bluuebunny/crossref_metadata_2025 huggingface dataset:
Evaluation of an intervention package to reduce occupational stress among secondary school teachers: a cluster randomized study
Authors: Denuwara Buddhini , Gunawardena Nalika , Dayabandara Madhubhashinee , Samaranayake Dulani
Published: April 2024

Introduction: Prevalence of occupational stress (OS) among seconda ry teachers in the district of Colombo, Sri Lanka was found to be 83.4% in 2017, indicating the need for an intervention t o prevent its effects. Objectives: To evaluate the effectiveness of an intervention to reduc e OS among secondary teachers in Sinhala medium government schools in the district of Colombo Methods: A cluster randomized trial (SLCTR/2019/017) used cluster s of 10 secondary schools in Colombo District, which were assigned randomly to intervention and control arms; each ar m had 300 teachers. A package of nine-sessions of cognitive behavioural (CB) and relaxation technique-based activities  designed through evidence generated in a systematic review was delivered as interactive group sessions over a period of si x months. Effectiveness of the intervention in reducing OS was assessed after four weeks using multivariate Generalized E stimating Equation analysis. Reducing psychological distress and adopting healthy lifestyles were assessed as secondary out comes of the intervention. Results: Intervention was significantly effective in reducing OS  (OR=0.3; 95% CI=0.2, 0.5), psychological distress (OR=0.03; 95% CI=0.01, 0.07) and smoking (OR=0.09; 95% CI= 0.01, 0.7) among the teachers. It also significantly increased the knowledge about OS (OR=0.6; 95% CI=0.5, 0.7), hea lthiness of diet (OR=0.3; 95% CI=0.2, 0.4), level of adequate physical activity (OR=3.2; 95% CI=2.1, 4.9) and effecti ve coping of OS (OR=0.2; 95% CI=0.17, 0.3). The relative risk reduction (RRR) of OS with the intervention remained at  22.6%, the absolute risk reduction (ARR) was 19.4% and the number needed to treat (NNT) was five. Conclusions & Recommendations: The intervention package wa s highly effective to reduce OS among secondary teachers and is recommended to be incorporated to the basic training  of teachers or implemented through the school health programme.
Perceived strengths, weaknesses, opportunities and threats related to the utilization of oral health services among pre-conceptive married women before their first pregnancy in Kalutara District
Authors: Gayathri Hewage Dona Vindya , Ratnayake Nilantha
Published: April 2024

Introduction: Utilization of oral health services during pre-conce ptive period is important for a woman to accomplish a healthy oral environment prior to her pregnancy. Objectives: To describe the perceived strengths, weaknesses, oppor tunities and threats (SWOT) related to the utilization of oral health services among pre-conceptive married women before the ir first pregnancy in Kalutara District Methods: In-depth interviews among pre-conceptive married wome n before their first pregnancy in Kalutara District were conducted using semi-structured interview guide. Purposive sampli ng method was used to select 18 study participants. Data were analysed manually using the thematic analysis method. The i nductive method was used to identify and generate codes and themes from the data itself. The theoretical perspective of qua litative data analysis carried out in this study was the ‘grounded theory approach’. Results: Identified strength was knowledge on benefits of oral health  for the pregnancy and quality of life of women. Identified weaknesses were lack of motivation regarding oral health care seeki ng, lack of awareness that the pre-conception period is a crucial period for the oral health promotion among married women, f ear for dental treatment, myths related to the oral health and barriers related to attending dental clinics due to personal-level  factors. Identified opportunities were availability of oral health component in the Healthcare for Newly Wedded Programme  (HNWP), provision of the oral health education by the medical officer of health (MOH) office staff at the HNWP session s, help and guidance from the MOH office staff at the HNWP sessions to clarify oral health related issues, satisfactory pro vision of the government dental services, dental clinics in the MOH office premises and favourable working hours of the priva te dental clinics. Identified threats were barriers related to attending dental clinics due to service-related factors and lack of  information regarding the oral health component of the HNWP from peer groups. Conclusions & Recommendations: Perceived SWOT related to t he oral health services among pre-conceptive married women were identified. These findings will be important to the poli cy makers and service providers to plan an effective oral health service for married women before their first pregnancy.
Existence and pattern of sleep-related breathing disorders in patients diagnosed with bronchial asthma
Authors: Meena Saroj Kumari , Gupta Rajnish , Puri Manmohan
Published: April 2024

Asthma and obstructive sleep apnea (OSA) are commonly prevalent diseases, and both can co-exist to result in an alternate overlap syndrome, where a bidirectional relationship can adversely affect each other. This study aimed to determine the existence and pattern of sleep-related breathing disorders in subjects with bronchial asthma. It was prospectively conducted at the National Institute of Tuberculosis and Respiratory Diseases, New Delhi, in diagnosed cases of bronchial asthma. A subjective assessment of sleepiness was done using the Epworth sleepiness scale (ESS). All subjects underwent overnight polysomnography (PSG) in the Sleep Laboratory of the Institute. A total of 70 subjects were screened, and among them, finally, 30 were enrolled. The mean age of the subjects was 37.53±11.21 years, the mean body mass index (BMI) was 26.4±5.58 kg/m2, the mean ESS score was 3.1, and 80% of the subjects were male. After PSG, OSA (apnea hypopnea index >5/hour) was found in 63% (19/30) of the patients, of whom 43% had mild OSA, 10% had moderate OSA, and 10% had severe OSA. 10% (3/30) had nocturnal oxygen desaturation, while none had sleep hypoventilation. Patients with OSA compared to those without OSA had a higher BMI, more co-morbid allergic rhinitis, severe bronchial asthma, and a worse percentage of predicted forced expiratory volume in the first second. The study showed high detection rates of OSA in bronchial asthma patients. Hence, asthma patients should be evaluated for OSA.
Normal pulmonary venous drainage in the setting of total anomalous pulmonary venous connection
Authors: Kakarla Saikiran , Sasikumar Deepa , Kurup Harikrishnan K. N. , Valakkada Jineesh
Published: April 2024

Total anomalous pulmonary venous connection (TAPVC) and anomalous pulmonary venous drainage are not synonymous. This has been described in the setting of right isomerism (bilateral right sidedness) where the pulmonary veins are connected anomalously but drain normally to the left-sided morphological right atrium. We describe another situation in right isomerism where normal pulmonary venous drainage is present in the setting of TAPVC.
Pulsating abdominal mass in a newborn – Pentalogy of Cantrell with left ventricular diverticulum
Authors: Faisal Nabeel , Jeyakumar Praveen , Pandey Niraj Nirmal , Choudhary Shiv Kumar , Reddy Pradeep Ramakrishna , Ramakrishnan Sivasubramanian
Published: April 2024

Pentalogy of Cantrell is a rare congenital anomaly involving the anterior diaphragm, pericardium, sternum, peritoneum, and associated intracardiac defects. In this report, we describe a neonate with pentalogy of Cantrell evaluated with multimodality imaging and successfully managed by a multidisciplinary team.
Exploring the surgical residents’ experience of teaching and learning process in the operating room
Authors: Sadati Leila , Yazdani Shahram , Heidarpoor Peigham
Published: April 2024

BACKGROUND:

Despite the development of valuable teaching methods and assessment tools in the field of surgery education, yet unpreparedness for independence practice by surgical residents remains a problem in most of the countries.

AIMS:

This study aims to explain the surgical residents’ experience of the teaching and learning process in the operating rooms in Iran.

MATERIAL AND METHODS:

This study is a qualitative research that was done from May 2019 to June 2020 in Tehran and eight other cities in Iran. The selected methodology was constructivist grounded theory. The study setting was 11 teaching hospitals. Data were collected through 36 in-depth interviews and 132 h of observation. Participants were selected initially by purposive sampling and then by theoretical sampling for covering gaps and completing categories.

RESULTS:

Findings showed that the confused educational system was the main concern of the residents’ experience of the teaching and learning process in the operating room. This concern is investigated by dividing into four subcategories: Education in the shadow of treatment, inefficient education, patient safety versus trusting residents for independent practice, and unstructured assessment.

CONCLUSION:

Based on residents’ experience about challenges such as inefficient education, the influence of patient safety versus trusting residents for independent practice, and unstructured assessment, the surgical residents’ education in the operating rooms needs to revise.
Effectiveness of video modules in infection control trainings during COVID-19 pandemic
Authors: Singh Vanya , Supehia Sakshi , Gupta Puneet Kumar , Narula Himanshu , Sharma Maneesh , Devi Komal , Bhute Ashish Ramesh
Published: April 2024

BACKGROUND:

Continuous pertinent trainings for infection prevention and control (IPC) measures are essential to ensure quality health-care services along with the safety of the health personnel. Amid the COVID-19 pandemic, the current study focusses on the utilization of explicated video modules training of all health-care personnel of the institute and assessment of the effectiveness of video training for IPC practices during COVID-19 pandemic.

MATERIALS AND METHODS:

A quasi-experimental study, one group pre- and posttest design, using Google Questionnaire forms was conducted at a tertiary care center. The training was assisted by trained tutors, and three in-house videos were demonstrated to the participants regarding specific IPC measures; “Do's and Don’ts;” “Hand hygiene and personal protective equipment's (PPE)” and “Environmental cleaning and disinfection.” SPSS software version 23 (IBM Corp., N. Y., USA) was used for the analysis using the descriptive statistics, Chi-square test, Fisher's t-test, ANOVA, and post hoc Tukey's test.

RESULTS:

The level of knowledge increased significantly by 16% in the posttest. Statistically significant association between the levels of knowledge in pretest as well as posttest scores and age (P < 0.001), designation (P < 0.001), and years of experience (P < 0.001) was identified. The participants were satisfied with the video-assisted trainings and willing to use videos for revision.

CONCLUSIONS:

Video-assisted training modules similar to this study may be utilized to enhance the knowledge of various cadres of health-care staff regarding IPC practices.
The contribution of physical and sports education to health education of Moroccan middle school students
Authors: Razouki Abdelaziz , Khzami Salah-Eddine , Selmaoui Sabah , Agorram Boujemaa
Published: April 2024

BACKGROUND:

Physical education is undergoing a major transformation period that leads that school discipline to influence the lifestyles of young people to help them adopt behaviors conducive to their well health and well-being. Health education (HE) integrates with various intervention strategies in the field of health such as disease prevention and health promotion. In schools, the HE comes in many forms and in relation to several disciplines. Our study focuses on the current situation of HE in physical and sports education (PSE) in middle school. Specifically, the research question we developed is: “What is the contribution of the PSE to the HE of middle school students?”

MATERIALS AND METHODS:

This qualitative research was carried in Marrakech. Semi-structured interviews were conducted with ten PSE teachers after receiving their informed consent. Deductive content analysis was used in this study.

RESULTS:

Among the main results, there is a certain diversity of teachers’ representations on HE and PSE. These teachers say mobilize PSE to contribute to the HE of students. However, it was noted that their teaching practices are at odds with the perspective of the inclusion of HE in the field of PSE.

CONCLUSIONS:

In the absence of a clear vision concerning physical activity and sport in relation to “healthy” and “active” schools, it seems very unlikely to influence the thoughts and practices of HE teachers; strongly attached, as they often are, to their representations of their discipline.
Internet addiction theory-based intervention among university students
Authors: Ahmadi Mahsa , Rakhshanderou Sakineh , Khodakarim Soheila , Ghaffari Mohtasham
Published: April 2024

BACKGROUND:

The phenomenon of Internet addiction has increased due to the delay between Internet technology and the culture of using it. According to the high prevalence of Internet addiction among students and its associated complications, the present study was conducted to determine the effect of education based on the health belief model on Internet addiction status among students in Tehran, Iran.

MATERIALS AND METHODS:

In this interventional study, two dormitories were divided into two groups of control and intervention in a completely random manner using the random cluster sampling method from a total of eight dormitories. Then 134 girls in each group answer two questionnaires of Young (about Internet addiction) and health belief model-based scale. After the need assessments of the primary results, intervention was performed in the experimental group in a way that a textbook based on the health belief model and ten educational text messages were sent to the students’ E-mail. Two months later, questionnaires were again given to both groups. The results were analyzed with the help of independent t-test, Chi-square test, Fisher's exact test, Mann–Whitney test, analysis of covariance, and logistic regression with repetitive measures with GEE approach.

RESULTS:

The average scores of knowledge (P < 0.001), perceived susceptibility (P < 0.001), perceived severity (P = 0.006), perceived barriers (P < 0.001), and self-efficacy (P = 0.002) between the two groups, had a significant difference after the intervention. The average scores of perceived benefits (P = 0.6), Internet addiction behavior (P = 0.11), and the frequency of Internet addiction (P = 0.63) after intervention did not have a significant difference in the two groups.

CONCLUSIONS:

The results of this study show the effectiveness of educational intervention design based on the structures of health belief model on reducing the frequency of Internet addiction and adopting preventive behaviors.
A comparative study of the effect of two educational methods of motivational interviewing and peers on self-efficacy of female high school students in relation to puberty health
Authors: Mohamadi Sarah , Alizadeh Narges , Motaghi Zahra , Paryab Sahar , Garkaz Omid
Published: April 2024

BACKGROUND:

Adolescents experience many physical and psychological changes during adolescence. Not paying attention to the issue of girls’ puberty may have a negative impact on their mental health and self-efficacy in future. The aim of this study was to compare the two methods of motivational interviews and peers on puberty health of female high school students.

MATERIALS AND METHODS:

This study was performed semi-experimental intervention on 334 high school students in 2019 through multi-stage randomization. Data using two demographic questionnaires and Scherrer self-efficacy questionnaire in three stages (pre-test, immediately after the test and one month after the test). It was collected that in the motivational interview group, 5 training sessions were presented, and in the peer group, only one training session was taught to the peers and the control group was not trained in any intervention.

RESULTS:

Immediately after, and 1 month after the intervention, the two intervention groups had significantly better scores in self-efficacy compared to the control group (P = 0.001). The mean score of self-efficacy in the control group in the three time periods before, immediately, and one month after the intervention, respectively (50.75 ± 5.322, 50.45 ± 5.34, 50.45 ± 5.37), in the motivational interview group (50.56 ± 5.95, 53.63 ± 5.83, 56.03 ± 6.49) and in the peer group (50.10 ± 5.62, 54.40 ± 4.28, 59.19 ± 4.43) was. Moreover, there were significant differences in self-efficacy scores within and between the groups by time (P < 0.001) in intervention groups.

CONCLUSION:

This study showed that puberty health education increases students’ self-efficacy, that correct information should be conveyed by peers and motivational interview, and motivational interview is more effective.
Thematic analysis of the policies of Iran's health higher education
Authors: Sarshar Mitra , Yazdani Shahram , Jadidfard Mohammad Pooyan , Shams Lida
Published: April 2024

BACKGROUND:

In 1985, the Iranian parliament approved the integration of Medical Education and Health Services and the establishment of the Ministry of Health and Medical Education, which has since been the policymaker of Health Higher Education in Iran. The policies are not based on a codified framework and many were abolished at some point. Some critical issues are not addressed and some activities overlap. The purpose of the present study was to identify the content themes of core policies in the Iranian Health Higher Education system and provide a detailed policy orientation taxonomy.

MATERIALS AND METHODS:

This qualitative study was conducted in 2019 using the thematic content analysis of documents relevant to Higher Education and Health Higher Education, including upstream documents, and documents and enactments of the Deputy Minister of Education and its policy centers.

RESULTS:

From 586 policy documents, six main themes or six core policy orientations in the Health Higher Education System were identified, including Development of Medical Education System Policies; Ensuring the Alignment of Operations with Policies; Policies Related to Medical Education Development; Value-orientation; Networking and Development of Medical Education System Interactions; and the Development of Research, Management, and Translation of Medical Education knowledge.

CONCLUSION:

Developing a taxonomy of Health Higher Education policy orientations helps policymakers identify the neglected and overstressed areas. It can provide education policymakers with categorized and comprehensive information to quickly access accurate information, make informed decisions, avoid mistakes, and increase productivity.
Challenges of postgraduate emergency nursing program in Iran
Authors: Norouzadeh Reza , Abbasi Mohammad
Published: April 2024

BACKGROUND:

Some nursing schools in Iran with the aim of training qualified nurses have set up master's degrees in emergency nursing. In any case, there are challenges in the implementation of this discipline in academic nursing centers which prevent the fulfillment of goals and missions in the curriculum.

MATERIALS AND METHODS:

In this qualitative study, four graduates of the master of emergency nursing and 13 undergraduate students were purposively recruited from the Nursing and Midwifery Faculty in Qom, Iran. Data were collected through semi-structured interviews and analyzed through conventional content analysis.

RESULTS:

Emergency nursing master's program challenges consist of two categories: nonproductive course design and unresolved infrastructure. The extracted subcategories were unfit curriculum, inappropriate content, nonspecialized program, unclear roles, improper course planning, unskilled human resources, and poor educational facilities.

CONCLUSION:

Based on the experiences of nursing graduates, the curriculum of master of emergency nursing in Iran needs to be substantially revised in terms of content and structure.
Application of the theory of planned behavior in the design and implementation of a behavior-based safety plan in the workplace
Authors: Gh Masoud Motalebi , Kandi Zahra Rahimi Khalifeh , Rostamzadeh Sajjad , Farshad Aliasghar
Published: April 2024

BACKGROUND:

Many accidents in industries occur due to unsafe practices and unsafe conditions. Occupational accidents endanger the health of workers and impose excessive costs on the employers. This study was designed and conducted to evaluate and implement a behavior-based safety approach in an industrial workplace based on the theory of planned behavior.

MATERIALS AND METHODS:

The present study was a quasi-experimental study performed on 90 supervisors of an industrial workplace. Behavior-based safety interventions were performed based on the components of the theory of planned behavior using nine strategies of health education and health promotion, including skills training, participation, and social support. The data collection tool consisted of a researcher-made questionnaire that was answered by the supervisors before and 6 months after the intervention. The collected data were evaluated using SPSS 22 software. The significance level was considered 0.05.

RESULTS:

The results showed that the constructs of subjective norms, attitude, and perceived control of behavior predict the safe behavior of supervisors. After behavior-based safety interventions, significant changes were observed in subjective norms, intention, attitude, and perceived control of behavior (P < 0.001) compared to before the intervention.

CONCLUSION:

The results of this study showed the improvement of safe behavior of supervisors in the workplace due to behavioral-based safety interventions using the theory of planned behavior. Accordingly, this theory can be used as a suitable theoretical framework for designing and implementing interventions to promote safe behaviors of employees in the workplace.
Exploring faculty perspectives on competency-based medical education
Authors: Ramanathan Rashmi , Shanmugam Jeevithan , Sridhar Magadi Gopalakrishna , Palanisamy Kalaniti , Narayanan Seetharaman
Published: April 2024

INTRODUCTION:

Medical education in India is experiencing a paradigm shift from traditional curriculum to competency-based medical education (CBME). It de-emphasizes time-based training and promises greater accountability, flexibility, and learner centeredness. Faculty development is integral in the context of CBME. Considering faculty perceptions toward the new CBME and addressing the difficulties will play a vital role in successful implementation.

MATERIALS AND METHODS:

A cross-sectional study was carried out among 297 teaching faculty in 91 medical colleges across 20 states all over India between February and July 2020. A structured validated questionnaire on CBME was used to collect the responses through Google forms and was exported and analyzed in Microsoft Excel.

RESULTS:

More than 80% opined that Faculty members in departments are not adequate for successful CBME implementation. Reflective learning, early clinical exposure, and elective posting were accepted by 60.2%, 70.4%, and 45.5% of the faculty, respectively. Around 81.8% welcomed horizontal integration, whereas only 54.2% favored vertical integration during the Phase I MBBS.

CONCLUSION:

Few reforms such as curtailing the duration of foundation course, sensitization of all medical teachers through faculty development programs, better synchronized vertical integration, increasing the strength of faculty in each department, and adequate infrastructure for skills laboratory can be undertaken as per faculty suggestions.
Management of students’ uncivil behaviors in academic environments
Authors: Farzi Fatemeh , Hasanvand Shirin , Goudarzi Fateme , Gavgani Monireh Tahvildarzadeh , Mokhayeri Yaser
Published: April 2024

BACKGROUND:

Incivility has been raised as a growing concern and a hot topic in nursing education. The aim of this study was to determine the effect of a context-based educational intervention on the nursing students’ civility index and their perception of uncivil behaviors.

MATERIALS AND METHODS:

This quasi-experimental study was done from 2019 to 2020 in Khorramabad, Iran. A context-based educational intervention focusing on problem-based scenarios was conducted for 4 weeks. Clark Civility Index for Students and Classmates (2017) and Clark Incivility Scale in the University Environment (2014) were used. Data were analyzed using Stata, descriptive statistics, and paired t-test.

RESULTS:

There was a significant difference between the mean score of students’ civility index before and after the intervention (8.31 points increase, P = 0.004). However, there was no significant difference between the mean score of the civility index for classmates before and after the intervention. Furthermore, the mean score of students’ perception of incivility after the intervention increased by 5.88 points, which confirmed the significant effect of the intervention in improving students’ understanding of uncivil behaviors (P = 0.018).

CONCLUSIONS:

Considering the effectiveness of the problem-based scenario along with other strategies such as journal club and self-learning in increasing the awareness of civility and improving the civility index, the use of these strategies is recommended in order to reduce incivility.
Investigating the challenges and barriers of palliative care delivery in Iran and the World
Authors: Amroud Mohammad Salimi , Raeissi Pouran , Hashemi Seyed-Masoud , Reisi Nahid , Ahmadi Seyed-Ahmad
Published: April 2024

Palliative care and terminal patients care centers have an important role in improving the physical and psychological state of the patient and their families and increasing their satisfaction and care providers. A literature search of online databases (PubMed, Scopus, Web of science, Cochrane library, and Google Scholar) was searched from January 1, 2000, to the end of April 2019, by using the appropriate English keywords. Furthermore, IranMedex, Barkat, and Magiran databases were searched for the Persian articles. We used Standards for Reporting Qualitative Research checklist to evaluate the articles quality. From 1328 articles, 166 were reviewed in depth with 13 satisfying our inclusion criteria. The findings of this study revealed a wide range of barriers and challenges to palliative care delivery. The identified barriers were: Cultural, social and organizational barriers, lack of resources, equipment and financing, attitudes and cultures, barriers related to the patient and the patient's family, related barriers providers, time and money, education, communication challenges, policies, insurance problems, safety, and crisis management. The results of the studies showed that there are various barriers and challenges such as economic, cultural, social, organizational, and communication related to palliative care. Given the identified barriers and challenges, it is suggested that to improve the delivery of palliative care, the health system policy-makers and planners consider a resource-appropriate and culturally appropriate framework for palliative care delivery.
Development of leading indicators for the assessment of occupational health performance using Reason's Swiss cheese model
Authors: Karimi Ali , Abbasi Milad , Zokaei Mojtaba , Falahati Mohsen
Published: April 2024

BACKGROUND:

The Swiss cheese model of accident causation is a model used in risk analysis and risk management, including aviation safety, engineering, healthcare, and emergency service organizations, and as the principle behind layered security, as used in computer security and defense in-depth. This study aimed to develop and weight the occupational health leading indicators using the Swiss cheese model.

MATERIALS AND METHODS:

The present study was a descriptive, cross-sectional study; occupational health performance assessment indicators were classified into five main groups of chemical, physical, ergonomic, psychosocial, and biological harmful agents. In addition, potential hazards and their prevention methods were identified using the Swiss cheese model. The leading performance measurement indicators (n = 64) were developed based on preventive methods and were weighted and rated by fuzzy analytic hierarchy process.

RESULTS:

Thirty-six out of 64 indicators were related to the management measures, 25 indicators were related to exposure to harmful occupational agents, and the remaining indicators were occupational-related illnesses and diseases rate. Considering the importance and frequency of indicators, psychological agents were the most important indicators (40%) and physical agents had the greatest frequency (59%).

CONCLUSIONS:

Process of indicators' development has demonstrated that the major occupational health prevention measures in the oil and gas industry are concentrated on physical, psychological, and chemical agents, respectively. Thus, to provide protection for employees against occupational diseases and improve health performance indicators, paying special attention to mentioned agents is essential in the oil and gas industry.
Identifying the roles of medical librarians in COVID-19 crisis in Iran
Authors: Kazempour Zahra , Soleymani Mohammad Reza , Najafi Nayere Sadat Soleimanzade , Ashrafi-rizi Hasan
Published: April 2024

BACKGROUND:

The best mechanisms for medical librarians to be more involved in health, especially during crisis condition, and to expand their roles are using experiences of other individuals and performing new activities. This study aimed to identify the roles of medical librarians in the COVID-19 crisis in Iran.

MATERIALS AND METHODS:

This research was done by a qualitative content analysis method. Research participants in the first phase included whole scientific papers (19 documents) which had been published by medical librarians related to the COVID-19 issue and in the second phase 10 medical librarians involved in the COVID-19 who were interviewed and continued until data saturation. Data were collected through each interview, and data analysis was performed using content analysis method. Then, obtained information of the first and second phases was merged together, and codes, subcategories as well as main categories were formed.

RESULTS:

According to the results, 7 main categories and 24 subcategories regarding the roles of librarians in COVID-19 crisis were identified. The main categories include hygiene services promotion, development of health information-seeking skills, health research services, interaction-level development, evidence-based policy development, information dissemination services promotion, and management services development. Furthermore, regarding barriers to the role of medical librarians in the COVID-19 crisis in Iran, four subcategories were identified that are medical librarian-related barriers, organization-related barriers, profession-related barriers, and context of society (country conditions)-related barriers.

CONCLUSION:

Medical librarians relatively have been able to provide effective health information services to managers, health-care specialists, and the general public in a variety of health fields.
Improving burnout and well-being among medicine residents
Authors: Sheer Amy J. , Estores Irene M. , Nickels Rachel , Radhakrishnan Nila , Goede Dianne L. , Mramba Lazarus K. , Lo Margaret C.
Published: April 2024

BACKGROUND:

With growing resident burnout, Accreditation Council for Graduate Medical Education issued new requirements for program interventions to optimize resident well-being. Little evidence exists on how to best teach resiliency to residents. This study assesses the impact of both a grassroots intervention and formal resiliency curriculum on resident burnout and well-being.

MATERIALS AND METHODS:

From November 2016 to August 2017, residents in a large Internal Medicine Residency Program participated in grassroots wellness interventions from the resident-led Gator Council in Gainesville, FL USA. From August 2017 to June 2018, residents participated in a formal program-driven resiliency curriculum. Wellness interventions included monthly morning reports, bimonthly workshops, and biannual noon conferences. Pre- and postintervention Maslach Burnout Inventory (MBI) and Physician Well-Being Index (PWBI) assessed the effect of both interventions on resident burnout and well-being. Statistical analyses used Student's t-test, Fisher's exact tests, and linear regression model.

RESULTS:

One hundred and twenty-two residents participated in grassroots interventions. One hundred and seventeen (87 residents, 35 students) participated in formal curriculum. Mean MBI scores for all three sections did not differ between pre -and postgrassroots intervention (emotional exhaustion [EE] P = 0.46; depersonalization [DP] P = 0.43; personal accomplishment [PA] P = 0.73]) or between pre- and postcurriculum (EE P = 0.20; DP P = 0.40; PA P = 0.51). Students scored higher burnout levels compared to residents in EE (P = 0.001) and PA (P = 0.02). Pre- versus postcurriculum PWBI scores did not differ among residents (P = 0.20), while PWBI scores improved among students (P = 0.01).

CONCLUSIONS:

This study found no improvement in resident burnout or well-being from a bottom-up and top-down approach. Our results imply the need for an early wellness curriculum to improve student well-being given their higher level of burnout. System-wide efforts are vital to combat physician burnout.
Systematic review on telemedicine platforms in lockdown periods
Authors: Shanbehzadeh Mostafa , Kazemi-Arpanahi Hadi , Kalkhajeh Sasan Ghorbani , Basati Gholam
Published: April 2024

With the onset of the coronavirus disease 2019 (COVID-19) outbreak, the transformation of the care delivery model from conventional in-person (face to face) to largely virtual or remote care has been accelerated to appropriately allocate resources and constrain the spread of the virus. In this regard, telemedicine is a breakthrough technology to battle against the COVID-19 emergency. Therefore, we sought to identify the telemedicine applications in the COVID-19 pandemic (tele-COVID) according to interaction modes, transmission modalities, and disease categories. This systematic review was conducted through searching five databases including PubMed, Scopus, ProQuest, Web of Science, and Science Direct. Inclusion criteria were studies clearly outlining any use of telemedicine interactive mode during the COVID-19 pandemic, written in English language and published in peer-reviewed journals in 2020. Finally, 43 articles met the inclusion out of the 1118 search results. Telemedicine provides a diversity of interaction modes and modalities affordable by patients and physicians including short message service, E-mail and web portals, secure telephone calls or VOIP, video calls, interactive mobile health applications (m-Health), remote patient monitoring, and video conferencing. Transmission of video data using synchronized video calls via common social media had the highest and exchange of data using store-forward service via secure messaging technology and prerecorded multimedia had the lowest popularity for virtual disease management during the COVID-19 outbreak. Selection of telemedicine communication services and interaction modes with regard to its use-case, disease category, and application plays a significant role in the success of remote disease management infrastructures in this scenario and their implication for a better future healthcare system.
Factors predicting nutritional knowledge, illness perceptions, and dietary adherence among hypertensive middle-aged women
Authors: Mohebbi Bahram , Tafaghodi Banafsheh , Sadeghi Roya , Tol Azar , Yekanenejad Mir Saeed
Published: April 2024

BACKGROUND:

Healthy dietary adherence might be one of the effective and modifiable factors for hypertension (HTN) control; therefor, empowering patients for self-care management including healthy food patterns play a key role in guiding their care, in partnership with health care providers. This study aimed to identify the factors predicting nutritional knowledge, illness perceptions, and adherence to a diet based on transtheoretical model (TTM) among hypertensive middle-aged women.

MATERIALS AND METHODS:

A cross-sectional survey was conducted on 164 patients with HTN attending west health centers of Tehran, Iran, in 2020. Simple random sampling was used. Sociodemographic characteristics of the respondents were collected, a valid and reliable measure on nutritional knowledge, illness perceptions, and adherence to diet, and a researcher-made measure based on TTM constructs through in-person interview was applied. Descriptive statistics and general linear model were utilized for data analysis using SPSS version 25. The significance level was considered less than 0.05.

RESULTS:

Mean and standard deviation of participants was 50.82 ± 8.77 years. Multivariate regression analysis indicated that family income (P < 0.001) and body mass index (P < 0.001) predicted nutritional knowledge and adherence to diet, respectively. Decisional balance and self-efficacy constructs predicted nutrition knowledge and illness perceptions (P < 0.001). In adherence to diet, overcoming the temptation construct was indicated as the only predictor (P < 0.001).

CONCLUSION:

Study findings highlighted the necessity of tailoring and implementing interventions based on TTM using appropriate strategies to promote quality of HTN management approach in nutritional knowledge, illness perceptions, and dietary adherence.
Elaboration of indices of the Third Generation of the universities of medical sciences
Authors: Ramezani Ghobad , Zarezadeh Yadolah , Sohrabi Zohreh
Published: April 2024

BACKGROUND:

Universities are changing from government organizations into third generation. The aims of this study were to identify the dimensions and components of a third-generation university and assessment of the status quo of Iran University of Medical Sciences.

MATERIALS AND METHODS:

This study was mixed method. In the qualitative phase, participants consisted of experts of academic management and scholars in third-generation universities. The dimensions and components of a third-generation university were identified by content analysis. A questionnaire was prepared according to dimensions and components with Cronbach's alpha of 0.86. In the quantitative phase, participants consisted of managers and experts of Iran University of Medical Sciences; they completed the questionnaire to assess the status quo of Iran University. Data analysis was performed by Colaizzi's and SPSS software.

RESULTS:

Third generation of universities of medical sciences has 2 dimensions and 17 components. Software dimension consists of course content, attitude, vision and mission of the university, organizational culture, instructors, students, employees, academic management and leadership, international approach, and social accountability components. Hardware dimension consists of organizational structure, academic infrastructures, knowledge commercialization, and communication with the government, education system, university environment, and university independence components. Status in Iran University of Medical Sciences in hardware dimension was 2.53, and in software dimension, it was 2.96.

CONCLUSION:

Universities are required to respond to the changes in community. Therefore, universities need to change their structures, goals, approaches, perspectives, and intra-organizational and extra-organizational communications to be able to move toward a university which is entrepreneur, skill teaching, wealth generating.
The mediating role of self-compassion in the relationship between positive reactivity, negative reactivity, and perfectionism with disordered eating
Authors: Mousavi Asl Esmaeil , Abdi Leila , Sadegh Amirali Moghaddam , Behrouzian Forouzan
Published: April 2024

BACKGROUND:

Individuals with disordered eating are at an increased of having one or more additional risks for comorbid disorders, such as anxiety disorder, depressive disorder, and insomnia. Therefore, the present study aimed to investigate the mediating role of self-compassion in the relationship between positive reactivity, negative reactivity, and perfectionism with disordered eating.

MATERIALS AND METHODS:

The study method was descriptive-correlational through structural equation modeling (SEM). The present study population included all students of the University of Tehran in the city of Tehran in 2018–2019. A total of 302 students were selected by convenience sampling method and completed questionnaires on eating attitudes test-8, self-compassion scale (short form), eating disorder inventory-perfectionism scale, and Perth emotional reactivity scale. The SEM path analysis and Pearson correlation coefficient were conducted to analyze the obtained data in SPSS-23 and Lisrel-8.80.

RESULTS:

The finding of the path analysis showed that self-compassion acts as a mediating role in the relationship of disordered eating with positive and negative emotional reactivity and perfectionism. Only the direct effect coefficient of general positive reactivity on disordered eating was not significant.

CONCLUSION:

Based on the results of this study, self-compassion can serve as a protective factor against negative emotional reactivity and perfectionism. Therefore, self-compassion can be considered in the development of prevention and treatment programs for disordered eating.
Analyzing the relationship between learning styles (Kolb and VARK) and creativity with the academic achievement of dental students
Authors: Taheri Mahdokht , Falahchai Mehran , Javanak Mandana , Hemmati Yasamin Babaee , Bozorgi Mehdi Dasht
Published: April 2024

BACKGROUND:

One of the influential factors in students' learning is their learning styles which have the capacity to change. Furthermore, creativity is considered one of the essential cognitive features of humans. Thus, this study aimed to analyze the relationship between learning styles (Kolb and VARK) and emotional creativity with the academic achievement of dental students.

MATERIALS AND METHODS:

In this descriptive-analytical study, the statistical population included dental students of the third semester and above (250 persons). The data collection tools included Kolb and VARK learning style questionnaires, Averill emotional creativity questionnaire, the total Grade Point Average (GPA), and the GPA over the past two semesters of students to measure academic achievement. The data were analyzed using the measures of the descriptive (mean and standard deviation) and the inferential statistics tests including one-sample t-test, independent t-test, correlation coefficients of Pearson, and Eta squared.

RESULTS:

Based on Kolb and VARK learning styles, the majority of the students had accommodating learning style (64%) and read-write style (31.6%) and also were single-styled (80.4%). No significant relationship was found between the learning styles (Kolb and VARK) and creativity with academic achievement. The students scored higher than average in emotional creativity and all of its three elements. Moreover, there was a significant relationship between emotional creativity and the gender of the students (P = 0.01). Female students showed higher emotional creativity (97.26 ± 10.34) compared to the male students (94.24 ± 8.96).

CONCLUSION:

There was no significant relationship between learning styles and emotional creativity of the students with their academic achievement. The accommodating and read-write learning styles were more prevalent among students and they showed high emotional creativity.
Predictability of constructs of theory of planned behavior in adopting urinary tract infection prevention behaviors among pregnant women
Authors: Moradpour Sheida , Shahnazi Hossein , Hassanzadeh Akbar
Published: April 2024

BACKGROUND:

Urinary tract infection is a common infection in women during pregnancy, leading to many complications for both mother and fetus if untreated. The present study aimed to investigate the predictability of constructs of the theory of planned behavior (TPB) in adopting urinary tract infection prevention behaviors in pregnant women.

MATERIALS AND METHODS:

In the present cross-sectional study, we selected 100 pregnant women who visited the comprehensive health service centers of Zarrinshahr using convenience sampling from July to September 2019. We collected data by a questionnaire designed based on the constructs of the TPB and analyzed data using SPSS 20 and linear regression test and Pearson correlation coefficient. A significant level was considered as α < 0.05.

RESULTS:

In the study, the Pearson correlation coefficient showed direct relationships between the score of behavior and the scores of knowledge (P = 0.005), attitude (P = 0.02), perceived behavioral control (P < 0.001), and behavioral intention (P = 0.001). Linear regression analysis indicated that among the above variables, the perceived behavioral control, knowledge, and behavioral intention were significant predictors of scores of urinary tract infection prevention behaviors, respectively, in terms of their importance.

CONCLUSION:

In this study, perceived behavioral control is detected as the main predictor of doing urinary tract infection prevention behaviors in pregnant women and should be considered in designing educational interventions.
Investigating the relationship between the dimensions of mindfulness and maternal attachment to the fetus during pregnancy
Authors: Golmakani Nahid , Shaghaghi Fatemeh , Ahmadi Zohre , Gholami Mahboobe , Kamali Zahra , Mohebbi-Dehnavi Zahra
Published: April 2024

BACKGROUND:

Maternal attachment to the fetus is a term used to describe the emotional relationship between mother and fetus. This emotional connection increases during pregnancy and is reflected in her feelings, perceptions, and behaviors. Mindfulness is important as one of the factors affecting the mental health of people during pregnancy. Therefore, the present study was conducted to determine the relationship between the dimensions of mindfulness and maternal attachment to the fetus during pregnancy.

MATERIALS AND METHODS:

The present study was performed on 500 pregnant mothers referred to health centers affiliated to Isfahan University of Medical Sciences. The samples were entered into the study by available sampling method and if they had inclusion criteria and no exclusion criteria. The research instruments were the Fetal Attachment Questionnaire and the Bauer Mindfulness Questionnaire. The collected data were analyzed by SPSS software version 22.

RESULTS:

The results of the data showed that there was no significant relationship between the overall score of mindfulness and the overall score of maternal attachment to the fetus (P = 0.62). While from the dimensions of mindfulness such as “action with awareness” there was a significant negative relationship (P = 0.03) with maternal attachment to the fetus and a significant positive relationship “observation” with maternal attachment to the fetus (P = 0.03).

CONCLUSION:

According to the results of this study, there is a relationship between maternal attachment to the fetus during pregnancy and a number of dimensions of mindfulness. For this purpose, since mindfulness can increase the mother's interactions with the fetus, and this interaction begins during pregnancy and with the mother's attachment to the fetus, it is important to pay attention to this.