Context: Disasters are increasing worldwide, with more devastating effects than ever before. Hospitals must maintain their normal functions or have an evacuation plan due to the rate of damages at the time of a sudden disaster. The present study was conducted to determine the effective determinants and components in hospital evacuation decision-making.Evidence Acquisition: In this systematic review study, which was conducted in 2016, bibliographies, citation databases, and other available records such as international guidelines, documents and reports of organizations and academic dissertations were used to find an answer to the following question: What are the effective components in hospital evacuation decision-making? Finally, 34 articles were included in this systematic review. This systematic review article was checked with PRISMA checklist. Results:The common factors affecting hospital emergency evacuation decision-making were classified into 4 general categories and 40 subcategories, which have been explored during thematic analysis. These 4 categories included hospital infrastructure consequences, threat, internal factors, and external factors. Level of risk was the most important component of threat category and it was mentioned in most of the reviewed literature. Loss of electricity and water, communication and transportation, resources such as staff, and removing patient devices were the most mentioned factors in hospital infrastructure consequences, external factors, and internal factors, respectively. Conclusions:Different variables affect the process of hospital emergency evacuation decision-making. Thus, further studies are needed to develop a decision-making tool for hospital emergency evacuations in Iran.Keywords: Hospital Evacuation, Decision-Making, Disasters, Emergencies ContextThe percentage of disasters and their devastating concerns is increasing worldwide. It was reported that 3.3 million people died in disasters globally from 1970 to 2010 (1, 2). Despite advances in science and technology, it is not yet possible to forecast unexpected events such as earthquakes. In the critical situations following disasters, mortality and morbidity as well as the demand for health care services suddenly increase (3).Health system has a special place among other organizations involved in crisis management because it is the first and foremost need at the time of crises during disasters and unexpected circumstances (4). Hospitals, as key elements in providing preparedness in emergency situations, must remain fully functional at the time of disasters and major incidents (5). They are fundamental resources for successful management of disasters (6).The vulnerability of hospitals in disasters results in instabilities in providing health care (7). Hundreds of hospitals and other health care facilities are destroyed or lose their function in natural disasters worldwide every year Yaghoubi T et al. centers have been evacuated urgently due to fire, incidents related to Hydro-meteorological changes, ter...

Renal stone formation is a common and important problem in urinary tract and the prevalence of the disease is especially rising in recent years due to changing the lifestyle and diet. The aim of this study was to evaluate the health behaviours of patients with kidney stones.This cross‐sectional study was performed on 190 patients with kidney stones who referred to the outpatient department of Hospitals or extracorporeal shock wave lithotripsy clinics in Sari/Iran, during 6 months period in 2009. The people were divided into two safe health behaviours and unsafe health behaviours groups, based on the obtained scores from their health behaviours. Data were analysed using SPSS software and descriptive statistics tests.The mean age of the patients with kidney stones was 39 years. A 51·3% of subjects had positive family history of the disease. A 49·5% of subjects did not have exercise and 38·9% had less than half an hour physical activity per day. There was a significant relationship between the type of kidney stone and type of consumed water, tea, raw vegetables, milk and meat (P < 0·005). There was a significant relationship between family history of disease and exercise and daily activity level as well as the type and amount of water consumption (P < 0·005).Health behaviours can control and prevent the disease progression and influence on recurrence of the disease. Evaluation of health behaviours leading to formation of urinary tract stones in different geographical areas of our country seems to be necessary.

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