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Background & Aim: Report of communicable diseases is an essential component in control and early detection of epidemics. Hospitals which admit patients for treatment can be the start point of an epidemic. Considering different problems in the hospital reporting system in Iran, this study was conducted to determine these potential problems and develop potential solutions in the reporting systems of communicable diseases.

 

Material & Methods: In this phenomenological qualitative study, 54 people were assessed using structured interviews and focused group discussions. The participants were managers, nurses, professional experts of hospitals and health networks in Kurdistan and East Azarbaijan, and country disease control center. The results were reported using content analysis.

 

Results: The results showed that there were lack of feedback and incentives, lack of instructions and duty assignment programs and lack of a clear reporting system in the hospitals. In addition, we found differences in reporting methods, unfamiliarity of managers with reporting levels, inconsistencies between the health and treatment departments.

 

Conclusion: The absence of a clear process for reporting infectious diseases in the Iranian hospitals require development of guidelines for reporting these communicable diseases. This process calls for collaboration of the health care department at all administrative levels.

 

Keywords: Disease reporting, Communicable diseases, Hospital, Health care system, Qualitative research.

 

 

Received: Jun 9, 2015      Accepted: Jul 15, 2015

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Background and Aim: Globally, COPD was reported as the fourth leading cause of death (5.1%) in 2004 and is projected to occupy the third position (8.6%) in 2030. From a global perspective, exposure to indoor and outdoor biomass fumes and air pollution are important risk factors chronic respiratory diseases. Sub-committee of Iranian Non-Communicable Diseases Committee (INCDC) is particularly concerned that there should be a coordinated National strategy to address the burden caused by chronic respiratory diseases.
Materials and Methods: In 2011, Iranian Ministry of Health and Medical Education (MoHME) has decided to give promotion to the establishment of research networks and use them as the mile stones for research management particularly for the national health priorities. General assembly of the national was held in April 2011. We are to present a decade’s experience of chronic respiratory diseases sub-committee of INCDC.
Findings: Chronic Respiratory Diseases National Service Framework (NSF) is one of the main outcomes of chronic respiratory diseases sub-committee of INCDC. We consider NSF as long-term strategies for improving specific areas of lung care. we set measurable goals within time frames. These documents from INCDC will evolve with greater clinical experience and publication of new information in national and sub-national levels.
Conclusion: Drawing upon our experience, we should develop all the infrastructure and resource available among the centers to support respiratory health at national, sub-national, and regional levels.

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Background and Aim: Lungs are the main organs of respiration in the body, whose main function is the ventilation of respiratory air. Through oxygenation, the lungs convert venous blood into arterial blood so that oxygen is available to the cells as the main molecule of the metabolic cycle in the body (production of Adenosine Triphosphate (ATP)). In a healthy and normal person, the lungs occupy the lateral parts of the chest cavity.
Case Presentation: During the dissection of the lungs, it was found that the posterior border of the right lung does not have a normal morphology. The posterior border of the right lung had a heart incisura, similar to which does not exist in normal conditions. Also, the left lung and its external surface had an accessory fissure and lacked normal structure. These conditions cause abnormal and unexpected divisions of pulmonary segments, which lack knowledge, cause diagnostic and surgical errors.
Conclusion: Knowing the variation in the anatomical structure of the lungs is particularly important in the diagnosis and treatment of respiratory diseases. The existence of this report and its help in understanding the types of anatomical diversity of the lungs will lead to a greater understanding of the morphological diversity of the lungs in the field of diagnosis in radiology images, CT scan, magnetic resonance imaging (MRI), differentiation of pulmonary pathology, and segmental reconstructive surgeries.