مجله پیاورد سلامت
سال پنجم شماره 3 (مهر و آبان 1390)

Knowledge about the external causes of accidents is vital for their prevention, and insufficient data on external causes can reduce their usefulness. That is why, the adequacy of the sources of data is of great importance. The aim of this research is to study the adequacy of data regarding the injurie's external causes for coding based on ICD-10 in inpatient medical records and emergency wards of Kashan Shahid Beheshti Hospital. This prospective descriptive cross-sectional research was done on 1000 patients in Kashan Shahid Beheshti Hospital in 1386 (2007). The data needed for coding were chosen from medical records based on ICD-10 rules and for the following groups: transportation accidents, poisoning, burns, lightning, assaults, respiratory threats, intentional self harm, contact with venomous animals, and exposure to animate and inanimate mechanical forces. Then, the data were put in a checklist and analyzed with SPSS and descriptive statistics. The data required for the three main characters of the external causes of injuries were adequate in 740 files (47%); the figure for the fourth character of the external causes of transportation accidents was found to be 430 (88.7%). Figures for the place of occurrence and the type of subject's activities at the time of accidents were found to be sufficient in 109 cases (21.16%) and 50 cases (5%), respectively. Data on the eternal causes of injuries do not have the required adequacy. More evaluations are essential to enhance the adequacy of such data.

Micro RNAs are a group of small non-coding RNAs which play an important role in multiple processes such as proliferation, differentiation, apoptosis, and cancer. Recent studies indicate that mir-210 is overexpressed into erythroid linage during the differentiation of hematopoietic precursor. The main goal of the present study is to investigate the influence of mir-210 on the pattern of expression in hemoglobin gamma chain.

First, K562 cell line was cultured in RPMI1640 media. Then, pre-miR-210 was transferred into K562 cell line by lipofectamin. Finally, the alterations in the pattern of gamma chain expression were analyzed in days 7 and 14 by RT-PCR and real time PCR technique.

It was demonstrated that the overexpression of mir-210 in K562 cell line would lead to a 25-fold increase in the expression of gamma chain in comparison with the control group. Data analysis revealed that the change in the pattern of hemoglobin gamma chain expression was meaningful (p<0.002).

Based on these data, overexpression of mir-210 can lead to a significant increase in the production of gamma chain. Therefore, more studies in the field may reveal the fact that an increase in mir-210 can be a suitable goal in the improvement of sickle cell anemia and β-thalassemia.

Self-citation, as one of the limitations of citation analysis, unusually affects the ranking of journals. This study aims to evaluate the degree of relationship between self-citation and immediacy index correlation of Iranian medical journals indexed in Scopus Citation Index between 2005 and 2009.

The method of the study is survey-descriptive in which citation analysis is used. The study included all Iran-based English medical journals indexed in Scopus database up to May 2009. The control list was prepared and its validity was confirmed. Data were collected by referring to Scopus website and publication review resources, and analyzed by statistical software and appropriate methods.

The findings showed that self-citation rate of journals was 29.64 percent, which comprised 14.43 percent of the total number of citations. There was a significant relationship (at the level of 0.01) between self-citation rate and immediacy index of journals (p = 0.591). Besides, Pearson correlation coefficient showed a significant relationship between the number of journal's articles and the journal's immediacy indexes excluding self-citation during the years of study.

Self-citation has a direct effect on journal's immediacy index; that is, an increase in the rate of self-citation causes an artificial increase in the journal's immediacy index. On the other hand, immediacy index is affected by the number of journal articles. Therefore, the reduction or elimination of self-citation seems to be necessary for the journals and can put them in their right place.

The use of electronic operations in health care industry has many positive points such as health care quality improvement, reduction in costs, and increased efficiency. Besides talking about the concept of Mobile Commerce (M-Commerce) as well as its benefits and challenges, the present article presents suitable approaches to benefit more from this new technology in the field of health, especially in the private sector.

This review article was performed based on a literature review and a search through such valid sites as Science Direct, Emerald, and Magiran, and also an advanced search in Google. In this paper, the researchers studied national and international documents about the application of communication and IT tools -- particularly mobile and wireless tools, E-commerce, and M-commerce -- from 1996 to 2011.

E-business can be considered as one of the subsets of E-Health, and M-commerce as one of the E-business models is a very useful tool in developing countries. With this tool, organizations located in remote places can have access to potential customers and gain valuble benefits. Efficient application of E-business models in Iran requires the identification of opportunities and barriers as well as the preparation of suitable and basic plans with regard to socio-economic factors together with the provision of executive, legal, technological, and communications infrastructures.

Information is a factor for organizations success and organizations try to stay in this competitive world. In each organization, there are sections that have special role in information aspect; in hospitals and healthcare centers, this role is for medical record section which organizes all of the patient's health care information. Paying attention to function quality in this section(medical record) is very important. Since health ministry introduce(EFQM) as an Excellence Model for hospitals, there fore, the role and importance of medical record section in implementation of this model and its criteria is determined. All of the information databases was collected and those which were appropriate were selected. Then according to the article's goal, proper keywords were selected and documented through comparing with MESH. Finally related articles in credible journals were used in two Persian and English languages. After determining all the concepts and criteria of EFQM and matching them to the medical record section's goals, task's and functions, feasibility study of EFQM implementation in medical record section, is approved. With this comparism, importance of this section's role in signification model scores hospitals quality of performance is determined.

These days with the improvements in science and technology the number of individuals who suffer from genetic disorders should be drastically less. A crucial method for preventing these disorders, in the first place, is by genetic counseling. Educating the public in regards to how they can avoid producing affected children. In this retrospective cross- sectional study, all the files of the couples attending Genetics Clinic of the Imam Khomeini Hospital Complex, during 1995 to 2004 were studied. The data were collected using a reliable questionnaire and SPSS software was applied for data analysis. The most important variable in this study was the relationship between the couples. The most frequent among the consanguineous marriages was the cross first cousins (45.3%), and the least frequency belonged to non-related marriages (6.4%). The most frequent genetic diseases belonged to children who their parents were parallel first cousins (84.8%). Due to the importance of genetic counseling in relation to reducing the frequency of the genetic disorders in society, educating the general public about compulsory genetic counseling before marriage, is the cheapest and the most effective approach in limiting the number of patients with genetic abnormalities.

An Adapting work condition with physical and mental conditions of employees is an essential factor to do the job effectively. This study was conducted to determine the relationship between employees occupational accidents and absence from work in Shiraz Namazi Hospital.

This descriptive-analytical and cross-sectional study was done in Shiraz Namazi Hospital at 2010. One Hundred and sixty employees in different departments of the hospital with a random stratified sampling were enrolled in this study. Data were collected using the checklist consisting of three parts: demographic information, types of occupational accidents and three open questions to enumerate other occupational accidents, diseases resulting from occupational accidents and possible causes of exposure to this accidents. Data were analyzed using the SPSS software and using descriptive statistics and chi square & t tests.

Out of 160, 159 participants responded and returned the questionnaire, out of which 68.9% were females. Cuts with sharp objects (22%) and toxicity resulting from working with solvents (82%) were the lowest and highest non-exposure in sample's studies, respectively. A statistically significant relationship between gender, work shift, organizational status and duration of employment with the occurrence of a number of occupational accidents was observed.

According to the results, there was no clear relationship between absences from work and frequency of each occupational accident. We recommend the hospitals to consider notebooks for recording occupational accidents and their way of occurrence. Also, training courses for employees shoud be in priority.

Aspergillosis are the most prevalent cause of the respiratory infections. These fungi show invasive aspergillosis(IA) in immunocompromised patients. The number of immunocompromised patients are increasing due to immunodisorder illnesses, grafts and immunosuppressor drugs, so, rapid identification methods are very important. The aim of this study was to detect the Aspergillus spp. In fluid samples by nested PCR, and compare with culture and direct smear. Conventional detection methods such as culture and direct smear are unsensitive and time consuming. Some methods such as immunodetecting methods have high false positive and are unreliable. Nowadays, molecular methos and PCR are very helpful. These methods are both sensitive and reliable and very rapid. In this study, we used Nested PCR, culture and direct smear to detect Aspergillus spp in BAL fluid samples. This research is a descriptive-comparative study and has been done for rapid identification of fungi related to Aspergillosis such as culture, direct smear and nested- PCR. Findings of this study show that positive results by nested-PCR were more effective and sensitive than culture and direct smear. We found that positive results by PCR were more effective and sensitive than two other methods.