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Nida Abdolahi, Mohamad Reza Nili Nili Ahmadabadi, Soghra Ebrahimi Qavam, Khadijeh Aliabadi, Mohammad Asgari,
Volume 15, Issue 1 (Apr & May 2021)
Volume 15, Issue 1 (Apr & May 2021)
Abstract
Background and Aim: Deep and sustainable learning requires a safe and healthy environment. Moreover, paying attention to the intertwined emotional, motivational, cognitive and social processes in the teaching-learning process is vital. Academic achievement motivation and self-regulated learning (SRL) are two important elements in this process that are influenced by the achievement emotions in the learning environment. Therefore, the aim of this study is to evaluate the effectiveness of instructional design model based on control-value theory of achievement emotions (CVT), on academic achievement motivation and self-regulation learning.
Materials and Methods: The research was quantitative and performed by Nonequlment design control group. The statistical population included female second year high school students in Tehran in the academic year of 1997-98, who were selected by multi-stage cluster random sampling in two experimental and control groups. The experimental group was trained according to the instructional design model based on CVT theory and the control group did not receive this training method. The questionnaire of academic achievement motivation and self-regulated learning was administered to the experimental and control groups as pre-test and post-test before and after the implementation of the model. Data were analyzed by inferential and descriptive statistics using SPSS software and multivariate covariance.
Results: The results of univariate analysis of covariance of group effect on the scores of dependent variables show that there is a significant difference between the experimental and control groups in cognitive strategy (F=11/94, P>0/05, η2=0/14), metacognition strategy (F=56/06, P>0/05, η2=0/44), motivational beliefs (F=6/36, P>0/05, η2=0/08) and academic achievement motivation (F=10/69, P>0/05, η2 =0/13).
Conclusion: The result of this study show that the use of instructional design model based on CVT theory has a positive effect on cognitive strategies, metacognition strategies, motivational beliefs and learners' academic achievement motivation.
Materials and Methods: The research was quantitative and performed by Nonequlment design control group. The statistical population included female second year high school students in Tehran in the academic year of 1997-98, who were selected by multi-stage cluster random sampling in two experimental and control groups. The experimental group was trained according to the instructional design model based on CVT theory and the control group did not receive this training method. The questionnaire of academic achievement motivation and self-regulated learning was administered to the experimental and control groups as pre-test and post-test before and after the implementation of the model. Data were analyzed by inferential and descriptive statistics using SPSS software and multivariate covariance.
Results: The results of univariate analysis of covariance of group effect on the scores of dependent variables show that there is a significant difference between the experimental and control groups in cognitive strategy (F=11/94, P>0/05, η2=0/14), metacognition strategy (F=56/06, P>0/05, η2=0/44), motivational beliefs (F=6/36, P>0/05, η2=0/08) and academic achievement motivation (F=10/69, P>0/05, η2 =0/13).
Conclusion: The result of this study show that the use of instructional design model based on CVT theory has a positive effect on cognitive strategies, metacognition strategies, motivational beliefs and learners' academic achievement motivation.
Atefeh Helmi Siyasi, Nahid Bijeh, Elham Hakak Dokht, Gholam Rasul Mohammad Rahimi,
Volume 15, Issue 2 (Jun & Jul 2021)
Volume 15, Issue 2 (Jun & Jul 2021)
Abstract
Background and Aim: Recent studies indicate that increased body iron stores have been associated with the development of glucose intolerance and type 2 Diabetes. Ferritin is the most important iron storage protein in the body, which is used to evaluate disorders associated with iron metabolism. The aim of this study was to examine the effect of eight weeks of aerobic training on serum ferritin level, glycemic and lipid indices in women with type 2 Diabetes.
Material and Methods: Twenty Diabetic women aged 45-55 years were selected voluntarily and divided into experimental (n=10) and control (n=10) groups. The experimental group participated in the aerobic training program for eight weeks, three 60-minutes sessions per week with an intensity of 55-65% of heart rate reserve. The control group did not participate in any activity during the intervention period. Serum ferritin, glycemic and lipid indices were evaluated before and after eight weeks and then data were analyzed by SPSS software.
Results: Ferritin (P=0.012), insulin (P=0.004), fasting glucose (P=0.041), insulin resistance index (P=0.012), total cholesterol (P=0.041), and triglyceride (P=0.005) significantly decreased, while the mean of HDL(P=0.012) significantly increased in the experimental group. Moreover, the results showed that changes in ferritin (P=0.002), insulin (P=0.014), insulin resistance index (P=0.001) and TG (P=0.010) were statistically significant between the experimental and control groups.
Conclusion: Women with type 2 Diabetes can benefit from moderate-intensity aerobic exercise programs to improve their glycemic and lipid profile, as well as iron metabolism abnormalities.
Material and Methods: Twenty Diabetic women aged 45-55 years were selected voluntarily and divided into experimental (n=10) and control (n=10) groups. The experimental group participated in the aerobic training program for eight weeks, three 60-minutes sessions per week with an intensity of 55-65% of heart rate reserve. The control group did not participate in any activity during the intervention period. Serum ferritin, glycemic and lipid indices were evaluated before and after eight weeks and then data were analyzed by SPSS software.
Results: Ferritin (P=0.012), insulin (P=0.004), fasting glucose (P=0.041), insulin resistance index (P=0.012), total cholesterol (P=0.041), and triglyceride (P=0.005) significantly decreased, while the mean of HDL(P=0.012) significantly increased in the experimental group. Moreover, the results showed that changes in ferritin (P=0.002), insulin (P=0.014), insulin resistance index (P=0.001) and TG (P=0.010) were statistically significant between the experimental and control groups.
Conclusion: Women with type 2 Diabetes can benefit from moderate-intensity aerobic exercise programs to improve their glycemic and lipid profile, as well as iron metabolism abnormalities.
Hossein Dargahi, Farugh Nomani, Mohammad Rahim Ghohestani,
Volume 15, Issue 2 (Jun & Jul 2021)
Volume 15, Issue 2 (Jun & Jul 2021)
Abstract
Background and Aim: Managers’ sufficient awareness about rules and regulations and the legal issues of health system may lead to their optimal performance in organizations. Therefore, this study is conducted to determine senior managers’ level of knowledge about legal rules and regulations related to the health system in Tehran University of Medical Sciences (TUMS).
Materials and Methods: The present descriptive-analytical cross-sectional study was conducted in 2017. The sample consisted of 75 senior managers. The research tool was a researcher-made questionnaire whose face validity was confirmed using the opinions of 7 specialists and experts in the field of medical law, health care and medical services management; besides, regarding its reliability, Cronbach's alpha and test-retest reliability coefficients were 0.89 and 0.79, respectively. With SPSS software, data analysis was performed using descriptive statistics including absolute and relative frequency and inferential statistics including Pearson and Ka-square correlation tests.
Results: The level of knowledge of the studied managers was below average in most legal areas and legal standards related to the health system. There was a significant inverse relationship between the level of knowledge of organizational, financial and transactional areas, and administrative and employment of managers with passing relevant training courses (P=0.01 and P=0.04).
Conclusion: TUMS senior managers' level of knowledge in the three areas of organizational, financial, and rules and regulations is at medium and lower than medium levels. To raise the awareness of managers, necessary arrangements such as holding training courses with new methods such as simulation, screenwriting, case study and experimentation and using new technologies such as hybrid knowledge management and technology integration are suggested. Also, creating managers' strategic competency system at the levels of general and specific skills, along with continuous training and monitoring the accountability and feedback provided in management processes, will ensure future reforms.
Materials and Methods: The present descriptive-analytical cross-sectional study was conducted in 2017. The sample consisted of 75 senior managers. The research tool was a researcher-made questionnaire whose face validity was confirmed using the opinions of 7 specialists and experts in the field of medical law, health care and medical services management; besides, regarding its reliability, Cronbach's alpha and test-retest reliability coefficients were 0.89 and 0.79, respectively. With SPSS software, data analysis was performed using descriptive statistics including absolute and relative frequency and inferential statistics including Pearson and Ka-square correlation tests.
Results: The level of knowledge of the studied managers was below average in most legal areas and legal standards related to the health system. There was a significant inverse relationship between the level of knowledge of organizational, financial and transactional areas, and administrative and employment of managers with passing relevant training courses (P=0.01 and P=0.04).
Conclusion: TUMS senior managers' level of knowledge in the three areas of organizational, financial, and rules and regulations is at medium and lower than medium levels. To raise the awareness of managers, necessary arrangements such as holding training courses with new methods such as simulation, screenwriting, case study and experimentation and using new technologies such as hybrid knowledge management and technology integration are suggested. Also, creating managers' strategic competency system at the levels of general and specific skills, along with continuous training and monitoring the accountability and feedback provided in management processes, will ensure future reforms.
Zeinab Sadat Mousavi, Farshad Ghazalian, Mandana Gholami, Hossein Abed Natanzi, Khosrow Ebrahim,
Volume 15, Issue 4 (oct & Nov 2021)
Volume 15, Issue 4 (oct & Nov 2021)
Abstract
Background and Aim: Inactivity increases the risk of chronic diseases. The aim of the present study was to investigate the acute changes in Normetanephrine and glucose in boxing with Kinect Xbox with and without blood flow restriction as an alternative to aerobic exercise during quarantine in young non-athletes.
Material and Methods: Fourteen healthy non-athlete individuals with a range of 20 to 40 years of age were randomly and purposefully selected. And on two different days with and without restriction of blood flow, they played boxing with Xbox 360 for 20 minutes. Blood samples were taken before and immediately after
Results: There was a significant increase in serum Normetanephrine playing compared to before the test in both training groups, but the amount of changes between the two groups with and without blood flow restriction was not significant (P≤0.05). Exergames, in the case of unrestricted blood flow, has a significant effect on glucose, but the restriction of blood flow did not lead to a significant difference in the amount of glucose (P≤0.05).
Conclusion: Exergames provide the necessary stimulus for catecholamine secretion and glucose response, and it is recommended for people with limited blood flow. Further studies are needed on the effect of restricting blood flow as a new training method on video game with movement.
Material and Methods: Fourteen healthy non-athlete individuals with a range of 20 to 40 years of age were randomly and purposefully selected. And on two different days with and without restriction of blood flow, they played boxing with Xbox 360 for 20 minutes. Blood samples were taken before and immediately after
Results: There was a significant increase in serum Normetanephrine playing compared to before the test in both training groups, but the amount of changes between the two groups with and without blood flow restriction was not significant (P≤0.05). Exergames, in the case of unrestricted blood flow, has a significant effect on glucose, but the restriction of blood flow did not lead to a significant difference in the amount of glucose (P≤0.05).
Conclusion: Exergames provide the necessary stimulus for catecholamine secretion and glucose response, and it is recommended for people with limited blood flow. Further studies are needed on the effect of restricting blood flow as a new training method on video game with movement.
Samira Goharinejad, Sharareh Rostam Niakan Kalhori, Raheleh Salari, Mehdi Ebrahimi,
Volume 15, Issue 5 (Dec 2021 & Jan 2022)
Volume 15, Issue 5 (Dec 2021 & Jan 2022)
Abstract
Background and Aim: Diabetes Type II is a chronic metabolic disorder rising its prevalence worldwide. Self-care is the most important management strategy to control the disorder and its adverse effects. The aim of this study was to design and validate an assessment tool to determine the level of self-care of patients affected by Diabetes type II.
Materials and Methods: This study was a cross-sectional study. To conduct this study, based on reviewing the texts and reviewing the existing questionnaires, the proposed items were prepared and by eliminating and integrating similar items into a questionnaire in 4 areas related to diet, blood sugar monitoring, Physical activity, drug use was designed with 15 questions. Thirty patients with type 2 diabetes referred to the endocrinology clinic completed a questionnaire. The reliability of the questionnaire was assessed using Cronbach’s alpha and the validity of the questionnaire was assessed by content validity (CVR). Data were analyzed using SPSS software.
Results: The results showed that the mean and standard deviation of the age of the studied units was 52.4±12.51 years, of which 50% were female and the other 50% were male. 56% of them had type 2 diabetes for less than 5 years. Also, people with higher education had relatively better metabolic control in diabetes management and patients ‘answer to question 6 had the highest mean, which shows patients’ attention to blood sugar control. To determine the reliability of the questionnaire, Cronbach’s alpha coefficient for all questions was 0.773, with the omission of question 9, it was increased to 0.796. Only two validity questions were 0.66 and 0.16 which were excluded from the test. Pearson correlation coefficient was calculated for each question.
Conclusion: The results of this study showed that the questionnaire has the necessary validity and reliability. With this tool, appropriate advice can be provided to patients with type 2 diabetes in the field of self-care, including diet, medication, physical activity and blood sugar control to prevent the progression of the disease and its complications.
Materials and Methods: This study was a cross-sectional study. To conduct this study, based on reviewing the texts and reviewing the existing questionnaires, the proposed items were prepared and by eliminating and integrating similar items into a questionnaire in 4 areas related to diet, blood sugar monitoring, Physical activity, drug use was designed with 15 questions. Thirty patients with type 2 diabetes referred to the endocrinology clinic completed a questionnaire. The reliability of the questionnaire was assessed using Cronbach’s alpha and the validity of the questionnaire was assessed by content validity (CVR). Data were analyzed using SPSS software.
Results: The results showed that the mean and standard deviation of the age of the studied units was 52.4±12.51 years, of which 50% were female and the other 50% were male. 56% of them had type 2 diabetes for less than 5 years. Also, people with higher education had relatively better metabolic control in diabetes management and patients ‘answer to question 6 had the highest mean, which shows patients’ attention to blood sugar control. To determine the reliability of the questionnaire, Cronbach’s alpha coefficient for all questions was 0.773, with the omission of question 9, it was increased to 0.796. Only two validity questions were 0.66 and 0.16 which were excluded from the test. Pearson correlation coefficient was calculated for each question.
Conclusion: The results of this study showed that the questionnaire has the necessary validity and reliability. With this tool, appropriate advice can be provided to patients with type 2 diabetes in the field of self-care, including diet, medication, physical activity and blood sugar control to prevent the progression of the disease and its complications.
Ali Reza Soleimani, Mohammad Sharif Khoeiniha, Mitra Rahimzadeh, Mohammad Hossein Dehghan,
Volume 15, Issue 6 (Feb & Mar 2022)
Volume 15, Issue 6 (Feb & Mar 2022)
Abstract
Background and Aim: Proper knowledge, attitude and practice of pregnant women about vaccination during this period will have a significant impact on their and their baby’s health. The aim of this study was to determine the knowledge, attitude and practice of pregnant women toward flu and Td vaccination.
Materials and Methods: This study was a descriptive-analytical and cross-sectional study on 312 pregnant women referred to Imam Ali Hospital in Karaj with an age range of 15 to 40 years. Data were collected using a questionnaire. The method of sampling was convenience sampling. The data was analyzed using SPSS software.
Results: The mean age of the women was 27.6±6.54 years. 198 (63.5%) of the subjects were housewives and 114 (36.5%) were employed. 248 (79.5%) and 282 (90.4%) of the subjects had appropriate attitudes and knowledge about vaccination with Td vaccines and Influenza, respectively. Also 293 (93.9%) and 137 (43.9%) of the subjects had practice well against both Td and Influenza vaccines. In women with higher education and better economic conditions, and in working women, the practice of both vaccines has become more suitable. As women get older, knowledge and practice about Td vaccination decreased.
Also, the most common source of information for pregnant women about the vaccination program were 73.4% of health care workers, 12.5% of the Internet, 10.3% of radio and television, 3.5% of friends and acquaintances, and 0.3% of family members, respectively. In the relationship between knowledge, attitude and practice towards Influenza and Td vaccination, there was a direct and significant relationship between them so that with increasing or decreasing one, the other also increased or decreased. Most of the relationship between awareness and practice items was related to Influenza vaccine (r=0.304) and the lowest relationship between knowledge with practice items was related to Td vaccine (r=0.146).
Conclusion: In this study, it was found that with increasing awareness and attitude, vaccination has increased. Regarding Influenza vaccination, due to the significant relationship between the source of information and vaccination, it is recommended that more serious recommendations to be made by the health care staff to pregnant women regarding Influenza vaccination.
Materials and Methods: This study was a descriptive-analytical and cross-sectional study on 312 pregnant women referred to Imam Ali Hospital in Karaj with an age range of 15 to 40 years. Data were collected using a questionnaire. The method of sampling was convenience sampling. The data was analyzed using SPSS software.
Results: The mean age of the women was 27.6±6.54 years. 198 (63.5%) of the subjects were housewives and 114 (36.5%) were employed. 248 (79.5%) and 282 (90.4%) of the subjects had appropriate attitudes and knowledge about vaccination with Td vaccines and Influenza, respectively. Also 293 (93.9%) and 137 (43.9%) of the subjects had practice well against both Td and Influenza vaccines. In women with higher education and better economic conditions, and in working women, the practice of both vaccines has become more suitable. As women get older, knowledge and practice about Td vaccination decreased.
Also, the most common source of information for pregnant women about the vaccination program were 73.4% of health care workers, 12.5% of the Internet, 10.3% of radio and television, 3.5% of friends and acquaintances, and 0.3% of family members, respectively. In the relationship between knowledge, attitude and practice towards Influenza and Td vaccination, there was a direct and significant relationship between them so that with increasing or decreasing one, the other also increased or decreased. Most of the relationship between awareness and practice items was related to Influenza vaccine (r=0.304) and the lowest relationship between knowledge with practice items was related to Td vaccine (r=0.146).
Conclusion: In this study, it was found that with increasing awareness and attitude, vaccination has increased. Regarding Influenza vaccination, due to the significant relationship between the source of information and vaccination, it is recommended that more serious recommendations to be made by the health care staff to pregnant women regarding Influenza vaccination.
Monireh Rahimkhani, Ali Reza Mordadi,
Volume 15, Issue 6 (Feb & Mar 2022)
Volume 15, Issue 6 (Feb & Mar 2022)
Abstract
Background and Aim: Staphylococcus aureus is gram-positive coccus that is one of the most important causes of nosocomial infections and cause cutaneous or subcutaneous infections. Among these bacteria Methicillin-resistant Staphylococcus aureus (MRSA) are the most important. The aim of the present study was to investigate the lethal effect of a substance isolated from Staphylococcus aureus under the influence of ciprofloxacin on clinical strains of MRSA.
Materials and Methods: In the present study, 83 strains of Staphylococcus aureus isolated from hospitals affiliated to Hamadan University of Medical Sciences and were referred to the research laboratory in faculty of Allied Medical Sciences. Strains of Staphylococcus aureus were identified genotyping and phenotyping by PCR test to prove the presence of mecA gene. Minimums Inhibitory Concentration (MIC) and Minimum Bactericidal Concentration (MBC) were examined on number of MRSA in the presence of ciprofloxacin antibiotic as well as supernatant extracted from Staphylococcus aureus fluid culture medium under ciprofloxacin stress.
Results: Diagnostic tests of Staphylococcus aureus, including gram staining, catalase and coagulase tests were performed and all strains were Staphylococcus aureus. In the next step, the strains were genetically tested for confirming methicillin-resistant Staphylococcus aureus, by PCR test and present of mecA gene. All 83 samples had mecA genes and were MRSA. The mean MIC of ciprofloxacin and supernatant for different strains of MRSA were 0.032 mg/ml and 0.02 ml/ml, respectively, and the mean levels of MBC ciprofloxacin and supernatants for different strains of MRSA were 0.064 mg/ml and 0.04 ml/ml, respectively.
Conclusion: The effect of ciprofloxacin and supernatant on the death of stressed bacteria has been confirmed so that after bacterial stress by the antibiotic ciprofloxacin expression of genes related to programmed death was seen in a number of MRSA samples. The MIC and MBC values for MRSA strains in the presence of ciprofloxacin and the supernatant showed similar results, indicating the lethal effect of the protein secreted by cultured staphylococci in the presence of low amounts of ciprofloxacin on the bacteria themselves.
Materials and Methods: In the present study, 83 strains of Staphylococcus aureus isolated from hospitals affiliated to Hamadan University of Medical Sciences and were referred to the research laboratory in faculty of Allied Medical Sciences. Strains of Staphylococcus aureus were identified genotyping and phenotyping by PCR test to prove the presence of mecA gene. Minimums Inhibitory Concentration (MIC) and Minimum Bactericidal Concentration (MBC) were examined on number of MRSA in the presence of ciprofloxacin antibiotic as well as supernatant extracted from Staphylococcus aureus fluid culture medium under ciprofloxacin stress.
Results: Diagnostic tests of Staphylococcus aureus, including gram staining, catalase and coagulase tests were performed and all strains were Staphylococcus aureus. In the next step, the strains were genetically tested for confirming methicillin-resistant Staphylococcus aureus, by PCR test and present of mecA gene. All 83 samples had mecA genes and were MRSA. The mean MIC of ciprofloxacin and supernatant for different strains of MRSA were 0.032 mg/ml and 0.02 ml/ml, respectively, and the mean levels of MBC ciprofloxacin and supernatants for different strains of MRSA were 0.064 mg/ml and 0.04 ml/ml, respectively.
Conclusion: The effect of ciprofloxacin and supernatant on the death of stressed bacteria has been confirmed so that after bacterial stress by the antibiotic ciprofloxacin expression of genes related to programmed death was seen in a number of MRSA samples. The MIC and MBC values for MRSA strains in the presence of ciprofloxacin and the supernatant showed similar results, indicating the lethal effect of the protein secreted by cultured staphylococci in the presence of low amounts of ciprofloxacin on the bacteria themselves.
Sakineh Motayerzadeh, Rahim Tahmasebi, Behrooz Kavehie, Azita Noroozi,
Volume 16, Issue 3 (Aug 2022)
Volume 16, Issue 3 (Aug 2022)
Abstract
Background and Aim: Vaccination is one of the most effective preventive measures to control of infectious diseases. To create effective interventions for the acceptance of the COVID-19 vaccine, it is important to identify the factors that affect the vaccine acceptance. The aim of this study was to determine the predictive power of the Extended Parallel Process Model (EPPM) for acceptance of Covid-19 vaccine.
Materials and Methods: In this cross-sectional study, 1455 people over 18 years old covered in health centers living in Bushehr province in cities of Bushehr, Genaveh, Tangestan, and Asaluyeh in 2021 were selected by convenience method. Data collection was online by using questionnaire included three sections comprised of demographic factors, questionnaire related to model constructs, and self-administered questionnaire related to acceptance of Covid-19 vaccine. Data were analyzed using chi-square, two independent sample T-test and logistic regression; in SPSS software.
Results: Out of 1455 participants, 1067 persons (73.3%) had been vaccinated. The results showed that men (P=0.006), people with higher education (P=0.001), government employees (P=0.001), single people (P=0.01), people with history of specific disease (P=0.05), individuals with a history of Covid-19 positive test (P=0.001) and their family (P=0.03) were more than other vaccine recipients. Perceived severity, response efficacy and perceived self-efficacy were predictors of vaccine acceptance. Predictive variables and constructs explained 43.8% of changes in vaccine acceptance. Among the participants in the study, 1366 (93.9%) were in the fear control process, in which the highest defense response has been avoided.
Conclusion: In order to increase the acceptance of the vaccine, the efficacy and effectiveness of the vaccine and the severity of the complications of the disease should be emphasized. Therefore, public health campaigns aimed at increasing vaccine acceptance should provide a high level of transparency about the safety and effectiveness of vaccines to the community.
Materials and Methods: In this cross-sectional study, 1455 people over 18 years old covered in health centers living in Bushehr province in cities of Bushehr, Genaveh, Tangestan, and Asaluyeh in 2021 were selected by convenience method. Data collection was online by using questionnaire included three sections comprised of demographic factors, questionnaire related to model constructs, and self-administered questionnaire related to acceptance of Covid-19 vaccine. Data were analyzed using chi-square, two independent sample T-test and logistic regression; in SPSS software.
Results: Out of 1455 participants, 1067 persons (73.3%) had been vaccinated. The results showed that men (P=0.006), people with higher education (P=0.001), government employees (P=0.001), single people (P=0.01), people with history of specific disease (P=0.05), individuals with a history of Covid-19 positive test (P=0.001) and their family (P=0.03) were more than other vaccine recipients. Perceived severity, response efficacy and perceived self-efficacy were predictors of vaccine acceptance. Predictive variables and constructs explained 43.8% of changes in vaccine acceptance. Among the participants in the study, 1366 (93.9%) were in the fear control process, in which the highest defense response has been avoided.
Conclusion: In order to increase the acceptance of the vaccine, the efficacy and effectiveness of the vaccine and the severity of the complications of the disease should be emphasized. Therefore, public health campaigns aimed at increasing vaccine acceptance should provide a high level of transparency about the safety and effectiveness of vaccines to the community.
Niloofar Mohammadzadeh, Negin Ebrahimi, Mojgan Agah Heris,
Volume 16, Issue 4 (Oct 2022)
Volume 16, Issue 4 (Oct 2022)
Abstract
Background and Aim: According to the report of the World Health Organization, overweight and chronic and psychological diseases caused by it have reached an alarming level in the world. Today, cognitive behavioral therapy as a specific method for controlling overweight teaches the audience how to identify and change inappropriate behavior patterns and destructive thoughts with distress that negatively affect their behavior and emotions. The purpose of this research was to provide a mobile-based application for overweight control with a cognitive-behavioral therapy approach.
Materials and Methods: This research was of applied-developmental type. In the first stage, by examining the available applications based on mobile and related to weight control and also Beck cognitive therapy protocol for weight loss, the capabilities of the application were identified and then based on a survey of experts, these capabilities were determined. Afterwards, the user interface of the application was designed and the necessary coding was done to use it. The database was then created using MySQL software and the application program was created using Flutter software and Dart programming language and was named CBTdiet. Finally, the usability of the application was evaluated by users using a standard QUIS questionnaire.
Results: Based on the entry and exit criteria, among the 247 identified applications, the capabilities of 17 applications were examined. Finally, according to the opinion of the experts, 21 capabilities, including the ability to send motivational messages to the audience and the ability to reward to achieve weight loss of one kilogram per week, were considered for the design of the application program. The application designed in this research was at a good level from the users’ point of view with an average of 7.99±1.1 and was able to obtain an acceptable level of satisfaction in the evaluation stage. The software’s overall capabilities section got the highest average score (8.12) and the screen section got the lowest average score (7.89) among all sections.
Conclusion: Based on the determined capabilities, a mobile-based application for controlling overweight was designed and created with a cognitive behavioral therapy approach, and it can be effective in overweight control by modifying lifestyle and changing destructive thoughts.
Materials and Methods: This research was of applied-developmental type. In the first stage, by examining the available applications based on mobile and related to weight control and also Beck cognitive therapy protocol for weight loss, the capabilities of the application were identified and then based on a survey of experts, these capabilities were determined. Afterwards, the user interface of the application was designed and the necessary coding was done to use it. The database was then created using MySQL software and the application program was created using Flutter software and Dart programming language and was named CBTdiet. Finally, the usability of the application was evaluated by users using a standard QUIS questionnaire.
Results: Based on the entry and exit criteria, among the 247 identified applications, the capabilities of 17 applications were examined. Finally, according to the opinion of the experts, 21 capabilities, including the ability to send motivational messages to the audience and the ability to reward to achieve weight loss of one kilogram per week, were considered for the design of the application program. The application designed in this research was at a good level from the users’ point of view with an average of 7.99±1.1 and was able to obtain an acceptable level of satisfaction in the evaluation stage. The software’s overall capabilities section got the highest average score (8.12) and the screen section got the lowest average score (7.89) among all sections.
Conclusion: Based on the determined capabilities, a mobile-based application for controlling overweight was designed and created with a cognitive behavioral therapy approach, and it can be effective in overweight control by modifying lifestyle and changing destructive thoughts.
Nazli Ebrahim Netaj, Maryam Rezaei Dastjerdi, Saham Ansari, Kamran Amirian Chayjan, Mahdi Sepidarkish, Jalal Jafarzadeh, Akbar Hossein Nejad, Mojtaba Taghizadeh Armaki,
Volume 16, Issue 4 (Oct 2022)
Volume 16, Issue 4 (Oct 2022)
Abstract
Background and Aim: Denture stomatitis is the most prevalent oral mucosal lesion among denture wearers. Because there have been multiple reports of resistance of Candida species to antifungal drugs in the last two decades, if the antifungal properties of Achillea millefolium and Trachyspermum ammi are validated, these compounds may be a suitable adjuvant drug along with the use of common antifungal drugs. Therefore, the current study aimed to assess the antifungal activity of alcoholic extracts of Achillea millefolium and Trachyspermum ammi against Candida albicans isolated from denture stomatitis.
Materials and Methods: Antifungal sensitivity of 50 isolates of C. albicans with the origin of denture stomatitis to the alcoholic extracts of Achillea millefolium and Trachyspermum ammi plants as well as the antifungal drugs miconazole and nystatin was determined by broth microdilution method and according to CLSI-M27S4 guidelines. The range of dilution for all compounds was 0.016-16 μg/ml. A concentration of compounds that showed at least 50% growth inhibition as compared to the positive control group was considered MIC (minimum growth inhibitory concentration). Statistical analysis was done using SPSS software and the significance level was considered as P<0.05.
Results: The MIC ranges in microbroth dilution method for the antifungal drugs miconazole, nystatin, as well as the alcoholic extracts of Achillea millefolium and Trachyspermum ammi plants on C. albicans, were close to each other, indicating that their effectiveness against C. albicans species does not differ significantly (P<0.05). The Achillea millefolium methanolic extract had the highest and lowest MIC values, with an average of 2.67±2.55 μg/ml and 0.067±0.057 μg/ml, respectively. A significant difference (P<0.001) was observed when the MICs outcomes the herbal alcoholic extracts and antifungal drugs were compared.
Conclusion: Based on the obtained MICs, Achillea millefolium and Trachyspermum ammi alcoholic plant extracts have a lesser efficacy than the antifungal drugs, but even though they may have a lower MIC and more effectiveness than other chemical drugs.
Materials and Methods: Antifungal sensitivity of 50 isolates of C. albicans with the origin of denture stomatitis to the alcoholic extracts of Achillea millefolium and Trachyspermum ammi plants as well as the antifungal drugs miconazole and nystatin was determined by broth microdilution method and according to CLSI-M27S4 guidelines. The range of dilution for all compounds was 0.016-16 μg/ml. A concentration of compounds that showed at least 50% growth inhibition as compared to the positive control group was considered MIC (minimum growth inhibitory concentration). Statistical analysis was done using SPSS software and the significance level was considered as P<0.05.
Results: The MIC ranges in microbroth dilution method for the antifungal drugs miconazole, nystatin, as well as the alcoholic extracts of Achillea millefolium and Trachyspermum ammi plants on C. albicans, were close to each other, indicating that their effectiveness against C. albicans species does not differ significantly (P<0.05). The Achillea millefolium methanolic extract had the highest and lowest MIC values, with an average of 2.67±2.55 μg/ml and 0.067±0.057 μg/ml, respectively. A significant difference (P<0.001) was observed when the MICs outcomes the herbal alcoholic extracts and antifungal drugs were compared.
Conclusion: Based on the obtained MICs, Achillea millefolium and Trachyspermum ammi alcoholic plant extracts have a lesser efficacy than the antifungal drugs, but even though they may have a lower MIC and more effectiveness than other chemical drugs.
Rahil Nahari, Saeed Hashemzadeh, Ehsan Zarei,
Volume 16, Issue 6 (Feb 2023)
Volume 16, Issue 6 (Feb 2023)
Abstract
Background and Aim: Medical tourism refers to travel for receiving health services abroad. The COVID-19 crisis affected a wide range of tourism-related businesses, including medical tourism, and caused a decrease in the supply and demand of health services in this market. This study aimed to investigate the impact of the COVID-19 pandemic on Medical Tourism in Iran.
Materials and Methods: This cross-sectional study was conducted in Iran in 2021. The data used in this study were extracted from the information system of the Ministry of Health from 2018 to 2021, which includes the number, origin, and destination of medical tourists, per capita revenue, and monthly revenue two years before and one and a half years after the COVID-19 pandemic. For data analysis, t-tests of independent groups and interrupted time series regression were used in SPSS and EViews 10 software.
Results: The COVID-19 pandemic has caused a 42% decrease in the average monthly number of medical tourists, a 45% decrease in the monthly revenue, and a 10% decrease in the per capita income per tourist (P<0.05). The arrival of medical tourists from the Republic of Azerbaijan, Bahrain, Iraq, and Oman has decreased by more than 80%, and the largest decrease in the number of tourists has been related to Ahvaz, Urmia, Tabriz, and Shiraz. In all diagnostic groups except obstetrics and gynecology, there has been a decrease between 50 to 70% The declining trend of medical tourism indicators was stopped in the second year of the COVID-19 pandemic and has continued as a constant trend.
Conclusion: The COVID-19 crisis has hurt the number of international patients and their revenue in Iran. Relative success in controlling COVID-19 can return to a pre-pandemic situation that requires appropriate policies and administrative measures by government and industry players, such as policies to facilitate patient entry, marketing measures, branding and creating a positive image of the country to potential clients, use of telemedicine facilities for consultations and follow-up, etc.
Materials and Methods: This cross-sectional study was conducted in Iran in 2021. The data used in this study were extracted from the information system of the Ministry of Health from 2018 to 2021, which includes the number, origin, and destination of medical tourists, per capita revenue, and monthly revenue two years before and one and a half years after the COVID-19 pandemic. For data analysis, t-tests of independent groups and interrupted time series regression were used in SPSS and EViews 10 software.
Results: The COVID-19 pandemic has caused a 42% decrease in the average monthly number of medical tourists, a 45% decrease in the monthly revenue, and a 10% decrease in the per capita income per tourist (P<0.05). The arrival of medical tourists from the Republic of Azerbaijan, Bahrain, Iraq, and Oman has decreased by more than 80%, and the largest decrease in the number of tourists has been related to Ahvaz, Urmia, Tabriz, and Shiraz. In all diagnostic groups except obstetrics and gynecology, there has been a decrease between 50 to 70% The declining trend of medical tourism indicators was stopped in the second year of the COVID-19 pandemic and has continued as a constant trend.
Conclusion: The COVID-19 crisis has hurt the number of international patients and their revenue in Iran. Relative success in controlling COVID-19 can return to a pre-pandemic situation that requires appropriate policies and administrative measures by government and industry players, such as policies to facilitate patient entry, marketing measures, branding and creating a positive image of the country to potential clients, use of telemedicine facilities for consultations and follow-up, etc.
Keyhan Fatehi, Farimah Rahimi, Reza Rezayatmand,
Volume 17, Issue 1 (3-2023)
Volume 17, Issue 1 (3-2023)
Abstract
Background and Aim: Colorectal cancer is one of the most common cancers that its incidence and prevalence and so deaths due to this cancer have increased worldwide recently. This study examines the economic burden of colorectal cancer from different perspectives by conducting a scoping review.
Materials and Methods: In this scoping review, by searching Scopus, PubMed, Embase, Cochrane, and Web of Science, the articles reporting the costs of CRC were reviewed. The search was limited to those published in the past years leading up to 2020. In addition to categorizing different aspects of the reviewed paper, per capita costs were adjusted with the purchasing power parity in order to make some comparisons possible. In this study, the calculated costs of retrieved studies were categorized based on the perspective of each study.
Results: Out of 29 studies, only two have reported indirect costs of CRC, and 4 studies have reported both direct and indirect costs. In other studies, only direct costs of CRC have been reported. Nearly 40% of studies calculated CRC costs from the provider’s perspective. The highest reported annual per-patient cost was $175020(PPP-adjusted) which is related to the average annual costs of patients with CRC at the fourth stage in the United States from a provider perspective. The lowest reported amount was $ 954(PPP-adjusted) which was related to average annual inpatient costs in Brazil from a provider perspective.
Conclusion: Due to variations in study characteristics in terms of perspective, type of costs, type of patient included, etc. any comparison between the economic burden of CRC should be made with caution. However, reviewing various aspects of the economic burden of CRC reported in included studies, will provide researchers and policymakers with a better insight into the CRC burden while designing intervention programs will reduce the budget impact of the those programs.
Materials and Methods: In this scoping review, by searching Scopus, PubMed, Embase, Cochrane, and Web of Science, the articles reporting the costs of CRC were reviewed. The search was limited to those published in the past years leading up to 2020. In addition to categorizing different aspects of the reviewed paper, per capita costs were adjusted with the purchasing power parity in order to make some comparisons possible. In this study, the calculated costs of retrieved studies were categorized based on the perspective of each study.
Results: Out of 29 studies, only two have reported indirect costs of CRC, and 4 studies have reported both direct and indirect costs. In other studies, only direct costs of CRC have been reported. Nearly 40% of studies calculated CRC costs from the provider’s perspective. The highest reported annual per-patient cost was $175020(PPP-adjusted) which is related to the average annual costs of patients with CRC at the fourth stage in the United States from a provider perspective. The lowest reported amount was $ 954(PPP-adjusted) which was related to average annual inpatient costs in Brazil from a provider perspective.
Conclusion: Due to variations in study characteristics in terms of perspective, type of costs, type of patient included, etc. any comparison between the economic burden of CRC should be made with caution. However, reviewing various aspects of the economic burden of CRC reported in included studies, will provide researchers and policymakers with a better insight into the CRC burden while designing intervention programs will reduce the budget impact of the those programs.
Negin Saldar, Rahim Shahbazi,
Volume 17, Issue 2 (5-2023)
Volume 17, Issue 2 (5-2023)
Abstract
Background and Aim: Health literacy plays a role in “reducing human casualties and financial costs” in a society. Emotional intelligence and media literacy also contribute to people’s success in life. Therefore, the aim of this study was to investigate the mediating role of media literacy in the relationship between emotional intelligence and health literacy among graduate students of Azarbaijan Shahid Madani University.
Materials and Methods: This research is based on the nature and general characteristics, quantitative; Based on the purpose, it is applied and based on the research method and data collection method, is a descriptive correlation based on structural equation model. The statistical population was graduate students of Azarbaijan Shahid Madani University in 2020 (2218 students). The statistical sample of the research is 327 people who were selected by stratified random sampling method. To collect data, Emotional Intelligence Questionnaire (1998), Montazeri et al. Health Literacy Questionnaire (2014) and media literacy questionnaire were used. The reliability of the questionnaires was obtained using Cronbach’s alpha coefficient of 0.91, 0.84 and 0.79, respectively. The collected data were analyzed using descriptive statistics and inferential statistics (structural equation model) using SPSS and LISREL software.
Results: The findings showed the mean of emotional intelligence, health literacy and media literacy of graduate students of Azarbaijan Shahid Madani University is 3.10, 3.47 and 3.58, respectively. Also, the results showed a significant relationship between emotional intelligence and students’ health literacy. According to the findings, there is a significant relationship between emotional intelligence with media literacy, and media literacy with health literacy. Also, the media literacy variable plays a mediating role in the relationship between emotional intelligence and health literacy (coefficient) of 0.58 units. The results of the structural equation model test also showed that the proposed conceptual model fits the relationship between emotional intelligence, health literacy and students’ media literacy.
Conclusion: Media literacy can not only directly affect students’ health literacy, but also has a mediating role between emotional intelligence and health literacy. Due to the effect of emotional intelligence on students’ health and media literacy, it is recommended that the necessary planning to be done in graduate education and to strengthen emotional intelligence.
Materials and Methods: This research is based on the nature and general characteristics, quantitative; Based on the purpose, it is applied and based on the research method and data collection method, is a descriptive correlation based on structural equation model. The statistical population was graduate students of Azarbaijan Shahid Madani University in 2020 (2218 students). The statistical sample of the research is 327 people who were selected by stratified random sampling method. To collect data, Emotional Intelligence Questionnaire (1998), Montazeri et al. Health Literacy Questionnaire (2014) and media literacy questionnaire were used. The reliability of the questionnaires was obtained using Cronbach’s alpha coefficient of 0.91, 0.84 and 0.79, respectively. The collected data were analyzed using descriptive statistics and inferential statistics (structural equation model) using SPSS and LISREL software.
Results: The findings showed the mean of emotional intelligence, health literacy and media literacy of graduate students of Azarbaijan Shahid Madani University is 3.10, 3.47 and 3.58, respectively. Also, the results showed a significant relationship between emotional intelligence and students’ health literacy. According to the findings, there is a significant relationship between emotional intelligence with media literacy, and media literacy with health literacy. Also, the media literacy variable plays a mediating role in the relationship between emotional intelligence and health literacy (coefficient) of 0.58 units. The results of the structural equation model test also showed that the proposed conceptual model fits the relationship between emotional intelligence, health literacy and students’ media literacy.
Conclusion: Media literacy can not only directly affect students’ health literacy, but also has a mediating role between emotional intelligence and health literacy. Due to the effect of emotional intelligence on students’ health and media literacy, it is recommended that the necessary planning to be done in graduate education and to strengthen emotional intelligence.
Shima Moradi, Fatemeh Rezaei Zadeh, Monireh Rahimkhani,
Volume 17, Issue 4 (10-2023)
Volume 17, Issue 4 (10-2023)
Abstract
Background and aim: This study aimed to determine the position of Iran in terms of scientific publications in Immunology and Microbiology, and also to identify the general status of science production and the patterns of publishing in the world, the Middle East, and Iran, analyze Iran scientific collaboration with the Middle East and the world, and explore the relationship between these indicators.
Materials and Methods: The study population contained 30622 Middle Eastern publications in Immunology and Microbiology from 2009 to 2018. Positioning the countries and exploring the relations of indicators, the exploratory factor analysis, and the correlation matrix were conducted using Scival.
Results: According to the findings Iran, Turkey, and Saudi Arabia were among the most powerful countries in the region in terms of publication, citation, regional, international, and overall scientific collaboration. As for regional positioning, the citations had the highest weight comparing to other indicators. Iran have the first rank in the indices of scientific production and citations with 43.63% and 33.76% respectively, third rank in the regional cooperation index with 43.63%, second rank in the extra-regional cooperation index with 23.56%, and also second rank in the total cooperation index with 22.12%.
Conclusion: The indicators were strongly connected togather; however, the citations and international scientific collaborations displayed the strongest amongst others. Despite Iran’s prominent position in both fields, the quality of the publication was lower than the regional and global average. This identified the most powerful and weak countries in the region in regards to scientific capacities in Immunology and Microbiology. Moreover, it reckoned that there was a strong relation between citations and scientific production in contrast with others.
Zahra Khaje, Kamran Yazdani, Ibrahim Abdollahpour, Mohsen Mohammadi, Saharnaz Nedjat,
Volume 17, Issue 5 (12-2023)
Volume 17, Issue 5 (12-2023)
Abstract
Background and Aim: Alzheimer’s is a chronic disease that causes cognitive disabilities, thinking, personality changes and disruptions in daily activities. Due to these disorders, patients need long-term care. Most care for Alzheimer’s patients is done at home by family members, which makes home caregivers mentally, physically, emotionally, socially and financially vulnerable. Health personnel have a key role to play in providing information and guidance and helping the family control these conditions. The purpose of this study was to examines the level of knowledge and attitude of health workers and determines the related factors.
Materials and Methods: This research is a cross-sectional study to evaluate the level of knowledge and attitude of health workers about Alzheimer’s disease and its related factors. All 260 health workers of Gorgan and Kordkuy districts were studied by census method to assess their knowledge and attitude about Alzheimer’s disease and its related factors. ANOVA and T-tests were used to determine the relationship between the independent variables and the dependent variable. Variables whose significant level of correlation with response variable was less than 0.2 in bivariate analysis were entered into the regression model and finally multiple linear regression was used to determine the factors related to level of knowledge and attitude.
Results: The mean level of knowledge was 46.73% (95% CI, 45.46 to 48.16) and the mean level of attitude was 55.61% (95% CI, 54.63 to 56.74). The results show that those with a history of previous education, a history of caring for Alzheimer’s patients, a higher level of work experience in the health care system, and having a female gender and be married have higher levels of knowledge and those with a history of previous education and Sistani descent had a higher attitude.
Conclusion: In general, the mean level of knowledge was 46.73(0-100) and the mean level of attitude was 55.61(0-100). Factors such as: gender, work history in the health system, history of participating in educational workshops, history of caring for sick patients, and marital status were related to the level of knowledge and factors such as ethnicity and history of participating in the training workshop were related to the level of attitude of the health care providers.
Rasul Bidel Nikoo, Shila Hasanzadeh, Mohamad Jebraeily, Naser Masoudi, Bahlol Rahimi, Farshad Faghisolouk,
Volume 17, Issue 6 (2-2024)
Volume 17, Issue 6 (2-2024)
Abstract
Background and Aim: Traffic accidents in Iran are one of the main causes of mortality and morbidity, identifying the factors related to these accidents can be useful in the prevention and proper management of traffic accidents. The purpose of this study was to determine the epidemiology of trauma caused by traffic accidents in Imam Khomeini hospital in Urmia during 2017-2022.
Materials and Methods: The current research is a cross-sectional descriptive study that was conducted on patients hospitalized due to traffic accidents in Imam Khomeini hospital in Urmia for five years. The required data included demographic characteristics and information of the injured (role of the injured, time of the accident, location of the accident, type of vehicle, damaged area, and condition of the injured during discharge), which was extracted from the trauma registration system of Urmia University of Medical Sciences. After collecting the data, it was entered into SPSS 16 software and described through frequency distribution table and central and dispersion indices
Results: In this study, out of 2086 injured cases, 74.40% (1552 people) were male. The average age of the injured was 34.49 ± 18.47 years. The type of accidental vehicle of most of the injured was motorcycle with 56.70% (998 cases). The most injured were drivers with 52.73% (1100 cases) and among them 57.45% (632 people) were motorcycle riders. 34.08% (711 cases) of injuries to body parts were in the head, neck and face.
Conclusion: The results of this research showed that most of the injured in traffic accidents are young motorcycle drivers and the most injuries were related to the head and neck area. Therefore, by knowing the risk factors and the impact of each of them on the outcome of traffic accidents, it is necessary to carry out appropriate interventions to prevent the risky behaviors of young drivers and create a culture of observing safety tips. Also, in the health system, the necessary preparations in terms of manpower and medical equipment should be made to manage the treatment of injuries caused by traffic accidents.
Materials and Methods: The current research is a cross-sectional descriptive study that was conducted on patients hospitalized due to traffic accidents in Imam Khomeini hospital in Urmia for five years. The required data included demographic characteristics and information of the injured (role of the injured, time of the accident, location of the accident, type of vehicle, damaged area, and condition of the injured during discharge), which was extracted from the trauma registration system of Urmia University of Medical Sciences. After collecting the data, it was entered into SPSS 16 software and described through frequency distribution table and central and dispersion indices
Results: In this study, out of 2086 injured cases, 74.40% (1552 people) were male. The average age of the injured was 34.49 ± 18.47 years. The type of accidental vehicle of most of the injured was motorcycle with 56.70% (998 cases). The most injured were drivers with 52.73% (1100 cases) and among them 57.45% (632 people) were motorcycle riders. 34.08% (711 cases) of injuries to body parts were in the head, neck and face.
Conclusion: The results of this research showed that most of the injured in traffic accidents are young motorcycle drivers and the most injuries were related to the head and neck area. Therefore, by knowing the risk factors and the impact of each of them on the outcome of traffic accidents, it is necessary to carry out appropriate interventions to prevent the risky behaviors of young drivers and create a culture of observing safety tips. Also, in the health system, the necessary preparations in terms of manpower and medical equipment should be made to manage the treatment of injuries caused by traffic accidents.
Shabnam Ghasemyani, Kobra Movalled, Shafi Habibi, Rahim Khodayari Zarnaq,
Volume 18, Issue 5 (11-2024)
Volume 18, Issue 5 (11-2024)
Abstract
Background and Aim: In recent years, active patient participation in healthcare has been increasingly recognized as a vital component in health policies aimed at achieving optimal health outcomes. This study aims to identify the contexts and areas in which patients engage in safety-related measures within healthcare settings.
Materials and Methods: A scoping review of the English-language literature published from 2000 to 2021 was performed. The search strategy involved relevant keywords, including MeSH modifications, as well as common terms associated with the topic, such as patient collaboration, patient participation, patient engagement, patient involvement, patient education, and patient safety. Literature was sourced from the Scopus, PubMed, Web of Science, and ProQuest databases. The research design adhered to the framework proposed by Arksey and O’Malley, and data analysis was conducted using a content analysis approach.
Results: The search strategy yielded a total of 2,951 articles, of which 38 articles met the inclusion criteria. The majority of studies originated from the United States (14), the United Kingdom (8), and Australia (6). The publication years with the highest output were 2015 (5 articles) and 2017 (4 articles). Five key areas of patient participation were identified: fall prevention, prevention of drug interactions, medical error prevention and awareness, participation in infection control and staff hand hygiene, and educational initiatives. The articles identified focused on various areas, including participation in fall prevention (26.3%), education and awareness promotion, participation in infection control and hand hygiene (23.6%), prevention and awareness of medical errors (18.4%), and prevention of drug interactions (7.9%).The main findings of the reviewed studies were categorized into four areas: patient participation, methods of patient participation, examples and outcomes of patient participation, and challenges associated with patient participation in safety-related measures.
Conclusion: Promoting patient involvement in safety-related practices within healthcare is essential for bolstering patient safety. Such participation is contingent upon empowering patients by improving their health literacy and knowledge while simultaneously fostering a shift in the attitudes of healthcare providers. The involvement of policymakers, particularly at the levels of the Ministry of Health and Medical Education, is critical in advancing patient and family participation in national hospital accreditation standards and facilitating broader initiatives aimed at transitioning the health system towards a model of participatory care.
Materials and Methods: A scoping review of the English-language literature published from 2000 to 2021 was performed. The search strategy involved relevant keywords, including MeSH modifications, as well as common terms associated with the topic, such as patient collaboration, patient participation, patient engagement, patient involvement, patient education, and patient safety. Literature was sourced from the Scopus, PubMed, Web of Science, and ProQuest databases. The research design adhered to the framework proposed by Arksey and O’Malley, and data analysis was conducted using a content analysis approach.
Results: The search strategy yielded a total of 2,951 articles, of which 38 articles met the inclusion criteria. The majority of studies originated from the United States (14), the United Kingdom (8), and Australia (6). The publication years with the highest output were 2015 (5 articles) and 2017 (4 articles). Five key areas of patient participation were identified: fall prevention, prevention of drug interactions, medical error prevention and awareness, participation in infection control and staff hand hygiene, and educational initiatives. The articles identified focused on various areas, including participation in fall prevention (26.3%), education and awareness promotion, participation in infection control and hand hygiene (23.6%), prevention and awareness of medical errors (18.4%), and prevention of drug interactions (7.9%).The main findings of the reviewed studies were categorized into four areas: patient participation, methods of patient participation, examples and outcomes of patient participation, and challenges associated with patient participation in safety-related measures.
Conclusion: Promoting patient involvement in safety-related practices within healthcare is essential for bolstering patient safety. Such participation is contingent upon empowering patients by improving their health literacy and knowledge while simultaneously fostering a shift in the attitudes of healthcare providers. The involvement of policymakers, particularly at the levels of the Ministry of Health and Medical Education, is critical in advancing patient and family participation in national hospital accreditation standards and facilitating broader initiatives aimed at transitioning the health system towards a model of participatory care.
Seyed Hadi Hosseini, Saeed Shahsavari, Yasaman Poormoosa, Mitra Rahimzadeh,
Volume 19, Issue 2 (7-2025)
Volume 19, Issue 2 (7-2025)
Abstract
Background and Aim: Medical university-affiliated dental clinics, particularly those located in metropolitan areas, provide oral healthcare services to a wide range of patients with diverse demographic and socio-cultural backgrounds. The sustainability and continued effectiveness of these clinics largely depend on patients’ satisfaction and loyalty. Understanding the determinants of these two critical factors and exploring their interrelationship is essential for improving service delivery and enhancing patient retention. Therefore, the present study aimed to analyze patient satisfaction and loyalty in a university dental clinic using a structural equation modeling (SEM) approach.
Materials and Methods: This cross-sectional, descriptive-analytical study was conducted during 2023–2024 on a sample of 190 patients who visited the dental clinic of Alborz University of Medical Sciences. Participants were selected through convenience sampling. Data were collected using two standardized questionnaires: one assessing dental patient satisfaction and the other measuring patient loyalty. Structural equation modeling was employed using AMOS software, and model fit was evaluated using standard indices including the Comparative Fit Index (CFI), Tucker-Lewis Index (TLI), and Root Mean Square Error of Approximation (RMSEA).
Results: The SEM analysis revealed a significant and positive relationship between patient satisfaction and loyalty (β=0.931, P<0.001). Among the dimensions of satisfaction, hygiene and physical conditions (β=0.939), responsiveness and service delivery (β=0.847), appointment scheduling and waiting time (β=0.761) had the most substantial impact on overall satisfaction (P<0.001). Additionally, attitudinal (β=0.996) and behavioral (β=0.859) components emerged as key dimensions of patient loyalty. Model fit indices demonstrated an acceptable level of fit with the data (CFI=0.893, RMSEA=0.077).
Conclusion: To enhance patient satisfaction and foster loyalty, university dental clinics should prioritize internal operational improvements, particularly in the areas of environmental hygiene, service responsiveness, and time management. Creating a positive mental impression through these factors can serve as a foundational step in cultivating long-term loyalty, ultimately contributing to the clinic’s credibility and sustainable performance within a competitive healthcare environment.
Materials and Methods: This cross-sectional, descriptive-analytical study was conducted during 2023–2024 on a sample of 190 patients who visited the dental clinic of Alborz University of Medical Sciences. Participants were selected through convenience sampling. Data were collected using two standardized questionnaires: one assessing dental patient satisfaction and the other measuring patient loyalty. Structural equation modeling was employed using AMOS software, and model fit was evaluated using standard indices including the Comparative Fit Index (CFI), Tucker-Lewis Index (TLI), and Root Mean Square Error of Approximation (RMSEA).
Results: The SEM analysis revealed a significant and positive relationship between patient satisfaction and loyalty (β=0.931, P<0.001). Among the dimensions of satisfaction, hygiene and physical conditions (β=0.939), responsiveness and service delivery (β=0.847), appointment scheduling and waiting time (β=0.761) had the most substantial impact on overall satisfaction (P<0.001). Additionally, attitudinal (β=0.996) and behavioral (β=0.859) components emerged as key dimensions of patient loyalty. Model fit indices demonstrated an acceptable level of fit with the data (CFI=0.893, RMSEA=0.077).
Conclusion: To enhance patient satisfaction and foster loyalty, university dental clinics should prioritize internal operational improvements, particularly in the areas of environmental hygiene, service responsiveness, and time management. Creating a positive mental impression through these factors can serve as a foundational step in cultivating long-term loyalty, ultimately contributing to the clinic’s credibility and sustainable performance within a competitive healthcare environment.
Ebrahim Jaafaripooyan, Seyed Farshad Allameh, Neda Alizadeh, Tahereh Sharifi,
Volume 19, Issue 4 (11-2025)
Volume 19, Issue 4 (11-2025)
Abstract
Background and Aim: Retention of faculty members is one of the fundamental challenges of the country’s health system. Therefore, this study aimed was conducted with the aim of providing strategies for retaining faculty members in the health field.
Materials and Methods: This study was conducted in a combined manner in three stages in 2024. In a field review, related articles were reviewed from the Magiran, SID, PubMed databases and using the Google scholar search engine. Out of 18,977 identified studies, 37 articles were selected and reviewed after several stages of screening. In the second stage, 12 semi-structured interviews were conducted with relevant experts and managers using an inductive approach based on the rules of directional content analysis to identify the factors of retention of faculty members in the health field. Accordingly, the human resource management framework, which includes 5 stages of familiarization with the data, identification of the thematic framework, indexing, display with a diagram, and interpretation of the results, was used for data analysis in this study. MAXQDA-2020 software was used to analyze the research data. Finally, in the third stage, using a prioritization matrix, the solutions were scored and prioritized by 17 experts.
Results: Strategies were identified and classified into 10 areas based on the human resources management cycle, including recruitment, selection and hiring, growth and development, performance evaluation, compensation, organizational culture, improving working conditions, motivation, termination of employment, and external factors. Then, those in each area were prioritized based on their level of efficacy, with the highest priority solutions including improvement of the country’s financial and economic conditions (mean score=4.92 out of 5), an increase in faculty members’ salaries (4.90), removal of the salary cap (4.88), establishment of housing cooperatives (4.82), respect for the dignity and social status of retired professors (4.80), provision of recreational facilities for faculty members (4.79), enhancement of transparency, accountability, and adherence to the rule of law in the country (4.79), and increased faculty participation in decision-making processes (4.47).
Conclusion: Given the results, strategies such as focusing on improving the financial situation, promoting transparency, and increasing the well-being of faculty members can be effective in increasing the motivation and retention of faculty members in the health sector. Therefore, the implementation of these strategies by policymakers and education administrators is expected to improve the retention of faculty members in this sector.
Materials and Methods: This study was conducted in a combined manner in three stages in 2024. In a field review, related articles were reviewed from the Magiran, SID, PubMed databases and using the Google scholar search engine. Out of 18,977 identified studies, 37 articles were selected and reviewed after several stages of screening. In the second stage, 12 semi-structured interviews were conducted with relevant experts and managers using an inductive approach based on the rules of directional content analysis to identify the factors of retention of faculty members in the health field. Accordingly, the human resource management framework, which includes 5 stages of familiarization with the data, identification of the thematic framework, indexing, display with a diagram, and interpretation of the results, was used for data analysis in this study. MAXQDA-2020 software was used to analyze the research data. Finally, in the third stage, using a prioritization matrix, the solutions were scored and prioritized by 17 experts.
Results: Strategies were identified and classified into 10 areas based on the human resources management cycle, including recruitment, selection and hiring, growth and development, performance evaluation, compensation, organizational culture, improving working conditions, motivation, termination of employment, and external factors. Then, those in each area were prioritized based on their level of efficacy, with the highest priority solutions including improvement of the country’s financial and economic conditions (mean score=4.92 out of 5), an increase in faculty members’ salaries (4.90), removal of the salary cap (4.88), establishment of housing cooperatives (4.82), respect for the dignity and social status of retired professors (4.80), provision of recreational facilities for faculty members (4.79), enhancement of transparency, accountability, and adherence to the rule of law in the country (4.79), and increased faculty participation in decision-making processes (4.47).
Conclusion: Given the results, strategies such as focusing on improving the financial situation, promoting transparency, and increasing the well-being of faculty members can be effective in increasing the motivation and retention of faculty members in the health sector. Therefore, the implementation of these strategies by policymakers and education administrators is expected to improve the retention of faculty members in this sector.
Ahmad Negahban, Azam Salehzadeh, Razieh Farrahi, Alireza Nourozi, Sina Tavakoli,
Volume 19, Issue 6 (3-2026)
Volume 19, Issue 6 (3-2026)
Abstract
Background and Aim: With the digitalization of healthcare, hospital information systems handle vast amounts of sensitive data, making their protection crucial. This study aimed to assess the compliance of these systems in hospitals affiliated with Birjand University of Medical Sciences with the physical and technical safeguard standards of Health Insurance Portability and Accountability Act (HIPAA) in 2024.
Materials and Methods: This cross-sectional descriptive study was conducted in 15 hospitals affiliated with Birjand University of Medical Sciences. The study population consisted of Information Technology (IT) unit managers, who were selected using a census method (15 individuals). The research instrument was a researcher-developed checklist consisting of 56 items based on the physical and technical standards of HIPAA. The face validity of the checklist was confirmed by five experts in Health Information Management, Medical Informatics, and Health Policy, and its reliability was verified with a Cronbach’s alpha coefficient of 0.84. Data were analyzed using SPSS software and descriptive statistics, including frequency, percentage, mean, and standard deviation.
Results: A total of 15 information technology managers (14 men and 1 woman) from 15 hospitals, including 8 teaching and 7 non-teaching hospitals, participated in the study. The findings showed that the hospital information systems of Birjand University of Medical Sciences complied with the HIPAA physical and technical safeguard standards at rates of 81.7% and 86.7%, respectively. In the domain of physical safeguards, the workstation security standard demonstrated the highest level of compliance, with a mean score of 89.3%. Full compliance (100%) was observed for certain indicators, including emergency access procedures for facilities and physical access control procedures. In contrast, the lowest compliance in this domain was related to the device and media controls standard, with a mean score of 74.9%, particularly in the identification and tracking of hardware and electronic media. In the domain of technical safeguards, the overall mean compliance rate was 86.7%. Among these standards, person or entity authentication achieved the highest level of compliance, with all hospitals demonstrating full compliance (100%). In addition, access control (93.3%), audit controls (86.7%), and transmission security (85.3%) were all at desirable levels. However, the lowest compliance was observed for the integrity standard (50%), highlighting the need to strengthen technical infrastructure and implement more advanced electronic mechanisms to ensure data accuracy and integrity.
Conclusion: Although the overall level of compliance in the hospitals under study is satisfactory, significant gaps remain, particularly in device and media control and data integrity. These deficiencies may lead to breaches of patient privacy and undermine public trust in the healthcare system. It is recommended that senior hospital managers and health policymakers address these deficiencies by developing and implementing clear internal guidelines, investing in appropriate supportive technologies, and conducting continuous, targeted training programs for all personnel. In addition, periodic compliance monitoring is essential to ensure continuous improvement.
Materials and Methods: This cross-sectional descriptive study was conducted in 15 hospitals affiliated with Birjand University of Medical Sciences. The study population consisted of Information Technology (IT) unit managers, who were selected using a census method (15 individuals). The research instrument was a researcher-developed checklist consisting of 56 items based on the physical and technical standards of HIPAA. The face validity of the checklist was confirmed by five experts in Health Information Management, Medical Informatics, and Health Policy, and its reliability was verified with a Cronbach’s alpha coefficient of 0.84. Data were analyzed using SPSS software and descriptive statistics, including frequency, percentage, mean, and standard deviation.
Results: A total of 15 information technology managers (14 men and 1 woman) from 15 hospitals, including 8 teaching and 7 non-teaching hospitals, participated in the study. The findings showed that the hospital information systems of Birjand University of Medical Sciences complied with the HIPAA physical and technical safeguard standards at rates of 81.7% and 86.7%, respectively. In the domain of physical safeguards, the workstation security standard demonstrated the highest level of compliance, with a mean score of 89.3%. Full compliance (100%) was observed for certain indicators, including emergency access procedures for facilities and physical access control procedures. In contrast, the lowest compliance in this domain was related to the device and media controls standard, with a mean score of 74.9%, particularly in the identification and tracking of hardware and electronic media. In the domain of technical safeguards, the overall mean compliance rate was 86.7%. Among these standards, person or entity authentication achieved the highest level of compliance, with all hospitals demonstrating full compliance (100%). In addition, access control (93.3%), audit controls (86.7%), and transmission security (85.3%) were all at desirable levels. However, the lowest compliance was observed for the integrity standard (50%), highlighting the need to strengthen technical infrastructure and implement more advanced electronic mechanisms to ensure data accuracy and integrity.
Conclusion: Although the overall level of compliance in the hospitals under study is satisfactory, significant gaps remain, particularly in device and media control and data integrity. These deficiencies may lead to breaches of patient privacy and undermine public trust in the healthcare system. It is recommended that senior hospital managers and health policymakers address these deficiencies by developing and implementing clear internal guidelines, investing in appropriate supportive technologies, and conducting continuous, targeted training programs for all personnel. In addition, periodic compliance monitoring is essential to ensure continuous improvement.
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