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Showing 766 results for Type of Study: Original Research
Alireza Jafarkhani, Behzad Imani, Sina Ghasemi,
Volume 18, Issue 4 (10-2024)
Volume 18, Issue 4 (10-2024)
Abstract
Background and Aim: Today, an important part of the surgeries performed in the operating room are emergency surgeries. Surgeries are generally necessary in the face of acute life-threatening conditions. Today, due to the increase in the number of emergency surgeries performed in hospitals and the challenging nature of these surgeries, several problems have arisen in the operating room. This study aimed to explain the lived experience of operating room nurses of the challenges that arise following the admission of emergency patients.
Materials and Methods: This research is a qualitative study that was conducted using descriptive phenomenology in 2023 in all hospitals affiliated with Hamadan University of Medical Sciences. The samples of this study were selected using purposeful and snowball sampling. In this research, data were collected through 10 semi-structured interviews with operating room nurses. The data obtained were analyzed to determine the main and sub-categories using Colaizzi’s method
Results: The results of this study showed that the average age of the participants was 46.2 years and their average work experience was 18.5 years. After analyzing the interviews, it was found that the challenges arising from the admission of emergency patients from the perspective of the experiences of operating room nurses are classified into three main themes and 10 subthemes. The main themes of this study include operating room supplies and infrastructure (structural limitations of the operating room, provision of human resources for emergency surgeries, provision of equipment and tools required for surgery, and negligence in providing timely medical services), clinical risks during surgery (threat to patient safety, disregard for observing the principles of sterility and the patient's unique physical condition), and coordination and communication (unconstructive interaction of the surgeon with staff, unusual behaviors of companions in the operating room, and insufficient support for the patient by others).
Conclusion: To prevent challenges, early identification is essential. By planning and implementing preventive measures, improving nurse training, improving infrastructure, and strengthening interdisciplinary collaboration, we can improve the quality of emergency surgical procedures and increase patient satisfaction.
Materials and Methods: This research is a qualitative study that was conducted using descriptive phenomenology in 2023 in all hospitals affiliated with Hamadan University of Medical Sciences. The samples of this study were selected using purposeful and snowball sampling. In this research, data were collected through 10 semi-structured interviews with operating room nurses. The data obtained were analyzed to determine the main and sub-categories using Colaizzi’s method
Results: The results of this study showed that the average age of the participants was 46.2 years and their average work experience was 18.5 years. After analyzing the interviews, it was found that the challenges arising from the admission of emergency patients from the perspective of the experiences of operating room nurses are classified into three main themes and 10 subthemes. The main themes of this study include operating room supplies and infrastructure (structural limitations of the operating room, provision of human resources for emergency surgeries, provision of equipment and tools required for surgery, and negligence in providing timely medical services), clinical risks during surgery (threat to patient safety, disregard for observing the principles of sterility and the patient's unique physical condition), and coordination and communication (unconstructive interaction of the surgeon with staff, unusual behaviors of companions in the operating room, and insufficient support for the patient by others).
Conclusion: To prevent challenges, early identification is essential. By planning and implementing preventive measures, improving nurse training, improving infrastructure, and strengthening interdisciplinary collaboration, we can improve the quality of emergency surgical procedures and increase patient satisfaction.
Hojjat Rahmani, Sadegh Moradi, Nayeb Fadaei Dehcheshmeh,
Volume 18, Issue 4 (10-2024)
Volume 18, Issue 4 (10-2024)
Abstract
Background and Aim: The fundamental right and most valuable asset for all strata of society is the enjoyment of health. Individuals residing in nomadic settings face geographical, social, cultural, and linguistic barriers when seeking access to essential services. The provision of healthcare services to nomads has become a complex issue due to the nature of the lifestyle. The aim of this study was to assess the challenges in the provision of healthcare services among the nomads in the Khuzestan province.
Materials and Methods: This study uses a qualitative approach, involving seventeen managers and staff from health centers affiliated with Ahvaz University of Medical Sciences. The data collection approach was inductive. Data were gathered through individual interviews, and participants’ opinions were recorded. The data were analyzed using the conventional content analysis method with a mixed approach (deductive and inductive). The credibility and quality of the data were assessed using the Guba and Lincoln method.
Results: The challenges in providing healthcare services in nomads were identified in nine categories and three overarching themes. The themes encompassed the nature and characteristics of the non-sedentary populations, the healthcare system, and the responsibilities of other sectors. The nature and characteristics of the nomads were categorized into five categories: demographic, cultural, climatic-geographic, socio-ethnic-tribal, and lifestyle. The healthcare delivery comprises of two aspects: structural and procedural. Additionally, the duties of other development sectors were categorized into two categories: infrastructures and inter-sectoral collaborations. The results showed that nomads face barriers to receiving healthcare due to the inherent characteristics of them, the healthcare system, and the performance of other organizations. The unstable population, cultural diversity, scattered distribution of the population, and their ethnic and migration-based lifestyle are among the inherent characteristics of nomads that impact the provision of services.
Conclusion: The provision of health services to nomads is influenced by recipients’ and providers’ characteristics. Decision-makers and managers, considering the unique conditions of life in the design and implementation of health programs, decision-makers and managers should prioritize strengthening healthcare networks in hard-to-reach areas. Given the limited resources and infrastructure weaknesses in settlements, inter-sectoral collaboration and the development of resources and infrastructure (applying the One Health approach) are important.
Materials and Methods: This study uses a qualitative approach, involving seventeen managers and staff from health centers affiliated with Ahvaz University of Medical Sciences. The data collection approach was inductive. Data were gathered through individual interviews, and participants’ opinions were recorded. The data were analyzed using the conventional content analysis method with a mixed approach (deductive and inductive). The credibility and quality of the data were assessed using the Guba and Lincoln method.
Results: The challenges in providing healthcare services in nomads were identified in nine categories and three overarching themes. The themes encompassed the nature and characteristics of the non-sedentary populations, the healthcare system, and the responsibilities of other sectors. The nature and characteristics of the nomads were categorized into five categories: demographic, cultural, climatic-geographic, socio-ethnic-tribal, and lifestyle. The healthcare delivery comprises of two aspects: structural and procedural. Additionally, the duties of other development sectors were categorized into two categories: infrastructures and inter-sectoral collaborations. The results showed that nomads face barriers to receiving healthcare due to the inherent characteristics of them, the healthcare system, and the performance of other organizations. The unstable population, cultural diversity, scattered distribution of the population, and their ethnic and migration-based lifestyle are among the inherent characteristics of nomads that impact the provision of services.
Conclusion: The provision of health services to nomads is influenced by recipients’ and providers’ characteristics. Decision-makers and managers, considering the unique conditions of life in the design and implementation of health programs, decision-makers and managers should prioritize strengthening healthcare networks in hard-to-reach areas. Given the limited resources and infrastructure weaknesses in settlements, inter-sectoral collaboration and the development of resources and infrastructure (applying the One Health approach) are important.
Afshan Tajbakhsh, Nadjla Hariri, Mohammad Hassanzadeh,
Volume 18, Issue 4 (10-2024)
Volume 18, Issue 4 (10-2024)
Abstract
Background and Aim: The development of the internet and the digitalization of higher education have facilitated the possibility of online course delivery, enabling instructors and students to interact through virtual education. Virtual learning can enhance access to educational resources and services through communication technologies, regardless of time and location. Accordingly, the objective of this study is to design a virtual education model for teaching information literacy skills on the websites of medical university libraries across the country.
Materials and Methods: This research was conducted with a mixed approach (qualitative and quantitative). In the first stage, the meta-combination method and the study of previous researches were used according to the research topic and the components were extracted, and after several checks with experts, the necessary concepts and components for the design of the model were extracted. Then, using the Delphi method, experts’ opinions were applied to the output of the meta-combination stage, and the final questionnaire was designed and made available to the statistical community, and finally, in the fourth stage, modeling and validation and fitting of the model took place.
Results: The final model was developed using meta-synthesis and validated by experts, comprising 7 main categories, 14 subcategories, and 102 indicators. The main categories include technical factors, strategic factors, instructor-related components, structural factors, educational factors, content-related factors, and assessment and evaluation factors. From the users’ perspective, the content-related subcategory recorded the lowest value, with a score of 0.518 for users and 0.533 for instructors. Conversely, the assessment and evaluation subcategory achieved the highest scores, with 0.916 from the instructors’ perspective, 0.953 jointly from both users and instructors, and 0.842 for structural factors from the users’ perspective.
Conclusion: The results of the research showed that there is a significant relationship between the virtual training of information literacy skills on the website of the libraries of medical sciences universities of the country and the mentioned factors. Therefore, the model obtained in this study can be a basis for designing and compiling a framework for electronic learning of information literacy. Acquiring information literacy skills and fostering an information-literate society is a crucial necessity in the information age, particularly for graduate students whose work and activities are inherently tied to research and problem-solving.
Materials and Methods: This research was conducted with a mixed approach (qualitative and quantitative). In the first stage, the meta-combination method and the study of previous researches were used according to the research topic and the components were extracted, and after several checks with experts, the necessary concepts and components for the design of the model were extracted. Then, using the Delphi method, experts’ opinions were applied to the output of the meta-combination stage, and the final questionnaire was designed and made available to the statistical community, and finally, in the fourth stage, modeling and validation and fitting of the model took place.
Results: The final model was developed using meta-synthesis and validated by experts, comprising 7 main categories, 14 subcategories, and 102 indicators. The main categories include technical factors, strategic factors, instructor-related components, structural factors, educational factors, content-related factors, and assessment and evaluation factors. From the users’ perspective, the content-related subcategory recorded the lowest value, with a score of 0.518 for users and 0.533 for instructors. Conversely, the assessment and evaluation subcategory achieved the highest scores, with 0.916 from the instructors’ perspective, 0.953 jointly from both users and instructors, and 0.842 for structural factors from the users’ perspective.
Conclusion: The results of the research showed that there is a significant relationship between the virtual training of information literacy skills on the website of the libraries of medical sciences universities of the country and the mentioned factors. Therefore, the model obtained in this study can be a basis for designing and compiling a framework for electronic learning of information literacy. Acquiring information literacy skills and fostering an information-literate society is a crucial necessity in the information age, particularly for graduate students whose work and activities are inherently tied to research and problem-solving.
Taleb Khodaveisi, Hamid Bouraghi, Tooba Mehrabi, Javad Faradmal, Mahdiye Shojaei Baghini, Ali Mohammadpour,
Volume 18, Issue 5 (11-2024)
Volume 18, Issue 5 (11-2024)
Abstract
Background and Aim: Identifying the educational needs of health information technology staff is essential before implementing any continuous education programs. This comprehensive study investigates these needs among health information technology personnel working in hospitals in the Hamadan province, considering both the general and specialized aspects of the field.
Materials and Methods: This descriptive cross-sectional study was conducted across 11 hospitals affiliated with Hamadan University of Medical Sciences. The study population comprised staff from the reception, medical records, statistics, and coding departments. Data were gathered using a validated and reliable standardized questionnaire. Collection methods included both in-person and remote approaches. Data analysis was performed using SPSS software, with results reported through descriptive and inferential statistics, specifically utilizing the Kruskal-Wallis test.
Results: The results of this study showed that among the generally accepted needs, items such as information technology (96.7%), legal aspects of medical records (87.6%), and communication skills (76.7%) had the highest percentage. Additionally, educational needs varied across different units: Coding unit staff required more training in the principles of diagnosis documentation (92.9%), familiarity with the coding guidelines for causes of death (85.7%), and familiarity with the coding guidelines for procedures (85.7%), statistics unit staff needed training in statistical software, and reception and medical records staff required education on relevant regulations. There was also a significant correlation between educational needs and certain individual characteristics such as work experience, education level, gender, and field of study.
Conclusion: The study results indicate that designing effective educational programs for health information technology staff requires consideration of individual characteristics, such as gender, work experience, and education level. Additionally, the training should be continuous, tailored to the distinct needs of each group, and delivered at appropriate intervals.
Materials and Methods: This descriptive cross-sectional study was conducted across 11 hospitals affiliated with Hamadan University of Medical Sciences. The study population comprised staff from the reception, medical records, statistics, and coding departments. Data were gathered using a validated and reliable standardized questionnaire. Collection methods included both in-person and remote approaches. Data analysis was performed using SPSS software, with results reported through descriptive and inferential statistics, specifically utilizing the Kruskal-Wallis test.
Results: The results of this study showed that among the generally accepted needs, items such as information technology (96.7%), legal aspects of medical records (87.6%), and communication skills (76.7%) had the highest percentage. Additionally, educational needs varied across different units: Coding unit staff required more training in the principles of diagnosis documentation (92.9%), familiarity with the coding guidelines for causes of death (85.7%), and familiarity with the coding guidelines for procedures (85.7%), statistics unit staff needed training in statistical software, and reception and medical records staff required education on relevant regulations. There was also a significant correlation between educational needs and certain individual characteristics such as work experience, education level, gender, and field of study.
Conclusion: The study results indicate that designing effective educational programs for health information technology staff requires consideration of individual characteristics, such as gender, work experience, and education level. Additionally, the training should be continuous, tailored to the distinct needs of each group, and delivered at appropriate intervals.
Saeed Pirmoradi,
Volume 18, Issue 5 (11-2024)
Volume 18, Issue 5 (11-2024)
Abstract
Background and Aim: One of the ways to control high blood pressure is to deactivate the renin-angiotensinogen-aldosterone RAAS system. Renin, also known as angiotensinogenase,It is a type of enzyme that is produced in the afferent arterioles of the kidney by special cells called juxtaglomerular cells and secreted into the bloodstream and converts angiotensinogen protein into angiotensin type 1, which is very effective in causing high blood pressure. Inhibition of renin as the rate-limiting step of this cycle is an effective way to stop it, which plays a role in the treatment of some diseases related to the heart and blood vessels and blood pressure. The purpose of this study is to use new and different methods based on software to discover newer medicinal compounds with less side effects and cost and in a shorter time to discover based on a reference drug for the treatment and control of blood pressure disease.
Materials and Methods: By selecting the inhibitory reference compound of renin enzyme by bioinformatics tools such as PHARMIT, ZINCPHARMER during virtual search through the structural and pharmacophoretic properties of the reference inhibitory compound, a number of new ligands were obtained. Then the docking process was performed and the selected top ligands in terms of toxicity, allergy, toxicity and ADME prediction were examined with the help of tools such as molsoft, PKCSM, way2drug and swiss ADME.
Results: Among the four final top ligands obtained, one of the ligands had the most interaction with different residues and with a higher docking binding energy (vina score=-9.7) than the others, and then the other two ligands had a favorable binding energy.Among the effective interacting residues, Asp215, Asp32 and Leu114 were bound to renin enzyme in superior ligands, such as the reference compound.
Conclusion: In general, the selected inhibitory ligands showed a good ability to interact with residues involved in substrate selectivity and catalytic activity and inhibition of renin enzyme activity according to the analysis of bioinformatics tools and their confirmation requires clinical studies.
Materials and Methods: By selecting the inhibitory reference compound of renin enzyme by bioinformatics tools such as PHARMIT, ZINCPHARMER during virtual search through the structural and pharmacophoretic properties of the reference inhibitory compound, a number of new ligands were obtained. Then the docking process was performed and the selected top ligands in terms of toxicity, allergy, toxicity and ADME prediction were examined with the help of tools such as molsoft, PKCSM, way2drug and swiss ADME.
Results: Among the four final top ligands obtained, one of the ligands had the most interaction with different residues and with a higher docking binding energy (vina score=-9.7) than the others, and then the other two ligands had a favorable binding energy.Among the effective interacting residues, Asp215, Asp32 and Leu114 were bound to renin enzyme in superior ligands, such as the reference compound.
Conclusion: In general, the selected inhibitory ligands showed a good ability to interact with residues involved in substrate selectivity and catalytic activity and inhibition of renin enzyme activity according to the analysis of bioinformatics tools and their confirmation requires clinical studies.
Zohre Abbaszade Molaei, Aeen Mohammadi, Manijeh Hooshmandja,
Volume 18, Issue 5 (11-2024)
Volume 18, Issue 5 (11-2024)
Abstract
Background and Aim: With the advancement of information technology in the new century, changes are experienced in all aspects of life. One of the reflections of these changes in education is conducting exams electronically instead of paper-and-pencil examinations. The success of virtual education is not achievable without considering the students’ viewpoints towards it. This study aimed to investigate the attitude and performance of students in online exams and their relationship with academic achievement.
Materials and Methods: This research is a mixed-method study (qualitative-quantitative). First, all related articles published, between 2000 to 2022, were extracted from ERIC, PubMed, ScienceDirect databases, and the Google Scholar search engine. Then, the attitude and performance questionnaire was designed and validated based on the literature review results. All BSc and MSc. nursing and midwifery students of Sarivar Nassibeh School filled out the questionnaire. Two hundred and five questionnaires were analyzed with SPSS using descriptive (mean and standard deviation) and inferential (t-test) statistics.
Results: Based on a content analysis of 15 selected articles, the extracted components were structured into 12 items. A preliminary questionnaire was designed with 28 questions across these 12 extracted components. Face validity was assessed using expert opinions, and necessary revisions were made. Both the Content Validity Index (CVI) and Content Validity Ratio (CVR) coefficients were employed for content validity. The final questionnaire comprised 22 items using a five-point Likert scale, ranging from strongly agree (score 5) to strongly disagree (score 1), with an internal consistency of 0.69. Exploratory factor analysis revealed that the questionnaire has six factors: “validity and accuracy”, “technical problems”, “types of questions and announcing the results”, “technique and simplicity”, “motivation and anxiety”, and “speed and error recording” that explain 60.88 percent of the total variance. Correlation results indicated no relationship between students’ attitudes and performance toward electronic examinations and academic achievement (r = 0.055, P-value = 0.432). There was a significant difference between male and female groups, BSc. and MSc. nursing and midwifery students, and semester of study.
Conclusion: The tool for measuring students’ attitudes and performance towards electronic exams has acceptable validity and reliability. This tool can be used to assess online exams and improvement plans.
Materials and Methods: This research is a mixed-method study (qualitative-quantitative). First, all related articles published, between 2000 to 2022, were extracted from ERIC, PubMed, ScienceDirect databases, and the Google Scholar search engine. Then, the attitude and performance questionnaire was designed and validated based on the literature review results. All BSc and MSc. nursing and midwifery students of Sarivar Nassibeh School filled out the questionnaire. Two hundred and five questionnaires were analyzed with SPSS using descriptive (mean and standard deviation) and inferential (t-test) statistics.
Results: Based on a content analysis of 15 selected articles, the extracted components were structured into 12 items. A preliminary questionnaire was designed with 28 questions across these 12 extracted components. Face validity was assessed using expert opinions, and necessary revisions were made. Both the Content Validity Index (CVI) and Content Validity Ratio (CVR) coefficients were employed for content validity. The final questionnaire comprised 22 items using a five-point Likert scale, ranging from strongly agree (score 5) to strongly disagree (score 1), with an internal consistency of 0.69. Exploratory factor analysis revealed that the questionnaire has six factors: “validity and accuracy”, “technical problems”, “types of questions and announcing the results”, “technique and simplicity”, “motivation and anxiety”, and “speed and error recording” that explain 60.88 percent of the total variance. Correlation results indicated no relationship between students’ attitudes and performance toward electronic examinations and academic achievement (r = 0.055, P-value = 0.432). There was a significant difference between male and female groups, BSc. and MSc. nursing and midwifery students, and semester of study.
Conclusion: The tool for measuring students’ attitudes and performance towards electronic exams has acceptable validity and reliability. This tool can be used to assess online exams and improvement plans.
Mahboubeh Fatemi, Mohammad Reza Yaghoobi-Ershadi, Yavar Rassi, Mohammad Mehdi Sedaghat, Hassan Vatandoost, Mahboubeh Bayat, Mehrdad Zarabi, Fatemeh Nikpoor, Amir Ahmad Akhavan,
Volume 18, Issue 5 (11-2024)
Volume 18, Issue 5 (11-2024)
Abstract
Background and Aim: Training and proper distribution of human resources are essential for maintaining and promoting society’s health. The first step in any health-related planning is to assess the current situation to draw a clear picture of the future to balance demand and supply. This research was conducted to assess the current situation of medical entomology and vector control/biology and vector control of the diseases in the country and determine the required human resources till 2025.
Materials and Methods: In this study, a “modified and combination model” was used, including the Hall model, which is location-based, and the Australian health workforce estimation model, which is a needs-based approach. The research was carried out in multiple stages, which included collecting the required data (number of faculty members, students, and graduates), the number of private companies providing spraying, and pest control services in all cities of the country and finally holding meetings with the board members of Biology and vector control of diseases and experts to estimate the human resources required in this field.
Results: Based on the data collected and face-to-face interviews conducted during six sessions with the experts in this field, it has been estimated that a total of 985 graduates have been trained in this discipline to date, while there is a requirement for 1,338 graduates in this area. Consequently, it is essential to train an additional 353 individuals in this field by the year 1404. In light of the country’s sixth five-year development plan, which allocates 30 percent of the total student population to postgraduate studies, it is imperative to prepare 35 individuals at the doctoral level, 71 at the master’s level, and 247 at the undergraduate level.
Conclusion: It seems that by accepting an average of 9 people at the Ph.D. level, 18 people at the master’s level, and 62 people at the bachelor’s level, in addition to matching the amount of demand and supply, there will be no problem for the employment of the graduates of this field.
Materials and Methods: In this study, a “modified and combination model” was used, including the Hall model, which is location-based, and the Australian health workforce estimation model, which is a needs-based approach. The research was carried out in multiple stages, which included collecting the required data (number of faculty members, students, and graduates), the number of private companies providing spraying, and pest control services in all cities of the country and finally holding meetings with the board members of Biology and vector control of diseases and experts to estimate the human resources required in this field.
Results: Based on the data collected and face-to-face interviews conducted during six sessions with the experts in this field, it has been estimated that a total of 985 graduates have been trained in this discipline to date, while there is a requirement for 1,338 graduates in this area. Consequently, it is essential to train an additional 353 individuals in this field by the year 1404. In light of the country’s sixth five-year development plan, which allocates 30 percent of the total student population to postgraduate studies, it is imperative to prepare 35 individuals at the doctoral level, 71 at the master’s level, and 247 at the undergraduate level.
Conclusion: It seems that by accepting an average of 9 people at the Ph.D. level, 18 people at the master’s level, and 62 people at the bachelor’s level, in addition to matching the amount of demand and supply, there will be no problem for the employment of the graduates of this field.
Maryam Jahanbakhsh, Mahnaz Noroozi, Majid Jangi, Fateme Ghadiri Kofrani,
Volume 18, Issue 5 (11-2024)
Volume 18, Issue 5 (11-2024)
Abstract
Background and Aim: Education on sexually transmitted diseases and functional disorders in Iranian women’s society are two important issues that should be addressed as aspects of sexual health. The evidence suggests that mobile phone-based applications can be a suitable tool to improve education in the field of sexual health. Therefore, in the current research, the design of the content model of the mobile phone-based application with an emphasis on diseases transmitted through sexual contact and functional disorders of women has been discussed.
Materials and Methods: The present study is applied-descriptive and was conducted in 3 stages as follows: determining the requirements of the application content model, designing it, and evaluating it. First, information needs were identified and extracted through a civilian review and a review of the App Store, Google Play, and Cafe Bazaar application stores. Then, the results were scientifically organized and reviewed and presented in the form of the application content form to a panel of 7 sexual health experts. The content model was reviewed by the experts and designed through UML diagrams and approved by technical specialists.
Results: The findings of the needs assessment phase consisted of compiling the content requirements of the application in the form of 6 areas: 1- sexual attitude and knowledge 2- improving the quality of sexual life 3- sexually transmitted diseases 4- HIV/AIDS 5- genital infections 6- dysfunction disorders and 41 sub-areas were approved by experts. The compiled model was drawn through the diagrams of the application, sequence, business process and state diagrams and was confirmed and developed during the evaluation with activity diagrams and display screens.
Conclusion: Mobile applications, which are not only more accessible than other technologies, but also provide a space for education, free from any shame and worry due to the one-way nature of the communication, are a suitable platform for increasing Iranian women’s attitudes and knowledge about their sexual health. The designed content model can serve as a Persian, scientific, and native prototype for the development and design of an application that can be implemented on mobile phones to educate women’s sexual health.
Results: The findings of the needs assessment phase consisted of compiling the content requirements of the application in the form of 6 areas: 1- sexual attitude and knowledge 2- improving the quality of sexual life 3- sexually transmitted diseases 4- HIV/AIDS 5- genital infections 6- dysfunction disorders and 41 sub-areas were approved by experts. The compiled model was drawn through the diagrams of the application, sequence, business process and state diagrams and was confirmed and developed during the evaluation with activity diagrams and display screens.
Conclusion: Mobile applications, which are not only more accessible than other technologies, but also provide a space for education, free from any shame and worry due to the one-way nature of the communication, are a suitable platform for increasing Iranian women’s attitudes and knowledge about their sexual health. The designed content model can serve as a Persian, scientific, and native prototype for the development and design of an application that can be implemented on mobile phones to educate women’s sexual health.
Elham Shakiba, Mahboobeh Sadat Fadavi, Mohammad Ali Nadi,
Volume 18, Issue 5 (11-2024)
Volume 18, Issue 5 (11-2024)
Abstract
Background and Aim: Smart power is the solidarity between science, knowledge and communication. With the advancement of technology, new space has been created in medical sciences. The aim of this research is Explaining the concept of Smart power and identifying its components in Universities of Medical Sciences
Materials and Methods: The current research was done qualitatively in 2023 using the grounded theory method. Deep and semi-structured interview was done with 13 faculty members of Medical Sciences Universities of the country selected through the purposeful and snowball sampling method and reached theoretical saturation. Strauss -Corbin method based on open, axial and selective coding was used for data analysis. To determine the accuracy and validity of the data, after coding the data, the opinions of six interview participants and six university professors who were familiar with the subject and method of the present research were sought.
Results: After the initial concepts were formulated, 77 open codes, 15 core codes, and five selective codes were identified for smart power. Strengthening artificial intelligence, e-health transformation, cross-border activities together constitute health technological responsiveness, are causal factors that affect the phenomenon of smart power. Actions that should be taken for smart power in medical universities, as strategies include technological innovation that is carried out with systematic technology, technological education, and research capacity building. Cyber management with technology-based performance, communication capability enhancement, information management are contextual factors that create special conditions for effective strategies. The conflict between tradition and modernization, information anxiety as organizational risks are intervention factors that interfere with and limit strategies. If the special conditions of strategies are provided and intervention factors are controlled, the outcome of strategies will be technological progress, development of communication network, integration of hard and soft power, and overall comprehensive health.
Conclusion: Using and developing this power, the policy makers of the health system will be able to solve problems such as the non-uniformity of health facilities in different regions, also the use of virtual university and electronic education, which will remove the time and place limitations and provide the opportunity for education to applicants in different parts of the country.
Materials and Methods: The current research was done qualitatively in 2023 using the grounded theory method. Deep and semi-structured interview was done with 13 faculty members of Medical Sciences Universities of the country selected through the purposeful and snowball sampling method and reached theoretical saturation. Strauss -Corbin method based on open, axial and selective coding was used for data analysis. To determine the accuracy and validity of the data, after coding the data, the opinions of six interview participants and six university professors who were familiar with the subject and method of the present research were sought.
Results: After the initial concepts were formulated, 77 open codes, 15 core codes, and five selective codes were identified for smart power. Strengthening artificial intelligence, e-health transformation, cross-border activities together constitute health technological responsiveness, are causal factors that affect the phenomenon of smart power. Actions that should be taken for smart power in medical universities, as strategies include technological innovation that is carried out with systematic technology, technological education, and research capacity building. Cyber management with technology-based performance, communication capability enhancement, information management are contextual factors that create special conditions for effective strategies. The conflict between tradition and modernization, information anxiety as organizational risks are intervention factors that interfere with and limit strategies. If the special conditions of strategies are provided and intervention factors are controlled, the outcome of strategies will be technological progress, development of communication network, integration of hard and soft power, and overall comprehensive health.
Conclusion: Using and developing this power, the policy makers of the health system will be able to solve problems such as the non-uniformity of health facilities in different regions, also the use of virtual university and electronic education, which will remove the time and place limitations and provide the opportunity for education to applicants in different parts of the country.
Mohammadhiwa Abdekhoda, Taha Samad Soltani, Leial Ghaderi Nansa,
Volume 18, Issue 6 (2-2025)
Volume 18, Issue 6 (2-2025)
Abstract
Background and Aim: Establishing dynamic relationships between graduates and current students should be a high priority for universities striving to progress in the rapidly changing and competitive market of third-generation universities. Due to the lack of effective communication with graduates in Iranian universities and the role of these systems in the technology ecosystem, the aim of this study is to analyze the needs of a graduate alumni management system and propose a conceptual model.
Materials and Methods: The research consisted of two main phases: needs analysis and process and software design. During the requirements engineering, as described in systems analysis and design references, a quick review was first conducted in selected databases regarding the capabilities and use cases of existing studies and the proposed features of innovative graduate alumni management systems. The extracted items from the rapid review were presented in a checklist. Then, functional requirements were extracted through interviews with 10 experts from the university’s educational deputy and faculty, using a two-round Delphi method. In the next stage, work processes were observed, and process owners were interviewed. UML diagrams were used to achieve a suitable description of a good system.
Results: In this study, the requirements were categorized into two main groups, comprising 37 functional and non-functional needs. The functional category included three significant subcategories: basic needs, social needs, and innovation needs. Basic needs encompassed the essentials required for the system’s fundamental operation. Social needs referred to the system’s ability to facilitate user interactions, while innovation needs involved new and creative features that could be added to the system. A software engineering specialist analyzed these functional needs and translated them into system use cases to be effectively incorporated into the system’s development.
Conclusion: The proposed conceptual model of the graduate alumni management system was analyzed and modeled based on user-centered requirements engineering. The proposed model provides a practical document for the effective implementation of a communication mechanism and active interaction between graduates, as well as current students, faculty members, and other staff in an innovation and entrepreneurship ecosystem.
Materials and Methods: The research consisted of two main phases: needs analysis and process and software design. During the requirements engineering, as described in systems analysis and design references, a quick review was first conducted in selected databases regarding the capabilities and use cases of existing studies and the proposed features of innovative graduate alumni management systems. The extracted items from the rapid review were presented in a checklist. Then, functional requirements were extracted through interviews with 10 experts from the university’s educational deputy and faculty, using a two-round Delphi method. In the next stage, work processes were observed, and process owners were interviewed. UML diagrams were used to achieve a suitable description of a good system.
Results: In this study, the requirements were categorized into two main groups, comprising 37 functional and non-functional needs. The functional category included three significant subcategories: basic needs, social needs, and innovation needs. Basic needs encompassed the essentials required for the system’s fundamental operation. Social needs referred to the system’s ability to facilitate user interactions, while innovation needs involved new and creative features that could be added to the system. A software engineering specialist analyzed these functional needs and translated them into system use cases to be effectively incorporated into the system’s development.
Conclusion: The proposed conceptual model of the graduate alumni management system was analyzed and modeled based on user-centered requirements engineering. The proposed model provides a practical document for the effective implementation of a communication mechanism and active interaction between graduates, as well as current students, faculty members, and other staff in an innovation and entrepreneurship ecosystem.
Maryam Katebi, Masoud Bahreini, Razieh Bagherzadeh, Shahnaz Pouladi,
Volume 18, Issue 6 (2-2025)
Volume 18, Issue 6 (2-2025)
Abstract
Background and Aim: Nurse managers leverage managerial intelligence to mitigate decision-making challenges and systemic issues. Emotional intelligence, a crucial aspect of managerial intelligence, is vital for job performance and leadership. This skill enables managers to comprehend their emotions and those of others and establish more effective communication. Also, managers in complex environments, such as hospitals, need systemic thinking. Systemic thinking enables managers to solve problems comprehensively, enhancing decision-making accuracy and efficiency. This study was conducted to determine the relationship between emotional intelligence and systemic thinking in nurse managers of affiliated hospitals of Bushehr University of Medical Sciences.
Materials and Methods: The present study is a descriptive-analytical correlational study. One hundred and forty-five nurse managers working in Bushehr University of Medical Sciences-affiliated hospitals were included in the study based on the inclusion criteria. The sampling was done as a full census. Data were collected using the demographic information form, Bradbury and Graves’ emotional intelligence questionnaire, and Amini et al.’s systemic thinking questionnaire. Data were analyzed using SPSS software, descriptive statistics (frequency, mean, and standard deviation), and analytical statistics (Pearson correlation coefficient). A significance level of less than 0.05 was considered in all cases.
Results: This study involved 145 nurse managers, 88.3% female, 84.8% married, and 87.6% holding a Bachelor of Science in Nursing (BSN). The mean age and average tenure in managerial positions were 41.93±6.37 and 8.68±6.52 years, respectively. The mean score for emotional intelligence (EI) among nurse managers was 130.81±11.84 (range: 28-168), while the mean score for systems thinking (ST) was 43.30±5.90 (range: 8-56). A positive correlation was found between emotional intelligence and systems thinking (r=0.365, P<0.001); however, EI was not a significant predictor of ST (β=0.131, P=0.146).
Conclusion: Considering the positive correlation between emotional intelligence and systemic thinking as essential management competencies, it is suggested that training these skills should be considered in continuing education programs for nurses and nurse managers. This will help managers strengthen their emotional intelligence and apply systemic strategies in nursing management.
Materials and Methods: The present study is a descriptive-analytical correlational study. One hundred and forty-five nurse managers working in Bushehr University of Medical Sciences-affiliated hospitals were included in the study based on the inclusion criteria. The sampling was done as a full census. Data were collected using the demographic information form, Bradbury and Graves’ emotional intelligence questionnaire, and Amini et al.’s systemic thinking questionnaire. Data were analyzed using SPSS software, descriptive statistics (frequency, mean, and standard deviation), and analytical statistics (Pearson correlation coefficient). A significance level of less than 0.05 was considered in all cases.
Results: This study involved 145 nurse managers, 88.3% female, 84.8% married, and 87.6% holding a Bachelor of Science in Nursing (BSN). The mean age and average tenure in managerial positions were 41.93±6.37 and 8.68±6.52 years, respectively. The mean score for emotional intelligence (EI) among nurse managers was 130.81±11.84 (range: 28-168), while the mean score for systems thinking (ST) was 43.30±5.90 (range: 8-56). A positive correlation was found between emotional intelligence and systems thinking (r=0.365, P<0.001); however, EI was not a significant predictor of ST (β=0.131, P=0.146).
Conclusion: Considering the positive correlation between emotional intelligence and systemic thinking as essential management competencies, it is suggested that training these skills should be considered in continuing education programs for nurses and nurse managers. This will help managers strengthen their emotional intelligence and apply systemic strategies in nursing management.
Najmeh Nazeri, Ali Shabani, Alireza Noruzi, Mostafa Hossini Golkar,
Volume 18, Issue 6 (2-2025)
Volume 18, Issue 6 (2-2025)
Abstract
Background and Aim: One of the pillars of scientific authority is the creation of a process for accessing information, referencing, and applying knowledge. The presence of strong information centers is considered a requirement for supporting this authority. Given the uncertainties of the future, there are various scenarios for accessing information in Iran, each of which requires appropriate measures for the effective application of knowledge. This research aims to understand the needs and requirements of the country’s information sector to achieve scientific authority.
Materials and Methods: Using futures studies methodologies and a combination of quantitative and qualitative methods, the indicators of information centers were first identified. Then, based on expert opinions, measures to achieve scientific authority were determined. The expert panel was purposefully selected from specialists with at least 10 years of experience in relevant fields. Validation of the scenarios and consensus-building were accomplished using an expert panel and focus group.
Results: A conceptual model was identified, comprising five components and 26 factors, which were prioritized based on 10 key drivers. Two critical uncertainties-access and information management, as well as the completion of the information cycle, led to the development of three scenarios: traditional, monopolistic, and democratic. Furthermore, indicators related to scientific authority were estimated based on expert opinions for a ten-year horizon within each scenario. The findings indicated that there was less differentiation among scenarios in the indicators of knowledge exchange and transfer, whereas greater differentiation was observed in the indicators of translation, outsourcing, and knowledge utilization. This highlights the necessity of directing effectiveness toward utility. These changes in the layers of processes and value creation in scientific authority could be traced.
Conclusion: According to the experts’ assessment of the indicators, in the knowledge exploitation stage of the traditional and exclusive scenarios, access to information in the components of knowledge exchange and transfer will not be adequately established. Therefore, to implement knowledge application, the presence of processes for support, promote, and facilitate scientific interaction will play a significant role in establishing scientific authority. Although the dominance of the view of knowledge as power and information as a source of power is expected to continue in the medium term, achieving scientific authority requires a transition to perspectives that offer greater support and provide a better platform for the formation of the information cycle and its broader distribution.
Materials and Methods: Using futures studies methodologies and a combination of quantitative and qualitative methods, the indicators of information centers were first identified. Then, based on expert opinions, measures to achieve scientific authority were determined. The expert panel was purposefully selected from specialists with at least 10 years of experience in relevant fields. Validation of the scenarios and consensus-building were accomplished using an expert panel and focus group.
Results: A conceptual model was identified, comprising five components and 26 factors, which were prioritized based on 10 key drivers. Two critical uncertainties-access and information management, as well as the completion of the information cycle, led to the development of three scenarios: traditional, monopolistic, and democratic. Furthermore, indicators related to scientific authority were estimated based on expert opinions for a ten-year horizon within each scenario. The findings indicated that there was less differentiation among scenarios in the indicators of knowledge exchange and transfer, whereas greater differentiation was observed in the indicators of translation, outsourcing, and knowledge utilization. This highlights the necessity of directing effectiveness toward utility. These changes in the layers of processes and value creation in scientific authority could be traced.
Conclusion: According to the experts’ assessment of the indicators, in the knowledge exploitation stage of the traditional and exclusive scenarios, access to information in the components of knowledge exchange and transfer will not be adequately established. Therefore, to implement knowledge application, the presence of processes for support, promote, and facilitate scientific interaction will play a significant role in establishing scientific authority. Although the dominance of the view of knowledge as power and information as a source of power is expected to continue in the medium term, achieving scientific authority requires a transition to perspectives that offer greater support and provide a better platform for the formation of the information cycle and its broader distribution.
Samira Sadat Pourhosseini, Nozar Nakhaee, Vahid Yazdi-Feyzabadi, Reyhane Saljooghinejad,
Volume 18, Issue 6 (2-2025)
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.
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.
Mojtaba Salimi Bani, Mehdi Ghassabi Chorsi, Roghayeh Ershad Sarabi,
Volume 18, Issue 6 (2-2025)
Volume 18, Issue 6 (2-2025)
Abstract
Background and Aim: Malaria is one of the health challenges in many countries worldwide. Iran is among the countries that have prioritized a malaria elimination program, aiming to interrupt local transmission of the disease by 2025. Health workeres (community health workers) play an important role in primary healthcare for identifying, controlling, and preventing malaria. Keeping their knowledge and skills up-to-date through continuous training can be effective in the success of this program. Virtual training is a modern educational method that facilitates such training courses. This study aimed to investigate the impact of virtual retraining courses on the knowledge, attitude, and performance of konarak health workers in implementing the malaria elimination program in 2022.
Materials and Methods: This research was a quasi-experimental study with a single-group pre-test and post-test design. The population included 69 individuals who were enrolled using a census method. Initially, a pre-test was conducted to assess the baseline level of knowledge, attitude, and performance of participants regarding malaria elimination strategies. Then, the educational intervention was delivered virtually, followed by a post-test to evaluate the outcomes. The educational content was provided in eight 45-minute sessions by an instructor from the Health worker Training Center using the Sky Room platform. Data collection was performed using a researcher-made questionnaire. Content validity of the questionnaire was confirmed, and its reliability was assessed in a pilot study prior to the training by the responsible expert; the Cronbach’s alpha coefficient of the questionnaire items was calculated at an acceptable level (r=0.83). Data were analyzed using SPSS software and paired t-tests.
Results: Out of 69 participants, 40 (58%) were male and 29 (42%) female. Comparison of pre-test and post-test results showed that the mean scores of knowledge, attitude, and performance of health workeres increased by 1.05, 1.2, and 1.17 units respectively after the training, and these differences were statistically significant (P=0.000).
Conclusion: Based on the results, considering the advantages of virtual training such as easy access, lower cost, and wide coverage, this method is recommended as a strategy for educational programs for healthcare staff.
Materials and Methods: This research was a quasi-experimental study with a single-group pre-test and post-test design. The population included 69 individuals who were enrolled using a census method. Initially, a pre-test was conducted to assess the baseline level of knowledge, attitude, and performance of participants regarding malaria elimination strategies. Then, the educational intervention was delivered virtually, followed by a post-test to evaluate the outcomes. The educational content was provided in eight 45-minute sessions by an instructor from the Health worker Training Center using the Sky Room platform. Data collection was performed using a researcher-made questionnaire. Content validity of the questionnaire was confirmed, and its reliability was assessed in a pilot study prior to the training by the responsible expert; the Cronbach’s alpha coefficient of the questionnaire items was calculated at an acceptable level (r=0.83). Data were analyzed using SPSS software and paired t-tests.
Results: Out of 69 participants, 40 (58%) were male and 29 (42%) female. Comparison of pre-test and post-test results showed that the mean scores of knowledge, attitude, and performance of health workeres increased by 1.05, 1.2, and 1.17 units respectively after the training, and these differences were statistically significant (P=0.000).
Conclusion: Based on the results, considering the advantages of virtual training such as easy access, lower cost, and wide coverage, this method is recommended as a strategy for educational programs for healthcare staff.
Akram Hemmatipour, Fatemh Karimi, Azam Jahangirimehr, Elham Abdolahi Shahvali, Mehdi Makvand,
Volume 18, Issue 6 (2-2025)
Volume 18, Issue 6 (2-2025)
Abstract
Background and Aim: One of the most important medical problems in the whole world is chronic pain, which affects millions of people every year and they are not provided with proper treatment. Research shows that one of the consequences of chronic pain is emotional reactions such as anxiety, depression, and stress that occur due to the long-term effects of pain. Therefore, the aim of the present study is to determine the effectiveness of cognitive-behavioral therapy on the mental health and pain intensity level of patients with chronic pain.
Materials and Methods: In this semi-experimental study, 126 patients with chronic musculoskeletal pain and having entry and exit criteria from physiotherapy centers under the supervision of Shoushtar Medical Sciences Faculty were randomly divided into two groups of 63 intervention and control. The intervention group received the intervention based on cognitive behavioral therapy for three months and 12 educational sessions. The patients of both groups completed the data collection tool, which included the numerical pain questionnaire (VAS) and the stress, anxiety and depression level questionnaire DASS21, before the intervention and one week after the completion of the educational intervention. To analyze the data, descriptive and parametric tests (paired t and independent t), Pearson correlation and covariance analysis were used using SPSS software.
Results: The average age of the participants was (46.12±27.16) years. The effectiveness of cognitive-behavioral therapy was associated with a significant reduction in stress, anxiety, and depression levels (P<0.001) only in the intervention group, and this reduction was seen in the levels of stress (P=0.032), anxiety (P=0.030), and depression (P=0.015) compared to the control group. A significant reduction in pain intensity was observed in both groups (P<0.001). However, this reduction in the intervention group was not statistically different from the control group (P>0.05). Also, there was no significant correlation between the levels of stress, anxiety, and depression and pain disability (P<0.05).
Conclusion: The findings of the present study emphasize the importance of using cognitive behavioral therapy in a group setting to treat stress, anxiety, depression, and pain intensity in patients with chronic musculoskeletal pain.
Materials and Methods: In this semi-experimental study, 126 patients with chronic musculoskeletal pain and having entry and exit criteria from physiotherapy centers under the supervision of Shoushtar Medical Sciences Faculty were randomly divided into two groups of 63 intervention and control. The intervention group received the intervention based on cognitive behavioral therapy for three months and 12 educational sessions. The patients of both groups completed the data collection tool, which included the numerical pain questionnaire (VAS) and the stress, anxiety and depression level questionnaire DASS21, before the intervention and one week after the completion of the educational intervention. To analyze the data, descriptive and parametric tests (paired t and independent t), Pearson correlation and covariance analysis were used using SPSS software.
Results: The average age of the participants was (46.12±27.16) years. The effectiveness of cognitive-behavioral therapy was associated with a significant reduction in stress, anxiety, and depression levels (P<0.001) only in the intervention group, and this reduction was seen in the levels of stress (P=0.032), anxiety (P=0.030), and depression (P=0.015) compared to the control group. A significant reduction in pain intensity was observed in both groups (P<0.001). However, this reduction in the intervention group was not statistically different from the control group (P>0.05). Also, there was no significant correlation between the levels of stress, anxiety, and depression and pain disability (P<0.05).
Conclusion: The findings of the present study emphasize the importance of using cognitive behavioral therapy in a group setting to treat stress, anxiety, depression, and pain intensity in patients with chronic musculoskeletal pain.
Mona Konkuri, Yousef Erfani, Sharmin Kharrazi, Setareh Haghighat,
Volume 18, Issue 6 (2-2025)
Volume 18, Issue 6 (2-2025)
Abstract
Background and Aim: Pseudomonas aeruginosa is a Gram-negative opportunistic pathogen that is often found in patients with cystic fibrosis, burn wounds, immunodeficiency, and chronic obstructive pulmonary disorder. In addition, P. aeruginosa is also considered one of the most important pathogens causing hospital infections, widely found in medical devices (ventilation), because they tend to grow on moist surfaces. Considering the importance of cystic fibrosis treatment and the ability of P. aeruginosa to form biofilms, this study examines the effect of nano zinc oxide particle on the expression of genes associated in biofilm formation in isolated P. aeruginosa from cystic fibrosis patients.
Materials and Methods: Sputum and throat samples from 150 patients with cystic fibrosis were cultured on MacConkey agar culture medium. After an overnight incubation, the grown colonies were determined and confirmed by biochemical tests. An antibiotic sensitivity test by disk diffusion method (Kirby –bauer) were used to determine the antibiotic susceptibility pattern. Zinc nanoparticles were synthesized following established protocols and evaluated using scanning electron microscopy (SEM). The multi-antibiotic-resistant strains were inoculated with 16 µg/ml of 2 nm ZnO nanoparticles and inhibition zone were meseared. The impact of these nanoparticles on the expression levels of gas, retS, lasR, and rhlR genes was assessed using Real-Time PCR. The relative gene expression level was determined using the gene expression method: (ΔΔCt-2).
Results: Of the total 150 samples, 73 (48.66%) isolates were identified as P. aeruginosa. All P. aeruginosa isolates were resistant to selected antibiotics. SEM evaluation indicated that the synthesized nanoparticles had an average size of approximately 4 ± 0.44 nm. The results from the Real-Time PCR tests showed a decrease in the expression of the gacA, retS, lasR, and rhlR genes in the presence of the zinc nanoparticles in P. aeruginosa strains. The most significant reduction in gene expression was observed for the rhlR gene, whereas the least reduction was noted for the retS gene.
Conclusion: The use of nano zinc oxide can eliminate Pseudomonas aeruginosa infection by preventing biofilm formation and providing better treatment results for cystic fibrosis patients with lung infection.
Materials and Methods: Sputum and throat samples from 150 patients with cystic fibrosis were cultured on MacConkey agar culture medium. After an overnight incubation, the grown colonies were determined and confirmed by biochemical tests. An antibiotic sensitivity test by disk diffusion method (Kirby –bauer) were used to determine the antibiotic susceptibility pattern. Zinc nanoparticles were synthesized following established protocols and evaluated using scanning electron microscopy (SEM). The multi-antibiotic-resistant strains were inoculated with 16 µg/ml of 2 nm ZnO nanoparticles and inhibition zone were meseared. The impact of these nanoparticles on the expression levels of gas, retS, lasR, and rhlR genes was assessed using Real-Time PCR. The relative gene expression level was determined using the gene expression method: (ΔΔCt-2).
Results: Of the total 150 samples, 73 (48.66%) isolates were identified as P. aeruginosa. All P. aeruginosa isolates were resistant to selected antibiotics. SEM evaluation indicated that the synthesized nanoparticles had an average size of approximately 4 ± 0.44 nm. The results from the Real-Time PCR tests showed a decrease in the expression of the gacA, retS, lasR, and rhlR genes in the presence of the zinc nanoparticles in P. aeruginosa strains. The most significant reduction in gene expression was observed for the rhlR gene, whereas the least reduction was noted for the retS gene.
Conclusion: The use of nano zinc oxide can eliminate Pseudomonas aeruginosa infection by preventing biofilm formation and providing better treatment results for cystic fibrosis patients with lung infection.
Masoud Mohammadi, Ali Mousavizadeh, Maysam Behnampour, Seyed Hassan Faqihi,
Volume 19, Issue 1 (4-2025)
Volume 19, Issue 1 (4-2025)
Abstract
Background and Aim: The COVID-19 pandemic has confronted the world with various problems in the economic, social and political dimensions of health. The present study aimed to investigate control and preventive measures in controlling COVID-19, to investigate the epidemiology and cumulative incidence of COVID-19, as well as management activities, empowerment of personnel, and capacity estimation in Kohgiluyeh and Boyer Ahmad provinces; an attempt was also made to use GIS geographic information to guide policymakers.
Materials and Methods: The present study is a cross-sectional study that was conducted using a review of reliable information within a period of 41 months after the identification of the first case of the disease in the province. The collected information, including sampling cases, hospitalizations, deaths, and COVID-19 vaccination statistics, was collected from the portal of the Center for Infectious Disease Management of the Ministry of Health, the Integrated Health System (SIB), and the Health System Information Observatory of the Ministry of Health, Treatment and Medical Education.
Results: The cumulative number of cases and deaths due to COVID-19 in the province is 130,129 and 1,137, respectively. The total number of doses of vaccine administered in the province, based on the coverage area, according to the Integrated Health System (IHS), was 1,363,703. Also, increasing the bed capacity of the intensive care unit in the province to 55 beds, setting up three CT scanners in the provincial hospitals, and setting up a cellular and molecular laboratory in the two cities of Boyer Ahmad and Kohgiluyeh, in addition to distributing COVID-19 vaccines to all health centers, health bases, and health and medical centers, and sending mobile teams to conduct COVID-19 vaccinations to administer the vaccine door-to-door and in offices and organizations, were among the management activities in the field of COVID-19 control in the province.
Conclusion: Increasing the capacity to sample suspected cases and identify patients in the shortest possible time, isolating them, taking intervention measures to encourage people to get vaccinated, and creating awareness about preventing this disease have reduced the burden caused by it and increased the response capacity of the provincial health system.
Materials and Methods: The present study is a cross-sectional study that was conducted using a review of reliable information within a period of 41 months after the identification of the first case of the disease in the province. The collected information, including sampling cases, hospitalizations, deaths, and COVID-19 vaccination statistics, was collected from the portal of the Center for Infectious Disease Management of the Ministry of Health, the Integrated Health System (SIB), and the Health System Information Observatory of the Ministry of Health, Treatment and Medical Education.
Results: The cumulative number of cases and deaths due to COVID-19 in the province is 130,129 and 1,137, respectively. The total number of doses of vaccine administered in the province, based on the coverage area, according to the Integrated Health System (IHS), was 1,363,703. Also, increasing the bed capacity of the intensive care unit in the province to 55 beds, setting up three CT scanners in the provincial hospitals, and setting up a cellular and molecular laboratory in the two cities of Boyer Ahmad and Kohgiluyeh, in addition to distributing COVID-19 vaccines to all health centers, health bases, and health and medical centers, and sending mobile teams to conduct COVID-19 vaccinations to administer the vaccine door-to-door and in offices and organizations, were among the management activities in the field of COVID-19 control in the province.
Conclusion: Increasing the capacity to sample suspected cases and identify patients in the shortest possible time, isolating them, taking intervention measures to encourage people to get vaccinated, and creating awareness about preventing this disease have reduced the burden caused by it and increased the response capacity of the provincial health system.
Samin Rezapour, Mohamad Jebraeily, Esmaeil Mehraeen, Haleh Ayatollahi,
Volume 19, Issue 1 (4-2025)
Volume 19, Issue 1 (4-2025)
Abstract
Background and Aim: Breast self-examination is a recommended screening method that can be used by any woman at any age. Smartphone applications can be a low-cost and effective strategy to prevent breast cancer by changing behavior and encouraging women to be aware of their breast health. The purpose of this research is to determine the learning needs and preferences of women in the development of a BSE smartphone application.
Materials and Methods: This descriptive-cross-sectional study was conducted in 2023, The statistical population of the study included 120 women working in the faculties of Urmia University of Medical Sciences, who were selected through stratified proportional sampling. To collect data, a questionnaire was designed, the validity of which was confirmed based on the content validity method and expert opinion. The test-retest method was also used to determine the reliability of the questionnaire, which resulted in a Pearson correlation coefficient of 85%. The rating of each item in the questionnaire was determined based on a five-point Likert scale (1-5). The Statistical analysis of the data was performed using SPSS software.
Results: From the perspective of women, the most important learning needs are related to breast cancer risk factors (4.68), the importance of early detection of breast cancer (4.33), how to perform breast self-examination (4.38), the role of breast self-examination in breast cancer prevention (4.18), ways to detect breast cancer early (4.11), types of physical activities (4.16) and healthy diet (4.08) related to breast cancer prevention. In terms of the technical capabilities of the application, the most important features include multimedia educational content (4.61), self-examination training (4.52), information about warning signs (4.33), self-examination time reminder (4.29) and ease of use (4.20).
Conclusion: The findings of the present study showed that educational content should present risk factors and the role of diet and physical activity in preventing breast cancer, and teach how to accurately perform breast self-examination with multimedia content. Also, the technical capabilities of the smartphone application should be designed in a way that suits women’s learning needs while maintaining the confidentiality of information and the privacy of individuals.
Materials and Methods: This descriptive-cross-sectional study was conducted in 2023, The statistical population of the study included 120 women working in the faculties of Urmia University of Medical Sciences, who were selected through stratified proportional sampling. To collect data, a questionnaire was designed, the validity of which was confirmed based on the content validity method and expert opinion. The test-retest method was also used to determine the reliability of the questionnaire, which resulted in a Pearson correlation coefficient of 85%. The rating of each item in the questionnaire was determined based on a five-point Likert scale (1-5). The Statistical analysis of the data was performed using SPSS software.
Results: From the perspective of women, the most important learning needs are related to breast cancer risk factors (4.68), the importance of early detection of breast cancer (4.33), how to perform breast self-examination (4.38), the role of breast self-examination in breast cancer prevention (4.18), ways to detect breast cancer early (4.11), types of physical activities (4.16) and healthy diet (4.08) related to breast cancer prevention. In terms of the technical capabilities of the application, the most important features include multimedia educational content (4.61), self-examination training (4.52), information about warning signs (4.33), self-examination time reminder (4.29) and ease of use (4.20).
Conclusion: The findings of the present study showed that educational content should present risk factors and the role of diet and physical activity in preventing breast cancer, and teach how to accurately perform breast self-examination with multimedia content. Also, the technical capabilities of the smartphone application should be designed in a way that suits women’s learning needs while maintaining the confidentiality of information and the privacy of individuals.
Mohammad Mehdi Sepehri, Minoo Fathi, Nasrin Taherkhani, Roghaye Khasha,
Volume 19, Issue 1 (4-2025)
Volume 19, Issue 1 (4-2025)
Abstract
Background and Aim: The development of self-management application for gestational Diabetes based on mobile health, can increase the quality of life of pregnant mothers and reduce the cost of health care and treatment. In order to develop such an application, it is necessary to identify the key players of this system and examine the relationships between them. Then a gestational Diabetes self-management network based on mobile health tools can be presented.
Materials and Methods: The study was conducted in four phases. In the first phase, key players and roles were identified through literature review. In the second phase, interviews with experts were conducted to assess the identified players and their roles. The third phase involved identifying the relationships between players and their roles, accomplished by designing and completing questionnaires that explored the existence or absence of connections between them. In the final phase, the most critical roles and players were determined using social network analysis, employing three centrality indices: degree centrality, betweenness centrality, and closeness centrality.
Results: A total of 22 role players and 17 roles were identified. Based on the results, the Ministry of Health, with a degree centrality index of 41.12, was found to be the most influential and powerful role player in this network. The endocrinologist, nutritionist and obstetrician, with degree centrality indices of 38.52, 36.79, and 31.60. were ranked next. This indicates that the acceptance of this network by the medical community plays a critical role. Additionally, all three centrality indices showed that the role of patient education had the highest values, followed by roles such as education for specialists and healthcare staff, supporting patients in self-care behaviors, and ensuring patient safety and privacy, which were identified as the key roles.
Conclusion: This study aimed to identify various aspects of network design and the influential roles impacting the self-management of gestational Diabetes through mobile health. The Ministry of Health and the National Prevention Committee exhibited the most connections with each other in fulfilling their shared roles. Therefore, the Ministry of Health can fully delegate some roles to the National Prevention. Additionally, recognizing key roles underscores the necessity of prioritizing education and resource allocation for these roles.
Materials and Methods: The study was conducted in four phases. In the first phase, key players and roles were identified through literature review. In the second phase, interviews with experts were conducted to assess the identified players and their roles. The third phase involved identifying the relationships between players and their roles, accomplished by designing and completing questionnaires that explored the existence or absence of connections between them. In the final phase, the most critical roles and players were determined using social network analysis, employing three centrality indices: degree centrality, betweenness centrality, and closeness centrality.
Results: A total of 22 role players and 17 roles were identified. Based on the results, the Ministry of Health, with a degree centrality index of 41.12, was found to be the most influential and powerful role player in this network. The endocrinologist, nutritionist and obstetrician, with degree centrality indices of 38.52, 36.79, and 31.60. were ranked next. This indicates that the acceptance of this network by the medical community plays a critical role. Additionally, all three centrality indices showed that the role of patient education had the highest values, followed by roles such as education for specialists and healthcare staff, supporting patients in self-care behaviors, and ensuring patient safety and privacy, which were identified as the key roles.
Conclusion: This study aimed to identify various aspects of network design and the influential roles impacting the self-management of gestational Diabetes through mobile health. The Ministry of Health and the National Prevention Committee exhibited the most connections with each other in fulfilling their shared roles. Therefore, the Ministry of Health can fully delegate some roles to the National Prevention. Additionally, recognizing key roles underscores the necessity of prioritizing education and resource allocation for these roles.
Fatemeh Abbasi Ghaletaki, Maryam Kazerani, Azam Shahbodaghi,
Volume 19, Issue 1 (4-2025)
Volume 19, Issue 1 (4-2025)
Abstract
Background and Aim: Hospital library services are among the basic infrastructures for promoting e-health readiness. This study evaluated the components of e-health readiness in hospital libraries in Isfahan.
Materials and Methods: This is an applied-descriptive survey. The statistical population is 10 government hospital libraries in Isfahan city. The questionnaire completers are the managers of the aforementioned libraries. The research tool is a researcher-made questionnaire that was prepared by a deep and comprehensive review of related literature. The 61-question questionnaire is based on the Likert scale and has four sections: learning readiness (R1), core readiness (R2), social readiness (R3), and technology readiness (R4). To determine the content validity of the questionnaire, the opinions of professors, specialists, and experts were used and its validity was confirmed. Its reliability was confirmed using Cronbach’s alpha of 0.83. Descriptive statistics were used to examine the data.
Results: Isfahan government hospital libraries are in a good state in terms of learning readiness with a score of 3.77. They were in a moderate state in terms of core readiness with a score of 3.49. Social readiness with a score of 2.47 and technology readiness with a score of 2.48 were reported as poor state. “Literacy level of technology and services related to health care” component with a score of 2.9 from the core readiness, “reimbursement policies” component with a score of 1 from the social readiness, “resources training” component with a score of 1.8 from the learning readiness, and “organization access to ICT education” component with a score of 1.35 from the technology readiness were identified as weak components. In general, all government hospital libraries in Isfahan are in a moderate state in terms of e-health readiness.
Conclusion: Hospital libraries face various challenges in joining the e-health category, including a lack of readiness in the technology sector. The lack of appropriate policies for implementing e-health in libraries, lack of users’ skills in using information and communication technology, users’ ignorance of the e-health services needed in the library, lack of professional human resources, and lack of e-health-related training for users are some of the weaknesses of hospital libraries in the e-health readiness sector.
Materials and Methods: This is an applied-descriptive survey. The statistical population is 10 government hospital libraries in Isfahan city. The questionnaire completers are the managers of the aforementioned libraries. The research tool is a researcher-made questionnaire that was prepared by a deep and comprehensive review of related literature. The 61-question questionnaire is based on the Likert scale and has four sections: learning readiness (R1), core readiness (R2), social readiness (R3), and technology readiness (R4). To determine the content validity of the questionnaire, the opinions of professors, specialists, and experts were used and its validity was confirmed. Its reliability was confirmed using Cronbach’s alpha of 0.83. Descriptive statistics were used to examine the data.
Results: Isfahan government hospital libraries are in a good state in terms of learning readiness with a score of 3.77. They were in a moderate state in terms of core readiness with a score of 3.49. Social readiness with a score of 2.47 and technology readiness with a score of 2.48 were reported as poor state. “Literacy level of technology and services related to health care” component with a score of 2.9 from the core readiness, “reimbursement policies” component with a score of 1 from the social readiness, “resources training” component with a score of 1.8 from the learning readiness, and “organization access to ICT education” component with a score of 1.35 from the technology readiness were identified as weak components. In general, all government hospital libraries in Isfahan are in a moderate state in terms of e-health readiness.
Conclusion: Hospital libraries face various challenges in joining the e-health category, including a lack of readiness in the technology sector. The lack of appropriate policies for implementing e-health in libraries, lack of users’ skills in using information and communication technology, users’ ignorance of the e-health services needed in the library, lack of professional human resources, and lack of e-health-related training for users are some of the weaknesses of hospital libraries in the e-health readiness sector.
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