leila ahmadian
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Background
Neonatal mortality remains a critical global challenge, with preventable instances prevailing. The initial stride in mitigating neonatal mortality involves elucidating its underlying causes.
MethodsThis study utilized an umbrella review approach to discern factors associated with neonatal mortality. Five international databases, namely Pub Med, Web of Science, Scopus, CINAHL, and EMBASE, were meticu-lously searched to achieve this.
ResultsThe initial search yielded 12,631 articles using a search strategy centered onkeywords related to factors contributing to neonatal mortality. Ultimately, 95 articles met the criteria incorporated into this study.
ConclusionThis study endeavors to identify the primary risk factors contributing to neonatal mortality. The discerned risk factors have been systematically categorized into four groups: maternal factors, neonatal factors, aspects linked to healthcare systems, and socio-economic factors. As such, it is imperative for policymakers to take heed of these identified risk factors and formulate comprehensive strategies encompassing both long-term and short-term initiatives. Effective interventions spanning various sectors are crucial for the prevention of ne-onatal mortality.
Keywords: Causes, Neonatal, Mortality, Umbrella Review -
Background
As a common disease among people of almost any age, allergic rhinitis has many adverse effects such as lowering the quality of life and efficiency at work or school. Considering these conditions and the collection of large amounts of data, the present research was conducted on allergic rhinitis and asthma patients' data to extract the common symptoms of these diseases using cluster analysis and the k-means algorithm.
Materials and MethodsThe present cross-sectional research was conducted in Mashhad city. The inclusion criteria were affliction with one or two respiratory allergy diseases diagnosed by an allergy specialist through clinical history taking and physical examination. A researcher-made checklist was used in the present study for data collection. Then, the K-means algorithm's cluster analysis model was conducted to extract clusters (WEKA software (3, 6, 9)).
ResultsOverall, 1,231 patients met the inclusion criteria. The result of the Cluster analysis consisted of 1: Cluster 1 in allergic rhinitis consisted of 702 patients, and cluster 2 consisted of 382 patients. 2: 46 asthma patients were assigned to cluster 1 and 23 to cluster 2. 3: Also, 60 asthma and allergic rhinitis patients were assigned to cluster 1 and 19 to cluster 2. The most common symptoms in all patients were rhinorrhea, sneezing, nasal congestion, and itchy nose.
ConclusionOverall, Salsola kali was the most common allergen in allergic rhinitis and asthma patients. Also, the most common symptoms in patients are rhinorrhea, sneezing, itchy nose, and nasal congestion. This study can help physicians diagnose allergic rhinitis and asthma in geographical areas with a high prevalence of Salsola kali.
Keywords: Allergic rhinitis, Asthma, Data Mining, cluster analysis -
زمینه و هدف
برنامه های نظارت بر آسیب، ثبت و تحلیل دقیق داده ها، از عناصر اصلی برنامه های پیشگیری آسیب های ورزشی در کشورهای در حال توسعه محسوب می شوند. هدف از این مطالعه ایجاد مجموعه حداقل داده برای ثبت طیف وسیعی از آسیب های ورزشی بود که به عنوان مبنایی برای تدوین یک روش ثبت و نظارت استاندارد بر آسیب های ورزشی در ایران باشد.
روش بررسیمجموعه حداقل داده طی یک فرآیند چهار مرحله ای تهیه شد. 1- بررسی روشمند 2- طبقه بندی عناصر داده 3- اعتبارسنجی عناصر داده با استفاده از تکنیک دلفی 4- تعیین قابلیت دسترسی عناصر داده با استفاده از بحث گروهی متمرکز.
یافته هابررسی روشمند منجر به شناسایی 1905 مقاله معتبر شد که با اهداف مطالعه مرتبط بودند. از این تعداد مقاله، 15 مقاله معیارهای ورود و خروج را داشتند. متعاقبا 101 عنصر داده از این مقالات استخراج و توسط پنج متخصص، طبقه بندی شدند و از طریق دو دور تکنیک دلفی مورد اعتبارسنجی قرار گرفتند. در راند اول دلفی تعداد 68 عنصر داده مورد قبول قرار گرفت و در دور دوم دلفی تعداد 33 عنصر داده پیشنهادی و باقی مانده مورد اعتبارسنجی قرار گرفت. سپس دسترسی به عناصر داده طی یک بحث گروهی متمرکز مورد ارزیابی قرار گرفت. در نهایت 86 عنصر داده به عنوان حداقل مجموعه داده انتخاب شد.
نتیجه گیریمجموعه حداقل داده پیشنهادی می تواند مبنای استاندارد سازی، طبقه بندی و کدگزاری را در ثبت آسیب های ورزشی فراهم کند. با توجه به این که تاکنون به کدگزاری آسیب های ورزشی در کشور توجهی نشده است تدوین این مجموعه حداقل داده می تواند به پژوهشگران در تدوین روش ثبت و نظارت بر آسیب های ورزشی ایران کمک نماید.
کلید واژگان: آسیب ورزشی, همه گیرشناسی, نظارت, مجموعه حداقل داده, کدگذاریBackground and AimInjury surveillance studies are essential factors in protecting the athlete's health. Minimum data set is a standard evaluation tool used during the data collection process to ensure that decision makers have access to a uniform set of information. The purpose of this study was to create a set of minimum data to record a large number of sports injuries from community and amateur sports that can be used to develop a standard surveillance system in Iran.
Materials and MethodsThe sport injuries minimum data set was developed through a four-stage process: 1. Systematic review, 2. Classification of the data elements, 3. Validation of the data elements using the Delphi technique, 4. Determination of the accessibility of data elements using focus group discussion.
ResultsA systematic review identified 1905 eligible articles that were relevant to the objectives of the study. From this number of articles 15 articles had all the inclusion and exclusion criteria and 101 data elements were subsequently extracted from these articles. The data elements were classified by five experts and validated by two rounds of a Delphi technique. The accessibility of the data elements was then evaluated during a focus group discussion. Finally, 86 data elements were selected as the minimum data set.
ConclusionThe proposed data set can be used as a standard tool for collecting sport injuries. This minimal data set can help information system designers to develop surveillance and registry systems.
Keywords: Sports Injury, Epidemiology, Surveillance, Minimum Data Set(MDS), CODED -
Introduction
Various training methods such as web-based training tools have been developed to achieve the potential benefits of classification systems developed by the World Health Organization (WHO). Given that users of these tools have different levels of capability, usability problems could reduce the speed and accuracy of learning among users interacting with these tools. This study aims to identify usability problems of web-based training tools under the WHO family of international classifications (WHO-FIC).
Material and MethodsIn this descriptive and cross-sectional study, ten trained evaluators independently examined WHO-FIC training tools using the heuristic evaluation method. The identified problems were classified into 10 Nielsen’s usability heuristics. Then, their average severity was calculated.
ResultsIn total, 40 usability problems were identified after merging and eliminating the duplicates. The highest number of problems was related to ICD-10 training tool (n=20). The highest number of problems was related to heuristics of aesthetic and minimalist design (25.0%), and user control and freedom (17.5%). Heuristics of flexibility and efficiency of use and helping users recognize, diagnose and recover from errors had the highest average severity of problems.
ConclusionViolating heuristics of aesthetic and minimalist design, user control and freedom and recognition rather than recall were among the most common problems of WHO-FIC training tools. Evaluators reported that half of the user interface problems of WHO-FIC training tools were of major and catastrophe type. Solving the usability problems of these tools could lead to ease of work, increased speed of learning and acceptance of these systems among users.
Keywords: Usability, Usability Heuristics, Coding Systems, WHO Family of International Classifications (WHO-FIC), Evaluation Study -
Considering the worldwide spread of the COVID-19 pandemic, it is critical to use electronic health (e-health) to prevent, diagnose, and treat this disease. According to reports on the use of e-health technology in past and present crises, this technology can have the potential to improve the quality and the quantity of provided services and control and manage diseases in epidemic conditions. The important issue is how to implement this technology fairly and facilitate the use of this technology by health care providers and the general public. Moreover, the concerns about the physician-patient relationship, patient privacy and health costs should be addressed. Therefore, it is necessary for health policymakers and planners to develop laws and guidelines to address legal and ethical barriers to the use of this technology, focusing on vulnerable populations, to manage the crisis and also determine the role of insurers in this area.
Keywords: COVID-19, e-Health, Electronic Health, Technology -
Background
Liver cancer is the third most common cause of cancer mortality. Artificial intelligence, as a diagnostic tool, can reduce physicians’ working load. However, the main fear is that due to the existence of many causes and factors, liver diseases are not easily diagnosed. This study analyzes liver disease intelligently. Various decision tree models were used in this research.
MethodsThe records of 583 patients in the North East of Andhra Pradesh, India, registered at the University of California in 2012, were collected. Decision tree models were compared by three measures of sensitivity, accuracy, and area under the ROC curve.
ResultsIn this study, Decision-Stump showed better results than other models. Accuracy, sensitivity, and ROC curve of Decision-Stump were 71.3058, 1, and 0.646, respectively.
ConclusionThe superior model with the highest precision is the Decision-Stump model. Therefore, the Decision-Stump model is recommended for liver disease diagnosis. This paper is invaluable for the allocation of health resources for risky people.
Keywords: Diagnosis, Liver disease, Decision tree models -
Background
Intensive Care Unit (ICU) has the highest mortality rate in the world. ICU has special equipment that leads to the hospital's most costly parts. The length of stay in the ICU is a special issue, and reducing this time is a practical approach. We aimed to use artificial intelligence to help early and timely diagnosis of the disease to help with health.
MethodsWe designed a rule-based intelligent system to predict the length of stay and the mortality rate of trauma patients in ICU. A neuro-Fuzzy and eight machine learning models were used to predict the mortality rate in trauma patients in ICU. The performances of these techniques were evaluated with accuracy, sensitivity, specificity, and area under the ROC curve. Decision-Table was used to predict the length of stay in trauma patients in ICU. For comparison, eight machine learning models were used. The method is compared based on Mean absolute error and relative absolute error (%)
ResultsNeuro-Fuzzy expert system and Decision-Table showed better results than other techniques. Accuracy, sensitivity, specificity, and ROC Area of Nero-Fuzzy are 83.6735, 0.9744, 0.3000, 0.8379, and 1, respectively. The mean absolute error and Relative absolute error (%) of the Decision-Table model are 4.5426 and 65.4391, respectively.
ConclusionNeuro-Fuzzy expert system with the highest level of accuracy and a Decision-Table with the lowest Mean absolute error, which are rule-based models, are the best models. Therefore, these models are recommended as a valuable tool for prediction parameters of ICU as well as medical decision-making.
Keywords: Rule based intelligent software, Neuro-Fuzzy expert system, Decision-table model, Length of stay, Mortality rate -
مقدمه
خلاصه پرونده یکی از مهم ترین ابزارها برای انتقال اطلاعات می باشد و نقش مهمی در تداوم مراقبت از بیماران دارد. کیفیت پایین و عدم درج اطلاعات از مشکلات اصلی خلاصه پرونده ها می باشد و ارزیابی کیفیت آن ها از دیدگاه پزشکان در ایران به ندرت انجام شده است؛ لذا هدف از انجام این پژوهش ارزیابی کیفیت محتوا و میزان تکمیل خلاصه پرونده ها بود.
روشاین مطالعه توصیفی- مقطعی، بر روی خلاصه پرونده های بیمارستان شفا در شهر کرمان انجام شد. برای بررسی دیدگاه پزشکان از یک پرسشنامه محقق ساخته روا و پایا (0/97=α) دارای سه بخش شامل سوالات مربوط به اطلاعات جمعیت شناسی، ارزیابی کیفیت خلاصه پرونده ها (8 سوال) و میزان تکمیل خلاصه پرونده ها (8 سوال) استفاده شد.
نتایجاز مجموع110 پزشک، 98 نفر (89%) پرسشنامه ها را تکمیل کردند. میزان تکمیل، آگاهی، تداوم مراقبت از بیمار، خوانایی، مرتبط بودن، حجم اطلاعات، سازگاری، سازماندهی و رضایت از کیفیت خلاصه پرونده ها کمتر از متوسط (50 درصد) در کل بیمارستان بود. بیشترین میزان رضایت پزشکان از کیفیت محتوا (79/27 درصد) و تکمیل بودن (77/73 درصد) خلاصه پرونده ها در بخش مغز و اعصاب بود. از دیدگاه پزشکان فرم های الکترونیکی کیفیت و میزان تکمیل بالاتری نسبت به کاغذی ها داشتند. سازماندهی، خوانایی و سازگاری به ترتیب اهمیت به عنوان بهترین پیش بینی کننده های رضایت کلی پزشکان از کیفیت محتوای خلاصه پرونده ها شناسایی شدند.
نتیجه گیری:
سیاستگذاران باید با ایجاد دستورالعمل های جامع، برگزاری دوره های مداوم آموزش مستندسازی کامل خلاصه پرونده ها، افزایش نظارت پزشکان ارشد بر خلاصه نویسی کارورزان و دستیاران و در نهایت الکترونیکی و خودکارسازی خلاصه پرونده ها، کیفیت این فرم ها را افزایش دهند.
کلید واژگان: خلاصه پرونده بیماران, مستندسازی, پرونده پزشکی, بیمارستانIntroductionDischarge summaries (DSs) are among the most important tools for transferring information from hospital physicians to other physicians and play an important role in the continuity of care. Low quality and lack of information are the main problems of DSs, and evaluation of their quality from the physicians' perspective in Iran has rarely been done. This study aimed to evaluate the DSs' quality of content and completeness.
MethodThis descriptive cross-sectional study was performed on the DSs of Shafa Hospital in Kerman. A valid and reliable researcher-made questionnaire (α=0.97) was used. This questionnaire had three sections, including questions related to demographic information, evaluation of the quality of DSs (8 questions), and the degree of completeness of the DSs (8 questions).
ResultsOut of 110 physicians, 98 (89%) filled out questionnaires. Completeness, awareness, continuity of care, legibility, relevancy, length, consistency, organization, and physicians’ satisfaction were below the average (50%) throughout the hospital. The highest level of physicians' satisfaction with the quality of the content (79.27%) and completeness (77.73%) was attributed to electronic discharge summaries of the neurology department. Organization, legibility, and consistency, respectively, were identified as the best predictors of physicians' satisfaction with the quality of the DSs’ content.
ConclusionPolicymakers should increase the quality of DSs by creating instructions, holding documentation training courses, increasing the supervision of senior physicians on interns and residents, and finally developing electronic automated DSs.
Keywords: Patient Discharge Summaries, Documentation, Physicians, Medical Records, Hospital -
Introduction
One way to reduce medication errors in the cardiovascular settings is to electronically prescribe medication through the computerized physician order entry system (CPOE). Improper design and non - compliance with users' needs are obstacles to implementing this system. Therefore, it is necessary to consider the standard mini mum data set (MDS) of this system in order to meet the basic needs of its users. The aim of this study was to introduce MDS in the cardiovascular CPOE drug system to standardize data items as well as to facilitate data sharing and integration with other sy stems.
Material and MethodsThis study was a survey study conducted in 1399 in Iran. The study population was all cardiologists in Iran. The data collection tool was a researcher - made questionnaire consisting of 33 questions. Data were analyzed in SPSS - 24 using descriptive statistics.
ResultsA total of 31 cardiologists participated in this study. The participants identified 19 of the 25 drug data items as essential for drug MDS. Five data items (Medication name, Medication dosage, Medication frequency, Medication start date and Patient medication history) were considered essential by more than 90% of the participants.
ConclusionThe results of this study identified drug MDS for the cardiovascular CPOE system. The results of this study can be a model for CPOE system designers to develop new systems or upgrade existing systems.
Keywords: Computerized Physician Order Entry, CPOE, Cardiovascular, Minimum Data Set, MDS -
Introduction
Our aim in this study was to summarize information on the use of intelligent models for predicti ng and diagnosing the Coronavirus disease 2019 (COVID - 19) to help early and timely diagnosis of the disease.
Material and MethodsA systematic literature search included articles published until 20 April 2020 in PubMed, Web of Science, IEEE, ProQuest, Sco pus, bioRxiv, and medRxiv databases. The search strategy consisted of two groups of keywords: A) Novel coronavirus, B) Machine learning. Two reviewers independently assessed original papers to determine eligibility for inclusion in this review. Studies wer e critically reviewed for risk of bias using p rediction model r isk of b ias a ssessment t ool.
ResultsWe gathered 1650 articles through database searches. After the full - text assessment 31 articles were included. Neural n etworks and d eep n eural n etwork vari ants were the most popular machine learning type. Of the five models that authors claimed were externally validated, we considered external validation only for four of them. Area u nder the c urve (AUC) in internal validation of prognostic models varied from .94 to .97. AUC in diagnostic models varied from 0 .84 to 0 .99, and AUC in external validation of diagnostic models varied from 0 .73 to 0 .94. Our analysis finds all but two studies have a high risk of bias due to various reasons like a low number of partic ipants and lack of external validation.
ConclusionDiagnostic and prognostic models for COVID - 19 show good to excellent discriminative performance. However, these models are at high risk of bias because of various reasons like a low number of participants and lack of external validation. Future studies should address these concerns. Sharing data and experiences for the development, validation, and updating of COVID - 19 related prediction models is needed
Keywords: Artificial Intelligence, Machine Learning, Diagnosis, Prognosis, COVID-19, Coronavirus Disease 2019 -
سابقه و هدف
ژن های مقاومت به گلیکوپپتیدها می توانند از باکتری های گرم مثبت محیطی و فلور نرمال به سویه های بالینی منتقل شوند. بنابراین، هدف از این مطالعه بررسی شیوع سویه های انتروکوکوس فکالیس و انتروکوکوس فاسیوم مقاوم به ونکومایسین و تیکوپلانین در نمونه های محیطی بیمارستانی و مدفوع افراد سالم بود.
مواد و روش ها:
در این مطالعه تجربی، نمونه های مدفوع انسانی و محیطی بیمارستانی جمع آوری شده و بر روی محیط کشت انتخابی M-enterococcus agar تلقیح شدند. سپس، با استفاده از روش های فنوتیپی و مولکولی شناسایی دو گونه انتروکوکوس فکالیس و انتروکوکوس فاسیوم انجام شد. تعیین حساسیت آنتی بیوتیکی ایزوله ها در مقابل تیکوپلانین و ونکومایسین به روش میکروبراث دایلوشن انجام شد. داده ها با استفاده از نرم افزار SPSS و آزمون کای دو مورد تجزیه و تحلیل قرار گرفتند.
یافته ها:
از 145 ایزوله جدا شده، 84 ایزوله (93/54 درصد) انتروکوکوس فکالیس و 61 ایزوله (07/42 درصد) انتروکوکوس فاسیوم تشخیص داده شدند. به طور کلی، 1 (19/1 درصد) ایزوله انتروکوکوس فکالیس و 4 (56/6 درصد) ایزوله انتروکوکوس فاسیوم به ونکومایسین مقاوم بودند، در حالی که 4 (56/6 درصد) ایزوله انتروکوکوس فاسیوم نسبت به تیکوپلانین مقاوم بودند. حداقل غلظت مهارکنندگی 50 (MIC50) و 90 (MIC90) برای ونکومایسن و تیکوپلانین در انتروکوکوس فکالیس و انتروکوکوس فاسیوم، به ترتیب 4 و 16 میکروگرم/میلی لیتر بود.
استنتاجنتایج MIC ونکومایسین و تیکوپلانین نشان دهنده حساس بودن اکثر ایزوله های انتروکوکوس مورد مطالعه نسبت به این دو آنتی بیوتیک بود. نتایج این مطالعه پیشنهاد می کند که جهت جلوگیری از بروز مقاومت دارویی به آنتی بیوتیک های ونکومایسین و تیکوپلانین، باید نظارت دقیقی بر مصرف این آنتی بیوتیک ها صورت گیرد.
کلید واژگان: انتروکوکوس فکالیس, انتروکوکوس فاسیوم, ونکومایسین, تیکوپلانین, افراد سالم, محیط بیمارستانBackground and purposeGlycopeptide resistance genes can be transmitted to clinical strains from gram-positive environmental bacteria and the normal flora. The aim of this study was to evaluate the prevalence of vancomycin and teicoplanin-resistant Enterococcus faecalis and Enterococcus faecium isolates in hospital environment and fecal samples of healthy individuals.
Materials and methodsHuman stool and hospital environment samples were collected and inoculated on selective M-enterococcus agar medium. Then, E. faecalis and E. faecium were identified using phenotypic and molecular methods. Antibiotic susceptibility pattern of the isolates against teicoplanin and vancomycin was determined by micro-broth dilution method. Data were analyzed in SPSS applying Chi-square test.
ResultsFrom 145 isolates, E. faecalis and E. faecium were detected in 84 (54.93%) and 61 (42.07%) isolates, respectively. One (1.19%) E. faecalis isolate and 4 (6.56%) E. faecium isolates were resistant to vancomycin, while 4 (6.56%) E. faecium isolates were found to be resistant to teicoplanin. The minimum inhibitory concentrations of 50 (MIC50) and 90 (MIC90) for vancomycin and teicoplanin in E. faecalis and E. faecium were 4 and 16 μg/ml, respectively.
ConclusionThe MIC results of vancomycin and teicoplanin showed that most of enterococci isolates studied were sensitive to these two antibiotics. Therefore, their use should be closely monitored to prevent resistance.
Keywords: Enterococcus faecalis, Enterococcus faecium, vancomycin, teicoplanin, healthy individuals, hospital environment -
Background
In peer teaching, students act as both teachers and learners. Peer teaching can be a useful way to learn courses in interdisciplinary fields of study.
ObjectivesThe purpose of this study was to investigate the viewpoint of health information technology students about learning through peer teaching.
MethodsThis cross-sectional study was conducted in 2017 at Kerman University of Medical Sciences. Undergraduate students in the health information technology department using the peer teaching method participated. Data were collected using a self-administered questionnaire. The questionnaire consisting of 42 questions assesses students' attitudes toward peer teaching. It consisted of two categories: "learning improvement" and "students' satisfaction with the peer teaching." Data were analyzed using SPSS software.
ResultsA total of 52 students participated in the study. Regarding learning improvement, the mean score of development of individual skills, improvement of students' learning, and improvement of peer performance were 3.43 ±1.05, 3.34 ±1.08, and 3.37 ±1.03, respectively. In terms of student satisfaction the mean score of interaction between learner and teacher, knowledge transferred to the student, and the class conditions were 3.52 ±1.10, 3.31 ±1.09, and 3.21 ±1.15, respectively. Students who attended more in peer classes were more satisfied and their learning improved (P<0.05). There was no significant relationship between age, gender, and the number of passed semesters with students' satisfaction and learning (P>0.05).
ConclusionFrom the students' point of view, peer teaching can improve their learning. Also, the students were satisfied with the training provided by their peers. Peer teaching can be a complement to the teacher-centered method by providing a positive experience.
Keywords: Peer Teaching, Peer Learning, Evaluation, Satisfaction -
سابقه و هدف
امروزه با گسترش استفاده از دستگاه های خودپرداز، احتمال آلوده شدن دست در اثر تماس با سطوح دستگاه افزایش یافته است، لذا بر آن شدیم تا این مطالعه را با هدف بررسی فراوانی آلودگی باکتریایی صفحه کلید دستگاه های خود پرداز شهر ساری و الگوی مقاومت آنتی بیوتیکی باکتری های جداشده از آن ها انجام دهیم.
مواد و روش ها:
در این مطالعه توصیفی- تحلیلی، از 200 صفحه کلید دستگاه خودپرداز شهر ساری در مدت زمان 3 ماه در سال 1398 به وسیله سوآب استریل نمونه گیری انجام و به آزمایشگاه منتقل شد. نمونه ها در محیط TSB تلقیح و بعد از 24 ساعت انکوباسیون در دمای 37 درجه سانتی گراد، بر روی محیط های کشت اختصاصی جامد کشت و انکوبه شدند. سپس باکتری های ایزوله شده شناسایی و الگوی مقاومت آنتی بیوتیکی آن ها به روش دیسک آگار دیفیوژن بررسی شدند.
یافته ها:
آلودگی باکتریایی در 97 درصد نمونه های تهیه شده مشاهده شد، بیش ترین فراوانی باکتری های جدا شده مربوط به کلبسیلا پنومونیه (08/36 درصد) و کم ترین آن ها مربوط به باسیلوس سریوس (54/1 درصد) بود. در مورد کلبسیلا پنومونیه، بیش ترین میزان مقاومت (42/91 درصد) در مقابل تتراسایکلین و کم ترین میزان مقاومت (85/2 درصد) نسبت به ایمی پنم مشاهده شد.
استنتاجضدعفونی کردن منظم صفحه کلید خودپرداز نقش به سزایی در کاهش آلودگی باکتریایی آن دارد. همچنین با توجه به افزایش مقاومت آنتی بیوتیکی باکتری های جدا شده، می توان با نظارت دقیق تر بر سیاست های مصرف آنتی بیوتیک گامی مهم در مبارزه با این مشکل برداشت.
کلید واژگان: دستگاه خودپرداز, صفحه کلید, آلودگی باکتریایی, مقاومت آنتی بیوتیکیBackground and purposeNowadays, widespread use of automated teller machines (ATMs), has increased the possibility of contamination of hands due to contact with the surfaces of these devices. This study aimed to investigate the prevalence of bacterial contamination and antibiotic resistance pattern of the isolated bacteria from the keyboard of these devices in Sari, north of Iran.
Materials and methodsIn this descriptive-analytic study, the keyboards of 200 ATMs were sampled by sterile swab and transferred to the laboratory. The samples were inoculated in TSB medium and, after 24 hours of incubation at 37 ° C, were cultured on specific solid media and incubated. Then, the isolated bacteria were identified and their antibiotic resistance pattern was examined by disk agar diffusion method.
ResultsBacterial contamination was observed in 97% of the samples. Klebsiella pneumoniae was the most frequent identified bacteria (36.08%), while Bacillus cereus was the least frequent bacteria (1.54%). K. pneumoniae showed a high resistance rate against Tetracycline (91.42%) and a low resistance rate towards Imipenem (2.85%).
ConclusionRegular disinfection of ATM keyboards has a significant role in reducing and controlling bacterial contamination. Also, due to increased antibiotic resistance of isolated bacteria, it is possible to combat this problem by precise monitoring on the performance of antimicrobial stewardship programs.
Keywords: automated teller machines, keyboard, microbial contamination, antimicrobial resistance -
Journal of Evidence Based Health Policy, Management and Economics, Volume:4 Issue: 2, Jun 2020, PP 89 -101Background
The implementation of different reimbursement methods has various positive and negative effects on the health system of different countries. Identifying the challenges of these methods is essential to improve these reimbursement methods and modify them if required. This article aimed to qualitatively assess the challenges of current hospitals' payment systems in the Iranian health system and determine the required solutions for modifying these payment systems.
MethodsThis qualitative study was conducted in 2019. Semi-structured interviews were conducted recruiting 20 experts including operational, middle and top managers working in three different levels of health systems. Data collection was continued until it reached a saturation point. MAXQDA 10 was used for data analysis. The data content analysis method was used to analyze the data and the themes and categories were determined.
ResultsThe challenges of the payment systems were categorized into four main themes regarding policy, cost, regulatory and functional challenges, and 15 sub-themes. The findings related to the proposed strategies were presented in six main themes consisting of legal solutions, structural reform, cost, quality improvement, service provider and client, and monitoring and evaluation; and 12 sub-themes.
ConclusionThis study showed that the health systems in Iran face various structural and procedural challenges in terms of reimbursement mechanisms. Therefore, it is recommended that policymakers pay attention to these challenges before making any changes. Using hybrid payment systems can be one of the proper solutions.
Keywords: Challenges, Provider payment mechanisms, Provider payment methods, Reimbursement system, Qualitative study, Iran -
Introduction
Speech recognition (SR) technology has been existing for more than two decades. But, it has been rarely used in health care institutions and not applied uniformly in all the clinical domains. The aim of this study was to investigate the accuracy of speech recognition system in four different situations in the real environment of health services. We also report physicians' experience of using speech recognition technology.
Material and MethodsTo do this study, NEVISA SR software professional v.3 was installed on the computers of expert physicians. The pre-designated medical report was tested by the physicians in four different modes including slow expression in a silent environment, slow expression in crowded environments, rapid expression in a silent environment and rapid expression in a busy environment. After using the speech recognition software by 15 physicians in hospitals, a designed questionnaire was distributed among them.
ResultsThe results showed that the highest average accuracy of speech recognition software was in the silent environment by slow expression and the minimum average accuracy was in the busy environment by rapid expression. Of all the participants in the study, 53.3% of the physicians believed that the use of speech recognition system promoted the workflow.
ConclusionWe found that software accuracy was generally higher than the expectation and its use required to upgrade the system and its operation. In order to achieve the highest level of recognition rate and error reduction by speech recognition, influential factors such as environmental noise, type of software or hardware, training and experience of participants can be also considered.
Keywords: Speech Recognition, Physicians, Accuracy, Software -
زمینه و هدف
شبکه های اجتماعی آنلاین به عنوان منبع جدید و گسترده ای از اطلاعات توانسته اند دسترسی افراد به اطلاعات سلامت را تسهیل نمایند. مطالعه ی حاضر با هدف تعیین میزان استفاده ی زنان باردار از شبکه های اجتماعی آنلاین و نقش این شبکه ها در اشتراک گذاری و استفاده از اطلاعات انجام شد.
روش بررسیاین مطالعه ی توصیفی_تحلیلی در زمستان سال 1396 در شهر کرمان انجام شد. زنان باردار مراجعه کننده به 21 مطب خصوصی پزشکان زنان و زایمان در سطح شهر کرمان در این مطالعه، مشارکت نمودند. جمع آوری داده ها با استفاده از پرسش نامه پژوهشگر ساخته انجام شد. روایی این پرسش نامه، توسط دو متخصص انفورماتیک پزشکی و دو متخصص مدیریت اطلاعات سلامت بررسی و تایید شد. ضریب پایایی آلفای کرونباخ آن نیز 71% محاسبه گردید. تحلیل داده ها با استفاده از آمار توصیفی و آزمونهای تحلیلی و از طریق نرم افزار SPSS انجام شد.
یافته هادر این مطالعه 89% از زنان باردار از شبکه های اجتماعی آنلاین استفاده می کردند که استفاده ی بیش از 80% آنها به صورت روزانه بود. بیش از 57% آنها از اطلاعات مرتبط با سلامت و مراقبتهای دوران بارداری به اشتراک گذاشته شده در این شبکه ها استفاده نموده و تقریبا 68% زنان باردار استفاده از این شبکه ها را مفید دانستند.
نتیجه گیریبر اساس نتایج این مطالعه، میزان نفوذ شبکه های اجتماعی آنلاین در میان زنان باردار شهر کرمان زیاد است. در صورتی که اطلاعات صحیح، مناسب و قابل اعتماد در شبکه های اجتماعی آنلاین به اشتراک گذاشته شود، این شبکه ها می توانند بستر مناسبی برای بهبود سطح آگاهی، دانش و سواد سلامت زنان باردار و تبادل اطلاعات و تجربیات میان آنها را فراهم آورند.
کلید واژگان: شبکه های اجتماعی آنلاین, خودمراقبتی, اطلاعات سلامت, زنان باردار, بارداریBackground and AimThe online social networks as new and widespread sources of information have been able to facilitate the accessibility of people to health information. The aim of this study was to determine the use of online social networks and their role in sharing health information among pregnant women.
Materials and MethodsThis descriptive-analytical study was conducted in Kerman in the winter of 2017. The study participants were the pregnant women referring to 21 gynecologists’ private offices in Kerman city. Data were collected by a researcher-made questionnaire. The validity of this questionnaire was confirmed by 4 medical informatics and health information management specialists, and its reliability (71%) was estimated with Cronbach's alpha. Data were analyzed by SPSS using descriptive statistics and analytical tests.
ResultsIn general, 89% of pregnant women used online social networks and more than 80% of them used it daily. Moreover, more than 57% used these networks for the related information about health and pregnancy period care, and almost 68% of pregnant women considered these networks useful.
ConclusionThis study showed the widespread use of online social networks among pregnant women in Kerman city. If accurate and trustworthy information bits were shared in such networks, they could provide an appropriate platform to improve the awareness, knowledge and health literacy of pregnant woman, and facilitate the exchange of information and experience among them.
Keywords: Online Social Networks, Self-Care, Health Information, Pregnant Women, Pregnancy -
سابقه و هدف
حضور اینتگرون های کلاس 1 و ژن های کدکننده آنزیم های غیرفعال کننده آمینوگلیکوزیدها در ایزوله های بالینی سودوموناس آئروژینوزا عواملی هستند که باعث گسترش سریع مقاومت به آمینوگلیکوزیدها می شوند. هدف از مطالعه حاضر بررسی شیوع اینتگرون های کلاس 1 و ژن های aac(6)-IIa و ant(2'')-Ia و ارتباط آن ها با مقاومت به آمینوگلیکوزیدها در ایزوله های بالینی سودوموناس آئروژینوزا می باشد.
مواد و روش هابرای انجام این مطالعه توصیفی- تحلیلی، تعداد 100 ایزوله بالینی سودوموناس آئروژینوزا طی بازه یک ساله از سال 96 تا 97 از بیمارستان های آموزشی درمانی شهر ساری جمع آوری شدند و با استفاده از تست های افتراقی مورد تشخیص هویت نهایی قرار گرفتند. الگوی حساسیت آنتی بیوتیکی تمامی ایزوله ها در برابر آنتی بیوتیک های منتخب، به روش استاندارد دیسک آگار دیفیوژن مورد ارزیابی قرار گرفت. در ادامه، تمامی ایزوله ها از نظر حضور ژن های aac(6)-IIa، ant(2'')-Ia و اینتگرون های کلاس 1 با استفاده از روش PCR بررسی شدند.
یافته هااز 100 ایزوله بالینی سودوموناس آئروژینوزای جمع آوری شده به ترتیب 28، 42 و 39 درصد آن ها نسبت به آمیکاسین، جنتامایسین و توبرامایسین مقاوم بودند و 26 ایزوله نسبت به هر سه آنتی بیوتیک مقاومت نشان دادند. نتایج PCR نشان داد که از 100 ایزوله بالینی مورد مطالعه 42 ایزوله دارای اینتگرون های کلاس 1 بودند. شیوع ژن های aac(6)-IIa و ant(2'')-Ia در ایزوله های مقاوم به آمینوگلیکوزیدها به ترتیب 8/41 و 9/13 درصد برآورد شد.
استنتاجاز آن جایی که آمینوگلیکوزیدها داروی انتخابی برای درمان ترکیبی عفونت های ناشی از سودوموناس آئروژینوزا می باشند و شیوع مقاومت به آن ها نیز بالاست، بنابراین بررسی متناوب الگوی حساسیت به این آنتی بیوتیک ها و ژن های دخیل در ایجاد مقاومت برای پیشگیری از شیوع مقاومت سطح بالا در این باکتری ضروری به نظر می رسد.
کلید واژگان: سودوموناس آئروژینوزا, مقاومت آمینوگلیکوزیدی, اینتگرون های کلاس 1, ژن, aac(6)-IIa, ant(2'')-IaBackground and purposeThe aminoglycoside modifying enzymes (AMEs) and class 1 integrons in clinical isolates of pseudomonas aeruginosa are the major factors leading to rapid spread of antibiotic resistance. The aim of the present study was to investigate the frequency of aac(6)-IIa, ant(2'')-Ia, and class 1 integrons in clinical isolates of pseudomonas aeruginosa.
Materials and methodsFor this descriptive-analytic study (2017-2018), 100 clinical isolates of pseudomonas aeruginosa were collected from Sari teaching hospitals and identified by differential diagnostic tests. Antibiotic susceptibility pattern of all isolates against selected antibiotics was evaluated using standard disk agar diffusion method. Subsequently, all isolates were evaluated for the presence of aac (6) -IIa, ant (2'') -Ia genes, and class I integrons using PCR method.
ResultsOut of 100 pseudomonas aeruginosa clinical isolates, 28%, 42%, and 39% were resistant to amikacin, gentamicin, and tobramycin, respectively, while 26 isolates were resistant to all three antibiotics. The results of PCR showed that 42% of the clinical isolates contained class 1 integrons. The prevalence of aac (6) -IIa and ant (2 '') - Ia genes in aminoglycoside resistant isolates was 41.8% and 13.9%, respectively.
ConclusionAminoglycosides are the preferred drug for the combined treatment of infections caused by Pseudomonas aeruginosa and the prevalence of resistance to them is also high, so the intermittent examination of the susceptibility pattern of these antibiotics and the genes associated with this issue is necessary to prevent the prevalence of high levels of resistance in this bacterium.
Keywords: pseudomonas aeruginosa_AMEs_aminoglycosides_class 1 integrons_ant(2'')-Ia_aac(6)-IIa -
BackgroundThe acquisition of knowledge by parents of children with asthma plays an important role in the treatment of children. Thus, it is important to understand their needs and provide this information through available methods such as a website.The aim of this studywas to determine the content of a pediatric asthma website based on the evaluation of parents information needs.Materials And MethodsThis cross-sectional studywas conducted by a descriptive-analytical approach in Kerman, Iran. Data were collected using a semi-structured questionnaire.The questionnaire was distributed among a sample of 300 parents visiting allergy and asthma specialists offices. Three experts confirmed validity of the questionnaire. The reliability of the questionnairewas confirmed using the test- retest method on 40 participants (r = 0.82). Data were analyzed using descriptive and analytical statistics by SPSS version 20.0 software.ResultsParticipants demanded information concerning asthma nutrition (79.0%), prevention (78.1%), treatment (77.1%), medications (72.4%) as well as general information (71.4%) and information about etiology of the disease (70.5%), respectively. The results showed that the fathers use the Internet significantly more than the mothers (p=0.0001). There was a statistically significant relationship between participants educational level and the type of resources they use to obtain information (PConclusionThis study highlighted the most important information needs of parents of children with asthma. The results indicated that most parents have access to the Internet and prefer to get their required asthma information from it.Therefore, providing required information to parents through a website can offer them the opportunity to increase their corresponding level of knowledge and skills.Keywords: Asthma, Child, Information Needs, Pediatric Asthma, internet, Website
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Background And AimsGastric cancer is one of the most common cancers all over the world and is the world's second fatal cancer. This study was done to identify the epidemiological features and risk factors of gastric cancer in different regions of Birjand. Such study can be an effective step in preventing, controlling and curing the diseases.MethodsThis descriptive-analytical study was conducted in Birjand educational hospitals. All patients with gastric cancer who were hospitalized in the period 2006-2011 in educational hospitals were recruited through census. Data were collected using researcher-made checklist through examining medical record of patient. Data were analyzed using descriptive and analytical statistics by SPSS software. Ethical approval was received from the Birjand University of Medical Sciences.ResultsResults of this study showed that villages around Ghaien had the highest rate of gastric cancer (n=14, 12.6%). In this study, the relationship between histopathology with therapeutic interventions (P=0.006) and diagnostic methods (P=0.005) was significant. In addition, there was a significant relationship between the place of residence (P=0.018) and the type of therapeutic interventions.ConclusionFindings of this study depicted an accurate and complete image of the epidemiology of this cancer in the region and provided authorities with valuable findings to make decisions about the identification of risk factors of gastric cancer in order to reduce cancer rates. It can also be an alarm for the villagers to change their habits and diet and to have a healthy life.Keywords: Gastriccancer, Cancer epidemiology, Histopathology
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مقدمهکسب دانش، آموزش و تعدیل عوامل خطر ابتلا به بیماری های قلبی- عروقی، نه تنها باعث کاهش هزینه های بهداشتی می گردد، بلکه به بهبود کیفیت زندگی بیماران و جلوگیری از پذیرش های مجدد نیز کمک خواهد کرد. هدف از انجام پژوهش حاضر، تعیین دیدگاه بیماران قلبی در رابطه با کسب دانش سلامت و نقش آن در فرایند درمان بود.روش بررسیاین مطالعه به روش توصیفی- تحلیلی بر روی 200 بیمار قلبی انجام شد. داده ها با استفاده از پرسش نامه ای جمع آوری گردید که روایی آن توسط صاحب نظران و پایایی آن با استفاده از روش آزمون- بازآزمون تایید شده بود. از آمار توصیفی (فروانی و درصد) و تحلیلی (آزمون های 2c و Marginal independence) جهت تحلیل داده ها استفاده گردید.یافته هاپس از تشخیص بیماری، 5/80 درصد (161 نفر) از بیماران قلبی جهت ارتقای دانش خود در رابطه با بیماریشان تلاش کرده بودند که همه آن ها برای کسب دانش از پزشک معالج خود به عنوان منبع کسب دانش کمک گرفتند. به طور کلی، از افرادی که کسب دانش داشتند، 7/90 درصد (146 نفر) در رابطه با دلایل ابتلا به بیماری کسب دانش کرده بودند. درصد کمی از بیماران، استفاده از لوح های فشرده آموزشی را جهت ارتقای دانش خود مناسب دانستند.نتیجه گیرینتایج مطالعه حاضر می تواند به منظور برنامه ریزی جهت ارتقای دانش سلامت بیماران مورد استفاده قرار گیرد. شناسایی رایج ترین منابع مورد استفاده، امکان فراهم آوری دانش کافی از طریق این منابع را فراهم می نماید و موانع موجود برای عدم استفاده از سایر منابع کسب دانش را آشکار می سازد.کلید واژگان: بیماری های قلبی- عروقی, درمان, سواد سلامت, کسب دانشIntroductionHealth knowledge acquisition, training, and controlling of risk factors of cardiovascular disease (CVD) can not only reduce healthcare costs, but can also improve the quality of life (QOL) of patients and help prevent re-hospitalization. The purpose of this research was to evaluate heart patients point of view on health knowledge acquisition and its role in the treatment process.MethodsThis descriptive-analytical study was carried out on 200 patients with CVD. Data were collected using a questionnaire the validity and reliability of which were, respectively, confirmed by experts and by means of test-retest (20, 0.82). Data were analyzed using descriptive (frequency and percentage) and analytical statistics (chi-squared test and marginal independence).ResultsAfter the diagnosis of heart disease, 80.5% of patients had tried to enhance their knowledge about their disease. To increase their knowledge, all of them (161 individuals) used the physician as a source of knowledge acquisition. Overall, 146 (90.7%) patients had acquired knowledge regarding the causes of the disease. A small percentage of the patients believed that educational CDs could help improve their knowledge.ConclusionThe results of this study can be used to plan for the improvement of health knowledge among patients. Determining the most common sources of knowledge acquisition can help in the provision of knowledge through these sources. This can also clarify the reasons for the lack of use of other sources.Keywords: Cardiovascular Diseases, Therapy, Health Literacy, Knowledge Acquisition
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Background And AimsAmong all cancers, colon cancer is common and deadly, yet preventable. The estimated worldwide incidence of colon cancer is more than one million new cases per year. This study was done to identify the epidemiological features and risk factors of colon cancer in different regions of Birjand.MethodsThis retrospective, descriptive analytical study of patients with colon cancer was conducted in Birjand educational hospitals. This study examined the patients whose colon cancers had been confirmed by a pathologist (2006-11). Statistics related to these patients were collected from pathology centers affiliated to Birjand University of Medical Sciences. Data were analyzed using descriptive (frequency and relative frequency) and analytical (chi square test) statistics. SPSS software was used to analyze the collected data.ResultsResults of the present research showed that a total of 38 people with colon cancer were hospitalized in Birjand educational hospitals between 2006 and 2011. In the present study, there was a significant difference between the patients job and the type of morphology (P=0.018) and the therapeutic procedures (P=0.001); Adenocarcinoma was mainly reported among housewives (n=10, 76.9%). Concerning therapeutic procedures, housewives underwent colectomy surgery more than other groups (n=8, 61.5%).ConclusionControlling colon cancer which is one of the most common cancers in the world is a great epidemiologic success. The findings of this study presented a complete and exact image of epidemiology of this cancer in the region and provided the authorities with precious information; therefore, they can make decisions about identifying colon cancer risk factors in the region.Keywords: Colon cancer, Cancer epidemiology, Prevalence
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مقدمهسیستم اطلاعات جغرافیایی از جمله فناوری های نوینی است که به سیاستگذاری و تصمیم گیری های صحیح و ارتقاءی سلامت بیماران کمک می کند. این مطالعه با هدف تعیین کاربرد سیستم اطلاعات جغرافیایی در حوزه سلامت در ایران به روش مروری ساختاریافته انجام گردید.روش کاردر این پژوهش، با استفاده از کلیدواژه های از پیش تعیین شده، پایگاه های اطلاعاتی فارسی و انگلیسی به صورت ساختاریافته مورد جستجو قرار گرفته و مقالاتی که در حوزه سلامت از سیستم اطلاعات جغرافیایی استفاده کرده اند، بازیابی گردید. سپس، با استفاده از فرم استخراج داده ای که روایی آن توسط متخصصین تایید شده، داده های مربوط به قابلیت های GIS استخراج شد. داده ها به شیوه توصیفی تحلیل و گزارش گردید.یافته هادر مجموع 119 مقاله بازیابی شد که از این تعداد 33 مقاله مرتبط شناخته شده و توسط نویسندگان بررسی شدند. حوزه ی موضوعی نزدیک به نیمی از مطالعات، بیماری های غیرعفونی است. سرطان (21%) شایع ترین بیماری است که توسط سیستم اطلاعات جغرافیایی در ایران مورد تجزیه و تحلیل قرار گرفته است. هشتاد و 5% از مطالعات از قابلیت تهیه نقشه و مکان یابی نرم افزار GIS استفاده کرده اند.نتیجه گیریدر ایران، استفاده از سیستم اطلاعات جغرافیایی در حوزه ی سلامت هنوز در مراحل ابتدایی است. GIS نرم افزاری کاربردی در نمایش پراکندگی جغرافیایی بیماری ها و تولید داده های جغرافیایی و فضایی است و ابزاری ارزشمند برای بهبود نظام سلامت محسوب می شود.کلید واژگان: سیستم اطلاعات جغرافیایی, سلامت, GIS, جغرافیای پزشکی, ایرانIntroductionGeographic information system is a modern technology that helps to make sound policy and decisions to promote patients health. This systematic review was carried out to determine the application of GISs in health in Iran.
Material &MethodIn the current study, English and Persian databases were systematically searched using predefined key terms. All relevant studies utilizing GISs in the field of health in Iran were retrieved. Then, a data extraction form that its reliability was approved by experts was applied to extract the data. Data regarding GIS capabilities, the sources of data used, and the fields that GISs were applied for were extracted from the papers. Data were analyzed and reported using descriptive statistics.ResultsTotally, 33 out of 119 retrieved articles were selected as eligible and reviewed by the authors. The subject area of almost half of the studies was noninfectious diseases. Cancer (21%) was the most common disease analyzed by GIS in Iran. Eighty-five percent of the studies used mapping and locating capabilities of GIS software.ConclusionThe use of GIS in health in Iran is still in the preliminary stage. GIS as an applied software is considered as a valuable tool to present geographical distribution of diseases and produce geospatial data to improve health and health care systems.Keywords: Geographic Information Systems, Health, GIS, Medical Geography, Iran -
اهدافرضایت از رشته تحصیلی یکی از مهم ترین عوامل موثر در امر آموزش و موفقیت دانشجویان می باشد. یکی از عوامل تاثیرگذار در رضایت دانشجویان، محتوای آموزشی می باشد. رشته فناوری اطلاعات سلامت و رشته مدارک پزشکی شباهت هایی از لحاظ محتوای آموزشی با یکدیگر دارند. لذا این مطالعه با هدف تعیین رضایت مندی دانشجویان این دو رشته از رشته تحصیلی خود طراحی و اجرا شد.روش هادر این پژوهش مقطعی، جامعه مورد مطالعه، کلیه دانشجویان مدارک پزشکی و فناوری اطلاعات سلامت دانشگاه علوم پزشکی کرمان در سال 1392 بودند. ابزار جمع آوری اطلاعات، یک پرسشنامه با 20 سوال بود که روایی آن با نظر متخصصین و پایایی آن با آزمون باز آزمون و محاسبه ضریب آلفای کرونباخ (95.7٪) وسطح معنی داری 0.01 مورد تایید قرار گرفت. تجزیه و تحلیل داده ها با استفاده از آمار توصیفی و تحلیلی در نرم افزار SPSS 20 انجام گرفت.یافته هامیانگین نمره رضایتمندی دانشجویان به رشته تحصیلی در دانشجویان مدارک پزشکی4.23 و در بین دانشجویان فناوری اطلاعات سلامت 4.08 به دست آمد که کمتر از حد قابل قبول بود. نتایج مطالعه نشان داد که بین جنس و وضعیت اشتغال دانشجویان، و آگاهی نسبت به رشته تحصیلی رابطه معنی داری وجود دارد.نتیجه گیریاکثریت دانشجویان دو رشته نگرش و رضایت قابل قبولی در مورد رشته تحصیلی خود نداشتند. دانشجویان رشته های مدارک پزشکی و فناوری اطلاعات سلامت آگاهی چندانی در زمان انتخاب رشته از محتوای رشته نداشتند و اکثرا بدون شناخت، رشته خود را انتخاب کرده بودند.کلید واژگان: رضایتمندی, رشته تحصیلی, مدارک پزشکی, فناوری اطلاعات سلامتAims: Satisfaction of educational field is one of the important factors in the education and students success. One of the influencing factors in students satisfaction, is educational curriculumn. Medical records and health information technology fields have similarities with each other in terms of educational curriculum. Therefore, the aim of this study was to compare medical records and health information technology students satisfaction from their educational field.MethodsIn this cross-sectional study, the study population included all students of medical records and health information technology at Kerman University of Medical Sciences in 2013. Data collection tool was a questionnaire with 20 questions that its validity confirmed by expert consensus and its reliability confirmed by test-retest (α=95.7% ,P-value= 0.01) . The collected data were analyzed using descriptive and analytical statistics in SPSS 20 software.ResultsThe mean of satisfaction score to educational field among students of medical records was 4.23 and among health information technology students was 4.08 which was less than acceptable level. The results showed that there was a significant relationship between sex and working status, and knowledge about the field.ConclusionThe majority of students in two fields had not acceptable attitude and satisfaction regarding their educational field. Medical records and Health Information Technology students had not high knowledge about the content of curriculum, when choosing their educational field and majority of them had chosen their educational field without cognition.Keywords: Satisfaction, Educational field, Medical record, Health information technology
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مقدمهمطالعات متعددی سیستم های اطلاعات سلامت را ارزیابی نموده، اما اغلب مطالعات از قالب استانداردی برای گزارش یافته ها استفاده نکرده اند. هدف از انجام این پژوهش، تعیین میزان مطابقت مقالات ارزیابی سیستم های اطلاعات سلامت به چاپ رسیده در مجلات فارسی با دستورالعمل گزارش مطالعات ارزیابی انفورماتیک سلامت (Statement on Reporting of Evaluation Studies in Health Informatics یا STARE-HI) بود.روش بررسیدر مطالعه مروری حاضر، مقالات مرتبط با ارزیابی سیستم های اطلاعات سلامت توسط یک چک لیست، با 51 اصل دستورالعمل STARE-HI مطابقت داده شد. این مقالات با استفاده از ترکیب دو دسته کلید واژه مربوط به مطالعات ارزیابی و سیستم های اطلاعات سلامت بدون محدودیت زمانی تا سال 1391 از پایگاه های فارسی Iranmedex، Magiran و SID استخراج شد. در نهایت، داده ها بر اساس 13 بخش اصلی دستورالعمل دسته بندی و گزارش گردید.یافته هااز مجموع 727 مقاله بازیابی شده از پایگاه ها، 36 مقاله با اهداف پژوهش مرتبط بودند. بخش مقدمه در همه مقالات آمده بود، اما بخش سهم نویسندگان و تضاد منافع در هیچ مقاله ای ذکر نشده بود. میانگین رعایت اصول دستورالعمل در کل مقالات مورد مطالعه 40/71 درصد، کمترین آن 94/52 درصد و بیشترین آن 35/82 درصد بود.نتیجه گیریشیوه نگارش و ساختار مطالعات ارزیابی سیستم های اطلاعات سلامت نیاز به ارتقا دارد. با ذکر اطلاعات ضروری در مقالات و استفاده از دستور العمل موجود در طراحی راهنمای نویسندگان مجلات، می توان کیفیت گزارش مطالعات در این حوزه را بهبود بخشید. بهبود شیوه گزارش مقالات می تواند باعث به کارگیری بیشتر و بهتر نتایج پژوهش های انجام شده و افزایش استناد به آن ها گردد.کلید واژگان: مطالعات ارزیابی, سیستم های اطلاعات سلامت, انفورماتیک پزشکی, دستورالعمل گزارش مطالعات ارزیابی انفورماتیک سلامتIntroductionNumerous studies have evaluated health information systems in Iran, but most studies have not ýfollowed a standard format for reporting their findings. The objective of this study was to ýevaluate the compliance of health information systems evaluations published in Persian journals ýwith the Statement on Reporting of Evaluation Studies in Health Informatics (STARE-HI).MethodsThis was a review study in which papers reporting on evaluation of health information systems ýwere assessed in terms of 51 principles of the STARE-HI using a checklist. These papers were ýretrieved from the Persian databases of Magiran, IranMedex, and SID using appropriate ýkeywords. Data were classified and reported based on 13 main sections of the STARE-HI.ResultsFrom the 727 retrieved papers, 36 were relevant to the study objectives. All paper had an ýintroduction section, but none of the paper had the authors contribution and conflict of interests ýsections. The mean compliance of articles with the STARE-HI was 71.4%, with the lowest being ýý52.94% and the highest being 82.35%.ConclusionThe writing style and structure of studies evaluating health information systems require ýimprovementsþ.þý The quality of study reports can be improved through reporting essential ýinformation in articles and using corresponding guidelines in the design of authors instruction ýsections of journals. Improving the reporting format of papers can result in better and higher rate ýof application of study results and increased citation of articles.Keywords: Evaluation Studies, Health Information Systems, Medical Informatics, STARE, HI
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مقدمهبا توجه به اهمیت ثبت دقیق اطلاعات تاریخچه و ارزیابی وضعیت روانی و تاثیر آن در درمان فعلی و آتی بیماران، این مطالعه با هدف تعیین عناصر اطلاعاتی در فرم تاریخچه و ارزیابی وضعیت روانی انجام گردید.روشمطالعه حاضر به روش توصیفی- تطبیقی انجام شد. اطلاعات مورد نیاز از طریق بررسی فرم های موجود برای ثبت ارزیابی وضعیت روانی بیماران گردآوری شد. در نهایت 9 فرم تاریخچه و ارزیابی وضعیت روانی از ایالات متحده، یک فرم از استرالیا و یک فرم از فرانسه و دو نمونه فرم از ایران که در کشورهای مذکور برای ثبت تاریخچه و ارزیابی وضعیت روانی بیماران روانی بیشتر کاربرد داشتند بررسی گردید. پس از تهیه جداول تطبیقی، فهرست جامعی از عناصر اطلاعاتی مربوط به ثبت تاریخچه و ارزیابی وضعیت روانی تهیه گردید. عناصر اطلاعاتی استخراج شده به روش تجمیع پایین به بالا طبقه بندی شدند.نتایجدر مجموع 58 تعداد داده از فرم های تاریخچه و ارزیابی وضعیت روانی استخراج گردید. این داده ها در گروه های اصلی از قبیل اطلاعات دموگرافیک، سوابق بیمار، علایم فعلی بیماری، ارزیابی حالات روانی، ارزیابی ریسک خودکشی، شرایط رفتاری/احساسی، فرآیند تفکر، ارزیابی سوء مصرف مواد، ارزیابی ایمنی/ خشونت خانوادگی، تشخیص های چند محوری و نوع درمان یا طرح درمان طبقه بندی شده اند.نتیجه گیریمطالعه حاضر یک نمای کلی از داده هایی که در حوزه روان پزشکی در زمینه فرم تاریخچه و ارزیابی وضعیت روانی مورد توجه قرار گرفته است، به پژوهشگران ارایه می دهد.کلید واژگان: عناصر اطلاعاتی, فرم تاریخچه, ارزیابی وضعیت روانیComparative Study of Data Elements in Psychiatric History and Assessment Forms in Selected CountriesIntroductionConsidering the importance of accurate documentation in psychiatric history and mental assessment and its effect on the current and future treatment among patients, this study aimed to determine data elements in the psychiatric history and mental assessment forms.MethodThis is a descriptive-comparative study. Using psychiatric history and assessment forms, the required data were gathered in this study. Finally, all psychiatric history and mental assessment forms gathered from the selected countries including the United States (n=9), Australia (n=1), France (n=1), Iran (n=2) were assessed. After preparing the comparative tables, a comprehensive list of data elements related to the psychiatric history and assessment was provided. Using bottom up approach the extracted data elements were categorized.ResultsIn total, 58 data elements including demographic data, patient history, current symptoms of disease, evaluation of psychological states, suicide risk assessment, behavioral/emotional conditions, thinking process, drug abuse assessment, family safety/violence assessment, multi-axial diagnosis and treatment type/plan were extracted from psychiatric history and assessment forms.ConclusionThe present study provides a general view of important data elements considered for documentation in psychiatric history and assessment forms.Keywords: Data Element, Psychiatric History, Assessment Forms
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