Evaluation of Human Resource Productivity Dimensions Based on ACHIEVE Model: a study on personnel of hospitals affiliated to Iran University of Medical Sciences

Background & Objectives: Productivity and performance improvement of human resource, as the most valuable asset and resource in the organization, have a greater impact on success and productivity of the organization than any other factors. The purpose of this study was to evaluate the dimensions of human resource productivity based on ACHIEVE model among personnel of hospitals affiliated to Iran University of Medical Sciences. Methods: This descriptive-analytical cross-sectional study was performed on 358 clinical and nonclinical personnel in 15 teaching hospitals of Iran University of Medical Sciences in 2019, selected by stratified relative randomized sampling. To collect data, the standard ACHIEVE questionnaire was used. Data analysis was done using one-way ANOVA, T-test and Tukey post hoc and through SPSS version 22 software. Results: Mean score of human resource productivity was 2.8 which was in a moderate condition. The highest and lowest mean scores of productivity were respectively related to environment (3.38) and motivation (2.30) dimensions. There was a significant difference in productivity based on gender, occupational group and educational level. Conclusion: It seems that creating performance-based management systems and fair rewards and benefits systems, as well as continuous performance appraisal sessions between employees and their supervisors could be effective in increasing motivation. Key­words: Evaluation, Productivity, Clinical personnel, Nonclinical personnel, Teaching hospital, ACHIEVE Model Citation: Jafari M, Hedayatirad S, Aryankhesal A, Bordbar N, Tavakoli N. Evaluation of Human Resource Productivity Dimensions Based on ACHIEVE Model: a study on personnel of hospitals affiliated to Iran University of Medical Sciences. Journal of Health Based Research 2019; 5(3): 273-86. [In Persian

Spiritual Well-Being and Quality of Life of Iranian Adults with Type 2 Diabetes

Introduction. Diabetes is a major public health problem. Little is known about the spiritual well-being and its relationship with quality of life (QOL) in Iranian Muslim patients with diabetes. This study investigated the spiritual well-being and QOL of Iranian adults with type 2 diabetes and the association between spiritual well-being, QOL, and depression. Methods. A cross-sectional study was done among 203 patients with type 2 diabetes mellitus in Isfahan, Iran. Quality of life and spiritual well-being were measured using the functional assessment of chronic illness therapy-spiritual well-being (FACIT-Sp). Depression was assessed using the Patient Health Questionnaire-2 (PHQ-2). Descriptive analysis, Pearson’s correlation, and multiple regression analysis were performed for statistical assessment. Results. The mean QOL was 61.00 (SD = 9.97) and the mean spiritual well-being was 30.59 (SD = 6.14). Sixty-four percent of our studied population had depressive disorders. There was a significant positive correlation between all QOL subscales and meaning, peace, and total spiritual well-being score. Conclusion. The results of this study showed poor QOL and spiritual well-being and high prevalence of depression in Iranian patients with type 2 diabetes compared to other studies’ findings especially western studies. This indicates the need for psychosocial and spiritual support in caring for Iranian patients with diabetes

Effect of 10% Sodium Ascorbate on Bleached Bovine Enamel Surface Morphology and Microhardness

Sodium ascorbate has recently been suggested to compensate decreased bond strength of composite resin to bleached tooth surfaces. The aim of present study was to evaluate the effect of 10% sodium ascorbate on bleached bovine enamel morphology and microhardness considering the possibility of its effect on enamel surface characteristics. A total of 69 bovine enamel slabs were prepared and mounted in acrylic resin. Subsequent to polishing, they were randomly divided into 3 groups of 23 specimens each; 3 for Scanning Electron Microscopy (SEM) analysis and 20 for hardness test. In group 1 the specimens were immersed in distilled water as control group; in group 2 the specimens were bleached with 35% carbamide peroxide for 30 min a week for 3 consecutive weeks; and in group 3 the specimens were exposed to 10% sodium ascorbate for 30 min subsequent to bleaching similar to group 1. After 3 weeks Vickers hardness of the specimens was measured at 3 points with equal distances from each other under a force of 50 g. The mean of the hardness values of each specimen was calculated and data was analyzed by one-way ANOVA (P < 0.05). The highest and lowest microhardness values were observed in group 1 and group 2, respectively. However, there were no statistically significant differences in microhardness between the groups (P = 0.12). The use of 35% carbamide peroxide alone or with 10% sodium ascorbate does not affect bovine enamel hardness. SEM analysis showed a network of sodium ascorbate adsorbed to the bleached enamel surface

Effectiveness of Islamic Lifestyle Counseling Group (Honor and Chastity) Upon Satisfaction of Young Married Life in Isfahan (With Imam Khamenei&apos;s Approach)

ABSTRACT: The aim of this study was to investigate the effect of lifestyle advice group (honor and Chastity) were married on youth life satisfaction. Method quasi-experimental pretest and posttest control group. The subjects of this study were married youth living in Isfahan in 2012-2013. The sample of 30 young couples who were randomly selected and were randomly assigned to experimental and control groups. The experimental group received 8 sessions of group counseling lifestyle (honor and Chastity) participated. At the end of both groups were assessed. The research instrument was a questionnaire of life satisfaction Diner. Analysis of covariance was used to analyze the data. The results showed that group counseling Islamic lifestyle (honor and Chastity) upon the effective roles of young married life satisfaction

Effectiveness of motor exercises (stroll)on time perception in patients with schizophrenia disorder

زمینه و هدف: اختلال اسکیزوفرنی از اختلالات شایع روان پزشکی است و تحریف در ادراک زمان یکی از علایم این اختلال محسوب می&shy;شود. این مطالعه با درک این موضوع و با هدف تعیین اثربخشی تمرینات حرکتی بر بهبود ادراک زمان در بیماران مبتلا به اسکیزوفرنی انجام شد. روش بررسی: در این مطالعه آزمایشی60 بیمار مبتلا به اسکیزوفرنی از بین جامعه آماری بیماران روانی که در سال 1392 در بخش اعصاب و روان بیمارستان فاطمی و بیمارستان روانپزشکی ایثار شهرستان اردبیل بستری بودند، با استفاده از روش نمونه&shy;گیری در دسترس انتخاب و به&shy;طور تصادفی در 2 گروه آزمایش و کنترل گمارده شدند و پس از مصاحبه بالینی، مطالعه پرونده بیمار، اجرای مقیاس PANSS و بررسی ادراک زمان با استفاده از 2 محرک دیداری و شنیداری و دستگاه زمان سنج، گروه آزمایش تمرینات حرکتی را به صورت قدم زدن آهسته در 3 گام به همه جهات انجام دادند. داده&shy;ها با آزمون آماری تحلیل واریانس چند متغیره تحلیل گردید. یافته ها: نتایج آزمون تحلیل واریانس چند متغیره نشان داد که بین گروه آزمایش و کنترل در نمره ی پس&shy;آزمون تفاوت معنی&shy;داری وجود دارد (05/0&gt;P). به این معنی که تمرینات حرکتی بر بهبود ادراک زمان گروه آزمایش موثر بوده است. نتیجه گیری: نتایج این بررسی نیز نشان داد که با آموزش تمرینات حرکتی به بیماران مبتلا به اختلال اسکیزوفرنی، می توان در ادراک زمان آنان تغییر ایجاد کرد که این یافته در توان بخشی بیماران روانی قابلیت کاربرد دارد

Evaluation of Mast Cell Density in Mucoepidermoid Carcinoma and Pleomorphic Adenoma

Statement of the Problem: Mast cells are round to elliptical cells that originate from bone marrow stem cells and enter the peripheral blood. By releasing inflammatory mediators, these cells are involved in type I hypersensitivity, wound healing, defense against pathogens, increased blood vessel formation, and destruction of the extracellular matrix. There are contradictory results regarding the role of mast cells in tumor lesions.Purpose: Considering the contradictory results and few studies on the density of mast cells in salivary tumors, the present study investigated and compared the density of mast cells in two common salivary gland tumors.Materials and Method: In the cross-sectional study after reviewing the records of patients referred to the Pathology Department of the School of Dentistry and Shahid Sadoughi Hospital in Yazd, 15 blocks of each of the mucoepidermoid carcinoma and pleomorphic adenoma tumors were taken. After Giemsa staining of the samples, the average of stained cells in 10 random fields under 400× magnification was counted. The results were analyzed using statistical tests of t-test, ANOVA, Chi-square, and Mann-Whitney in SPSS ver. 22.Results: The average mast cell counts in pleomorphic adenoma (4.2) was higher than muco-epidermoid carcinoma (1.7) but there was no significant relationship (p= 0.305). In mucoepidermoid carcinoma, the numbers of mast cells increased with increasing tumor grade (low: 0/467 moderate: 1/567 high: 2/983) and there was a significant relationship (p= 0.009).Conclusion: According to the results of the present study, it seems that the mast cells accumulation may be secondarily associated with inflammatory responses due to cell accumulation and tissue destruction by tumor cells

Serum visfatin and vaspin levels in normoglycemic first-degree relatives of Iranian patients with type 2 diabetes mellitus

Aim: To investigate circulating visfatin and vaspin levels in first-degree relatives of subjects with type 2 diabetes mellitus (FDRs) who frequently have higher value of HOMA-IR and beta cell dysfunction. Methods: Serum visfatin and vaspin concentrations were measured in 179 Iranian subjects (90 normoglycemic FDRs and 89 age- and sex-matched healthy controls) using enzymelinked immunosorbent assay (ELISA) methods. Result: Serum visfatin levels were significantly lower in the FDRs when compared to the controls (1.71 � 0.93 ng/ml versus 2.69 � 2.02 ng/ml, p = 0.0001). However, no significant difference was found in serum vaspin concentrations between the FDRs and the controls (0.452 � 0.254 ng/ml versus 0.409 � 0.275 ng/ml, p > 0.05). In multiple logistic regression analysis, the FDRs showed a significant association with lower visfatin levels after adjustments for age, sex, Body Mass Index, systolic and diastolic blood pressures, lipid profile, blood glucose levels and HOMA-IR [odds ratios (OR) = 1.71, 95% confidence interval (1.30–2.25); p < 0.0001]. Conclusion: The FDRs showed a significant association with lower visfatin levels. The observed lower circulating visfatin levels in FDRs may suggest a pathophysiological role for visfatin in beta cell dysfunction in this group

Musculoskeletal symptoms and job satisfaction among office-workers: A Cross- sectional study from Iran

Objective. Office-work poses a high-risk for musculoskeletal disorders (MSDs), with consequences for workers, employers and society. The aims of this study were to determine the prevalence of musculoskeletal symptoms in a sample of Iranian office workers, to investigate the association between pain severity and job satisfaction and to investigate the association between MSDs and job satisfaction. Materials and methods. Iranian office workers from a university setting (n=91) were randomly selected and included in this cross-sectional study. The Nordic musculoskeletal questionnaire plus visual analogue scale of pain, and the Brayfield-Rothe Job Satisfaction Index were used to study the prevalence of MSDs, pain intensity and job satisfaction, respectively. Descriptive analysis, Pearson’s correlation, and multiple regression analysis were performed for statistical assessment. Results. Eighty-nine percent of participants reported musculoskeletal symptoms during the past 12 months, most commonly in the neck (69.2 %), low back (58.2%), knees (41.8%), shoulders (35.2%), and upper back (34.1%). There was a significant negative correlation between pain intensity and job satisfaction. Pain intensity, low-back pain in the last week, wrist pain in the past 12 months and shoulder pain were significantly associated with job satisfaction (p<0.05). Conclusion. This study provides evidence that musculoskeletal symptoms are common in Iranian office workers, associated with low job satisfaction. These findings indicate the need for more attention to MSDs among office workers and designing effective preventive interventions