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1.
Journal of Health Management and Informatics [JHMI]. 2015; 2 (1): 1-4
in English | IMEMR | ID: emr-175565

ABSTRACT

Introduction: More than seventeen millions people die due to cardiovascular diseases which account for one third of death worldwide. Half of 60% of all mortality caused by acquired diseases throughout the world is due to heart disorders and this ratio will augment to 73% by 2020. It is known that individual lifestyle has a great influence on the well-being of cardiovascular system. Seven of the top ten etiologies leading to death are related to the pattern of lifestyle. This study explored various lifestyle-related factors affecting ischemic conditions


Method: This study was performed as a case control investigation on 65 subjects along with 65 controls who were all admitted at Sevome Shaaban hospital in Damavand town of Iran. All data] demographic and life-style variables] were gathered, using three different types of questionnaire obtained from each person. p< 0.05 was considered as significant


Results: Age, marriage status, smoking, physical activities, diet and mental health condition were shown to have a significant effect on ischemia [P <0.001]. Insufficient physical activities, fatty and low fiber food as well as impaired psychology conditions were among the risk factors that contributed to Ischemic heart disease


Conclusion: Insufficient physical activities, fatty and low fiber food as well as impaired psychology conditions were among the risk factors that contribute to ischemic heart disease

2.
Journal of Client-Centered Nursing Care. 2015; 1 (2): 97-102
in English | IMEMR | ID: emr-179148

ABSTRACT

Background: The importance of safety in hospitals can be studied from different angles since hospital is a critical environment for incidents. Assessment of occupational accidents in hospitals can prevent their recurrence and maintain human and financial resources. This study aimed to investigate the occupational accidents among staff in a hospital


Methods: This cross-sectional descriptive-analytical study was carried out in a hospital in Tehran University of Medical Sciences. Two hundred and thirty staff from various wards of the hospital were recruited by stratified random sampling. Data collection was performed using a researcher-made questionnaire. Data were analyzed by the SPSS-20 software with descriptive statistics, Mann-Whitney and Kruskal-Wallis tests


Results: The study results revealed that among staff, most of the occupational accidents was related to skin contact with blood or other body fluids and least of them belonged to toxicity with solvents. The results showed significant differences regarding occupational accidents between different groups of gender, years of work experience, organizational position, shift type, and age


Conclusion: Since most of the occupational accidents happened at least one time among hospital staff, paying attention to prevention of it is necessary. Due to the complex nature of hospitals, management and prevention of occupational accidents require all personnel's willpower and involvement, and hospital management reform

3.
Journal of Client-Centered Nursing Care. 2015; 1 (3): 133-138
in English | IMEMR | ID: emr-179152

ABSTRACT

Background: Organizational commitment and its significant impact on the job satisfaction and performance has been the subject of many studies. Regarding the importance of organizational behavior and its role in service quality, the purpose of this study was to explore the relationship between nurses' organizational commitment and hospital services in order to improve its quality


Methods: This study was a cross sectional survey and a total of 149 nurses and 237 patients from inpatient wards of hospitals affiliated to Tehran Social Security Organization were selected through cluster sampling. To collect data, two standard questionnaires [organizational commitment and quality of service] were used. Statistical analysis was performed using Spearman and Pearson correlation test


Results: Our findings indicated that the nurses' organizational commitment was moderate [x=3.02 out of 5] and service quality was higher than average, Continuance [r=0.3, P=0.04], affective [r=0.33, P=0.03], normative commitment [r=0.34, P=0.05], and overall commitment [r=0.35, P=0.04] were significantly related to total service quality


Conclusion: The enhancement of normative commitment through emphasis upon organizational values and recruitment, as well as enhancement of continuance commitment through career promotion methods and equal assessment will improve the service quality in hospitals

4.
BEAT-Bulletin of Emergency and Trauma. 2014; 2 (2): 82-85
in English | IMEMR | ID: emr-174705

ABSTRACT

Objective: To determine the patterns,complications and casualties of road traffic accidents in North West of Iran during 2013 New Year holidays


Methods: One hundred and eighty one patients with trauma-related vehicle crashes were investigated in a cross sectional-descriptive study. We only included those road traffic accidents which were recorded during the 2013 Iranian New Year holidays. Severity of injury based on Glasgow Coma Scale [GCS] score, patient transmission type, damaged organ and the final diagnosis was determined. The mortality rate as well as complications were also recorded and reported. The pattern was analyzed and presented using descriptive statistics


Results: Overall we included 181 patients who were victims of road traffic accidents during the study period. Most cases of multiple traumas were from two car accident [49.2%]. Of 181 cases, 71 [39.2%], 66 [36.5%], 16 [8.8%] and 11 [6.1%] subjects had limb, head and neck, abdominal, and spinal cord injuries respectively, while 16 cases [8.8%] did not have any organ damage. In final diagnosis, a limb fracture was noticed in 32 cases [17.7%] and skull fractures in 5 subjects [2.8%] as the first and second causes


Conclusion: As head and neck were the most damaged organs after the limbs in patients with multiple traumas, it seems that there is a necessity for these patients in transmission and examination of head traumas. So there is a need for a proper referral system

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