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Objective: Creating a scientific and practical curriculum is the most important step in medical students' training and planning of wards posting during the internship period has a very high impact in this creation process. The aim of this case study is to assess the opinion of medical interns of Ahvaz Jundishapur University of medical sciences, towards increasing the number of wards in hospitals. Material and Method: In this case study, 75 medical interns expressed their views on the reform by completing a questionnaire containing 5 multiple choice questions about the importance of different wards of the internship program. Frequency of responses was calculated by direct counting. Results: Majority of the students agreed with increasing the number of internship wards nevertheless decreasing their time. They scored the importance of wards which they did not pass during internship, as medium, low or without importance. General information about interns' hospital wards in Iran also represented. Conclusion: In most Iranian medical schools, selectable internship wards resulted in better learning of knowledge and skills in favorite wards and in subjects, such that they are eager to continue their future study and job. Although the interns had different ideas about the ideal time length of their educational wards, they generally agreed on increasing the number of wards and the reduction in the time allocated to one-month (minor) wards. [ABSTRACT FROM AUTHOR]

Background: This study aimed to prevent and control the pain after arthroscopy that leads to patient satisfaction, rehabilitation, and return to normal life as soon as possible. It is hypothesized that there is no difference between intra-articular injection of dexmedetomidine and placebo after knee arthroscopy regarding pain level., Methods: This double-blind randomized clinical trial was conducted on 70 patients aged 18-60 years who were candidates for elective knee arthroscopic surgery with the American Society of Anesthesiologists Classification I-II. All patients underwent spinal anesthesia equally and were randomly divided into two groups of 35 cases per group. The drug group (D) received 2 μg/kg dexmedetomidine with 0.9% normal saline reached to a volume of 20 ml, and 20 ml of 0.9% normal saline was injected into the knee joint through the cannular sheath in the control group (C). Postoperative pain intensity was recorded 1, 2, 4, 8, 16, 24 h after injection using the Visual Analogue Scale. The time of requesting the first analgesic and the amount of analgesics consumed were recorded after 24 h., Results: There was no significant difference between the two groups in terms of age, height, weight, duration of spinal anesthesia, and duration of surgery ( P>0.05 ). In group D, there was a decrease in postoperative pain, a decrease in the amount of analgesic consumed, and an increase in the time of the first analgesic request, compared to group C ( P<0.05 )., Conclusion: This study showed that intra-articular injection of dexmedetomidine relieved postoperative pain, reduced analgesic consumption, and increased the time of first analgesic request after knee arthroscopy., Competing Interests: The authers declare there was no conflict of interest.

Background and Aims: General anesthesia induces endocrine, immunologic, and metabolic responses. Anesthetic drugs affect endocrine system by changing the level of stress hormones and hemodynamic of the patient . The purpose of this study was to compare the effects of propofol and isoflurane on hemodynamic parameters and stress-induced hormones in laparoscopic cholecystectomy (LC) surgery., Material and Methods: Seventy patients of elective LC were included in this study. Patients were randomly divided into two equal groups of 35 patients; group P received propofol (70-120 μg/kg/min) and group I received isoflurane (mac: 1.28%) as anesthesia maintenance. The following parameters were monitored, checked, and recorded from preanesthesia period to 10 min after PACU entry according to a planned method: hemodynamic parameters (heart rate and mean atrial pressure), level of blood sugar, and serum epinephrine level., Results: Heart rate and mean atrial pressure changes did not show significant differences between the two groups in all stage ( P > 0.05), but isoflurane group tolerated lower fluctuating changes. Blood glucose and serum epinephrine level rise in the isoflurane group were significantly higher than the propofol group ( P < 0.05)., Conclusion: Maintenance anesthesia by inhalation gas base on isoflurane has not shown a significant difference with total intravenous anesthesia base on propofol on hemodynamic parameter. However, propofol has a consistent effect on decreasing stress hormone and suggested for LC surgery., Competing Interests: There are no conflicts of interest., (Copyright: © 2022 Journal of Anaesthesiology Clinical Pharmacology.)