Investigating the effective factors in retention of customer club members(case study: Saderat’s bank customer club)

Today many companies are spending significant dollars to develop relationships with their customers. CRM, one-to-one marketing and increased communications are but a few of the strategies companies are using to secure and retain customers. Another approach is to gain customers and their loyalty by providing them value beyond the intrinsic value of their product or service through Customer Clubs, customer club is a marketing way that cause the absorb and retention more customer for their companies. In this article, we investigate and prioritizing the factors that effect the member of customer club to be more loyal, so, we had interview with 32 manager in saderat bank and ask them to prioritizing the important factor that derived from the model, that effect customer retention in customer club. We use Freidman test for prioritizing the factors. And we use regression test for testing the analyses the data, and finding show that all of the hypothesis be accepted

Visual Disturbance in a Patient with Amiodarone Treatment Following Refractive Surgery

Amiodarone is an antiarrhythmic medication used to treat a number of irregular heartbeats. Known ocular side effects of amiodarone include visual loss, swelling of the optic disc without visual deterioration and abnormal blue color vision. After discontinuation of amiodarone either a visual improvement or a permeant deterioration may result. Here we report a rare case of visual disturbance in a patient with a history of amiodarone treatment complaining from seeing colored rings around the lights after refractive surgery. After the discontinuation of amiodarone treatment the patient complains subsided. Keywords: Amiodarone; Visual side effect; Treatment; Refractive surgery

Analysis of Medical Education Output in Web of Science Database

Background & Objective: Knowledge maps graphically draw a branch of science and help to describe it more precisely. This research was conducted to study the scientific productivity and collaborative coefficient of medical education authors during 2002-2011. Methods: This descriptive study was done using scientometric techniques. The papers indexed in Web of Science were searched using medical education keywords. The retrieved records were entered into Excel and HistCite. Citation analysis techniques were used and the map was drawn. Results: The rate of productivity was 28%. 10123 retrieved records were published in 1506 journals and most were published in Medical Education Journal. 5791 educational institutes contributed to publishing papers. Van der Vleuten published more papers than other authors. The collaborative coefficient was moderate. 122 countries contributed to publishing these papers and USA was the most active country. Finally, 5 clusters were identified including learning methods in medical education, job depression, the effect of working hour reduction on health services, evaluation of professional competency in medical education, and the relationship between medical sciences and industry. Conclusion: Medical education follows an ascending trend in scientific productivity. The results of the current study can be used in future planning and help this field to improve. Keywords Web of Science database Medical education Citation analysis Scientific output Knowledge ma

Severe Headache Initiated by Flash Stimulation during Visual Evoked Potential Recording in a Patient with Monocular Optic Neuritis and History of Migraine Headache

Headache is a common sign during optic neuritis. These headaches are usually one sided and worsen when the affected eye moves. The aim of the present manuscript is to report severe headache in a patient with optic neuritis and history of migraine headache initiated by flash stimulation of affected eye during visual evoked potential (VEP) recording.  Based on our findings we suggest that patients with a history of migraine headache should be informed about possible headache before VEP recording using flash stimulus.  Keywords: Headache, optic neuritis, visual evoked potential, flash stimulation

Prevalência de parasitas intestinais em população no sul do Teerã, Irã

The aim of this study was to describe epidemiologic characteristics of intestinal parasites in a population in south of Tehran, Iran. A retrospective cross-sectional study of patients with suspicious intestinal parasitic infections referred to the Zakaria Razi Laboratory in Shahre-Ray, southern Tehran, Iran, was conducted from April 21, 2004 to October 20, 2005. All stool samples were examined and socio-demographic informations were retrieved. Of 4,371 referred patients, 466 (239 males and 227 females) were laboratory diagnosed with intestinal parasites, with a period prevalence of 10.7%. Blastocystis hominis (B. hominis) and Giardia lamblia (G. lamblia) were the most frequent intestinal parasites. More than half of patients aged ³ 18 years had a low level of educational attainment (e.g. illiterate, primary school, high school) (170/331, 54.1%). Further, majority of patients were homemakers (42.3%, 140/331) or workers (28.1%, 93/331) employed in various business settings such as food industry and construction. Findings of this study showed that intestinal parasitic infections are still a major public health challenge in Iran that needs to be addressed. We believe that public education, improving sanitation conditions of underdeveloped areas/communities, community involvement, and supporting evidence-based practice/programs are the major keys to success in preventing the spread of intestinal parasitic infections in Iran.O própósito deste estudo foi descrever as características epidemiológicas dos parasitas intestinais em população do sul de Teerã, Irã. Um estudo retrospectivo seccional cruzado de pacientes com suspeita de infecções parasitárias intestinais enviados ao Laboratório Zakaria Razi em Shahre-Ray, sul do Teerã, Irã foi conduzido de 21 de abril de 2004 a 20 de outubro de 2005. Todas as amostras de fezes foram examinadas e as informações sócio-demográficas recuperadas. De 4371 pacientes enviados, 466 (239 homens e 227 mulheres) foram diagnosticados laboratorialmente como portadores de parasitas intestinais com prevalência no período de 10,7%. Blastocystis hominis (B. hominis) e Giardia lamblia (G. lamblia) foram os parasitas intestinais mais frequentes. Mais da metade dos pacientes ³ 18 anos tinham baixo nível educacional (por exemplo: analfabetos, escola primária, 2º grau completo) (170/331, 54,1%). Mais ainda, a maioria dos pacientes eram empregados domésticos (42,3%, 140/331) ou trabalhadores (28,1%, 93/331) empregados em diversos tipos de serviços, tais como a indústria de alimentos e construção. Achados deste estudo mostraram que as infecções parasitárias intestinais são ainda um desafio importante em saúde pública no Irã que necessita ser resolvido. Acreditamos que a educação pública, a melhoria das condições sanitárias em áreas pouco desenvolvidas/comunidades, envolvimento da comunidade, e programas práticos baseados nas evidências, são as principais chaves do sucesso na prevenção da disseminação das infecções parasitárias no Irã

The Effects of Occupational Stress on Quality of Life and Associated Factors among Hospital Nurses in Iran

Nurses deal with many crises at work. It is obvious that being exposed to stress for long, results in severe physical and mental complications and affects individual is welfare. This study was aimed at determining the quality of life (QOL) of nurses and whether there is any relation between occupational stress and QOL. This analytical-descriptive cross sectional study was carried out in University hospitals of Zanjan, Iran. 241 nurses were sampled using proportional to size stratified method. The data were collected by means of Iranian version of the Short Form Health Survey (SF-36) and a questionnaire on demographic information and work factors. Occupational stress was measured by Toft Gray and Anderson’s tool. The questionnaires were filled by nurses themselves and the data were analyzed by Spearman’s Correlation test, Kruskal-Wallis and one-way ANOVA and Enter-method Regression with SPSS 16.0 software. The results showed a high level of occupational stress among nurses, which adversely affected their quality of life. According to the results QOL of male and female nurses differ with men having a higher QOL and less occupational stress. 2 work factors, satisfaction and others positive attitude towards nursing, affected all dimensions of QOL and occupational stress. There was no significant correlation between QOL or occupational stress and factors like position, shift, ward, experience, time off, overtime hours, interest in desertion and education. According to harmful effects of occupational stress on nurses, cognitive-behavioral interventions, learning coping strategies are proposed