112 2008-1200 Iran University of Medical Sciences 97 Presenting Model for the National Classification System of Medical Procedures Barati A Zohoor A Tabibi SJ Ahmadi M 1 4 2005 8 19 7 19 10 08 2008 Introduction: Health information managers classify the information of health care and treatment on the basis of classifications system of medical procedures, also they analyz the statistical reports on the basis of this arranged information. Today without an efficient and complete medical classification system, it would seem almost impossible to render health care with acceptable quality. With this system the results of the care process are documented using standard codes. These codes become the basis for data analysis for medical team, researchers, policy makers and planners. Taking into account, the absence of classification system of procedures in Iran, the necessary to create an appropriate model to satisfy coders' needs in urgently felt. Methods: This cross sectional comparative study was conducted in the year 2003- 4 to present a compatible model for national medical procedure classification system. The means for collecting data were texts, periodicals, internet and electronic mails. In this research the trend of development, structure, responsible organization, advantages and limitations and also the standards have been used in designing English classification system were studied in order to recommend a national classification system of procedures. Using Delphi system, the recommended model was put into practice in two phases. Eventually after the analyses of test results, a workable model for the national classification of medical procedure was presented. Findings: The results of the study of the classification of medical procedures written in English along with the current national systems were compared Also the final model in five major items, multifamily, expandability without changing main structure of system, more expansion, Persian guideline for coding, necessary modifiers, standardization ability and organizing the chapters on the bases of the type of procedures or interventions are some of the advantages of the recommended model compared with the available medical classification systems. Results: It seems that the recommended model for the national classification system of medical procedures as compared with the national classification systems in English speaking countries has some similarities to the system of Nordic countries rather than other English systems. Since the national classification system of medical procedures is in its infancy in Iran and the incidence of negligence in some procedures, some codes are predicted for unclassified cases.
98 Study of the Education Effect ion Knowledge and Believes of Female University Student (Dormitory Residents of Tehran University) About Breast Cancer Screening Ebadi Fard F Rimaz Sh Zakaria MZ Rahmati F 1 4 2005 8 19 20 28 10 08 2008 Introduction:Breast cancer is the most common malignancy among women and second Leading cause of cancer mortality in most world wide. Many studies indicate that breast self examination ( BSE ) , clinical breast examination ( CBE ) and mammography reduce mortality of breast cancer. This study surveys effect of education of prevention on breast cancer on knowledge and belief of university.students (B.S) students Residing in fatemieh dormitory's of Tehran university by application heath beliefs . Methods: This study was quasi - experimental (before -after) carried out on 99 university students. Sampling was a cluster multi stage random method. Self-administered Questionnaire was prepared to collect the data. Paired T test , ANOVA, X2 test were used to analyze the data. The educational method applied was giving lecture-companying Pamphlets and film and slide presentation. In this study Participants were between 20 - 25, 17.2 % of them had a positive family history of breast cancer, 12% of them were medical history of breast disease. Findings: While the mean number of the group in the pre test was 5.68(from total 22), it became 16.96 in posttest. paired T test indicated Mean of knowledge's and health belief score had a statistically significant difference between pretest and Posttest (p < 0/0001). Rsults: Education about prevention of breast cancer can promote knowledge and Attitude about screening measurement of breast cancer. 99 Patients Satisfaction at Hospitals affiliated to Kerman University of Medical Sciences & in2002 Zohoor A Eslaminejad T 1 4 2005 8 19 29 36 10 08 2008 Introduction: Overcoming the existing crises in hospitals without considering the patients' needs and their satisfaction is impossible. The rate of inpatients satisfaction with different units is one of the important criterion for the evaluation of the quality of hospital services. Methods: The present study was carried out in a cross-sectional method during the spring of 2002 for the evaluation of inpatients satisfaction with services provided in different units of different hospitals (Shafa, Bahonar and Kerman, Darman) affiliated to Kerman University of Medical Sciences. The statistical population of this research include patients over 15 who had been hospitalized in the internal and surgery wards of the above hospitals for a minimum period of 48 hours. In the study, the minimum required sample size was 564 patients but for more assurance , 600 patients were interviewed at discharge time. The instrument for showing patient satisfaction was a standard questionnaires of the Ministry of Health Education , Isfahan and Shahid Beheshti University of Medical Sciences. Collected data were analyzed by SPSS software using Chi square and T tests. Findings: About 59% of patients were satisfied with hospital service. The highest level of dissatisfaction was shown in the patients' nutrition and hygienic conditions of their rooms and the highest level of satisfaction was shown for the clinics and nursing units. The results indicate no relationship between satisfaction with different hospital units and the patients' age, level of education, duration of hospitalization and marital status. Results: Solving the problems resulting in patients' dissatisfaction requires the administrators, commitments and efforts. Hospital administrators should respectand value the patients' needs and expectations, get their satisfaction and encourage them to cooperate in their own treatment and care process, and help the hospital to reach its objectives. 100 Influential Factors on the Employee Job Satisfaction at Birjand University Of Medical Sciences Dastjerdi R Foadadini M Vejdan SM MehdiZadeh I Fatemeh Rahimi F 1 4 2005 8 19 37 44 10 08 2008 Introduction: In any organization, manpower is the most important element in the improvement and development of that organization and the main factor in achieving the predicted objectives. Job satisfaction not only plays a significant role in achieving organizational objectives it also playas a significant part in the health of individuals as well as the society, thus the influencing factors must be examined by the administrators to correct the pitfalls and reinforce the strengths through careful recognition of opportunities and threats. The objectieve of the present study aimed to reach that end. Methods: The present study is a descriptive - analytical type performed on 324 randomly selected personnel of Birjand University of Medical Sciences. Job description index was used as the instrument for collecting. Data were Analyzed by Analysis of variance (ANOVA) and k2 using SPSS software. Findings: The findings indicate that there is a significant relationship between gender, and job satisfaction regarding promotion system and salary (P<0.05). There was also a significant relationship between the personnel with different educational backgrounds in five job types. Personnel with degrees higher than bachelor were more satisfied with their jobs and salaries. Theses people, however, showed less satisfaction with their supervisors, colleagues, and the promotion system. A meaningful relationship was also observed between employee rank and job satisfaction the most dissatisfied groups regarding salary payments were health care treatment groups. Results:Taking in to consideration the results of the study indicate that several modification must take place in order to see changes in the attitude of employees towards job satisfaction they include: Reform in the evaluation system, salary system, plans and strategies to correct negative attitude to Jobs, closer boss employee relations and finally long term precise planning can be used as and efficient instrument. 101 Comparative Study of Cost- Effectiveness of Dialysis and kidney Transplant a from Using Dali index, at Shahid Hasheminejad Hospital Karimi I Zohoor A Vianchi A 1 4 2005 8 19 45 49 10 08 2008 Introduction: Long-term hemo dialysis and kidney transplantations are the most common treatment for kidney failure. Regarding the increasing demand of these patients to receive therapeutic services, cost-effectiveness of these methods are compared. Methods: This Cross-Sectional research was done to compare cost- effectiveness of long - term hemo dialysis and kidney transplant using Dali index and patients' medical records. Research population are kidney patients referring to Shahid Hasherminejad Hospital in 1378. Findings: In this survey expenses of the year 1378 were tallied. Findings show that kidney transplantation expenses were 38% and 18.5% of long - term hemo dialysis for male and female patients, respectively. In Dali Scale, effectiveness of kidney transplantation was 7 times more than long-term hemo dialysis. Overall, cost - effectiveness of kidney transplantation is 8 times more than hemo dialysis. Results: The average costs of the treatment period in chronic dialysis method is four times more than kidney transplantation. Effectiveness according to Dali index , in kidney transplantation method for patients up to 54 years of age is more than chronic dialysis method. In comparing costs, transplantation method for all comparable age groups effectiveness of is 3 to 14 times more than dialysis method. 102 Study on Bacterial Contamination of Environment kitchen in Some Hospitals Norozi J 1 4 2005 8 19 50 54 10 08 2008 Introduction: Kitchen environment, food preparation tables, dishes, washing liquids,…. etc are at risk of being exposed to different bacteria that can be transfered to patients. The objective of this survey was to determine the bacterial contamination in Kitchen environment in some hospitals. Methods: In this analytical descriptive study, 4 times samples were taken form kitchen environment, washed dishes, food preparation tables, freezers, cold room, washing liquids. Isolated bacteria were identified by standard methods. Findings: Our results showed that bacteria were found in washed dishes, tables, washing liquids and other surfaces in the kitchen. The commonest bacteria were Enterobacter, E. coli, Klebsiella. Results: Enteric bacteria (that may indicate fecal contamination) were found on different surfaces of the kitchens. therefore improvement in hospital hygiene to control infections were emphasized. 103 Effective Factors influencing in Hospital Administratars Creativity and Innovation Sajadi H 1 4 2005 8 19 55 61 10 08 2008 Introduction: Creative and innovative hospital administrators are needed for the of hospitals survival and success It is necessary toidentify the influential factors affecting administrator's the if such administrators are to be trained. Methods:This cross-sectional study was carried out during the spring of 2004. The research population included 66 senior managers including hospital administrator hospital manage horsing supervises in cluding hospital administrator pospital mana, hursing supervisors of 22 hospitals in Esfahan. Data were collected on the basis of a questionnaire wichits validity and reliability were confirmed. The collected data were analyzed by SPSS program using Kolmogorov - Smirnov, Mann-Whitney U,Kruskal Wallis, analysis of variance and T tests. Findings: The most important influential factors on administrator creativity were organizational elements with mean score of (16.25 ± 2.35). The most important influential factors of manager's innovation were personal factors with mean score of (17.87±3.10). Results: Designing an appropriate reward system is required to improving hospital administrator's creativity. Also, hospital administrators should improve their professional capacity through education and training. 104 ASurvey of Wounded Motor Vehicle Passengers and Riders at Shahid Rajaei Educational Health are Center in Qazvin Kiaei MZ Kiaei1 / S.S. Tabatabaei SS Kalhor R 1 4 2005 8 19 62 66 10 08 2008 Introduction: Car accident traumas is one of the most prevalent referrals to the emergency departments and the main reason of death in the first four decade of life in different societies. The objective of the study was to determine the condition of the wounded in motor vehicle accidents at Shahid Rajaie educational health treatment centre in Qazvin. Methods: This is a descriptive survey study based on collecting questionnaires regarding the wounded referrals to Shahid Rajaee hospital. Findings:Within 20 days set for conducting the research out of all the referrals to the center, 203 cases were related to car, accidents. 46.9%, happened in the city and 53.1% be longs to old Qazvin - Take stan read and the fewest number belongs to Qazvin Zanjan free way. Results : For the most part the cause of city fatalities was due to driving without a lisence, and the cause of road accidents was due to unsafe roads and negliengence driving.