This research aims to determine the usability of the central library websites of medical sciences universities in Iran. This was a descriptive, cross-sectional study which employed a heuristic evaluation method to evaluate the usability of the websites. Three trained evaluators independently examined the 12 library websites from 11 July to 10 September 2013 using Nielsen’s usability heuristics. A list of usability problems was obtained and the severity of identified problems was determined. We identified 668 usability problems. The highest number of problems concerned ‘aesthetic and minimalist design’ (27.1%) and the lowest number concerned the ‘help and documentation’ heuristic (1%). Since the importance of libraries’ websites cannot be understated, the websites should consider the identified problems and attempt to address them.

Background and Objectives: Training patients before surgery can reduce postoperative pain and anxiety. This study aimed to compare the effect of face to face education and video training on the anxiety of patients requesting bone marrow transplantation. Materials and Methods: This randomized clinical trial study was performed over a period of ...

Background: Medical malpractice is a major cause of patient complaints and dissatisfaction, which is an alarming event for healthcare professional and medical practitioners. Objectives: The present study aimed to investigate medical malpractice cases in Kerman province, Iran. Methods: This cross-sectional, retrospective study was performed to analyze the complaint cases reported in Kerman Medical Council and Kerman Legal Medicine Organization during 2010 - 2014. Physician data were recorded on age, gender, academic degree, specialty, work experience, place of failure, and type of medical malpractice. Data analysis was performed in SPSS. Results: In total, 551 complaint cases were investigated, 167 of which (31%) were medical malpractice cases. The most common medical malpractices were imprudence (44.31%) and carelessness (41.31%). In addition, most of the medical malpractice cases occurred in governmental hospitals (64.07%). In most of the cases, physicians with specialty degrees were convicted of medical malpractice (73.65%), and the highest number of the medical malpractices was observed in ophthalmology (20.95%). Conclusions: Despite the significant advancement in medical affairs, the rate of patient complaints and medical malpractices has increased noticeably.

Objective: To conduct changes in sexual activity during pregnancy and its related factors in pregnant women. Methods: The present descriptive cross-sectional study was conducted in 2017 on pregnant women who referred to the women's clinic of Afzalipour Hospital in the southeast of Iran. Participants were included in the study through convenient sampling. The data collection tool was a researcher-made questionnaire consisting of two parts of personal social information of the couple and questions to measure the level of sexual activity and the attitude of the subjects during pregnancy compared to before pregnancy. Results: 201 Pregnant women were included. The average age of pregnant women was (27.3±6.1) years and their average gestational age was (24.7±11.8) years. More than 62% of women had decreased sexual activity. There was a significant relationship between the amount of changes in sexual activity and delivery time (P=0.013), abortion history (P=0.001) and premature birth history (P=0.002). Most pregnant women believed that sex during pregnancy caused damage to the fetus (67.7%). A decrease in the intensity of sexual desire was reported in 63% of pregnant women. More than 60% of the subjects did not consult with doctors and midwives with regards to sexual issues (63.5%). The most common reason for not consulting was not feeling the need (32%). Most women experienced back pain during (42.8%) and after (39.8%) intercourse. Conclusions: Changes in sex life during pregnancy are often caused by the lack of sexual knowledge and the increase in misconceptions among couples, which can affect the quality of relationships. The role of education is essential. Therefore, it is suggested that by including sexual counseling along with pregnancy care, wrong beliefs and information among women will be corrected.

Background and Objectives: Cesarean hysterectomy is a critical intervention often required to manage life-threatening postpartum hemorrhage (PPH) due to complications such as uterine atony, abnormal placental implantation, or traumatic rupture. Although lifesaving, the procedure is associated with significant risks and complications. This study investigates the causes and outcomes of cesarean hysterectomy, focusing on complications arising from the procedure. Materials and Methods: A retrospective analysis was conducted on 82 women who underwent cesarean hysterectomy at Afzali Pour Hospital between 2018 and 2022. All patients were followed for 42 days post-surgery to evaluate outcomes and complications. Data were extracted from electronic medical records, encompassing demographic, obstetric, and clinical details, including age, body mass index, previous cesarean sections, indications for cesarean deliveries, causes of hysterectomy, and complications. The primary outcome was to determine the causes of cesarean hysterectomy, while the secondary outcome assessed the complications associated with the procedure. Stepwise logistic regression analysis was utilized to identify significant predictors of complications. Results: The study included 82 women who underwent cesarean hysterectomy. The mean age of the participants was 35.2 years (SD = 5.4), with a range from 24 to 48 years. The average BMI was 29.1 kg/m² (SD = 4.3), with 45% of the women classified as overweight or obese (BMI ≥ 25). The majority of the patients (70%) had a history of two or more previous cesarean sections, and the most common indication for cesarean hysterectomy was abnormal placentation, including placenta accreta (58%). Uterine rupture was reported in 13% of the cases. In terms of complications, bladder injury was the most common, occurring in 33.33% of women, followed by fever (20%), ureteral injury (13.33%), and hematoma (8.89%). Stepwise logistic regression analysis revealed that higher BMI significantly increased the odds of the outcome (OR = 4.18, 95% CI: 1.66–10.51, p = 0.002), and the number of previous cesarean sections was also a significant predictor (OR = 2.30, 95% CI: 1.17–4.53, p = 0.016). Conclusions: Placenta accreta and previa were the most frequent causes of cesarean hysterectomy, with bladder injury and fever being the most common complications. A higher number of previous cesareans and higher BMI significantly increase the likelihood of complications. Understanding these risk factors can improve patient management and surgical outcomes, highlighting the importance of careful monitoring and preoperative planning in women with a history of cesarean deliveries.

Cephalohematoma is a self‐limiting lesion in 1%–2% of neonates. Cephalohematoma bleeds between the bone and periosteum and is limited to cranial sutures. Complications of the cephalohematoma include hyperbilirubinemia and secondary infection. We describe a neonate with cephalohematoma cultures positive for S. epidermidis as well as progressive deepening of the skull. There was no evidence of systemic infection, such as sepsis, meningitis, or osteomyelitis. In the ultrasound and brain MRI, the abscess was restricted to the scalp without involvement of the brain parenchyma and osteomyelitis of the bone. After a short period of intravenous antibiotics and drainage of the abscess, the patient was discharged from the hospital. To our knowledge, this is the first report of cephalohematoma infected with Staphylococcus epidermidis and skull abscess.