Mohammadreza Mirjalili; Mohammadreza Dehghani; Mehdi Raadabadi; Farzan Madadizadeh; Mohammad Sharifyazdi; Hosein Shojaefar; Masoud Sharifi; Mehdi Yavari; Ali Dehghani
Abstract
Background: Considering the high prevalence of COVID-19 in Iran, it is necessary to allocate health resources in response to this pandemic. Due to limitations in the number of hospital beds, analysis of the length of hospital stay in COVID-19 patients may be helpful for decision-making.Methods: This ...
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Background: Considering the high prevalence of COVID-19 in Iran, it is necessary to allocate health resources in response to this pandemic. Due to limitations in the number of hospital beds, analysis of the length of hospital stay in COVID-19 patients may be helpful for decision-making.Methods: This retrospective cohort study (survival study) was conducted through a follow-up of 1465 COVID-19 patients in Yazd Province, Iran. Demographic, diagnostic, and clinical data were collected using the COVID-19 data dashboard of Shahid Sadoughi University of Medical Sciences. The Kaplan-Meier method and Cox regression were used to calculate the survival probability and hazard ratio; the log-rank test was applied to compare survival function according to qualitative variables.Results: The median and mean survival time was 25 days (95% CI: 19.10-30.89 days) and 28.38 days (95% CI: 25.6-31.16 days), respectively. The Survival probability for one week, two weeks, three weeks, four weeks, five weeks, six weeks, and seven weeks and more was 92%, 76%, 57%, 48%, 45%, 33%, and 20%, respectively. There was a significant relationship between survival time and age categories, CT scan results, history of chronic pulmonary disease, history of diabetes, history of cardiovascular disease, and disease severity (P<0.05).Conclusion: According to the results, age, history of cardiovascular and pulmonary diseases, and history of diabetes increased the length of hospital stay. Preventive measures should be followed to prevent COVID-19 infection and manage hospital beds required for efficient treatment of patients.
Ehsan Bakhshi; Reza Kalantari; Hamed Parnikh; Samaneh Dehghan Abnavi; Mehdi Hasanshahi; Sanaz Farhadpour; Somayeh Gheysari
Abstract
Background: Healthcare staff are at the heart of the covid-19 pandemic and play an important role in controlling this disease. Operating room practitioners could be contaminated by a coronavirus, which imposes a high pressure on them, affecting their need for recovery from work. This study aimed to compare ...
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Background: Healthcare staff are at the heart of the covid-19 pandemic and play an important role in controlling this disease. Operating room practitioners could be contaminated by a coronavirus, which imposes a high pressure on them, affecting their need for recovery from work. This study aimed to compare the need for recovery in the operating room practitioners with and without covid-19 infection history.Methods: This cross-sectional study was conducted in the operating room department of a public hospital on 217 operating room practitioners, including Operating room technicians, anaesthesiologists, and service staff. The data collection tools were a demographics questionnaire and the need for recovery scale. Descriptive statistics, independent sample t-test, and oneway ANOVA were used for data analysis.Results: T he m ean a nd s tandard d eviation o f t he n eed f or recovery score in the studied population were 71.30±21.40. The practitioners with covid-19 infection history had a significantly higher need for recovery (P=0.001) than those without covid-19 history. In addition, the service staff had a higher percentage of covid-19 infection and had more need for recovery than operating room technicians (P=0.014).Conclusion: The operating room practitioners with a history of covid-19 infection had a significantly higher need for recovery than those without a history of infection. Therefore, protecting the operating room practitioners against covid-19 infection is the first step in preventing the excessive need for recovery levels. In addition, increasing the number of operating room staff, reducing the number of working hours, and paying more attention to their work-life quality can help reduce their need for recovery.
Ali Mohammadi; Soodeh Shahsavari; Sousan Mahmoudi Bavandpouri; Roholah Mohammadi; Masoomeh Nouri Tahneh
Abstract
Background: Complications are defined as the adverse outcome of the procedures. They increase the length of stay and costs, endanger the patient’s quality of life, and are associated with legal issues. This study aims to analyze the complications of drugs and surgeries in hospitalized patients.Methods: ...
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Background: Complications are defined as the adverse outcome of the procedures. They increase the length of stay and costs, endanger the patient’s quality of life, and are associated with legal issues. This study aims to analyze the complications of drugs and surgeries in hospitalized patients.Methods: This descriptive study was conducted on patients hospitalized from 2013 to 2019. Research resources included records of hospitalized patients with Y40-84 codes based on ICD-10 selected by the census. Records numbers were retrieved from HIS based on the code; records were extracted from the archive of an Iranian hospital. Data were collected using a checklist consisting of two parts. First, the characteristics of the patients and second, the cause and type of complications were extracted by studying the records. The data were analyzed using SPSS20Results: 151 records with Y40-84 codes were retrieved. The records related to complications of procedures and medications were 55 and 96, respectively. 55.6% of patients were female, and 44.4% were male. The average age and length of stay were 51.95 years and 5.7 days, respectively. Post-operative infection and gastrointestinal bleeding, with 49.1% and 20.83%, were the most common complications of surgery and medication, respectively. DVT with 17.2% and cesarean section with 7.3% were the most common cause of complications. Finally, Warfarin had the most complications, with 80%.Conclusion: Complications lead to increased length of stay, costs, and mortality. Therefore, to prevent them, it is necessary to evaluate the patient’s condition before proceeding, training, and monitoring the treatment process.
Reza Kalantari; Zahra Zamanian; Mehrdad Kamrani; Ehsan Bakhshi; Matin Rostami; Morteza Mortazavi Mehrizi; Ebrahim Nazari far
Abstract
Background: Mental workloadis the operator´s mind effort, the excessive levels of which can endanger his/her health. Work-related musculoskeletal symptoms (WMSs) could be the result of a high mental workload. As the workload level depends on the task, this study aims to assess the relationship ...
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Background: Mental workloadis the operator´s mind effort, the excessive levels of which can endanger his/her health. Work-related musculoskeletal symptoms (WMSs) could be the result of a high mental workload. As the workload level depends on the task, this study aims to assess the relationship between mental workload and musculoskeletal symptoms in different working groups of a hospital. Methods: This cross-sectional study was conducted on 240 employees in three main working groups including office staff, clinical employees, and service workers in a governmental hospital at Shiraz. Demographics, NASA Task Load Index, and Nordic musculoskeletal symptoms questionnaire were the data collection tools. SPSS, version 21, was used for data analysis. Results: The mean mental workload was 66.03 in office staff, 67.86 in clinical employees, and 72.41 in service workers. The prevalence of WMSs was 67% in office staff, 62.5% in clinical employees, and 60.8% in service workers. The overall mental workload was related to symptom prevalence in the elbow, thighs, knee, and foot (P-value < 0.05). Conclusion: Some domains of the mental workload are related to WMSs in the studied working groups. Paying attention to the special needs of each working group is necessary for reducing mental workload and WMSs.
Jeyran Ostovarfar; Maral Ostovarfar; Somayeh Zare; Leila Moradi; Elham Makiabadi; Abdolrahim Asadollahi
Abstract
Background: Continuous educational programs are one of the essential ways to promote human resources; inconsistency of the courses with individual and organizational needs may lead to organizational dissatisfaction, job performance reduction, and time and capital waste. The study aimed to evaluate the ...
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Background: Continuous educational programs are one of the essential ways to promote human resources; inconsistency of the courses with individual and organizational needs may lead to organizational dissatisfaction, job performance reduction, and time and capital waste. The study aimed to evaluate the attitudes of the employees about in-service continuous educational programs; they participated in the above-mentioned programs in the continuous educational units from 2006 to 2017 in Ahwaz city, Iran. Methods: In this cross-sectional study, all the treatment and administrative employees in the hospital participated in the educational plans. Out of 548 employees, 225 were selected using the ratio-random sampling method in the late 2017. The study instrument was a validated questionnaire with 66 items and 5 scales of adaptation, efficient management, individual development, growth of attitudes, employees’ knowledge and skills, and managers’ support for implementing operational programs; its validity was measured using Cronbach’s Alpha (α=0.93). The collected data were analysed in SPSS V.23 using descriptive statistics, mean scores, SD, χ2 test, ANOVA, and t-test. Results: Based on the study findings, the participants maintained that management of continuing education courses was useful and beneficial, and there was a statistically significant difference between the main variables and the total score (ρ<0.001). The Eta square showed that literacy (ɳ2=0.224, R2=0.462) and gender (ɳ2=0.205, R2=0.345) had less efficiency, and occupation (ɳ2=.581, R2=.219) significantly affected continuous education programs (ρ<0.01). Conclusion: It is suggested that cognitive dimension and occupation should be considered in implementing continuous education programs. Additionally, educational content should be updated
Mohammad Ali Baghapour; Seyed Mohammad Mazloomi; Kourosh Azizi; Razieh Sefidkar
Volume 3, Issue 4 , October 2015, , Pages 128-132
Abstract
Background: The consumption of healthy food is considered as an essential need to devoid the physical, chemical, and biological hazards. The importance of this issue is more conspicuous in places such as hospitals where people with somehow compromised immune systems are under treatment. Therefore, this ...
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Background: The consumption of healthy food is considered as an essential need to devoid the physical, chemical, and biological hazards. The importance of this issue is more conspicuous in places such as hospitals where people with somehow compromised immune systems are under treatment. Therefore, this research aimed to evaluate the microbiological quality of food contact surfaces in a kitchen in one of the hospitals of Shiraz University of Medical Sciences. Methods: In the present study, samples were taken from 48 food contact surfaces according to ISO 18593:2004(E) and placed into the bags containing diluting solution; they were then transferred to the laboratory for microbial analysis in the cold chain. The microbial analysis was carried out according to ISO 4833-1:2013 and BS ISO 4832:2006 for enumeration of total bacterial count and coliform. Results: Based on the results presented here, 39.6% and 85.7% of the samples showed acceptable contamination with regard to the enumeration of total bacterial and coliform count. Besides, 18.2% and 72.7 % of work surfaces groups (cutting board, table, and hand) showed acceptable contamination with regard to the enumeration of total bacterial count and coliform in comparison to the standards. Furthermore, 45.9% and 89.2% of other surfaces showed acceptable total bacterial and coliform count, respectively. Conclusion: The results showed that safe management of the kitchen, education of the staff and also improvement of the equipment used are necessary.
masoud neghab; ahmad soltanzadeh; roghayeh abedini; jafar hasanzadeh; saeed sarvestani
Volume 2, Issue 2 , April 2014, , Pages 42-48
Abstract
Background: Noise pollution has a particular importance in quiet environments such as hospitals. The main objective of this study was to evaluate the effects of noise exposure on the auditory system, blood pressure and precision, concentration and other psycho-neural components.Methods: This cross-sectional ...
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Background: Noise pollution has a particular importance in quiet environments such as hospitals. The main objective of this study was to evaluate the effects of noise exposure on the auditory system, blood pressure and precision, concentration and other psycho-neural components.Methods: This cross-sectional study was carried out in three large hospitals of Shiraz, during the period of 2012 to 2013. The study population consisted of 81 health care personnel (the exposed group) and 79 non-exposed individuals (the referent group). Day and night time sound levels were measured at different wards of the hospitals by a sound level meter (B&K 7110). Hearing status was assessed by pure tone audiometry of subjects by an Interacoustic AD27 audiometer. Blood pressure was measured with a mercury sphygmomanometer at resting time and psycho-neural components including sleep disturbances, headache, irritability and … were evaluated by a questionnaire devised and validated for this purpose. Data were analyzed by SPSS 16 software.Results: Average sound pressure level for the exposed group (65.32±5.23 dB) was significantly higher than that of the referent group (53.26±2.46 dB) (P<0.05). Similarly, the mean values of permanent threshold shift (dB) as well as systolic and diastolic blood pressure were significantly higher in the exposed group than in their counterpart individuals (P<0.05). Likewise, symptoms such as headache and irritability were significantly more common among the exposed subjects. Conclusion: The findings suggest that exposure to sub-TLV levels of noise (recommended by ACGIH) in hospital environments is also associated with decreased hearing threshold, increased blood pressure, and prevalence of psycho-neural disorders.
