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: One of the most important characteristics of women and girls is their eagerness for showing their beauty, which is commonly achieved by using cosmetics and doing makeup. The aim of this study was to determine the prevalence of cosmetics use among high school and university students girls in Yazd city and to measure their  knowledge, attitude and practices.

Methods: This cross-sectional study was conducted on 400 female high school and university students in Yazd city in 2016. Data were gathered using a four-part questionnaire, which was designed to collect demographic data of the participants as well as, items needed for assessment of knowledge, attitudes, and practice of the participants about using cosmetics. The collected data were described and analyzed using IBM SPSS Statistics (IBM Corp., Armonk, NY, USA) version 22. Independent t, one-way analysis of variance (ANOVA), and chi square tests were used for statistical analyses.

Results:  The mean scores of knowledge, attitude and practices of the participants showed that the mean knowledge score of them was related to the age, level of education of parents, parent's occupation and household income (P<0.05). The mean attitude score of the participants was also related to the age, level of education of parents, and parent's occupation (P<0.05). The mean practices score of the participants was related to the age, level of education of parents, and parent's occupation as well (P<0.05). Those who did not use cosmetics, had a more proper attitude towards using cosmetics (P=0.01).

Conclusion: This study demonstrated that the use of cosmetics among female high school and university students in Yazd was high. Proper training in appropriate use of the cosmetics is needed.

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Background and Aim: Patients' complaints against doctors and medical malpractice is one of the most serious and challenging issues in the medical profession. Due to the importance of this issue and the lack of sufficient information about skin and beauty complaints in the medical system. The purpose of this study is to investigate and identify skin and beauty complaints referred to the Tehran Medical System Organization. 

Methods: In this descriptive-analytical and retrospective study, all cases of complaints of medical malpractice in the field of dermatology in the medical system of Tehran province from 2014 to 2019 were reviewed and after collecting information, the data were analyzed using SPSS statistical software (SPSS Statistics 25).

Results: Of the total cases, 1.6% were related to skin and beauty. Most of the plaintiffs were female (79.8%) and single (59.6%). The attending physicians were mostly male (79.8%) and general practitioner (48.1%). The most common type was private medical center (95.2%). The most common complaints were treatment complications (36.7%), most of which were related to the side effects of Botox or fat injections (15.4%) and then laser complications (12.5%). The most common type of negligence was carelessness (30%) and 20.7% of cases were declared negligent. The highest percentage of verdicts was written reprimand and inclusion in the file (42.3%).

Conclusion: Physicians should avoid engaging in unrelated disciplines and unscientific practices. Reducing financial relationships and emphasizing the physician's proper interaction with the patient and adhering to a professional commitment are helpful in preventing complaints.