Search

Several studies have looked into the effectiveness of bleomycin treatment for warts using various injection methods, such as intralesional injection, multiple puncture technique, jet injection, and moonlet needle prick method, in various concentrations and doses. However, injection methods have been linked to acute pain and bleeding. The purpose of this study is to examine the efficacy of microneedling combination with topical bleomycin and cryotherapy in the treatment of resistant warts on the hands and feet. This randomized clinical trial, conducted at Sina Hospital in Tabriz, involved 90 patients with treatment-resistant warts on their hands and feet. Treatment measures were repeated every two weeks in treatment-resistant patients who did not react to four cryotherapy sessions or whose lesions remained stable for six months. Each wart lesion was randomly assigned to one of two treatment groups: topical bleomycin with microneedling or cryotherapy. The effectiveness of the treatment in weeks 2, 4, 6, and 8 with PGA and PaGA, the amount of clearance, and side effects were evaluated in each session and the 8th week. Pain during therapy was assessed using a visual analog scale (VAS) ranging from 0 to 10. The patients’ mean age was 33.65 ± 12.24 years, with 63.3% being female. A total of 186 resistant wart lesions were treated, with 98 (52.7%) situated in the palmar region and 88 (47.3%) in the plantar region. In palm lesions, the bleomycin micro-needling group had a considerably greater clearance rate than the cryotherapy group (86.4% vs. 61.9%; p = 0.001). In foot lesions, the bleomycin microneedling group had a greater clearance rate than the cryotherapy group, although there was no statistically significant difference (69.6% vs. 54.2%; p = 0.209). In the eighth week following the intervention, the number of lesions and the diameter of warts on the palms and feet decreased significantly in the bleomycin microneedling group when compared to the cryotherapy group. Bleomycin microneedling had no adverse effects; however, in patients undergoing cryotherapy, local pain, blisters, and scars were noted. Bleomycin microneedling has a higher therapeutic efficiency than cryotherapy for treating refractory hand and foot warts, and it removes lesions more effectively. In addition, this therapeutic method is safer and has fewer side effects than cryotherapy. [ABSTRACT FROM AUTHOR]

Background & Objective: Aligning faculty members' learning styles with their teaching approaches is a complicated topic in education. Understanding these inclinations can help enhance pedagogical practices and build a more inclusive learning environment. Thus, this study examined the relationship between learning style preferences and teaching technique choices among Iranian faculty members. Material & Methods: From May to July 2022, a cross-sectional online survey was conducted among faculty members at Iranian medical universities via the Porsline website. Virtual snowball sampling was used to recruit 526 individuals. The VARK questionnaire was translated into Persian and showed excellent reliability, with a Cronbach's alpha of 0.94. The final data collection tools included the translated VARK questionnaire, self-assessment questions about teaching methods, university resources, and digital media center equipment. Analytical methods included descriptive statistics, logistic regression analysis, and chi-square testing for data evaluation. Results: The survey found that clinical teachers preferred reading and writing (54%), whereas fundamental science educators preferred visual-auditory and reading-writing. The effect of gender, field of study, learning style, age, and professional academic factors on the dependent variable, teaching method, was investigated using chi-square tests and logistic regression. The findings revealed that while there was no significant relationship between the variable gender and teaching method, significant associations were found with the variables field of study, learning style, age, and professional academic. Notably, it was observed that the effect size of field of study, age, and professional academic on teaching method is small, while for learning style, it is medium in magnitude. Conclusion: The study uncovers a significant correlation between learning styles and teaching methods, suggesting that their learning backgrounds may shape teachers' teaching methods. [ABSTRACT FROM AUTHOR]

Purpose: The aim of this study was to determine the efficacy of using 3D printing models in the learning process of orbital anatomy and pathology by ophthalmology residents. Methods: A quasi-experimental study was performed with 24 residents of ophthalmology at Mashhad University of Medical Sciences. Each stratum was randomized into two groups. The educational booklets were distributed, and various forms of orbital 3D models were printed from orbital computed tomography (CT) scans. Knowledge enhancement on the topics was measured by comparing pretest and posttest scores. Results: Thirteen residents who were trained using traditional methods were deemed the control group; while 11 residents who were trained using the 3D printed models were classed as the intervention group. The control group was younger than the intervention group (P = 0.047). The results showed that there was a statistically significant difference in the total posttest scores between the two groups. Based on the repeated measures of the analysis of variance (ANOVA), score variables were significant between the two groups (P = 0.008). Interestingly, the use of the 3D educational model was more effective and statistically significant with the year one residents as compared to the year two residents (P = 0.002). Conclusion: This study is the first one in Iran quantifying the effects of learning using 3D printed models in medical education. In fact, 3D modeling training is seemingly effective in teaching ophthalmic residents. As residents have never encountered such technology before, their experience using 3D models proved to be satisfactory and had a surprising positive effect on the learning process through visual training. [ABSTRACT FROM AUTHOR]

Background: Clinical training has an important section in medical students' education. Creating a favorable learning environment plays an essential role in medical education. Since clinical teachers involve to clinical problem, clinical education environment evaluation can help to identify the negative and positive factors. This study was conducted to compare medical students' and residents' perceptions and their teachers of the hospitals educational environment using the Dundee Ready Education Environment Measure (DREEM). Methods: This descriptive, analysis cross-sectional study was conducted in Kerman University of Medical Science, 2012. Using DREEM investigate the educational atmosphere four main clinical wards (Internal, Surgery, Pediatrics and Gynecology) in the educational hospitals of University. DREEM distributed to 230 participants, included 50 clinical teachers, 88 residents and 92 interns. Statistical analysis was done using SPSS 18. We were carried out ANOVA test to comparison means items. Results: The overall DREEM is 161/200for interns, 157/200 for residents and 123/140 for teachers. Generally tend to positive. There were significant difference in Learning domain (P<0.000) and atmosphere (P<0.000). There was no significant difference in teacher performance domain (0.127). Conclusions: DREEM scores are on the top of scoring except the perception of teachers in domain of learning that it can be causing of satisfies of their performance in learning environment. Participants assessed the educational environment as high level. Regarding the Perception of learning, teachers' performance, and learning atmosphere was viewed positively. So, it's better to keep quality in high level in clinical wards. [ABSTRACT FROM AUTHOR]

Several studies have looked into the effectiveness of bleomycin treatment for warts using various injection methods, such as intralesional injection, multiple puncture technique, jet injection, and moonlet needle prick method, in various concentrations and doses. However, injection methods have been linked to acute pain and bleeding. The purpose of this study is to examine the efficacy of microneedling combination with topical bleomycin and cryotherapy in the treatment of resistant warts on the hands and feet. This randomized clinical trial, conducted at Sina Hospital in Tabriz, involved 90 patients with treatment-resistant warts on their hands and feet. Treatment measures were repeated every two weeks in treatment-resistant patients who did not react to four cryotherapy sessions or whose lesions remained stable for six months. Each wart lesion was randomly assigned to one of two treatment groups: topical bleomycin with microneedling or cryotherapy. The effectiveness of the treatment in weeks 2, 4, 6, and 8 with PGA and PaGA, the amount of clearance, and side effects were evaluated in each session and the 8th week. Pain during therapy was assessed using a visual analog scale (VAS) ranging from 0 to 10. The patients' mean age was 33.65 ± 12.24 years, with 63.3% being female. A total of 186 resistant wart lesions were treated, with 98 (52.7%) situated in the palmar region and 88 (47.3%) in the plantar region. In palm lesions, the bleomycin micro-needling group had a considerably greater clearance rate than the cryotherapy group (86.4% vs. 61.9%; p = 0.001). In foot lesions, the bleomycin microneedling group had a greater clearance rate than the cryotherapy group, although there was no statistically significant difference (69.6% vs. 54.2%; p = 0.209). In the eighth week following the intervention, the number of lesions and the diameter of warts on the palms and feet decreased significantly in the bleomycin microneedling group when compared to the cryotherapy group. Bleomycin microneedling had no adverse effects; however, in patients undergoing cryotherapy, local pain, blisters, and scars were noted. Bleomycin microneedling has a higher therapeutic efficiency than cryotherapy for treating refractory hand and foot warts, and it removes lesions more effectively. In addition, this therapeutic method is safer and has fewer side effects than cryotherapy., Competing Interests: Declarations. Ethical approval: This study was approved by the Ethics Committee of Tabriz University of Medical Sciences, following the ethical principles of the Helsinki Declaration and Good Clinical Practices (Protocol number, IR.TBZMED.REC.1401.1004, and was prospectively registered at IRCT.ir, clinical trials registry, with identifier number: IRCT20221109056452N1). Competing interests: The authors declare no competing interests., (© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)

Background: Three-dimensional models are used to guide residents and physicians in accessing specific anatomical areas and types of fractures and better diagnosis of anomalies. These models are useful for illuminating complex anatomical areas, such as orbit, especially limited space with sensitive access. The aim of this study was to design a three-dimensional visualization educational modeling for ophthalmology residents' training. Methods: This study is a product-oriented application that uses radiological images of anatomy, anomalies, and orbital fractures based on actual CT scans of patients. These CT scans were carefully selected from the Picture Archiving and Communication System of Ghaem Hospital of Mashhad University of Medical Sciences. Results: To produce twelve 3D models, the CT scan files were converted to 3D printer output. Then, the models were presented to residents at a training session by an ophthalmologist. These models created all major fractures associated with the orbit area and most disorders, anomalies of this area and several normal anatomical. The features of 3D models were mentioned. The strengths and weaknesses of the educational modeling, the level of satisfaction with the use of three-dimensional models, suggestions and criticisms were assessed qualitatively by the residents. Satisfaction was reported 100% by residents. Suggestions for future 3D models were presented, and the only criticism was fear of exams and grades. Conclusion: Real-size 3D modeling help to understand the spatial and mental imagery of anatomy and orbital pathology and to touch different anatomical areas creates a clear image in the minds of residents, especially in the orbit., Competing Interests: The authors declare that they have no competing interests., (© 2022 Iran University of Medical Sciences.)