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Sex Differences In Duration Of Pre-hospital Delay In Patients With Acute Myocardial Infarction
Maryam Momeni , Arsalan Salari, Atefeh Ghanbari, Maryam Shakiba ,
Volume 7, Issue 2 (7-2013)
Abstract

Background and Aim: Pre-hospital delay is an important cause of increasing mortality in acute myocardial Infarction. There are conflicting data regarding the relationship between sex and pre-hospital delay for patients with acute myocardial Infarction. The aim of the present study was to determine the relationship between pre-hospital delay and sex.

Materials and Methods: This cross-sectional survey was conducted on 162 consecutive patients with acute myocardial Infarction admitted to Cardiac Care Unit (CCU) in Dr. Heshmat hospital in Rasht between May 2010 and September 2011. A convenient sampling method was used. All patients were interviewed within 7 days after admission by using a data collection form.

Results: Mean of pre-hospital delay for women was more than men. Majority of men had chest pain. The women often experienced different and non specific symptoms compared to men. Regression analysis showed no significant relationship between patients' characteristics and pre-hospital delay in women whilst, pre-hospital delay was significantly related to perceiving symptoms to be serious and interpreting symptoms to a cardiac origin in men.

Conclusion: Results of the current study suggest that pre-hospital delay for women was longer than men with acute myocardial Infarction as women often experienced no specific symptoms compared to men. Therefore, it recommended that clinicians educate public, particularly women, on acute myocardial infarction to enable them to recognize the signs and symptoms of acute myocardial infarction correctly and realize the benefits of early treatment.


Investigating the Prevalence of Self-Medication with Antibiotics and Related Factors among those who Refer to Health Care Centers in the City of Kerman
Arash Farvahari, Mina Danaei, Ali Sheibani Tezerji, Mohsen Momeni,
Volume 16, Issue 6 (Feb 2023)
Abstract
Background and Aim: Nowadays, due to people using antibiotics without prescription, the resistance of the bodies to antibiotics has been a major health issue in the world. This study aimed to investigate the consumption of antibiotics without prescription among the people that go to the health care centers of Kerman.
Materials and Methods: This descriptive-analytical study was conducted from April to September 2019, cross-sectionally on 331 people who were referred to the health care centers of Kerman city by the available sampling method. In this research, a valid questionnaire was used to collect information. Data was analyzed with SPSS statistical software, using t-test and chi-square statistical tests.
Results: The average age of the referred people in this study was 38.6±10.76 years, 135 (40.4%) were males and 194 (60.6%) were females. More than two-thirds of people had a higher education than deploma degrees. The self-medication prevalence with antibiotics was 32.9%. The most common cause of self-inflicted use of antibiotics is unwillingness to pay (34.4%), the most common types of antibiotics used are amoxicillin (25%) and azithromycin (24%), and the most common form of medicine used is pills (55.5%). Respiratory infections were also the most common cause of self-inflicted use of antibiotics (42.2%). Pharmacies were the most common source of information about how to use antibiotics (53.9%). Also, self-medication with antibiotics in married people (P=0.015). people with self employed jobs (P=0.031) and people without medical insurance (P<0.001) were significantly more than the other studied group.
Conclusion: The results of the present study showed self-medication with antibiotics is highly prevalent in Kerman city, and policy makers should take interventions to increase people’s awareness of the risks and side effects of self-inflicted use of antibiotics, as well as drug resistance created as a result, in order to reduce the self-inflicted use of these drugs.

Comparing the Efficiency of Hospitals in Western Iran Before and After the Covid-19 Pandemic Using the Pabon Lasso Model
Mehdi Raadabadi, Zahra Tolideh, Zahra Shoara, Zahra Yeganeh, Jamil Sadeghifar, Khalil Momeni,
Volume 18, Issue 1 (3-2024)
Abstract
Background and Aim: There is limited evidence about the effect of the corona disease epidemic on the efficiency of hospitals in Iran. This study was conducted with the aim of investigating the effect of the Covid-19 epidemic on the productivity of public hospitals in Ilam province.
Materials and Methods: This retrospective descriptive research has investigated the performance of 9 hospitals in Ilam province during a four-year period(1397-1400) based on the Pabon Lasso graphic model. The desired data were extracted from the HIS system of the hospitals and the key performance indicators of BOR, BTR and ALOS were calculated. The Pabon Lasso diagram was drawn with Excel software.
Results: The results showed that the bed occupancy percentage in teaching hospitals is significantly higher than non-teaching hospitals (P<0.05). Based on the results, the percentage of bed occupancy and the rate of bed rotation after the covid 19 pandemic has decreased significantly (P<0.05). The average length of the stay of patients also increased after the pandemic (P<0.05). Overall evaluation of hospital efficiency based on the Pabén Lasso model shows that the frequency of hospitals located in Nakara district has decreased from 4 hospitals before the pandemic to 3 hospitals, although hospitals in Kara district have not changed during this period.
Conclusion: Most of the researched hospitals, especially non-teaching hospitals, have low bed occupancy. Weakness in the service delivery chain, especially diagnostic services and specialized and super-specialized services, is one of the main reasons for this situation. Moving towards a change in the way hospitals are managed and having more flexibility in the structure and implementation in the short term and prioritizing large hospitals with a complete chain of services can lead to a way out of the current inefficient situation.

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