Showing 42 results for Azad
Esfandear Azadmarzabadi , Saeed Niknafs,
Volume 10, Issue 4 (9-2016)
Abstract
Background and Aim: People use various ways against the stresses. Choosing a suitable confront ways can reduce the influence of stresses on individuals is mental health and lead to more compatibility. Therefore, the purpose of the current survey was to investigate the methods of opposing against job stress in military staff.
Materials and Methods: The procedure was of descriptive-analytical type, and it was implemented through questionnaires. Two types of questionnaires, job stress and coping with stressor situation, were handed in to number of 959 individuals as the sample of the research. Percentiles, frequencies, averages and standard deviations were obtained through descriptive statistics. Statistical method of T between the two samples and multi-variable regression model were used to analyze the data. All analyses were performed in SPSS package version 18.
Results: Results showed that job stress within sample group had the best condition concerning sub-component of "role" with average of 3.79 and standard deviation of 0.86, whereas the worst condition was related to sub-component of "communication" with average of 2.77 and standard deviation of 0.84. Military staff use problem-base mode to cope with their stressors. Regression coefficients also suggested that only exciting-base mode can predict job stress.
Conclusion: Problem-base mode is the most used method by military in coping with stressful situations.
Azadeh Chatrooz, Leila Goudarzi , Mohammad Roshani, Seyed Hadi Hosseini, Aslan Nazari, Ghasem Rajabi Vasokolaee,
Volume 10, Issue 4 (9-2016)
Abstract
Background and Aim: Safety is an important component in the quality of health care that lack of attention to it leads to harmful results. This study was conducted to estimate the safety management status in selected hospitals affiliated with Tehran University of Medical Sciences.
Materials and Methods: This analytical-descriptive cross-sectional study was conducted in four selected hospitals affiliated to Tehran University of Medical Science in 2012. Data collection was performed through a valid and reliable questionnaire (Safety management) involved 112 questions in 3 parts: organization, safety and event committee’s management, investigation of organization and hospital’s structure and evaluation standards for surgery rooms by safety management views, in 5 options of Likert criteria. SPSS software frequency, mean and standard deviation and Kruskal–Wallis were used for statistical analysis of data’s.
Results: In the evaluation of the hospital organization factor and its structure from safety management approach, each hospital’s organizational structure form safety management view was in a suitable condition (72.50). The result also showed that in respect to evaluation of surgery rooms for safety management, the highest average of calculated score was for hospitals number 1 (90.00) and the lowest was related to hospital number 4 (69.09).
Conclusion: According to the results, safety in hospital was in an acceptable level. But it seems that continuous monitoring and safety management training courses is essential.
Narjes Mirabootalebi, Maryam Ahmadi, Mohammad Dehghani, Shahram Khani, Mohsen Azad,
Volume 10, Issue 5 (1-2017)
Abstract
Background and Aim: Electronic Medical Record system collects and stores laboratory data, digital images and electronic versions. It plays a major role in reducing medical errors and duplication and health care providers immediate access to patient medical records. This study aimed to examine the viewpoints of Hormozgan University of Medical Sciences' administrators on the role of electronic Medical records system.
Materials and Methods: The study was a descriptive-analytical research to examine the viewpoints of Hormozgan University of Medical Sciences' administrators and physicians on the role of electronic medical records system. The study population consisted of 61 managers, matrons and health information managers of Hormozgan hospitals and 121 faculty physicians and residents. Data collection tool was a researcher-made questionnaire. The validity was determined and verified by content validity method and experts' views. Cronbach's alpha coefficient was used for assessing reliability, which was 83%. Data collected from the questionnaires was analyzed using SPSS software and descriptive statistics and analytical statistics.
Results: Results indicated that "data management" (N=146) with 77.5%, "job objectives and processes" (N=160) with 87.9%, "communication" (N=163) with 89.6%, "data privacy and security" (N=152) with 83.1% had the most important roles in the health system.
Conclusion: Generally, managers and physicians attitudes about the role of electronic medical records system in the health system was evaluated satisfactorily. According to the advantages of the system and removing major obstacles in its implementation, a new step would be taken in order to promote health.
Fereydoon Azadeh, Seyed Javad Ghazi Mirsaeid, Mitra Gharib, Abdolahad Nabiolahi ,
Volume 11, Issue 1 (5-2017)
Abstract
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.
Abolfazl Taheri, Fereydoon Azadeh, Mohammad Moradi-Joo, Omid Yousefianzadeh,
Volume 11, Issue 3 (Supplement 1 2017)
Abstract
Background and Aim: In medical sciences, students need problem-solving and decision-making abilities to cure diseases. The present study aims to survey the critical thinking disposition between freshman and senior students in School of Allied Medical Sciences in 2012- 2013 academic year.
Materials and Methods: In this descriptive cross-sectional study, 250 students were selected randomly and their critical thinking disposition was assessed. "The Ricketts critical thinking disposition scale (2003)" consists of 33 multiple choice questions; the scale was used by the researcher to assess the critical thinking disposition. Finally, the data was analyzed by t-test and ANOVA using SPSS software.
Results: The mean of students’ critical thinking disposition was 3.54 which shows that this ability was on the average among students. Also, the t-test results showed that there was a difference between freshmen and seniors. The critical thinking disposition was compared between students in various fields; the results did not reveal a significant difference.
Conclusion: In spite of the high critical thinking disposition achieved by senior students and the similar guidance in different fields of study for enhancing the disposition, the variable is not at the ideal and expected level. Therefore, it is necessary to use certain materials and measures in educational planning so that the disposition level can get close to the ideal level.
Fereydoon Azadeh, Zahra Jadidi, Hamid Haghani,
Volume 11, Issue 3 (Supplement 1 2017)
Abstract
Background and Aim: Creating personal information collections will bring the management needs. The purpose of this study was to determine the use level of personal information management and each of its four activities by Faculty members of Allied Medical Sciences Schools in Tehran, Shahid Beheshti and Iran Medical Sciences Universities in 2014 year.
Materials and Method: This applied study was an analytical survey. The participants of the study were Faculty members of Allied Medical Sciences Schools in Tehran, Shahid Beheshti and Iran Medical Sciences Universities. All participants (120) were studied. PIM was surveyed by using a questionnaire. Descriptive statistics were used for data analysis. In order to determine the significant differences, analytical statistics were applied. The validity was confirmed by the number of professors feedback and reliability calculated by the Cronbach's alpha 0.91.
Results: Storage with average of 73.59% and organization with average of 62.11% were at "good" level. Maintenance with an average of 54.4% and refind with an average of 59.93% were at "medial" level. "Personal information management" with an average of 62.51% was at "good" level. According to the research hypotheses test, the use of personal information management and each of its elements by members of the community in terms of university, academic rank and gender were not statistically significant.
Conclusion: Usage level of personal information management by faculty members is far from ideal situation. The main reasons can be included not having enough time, working pressure and lack of sufficient acquaintance with the activities required to personal information management.
Jayran Zebardast, Nikzad Eisazadeh, Khorshid Vaskoei Eshkevari , Abolalfath Ghafari , Fatemeh Mirbazegh,
Volume 11, Issue 5 (1-2018)
Abstract
Background and Aim: Nurses’ knowledge, attitude and performance towards the principles of Islamic ethics are remarkable in nursing care in Tehran University of Medical Sciences (TUMS).
Materials and Methods: In this cross-sectional study, the knowledge, attitude and performance of 551 nurses were evaluated based on their age, sex, education, and type of employment in TUMS hospitals (by a valid questionnaire). All data were analyzed by SPSS. In this study, a questionnaire was designed through a Focus group discussion and then its validity was evaluated. Moreover, the reliability of the questionnaire was estimated by test-retest method.
Results: Our study showed that female sex, work experience of 15-20 years, type of employment, and higher education were associated with a higher level of knowledge, attitude and performance towards principles of Islamic ethics. Also, according to our analysis, there was a significant relationship between age and level of knowledge, attitude and performance of the principles of Islamic ethics (p<0.05) especially at the age of 40's.
Conclusion: Based on the results of this study, there is a significant relationship between educational indices and work experience, and the age of nurses with the level of knowledge, attitude and practice regarding the principles of Islamic ethics. It is suggested that educational courses about Islamic ethics be presented based on nurses’ educational levels and age.
Abdollah Naami , Azadeh Chatrooz ,
Volume 11, Issue 5 (1-2018)
Abstract
Background & Aim: Planning in medical tourism is important. This study was conducted to assess factors, elements and development plans of medical tourism and situation study and analysis of Tehran University of Medical Sciences (TUMS).
Materials and Methods: This mixed method study was conducted in 2017. In systematic review, published studies searched between years 2006 to 2016. In the second phase, medical tourism data of TUMS explored as retrospective cross sectional and expert viewpoint analysis in medical tourism concept.
Results: 39 published articles were assessed. According to results, admissions and total payment of foreign patients in all hospitals of TUMS in 2016 were 21788 and around 18.5 billion Tomans respectively.
Qualitative results showed that, there were not transparence program and suitable physical area and TUMS needs to comprehensive planning, supportive infrastructure of foreign patients, correction of transportation system and improve marketing.
Conclusion: Despite the history of TUMS hospitals in attraction of foreign patients and analyzing it, there were many limitations to achieve good situation. Although assessing patients viewpoints can provide a platform to solve problems and limitations according to priorities.
Fereydoon Azadeh, Seyed Javad Ghazi Mirsaeid, Nadia Motamedi, Mohammad Zarei,
Volume 12, Issue 1 (5-2018)
Abstract
Background and Aim: Ranking of hospital libraries based on standard criteria and taking pattern of top libraries would improve the quality of library services. The purpose of this study was to rate hospital libraries based on LibQual criteria and Vikor model.
Materials and Methods: This study was conducted in a survey method. The statistical population was 3850 actual users of the library of 8 governmental hospitals (with capacities up to 320 beds) in Tehran in 2016. To achieve the goals, The LibQual questionnaire and AHP technique were used. The validity of both questionnaires has been confirmed in various studies. Cronbach's alpha coefficient greater than 70 percent For LibQual questionnaire and inconsistency rates less than one percent for Vikor questionnaire confirm the reliabilities. Data analysis was performed using the expert choice software. Ranking were done using the Vikor technique.
Results: According to three main dimensions for LibQual, "library as a place" weighing 0.379 was the first preference, and "quiet space for individual activities" weighing 0.364 was the first in this dimension too. The dimension of "information control" weighs in 0.318 at the second, and "service impact" weighs 0.303 was in the third grade. In the ranking based on the Vikor criteria, the Library of Firoozgar hospital was in the first place.
Conclusion: The library of Firoozgar hospital in Iran university of medical sciences was the forefront and could be an exemplar for the other libraries.
Zahra Ghasemi Aghbolaghi, Fereydoon Azadeh, Fatemeh Sheikhshoaei,
Volume 12, Issue 2 (Jun & Jul 2018)
Abstract
Background and Aim: In the field of scientometrics, little attention has been paid to stem cells. Therefore, the purpose of this study is to draw a Scientific Map of stem cells area (co-word analysis) based on the papers indexed in Web of Science database in selected countries during the years 2011-2013.
Materials and Methods: This study is based on descriptive method, and it was conducted by scientometrics and co-word analysis technique. In this study, 34,142 articles were analyzed from Web of Science database. The search system of Web of Science is a tool for collecting data. Data analysis was done using Web of Science analysis system and CiteSpace software.
Results: Most productions in stem cells are in English and belong to America. Stem cell, cell differentiation, in vitro, gene expression, mesenchymal stem cells, embryonic stem cells and transplantation are the most frequently used words and hot topics in this field.
Conclusion: The growing trend in this area has caused different subject fields to enter stem cells areas. Considering the high frequency of embryonic stem cells in the field, it can be said that different diseases such as spinal cord problems and heart diseases can be treated using these cells.
Azam Orooji , Mostafa Langarizadeh , Maryam Aghazadeh, Mehran Kamkarhaghighi, Marjan Ghazisaiedi , Fateme Moghbeli,
Volume 12, Issue 4 (Oct & Nov 2018)
Abstract
Background and Aim: Artificial intelligence is a branch of computer science that has the ability of analyzing complex medical data. Using artificial intelligence is common in diagnosing, treating and taking care of patients. Warfarin is one of the most commonly prescribed oral anticoagulants. Determining the exact dose of warfarin needed for patients is one of the major challenges in the health system, which has attracted the attention of researchers. The purpose of this study was to determine the exact dose of warfarin needed for patients with artificial heart valves using artificial neural networks (ANN).
Materials and Methods: A total of 9 multi-layer perceptron ANNs with different structures were constructed and evaluated based on a dataset including 846 patients who had referred to the PT clinic in Tehran Heart Center in the second half of the year 2013. Finally, the best structure of ANN for warfarin dose was investigated. All simulations including data preprocessing and neural network designing were done in MATLAB environment.
Results: The effectiveness of ANNs was evaluated in terms of classification performance using 10-fold cross-validation procedure and the results showed that the best model was a network that had 7 neurons in its hidden layer with an average absolute error of 0.1, turbulence rate of 0.33, and regression of 0.87.
Conclusion: The achieved results reveal that ANNs are able to predict warfarin dose in Iranian patients with an artificial heart valve. Although no system can be guaranteed to achieve 100% accuracy, they can be effective in reducing medical errors.
Sonia Hajizadeh, Hamid Choobineh, Azadeh Omidkhoda, Shaban Alizadeh, Mohammad Jafar Sharifi, Zeinab Kavosh,
Volume 13, Issue 3 (Aug & Sep 2019)
Abstract
Background and Aim: Recurrent pregnancy loss(RPL) is known as two or three pregnancy losses before 20th week of pregnancy. RPL accounts for 5% of abortions in women and has a devastating effect on the marital status of families. One of the reasons for RPL is hemostatic complications; thus, we studied the correlation between factor XI polymorphism and RPL in patients who referred to Helal Infertility Center(Rouyesh).
Material and Methods: In this case-control study, 144 patients with a history of miscarriages(at least two) and 150 healthy female with a minimum of one successful birth and no abortion were enrolled. DNA extraction was taken from leukocytes of whole blood. To investigate the polymorphisms, polymerase chain reaction was run, and the presence of polymorphism was analyzed using RFLP method.
Results: Regarding FXI polymorphism, TT, CT, and CC genotype frequencies were 59.7%, 36.1%, and 4.2%, respectively. In healthy control group, the TT, CT, and CC frequencies were 45.3%, 49.4%, and 5.3%, respectively.
Conclusion: TT homozygote genotype could be an RPL risk factor(p<0.05); however, in its CT heterozygote form, C allele could have a protective role against RPL.
Mehrdad Azadi, Malikeh Beheshtifar,
Volume 13, Issue 4 (Oct & Nov 2019)
Abstract
Background and Aim: Job stress is one of the reasons of low motivation and leaving one's job, and its reduction can have positive consequences. According to studies, staff's development and their positive self concept toward workplace can reduce job stress. The aim of this research is to study the effect of human resource development on job stress with regard to the mediator role of self concept in Shiraz University of Medical Sciences(SUMS).
Materials and Methods: This is a correlational descriptive study. The research community included 584 staff members, of whom 234 were selected using Morgan's table in 2018. To collect data, 3 standard questionnaires were used, and their content validity and reliability were confirmed. For data analysis, structural equation modeling and Amos and SPSS softwares were used.
Results: The findings showed that human resource development had a reverse effect on staff job stress(path coefficient -0.778). Moreover, human resource development had a direct effect on job stress(path coefficient 0.843), but staff self concept did not have any effect on job stress(path coefficient 0.166). Since the paths of human resource development-self concept and self concept-job stress were not meaningful, human resource development did not have any effect on job stress by way of the mediator variable of self concept in confidence level 0.95.
Conclusion: According to the results of this study, conducting the staff's continuous development to promote their skills and abilities for declining job stress is emphasized.
Mahdi Isazadeh, Zahra Sadat Asadi, Mahdi Tahmasebi Gharajehmalek, Manijeh Soleimanifar,
Volume 14, Issue 1 (Apr & May 2020)
Abstract
Background and Aim: Currently, electronic health(e-health) tools are known as an effective means of communication and educational tool in the field of health to manage conditions in sensitive situations. The purpose of this study was to evaluate the level of electronic health literacy of patients referring to a selected military hospital.
Materials and Methods: The present descriptive-analytical study was performed on 204 patients who referred to a selected military hospital in Tehran in 2019. Data collection tools included a demographic information questionnaire and an e-health literacy questionnaire. SPSS software was used for data analysis, and the level of significance was set at 0.05.
Results: The mean score of electronic health literacy was 29.28±5.47. The level of e-health literacy of patients with different educational backgrounds was significantly different. Also, the electronic health literacy of patients using the Internet differed significantly. Patients' e-health literacy had a significant correlation with their educational level(p=0.02, r =0.169) and using the Internet(p<0.001, r=0.328).
Conclusion: Higher education is associated with higher levels of e-health literacy, and can be improved by creating internet training areas to access health information to improve e-health literacy.
Mohamad Jebraeily, Ali Rashidi, Taher Mohitmafi, Rooghayeh Muossazadeh,
Volume 14, Issue 6 (Feb & Mar 2021)
Abstract
Background and Aim: Electronic prescription systems can improve patient safety and the quality of health care services. These systems must provide the capabilities required to reduce medical errors and enhance the performance of health care providers. The purpose of this study is to evaluate the capabilities of the e-prescription system from the perspective of physicians in the polyclinics of the Social Security Organization (SSO) of Urmia.
Materials and Methods: The present study is a descriptive cross-sectional study that was conducted in 2020. The study population consisted of 82 physicians working in 3 polyclinics of the SSO in Urmia, which was determined by census. The instrument used in this study is a self-designed questionnaire that the validity of it was determined based on the opinions of experts and its reliability was evaluated by Cronbach's alpha coefficient. Data analysis was performed using SPSS software.
Results: The results showed that in the section of documentation and access to information, the highest score was related to the possibility of drug prescribe (4.58), request for examination and radiology (4.44). In terms of decision support capabilities, the highest score for providing alerts related to drug interactions (4.18) and controlling the amount of medication prescribed for chronic patients (3.83) and also in the field of technical capabilities, the highest score related to easy to use (3.87) and fit of user interface (3.66).
Conclusion: The e-prescription system under survey has gained fewer score in some capabilities, such as access to pharmaceutical information based on reliable sources, advice to treatment options based on original diagnosis and the customized system. Therefore the system developer should be improved capabilities of it through communicating properly with users and understanding their real needs.
Zahra Vahedpoor, Mohammad Javad Azadchehr, Taha Baghbani, Tayebeh Felfelian Fini, Mehdi Nazeri,
Volume 16, Issue 1 (3-2022)
Abstract
Background and Aim: Vulvovaginal candidiasis (VVC) is a vaginal fungal infection that mainly caused by Candida albicans. Among various treatments and their controversial outcomes, oral fluconazole has been accepted as a common and efficient treatment for acute and chronic cases. The aim of this study is about therapeutic effect of fluconazole and evaluation of its antifungal susceptibility.
Materials and Methods: In this cross-sectional study Samples were collected from 107 suspected patients to vulvovaginal candidiasis who went to the gynecology clinic of Kashan University of Medical Sciences in (2020-2022). At first consent and then demographic registrations were obtained. All samples were collected and cultured on Chromagar and Sabouraud’s dextrose agar and incubated at 30°C for 72 h. Yeast colonies were identified based on their colors and morphologic criteria.
All patients were treated by a single dose of fluconazole (150 mg/ml) or two continuous additional doses, depending on the absence or history of recurrence. Improvement of clinical and mycological symptoms in patients were followed for 30-35 days. Antifungal susceptibility to fluconazole was determined by microdilution method (CLSI, document M27-A3).
Results: A total of 107 patients were diagnosed with vulvovaginal candidiasis. Candida albicans (79.4%) was the most common identified species. total response to fluconazole treatment based on mycological findings (negative culture and direct smear) was 62.6% (P=0.012), there was no significant difference between candida species, albicans (64.7%) and non-albicans (54.5%), type of vaginal candidiasis forms (recurrent and non-recurrent) and antifungal susceptibility to fluconazole (MIC≤8)(P>0.05). Consideration of MICs≤1 and MICs>1 as a cutoff point there was a significant difference between failure and response to treatment (P=0.014).
Conclusion: According to empiric treatment of Vulvovaginal candidiasis, concurrent Laboratory diagnosis with anti-fungal susceptibility could help us in selecting the appropriate treatment protocol and prevent the emergence or increase of resistant species.
Fardin Amiri, Arash Khajehvand, Sedigheh Hannani, Nemamali Azadi,
Volume 16, Issue 5 (Dec 2022)
Abstract
Background and Aim: Surgical site infection (SSI) is one of the most common health-care associated infections. Using proper antiseptic solutions for preoperative surgical site skin preparation (skin prep) is one of the methods to reduce SSIs. The purpose of this study was to compare the effect of preoperative surgical site skin preparation with povidone-iodine and chlorhexidine-gluconate on the rate of SSI in laparotomy patients.
Materials and Methods: A total of 70 Laparotomy surgery patients who referred to Firoozgar hospital in Tehran from May to September of 2021 were included in this clinical trial. Patients were randomly allocated into two groups which were treated with povidone-iodine(PVI) or chlorhexidine-gluconate (CHG) for surgical site skin prep. Skin prep was done with standard rotational method in two steps by the researcher for each group by using of PVI and CHG. SSI incidence was assessed by a researcher-made check list and also over post-surgical follow up visits by the surgeon. We used Fischer’s exact test, t-test, Chi-square and Cochrane’s Q-test to analyze the collected data.
Results: SSI was seen in five patients (14.29%) of PVI group and one patient (2.86%) of CHG group. Although the SSI incidence in PVI group was 5.54 times more than CHG group, still the difference wasn’t statistically significant (P=0.198). Comparing the incidence of SSI’s in 24 hours after surgery (0%) and 30 days after surgery (8.57%) in both groups revealed that using these antiseptics for skin prep was effective in preventing SSI (P<0.001). SSI incidence was also associated with two days of patient’s hospital admission time (P=0.001).
Conclusion: The result of this study revealed that the occurrence of SSI in PVI group was 5.54 times more than CHG group. However, the difference was not statistically significant. So both of these antiseptics can be used for surgical site skin prep.
Roghayeh Gandomkar, Azim Mirzazadeh, Amin Hoseini Shavoun,
Volume 16, Issue 5 (Dec 2022)
Abstract
Background and Aim: Evaluation of hospital environments with reliable and valid tools is considered to be one of the essential prerequisites for continuous improvement of the hospital learning environment. The present study aimed to translate and evaluate psychometric properties of the short version of the PHEEM questionnaire among the residents of Tehran University of Medical Sciences residents.
Materials and Methods: This was a psychometric evaluation study. After translation and back translation, the questionnaire was provided to 18 experts. The content validity was qualitatively checked using the coefficients of content validity ratio (CVR), content validity index (CVI), and face validity. Then, the revised questionnaire was distributed among 20 residents. Face validity was evaluated by qualitative method and cognitive interview to check the questionnaire items in terms of difficulty level, appropriateness, and ambiguity. The test-retest method checked initial reliability by redistributing the questionnaire to the same residents with an interval of two weeks. In order to determine construct validity, the modified questionnaire was distributed among 548 medical residents from 24 specialized fields. The sample was selected using the convenience sampling method. Then the data were analyzed using exploratory and confirmatory factor analysis. Internal consistency was calculated using Cronbach’s alpha.
Results: The questionnaire’s content validity ratio (CVR) and content validity index (CVI) were 0.93 and 0.88, respectively. Based on the results of face validity, some minor changes were made to the vocabulary of most items, and item 12 was wholly changed. The ICC coefficient was more than 0.90 in all dimensions. In the exploratory factor analysis using the principal component method (PCA), the Kaiser-Meyer-Elkin value was 0.83. Bartlett’s test of sphericity was statistically significant (P<0.001), which confirms the functionality of the correlation matrix. The Cronbach’s alpha coefficient of the questionnaire was 0.83, which indicates the internal consistency of the questionnaire items.
Conclusions: According to the results, the PHEEM short-version questionnaire has good reliability and validity (face, content, and structure) among medical residents. Therefore, this measure can be used to evaluate residents’ perceptions regarding the quality of the educational environment of hospitals.
Majid Babaei, Shila Hasanzadeh, Sadeq Rezaei, Davoud Alirezazadeh Sadaghiani, Mohammadreza Sheikhy-Chaman,
Volume 17, Issue 2 (5-2023)
Abstract
Background and Aim: As a result of the COVID-19 pandemic, the global and Iranian economies have been affected in various ways. The tax sector seems to have reacted relatively quickly to this pandemic. This study examined the impact of the COVID-19 pandemic on tax revenues in West Azerbaijan Province.
Materials and Methods: This descriptive-analytic and cross-sectional study was conducted in the second half of 2021. Primary data for 17 cities of West Azerbaijan Province were provided by the General Administration of Tax Affairs of this province in the form of 9 variables in Excel Format. The data were related to 2019 (Before the COVID-19 pandemic) and 2020 (After the COVID-19 pandemic). The data were analyzed by SPSS using descriptive statistics (Frequency, Percentage, Median, Interquartile range) and analytical statistics (Wilcoxon signed rank test) at a 5% significance level.
Results: Based on the descriptive results, the COVID-19 pandemic caused an increase in the tax revenues of West Azerbaijan province in the fields of government employees’ salary tax, stock transfer tax, inheritance tax and stamp duty tax and a decrease in these revenues in the areas of private employee’s salary tax, income tax on legal entities, business income tax, property transfer tax and value-added tax. Based on the analytical results, the impact of this pandemic on the private employee’s salary tax (P=0.003), income tax on legal entities (P=0.019), business income tax (P=0.013), property transfer tax (P=0.015) and value-added tax (P=0.001) was found to be negative and significant. Furthermore, the effect on stock transfer tax (P=0.030) and inheritance tax (P=0.001) was positive and significant. On the other hand, the impact of this pandemic on government employees’ salary tax (P=0.287) and stamp duty tax (P=0.356) was not statistically significant.
Conclusion: The COVID-19 pandemic hurt most of the tax revenue sectors. To compensate for the decreased income in vulnerable sectors, the government must develop international trade with comprehensive support from the non-governmental sector while creating new tax lines. Also, stabilizing the financing cycle and designing mechanisms to prevent tax evasion, especially in high-paying jobs, can be fruitful.
Majid Jangi, Azade Shayan Babokan, Nasim Ghalili Najafabadi, Sedigheh Torki Harchegani,
Volume 18, Issue 3 (7-2024)
Abstract
Background and Aim: Considering the limitation of resourses, improvement of the hospital efficiency is an absolute necessity. The Covid19 pandemic had a considerable effect on performance indicators of hospitals. This study aimed to investigate changes of indicators of hospitals affiliated to Isfahan University of Medical Sciences before and after Covid19.
Materials and Methods: This study was descriptive-cross sectional. The statistical population included all hospitals under the coverage of Isfahan University of Medical Sciences (38). The input data were related to the three years 2019 to 2021 (the year 2019 as the year before outbreak of Covid-19, the year 2020 as the first year of outbreak and the year 2021 as the second year of outbreak), which were collected using the researcher’s form based on reports extracted from the statistics and hospital information system available in the statistics and information technology management and finally the data analyzed through the PabonLasso model.
Results: Process of indicators during the years 2019-2021 shows that mean of indicators of bed occupancy rate and bed turnover rate as the first year of outbreak of Covid19 (2020) that was the peak of the disease has decreased as compared to the year 2019 and average length of stay has increased. In years 2019, 2020 and 2021, 24.32, 23.68 and 24.32 percent of hospitals were in the third area (efficient area). From 2019 to 2020, efficiency change was observed in 27 percent of the hospitals where 6 hospitals had positive trend and 4 hospitals had negative trend and from 2020 to 2021, efficiency change was observed in 16 percent of hospitals where 2 hospitals had positive and 4 had negative trend.
Conclusion: Considering the low efficiency of hospitals, it is suggested to carry out continuous and annual assessment of efficiency changes in hospitals in order to identify the causes of inefficiency early and preventing its drop and it is necessary for health managers and policy makers to take appropriate measures in the conditions of the outbreak of unexpected disease such as the outbreak of Covid-19 in order to use hospital resources more optimally.
