Showing 18 results for Taheri
A Meshkinian , H Asilian , Sh Nazmara , Jd Shahtaheri ,
Volume 1, Issue 3 (7 2003)
Abstract
The purpose of this study was to measure ambient lead concentrations in Tehran's 12th Municipal District and also Pb concentrations in urine samples from municipal workers assigned to the same region. In this research workers from the 12th District were matched and compared with a control group who were doing the same type of work in another region in northern Tehran with lighter traffic and comparatively clean air.Air samples were analyzed by atomic absorption techniques. Results showed the mean air concentration of lead to be higher than standard (1.5ug/m3) except on Fridays and Thursdays (1.9±0.32). The end-shift urine samples were prepared and analyzed using the HSE method. Lead levels in 77.1% of the urine samples were higher than HSE-recommended limits (643.86±353.73). The independent t-testindicated that the mean urine Pb concentration in the case group was significantly higher than in controls (p<0.001). Mean urine lead levels in smokers were significantly higher than non-smokers in case group (p^0.043). The Pearson Correlation test showed a significant relationship between urine Pb concentration and age, duration of employment, and smoking habit in case workers (r=0.427, p= 0.011, r=0.385, p=0.632 and r=0.632, p=0.009 respectively). Also, the Kruskal-Wallis test indicated that urine lead levels were independent of the workers'education level and work shifts.
S.j Shahtaheri , F Ghamari , F Golbabaei , A Rahimi Froushani , M Abdolahlli ,
Volume 3, Issue 2 (3 2005)
Abstract
In this study, parameters affecting on SPE of trance trance muconic acid (t,t-MA), including sample pH, sample concentration, sample volume, sample flow rate, washing solvent, elution solvent, and type of sorbent were evaluated. After sample preparation of muconic acid as urinary metabolite of benzene, it was determined by HPLC-UV. In chromatographic analysis, column was C18 (250 cm × 4.6 mm id, 0.5 µm), UV wave length was 259 nm, mobile phase was H2O/methanol/acetic acid (69:30:1 v/v/v) was run at flow rate of 1 ml/min. Through experimental evaluation, a strong anion exchange silica cartridge (SAX) has been found successful in simplifying sample preparation compare to C8 and C18. There were significant difference between recoverie of muconic acid when different washing solvent, sample volume, and sample flow rate were used (p< 0.001). An optimum recovery was obtained when sample pH was adjusted at seven. Other optimum conditions were: sample flow rate 1 ml/min washing solvent acetic acid 1% , and acetic acid 10% as elution solvent. In this study, there was no significant difference when different sample concentrations were used (p>0.05). Recovery of spiked urine sample at concentrations of 0.1, 1, 10 µg/ml were more than 95%. The limit of detection of the optimized method was 0.01 µg/ml, showing 20 times less than biological exposure index (BEI). The optimized method was then validated with three different pools of samples at above mentioned concentrations and showed a good reproducibility over six consecutive days as well as six within-days experiments.
J Nasel Saraji , S.a Mosavi , S.j Shahtaheri , M Pourmahabadian ,
Volume 3, Issue 4 (4 2005)
Abstract
The exposure index was used to obtain integrated and concise assessment of the various risk factor analyzed and to classify occupational scenarios featuring significant and diversified exposure to risk factors.
In this study, an integrated procedure from four data gathering methods include observational methods (for jobs and tasks analyzing featuring repetitive movements) interview method (for asking about upper limbs musculoskeletal disorders), Nordic musculoskeletal questionnaire (NMQ) method and Occupational repetitive actions method (OCRA) were used .
A 385 persons group was studied, working in 33 various jobs in a textile factory. The results showed that, 0.86% of work tasks had low risk level, 87.93% of work task were located in moderate risk level and 11.21% of work task had a high risk level. Mean of exposure indices in four jobs include primary of spinning, spinning, primary of weaving, and weaving had significant difference (p=0.003). Also, the weaving job had a highest risk of occurrence upper extremity musculoskeletal disorders. Mean of right and left hand exposure indices showed a significant different (p<0.001). There was significant relationship between UEMSDs with age (p<0.05).
It was concluded that, the OCRA methods can be a useful method for evaluation of UEMSDs in repetitive activities.
Gh Pourmand , M.r Pourmand , S Salem , M Taheri Mahmoudi , A.r Mehrsai , R Ebrahimi , M.r Nikoobakht , K Nouri Jelyahi ,
Volume 4, Issue 2 (3 2006)
Abstract
Background and Aim: Infectious complications after renal transplantation are associated with significant morbidity and mortality. We evaluated post-transplant complications due to infections and their relationship with graft function, immunosuppressive drugs and mortality.
Materials and Methods: Over a 2-year period (2002-2004), 179 renal transplantations were performed in our center. Of these, 142 cases were followed for a period of one year. The immunosuppressive regimen included cyclosporin A, mycophenolate mofetil and prednisolone. Each patient was assessed through regular visits and according to the ward protocol. Results of the investigations (infections and their relationship with age, sex, donor type, creatinine level, acute rejection, immunosuppressive drugs, graft and patient survival) were recorded and analyzed.
Results: The overall incidence of infection was 54%. The most common sites were lower urinary tract (42%) and respiratory tract (6%). The most frequent causes were Klebsiella (24%) and Cytomegalovirus (18%). Wound infection occurred in 5% of the patients. The overall mortality was 7.7%, and almost half of the death cases (3.5%) involved sepsis development. Graft loss occurred in 16 (11%) of the cases: 2 developed Cytomegalovirus infection, 2 experienced urinary tract infection (UTI) and 5 developed sepsis (and expired). Mycobacterial and hepatitis C infections were noticeably low compared to other studies. The hazard rate in occurrence of UTI, CMV, acute rejection and mortality were higher in cadaveric transplant recipients than in others.
Conclusion: This study identifies infections as a major cause of morbidity and mortality in the post-transplant period. Patients having higher creatinine levels and those receiving high doses of drugs at discharge are considered to be at high risk and should be evaluated thoroughly.
A Tirgar , F Golbabaei , K Nouri , Sj Shahtaheri , M.r Ganjali , J Hamedi ,
Volume 4, Issue 4 (4 2006)
Abstract
Background and aim: The chromium mist generator is an essential tool for research and for making evidence-based recommendations in evaluating air pollution and its control systems. The purpose of this study was to design and construct a homogeneous chromium mist generator and to look at the effects of factors such as sampling height and distance between samplers in side-by-side sampling on the chromium mist sampling method.
Material and Methods: First we developed a mist generator, using a chromium electroplating bath in pilot scale. Concentrations of CrO3 and sulfuric acid in plating solution were 125 g L-1 and 1.25 g L-1, respectively. To set up permanent air sampling locations, a Plexiglas cylindrical chamber (75 cm height, 55 cm i.d) was installed as the bath overhead. Sixty holes were made on the chamber in 3 rows (20 in each row). The distance between rows and holes was 15 and 7.5 cm, respectively. Homogeneity and the related factors were studied using a side-by-side air sampling method. Forty-eight clusters of samples were collected on polyvinyl chloride (PVC) filters contained in sampling closed-face cassettes. Cassettes were located 35, 50, and 65 cm above the solution surface with < 7.5 and/or 7.5-15 cm distance between heads. All samples were analyzed by the NIOSH method 7600.
Results: ANOVA tests showed no significant differences between locations in side-by-side sampling (P=0.82) or between different sampling heights or sampler distances (P=0.86 and 0.86, respectively). However, there were notable differences between means of coefficients of variation (CV) in various heights and distances.
Conclusion: We conclude that the most chromium mist homogeneity could be obtained at a height of 50 cm from the bath solution surface and with a distance of < 7.5 cm between samplers.
F Golbabaei , S Khavvaji , A Tirgar , Sj Shahtaheri , K Nourijelyani ,
Volume 5, Issue 1 (2 2007)
Abstract
Background and Aim: Hexavalent chromium (Cr6+) is a known occupational carcinogen. Over the recent years, the increasing number of exposed workers and the emergence of serious health effects have led to considerable lowering of permissible exposure levels for Cr6+. Moreover, a number of methods have been developed for rapid and precise measurement of Cr6+concentrations. Given the importance of accurate measurements, this study was carried out to compare the performance of different samplers in relation to factors such as sampling height, sampling duration, and electroplating solution concentration.
Material and Methods: We used a hexavalent chromium generator fitted with a special sampling chamber and with proven ability to produce homogenous atmospheric concentrations. The performances of 4 samplers including IOM and CIS (as inhalable particle samplers) and Open and Closed-face cassettes (as total particle samplers) were examined through a simultaneous sampling technique. Sampling was done using the NIOSH 7600 method (samples were collected on PVC membrane filters with a pore size of 5.0 µm, at an air flow rate of 2.0 ± 0.1 l/min). Variables investigated with regard to their effects on sampler performance were sampling height (heights from bath solution: 35 and 50 cm), duration (30 and 180 min) and solution concentration (125 and 250 g/l).
Results: The measured concentrations ranged from 2 to 2725 µg.m-3. Analysis of the results in a completely randomized block design showed significant differences in performance between different samplers (P< 0.001). There were also differences between samplers at different heights and electroplating concentrations (P=0.0007). Multiple comparisons by Scheffe's method showed that the difference detected was due to the superior precision of the IOM (P<0.05).
Conclusion: Overally, there were statistically significant differences between the performances of the studied samplers Cr6+ concentrations at the studied heights (4.09, 8.68 µg.m-3), sampling duration (5.90, 6.88 µg.m-3), and bath concentration (2.73, 11.88 µg.m-3) had no significant effects on sampler performance. The CIS sampler underwent corrosion during acidic mist collection and thus can not be recommended for Cr6+ mist collection.
F Golbabaee, A Esmaeilzadeh, A Rahimi, Sj Shahtaheri ,
Volume 6, Issue 3 (13 2009)
Abstract
Background and Aim: Laboratory fume-hoods are the first-level protection for the laboratory staff against hazardous chemical pollutants. Considering the large numbers of personnel, especially in petrochemical industry laboratories, this project was carried out in order to assess the performance of laboratory hoods based on tracer gas (SF6).
Materials and Methods: In this project 22 hoods in the laboratories of a petrochemical industry were studied. Operation of the hoods was assessed based on quantitative (with SF6 as tracer gas) and qualitative (face velocity measurement, using thermal anemometer) tests, according to ASHRAE 110 stndard.
Results: In comparison with the minimum acceptable face velocity (80 fpm), the mean values of face velocities of only 9.09% of the hoods passed the test (P=0.001) and were at an acceptable level. As regards the tracer gas test, the results were even worse: only 4.5% of the hoods passed the acceptability test (p=0.001). In addition, non of the hoods having an acceptable face velocity passed the tracer gas test. Similarly, no hood with an accepatable tracer gas performance had an acceptable face velocity.
Conclusion: Since there is no consistency between face velocity and tracer gas tests, performance of laboratory hoods can necessarily be assessed on the basis of the tracer gas quantitative test. The face velocity test is a supplementary test, which, if used alone wil give false results.
R Zahiri, M Taheri,
Volume 8, Issue 3 (23 2010)
Abstract
Background and Aim: Pressure ulcer is a common problem and a large drain on hospital resources, especially in wards such as ICU where patients stay for a long time. The aim of this study was to explore the likely factors contributing to pressure ulcers in the ICU units of Tehran University of Medical Sciences teaching hospitals, Tehran, Iran.
Materials and Methods: This project was conducted in all the seven ICUs of four teaching hospitals affiliated to Tehran University of Medical Sciences. In the first phase the researcher performed a direct observation of all the 90 patients who were admitted to the ICU units to check the presence of any pressure ulcer. In the second phase, 310 patients discharged from the same ICU units between March 2007 and February 2008 was randomly selected and their medical records reviewed. A structured questionnaire was used to collect the data.
Results: Pressure ulcer occurred more frequently in the elderly women patients who were less active and had less mobility, hospitalized for a long time, or those with fever, diabetes, high blood pressure, paralysis, or respiratory diseases. In addition, pressure ulcer was seen more frequently in the patients hospitalized in the general ICUs, as well as in those with infections and different types of tumors.
Conclusion: Using a standard risk assessment tool and paying attention to the main risk factors of pressure ulcer can be a useful method for identifying the high-risk patients before admission in order to prevent them from developing such ulcers.
F Kargar, Sj Shahtaheri, F Golbabaie, A Barkhordari, A Rahimi Forushani,
Volume 8, Issue 3 (23 2010)
Abstract
Background and Aim: Lead is a toxic metal used in different industries and occupational and environmental exposure to it is quite likely to occur. Because of its high potential toxicity, serious damages to those exposed to it are common. Since the ceramic industry, in which lead is used, is considered a domestic industry in Iran, in this study occupational exposure of glaze workers to lead was assessed in a ceramic industry.
Materials and Methods: A total of 55 glaze workers (39 tillers and 16 potters) were selected as the case group. Association of lead concentration with several variables, including work shift, work type, ventilation system, and the number of extra work hours during the previous month, was determined. A sampling pump (SKC Co.) and ester cellulose filters with a pore size of 0.8 µm, 37 mm in diameter, were used for sampling. The flow-rate was adjusted at 2 l/min based on the NIOSH 7300 method. After sampling, filters were transferred to the laboratory and digested in a mixture of nitric acid and per chlorate solution (4:1) and analyzed by ICP-AES. To minimize probable errors and pollution during sampling and sample handling, samples were also taken from employees in the administration department to serve as control. Spiro metric tests were performed on both the case and the control groups.
Results: The lead concentrations were higher than the threshold limit value (TLV) (0.17 mg/m). Independent t-test showed that there was a significant relation between concentration of the lead present in the breathing zone air and 2 independent variables, including shifts work (morning and afternoon) and the ventilation system among tillers. Also, based on the one-way ANOVA, there was a significant relation between concentration of the lead present in the breathing zone and the number of extra working hours over the shift.
Conclusion: The mean lead concentration in the breathing zone was higher than the respective TLV. Considering the hazardous nature of lead, protective measures─ personal, occupational and environmental─ should be taken. Moreover, clinical examination of job applicants at the time of employment, as well as periodic examinations and Spiro metric tests on the workers, are also strongly recommended.
F Golbabaei, R Kazemi, B Golestan, M Pourtalari, J Shahtaheri, M Rismanchian,
Volume 8, Issue 4 (20 2011)
Abstract
Background and Aim: Considering the acute and chronic effects of organic solvents to which vehicle painters are exposed for long periods of time, their evaluation and control is crucial for protection of health of the employees. This study aimed to find the most influential factors on exposure to, and spreading pollution with, benzene, toluene, xylem, and etylebenzene (BTEX) in order to be able to choose the best control measures.
Materials and Methods: In a motor-vehicle company the vehicle painting process was studied in detail and the solvents used in paints and in spreading organic solvent stations were identified. Based on the types and concentrations of the variables being studied, using the NIOSH method a total of 240 air samples were collected (5 samples for each variable and the respective controls) and analyzed. The SPSS version 11.5 was used for data analysis, the statistical tests being multi-regression and analysis of variance.
Results: Exposure to benzene in all occupational tasks, as well as to toluene in top coating and undercoating stations exceeded, while exposure to etylebenzene and xylene did not reach, the respective permitted exposure limits (p<0.05). The most effective factors on exposure to all the four solvents were, in order of effectiveness, occupational task, gun type, and the type of paint sued (p<0.05).
Conclusion: The effects of the variables studies – occupational task, gun and paint types – on exposure to BTEX relate to differences in occupational task work load, the type of gun used, and the paint organic solvent formulation. The reason for the potentially high exposure to benzene is its presence as an impurity in the paint solvents. Thus, it is highly recommended that in the process of control and evaluation special attention be paid to these factors.
M Jahangiri, J Adl, Sj Shahtaheri, H Kakooe, A Rahimi Forushani, Am Rashidi, A Ghorbanali,
Volume 9, Issue 1 (14 2011)
Abstract
Background and Aim: Determining the degree of conformity of respirator cartridges with the accepted standards is very important for ensuring their respiratory protection efficiency. The aim of this study was to determine the degree of conformity of organic vapor-respirator cartridges used in different petrochemical companies with the EN 14387:2004 standard.
Materials and Methods: In the first phase of the study, the respirator cartridges used in petrochemical complexes were identified and their specifications obtained from their manufacturers and the relevant technical catalogues. In the second phase, 3 samples of each of the cartridge models were chosen and tested according to the EN 14387:2004 standard. An instrument was especially designed for measuring the breakthrough time of the cartridges.
Results: The results showed that the minimum and maximum breakthrough times of cartridges were 29 and 142 minutes, respectively. From all the 10 different cartridge models tested, one had a service life of lower than the minimum standard breakthrough time of 70 minutes.
Conclusion: Considering the existence of a non-standard type of cartridge among the samples studied, it is essential to launch a program aiming at ensuring the conformity of cartridge efficiency with the respective standards. Such a program should be developed and implemented by such responsible organizations as the Institute of Standard and Industrial Research of Iran and the Center for Occupational Health and Safety Research and Training of Iran.
Ehsaneh Taheri, Mahmoud Jalali, Ahmad Saedi, Abolghasem Jazayeri, Abbas Rahimi, Seyed Mohammad Hashemi,
Volume 9, Issue 4 (13 2012)
Abstract
Background and Aim: Vitamin D deficiency is highly prevalent in Asia, including the Middle East. Vitamin D deficiency has been found to have an inverse relationship with occurrence of type-2 diabetes mellitus (DM). In this study we assessed the vitamin D and calcium status in type-2 diabetic patients and compared it with that of healthy subjects in Tehran, Iran.
Materials and Methods: This cross-sectional study included 180 Tehrani individuals, including 95 DM patients, selected randomly from among the members of Iranian Diabetes Association, and 85 healthy subjects in Tehran, Iran. Age and gender were adjusted between the two groups. Serum levels of 25(OH)-vitamin D, calcium, phosphorous, and Parathormone (PTH), as well as weight, height and body mass index (BMI) were measured.
Results: The mean and SD age and BMI of the diabetic patients were 51.26 ± 11.18 years and 26.22 ± 9.30 kg/m2, respectively the corresponding figures for the healthy subjects were 51.55 ± 13.39 and 26.26 ± 4.55. The prevalence of calcium deficiency was close in the 2 groups, it being 55.8% in the diabetic, and 57.0% in the healthy, subjects. The data also showed that while 26.3% of the patients suffered from a poor vitamin D status, only 18.6% of the healthy subjects had this problem.
Conclusion: Vitamin D deficiency is highly prevalent among both type-2 diabetic and healthy subjects and should be considered a public health and nutritional problem in Tehran city, Iran.
Yousef Mohammadian, Seyed Jamaledin Shahtaheri, Ali Akbar Sabour Yaraghi, Hossein Kakooei, Mohammad Hajaghazadeh,
Volume 10, Issue 4 (18 2013)
Abstract
Background and aim: In this study the cytotoxicity to human epithelial lung cells of single-walled carbon nanotubes, multi-walled carbon nanotubes and chrysotile was compared based on the following cytotoxicity indices: no observable adverse effect concentration (NOAEC), inhibitory concentration 50 (IC50), and Total Lethal Concentration (TLC).
Materials and Methods: Human epithelial lung cells were exposed to different concentrations (1 to 1500 µg/ml) of carbon nanotubes and chrysotile for 6 and 24 hours. Cytotoxicity was assessed using the MTT assay. NOAEC, IC50, and TLC idices were determined by probit analysis.
Results: The results showed statistically significant correlations (p<0.001) between cytoxicity and exposure concentration in the case of all the three compounds. The NOAEC and IC50 indices were lowest for the multi-walled carbon nanotubes, while the single-walled carbon nanotubes showed the lowest TLC index.
Conclusion: Cytotoxicity of multi-walled carbon nanotubes at low concentrations was higher than that of single-walled carbon nanotubes and chrysotile. This would mean that exposure to this compound occurs at low concentrations. Thus, cytotoxicity of multi-walled carbon nanotubes is a cause for concern. It can be concluded, then, that, like chrysotile fibers, crabon nanotubes are also considerably toxic to human epithelial lung cells.
Monireh Khadem, Seyed Jamaleddin Shahtaheri, Farideh Golbabaei, Abbas Rahimi Foroushani, Mohammad Reza Ganj Alizadeh, Farnoush Faridbod,
Volume 12, Issue 4 (3-2015)
Abstract
Background and Aim: The aim of this study was to assess exposure of workers in a metal industry to nickel and lead.
Materials and Methods: Extraction was done using the solid-phase extraction on Chromosorb-102 resin to prepare, concentrate and purify biological samples of urine, hair and nails of workers working in metal industries. The variables influencing response (pH, loading flow rate, elution solvent, and amount of resins, elution volume, and sample volume) were examined and the procedure was optimized. The optimized procedure was, then, validated based on the “within-day” and “day-to-day” reproducibility experiments, using low, medium and high concentrations, leading to a satisfactory accuracy and precision. Finally, lead and nickel samples were taken from the workers and their concentrations determined voltammetrically.
Results: The optimum values for the examined parameters were as follows: pH = 9, ligand concentration = 0.05%, loading flow rate = 5 ml/min, elution solvent = 2M HNO3, amount of resins = 500 mg, elution volume = 15 ml, and sample volume up to 500 ml. A good reproducibility and repeatability was obtained for the optimized method under the existing conditions. Lead and nickel could be extracted with recoveries in the range of 94-100%. On the whole, the concentrations of nickel and lead in the workers’ biological samples were above the respective maximum permitted levels.
Conclusion: Solid-phase extraction procedure is a fast and simple method for preconcentrating and isolating analytes from biological samples. Considering the low concentrations of the analytes and presence of confounding factors in such samples, the procedure can be very effective for their preparation. The application of the developed method indicates that trace metal ions can be effectively purified and preconcentrated from different matrices like urine, hair and nail samples to assess occupational exposures.
Zahra Panjali, Ali Akbar Asgharinezhad, Homeira Ebrahimzadeh, Mehdi Rezvani, Rasoul Yarahmadi, Seyed Jamaleddin Shahtaheri,
Volume 13, Issue 1 (6-2015)
Abstract
Background and Aim: Exposure to heavy metals always causes serious health problems in people working in the industry. Heavy metals may interfere with enzyme functioning or accumulate in specific body organs, leading to various health problems. Cadmium is a toxic heavy metal widely used in various industries and, therefore, workers in metal industries are at risk of exposure to it.
Materials and Methods: A solid-phase sorbent was synthesized and factors influencing its sorption and elution steps were optimized (R>95%). The validated sorbent (chemically, physically and as regards reproducibility) was used to determine the cadmium content of the worker`s urines.
Results: Optimized conditions for sorption and elution step were found to be as follows: pH= 7 sorption and elution time (both)= 5 min elution volume= 6 mL, and elution concentration= 2 mol L-1. The great selectivity and the nano-particle size of the sorbent resulted in its highly precise performance (0.6ppb) and high validity and accuracy (CV<3%).
Conclusion: Using the nano-magnetic sorbent technique and some such laboratory methods as flame atomic absorption spectroscopy, one can easily measure trace amounts of heavy metals in urine. This technique is relatively less expensive and rapid since, when using it, one can omit the filtration and centrifugation steps.
Mohammad Javad Golhosseini, Hossein Kakooei, Jamaleddin Shahtaheri, Kamal Azam,
Volume 13, Issue 1 (6-2015)
Abstract
Background and Aim: Motor vehicles are an absolute necessity used extensively in all countries of the world. They are a major cause of air pollution with highly undesirable consequences. Thus, exposure to traffic pollution is a growing public health concern. Several studies indicate that people in the cabin of a vehicle inhale air with high concentrations of pollutants such as nitrogen oxides(NOx), particulate matter (PM), volatile compounds (VOCs) and carbon monoxide (CO).
Materials and Methods: Eexposure of drivers inside motor vehicles to CO was assessed during one year in Tehran, Iran. For this purpose, the concentration of CO was measured in the breathing zone of 72 male taxi drivers using a portable real-time instrument equipped with electrochemical sensors. In addition, records of fixed air pollution monitoring stations in Tehran were examined and the CO concentration in those records were compared with those measured in the taxis.
Results: The mean in-vehicle CO concentration was 19.91 ± 4.37ppm, while records of fixed air pollution monitoring stations showed the concentration of this pollutant in the air to be 3.69 ± 1.03ppm.
Conclusion: It can be concluded that factors such as traffic density, weather conditions and vehicles lifespan affect the extent of exposure of taxi drivers to carbon monoxide.
Zahra Taheri-Kharameh, Tahereh Ramezani,
Volume 22, Issue 1 (10-2024)
Abstract
Background and Aim: The Integrated and Comprehensive Geriatric Care Program (ICGCP) of the Ministry of Health and Medical Education (MOHME), Iran was designed about a decade ago and is being implemented to maintain and improve the health of the elderly. The program has not been evaluated so far. A comprehensive evaluation of this program is deemed necessary to determine whether this program requires revision or process improvement. Therefore, this study aimed to evaluate the ICGCP of MOHME using the Context, Input, Process, Product (CIPP) model in Qom province.
Materials and Methods: This descriptive-analytical cross-sectional study included the entire personnel of the health centers in Qom province as the statistical population. The data collection tool was a two-section questionnaire containing items on demographic information and a researcher-made evaluation questionnaire of the current elderly care program based on the four areas of the CIPP evaluation model. Participants meeting the study's inclusion criteria were enrolled through census sampling. The data were analyzed using the SPSS software version 24.
Results: The mean age of the participants was 34.92 ± 6.98 years, 140 (84.3%) being females. Data analysis showed the following results as Mean ± SD: (1). A regards the context, for the items "Target group's need for the program" and "Identification of the potential of other influential organizations in program implementation": 3.71 ± 1.01 and 2.21 ± 0.99, respectively. (2). As regards input, for the items "Identification of program audiences" and "Necessary budget and funding for the program": 3.70 ± 0.95 and 2.23 ± 0.95, respectively. (3). As regards process, for the items "Program evaluation by officials and executing personnel," and "Recording and tracking issues during the program”: 3.16 ± 0.90 and 2.69 ± 0.85, respectively. (4). As regards product, for the items "Satisfaction with work, commitment and work ethic" and "Conducting case studies in this area": 3.65 ± 0.81 and 2.64 ± 1.01, respectively. In the overall program evaluation, the mean scores for "Program necessity" and "Program delivery quality" were 2.88 ± 0.89 and 2.12 ± 0.80, respectively.
Conclusion: The evaluation of the ICGCP of the Ministry of Health and Medical Education using the CIPP model identified the strengths and weaknesses of this program based on the opinions of health center personnel in Qom province. Policymakers and other relevant authorities can use these findings to enhance the program further.
Aram Halimi, Goljamal Jorjani, Leyla Sharifi Aliabadi, Mohammad Reza Taherian, Haniyeh Yeganeh, Matin Shokrgozar, Gholamreza Ebrahimi, Mohammad Hossein Panahi,
Volume 22, Issue 1 (10-2024)
Abstract
Background and Aim: This study aimed to assess and prioritize the health needs of a community served by the Imamzadeh Ghasem Health Center in Tehran city, Iran.
Materials and Methods: This study was conducted based on the North Carolina model for comprehensive community health assessment. General information and available facilities were extracted from secondary sources, while insights into specific community needs were gathered through interviews with 76 individuals representing diverse demographics. The assessment was made by secondary data analysis and direct interviews.
Finally, the prioritization of health needs of the community was based on a scoring system based on severity, extent, and ease of being solved.
Results: The findings revealed that sewage problems, construction issues and waste management were considered to be the primary health concerns in the region. Comparative analysis with the situation in other regions in Iran emphasizes the unique challenges faced by the community in the present study.
Conclusion: The prioritized health issues highlight the community's urgent needs, requiring targeted interventions. Proposed solutions include legal measures, public education and municipal interventions to address the sewage, construction and waste management problems.
