---

Background & objectives: Diabetes mellitus cause cognitive defects. Royal Jelly has been claimed to improve the neurological damage caused by diabetes. In this study, the effect of oral administration of royal jelly on memory and passive avoidance learning was studied in diabetic male rats.
Methods: This experimental study was conducted in Qazvin University of Medical Sciences on 48 male Wistar rats. The animals were divided into control, diabetic without treatment, diabetic recipient of glibenclamide (600 μg/kg) and three diabetic groups treated with 50, 100 and 200 mg/kg royal jelly (n=8). Diabetes was induced in the animals by intraperitoneal injection of streptozotocin (60mg/kg/ip). Treatment in the groups performed by gavage from the onset of hyperglycemia for 30 days. At the end of the test, the passive avoidance learning and memory and blood glucose were measured. Data were analyzed by by SPSS software using ANOVA and post-hoc LSD tests, and p<0.05 was considered significant.
Results: Diabetes reduced the latency time of dark room entering. Royal jelly treatment delayed the entrance to the dark room significantly at 24 h, 48 h and 2 weeks after the shock, especially at doses of 100 (p<0.05) and 200 mg/kg (p<0.01) compared to untreated diabetic animals.
Conclusion: According to the results, diabetes causes memory impairment, and royal jelly administration can reduce the memory impairment due to diabetes.

---

Background & objectives: The use of controlled hypotension is important to reduce bleeding in some surgeries. This study aimed to determine the effects of dexmedetomidine (DEX) and labetalol for induced hypotension in maxillofacial fractures surgery.
Methods: In this triple-blind randomized controlled clinical trial study, the patients with maxillofacial fractures were randomly divided into two groups: group 1. Dexmedetomidine (DEX) (bolus dose: 1μg/kg and maintenance dose: 0.3-0.5 μg/kg/h) and group 2. Labetalol (bolus dose: 0.3mg/kg and maintenance dose: 0.2-0.5 mg/kg/h). The patient's hemodynamic indices (including heart rate (HR), systolic blood pressure (SBP), diastolic blood pressure (DBP), and mean arterial pressure (MAP) were recorded at various surgical intervals. Finally, the surgeon's satisfaction (from 1-6 points) was evaluated. Data were analyzed using SPSS 19 software.
Results: The MAP, SBP, and DBP were significantly higher in the DEX group than the Labetalol group especially at 30 and 90 minutes after the bolus. The mean HR was significantly lower in the DEX group than Labetalol during the recovery period. The surgeon's satisfaction in the Labetalol group was significantly higher than the DEX group.
Conclusion: Based on the results, labetalol offers a better hemodynamics conditions than DEX during surgery and also lead to greater overall surgeon satisfaction.

---

Background & objectives: Even though clinical empathy is one of the clinical competencies of medical students and there is a high emphasis on teaching and learning, it decreases during medical education. This study investigated the relationship between burnout, quality of life and clinical empathy in medical students.
Methods: this exploratory cross-sectional study used the Jefferson empathy questionnaire, WHO quality of life questionnaire and burnout inventory. All three questionnaires are standard, and their validity and reliability have been confirmed in various studies in Iran. The research population was the Ardabil University of Medical Sciences internship medical students, for which the census sampling method was used. Various statistical tests, such as Pearson and spearman correlation, Chi-square, etc., were used for data analysis.
Results: Out of 130 students, 128 (98.4%) completed all of the questionnaires. Data analysis showed that 98% of students suffered from moderate burnout and 2% of them had severe burnout. About 44% of students were satisfied or very satisfied with their health status and 33% of students were dissatisfied or very dissatisfied. The mean score of clinical empathy in students was 79.46±9.82. Data analysis showed a statistically significant inverse relationship between quality of life and burnout (p=0.0001).
Conclusions: Considering that the situation of students was not very favorable in terms of all three variables, non-curricular programs seem to be essential for improving student adaptation mechanisms to the job-related situations in medical students and promoting clinical empathy.