ABSTRACT
BACKGROUND: The National Traumatic Spinal Cord Injury Registry in Iran (NSCIR-IR), was implemented initially in three hospitals as a pilot phase from 11 Oct 2015 to 19 Jun 2016 and has been active in eight centers from 19 Jun 2016. Poursina Hospital, a trauma care referral center in Rasht, Guilan Province of Iran is one of the registry sites, and has been involved in registering eligible patients since 1 Jan 2016. This study aimed to identify the challenges and solutions for sustaining the NSCIR-IR in a regional center. METHODS: This was a mixed-methods study. For the quantitative analysis, a retrospective observational design was used to measure case capture or case identification rate, mapping cases in the registry against those eligible for registry inclusion amongst the register of hospital admissions. For the qualitative component, data was collected using focus group discussions and semi-structured interviews, followed by thematic analysis. RESULTS: From 19 Jun 2016 to 24 Jan 2018, the proportion of case capture (case identification rate) was 17%. The median time between case identification and data entry to the system was 30.5 d (range: 2 to 193 d). Thematic analysis identified a lack of trained human resources as the most important cause of low case identification rate and delay in data completion. CONCLUSION: Recruitment and education to increase trained human resources are needed to improve case capture, the timeliness of data input and registry sustainability in a regional participating site.
ABSTRACT
In Iran, furniture is mainly manufactured in small workshops, where most activities are performed manually. This study was conducted among workers of furniture workshops to determine prevalence of musculoskeletal symptoms and to assess ergonomic working conditions to identify major risk factors associated with musculoskeletal symptoms. In this study, 410 randomly selected furniture workers participated. The Nordic questionnaire and an ergonomics checklist consisting of 6 sections were used as data collection tools. An index was calculated for each section of the checklist. Action categories indicating the priority of corrective measures were also defined. The highest prevalence of symptoms was reported in the knees (39%), lower back (35.6%) and wrists/hands (29.5%). It was found that manual material handling, poor workstation design and awkward working postures were associated with the reported symptoms in these regions (OR 1.77-4.52). Poor general working conditions and work organization showed association as well. Any interventional measures should focus on these areas.
