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Determinants of patient satisfaction with ophthalmic services
Hossain Ziaei, Marzieh Katibeh, Armen Eskandari, Monir Mirzadeh, Zahra Rabbanikhah, Mohammad Javadi
BMC Research Notes , 2011, DOI: 10.1186/1756-0500-4-7
Abstract: Clients of ophthalmic services were selected by systematic random sampling. Overall satisfaction was measured as the primary outcome using a validated patient satisfaction questionnaire (PSQ-18). Different domains were evaluated using PSQ-18 (technical quality, interpersonal manner, communication, financial aspects, time spent for patients, convenience and accessibility); an additional domain, physical setting of the hospital, was evaluated by complementary questions. A general linear model was used to assess the adjusted impact of each quality dimension on the overall satisfaction. Accessibility and technical quality had the strongest association with the overall satisfaction. This regression model could predict an overall satisfaction of 60%.In comparable settings, if care providers wish to improve the quality of health services from a patients' perspective, they should give priority to improving accessibility and technical quality. Further studies are recommended to discover complementary predictors in formation of overall satisfaction.Some parts of this article are translated form Farsi originally published in Bina Journal of Ophthalmology. (2009; 14 (3): 289-297). The original work is at: http://binajournal.org/index.php/bina/article/view/96 webcite.Research on patient satisfaction with medical care can be tracked to the late 1960s [1]. Initially, researchers focused on patient satisfaction as an intermediate condition in order to reach desirable clinical outcomes such as patient compliance with recommended treatment [2]. Gradually, patient satisfaction was shifted to a final outcome for evaluating and improving health and care services [3].Different instruments have been used to measure satisfaction [4-12]. Studies dealing with patient satisfaction are not homogenous and more studies are needed to ascertain the best technique for measuring quality of health care services and the importance of various predictors on overall satisfaction. In addition, little info
Comparative Study of Functions Affecting the Behavioral Patterns of Tourists in Iran and America’s Tourism Marketing Plan Utilizing SWOT Model  [PDF]
Issa Ebrahimzadeh, Monir Yari
Journal of Service Science and Management (JSSM) , 2013, DOI: 10.4236/jssm.2013.61003

Behavioral patterns of tourists are designed aiming to present a scientific framework of how the variables are interacted and factors influencing consumer behavior can help decision makers and market activists in predicting and controlling consumer behavior. This study aims to explore the functions influencing tourist’s behavioral patterns in Iran and America’s tourism marketing planning which has comparatively been studied. The research methodology is analytical-descriptive and it has been studied and analyzed utilizing SWOT technique. Analytical results of this study show that America in proportion with culture, potentials and operational functions in Iran can be in some cases exploited.

Radiological Evaluation of Spinal Instrumentation as Treatment for Adolescent Idiopathic Scoliosis, a Single Saudi Center 5-Year Experience  [PDF]
Amir Monir Ali
Open Journal of Radiology (OJRad) , 2018, DOI: 10.4236/ojrad.2018.81001
Abstract: Aim of the Study: The aim of this work is to radiologically evaluate the postoperative outcomes of spinal instrumentation performed as a treatment for Adolescent Idiopathic Scoliosis (AIS) on 5-year follow up basis, and to correlate with different clinical scenarios. Materials and Methods: One hundred (100) AIS consecutive patients treated with spinal instrumentation were included in this study. The study period was from 2012 to 2017. All patients had radiological evaluations including total spine x-rays, low dose CT scan using Orthopedic Metal Artifact Reduction (OMAR) software and MRI, after obtaining the informed consents and approval of the institution ethical board. Radiological evaluation included Cobb angle measurement assessed pre, postoperatively and at regular intervals within the 5-year period. Results: Of the 100 patients included, 24 were females and 76 were males. The average age at operation was 16.5 years. Sixty seven (67%) patients showed good correction and maintenance of the spinal curves where the mean Cobb angle was 68°?preoperatively and 21° postoperatively, representing a correction rate of 74%. Thirty three (33%) patients showed complications including postoperative infection (13), surgical revision (4), pseudarthrosis (3), neurological deficits (5), screw loosening (7) and complete hardware failure (1); in whom the preoperative mean Cobb angle was 56° compared to the patients with no complications (p = 0.288). In males, there were postoperative complications in 27 out of 76 and in females 5 out of 24, (p = 0.027). The average duration of follow-up was 3.7 years for all cases. Conclusion: Five-year follow up of patients with AIS treated with spinal instrumentation demonstrates good improvement and maintenance of the corrected spinal curves in two thirds of patients, one third showed variable minor and major complications. Low dose CT scan with OMAR provided an effective modality for evaluation.
The impact of carotid artery disease on outcomes of patients undergoing coronary artery bypass grafting
Abbaszadeh, Monir;
Revista Brasileira de Cirurgia Cardiovascular , 2011, DOI: 10.1590/S0102-76382011000200017
Abstract: objective: although the overall complication rate has been decreased significantly in recent years, stroke is a severe complication after coronary bypass operations. the purpose of this study is to evaluate the influence of carotid artery disease on the results of patients under cabg operation. methods: in a retrospective cohort study, 1,978 patients under cabg operation were studied in shariati hospital between april 2002 and march 2006. the patients who had only valve replacement or non-cabg procedure were excluded from this study. as part of preoperative evaluation, carotid duplex ultrasonography scans were performed. in order to estimate the degree of carotid arteries stenosis, ultrasound imaging measurement and velocity criteria were considered. the patients were classified into three groups: those with no significant stenosis of the internal carotid artery (ica) (moderate) group a, those with significant stenosis (sever) group b and those with the occluded ica (critical) group c. finally, all data were analyzed by spss software. statistical analyses were performed using the following testes; chi-square, fisher exact and student's t tests. results: the distribution of the 1,978 patients undergoing cabg operation were as follows: group a = 1,938, group b = 30, and group c = 10. the results of the evaluations show that perioperative stroke rates were 1.2% (24 patients) in group a, 0.4% (eight patients) in group b and 0.3% (six patients) in group c (p<0.0001). furthermore, perioperative mortality rates for groups a, b and c were 0.1% (two patients), 0.3% (five patients) and 0.4% (seven patients), respectively (p<0.0001). conclusion: the stroke and mortality in patients undergoing cabg are increased when ica occlusion is present.
First-principles study of bandgap effects in graphene due to hydrogen adsorption
Mahboobeh Mirzadeh,Mani Farjam
Physics , 2012, DOI: 10.1088/0953-8984/24/23/235304
Abstract: Hydrogen adsorption on graphene in commensurate periodic arrangements leads to bandgap opening at the Dirac point and the emergence of dispersionless midgap bands. We study these bandgap effects and their dependence on periodicity for a single hydrogen adsorbate on periodic graphene supercells using spin-polarized density-functional theory calculations. Our results show that for certain periodicities, marked by a scale factor of three, the bandgap is suppressed to a great extent, and has a special level structure around the neutrality point. We present explanations for the origin of the changes to the band structure in terms of the \textit{ab initio} Hamiltonian matrix. This method may be used to obtain a more accurate tight-binding description of single hydrogen adsorption on graphene.
Surveying the Vote Permanent Court of Arbitration between China and the Philippines in the South China Sea Case
S. Mohammad H. Mirzadeh
International Journal of Nations Research , 2018, DOI: -
Abstract: The Permanent Court of Arbitration in 2016 pronounced an award about the case of South China Sea in which Chinese government was declared the government which failures its commitments under the UN 1982 Convention on Law of the Sea. It was supposed that the award of tribunal could cease the disputes between China and the Philippines about maritime conflicts. The award-which the principal point was that the historical claims of Chinese government were not considered admissible- was pronounced in favor of sovereignty of the Philippines government. However, the Chinese government severely denied proceedings and believed that the PCA was not competent (had no jurisdiction) solving the dispute. Moreover, the mentioned government denied accepting obligations which arose under the award. It is supposed that the situation between those governments goes more complicated.
The Turkish Online Journal of Distance Education , 2012,
Abstract: Professional Development is a critical necessity in today’s educational environment. The present research was based on the idea that teachers are professionals and they need professional development consisting of various processes of ongoing growth. We examined university teachers’ attitude to professional development in a type of distance learning educational system in Iran and examined their attitudes with their counterparts teaching in on-campus educational systems. To this end, 70 Payame Noor EFL instructors and 70 non-Payame Noor EFL instructors from other public universities in Tehran, Iran were selected to conduct the research. A five-scale Likert questionnaire was designed and evaluated using confirmatory factor analysis (CFA) in order to determine to what extent PNU EFL instructors are involved in professional development and whether there is any significant difference between the level of professional development between them and non-PNU EFL instructors. Data were analyzed with SPSS 18.0 using both parametric and non-parametric statistical tests. The outcomes of this study identified that although PNU EFL teachers believed in increasing their professional development level, this belief wasn’t very prevalent and a significant difference occurred between the extent of professional development between them and non-PNU EFL instructors. Therefore, PNU EFL teachers need to develop a greater awareness of teaching in distance learning university systems while maintaining a high level of motivation to teach English in order to keep up with the changes of English language teaching in the world.
Network Architecture and Performance Analysis of MULTI-OLT PON for FTTH and Wireless Sensor Networks
Monir Hossen,Masanori Hanawa
International Journal of Wireless & Mobile Networks , 2012,
Abstract: An integrated fiber-to-the-homes (FTTHs) and wireless sensor network (WSN) provides a cost-effective solution to build up an immaculate ubiquitous-City (U-city). The key objectives of effective convergence of FTTH and WSN are less computational complexity for data packet processing, low installation cost, and good quality of services. In this paper, we introduce an integrated network structure of multi-optical line terminal (multi-OLT) passive optical network (PON) which can accommodate multiple service providers in a single PON. A modified version of interleaved polling algorithm is proposed for scheduling of control messages from multiple OLTs in a single network. We also provide detailed numerical analysis of cycle time variation, successive grant scheduling time, and average packet delay for both uniform and non-uniform traffic loads generated by each ONU, using fixed service bandwidth allocation scheme and limited service bandwidth allocation scheme. We also compare the throughput of the proposed scheme with existing single-OLT PON for non-uniform traffic load using limited service bandwidth allocation scheme. The simulation results show that the proposed multi-OLT PON system can supports existing bandwidth allocation schemes with better performance than the single-OLT PON in terms of average packet delay, bandwidth utilization, and throughput.
A survey of the quality of clinical education in nursing
Monir Ramezani,Sima Kermanshahi
Journal of Jahrom University of Medical Sciences , 2011,
Abstract: Introduction:Lack of coordination in clinical education of nursing, the method of health care after graduation, and the existence of many problems in fulfilling the aims of clinical teaching encouraged the researchers to conduct this research, aiming at investigating the quality and obstacles of clinical teaching in nursing.Method:This is a cross-sectional descriptive study on 90 individuals (clinical teachers, senior M.S. students of nursing and 30 nurses). 3 self-made questionnaires were used to collect the data.Results:The results showed that the quality of clinical teaching in viewpoint of the majority of students (73.3%) is weak and for the majority of clinical teachers (86.7%) it is moderate .The X2 statistical test revealed a significant difference between the viewpoints of these two groups. As to the problems and obstacles in achieving the aims of clinical teaching, 100% of the students stated the inadequacies concerning the clinical teachers. 96.6% of the clinical teachers indicated that the existing insufficiencies in the curriculum and environmental factors are the obstacles in this regard. 100% of the nursing staff emphasized lack of familiarization of the personnel with the aim of clinical teaching of nursing students which is the main problem.Conclusion:To improve the quality of clinical teaching in nursing, it is recommended that there should be a cooperation among clinical teachers, nurses, head nurses, educational supervisors, and nursing managers in preparing curriculum plans in nursing.
The Value of Chlamydia Trachomatis Antibody Testing in Prediction of Tubal Factor Infertility
Sakine Moaiedmohseni,Monir Owje
Journal of Family and Reproductive Health , 2008,
Abstract: Objective: This study aimed to assess the value of Chlamydia trachomatis (C.trachomatis) antibody titer test in prediction of tubal damage. Materials and Methods: In this case-control study we enrolled 50 women with tubal factor infertility (proven by laparoscopy after hysterosalpingography) and 110 women without infertility history. ELISA was performed for all participants, seeking C.trachomatis IgG antibodies. ELISA for IgM was then performed for women with positive test. Statistical package for social science version 11 was used for data entry. Statistical evaluation was performed using student t test, Fisher exact and chi-square tests. Statistical significance was defi ned as P<0.05. Results: In 8(5%) of all women the C.trachomatis IgG antibody was positive .Five (10%) of the infertile patients and 3 (2.7%) of pregnant women had positive tests (P < 0.03). All of them had negative results for IgM antibodies. Twenty five percent of women with normal hysterosalpingography and 5.3% of women with abnormal hysterosalpingography had positive antibody test. There was not any correlation between antibody titer and abnormal HSG. Endometriosis was diagnosed in seven women with negative antibody results. Conclusion: The result of C.trachomatis antibody titer was significantly different in women with and without infertility Laparoscopic. Tubal assessment is recommended in infertile women with a positive result of the C. trachomatis antibody titer.
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