جستجوی مقالات مرتبط با کلیدواژه « چابکی » در نشریات گروه « پزشکی »

The internet of Things has become more popular as a new technology since the advent of wireless technology, and attracted attention from supply chain management promoters. This study aimed to identify and analyze IoT applications in the pharmaceutical supply chain agility in the post-COVID-19 era

We first review previous studies in applications of IoT in pharmaceutical supply chain agility and identified the findings through qualitative content analysis. Then, the identified factors were given to 20 management and information technology experts to confirm and validate.

The results showed that IoT applications on the pharmaceutical supply chain agility in 9 components and 50 indicators. First of all, the most important factor is faster communication with other stakeholders (suppliers, manufacturers, distributors, and customers) using the IoT in the supply chain. Secondly, the use of IoT for drug production; manufacturers invest in technologies that lead to lower operating costs in the long term, because network devices and sensors do not make mistakes, do not need rest and training, and do not take vacations. Therefore, they increase the agility of the production process and are a reliable and cost-effective alternative for productivity in production.

The wide applications of the proposed model indicate the need to consider the use of the IoT in the pharmaceutical industry supply chain in order to improve overall supply chain performance and focus on supply chain agility.

Organizations need agility in the current turbulent, complex and uncertain environment and rapidly changing markets. The purpose of this study is to design a model of agility in the educational system in Shahid Sadoughi University of Medical Sciences with a theme analysis approach.

The statistical population of this study was the staff, university experts, managers and officials of Shahid Sadoughi University of Medical Sciences. In order to develop the model of agility in Shahid Sadoughi University of Medical Sciences, non-probabilistic judgmental or purposeful sampling method has been used. This sampling method is based on the researcher's theoretical understanding and previous experience of the study population. In order to analyze the data, interviews and theme analysis have been used and the interviews have continued until data saturation is achieved.
Based on the findings based on interviews with experts and theme analysis, there are 5 main levels in the agility of the educational system in Yazd University of Medical Sciences, including educational components with 3 sub-levels (educational goals, educational needs assessment, and educational topic). Attitudinal-motivational components with 4 sub-classes (organizational culture, social justice, accountability and foresight), speed components with 2 sub-classes (cartime and technology), management components with 6 sub-classes (employee selection, employee empowerment, Management abilities, supervision, evaluation and allocation of financial resources (and components of qualification and competency) were identified with 3 subclasses (training and practical skills, organizational communication and flexibility).

Fierce competition in the business environment, increasing customer expectations, globalization, cultural and social issues, limited skilled human resources, information technology changes, innovation and initiative are among the driving factors for changes in organizations' environment, which necessitate attention to agility in The organization doubles.

The aim of this study was to identify the characteristics of the distinguished school in the education transformation document. The research was fundamental in terms of its purpose and qualitative in terms of the type of data used. The statistical population of the study included managers and staff of the Ministry of Education, general education offices at provincial levels, and different districts of education offices. The sample size in the qualitative phase was determined based on the principle of theoretical saturation thereby 23 people were selected using purposive sampling. In the present study, semi-structured interviews were used to collect the data, and the validity and reliability of both tools were confirmed. Data analysis was performed by coding method. The results showed that the factors that contribute to a distinguished school at the level of the transformation document included moral, social, economic, political, biological / physical, scientific and technological education. Causal conditions in the implementation of the distinguished school at the level of the transformation document included teacher, curriculum, management, educational space and equipment, and information technology, as internal requirements, while Islamic society, media, family, and educational justice were the external requirements. The consequences of implementing a distinguished school at the level of the fundamental transformation document included agility, maturity, and continuous learning.

The overall goal of the medical department is to develop and manage an efficient and effective supply chain. Intrinsic instability and unpredictability of treatment needs to require a flexible supply chain. Agility reflects the hospitalchr('39')s response to environmental changes, and agile hospitals are able to provide appropriate services to the patients. Hospital supply chain management agility needs to find the main aspects affecting the relationship and communication between them and to analyze the dimensions together. The purpose of this study was interpretive-structural modeling and analysis of dimensions of agile hospital supply chain management.

The research design combined descriptive - survey exploratory approach to the future. The population study were doctors, nurses and staff at the University of Medical Sciences. The Delphi technique was used to determine the dimensions of agility and the interpretive-structural modeling approach was used for analysis and modeling. Mick Mac software was used to analyze the dimensions of agility.

The final model of agile hospital supply chain management with 16 dimensions had 8 levels, which was at the highest level of cost reduction and at the lowest level of organizational leadership commitment. The results indicate that leadership commitment is the foundation of supply chain agility in the hospital. Knowledge management variable had low impact and effectiveness and was known as a secondary leverage variable. The results showed that most agile supply chain management aspects of the main causes of complex communication and interaction, and the importance of agility in the hospital of the show. 

The analysis and interpretation of functional from the aspect of Impact and Influence of agility dimensions in hospital environment Showed that, Dimensions of strategic planning, human resource development and staff skills training, human resource management and employee satisfaction, process management, process integration and organizational transformation, flexibility, organizational communication development and information management integration, service quality management and continuous improvement, acceptance of new technology and new ideas, speed of service, patient  understand and satisfaction, monitor, find best responds demand and market sensitivity in the strategic area are located and They cause model instability and With high impact and high influence, They play an important role in the agility of hospital supply chain management.

The purpose of this study was to investigate agility enablers in ten public universities in Tehran. This study used survey research method to investigate the application of agility enablers in public universities in Tehran. The statistical population included the faculty members of ten public universities in Tehran, and using stratified random sampling method, the sample size was calculated to be 354. Data collection tool was a researcher-made questionnaire, and statistical analysis was done using one-sample t-test. The results of one-sample t-test showed that formation of knowledge-based organization is an insignificant factor, and its mean is close to average. Therefore, the rate of application of agility enablers in the studied universities is not in a favorable condition and only for information technology enablers, a better situation compared to other factors was reported. The results showed that these universities in terms of directing dissertations towards value creation and wealth creation, commercialization of scientific ideas, leading professors from translation to creativity, using faculty members' opinions for development, processing of raw products and Value-added, the establishment of knowledge-based organizations, and the provision of government research needs by the university are near-average.

Achieving academic organizational agility has always been considered by policy makers and organizational researchers, so the factors that lead to organizational agility are very valuable for these people and they are always looking to determine the level of organizational agility in universities to think of measures to increase it. Therefore, the purpose of this study was to determine the level of agility in Islamic Azad universities of Mazandaran. Universities with different comprehensive university degrees, very large, large, medium and small, are teaching in the second half of the 2019 academic year. This number includes 1671 in different academic units, the sample size of Cochran's formula was estimated at 340 people; Data collection tool Standard questionnaires of academic organizational agility by Khavari, Arasteh and Jafari (1397); have been. Descriptive and inferential statistics were used to analyze the data. In the descriptive part, central tendency indicators such as mean and view and frequency distribution tables and appropriate graphs will be used. Inferential tests will include Smirnov cumulography analysis based on exploratory and confirmatory factor analysis and path analysis. Data analysis tools were SPSS software and IMOS software. Findings indicate that the level of organizational agility is below average. And university officials need to think of ways to overcome this crisis. The most important of which are the establishment of open relations with other educational and industrial institutions, the establishment of interdisciplinary departments, and new discourses in educational and academic planning.

Attention deficit hyperactivity disorder (ADHD) is the most common neuro-behavioral disorder in childhood. Children with ADHD have problems such as motor coordination and agility. Therefore, the purpose of this study was to evaluate the effect of aerobic exercise and group play therapy on the coordination and agility skills in children with ADHD.

The present study was semi-experimental. In this study, 26 children (4 girls and 22 boys) were recurited. Then they were randomly divided into two experimental and control group. The experimental group was divided into the aerobic exercise group (9 children, weight (kg) 24.2±12.3, age 7.9± 2.1 years old and height 126 ± 3 cm) and group play therapy group (9 children, weight (kg) 23.8±9.2, age 7.3 ± 1.9 years old and height 121± 2 cm). Each experimental group received 8 weeks, 3 sessions per week and each session 45-60 minutes, aerobic exercises program and group play therapy. The control group (8 children, weight (kg) 25.4±6.4, age 8± 2 years old and height 127±3 cm) did not do any specific activity during this time. Upper limb coordination, bilateral limb coordination, and agility in all three groups were respectively assessed with Bruininks-Oseretsky Motor Skills Scale 5, Bruininks-Oseretsky Motor Skills Scale 3 and Zigzag Test at the beginning and end of the study. Analysis of variance with repeated measures at 5% error level was used for data analysis (p < 0.05).

The results showed that play therapy significantly increased the upper extremity coordination (p < 0.001) and bilateral coordination (p < 0.001) and agility (p < 0.001) in children. Aerobic training significantly increased upper extremity coordination (p < 0.001) and bilateral coordination (p < 0.001) and significantly reduced agility (p < 0.001). In addition, the children in the play therapy group had significantly higher upper extremity coordination and bilateral coordination and agility than the aerobic group (p < 0.001). In control group there was no change in upper extremity coordination (p=0.621) and agility (P=0.590) and bilateral coordination significantly reduced (p=0.002).

Group play therapy had more significant effect than aerobics exercise program on improving these Upper limb coordination, bilateral limb coordination, and agility. Therefore the group play therapy should be suggested.

The correct execution of sports movements depends on the method of warming up and the type of stretching. That is why it is very important to warm up properly to prevent any damage to the body and improve performance, appropriate to the type of exercise. In addition, the main reason for warming is the increase in core body temperature, which in turn leads to more blood flow to the active muscles and increases the rate of transmission of nerve impulses and chemical reactions. Although there are different debates about which stretch should be used with what intensity and volume before exercise, but usually static stretch before training and sports competition in warming up section is used. PNF stretching  is thought to be superior to other stretch methods in developing range of motion due to the activation of the golgy tendon organ by the Autogenic Inhibition method and the facilitation of muscle inhibitory receptors, but the effects of PNF stretch on the performance is very controversial. Therefore, The current study aimed to determine the effects of static and PNF stretching on maximum torque and agility of male futsal players.

Having at least 2 years of training experiences, twelve trained male Futsal players with a mean age (22.33±0.88 years), height (175.75±6.21 cm), weight (68.75±3.64 kg), BMI (22.57±1.23 kg/m2) and body fat (15.65±3.58 %) were randomly selected. They were divided into four training protocols, including static stretches (3×5 s and 3×15 s), PNF stretch (30s×6s×15 s) and control condition. The SECA1 height measurement device with a measurement accuracy of one millimeter (made in Germany) was used to measure height. The Buerer digital weight measurement device with an accuracy of 0.1 kg (made in Germany) was also used to measure the body weight of the subjects. In addition, the yo-yo recovery test was used to determine the subjectschr('39') aerobic capacity (VO2max), and the Zeus 9.9 body analyzer was used to measure body composition and fat percentage. Isokenitic dynamometer Gymnex model ISO-1 with the speed of 60 degrees per second and Balsom agility test were applied to measure maximum force torque and agility respectively. Furthermore, two-way ANOVA with repeated measures was used to compare the mean difference. Bonferroni  post hoc test was applied when the differences were significant and interval confidence of p < 0.05 considered at all stages of the test.

The results of data analysis with repeated measures test in comparison between the type of stretches with the control condition in the variable of maximum torque at a speed of 60 degrees per second showed that the effect of the type of stretch(group) was significant (p=0.024, F=2.061). These results show that only the PNF stretch protocol was different from the control condition (p<0.05) and the static stretch protocols 3 × 5 s (p= 0.17) and 3 × 15 s (p=0.34) were not significantly different from the control condition. In addition, the results of the present study showed that the interaction between the type of stretch(group) and time was significant (p=0.009; F=4.59). On the other hand, The results of data analysis with repeated measures test in comparison between the type of stretches with the control condition in the variable of agility showed that the effect of the type of stretch (group) was significant (p=0.039, F=5.23).The results showed that only the PNF stretch protocol was different from the control condition (p<0.05) and the static stretch protocols 3 × 5 s (p=0.35) and 3 × 15 s (p=0.57) were not significantly different from the control ondition. In addition, the results of the present study showed that the interaction between the type of stretch(group) and time was significant (p=0.044; F=4.45).

Overall, the results show that the implementation of static stretching protocols and PNF above 90 seconds has a destructive effect on the performance of torque and agility of futsal players. Among the most important mechanisms affecting performance can be the destruction of muscle tendon features, involved neural mechanisms (decrease in firing frequency, increase in nervous fatigue and decrease in concentration), mechanical properties and muscle elasticity, duration, intensity and type of stretch, gender and level of fitness of the athlete employed were mentioned. Therefore, to reduce the destructive effects of this type of stretching and on the other hand increase the efficiency of muscles to improve performance in the warm-up phase, it is recommended to futsal players, If using static  and PNF stretches, do not use times longer than 90 seconds..

The ultimate ambition of organizations in today's fast-changing world is to properly manage and direct challenges and successfully deal with the continuous, dynamic, and unpredictable environmental changes. Agility is an attribute of organizations that enjoy such a management. The present study aimed to rank agility factors, examine their conditions, and identify strategies for enhancing agility in hospitals in the Iranian city of Birjand. This was an applied study using a descriptive-analytical method, and the A.T. Kearney model was used to assess organizational agility. The data was collected through a questionnaire that was distributed among 75 employees in three hospitals, namely A Hospital, B Hospital, and C Hospital. SPSS and Excel were used for statistical testing and ranking, using the TOPSIS method. Considering the mean test results (t-tests) for the three hospitals and the significance level obtained for each criteria, it was found that A Hospital is an agile organization for the three criteria of culture and values, customer service, and organizational change. Considering that the performance management enjoyed a significance level below 0.05 for B Hospital, it is an agile organization in this regard. Meanwhile, C Hospital proved to be an agile organization in terms of culture and organizational change. Ranking results for agility of hospitals through TOPSIS showed that C Hospital with a relative immediacy index of 0.555 held the first place, A and B hospitals with relative immediacy indexes of 0.523 and 0.440 held the second and third place respectively. The statistical test results showed that out of the six organizational agility criteria, A Hospital enjoyed a desirable condition for the three criteria of culture and values, customer service, and organizational change, B Hospital for one criterion, namely performance management, and C Hospital for two criteria of culture and values and organizational change.

Academic agility refers to the notion that the need for improvement never ceases and modern standards are tomorrow's outdated methods. To achieve the agility every organization needs a set of tools that are called enablers. The purpose of this research is to identify the agility enablers of universities by qualitative method. Instrument is a semi-structured interview. The statistical population was the members of the board of directors of the public universities of Tehran. Using a proposing sampling method, ten of them were selected for interview and data were analyzed by content analysis method. Factors of the model are: formation of knowledge-based organization, rules and procedures, agile workforce, organization culture, information technology, cooperation, team work, renovation capability, management, future studies, financial capabilities, Evolution in educational curriculum and planning, independence. Based on the present research, three factors consist of futures studies, financial capabilities and evolution in educational curriculum and planning, were identified for the first time as agility enablers in universities that enriching the literature and can applied to agility in universities.

Agility is an effective response to the changing and unpredictable environment and using these changes as opportunities for organizational improvement.
The aim of the present study was to rank the factors affecting agile supply chain of hospitals of Iran.
This applied study was conducted by cross sectional-descriptive method at some point of 2015 for one year. The research population included managers, administrators, faculty members and experts were selected hospitals. A total of 260 people were selected as sample from the health centers. The construct validity of the questionnaire was approved by confirmatory factor analysis test and its reliability was approved by Cronbach's alpha (α=0.97). All data were analyzed by Kolmogorov-Smirnov, Chi-square and Friedman tests.
Findings: The development of staff skills, the use of information technology, the integration of processes, appropriate planning, and customer satisfaction and product quality had a significant impact on the agility of public hospitals of Iran (P The new product introduction, market responsiveness and sensitivity, reduce costs, and the integration of organizational processes, ratings better to have acquired agility hospitals in Iran. Therefore, planners and officials of hospitals have to, through the promotion quality and variety of services customer-oriented, providing a basis for investing in the hospital and etc to apply for agility supply chain public hospitals of Iran.

Agility of health care organizations has an important role in providing timely and meeting customer needs. This study was conducted to determine the factors affecting the agility Shahroud University of Medical Sciences. In this cross-sectional study in 2014, 153 staff was randomly selected and was given a web questionnaire with 100 questions. The data were analyzed by software's such as Smart PLS and SPSS18. 79 (51.6%) of the samples were female. 57 (37.3%) had less than 10 years of work experience. A significant difference between all measures of accountability, speed, competence, flexibility and agility in categories of gender, age, work experience and education were observed (P≥ 0.05). A significant difference was observed between established criteria (P=0.002), realized speed (P=0.002), established flexibility (P=0.002) and realized agility (P= 0.009) in different levels of organization. Also for people with different job subgroups significant difference in realized speed (P=0.031), competence established (P=0.018), realized flexibility (P=0.043), realized agility (P=0.016), respectively. In the final model, three factors of competency, accountability and speed influenced the agility. Factors including competency, responsiveness and speed were effective in agility of Shahroud University of Medical Sciences and consequently lead to an improvement in its agility.

Disaster supply chains, due to the high level of the uncertainty, are one of the environments needs special attention for agility. The purpose of this study was to identify factors affecting the relief supply chains agility in health sector through using factor analysis. The Population of Present study included 138 health services management professionals, the disaster managers and experts from the Red Crescent Society and the medical emergency management centers throughout the country. Researcher-made questionnaire was used to collect the data. Validity of questionnaire was checked based on expert opinion and its reliability was measured through Pearson's Correlation and internal consistency coefficient. The results of Pearson's Correlation and Cronbach's alpha were 0.99 and 0.98 respectively. The data were analyzed using the SPSS version 16 software. In this study 49 variables with Eigen value more than 2 and with factorloadings more than 0/6 were detected as the factors affecting the relief supply chains in health sector.The most amount of correlation with the factor of agility were respectively related to rapid determination of the families need with factor loading 0/93, using an emergency item catalogue according to event with 0/938 and according to area with 0/928,availability of trained experts with 0/919 and communication with multiple distribution centers with factor loading 0/918. The high correlation between the agility and variables such as swiftdetermination of needs, using the emergency item catalogue, availability of trained experts and communication with multiple distribution centers suggests that the authorities of relief organizations should pay attention to the formation and training of the assessment teams, strengthen role of knowledge management, empowerment and applying the principles of supply chain management to enhance the response during of disaster.

Musculoskeletal abnormalities are among the factors affecting on physical activities. The aim of this study was to compare degree of agility, speed, and power between 3 groups of male junior high school students having unnatural out-toeing (i.e. two groups, one with 16-23 degrees and one with 0-6 degrees) and one natural group (7-15 degrees of out-toeing). The subjects of the study were 300 students (12-14 years old) whose height, weight, and angle of toe-out were initially measured using foot-print technique. Firstly, 30 students with normal toe-out were chosen; then, two other groups (30 members in each) were identified applying isometry in terms of age, height, and weight. To measure agility, speed and power, 4×9 m shuttle-run, 46 m running and standing long-jump test were used, respectively. In order to analyze the obtained data ANOVA statistical test was applied using SPSS software and α=0.05 was taken as the significant level. The results showed that mean power and agility in the group with normal/natural out-toeing was higher than that of the other two groups but the difference was not statistically significant (P<0.05). Besides, findings of the study indicated that “speed” was significantly different in the three groups (P=0.02). Toki test results indicated that the observed difference in the mean speed alone in the two groups (natural and unnatural; 16-23 degrees) was significant (P=0.012). The results showed that the speed of the subjects in the angle of out-toeing had a decrease of more than 15 degrees. Regarding the obtained results it could be concluded that having natural out-toeing is an important factor in students’ speed, though it is not as important in power and agility.

Abstract The word agility identified the speed and the power of responses during facing with organization internal and external matters. The health care organizations must be agile like any other organization in today fast speeding world, because being agile is an additional advantage in the competitive world. In this paper the organization's agility, data mining, text mining, and the role of all these tools that may have provide the knowledge and the move of the healthcare organizations toward the agility, will be preceded. Literature review: Specialist in the Spinal Disorders Hospital in south California in Los Angeles use data mining process to discover different factors affecting on success or failure of the spinal surgeries operations causing improvement in health care. And also the financial organization for healthcare; and Medicare and Medicaid using Text- mining and Data-mining to discover any fraud or misuses in insurances and different type of the health care operations. Information is the most important tool in the management. Converting information to the knowledge has a key role in moving organizations toward agility. By using the analytical tools in organizations, the new knowledge in medical field on top of the information about the processes, patterns, and treatment results to upgrades the quality of the health care, could be achieved, and by passing information about weakness and strength points, the threat, the opportunities and technology changes; to managers, they could be able to plan toward the agility.