Artificial Intelligence (AI); A Revolution in Radiation Protection in Modern Life

Artificial Intelligence (AI); A Revolution in Radiation Protection in Modern Life Artificial Intelligence (AI); A Revolution in Radiation Protection in Modern Life Artificial Intelligence (AI); A Revolution in Radiation Protection in Modern Life Artificial Intelligence (AI); A Revolution in Radiation Protection in Modern Life Artificial Intelligence (AI); A Revolution in Radiation Protection in Modern Lif

The Quality of Coding Medical Records of Cancer Patients Based on ICD-10 in Hospitals of Hormozgan University of Medical Sciences

Introduction: The aim of this study was to determine the status of ICD-10 codes assigned to cancer patients' medical records in terms of three attributes of accuracy, completeness, and timeliness. Method: in this cross-sectional descriptive study, 374 medical files with C00-D48 diagnosis codes were selected through stratified sampling. Data gathering tool was a researcher-made checklist consisted of clinical information summary, codes assigned by assistant professors and coders, the review and comparison of the codes, the results obtained from the control of codes by ICD-10 and the errors extracted from coders’ codes. The factors affecting the occurrence of coding errors at different levels and their impact on the accuracy and completeness of the codes were classified. Results: Totally, coding errors were observed in 79 cases (21.74%). differences in codes at the level of the chapter were due to not following the rules for choosing the main diagnosis (30 cases) and inadequate study of the records (38 cases). In terms of completeness, in 27 cases (7.43%), codes assigned by coders were defective compared to assistant professors’ codes. In relation to the timeliness, in accordance with the WHO standard, coding was done within 48 hours of the patient's discharge. Conclusion: According to the results, coding quality is not only dependent on the coders, but also on other factors such as documentation defect. Therefore, continuous training for both coders and documenters is necessary to resolve defects, especially in the field of cancer. It is also recommended to use the results of this study for planning related workshops

Odontogenic Tumors: A Challenge for Clinical Diagnosis and an Opportunity for AI Innovation

The advancement of artificial intelligence (AI) has opened up new possibilities for medical diagnosis and treatment. In particular, AI algorithms have demonstrated remarkable potential in analyzing patient radiology images and histopathological samples, offering insights that can enhance clinical decision-making [1]. This letter explores the emerging role of AI in the diagnosis and treatment of odontogenic tumors (OTs), a group of benign, malignant, and tumor-like malformations arising from the remnants of the tooth-forming apparatus

The Current State of IT Governance in Education and Training Centers in Iran University of Medical Sciences: A Qualitative Study

Introduction: IT Governance includes IT management and the way to make IT decisions in line with the related IT processes, resources, and responsibilities. This study aimed to determine the current state of IT governance in education and training centers in Iran University of Medical Sciences. Method: This is a practical qualitative study. In the first step of the study the population centers including the related documentation, and in the second step the units responsible for information technology, computing, informatics and hospital administrators who work in the center were included. Data collection tools in the first step was the data collection forms, and in the second step was interview guide. Content analysis of the documents and all the propositions were extracted. The final step is data processing and interpretations of the results. After interviews were collected, the data were identified, coded and classified. Finally, the sub-topics were combined, the topics were selected, and the thematic analysis was performed. Results: 40% of centers' information technology administrators studied computer software at university and 40% of the managers were graduated from medical centers. The results showed that the president, the director, the IT department administrators, and the director of the Department of Statistics and Information Technology in many areas have made their decision in technology-related fields . In some centers also the IT department administrator provided the staff with job description after being approved by the hospital manager. Conclusion: The structure of the studied centers' IT departments was vague and complex, so that the trustees, policy makers, administrators and IT operators in hospitals were not exactly clear. Keywords: Information Technology Governance, Information Technology, Information Technology Governance Domain

Minimum Data Set for Elderly Health: A comparison of Selected Countries

Introduction: The progressive increase in the elderly population in many developed countries leading to focus on health in this age group. Recording adequate data for the elderly people is considered as the basis for future planning for this part of society. Therefore, this study was aimed to compare the minimum data about elderly health in selected countries. Method: This is a review article was carried out through internet and library studies. The Keywords were extracted from search engines and databases including Google, Yahoo, Google Scholar, PubMed and Proquest, and the Iranian National Medical Digital Library using inclusion criteria included English language and no time limit. All papers, research projects, theses, guidelines and progress reports were retrieved from America, Sweden, Japan and Iran. Also, Web sites of organizations responsible for elderly health in each country were visited and their documents were reviewed. The results of this search were presented narratively and within comparative tables. Results: The results of this study showed that in selected countries, elder’s data collected in four axis. Most of demographic data is completed in America. In Sweden, Iran and Japan some data from medical histories and health assessment are considered as well as some financial data in Iran. Conclusion: Given the importance of the health minimum data set for future planning, using the experiences of the pioneer countries in health is necessary, but localization of it according to the country’s needs is inevitable

Investigating the Effective Factors on the Acceptance of Teleorthodontic Technology Based on the Technology Acceptance Model 3 (TAM3)

Statement of the Problem: Health information technology is used in dentistry worldwide. Despite the limited specialized resources for providing orthodontic treatment in Iran, the need to examine the technology acceptance model (TAM) seems necessary and is a significant step in the successful acceptance of teleorthodontic technology.Purpose: The present study has identified and investigated the factors affecting the acceptance of teleorthodontic technology among orthodontists based on the TAM3 with the aim of successful implementation and deployment of this technology.Materials and Method: In this descriptive-analytical research, 300 Iranian orthodontists who were members of the Iranian Orthodontic Association were selected by census sampling. The data was gathered through a modified and accommodated questionnaire called the acceptance model 3. The validity was confirmed. Moreover, the reliability was calculated based on Cronbach's alpha, which was equal to 0.870. Multiple linear regression analysis was also utilized to investigate the relationships between dependent, independent, and mediator variables. Besides, the final model was designed by the Amos software.Results: The results of 251 orthodontic specialists proved that subjective norm, job relevance, output quality, results in demonstrability, and job relevance on output quality could significantly affect perceived usefulness. Similarly, the perception of external control was identified to have a significant influence on perceived ease of use. On the other hand, the perceived usefulness does not play a mediating role between perception and subjective norm. Furthermore, perceived usefulness was confirmed as a mediating factor in relationship to both perceived ease of use and behavioral intention.Conclusion: The findings of the present study revealed valuable scientific evidence to identify and apply the key factors affecting the acceptance and use of modern teleorthodontic technology in Iran. Besides, the structure of the TAM3 was recognized as fruitful and worthwhile for predicting the acceptance of this new technology and also in identifying key effective factors

Developing a mobile health application for wound telemonitoring: a pilot study on abdominal surgeries post-discharge care

Abstract Background Many early signs of Surgical Site Infection (SSI) developed during the first thirty days after discharge remain inadequately recognized by patients. Hence, it is important to use interactive technologies for patient support in these times. It helps to diminish unnecessary exposure and in-person outpatient visits. Therefore, this study aims to develop a follow-up system for remote monitoring of SSIs in abdominal surgeries. Material and methods This pilot study was carried out in two phases including development and pilot test of the system. First, the main requirements of the system were extracted through a literature review and exploration of the specific needs of abdominal surgery patients in the post-discharge period. Next extracted data was validated according to the agreement level of 30 clinical experts by the Delphi method. After confirming the conceptual model and the primary prototype, the system was designed. In the pilot test phase, the usability of the system was qualitatively and quantitatively evaluated by the participation of patients and clinicians. Results The general architecture of the system consists of a mobile application as a patient portal and a web-based platform for patient remote monitoring and 30-day follow-up by the healthcare provider. Application has a wide range of functionalities including collecting surgery-related documents, and regular assessment of self-reported symptoms via systematic tele-visits based on predetermined indexes and wound images. The risk-based models embedded in the database included a minimum set with 13 rules derived from the incidence, frequency, and severity of SSI-related symptoms. Accordingly, alerts were generated and displayed via notifications and flagged items on clinicians’ dashboards. In the pilot test phase, out of five scheduled tele-visits, 11 (of 13) patients (85%), completed at least two visits. The nurse-centered support was very helpful in the recovery stage. Finally, the result of a pilot usability evaluation showed users’ satisfaction and willingness to use the system. Conclusion Implementing a telemonitoring system is potentially feasible and acceptable. Applying this system as part of routine postoperative care management can provide positive effects and outcomes, especially in the era of coronavirus disease when more willingness to telecare service is considered