Journal of

 Background and Aim: Considering the information needs of users improves the quality of care . We aimed to Survey the Compliance Rate of Surgical Information Systems with The Information Needs of surgeons.

Materials and Methods: This was a descriptive and original study. Statistical Society consisted of two groups. First was the hospital information systems in hospitals of Tehran University of Medical Sciences and Shahid Beheshti were the first group. The Second group were 982 surgeons. Hospitals that had the highest number of surgeries were the research sample. Researcher gathered data in two steps. First by questionnaire and then checklist was used to collect the data by interviewing the technicians’ of systems . All data has been analyzed by descriptive analysis.

Results: In Rasul and Emam hospitals surgical information systems in scheduling section(50%) had highest conformity with surgeons needs. In flexibility section in all hospitals except of Shariati, they had 50% conformity with information needs of surgeons.

Conclusion: From surgeons view flexibility capability, scheduling and accessing data had highest priority although systems from display capability had not the conformity with the user needs. In designing the surgical information systems in future it is better to consider these capabilities.

Background and Aim: Despite all inherent advantages of information technology in health sector, its implementation still faces many problems. One of the most important barriers is people’s resistance. This study was carried out to survey the factors affecting the acceptance of information technology by Health Information Management (HIM) staff of Tehran University of Medical Sciences (TUMS) hospitals based on Technology Acceptance Model (TAM) in 2011.

Materials and Methods: It is a descriptive-analytical survey. The population of the study consisted of the HIM staff (363 members) of TUMS hospitals. As the sample, 123 employees were selected. The data gathering tool was a questionnaire the validity and reliability of which were confirmed. The data were collected and analyzed by SPSS software, descriptive statistical methods and Spearman Test.

Results: The results showed that there was a positive direct relationship between perceived ease of use (PEOU) on the one hand and the staff’s attitude and their application of IT on the other hand (R=0.14, P= 0.05 R=0.36, P=0.05). Also, perceived usefulness (PU) had a significant direct effect on the staff’s attitude and their application of IT (R=0.22, P= 0.05 R=0.37, P=0.05).

Conclusion : Perceived ease of use (PEOU) and perceived usefulness (PU) are the factors affecting the acceptance of information technology by the HIM staff of TUMS hospitals. Therefore, it is suggested that the above two principles be considered when designing and implementing the IT systems.

Background and Aim: Early diagnosis is a tenet in oncology and enables early treatment with the expectation of improved outcome. The aim of this study was to determine the factors associated with personal characteristics and clinical signs in patients with breast cancer.
Materials and Methods: This research was a descriptive analytic that 
cross-sectionally assessed 232 patients with definite breast cancer diagnosis that referred to Razi hospital located in Rasht using a researcher designed questionnaire including demographic and clinical signs. Collected data (mammography, tumor size, pathological stage of tumor) were obtained from medical records of patients. Gathered data analysis was accomplished with SPSS V.19 and for description of data from average and standard deviation for inference statics fisher test with a 
P value of 0.05 were used.
Results: Mean age of subject was (49.80+10.27). 44 individuals (14%) had a precedent regular mammography before disease. Hundred and four (44.8%) in first appointment were referred to a general surgeon. Hundred and thirty six (58%) women were in stage III of the disease. Hundred and twenty nine (60%) patients had a tumor size more than 5 cm and 106 (46%) had a lymph node metastasis at the time of diagnosis. Patients referring with advanced stage of breast cancer had a low education (P=0.04) and income level (P=0.01).
Conclusions: Recognizing associated personal and clinical factors with early diagnosis can provide essential information for planning health education, screening and presenting appropriate solutions to overcome barriers to treatment and care in health system planning in this provinc

Background and Aim: In the recent years the number of science research health journals has increased in Iran. These journals should be based on the standards and criteria required in international indexing database. The aim of this study was to determine the adaptation rate of structural requirements on the Iranian medical journals with the criteria of indexing based on Scopus indexing database.     
Materials and Methods: This study was a descriptive-applied study done using bibliometric methods. The statistical population was all of the science research journals in health ministry on 2014. The data collection tool was the inventory control extracted from Scopus database. The data was collected and analyzed by SPSS20 software and descriptive statistics methods.
Results: The results showed that more than half of the biomedical journals were not based on the international editing statements and also, participation of the members of international editing committee was very low. The mean of international editing committee members was 83.3% and all of them were in Iran besides, participation of non Iranian authors was very low in these journals, with a participation rate of only 5.79%.
Conclusion: The Iranian medical journals did not follow the expected criteria in Scopus indexing database in a satisfaction level. Adaptation to the expected criteria can facilitate the entering and indexing procedures for these health journals in Scopus indexing database.