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Saeed Jalili, Vahideh Rashtchi,
Volume 8, Issue 1 (6-2018)

Background: Postoperative Nausea and Vomiting (PONV) is one of the common and unpleasant complications after surgery. Menstrual cycle may be one of the factors which affect the incidence of PONV.
Objectives: The aim of this study was to determine the relationship between different phases of menstrual cycle and PONV.
Methods: The present study was a cross-sectional descriptive study and involved 70 women, 15-45 years old, ASA (American Society of Anesthesiologists) class I and II and were candidates for elective open cholecystectomy. The first day of the previous menstrual period was considered the first day of the cycle, and the patients were divided into two phases: days one to 14 constituted the proliferative and the follicular phases and days 14 to the last day of the cycle constituted the luteal phase. The patients’ general anesthesia was accomplished in a standard way. After the end of operation and the transfer of patients to the recovery room, their rate of nausea and vomiting during recovery, within the first two hours, and within the first two to six hours of their transfer to the department was examined and recorded. The Rhodes index was used to determine the severity of nausea and vomiting. The data were analyzed by means of descriptive statistics, chi-square test, and independent t-test using SPSS 17 software.
Results: Based on the results of this study, the severity of PONV during recovery, the first two hours, and the first two to six hours after the transfer of participants to the department did not significantly differ among the different phases. Moreover, there was not a significant difference between the occurrence of nausea and vomiting and the menstruation phases regardless of its severity in mentioned time periods. The received amount of anti-nausea or anti-vomiting medication (i.e. Plasil in this study) was higher in the proliferative-follicular phase in the first 24 hours (p value=0.011).
Conclusion: This study showed that menstrual phase does not affect the incidence and severity of PONV.
Vahideh Rashtchi, Mostafa Soleymani, Korosh Amini, Ramazan Fallah,
Volume 9, Issue 4 (1-2020)

Background: There are not many studies on relationship between teamwork in pre-hospital Emergency Medical Services (EMS) and the relationship between teamwork and its consequences is complicated.
Objectives: Therefore, the goal of this research is studying the degree of teamwork and its relationship with job and demographic factors of the Emergency Medical Technicians (EMTs) in Zanjan Province.
Methods: This cross-sectional study focused on the correlation between inclination to teamwork and the demographic features of the EMTs, using a researcher-made demographic and job features instrument and Patterson’s EMT-Teamwork scale. The data were analyzed through the SPSS. 16 software, and p<0.05 level of significance was adopted. The ethical code of IR.ZUMS.REC.1398.243 for this research was obtained from Zanjan University of Medical Sciences.
Results: This cross-sectional study showed mean score of confrontation with teamwork to be 58.44± 17.25 and the highest score belonged to Interpersonal Conflict (IC). Furthermore, the mean score of inclination to teamwork was 63.71± 11.08 and the highest score in this respect belonged to the partner adaptability and leadership. The linear regression analysis also showed that total teamwork score was statistically significant with respect to the number of missions, workplace and the working environment.
Conclusion: The teamwork score of the Emergency Medical Technicians (EMTs) in Zanjan was acceptable and total teamwork score was statistically significant with respect to number of missions, workplace and working environment of the Emergency Medical Technicians (EMTs) in Zanjan Province.
Vahideh Rashtchi, Saeed Ahmadi, Nasrin Hanifi, Ramazan Fallah,
Volume 10, Issue 2 (8-2020)

Background: The challenges of health systems emphasize the need for more motivated employees to perform better and more effectively. Therefore, pervasive attention to job satisfaction of these employees is a matter of course.
Objectives: The present study aimed at investigating factors affecting job satisfaction in emergency medical services (EMS) staff of Zanjan Province, Iran, in 2019.
Methods: The present descriptive-correlational study was performed on 170 EMS personnel working in the Disaster and Emergency Medical Management Center (DEMMC) of Zanjan Province. The stratified random sampling method was utilized to select the subjects. Job description index and GHQ-12 were administered as data collection instruments. Data were analyzed by SPSS version 16 using descriptive statistics, ANOVA, and Pearson correlation coefficient.
Results: In the present study, the work experience of 46.5% and 26% of the subjects was less than five and more than 10 years, respectively. The highest and lowest scores of job satisfaction belonged to coworkers and pay subscales, respectively (24.4±17 vs. 11.5±18.4). The overall job satisfaction score of the subjects was 19.7±18.2 out of 100. Also, a significant relationship was found between the level of education and overall satisfaction.
Conclusion: Considering the low level of job satisfaction in EMS staff, it seems that modifying the reward mechanisms in the prehospital emergency department and using performance improvement levers can enhance the motivation and improve the performance of staff. Besides, strive to promote social relations among coworkers as an effective element may help to enhance job satisfaction and the overall satisfaction of personnel.

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