Showing 365 results for Or
Nilufar Masouri, Fateme Sadeghi, Elham Khayyamdar,
Volume 5, Issue 3 (11-2011)
Abstract
Background and Aim: Information is a factor for organizations success and organizations try to stay in this competitive world. In each organization, there are sections that have special role in information aspect in hospitals and healthcare centers, this role is for medical record section which organizes all of the patients' health care information. Paying attention to function quality in this section(medical record) is very important. Since health ministry introduce(EFQM) as an Excellence Model for hospitals, there fore, the role and importance of medical record section in implementation of this model and its criteria is determined.
Materials and Methods: All of the information databases was collected and those which were appropriate were selected. Then according to the article's goal, proper keywords were selected and documented through comparing with MESH. Finally related articles in credible journals were used in two Persian and English languages.
Results: After determining all the concepts and criteria of EFQM and matching them to the medical record section's goals, task's and functions, feasibility study of EFQM implementation in medical record section, is approved. With this comparism, importance of this section's role in signification model scores hospitals quality of performance is determined.
Mostafa Rabieyan , Reza Safdari , Cyrus Azimi ,
Volume 5, Issue 3 (11-2011)
Abstract
Background and Aim: These days with the improvements in science and technology the number of individuals who suffer from genetic disorders should be drastically less. A crucial method for preventing these disorders, in the first place, is by genetic counseling. Educating the public in regards to how they can avoid producing affected children.
Materials and Methods: In this retrospective cross- sectional study, all the files of the couples attending Genetics Clinic of the Imam Khomeini Hospital Complex, during 1995 to 2004 were studied. The data were collected using a reliable questionnaire and SPSS software was applied for data analysis.
Results: The most important variable in this study was the relationship between the couples. The most frequent among the consanguineous marriages was the cross first cousins (45.3%), and the least frequency belonged to non-related marriages (6.4%). The most frequent genetic diseases belonged to children who their parents were parallel first cousins (84.8%).
Conclusions: Due to the importance of genetic counseling in relation to reducing the frequency of the genetic disorders in society, educating the general public about compulsory genetic counseling before marriage, is the cheapest and the most effective approach in limiting the number of patients
with genetic abnormalities.
Yaser Joyani, Mehdi Raadabadi , Zahra Kavosi , Jamil Sadeghifar , Khalil Momenei ,
Volume 5, Issue 3 (11-2011)
Abstract
Background and Aim: An Adapting work condition with physical and mental conditions of employees is an essential factor to do the job effectively. This study
was conducted to determine the relationship between employees occupational accidents and absence from work in Shiraz Namazi Hospital.
Materials and Methods: This descriptive-analytical and cross-sectional study was done in Shiraz Namazi Hospital at 2010. One Hundred and sixty employees in
different departments of the hospital with a random stratified sampling were enrolled in this study. Data were collected using the checklist consisting of three
parts: demographic information, types of occupational accidents and three open questions to enumerate other occupational accidents, diseases resulting from
occupational accidents and possible causes of exposure to this accidents. Data were analyzed using the SPSS software and using descriptive statistics and chi square & t tests.
Results: Out of 160, 159 participants responded and returned the questionnaire,out of which 68.9% were females. Cuts with sharp objects (22%) and toxicity
resulting from working with solvents (82%) were the lowest and highest nonexposure in sample's studies, respectively. A statistically significant relationship
between gender, work shift, organizational status and duration of employment with the occurrence of a number of occupational accidents was observed.
Conclusion: According to the results, there was no clear relationship between absences from work and frequency of each occupational accident. We recommend
the hospitals to consider notebooks for recording occupational accidents and theirway of occurrence. Also , training courses for employees shoud be in priority.
Sina Moradmand, Mohammad Reza Ganji, Ali Pasha Meysami, Zahra Akbari, Seyede Zoha Mirkhani, Narges Tabrizchi, Zahra Mokhtari,
Volume 5, Issue 4 (1-2012)
Abstract
Background and Aim: High blood pressure in children, especially in developing countries is growing. Birth weight, age and anthropometric parameters such as current height and weight as factors in childhood hypertension and adolescents have been considered. The objective of this study was to evaluate the prevalence of hypertension in children school and it's correlation with birth weight and current height and weight.
Materials and Methods: In a cross-sectional study, between 2006-2008 among 1195924 students in Tehran's schools, 2040 individuals were selected by multistage random sampling method. Inclusion criteria were age 6 to 19 years, physical health and having health card. The twins, students with hypertensive and smoker mothers were excluded. Statistical analysis was conducted by SPSS software version 16. The multiple regression analysis equation was used to determine the predictors of blood pressure levels.
Results: 69 students(3.4%), including 4.84% of girls and 3.5% of boys had high blood pressure(p=0.14). Significant direct correlation between age, current weight, current height, and body mass index, systolic and diastolic blood pressure was found. However, birth weight has a weak reverse linear correlation with systolic and diastolic blood pressure(respectively=-0.152 and r=-0.111, p<0.001).
Conclusion: Attention to Current size, especially Current weight with consideration to birth weight can be helpful to predict blood pressure in adulthood. This is important in monitoring the weight and blood pressure in children, especially child with an abnormal birth weight and overweight children.
Iman Tahamtan, Shahram Sedghi,
Volume 5, Issue 4 (1-2012)
Abstract
Background and Aim: Today, one of the challenges of doctors is how they can access medical information as quick as possible. Personal Digital Assistants (PDAs) and Smartphones are such information technologies that can be used to access health information. This study aimed to review the most important uses of Personal Digital Assistants and Smartphones in medicine and in accessing health information.
Materials and Methods: The researchers searched Pubmed, Google Scholar and Scopus to collect relevant articles about the use of PDAs and Smartphones among healthcare professionals. In this search, such terms as Handheld Computer, Smartphone, Personal Digital Assistant, Mobile phone and their synonyms were considered.
Conclusion: With regard to the vast amount of information produced daily, PDAs and Smartphones are useful devices for physicians and medical students because they can easily get the most recent bits of information at the point of care, and improve their medical knowledge through these devices. Utilization of PDAs and Smartphones in Medical Centers will improve the efficiency and quality of health services.
Mohammad Reza Zarbakhsh Bhari, Simin Hoseinian, Gholamali Afrooz, Heidarali Hooman,
Volume 5, Issue 5 (3-2012)
Abstract
Background and Aim: Low weight at birth is one of the main health indexes in evaluating pregnancy period care, and recognizing its related factors is very important. The aim of this study was a comparison of pregnancy age, height, the distance between two pregnancies, gaining weight during pregnancy, economical condition, nutrition, general health of the mothers with low and normal birth weight.
Materials and Methods: The research method was casual-comparative conducted as field-work. From all newborns born since (Jan 2008 to Nov 2009) 168 low birth weight babies with their mother and 157 newborns with normal weight from 20 maternity center at Guilan province were randomly selected. Mothers filled general health questionnaire with the reliability of 0.82. The data were analyzed using SPSS Software.
Results: There was a significant difference among mothers (case and control ) in terms of pregnancy age, height ,distance between two pregnancies, increasing weight during pregnancy, economical condition, nutrition condition and general health (mental), (p0.01).
Conclusion: Various factors affected newborns' weight at birth. Therefore, decreasing the rate of low weight will be one of the main social health indexes requiring cooperation of counter- groups and different organizations such as the Ministry of Health and treatment, psychotherapy, counseling centers and radio/television.
Mohammad Reza Meigounpoory, Pedram Yazdani, Hamid Reza Rezaeian Zadeh,
Volume 5, Issue 5 (3-2012)
Abstract
Background and Aim: Identification of entrepreneurial opportunities in the field of nutrition counseling is a central issue in employing nutrition consultants and meeting the needs of patients with chronic diseases better. To this end, the present survey has been conducted in order to analyze the supply and demand trends of diabetes nutrition counseling as a basic step toward identifying the entrepreneurial opportunities for nutrition consultants in Tehran.
Materials and Methods: To implement this descriptive-survey study, a questionnaire based on Likert scale was sent by email to 80 active professionals in the field of nutrition counseling services in Tehran, of whom 48 responded to its questions. Then, using SPSS11.5, the mean values of participants' responses were calculated and compared with one another.
Results: The findings obtained based on participants' responses revealed that the need for "nutritional counseling in the form of a treatment team" was mostly not met in different age, education and income groups of diabetic patients
Conclusion: "Nutrition counseling in the form of a treatment team" can be considered as a suitable field for entrepreneurial activities.
Mohammad Hiwa Abdekhoda, Alireza Noruzi, Saman Ravand,
Volume 5, Issue 5 (3-2012)
Abstract
Background and Aim: Patents are used as indicators to assess the growth of science and technology in a given country or area. They are examined to determine the research potentials of research centers, universities, and inventors. This study aims to map the past and current trends in patenting activities with a view to understanding better and tracking the changing nature of science and technology in Iran.
Materials and Methods: The patenting activity in Iran was investigated based on USPTO, WIPO, and Esp@cenet for the period 1976-2011. The researchers analyzed the affiliation of inventors, and collected patents having at least one Iranian inventor. The collected data were analyzed using Microsoft Excel.
Results: results showed that between 1976 and 2011, 212 patents were registered by Iranian inventors in the above-mentioned three databases. The average number of Iranian patents registered per year increased significantly from 25 in 1976-1980 to 119 in 2006-2011. It should be noted that the highest number of registered patents (27%) were in" chemistry, metallurgy" area of International Patent Classification, followed by "human necessities"(18%), and "performing operations transporting"(15%).
Conclusion: Overall, the proportion of Iranian inventors' patents registered in databases is small. However, the figure shows a growth for the years under study. Iran's patents registered in databases have considerable subject concentration. Scientific areas are growing together, and there is more potential of research work and innovation in areas of "chemistry, metallurgy", "Electricity" and "human needs".
Firuz Amani, Afshin Shaker, Mohammad Sadegh Soltan Mohaammadzadeh, Negar Alaaf Akbari, Shohreh Sarrafe Smaeili,
Volume 5, Issue 5 (3-2012)
Abstract
Background and Aim: Medicine as a strategic commodity and basic needs of the most people in the country is important. According to the necessary recognition correct pattern of drug use, this study is conducted to measure the pattern of drug use among Ardabil city families.
Materials and Methods: A cross -sectional descriptive study was conducted on 1000 randomly selected families from Ardabil city in 2010. Necessary information was gathered by interviewing one of the oldest people in the family. Collected data was analyzed using descriptive statistical methods in SPSS.16 software.
Results: 485(48.5%) of study people were female and rest of them were male. The mean age of samples was 41.6(SD=14.1). From all families 22% uses the drugs in home for curing diseases by self diagnosis. 10.9% of them do not respond to doctors non medical advice and prefer the doctor to prescribe drugs otherwise they refer to another doctor.
Conclusion: Results showed that the drug use behavior between Ardabil city families was inappropriate and decreasing irrational use of drugs by providing necessary information to people regarding optimal use of medicine was necessary.
Mohammad Ali Abbasi Moghadam, Azam Hosein Alizadeh,
Volume 5, Issue 5 (3-2012)
Abstract
Background and Aim: Changes in political, economic, social, scientific and technological circumstances have a major impact on organizational performance. In such circumstances, the success of organizations depends on their ability to cope and adapt to changing environmental factors. This study investigated the relationship between organizational participation(team orientation, capability development and empowerment) and the organizational adaptability (change, customer orientation and organizational learning) in Imam Khomeini Hospital staff.
Materials and Methods: This cross-sectional study was performed on 114 staffs of Imam Khomeini hospital, Tehran University of Medical Sciences who were selected by random sampling. Data were collected by Denison questionnaire (2006 version), which was confirmed validity and reliability. Data were analyzed with spss17 and statistical methods like the mean, standard deviation and correlation coefficients.
Results: The results showed that the rate of the organizational involvement and adaptability of the staffs was 53.44% and 52.37% respectively. The Pearson correlation analysis showed a positive correlation coefficient (p<0.01, r=0.743) between two variables of organizational involvement and adaptability.
Conclusion: With increasing organizational involvement of the staffs increases their organizational adaptability
Sakineh Vali Ghazvini, Elham Shah Bahrami, Yasser Nazari, Fardin Moradi, Rooholah Kalhor,
Volume 6, Issue 1 (5-2012)
Abstract
Background and Aim: Organizations have to establish modern management systems to progress and to obtain maturity. One of the techniques which started in Europe in the last two decades and is considered in management area of country during recent years is the model of organizational promotion (EFQM). The purpose of this study was Performance Evaluation of Rajaei Hospital Based on «EFQM» Organizational Excellence Model.
Materials and Methods: This cross-sectional study was conducted in year 2010 in Qazvin Rajai Hospital. Data collection tool, was EFQM organization Excellence Model questionnaire which was completed by all the managers. Validity and reliability of questionnaire was calculated. Results were analyzed using descriptive statistics.
Results: Results indicated that this hospital has acquired 99.183 scores out of 500 in enablers factor(88.36 percent of optimum score). Also has gained 183.71 scores out of 500 (36/75 percent of optimum score). Overall, this hospital has obtained 366.7 scores out of 1000 as the total score in the model for performance evaluation in year 2010.
Conclusion: Findings indicated that based on Excellence model criteria, this hospital is in a moderate level. Applying this model for Iranian hospitals which often meet serious problems in this area is informative and practical. Strong systematic view, paying attention to organizational process-based management and being result-oriented are advantageous of using this model.
Reza Dehghan, Kambeiz Talebi, Abolghasem Arabioun,
Volume 6, Issue 1 (5-2012)
Abstract
Background and Aim: This study aimed to assess the factors affecting organizational innovation and entrepreneurship at medical sciences universities in Iran. Such universities provide a wide range of services and products including prevention (hygiene), treatment (medical care), rehabilitation and palliative care, as well as their important mission, i. e., higher education and research in related fields.
Materials and Methods: In this study, the researchers developed and examined a model for organizational innovation and entrepreneurship, including 16 factors classified into structure, content (behavior) and context (periphery) of the subject.
The data collection instrument was a pre-structured questionnaire containing 58 core questions on the Likert scale. The validity of the questionnaire was computed by elites, and its reliability was estimated using Cronbach's Alpha (94%). Of 389 questionnaires, 325 were collected and their data were analyzed by SPSS software, version 18.
Results: The three factors -- structural (structure), behavioral (content) and peripheral (context) -- which affect innovation and entrepreneurship are not favorable at medical universities.
Conclusion: This study shows that structural, behavioral and peripheral factors are the most important, which affect innovation and organizational entrepreneurship at medical sciences universities.
Mahnaz Mayel Afshar, Ali Rajab Zadeh, Mehdi Memarpour,
Volume 6, Issue 2 (7-2012)
Abstract
Background and Aim: Problems such as hypothyroidism and aggressiveness may lead the organizations to reduced and seek to increase further behaviors that have the benefits for organization, such as productivity. One of the factors that produce productivity organization is organizational citizenship behavior. The aim of this study was to determine the relationship between the component of organizational citizenship behavior with human resources productivity among selected hospital's staff in Tehran University of Medical Sciences and Shahid Beheshti University of Medical Sciences.
Materials and Methods: This research was carried out in 6 Hospitals of Tehran University of Medical Sciences and Shahid Beheshti University of Medical Sciences by attitude approach survey and data has been collected via questionnaire that was distributed among 429 staff of these hospitals by 2 stage stochastic sampling method. Research methodology has been descriptive, analytical and cross sectional. For survey to accept or reject the study hypothesis, was performed spearman correlation and regression tests with SPSS software.
Results: The study results showed that, in our population perception, there was a significant relationship between organizational citizenship behavior and productivity in people. This means that, in these hospitals, implementation of organizational citizenship behavior has effect on the amount of peoples productivity.
Conclusion: In this study, the effect of magnanimity and look over component on productivity had different results in the studied hospitals. But results are same as the initiative of individual creativity component. In addition the potential reasons for probable low levels of these components and their related indices have been analyzed and the solutions have been presented for their improvement.
Ali Keshtkaran, Zahra Kavosi, Ariyan Gholipour, Sanaz Sohrabi Zadeh, Zahra Sharafi,
Volume 6, Issue 2 (7-2012)
Abstract
Background and Aim: Work engagement is defined as a positive, fulfilling, work-related state of mind that is characterized by vigor, dedication, and absorption. Since the quality of care delivery to patients depends on nurse's practices, the objective of this study was to determine work engagement & its effective factors among nurses of general hospitals of Shiraz University of Medical Sciences.
Materials and Methods: This cross sectional study was performed among 273 in-patient nurses of Namazi and Faghihi hospitals using 2 stages of sampling. Our questionnaire was validated by experts opinions and Cronbach's alpha index (86%). Descriptive statistics and correlation tests were used for the analysis of data by SPSS.
Results: According to the results obtained, mean work engagement was 58.95 ± 10.51 and there was a significant correlation between work engagement and organizational - supervisor support, organizational justice, job characteristics, reward & recognition, organizational citizenship behavior, organizational commitment, job satisfaction, turnover( p<0.05). The relationship between work engagement and reward was the strongest(r=0.512).
Conclusion: The results imply the importance of work engagement and its related factors. Nurses are one of the biggest health system groups, and their burnout disadvantages hospitals and community. Thus, work engagement should be noticed in all policy-making related to nurses.
Rahim Rouzbahani, Mehrnaz Mozaffarian, Mehdi Kazempour Dizadji,
Volume 6, Issue 2 (7-2012)
Abstract
Background and Aim: Health information System (HIS) is a comprehensive software used to unify and transfer hospital data effectively. It is vastly employed to improve input quality, decrease data-transfer time, increase satisfaction level, promote health services quality, and minimize hospital costs.
Materials and Methods: This is an applied-descriptive study. The research population consisted of 120 HIS users who worked before and after the HIS application at Masih-Daneshvari Hospital. For data collection purposes, a questionnaire was used. The data were then analyzed with SPSS software, and descriptive and inferential statistical methods.
Results: According to data analysis, the application of the existing communication system among the different sections and wards was very good (81%), the accessibility to patient medical information and facilitating treatment processes were good (44% and 61%, respectively), and the analysis of budgeting data (11%), the possibility of clinical researches (19%), the presentation of guides for operators (18%), and the accessibility to statistical and financial data (17% and 22%, respectively) were assessed as poor.
Conclusion: The results of this survey show that the application of Hospital Information System has a positive effect on accuracy, facility, and treatment processes, and emphasize the importance of programming to enhance the quality of hospital services.
Hossein Nowrozi, Ali Kazemi, Zakiye Azadi, Fatemeh Farhid, Parvin Moazemi,
Volume 6, Issue 2 (7-2012)
Abstract
Background and Aim: Pityriasis versicolor is a fungal disease with causative agent Malassezia species which is an opportunistic and lipophilic yeast .With regard to liphophilic nature of the yeast, this study was carried out for evaluation of relationship between pityriasis versicolor and triglyceride and cholesterol levels.
Materials and Methods: This cross - sectional study was performed on 1500 subjects ranging from 10 to 50 years old in Isfahan province. Of total subjects, 105 had pityriasis versicolor. Disease confirmation was based on direct examination, inoculation and culture on Dixon media. Measurement of total cholesterol and triglyceride of patients and control groups in fasting manner was done by Auto analyzer RA 1000. Data of patients including age, education level and job was gathered by questionnaire and analysis of results was done by t student, chi square and Pearson correlation tests.
Results: Prevalence of infection was 7% in the test group. Maximum frequent rates of infection was %3.13 in age group 20- 30 years and minimum in age group 30-40 years(% 0.87). The highest rate of total cholesterol levels was seen in age group 40-50 years (mean 215 mg/dL) and the lowest was in age group 10-20 years(mean 205 mg/dL).
Conclusion: Total cholesterol and triglyceride levels in patients were higher than the control group but the difference was not significant(P<0.05). No correlation was seen between pityriasis versicolor and increase in the total cholesterol and triglyceride levels in patients and control groups.
Nasrin Dashti, Nahid Einollahi, Mitra Zare Bavani, Sakineh Abbasi,
Volume 6, Issue 2 (7-2012)
Abstract
Background and Aim: Internal Evaluation is a process of providing evaluative-descriptive information based on the value and significance of educational objectives, operations and results to direct decisions, responses, information and research processes.
Materials and Methods: In this research, studying the opinions of faculty members, students, and graduates, the educational system of Medical Laboratory Sciences Department at Tehran University of Medical Sciences (TUMS) was evaluated in the year 2010. The aim the study was to remodel and adjust the educational system with the society's needs and to promote the educational quality. The employed method was a cross-sectional, descriptive one and consisted of 10 procedural steps in eight sections dealing with the evaluated factors such as faculty members and students, and the satisfaction expressed by students.
Results: The results of the study showed that the average of the eight investigated sections was 70.6% for the Department of Medical Laboratory Sciences, which can be interpreted as desirable.
Conclusion: Internal evaluation can be considered as one of the best methods of improving the quality of education in the faculty of Allied Health Sciences School
Negar Khazan, Ardeshir Ghavamzadeh, Ana Boyajyan, Ghohar Mkrtchyan, Kamran Alimoghaddam, Seyed Hamidollah Ghaffari,
Volume 6, Issue 2 (7-2012)
Abstract
Background and Aim: Tumor dissemination via blood to distant organs is the main cause of death. Therefore, there is a critical need to set up sensitive methods for the early detection of circulating tumor cells(CTCs) and disseminated tumor cells(DTCs) in peripheral blood (PB) and bone marrow(BM) specimens of breast cancer patients. The aim of this research is to study the detection of micrometastasis using MUC2 in such patients.
Materials and Methods: In this study, PB and BM samples were collected from 50 breast cancer patients after operation and before adjuvant therapy. Mucin 2 (MUC2) was used as a tumor marker and its transcript level in the sample patients was analyzed using gene specific, quantitative real-time PCR reaction with SYBR Green technology. Samples from 20 healthy individuals were used as negative controls. HPRT was used as a reference gene.
Results: MUC2 mRNA was detected in 8 (16%) of PB and BM samples. MUC2 mRNA was not detected in PB samples of healthy individuals. The relapse rate among MUC2-positive patients was higher than MUC2-negative patients and it was statistically significant in BM (P<0.05).
Conclusion: This study shows that MUC2 can be a suitable marker for the detection of micrometastasis in breast cancer patients at early stages of cancer and that it may provide the basis for identifying women at risk of relapse.
Azar Tol, Sima Esmaeili Shahmirzadi, Davoud Shojaeizadeh, Mohamad Reza Eshraghian, Bahram Mohebbi,
Volume 6, Issue 3 (9-2012)
Abstract
Background and Aim: Cardiovascular diseases are the main cause of death and disabilities in the world. The purpose of the present study is to determine the perceived barriers and benefits of adopting health-promoting behaviors among individuals at risk of cardiovascular diseases referring to TUMS Teaching Hospitals in 2011.
Materials and Methods: This is a cross-sectional study in which 325 patients at risk of cardiovascular diseases were randomly selected. The data were collected using a self-made questionnaire having three parts: 14 items for demographic and health-related variables, 12 items for perceived barriers, and another 12 items for benefits. For data analysis, SPSS 18 was used.
Results: The mean age of patients was 53.56±11.27 about 47.7% of patients(n=155) were female and 52.3% (n=170) were male. There was a meaningful relationship between the mean of perceived benefits on the one hand and occupation, physical activity, type and frequency of physical activity, smoking and awareness of cardiovascular diseases on the other(p0.001). Moreover, the mean of perceived barriers showed a meaningful relationship with occupation, smoking and awareness of cardiovascular diseases(p0.05).
Conclusion: The findings of the present study revealed that demographic and health-related variables could affect the perception of barriers and benefits of adopting certain behaviors for the prevention of cardiovascular diseases. Therefore, using interventional and educational approaches appropriate for target group features can help us take effective steps towards health promotion.
Reza Safdari, Marjan Ghazi Saeedi, Maryam Zahmatkeshan,
Volume 6, Issue 3 (9-2012)
Abstract
Background and Aim: Urban health is one of the challenges of the 21st century. Rapid growth and expanding urbanization have implications for health. In this regard, information technology can remove a large number of modern cities' problems. Therefore, the present article aims to study modern information technologies in the development of urban health.
Materials and Methods: This is a review article based on library research and Internet searches on valid websites such as Science Direct, Magiran, Springer and advanced searches in Google. Some 164 domestic and foreign texts were studied on such topics as the application of ICT tools including cell phones and wireless tools, GIS, and RFID in the field of urban health in 2011. Finally, 30 sources were used.
Conclusion: Information and communication technologies play an important role in improving people's health and enhancing the quality of their lives. Effective utilization of information and communication technologies requires the identification of opportunities and constraints, and the formulation of appropriate planning principles with regard to social and economic factors together with preparing the technological, communication and telecommunications, legal and administrative infrastructure
