new knowledge and develop new approaches to challenges encountered in practice (2). Finally, based on the study findings, the authors recommended the use of IPE in the official curriculum. It seems that for this purpose we need to conduct more qualitative and mixed methods studies. Moreover, a more robust approach to data collection is needed. I kindly request the researchers to explain the above-mentioned issues. View ORCID ID Profile You can also search for this author in PubMed     ResearchGate   Scopus    Google Scholar    Google Scholar Profile

Due to the high prevalence of inguinal hernia surgery and its impact on quality of life and workforce, it is necessary to find a method with the least complication and recurrence. Since the use of the progrip mesh clearly reduces the operating time and surgical site manipulation, it seems to be a good treatment option.

This clinical trial study was performed on 80 patients with inguinal hernia repair candidates admitted to Beheshti and Rohani Hospitals in Babol, Iran. The patients were randomly divided into two groups. In the first group, the repair was done with progrip mesh, and in the second group, the prolene was restored. 4,8 and 12 hours after the operation, a checklist pain score based on VAS and EQ-5D-3L questionnaire was completed before surgery, 6 to 12 hours after surgery, and 24 hours after surgery for each patient. Data was analyzed using Chi-square, T-test, and the Mann-Whitney test. A significance level of (0.05) was considered.

The mean duration of operation in the progrip group was(31.15 ± 9.35)minutes and in the prolene group was(9.53 ±14.46) minutes, which was significantly shorter in the progrip group(p=0.048). Complications of surgery were not reported in any of the patients. The mean of pain intensity 4 hours after surgery in the progrip group was(5.04 ±1.05) and in the prolene group was(5.50 ±1.24), which was significantly lower in the progrip mesh group(p=0.048). The mean pain intensity was 8 hours(5.25 ±0.81versus 5.83±1.37)and was significantly lower in the progrip group(p=0.024). Also within 12 hours after was (3.38±1.23 versus 4.20±1.34) significantly lower in the progrip group(p=0.005).

Based on the results of this study, the use of progrip mesh is associated with shortening the duration of the surgery and also reducing pain in postoperative patients.

Trauma is the most common cause of death under the age of 50, and one of the three main causes of death. The role of microscopic hematuria in the diagnosis of abdominal injuries is not clear. This study aimed to investigate the predictive role of microscopic hematuria in the assessment of abdominal organ damage in blunt trauma.

This cross-sectional study was conducted on all blunt trauma patients, who were admitted to the surgery department of Shahid Beheshti Hospital in Kashan in 2016 and 2017. Patients with blunt abdominal trauma aged 18 to 65 years were included, and patients with macroscopic hematuria, unstable hemodynamic status, and a history of kidney diseases were excluded. Spiral CT scan of the abdomen and pelvis was performed with intravenous injection of contrast material with delayed nephrogram phase as the gold standard. Data analysis was performed using the SPSS software. The Chi-square test, and McNemar's test were used. (P<0.05) was considered significant.

In this study, 400 patients with blunt trauma participated. The frequency of microscopic hematuria in patients with intra-abdominal organ damage was significantly higher than in other patients (71.4% versus. 38.9%, P<0.001). The sensitivity and specificity of microscopic hematuria in diagnosing damage to intra-abdominal organs were 53.84% and 77.14%, respectively. The overall accuracy of the test was 62.0% (Kappa coefficient=0.22, P<0.001).

Due to the low accuracy of microscopic hematuria in diagnosing damage to intra-abdominal organs, it is not suitable as the main diagnostic method, but it can be used as an auxiliary method.

The prevalence of COVID-19 in the world and the long closure of universities necessitate attention to virtual education, e-learning readiness, and student satisfaction.

The present study is a descriptive-analytical study of structural equations that was performed on 216 students studying at Alborz University of Medical Sciences during the COVID-19 pandemic. The multi-stage sampling method was determined in the first stage of the schools and the second stage sampling was done randomly. Data were collected by electronic questionnaires of fear of COVID-19, e-learning readiness, motivational belief, and student satisfaction. Data were analyzed by using SPSS and LISREL 8.8 software. Statistical significance was (P-value< 0.05).

The results of study showed fear of COVID-19 had a significant and positive effect on student satisfaction (β = 0.22, P=0.001). Motivational belief also had a significant and positive effect on e-learning readiness (β = 0.76, P=0.001) and also, e-learning readiness had a significant and positive effect on student satisfaction (β = 0.51, P=0.001).

Despite the student’s dissatisfaction with the virtual education system, the fear of COVID-19 increases their satisfaction with virtual education, so providing the necessary protocol for virtual education in times of crisis and natural disasters increases students' satisfaction with virtual education.

Poor sleep quality influences daily functioning, making sleep quality an important clinical construct. Indeed, inadequate sleep quality can serve as a significant symptom of various medical and sleep disorders. Poor sleep can impair academic and social performance as it reduces students' concentration in the classroom. This study aimed to investigate the quality of sleep and its correlation with background variables among emergency and allied medicine students studying at Gilan University of Medical Sciences.

In this descriptive cross-sectional study, a total of 555 male and female students from Gilan University of Medical Sciences were selected via a multistage random sampling method in 2021. The data was collected using a demographics form and the Pittsburgh Sleep Quality Index. Data were analyzed with SPSS version 16 using descriptive (prevalence, mean, standard deviation) and inferential (Chi-square test, Fisher's exact test) statistical tests. The significance level was set at P <0.05.

The research results indicated that the majority of participants fell within the 21-year-old age group (30.45%) and identified as female (59.65%). In terms of marital status, 57.7% of the students were married. Half of the students experienced poor sleep quality. The mean score for sleep duration was reported to be higher than the scores for other subscales. Students' sleep efficiency was similarly low. In this regard, the Friedman test results revealed significant differences between the scores of the sleep quality subscales (P=0.001).

The study's results indicated that the sleep quality of emergency and allied medical students at Gilan University of Medical Sciences was below average. Additionally, the students reported a higher mean score in the sleep latency subscale than in other subscales. In order to enhance the students' sleep quality and address sleep latency issues, it is recommended to implement planning along with nursing interventions. Effective measures can be taken to improve the sleep quality of this group of students by providing suitable educational and welfare conditions.

The novel coronavirus (SARS‑CoV‑2) has caused widespread pneumonia in the world, with typical signs and symptoms of viral pneumonia such as cough, sore throat, fever, fatigue, and myalgia. Atypical signs and symptoms such as cardiac, gastrointestinal, neurological, and genital manifestations also have been reported. These atypical symptoms may initially be misdiagnosed and patients may not treat them properly; thus, it is important to consider these atypical symptoms in such cases. In this article, we report a patient with testicular pain, an atypical and rare sign and symptom of Covid-19.

we would like to thank uoy for the opportunityto respondti the issuereaides in Mr. Mohammad Sadegh Loeloe letter and to clarify aspects of our methodology in relationto these concern.we would like to thank Mr. Mohammad Sadegh Loeloeand his colleages for their intersted in our paper and for taking time to express their concern. the Paper with the title “Statistical Point of View of paper with the title: “Compliance of operating room sterilization procedures with valid scientific guidelines “ was published by Mr. Mohammad Sadegh Loeloe (1). The explanations you read below are in line with the mentioned article. In Table 2, the Mann-Whitney test is performed. In the statistical review of the article, it has been mentioned by the respected referee that what is reported in the results is correct because if you look carefully, the reported Z-Test statistic is the Mann-Whitney test statistic. In the second table, the author has declared the results of the Mann-Whitney test. All the p-values are correct and the percentage value is reported anywhere in the thesis tables of the p-value values. I would like to ask the respected authors to check more statistical articles on how to report p-values. The sample size does not need to be stated in detail in the article, because this article is based on the plan, there is no need to state the sample size in detail. Since this article is not a standard questionnaire report to accurately reports the validity and reliability, so there is no need to state more details in the study, whose main task is forecasting and modeling (2).