Capabilities and advantages of cloud computing in the implementation of Electronic Health Record

Background: With regard to the high cost of the Electronic Health Record (EHR), in recent years the use of new technologies, in particular cloud computing, has increased. The purpose of this study was to review systematically the studies conducted in the field of cloud computing. Methods: The present study was a systematic review conducted in 2017. Search was performed in the Scopus, Web of Sciences, IEEE, Pub Med and Google Scholar databases by combination keywords. From the 431 article that selected at the first, after applying the inclusion and exclusion criteria, 27 articles were selected for surveyed. Data gathering was done by a self-made check list and was analyzed by content analysis method. Results: The finding of this study showed that cloud computing is a very widespread technology. It includes domains such as cost, security and privacy, scalability, mutual performance and interoperability, implementation platform and independence of Cloud Computing, ability to search and exploration, reducing errors and improving the quality, structure, flexibility and sharing ability. It will be effective for electronic health record. Conclusion: According to the findings of the present study, higher capabilities of cloud computing are useful in implementing EHR in a variety of contexts. It also provides wide opportunities for managers, analysts and providers of health information systems. Considering the advantages and domains of cloud computing in the establishment of HER, it is recommended to use this technology. © 2018 Maryam Ahmadi, Nasim Aslani

Relationship between Parenting Styles and Internet safety of Children among Male and Female Students of Dezful

Background and Objective:In recent decades, the use of new information and communication technologies around the world has grown rapidly. The proliferation of personal computers, mobile phones or Android phones, and the easy access to the Internet provided by telephone operators have changed the lives of millions of people. These changes have directly and indirectly affected people's behaviors and habits, and even their cognitive and mental characteristics. As the use of the Internet by children and adolescents increases, there are concerns about their online safety. Providing a safe environment requires an in-depth understanding of the types of risks of the online environment, as well as effective solutions to reduce these risks. The issue of cyberspace abuses and the irreparable damage that this environment can do to personality and social image is a matter of consideration, the prevention of which is most of all the responsibility of the educational organizations, and particularly the family. The aim of this study was to investigate the relationship between parental supervisory styles and internet safety of children among male and female students of high school. Methods: Descriptive correlational (structural equation modeling) method was used at this study. All the second grade students of high school in Dezful and their parents in the academic year of 2017-2018 were statistical population of this study. According to the sample size, 375 people were selected based on Krejcie and Morgan's tables. Stratified sampling method and random cluster sampling were used for sampling. Two standard questionnaires of determining parental supervisory styles and a researcher-made questionnaire of checking the internet safety of children on a Likert scale were used to collect data. Frequency distribution, mean, Pearson correlation coefficient, regression and structural equation model test were used to analyze the data. Findings: The results showed that there is a significant difference between the parenting styles and the level of internet safety of children. Parents' cordial behavior with their children and their proper control give more confidence among family members. The child who feels such a climate feels safe in expressing his Internet needs, the things that are encountered in using the internet, as well as the questions and problems encountered when using the internet will be more comfortable to discuss these issues with parent. Conclusion: The results show that the highest Internet security of children is observed in the authoritarian regulatory style, followed by the authoritarian style and the negligent style; while the lowest internet security is observed in the non-interfering style. The results also showed that there was a significant relationship between parental supervision style and parental Internet security. Parents' sincere behavior and their proper control provide more trust among family members. The child who feels this atmosphere feel more secure and comfortable to express their needs about the Internet, the events that occur in using the Internet, and the questions and problems that they have while using the Internet. Parents with a friendly style and proper control have taken the necessary precautions to use the Internet safely and avoid serious risks. They have clearly set their own rules and expectations for children to use the Internet. And children are aware that they must respect these rules and expectations in order to be loved by their parents. In fact, this group of parents are not far behind their children in issues such as Internet literacy and media literacy, and they know and practice the etiquette of dealing with their children when they use the Internet.   ===================================================================================== COPYRIGHTS  ©2020 The author(s). This is an open access article distributed under the terms of the Creative Commons Attribution (CC BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, as long as the original authors and source are cited. No permission is required from the authors or the publishers.  ====================================================================================

The Effect of Biopsychosocial Variables in Fatigue in Patients with Hemoglobinopathies

Purpose: The purpose of the present study was to explore the biopsychosocial variables affecting fatigue in patients with hemoglobinopathies. Methods: 102 patients undergoing transfusion treatment from one hospital in Athens, Greece participated in the study. Fatigue was measured with the Multidimensional Fatigue Inventory (MFI), quality of life with the Euro5D thermometer as self-perceived health and psychological variables with the Depression, Anxiety and Stress Scale (DASS 21). Statistical analysis was performed with SPSS21. Results: 63 were females (61,4%) and 39 males (38,6%). The mean age of the sample was 41.7±9.2 years, while the majority of participants were patients with a diagnosis of homozygous ?-Thalassemia (81.4%). Multivariate analysis revealed 6 independent models for each dimension of fatigue, while every one of the five dimensions of MFI as well the total score of the inventory, revealed a different model of correlations with mixed variables, related with disease complications, adherence to treatment, sex, the self-perceived quality of life, as well as the qualitative characteristics of fatigue related with disease complications. Conclusions: Fatigue has been identified as a very common symptom in patients with thalassemia with many variables affecting it in this population. Our results broadens the evidence regarding fatigue in hemoglobinopathies and leads us to the need for distinguishing the etiologies leading to fatigue in hemoglobinopathies since it is an important factor affecting HPQoL. Longitudinal studies are needed in order to understand the path of fatigue and the factors influencing the condition

Monitoring the kinematics of Walking and Running Gait after total knee replacement using a generation of Kinematic Retaining prosthetic knee implant

Gait analysis has its role in rehabilitation medicine, orthopaedics, kinesiology, sports science, and other related fields of human locomotion. Use of gait analysis in the evaluation of the efficacy of joint replacement has increased over the last two decades due to the advancement of computer technology and the requirements of more quantitative data which can allow for better and more referenceable assessment of the performance of in service knees. This study was designed to investigate and monitor the kinematics of running and walking gait after a total unilateral or bilateral knee implant operation using the new-generation high-performance kinematic retaining prosthesis “Lima Corp Italy”. This type of post operation for running gait analysis had never been performed previously. It is designed to identify further kinematic data about the knee that may not be possible to observe using walking gait analysis alone. The kinematics of running gait in a group of 12 patients were monitored and results are presented here. The cost and resources required to do this was also questioned and the possibility of a more controlled image capture using cheaper mobile devices was examined

Prevalence of needlestick and sharps injuries in the healthcare workers of Iranian hospitals: An updated meta-analysis

Background: Needlestick and sharps injuries (NSIs) are critical occupational risk among health care workers (HCWs), which is extremely worrying due to the potential risk of transmitting bloodborn pathogens (BBPs). This study was carried out to evaluate the prevalence of NSIs among Iranian HCWs. Methods: In this systematic review and meta-analysis, the key terms percu*injur*, needle*stick injur*, needlestick*injur*, or sharp*injur*were searched in the Scientific Information Database (SID), MagIran, IranMedex, Google Scholar, Science Direct, PubMed, and Scopus. A prefabricated checklist, including variables: first author, publication year, study population, sample size, gender, total prevalence of needlestick in each gender, type of questionnaire, region, and type of hospitals, was used to extract data from the selected articles included which were published between 2003 and 2016. Results: The analysis showed that the prevalence of NSIs in the Iranian HCWs was 42.5 (95 CI 37-48). Moreover, the prevalence of NSIs was more in women (47; 95 CI 36-58) compared to men (42; 95 CI 26-58). Conclusion: Given the high prevalence of NSIs, it is necessary to supply safe needles and instruments, hold training programs focused on new methods of using sharp objects safely, observe safety principles and standards, reinforce the practical skills of personnel, and pay more attention to reporting and improving occupational behaviors like avoiding needle recapping in order to reduce the prevalence of NSIs and consequently reduce potential risk of transmission of BBPs. © 2018 The Author(s)

Development of a 3D workspace Shoulder Assessment Tool Incorporating Electromyography and an Inertial Measurement Unit - A preliminary study

Traditional shoulder Range of Movement (ROM) measurement tools suffer from inaccuracy or from long experimental set-up times. Recently, it has been demonstrated that relatively low-cost wearable inertial measurement unit (IMU) sensors can overcome many of the limitations of traditional motion tracking systems. The aim of this study is to develop and evaluate a single IMU combined with an Electromyography (EMG) sensor to monitor the 3D reachable workspace with simultaneous measurement of deltoid muscle activity across the shoulder ROM. Six volunteer subjects with healthy shoulders and one participant with a ‘frozen’ shoulder were recruited to the study. Arm movement in 3D space was plotted in spherical coordinates while the relative EMG intensity of any arm position is presented graphically. The results showed that there was an average ROM surface area of 27291±538 deg2 among all six healthy individuals and a ROM surface area of 13571±308 deg2 for the subject with frozen shoulder. All three sections of the deltoid show greater EMG activity at higher elevation angles. Using such tools enables individuals, surgeons and physiotherapists to measure the maximum envelope of motion in conjunction with muscle activity in order to provide an objective assessment of shoulder performance in the voluntary 3D workspace

Vitamin D during pregnancy: why observational studies suggest deficiency and interventional studies show no improvement in clinical outcomes? A narrative review

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