جستجوی مقالات مرتبط با کلیدواژه "problems" در نشریات گروه "پزشکی"

In addition to creating significant health gains, taxation can be used to increase public health funding. However, achieving the goals of health-related taxes faces many barriers and problems. We aimed to examine the barriers and solutions to facilitate the payment and receipt of health taxes.

The present descriptive and analytical study was conducted in 2021-2022. The first part of the research was the questionnaire's design and validation, and the second part was using the designed questionnaire to collect and analyze data. The validity of the questionnaire was measured using the content validity, and the reliability of the questionnaire was measured using Cronbach's alpha. Then, the questionnaires were distributed in person at the workplace of 430 professors, managers, and experts in economics and health, and the collected data were reviewed and analyzed.

Barriers and problems related to structure and infrastructure, evasion, avoidance, and tax exemption, and coordination and cooperation are the most important problems related to health taxes. Moreover, evasion, avoidance and tax exemption, cultural and social issues, and coordination and cooperation are the most important solutions to overcome the problems of health taxes.

To dispel the barriers and facilitate the payment and receipt of health-related taxes and achieve the goals of the health sectors, it is very important to deal with tax evasion, build a culture, and close cooperation with related organizations.

The present study examines the various complications and impurities of alcoholbased hand sanitizers during COVID-19 among health workers in Hamadan City, Iran. This cross-sectional study was conducted on 178 healthcare workers in different hospitals affiliated with the Hamadan University of Medical Sciences. The inclusion criteria included health personnel working in hospitals dedicated to the care and treatment of patients with COVID-19 in Hamadan City. A researcher-made questionnaire was used to collect data. Afterward, to evaluate the quality and impurities of the alcohol-based hand sanitizers used by healthcare workers, various samples were collected and analyzed using gas chromatographymass spectrometry (GC-MS). Stata software version 14-2 was used to analyze the data. The highest and the lowest percentages of ethanol in washing solutions and gels were 68.24% and 60.71%, respectively. Among them, the frequency of using gel, solution, and spray was 93.82%, 42.13%, and 49.44%, respectively. Skin and breathing sensitivity were the most common symptoms in 44.38% and 27.68% of the health workers, respectively. Skin dryness (50%) and sore throat (25.84%) were the most common complications observed in skin and respiratory symptoms among health workers, respectively. Our findings implied that the prevalence of various complications related to the use of alcohol-based hand sanitizers is high among health workers, which highlights the role of using appropriate alcohol-based hand rubs with suitable formulations in the hospital environment to reduce the adverse health effects caused by their long-term and extensive use among health workers.

Taxes on unhealthy goods, in addition to reducing the consumption of these goods, preventing related diseases, and promoting public health, can provide significant financial resources for the health sector.

The purpose of this study was to investigate the problems and solutions of taxation to control the consumption of unhealthy goods to improve public health.

This qualitative study was conducted in 2021. Semi-structured interviews with open-ended questions were held to collect information. Sampling was performed by purposive and snowball methods with 31 managers and key experts. The data were analyzed using the content analysis method. MAXQDA software (version 12) was used for classification and coding.

This study labeled 2 main themes and 10 subthemes. The main themes included problems of controlling unhealthy goods and solutions to controlling unhealthy goods. Poor decision-making, planning, and execution, production-related problems, smuggling and poor supervision, increased consumption of harmful goods, conflicts of interest, and advertisements of unhealthy goods are the most important of these problems. Imposing taxes, duties, and price hikes, providing alternatives, paying attention to all determinants of supply and demand, and taxation on advertising are also solutions to control unhealthy products.

The health level of individuals should be improved by imposing taxes on unhealthy goods, determining accurate tax rates, and simultaneously using measures, such as providing alternatives to unhealthy goods and controlling advertisements. Paying serious attention to the list of harmful goods, coordination and cooperation of related organizations in formulating and implementing tax policies, and providing suitable alternatives to harmful products are the practical suggestions of this study.

COVID-19 affected education systems around the world. Virtual education was chosen as a solution not to stop education in schools and universities. While the resolution was adopted to prevent education in the countries, it presented new challenges and complications for university teachers.

This systematic review examines teachers' challenges during COVID-19 in virtual education.

The present study is a systematic review based on the PRISMA guideline. To conduct this study, Web of Science, PubMed, and Scopus databases were searched from 1 December 2019 to 11 November 2021. The inclusion criteria for this study were original research articles published in English that examined the challenges faced by professors in virtual education during COVID-19.

Finally, 17 articles were included from the 2219 articles found in the initial search stage, which examined the challenges faced by Professors in virtual education. The results indicated that the most critical challenges facing Professors during the COVID-19 pandemic were as follows, in order of highest to lowest: 1) Limitations on Internet access and appropriate communication infrastructures, 2) lack of access to computer equipment and hardware, 3) low levels of familiarity and necessary training of teachers and students in working with virtual education systems.

According to the results of the present study, teachers have faced many challenges due to the existing circumstances and the rapid shift from face-to-face to virtual education. Relevant organizations and institutions should train teachers and students to apply virtual education tools properly.

End-stage renal disease (ESRD) can be fatal without hemodialysis, peritoneal dialysis, or kidney transplantation. Hemodialysis and peritoneal dialysis participants confront many adverse effects due to both the disease course and the treatment program.

This study was done to analyze hemodialysis and peritoneal dialysis patients’ problems.

A qualitative exploratory study was used, and a purposeful sample of 55 hemodialysis and 47 peritoneal dialysis patients were interviewed. The data were collected through interviews. Initially, 12 open-ended questions were developed and used to stimulate discussions in interview sessions. Directed content analysis was used for the analysis of the transcribed data. After giving a code to each line or incidence, codes were then compared for similarity and differences, merged, and categorized.

Themes of fatigue, diminished ability, sleeplessness, wasting time, body impairments, travel, and free-time activities limitations, low blood pressure, displeasure and gratification with hemodialysis if peritoneal dialysis patients compliant of peritoneal catheter problems, peritoneal dialysis difficulties and limitations, and gratification with peritoneal dialysis emerged.

Hemodialysis problems and patients’ dependency on the hemodialysis machine and ward are at a high level, and patients’ gratification is at a low level. Peritoneal dialysis patients, who do not get the infection, are satisfied with the dialysis method, and the patients’ limitations and problems are fewer, and they are relaxed and have more freedom.

Cardiovascular risk is reduced by both sports training and losing weight, but the independent value of these two plans is unclear. This study examined the influence of physical exercise and weight loss on cardiac risk profiles (CRP) in overweight inactive middle-aged women.

Seventy-six individuals in a quasi-experimental design with a control group were classified for 12-week into four groups: a sports group (S, n = 20), a group with energy-restricted diet (E-rD, n = 19), a sports group with boosted diet (S-bD, n=20), and a control group (C, n = 17). The rate of energy reduction was equal (approximately 15% of the daily need for calories) to physical exercise in S and energy restriction in E-rD. The S-bD group performed the same amount of exercise but remained in energy balance due to the 15% increase in calorie intake during training. The components of CRP were measured at baseline and post-study.

Body weight was similarly diminished between S (-5.9 ± 2.8 kg) and E-rD (- 5.4 ± 2.9 kg), whereas it stayed stable in S-bD (-0.9 ± 2.9 kg), and C (-0.2 ± 5.6 kg). Levels of TC and LDL-C were lowered in S compared to C (P <0.001 for both), but not found in E-rD (P > 0.05). Changes in TC and LDL-C were associated with changes in body weight (P < 0.05). In S-bD, a rise in HDL-C was observed (P < 0.001).

Weight loss due to exercise reduces pro-atherogenic lipoproteins, whereas physical activity compensated by energy consumption raises the HDL-C level.

Given the importance of feedback to improve teachers’ educational performance, the current study aimed to identify the challenges and problems involved in providing feedback to clinical teachers on their educational performance.

In the first phase of this mixed‑methods study, the clinical teachers, students, and university officials were interviewed on feedback problems and challenges. After an inductive content analysis, and based on the problems enlisted, a ten‑item questionnaire was developed. Subsequently, 25 clinical teachers completed the questionnaire by scoring the importance and urgency of each problem.

Overall, 18 individual and group interviews were conducted with 24 people. A total of ten themes and five categories emerged, including “lack of transparency of feedback system,” “absence of criticizability culture,” “lack of motivation to improve performance,” “failure to consider factors affecting teacher’s performance,” “lack of formative evaluation,” “inappropriate data obtained on teacher’s performance,” “inappropriate feedback providers,” “inappropriate feedback recipients,” “inappropriate feedback provision,” and “no feedback follow‑up.” Three items of priority involved “inappropriate feedback providers,” “inappropriate data,” and “failure to consider factors affecting the teacher’s performance.”

All the raised problems obtained high scores; nevertheless, the interviewees had more problems with the feedback provider, the data collected on the performance, and inattention of university officials to the factors influencing performance than feedback presentation methods. Hence, gaining the trust of teachers on the collected data, providing feedback by their trustworthy individuals, and paying attention to the factors influencing teachers' performance are associated with an increased possibility of feedback acceptance.

Age-related obesity, besides genetics, depends on diet and exercise. There are various strategies for the time duration of exercise. Nevertheless, there continues to be little knowledge about its diverse models for women in middle-age. This study investigated the impacts of interval training on the loss of weight and coronary risk panel and compared its effectiveness with continuous training effectiveness. This research was a simplified randomized trial. Participants (n = 86) were selected among sedentary overweight or obese women aged 45 - 65 years who had attended (during the three months before the study) weight-loss consulting programs. Of all 86 participants, 74 completed the study. They were randomly divided into 2 groups: A group with continuous training and a group with interval training. The weight assessment parameters, including change of weight, body composition, and blood sample tests, were carried out before and after the 12-week intervention. In comparison with baseline data, all parameters changed significantly in both groups. The study groups showed a similar weight loss pattern after the intervention. The same changes were noticed in the body mass index (BMI), total cholesterol (TC), and low-density lipoprotein (LDL) cholesterol levels in post-test groups (P > 0.05). Elevation in high-density lipoprotein (HDL) cholesterol levels differed significantly in post-test groups (P < 0.05). The decrease in the ratio of TC to HDL-C was more in interval exercise than in continuous training. Both exercise time models could improve significantly the weight loss parameters but it seems that the interval-training pattern provides more health along with weight loss. This may be clinically useful and provide a physical activity guideline for body weight loss in middle-aged women.

Evaluating the educational programs in various Medical Science disciplines is a highly sensitive matter and of great importance. Physiotherapy (PT) is an important field of Rehabilitation Sciences, which requires distinguished scientific and professional skills. One of the practical ways to assess the quality of clinical education in PT is to study the students’ perspective in this field, because they are the main target audience for education. Therefore, this study was conducted to determine the problems in clinical training of PT students, from the medical students’ perspective, in different universities of Tehran City.
The present study was conducted using a qualitative content analysis approach, through individual interviews with 13 PT undergraduate students in Tehran. They were recruited through targeted sampling with maximum variation.
After analyzing the obtained data, a total of 4 themes were derived, which included characteristics of clinical supervision, training schedules and training, setting of clinical training, and general characteristics of the learners. Furthermore, 22 subthemes were obtained; some of them included lack of clinical teaching experience among the faculty members, no supervision in clinical teaching, for example, theory and clinical courses being held in one day, short duration of clinical teaching, inappropriate facilities, and the disorganisation and laziness of some students.
Perhaps changing the clinical teaching methods, employing experienced and effective instructors, taking courses more seriously by students, establishing appropriate facilities for clinical training, supervision of the PT department over the performance of the teachers and the events during internships, and increasing the duration of theory and clinical courses, can all be effective in improving the quality of clinical training.

Suicide is the 10th leading cause of death in the United States. Furthermore, intimate partner problems are amid the top precipitating circumstances among suicide decedents. The aim of this study was to determine circumstantial associations of intimate partner problem-related suicides in suicide decedents in Kentucky.
All suicides that were reported to the Kentucky Violent Death Reporting System between 2005 and 2012 were eligible for this study. Multiple logistic regression was used to explore predictors (precipitating health-related problems, life stressors, and criminal/legal issues) of intimate partner problem-related suicides.
Of the 4,754 suicides, included in this study, approximately 17% had intimate partner problems prior to suicide. In the adjusted analysis, mental health issues, alcohol problems, history of suicides attempts, suicides precipitated by another crime, and other legal problems increased the odds of having an intimate partner-related suicide. However, having physical health problems, prior to the suicide, decreased the odds of intimate partner-related suicide.
These results provide insight for the development of suicide interventions for individuals with intimate partner problems by targeting risk factors that are prevalent among this population. Moreover, these results may help marriage/relationship and/or family/divorce court representatives identify individuals with intimate partner problems more at risk for suicide and alleviate the influence these suicide risk factors have on individuals experiencing Intimate partner problems.

The needs and problems of students with physical-motor disabilities should be properly identified in order to solve them. The main purpose of this research was to determine the needs and problems of Iranian male students with physical-motor disabilities in the education and employment dimensions.
This was a descriptive study. All the male students with physical-motor disabilities were selected from the special high schools of Tehran, Iran, in the year 2013-14 as a statistical research community. Of all, only 150 male students with physical-motor disabilities were chosen by convenience sampling method. An edited version of the questionnaire from a previous study on the needs and problems of girls and women was used for this study.
According to our results, the main needs of the students in the employment dimension include transportation services, specific training courses, and quotas for employment. However, the main problems in the employment dimension include displacement and transportation problems, and lack of policy enforcement. Similarly, the priority needs in the education dimension include community education and professional training, whereas the priority problems include displacement and transportation problems.
The results of this study indicated a variety of problems and needs of the Iranian students with physical-motor disabilities, indicating the requirement of planning and policies to address them.

Tank fires are rare but carry significant potential risk to life and property. For this reason fire protection of tanks is critical. Fixed Low expansion foam and water spray cooling systems are one of the most effective and economical ways to reduce damages to a tank from fire. Such systems are currently installed in many companies but are not effective enough and require involvement of firefighters which in turn threaten their lives. This paper studies in a systematic way the problems of foam and cooling systems currently installed in a few domestic companies which operate storage tanks with focus on floating and fixed roof atmospheric tanks containing hydrocarbons and offers possible solutions for more efficient installation, design and operation of such systems.