CONTEXT The primary goal of discussing patient cases during the morning report is to teach appropriate clinical decision making. In addition, the selection of the best diagnostic strategy and application of evidence-based patient care are important. Reducing hospital costs is fundamental to controlling inflation in health care costs, especially in university hospitals that are subject to budget constraints in developing countries. The goal of this study was to explore the effect of morning report case presentation on length of stay (LoS) and hospitalisation costs in a university teaching hospital.METHODS A total of 54 patients whose cases had been presented at morning report sessions in the department of internal medicine during a 3-month period (presented group) were selected and their medical records reviewed for data on final diagnosis, hospital LoS and detailed hospital costs. A control group of 104 patients, whose cases had not been presented, were selected on the basis that their final diagnoses matched with those of the presented group. In addition, the groups were matched for age, sex, occupation, comorbidities and insurance coverage. Final diagnoses were based on International Classification of Disease 10 (ICD-10) diagnostic code criteria. RESULTSThe mean AE standard deviation (SD) hospital LoS was 8.32 AE 4.11 days in the presented group and 10.46 AE 4.92 days in the control group (p = 0.045). Mean AE SD hospitalisation costs per patient were significantly lower in the presented group (US $553.43 AE 92.16) than the control group (US $1621.93 AE 353.14) (p = 0.004). Although costs for paraclinical services were similar, there were very significant reductions in costs for medications used during hospitalisation and bed-days (p = 0.002).CONCLUSIONS Discussing clinical aspects of patient cases in morning report sessions facilitates the management process and has a significant effect on LoS and hospitalisation costs in patients admitted to hospital.

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Background: Today, people all over the world are suffering from COVID-19 pandemic. Certainly, exploring the characteristics of the corona virus and making an effective vaccine are important efforts in preventing and controlling the disease. At the same time, it is necessary to conduct studies to identify high-risk groups and protect them against disease. Method: This study's research population was 281 people with fever, coughing, and respiratory disorder admitted to an educational hospital affiliated with the Hormozgan University of Medical Sciences in the south of Iran. If RT-PCR test was positive, the patients were considered infected. Infected patients were hospitalized if they had impaired respiratory function. The main kinds of lifestyle information collected from patients were: physical activity data, emotional or spiritual status, tobacco/opium/alcohol use status, sleep, and nutritional data, comorbidity disease data. Multivariable OR (95% CI) regression tests were applied to detect the relation between some important lifestyle variables with the probability of infection by coronaviruses and hospitalization due to respiratory disorder findings. Results: it was identified that 22 from 28 covariates had significant associations with the risk of infection and hospitalization.

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Background: A hydatidiform mole or molar pregnancy is the most prevalent gestational trophoblastic disease (GTD). About 55%-60% of women with trophoblastic diseases have overt hyperthyroidism at the time of diagnosis, which may have severe manifestations. This study examined the relationship between gestational hypertension and the level of thyroid hormones with beta human chorionic gonadotropin (β-HCG) in patients with a hydatidiform mole. Materials and Methods: This cross-sectional study enrolled 65 patients with a hydatidiform mole admitted to Khalij-e Fars hospital, Bandar Abbas, Iran. Patients were divided into three groups of clinical hyperthyroidism, subclinical hyperthyroidism, and healthy. The serum levels of thyroid-stimulating hormone (TSH), T4, T3, and β-HCG were checked in all subjects, and the relationship between gestational hypertension and the level of thyroid hormones with β-HCG in patients with a hydatidiform mole was examined. Results: The mean age of patients was 29.93 ± 9.04 years, and their mean gestational age was 11.09 ± 4.2 weeks. In this study, 12.3% of the patients had subclinical hyperthyroidism, 41.5% had clinical hyperthyroidism, and 46.2% were healthy. A significant relationship was found between the serum level of β-HCG and thyroid function in patients with clinical and subclinical hyperthyroidism compared to the healthy group (P= 0.001). No significant relationship was found between systolic/ diastolic blood pressure and the serum level of β-HCG. Conclusion: A significant relationship was observed between the serum levels of β-HCG and TSH, free T3, and free T4 in patients with a hydatidiform mole and thyrotoxicosis. Thus, early diagnosis of hyperthyroidism can help treat these patients more quickly.

Background: Magnesium (Mg) deficiency is a common clinical electrolyte abnormality in critically ill patients, which is related to higher mortality and is easily ignored. Objectives: We aimed to investigate the association of Mg levels with mortality and comorbidity in patients admitted to the intensive care unit (ICU) based on COVID-19 infection classification. Methods: A total of 69 patients admitted to the ICU of Shahid Mohammadi Hospital, Bandar Abbas, Iran, from June to December 2021were included in the present study. The serum Mg was measured in these patients. Data from sequential organ failure assessment (SOFA), acute physiologic assessment and chronic health evaluation (APACHE), ICU stay length, mechanical ventilation duration, mortality, and comorbidity were determined. Moreover, the COVID-19 infection was detected by PCR. Results: The mean ± SD age of patients (34.8% male) was 52.56 ± 16.43 years. Out of 69 patients, 18 (26.1%) died during hospitalization, and 24 (34.8%) required mechanical ventilation. The prevalence of COVID-19 was 39.1% (27 patients). Our results showed no difference in serum Mg between patients based on mortality and comorbidity status. However, the Mg level of patients with kidney failure was significantly higher than patients without kidney failure (P < 0.05). Based on the COVID-19 classification, there was only a positive correlation between hypomagnesemia and the length of ICU hospitalization in patients without COVID-19 (P < 0.05). Conclusions: Our findings showed no difference in the Mg levels of patients based on mortality status. Patients with kidney failure had higher serum Mg than those without kidney failure. Furthermore, our results showed no difference in the Mg levels of critically ill patients based on COVID-19 infection status.

Background: Breast cancer is one of the most common malignancies in women around the world, which makes it essential to identify the behavior of tumors regarding cost-effectiveness and highly diagnostic methods. Objectives: The aim of this study was to determine the relationship between Allred score and tumor behavior in breast cancer patients. Methods: This study was performed on 100 patients with breast cancer. The following data were obtained for each participant: Patient satisfaction and demographic data, tumor size, tumor grade, lymph node involvement and histology of tumor, and Allred score. Chi-square, T student and analysis of variance (ANOVA) tests were used to compare the data. Results: The results of this study showed that Allred score based on PR and ER had a reverse and significant correlation with tumor size (P < 0.05). On the other hand, Allred negative findings were found to be higher in patients with lymph nodes involvement (P < 0.05). Conclusions: Considering the benefits and potentials of Allred score based on PR and ER in detecting tumor behavior and according to the high prevalence of breast cancer, it is suggested for the results of this study to be provided to specialists from different health centers to improve the correct prediction of tumor behavior.