bluuebunny/crossref_metadata_2025_split huggingface dataset:
155: A STUDY OF CORRELATION BETWEEN THE USE OF EVIDENCE IN IRANIAN NURSES' CLINICAL JUDGMENT AND DECISION MAKING WITH SOME RELATED FACTORS IN 2015
Authors: Seidi Jamal , Alhani Fatemah , Salsali Mahvash , Kazemnejad Anoushirvan 
Published: May 2024

Background and aims:one of the main factors determining the competency of an individual in clinical judgment and decision making is the way which he/she use available evidences. The present study was set aiming at investigating the use of various evidences for clinical judgment and decision making in nursing career and assessing its relationship with various factors.Methods:The present cross-sectional study, which was a research project approved by The National Institute for Health Research at the University of Kurdistan, Iran, was conducted during 2015. A total number of 360 nurses were selected using the multistage cluster sampling method. The tool used for collecting data was composed of three main parts; (1) demographic information and clinical condition, (2) underlying factors (seven items), and (3) the use of various evidences (11 items). A content validity ratio higher than 0.49 and content validity index higher than 0.79 confirmed that the questionnaire was validated. The reliability of the questionnaire was evaluated using the Pearson's correlation coefficient (r=0.92). Finally, the data were analyzed using SPSS software package and various statistical tests, such as Pearson's correlation coefficient and multiple regressions.Results:there was observed a negative significant correlation between the level and type of evidence used by individuals with the urgency of the clinical condition (r=–0.58). Further, there was a positive significant correlation between the level and type of evidence used by individuals and their education level (P-value<0.05). However, no significant correlation was found between the use of evidence with age, experience, and gender. Regarding the underlying factors in using evidence, there was a positive significant correlation between the use of evidence with the availability of resources and clinical equipment (r=0.92), educational facilities (r=0.64), management support (r=0.76), organization (r=0.58), and physicians (r=0.84) (P-value<0.05).Conclusion:it can be concluded from the present study that the improvement of clinical condition and skills in emergencies and enhancing the availability of required resources and facilities would facilitate the use of evidences. Moreover, it was observed that nurses were less desired to use clinical guidelines and scientific documents, and they preferred to use other tools such as experience, regulations standards, clinical and Para-clinical documents. Hence, it is recommended that the availability of these resources should be promoted.
159: ASSESSMENT OF THE QUALITY OF REPORTING ON RANDOMIZED CONTROLLED TRIALS IN DIABETES BETWEEN HIGH AND LOW IMPACT FACTOR AND SJR JOURNALS
Authors: Aletaha Azadeh , Soltani Akbar , Baradaran Hamid Reza 
Published: May 2024

Background and aims:The primary objective of this study was to evaluate the quality of randomized controlled clinical trial reports in diabetes research in Iran and the secondary objective included identifying any associations between CONSORT quality and surrogate markers of article quality, including high and low impact factor and SJR journals.Methods:184 RCTs studies conducted on Diabetes mellitus in Iran. ANOVA and Pearson correlation was used to analyze the relationship among group with each article for reports of (RCTs) conducted on Diabetes mellitus that were index in ISI, Scopus, PubMed or other international journals index based an impact factor and SJR index. For the purposes of this study, we selected all articles published in English and indexed in PubMed, ISI, Scopus and other international journals between 2004 to 2014.Results:In all, 269 articles were retrieved from the search of the ten databases. Of these, 184 articles were selected. The mean CONSORT score of the 184 RCTs was 8.11 out of 17 (31.7%, range 6–12, SD 1.38). The poorest-reported items were all item. No paper adequately reported all items in the CONSORT checklist. There was no correlation between the quality of CONSORT score and the IF and SJR Journals (Pearson:-0.065, P: 3.84.29). In addition, there was no statistical difference in CONSORT score between group and within group IF or SJR journal designs (ANOVA: P value: 0.7, the mean CONSORT score of the 184 RCTs was 8.63 from 17 scores).Conclusion:In conclusion, our findings suggest that the that the authors, funding agencies, peer reviewers, and journal-editors in RCTs in diabetes has an important role to enhance the quality of RCTs and collaborate to enhance the integration of CONSORT into the RCT publication process Evolution and further extension of CONSORT will hopefully help to incorporate studies with alternative methodologies.
161: BRIDGING BETWEEN PATIENTS PREFERENCE AND EVIDENCE BASED PRACTICE ACCORDING TO GUIDELINES IN OSTEOARTHRITIS MANAGEMENT: A QUALITATIVE STUDY
Authors: Behshid Mozhgan , Zamanzadeh Vahid , Ahmadi Fazlollah , Irajpoor Alireza 
Published: May 2024

Background and aims:Osteoarthritis is the major cause of disability worldwide that causes significant problems in activities of daily living and deeply affects the quality of life. Osteoarthritis is predicted to become one of the major causes of disability in future that necessitates comprehensive global plans for resolving this health issue in accordance with patients' local culture, beliefs and attitudes. This study was a part of PhD dissertation that was conducted to carry out an in-depth examination of the experiences of patients with OA about their use of strategies for the OA self-management and compare them with scientific evidences.Methods:The present qualitative study was conducted using a conventional content analysis approach on 33participantincluding patients with OA, their family members and healthcare personnel who were selected by purposive sampling. Data were collected through unstructured and semi-structured interviews and continued until data saturation occurred. Data analysis was carried out simultaneously. Guba and Lincoln's standards of rigor and trustworthiness were respected including the credibility, transferability, dependability and conformability of the data. A narrative systematic review was conducted on osteoarthritis care guidelines and algorithms in order to compare patients' preference with scientific evidences.Results:The analysis of the data revealed four main categories, including: Conservative approach in selecting treatment modalities, trend toward traditional treatment, Preferring complementary and alternative medicine, and concerns and barriers treatment modalities. The review of literature demonstrated little attention by professionals to the patients' values or priorities. Comparing of the modalities that were preferred by patients with scientific guidelines indicated some inconsistencies.Conclusion:Patient's perceptions, preference, and adherence to treatment, play an essential role in relieving nagging symptoms and treatments outcomes. Although guidelines are used to define best practices in osteoarthritis care, patient preference that derived from their local culture, beliefs and attitudes should be considered to operationalization. Participating the patients on the therapeutic goal setting as well as clinical decision-making, and supervising the use of complementary treatments are recommended. Patients should be involved in the development of clinical practice guidelines.
17: ASSESSING THE BARRIERS TO EVIDENCE-BASED PRACTICE FROM THE PERSPECTIVE OF NURSES IN INTENSIVE CARE UNITS SOCIAL SECURITY HOSPITALS IN TABRIZ
Authors: Sakhlou Zakiyeh Imani , Foroughei Masoumeh Ranjbar , Khameslou Mehdi Ajri 
Published: May 2024

Background and aims:In intensive care unit, patients' conditions are more complex and more likely to be at risk of complications and death; therefore, implementing of interventions based on the best evidence is the key issue for nurses. Bridging the gap between scientific evidence and patient care is necessary to accurately identify barriers so; the aim of this study was to determine the barriers to implementing evidence-based care from nurse's view-point in intensive care, social security hospitals in Tabriz.Methods:This is a descriptive- analytical research in which 60 nurses working in intensive care units (ICU, CCU, Dialysis) of social security hospitals in Tabriz participated using census sampling and barriers to implementing EBP were examined using a Funk's EBP Barriers scale which is divided into four subscales: subscales erelated to Nurses, hospital or organization, the quality of research and subscale on how to submit the findings of research. The data were analyzed by descriptive statistical tests (chi-square and Fisher). The significance level of 0.05 was considered in the statistical analysis.Results:The average age of the samples was 36.34. Mostly women (71.2%), mostly undergraduate education (89.8%) and mostly with formal employment status (94.9%) were. Subscale of the Nurses had no significant relationship with any of the variables. Subscale related to organization, with age, education amount and employment status, subscale related to the quality of research with education amount and subscale on how to submit the findings of research with age, gender, work experience and employment status had significant relationship. Overall, education amount and employment status had significant relationship with barriers to implementing evidence-based practice, in this way the nurses had formal employment status and higher education, did more evidence-based care.Conclusion:It is necessary hospitals provide conditions that research and using the results to be given priority. Only nursing education and giving them more authority couldn't be sufficient to implement research findings in clinical practice so, organizational climates of hospitals need to change and reform.
182: IRANIAN ACADEMIC'S VIEWPOINT CONCERNING RESEARCH SOCIAL NETWORKS (RSNS)
Authors: Abdekhoda Mohammadhiwa , Salehi Narges , Gavgani Vahide zare 
Published: May 2024

Background and aims:Research Social Network (RSNs), resulted from the emergence of Web 2, allows researchers to present their works, to communicate with other colleges, to create new discoveries, and to collaborate. This study aimed to survey the Iranian academic's viewpoint concerning Research Social Networks (RSNs).Methods:This was a descriptive study in which 250 researchers from Kerman University of Medical Sciences were selected by stratify randomized modeling. Iranian researcher's viewpoint concerning the Mission, Goals and capabilities of Research Social Networks (RSNs), were studied by a researcher-developed questionnaire. Collected data were analyzed by SPSS software (version 16) using descriptive statistics.Results:The results showed that majority of participants (65 percent) are familiar with the RSNs and have their accounts on them. The data also revealed that Iranian academics have affirmative viewpoint regarding RSNs Mission, goals and its capabilities. Participants use RSN to meet new researchers (71 percent), find information (55 percent), sharing experience (52 percent), and contribute in discussions (35 percent).Conclusion:RSNs are valuable and useful for Iranian academics and is great opportunity to associate with other researches in global network of sciences. Well-designed and properly supported RSNs infrastructures and encouraged researchers to joint RSNs should be considered by mangers and policy makers.
193: RELIABILITY AND ACCEPTABILITY OF THE REFERENCES OF THE ARTICLES IN THE FIELD OF PEDIATRICS NUTRITION ON UP-TO-DATE DATABASE BASED ON BIBLIOMETRIC AND ALTMETRICS
Authors: Ghazavi Roghayeh , Mazaheri Elaheh 
Published: May 2024

Background and aims:Considering that Up-to-date database is one of the well-known and reliable databases in the field of evidence-based medicine (EBM), it is expected that the referred papers in the articles are the valid ones on the topic concerned. The aim of this study was to evaluate the credibility and acceptability of the references of the Articles in the Field of Pediatrics Nutrition on Up-to-date Database based on bibliometric and altmetrics indexes.Methods:The studied articles were retrieved from database by searching word “nutrition” in the field of “Pediatrics”. After assessing the first 100 retrieved articles, 30 articles were selected with more relevancies. In the next phase, the indexes of all 1934 references used in 30 articles, which were in the Scopus database, extracted and entered in the prepared checklist. These indicators involved bibliometrics indexes such as Citation Count, Field-Weighted Citation Impact, and Citation Benchmarking as well as altmetrics indexes like Scholarly Activity (Mendeley and CiteULike), Scholarly Activity benchmarking, Scholarly Commentary (Blogs, Reviews), Mass Media, Social Activity (Twitter, Facebook) and Social Activity benchmarking. In addition, in order to determine the validity of the journals that publish these papers, SJR, IPP and SNIP indexes were extracted from Scopus database and entered the checklist.Results:The mean of Citation Benchmarking, Scholarly Activity benchmarking and Social Activity benchmarking with percentile of 80.5, 70 and 12.8, respectively indicated that validity of the used articles in terms of bibliometrics indexes had relatively good condition; but regarding to altmetrics indexes, in Scholarly Activity and Social Activity were in moderate and weak conditions, respectively. SJR and SNIP indexes of the journals with an average mean of 2.5 also indicated a moderate status for used journals.Conclusion:Due to the fact that the use of articles in the scientific community allocate more importance to determine their reliability and acceptability, high ranking of this index is a positive point, but it is still necessary to increase this rank with further use of the articles in the top percentile. The gap between scientific and social indexes is very high; this also demands more assessment of high percentile articles of these indexes in order to determine the cause of this difference.
197: THE EFFECT OF FISH-OIL SUPPLEMENTATION ON MATERNAL AND NEONATAL OUTCOMES: A TRIPLE BLIND RANDOMIZED CONTROLLED TRIAL
Authors: Khalili Azizeh Farshbaf , Ostad-Rahimi Alireza , Pourmehr Hanieh Salehi , Malakouti Jamileh , Agdam Nayyer Jafarilar , Shahrisa Elham 
Published: May 2024

Background and aims:To evaluate the effect of fish oil supplementation on pregnancy outcomes in mother and newborn.Method:This randomized, triple-blinded placebo-controlled trial was conducted on 150 pregnant women aged 18–35 from February 2014 to April 2015 in Tabriz, Iran. Participants assigned to receive either 1000 mg fish oil supplements containing 180 mg eicosapentaenoic acid and 120 mg docosahexanoic acid from week 20 of gestation to birth. Primary outcome measure was birth weight. Gestational duration, preterm labour, low birth weight (LBW), length, and head circumference, maternal serum DHA and EPA level at 35–37 weeks were also examined. The statistical analysis was intent-to-treat.Results:Demographic characteristics were similar in both groups (P>0.05). The mean (SD) birth weight in the fish oil and placebo groups were 3256g (362) and 3172g (447), respectively (adjusted MD=84.1g; [95% CI –24.8, 193.2]). Five (7.6%) neonates in the placebo versus no case in the fish oil group were born with LBW (p=0.02). The rate of preterm labour was lower in the fish oil group (adjusted OR=0.74; [95% CI 0.16, 3.42]). However, there were no statistically significant differences in the maternal outcomes (P>0.05) with exception of the proportion of maternal serum DHA fatty acid at 35–37 weeks (P<0.001).Conclusion:Although low dose fish oil supplementation increased birth weight, its effect was not statistically significant. The frequency of LBW was significantly reduced in the intervention group but the observed reduction needs to be confirmed in future larger investigations using different doses of omega-3.
2: A PILOT STUDY OF EVALUATION OF GUIDELINES ADHERENCE FOR LATENT TUBERCULOSIS INFECTION PATIENTS USING TNF-ANTAGONISTS IN A MEDICAL CENTER IN TAIWAN
Authors: Lin Chih-Sheng , Yao Man-Lih , Chen Chih-Fang , Lee Wei-Ying 
Published: May 2024

Background and aims:Use of anti-TNF agents increases the risk of TB, especially in Asian countries. The guideline suggested that the treatment of latent TB infection (LTBI) is recommended with oral isoniazid (INH) nine months and used TNF-α antagonist four weeks after treatment. However, the TB infection prevention by using TNF-α antagonist remains unclear in Taiwan. We evaluated the adherence rates of patients received anti -TNF agents with latent tuberculosis infection (LTBI) prophylaxis treatment.Methods:Retrospectively collected the medical records of outpatient received adalimumab from Jan. 2014 to Dec. 2015. Brio Query version 6 as a computer program to collect patient informationResults:There are 49 patients included in this study. Eighteen percent (9/49) of the patients received LTBI prophylaxis. Seventy eight percent (7/9) patients were found of positive QuantiFERON test, and 22% (2/9) revealed intermediate results. One of the patient with Anti-HBc (+) and HCV (+) ceased treatment four months later. He was found of ALT level increase to 98 IU/L while taking INH again in the first month. The liver function returned to normal after INH discontinuation. The other 89% (8/9) completed 9 months treatment course. One of them is hepatitis B carrier with liver function impairment after taking medicine for six months. This individual case was done in closely monitored by doctor, and hepatic function return to normal three months after treatment.Conclusion:This study shows the risk of INH-induced liver function impairment is higher than the other country. The QuantiFERON testing are highly recommend if patients taking TNF-α inhibitor and another therapy instead seems to be more in line with prophylaxis for tuberculosis in Taiwan.
201: THE QUALITY ASSESSMENT OF STUDIES OF DIAGNOSTIC ACCURACY PUBLISHED IN THE CANCER JOURNALS
Authors: Azizi Hanieh , Khodashenas Shiva , Pirmohammadi Saeedeh , Lotfipour Tohid 
Published: May 2024

Background and aims:A cancer diagnosis is life-damaging on many levels, and people react to the diagnosis and treatment of cancer differently and receiving a cancer diagnosis is a stressful event all over the world. Our aim is to evaluate the quality of reporting of all diagnostic studies published in two major cancer journals using the Standards for Reporting of Diagnostic Accuracy (STARD) initiative parameters.Methods:we hand-searched Cancer Journal for Clinicians and Cancer Medicine journals for all abstracts of diagnostic studies published. They independently assessed the reporting quality of the English version of all eligible abstracts based on a modified version of the STARD. The STARD checklist of 25 items and flow chart was used to evaluate the quality of each publication.Results:We totally found 739 articles. All studies were published between 1996–2015. A total of 27 publications were included as diagnostic studies. There were 21 articles that have cheeked more than half of STARD checklist items on them. The most checked item was state the research questions with 21 cheeks and the least cheeked item was report the determination of the results with 3 cheeks on it.Conclusion:The reporting quality of abstracts of diagnostic accuracy in the Cancer Journal for Clinicians and Cancer Medicine journals needs to be improved the current standards of reporting of diagnostic accuracy tests are highly variable. The STARD initiative may be a useful tool for appraising the strengths and weaknesses of diagnostic accuracy studies.
202: THE RELATION BETWEEN IRANIAN MEDICAL SCIENCE RESEARCH IN WEB OF SCIENCE DATABASE AND BURDEN OF DISEASE IN IRAN
Authors: Foroughi Zahra , Davodi Ali , Alizadeh-Navaei Reza 
Published: May 2024

Background and aims:Scientific productions have been accelerated in Iran in past decades but their association with health problems and disease burden is doubtful. The aim of this study was to assess the relationship between Iranian scientific productions (published in 2010–2015) with disease burden in Iran using Web of Science database.Methods:Data was collected using Scientometric indicators, direct observation, and note taking. The current research included all articles written by Iranian researchers during 2010 to 2015which were published in Web of Science – indexed journals. The search was limited to the affiliation ‘Iran’ and was performed using different keywords including road accident, ischemic heart diseases, major depression disorders, and cerebral vascular diseases, Back Pain, Osteoarthritis, Knee, Anemia, Iron-Deficiency, Bipolar Disorder and Pulmonary Disease, Chronic Obstructive. These were believed to have the highest disease burden. Then, the scientometric outputs were recorded and the relationship between scientific productions with disease burden was investigated.Results:In total, 1800 articles had been published in Web of Science – indexed journals. Among them depression disorders and Cerebrovascular Disorders had the highest (1296 records) and lowest (18 records) records, respectively. Major depression disorders were found to have the greatest h-index and the highest percentage of scientific productions with at Average Citations per Year was associated with Major depression. There was a direct correlation between years of life lost due to premature mortality (r=0.8, P=0.2), years lived with disability (r=0.333, p=0.381), with scientific productions.Conclusion:our results showed Iranian scientific productions in Web of Science data set are not related to disease burden.
210: UTILIZATION OF MEDICAL IMAGES OF PACS FOR EVIDENCE BASED TRAINING
Authors: Yarmohammadi Zahra , Hosseiny Raham 
Published: May 2024

Background and aims:The more evidence the better decision making. Diagnosis is one of the medical determinants that seriously depend upon the evidence. Treatment and care as the other significant arms of medical practice relies on the right diagnosis. Medical education system tries to track whole capacity of health system to bring more evidence for education, comparison and critical thinking. Picture archiving and communication system (PACS) is used as a tool for providing, processing transferring and displaying the digital images in hospitals information system. Once the medical images stored in the PACS can be retrieved and used several times for different purposes by adding value with no more cost for system.Methods:The PACS system consists of a main PACS server which is used for storing the pictures and multiple clients in different places that can communicate with PACS central database through DICOM protocol. Clients can query the system, retrieve the images stored in the database, and show the images by using medical imaging software like DICOM viewer. Open sources software enable the user add/change the source for internal utilization purposes. If medical images is stored by additional metadata i.e. ICD codes and the Mesh /USML keywords along with the patients personal information, the system will be used as a source of evidence for educational propose. DICOM software will query the main database using the keywords and ICD codes that already have been attributed to the images to retrieve all the related images in the system for specific case. For ethical issues the personal information can be concealed when it is retrieved for education purpose.Results and Conclusion:By adding metadata through mesh/USML and ICD the images will become a source of evidence instead of being just a temporary diagnoses tool archived in patient's personal records. This method is a simple and cost less way of use of medical images in health system and medical education. It also makes the investments return to the system by multiple use of images