1 Iran University of Medical Sciences 52 Special The relationship between perceived stress and blood sugar levels in patients with type 2 diabetes 1 3 2017 2 4 1 13 26 09 2016 20 02 2017 Abstract Background: Diabetes is a chronic disease that in addition to physical complications, some psychological problems, especially stress is prevalent among people with diabetes. The aim of this study was to investigate the relationship between perceived stress and blood glucose in patients with type 2 diabetes in the city of Urmia. Materials and methods: This cross-sectional study (descriptive - analytical) conducted with 330 patients with type 2 diabetes from in rural health centers of city urmia by random cluster sampling in 2016 year. Using Cohen perceived Stress questionnaire was used to collect information. Glycated hemoglobin (HbA1c) and fasting blood sugar (FBS) were used to measure blood sugar levels in diabetic patients.  Data using descriptive statistics and independent t-test, ANOVA and Pearson correlation coefficient were analyzed in SPSS v.21 software. Results: The results of this study showed that the majority of the patients’ perceived stress (70.9%) were in low level and the perceived stress mean of them were in the low level (24.22±7.6).There was statistically significant relationship between perceived stress and blood sugar based on Pearson correlation test (p = 0.001, r =0.28). Conclusion: According to the results of this present study, it is suggested to develop programs and approaches to reduce the perceived stress of patients with diabetes in order to decrease their blood sugar. Key words: Type 2 Diabetes, perceived stress, Blood sugar levels
55 Special A Study on the compatibility of the hospital information system with statistical information system frameworkand its importance from the perspective of users MohammadiBertiani Zohreh g mohebbi mohammadbagher h g univercity of medical sciences h univercity of medical sciences 1 3 2017 2 4 14 24 09 11 2016 12 03 2017 Background: HIS development in order to improve its capabilities in producing statistical indicators and reports according to user requirements, in addition to their satisfaction, is the starting point of improvement of the ability of hospital management. This study aimed to determine the compatibility of hospital information systems with " Statistical Information System hospital framework", and the importance of the frameworks indicators from the perspective of users. Methods: The present study was an applied-descriptive study; that In two stages by using a questionnaire containing 363 questions (on three main pivots: inpatient, emergency and outpatient), determined first the compatibility of Isfahan University of Medical Sciences HIS with the " Statistical Information System Framework " through observation and question, secound  the importance of each component of the framework by the 5-choice Likert scale, from the perspective of of statistics users. Then data analyzed with Excel 2007. Results: average of compatibility between HIS and statistical information system framework was 23.27 percent, in outpatient indicators 35.71 percent, in inpatient indicators 23.16 percent and in emergency indicators 19.01 percent; While 97.52 percent of the indicators were considered very important and important from the perspective of hospital statistics experts. Conclusion: presentation of statistical indicators and reports in HIS that required by users, was considered undesirable is therefore essential HIS by designed statistical information subsystems with a focus on indicators of statistical information inpatient, emergency and outpatient expand. And achieve statistical indicators and reports required in appropriate tables and graphs, in accordance with the framework to be provided. 58 Special Evaluation and comparison of human resources policy tightening trend in industrial accidents in the period of five years in two industries in battery making based (2010-2014) besharati Jafar Alimohammadi Iraj j omidvari manoochehr j Iran university of medical Scienec 1 3 2017 2 4 25 34 01 01 2017 16 01 2017 Introduction: Today's macro-organizational policies and decisions are significantly associated with the safety management system, therefore, any organizational intervention may lead to a change in the trend of factors affecting accident indicator. In current research, Spastic policy on the human resources on trend of accident indicator in two industries in the field of battery making in a five year period has been scrutinized. Methods: In this study, The five-year study to compare the two events Index Industry Standard battery, according to OSHA 1904, statistical information required from 1389 to 1393 were collected , then, the indicators in industries were determined. In the next step, through an interview with experts in two industries, the impact of organizational policy making was examined and by using SPSS 20 software Indices of industrial accidents in terms of division and significant correlation in the years using chi-square test and comparison test was evaluated and its association with reduced manpower was analyzed. Results: Analysis of information indicated that the rate of accident indicator in both industries in 1392 was the least and in 1393 was the most, and ratio of number of accidents to number of employees in two industries since 1389 to 1392 was significant and P value was respectively 1389 (P value =0.002), 1390(P value =0.000), 1391(P value=0.004) and 1392(P value =0.011). Factors such as spastic policies regarding human resources, allocation of specific budgets to HSE and contraction outsourcing of production processes are among the policy making strategies that lead to change in trend of accident indicators. Conclusion: Results of this study showed that reduction or increase in accident indicators are considerably related to human resources policy Spastic making. 57 Special Outpatient Visit Time in the Teaching Hospitals of Ahvaz: A qualitative Study Faraji Khiavi Farzad Qolipour Mohammad 1 3 2017 2 4 35 49 25 11 2016 05 12 2016 Background and objective: Proper use of time is essential for an optimal and effective visit. The most important difficulty in managing an outpatient center is the amount of visit time that it is always much lower than expected time. The aim of this study was to compare visit time in Ahvaz teaching hospitals and its standard value and, assessing why and how did this difference create. Methods: This qualitative study was conducted using thematic analysis. With 12 physicians employed in hospitals of Ahvaz were interviewed using semi-structured questionnaire. At the end of each interview, data were checked by participants. Finally, context of early interviews were analyzed by a faculty member. Results: In this study, 51 sub-themes and 7 main themes were identified from physicians’ view on causes about visit time. These themes included: reasons of not observe standard visit time, visit time and the quality of prescribing, visit time and perceived quality, benefits of increasing time visit for patients, physicians and hospitals, disadvantages of  increasing visit time  for them, the implementation conditions of standard visit time and, proper implementation principles of standard visit time. Conclusions: In recent decades, visit time was increased. According to the most participants’ view, amount of visit time depends on the doctor and patient and cannot determined standard value to it. But in general, due to the overcrowding of patients in public hospitals that they refer from different areas of city, province and neighboring provinces, 10-minute visit time would be appropriate on average. 59 Special The effect of different drinks on reducing of physiological heat strain under hot and dry conditions in laboratory 1 3 2017 2 4 50 62 01 01 2017 14 01 2017 Introduction: Water and electrolytes can maintain thermal balance of the body at encounter to heat. The purpose of the present study was to determine the effect of different drinks on changes in physiological indexes in laboratory conditions. Materials and Methods: This clinical trial study was conducted on 13 male students  under  hot and dry Laboratory condition (40 ° C, humidity 30%). People in 3 steps within 2 hours  ate the interferences water, lemonade and lemon juice in the amount of 400 cc at 4 times. . Every 10 minutes, heart rate, oral temperature and skin temperature were measured. At the end of encounter, urine samples were taken to determine the temperature and turbidity, as well as the sweat was calculated.Repeated Measures ANOVA and LSD(Least significant difference) was used to analyze the data. Results: The results showed that the average temperature of the urine (p=0.155), turbidity of urine (p=0.171), heart rate during activity (p=0.345) and severity sweating (p=0.988) no significant difference but mean heart rate in the third minute from every 10 minutes rest (p=0.04), oral temperature (p=0.007) and skin temperature (p=0.005) were significantly different. Conclusion: The effect of lemon juice compared to water lemonade and water was major to reduce physiological heat strain. 60 Special The relationship between physical activity, stress management and interpersonal relationship with hypertension in people referred to health centers of Ilam. 1 3 2017 2 4 63 73 04 01 2017 14 02 2017 Introduction and aim: Healthy and unhealthy behaviors of the ppeople that affects on their health condition. The aim of this study was survey of the relationship between physical activity, stress management and interpersonal relationship with hypertension in people referred to health centers of Ilam. Materials and method: This study was a case-control study. The data were collected by standard d questionnaire (hplp2) and by directly questioning from referred people to the health services center of Ilam city. After collecting and sorting questionnaires, the data were entered in to SPSS software and analyzed by using descriptive statistics and chi-square test, t-test, and logistic regression. Result: Results of the analysis showed that the mean scores of the two groups in physical activity and stress management are significantly different (p<0.05) So that the dimensions mean score in the patient's with hypertension was significantly lower than in controls group but the relationship between hypertension and nutrition and interpersonal relationship was not significant. Discussion and conclusion: The results of our study showed that the mean scores in the control group on physical activity and stress management dimensions is significantly higher than the control group. So it seems having educational intervention about physical activity and stress management at risk people can affect in control of hypertension disease.