[ survey on the effect of formulating and implementating medical records policies and procedures on the score of policies of accreditation standards for medical records: 2013]

Introduction: One of the important requirements of an accreditation center is the provision of documents and policies in different departments of an organization including medical records departments. The present study was aimed at investigating the impact of formulating and implementing the policies and procedures of medical records on the scores of accreditation policies of medical record departments in the hospitals affiliated to Shahrekord University of Medical Sciences in 2013

Methods: The present study was performed on the basis of an interventional method in 2013. All hospitals in Shahrekord province were included. Following the intervention of the formulation and implementation of policy on accreditation of medical records, re-rating policy on accreditation of medical records was measured. The instrument for data collection was a standard checklist and the data were analyzed by SPSS18 using statistical parameters of descriptive and analytical statistics

Results: According to the results of the study, the score for policies of medical records showed a significant difference before and after the intervention indication an increase in scores of policies of medical records accreditation after the intervention [p<0/01]

Conclusion: Given the fact that the performance of medical record departments in the policies regarding audit checklist of all parts of the medical records such as discharging, monitoring and completing medical records within 14 days after discharge, ending the incomplete medical records and making conformity between outpatient and inpatient records after the intervention was very poor and poor, the authorities of medical record departments of hospitals should attempt to develop and practice policies which could be put into practice

[ artificial neural network model to predict the service quality of academic libraries]

Introduction: Commonly libraries and information centers use LibQual to measure their quality of services. Although analysis of Libqual done with classical statistics, it is possible to analyze it through Artificial Neural Network with lower error rate. This research try to introduce an Artificial Neural Network that is able to predict service quality of university library

Methods: In this applied cross-sectional study, all of Shiraz university of medical science students were assessed. LibQual questionnaire was the instrument of data collection and MATLAB software was being used to analyze data. In addition an algorithm was written to automatic selection of the best network architecture based on lower error rate and higher adaptation rate

Results: for 5 categories of input data and with running of the written algorithm, 5 ANN was created and their matching ratio is 0.77059, 0.6828, 0.81089, 0.79161 and 0.83273 respectively

Conclusion: By comparing the ANNs, it was found that ANN with 20 hidden layer, %80 training data, %16.667 testing data and %3.3333 validation data that be fed with fifth input data, is the most appropriate ANN in quality evaluation of university libraries

[ survey on the websites of medical universities in Iran: a webometrics study]

Webometrics ranking shows the amount of scientific and educational activities of universities and organizations annually. This study was an attempt to rank medical universities in Iran via three search engines. This applied- descriptive study used webometric methods to survey 43 websites of medical universities in Iran. The three indexes of size, visibility and rich files were taken into consideration by three search engines. Data were analyzed with SPSS 16. The results showed that the indexed page size of Tehran University of Medical Sciences enjoyed the highest frequency in the three search engines. Moreover, the lowest ranks belonged to Dezfoul, Jiroft and Yasouj. Concerning foreign links, Tehran University of Medical Sciences gained the rank of 13 and Hormozgan with an average of 23.11 was in the upper ranks, but it was reported to have the rank of 26 regarding indexed page size. The findings showed that even the eight high-ranked medical universities did not appear to receive favourable number of links and visitors from other websites. This suggests the low effect of medical universities on the Web inspite of their relatively high page size

Effect of foot hyperpronation on spine alignment, in standing position

According to clinical observation, foot hyperpronation is very prevalent and may cause malalignment of the lower extremity in which can lead to structural and functional deficits in standing and walking. The aim of this study was to investigate of foot hyperpronation effect on spine alignment in standing position. Thirty-five healthy male ranging 18-30 years old were participated in this study. Evaluation was performed with two examiner in four standing positions [on the floor, on the wedges angled at 10, 15 and 20 degrees] using motion analysis system [zebris] and each one of measurement methods repeated three times. SPSS version 17.0 and paired t- test and repeated measures were used for statistical analysis. Significant difference was seen between all modes in sacral angle, pelvic inclination, lumbar lordosis and thoracic kyphosis variables [except between the first and second mode. Finally, with increasing wedge angle, a positive correlation obtained for the examiners and all variables. The results of this study showed with increasing bilateral foot pronation, sacral angle, pelvic inclination, lumbar lordosis and thoracic kyphosis were increased. In fact, each one of them considered a compensatory phenomenon

[Evaluation of anti tumor activity of candida albicans cell wall fraction on human fibrosarcoma cell in vitro]

Matrix metalloproteinases [MMPs] plays a role in the several physiologic and pathologic events. There is some evidence indicating the involvement of MMPs in tumor invasion and inflammatory diseases. In this study we evaluated the effect of cell wall Candida albicans fraction on MMP production by the fibrosarcoma cell line using an in vitro cytotoxicity assay, sodium dodecyl sulfate-polyacrylamide, and gelatin zymography. It was an experimental study. Fraction of cell wall Candida albicans was extracted by lysis buffer and] 0, 10, 50, 100 [micro g/ml from fraction was added to human fibrosarcoma cell line in 96 well microplate and inhibitory effect on tumor cell invasion was investigated by MTT and zymography test. Our results showed that fraction of cell wall Candida albicans was found to exhibit a inhibitory effect on tumor cell line in MTT test because the viability of tumor cells was decreased versus the control groups. Also the production of metalloproteinases enzyme in presence of fraction was diminished significantly [P<0.05]. Since inhibition of MMP activity has been employed in modality therapy in diseases such as cancer, this fraction could be promised in the preparation of anti-MMP therapeutic derivatives

[ impact of family physician program on mother and child health indices in rural population auspices of Mashhad university of medical sciences and health care services, Iran; 2009]

The implementation of Rural Insurance and Family Physician Programs with the intention of reforming and improving the delivery of health care services nationwide started in 2005. However, the functionality of these programs has not been investigated yet. This study was done to determine the effect of Family Physician Program on mother and child health indices for rural population auspices of Mashhad University of Medical Sciences and Health Care Services [MUMS]. The mean values of eight health indices of mothers and children living in 19 rural districts [Khorasan Razavi Province] of MUMS four years before and three years after the implementation of Family Physician Program [2001-2004 and 2005-2007, respectively] were compared using Analysis of Variance. The data were gathered by the employees of rural health houses [Behvarzes]. As the program was being implemented in all rural areas simultaneously, there was no possibility to form any control group. Therefore, the mean values of indices for the experimental group before and after the program were compared. Although the results did not show any significant difference between the mean values of indices before and after the implementation of the program, the trend of indices for the seven years of the study [2001-2007] confirmed the positive impact of the program. The overall improvement observed in mother and child indices after the implementation of Family Physician program can be viewed as the promising future outlook of the program to bring about further health improvements for the rural population

[Survey the effect of educational intervention through the BASNEF model on preventive behaviors according to mental health in girl adolescents]

This study was conducted in order to considering the importance of early cognition of mental illnesses and the role of health education in mental health promotion in adolescence. Investigate the effect of educational intervention through BASNEF model on preventive behaviors according to mental health in girl adolescents. This was a Quasi-experimental study which female students of secondary schools were randomly divided into two groups; intervention and control groups. Multi stage cluster sampling, a valid questionnaire covering demographic variables and items related to BASNEF Model- based was administered to 106 students. The intervention group composed of 11 educational sessions [60 min each] through discussion and lectures. The students were tested by questionnaire that made of different variable based on BASNEF model for one month after education. Following the educational intervention, the mean score of enabling factors was significantly increased in both intervention and control groups [p<0.0001]. Also a significant difference was demonstrated in the mean score of attitude and desired behaviors [p<0.0001] [p=0.005] in two groups. No significant difference was demonstrated in the average of subjective norms in intervention and control groups[p=0.896]. The findings of current study confirmed the effectiveness of BASNEF Model- based educational intervention on the variables of enabling factors, attitude and healthy behaviors, but it seems that much more time is needed to change subjective norms

[Breakfast consumption and body mass index in primary, secondary and high school boys in Zahedan 2005-2006]

Breakfast, labeled the most important meal of the day, as part of a healthful diet and lifestyle, can positively impact children's health and well-being. In this survey we studied breakfast eating and its association to body mass index in boy students in Zahedan. In a cross-sectional study, 1278 students were selected, using a cluster sampling. Data was collected via interviews with the students and by measuring their weights and heights to calculate their Body Mass Index [BMI]. Data were analyzed using SPSS 13.0 and Chi-square test. Results showed that 5.2% of the students never ate breakfast. Mean BMI was 17.24 +/- 3.29 kg/m[2]. Of students who skipped breakfast, 6% were overweight, and 7.5% were at risk of overweight. In the group of students who always or sometimes ate breakfast, 3% were overweight and 5.5% at risk of it. Using the Chi-square test, breakfast consumption was found to be associated with the level of school [P=0.000]. Body mass index was associated with the level of school [P=0.000], and breakfast consumption [P=0.04]. Results indicated overweight and obesity in children who skip breakfast. Parents and students should be encouraged to change inappropriate nutritional behaviours and enhance their appropriate nutritional behaviors

Waist circumference: a better index of fat location than WHR for predicting lipid profile in overweight/obese Iranian women

We carried out a clinical cross-sectional study on 728 overweight and obese women aged 20-60 years during July 2005-May 2006 in Sistan and Baluchestan, Islamic Republic of Iran. Body mass index [BMI] and waist circumference [WC] showed significant correlation with total cholesterol [TC], triglycerides [TG] and low-density lipoprotein cholesterol. After adjustment for age and BMI, this was also true for WC with TC and TG. There was no such correlation between waist-to-hip ratio [WHR] and lipid profile. Hence, WC was a better anthropometric index of fat location than WHR to estimate lipid profile in overweight and obese adult women

[ comparative study on the importance of dimensions of educational services at Zahedan university of medical sciences: faculties and students' viewpoints]

There are differences between the recognition of service providers about the importance of dimensions of services, and its real importance as viewed by service receivers. This leads to planning and decision making on quality promotion in which the views of providers are more effective than those of the customers. In such circumstances, the quality of services is reduced in the customer's viewpoint. This research aims to compare the importance of dimensions of educational service in the faculty members, and the student's viewpoints. This cross-sectional descriptive research was performed in 2004 in Zahedan University of Medical Sciences. All the faculty members and 386 students were chosen as the research subjects. A questionnaire was used for data collection. For statistic analysis' descriptive and analytic statistics were employed. Empathy was the most important dimension from student's viewpoint which was ranked as the 4th factor in faculty members' view. The faculty members declared the most important dimension to be assurance that was ranked the third in student's viewpoint. There is no dimension with the same rank among different dimensions of educational services between the students and faculty members. This leads the faculty members to advert dimensions which are less important in student's view, so this affects the quality of services from students viewpoint. Therefore, should be taken into account these differences in programming and resource allocation in order to improve the services provided, which is so important from the student's view. Moreover it seems necessary to describe the characteristics of services to the students and identify at services and what to expect from them

[Comparison of the CRP and ESR levels between women with polycystic ovarian syndrome and control group]

Abstract Introduction: Low grade chronic inflammation can predict persons with risk of coronary heart disease [CHD] and type 2 diabetes. Women with Poly cystic ovarian syndrome [PCOS] are insulin resistant and have high risk for CHD and type 2 diabetes

Objective: Evaluate the correlation between low grade chronic inflammation and PCOS

Materials and Methods: This case-control study was done on 27 women with PCOS who were defined base on irregular menstruation and elevated androgen [clinical hyperandrogenism or hyperandrogenemia] and 27 healthy women who were matched as a control group base on similar body mass index [BMI] and age. CRP, ESR, SHBG and Testosterone were measured in all women in both groups. Determine of insulin resistance was assessed by estimation the ratio of FBS/ to Fasting insulin. The mean of testosterone, SHBG, CRP, ESR and the ratio of FBS/ to Fasting Insulin in the two groups were compared by t- test and the correlation between BMI, testosterone, SHBG and ratio of FBS/ to fasting insulin with CRP and ESR were analyzed by Pearson correlation coefficient

Results: The finding showed: the mean of CRP was significantly difference in two groups and it was more in case group. [549/67 +/- 378/38 and 2566 +/- 10/22, P<0/001]. The mean of ESR was 14/85 +/- 12/22 and 7/74 +/- 3/6 in case and control groups respectively and there was significant difference between them [P<0/007]. Also, there were significantly relation between log CRP and log ESR with BMI, there were a reversed significant relation between them and SHBG. There wasn't any relationship between log CRP and log ESR with testosteron. The collorate with FBS/Fasting Insulin and log CRP was significant and with log ESR was no significant

Conclusion: This study indicated that level of CRP and ESR in patients is higher than control group. It seems that low grade of chronic inflammation is a contributer factor to increase risk of CHD and type2 diabetes

Prevalence and risk factors of low-birth-weight infants in Zahedan, Islamic Republic of Iran

The study investigated the prevalence and risk factors of low birth weight [LBW] in 1109 hospital births in Zahedan city, Islamic Republic of Iran. The overall prevalence of LBW was 11.8% [95% CI: 9.9%-13.7%], similar for boys and girls [11.1% and 12.6% respectively]. LBW was significantly associated with mother's ethnic origin [Balouch], birth interval < 3 years, twin birth, no use of supplements during pregnancy, < 4 prenatal care visits, no education, younger age and presence of maternal disease. There was no effect of mother's parity, occupation and smoking status. After logistic regression analysis, the only significant risk factors were: birth interval < 3 years, twin birth, no use of ferrous sulfate and maternal disease

[ survey of the result and the associated factors in the preinternship examination at Zahedan university of medical sciences in september and mars 2001]

The pre-internship is the most important examination of the Medical students, which can assess their professional abilities. The present research has described some important factors, about these exams. This study was done in 2002 on 99 medical students who participated in the examinations in September and Mars 2001. For the analysis, the scores of 13 courses of the stagery periods, the final scores [pre-internship and basic sciences] and some demographic factors were collected. To analyze t-test, ANOVA, Pearson's correlation coefficient and linear regression were used. The participants and failed students were 35 and 9 in September and 64 and 10 in Mars examinations respectively. The mean scores of examinations were significantly different [p=0.034]. The means of the pre-internship examinations for sex and quota system [Sahmieh] were significantly different in September and total, the means for marital status have significant differences only in Mars, and the means for the age in both examination and total were significantly different. Furthermore, the mean scores of Eye and Infectious disease, the means of different periods, and the final scores were significantly different between pass and fail students in both examinations. In September, the highest correlation between pre-internship scores and the courses or the means are for eye and infectious disease, and the mean of stagery period. In Mars examination, the highest correlation between pre-internship scores and the courses or the means, belongs to the means of stager and physiopathology periods and the final basic sciences score respectively. Also the regression equation for the pre-internship score was calculated. The variables of age, marital statues, quota system and sex, the mean of three periods and the score of eye and infectious disease are the important variables which more associated to the scores of the pre-internship examinations

survey of the Zahedan medical school students' view of the research workshop and its effects on their final thesis

The research workshops [RW] for the medical students have been performed at Zahedan University of Medical Sciences [ZUMS] since about ten years ago. The aim of the RW is teaching the research rules to the medical students to be used in their future researches, especially in their final thesis project. This study is planned to investigate the effect of the research RWs on the students 'final project. This descriptive research was performed in 2005 to 2006 at ZUMS. The target population was the medical students who passed the research RW and registered their final thesis project. The research sample was 155 and the data were collected using a questionnaire. For data analyzing, the descriptive statistics and nonparametric methods were applied in SPSS software. The results show that 24.8% of the students believed that the effect of the RW on their projects was poor or very poor. Over 28% believed that the effect was moderate and 46.4% believed that the effect is high or very high. Also, 86.5% of the students believed that the RW is essential for them. On the other hand, the students stated that the effects of the different sections of the RW were not the same. The section of introduction, aim and hypothesis are the most effective sections which are more applicable in their research project, while the sections of the sample size, sampling techniques and the research timetable are the least effective sections of the research RW. Also, 50.3% of the students believed that the best time for the RW is in externship period and 39.4% said that the best time is in internship period Furthermore, 45.2% believed that the full time 3 or 4 day RW is not suitable and they suggested a minimum of a 7 day part time RW to learn better. The students also believed that the practical parts of the RW are the most effective parts. The most important problem during the projects as stated by the students are determining the sample size, sampling techniques, writing the references and plotting the tables and graphs. It seems that the RW programs need to be revised and the part time RWs should be replaced. The period of the different parts of the RWs should be changed according to their importance and effects on the students 'final projects. If the RWs are less effective due to its time, periods, lecturers or syllabus, it needs to be reformed; otherwise the RWs will need to be stopped

[ prevalence of symptoms of pelvic floor disorders in women that referred to the clinic of gynecology in Ali-ebn-Abitaleb Hospital, Zahedan, Iran]

Female urinary and genital systems have anatomic and embryologic similarities and both structures and other pelvic floor organs may be damaged during pregnancy and delivery. Other factors such as age and BMI may also affect pelvic floor functions. Pelvic floor disorders such as urinary incontinence, [stress, urgent or mixed type], anal incontinence, pelvic organ prolapse and sexual abnormalities are common problems. The purpose of this study was to define the prevalence of pelvic floor disorders and to determine predisposing factors including ageparity, BMI [Body mass index] and mode of delivery. This prospective study was done on 612 randomly selected women aged 15 years or higher that referred to the gynecologic clinic of Ali-ebn-Abitaleb Hospital. These women were questioned about age parity, delivery method, and pelvic floor disorders including urinary incontinences, flatus and fecal incontinences, disparonia, hemorrhoids, based on which questionnaire was completed. Also women's weight and height were measured and BMI was defined. The data were analyzed with SPSS software and X[2] test. Most of these 612 women occurred in age between 26-35 years [38.5%], and the lowest common age range was 56 years or higher [11.4%]. 50.9% of the women had one pelvic floor disorder, 68.6% had two pelvic floor disorders, and 31.4% had three or more pelvic floor disorders. All types of pelvic floor disorders increased after the next deliveries. There was a significant difference between Body Mass Index and pelvic floor disorders including urinary incontinence [P=0.001], Constipation [P=0.001] and fecal incontinence [P=0.014]. But there was no significant difference between disparonia [p=0.33], vaginal relaxation [P=0.58], vaginal dryness [P=0.96], hemorrhoid [P=0.25] and Body mass Index and also the proportion of hemorrhoid, Constipation, fecal incontinence and urinary incontinence were higher in women with vaginal deliveries compared with other kinds of deliveries [caesarean- instrumental delivery]. The lowest proportion was in cesarean delivery. Also disparonia in the instrumental delivery group was two times higher than the cesarean and vaginal delivery group. Pelvic floor disorders are very common and are associated with female aging, BMI, and parity. Caesarean delivery is not associated with a significant reduction in long - term pelvic floor morbidity compared with spontaneous, and instrumental vaginal delivery

Educational process of interns in obstetrics and gynecology department at Zahedan University of Medical Sciences in 2002

Investigating educational situations of interns in different departments is one of the objectives of educational planning in order to prevent a low quality education and provide some solution for that. This study was done to investigate the learning situation of male and female interns in Obstetrics and Gynecology Department at Zahedan University of Medical Sciences in order to compare the amount of their learning, and to provide some suggestions to improve the quality of learning and education. All inters [30 males and 40 females] in Zahedan Medical University have participated in this descriptive study during 2002. The data collection tool was a questionnaire which included questions regarding common emergencies and diseases of obstetrics and gynecology, and different learning criteria. The data analysis was done by SPSS software using mean, standard deviation, frequency of learning criteria and Chi-square. The mean of frequency of learning indicators such as observation, discussion on bedside, managing under the supervision of residents and attending physicians, and personal management, in common emergencies and diseases of obstetrics and gynecology in male interns were lower than female interns. Furthermore, the mean of frequency of managing capabilities in common emergencies for male and female interns were 12% and 70.5%, respectively. These values for common diseases were 14.2% and 59.3%, in male and female interns, respectively. The Chi-square test showed a significant relationship between the learning criteria, and proper managing capabilities. Considering the low frequency of learning indicators such as observation, discussion on bedside, managing under supervision of attending physicians and residents, and personal managemen,t in male interns, and a need to their service in deprived areas, it is necessary to improve the learning quality in obstetrics and gynecology department, especially for male interns

[Effective factors on the results of the basic sciences examinations at Zahedan university of medical sciences]

Background: Basic sciences are the most important examinations of medical students, which can assess their abilities in passing the general medicine

Objective: This research has described some important factors, which are related to the exams

Methods: This analytic study was done in 2001 on 206 medical students who participated in the exam, from August 1999 to February 2000. For the analysis, the total mean and the scores of 10 courses of the basic sciences together with the final score and some demographic factors were collected. To analyze the data, Chi-square and unpaired t-test where used together with relative risks [RR]

Findings: The failed students were 41 [20%]. RR of failing for students with non-regional quota system, high age, married, period of more than 5 semesters and the mean of less than total mean in the basic sciences, were 3.5, 2.9, 2.1, 3.4, 12.7 respectively. The RR for students with weak score in physiology 2, microbiology and parasitology were 10.8, 6.0, 5.5 respectively. All the RRs are significant as well

Conclusion: The variables of age, marital status, quota system, mean and period of basic sciences together with the score of microbiology, parasitology and physiology II are the most effective factors in the result of the exams

[ comparative study of the effect of interpleural block with pethedine and intercostal block with bupivacaine on pulmonary function in patients with rib fractures]

Background: rib Fracture does not usually require surgical intervention, using various pain management method<; including nerve blocks reduce pain and improves pulmonary function. In a single blind clinical trial study, we compared intercostal block and interpleural block regarding their effects on pulmonary function in rib fracture

Methods and Materials: 86 patients with unilateral fracture of more than two ribs in the range of 20-50 years, presented to Khatam-al-anbia hospital from I 380 to I 382, were randomly divided into two groups: intercostal block [40] and interpleural block [46]. In the intercostal block group, the patients received 3ml of bupivacaine 0.25% and in the interpleural block group; the patients received 2mglkg of pethidine after increasing the volume to 20 ml. The procedures repeated every 8 hours for 48 hours. Pulmonary function was evaluated by FEV1 and FVC using spirometry

Results: patients in the intercostal block group were 40 [23 males and I 7 females and in the interpleural block group 46 [26 males and 20 females]. The average age of the patients in the intercostal and interpleural group was 31.15 and 32. 76 years, respectively. In both groups pulmonary function [FEV1and FVC] improved after block but comparison of the two groups revealed better results in the interpleural group [78.60 vs 74.90 for FEV, with P<0.01 and 78.56 vs 75.17 for FVC with P<0.01 in the interpleural and intercostal group, respectively]. Mean FEV1 and FVC did not have a significant difference in the both groups [66.21% in the interpleural block vs. 63.90 in the intercostal block for FEV1 and 66.39% in the interpleural block vs. 64.33% in the intercostal block]

Conclusions: both intercostal block with bupivacaine and interpleural block with pethidine could improve pulmonary function in rib fracture. Although pulmonary function improvement was statistically more significant in the interpleural block group, it does not seem to be clinically significant