Background: With respect to the importance of medical record as a useful tool for supervision, assessment, and planning in order to improve our system facilities, the present study was carried out to evaluate the performance of medical record department of specialized-teaching hospitals of Iran Medical Science University in 1380.

Materials and methods: It was a descriptive study. Data were gathered via checklist through face-to-face interview. Performance evaluation was achieved in 4 different categories reception, coding, statistics, and archiving, each with 8-9 indices.

Results: Total performance of the medical record department was 55.4%. Coding and statistics units have the best (64.2%) and the worst (50%) scoring. The least index of reception and coding units was the presence of a guideline (20%). Shaheed Heshemi Nejad and Shaheed Navab Safavi had the best and worst performance, respectively (70.5% vs. 48.8%).

Conclusion : The overall performance of the evaluated hospitals was good. Preparing specific guidelines, staffing and employing graduates of medical records, implementation of continuous and regualra training courses, design of suitable software package, allocation of budget, space and equipment may improve medical record department performance

Background: The charter of patients’ right has designed to support medical care to patients without any discrimination. It is a very effective way for facilitation of patients and health care providers’ relationship.

Materials and Methods: It is a descriptive cross sectional study on 285 physician and nurses. Data collected by completion of a questionnaire and analyzed with Chi Square test.

Results: it was found that 74.5% of physicians and nurses are agree with the charter, and the highest agreement was for keeping privacy of the patients information (95.84%). There was no significant difference between physicians and nurses and in males and females.

Conclusion: In spite of general agreement with the patients’ right charter it seems that there are different concepts between health care providers and patients, and it needs special plans for solving this problem.

 Background: Pregnancy termination before the 20^th week of gestational age is referred to as abortion. There are two common ways to treat early pregnancy failure: expectant management and surgical curettage. Some new methods have been suggested for the termanation of early pregnancy failure. The aim of the present study was to determine whether the medical management of vaginal misoprostol for early pregnancy failure is more effective than the expectant management.

 Materials and Methods: In this study 80 pregnant women with early pregnancy failure were referred to Fatemieh hospital, Hamadan, Iran. Inclusion criteria for the study were: fetal pole more than 6 mm, accompanied by the absence of fetal heart in the transvaginal ultrasonography fetal pole more than 10 mm in the absence of fetal heart rate in abdominal ultrasonograpgy empty gestational sac, (16 mm diameter) and gestational age less than 12 weeks. Exclusion criteria were: ectopic pregnancy (EP), severe vaginal bleeding, dilated cervix and misoprostol medical contraindications. The patients were randomly divided into two equal groups: A and B. Patients in group A received 4 vaginal misoprostol tablets ( ). Twenty four hours later, ultrasonography was repeated. In the case of the presence of pregnancy product, the first dose of misoprostol was readministered and again ultrasonography was performed. If abortion failed, surgical curettage was done. Patients received expectant management for 2 weeks in group B. Patients in group A were evaluated for adverse drug reactions. Using SPSS-13 statistical package, t-student and x² were used for the comparison. Without the administration of any drug, patients in group B received expectational management for 2 weeks.

 Results: There was no significant difference between two groups for both age and the gestational failure age (p>0.05). Abortion rate in misoprostol and expectational treatment groups were 87.5% and 20%, respectively. The percentage of vaginally delivered patients with the first and second dose of misoprostol was 60% (n=24) and 27.5% (n=11), respectively. Among the 40 patients of expectational management, 24 patients (57.5%) received dilation and curettage while a patients (22.5%) undertook curttage. Misoprostol-induced side effects (e.g. fever>38c, nausea, vomitting, diarrhea and pain) were seen in some patients (12.5%) of the first group.

Conclusion: Misoprostol appears to be highly effective for the treatment of early pregnancy.