34 research outputs found
Survey of Under-5-year-old Children Injury and Accident Mortality Causes in the City of Kerman in 2013
No full textSurvey of Under-5-year-old Children Injury and Accident Mortality Causes in the City of Kerman in 2013
Nekooee Moghadam Mahmood1, Amiresmaelee MohamaReza2, Ghorbani Rahil*3,
Shikhani Hossein4, Navabi Zahra5
Received: 16. 03. 2015 Revised: 18. 04. 2015 Accepted: 01. 07. 2015
Abstract
Introduction: One of the most important improvement and health indexes of a country is its under-5-year-old children’s mortality rate. Recently, under-5-year-old children mortality rate has decreased, but it is still more than developing countries. This research aimed to study the causes of accidents and injuries of under-5-year-old children in the city of Kerman.
Method: This was a descriptive analytical prospective study in 2013. This project included 1303 under 5-year-old children who had accidents and referred to three training hospitals' emergency departments. Data on accidents were collected from recorded accident and mortality forms of Kerman Medical University for a period of 1 year¬ (2013) with a census method. Data were analyzed by SPSS19 software using t-test, ANOVA, and χ2 tests.
Results: Among 159 people died, 69% were girls and 31% were boys. The most kind of accidents occurred to them were injury (39.67%), poisoning (20.56%), and falling (15.11%). Accidents range was higher among girls and among 3-4-year-old children. Age, Sex, and season of death did not have any correlation with the kind of accident however there was a significant correlation between accidents occurred amongunder-5-year-old children and their season of death.
Conclusion: Three main causes of accidents were injury, poisoning and falling, so we must provide the affected age group with trainings proportional to their age group and the kind of accidents happened to them. In addition we should try more to train all society members particularly parents who take care of children.
Key¬words: Under5-year-old children, Accidents, Mortality, Emergency Department, Training hospital
¬Citation: Nekooee Moghadam M, Amiresmaelee MR, Ghorbani R, Shikhani H, Navabi Z. Survey of Under-5-year-old Children Injury and Accident Mortality Causes in the City of Kerman in 2013. Journal of Health Based Research 2015; 1(1): 1-12.
1. Associate Professor, Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
2. Assistant Professor, Medical Informatics Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
3. Lecturer, Department of Health Services Management, Bam University of Medical Sciences, Bam, Iran.
4. BSc Student, Department of Health Services Management, Kerman University of Medical Sciences, Kerman, Iran.
5. BSc, Department of Mother and Child Health, Deputy of Health, Kerman University of Medical Sciences, Kerman, Iran.
*Correspondence: School of Public Health, Campus of Bam, Khalij Fars Highway, Bam University of Medical Sciences.
Tel: 09396558571 Email: [email protected]
Cellular decision making at the nanoscale
Get PDFThe well-established dependence of cell traction forces on the compliance of supporting matrices has been attributed to levels of force exerted on components in focal contacts. Here, use of novel, force-limited nanoscale tension gauges revealed that both force and substrate deformations govern cell decision-making during initial attachment to compliant substrates. We propose a mechanical model consistent with observed behavior. Upon formation of stable cell contacts, bond tension and tether rupture govern cell attachment, spreading, and focal adhesion maturation at force levels on individual receptors predicted by prior studies.Submission published under a 24 month embargo labeled 'Closed Access', the embargo will last until 2019-08-01The student, Zainab Rahil, accepted the attached license on 2016-04-27 at 06:49.The student, Zainab Rahil, submitted this Thesis for approval on 2016-04-27 at 06:55.This Thesis was approved for publication on 2016-04-29 at 14:30.DSpace SAF Submission Ingestion Package generated from Vireo submission #9538 on 2017-09-29 at 11:12:58Made available in DSpace on 2017-09-29T17:52:42Z (GMT). No. of bitstreams: 2
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Causes of Discharge against Medical Advice in patients of a Number of Selected Hospitals
No full textIntroduction: Discharge Against Medical Advice (DAMA) is one of the important concerns of health systems. This could be potentially life-threatening and cause readmission. The purpose of this study was to determine causes of DAMA in patients of some selected hospitals.
Methods: This cross-sectional, descriptive-analytic study was performed in winter 2016. The medical files of 261 patients discharged against medical advice were selected by simple random sampling and reviewed. Data were gathered through Hospital Information System and using a self-designed check list. Data were analyzed through SPSS software and using descriptive statistics and Chi-square test.
Results: From all, 58.6% were male, 66.3% were married and 22.2% did not have any insurance coverage. The most common reason of DAMA was feeling better (43.3%). Discharge against medical advice showed significant relationship with marital status (P= 0.02), and insurance type (P= 0.05).
Conclusion: Since the most common reason of DAMA was feeling better, more attention of authorities and also a stronger patient-physician relationship are recommended in order to aware patients of their clinical conditions and treatment process.
Key¬words: Teaching Hospital, Discharge, Discharge Against Medical Advice (DAMA)
¬Citation: Ghorbani R, Moradi Magin M. Causes of Discharge against Medical Advice in patients of a Number of Selected Hospitals. Journal of Health Based Research 2016; 2(4): 319-327
The Relationship of Academic Achievement Motivation with Emotional Intelligence and Quality of Life of University Students
Get PDFBackground & Objectives: Today, studies have shown the impact of emotional intelligence and quality of life on academic achievement motivation. Paying attention to the factors that lead to academic motivation is very important. The aim of this study was to determine the relationship of academic achievement motivation with emotional intelligence and quality of life in students of Bam University of Medical Sciences in 2015.
Methods: This cross- sectional, descriptive-analytic study was conducted on 232 students in Bam University of Medical Sciences selected through stratified random sampling. Research instruments were Hermen’s achievement motivation questionnaire, emotional intelligence Bradbry-Graves test and 36-item questionnaire of quality of life. Data analysis was done through SPSS20 and using t-test, ANOVA, Pearson and linear regression analysis.
Results: From all, 87% were female, 81% were single, 58.2% were undergraduate students and 71.1% were in the age group of 18-22 years old. Mean scores of academic achievement motivation, emotional intelligence and quality of life showed no significant relationship with demographic features of students. Regression analysis results showed no significant correlation between the motivation of academic achievement and variables of quality of life and emotional intelligence.
Conclusion: Although there was no significant relationship between the motivations of academic achievement and variables of emotional intelligence and quality of life, the motivation for advancement can be generalized and thought; so, training courses for motivation development can be very helpful.
Key¬words: Motivation of academic achievement, Quality of life, Emotional intelligence, Students
Citation: Ghorbani Nia R, Izadi F. The Relationship of Academic Achievement Motivation with Emotional Intelligence and Quality of Life of University Students. Journal of Health Based Research 2017; 3(3): 297-307
Cells and force transduction
Get PDFThis thesis studies mechanism involved in propagating force generated at cadherin complexes. The first part of this thesis demonstrates that mechanotransduction at classical cadherin complexes is not only ligand-dependent but also dependent on the respective receptor tyrosine kinase (RTK) binding partner of cadherin. This involvement of RTKs at cadherin complexes is important in propagating force transduction globally, implying that force transduction at cadherin complexes is not restricted to cell-cell junctions but is also propagated globally via the mediation of its respective RTK binding partner. These results suggest that homophilic ligation in trans- and cadherin association with cognate receptor tyrosine kinase in cis comprises a combinatorial, mechano-chemical switch. That is, specific combinations of cadherin, ligand, and RTK is required for force-activated RTK-dependent signaling, activation of cell contractility, and cytoskeletal remodeling at perturbed cadherin adhesions. These findings confirm that cadherins form both homophilic and heterophilic bonds, but homophilic cadherin ligation selectively triggers cadherin-associated RTK signals that mechanically reinforce homophilic, but not heterophilic cadherin adhesions, thereby stabilizing homophilic adhesions and amplifying binding differences. This study demonstrates that this mechano-chemical switch is not governed by cadherin adhesion differences, but requires a specific combination of cadherin ligand in trans- and RTK expression in cis to actuate force transduction signaling on rigid surfaces to propagate force transduction at a global level.
For the second part of this study used novel, force-limited nanoscale tension gauges to investigate how force and substrate stiffness guide cellular decision-making during initial cell attachment and spreading on deformable substrates. The well-established dependence of cell traction and spreading on substrate stiffness has been attributed to levels of force exerted on molecular components in focal contacts. The molecular tension gauges used in this study enabled direct estimates of the threshold, pico Newton forces that instructed decision-making at different stages of cell attachment, spreading, and adhesion maturation. These results further confirm that the force thresholds controlling adhesion and spreading transitions depend on substrate stiffness. Reported findings agree semi-quantitatively with a proposed model that attributes rigidity-dependent differences in cell spreading to stiffness-dependent rates of competing biochemical processesSubmission published under a 24 month embargo labeled 'Closed Access', the embargo will last until 2020-12-01The student, Zainab Rahil, accepted the attached license on 2018-11-08 at 12:34.The student, Zainab Rahil, submitted this Dissertation for approval on 2018-11-08 at 12:48.This Dissertation was approved for publication on 2018-11-13 at 10:27.DSpace SAF Submission Ingestion Package generated from Vireo submission #13072 on 2019-02-08 at 11:38:31Made available in DSpace on 2019-02-08T18:39:44Z (GMT). No. of bitstreams: 2
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Health Village and its place in the Health System
Get PDFBackground & Objectives: Health Village is a residential/healthcare place for natural remedies combined with other medical treatments. Health village can be set in different sizes, depending on the amount of investments and the investors’ strategic objectives. In fact, a complete health village can cover all aspects of health and meet all the health needs of a community.
Methods: In this review study, Persian and English articles indexed in valid databases such as Google Scholar, SID, Pubmed, Irandoc Science direct and Scopus were searched using the MESH terms of “ Health village” and “Health resort” without time limitation.
Results: Providing health services in natural areas and away from urban pollution can restore the health and well-being and also can cause psychological and physical relaxation not only in patients but also in those who are interested in living in places with services such as water therapy, herbal therapy, gravel treatments, mud therapy, and other services.
Conclusion: The effort to create environments such as the health village, due to the potential of such centers in providing high levels of physical and psychological comfort for audiences, can be considered as a beneficial local business. Therefore, the health village is an environment that can contribute to the social and economic development while serving the health of the community.
Keywords: Medical Tourism, Health village, Health system
Citation: Kochak Yazdi S, Asadi A, Ghorbani Nia R. Health Village and its place in the Health System. Journal of Health Based Research 2019; 5(1): 57 -71 . [In Persian
The Role of Emergency Medicine Specialist on Performance of the Emergency Department of Kerman Shahid Bahonar Hospital: A Qualitative Study
No full textThe Role of Emergency Medicine Specialist on Performance of the Emergency Department of Kerman Shahid Bahonar Hospital: A Qualitative Study
Ghorbani Nia Rahil1*, Amiresmaeili MohammadReza2, NekoeiMoghadam Mahamod3,
Saberi Nia Amin4
1. Lecturer, Department of Health Services Management, School of Public Health, Bam University of Medical Sciences, Bam, Iran.
2. Associate Professor, Medical Informatics Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
3. Professor, Medical Informatics Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
4. Assistant Professor, Department of Emergency Medicine, School of Medical, Kerman University of Medical Sciences, Kerman, Iran.
*Correspondence: School of Public Health, Bam University of Medical Sciences, Khalij-e-Fars Blvd, Bam.
Tel: 09396558571 Email: [email protected]
Introduction: Emergency department is the important part of the healthcare system. Today, the need for integrated emergency care services and delivering qualified care services have been felt more than before. The aim of this study was to investigate the role of emergency medicine specialists on performance of the emergency department of Shahid Bahonar hospital, Kerman.
Methods: This phenomenological qualitative study was conducted on 16 emergency medicine specialists (EMSs) and nurses of emergency department and Emergency Operations Center (EOC) who were selected using purposeful sampling in 2015. Data were collected through semi-structured interviews and analyzed using framework analysis.
Results: The main themes included economics impact, service quality promotion, and emergency management. Some sub-themes included hospitals revenue improvement, tariffs definition for emergency services, effective treatment, improvement of emergency team knowledge, emergency department management, and triage quality improvement. Conclusion: With presence of EMS in healthcare system, the quality of healthcare delivery system has been improved and waiting time for healthcare services has been significantly decreased. By decreasing waiting time, determining of patient statue and determining the ward for patient in the hospital, emergency beds for other possible admissions and emergency preparedness for future admissions will be kept empty.
Key¬words: Emergency Medicine Specialist, Emergency Department, Qualitative Study, Framework Analysis, Performance
Citation: Ghorbani Nia R, Amiresmaeili MR, NekoeiMoghadam M, Saberi Nia A. The Role of Emergency Medicine Specialist on Performance of the Emergency Department of Kerman Shahid Bahonar Hospital: A Qualitative Study. Journal of Health Based Research 2016; 2(3): 233-248
Survey of under 5 year's children injury and accident’s mortality causes in Kerman state-2013
No full textIntroduction: One of the most important improvement and health indexes is under 5-year children’s mortality. Recently under 5-year children decreased but it is still more than developing countries. This research aimed to study accidents and injuries of under 5-year children in province of Kerman.
Method: This was a descriptive analytical prospective study in2013. This project included 1303 under 5 years children who could refer to three training hospitals 'emergencies which data on accidents for a period of 1 year (2013) were collected from record accident and mortality of health military forms of Kerman Medical University (. The study was conducted in 1303 under 5-year children. Data were analyzed by spss19 software and using t-test, ANOVA, 2&chitests.
Results: Among 1303 under 5-year children were studied, 159 people died. 69% were girls and 31% were boys. The most accidents that occurred for them were injury, poisoning and falling. Accidents range were higher among girls and most of them occurred in 3-4 years old children. Age, Sex and season of death did not have correlation with kind of accident however there was a significant correlation between accidents occurred in under 5-year children and season of death.
Conclusion: Three main causes of accidents occurring were injury, poisoning and falling so we must choose proportional trainings with age group and accidents that happened for them, and in addition we should try more to train all society particularly parents that care children.
Key words: under 5-year children, accidents, Mortality, Emergency Department, Teaching hospital
Citation: Nekooee Moghadam M, Amiresmaili MR, Ghorbani R, Shikhani H, Navabi Z. Survey of under 5 year's children injury and accident’s mortality causes in Kerman state-2013. Journal of Health Based Research 2015 1(1
Mechanism and performance evaluation of spent-coffee grounds-derived nanocomposite materials for highly efficient photocatalytic degradation of organic pollutant
No full textThe study demonstrates a facile and environmentally friendly method for synthesizing crystalline TiO2 nanoparticles on the surface of hydrochar generated from readily available biomass waste, i.e., spent coffee grounds (SCGs), using a simple sol–gel process. The hydrochar served as a support for TiO2, reducing the rate at which electrons and holes recombine during photocatalysis, thereby facilitating the effective binding of TiO2, enhancing its adsorption capacity, and the convenient separation of the photocatalyst after usage. The materials were tested in the photocatalytic degradation of an organic pollutant, methylene blue (MB) dye. TiO2-hydrochar obtained at 210 ⁰C has the best performance, giving a degradation efficiency of 98.5 % and a mineralization efficiency of 87.1 % in 90 min at neutral pH. Radical trapping experiments showed
being the dominant species, followed by
. Besides, it showed superior stability with an activity loss of ∼ 9.2 % after five runs. The superior performance of the HCT210 was ascribed to the enhanced interfacial charge transfer kinetics between the TiO2 and hydrochar through
bond formation, better light absorption, and the high surface area of the materials. Performance metrics show that synthesized nanocomposites are promising photocatalysts, providing a biomass-assisted method for robust photocatalytic wastewater treatment.Killam TrustsNatural Science and Engineering Research Council (NSERC
House of Music : Festivity from city to seat
No full textHouse of Music : Festivity from city to seat.Concert HallArchitecture, Urbanism and Building Sciences | Interiors Buildings Citie
