Journal of

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Background and Aim: Today, despite numerous advances in medical sciences, the number of complaints against physicians shows an increasing trend. Studying the causes of these complaints and identify contributing factors may reduce medical litigation. The aim of this study was to assess the reasons of complaints in the field of dermatology and cosmetic.
Methods: In this retrospective cross-sectional study, we investigated the medical malpractice records related to dermatology and cosmetics, registered in the office of Forensic Medicine, province of Tehran from 2002 to 2010.
Results: In 63.4%, 35.3%, and 1.2% of cases, verdicts of malpractice, acquittal and closing the file without a verdict, were issued respectively. The most common types of negligence were related to improvidence (63.4%), lack of proficiency (27%), and disregarding of governmental provisions (5.7%). Most frequent causes of complaints were related to scar and darkening of skin after laser therapy (24.4%), dissatisfaction of hair transplantation (19.5%), and complications after injection of filler gels, botollonium toxin, etc (15.8%). Most plaintiffs were women, in their 20s, with a highschool diploma and were housewives. The most frequent age range of the physicians was 30-39 years old and most of them were male.
Conclusion: Considering medical ethics and professionalism, good communication between physician, medical personnel and patient including his entourage, full examination, adequate explanations about therapeutic procedures and possible complications, lack of exaggerating the results of therapy, continuous study and updating medical knowledge, improvement of medical skills and experiments, refrain from dealing with procedures that did not pass its training courses, properly selected patient, take informed concept and innocence may reduce the number of complaints.

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Background and Aim: Hirsutism is one of the most common reasons for which women visit dermatology and beauty clinics. Lasers have got considerable popularity during last two decades because they can reduce unwanted hairs. This study was conducted to evaluate the satisfaction of patients with hirsutism traeted with diode laser, IPL or combination of both. Methods: In this retrospective study, hirsute patients referred to Yazd Laser Center from October 2011 until October 2012 were studied. Patient satisfaction from the amount of hair loss one month after starting treatment, one month after the end of treatment and 6 months after treatment were asked using telephone. Results: Patient satisfaction one month after the end of the treatment with diode laser was higher than the other two methods (P=0.034). Patient satisfactions at one month after initiation of the treatment and six months after the end of the treatment were not the statistically significant. The number of laser sessions was similar in the three groups. Conclusion: Results of the current study revealed that there was no significant difference in the patient satisfaction with diode laser, IPL and combination of both methods in the treatment of hirsutism 6 months after the end of the treatment.

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Background and Aim: Unwanted hair growth (hirsutism) is a cosmetic problem, which has been resulted in a large number of researches regarding its treatment. Patient satisfaction after treatment using hair removal lasers has been different. The aim of this study was to investigate the satisfactaion rates of the patients with hirsutism after being treated with a diode laser. Methods: In this study satisfaction rates of 50 women with hirsutism were evaluated based on an audio-visual evaluation in Haj Daii clinic in Kermanshah, Iran. Results: Fifty patients with a maen±standard deviation age of 32.5±9.2 years were categorized in three groups in accordance with their skin phototypes. Patient satisfaction after using laser diode hair removal with 25-40 J/cm2 was 74.6%. The most common side effect was transient post laser erythema (28.3%). The highest satisfaction rate was obtained in patients who were taking hormone regulating drugs (85.0%). The lowest satisfaction was obtained in patients with irregular menstrual cycle who were not taking any hormon drugs (73.3%). There was a direct correlation between the number of laser sessions and patients satisfaction (r=0.51, P<0.05). Conclusion: Findings of the present study showed that diode laser is an effective method in treatment of hirsute patients and patients satisfaction rates are good.

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Background and Aim: Burn is a risk, which threatens human beings every day in various forms. It is one of the most destructive injuries, associated with various physical and psychological complications. Burn affects the quality of life and life satisfaction . Evaluation of life satisfaction is very important due to its close relationship with physical and mental health. Given the high prevalence of burn in Iran and the presence of challenges in the treatment and rehabilitation of these patients, we decided to conduct this research to evaluate the life satisfaction in burned patients, admitted to Burn Injuries and Reconstructive Surgery Center in Rasht.

Methods: In this descriptive-analytical research, 379 burned patients were included in the study using convenient sampling method. The Diner Life Satisfaction Questionnaire was used to collect the data. Data were analyzed using descriptive and analytical statistics. The significance level was considered to be less than 0.05.

Results: Most of the subjects were male (64.1%) and had high level of education (34.6%). Also, most of them returned to their previous jobs (83.4%). Most of patients (48.5%) were satisfied with their life and the variables of lodging (P<0.0001), educational level (P<0.0001), marital status after burn (P=0.05), pre-burn job (P=0.016), post-burn job (P=0.014), skin graft (P<0.0001) and insurance (P<0.0001) were considered as predictive variables related to life satisfaction.

Conclusion: Since burn injury was expected to cause more than obtained dissatisfaction , other factors such as the power of faith and satisfaction with divine providence, high life expectancy, etc may influence their state of satisfaction. Thus, it is recommended that supporting and charity institutions (such as welfare, relief committee, IRIB, etc.) provide more support for these patients. It is also recommended that programs and classes with advisory and educational content be held for patients and their families.