Information technology governance domains in hospitals: a case study in Iran

IT governance is a set of organizational structures ensuring decision-making rights and responsibilities with regard to the organization's IT assets. This qualitative study was carried out to identify the IT governance domains in teaching hospitals affiliated to Iran University of Medical Sciences. There were 10 heads of IT departments and 10 hospital directors. Semi structured interviews used for data collection. To analyze the data content analysis was applied. All the interviewees (100) believed that decisions upon hospital software needs could be made in a decentralized fashion by the IT department of the university. Most of the interviewees (90) believed that there were policies for logistics and maintenance of networks, purchase and maintenance, standards and general policies in the direction of the policies of the ministry of health and medical education. About 80 of the interviewees believed that the current emphasis of the hospital's IT unit and the hospital management for outsourcing of services were in the format of specialized contracts and under supervision of the university Statistic and IT department. A hospital strategic committee is an official organizational group consisting of hospital executives, heads of IT and multiple functional areas and business units in a hospital. In this committee, "the head of hospital" acts as the director of IT activities and ensures that IT strategies are alignment with the hospital business strategies

The comparison of the minimum data set for elderly health in selected countries

Introduction: Ongoing increase in the elderly population in many developed countries has drawn attention to health of this age group. Recording adequate and relevant data for the elderly is considered as the basis for future planning for this segment of society. So this study was conducted to compare minimum data about elderly health in selected countries. Methods: This review study was conducted through Internet and library studies. Key words were extracted from search engines and data bases including Google, Yahoo, Google Scholar, PubMed, ProQuest and Iranian National Medical Digital Library. Inclusion criteria included English language with no time limits. All articles, research projects, theses, guidelines and progress reports were retrieved from the United States, Sweden, Japan and Iran and reviewed. Also, websites of organizations responsible for elderly health in selected countries were visited and their documents were reviewed. Results from this search were provided narratively and finally were presented within comparison tables. Findings: The findings of this study showed that elderly data in the selected countries are collected around four axis including minimum demographic data, medical histories, health assessment and financial data of elderly health. Discussion and Conclusion: Given the importance of the minimum data set of elderly health for future planning, the use of experiences of leading countries in elderly health seems necessary; however, localization of it according to the country's needs is inevitable. © 2015 Nasrin Davaridolatabadi, Mehraban Shahi, Farahnaz Sadoughi, Maryam Ahmadi

Neutron interferometric measurement of the scattering length difference between the triplet and singlet states of n-3^3He

We report a determination of the n-$^3$He scattering length difference $\Delta b^{\prime} = b_{1}^{\prime}-b_{0}^{\prime} =$ ($-5.411$ $\pm$ $0.031$ (statistical) $\pm$ $0.039$ (systematic)) fm between the triplet and singlet states using a neutron interferometer. This revises our previous result $\Delta b^{\prime} =$ (-5.610 $\pm$ $0.027$ (statistical) $\pm$ $0.032$ (systematic) fm obtained using the same technique in 2008. This revision is due to a re-analysis of the 2008 experiment that includes a more robust treatment of the phase shift caused by magnetic field gradients near the $^3$He cell. Furthermore, we more than doubled our original data set from 2008 by acquiring six months of additional data in 2013. Both the new data set and a re-analysis of the older data are in good agreement. Scattering lengths of low Z isotopes are valued for use in few-body nuclear effective field theories, provide important tests of modern nuclear potential models and in the case of $^3$He aid in the interpretation of neutron scattering from quantum liquids. The difference $\Delta b^{\prime}$ was determined by measuring the relative phase shift between two incident neutron polarizations caused by the spin-dependent interaction with a polarized $^3$He target. The target $^3$He gas was sealed inside a small, flat windowed glass cell that was placed in one beam path of the interferometer. The relaxation of $^3$He polarization was monitored continuously with neutron transmission measurements. The neutron polarization and spin flipper efficiency were determined separately using $^3$He analyzers and two different polarimetry analysis methods. A summary of the measured scattering lengths for n-$^3$He with a comparison to nucleon interaction models is given

The prevalence of selected intrinsic risk factors for ankle sprain among elite football and basketball players

Background: Lateral ankle sprains (LAS) are among the most common sports-related injuries and the reinjury rate is very high. Objectives: This study aimed to evaluate the prevalence of some intrinsic risk factors among professional football and basketball players with or without history of acute or recurrent ankle sprain. Patients and Methods: One hundred and six professional football and basketball players who were referred for pre-participation examinations were recruited in this study. Prepared checklist was completed for each participant. Athletes were asked for any history of previous ankle sprain and the severity (based of self-description of signs and symptoms by the athlete), level and number of injuries in the last two years. All players were assessed for measures of foot posture index-6, foot length and width, Beighton generalized joint laxity score, anterior drawer and talar tilt tests, star excursion and single leg balance tests and goniometric assessment of ankle plantarflexion, ankle dorsiflexion and first metatarsophalangeal dorsiflexion. Results: Forty eight basketball players (45.3) and 58 football players (54.7) with mean (SD) age of 19.8 (4.5) years participated. About 58.5 and 14.2 of athletes had a history of ankle sprain and recurrent sprain in at least one extremity, respectively. Sprains were more prevalent in basketball players and in dominant leg. There was no significant difference in assessed risk factors between athletes with and without history of ankle sprain, except for positive single leg balance test which was more prevalent in athletes with history of ankle sprain and also for positive talar tilt test and decreased ankle plantarflexion range of motion in acute and recurrent injury of left ankle. Conclusions: Some intrinsic risk factors including lateral ankle ligaments laxity, balance and ankle plantarflexion seem to be related to acute or recurrent LAS in athletes. Further research is needed to reveal the role of different arthrokinematics following lateral ankle sprain. © 2016, Sports Medicine Research Center

The Effect of Aromatherapy with Peppermint Essential Oil on Nausea and Vomiting in the Acute Phase of Chemotherapy in Patients with Breast Cancer

BACKGROUND AND OBJECTIVE: Chemotherapy is one of the main treatment options for cancer patients. Nausea and vomiting are also the most common side effects of chemotherapy drugs. The aim of this study was to determine the effect of aromatherapy with peppermint essential oil on nausea and vomiting in the acute phase of chemotherapy (the first 24 hours) in patients with breast cancer. METHODS: This randomized clinical trial was conducted on 100 women with breast cancer who were referred to the chemotherapy centers of Imam Khomeini Hospital on an outpatient basis for the first course. Patients were randomly divided into intervention and control groups. Peppermint essential oil was used in the intervention group, while normal saline was used in the control group. Frequency and severity of acute nausea and vomiting in the first night after chemotherapy were recorded and compared using Rhodes standard questionnaire with a mean score of 0 – 32. FINDINGS: The two groups were not statistically different in terms of age, duration of cancer, history of alcohol abuse and history of nausea and vomiting. The mean score of nausea in the aromatherapy group was 1.1±1.02 and in the in the control group was 1.82±1.39 (p<0.014). The mean score of vomiting in the intervention group was 0.34±0.66 and in the control group was 0.66±0.97 (p<0.032). CONCLUSION: The results of this study showed that the use of aromatherapy with peppermint essential oil, along with the use of routine anti-nausea / vomiting drugs, can reduce nausea and vomiting in the acute phase of chemotherap

Floristic characteristics of the Hyrcanian submountain forests (case study: Ata-Kuh forest)

Ata-Kuh forest, a preserved area within Hyrcanian relict forests, with an area of 700 ha is located in north of Iran. Based on floristic studies from 2011 through 2012, 194 vascular plant species were identified belonging to 143 genera and 66 families. Among our samples, 24 taxa were endemic to Hyrcanian area. The largest families in the area were Rosaceae (10.3 %), Poaceae (9.7 %), Asteraceae (6.7 %), Fabaceae (5.6 %) and Lamiaceae (5.1 %). The genera represented by the greatest number of species were Rubus (8 species), Carex (7 species), Viola and Euphorbia (each with four species). Classification based on life form indicated that geophytes comprise the largest proportion of the plants in the studied area. From the chorological point of view, the largest proportion of the flora belonged to the Euro-Siberian elements (60 taxa, 31.1%). In this study, a comparison was performed between our results and other studies on the northern Iranian forests with respect to life forms and phytochoria. Psilotum nodum is reported here again from a new locality in North Iran, indicating the old Tertiary history of this forest

Differences in extrinsic tree quality and value of fibre production following alternative vegetation management treatments in Northwestern Ontario

This is the publisher’s version of a work published in The Forestry Chronicle 90:1 (2014) The version on the publisher's website can be viewed at http://pubs.cif-ifc.org/doi/abs/10.5558/tfc2011-012We examined differences in stem quality, and volume and value of fibre produced by planted white spruce 16 years after vegetation management treatments in northwestern Ontario. Forest Vegetation Simulator (FVSOntario) was used to project the total and merchantable volume to age 70 and BUCK-2 was used to optimize the resulting product mix. Projected value was based on 2009 prices for hog fuel, pulpwood and SPF (spruce–pine–fir) eastern green lumber prices. At 16 years posttreatment, gross total volumes in herbicide-treated and mechanically cut plots were significantly higher (120%–165% and 94%–98%, respectively) than that in control plots (14.73 m3 ha-1). Based on height, diameter, and taper criteria, observed tree quality did not differ among treatments. The projected value of the fibre produced was 36% to 53% higher in herbicide- treated plots and 24% to 37% higher in mechanically cut plots than in control plots ($18 486.76 per ha)