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Showing 24 results for Medicine

Fatemeh Bahador, Azam Sabahi, Somayeh Paydar, Fatemeh Zangooei Seno,
Volume 16, Issue 6 (1-2023)
Abstract

Background and Aim: Today along with information technology development, telemedicine technology has expanded dramatically. Sinse telemedicine technology relies on data transmission, it is essential to pay attention to issues such as network security, confidentiality, and privacy of patients. Therefore, the aim of this study was to determine the importance of information security requirements in telemedicine networks based on managers and employees of the information technology unit of the University and teaching hospitals of Birjand city 
Materials and Methods: This descriptive cross-sectional study was conducted in year 2021. The research population was The managers and employees of the information technology unit of the university and teaching hospitals of Birjand city (40 people), who were surveyed by the census. The study tool was a researcher-made questionnaire that confirmed its validity by faculty members and experts, and its reliability was calculated with Cronbach’s alpha (0.83). After collecting the data, they were entered into the SPSS software and were analyzed using descriptive statistics.
Results: The results showed that the security requirement related to information transportation is more important than other requirements. Also in the field of human resources, providing detailed documentation and training guides for users of the systems was with an average of (4.47). In the medical diagnosis equipment field, telemedicine network systems are equipped with emergency power was with an average of (4.72). In the storage and access to information context, installing antiviruses and anti-malware on all systems was with an average of (4.75), and also in the field of information transfer, encryption of important and sensitive files and information was with an average of (4.69) were the most important security needs.
Conclusions: As the results showed, security requirements related to information transfer have more importance than other requirements; Initially, information security can be guaranteed by creating security policies, updating and monitoring their implementation, as well as training employees. However, in order to transfer sensitive medical information, encryption and qualification verification methods, secure information transfer protocols, virtual and private networks (VPN) and other new technologies can be used in this field. Of course, necessary preparations should be made to create appropriate technical infrastructure for the implementation of security policies in information transmission.

Miss Maryam Eslami, Javad Jahangirzadeh,
Volume 16, Issue 6 (1-2023)
Abstract

Background and Aim: The curriculum as the heart of the educational system is one of the effective factors in achieving the goals and mission of the university and its evaluation is of particular importance. Since medical education deals with human life and clerkships also play an essential role in shaping the professional abilities of medical students, this research was conducted with the aim of determining the desirability of clerkship programs from the point of view of medical students of Tehran University of Medical Sciences during the Covid-19 pandemic based on the nine elements of Francis Klein.
Materials and Methods: In this study, a descriptive-survey method was used. The statistical population was 487 medical students of Tehran University of Medical Sciences, who were undergoing the clerkship stage at the time of the research, and the questionnaire was provided to them in the form of a census. The number of samples was determined based on Morgan’s table of 215 people. The research tool was a standard questionnaire, the validity of which was confirmed by professors in the field of educational sciences, and its reliability was calculated using the Cronbach’s alpha method of 0.794. Descriptive statistics (including statistical tables, graphs, central and dispersion indices) and inferential statistics (including one-sample t-tests and independent two-sample t-tests) were used for data analysis.
Results: The results showed that clerkship programs from the point of view of medical students of Tehran University of Medical Sciences during the covid-19 disease, considering that the t-statistic of all research variables is less than 1.96 (educational objectives t=-4.735, educational content t=0/666, learning activities t=-7.812, teaching strategies t=-4.246, educational materials and resources t=-0.970, grouping of learners t=-5.223, learning space (place) t=-4.029, learning time t=-5.043, and learning evaluation t=-7.348) were not desirable in terms of all elements. It was also found that there is no significant difference in attitudes between male and female students regarding the desirability of these programs except for the element of educational goals.
Conclusion: According to the results of the research, the medical clerkship programs of Tehran University of Medical Sciences are facing challenges during the Covid-19 pandemic. Therefore, it is necessary to provide a program that is compatible with the conditions and can meet the educational needs of the learners.

Davoud Haseli, Somayeh Paknahad,
Volume 17, Issue 2 (5-2023)
Abstract

Background and Aim: Bibliometric analysis by describing the state of publications and identifying key entities and emerging topics plays an important role in evaluating research. The aim of the paper is to study the global trends of scientific collaboration networks of researchers, organizations and countries and the co-occurrence of words in the field of social medicine in the database of Web of Science.
Materials and Methods: The method of investigation is bibliometric. The sample comprises 8494 publications in the area of social medicine between 2002 and 2021 in the Web of science database. The drawing of the scientific collaboration network of researchers, organisations and countries, and the analysis of the words network of co-occurrence, was made using the bibliometric software Vosviewer.
Results: The publication process of social medicine documents in the target period is increasing. Research articles had the highest number of documents frequency and review articles received the most citations. The United States had the most published literature in this area, and most authors and organizations were from that country. The degrees of two countries, Canada and Australia, had the most citations per documents, and the five countries of South Africa, Portugal, Pakistan, India, and Iran were emerging players in this field. The network of words co-occurrence of social medicine in three groups was devoted to “preventive research in social medicine”, “social determinants of health” and “healthy lifestyle, nutrition and physical activity”. In terms of temporal occurrence, the five keywords public health, mental health, social medicine, meta-analysis and epidemiology were emerging subjects in the area of social medicine.
Conclusion: Understanding impact of non-clinical studies of social medicine on people’s lives has led to an increase in research in this field. In addition to the traditional role of developed countries, some developing countries are also new players in this field and seeking to develop their infrastructure in social medicine.

Leila Keikha, Fatemeh Sheikhshoaei, Abdolahad Nabiolahi, Mahnaz Khosravi,
Volume 18, Issue 4 (10-2024)
Abstract

Background and Aim: Health librarians can play an important role in meeting the information needs of the clinical team and improving the quality of medical cares. Increasing clinical health literacy and use of Evidence-based medicine among ophthalmology residents is of great importance due to the importance of patients’ health in this field and appropriate decision-making about the individual’s health status. The present study aimed to evaluate the effect of an educational intervention by clinical librarians on the skills of ophthalmology residents in using of evidence-based information at Zahedan University of Medical Sciences.
Materials and Methods: This was a semi-experimental applied study. The research population was ophthalmology residents of Al-Zahra Eye Hospital, Zahedan University of Medical Sciences during the years 2020-2023, who were selected through a census. During a three-month period, 17 combined training sessions (face-to-face and virtual using the Navid system) were held for 18 ophthalmology residents regarding correct search methods from different databases and appropriate use of evidence-based information. To collect data before and after training, a clinical information literacy questionnaire derived from previous studies was used, and data analysis was performed using SPSS software and ANOVA and ANCOVA statistical tests to compare scores before and after training in the intervention group.
Results: The majority of participating residents (55.6%) were female. Before the intervention, 33.3% of the study population had moderate to high levels of knowledge about evidence-based medicine. There was a statistically significant relationship between the total level of knowledge of residents after training and gender (P-value<0.05). Clinical librarian training was effective on the level of basic knowledge of evidence-based medicine, designing clinical questions, searching for clinical evidence, critical evaluation of clinical evidence, and dissemination of evidence-based medical information of residents (P-value<0.05).
Conclusion: Considering the positive impact of clinical librarians’ intervention in improving the level of clinical decision-making knowledge of ophthalmology residents, it is suggested that evidence-based medicine training workshops or courses be held for residents of different disciplines using a variety of educational methods. In addition, it is suggested that evidence-based units be included in the residents’ curriculum and that training be conducted as a team consisting of medical librarians and specialists and ophthalmologist.


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