[Correlation of human resource strategies based on allen ylsy model with organizational performance staff in Aiat Allah Kashani Hospital]

Introduction: At present, the organization for success, have no choice except to formulate appropriate strategies with human resources; otherwise today's complex environment and incompatibility of the strategies will lead to inefficient use of human resources. The aim of this study was to determine the correlation of human resource strategies based on Allen Ylsy Model with organizational performance in Aiat Allah Kashani hospital staff

Materials and Methods: This study is a descriptive-correlation study that was performed on 247 personnel's of Aiat Allah Kashani hospital in Shahrekord. Stratified samples were randomly selected and collected demographic and researcher's made [Staff Function Questionnaire on Allen Yelsy Model] in two components for assessing the Allen Ylsy Model and personnel performance were used in 43 questions. Content and face validity of this questionnaire were confirmed through 7 specialists. Reliability was obtained by using Cronbach's alpha 0.92. Data were also analyzed by descriptive statistics and inferential statistical test using SPSS/18

Findings: The results showed that there is a significant solidarity between human resource strategy and organizational performance [P<0.05]

The most important strategies that had correlation with organizational performance included, personnel relations [33.3%], strategy [14.2%] and performance management strategies [2%]

However, strategies to attract, hire and compensate predictive, had not significant correlation with personnel performance

Conclusion: Due to impact of human resource strategies on the performance evaluation has been studied more than the average, it is suggested that management should focus on strategies to improve organizational performance benefits they are entitled to. In this regards, providing HR position in Kashani Hospital is recommended

[Correlation of perceived social support and some of the demographic factors in patients with multiple sclerosis]

Multiple Sclerosis [MS] is a progressive disease and degenerative myelin in the central neurons that its complications provide physical problems and mental illness. However, it seems that social support controlled psychological stresses and improved quality of life. The aim of this study was to determine the correlation of perceived social support and some of the demographic factors in patients with Multiple Sclerosis. In this descriptive-correlational study, 395 patients of the MS Society in Tehran were selected by continuous sampling. Data gathering instrument was "Social Support Questionnaire" of Nortouse [SSQ]. Cronbach's alpha for this instrument was 0.90. Data was analyzed by SPSS/16. The results showed that 156 patients [39.5%] had perceived social support at moderate levels. Between perceived social supports, age, educational level, employment status and monthly income were significantly correlated. However, between perceived social support and sex, marital status, family or relatives' risk, disease duration and history of hospitalization, significant correlation was not found. Regarding the perception of patients, nurses can by identify the high risk groups and prevent them from the isolation and with appropriate supportive interventions, improve their quality of life

[ effect of problem solving training on decision making skill in emergency medicine students]

Nowadays in the areas of health care, emergency medical personnel are increasingly exposed with issues and situations that are complex and product of the technology, understanding and awareness in the social sectors, health culture promotion, processes of diseases and frequent changes in moral and cultural characteristics. The aim of this study was to determine the effect of problem solving training on decision-making skills in emergency medical students. This study is a quasi-experimental study with pre-test and post-test design that was performed in 60 graduate emergency medical students in two groups of experimental [30] and control [30]. Simple sampling method was used and all students participated in this study. Then, an eight 2 hr session problem solving course was held for the experimental group. To determine the decision making skill the "Decision Making Questionnaire" was used. Content validity [0.87], with eight confirmed cases of teachers and the reliability test [0.84] were obtained using Cronbach's alpha. Data were gathered in pre and post educational program and were analyzed by SPSS/16. T test, paired T test and Square Chi were also used in this analysis. Findings revealed that decision making score in emergency medical students is low and problem solving course, positively affected the students' decision making skill after the program in experimental group [P<0.05] and mean score of 8.66 +/- 1.89 rose to 11.36 +/- 1.62. However, decision making level did not change in control group. In general, findings of this study indicated that the student's decision making skill has improved. Therefore, this kind of education on problem solving in various emergency medicine domains such as: education, research and management, is recommended

[Effect of self-care training program on quality of life of elders]

Nowadays the elderly population is growing all over the world. Diseases and conditions resulting from this evolutionary process can be costly to governments and cause many disabilities which severly affect the erderly's quality of life. This study aims to determine the effect of self-care training program on quality of life of elderly. It is a controlled randomized trial which was carried out on 60 elderly referred to Omid's elderly care center in Borougen city. After convenience sampling, the elderly were randomly assigned to two groups of experimental [n=30] and control [n= 30] groups. The experimental group participated in a three months self- care training program. Data was collected by the Short Form Health Survey [SF-36] and analyzed using SPSS-PC [v.11]. The findings showed a significant difference in the mean scores of quality of life between the experimental and control groups [P<0.05] after intervention. Self- care education to elderly about the practices of proper nutrition, exercise, rest and medication can prevent a lot of problems and help them to improve their quality of life

[ impact of training by social problem-solving model of D-zurilla and gold fried on problem-solving skills of nursing students]

Problem solving is a skill vital for life today and its learning is essential for everyone. Considering that the best way to achieve the correct habits of thinking and judgment is to use educational programs and to confront students with real issues, the aim of this study was to identify the effect of D' zurilla and gold fried problem solving model's training on problem solving skill of nursing students. It was a randomized controlled trial. The sample consisted of 43 undergraduate nursing students of the Hazrat Ftemeh School of nursing and midwifery of Shiraz University of Medical Sciences who participated voluntary and were randomly assigned into experimental[n= 20] and control [n=23] groups. The experimental group participated in six sessions of problem solving. Data was collected by the problem solving subscale of Bar-On emotional intelligence questionnaire and analyzed using SPSS-PC [v.11]. There was a significant difference between the mean scores of problem solving skills in the experimental group and control group immediately and two months after the intervention [p<0.01]. Regarding the impact of this model on the improvement of problem solving skills and the stability of its effects, using this model in different areas of nursing, including education, management, research and clinical area is recommended

Liver transplantation and aortic valve replacement

Surgical procedures involving heart and liver are rare and have been limited to either combined heart and liver transplantation or coronary artery bypass graft surgery [CABG] or aortic valve surgery and orthotopic liver transplantation [OLT]. Aortic valve replacement [AVR] and pulmonary valve vegetectomy for bacterial endocarditis after OLT have also been reported. There are only five cases with aortic stenosis and cirrhosis reported to have combined AVR and liver transplantation. In the presence of cirrhosis, AVR has a significant risk for mortality because of bleeding from coagulopathy, renal failure, infection, and poor post-operative wound healing. Herein, we report on a case and management analysis of combined sequential AVR, and OLT in a 40-year-old cirrhotic man with Child and MELD score of C and 29, respectively. Echocardiography detected severe aortic insufficiency [AI] with enlarged left ventricle. Due to severe AI, the cardiologist recommended AVR prior to transplantation. The patient underwent metallic AVR. 4 months later, he received OLT. Both operations were successful and uneventful. Prioritizing AVR before OLT was successful in this patient. However, each patient must be evaluated individually and multiple factors should be assessed in pre-operation evaluation

[Comparison of intra-abdominal pressure measurement and physical exam for diagnosis of surgery indication in patients with abdominal compartment syndrome due to blunt trauma]

Increase in abdominal pressure can lead to the so-called intra-abdominal compartment syndrome [ACS] that is often observed during the first 24 hours after sever abdominal trauma and surgery. Measurement of the intra abdominal pressure through the bladder as a non-invasive measurement can provide a quick and accurate assessment of abdominal pressure changes. This study was performed to compare the diagnostic value of intra-abdominal pressure measurement through the bladder with that of physical exam in the diagnosis of surgery indication. This descriptive-analytical study was performed on patients with intra-abdominal compartment syndrome due to blunt abdominal trauma referred to Nemazee hospital, Shiraz, Iran. Tools for data collection included a check list consisting demographic information, and intra-abdominal pressure measurement instruments. Data analysis was done through SPSS software. Of 100 patients with abdominal trauma whose abdominal pressures were measured, 28 ones had abdominal compartment syndrome of whom, 21 ones [75 percent] were referred to the operation room by physician. Among all patients who were sent to the surgery room, 5 patients [23.80%] were survived and all those who were not sent to the surgery room died. Mean diagnosis time of measuring abdominal pressure for detection of operation indication was significantly lower than that of physical exam [P<0.01]. Age, sex, type of trauma and type of injury to internal organ had no significant relationship with the rate of abdominal compartment syndrome. Also, there was no significant difference between the two methods in finding surgery indication. Implementing education on methods of early diagnosis of intra-abdominal pressure increase for medical team especially nurses is one of the treatment priorities

[ effect of problem solving course on student's stress intolerance]

Background and aim: Nurses should have enough skills to solve patient's problems in complex clinical situations. In addition, they should acquire stress intolerance skills to enable them to deal with problems in hard situations. This study was performed to assess the effect of problem solving course on Shiraz student's stress intolerance

Methods: This quasi-experimental study [with pre-test and post-test design] was performed on 43 graduate nursing students in Shiraz city. Students were asked to fill "demographic questionnaire" and "Bar On emotional quotient inventory" [to determine stress intolerance level and then the participants were randomly divided into two groups of experimental [with 20 students] and control group [with 23 students]. Then, based on D'zurilla and Goldfride social problem solving method, a short problem solving course was performed for the experimental group. Finally, stress intolerance levels were measured at 3 different stages of assessment [pre, immediately and 2 month after the performance of interventional program], in the two groups

Results: Problem solving course positively affected the students' stress intolerance level immediately after the program [P<0.01]. The same results were observed 2 months after the intervention [P<0.01]

Conclusion: In general, problem solving course has positive effect on improvement of stress intolerance levels in nursing students. Therefore, it is recommended that same courses be added to the educational program of nursing students