مطالب

INTRODUCTION: Supply chains face various disruptions from human-made to natural disasters preventing proper flow of materials and products. This problem is more important in the healthcare supply chains, especially the blood supply chains, in which human lives are at risk. Making the supply chains resilient, recently addressed by managers and researchers, can be a good way to tackle them. This study aimed to identify the most important disruptions and associated resilience strategies in the blood supply chain of Tehran, Iran, and prioritize the identified strategies based on the disruptions. METHODS: In the current study, important disruptions and associated appropriate resilience strategies were determined using previous studies and Delphi method. Then, the most important resilience strategies were identified and prioritized proposing the House of Quality and Importance-Performance Analysis (IPA) as a novel hybrid approach. FINDINGS: A total of 9 disruptions and 16 resilience strategies were determined by reviewing previous studies and asking for expert opinions. The suggested hybrid model also contributed to determining the importance of each strategy in addressing disruptions and prioritizing them in the blood supply chain of Tehran. CONCLUSION: Those strategies with high importance and low performance, such as flexibility or risk management culture, are of great importance and should be considered by managers and improved according to IPA. In addition, other strategies, such as social responsibility or redundancy, should be continued in the current way.

INTRODUCTION: Post-traumatic stress disorder (PTSD) is one of the adverse events occurring in people exposed to severe traumatic experiences, such as earthquakes. The devastating effects of such events and their associated losses are significantly higher in children and adolescents. The present study aimed to determine the effectiveness of cognitive rehabilitation on academic achievement with the moderating role of emotion regulation in earthquake-stricken adolescents with PTSD in Kermanshah. METHODS: This cross-sectional study was conducted based on a pre- and post-test design with control and experimental groups. Among the students who were diagnosed with PTSD in Kermanshah earthquake, 48 cases were selected and assigned to the control and experimental groups. Data collection instruments were Captain's Log cognitive rehabilitation software, and motion Regulation Scale developed by Gratz and Roemer. Students' academic achievement was judged based on the scores obtained from end-of-semester transcripts and teachers' evaluations. Data were analyzed in SPSS software (version 26). FINDINGS: Based on the results, cognitive rehabilitation is effective in the academic achievement of students with PTSD (P<0.01). Moreover, emotion regulation can moderate the effect of this method on academic achievement (P<0.05). CONCLUSION: As evidenced by the obtained results, cognitive rehabilitation can effectively strengthen cognitive abilities and components related to executive functions. In so doing, it enhances the educational performance of students with PTSD and brings them academic achievement.

INTRODUCTION: In the first half of April 2019, heavy rains in central and western parts of Iran resulted in great floods. The rains affected 24 provinces and caused extensive damage to urban and rural infrastructure. Since Iran, especially the northern, western, and southern provinces of Iran are prone to floods, the floods are expected to occur every year in many provinces. Therefore, the present study aimed to investigate the needs and problems of the Red Crescent Society in different provinces of Iran in response to the great flood of Iran in 2019. METHODS: This cross-sectional study was performed in all provinces of Iran after the end of the flood response operations in April 2017. The required data were collected through a researcher-made questionnaire and interviews with provincial operational managers. The designed questionnaire had different parts about the situation of the provinces in the face of floods, the most important problems faced during floods, and the most important needs for facing floods. Participants were also asked two questions about the information and equipment they should have had before the flood. FINDINGS: Analysis of the answers revealed that 24 provinces (77.41% of the country) were affected by the floods. The most common problems were lack of equipment and low public awareness which were repeated by the subjects 24 and 17 times, respectively. Moreover, the need for specialized equipment and training courses were also the most important needs. CONCLUSION: Based on the findings, the Iranian Red Crescent Society faced many problems and needs during the disaster relief process in the 2019 flood which indicated the lack of a comprehensive plan for flood management in Iran. Therefore, policymakers and disaster managers must develop practical and localized guidelines for relief according to the conditions of Iran in order to achieve the ultimate goal of disaster management which is to reduce deaths, injuries, and financial damages.