Structure Relationship between Self-imaginary and Meta-cognition Beliefs with Self-regulatory Learning in Pre-university Girl Students in Rasht City

AbstractIn this study the relationship between self-imaginary structure and meta-cognition beliefs with self-regulatory learning variable in pre-university girl students is investigated. 300 girl students have been selected with bunch random method from Rasht schools for this correlative study. Some devices like schooling self-imaginary questionnaire, meta-cognition questionnaire and self-regulatory learning questionnaire are used to collect the students Data. Data are analyzed with Pearson correlation, regression and one-way ANOVA methods. The analysis shows negative and significant correlation between meta-cognition beliefs variable and self-regulatory learning. This means that reduction of meta-cognition beliefs increases the students learning ability. Also, it is concluded that there is considerable positive correlation between self-imaginary and self-regulatory learning and significant negative association between self-imaginary variable and meta-cognition beliefs. Furthermore, the regression and ANOVA analysis show that self-imaginary and meta-cognition beliefs which are independent variables are not suitable anticipants for self-regulatory learning. Results show that meta-cognition beliefs lead to objective thinking and psychological traumas and play inhibitory role in self-regulatory process. Indeed, people with inner control and positive self-imaginary, have better control on the learning facts and their results. These people have more effective role in the self-regulatory process

Future of Health Information Technology Positions and Professional Qualifications of Employees

Introduction: The optimal use of information technology in health sector requires due attention to human resources training. The purpose of this study was to determine the future of health information technology positions and professional qualifications of the employees to achieve them. Methods: This qualitative-quantitative study was conducted in 2016. A nonsystematic review of the articles published over the last 10 years was performed in well-known databases and websites using relevant keywords. Positions were extracted and then discussed using the Delphi technique in a panel of experts of 25 members including board members and faculty members of medical universities across the country. Agreedupon positions were confirmed and job descriptions and professional qualifications were identified and compiled. An applied cross-sectional study was conducted on all health information management employees (38 people) of hospitals affiliated with Kashan University of Medical Sciences to determine the existing gap. A researcher-made questionnaire was developed based on the professional qualifications obtained for the expert panel and distributed after being checked for validity. Reliability was approved with Cronbach's alpha (0.91). Data were analyzed using descriptive statistics in terms of frequency and percentage. Results: The future health information technology positions were found to be health information management, insurance and accounting, information technology, computer applications, and data management. Professional qualifications of statistics and epidemiology, disease classification, information storage and retrieval, health data management, legal considerations and information security, information technology, and software engineering concepts were determined. The most effective qualification was knowledge of storage and retrieval methods. Employees’ skills in statistics and epidemiology were at an average level. Conclusion: New positions are constantly being introduced into the field of health information technology. Continuous curriculum revisions and additional courses for insurance and accounting, data storage and retrieval, statistics and epidemiology are essential

Electronic Educational and Research Services as Infrastructure for the E- Government: Role of

Introduction: Websites serve as an initial step toward an e- government adoption which facilitates delivery of online services to customers. The existing study intended to investigate the role of university website to render educational and research services based on e- government maturity model in Iranian universities. Methods: This descriptive and cross- sectional study was conducted through content analysis and benchmarking in 1390. Research population included all (37) university website. Delivery of educational and research services in university websites including Information, Interaction, Transaction, and Integration were investigated through the checklist. Using descriptive statistics and through SPSS software, the data were analyzed. Results: Rendering educational and research services through website in type I universities was medium (1/99). Rendering educational and research services through website in type II universities was medium (1/89). The mean score of all universities on integration of educational and research services was 1 out of 3. Conclusion: Results of the study indicated that Iranian universities have passed information and interaction stages, but they have not made much progress in transaction and integration stages. Failure to adopt e-government in Iranian medical universities in which limiting factors such as users’ e- literacy, access to the Internet and ICT infrastructure are not so crucial as in other universities and organizations suggest that in developing countries e- government realization goes beyond technical challenges

Relative frequency of Human T-cell Lymphotropic Virus I/II in HIV/AIDS patients

Background: Human T-cell lymphotropic virus HTLV-I/II is a retrovirus that has been associated with different diseases. HTLV-I/II routes of transmissions are exposure to contaminated blood, blood transfusion, needle sharing, breast feeding, and sexual contact. The seroprevalence of HTLV-I/II in HIV infected patients has not been well characterized in Iran. We conducted a serological survey to determine the relative frequency of HTLV-I/II in HIV+/AIDS and healthy blood donors in Isfahan. Materials and Methods: In this cross-sectional study, we compare the relative frequency of HTLV-I/II in HIV+/AIDS group (56 persons) with asymptomatic blood donors (57 persons) in Isfahan. Participant completed the questionnaires that include demographic information, age, sex, and sexual partnership during last 6 months, sexual behavior and past history of blood transfusion or other blood products. We confirm the HIV+ status in patients group with western blot test. Evaluation of HTLV-I/II were done using ELISA test with DRAPIO third generation kit. Questionnaire data and laboratory results were analyzed by SPSS18. Results: During the period of 2010-2011, a total of 56 HIV-infected patients and 57 healthy persons participated in this study. Among HIV positive patients, one person had positive test for HTILV-I/II representing the relative frequency of 1.8%, and in healthy individuals none of them were positive. Conclusion: In our survey, relative frequency of HTLV-I/II was 1.8% in HIV+ patients. This study reveals that relative frequency of HTLV-I/II in HIV positive patients is considerable but determining the need for screening of HTLV-I/II requires further investigation

Compare the user interface of digital libraries\' websites between the developing and developed countries in content analysis method

Purpose: This study performed with goals of determining the Items in designing and developing the user interface of digital libraries' websites and to determine the best digital libraries' websites and discuss their advantages and disadvantages; to analyze and compare digital libraries' websites in developing countries with those in the developed countries. Methodology: to do so, 50 digital libraries' websites were selected by purposive sampling method. By analyzing the level of development of the countries in the sample regarding their digital libraries' websites, 12 websites were classified as belonging to developing and 38 countries to developed counties. Then, their content was studied by using a qualitative content analysis. The study was conducted by using a research-constructed checklist containing 12 main categories and 44 items, whose validity was decided by content validity method. The data was analyzed in SPSS (version 16). Findings: The results showed that in terms of “online resources”, “library collection,” and “navigation”, there is a significant relationship between the digital library' user interface design in both types of countries. Results: The items of “online public access catalogue (OPAC)” and “visits statistics” were observed in more developing countries’ digital libraries' websites. However, the item of “menu and submenus to introduce library' sections” was presented in more developed countries’ digital libraries' websites. Moreover, by analyzing the number of items in the selected websites, “American Memory” with 44 items, “International Children Digital Library” with 40 items, and “California” with 39 items were the best, and “Berkeley Sun Site” with 10 items was the worst website. Despite more and better quality digital libraries in developed countries, the quality of digital libraries websites in developing countries is considerable. In general, some of the newly established websites and lack of use the experience of specialists and librarians, and as a result, lack of information of site designers about users’ needs are some of the reasons for not designing appropriate digital libraries' websites

The Effect of Feedback and Incentive Mechanisms on Improving Residents’ Medical Record Documentation Procedure

Introduction: Studies indicate that using behavior changing interventions may improve medical record documentation. This study aimed to examine the effect of feedback and incentive mechanisms on medical record documentation among surgery residents in Kashan University of Medical Sciences. Methods: This quasi-experimental study examined the effect of feedback and incentive mechanisms on 19 surgery residents’ medical record documentation in Kashan Shahid Beheshti Hospital in 2013-14. During three phases of pre-intervention, post-intervention and 3 months after intervention, five medical records for each resident (total=95) were selected and assessed using a checklist. Data were analyzed by means of t-test and Wilcoxon test. Results: There were significant changes in surgical residents’ medical record documentation during pre- intervention, post-intervention three months after intervention (P=0.0001). Findings showed that the rate of documentation in medical history form, course of disease, reception and discharge summary, and surgery report had significant changes after the interventions (P= 0.0001). Conclusion: Since the results showed that feedback and incentive mechanisms had positive impacts on improving residents’ documentation behavior, it is suggested that residents’ documentation performance should be regularly assessed and feedbacks be provided for other residents and stakeholders

Evaluating inappropriate patient stay and its reasons based on the appropriateness evaluation protocol

Background: Hospital beds are among valuable resources for care delivery. Therefore, optimum use of them is crucial for increasing the efficiency of health-care services and controlling health-care costs. Objective: This study intended to evaluate inappropriate patient stay (IPS) in hospital settings and its reasons based on the appropriateness evaluation protocol. Methods: This cross-sectional study was conducted on 335 patients hospitalized in a tertiary care university hospital. Data were gathered prospectively by 13 hospital nurses during a 6-month period. IPS rate was evaluated using a checklist, the 27 criteria of which were related to medical services, nursing/life support services, and patient's conditions. Moreover, a 12-item checklist was used to determine physician-, hospital-, and patient/family-related factors behind inappropriate hospital stay. Results: In total, 121 of 1925 (6.3) hospitalization days of 335 patients were determined to be inappropriate. Neurosurgery and gynecology wards had the highest and the lowest inappropriate hospital stay rates (22.5 vs. 0), respectively. The main reasons behind inappropriate hospital stay were hospital-related factors (33.1), physician-related factors (29.1), and patient-related factors (21.3). Conclusion: A wide variety of physician-, hospital-, and patient/family-related factors contribute to IPS. Given the multifactorial causes of IPS, reducing its rate necessitates multidisciplinary approaches

The Effect of Educational Intervention on Medical Diagnosis Recording among Residents in Kashan University of Medical Sciences

Introduction: Studies indicate that using interventions including education may improve medical record documentation and decrease incomplete files. Since, physicians play a crucial role in medical record documentation, the researchers aimed to examine the effect of educational intervention on observing principles of medical diagnosis recording among residents in Kashan University of Medical Sciences. Methods: This quasi-experimental study was conducted in 2010 on 19 specialty residents (from internal medicine, obstetrics and gynecology, and surgery) in Kashan University. During a 5-hour workshop, guidelines for recording diagnostic information related to surgery, obstetrics and internal medicine were taught. Before and after the intervention, five medical records from each resident were assessed using a checklist which was designed based on diagnostic information related to each discipline. Data were analyzed through paired t and Wilkoxson test. Results: There was no improvement in recording obstetric diagnoses (type of delivery, place of delivery, outcome of delivery, complication of delivery) after the training. Also training did not have any effect on documentation of underlying cause and clinical manifestations of diseases by internal medicine residents and surgery residents (P=0.285 and P=0.584). Conclusion: Administering an educational intervention alone did not improve recording of diagnosis among residents. It seems that to have complete, accurate and high quality medical recording requires interaction we should consider other solutions, including three main key components, namely, management, health information management professionals and health care providers. Therefore, developing such an interaction is recommended

Nasal colonization in children with community acquired methicillin-resistant Staphylococcus aureus

Background: Methicillin-resistant Staphylococcus aureus (MRSA) is a frequent cause of infections. The changing epidemiology of MRSA became evident in the 1990s when CA-MRSA cases were first reported. Nasal carriage of CA-MRSA is associated with an increased risk for development of infections in various populations. Materials and Methods: Anterior nares culture for the presence of methicillin-susceptible Staphylococcus aureus (MSSA) and MRSA was taken from 345 children attending kindergartens, who didn't have any known risk factor for MRSA colonization. Also, children demographic variables were recorded. Identification of SA and community-acquired methicillin-resistant Staphylococcus aureus ( CA-MRSA) with standard microbiological test was performed. Finally, the susceptibility of isolated to various antibiotics determined. The data were analyzed with Whonet 5.6 software. Results: Of 345 children, 20 children (5.8%) were colonized with CA-MRSA, 86 children (24.9%) with MSSA and 239 cases (69.3%) didn't have SA colonization. The highest rate of MSSA and MRSA colonization was obtained at the age of 6 years. The frequency distribution of SA (MSSA and MRSA) colonization prevalence didn't have any significant differences based on age, gender and the admission time (P > 0.05); but it was significantly different in the urban areas (P < 0.001). The lowest resistance rate of CA-MRSA isolates, with a frequency of 10%, was detected with gentamicin, rifampin, and trimethoprim-sulfamethoxazole. Conclusions: In summary, CA-MRSA colonization was observed in child care centers remarkably. Therefore, by facing various infections due to SA especially in areas of low socio-economic status, it must be considered. Based on antibiogram test, empirical treatment with rifampin, gentamicin and ciprofloxacin is recommended during CA-MRSA infections