Background:Hospital’s success depends on patients’ expectations, perceptions, and judgment on the quality of services provided by hospitals. This study was conducted to assess the patients’ perceptions and expectations from the quality of inpatient health care in Vali-Asr hospital, Ghaemshahr, and Imam Khomeini and Shafa Hospitals, Sari.Materials and Methods:This study is applied regarding the objective of the study. Considering the research methodology, it is a descriptive – analytical study. The sample of this study consists of 600 patients with at least 24 hours of being hospitalized in internal, surgery, women, and children sectors of Vali-Asr, Ghaemshahr, Imam Khomeini, and Shafa Hospitals. Using random sampling method, the classifications relevant to the size of each class were selected. The data required was collected through the standard SERVQUAL questionnaire and then it was analyzed using the SPSS software.Results:The overall mean value and standard deviation of expectations were equal to 10.4 and 28, respectively. The mean value for the field of perception was 69.2 and the relevant standard deviation was 26. In terms of patients and hospital visits in concrete cases, the highest priority is related to empathy. The second priority is related to physical appearance, the third priority is related to responsiveness, the fourth priority is related to assurance, and the lowest priority is related to the reliability of the SERVQUAL approach. Examining the gap between patients’ perceptions and expectations, the widest gap was observed in the Vali-Asr Hospital with the mean and SD (-92.0±39.0) and the lowest gap was observed in Shafa Hospital with the mean value of (-39.9±44.0). According to The Kruskal–Wallis test, the difference observed in these three hospitals were significant.Conclusion:The results showed that patients’ expectations had not been met in any of the examined dimensions and their consent has not been achieved. It seemed that necessary for managers and relevant authorities to plan and pay special attention to this important issue.

Background and Objectives:The scope of the quality of life assessment is not widespread in any time like today. Economists, social scientists and politicians look at this topic from the particular approach. The life quality in hepatitis B patients regarding the degree of its progress is considered a major concern in these patients. Thus, the aim of the study was analyzing the dimensions of the life quality of a group of people suffering from hepatitis B in Mazandaran province in 2012.Methods:This study was done by descriptive, cross-sectional method on 210 (118 women and 92 men) hepatitis B patients that six month have passed from their diagnosis and formation of follow-up form in health centers, using access sampling method atsix regions of Mazandaran province. The instruments of the study were the questionnaire of World Health Organization questionnaire (WHOQOL-BREF) and the chronic liver disease questionnaire (CLDQ). For analyzing the data from descriptive statistics and Kolmogrov-Smirnov test, one sample t-test, two stage Confirmatoryfactor analysis, Spss and Lisrel software has been used.Results:Findings showed that the social relationship dimension with factor loading of 0.81 has the most amount of coefficient of effectiveness; physical health with factor loading of 0.72, mental health with factor loading of 0.63 and environmental health with factor loading of 0.55 have the least amount of coefficient of effectiveness in creating the generallife quality of hepatitis B patients. In the quality of life in hepatitis patients, the emotional function with factor loading of 0.76 has the most coefficient of effectiveness, activity dimension with factor loading of 0.67, fatigue withfactor loading of 0.47, abdominal syptoms with factor loading of 0.42 and worry with factor loading of 0.32 have the least coeficient of effectivness in making CLDQ domains of hepatit B patients.Conclusions:The general quality of life in patients had been below average and social relationship and emotional function must be properly investigated and managed in hepatitis B patients in order to improve life quality. WHOQOL-BREF and CLQD proved to be a useful instrument to assess general life quality in patients and can be helpful to find practical strategies to improving life quality in these patients.

Background and Purpose:Out-patient department is the gateway to almost all of the hospital services. Providing method of service in this place has an important role in the general impression of the patient of hospital sanitary and treatment services. This research was done with the purpose of studying the perception and expectations of out-patient service receivers of Imam Khomeini Hospital in Sari.Materials and Methodology:A cross-sectional study was conducted on those patients in the outpatient service department of Imam Khomeini Hospital who at least have the junior high school degree. 200 people were selected as sample size with Morgan’s table. Respondents answered the questionnaire two times. Once they expressed their perception of the provided services and once for their expectations. Therefore, the following expectation scores are obtained. To prove the significance of demographic variables with perception and expectations, the T and Tukey’s tests and also to compare different groups the variance analysis test are used.Findings:The mean of age was 25.68± 9.086 (The youngest participant was 16 and the oldest 67 years old). It was observed from the results of the T test there is no significant difference between sex and residential place. It was clear that in perception part; there was a significant difference, at the level of 0.05 significance, in all groups except for responding and behavior, while, in expectation level, no significance in the age of the dimensions except for access.Conclusion:Results showed that the satisfaction status of patients in Imam Hospital clinic in Sari is good. Many of the existing shortages can be improved by presenting an accurate and organized program. The present study shows that some service dimensions of patients require being promoted, the most important of which include behavior, accessibility and affordability, physical and responsiveness dimensions.

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Introduction:Dysentery is an intestinal inflammation which is created by the microorganisms attacking intestine mucus. Knowing the prevalence of this disease in different societies paves the way for programming and providing treatment and preventive measures. The main purpose of this study is to investigate the epidemiologic pattern and geographical distribution of dysentery based on GIS.Method:This was a cross-sectional and analytical study. The dysentery cases were gathered from the section of contagious diseases in health chancellery of Mazandaran University of medical sciences through a checklist during the years 2008 to 2013. In order to analyze the data, we made use of chi-square test. Then, the GIS software was used to recognize the geographical distribution of the disease.Findings:There was reported about 653 cases affected by dysentery and the disease proportion was equal for both men and women. Most of the persons with dysentery was city dwellers. The highest rate of incidents was reported to be in Fereidunkenar in 2011, and the disease was mostly found among farmers, students, and college students.Conclusion:Since dysentery is a disease transmitted from water and food, and in this study, it was found out that the disease sources included using polluted water, vegetables, and lack of appropriate personal hygiene. Therefore, it is essential to take into consideration the health issues. Moreover, the suitable conditions of the geographical area which has the highest rate of incident have paved the way for dysentery occurrence. In addition, using geographic information system (GIS) as a visual instrument can help the stakeholders and officials to elaborate on the death trend and recognize the areas for optimal use of the available resources.

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The classic picture of a hydatiform mole is made of recurrent metrorrhagia, exaggeration of sympathetic signs, increase of uterine volume compared to gestational age and marked elevation of serum β-hCG. The occurrence of preeclampsia is less common and its mechanism is less well known. In this case, the authors report an atypical presentation of the complete hydatiform mole alarmed by chronic hypertension with preeclampsia added to a pregnant woman of 39 years. The management involved stopping the pregnancy and normalization of the blood pressure figures was spectacular after uterine aspiration.

The aim of this study was to determine the inpatients' and outpatients' satisfaction of service quality by the mediating role of senes of security in patients. Materials and Methods: In this cross-sectional study , the stratified random sampling technique was used with the participation of 600 people in this study. The patients were selected from internal, surgery, women, and children outpatient and inpatient units of hospitals of Mazandaran Province. For data collection , two questionnaires were used; one to measure patient sence of security (sense of security) and the other to assess patient satisfaction (SERVQUAL Service Quality Questionnaire). Results: In general, the effect of a sense of security created in the human dimension on the service quality with standardized path coefficient equal to 0.384 was significant, and the sense of security from the dimension of providing support created a direct effect on the quality of service support with standardized path coefficient equal to 0.524 which was significant. Also the direct effect of sense of security in terms of structure on the quality of services by standardized path coefficient equal to 0.168 was significant. Conclusion: The patient satisfaction is a major challenge for the service-provider organizations, it is necessary to take effective steps and provide targeted strategies to reduce gaps in quality in the field of services to patients while conducting failure analysis and creating opportunities to improve the quality of services. Amaç: Bu çalışmanın amacı yatan hastaların ve ayaktan hastaların hizmet kalitesinden memnuniyetini hastalarda güvenlik hissi arabulucu rolü ile birlikte saptamaktır. Gereç ve Yöntem: Bu kesitsel çalışmada, tabakalı rastgele örnekleme tekniği 600 kişinin katılımıyla bu çalışmada kullanılmıştır. Hastalar Mazandaran İli'nin iç, ameliyat, kadın ve ayakta ve yatan hastanelerden seçildi. Veri toplamak için iki soru formu kullanılmıştır; biri güvenlik (güvenlik duygusu) ve diğerinin hasta memnuniyetini değerlendirmek için hastanın geçerliliğini ölçmek için kullanılmıştır (SERVQUAL Servis Kalitesi Anketi). Bulgular: Genel olarak, insan boyutunda yaratılan güvenlik duygusunun, hizmet kalitesine etkisi, standart yol katsayısı 0.384'e eşit olarak anlamlıydı ve destek sağlama boyutundan gelen güvenlik duygusu, kalite üzerinde doğrudan bir etki yarattı. 0,524'e eşit standart yol katsayısı ile hizmet desteği. Ayrıca, güvenlik duygusunun yapısal anlamda doğrudan hizmet kalitesi üzerindeki etkisini standartlaştırılmış yol katsayısı 0.168'e göre anlamlı düzeyde etkiledi. Sonuç: Hasta memnuniyeti, hizmet sağlayıcı kuruluşlar için büyük bir sorundur. Başarısızlık analizini gerçekleştirirken ve hizmetlerin kalitesini iyileştirmek için fırsatlar yaratırken etkili adımlar atmak ve hastalara sunulan hizmetlerde kalitesiz boşlukları azaltmak için hedef stratejileri sağlamak gereklidir.