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Showing 10 results for Karami

R Safdari , Mr Akbari , Sh Tofighi , M Moinolghorabaei , Gh Karami ,
Volume 3, Issue 2 (21 2009)
Abstract

Background and Aim: Today, psychological diseases like so many diseases, have an old history. Clinical Information System of psychological diseases resulting from war is a part of the information management system of mental illnesses, due to the management of mental patients from the war. This study is aimed to compare information management of psychological diseases in American, Australia and England with Iran.

Methods and Materials: This research is a study. At first, the existing situation was studied in three Psychiatric Centers in Ahvaz and Tehran with the use of a cheek list. Then information system of psychological disease has been studied in elected countries and based on the need of our own country, proposing practical solutions for Iran.

Results: The results of this study showed that there was no a information system of psychological disease in Iran. Also, four factors of this system including (goals, content structure, informational elements, information registration criteria) are reviewed in four selective countries.

Discussion and Conclusion: The design and implementation of this system in psychiatric centers is recommended to set two main goals including quality control and cost control in Iran.


N Khodakarami, M Mirza Alizadeh, A Haghighi, H Alavi Majd,
Volume 3, Issue 3 (25 2010)
Abstract

Background and Aim: Evaluation for STIs requires speculum examination. It is sometimes uncomfortable and rejected by many patients. Speculum examination often is impractical or not available in remote areas. Recently, it is possible to omit the speculum examination and noninvasively diagnose for Chlamydia and gonorrheal infections from urine sample. This comparison study was conducted by collected vaginal specimens directly without performing a speculum examination for the diagnosis of trichomonas infections.The aim of this study was comparison of two methods of vaginal discharge collection with and without speculum examination for diagnosis of the trichomonas infection.

Materials and Methods: We examined 100 patients with vaginal discharge to the gynecology clinic of the Taleghani hospital. Two vaginal swab were collected from vaginal discharge of patients before and during speculum examination for diagnosis of trichomoniasis. Both of vaginal specimens were tested with blinded microscopic. Compared collection methods sensitivities, specificity, positive predictive value, negative predictive value and accuracy of both methods was compared.

Results: Sensitivities, specificity, positive predictive value, negative predictive value and accuracy of speculum collection methods were 69%, 99%, 92% ,94% and 93% for trichomoniasis respectively. Sensitivities, specificity, positive predictive value, negative predictive value and accuracy of nonspeculum collection methods were 62.5%, 99%, 91%, 93% and 92% for trichomoniasis respectively. The differences between methods was not statistically significant (P= NS). There was a very good agreement between both methods for diagnosis of trichomoniasis (KAPPA= o.85).

Conclusions: We have demonstrated the benefit of  nonspeculum vaginal specimens for the diagnosis of trichomoniasis. This technique has applicability for studies involving the epidemiology of vaginal infection as well as for home diagnostic testing ,elder and pregnant women respectively.


Reza Safdari, Mahtab Karami, Mahboobeh Mirzaee, Azin Rahimi ,
Volume 7, Issue 1 (5-2013)
Abstract

Background and Aim: Decision support systems(DSSs) refer to one of the types of information technology applications that can help clinicians to make right and timely decisions about patients. The aim of this study is to learn more about DSSs and their applications and effects on health care.

Materials and Methods: In this systematic review, articles which were published between 2000 and 2012, which were available as full texts through databases and search engines -- such as PubMED, EBSCO host research, Google scholar and Yahoo -- and which were also of clinical-trial type were examined besides, certain books in this area were used as primary sources.

Conclusion : The findings show that DSSs were applied in five areas in health care, which had a significant effect on improving the process of care and the performance of providers. These areas are as follows: disease progress management(15.15%), care and treatment(27.27%), medication(27.27%), evaluation(27.27%), and preventation(12.12%). In general, improvement can be seen in three areas: quality of care and patient safety, cost effectiveness, and provider’s level of knowledge.


Mahtab Karami, Reza Safdari,
Volume 10, Issue 4 (9-2016)
Abstract

Background and Aim: Hospital is a complex ecosystem in terms of diversity of services, clients, personnel, equipment, technologies, data and information which are generated. Since the ultimate goal of a hospital is to improve quality of care along with reducing cost, using intellectual tool such as dashboard can create strategic value.

Materials and Methods: This review article was performed based on a literature review and internet search through such scientific databases as PubMed, EBSCO host research, Proquest, Emerald, Web of science and search engine such as Google, Google Scholar. In this study, the articles about intellectual capitals as well as the application of dashboard in healthcare between year 2009 and 2013 were reviewed.

Conclusion: Application of dashboard in hospital can create strategic values such as respond to environmental changes rapidly, identify new market opportunities, become a learning organization by discovering new patterns and relationship among data, achieve best practices by analyzing patterns of treatment and results and achieve the highest efficiency.


Azam Shahbodaghi , Arezoo Farhadi , Maryam Shekofteh , Manoochehr Karami,
Volume 11, Issue 2 (7-2017)
Abstract

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.


Khadije Moeil Tabaghdehi , Marjan Ghazisaeedi , Leila Shahmoradi , Hossein Karami,
Volume 11, Issue 5 (1-2018)
Abstract

Background and Aim: Thalassemia is a chronic disease which is extremely expensive, complex and debilitating. The management skill of thalassemia patients should be enhanced to minimize the risk of disease complications. The main purpose of this study was to develop personal electronic health records for thalassemia major patients.                                             
Materials and Methods: This is a developmental applied study which was conducted to develop a personal electronic health record for thalassemia major. First, a questionnaire was prepared to determine the data elements and was filled by Hematology and Oncology professionals in the country (110 persons). Then, based on the results of needs analysis, the system was designed using PHP programming language and MySQL database and was evaluated by 50 thalassemia patients who referred to the Thalassemia Clinic of Bu Ali Sina Hospital of Mazandaran University of Medical of Sciences during the second half of the month of Aban. Finally, a standard questionnaire of usability and user satisfaction assessment was distributed among them.   
Results: Usability evaluation of the system showed that patients evaluated the system at a good level with a mean rating of 7.91 (out of 9 points). 
Conclusion: The web-based systems can be used to help thalassemia patients to control injection and reduce the complications of the disease and to promote health. 

Nader Alishan Karami, Mohsen Hajizeinalabedini, Iraj Radad, Seyed Javad Ghazi Mirsaeed,
Volume 12, Issue 5 (Dec & Jan 2019)
Abstract

Background and Aim: Ontologies facilitate data integration, exchange, searching and querying. Open Biomedical Ontologies (OBO) Foundry is a solution for creating reference ontologies. In this foundry, the design of ontologies is based on established principles which allow for their interactions as a single system. The purpose of this study is to determine the main features of ontologies developed based on foundry principles.
Materials and Methods: This descriptive cross-sectional study (2017) retrieved data about the ontology components, subject, language and tool from the OBO foundry website, and OntoBee (the default linked data server for the foundry ontologies). The frequency of classes, instances, Object Properties, DataType Properties and Annotation Properties are classified by the use of descriptive statistics.
Results: The main subjects of 151 ontologies were Anatomy, Health and Phenotype. Most languages and tools were, respectively, OBO and OBO-edit versions used for the development of ontologies. Five percent of ontologies contained more than 78977 classes, 150 object relations, 39 DataType relations, 110 annotation relations, and 356 instances.
Conclusion: Increasing the number of ontologies developed based on OBO foundry principles as well as using OBO language and OBO-Edit is indicative of the fact that ontology developers have accepted the principles and tools. 

Manouchehr Karami, Payam Kabiri, Farzaneh Fazli, Nahid Ramezanghorbani,
Volume 16, Issue 4 (Oct 2022)
Abstract

Background and Aim: One of the most important challenges in the field of research information management is the use of reliable and qualified software to manage research resources in health domain. This study aimed to develop a validation tools for research information management systems in Iran to utilize by universities in the process of using existing research information management systems.
Materials and Methods: This was a descriptive study conducted in two stages. In the first stage, a validation tool for research information management systems (Pajoohan, Pajooheshyar, Jiro, Yektaweb, Kuiper) was designed, and in the next stage, in order to ensure the validity of the produced tool, a self-assessment survey was conducted by users of research information management systems in medical sciences universities. Therefore, this tool was completed by 104 researchers from all over the country. The collected data were analyzed by Excel and SPSS software.
Results: The developed validation tool of research information management systems included four components and 82 indicators: software design and architecture (17 indicators), usability and user environment (16 indicators), professional use (36 indicators) and management (13 indicators). Based on the self-declared results of the users, this tool has 57 mandatory features, 26 preferred and 4 optional features. The results of the validation of research information management systems based on this tool showed that the highest rank in the component of architecture, professional use and software management was related to the Kuiper system, and in the component of usability and user environment was related to the Pajoohan system. In the self-declaration done by the users ,12 cases of Jiro system ,11 cases of Kuiper system ,11 cases of Pajoohan system ,7 cases of Pajooheshyar, and 5 cases of Yektaweb system have received confirmation above 75%.
Conclusions: The validation tool which developed by this study can be used in the evaluation of current research information management systems and the selection of new systems for use in the research field. In addition, it can be used to improve current systems and purchase new systems by academic universities and research centers.

Samaneh Dehghan Abnavi, Afshin Karami Varnamkhasti , Mostafa Roshanzadeh, Fatemeh Kazemi Najafabadi,
Volume 17, Issue 3 (8-2023)
Abstract

Background and Aim: Communication skills are considered as the most important feature required for health care workers and provide the basis for the development of professional ethics. Since working in the operating room requires team effort and establishing communication between team members, the importance of communication skills in operating room nurses is more visible. Therefore, in the present study was performed, with the aim of determining the effect of virtual training on the principles of professional ethics on communication skills of operating room staff of Ayatollah Kashani and Hajar hospitals of Shahrekord University of Medical Sciences.
Materials and Methods: A quasi-experimental study with a single-group plan before and after in 2020 was performed on 35 operating room staff of Kashani and Hajar teaching hospitals in Shahrekord who were selected by random sampling. Demographic information questionnaire and Queen Dam communication skills questionnaire were used to collect the data. Data analysis was performed by SPSS software using independent t test, Analysis of variance, paired t-test and ANOVA statistics.
Results: Paired t-test showed that the mean of communication skills after the intervention was significantly different from before (P<0.001). The mean of communication skills before the intervention was 65.85±24.52 and after the intervention was 139.77±5.70. No significant relationship was reported between communication skills and age, service history and number of working hours (P>.0.05). Also, there was no significant difference in the average of communication skills according to the variables of gender, marital status, field of study and degree (P>0.05).
Conclusion: The present study showed that professional ethics training was able to improve the communication skills of employees. Therefore, it seems necessary to compile virtual professional ethics training for health care providers and other groups providing health services who do not have enough time to participate in face-to-face classes. According to the results obtained, managers of health systems are recommended to use strategies such as holding workshops on the principles of professional ethics to develop communication skills in their employees.



Kourosh Abbasiyan, Mohammad Alimoradnori, Mohammad Bagher Karami,
Volume 18, Issue 2 (5-2024)
Abstract

Background and Aim: Managers, as the main decision-makers in facing various internal and external organizational problems, play a significant and determining role in the success or even failure of an organization. If competent and experienced managers are positioned at the top of organizations, the success of these organizations in achieving their goals will be guaranteed and an organization can achieve maximum efficiency with minimal resources. The aim of this study was to design a model of managerial competencies for hospital managers.
Materials and Methods: This qualitative research was conducted from year 2020 to 2022. After reviewing studies related to the topic, the extracted competencies were given to 19 experts consisted of relevant academic faculty members and managers with experience in the healthcare system and hospitals. Eventually, a managerial competency model was formulated through the use of the Delphi method and expert panel discussions. Collected data were analyzed in Excel software.
Results: The developed model in this research for the concept of hospital managers’ competencies includes 33 managerial competencies of hospital managers in four main management functions (planning, organizing, leadership and control) and managerial roles, which starts from literature review and performing two Delphi steps and implementing two expert panel plans. In the competency of hospital managers model, the planning dimension consists 4 components, organizing consists 4 components, leadership consists 12 components, control consists 4 components, and managerial roles consists 9 components. Strategic thinking, which is a subset of planning, has the highest weight (0.495) and highest rank among other components, and continuous improvement, which is a subset of managerial roles, has the lowest weight (0.033) and lowest rank among other components.
Conclusion: This study proposes an exclusive and comprehensive model, utilizing practical techniques as a suitable solution for evaluating the managerial competencies of hospital managers. The proposed framework in this study can serve as a standard performance assessment tool for evaluating managers.


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