جستجوی مقالات مرتبط با کلیدواژه « ehealth » در نشریات گروه « پزشکی »
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مقدمه
داده ورزی در حوزه پرستاری و مامایی در جهان، رو به توسعه و تحول است. مطالعه مروری نظام مند حاضر متون موجود برای شناسایی مولفه های شایستگی داده ورزی در ارائه خدمات سلامت الکترونیک در دو حوزه پرستاری و مامایی را بررسی می نماید.
مواد و روش کاربدین منظور پایگاه های اطلاعاتی Web of science, PubMed , Scopus با استفاده از کلید واژه های Telemedicine، e-health informatic، competence، و معادل های آنان، بدون محدودیت زمانی، مورد جستجو قرار گرفتند. کیفیت مقالات توسط ده معیار منتخب از چک لیست استروب توسط دو نفر محقق به صورت مستقل بررسی شد. تجزیه و تحلیل مطابق با دستورالعمل های PRISMA انجام شد.
یافته هانتیجه جستجو 668 مقاله بود، که بعد از حذف موارد تکراری 187 مقاله باقی ماند و در نهایت بعد از بررسی متن کامل مقالات، 13 مطالعه وارد تحلیل نهایی شدند. مقالات یافت شده همگی درحوزه ارائه خدمات پرستاری بوده و برای مراقبتهای مامایی یافته ای به دست نیامد. در مجموع "سواد سلامت الکترونیک"، "نگرش پرستاران به ارائه خدمات سلامت الکترونیک" و "عوامل فردی- اجتماعی- شغلی مرتبط با شایستگی داده ورزی" در پرستاران از مولفه های یافت شده بود.
نتیجه گیریمطالعات بررسی شده بیانگر نیاز به دانش پایه ای، کار روی نگرش پرستاران و نیازهای تحقیقاتی در شایستگی داده ورزی پرستاران بود. شایستگی داده ورزی و مولفه های مرتبط با آن در ماماها و دانشجویان مامایی خالی از متون بود، لذا بررسی این موضوع در حرفه مامایی توصیه می شود.
کلید واژگان: داده ورزی سلامت, درمان از راه دور, شایستگی, سلامت الکترونیک, پرستاری, ماماییPayesh, Volume:23 Issue: 6, 2024, PP 817 -828Objective (s)Informatics in nursing and midwifery is developing and evolving worldwide. The present study aimed to systematically review the existing literature to identify the components of informatics competencies in the provision of electronic health services in nursing and midwifery.
MethodsWeb of Science, PubMed, and Scopus databases were searched using the keywords telemedicine, e-health informatics, competence, and their equivalents, without time limits. The quality of the articles was checked independently by two researchers using ten criteria selected from the Strobe checklist. Analysis was conducted in accordance with PRISMA guidelines.
ResultsIn all 668 articles retrieved. After removing duplicates, 187 articles remained, and after reviewing the full text of the articles, 13 studies were included in the final review and analysis. Articles were on providing nursing services and no studies were found for midwifery care. In total, "e-health literacy", "nurses' attitude towards the provision of e-health services" and "individual-social-occupational factors related to informatics competence" were among the components found in studies related to nursing.
ConclusionThe review indicated the need for basic knowledge, work on nurses' attitudes and research in nurses' informatics competence. Informatics competence and its related components in midwives and midwifery students were lacking in the literature, so it is recommended to investigate this among midwifery groups.
Keywords: Health Informatics, Telemedicine, Competency, Ehealth, Nursing, Midwifery -
Introduction
Smartphone addiction has increased in recent years, especially with the onset of COVID-19 among students. It is possible that as the level of eHealth literacy increases among students, their addiction to smartphones decreases. This study aims to investigate this hypothesis.
Material and MethodsThis cross-sectional study was conducted on 390 medical sciences students. Two standard questionnaires were used to gather data. The first questionnaire was the Smartphone Addiction Inventory Scale, and the second questionnaire was the eHealth Literacy Scale. Data were analyzed using descriptive and analytic statistics.
ResultsThere was no significant relationship between the gender of the participants and the mean scores of smartphone addiction or eHealth literacy. However, the relationship between the age of the participants and the mean scores of smartphone addiction or eHealth literacy was significant. Only the relationship between the educational level of the participants and the mean scores of smartphone addiction was significant. The correlation between smartphone addiction and eHealth literacy in students was not significant.
ConclusionAge and educational level were significant factors influencing smartphone addiction. To decrease smartphone addiction and increase eHealth literacy, educational programs should be implemented for medical science students, who play a crucial role as future guardians of health.
Keywords: Smartphone, Addiction, eHealth, Literacy -
مقدمه
با توسعه روزافزون ارایه دهندگان و کاربران خدمات سلامت الکترونیک، نیاز به تدوین استراتژی ها و قوانین سازگار با فناوری های در حال تحول ضرورت یافته است. شناخت وضعیت موجود از طریق شناسایی چالش ها در بخش های مختلف، می تواند اطلاعات مفیدی در زمینه قانون گذاری در اختیار سیاست گذاران قرار دهد.
روش کاردر مطالعه حاضر که یک مطالعه کیفی بود، داده ها از طریق مصاحبه با 10 نفر از مدیران کسب و کارهای حوزه سلامت الکترونیک به دست آمد. نمونه به صورت هدفمند در سال 1401 از میان گروه های متنوع ارایه دهنده خدمات پزشکی از راه دور، اطلاعات آنلاین سلامت، سلامت همراه و داروخانه های آنلاین انتخاب شد. تحلیل داده ها به روش تحلیل محتوای متعارف و با استفاده از نرم افزار MAXQDA نسخه 10 انجام شد.
یافته هاپس از تجریه و تحلیل داده ها، 29 کد مربوط به چالش های قانونی و اخلاقی به دست آمد. این موارد در 8 دسته اصلی نظارت و قانون گذاری، پاسخگویی و مسیولیت پذیری، صلاحیت، نظرات کاربران، سوپراپلیکیشن ها، استاندارد مراقبت، مزایای بیمار، داده ها و سوابق بیمار طبقه بندی و در هر مورد پیشنهاد هایی ارایه شد.
نتیجه گیرینتایج نشان داد در زمینه حکمرانی سلامت الکترونیک، چالش هایی وجود دارد که باید مورد توجه سیاست گذاران قرار گیرد. مسایل قانونی از اصلی ترین موانع و چالش های پیش روی کسب و کارهای این حوزه است. اگر کسب و کارهای اخلاقی و قانونی از رقابت خارج شوند، ممکن است کاربران به دنبال دریافت خدمات آنلاین از ارایه دهندگان غیرمجاز یا غیرحرفه ای باشند. این امر می تواند مشکلات جدی برای نظام سلامت ایجاد کند.
کلید واژگان: سلامت الکترونیک, پزشکی از راه دور, سلامت همراه, تحقیق کیفی, تحلیل محتواIntroductionWith the ever-increasing development of providers and users of electronic health services, the need to formulate strategies and laws compatible with innovations has become necessary. Understanding the current situation through the identification of challenges in different sectors can provide useful information in the field of legislation for policy makers.
MethodsThe present study was qualitative research. The data was obtained through interviews with business managers in the field of e-health. Purposeful sampling was performed in 2022 among service providers include Provider of telemedicine services, online health information, mhealth and online pharmacies. Data were analyzed using standard qualitative content analysis with MAXQDA v.10 software.
ResultsAfter analyzing the data, 29 codes related to legal and ethical challenges were obtained. These items were classified into 8 main categories: Regulatory and legislation, responsiveness and responsibility, competence, user opinions, super applications, standard of care, patient benefits, patient data and records. Suggestions were also provided in each case.
ConclusionIn the field of electronic health governance, there are challenges that should be addressed by policy makers. Legal issues are one of the main obstacles and challenges for businesses in this area. If ethical and legitimate businesses are out of competition, users may seek online services from unlicensed or unprofessional providers. This creates serious problems for the health system.
Keywords: ehealth, Telemedicine, mhealth, Qualitative Research, Content Analysis -
Introduction
Sensory disabilities, including hearing or speech and vision loss, are thesecond biggest contributor to rehabilitation needs in terms of the number of affected people.Therefore, the aim of this systematic review of randomized clinical trial was to investigate theeffect of telerehabilitation on people with sensory disabilities, including hearing, speech andvisual impairments.
MethodsA systematic review was conducted in a randomized controlled trial (RCT), pilot,and protocols for RCT studies without time limit by searching for keywords in the title,abstract and study keywords in valid scientific databases Embase, Web of Science, Scopus,and PubMed on October 23, 2021. We followed the PRISMA (Preferred Reporting Items forSystematic Reviews and Meta-Analyses) guidelines.
ResultsIn total, 1080 documents were initially retrieved through scientific databasesearching. Finally, 8 eligible studies were found through this review. The quality assessmentresults showed that there was no significant bias in the studies and all quality studies wereincluded. The sample sizes in the studies ranged from 21 to 203 participants. Follow-upperiods ranged from 6 weeks to 12 months. Of the 8 included studies, 4 were experimentaland did not provide definitive results. However, in 4 studies, patients reported improvementsin hearing, speech, mental status, quality of life, and self-care skills.
ConclusionThe results of the present systematic review revealed that using telerehabilitationimproves the provision of rehabilitation services in patients with sensory disabilities (hearing,speech, and visual impairment). Hence, telerehabilitation is a safe, effective, and feasible toolfor providing telerehabilitation services.
Keywords: Telerehabilitation, Remote rehabilitation, Disability, Telemedicine, eHealth -
Background
Considering the increased prevalence of asthma and its consequences for individuals and society, its effective management and close monitoring is essential. Awareness of the effects of telemedicine can improve asthma management. The present study aimed to systematically review articles examining the effect of telemedicine on the management of asthma, including control of the symptom, patients’ quality of life, costs, and adherence to treatment programs.
Materials and MethodsA systematic search was performed on four databases: PubMed, Web of Science, Embase, and Scopus. English language clinical trials investigating the effectiveness of telemedicine in asthma management published from 2005 to 2018 were selected and retrieved. The present study was designed and conducted based on the PRISMA guidelines.
ResultsOut of 33 articles included in this research, telemedicine was employed by 23 studies for the promotion of patient adherence to treatment in the form of reminders and feedback, by 18 for telemonitoring and communicating with healthcare providers, by six for offering remote patient education, and by five for counseling. The most frequently used telemedicine approach was asynchronous (used in 21 articles), and the most commonly utilized tool was Web-based (utilized in 11 articles).
ConclusionTelemedicine can improve symptom control, patients’ quality of life, and adherence to treatment programs. However, little evidence exists confirming the effectiveness of telemedicine in decreasing costs.
Keywords: Asthma, telemedicine, eHealth, Systematic review -
Background & Objective
Understanding the various strategies used in the Covid-19 pandemic and its consequences can help to benefit better and more effectively in the future and identify its potential challenges and more effective and efficient solutions to deal with the epidemic. Put such things in front of policymakers in the health system. In this study, we intend to do a systematic review of the types of eHealth strategies used in the Povem Covid-19, the implications and weaknesses, and related challenges.
MethodThe present study is a scoping review. Keywords have been selected based on MESH and review of related texts in two main dimensions (Covid-19 disease and eHealth. In this study, valid scientific data sources including:PubMed / Medline, Web of Science, Embase, Cochrane Library, searched.
ResultsOf the 5,105 search results from databases and other sources, 3,683 records remained after the duplicate results were removed. We reviewed the remaining studies by title and abstract and identified 71 articles for further review of the full text. 21 studies had inclusion criteria. These studies focus on a variety of eHealth strategies, including electronic health record templates, robotic clinical care, virtual intensive care unit, cloud-based system for effective Covid-19 monitoring and control, mobile decision support system, COVID-19 self-assessment tool Web-based, ICU monitoring technology, call tracking, Internet hospitals, identification, screening and diagnosis of patients with Covid-19, and spatial and temporal reporting via network and GPS were centralized.
ConclusionSuch strategies have been successful in controlling hospital infections, reducing the relationship between treatment staff and patients, more accurate and faster diagnosis, providing services to a wide range of patients and providing quality services. However, taking advantage of such strategies in Pendmi Covid-19 has faced challenges such as resource constraints, legal barriers, and privacy. Collaborating with governments and local health forces with the public can greatly facilitate the benefit of eHealth strategies in a pandemic
Keywords: COVID-19 pandemic, Scoping Review, eHealth, strategy -
Journal of Obstetrics, Gynecology and Cancer Research, Volume:7 Issue: 3, May - Jun 2022, PP 254 -255
Pregnant women are at higher risk of severe COVID-19 than the general population. Furthermore, COVID-19 increases the preterm and cesarean rates due to maternal and fetal complications. Owing to the adverse effects of the COVID-19 on pregnant women, in-person prenatal visits face challenges. Thus, alternative solutions that reduce the number of visits while preserving maternal and fetal care quality should be considered. Digital health is one of the potential solutions. Obstetricians and gynecologists, and other clinical experts should cooperate to define digital tools’ requirements and standards for prenatal care. Moreover, governments and healthcare insurances should facilitate the coverage of provided services’ costs by digital health tools, especially in developing countries.
Keywords: eHealth, COVID-19, prenatal, Maternal health -
Background
Unlike the large body of research that has examined the ‘success’ or ‘failure’ of eHealth in terms of patient and provider perceptions or cost- and clinical effectiveness, the current study teases out ways through which a novel eHealth initiative in rural northern Sweden might result in more distal or systemic beneficial outcomes. More specifically, this paper aims to explore how and under what circumstances the so-called virtual health rooms (VHRs) are expected to improve access to person-centred care and strengthen community health systems, especially for elderly residents of rural areas.
MethodsThe first phase of the realist evaluation methodology was conducted, involving qualitative interviews with 8 key stakeholders working with eHealth, business development, digitalisation, and process management. Using thematic analysis and following an abductive-retroductive analytical process, an intervention-context-actor-mechanism-outcome (ICAMO) configuration was developed and elicited into an initial programme theory.
ResultsThe findings indicate that a novel eHealth initiative, which provides reliable technologies in a customized facility that connects communities and providers, might improve access to person-centred care and strengthen community health systems for rural populations. This is theorized to occur if mechanisms acting at individual (such as knowledge, skills and trust) and collective (like a common vision and shared responsibilities) levels are triggered in contexts characterised by supportive societal transitions, sufficient organisational readiness and the harnessing of rural cohesiveness and creativity.
ConclusionThe elicited initial programme theory describes and explains how a novel eHealth initiative in rural northern Sweden is presumed to operate and under what circumstances. Further testing, refinements and continued gradual building of theory following the realist evaluation methodology is now needed to ascertain if the ‘VHRs’ work as intended, for whom, in what conditions and why.
Keywords: Northern Sweden, eHealth, Realist Evaluation, Community Health System, Person-Centred Care -
Background
eHealth has a notable potential to help in prevention, diagnosis, treatment, screening, management, and control of the COVID-19 pandemic. Since ehealth is considered here broadly, as an umbrella term, it also covers subsets like telehealth and mhealth. This study aimed to review the literature to identify and classify subdomains of eHealth solutions that have been utilized, developed, or suggested for the COVID-19 pandemic.
MethodsA comprehensive literature search was performed using the PubMed, Scopus, Embase, and Cochrane library databases in April 2020, with no time limitation. The search strategy was built based on 2 concept domains of eHealth solutions and covid-19. For each concept domain, the search query comprised a combination of free text keywords identified from reference papers and controlled vocabulary terms. Obtained results were classified, graphically presented, and discussed.
ResultsOf the 423 studies identified initially, 35 were included in this study. From related papers, general characteristics, study objective, eHealth-related outcomes, target populations, eHealth interventions, health service category, eHealth solution, and eHealth domain were extracted, classified, and tabulated. Most publication types were ideas, editorials, or opinions (46%). The most targeted populations were people of the community and medical staff (80%). The most implemented or suggested eHealth solution was telehealth (63%), followed by mhealth, health information technology, and health data analytics. Most of the COVID-19 ehealth interventions designed or suggested for improving prevention (48%) and diagnosis (48%). Most of the studies applied or proposed eHealth solutions for general practice or epidemiological purposes (48%).
ConclusioneHealth solutions have the potential to provide useful services to help in COVID-19 pandemics in terms of prevention, diagnosis, treatment, screening, surveillance, resource allocation, education, management, and control. The obtained results from this review might be used for a better understanding of current ehealth solutions provided or recommended in response to the COVID-19 pandemic.
Keywords: COVID-19, eHealth, Telemedicine, Public health, Health informatics -
International Journal of Travel Medicine and Global Health, Volume:7 Issue: 3, Summer 2019, PP 72 -78Today telemedicine, or eHealth, is an important tool in everyday medical life. In all areas, from the preclinical to aftercare, significant improvements in communication structures have been seen in various eHealth options, which have had significant, positive effects on the quality of patient care in orthopedics and trauma surgery. Initially, there were several isolated solutions and many small individual projects; however, there was a lack of interdisciplinary and comprehensive systems in all healthcare fields. The German Trauma Society (DGU) together with the AUC GmbH took the lead and paved the way for a modulated, comprehensive, interface-compatible teleradiology system. Nevertheless, there are still deficits across all sectors which, in the future, will need to be optimized by eHealth methods and systems. Overall, there is an effort towards patient-centered solutions (patient empowerment). In Germany, telemedicine has gradually gained acceptance in various sectors and is being used nationwide. Telemedicine has proven itself, especially in trauma networks.Keywords: Telemedicine, Teleradiology, eHealth, Orthopaedics, Trauma Surgery, Patient care, Patient Participation
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مقدمهامروزه خدمات و اطلاعات سلامت، از طریق اینترنت و سایر ابزارهای ارتباطی الکترونیکی ارایه می شود و دستیابی به آن ها، نیازمند مهارت ها و قابلیت هایی است که سواد سلامت الکترونیک نامیده می شود. مطالعه حاضر با هدف تعیین وضعیت سواد سلامت الکترونیک در دانشجویان تحصیلات تکمیلی شش رشته دانشگاه علوم پزشکی تهران در سال 95-1394 انجام گرفت.روش بررسیاین پژوهش از نوع پیمایشی- توصیفی بود که در آن داده ها با استفاده از پرسش نامه محقق ساخته، از میان 700 دانشجوی مقطع تحصیلات تکمیلی رشته های پرستاری، بهداشت، اقتصاد سلامت، کتابداری و اطلاع رسانی پزشکی، فن آوری اطلاعات سلامت و مدیریت خدمات بهداشتی درمانی دانشگاه علوم پزشکی تهران جمع آوری گردید. حجم نمونه با استفاده از جدول Morgan، 248 نفر برآورد شد و نمونه گیری به روش طبقه ای تناسبی صورت گرفت. روایی پرسش نامه با نظر متخصصان و پایایی آن با استفاده از ضریب Cronbach¢s alpha (752/0 = α) تایید گردید. داده ها با استفاده از آزمون های t تک نمونه ای و Independent t تجزیه و تحلیل شد.یافته هامیانگین نمره سواد سلامت الکترونیک نمونه های مورد بررسی، 367/48 برآورد گردید. بر اساس نتایج آزمون t تک نمونه ای، سطح سواد سلامت الکترونیک در جامعه مورد مطالعه بیشتر از میانگین به دست آمد (001/0 > P). همچنین، تفاوت معنی داری در سطح سواد سلامت الکترونیک دانشجویان مقاطع کارشناسی ارشد و دکتری وجود داشت، اما تفاوت معنی داری در وضعیت سواد سلامت الکترونیک مردان و زنان مشاهده نشد.نتیجه گیریاعضای جامعه مورد بررسی، به تقویت مهارت کار با واژه پرداز و درک، ارزیابی و تفسیر یافته های پژوهش نیاز داشتند. بالاتر بودن سواد سلامت الکترونیک از سطح متوسط در میان نمونه ها، نشان دهنده آن است که این افراد با کمی آموزش، قابلیت به کارگیری در امر آموزش این مهارت در جامعه را دارند.کلید واژگان: پزشکی از را دور, سلامت الکترونیک, سواد سلامت, دانشجویانIntroductionToday, the health information and services are delivered via internet and other communication devices, accessing which requires some capabilities and skills known as eHealth literacy. The aim of this study was to determine the state of the eHealth literacy of postgraduate students in Tehran University of Medical Sciences, Tehran, Iran, in 2015-2016 educational years.MethodsThis was a descriptive survey carried out among 700 postgraduate students of six selected majors in Tehran University of Medical Sciences. The sample size was determined to be 248, using Morgan table. Sampling was carried out using proportional sampling method. The data were collected through a questionnaire. The validity of questionnaire was confirmed through the experts opinions, and its reliability was measured through Cronbachs alpha (α = 0.752). The collected data were analyzed using one-sample independent t test.ResultsThe mean score of eHealth literacy among the sample of study was 48.367, which was above the average (t = 17.692, PConclusionThe studied population needs to be strengthening in the fields of working with word processors and understanding, evaluating, and interpreting research data. Being higher than average in eHealth literacy shows that studied population may be used as eHealth literacy instructors for other parts of society.Keywords: Telemedicine, eHealth, Health Literacy, Students
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زمینهفن آوری اطلاعات نقش بسزایی در پیشرفت های علمی، اجتماعی، اقتصادی و سلامت داشته است. پورتال ملی سلامت با ایجاد دسترسی یکپارچه به منابع، نرم افزارها و پایگاه های داده، امکان دسترسی به دامنه وسیعی از منابع اطلاعاتی را برای بیماران و ارائه دهندگان مراقبت بهداشتی فراهم می کند. لذا پژوهش حاضر به بررسی ویژگی های ساختاری و محتوایی پورتال های ملی سلامت کشورهای منتخب و ارائه پیشنهاداتی در این زمینه انجام گرفته است.روش هااین پژوهش، مطالعه ای توصیفی- کاربردی بود. در نتیجه جستجو، کشورهای دانمارک، فنلاند، سوئد، نروژ، هند، استرالیا و هلند به عنوان کشورهای نهایی انتخاب شدند. سپس با استفاده از چک لیست طراحی شده، با مشاهده و تکمیل آن به جمع آوری ویژگی های محتوایی و ساختاری پورتال کشورهای مورد بررسی پرداخته شد.یافته هادسترسی بیماران و پزشکان به اطلاعات عمومی، اطلاعات پزشکی و سلامت، دسترسی پزشکان به داده های سلامت بیمار، جستجو و پیمایش، سازوکارهای امنیتی و امکان ارسال بازخورد به مسئولان و مدیران بخش های مختلف پورتال، به عنوان ویژگی های مشترک پورتال های ملی سلامت مورد بررسی تعیین شدند.نتیجه گیریایجاد یک پورتال ملی سلامت شامل تمامی ویژگی ها و قابلیت های مطلوب، با پشتوانه استراتژی دقیق توسعه، روزآمدسازی و تحلیل مداوم نیازهای کاربران نهایی تحقق می یابد.کلید واژگان: پورتال ملی, سلامت الکترونیک, فن آوری اطلاعات سلامتIntroductionInformation technology has an important role in scientific, social, economic and health advancement. National health portals though an integrated access to resources, applications and databases, can provide access to a wide range of sources of information for patients and health-care providers. Therefore, the present study was conducted to review the structural and content features of national health portal in selected countries and make recommendations for developing such portals in Iran.Methods: In this descriptive and applied study, Denmark, Finland, Sweden, Norway, India, Australia and the Netherlands were selected for investigation. Using a checklist, we observed and compared the content and structural features of the health portals in the selected countries.ResultsAll the portals have common features such as patient's and physician's access to public health information, medical and health information, physician's access to patient's health data, capability of search and navigation, security mechanisms and possibility to send feedbacks to authorities and managers of the portal.
Conclusion Developing a national health portal with all the desired features and functionalities requires a strategy for development, updating and continuous user's needs assessments.Keywords: National Portal, eHealth, Health Information Technology -
Application of ICT in health (eHealth) has become an integral part of modern healthcare systems. Electronic health information management has proven useful in improving quality of health care, reducing costs and facilitating health research. However, the increasing complexity of healthcare and the growing demand for high quality healthcare delivery has created a need for eHealth systems with the capability of anticipating the future need for information, delivering the information timely to patients and professionals, supporting communication, facilitating coordination and enhancing the performance of decision support systems. Agent-based systems, which operate by artificial intelligence, have shown great promise to meet these challenging needs and to realize the full potential of eHealth systems. In this paper we provide a brief review of application of agent-based systems in chronic disease care.Keywords: Agent, based Systems, Tele, medicine, Health Information Management, eHealth
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