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The Effect of the New Service Package of Integrated Healthy Child Care on the Health Indicators of Children in Tuiserkan City 健康儿童综合护理新服务包对图色尔干市儿童健康指标的影响
Pub Date : 2023-12-01 DOI: 10.61186/j.health.14.3.356
M. Maniei, A.A Nasiripour, M. Riahifar
Background & objectives: The issue of child health is considered one of the essential priorities of the health policy makers of countries around the world. Therefore, to reflect the results of implementing a comprehensive program on children's health, the present study assessed the effect of a new integrated care package for healthy children on children's health indicators. Methods: This descriptive and analytical study was conducted cross-sectionally and comprehensively in the population of children under five years of age (during 1398-1400) in 1401. Data collection tools included information collection checklists based on research objectives. The data were calculated as percentages and amounts and analyzed with the Wilcoxon test and SPSS-26 software at an error level of less than 0.05. Results: Between the implementation of the healthy child program and the mortality rate of children under one-year-old ( p =0.025), under five years mortality rate ( p =0.002), 1-59 months mortality rate ( p =0.008 p-value), developmental screening of children ( p = 0.001), vaccination coverage ( p =0.001) and child care coverage ( p =0.005) a significant relationship was obtained, but with the infant mortality rate ( p =0.317) and child's visit by a doctor ( p =0.083) no significant association was observed. Conclusion: Implementing the new healthy child package reduces mortality indicators and increases care indicators and developmental screenings of children. Since health indicators are one of the most important criteria in evaluating the health of society, implementing the new child package is necessary to be healthy qualitatively and quantitatively.
背景与目标:儿童健康问题被认为是世界各国卫生政策制定者的首要任务之一。因此,为了反映儿童健康综合计划的实施效果,本研究评估了新的健康儿童综合护理套餐对儿童健康指标的影响。研究方法:这项描述性和分析性研究对 1401 年的五岁以下儿童(1398-1400 年期间)进行了横截面综合分析。数据收集工具包括基于研究目标的信息收集核对表。数据以百分比和数量计算,并通过 Wilcoxon 检验和 SPSS-26 软件进行分析,误差水平小于 0.05。结果健康儿童计划的实施与一岁以下儿童死亡率(P =0.025)、五岁以下儿童死亡率(P =0.002)、1-59 个月儿童死亡率(P =0.008)、儿童发育筛查(P = 0.001)、疫苗接种覆盖率(p =0.001)和儿童保育覆盖率(p =0.005)有显著关系,但与婴儿死亡率(p =0.317)和儿童看医生(p =0.083)没有显著关系。结论实施新的儿童健康一揽子计划降低了死亡率指标,提高了护理指标和儿童发育筛查指标。由于健康指标是评价社会健康状况的最重要标准之一,因此,要从质量和数量上实现健康,就必须实施新的儿童套餐。
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引用次数: 0
Presenting the Health Promotion Model based on Media Literacy of the Educational Staff of Ardabil University of Medical Sciences with the Approach of Grounded Theory 用基础理论方法介绍基于阿尔达比勒医科大学教职员工媒体素养的健康促进模式
Pub Date : 2023-12-01 DOI: 10.61186/j.health.14.3.267
R. Afrooz, T. Soleimani, J. Hatami, Y. Namvar
Background & objectives: Every society has a degree of media literacy about health, and the media are the most prominent educators, especially in health. In the meantime, the nature of the jobs of hospital and medical training centre employees is such that they always face health challenges. Since the close relationship between media and human health is undeniable, this research aimed to present a health promotion model based on the media literacy of the educational staff of Ardabil University of Medical Sciences. Methods: The research method was a qualitative content analysis based on "grounded theory", and the research tool was a semi-structured in-depth interview with the statistical community consisting of experts and prominent professors in the field of health and media, with a purposeful method compared to the selection of statistical samples. The theoretical saturation step was carried out in the data with ten samples. Data analysis was done through coding inspired by Glosser's theory and using MaxQDA software, and then the categories related to the model were extracted. Results: According to the results, in open coding, there were 258 primary codes; in axial coding, 44 major categories; and in selective coding, eight core categories in the form of causal, contextual, intervening conditions, strategies/measures, consequence and central phenomenon. (Health based on media literacy) were classified. To achieve the research goals based on data-based theorizing, health literacy is the main phenomenon as a logical model. It relies on its understanding of conditions (causal, contextual and intervening), specific strategies/measures and consequences. Conclusion: The research results show that by moving towards this model, we can witness a fundamental improvement in health based on the media literacy of the educational staff of Ardabil University of Medical Sciences.
背景与目标:每个社会都有一定程度的健康媒体素养,媒体是最主要的教育者,尤其是在健康方面。同时,医院和医学培训中心员工的工作性质决定了他们总是面临着健康方面的挑战。媒体与人类健康之间的密切关系毋庸置疑,因此本研究旨在根据阿尔达比勒医科大学教职员工的媒体素养,提出一种健康促进模式。研究方法研究方法是基于 "基础理论 "的定性内容分析,研究工具是对由健康和媒体领域的专家和著名教授组成的统计群体进行的半结构式深度访谈,与选择统计样本相比,采用了有目的的方法。对十个样本的数据进行了理论饱和步骤。在格洛瑟理论的启发下,使用 MaxQDA 软件通过编码进行数据分析,然后提取与模型相关的类别。结果结果显示,在开放式编码中,有 258 个一级编码;在轴向编码中,有 44 个主要类别;在选择性编码中,有 8 个核心类别,即因果关系、背景、干预条件、策略/措施、后果和中心现象。(基于媒体素养的健康)进行了分类。为了实现基于数据理论化的研究目标,健康素养是作为逻辑模型的主要现象。它依赖于对条件(因果、背景和干预)、具体策略/措施和后果的理解。结论:研究结果表明,通过采用这一模式,我们可以看到阿尔达比勒医科大学教职员工的媒体素养从根本上改善了健康状况。
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引用次数: 0
Application of Active Teaching Methods in Medical Education 积极教学法在医学教育中的应用
Pub Date : 2023-12-01 DOI: 10.61186/j.health.14.3.335
M. Abolghasemi, Gh Sharifirad, M. Zeighami
Background & objectives: With the emergence of the new disease of COVID-19, it seemed necessary to explore the application of teaching methods to provide methods of study, treatment, prevention, and new medical findings, including the production of drugs and vaccines. This study aims to investigate the application of new teaching methods in medical education, which are rarely used in medical education, to improve the quality of medical education. Method: This research is a comprehensive review study in which related articles were searched and collected using reliable databases such as Scopus, PubMed and Web of Science. After examining teaching approaches, new teaching methods were extracted, and their application in medical science education was studied. Results: Based on the findings of the research, using new teaching methods such as concept maps, team-based, games, and clinical environments, based on the best evidence, electronic and combined in medical science education, can add skills of critical thinking, problem-solving, decision-making, interpersonal skills, learning and improvement of human resources. Conclusion: Using new teaching methods in medical education can facilitate and deepen learning and knowledge exchange and ultimately increase the achievement of educational goals by increasing learners' motivation, improving the level of learning, group interaction, team decision-making, and better understanding of concepts and problem-solving. In the era of emerging epidemics such as Corona, where even the need to create transnational educational approaches seems necessary, and the field of application of these methods can be expanded and strengthened.
背景与目标:随着 COVID-19 这一新疾病的出现,似乎有必要探索教学方法的应用,以提供研究、治疗、预防和新医学发现的方法,包括药物和疫苗的生产。本研究旨在调查医学教育中很少使用的新教学方法在医学教育中的应用,以提高医学教育质量。方法:本研究是一项综合性综述研究,使用 Scopus、PubMed 和 Web of Science 等可靠数据库搜索和收集相关文章。在对教学方法进行研究后,提取了新的教学方法,并对其在医学教育中的应用进行了研究。研究结果根据研究结果,在医学科学教育中使用概念图、团队式、游戏和临床环境等基于最佳证据、电子化和组合的新型教学方法,可以增加批判性思维、解决问题、决策、人际交往技能、学习和提高人力资源等方面的技能。结论:在医学教育中使用新的教学方法可以促进和深化学习和知识交流,并通过提高学习者的积极性、改善学习水平、小组互动、团队决策、更好地理解概念和解决问题,最终提高教育目标的实现。在科罗娜等流行病不断出现的时代,甚至有必要创建跨国教育方法,这些方法的应用领域可以得到扩大和加强。
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引用次数: 0
Providing a Human Resource Management Model for Hamedan University of Medical Sciences Hospitals Based on the Pathology of Accreditation Standards 根据评审标准病理学为哈马丹医科大学医院提供人力资源管理模式
Pub Date : 2023-12-01 DOI: 10.61186/j.health.14.3.280
O. Zare, A. Aghighi, A. slambolchi
Background & objectives: The impact of human resource management is very important in the success of hospitals in providing quality and safe services. Currently, the status of human resources management components is assessed through the accreditation program in hospitals. This research was conducted along with the pathology of accreditation standards, aiming to present a human resources management model in Hamadan University of Medical Sciences hospitals. Methods: This research is applied and exploratory in terms of its purpose. Qualitative and quantitative data were collected from the selected statistical community of the employees and managers of the hospitals of Hamedan University of Medical Sciences in 2022 using a questionnaire. To analyze the data, open coding, axial coding and selective coding, Kolmogorov-Smirnov tests, one-sample T, Kendall's coefficient, confirmatory factor analysis and structural equations were used by SPSS version 25 and PLS version 3 software. Results: The model presented in the study includes three dimensions (structural, behavioural and contextual), 84 components and 13 indicators. There is a direct and meaningful relationship between the dimensions, components and indicators of the human resources management model of Hamedan University of Medical Sciences hospitals. In examining the fit of the model, the quality of the structural model of the research was evaluated as strong. Conclusion: The functions of human resources are related to each other based on the components of each of the three structural, behavioural and contextual dimensions. In addition, indicators in the field of human resources can cause the growth and development of the working forces in hospitals. Managers of hospitals should have a correct analysis of their structural situation and organizational framework to better understand possible damages to it.
背景与目标:人力资源管理对医院成功提供优质安全的服务非常重要。目前,医院通过评审项目来评估人力资源管理的状况。本研究是根据评审标准的病理学进行的,旨在介绍哈马丹医科大学医院的人力资源管理模式。研究方法:本研究是应用性和探索性研究。通过问卷调查的方式,从哈马丹医科大学医院 2022 年员工和管理人员的选定统计群体中收集定性和定量数据。数据分析采用开放式编码、轴向编码和选择性编码、Kolmogorov-Smirnov 检验、单样本 T、Kendall's 系数、确证因子分析和结构方程,并使用 SPSS 25 版和 PLS 3 版软件。研究结果本研究提出的模型包括三个维度(结构、行为和环境)、84 个组成部分和 13 个指标。哈马丹医科大学医院人力资源管理模型的维度、组成部分和指标之间存在直接而有意义的关系。在考察模型的拟合度时,研究的结构模型质量被评价为较强。结论根据结构、行为和环境三个维度中每一个维度的组成部分,人力资源的各项职能相互关联。此外,人力资源领域的指标可以促进医院工作力量的成长和发展。医院管理者应正确分析其结构状况和组织框架,以便更好地了解可能对其造成的损害。
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引用次数: 0
Validating a Questionnaire for Community Participation in the Prevention and Control of Non-communicable Diseases 验证社区参与预防和控制非传染性疾病的调查问卷
Pub Date : 2023-12-01 DOI: 10.61186/j.health.14.3.321
E. Talebi, F. Dabbaghi, Gh Mahmoudi
Background & objectives: Considering that many risk factors of non-communicable diseases are rooted in people's lifestyles, the role and importance of society's participation in preventing and controlling these diseases is more evident than before. The present study was conducted to design and determine the validity and reliability of a questionnaire on ways to attract community participation in preventing and managing non-communicable diseases. Methods: This descriptive-applied study was conducted in 2022. The initial questionnaire was prepared based on the data from a combined research consisting of comparative study stages, interviews with experts and Delphi. Content validity was measured using a panel of 15 experts, the content validity ratio (CVR), and the content validity index (CVI). The test-retest method was utilized to determine the reliability of the questionnaire in a sample of 30 people. Data analysis was done using SPSS 20 software. Results: The final questionnaire with 52 items to attract people's participation in preventing non-communicable diseases was confirmed with a total content validity index score of 0.98 and a content validity ratio of 0.84. The results of Spearman's correlation coefficients for the seven questionnaire dimensions showed the acceptable reliability of the questionnaire components. Conclusion: Since the designed questionnaire obtained acceptable validity and reliability, it can be used confidently to determine community participation requirements in preventing non-communicable diseases.
背景与目标:考虑到许多非传染性疾病的风险因素植根于人们的生活方式,社会参与预防和控制这些疾病的作用和重要性比以往更加明显。本研究旨在设计并确定一份关于如何吸引社会参与预防和管理非传染性疾病的调查问卷的有效性和可靠性。方法:这项描述性应用研究于 2022 年进行。最初的问卷是根据由比较研究阶段、专家访谈和德尔菲法组成的综合研究的数据编制的。由 15 位专家组成的小组、内容效度比(CVR)和内容效度指数(CVI)对内容效度进行了测量。在 30 人的样本中采用了重复测试法来确定问卷的可靠性。数据分析采用 SPSS 20 软件进行。结果最终的问卷包含 52 个项目,以吸引人们参与预防非传染性疾病,其内容效度指数总分为 0.98,内容效度比为 0.84。问卷七个维度的斯皮尔曼相关系数结果显示,问卷各组成部分的信度均可接受。结论由于设计的问卷获得了可接受的效度和信度,因此可以放心地用于确定预防非传染性疾病的社区参与要求。
{"title":"Validating a Questionnaire for Community Participation in the Prevention and Control of Non-communicable Diseases","authors":"E. Talebi, F. Dabbaghi, Gh Mahmoudi","doi":"10.61186/j.health.14.3.321","DOIUrl":"https://doi.org/10.61186/j.health.14.3.321","url":null,"abstract":"Background & objectives: Considering that many risk factors of non-communicable diseases are rooted in people's lifestyles, the role and importance of society's participation in preventing and controlling these diseases is more evident than before. The present study was conducted to design and determine the validity and reliability of a questionnaire on ways to attract community participation in preventing and managing non-communicable diseases. Methods: This descriptive-applied study was conducted in 2022. The initial questionnaire was prepared based on the data from a combined research consisting of comparative study stages, interviews with experts and Delphi. Content validity was measured using a panel of 15 experts, the content validity ratio (CVR), and the content validity index (CVI). The test-retest method was utilized to determine the reliability of the questionnaire in a sample of 30 people. Data analysis was done using SPSS 20 software. Results: The final questionnaire with 52 items to attract people's participation in preventing non-communicable diseases was confirmed with a total content validity index score of 0.98 and a content validity ratio of 0.84. The results of Spearman's correlation coefficients for the seven questionnaire dimensions showed the acceptable reliability of the questionnaire components. Conclusion: Since the designed questionnaire obtained acceptable validity and reliability, it can be used confidently to determine community participation requirements in preventing non-communicable diseases.","PeriodicalId":506400,"journal":{"name":"Journal of Health and Hygiene","volume":"62 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139188207","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
Determining the Efficacy of Ethanolic, Ethyl Acetate and Chloroform Extracts of Thymus Vulgaris and Nepeta Binaloudensis Medicinal Plants on the Inhibition and Removal of Standard Bacteria from Aquatic Environments 确定百里香和白头翁药用植物乙醇、乙酸乙酯和氯仿提取物对抑制和清除水生环境中标准细菌的功效
Pub Date : 2023-12-01 DOI: 10.61186/j.health.14.3.258
S.M Mousavi S.M, H. Kamani, G. Bagheri, L. Mohammadi, A. Dargahi
Background & objectives: Investigating the antimicrobial effects of medicinal plant extracts is important in terms of efficiency in removing or reducing water and wastewater bacteria. Plant extract can be used as a natural and affordable disinfectant. This study aims to determine the minimum inhibitory concentration (MIC) and minimum lethal concentration (MBC) based on the extracts of Thymus vulgaris and Nepeta binaloudensis medicinal plants. Methods: The type of study in this research was experimental and of laboratory type. Water samples containing bacteria were used as the studied population. To carry out this research, three types of ethanolic, chloroform and ethyl acetate extracts related to the aerial parts of two medicinal plants, Thymus vulgaris and Nepeta binaloudensis, were prepared using rotary and seven standard bactericidal strains relating to water and wastewater were investigated. Five different concentrations of 3.1, 6.25, 12.5, 25 and 50 ppm were used on bacteria to determine the minimum inhibitory concentration (MIC) and minimum lethal concentration (MBC) by microdilution method. SPSS16 software and a one-way variance test were used for data analysis. Results: The results showed that for the Thymus vulgaris plant, the lowest inhibitory concentration and the lowest lethal concentration are related to all three types of extracts. Therefore, Listeria monocytogenes and Shigella dysenteriae bacteria were inhibited and eliminated at concentrations of 3.1 ppm and 6.25 ppm, respectively. The lowest inhibitory concentration and the lowest lethal concentration were related to the extract of chloroform and ethyl acetate, which inhibited and eliminated Shigella dysenteriae and E. coli bacteria at concentrations of 3.1 and 6.25 ppm, respectively. The ethanolic extract of St. John's wort did not affect Shigella dysenteriae bacteria. Conclusion: This study showed that the Thymus vulgaris plant has better potential for antibacterial properties and disinfection for water and wastewater. Therefore, the compounds of this plant can be used for future studies to design an antimicrobial agent as an alternative to chemical disinfectants.
背景与目标:研究药用植物萃取物的抗菌效果对于有效去除或减少水和废水中的细菌非常重要。植物萃取物可用作天然且经济实惠的消毒剂。本研究旨在确定基于粗百里香(Thymus vulgaris)和白头翁(Nepeta binaloudensis)药用植物提取物的最低抑菌浓度(MIC)和最低致死浓度(MBC)。研究方法研究类型为实验室实验。研究对象为含有细菌的水样。为了开展这项研究,我们使用旋转法制备了三种乙醇、氯仿和乙酸乙酯提取物,分别与两种药用植物百里香(Thymus vulgaris)和白头翁(Nepeta binaloudensis)的气生部分有关,并调查了与水和废水有关的七种标准杀菌菌株。通过微量稀释法,对细菌使用了 3.1、6.25、12.5、25 和 50 ppm 五种不同浓度,以确定最低抑菌浓度 (MIC) 和最低致死浓度 (MBC)。数据分析采用 SPSS16 软件和单因素方差检验。结果结果表明,百里香植物的最低抑菌浓度和最低致死浓度均与三种提取物有关。因此,单核细胞增生李斯特氏菌和痢疾志贺氏菌分别在百万分之 3.1 和百万分之 6.25 的浓度下被抑制和消灭。最低抑菌浓度和最低致死浓度与氯仿和乙酸乙酯提取物有关,它们对痢疾志贺氏菌和大肠杆菌的抑制和消除浓度分别为 3.1 ppm 和 6.25 ppm。圣约翰草乙醇提取物对志贺痢疾杆菌没有影响。结论这项研究表明,百里香植物具有更好的抗菌和消毒水和废水的潜力。因此,这种植物的化合物可用于未来的研究,以设计一种抗菌剂,替代化学消毒剂。
{"title":"Determining the Efficacy of Ethanolic, Ethyl Acetate and Chloroform Extracts of Thymus Vulgaris and Nepeta Binaloudensis Medicinal Plants on the Inhibition and Removal of Standard Bacteria from Aquatic Environments","authors":"S.M Mousavi S.M, H. Kamani, G. Bagheri, L. Mohammadi, A. Dargahi","doi":"10.61186/j.health.14.3.258","DOIUrl":"https://doi.org/10.61186/j.health.14.3.258","url":null,"abstract":"Background & objectives: Investigating the antimicrobial effects of medicinal plant extracts is important in terms of efficiency in removing or reducing water and wastewater bacteria. Plant extract can be used as a natural and affordable disinfectant. This study aims to determine the minimum inhibitory concentration (MIC) and minimum lethal concentration (MBC) based on the extracts of Thymus vulgaris and Nepeta binaloudensis medicinal plants. Methods: The type of study in this research was experimental and of laboratory type. Water samples containing bacteria were used as the studied population. To carry out this research, three types of ethanolic, chloroform and ethyl acetate extracts related to the aerial parts of two medicinal plants, Thymus vulgaris and Nepeta binaloudensis, were prepared using rotary and seven standard bactericidal strains relating to water and wastewater were investigated. Five different concentrations of 3.1, 6.25, 12.5, 25 and 50 ppm were used on bacteria to determine the minimum inhibitory concentration (MIC) and minimum lethal concentration (MBC) by microdilution method. SPSS16 software and a one-way variance test were used for data analysis. Results: The results showed that for the Thymus vulgaris plant, the lowest inhibitory concentration and the lowest lethal concentration are related to all three types of extracts. Therefore, Listeria monocytogenes and Shigella dysenteriae bacteria were inhibited and eliminated at concentrations of 3.1 ppm and 6.25 ppm, respectively. The lowest inhibitory concentration and the lowest lethal concentration were related to the extract of chloroform and ethyl acetate, which inhibited and eliminated Shigella dysenteriae and E. coli bacteria at concentrations of 3.1 and 6.25 ppm, respectively. The ethanolic extract of St. John's wort did not affect Shigella dysenteriae bacteria. Conclusion: This study showed that the Thymus vulgaris plant has better potential for antibacterial properties and disinfection for water and wastewater. Therefore, the compounds of this plant can be used for future studies to design an antimicrobial agent as an alternative to chemical disinfectants.","PeriodicalId":506400,"journal":{"name":"Journal of Health and Hygiene","volume":"47 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139188340","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
Assessment of the Quality of Water Resources around the Municipal Solid Waste Landfill in Langarud in 2021 2021 年兰加鲁德城市固体废物填埋场周边水资源质量评估
Pub Date : 2023-12-01 DOI: 10.61186/j.health.14.3.311
A. Aghaee, M. Alighdari, Y. Poureshgh, M. Vosoughi Niri, A. Abbasi Ghahramanloo, S. Omidi
Background & objectives: Water resources are often exposed to pollutants related to urban waste disposal. This study aimed to determine the quality of water sources around the landfill of Langrod City in 2021. Methods: Methodology: This cross-sectional study selected two springs upstream, two water sources (well and spring) downstream of the landfill site, and a river (with two sampling stations) near the landfill site as the studied water sources. Sampling and analysis of physical (temperature, turbidity and TSS), chemical (pH, EC, TDS, BOD5, COD, nitrate, sulfate and heavy metals) and microbial (coliform and E.coli) parameters of water quality and soil samples of the region with Standard methods were performed. The data were analyzed by comparison with Iranian standards, Schuler and Wilcox indices. Results: In all water samples, the turbidity was more than the desired level, and the concentration of all chemical parameters was lower than MCL in the Iranian standard for drinking and irrigation. In the downstream well of the landfill, the total concentration of nitrite and nitrate measured compared to the recommended values in drinking water was almost four times the Iranian standard. The number of coliform and E. coli in all water sources was higher than the permissible limit of Iran's standard for drinking. The quality of all water samples, based on the Schuler diagram (drinking), was acceptable to good, and according to the Wilcox index, except for the downstream river of the landfill, they were in the medium salty category and were relatively suitable for agriculture. Conclusion: The quality of water sources upstream and downstream of the Langrod urban waste landfill site was similar, and the water quality of the river downstream of the landfill was high salty and suitable for agriculture with the necessary considerations (drainage).
背景与目标:水资源经常受到与城市垃圾处理有关的污染物的影响。本研究旨在确定 2021 年兰格罗德市垃圾填埋场周围的水源质量。研究方法方法:这项横断面研究选择了垃圾填埋场上游的两处泉水、下游的两处水源(水井和泉水)以及垃圾填埋场附近的一条河流(设有两个采样站)作为研究水源。采用标准方法对该地区水质和土壤样本的物理(温度、浊度和 TSS)、化学(pH 值、EC 值、TDS、BOD5、COD、硝酸盐、硫酸盐和重金属)和微生物(大肠菌群和大肠杆菌)参数进行了采样和分析。数据通过与伊朗标准、舒勒指数和威尔科克斯指数进行比较分析。结果:所有水样的浊度都超过了预期水平,所有化学参数的浓度都低于伊朗饮用和灌溉标准中的 MCL。在垃圾填埋场下游的水井中,测量到的亚硝酸盐和硝酸盐总浓度与饮用水建议值相比,几乎是伊朗标准的四倍。所有水源中的大肠菌群和大肠杆菌数量均高于伊朗饮用水标准的允许限值。根据舒勒图(饮用),所有水样的水质均为合格至良好,而根据威尔科克斯指数,除垃圾填埋场下游河流外,其他水样的水质均为中盐度,相对适合农业生产。结论兰洛德城市垃圾填埋场上游和下游的水源水质相似,填埋场下游河流的水质为高盐度,在考虑到必要的因素(排水)后,适合农业用水。
{"title":"Assessment of the Quality of Water Resources around the Municipal Solid Waste Landfill in Langarud in 2021","authors":"A. Aghaee, M. Alighdari, Y. Poureshgh, M. Vosoughi Niri, A. Abbasi Ghahramanloo, S. Omidi","doi":"10.61186/j.health.14.3.311","DOIUrl":"https://doi.org/10.61186/j.health.14.3.311","url":null,"abstract":"Background & objectives: Water resources are often exposed to pollutants related to urban waste disposal. This study aimed to determine the quality of water sources around the landfill of Langrod City in 2021. Methods: Methodology: This cross-sectional study selected two springs upstream, two water sources (well and spring) downstream of the landfill site, and a river (with two sampling stations) near the landfill site as the studied water sources. Sampling and analysis of physical (temperature, turbidity and TSS), chemical (pH, EC, TDS, BOD5, COD, nitrate, sulfate and heavy metals) and microbial (coliform and E.coli) parameters of water quality and soil samples of the region with Standard methods were performed. The data were analyzed by comparison with Iranian standards, Schuler and Wilcox indices. Results: In all water samples, the turbidity was more than the desired level, and the concentration of all chemical parameters was lower than MCL in the Iranian standard for drinking and irrigation. In the downstream well of the landfill, the total concentration of nitrite and nitrate measured compared to the recommended values in drinking water was almost four times the Iranian standard. The number of coliform and E. coli in all water sources was higher than the permissible limit of Iran's standard for drinking. The quality of all water samples, based on the Schuler diagram (drinking), was acceptable to good, and according to the Wilcox index, except for the downstream river of the landfill, they were in the medium salty category and were relatively suitable for agriculture. Conclusion: The quality of water sources upstream and downstream of the Langrod urban waste landfill site was similar, and the water quality of the river downstream of the landfill was high salty and suitable for agriculture with the necessary considerations (drainage).","PeriodicalId":506400,"journal":{"name":"Journal of Health and Hygiene","volume":"77 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139192437","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
Knowledge of the Role of Cigarette and Hookah Consumption in COVID-19 Disease among the Businesspeople of Ardabil City 阿尔达比勒市商人对卷烟和印度大麻烟消费在 COVID-19 疾病中的作用的认识
Pub Date : 2023-12-01 DOI: 10.61186/j.health.14.3.367
S. Sadeghieh-Ahari, H. Hoseinpour, M. Aghamohammadi
Background & objectives: Coronavirus is one of the respiratory pathogens that may cause from a mild cold to more severe diseases. According to studies, there is a relationship between smoking and the severity of the disease caused by this virus. However, people's awareness about this connection needs to be clarified. Therefore, this study was conducted to determine the level of awareness among the businesspeople of Ardabil City about the relationship between smoking and hookah smoking and the COVID-19 disease and its related factors. Methods: This study was descriptive-analytical research conducted on 380 people from the businesspeople of Ardabil city, who were selected using the available sampling method. In order to collect data, a demographic information form and a researcher-made questionnaire about the relationship between tobacco use and COVID-19 disease were used, the validity and reliability of which were confirmed. Data was entered into SPSS software version 25 and analyzed using descriptive (number, percentage, mean and standard deviation) and inferential (independent t-tests and Spearman correlation coefficient). Results: A total of 376 people were included in this study. The average age of the study subjects was 36.88±11.49 years. Out of 376 people, 189 people (50.3%) were smoking. The average score of the participants' awareness about the relationship between smoking and hookah usage with the COVID-19 disease was 11.35±5.58 (out of 22 points). The level of awareness of female participants was significantly higher than that of men, and with increasing age, the level of awareness increased ( p <0.05). No significant relationship was observed between people's knowledge score and their level of education and occupation. Conclusion: Considering the moderate awareness of the participants about the relationship between smoking and hookah and the disease COVID-19, people in the community need more education in this field. The correct education of people requires the actions of health policymakers, which can be done by producing brochures, holding online meetings, using social networks and with the participation of union officials.
背景与目的:冠状病毒是呼吸道病原体之一,可引起轻微感冒或更严重的疾病。研究表明,吸烟与冠状病毒引起的疾病的严重程度有一定关系。然而,人们对这种关系的认识还有待澄清。因此,本研究旨在确定阿尔达比勒市商人对吸烟和水烟与 COVID-19 疾病及其相关因素之间关系的认识水平。研究方法本研究采用描述性分析方法,通过现有的抽样方法从阿尔达比勒市的商人中选出 380 人作为研究对象。为了收集数据,使用了人口信息表和研究人员制作的关于吸烟与 COVID-19 疾病之间关系的问卷,问卷的有效性和可靠性已得到确认。数据被输入 SPSS 软件 25 版,并使用描述性(数量、百分比、平均值和标准差)和推论性(独立 t 检验和 Spearman 相关系数)进行分析。结果本研究共纳入 376 人。研究对象的平均年龄为(36.88±11.49)岁。在 376 人中,189 人(50.3%)吸烟。参与者对吸烟和使用水烟与 COVID-19 疾病之间关系的认知平均分为(11.35±5.58)分(满分 22 分)。女性参与者的认知水平明显高于男性,随着年龄的增长,认知水平也有所提高(P <0.05)。人们的知识得分与其受教育程度和职业没有明显关系。结论考虑到参与者对吸烟和水烟与 COVID-19 疾病之间关系的认识程度一般,社区居民需要在这一领域开展更多的教育。对人们进行正确的教育需要卫生政策制定者的行动,可以通过制作宣传册、举行在线会议、利用社交网络以及工会官员的参与来实现。
{"title":"Knowledge of the Role of Cigarette and Hookah Consumption in COVID-19 Disease among the Businesspeople of Ardabil City","authors":"S. Sadeghieh-Ahari, H. Hoseinpour, M. Aghamohammadi","doi":"10.61186/j.health.14.3.367","DOIUrl":"https://doi.org/10.61186/j.health.14.3.367","url":null,"abstract":"Background & objectives: Coronavirus is one of the respiratory pathogens that may cause from a mild cold to more severe diseases. According to studies, there is a relationship between smoking and the severity of the disease caused by this virus. However, people's awareness about this connection needs to be clarified. Therefore, this study was conducted to determine the level of awareness among the businesspeople of Ardabil City about the relationship between smoking and hookah smoking and the COVID-19 disease and its related factors. Methods: This study was descriptive-analytical research conducted on 380 people from the businesspeople of Ardabil city, who were selected using the available sampling method. In order to collect data, a demographic information form and a researcher-made questionnaire about the relationship between tobacco use and COVID-19 disease were used, the validity and reliability of which were confirmed. Data was entered into SPSS software version 25 and analyzed using descriptive (number, percentage, mean and standard deviation) and inferential (independent t-tests and Spearman correlation coefficient). Results: A total of 376 people were included in this study. The average age of the study subjects was 36.88±11.49 years. Out of 376 people, 189 people (50.3%) were smoking. The average score of the participants' awareness about the relationship between smoking and hookah usage with the COVID-19 disease was 11.35±5.58 (out of 22 points). The level of awareness of female participants was significantly higher than that of men, and with increasing age, the level of awareness increased ( p <0.05). No significant relationship was observed between people's knowledge score and their level of education and occupation. Conclusion: Considering the moderate awareness of the participants about the relationship between smoking and hookah and the disease COVID-19, people in the community need more education in this field. The correct education of people requires the actions of health policymakers, which can be done by producing brochures, holding online meetings, using social networks and with the participation of union officials.","PeriodicalId":506400,"journal":{"name":"Journal of Health and Hygiene","volume":"57 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139195994","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
Presenting a Process Model for the Outsourcing of Medical Service Operations based on a Good Governance Approach: a Qualitative Study 基于善治方法的医疗服务业务外包流程模型:定性研究
Pub Date : 2023-12-01 DOI: 10.61186/j.health.14.3.298
R. Moradi, B. Kargarshahamat, S. Baghersalimi
Background & objectives: Outsourcing refers to the transfer of services or functions (which are traditionally performed by the organisation itself) to an external supplier, and their control is done through a contract or cooperative management. This study aimed to explain the medical service operations outsourcing process model based on the good governance approach. Methods: In this research, a grounded theory approach was used. The population and statistical sample of the qualitative stage were ten senior managers of medical sciences universities in Region 2 who were interviewed. Coding was done in three basic steps according to the analysis results. The research questions obtained were categorised into six factors. Therefore, all the identified factors are part of the outsourcing process model of medical service operations. According to the model and the results of the measured models, all the research tools had a suitable and acceptable fit. Results: The study examined the outsourcing process model of treatment service operations and identified various components, influential consequences, effective causal factors, effective intervening factors, effective background factors, and strategies for management. The components of the outsourcing process model included organizational management; patients demand management, financial resources management, human resource management, business process management, information technology, and management of service accessibility by patients. The influential consequences of the model included the integration of intra-organizational services and the integration of extra-organizational services. The effective causal factors of the model included the management system and synchronization of the workforce with customer-oriented services. The effective intervening factors of the model included technical and specialized knowledge, supervisory system, organizational policies, regulations and laws, and notification system. The effective background factors of the model included the service supply and demand system, investment, and prevailing competitive conditions. Lastly, the strategies for management included professional ethics and spiritualism. Conclusion: With a qualitative approach, this research has presented the pattern of the process of outsourcing treatment services operations based on the good governance approach in the form of a theory, and through it, the efficiency of treatment service outsourcing can be well interpreted and explained.
背景与目标:外包是指将服务或职能(传统上由组织本身执行)转移给外部供应商,并通过合同或合作管理对其进行控制。本研究旨在解释基于善治方法的医疗服务运营外包流程模式。研究方法本研究采用基础理论方法。定性阶段的研究对象和统计样本是第二区医科大学的 10 名高级管理人员,他们都接受了访谈。根据分析结果分三个基本步骤进行编码。获得的研究问题被归类为六个因素。因此,所有确定的因素都是医疗服务业务外包流程模型的一部分。根据模型和测量模型的结果,所有研究工具都具有合适且可接受的拟合度。研究结果本研究对诊疗服务业务外包流程模型进行了研究,确定了各种构成要素、影响后果、有效因果因素、有效干预因素、有效背景因素和管理策略。外包流程模型的组成部分包括组织管理、患者需求管理、财务资源管理、人力资源管理、业务流程管理、信息技术和患者服务可及性管理。该模型的影响结果包括组织内服务整合和组织外服务整合。该模型的有效因果因素包括管理系统和劳动力与客户导向服务的同步。该模型的有效干预因素包括技术和专业知识、监督系统、组织政策、规章和法律以及通知系统。该模式的有效背景因素包括服务供需系统、投资和当时的竞争条件。最后,管理策略包括职业道德和精神。结论本研究采用定性的方法,以理论的形式呈现了基于善治方法的治疗服务外包运营过程的模式,并通过该模式很好地解释和说明了治疗服务外包的效率。
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Journal of Health and Hygiene
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