bluuebunny/crossref_metadata_2025_split huggingface dataset:
18: ASSESSMENT OF EXISTENCE OF THE REQUIREMENTS OF CLINICAL RISK MANAGEMENT IN HOSPITALS
Authors: Farokhzadian Jamileh , Poorchangizi Batool , Borhani Fariba 
Published: May 2024

Background and aims:At present, modern advances in health care, serious deficiencies have been identified in the quality of care and patients' safety. One way to handle these challenges is the establishment of a clinical risk management (CRM) system. This approach would improve the quality of healthcare and help ensure the safety of patients, visitors, and employees, as well as reduce the costs associated with the healthcare system. The aim of this study was to assess the existence of the requirements of CRM in the hospitals.Methods:This cross-sectional study was conducted on 200 clinical staff members from three teaching hospitals affiliated with the Kerman University of Medical Sciences in southeast Iran in 2014. The proportionate simple random sampling technique was used. Two tools were used for data collection, i.e., a structured observation checklist and a questionnaire. The data were analyzed using SPSS version 20.Results:Among the six domains of CRM, the highest mean belonged to domain the monitoring of analysis, evaluation and risk control (3.18±0.72).; the lowest mean belonged to domain the staff's knowledge, recognition and understanding of CRM (2.93±0.66). The findings indicated that implementing and developing domains of CRM ranged from poor to moderate. Almost all of study settings were implementing most measures of CRM. Despite these initiatives, there were no incident report forms in patients' files; electronic systems, such as Patient Safety Information Systems (PSIS); or the Patient Safety Reporting System (PSRS).Conclusion:Despite the establishment of clinical governance and accreditation approaches, the status of CRM is not appropriate. Health care in southeast Iran is not moving enough towards high quality and safe practice. Health care should move toward quality improvement and safe practice through the effective integration of CRM in organizational process. The organizational leaders must facilitate this process by creating necessary institutional infrastructures and strategic planning, management systems, and reinforcement of teamwork and professional communication to build positive attitudes among care providers towards strategies accreditation and clinical governance.
181: INFORMATION PRESCRIPTION FOR HEART FAILURE PATIENTS; A RANDOMIZED CONTROLLED TRIAL
Authors: Gavgani Vahideh Zarea , Golmohammadi Ali , Sadeghi-Bazargani Homayoun , Majd Faranak Kazemi 
Published: May 2024

Background and Aims:Patient's health/medical literacy may affect the healthcare promotion. There are various educational models for patient. The physician prescribed information intervention seems to be effective and demanded way of patient information delivery. We presented physician prescribed, medical librarian provided information after the physician confirmation to HF patients classified in functional class III or IV. The purpose of this study was to determine whether physician prescribed information intervention would decrease the rate of hospital re-admission in heart failure patients with functional class III or IV. The secondary outcomes were the cost of re-admission and change in number and type of medication prescription (Rx).Methods:We performed a 12-month randomized controlled trial from December 2013 to December 2014. 120 Patients were randomly allocated into two groups of intervention (n=60) and control (n=60).The control group received routine information given by nurse or physician and the intervention group received routine information plus Information Prescription (IP) prescribed by physician and presented to patient by librarian who explain patient how to use the prescription and describe it orally. Data were collected by telephone interviews with the follow up interval of 3, 6 and 12 months after discharge. Analysis of data was performed continually. Primary outcome was re-admission and or death in HF patients.Results:Patients were included with mean age 71.05±11.3. Patients in the intervention group had a lower rate of hospital re-admission or death upon adjusting a Cox survival model, the patients in the intervention group compared to control group [RR: 0.57 CI: 0.4–0.81] NNT: 3.3, CI NNT: 7.7–2.13. Fewer patients died during one year in intervention group compared to the control group (7vs15) [P=0.059, RR=0.47, CI: 0.20–1.06] NNT: 7.69 CI NNT: 3.7–333 .There was no significant difference in medication changes in intervention group compared to control group [RR=5; 95%CI: 2.6–9.8] NNT: 1.87 CI NNT: –1.47––2.76. Financial study demonstrated nearly triple difference in intervention and control per patient re-admission cost.Conclusion:Findings of this pilot study have shown that physician prescribed information intervention is clinically effective in reduction of death and re-admission rate in HF patients classified in functional class of III or IV. However to achieve the level of certainty based on statistical significance more evidence are still needed. Physician prescribed information intervention is a low cost, safe and risk free intervention comparing to other complementary intervention specially other educational programs for chronic conditions such as HF.
188: NURSES' UNDERSTANDING OF EVIDENCE-BASED PRACTICE AND IDENTIFICATION OF BARRIERS TO UTILIZATION FROM RESEARCH: A STUDY OF NURSES' KNOWLEDGE, ATTITUDE AND PRACTICE
Authors: Kalhor Rohollah , Kiaei Mohammad Zakaria , Azmal Mohammad , moosavi Saeideh , Tabatabaee Seyed Saeed , Gholami Soheyla 
Published: May 2024

Background and aims:In medical organizations, nurses utilize evidence-based practice (EBP) in order to evaluate their skills, develop and implement policies and procedures, carry out effective clinical interventions, and prepare care plans to enhance positive outcomes for patients. The aim of this study was to investigate the nurses' understanding of EBP and its relevant barriers in the selected hospitals in Iran.Methods:The present study was a descriptive- analytical research that was conducted using a cross-sectional design in order to investigate the nurses' understanding of EBP and its barriers. In so doing, 260 nurses were randomly selected from 6 teaching hospitals in Qazvin, Iran. Upton Evidence-based Practice Questionnaire and Funket al.Barriers Scale were employed to measure EBP dimensions and the relevant barriers, respectively. For analyze of collected data, frequency distribution tables, ANOVA, and linear regression coefficient were used.Results:According to the results of the present study, the level of the nurses' understanding of EBP was totally over the average (3.91 out of 7), and the mean practice, attitude, and knowledge/skill were respectively 4.14, 3.78, and 3.74. The total mean of the barriers was 3.07. The organizational and adopter dimensions had the maximum and minimum means, respectively. There were a significant relationships between adopter and communication with practice There were also significant relationship between the adopter and organization with Knowledge/Skills (p<0.05).Conclusion:Administering educational programs based on needs assessment obtained from the results of the present study can lead to an improvement in the level of the nurses' knowledge about EBP. In addition, since the existing barriers influence the effective conduction of EBP, removing such barriers by creating the necessary infrastructures and supplying human, physical, and financial resources can help with the achievement of its goals.
189: PATIENT MRI UTILIZATION BEFORE AND AFTER IRANIAN HEALTH CARE REFORM IN SHIRAZ GOVERNANCE HOSPITAL
Authors: Hajizamani Shadi , Sadeghimehr Reza , Aghajanian Saeid , Amozagar Mahbobeh , Sadati Ahmad Kalateh 
Published: May 2024

Background and aims:This study aimed to compare MRI utilization in governmental hospital 6months before and after Iranian health care reform in equal 6 months for 92&93.Methods:This is cross sectional study and data gathered from R&D department of Shiraz University of medical sciences and for data analysis used excell2007 and calculated utilization indexResults:The total number of MRI scans in 92 was (31613) and in93 (35175). Average of inpatient admissions in 92 was (653) and for 93 (763) while the average utilization in 92 for outpatient was (4615) and this average for 93 is (4600) and utilization Index for inpatient is (1/16) and also for outpatient is (0/98).Conclusion:results indicate increase for inpatient utilization after reform .it seems that inpatient health coverage by government increase the possibility of induced demand by service provider after Iranian health care reform are important reasons for this changes in utilization index. It's important to monitoring all aspects by applying appropriate rules and prevents waste of resources and expanding justice for utilization of services.
19: ASSESSMENT OF KNOWLEDGE, ATTITUDE AND PRACTICAL SKILLS REQUIRED FOR MEDICAL INTERNS TO LEARN DURING THE 7-DAY RHEUMATOLOGY WARD PERIOD IN TABRIZ UNIVERSITY OF MEDICAL SCIENCES
Authors: Mokhtarkhani Mohaddeseh , Kolahi Sousan , Najafi Maryam 
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 ward 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 for clinical findings, history, psychological effects and treatment of patients as 53.84%, 3.84%, 11.54% and 76.92%, respectively. Also their skills in physical examination, diagnosis, diagnostic arrangements, and medical recordings were scored as 100%, 88.46%, 76.92% and 53.84% respectively. For the attitude assessments, 34.61% and 38.46% of the interns had learnt active listening (patient value) and ethical behaving during their 7-day ward period. According to the assumed program for the major issues of rheumatology, arthritis and back pain was learned as well in 11.53% and 26.92% 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.
196: THE EFFECT OF FAMILY PRESENCE DURING PEDIATRIC INTENSIVE CARE UNIT BEDSIDE ON FAMILY GENERAL HEALTH: A CLINICAL TRIAL STUDY
Authors: Adineh Mohammad , Toulabi Tahereh 
Published: May 2024

Background and aims:A child's hospitalization in intensive care units causes stress and worry in other family members. This study aimed to determine the effect of family presence during pediatric ICU bedside on family general health.Methods:In this clinical trial study, 46 family members of the pediatrics hospitalized in the ICU in Teaching hospital affiliated with the Lorestan University of Medical Sciences in khorramabad in April to November 2014 were divided into two groups using the stratified block randomization. Family members of the intervention group were present at the bedside of their patients two hours a day for six days, but family members of the control group did not visit their patients during six day. The general health status of the family members in the two groups was evaluated immediately before and after the visit on the first, sixth and twelfth visit, by using the General Health Questionnaire (GHQ). The data was analyzed using the repeated measure tests and independent t-tests.Results:Results showed there was a significant difference between the groups in terms of the means of the GHQ scores of the family members before and after the intervention (P<0.05).Conclusion:The presence of family members at pediatrics' bedside and their cooperation in care can improve their general health.
205: THE USE OF SOCIAL MEDIA TO CREATE VIRTUAL COMMUNITIES FOR PROMOTING EVIDENCE BASED PRACTICE AMONG NATIONAL UROLOGIST
Authors: Ebrahimi Sina , Ghoreifi Alireza , Shakiba Behnam , Azaripour Arash , Deldadeh Hamid , Elahian Amir Reza , Hadi Mazaher , Emadi Parvin , Rajaee Hamed , Dehghani Mehdi , Nosraty Lily 
Published: May 2024

Background and aims:This study aimed to find how Iranian national urologist see the Telegram messaging app to create a virtual community for sharing knowledge, patient management and problem solving by using best evidence.Methods:Telephone interviews with 50 urologist from Iran (10 residents, 25 urologist and 15 fellow), conducted in the context of use telegram. (We launched Telegram in 2016 and it has 295 members) In the interviews the respondents were asked to give their opinions about frequency of social media use, professional usefulness, popularity, ethics and barriers, evidence based practice and impact of this social media tools on their education, practice and patient management. The interviews were subjects to thematic analysis with an inductive approach.Results:The result sought to determine how these professionals are using an applicable messaging app-Telegram- and use their learning through this tool in their practice. The most of respondents emphasized the importance of this tool in their medical education in relation to busy and shift working schedule. The respondents saw this tool as a smart innovation for solving problem in their practice. However, they mentioned that in the lack of evidence they could not express their opinion which lead incompetence. The important things for our respondents were to continue their professional communication through online social networking sites but shift working times make them unable to attend the scheduled educational sessions. Therefore, new tools and social network are essential in continues education.
206: TRACKING THE PATIENT'S RIGHT TO INFORMATION IN IRANIAN PATIENT RIGHT CHARTER FROM THE MEDICAL INFORMATION SCIENCE PERSPECTIVE: A QUALITATIVE STUDY
Authors: Samadi Soraya , Gavgani Vahideh Zarea 
Published: May 2024

Background and aims:From the information science perspective making the right information accessible to patients ensures the healthcare promotion and empowers the patient to contribute and involve in his/her healthcare decision making and change. This study aimed at analyzing and visualizing the Iran's Patients Right Charter from the Medical Library and Information Sciences' viewpoints.Methods:A mix method of qualitative and quantitative was used to push the study. Content Analyzing and Descriptive method were used to analyze and describe data. It was also benefited the documentary methods to review the related literature in citation databases and gray literatures. And descriptive analysis also was hired to show the share of each concept in total knowledge depiction of Patient's Right to Information. The Iranian patient right charters were reviewed to trace the concept of information/right to information in every Para and articles. The Library Congress Subject Heading (LCHS) was used to extract the equivalent/parallel concepts related to ontology of information in the concept of health and medicine as well as law. All the LCSH based terms were then converted to main categories and subcategories. Patient right charters were reviewed with the LCSH based categories to reveal does the patient right charter include the right to information parameters, and which concepts, Para or articles is supporting right to information?Conclusion:Access to the right information at the right time is advocated by ethical and legal issues of clinical governance through the patients' rights. But to execute the patient's rights to information in practice it is essential to create clinical guidelines and to develop rules for information therapy service in Iran.
33: COMPARING THE EFFECTS OF BREAST CANCER SCREENING EDUCATION BASED ON “SYSTEMATIC COMPREHENSIVE HEALTH EDUCATION AND PROMOTION” MODEL TO HEALTH VOLUNTEERS ON WOMEN'S PRACTICE
Authors: Mirzaii Khadijeh , Ashkezari Shadan Nessari , Khadivzadeh Talaat 
Published: May 2024

Background and aims:Breast cancer is the most common cancer among Iranian women .One of the challenges of educational planners in gamut of reproductive health is how to deliver effective medical and health instructions. It feels and absolute need to have a native Educational model. This study attempted to determine the effect of breast cancer screening education based on SHEP (Systematic comprehensive Health Education and Promotion) model to Healthy volunteers on women's attitude covered by Mashhad health centers.Methods:This was a quasi-experimental study with two group/ Trainers and Audients, done in 2 urban health centers affiliated to Mashhad district health authority, divided randomly to experimental and control centers. 6 health volunteers and 60 women with random selected from each center were the sample of the study. An 8-hour workshop conformity SHEP model was conducted over two days for health volunteers in experimental group. In both centers 10 women were allocated for each health volunteer, were taken a pre-test with a breast self-examination checklist, and a questionnaire evaluating their knowledge and attitude about breast cancer screening and intend to do mammography and clinical examination. 2-hour educational session was performed for them by health volunteers, immediately and 4 weeks after educational sessions 2 post-tests were taken. Research data were processed and analyzed, using t-test, two-way ANOVA, Mann Whitney, Friedman, Chi Square, Fisher's exact test in SPSSv20Results:The mean scores of knowledge, attitude and practice was not statistically different between two groups in pre-test (p>0/05).There was a significant difference in mean scores of knowledge, attitude and practice between two groups immediately and one month after the intervention and on both times was higher in experimental group (p<0/05).Conclusion:Results of this study emphasize the efficiency of training based on SHEP model by usage peer Trainers on women's short and long term knowledge promotion about breast cancer screening, their attitude reformation toward breast cancer screening and improvement their performance in breast self-examination and intention to mammography and clinical breast examination.
38: COMPLICATIONS OF BROWN ADIPOSE TISSUE AND ITS ASSOCIATION WITH CARCINOGENESIS; A SYSTEMATIC REVIEW (PRELIMINARY DATA)
Authors: Jourabchi-Ghadim Neda , Aynehchi Aydin , Ebrahimi-Mameghani Mehrangiz 
Published: May 2024

Background and aims:Recently, increasing Beige/Brown Adipose Tissue (BBAT) - a hyper-metabolic tissue in human body – has been a promising tool to combat metabolic diseases such as obesity, diabetes and metabolic syndrome, which are associated with some cancers. Therefore, it seems that increased BBAT could reduce cancer incidence, which it is not agreed with the results of a number of studies. By considering the findings of observational and experimental studies, we aimed to review existing evidence for the link between BBAT hyperactivity and carcinogenesis.Methods:A systematic review of either published or e-published literatures from 1946 up to July-2016 was carried out using PRISMA guidelines. Scientific databases and search engines including MEDLINE, EMBASE, Ovid, PubMed, Scopus, ClinicalKey and ProQuest were searched systematically using key terms including “cancer”, “neoplasm”, “malignancy”, “carcinoma”, “tumor”, “metastasis”, “oxidative stress”, “free radicals”, “oxidant”, “brown”, “beige”, “brite”, “adipose”, “adipocyte” and “fat” in combination. This search was limited on English reported original research that were thoroughly appraised and included in this review.Results:Somein vitroandin vivostudies met the selection criteria. The production of a significant amount of free radicals by uncoupling chain protein 1 (UCP1) in the BBAT mitochondria has frequently been investigated. This could be as the main contradiction of a hyperactive-BAT. Furthermore, the link between BBAT activity and risk of cancer has been reported in a limited number of observational studies, esp. with breast cancer. Hence, BAT hyperactivity has been reported to be accompanied by the browning process of white adipose tissue (producing beige fat) in some experimental and observational studies that could deteriorate cancer cachexia through increasing metabolism. The production of free radicals along with increasing metabolism and energy expenditure of the human body has been suggested as possible mechanisms.Conclusion:It is concluded that although BBAT hyperactivity could have a potential role in carcinogenesis and cancer-induced cachexia, more human studies are required to focus on BBAT involvement in carcinogenesis.
40: CONSIDER THE PHYTOCHEMICAL, ANTI-BACTERIAL, ANTI-FUNGAL, ANTI-GIARDIA AND ANTIOXIDANT COMPOUNDS OF NECTAROSCORDEUM KOELZII AND NECTAROSCORDEUM TRIPEDALE
Authors: Rashidipour Marzieh 
Published: May 2024

Background and aims:Nectaroscordeum species are belong to the Alliaceae Liliaceae family which are used as ornamental flowers because of beautiful inflorescences. Leaves of nectaroscordeum koelzii and nectaroscordeum tripedale collected from west mountainous regions of Iran in the spring and used as flavorings in the preparation of a local bread. The aim of this stydy is consider the phytochemical, anti-bacterial, anti-fungal, anti-Giardia and antioxidant compounds of nectaroscordeum koelzii and nectaroscordeum tripedale.Methods:Component were extracted using methanol as solvent extraction, separation and measurement of the two plants by gas chromatography (GC/MS) was done, phytochemical properties of extract, including antioxidants, anthocyanins, phenols and flavonoids were examined. anti-bacterial and anti-fungal activity of the extracts were evaluated in two ways MIC and MBC, different concentrations of the extract was used to measure anti-Giardia.Rrsults:Most composition of essential oils of N. koelzii include: Di-El. Limonene (35/09%), beta-pinene (20/06%) and Trans-caryophyllene (11/32%), IC50 µg/ml 263/03, phenolic compounds 0/15%, flavonoid compounds 61/44% was reported, respectively.Most composition of essential oils ofN.tripedaleinclude: 2,4-decadinal (11/11%), Hexadecanoic acid(10/29%),Heptadecane(9/55%).The MIC for antibacterial and antifungal activity of extracts from both plants was variable between 625 and 10,000 per ml. In this study, the maximum power extract for anti-Giardia was at a concentration of 20 milligrams per ml. IC50 330/58 µg/ml, phenolic compounds 0/04%, flavonoid compounds 26/88% and anthocyanin was 4*10−6.Conclusion:According to the results obtained, N. koelzii extract was more powerful thanN.tripedalein biological properties, so these plants can be used as a preservative in food, pharmaceutical and cosmetics.