bluuebunny/crossref_metadata_2025_split huggingface dataset:
115: STRATEGIES OF INTEGRATION OF EVIDENCE-BASED PRACTICE IN THE CLINICAL SETTINGS
Authors: Farokhzadian Jamileh , Poorchangizi Batool 
Published: May 2024

Background and aims:The pace of change in the delivery of health care along with professional responsibilities of clinical staff to provide high quality services, wants to the necessity of incorporating of research evidence in decision-making. Implementation of EBP has positive implications for clinical staff, patients, and organizations. Implementation of EBP in clinical settings is a long-term process and requires multiple strategies such as individual and organizational factors as well as factors related to the patients. This study was conducted to evaluate strategies of integration of EBP in clinical practice.Methods:This review study was performed on the articles related to facilitators and barriers of implementation of EBP.Results:The literature review indicated that multiple strategies can be used to integrate EBP in clinical settings, including:– Creation of a learning environment and designing and delivering training programs such as EBP journal clubs.– Enjoying from EBP experts and faculty members for advice on implementation of EBP.– Research consulting and creation of further interaction between clinicians and research centers.–  The discussion meetings of inter-professional and inter-wards.–  Promotion of the culture of evidence-based decision making in the clinical arena.– The increasing use of clinical guidelines, development of health care standards.– Providing conditions and accessing resources to research results (time, resources of human, financial and equipment).– Providing resources and free access to EBP database and centers and knowledge management units.– Encourage and support employees interested in EBP.– Identify barriers of EBP implementation and strategies to overcome these barriers.– Monitoring and evaluation of EBP in the organization and providing appropriate solutions.Conclusion:Transformational managers and policy makers can determine a strategic planning according to the barriers and facilitators of EBP, and then can provide the culture and the necessary infrastructure to help clinical staff to develop EBP competencies and a professional environment which resulted in personal and professional growth of staff and improvement of quality of care.
125: THE EFFECT OF EDUCATIONAL PACKAGE ON MATERNAL SELF-CONFIDENCE OF PRIMIPAROUS WOMEN IN POSTPARTUM PERIOD: A RANDOMIZED CONTROLLED CLINICAL TRIAL
Authors: Shafaie Fahimeh Sehati , Mirghafourvand Mojgan , Bagherinia Marzieh 
Published: May 2024

Background and aims:Transition to motherhood is a stressful and challenging process in the postpartum period, so that mothers not only face with new maternal tasks but also with significant changes in their bodies. The aim of this study was to determine the effect of training packages on maternal self-confidence in the postpartum period.Methods:This randomized controlled clinical trial was conducted on 136 primiparous women who were referred to health centers in Tabriz, Iran, for their second postpartum care (10–15 days after delivery). Primiparous women aged 18–35 with singleton pregnancy and term birth (37–42 weeks) were randomly assigned to training (n=68) and control (n=68) groups. The education group was provided with a face to face training session, three phone sessions, and a booklet. The control group received the routine postpartum care in days 1–3, 10–15, and 42–60. Participants completed the Lips maternal self-confidence questionnaire before the intervention and eight weeks postpartum. ANCOVA with adjustments for baseline score was used for analysis.Results:No statistically significant difference was found between the two groups in terms of socio-demographic characteristics except for infant's gender (p>0.05). At 6 weeks after the intervention and by adjusting for baseline scores, mean scores of maternal self-confidence (Adjusted mean difference: 16.6; CI 95%:13.8 to 19.3, p<0.001) in educational group were significantly higher than the control.Conclusion:Results showed that training women have a positive effect in increasing their self-confidence.
127: THE EFFECT OF EVIDENCE BASED CARE TO TYPE-2 DIABETIC PATIENTS ON CONTROLLING BLOOD GLUCOSE IN PATIENTS ADMITTED TO THE DIABETES RESEARCH CENTER OF HAMADAN
Authors: Omidi Afsar , Khodaveisi Masoud , Karami Manuchehr 
Published: May 2024

Background and aims:One of the most challenges in diabetic patients is learning how to glycemic control. Evidence based care is proper, correct and intellectual use of the best evidence in clinical decision making for every single patient care. This study aimed to determine the effect of evidence based care on glycemic control in type 2 diabetes patients.Methods:This study was a clinical randomized controlled trial which conducted on sixty diabetic type 2 patients. Patients were divided in two groups of intervention and control. Nursing interventions based (exercise & nutrition) on a review of the literature. Data were collected using questionnaire and checklist before and three months after the intervention. Data were analyzed using SPSS/20.Results:The results showed that after evidence based care, fasting plasma glucose test in the intervention group than in control group, the difference was statistically significant (P<0.05)Conclusion:With designing evidence-based nursing care instructions for type-2 diabetic patients, the need of clinical nurses in confronting these patients was removed. It also leads to improve the quality of care and reduce complications in duration of the hospital stay.
134: THE EFFECTIVENESS OF CXL IN THE TREATMENT OF KERATOCONUS
Authors: Esmaeilnezhad Mahdieh , Seyyedrasooli Alehe 
Published: May 2024

Background and aims:Keratoconus is characterized by corneal ectasia and irregular astigmatism, which can lead to diminished vision and corneal scarring. Keratoconus is a condition that causes corneal ectasia and reduced vision in young adults. A proportion of these patients have progressive disease requiring corneal transplantation.Methods:The databases searched included OVID MEDLINE, MEDLINE IN-Process and other Non-Indexed Citations such as EMBASE with keyword Keratoconus and Corneal cross-linking.Results:Rocha KM andet al.(2014) funded that Epithelial thickness standard deviations were significantly lower 3 months after CXL, compared to ranges before CXL in both the vertical and horizontal meridians for keratoconus and ectasia (P=0.048). No significant differences were found between epithelial remodeling in keratoconus and corneal ectasia (P=0.98). No significant or consistent stromal changes were found for either group. Cınar andet al.(2013) funded that Flat keratometry, steep keratometry, mean keratometry and maximum keratometry were significantly reduced at the 6th month after CXL (p=0.025, p<0.001, p=0.004 and p=0.03, respectively). Thinnest corneal thickness (TCT) and endothelial cell density (ECD) were not changed significantly the 6th month after CXL (p=0.135 and p=0.082, respectively).Brooks NO andet al.(2012) funded that After CXL, patients noted subjective improvement in visual symptoms, specifically night driving, difficulty reading, diplopia, glare, halo, starbursts, and foreign-body sensation.Conclusion:Significantly fewer corneal transplants were performed for treating keratoconus following the nationwide introduction of CXL. This reduction suggests that corneal cross-linking can significantly reduce the need for corneal transplantation. CXL represents a new treatment that uniquely allows the halt of progression of keratoconus, thus preventing visual loss and the need for surgical intervention.
139: THE EVALUATION OF NEWLY-ARRIVED RESIDENTS' SATISFACTION OF PATIENT-PHYSICIAN COMMUNICATION WORKSHOPS IN TABRIZ UNIVERSITY OF MEDICAL SCIENCES IN 1394
Authors: Begi Hamid Reza Morteza , Abdollahi Fariba , Khoshmaram Nahid , Noriasl Fatemeh 
Published: May 2024

Background and aims:The ability to communicate is a basic skill for human beings and some people in this area are more capable than the others. That's why communication skills training is one of the medical education issues that have been emphasized in recent years. These skills are taught, measured and evaluated with different methods. This study aimed to investigate the Tabriz University of Medical Sciences newly-arrived residents' satisfaction of patient-physician communication workshops conducted in 1394.Methods:A cross-sectional study was conducted on 150 newly-arrived residents in all clinical training subjects. Data was collected using researcher-made questionnaire for satisfaction of environment and training facilities, teachers teaching and presentations and course content. The validity and reliability of questionnaires were assessed in good level, through conducting a pilot study. The data was analyzed using SPSS.Results:The results showed that all newly-arrived residents' satisfaction of patient-physician communication workshops is above the cutoff point (m=4.26±.49). Of the variables studied the greatest satisfaction were teaching methods (4.52±0.26), presentations (m=4.32±.36) and environment and training facilities (m=4.22±0.23). The survey of satisfaction showed no significant statistical difference between the assistants by different fields (p=0.1).Conclusion:The residents' satisfaction of patient-physician communication workshops is highly desirable which is the reason for this workshop to be hold annually.
146: THE PREVALENCE OF HUMAN PAPILLOMA VIRUS AND ITS HIGH RISK GENOTYPES AMONG IRANIAN HEALTHY WOMEN: A SYSTEMATIC REVIEW AND META-ANALYSIS
Authors: Malary Mina , Moosazadeh Mahmood , Hamzehgardeshi Zeinab , Afshari Mahdi , Moghaddasifar Iman , Afsharimoghadam Amin 
Published: May 2024

Background and aims:Human papilloma virus (HPV) is the most common sexual transmitted infection worldwide among women and plays a key role in the development of genital cancers. Different studies in Iran, reported various prevalences and combining their results could be important for health policy makers. The aim of this study is to estimate the prevalence of HPV and its high risk genotypes among Iranian healthy women.Methods:Using national and international databases and excluding duplicates and irrelevant evidences followed by applying exclusion criteria and quality assessment, eligible articles were selected. Standard error of the prevalence was calculated based on binomial distribution. Random effects model was used because of the high heterogeneity among the results.Results:Of 14 studies entered into the systematic review, 24 evidences reported the HPV prevalence among 7655 healthy and non-cancerous women in different provinces of Iran. Total prevalence of HPV, 9.4% (95% CI: 6.8–12.02), HPV 16, 2.03% (95% CI: 1.3–2.8), HPV 18, 1.7% (95% CI: 0.9–2.5) and other genotypes of HPV, 5.3% (95% CI: 3.6–6.9) were estimated.Conclusion:Our meta- analysis showed that the total prevalence of HPV and its high- risk genotypes (16 and 18) among healthy non- cancerous Iranian women was very high.
16: ARNEBIA EUCHROMA (ROYLE) JOHST ROOT EXTRACT AND ITS EFFECT ON BURN WOUND HEALING
Authors: Dehkordi Akram Karami , Tahmasbi Sara Hoseini 
Published: May 2024

Background and aims:One of the major causes of death and disability in the world is burning, that from past to present the proper treatment of burns has been considered by physicians. Properties of medicine plants in burn wound healing have been proven in various studies. Arnebia euchroma is rich sources of antioxidants. Therefore, this work was carried out to investigate the effect of Arnebia euchroma on second-degree burn wound healing in Balb c.Methods:In an experimental study burn wounds were made by placing a hot plate with a surface area of 1 cm2 for 10s on the back of 30 balb c mice animals. Five groups of mice Vaseline, silver, without intervention, Arnebia euchroma 1% and 10% were treated topically for 21 days. Wound size at day 0, 7, 14 and 21 was measured. Data were analyzed by using Kruskal-Wallis statistical tests and mean.Results:Results showed that the most recovery was observed in Silver groups, without intervention, Vaseline, Arnebia euchroma 1% and Arnebia euchroma 10%respectively.Silver group showed the best healing effects between other study groups.Conclusion:Evidence show that Arnebia euchroma root did not have any effect on healing of second degree burn wounds in balb c. More studies were recommended for evaluating the effects of other dose and extracts of the plant on burn healing.
162: BRISBANE EVIDENCE-BASED LANGUAGE TEST, BRISBANE EBLT: A NEW DIAGNOSTIC TEST FOR THE IDENTIFICATION OF ACUTE POST-STROKE LANGUAGE DISORDERS
Authors: Alexia Rohde , Linda Worrall , Robyn O'Halloran , Erin Godecke , Anna Farrell 
Published: May 2024

Background and aims:Stroke clinical guidelines recommend that “All patients should be screened for communication deficits using a screening tool that is valid and reliable” (p.90). Current speech pathology practice does not meet this recommendation instead relying on clinical experience or informal language screeners which have not undergone validation by clinical research. This research involves the development of the Brisbane Evidence-Based Language Test (Brisbane EBLT), a reliable, valid diagnostic test for the identification of acute post-stroke language disorders.Methods:Brisbane EBLT diagnostic accuracy was determined in a prospective blinded cross-sectional study (n=100 patients) comparing acute stroke patient (<2 months post-stroke) performance on the Brisbane EBLT with performance on a gold-standard language reference measure. Intra-rater and inter-rater reliability was concurrently analysed using a repeated measures study design. Acute stroke patient/family and clinician feedback was also obtained on test items.Results:Diagnostic accuracy analysis revealed test sensitivity of 97.62% (95%CI: 87.4%–99.9%) and specificity of 84% (95%CI: 63.9%–95.5%). Test sensitivity/specificity was determined by calculating Brisbane EBLT total score while controlling for patient age and education level. Patient/family self-report of a new-onset language deficit was also included within the diagnostic accuracy analysis. Data collection was completed at the hospital bedside demonstrating the feasibility of Brisbane EBLT for use in acute contexts. Intra-rater reliability intra-class correlation coefficients (ICC) demonstrated almost perfect agreement (0.994; 95% CI: 0.989–0.997) between two speech pathologists' scores of 35 patients when they re-assessed the same patient video after a 2 week interval. Inter-rater reliability also demonstrated almost perfect agreement (0.995; 95% CI: 0.990 – 0.998) when comparing fifteen speech pathologists' scores of fifteen patients completing the new test, as per a priori sample size requirements.Conclusion:The Brisbane EBLT is a new reliable, valid, acute post-stroke diagnostic language test. Test development has been guided by EBP principles to ensure it meets sound psychometric standards, meets patient and clinician needs and is suitable for use in the acute hospital environment. This research will directly contribute to the evidence-base of acute stroke care and assist in bringing practice in line with stroke clinical guideline recommendations.
163: CLINICAL STATUS INDEXES FOLLOWING THE SELF-MANAGEMENT PROGRAM BASED ON 5A MODEL IN COPD PATIENTS
Authors: Heidari Maryam , Moradbeygi Khadijeh , Nassaji Neda Akbari , Elhami Saeedeh 
Published: May 2024

Background and aims:Chronic obstructive pulmonary disease (COPD) is a progressive process that leading to major clinical problems in patients. There is no highly effective treatment for these patients and therapists only try to relieve the symptoms. But, there are interventions such as self-management program for improvement of health level in patients. 5A model, known as behavior change counseling model is an evidence-based approach for behavior change and self-management. Thus this study was performed to investigate the effects of self-management program based on 5A model on some of clinical parameters in COPD patients.Methods:this clinical trial was performed on 50 COPD patients that referred to Apadana sub-special clinic in Ahvaz. Patients were randomly assigned to control and intervention groups. The control group received usual care and the intervention group received usual care plus a self-management program based on the 5A model (includes: Assess Advise, Agree, Assist and Arrange stage). Patients were assessed by six-minute walking test and the Borg scale for exercise tolerance level and dyspnea severity at baseline and after 3 months. Chi-square and t-test in the SPSS software were used to data analysis.Results:There was no significant difference between the groups in exercise tolerance at base line; but, they were significantly different at the end of 3 months (P=0.007). In addition, a significant reduction was found in patients' dyspnea in the intervention group, compared with the control group after 3 months (P<0.0001).Conclusion:with attention to effectiveness of self-management program based on 5A model on increase of exercise tolerance and decrease of dyspnea in COPD patients, use of this program is recommended as benefit method for decline major difficult of disease without spend cost for frequent refer to medical center.
170: DEVELOPMENT OF PELVIC ORGAN PROLAPSE GUIDELINES
Authors: Bastani Parvin , Hajebrahimi Sakineh , Mallah Fatima , Ghaderi Fariba , Rasouli Leili 
Published: May 2024

Background and aims:Pelvic organ prolapse (POP) is a common disease which is presented as symptomatic descent of the anterior, posterior vaginal wall or apical prolapse. Since, social and cultural factors have impact on interval between symptoms incidence and seek for medical care, diagnosis method and treatment process, it was important to prepare a guideline for management of the Iranian women with POP.Methods:This guideline has drawn on the evidence based search strategy developed for study goals to provide a native guideline. Therefore, during a systematic search, all clinical guidelines relevant to the subject extracted. Of 85 study, 35 study with evidences grades, systematic reviews or high quality clinical trials selected and further grading performed. Current recommendations presented with attention to best data available in the literature or based on a mixture of clinical experience and experts' panels decisions.Results:Pelvic floor muscle training recommended as the first line treatment in patients with urinary incontinence or POP (Grade A). Physicians should recommend pessaries to all women seeking treatment for their prolapse (Grade A). Subtotal hysterectomy is not recommended to prevent further prolapse (Grade A). in term of recurrence, dyspareunia and stress urine incontinency (SUI), abdominal sacropexy is better than vaginal suspension, however, these results cannot be extended to reoperation rate and patients' satisfaction (Grade: A). Since graft using fascia increases rate of recurrence, it should not be used during abdominal sacrocolpopexy (Grade: A). in patients who underwent first time anterior colporaphy, local tissue should be repaired instead of mesh as a graft (Grade: B). In women who suffer concurrent POP and SUI, both should be repaired at the same time (Grade A).Conclusion:The present guideline is based on high quality evidences and can be used for management of patients suffering POP problems.
173: EFFECTIVENESS OF COMMUNITY AND SCHOOL- BASED INTERVENTIONS ON CONTROL AND PREVENTION OF TOBACCO USE IN ADOLESCENTS: A RANDOMIZED COMMUNITY INTERVENTION TRIAL
Authors: Khayyati Fariba , Rahmani Khaled 
Published: May 2024

Background and aims:Most consumers of tobacco begin to consume it before age 18. The aim of this study was to determine the effect of community and school-based interventions to reduce tobacco consumption in high school students.Methods:This was a randomized community intervention trial. We first selected two economically and culturally similar cities including Ajabshir and Malekan in East Azerbaijan province, Iran, then one city, Ajabshir, was randomly selected for intervention. The intervention included educational activities and community-based environmental policies. Final year high school students including 1965 and 2457 were participants of the study in the intervention and control group, respectively. The outcome was reduction in the prevalence of tobacco use. All analysis conducted in SPSS version 19 using paired t test, analysis of covariance, independent t-test and chi square.Results:Finally 1885 and 2302 participants in intervention and control groups (cities) were analyzed, respectively. Intervention significantly increased the awareness and prevented the adverse changes in attitude and attention to tobacco use (P<0.001). After the intervention, onset of cigarette and hookah smoking in control group was more than in intervention group (P<0.001). Cigarette and hookah smoking at 1 and 6 months in both groups increased, but consumption in the past 30 days was higher in the intervention group (P<0.001). Attempting to quit cigarette increased in the intervention group and reduced in the control group (P<0.001). Attempting to quit the hookah declined in both groups. In intervention group, there was significant increased attempt to quit cigarette smoking in families (P<0.001). Teachers were cited as the most effective educational resource by students.Conclusion:In control group, onset of tobacco smoking in the last six months has been impressive. It shows a new wave of consumers that need to serious and urgent attention to prevent adolescent's tobacco use. Our experience showed that teacher's existence in the program, face-to-face explanation the tobacco importance for the authorities and participation as well as inter-sectorial coordination can be effective methods to tobacco prevention and control.