The effect of automated telephone system on the satisfaction of client in the Imam Ali polyclinic

زمینه و هدف: رضایت بیمار شاخصی برای ارزیابی خدمات است و سنجش کارآیی و کیفیت خدمات ارائه‌شده به مردم در بخش بهداشت و درمان از اولویت‌های مهم وزارت بهداشت است. به همین منظور این مطالعه، باهدف بررسی تأثیر استقرار سامانه نوبت‌دهی تلفنی بر رضایت مراجعین پلی کلینیک فوق تخصصی امام علی (ع) شهرکرد انجام شد. روش بررسی: این مطالعه تحلیلی- مقطعی در پلی کلینیک تخصصی و فوق تخصصی امام علی(ع) شهرکرد در سال1392 انجام شد. پرسشنامه رضایت سنجی استاندارد با بررسی700 نفر از مراجعین این مرکز قبل و بعد از استقرار سامانه نوبت‌دهی تکمیل گردید. اطلاعات توسط شاخص‌های آماری توصیفی و استنباطی با نرم‌افزار SPSS نسخه 16 مورد تجزیه ‌و تحلیل قرار گرفت. یافته‌ها: میانگین امتیاز رضایت مراجعه‌کنندگان در سال 1391، معادل 7/5±5/22 و در سال 1392 ،3/6±7/23 بود که تفاوت 2 سال ازنظر آماری نشانگر ارتباط معنی دار پس از استقرار سیستم مکانیزه نوبت‌دهی بود (002/0=P). شاخص‌های سیستم نوبت‌دهی، نحوه دریافت نوبت، مکان انتظار، نظافت و تمیزی کلینیک، برخورد نگهبانی، برخورد نیروی پذیرش و منشی، برخورد پزشک، نحوه ویزیت پزشک، رعایت حریم شخصی و انتخاب کلینیک برای مراجعه بعدی در مجموع 78 رضایت‌مندی بیماران را تبیین می‌کردند. نتیجه‌گیری: اصلاح فرایندهایی مثل نوبت‌دهی باعث افزایش رضایتمندی بیماران می‌گردد، لذا بررسی منظم و دوره‌ای میزان رضایتمندی بیماران و ارائه برنامه‌های عملیاتی برای رفع نارضایتی آنان می‌تواند منجر به ارتقاء کیفیت خدمات بهداشتی درمانی گردد

Economical evaluation of current forest uses (Case study: Shafaroud forests, Gilan province)

The aim of this research is to evaluate current uses of forest (animal husbandry and wood harvesting) in district no. 11 of Shafaroud forest with an area of 2200 ha in Guilan province. Factors including stumpage price, annual growth rate and rate of interest were used to determine the net present value of timber harvesting. Furthermore, price, animal husbandry costs and rate of interest were applied to determine the net present value of animal husbandry in forest. Economic analysis revealed the net present value of 30105809 IRR per hectare gained by wood harvesting and animal husbandry in forest, with 92.7% and 7.3%, proportions of forestry and animal husbandry, respectively. In other words, net present value of animal husbandry is about 12.7% lower than forestry. The results of this study showed that the present forestry practice in the study area enables the timber production management. In order to manage the forest based on sustainability and meet the forest dwellers needs, forest management is suggested to be planned toward the social forestry

Evaluation of only the chin or lower abdomen for predicting hirsutism

Background: Hirsutism is defined as the growth of terminal hair in a male pattern in women; it affects 5-15% of women. Objective: The aim of this study is evaluation of only the chin or lower abdomen for predicting hirsutism. Materials and Methods: In this cross-sectional diagnostic study, we randomly selected 695 women aged 15-45 years. The examiners scored the subjects on a scale of 0 - 4 for terminal hair growth on nine different body areas according to the Ferriman-Gallwey (FG) scoring system in a form given to the examiners before the examination. An FG score of 8 or more was considered diagnostic of hirsutism. If the sum of the FG scores for the chin or lower abdomen was 2 or more, the test result was assumed to be positive. Statistical analysis was performed using the MacNemar test, and a P value of less than 0.05 was considered to be statistically significant. Results: The age group with the highest prevalence rate was 21-25 years. From the 695 subjects examined, 81 subjects (11.7%) had an FG score of 8 or more with a resultant prevalence rate of 11.7% for hirsutism. In our study population, 39% of the patients had an FG score of 2 or more for the chin or lower abdomen, and 61% of the patients had an FG score of less than 2 for the chin or lower abdomen. Conclusion: Evaluating terminal hair growth on the chin or lower abdomen for predicting hirsutism seems to be an acceptable screening method

Interdigital intertrigo due to Fusarium oxysporum

Background and Purpose: Fusariosis is a fungal infection often involving the skin. Various species can cause local, focally invasive, or disseminated infections. The routes of entry for Fusarium species include the respiratory tract, gastrointestinal tract, toe nails, trauma to the skin, and indwelling central venous catheter. Case Report: Herein, we present the case of a 35-year-old woman presenting with interdigital intertrigo. The patient had no predisposing factors and she did not take any antifungal agents. Fusiform macroconidia were observed on the slide culture of the fungus. The etiological agent of the infection was identified as Fusarium oxysporum through sequencing of the translation elongation factor-1 alpha (TEF-1α) gene using the primers EF1 and EF2. Conclusion: Fusariosis commonly presents as a severe fungal infection in immunocompromised patients. However, this infection may also occur in immunocompetent patients. Although treatment with amphotericin B is a routine antifungal therapy for fusariosis, many azoles such as cloterimazole can be used topically with fewer side-effect

Color change of tooth-colored restorative materials bonded to silver diamine fluoride-treated dentine: a systematic review

Abstract Background The desirable properties of silver diamine fluoride (SDF) make it an effective agent for managing dental caries and tooth hypersensitivity. There are several clinical instances that SDF application might precede the placement of direct tooth-colored restorations. On the other hand, SDF stains demineralized/carious dental tissues black, which might affect the esthetic outcomes of such restorations. Color is a key parameter of esthetics in dentistry. Therefore, this study aims to systematically review dental literature on color/color change of tooth-colored restorations placed following the application of SDF on dentine. Methods Comprehensive search of PubMed, Embase, Scopus and ISI Web of Science databases (until August 2023) as well as reference lists of retrieved studies was performed. In vitro studies reported color or color change of tooth-colored restorative materials applied on SDF-treated dentine were included. Methodological quality assessment was performed using RoBDEMAT tool. Pooled weighted mean difference (WMD) and 95% confidence interval (95% CI) was calculated. Results Eleven studies/reports with a total of 394 tooth-colored restorations placed following a) no SDF (control) or b) SDF with/without potassium iodide (KI)/glutathione dentine pre-treatments were included. Color change was quantified using ∆E formulas in most reports. The pooled findings for the comparison of resin-based composite (RBC) restorations with and without prior 38% SDF + KI application revealed no statistically significant differences in ∆E values at short- and long-term evaluations (~ 14 days: WMD: -0.56, 95% CI: -2.09 to 0.96; I2: 89.6%, and ~ 60 days: WMD: 0.11; 95% CI: -1.51 to 1.72; I2: 76.9%). No studies provided sufficient information for all the items in the risk of bias tool (moderate to low quality). Conclusions The limited evidence suggested comparable color changes of RBC restorations with and without 38% SDF + KI pre-treatment up to 60 days. The included studies lacked uniformity in methodology and reported outcomes. Further studies are imperative to draw more definite conclusions. Protocol registration The protocol of this systematic review was registered in PROSPERO database under number CRD42023485083