Journal of

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Background and Aim: The disabled people are a part of our society (1%) and a disabled will face incorrect behaviors from childhood that is caused by an incomplete understanding of the society, but family can play a constructive role to increase the disabled abilities.
This study was conducted to determine the views of deaf, blind and physical motor handicaps and their families regarding disability in the family in the Qazvin and Karaj.

Materials and Methods: One hundered and fifty handicaps and their families from handicaps center, welfare office, the disabled school students, the Mostazafan and Janbazan foundation were enrolled in this study. Information was collected by using 2 questionnaires. T test and Analyses Of Variance have been applied for data analysis, using SPSS software.

Results: The results show that among different disabilities, the deaf ones and their families had more positive view than other disabled ones about their disabilities.
Also, increasing the number of family members can cause more negative view about disability (p<0.05). This study shows that there isn't a significant relationship between the disabled view and his / her gender, cause of disability and parents high education

Conclusion: With regard to the similarity of the disables and their families views about disability and also their need to obtain more awareness about disability, the disable's needs and complications, it is necessary to stress on correct training of disabled person, his/ her family and the society.

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Background and Aim: The aim of this study was to evaluate bacterial contamination of keyboards of computers located in various wards of Vali-e Asr Teaching Hospital, Birjand, Iran.

Materials and Methods: In this study, all computer keyboards in various wards of Vali-e Asr Hospital were sampled (n=24). Then, the samples were sent to Microbiology Research Laboratory at Birjand University of Medical Sciences and were cultured on Blood ager, Manitol Salt ager and Eosin Methylene Blue media. The isolated bacteria were identified based on their colonial morphology and biochemical characteristics.

Results: A total of 26 samples from 24 different computer keyboards of 16 different wards were obtained. Two keyboards of Infectious Diseases and Neurology wards were routinely disinfected at the end of every shift. All samples(100%) showed contamination to different bacteria. The keyboard of the computer located in Internal Medicine ward(women's division) was the most contaminated one. In total, 13 different bacterial spp. were isolated from keyboards of different computers. The species belonging to Enterobacteriaceae family(61.5%) were the most common contaminating bacteria followed by Bacillus spp(30.7%).

Conclusion: Based on the results, all the sampled keyboards were contaminated by at least one bacterial spp. Therefore, it is necessary to pay more attention to the fact that computer keyboards in hospitals should regularly be disinfected.

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Background and Aim: The international book fair is an opportunity for school libraries. This study was conducted to determine the role of the Tehran international book fair to provide books for school libraries.

Materials and Methods: The study is a descriptive survey. Employees and authorities worked in libraries affiliated to Tehran and Beheshti Medical Sciences Universities consisted the study population. Sample size included 41 individuals(26 staff and 15 officials). For data analysis descriptive statistics by using one sample t- test, chi square, ANOVA and correlation were used.

Results: The highest average score dedicated to choose books in school libraries was a scale of a 3/35± 0/89. With an average score of 3/06±0/07, the role of International book fair in supplying books for school libraries was moderate. Correlation test showed that problems of school libraries had the highest correlation(r=0/36) while the lowest correlation was related to the possibility of book supply(r =0/067).

Conclusion: The international book fair does not have an effective role in supplying books for school libraries. It is necessary to use new approaches to supply books for academic libraries.

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Background and Aim: Obesity in childhood can cause obesity and its related complications in adulthood. This study was aimed to determine the correlateion between obesity among female adolescents and its related complications of Tehran schools in 2011.

Materials and Methods: In this cross-sectional study, 810 female adolescents, aged 12-16 years old, studying in schools of Tehran University of Medical Sciences were selected using multi-stage random sampling. Height and weight of the participants were measured and their BMI calculated. Data were collected using a questionnaire. Validity and reliability of the questionnaire was confirmed using content validity and test-retest. Using BMI, the participants were categorized into obese(BMI>95 percentile for age and gender) and overweight(BMI between 85 and 95 percentiles for age and gender) individuals. Data were analyzed using the Chi-squared test, Fisher's exact test, ANOVA, and multivariate logistic analysis.

Results: The prevalence of overweight and obesity in our study were 4.4%(95% CI 4/2-6/4) and 14/1%(95% CI 10/25-15/3), respectively. There was a statistically significant relationship between obesity and TV watching(p<0.001).

Conclusion: Based on our findings, further investigations are recommended to determine factors affecting overweight.

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Background and Aim: Citation is one of the journals ranking factors. Self-Citation rates regarding journals `performance, especially in international databases, is important. The aim of this study is to examine the effect of Journal self-Citation on Impact Factor of Iranian English medical journals indexed in the Web of Science and Islamic World Science Citation Center.

Materials and Methods: The Impact Factor of 12 journals in WoS and 26 in ISC were studied during years 2006-2009 using citation analysis and Journal self-Citation. Self-Citation rate were calculated using cited journals and citing journals tables in ISC. Wilcoxon test and Mann-whiteny test were used for comparison of self-citation rate between two databases. In order to determine any correlation between journal self-citation and IF in WoS, Pearson test was used. In ISC, Spearman test was performed. For comparison of two correlations test, Covariance test was used.

Results: No significant difference between Journal self-citation rates in two databases was noted(p>0.05).There was a significant correlation between Journal self-citation and Impact Factor in WoS(p=0.007, r=0.64). The correlation was not statistically significant in ISC(p>0.05, rsp =0.23). There was not any significant difference between the relations of Journal self-citation and impact factor in two databases(p=0.526).

Conclusion: Attention to the Journal self-citation rates for comparison of Journal Impact Factor in WoS is more important than attention to the comparison of these journals between two Databases.

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Background and Aim: Financial reforms in the healthcare system go back to 1384. This study aims to analyze and summarize the most important strengths of implementing the first phase of the reform in units affiliated with the Ministry of Health and Medical Education from the experts' point of view at middle and operational levels.

Materials and Methods: In this qualitative research study, 15 coaches of the new financial health management reform along with 8 financial managers of Medical Universities were selected purposefully to participate in expert panels to be interviewed. Data were saturated following the interviews. The data analysis process was conducted applying Kruger method with one of the researchers having no conflicts of interest with the topic.

Results: Human resources enabling, effective trainings, integrated information system, dynamic culture, structural appropriateness, efficiency and effectiveness, and perfect facilities were the seven themes extracted from the content analysis of the interviews each theme was further divided into some sub-themes.

Conclusion: Recognition of the strengths of the first phase of health system's financial management reform may help bring about the possibility of more correct and exact planning to direct these changes and maintain the achievements as well as designing a long-term horizon and determining an ideal vision for the next phases of the reform.

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Background and Aim: FRBR is one of the models considered in cataloging and work-to-work relationships are introduced as types of bibliographic relationships present in this model.

This study examines the distribution of dispersion relationships in medical subject areas based on FRBR model in Persian medical sources published from 2006 to 2010.

Materials and Methods: This study is a descriptive survey . Data were obtained from Iranian OPAC ( online public access catalog) . To determine the areas of medical sciences, both LC (Library of Congress) and Dewey Classifications were applied. For data analysis, Excel 2007 was used. Using descriptive statistics, the researcher presented the results in the form of tables and graphs.

Results: According to Dewey Classification, ‘diseases’ was the subject area having the highest number of bibliographic relationships and the lowest frequency belonged to ‘experimental medicine’. The analysis based on LC Classification, however, showed that ‘internal medicine’ had the highest number of bibliographic relationships Botanic, Thomsonian, Eclectic Medicine, Chiropractic and Alternative medicine subject matters had the lowest bibliographic relationships.

Conclusion : Distribution of work-to-work bibliographic relationships in Persian medical sources based on Dewey and LC Classifications is heterogeneous. Despite the obtained apparently heterogeneous results, such a difference cannot be due to differences in the frequency of bibliographic relationships of medical topics because the classification criteria of medical sciences are different in these two systems.

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Background and Aim: Today, healthcare system is exposed to inappropriate human resources distribution challenges in all over the world. So far there is not an appropriate policy for human resources distribution in Iran. This deficiency may cause several problems for providing healthcare services. This research was aimed to determine the situation of human resources distribution among Tehran University Of Medical Sciences (TUMS) Hospitals.

Materials and Methods: This is a cross-sectional definitive study induced in four general and special TUMS hospitals. The research tool was a checklist that determine the number of nurses, paraclinic and supportive employees and finally the decrease and increased of the human resources among the departments of the hospitals regarding Iranian Ministry of Health (MOH) issues. The data was collected and analyzed by SPSS software and determined the differences between current situation in accordance to MOH issues.

Results: We observed the deficiency of human resources among all studied hospitals. Also the distribution of human resources among most of the hospitals departments was not coordinated with MOH issues.

Conclusion : It seems the distribution of human resources among Iranian healthcare system is not followed by a special model. Therefore, we suggest the model of health human resources planning should be determined and related by information, providers, services, education and policy as healthcare system factors and overlapping of these factors.

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Background and Aim: Open access to scientific information is a new paradigm in scientific communication that facilitates access to research. This study was carried out to identify Tehran University of medical science faculties members’ familiarities with Open access and to survey their attitude about it.

Materials and Methods: A descriptive survey method was applied. The study population consisted of 163 members of Tehran University of Medical Sciences. Data gathering tool was questionnaires that its validity and reliability was confirmed. Data was collected and analyzed by SPSS software and descriptive statistic methods.

Results: Results show that more than 50 percent of population have modest familiarites with Open acces. Furthermore, the faculties’s members familiarites with Open access technique was moderate. More than 70 percent (114 person) of them have positive attitude toward Open access and it’s techniques.

Conclusion : Faculties members’ familiarity with Open access relatively is low but when they received information about the concept, rules and aim of this paradigm, their attitudes positively changed. Therefore, open access should be considered as a perfect method in scientific communication.

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 Background and Aim: The lack of paying attention to overlap between two databases cause purchase of duplicate resources waste of funds. This study examined overlap of articles in the field of cardiovascular which was indexed in Scopus and Web of science databases during years 2001 to 2010.

 Materials and Methods: In this study, at first, sub-headings in cardiovascular field from medical thesaurus (Mesh 2012) was extracted, then each keyword in the title of the articles in both databases were searched and articles retrieved. Then bibliographic information of these articles entered into Endnote X3 software and afterwards was arranged based on alphabetically title. As a result common articles between the two databases and unique articles to each database was determined. Using SPSS version 0.1.0.8 the amount of relative and traditional overlaps was calculated between the two databases.

 Results: Totally 45,680 articles were retrieved. There were 27,979 common titles, 14,875 articles belonged only to Scopus and 2826 articles belonged to Web of Science. Finally traditional overlap was 61/5%. Overlaps of Web of Science with Scopus 65/28% and Scopus with Web of Science were 65/28% and 90/82% repectively.

 Conclusion: The amount of relative overlap between the two databases as well as relative overlaps from Scopus with Web of Science is more than the relative overlaps from Web of science with Scopus. It means many articles that have been indexed in Scopus don’t exist in the Web of science.

 

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 Background and Aim: Organization and utilization of non-book materials is an essential issue therefore, this study aims to evaluate the organization of non-book materials in central libraries of selected universities of Tehran.

 Materials and Methods: The present survey has been conducted as a cross-sectional, descriptive study in 2012. The population consisted of central libraries of selected universities of Tehran. Data gathering instrument was a questionnaire divided into three sections. The validity of the questionnaire was checked by the professionals of the field and its reliability turned out to be 88% using Cronbach&#39;s alpha test. Data analysis was performed with SPSS and excel. The findings were presented using descriptive and analytic statistics.

 Results: Most of non-book cataloged and indexed materials are theses and compact discs (CDs). Most of the libraries of this study use the Library of Congress Classification System for organizing their materials, and all of them (100%) apply Anglo-American rules for cataloging. Regarding the staff of libraries, 40 (95%) had academic degrees in library studies. As to their familiarity with OPEC, 4 libraries ( 80%) were familiar with Library of Congress (LC) and 3 ( 60%) were familiar with National Library of Iran. NOSA software was used in 4 ( 80%) libraries , and Windows operating system in all (100%).

  Conclusion: Based on the results of the present study, it can be concluded that the organization of non-book materials in these libraries is not as desired.

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Background and Aim: Thermodynamic indicators are considered in scientometrics studies to survey research performance as the Exergy that is most important ones. Therefore, this article is aimed to introduce, review, definition, application and importance of Exergy.

Materials and Methods: This study is a review article that determined by using related literatures with thermodynamic indicators of scientometrics by library research, and simple and advanced searches of English papers on valid websites. 30 English papers were retrieved and 24 articles related to this study were selected but among Persian literatures, no related papers were found. 

Results: Exergy is a thermodynamic measure which reperesenting a maximum useful work that a system can perform in order to create balance. This indicator is applicable in bibliometrics and as an indicator of research performance for ranking of research institutions.

Conclusion: According to the role of exergy in assessing the research performance of individuals and organizations, and its advantage over H-index, due to consideration of all the articles and all the citations, this indicator can offer new reperesentation of rankings.

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Background and Aim: One of the perennial questions for hospitals and insurance organizations are the real cost of g lobal surgery. The aim of this study was to compare the cost of global surgery bills with approved tariffs in hospitals affiliated to Tehran University of Medical Sciences Medical Sciences .

Materials and Methods: This was a cross – sectional study . The study population included all hospitalized patient bills eligible for global tariff at nine selected hospitals (include: Imam Khomeini, Shariati, Arash, Fatemeh Alzahra, Zanan, Cancer Institute and Razi) affiliated to Tehran University of Medical Sciences in 2012. Checklist was used for data collection. Data about the real costs of surgical procedures were collected from the patients' bills . Data were analyzed using descriptive statistics in SPSS version 16 software .

Results: The results showed that a total of 90 included global tariff surgical, 68 surgical procedures were performed in nine selected hospitals. Except seven surgical procedures in other cases (61 cases), the real costs of surgical procedures average 3 -312 percent more than approved global tariff. The surgical procedure "Septoplasty" had the most difference with global tariff.

Conclusion: The results showed that surgical global tariff are not real, and lead to the hospitals financial loss. Therefore, it is recommended that to prevent the hospital financial loss in the calculation of the g lobal t ariff factors such as patient age , presence or absence of comorbidity and complication, disease severity, length of stay and inflation rates in country to be considered .

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Background and Aim: To perform plans and achieve their goals, organizations are in need of different factors. One of the most important of which is the existence of an ideal organizational climate and participation. The main goal of this study is to determine the relationship between organizational climate and faculty members' participation in decision makings at Shahid Sadoughi University of Medical Sciences (SSUMS) in Yazd. Materials and Methods: This was a cross-sectional, descriptive and analytical study induced in 2011-2012. The research population comprised all 292 SSUMS faculty members. 72 members were selected through random-category sampling method. For data collection, two questionnaires included organizational climate and participation were used. The reliability of two questionnaires were 0.86 and 0.85, respectively, using Cronbach's alpha coefficient. The validity of both questionnaires were confirmed by expert panel. The data were analyzed using SPSS software version 18. For descriptive results, and used Pearson test for Analytical results. Results: The average of total participation rate for faculty members was computed to be 3.43. The total figure for organizational climate with a mean of 82.6 was obtained from the total average of micro-scale scores. A Pearson correlation coefficient of 0.418 showed that there was a direct relationship between organizational climate and faculty members' participation. Conclusion: In spite of weakness of counselling system and team work system, and approach diversity between the faculty members, they are enthusiastic to cooperate to solve the university problems. Therefore we suggest more financial and spiritual mechanisms for autonomy of the faculty members.

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Background and Aim: Online submission and peer review systems are formal channels of communication among authors, journal editorial boards, and reviewers. The review process starts after authors submit their manuscripts. The aim of this study is to examine the online article submission and peer review systems in terms of the capability in medical journals of Iranian Ministry of Health, and Medical Education. Materials and Methods: In this descriptive survey study, 199 approved Iranian medical journals were examined so that the characteristics of online submission and peer review systems could be investigated. To study author role features, a checklist was developed by the researcher. The data were analyzed by SPSS 18 and Microsoft Excel 2007. Results: The online submission and peer review systems considered in this study had most (84%) of the features of the author role. Among the systems reviewed, Kowsar system had the highest number of features. Conclusion: The results show that the studied systems consider some, but not all, of the required features. To meet the maximum required features of the author role, it seems necessary to take all standard research criteria into account

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Background and Aim: In a severely inflationary environment with unemployment, social problems increase and, therefore, high health care expenses are imposed on the society.

Materials and Methods: This was a correlational study. Panel data model and EVeiws 6 software were used in this study. The data were collected from the World Bank website. The required pre-tests, including F-Limer and Hauseman tests, were given to check the appropriateness of data and to determine a appropriate model. Following the pre-tests, the results were estimated in the form of a regression model.

Results: The results indicated that F-test and t-statistic were significant, and that R² statistic was high. In the three models, R² was 99%, 99% and 98%, respectively. Moreover, it can be said that employment is positively related with life expectancy, but negatively related with infant mortality and total fertility rate. Also, inflation is negatively related with life expectancy, but positively related with infant mortality, and total fertility rate. Finally, Gross Domestic Product (GDP) is negatively related with total fertility rate and life expectancy, but has no meaningful relationship with infant mortality (p = 0.31).

Conclusion: Employment, inflation and GDP are the variables that have the greatest impact on health indicators. however, life expectancy is more sensitive to explanatory variables.

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Background and Aim: As a new educational innovation, "MOOC" refers to Massive Open Online Course which provide the chance of training for the public. Regarding the importance of MOOC production for improving health literacy knowledge in the medical field, the purpose of the present study was to comparatively investigate the MOOC presented on the Maktab Khaneh website based on quadruple indexes focusing on the field of medicine, determining and explaining it.
Materials and Methods: This study was descriptive and an applied research, which has been conducted in January 2016. Statistical population was all of the educational course presented by the Maktab Khaneh website. Data were collected using direct observation of the Maktab Khaneh website and courses was studied according to quadruple indexes of MOOC, universities cooperation and the education field. The collected data was analyzed after being entered into the statistical software Excel using descriptive statistics.
Results: Based on obtaining data, courses presented by the Maktab Khaneh website were Massive, Open, Online, But some of them were the Courses. Major cooperation was from Sharif University of Technology, Khan Academy, and then Tehran University. Whereas, cooperation of other universities was low. 
Conclusion: Despite the necessity of MOOC production in the medical field, MOOC production rate in the medical filed was very low. Faculty members of different universities and institutes are suggested to exploit this new educational innovation and take effective actions for introducing MOOC.

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Background and Aim: Today journals are one of the main platforms to exchange information between researchers. This study aimed to assess the status of Approved Latin indexing journals in the field of medical science citation indexes Web of Science and Scopus databases.
Materials and Methods: This study was a cross-sectional descriptive survey. Statistical population of the study was 83 titles Latin journals approved by the Ministry of Health that examined indexing situation of them in Web of science and Scopus databases between the years 2005-2010. Data collection tool was a controlled checklist that was established by consult with experts and specialists in related areas and its reliability was estimated 90 percent. Data were analyzed using the software spss16.
Results: Survey the status of journals showed that slightly less than 26 percent of titles indexed in Web of Science. Also in Scopus Citation Index 69 percent of journals was indexed. Compare criteria for indexing journals in Web of Science and Scopus database show that bibliography information of not indexed journals considered and in some journals (29/30 percent) number of international standards were not mentioned. Also, some journals contact information (postcode publication 9 percent) was not included.
Conclusion: In general, it was observed that despite the enormous growth of scientific journals between examined years, terms of adaption with the criteria of indexing are in unfavorable condition and managers of Latin scientific journals should try to improve their quality and quantity.

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Background and Aim: The patient is the main customer for hospital services. Patient satisfaction can reflect if the services are performed correctly. The aim of this study was to determine the relationship between the degree of client tribute plan and inpatients and outpatients satisfaction in Shiraz hospitals.
Materials and Methods: This descriptive-analytic and cross sectional study was done among 211 inpatients and 1,175 outpatients in 8 Shiraz hospitals. The instruments for data collection were two client tribute plan and patient satisfaction questionnaires. Data collected by interviews and observation. Data were entered into SPSS. Descriptive statistics and Pearson correlation test were used for data analysis.
Results: Forty five point four percent of patients and 44.1 percent of outpatients assessed the hospital service satisfaction as weak. The mean score of inpatient and outpatient satisfaction was 60.53±8.9 and 54.22±12.6 respectively. There were significant relationship between type of admission and satisfaction (p=0.001). Mean score of client tribute plan was 182.44±11.8 that placed in the appropriate level. There were no significant relationships between client tribute plan and inpatients and outpatients satisfaction (p=0.143).
Conclusion: Although client tribute plans perform properly, patient satisfaction is low. In this regard, it is recommended that review client tribute plan clients in healthcare systems and adopt its contents with the needs of patients.

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Background and Aim: Almost one out of 10 patients who are admitted in hospitals experience “never events” while researches show that about half of these harms are preventable through the utilization of Failure Modes and Effects Analysis (FMEA). This study aims to identify and evaluate the risks of care processes in three wards of Alzahra University Hospital of Isfahan and suggest some interventions for reducing these risks.
Materials and Methods: This was a cross-sectional study, which identified high-risk processes using FMEA in respiratory, gastroenterology and rheumatologic wards of Alzahra Hospital during the years 2014-2015. The study population comprised clinical staff members who worked in these three wards and were familiar with clinical care processes. The focus group team was selected through purposive sampling method. Finally, the information was gathered in standard FMEA work sheets and analyzed with SPSS software.
Results: A total of 72 clinical care processes were identified, and the 73.5%  of the focus group members rated "blood and its products transfusion process" as the most risky care process. The step "checking the incompatible of patient's information and blood lable and its products" was the most dangerous step (with PRN = 300). The findings showed that human and equipment failures were the main reasons of facing the “never events” in these wards. 
Conclusion: Risk management tells us that the efficiency and quality of care can be promoted by preventing errors through human resource training and proper maintenance of medical equipment.