19 research outputs found
Disseminated Bacille Calmette-Guérin infection at a glance: a mini review of the literature
Introduction: Immunodeficient children are at a high risk of disseminated Bacillus Calmette-Guérin [BCG] infection. We assessed the literature on clinical manifestations of BCGosis in children with specific primary immunodeficiencies.
Material and methods: We conducted a systematic review of clinical practice articles by searching Medline, PubMed, Embase, Scopus, Web of Science and Google Scholar from their inception to date.
Results: Thirty-seven articles were included regarding BCG vaccination and its dissemination in children with primary immunodeficiencies. Articles on dissemination after intravesicular BCG were excluded from the study.
Conclusions: Since disseminated BCG vaccination may be the first manifestation of a primary immunodeficiency disease, a comprehensive search for immunological defects in children developing these problems after BCG vaccination seems rational
Use of Health Information Technology in Patient Care Management: a Mixed Method Study in Iran
Introduction: New computerized system, including health information technologies (HITs), plays an important role in the efficacy of management and nursing care services. Objective: This study was aimed to determine the use of HIT in patient care management, in a case study in Iran. Methods: This mixed method study was conducted in 2018 at the Kowsar Hospital of Semnan, Iran. Data collection was performed, using an observational checklist, and a questionnaire, including two main parts, one demographic and other assessment of information technology (IT) application in the care management of inpatients. The researcher prepared the questionnaire and its validity was verified. The data were organized and analyzed in the form of a descriptive analytic report. In the process of data collection 10 participants, including nurses, head nurses, physicians, radiology experts and IT managers were interviewed, and data analysis was performed, using conventional content analysis. Results: Nurses were satisfied with the computerized system and believed it can expedite the job. From the nurse’s viewpoint, the most common use of the HIT was to have access (observation) to patient admission and discharge information (100%), providing medicine and equipment, and transfer of patients (92.3%). The least use of IT was the retrieval of evidence in the care process (0%), and judgment and analysis related to radiological diagnostic procedures (0%). The potential of electronic record is still not applicable. Conclusion: Use of modern information and communication technology in hospitals facilitates access and transfer of information, and also accelerates patient’s admission and discharge process, relation between hospital units, simplifying the administration of current affairs and providing the necessary medical supplies and diagnostic procedures. However, modifying organizational policies improves the infrastructure, and enhances nurses' motivation in documentation of nursing reports, which can be effective in increasing the impact of IT in care management processes, especially in electronic record and nurse’s clinical judgment and evidence-based care
Use of Health Information Technology in Patient Care Management: a Mixed Method Study in Iran
Introduction: New computerized system, including health information technologies (HITs), plays an important role in the efficacy of management and nursing care services. Objective: This study was aimed to determine the use of HIT in patient care management, in a case study in Iran. Methods: This mixed method study was conducted in 2018 at the Kowsar Hospital of Semnan, Iran. Data collection was performed, using an observational checklist, and a questionnaire, including two main parts, one demographic and other assessment of information technology (IT) application in the care management of inpatients. The researcher prepared the questionnaire and its validity was verified. The data were organized and analyzed in the form of a descriptive analytic report. In the process of data collection 10 participants, including nurses, head nurses, physicians, radiology experts and IT managers were interviewed, and data analysis was performed, using conventional content analysis. Results: Nurses were satisfied with the computerized system and believed it can expedite the job. From the nurse’s viewpoint, the most common use of the HIT was to have access (observation) to patient admission and discharge information (100%), providing medicine and equipment, and transfer of patients (92.3%). The least use of IT was the retrieval of evidence in the care process (0%), and judgment and analysis related to radiological diagnostic procedures (0%). The potential of electronic record is still not applicable. Conclusion: Use of modern information and communication technology in hospitals facilitates access and transfer of information, and also accelerates patient’s admission and discharge process, relation between hospital units, simplifying the administration of current affairs and providing the necessary medical supplies and diagnostic procedures. However, modifying organizational policies improves the infrastructure, and enhances nurses' motivation in documentation of nursing reports, which can be effective in increasing the impact of IT in care management processes, especially in electronic record and nurse’s clinical judgment and evidence-based care
Quality of Life in Heart Patients Receiving Telerehabilitation: An Overview with Meta-Analyses
Background: This overview is conducted to evaluate the effect of telerehabilitation on Health-Related Quality of Life (HRQOL) in patients with cardiovascular diseases (CVDs).
Methods: A comprehensive search was performed through the [MeSH] keywords (heart diseases, coronary disease, coronary artery disease, myocardial infarction, coronary artery bypass, heart failure, cardiac rehabilitation and telemedicine) until January 20, 2021 in databases of Science Direct, Medline/PubMed, Web of Science, Scopus, ProQuest, Google Scholar and Cochrane library. Finally, 20 reviews were entered into the analysis.
Results: The results of meta-analyses showed that receiving telerehabilitation program by telemedicine method has a positive effect on the physical dimension and changing the mental status of patients following this intervention depends on age so that the use of these technologies in heart patients with younger ages promotes mental status. On the other hand, increasing the duration of the intervention 18 months or more affects the physical dimension and 12 months or more affects promoting overall HRQOL. Among the various types of Telemedicine methods, telephone support has a greater effect on promoting the physical dimension.
Conclusion: The ability to use virtual technology is less at older ages, so age conditions of patients should be considered in choosing this type of intervention. The living place of the people and the level of access to advanced care, seem to play an important role in changing outcomes and choosing this type of intervention because the main purpose of telerehabilitation is to provide treatment care in areas with low access levels.
Assessment Of Health Literacy Level In 18-30 Year-Old Adults, An Iranian Experience
Objective: Health literacy is knowledge for comprehension, assessment and achievement of health and benefit of it in life finally to health promotion. People, who have little health literacy, have less knowledge about their health condition therefore they don’t take sufficient preventive services instead they receive more hospital and emergency units\u27 services. Identification and promotion of health literacy level is one of the best solutions to increase social health and play important role in making healthy social in future, too.
Design and setting: This descriptive study, about 170 people (ranging from18-30 year-old) who referred to Shemiranat health network in end of June till mid-August 2016. Health literacy data were collected through standard questionnaire that its validity and reliability was proven by Montazeri et al study (2014). Data were analyzed by SPSS ver.21 software and statistical analyses such as independent T-test, ANOVA were used.
Findings: The results showed that internet was the most common way to access information about health (40.4%) and infrequent information source was IVR (1.4%). The mean of health literacy level was estimated as marginal health literacy. There was statistical significant relationship between health literacy level and source of information, age and education level but there was no statistical significant relationship between health literacy level and job and gender.
Conclusion: Thus public awareness and constructing web sites related to health by Health Networks and administrate them will effect on people health promotion.
Keywords: Health Literacy, Shemiranat Health Network, Tehran
The staffs’ understanding of the role of the health department website on health education in a university of medical sciences
BackgroundHealth related organizations have sought to design websites to provide various services, including access to relevant information by health care providers.AimsThe purpose of this study was to investigate the understanding of health care staff members of the role of the health sector website of Semnan University of Medical Sciences in their health education.Methods This cross –sectional study was performed on 369 employees of health care institutions affiliated to Semnan University of Medical Sciences, Iran. An anonymous self-administered questionnaire was developed.Results Mean score of the employees’ attitudes towards total characteristics of the health website were understanding of concepts of the health website was 3.65, for communications in the health website was 3.27 and for patient- centered of health website was 3.55. The results showed that there were significant relationships among total characteristics of the health website (P < 0.001).ConclusionOne can infer that the University's health department website is not proportionate to most of its domestic clients and could not provide the information needs of the healthcare staff. Therefore, practical and methodological considerations in the design of the website of the health department should be taken into consideration in order to provide user-oriented information on the website
Mobile applications for prematurity:A systematic review protocol
Background Premature birth is a global epidemic of significant public health concern. Counselling and education of pregnant women at risk of preterm birth or mothers with premature infants are essential to improve mother and infant health. Mobile applications are an increasingly popular tool among parents to receive health information and education. This study aims to evaluate the usages and the effects of a mobile application designed for premature births in order to improve health outcomes. Methods This review will include all studies of different designs which evaluated the use and impact of interventions provided via mobile applications on pregnant women at risk of preterm birth or mothers with premature infants in order to address all health outcomes. A combination of keywords and MeSH(Medical Subject Headings) terms is used in the search strategy. Literature databases including Scopus, PubMed, ISI Web of Science, ProQuest, CINAHL and Cochrane Library will be searched to May 2021. Furthermore, eligible studies will be chosen from the reference list of retrieved papers. Two researchers will independently review the retrieved citations to decide whether they meet the inclusion criteria. Mixed Methods Appraisal Tool (MMAT) V.2018 will be used to assess the quality of studies. Relevant data are collected in a data extraction form and analysed. Results are reported under the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Discussion This systematic review will recognize and combine evidence about the usages and impact of mobile application interventions on the health improvement of pregnant women at risk of preterm birth or mothers with premature infants
Bibliometric Analysis of the Top Ten Percent Iranian Medical Researchers Based on the I10-index and the H-index in Web of Science
The i10-index is one of the newest scientometric indicators used to evaluate researchers in any field of science. The present study analyzes the top ten percent of Iranian medical researchers using the i10-index in the Web of Science database. The present study is descriptive-analytical research conducted using a scientometric approach. The research population includes the top ten percent of Iranian medical researchers whose publications were indexed in the Web of Science database between 2011 and 2020. Descriptive and inferential statistics and i10-index were used to analyze the data using the HistCite and the BibExcel software. Then, the results were sorted in the Excel software. Finally, the h-index and the number of citations of all researchers were compared with their i10-index. The findings show that in medical sciences, Iran ranked 23rd in the world, sixth in Asia, and first in the Middle East in Web of Science in the period 2011-2020, and the growth of scientific publications shows an upward trend. Moreover, there is a direct and positive relationship between the h-index and the i10-index of the top ten percent of medical researchers. This is confirmed with a correlation of 0.645. Also, a correlation of 0.269 shows a direct and positive relationship between the number of citations and the i10-index of the top ten percent of medical researchers. The results show that there is a positive and direct relationship between the h-index and the number of citations of the top ten percent of Iranian medical researchers with their i10-index
Improving the Distribution of Rural Health Houses Using Elicitation and GIS in Khuzestan Province (the Southwest of Iran)
Abstract
Background: Rural health houses constitute a major provider of some primary health services in the villages of Iran.
Given the challenges of providing health services in rural areas, health houses should be established based on the criteria
of health network systems (HNSs). The value of these criteria and their precedence over others have not yet been
thoroughly investigated. The present study was conducted to propose a model for improving the distribution of rural
health houses in HNSs.
Methods: The present applied study was conducted in Khuzestan province in the southwest of Iran in 2014-2016.
First, the descriptive and spatial data required were collected and entered into ArcGIS after modifications, and the
Geodatabase was then created. Based on the criteria of the HNS and according to experts’ opinions, the main criteria and
the sub-criteria for an optimal site selection were determined. To determine the criteria’s coefficient of importance (ie,
their weight), the main criteria and the sub-criteria were compared in pairs according to experts’ opinions. The results
of the pairwise comparisons were entered into Expert Choice and the weight of the main criteria and the sub-criteria
were determined using the analytic hierarchy process (AHP). The application layers were then formed in geographic
information system (GIS). A model was ultimately proposed in the GIS for the optimal distribution of rural health
houses by overlaying the weighting layers and the other layers related to villages and rural health houses.
Results: Based on the experts’ opinions, six criteria were determined as the main criteria for an optimal site selection
for rural health houses, including welfare infrastructures, population, dispersion, accessibility, corresponding routes,
distance to the rural health center and the absence of natural barriers to accessibility. Of the main criteria proposed, the
highest weight was given to “population” (0.506). The priorities suggested in the proposed model for establishing rural
health houses are presented within five zoning levels –from excellent to very poor.
Conclusion: The results of the study showed that the proposed model can help provide a better picture of the distribution
of rural health houses. The GIS is recommended to be used as a means of making the HNS more efficient
Medical Librarianship and Information Science in Evidence-Based Medicine Arena
The complexity and time limits involved in care delivery, seeking out the valid information at the right time is an increasingly different purpose for many health practitioners to reach. In recent years, Evidence-Based Medicine (EBM) introduced as a solution to remove these challenges and as a new paradigm to standard health-care. EBM is the conscientious, explicit and judicious use of the current best evidence in making decisions about the care of individual patients. Along with the individual clinical expertise, it is a required core skill for clinical problem solving. Again, the gap between medical information areas with clinical services domain, is the main challenge in EBM. Such gap, besides medical changing environment has provided new opportunity for health sciences librarian that EBM counted as one of these opportunities. A review of the literature shows the role of the librarian in this enterprise is not new, but rather a continually evolving process. Participation of librarian in EBM is rooted in past practices, most notably in clinical medical librarianship. EBM extends the librarians’ role beyond recognition of the literature to involvement in practicing and teaching quality filtering and critical appraisal of the literature. Indeed, health science librarian is a key of enhanced access to scientific evidence in medical literature. This role is executed through librarian professional abilities. In this review, we described initially EBM and its principles, and then we mentioned librarians’ abilities that are required for their growing involvement in EBM. Finally, we notified the necessity of health-care managers’ attention to the role of librarian in EBM arena