مجله ره آورد سلامت
سال چهارم شماره 2 (تابستان 1397)

Dissolving of clientschr('39') problems is one of the most important tasks of health centers and satisfaction of clients is an important indicator of quality assessment and evaluation. Therefore, considering to the importance of peoplechr('39')s satisfaction and their role in achieving the objectives of health promotion programs, this study was conducted with aim of  Satisfaction assessment of health centers of the community in Aran & Badgol City

This descriptive study was carried on 682 clients to all 20 health services comprehensive centers, health centers, and health houses under the Aran&Bidgol Health Center. A tool of collecting information was a questionnaire that evaluated relevant information in three areas of support, personnel and process. Data analysis was performed using SPSS software version 21 that Wilcoxon test were applied.

The statistical population of this study was 682 people, 553 (81.1%) were female and 129 (18.9%) were male. Based on the results of the study, the majority of patients (61.6%) were fully satisfied and only 8.8% 3% were dissatisfied. The results showed that the highest satisfaction was related to the field of personnel and the least satisfaction was related to the process area, in which 63.3% of the respondents were satisfied with the personnel, while 57.2% were in the field of development and 48.1% in the area. The process was completely satisfied. Based on the results of satisfaction of clients in comprehensive health centers, there were more than 20 thousand people significantly higher than the urban centers above 20 thousand people (p=0.00). Also, the satisfaction rate was significantly higher in those with a history of referral to health centers. You were higher (p = 0/02).

According to the results of this study, it is suggested that using strategy and proper planning, the level of satisfaction of the clients and their goodness from the centers of comprehensive health services should be maintained and in order to improve them, more fundamental measures are taken.

the importance of clean air is well known in industrial environments. Industries used in numerous Chemicals that many of them are toxic. Proper industrial ventilation can create a sense of calm and comfort for the staff, as a result of which the staff performs well and will have a positive impact on their performance. This study was aimed to determine the concentration of air pollutants in unit abrasive vitrified and local ventilation system design appropriate to reduce the concentration of particles.

This study was cross – sectional that conducted in one metal industry in three phases. First step: Investigate and determine of planning workshops and of pollutants produced location, second stage: sampling and determining the concentrations of contaminants, the third stage: Design of local ventilation system.

According to the standard, the occupational exposure limits for chromium and nickel in the workplace are 0.01 and 0.1 mg / m3, respectively. The concentration of chromium and nickel in the plating room was lower than the permissible concentration. while the concentration of particles in the grinding section 1 and 2 over the permissible level and as 11.75 and 13.62 mg / m3, respectively. The local ventilation system was designed according to speed pressure method for grinding unit.

Local ventilation system is designed the possibility of particles capture and control to be effective in the machining salon of grinding section.

Considering the high mortality rate due to traffic accidents in children and the necessity of prevention of these events, the researchers decided to consider accidents caused by vehicles among Iranian children and teenagers.

This study was a systematic review study. The keywords in this study were "Traffic accidents, road accidents, road deaths, child mortality, traffic deaths" in the title and abstract of all published articles from 1991 to November of 2017 in the Google scholar search and the Scientific Information Database – SID. After removing repetitive and unidentified articles from extracted papers, the full text of the final selection papers related to vehicle accidents in schoolchildren was reviewed and the results were categorized and presented in terms of the Phrases and tables.  

Out of 841 articles, after the remove duplicates and articles with unrelated and non-consistent topics for study purposes, 12 papers were finally examined. The prevalence of accidents caused by vehicles in children and adolescents was between 6% and 53.87%. The studies were heterogeneous and were divided into two main categories: a total of 5 studies examined the prevalence of these events and the rest were related to the related cases.

Considering the significant contribution of vehicle accidents to the rate of accidents and incidents in children and adolescents, the need for education them and their parents, as well as the attention and emphasis of legislators on the adoption of laws on the creation of greater safety in Children are essential.

 Unnecessary admission and hospitalization lead to increased false length of stay, hospital costs, poor service delivery and increased hospital infections. The purpose of this study was to determine the number of unnecessary admissions and hospitalizations in selected wards of educational hospitals.

This cross-sectional study was performed in 2016. A total of 246 patients were randomly selected from the departments of urology, ENT, and general surgery, and the required information was collected through a valid AEP protocol. This protocol includes two parts of the criteria for essential admission and essential hospitalization.

 According to the 246 patients, the appropriate evaluation protocol regarding the necessity of admission and hospitalization showed that 7.3% of admissions and 15.9% (255 days) of 1322 hospitalizations. They were unnecessary.

 As unnecessary admissions increase, the number of unnecessary hospitalizations increases as well. Unnecessary admissions and hospitalizations can be controlled by management techniques such as using patient admission protocols, bed management and patient discharge planning.

The Internet is one of the most important technical innovations in the field of information science, which has a wide impact on all aspects of education and research and its use in the field of public and specialized with a rapidly increasing rate of surprise. Is. On the other hand, online addiction is a psychological-social disorder that has many complications such as sleep disorders and anxiety. The present study aimed to determine the Internet addiction and its relationship with the quality of sleep and anxiety in students of Ardabil University of Medical Sciences.

This is a descriptive-analytic study. The statistical population includes all students of nursing and midwifery faculties, medicine and paramedics, health, dentistry and pharmacy, and campus of Ardabil University of Medical Sciences. In this study, the statistical population of the 3,000 students of the above-mentioned colleges was 375, based on the formula for calculating the sample size of Cochran and increased by 10%. Samples were selected randomly from each faculty. In this way, the proportion of students to each college was allocated a quota and selected randomly according to the student list of samples up to the ceiling. Internet addiction inventory, Petersbug sleep quality questionnaire, Beck anxiety inventory were used to collect data. Frequency, mean and standard deviation, Kruskal-Wallis and single-variable regression tests and Pearson correlation coefficient were used to analyze the data

The mean and standard deviation of internet addiction in women was 42.34 ± 13.20 and 42.05 ± 12.66, respectively. And with increasing Internet addiction, sleep problems and anxiety levels (P <0.01, B = .169) also increased. There was a positive correlation between internet addiction and sleep quality (P <0.02, P = 0.20) and students' anxiety (p <0.01).

 Acid–base abnormalities are common in critically ill patients. Our ability to describe acid–base disorders must be precise. The aim of this study to investigate the incidence and type of perioperative metabolic disturbances and electrolyte abnormality in patients undergoing coronary artery bypass graft surgery.

 This was a prospective, observational study, performed in a university-affiliated hospital. 62 patients undergoing coronary artery bypass graft surgery were included in the study. After operation the patients were transferred to cardiac intensive care unit and electrolytes and acid-base variables were recorded. The primary endpoint of the study was the incidence of metabolic alkalemia or acidemia. Metabolic alkalemia was defined as PH >7.45 and BE >+3. Metabolic acidemia was defined as PH <7.35 and BE <-3.

 From 62 patients 34 (54.8 %) had normal acid base analysis. Respiratory alkalosis, metabolic acidosis and alkalosis were occurred in 20 (32.3), 6 (9.7 %) and 2 (3.2) of subjects respectively. Respiratory acidosis is not seen.

 Regardless of normal subjects, respiratory alkalosis occurred more frequently than other acid base disorders in patients after coronary artery bypass graft surgery.