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کاربرد نوع شرط:
- جایگاه : پژوهشی
- مجله: Report of Health Care- (لغو رتبه)
- نوع مقاله: Journal Article
- کلمات کلیدی: Performance,quality,Authorities,Practitioners,Bahonar Hospital
- چکیده:
- چکیده انگلیسی: Introduction: The increasing significance of hospitals in improving physical and mental health has led to focusing on improved quality and higher patients’ satisfaction. The purpose of the present research is to determine performance quality of authorities and departments of Shahid Bahonar educational hospital from practitioners’ perspectives. Methods: This cross-sectional analytical-descriptive study was conducted in 2016. Research sample included 110 doctors of Shahid Bahonar educational hospital in Kerman. Research data were collected through a reliable and validated researcher-made questionnaire. Kolmogorov-Smirnov, Mann–
Whitney, Kruskal –Wallis, and one sample t-test were used for data analysis (p≤0.05). Results: Mean quality performance scores of hospital administrators (4.19 ± 0.62), wards (3.96 ± 0.55), quality of service delivery (3.25 ± 0.59), and working motivation in practitioners (3.61 ± 0.72) were obtained. The results also showed that younger employees (p = 0.01) and younger practitioners (p = 0.01) represented significantly better perspectives of performance quality of authorities and working motivation conditions; in addition, medical specialists showed better perspectives than general practitioners (p = 0.02). Quality of service delivery satisfaction and working motivation significantly reduced in individuals with over 15 years of working experiences (p = 0.01). Conclusion: Results revealed that practitioners’ perspectives on performance quality of authorities and hospital wards relatively developed in recent years, particularly due to in-service training and establishing a responsible system to implement health reform plan especially in hospitals.- انتشار مقاله: 10-05-1397
- نویسندگان: Morteza Hashemian,Mehdi Ahmadinejad,Peyman Karimzadeh Karnama,Behnaz Aflatoonian,Reza Abasi Rayeni,Mohammad Reza Aflatoonian
- مشاهده
- جایگاه : پژوهشی
- مجله: Journal of Kerman University of Medical Sciences
- نوع مقاله: Journal Article
- کلمات کلیدی: Prevalence,Liver,Hydatid cyst,Cystectomy,Lung,Echinococcosis
- چکیده:
- چکیده انگلیسی: Background and Aims: Hydatid cyst disease is one of the most common parasitic zoonotic diseases in Iran and the most common involved sites, are lungs and liver. The best treatment of this disease is surgery. The aim of this study was to evaluate the epidemiology and early complications of surgery of hydatid cyst of lung and liver in patients referred to Afzalipour Hospital afiliated to Kerman University of Medical Sciences during 2003-2013.
Method: In this cross-sectional study, 85 patients with lung or liver hydatid cyst who were referred to Afzalipour hospital during 2003-2013 were evaluated retrospectively. Data related to epidemiologic variables and surgery complications were obtained from patient’s documents.
Results: From 85 patients with hydatid cyst of lung and liver, 48.23% were male and 51.76% were female. Among patients, 69.4 % had lung hydatid cyst, 24.7% had liver hydatid cyst and 5.8% had both simultaneously. Cough, dyspnea and fever were dominant symptoms and almost all the surgeries were done through cystectomy with open drainage or cystectomy with capitonage. In whole, 12 cases (14%) had been complicated. There was no significant relation between the method of surgery and complications.
Conclusion: in the present study, the results of epidemiologic variables such as age, sex, prevalence of pulmonary and hepatic involvement and clinical manifestations were similar to the studies that were done in other cities of Iran and also previous studies in Kerman. From 85 surgeries, 12 cases were complicated and there was no significant relation between the method of surgery and complications. Method of surgery, result and complications were similar to other parts of the world and surgery is recommended to prevent hydatid cyst complications such as abscess, opening to the pleural cavity and anaphylactic shock.- انتشار مقاله: 05-07-1394
- نویسندگان: Fatemeh Arabnejad,Mohammad Reza Lashkarizadeh,Mina Mohseni Mohseni,Elaheh Lashkarizadeh,Mitra Smareh Fekri,Mehdi Ahmadinejad
- مشاهده
- جایگاه : پژوهشی
- مجله: Addiction and Health
- نوع مقاله: Journal Article
- کلمات کلیدی: Methadone,Opium dependence,Intensive care units
- چکیده:
- چکیده انگلیسی: Background: Few studies have been conducted regarding the comparison of the efficacy of methadone and
tincture of opium (TOP) in controlling agitation induced by withdrawal syndrome. Therefore, the current
randomized trial study is carried out with the aim to evaluate comparisons on the efficacy of methadone and
TOP in controlling agitation caused by withdrawal syndrome in opium addicted patients in the intensive care
units (ICUs).
Methods: This clinical trial study was conducted on 60 patients admitted to ICU of Shahid Bahonar Hospital,
Kerman, Iran. After classification of the patients into two groups, the first and second groups consumed
methadone syrup (5 mg/ml) and TOP (10 mg/ml), respectively. Agitation in these patients was assessed
through the Richmond Agitation-Sedation Scale (RASS). Vital signs were also assessed. Paired sample t-test
and independent t-test were used for data analysis.
Findings: In the current study, the administered dose of methadone and TOP was 36.17 ± 26.99 and
112.67 ± 102.74 mg, respectively (P < 0.010). Methadone administration led to a significant decrease of the
patients’ vital signs, including systolic blood pressure, heart rate, respiratory rate, and Glasgow Coma Scale
(GCS) (P < 0.05). Though TOP administration decreased systolic blood pressure and GCS significantly
(P < 0.05), it had no effect on patients’ diastolic blood pressure, body temperature, heart rate, and
respiratory rate (P > 0.05). In total, no significant difference was detected between two groups regarding
vital signs (P > 0.05). However, a significant difference was seen between methadone and TOP groups in
terms of RASS score (P < 0.01).
Conclusion: According to the results of the current study, lower dose of methadone, compared to TOP, could
control agitation caused by opium withdrawal symptoms.
- انتشار مقاله: 16-02-1399
- نویسندگان: Seyed Mojtaba Sohrevardi,Mostafa Pournamdari,Raazieh Salimi,Farhad Sarrafzadeh,Mehdi Ahmadinejad
- مشاهده