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  1 - A Survey on Teleradiology Infrastructure in Selected Hospitals in Ahvaz, 2014
  Javad Zarei Zahra Sharifat
  Introduction: Teleradiology able to utilize technologies such as medical image archiving system and transport and communication infrastructure suitable for various services in the field of radiology. One of the most important applications of Teleradiology in regard to i More

  Introduction: Teleradiology able to utilize technologies such as medical image archiving system and transport and communication infrastructure suitable for various services in the field of radiology. One of the most important applications of Teleradiology in regard to infrastructure and standards is essential. The aim of this study was examining the teleradiology infrastructure in selected hospitals of Ahvaz. Methods: This cross-sectional study was conducted in 1393. Teleradiology infrastructure in four hospitals in Ahvaz, using checklist of 46 experts and specialists with knowledge of radiology at the four hospitals were assessed using a questionnaire. Data visiting the hospitals and collected through observation and interviews using descriptive statistics methods in Excel and SPSS software were analyzed. Result: Research findings regarding the awareness of the infrastructure Teleradiology showed most of awareness were related to the medical staff of the hospital Allama Karami hospital (77.32%) and the lowest level was related to the Aria hospital (65.32%). About Teleradiology -related information infrastructure most infrastructure was related to Naft large hospital and least infrastructure was related to Allama Karami hospital. Total results showed Naft large hospital is better prepared to implement Teleradiology. Conclusion: The findings showed there are problems such as economic barriers and lack of PACS to the implementation of Teleradiology system. Thus providing financial incentives from the government, development of the telecommunications infrastructure and increase awareness of experts about the benefits of Teleradiology can contribute to the development of this system in hospitals. Introduction: Teleradiology able to do the different services in Radiology scope using technologies such as Picture Archiving and Communication system and the essential infrastructures and standards. To use Teleradiology attention to infrastructure and standards is essential. The aim of this study was examining the teleradiology infrastructure in selected hospitals of Ahvaz.Methods: This cross-sectional study was conducted in 1393. Teleradiology infrastructures and awareness of 46 experts and specialists were assessed using checklist and questionnaire in four selected hospitals in Ahwaz. Reliability and validity of the questionnaire and checklist were confirmed. Data were collected by researcher presence referred in hospitals studied. Data analysis was done using SPSS software.Result: Research findings regarding the awareness of the infrastructure Teleradiology showed most of awareness were related to the medical staff of the hospital Allama Karami hospital (77.32%) and the lowest level was related to Aria hospital (65.32%). About Teleradiology -related information infrastructure most infrastructure was related to Naft large hospital and least infrastructure was related to Allama Karami hospital. Conclusion: The findings showed there are problems such as economic barriers and lack of PACS to the implementation of Teleradiology system. Thus providing financial incentives from the government, the development of telecommunications infrastructure and increase awareness of experts in this field, can contribute to the development of this system in hospitals. Manuscript profile
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  2 - Study of the Ambulance Use in Hospital of Shiraz University of Medical Sciences
  Zahra Kavosi Mahdieh sadat Ahmadzadeh Reza Moradi
  Introduction: Hospitals due to lack of problems with the different crises faced during service delivery to patients and this led to the improper use of hospital resources. The aim of this study was to evaluate the use of ambulances to hospitals is one of the sources. Me More

  Introduction: Hospitals due to lack of problems with the different crises faced during service delivery to patients and this led to the improper use of hospital resources. The aim of this study was to evaluate the use of ambulances to hospitals is one of the sources. Methods: his cross-sectional study was done in March 2015 at the hospitals in Shiraz University of Medical Sciences. All dispatch of an ambulance outside the hospital for 20 days researcher that the process had been registered owners. Data analysis using SPSS v.19 software and using descriptive and inferential statistics (Pearson Regression Test) were performed. Results: Ambulances were sent outside hospitals 1597 times in the mentioned period of time. The most important reason of using ambulances was receiving consultant services (20.5%), laboratory services (17.2 %) and blood transfusion (12.6 %). The consultant services related to ophthalmology (31.2 %), consulting ENT (16 %) and heart advice (7.4 %). The significant correlation was found between size of hospital and ambulance use. (p<0.01) Conclusion: In general, to apply any kind of intervention it is better to focus on advisory services and blood transfusion. Besides, it would be better to focus on ophthalmology, ENT and the heart services in order to provide better interventions. IntroductionHospital are facing various kinds of crises due to lacks and problems when providing service to patients and this leads to the improper use of hospital resources. The purpose of this study was to evaluate the use of ambulances as one of the hospital sources.MethodsThis cross-sectional study was done in March 2015 at the hospitals of Shiraz University of Medical Sciences. All sent by ambulance to outside hospital were recorded in forms that developed by the researcher based that were completed during 20 days with owners process. The data were analyzed with use of the descriptive and analytical statistics (Pearson Regression Test) in SPSS v.19.ResultsAmbulances were sent outside hospitals 1597 times in the mentioned period of time. The most important reason of using ambulances was receiving consultant services (20.5%), laboratory services (17.2 %) and blood transfusion (12.6 %). The consultant services related to ophthalmology (31.2 %), consulting ENT (16 %) and heart advice (7.4 %). The significant correlation was found between size of hospital and ambulance use. (p<0.01)Conclusion In general, to apply any kind of intervention it is better to focus on advisory services and blood transfusion. Besides, it would be better to focus on ophthalmology, ENT and the heart services in order to provide better interventions.Key wordsProductivity, ambulance, hospital Manuscript profile
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  3 - Nursing leadership Style and its Correlation with Some Individual Characteristics (Case study: Isfahan Social Security Hospitals)
  Behrooz Rezaei
  Introduction: Leadership style is one of the factors that increase the efficiency and effectiveness of organizations. Today, in health care, nursing managers need to use leadership styles which are appropriate for complex and constantly changing health-care system. This More

  Introduction: Leadership style is one of the factors that increase the efficiency and effectiveness of organizations. Today, in health care, nursing managers need to use leadership styles which are appropriate for complex and constantly changing health-care system. This study aimed to determine the leadership style of nursing managers and its relationship with some individual characteristics. Methods: This study is a descriptive- cross sectional research. The statistical population consisted of nurse managers working in three Esfahan social security hospitals (n = 61) who were studied census. A two-part questionnaire was used to collect data, researcher made the first part and the second part standardized measure includes individual questions determine the leadership style (LBDQ) the validity and reliability of which were confirmed. Data analysis using correlation coefficient, analysis of variance and mann-whitney by software spss at a significance level was 0.05. Results: The results showed that the mean score of majority of managers in terms of people-oriented and task-oriented in the medium level. There was no significant relationship between individual characteristics (age, sex, marital status, education, clinical experience, management experience) with leadership style. But there was a significant coloration between leadership style and managerial level. (p<0.05) Conclusion: Considering that the mean score of majority of nursing managers' leadership style was in moderate level, it would be beneficial to carry out measures for promoting leadership styles through management training. Manuscript profile
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  4 - Comparative Study of Eeffectiveness of Technical Analysis Indicators with Type of Trend with Accidental Oscillator in Securities Analysis Pharmaceutical Companies
  Abass Saleh Ardestani
  Introduction:The main objective of investors to maximize profits is acquired, thus introducing the optimum method for transactions for investors is of great importance. In spite of investors to methods of technical analysis, this study compares the early warning indicat More

  Introduction:The main objective of investors to maximize profits is acquired, thus introducing the optimum method for transactions for investors is of great importance. In spite of investors to methods of technical analysis, this study compares the early warning indicators of transactions of the type of oscillator dealt with indicators to show which of these two categories of the indicators, gained a greater return on invest. Methods:The research, by collecting quantitative data needed to compare two methods of technical analysis was conducted to test library. Research in the field of finance and capital markets with a focus on Tehran Stock Exchange in the period from the beginning of 1391 until the end of 1392 is done. The samples include all pharmaceutical companies that was before the start of the study period in the Tehran Stock Exchange is accepted and included 467 companies. To compare the efficiency of two different types of indicators paired test method technique was used. Findings:Between the average return, there was a significant relationship (p = 0.034). Negative-the-top (1082/1) and lower (2418/23) also means that yields more profit than the return of trend indicators provides investors the benefit Conclusion:Oscillator indicators more efficiently than by trend indicators that according to it, the Oscillators are trading higher yields to investors will benefit. Comparative study of effectiveness of technical analysis indicators with type of trend with accidental oscillator in securities analysis pharmaceutical companies Abstract: with due attention to investors’ interest to technical methods, in this study we proceed to compare dealing warner indicators with type of trend with oscillator type indicators in order to show that which of them has more efficiency for investors. The main purpose of investors is gaining more benefit, hence introducing the optimum method for dealing has a special importance for them. This investigation for purpose of objective is applying and for purpose of method is descriptive-comparative and studying of past information lead nature of investigation post-happening. The results show that with a 95% safety level, oscillator indicators have more efficiency than trend indicators and so using oscillator indicators get more benefit to investors in dealings. Keywords: oscillator indicators, trend indicators, technical analysis, investment, securities analysis Abbas Saleh Ardestani Manuscript profile
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  5 - Factors Affecting the Transformation of Medical Sciences Universities into Entrepreneurial Universities in Iranian Higher Education System
  Javad Moghaddasi Masuome Keikavoosi Arani Leila Keikavoosi Arani
  Introduction: The process of transformation to entrepreneurial universities is necessary and inevitable in order to ensure the development of university and society as whole.This study was conducted to determine Factors Affecting the transformation of Medical Sciences U More

  Introduction: The process of transformation to entrepreneurial universities is necessary and inevitable in order to ensure the development of university and society as whole.This study was conducted to determine Factors Affecting the transformation of Medical Sciences Universities into entrepreneurial universities in Iranian Higher Education System Methods: This study was descriptive survey. The population included all Entrepreneurship process owners at the medical sciences university’s during 2014-2015(N=497). The sample, according to Morgan 217 students, who were selected by stratified sampling. In order to collect data questionnaire with Cronbach's alpha coefficient was used 0.93. After data collection, statistical data "Exploratory Factor analysis" was used. Results: Results showed that the participants believed nine factors were affecting becoming Entrepreneurial Universities at Medical Sciences Universities. These nine factors explained 54.658% percent of the total variance. Most power equivalent to 12.08% of the total variance explained by the first factor (considering entrepreneurship as a strategic priority for the University) and the lowest power equivalent to 1.934% of the total variance explained by the ninth factor (academic curriculum planning), respectively. Conclusion: Entrepreneur medical universities need to plan and manage the factors identified especially in terms of strategic priorities.   Introduction: The process of transformation to entrepreneurial universities is necessary and inevitable in order to ensure the development of university and society as whole. This study was conducted to determine Factors Affecting the transformation of Medical Sciences Universities into entrepreneurial universities in Iranian Higher Education System Methods: This study was descriptive survey. The population included all Entrepreneurship process owners at the medical Sciences Universities during 2014-2015(N=497). Using Morgan Table, 217 samples were stratified sampling selected. An investigator designed Questionnaire for data collections were used to collect needed data. Cronbach’s alpha coefficient was 0.93.After collecting the data was statistically evaluated using the software (SPSS17) and utilizing "factor analysis". Results: Results showed that the participants believed nine factors were affecting becoming Entrepreneurial Universities at Medical Sciences Universities. These nine factors explained 54.658% percent of the total variance. The most prominent factor among these nine factors were related to entrepreneurship as strategic priority (12.08 percent of total variance), and the list prominent was related to course planning (1.934 percent of total variance). Conclusion: The transformation of Medical Sciences Universities into entrepreneurial universities requires the efforts of many dedicated individuals for planning and managing the factors identified particularly in the area of strategic priorities. Manuscript profile
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  6 - The Impact of Health Promoting Schools Approach on the Health Indicators of the Students in Boy Primary Schools of 17th District of Tehran
  somayeh toolabifard Amir Ashkan Nasiripour pouran Raiisi
  Introduction: Health promoting schools (HPS) are places that promote the health of students. This study aimed to determine the effect of health promoting schools initiative on health indicators boys' primary school in district 17 in Tehran. Methods: The study population More

  Introduction: Health promoting schools (HPS) are places that promote the health of students. This study aimed to determine the effect of health promoting schools initiative on health indicators boys' primary school in district 17 in Tehran. Methods: The study population consisted of boys 'primary school students in the health promoters (District 17) and students of other boys' primary schools (District 17), which promotes health plan does not plan to run. The sample size of 333 and 367 respectively (According to Cochran formula) were randomly selected. After confirming the validity and reliability of the questionnaire was used to collect data. For data analysis, t test was used. Findings: The findings of study indicated a significant difference on indicators of clinical services and physical activity between HPS in District 17 of Tehran and the other male elementary school students in District 17 (p ≤0.05). But there is no significant difference among the other six items. Conclusion: The establishment of health promoting Schools has not been successful regarding the investigated indicator, so the revision of the content of this plan is essential to achieve greater effectiveness. The impact of health promoting schools approach on the health indicators of the students in boy primary schools of 17th district of TehranAuthorssomaeyh Toolabifard1,.Amir Ashkan Nasiripuor2, Pooran Raeissi31 MA graduated in Islamic Azad University, Electronic branch, Tehran, Iran2 Associate Professor ,Department of Health Services Management, Islamic Azad University, Electronic branch, Tehran3 Associate Professor, School of Management and Medical Information, Iran University of Medical Sciences, Tehran, IranAbstract Introduction: HPS are the places that promote the health of students. The theory of HPS is an international issue. The aim of this study was to evaluate the effect of HPS plan on the health indicators of male elementary school students in District 17 of Tehran. Methods: A descriptive- survey method used in this study, and the population was divided into two groups as follows: male elementary school students in District 17 of Tehran and students of the other male elementary schools in District 17 that do not run health promoting plan. After confirming validity and reliability, a questionnaire used to collect data.Findings: The findings of study indicated a significant difference on indicators of clinical services and physical activity between HPS in District 17 of Tehran and the other male elementary school students in District 17 (p ≤0.05). But there is no significant difference among the other six items. Conclusion: revision of theform and content of the health promoting schools plan to achieve more effectiveness is inevitable and necessary.Keywords: Health indicators, health-promoting schools, students Manuscript profile
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  7 - Evaluation of direct medical and non-medical costs of Unfractionated Heparin and Low Molecular Weight Heparin in Hospitalized Patients with Stroke due to Atrial Fibrillation
  Jamshid Bahmei nahid Hatam afshin Borhani Haghighi farnia Feiz reihane Sedghi Khosro Keshavarz
  Introduction: Diagnosis and treatment of patients with stroke spent high expenses annually. The aim of this study is to evaluate the direct medical and non-medical costs of stroke patients of Nemazee hospital. Methods: This study is a descriptive, cross-sectional analys More

  Introduction: Diagnosis and treatment of patients with stroke spent high expenses annually. The aim of this study is to evaluate the direct medical and non-medical costs of stroke patients of Nemazee hospital. Methods: This study is a descriptive, cross-sectional analysis that from April to July 2015 Namazi Hospital in Shiraz. The study population in this studies all patients with stroke in atrial fibrillation patients who have been treated with drugs or heparin clexan. The sample size was 80 and data were collected by questionnaire form and through interview. sampling was stratified sampling. Data were analyzed with using SPSS 18 software and descriptive statistics, t-test and one-way ANOVA test. Results: Average direct medical costs, direct non-medical costsand indirects costs of unfractionated heparinwere: 27,340,000±10,010,000 Rials, 3,862,750 ± 2,851,490 Rials and 5,382,500 ± 4,934,950 Rials respectively. Same averagedirect medical costs, direct non-medical costsand indirects costs of low molecular weight heparin were: 24,664,250±14,649,890 Rials, 2,233,500±4,249,590 Rials and 2,572,500±2,625,310 Rials respectively. Conclusion: Clexane drug compared to heparin treatment option with less total cost on the prevention of stroke in patients. The results of this study can also help patients to specialists and neurologists who can clexane of drug use in the treatment of lower cost. Introduction: Diagnosis and treatment of patients with stroke spent high expenses annually. The aim of this study is to evaluate the direct medical and non-medical costs of stroke patients of Nemazee hospital.Methods: This study was a descriptive-analytic study that was done cross- sectional in Shiraz hospital Nemazee in 2015. Research society for study included all of hospitalized stroke patients due to atrial fibrillation, which were treated with unfractionated heparin and low molecular weight heparin. The sample size was 80 and data were collected by questionnaire form and through interview. Sampling was stratified sampling. Data were analyzed with using SPSS 18 software and descriptive statistics, t-test and one-way ANOVA test.Results: Mean direct medical costs, direct non-medical costs and indirects costs of unfractionated heparin were: 27,340,000±10,010,000 Rials, 3,862,750 ± 2,851,490 Rials and 5,382,500 ± 4,934,950 Rials respectively. Also mean direct medical costs, direct non-medical costs and indirects costs of low molecular weight heparin were: 24,664,250±14,649,890 Rials, 2,233,500±4,249,590 Rials and 2,572,500±2,625,310 Rials respectively.Conclusion: costs less than unfractionated heparin for the prevention of stroke in patients. So the results of this research can be remarked as a case study to proof lower costs of low molecular weight heparin for patients treatment and help neurology specialists to select the more acurate drug to decrease treatment costs. Manuscript profile
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  8 - The Survey weaknesses performance - Based Scheme (New Guidelines fee for Service Design) in Selected Teaching Hospitals of Isfahan 2014, a Qualitative Study
  mohamad reza Tavkoli saeid Karimi marziye Javadi Ali reza Jabari
  Introduction: In 1995 the guideline of the new system of hospitals (fee for service) was notified. According to this scheme a percentage of revenues as a fee for its personnel would be assigned a dedicated hospital. This scheme was implemented in hospitals for 20 years. More

  Introduction: In 1995 the guideline of the new system of hospitals (fee for service) was notified. According to this scheme a percentage of revenues as a fee for its personnel would be assigned a dedicated hospital. This scheme was implemented in hospitals for 20 years. In the early September 2104 new guidelines as design performance-based fee for service plan with the aim deficiencies in the previous plan was reviewed and implemented in hospitals in Isfahan. So study was to the survey weaknesses performance-based scheme in selected teaching hospitals of Isfahan 2014. Methods: This study was a qualitative study. In-depth interviews were used to collect data. Eleven samples of middle managers and senior headquarters, university hospitals and some faculty members and hospital officials frequently were chosen method.All interviews were recorded and then written on paper. The duration of the interviews varied between 30 to 60 minutes. Data analysis in this research was based on thematic analysis. Results: In this study, based on a thematic framework analysis done6 sub-theme and 3 main topics were extracted. The three main issues are: Policy formulation, delays in the notification procedure and bed and prepare the infrastructure. Conclusion: The results weaknesses performance-based scheme is represented (new guideline fee for service plan). Accordingly, in order to be more efficient health system weaknesses should be assessed as well as performance-based plan with such weaknesses can be overcome with the implementation of the new plan the satisfaction is high doctors and staff are provided. Manuscript profile