Backgroundpre-hospital emergency is a community-oriented system that responds to the medical needs of the injured or patients with acute and emergency illnesses outside of health care facilities until they are transferred to a medical center. This study aimed to explore pre-hospital emergency challenges in the face of the COVID-19 pandemic.Material and methodsThis study was conducted as a qualitative content analysis in Iran. Using the purposive sampling method, data were collected through in-depth individual interviews with 28 prehospital paramedic personnel from November 2020 to November 2021. Graneheim and Lundman's conventional content analysis methods were used to analyze the data and for the trustworthiness of the data, this study used Lincoln and Guba's recommendations.ResultsAfter multiple rounds of analyzing and summarizing the data and taking into consideration similarities and differences, four main categories and 10 subcategories were created based on the results of the data analysis and including (1) Culture and Community. (2) Service delivery (3) Human resources; (4) Medical supplies and equipment.ConclusionAccording to the findings of this study emergency medical system employees are suffering from a range of psychiatric problems as a result of a lack of equipment and job overload, which has a detrimental impact on the quality of pre-hospital emergency care. Therefore, emergency care senior management should develop comprehensive guidelines, provide more equipment and minimize professional challenges to improve the quality and safety of pre-hospital emergency care services.
Problem statement:The Muteh mining district is located in 70 km northeast of Golpaygan city within the Sanandaj-Sirjan metamorphic belt. There are 2 gold mines, 7 gold occurrences and numerous mineral indices in the Muteh gold district. There are few researches on Muteh gold district, but a detailed model is not clear yet. The aim of this study is to determine mineralogy of gold-bearing rocks and the role of these rocks in concentration of gold and to improve our knowledge about Muteh model. Approach: Detailed fieldwork carried out at different scales at the Muteh district. About 50 outcrops samples examined petrographically. Fifteen samples containing veinlets of sulfides and quartz selected for H, O and S stable isotope analysis. Petrography characterized by optical microscopy, Scanning Electron Microscopy (SEM) and X-Ray powder Diffraction (XRD) analysis. Results: Geological studies indicated that the study area show a major poly-phase metamorphism. Since the latest metamorphism was weaker than the earlier ones, the older rocks were affected by more intense metamorphism. The metamorphic rocks mainly consist of schists, quartzite, marble, amphibolite and gneisses. These rocks show two foliations (S 1 and S 2 ). The S 2 foliation is the major phase in the metamorphic rocks. Pyrite is the most abundant and the important gold-bearing mineral at the study area. Based on evidences of deformation (S 2 ) and crystallization, three main types of pyrites can be distinguished in the Muteh deposit: (1) pre-tectonic or gold bearing pyrite (2) syn-tectonic or disseminated pyrites along the foliation of the host rocks. (3) pyrite aggregates in the host rocks or in the metamorphic segregation quartz veins crosscutting the foliation of the host rocks. The sulfur isotope studies were carried out on pyrites within quartz veinlets, biotite schist and meta-volcanic rocks at the Muteh deposit. Five available data are highly variable even from the same types of hosted rocks and their 34 S are +2.2, 6.6, 9.1, 13.9 and 16.9‰. Conclusion: There are three generations of pyrite in Muteh gold district. According to isotope data, it seems that source of sulfurs were not homogenous. The values showed more than one geological event for generation of pyrites in the study area. Compositions of sulfur isotopes indicated several different sources or processes for the sulfide fluids. The sulfur of these pyrites might have derived either directly from regional metamorphism that produced the metamorphic fluid or through dissolution and leaching of pre-existing sulfide-bearing minerals.
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