Distribution of patients complaints from physicians' and verdicts issued in the Lawsuits of Semnan Medical Council in a ten years period [2001 - 2011]

Nowadays, despite numerous scientific advances in the field of medicine, complaints from physicians show an increasing trend. Knowing the reason behind them can help us to decrease rates of complaints. The purpose of this study was to investigate the distribution of patients' complaints from physicians and verdicts issued by the Semnan Medical Council. In a retrospective cross-sectional study all complaints in Semnan Medical Council investigated and the relevant data recorded in the form and was analyzed after classification by State software version 9.2 and using the Pearson and Chi square test, t-test and analysis of variance [ANOVA]. From 106 complaints in the course of litigation, of 77.4% physicians there was no malpractice. In 17.9% of cases the physician was convicted and in 4.7% of cases, plaintiff had given consent. Most of the failures were recklessness in 11.3%, imprudence in 5.8% and lack of skills in 3.8%. The least common cause was non-observance of governmental provisions in 0.9%. In terms of the plaintiff, the greatest causes of complaints were lack of timely diagnosis with 28.3%, lack of attention with 27.4%, and lack of skills with 25.5%, respectively. Most cases of complaints were from gynecologists and the most common location where negligence were occurred was hospital. Doing Surgery and patients complaints had a statistically significant relationship [p = 0.02] and also the cause of complaint and physicians' specialty [p = 005/0]. According to the Medical Council experts in most cases physicians had not commit mistake and most of the complaints resulted from an inappropriate interaction between physicians and patients and the lack of proper justification of patients before carrying out any therapeutic action. Religious and legal observations and decreasing of financial relations between physician and patient can be effective in reducing of complaints

Surgical application of fascia lata as a pericardial substitute in rabbits / Aplicação cirúrgica de fascia lata como substituto do pericárdio em coelhos

PURPOSE: To use fascia lata instead of pericardium and observe the presence of adhesions. METHODS: Twenty rabbits were divided into two group of ten. In group A, a 1×1 cm segment of pericardium was excised and resutured. In group B excised pericardium was substituted for autologous fascia lata. RESULTS: In the comparison of microscopic adhesion rate between two groups A, B after eight weeks, there was no significant statistical difference. CONCLUSION: Fascia lata is safe and it can be substituted for pericardium especially in repeat sternotomy in repairing congenital heart defects to avoid heart injury.

OBJETIVO: Utilizar fascia lata em vez de pericárdio e observar a presencça de aderências. MÉTODOS: Vinte coelhos foram distribuidos em dois grupos de dez. No grupo A, um 1×1 cm de segmento de pericárdio foi retirado e resuturado. No grupo B pericárdio retirado foi substituído por fáscia lata autóloga. RESULTADOS: Na comparação da taxa de aderência microscópica entre dois grupos A, B, após oito semanas, não houve diferença estatisticamente significante. CONCLUSÃO: A fascia lata é segura e pode ser substituta do pericárdio, especialmente em nova esternotomia na reparação de defeitos cardíacos congênitos para evitar lesão cardíaca.