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1 – 7 of 7Kourosh Delpasand, Saeid Nazari Tavakkoli, Mehrzad Kiani, Mahmoud Abbasi and Leila Afshar
Based on the developmental process of pharmacy in medical relationships, it is essential to pay attention to ethical issues in this field and develop a good pharmacist–patient…
Abstract
Purpose
Based on the developmental process of pharmacy in medical relationships, it is essential to pay attention to ethical issues in this field and develop a good pharmacist–patient relationship. The present study aimed to mention the frequency of ethical challenges of pharmacy in Iran as a fundamental step towards designing a practical ethical guideline for professionals.
Design/methodology/approach
In this observational study, data were collected using a two-part questionnaire with 64 items developed after examining relevant texts and conducting unstructured interviews with pharmacy specialists. The first part determined the frequency of ethical challenges that the pharmacist confronts, using 43 short scenarios, whereas the second part comprised 21 questions with short answers. For validation, the questionnaire was sent to 20 medical ethics specialists who were familiar with issues in pharmacy ethics.
Findings
Data were collected from 48 members of the Iranian Association of Pharmacists (Working Group of Hospital Pharmacists). and the frequency of ethical challenges was determined. The most frequent issues were patient's request for over-the-counter drugs, asking about their lab results, asking drug for another person and returning the drug.
Research limitations/implications
One of the limitation of our study is its population, there were hospital pharmacist, other pharmacist such as community pharmacist may face different challenges.
Practical implications
The finding of this study could lead the policymakers to develop ethical guidelines for pharmacy practices.
Social implications
The pharmacist–patient relationship is one of the important aspects of health system, and therefore regulating this relationship based on the professional ethics guidelines could have a positive impact on therapeutic relationships.
Originality/value
Results showed that designing codes of ethics and practical guidelines based on the frequency of the noted challenges enhances the quality of treatment, improves the pharmacist–patient relationship, increases the level of cooperation and decreases patient complaints.
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Behnam Farhoudi, Elnaz Shahmohamadi, SeyedAhmad SeyedAlinaghi, Zohreh Rostam Afshar, Pegah Mirzapour, SeyedAlireza Nadji, Fatemeh Golsoorat Pahlaviani, Mehrzad Tashakorian and Daniel Hackett
According to estimates, there are approximately 714,000 female prisoners in the world. A considerable proportion are pregnant, of childbearing age at the time of incarceration and…
Abstract
Purpose
According to estimates, there are approximately 714,000 female prisoners in the world. A considerable proportion are pregnant, of childbearing age at the time of incarceration and may experience numerous reproductive health concerns. The purpose of this study is to examine the demographics and sexual and reproductive history of female prisoners in Iran.
Design/methodology/approach
Four hundred and thirty-four female prisoners (mean age: 39.0 ± 9.9) serving sentences at Qarchak prison, Iran, completed a questionnaire. The participants were recruited between October 2017 and September 2018 using a convenient sampling method. The questionnaire captured sociodemographic characteristics and sexual and reproductive history.
Findings
Most respondents had 7–12 years of formal education, were housewives (69.9%), were either married (41.6%) or divorced (41.8%) and were literate (91.3%). History of drug use among the respondents was 34.7%. Most respondents had regular menstruation (63.5%) and were pre-menopausal (86.1%). Natural birth control was preferred (39.7%) compared to other methods, such as condoms (18%) and oral contraceptive pills (8.4%). Spontaneous and induced abortions were reported by 17.8% and 16.4% of respondents, respectively. There was 5.9% of respondents that reported having a history of sexually transmitted infections (STIs) before incarceration, with HPV the most common (12.7%).
Research limitations/implications
This study has limitations, including the problem of following up with prisoners to shorten the average length of their imprisonment, which can leave many issues in the field of women’s health and their follow-up incomplete. Prison health care workers should also follow up on women’s health and pregnancy hygiene after their release because there is usually a high prevalence of STIs in prisoners.
Practical implications
The findings highlight the importance of improving the quality of women’s health care and pregnancy-related care in prisons. Additionally, the importance of having a health protocol for incarcerated women in Iran. Other programs should also be implemented for women prisoners to eliminate the discrimination they may face in prison.
Originality/value
The international community has attempted to develop care guidelines for pregnant prisoners, particularly for prenatal and mental health services. However, currently in Iran no such guidelines have been developed. To date no research has explored the sexual health among female prisoners of this country. The aim of the present study was to examine the demographics and sexual and reproductive history of female prisoners in Iran. A secondary aim was to identify the health care needs of female prisoners in Iran.
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Behnam Farhoudi, Elnaz Shahmohamadi, SeyedAhmad SeyedAlinaghi, Zohreh Rostam Afshar, Zohal Parmoon, Pegah Mirzapour, SeyedAlireza Nadji, Fatemeh Golsoorat Pahlaviani and Mehrzad Tashakorian
Sexually transmitted infections (STIs) can be transferred from one person to another through sexual contact. STIs lead to substantial morbidity and mortality and affect many…
Abstract
Purpose
Sexually transmitted infections (STIs) can be transferred from one person to another through sexual contact. STIs lead to substantial morbidity and mortality and affect many different aspects of human life, including quality of life, sexual health, reproductive health and even the health of newborns and children. Despite of high rates of STIs in prisons, there are not sufficient screening, prevention and treatment programs to control STIs transmission among prisoners in Iran. This study aims to evaluate the prevalence of STIs among incarcerated women in Iran for the first time, using the active case finding strategy.
Design/methodology/approach
This is a cross-sectional study conducted on 438 incarcerated women in a prison in Tehran, Iran, from 2017 to 2018. A total of 438 prisoners were screened by active case findings for STI symptoms, then evaluated by complete genital and anal examination, followed by molecular testing.
Findings
A total of 189 (43.2%) prisoners announced vaginal discharge, while 194 (44.3%) individuals had vaginal discharge in the genital examination. In the cervical examination, 137 individuals (31.3%) had abnormal findings, of which 83 (18.9%) individuals had cervicitis, 40 (9.1%) individuals had cervical erosion, 38 (8.7%) individuals had cervical prolapse and 17 (3.9%) individuals had bleeding originated from the cervix.
Originality/value
This study showed that it is possible to set up a system in which the diagnosis, follow-up and treatment of prisoners with STIs can be actively performed. Educating prisoners about signs and symptoms, risk behaviors and prevention routes of STIs, as much as regular screening of prisoners, and adequate treatment can help control the STIs prevalence among prisoners and in the general population.
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Hasan Valiyan, Mohammadreza Abdoli, Alireza Koushki Jahromi, Leila Zamanianfar and Peyman Gholizadeh
Automotive industry is one of the most important industries in the economy of countries due to its extensive relationship with other industries; high production and employment…
Abstract
Purpose
Automotive industry is one of the most important industries in the economy of countries due to its extensive relationship with other industries; high production and employment rate play a significant role in the sustainable development of countries. Therefore, the improvement of value creation integration strategies in this industry is very important because it is related to the level of economic sustainability of countries. The purpose of this study is to analyze the integration matrix of the creating sustainable value process in the automotive industry.
Design/methodology/approach
This research is a development/mixed methodology that aims to symmetrically combine the relationship between the components of sustainable value creation integration through Mick Mac matrix analysis to identify the most effective drivers of the research subject in the Iranian automotive industry. Therefore, in this study, first, in the qualitative part, meta-synthesis analysis and Delphi analysis were used to identify the thematic components of the integration of the process of creating sustainable value and to determine the theoretical adequacy of the components. Then, in a small part, an attempt was made to explain the approved components, based on the symmetric matrix analysis in the Mic Mac diagram, in the automotive industry to determine a more stimulus for integrating the sustainable value creation process, with the participation of 16 automotive executives.
Findings
Based on the results in the qualitative section, 8 thematic components were identified to evaluate the integration of the sustainable value creation process, and after Delphi approval, these components were approved in terms of theoretical adequacy. The results in the quantitative part based on matrix analysis showed that the most motivating component in integrating the process of creating sustainable value in the automotive industry is the development of innovative ideas. To create integration in creating sustainable value, it is necessary to create a positive impact of creative ideas in the three components of balancing performance with the changing needs of K3 customers, the dynamics of communication with K8 suppliers, reducing the diversity of materials used in K5 production.
Originality/value
This paper is considered as a research that contributes to the broader research area of the automotive industry by unpacking the concept of value creation from a sustainability perspective. This is the first study to review extensively of integrating sustainable value creation process into the automotive industry. Although an area of research importance in terms of developing theoretical literature and applied basis in increasing the effectiveness of competitive strategies. But less research has examined this issue, and conducting this research and expanding it to the level of sustainability value literature can enhance its institutional and research capacities at the international level and contribute to the coordination of the development of theoretical.
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Arezoo Ghamgosar, Maryam Zarghani and Leila Nemati-Anaraki
The use of citation analysis to identify the first 100 articles on malaria offers unique insights into understanding the disease and subsequent follow-up treatment innovations…
Abstract
Purpose
The use of citation analysis to identify the first 100 articles on malaria offers unique insights into understanding the disease and subsequent follow-up treatment innovations over time. In this study, the 100 most-cited articles on malaria were analyzed, and key studies were highlighted.
Design/methodology/approach
The data of the most-cited articles for the period of four decades were extracted from the Web of Science database. The search terms malaria, plasmodium infection and remittent fever were used to identify the related articles for the study.
Findings
The preliminary data of the 100 most-cited articles were recorded and analyzed. The total number of retrieved articles was 55,517. Dondrop and colleagues wrote the most-cited articles focusing on a new treatment for falciparum malaria resistant to existing medications. The author, with the most publications, was N. J. White. The most-cited articles on malaria were published in 35 journals. The USA had published most of the influential articles, while the Mahidol Oxford Tropical Medicine Research Unit was the leading institute active in malaria research. The experimental method was the most frequent method used by the most-cited articles. There was a significant relationship between the number of authors, the presence of the corresponding author on Research Gate, the availability of the full text of the article on Research Gate, the impact factor of the journal in which the article was published and the international collaboration of authors and the number of citations on malaria. The most influential authors, countries, institutes, journals and articles were specified. Most of the notable articles on malaria were published in journals with high impact factors. A group of journals was introduced as the core journals.
Originality/value
It was found that having co-authors, the presence of the corresponding author on Research Gate, the availability of the full text of the article on Research Gate, the impact factor of the journal in which the article was published and international collaboration contributed to the publication of high-quality scientific products. Updated information on malaria is needed to present and expand the screening strategies to improve health and reduce burden of malaria.
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Armin Mahmoodi, Milad Jasemi Zergani, Leila Hashemi and Richard Millar
The purpose of this paper is to maximize the total demand covered by the established additive manufacturing and distribution centers and maximize the total literal weight assigned…
Abstract
Purpose
The purpose of this paper is to maximize the total demand covered by the established additive manufacturing and distribution centers and maximize the total literal weight assigned to the drones.
Design/methodology/approach
Disaster management or humanitarian supply chains (HSCs) differ from commercial supply chains in the fact that the aim of HSCs is to minimize the response time to a disaster as compared to the profit maximization goal of commercial supply chains. In this paper, the authors develop a relief chain structure that accommodates emerging technologies in humanitarian logistics into the two phases of disaster management – the preparedness stage and the response stage.
Findings
Solving the model by the genetic and the cuckoo optimization algorithm (COA) and comparing the results with the ones obtained by The General Algebraic Modeling System (GAMS) clear that genetic algorithm overcomes other options as it has led to objective functions that are 1.6% and 24.1% better comparing to GAMS and COA, respectively.
Originality/value
Finally, the presented model has been solved with three methods including one exact method and two metaheuristic methods. Results of implementation show that Non-dominated sorting genetic algorithm II (NSGA-II) has better performance in finding the optimal solutions.
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