Showing 32 results for Rahimi
A Akhgar Araghi, A Rahimi Forooshani, Ar Farzaneh Nejad, Sh Akhgar Araghi,
Volume 1, Issue 2 (20 2008)
Abstract
Background and aim: One of the most important technological advancements for monitoring patients -- especially in anesthesia, recovery, and Intensive Care stages -- is pulse oximetry which can measure the oxygen saturation of arterial blood (spo2) and show hypoxemia before it is clinically observable. Therefore, it is necessary for the individuals who are responsible for treating and taking care of patients in critical stages to have sufficient knowledge about it. If they lack the required knowledge, they should be trained using appropriate methods.
Materials and methods: Upon referring to the ORs and the ICUs, a questionnaire was distributed among the medical and paramedical staff (doctors, nurses, anesthesia technicians, etc.) to assess their knowledge of pulse oximetry. The questionnaire had a part for demographic data and 20 true/false items and was to be filled in by the subjects in 15 minutes. After the data were collected and analyzed, the subjects' level of knowledge about pulse oximetry was assessed in terms of age, sex, academic degree, their experience with the device, and how they had obtained information about pulse oximetry. The variable was measured on a 0-20 scale. The subjects would get one point for every correct response and the total number of correct responses would constitute each individual's score.
Results: The results of the study show that only 15.8% of the participants had a high level of knowledge of pulse oximetry. The figure was 61% for those having medium-level knowledge and 23.2% for the individuals with low knowledge. In other words, for the optimal use of the device, 84.2% of the subjects need training. The results also indicate that the subjects' level of knowledge is positively related to their sex, academic degree, and how they acquired their knowledge. In fact, female subjects, paramedical staff, and those who had obtained information from colleagues and the companies selling the device had a lower level of knowledge needed for using the device properly. However, no statistically significant difference was found between the subjects' knowledge of pulse oximetry and their age and experience with the device.
Conclusion: Based on the findings, it is necessary for the female members of paramedical staff to be trained in classes and/or be provided with pamphlets on the issue.
M Araghi, K Alimoghadam, N Einollahi, B Chardooli, Hr Rahimi, Sh Rostami, A Ghavamzadeh,
Volume 2, Issue 1 (2 2008)
Abstract
Background and Aim: Acute promyelocytic leukemia (APL) is associated with the t(1517) ,fusing promyelocytic leukemia (PML) and retinoic acid receptor-a (RARa) genes. This disease is uniquely sensitive to treatment with all-trans retinoic acid (ATRA) and highly responsive to conventional chemotherapy. The t(1117)(q23q21) abnormality associated with a PLZF-RARa rearrangement is the commonest of the alternative translocations accounting for less than 1% APL. Blasts from PLZF-RARa cases have been found to be resistant to the differentiating effects of retinoids. In this study we aimed to determine the PLZF-RARa and fusion genes in patients with APL morphology who referred to Hematology-Oncology and BMT research center, Tehran Shariaty Hospital in 2006.
Materials & Methods: Peripheral blood and/or bone marrow samples were taken from 200 patients with APL morphology and 200 patients with other subtypes of AML. The mono-nuclear cells were enriched by centrifugation over a ficoll-isopaque gradient. RNA extracted by Trizol or TriReagent and then reverse transcribed to cDNA using random primers. PCR performed using specific primers for each fusion. PCR products electerophoresed on a 2% agarose gel containing 0.05% ethidiume bromide.
Results: In 2 (1%) patients with APL-morphology the RT-PCR analysis showed PLZF-RARa fusion transcripts.
Conclusion: It can be concluded that RT-PCR is a rapid and sensitive method for detection of abnormal fusion genes in leukemia and allows the definition of a correct strategy for treatment and subsequent minimal residual disease monitoring
H Arazi, M Ebrahimi, K Hosseini,
Volume 4, Issue 3 (20 2011)
Abstract
Background and Aim: Prevalence of anabolic steroids (ASs) consumption among bodybuilders has increased progressively. Therefore, the purpose of this study was to evaluate the effect of ASs consumption on C-reactive protein (CRP) in bodybuilders.
Materials and Methods: Sixty healthy men (age: 24/1± 9/1yr weight: 77±10 kg and height: 172±12 cm) participated in the study voluntarily. These subjects were selected from three groups. First group (FG) was bodybuilders who consumed ASs (n=20), second group (SG) was bodybuilders who did not consume ASs (n=20) and third group (TG) were untrained subjects as control (n=20). Blood samples were collected in fasting state (12 hours) at 09:00 for CRP assessment. Strength and volume of the forearm, pectoral major and femur muscles were measured via 1RM test and muscle circumstances, respectively. Speed was assessed by 30m speed test. Analysis of variance test and LSD post-hoc test was used.
Results: FG had significantly greater blood CRP (P<0/05) compared to other groups. However, differences between SG and TG were not significant. Muscle strength, and forearm and femur circumstances were greater in FG than other groups. Furthermore, this was greater in SG than TG. But chest circumstance was greater in FG and SG than TG only. There were no significant differences in speed between groups.
Conclusion: ASs consumption for muscle strength and volume improvement in bodybuilders is accompanied by higher level of CRP (as a cardiovascular risk factor).
Mm Soltan Dalall, A Rahimi Forushani, B Nikmanesh, A Tabatabaei Bafroei, N Aghili,
Volume 5, Issue 2 (20 2011)
Abstract
Background and Aim: Salmonellosis is a gastroenteritis caused by different serotypes of Salmonella and is the most common type of food poisoning in the world. The purpose of this research study is to optimize the conventional method for the isolation of Salmonella SPP from the diarrheic specimens of children.
Materials and Methods: Stool specimens were obtained from one hundred patients admitted to Children's Medical Center for diarrhea. The enrichment media were prepared by 3 methods: Rappaport Vassiliadis broth (RV), Tetrathionate broth (TT), and Selenite Cystine broth (SC). Then, for the isolation of Salmonella SPP, the enrichment methods RV and TT were used and incubated at 42° C, and SC at 37° C. After 24 hours of incubation, the enrichment samples were inoculated into the following 6 different media: Hektone Enteric agar (HE), Rambach agar (RA), CHROMagar Salmnella (CHROMagar Salmonella), Brilliant Green agar (BG), Salmonella-Shigella agar (SS), and Xylose-Lysine-Deoxycholate agar (XLD).
Results: In total, 13 out of one hundred samples were identified as Salmonella SPP. All of these 13 Salmonella SPP samples (i. e., 100%) were positive on RV broth the figures were 8 (61.5%) and 3 (23%) on SC and TT broths, respectively. The highest amount of isolation was found by the combination of RV broth and RA agar (100%). The lowest rate, however, was obtained by the combination of TT agar and BG broth (15.4%).
Conclusion: The comparison results of 3 enrichment media and 6 selective media showed that the mixture of RV broth and RA agar would be very fine for the isolation of Salmonella SPP.
Ehsan Zarei, Seyed Mahmud Ghazi Tabatabai, Abbas Rahimi Forushani, Arash Rashidiyan, Mohammad Arab,
Volume 5, Issue 4 (12 2012)
Abstract
Background and Aim: Over the past decade, the number of private centers providing health care services in Iran has had a continuous growth and the highly competitive market in private hospitals industry has caused increasing pressure on them to provide services with a higher quality. The purpose of this study was to assess the quality of services being provided in private hospitals of Tehran as judged by patients.
Materials and Methods: This cross-sectional study was conducted in 2010 in Tehran. The study sample comprised 983 patients, randomly selected from 8 private hospitals. The survey instrument was the standard SERVQUAL questionnaire. Wilcoxon, t-test, and Kruskal-Wallis tests were used for statistical analyses.
Results: The total mean scores of patients' expectation and perception were 4.92 and 4.02, respectively. The highest figures were related to the tangible factors dimension and the lowest ones to the empathy dimension. The differences between the perception and expectation for all the 22 items and the 5 dimensions were found to be statistically significant(p< 0.001).
Conclusion: SERVQUAL is valid and reliable in hospital settings as a standard tool for the assessment of quality. The results of the present study have revealed the areas that need to be improved as far as the patients are concerned. Measuring the opinion of patients can help facilitate the provision of hospital services, and improve the quality of such services and patients' satisfaction.
Samaneh Safarani, Mohammad Arab, Abbas Rahimi, Ali Ahangar, Ahmad Fayazbakhsh,
Volume 6, Issue 2 (14 2012)
Abstract
Background and Aim: In strategic planning, there are several procedures to perform internal assessment or strength and weakness of organizations. Among other methods created for this purpose, Wiseboard model is the one in which the following six internal dimensions are considered: Organizational Structure, Leadership, Coordination, Reward System and Communication. This study measures three of these variables in hospitals of Tehran University of Medical Sciences (TUMS).
Materials and Methods: This survey is a descriptive, analytical and cross-sectional study conducted during 2010 and 2011. The research population comprised all those working at TUMS hospitals from which a random sample of about 580 people was selected. The questionnaire's reliability was estimated to be 91% and the data were analyzed by the SPSS software.
Results: Of the subjects, 75.4% were below diploma level, 13% above diploma, 7.8% higher diploma, 66.4 bachelor holders, 2.6% master holders, and 5.4% had a doctoral degree or higher. Some 72.6% of the subjects were in Clinical and 19.8% in Nonclinical fields. The mean values of Goal Setting, Organizational Structure, and Leadership came out to be 24.47, 20.37, and 22.06, respectively.
Conclusion: Based on the findings of this research study, TUMS hospitals have weaknesses in some aspects and they need improvement in some areas in the following order: Organizational Structure, Leadership, and Goal Setting.
Mohammad Mehdi Soltan Dallal, Hossein Dargahi, Fariborz Mehrani, Mohammad Kazem Sharifi Yazdi, Abbas Rahimi Forushani, Seyed Asghar Miremadi,
Volume 6, Issue 6 (17 2013)
Abstract
Background and Aim: Dental caries in children caused by repeatable consumption of sweet product especially at night, that itself mostly depend on economic and cultural background of the society and family.
One of the most common diseases of human being is dental caries, which are caused by many factors, such as microorganisms, dieting, passing time, and the host itself. Among the microorganisms Streptococci mutants play the major role in causing dental caries. The aim of this research was to investigate the role of Streptococci mutants in dental caries between two groups of children sensitive and resistance to caries.
Materials and Methods: This was a cross-sectional research, in which 120 children(60 susceptible and 60 resistance) aged between 3 to 5 referred to Tehran University dental school were selected randomly. The selection criteria for the sensitive and resistance dental caries were dmfs > 5 and dmfs < 10 respectively. None of the groups had used any drug or fluoride products before sampling. Saliva of both groups were collected, and transferred to the specific culture media(Mitis Salivarious Agar). After incubation at 37 oC colonies of S.mutans were counted.
Results: There was a significant difference between the number of colony counting(cfu/ml) with age and consumption of repeated sugar product, while. there was no significant difference between(cfu/ml) sex, oral hygiene, and nutrition period during infancy.
Conclusion: The results of this study showed that the consumption of sugar product in childhood results in dental carries.
Reza Safdari, Mahtab Karami, Mahboobeh Mirzaee, Azin Rahimi ,
Volume 7, Issue 1 (5-2013)
Abstract
Background and Aim: Decision support systems(DSSs) refer to one of the types of information technology applications that can help clinicians to make right and timely decisions about patients. The aim of this study is to learn more about DSSs and their applications and effects on health care.
Materials and Methods: In this systematic review, articles which were published between 2000 and 2012, which were available as full texts through databases and search engines -- such as PubMED, EBSCO host research, Google scholar and Yahoo -- and which were also of clinical-trial type were examined besides, certain books in this area were used as primary sources.
Conclusion : The findings show that DSSs were applied in five areas in health care, which had a significant effect on improving the process of care and the performance of providers. These areas are as follows: disease progress management(15.15%), care and treatment(27.27%), medication(27.27%), evaluation(27.27%), and preventation(12.12%). In general, improvement can be seen in three areas: quality of care and patient safety, cost effectiveness, and provider’s level of knowledge.
Abbas Doulani, Mohammad Jabraeily Mazrae Sadi , Bohlul Rahimi, Ali Rashidi,
Volume 7, Issue 2 (7-2013)
Abstract
Background and Aim: Knowledge management is effective in promoting organizational structure, level of services, and universities competency power. The present study was aimed to assess knowledge management effective factors including information technology, organization culture, human resources, and librarians' skills among university librarians in Urmia.
Materials and Methods: This analytical survey was conducted on 102 university librarians in Urmia. The data were collected using a questionnaire where its validity and reliability was confirmed by specialists’ overviews and Cronbach's Alpha (0.94). In order to analyze the data, first the middle of the effective factors of knowledge management was estimated. Next, synchronic effect of the variables was estimated via multinomial logistic regression. Also Chi-square was used to assess the relationship between majors and sex factor of the librarians considering their perspective on knowledge management.
Results: Organizational culture, information technology and human resources are the most effective factors to knowledge management circulation. Also the median degree of the knowledge management process includes knowledge creation and reservation and knowledge sharing and employing which was 2/7 and 2/2 respectively.
Conclusion: Knowledge management is an important factor in human resources and competency environment of organizations. Libraries can with launching of knowledge management circulation, earn some promotions, for example: saving research and development costs, capacity increasing, employers’ job satisfaction, maintenance of competency environment and etc.
Mohammad Mehdi Soltan Dallal , Fatemeh Hedayati Rad , Abbas Rahimi Forushani , Hamid Emadi Koochak , Shabnam Haghighat Khajavi , Ali Taheri Mirghaed , Hamid Choobineh, Mohammad Kazem Sharifi Yazdi ,
Volume 8, Issue 2 (7-2014)
Abstract
Background and Aim: Along with the constant increase in world population
and consequently, the growing need to provide cellulose, as the most abundant
organic substance in nature to produce cellulose products, concerns regarding
the possible contamination of these products might cause skin, and genital and
urinary infections. The aim of this study is to determine the possible
microbial contamination of these products supplied in the city of Tehran.
Materials and
Methods: This is a descriptive study
on 200 samples of unexpired cellulose products including napkins, nappies,
sanitary napkin, and cardboard boxes to carry sweets. Fifty samples were obtained
in the city of Tehran during six months from September 2011 to February 2012.
Microbial contamination was investigated according to the procedure proposed by
the Institute of Standards and Industrial Research of Iran.
Results: The results obtained indicate that 18 samples (9%)
exceeded the level allowed for aerobic bacteria and molds in one gram of
specimens. Besides, 16 samples (8%) were contaminated with at least one of the
following bacteria: Streptococcus Group D, Staphylococcus aureus, Pseudomonas
aeruginosa and Escherichia coli. A total of 34 samples (17%) could not be
consumed. The least and the most contaminated products were sanitary napkins
(0.5%) and cardboard boxes to carry sweets (5%), respectively.
Conclusion: The presence of pathogenic bacteria in cellulose
products that could cause skin, and genital and urinary tract infections asks
for more control over such sanitary products.
Mohammad Ali Karimi Aghdam , Abolghasem Pourreza, Abbas Rahimi Forushani ,
Volume 8, Issue 2 (7-2014)
Abstract
Background and Aim: : Technical knowledge of managers of health care
industry regarding
budgeting have an essential function on increased efficiency of organizations
working in this sector, since every single right decision, rely on appropriate
knowledge and analysis. Therefore, the purpose of this study was assessment of technical knowledge of managers
of health care system regarding budgeting.
Materials and
Methods: This
was a descriptive -analytic, cross- sectional
study. From 80 managers of Tabriz Medical Sciences University 63 participated
in the study and a questionnaire was employed to collect data. Data was
analyzed by Spss 16 software, Pearson correlation test, T test and ANOVA.
Results: Mean
of total scores was 16.9±4.6 of 30. There was no significant difference between
total scores in different courses (P=0.276) and positions (P=0.431). Mean of
total scores between women and men (P=0.782) were the same.
There weren't significant
relation between technical knowledge of managers with age (p=0.392, r=0.1), job
background (p=0.299, r=0.1) and management background (p=0.121, r=0.2).
Conclusion: With respect to low level of
manager's awareness about budgeting,improving of technical
knowledge is essential. Lack of significant relation between technical knowledge
of managers and their length of management practices, with unstable situation,
may harm seriously organizational achievements. Reviewing and promotion of
educational programs and continuous training of managers with respect to
budgeting seems to be an essential need for improving manager's performance.
Abbasali Ebrahimian, Ali Fakhr-Movahedi , Hossein Davari, Maedeh Tourdeh,
Volume 8, Issue 5 (1-2015)
Abstract
Background and Aim: Learning basic issues in nursing requires new strategies that can enhance knowledge retention among nurses. This study aimed to determine the effect of lecturing by peer-nurses on critical units nurses’ retaining knowledge of electrocardiogram (ECG) interpretation.
Materials and Methods: In this experimental study, two units (as test and control groups) were selected randomly from among critical care units of Semnan University of Medical Sciences hospitals. First, a pretest was performed on nurses in both groups. Then, the nurses of test group were trained by a peer-nurse how to interpret ECGs. A posttest was performed on the two groups both a week and a year later. Finally, the data were analyzed using Pearson’s correlation coefficient, t-paired and t-tests.
Results: The mean of nurses’ scores of ECG interpretation in pretest was 9.55±2.73 in the test group and 10.82±3.43 in the control group. In the first posttest, mean scores of nurses’ knowledge in test and control groups were 15.27±2.57 and 11.36±3.29, respectively. In the second posttest, nurses’ mean scores in test and control groups were 10.82±4.07 and 11.33±2.95, respectively. There was a significant difference (p<0.05) between the pretest and the first posttest in the test group, but there was no such difference for the second posttest (p>0.05).
Conclusion: Lecturing by peer-nurses can enhance nurses’ knowledge about ECG interpretation in the short run, but it cannot enhance knowledge retention. So it is suggested that other educational methods be used in nurses' in-service training programs designed for ECG interpretation.
Javad Ahmadi, Jamshid Bahmei, Mohamad Ranjbar, Hamed Rahimi , Hamze Shahbazi ,
Volume 9, Issue 2 (7-2015)
Abstract
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.
Reza Safdari, Leila Shahmoradi, Maryam Ebrahimi ,
Volume 9, Issue 3 (9-2015)
Abstract
Background and Aim: Pathology Information Systems provide opportunities for pathologists and clinical laboratory professionals to influence clinical care and modern research programs. The objective of this study was to determine the minimum data set of Anatomical Pathology Information System from the experts’ point of view.
Materials and Methods: This study is considered an applied research conducted through a descriptive cross-sectional research method. The research instrument was a questionnaire containing data elements related to sample and those related to the patient. This questionnaire was completed by three groups of participants including 22 experts in the field of Pathology and Laboratory Medicine, 23 experts in Health Informatics and Health Information Management, and 6 Insurance experts. The collected data were analyzed using descriptive statistics and SPSS software.
Results: The results indicated that all information elements contained in the questionnaire except the address of the pathologist, resident or the person who performs the act of gross examination were considered as informational elements essential to the system and the high average of five was allocated to them.
Conclusion: Based on the results of this study, the Minimum Data Set of Anatomical Pathology Information System can be presented in two main categories: Clinical and non-clinical information, which include identity information, management information, insurance information, clinical information and the data related to the study of anatomiaca pathology samples.
Tahereh Shafaghat , Mohammad Kazem Rahimi Zarchi , Zahra Kavosi,
Volume 9, Issue 4 (11-2015)
Abstract
Background and Aim: The main purpose of all organizations is improving efficiency and effectiveness. One of the barriers of reaching effectiveness is burnout which can be seen as the final outcome of job stress in many professions including nursing. This study aimed to evaluate the correlation between effectiveness of nurses and burnout in Shiraz Nemazee hospital.
Materials and Methods: This descriptive-analytic and cross-sectional study was done among all of the nurses in the Shiraz Nemazee hospital. Two hundred and forty five nurses were selected using random classified sampling method. The data gathering form was standardized questionnaire. Data were entered into SPSS 15 software and the Pearson correlation test was used for data analysis.
Results: The study nurses were at moderate level according to burnout and effectiveness variables. There were positive correlation between “effectiveness” and “target acquisition” and “preservation of the cultural model” dimensions with “lack of individual success” dimension (P<0/05). Also, there was a negative correlation (P<0/05) between burnout in nurses and their effectiveness.
Conclusion: It seems that nurses’ burnout can affect their effective performance so managers can enhance effectiveness of staff performance by providing programs to reduce burnout and its dimensions.
Fereshteh Farzianpour, Saeadeh Ansari Nosrati, Abbas Rahimi Foroushani ,
Volume 10, Issue 5 (1-2017)
Abstract
Background and Aim: Due to social development, population growth, industrialization of countries and require some work, most of the employees are working with program shift. The purpose of this study was determination of relationship between nurses shift rotation and personality characteristics and coping strategies in selected private hospitals in Tehran, Iran.
Materials and Methods: In this descriptive and cross-sectional study standard shift work questionnaire and Eysenck personality questionnaire was used. After confirming the validity and reliability (Cronbach's alpha 0.73), the questionnaire was distributed among 305 nurses and 6 non-governmental hospitals in Tehran on the cluster random sampling method. Descriptive and analytical methods were used for data analysis using SPSSv.22 software.
Results: 43.6 percent of nurses participating in the study were introverted and 56.4 percent were extroverted. The results showed that there was a meaningful statistical relationship between age and health (p=0.008), gender and physical health (p=0.015), education level and physical health (p=0.014), gender and physical-cognitive anxiety (p=0.006), age and family- socioeconomic status (p=0.001), marital status and family-socioeconomic status (p=0.001), second occupation and family-socioeconomic status (p=0.001).
Conclusion: Planning according to nurses working hours standard and to avoid overtime, especially nurses who have more experience can prevent severe complications of shift work and improve health and the quality of care.
Nastaran Mirfarhadi , Atefeh Ghanbari, Abbas Rahimi,
Volume 11, Issue 1 (5-2017)
Abstract
Background and Aim: Early diagnosis is a tenet in oncology and enables early treatment with the expectation of improved outcome. The aim of this study was to determine the factors associated with personal characteristics and clinical signs in patients with breast cancer.
Materials and Methods: This research was a descriptive analytic that
cross-sectionally assessed 232 patients with definite breast cancer diagnosis that referred to Razi hospital located in Rasht using a researcher designed questionnaire including demographic and clinical signs. Collected data (mammography, tumor size, pathological stage of tumor) were obtained from medical records of patients. Gathered data analysis was accomplished with SPSS V.19 and for description of data from average and standard deviation for inference statics fisher test with a
P value of 0.05 were used.
Results: Mean age of subject was (49.80+10.27). 44 individuals (14%) had a precedent regular mammography before disease. Hundred and four (44.8%) in first appointment were referred to a general surgeon. Hundred and thirty six (58%) women were in stage III of the disease. Hundred and twenty nine (60%) patients had a tumor size more than 5 cm and 106 (46%) had a lymph node metastasis at the time of diagnosis. Patients referring with advanced stage of breast cancer had a low education (P=0.04) and income level (P=0.01).
Conclusions: Recognizing associated personal and clinical factors with early diagnosis can provide essential information for planning health education, screening and presenting appropriate solutions to overcome barriers to treatment and care in health system planning in this provinc
Tahereh Shafaghat, Mohammad Kazem Rahimi Zarchi, Zahra Kavosi, Ali Ayoubian,
Volume 11, Issue 1 (5-2017)
Abstract
Background and Aim: The number of patients who leave hospital against medical advice could reflect patient dissatisfaction and it is a notable important problem. The present study aimed to identify the causes of discharge against medical advice at a hospital of Shiraz University of medical sciences.
Materials and Methods: This was a qualitative study using grounded theory. Data were collected through telephone interviews with patients or their concomitants. All interviews were recorded by researcher and thematic method used to analyze the data. Based on it, causes of discharge against medical advice were determined and solutions were provided.
Results: Causes of discharge against medical advice were categorized into 3 general themes: "causes related to the status of the hospital", "causes related to hospital staff", and "causes related to patients" that each of them include some sub-themes. Between the sub-themes, the issues relating to the hospital staff and economic status of patient had the most and the least frequency respectively.
Conclusion: The research findings make it possible for the hospital managers to find solutions to prevent creation of DAMAs and side effects for early discharged patients, patients' readmission and imposing additional costs on them. These solutions can be mentioned as attention and understanding of authorities, preparing some amenities for patients, holding justification meetings for medical personnel and students and reengineering some hospital processes.
Abbasali Ebrahimian , Nader Khalesi , Maedeh Tourdeh , Hossein Dargahi,
Volume 11, Issue 3 (Supplement 1 2017)
Abstract
Background and Aim: Emergency medical services (EMS) staff’s attention level may be affected by various work conditions. This study aims to compare the beginning- and end-of-shift attention levels of Tehran’s pre-hospital emergency staff with those of Semnan Province.
Materials and Methods: This is a descriptive and cross-sectional research study conducted in 2013. In this study, 192 emergency medical technicians (EMT) of Tehran and Semnan Province participated. The research instrument was Bonnardel Attention Level Test. The participants’ attention level was assessed at 10 am and 5 am. The data were analyzed by chi-square test and independent samples t-test.
Results: At 10 am (arrival attention), the average rate of attention level of Tehran’s pre-hospital emergency staff was 0.49±0.25 and that of Semnan Province staff was 0.51±0.23. There was not a significant difference (p=0.58) at that time between the average rate of attention in these two groups. At 5 am (exit attention), however, the average attention level of Tehran’s pre-hospital emergency staff was 0.45±0.25, and of Semnan Province staff was 0.55±0.20. At this time, there was a statistically significant difference (P= 0.044) between the average rate of attention in these two groups.
Conclusion: The means of arrival and exit attention levels in pre-hospital emergency staffs were moderate. Besides, there was no significant difference between the arrival attention levels of the two groups. Therefore, in order to increase the attention level in both groups, it is suggested that the workload and the length of shifts should be reduced for pre-hospital emergency staffs, specially in Tehran.
Amir Shakerian, Ebrahim Rahimi, Jamal Mesbah, Mohammad Mousavi ,
Volume 11, Issue 4 (12-2017)
Abstract
Background and Aim: Clostridium perfringens is one of the major agents of food poisoning in humans around the world. This study was accomplished to identify and track the toxins of Clostridium perfringens bacterium in some raw animal food origin products in Shahrekord.
Materials and Methods: In this study, 100 samples of traditional and commercial curd and 43 samples of beef and lamb meats were randomly collected from Shahrekord’s shopping center in 2014. Then to identify the bacteria in samples cultivation and polymerase chain reaction (PCR) method were used.
Results: In culture method no positive samples were isolated. However, frequency of Clostridium perfringens bacterium in traditional and commercial curd samples and beef and lambs samples have been reported as 6, 10, 25 and 13 percent using PCR method, respectively. Frequency of cpa, cpb, cpe, cpi and etx genes were detected in curd samples were 37.5, 25, 75, 12.5 and 12.5 percent respectively and in meat samples 62, 50, 75.5, 37.5 and 25 percent respectively. Statistically significant differences were observed between the prevalence of the bacterium in various samples and their isolated toxins (p < 0.05).
Conclusion: With attention to infection of above food samples to Clostridium perfringens and also its transfer by foodstuffs to human, it is necessary to reduce food pollution of this organism for of public health.
