Objective: The key point to detect patients’ need in pre-hospital emergency is to have high ability to take MEDICAL history. All research findings show that this ability is low. The objective of this research is to investigate the ability to take MEDICAL history of patients among the PERSONNEL of pre-hospital emergency MEDICAL service (EMS) in Golestan province, Iran. Methods: This research was a descriptive cross-sectional study carried in 2016. The population included non-staff technicians and an operator working in the message center (N = 171). The samples were selected using multi-stage cluster sampling. Data were collected by a researcher-developed questionnaire. The collected data were analyzed by SPSS software version 16 conducting descriptive and inferential statistics. All tests were administered at a significance level of P < 0. 05. Results: One hundred sixty-five (96. 5%) participants were male. The mean score of the ability to take MEDICAL history was 58. 4 ± 11. 1. Therefore, 95 participants (58. 3 %) had poor ability and 64 participants (39. 3 %) owned moderate ability. The highest score concerning the ability to take MEDICAL history was for the aspect of professional knowledge (mean rank = 5). The most influential aspect in the ability was respectively for ‘ professional knowledge’ (P = 0. 0001, Beta = 0. 509). Pearson correlation coefficient indicated a relationship (r=-0. 149, P = 0. 05) between the ability to take MEDICAL history and age. Conclusion: The results of the current study indicated that the ability to take MEDICAL history among the PERSONNEL of pre-hospital MEDICAL emergency of Golestan province was low. Therefore, a thorough review of trainings promoting PERSONNEL’ s professional knowledge is urgently required.

Today, health care and MEDICAL preparedness against biological threats are important. In the event of a biological incident scene, emergency MEDICAL PERSONNEL among the other employee's health care system will aid due to the inherent nature of its activities.This study accomplished aimed to assess the readiness of emergency medicine PERSONNEL against biological incidents, with 121 samples selected from Tehran EMS PERSONNEL in 2012.According to the results, the average age of respondents is 34 years, most of them were associate degree, and average PERSONNEL experience 8.6 years. About 60.4% of staff had not received any theoretical education against biological contamination conditions. About 68.9% of staff had not received any practical training to deal with biological threats. About the necessary equipment for dealing with biological events, 48.5% of the participants declared there is no equipment in ambulance. About the operating procedures to deal with biological incidents, 51% of the staff declared they have no sufficient instructions. Finally, PERSONNEL preparedness against biological events was estimated at about 28%.

Workplace violence represents a global challenge with an increasing prevalence. This study aimed to assess the incidence of violence against emergency MEDICAL services (EMS) PERSONNEL at Shohada-ye Ashayer Hospital in Khorramabad, Iran, during the winter of 2023. To achieve this, standardized questionnaires were distributed to EMS PERSONNEL. All participants reported experiencing violence at least once. The types of violence encountered included physical violence (26%), verbal abuse (37%), and cultural aggression (36%), with no recorded instances of sexual violence. Additionally, 66 PERSONNEL (57%) reported experiencing 2-5 violent incidents in the preceding year. The analysis identified patient companions as the primary perpetrators (60%), with males constituting 57% of the assailants. In conclusion, the emergency department at Shohada-ye-Ashayer Hospital exhibited significantly higher rates of violence compared to other Iranian MEDICAL centers, with all participants reporting at least one violent incident in the preceding year.

Background/Objective: Nonalcoholic fatty liver disease (NAFLD) is a chronic liver disorder characterized by hepatocyte  teatosis. The prevalence of this disorder in general population screening with ultrasonography ranging from 13% to 23%. According to many studies, NAFLD is related to obesity, diabetes mellitus, dyslipidemia, and metabolic syndrome.The aim of this study was ultrasound screening of nonalcoholic fatty liver in Isfahan MEDICAL university PERSONNEL. Patients and Methods: According a general announcement to office PERSONNEL of Isfahan University of MEDICAL Sciences, a total of 199 volunteers enrolled in this study. Cases underwent: 1) liver and spleen ultrasonography (3.5 MHZ probe -HS2000 Honda electric equipment), and 2) biochemical tests: FBS, LFT, fasting Cholesterol and fasting triglyceride. Liver steatosis was graded on the basis of abnormally intense, high level echoes as explained by paoulekar G. Results: Biochemical and anthropometric characters are; Mean Age: 43.1±4 Years, F/M ratio: 97/102, BMI: 26.1±5, Hypercholesterolemia: 37%, Hypertriglyceridemia 56%, SGPT>36: 21%, SGOT>34: 12%, FBS: 94.5±31, NAFLD: 52.8%. 51%, 34.6% AND 14.4% of NAFLD were grades 1 to 3 respectively. There was association between SGPT, BMI, and triglyceride with NAFLD. Splenic span and portal vein diameter were significantly higher in NAFLDs than others were. (but not about liver span). Conclusion: In the present study, prevalence of NAFLD is too high, life style abnormalities or genetic factors should be considered.

Dear Editor-in-Chief: China is facing a furious fight to the sleep prob-lem of people in this country. As a specific group, Chinese MEDICAL PERSONNEL should have been given urgent attention. MEDICAL system reform is still a challenge for the Chinese government. At the same time of protecting the legal rights and interests of the MEDICAL staff, how to keep their mentally and physically fit during their long career will be an important topic.