مسلم طاهری سودجانی

Organizational health refers to the durability and survival of the organization in its environment, adaptation to it, as well as the promotion and development of movements for greater adaptation. Communication skills are among the skills that people can engage in. Therefore, considering the role and importance of the communication skills of managers and the organizational health of employees, the researchers decided to investigate the situation of these two variables.

This cross-sectional study was conducted on all the managers and 280 employees working in the teaching hospitals of Shahid Sadoughi University of Medical Sciences in Yazd (Afshar, Shahid Rahnamon, Shahid Sadoughi, Shohada Mehrab) in 2022. The needed data were collected using standard questionnaires and analyzed in SPSS software (version 22). Descriptive statistics, including mean and standard deviation, as well as T-test and ANOVA, were used to analyze the results.

The results pointed out that most studied employees evaluated the level of organizational health in their hospital as high (71.6%). The highest mean in organizational health components among men was related to the morale (32.03±4.51); in women, it pertained to mood (31.86±5.07). According to the obtained results, no significant relationship was observed between hospitals, gender, age, marital status, education, service history, and organizational health components; nonetheless, a significant relationship was detected between job category and institutional unity component (P=0.003). No significant relationship was observed between the hospitals, gender, marital status, age, service history and management history, education, occupation and communication skills components of managers. The highest mean of managers' communication skills was related to feedback.

Considering the lower mean of resource support, managerial influence, and consideration of organizational health, it seems necessary to design and implement educational and welfare programs in order to strengthen them.

Virtual reality, as one of the newest technologies, has been used in various fields from video games to travel and research. This technology is also used as a therapeutic solution for some mental disorders. However, the attitude of patients with mental disorders towards the use of virtual reality is still unclear. Therefore, in this study, a questionnaire was designed to investigate the level of acceptance of virtual reality technology among patients with mental disorders.Materials & This study was designed and implemented based on a research by Megan Liu   et al. The validity and reliability of the questionnaire were evaluated in the year 2021 2021. In this study, CVR and CVI coefficients were used to assess the content validity, and its external reliability was determined using Cronbach's alpha. : The translated questionnairs consisted of 23 questions, 16 of which were specialized and categorized into 6 different dimensions. The content validity index was 0.8, which is an acceptable value for this questionnaire. In addition, Cronbach's alpha was estimated to be 0.7, and the correlation between the questions was shown to be permitted at a significant level of 0.0001. According to the results, the questionnaire had high validity and reliability to assess the acceptance of virtual reality technology among patients with mental disorders

The term “Smart hospital” is a very comprehensive concept and it is not considered as it should be among researchers because it is more than using a smart tool in a hospital. This study was designed to conduct a scoping review about smart hospitals. 808 studies were identified using keywords through searching in the PubMed, Science Direct, Embase, Scopus and IEEE databases. Overall, after applying the inclusion and exclusion criteria (705 based on abstract and titles and 35after reading full texts) and removing duplicates (43), 25studies were included in this review. Geographically, most of the articles were from Asia (60%). The highest number of publications were observed in 2012 and 2020. A multidisciplinary team were involved in 72% of the research and 68% were conducted in more than one research center. Most articles have been published in Q1 quality journals (48%) and high-income countries accounted for the largest percentage (56) and 32% of them were aimed at patient care. RFID was the mostly used and 66.67% of them was about the implementation of a smart hospital. It should be noted that development or implementation of a smart device in a hospital should not be considered as implementing a smart hospital.

Pistachio is an important export product in some countries, especially Iran. Pistachios are with the highest risk of aflatoxin contamination between agricultural products. Aflatoxin B1 is the most potent carcinogenic aflatoxins. Aflatoxins have an important role in the etiology of cancer. Undoubtedly, the major problem is, Aspergillus flavus contamination Aflatoxin production and find suitable ways to prevent its production. The aim of this study was to determine the effect of electron irradiation on aflatoxin B1 production in pistachio that was inoculated with Aspergillus flavus.
Experimental study was performed. Sixty10 pistachios packed was inoculated with aflatoxigenic Aspergillus flavus spores (106 spores/ml). Contaminated samples were exposed to the electron beam radiations at doses of 1, 3, 5 and 7 kGy. The samples were stored at a room temperature for 0, 30, 60, 90, 180, 210 days and were compared with the control samples for the aflatoxin production by Kruskal Wallis test using SPSS version 16. Aflatoxin B1 was measured by ELISA kit. The test was duplicated for each samples.
The mean concentration of aflatoxin in the samples was 59.97 ng/g. There was no difference among the production of aflatoxin in different doses on days 0,30, 60, 90 (p Exposure of the pistachio samples by electron beam could inhibit the growth and alsoprevent aflatoxin production.

To introduce Bayesian method in validation of transtheoretical model’s Self-Efficacy and Decisional Balance for nutritional behavior improvement among Prediabetes with ordinal data.
This is an Experimental trial with parallel design and sample was included 220 Prediabetes who Participated in screening program and had over 30 years old, fasting blood glucose ranged 100-125 and at least elementary Education. We used OpenBugs 3.2.3 to fit Bayesian ordinal factor analysis to achieve validation of TTM’s decisional balance and self-efficacy.
All of the factor loadings corresponded to mentioned constructs was significant at α= 0.05%. That support validation of the Constructs. Correlation between Pros and Cons was not significant(-0.076, 0.007).Furthermore a specific statistical model for ordinal data created that can estimate odds ratios and marginal Probabilities for each choice of any item in questionnaire.
Thanks to benefits of Bayesian method in use of prior information such as Meta-analysis and other resources, In comparison to similar studies that used standard or other factor analysis for ordinal data, our results had good accuracy(with aspect to standard deviation) even with lower sample size.so the results can be used in future clinical researches.

As the congenital hypothyroidism is preventable only by the timely diagnosis of the disease, the aim of present study is to evaluate the results of the screening program carried out during 2006-2014.
One hundred and eleven out of the 54,468 newborn screened for this cross sectional study during 2006 to 2014 were identified as the cases. Fisher's exact test at a significance level of 5% was used for the analysis.
Considering the prevalence rate of 2 per 1000 births, the rate for girls and boys were 1.9 and 2.2 per 1000 births, respectively. The difference between the rates was not statistically significant. The recall rate was 46.65 per 1000 births. Twenty seven percent of the patients had a positive history of disease and 27.9% the familial relationship. The highest prevalence of the disease (33.4%) was in the summer.
The findings disclosed that the inaccuracy of the initial sampling from the heel of the cases. So for the reduction of sampling errors and not wasting the golden time of treatment, it is mandatory to employ the trained personnel for initial sampling. Although above the international standard level, the overall prevalence of the disease during these years was the same rate in the country.

Influenza vaccination is one of the most important ways to prevent influenza acquisition in healthcare staff. This study was conducted to determine the cumulative incidence rate of side effects associated with influenza vaccination among healthcare staff in some of the hospitals in Shiraz.
This descriptive study was conducted on the staff of a number of hospitals in Shiraz who received influenza vaccine in 1392. Instrument in this study was a researcher-developed questionnaire about common side effects that was collected up to 10 days after the vaccination. Incidence of side effects was reported with 95% confidence interval. The data were analyzed by chi-square test, Fisher's exact test, and univariate logistic regression.
From the 450 vaccinated staff, 424 (94.23%) completed the questionnaire. 53.8% of vaccine recipients were female and 46.2% male. The mean age of the participants was 34.94 years. Up to 10 days after vaccination, cumulative incidence rate of side effects following vaccination was obtained 21.7% for common cold-like symptoms, 71.2% for muscle pain, 16.5% for pain where the shot was given, 15.3% for fever, 14.4% for runny nose, 12.3% for severe headache, 9% for severe coughing, 0.9% for diarrhea, and 1.7% for abdominal pain (1.7%). No severe side effects such as acute allergic reactions and Guillain-Barré syndrome were reported.
The reported incidence rate of side effects in this study, high risk of acquiring disease among health care staff, and their role in controlling influenza epidemics represent the necessity of influenza vaccination in this occupational population.

Zoonosis is common diseases between humans and animals & still considered one of the most important health problems. One of the zoonosis is brucellosis that is important in terms of health, economic and social.
This study is cross-sectional and prospective, data recorded during the years 2010 to 2014 in this city was covered health centers and laboratories. For data analysis used Spss software and was descriptive analysis and graphs.
267 cases registered in the years 2010 to 2014 revealed that 27.3% of females and 72.7% of males frequently mean age of the 33.68± 17.46 respectively. Most jobs involved with the disease of livestock and agricultural (38.8%) and household (21.1%). Respectively, fever (73%), anorexia (46%), myalgia (45.3%), back pain (34.4%) was the most common clinical signs were assigned to the investigation on the possible risk factors for patients showed that a history of contact with animals (75.5%) ,un pasteurization of milk(40.1%), un pasteurization cheese (31.8%), lack Vaccination of Animal (29%) had the highest frequency. The overall Prevalence during the years 2010 to 2014 was 14.67 per 100000 populations at risk.
Considering the high prevalence of the disease in this city, especially in rural areas and the high frequency of use of non-pasteurized dairy that showed is very important for this population. Another important point is cooperation between network of health and veterinary networks to encourage farmers for vaccinate livestock.

The term diarrheal diseases, a conventional expression and is neither an epidemiological subject nor a class of diseases, because diarrhea is a symptom of many diseases, however, it is defined as the passage of three or more loose or liquid stools per day.
This is a cross-sectional study in which the records of all patients with symptoms of diarrhea encountering health centers during April and May 2015 were used.
Females, with a frequency of 56.7 percent, have a larger proportion of clinical symptoms associated with this outbreak. Most of the clinical symptoms related to watery diarrhea (74.5%), fever (62.4%), nausea (61.9%), vomiting (58.2%), and dysentery (24.2%). Most of the food eaten by encountered people with clinical symptoms related to outbreak of diarrhea are the fruits (51.6%), vegetables (42.9%), ice cream (4 %), food outside the home (3.5%), fast food consumption (2.4%).
It seems that the possible source of this outbreak is foods such as fruits and vegetables which are abundant in this province at spring and more attention, better management and control on the food is needed according to World Health Day 2015: "from farm to plate, make food safe".

Ischemic heart disease is the most important cause of mortality in many places around the world. Premature heart attacks at early ages are increasing, so identifying and controlling risk factors can be an effective step in public health promotion. This study aimed to investigate the factors affecting on this disease. This is a case-control study conducted on 100 patients with acute myocardial infarction admitted to the CCU and 100 patients hospitalized in other sectors (as a control) in Shahid Sadooghi hospital, Yazd,Iran. The control group was matched for age, sex and risk factors such as smoking, hyperlipidemia, hypertension, diabetes, depression, stress, eating fast food, fruit and vegetable consumption, positive family history and salty food. Then items were examined. Statistical significant level was considered as 95%. The results showed that the crude odds ratio for some factors like smoking (OR=2.22 P=.007), greater stress (OR=3.35 P=.000), depression (OR=3.07 P=.001), high triglycerides (OR=1.86 P=.03), high cholesterol (OR= 3.3 P=.000), high LDL (OR=4.88 P=.000) and high HDL (OR=.041 P=.000) is statistically significant, but the adjusted odds ratio determined that only three factors such as depression (OR = 3.09 P.033), high LDL (OR=6.33 P=.004) and high HDL (OR=.021 P=.000) have major impact on acute myocardial infarction. The results of this study indicated that some modifiable factors such as depression, high LDL and high HDL play a role in causing or preventing acute myocardial infarction. Therefore, controlling these factors can be crucial in controlling the disease.

Accidents and traffic events are the most influential factors in health. Given the importance of this matter, we designed this study to investigate accidents and analyze the data. This is a cross-sectional study. Data were collected via recorded inputs in the accident registries in Health Network in 2012 and analyzed using descriptive statistics. In 2012, a total of 913 events were registered which 614 cases (67.3%) were male and the rest of them (32.7 %)were female. Most of events were related to accidents and traffic events (41%), poisoning (18%) and fall (10.1%) respectively, and a total of 55.2% of the accidents had been occurred among persons with the age of 15 to 35.Conclusion Since, half of the events occurred in the age groups of young and productive population, it should be considered to train them accurately.