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Introduction: The World Health Organization defines health as "not merely the absence of disease or infirmity"-but as a concept that incorporates notions of well-being or wellness in all areas of life (physical, mental, emotional, social, spiritual). Quality of life (QOL) reflects the differences, the gaps, between the hopes and expectations of person and their present experience.

 Methods: This was a cross- sectional research, done in 2004 to study staff QOL in Health Insurance organization(HIO). The research population was 684 from and The Head Quarter in HIO. The sample population was 510 person (334 person Tehran's main branch and 176 Person in the Head Quarter), whose QOL was analysed with respect to sex, marital status and educational level. A pilot study was done to determine The reliability of QOL questionnaire with sample size of 50 (alpha 0.84). Data analysis taken from, frequency tables was done calculating the means of the data, and using independent T-Test, One-way and Multi-way analysis of variances, and Analysis of Covariance.

Findings: The mean scores of QOL in Tehran's main branch and the Head Quarter were 145.36 and 149.8, respectively, which indicated a significant difference (P-Value = 0.08 and a= 0.05). Comparison of the QOL in the work place, work place and job, work place and income revealed a significant difference between them at a= 0.05 (P-Value < 0.05). The result didn't show a significant difference between the mean scores of QOL and other independent variables such as: sex, marital status and age group.

Conclusion:Although, Staff QOL was evaluated at a good level, they had a different QOL with respect to work place, kind of job and income. Therefore in order to enhance staff QOL, decisions should be taken to improve their life and job conditions.

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Introduction: Providing a suitable work condition to attain common personnel and organizational goal, is one of the most important management's duties. There is no doubt that increasing management job motivation is important to achieve quality and quantity organization performances. Present study evaluated the impact of reducing motivations on managers, Job performance at Isfahan University of Medical Sciences.

Methods: Present research is a descriptive comparative study carried out. Data have been collected by questioners Included all Isfahan University of Medical Sciences mid operational managers. Sampling method was random and based on pilot study the number of the sample subjects defined 78 people.

Results: Results showed that material reducing motivator's elimination had fewer effects on mid management however it had better effect on upper average level management.

Conclusion: Influencing factors on job motivation process determined by personal values. So care must be taken to extend finding of present study to other re search popolations.

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Introduction: Urban growth with increase in population has resulted in an increase in amount of waste. Today getting rid of this waste especially in hospitals has known as one of the most significant environment challenges in all developed and developing countries. Improper hospital waste management in many of countries like Iran causes disposal of hospital waste without considering environmental and technical issues causes harmful effects on human and the environment. Therefore managing of hospital waste is one of the most complicated problems for government in all countries that involves many expenses. The study aimed at decreasing the amount of infectious waste by using a quality model.

Methods: In this study, we performed a quality improvement model to interfere generation of waste in a public university affiliated hospital in shiraz- Iran. In this study, we tried to decrease the amount of infectious waste by using this model. Hospital waste was weighted in two stages, before and after performing model. The descriptive statistics was used to compare the results of two phases.

Results: Prior to accomplishing this model, the daily average of waste production was 813 kg for infectious waste and 83 kg for non-infectious wastes that contains kitchen wastes only. Total amount of daily medical wastes in inpatient wards was 594kg (3.4 kg per occupancy bed-day). Therefore, infectious waste was 90.7% of the total amount of hospital waste. After accomplishing the model, it decreased to 57.6%.

Conclusion: Using the quality improvement model, infectious waste production has been decreased by 33.1%. Therefore, hospital can use the quality model to decrease their infectious waste production.

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 Introduction: Quality of life is considered as a component of individual's subjective well- being. This means more emphasis on social policy and on reforms in social goals aimed to make productive life for the elders. One way for improving quality of life is using a variety of social and welfare supports. The purpose of the present study was to investigate and compare pensioner quality of life between pensioners of Social Security Organization and National Retirement Fund in Qom County, Iran.

Methods: In this cross-sectional study 150 aged pensioners (75 people from Social Security Organization and 75 people from National Retirement Fund) who were randomly selected were enrolled to compare their quality of life each other. As tools for collecting data, demographic check list, and LEIPAD elderly quality of life questionnaire were used. Statistical analyses performed by SPSS. T-test, one way ANOVA, and Pearson correlation coefficient were used to data analysis.

Results: We found no statistically significant association between two groups in terms of total quality of life (P= 0.103). There were no significant differences between groups in all dimensions of quality of life except subjective and mental function (P = 0.005). There was significant statistical correlation between elderly quality of life and their age, marital status, educational status and sex (P < 0.05) but not between quality of life and their housing and income (P > 0.05).

Conclusion: In this study, we found no any statistically significant difference between pensioners' quality of life in terms of organization type.

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Introduction: Thalasemia Major is one of the most common anemia diseases that can be fatal if not promptly diagnosed. The survival analysis of these patients can be an appropriate strategy in determining risk factors for death in these patients. The purpose of this study was to choose the best model to determine the risk factors for death in patients with the thalasemia major using common methods in the survival analysis.
 Methods: The data of this retrospective cohort study, with 296 patients with thalassemia major, was collected in 2004- 2013 in Zafar Clinic in Tehran. Akaicke information Criterion was used for comparison of the models and the choice 351of the best model. Data analysis was carried out with R3.0.2 software at the significant level of 0.1.
 Results: The values of the Akaicke information criterion (AIC) for the parametric weibull, frailty weibull, log-normal, log-logistic, Gompertz, gamma and the semiparametric Cox were computed and found to be 27.56, 29.56, 18.73, 23.39, 26.26, 68.10, 24.73, respectively. The mean survival time for men and women were 40.2 and 39.7 years, respectively. The Log-normal model showed that age, age at the first desferal injection, onset of blood injection, the patient's birthplace, mother's education variables were significantly correlated with patient survival.
 Conclusion: According to the values of AIC, the parametric log-normal model was chosen and suggested as the best model.

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Introduction: Accreditation, as an international diagnostic evaluation process, can improve productivity indexes through enhancing medical service quality. The current study aimed to assess the impact of accreditation on productivity indexes in Firoozgar hospital in Tehran.
Methods: This practical, analytical-interventional and cross-sectional study was conducted during 2011-2012 in Firoozgar hospital in Tehran. Data forms were used for collecting data which were then analyzed using SPSS and R (Ver. 3.0.1) and the statistical methods employed were ratio and paired-t tests.
Results: Productivity indexes were studied based on four axes which included eleven ratios. Based on the findings, accreditation had a significant impact on income-expense axis, a relative influence on performance indexes axis and specific unit axis and no impact on human resource axis.
Conclusion: Considering the relative impact of accreditation on the improvement of hospital productivity indexes, it can be concluded that it lead to more quality services to patients and decrease many problems in this section. Therefore, managers are recommended to implement it in their hospitals.

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Introduction: Spirituality is considered as an important issue not only in organizations but also in everyday life. This study aimed to analyze the role of spiritual intelligence in the productivity of employees at Isfahan University of Medical Sciences.

Methods: This applied, descriptive- correlation study was conducted in 2014. The population consisted of 900 people including all finance staff and managers of Isfahan University of Medical Sciences. King questionnaire (version 2008) was used to collect data on spiritual intelligence and a researcher developed questionnaire was used to measure productivity. Data were analyzed using structural equation modeling techniques, descriptive statistics, SPSS software (version 19) and LISREL.

Results: The ratio of LISREL output, 0.48, indicated a good model fit and a t-value of 5.04 confirmed the effectiveness factor. The results showed that t- values of variables were greater than 1.96 which indicates a positive and significant impact of spiritual intelligence on the productivity of employees.

Conclusion: The enhancement of productivity can be achieved through reinforcing spiritual intelligence of employees.

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Introduction: Poor performance of the resuscitation team can have negative consequences for the hospital and the community. Identifying and correcting problems related to the emergency department is one of the priorities to improve the quality of service delivery and increase satisfaction. The aim of this study was to determine the effect of the FOCUS PDCA method on improving the cardiopulmonary resuscitation (CPR) index in the emergency department.
Methods: The present study was a quasi-experimental study performed in the emergency department of Imam Ali Hospital in Andimeshk. The control group included 75 CPR events before the intervention, and the experimental group included 76 CPR events after the FOCUS-PDCA. A team of nurses working in the emergency department and resuscitation group were selected based on the inclusion criteria. Basic and advanced CPR training and FOCUS PDCA method workshops were held for them. Then, the nine steps of the FOCUS-PDCA were performed. The data collection tool was a researcher-made checklist. Data were analyzed using the SPSS-22 software: Chi-square, Fisher, and Mann-Whitney U tests were performed.
Results: The result of successful resuscitation for patients after FOCUS PDCA increased by 3.64%.The  CPR results were successful in 6.7% before the intervention and 26.3% after the intervention. The rate of unsuccessful CPR in traumatic, internal, and non-traumatic patients decreased after the intervention. There was a statistically significant difference between the two groups in terms of the occurrence of cardiac arrest in presence of witnesses.
Conclusion: It is expected that the implementation of the FOCUS PDCA method can lead to the improvement of indices and successful resuscitation of patients in the emergency department.

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