فهرست مطالب

سازمان نظام پزشکی جمهوری اسلامی ایران - سال سی و یکم شماره 3 (پیاپی 123، پابیز 1392)
  • سال سی و یکم شماره 3 (پیاپی 123، پابیز 1392)
  • تاریخ انتشار: 1392/09/01
  • تعداد عناوین: 11
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  • Heydari Mohmood, Saghafi Fatemeh, Khansari Mohammad Page 201
    Introduction
    PACS reduces the cost by automated image processing technology and enterprise integration. PACS will grow for the next 10 years. So, expanding of PACS will be critical in regand to its application in health promotion.
    Methods
    This paper is presented PACS, and its applications in Iran and the world and technologies that influence it’s future. Acceptance factors for this technology is extracted from literature review and examined by questionnaire with 5 scale Likert type. Then it distributed between 110 experts and decision maker managers working in the radiology department at Tehran’s hospitals and the results evnluated with appropriate statistical test.
    Results
    Kolmogorov-Smirnov test approved data normality. T-test approved the importance of factors. KMO and Bartlett’s test confirmed feasibility using of factor analysis. The results of performing factor analysis eliminated 2 factors and categorized others in 6 groups: 1) The ability to choose and buy a suitable PACS system, 2) attention patient satisfaction, 3) Desire to implement a comprehensive health care program, 4) Feasibility of successful implementation, 5) Appropriate infrastructure, 6) Implementation PACS as a pilot.
    Conclusion
    Ability to select & purchase PACS, a patient- centered health care system and keeping up with a comprehensive Country-wide health care system are the most important factors in PACS implementing in Iran’s hospitals.
    Keywords: Picture archiving, communication system (PACS), future trends, Success factors
  • Khanjari Yashar, Arab Ameri Elahe, Garooei Razieh, Chahardah Cheric Majid Page 211
    Introduction
    The purpose of current study was to consider effect of a course of cope modeling intervention on re-concentration and the performance of teenager female taekwondo athletes of Iranian national team in 2009.
    Methods
    The current study is in tentative type and pre and post test design with control group. 22 people (female) among invited people to the camp of taekwondo national team in teenager level for participation in Asian competition of Kish were randomized into two groups of control (10) and experimental (12). Then both of them completed the OMSAT-3 questionnaires as pre-test for evaluated re-concentration skill and making check list for performance evaluation.
    Results
    After 4 months of cope modeling post-test was performed. Data was analysed by independent T-test. The results showed that standard deviation and mean of reconcentration ability after cope-modeling course were 6.03 and 3.42, respectively in experimental group and 1.10 and 4.58 in control group, which showed a statistically significant difference between them (P=0.010). Again this difference was obvious between 2 groups in exercise performance after a course of cope modeling in experimental group (P=0.006).
    Conclusion
    It seems that constant and regular practice of psychological skills to cope with stress during the period before tournament have a positive effect on athletes who are under pressure for success.
    Keywords: cope modeling, re, concentration, performance
  • Karami Soheila, Fakhr Azari Safura, Ghasemzadeh Aziz Reza Page 218
    Introduction
    divorce as a socially detrimental phenomenon cause children’s depression after parents’ separation, so children of divorce react negatively to this problem. The aim of this study is to investigate the effectiveness of Group Cognitive – Behavioral Therapy (GCBT) in reducing depression for children of divorce in Tehran Welfare Centers.
    Methods
    The study was carried out in a quasi-experimental framework in which pretest, posttest and control group were designed. The sample which was selected by availability sampling method included 20 girls of divorced parents who resided in two Welfare Centers in Tehran. by Using Children’s Depression Inventory (CDI) by Maria Kavacs (1977), it was revealed that all subjects suffered depression (as they gained high scores), so these Centers were randomly assigned into experimental and control groups. The experimental group received training – treatment program for 8 sessions, each of which the lasted an hour and finally all applicants filled in pre- and posttest. Research hypotheses were tested by Analysis of Covariance (ANCOVA).
    Results
    Statistical analyses indicated that the post-test scores have been affected by the independent variable (F=94.263, P<0.05, Sig (2-tailed) = P – value= 0.00<0.05 = α), also total mean score and standard deviation of CDI in experimental group decreased from 20.80 and 6.941 in pretest to 10.90 and 2.469 in post-test. In addition, the mean and standard deviation of CDI in control group changed form 21.20 and 5.391 in pretest to 21.50 and 5.338 in posttest, which showed no statistically significant difference.
    Conclusion
    The results of study indicated that Group Cognitive- Behavioral Therapy (GCBT) had been effective in reducing depression and feeling of incompetency and in capability in children of divorce.
    Keywords: Group Cognitive, Behavioral Therapy (GCBT), depression, children of divorce
  • Amid Reza, Vahabi Surena, Kadkhodazadeh Mahdi, Dalaie Kazem, Mirakhori Mahdieh, Saee Saeed Page 224
    Introduction

    Understanding the problems and the level of job satisfaction of academic staffs are crucial for making decisions at each higher educational system. Despite many years of academic and educational experience in our country, there is still lack of sufficient information in this field. The aim of this study was to determine the amount of job satisfaction among faculty members of Shahid Beheshti dental school in 2012.

    Methods

    100 members of dental school faculty members took part in this descriptive study. Data was colectedby means of a questionnaire with standardized questions in 3 parts: dental school, educational status and social position of the dentist. The data was analyzed by descriptive statistical methods (averagefinding, standard deviation and frequency distribution) and analytical statistics (Pearson Correlation Coefficient and independent T-test with p-value0.05.

    Results

    The mean and standard deviation of job satisfaction score of faculty members were 50.8+/-4.6 (out of a total 100). The score in different sections are: 17.8+/-2.54 of a total of 28 for dental school, 13.5+/-1.8 of a total of 20 for educational status and 9.4+/-2.06 of a total of 16 for socioeconomic status of dentists in country. In analysis of primary factors, it was found that educational status is the most important and social position of dentist is the least important factor in determining the job satisfaction among faculty members. 65 % of participants evaluated the social position of dentists in the country as “desirable” and 47.5 % of participants were not pleased with current method of educational system and socioecononics situation.

    Conclusion

    in this study, it was found that the most important factor in selection of dentistry as the major was individual interest. Althoughtotally the faculty members are partially satisfied with different aspects of their job, but in specific areas they express serious problems that need to be addressed in order to reform the educational system and social position of dentists in health system.

    Keywords: Academic Staffs, Job Satisfaction, Dentistry
  • Rahimi Sharbaf Fatemeh, Rabiei Maryam, Darvish Narenjbon Soodabeh, Habibi Omid Page 231
    Introduction
    Pre-eclampsia is a complication of pregnancy characterized by systemic vascular dysfunction and pathological changes in placental arteries. Chronic periodontal infections are etiological factor in vascular diseases. The aim was to determine the relation between maternal periodontal disease, and risk of pre-eclampsia.
    Methods
    A case-control study was carried out on 60 pre-eclampsia women 60 controls were matched basedon age, body mass index, educational level and parity. Periodontal examination was performed; and maternal periodontitis was determined with Williams probe (UNC-15).
    Results
    Average robing depth was 4.1 ± 0.46 in pre-eclampsia group and 3.2 ± 0.56 in normal group (P<0.01) and site with a probing depth >4mm was 5.76 ± 2.63 in pre-eclampsia group and 3.35 ± 1.69 in normal group (P=0.002).
    Conclusion
    There was appositive association between periodontal disease and risk of pre-eclampsia.
    Keywords: Periodontal disease, pre, eclampsia, probing, clinical attachment loss (CAL)
  • Mohaghegh Shahram, Hajian Maryam Page 237
    Regarding the growth of big cities in our country and the importance of physical activity in health promotion of residents of these cities which are challenging in the presence of air pollution, It is necessary for physicians to know briefly about air pollution and its effects on athletes and patients health and give them appropriate recommendations for exercising in air polluted conditions. In this review after defining major air pollutants and their effects on athletes’ health and high risk groups such as patients with cardispulmonary problems, children and elderly people, appropriate exercise recommendations at various air quality indexes of each of air pollutants are provided.
    Keywords: Air pollution, exercise, Air Quality index
  • Morovvati Saeid, Saghafinia Masoud, Amirpour Amraii Sara, Zahed Shekar Abi Hosna, Shahbazi Nastaran Page 250
    Introduction
    In the rare hereditary bone disorder of osteopetrosis, reduced bone resorption function leads to both the development of densely sclerotic fragile bones and progressive obliteration of the marrow spaces and cranial foramina. Marrow obliteration, typically associated with extramedullary hemopoiesis and hepatosplenomegaly, results in anemia and thrombocytopenia; and nerve entrapment accounts for progressive blindness and hearing loss. Severe infantile or malignant osteopetrosis is the worst type of the disease which has poor prognosis. In this study we report two cases of severe infantile or malignant type of the disease in an Iranian family.
    Methods
    Our two patients were children of a family that wife was the grandchild of husband’s aunt. Two weeks after birth, the first patient had episodes of seizure and spastic in extremities. Gradually, the patient found upper and lower respiratory problems and horizontal nystagmus. X-Ray of the hand and foot showed widening and increased bone density. Physical examination showed hepatosplenomegaly and petechiae in extremities. The patient expired due to cardiopulmonary arrest. The some episodes seizure happened for the 2nd patient 2weeks after birth. Gradually, Asymmetry between eyes and eventoal blindness confirmed by ophthalmologist. Finally the patient expired because of severe pneumonia.
    Conclusion
    Autosomal recessive osteopetrosis has been reported in most ethnic groups although as the disease is very rare it is more frequently seen in ethnic groups where consanguinity is common. For the first time we report two cases of severe infantile or malignant type of the disease in an Iranian family.
    Keywords: Osteopetrosis, Autosomal recessive, Consanguinity