RESUMO
Background: According to quality transformation of services during the time, the quality requirements and standards also change and recognition of these requirements and transformation process can assist in recognizing the quality dimensions of services. The aim of this research was to explain the transformation process, requirements and quality dimensions of services in hospitals
Methods: The present study is a descriptive research of correlational type that used measuring method. In the study, the hospitals affiliated to Medical Sciences Universities were chosen from 4 provinces of Tehran, Fars, Lorestan, and Yazd. 432 staff members answered the quality requirements and transformation process questionnaires; 500 customers answered quality dimensions questionnaires. Data analysis was done using Pearson correlation coefficient, exploratory factor analysis, confirmatory factor analysis, and structural equation
Results: The results showed that quality transformation in the studied hospitals with an average of 3.34 was more than the satisfaction and the quality requirements with an average of 3.75 was in a good level; also, the quality dimensions with the average of 3.61 was also in a good level. Moreover, there was an inverse relationship between quality transformation and quality requirements and a direct relation between quality requirements and quality dimensions. There was no statistical meaningful and direct relationship between quality transformation and quality dimensions
Conclusion: Based on the results of the study, among 4 steps of quality transformation, our country Iran is in the quality control step. Moreover, based on opinions of hospital staff, professional requirement is the most important one among quality requirements components. Also, according to the customers' viewpoint, if the service is provided with high security, then it is a high quality service. Therefore, quality control together with professional requirement can make a high secure service that contains all quality dimensions
RESUMO
Vitamin D in complex with its receptor by regulating gene expression, endometrium immune response and stimulation of endometrium decidualization can be involved in implantation. So, it seems that the amount of vitamin D in follicular fluids [FF] may have an association with ART success. First, we intended to investigate the possible association between levels of follicular fluids 25-OH vitamin D with assisted reproductive outcomes. Second, we examined relationship between 25-OH vitamin D levels with number and quality of oocytes. In a prospective study, 80 infertile female candidates for IVF/ICSI were enrolled. Blood samples [on the day of human chorionic gonadotropin administration] and follicular fluids were taken, and then levels of serum estradiol and follicular fluids 25-OH vitamin D were measured. Also clinical characteristics of patients [duration of infertility, causes of infertility, menstrual status], number and quality of oocytes, number of fertilized oocytes, estradiol levels, and clinical pregnancy were evaluated. Concentration of FF 25-OH vitamin D in pregnant women was significantly higher than non-pregnant women [p=0.007] but there were no significant differences in age, body mass index [BMI], duration of infertility, menstrual status, number of oocytes, oocytes quality, number of fertilized oocytes, and serum estradiol levels between the two groups. Statistically positive correlation was found between 25-OH vitamin D levels with patient age and implantation rate [r=0.264, p=0.018 and r=0.301, p-0.007 respectively]. The obtained results suggest that vitamin D without affecting the number and quality of oocytes can independently improve implantation rate and 1VF outcome
RESUMO
As AIDS is not merely a hygienic problem but a disease that creates a great deal of economic, cultural, and social problems, it is necessary for most of the state and nongovernmental organizations and individuals to participate in both controlling AIDS and preventing it. As no effective vaccine or therapy for this disease exists currently, the only method for avoiding being afflicted by this disease is prevention. The present study aims to examine the Information-Motivation and Behavioral Skills [IMB] model in risky sexual behaviors. For this purpose, a group of 151 male students was sampled using a multistage random sampling method to complete the quality of HIV information questionnaire, national AIDS questionnaire, international AIDS questionnaire and global positive attitude to AIDS questionnaire. The results show that there is a significant relationship between the perception of HIV infection risk and sexual behavior. Thus, the perception of risk is considered the first step toward modifying sexual behaviors from risk-taking behaviors to safer behaviors