bluuebunny/crossref_metadata_2025_split huggingface dataset:
44: DETERMINATION OF FREQUENCY PERCENTAGE OF PROPHYLAXIS UTILIZATION AGAINST DEEP VEIN THROMBOSIS AMONG PATIENTS HOSPITALIZED IN DIFFERENT WARDS OF IMAM KHOMEINI TEACHING HOSPITAL
Authors: Azami Milad , Pashaklaee Esmaiil Ghasemi 
Published: May 2024

Background and aims:The current survey aims at determining the frequency percentage of Prophylaxis usage against deep vein thrombosis (DVT) according to ACCP instruction among the patients hospitalized in Imam Khomeini teaching hospital in Ilam.Methods:This study is descriptive and retrospective and the sampling was carried out amongst the cases of patients who were hospitalized and operated in the period occurred in March of 2012 to September of 2013 in Imam Khomeini hospital in Ilam. The type of receiving Prophylaxis was determined by ACCP (The American College of Chest Physicians) Guidelines. After investigating the input and output criteria, patients' data were extracted according to the dependent variables. Eventually the information gathered from the cases were analyzed by SPSS software version 17.Results:Studying 169 qualified cases from which 46.2% (78 participants) were female. Showed that from 132 patients needed to receive Prophylaxis only 39 persons (29.5%) were given Prophylaxis and according to ACCP Guidelines with respect to the appropriate type, dose, and duration of thromboprophylaxis was operated in only 30 individuals (22.5%) completely. The maximum rate of thrombo-prophylaxis happened to be in ICU (46.6%) and neurosurgery section (47.5%) and the least utilization of that was in the kidney and urinary tract section (0%).Conclusion:This study shows that there are a considerable difference in clinical performance recommended by ACCP in prophylaxis against DVT and in 75% of patients endangered by DVT, thrombo-prophylaxis according to ACCP Guidelines was not operated. Thus, new strategies must be implemented to operate thrombo-prophylaxis against DVT in Ilam hospitals.
51: EFFECT OF PERFORMANCE TELE NURSING ON QUALITY OF LIFE IN PATIENT WITH ATRIAL FIBRILLATION REFERRED IN EDUCATIONAL HOSPITAL OF QAZVIN
Authors: Yekefallah Leili , Najafi Mehdi , Shahrokhi Akram , Javadi Hamid Reza , asl Asghar Mohamadpoor 
Published: May 2024

Background and aims:Atrial fibrillation is the most common sustained cardiac arrhythmia and 1% of the population is affected by this disorder. Long duration of therapy Education requires constant pursuit with modern techniques, such as tele nursing can be achieved it. This study was performed to access the Effect tele nursing on quality of life in patients with Atrial fibrillationMethods:This quasi-experimental study was conducted in 2014. in this study 100 Patients with atrial fibrillation with Simple sampling method were randomly divided into two groups; experimental (50) and control (50).in experimental group telephone call was 12 weeks subsequently using SF-36 form, the level of quality of life was measured in the two groups at the beginning and the end of the study .the data was analyzed by using t-test and t coupleResults:In intervention group, score mean of quality of life before intervention was 64.88that after intervention reached to (76.14) that was increased (p<0/0001) and in control group score mean before intervention was/9±6/62 that after intervention reached to 95/6±05/60Conclusion:our study results showed that using tele nursing can increase level of quality of life and better make way for nursing.
72: HIV PREVALENCE AMONG FEMALE SEX WORKERS IN IRAN: A SYSTEMATIC REVIEW
Authors: Faramani Roya Safari , Shahesmaeili Armita , Hooshyar Samira Hosseini , Khajehkazemi Razieh , Nasirian Maryam , Sharifi Hamid , Kamali Kianoosh 
Published: May 2024

Background and aims:Although injecting drug use is considered the main route of HIV transmission in Iran, the growing trend of sexual transmission of HIV infection has been much of a concern in recent years. Female sex workers (FSWs) are one of the most important key group populations that have made significant contributions to the spread of HIV in the community. This study was designed to review the current prevalence of HIV infection among this key population in Iran.Methods:The pertinent literature up to July 2014 was retrieved by a systematic search in the 5 electronic databases including PubMed, Scopus, Google Scholar, SID and Iranmedex. The following keywords were searched by using “and” and “or” operators: Sex worker, HIV, Incidence, Prevalence, and Iran. Two independent reviewers evaluated the quality of each paper by a checklist. In case of disagreement between reviewers, a third expert-opinion was sought. EndNote (Version 15) and Microsoft Office Excel 2007 were used respectively to record references and manage the extracted data.Results:Overall, we found 16 studies of which 4 were repetitive and only 2 studies were eligible to be included in the final review. Meta-analysis was not possible due to lack of sufficient studies. One of the two studies was conducted in 14 cities of Iran and the other in Shiraz city. Their sample size were respectively 872 and 278. Based on information retrieved from these two studies, HIV prevalence ranged between 5.4% and 7.4% among FSWs in Iran.Conclusion:FSWs are an important high-risk group in both transmission and acquisition of HIV in the community. Findings of this study also reveal the important role of this group in HIV epidemics in Iran. This requires policy-makers to provide, develop and implement prevention programs for this population. Despite recognition of the importance of this group, only a few studies have been carried out on the incidence and prevalence of HIV infection among FSWs. Hence further studies are needed to be carried out among this group in Iran.
75: HPV INFECTION IN WOMEN: KNOWLEDGE, ATTITUDES AND BEHAVIORS AND THE IMPLICATIONS FOR LIBYAN HEALTHCARE
Authors: Elghblawi Ebtisam 
Published: May 2024

Background and aims:The increasing incidence of human papillomavirus (HPV) infection and HPV-linked conditions like genital warts (GWs) among women is a worldwide concern. Sexual contact is the chief route of transmission of genital HPV infections and it has been estimated that about 70–80% of sexually active individuals will be exposed to genital HPV in their lifetime. Sexually active women under 25 years old have the highest rates of genital HPV infection. GWs are estimated to affect about 1% of sexually active women aged between 15 and 49 years old worldwide, with peak prevalence occurring in the twenties (20–29). GWs are seen in the dermatological or gynaecological outpatient clinics as there is no a STD clinic per se in Libya.Goal:To explore the evidence for possible interventions that might reduce the prevalence of genital warts.Objective:To examine the literature relating to the knowledge and attitudes of patients and others, and the behaviours (KAB) connected with GWs.Methods:The search strategy for this review was based on the context of “KAB”, and the key search words used were “genital wart”, “condyloma acuminate”, and “venereal warts”. The search was then focused on literature involving knowledge and GWs, attitudes and GWs and behaviours and GWs, in developing and developed countries. A database was used which integrated EBSCO, Scopus, Cochrane, life science database, journals, and peer review, and the English-language literature which were explored for the last ten years.Results:Many women are still uncertain about the basic facts regarding HPV and cervical cancer and GWs.Conclusion:From the literature review it has been found that there is a wide range of reported levels of knowledge about HPV internationally.This project demonstrated significant gaps in knowledge among many women worldwide about genital and HPV infection which varies according to ethnicity, socio-economic and other demographic characteristicsAustralian women in the literature seemed to be well informed about genital infection and HPV and this can possibly be attributed to the broad educational campaign about HPV connected to their vaccination campaign.Moreover, Dermatologists need robust to acquire new skills in constructing answerable questions, efficiently searching electronic bibliographic databases, and critically appraising different types of studies.
80: IMPLEMENTING HEALTH TECHNOLOGY ASSESSMENT IN IRAN: A STAKEHOLDER ANALYSIS
Authors: Arab-Zozani Morteza , Jalilian Habib , Oskouei Mina Mahami , Dehghanian Mohammad , Aghbalaghi Zoleikha Asadi 
Published: May 2024

Background and aims:Because of growing costs in health system, resource allocation has vital role in assignment of existing resources to health technologies in recent years. Therefore, health technology assessment (HTA) is a good tool for allocating the resources based on evidence in health sector. In line with evidence-based decision making, HTA program conducted in Iran since 2007 and in this article explores the main stakeholders in implementing the HTA program.Methods:At the first step the researchers searched the related articles, policy documents and secondary sources to identify the range of the stakeholders in this field. Then, semi-structured interview were conducted with all stakeholder from all categories and interpret according to the principles of the qualitative content analysis.Results:Stakeholder analysis has identified 10 main category of stakeholder (WHO, MOHME, The National Institute for Health Research, Graduates and researchers, Universities and research institutes, Department of Medical Equipment, Food and Drug Administration, Insurance agencies, Manufacturing and importer companies' of medicines and medical equipment, The Parliament Health Commission) in relation to HTA program. The MOHME and NIHR along with graduates and researchers who were educated abroad were the most powerful and supportive actors that had an important role in implementing this program. We found that Department of Medical Equipment and medicines and medical equipment companies were strongly opposition in implementing the HTA program. The presence of abroad graduates in the country at the time of implementation of the program was the most important factor in the successful implementation of this program.Conclusion:Conducting this program showed that the dialogue with opposition groups can enhance the possibility of the successful implementation of a program. Implementing these strategies at a country level will confidently decrease the knowledge gap between research and policy and increase health system outcomes in terms of resource allocation and EBM.
86: KNOWLEDGE, ATTITUDE AND BARRIERS AMONG DENTISTS IN APPLYING EVIDENCE-BASED PRACTICE IN CLINICAL DECISION MAKING
Authors: Shahrak Mehrnaz Zaker 
Published: May 2024

Background and aims:Evidence-based practice (EBP) guides to increase quality of tendance, and recourse to the administration of the newest powerful research into clinical practice .thus, it is substantial for dentists as well as all healthcare providers to notify clinical decision-making and apply EBP. Aims: The objective of this study was to investigate awareness, knowledge, attitude and barriers in relation to evidence-based practice (EBP) among dentists in bushehr.Methods:An overall of 250 copies of the questionnaire consisted of 16 multiple-choice questions were given out to dentists in bushehr early 2016 and response rate was 87%.Results:Knowledge and attitude of dentists were found to be low. 72% of the dentists represented a positive attitude toward EBP, although because of heavy workload they cannot be up to date with new research materials. Not having access, time availability and being unable to understand statistical terms were the top barriers of using EBP.Conclusion:Although dentists represented a positive attitude toward EBP, it is essential to increase their knowledge and skills. The findings of this research can be used to remodel the common educational strategies and to increase the quality of EBP implementation.
89: MAPPING THE CONCEPT OF VIP RELATED TO DELIVERY OF HEALTH CARE IN HOSPITALS: A SCOPING REVIEW
Authors: Khajavi Abdoljavad , Esmaeili Reza , Mircheraghi Seyed Farzin , Tavakolizadeh Mitra 
Published: May 2024

Background and aims:It is difficult to find a commonly agreed upon definition for Very Important Persons (VIPs) or VIP patients as the concept has minimal representation in the medical literature. Caring for VIP patients, however, can challenge standard professional routines and approaches to healthcare delivery, can affect staff's professionalism, and may be disorienting for a health care system. This scoping review aims to explore the terminology in use in relation to health care delivery to VIP patients in hospitals, as well as to elicit how particular terms are used, by whom and for what purpose.Methods:A scoping study was conducted using the ‘Arksey and O'Malley’ framework. We were considered any empirical and non-empirical studies for inclusion. Four electronic databases including Ovid MEDLINE, EBSCO CINAHL, SciVerse Scopus and Google Scholar were searched for English language articles, without any other limitations. Study selection and data extraction were performed by two independent reviewers using pretested forms. A thematic construction was used to provide an overview of the breadth of the literature, and a numerical analysis of the extent and nature of studies was presented.Results:A total of 71 publications of potential interest were identified, and 31 studies were selected and included in the review for analysis. All of the studies were non-empirical including overview (1), narrative review (1), and the others (29) were editorials, commentaries, brief report, CME, case study, or qualitative study design. The thematic analysis identified four themes: the first concerned the definition of VIP patients (individuals with wealth, fame, or power) in health care settings. The second theme highlighted the potential ethical and medicolegal issues in the care of the VIP patients. The third theme considered the concept of ‘VIP syndrome’, i.e., general effect of VIP patients on delivery of care. The final theme indicated the need for evaluation of VIP policy in health care delivery settings.Conclusion:This scoping review of the literature demonstrates little peer-reviewed evidence on the opportunities and threats of VIP policy implementation in hospitals. Besides, the emergent themes together indicate a number of important directions for future research.
14 Managing uncertainty in care for people with dementia at the end of life: the use of heuristics
Authors: Davies Nathan , Lamahewa Kethakie , Mathew Rammya , Wilcock Jane , Manthorpe Jill , Sampson Elizabeth L , Iliffe Steve 
Published: May 2024

IntroductionThe end of life for someone with dementia can present several challenges for practitioners. Challenges may be eased with the use of heuristics (rules-of-thumb). For example, FAST is used in stroke:Facial-weakness,Arm-weakness,Slurred-speech,Time to call 999. Our study developed a toolkit of heuristics to aid practitioners making difficult decisions when caring for someone with dementia at the end of life.MethodsA co-design approach with three phases:1. Focus groups and semi-structured interviews with family carers and practitioners, to identify key decisions and how these should be made.Results were presented to a co-design group consisting of health and care practitioners, and family carers tasked with developing a toolkit of heuristics, through workshops.2. Testing the heuristics in practice for six-months in five clinical and care settings.3. Evaluation of heuristics through interviews and questionnaires at three and six-months.ResultsFour sets of heuristics were developed, covering; eating/swallowing difficulties, agitation/restlessness, reviewing treatment, and routine care. The heuristics are arranged as flowcharts. Eating/swallowing difficulties have two rules; ensuring eating/swallowing difficulties do not come as a surprise and reflection about ‘comfort-feeding’ only. Agitation/restlessness encourages a holistic approach, considering the environment, physical causes, and caregivers’ health/wellbeing. Reviewing treatment/interventions prompts practitioners to consider the benefits to quality-of-life and comfort. Finally, routine care, such as bathing, prompts practitioners to ensure care interventions improve or do not harm quality-of-life.ConclusionsPractitioners liked the simplicity of the heuristics, making their implicit knowledge explicit, enhancing their confidence in making decisions at the end of life.
18 Constructing the hospice volunteer role: emerging findings from an ethnographic exploration
Authors: France Rachel 
Published: May 2024

IntroductionThe modern hospice movement in western societies has involved volunteers since its inception. With the increasing demand for end-of-life and palliative care, there is likely to be a corresponding increased demand for volunteers, who have been estimated to reduce hospice costs by 23 per cent (Help the Hospices, 2006). However, palliative and end-of-life care has tended to follow a medical model in western societies, which has placed the role of the volunteer outside the boundary of professional care.AimsTo explore the role of patient-facing volunteers in adult end-of-life care.MethodsParticipant observation in two UK adult hospices, extended conversations with participants, analysis of relevant hospice documents.FindingsThe role is constructed by boundaries, including clinical and professional, but always within the framework of the boundary between life and death. My data showed that while the role is seen as distinct and separate from that of paid staff, the volunteer role was sometimes difficult to negotiate. How this played out demonstrated how the hospice constructed the volunteer role, but also how the hospice constructed death and dying.ConclusionsMy findings highlight what is happening in a clinical setting through the lens of a ‘neglected’ group of workers, and I will offer recommendations to improve current practice. Ethnography offers in-depth data to present the reality of the volunteer role that will have relevance to policy and practice.Reference. Help the Hospices: Volunteer value: A pilot survey of UK hospices. London: Help the Hospices 2006.
19 Tackling the rhetoric: an evidence-based support needs tool to enable supportive care in advanced non-malignant disease
Authors: Gardener Carole , Ewing Gail , Farquhar Morag 
Published: May 2024

IntroductionDelivery of supportive and palliative care to patients with advanced non-malignant diseases such as COPD is hampered by the challenge of prognostication and unpredictability of disease trajectories. An alternative approach is delivery of care and support in response to patient-identified need.AimThis study aimed to develop a support needs tool for patients with advanced COPD, to enable patients to identify and express their support needs.MethodsTwo-stage qualitative study. Stage 1: domains of support need in advanced COPD were identified through a rapid review of the literature, analysis of qualitative data from the Living with Breathlessness Study (n=20 purposively sampled patients with advanced COPD) and patient focus groups. Stage 2: the draft Support Needs Approach for Patients (SNAP) tool was developed from the identified domains of support need, then reviewed and refined in stakeholder workshops to ensure acceptability and suitability.ResultsA comprehensive set of evidence-based support domains were identified and reformulated as questions. The draft tool asks patients to consider whether they need more support in relation to 16 broad areas of support need e.g. “knowing what to expect in the future” and “getting out and about”. Stakeholders broadly endorsed the content and wording of the draft SNAP tool and the proposed person-centred approach which it underpins.DiscussionThe SNAP tool has the potential to help patients with advanced COPD, and other non-malignant diseases, identify and express their support needs to enable delivery of supportive care. Follow-on work is testing tool validity and feasibility of the approach.
2 Sub-optimal care for patients in the out of hours primary care setting at the end of life: a mixed methods study
Authors: Williams Huw , Noble Simon , Kenkre Joyce , Edwards Adrian , Hibbert Peter , Donaldson Liam , Carson-Stevens Andrew 
Published: May 2024

BackgroundPatients receiving palliative care are often at increased risk of unsafe care, (Mazzocato and Stiefel 1997; Dietz et al. 2014) and the identification of improved ways of delivering palliative care outside working hours is a priority area. (Best et al. 2015)AimTo explore the nature and causes of unsafe care delivered to patients receiving palliative care from primary care services outside normal working hours.MethodsThe National Reporting and Learning System (NRLS) collates patient safety incident reports written by healthcare professionals in England and Wales. We characterised reports, identified by keyword searches, using codes to describe what happened, underlying causes, harm outcome, and severity. Exploratory descriptive and thematic analyses identified factors underpinning unsafe care.FindingsWe identified 1072 incidents of suboptimal care, which included: medication-related issues (n=613); access to timely care (n=123); and or non-medication related treatment such as pressure ulcer relief or catheter care. (n=102). Almost two thirds of reports (n=695) described harm with outcomes including increased pain, emotional and psychological distress and dying in a place not of their choosing.Commonly identified contributory factors to these incidents were a failure to follow protocol (n=282); lack of skills/confidence of staff (n=156) and patients requiring medication delivered via a syringe driver (n=80).ConclusionsThis study is the largest characterisation of unsafe care for patients requiring palliative care in the community, outside working hours. Possible targets for organisations looking to improve care include improved communication between providers; better knowledge of commonly used medications and routes and easier access to medications and equipment.References1. Mazzocato C, Stiefel F. How safe are opioids in palliative care?Supportive care in cancer: official journal of the Multinational Association of Supportive Care in Cancer 1997;5(6):427–427.2. Dietz I, et al. “Please describe from your point of view a typical case of an error in palliative care”: Qualitative data from an exploratory cross-sectional survey study among palliative care professionals. Journal of palliative medicine2014;17(3):331–337.3. Best S, et al. Research priority setting in palliative and end of life care: the James Lind Alliance approach consulting patinets carers and clinicians. BMJ supportive & palliative care2015;5(1):102.1–102.