Investigating the compliance of COVID-19 protocols in the workplaces of Ardabil, Iran

BACKGROUND: Workplaces are prone to the current outbreak- of COVID-19. Despite the production of the COVID-19 vaccine, due to some challenges in vaccinating all people worldwide, adherence to health protocols is still one of the ways to prevent infection. OBJECTIVE: This study was conducted with the purpose of investigating the compliance of COVID-19 protocols in the workplaces of Ardabil, Iran. METHODS: This was a cross-sectional research conducted on the workplaces affiliated to Ardabil University of Medical Sciences between August and September, 2020. A researcher-designed checklist was completed once in early August and once at the end of September for the workplaces. Accordingly, these workplaces were inspected for any compliance with the COVID-19 prevention protocols by health centers during August and September. In addition, the number of patients with COVID-19 was determined for each one of the workplaces. RESULTS: The results showed that the highest increase was related to screening (57.8%) and the lowest change was related to personal hygiene (1.3%). The rates of increase in performance for small workshops, offices and industries were 35.4%, 33.1%and 12.4%, respectively. Moreover, a linear and inverse relationship was found between the incidence of COVID-19 and the level of observance of the OVID-19 prevention protocols. CONCLUSIONS: Based on the results of this study, the inspection made by legal authorities led to the increased commitment of workplace managers to implement prevention programs, thereby increasing the observation level of these protocols in the workplace and reducing the incidence of COVID-19.

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Evaluation of Integrated Health System Technology Acceptance among the users of Health Centers of Zahedan University of Medical Sciences: Iran

Evidence Based Health Policy Management and Economics ◽

10.18502/jebhpme.v3i3.1503 ◽

2019 ◽

Author(s):

Mohammad Khammarnia ◽

Fatemeh Setoodehzadeh ◽

Mostafa Peyvand ◽

Amir Hossein Setayesh ◽

Kosar Rezaei ◽

...

Keyword(s):

Health System ◽

Technology Acceptance ◽

Acceptance Rate ◽

Health Centers ◽

Cluster Sampling ◽

Medical Sciences ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Integrated Health ◽

System Acceptance

Background: The integrated health system (IHS) entitled “SIB” was launched in 2016 aimed to electronic health record (EHR) in the field of health. Given that, in addition to deploying the system, its acceptance criteria by users has a significant effect on its effectiveness and benefits: therefore, the present study was carried out aimed to determine the acceptance rate of IHS technology in health centers. Methods: This study as a cross-sectional survey and applied research was conducted in Zahedan University of Medical Sciences (ZAUMS) in 2017. The population in the present study consisted of all users of SIB system affiliated ZAUMS. Of these, 285 users were selected (physician, health care provider, Behvarz) in five counties affiliated with ZAUMS using multistage cluster sampling. In this study, standard technology acceptance questionnaire was used for data collection. The data were analyzed by SPSS-v22 software and analyzed using descriptive statistics, one-way Anova, T test and other related tests. Results: About 77.9 % of users used the system for several times a day. The SIB system acceptance rate by 49.5 % of users was moderate and 38.9% of the users had excellent acceptance of this system. There was a significant relationship between the acceptance rate of SIB system among the users with age, gender, city, level of education, type of employment, place of work and organizational position (P < 0.05). Conclusion: The results of this study show that, most users have accepted and confirmed the SIB system. Modification of the system with regional approach with the opinion and participation of specialists in comprehensive health service centers is suggested.

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Identifying the Factors Affecting the Incidence of Medication Errors of Nurses in Teaching Hospitals of Shiraz University of Medical Sciences

Quarterly Journal of Management Strategies in Health System ◽

10.18502/mshsj.v6i3.8038 ◽

2021 ◽

Author(s):

Ali Reza Yusefi ◽

Parnian Nikmanesh ◽

Zahra Kavosi ◽

Ahmad Sadeghi

Keyword(s):

Human Factors ◽

Medication Errors ◽

Pearson Correlation ◽

Cross Sectional Study ◽

Employment Relationship ◽

Teaching Hospitals ◽

Medical Sciences ◽

Cross Sectional ◽

Number Of Patients ◽

Heavy Workload

Background: Medication errors are one of the major causes of injury to patients while receiving medical care. This study aimed to investigate the effective causes of medication errors in nurses in educational hospitals affiliated with Shiraz University of Medical Sciences. Methods: This descriptive-analytical and cross-sectional study was conducted in 2020 on 340 nurses from 10 educational hospitals affiliated to Shiraz University of Medical Sciences. The data collection tool was a questionnaire. Data were analyzed using t-test, ANOVA and Pearson correlation coefficient were analyzed using SPSS23 software . Results: According to the results, human factors have been the most important factor in the occurrence of medication errors. The most important causes of medication errors with respect to human, managerial and environmental factors include fatigue due to overwork (3.13 ± 1.16), method of supervision (3.06 ± 0.98) ,and heavy workload (3.00 ± 1.19), respectively. There was a statistically significant relationship between human factors and age (p = 0.024), gender (p = 0.013), employment relationship (p = 0.016), and marital status (p = 0.027), and between management factors and employment relationship (p = 0.034) and the number of patients under observation (p = 0.011). Conclusion: Considering the most important causes of medication errors, including fatigue due to overload, supervision methods, and heavy workload, using strategies to reduce fatigue due to workload, such as balancing nurses' work shifts and also holding workshops on supervision methods is recommended in order to improve the level of managerial competencies of nurses.

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Compilation and testing the reliability of questionnaires about the fear of blood extraction (venipuncture) among students of Medical Faculty of Kragujevac

Acta Facultatis Medicae Naissensis ◽

10.5937/afmnai38-25165 ◽

2021 ◽

Vol 38 (1) ◽

pp. 85-95

Author(s):

Suzana Milutinović ◽

Ana Stanković ◽

Sunčica Ivanović ◽

Sanja Trgovčević ◽

Tatjana Kilibarda

Keyword(s):

High Reliability ◽

Public Health Problem ◽

Adverse Outcomes ◽

Blood Collection ◽

Medical Sciences ◽

Symptom Scale ◽

Good Reliability ◽

Cross Sectional ◽

Blood Samples ◽

Number Of Patients

It is of particular importance to use validated questionnaires to remove fear of needles and blood collection, as this public health problem has been observed in a large number of patients and may inadequately affect medical healthcare. The aim of the study was to conduct a research on the reliability of the questionnaire on the fear of blood sampling among students of the Faculty of Medical Sciences in Kragujevac. The method used in this research was a cross-sectional study. The sample involved the students of medicine, pharmacy, dentistry and professional studies of health care at the Faculty of Medical Sciences in Kragujevac (Republic of Serbia), a total of 300 students, which was 20% of the student population at the aforementioned faculty. The research instrument was the questionnaire The Blood-Injection Symptom Scale (BISS) which contained 22 questions. The research lasted one month during 2016. Statistical data processing was performed using IBM SPSS Statistics 21. Cronbach's Alpha value - 0.894 and other parameters used to determine reliability showed a high reliability of this questionnaire. After explorative factor analysis, three factors that most affect adverse outcomes for venepuncture were obtained - vasovagal symptoms that occur as a result of fear, fear of needles and consequences of puncture, and the fear of hospitals and personnel who take blood samples. The BISS questionnaire showed good reliability in the population of students of the Faculty of Medicine in Kragujevac and can be used in the general population for examining the fear of needles, the consequences of needle stings, fear of hospitals and people who take blood samples, and therefore to prevent these symptoms.

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Clinical analysis of cardiac failure in post-myocardial infarction patients

International Journal of Advances in Medicine ◽

10.18203/2349-3933.ijam20182074 ◽

2018 ◽

Vol 5 (3) ◽

pp. 587

Author(s):

R. Jaya Prakash Reddy ◽

P. Vijaya Narasimha Reddy

Keyword(s):

Myocardial Infarction ◽

Cardiac Failure ◽

Clinical Analysis ◽

Cross Sectional Study ◽

Anterior Wall ◽

Prior History ◽

Medical Sciences ◽

Cross Sectional ◽

Number Of Patients ◽

History Of

Background: Cardiac failure is one of the common complications of Acute Myocardial Infarction. As CAD is the leading cause of death and post MI Cardiac failure also causing increase in rate of Mortality. It directs us to assess the complications of MI and to evaluate the precautionary & preventive steps of cardiac failure.Methods: The present study comprises of 50 cardiac failure patients with history of MI in the past and who presented with myocardial infarction with cardiac failure were included in this study. We excluded the patients who presented with Cardiac failure without Prior history of MI. This hospital based cross sectional study was conducted at Rajiv Gandhi Institute of Medical Sciences (RIMS), Ongole, Prakasam District, Andhra Pradesh. The study was carried out for a period of 1 year with informed consent.Results: In present study majority number of patients (33) show hypokinesia and 10 are found to have dyskinesia and only 4 are akinesia. In this study More than 50% patients are with history of anterior wall involvement. 36(72%) patients have elevated JVP, 34(68%) have cardiomegaly, 38 patients presented with PND. 29(58%) patients are DM and 35(70%) are HTN and only 6(12%) patients are neither DM, nor HTN.Conclusions: Cardiac failure is a common complication after MI. Most common presentations are breathlessness, chest pain, PND, JVP etc. Anterior wall MI on ECG either isolated or associated with other walls is the leading cause of post MI cardiac failure.

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The Sanitary Condition of Food Establishments and Health Status and Personal Hygiene among Food Handlers in a Rural Area of Western Maharashtra, India

Asian Journal of Medical Sciences ◽

10.3126/ajms.v4i2.7895 ◽

2013 ◽

Vol 4 (2) ◽

pp. 23-29 ◽

Cited By ~ 2

Author(s):

Jayant D Deshpande ◽

Deepak B Phalke

Keyword(s):

Health Status ◽

Cross Sectional Study ◽

Personal Hygiene ◽

Food Handlers ◽

Medical Sciences ◽

Cross Sectional ◽

Sanitary Condition ◽

Waste Storage ◽

The Status ◽

Cooked Food

Background: Foodborne disease occurs in mass catering establishment that is not complying with sanitary and hygienic food handling and preparation. Objective: Objective of the present study was to explore the status of sanitary condition of food establishments and to assess hygienic practices among food handlers. Material and Method: A cross-sectional study design was used to assess the sanitary condition of food establishments and personal hygiene of food handlers. Data was collected with the help of structured and pre-tested questionnaires. The questionnaire also allowed the interviewers to record their observations. All the data obtained was entered into Microsoft Excel and analyzed using the software StatistiXL version 1.8. Result: Separate kitchen and Onsite solid waste storage containers/receptacles were available in 4(16%) establishments. Provision for heating devices for cooked food was available in 5(20%) establishments. Wash basin present with soap were available in 10 (40%) of the food establishments. Sweeping and washing floor with water and disinfectant was done in 8(32%) food establishments. Male and female food handlers’ have equal percentage of morbidity and this difference was not statistically significant (χ2=0.0329, p=0.84), but anaemia was significantly higher among female food handlers (χ2=6.30, p=0.01). Poor hygienic practices were significantly associated with presence of infectious diseases like ARI, diarrhoea, dysentery and skin infections. (χ2=5.71, p=0.017). Conclusion: Food establishments in the study area were found to have poor sanitation and were not maintained well. The health status and the level of personal hygiene of the food handlers in the eating establishments were found to be unsatisfactory. There is need of enforcement of sanitary provisions and educating the food handlers about personal hygiene.DOI: http://dx.doi.org/10.3126/ajms.v4i2.7895 Asian Journal of Medical Sciences 4(2013) 23-29

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Investigation of the prevalence of Head Lice and Factors Affecting Them in Infected People Referring to Gerash County Health Center

International journal of epidemiologic research ◽

10.34172/ijer.2020.12 ◽

2020 ◽

Vol 7 (2) ◽

pp. 58-62

Author(s):

Elham Rezaee ◽

Fatemeh Heidari ◽

Mohammad Nowrouzi

Keyword(s):

Health Centers ◽

Personal Hygiene ◽

Head Lice ◽

Physical And Mental Health ◽

Access To Health Services ◽

Cross Sectional ◽

Significance Level ◽

Factors Affecting ◽

Infected People ◽

Wide Range

Background and aims: Pediculosis is one of the most common parasitic diseases that affect a wide range of age groups. The prevention of head lice infections promotes the physical and mental health of people in the community. Thus, the aim of this study was to investigate the prevalence of head lice infections and the factors affecting them in those who referred to health centers in Gerash County from 2011 to 2018. Methods: This descriptive cross-sectional study was conducted on patients suspected with head lice infections in health centers in Gerash. These infections were diagnosed by observing adult lice, nymphs, or nits on the head with the help of a magnifying glass. The collected data were then analyzed using SPSS software, version 22 and P˂ 0.05 was considered as the significance level. Results: In general, 66410 patients suspected with head lice were examined, of whom 2,547 cases (3.83%) were reported with confirmed infections including 2395 female (94.03%) and 152 male (5.97%) cases. The highest levels of infections were reported in the age group of 6-10 years while the lowest levels of infections were found in children less than 6 years of age. A significant statistical relationship was observed between head lice and gender, age, season, and the place of residence, and year of infection (P<0.05). Conclusion: Due to the increasing trend of head lice infections in recent years, pediculosis is still considered a health problem. Therefore, training on personal hygiene, adequate access to health services, and early diagnosis and treatment can play an important role in the prevention and elimination of head lice.

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Prevalence and Reporting of Needle Stick Injuries: A Survey of Surgery Team Members in Kermanshah University of Medical Sciences in 2012

Global Journal of Health Science ◽

10.5539/gjhs.v8n3p245 ◽

2015 ◽

Vol 8 (3) ◽

pp. 245 ◽

Cited By ~ 3

Author(s):

Alireza Khatony ◽

Alireza Abdi ◽

Faranak Jafari ◽

Kamran Vafaei

Keyword(s):

Working Hours ◽

Surgical Instruments ◽

Medical Sciences ◽

Cross Sectional ◽

Team Members ◽

Needle Stick ◽

Number Of Patients ◽

High Prevalence ◽

Needle Stick Injuries ◽

Safety Guidelines

BACKGROUND: Surgeons are one of the groups, most highly exposed to the risk of needle stick injuries at work. The present study aims to determine the prevalence and reporting of needle stick injuries during the first 6 months of 2012, in faculty surgeons affiliated to the Kermanshah University of Medical Sciences. METHODS: In a cross-sectional descriptive-analytical survey, 29 surgeons were studied based on the census method. A reliable and valid questionnaire was used as a research instrument to collect the data. Data was analyzed using SPSS v.16 and based on descriptive and inferential statistics. RESULTS: Among 29 recruited surgeons, 5 (17.2%) had needle stick injuries during the 6 months, only one of whom had followed the established guidelines about reporting and following treatment. The most common instrument causing injury was the suture needle (60%). Significant differences were found in both groups of the injured and non-injured in term of gender (X2=5.612, P= 0.003), and number of patients (Z= 2.40, P=0.016) and daily working hours (Z=2.85, P=0.04). CONCLUSIONS: In relation to the relatively high prevalence of needle stick injuries among the surgeons and their lack of reporting, it is suggested that the Safety Guidelines in the operating room are carefully observed. Moreover, safer and lower risk surgical Instruments should be used.

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E-booking Websites in Iranian Public Clinics: A Step Toward Health Equity

Shiraz E-Medical Journal ◽

10.5812/semj.106925 ◽

2020 ◽

Vol In Press (In Press) ◽

Author(s):

Ali Garavand ◽

Nasim Aslani ◽

Seyyed Mohammad Ayyoubzadeh ◽

Shahabeddin Abhari

Keyword(s):

Waiting Time ◽

Healthcare Services ◽

Cross Sectional Study ◽

Health Centers ◽

Sectional Study ◽

Medical Sciences ◽

Situation Analysis ◽

Cross Sectional ◽

Patients Satisfaction ◽

Public Clinics

Background: Scheduling doctor appointments at healthcare centers have been a managerial challenge for health systems. In recent years, many efforts have been made to implement e-booking websites in medical universities and their affiliated healthcare centers. Objectives: The aim of this study was to analyze the recent situation of e-booking in the medical sciences affiliated clinics. Methods: The present study was a descriptive cross-sectional study conducted in 2019 in 31 provinces, universities of medical sciences, and affiliated health centers. A checklist with 11 items was used for situation analysis. Results: The results showed that just 5 out of 31 (15.15%) provinces and their affiliated universities of medical sciences lacked an e-booking system. Moreover, 85.71% of cases had an integrated e-booking portal, 67.86% had mobile-based applications for e-booking, and just 14.29% of the cases had online payment gateway that was the lowest score in all items studied. Conclusions: Based on the results of this study, there is a significant growth in the situation of e-booking websites in Iran in the last two years. If this improvement continues, it can lead to equity development in healthcare services, reduction of patients’ waiting time, a decrease in waste of resources, and an increase in patients’ satisfaction.

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A Study of 0-14-Year-Old Children’s Access to Health Centers in Rural Areas Using a Buffer Model (a Case Study of Villages Based in Kermanshah Province, Iran)

10.21203/rs.2.18534/v1 ◽

2019 ◽

Author(s):

Ali Almasi ◽

Alireza Zangeneh ◽

Shahram Saeidi ◽

Arash Ziapour ◽

Raziyeh Teimouri ◽

...

Keyword(s):

Rural Areas ◽

Cross Sectional Study ◽

Health Centers ◽

Vulnerable Groups ◽

Medical Sciences ◽

Cross Sectional ◽

Public And Private ◽

Present Cross Sectional Study ◽

Access To Health ◽

Public And Private Hospitals

Abstract Background: Children are among the most vulnerable groups in society, whose health is of prominent significance. Moreover, as a group of clients with special needs in the health care system, they require special attention. Therefore, the present study aimed to investigate the 0-14-year-old children’s access to health centers in rural areas of Kermanshah Province, Iran. Methods: In the present cross-sectional study, both the latest published demographic statistics related to the Population and Housing Census, announced by the Statistical Center of Iran in 2011, and the information about the public and private hospitals in the province, collected by Kermanshah University of Medical Sciences, were used as the basis for the analyses. Additionally, given the importance of spatial nature of the research, GIS was used for data analysis, and a buffer model was also applied. Results: The results revealed that out of the total population of 0-14-year-old children residing in rural areas within 15,000 and 30,000-Kilometer radii of Kermanshah Province, 87.94% and 75.11% of girls versus 88.15% and 75.38% of boys lacked access to health centers, respectively. Conclusion: It was found out that the 0-14-year-old children’s access to health centers was in poor condition in rural areas of Kermanshah Province, which would endanger the health of this age group.

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Evaluation of Spiritual Health Level in Pregnant Women Referred to Hospitals Affiliated to Shiraz University of Medical Sciences

International Journal of Multicultural and Multireligious Understanding ◽

10.18415/ijmmu.v8i7.2743 ◽

2021 ◽

Vol 8 (7) ◽

pp. 54

Author(s):

Hanieh Dehestani ◽

Naeimeh Tayebi ◽

Fatemeh Ahmadinezhad

Keyword(s):

Pregnant Women ◽

Statistical Tests ◽

Cross Sectional Study ◽

Spiritual Health ◽

Health Centers ◽

Medical Sciences ◽

Cross Sectional ◽

Women's Lives ◽

The Mean ◽

Psychological Dimensions

Pregnancy and motherhood are considered as enjoyable and evolutionary events in women's lives. In Iran, a study that measured the spiritual health of pregnant women has been conducted very limited. The aim of this study was to evaluate the mean score of spiritual health in pregnant women referred to hospitals affiliated to Shiraz University of Medical Sciences. This descriptive cross-sectional study was performed in 2016 on 200 pregnant women referring to health centers in Shiraz. Sampling was performed by available sampling method and information was collected by Palutzin and Ellison spiritual health tools and personal and demographic information by self-performed method. Data were analyzed by SPSS software (version 22) and descriptive statistical tests. The mean age was 28.92 with a gestational age of 37-41 weeks. 17 (8.5%) of the sample were less than 20 years old, 28 (14%) were 36-40 years old and 7 (3.5%) were over 40 years old. The mean age of spiritual health was 102.68(14.61) and 63 people (31.5%) had moderate spiritual health. And 137 people (68.5%) had high spiritual health. Most of the mothers participating in this study had high spiritual health. Therefore, more attention to the spiritual and psychological dimensions of pregnant women along with other dimensions of health is recommended.

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