[Challenges of the bachelor program of health services management: a qualitative study]

Introduction: In recent decades, the quality of educational programs has experienced several challenges. Identifying these challenges can help planners in terms of any change, review, or enhancement in the quality of educational programs. This study aimed to survey the challenges of Health Services Management program at the bachelor level

Methods: In this qualitative study, 27 participants [Academics, Instructors, and Alumni] took part in the research. Participants were chosen based on purposive sampling. After verbal consent, data were gathered through in-depth and semi-structured interviews. All interviews were recorded and transcribed verbatim and content analysis approach was used for further analysis

Results: A deep concern about the curriculum, clinical fields and program goals/objectives emerged as the strongest themes from the interviews. It seems that the current curriculum and objectives of bachelor program of health services management are outdated and less effective than they should be. Furthermore; participants felt that clinical fields should be taken into consideration by means of orientation classes, hospital-based skills and skillful trainers

Conclusion: The findings can be helpful for decision makers, educational planners and academics to review the existing program and plan a more suitable one based on the needs of the health care system in the country in order to help alumni gain the required skills and competencies to run the health care units

Meckel's diverticulum: prevalence in 1000 laparatomies

To detect the prevalence of Meckel's Diverticulum in children and adults aged 1 day to 90 years old. This is a cross sectional descriptive study of 1000 cases aged 1 day to 90 years old in the surgery wards of two educational hospitals, Mashhad, Iran from 1998 to 2004. The prevalence of Meckel's diverticulum, age, sex, and chief complain of patient and the site and size of the diverticulum were evaluated. Meckel's diverticulum was seen in 5.4% of patients. 62% of patients were younger than 2 years and 80% were male. Gastrointestinal and obstructive symptoms were the most common presenting feature of the condition [38%]. Meckel's diverticulum was observed at 40-59 cm distance from the ileosecal valve with 1-1.49cm length and 0.5-0.99 cm width. Meckel's diverticulum was more common in children younger than 2 years and was presented by GI obstructive signs in most patients.

case report of botryoid sarcoma of biliary tract

Rhabdomyosarcoma of biliary tract system [RMS/BT] is a very rare form of RMS that usually presents with jaundice in young children. In some rane cases icter disappears transiently and causes delay in diagnosis, there fore this condition must be included in differential diagnosis of obstructive jaundice in infants and children

Ultrasonography is very useful for diagnosis of abdominal mass and clarifying it's relationship with the biliary tract system. Surgery is critical for estabilishing accurate diagnosis and determining the extent of regional disease, but aggressive surgery is not recommended because, despite gross residual mass after surgery the outcome of chemotherapy +/- radiotherapy is sufficient. Because this tumor is very rare and its treatment has improved in recent years we report a case of RMS/BT in a 15-month girl who presented with abdominal mass and history of obstructive jaundice