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عضویت

جستجوی مقالات مرتبط با کلیدواژه « scoping review » در نشریات گروه « پزشکی »

  • Fatemeh Mohamadian, Alireza Farsi*, Behrouz Abdoli
    Objectives

    This scoping review allows a better understanding of current evidence regarding mirror therapy (MT) among children to help the future development of MT intervention protocol on children.

    Methods

    PubMed, Science-Direct, Web of Science and ProQuest databases were searched from January 2005 to January 2023 for interventions within the scope of MT for children. Google Scholar was also scanned for additional resources. The process of the present study was according to guidelines of the preferred reporting items for systematic reviews and meta-analyses extension for scoping reviews. The main inclusion criteria were articles in English and Persian language and peer-reviewed empirical studies of MT for children. This study charted methodological information from articles according to participant characteristics, design, intervention, and outcome measures. 

    Results

    Of 18 studies that were included in this scoping review, 17 studies were conducted in children with hemiplegic cerebral palsy, and only two studies were in other conditions. A total of 16 articles were randomized controlled clinical trials, one case study and one single subject. Meanwhile, 33 outcomes were in the body structures (BS) and functions level, and 10 outcome measures were in the activities and participation levels of the International classification of functioning. 

    Discussion

    The review indicates that in future studies, it is necessary to pay more attention to other disorders beyond hemiplegic cerebral palsy; furthermore, levels of activity and participation as the outcome need to be used more.

    Keywords: Children, Mirror Therapy (MT), Scoping Review, Rehabilitation, International Classification Of Functioning, Disability, Health (ICF)}
  • Abolfazl Taheri, Payman Adibi, Marziye Saeedizadeh*, Mojtaba Sabbagh Jafari, Alireza Rahimi, Alireza Abbasi
    Background & Objectives

    The use of reporting guidelines aims to enhance the completeness and transparency of biomedical publications. The CARE guideline was developed in 2013 to assist researchers in improving the reporting of their case reports. In this study, drawing on evidence from studies that have evaluated the reporting quality of case reports based on the CARE guideline, we aim to conduct a scoping review focusing on the state-of-the-art adherence to the CARE guidelines in case reports and identifying factors associated with adherence to this guideline.

    Materials & Methods

    The protocol for this scoping review follows the Arksey and O’Malley framework. We searched for meta-research studies indexed in four databases (Web of Science, PubMed, Embase, and Scopus) from 2013 to 2023, for studies primarily aimed at evaluating the reporting quality of case reports based on the CARE guidelines. Study selection was performed in duplicate. This study report followed the PRISMA-ScR.

    Results

    Our database searches retrieved 35 studies, of which 14 were included for full-text analysis. The publication rate has increased sharply in recent years; seven articles (50%) were published in 2020 and 2021. Further analysis is in progress and scheduled for completion by July 2024.

    Conclusions

    By conducting this scoping review, we attempted to gain a comprehensive and in-depth understanding of the quality of case reports based on the CARE guideline, identify gaps, and provide recommendations for the more efficient and meaningful use of the CARE reporting guideline in the future.

    Keywords: Guideline As Topic, Scoping Review, Adherence, Case Reports, CARE}
  • Laleh Gharacheh, Mostafa Amini‑Rarani*, Amin Torabipour, Saeed Karimi
    Background

    As socioeconomic inequalities are key factors in access and utilization of type 2 diabetes (T2D) services, the purpose of this scoping review was to identify solutions for decreasing socioeconomic inequalities in T2D.

    Methods

    A scoping review of scientific articles from 2000 and later was conducted using PubMed, Web of Science (WOS), Scopus, Embase, and ProQuest databases. Using the Arksey and O’Malley framework for scoping review, articles were extracted, meticulously read, and thematically analyzed.

    Results

    A total of 7204 articles were identified from the reviewed databases. After removing duplicate and nonrelevant articles, 117 articles were finally included and analyzed. A number of solutions and passways were extracted from the final articles. Solutions for decreasing socioeconomic inequalities in T2D were categorized into 12 main solutions and 63 passways.

    Conclusions

    Applying identified solutions in diabetes policies and interventions would be recommended for decreasing socioeconomic inequalities in T2D. Also, the passways could be addressed as entry points to help better implementation of diabetic policies.

    Keywords: Health Policy, Scoping Review, Socioeconomic Inequality, Thematic Analysis, Type 2 Diabetes}
  • Amos Nnaemeka Amedu*, Veronica Dwarika
    Background

    Post-traumatic stress disorder (PTSD) is a well-known psychiatric disorder that can occur after a major traumatic event and adversely impact the individual’s mental health. PTSD is a multifaceted mental health problem that requires long periods of treatment and expensive treatment protocols. Despite significant advances in treatment, there is little evidence of the economic burden and social support associated with PTSD. Hence, this study examines empirical research on the economic burden and social support associated with patients with PTSD.

    Methods

    In this study, we used the preferred reporting items for systematic reviews and meta-analyses guided scoping review protocol to assess the research on the economic burdens and social support associated with PTSD patients. Accordingly, we selected 14 primary research studies examining the economic burden and 17 primary studies examining social support for PTSD patients. 

    Results

    PTSD patients incur a high economic burden worldwide with huge direct cost variability. Meanwhile, social support is an impactful approach to curbing the impacts of PTSD on patients. This study demonstrated the substantial role of social support in reducing PTSD symptoms and as a significant moderator in the treatment of PTSD patients.

    Conclusion

    PTSD is a mental health problem associated with a highly variable economic burden on patients and healthcare systems across the globe. In addition, social support facilitates the speedy recovery of PTSD patients. Because of the high economic burden associated with PTSD, the World Health Organization (WHO) should formulate a policy that improves resource allocation specifically for vulnerable individuals with PTSD.

    Keywords: Economic Burden, Social Support, Post-Traumatic Stress Disorder (PTSD), Scoping Review, Individuals With PTSD}
  • Chiedu Eseadi*, Amos Nnaemeka Amedu
    Background

    Depression is a significant mental health issue that hinders the recovery of breast cancer patients. The comorbidity of depressive disorders and breast cancer is a complex medical condition. This study aims to examine depression among breast cancer patients in Nigeria.

    Methods

    A scoping review approach was used to explore four databases: Google Scholar, PubMed, Medline, and Scopus. Relevant search terms were used, resulting in 50 records. After removing the articles that did not meet the eligibility requirements, 12 records were included in the study.

    Results

    Depression is commonly experienced by Nigerian breast cancer patients and they are likely to have a lower quality of life, which hinders the recovery process. Psychological interventions such as CBT, psychoeducation, rational emotive behavioral intervention, mHealth and cognitive restructuring were effective in reducing depressive symptoms among Nigerian breast cancer patients.

    Conclusion

    Depression is a major mental health problem among breast cancer patients in Nigeria. CBT, psychoeducation, mHealth, rational emotive behavioral therapy and cognitive restructuring interventions have been found to be effective psychological methods for treating depression in this patient group. Further studies are needed in the northern parts of the country, as most of the reviewed studies were conducted in the southern parts.

    Keywords: Breast Cancer, Depression, Nigeria, Patients, Scoping Review}
  • Nasir Matani, Intan Idiana Hassan *, AJ Rohana, Mohammad Nazzal
    Background

     Non-pharmacological interventions, such as healthy dietary approaches and physical activity, have always been a crucial part of hypertension (HTN) control in clinical practice. These non-pharmacological interventions, however, have never been reviewed in the literature of Arab countries. This review has quantified and evaluated non-pharmacological interventional studies conducted in Arab countries until 2023.

    Methods

     Medline, Web of Science, PubMed, the Cochrane Library, Embase, Science Direct, Scopus, ERIC, ProQuest, Springer, Google Scholar, and CINAHL were explored from database inception until September 2023. Articles of relevance were screened based on their titles and abstracts for selection criteria. Eligible studies were reviewed, and information was retrieved. Jadad scores and the Downs and Black checklist were used to evaluate randomized controlled trials (RCTs) and quasi-experimental studies, respectively.

    Results

     A total of 12 RCTs and 5 quasi-experimental studies met the selection criteria. The studied interventions were eHealth applications, educational programs, wet cupping, physical exercise, adherence therapy, green tea, lifestyle interventions, dietary approaches to stop HTN, motivational interviewing, and cold hibiscus beverages. The most commonly used outcome measure was blood pressure. Nine studies scored high quality. The low and neutral quality scores were mainly due to loss of blindness, poor reporting of participants’ characteristics, loss of follow-up, and failure to account for potential confounders.

    Conclusion

     There is a scarcity of HTN non-pharmacological interventional studies, aside from the low or modest quality of nearly 50% of them. Hence, it is recommended that further high-quality interventional studies focus on the areas of dietary approaches (especially DASH), exercise, theory-based education, and behavioral counseling in Arab countries.

    Keywords: Hypertension, Interventions, Arabs, Scoping Review}
  • Saira Siraj E*, Benley George, Sherin Susan Paul N
    Background

    It is well documented that India is an example of the unequal distribution of dental caries among different population groups, as higher prevalence and incidence have been reported among people with a low socioeconomic level. The objective of this review was to systematically map the scientific literature on the effect of socioeconomic status (SES) on dental caries among adults, identify the research gaps in this area, and propose recommendations for future research.

    Methods

    This scoping review was conducted based on the updated framework recommended by Joanna Briggs Institute. Relevant studies undertaken in India were identified by searching Medline/PubMed, EBSCO, and Google Scholar. The search strategy was limited to journal articles published between January 2012 and October 2022. Titles and abstracts were screened, and full texts were reviewed by two reviewers independently. 

    Results

    The scoping review comprised 7 cross-sectional studies and 1 cohort study. Most reviewed studies used the Kuppuswamy scale or its modifications to assess the SES. Four studies determined the caries status regarding mean values according to SES and reported higher DMFT (decayed, missing, and filled teeth) among the middle and lower-class SES. Three studies employed regression analysis to determine the association, and all found that the DMFT score was significantly associated with socioeconomic status.

    Conclusion

    The findings of this review confirm the existence of inequalities in caries experience in adults from different socioeconomic backgrounds. More high-quality and follow-up studies are needed to establish the magnitude of the scientific evidence regarding the association between socioeconomic status and dental caries among adults in India.

    Keywords: Dental Caries, Adults, Socioeconomic Status, India, Scoping Review}
  • Kylie Divashnee Konar, Rushern Ruvashin Chetty*, Selina Konar, Somasundram Pillay
    Background

     Antibiotic resistance is an escalating global health concern, with carbapenems, potent last-line antibiotics, facing increasing resistance and potentially dire consequences. This scoping review sought to consolidate data on carbapenem resistance in human immunodeficiency virus (HIV)-infected patient cohorts as the intricate relationship between HIV and antibiotic resistance remains inadequately understood.

    Methods

     We employed a scoping review methodology and conducted a comprehensive search across Google Scholar, Scopus, Cochrane, and PubMed, utilizing specific search terms related to carbapenem resistance and HIV. We extracted and analyzed data, encompassing study design, geographic location, number of HIV-infected participants, CD4 cell counts, specimen types, cultured organisms, carbapenem susceptibility, and comparisons between HIV-infected and uninfected cohorts.

    Results

     This review encompassed 15 studies, involving 2365 HIV-infected participants, primarily employing cross-sectional designs, with nine studies conducted in African countries. The most frequently analyzed specimens included urine, stool, and sputum, with Escherichia coli emerging as the most frequently cultured organism. Commonly used carbapenem drugs included imipenem, meropenem, and ertapenem, with varying susceptibility patterns. Imipenem and meropenem exhibited sensitivities exceeding 80%, except for one study with Pseudomonas aeruginosa, which demonstrated 73% sensitivity. Ertapenem displayed fluctuating sensitivities ranging from 58% to 100% for different bacterial organisms. Only one study reported the colonization of carbapenem-resistant Enterobacterales (CRE) in HIV-infected patients, with HIV status not significantly influencing CRE carriage. When comparing HIV-infected and uninfected cohorts, four studies found no substantial impact of HIV status on carbapenem resistance.

    Conclusion

     In the context of the HIV burden and opportunistic infections, carbapenem resistance demonstrated relatively consistent patterns across most studies comparing HIV-infected and uninfected cohorts. However, the presence of CRE among HIV-infected individuals raises concerns regarding nosocomial infections. The limited reporting of CD4 counts in the included studies necessitates further exploration of potential associations with immune status. E. coli, frequently cultured in these studies, exhibited varying resistance patterns, and the impact of HIV on these patterns remains uncertain. Carbapenem susceptibility displayed variability among different organisms, underscoring the nuanced nature of resistance. As such, this scoping review serves as a foundation for comprehending carbapenem resistance in HIV-infected populations but underscores the necessity for more comprehensive research in this field.

    Keywords: Carbapenem, HIV, Resistance, Scoping review}
  • مرضیه سیف، نرگس بحیرایی، مریم دهقانی، اعظم شریفی*
    مقدمه

    امروزه مصرف قلیان به عنوان یک مسئله مرتبط با سامت در سطح جهانی مطرح شده است. از آنجا که مصرف تنباکو از طریق قلیان، به ویژه در میان کودکان و نوجوانان در حال افزایش است، شناسایی عوامل موثر بر آن در جهت برنامه ریزی های پیشگیرانه ضروری است. لذا مطالعه حاضر با هدف مروری بر عوامل موثر برگرایش نوجوانان به مصرف قلیان انجام گرفت.

    روش کار

    این مطالعه مروری از نوع حوزه ای بود. داده ها با استفاده از واژگان کلیدی در پایگاه های اطلاعاتی ، Magiran ISC، SID، Pubmed, Scopus, Web of Science و Google Scholar در بازه زمانی 2002 تا 2022 جمع آوری گردید. غربالگری و انتخاب اسناد بر اساس دستورالعمل Prisma صورت گرفت.

    یافته ها

    در جستجوی اولیه 280 مقاله یافت شد که از این تعداد با حذف موارد تکراری و غیر مرتبط با هدف پژوهش و معیارهای ورود، تعداد 30 مقاله وارد مطالعه شد. نتایج بررسی مطالعات نشان داد که عوامل متعددی در گرایش نوجوانان به قلیان تاثیر گذار هستند که به 5 دسته کلی شامل عوامل زمینه ای، روانی، اجتماعی، فرهنگی و سیاسی تقسیم بندی شدند.

    نتیجه گیری

    عوامل متعددی در گرایش نوجوانان به مصرف قلیان نقش دارند که از مهم ترین آنها می توان به دانش و نگرش اشتباه در مورد مضررات قلیان، دسترسی آسان و ارزان، جذابیت های حسی و پذیرش فرهنگی قلیان اشاره کرد. از این رو فرهنگ سازی و افزایش آگاهی، ممنوعیت تولید دخانیات طعم دار، اجرای قوانین ممنوعیت استعمال قلیان در مکان های عمومی، افزایش قیمت تنباکو و افزایش امکانات تفریحی پیشنهاد می شود.

    کلید واژگان: قلیان, تنباکو, نوجوان, مرور حوزه ای}
    Marzieh Seif, Narges Bahiraei, Maryam Dehghani, Azam Sharifi*
    Introduction

    Today, hookah consumption has been raised as a health-related issue at the global level. Since the consumption of tobacco through hookah is increasing, especially among children and adolescents, it is necessary to identify the factors affecting it in order to plan preventive measures. Therefore, the present study was conducted with the aim of reviewing the effective factors of adolescents' return to hookah consumption.

    Methods

    The methodology of this study was a field-based review. Data were collected using keywords in Magiran, ISC, SID, Pub Med, Scopus, Web of Science and Google Scholar databases between 2002-2022. Screening and selection of documents was done according to Prisma checklist.

    Results

    In the initial search, 280 articles were found, of which 30 articles were included in the study by removing duplicates and unrelated to the research objective and inclusion criteria. The results of the studies showed that several factors are influential in the tendency of teenagers to hookah, which were divided into 5 general categories including contextual, psychological, social, cultural and political factors.

    Conclusions

    Several factors play a role in the tendency of teenagers to use hookah, the most important of which are the knowledge and wrong attitude about the harms of hookah, easy and cheap access, sensory appeals and cultural acceptance of hookah. Therefore, it is suggested to create culture and increase awareness, ban the production of flavored tobacco, implement laws prohibiting the use of hookah in public places, increase the price of tobacco, and increase recreational facilities.

    Keywords: Hookah, Tobacco, Adolescent, Scoping Review}
  • حمید پوراصغری، مهدی نوری، مهدی مختاری پیام، عزیز رضاپور، هورنگ نظری اردبیلی، بهروز سامعی، سحر عموزاده*
    مقدمه

    در دهه های اخیر، با پیشرفت های چشمگیر فناوری اطلاعات و ارتباطات، نظام های ارجاع الکترونیکی در سراسر جهان توسعه یافته اند. در این مطالعه، به بررسی جامع ابعاد متنوع نظام ارجاع الکترونیکی در کشورهای مختلف پرداخته شده است.

    روش ها

    در این مرور دامنه، روش چارچوب آرکسی و اومالی بکار گرفته شد. اطلاعات لازم با جستجوی کلیدواژه های مربوطه در پایگاه های داده PubMed، Scopus، Web of Knowledge، SID و MagIran و همچنین موتور جستجوی Google Scholar بدون اعمال محدودیت زمانی، گردآوری شدند. علاوه براین، جستجوی دستی در میان مجلات، منابع مقالات منتخب و دیگر منابع نیز صورت گرفت. استخراج داده ها با فرم اختصاصی گردآوری داده، انجام شد. به منظور سازماندهی مقالات، از نرم افزار Endnote X8استفاده، و تحلیل موضوعی متون به صورت دستی انجام شد.

    یافته ها

    از بین 4372 مقاله و گزارش بدست آمده از پایگاه های داده، براساس معیارهای ورود، 20 مقاله وارد مطالعه شدند که بیشترین تعداد مقالات (هشت مورد) مربوط به آمریکا بود. این مقالات در هشت درون مایه اصلی و 51 درون مایه فرعی طبقه بندی شدند. درون مایه های اصلی عبارت از مسائل اقتصادی با 10 درون مایه فرعی، بهبود کیفیت خدمات به بیماران با شش درون مایه فرعی، افزایش تعداد مراجعات با چهار درون مایه فرعی، بهبود دسترسی با چهار درون مایه فرعی، افزایش رضایت مراجعین و ارائه دهندگان خدمات بهداشتی-درمانی با سه درون مایه فرعی، موانع و چالش ها با نه درون مایه فرعی، فرایند ارجاع با پنج درون مایه فرعی و تسهیل کننده ها با نه درون مایه فرعی بودند.

    نتیجه گیری

    علی رغم دستاوردهای مثبت در اجرای نظام های ارجاع الکترونیکی در جنبه های مختلفی که شناسایی شده اند، همچنان چالش های بزرگی بر سر راه تحقق یک سیستم ارجاع الکترونیکی کارآمد باقی مانده است. کشورهای با درآمد متوسط و کم می توانند باتوجه به وضعیت خاص و پتانسیل های موجود در محیط خود، به طراحی و اجرای نظام های ارجاع الکترونیکی اقدام کنند.

    کلید واژگان: ارجاع الکترونیکی, پزشک خانواده, پیامدهای اقتصادی, مرور دامنه}
    Hamid Pourasghari, Mehdi Nouri, Mahdi Mokhtari-Payam, Aziz Rezapour, Hoorang Nazari Ardabili, Behruz Samei, Sahar Amuzadeh*
    Introduction

    In recent years, the adoption of electronic referral systems has accelerated worldwide, driven by advances in information technology and communication infrastructure. This study aims to conduct a comprehensive review of the diverse dimensions of electronic referral systems across different countries.

    Methods

    This review was conducted using the Arksey and O'Malley framework. We gathered information without time limitations by searching for relevant keywords in databases such as PubMed, Scopus, Web of Science, SID, MagIran, and Google Scholar search engine. Manual searches were also performed in selected journals. Endnote X8 software was used for data management. Analysis was conducted through manual thematic analysis.

    Results

    From a total of 4,372 articles and reports, finally, 20 articles were included in this review. The findings were organized into eight primary domains encompassing 51 subcategories. These domains included economic aspects, service quality improvement, enhancement of referral quantity, improved access, increased satisfaction among healthcare providers and recipients, barriers and challenges, the referral process, and facilitators.

    Conclusion

    The implementation of electronic referral systems has led to positive outcomes, including improved economic efficiency, enhanced quantity and quality of referrals, higher satisfaction levels among healthcare providers and recipients, improved access to care, and streamlined referral processes. Middle-low incomes countries have the opportunity to design and implement electronic referral systems tailored to their specific conditions and capabilities.

    Keywords: Electronic Referral, Family Medicine, Economic Outcomes, Scoping Review}
  • Fatemeh Mohseni, Aeen Mohammadi, Nasim Kajavirad, Kamal Basiri, Mahboobeh Khabaz Mafinejad*
    Background

    Conflict management skills include the ability of team members to actively use appropriate methods and strategies in different conflict situations. Considering the necessity of effective training in conflict management skills for medical students as a member of healthcare teams, this scoping review study aimed at reviewing the appropriate methods for teaching conflict management to medical students.  

    Methods

    In this scoping review, PubMed, Eric, ProQuest, Web of Science (WoS), and Scopus databases were systematically searched until May 21, 2023. Titles, abstracts, and full texts were screened separately by 2 researchers. The quality of the articles was assessed using the Best Evidence Medical Education (BEME) tool. Then, a descriptive synthesis was performed, and the results were reported. The Kirkpatrick model was used to evaluate the educational outcomes assessment.  

    Results

    Out of 2888 retrieved studies, 19 studies were included. Although active and interactive teaching methods such as roleplay, group discussion, and interactive workshops were the most frequently used methods, the results did not pronounce the superiority of one method over others.   

    Conclusion

    Based on the results of this scoping review, further research should evaluate the effectiveness of conflict management training methods by focusing on the randomized controlled trial design and using standard and valid tools to assess educational outcomes.

    Keywords: Teaching, Medical Students, Conflict Management, Scoping Review}
  • مهتاب حاجی محمدرضا، صغری خانی*، زهره شاه حسینی، مهدی پوراصغر
    هدف

    سندرم تخمدان پلی کیستیک یکی از شایع ترین مشکلات هورمونی مطرح شده در سنین باروری است که شیوع و عوارض قابل توجهی دارد و می تواند بر کیفیت زندگی زنان موثر باشد. هدف از این مطالعه، بررسی آزمایشات روان شناختی انجام شده بر کیفیت زندگی زنان مبتلا به سندرم تخمدان پلی کیستیک است.

    روش بررسی

    این مطالعه یک مرور دامنه ای در سال 2023 است که با جست وجو در پایگاه های اسکوپوس، ساینس دایرکت، پژوهشگاه علوم و فناوری اطلاعات ایران، بانک اطلاعات نشریات کشور، پاب مد، پایگاه اطلاعاتی علمی جهاد دانشگاهی و موتور جست وجوی گوگل اسکالر با کلید واژه هایی مانند یوگا، هیپنوتراپی، آزمایشات انگیزشی، ذهن آگاهی، درمان شناختی رفتاری، سندرم تخمدان پلی کیستیک، زنان، کیفیت زندگی و معادل انگلیسی آن ها انجام شد. پس از شناسایی مطالعات مرتبط از بازه زمانی 2010 تا 2023 و بعد از غربالگری عنوان، چکیده و متن کامل از بین 901 مطالعه، در نهایت 11 مطالعه وارد این مرور شدند. غربالگری کیفیت مطالعات به وسیله چک لیست ارزیابی ریسک خطر مطالعات آزمایشی انجام شد.

    یافته ها

    نتایج مطالعه حاضر از 11 مقاله برگرفته شده است که باتوجه به نوع آزمایش استفاده شده در پژوهش به 4 طبقه درمان شناختی رفتاری، مصاحبه انگیزشی، ذهن آگاهی و یوگا تقسیم شدند.

    نتیجه گیری

    برخی از آزمایشات روان شناختی مانند ذهن آگاهی، یوگا، درمان شناختی رفتاری و مصاحبه انگیزشی به تنهایی یا با آزمایشات دیگر می توانند موجب افزایش کیفیت زندگی در زنان مبتلا به سندرم تخمدان پلی کیستیک شوند، اما لازم است برای رسیدن به شواهد قوی تر، آزمایشات بیشتری با حداقل سوگیری و پیگیری طولانی مدت انجام شود.

    کلید واژگان: کیفیت زندگی, زنان, سندرم تخمدان پلی کیستیک, مرور دامنه ای}
    Mahtab Haji Mohammadreza, Soghra Khani*, Zohre Shahhosseini, Mehdi Pourasghar
    Background and Objective

    Polycystic ovarian syndrome with a significant prevalence is one of the most common disorders among reproductive aged women whose quality of life is affected by this disease and its complications. 

    Materials & Methods

    This scoping review study was conducted in 2023 by searching for related studies published from 2010 to 2023 in databases including PubMed, Scopus, Cochrane Library, ScienceDirect, Web of Science, IranDoc, Magiran, SID, and Google Scholar using keywords such as “Yoga”, “hypnotherapy”, “motivational interventions”, “mindfulness”, “cognitive behavioral therapy”, “polycystic ovary syndrome”, “women”, “quality of life” in English and Persian languages. After screening the titles, abstracts, and full texts of 901 articles, 11 eligible articles were selected. Evaluation of their quality was done by Chocrane risk of bias checklist.

    Results

    The 11 reviewed articles assessed four psychological interventions: cognitive-behavioral therapy (CBT), motivational interviewing, mindfulness therapy, and yoga program.

    Conclusion

    Psychological interventions such as mindfulness therapy, yoga, CBT, and motivational interviewing alone or with other interventions can increase the QOL of women with PCOS. However, it is necessary to conduct more studies with minimal bias and long-term follow-up to get stronger evidence.

    Keywords: Quality of Life, Women, Polycystic Ovary Syndrome, Scoping Review}
  • علیرضا حاجی زاده، رضا حافظی، مریم تاجور*
    زمینه و هدف

    آینده پژوهی به صورت پیوسته در حال تکامل است و به سازمان ها و افراد کمک می کند تا رویدادها، فرصت ها و تهدیدهای آینده را به خوبی شناسایی کنند. در حوزه سلامت نیز آینده پژوهی در جهت مدیریت بهتر تغییرات احتمالی آینده و کنترل شرایط نامطلوب و زمینه سازی برای آینده ی مطلوب به کار گرفته می شود. هدف از پژوهش حاضر انجام یک مرور حیطه ای از آینده پژوهی های انجام شده در حوزه ی سلامت ایران بود.

    روش بررسی

    این مطالعه از نوع مرور حیطه ای (Scoping review) بود که با استفاده از چارچوب Arksey و O’Malley در شش گام شامل شناسایی سوال تحقیق، شناسایی مطالعات مرتبط، انتخاب/غربالگری مطالعات، حیطه بندی/تقسیم بندی داده ها، جمع بندی، خلاصه سازی و گزارش نتایج و ارایه راهنمایی و توصیه های عملی انجام شد. پایگاه های اطلاعاتی و موتورهای جستجوی فارسی و انگلیسی زبان PubMed, Web of Science (WOS), Scopus, ProQuest, SID, Magiran, IranDoc و Google Scholar با استفاده از کلیدواژه های مرتبط جستجو شدند. پس از حذف مقالات تکراری، مقالات باقی مانده براساس معیارهای ورود و خروج غربالگری شدند. نتایج مقالات انتخاب شده براساس گام های مذکور در نهایت حیطه بندی، خلاصه سازی و گزارش شدند.

    یافته ها

    از بین 6691 مقاله ی شناسایی شده، 30 مطالعه به مرحله ی سنتز نهایی رسیدند. مطالعات در دسته های آینده نگری، آینده نگاری و ترکیبی طبقه بندی شدند، که روش سناریونویسی بیشترین کاربرد را داشته و در 20 مطالعه استفاده شده بود. همچنین، مطالعات از لحاظ ماهیت(طبیعت) براساس کمی یا کیفی بودن و افق زمانی نیز طبقه بندی شدند. انواع روش های آینده پژوهی در ایران، در حوزه های بهداشت عمومی، دارو، علم و فناوری، تامین مالی، نسخه نویسی، گردشگری سلامت، رژیم غذایی، منابع انسانی، سالمندی، همه گیری کووید-19، سیاست گذاری سلامت، بیمارستان و سطح کلان نظام سلامت به کار رفته بودند.

    نتیجه گیری

    استفاده از روش های آینده پژوهی به صورت هدفمند و بر روی مسایل نظام سلامت ایران می تواند در شناخت آینده برای تصمیم گیری و برنامه ریزی آگاهانه تر جهت ساختن آینده ی مطلوب نقش موثری داشته باشد. نتایج این مرور نشان داد که مطالعات پراکنده ای با روش های آینده پژوهی در حوزه سلامت انجام شده است که در این میان روش سناریونویسی بیشتر مورد توجه بوده است.

    کلید واژگان: آینده پژوهی, آینده نگاری, سناریونویسی, نظام سلامت, ایران, مرور حیطه ای}
    Alireza Hajizadeh, Reza Hafezi, Maryam Tajvar*
    Background and Aim

    Futures studies are constantly evolving and help organizations and individuals for better identification of future events, opportunities, and threats. In the field of health, futures studies are also applied for better prediction of health issues in future, control of unpleasant condition and preparing for pleasant future in health system. The purpose of this study is to conduct a scoping review of the futures studies accomplished in the field of health in Iran, 

    Materials and Methods

    This study is a scoping review, conducted based on the Arksey and O’Malley framework with 6 steps including research question identification, related study identification, study selection / screening, data segmentation, summarizing and reporting results and providing guidance and recommendations n. National and international databases and search engines including PubMed, Web Of Science (WOS), Scopus, ProQuest, SID, Magiran, IranDoc and Google Scholar were searched using related keywords. After removing duplicate articles, the remaining articles were screened according to inclusion and exclusion criteria. The results of the selected articles were finally categorized, summarized and reported based on the mentioned steps.

    Results

    Among of 6691 articles identified, 30 articles reached the final synthesis stage. The articles were classified into forecasting, foresighting, and mixed categories, with the scenario writing method being the most widely used and applied in 20 studies. Also, studies were classified in scope of nature based on quantitative or qualitative and time horizon. Types of futures studies methods in Iran, in the fields of public health, medicine, science and technology, financing, prescription, health tourism, diet, human resources, aging, Covid-19 epidemic, health policy, hospital and macro level of health system were used.

    Conclusion

    The use of futures studies methods in a targeted manner and on the issues of Iran’s health system can play an effective role in knowing the future for more informed decision-making and planning in order to build a desirable future. The results of this review showed that scattered studies have been conducted with futures studies methods in the field of health, among which the scenario writing method has received more attention.

    Keywords: Futures Studies, Foresighting, Scenario Writing, Health System, Iran, Scoping Review}
  • Badrye Karami, Abbas Ostad-Taghizadeh, Arash Rashidian, Maryam Tajvar *

    Background  Population aging is usually associated with increased health care needs. Developing an age-friendly health system with special features, structure, and functions to meet the special needs of older people and improving their health status and quality of life is essential. This study aimed to develop a conceptual framework for an age-friendly health system, which would offer a conceptual basis for providing the best possible care for older people in health system to let them experience a successful, healthy, and active aging.Methods  A scoping review was used to design the conceptual framework based on Arksey and O’Malley’s model, including six stages, with the final stage of using expert’s opinions to improve and validate the initial framework. The health system model of Van Olmen, was selected as the baseline model for this framework. Then, by reviewing the available evidence, the characteristics of an age-friendly health system were extracted and incorporated in the baseline mode.Results  Using the electronic searching, initially 12 316 documents were identified, of which 140 studies were selected and included in this review study. The relevant data were extracted from the 140 studies by two reviewers independently. Most studies were conducted in 2016-2020, and mostly were from United States (33.6%). To have an age-friendly health system, interventions and changes should be performed in functions, components and objectives of health systems. This system aims to provide evidence-based care through trained workforces and involves older people and their families in health policy-makings. Its consequences include better health acre for older people, with fewer healthcare-related harms, greater care satisfaction and increased use of cost-effective health services.Conclusion  To meet the needs of older people, health systems should make interventions in their functions for better performance. In line with these changes, other parts of society should work in harmony and set the health of older people as a top priority to ensure they can have a successful aging.

    Keywords: Age Friendly, Health System, Conceptual Framework, Scoping Review}
  • Rafael Miranda *, Mónica Duarte Oliveira, Paulo Nicola, Filipa Baptista, Isabel Albuquerque

    Background  Remote patient monitoring (RPM) has been increasingly adopted over the last decade, with the COVID-19 pandemic fostering its rapid development. As RPM implementation is recognised as complex and highly demanding in terms of resources and processes, there are multiple challenges in providing RPM in an integrated logic.Methods  To examine the structural elements that are relevant for implementing RPM integrated care, a scoping review was conducted in PubMed, Scopus, and Web of Science, leveraging a search strategy that combines terms relative to (1) conceptual models and real-life initiatives; (2) RPM; and (3) care integration.Results  28 articles were included, covering nine conceptual models and 19 real-life initiatives. Eighteen structural elements of RPM integrated care implementation were identified among conceptual models, defining a structure for assessing real-life initiatives. 78.9% of those initiatives referred to at least ten structural elements, with patient education and self-monitoring promotion, multidisciplinary core workforce, ICTs (information and communications technologies) and telemonitoring (TM) devices, and health indicators measurement being present in all studies, and therefore being core elements to the design of RPM initiatives.Conclusion  RPM goes far beyond technology, with underlying processes and involved actors playing a central role in care provision. The structural elements identified can guide RPM implementation and promote maturity in adoption. Future research may focus on assessing design completeness, evaluating impacts, and analysing related financial arrangements.

    Keywords: Remote Patient Monitoring, Telehealth, Integrated Care, Scoping Review, Healthcare Organization}
  • شیما شیراوژن، نرگس ارسلانی*، مریم شجاع
    مقدمه

    نیازهای مراقبتی بیماران دارای ناتوانی اغلب مورد غفلت واقع می شوند و یا به طور کامل شناسایی نمی گردد. شناخت روش های مختلف ارزیابی می تواند تیم مراقبت را در جهت انتخاب بهترین و جامع ترین روش ارزیابی نیازهای مراقبتی یاری نماید.

    روش کار

    این مطالعه ی مرور دامنه ای (scoping review) با رویکرد 5 مرحله ای Arksey & O'Malley طراحی و اجرا گردید. استراتژی جستجو با استفاده از کلید واژگان فارسی "بیمار دارای ناتوانی"، "نیازهای مراقبتی"، "ارزیابی نیازها"،"ناتوانی" و کلید واژگان انگلیسی patient with disability"، "disabled"، "care need assessment"، "need assessment disability"تنظیم شد. برای یافتن مقالات و پایان نامه های فارسی و انگلیسی زبان، پایگاه های داده یEmbase, Scopus, web of sciences, Cochrane google scholar, SID Magiran,PubMedتا اکتبر 2019 ، توسط دو محقق جستجو گردید و خلاصه ی مقالات ارائه شده به صورت شفاهی یا سخنرانی از دامنه ی جستجو خارج شد. جستجوی دستیمطالعات، بررسی لیست منابع مقالات بسیار مرتبط و مجات کلیدی نیز صورت گرفت. در نهایت، مطالعاتی که بر ارزیابی نیازهای مراقبتی در بیماران مبتلا به اختالات نورولوژیک تمرکز داشتند انتخاب گشته و پس از مطالعه و استخراج داده ها، خلاصه سازی و گزارش یافته ها صورت گرفت.

    یافته ها

    از مجموع 5968 مقاله یافت شده، 1011 مقاله تکراری حذف و با مرور عناوین و چکیده ی 4957 مطالعه باقی 370 مقاله برای مطالعه ی متن کامل انتخاب شد که تنها 7 مقاله به گزارش نهایی راه یافتند. یافته ها حاکی از آن بود که ارزیابی نیازهای مراقبتی، در این مطالعات از طریق مقیاس وابستگی/ نیازسنجی مراقبتی نورث ویک (Northwick Park Dependency Score and Care Needs Assessment) چک لیست ارزیابی نیازها (need assessment checklist) و مصاحبه های نیمه ساختار یافته صورت گرفته است.

    نتیجه گیری

    هر یک از روش های ارزیابی کمی و کیفی، مزایا و محدودیت های خاص خود را دارا هستند. از آنجا که ارزیابی نیازهای مراقبتی مستلزم بررسی جامع و همه جانبه می باشد شناخت روش های مختلف کمی و کیفی ارزیابی نیازهای بیماران که در این مطالعه صورت گرفت می تواند افراد تیم مراقبتی را در شناخت و بکارگیری روش های مناسبتر سوق دهد.

    کلید واژگان: ارزیابی نیازها, ناتوانی, نیازهای مراقبتی, توانبخشی, مرور دامنه ای, اختلالات نورولوژیک}
    Shima Shirozhan, Narges Arsalani*, Maryam Shoja
    Introduction

    The care needs of patients with disabilities are often neglected or not fully identified. Knowing the different methods of assessment can help the care team to choose the best and most comprehensive method of assessing care needs.

    Methods

    This scoping review study was designed and implemented with a 5-step Arksey & O'Malley approach. the search strategy was set using the keywords "patient with disability", "disabled", "care need assessment", "need assessment", "disability". To find Persian and English language articles and dissertations, PubMed, Embase, Scopus, web of sciences, Cochrane google scholar, SID Magiran databases were searched by two researchers separately until October 2019. Oral abstracts or lectures were removed from the search domain. hand search of studies, a list of sources of highly relevant articles, and key journals were conducted. Finally, studies that focused on assessing care needs in patients with neurological disorders were selected and after studying and extracting the data, the findings were summarized and reported.

    Results

    Out of 5968 articles found, 1011 duplicate articles were removed and by reviewing the titles and abstracts of the remaining 4957 studies, 370 articles were selected for the full text study, of which only 7 were selected to the final report. Findings indicated that care needs assessment was performed in these studies through the Northwick Park Dependency Score and Care Needs Assessment needs assessment checklist, and semi-structured face-to-face interviews.

    Conclusions

    Each method of quantitative and qualitative evaluation has its advantages and limitations. Since the assessment of care needs requires a comprehensive and comprehensive study, understanding the various quantitative and qualitative methods of assessing the needs of patients in this study can lead members of care team to identify and use appropriate methods.

    Keywords: Needs Assessment, Disability, Care Needs, Rehabilitation, Scoping Review, Neurologicaldisorders}
  • الهام نصیری، اشرف کربلایی نوری*، سید علی حسینی

    مقدمه و اهداف در افراد مبتلا به اختلالات شدید روانی، مشکلات خواب، مانند بی خوابی شایع است. مداخلات بهبود خواب، به عنوان بخشی از خدمات ارائه شده توسط کاردرمانگران می تواند برای پیشگیری اولیه و ارتقای سلامتی به کار گرفته شود. هدف از این مرور حوزه ای، بررسی شواهد موجود در زمینه مداخلات خواب در حوزه کاردرمانی برای افراد مبتلا به اختلالات شدید روانی است.مواد و روش ها در این مرور حوزه ای که بر اساس روش آرکسی و اومالی انجام شد، 8 پایگاه داده آنلاین (بانک اطلاعات نشریات کشور، پایگاه اطلاعات علمی جهاد دانشگاهی، پژوهشگاه علوم و فناوری اطلاعات ایران، گوگل اسکالر، پابمد، کتابخانه کوکران، اسکوپوس، وب آو ساینس، ات سیکر و سای اینفو) برای شناسایی مقالاتی که به مداخلات خواب در افراد مبتلا به اختلالات شدید روانی پرداخته بود ند، جست وجو شدند. مقالات بر اساس معیارهای ورود و خروج انتخاب شدند. 2 ارزیاب همه اسناد را به طور مستقل بررسی کردند. مقالات با توجه به مداخلات خواب طبقه بندی شدند.یافته ها 32 مطالعه مشخص شدند. 4 حوزه مداخلات خواب به وضوح با چارچوب بالینی کاردرمانی مطابقت دارد که شامل درمان رفتاری شناختی برای بی خوابی (12 مطالعه)، فعالیت بدنی (7 مطالعه)، مداخلات ترکیبی (5 مطالعه) و سایر مداخلات (8 مطالعه) است.نتیجه گیری نتایج نشان داد مداخلات خواب باعث بهبود کیفیت خواب و سلامت در بیماران روانی شدید می شود. کاردرمانگران حوزه بالینی و تحقیقی باید برای ایجاد شواهد برای مداخلات خواب مبتنی بر آکوپیشن تلاش کنند.

    کلید واژگان: اختلالات شدید روانی, مداخلات خواب, کاردرمانی, مرور حوزه ای}
    Elham Nasiri, Ashraf Karbalaei-Nouri *, Seyed Ali Hosseini

    Background and Aims Sleep problems such as insomnia are common in individuals with severe mental disorders. The sleep-enhancing interventions provided by occupational therapists can be used for primary prevention and health promotion. This study aims to explore the existing evidence on occupation-based sleep interventions for individuals with severe mental disorders.Methods This is a scoping review, conducted based on Arksey and O’Malley’ five-step method. A search was first conducted in eight online databases (MagIran, SID, IranDoc, Google Scholar, PubMed, Cochrane Library, Scopus, Web of Science , OT seeker, Psych INFO) to find articles that addressed sleep interventions for individuals with severe mental disorders Two raters reviewed all articles independently. Articles were categorized according to the type of sleep interventions.Results  Thirty-two studies were reviewed. Four categories of occupation-based sleep interventions were extracted, including cognitive behavioral therapy (n=12), physical activity (n=7), multicomponent interventions (n=5), and other interventions (n=8).Conclusion The occupation-based sleep interventions can improve sleep quality and health in people with severe mental disorders.  Occupational therapists and clinicians need to conduct more studies to provide evidence for occupation-based sleep interventions.

    Keywords: Severe mental disorders, sleep interventions, occupational therapy, scoping review}
  • زینب دارایی، لیلا ریاحی*، انیسه نیک روان، کامران حاجی نبی
    مقدمه

    امروزه، گردشگری سلامت یک مفهوم نسبتا جدید با کاربرد سریع در حال رشد است. بنابراین، هدف مطالعه حاضر تعیین عوامل موثر بر کارآفرینی در حوزه گردشگری سلامت است.

    روش پژوهش:

     مطالعه حاضر یک مطالعه کاربردی می باشد که به صورت مرور نظامند (مرور حیطه ای) انجام شد. برای گردآوری داده ها، پایگاه های اطلاعاتی PubMed، Scopus، Web of Science، Proquest، و Google Scholar در آگوست 2022 و جهت دست یابی به تمامی مستندات علمی در این زمینه بدون محدودیت زمانی و با کلیدواژه های کارآفرینی و گردشگری سلامت جستجو شدند. نرم افزار EndNote 20 برای مدیریت و غربالگری مقالات استفاده شد. موارد تکراری، اسکرین عناوین و چکیده، مشخصات مطالعات و مهم ترین نتایج حاصل از آنها در فرم گردآوری داده ثبت شد. تحلیل داده های کیفی  به صورت متا سنتز انجام شد که از جمله روش های تحلیل محتواست و برای تحلیل داده ها از نرم افزار  MaxQda 2018استفاده شد.

    یافته ها

    از 2942 مقاله شناسایی شده، 27 مقاله ورود مطالعه شدند. بیشتر این مطالعات از کشور ایران، چین، روسیه انجام شده بودند. مهم ترین عوامل موثر بر کارآفرینی گردشگری سلامت شامل برنامه ریزی های راهبردی، تامین خدمات پشتیبانی هم چون اقامتگاه و بیمه، دسترسی به مراکز درمانی باکیفیت، ارایه خدمات باکیفیت، بازاریابی و تبلیغات مناسب، و استفاده از فناوری های جدید اطلاعاتی و ارتباطی در دسترسی به خدمات بود.

    نتیجه گیری

    مدیران و سیاستگذاران سلامت لازم است که به واسطه نهادهای بالادستی زمینه تعیین قوانین و استانداردهای گردشگری سلامت، همکاری بین نهادهای دولتی و خصوصی، ارایه راهکارهایی به منظور نهادینه سازی گردشگری سلامت به ویژه در مناطق دارای پتانسیل های گردشگری را مورد توجه قرار دهند. این کار مستلزم تامین منابع مالی و انسانی کافی و تقویت مهارت ها و تفکرات کارآفرینانه در علاقمندان به این حوزه و بازاریابی در این خصوص است.

    کلید واژگان: کارآفرینی, گردشگری سلامت, مرور حیطه ای}
    Zeinab Daraei, Leila Riahi *, Aniseh Nikravan, Kamran Hajinabi
    Introduction

    Health tourism is a relatively new concept with rapidly growing application. Therefore, the aim of the present study is to determine the factors affecting health entrepreneurship in the field of health tourism.

    Methods

    The present study is a practical study that was conducted as a systematic review (scoping review). To collecteing data, PubMed, Scopus, Web of Science, Proquest, and Google Scholar databases were searched in August 2022 to obtain all scientific documents in this field without time limits and with the related keywords. EndNote 20 software was used to manage and screen articles. Duplicate cases, screen titles and abstracts, study characteristics, and the most important results were recorded in the data collection form. Due to the fact that our data analysis was qualitative data, it was done in the form of meta-synthesis, which is why the content analysis method was used for data analysis using MaxQda 2018 software.

    Results

    Out of 2942 identified articles, 27 articles were included in the study. Most of these studies were conducted in Iran, China, and Russia. The most important factors affecting health tourism entrepreneurship include strategic planning, provision of support services such as accommodation and insurance, access to high-quality medical centers, providing high-quality services, appropriate marketing and advertising, and the use of new information and communication technologies in accessing services. .

    Conclusion

    It is necessary for health managers and policymakers to pay attention to the establishment of laws and standards of health tourism, cooperation between government and private institutions, and providing solutions for the institutionalization of health tourism, especially in areas with tourism potential. This work requires providing sufficient financial and human resources and strengthening entrepreneurial skills and thinking in those interested in this field and marketing.

    Keywords: Entrepreneurship, Health Tourism, scoping Review}
  • Ayoub Eslamian, Maliheh Arshi, Siyamak Tahmasebi, Fardin Alipour, Hassan Rafiey
    Background

    Dropout is one of the most important social problems in the world and especially in low‑ and middle‑income countries. Efforts to prevent dropouts require giving due attention to different perspectives for applying them. The present study aims to identify the policies and interventions made in previous studies because reviewing evidence‑based interventions and learning from their strengths and weaknesses is likely to play an effective role in preventing students from leaving school and returning them to school.

    Methods

    This scoping review study conducted on all available studies and documents related to students’ dropout. The study population includes articles searched in electronic sources that contain information related to the subject of dropout and out‑of‑school in primary schools. Appropriate keywords were extracted based on Mesh term and EMTREE and their synonyms and searched by a medical librarian. scientific sources and Gray literature published in Persian and English based on PRISMA standard criteria were reviewed.

    Results

    A review of studies indicated that various interventions such as student interaction with school, educational interventions on students and teachers, family and local community cooperation, free nutrition, behavioral interventions, financial aid, and free education had positive effects on reducing dropout, absenteeism and encouraging students to return to schools. effect size was not reported for school dropout intervention.

    Conclusions

    The findings have indicated that intervention with a combination of global and targeted strategies can affect dropout in developing countries. However, to confirm the effectiveness of this type of intervention, further research is required to be conducted in different countries and with different cultures.

    Keywords: Dropout, interventions, out‑of‑school, primary school, scoping review}
  • Jordi Padros-Auge *
    Background

    A scoping review was conducted to explore all the methods and criteria used in primary research on bruxism diagnosis.

    Methods

    A pre-defined and validated search was carried out in the PubMed, CINAHL, PsycInfo, Scopus, PeDro, LILACS, and Epistemonikos databases. Primary studies conducted on bruxism as primary condition in the adult population were included. The selection phases were carried out by peers, and conflicts were resolved by a third reviewer or by consensus. Data extraction and manual tracing were done in order to identify the relevant studies.

    Results

    The search and selection strategy identified 472 publications, and after manual tracing, 423 studies were selected for analysis. The results on diagnostic methods were grouped into 10 categories. Different subcategories were described within these categories, resulting in a total of 73 diagnostic

    methods

    physical examination (n=11), questionnaires (n=12), polysomnography (n=13), electromyography (n=5), the International Classification for Sleep Disorders from the American Association of Sleep Medicine (ICSD-AASM) (n=3), intraoral devices (n=10), history (n=7), audio-video recordings (n=3), smartphone applications (n=2), and others (n=7). In addition, the combinations of methods used in the primary research were also analyzed. The prevalence of use was calculated for all diagnostic categories and subcategories, as well as for the combinations.

    Conclusion

    There was high heterogeneity in primary research regarding the diagnosis of bruxism. There is evidence that not all diagnostic methods are properly validated. Future research should focus on

    Keywords: Bruxism, scoping review, bruxism diagnose}
نکته
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