مجله پیاورد سلامت
سال هفتم شماره 1 (فروردین و اردیبهشت 1392)

Female pattern hair loss(female androgenic alopecia) is a common but puzzling condition in women which increases by aging. Female hair loss is strongly linked to hormones and hormonal imbalances. The aim of this study was to determine the serum level of hormones such as T4, TSH, free testosterone, Prolactin(PRL) and Alb, SHBG in women(15-50 years old) with hair loss versus those without hair loss. In this cross-sectional case-control study, 71 women with hair loss and 70 normal women were selected from skin and hair care day clinics. The level of hormones and SHBG were measured by ELISA, and Alb was measured by spectrophotometery. Data were analyzed by independent t-test. After analyzing the data and determining the levels of TSH, T4, Prolactin, Alb, SHBG, no significant difference was found between the case and control groups. However, free Testosterone level was significantly different between patients and controls(P= 0.000), with a higher mean level in the case group(patients). Since androgens have a major role in regulating the biological cycle of hair in women and since there was a significant difference between free testosterone in patient and control groups, we suggest that the serum level of free testosterone should be measured in women with androgenic alopecia.

Family physician is the core in the world efforts for quality improvement, cost effectiveness, and equity in the health care systems. The main purpose of this present study was to investigate situation of the family physician program and identify referral route in this program in six pilot cities in Khuzestan province.

A cross-sectional descriptive study was conducted in 2011. Pre-designed checklists were used for collecting data. In this study, 15 healthcare team in six pilot cities for family physician program in Khuzestan province were examined and their specified referral levels for each city was investigated and compared with the national instruction to identify current gaps.

The least number of staff belonged to nutrition, nurses and physicions respectively. In the second referral level cities, Specialists did not welcome the program. In Mahshar, a second level city, five specialists have been registered to family physician program. In the third level, 28/5 percent of specialist were enrolled in this program.

It seems that it is necessary to facilitate patient access to physicians under contract with family physician program and referral system in second and third levels. Therefore, establishing a motivation system for attracting specialist and improving their maintenance situation can also be beneficial.

Today, many families either have pets or work in animal husbandry units. It is very important to investigate the mental outcomes of animal care and also to study their keepers’ personality traits. This study aims to perform a comparative examination of owners’ mental health and character specifications or those of animal husbandry units’ personnel. In this descriptive study, about 500 people were selected through available sampling technique. They had contact with animals or worked in a husbandry unit in the suburbs of Tehran. After referring to the veterinary clinic of Tehran University, they were studied using a general health questionnaire and an international personality question bank. The collected data were analyzed using SPSS software as well as multivariate and follow-up tests. The results of the present study show that all general mental health sub-scales except for anxiety are different in these groups. However, no difference was observed regarding responsibility and extroversion. Meanwhile, the adaptability of dog owners was lower than that of sheep owners; moreover, cattlemen were more irritable than sheep owners. In sum, the mental health of pet owners of the present study is at a lower level compared to that of those in other countries. It seems that the difference is due to religious and cultural differences existing between the two.

Violence against women is recognized internationally. Domestic Violence is a phenomenon as old as family history. The purpose of this study was to determine empowerment indicators of women covered by Imam Khomeini Relief Committee in Gorgan. The method of study was descriptive-analytical and the data collection tool was a questionnaire. To determine reliability, test-retest method was used, and a correlation coefficient of 0.883 was obtained. To determine validity, Cronbach's alpha was applied and the figure turned out to be 0.81. In total, 91 women participated in the study and completed the questionnaire. They had at least one child and each l ived with her husband. The data were then analyzed using SPPS software(version 16) as well as descriptive and inferential(Chi square) statistics. The means and standard deviations of women's Knowledge, Attitude, Self-esteem and Self-efficacy were 6.5±2.49, 4.16±2.22, 5.25±1.92, 5.26±1.67. The means of all 4 indicators were either average or low for violence against women; moreover, they did not know much about anger management skills. Women should be empowered to prevent violence against them. To this end, they should be informed about how to enhance their K nowledge, Attitude, Self-esteem and Self-efficacy.

One of the effective factors on staffs’ job satisfaction is their general health and personality types. This study is aimed to study the relationship between general health and personality types with the staffs’ job satisfaction. Seventy One women and men employee, aged 21 to 56 years working at Yazd health center were examined with full enumeration and by using General Health Questionnaire(GHQ), Job Descriptive Index(JDI) and the five-factor personality inventory(NEO). Research method was descriptive-correlation type and data were analyzed by using statistical tests like Pearson correlation, independent t test, ANOVA and stepwise regression. The results showed that the relationship of the staffs’ general health with their neuroticism was direct (r=0/542) and with extraversion and agreeableness was reverse(r=-0/38, -0/34). But, it was not correlated with flexibility and responsibility. General health is inversely related to the three job satisfaction components(nature of work, job promotion, salary & job satisfaction total score) and it was irrelevant with the satisfaction of coworkers and supervisors. Lower general health was associated with neuroticism and good general health was associated with extraversion and agreeableness. Lower general health was also associated with lower job satisfaction and vice versa. Also there was a correlation between nature of work satisfaction and extraversion(p=0/01). We conclude that by decreased or increased general health of staffs and effect of their personality traits, job satisfaction would decrease or increase. Many cause decreased or increased of job satisfaction

Decision support systems(DSSs) refer to one of the types of information technology applications that can help clinicians to make right and timely decisions about patients. The aim of this study is to learn more about DSSs and their applications and effects on health care.

In this systematic review, articles which were published between 2000 and 2012, which were available as full texts through databases and search engines -- such as PubMED, EBSCO host research, Google scholar and Yahoo -- and which were also of clinical-trial type were examined; besides, certain books in this area were used as primary sources.

The findings show that DSSs were applied in five areas in health care, which had a significant effect on improving the process of care and the performance of providers. These areas are as follows: disease progress management(15.15%), care and treatment(27.27%), medication(27.27%), evaluation(27.27%), and preventation(12.12%). In general, improvement can be seen in three areas: quality of care and patient safety, cost effectiveness, and provider’s level of knowledge.

Considering the information needs of users improves the quality of care. We aimed to Survey the Compliance Rate of Surgical Information Systems with The Information Needs of surgeons. This was a descriptive and original study. Statistical Society consisted of two groups. First was the hospital information systems in hospitals of Tehran University of Medical Sciences and Shahid Beheshti were the first group. The Second group were 982 surgeons. Hospitals that had the highest number of surgeries were the research sample. Researcher gathered data in two steps. First by questionnaire and then checklist was used to collect the data by interviewing the technicians’ of systems. All data has been analyzed by descriptive analysis. In Rasul and Emam hospitals surgical information systems in scheduling section(50%) had highest conformity with surgeons needs. In flexibility section in all hospitals except of Shariati, they had 50% conformity with information needs of surgeons. From surgeons view flexibility capability, scheduling and accessing data had highest priority although systems from display capability had not the conformity with the user needs. In designing the surgical information systems in future it is better to consider these capabilities.

Investigating the effect of intellectual capital on an organization’s ongoing processes is a way of determining its weaknesses as well as appropriate strategies which help managers to make decisions. The main purpose of this study was to confirm intellectual capitals through improving organizational culture among staff managers of IKRF—deputy for support and health. This is a cross-sectional descriptive study that was conducted in 1389. The respondents were selected among staff managers of IKRF—deputy for support and health(N=50). Data collection was a questionnaire which consisted of three parts developed by the researcher. Data analysis was performed with SPSS version 16 with the help of descriptive statistics and Pearson correlation test. Most of the top and middle managers enjoyed an average organizational culture(top managers=58/3%; middle managers=78/3%). The intellectual capital of most managers of this study was below average(mean=2.23). Finally, with respect to the entire managers—both top and middle—, there was a significant relation between organizational culture and intellectual capital(P<0/001). Taking into account the significant relation between OC and IC and also the point that organizations try to apply appropriate human resources it becomes further important to improve managing intellectual capitals. In this respect, organizational culture is the most basic substructure.