فصلنامه طب و تزکیه
سال نوزدهم شماره 1 (پیاپی 76، بهار 1389)

One of the pre - requisite measures in each Health Delivery System is man power forecasting for that system.Both inadequacy and surplus to requirements are undesirable for the country. Therefore, the estimating should be relatively acceptable. The main objective of this study was to analysis of the needs to Clinical Specialists in country that were estimated by curriculum committees for the next 10 years. In this study, 400 specialists from 34 different curriculum committees estimated the needs of the country to clinical specialists in 18 Subspecialty & 16 Fellowship domains by using some selected models in their committees. We analyzed the results of this man power forecasting process and compared them with together by using of 13 recognized models. In this study, the total needs to Subspecialists were estimated 3040 trained individuals in 18 domains and the total needs to Fellowships were calculated 1180 individuals in 16 domains for the next 10 years. Most committees (25 out of 34 committees) used bench marking, workforce to population ratio with using of expert panels. For more exact man power forecasting we need a more powerful health delivery and surveillance system in country. However, we can use the results of this study,for adjusting the annually residents number acceptances.

Increasing concerns about origins of health inequality in societies has drawn attentions to social determinants of health. Social trust can be a social determinant of health and cancer. Social and medical sciences together can increase the understanding of disease to higher levels. The main objective of this investigation is study of health inequality and the role of social trust in getting affected by colon, breast and thyroid cancer, among thepatients referred to cancer institute of Tehran. This research was an analytic-descriptive study in which 176 people in equal groups of affected persons (case) and non-affected persons (control) have been studied. The classified sampling method was used. Measuring of social trust was done based on twenty questions made by the researcher. The data collected through structured questionnaire was analyzed using SPSS 17.0 statistical analysis software, discriminant analysis, canonicalcorrelation analysis and logistic regression analysis methods. The results indicated weak association between social trust components and each of colon, breast and thyroid cancers, and that the effect of social trust components and its association with colon, breast and thyroid cancers were not meaningful. In the meantime, the system trust component indicated a meaningful positive effect on incident of being affected by breast cancer. Finding indicated that social trust was not a valid social determinant for health inequality in affection to cancer.

Vision of IRAN 1404 and the forth plan of development should be used as guidelines to move to vision for strategic planning in all developing sectors, and including ministry of health and medical education. Strategic planning in clinical specialties is no exception. This study was done with the overall aim of analysis of the strategic plans of the clinical specialties to determine their alignment with the vision 1404 and the fourth plan ofdevelopment. To acheive to aim of study 3 following actions was dine the following steps were taken for data thering. A) The vision 1404 and the fourth plan of development were reviewed to find out their supporting items for rategic planning in clinical specialties. B) Data base of ISI were gathered from 23/April/2009 to 25/April/2009 and the data n the current standing and the trend of scientific development of the Iran and the regional countries were down loaded, categorized and analyzed. C) The strategic plans of the clinical specialties were read and analyzed. It seems that all of the clinical specialties have prepared their strategic plans with some inspiration from the vision 1404 and the fourth plan of development. Their vision not only includes the top scientific ranking in the region, but in some clinical specialties it indicates top scientific ranking worldwide. The mission of the all clinical specialties are in complete alignment with their vision. However, between the visions and the missions in one side, and the strategic goals and the action plans on the other side, is a clear inconsistency. First, the strategic goals have missed their support from the visions and the missions as directional strategies. Second, it seems that implementation of the action plans will not lead to the realization of the strategic goals. In summary, the clinical specialties have taken into consideration the content of the vision 1404 and the fourth plan on development. However, the gap between the visions and the missions from one side, and the strategic goals and the action plans from the other side, must be taken into account seriously. In spite of some shortcomings, strategic planning in clinical specialties offer some practical lessons. These lessons might be used inthe future sessions of the strategic planning.

Prayer (Namaz in Persian and/or Salat in Arabic), the spite of its beatific influence, consist of deep concept and mysteries. It has an irrefutable role as the firm line which attaches the human entity to the superfine heaven. In the Islam, prayer is the first act that has been necessitated and also a canonical duty for human which should be surely discharged by him until the last time of his live until the deathbed. Holy prophet (peace be upon him) hasclosely prescribed in many valuable anecdotes about the prayer and its important role on the corporal, spiritual and mental well-being. Just as a sample of this immeasurable ocean, he says: prayer is the light of my eye, my beloved and my favorite and in other sayings: it's essential for you all to mention the holy God that is the real cure.Moreover, there is so many religious orders and emphasis about the correct time of praying,its religious mandatory in field of ablution, prayer announcement (Azaan), and also their hygienic influences on different aspects of human health. Anyways, prayer reforms the persons who pray and prohibit them against vice. As the less stated bounties of prayer, especially during modern civilization, it's definitive role on curing of body and spirit's diseases should be mentioned.Recent studies on this important matter have revealed significant statistical relations between prayer and it's positive impressions on the human's body system such as immune system(as increasing on some immune bioactive factors such as Interlukine-6), central nervous system(as reducing of depression's symptoms, anxiety and stress), gastrointestinal disorders(as preventing against common GI infections), skin tissue(as alleviating of chronic skin disorders), decreasing on the high blood pressure, improvement of sleep condition, and. .. Finally, it should be mentioned that the presented articles by small- scale studies demonstrate so many applicable fields in the scientific researches and also professional titles in variable educational topics could be broadly designed. The authors have invincible belief that the opening of these new fields of researches demonstrate the unassailable worth and opulentpotentials of the Islamic outlooks in medicine.