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Iman Tahamtan, Shahram Sedghi,
Volume 5, Issue 4 (1-2012)
Volume 5, Issue 4 (1-2012)
Abstract
Background and Aim: Today, one of the challenges of doctors is how they can access medical information as quick as possible. Personal Digital Assistants (PDAs) and Smartphones are such information technologies that can be used to access health information. This study aimed to review the most important uses of Personal Digital Assistants and Smartphones in medicine and in accessing health information.
Materials and Methods: The researchers searched Pubmed, Google Scholar and Scopus to collect relevant articles about the use of PDAs and Smartphones among healthcare professionals. In this search, such terms as Handheld Computer, Smartphone, Personal Digital Assistant, Mobile phone and their synonyms were considered.
Conclusion: With regard to the vast amount of information produced daily, PDAs and Smartphones are useful devices for physicians and medical students because they can easily get the most recent bits of information at the point of care, and improve their medical knowledge through these devices. Utilization of PDAs and Smartphones in Medical Centers will improve the efficiency and quality of health services.
Reza Safdari, Hajar Hasan Nejadasl, Sharareh Rostam Niakan-Kalhori, Bahram Nikmanesh,
Volume 12, Issue 3 (9-2018)
Volume 12, Issue 3 (9-2018)
Abstract
Background and Aim: In recent years, tuberculosis is a major cause of illness and mortality due to infectious diseases. In fact, one of the reasons for increasing the incidence of tuberculosis is that it is often associated with HIV infection. The present study aimed to design and establish a mobile-based self-care system for controlling tuberculosis.
Materials and Methods: The data required in this research for evaluating the information and designing the application were collected in two main steps: first, the data required in this research for information needs assessment and application design were collected by searching in library resources. A questionnaire was applied by physicians to validate and determine the significance of these elements. Afterwards, based on information elements and the self-care, application was designed in the Android Studio environment.
Results: Information elements and functional capabilities required by the program were determined. Web-based services as a system interface, not only provided the communication between the patient and the care provider, also allowed for patient monitoring and disease control. Then evaluation of the performance and performance of the program was done by doctors and software experts. The findings showed user satisfaction with the application.
Conclusion: Monitoring of treatment electronically allows for less costly monitoring of the patient. In this study, we present a prototype of the relationship between self-care application and portal and its potential benefits, which will allow future studies to improve and add new capabilities.
Materials and Methods: The data required in this research for evaluating the information and designing the application were collected in two main steps: first, the data required in this research for information needs assessment and application design were collected by searching in library resources. A questionnaire was applied by physicians to validate and determine the significance of these elements. Afterwards, based on information elements and the self-care, application was designed in the Android Studio environment.
Results: Information elements and functional capabilities required by the program were determined. Web-based services as a system interface, not only provided the communication between the patient and the care provider, also allowed for patient monitoring and disease control. Then evaluation of the performance and performance of the program was done by doctors and software experts. The findings showed user satisfaction with the application.
Conclusion: Monitoring of treatment electronically allows for less costly monitoring of the patient. In this study, we present a prototype of the relationship between self-care application and portal and its potential benefits, which will allow future studies to improve and add new capabilities.
Somayeh Ghavidel, Nosrat Riahinia, Samira Daniali,
Volume 13, Issue 6 (2-2020)
Volume 13, Issue 6 (2-2020)
Abstract
Background & Aim: studying scientific outputs by using scientific indices is a useful tool for understanding scientific research. The purpose of this study is to visualize the international research outputs of the SMA subject Area.
Materials & Method: This study is an applied one with an analytical approach and using scientometric indices. The population present in this study includes 4217 WOS records all in the SMA area from 1946 until the end of 2018. The MeSH have been used to identify keywords and Ravar PreMap software for words’ homogenization, VOSviewer, HistCite, and Excel used also.
Conclusion: Ninety-one countries involved in scientific production outputs of this subject area, were among the most influential countries in scientific collaboration. The USA has most of its collaborations with other countries. Of the 946 essential journals identified, HUMAN MOLECULAR GENETICS SMA has got the highest number of citations. Articles in SMA Subject Area with the total number of 6097 keywords have got the 1st rank, of which the “Spinal Muscular Atrophy” has got the highest frequency and the core subject among the nine influential countries. The total number of articles in this area is 8505. Worthy of mentioning, Iran with 58% of the total scientific output ranked nine on the list.
Results: The upward trend of SMA scientific research trend indicates the increasing importance of this area in the world. Due to the the international growth of research in this area and the importance of the participation of international research, researchers in our country should pay more attention to scientific cooperation.
Materials & Method: This study is an applied one with an analytical approach and using scientometric indices. The population present in this study includes 4217 WOS records all in the SMA area from 1946 until the end of 2018. The MeSH have been used to identify keywords and Ravar PreMap software for words’ homogenization, VOSviewer, HistCite, and Excel used also.
Conclusion: Ninety-one countries involved in scientific production outputs of this subject area, were among the most influential countries in scientific collaboration. The USA has most of its collaborations with other countries. Of the 946 essential journals identified, HUMAN MOLECULAR GENETICS SMA has got the highest number of citations. Articles in SMA Subject Area with the total number of 6097 keywords have got the 1st rank, of which the “Spinal Muscular Atrophy” has got the highest frequency and the core subject among the nine influential countries. The total number of articles in this area is 8505. Worthy of mentioning, Iran with 58% of the total scientific output ranked nine on the list.
Results: The upward trend of SMA scientific research trend indicates the increasing importance of this area in the world. Due to the the international growth of research in this area and the importance of the participation of international research, researchers in our country should pay more attention to scientific cooperation.
Mohammad Zarbi, Reza Safdari, Nahid Einollahi,
Volume 14, Issue 6 (1-2021)
Volume 14, Issue 6 (1-2021)
Abstract
Background and Aim: Medical diagnostic laboratories are among the most important centers in the treatment cycle of patients. Today, the conscious choice of such laboratories is one of the challenges that patients face in the treatment process. This study was conducted with the aim of improving the knowledge of software users in the field of laboratory sciences and also facilitating the conscious and intelligent selection of the laboratory required by users.
Materials and Methods: This is a descriptive-developmental research with an applied approach. The steps consisted of library studies, questionnaire-based needs assessment, collection of knowledge and identity data, design through drawing UML diagrams, implementation using Java programming language, and software evaluation.
Results: A comprehensive system of laboratory information and experiments can be performed in all laboratories in Tehran, based on factors such as location access, types of laboratories and types of tests, a system was designed that allows users to access the most appropriate laboratory centers with high speed and less mobility, sufficient information, and in accordance with their needs. The evaluation was done using a researcher-made questionnaire whose validity and reliability were confirmed. The target population consisted of eleven specialists and forty ordinary users. According to the Likert criterion, the results obtained from the answers of all participants in the study to the questions of the questionnaire were higher than 4.05.
Conclusion: The software showed that the factors that had priority in the need assessment significantly increased user satisfaction and also provided ease of use of laboratory services in accordance with users' needs.
Materials and Methods: This is a descriptive-developmental research with an applied approach. The steps consisted of library studies, questionnaire-based needs assessment, collection of knowledge and identity data, design through drawing UML diagrams, implementation using Java programming language, and software evaluation.
Results: A comprehensive system of laboratory information and experiments can be performed in all laboratories in Tehran, based on factors such as location access, types of laboratories and types of tests, a system was designed that allows users to access the most appropriate laboratory centers with high speed and less mobility, sufficient information, and in accordance with their needs. The evaluation was done using a researcher-made questionnaire whose validity and reliability were confirmed. The target population consisted of eleven specialists and forty ordinary users. According to the Likert criterion, the results obtained from the answers of all participants in the study to the questions of the questionnaire were higher than 4.05.
Conclusion: The software showed that the factors that had priority in the need assessment significantly increased user satisfaction and also provided ease of use of laboratory services in accordance with users' needs.
Sharareh Mirsaeidi Farahani, Ahmad Vedadi, Ali Rezaeian,
Volume 15, Issue 2 (5-2021)
Volume 15, Issue 2 (5-2021)
Abstract
Background and Aim: Due to the importance and position of the health sector in society and consideration of industry 4.0 during these days, we witness an increase in the spread of state-of-the-art (smart) technologies in various fields, on one hand, and an evolutionary development by integrating healthcare and technology, on the other hand. Thus, the application of smart technologies can help to overcome many of the healthcare sector limitations. This study aimed to propose an appropriate model for deploying smart services in the Iranian healthcare system.
Material and Methods: This was a qualitative research study based on thematic analysis in 2020. The required data were extracted by literature review and expert interviews. A sample of 15 experts were selected using purposive sampling. Sampling was continued until full data saturation was reached. The data were collected using semi-structured interviews. The interviews were implemented and analyzed in MAXQDA. Finally, a qualitative method was developed.
Results: Based on the findings of this research, 202 open codes were extracted and 23 basic themes (sub- themes) were identified to design the model of deployment smart services in the Iranian health sector which categorized in seven organizing themes (main themes) consist deployment planning, execution management, task organization frame work, national preparedness, stage-setting, organizational interventions, and resistance management. Then, according to the above themes, the thematic model was provided which has a suitable model fitness (IFI: 0.934, NFI: 0.959, RMSEA: 0.080).
Conclusion: Providing the model for deploying smart health care and use of these technologies help to significantly improve the quality of health services, improve access to these services, reduce costs and thus improve health of society.
Material and Methods: This was a qualitative research study based on thematic analysis in 2020. The required data were extracted by literature review and expert interviews. A sample of 15 experts were selected using purposive sampling. Sampling was continued until full data saturation was reached. The data were collected using semi-structured interviews. The interviews were implemented and analyzed in MAXQDA. Finally, a qualitative method was developed.
Results: Based on the findings of this research, 202 open codes were extracted and 23 basic themes (sub- themes) were identified to design the model of deployment smart services in the Iranian health sector which categorized in seven organizing themes (main themes) consist deployment planning, execution management, task organization frame work, national preparedness, stage-setting, organizational interventions, and resistance management. Then, according to the above themes, the thematic model was provided which has a suitable model fitness (IFI: 0.934, NFI: 0.959, RMSEA: 0.080).
Conclusion: Providing the model for deploying smart health care and use of these technologies help to significantly improve the quality of health services, improve access to these services, reduce costs and thus improve health of society.
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.
Ayoub Mohamadian, Ali Moeini, Mahnaz Sanjari, Zahra Abdullahzade,
Volume 18, Issue 6 (2-2025)
Volume 18, Issue 6 (2-2025)
Abstract
Background and Aim: Smart health, due to its capacity in disease prevention, is a suitable solution for providing osteoporosis fracture prevention services. Also, the existence of close relationships between active organizations for the prevention of this disease requires this area to be examined from the perspective of the ecosystem. Therefore, the purpose of this study is to identify the factors and players of the ecosystem of preventing fractures caused by osteoporosis in smart health.
Materials and Methods: A qualitative systematic review of meta-synthesis was conducted to find resources related to the prevention of osteoporosis-related fractures. For this purpose, scientific databases of Web of Science, Scopus and PubMed were examined and 155 were selected from 10344 sources found. At the end, by using the Shannon entropy method, the categories of each dimension were ranked.
Results: This systematic review demonstrated that the ecosystem for preventing fractures caused by osteoporosis comprises four main categories of factors: lifestyle (nutrition, exercise, fall prevention, cessation of tobacco, alcohol, and caffeine consumption), clinical (screening, diagnosis, and drug therapy), technological (infrastructure, platform, and application), and contextual (cultural, social participation, policy, economic, and education). The application and infrastructure secured the first and second positions in the ranking, while the platform and education collectively ranked third. Ecosystem participants were also categorized into three core layers: the fracture prevention and treatment team members, firms related to fracture prevention and treatment, and other health stakeholders; the extended layer, which includes affected or at-risk individuals, education stakeholders, cultural stakeholders, social stakeholders, and health stakeholders; and the external layer, comprising international organizations and national ministries. In the ranking, affected or at-risk individuals, other health stakeholders, and fracture prevention and treatment team members earned first to third positions, respectively.
Conclusion: The research results showed that “technological”, “contextual”, “lifestyle change” and “clinical” factors are in the first to fourth places, respectively. Also, among the players, the first place was assigned to the extended layer, the main core took the second place, and the external layer took the third place.
Materials and Methods: A qualitative systematic review of meta-synthesis was conducted to find resources related to the prevention of osteoporosis-related fractures. For this purpose, scientific databases of Web of Science, Scopus and PubMed were examined and 155 were selected from 10344 sources found. At the end, by using the Shannon entropy method, the categories of each dimension were ranked.
Results: This systematic review demonstrated that the ecosystem for preventing fractures caused by osteoporosis comprises four main categories of factors: lifestyle (nutrition, exercise, fall prevention, cessation of tobacco, alcohol, and caffeine consumption), clinical (screening, diagnosis, and drug therapy), technological (infrastructure, platform, and application), and contextual (cultural, social participation, policy, economic, and education). The application and infrastructure secured the first and second positions in the ranking, while the platform and education collectively ranked third. Ecosystem participants were also categorized into three core layers: the fracture prevention and treatment team members, firms related to fracture prevention and treatment, and other health stakeholders; the extended layer, which includes affected or at-risk individuals, education stakeholders, cultural stakeholders, social stakeholders, and health stakeholders; and the external layer, comprising international organizations and national ministries. In the ranking, affected or at-risk individuals, other health stakeholders, and fracture prevention and treatment team members earned first to third positions, respectively.
Conclusion: The research results showed that “technological”, “contextual”, “lifestyle change” and “clinical” factors are in the first to fourth places, respectively. Also, among the players, the first place was assigned to the extended layer, the main core took the second place, and the external layer took the third place.
Samin Rezapour, Mohamad Jebraeily, Esmaeil Mehraeen, Haleh Ayatollahi,
Volume 19, Issue 1 (4-2025)
Volume 19, Issue 1 (4-2025)
Abstract
Background and Aim: Breast self-examination is a recommended screening method that can be used by any woman at any age. Smartphone applications can be a low-cost and effective strategy to prevent breast cancer by changing behavior and encouraging women to be aware of their breast health. The purpose of this research is to determine the learning needs and preferences of women in the development of a BSE smartphone application.
Materials and Methods: This descriptive-cross-sectional study was conducted in 2023, The statistical population of the study included 120 women working in the faculties of Urmia University of Medical Sciences, who were selected through stratified proportional sampling. To collect data, a questionnaire was designed, the validity of which was confirmed based on the content validity method and expert opinion. The test-retest method was also used to determine the reliability of the questionnaire, which resulted in a Pearson correlation coefficient of 85%. The rating of each item in the questionnaire was determined based on a five-point Likert scale (1-5). The Statistical analysis of the data was performed using SPSS software.
Results: From the perspective of women, the most important learning needs are related to breast cancer risk factors (4.68), the importance of early detection of breast cancer (4.33), how to perform breast self-examination (4.38), the role of breast self-examination in breast cancer prevention (4.18), ways to detect breast cancer early (4.11), types of physical activities (4.16) and healthy diet (4.08) related to breast cancer prevention. In terms of the technical capabilities of the application, the most important features include multimedia educational content (4.61), self-examination training (4.52), information about warning signs (4.33), self-examination time reminder (4.29) and ease of use (4.20).
Conclusion: The findings of the present study showed that educational content should present risk factors and the role of diet and physical activity in preventing breast cancer, and teach how to accurately perform breast self-examination with multimedia content. Also, the technical capabilities of the smartphone application should be designed in a way that suits women’s learning needs while maintaining the confidentiality of information and the privacy of individuals.
Materials and Methods: This descriptive-cross-sectional study was conducted in 2023, The statistical population of the study included 120 women working in the faculties of Urmia University of Medical Sciences, who were selected through stratified proportional sampling. To collect data, a questionnaire was designed, the validity of which was confirmed based on the content validity method and expert opinion. The test-retest method was also used to determine the reliability of the questionnaire, which resulted in a Pearson correlation coefficient of 85%. The rating of each item in the questionnaire was determined based on a five-point Likert scale (1-5). The Statistical analysis of the data was performed using SPSS software.
Results: From the perspective of women, the most important learning needs are related to breast cancer risk factors (4.68), the importance of early detection of breast cancer (4.33), how to perform breast self-examination (4.38), the role of breast self-examination in breast cancer prevention (4.18), ways to detect breast cancer early (4.11), types of physical activities (4.16) and healthy diet (4.08) related to breast cancer prevention. In terms of the technical capabilities of the application, the most important features include multimedia educational content (4.61), self-examination training (4.52), information about warning signs (4.33), self-examination time reminder (4.29) and ease of use (4.20).
Conclusion: The findings of the present study showed that educational content should present risk factors and the role of diet and physical activity in preventing breast cancer, and teach how to accurately perform breast self-examination with multimedia content. Also, the technical capabilities of the smartphone application should be designed in a way that suits women’s learning needs while maintaining the confidentiality of information and the privacy of individuals.
Abdolahad Nabiolahi, Nasser Keikha,
Volume 19, Issue 4 (11-2025)
Volume 19, Issue 4 (11-2025)
Abstract
Background and Aim: Point of Care Tests (POCTs) are a laboratory diagnostic system that can be performed at the patient care location and help diagnose diseases quickly. Due to the increase in population, the prevalence of contagious diseases, none access of society members to laboratories, the global need for the availability of modern diagnostic and health technologies at the place of patient care, the aim of research was to explore new aspects of the application of Point of Care Tests to patients as well as the process of developing these technologies in the field of healthcare.
Materials and Methods: A scoping review method were applied by determining the key words through medical subject headings and related articles, searching in the databases of Web of Science, Scopus and PubMed databases as well as Google Scholar, Google and Magiran and Scientific information database. Furthermore to preserve the variety of sources and articles, the criteria for entering the study were English-language articles and no time limit was applied.
Results: Most of the 17 related articles were reviews. The most common technologies in POCTs were lateral flow assays (LFA) that applied to diagnosis of Cryptococcus fungal infection, tuberculosis, hepatitis, legionella, malaria and covid-19, and nucleic acid amplification tests have helped to detect viruses and bacteria using DNA and RNA. From NAAT (Nucleic Acid Amplification Tests) based on microsialate, it can be referred to RT-PCR (Reverse transcription- polymerase chain reactio) and LAMP oop-Mediated- Isothermal Amplification (LAMP), where in recent years are widely used for detection of infectious diseases specially SARS-CoV-19. Additional basic diagnostic tools have focused on Small handheld, POCT devices with a monitoring device, cartridge, and other devices; whereas in the new generations, special focus were on quality assurance, microfluidics, Nano-biosensors and smart phones.
Conclusion: The analysis of published studies showed that the diagnostic tools of tests on POCTs are expanding and have been able to provide better clinical and economic results. In addition to the extensive use of two advanced types of lateral flow assays and nucleic acid amplification tests to diagnose tests at the patient’s bedside; Microfluidics, Nano biosensors and smart phones have also expanded. Quality assurance also requires the determination of accurate quality management procedures, policy programming and necessary policy formulation by officials to achieve reliable results for patient care.
Materials and Methods: A scoping review method were applied by determining the key words through medical subject headings and related articles, searching in the databases of Web of Science, Scopus and PubMed databases as well as Google Scholar, Google and Magiran and Scientific information database. Furthermore to preserve the variety of sources and articles, the criteria for entering the study were English-language articles and no time limit was applied.
Results: Most of the 17 related articles were reviews. The most common technologies in POCTs were lateral flow assays (LFA) that applied to diagnosis of Cryptococcus fungal infection, tuberculosis, hepatitis, legionella, malaria and covid-19, and nucleic acid amplification tests have helped to detect viruses and bacteria using DNA and RNA. From NAAT (Nucleic Acid Amplification Tests) based on microsialate, it can be referred to RT-PCR (Reverse transcription- polymerase chain reactio) and LAMP oop-Mediated- Isothermal Amplification (LAMP), where in recent years are widely used for detection of infectious diseases specially SARS-CoV-19. Additional basic diagnostic tools have focused on Small handheld, POCT devices with a monitoring device, cartridge, and other devices; whereas in the new generations, special focus were on quality assurance, microfluidics, Nano-biosensors and smart phones.
Conclusion: The analysis of published studies showed that the diagnostic tools of tests on POCTs are expanding and have been able to provide better clinical and economic results. In addition to the extensive use of two advanced types of lateral flow assays and nucleic acid amplification tests to diagnose tests at the patient’s bedside; Microfluidics, Nano biosensors and smart phones have also expanded. Quality assurance also requires the determination of accurate quality management procedures, policy programming and necessary policy formulation by officials to achieve reliable results for patient care.
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