جستجوی مقالات مرتبط با کلیدواژه "treatment centers" در نشریات گروه "پزشکی"

Passive defense is a type of civilian defense system which its implementation, could be possible to prevent large financial losses to vital and sensitive military and civilian equipment and facilities, human casualties or to reduce the amount of these losses and casualties to the possibly minimum level. The purpose of this study is to identify the important factors regarding the location, architecture and pathology of health and treatment centers in crisis conditions and to reduce vulnerability to all kinds of hazards and to specify the important issues related to the passive defense approach.

In this research, Iranian and foreign articles indexed from PubMed, CIVILICA, Magiran, SID and Google Scholar databases were analyzed. Fifty review articles that included quantitative and qualitative research related to the last 17 years (from 2006 to now) in Persian and English languages. Finally, 39 articles were used.

Passive defense is a set of non-armed actions that reduce vulnerability in crisis situations. One of the most important vulnerable centers in crisis conditions is health and treatment centers. One of the pillars of passive defense is minimizing the vulnerability of these centers and increasing their accessibility in crisis situations. In other way, the most important factor in investigating the passive defense approach in the construction and equipping of medical centers is their initial location, which is located in an area far from the population concentration, and in terms of structural, equipment, and cyber safety, it is necessary to be completely safe. On the other hand, ensuring the safety of food and drug warehouses in times of crisis and other times is one of the most important effective factors in reducing the vulnerability of healthcare centers. Increasing the level of awareness of managers and personnel of health-treatment centers regarding passive defense can be one of the most important factors in reducing the vulnerability of these centers.

One of the most important factors for the safety of healthcare centers with a passive defense approach is prevention of structural vulnerability and their proper positioning; which can suffer the least damage and provide the most services in crisis situations. Other important things are the training of managers and personnel before the crisis, as well as observing and promoting the principles of passive defense in the food and medicine warehouses of medical centers.

One of the main challenges of the health system is improving the quality of healthcare services by adjusting the costs. The right choice of tools will bring economic savings besides excellent service quality. Since medical supplies are among the fundamental and costly elements in providing services, the expertise of purchasing has become an important and complex issue. This study aimed to prioritize criteria for purchasing medical supplies.

This research is an applied study conducted with a descriptive survey method. In this study, the criteria collected from related studies and completed with the opinion of experts were prioritized and weighted for four categories of medical supplies by the linear best-worst multi-criteria decision-making method using Lingo and Excel software.

By weighting sixteen sub-criteria of purchasing medical supplies in the form of five categories, the importance of each criterion was determined. According to the results, the two sub-criteria of "quality" and "price" were recognized as the most important and "seller's record" as the least important indicator in the purchase of medical supplies.

Using the linear best-worst multi-criteria decision-making method with definite consistency of results and high reliability led to the prioritization and accurate weighting of criteria for purchasing supplies. Paying attention to the indicators in the purchase of medical supplies, in addition to guaranteeing the quality and continuity of services, will lead to a significant reduction in supply costs.

Today, green information technology is recognized as one of the key factors for achieving sustainable environmental development. The aim of this study was to designing pathology pattern of green information technology implementation in hospitals and treatment centers.

This study is applied in terms of purpose and took place in terms of methodology, descriptive – analytic that first, with reviewing the theoretical bases and the opinion of the experts, the challenges of deployment of green information technology in hospitals and treatment centers were identified. Then after identifying these challenges by Delphi method, the main challenges of deployment of green information technology in hospitals and treatment centers were identified and to analyze the data, structural interpretive approach was used.

after members of the panel reached a theoretical consensus in two steps, 19 factors were extracted to analyze the structural interpretive modeling. The results of the study show that the two factors of government lack of financial support by providing financial facilities and lack of sufficient budget and credit in the organization to deploy green information technology are at the key level of study factors.

The results show that hospitals and health centers without government support will not be able to establish green information technology infrastructure and enjoy its benefits. The government can be fruitful in terms of financial support for hospitals and medical centers in order to purchase equipment and other requirements for the establishment of green information technology.

Today, the use of green information technology has positive effects on the health system, especially in controlling energy waste, reducing paperwork, lowering the use of technology and medical devices, and enhancing environmental and economic performance. This study aimed to investigate the challenges of implementing green information technology in hospitals and treatment centers.

This study was an applied research carried out in two phases: first, by reviewing the theoretical foundations and previous studies through the method of reviewing texts, the challenges of establishing green information technology in hospitals and medical centers were identified; then, to confirm and prioritize the identified challenges, these challenges were provided to 21 academic experts and IT officials working in hospitals.

On the path of implementing green information technology, hospitals and treatment centers faced challenges related to Human Resource Management System (2 components and 10 indicators), Institutional Pressures (4 components and 9 indicators), Administrative System (3 components and 16 indicators), Financial System (4 components and 4 indicators), Legal System (2 components and 3 indicators), and Organizational Infrastructure (2 components and 2 indicators).

The implementation of green information technology in hospitals and treatment centers has a unique potential in reducing energy, promoting the recyclability of obsolete equipment and hospital waste, creating environmentally friendly products, and encouraging people to work remotely.

Today, green information technology is recognized as one of the key factors for achieving sustainable environmental development. The aim of this study was to designing pathology pattern of green information technology implementation in hospitals and treatment centers.

This study is applied in terms of purpose and took place in terms of methodology, descriptive – analytic that first, with reviewing the theoretical bases and the opinion of the experts, the challenges of deployment of green information technology in hospitals and treatment centers were identified. Then after identifying these challenges by Delphi method, the main challenges of deployment of green information technology in hospitals and treatment centers were identified and to analyze the data, structural interpretive approach was used.

after members of the panel reached a theoretical consensus in two steps, 19 factors were extracted to analyze the structural interpretive modeling. The results of the study show that the two factors of government lack of financial support by providing financial facilities and lack of sufficient budget and credit in the organization to deploy green information technology are at the key level of study factors.

The results show that hospitals and health centers without government support will not be able to establish green information technology infrastructure and enjoy its benefits. The government can be fruitful in terms of financial support for hospitals and medical centers in order to purchase equipment and other requirements for the establishment of green information technology.

Medical centers including hospitals, clinics, rehabilitation centers, infertility treatment and… whether governmental, private or charitable have legal entity in most cases. This legal entity, in some cases, is affiliated with the state or state universities of medical sciences and sometimes these centers take their entities in the form of business firms. The existence of a legal entity provides that the health center, in accordance with article 588 of the Commercial Code, has all the rights and duties as same as a person. In this regard, to pay the victim Blood Money in the case of Itlaf an Tasbib is one of the duties of the persons and in spite that the Itlaf of a person and direct harm to is not possible due to the legal entity; this is not however, the denial of their liability to pay the Diyah arising from the Tasbib of legal entity.Contrary to the views of some jurisprudents and lawyers, and the appearance of some articles of Islamic Panel Code, Tasbib is due to pay Blood Money in the case that is companied by a fault. One of the most obvious failure of medical centers that is leading to hurt the patients is to violate the state regulations that not only there is no need to expert opinion, but also is achieved upon the violation of the rules and regulations and there is no need to proof of fault. For various reasons, recognizing the liability of health centers to pay Blood Money, in every respect is in favor of patients and to support their right.

Nurses must be equipped with scientific and practical competencies and skills in teaching drug abuse prevention and control as well as addiction treatment. Thus, this study aimed to determine the educational needs of nursing students for working in addiction counseling and treatment centers.

This descriptive study was conducted in Isfahan in the 2015-16 academic year. The statistical population was comprised of faculty members of the nursing and midwifery school, physicians, nurses and the service recipients provided by addiction counseling and treatment centers. Using a three-round Delphi Technique, the data were collected by a valid and reliable researcher-made questionnaire and analyzed by means of descriptive statistics.

In the first, second and third rounds of Delphi Technique, 129 (out of 140), 79 (out of 80), and 20 (out of 20) people responded to the questionnaire respectively. Of the 150 educational needs that were identified, 69 were related to the cognitive domain, 39 to the emotional domain and 42 were related to the psychomotor domain.

Most of the nursing students’ educational needs of nurses for working in addiction counseling and treatment centers were related to the cognitive and psychomotor domain. It is suggested that training courses be held for nursing students in relation to these needs and an educational package be developed accordingly.

Determining the cause of death is one of the most important diagnoses issued by physicians and lack of enough precision and failure to observe scientific principles can lead to serious legal problems for physicians. Death can be accrued in two forms; apparent death and definitive, Lack of attention to the possibility of apparent death in the diagnosis of death, in addition to causing delay in CPR proceedings, can lead to complaints by patient’s relatives, which make physicians face serious problems. This study was carried out to examine the cause of death determined after autopsy in dissection hall of Tehran Legal Medicine Center and compare it with the cause of death determined in treatment centers during 2012.
A retrospective cross-sectional study was designed with two data collection tools: the first consisted of clinical information available in 4641 death files referred from health centers to Tehran Legal Medicine Center in order to determine the cause of death; the second part related to autopsy findings (both pathology and serology) and definite cause of death. Data were analyzed by statistical software SPSS version 13. Chi-square and kapa conformation were used for nomination of concurrence between forensic reports and other report.
Findings: The highest percentage of non-identical cause of death is related to internal medicine specialists with 47.40 % and the lowest percentage is related to neurosurgery specialists with 1.85%.
Considering the low rate of correct clinical diagnosis of cause of death in this study, post-mortem examination remains a valuable source of pertinent information. Based on the results we suggest that considering the high rate of mistakes in determining the cause of death by doctors, they should be informed of the results of autopsy and determination of the final cause of death of their patients in order to have more accurate clinical diagnosis when facing with similar cases.

All citizens have the right of easy access to health and treatment services without any discrimination and irrespective of their physical health status, whereabouts, and their type of illness or time of access to the services. Hospitals and treatment centers are the main and pivotal service centers that must be easily accessible to all people, the fact that is among the most principal objectives of social development and justice. The research in areas of disability services, human respect and esteem among citizens especially those suffering from disabilities are considered of utmost importance which can lead to valuable information in this regard. The present research aims to study the status of access to health and treatment centers and its relation to disability services in the city of Shiraz. The population under study included all public and private health centers in the city of Shiraz in 1392. The number of statistical sample was determined through Cochran formula and from 120 centers. Also, 120 individuals with disabilities including hard of hearings, blinds and those with physical problems residing in Shiraz who referred to these centers were selected in non-probability sampling method. To observe the status of samples' access, a check list whose validity was previously confirmed was used. Also, in order to determine the disabled individuals' views about improvement of conditions as well as providing service in health centers a questionnaire with 10 items was used. The validity of this questionnaire was previously determined. For statistical analysis SPSS 19 and Spearman's Correlational Test was used to compare the relationship among the acquired data. The amount of improvement in 120 centers was calculated 50.55 according to the checklist and opinions of the disabled. In this study and in all aspects, no significant correlation was found between the improvement of health centers and giving services. The correlation between services and parking space, stairs, elevator and other administrative sections was significant (p=0.05). According to the results of this study, the most suitable sections of health centers were elevators, pathways and passages, patients' waiting salon, public furniture, administrative sections, steep levels, rest rooms, gates and windows, stairs, lobby and parking space which had the worst status of improvement. According to the views and opinions of those individuals who filled the disabled questionnaire it can be concluded that elevators had the best improvement status (75.01%) regarding the improvement while parking spaces had the worst situation.

Accurate medical diagnosis is an important issue for an appropriate treatment.the aim of this study was to compare clinical diagnosis and autopsy findings in patinents who died in university hospital in thehran.
In this study, the data were collected in two part.medical records and autopsy findings od 4641 dead case,who were referd for postmortem examination to determine the cause of death,were extracted from 4671 yearle dead one files ina hospital.first part of information included demographic data (age,sex),clinical records of hospitalized patients and the first clinical diagnosis and cause of death by the physician .the second part was releted to autopsy findings(both pathology and serology)and definit cause of death.
Findings :Postmortem examination revealed acceptabele clinicali diagnosed cause of death in 47.40 %is incorrect in internal medicin and in 1.85%of cases ,the cause of death was incorrect in nurosurjery medicine.
considering the low rate of correct clinical diagnosis of cause of death in study,post-mortem examination remains a valuable source of patinent information.it is recommended to design a process to inform hospital physicians about the final cause of death.it may improve the management of hospitalized patients based on better diagnosis in similar situations.

Unsafe sexual behaviors as important risky behaviors can expose individuals and society to dangerous infectious disease such as AIDS and viral hepatitis. Considering the high prevalence of unsafe sexual behaviors، this study aimed to determine the effect of educational programs to encourage safe sexual behaviors among substance abusers referred to substance abuse treatment centers in Hamadan، Western Iran by applying the theory of planned behavior. This quasi-experimental study was performed on 104 men substance abusers (52 participants in each of the control and intervention groups) referred to substance abuse treatment centers in Hamadan. Data collection tool was a questionnaire containing demographic information and the theory of planned behavior constructs. Before the educational program، questionnaires were completed by both groups. After the pretest in both groups، participants in the intervention group participated in four educational sessions designed based on the theory of planned behavior. Two months after the end of program، posttest was performed. Data was analyzed using independent T-test، chi-square، fisher exact test، McNemar’s test and multiple linear regressions using SPSS-16. After educational intervention، the mean scores of the theory constructs (attitude toward behavior، subjective norms، behavioral control، behavioral intention and behaviors)، in the intervention group increased significantly (P<0. 05)، despite the fact، changes were not significant in the control group. Implementation of educational courses to encourage safe sexual behaviors based on the theory of planned behavior can be beneficial for substance abusers referred to substance abuse treatment centers.

A common method of managing Health Care and proper instruction and referral of patients through health system is implementing family physician planning. In order to improve health indices and referral system، family physician has been employed in the rural areas in the last 8 years. It seems quite essential to re-evaluate this system after these years. This is a descriptive study. Data were gathered by census in 1383 and the first half of 1384 as pre- implementation of family physician program and in 1389 and 1390 after utilization of it in the 38 Rural Health- Treatment Centers in the province of Yazd. It included family physicians، midwives، and clinical and para-clinical units. A validated check list including 15 questions in 5 areas (proportion of population to physician، proportion of midwives to the centers، percentage of availability of laboratories، average of number of drugs in the pharmacies of rural centers، and average of staying of physicians in the cities of the province of Yazd) was used. SPSS 19 was applied، using Mann-Whitney and t-tests to do statistical analysis. Comparing indices of health care management before and after implementation of family physician program revealed that the proportion of midwives to the centers has increased significantly. However، it did not have a positive effect on other indices، even though they improved relatively. (P-value <0. 05). By reinforcing health care management indices in accordance with the relevant standards، and promoting welfare facilities and proper financial motivations in order to inspire physicians to stay longer in the deprived areas، we hopefully can see strengthening of referral system. This will eventually lead to the improvement of health indices.