Showing 6 results for Astaraki
Siavash Beiranvand, Ghafar Ali Mahmoudi , Peyman Astaraki , Omid Ali Papi, Vahid Almasi , Davood Ommi, Noroddin Beiranvand ,
Volume 15, Issue 1 (5-2013)
Abstract
Background: The complaints against physicians and dentists have been increasing at recent years. This complaints can waste the time and energy of these groups. The aim of this study was to determine the reasons of the complaints against physicians and dentists of the treatment centers of Lorestan province from 2007 to 2011.
Materials and Methods: This cross sectional study was approved by research committee of Lorestan university of medical sciences. In 2011, the referred complaints to the office of vice chancellor for treatment of this university from 2007 to 2011 were evaluated. The incomplete complaints were excluded. The data were analyzed by SPSS software (V. 16) and the results were presented as frequency and mean. There was no conflict of interest in this study.
Results: At the time span of the study 328 complaints had been recorded, among which 168 complaints were evaluated. The mean age of the patients was 34±11.2. 112 of the complainers were female. The most complaints were done against dentists, gynecologists, and orthopedists. 25% of the complaints were due to the side effects and the body injuries of the treatment and 22.6% of them were due to delinquency and lack of attention of the physicians.
Conclusion: With regard to the complaints, it seens that more close relations with the patients and more explanation to them about their disease and the treatment can prevent the formation of the complaints.
Ghafar Ali Mahmudi , Peyman Astaraki, Ali Farhadi , Yousof Nazari ,
Volume 15, Issue 1 (5-2013)
Abstract
Background: One of the most common causes of death in the world is poisonings. Investigation and study of causes of poisoning mortalities play an important role in making decisions and improve standards for the prevention of adverse events. Therefore, for better understanding of causes and effects resulting in the death of poisoned patients, we decided to study mortality due to toxic poisoning in admitted patients in Shohada hospital during the years 2006-2010.
Materials and Methods: This cross-sectional study carried out on died patients due to poisoning in Shohada hospital during the years 2006-2010 and needed information were analyzed using descriptive statistics such as frequency distribution tables, cross-tabulation, mean, standard deviation and ratio.
Results: Of the 13,090 patients admitted to hospital for poisoning, 124 people died due to severe complications, of them 58.9% were men. The majority of the patients were single (51.6%), urban residents (77.4%) and having diploma (43.5%). 73.4% of the patients died from suicide and 26.6% of the patients died from drug abuse, alcohol or carbon monoxide poisoning. The most used toxins were pesticides (53.2%), opiates (21.8%), sedative - Hypnotic drugs (10.5%).
Conclusion: Poisoning with pesticides, especially Rice tablet (Aluminium Phosphid)and opium devoted the highest causes of poisoning and mortality than the other drugs and toxins in Lorestan.
Peiman Astaraki , Ghafar Ali Mahmoudi , Khatereh Anbari , Niloofar Hosseini ,
Volume 17, Issue 1 (5-2015)
Abstract
Background: Studying the situation of observance of patients' rights and interaction of those individuals who provide and receive health services are regarded as the most significant and salient parameters of qualitative evaluation of health services. This study was performed to determine respecting patients' bill of rights from the viewpoint of patients admitted to Shohada Ashayer hospital in 2013-2014. Materials and Methods: This cross-sectional study included 286 patients admitted to Shohada Ashayer hospital in 2013 and 2014. Respecting patients' bill of rights from their viewpoint was determined by a questionnaire. Results: The results demonstrated that respecting patients' bill of rights from the viewpoint of the patients was good in 11.2%, average in 86.7%, and poor in 2.1%. Older age, lower educational status, urban residence, shorter hospital admission, and admission to internal and infectious wards were related to better attitude (P<0.05). No significant relationships were found between gender and history of previous hospitalization, and respecting patients' bill of rights (P >0.05). Conclusions: In total, based on the obtained results ,it may be concluded that respecting patients' bill of rights from the viewpoint of patients is not considered as optimal. Therefore, it is necessary to identify the effective factors in this area to promote respecting patients' bill of rights.
Peyman Astaraki , Ghafar Ali Mahmoudi , Khatereh Anbari , Behzad Mohammad Souri , Leila Dosti ,
Volume 17, Issue 2 (9-2015)
Abstract
Background: Authorizing abortion in some cases of fetal and maternal diseases which was implemented by passing its law in 2005, a major change in therapeutic abortion was performed in Iran,s health system. Although there may be cases of illegal abortion, but our study examined legal abortion of Lorestan province in 2013, which led to increase in awareness of health professionals about indications of therapeutic abortion, the time to do it and answer to related questions. Materials and Methods: In this epidemiological and cross-sectional study, all applications for abortion permission, received by Lorestan legal organization in 2013, were studied. The data were recorded in a questionnaire and analyzed using SPSS software. Results: From 205 cases during a year, 144 of them obtained permission for abortion of which 88% issued for fetal abnormalities and 12% due to illness of the mother. The most common diseases in the fetus were, the brain and skull abnormalities, and in the mothers, cardiovascular diseases and hematologic abnormalities were the highest. In these cases, the most frequency belonged to the age group of 25-34 years. For 61 requests, permission for abortion had not been issued. High gestational age (26 cases) and diseases of the brain and skull, were the most common reasons of request for abortion. Conclusion: Abortion means therapeutic abortion and with the increase in the authorized therapeutic abortion, the illegal abortion will be reduced and leads to increase in the health of pregnant women. By increasing awareness of the medical staff about permitted therapeutic abortion and related laws, a correct and better guidance of pregnant women, we can help them to have a healthy community. As well as the problems of obstetricians and gynecologists, in this field, will be decreased.
Peyman Astaraki, Shima Hashemi, Ali Garavand, Farzad Ebrahimzadeh, Maryam Ahadi, Mahnaz Samadbeik,
Volume 22, Issue 1 (4-2020)
Abstract
Background: One of the most significant indicators of the evaluation of emergency centers is the calculation of waiting time for patients to receive diagnostic and therapeutic services. The aim of the present study was to determine the waiting time for the provision of services in the emergency departments of teaching hospitals in Khorramabad.
Materials and Methods: This research was a cross-sectional study conducted in 2017. The study population consisted of all the patients referred to the emergency departments of educational hospitals with an emergency department in Khorramabad. Sampling was randomly carried out through multistage stratified sampling. A valid and reliable checklist was used to collect data, and the data were analyzed by SPSS- 19 by related descriptive and analytical statistical tests.
Results: The three investigated hospitals had a total of 166 emergency beds. 70.6% (573 patients) of the patients had attended the emergency departments with one of their companions, and the greatest frequency of consulation was related to internal medicine specialists (44.5%, 361 people). The gaps between the triage and the first visit, the first visit and the first diagnostic action, sending the first diagnostic action and the medical consultation result, and finally the medical consultation and the outcome of the medical consultation were 8.37 minutes, 31.27 minutes, 9.6 hour, and 7.38 hour respectively.
Conclusion: Regarding the results of this study, it is suggested that the number of emergency department staff and related para-clinical sections increase, thereby reducing the waiting time of people to receive emergency services. Moreover, the authorities are recommended to increase the number of the staff of the night shift in the emergency departments.
Peyman Astaraki, Maryam Ahadi, Zahra Khademi, Farahnaz Changaee,
Volume 26, Issue 2 (6-2024)
Abstract
Background: The health system transformation plan has been implemented since 2014, and one of its goals is the reduction of cesarean rate to 25%-30%. The present study aimed to assess the rate of cesarean delivery and vaginal delivery before and after the implementation of the health system reform plan in Lorestan, Iran.
Materials and Methods: This descriptive study was conducted in 2020. The research population included all the women who had given birth in one of the public hospitals of Lorestan province during 2011-2016. The sampling method was the census, which was based on the statistics of the vice-chancellor of treatment at Lorestan University of Medical Sciences. After data collection, they were analyzed using descriptive statistics.
Results: The results of the study demonstrated that contrary to expectations, the cesarean section overall rate increased by about 3.4% after the implementation of the health system transformation plan, compared to before the implementation of this plan. It is worth noting that in some hospitals, including Khorramabad Asali Hospital, Khorramabad Social Security Hospital, and Broujerd Kowsar Hospital, the rate of cesarean section increased by 4.6%, 6.5%, and 5.9%, respectively, after the implementation of the health system transformation plan.
Conclusion: It seems that according to the rate of cesarean delivery in this province that is higher than standard and the ineffectiveness of the health system transformation plan in this field, more efforts should be made with the use of extensive programs in order to increase the awareness and culturalization of the society.
