مطالب

Introduction: The use of resilience engineering principles is a commonly used method for the assessment of crisis management in hospitals as a part of the health system. The present study aimed to evaluate crisis management based on the seven principles of resilience engineering in selected hospitals affiliated to Yazd University of Medical Sciences in 2021. Methods: In this study, a crisis management evaluation questionnaire based on the seven principles of resilience engineering in hospitals was used. The reliability and validity of this questionnaire were confirmed by Azadian et al. in a previous study. The required data were collected from administrative and clinical managers and nurses. The mean score of the seven principles was obtained, making it possible to compare crisis management in all three selected hospitals (Shahid Sadoughi, Afshar, and Shahid Rahnamoun) in Yazd. Findings: The mean score of resilience engineering principles was determined, and the overall crisis management score of each hospital was determined. The mean scores of crisis management were calculated at 136.53, 135.23, and 132.07 out of a total score of 220 in Shahid Sadoughi, Shahid Rahnamoun, and Afshar hospitals. Nonetheless, the mean score in flexibility and preparedness components in some hospitals was below 0.6 of the total score. Conclusion: The situation of crisis management in all three hospitals was evaluated to be at a good level. However, some corrective measures were required to be implemented in some components to improve crisis management in all three hospitals. It is necessary to take appropriate measures to enhance the preparedness of the three hospitals in different aspects of crisis management, especially flexibility, to arrive at a more favorable level

INTRODUCTION: This research was conducted with the aim of providing a model of public education based on social participation for the resilience of Tehran's urban society in natural disasters especially earthquakes. METHODS: This qualitative research was done by Delphi method. About 15 experts and decision-makers in the field of natural disasters and crisis management were selected to participate in the research through a targeted process by using the snowball method. FINDINGS: The findings showed that the participation of the public including mental and objective participation and having a cooperative spirit can have an impact on public education. In addition, this education is effective on the resilience of the public with social, economic, cultural, and institutional components and can bring the consequences of sustainable development. CONCLUSION: According to the results, the resilience fields such as information and communication infrastructure, physical infrastructure and supportive policies can provide a platform for resilience in the society; however, interveners such as demographic characteristics and geographical characteristics should not be ignored

INTRODUCTION: The need to carry out the emergency evacuation of people from disaster-affected areas and their transfer to safe areas, in the shortest possible time and with the least number of injured, has made the issue of urban emergency evacuation a complex one in the real world. The complexity of the spatial layout of the courtyards and the presence of a large population within the Shrine, among which vulnerable groups also have a significant share, increase the probability of the population's vulnerability to natural and human disasters. Based on this, the current research was conducted to investigate the vulnerability of the pilgrims of Imam Reza's Shrine during the emergency evacuation caused by the crisis and what measures could reduce the vulnerability. METHODS: The present applied study was conducted based on a descriptive-analytical method. The required data were collected through documentary-library and field studies methods. The gathered data were analyzed using the Analytic Hierarchy Process model, fuzzy logic, and the Inverse Distance Weighting interpolation method in ArcGIS and Expert Choice software. FINDINGS: The findings of this study indicated that based on the presented integrated model, which included 7 variables of the length of the route, the number of nodes along the route, the number of nodes in the surrounding space of the settlement, fixed and passing population density, the ratio of the population to the width of the exit door, and distance from buildings, the highest level of a possible vulnerability in the Shrine was related to Rozeh Monavvareh, Goharshad Courtyard, Sheikh Bahaie Sanctuary, the western part of the Great Prophet Courtyard, and Bab-Al-Javad in descending order. The north and northeast parts of the Shrine had a low level of vulnerability for people's exit. CONCLUSION: The results of this research showed that the presented model could be used as a suitable model in other religious places. In addition, some measures can be adopted to reduce the vulnerability of pilgrims, including increasing the number and width of the doors, removing obstacles in the place of the doors, and paying attention to the type of activities assigned to different parts of the Shrine

Purpose: The main purpose of this research was to identify the challenges of implementing participatory governance in the Ministry of Health, Treatment and Medical Education of the country. Methodology: This study was a mixed research. The statistical population in the qualitative section included the faculty members and experts in the field of public administration, professors familiar with the subject of the research and managers with experience in the Ministry of Health, Treatment and Medical Education of the country, who were selected as 12 subjects using the snowball method. The statistical population in the quantitative section also included managers, deputies and experts of the Ministry of Health, Treatment and Medical Sciences of the country. The research tool in the qualitative part was a semi-structured interview, and in the quantitative part, it was a researcher made questionnaire. Theme analysis was used to analyze the information in the qualitative part and the AHP method was used to prioritize the factors. Findings: The results indicated that; infrastructures, bureaucratic factors, environmental obstacles, weakness in policy making, public accountability, communication, joint commitment, trust building, obstacles related to executives and common destiny are the main challenges in the implementation of participatory governance in the Ministry of Health, Treatment and Medical Education of the country. Conclusion: A total of 10 main themes and 59 sub-themes were identified.

This article examines the relationship between inflation and inflation uncertainty in the Turkish economy in this period 2004:01-2014:12. This relationship is explored in two ways: a) with the effect of structural breaks; b) without the effect of structural breaks. In fact, with regard to the main structural break have occurred over this period, we examine whether structural break has affected the causal relationship between these two variables or not. Conditional Heteroscedasticity Models are used to obtain inflation uncertainty. The EGARCH model has been identified as the most appropriate model for inflation uncertainty. Lee-Strazicich test is applied for checking any structural break in inflation and inflation uncertainty series. Then, the relation between inflation and its uncertainty is tested using Granger causality Test. This study shows that the structural break has no effect on the Friedman-Ball hypothesis. This hypothesis is supported whether with the structural break or without the structural break. But Cukierman-Meltzer’s view is affected by the structural break. Since this hypothesis imply that inflation uncertainty causes inflation, so politicians need to implement policies that pay more attention to inflation uncertainty.