نشریه ارتقای بهداشت نظامی
سال دوم شماره 3 (پیاپی 7، پاییز 1400)

The aim of this study was to determine the clinical conditions and occupational fitness of patients with Covid 19 when returning to work.

In this cross-sectional study, the files of all recovered employees from Covid 19 who had referred to an occupational medicine center during one year were included in the study. Reasons for disqualification for return to work was designed as increased CRP, failure to improve signs and symptoms for at least the last 72 hours, decreased oxygen saturation, incompatibility of medical conditions (disorders and complications caused by Covid 19) with occupational tasks and other paraclinical disorders except for increased CRP. Variables affecting return to work were statistically analyzed in a regression model.

The mean age of individuals with a population of 1243 was 41.82 8 8.00 years. Among all individuals 245 cases (19.71%) were not permitted to return to work after quarantine period. Male gender, hospitalization at the time of illness, history of comorbid disease, symptomatic disease, and increased CRP increase the chance of not returning to work after quarantine.

Numerous variables affect the timely return to work after Covid 19. Lifestyle upgrades can be effective in getting back to work on time after getting Covid 19. In addition, rapid diagnosis and treatment of illnesses that result in milder symptoms and no need for hospitalization may facilitate on time return to work.

Globalization, increasing the regulations of governmental and non-governmental organizations and pressure and customer demands regarding environmental issues have led organizations to consider the necessary measures to apply green supply chain management to improve environmental and economic performance. Therefore, this study was conducted to identify the factors affecting supplier selection based on the factors of green supply chain management in the hospital.

In the present study, first, by studying and reviewing the relevant scientific articles and books and according to the research literature, the criteria of green supply chain in the hospital were identified. Then, Interpretive Structural Modeling (ISM) was used to examine the relationships and dependencies between the criteria. Finally, the Analytic Network Process (ANP) method was used to prioritize the criteria and options.

The results obtained in the ISM method showed that the criteria of "supporting the green supply chain by senior and middle managers", "optimal use of resources and reducing the consumption of raw materials" and "moving towards green suppliers". They have the most connection and impact on the system and by changing them, the system changes. And the results of the ANP method indicate that the criteria of "cross-sectoral cooperation" and "education and presentation of the correct energy consumption pattern" are in the last ranks.

Necessary arrangements should be made for selecting a green supplier in the hospital with the help of inter-departmental cooperation and training and presenting the correct energy consumption pattern.

Job stress is an important social phenomenon and a serious threat to the health of the manpower around the world. In addition to its negative effects on physical health, job stress can undermine the ethical considerations. Therefore, the aim of this study was to find the causes of job stress in the medical staff working in the emergency department of Taleghani Hospital and its effect on their ethical considerations.

This descriptive-analytical study was conducted on the nursing staff (n=45) of the emergency department of Taleghani hospital, who were selected by convenience sampling. The severity of stress and factors associated with it were measured by a researcher-made questionnaire. To construct this questionnaire, several questionnaires related to the research topic, including Health and Safety Executive (HSE) survey and Osipow Job Stress questionnaire were used. Data were analyzed by descriptive and inferential statistics.

The results showed that 3 nurses had severe stress, 17 had moderate to severe stress, and 25 (55.5%) had low to moderate stress. No significant relationship was observed between the experienced job stress and the staff’s gender and age (p<0.05) so that the female nurses and the staff with a lower age and work experience underwent a higher level of stress.

Job stress had a significant effect on the ethical considerations of the staff of the emergency department of Taleghani hospital. Hence, the managers are required to employ supportive strategies to prevent the long-term effects of job stress on these staff, whose number is currently increasing owing to the needs of the society.

Receiving a quick response is not only one of the important factors affecting the satisfaction of emergency patients but also one of the indicators for evaluating the quality of emergency services. The aim of this study was to compare the selected national indicators of hospital emergency with the standards in a selected military hospital in Tehran. 

This descriptive-analytical and cross-sectional study performed in 2020 with random selection of patients referred to the emergency department of a military hospital in Tehran. Data collection tool was a researcher-made form whose validity and reliability were confirmed. Data were analyzed by t-test using SPSS software with α= 5%.

Results showed that the average waiting time to receive the service until the assignment was 267 minutes.  Also, the percentage of patients assigned within 6 hours, the index of patients discharged from the emergency department within 12 hours and the index of leaving with personal responsibility were in accordance with national standards and the average of the relevant values ​​was statistically significant (P <0.05).

According to the results of this study, the indicators were in good condition. Hospital managers should pay special attention to these indicators and study them periodically. Also, in order to avoid long waiting times and reducing costs, proper and optimal management of resources are seeming essential.

Scientific societies need performance measuremen  in accordance with their organizational goals, performance measuremen requires the development of functional and appropriate indicators. Therefore, The purpose of this study is to  determining the performance measuremen  indicators of medical scientific societies and piloting the indicators to be a suitable guide for evaluating medical scientific societies.

This study is a descriptive-applied research. The study population is  Iranian medical associations. In order to design the indicators, six steps have been taken , review the texts and library studies, extract the duties of medical scientific associations, identify, extract and classify the measuremen  indicators of medical scientific associations, validating and finalizing indexes, determining criteria for scoring indexes, weighting indexes and pilot implementation of indexes (pilot project) ) has been done among 4 groups (clinical associations, associations of basic medical sciences and health, pharmacy associations and interdisciplinary dental associations.

To evaluate the performance of scientific associations of the country, 7 areas (human resources and accommodation of the association office, publications, technology, education and research, international communications, planning and organization and empowerment of the association) and 26 indicators were identified.

Performance evaluation creates the system's intelligence and motivates people to behave appropriately and to measure performance and use appropriate patterns with the status quo of the organization.

SARS-CoV-2 / COVID-19 has increased the demand for services of clinical staff. On the other hand, nurses' mental health is a determining factor in increasing labor productivity and, consequently, providing better and more effective services to patients. aim of this study was to evaluate the mental health of medical staff in high-risk pandemics.

This is a Systematic review study in which researchers searched potentially qualified articles in PubMed, PsycINFO, Web of Science, and SID databases to review the literature. For this purpose, the keywords infect "," COVID-19 "," Pandemic "," Mental Status "," Health Personnel "," health worker "," Medical Staff "," Physician "," Nurses "," high Risk " Latin databases and their Persian equivalents were used to find related articles in Persian databases. After reviewing the quality of articles using the Prism manual and applying inclusion and exclusion criteria, 12 articles were selected and the results were reviewed.

After reviewing the studies, finally, the problems of the health care staff, including lack of confidence in infection control methods, exposure of the medical staff to infection, and consequently the stress of transmitting it to their families, high perceived stress following the problems mentioned. There has been burnout and emotional exhaustion, insomnia and depression.

Due to the existence of mental health disorders in nurses, during several pandemics in various countries, the need for special attention to this segment of society is determined, because if these problems are not addressed, the health and well-being of the country is weakened and it will not be able to deal with the pandemics ahead. It is recommended that preventive and mental health promotion interventions be implemented for nurses and medical staff in order to achieve the best quality of patient care.