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Outcomes of public procurement in technology development of medical devices: A narrative review 医疗器械技术发展中的公共采购成果:述评
Pub Date : 2020-07-01 DOI: 10.4103/iahs.iahs_75_19
R. Rezaee, Javad Noori, S. Mahmoudi, Reza Masaeli
Introduction and Aim: Public procurement is a demand-side policy of technology and a significant section of the economy, the development of which requires understanding the conditions and accessing valid information. The present study has extracted the evidence-based public procurement outcomes in technology development of medical devices. Materials and Methods: Using narrative review method, 262 evidence were selected among the 787 evidence found, including books, articles, national and international reports and theses from Google Scholar, Elsevier, Emerald, Taylor and Francis, Wiley Online Library including books, articles, reports made by national and international documents and theses, and 52 were cited considering the need and the content. Results: Based on extracted concepts, the aspects of the effect of public procurement of medical devices were categorized into five categories, including technology and innovation development, technology diffusion and transfer, demand-oriented policy development, centralized procurement promotion, and local product development. Conclusion: The role of the government in the technology development of the medical devices requires more attention because the proper design and implementation of centralized public procurement policy of medical devices by creating competition among producers can lead to technology development and promotion. However, it may mutually increase the price of medical devices and limit the use of these devices and hinder innovation and the introduction of the new technologies.
引言和目的:公共采购是技术的需求方政策,也是经济的重要组成部分,其发展需要了解条件和获取有效信息。本研究提取了医疗器械技术开发中的循证公共采购成果。材料与方法:采用叙述回顾法,从检索到的787项证据中,选取262项证据,包括Google Scholar、Elsevier、Emerald、Taylor and Francis的图书、文章、国内外报告和论文,Wiley Online Library的图书、文章、国内外文献报告和论文,根据需要和内容引用52项。结果:根据提取的概念,将医疗器械公共采购的效果分为技术与创新发展、技术扩散与转移、需求导向政策制定、集中采购促进和地方产品开发等5个方面。结论:政府在医疗器械技术开发中的作用需要引起更多的重视,因为合理设计和实施医疗器械集中公共采购政策,通过生产者之间的竞争来促进技术的发展和推广。然而,这可能会相互增加医疗器械的价格,限制这些设备的使用,阻碍创新和引进新技术。
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引用次数: 1
The effectiveness of acceptance- and commitment-based therapy on perception of disease in patients with irritable bowel syndrome 以接受和承诺为基础的治疗对肠易激综合征患者疾病感知的效果
Pub Date : 2020-07-01 DOI: 10.4103/iahs.iahs_80_19
Sedighe Aghalar, F. Manesh, N. Khorami, F. Hafezi
Aims: The purpose of this study was to investigate the effectiveness of acceptance and commitment therapy on perception of disease in patients with irritable bowel syndrome (IBS). Materials and Methods: The quasi-experimental research method was pretest and posttest with control group. The statistical population of this study included patients with irritable bowel syndrome (IBS) in Semirom city which were selected 30 of whom through purposive sampling and randomly assigned to two groups (Acceptance and commitment Therapy (ACT) and control group). Before and after the intervention, the individuals in all two groups were evaluated with the Disease Perception Scale. Then, there was a weekly session acceptance and commitment therapy based on treatment protocols for IBS for the experimental group, and the control group received no intervention. Results: The findings showed that acceptance and commitment therapy had significant effects on the components of illness sequences (P < 0.001), personal control (P < 0.001), nature of illness (P < 0.001), control through treatment (P < 0.001), worrying about illness (P = 0.002), and affectional respond to illness (P < 0.001). Conclusion: In according to findings, it can be concluded that the acceptance and commitment therapy as an effective treatment can be used in acute disease situations for people to promote positive perception of their illness.
目的:本研究旨在探讨接纳与承诺疗法对肠易激综合征(IBS)患者疾病感知的影响。材料与方法:准实验研究方法采用前测和后测相结合的方法。本研究的统计人群为Semirom市肠易激综合征(irritable bowel syndrome, IBS)患者,采用有目的抽样的方法选取30例患者,随机分为接受与承诺治疗组(ACT)和对照组。干预前后用疾病知觉量表对两组患者进行评估。然后,实验组根据IBS治疗方案进行每周一次的接受和承诺治疗,对照组不进行干预。结果:接受承诺治疗对疾病序列(P < 0.001)、个人控制(P < 0.001)、疾病性质(P < 0.001)、通过治疗控制(P < 0.001)、疾病担忧(P = 0.002)和疾病情感反应(P < 0.001)的组成均有显著影响。结论:根据研究结果,接受承诺疗法是一种有效的治疗方法,可以在急性疾病情况下促进人们对疾病的积极认知。
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引用次数: 1
Investigating the relationship between the stressors and job leaving intention of health-care centers' managers in Kashan in 2020 调查2020年喀山地区卫生保健中心管理人员压力源与离职意愿的关系
Pub Date : 2020-07-01 DOI: 10.4103/iahs.iahs_39_20
H. Akbari, Masoud Motalebi Kashani, Reihaneh Ghorbani Pour, Narjes Mogharabi Zadeh
Aims: Considering the role of management in the performance of the organizations, job leaving is important. Many factors affect on pjob leavening intention of persons, which one of them is stressors. Regarding the importance of this issue, the present study was conducted to determine the relationship between stressors and job leavening intention of health-care centers' managers. Materials and Methods: The present research is descriptive and correlational. The study population was managers of Kashan health-care centers by census method. The tools used in this study were questionnaires of Cammann et al.'s job leaving intention and stressors. Data were analyzed using SPSS16 software with methods of correlation and regression. Results: Results indicated a relationship between familial stressors, and finding a new job was significant (P = 0.016). Furthermore, the relationship between stressors and health-care centers was significant (P < 0.05). However, the relationship between stressors and job leaving intention was not statistically significant (P > 0.05). Furthermore the frequencies of occupational stressors, social stressors, cultural stressors, economic stressors, familial stressors, personal stressors and total stressors were 51.1%, 44.5%, 30.7%, 22.6% and 26.3% respectively.. Conclusion: As mentioned by the results, health-care centers' managers were exposed to many stressors. Among these factors, the frequencies of occupational, social, cultural, and economic stressors were more than other stressors, eliminating that these factors can lead to the maintenance of physical and mental health of managers and enhancement of their work efficiency.
目的:考虑到管理在组织绩效中的作用,离职是重要的。影响人的工作意向的因素很多,压力源是影响人工作意向的因素之一。鉴于这一问题的重要性,本研究旨在确定压力源与卫生保健中心管理人员工作发酵意愿之间的关系。材料与方法:本研究为描述性、相关性研究。研究对象为卡尚县卫生保健中心的管理人员。本研究使用的工具是Cammann等人的离职意向和压力源问卷。数据采用SPSS16软件进行相关和回归分析。结果:家庭压力源与新工作的相关性显著(P = 0.016)。此外,应激源与卫生保健中心之间存在显著关系(P < 0.05)。压力源与离职意向的关系无统计学意义(P < 0.05)。职业压力源、社会压力源、文化压力源、经济压力源、家庭压力源、个人压力源和总压力源分别占51.1%、44.5%、30.7%、22.6%和26.3%。结论:正如研究结果所述,医疗保健中心的管理人员暴露于多种压力源。在这些因素中,职业、社会、文化和经济压力源的频率高于其他压力源,排除了这些因素可以导致管理者保持身心健康和提高工作效率。
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引用次数: 0
Siponimod in secondary progressive multiple sclerosis 西泊尼莫德治疗继发性进展性多发性硬化症
Pub Date : 2020-07-01 DOI: 10.4103/iahs.iahs_23_20
J. Rissardo, A. Caprara
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引用次数: 0
Assessing nurses' attitudes toward the use of modern technology to care for patients at Selected Public And Private Hospitals, Benin-City, Nigeria, 2020 评估护士对在选定的公立和私立医院使用现代技术护理患者的态度,贝宁市,尼日利亚,2020年
Pub Date : 2020-07-01 DOI: 10.4103/iahs.iahs_25_20
O. Olorunfemi, N. Osunde, O. Olorunfemi, S. Adams
Background: Modern technology in nursing practice is the application of organized knowledge and skills in the form of devices, medicines, vaccines, procedures, and systems developed to solve a health problem and improve quality of lives, but the compliance to the utilization of this new technology is still very low, especially in developing countries. It is therefore imperative to identify their fear and worries concerning the use of modern technology to care for patients. Consequently, this study objective is to assess the nurses' attitudes toward the use of modern technology to care for patients at Selected Public and Private Hospitals, Benin-City, Nigeria. Materials and Methods: A descriptive cross-sectional survey was conducted with stratified sample technique to select 250 nurses from three selected hospitals in Benin-City, Edo State. A self-structured questionnaire with open and Likert scale questions used as instrument was administered to assess the nurses' attitudes toward the use of modern technology to care for patients. Data collected were analyzed using tables, percentages, means, and standard Deviation at 0.05 level of significance, through Statistical Package for Social Sciences software. Results: The result showed mean score of 2.23 (1.29) toward nurses' attitudes about the use of modern technology to care for patients. This study also revealed the barriers and the benefits of its adoption. Conclusion: The adoption of these technologies would be very easy as the attitude toward the adaptation is relatively high among nurses, if all the identified barriers and limitations are properly managed.
背景:现代技术在护理实践中是以设备、药物、疫苗、程序和系统的形式应用有组织的知识和技能,以解决健康问题和提高生活质量,但对这种新技术利用的依从性仍然很低,特别是在发展中国家。因此,必须确定他们对使用现代技术护理病人的恐惧和担忧。因此,本研究的目的是评估护士对使用现代技术来照顾病人在选定的公立和私立医院,贝宁市,尼日利亚的态度。材料与方法:采用分层抽样技术对江户州贝宁市三家选定医院的250名护士进行描述性横断面调查。采用开放性和李克特自构问卷作为工具,评估护士对使用现代技术护理患者的态度。使用Statistical Package for Social Sciences软件对收集的数据进行分析,采用表、百分比、均值和标准差,显著性水平为0.05。结果:结果显示护士对使用现代技术护理患者的态度平均得分为2.23分(1.29分)。这项研究还揭示了采用该技术的障碍和好处。结论:由于护士对这些技术的适应态度较高,如果对这些技术识别出的障碍和限制进行适当的管理,采用这些技术是很容易的。
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引用次数: 3
Structural equation modeling of risk-taking behaviors based on personality dimensions and risk power 基于人格维度和风险能力的冒险行为结构方程建模
Pub Date : 2020-07-01 DOI: 10.4103/iahs.iahs_10_20
M. Aliabadi, Elnaz Taheri, Kamran Najafi, Farzaneh Mollabahrami, Sajjad Deyhim, M. Farhadian
Aims: Risk-taking behaviors in industries can be one of the essential reasons for unsafe behavior and incident. The purpose of this study was to investigate the interactions between risk-taking behaviors and personality dimensions and develop a model with partial least squares structural equation modeling (PLS-SEM). Methodology: This cross-sectional analytical study was carried out on 96 participants in Hamadan in the west of Iran in 2016. Risk power and personality dimensions of individuals were evaluated using a questionnaire, and risk-taking behavior was also assessed using a balloon analog risk test. The data were modeled using PLS-SEM. Results: In females, the neuroticism dimension had a significant relationship with risk-taking behaviors (P < 0.001). Besides, in males, there was a significant relationship between risk-taking behaviors and extraversion (P < 0.001). Furthermore, people who were more inclined to social acceptance were more risk-averse and self-reported more risk-taking behaviors (P < 0.05). The results of this study showed that people with different personality dimensions have different risk-taking behaviors. Conclusion: Studying individuals and errors that may be committed, the system can be in a way that individuals' unsafe behaviors will reduce.
目的:工业中的冒险行为可能是不安全行为和事故的根本原因之一。本研究的目的是探讨冒险行为与人格维度之间的相互作用,并建立偏最小二乘结构方程模型(PLS-SEM)。方法:这项横断面分析研究于2016年在伊朗西部哈马丹对96名参与者进行了研究。采用问卷法评估个体的风险能力和人格维度,并采用气球模拟风险测试评估个体的冒险行为。数据采用PLS-SEM建模。结果:女性神经质维度与冒险行为有显著相关(P < 0.001)。此外,在男性中,冒险行为与外向性之间存在显著相关(P < 0.001)。更倾向于社会接纳的人风险厌恶程度更高,自我报告的风险行为也更多(P < 0.05)。本研究结果表明,不同人格维度的人具有不同的冒险行为。结论:研究个体和可能犯下的错误,系统可以在某种程度上减少个体的不安全行为。
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引用次数: 3
Medical edification curated for COVID-19 为COVID-19策划的医学教育
Pub Date : 2020-07-01 DOI: 10.4103/iahs.iahs_69_20
S. Sasidharan, H. Dhillon, Shalendra Singh
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引用次数: 1
Consequences of induced demand for medicine prescription: A qualitative study 药物处方诱导需求的后果:一项定性研究
Pub Date : 2020-07-01 DOI: 10.4103/iahs.iahs_38_20
Azam Mohamadloo, A. Ramezankhani
Aims: The purpose of the present qualitative study was to investigate the consequences of an irrational prescription of medicine through in-depth interviews with various stakeholders. Materials and Methods: We used in-depth interviews for data gathering with a purposive sample of twenty participants who were selected according to their experience. We transcribed and analyzed interviews and identified, named, and coded the key themes with a sample of quotation. Results: In general, 14 subthemes or consequences were identified and classified, including health, economic, and social consequences. Some consequences are treatment failure, impose the financial costs to an individual and the government, waste of medicines, increase the financial burden of insurance organizations, trafficking medicine, disruption in the appropriate supply of medicine, deprive people needed for medicine, and deviation in policymaking. Conclusion: The present study provides evidence that confirms the induced demand effect on health, society, and economic. Hence, we recommend health practitioners plan the health education interventions to reduce unnecessary prescriptions of medicine and the consequences and prevent the induced demand for the prescription.
目的:本定性研究的目的是通过对不同利益相关者的深入访谈来调查不合理的药物处方的后果。材料和方法:我们采用深度访谈的数据收集与一个有目的的样本,20名参与者选择根据他们的经验。我们对采访进行转录和分析,并通过引文样本识别、命名和编码关键主题。结果:总体而言,确定并分类了14个次级主题或后果,包括健康、经济和社会后果。一些后果是治疗失败,给个人和政府带来财务成本,浪费药物,增加保险组织的财务负担,贩运药物,中断适当的药物供应,剥夺所需人群的药物以及决策偏差。结论:本研究证实了诱导需求对健康、社会和经济的影响。因此,我们建议卫生从业者计划健康教育干预措施,以减少不必要的药物处方和后果,防止诱发处方需求。
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引用次数: 2
Frequency of depression, anxiety and stress among participated workers in periodic examinations of occupational medicine centers in Kashan during the 4 month period (2018-2019) 2018-2019年4个月喀山市职业医学中心定期体检职工抑郁、焦虑、压力频次调查
Pub Date : 2020-04-01 DOI: 10.4103/iahs.iahs_12_20
H. Saberi, H. Akbari, M. Mahdian, R. Pour, Mojtaba Behzadi, Mohammad Mazaheri Tehrani, R. Nezhad
Aims: Mental disorders such as depression, anxiety, and stress are important factors in determining the life quality as well as many social and economic problems in workers' life. The purpose of this study was to determine the frequency of psychological symptoms (depression, anxiety, and stress) among the examined workers in the periodic examinations of the medical centers of Kashan County during the 4-month period in 2018–2019. Materials and Methods: This cross-sectional study was conducted randomly on 154 workers examined in different industrial towns of Kashan County (5 areas). Data were collected using a DASS-42 questionnaire. Data were analyzed using SPSS 16 software, using Chi-square and Fisher's exact tests for qualitative variables and t-test and ANOVA test for data analysis of quantitative variables. Results: The symptoms of depression, anxiety, and stress were 18.83%, 33.12%, and 18.74%, respectively, in the present study. Moreover, the comparison of depression, anxiety, and stress with demographic variables showed a significant relationship between education level, employment type, and sex (P < 0.050). Conclusion: According to the results, workers' anxiety symptoms were more than depression and stress. Hence, it is essential to plan to identify such disorders in the workers to implement educational interventions and empowerment of these worthy people to increase mental health in the workplace.
目的:抑郁、焦虑、压力等精神障碍是决定工人生活质量的重要因素,也是工人生活中许多社会和经济问题的重要因素。本研究的目的是确定2018-2019年4个月期间,在喀山县医疗中心定期检查的被检查工人中心理症状(抑郁、焦虑和压力)的频率。材料与方法:采用横断面研究方法,随机抽取卡山县(5个地区)不同工业城镇的154名工人进行调查。使用das -42问卷收集数据。数据分析采用SPSS 16软件,定性变量采用卡方检验和Fisher精确检验,定量变量采用t检验和ANOVA检验。结果:本研究中出现抑郁、焦虑和压力症状的比例分别为18.83%、33.12%和18.74%。此外,抑郁、焦虑、压力与人口学变量的比较显示,受教育程度、就业类型和性别之间存在显著相关(P < 0.050)。结论:根据研究结果,工人的焦虑症状多于抑郁和压力。因此,必须制定计划,确定工人中的这种疾病,以实施教育干预措施,并赋予这些有价值的人权力,以增进工作场所的心理健康。
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引用次数: 0
Organic amendment can decrease plant abiotic stress in a soil co-contaminated with lead and cadmium under ornamental sunflower cultivation 在观赏向日葵铅镉共污染土壤中,有机改良能降低植物的非生物胁迫
Pub Date : 2020-04-01 DOI: 10.4103/iahs.iahs_5_20
F. Mojdehi, M. Taghizadeh, A. Baghaie, M. Changizi, S. Khaghani
Aim: Nowadays, in the industrial areas, there is a problem of simultaneous contamination of soil with heavy metals and lack of organic matter that can impede the growth of plants. Thus, this study was done to investigate the effect of organic amendments on decreases plant abiotic stress in a soil cocontaminated with lead (Pb) and cadmium (Cd) under ornamental sunflower cultivation. Materials and Methods: Treatments consisted of applying vermicompost (0, 15, and 30 t/ha) and soil polluted with Cd (0, 5, 10, and 15 mg/kg soil) and Pb (0, 400, and 600 mg/kg soil), and the plant used in this experiment was ornamental sunflower. After 8 weeks of the experiment, plants were harvested, and soil and plant Zn and Fe were measured using the atomic absorption spectroscopy. In addition, the ascorbate peroxidase (APX) and peroxidase (POX) of the plant were measured. Results: The application of 15 and 30 t/ha vermicompost significantly depressed the APX and POX activity by 12.1% and 14.6%, respectively. While the plant Fe and Zn concentration was significantly increased by 11.1% and 13.6%, respectively. Increasing soil pollution to Cd to 15 mg/kg soil significantly increased the APX and POX enzyme activities of the sunflower by 14.6% and 13.3%, respectively. Conclusion: It can be concluded that the interaction effect of Fe and Zn with heavy metal can help to decrease the plant abiotic stress that is a positive point in the environmental research. However, the role of organic amendments in decreasing heavy metals availability cannot be ignored.
目的:如今,在工业地区,存在着重金属污染土壤和缺乏有机物质的问题,这可能会阻碍植物的生长。在观赏向日葵铅镉共污染土壤中,研究了有机改剂对降低植物非生物胁迫的作用。材料与方法:施用蚯蚓堆肥(0、15和30 t/ha),土壤分别受Cd(0、5、10和15 mg/kg土壤)和Pb(0、400和600 mg/kg土壤)污染,试验植物为观赏向日葵。试验8周后,收获植株,采用原子吸收光谱法测定土壤和植株锌、铁含量。测定了抗坏血酸过氧化物酶(APX)和过氧化物酶(POX)的含量。结果:施用15 t/ha和30 t/ha蚯蚓堆肥可显著降低APX和POX活性,分别降低12.1%和14.6%。而植株Fe和Zn浓度分别显著提高了11.1%和13.6%。土壤镉污染增加到15 mg/kg时,向日葵APX和POX酶活性分别显著提高14.6%和13.3%。结论:铁、锌与重金属的互作效应有助于减轻植物的非生物胁迫,这是环境研究中的一个积极点。然而,有机改进剂在降低重金属可得性方面的作用不容忽视。
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引用次数: 1
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International Archives of Health Sciences
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