scholarly journals Investigating the Effective Climate on Transfer of Lessons Learned and Providing Solutions to Improve the Effectiveness of HSE Training Courses

2021 ◽  
Author(s):  
Ahmad Soltanzadeh ◽  
Faezeh Rahimi ◽  
Samira Ghiyasi ◽  
Farshad Hashemzadeh ◽  
Farshid Momeni Farahani
Keyword(s):  
Work Experience ◽  
Multivariate Regression ◽  
Learning Transfer ◽  
Multivariate Regression Analysis ◽  
Lessons Learned ◽  
Oil Refining ◽  
Climate Index ◽  
Validity And Reliability ◽  
Cross Sectional ◽  
Training Courses

Background: Today's businesses spend a lot of money on educating their personnel. What matters is that people use their knowledge to their jobs. The goal of this study was to look into the environment that affects learning transfer and come up with a solution to increase the effectiveness of health, safety and environment (HSE) courses. Methods: In 2020, a cross-sectional study was done at the Tehran Oil Refining Company. The number of samples was 200, according to Cochran's formula. The major data gathering technique was a 20-item questionnaire created by the researcher. The multivariate regression model was used to analyze the study data, which was done with IBM SPSS software. Results: The questionnaire's content validity and reliability were estimated to be 0.83 and 0.929, respectively. 3.68±0.22 was the atmospheric indicator that proved effective in transferring learning and providing a way to increase the effectiveness of HSE training. The climate index affecting the transfer of learning had a significant link with the parameters of work experience (p = 0.02), education.(p = 0.03), and kind of employment (P = 0.01), according to the results of linear multivariate regression analysis. Conclusion: The atmospheric index influencing learning transfer and proposing a solution to increase the efficacy of HSE courses in the Tehran Oil Refining Company was deemed favorable. The outcomes of this study revealed that supervisors on job units in this business provide a supportive environment that is perfectly aligned with encouraging learners to enroll in training courses.

THE CORRELATION BETWEEN BONE DENSITY AND SOME CLINICAL AND SUBCLINICAL FACTORS IN THE PATIENTS WITH DIALYSIS CHRONIC KIDNEY DISEASE

2020 ◽  
pp. 75-82
Author(s):  
Minh Nguyen Thanh ◽  
Tam Vo
Keyword(s):  
Chronic Kidney Disease ◽  
Regression Analysis ◽  
Bone Density ◽  
Kidney Disease ◽  
Multivariate Regression ◽  
Multivariate Regression Analysis ◽  
Cross Sectional Study ◽  
Ho Chi Minh City ◽  
Cross Sectional ◽  
End Stage

Objectives: To investigate the correlation between bone density and osteoporosis with some clinical and subclinical factors in patients with dialysis chronic kidney patients. Materials and Methods: Descriptive cross-sectional study, include 163 patients with dialysis chronic kidney disease, from January 2017 to December 2018 at the Department of Haemodyalysis, District 2 Hospital, Ho Chi Minh City. Results: Bone density was negatively correlated with age at the lumbar spine (LS) (r = - 0.225), total hip (total H) (r = - 0.288), femoral neck (FN) (r = - 0.352); with urea at the total H (r = - 0.206), FN (r = - 0.194); with PTH at LS (r = - 0.266), total H (r = - 0.219), FN (r = - 0.168); with β2 Microglobulin at the LS (r = - 0.269). Bone density was positively correlated with glomerular filtration rate at the LS (r = 0.200), FN (r = 0.179); with vitamin D at the LS (r = 0.218) and total H (r = 0.179). Multivariate regression analysis of the risk of decreased bone density at the FN has 2 factors: age (OR = 1.117), PTH (OR = 1.001); at the LS, there are 3 factors: gender (OR = 4.572), PTH (OR=4.078), age (OR = 1.045); at the total H, there are 2 factors: PTH (OR = 3.683), age (OR = 1.117). Osteoporosis in all 3 positions was related to sex (p < 0.05) and age group (p < 0.01). Osteoporosis was associated with PTH, Phosphorus, Aluminum disorders at the FN (p < 0.05), with PTH at the LS (p < 0.05), with PTH, calcium at the total H (p < 0.05). Multivariate regression analysis of the risk of osteoporosis has 3 factors: age (OR = 4.058), PTH (OR = 2.967), female (OR = 2.841). Conclusion: Bone density, osteoporosis is correlated, associated with common factors and factors associated with bone mineral disorders in patients with dialysis chronic kidney disease (CKD - MBD). Key words: End-stage chronic kidney disease, dialysis, bone density

scholarly journals Preferred Learning Styles of Nurses in In-Service Training Courses in Tabriz University of Medical Sciences

2019 ◽  
Vol 36 (1) ◽  
pp. 69-78
Author(s):  
Neda Safaeifard ◽  
Hossein Namdar Areshtanab ◽  
Fariborz Roshangar ◽  
Hossein Ebrahim ◽  
Hossein Karimi Moonaghi ◽  
...  
Keyword(s):  
Learning Styles ◽  
Learning Style ◽  
Work Experience ◽  
Cross Sectional Study ◽  
Medical Sciences ◽  
Cross Sectional ◽  
North West ◽  
The North ◽  
Service Training ◽  
Training Courses

Summary Generally, progress, productivity and success of any organization depends on the skills and knowledge of their manpower. Thus, better and more accurate training programs in organizations will lead to their growth and efficiency will be eventually achieved. Due to the many advances in the field of medicine, nurses are the backbone of activities in organizations of medical sciences and patient’s affairs. For this purpose, in-service training courses for employees are the most important courses in nursing. This study was conducted at the University of Medical Sciences (Tabriz-Iran) aiming to determine the preferred learning styles of nurses in in-service training courses. In this cross-sectional study, all nurses working in medical and educational centers in a university in the North West of Iran were randomly selected. To collect data, a two-part questionnaire of Kolb’s demographic and social information was used. Data was analyzed by using descriptive and analytical statistics SPSS version 17 software. A total of 470 nurses with an average age of 36.46 ± 5.77 were studied. There was a significant correlation between preferred learning styles of nurses with nursing position, employment status, and income level. There was no a significant statistical relationship between the preferred learning style of nurses with age, work experience and experience in the center. The present study shows that the highest percentage of Kolb’s learning style is related to the preferential converging learning style (57.8%). This study aimed to determine the preferred learning styles of nurse’s in-service training courses in Tabriz University of Medical Sciences. The results of the study showed that converging and assimilating styles were the preferred learning ones among the majority of nurses; these styles are effective and interpreted according to their profession requiring a lot of information and knowledge. Due to the dominance of converging learning style among nurses, it is recommended to use appropriate teaching methods tailored to the style including the use of diagrams, presentations, lectures and self-learning with enjoyable materials.

Abstract 412: Obesity is an Independent Predictor Of Arterial Stiffness

Hypertension ◽  
2013 ◽  
Vol 62 (suppl_1) ◽  
Author(s):  
Mohan Thanikachalam ◽  
Shasha Bai ◽  
Vijayakumar Harivanzan ◽  
Ragavendra R Baliga ◽  
William T Abraham ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Regression Analysis ◽  
Arterial Stiffness ◽  
Multivariate Regression ◽  
Independent Predictor ◽  
Density Lipoprotein ◽  
Multivariate Regression Analysis ◽  
Population Based ◽  
Cross Sectional Survey ◽  
Cross Sectional

Background Arterial stiffness assessed by carotid-femoral pulse wave velocity (PWV) is an independent predictor of cardiovascular morbidity and mortality. We aimed to investigate how various measures of obesity affect arterial stiffness. Methods We conducted a population-based cross-sectional survey in 8,042 South Indians above the age of 20 years. Following completion of a detailed medical history questionnaire, all participants underwent haemodynamic screening including brachial and central blood pressure, and PWV measurements using a high-fidelity applanation tonometry. The study included anthropometric measurements and fasting blood for total cholesterol (TC), triglyceride (TG), high density lipoprotein (HDL), low density lipoprotein (LDL) and blood glucose (BG) levels. After the exclusion of people with previous history of diabetes, hypertension and dyslipidemia on drug therapy, 5,841 subjects (mean age 41.6 years; 58% women) constituted the study sample Results In an univariate analysis, PWV correlated positively with age, mean blood pressure (MAP), heart rate (HR), body mass index (BMI), waist circumference (WC), waist to hip ratio (WHR), body fat percent (BF%), TC, TG, LDL and BG levels (P <0.001) and negatively with HDL levels (P=0.005). In a multivariate regression analysis, majority of the PWV variability in the model was accounted for by MAP and age, (cumulative adjusted R2 change of 32.79% as compared to the total adjusted R2 change of 35.25%). However, BMI (β= 0.042; adjusted R2 change=2.83%; p<0.001) independently correlated with PWV and its contribution to the PWV variability was far more significant compared to LDL, BG and TG (cumulative adjusted R2 change=1.08%). Multivariate regression analysis using the WC, WHR, or BF% instead of the BMI continued to demonstrate a significant independent effect of obesity parameters on PWV. Conclusion: In a large a population-based cross-sectional survey the study demonstrates a positive, independent association between obesity parameters and increased arterial stiffness.

scholarly journals Assessment of Knowledge, Attitude, and Practice of Iranian Nurses towards Toothbrush Maintenance and Use

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Mohammad Nazarianpirdosti ◽  
Maryam Janatolmakan ◽  
Bahare Andayeshgar ◽  
Alireza khatony
Keyword(s):  
Work Experience ◽  
Role Model ◽  
Cross Sectional Study ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Attitude And Practice ◽  
Knowledge Practice ◽  
Training Courses ◽  
Knowledge Attitude And Practice ◽  
Nurses Knowledge

Background. Since nurses are considered a role model in society, they should have sufficient knowledge, attitude, and practice in the field of oral hygiene. This study was aimed to assess the nurses’ knowledge, practice, and attitude towards toothbrush maintenance and use. Methods. In this cross-sectional study, 325 nurses working in hospitals affiliated to Kermanshah University of Medical Sciences were randomly recruited. Data collection tools included a demographic information form and a researcher-made questionnaire on knowledge, attitude, and practice regarding toothbrush maintenance and use. Data were analyzed by SPSS software using descriptive and inferential statistics (Mann–Whitney U and Kruskal–Wallis H). Results. The mean scores of nurses’ knowledge, attitude, and practice were 59.2 ± 16.4, 64.2 ± 20.6, and 51.4 ± 17.0 out of 100, respectively. There was no statistically significant relation between nurses’ knowledge, attitude, and practice and their gender, age, level of education, and work experience. Conclusions. Nurses had moderate knowledge, attitude, and practice regarding toothbrush maintenance and use, which is not very desirable given their role model. Therefore, training courses are recommended to be held to increase the nurses’ knowledge, attitude, and practice regarding toothbrush maintenance and use.

Use and perception of complementary and alternative medicine among Iranian psychologists

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Hadi Tehrani ◽  
Mahbobeh Nejatian ◽  
Alireza Jafari
Keyword(s):  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
Significant Relationship ◽  
Cross Sectional Study ◽  
Validity And Reliability ◽  
Cross Sectional ◽  
Training Courses ◽  
The Mean ◽  
Educational Need ◽  
Complementary And Alternative

Abstract Objectives The seeking and use of Complementary and Alternative Medicine (CAM) modalities by people to treat mental disorders has increased and it is necessary for psychologists to have the necessary information in this field. This study aims to evaluate the use and perception of CAM by Iranian psychologists. Methods This cross-sectional study was conducted on 100 psychologists selected by the census in 2019. Data collection tools consisted of four sections of the demographic section, the CAM questionnaire for psychologists, awareness of CAM, and use of CAM. The validity and reliability of this questionnaire were confirmed. Results The mean (standard deviation) scores of attitude and educational needs were 40.45 (11.36) and 33.93 (5.96), respectively. Only 19.25% of psychologists had sufficient knowledge of CAM, and most of them (56.34%) reported that there is an educational need for CAM. In this study, 64% of psychologists used CAM for themselves. There was a significant relationship between the attitude toward CAM modalities and the suggestion of CAM to the clients (p=0.025). There was also a significant relationship between the use of CAM by psychologists and the suggestion of these modalities to their clients (p<0.001). Conclusions Psychologists had not sufficient awareness about CAM and had a moderate attitude. Most of the psychologists reported that there is educational need for CAM. Therefore, it is necessary to design and implement appropriate training courses for psychologists toward CAM modalities.

scholarly journals Beliefs, attitude, and knowledge of the Iranian physiatrists towards neuromusculoskeletal ultrasound and common barriers in its application

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Leyla Khodadadi ◽  
Afshin Karimzade ◽  
Seyed Mansoor Rayegani ◽  
Nafisseh Jafarian ◽  
Seyed Ahmad Raeissadat ◽  
...  
Keyword(s):  
Private Sector ◽  
Professional Training ◽  
Demographic Data ◽  
Response To Treatment ◽  
Validity And Reliability ◽  
Cross Sectional ◽  
Medical Specialties ◽  
Musculoskeletal Sonography ◽  
Training Courses ◽  
University Lecturers

Abstract Background Regarding the increasing application of neuromusculoskeletal sonography among medical specialties, specifically physiatrists, this study aims to assess the knowledge and skill level of these specialists in neuromusculoskeletal sonography in Iran. Methods This descriptive, cross-sectional study was performed in 2018. The utilized questionnaire developed based on previous studies in collaboration with 6 university lecturers of Shaheed Beheshti, Iran, and Tabriz medical universities and a physiatrist from Hacettepe University (Turkey); it included questions entailing demographic data, knowledge, and performance levels. Its validity and reliability were evaluated through face validation, pilot study, and the Cronbach α calculated via SPSS. Data extraction and analysis were also performed by SPSS-25. Results Of 364 questionnaires distributed, 300 were properly filled and entered into the study, of which, 38% were filled by clinical residents, 10% university lecturers, and 52% other categories (e.g. private sector). The average number of musculoskeletal patient visits was 140.6 ± 119 and the mean number of musculoskeletal sonographies requested was 8.2 ± 5.2 per month (the three most common indications reported as the shoulder, carpal tunnel syndrome, and tendon injuries). 95% of the participants considered the importance of sonography for physiatrists to be “very high” or “high”; with the most valuable applications “as a guide for procedures (90%), its diagnostic utility (68%), and follow up/evaluating the response to treatment (45%). 86% of physiatrists reported they had participated in musculoskeletal sonography courses, 60% during residency, and the rest through workshops. Also, the participants mentioned safety (83%), the possibility of performing simultaneous diagnosis and intervention procedures (70%), repeatability (58%), and dynamic imagery (52%) as the major advantages of musculoskeletal ultrasound. Conclusion a large number of doctors consider musculoskeletal sonography to be essential for physiatrists, though insufficient education on the subject and the low number of ultrasound devices are some of the obstacles in enhancing the use of this technology in PM&R setting. Presenting certified specific training courses during residency, provision of necessary rotations, using the capacities of the PM&R scientific committee, and the private sector for running workshops and professional training courses are suggested for enhancing the knowledge and skills of neuromusculoskeletal sonography.

scholarly journals Intensity of spinal inflammation is associated with radiological structural damage in patients with active axial spondyloarthritis

2019 ◽  
Vol 4 (1) ◽  
Author(s):  
Jin Xian Huang ◽  
Ho Yin Chung ◽  
Eva Tze Fung Chui ◽  
Kam Ho Lee ◽  
Shirley Chiu Wai Chan ◽  
...  
Keyword(s):  
Regression Analysis ◽  
Ankylosing Spondylitis ◽  
Disease Activity ◽  
Multivariate Regression ◽  
Structural Damage ◽  
Radiographic Progression ◽  
Multivariate Regression Analysis ◽  
Cross Sectional ◽  
Independent Variable ◽  
Spinal Inflammation

Abstract Objective The aim was to investigate the relationship between the intensity of spinal inflammation using the apparent diffusion coefficient (ADC) and radiographic progression in axial SpA. Methods This is a cross-sectional study of participants with axial SpA and back pain. Clinical, biochemical and radiological parameters were collected. The ankylosing spondylitis disease activity score (ASDAS)-CRP was determined. Radiographic progression was represented by the modified Stoke ankylosing spondylitis spine score (mSASSS). MRI with short tau inversion recovery (STIR) and diffusion-weighted imaging sequences were performed simultaneously. Inflammatory lesions on STIR were used for the Spondyloarthritis Research Consortium of Canada (SPARCC) MRI indexes and as references in outlining regions of interest in ADC maps to produce mean (ADCmean) and maximal (ADCmax) ADC values. Univariate and multivariate linear regression analyses were used to determine independent associations between ADC and radiographic progression. Results The 84 participants with identifiable lesions on spinal ADC maps recruited were characterized by a mean (s.d.) age of 45.01 (13.68) years, long disease duration [13.40 (11.01) years] and moderate clinical disease activity [ASDAS-CRP 2.07 (0.83)]. Multivariate regression analysis using ADCmean as the independent variable showed that age (regression coefficient [B] = 0.34; P = 0.01), male sex (B = 0.25; P = 0.04) and ADCmean (B = 0.30; P = 0.01) were positively associated with mSASSS. Multivariate regression analysis using ADCmax as the independent variable showed a tendency for ADCmax to be associated with mSASSS (B = 0.21; P = 0.07). Conclusion The intensity of spinal inflammation as determined by ADC is associated with radiographic progression in participants with active axial SpA.

scholarly journals Evaluation of Emergency Nurses’ Knowledge and Performance about Hospital Triage

2019 ◽  
pp. 1-7 ◽  
Author(s):  
Asghar Sherafat ◽  
Ali Akbar Vaezi ◽  
Mohammadreza Vafaeenasab ◽  
Mohammad Hassan Ehrampoush ◽  
Hossein Fallahzadeh ◽  
...  
Keyword(s):  
Significant Relationship ◽  
Work Experience ◽  
Emergency Departments ◽  
Study Data ◽  
Validity And Reliability ◽  
Medical Sciences ◽  
Emergency Nurses ◽  
Cross Sectional ◽  
Level Of Knowledge ◽  
And Performance

Background and Objectives: By knowing the level of knowledge of triage nurses, we will be capable of making the right decision about allocating suitable resources for enriching the quality of the emergency department. So, the objective of our study is to evaluate triage knowledge and performance of emergency nurses in Yazd province of Iran. Materials and Methods: This was a cross-sectional study. The sampling was performed from all nurses responsible for triage in emergency departments of 8 educational hospitals of Yazd University of Medical Sciences were included for our sampling in the study. Data collection was done using a questionnaire whose validity and reliability have already been approved. After evaluating all the questionnaires, 84 of them were completed, and others were excluded from the study. Data were analyzed by descriptive and inferential statistics using the SPSS version 22 software. Results: According to statistical analysis results, there was no significant relationship between the knowledge score, performance and total score with demographic characteristics. Moreover, there was no significant relationship between educational courses, work experience and work shift with knowledge, performance and total score. Although female nurses’ scores in knowledge and performance areas was higher than male scores, the differences were not statistically significant. Conclusion: The level of knowledge of the nurses employed in the emergency departments of Shahid Sadoughi University of medical sciences in Yazd is moderate in terms of triage. However, the performance of nurses working in the emergency departments of the aforementioned centers is higher than average. It is concluded that there is an immediate need to reconsider nurses triage education and improve the triage knowledge and performance among nurses.

scholarly journals Precarious Parental Employment, Economic Hardship, and Parenting and Child Happiness Amidst Pandemic

2021 ◽  
Author(s):  
Wen-Jui Han ◽  
Jake Hart
Keyword(s):  
Labor Markets ◽  
Multivariate Regression ◽  
Multivariate Regression Analysis ◽  
The United States ◽  
Economic Security ◽  
Cross Sectional ◽  
Health Crisis ◽  
Parental Employment ◽  
Public Health Crisis ◽  
Parental Views

As labor markets in recent decades have become increasingly volatile and precarious, more workers are susceptible to working conditions threatening their economic security. We examined the association between precarious parental employment, income or job loss, and parenting and child happiness during COVID-19 pandemic. We collected an online cross-sectional dataset collected in May 2020 in the United States to examine parental views on childrearing and child happiness, controlling for a rich set of sociodemographic characteristics. Our multivariate regression analysis indicate that two aspects of job precarity related to feeling vulnerable at work and receiving low material rewards from work, and losing job or income due to COVID-19 were significantly associated with a less positive view on childrearing and lower degree of child happiness reported by parents. Our analysis underscores the vulnerability faced by our parents at workforce and how a public health crisis magnified the dire consequences of a precarious job on parenting and child happiness.

scholarly journals Alterations in Choroidal Volume and Determinants of Choroidal Volume and Visual Acuity in Entire Macula-involved Myopic Retinoschisis

2021 ◽  
Author(s):  
Shiwei Li ◽  
Tingting Li ◽  
Bin Lu ◽  
Yan Chen ◽  
Xueyan Zhang ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Axial Length ◽  
Multivariate Regression ◽  
Influencing Factor ◽  
Multivariate Regression Analysis ◽  
Cross Sectional ◽  
Morphological Findings ◽  
The Difference ◽  
Choroidal Volume ◽  
Sd Oct

Abstract Background To evaluate alterations in the choroidal volume (CV) of eyes with entire macula-involved myopic retinoschisis (MRS) and to investigate predictive factors for CV and visual acuity. Methods This cross-sectional observational study recruited 32 MRS eyes, 52 non-MRS highly myopic eyes, and 55 emmetropic eyes. Retinal and choroidal morphological findings were obtained using SD-OCT. The CV of the three groups was compared, and factors associated with CV and BCVA were analyzed. Results The macular CV was significantly lower in MRS eyes than in emmetropic eyes (P < 0.0001) and in non-MRS highly myopic eyes (P < 0.05). The difference in CV for MRS eyes among the superior (0.34 ± 0.16 mm3), inferior (0.33 ± 0.17 mm3), nasal (0.27 ± 0.12 mm3) and temporal (0.34 ± 0.21 mm3) quadrants was not significant (P = 0.3755). Multivariate regression analysis showed that the total macular CV in MRS eyes was negatively correlated with axial length (P = 0.0459), decreasing by 0.19 mm3 for each millimeter of axial length. Refractive error and defects in the ellipsoid zone (EZ) were associated with BCVA in logMAR units (P = 0.0075 and 0.0002, respectively); BCVA decreased by 0.027 logMAR units for each diopter of myopia. The total macular retinal volume (RV) in MRS eyes with EZ defects was higher than that in eyes with intact or partially continuous EZs (P = 0.0460). Conclusion In MRS eyes, the choroid is thinner, the total macular CV deceases as the axial length increases, and the severity of myopia and the integrity of the EZ, associated with the schisic extent are predictors of visual acuity, and the decrease of the macular CV is not the influencing factor of the visual function.

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