Objective Paying more attention to human factors is undoubtedly one of the most important organizational principles. Job Satisfaction is one of the most important issues related to human resources in organizations and job dissatisfaction can decrease the productivity of the employees. In this regard, their occupational health is regarded as the science of workforce health in any organization. The purpose of this study was to investigate the status of Occupational Health Management and job satisfaction and the relationship between these two factors in the staff of rehabilitation centers in Tehran. Materials & Methods This descriptive correlation study was conducted on 1403 employees of 28 rehabilitation centers in Tehran during the second half of 2017. Sampling was done through the census. Research data were collected using a questionnaire consisting of two researcher-made questionnaires of occupational safety and health status and standard job satisfaction questionnaire. At first, the instrument used to assess occupational safety and health status for rehabilitation centers was developed and then, with the opinion of academic experts, the validity of the instrument was confirmed using the formal credibility and content validity index and the necessary corrections were made. In addition, 5-10 staff working in rehabilitation centers were asked about the content, clarity, and simplicity of the questionnaire terms. Content Validity Index (CVI) and Content Validity Coefficient (CVC) were 0.68, 0.83, 0.69, and 0.83, respectively, for Occupational Health Management and job satisfaction. Instrument reliability was also assessed using the Cronbach's alpha coefficient, which was 0.872. Finally, after verifying the validity and reliability of the instrument, a questionnaire was used to collect the research data. Shapiro-Wilk, Wilcoxon, and Spearman correlation tests were used to analyze the findings. Data analysis using Version 22.0. Armonk; NY: IBM Corp; SPSS V. 20. Results The participants in this study included 657(46.8%) male and 746(53.2%) women. The results showed that the average score of Occupational Health Management variables and its sub-scales was
Objective: Work-related musculoskeletal disorders are one of the major causes of lost working time, increased costs, human injuries and burnout. The International Labor Organization estimates that about 160 million work-related illnesses occur worldwide each year, where the highest prevalent illnesses are musculoskeletal disorders. Several studies have been conducted In Iran to investigate the prevalence of these disorders, each providing different statistics. Therefore, considering the importance of these disorders, it is necessary to obtain accurate results with high statistical power and validate them. The aim of this study was to investigate the prevalence of work-related musculoskeletal disorders in Iran in order to obtain more accurate results by conducting a meta-analysis. Materials & Methods: For this meta-analysis, searching was conducted in SID, MagIran, IranMedex, Google Scholar, Scopus, Web of Science, and PubMed databases using the keyword “work-related musculoskeletal disorders“ in both Persian and English on studies conducted during 2001-2016 in various cities of Iran. Inclusion criteria were: investigating the prevalence of musculoskeletal disorders in a period of one year, being a cross-sectional or descriptive-analytical study, publication in Persian or English, availability of full-texts, assessment using standard methods (e.g. Nordic Musculoskeletal Questionnaire) and considering the prevalence of musculoskeletal disorders throughout the body (upper and lower extremities). The heterogeneity of the articles was evaluated using the I2 statistics and the data were analyzed in STATA software using meta-analysis and random-effects model. Results: In this study, 45 papers on work-related musculoskeletal disorders were studied. The overall sample size of these studies was 9813, with a mean number of 218 for each study. Most of studies were descriptive-analytical and cross-sectional. In all of them, the prevalence of musculoskeletal disorders in different parts of the body had been investigated. According to their results, the most prevalent work-related musculoskeletal disorder in lower extremity was low back pain (0.49%) and in upper extremity, it was neck pain (39.3%). The prevalence of musculoskeletal disorders in other parts of the body were 39.32% in the neck, 36.9% in shoulders, 36.8% in the back, 34% in the wrist, 26.9% in legs, 20.5% in thighs and hips, and 16.2% in elbows.
Background: Occurring natural crises and lack of meticulous planning for confronting their damages and casualties can result in losing human and material resources. Moreover, it should be considered that crisis management is a kind of management in which prevention, intervention, and confrontation with the crisis are very important because these measures can decrease the detrimental impact of crises, especially at schools by saving students’ lives. Therefore, regarding the importance of the subject, this study aimed to review studies on crisis management at Iranian schools. Materials and Methods: The study took place by a systematic search using Persian and English keywords on databases like Google Scholar, SID, and Magiran to find relevant research studies conducted in Iran until October 2018. Furthermore, the lists of references were checked to find more relevant studies. Out of 575 articles, the full texts of 12 studies were considered and the results of the searching were examined independently based on inclusion and exclusion criteria by two researchers after dismissing duplicates. Finally, 4 studies were qualified to be included in this review. Results: All studies used some questionnaires for assessing the outcomes. The target population consisted of students, teachers, principals, and experts of crisis management. Among the examined articles, two studies were about earthquake crisis management, and the other two discussed crisis management at schools. The level of preparedness for confrontation with the crisis, the effectiveness of crisis management course, dimensions and components of crisis management, and the priority of effective factors for readiness to confront crises were reported in the studies. Conclusion: Findings showed that students, teachers, and principals should receive necessary training about crisis management for preventing any probable injuries to children while confronting the crisis at schools. Consequently, it is suggested that the officials take crisis management at schools into serious consideration.
Background: The proper triage of patients, supply chain management, and proper location, delivery, and distribution of health facilities and services in times of crises and disasters have always been challenging issues playing an important role in reducing damages and increasing the level of patient care during emergencies. Objectives: This study was conducted to design a model for allocating emergency first aid in pre-hospital triage. Methods: The model presented in this study is a two-level mathematical model using nonlinear programming to introduce a new location for the establishment and activation of distribution centers in the supply chain and distribution of pre-hospital health-oriented services during crises. This proposed hybrid model seeks to strike a balance between the concepts of efficiency, cost, and dispersion. By expanding the insurance coverage of health services, the number of services provided in the times of crises and triage of injured patients also increases, leading to the delivery of more profits and improvement in the effectiveness of medical services in the shortest possible time. Results: This model helps to select suitable candidate locations for the triage of patients and increases its performance. Therefore, the appropriateness of each place is measured according to the criteria set for them. This model considers different parameters for selecting places for the distribution and allocation of emergency services, including the efficiency of the centers selected for the triage of patients, the cost of the inventory system for providing primary services, the dispersion of selected triage centers, demands for sick and injured patients, the possibility of constructing additional distribution centers (e.g., field hospitals), and strategies to avoid the imposition of additional costs. Conclusions: This study showed that by maximizing the dispersion of desirable facilities, such as distribution centers, the demand coverage of different regions is appropriately improved. In other words, the health service distributor, as one of the important parts of the supply chain, helps service providers better meet the needs of injured patients during emergencies.
Objectives: Considering the need of diabetic patients for accessing the care system and the role of modern media in health education and culture, we aimed to determine the effectiveness of educating via mobile SMS in controlling blood sugar. Moreover, the adherence to drug treatment of patients with type 2 diabetes was assessed. Methods: This quasi-experimental study was conducted in Isfahan City, Iran in 2018. A total of 100 diabetic patients participated in the case (intervention) and control groups. The control group underwent conventional therapies and training. SMS training was applied for the intervention group in addition to the conventional therapies. Collecting the information and data to assess adherence to patients’ treatment was done using a researcher-made 18-item questionnaire. Analyzing data was performed in SPSS software, version 20 through the employment of the independent t test, paired t test, and multivariate analysis of covariance. Results: Based on the independent t test results, no significant difference was detected between the two study groups at any time points (P>0.05) in terms of the mean fasting blood sugar. However, by analysis of covariance and adjusting the fasting blood sugar level before the intervention in the studied groups, the mean fasting blood sugar was recognized to be significantly lower in the intervention group compared to the control group in the second month (P=0.048) and the third month after the intervention (P=0.008). Discussion: There is an association between SMS education and fasting blood sugar control and adherence to treatment in the studied patients. In the field of health care education, it is possible to use patient communication techniques and short message services to control follow-up and monitor interventions.
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