Background:The area of e-Health is broad and has an excellent growth potential. An increasing number of experts believe that e-Health will fuel the next breakthroughs in health system improvements throughout the world, but there is frequent evidence of unsustainable use of e-Health systems in medical centres, particularly hospitals, for different reasons in different countries. Iran is also a developing country which is presently adopting this promising technology for its traditional healthcare delivery but there is not much information about the use of e-Health systems in its hospitals, and the weakness and opportunities of utilization of such Hospital Information Systems (HIS).Methods:For this research, a number of Hospitals from Isfahan, Iran, are selected using convenient sampling. E-health research professionals went there to observe their HIS and collect required data as a qualitative survey. The design of interview questions was based on the researchers’ experiences and knowledge in this area along with elementary interviews with experts on HIS utilization in hospitals.Results:Efficient administration of e-health implementation improves the quality of healthcare, reduces costs and medical errors, makes healthcare resources available to rural areas, etc. However, there are numerous issues affecting the successful utilization of e-health in Hospitals, such as a lack of a perfect HIS implementation plan and well-defined strategy, inadequate IT-security for the protection of e-health-related data, improper training and educational issues, legal challenges, privacy concerns, improper documentation of lessons learned, resistance to the application of new technologies, and finally a lack of recovery plan and disaster management. These results along with some informative stories are extracted from interview sessions to uncover associated challenges of HIS utilization in Iranian hospitals.Conclusion:The utilization of e-health in Iranian hospitals, particularly those in Isfahan, is subject to several challenges and there is no proper long-term strategy plans for HIS initiation, development, and improvement in Iranian hospitals. In order to address these problems, six recommendations are provided. Hence, human resource and e-health professionals from third party consultancy companies along with medical university scholars have to assist such hospitals to undertake the proposed solutions in order to provide proper plans to overcome future challenges and have a mature HIS in accordance with expected HIS utilization from hospitals and medical universities.
Spectral gamma ray (SGR) logs are used as stratigraphic tools in correlation, sequence stratigraphy and most recently, in clastic successions as a proxy for changes in hinterland palaeoweathering. In this study we analyse the spectral gamma ray signal recorded in two boreholes that penetrated the carbonate and evaporate‐dominated Permian–Triassic boundary (PTB) in the South Pars Gasfield (offshore Iran, Persian Gulf) in an attempt to analyse palaeoenvironmental changes from the upper Permian (Upper Dalan Formation) and lower Triassic (Lower Kangan Formation). The results are compared to lithological changes, total organic carbon (TOC) contents and published stable isotope (δ18O, δ13C) results. This work is the first to consider palaeoclimatic effects on SGR logs from a carbonate/evaporate succession. While Th/U ratios compare well to isotope data (and thus a change to less arid hinterland climates from the Late Permian to the Early Triassic), Th/K ratios do not, suggesting a control not related to hinterland weathering. Furthermore, elevated Th/U ratios in the Early Triassic could reflect a global drawdown in U, rather than a more humid episode in the sediment hinterlands, with coincident changes in TOC. Previous work that used spectral gamma ray data in siliciclastic successions as a palaeoclimate proxy may not apply in carbonate/evaporate sedimentary rocks. Copyright © 2014 John Wiley & Sons, Ltd.
The lower Miocene marine units of NW Iran (Hamedan-Miandoab area) were studied to establish a high-resolution biostratigraphy framework in the context of European standard biozonation (SBZ zonal scheme). The units are dominated by larger and small benthic foraminifera together with coralline algae and corals. Due to its position in the Tethyan Seaway between the Mediterranean and Indo-Pacific, the investigated area has high significance in palaeobiogeography. Seven species of benthic foraminifera were described, including Miogypsina globulina, Amphistegina bohdanowiczi, Elphidium crispum, Elphidium sp. 1, Borelis curdica, Austrotrillina asmariensis, and Peneroplis thomasi. The occurrence of Miogypsina globulina in the shallow-marine carbonates of the studied sections documents the Burdigalian SBZ 25 Zone. Austrotrillina asmariensis and Peneroplis thomasi occur with M. globulina. Simultaneously, their stratigraphical range is extended to the Burdigalian in the Middle East. Based on the discovery of lower Miocene deposits in the Hamedan-Miandoab area (previously mapped as Oligocene-Miocene units), the stratigraphy of northwest Central Iran is revised. The biostratigraphic results also present a more precise chronology for the marine transgression in the study area, initiating in the late early Miocene. The coralline algal assemblages and the abundance and diversity of larger benthic foraminifera indicate that shallow-marine Qom Formation got deposited in tropical to subtropical warm waters.
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