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The Effect of Impulsivity on Addition and Addictive Tendencies: A Meta-analysis 冲动性对成瘾倾向的影响:一项元分析
Pub Date : 2022-06-25 DOI: 10.5812/jhrt-120846
Najmeh Dezhkam, Mohammad Reza Zarbakhsh Bahri, Ali Khaneh Keshi
Background: Immature behaviors, including impulsivity and lack of control lead to personal and social pathologies, such as addiction. Methods: This meta-analysis study aimed to evaluate the effect of impulsivity on addition and addictive tendencies. This comprehensive interdisciplinary quantitative meta-analysis integrated the research findings regarding the effect of impulsivity on addiction and addictive tendencies based on secondary data. A checklist was developed for collecting data based on the article title, author specifications, publication year, setting, research type, hypothesis, data collection instrument, statistical population, sample size, significance level, and probability value to avoid bias in the study selection protocol. Results: The results of studies were divided into nine databases to calculate the effect size, and finally, 11 studies were analyzed. The descriptive data analysis and effect size calculation were performed in the Comprehensive Meta-Analysis Software (CMA) version 2.0. Based on the fixed-effects model, 0.153 of the studies contributed significantly to the actual fixed effect sizes. The difference in effect sizes was due to sampling error. The random-effects model (0.202) suggested the independence of the studies (P < 0.001) with moderate robustness. Conclusions: According to the results, the behavioral construct of impulsivity significantly and positively affected addictive behaviors and tendencies. Therefore, the mediating effect of impulsivity, promote resilience, and train protective strategies for individuals prone to addiction should be controlled to improve mental health quality and develop social, communication, and life skills.
背景:不成熟的行为,包括冲动和缺乏控制,会导致个人和社会的病态,如成瘾。方法:本荟萃分析研究旨在评估冲动性对成瘾倾向和成瘾倾向的影响。本综合跨学科定量荟萃分析综合了基于二手数据的冲动性对成瘾和成瘾倾向影响的研究结果。根据文章标题、作者规格、出版年份、环境、研究类型、假设、数据收集工具、统计总体、样本量、显著性水平和概率值制定数据收集清单,以避免研究选择方案中的偏倚。结果:将研究结果分成9个数据库计算效应量,最后对11项研究进行分析。描述性数据分析和效应量计算采用综合meta分析软件(CMA) 2.0版本。基于固定效应模型,0.153项研究对实际固定效应量有显著贡献。效应量的差异是由于抽样误差造成的。随机效应模型(0.202)表明研究的独立性(P < 0.001),稳健性中等。结论:冲动性行为构念对成瘾行为和倾向有显著正向影响。因此,控制冲动的中介作用,促进心理弹性,训练成瘾个体的保护策略,以提高心理健康质量,发展社交、沟通和生活技能。
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引用次数: 1
Comparison of Pregnancy Outcomes in Diabetic and Healthy Women 糖尿病妇女与健康妇女妊娠结局的比较
Pub Date : 2022-06-20 DOI: 10.5812/jhrt-119317
M. Jafari, Hadis Fattahi, Leila Sheikhy, Sodabeh Eskandari, M. Mirzaei-Alavijeh
Background: Gestational diabetes is the most prevalent metabolic disorder during pregnancy. Therefore, it is essential to recognize its outcomes and complications. Objectives: The present study aimed to compare pregnancy outcomes in diabetic and healthy women. Methods: This case-control study was conducted on 380 diabetic and healthy women, who were divided into two groups of 190, at Moatazedi Hospital in Kermanshah, Iran in 2019. The participants were selected via convenience sampling. Data were collected using a researcher-made checklist designed based on the family records of the participants. Data analysis was performed in SPSS version 22 using chi-square, Fisher’s exact test, and the Mann-Whitney U test. Results: A significant correlation was observed between gestational age, maternal body mass index, birth weight, infant’s height, mode of delivery (P < 0.01), preeclampsia (P = 0.01), and the family history of diabetes (P = 0.03) in the diabetic and healthy pregnant women. However, no significant correlation was denoted between the five- and 10-minute Apgar scores, maternal disorders, and maternal care during pregnancy. Conclusions: According to the results, gestational diabetes is associated with an increase rate of complications, which must be diminished through prevention and disease control to promote maternal and neonatal health.
背景:妊娠期糖尿病是妊娠期最常见的代谢紊乱。因此,必须认识到其结果和并发症。目的:本研究旨在比较糖尿病妇女和健康妇女的妊娠结局。方法:本病例对照研究于2019年在伊朗克尔曼沙阿Moatazedi医院将380名糖尿病和健康女性分为两组,每组190人。参与者采用方便抽样的方式进行选择。数据收集使用研究者根据参与者的家庭记录设计的检查表。数据分析采用SPSS version 22,采用卡方检验、Fisher精确检验和Mann-Whitney U检验。结果:糖尿病孕妇与健康孕妇的胎龄、母体体重指数、出生体重、婴儿身高、分娩方式(P < 0.01)、子痫前期(P = 0.01)、糖尿病家族史(P = 0.03)均有显著相关。然而,5分钟和10分钟Apgar评分、产妇疾病和孕期产妇护理之间没有显著的相关性。结论:妊娠期糖尿病与并发症发生率升高有关,必须通过预防和疾病控制来降低并发症发生率,促进孕产妇和新生儿健康。
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引用次数: 0
Corrigendum to "The Effect of 12 Weeks of Intense Interval Training on Changes in Adipose Levels and Visceral Adiposity Index in Women with Polycystic Ovary Syndrome" 对 "12 周高强度间歇训练对多囊卵巢综合征女性脂肪水平和内脏脂肪指数变化的影响 "的更正
Pub Date : 2022-06-12 DOI: 10.5812/jhrt-127663
Bahar Faryadian, N. Behpoor, V. Tadibi
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引用次数: 0
Correlation of Serum Ferritin, Vitamin D Levels, and Severity of Clinical Symptoms in Patients with COVID-19 COVID-19患者血清铁蛋白、维生素D水平与临床症状严重程度的相关性
Pub Date : 2022-05-07 DOI: 10.5812/ijhls-121083
A. Soroush, H. Abdollahzad, S. Vaziri, S. Bazargan, Nadya Baharirad
: Nowadays, the world is experiencing the COVID-19 pandemic. Iron deficiency anemia and vitamin D deficiency are two of the world's most prevalent health problems. Severe COVID-19 patients were found with elevated serum ferritin and decreased vitamin D levels. There is a need to investigate the possible roles of micronutrients in the severity and mortality of COVID-19. This descriptive-analytical cross-sectional study was conducted on 437 COVID-19 patients who were hospitalized from April to August 2020. Demographic, clinical, and laboratory data of the patients were collected. Medical experts determined the severity of the infection based on the severity of the clinical symptoms and the extent and degree of the lung infection. The data were analyzed using SPSS statistical software Version 16. The mean age of the participants was 60.74 ± 16.70 years old, and the most common comorbidities were diabetes type II (15.1%) and hypertension (12%). Shortness of breath (58.6%), anosmia (55.1%), and ageusia (45.1%) were the most common presenting symptoms. The mean serum vitamin D level was 28.86 ± 15.69 ng/mL, and vitamin D deficiency was found in 53% of patients. The mean serum ferritin level was 125.32 ± 97.99 for males and 302 ± 73.6 for females. Significant correlations were observed between serum vitamin D levels, lower oxygen saturation rate, and COVID–19 severity. A significant relationship was found between the serum ferritin levels and hospitalization duration (P < 0.05). Our findings indicated that COVID-19 patients treated in the hospital had a high prevalence of hypovitaminosis D. The severity of the disease was increased in patients with vitamin D deficiency and elevated serum ferritin levels.
当前,全球正在经历新冠肺炎大流行。缺铁性贫血和维生素D缺乏症是世界上最普遍的两种健康问题。重症患者血清铁蛋白升高,维生素D水平降低。有必要调查微量营养素在COVID-19严重程度和死亡率中的可能作用。本描述性分析横断面研究对2020年4月至8月住院的437例COVID-19患者进行了研究。收集患者的人口学、临床和实验室资料。医学专家根据临床症状的严重程度和肺部感染的程度来确定感染的严重程度。采用SPSS统计软件第16版对数据进行分析。参与者的平均年龄为60.74±16.70岁,最常见的合并症是II型糖尿病(15.1%)和高血压(12%)。呼吸短促(58.6%)、嗅觉缺失(55.1%)和衰老(45.1%)是最常见的症状。平均血清维生素D水平为28.86±15.69 ng/mL, 53%的患者存在维生素D缺乏。血清铁蛋白水平男性平均为125.32±97.99,女性平均为302±73.6。血清维生素D水平、低血氧饱和度与COVID-19严重程度之间存在显著相关性。血清铁蛋白水平与住院时间有显著相关(P < 0.05)。我们的研究结果表明,在医院治疗的COVID-19患者维生素D缺乏症患病率较高,维生素D缺乏症和血清铁蛋白水平升高的患者病情严重程度增加。
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引用次数: 0
A Model for Psychological Distress Based on Insecure Attachment Mediated by Alexithymia in Students at Islamic Azad Universities in Tehran 德黑兰伊斯兰大学学生述情障碍介导的不安全依恋心理困扰模型研究
Pub Date : 2022-05-07 DOI: 10.5812/ijhls-122195
M. Mahmoudi, H. Saberi, S. Bashardoust
Background: Individuals with alexithymia have a limited ability to adapt to stressful situations, leading to high levels of psychological distress, anxiety, and stress symptoms. Objectives: This study aimed to investigate the role of insecure attachment in psychological distress within Islamic Azad Universities of Tehran in 2020 by mediating alexithymia. Methods: The structural equation modeling (SEM) was used as the primary research method in this study. The study population included all university students between 20- and 40-years old studying at the Islamic Azad Universities of Tehran in the 2019 - 20 academic year. A total of 305 students was selected as samples using the multi-stage cluster sampling method. Several research tools were used, including the Depression Anxiety Stress Scale, the Experiences in Close Relationships-Revised (ECR-R), and the Toronto Alexithymia Scale (TAS-20). The data were analyzed using a correlation matrix in SPSS statistical software Version 24 and structural equation modeling (SEM) in Amos-26. Results: The results indicated that the insecure attachment style had a direst positive effect on the states of psychological distress (anxiety, stress, and depression) (P < 0.001). Alexithymia also played a mediating role in insecure attachment affecting psychological distress (P < 0.001). Conclusions: Results revealed in the correlation between insecure attachment and states of psychological distress mediated by the alexithymia. Given the importance of attachment style and alexithymia in the development of anxiety, stress, and depression, therapists are recommended to take these variables into account.
背景:述情障碍患者适应压力环境的能力有限,导致高水平的心理困扰、焦虑和压力症状。目的:本研究旨在通过调解述情障碍,探讨不安全依恋在2020年德黑兰伊斯兰阿扎德大学心理困扰中的作用。方法:以结构方程模型(SEM)为主要研究方法。研究人群包括2019 - 20学年在德黑兰伊斯兰阿扎德大学学习的所有20至40岁的大学生。采用多阶段整群抽样的方法,选取305名学生作为样本。使用了几种研究工具,包括抑郁焦虑压力量表,亲密关系经验-修订(ECR-R)和多伦多述情障碍量表(TAS-20)。采用SPSS统计软件Version 24中的相关矩阵和Amos-26中的结构方程模型(SEM)对数据进行分析。结果:不安全依恋类型对心理困扰状态(焦虑、压力和抑郁)有显著的正向影响(P < 0.001)。述情障碍在不安全依恋对心理困扰的影响中起中介作用(P < 0.001)。结论:结果揭示了不安全依恋与述情障碍介导的心理困扰状态的相关性。考虑到依恋类型和述情障碍在焦虑、压力和抑郁发展中的重要性,建议治疗师将这些变量考虑在内。
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引用次数: 1
What Is the Status of Academic Cynicism and Its Relationship with Academic Variables Among Kermanshah University of Medical Sciences Students? 克尔曼沙医科大学学生学术犬儒主义的现状及其与学术变量的关系
Pub Date : 2022-05-06 DOI: 10.5812/ijhls-122873
M. Mirzaei-Alavijeh, C. Jalili, Shohreh Farshid, Nafiseh Mirzaei-Alavijeh, Farnoosh Babakhani, F. Jalilian
Background: Academic cynicism means feeling tired because of demands and being pessimistic and unwilling about the texts and assignments. Objectives: The present study aimed to determine the correlation among academic cynicism and academic variables among Kermanshah University of Medical Sciences (KUMS) students. Methods: This cross-sectional study was conducted among 288 KUMS students in 2018, who were collected using simple random sampling method proportional to the selected sample size. The data were collected by a self-administered questionnaire and analyzed by nonparametric methods using SPSS Version 16. Results: The mean score of academic cynicism was as much as 11.48 ± 3.50, indicating that the participants obtained 57.4% of the maximum score of academic cynicism. According to results, there was a significant and inverse correlation among academic cynicism and academic achievement (r = -0.195). The mean rank of academic cynicism was significantly higher among MD students (P = 0.001) and dentistry (P = 0.008). Conclusions: Students received more than half of the possible score for academic cynicism, which was significant and inversely affected academic achievement. Therefore, developing, implementing, and evaluating interventions are essential to prevent and reduce academic cynicism among students.
背景:学术犬儒主义是指对要求感到厌倦,对文本和作业感到悲观和不情愿。目的:本研究旨在确定克尔曼沙医科大学(KUMS)学生学术愤世嫉俗与学术变量的相关性。方法:采用与所选样本量成比例的简单随机抽样方法,对2018年我校288名学生进行横断面研究。数据采用自填问卷收集,采用SPSS Version 16非参数方法进行分析。结果:学术犬儒主义平均分高达11.48±3.50分,占学术犬儒主义总分的57.4%。结果显示,学术犬儒主义与学业成绩呈显著负相关(r = -0.195)。医学研究生(P = 0.001)和牙科研究生(P = 0.008)对学术冷嘲热讽的平均排名显著高于医学研究生(P = 0.001)。结论:学生在学业冷嘲热讽方面获得了超过一半的可能得分,这对学业成绩有显著的负向影响。因此,制定、实施和评估干预措施对于预防和减少学生中的学术愤世嫉俗至关重要。
{"title":"What Is the Status of Academic Cynicism and Its Relationship with Academic Variables Among Kermanshah University of Medical Sciences Students?","authors":"M. Mirzaei-Alavijeh, C. Jalili, Shohreh Farshid, Nafiseh Mirzaei-Alavijeh, Farnoosh Babakhani, F. Jalilian","doi":"10.5812/ijhls-122873","DOIUrl":"https://doi.org/10.5812/ijhls-122873","url":null,"abstract":"Background: Academic cynicism means feeling tired because of demands and being pessimistic and unwilling about the texts and assignments. Objectives: The present study aimed to determine the correlation among academic cynicism and academic variables among Kermanshah University of Medical Sciences (KUMS) students. Methods: This cross-sectional study was conducted among 288 KUMS students in 2018, who were collected using simple random sampling method proportional to the selected sample size. The data were collected by a self-administered questionnaire and analyzed by nonparametric methods using SPSS Version 16. Results: The mean score of academic cynicism was as much as 11.48 ± 3.50, indicating that the participants obtained 57.4% of the maximum score of academic cynicism. According to results, there was a significant and inverse correlation among academic cynicism and academic achievement (r = -0.195). The mean rank of academic cynicism was significantly higher among MD students (P = 0.001) and dentistry (P = 0.008). Conclusions: Students received more than half of the possible score for academic cynicism, which was significant and inversely affected academic achievement. Therefore, developing, implementing, and evaluating interventions are essential to prevent and reduce academic cynicism among students.","PeriodicalId":304466,"journal":{"name":"Journal of Health Reports and Technology","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123706516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Rate and Causes of Claim Denials in Iranian Hospitals: A Systematic Review and Meta-analysis 伊朗医院拒绝索赔的比率和原因:系统回顾和荟萃分析
Pub Date : 2022-04-19 DOI: 10.5812/ijhls-121200
B. Ahadinezhad, Omid Khosravizadeh, Aisa Maleki, E. Ghanbari
Context: One of the most important income sources of hospitals is the payment of insurance organizations, part of which is not paid as deductions in Iran. Studies have reported different values for insurance deductions, proposing various reasons. Objectives: The present study aimed to provide the published evidence of these deductions and their causes over the past 13 years. Data Sources: This systematic review and meta-analysis was conducted in 2021. Data were collected via searching in databases such as Google Scholar, Scopus, PubMed, Web of Science, SID, Magiran, and Irandoc until August 2021 using keywords such as “deduction”, “medical deduction”, “hospital”, “medical center”, and “Iran”. Data Extraction: To calculate the pooled values of hospital deductions, a random-effects meta-analysis was performed in the Stata software version 15 at 95% confidence interval. In addition, the possible heterogeneity of the studies was evaluated using the I2 statistic, and a forest plot was also used to report the results. Publication bias was assessed using a funnel plot. Results: In total, 16 articles were included in the meta-analysis. The pooled percentage of deductions (PPCD) based on random effects was 5% (95% CI: 2.88 - 7.124), and the hypothesis was rejected (PPCD = 0; Z = 31.26; P = 0.000). Based on the random-effects method, the pooled prevalence of deductions was 45.21% (95% CI: 17.601 - 72.824). Moreover, the pooled prevalence of deductions (PPVD) was considered statistically significant (PPVD = 0; Z = 251.16; P = 0.000). The variation in ES attributable to heterogeneity (I2) was estimated at 99.6%, and documentation problems were considered the most common cause of deductions (17.96%). Conclusions: According to the results, the prevalence of deductions in Iranian public hospitals is significant, and the share of deductions from the bill claimed by the hospital is manageable, albeit small.
背景:医院最重要的收入来源之一是保险组织的付款,其中一部分在伊朗不作为扣除额支付。研究报告了保险扣除的不同价值,提出了各种原因。目的:本研究旨在提供过去13年来这些扣减及其原因的公开证据。数据来源:该系统综述和荟萃分析于2021年进行。截止到2021年8月,使用“扣除”、“医疗扣除”、“医院”、“医疗中心”和“伊朗”等关键词,通过搜索Google Scholar、Scopus、PubMed、Web of Science、SID、Magiran和Irandoc等数据库收集数据。数据提取:为了计算医院扣除的汇总值,在Stata软件版本15中以95%置信区间进行随机效应荟萃分析。此外,使用I2统计量评估研究可能的异质性,并使用森林样地报告结果。采用漏斗图评估发表偏倚。结果:meta分析共纳入16篇文章。基于随机效应的综合扣除百分比(PPCD)为5% (95% CI: 2.88 - 7.124),假设被拒绝(PPCD = 0;Z = 31.26;P = 0.000)。基于随机效应方法,扣除的总患病率为45.21% (95% CI: 17.601 ~ 72.824)。此外,扣除的总患病率(PPVD)被认为具有统计学意义(PPVD = 0;Z = 251.16;P = 0.000)。异质性(I2)导致的ES变异估计为99.6%,文件问题被认为是最常见的扣减原因(17.96%)。结论:根据研究结果,伊朗公立医院的扣除额普遍存在,医院从账单中扣除的份额虽然很小,但仍是可控的。
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引用次数: 1
Discovery of a Potent Inhibitor to Overcome Carbapenem Resistance in Pseudomonas aeruginosa Strains via Inhibition of VIM-2 Metallo-β-lactamases 一种抑制铜绿假单胞菌对碳青霉烯耐药的有效抑制剂的发现
Pub Date : 2022-04-02 DOI: 10.5812/ijhls.121109
Seyedeh Sara Moosavi, M. Madani, Sako Mirzaie, N. Hosseini Jazani
Background: Mutations in bacteria frequently occur that display a crucial need for new antimicrobial agents. Metallo-β-lactamases (MBLs) are a growing threat to maintaining the effectiveness of beta-lactam antibiotics. Resistance to beta-lactam antibiotics is one of the most common types of antibiotic resistance, which causes the ineffectiveness of antibiotics. Objectives: This study aimed to identify a novel inhibitor using molecular dynamics simulations to inhibit VIM-2 Metallo-β-lactamases and overcome carbapenem resistance in Pseudomonas aeruginosa strains. Methods: Computational biology tools were employed for this study, including molecular dynamics, binding free energy, virtual screening, and docking. Natural compounds were taken from the ZINC databank and prepared. At the next stage, the prepared compounds were screened based on docking energy in the active site of VIM-2 MBL by Schrödinger (Maestro) software, and better compounds were selected. Captopril was chosen as a positive control inhibitor for VIM-2 MBLs. Ultimately, molecular dynamics simulations were performed using GROMACS software, and outputs were analyzed. Results: Maestro software's screening results showed that ZINC00517765 was the best inhibitor with -12.29 kcal mol-1 docking energy. The ADME investigations revealed that ZINC00517765 had an appropriate range of pharmacokinetics, lipophilicity, and drug-likeness features as an inhibitor of VIM-2 MBL. Molecular dynamics outcomes explicated that VIM-2 MBL in the presence of ZINC00517765 had better stability during simulation. The results of the MM-PBSA study illustrated that ZINC00517765 with -72.29 kJ mol-1 binding free energy was more potent than Captopril with -23.39 kJ mol-1. Conclusions: This study showed that VIM-2 MBL in the presence of ZINC00517765 has suitable stability during simulation. Also, more hydrogen bonds and stronger binding free energy than Captopril confirm that ZINC00517765 is a proper candidate for further studies and laboratory investigation.
背景:细菌突变频繁发生,显示出对新型抗菌药物的迫切需求。金属β-内酰胺酶(MBLs)是维持β-内酰胺类抗生素有效性的日益严重的威胁。对-内酰胺类抗生素的耐药性是最常见的抗生素耐药性之一,它导致抗生素无效。目的:通过分子动力学模拟,寻找一种新的抑制铜绿假单胞菌VIM-2金属β-内酰胺酶的抑制剂,克服其对碳青霉烯类药物的耐药性。方法:采用分子动力学、结合自由能、虚拟筛选、对接等计算生物学工具进行研究。从锌数据库中提取天然化合物制备。下一步,通过Schrödinger (Maestro)软件根据VIM-2 MBL活性位点的对接能量对制备的化合物进行筛选,筛选出较好的化合物。选择卡托普利作为VIM-2 MBLs的阳性对照抑制剂。最后,使用GROMACS软件进行分子动力学模拟,并对输出结果进行分析。结果:Maestro软件筛选结果显示,ZINC00517765为最佳抑制剂,对接能为-12.29 kcal mol-1。ADME研究显示,ZINC00517765作为VIM-2 MBL抑制剂具有合适的药代动力学、亲脂性和药物相似性特征。分子动力学结果表明,ZINC00517765存在时,VIM-2 MBL具有更好的稳定性。MM-PBSA研究结果表明,结合自由能为-72.29 kJ mol-1的ZINC00517765比结合自由能为-23.39 kJ mol-1的卡托普利更有效。结论:本研究表明,在ZINC00517765的存在下,VIM-2 MBL在模拟过程中具有合适的稳定性。此外,与卡托普利相比,ZINC00517765具有更多的氢键和更强的结合自由能,这证实了ZINC00517765是进一步研究和实验室研究的合适候选者。
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引用次数: 0
Role of Organizational Silence in the Professional Performance of Frontline Staff in the Hospital Structure: A Path Analysis 组织沉默对医院结构中一线员工专业绩效的影响:路径分析
Pub Date : 2022-03-19 DOI: 10.5812/ijhls.121301
Omid Khosravizadeh, B. Ahadinezhad, S. Shahsavari, Maryam Ghiasvand, M. Mehri
Background: Performance is the primary concern of every organizational manager, and achieving higher performance is a significant goal of every organization. Organizational silence may adversely affect organizational performance. Healthcare centers should pay special attention to this issue due to their different job descriptions and environments compared to other sectors. Objectives: The present study aimed to investigate the effect of organizational silence and its dimensions on the professional performance of health workers in the medical centers in Qazvin province, Iran in 2020. Methods: This was a descriptive-analytical study in terms of objective and a cross-sectional study in terms of design. The study was conducted in the medical centers affiliated to Qazvin University of Medical Sciences. In total, 365 questionnaires were distributed to select a sample of the healthcare workers from the selected centers in proportion to the total number of the staff. Data analysis was performed in SPSS version 22 using path analysis at the significance level of 0.05. Results: A significant, inverse (negative) correlation was observed between organizational silence and the professional performance of the staff (P < 0.05). Among various dimensions of organizational silence, the highest and lowest mean scores belonged to acquiescent silence (15.633 ± 4.291) and altruistic silence (12.180 ± 3.719), respectively. As for the dimensions of professional performance, the highest and lowest mean scores belonged to evaluation (29.675 ± 6.071) and help (15.087 ± 3.206), respectively. Conclusions: Based on the findings, it is recommended that the organizational atmosphere of the medical centers be improved so that the healthcare workers could provide feedback without concerns of being criticized by colleagues and superiors and the fear of consequences.
背景:绩效是每个组织管理者最关心的问题,实现更高的绩效是每个组织的重要目标。组织沉默可能对组织绩效产生负面影响。由于医疗保健中心的工作描述和环境与其他部门不同,因此应特别注意此问题。目的:本研究旨在调查组织沉默及其维度对2020年伊朗加兹温省医疗中心卫生工作者专业绩效的影响。方法:目的为描述性分析研究,设计为横断面研究。这项研究是在卡兹温医学科学大学附属的医学中心进行的。总共分发了365份问卷,以按工作人员总数的比例从选定的中心选择卫生保健工作者样本。数据分析采用SPSS version 22,采用通径分析,显著性水平为0.05。结果:组织沉默与员工职业绩效呈显著负相关(P < 0.05)。在组织沉默的各维度中,平均得分最高的是默认性沉默(15.633±4.291)分,最低的是利他性沉默(12.180±3.719)分。在专业绩效维度上,平均得分最高的为评价(29.675±6.071)分,最低的为帮助(15.087±3.206)分。结论:根据研究结果,建议改善医疗中心的组织氛围,使医护人员可以在不担心被同事和上级批评和害怕后果的情况下提供反馈。
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引用次数: 1
Restarting Medical Tourism in the COVID-19 Pandemic: A Strategic-based Approach 在COVID-19大流行中重新启动医疗旅游:基于战略的方法
Pub Date : 2022-03-15 DOI: 10.5812/ijhls.117932
H. Mosazadeh, Farshad Faezi Razi, Masoud Lajevardi, H. Mousazadeh, A. Ghorbani, Farahnaz Akbarzadeh Almani, Faranak Shiran
: The present study had a twofold objective, including the reconceptualization of medical tourists’ perceived risk in the COVID-19 pandemic and developing strategies to reduce medical tourists’ perceived risk during the pandemic. These two steps were referred to as a strategic-based approach. The first step defines medical tourists’ perceived risk as the subjective/cognitive (mind-driven) expectations and objective/actual (real-image driven) evaluation of the negative consequences/losses before/after making travel decisions to an unsafe COVID-19 destination. Following that, the associated dimensions were identified, such as psychological, financial, health, legal, performance, facility, and time risks. Finally, two main strategies (country-based and hospital-/clinic-based) were developed to create a safe COVID-19 destination. This study could make significant theoretical and practical contributions to strategic medical tourism management.
本研究具有双重目的,包括重新定义COVID-19大流行期间医疗游客的感知风险,并制定策略降低医疗游客在大流行期间的感知风险。这两个步骤被称为基于战略的方法。第一步将医疗游客的感知风险定义为在做出前往不安全的COVID-19目的地的旅行决定之前/之后对负面后果/损失的主观/认知(思想驱动)期望和客观/实际(真实图像驱动)评估。随后,确定了相关方面,如心理、财务、健康、法律、绩效、设施和时间风险。最后,制定了两项主要战略(以国家为基础和以医院/诊所为基础),以创建一个安全的COVID-19目的地。本研究对战略性医疗旅游管理具有重要的理论和实践意义。
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引用次数: 6
期刊
Journal of Health Reports and Technology
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