Frequency of developmental dysplasia of hip detected by graf's ultrasonographic method in icteric newborns: a preliminary study

Limping is a debilitating problem that can be prevented by screening at risk newborns. Jaundice is a problem that brings approximately one fifth of newborns to hospital in early infancy. The aim of this study was to find out whether the newborns with physiologic jaundice are at an increased risk of developing developmental dislocation of hip and whether it is logical to screen these newborns with Graf's ultrasonographic method. Throughout a year, 320 icteric newborns [640 hips] that referred to Nemazee Hospital Neonatal Emergency Room for checking their bilirubin were screened by Graf's ultrasonographic method for developmental dislocation of hip [DDH]. Any newborn with other problems such as congenital anomalies were excluded form this study. Of the 640 hips, 21 newborns [3.28%] had a dysplastic hip [Class IIa] that needed follow up and 12 from them came back for follow up of hip ultrasongraphy, all of whom became normal [Class Ia] without treatment. Only 1 hip did have severe dysplasia [Class IIc] [.16%] that needed treatment at the time of discovery. The rate of DDH seems not to increase in the newborns with physiologic jaundice. It seems not to be logical to screen newborns with physiologic jaundice with Graf's ultrasonographic method, if screening is not cost-effective

Designing and accrediting an experiential curriculum in medical groups based on phenomenological approach

This study tries to design and validate the experiential curriculum model putting emphasis on phenomenological scientists' viewpoints. This study was conducted in two phases. In the first phase, the model was designed based on a theoretical study emphasizing the perspectives of Van Manen and Ted Aoki. In the second phase, a phenomenological study was conducted. Students of dentistry and master of nursing in Khorasgan Azad University and Isfahan University of Medical Sciences were deep interviewed and the results were analyzed using Van Manen model. The levels of the designed model included Expected Curriculum, Imaginal Curriculum, Concealed Curriculum, Interactive Curriculum [pedagogical action, in loco parentis, covered curriculum], Pedagogical Influences and Self-reflection. One of the basic needs of educational institutions is to increasingly adapt to the parenting criteria, norms and relations which parents themselves seem to have forgotten. This issue poses the need for a profound relation between the essence of teaching and parenting, one that seldom receives attention. The [influence] has to be on the heart and the center of interactions and specific situations as well as on the communications between the instructor and student that are aimed at students' self-reflection