Patient safety climate and its affecting factors among rehabilitation health care staff of hospitals and rehabilitation centers in Iran-Tehran

Objectives: Hospitals and clinical centers are concerned about patient safety. Safety climate is a perceived value of safety in an organization that could improve the safety of workers and patients. The present research was conducted to study the safety climate of patients in the hospitals and rehabilitation centers affiliated to the University of Social Welfare and Rehabilitation Sciences. Methods: This descriptive-analytical study was conducted on 300 nurses and nurse's aides (healthcare staff) who were selected by stratified sampling method, from two hospitals and three clinics, in 2017. Data collection tools included Patient Safety Climate Scale presented by Kudo and a demographic data questionnaire. The obtained data were analyzed by SPSS using descriptive statics like frequencies and percentages. Furthermore, Mann-Whitney U test and Kruskal-Wallis test were used to analyze the obtained data and compare the mean scores, respectively. Results: The Mean±SD age and work experience of study participants were 36.7±6.79 and 9.46±5.8 years, respectively. The patient safety climate sub-factors were significantly different between males and females (P 0.05). Patient safety climate was only different in nursing condition (P=0.013) among studied healthcare centers. Also, only fatigue reduction was different among various studied wards (P=0.035), where intensive care unit had the lowest score (2.12±2.0). Discussion: Overall, the poor condition of patient safety climate was found in the studied rehabilitation centers. Therefore, it is recommended to improve nurses' attitudes with the assistance of hospital managers, to enhance patient safety. © 2019 University of Social Welfare and Rehabilitation Sciences

Effect of 12-week neck, core, and combined stabilization exercises on the pain and disability of elderly patients with chronic non-specific neck pain: A clinical trial

ا�دا� ا�� تح��� بررس� تأث�ر 12 ��ت� ت٠ر��ات ثبات� گرد�� ثبات ٠رکز� � ترک�ب� بر درد � �ات�ا�� ا�راد ٠بت�ا ب� گرد �درد ٠ز٠� غ�راختصاص� در ب�� سا�٠�دا� ش�ر ت�را� ب�د� است. ٠�اد � ر� ش�ا ا�� ٠طا�ع�� از ��ع کارآز٠ا�� با���� ا�پ� ��ب� 2 1��ت �ا� ب�د. 18 سا�٠�د ٠بت�ا ب� گرد �درد ٠ز٠� ب� ص�رت تصاد�� در س� گر�� ت٠ر��ات اختصاص� ثبات� گرد� ) 6 ��ر(� ت٠ر��ات اختصاص� ثبات ٠رکز� ) 6 ��ر( � ت٠ر��ات ترک�ب� ) 6 ��ر( �رار گر�ت�د. با است�اد� از شاخ ص�ا� ٠��اس آ�ا��گ بصر� � پرس ش�ا٠� شاخص �ات�ا�� گرد� � پرس ش�ا٠� ٠��اس درد � �ات�ا�� گرد� شدت درد � �ات�ا�� گرد� �ب� از شر�ع ت٠ر��ات� در پا�ا� ��ت� �شت٠� �ک ��ت� پس از پا�ا� اجرا� ت٠ر��ات ا�داز �گ�ر� شد�د. برا� بررس� اثر ز٠ا�� از آز٠�� آ�ا��ز �ار�ا�س ا�داز ��ا� تکرار� � برا� تح��� داد ��ا از �سخ� 21 �ر ٠ا�زار SPSS است�اد� شد. �ا�ت� �ا ٠�ا�گ�� �٠ر� درد �ب� � بعد از ٠داخ�� در٠ا�� در گر�� در٠ا� ثبات گرد�� با است�اد� از شاخص �ا� ٠��اس آ�ا��گ بصر�� پرسش �ا٠� شاخص �ات�ا�� گرد� � پرس ش�ا٠� ٠��اس درد � �ات�ا�� گرد� ب� ترت�ب 58 / 0± 08 / 6 � 52 / 0± 38 / 4� 86 / 2± 17 / 49 � 79 / 2± 17 / 39 � 11 / 2± 42 / 56 � 64 / 1± 03 / 50 ب� دست آ٠د ک� اخت�ا� �ر د� گر�� ٠ع�ادار ب�د� است ) 05 / P0 �ت�ج� گ�ر� �ا�ت ��ا� ا�� پ���ش �شا� داد 12 ج�س� ت٠ر��ات ثبات گرد��� ٠رکز� � ترک�ب� در �اح�� گرد� ٠�ت�ا�د در ب�ب�د تح٠� � درد سا�٠�دا� با گرد �درد ٠ز٠� غ�راختصاص� ٠ؤثر باشد. Objectives To investigate the effect of 12 weeks of neck stabilization, core stabilization, and combined stabilization exercises on pain and disability among elderly people in Tehran City, Iran. Methods & Materials This study was a 12 weeks open-label clinical trial. A total of 18 elderly patients with chronic neck pain were randomly assigned into three groups: neck stabilization training (6 people), core stabilization training (6 people), and combined stabilization training (6 people). The severity of neck pain and disability before the beginning of the training, 8 weeks after training and one week after the completion of the exercises were measured using the Visual Analog Scale (VAS), Neck Disability Index (NDI) and Neck Pain and Disability Scale (NPDI). To investigate the effect of time, repeated measure analysis of variance was used to analyze the data in SPSS version 21. Results The Mean±SD scores of pain before and after neck stabilization treatment were respectively 6.08±0.58, 4.83±0.52 for VAS and 49.17±2.86 and 39.17±2.79 for NDI; and 56.4±2.11 and 50.0±1.64 for NPDI; those differences between pairs were significant. The Mean±SD scores of pain before and after core stabilization treatment were respectively, 6.00±0.55, 4.92±0.20 for VAS; 49.67±1.86 and 39.17 ±1.94 for NDI; and 56.01±2.44, and 48.92±1.16 for NPDI; those differences between pairs were significant. Also, the Mean±SD scores of pain before and after combined stabilization treatment were respectively, 6.00±0.45, 4.00±0.32 for VAS; 49.83±2.23 and 37.17±2.86 for NDI; and 55.25±0.28 and 47.51±1.44 for NPDI; those differences between pairs were significant (P 0.05). Conclusion The findings of this study showed that 12 sessions of neck, core, and combined stabilization training in the neck region could improve the tolerance and pain of the elderly with nonspecific chronic neck pain. © Iranian Journal of Ageing. 2019

Ward Identities, B-> \rho Form Factors and |V_ub|

The exclusive FCNC beauty semileptonic decay B-> \rho is studied using Ward identities in a general vector meson dominance framework, predicting vector meson couplings involved. The long distance contributions are discussed which results to obtain form factors and |V_ub|. A detailed comparison is given with other approaches.Comment: 30 pages+four postscript figures, an Appendix adde

Management and outcomes of gastrointestinal congenital anomalies in low, middle and high income countries: Protocol for a multicentre, international, prospective cohort study

Introduction Congenital anomalies are the fifth leading cause of death in children <5 years of age globally, contributing an estimated half a million deaths per year. Very limited literature exists from low and middle income countries (LMICs) where most of these deaths occur. The Global PaedSurg Research Collaboration aims to undertake the first multicentre, international, prospective cohort study of a selection of common congenital anomalies comparing management and outcomes between low, middle and high income countries (HICs) globally. Methods and analysis The Global PaedSurg Research Collaboration consists of surgeons, paediatricians, anaesthetists and allied healthcare professionals involved in the surgical care of children globally. Collaborators will prospectively collect observational data on consecutive patients presenting for the first time, with one of seven common congenital anomalies (oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation and Hirschsprung''s disease). Patient recruitment will be for a minimum of 1 month from October 2018 to April 2019 with a 30-day post-primary intervention follow-up period. Anonymous data will be collected on patient demographics, clinical status, interventions and outcomes using REDCap. Collaborators will complete a survey regarding the resources and facilities for neonatal and paediatric surgery at their centre. The primary outcome is all-cause in-hospital mortality. Secondary outcomes include the occurrence of postoperative complications. Chi-squared analysis will be used to compare mortality between LMICs and HICs. Multilevel, multivariate logistic regression analysis will be undertaken to identify patient-level and hospital-level factors affecting outcomes with adjustment for confounding factors. Ethics and dissemination At the host centre, this study is classified as an audit not requiring ethical approval. All participating collaborators have gained local approval in accordance with their institutional ethical regulations. Collaborators will be encouraged to present the results locally, nationally and internationally. The results will be submitted for open access publication in a peer reviewed journal