Showing 4 results for Aalaa
Maryam Aalaa, Maryam Peimani, Hamid Reza Aghaei Meybodi,
Volume 13, Issue 3 (3-2014)
Abstract
Background: Today, the internet has been emerged as a potentially effective medium for information
exchange and in recent years, the use of web-based training programs has been steadily considered in
the prevention and management of chronic diseases such as diabetes. This technology provides an
opportunity to make health care more accessible for a large number of people and reduce costs. This
review provides a descriptive discussion of web-based behavioural interventions for the management
of type 2 diabetes mellitus.
Methods: Systematic literature searches were performed using Medline, Embase, Psycinfo, Web of
Science and Cochrane library to retrieve articles written in english and published between 2000 and
2012 which fulfilled all inclusion criteria. The search keywords were “diabetes” AND “intervention”
AND (“internet OR web”). Only randomised controlled trials and quasi experimental studies were
included in this review.
Results: A total of 15 studies were reviewed. Goal-setting, personalised coaching, interactive
feedback and online peer support groups were some of the successful approaches which were applied
in e-interventions to manage type 2 diabetes mellitus. Strong theoretical background, use of other
technologies and longer duration of intervention were proven to be successful strategies as well.
Conclusion: The web-based interventions have demonstrated some level of favourable outcomes,
provided they are further enhanced with proper e-research strategies.
Maryam Aalaa, Mohammad Reza Mohajeri-Tehrani, Ghobad Ramezani, Mohammad Reza Amini, Maryam Aboeerad, Mahnaz Sanjari,
Volume 19, Issue 1 (1-2020)
Abstract
Background: Peripheral neuropathy is one of the most common problems in diabetic patients. The increased risk of Diabetic Foot Ulceration (DFU) and amputation would be a complication of diabetic neuropathy. The aim of this study was to compare the DFU healing in different severity classification of neuropathy.
Methods: This is a retrospective study that was conducted over a two-year period from April 2016 to March 2018 according to the information of patients records with Diabetes Mellitus (DM) referred to clinic of diabetes and metabolic disorders of Endocrinology and Metabolism Research Institute of Tehran University of Medical Sciences. Wound healing criteria including area, depth and healing duration were studied. Accordingly, changes in the area and depth of wounds were evaluated and reported during the first, third and sixth months after baseline. Data were analyzed using descriptive and inferential statistics using SPSS software version 16.
Results: The results of the study of patients with neuropathic ulcer showed that males and age group of 56 to 65 years had the highest frequencies. In addition, most of these patients suffered from type 2 DM (79%). The rate of wound healing, which was measured by area and depth of wound in three time periods, differed in different severity classification of neuropathy; at mild level of neuropathy the area and depth of wound decreased faster but in severe neuropathy, duration of wound healing in both mentioned criteria has increased. Regarding to the increase in the duration of DM, the healing time increased too. However the rate of wound healing decreased with increased age (p-value = 0.001).
Conclusion: Evidence suggests that early identification of neuropathy can reduce the incidence of DFU and amputation. Due to the slow healing of the size and depth of the wound in diabetic patients with severe neuropathy, it is necessary to prevent DFU by conducting preventive care and educational interventions.
Mahnaz Sanjari, Maryam Aalaa, Mohammadreza Amini, Neda Mehrdad, Mohammadreza Mohajeri,
Volume 19, Issue 3 (2-2020)
Abstract
Background: Diabetic foot is one of the main complications of diabetes, which is caused by a significant proportion of patients with diabetes and which imposes costs on the family and the health system around the world. This review aims to summarize the latest findings in the field of diabetic foot based on clinical guidelines.
Methods: In this review study, in order to achieve the best clinical guide in the field of diabetic foot by determining the search strategy and inclusion criteria, all related clinical guides were searched in the databases and websites of clinical guidelines. Clinical guidelines related to diabetic foot care were searched and retrieved from January 2000 to early 2019 and screened separately by two researchers to select the selected clinical guideline.
Results: Based on the study criteria, the clinical guide of the International Diabetic Foot Working Group was selected as the most complete guide in the field of diabetic foot. This summary is based on the International Working Group on the Diabetic Foot (IWGDF) Guidance 2015, consist of five documents including prevention of foot ulcers in at‐risk patients, footwear and offloading principles, diagnosis, prognosis and management of peripheral artery disease, foot infections in patients with diabetes and enhance healing of chronic ulcers of the foot in diabetes.
Conclusion: This Summary Guidance for Daily Practice is intended to overview of the main aspects of the prevention and treatment of foot problems in patients with diabetes. This summary guidance is adviced at healthcare providers and specialists in foot care throughout the world.
Azadeh Aletaha, Maryam Aalaa, Akbar Soltani, Bagher Larijani,
Volume 20, Issue 1 (25th Anniversary of the Foundation, Special Issue 2021)
Abstract
Background: The purpose of this study is to identify patterns of information sharing in the field of evidence-based medicine to determine the main areas of evidence dissemination, including co-authorship patterns and citation networks, and to provide a scientific horizon for improving evidence-based medical research in Iran. Accordingly, evidence-based medicine related research at the Endocrinology and Metabolism Research Institute of Tehran University of Medical Sciences is suggested.
Methods: This study is a bibliographic study using scientometric methods. In this regard, the network of co-authorship and analysis of scientific articles indexed with the subject of evidence-based medicine in the Scopus database from 2004 to 2019 were analyzed.
Results: The status of scientific production of evidence-based medicine of Endocrinology and Metabolism research Institute has been increasing in recent years. The Journal of Diabetes and Metabolic Disorders contains a great collection of information about evidence-based medicine in this field and its contents have been widely cited in many Iranian journals. In lexical analysis, the most widespread evidence was osteoporosis.
Conclusion: The results indicated that evidence-based medical research topics are widely focused on other medical fields such as osteoporosis and obesity and have shifted from evidence-based clinical practice to evidence-based clinical management.
