• Users Online: 12607
  • Home
  • Print this page
  • Email this page
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Reader Login
Export selected to
Endnote
Reference Manager
Procite
Medlars Format
RefWorks Format
BibTex Format
  Citation statistics : Table of Contents
   2016| January-March  | Volume 4 | Issue 1  
    Online since February 5, 2016

 
 
  Archives   Previous Issue   Next Issue   Most popular articles   Most cited articles
 
Hide all abstracts  Show selected abstracts  Export selected to
  Cited Viewed PDF
CASE REPORT
Studying the relationship between charismatic leadership, self-leadership, and work engagement inhealthcare sector
Fardin Shooraj
January-March 2016, 4(1):41-45
DOI:10.4103/2347-9019.175675  
Charismatic leadership is renowned as one's personal strength perceived to be extraordinary and attractive by other people. Charismatic leadership effects change in followers' behavior through making salient of their values and identities. The aim of this research was to study the relationship between charismatic leadership, self-leadership, and work engagement in the healthcare sector. The study took place at hospitals in Iran. After distributing questionnaires, 348 accurate questionnaires have been used for data analysis. This research was conducted using three separate questionnaires include charismatic leadership self-leadership and work engagement. Structural equation modeling was conducted to examine the relationship between the variables. The finding showed that charismatic leadership has a positive impact on self-leadership and work engagement with a significant path coefficient at 0.69 and 0.78. In addition, self-leadership has a positive impact on work engagement with a significant path coefficient at 0.73. The results of the research showed that charismatic leadership could be considered as a predictor of self-leadership and work engagement, and self-leadership could be considered as a predictor of work engagement.
  - 6,332 587
ORIGINAL ARTICLES
Resilience and posttraumatic stress disorder among disaster affected persons attending Primary Health Care, Uttarakhand, India
C Deiveegan, Nisha Catherin, CJ Navya, P Alan, K Pretesh, B Joseph
January-March 2016, 4(1):6-9
DOI:10.4103/2347-9019.175676  
Background: Disasters are either natural or man-made and are all but inevitable in the present day life. Resilience refers to an individual's ability to thrive despite adversity. There is a paucity of information on resilience to disaster and posttraumatic stress disorder (PTSD) following natural disasters from developing countries. Methods: We conducted a research to determine resilience among disaster-affected persons availing Primary Health Care Services following floods in the State of Uttarakhand, India, and to assess the prevalence of PTSD among them. A cross-sectional study was conducted at Primary Health Care Centers of Uttarkashi and Rudraprayag Districts of Uttarakhand, India, between October and December 2013, 3 months after the floods. Results: One hundred and twenty-seven patients consented to participate in the study. The Connor–Davidson Resilience Scale and the Trauma Screening Questionnaire (TSQ) were administered along with a structured questionnaire to ascertain the sociodemographic variables. Of the 127 patients studied, 50 (39.3%) were males and 77 (61.7%) were females. The median age of the study population was 34 years. Of these, 27 (21.3%) were resilient (score ≥71 out of 100) to disaster and the probable prevalence of PTSD by the TSQ was found to be 86 (67.7%) (score ≥6 out of 10). Conclusion: The need for confirming resilience and treating PTSD is particularly significant, especially when mental health care has not been focused on along with other disaster-specific measures. The findings of the study thus highlight the need for early recognition of psychiatric disorders following disasters and subsequently providing interventions for the same among victims.
  - 4,466 419
Insufficiency of spatial distribution of emergency services and its impact on exacerbating urban seismic vulnerability (case study:Najaf Abad city)
Sowgol Fazel, Amir Mahmoodzadeh, Masood Taghvaii
January-March 2016, 4(1):10-14
DOI:10.4103/2347-9019.175671  
Context: Tectonic features of our country has addressed the earthquake as one of the most destructive and distress factors of the human life so that Iran is considered having very big earthquakes with long recurrent periods and in fact, no part of our country is safe from this hazard. Regarding this issue, evaluating the cities' seismic vulnerability and studying the mode and status of emergency services distribution are very important. Subjects and Methods: In this survey, in addition to definite a model for vulnerability, the vulnerability of Najaf Abad city has been evaluated by multiple criteria decision making and analytical hierarchy process. Moreover, the present inadequacy in the status of emergency services distribution and its undesired impacts especially when occurring the crisis were studied using spatial analysis. Results: The results indicate that the central part of the city holding an area of 340 hectares is exposed to high vulnerability due to the present of the buildings with low durable materials. In addition, inappropriate distribution of fire stations across the city, shortage of hospital in relation to the population and lack of 24-h clinics in Villashahr, Amir Abad, and Azadegan counties holding around 60,000 populations make the vulnerability double when disaster or crisis occurs. Conclusions: Insufficiency of the spatial distribution of emergency services and shortage of them can aggravate the vulnerability upon occurring the crisis.
  - 3,922 340
Postdisaster epidemiological assessment of Koshi flood 2008, in Nepal
Kumud Raj Kafle, Ranjan Kumar Dahal, Sanjay Nath Khanal
January-March 2016, 4(1):15-24
DOI:10.4103/2347-9019.175674  
Introduction: Nepal is vulnerable to geological and hydrological natural disasters with vast epidemiological consequences. Objective: This research is focused on the epidemiology of the aftermath of a major flood in Koshi in the eastern part of Nepal in August 2008. Although, direct flood induced mortality was only two, 39 more mortalities were reported within the four months of the disaster event, mostly amongst those living in the rehabilitation camps. Methods and Materials: Data were collected through questionnaire survey and the secondary data from District Public Health Office (DPHO), Sunsari and well as local health centers. Results: The waterborne infectious diseases and mental disorders were found as the major prominent diseases during the post flood period. The infectious diseases increased by 30% in the first year after the disaster whereas the number of mental disorder patients increased immediately and also within one to three years of period from 29.2% to 62.5% during the post disaster phase. Conclusion: The study has found that the effectiveness of epidemiological interventions would be efficient if it continues up to two years after the flood.
  - 5,434 432
Study the vulnerability and blocking of streets after earthquake (case study: Kerman Shariati and Shahid Beheshti Streets and Jomhuri Boulevard)
Zohre Nejad Akbari Ravari, Iran Ghazi, Masoud Mojarrad Kahani
January-March 2016, 4(1):25-30
DOI:10.4103/2347-9019.175673  
Background: Despite achieving great technologies in last century, earthquakes seem unbridled. When an earthquake occurs, city is affected as a system and not only urban elements are affected by earthquake shocks and its other side effects, but as interaction of system, affects other elements of city. One of the most important elements is road network. Passages blocking roads due to their length and width and may disrupt Relief after earthquake. Aims: In this study, we provide a model in order to assess the damages and vulnerability of Kerman main passages (Shariati Street, Shahid Beheshti and Jomhuri Boulevard). Materials and Methods: Methodology of study is based on descriptive nature and method and is applied study in terms of aim. GIS maps of Kerman have been used in order to get the best routes. Results: Longitudinal and transverse blocking of passages and their effectiveness after an earthquake was determined through conducting the necessary studies and obtaining GIS results.
  - 4,708 389
The role of religious beliefs in psychological empowerment of orphans of 13–18 years old: The case of relief foundation of Isfahan province
Reza Bahramian, Iraj Soltani, Kourosh Namdari
January-March 2016, 4(1):31-35
DOI:10.4103/2347-9019.175672  
Introduction: Given the importance of dealing with orphans' personality development,Objective: In this study, The impact of religious beliefs (RBs) on psychological empowerment (PE) were discussed.Methodology: The research population included 2993 orphans. The sample population included 340 orphans (single-parented/ father absent) aging from 13 to 18 supported by Relief Foundation, as well as 340 non-orphaned (with parents) not supported by Relief Foundation aging from 13 to 18 gathered from 10 towns of Isfahan province. The samples were selected and through stratified random sampling, and proportional method. To collect data Spritzer questionnaire of psychological empowerment and religious belief questionnaire structured by the researcher himself were used. The content validity of the questionnaires confirmed and their reliability was computed through Cronbach's alpha coefficients respectively as 0.922 and 0.847. The data also were analyzed through the method of structured equation modeling (Partial Least Squares (PLS)) and by Smart PLS 3 and SPSS (PASW) 20 softwares. Results: The results showed: (a) religious beliefs have a significant impact on psychological empowerment of the orphans; (b) there is a significance difference between the religious beliefs of the supported orphaned teenagers and the religious beliefs of the non-orphaned teenagers not supported; and (c) there was no significant difference observed in the psychological empowerment variable between the orphaned under the support and the non-orphaned not supported. Conclusion: Due to the influence of religious beliefs on psychological empowerment, it could be concluded that one way to increase psychological empowerment of the orphaned supported by Emam Khomeini Relief Foundation, is to strengthen their religious beliefs.
  - 4,232 324
Correlation of respiratory symptoms and spirometric lung pattern among petrol pump workers Karachi, Pakistan: Cross-sectional survey
Mubashir Zafar
January-March 2016, 4(1):36-40
DOI:10.4103/2347-9019.175670  
Background: Exposure to petroleum products which contain solvents and air pollutants can lead to harmful effects on respiratory functioning. The aim of this study was to investigate the correlation of respiratory symptoms and spirometric lung pattern among petrol pump workers Karachi, Pakistan. Materials and Methods: Cross-sectional survey was conducted; the study group consists of 300 participants which were divided into two groups 150 petrol pump workers and 150 healthy people. Physical examination and measurement of pulmonary functions by portable electronic spirometer were performed. Results: Compare to control group, petrol pump workers were predominant respiratory symptom was breathlessness during walking (90.1%) followed by shortness of breath (89.8%), cough (80.7%). After adjustment for confounders in multivariate analysis, forced vital capacity (FVC) was significantly reduced for cough (odds ratio [OR]: 6.55; 95% confidence interval [CI]: 2.12–20.12), shortness of breath (OR: 2.67; 95% CI: 1.18–6.03), and breathlessness during walking (OR: 2.65; 95% CI: 0.96–7.28). Forced expiratory volume 1 s (FEV1) was significantly reduced for cough (OR: 3.52; 95% CI: 1.88–6.59), Shortness of breath (OR: 2.92; 95% CI: 1.31–6.48), and breathlessness during walking (OR: 3.37; 95% CI: 1.43–7.90). FEV1/FVC ratio was also significantly reduced for a cough (OR: 4.61; 95% CI: 2.39–8.90), shortness of breath (OR: 4.16; 95% CI: 1.77–9.80), and breathlessness during walking (OR: 3.54; 95% CI: 1.42–8.79). Conclusion: The result indicates that there is a significant toxic effect of solvents and air pollutants on workers working in a petrol pump. Prevention technologies are needed to answer environmentally related health questions for petrol filling workers.
  - 5,292 410
REVIEW ARTICLE
Investigation of mobile clinics and their challenges
Shirin Abbasi, Hamid Mohajer, Rahele Samouei
January-March 2016, 4(1):1-5
DOI:10.4103/2347-9019.175669  
Introduction: Given the importance of medical services and health care in societies and the difficulty of accessing suitable health services for people living in remote locations. Aim: The goal of this study reviewed the challenges faced when creating mobile clinics to understand the challenges and provide accessible and feasible medical care in remote locations. Methods: This study used Review method to search for Persian and international articles between years 2004 and 2014 with keywords mobile specialized clinics, mobile clinic, health care, and mobile health care in credible websites and databases including PubMed, Science Direct, Google Scholar, Web of Sciences, and extract the report the relevant information from these articles. Results: Mobile clinics are an important proposal in health and medical systems and provide advantages such as accessibility, variety of services, and the possibility of providing health care for remote or underprivileged locations and during disasters while having disadvantages such as structural, procedural and financial problems, lacking certain tools and specializations and unwillingness of people for using these clinics. Conclusion: Given the strengths of mobile clinics in provision a variety of medical services and disease prevention, the possibility of contacting other medical centers in order to improve the quality of services and reduction of costs, these clinics are able to answer some of the medical needs of people and their weaknesses can be reduced with the help of proper laws, planning and a feedback system in order to determine the quality of services. It is possible to improve the effectiveness of these clinics and provide services that are in line with the needs of the target population.
  - 26,966 1,378
Feedback
Subscribe