Introduction: Acute tubular necrosis (ATN) is a common syndrome following kidney transplantation. In this study, we reviewed systematically the relationship between ATN and kidney transplantation. Materials and Methods: International databases including PubMed, Web of Science and Scopus were considered for search of English articles by Aug 2019. Seven published articles were finally entered into the study. Keywords were ATN, acute kidney injury, kidney transplantation and renal transplantation or a combination of them in the title/abstracts. Results: There were seven published articles (conducted on 2,534 individuals) reviewed in this systematic review consisted of two retrospective, three prospective studies and two clinical trial studies. Conclusion: The administration of cyclosporine immediately following kidney transplantation is a predicting factor for development of ATN. According to the results, ATN can be associated with kidney transplantation, especially transplanted from deceased donors.
Background: 360 degree evaluation is a method that an employee is evaluated by the others and given feedback to him/her. Considering the proper implementation of the sterilization process is important in the prevention of nosocomial infections and has a direct impact on the quality of performance of the surgical team in the operating room. This study was conducted to the Evaluation of CSSD Unit Personnel Performance in Sterilization Process using the 360 Degree technique. Methods: This cross-sectional study was conducted in the educational hospitals of Gillan Province in IRAN, between 2018 and 2019. Assessment of staff performance in CSSD Unit was done by 360 Degree evaluation method in five different stages. The evaluators included the infection control nurses, Supervisors of the sterilization unit, the researcher and the staff of these units as self-assessors. Finally, the collected data were analyzed using SPSS version 20. Results: The evaluation mean scores were as following: the researcher, 75.97 ± 18.9; infection control nurse, 87.62 ± 7.2; unit supervisor, 87.61 ± 7.8 and staff self-assessment, 88.01 ± 8.1; at different stages of the sterilization process. From all assessors view, the highest and lowest scores were related to the cleaning and Health dimensions. Conclusion: According to assessor’s agreement in scoring of different stages of the sterilization process, the 360 degree evaluation method is a valuable tool in assessment of the staff performance in important tasks. By applying this method, it can be ethically prevented evaluators' individual judgments
Background: Traditional teaching and learning methods are losing their effectiveness due to the advancement of communication technology and science in the new century. Therefore, educational software development can improve medical and paramedical students’ learning in modern medical education. The current study was conducted to investigate the effect of software on the principles of surgical table setting on the learning and practical skills of the students of operating room technology. Methods: A semi-experimental study was conducted using a census method among 57 operating room students who met the inclusion criteria. The students were divided into two groups, intervention, and control. The two groups were pre-tested before the intervention to assess their knowledge and practical skills. Additionally, the control group was regularly trained, and the intervention group was provided with educational software simultaneously with routine training. A post-test was given to both groups at the end of the semester. The data were analyzed by SPSS 22 using the descriptive and inferential statistical indicators of paired t test and Mann-Whitney test. Results: The results of this study showed that the intervention group and the control group did not differ significantly in any of the demographic parameters (P<0.05). Considering the normality of the data, comparing the level of knowledge and practical skills of the operating room technology students before and after the intervention in both groups using paired t-test showed that the level of knowledge and practical skills in the intervention group increased significantly (P>0.001). Conclusion: According to the results of this study, educational methods in conjunction with the appropriate software can effectively increase students’ awareness of operating room technology and help improve their practical skills. Therefore, educational aid software is a useful tool to be used during internship courses as an effective method of training operating room students.
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