مقالات رزومه سید رامین قاسمی

Quality of life is an important and applicable concept in the realm of social health and welfare. This study was carried out to investigate the health-related quality of life of women living in marginal areas of Kermanshah and some related factors. This cross-sectional study was conducted on a sample of 555 people that were selected from 6 marginal areas of Kermanshah city by multistage sampling method, and completed WHOQOL-BREF and Security Sense questionnaires. Data were analyzed by SPSS- 18 software using independent t-test, ANOVA, Pearson correlation and multiple regression tests. The mean age of respondents was 32.5±12.7 and 65.9% of them were married. The highest and lowest mean scores of the respondents’ quality of life were reported for physical health domain (55.6±17.4) and environmental health domain (44.7±16.0), respectively. The results of regression test showed that women’s QOL domains were explained by "security sense" and "health status" followed by "marital status" and "physical activity" variables. The health-related quality of life of women in marginal areas of Kermanshah was not in an acceptable level, and their QOL was explained by some variables such as "security sense", "health status", "marital status" and "physical activity".

Happiness as a human basic emotion has an important role in individual and society's health, and can be a catalyzer for society's development. The aim of this study was surveying happiness in health sector personnel and some demographic and occupational related factors. In this cross -sectional study that were done in health sector personnel of Kermanshah, from journey- April 2014, from 537 distributed questionnaires (Oxford happiness questionnaire and demographic and occupational checklist), 480 completed form collected (89% response rate). Data were analyzed by SPSS (18), using Independent t, ANOVA, LSD, Regression and Pearson correlation tests. Mean age of respondents was 35.8±8.6.30.2% of respondents was male (N=144) and others were female. In concern with happiness levels most respondents had little happiness (27 People- 58.1%). Also the mean score of total happiness was 38.3±14.7. Physicians and midwives obtained the most and least mean scores of happiness (47.2and 35.4) respectively. Also in the regression model, variables such as "job loving" "health satisfaction" and "Literacy level", have explained 21.5% of happiness variance changes. (R = 0/469, R2 =0/220, Rad=0/215). Happiness in health sector personnel is lower than average. Necessary measures and programs at increasing happiness in the midwifery staff especially recommended.

Physicians have a fundamental role in the health system. Therefore, investigation of different medical education approaches would have a major impact on improving the quality of education. The aim of this study was investigating the performance of community-based education center of Kermanshah from the viewpoint of medical interns. In this cross sectional analytic study, medical interns who were trained in community-oriented education center (n=175) over one month were enrolled and completed the researcher built questionnaire. Alpha reliability was 0.88 and its content validity was confirmed by the approval of five faculty members who were expert in the field of education. Data was analyzed by SPSS software and using of descriptive statistics, ANOVA and Friedman tests. Based on the viewpoint of our participants, community oriented education were desirable compare to education in hospital in terms of quality of education (42/4%), experienced of practical tips (48/3%), observing different cases (57/2%), preventive medicine education (55/6%)and time for communicating about patient (74%). Among reasons of difference between training in the COME center compare to teaching hospitals, "possibility of learning of practical tips" was considered more important than other reasons (P<0.05). In this study, most participants have evaluated the training performance of the COME center as good and also more useful compared to training in teaching hospitals. Reinforcing of COME centers could be a priority in making future educational policies.

Full consideration of the performance and efficiency of hospital costs necessitates the application of economic analysis techniques. The aim of this study was to assess the efficiency of hospitals in Kermanshah University of Medical Sciences through Stochastic Frontier Analysis (SFA) method. The performance of Kermanshah hospitals (n=7) was assessed and analyzed by Stochastic Frontier Analysis (SFA) method during 2005-2011. Inpatient admission was considered as the output variable, while the number of medical doctors, nursing staff other personnel, active beds and outpatient admission were considered as the input variables. Frontier 4.1 software was used to analyze the data. Based on the results of performance evaluation using Cobb-Douglas production function, the mean efficiency score of the hospitals in the SFA method was 0.63. Also, the efficiency capacity in these hospitals could be promoted up to 37 percent. Based on the results of Stochastic Frontier Analysis, downsizing the manpower in hospitals plays a major role in reducing hospital costs and improving their performance. Finally, it is necessary to investigate the effect of factors such as quality of service and patient satisfaction on hospital performance.

Nowadays computer games are one of the main entertainments for children and adolescents. There are different results about positive and negative impacts of these games. The aim of this study was the survey of relationship between playing computer games and aggression in guidance school students of Kermanshah city in 2012. In this cross sectional study، 573 student selected by Multi-stage cluster sampling and these persons completed demographic and Buss & Perry Questionnaires. Data were analyzed by SPSS software and Pearson correlation، T test and ANOVA were used. 48. 5% of respondents were girl and 71% played computer games. The relationship between overall aggression with gender (p=0. 023)، type of game (p=0. 021) and time of game playing (p=0. 000) was significant. There were a significant relation between time of game playing with overall aggression (r=0. 151)، physical aggression (r= 0. 202)، verbal aggression (r=0. 131) and hostility (r=110) (p<0. 005). According to the significant relationship between playing computer games and aggression in this study، and considering the high importance of life conditions of teens، and the probability of modeling of violent characters in games، doing more researches in this area in Iran is recommended.

Color blindness is an inherited disorder in which a person cannot distinguish colors from each other. Color blind drivers are involved in car accident twice as much as others. According to the importance of identifying causes of a lot of car accidents in Iran and shortage of similar studies in this regards، this research was done to study the prevalence of color blindness in drivers. In this cross-sectional study all drivers (28009) - who referred to optometry unit of Samen-ol-Aeme Clinic of Kermanshah in 2005- 2008 - were examined by Ishihara Test. Data was analyzed using SPSS software and descriptive statistics. From 28009 drivers in this research just 784 individuals (2. 88%) were diagnosed as color blind. The most types of color blindness were deuteranopia (55. 4%)، Red-Green (20. 7%)، and protanopia (14. 2%) respectively. Also during 2005 and 2006 the prevalence of color blindness was 3. 23%، in 2007 was 3. 02% and in 2008 this prevalence decreased to 1. 93%. The prevalence of color blindness in this study was lower than similar studies، but with regard to its relation with car accidents، it is suggested that authorities pay attention to screening of color blindness in drivers.

Introduction & Fever is very common in children and is usually due to self-limiting viral infections. Management of fever is based on culture, community and religion of people all over the world. Parental concerns arise in part because of the belief that fever is a disease rather than a symptom or sign of illness. Misconceptions about childhood fevers heighten parent's concerns leading to inappropriate use of antipyretic drugs or overdosing may cause drug toxicity and frequent use of health care services. This study aimed to identify parental views of fever management in their children aged 0-5 yr. In this cross sectional study, 350 parents with children less than 5 years referred to various units of clinics covered by community oriented center of Kermanshah, completed the research questionnaire. Validity and reliability of the questionnaire were determined and the data was analyzed by SPSS Software. Findings showed that the first medical care was sponging (53.1%). Sponging with saltwater was common (47.7%) and Over - the - counter medications were (30%). Acetaminophen was the first drug in 90% of the cases. However, many parents express high levels of anxiety so that they seek for self-medication with antibiotic 34% of the cases. Our study showed that correlation between over concern about fever management and parents who had a positive past medical history in their children with P=0.02, parents education (P=0.018) and in employed mothers (P=0.005) was statistically significant. Considerable efforts will be required to educate parents about fever and its management.