How much the act of secrecy is done by medical staff? A descriptive cross-sectional survey in south of Iran

Some information may be gathered during the medical procedures, including medical records or personal information. Many of them can be considered as secrets. The medical staff has the duty of privacy, which means keeping the secrets away from a third party. Hippocratic Oath accepts no exceptions but modern ethical express the situations in which the disclosure of secrets is allowed, legal, or even necessary. The present study is about to evaluate the act of secrecy in medical staff of the tertiary health care centers affiliated with Jahrom University of Medical Sciences in south of Iran. This cross sectional study is done on 204 members of medical staff of 8 different wards in tertiary health care centers affiliated with Jahrom University of Medical Sciences in south of Iran, using a questionnaire of 31 questions in 5 major categories adding to a data sheet for demographic information (age, gender, ward). Validity and reliability of the questionnaire was proved by previous studies. Collected data analyzed by dependent T-test, Fisher's exact and SPSS.17 using descriptive and deductive statistics. The mean rate of secrecy was 3.82± 0.75. Respecting others in the category of "goals of secrecy" earned 4.48, common medical services in the category of "reasons for disclosure" earned 3.89, damage to the patient in the category of "legal reasons for disclosure" earned 4.05, patient's rights in "personal reasons for secrecy" earned 4.07, and informing the medical managers in "proper way to confront the offenders" with the score 2.85 were the highest scores of each category. The variant Ages (p=0.003) and wards (p=0.03) showed significant differences in the secrecy. Results show that the medical staff is not familiar enough to the legal and ethical indications of secrecy, so holding in-service courses may be effective

Modification of Moment Connection of I-Beam to Double-I Built-Up Column by Reinforcing Column Cover Plate

AbstractTraditional moment connections of I-beam to double-I built-up column have some problems. They are the stress concentration, brittle fracture of the welds and semi-rigid behavior of the connection. To upgrade the connection behavior, it is proposed to replace parts of the column cover plate, situated in critical areas where the beam flanges (or flange plates) connect to the column cover plate, by thicker and larger plates. To investigate the cyclic behavior of the proposed connection, a series of nonlinear finite element analysis were carried out on different models. Results indicate that the modified connection has such a strength and ductility that can be used in special moment frames. Its stiffness is also in the range of a fully restrained connection

PANEL ZONE IN THE FLANGE PLATE CONNECTION TO BOX COLUMN

The Thirteenth East Asia-Pacific Conference on Structural Engineering and Construction (EASEC-13), September 11-13, 2013, Sapporo, Japan

Retrofitting of Moment Connection of Double-I Built-Up Columns using Trapezoidal Stiffeners

AbstractDouble-I built-up columns are used extensively in low and medium rise steel structures. When I beam is connected to double-I built-up columns, through the column cover plate, the load transfer at the joint becomes a disturbing problem. To retrofit the connection, a new geometry is considered. In this method the each flange of the beam is connected to the column by a trapezoidal stiffeners plate. A series of five non-linear three-dimensional finite element models were developed using ABAQUS program to study the behavior of the retrofitted connection under cyclic loadings. The outcomes of numerical investigations indicate that the proposed retrofitting method is a proper choice for “special moment frames (SMF)” and the retrofitted models have sufficient strength and ductility. It reduces also the risk of brittle fracture of the full penetration groove weld