A review of the personal health records in selected countries and Iran

Personal Health Record (PHR) enables patients to access their health information and improves care quality by supporting self-care. The purpose of this study is to provide a comparative analysis of the concept of PHRs in selected countries and Iran in order to investigate the gaps between Iran and more advanced countries in terms of PHRs. The study was carried out in 2008-2009 using a descriptive-comparative method in Australia, the United States, England and Iran. Data was gathered from articles, books, journals and reputed websites in English and Persian published between 1995 and September 2009. After collecting the data, both advantages and disadvantages of each of concepts were analyzed. In the three countries considered in the present study the concepts of PHR, extracted from the literature, are that; a)patient/person be recognized as the owner of PHR; b)information be disclosed only to those authorized by the patient; c) and that PHR is created upon request and consent of the individual involved. Before PHRs can be profitably used in the health administration of a (developing) country, the necessary knowledge, infrastructures, and rules need to be developed. © Springer Science+Business Media, LLC 2010

Heart surgery waiting time: Assessing the effectiveness of an action

Background: Waiting time is an index assessing patient satisfaction, managerial effectiveness and horizontal equity in providing health care. Although heart surgery centers establishment is attractive for politicians. They are always faced with the question of to what extent they solve patient’s problems. Objectives: The objective of this study was to evaluate factors influencing waiting time in patients of heart surgery centers, and to make recommendations for health-care policy-makers for reducing waiting time and increasing the quality of services from this perspective. Patients and Methods: This cross-sectional study was performed in 2013. After searching articles on PubMed, Elsevier, Google Scholar, Ovid, Magiran, IranMedex, and SID, a list of several criteria, which relate to waiting time, was provided. Afterwards, the data on waiting time were collected by a researcher-structured checklist from 156 hospitalized patients. The data were analyzed by SPSS 16. The Kolmogorov Smirnov and Shapiro tests were used for determination of normality. Due to the non-normal distribution, non-parametric tests, such as Kruskal-Wallis and Mann-Whitney were chosen for reporting significance. Parametric tests also used reporting medians. Results: Among the studied variables, just economic status had a significant relation with waiting time (P = 0.37). Fifty percent of participants had diabetes, whereas this estimate was 43.58% for high blood pressure. As the cause of delay, 28.2% of patients reported financial problems, 18.6% personal problem and 13.5% a delay in providing equipment by the hospital. Conclusions: It seems the studied hospital should review its waiting time arrangements and detach them, as far as possible, from subjective and personal (specialists) decisions. On the other hand, ministries of health and insurance companies should consider more financial support. It is also recommend that hospitals should arrange preoperational psychiatric consultation for increasing patients’ emotionally readiness. © 2015, Iranian Red Crescent Medical Journal

Patient safety competencies in undergraduate nursing students: a rapid evidence assessment

Aims To identify patient safety competencies, and determine the clinical learning environments that facilitate the development of patient safety competencies in nursing students. Background Patient safety in nursing education is of key importance for health professional environments, settings, and care systems. To be effective, safe nursing practice requires a good integration between increasing knowledge and the different clinical practice settings. Nurse educators have the responsibility to develop effective learning processes and ensure patient safety. Design Rapid Evidence Assessment. Data Sources MEDLINE, CINAHL, SCOPUS, and ERIC were searched, yielding 500 citations published between 1 January 2004 - 30 September 2014. Review Methods Following the Rapid Evidence Assessment process, 17 studies were included in this review. Hawker's (2002) quality assessment tool was used to assess the quality of the selected studies. Results Undergraduate nursing students need to develop competencies to ensure patient safety. The quality of the pedagogical atmosphere in the clinical setting has an important impact on the students’ overall level of competence. Active student engagement in clinical processes stimulates their critical reasoning, improves interpersonal communication, and facilitates adequate supervision and feedback. Conclusion Few studies describe the nursing students’ patient safety competencies and exactly what they need to learn. In addition, studies describe only briefly which clinical learning environments facilitate the development of patient safety competencies in nursing students. Further research is needed to identify additional pedagogical strategies and the specific characteristics of the clinical learning environments that encourage the development of nursing students’ patient safety competencies

Faunal diversity of Paederus Fabricius, 1775 (Coleoptera: Staphylinidae) in Iran

Beetles of the genus Paederus sensu stricto Fabricius, 1775 (Coleoptera: Staphylinidae) are often noticed because of their potency in inducing a dermal lesion, so-called linear dermatitis. This genus, which is placed in the tribe Paederini and subfamily Paederinae of Staphylinidae, currently comprises 490 species worldwide. Our study presents a short review of the former records of Paederus spp. in Iran plus some unpublished data. Field collections were done during March-October yearly (1997-2007) in northern and southern Iran and April-June from central, eastern, western and north-western Iran (2008-2009). The present study adds four species to the Iranian fauna of the genus Paederus, which are P. brevipennis Lacordaire, 1835, P. basalis Bernhauer, 1914, P. pubescens Cameron, 1914 and P. schoenherri Czwalina, 1899. Paederus brevipennis and P. schoenherri are the first members of the subgenus Harpopaederus Scheerpeltz, 1957, ever reported from Iran. Considering previous reports, museum-deposited materials and our findings, 14 species and subspecies of the genus Paederus, which are grouped in five subgenera, occur in Iran. These subgenera are Eopaederus Scheerpeltz, Harpopaederus Scheerpeltz, Heteropaederus Scheerpeltz, Paederus Fabricius and Poederomorphus des Cottes; however P. duplex spectabilis Bernhauer, 1913 is not yet attributed to any of the 13 so-far defined subgenera

Emotional Creativity: A Meta-analysis and Integrative Review

Emotional creativity (EC) is a pattern of cognitive abilities and personality traits related to originality and appropriateness in emotional experience. EC has been found to be related to various constructs across different fields of psychology during the past 30 years, but a comprehensive examination of previous research is still lacking. The goal of this review is to explore the reliability of use of the Emotional Creativity Inventory (ECI) across studies, to test gender differences and to compare levels of EC in different countries. Thirty-five empirical studies focused on EC were retrieved and the coefficients required for the meta-analysis extracted. The meta-analysis revealed that women showed significantly higher EC than men (total N = 3,555). The same gender differences were also found when testing scores from three ECI subscales, i.e. emotional novelty, emotional preparedness and emotional effectiveness/authenticity. When comparing EC in 10 different countries (total N = 4,375), several cross-cultural differences were revealed. The Chinese sample showed a significantly lower average ECI total score than all the other countries. Based on the integration of results, the avenues for future research on EC and the breadth of influence of the concept of EC across different fields of psychology are discussed. Keywords: Emotional Creativity, Review, Meta-Analyses, Meta-Analysis, Definition, Emotional Creativity Inventory, ECI, Reliability, Gender Differences, Cross-cultural, Cross-culture, Personality Traits, NEO Personality Inventory, Big Five, Extraversion, Agreeableness, Openness to Experience, Introversion, Neuroticism, Emotions, Creativity, Cognition, Cognitive Abilities, Affect, Fantasy, Coping, Alexithymia, Anhedonia, Self-understanding, Motivation, Creativeness, Innovative Performance, Creative Ability, Artistic Creativity, Creative Thinking. MeSH Headings: Emotions, Creativity, Affect, Affective Symptoms, Gender, Sex, Gender Identity, Cross-Cultural Comparison, Transcultural Studies, Temperament, Extraversion, Neuroticism, Anhedonia, Creativeness, Cognition, Cognitive Function, Artistic Creativity, Creative Ability, Creative Thinkin

Breastfeeding status during the first two years of infants’ life and its risk factors based on BASNEF model structures in Isfahan

Background: Breastfeeding depends on social and cultural conditions of societies. Behavior,Attitude, Subjective Norms, Enabling Factors (BASNEF) model is one of the comprehensive models of behavior study, especially in developing countries. This study was performed to investigate the status of breastfeeding during the first two years of infants’ life and its risk factors through BASNEF model structures. Materials and Methods: In this cross‑sectional descriptive‑analytical study, 406 mothers with 6-24‑month‑old babies were selected by multistage cluster sampling method. The data were collected using a questionnaire with five sections based on the BASNEF model structures. Demographic characteristics of the studied population were also recorded and analyzed using Chi‑square tests and analysis of variance in SPSS18 statistical software. Results: The prevalence of breastfeeding was 86.4% (351 mothers). Three hundred and thirty three mothers (82%) had good knowledge and there was a significant relationship between knowledge and breastfeeding behavior of mothers (P < 0.05). Two hundred and eighty five mothers (70.2%) had good and very good attitude in this regard. There was no significant relationship between attitude and breastfeeding behavior of mothers (P > 0.05). There was a significant relationship between breastfeeding behavior of mothers and subjective norms of husbands, mother and mother‑in‑law (P < 0.05); however, no significant relationship was found with regard to enabling factors (P > 0.05). Moreover, no significant relationship was observed between type of children nutrition and variables of delivery mode, maternal age and number of children (P > 0.05). Conclusion: In addition to knowledge of nursing mothers, supports and encouragement of husbands, mothers and mother‑in‑laws, as subjective norms of behavior, have a positive impact on the breastfeeding behavior of mothers. Thus, breastfeeding programs should pay more attention to the role of these mentioned factors. Key words: BASNEF model, breastfeeding, enabling factors, infant, subjective norm

Performance of family physicians (FPS) from viewpoint of managers and experts of northern provinces of Iran

BACKGROUND AND OBJECTIVE: Family physicianis (FPs) responsible for the health team have five duty to health management, external c00peration, Health Promotion, Prevention and Health Services and treatment care and referral. This study evaluated viewpoint of managers, supervisors and experts of Northern Provinces of Iran from the level of performance of Family physicians (FPs) in five basic task. METHODS: This cross-sectional study was performed in winter 2013. The study population includes managers, supervisors and experts at Health Network from the total of 47 cities in 3 provinces of Gilan, Mazandaran and Golestan which were censuses selected. A researcher-made questionnaire was used for data gathering. In this questionnaire, personal characteristics and performance level of FPs from five main task of the Likert scale. Validity and reliability of the questionnaire were approved. FINDINGS: From the perspective of 557 managers, supervisors and experts of Staff in the study, the average performance level of FPs, in the field of health management (of 5 score) was 3±0.8, external c00peration 2.7±0.9, Health Promotion 2.8±0.9, Prevention and Health Services 3.2±0.9 and health care and referral 3±0.8. There was a significant relationship between job experience and performance level of FPs (p0.05). CONCLUSION: The results of this study showed that from the perspective of managers, supervisors and experts the performance level of FPs' was in two task lower moderate and in three task moderate. © 2015, Babol University of Medical Sciences. All Rights Reserved

Risk factors of esophageal cancer in Turkmen Sahra of Iran

Present study was carried out in three years' duration (2002-2004) to investigate the risk factors of esophageal cancer in Iranian Turkmens (Northeast of Iran; where the esophageal cancer is the most common world wide). Concerning registered cases of esophageal cancer in the region, 139 cases were selected. Controls matching in terms of age and sex were 500 healthy individuals. Furthermore, a questionnaire was designated with several questions including: personal characteristics, family history of cancer, possible disease background, and addiction to cigarettes or drugs, and presence of any particular dietary habits. The questionnaires filled with free will (voluntarily) by cases and controls. The collected data was analyzed by SPSS 10.0 software. The mean age of people under study was 60 years. The studied cases were significantly correlated with their first line relatives in term of cancer contraction (P=0.001 and OR=7.6). It was also significant in second and third line relatives (P=0.042 and OR=3.38). There was a significant correlation considering the consumption of stale food and butter with esophageal cancer. As a conclusion, in addition to mentioned risk factors, some other factors as mode of nourishment, employment status, special hygienic habits and inheritance were important factors in esophageal cancer etiology among the studied subjects

Quality of life after cesarean and vaginal delivery

Objective: Cesarean rates in recent decades have been increasing and a number of studies have shown that cesarean increases maternal morbidities. The aim of this study is to compare the quality of life after cesarean and vaginal delivery. Methods: This prospective study was carried out on 356 pregnant women visiting urban health centers in Shahroud City, Northeast Iran, in 2011. The subjects completed the quality of life questionnaire in the third trimester of pregnancy and at 8 weeks postpartum. Results: In primiparas, the mean global QOL scores for the cesarean and vaginal delivery groups were 67.65±12.7 and 72.12±11.8, respectively. Also, the scores for the physical, psychological and social domains of QOL as well as the global score of QOL were higher in the vaginal delivery group than the cesarean group (p<0.05). In the case of primiparas, multiple regression analysis revealed that after adjusting for education, desirability of pregnancy and the General Health Questionnaire score, the delivery type remained as a predictor of the scores for the physical (R2=1.7%; B=-3.826; p=0.031; CI [-7.301, -.350]) and social (R2=2.5%; B=-5.708; p=0.017; CI [-10.392, -1.023]) domains of QOL and the global QOL score (R2=2.6%; B=-4.065; p=0.006; CI [-6.964, -1.164]). While multiparas, there was no relationship between QOL and type of delivery. Conclusion: In this sample of low-risk women, cesarean negatively affected the QOL of primiparas. More studies with larger sample sizes should be conducted to examine the effects of cesarean on QOL in both primiparas and multiparas within a shorter period after delivery. © OMSB, 2013