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Showing 27 results for Elham
Saeed Nateghi, Ali Ganjali Khan Hakemi, Soheila Damiri, Samira Raoofi, Elham Haghshenas, Sara Akhavan Rezayat, Shamsi Ekhtiyar, , Maryam Radin Manesh,
Volume 16, Issue 5 (Dec 2022)
Volume 16, Issue 5 (Dec 2022)
Abstract
Background and Aim: Effective monitoring and evaluation of human resources in countries require an agreed set of indicators and measurement tools. Due to the existence of different payment mechanisms, this study aimed to identify performance evaluation indicators in hospitals affiliated with the Tehran University of Medical Sciences.
Materials and Methods: A qualitative phenomenological study was conducted in 2022. Data were collected using semi-structured interviews, purposive sampling, and participation of 23 members of the Senior executives and financial team of hospitals affiliated to Tehran University of Medical Sciences and analyzed by content analysis method using MAXQDA-10 software.
Results: Twenty-three experts participated in this research, 78.2% were men and 21.7% were women, and a total of 526 final codes were identified and according to the balanced scorecard management tool in 4 main themes of finance, customers, internal processes, and growth and Development. Also 8 sub-themes of resource efficiency with 86%, medical tourism with 52%, professional ethics with 65%, satisfaction with 78%, accreditation with 48%, diagnosis and treatment with 78%, education with 56% and The research was categorized with 78%.
Conclusion: The provision of optimal medical services requires managers to be aware of the performance of subordinate personnel, which makes it possible to choose the appropriate criteria, develop performance evaluation systems and conduct correct evaluation, informing Doctors regarding the indicators considered for more accurate evaluation are among the suggestions that can be a solution to the existing problems. Another important point considering the limited available resources is the role of doctors in the field of health tourism to which attention will lead to an increase in financial resources.
Materials and Methods: A qualitative phenomenological study was conducted in 2022. Data were collected using semi-structured interviews, purposive sampling, and participation of 23 members of the Senior executives and financial team of hospitals affiliated to Tehran University of Medical Sciences and analyzed by content analysis method using MAXQDA-10 software.
Results: Twenty-three experts participated in this research, 78.2% were men and 21.7% were women, and a total of 526 final codes were identified and according to the balanced scorecard management tool in 4 main themes of finance, customers, internal processes, and growth and Development. Also 8 sub-themes of resource efficiency with 86%, medical tourism with 52%, professional ethics with 65%, satisfaction with 78%, accreditation with 48%, diagnosis and treatment with 78%, education with 56% and The research was categorized with 78%.
Conclusion: The provision of optimal medical services requires managers to be aware of the performance of subordinate personnel, which makes it possible to choose the appropriate criteria, develop performance evaluation systems and conduct correct evaluation, informing Doctors regarding the indicators considered for more accurate evaluation are among the suggestions that can be a solution to the existing problems. Another important point considering the limited available resources is the role of doctors in the field of health tourism to which attention will lead to an increase in financial resources.
Marjan Ghazi Saeedi, Mohammad Amin Abbasi Eslamloo, Kobra Darabiyan, Elham Ataei,
Volume 17, Issue 3 (8-2023)
Volume 17, Issue 3 (8-2023)
Abstract
Background and Aim: Despite the continuous progress in medicine, COPD (Chronic Obstructive Pulmonary Disease) is still a progressive, incurable and chronic respiratory condition that limits the patients’ functions in various dimensions, and significantly reduce their quality of life. In this way, self-care of patients and the use of related tools have a significant effect in disease control and treatment. The purpose of this research was design and development of an android-based application for COPD.
Materials and Methods: This research was a descriptive developmental type with a practical approach. Initially, based on the study of library resources, guidelines, and the examination of the medical records of COPD inpatients in Firouzabadi Hospital, a questionnaire was designed to identify the information requirements, data items and features of the application. Then it was reviewed and finalized by a sample of 10 (randomized and convenience sampling) internal and lung specialist doctors in Firouzabadi and Hazrat Rasool hospitals affiliated to Iran University of Medical Sciences. The data was analyzed using descriptive statistics, and then scenario tables and UML diagrams were illustrated to show the overall flow of the application. The application was designed and developed using the Java programming language in the Android Studio 2021 platform. After installing the application on the mobile phones of ten COPD patients of the internal and pulmonary clinic of Firouzabadi Shahre Rey Hospital, and using it for a week, the opinions of the patients about the usability of the application were collected through the QUIS questionnaire, and analyzed.
Results: Application sections were determined following experts’ survey, personal information items, clinical information, disease management, reporting, and training points, which were provided to patients after design for use and evaluation. At the end of the research, the results of the evaluation of the usability and satisfaction level of the application showed that from the patients’ point of view, the application is at a good level with an average score of 1.8 (out of 10 points).
Conclusion: The developed self-care application can be used to increase awareness, help to manage the disease, increase the level of quality of life, and reduce the complications and disease burden for patients with COPD.
Materials and Methods: This research was a descriptive developmental type with a practical approach. Initially, based on the study of library resources, guidelines, and the examination of the medical records of COPD inpatients in Firouzabadi Hospital, a questionnaire was designed to identify the information requirements, data items and features of the application. Then it was reviewed and finalized by a sample of 10 (randomized and convenience sampling) internal and lung specialist doctors in Firouzabadi and Hazrat Rasool hospitals affiliated to Iran University of Medical Sciences. The data was analyzed using descriptive statistics, and then scenario tables and UML diagrams were illustrated to show the overall flow of the application. The application was designed and developed using the Java programming language in the Android Studio 2021 platform. After installing the application on the mobile phones of ten COPD patients of the internal and pulmonary clinic of Firouzabadi Shahre Rey Hospital, and using it for a week, the opinions of the patients about the usability of the application were collected through the QUIS questionnaire, and analyzed.
Results: Application sections were determined following experts’ survey, personal information items, clinical information, disease management, reporting, and training points, which were provided to patients after design for use and evaluation. At the end of the research, the results of the evaluation of the usability and satisfaction level of the application showed that from the patients’ point of view, the application is at a good level with an average score of 1.8 (out of 10 points).
Conclusion: The developed self-care application can be used to increase awareness, help to manage the disease, increase the level of quality of life, and reduce the complications and disease burden for patients with COPD.
Fatemeh Mirshekari, Elham Maserat,
Volume 18, Issue 2 (5-2024)
Volume 18, Issue 2 (5-2024)
Abstract
Background and Aim: Considering the growing trend of cancer in Iran, the development and implementation of digital health literacy systems accelerates the capabilities of digital health and the self-management process of patients. Digital health literacy means the ability to effectively and consciously use digital technologies to access health-related information and services. This skill plays an important role in accessing medical information, disease management, improving the quality of life of people, especially cancer patients. Digital health literacy is considered as one of the most key factors of equal access to digital health information. The purpose of the present study was to formulate the requirements of the digital health literacy system with a focus on cancer.
Materials and Methods: The present study was conducted in two phases of literature review and validity and reliability of requirements in 2023. In the first stage, a literature review was conducted with the keywords of digital health literacy, cancer, requirements, system and application in databases such as PubMed, Scopus, Google Scholar, academic Jihad scientific database and specialized websites. To check the content validity of the survey, 62 experts were surveyed and CVI and CVR were calculated.
Results: Hundered and twenty seven functional and non-functional components were approved. Requirements in the functional section was divided in six main dimensions information literacy module (8 functional components), information and communication technology literacy module (18 functional components), media literacy (5 functional components), public, specialized and population-oriented health literacy module (47 functional components) ), digital health literacy module (28 functional components), and digital health literacy module in cancer (6 functional components) were divided. In the section of digital health literacy in cancer, the main components of needs assessment, digital health literacy training, evaluation and monitoring of the effectiveness of digital interventions and information search skills were approved. Fifteen non-functional components were also approved. Cronbach’s alpha coefficient obtained (92%) indicated high reliability and reproducibility.
Conclusion: Digital health literacy systems can facilitate health care services. Considering the acceptable validity and reliability of the study, the defined requirements can be used to implement digital health literacy systems centered on cancer.
Materials and Methods: The present study was conducted in two phases of literature review and validity and reliability of requirements in 2023. In the first stage, a literature review was conducted with the keywords of digital health literacy, cancer, requirements, system and application in databases such as PubMed, Scopus, Google Scholar, academic Jihad scientific database and specialized websites. To check the content validity of the survey, 62 experts were surveyed and CVI and CVR were calculated.
Results: Hundered and twenty seven functional and non-functional components were approved. Requirements in the functional section was divided in six main dimensions information literacy module (8 functional components), information and communication technology literacy module (18 functional components), media literacy (5 functional components), public, specialized and population-oriented health literacy module (47 functional components) ), digital health literacy module (28 functional components), and digital health literacy module in cancer (6 functional components) were divided. In the section of digital health literacy in cancer, the main components of needs assessment, digital health literacy training, evaluation and monitoring of the effectiveness of digital interventions and information search skills were approved. Fifteen non-functional components were also approved. Cronbach’s alpha coefficient obtained (92%) indicated high reliability and reproducibility.
Conclusion: Digital health literacy systems can facilitate health care services. Considering the acceptable validity and reliability of the study, the defined requirements can be used to implement digital health literacy systems centered on cancer.
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.
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.
Zahra Ataei Barazandeh, Behzad Imani, Erfan Aubi, Elham Soltani, Mohamadreza Ebadian,
Volume 19, Issue 3 (9-2025)
Volume 19, Issue 3 (9-2025)
Abstract
Background and Aim: Cataract surgery is one of the most common eye surgeries worldwide. Most individuals undergoing this surgery are elderly patients, and the use of general anesthesia and additional medications can lead to complications during and after the surgery, as well as increased costs for patients. Therefore, the present study aimed to investigate the effects of intravenous Dexmedetomidine and Fentanyl, as well as Midazolam and intravenous Sufentanil, on pain intensity, hemodynamic status, surgeon satisfaction, and the level of sedation in patients undergoing cataract surgery.
Materials and Methods: This double-blind clinical trial was conducted on 80 patients who were candidates for cataract surgery at Farshchian Sina Hospital in Hamadan. Sampling was carried out from March 10, 2023 to August 21, 2024. The intervention group received Dexmedetomidine and intravenous fentanyl, while the control group received midazolam and Sufentanil. Blood pressure, heart rate, and oxygen saturation level, were measured. Pain intensity, surgeon satisfaction, and the level of sedation in patients were measured and recorded. The results of the research utilized qualitative and quantitative variables based on the study groups, using counts (percentages) and means (standard deviations). For the statistical analysis of these variables at baseline, chi-square tests and independent t-tests were employed. To assess the impact of treatment groups on pain throughout the study, repeated measures ANOVA was used, and the interaction between time and group was evaluated. In cases where the outcome variable under study was not normally distributed, non-parametric equivalents such as the Mann-Whitney test were applied. A significance level of P-Value<0.05 was considered. All statistical tests were conducted using Stata software.
Results: In the intervention group, heart rate and blood pressure decreased over time. Changes in heart rate and blood pressure had no effect on the patients’ recovery process. Oxygen saturation level in the intervention group did not change compared to the control group over time. The medication used in the intervention group did not cause shortness of breath or a decrease in oxygen saturation levels. Additionally, there was no significant difference in pain levels between the two groups. The level of sedation in patients and surgeon satisfaction in the intervention group was higher than the control group.
Conclusion: Based on the results of the research, it is recommended to use Dexmedetomidine in cataract surgery and other surgeries that require sedation.
Materials and Methods: This double-blind clinical trial was conducted on 80 patients who were candidates for cataract surgery at Farshchian Sina Hospital in Hamadan. Sampling was carried out from March 10, 2023 to August 21, 2024. The intervention group received Dexmedetomidine and intravenous fentanyl, while the control group received midazolam and Sufentanil. Blood pressure, heart rate, and oxygen saturation level, were measured. Pain intensity, surgeon satisfaction, and the level of sedation in patients were measured and recorded. The results of the research utilized qualitative and quantitative variables based on the study groups, using counts (percentages) and means (standard deviations). For the statistical analysis of these variables at baseline, chi-square tests and independent t-tests were employed. To assess the impact of treatment groups on pain throughout the study, repeated measures ANOVA was used, and the interaction between time and group was evaluated. In cases where the outcome variable under study was not normally distributed, non-parametric equivalents such as the Mann-Whitney test were applied. A significance level of P-Value<0.05 was considered. All statistical tests were conducted using Stata software.
Results: In the intervention group, heart rate and blood pressure decreased over time. Changes in heart rate and blood pressure had no effect on the patients’ recovery process. Oxygen saturation level in the intervention group did not change compared to the control group over time. The medication used in the intervention group did not cause shortness of breath or a decrease in oxygen saturation levels. Additionally, there was no significant difference in pain levels between the two groups. The level of sedation in patients and surgeon satisfaction in the intervention group was higher than the control group.
Conclusion: Based on the results of the research, it is recommended to use Dexmedetomidine in cataract surgery and other surgeries that require sedation.
Elham Maserat, Zeinab Mohammadzadeh, Zahra Mahmoudvand, Hasan Siamian, Pourya Taghizadeh, Azadeh Yazdanian,
Volume 19, Issue 5 (12-2025)
Volume 19, Issue 5 (12-2025)
Abstract
Background and Aim: As a pandemic, the COVID-19 epidemic has had widespread impacts on society and has highlighted the need for effective management through timely case detection, early isolation, and treatment. Web portals have emerged as an effective information technology intervention and a solution for crisis management. This study aims to review various web portals implemented in the context of COVID-19.
Materials and Methods: In 2025, a systematic review was conducted to identify articles related to the use of web portals in the COVID-19 context. Keywords such as information technology, portal, COVID-19, and university were used to search multiple databases and search engines including Scopus, PubMed, Science Direct, Web of Knowledge, Ovid Medline, and Google Scholar. Published texts from 2019 to 2025 were included in the search.
Results: Initially, 1,058 articles were retrieved, and after careful evaluation, 40 articles directly relevant to the research topic were selected for inclusion. The analysis identified several notable web portals deployed during the COVID-19 pandemic, including platforms such as COVIDome, Over COVID, interactive visualization portals, country-specific information portals, prediction-based systems, electronic portals for specific medical conditions, data platforms, drug repurposing portals, patient triage and scheduling tools, health mapping portals, telemetry capabilities, and epidemiology applications. The results showed that the highest number of related articles were published in 2020, primarily concentrated in the United States, Saudi Arabia, and Canada. In-depth reviews indicated that WPs such as COVIDome and MyChart significantly facilitated patient access to medical information and healthcare services. These portals not only provided timely information regarding vaccination and outbreaks but also played a crucial role in facilitating effective communication between patients and Healthcare Providers. Furthermore, the overall use of portals increased 10-fold during the pandemic, a trend that persisted afterward. Findings also highlight existing digital divides, as individuals with higher education and income levels benefited more from these portals.
Conclusion: Successful implementation of web portals requires proper management and planning, increased awareness among stakeholders including policymakers, healthcare professionals, and the general public, user training, comprehensive data integration, adherence to standards, and periodic evaluations. These measures are essential to optimize the effectiveness and utility of the portals.
Materials and Methods: In 2025, a systematic review was conducted to identify articles related to the use of web portals in the COVID-19 context. Keywords such as information technology, portal, COVID-19, and university were used to search multiple databases and search engines including Scopus, PubMed, Science Direct, Web of Knowledge, Ovid Medline, and Google Scholar. Published texts from 2019 to 2025 were included in the search.
Results: Initially, 1,058 articles were retrieved, and after careful evaluation, 40 articles directly relevant to the research topic were selected for inclusion. The analysis identified several notable web portals deployed during the COVID-19 pandemic, including platforms such as COVIDome, Over COVID, interactive visualization portals, country-specific information portals, prediction-based systems, electronic portals for specific medical conditions, data platforms, drug repurposing portals, patient triage and scheduling tools, health mapping portals, telemetry capabilities, and epidemiology applications. The results showed that the highest number of related articles were published in 2020, primarily concentrated in the United States, Saudi Arabia, and Canada. In-depth reviews indicated that WPs such as COVIDome and MyChart significantly facilitated patient access to medical information and healthcare services. These portals not only provided timely information regarding vaccination and outbreaks but also played a crucial role in facilitating effective communication between patients and Healthcare Providers. Furthermore, the overall use of portals increased 10-fold during the pandemic, a trend that persisted afterward. Findings also highlight existing digital divides, as individuals with higher education and income levels benefited more from these portals.
Conclusion: Successful implementation of web portals requires proper management and planning, increased awareness among stakeholders including policymakers, healthcare professionals, and the general public, user training, comprehensive data integration, adherence to standards, and periodic evaluations. These measures are essential to optimize the effectiveness and utility of the portals.
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