bluuebunny/crossref_metadata_2025_split huggingface dataset:
190: PATIENT PERSPECTIVES ON CONSISTENCY OF MEDICAL CARE WITH RECOMMENDED CARE IN ASTHMA
Authors: Tabrizi Jafar sadegh , Farahsa Sahar , Taghizadieh Ali , Mostafanejad Madineh 
Published: May 2024

Background and aims:Technical quality (TQ) in health care refers to clinical or disease-specific aspects of care and largely reflecting issues related to health care providers. In relation to TQ Global Initiative of National Asthma (GINA) introduce guidelines for the Management of Asthma and define a minimal standard of care that can be used to assess health care quality for patients with asthma. This study aimed to assess technical quality for people with asthma from the patients' perspective.Methods:A cross-sectional study was conducted with 180 people with asthma who were received care from specialist clinics of Tabriz University of medical sciences in 2013. Technical Quality was measured using questionnaire. The questionnaire set based on issued guidelines internationally which considered as proxy measure of technical quality. Validity of the study questionnaire was reviewed by 11 experts and its reliability was confirmed according to Cronbach's alpha index (α=0.86), based on a pilot study by participate of 30 patients. Data analyzed using the SPSS-17 statistical package.Results:Technical Quality score for people with asthma from the patient perspective had the range between 0% and 77%. The lowest scores were for the items: Asthma Control Test, written asthma action plan, measuring peak expiratory flow and assessing patient's self-care program. The highest scores belonged to visit by specialist and education about quit smoking. Asthma control status had significant relationship with continuity of care (patients who receives continuous care, expressed better asthma status) (P=0.012) and patients with complications reported higher TQ score than who haven't complications (P<0.001).Conclusion:According to study findings, overall technical quality for people with asthma from the patient perspective was relatively low. The largest gap in medical care, related to self-care program and management standards, suggests that new systems and new ways of improving such aspects of care need to be considered. The importance of multidisciplinary care for asthma and active engagement of the patient in their asthma management have been repeatedly emphasized. Potential changes include wider measurement of asthma Control and peak expiratory flow, having specific written asthma action plan, clinician and patient incentives to increase the relevant activities and a patient reminder system.
199: THE EFFECT OF INTERACTIVE EDUCATIONAL WORKSHOPS WITH OR WITHOUT STANDARDIZED PATIENTS ON THE SELF-EFFICACY OF MIDWIFERY STUDENTS IN SEXUAL HEALTH COUNSELING
Authors: Khadivzadeh Talat , Ardaghi Mina , Mirzaii Khadijeh , Mazloum Seyed Reza 
Published: May 2024

Background and aims:Modifications in learning systems based on the concepts of self-efficacy and self-esteem are among the suggested strategies to bridge the gap between knowledge and practice. The aim of this study was to compare the effect of two interactive educational workshops with or without standardized patients (SPs) on midwifery students' self-efficacy in providing sexual health counseling at Mashhad University of Medical Sciences, Mashhad, Iran in 2014.Methods:In this quasi-experimental study, 92 B.Sc. and M.Sc. students of midwifery at Mashhad School of Nursing and Midwifery were randomly divided into two groups. The groups were trained, using one of two interactive educational workshops (with or without SPs) on sexual health counseling (10 hours). Data were collected, using a demographic questionnaire and a self-efficacy assessment tool. For data analysis, paired and independent t-tests were performed, using SPSS version 16.Results:Two weeks after the intervention, the scores were significantly higher in students who participated in SP-based workshops (76.0±10.9 vs. 66.7±5.9, P<.0001). Two weeks after the intervention, the mean scores of students' self-efficacy in providing sexual health counseling in the two groups were significantly higher compared to their scores at the beginning of the study.Conclusion:Although both methods could promote students' self-efficacy, the impact of workshops with SPs was more significant. Therefore, integration of this training method in midwifery educational curricula is recommended.
20: ASSESSMENT OF KNOWLEDGE, ATTITUDE AND PRACTICAL SKILLS REQUIRED FOR MEDICAL INTERNS TO LEARN DURING THE 7-DAY RHEUMATOLOGY OUTPATIENT (CLINICS) PERIOD IN TABRIZ UNIVERSITY OF MEDICAL SCIENCES
Authors: Najafi Maryam , Kolahi Sousan , Mokhtarkhani Mohaddeseh 
Published: May 2024

Background and Aims:Medical students are responsible to learn and practice in the internal wards (including rheumatology) according to the designed evidence based standard of Tabriz University of Medical Sciences. It is Important to assess how much they have learnt. The aim of this study was to assess the interns' knowledge, attitude and the skills during their 7-day rheumatology clinics education period.Methods:The current study is a cross sectional one conducted since 2014 to 2016, among interns of the Imam Reza Teaching hospital of Tabriz University of Medical Sciences. The students were to answer to the questions “What Did You Learn during Your rheumatology Period?” and “What Issue Was More Interesting and Useful?” Their writings were classified according to the national standard guideline of educational program, which contained 24 items; 9 for knowledge, 7 for skills, 4 for attitude and 4 major issues of rheumatology. The data were transferred to the analysis software of SPSS.Results:The statistics indicated that the interns' knowledge was scored forclinical findings, history, psychological effects and treatment of patientsas 70.58%, 0%, 35.29% and 52.94%, respectively. Also their skills inphysical examination, diagnosis and diagnostic arrangementswere scored as 88.23%, 82.35%, and 58.82% respectively. For the attitude assessments, 47.05% and 58.82% of the interns had learntactive listening (patient value) and ethical behavingduring their 7-day ward period. According to the assumed program for the major issues of rheumatology,arthritis and back painwas learned as well in 21.44% and 41.17% of interns.Conclusion:The findings indicated that this strategy can be an effective way for medical students' assessment. They assess themselves while reviewing their learning and writing them down. It can also be useful for the professors. Assessments should be according to the evidence based logbook; to consider how it is being taught. Through the current strategy, the common cases of the rheumatology ward and clinic get distinguished. Thus, if any change is needed to be conducted on the content of the evidence based logbook, it can be done.
208: TRANSLATION AND VALIDATION OF THE PELVIC FLOOR DISTRESS INVENTORY SHORT FORM (PFDI-20), IRANIAN VERSION
Authors: Hakimi Sevil , Hajebrahimi Sakineh , Bastani Parvin , Aminian Elham , Ghana Samieh , Mohammadi Marzieh 
Published: May 2024

Background and aims:The Pelvic Floor Distress Inventory (PFDI) was developed and validated to measure symptom distress and impact on Health related quality of life (RQOL), focusing on pelvic organ pelvic organ prolapse (POP), urinary incontinence (UI) and fecal incontinence (FI). The purpose of this study was assessment of translation, cultural adaptation and psychometric validation of PFDI-20 and PFIQ-7.Methods:The study was a cross sectional research. The sampling method was multi stage sampling. Out of 33 urban health centers in Tabriz, half of them were selected randomly. In the second phase using quota sampling method from each center, middle age women who attended the health centers for giving medical care and diagnosed with PDF were included in the study.Signs of genital prolapse were recorded during the pelvic examination in dorsal lithotomy position. Diagnosis of POP was performed according to the modified pelvic organ prolapse (POP-Q).Inclusion criteria were menopausal women aged 45 years and older with at least one symptom of PFD including UI, FI or POP existing for at the minimum 3 last months. Exclusion criteria were previous pelvic surgery, any malignant tumor, mental retardation and dementia. UI, FI and POP were defined with using of International Continence Society criteria.Construct validity of questionnaire was assessed by ceiling and floor effect. Ceiling or ﬂoor effects were given when more than 15% of the responses get the best or worst possible score respectively.The questionnaires internal consistency were assessed by calculation of Cronbach's alpha. Reliability of the questionnaires was estimated by test retest reliability. The questionnaires were re-administered to 30 individuals 2 weeks after the first administration.Results:A total of 150 women with PFD were recruited in this study. The mean age (SD) was 52.3 (4.0). Translation and cultural adaptation of PFDI-20 to Persian language had a good value with regards of meaning, idiomatic and content. The results of test- retest reliability and internal consistency were shown in Table 1.Conclusion:The results of this study were demonstrated that Iranian version of PFDI-20 has acceptable validity and reliability.Table 1Results of analysis for internal consistency and test- re test reliability for the PFDI-20PFDI-20Test retest reliabilityN=30Internal consistencyN=150POPDI0.680.67CRADI0.710.69UDI0.690.70The PFIQ-7 Iranian version showed a ﬂoor effect (29.6%).
21: ASSESSMENT OF SERUM LEVEL OF ANTI-PSEUDOMONAS AERUGINOSA IMMUNOGLOBULIN IGG IN CHILDREN WITH CYSTIC FIBROSIS ADMITTED TO MOFID CHILDREN'S HOSPITAL IN 2013–2014
Authors: Mostafavi Sina , Asgharzade Ali Zhiani , Zare M , Abbasi F , Karimi M , Shahkar L 
Published: May 2024

Background and aims:One of the most common reasons of mortality in patients with cystic fibrosis (CF) is lung infection; and Pseudomonas aeruginosa (PA) has the highest share. In children above 6 and adults with CF, cultures can be well-recognized due to the presence of expectorated sputum; but children under 6 years have not reliable sputum, so serological tests for PA sensitive antigens can be helpful. The aim of this study was to evaluate serum levels of IgG through PA infection in children and adolescent with CF; and to replace the sputum culture tests with this method.Methods:In this cross-sectional study, Blood and sputum or throat samples were taken from 68 patients with CF. PA existence was studied in the samples. The variables including age, sex, and lung function tests were obtained. Then 3 serum antigens levels were determined by enzyme-linked immune sorbent assay (ELISA).Results:The mean age of children was 7.4±5.6 (ranging 23 to 0.5) years. Generally in CF patients, the percentage of PA infection increased in higher ages. Meaningful relationship was observed between the level of serum IgG in children with CF and positive sputum culture for PA.Conclusion:Anti-PA antibodies can be early markers for diagnosis of PA infection, especially in young children who cannot expectorate. Due to the impact of age on CF patients with PA infection, PA early diagnosis can prevent lung damage and increases longevity and quality of life in this group of patients.
23: ASSOCIATION OF HEALTH-RELATED QUALITY OF LIFE WITH RESILIENCE AMONG MOTHERS OF CHILDREN WITH CANCER: A CROSS-SECTIONAL STUDY
Authors: Salimi Sedigeh , Pakpour Vahid , Ghafourifard Mansour 
Published: May 2024

Background and aims:Childhood cancer as a life-threatening illness has negative consequences for both the patients and their family. The aim of this study was to examine the impact of child cancer on their mother's quality of life and to assess the association of quality of life with resilience among mothers of children with cancer.Methods:In this cross-sectional study, a total of 145 mothers of children with cancer participated. Data were collected by two questionnaires: (a) PedsQL™ Family Impact Module, (b) Connor- Davidson Resilience Scale. Data were analyzed using SPSS version 13. Pearson correlation test was run for the analysis.Results:The result showed that total scale score, HRQOL Summary score, and the Family Functioning Summary Score were 41.68±20.62, 43.10±22.40, and 45.06±24.30, respectively. The mean score of resilience among mothers of children with cancer was 86.80±19.08. There was a positive association between resilience and all dimensions of life quality (p<0.05).Conclusion:Measuring HRQOL and resilience in a preventive strategy would help to address vulnerable mothers and to present psychosocial support for them. Designing and implementing family-oriented and parent focused intervention strategies in health care systems are recommended for improving the quality of life of families with cancer children.
29: CEILIAC DISEASE AND BONE MASS DENSITY
Authors: Parast Vida Mohammd , Paknahad Zamzam 
Published: May 2024

Background and aims:Celiac disease (CD), an autoimmune disease initiated by the ingestion of food containing gluten. Constant intolerance to gluten cause damages of the small intestinal mucosa. One of reasons malabsorption in children and infants is Celiac disease. About 75% of newly identified patients with celiac disease have low bone mineral density (BMD). Many factors have role in metabolic bone disease such as disturbance in calcium absorption, consume of endogenous calcium, fecal loss, damaged to vitamin D absorption and inflammatory mediators. The gluten free diet (GFD) is only efficacious treatment for celiac disease. Low bone mineral density (BMD) which is a prevalent problem of untreated CD may be restored by gluten free diet.Methods:We searched the following databases: PubMed, ISI web of science, Google scholar and EMBASE databases by using celiac disease & gluten free diet, celiac disease & bone mineral density & gluten free diet& children to July 2016.Results:Most of children with CD before treatment with gluten-free diet have reduced low bone mass density. Gluten-free diet caused normal bone mineral density in most of celiac children and adolescent. The duration treatment for restore bone mass has not been obviously. There are not similar time points for all patients; therefore duration of treatment is different. There is relation between age of intervention and recovery bone mineral density. In older children may have slower grades of improvement.Conclusion:Gluten free diet have important role on bone health. If the diagnosis and management done before adolescence may children with celiac disease achieve normal bone mass.
31: CHALLENGES OF HUMAN RESOURCES MANAGEMENT IN QUALITY IMPROVEMENT BY CLINICAL RISK MANAGEMENT: A QUALITATIVE STUDY ON IRANIAN NURSES' EXPERIENCES
Authors: Farokhzadian Jamileh , Borhani Fariba , Poorchangizi Batool , Nayeri Nahid Dehghan 
Published: May 2024

Background and aims:In recent years serious deficiencies have been identified in the quality of care and patient safety. Clinical risks have created concerns and challenges throughout the healthcare. In 2000, the Institute of Medicine in a report published about 44 000 to 98 000 people die annually as a result of failures in healthcare. After this report hospitals focused on quality improvement using the clinical risk management (CRM) system. This process involves management of human resources, but limitations and shortcomings exist in these resources. The aim of this study was to explore nurses' experiences related to the challenges of human resources management in implementing CRM in the hospitals context.Methods:This qualitative study was based on the conventional content analysis of the Lundman and Graneheim approach. The purposive sampling method was used to choose 22 nurses from three hospitals affiliated with the Kerman University of Medical Sciences in southeast of Iran. Data were collected through semi-structured and deep interviews.Results:According to the nurses' experiences, human resources management was not suitable, because challenges had created negative perceptions about it. Efficient and competent human resources are effective in achieving the objectives of a CRM system. But, human resource management is accompanied by many challenges. The challenges were described in the following six dimensions: 1) Inadequate productivity, 2) Recession of empowerment, 3) Inappropriate evaluation of performance, 4) Lack of motivation, 5) Personal characteristics and professional competencies, 6) Ethical and professional commitments.Conclusion:A suitable context must be provided for nurses by their managers. They must be preparing the infrastructure of human resources management. When the organizational context is improved, nurses will be more satisfied and have a greater tendency to implement and integrate CRM in practice. Therefore, in hospitals, planning for empowerment and improvement of human resources should be placed in a strategic program. Educational programs should be correct, principled, based on the needs of nurses, in line with the purposes of CRM, and continued constantly.
34: COMPARING TWO METHODS OF ENTERAL NUTRITION IN TERMS OF THEIR COMPLICATIONS AND THE TIME NEEDED TO REACH GOAL CALORIE IN PATIENTS HOSPITALIZED IN ICU
Authors: Adineh Mohammad , Fayazi Sedigheh 
Published: May 2024

Background and aims:Nutrition support and noticing the required goal calories in patients having critical conditions are essential aspects of medical care in preventing malnutrition in these patients.Methods:This research is a clinical trial which was done on 60 Patients aging between 18 to 65 years old hospitalized in Intensive Care Unit (ICU) of Shiraz's Namazee hospital, South West of Iran, during April to September 2015. Patients were separated randomly into two groups. Enteral nutrition was done with infusion pump for one of the groups and intermittently for the other one. The data was collected for 7 days by a check list regarding enteral nutrition method, complications and the time needed to reach goal calories. Data analysis was done using SPSS-18 software through Chi-square and t-student test.Results:The results of this study showed that there was a significant difference of the mean time needed to reach target goal calorie between the continuous and intermittent nutrition methods (P<0.05), so the time was less in continuous infusion method. But, there was no significant difference between the GI complications of the two groups (P>0.05).Conclusion:This study showed that continuous enteral nutrition method has better outcomes in Patients hospitalized in ICU than intermittent method.
46: DEVELOPMENT OF EVIDENCE-BASED HEALTH POLICY DOCUMENTS IN DEVELOPING COUNTRIES: A CASE OF IRAN
Authors: Nasab Mohammad Hasan Imani , Seyedin Hesam , Majdzadeh Reza , Yazdizadeh Bahareh , Salehi Masoud 
Published: May 2024

Background and aims:Evidence-based policy documents that are well developed by senior civil servants and are timely available can reduce the barriers to evidence utilization by health policy makers. This study examined the barriers and facilitators in developing evidence-based health policy documents from the perspective of their producers in a developing country.Methods:In a qualitative study with a framework analysis approach, we conducted semi-structured interviews using purposive and snowball sampling. A qualitative analysis software (MAXQDA-10) was used to apply the codes and manage the data. This study was theory-based and the results were compared to exploratory studies about the factors influencing evidence-based health policymaking.Results:18 codes and three main themes of behavioral, normative, and control beliefs were identified. Factors that influence the development of evidence-based policy documents were identified by the participants: behavioral beliefs included quality of policy documents, use of resources, knowledge and innovation, being time-consuming and contextualization; normative beliefs included policy authorities, policymakers, policy administrators, and co-workers; and control beliefs included recruitment policy, performance management, empowerment, management stability, physical environment, access to evidence, policy making process, and effect of other factors.Conclusion:Most of the cited barriers to the development of evidence-based policy were related to control beliefs, i.e. barriers at the organizational and health system levels. This study identified the factors that influence the development of evidence-based policy documents based on the components of the theory of planned behavior.But in exploratory studies on evidence utilization by health policymakers, the identified factors were only related to control behaviors. This suggests that the theoretical approach may be preferable to the exploratory approach in identifying the barriers and facilitators of a behavior.
50: EFFECT OF LOW-LEVEL LASER THERAPY IN THE TREATMENT OF BURNING MOUTH SYNDROME: A SYSTEMATIC REVIEW AND META-ANALYSIS
Authors: Amirzade-Iranaq Mohammad Hossein , Masoumil S. M. R. 
Published: May 2024

Background and aims:low level laser therapy (LLLT) has been used in the treatment of burning mouth syndrome (BMS) for recent years and the role of intervention has not proven accurately. We conducted a systematic review and meta-analysis to investigate the efficacy of low level laser therapy (LLLT) in the treatment of burning mouth syndrome (BMS).Methods:We performed a search on PubMed, Embase, Scopus and Web of Science for relevant studies that met our eligibility criteria. English language restriction included and only randomized clinical trials on humans entered to this study.Data extraction: 63 Records identified through database searching and also 1 Additional records identified by hand-searching. After removing duplicates and studies not meeting inclusion criteria like case reports and animal studies, at last 9 Full-text articles assessed for eligibility. Quality assessment of this study was executed by using the Critical Appraisal Skills Programme (CASP). Eventually 7 of these studies were selected for meta-analysis by Comprehensive meta-analysis version 2.Results:From Total of 9 studies 7 randomized controlled trials (RCTs) studies including BMS patients were selected. Our results shows us LLLT can relieve the sensation of mouth .WMD in visual analog scale (VAS) pain outcome score after treatment was significantly lower in the experimental groups compared with control groups (WMD=−11.42 [95% CI= −16.82, −9.72], I(2) =0%).Conclusion:low level laser therapy is an effective therapeutic intervention in reduction of the symptoms of burning mouth syndrome.