Showing 8 results for Heidari
Farideh Kouchak, Alireza Heidari, Fatemeh Paein Mahali, Zahra Khatirnaman,
Volume 1, Issue 1 ( IJHMD 2024)
Abstract
Background: Coronavirus disease (COVID-19) is a public health emergency of international concern. The aim of this study was to determine clinical features and outcomes of patients with COVID-19.
Methods: This study was a retrospective cohort that included all patients with COVID-19 who were hospitalized in the Shahid Sayad Shirazi and 5 Azar hospitals in Gorgan (northeastern Iran) from April to September 2020. Overall, information from 345 eligible patients was recorded. Data were described using descriptive statistics. Data analysis was carried out in SPSS software (version 24).
Results: The mean age of patients with COVID-19 was 55.94 years (standard deviation=17.28). The majority of patients were women (51.9%). Disease outcomes were reported as recovery, death, and unknown for 77.1%, 2.6%, and 20.3% of the patients, respectively. The most prevalent underlying conditions were hypertension (29.3%), type 2 diabetes (16.8%), and heart disease (8.4%). The most common symptoms were shortness of breath (55.4%), weakness and fatigue (44.3%), and cough (39.7%). Moreover, the most common computed tomography scan findings were ground glass opacities (32.75%), consolidation (26.67%), and thickening of the pulmonary interstitial structures (13.62%).
Conclusion: Studying the duration of hospitalization and its related factors can provide a better understanding of COVID-19’s impact on medical interventions as well as hospital capacities to deal with the rising number of COVID-19 patients. Clinical features, laboratory findings, and their relationship with the outcome of patients with COVID-19 can be crucial for early diagnosis and management of the disease. In addition, due to the importance of optimal use of limited health facilities, optimizing patient classification and creating predictive tools for a better treatment outcome seem essential.
Behzad Damari, Alireza Heidari, Habibullah Masoudi Farid, Arezou Zokaei, Fariba Derakhshnnia, Mohammad Nafarieh, Hossein Asadbeigi, Fariba Barimani,
Volume 1, Issue 1 ( IJHMD 2024)
Abstract
Background: The incidence of social harm has increased in recent years owing to changes in social norms and behaviors.
The welfare organization is an important public organization for providing social services in Iran. The present study
aimed to determine the achievements of national social programs in the welfare organization of Iran.
Methods: The present mixed method study was conducted in three stages, namely documentary analysis, individual
interview, and group discussion. The participants included senior staff managers, social deputy experts of the welfare
organization, provincial managers and experts from 31 provincial offices, and 21 members of public mediators. The
examined programs included social emergency hotline, mobile services, intervention in personal, familial, and social
crises, provision of community-based social services, special health house for girls exposed to social harm, a
rehabilitation program for socially-harmed women and girls, training courses for kindergarten coaches and principals,
and the micro-financing plan with a linked banking approach. The data were analyzed by content analysis.
Results: The major achievements of the programs included the prevention and control of harm, helping to create jobs for
harmed women, holding practical and theoretical courses for kindergarten coaches, facilitating the citizens' access to
telephone counseling services for social emergency through easy free calls, referrals to urgent and specialized intervention
centers, access to social emergency services in marginalized areas and slums, available mobile service vehicles equipped
with tracking systems to identify common and spreading injuries, timely and effective interventions, temporary
accommodation in centers, and specialized measures to return the socially disadvantaged individuals to the normal state,
creating conditions for obtaining bank loans for female household heads without collateral requirements and guarantors.
A total of 324 offices provided services to socially disadvantaged individuals, and 132 neighborhoods were covered by
the community-based empowerment plan. A total of 534,706 individuals were identified for receiving community-based
social services, among whom 17% were filed. A total of 31 special health houses were active for girls at risk of social
harm and they had received 840 individuals. There were 26 active centers for supporting and rehabilitating socially
disadvantaged women and girls among whom 1649 received services.
Conclusion: The welfare organization has obtained great social achievements. Solving the challenges of these programs
and the quantitative and qualitative development of the programs can lead to synergy and improvement of indices of
benefiting from social services in target groups.
Behzad Damari, Alireza Heidari, Habibullah Masoudi Farid, Arezou Zokaei,
Volume 1, Issue 1 ( IJHMD 2024)
Abstract
Background: Divorce is the legal dissolution of marriage and the legal cancellation of duties and responsibilities of
marriage between couples, which has been growing recently in Iran. Preventing and decreasing divorce and its
complications are among the programs of the welfare organization. The present study aimed to explain the goals, service
model, challenges, and solutions for the improvement of this program.
Methods: A qualitative study was conducted in 2016 and selected 31 managers and experts from departments of the welfare
organization in provinces of Iran, 21 members of public mediators and beneficiary organizations, and 6 senior managers
and senior experts from the social deputy of the welfare organization using the purposive sampling method. Data were
collected by three methods, documentary analysis, focus group discussion, and in-depth individual interview, and were
analyzed using content analysis
Results: The divorce prevention and reduction program was designed in three stages, before marriage, during divorce, and
after divorce. The challenges of the program included multi-work with the involved organizations, insufficient information
by the mass media, mental exhaustion of couples and insisting on divorce, the lack of a coherent program in the Supreme
Council of the Cultural Revolution (SCCR), the lack of human resources, insufficient financial credits, and couples'
unwillingness to consult after judicial registration. The suggested solutions to improve the program include coordination
with the comprehensive plan of the Supreme Council of the Cultural Revolution, eliminating inter-organizational multiwork
in the welfare organization, increasing financial credits, creating electronic files for applicant couples, following up
on the status of children within the divorce process, developing a divorce reduction protocol based on new approaches to
family therapy, implementation of educational programs, mandatory counseling before marriage, and approval and
amendment of some judicial laws.
Conclusion: Despite the growing trend of divorce in society and the implementation of the divorce prevention and reduction
program in the welfare organization, this program is facing personal, organizational, and national challenges. It is useful to
use strategies to modify the goal and structure, measures to finance and improve the service mechanism, attract cooperation,
and obtain permits to improve the current status.
Nahid Jafari, Alireza Heidari, Seyyed Mohammad Mohaddes, Zahra Khatirnamani, Mohammad Zayandeh,
Volume 1, Issue 1 ( IJHMD 2024)
Abstract
Background: Organizational culture represents values, beliefs, hypotheses, norms, and goals, which are widely accepted in organizations. The existence of a culture suited to organizational goals in the organization leads to an increase in the efficiency and effectiveness of the organization. The present study aimed to determine the dimensions of organizational culture using the Denison Model and the related factors in the employees of the Gorgan health network in 2021.
Methods: The present research was a cross-sectional study. The statistical population of the present study included 188 employees, who were selected through a simple random sampling method from the provincial health deputy, city health center, comprehensive urban health service centers, and comprehensive rural health service centers. The Denison Organization Culture Survey was used to collect data. Descriptive statistics, Pearson's correlation coefficient, independent t-test, and one-way analysis of variance were used to analyze the data in the SPSS software and a significance level of 0.05.
Results: The total score of organizational culture was lower than the average value. Except in the team orientation dimension, where the mean scores were higher than the average value, the mean scores were lower than the average value in other dimensions of empowerment, capability development, core values, agreement, coherence and coordination, creating change, customer focus, organizational learning, strategic direction and intent, goals and objectives, and vision. The results showed a significant direct relationship between the number of children and the dimensions of empowerment (P-Value = 0.017), team orientation (P-Value = 0.020), and organizational learning (P-Value = 0.001).
Conclusion: Since the level of the organizational culture was lower than the average value, strengthening organizational culture in a scientific, practical, and applied way is necessary.
Hadi Rahimzadeh, Abbas Yaqoubi Joibari , Navisa Sadat Seyed Ghasemi, Hoda Rahimifard, Zahra Qarahbash, Hamidreza Heidari,
Volume 2, Issue 1 (10-2024)
Abstract
Background: Sound and lighting have a major effect on residential, office, and welfare environments. Both the lack and excess of these parameters, in addition to causing physical and psychological negative effects, can also adversely impact productivity and efficiency. This research was conducted to determine the level of sound pressure and lighting in the dormitories of Golestan University of Medical Sciences.
Methods: This descriptive and analytical study was conducted cross-sectionally in 2022 in four dormitories of Golestan University of Medical Sciences. At different time intervals, lighting and sound pressure levels were measured.
Results: The results showed that the highest average measured sound level was in the 5th Azar dormitory (59.73 ± 10.54 dB), while the lowest was in the Alamol Hoda dormitory (45.42 ± 7.32 dB). In addition, the lowest and highest sound levels were recorded at 8:00 a.m. (53.97 ± 7.86 dB) and 9:00 p.m. (61.49 ± 9.38 dB), respectively. At 8:00 a.m., no significant difference in lighting was observed between the four dormitories. However, at 4:00 p.m., a significant difference was found between the dormitories (p < 0.05).
Conclusion: Since environmental factors such as sound and lighting can play a significant role in providing a peaceful environment for students, it is necessary to pay attention to the modification of these environments based on existing standards.
Alireza Heidari , Mohammad Javad Kabir, Zahra Khatirnamani, Narges Rafiei , Masoumeh Gholami ,
Volume 2, Issue 1 (10-2024)
Abstract
Background: The mortality rate in a community serves as a crucial health indicator. Analyzing the trends in the causes of death helps to reveal the overall health transformations occurring in that community. This study aimed to evaluate the mortality trends from 2011 to 2018.
Methods: This study was conducted on all deaths registered in the Department of Health of Golestan University of Medical Sciences from 2011 to 2018. After modifying and cleaning the data, the indicators were calculated using WinPepi 11.65 software, and graphs were drawn using Excel 2013 software.
Results: The death rate from 2011 to 2012 was relatively constant. After a slight decrease in 2013 (3.6 per 1000 population), it showed an upward trend and reached 4.66 per 1,000 population in 2017. The three main causes of death in Golestan Province included cardiovascular diseases, cancers, and external causes of death. From 2011 to 2018, a total of 862,542 years of life were lost due to premature death, with men accounting for 499,300 years and women for 363,242 years.
Conclusion: Considering that the main causes of death in Golestan Province are chronic and non-communicable diseases and accidents, it is suggested that more attention be paid to the design and implementation of preventive measures at the primary levels regarding these diseases.
Abbas Badakhshan , Alireza Heidari , Reza Mokhayyeri , Zahra Khatirnameni ,
Volume 2, Issue 1 (10-2024)
Abstract
Background: Trust is considered a foundation of interpersonal and social communications. Since the patient's trust in the physician affects the exchange of an invaluable good, such as health, it is extremely important. The current study aimed to estimate the patients' trust in physicians of Shahid Sayyad Shirazi and 5 Azar teaching hospitals in Gorgan city in the north of Iran.
Methods: In this cross-sectional study, 243 hospitalized patients in the aforementioned hospitals were selected using the random stratified sampling method. Eventually, 231 complete questionnaires were received. The data-gathering tool was the Persian version of the Wake Forest questionnaire. Data were analyzed using Mann-Whitney, Kruskal-Wallis, and Spearman's correlation tests with SPSS software.
Results: The average score of the patients' trust in physicians was 38.09±3.43, which is considered a good status. Most of the participants were male (58.4%), married (74.5%), self-employed (29.9%), and low-educated (51.1%). There was a significant relationship between the inpatient ward and the score of the patient's trust in physicians. No significant relationship was found between age, sex, marital status, education, basic insurance, complementary insurance, employment, and place of residence with the patients' trust in physician’s score.
Conclusion: The acceptable score of patients' trust in physicians should not be an obstacle to necessary interventions for health and political officials of the province. Informing patients about their rights and dignity, teaching communication skills to physicians in collaboration with the medical council, strengthening the basic insurance funds, and supervising the performance of complementary insurance should continuously be considered.
Alireza Heidari, Seyed Sina Mostafavi Toroghi, Nahid Jafari, Zahra Khatirnamani, Mohammad Zayandeh,
Volume 2, Issue 1 (10-2024)
Abstract
Background: One of the rights of all patients is good quality nursing care, which is the duty of all nurses. The overall success of hospital depends on the opinion and feelings of the patients about the nursing care in the hospital. The present research aimed to determine the quality of nursing care in 5 Azar and Shahid Sayad Shirazi educational centers in Gorgan.
Methods: The present research was a cross-sectional study. 213 inpatients at 5 Azar and Shahid Sayad Shirazi hospitals were selected using a convenience random sampling in 2022. The standard Quality Patient Care Scale (QUALPAC) questionnaire was used to collect data. The data were analyzed using descriptive statistics methods, and IBM SPSS 24 Statistics program. Considering the non-normality of data distribution, the mean difference between two independent variables was compared using Mann-Whitney test, the mean difference between more than two independent variables was compared using Kruskal-Wallis test, and the relationship between quantitative variables was evaluated using Spearman's correlation coefficient. The statistical significance level was set at P <0.05.
Results: The mean age of the patients was 49.72±14.1 years. Out of 213 patients, 50.9% were male. Most of the patients were married (82.2%) had a diploma (43.7%), and were housekeepers (26.8%). The mean of nursing care quality from the inpatient's perspective were classified as relatively favorable (2.51± 0.71). Moreover, the maximum and minimum score was related to the dimensions of communication (2.59 ± 0.81), and psychosocial (2.48 ± 0.68), respectively. This study’s results showed that there was no significant relationship among the demographic variables with the total score of nursing care quality, and its dimensions (P-Value > 0.05).
Conclusion: Since the nursing care quality from the inpatient's perspective was classified as relatively favorable, holding training courses for the clinical nurses and nursing students, and monitoring of these courses continuously can increase the quality of nursing care to the level expected by the patients.
