mohammad naser shafiee

The collection of sufficient data regarding the customer perception of the quality of services can help organizations identify the areas and dimensions that affect the competitive advantage of the organization. Therefore, the present study aimed at evaluating the quality of services provided in the Department of Cardiac Surgery at the state and private hospitals in Mashhad, Iran, based on the SERVUSE model during 2018.

In this descriptive-analytical study, 145 patients hospitalized in the heart surgery departments of three public hospitals and four private hospitals in Mashhad, Iran, were evaluated using the servise questionnaire in 2018. The questionnaire consists of several dimensions, inlcuidng tangibility, reliability, accountability, assurance, empathy, and usability. The validity of the questionnaire was confirmed through content validity, and its reliability was evaluated using Cronbach's alpha coefficient. The data were collected in a field and analyzed in the SPSS software using nonparametric tests at a significant level of 0.05.

In the public hospitals, the greatest gap was attributed to the tangible factors with a score of 0.52, while the lowest gap was related to the empathy domain with a score of 0.06. In addition, the gap between total expectations and perceptions was -0.22. In the private hospitals, the greatest gap with a score of -1.14 was related to empathy. Furthermore, the gap between total expectations and total perceptions was obtained as -0.73. The results of Wilcoxon test showed that the gap and difference were statistically significant between the public and private hospitals (P<0.05).

To reduce the existing qualitative gap, managers need to pay more attention to the improvement of the physical environment of the hospital, utilization of appropriate equipment, enhancement of human resource management, and promotion of organizational motivation and commitment.

Privacy and confidentiality are among the inalienable rights of every human being that contribute to preservation of a sense of reverence and dignity. The present study was conducted to examine patients’ awareness of their entitlement to these important rights.
This cross-sectional study was conducted on 200 patients in Tehran, Iran during the year 2010. Collected data included patients’ demographics (age, gender, marital status, place of residence, and educational level), type of hospital ward, frequency of hospitalization, duration of hospital stay, and patients’ awareness of privacy and confidentiality. Two trained interviewers gathered the data using a self-made questionnaire, which was specifically designed to assess patients’ awareness of privacy and confidentiality. Validity and reliability of the questionnaire were determined using content validity and Cronbach's Coefficient Alpha (a = 0.7), respectively. To analyze data, patients were assigned to three categories of poor (0 ≤ scores ≤ 3), moderate (4 ≤ scores ≤ 7) and good (8 ≤ scores ≤ 10) levels of awareness. Statistical analysis was performed by SPSS software version 21.
The results showed that 21% of the patients had poor, 72% moderate, and 7% good awareness of privacy and confidentiality, with a mean of 4.61 ± 1.63. In this study, 153 patients (76.5%) provided a correct definition of privacy, and 161 patients (80.5%) were aware of instances of privacy violation. In addition, a good level of awareness was found in 77 patients (38.5%) in terms of physician confidentiality, and in 158 patients (81.4%) regarding confidentiality of examination results and medical consultations. Our study results highlight the necessity to inform patients about the ethical and legal issues related to privacy and confidentiality, before or during admission.

Evaluation of the effects on environment is an executive view for sustainable development. Solid waste is one of the factors that pollute the environment and the management, control and proper hygiene play a key role in promoting the health of society. So, in establishing the composting plants, the environmental issues should be considered and a proper place for these plants must be chosen. This can be one of the most important tasks in waste management programs in developing countries. The aim of this study was to determine the effects of these plants on environment and the procedures to be carried out in this field.
This research was a review study. By Using the key words (such as compost plants, environmental impact assessment, Iran) the related articles on Web sites google schoolar, iranmedex , SID, Magiran and civilica were searched and studied.
In this study, Articles in the period 1995 to 2016 were studied and 40 papers were selected. One paper Environmental impact assessment study methods, One paper method Adkins and Brooke,7 paper method Leopold matrix, one paper matrix math,one paper matrix method of rapid, 2 paper Matrix interactions, the Check list for assessing and one paper matrix type III.
In most reviewed studies, the method of Leopold matrix has been used to assess the environmental impact of compost plant. Leopold matrix method has been considered by researchers and experts because of its accuracy, surveying in the construction and operation phases, using two-dimensional tables to express the effects of a compost plant project on the environment, determining suitable place And finally scoring waypoint is placed by specialists for more Compost Plant

Stress and anxiety in cancer patients are caused by disease diagnosis, unfamiliar experiences, and therapy-related problems. In addition to the short duration of radiotherapy, receiving and understanding of the information about this treatment could be difficult for patients due to anxiety, fatigue, and mental pressure. Training of cancer patients about radiotherapy via educational programs could reduce pre-treatment anxiety.
Aim: This systematic review aimed to integrate the information regarding the effects of pre-treatment educational training on the level of anxiety and distress symptoms of cancer patients receiving RT.
This systematic review was conducted to identify the studies comparing different methods of pre-treatment patient education before radiotherapy via searching in databases such as MEDLINE, PsycINFO, Web of Science, ClinicalKey, ProQuest, and PubMed. Selected studies included clinical reports on the effects of educational interventions on the anxiety of patients receiving radiotherapy. Excluded samples were commentaries and studies without intervention.
In total, we reviewed eight articles assessing the effect of educational interventions before radiotherapy on the anxiety of cancer patients. Educational interventions used in these studies included face-to-face consultation with a radiotherapist, group instructions with routine individual training using visual materials (e.g., brochures, booklets, videotapes, and PowerPoint presentations), group discussions, electronic instructions, written materials, and phone contact with a nurse.
Implications for Practice: According our findings, pre-treatment education could reduce the anxiety of cancer patients before radiotherapy. These educational programs could be performed using written, visual, electronic, or face-to-face instructions. However, considering the condition of cancer patients and their treatment, selection of the appropriate training method requires further investigation through comparing different approaches.