2024-03-29T00:37:39+03:30 http://cjhr.gums.ac.ir/browse.php?mag_id=1&slc_lang=en&sid=1
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Caspian Journal of Health Research CJHR 2423-8171 10.32598/CJHR 2015 1 1 A Credit Approach to Measure Inherent Hazards Using the Fire, Explosion and Toxicity Index in the Chemical Process Industry: Case Study of an Iso-max Unit in an Iran Oil Refinery Masoud Mardani psm.mardani@gmail.com Amir abbas Mofidi Arash Ghasemi Objectives: Indices are extensively used for ranking various units of a chemical process industry on the basis of the hazards they pose of risk a fire, explosion and toxicity release. Methods: This type of ranking enables the professionals to identify the more hazardous units from the less hazardous ones so that greater attention can be paid to the former. The key process subunits in the Iso-max unit were identified based on parameters such as process pressure, temperature and material value. In next step, the main parameters affecting the FETI were identified and estimated, and the Mond FETI index was calculated for each subunit. In addition, the criteria offset measures for each case were identified and their influences were studied. Results: The results showed that the process route’s potential hazardous characteristics, such as major incidents, were associated with one or more of the following dangerous phenomena: thermal radiation, blast (pressure wave) and ejection of fragments, release of toxic materials and chemical concentration in the air. Intake amount assessments and the corresponding risk of exposure were also produced. By using statistical incident data of the risks of fire, explosion and toxicity, exposure risks can be estimated more realistically as probabilities. This approach is capable of comparing alternative processes to select the one which is inherently safest. Conclusion: Using this method, the exposure risks in a process can be identified sooner, and proper risk management decisions can be made early in the process development or predesign stages. Inherent Hazards Chemical Process Criteria Offset Measures 2015 10 01 1 17 http://cjhr.gums.ac.ir/article-1-40-en.pdf 10.18869/acadpub.cjhr.1.1.1
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Caspian Journal of Health Research CJHR 2423-8171 10.32598/CJHR 2015 1 1 Improving Self-care Behaviours in Pregnant Women in Zahedan: Applying Self-efficacy Theory Atefeh Zhianian Iraj Zareban zareban@gmail.com Alireza Ansari-Moghaddam Seyedeh Fateme Rahimi Objectives: Improving self-care behaviours such as the early detection of any abnormal signs and symptoms in high-risk pregnancies, self-control of weight and control of blood pressure have essential roles in the prevention and reduction of maternal and infant mortality rates. In this study, we aimed to determine the effects of an educational intervention based on the self-efficacy theory on improving self-care behaviours among pregnant women. Methods: This intervention study was conducted on 300 pregnant women that were referred to health centres in Zahedan was 2014. We used multi-stage random sampling from five different areas in the city of Zahedan, and selected participants according to inclusion and exclusion criteria. In each region, the women at two centres were randomized into two groups consisting of the intervention (n = 150) and controls (n = 150) groups. Data collection tools, including questionnaires (validity and reliability were confirmed respectively), that both groups completed before training. Two training sessions were conducted for the intervention group with practice lectures, questions and answers, focus groups and using slides and educational pamphlet. One and one-half months after the training intervention, both the intervention and control groups completed questionnaires. Results: According to the results, knowledge scores changed by a mean of 3.37compared with 0.89, attitude 1.19 compared with 0.07, behaviour 1.01 compared with 0.63 and self-efficacy 2.47 compared with 0.23 in the intervention group after training, compared to the control group. In addition, an independent sample T-test statistical test showed that the difference between the two groups was significant (p < 0.0001). Conclusion: The use of an educational intervention based on self-efficacy theory had positive effects on the knowledge of self-care behaviours among participants. health education self-care pregnancy 2015 10 01 18 26 http://cjhr.gums.ac.ir/article-1-41-en.pdf 10.18869/acadpub.cjhr.1.1.18
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Caspian Journal of Health Research CJHR 2423-8171 10.32598/CJHR 2015 1 1 Investigation of Job Stress and Related Factors in Firefighters in the Cities of Ahvaz and Yazd, Iran Mohamad Hossein Baghianimoghadam Naser Hatamzadeh Dalahoo_nh@yahoo.com Mehrdad Sharifi Akram Mehrabbeiki Nahid Ardian Objectives: Although all jobs are stressful, professions contributing to human health are of utmost importance. Firefighting is a stressful and dangerous job where firefighters tend to have high levels of job stress. This study aims to explore occupational stress in firefighters. Methods: This descriptive, cross-sectional study was performed in 2013. Participants comprised 244 firefighters from Yazd’s and Ahvaz’s fire departments. The data were collected using the HSE job stress questionnaire and analyzed using SPSS 21 software. Results: The participants’ age ranged from 25 to 54 years, with a mean of 39.02 ± 7.44. The working history of the participants was 1 to 28 years, with a mean of 13.14 ± 7.17. There was a significant difference between the education and working history of participants and their stress levels (p = 0.013 and p = 0.001, respectively). Stress decreased with increasing age (p = 0.075 and r = ;minus0.114) and working history (p = 0.071 and r = 0.116), but these variables were not statistically correlated. Conclusion: According to this study, healthcare politicians should develop training programs that focus on communication skills and staff and administrative support for fire workers. It appears that, due to the stressful job of firefighters, training programs should be designed with an emphasis on the importance of communication skills and on support from colleagues and authorities, in order to foster better health and performance in employees. Job stress Firelighters Yazd and Ahvaz 2015 10 01 27 34 http://cjhr.gums.ac.ir/article-1-42-en.pdf 10.18869/acadpub.cjhr.1.1.27
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Caspian Journal of Health Research CJHR 2423-8171 10.32598/CJHR 2015 1 1 The Relationship between Demographic and Social Factors Associated with BMI among 25-60 Years Old Couples of Babol Sadat Hoseini Seiyedi Hasan Ashrafian Amiri Rahim Malekzadeh Kebria Rahmat Habibzadeh Morteza Aligoltabar S.D. Nasrollahpor Shirvani dnshirvani@gmail.com Objectives: Overweight and obesity is one of the major problems that can cause diseases physical, mental and social in people. Several factors may affect higher BMI (Body Mass Index). This study aimed to identify factors influencing BMI among 25-60 years old couples of Babol. Methods: This cross-sectional study was performed in in spring 2014. The study population includes 25-60 year old couples who were selected by random cluster. Data collected through a researcher-made questionnaire containing 20 questions about demographic and social variables and 3 questions about for dependent variable. Validity and reliability of the questionnaire were approved. BMI was calculated and analyzed by SPSS18 software. Results: The mean age and BMI male were 42.6±6.3 year and 26.5±4.3 and female 39.6±5.8 year and 29.8±6.2. Out of 439 male, 195 (44.4) were overweight and 77 (17.5) were obese and out of 470 female, 186 (39.6) were overweight and 203 (42.2) were obese. BMI of male was significantly associated with personal car, education, diabetes and hypothyroid, smoking, watching TV and consumption of soft drinks (p<0.05). BMI of female was significantly associated with personal cars and motorcycles, education, job, watching TV, sports and abortion (p<0.05). Conclusion: The results of this study showed that some of demographic and social factors is effective in couples’ BMI and relation other factors with BMI of male and female is different. It is recommended to design and implement some intervention programs for men and women based on the influence. BMI of couples Overweight Obesity behavioral factors Social factors. 2015 10 01 35 45 http://cjhr.gums.ac.ir/article-1-43-en.pdf 10.18869/acadpub.cjhr.1.1.35
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Caspian Journal of Health Research CJHR 2423-8171 10.32598/CJHR 2015 1 1 Healthcare Personnel\'s Acceptance of Clinical Information Systems in Teaching Hospitals of Rasht in 2014 Fardin Mehrabian Ali Haghshenas ramin.haghshenas@ymail.com Objectives: Developed countries have long been aware of the importance of information technologies in achieving success. The role of information technologies in improving the quality of healthcare and aiding patient safety has always been a research interest for the healthcare industry. The present study was conducted to assess healthcare personnel's acceptance of clinical information systems in teaching hospitals of Rasht in 2014. Methods: The present descriptive cross-sectional study was conducted in 2014 in a study population consisting of the healthcare personnel employed at teaching hospitals of Rasht. The study samples were selected through stratified random sampling and included 520 individuals. Data were collected using a standard questionnaire. The normal distribution of the data was confirmed using the Kolmogorov-Smirnov test. The Pearson correlation test and the confirmatory factor analysis were used to analyze the data. Results: Significant positive relationships were found between the features of information and communication systems and perceived benefits (R = 0.357 and P = 0.001), between the knowledge of information and communication systems and perceived simplicity (R = 0.211 and P = 0.0001), between perceived simplicity and perceived benefits (R = 0.558 and P = 0.0001), between perceived simplicity and the attitude toward application (R = 0.472 and P = 0.0001), between perceived simplicity and the acceptance of clinical information systems (R = 0.441 and P = 0.0001), between perceived benefits and the attitude toward application (R = 0.272 and P = 0.0001), between perceived benefits and the acceptance of clinical information systems (R = 0.171 and P = 0.0001), and between the attitude toward application and the acceptance of clinical information systems (R = 0.676 and P = 0.0001). Conclusion: The results obtained suggest that teaching hospitals' personnel should help modify the prevailing culture that impedes the acceptance of information systems and to constantly foster more appropriate values and behavioral patterns. The empowerment of the personnel to use clinical information systems is an effective measure that helps increase productivity, efficiency and the optimal use of time. Clinical information systems teaching hospitals 2015 10 01 46 54 http://cjhr.gums.ac.ir/article-1-44-en.pdf 10.18869/acadpub.cjhr.1.1.46
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Caspian Journal of Health Research CJHR 2423-8171 10.32598/CJHR 2015 1 1 The Relationship between General Health and Emotional Intelligence among Students in Yazd University of Medical Sciences Mohamad Hossein Baghianimoghadam Leyla Sabzemakan Maryam Hadavandkhani Nahid Ardian n_ardian1382@hotmail.com Sajad Saleh Manshadi Objectives: Psychological needs and health of students are of particular importance. Therefore, this study aimed to investigate the relationship between general health and emotional intelligence among students in Yazd University of Medical Sciences. Methods: In this descriptive-correlational study, 220 students were randomly selected from different fields. Goldberg General Health Questionnaire and Bar-On Emotional Quotient Inventory were used to collect data. Pearson’s correlation coefficient, regression analysis, and independent t-test were used to analyze the data. Results: A significant negative correlation was observed between emotional intelligence and general health components. Also, a significant positive correlation was found between age and emotional intelligence, but there was no significant correlation between age and general health components. Components of anxiety and insomnia, social dysfunction, and depression altogether explained 31.2% of the variance of emotional intelligence. There was no significant correlation between general health and educational level, but there was a significant correlation between emotional intelligence and educational level (p;le0.03). Conclusion: There was a positive correlation between general health and emotional intelligence. The students having higher levels of emotional intelligence and general health can establish healthier and more successful interpersonal relationships with others. General health Emotional intelligence Students 2015 10 01 55 62 http://cjhr.gums.ac.ir/article-1-45-en.pdf 10.18869/acadpub.cjhr.1.1.55