Annals of advanced sciences <p><a href="" target="_blank" rel="noopener">Annals of advanced sciences</a>&nbsp;is a double-reviewed journal since September 2016. The aim of the journal to become a serious vehicle for inspiring and disseminating research papers, articles, case studies, review articles etc in all subject areas by the academicians, research scholars, corporate and practitioners with substantial experience and expertise in their respective fields. This journal is kept wide to provide platform for diversity of intellectual pursuit from all corners of the society for enrichment and enhancement of the group readers. There is no restriction for the length of manuscripts. All types of papers from all fields of sciences are welcomed.</p> <p><strong><span style="font-size: 11.0pt; font-family: 'Calibri',sans-serif; color: #7030a0;" lang="EN-US">ISSN 2521-3601 (Online), ISSN 2521-3598 (Print)</span></strong></p> <p><strong>Authors can send their papers through online submissions or as an email attachment to:</strong> <strong><br></strong></p> <p><strong><span style="color: #993300;"><a href="">Impact Factor=1.22 </a><a title="Impact Factor=1.22 " href=""></a></span></strong></p> <p><strong>Indexed in</strong>:</p> <p><strong>Index Copernicus,</strong></p> <p><strong>International Committee of Medical Journal Editors (ICMJE),</strong></p> <p><strong>Directory of Research Journals Indexing,</strong></p> <p><strong><span class="tagline">Geneva Foundation for Medical Education and Research</span>,</strong></p> <p><strong> Scientific world index,</strong></p> <p><strong>ResearchBib,</strong></p> <p><strong>Google Scholar, </strong></p> <p><strong>Science Library Index,</strong></p> <p><strong> JournalGuide,<br></strong></p> <p><strong><span class="tagline">Scientific Indexing Services (SIS database),</span></strong></p> <p><strong>General Impact Factor,</strong></p> <p><strong>Digital Library NAES of Ukraine</strong></p> <p>&nbsp;</p> <p>&nbsp;</p> en-US Annals of advanced sciences 2521-3598 Evaluation of Journal Club Environments in Medical Educations in Emergency Departments <p>Aim: journal club is one the method of improvement in teaching and leanings. This study was conducted to evaluate the aims, organization, teaching techniques of journal clubs and define the features of useful journal clubs.<br>Method: The study population involved 15 attending physicians and 40 emergency medicine residents in the three hospitals, Imam Hussein, Lughman Hakim and shohadaye Tajrish of the Department of Emergency Medicine of Shahid Beheshti University of Medical Sciences in the academic year 2015 to 2016. Self-made questionnaire was used to compare the Ministry of Health and medical education standards with the journal clubs in these centers.<br>Result: Reproduce and distribute copies of the Journal Club at least one week prior to meeting to study for the professors and assistants, Statistical accuracy of the outcomes, equipped with a video projector venue journal club gained the most points. Average scores of Journal Club in total and in Imam Hossein, Lughman Hakim and Tajrish was 47.2%, 76.2%, 0% and 65% respectively. There was statistically significant difference between the average assessments of Journal Club among centers under investigation.<br>Conclusion: considering journal clubs in emergency settings is effective for improvement in education but the environments of these clubs must follow the standards. In the current paper some centers needed well equipped journal clubs to achieve the goals.</p> Hojjat Derakhshanfar Kamelia Hemat ##submission.copyrightStatement## 2018-01-14 2018-01-14 2 1 Urinary Tract Infection And Extended-Spectrum Beta-Lactamase Escherichia Coli <p>Antimicrobial-resistant strains of gram negative bacteria are one of the fundamental obstacles in the treatment of Escherichia Coli (E. coli) producing the extended-spectrum beta-lactamase (ESBLs). Resistance to antimicrobial beta-lactam drugs that used to treat bacterial infections has created a major concern. The aim of this study was to determine the prevalence of ESBL producing strains of E. coli in urinary tract infection in Sari city hospitals and also to determine their susceptibility to them to the different antibiotics. This cross-sectional study was done during 2013-2014. Urine samples were cultured on blood agar and McConkey agar. The subtraction tests were immediately performed if the growth of bacteria was observed in culture media. Antibiotics resistance was assessed using following antibiotics: cefotaxime, ceftazidime, imipenem, nalidixic acid, cefixime, amikacin, ofloxacin, ceftriaxone, cefepime, gentamicin, tobramycin, meropenem, piracetam, and ciprofloxacin. From November 2013 to June 2014, 200 urine samples were collected; 120 (60%) of whom were E. coli positive that 66 (55%) of which were ESBL producers. ESBL producing strains of E. coli showed the highest susceptibility to meropenem (66%) and ofloxacin (63%); and showed the highest rates of resistance to ceftazidime (60%), cefepime (57%), cefotaxime and ceftriaxone (56%).Considering the high prevalence of resistance to third-generation cephalosporins in infections caused by organisms producing ESBL, performing comprehensive tests before prescribing antibiotics is absolutely essential.</p> Atieh Makhlough Mohammad Ahanjan Marjan Makhlough Ali Mirabi Marjan Onogh Lotfollah Davoodi ##submission.copyrightStatement## 2018-01-27 2018-01-27 2 1 An Unusual Presentation Of Breast Metastasis Mimicking Skin Abscess <p>The primary malignant tumor that most commonly metastasizes to the skin in women is breast cancer and manifest variety forms of clinical presentation. The skin is not a common site for metastatic spread. We report the case of a 56 years old female patient with an infectious mass in her left inframammary fold from 2 months ago.</p> Armaghan Kazeminejad Mohammad Jafar Ghahari Lotfollah Davoodi Ali Mirabi ##submission.copyrightStatement## 2018-01-27 2018-01-27 2 1 Colon Cancer In A Patient Undergoing Dialysis For End-Stage Renal Disease: A Case Report <p>End-stage renal disease (ESRD) is a renal failure with irreversible renal function. The number of patients with ESRD is increasing worldwide. ESRD and cancer are both common in older patients; whether ESRD increases the risk for cancer are not well documented. Chronic kidney disease may conversely be a risk factor for cancer, and both may be associated with each other because of sharing common risk factors. We would like to report on a case of a 63-year-old man, known case of ESRD and hypertension, who referred with only a slight pain on the right side of his abdomen and finally diagnosed as an adenocarcinoma of ascending colon</p> Ehsan Zaboli Ali Mirabi Mohammad Zahedi Amir Shamshirian Seyyed Abbas Hashemi ##submission.copyrightStatement## 2018-02-08 2018-02-08 2 1