Maintenance of efficient, highly specialized, and valuable forces in the present age is one of the most important concerns of organizations, especially organizations with advanced technologies. The importance of human resources planning and management in these organizations has greatly increased, and in the various areas of human resource management, the approach to occupational anchor planning has been very much considered. The purpose of this study was to investigate the role of the job path anchors in human resource strategy among the target community. Participants were selected randomly from among 3500 students at the Faculty of Management of Yadegar-e-Imam Khomeini (RAH) Shahre Rey Branch, Islamic Azad University in Tehran Province, Iran. The sample size was 346 by the Cochran method and the questionnaire was collected by electronic means. At the time of the study, 346 questionnaires were completed and the analysis was performed based on 346 questionnaires. To collect data, standard job anchor questionnaires, and Human Resources Strategic HR Questionnaire was used. The study population included 346 people, of whom 203 were male and 143 were female. The age of the people below the age of 20 was 38, from 20 to 25 years old, 94, between the ages of 26 and 30, 60, people aged 31 to 35, and 76 people over the age of 35 years. The reliability of the work anchors was 91% and the human resources strategy questionnaire was 80%. Investigations have shown that, on the anchors of the career path, the factors of creativity - entrepreneurship, autonomy-independence, pure challenges and public management with a committed strategy and public management, creativity-entrepreneurship, security-stability in the strategy of contracting businesses and creativity - entrepreneurship, Pure challenges, security with secondary jobs, and creativity- entrepreneurship, public management, pure challenges in parenting jobs. According to the results of this study, it seems that the emphasis on reducing organizational structures, empowerment, and participatory decision making can determine the necessary grounds for determining the type of human resources strategy in an organization.
Background: Preparation and hospital development estimated an essential part of the policies and strategic purposes of healthcare in each government. Today, applications of management to reduce the burden of natural and technical disasters appear are very necessary. Objectives: The study aimed to review the major relevant articles in the case of the application of telemedicine for trauma injuries in disaster and military situations. Methods: Original clinical trials investigating the effects of telemedicine on trauma injuries published before April 2018 were aggregated, and used in this study. We search the scientific sources such as PubMed, MEDLINE, Wiley, EMBASE, ISI, and Scopus. The keywords that applied to identify these articles combined: Telemedicine, Mobile Health, Health, Mobile, mHealth, Telehealth, eHealth, Trauma, War, military, medicine, Wounds and Injuries, injuries. Results: The text of the articles and abstracts were examined from various aspects, the 21 articles were evaluated for quality, and then 10 papers entered in a systematic review. We found that the use of telemedicine in trauma injury, rural and the military is very helpful for high-quality trauma care; also the telemedicine and telephone consultations can be were demonstrated reducing the risk of physician-related medicine mistakes. The economic evaluation of telemedicine was demonstrated cost-saving and cost-effective of telemedicine consultations. We also realized the importance and practicable of telemedicine for improving rural trauma care. Conclusions: Ultimately, the telemedicine can help patients and health government organizations economically, the telemedicine consultations due to cost-saving and cost-effective. Further studies to evaluate the running of telemedicine need to abating the practical and high-efficiency method, that can be done everywhere and it's free from mistakes and defects.
Background: As an essential part of the treatment chain and also the link between physicians and patients, pharmacists play a major role in optimizing drug administration. Compliance with a therapeutic regimen is necessary for therapeutic success, while non-adherence can lead to disease progression and eventually treatment failure. This study aimed to evaluate the impact of pharmacist’s patient education on different parameters of patient compliance. Results: The results showed the patients receiving the intervention compared to the control group, were significantly more adherence to the correct drug use dose (p = 0.016), time of use (p = 0.018), treatment duration (p =0.001), and frequency (p = 0.049). Conclusions: This study indicates that detailed patient counseling at pharmacies can positively influence different parameters of patients’ adherence.
Gallstones disease (GD) is a common pathology, with an incidence of approx. 20% in developed countries, a third of these cases being symptomatic. The paper aims to identify the diagnostic and therapeutic features of acute manifestations of gallstones during the COVID-19 pandemic. Materials and method: A retrospective, comparative study was performed of the cases presented to the emergency room (ER) and hospitalized for acute manifestations of gallstones in April-June 2020 vs similar period of 2019. The data regarding clinical form, associated pathology, therapeutic management were analyzed from the ER presentation register, hospitalization sheets and surgical protocols. Results: During the COVID-19 pandemic, the number of hospitalized cases for acute cholecystitis and other acute manifestations of GD was significantly lower than in the same period last year (21 vs 49 patients). In both study groups the main form of presentation was acute catarrhal cholecystitis (52.4% vs 63.2%). During the SARS-Cov-2 pandemic, we report an increased incidence of complicated forms, mainly hydrops (23.8% vs. 4.1%, p <0.05) and angiocholitis (19% vs. 4.1%, p <0.05). Conservative treatment was chosen more frequently during the pandemic (48% vs. 29%). For operated patients, laparoscopic cholecystectomy was the main option, performed in 85.7% in both groups. Conclusions: We maintain that laparoscopic cholecystectomy remains the gold standard for acute cholecystitis, even in the COVID-19 pandemic, as it guarantees the best outcomes for the patients. Conservative management may be an option for mild cases, but it carries the risk of recurrence of symptoms and increased incidence of severe complications.
Osteoporosis is a systemic skeletal condition, characterized by a microarchitectural degradation of bone density and quality, giving low resistance and an increased risk of fracture. Osteoporosis is an important public health problem, with considerable medical, social and economic impact. Data accumulated in recent years demonstrate a significant incidence of osteoporosis in the group of patients with major collagen diseases; of these, Systemic Lupus Erythematosus (SLE) is the prototype of autoimmune disease in which osteoporosis and associated complications have a significant clinical impact. Although additional studies are needed to deepen the relationship between SLE - osteoporosis - associated fractures, we believe that these patients should be managed from the early stages of the disease.
The study aimed to investigate serum vaspin and chemerin changes in response to combat physical fitness tests in military forces. In a semi-experimental design with pretest and posttest, twenty volunteers were engaged to participate in the study. Combat Physical Fitness Test consisted: (1) 25-yard(yd) sprint to J-hook, to 25-yd crawl, and 25-yd run through cones to 75-yd line; split (2) 75-yd casualty drag; split (3) ammo can run to grenade toss (75-yd); (4) ammo can run to end (75-yd); and (5) 650-yard endurance run. Pre-test and the post-test blood sample was gained. The data were analyzed by SPSS version 24. Serum chemerin did not change significantly compared to the pre-test whereas Serum vaspin was significantly higher after the test (p = 0.018). Afterward, a direct correlation was observed between serum chemerin and serum vaspin (p = 0.034, r=0.335). It is suggested that serum vaspin is responsive to short-term maximal power output activity required in the combat fitness test and positively correlates with chemerin. However, it appears that 3 to 4 minutes of high-intensity exercise induce comparatively moderate post-exercise serum vaspin increment, which appears to be inadequate to stimulate chemerin secretion.
Normal pressure hydrocephalus (NPH) is a rare pathological condition that generally affects older people (>65 years old), and can take one of two forms: idiopathic or secondary. It is a reversible cause of dementia, and it manifests itself through a very specific triad: gait impairment, urinary incontinence, and dementia. The clinical diagnosis of NPH is particularly difficult to establish due to the association between these symptoms and old age, as well as due to the absence of specific paraclinical markers. Nevertheless, a holistic application of clinical, imagistic, paraclinical criteria, as well as of the various developed scales may, in time, lead to a diagnosis. Moreover, the evolution of magnetic resonance imaging has certainly made easier to establish the condition. The sole therapeutic method proven to be efficient is shunting surgery which has good results in the majority of the cases, showing clear signs of improvement from the very first-day post- surgery.
Objective: Cerebrovascular Accidents (CVAs) represent the second most prominent cause of death globally, surpassed only by ischemic heart diseases, thus constituting a significant economic burden for healthcare systems. Despite this, little is known about the correlation between the different times of the year and intracerebral hemorrhages. This review investigates said link, as well as seek to identify whether vascular risk factors (i.e. diabetes and high blood pressure) vary through seasons. Method: This paper undertakes the study of 97 patients, all of whom have suffered a hemorrhagic CVA and were hospitalized and treated within the Central Military Emergency University Hospital’s Department of Neurology in Bucharest, in the period between 29th of June, 2017 and 29th of July, 2019. The scope of this study is to optimize prophylaxis within the groups most susceptible to the imminent danger of an intracranial hemorrhage during a certain season. Results: Our study has shown that the season with the highest values of morbidity and mortality is autumn, followed closely by spring. Conclusion: Given the set of yielded data, which is mirrored in the case of risk factors, we conclude that the results vary slightly from those put forward in the literature. Therefore, whilst hemorrhaging CVAs have a consequential impact upon society, both through the disastrous effects of the incident per se, and its disabling nature in the long-term, a positive percentage of them could be avoided by changing one’s behavior during the high-risk periods.
