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Showing 26 results for Hosseini

Anahita Moaven, Farzaneh Moghaddam, Masomeh Arabshahi, Mohammad Ali Hafezi, Masomeh Khoshgam, Ladan Hosseini Gohari ,
Volume 7, Issue 1 (5-2013)
Abstract

Background and Aim: Female pattern hair loss(female androgenic alopecia) is a common but puzzling condition in women which increases by aging. Female hair loss is strongly linked to hormones and hormonal imbalances. The aim of this study was to determine the serum level of hormones such as T4, TSH, free testosterone, Prolactin(PRL) and Alb, SHBG in women(15-50 years old) with hair loss versus those without hair loss.

Materials and Methods: In this cross-sectional case-control study, 71 women with hair loss and 70 normal women were selected from skin and hair care day clinics. The level of hormones and SHBG were measured by ELISA, and Alb was measured by spectrophotometery. Data were analyzed by independent t-test.

Results: After analyzing the data and determining the levels of TSH, T4, Prolactin, Alb, SHBG, no significant difference was found between the case and control groups. However, free Testosterone level was significantly different between patients and controls(P= 0.000), with a higher mean level in the case group(patients).

Conclusion : Since androgens have a major role in regulating the biological cycle of hair in women and since there was a significant difference between free testosterone in patient and control groups, we suggest that the serum level of free testosterone should be measured in women with androgenic alopecia .

 


Mostafa Rabeian , Seyed Hadi Hosseini , Mehdi Radabadi, Masoud Taheri Mirghaed, Mohammad Bakhtiari,
Volume 7, Issue 3 (9-2013)
Abstract

Background and Aim: Having a preparedness program for earthquake in hospital, with regard to its function for victims of accidents, is very important. The main objective of this study was evaluation of effective factors on the rate of preparedness of Tehran University of Medical Sciences’ teaching hospitals, to deal with earthquake danger of earthquake .

Materials and Methods: This cross-sectional analytical survey was performed in the follow ing hospitals: Sina, Farabi, Roozbeh, and Razi. Data was collected by checklists and questionnaire. Data analysis was performed using statistical software (SPSS19) and Pearson correlation , ANOVA, t-test statistical tests.

Results: The most and the least preparedness against earthquake was in disaster management and construction mitigation plan fields respectively. Relationship between the field of hospital curriculums with construction mitigation plan (p= 0/045 and r=0/644) and hospital environmental health action plan (p=0/048 and r=0/636), was significant.

Conclusion : Average of Hospitals preparation against earthquake was evaluated in an intermediate level (51.81percent). Due to the significant relationship between education and other fields that are listed above it is suggested that in addition to short-term training programs, non-structural retrofitting of hospitals should be considered as a priority.


Ladan Hosseini Gohari , Zahra Bangale, Mohammad Reza Fayazi , Farzaneh Moghaddam , Kamran Jamshidi ,
Volume 8, Issue 1 (5-2014)
Abstract

 Background and Aim: Isoflurane is one of the selective and mostly-used respiratory anesthetic materials in the field of neurosurgery. Studies have shown that temporary rise in the level of liver enzymes may occur after anesthesia by halogenic ethers and hence cause liver lesions. The aim of this study was to investigate the effects of isoflurane on the activity of ALT-AST-ALP-GGT enzymes as an indicator of liver function.

 Materials and Methods: This study was performed on a sample of 40 patients who were under neurosurgery without any liver disease in Milad Hospital of Tehran. The patients' blood samples were collected before, 24, and 72 hours after anesthesia. The enzymes activities was assessed by spectrophotometric method.

 Results: Insignificant changes before and after anesthesia were seen in the activity of ALP, and AST enzymes. The level of ALT enzyme has a significant rise, 72 (P=0/022) and 24 (P=0/014) hours after anesthesia in comparison with before anesthesia. The level of GGT enzyme in comparison to its past has significant rise 72 hours after anesthesia (P=0/002). The level of this enzyme showed a significant difference 24, and 72 hours after anesthesia (P=0/041).

 Conclusion: The significant changes seen in the levels of ALT, GGT enzymes in three different periods of time might be as a result of possible liver parenchymal and cholestatic damage caused by using Isoflurane or other drugs such as Midazolam which effects liver function. It seems the assessment of the levels of these enzymes can provide useful information for probable subsequent actions.

 


Seyed Reza Hejazi, Payam Mansoor Hosseini ,
Volume 8, Issue 2 (7-2014)
Abstract

 Background and Aim: Nanomedicine is growing very fast. Transfer and commercialization of research results in Nanomedicine is a missing link between technology and market. This is affected by some factors which are barriers to commercialization. The aim of this study was to identify barriers to transfer and commercialize nanomedicine research results in Iran.

 Materials and Methods: The research method was qualitative method based on eight semi-structured in-depth interviews with nanomedicine and commercialization experts in year 2011 in Iran.

 Results: The proposed model of commercialization consisted of five distinct parts: transferor, transferee, transfer object, transfer mechanisms and environmental factors. In this study twenty six environmental factors in seven categories as Environmental Barriers to Transfer and Commercialization of Nanomedicine Research Results was identified.

 Conclusion: The most important barrier to nanomedicine commercialization in Iran are licensing system, lack of capital, and consumption culture.

 


Seyed Majid Hosseini Aghoosi , Fariba Nabatchian, Alireza Mordadi, Fatemeh Khodaverdi,
Volume 8, Issue 5 (1-2015)
Abstract

Background and Aim: Breast cancer is the most common type of cancer among women. A subset of isoflavones such as phytoestrogens (plant estrogens) have mammalian estrogen-like properties. Alfalfa has high isoflavone content. The aim of this study was to examine the effect of alfalfa’s isoflavones on breast cancer and lipid profile in these patients.

Materials and Methods: Thirty BALB-C mice (17±2 gr weight range) were selected. The rats were divided into four groups. The first and second group triggered to breast cancer by implanting cell lines. The third and fourth groups were healthy. Alfalfa extract was prepared by vacuum distillation.

Groups I and II received extraمct of alfalfa. Groups II and IV (control) received no treatment. After 6 weeks the blood serum of all mice were prepared. Concentration of estradiol, LDL-cholesterol, HDL-cholesterol and total cholesterol were measured.

Statistical analysis was performed by t-student and Graphpad statistical software. The significance level was set at P=0.05.

Results: The level of estradiol, total cholesterol, and LDL-cholesterol decreased significantly in the first group versus the second group (P<0.00 for all). The level of HDL-cholesterol increased insignificantly in the first group when compared to the second group (P=0.09).

Conclusion: Alfalfa extract with effect on esteradiol levels and lipid profile in mice with breast cancer could be useful in improving the patient’s condition.


Fereshteh Farzianpour, Mohamad Reza Eshraghian, Amir Hossein Emami , Shayan Hosseini,
Volume 8, Issue 5 (1-2015)
Abstract

 Background and Aim: Every educational system, whether micro or macro, needs its training programs to be studied and educationally evaluated. This study aims to assess training and internship programs in hospitals based on surveying the students of Tehran University of Medical Sciences (TUMS).

 Materials and Methods: This is a cross-sectional study with survey descriptive design. The data collection tool was a questionnaire with 14 five-point Likert style items. The TUMS Educational Development Center (EDC) surveyed all 185 students of training and internship programs, using a questionnaire with the Cronbach’s alpha coefficient of 0.81 in 2011, in order to adjust the education with the society’s needs and to improve its quality.

 Results: The mean assessment scores of training and internship programs were 3.32%, 2.98%, 3.38%, and 3.29% for applied training, mental skills, communication skills, and practical skills courses, respectively.

 Conclusion: The students’ satisfaction rate regarding the quality of educational courses of training and internship programs was 50.2%. Educational authorities have made necessary attempts to implement these programs and use potential resources for realizing the objectives and achieving the educational quality however, they should make further attempts in this regard.


Sanaz Gholamhosseini , Malek Alimohammadi Kamalabadi , Kurosh Djafarian,
Volume 9, Issue 4 (11-2015)
Abstract

Background and Aim: Considering the potential damages caused by inaccurate, inadequate and incomplete information published in web pages, the aim of this study was to evaluate Persian-language web pages containing nutritional information, using Silberg criteria.

Materials and Methods: Internet pages related to nutrition were found in “peyvandha.ir” and by searching 20 nutrition-related keywords in five search engines. The first fifty results of every keyword in every search engine were evaluated according to the inclusion criteria. From every website/weblog, three issues were randomly chosen. The Silberg checklist and the qualitative questionnaire were completed and the data were analyzed using SPSS software.

Results: In total, 56 websites /weblogs (47 websites and 9 weblogs) were found to have nutrition-related information. Among these websites/weblogs, 40 were active in the field of nutrition, 14 in health-related fields, and the rest in news, general information and cooking. Mean Silberg score (out of 9) was 2.3±1.9 for websites and 1.75±1.3 for weblogs. The highest score in this study was 8 (one website) and the lowest score was zero (13 websites/weblogs). In 82.5% of websites/weblogs, the sources used in compiling the articles were not mentioned and 64.9% of them lacked their authors’ names. Of all websites/weblogs, 94% didn’t have any disclaimer rejecting the responsibility for accuracy of the information.

Conclusion: Due to the poor quality of internet pages on the one hand and the importance of nutritional knowledge on the other, the development of reliable Persian-language web pages to improve public awareness of nutritional issues is necessary.


Bahaman Khosravi, Moslem Sharifi, Ahmad Fayaz-Bakhsh, Mostafa Hosseini,
Volume 9, Issue 6 (3-2016)
Abstract

Background and Aim: Learning is essential in healthcare environments, where knowledge and skills are quickly outdated due to continuous advances in medical science. Organizational learning is a dynamic process that enables learning organizations to be campatible with change in good time. The aim of this study was to determine the status of organizational learning in an Iranian healthcare organization in Tehran, and to assess the extent to which this organization could be considered as a learning organization.

Materials and Methods: In this cross-sectional and descriptive study, 200 nurses were selected in an Iranian healthcare organization. Dimension Learning Organizational Questionnaire (DLOQ) was used to collect data to be analyzed using descriptive statistics methods by frequency, percentage, mean, and standard deviation.

Results: The mean overall score for organizational learning was 3.36±0.69. Among the various dimension of organizational learning, continuous learning had the highest average (3.44±0.39), and the empowerment had lowest amount (2.72±0.06).

Conclusion: The findings from this study provide useful information for these organization's managers regarding the areas where there is a need for improvement in OL and to make it a more LO.


Seyedeh Mahboubeh Hosseini Zare, Batoul Ahmadi, Ali Akbari Sari , Mohammad Arab, Mahshid Sadat Hosseini Zare,
Volume 10, Issue 2 (5-2016)
Abstract

Background and Aim: Evaluating and improving the employees’ quality of work life is one of the most important responsibilities of managers in each organization. The aim of this study was to design and prepare a questionnaire for evaluating the residents’ quality of work life and checking the validity and reliability of this tool.
Materials and Methods: We collected the questionnaires which were used for the employees’ quality of work life, and designed by Delphi method a comprehensive questionnaire for measuring residents’ quality of work life. This questionnaire was distributed two times with one-week interval between 14 residents of Tehran University of Medical Sciences and then the validity and reliability was assessed by α cronbach model. We used the 5 experts in the field of health care management, medical education and health economics to determine the validity of quality of working life questionnaire. The classification of cronbach's α for intra-rater reliability was: very good (0.9-1), good (0.8- 0.89), average (0.7- 0.79), bad (0.6-0.69) and very bad (under 0.59).
Results: The results of  αcronbach test for questions reliability and the result α cronbach test for internal consistency of each class of question indicated the rather high reliability and validity of these questions.
Conclusion: Regarding to the results of α cronbach test, we can deduce that our designed questionnaire encompass have satisfied validity and reliability and it can be used for future studies.


Azadeh Chatrooz, Leila Goudarzi , Mohammad Roshani, Seyed Hadi Hosseini, Aslan Nazari, Ghasem Rajabi Vasokolaee,
Volume 10, Issue 4 (9-2016)
Abstract

Background and Aim: Safety is an important component in the quality of health care that lack of attention to it leads to harmful results. This study was conducted to estimate the safety management status in selected hospitals affiliated with Tehran University of Medical Sciences. 
Materials and Methods: This analytical-descriptive cross-sectional study was conducted in four selected hospitals affiliated to Tehran University of Medical Science in 2012. Data collection was performed through a valid and reliable questionnaire (Safety management) involved 112 questions in 3 parts: organization, safety and event committee’s management, investigation of organization and hospital’s structure and evaluation standards for surgery rooms by safety management views, in 5 options of Likert criteria. SPSS software frequency, mean and standard deviation and Kruskal–Wallis were used for statistical analysis of data’s.
Results: In the evaluation of the hospital organization factor and its structure from safety management approach, each hospital’s organizational structure form safety management view was in a suitable condition (72.50). The result also showed that in respect to evaluation of surgery rooms for safety management, the highest average of calculated score was for hospitals number 1 (90.00) and the lowest was related to hospital number 4 (69.09). 
Conclusion: According to the results, safety in hospital was in an acceptable level. But it seems that continuous monitoring and safety management training courses is essential.


Hamed Basir Ghafouri, Mohammad Hosseini Kasnavieh, Marziye Alsadate Sharifi, Milad Amini, Amirreza Darzi Ramandi ,
Volume 11, Issue 3 (Supplement 1 2017)
Abstract

Background and Aim: Hospitals should be able to satisfy their clients’ needs in less time and with best quality possible. Length of Stay (LOS) in hospitals is considered as a key performance indicator, especially in emergency departments. In this study, the analysis of LOS in emergency departments was performed so that some of the factors affecting patients’ length of stay could be found. 
Materials and Methods: This descriptive-analytical and cross-sectional study was performed in the emergency departments of two teaching hospitals of Tehran University of Medical Sciences (TUMS). Seventy-two patient samples were included. The patients’ length of stay in emergency ward was measured from the entrance time until the time they left the emergency department. Data on both descriptive (mean and standard deviation) and analytical statistics (one-way ANOVA, independent sample t-test and linear regression) were analyzed with SPSS software.
Results: Patients’ average LOS in emergency departments was estimated at around 3 hours and 13 minutes (SD=1.52). Such variables as patients’ marital status, days of the week (holidays or regular days) and admission time (day or night) were determined as the factors affecting LOS. 
Conclusion: The time spent to give services in hospital emergency rooms is at an appropriate level and items such as marital status, holidays of a week, and time of the day can be referred to as factors affecting patients’ length of stay. With regard to these findings, health managers can rely on the results for the effective planning and management of hospital emergency departments.

Abolfazl Dorost, Ahmad Fayaz-Bakhsh , Mostafa Hosseini , Hamzeh Mohammadi ,
Volume 11, Issue 4 (12-2017)
Abstract

Background and Aim: Occupational burnout is one of the aspects of psychological hazards. One of the most important factors that can predict it is emotional intelligence. The aim of this study was to investigate the effect of emotional intelligence on occupational burnout among the managers of Tehran University of Medical Sciences (TUMS) selected hospitals.
Materials and Methods: This was a cross-sectional descriptive and analytical study in 2014. The subjects were senior, middle and executive managers of TUMS affiliated hospitals. Census was used in this study. Ninety questionnaires were distributed in accordance with the population size. For data collection, Maslach Burnout Inventory (with reliability and retest coefficients of 0.71-0.9 and 0.6-0.8, respectively), Intelligence Questionnaire by Bradberry and Greaves (with reliability and validity of 0.83 and 0.67, respectively) and demographicprofile questionnaire were used. All statistical analyses were performed by SPSS software.
Results:  There was no significant relationship between job burnout and demographic variables (e.g. work experience, management experience, education, gender, marital status and occupational position). Emotional intelligence of managers and its subscales were high. The highest and lowest scores of emotional intelligence component belonged to relationship management and social awareness, respectively. There was no meaningful relationship between job burnout and emotional intelligence at the error level of 5% and P-value=0.63.
Conclusion: Since managers’ social awareness was at a low level, by improving it, we can help their emotional intelligence increase; also by identifying the factors affecting hospital managers’ occupational burnout, we can help it decrease. 

Mohammad Hossein Ronaghi, Foroughosadat Hosseini,
Volume 14, Issue 1 (Apr & May 2020)
Abstract

Background and Aim: The Fog Computing is a highly virtualized platform that provides storage, computing and networking services between the Cloud data centers and end devices. Fog computing fits the characteristics of real-time health monitoring systems. In such systems, a large amount of data is acquired from a multitude of bio and environmental sensors. On the other hand, its distribution and open structure makes it vulnerable and weak to security threats. Therefore, the aim of this paper was to identify the security challenges in healthcare.
Materials and Methods: This applied research has been done in three phases using mixed-method approach in 2019. In the first phase, security codes from library resources by content analysis was identified. In the second phase interpretation of experts by Delphi method, Panel of IT experts consists of twelve members who work on healthcare sector was evaluated. Finally, we used Analytic Hierarchy Process method for ranking security codes.
Results: According to fuzzy AHP results attacks(0.31), secure communications(0.23), authentication and access control(0.19), trust(0.15) and privacy preservation(0.12) are the most important criteria in security challenges of fog computing.
Conclusion: According to the results of this study, secure communications and network attacks are the major challenges in fog computing, because fog nodes are usually deployed in some places with relatively weak protection. They may encounter various malicious attacks. As a result, policymakers should be aware of the role of secure communications and network attacks in fog computing implementation.

Kobra Nakhoda, Mohammad Ali Hosseini, Kamran Mohammadkhani, Nader Gholi Ghorchian,
Volume 14, Issue 4 (Oct & Nov 2020)
Abstract

Background and Aim: International student satisfaction is a vital element in international universities and one of the promotion methods in the global ranking, and is considered as a competitive factor.
Materials and Methods: The research method is mixed (quantitative-qualitative) of exploratory-confirmatory type. The statistical population includes experts, international department managers and foreign students(1352 people) in three universities of medical sciences in Tehran, Shahid Beheshti and Iran. The sampling method is qualitative, purposeful and the sample size is 21 professors. In a small part of the multi-stage cluster method, 450 international students were selected. The research tool was a semi-structured interview in the qualitative part of the interview and a researcher-made questionnaire in the quantitative part.
Results: According to the research results, the most influential factor in the foreign students' satisfaction model includes virtual services(0.84), loyalty(0.81), university reputation and rank (0.78), admission process(0.75), Research services(0.72), Staff and management services(0.71), International services(0.70), Educational services(0.68), Health services(0.67), Welfare services(0.65), Financial facilities(0.64), university infrastructure(0.63) and cultural services(0.61).
Conclusion: In order to attract financial resources, international competition, improve regional and global ranking, universities should consider and plan the priorities of the proposed satisfaction model to improve the level of satisfaction of foreign students.

Zahra Danaei, Elahe Jazayeri Gharehbagh, Seyed Mahdi Hosseini Pooya, Samaneh Baradaran,
Volume 14, Issue 5 (Dec & Jan 2021)
Abstract

Background and Aim: In angiography, the lens of the eye may be exposed to radiation and cause cataracts. In Iran, at present, only a single film dosimeter is used under the lead-apron to evaluate individual doses. The aim of this study was to investigate the status of occupational radiation as well as the validity of measuring the dose of the whole body of individuals and eye lenses using a single film dosimeter.
Materials and Methods: In this study, the dose of the whole body and eye lenses were measured using a combination of film and thermoluminescence dosimeters for 35 employees of the angiography departments in three selected hospitals under the auspices of Tehran University of Medical Sciences(TUMS). To measure the eye lens dose, three thermoluminescence dosimeter pellets were used on the forehead, and left and right eyes; and to measure the whole body dose using the two-dosimetry method, a TLD card mounted on the chest and on the lead apron and a film dosimeter on the chest and under the lead apron were used.
Results: The angiography personnel's monthly dose mean of the eye lenses and the whole body were approximately 240.6±6.4 μSv and 120.3±3.3 μSv, 
respectively(the corresponding amount for the annual dose is less than the levels recommended by international authorities). In addition, the dose ratio of film badge to whole body and eye  lens was 0.35 and 0.51, with correlation coefficients of 0.97 and 0.5, respectively. Also, the ratio of eye lens dose to depth dose(TLD) on the lead apron was 1.18 with a correlation coefficient of 0.79.
Conclusion: Using a single film dosimter under the lead apron to estimate the dose of the whole body is almost accurate but this dosimeter alone is not suitable for the assessment of the lens dose of the eye; it is necessary to use an individual dosimeter on the lead apron.
 

Fatemeh Esmaili, Najmeh Ashouri, Seyedeh Mahboobeh Hosseini Zare,
Volume 17, Issue 1 (3-2023)
Abstract

Background and Aim: Antibiotics are one of the most commonly used drugs that help to heal and treat diseases, but improper administration and excessive use of them can increase length of stay and cost of hospitalization. The purpose of this study was to analyze relationship between experimental use of antibiotics and duration of stay of premature infants admitted to Mahdiyeh hospital in Tehran.
Materials and Methods: This descriptive-analytical and cross-sectional study was carried out in 2019 on 159 premature infants admitted to intensive care ward of Mahdiyeh hospital in Tehran were investigated. The study tool was a questionnaire that validity of questionnaire was measured by content analysis method and reliability of questionnaire was measured by Cronbach’s alpha method. Data analysis was done using SPSS software, with help of descriptive statistics of frequency and percentage and statistical test of one-way analysis of variance and independent t-test.
Results: The results showed that 52.2% of infants were girls and 79.9% of deliveries were performed by cesarean section. The average length of stay of infants was 31.47 days and average birth of infants was 30 weeks. According to results of study, there was a significant relationship between length of hospitalization of infants with duration of antibiotic treatment and number of periods of receiving antibiotics (P<0.05). The duration of hospitalization of infants with a period of receiving less than 14 days of antibiotics was almost half of duration of hospitalization of infants with more than 14 days of receiving antibiotics. Also, there was a significant relationship between number of antibiotic courses and length of hospitalization of patients (P<0.05). With increase in number of antibiotic sessions, duration of hospitalization of infants increased significantly. The results of study showed that there was a significant relationship between birth weight of babies, cost of bed, and total cost of experimental administration of antibiotics (P<0.05).
Conclusion: Considering that rational use of antibiotics reduce length of stay of hospitalized infants, Ministry of Health should develop an updated and transparent antibiotic adminstration protocol for premature infants and awareness physicians to inform particularly prescription of antibiotics and implementation of stewardship antibiotic programs in neonatal intensive care unit. Also the publication of standard treatment guidelines, instructions including importance of prescribing antibiotics with correct dose and clinical education of physicians are necessary.

 

Hamid Moghaddasi, Farkhondeh Asadi, Azamossadat Hosseini, Masoomeh Nouri Tahneh,
Volume 17, Issue 4 (10-2023)
Abstract

Background and Aim: The Hospital Information System is a complete one to provide high-quality patient care and enhance community health, so it must be designed and produced accordingly. In this regard, the current research was carried out with the aim of providing the document of standards for producing Hospital Information System software for Iran. 
Materials and Methods: In this study, following extraction of the features and services of the Hospital Information System from the texts, they were matched with the generalities of the document of standards compiled by the Statistical Data Management and Information Technology Office of the Ministry of Health, Treatment, and Medical Education (SDMITO). Also, the Hospital Information System was reviewed observationally, all defects of document of standards were identified, and the document was amended throughout. After providing the proposed document of standards, it was consulted by a group of experts, which included ten health information management professors, ten medical informatics professors (with at least seven years of experience as members of the academic staff), and five heads of the information technology field of the Ministry of Health. An agreement coefficient of 85% was considered to accept and approve the document of standards. After obtaining the agreement coefficient, The Hospital Information System software production document of standards was provided.
Results: The document of standards provided for the production of Hospital Information System software includes the Hospital Information System design meta model, Hospital Information System subtypes, standards for the structure and content of Electronic Health Record, information terminology standards, data classification standards, security data standards, data exchange standards, clinical services, and management services, which were placed in the four areas of “features”, “services”, “documentation requirements” and “rules and policies”.                     
Conclusion: The application of this document of standards leads to the production of a higher quality, efficient, and standard Hospital Information System software, which is effective in improving the health level of society and provides the conditions for the implementation of Electronic Health Record.

Samira Sadat Pourhosseini, Nozar Nakhaee, Vahid Yazdi-Feyzabadi, Reyhane Saljooghinejad,
Volume 18, Issue 6 (2-2025)
Abstract

Background and Aim: Social emergency is intervention programs aimed at preventing social problems by managing social crises. Public awareness of this program plays a crucial role in mitigating such problems. This study aimed to assess the level of public awareness and practice regarding social emergency services.
 Materials and Methods: This cross-sectional survey was conducted in 2023 using an online questionnaire and convenience sampling. A total of 706 urban residents of Kerman participated. The data collection tool comprised four sections: demographic information, awareness of social emergency services, awareness of examples of social problems, and practice when encountering social problems.
Results: The mean age of respondents was 36 years, and the majority (70.3%) were women. Regarding awareness, 71% of participants had poor knowledge of social emergency, and 86.7% demonstrated poor awareness of examples of social problems. Additionally, 44.2% exhibited inadequate practice when encountering social problems. The logistic regression analysis revealed a significant association between awareness of social emergency services and both performance and higher education. Individuals with adequate awareness exhibited, on average, 2.28 times better performance than those with inadequate awareness. Similarly, individuals with higher education had, on average, 3.68 times better awareness as compared to those with less than a high school diploma. A significant relationship was also found between awareness of social problems indicators and marital status. Married individuals demonstrated, on average, 0.56 times lower awareness as compared to single individuals. Furthermore, gender and education level were significantly associated with performance. Men’s performance levels were, on average, 1.42 times better than women’s. Additionally, individuals with university and high school education exhibited, on average, 4.22 and 3.47 times better performance, respectively, than those with less than a high school diploma.
Conclusion: Given the poor public awareness of social emergency, there is an urgent need for programs aimed at raising awareness about social problems and the role of social emergency in supporting victims.

Seyed Hadi Hosseini, Saeed Shahsavari, Yasaman Poormoosa, Mitra Rahimzadeh,
Volume 19, Issue 2 (7-2025)
Abstract

Background and Aim: Medical university-affiliated dental clinics, particularly those located in metropolitan areas, provide oral healthcare services to a wide range of patients with diverse demographic and socio-cultural backgrounds. The sustainability and continued effectiveness of these clinics largely depend on patients’ satisfaction and loyalty. Understanding the determinants of these two critical factors and exploring their interrelationship is essential for improving service delivery and enhancing patient retention. Therefore, the present study aimed to analyze patient satisfaction and loyalty in a university dental clinic using a structural equation modeling (SEM) approach.
Materials and Methods: This cross-sectional, descriptive-analytical study was conducted during 2023–2024 on a sample of 190 patients who visited the dental clinic of Alborz University of Medical Sciences. Participants were selected through convenience sampling. Data were collected using two standardized questionnaires: one assessing dental patient satisfaction and the other measuring patient loyalty. Structural equation modeling was employed using AMOS software, and model fit was evaluated using standard indices including the Comparative Fit Index (CFI), Tucker-Lewis Index (TLI), and Root Mean Square Error of Approximation (RMSEA).
Results: The SEM analysis revealed a significant and positive relationship between patient satisfaction and loyalty (β=0.931, P<0.001). Among the dimensions of satisfaction, hygiene and physical conditions (β=0.939), responsiveness and service delivery (β=0.847), appointment scheduling and waiting time (β=0.761) had the most substantial impact on overall satisfaction (P<0.001). Additionally, attitudinal (β=0.996) and behavioral (β=0.859) components emerged as key dimensions of patient loyalty. Model fit indices demonstrated an acceptable level of fit with the data (CFI=0.893, RMSEA=0.077).
Conclusion: To enhance patient satisfaction and foster loyalty, university dental clinics should prioritize internal operational improvements, particularly in the areas of environmental hygiene, service responsiveness, and time management. Creating a positive mental impression through these factors can serve as a foundational step in cultivating long-term loyalty, ultimately contributing to the clinic’s credibility and sustainable performance within a competitive healthcare environment.

Shohreh Seyyed-Hosseini, Marzieh Shahbazi, Alireza Davarpanah, Fatemeh Kalteh, Reza Basirian-Jahromi,
Volume 19, Issue 5 (12-2025)
Abstract

Background and Aim: The monitoring of users’ real-time and continuous web searches, in conjunction with the identification of research conducted by experts in a specific field, constitutes the domain of infodemiology. The present study sought to examine the correlation between the demand for health information among users and the scientific output of researchers in elderly health from 2015 to 2024.
Materials and Methods: The present data mining research is of a descriptive-analytical nature, conducted using web mining and scientometrics approaches, employing infodemiology indicators. The web mining section of the study population comprised global user search keywords in the field of elderly health, as examined using Google Trends. In the scientometrics section, the research conducted by researchers in the field of elderly health was analyzed. This research was indexed in the PubMed database from 2015 to 2024. To examine the alignment between users’ information-seeking behavior and researchers’ scientific output, correlation tests were performed using SPSS software.
Results: A rise was observed in the volume of scientific output from researchers and the user search volume index in the field of elderly health on the Google search engine from 2015 to 2024. The monthly mean growth of scientific output from researchers over the ten years was 1439.70. In the user behavior of health information seeking (health information demand), the highest relative search volume index belonged to Ireland, Jamaica, and the United States of America, respectively. The highest number of scientific articles by researchers in the field of elderly health, with 20,480 articles, was related to the year 2021. Also, the average monthly growth of scientific output by researchers in the field of elderly health in this ten-year period (from January 2015 to December 2024) was 1439.70. The investigation revealed a direct and significant relationship (P-value<0.005) between users’ information-seeking behavior and researchers’ scientific output in this field, as determined by applying the Google search engine.
Conclusion: A multitude of factors have the capacity to influence the level of scientific output from researchers in the field of elderly health. In view of the positive relationship that has been observed and the reciprocal relation between the variables of users’ information-seeking behavior and researchers’ scientific output, it can be concluded that the factor of information demand, or users’ internet information-seeking behavior in the web environment, in this area, can be one of the most significant factors. This factor must be given due consideration through rigorous research.


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