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Showing 4 results for Rezazadeh
Sensitivity and specificity of the vascular and skin manifestations of limited scleroderma .
Gharibdoost F,(md) , Tehranibanihashemi Sa,(md , Mph) Rezazadeh M,(md). ,
Volume 8, Issue 3 (Sep 2005)
Abstract

Introduction: Systemic sclerosis is a chronic multisystem disease. Many patients with limited scleroderma do not meet the criteria of the American College of Rheumatology (ACR), although they clearly have skin changes. There is no information regarding the sensitivity and specificity of manifestations of scleroderma. The aim of this study was to determine the sensitivity and specificity of the vascular and skin signs in patients with limited scleroderma.

Methods: Forty patients with limited scleroderma according to the ACR criteria, 40 patients with other collagen vascular diseases, and forty healthy persons were selected for this study. Ten parameters (acrocyanosis, acro-osteolysis, gangrene, Raynaud's phenomenon, pitting ulcer, more than 5 facial and palmar telangectasia, hyper- and hypopigmentation, vertical and horizontal mouth diameter, and the number of radial furrowing around the mouth) were evaluated in them.

Results: The mean age for both groups of scleroderma and healthy persons was the same (40 years). The patients with collagen vascular disease had a mean age of 36 years old. More than 95% of patients in each group were female. The mean duration of the disease at onset was 7.6 years in the scleroderma patients. Raynaud's phenomenon and pitting ulcers had the highest sensitivity (97.5% and 82.5%, respectively). Acrocyanosis, acro-osteolysis, gangrene, pitting ulcer, hypo and hyper pigmentation, more than 5 facial and palmar telangiectasia had 100% specificity. Receiver-operator curve (ROC) was used to determine the best cut-off point for vertical and horizontal mouth diameter and the number of radial furrowing around the mouth. The number of the radial furrowing around the mouth had the largest area under the curve with 80% sensitivity and 87.5% specificity for 5 folds or more.

Discussion: Raynaud's phenomenon is the best and the first sign to rule in or out the disease because it has the most positive likelihood ratio (39) and the least negative likelihood ratio (0.02). The 100% specificity of the skin signs may be due to the lack of dermatologic patients in the control group. It is therefore recommended to design studies with patients in their early onset of the disease and control groups consisting of patients with skin diseases.

 

 Hakim  Research Journal 2005 8(3) 25-30.

 

 


The effect of mandatory seat belt use legislations on mortalities from road traffic injuries in Iran
Soori H, (phd) , Nasermoadeli A, (phd) , Ainy , (msc) , Movahedi M, (phd) , Mehmandar Mr, (msc) , Massoudei Nejhad Mr(phd) , Hatam Abady Hr, (md) , Rezazadeh Azari M, (phd) , Mahfozphoor S, (phd) , Vafaee R, (md) ,
Volume 12, Issue 1 (4-2009)
Abstract

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Soori H1 * , (PhD) Nasermoadeli A1, (PhD) Ainy E1, (MSc) Movahedi M1, (PhD) Mehmandar MR2, (MSc) Massoudei Nejhad MR1, (PhD) Hatam Abady HR3, (MD) Rezazadeh Azari M1, (PhD) Mahfozphoor S1, (PhD) Vafaee R1 (MD).

 �

1- Safety Promotion and Injury Prevention Research Center, School of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran

2- Rahvar Research Center of NAJA, Tehran, Iran

3- Safety Promotion and Injury Prevention Research Center & Imam Hossein Hospital, Tehran, Iran

 

  Abstract

 

Introduction: This study investigated the effect of mandatory seat belt use legislations on reducing traffic injuries and the intensity of road traffic injuries (RTIs).

Methods: Data on RTIs from one year before untill two years after the implementation of mandatory seat belt use legislations were obtained from the police department. After data cleaning and stratification, RTIs and mortalities of the first and second year after the implementation of mandatory seat belt use legislations were compared with those in the year prior to the intervention.

Results: The results showed that traffic mortalities consisted 13% of all RTIs in the year prior to the implementation, while it decreased to 9.7 % (95% CI: 9.6-9.9) and 11.4 % (95% CI: 11.3 -11.6) in the first and second years after the implementation, respectively. The trend of mortality reduction was not consistent in the two years, as we observed a slight increase in the proportion of mortalities in the second year after the implementation of mandatory seat belt use legislations, though it did not reach the level of the year before the implementation of this law.

Conclusion: Our findings suggested that the mandatory seat belt use was efficient in reducing the intensity of RTIs and it was also efficient in reducing the crude number of RTIs. However, in the second year after the implantation, the efficiency of this intervention reduced.

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Keywords: Traffic injuries, seat belt, accident, legislation.

Hakim Research Journal 2009 12 (1): 48- 54.


  * Corresponding Author: Safety Promotion and Injury Prevention Research Center- 6Th Floor Second building Shahid Beheshti University of medical sciences, next to Taleghani Hospital, Parvaneh Street, Evin, Chamran Highway, Tehran, Iran. Tel: 0098 21 22439787 Fax: 0098 21 22439787 E.mail: hsoori@yahoo. com


A Practical Model of Political Mapping in Road Traffic Injury in Iran in 2008
Soori H , Ainy E , Movahedinejad Aa , Mahfozphoor S , Rezazadeh Azari M , Vafaee R , Hatamabadi Hr , Masoodeinejad Mr , ,
Volume 12, Issue 3 (10-2009)
Abstract

     

Soori H * 1 (PhD), Ainy E1 (Msc), Movahedinejad AA2 (Bs), Mahfozphoor S1,3 (PhD), Movahedi M1 (PhD), Rezazadeh Azari M1,4 (PhD), Vafaee R1(MD), Hatamabadi HR1,5 (MD), Masoodeinejad MR1,6 (PhD),

 

  1 Safety Promotion and Injury Prevention Research Center, Department of Epidemiology,

  School of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran

  2 Rahvar research center of NAJA, Tehran, Iran

  3 Department of Health management, School of Public Health ,

  Shahid Beheshti University of Medical Sciences, Tehran, Iran

  4 Department of Occupational health, School of Public Health ,

  Shahid Beheshti University of Medical Sciences, Tehran, Iran

  5 Emam Hossien Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

  6 Department of Environmental Health, School of Public Health,

  Shahid Beheshti University of Medical Sciences, Tehran, Iran

  

  Received: 3 Aug 2009, Accepted: 14 Oct 2009

 

  Abstract

 

Introduction: This study was conducted to assess political mapping in Iran and present a practical model on the state of road traffic injuries (RTIs).

Methods: A phenomenological qualitative study was developed to identify stakeholders on RTI in Iran in 2008. Designed questions were discussed by systematic discussion. After having written consent from main responsible stakeholders, the questionnaire was filled by trained experts about the rationale of the study and was analyzed. In comparison with other countries’ political mappings which were found by library and internet searching, political mapping of RTI in Iran was suggested.

Results: The mean age of subjects was 41±7 (range: 27-54) years. Subjects were 26 experts from governmental and nongovernmental organizations. The main proposed leading agencies were traffic police and presidency (13% each). Only 31% of our political mapping is according to approaches of WHO. In 94%, the organizations had unspecified roles the reason was poor monitoring for RIT in 39%. Lack of adequate authority and lack of suitable legislation, appropriate laws and tasks definition and were 94% and 18% respectively. The most essential policy to overcome the problems was defined as appropriate legislation (21%), and the most frequent type of support that is needed was mentioned to be adequate budget (25%).

Conclusion: Traffic police can play the leading agency role by presidential support and protection by a strong authority, appropriate legislation, defined tasks and adequate budget.

 

Keywords : Legislation as Topic, Accidents Traffic, Police

Hakim Research Journal 2009 12(3): 1- 9.


  * Corresponding Author: Safety Promotion and Injury Prevention Research Center, Research Manager Part, 6th floor, Shahid Beheshti University of Medical Sciences, Parvaneh Street, Evin, Chamran High Way, Tehran, Iran.

  Tel: +98- 21- 22439787 Fax: +98- 21- 22439787, Email: hsoori@yahoo.com


Survey on Economic and Performance Indicators of a Big Tertiary Hospital: Before and After Health Care Evolution Plan, Tariff Change and Pay for Performance Instruction Implementation
Hosein Ebrahimipour , Samira Olyani , Alireza Rezazadeh, Ali Khorsand, Somayeh Fazaeli , Mahdi Yousefi,
Volume 21, Issue 1 (4-2018)
Abstract
Survey on Economic and Performance Indicators of a Big Tertiary Hospital:
Before and After Health Care Evolution Plan, Tariff Change and Pay for Performance Instruction Implementation

Hosein Ebrahimipour (PhD)1, Samira Olyani (MSc)1, Alireza Rezazadeh (MSc)1, Ali Khorsand (PhD)2, Somayeh Fazaeli (PhD)3, Mahdi Yousefi (PhD)1*

1 Social Determinants of Health Research Center, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran
2 Faculty of Complementary and Chinese Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
3 Department of Medical Records and Health Information Technology, School of Paramedical Sciences,
Mashhad, University of Medical Sciences, Mashhad, Iran

Abstract

Introduction: The aim of this study was to determine the effect of Iran’s health system evolution plan, tariffs change on performance, revenue, and expenditure of a big tertiary hospital in Iran in 2015.

Methods: This cross-sectional descriptive study was conducted in a big tertiary hospital, (Imam Reza), in 1394 using activity based costing in four time spans: before and after health system evolution, after tariff change, and one year after the inauguration of the evolution. Data relating performance, revenue, and expenditure were gathered and analyzed using descriptive statistics by Excel 2013 Software.

Results: Cost, revenue, and profit of hospital were increased by 31%, 82%, and 4.6% after health system evolution and by 42%, 38%, and 1.7% after tariff change, respectively. Hospital encountered with 17% loss one year after the inauguration of the evolution, however, cost and revenue of hospital were increased 23% and 3%, respectively. The highest change in physician and personnel income with 103% and 91% rise was related to after tariff change. After health system evolution and tariff change, operating room income was increased 33% and 124%, respectively. One year after the inauguration of the evolution, the operating room income didn’t change and the amount of surgeries decreased by 9%.

Conclusions: Performance and financial indicators of Imam Reza hospital have been affected substantially by health system evolution; however, it has not equally affected all revenue and expenditure items.

Keywords: Hospital Administration; Costs and Cost Analysis; Health Care Reform; Hospital Costs
 

Please cite this article as follows:
Ebrahimipour H, Olyani S, Rezazadeh AR, Khorsand A, Fazaeli S, Yousefi M. Survey on Economic and Performance Indicators of a Big Tertiary Hospital: Before and After Health Care Evolution Plan, Tariff Change and Pay for Performance Instruction Implementation. Hakim Health Sys Res 2018; 21(1): 57- 63


*Corresponding Author: Social Determinants of Health Research Center, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran. Tel: +98-513853592, Fax: +98-5138522775, E-mail: yousefimh@mums.ac.ir

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