Suchergebnisse

سابقه و هدف: تصمیم‌گیری چه در زندگی شخصی و اجتماعی، چه در زندگی سازمانی بسیار حائز اهمیت است. نظام ارزشی و باورها و تفکرات تصمیم‌گیران از مهم‌ترین عوامل تأثیرگذار بر فرایند تصمیم‌گیری محسوب می‌شود. از آنجایی که نظام ارزشی در دین اسلام، جامعیت بسیاری دارد، در این پژوهش، به بررسی فرایند تصمیم‌گیری مدیران حوزه‌ی سلامت بر پایه‌ی ارزش‌ها و مبانی اخلاقی از دیدگاه اسلام پرداخته شده است. روش کار: این پژوهش ازنوع تحلیل محتوا است و در ذیل تحقیقات غیرآزمایشی یا توصیفی دسته‌بندی می‌شود. در مطالعه‌ی حاضر، اسناد و منابع اسلامی، از جمله قرآن کریم، نهج‌البلاغه، غررالحکم و دررالکلم، الکافی، الحیاه و همچنین کتب و مقالات مرتبط با این موضوع بررسی شد. در این پژوهش همه‌ی موارد اخلاقی رعایت شده است. علاوه‌براین، نویسندگان مقاله هیچ‌گونه تضاد منافعی گزارش نکرده‌اند. یافته‌ها: در این پژوهش، سه مرحله‌ی کلی برای فرایند تصمیم‌گیری مدیران حوزه‌ی سلامت بر اساس آموزه‌های قرآن کریم استنباط شد که عبارت است از مراحل اتخاذ تصمیم، اجرای تصمیم و اتکال به خداوند متعال. برای تبیین دقیق‌تر هر یک از مراحل ذکرشده، مجموعه‌یی از شاخصه‌های مشخص و تفسیرپذیر که حاصل کاوش در سه منبع اصلی مطالعات اسلامی یعنی قرآن کریم، سنت پیغمبر اسلام (ص) و سیره‌ی ائمه معصومین است، استخراج؛ و هر یک تفسیر شد. نتیجه‌گیری: هر مدیری در حوزه‌ی سلامت، یا هر فرد عادی مسلمان، در فرایند تصمیم‌گیری خویش، می‌تواند علاوه بر استفاده از علم تصمیم‌گیری، شاخصه‌های اسلامی استخراج شده در این پژوهش را برای مراحل سه‌گانه‌ی تصمیم‌گیری به کار گیرد و در نهایت نیز با اتکال به خداوند متعال، با روحیه­یی قوی، فرایند تصمیم‌گیری خود را به پایان برساند. بدین طریق علاوه بر کسب توفیق در تصمیم‌گیری، رضایت خالق متعال را نیز در تک تک مراحل تصمیم‌گیری، همراه خود احساس نماید. استناد مقاله به این صورت است: Mousavi Kashi Z, Pourmohammadi Roudsari R, Jafari H, Sayad A, Movafagh A. Healthcare Managers' Decision-Making Adopting Islamic Approach: Theoretical Basis of Attitude and Approach of Islam in Decision-Making Process. J Res Relig Health. 2018; 4(3): 103- 117. DOI: https://doi.org/10.22037/jrrh.v4i3.18898 ; Background and Objective: Decision making is of great importance in not only personal and social life but also organizational life. One of the most key factors influencing the decision making process is the value system as well as the beliefs and thoughts of decision-makers. Since the value system in Islam is fully comprehensiveness, in this research, the health managers' decision-making process on the basis of the values and ethical principles from the Islamic point of view is examined. Method: 'Content analysis' is used in this study which falls into the category of non-experimental or descriptive research. The Islamic references and sources such as "Holy Quran", "Nah al-balagha", "Ghorar al-hekam & Dorar al-kalem", "Al-kafi", "Al-hayat" and also a number of related books and papers were investigated in this study. All ethical issues were observed in this research and the researchers declared no conflict of interests. Results: In this research, three general steps were taken for the health managers' decision-making process based on the teachings of the Holy Quran, which included "decision-making", "decision implementation" and "reliance on God". In order to accurately explain the steps above, a number of distinct and interpretable indices, derived from three main sources of Islamic studies, namely the "Holy Qur'an", "the Prophet's Sunnah", and "the life-method of infallible Imams", were extracted, explained and interpreted. Conclusion: Any health manager or any ordinary Muslim can use the Islamic factors extracted in this research beside the science of decision-making for the triple stages of decision-making in his decision-making process and finally can complete his decision-making process relying on Almighty Allah, with an indomitable spirit. This way, in addition to succeeding in decision making, he will feel the consent of the Almighty Creator in every single stage of decision-making. Please cite this article as: Mousavi Kashi Z, Pourmohammadi Roudsari R, Jafari H, Sayad A, Movafagh A. Healthcare Managers' Decision-Making Adopting Islamic Approach: Theoretical Basis of Attitude and Approach of Islam in Decision-Making Process. J Res Relig Health. 2018; 4(3): 103- 117.DOI: https://doi.org/10.22037/jrrh.v4i3.18898 ; DOI: https://doi.org/10.22037/jrrh.v4i3.18898

Rashīd al-Dīn Hamadānī's (d. 718/1319) Jāmiʿ al-tawārīkh has been described by many as the first world history ever. Composed in Persian for the Mongol Il-khans Ghāzān (r. 1295-1304) and Öljeitü (Uljāytu, r. 1304-16), its aim was to set out the history and condition of the Mongol people, conquerors of the world (part one), followed by a description of the other peoples and nations of the world and their histories (part two). Given its unprecedented scope, Rashīd, vizier to both rulers, mobilized a whole team of specialists, informants, and collaborators to assist him in his task. Making use of written and oral sources, the part on the Mongols is a key source on the emergence and organisation of the Mongol empire, while the second part constitutes the first attempt ever at writing a history of the world. The section published here describes the history of the Salgharids of Fārs

Rashīd al-Dīn Hamadānīʾs (d. 718/1319) Jāmiʿ al-tawārīkh has been described by many as the first world history ever. Composed in Persian for the Mongol Il-khans Ghāzān (r. 1295-1304) and Öljeitü (Uljāytu, r. 1304-16), its aim was to set out the history and condition of the Mongol people, conquerors of the world (part one), followed by a description of the other peoples and nations of the world and their histories (part two). Given its unprecedented scope, Rashīd, vizier to both rulers, mobilized a whole team of specialists, informants, and collaborators to assist him in his task. Making use of written and oral sources, the part on the Mongols is a key source on the emergence and organisation of the Mongol empire, while the second part constitutes the first attempt ever at writing a history of the world. The section published here describes the history of the Jews

Rashīd al-Dīn Hamadānī's (d. 718/1319) Jāmiʿ al-tawārīkh has been described by many as the first world history ever. Composed in Persian for the Mongol Il-khans Ghāzān (r. 1295-1304) and Öljeitü (Uljāytu, r. 1304-16), its aim was to set out the history and condition of the Mongol people, conquerors of the world (part one), followed by a description of the other peoples and nations of the world and their histories (part two). Given its unprecedented scope, Rashīd, vizier to both rulers, mobilized a whole team of specialists, informants, and collaborators to assist him in his task. Making use of written and oral sources, the part on the Mongols is a key source on the emergence and organisation of the Mongol empire, while the second part constitutes the first attempt ever at writing a history of the world. The four volumes published here contain the history of the Mongols up until Ghāzān. Section: Mongols; 4 vols; volume. 4

During the reign of the Safavid Shāh ʿAbbās I (reg. 996-1038/1588-1629), Isfahan was the center of power, diplomacy and trade of Iran. Every year scores of diplomatic envoys and traders would make their way to the capital in pursuit of some political or commercial gain. The present collection of Persian letters and documents, whose originals are kept in the Biblioteca Nazionale Vittorio Emanuele III in Naples, gives a fine view of the major issues in international relations that ʿAbbās I had to deal with during most of his reign. The collection consists for the greater part of translations of documents from various European courts and religious bodies and authorities, prepared by the interpreters of the Carmelite mission in Isfahan. Among the subjects: the silk trade, Anglo-Spanish relations, the threat of the Ottomans, the importance of Russia in an alternative trade route to Europe, foreign access to Persiaʾs ports, and the interests of the Catholic church

زمینه و هدف: آموزش علاوه بر این‌که یکی از مصادیق مهم حقوق بشر است، ابزاری مهم برای تحقق سایر مصادیق حقوق بشر نیز به شمار می‌رود. تضمین و اجرای حق آموزش مقدمه تضمین و اجرای سایر مصادیق حقوق بشر می‌باشد. حق بر آموزش ابتدعاً در قامت یک اصل کلی و منعطف که فاقد تعهدات حقوقی مشخص و الزام‌آور بود، در قالب اعلامیه جهانی حقوق بشر پذیرفته شد. به علت تفاوت‌های بنیادینی که در نظام‌های حقوقی ـ سیاسی دولت‌ها وجود داشت، توسعه و تقویت حق مزبور به نظام‌های حقوقی منطقه‌ای و داخلی سپرده شد. مواد و روش‌ها: در این مطالعه با روش تحلیلی ـ توصیفی، ابتدا مفهوم شهروندی و اهمیت آموزش بحث و بررسی خواهد شد. پس از مشخص‌شدن وضعیت متغیر مزبور، اهداف فرآیند آموزشی و مفهوم «حق بر آموزش» برای تبیین دقیق‌تر چارچوب کلی مسأله اصلی پژوهش حاضر و سپس آموزش دموکراسی، تسامح و تساهل به عنوان معیار اصلی برای ترویج شهروندی دموکراتیک مورد بحث و بررسی قرار خواهد گرفت. ملاحظات اخلاقی: در تمام مراحل نگارش پژوهش حاضر، ضمن رعایت اصالت متون، صداقت و امانتداری رعایت شده است. یافته‌ها: در چارچوب حق بر توانمندسازی، آموزش سازکاری است که با استفاده از آن، افراد می‌توانند ابزارهای لازم را برای مشارکت کامل در جوامع به دست آورند. آموزش نقش بسیار مهمی را در توانمندسازی اقشار آسیب‌پذیر، ترویج حقوق بشر و دموکراسی، فراهم کردن زمینه‌های لازم برای توسعه پایدار و. ایفا می‌کند، در نتیجه آموزش به عنوان یکی از بهترین سرمایه‌گذاری‌های مادی و معنوی محسوب می‌شود که یک دولت می‌تواند در راستای توسعه، پیشرفت و رفاه شهروندان خود، انجام دهد. نتیجه‌گیری: تحولات حق بر آموزش و اجرا و تضمین آن در چارچوب دکترین شهروندی دموکراتیک و در نتیجه، ارتباط آن با توسعه و تقویت مفهوم حکومت قانون و عناصر تشکیل‌دهنده آن، در فرآیند تربیت شهروندان پایبند به دموکراسی و ایجاد یک نظام حقوقی ـ سیاسی که اصلی‌ترین و کارآمدترین ضمانت اجرای آن فشار واقعی افکار عمومی و مطالبه‌گری عموم مردم خواهد بود، نقش اساسی ایفا کند. ; Background and Aim: Education is not only one of the important examples of human rights but also an important tool for the realization of other examples of human rights. The guarantee and enforcement of this right is a prelude to the guarantee and enforcement of other instances of human rights. The right to education was initially recognized as a general and flexible principle that had no clear and binding legal obligations under the Universal Declaration of Human Rights. Due to the fundamental differences that existed in the legal-political systems of governments, the development and strengthening of this right was entrusted to regional and domestic legal systems. Materials and Methods: In this study with analytical-descriptive method, first the concept of citizenship and the importance of education will be discussed. After determining the status of this variable, the objectives of the educational process and the concept of "right to education" will be considered to explain more precisely the general framework of the main issue of the present study. In the third step, the teaching of democracy, tolerance and tolerance as the main criteria for promoting democratic citizenship will be discussed. Ethical Considerations: In order to organize this research, while observing the authenticity of the texts, honesty and fidelity have been observed. Findings: Within the framework of the right to empowerment, education is a mechanism by which individuals can acquire the tools necessary for full participation in society. Education plays a very important role in empowering the vulnerable, promoting human rights and democracy, providing the necessary conditions for sustainable development, and so on. As a result, education is considered as one of the best materials and spiritual investments that a government can make for the development, progress and welfare of its citizens. Conclusion: Developments in the right to education and implementation and its guarantee within the framework of the doctrine of democratic citizenship and, consequently, its relationship with the development and strengthening of the concept of rule of law and its constituent elements can in the process of educating citizens committed to democracy and creating a legal-political system. The main and most effective guarantee of its implementation will be the real pressure of public opinion and public demand, to play a key role. Please cite this article as: Rostami S, Soleymanzadeh T. A Rethinking of the Concept of Right to Education in the Light of Democratic Citizenship. Bioethics Journal, Special Issue on Bioethics and Citizenship Rights 2020; 173-186.

One of the most common causes of emergency department (ED) visits in Pasteur Hospital, Bam, Iran, is a foreign body from palm tree fronds entering different parts of body. This town is located in southeast Iran and has many palm tree orchards. Most of its residents are farmers or orchardists and many children play in these orchards. When palm harvest season approaches (about the end of summer), a considerable number of patients are presented to emergency department of this town with complaint of foreign bodies. These foreign bodies called "date thorns" among the locals (figure1) are wooden and can easily penetrate various body parts due to their needle-like, pointy shape. Some patients manipulate the foreign bodies before going to the ED and cause it to move deeper. Another group, delay going to the hospital and only reach ED a few days after the initiation of inflammation, redness, and evidence of infection. History and physical examination aid in finding the place of the foreign body, but sometimes they are not perceptible and diagnostic imaging is needed. Radiolucent objects such as wood cannot be detected in graphy but are visible in sonograms (1, 2). Removal of these bodies is usually performed under sterile conditions, using local anesthesia or regional nerve blockade, by making an incision and searching the region, finding and removing the foreign body, and finally suturing and bandaging. The procedure gets more difficult in children and patients who do not cooperate and occasionally, procedural sedation and analgesia is required, which leads to side effects such as nausea, vomiting, lethargy, agitation, and respiratory depression. Depending on the site of injury, patients are usually unable to use the affected organ for a few days after the procedure and need daily washing and bandage, and sometimes taking antibiotics. If tendon, joint, nerve, or vascular injuries are present, it gets more complicated and need for operation and hospitalization will be added to the afore-mentioned requirements (3-5). This can lead to temporary or permanent disability of the organs during the busiest workdays, in addition to severe pain especially in cases of the foreign body piercing a joint. The presence of these patients in the ED leads to overcrowding and sometimes decreases the time spent on patients in poor condition. This becomes troublesome on occasion as staff and equipment are limited, particularly when sonographic or radiologic guidance is needed for removal of the foreign body (6, 7). In the time between March and October 2014, 240 patients have been presented to the ED with complaint of foreign body, which makes up 10% of total ED visits as 2400 patients visit the ED each month (77.36% male). The patients' age range was 3 to 70 years. In 190 (79.16%) cases, the foreign body was successfully removed in the ED and the other 50 (20.83%) needed surgery. The foreign body was in the lower extremities in 107 (56.31%) cases, upper extremities in 77 (40.52%) and other body parts in 6 (3.15%). These findings emphasize the importance of prioritizing prevention over treatment. It seems that by taking a few simple measures we can vastly decrease the financial and health burdens of this problem:1- Avoiding walking barefoot on the grounds beneath palm trees that are full of the dry thorns mentioned. This is especially important in case of children.2- Education for use and providing personal safety tools such as helmets, long impenetrable gloves, glasses, and proper shoes while working and harvesting dates.3- Having classes for the farmers and orchardists, held by health centers of the regions affected by this problem.4- Educating the patients on the importance of rapid referral to ED and not manipulating the foreign body to avoid further complications.5- Train the medical staff of the ED to increase their skills in removing radiolucent objects using sonographic guidance.6- Educate the families to take more care of the children especially in harvest season.7- Mechanization of the harvest process to decrease using hands with the aid of respective organizations ; یکی از مراجعات شایع به بخش اورژانس بیمارستان پاستور، بم، ایران، ورود جسم خارجی ناشی از لیف درخت خرما به قسمتهای مختلف بدن می باشد. این شهر در جنوب شرقی ایران واقع شده است و نخلستانهای زیادی دارد. بسیاری از ساکنین شهر بم و اطراف آن کشاورز و باغدار بوده و تعداد زیادی از کودکان هم در این باغها مشغول بازی هستند. با نزدیک شدن به فصل برداشت خرما (اواخر تابستان) بخش اورژانس این شهر محل ارجاع تعداد قابل توجهی از بیماران با شکایت جسم خارجی است. این اجسام خارجی که در اصطلاح محلی سیخ خرما نامیده می شود از جنس چوب بوده و به دلیل شکل سوزنی و انتهای تیزی که دارند به راحتی وارد قسمت های مختلف بدن میشود. برخی از بیماران قبل از مراجعه به اورژانس، اقدام به دستکاری کرده و باعث فرورفتن عمیق تر این اجسام می شوند.در ادامه این نوشتار به ارزیابی شیوه مدیریت این بیماران خواهیم پرداخت.

Background and Aim: About one-third of Iranian children mortality is caused by injuries from which 36% occur due to road traffic injuries. Using child restraint embedded in vehicles can reduce road traffic fatalities by 71% for neonates and 54% for children. Based on its effectiveness in reduction of fatality and prevention of injury severity, child restraint usage mandatory law is a priority. Therefore, this study was conducted to assess opportunities and threats to mandatory law of child restraint usage in Iran. Materials and Methods: Initially, a mixed methods research is carried out by a phenomenological qualitative study, a discussion session by traffic injuries' stakeholders was performed to assess & discuss the opportunities and threats to mandatory law of child restraint usage in Iran, by brain storming method to find the themes in the related topic. A structured questionnaire is later prepared and completed by the stakeholders in the area of road traffic injuries. Assigned scores of 0-100 were considered for each response and analysis of results was performed according to target themes & the total score of the filled questionnaires.Results: Overall, 28 stakeholders participated in the study. According to the stakeholders, traffic police department obtained the highest score of 90 (from 0-100) as an organization to establish the mandatory law of child restraint usage, and acquired the score of 100 for future enforcement and monitoring. As threats and obstacle to the mandatory law of child restraint usage, lack of television and media campaigns and child restraint law and legislation, obtained the highest scores of 85 & 70 respectively. And family sensitivity to their children's health, officials' support and national facilities for broadcasting, and community awareness to use child restraints had the highest scores among existing opportunities and facilities in the country, by scores of 83, 69 and 68 respectively.Conclusion: Due to sensitivity of the family about their children's health & safety, and officials' support to safety establishment through media campaigns, implementation and applicability of child restraint usage laws and legislations, and subsequent enforcement and monitoring seem practical. ReferencesIsna.ir/fa, 13th May 2012.National Center for Statistics and Analysis. 2003, www.nhtsa.dot.gov.Global status report on road safety: time for action. Geneva, World Health Organization, 2009. (www.who.int/violence_injury_prevention/road_safety_status date of access 12 September 2012.Jacobs G, Aaron­Thomas A, Astrop A. Estimating global road fatalities. London: Transport Research Laboratory, (TRL Report 445), First Published 2000, ISSN 0968-4107. Nantulya VM, Reich MR. The neglected epidemic: road traffic injuries in developing countries. BMJ 2002; 324:1139.Ameratunga S, Hijar M, Norton R. Road traffic injuries: confronting disparities to address a global health problem. Lancet 2004; 367:1533-1540.Kopits E, Cropper M. Traffic fatalities and economic growth. Policy Research Working Paper No. 3035. Washington, DC: World Bank; 2003. Available at: http://www.ntl.bts.gov/Lib/24000/24400/24490/25935_wps3 035.pdf. Data of access June 2012.Montazeri A. Road-traffic-related mortality in Iran: A descriptive study. Public Health 2004; 118: 110- 3.Soori H, Masoudinegad M R. Azari R M. Analysis of opportunities and legal obstacle in control of road traffic injury in Iran. Final report. Safety Promotion and Injury Prevention research center of Shahid Beheshti University of Medical Sciences, 2008.Kahane, C. An Evaluation of Child Passenger Safety: The Effectiveness and Benefits of Safety Seats, Washington, DC: National Highway Traffic Safety Administration, U.S. Department of Transportation1986.World report on child injury prevention, World Health Organization 2008. Global Status Report on Road Safety. www.who.int/entity/violence safety./state of road_safety_en.pdf , access28 August.Phyllis F. AGRAN, PAuL F. WEHRL E. Injury Reduction by Mandatory Child Passenger Safety Laws. AJPH 1985; 75(2): 129.Najafi H. Research methodology in educational science and psychology, Tehran, Ahsan, 2007, first edition, page 62.Zaza S, Sleet D A, Thompson R S, Sosin DM , Bolen J C. Reviews of evidence regarding interventions to increase use of child safety seats. Am J Prev Med 2001; 21(4 Suppl), 31-47.Desapriya E B, Iwase N, Pike I, Brussoni M, Papsdorf M. Child motor vehicle occupant and pedestrian casualties before and after enactment of child restraint seats legislation in Japan. Inj Control Saf Promot 2004; 11(4): 225-230.Staunton C, Davidson S, Kegler S, DawsonL, Powell K, Dellinger A. Critical gaps in child passenger safety practices, surveillance, and legislation: Georgia, 2001. Pediatrics 2005; 115(2): 372-379.Cameron L, Segedin E, Nuthall G, Thompson J. Safe restraint of the child passenger. J Paediatr Child Health 2006; 42(12): 752-757.Bingham CR, Eby DW, Hockanson HM, Greenspan AI. Factors influencing the use of booster seats: a state-wide survey of parents. Accid Anal Prev. 2006; 38(5):1028-1037.Ehiri J, King W, Ejere H, Mouzon P. Effects of Interventions to Increase Use of Booster Seats in Motor Vehicles for 4-8 Year Olds. Washington, DC: AAA Foundation for Traffic Safety, 2006.GunnVL, Phillippi R M, Cooper WO. Improvement in Booster Seat Use in Tennessee. Pediatrics 2007; 119: 131-136.Winston FK, Kallan MJ, Elliott M R, Xie D, Durbin D R. Effect of Booster Seat Laws on Appropriate Restraint Use by Children 4 to 7 Years Old Involved in Crashes. Archives of Pediatric Adolescent Medicine 2007; 161:270-275.NHTSA. Preliminary Data Indicate That Booster Seat Laws Increase Child Safety Seat Use.Traffic Safety Facts. Traffic Tech, 331. Washington, DC: National Highway Traffic Safety Administration, 2007.Robertson L. Automobile seat belt use in selected countries, states and provinces with and without laws requiring belt use. Accid Anal and Prev 1978; 10:5-10.Stulginskas J V, Pless B. Effects of a seat belt law on child restraint use. Am J Dis Child 1983; 137:582-585. Wagenaar A C, Webster D W. Preventing Injuries to Children Through Compulsory Automobile Safety Seat Use, Pediatrics 1986; 78 (4) : 662-672.Decina LE, Lococo KH, Ashburn W, William B, Rose H J. Identifying Strategies to Improve the Effectiveness of Booster Seat Laws, Draft Final Report, May 2008, www.nhtsa.dot.gov.Connell P M M. An evaluation of the Virginia 2002, Child passenger safety law: determining if the law reduced motor vehicle crash injuries and fatality. Virginia Common wealth University Richmond April, 2009.Seat-belts and child restraints: a road safety manual for decision-makers and practitioners London, FIA Foundation for the Automobile and Society, 2009.Istre G R, Stowe M, McCoy M A, Moore B, Culica D, Womack K N, Anderson R J. Anna B. Preventing unintentional injuries in Indigenous children and youth in Canada .Paediatr Child Health 2012; 17(7):393.

Intentional and Unintentional Injuries;Healthy ApproachReferences Haddon WJr, Suchman E, Klein D. Accident Research: Methods and Approaches. Harper & Row Publishers, Chicago, IL, USA. 1964.Global Burden of Diseases, World Health Organization, http://www.who.int/topics/global_burden_of_disease/en/ Date of access, Sept. 2012.Iranian Census Center. http://www.amar.org.ir/, Date of Access August 2012.Iranian Legal Medicine Organization, www: lmo.ir/ Date of access, Sept. 2012.Hargarten, J.W.R.a.S.W. (2002). Principles of the Disease of Injury. Rosen's Emergency Medicine. J.A. Marx. St. Louis, Missouri, Mosby Inc. 1:821-828.Jones BH, Canham-Chervak M, Sleet DA .An evidence-based public health approach to injury priorities and prevention recommendations for the U.S Military. Am J Prev Med. 2010 Jan; 38(1 Suppl):S1-10.Khorasani-Zavareh D. System versus traditional approach in road traffic injury prevention: a call for action. J Inj Violence Res. 2011 J; 3(2): 61.Peden M, Scurfield R, Sleet D, Mohan D, Hyder A, Jarawan E, MathersC: World Report on Road Traffic Injury Prevention Geneva: World Health Organization; 2004.H. Soori, S.J. Hussain and J.A. Razzak.Road safety in the Eastern Mediterranean Region – findings from the Global Road Safety Status Report. EMHJ 2011; 17 (10): 770-76.World Health Organization. Data systems- A road safety manual for decision-makers and practitioners. World Health Organization. Geneva 2010.Margie Peden, Richard Scurfield, David Sleet, Dinesh Mohan, Adnan A. Hyder, Eva Jarawan Colin Mathers. World report on road traffic injury prevention: summary .World Health Organization Geneva 2004. Economic Commission for Europe. Glossary of transport statistics, 3rd Ed. New York, NY, United Nations Economic and Social Council, 2003 (TRANS/WP.6/2003/6) (http:// www.unece.org/trans/main/wp6/pdfdocs/glossen3.pdf, accessed 16 September 2012. 2008). World Health Statistics 2008. Geneva, World Health Organization, 2008 (http://www.who.int/whosis/ whostat/2008/en/index.htm, accessed 16 September 2012.Mathers C, Loncar D. Updated projections of global mortality and burden of disease, 2002–2030: data sources, methods and results. Geneva, World Health Organization, 2005.Kopits E, Cropper M. Traffic fatalities and income growth. Accident Analysis and Prevention, 2005, 37:169–178.Vincenten J, Michalsen A. Priorities for child safety in the European Union: agenda for action. Injury Control and Safety Promotion, 2003, 9:1–8.WHO mortality database: tables. Geneva, World Health Organization (http://www.who.int/healthinfo/morttables/en/index.html, accessed 21 September 2012).Rahman A. Bangladesh health and injury survey: report on children. Dhaka, Government of the People's Republic of Bangladesh, ICMH, UNICEF and TASC, 2005.Sitthi-amorn C. Child injury in Thailand: a report on the national injury survey. Bangkok, Institute of Health Research, TASC and UNICEF, 2006 (http://www.tasc- gcipf.org/downloads/Thai%20child%20report.pdf,accessed 22 August 2012).Bener A. The neglected epidemic: road traffic accidents in a developing country. State of Qatar. International Journal of Injury Control and Safety Promotion, 2005, 12:45–47.Pedem M, Oyegbite K,Ozanne-Smit J, Hyder AA, Branche c, Rahman AKMF and et al. Mortality due to injuries in Maputo city, Mozambique. International Journal of Injury Control and Safety Promotion, 2006, 13:1–6.Hyder AA, Labinjo M, Muzaff ar SSF. A new challenge to child and adolescent survival in urban Africa: an increasing burden of road traffic injuries. Traffic Injury Prevention 2006, 7:381–388.World Health Organization. Global status report on road safety: time for action. Geneva. 2009.World Health Organization. TEACH-VIP curriculum [electronic resource]. Users' manual. 2005.David R. Meddings, MHSc, FRCP(C), Lyndee M. Knox, Matilde Maddaleno, Alberto Concha-Eastman, Joan Serra Hoffman. World Health Organization's TEACH-VIP Contributing to Capacity Building for Youth Violence Prevention. Am J Prev Med 2005; 29(5S2):259–265.Akbari M, Naghavi M, Soori H. Epidemiology of Deaths from injuries in the Islamic Republic of Iran. Eastern Medietr Health J 2006; 12(3/4): 50-58.Falls. Geneva, World Health Organization, Violence and Injury Prevention and Disability Department (http:// www.who.int/violence_injury_prevention/other_injury/falls/en/index.html, accessed Sept 2012.Christoffel KK, Scheidt PC, Agran PF, Kraus JF, McLoughlin E, Paulson JA. Standard definitions for childhood injury research: excerpts of a conference report. Pediatrics, 1992, 89:1027–1034.Khambalia A, Josh P, Brussoni M, Raina factors for unintentional injuries due to falls in children aged 0–6 years: a systematic review. Injury Prevention, 2006, 12:378–385.Bartlett SN. The problem of children's injuries in low income countries: a review. Health Policy and Planning, 2002, 17:1–13.Morrison A, Stone DH. Unintentional childhood injury mortality in Europe 1984–93: a report from the EURORISC Working Group. Injury Prevention, 1999, 5:171–176.A league table of child deaths by injury in rich countries (Innocenti Report Card No. 2). Florence, UNICEF Innocenti Research Centre, 2001 (http://www.unicef-icdc. org/publications/pdf/repcard2e.pdf, accessed Sept 2012.Hyder AA, Sugerman D, Ameratunga S, Callaghan J A, Falls among children in the developing world: a gap in child health burden estimations? Acta Paediatrica, 2007, 96:1394–1398.Bangdiwala SI, Anzola-Pérez E, Romer CC, Schmidt B, Valdez-Lazo F, Toro J, D'Suze C. The incidence of injuries in young people: I. Methodology and results of a collaborative study in Brazil, Chile, Cuba and Venezuela. International Journal of Epidemiology, 1990, 19:115–124.Del Ciampo LA, Ricco RG, De Almeida CA, Mucillo G. Incidence of childhood accidents determined in a study of home surveys. Annals of Tropical Paediatrics, 2001, 21:239–243.Savitsky B, Aharonson-Daniel L, Giveon A. Variability in pediatric injury patterns by age and ethnic groups in Israel. Ethnicity and Health, 2007, 12:129–139. Bener A, Hyder AA, Schenk E. Trends in childhood injury mortality in a developing country: United Arab Emirates.Accident and Emergency Nursing, 2007, 15:228–233.Facts about injuries: burns. Geneva, World Health Organization and International Society for Burn Injuries, 2006 (http://www.who.int/entity/violence_injury_prevention/publications/other_injury/en/burns_factsheet.pdf, accessed Sept 2012.Davies JW. Toxic chemicals versus lung tissue: an aspect of inhalation injury revisited. Journal of Burn Care and Rehabilitation, 1986, 7:213–222.Saffle JR, Davis B, Williams P. Recent outcomes in the treatment of burn injury in the United States: a report from the American Burn Association patient registry. Journal of Burn Care and Rehabilitation, 1995, 16:219–232.Moritz AR, Henriques FC. Studies of thermal injury II: the relative importance of time and surface temperature in the causation of cutaneous burns. American Journal of Pathology, 1947, 23:695–720. Lund C, Browder N. The estimation of areas of burns. Surgical Gynecology and Obstetrics, 1944, 79:352–358.MacLennan N, Heimbach D, Cullen FB. Anesthesia for major thermal injury. Anesthesiology, 1998, 89:749–770. Walton J, Mandara AR. Burns and smoke inhalation. Anesthesia and Intensive Care Medicine, 2005, 6:317–321. WHO mortality database: tables. Geneva, World Health Organization (http://www.who.int/healthinfo/ morttables/en/index.html, accessed 21 April 2012). Barrow RE, Spies M, Barrow L N, Herndon D N. Influence of demographics and inhalation injury on burn mortality in children. Burns, 2004, 30:72–77. Achebe UJ, Akpuaka FC. Chemical burns in Enugu. West African Journal of Medicine, 1989, 8:205–208. Chuang SS, Yang JY, Tsai FC. Electric water heaters: a new hazard for pediatric burns. Burns, 2003, 29:589–591. Nursal, T Z, Yildirim S, Tarim A, Caliskan K, Ezer A, Noyan T. Burns in southern Turkey: electrical burns remain a major problem. Journal of Burn Care and Rehabilitation, 2003, 24:309–314.

Backgrounds and Aims: Using Geographical Information System (GIS) can decreases the burden of road traffic injuries effectively by identification of hot spot to modification in hazardous areas. The aim of the study was determining geographical distribution of human risk factors associated with road traffic injuries by using Geographical Information System (GIS) in Iran. Materials and Methods: The national database of road traffic injuries registered by the Iranian traffic Police (Rahvar NAJA) was used. The human risk factors were investigated by recognition of the hazardous points and geographical distribution of associated risk factors. The Hot Spot Analysis and Map clustering approaches were employed to meet the objectives. Results: The mean age of injured subjects was 34 years and the most affected age group was 20-39 years. Death and injury occurrence within out of cities ways were 0.3 % and 28% respectively. Geographical distribution of risk factors also showed that roads of Northern provinces i.e. (Gilaan and Mazandaran) were the hazardous rising as well as Qazvin to Rasht and Qom to Tehran roads. Sistan and Balochestan Provinces and Tehran had the highest (4.8%) and the lowest (0.1%) rates of road traffic injuries leading to death in the country. Conclusions: Northern provinces and its leading axes by hazardous rising and Sistan and Balochestan province with fatal injuries need to identify the cause of injuries' and, if necessary, more tighten regulations and more controls by the traffic police must be applied. REFERENCESPeden M, Scurfield R, Sleet D, Mohan D Hyder A A, Jarawan E . (2004).World report on road traffic injury prevention: World Health Organization Geneva. 2004.Kopits E, Cropper M. Traffic fatalities and economic growth. Accid Anal Prev 2005;37(1): 169-78.Channa R, Jaffrani H A, Khan A J, Hasan T, Razzak J A. Transport time to trauma facilities in Karachi: an exploratory study. Int J Emerg Med 2008; 1(3): 201–4. Soori H, Hussain S, Razzak J. Road safety in the Eastern Mediterranean Region–findings from the Global Road Safety Status Report. East Mediterr Health J 2011;17(10):770-6.Soori H. Descriptive study (Chapter 8) in Basic applied epidemiology. Percian text book 2nd edition.Tehran: Arjmand publisher; 2008.Gesler W. The uses of spatial analysis in medical geography: a review. Social Science & Medicine 1986; 23(10): 963-73.Ameratunga S, Hijar M, Norton R. Road-traffic injuries: confronting disparities to address a global-health problem. The Lancet 2006;367(9521): 1533-40.Akbari M, Naghavi M, Soori H. Epidemiology of deaths from injuries in the Islamic Republic of Iran. East Mediterr health J 2006;12(3/4): 382-90.Rasouli M R, Nouri M, Zarei M R. Saadat S, Rahimi-Movaghar V. Comparison of road traffic fatalities and injuries in Iran with other countries. Chin J Traumatol 2008;11(3): 131-4.Ainy E, Soori H, Mahfozphoor S, Movahedinejad AA. Presenting a practical model for governmental political mapping on road traffic injuries in Iran in 2008: a qualitative study. J R Soc Med Sh Rep 2011; 2(10):79.Khorasani-Zavareh D, Mohammadi R., Khankeh H R, Laflamme L, Bikmoradi A, Haglund B J A. The requirements and challenges in preventing of road traffic injury in Iran. A qualitative study. BMC Public Health 2009; 23(9): 486-91.Nantulya V M, Reich M R. The neglected epidemic: road traffic injuries in developing countries. BMJ 2002; 324(7346): 1139-41. Elvik R. Road safety management by objectives: A critical analysis of the Norwegian approach. Accid Anal Prev 2008;40(3): 1115-22.Liang L Y, Mo'soem D, Hua L T. Traffic accident application using geographic information system. Journal of the Eastern Asia Society for Transportation Studies 2005;6(1): 3574–89.Braddock M, Lapidus G, Cromley E, Cromley R., Burke G, Banco L. Using a geographic information system to understand child pedestrian injury. Am J Public Health. 1994;84(7): 1158-61. Lascala E A, Gerbe D, Gruenewald P J. Demographic and environmental correlates of pedestrian injury collisions: a spatial analysis. Accid Anal Prev 2000;32(5): 651-8.Lightstone A, Dhillon P, Peek-Asa C, Kraus J. A geographic analysis of motor vehicle collisions with child pedestrians in Long Beach, California: comparing intersection and midblock incident locations. Inj Prev 2001;7(2): 155-60.Daum M L, Dorsch W R. Managing Land Use and Institutional Controls with GIS . Journal of Map & Geography Libraries: Advances in Geospatial Information, Collections & Archives2008 ;4(1): 163-73.Erdogan, S, Yilmaz I, Baybura T, Gullu, M. Geographical information systems aided traffic accident analysis system case study: city of Afyonkarahisar. Accid Anal Prev 1998; 40(1): 174-81.Al-Kharusi W. Update on Road Traffic Crashes. Clinical Orthopaedics and Related Research. 2008;466(10): 2457-64.Fars news. Saturday 5th October 2012.Mwatelah J. Application of Geographical Information Systems (GIS) to Analyze causes of Road traffic Accidents (RTAs)–case Study of Kenya. International Conference on Spatial Information for Sustainable Development Nairobi, Kenya. 2–5 October 2001.Cusimano MD, Chipman M., Glazier R. H, Rinner C, Marshall S P. Geomatics in injury prevention: the science, the potential and the limitations. Inj Prev 2007;13(1): 51-6.Rezaeian M, Dunn G, St Leger S, Appleby L. Geographical epidemiology, spatial analysis and geographical information systems: a multidisciplinary glossary. J Epidemiol Community Health 2005;61(2): 98-102.