247 research outputs found

    The Relation between Talent Management and Succession Planning: among the staff of Shiraz University of Medical Sciences: a case study

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    Background: Today, dynamic organizations are trying to create opportunities for attracting talented employees. One of the tools of talent management and providing qualified human resources for the main organizational jobs is succession planning. This study aimed to investigate the relation between talent management and succession planning among employees working in the headquarters of Shiraz University of Medical Sciences in 2017. Methods: This was a cross-sectional and descriptive-analytical study conducted on the 307 employees working at the headquarters of Shiraz University of Medical Sciences in 2017. The required data were collected using the Phillips and Roper’s talent management and Kim’s succession planning questionnaires. The collected data were analyzed through SPSS23.0 and using statistical tests, including t-Test, ANOVA and Pearson correlation coefficient tests. Results: Talent management and succession management were at moderate levels. Also, means of talent management and succession planning showed significant relations with employees’ education level (P=0.006 and P<0.001 respectively). There was also a significant relation between the mean of talent management and employees’ work place (P=0.005). Finally, there was a direct and significant correlation between the means of talent management and succession planning (P<0.001). Conclusion: According to the results of the study, it is suggested that by implementing the principles of talent management, a valuable treasury of talented employees be created, using the principles of succession planning in the organization in order to have access to qualified and efficient employees at the right time

    Frequency and Symptoms of Odontogenic Sinusitis: A Cross-Sectional Study

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    Background: Occasionally, chronic sinusitis has a dental origin. This Entity is usually resistant to common treatments and high clinical suspicion is necessary for its diagnosis. The symptoms of odontogenic sinusitis are similar to the symptoms caused by other causes of sinusitis, and so far no special symptoms have been introduced for it. In this study, we decided to measure the frequency of this disease and its symptoms. Aim: The aim of this study was to examine people with dental sinusitis in CT scan (with or without clear signs of sinusitis) and also to examine the prevalence of sinonasal symptoms in all patients as well as the group with odontogenic sinusitis. Methods: All candidates for septorhinoplasty in 2018 who came to the otorhinolaryngology clinic of Firoozgar Hospital, Tehran, Iran were included in the study. The coronal CT scan of the maxillary sinus of these people were checked for odontogenic sinusitis and at the same time the SNOT-22 sinonasal symptoms questionnaire was completed by the patients. Finally, the prevalence of odontogenic sinusitis and sinonasal symptoms among these patients have been examined. Results: Twenty-eight of 100 patients had evidence of chronic sinusitis. The prevalence of odontogenic sinusitis in the studied population was 17%. The average score of SNOT-22 was 34.23 ± 8.87 in patients with chronic sinusitis and 38.0 ± 10.45 in patients with odontogenic sinusitis. Conclusion: Sinonasal symptoms in patients with odontogenic sinusitis had a low prevalence and no special symptom can be considered to differentiate this disease from other causes of sinusitis

    Screening for and surveillance of Barrett’s esophagus: a cost-effectiveness assessment

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    Esophageal adenocarcinoma (EAC) is the most common type of esophageal cancer in Western countries. Various risk factors are associated with EAC, of which Barrett’s esophagus (BE) is the most important one. Targeted screening of well-defined high-risk populations and surveillance of BE patients using an upper gastrointestinal (GI) endoscopy is recommended by several clinical practice guidelines in the world. However, there are discrepancies in guidelines’ recommendations. In this thesis, we conducted cost-effectiveness analyses on BE screening and surveillance strategies. First, we focused on screening for BE and evaluated the cost-effectiveness of using minimally invasive method to screen high-risk people for BE, and we assessed the impact of including unrelated health effects and costs on our cost-effectiveness estimates. Then, we evaluated several ways to further improve the cost-effectiveness of BE surveillance by optimizing different aspects of BE management. Subsequently, we evaluated how the lack of adherence to surveillance guidelines for BE patients can impact cost-effectiveness estimate

    Association between Interleukin-10-1082G/A and Tumor Necrosis Factor-alpha 308 G/A Gene Polymorphisms and Respiratory Distress Syndrome in Iranian Preterm Infants

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    Cytokine polymorphisms may contribute to the prevalence of respiratory distress syndrome. The present study was done to investigate the frequency of interleukin-(IL-) 10 and tumor necrosis factor-(TNF-) alpha gene polymorphisms and their association with the risk of RDS in preterminfants. One-hundred and nineteen patients with RDS and 119 healthy preterm infants were enrolled. PCR restriction fragment length polymorphism was used to determine the frequency of IL-10 and TNF-alpha genotypes at -1082 A and -308 A, respectively. One-hundred and nineteen out of 238 infants had RDS (50%). The age of the mothers and gestational age ranged 17-45 (mean: 28.6 +/- 5.3) years and 24-34 (mean: 34.3 +/- 2.38) weeks, respectively. Totally, 23 deaths were recorded in the RDS group. Incidence of TNF-alpha-308 A/A and TNF-alpha-308 G/A was 84% and 16%, respectively. TNF-a-308 G/G was not found in both groups. Prevalence of IL-10-1082 G/G and IL-10-1082 G/A variants was 65.5% and 34.5%, respectively. IL-10-1082 A/A was not found in both groups. The incidence of the allele G in the IL-10-1082 polymorphism was lower in RDS group (P < 0.05). We found that the risk of RDS was correlated to sex, gestational age, and IL-10-1082

    Association between Interleukin-10-1082 G/A and Tumor Necrosis Factor-

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    Cytokine polymorphisms may contribute to the prevalence of respiratory distress syndrome. The present study was done to investigate the frequency of interleukin- (IL-) 10 and tumor necrosis factor- (TNF-

    The 12-item medical outcomes study short form health survey version 2.0 (SF-12v2): a population-based validation study from Tehran, Iran

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    <p>Abstract</p> <p>Background</p> <p>The SF-12v2 is the improved version of the SF-12v1. This study aimed to validate the SF-12v2 in Iran.</p> <p>Methods</p> <p>A random sample of the general population aged 18 years and over living in Tehran, Iran completed the instrument. Reliability was estimated using internal consistency and validity was assessed using known-groups comparison and convergent validity. In addition the factor structure of the questionnaire was extracted by performing both exploratory and confirmatory factor analyses (EFA and CFA).</p> <p>Results</p> <p>In all, 3685 individuals were studied (1887male and 1798 female). Internal consistency for both summary measures was satisfactory. Cronbach's α for the Physical Component Summary (PCS-12) was 0.87 and for the Mental Component Summary (MCS-12) it was 0.82. Known-groups comparison showed that the SF-12v2 discriminated well between men and women and those who differed in age and educational status (P < 0.05). Furthermore, as hypothesized the physical functioning, role physical, bodily pain and general health subscales correlated higher with the PCS-12, while the vitality, social functioning, role emotional and mental health subscales correlated higher with the MCS-12. Finally the exploratory factor analysis indicated a two-factor structure (physical and mental health) that jointly accounted for 59.9% of the variance. The confirmatory factory analysis also indicated a good fit to the data for the two-latent structure (physical and mental health).</p> <p>Conclusion</p> <p>Although the findings could not be generalized to the Iranian population, overall the findings suggest that the SF-12v2 is a reliable and valid measure of health related quality of life among Iranians and now could be used in future health outcome studies. However, further studies are recommended to establish its stability, responsiveness to change, and concurrent validity for this health survey in Iran.</p

    Factors affecting quality of care in family planning clinics: A study from Iran

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    Background. Despite good contraceptive coverage rates, recent studies in Iran have shown an alarmingly high incidence of unplanned pregnancy. Objective. To determine factors affecting quality of family planning services, a cross-sectional study was performed from June to August 2006 on women visiting urban Primary Health Care clinics in a provincial capital in western Iran. The primary focus of the study was on provider-client interaction. Method. We used a slightly edited version of a UNICEF checklist and a convenient sampling method to assess quality of care in 396 visits to the family planning sections at 25 delivery points. Results. Poor performance was observed notably in Counselling and Choice of method sections. In logistic regression analysis, the following factors were found to be associated with higher quality of care: provider experience OR (odds ratio) = 1.9, CI0.95 (confidence interval) = 1.2-3.0, low provider education (OR = 6.7, CI0.95 = 4.0=10.8), smaller workload at the clinic (OR = 3.7, CI0.95 = 2.0-6.7), and 'new client' status (OR = 4.2, CI0.95 = 2.6-6.7). Conclusion. This study identified the issues of counselling and information exchange as the quality domains in serious need of improvement; these areas are expected to be the focus of future training programmes for care providers. Also, priority should be given to devising effective supervision mechanisms and on-the-job training of senior nursing and midwifery graduates to make them more competent in delivering basic family planning services. © The Author 2008. Published by Oxford University Press in association with the International Society for Quality in Health Care; all rights reserved
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