مقالات رزومه شیما هاشمی

One of the most significant indicators of the evaluation of emergency centers is the calculation of waiting time for patients to receive diagnostic and therapeutic services. The aim of the present study was to determine the waiting time for the provision of services in the emergency departments of teaching hospitals in Khorramabad.

This research was a cross-sectional study conducted in 2017. The study population consisted of all the patients referred to the emergency departments of educational hospitals with an emergency department in Khorramabad. Sampling was randomly carried out through multistage stratified sampling. A valid and reliable checklist was used to collect data, and the data were analyzed by SPSS- 19 by related descriptive and analytical statistical tests.

The three investigated hospitals had a total of 166 emergency beds. 70.6% (573 patients) of the patients had attended the emergency departments with one of their companions, and the greatest frequency of consulation was related to internal medicine specialists (44.5%, 361 people). The gaps between the triage and the first visit, the first visit and the first diagnostic action, sending the first diagnostic action and the medical consultation result, and finally the medical consultation and the outcome of the medical consultation were 8.37 minutes, 31.27 minutes, 9.6 hour, and 7.38 hour respectively.

Regarding the results of this study, it is suggested that the number of emergency department staff and related para-clinical sections increase, thereby reducing the waiting time of people to receive emergency services. Moreover, the authorities are recommended to increase the number of the staff of the night shift in the emergency departments.

The importance of labor productivity with high progress motivation has an important role in the life and survival of organizations. The aim of this study was to investigate the relationship between quality of occupational life and progress motivation in health team of Ashayer in Khorramabad.
This research was a descriptive correlational study. Statisical population in this research included all health team of Ashayer hospital in 2015 and 205 subjects were selected by randomized simple sampling. For collecting data, two standard questionnaires, Quality of Work Life (QWL) to measure the quality of occupational life and (AMQ) to measure the progress motivation were used. In this study, the validity of questionnaire was confirmed by ten individuals and the alpha for their reliability was about 0.87 for QWL and 0.79 for AMQ. Pearson test was used for analyzing the relationship between different dimensions of quality of occupational life and progress motivation and multiple regression test for analysis each determination of the quality of occupational life on progress motivation.
Results showed that there was a positive and significant relationship between quality of occupational life and progress motivation (r=0.370, P If the quality of occupational life in health team in hospital develops, the rate of motivation will increase.

Toxoplasmosis is a common zoonosis with very wide and vary geographical distribution. Toxoplasmosis is a parasitic disease caused by intracellular mandatory protozoa that called Toxoplasma Gondii. The purpose of this study was Evaluate awareness of educational hospitals staffs of Khoramabad Medical Sciences University about toxoplasmosis. In this cross-sectional study population included staff that are working in all wards of the 5 hospitals located in Khorramabad, the capital of Lorestan province. 325 employees (overall sample size that obtained by sample size formula and proportional method) participated in the study by completing a researcher made-questionnaire (it has two parts: demographic information and questions related to toxoplasmosis awareness). The obtained data collected and managed by using the SPSS16 software, Results represented by descriptive statistics indices (mean, standard deviation, and frequency) as suitable tables and graphs. Finding of the present study show that 59.2% and 40.8% of participants were female and male, respectively. The highest degree of participants was Bachelor degree (68.7%). The results obtained of this research showed that Overall staff awareness was upper intermediate and internet use, was the most reference to obtain the information about toxoplasmosis (62.1%). The lowest staff awareness was about the toxoplasmosis transmission through raw milk, direct contact with contaminated sheep and organ transplantation. Awareness of majority of staffs related to reservoir of human toxoplasmosis and causes the disease was almost good. According to the obtained results of research, it is required to establish workshops to promote awareness of Non-specialized and specialized staff about important diseases such as toxoplasmosis, which can have irreversible health impacts.

Teenage girls health is more important due to multiple cultural and social reasons, the maturity characteristics of girls and their somatic and mental conditions of puberty and also their main role in fertility and its influence on a family life, makes a reduplicate importance on teenage girls health in comparison with boys. The purpose of this study was to investigate the health-promoting behaviors of female students in Poldokhtar. This descriptive cross-sectional study, was carried out on 427 high school female students selected using multiple step sampling method. Data were collected by a questionnaire (demographic questions, and standard health-promotion behaviors (HPLPII). Data were analyzed by t-test and ANOVA. 421 questionnaires were completed. Average of general score of health-promoting behaviors was about 6.64 percent. Average score of different structures in students consisted of health responsibility, nutrition, physical activity and stress management were 7.68, 9.66, 2.58 and 8.56 percent respectively. Parental education, mother's occupation, family size, type of entertainment and body mass index had a significant relation with health-promoting behaviors (p<0.001). The results of this research showed that the sanitary behaviors of girl student in Poldokhtar has a moderate range. Stress management and physical activity had an inappropriate situation compared with two other structures and this makes more attention for more entries.

This paper aimed to predicting of social phobia with gender, perception of negative evaluation by others, negative self-evaluation, self-focus attention, behavioral inhibition and early maladaptive schemas variables among students of Baharestan Payam Noor university. The number of sample were 310 people that selected via available and volunteer sampling method. The instruments Were Social Phobia Inventory (Connor et al), Focus of Attention Questionnaire (Woody, Chambless & Glass), Adult Measure of Behavioral Inhibition (Gladstone & Parker), Consequences of Negative Social Events Questionnaire (Wilson & Rapee‌(, The State-Trait Anger Expression inventory (Spielbergerand). In this investigation data analysed with path analysis via AMOS software. although results from this paper showed gender and anger expression didn’t predict social phobia (p>0/05) but perception of negative evaluation by others, negative self-evaluation and behavioral inhibition components have direct effect on social phobia as mediating variables (p<0/05) while self-focus attention and early maladaptive schemas had indirect effect on social anxiety (p<0/05). Also this model explained the 72 percents of total variance.According to this study it can be said that early maladaptive schemas effect on social anxiety via surface-level cognition variables (perception of negative evaluation by others, negative self-evaluation and behavioral inhibition) as deeper cognitive variables.

One of the challenges of modern society is to provide mental health especially in nurses. This study aimed to investigate the effect of environmental index on mental health in nurses working in emergency and non emergency wards in Khorramabad hospitals. This is a correlational study. The population consisted of all nurses in the hospital, which included 433 patients. The sample included 207 nurses with sampling in Ashayer hospital and census method in Tamin Ejtemaee hospital. Data collection included: Demografic Questionnaire, The General Health Questionnaire (GHQ), Work Environment Scale (WES) validity and reliability are prooven. Data were analysed by test t Independent, one-way ANOVA test and the Spearman correlation. In this study, 119 women and 88 men were studied that 43.30% of nurses were working in the emergency department and 57.69 percent were working in other parts. T tests showed a significant difference between the means of the independent mental health nurses in the emergency department 71.14 ± 19.29 compared to nurses in other sectors 48.13 ± 13.30) (p=0.654). Based on the results, however employees in emergency wards experience more trouma due to their job history, there was no significant meaning between mental health disorders and psychological stress in nurse working in emergency and non-emergency wards.

Due to the need to recognize musculoskeletal disorders in workers to improve their health as a large part of the working capital of our country and shortages in studies which provide solutions to improve these problems, the present study was aimed to assess the effect of corrective exercises on musculoskeletal disorders in workers in Khoram Abad city for providing solutions to improve these disorders in 2012. In this quasi-experimental study, the statistical population was male workers in industrial centers 1 and 2 in Khoramabad. 320 workers were studied in the initial evaluation. According to the inclusion criteria, 196 workers were eligible to enter the study and responded to questionnaire. The data collection scale was a standardized Nordic Musculoskeletal Disorders questionnaire. Corrective plan of disorders was performed by a physical training expert according to detected abnormalities (113 cases). Corrective exercises in the stretching and strengthening manners performed at 24 sessions in 8 weeks. 113 workers had a pain history in their extremities and musculoskeletal members and they had no previous disease history. 58% of workers were with musculoskeletal disorders at least in one of the nine areas of their body which the most prevalence was in areas: lumbar (31/6), neck (19/8) Shoulder (29/5), knee (17/8). A significant reduction was seen in all nine regions disorders after intervention (P<0.05). Corrective exercises reduce pain and musculoskeletal problems in workers.

One of the main questions of Psychologists is that weather personality characteristics، separate addicted and normal people. This study was aimed to compare the stable personality characteristics in vulnerable to drug abusers compared to normal people. This is a causal – comparative case study. 300 individuals from 18 to 40 years living in this city of Khorramabad، chosen by cluster random sampling and were divided into two groups with the ability to test for substance abuse risk and normal group. Then the scale factor Cattell 16 Personality tests were performed. t-test for independent groups was used to analyze the data. Results showed that the two groups on measures of sensation seeking، emotional stability and extraversion had significant differences (p<0. 001) and in measures of stress and nervous and temperamental there was no significant differences.

Neuropsychological dysfunctions in patients with major depression may be related to the risk of committing suicide among them. The purpose of the present study was to compare neuropsychological dysfunctions between patients with non-psychotic major depression with suicide history, without suicide history and normal people. Method and Materials: This was an ex-post facto study with control group. Using convenience sampling method subjects were selected from the patients referring to Loghman and Imam Hosein hospitals in Tehran. The patients were assigned to 3 groups: patients with major depression and history of suicide (n=16), patients with major depression and without history of suicide (n=17), and normal people (n=22). 3 domains of neuropsychological dysfunction including focused attention, selective attention and cognitive flexibility were assessed by computerized tests of Wisconsin Card Sorting Test (WCST), Continued performance Test (CPT) and Stroop Test. Also, we assessed the severity of depression of participants by Beck Depression Inventory-II (BDI-II). Using SPSS-16 data were analysed by MANOVA, MANCOVA and one-way ANOVA methods. The results showed that, with controlling depression, patients with major depression with suicide history showed significantly poorer function in WCST compared to the other two groups. But we did not observe any similar differences in the other 2 tests. In general, cognitive flexibility is injured more in the patients with major depression and suicide history than in the patients with major depression and without suicide history, which may result in increased risk of committing suicide among these patients.

Many studies have reported the cognitive and perceptual impairment in patients with borderline personality disorder (BPD). The aim of the present study was to assess cognitive functions in BPD patients in comparison to healthy subjects. In this study 56 subjects)28 subjects in BPD group and 28 subjects in control group(were selected by available sampling.Data collection tools included; multi-core milon3 computer (MCMI-III), continuous performance test (CPT), Wisconsin Card Sorting Computer Test (WSCT) and computerized Stroop test. The results show a significant difference between cognitive functions (selective attention, focused attention and cognitive flexibility) in BPD patients and healthy subjects (p<0.001). Although there was a significant difference between the two groups, there was little difference in cognitive flexibility (p<0.001). findings show that the cognitive functions in patients with borderline personality disorder, compared to healthy subjects, is impaired. This result can be explained based on studies that suggest frontal lobe dysfunction is a personality disorder.

organizational intelligence causes the organization to be as an alive creature and also increasing the role of staff in making decisions will increase their commitment to the organization. The aim of this study was to determine the relationship between organizational commitment and organizational intelligence in Lorestan University of Medical Sciences staff in 2012. This was a descriptive –correlation study. The sample included 155 subjects 35 women and 120 men from the staff of Lorestan University of Medical Sciences in 1391who were selected by using randomized sampling. Data were collected by standardized questionnaires: organizational intelligence Albrecht)2002), and organizational commitment, Meyer and Allen (1991). Data were analyzed by using Pearson's correlation and stepwise multiple regression. A significant positive relationship was gained between organizational intelligence and organizational commitment There was also a positive significant relationship between various dimensions of organizational intelligence (strategic vision, common fate, spirit, desire for change, unity and agreement, application of knowledge and performance pressure) with each other) p <0.001(. By increasing organizational intelligence, organizational commitment will increase, so individuals committed to the organization's values and goals and have a more active role in the work environment and would be less likely to leave organizations are attempting to find new jobs. So we recommend to investigate the strength and weaknesses of each part of an organization and making a good situation for accepting new ideas and trying to solve them

The purpose of this research is to investigate the relation between cognitive state and quality of life in older people، registered at army retired community in Khorramabad. this is a descriptive-analytical study on a random classified sample include 150 people (84 women، 66 men) at army retired community in Khorramabaad، in 2011. It was used the Minimal Mental Status Examination questionnaire (MMSE) to measure the cognitive status and SF-36 to measure the quality of life and Pearson Correlation and logistic regression test for statistical analysis. There is positive correlation between cognitive status and quality of life in army retires community in Khorramabaad (p<0. 001); and also positive correlation between recognition status with physical results، physical role، physical pain، general health، vitality، social functioning، emotional role، mental health (p<0. 001). According to the results، cognitive status in army retires can predict the quality of life. (p<0. 001).