مجله اطلاع رسانی پزشکی نوین
سال پنجم شماره 2 (پیاپی 10، پاییز و زمستان 1398)

Complementary medicine is the type of health care provided outside the usual rules. On the other hand, telemedicine provides medical services using electronic and communication processes. The present study investigates the possibility of using telemedicine in Hakim Emadeddin Shirazi Complementary Medicine Clinic.

This descriptive cross-sectional study was conducted in February 2019. The study population included manager and physicians of the clinic and patients referring to the clinic. Manager and physicians were selected by census method and patients were selected by random sampling. Based on Cochran formula, a sample size of 400 patients was considered. Data were collected using a researcher-made questionnaire whose validity and reliability was measured and analyzed by SPSS software.

Twelve physicians (66.7 percent) were relatively familiar with telemedicine; however, only 14.9 percent of patients were relatively familiar with telemedicine. Despite more familiarity with physicians, patients were more likely to use the technology.

In spite of an upward trend in the popularity of both telemedicine and complementary medicine and due to the difficulty of communicating between different departments of the clinic and between the clinic and patients, the lack of support for top clinical management and the lack of knowledge of physicians and patients with telemedicine It does not seem possible to use telemedicine in Hakim Emadeddin Shirazi Traditional Medicine Clinic.

This study aimed to compare and implement the curriculum of the PhD in the medical library and information science, with similar fields in Iran.

This research used a comparative method. For collecting data, a checklist consisting of medical library and information sciences, knowledge and information sciences and library and information sciences was designed and analyzed using descriptive statistics, tables by excel software.

Overlap rate of the Ph.D. curriculum in Medical Librarianship and Information science was 94.4% (for information retrieval) and 88.8% (for information management) with the courses of 2 areas of study of knowledge and information sciences, and 93.3% with the courses of library and information science. The main difference between 3 curriculums was in the number of educational units. The main weakness of the curriculum was the lack of attention to the basic topics of the discipline, the overlapping with similar curriculums and low-relevance as well as unrelated lessons. The strong points were some related lessons about the health system and educational planning unit.

Regarding the objectives of the Ph.D. program, the functions of the medical library and information science, as well as the lack of attention to the theoretical basis of the field, it seems that a change in the curriculum of this field is necessary. It is suggested that courses such as future studies, information theories, clinical information residency, medical informatics, disease registration system, summarizing and compressing clinical information are included in the curriculum

Regarding the necessity of research in the scientific community and issues arising from it; researchers have been subjected to stress which is called Research Anxiety. In this regard, present study attempts to survey the level of research anxiety and its related factors among Ph.D. students at Iran University of Medical Sciences.

questionnaires were employed for this applied research. The statistical population of the study consisted of Ph.D. students at Iran University of Medical Sciences where 248 people were selected by simple sampling method. Validity of the questionnaire was confirmed by the professors. By calculating the Cronbach's alpha coefficient, a figure of 0.875 was obtained, which shows the high reliability of the instrument. Data were analyzed based on K-S test, T test and p and rs correlation coefficient, using SPSS software version 20.

The findings indicate that the mean of anxiety in the research community is 3.19 which is more than average. Factors such as Internet and computer skills, library usage and English language proficiency have a decreasing effect on the research anxiety. However, the "feeling of being in a competitive environment" factor increases the student's research anxiety.

According to the results, PhD students of Iran University of Medical Sciences feel anxious in conducting research activities. Research directors and librarians of this university need to pay attention to its causes and consider the plans and strategies (such as research projects, information literacy courses, etc.) to control students' research anxiety.

One of the most important parts of the health system ispre-hospital emergency services that provide immediate services to patients. This study investigates the relationship between selected indicators of justice and performance of Iranian pre-hospital emergency services.

The research was done quantitatively and analytically. The society included pre-hospital emergency and the sample consisted six study variables. Using data combination method, the data were entered in the eviews and statasoftware;Flimer and Hausman tests were performed, and data regression of the data panel with fixed effects was obtained and estimated by ordinary least squares method.

Traffic incident prevalence index has a positive effect on three functional indicators. The index, the number of emergency medical missions, Provinces of Tehran, Qom, Khorasan Razavi, Mazandaran, Alborz, Yazd and Fars had the highest average for each medical emergency base.The incidence of traffic accidents in the provinces of Tehran, Khorasan Razavi, East Azarbaijan, Isfahan, Khuzestan, Mazandaran and Fars were the most prevalent.

The most important indicator of the Emergency organization of the country was the prevalence rate of traffic accidents which was effective in all three functional variables and consideredan important factor in distribution of pre-hospital emergency bases. Tehran and Qom provinces need to pay close attention to the number of medical emergencies.

The feeling of justice has a strong impact on the attitudes and behavior of employees. This study follows the relationship between organizational justice and knowledge sharing among librarians with the role of mediator of organizational commitment in the libraries of Tabriz Azad University.

This was applied study in terms of purpose and data collection followed descriptive-correlational method. The sample size of 153 librarians working in Tabriz Azad University libraries was based on Cochran formula using random sampling. The instrument for collecting data was Mormon & Nijof organizational justice standard questionnaire, Immerman's organizational commitment questionnaire, and Maleki Knowledge Sharing Questionnaire. In order to complete the questionnaire, informed consent was obtained from all participants prior to participation in the study. Hypothesis was tested applying software of structural equations Smart PLS2.

The Results of this study showed that the research variables have a significant relationship with the 95% confidence level. Therefore, any change in one of the variables will be accompanied by a change in the order of the other variables.

Regarding the place of justice in organizations, employees' perception of justice in the organization increases the amount of commitment and communication and therefore trigger the sharing of knowledge in the organization and ultimately affects the effectiveness and effectiveness of the operation of the whole organization.

Implementation of in-service training programs is a set of needs-based and planned training activities designed to improve and enhance the knowledge, skills, attitudes, and behaviors of members of the organization to perform specific organizational tasks. The purpose of this study was to determine the effect of health technologies training program on knowledge of health information management personnel.

This quasi-experimental study was performed in Tabriz University of Medical Sciences. Data were collected through a questionnaire using pre-test and post-test. The study population consisted of health information management personnel of Alinasab Hospital in Tabriz with a sample size of 28 available. Data were analyzed by SPSS-19 and paired t-test.

The mean score of knowledge of health information management personnel at the pre-test was 1.05 and the post-test was 4.75 which is comparably increased. The results showed a significant difference in the mean and standard deviation of personnel scores before and after training sessions. (P <0.05).

According to the findings of the present study, it was found that the scores before and after the training were significantly different. Accordingly, training programs can have a positive impact on the knowledge of health information management personnel.

Intensive Care Unit (ICU) is a ward that is critical to improving the health status of critical conditions. Data mining seems to be a good way to optimize the use of resources. Identifying and analyzing the risk factors associated with mortality will lead to more efficient and accurate planning of hospitalization and interventions. In this study, the prediction of mortality of patients in the intensive care unit of Imam Hossein Hospital in Tehran with data mining techniques is discussed.

Based on patient records and hospital information system, 838 patients admitted to the General intensive care unit between 2013 and 2019 in Imam Hossein Hospital in Tehran, the data is needed to collect this research. Algorithms used to classify patients include support vector machines, k nearest neighbor, decision tree, logistic regression and random forest that was reported based on the precision, accuracy, sensitivity, specificity, and roc under the curve.

The results of this study showed, identified 26 factors affecting specific data and pre-processing of data. Among five of the algorithms used in the study, logistic regression algorithm based on the level of roc curve (0.76), accuracy percentage (75.62),precision (68.39),sensitivity (38.65) and specificity (94.53) had better performance in predicting mortality compared to other techniques of study. The variables of Glucose and Partial Thromboplastin time were the most significant effects on mortality based on the logistic regression model.

Data analysis in intensive care unit patients can be an appropriate and practical tool for predicting mortality and its related factors, but according to the quality of data, results are different. And the results extracted from logistic regression can be used as a model to predict the status of mortality in the intensive care unit.

Electronic health enables patients share their own medical information and this sharing poses security risks. The purpose of this research is to review, and compare algorithms and methods for solving patient information security, from different aspects, including user revocation, and access control capabilities. The strengths and weaknesses of these algorithms are identified.

Information sources or data:

 This review conducted using online databases including PubMed, Web of Science, and Science Direct.

Selection methods for study:

 Keywords including health information systems, computer security, access to information, cloud computing and social networking was used to search. Articles published in 2009 to 2019 were selected. 29 articles related to solving the problem of user revocation and 7 articles related to solving the problem of access control were selected. Related articles were reviewed, then the access control and user revocation solutions were compared.

To protect the confidentiality of patient information, a cryptographic method is suggested before data sharing. This solution has the problem of revocation of the users. To solve this problem, various methods have been proposed. In this paper, these solutions are compared in different respects. The features of these methods have been compared in terms of instant revocation, key update, cloud free, encrypted text updates, and short revocation. Finally, methods for access control by the patients were also compared.

Security issues associated with health data make patients hesitant to post sensitive health information and share it with health providers. In this paper, algorithms and health information security methods were compared. Most of the solutions to revocation of users need re-encryption methods, also, access control solutions do not have the required flexibility. In the future, better methods should be presented.