Medicine and Spiritual Cultivation
Year:2010 | Volume:- | Issue:76|Papers Count:12

Background: One of the pre - requisite measures in each Health Delivery System is man power forecasting for that system. Both inadequacy and surplus to requirements are undesirable for the country. Therefore, the estimating should be relatively acceptable.Objective: The main objective of this study was to analysis of the needs to Clinical Specialists in country that were estimated by curriculum committees for the next 10 years.Method: In this study, 400 specialists from 34 different curriculum committees estimated the needs of the country to clinical specialists in 18 Subspecialty & 16 Fellowship domains by using some selected models in their committees. We analyzed the results of this man power forecasting process and compared them with together by using of 13 recognized models.Results: In this study, the total needs to Subspecialists were estimated 3040 trained individuals in 18 domains and the total needs to Fellowships were calculated 1180 individuals in 16 domains for the next 10 years. Most committees (25 out of 34 committees) used bench marking, workforce to population ratio with using of expert panels.Conclusion: For more exact man power forecasting we need a more powerful health delivery and surveillance system in country. However, we can use the results of this study, for adjusting the annually residents number acceptances.

Introduction: Increasing concerns about origins of health inequality in societies has drawn attentions to social determinants of health. Social trust can be a social determinant of health and cancer. Social and medical sciences together can increase the understanding of disease to higher levels. The main objective of this investigation is study of health inequality and the role of social trust in getting affected by colon, breast and thyroid cancer, among the patients referred to cancer institute of Tehran.Method: This research was an analytic-descriptive study in which 176 people in equal groups of affected persons (case) and non-affected persons (control) have been studied. The classified sampling method was used. Measuring of social trust was done based on twenty questions made by the researcher. The data collected through structured questionnaire was analyzed using SPSS 17.0 statistical analysis software, discriminant analysis, canonical correlation analysis and logistic regression analysis methods.Results: The results indicated weak association between social trust components and each of colon, breast and thyroid cancers, and that the effect of social trust components and its association with colon, breast and thyroid cancers were not meaningful. In the meantime, the system trust component indicated a meaningful positive effect on incident of being affected by breast cancer.Conclusion: Finding indicated that social trust was not a valid social determinant for health inequality in affection to cancer.

introduction: Vision of IRAN 1404 and the forth plan of development should be used as guidelines to move to vision for strategic planning in all developing sectors, and including ministry of health and medical education. Strategic planning in clinical specialties is no exception. This study was done with the overall aim of analysis of the strategic plans of the clinical specialties to determine their alignment with the vision 1404 and the fourth plan of development.Methods: To acheive to aim of study 3 following actions was dine the following steps were taken for data gathering. A) The vision 1404 and the fourth plan of development were reviewed to find out their supporting items for strategic planning in clinical specialties. B) Data base of ISI were gathered from 23/April/2009 to 25/April/2009 and the data on the current standing and the trend of scientific development of the Iran and the regional countries were down loaded, categorized and analyzed. C) The strategic plans of the clinical specialties were read and analyzed.Findings: It seems that all of the clinical specialties have prepared their strategic plans with some inspiration from the vision 1404 and the fourth plan of development. Their vision not only includes the top scientific ranking in the region, but in some clinical specialties it indicates top scientific ranking worldwide. The mission of the all clinical specialties are in complete alignment with their vision. However, between the visions and the missions in one side, and the strategic goals and the action plans on the other side, is a clear inconsistency.First, the strategic goals have missed their support from the visions and the missions as directional strategies. Second, it seems that implementation of the action plans will not lead to the realization of the strategic goals.Conclusion: In summary, the clinical specialties have taken into consideration the content of the vision 1404 and the fourth plan on development. However, the gap between the visions and the missions from one side, and the strategic goals and the action plans from the other side, must be taken into account seriously. In spite of some shortcomings, strategic planning in clinical specialties offer some practical lessons. These lessons might be used in the future sessions of the strategic planning.

Prayer (Nam'az in Persian and/or Sal'at in Arabic), the spite of its beatific influence, consist of deep concept and mysteries. It has an irrefutable role as the firm line which attaches the human entity to the superfine heaven. In the Islam, prayer is the first act that has been necessitated and also a canonical duty for human which should be surely discharged by him until the last time of his live until the deathbed. Holy prophet (peace be upon him) has closely prescribed in many valuable anecdotes about the prayer and its important role on the corporal, spiritual and mental well-being. Just as a sample of this immeasurable ocean, he says: prayer is the light of my eye, my beloved and my favorite and in other sayings: it's essential for you all to mention the holy God that is the real cure.Moreover, there is so many religious orders and emphasis about the correct time of praying, its religious mandatory in field of ablution, prayer announcement (Aza'an), and also their hygienic influences on different aspects of human health. Anyways, prayer reforms the persons who pray and prohibit them against vice. As the less stated bounties of prayer, especially during modern civilization, it's definitive role on curing of body and spirit's diseases should be mentioned.Recent studies on this important matter have revealed significant statistical relations between prayer and it's positive impressions on the human's body system such as immune system (as increasing on some immune bioactive factors such as Interlukine-6), central nervous system (as reducing of depression's symptoms, anxiety and stress), gastrointestinal disorders (as preventing against common GI infections), skin tissue (as alleviating of chronic skin disorders), decreasing on the high blood pressure, improvement of sleep condition, and ...Finally, it should be mentioned that the presented articles by small- scale studies demonstrate so many applicable fields in the scientific researches and also professional titles in variable educational topics could be broadly designed. The authors have invincible belief that the opening of these new fields of researches demonstrate the unassailable worth and opulent potentials of the Islamic outlooks in medicine.

Achieving all embracing development is one of main goals of every government. Variables such as per capita income, saving and etc. have been used for comparison of countries achievements in last decades. But such variables pay attention to the economic aspects of development, ignoring other effective factors of development. Human development index (HDI) was introduced as an indicator for all embracing development. Income, education and health are tree main factors that play equal roles in this index. In the present thesis first, human development index is calculated for every township of Kerman province in the year 2001 & 2007 and then they are ranked on the basis of this index. At the next step CCR & BCC models are used for measuring the efficiency of every township of Kerman province in using resources in order to achieve human development objectives. The result show that in these years Sirjan and Rafsanjan have had the highest HDI index and all of the towns have had an increase in this index in year 2007. In another hand in the year of 2001 by the CCR model Bardsir, Ravar, Shahrbabak, Kerman & Kahnouj had been efficient and by BBC model Sirjan had been efficient too. In the year of 2007 by CCR model Bardsir, Ravar, Rafsanjan, Sirjan, jiroft & Kahnouj had been efficient and by BCC model just Baft, Bam, Zarand &Kerman had been inefficient.

Educational Development Center (EDC) has been founded in deputy for education section of minstry of since 1989 in order to improve the quality of education in universities of medical sciences .One of the most important objective of national EDC was the establishment of EDCs in the universities, therefore EDCs have gradually established in universities by providing the appropriate context, motivating and educational support of national EDC. At present EDCs in all universities of medical sciences are responsible for improvement the quality of educational affaires.This establishment caused to huge changes in teaching in universities After the establishment of EDCs, the traditional approach of faculty members of universities have been changed. Holding annually more than 200 workshops in different aspect of medical education, applying new methods in teaching and student assessment, implementing reform in curriculum of undergraduate in medical education, teacher evaluation, holding 11 national congress on medical education, establishment of Educational Development Offices(EDOs) in faculties and teaching hospitals, publishing the journals of medical education by EDCs of Shaheed Beheshti, Esfahan and Kerman universities, implementing the scholarship in teaching are some examples of achievements of EDCs in universities of medical sciences of Iran.

Systematic monitoring of the performance of a system is one of the main components for continuous quality improvement. This general rule is also applicable in higher education; ranking of universities scores in their educational activities could force them to work more determined compatible with the national long-term plan.Based on this logic, the education deputy of the ministry of health and medical education requested a team of experts to develop a comprehensive plan for ranking of medical universities with special attention to the following aspects: 1. Easy to implement, 2. Exploring comprehensive indicators, 3. Assessing education processes not measuring merely inputs, 4. Expandable 5. Joinable with the scores of other departments in order to create a comprehensive score for the assessment of the performance of universities, 6. Compatible with long-term national objectives in higher education.Having used the maximum capacity in the country by seeking actively the contribution of experts, a tool with 20 indicators was developed; one indicator measures the quantity of human resources in each university in order to standardize the scores of other indicators, and 19 performance indicators as follow: 1, 2) newly approved or disapproved educational programs, 3) type and content of long term comprehensive programs of universities in their educational affairs and their monitoring schemes of 4, 5, 6) the administration of strategic committees in the management of educational affairs 7) budgeting and recourse allocation 8) recruitment of new academic staff 9) stability of executive team in education system 10) transparency of websites 11) internal consistency of students' scores 12) the rate of acceptance of students in higher degrees 13) the performance of education development centers 14) the performance of continuous medical education centers 15) the assessment of MOH managers from the performance of universities 16) the participation of universities in national educational festivals, 17) educational innovations 18) the responsiveness of universities to address to the community needs, and 19) the role of ethics in education system in universities In this model, the detailed definition of these indicators, their assessment checklists and their weight were validated; in addition a guideline for the data collection process was developed.

Introduction: Today's, One of the most important environmental issues is dental solid wastes that because of the presence of hazardous, toxic and pathogen agents have special importance. In this survey, solid waste produced in Hamadan private dental offices is studied.Method: In this descriptive study, from 23 private dental offices in Hamadan, 8 offices were selected in simple random way. From each offices 3 samples at the end of successive working day (Sunday, Monday and Tuesday) were collected and analyzed. Samples were manually sorted into different 65 components and by means of laboratory scale were measured. Then, measured components were classified based on characteristic and hazardous potential.Results: Total annual waste produced in private dental offices in Hamadan is 2685.42 Kg.production percentages of domestic type, potentially infectious, chemical and pharmaceutical and toxic wastes were 48.45, 43.85, 7.33 and 0.37 respectively. Main components of produced dental waste were 14 components that consist of more than 80 percent’s of total dental solid waste. So, waste reduction, separation and recycling plans in the offices must be concentrated on these main components.Conclusion: In order to dental waste suitable management, it is suggested that in addition to educate dentists for waste reduction, separation and recycling in the offices, each section of dental waste (toxic, chemical and pharmaceutical, potentially infectious and domestic type wastes) separately and according to related regulation are managed.

Avicenna, the great Iranian Muslim Scholar of the fourth century is one of those great Iranian scientists with global fame. Despite the wide researches conducted to investigate his viewpoints in different aspects of knowledge his ethical looking has been relatively shortly studied.In this way, in this article we have attempted by using the existing narrations and reports from the real life of him and his scientific works taking out an ethical charter, The Applied Ethics Charter of Avicenna, applicable by all academics especially health care providers and enthusiastic. Obviously the research approach in these kinds of studies is library based and document oriented. The content of the Charter has been categorized into three parts: scientific, applied and medical ethics which the concise concept of each part is as the following:In part one his seriousness in learning the knowledge of his time in the adulescenthood, intelligence and carefulness in teaching and his willingness to keep company with other scientists, etc. have been considered. Ethical Islamic elements like piety, faith, recognition of God's blessings, politeness in the presence of Allah and prophet Mohammad, good intention, scientific journeys in the search of new learning and experiments, wise insight, etc and emphasis on the role of exercise, in the body and mind healthiness, living in clean environments, balance in providing body needs, not seeing patients as money providers and not being precipitous in the detection and examination of diseases, etc. are example items which have been dealt with in parts two and three respectively.