مجله دانشگاه علوم پزشکی شهرکرد
سال پانزدهم شماره 6 (پیاپی 69، بهمن و اسفند 1392)

Of the advantages of accessing patients’ records is letting them have a better understanding of their condition and treatment. It can also raise the reliability of consistency and correctness of data in health care system. Therefore, this study was to compare between laws, policies, and procedures concerning patients’ access to electronic health records (EHR) in Australia, Canada, and New Zealand and those in Iran.
This study was a comparative, descriptive one, investigating the laws, policies, and procedures of patients’ access right to EHR in selected countries and Iran. The instrument for gathering data was a researcher developed checklist and the data were gathered and compared through relevant websites and reliable electronic resources and articles.
The findings of research showed that all four countries usually had some laws, policies, and procedures concerning access right, but in none of them the rate of access has been obviously and specifically determined.
Given the necessity of EHR implementation, the requirement of paying attention to codifying a law or at least specific policies and procedures and expressing the details on this issue grows completely apparent.

Induced pluripotent stem cells (iPSC) are primary undifferentiated cells that are able to create almost any type of cells in the body. The purpose of the present study was production and transmission of TetO-FUW-OSKM lentiviral vector to human dermal fibroblast cells (HDFs) and investigation the application of this vector.
In this experimental study after isolation and culture of HDF cells, TetO-FUW-OSKM lentiviral vector containing the reprogramming genes (as transfer vector) and PsPAX2 and PMDG2 vectors (as packaging plasmids) were transfected to HEK-293T cell line for virus production. The supernatants of packaging cells were harvested in 48h and 72h after transfection. Then, these viruses were transducted to HDF for reprogramming these cells.
The results of this study demonstrated the successful production of TetO-FUW-OSKM lentiviral vector and suitable expression of the transcription factors in HDF cells after transduction.
According to these findings lentiviral vectors could be used for gene transmission and reprogramming of adult cells such HDF to generate iPS cells in future studies.

The heart of university is its library. Quick and easy access to information resources by researchers, teachers and students is regarded as the main principles and the basis of teaching and research in university. This study aims to determine the rate of reference to available Latin books in the Central Library of Shahrekord University of Medical Sciences.
Method and material: in this observational research, lending burden of all available Latin and Persian books in the central library of Shahrekord University of medical sciences during the time of 6 years (the first day of new year of 2006 up to the end of 2011) was determined based on the library software (Pars Azarakhsh), Diglib version and available loan offices (separated by year). Finally by combining the data from the Excel output and by analyzing loan offices, the conclusion was made.
The results show that the rate of reference to Latin books in this period was 1818 cases and that of Persian books was 54300 cases. In addition, 70.5% of the Latin books and 36.46% of the Persian books were not borrowed even once during the six years under study. The Persian books were at most borrowed 1 to 5 times. The results of the study indicated that the rate of reference to Persian books were more than that of Latin books. In this study, the most frequency of the reference was related to QX classification with 66.66% and the least frequency was associated to QU classification with 3.57%.
according to the results of the present study, Latin books were borrowed lower than Persian books. More measures should be done to choose information resources and timely and accurate informing.

impermanent and negative self-concept , disrupts personal and social adjustment. in this study compared self-concept and behavior in adolescents without a history of juvenile criminal and offenders.
The study was cross-sectional . 79 person from centers for Upbringing and correction via census sample and 120 person that with first group in regard to age-and sex- matched controls from Isfahan City were enrolled. The data collection instrument consisted of three sections include demographic information , self-concept and behavior questions. Statistic examination include T-test, Fisher and K2, were use for data analyzed .
The mean and standard deviation of self-Concept in offenders was 58/94±10/30 and Behavior was 62/26±28/81. Adolescents with no history of criminal record, self-concept score was 63/02±9/75 and Behavior was 84/66±15/22. Self-concept and behavior scores were significantly higher in the group with no criminal record (p The results suggest that the Self-concept and Behavior of juvenile offenders is lower than adolescents with no criminal record. It is also considered demographic factors will affect the incidence of antisocial behavior . It seems psychologists and counselors to be working in these centers must training , counseling and therapy and correction techniques with consideration to the establishment of such anomalies .

Selection of bio kinetic coefficients, as local conditions, is necessary for proper designing of wastewater biological treatment processes and meeting to effluent discharge standards. This research was performed in order to determination of the bio kinetic coefficients of sewage in cold regions of Iran.
This study is a semi-empirical research that was done as interventional using an extended aeration activated sludge process in pilot-plant scale. Research variables were measured daily in order to calculate cell yield coefficient(Y), endogenous decay coefficient(kd), saturation constant(ks) and maximum specific growth rate(µm). The pilot was operated with three concentrations of Mixed Liquor Suspended Solids(MLSS) of 2000, 3000 and 4000 mg/l, a Sludge Retention Time(SRT) of 20-30 days and a range of hydraulic retention time(HRT) of 20-30 hours. The coefficients were calculated according to Chemical Oxygen Demand(COD), Biochemical Oxygen Demand(BOD5). Achieved data were analyzed using Pearson correlation coefficient.
The results showed that the Y, K, Kd, Ks and µm coefficients based on the COD, were equal to 0.142–0.4915 mg/mg, 0.72–1.091 day−1, 0.0021–0.0153 day−1, 178.99–251.16 mg /l, and 0.15-0.35 day−1, respectively. The rate of these coefficients based on the BOD5, were equal to 0.2174–0.4915 mg/mg, 0.53–1.05 day−1, 0.008–0.0197 day−1, 102.38–214.6 mg /l, and 0.12-0.69 day−1, respectively. Achieved bio kinetic coefficients in this research, except to low range of the Y and kd that were less than those in the same studies, were fitted in range of reported amounts in the same studies. The results also showed that removal efficiency of COD and BOD5 was in range of 85.15 – 93.6% and 88.2- 94.85%, respectively.
The obtained coefficients in this study could be useful for designing of activated sludge processes in other regions with similar climate and culture.

assessing users’ knowledge based on the latest technologies during implementing an information system is of high significance. Therefore, this study aims to assess the readiness and awareness of clinical and official users about hospital information system while system implementation.
in this descriptive - analytical study, population was the clinical and official users of Valiasr Hospital of Borojen. Census sampling was carried out. Samples consist of 60 users (31 women and 29 men). To collect data, a researcher-designed questionnaire were used developed based on the assessment of computer knowledge of users (10 components), the possibility of a good education (10 components), the self-description of the system (12 components) and the system adaption with users requirements (19 components) according to standard ISO 9241/10 .
The score mean of computer knowledge of users was 44.27 ± 17.5 the average score of a favorable education to users was 45.36 ± 8.38 mean score of self-description of the system was 47.34 ± 15.57 the average match score of system with the Users requirements was 39.45 ± 15.00. Besides, there was no significant relationship between computer knowledge of users and the possibility of favorable education (P=0.29) but there is a significant relationship between computer knowledge and self description of the system and also adaptation with the users’ requirements (P=0.008).
Executive managers and policymakers must evaluate level of users’ knowledge, system identification and meeting users’ requirements through system to increase their productivity through attention to be effective.

Background and amis: One of the main issues in hospitals, to determine the efficiency and effectiveness of hospital beds are how to exploit it . For this indicator, the introduction of performance indicators are computed and compared with standards of health care services can be paid for hospital assessment activities and capabilities. This study compares the performance standards of medical care Chahar Mahal Va Bakhtiari province's health ministry.
This study is descriptive and analytical and trend study in which data were collected from 498 pcs form 2006 till 2012 has been studied.
The tables and charts in this review suggest that the bed occupancy index in comparison with the standard country between 2008 and 2009 unfavorable and 2006. 2007 years, 2010 and 2011 in moderate country. Average index hospitalization days in the period, compared with a national standard was satisfactory (less than 3.5 preferred), three performance indicators examined in this study Turnover is the optimal value of this index in the standard state (less than 2 day), which is desirable in the years 2006 and 2007 years, average 2008 and 2009 years were 2010 and 2011 unfavorable.
The performance indicators of hospitals toward optimal health standards have been average.

The most important currently identifiable genetic cause of autosomal recessive non syndromic hearing loss (ARNSHL) after GJB2 mutations are the SLC26A4 gene mutations. In this investigation, the characteristics and informativeness of D7S496 CA repeat STR marker in SLC26A4 gene region was examined in five ethnic groups of the Iranian population.
The locus were genotyped in 165 individuals of five different ethnic groups including Fars, Azari, Turkmen, Gilaki and Arabs using PCR followed by PAGE and fluorescent capillary electrophoresis. In this study, the results were analyzed by GeneMarker HID Human STR Identity software, GenePop program and Microsatellite Tools software.
Analysis of the allelic frequency revealed the presence of 10 alleles for D7S496 marker in the Iranian population, which allele 137bp at the D7S496 locus with 41.52% allele frequency was the most frequent. The observed heterozygosity of all ethnic groups was approximately above 70%, which Turkmen ethnic had the highest heterozygosity among all. Finally, analysis of PIC value represents D7S496 marker as a highly informative marker in Iranian population (PIC value above 0.7).
Our data introduce D7S496 as a highly informative marker in diagnosis of SLC26A4 based ARNSHL by Linkage analysis.

One of the most dimensions of information iystem success is system quality. It refers to measures of the information processing system itself. The aim of this study was to analysis of the quality of hospital information systems in hospital information systems in private hospitals of Isfahan based on The DeLone and McLean Model.
This research was an applied and analytical-descriptive study and was performed in private hospitals of Isfahan in 2010. Research population consisted of hospital information system's users, system designers and hospital information technology (IT) authorities which was selected by random sampling method from users group (n=82) and using census method from the system designers and IT authorities, (n=19). Instrument for data collection was two the researcher designed questionnaire based on the criteria system quality which was adjusted to Delone and MClean model.
According to the findings there was a significant difference system quality mean score in all kinds of hospital information systems and hospitals, it was not the same in all (p According to the results of the research it is identified that based on the applied model the criteria of hospital information system were implemented in a rather optimum condition. Thus in order to reach a well optimum condition, it is necessary to pay particular attention to the factors improving system quality, type of activity, type of specialty and Property Type.

Use of information technology in healthcare has been inevitable to achieve purposes of accreditation standards. This descriptive study is to evaluate the correlation of performance of hospital information system software operators with the amount of deducted costs in 2012 in Hajar Hospital, Shahrekord.
The data were collected through a performance measurement questionnaire. Validity of the questionnaire were examined by several professors, experts and colleagues in the field and based on the opinion of the expert in statistics, Cronbach's Alpha was used to determine the reliability of the questionnaire.After the questionnaires were filled out, the data were analyzed by SPSS 16 through Spearman correlation coefficient, Pearson, and Regression tests.
The results showed that there was significant and inverse relationship between performance scores of operators and hospital deductions (p=0.001). The spearman correlation coefficient between the two was found to be -0.581.
promoting operator performance level and training health staff should be more considered along with proper manner of services record to reduce deductions and to promote the clinical governance objectives.

Numerous clinical and experimental researches have proved the herb plants effectiveness on the process of healing. Among these useful medicinal plants in traditional medicine are cabbage (Brassica oleracea), pomegranate (Punica granatum) peel, and common plantain (Plantago major L.). The present study was designed and done by mixing cabbage, pomegranate peel, and common plantain, in order to study the healing effect of this ointment on rat.
In this experimental study, 24 rats as randomized were divided to 4 groups of 6 heads consisted of control (physiologic serum), control (being cured with Petadin), positive control (being cured by Phenytoin) and the experimental group being cured by the ointment made of cabbage, pomegranate peel, and common plantain. After injuring in aseptic and similar conditions, the animals were being cured daily, and in days 3, 6, 9 and 14 after injuring, the percentage of wound was studied.
Findings: Results have shown the percentage of wound healing in the receiving ointment therapy in days 3, 6, 9 and 12 in comparison with the control group has significant difference (P The results of study showed that pomade therapy is effective in healing of the injuries which is probably due to polyphenols and the antioxidant features of the mentioned plants.

Promoting self-esteem and changing attitudes in students could immunize them against mental damages. This study was aimed to examine the effects of teaching life skills on self-esteem increase in students of Shahrekord University of Medical Sciences (SKUMS).
In this clinical trial conducted as a semi-experimental study on 60 students in SKUMS after the population homogeneity was confirmed, the students were randomly assigned into two case and control groups (of 30 each). A pretest of self-esteem was given to them using Coppersmith Self-Esteem Inventory and then a teaching program consisting of workshops on life skills was held for case group. Then, a post-test of self-esteem was given to the two groups by the same questionnaire and the results were compared.
Mean score of self-esteem in control group was 30.3±8.6 prior to training and 30.7±8.4 after training, which indicated no statistically significant difference. Mean score of self-esteem in case group was 31.6±7.4 prior to training and 47.1±6.7 after training, which indicated a significant difference compared to prior to training and the case group (P According to the results of this study, teaching life skills to cope with difficulties, to control anger, to welcome criticisms, and to promote students’ self-esteem should be paid attention by universities.