[Epidemiological survey of suicide in Golestan province in the North of Iran [2003]]

Suicide is one of the most important causes of death in the world. The prevalence of suicide varies in different parts of Iran and the world. This study was done to determine the prevalence and types of suicide and its relation to gender, age and education in Golestan prevalence in North of Iran. This cross-sectional study was carried out on 1857 patients admitted to general hospitals in Golestan province during 2003. The data were collected through questionnaires filled by health workers and analyzed using SPSS software. The prevalence of suicide was 117.8, 88.5 and 147.4 per 10000 in general population, males and females respectively. The rate of suicide in 20-24 age groups was 285.8 per 10000. The highest rate of suicide was observed in spring. Thirty one percent of samples had high school education. 48 percent of suicide attempts were with drugs and opium. Considering the ethnicity, the rate of suicide was 177 among native Fars, 79.6 in Turkman and 270 in Sistani per 10000, respectively. This study has shown that the rate of suicide is higher in this province comparing to other studies in some parts of Iran and other countries

managers decision-making strategies and the staffs job satisfaction in Isfahan hospitals

To run a hospital effectively, managers need to have proper decision-making strategies. The managers' decision-making strategies and the staffs job satisfaction are two major factors that allow the manager to achieve the planned objectives. Therefore, in this paper, these two factors were studied. It was a descriptive study in which the population of the study consisted of 7607 people among whom 384 people were selected based on stratified random sampling. Two questionnaires were used to collect data and the data were analyzed based on descriptive and inferential statistics. The managers' decision-making strategies were determined as follows: individual decision-making [-3.01], consultation decision-making [- = 2.51], collective decision-making [- = 2.32] and cooperative decision-making [- = 2.16]. There was no significant relationship between the staffs job satisfaction in public hospitals [- = 2.29] and their job satisfaction in private hospitals [- = 2.82]. The findings of the study revealed that in running hospitals, the managers' most frequently used individual decision making strategies. Furthermore, the staff were less safisfied with this kind of decision making and more satisfied with other types of decision-making strategies used by hospital managers

value of thyroid fine needle aspiration in evaluation of follicular neoplasms

The presence of single or multiple nodules with in the thyroid glandis a common clinical problem. It is immposible to differentiate benign and malignant follicular neoplasms in cytologic examinations. Estimation of risk of malignancy in thyroid nodules who are cytologically assumped to be follicular neoplasm has a critical importance. The aim of this research is evaluation of diagnostic value of thyroid FNA in follicular neoplasm. This survey was done on 476 patients with thyroid nodule whome were biopsied in a 7 years period [in 5th Azar hospital, Gorgan]. Standard aspirations and biopsies techniques performed and necessary smears prepared. Wet-fixed smear glass slides are placed immediately in alcohol [70%] 7-10 slides from the aspiration. The patients with cytologic report whome considered follicular neoplasm followed total thyroidectomy or lobotomy. From 476 patients for thyroid nodules 412 cases [86.5%] are suitable for cytologic evaluation which 312 cases [77.9%] of them were benign and 14 cases [3.3%] were malignant. The rest [77 cases] reported to have follicular neoplsm, this patients also undergone thyroid surgery. The result of histological findings appeared in 32 cases [57.1%] follicular adenoma, 15 cases[26.7%] non-euplastic nodules, 5 cases[8.9%] follicular carcinoma and 4 cases [7.1%]follicular type of papillary carcinoma. 9 cases [16%] found malignant among cases which cytologic reports considered as "follicular neoplasms" and subsequently undergone thyroid surgery [consist of follicular carcinoma and follicular type of papillary carcinoma], confirme the importance of histopathologic study of follicular lesions for differentiation between malignant and benign lesions