Information technology governance domains in hospitals: a case study in Iran

IT governance is a set of organizational structures ensuring decision-making rights and responsibilities with regard to the organization's IT assets. This qualitative study was carried out to identify the IT governance domains in teaching hospitals affiliated to Iran University of Medical Sciences. There were 10 heads of IT departments and 10 hospital directors. Semi structured interviews used for data collection. To analyze the data content analysis was applied. All the interviewees (100) believed that decisions upon hospital software needs could be made in a decentralized fashion by the IT department of the university. Most of the interviewees (90) believed that there were policies for logistics and maintenance of networks, purchase and maintenance, standards and general policies in the direction of the policies of the ministry of health and medical education. About 80 of the interviewees believed that the current emphasis of the hospital's IT unit and the hospital management for outsourcing of services were in the format of specialized contracts and under supervision of the university Statistic and IT department. A hospital strategic committee is an official organizational group consisting of hospital executives, heads of IT and multiple functional areas and business units in a hospital. In this committee, "the head of hospital" acts as the director of IT activities and ensures that IT strategies are alignment with the hospital business strategies

Health Information Economy: Literature Review

INTRODUCTION: Health Information Economy (HIE) is one of the broader, more complex, and challenging and yet important topics in the field of health science that requires the identification of its dimensions for planning and policy making. The aim of this study was to determine HIE concept dimensions. METHODS: This paper presents a systematic methodology for analyzing the trends of HIE. For this purpose, the main keywords of this area were identified and searched in the databases and from among 4775 retrieved sources, 12 sources were studied in the field of HIE. RESULTS: Information Economy (IE) in the world has passed behind four paradigms that involve the information evaluation perspective, the information technology perspective, the asymmetric information perspective and information value perspective. In this research, the fourth perspective in the HIE was analyzed. The main findings of this research were categorized in three major groups, including the flow of information process in the field of health (production. collection, processing and dissemination), and information applications in the same field (education, research, health industry, policy, legislation, and decision-making) and the underlying fields. CONCLUSION: According to the findings, HIE has already developed a theoretical and conceptual gap that due to its importance in the next decade would be one of the research approaches to health science

The comparison of the minimum data set for elderly health in selected countries

Introduction: Ongoing increase in the elderly population in many developed countries has drawn attention to health of this age group. Recording adequate and relevant data for the elderly is considered as the basis for future planning for this segment of society. So this study was conducted to compare minimum data about elderly health in selected countries. Methods: This review study was conducted through Internet and library studies. Key words were extracted from search engines and data bases including Google, Yahoo, Google Scholar, PubMed, ProQuest and Iranian National Medical Digital Library. Inclusion criteria included English language with no time limits. All articles, research projects, theses, guidelines and progress reports were retrieved from the United States, Sweden, Japan and Iran and reviewed. Also, websites of organizations responsible for elderly health in selected countries were visited and their documents were reviewed. Results from this search were provided narratively and finally were presented within comparison tables. Findings: The findings of this study showed that elderly data in the selected countries are collected around four axis including minimum demographic data, medical histories, health assessment and financial data of elderly health. Discussion and Conclusion: Given the importance of the minimum data set of elderly health for future planning, the use of experiences of leading countries in elderly health seems necessary; however, localization of it according to the country's needs is inevitable. © 2015 Nasrin Davaridolatabadi, Mehraban Shahi, Farahnaz Sadoughi, Maryam Ahmadi

Realization of peace from the perspective of the role of higher education in the field of diplomacy: experience of academic diplomacy in Iran

New diplomacy with a focus on new actors is a ground for removal of misconceptions and solution of conflicts through communication, dialogue and reach of consensus. Higher education institution, especially universities, can be referred as new actors in the field of diplomacy. They can play an important role in communicating mutually and symmetrically. According to the authors, universities can provide the ground for removal of misunderstanding which is the root of violence at the level of communication within universities, both in a form of diplomacy Track II and also, through playing role in the science and technology diplomacy framework and they can be effective in promoting the culture of peace while they present positive image and enhance the country’s position in the international arena. So, in present study, it was tried to analyze the promotion of culture of peace in terms of the effectiveness of higher education on diplomacy institution and also, the position of higher education institution in the diplomacy of the Islamic Republic of Iran by descriptive-analytical method and relying on the Habermas’s communicative action theory.  The results showed that the universities can contribute to the realization and promotion of peace through affecting diplomacy and relying on science and knowledge which are international language; also provided that there is purposeful policy-making to maximum use of the potential of higher education institutions in general, and specifically universities. Especially in Iran, despite negative beliefs, universities can provide positive images in international arena.Keywords: higher education, university, peace, science diplomacy, diplomacy Track I

Social network analysis of Iranian researchers on medical parasitology: A 41 year co-authorship survey

Background: The aim of this study was to survey the Iranian Parasitology researchers� performance, and analyse and visualize the scientific outputs of their co-authorship network. Methods: This study was conducted using scientometric method and social network analysis (SNA). The data extracted from the Web of Science (WoS) databases in July 10th 2014. Totally, 1048documents of all types in research area of Parasitology during 1972-2013 by Iranian researches retrieved. The coauthorship map was drawn utilizing NETDRAW, Coauthor.exe, and UCINET softwares and was analysed based on SNA measures. Results: The researchers� co-authorship network consisted of 78 authors and its density degree is 0.57. �Mohebali� ranked top in all of centrality measures.The most of the publications were related to 2012, �Mohebali� with about 9 of all documents was the Iranian most prolific author in Parasitology field. The Iranian researches have published mostly (266 documents) in �Iranian Journal of Parasitology�, and the most of the documents belong to �Tropical Medicine� subject field. The most of Iranian researchers� scientific cooperation was performed with England and United States. Conclusion: Bringing forth density degree (is 0.57) showed that this network has an almost medium density. Indeed, the authors have had relations in moderate level with each other in the network. The findings of this study can be identified aspects of scientific collaboration, and help policy makers of Parasitology field research. © 2016, Tehran University of Medical Sciences (TUMS). All rights reserved

An expert system to diagnose pneumonia using fuzzy logic

Introduction: Pneumonia is the most common and widespread killing disease of respiratory system which is difficult to diagnose due to identical clinical signs of respiratory system. Aim: In this research, to diagnose this, a structure of a fuzzy expert system has been offered. This is done in order to help general physicians and the patients make decision and also differentiate among chronic bronchitis, tuberculosis, asthma, embolism, lung cancer. Methods: This system has been created using fuzzy expert system and it has been created in 4 stages: Definition of knowledge system, design of knowledge system, implementation of system, system testing using prototype life cycle methodology. Results: The system has 97 percent sensitivity, 85 percent specificity, 93 percent accuracy to diagnose the disease. Conclusion: Framework of the knowledge of specialist physicians using fuzzy model and its rules can help diagnose the disease correctly. © 2019 Leila Akramian Arani, Frahnaz Sadoughi, Mustafa Langarizadeh

Determining of factors influencing the success and failure of hospital information system and their evaluation methods: A systematic review

Background: Nowadays, using new information technology (IT) has provided remarkable opportunities to decrease medical errors, support health care specialist, increase the efficiency and even the quality of patient's care and safety. Objectives: The purpose of this study was the identification of Hospital Information System (HIS) success and failure factors and the evaluation methods of these factors. This research emphasizes the need to a comprehensive evaluation of HISs which considers a wide range of success and failure factors in these systems. Materials and Methods: We searched for relevant English language studies based on keywords in title and abstract, using PubMed, Ovid Medline (by applying MeSH terms), Scopus, ScienceDirect and Embase (earliest entry to march 17, 2012). Studies which considered success models and success or failure factors, or studied the evaluation models of HISs and the related ones were chosen. Since the studies used in this systematic review were heterogeneous, the combination of extracted data was carried out by using narrative synthesis method. Results: We found 16 articles which required detailed analysis. Finally, the suggested framework includes 12 main factors (functional, organizational, behavioral, cultural, management, technical, strategy, economy, education, legal, ethical and political factors), 67 sub factors, and 33 suggested methods for the evaluation of these sub factors. Conclusions: The results of the present research indicates that the emphasis of the HIS evaluation moves from technical subjects to human and organizational subjects, and from objective to subjective issues. Therefore, this issue entails more familiarity with more qualitative evaluation methods. In most of the reviewed studies, the main focus has been laid on the necessity of using multi-method approaches and combining methods to obtain more comprehensive and useful results

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

Prediction of breast cancer survival through knowledge discovery in databases

The collection of large volumes of medical data has offered an opportunity to develop prediction models for survival by the medical research community. Medical researchers who seek to discover and extract hidden patterns and relationships among large number of variables use knowledge discovery in databases (KDD) to predict the outcome of a disease. The study was conducted to develop predictive models and discover relationships between certain predictor variables and survival in the context of breast cancer. This study is Cross sectional. After data preparation, data of 22,763 female patients, mean age 59.4 years, stored in the Surveillance Epidemiology and End Results (SEER) breast cancer dataset were analyzed anonymously. IBM SPSS Statistics 16, Access 2003 and Excel 2003 were used in the data preparation and IBM SPSS Modeler 14.2 was used in the model design. Support Vector Machine (SVM) model outperformed other models in the prediction of breast cancer survival. Analysis showed SVM model detected ten important predictor variables contributing mostly to prediction of breast cancer survival. Among important variables, behavior of tumor as the most important variable and stage of malignancy as the least important variable were identified. In current study, applying of the knowledge discovery method in the breast cancer dataset predicted the survival condition of breast cancer patients with high confidence and identified the most important variables participating in breast cancer survival

Apoptotic functions of microRNAs in pathogenesis, diagnosis, and treatment of endometriosis

MicroRNAs or miRNAs are a component of the non-coding RNAs family which is engaged in many cellular functions such as cell proliferation, apoptosis, gene expression, signaling pathways, angiogenesis, and etc. Endometriosis is a malignant gynecologic disorder occurring in women before menopausal age. Pathogenesis of this illness is still a discussion subject between the scientists but in our knowledge, microRNAs can be one of the possible involved factors. The purpose of this paper is to investigate the role of apoptotic activities of miRNAs in endometriosis. Accumulative evidence has demonstrated the role of cell proliferation, apoptosis, and invasion in the progression of these diseases. In this review, we looked into the specific role of apoptosis and its related genes and pathways in endometriosis and tied to present an explanation of how miRNAs can affect endometriosis by their apoptotic activities. What we found is that a great extent of miRNAs is involved in this illness and they are responsible for repressing apoptosis and progression of the disease. As a result, miRNAs have two different usages in endometriosis: biomarkers and potential therapeutic targets. In this review we gathered a great amount of evidence to inquire into the role of micro RNAs in inducing apoptosis and how this mechanism can be exerted for therapeutic purposes for endometriosis. © 2020 The Author(s)