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BackgroundOccupational burnout is a mental health problem that among nurses may lead not only to physical and psychological complications, but also to a decrease in the quality of patient care. Considering the stressful nature of surgery, operating room nurses may be at a greater risk. Therefore, the present study aimed to identifying factors associated with the occupational burnout from the perspective of operating room nurses.Materials and methodsThis qualitative study was conducted in Iran in 2021 using conventional content analysis. Sampling was performed using purposeful sampling method with maximum variation. In order to collect data, individual, semi-structured interviews were performed with 18 operating room nurses. Interviews continued until data saturation. Data were recorded, transcribed and analyzed using steps proposed by Graneheim and Lundman. Data management was performed using MAXQDA-2020 software. Four criteria provided by Guba and Lincoln were used to improve the study’s trustworthiness and rigor.ResultsA main theme, 4 categories and 15 subcategories were extracted from the data. The main theme is “gradual burnout due to job tension” and categories and subcategories include organizational factors (manager incompetence, organizational indifference, ambiguity in organizational role, organizational inconsistency), interpersonal factors (surgeon aggression, surgeon authoritarianism, surgeon failure to manage stress, unprofessional behavior of nurses), Occupational nature factors (psychological factors and occupational hazards) as well as individual factors (occupational attitude, unprofessional behavior, emotional involvement, demographic factors, physical factors).ConclusionNumerous factors associated with burnout in operating room nurses, which may put the personnel under more pressure. According to these factors, nursing managers and operating room nurses can consider effective strategies to prevent or coping with burnout.

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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: Nowadays, children and teenagers are heavily influenced by video games. Excessive video games may affect children's physical and mental health as well as academic performance. Objectives: The present study aimed at determining the correlation between playing video games and general health as well as academic performance of Fasa mid-schools boy students at Iranian secondary school level. Materials & Methods: This cross-sectional study was carried out on 150 boy students at secondary school level in Fasa, Fars Province, Iran. The subjects were selected through multistage cluster random sampling method. The data were collected using a three-part questionnaire including demographic information, information about how to use video games. and General Health Questionnaire (GHQ). The collected data were analyzed by using SPSS22, descriptive statistics, correlation coefficient, t-test, and Chi-square test. P<0.05 was considered as statistically significant. Results: Findings revealed that there was a significant direct correlation between the amount of video game use and overall general health (r=0.25, P=0.03); a significant inverse relationship was also found between the amount of video game use and academic performance of the students in first (r=-0.41, P=0.002), second (r=-0.30, P=0.02) and third grade (r=-0.42, P=0.02) of mid school students. There was no significant difference in the general health between the two types of game played. There was also a significant relationship between students' academic performance categories and the type of video game (P<0.001). Conclusion: Based on the findings, it can be concluded that video games can play a crucial role in the general health and academic performance of students. Thus, it is vital that parents pay more attention to the duration of playing and type of games their children play.

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Introduction: This study was aimed to review the complications of the laparoscopic adrenalectomy for pheochromocytoma. Materials and Methods: International databases including PubMed, Web of Science and Scopus were considered for search of English articles by 24 May 2019. Seventeen published articles were finally entered into the study. Keywords were adrenalectomy, laparoscopy, chromaffin, PC12 cells, pheochromocytoma and children or a combination of them in the title and abstracts. Results: There were more than 647 individuals reviewed in this systematic review of 17 published articles consisted of 16 retrospective studies and one prospective study. Conclusion: According to the results, laparoscopic adrenalectomy can be used safely with a short hospital stay and less hemorrhagia, short time of surgery and low-risk of recurrence for the management of pediatric adrenal pathology. It is suggested to undergo partial adrenalectomy, which provides steroid independent at long-term follow up.