Comparison of Number of Surgical Operations and Their Cancellation Causes in Namazi Hospital before and after the Health Transformation Plan
Peyvand
Bastani
author
Zohreh
Rezaee
author
Zahra
Kavosi
author
Mahdieh Sadat
Ahmadzadeh
author
text
article
2016
per
Background: Surgery cancellation at the last moments is one of the most important causes of inefficiency and waste of hospital resources, which results in operating room disorder, waste of time, wandering and unemployment of personnel, and useless occupation of hospital beds. Therefore, the present study aimed to compare the number of surgical operations and their cancellation causes before and after the healthcare reform. Methods: The present cross-sectional study was conducted in Namazi hospital, Shiraz. The specifications of all the required surgeries were collected from June 22, 2014 to February 20, 2015 through census and were recorded in a researcher-made checklist. The study variables included the number of performed surgical operations per month, number of cancelled surgical operations per month, and their cancellation causes. The data were analyzed using the SPSS statistical software, version 20. Results: The number of surgical operations was increased after the healthcare reform. Besides, the index of surgery cancellation was decreased from 11.73% to 10.94% after the reform. The most common causes of surgery cancellation before the healthcare reform were the factors related to surgeons. On the other hand, the most common causes of surgery cancellation after the healthcare reform were organizational and managerial factors, the most common of which being lack of time in operating rooms. Conclusion: It seems that the reform has been able to reduce surgery cancellation rate to a great extent. Nevertheless, proper planning for elimination of the preventable causes, proper management for use of the maximum capacity of operating rooms, and improvement of surgical operation processes are essential in order to promote the surgery cancellation index.
Sadra Medical Journal
Shiraz University of Medical Sciences
2322-4339
4
v.
2
no.
2016
77
88
https://smsj.sums.ac.ir/article_44082_456645b640442a98c58d842f1cfd1893.pdf
The Correlation between Academic Self-Concept and Learning Climate in Nursing Students after Experiencing Preceptorship Program
Camelia
Torabizadeh
author
Roya
Dokoohaki
author
Masoume
Rambod
author
Farahnaz
Raeiskarimian
author
text
article
2016
per
Background: Clinical training is a critical component of nursing program. Preceptorship program might be effective in improving nursing students’ professional competencies by providing a suitable learning environment. In addition, learners with better self-concept may be more likely to succeed. This study aimed to determine nursing students' academic self-concept and their understanding of learning climate after experiencing preceptorship program and assess the correlation between these two variables. Methods: This cross-sectional, correlational study was performed on the nursing students who had experienced preceptorship program. The data were collected by academic self-concept scale and learning climate questionnaire. Then, the data were entered into the SPSS statistical software, version 20 and were analyzed using t-test, ANOVA, and Pearson’s correlation coefficient. Results: The results showed that the nursing students' mean score of academic self-concept was 108.86±10.01 after experiencing preceptorship program. This means that the students' mean score of self-concept was higher than two-thirds of the expected total score. Besides, the mean score of learning climate was 77.49+17.52, which was higher than two-thirds of the expected score. Moreover, learning climate was associated with marital status and educational term, such a way that married students and those in the 7th and 8th terms had a better understanding of learning climate. However, no significant correlation was found between academic self-concept and learning climate after the preceptorship program (r=0.18, p=0.16). Conclusion: The findings of this study indicated that the students’ mean score of self-concept and perception of learning climate after experiencing the preceptorship program were higher than two-thirds of the expected score. Therefore, this program is suggested to be used in nursing education. Yet, further studies have to be conducted to recognize the strengths and weaknesses of the program.
Sadra Medical Journal
Shiraz University of Medical Sciences
2322-4339
4
v.
2
no.
2016
89
98
https://smsj.sums.ac.ir/article_44083_29a6af826bba41e3275db035c57758b6.pdf
Accuracy of Digital Panoramic Imaging in Detection of Proximal Caries in Posterior Teeth
Zahra
Tafakhori
author
Mojgan
Khazaei
author
Akram
Afshari Poor
author
text
article
2016
per
Background: Considering the irreversibility and rapid progression of dental caries, diagnosis and prevention of such cases is an important responsibility in the field of dentistry. Regarding the advantages of digital panoramic system and limitations of bite wing technique, this study aimed to compare the diagnostic accuracy of bite wing radiography and digital panoramic imaging in detection of proximal caries in posterior teeth. Methods: This cross-sectional study was conducted on 30 patients who required both panoramic and bite wing radiographies for dental procedures. Radiographies were collected, coded, and evaluated by a radiologist. Then, the data were analyzed using the SPSS statistical software, version 18.0. Results: The results showed no significant difference between digital panoramic and bite wing techniques regarding accuracy in diagnosis of proximal caries in molar and premolar teeth. The sensitivity, specificity, and accuracy of digital panoramic radiography were 79.7%, 83.9%, and 82.8%, respectively, which revealed the high diagnostic precision of this technique in detection of proximal caries in posterior teeth. Conclusion: Considering the insignificant difference between these two methods of radiography and the high sensitivity and specificity of digital panoramic radiography, this technique can be a proper substitute for bite wing radiography in diagnosis of inter-dental caries.
Sadra Medical Journal
Shiraz University of Medical Sciences
2322-4339
4
v.
2
no.
2016
99
106
https://smsj.sums.ac.ir/article_44084_99f5b00bb080f01d0cc2d1128fcd7127.pdf
Determination of Differences in Emotion Regulation Strategies, Occupational Stress Management, and Degree of Workaholism among General Surgery Residents
Najmeh
Iraji Meymandi
author
Nadereh
Sohrabi
author
text
article
2016
per
Background: Medical professions can affect physicians and, consequently, patients’ mental health. The present research sought to identify the differences in emotion regulation strategies, occupational stress management, and degree of workaholism among general surgery, neurosurgery, and urology residents. Methods: This survey research was conducted on all general surgery, neurosurgery, and urology residents in Namazi hospital, Shiraz in 2014-2015. The statistical sample included 90 subjects (30 residents from each major). The study data were collected using Gratz’s cognitive emotion regulation questionnaire, Parker and DeCotiis’s job stress scale, and Ahmadi’s workaholism questionnaire. Then, the data were entered into the SPSS statistical software and were analyzed using ANOVA and Tukey’s post-hoc test. Results: The results showed a significant difference among general surgery, neurosurgery, and urology residents in terms of emotion regulation cognitive strategies. Also, a significant difference was found between neurosurgery and urology residents regarding the degree of occupational stress (p<0.01). Finally, a significant difference among the three groups concerning the degree of workaholism (p=0.001). Conclusion: Considering the condition of medical profession, the results of this research can be used in terms of emotion regulation strategies, occupational stress, and degree of workaholism. Besides, it is suggested to develop interventions for surgery residents regarding utilization of emotion regulation strategies.
Sadra Medical Journal
Shiraz University of Medical Sciences
2322-4339
4
v.
2
no.
2016
107
116
https://smsj.sums.ac.ir/article_44085_fe2f03f81dd7074c0d31b8e6ca208ba3.pdf
Comparison of Expectations of Outpatients and Outpatient Medical Students from Physicians
Hossein
Mahmoodian
author
Seyed Ziaodin
Tabei
author
Behnoush
Pakrooh Jahromi
author
Parsa
Nabeiei
author
text
article
2016
per
Introduction:Patient expectations is often used to show what patients hope to happen. In this regard, physicians should consider patients’ expectations without giving them the authority to perform operations. Therefore, this study aimed to examine andcompare the expectations of outpatients and outpatient medical students from physicians. Methods: This descriptive-analytical, cross-sectional study was conducted on 150 patients referred to internal medicine, psychiatry, gynecology, and surgery clinics and 150 interns. Patient expectations were assessed using a researcher-made questionnaire. Then, the data were analyzed using the SPSS statistical software, version 14. Results: The findings indicated that the mean score of patient expectations was 87.32+10.12 among the patients and 83.86+7.85 among the interns, and the difference was statistically significant (p=0.001). In addition, a significant positive relationship was found between patient expectations from physicians and patients’ age in the patients group (r=0.37, P=0.005). Conclusion: Based on these results, the patients and interns had similar expectations from physicians. Yet, the patients had higher expectation levels from physicians. Due to the positive impact of patient expectations on their satisfaction with physicians and the healthcare system, considering the fact that patients’ expectations are similar to one’s own expectations from physicians can have a positive impact.
Sadra Medical Journal
Shiraz University of Medical Sciences
2322-4339
4
v.
2
no.
2016
117
126
https://smsj.sums.ac.ir/article_44086_fb56968a76328cc1374be3bbfc6ac06a.pdf
Identification of Ipa and Stx Genes and Their Antibiotic Resistance Pattern in Shigella Sonnei isolated from Clinical Samples using Multiplex-PCR
Maryam
Ganjipour
author
Kyoumars
Amini
author
Gholamali
Moradli
author
text
article
2016
per
Background: Shigella is responsible for shigellosis or bacillary dysentery, which is transmitted by contaminated food. Invasion Plasmid Antigens (Ipa) gene leads to intra- or extra-cellular spreading of Shigella. The current study aimed to identify Ipa and stx genes in Shigella sonnei isolated from clinical samples by multiplex-PCR and determine their antibiotic resistance profile. Methods: In this study, 150 stool samples were collected from different treatment centers in Tehran. After culture-based microbiological and biochemical tests, 60 Shigella sonnei species were identified. Antibiotic susceptibility tests were performed by disk diffusion method according to CLSI guideline. Then, multiplex-PCR assay was employed to identify stx and ipa genes. Results: The results showed that the highest and lowest resistance was related to co-trimoxazole (n=60, 100%) and ceftriaxone (n=10, 16.7%), respectively. Out of the 60 isolates, 57 strains (95%) were positive for ipaH gene and other virulence genes were not detected in any of the samples. Conclusion: ipaH, due to presence in the majority of Shigella strains, can be a candidate to identify this organism. It seems that indiscriminate use of antibiotics is one of the causes of antibiotic resistance in Shigella species.
Sadra Medical Journal
Shiraz University of Medical Sciences
2322-4339
4
v.
2
no.
2016
127
136
https://smsj.sums.ac.ir/article_44087_68f0649f35673ef271973d5b40b9e234.pdf
The Relationship between Body Dysmorphic Disorder and Symptoms of Depression, Obsessive-Compulsive Disorder, and Social Phobia in Cosmetic Surgery Patients in Tehran
Azadeh
GhaeniHesarouiyeh
author
Eshagh
Moosavi
author
Reza
Mirzaei
author
Soghra
Setoodezadeh
author
text
article
2016
per
Background: The present study aimed to examine the relationship between depression, social phobia, and obsession-compulsion symptoms and body dysmorphic disorder in cosmetic surgery patients in Tehran. Methods: This correlational study was conducted on all the patients referred to cosmetic surgery clinics in Tehran. Among these patients, 384 ones were selected using simple cluster sampling. The study data were collected using modified Yale-Brown obsessive compulsive scale for body dysmorphic disorder, Maudsley obsessive compulsive inventory, Beck depression inventory, and social phobia inventory. Then, the data were entered into the SPSS statistical software, version 18 and were analyzed using stepwise multiple regression analysis. Results: The results showed a significant relationship between depression, social phobia, and obsession-compulsion symptoms and body dysmorphic disorder (p=0.05). Besides, the results of stepwise regression analysis for predicting body dysmorphic disorder indicated that checking and doubt among obsessive-compulsive disorder sub-scales (p<0.001, B=0.19; p<0.001, B=0.12), fear among social phobia subscales (p<0.001, B=0.32), and fear with physiological component among depression subscales had significant positive relationships with body dysmorphic disorder. Conclusions: Social phobia followed by cognitive subscale of depression disorder and checking subscale of obsessive-compulsive disorder were strong predictors of body dysmorphic disorder. The findings have proved that most cosmetic surgery patients are diagnosed with body dysmorphic disorder. Therefore, cosmetic clinics are recommended to evaluate patients psychologically before performing surgeries.
Sadra Medical Journal
Shiraz University of Medical Sciences
2322-4339
4
v.
2
no.
2016
137
148
https://smsj.sums.ac.ir/article_44088_6d5ffe2b7f170552e1571aca541637d6.pdf