ORCID Profile
0000-0002-5430-3758
Current Organisations
Australian College of Rural and Remote Medicine
,
Kerman University of Medical Sciences
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Publisher: Farname, Inc.
Date: 23-09-2023
Publisher: Informa UK Limited
Date: 17-04-2020
DOI: 10.1080/17483107.2020.1754475
Abstract: The aim of this study was to evaluate the effect of tele-speech therapy on the recovery of patients with a stutter. This research was an interventional study conducted on the patients visiting two rehabilitation centres. In this study, patients with a stutter participated in the tele-speech therapy sessions The results showed a significant difference in the mean scores of stuttering severity before and after tele-speech therapy ( Tele-speech therapy is an effective way for the treatment of stuttering patients irrespective of their age, gender, and educational background. This method can improve patient's speech and reduce stuttering. Implications for RehabilitationTele-rehabilitation is an effective way to treat stuttering.Tele-speech therapy can be implemented for any group of stuttering patients.Participants were satisfied with the tele-rehabilitation intervention.Tele-speech therapy accelerates the treatment process.Tele-speech therapy eliminates patient travels to speech therapies.
Publisher: Springer Berlin Heidelberg
Date: 2012
Publisher: CSIRO Publishing
Date: 2006
DOI: 10.1071/EN05086
Abstract: Environmental Context.Effective management of eutrophication and resultant major algal blooms requires accurate assessment of the importance of internal (sediment-based) as well as external, sources of phosphorus to susceptible aquatic ecosystems. The high spatial variability in pore water filterable reactive phosphorus (FRP) necessitates extensive s ling, and rapid flow injection methods overcome many of the difficulties in maintaining s le integrity. A simple flow injection manifold has been developed to prevent major sulfide interference with FRP determination and therefore enable accurate phosphate measurements. Abstract.Simple on-line sulfide removal using potassium permanganate (KMnO4) was incorporated into a spectrophotometric flow injection (FI) system for phosphate determination using molybdenum blue with ascorbic acid as the reductant. Excess KMnO4 was reduced before the s le zone passed through the detector and the method effectively removed all sulfide interference. Without this removal, sulfide interference caused major errors in filterable reactive phosphorus (FRP) analyses. Some model organic phosphates were tested with the permanganate manifold and there was no conversion to phosphate. With the KMnO4 carrier, the calibration plot was linear over the tested range (0–1000 μg L−1 P), with a detection limit of 38 μg L−1 P. Precision was typically better than 2.5%, based on triplicate injections. FRP determinations on anoxic, estuarine pore water s les were in excellent agreement with the conventional batch method with prior acidification and sparging, but avoided s le pretreatment and the generation of toxic H2S. S les spiked with phosphate gave recoveries of 93–104%. Given the simplicity of modifying conventional FI manifolds to incorporate the improvements described here, it is recommended that all FRP measurements by FI replace water as the carrier with 0.01 M KMnO4 whenever the presence of sulfide is suspected.
Publisher: Farname, Inc.
Date: 08-03-2021
Abstract: Introduction: Advances in mobile health have led to numerous relevant studies in diagnosis, treatment, and controlling of various diseases. One of the criteria indicating the quality of the previously published studies is the number of citations. Therefore, investigating the features of highly cited articles and identifying the most frequently used mobile technological interventions can affect future research ideas. This study aimed at identifying 100 highly cited interventional studies on mobile health, type of used mobile technologies, and effect of these technologies in various diseases in top-cited articles.Methods: The database employed in this study was the Web of Science, which without limitations was analysed in April 2020 to identify 100 highly cited interventional studies in the field of mobile health. The identified studies were classified based on the number of citations, year of publication, country of the first author, type of disease, and use of mobile technology.Results: A great majority of the studies in the field of interventional mobile health focused on obesity (n=18), addiction (n=15), diabetes (n=13) and mental health disorders (n=12), respectively. Many studies employed mobile technologies to promote lifestyle (weight loss and increased physical activity) (n=20), disease controls (n=20), and treatment adherence (n=18). The mean number of citations per study was 146±97. The most cited study was in the category of viral disease treatment adherence (n=703), and the most cited articles were published in 2012.Conclusions: Among the reviewed 100 studies, many of the interventional studies regarding mobile health focused on obesity, addiction, diabetes and mental health disorders. Promotion of lifestyle, disease controls, and treatment adherence were effects of mobile technologies in top-cited articles. Text messaging service was used as intervention in most of the studies. Thus, future studies may focus on the use of various mobile applications on different diseases’ prevention, control, and treatment.
Publisher: Medknow
Date: 2019
Publisher: Hindawi Limited
Date: 22-02-2023
DOI: 10.1155/2023/9990933
Abstract: Introduction. In recent years, the use of dashboards in healthcare has been considered an effective approach for the visual presentation of information to support clinical and administrative decisions. Effective and efficient use of dashboards in clinical and managerial processes requires a framework for the design and development of tools based on usability principles. Objectives. The present study is aimed at investigating the existing questionnaires used for the usability evaluation framework of dashboards and at presenting more specific usability criteria for evaluating dashboards. Methods. This systematic review was conducted using PubMed, Web of Science, and Scopus, without any time restrictions. The final search of articles was performed on September 2, 2022. Data collection was performed using a data extraction form, and the content of selected studies was analyzed based on the dashboard usability criteria. Results. After reviewing the full text of relevant articles, a total of 29 studies were selected according to the inclusion criteria. Regarding the questionnaires used in the selected studies, researcher-made questionnaires were used in five studies, while 25 studies applied previously used questionnaires. The most widely used questionnaires were the System Usability Scale (SUS), Technology Acceptance Model (TAM), Situation Awareness Rating Technique (SART), Questionnaire for User Interaction Satisfaction (QUIS), Unified Theory of Acceptance and Use of Technology (UTAUT), and Health Information Technology Usability Evaluation Scale (Health-ITUES), respectively. Finally, dashboard evaluation criteria, including usefulness, operability, learnability, ease of use, suitability for tasks, improvement of situational awareness, satisfaction, user interface, content, and system capabilities, were suggested. Conclusion. General questionnaires that were not specifically designed for dashboard evaluation were mainly used in reviewed studies. The current study suggested specific criteria for measuring the usability of dashboards. When selecting the usability evaluation criteria for dashboards, it is important to pay attention to the evaluation objectives, dashboard features and capabilities, and context of use.
Publisher: ScopeMed
Date: 2016
Publisher: Farname, Inc.
Date: 31-08-2019
Abstract: Introduction: Speech recognition(SR) technology has been existing for more than two decades. But, it has been rarely used in health care institutions and not applied uniformly in all the clinical domains. The aim of this study was to investigate the accuracy of speech recognition system in four different situations in the real environment of health services. We also report physicians' experience of using speech recognition technology.Method:. To do this study, NEVISA SR software professional v.3 was installed on the computers of expert physicians. The pre-designated medical report was tested by the physicians in four different modes including slow expression in a silent environment, slow expression in crowded environments, rapid expression in a silent environment and rapid expression in a busy environment. After using the speech recognition software by 15 physicians in hospitals, a designed questionnaire was distributed among them. .Results: The results showed that the highest average accuracy of speech recognition software was in the silent environment by slow expression and the minimum average accuracy was in the busy environment by rapid expression. Of all the participants in the study, 53.3% of the physicians believed that the use of speech recognition system promoted the workflow.Conclusion: We found that software accuracy was generally higher than the expectation and its use required to upgrade the system and its operation. In order to achieve the highest level of recognition rate and error reduction by speech recognition, influential factors such as environmental noise, type of software or hardware, training and experience of participants can be also considered.
Publisher: Wiley
Date: 05-2023
DOI: 10.1002/HSR2.1255
Abstract: Upper limb disabilities are one of the most common disabilities among different groups of people who always need rehabilitation. One of the important methods in helping to carry out efficient rehabilitation processes and exercises is the use of games. The aim of this study is to identify the parameters necessary to design a successful rehabilitation game and the outcomes of using these games in upper limb disabilities rehabilitation. This scoping review was conducted by searching the Web of Science, PubMed, and Scopus. The eligibility criteria were: any form of game‐based upper limb rehabilitation, published in a peer‐reviewed journal, published in English, and not include articles that did not focus upper limb disabilities rehabilitation games, review, meta‐analysis, or conference papers. Analysis of collected data was done using descriptive statistics (frequency and percentage). The search strategy retrieved 537 relevant articles. Finally, after removing irrelevant and repetitive articles, 21 articles were included in this study. Among the six categories of diseases or complications of upper limb disabilities, games were mostly designed for stroke patients. Smart wearables, robots and telerehabilitation were three technologies that were used for rehabilitation along with games. Sports and shooters were the most used games for upper limb disability rehabilitation. Among 99 necessary parameters for designing and implementing a successful rehabilitation game in ten categories. “Increasing the patient's motivation to perform rehabilitation exercises”, “Game difficulty levels”, “Enjoying and the attractiveness of the game for patients”, and “Providing positive or negative audiovisual feedback” were the most important parameters. “Improvement in musculoskeletal performance” and “Increasing users' enjoyment/joy of therapeutic exercises and their motivation to perform these exercises” were the most important positive outcomes, and “Mild discomfort such as nausea and dizziness when using games” was the only negative outcome. The successful design of a game according to the parameters identified in the present study can lead to an increase in the positive outcomes of using games in the rehabilitation of disabilities. The study results indicate that upper limb therapeutic exercise augmented with virtual reality games may be highly effective in enhancing motor rehabilitation outcomes.
Publisher: Mary Ann Liebert Inc
Date: 10-2010
Abstract: Researchers in the domain of telemedicine throughout the world tend to search multiple bibliographic databases to retrieve the highest possible number of publications when conducting review projects. Medical Literature Analysis and Retrieval System Online (MEDLINE), Excerpta Medica Database (EMBASE), and Cumulative Index to Nursing and Allied Health Literature (CINAHL) are three popular databases in the discipline of biomedicine that are used for conducting reviews. Access to the MEDLINE database is free and easy, whereas EMBASE and CINAHL are not free and sometimes not easy to access for researchers in small research centers. This project sought to compare MEDLINE with EMBASE and CINAHL to estimate what proportion of potentially relevant publications would be missed when only MEDLINE is used in a review project, in comparison to when EMBASE and CINAHL are also used. Twelve simple keywords relevant to 12 different telemedicine applications were searched using all three databases, and the results were compared. About 9%-18% of potentially relevant articles would have been missed if MEDLINE had been the only database used. It is preferable if all three or more databases are used when conducting a review in telemedicine. Researchers from developing countries or small research institutions could rely on only MEDLINE, but they would loose 9%-18% of the potentially relevant publications. Searching MEDLINE alone is not ideal, but in a resource-constrained situation, it is definitely better than nothing.
Publisher: Farname, Inc.
Date: 22-08-2022
Abstract: Introduction: Identifying highly cited articles helps researchers find the most important areas, effective authors in the field, pioneer countries and frequently used journals. This study aimed to review the 100 most highly cited articles published in telemedicine journals.Material and Methods: The list of the telemedicine journals was found by searching the “master journal list” of the Web of Science database. Then, the name of each journal was searched separately in the “Publication Name” section of the same database and the results were sorted based on the “times cited” order. The first 100 articles that received the most citations were selected. The journal name, study type and study field were extracted from the final articles.Results: The top 100 highly cited articles were published in the Journal of Telemedicine and Telecare (n=54, 53.5%), Telemedicine and e-Health (n=45, 44.5%) and International Journal of Telemedicine and Applications (n=2, 2%). Most of the highly cited articles were review studies (n=55, 54%) and almost one-third of the reviewed articles were conducted on general telemedicine (n=28, 28%).Conclusion: This study revealed that some characteristics such as review studies, studies on general telemedicine, and studies being published in the oldest telemedicine journals were more likely used and cited.
Publisher: Hindawi Limited
Date: 20-07-2021
DOI: 10.1155/2021/9968451
Abstract: The coronavirus disease 2019 (COVID-19) pandemic has caused serious concerns in pregnant women. Self-care mHealth applications can provide helpful guidelines for COVID-19 prevention or management in case of infection. This study aimed to develop and then assess a self-care smartphone-based application to provide self-care for pregnant women against COVID-19. The present study was conducted in two phases. First, a needs assessment was performed based on the opinions of 30 obstetricians and pregnant women. Then, relying on the results, a smartphone-based application was prototyped and assessed in terms of its usability and user satisfaction. To assess the application, 36 pregnant women (11 infected with COVID-19) were asked to use the application for a week. The QUIS questionnaire 5.5 was used for assessment, and the results were analyzed via descriptive statistics in SPSS 23. According to the obstetricians and pregnant women, of the 41 information requirements, 35 data elements were noted to be essential in the needs assessment. Features of the application were placed in four categories of User’s Profile, Lifestyle, Disease Management and Control, and Application Functions (e.g., introducing high-risk places in terms of COVID-19 prevalence in each city, introducing specialized COVID-19 medical centers to pregnant women to receive services, medication management, stress management and control, nutrition and diet management, sleep management, contacting physicians, doctor’s appointment reminder, searching the available educational materials, and making application adjustments such as text font, size, and color). With an average score of 7.94 (out of 9), pregnant women rated the application at a good level. The application can be used to reduce anxiety and stress about COVID-19 in mothers, provide access to reliable information to answer possible questions, identify high-risk locations, and provide pregnant women with instant access to healthcare facilities and information related to COVID-19 self-care processes.
Publisher: Wiley
Date: 06-2023
DOI: 10.1002/HSR2.1330
Abstract: Nursing reports are necessary for clinical communication and provide an accurate reflection of nursing assessments, care provided, changes in clinical status, and patient‐related information to support the multidisciplinary team to provide in idualized care. Nurses always face challenges in recording and documenting nursing reports. Speech recognition systems (SRS), as one of the documentation technologies, can play a potential role in recording medical reports. Therefore, this study seeks to identify the barriers, benefits, and facilitators of utilizing speech recognition technology in nursing reports. This cross‐sectional was conducted through a researcher‐made questionnaire in 2022. Invitations were sent to 200 ICU nurses working in the three educational hospitals of Imam Reza (AS), Qaem and Imam Zaman in Mashhad city (Iran), 125 of whom accepted our invitation. Finally, 73 nurses included the study based on inclusion and exclusion criteria. Data analysis was performed using SPSS 22.0. According to the nurses, “paperwork reduction” (3.96, ±1.96), “performance improvement” (3.96, ±0.93), and “cost reduction” (3.95, ±1.07) were the most common benefits of using the SRS. “Lack of specialized, technical, and experienced staff to teach nurses how to work with speech recognition systems” (3.59, ±1.18), “insufficient training of nurses” (3.59, ±1.11), and “need to edit and control quality and correct documents” (3.59, ±1.03) were the most common barriers to using SRS. As well as “ability to fully review documentation processes” (3.62, ±1.13), “creation of integrated data in record documentation” (3.58, ±1.15), “possibility of error correction for nurses” (3.51, ±1.16) were the most common facilitators. There was no significant relationship between nurses' demographic information and the benefits, barriers, and facilitators. By providing information on the benefits, barriers, and facilitators of using this technology, hospital managers, nursing managers, and information technology managers of healthcare centers can make more informed decisions in selecting and implementing SRS for nursing report documentation. This will help to avoid potential challenges that may reduce the efficiency, effectiveness, and productivity of the systems.
Publisher: Springer Science and Business Media LLC
Date: 10-05-2018
DOI: 10.1186/S12911-021-01407-Y
Abstract: Questionnaires are commonly used tools in telemedicine services that can help to evaluate different aspects. Selecting the ideal questionnaire for this purpose may be challenging for researchers. This study aims to review which questionnaires are used to evaluate telemedicine services in the studies, which are most common, and what aspects of telemedicine evaluation do they capture. The PubMed database was searched in August 2020 to retrieve articles. Data extracted from the final list of articles included author/year of publication, journal of publication, type of evaluation, and evaluation questionnaire. Data were analyzed using descriptive statistics. Fifty-three articles were included in this study. The questionnaire was used for evaluating the satisfaction (49%), usability (34%), acceptance (11.5%), and implementation (2%) of telemedicine services. Among telemedicine specific questionnaires, Telehealth Usability Questionnaire (TUQ) (19%), Telemedicine Satisfaction Questionnaire (TSQ) (13%), and Service User Technology Acceptability Questionnaire (SUTAQ) (5.5%), were respectively most frequently used in the collected articles. Other most used questionnaires generally used for evaluating the users’ satisfaction, usability, and acceptance of technology were Client Satisfaction Questionnaire (CSQ) (5.5%), Questionnaire for User Interaction Satisfaction (QUIS) (5.5%), System Usability Scale (SUS) (5.5%), Patient Satisfaction Questionnaire (PSQ) (5.5%), and Technology Acceptance Model (TAM) (3.5%) respectively. Employing specifically designed questionnaires or designing a new questionnaire with fewer questions and more comprehensiveness in terms of the issues studied provides a better evaluation. Attention to user needs, end-user acceptance, and implementation processes, along with users' satisfaction and usability evaluation, may optimize telemedicine efforts in the future.
Publisher: SAGE Publications
Date: 2019
Abstract: Drug poisoning is the most prevalent type of poisoning throughout the world that can occur intentional or unintentional. Standard way for data gathering with uniform definitions is a requirement for preventing, controlling and managing of drug poisoning management. The purpose of this study was to develop a minimum data set, as an initial step, for a drug poisoning registry system in Iran. This was descriptive and cross-sectional study that was performed in 2019. As the first step a comprehensive literature review was performed to retrieve related resources in Persian and English languages. For the second step the medical records of drug poisoning patients at Afzalipour hospital affiliated to Kerman University of Medical Sciences were assessed. Related data from these two steps were gathered by a checklist. Finally, a questionnaire that was created based on the checklist data elements and had three columns of ‘essential,' ‘useful, but not essential', and ‘not essential' was used to reach a consensus on the data elements. Then the content validity ratio and the mean of experts’ judgments were calculated for each data element. The Cronbach’s alpha value for the entire questionnaire was obtained 0.9. The minimum data set of a drug poisoning registry system was categorised into the administrative part with three sections including 32 data elements, and clinical parts with six sections including 81 data elements. This study provides a minimum data set for development of a drug poisoning registry system. Collecting this minimum data set is critical for helping policy makers and healthcare providers to prevent, control and manage drug poisoning.
Publisher: Elsevier BV
Date: 07-2014
DOI: 10.1016/J.CMPB.2014.03.007
Abstract: This research project sought to design and implement a computerized clinical decision support system (CDSS) that was able to identify patients who were at risk of pulmonary embolism (PE) and deep vein thrombosis (DVT), as well as produce reminders for prophylactic action for these diseases. The main purpose of the CDSS was to attempt to reduce the morbidity and mortality caused by embolism and thrombosis in patients admitted to hospitals. After implementation of this system in one of the large educational hospitals of Iran, a standard questionnaire was used, and interviews were conducted with physicians and nurses to evaluate the performance of the designed system for reducing the incidence of pulmonary embolism and thrombosis. From physicians and nurses' point of view, a system which assists the medical staff in making better decisions regarding patient care, and also reminds pulmonary embolism and thrombosis preventive procedures with timely warnings, can influence patient care quality improvement and lead to the improved performance of the medical staff in preventing the incidence of pulmonary embolism and thrombosis.
Publisher: SAGE Publications
Date: 28-05-2010
Abstract: To provide a baseline for future planning we conducted a survey of the use of telemedicine in the state of Western Australia. A questionnaire was designed, validated and posted to all public and private health-care facilities in Western Australia (metropolitan hospitals, country hospitals and nursing posts). Of the 132 questionnaires sent out, 102 were returned (77% response rate). Seven of the responding hospitals (all public) were classified as mainly providers of telehealth services and 95 (both public and private) were mainly receivers. Of these 95 receivers of services, 58 facilities (61%) reported that they had access to videoconferencing for telehealth purposes. The most common purposes for which videoconferencing was used were reported to be education (76% of those using videoconferencing), wound care (55%) and psychiatry (53%). The most common store-and-forward application was tele-ECG, which was reported by more than half (54%) of respondents. Eighty-five percent of public health-care facilities reported the use of telehealth (either videoconferencing or store-and-forward) in comparison with 24% of those in the private sector. There was a tendency for facilities further away from Perth to be users of more telehealth services: the correlation between distance and the number of telehealth services received was significant (Spearman's rho = 0.54, P 0.001). The survey showed that about 73% of responding health-care facilities in Western Australia were using telemedicine.
Publisher: ScopeMed
Date: 2015
Publisher: JMIR Publications Inc.
Date: 14-12-2017
Publisher: Farname, Inc.
Date: 03-08-2022
Abstract: Introduction: The only way to limit the prevalence of COVID-19 is to adhere strictly to health protocol. In this regard, WHO has provided the information needed to prevent and deal with this disease on its website. To investigate the Impact of Internet Health Information on Adherence to COVID-19 Protocols, in Iran.Material and Methods: This is a cross-sectional survey and structural equation modeling which is done by students of at the Kerman University of Medical Science, Iran. The data collection tool was a questionnaire. SPSS 22.0, and SmartPLS 3software were used to analyze the data.Results: The present study investigated the impact of health information on the WHO website on adherence to COVID-19 protocols among the students of the Kerman University of Medical Sciences. The bootstrapping results indicate relationships between health information seeking constructs and information quality, satisfaction, and reputation. Regarding the other six hypotheses in the present study, it is predicted that they will be rejected in a larger s le.Conclusion: Online information is now available more easily, quickly, and at a lower cost compared to other sources, it should be constantly monitored and constantly improved in quality. Its usefulness, ease of use, accuracy, recency, and simplicity should be constantly investigated.
Publisher: Elsevier BV
Date: 09-2023
Publisher: Wiley
Date: 29-10-2022
DOI: 10.1002/HSR2.914
Abstract: One of the main vital needs for self‐care in patients with advanced cancer is information need. Meeting this need has significant positive effects on improving their treatment and care. This study was conducted to identify the unmet information needs of patients with advanced cancer in Iran. This exploratory study was performed from July to February 2021 in the Kerman University of Medical Sciences cancer treatment centers. Oncologists selected eligible patients by purposeful s ling method. Semistructured and in‐depth interviews were conducted with selected patients to collect data. Interviews continued until data saturation. Each interview was audio‐recorded and transcribed verbatim. In the interviews, 15 patients with advanced cancer ranging in age from 43 to 65 years participated. The most common type of cancer in women was breast (71.4%) and prostate (50%) in men. The two main categories of “types of unmet information needs” and “reasons for not meeting information needs” were extracted from the analysis of patient interviews, with six and four subcategories, respectively. Cancer patients had a large number of unmet information needs. At the time of identifying the unmet information needs of cancer patients, the basic reasons for not meeting these needs should also be considered because cultural differences and social gaps in societies are inevitable.
Publisher: Elsevier BV
Date: 05-2018
DOI: 10.1016/J.BURNS.2017.10.020
Abstract: To evaluate whether measuring serum albumin levels in clinical assessments affects the accuracy of mortality predictions in large burns and to compare patients' serum albumin levels at hour 0(Alb0h) and hour 24(Alb24h) following their admission. This prospective observational study was performed at an academic burn unit. Aged between 16 and 65, patients who presented with burns on more than 20% of total body surface area (%TBSA) were included. Patients with severe comorbidities, concomitant trauma or referred from other centres were excluded from the study. The main variables in the study were Alb0h, Alb24h and Abbreviated Burn Severity Index (ABSI) scores. The primary outcome was in-hospital mortality. In a population of 105 patients, %TBSA, being female, inhalational injury, Alb0h, Alb24h and ABSI score (p<0.001) and the presence of a full thickness injury (p=0.008) were associated with mortality. In the multivariable analysis, ABSI scores and Alb24h remained in the model (OR, 2.32 and 0.06, respectively). The area under curves (AUCs) were 0.94, 0.97 and 0.97 for ABSI, ABSI+Alb0h and ABSI+Alb24h, respectively. No significant difference among the AUCs was seen, but adding Alb0h and Alb24h improved the mortality predictions of ABSI by 5 (4.7%) and 4 (3.8%) patients, respectively. Alb0h (at 3.5g/dL) and Alb24h (at 2.4g/dL) showed 84-85% and 88-85% sensitivity-specificity for mortality, respectively. Measuring serum albumin levels in clinical assessments slightly increases the accuracy of mortality predictions however, different cut-off points for Alb0h and Alb24h needs to be considered to avoid interpretation errors.
Publisher: The Korean Society of Medical Informatics
Date: 31-01-2022
Abstract: Objectives: The aim of the present study was to develop and evaluate the usability of a telemedicine system for management and monitoring of patients with diabetic foot.Methods: This study was conducted in four phases. In the first phase, the information needs and characteristics required to design the telemedicine system were identified based on a literature review. Then, in a two-stage Delphi survey, 15 experts approved the identified information needs and characteristics. The prototype telemedicine system was then designed. In the third phase, system usability was evaluated through a semi-structured interview. In the fourth phase, users’ satisfaction with the designed system was analyzed.Results: Out of 115 information needs and required characteristics, 95 were considered in the system design. Eight main pages for enabling patient-physician interactions and physician-physician interactions, monitoring the patient and controlling the disease process, providing medical consultation, and prescribing medications were considered. In the third phase, 26 distinct problems were identified. However, 75% of the participants were very satisfied with the system.Conclusions: This study presents an attempt to design and evaluate a telemedicine system for the management and monitoring of patients with diabetic foot. In this system, patients receiving medical services or physicians who encounter rare cases can send the complete medical history, clinical test results, and videos and images related to the foot to specialist physicians. After examining the medical history or images and videos, the physician can provide the necessary medication prescriptions and laboratory tests or other recommendations.
Publisher: SAGE Publications
Date: 09-2008
Publisher: Wiley
Date: 24-01-2019
DOI: 10.1002/HPM.2736
Abstract: Picture Archiving and Communication System (PACS) is an evolving technology in health care domains that is used for storage, management, retrieval, transfer, and delivery of medical images. Some medical centers in Iran have installed the PACS in recent years but have not used it appropriately. One of the problems in implementing this system is inability to select appropriate PACS. Several factors are involved in the selection process. The objective of this study was to determine the factors that influence PACS selection. This qualitative study aimed to identify factors influencing the PACS selection. Data were collected through semistructured interviews with 10 experts in three educational hospitals and in the position to make decision for the purchase of PACS. Data were analyzed by the conventional qualitative content analysis method proposed by Lundman and Graneheim. Analyses achieved 11 subcategories in two specific and general categories that influence PACS selection. The specific category of this study included six subcategories, and the general category included five subcategories. The results of this study determined that usability was the most important factor from the perspective of participants. Since the main users of a system have a critical role in adoption or rejection of a system, ease of use (usability) is significant and must be considered in system selection as a significant factor.
Publisher: Mary Ann Liebert Inc
Date: 07-2020
Publisher: Elsevier BV
Date: 09-2020
Publisher: Hindawi Limited
Date: 04-2005
DOI: 10.1111/J.1365-2710.2004.00621.X
Abstract: Acute respiratory distress syndrome (ARDS) remains a serious, often fatal, condition, despite progress in modern critical care treatment. Cytokines play important roles in the pathogenesis of the syndrome, although their roles in the evaluation and outcome have not been clearly elucidated yet. We tested whether serum concentration of epidermal growth factor (EGF), as one of the important inflammatory mediators, changes with time and administration of mechanical ventilation and aminophylline. Thirty patients [mean (SD): age = 56.6 (17.4) years] with ARDS were enrolled. After diagnosis based on inclusion and exclusion criteria, the patients were intubated and mechanically ventilated. Two hours after ventilation with definite positive end-expiratory pressure (PEEP), aminophylline with a specific dose was started. Serum s les were obtained at five time points of 0, 2, 2.5, 4 and 8 h post-starting PEEP. Serum EGF concentration decreased after mechanical ventilation with PEEP (P < 0.05). The serum EGF concentrations 8 h after intervention was statistically lower in the low PEEP group than in the high PEEP group. The Acute Physiology and Chronic Health Evaluation (APACHE) Pi score and PaO2/FiO2 improved significantly after 8 h (P < 0.05). Beneficial effects of mechanical ventilation and aminophylline on APACHE Pi score and PaO2/FiO2 influence serum EGF levels. These findings may have relevance to the development of multisystem organ failure.
Publisher: SAGE Publications
Date: 2014
Abstract: Summary We analysed the most highly cited articles in two specialist telemedicine journals, the Journal of Telemedicine and Telecare (JTT) and Telemedicine Journal and E-health (TJEH). Articles were extracted from the Science Citation Index Expanded in September 2012. A total of 1810 articles were listed for the JTT and 1550 for TJEH. In the JTT, the mean number of citations was 43 (SD 13) in TJEH the mean number of citations was 30 (SD 11). The average number of citations for the JTT was significantly higher than for TJEH ( P 0.001). In each journal, the 60 articles which had the most citations were identified as highly cited publications (HCPs). The 60 HCPs in the JTT originated from 16 countries the 60 HCPs in TJEH originated from 10 countries. Considering both journals together, the majority of HCPs came from the US, UK, Australia and Canada. In the JTT, the mean number of authors for each HCP was 4.6 (SD = 3.1) in TJEH, the mean number of authors for each HCP was 4.5 (SD = 2.3). There was no difference between the two journals ( P = 0.84) and the characteristics of the HCPs published in the JTT and TJEH were broadly similar. Although HCPs are not a direct method of measuring quality, they are an indicator of the scientific impact of the articles.
Publisher: Wiley
Date: 05-2022
DOI: 10.1002/HSR2.648
Abstract: During the COVID‐19 pandemic, college students can access health‐related information on the Internet to improve preventative behaviors, but they often judge the merits of such information and create challenges in the community. The aim of this study was to investigate information‐seeking behaviors in regard to COVID‐19 among students at Kerman University of Medical Sciences (KUMS) with the help of mass and social media. The present study is a cross‐sectional study, which was conducted using an online researcher‐made questionnaire. An invitation to participate in the study was sent to 500 students at KUMS, of which 203 were selected according to the inclusion criteria and completed the questionnaire. Descriptive statistics were used to analyze the data. COVID‐19 news was mostly obtained through social media platforms such as WhatsApp, Telegram, Instagram, radio, and television, as well as online publications and news agencies. Social media platforms such as WhatsApp, Telegram, Instagram, and satellite networks such as BBC contained the most rumors about COVID‐19. Some of the most common misconceptions regarding COVID‐19 were as follows: “COVID‐19 is the deadliest disease in the world,” “COVID‐19 is a biological attack,” and “COVID‐19 disappears as the air temperature rises.” In addition, most of the virtual training provided through mass media focused on “refraining from visiting holy places and crowded locations such as markets,” “observing personal hygiene and refraining from touching the eyes, nose, and mouth with infected hands,” and “the role of quarantine in reducing the incidence of COVID‐19.” Our findings demonstrated that during the pandemic, students used social media platforms the most to obtain health‐related information and these media have a significant impact on their willingness to engage in preventative behaviors and take the COVID‐19 risk seriously.
Publisher: Wiley
Date: 13-11-2017
DOI: 10.1111/HIR.12200
Abstract: Pregnant women should be provided with relevant and useful information to manage this specific period of their lives. Assessing information needs of this group is a prerequisite for providing this information. The aim of this study was to assess the information needs of pregnant women during their pregnancy and childbirth. This descriptive study was conducted on the pregnant women who attended antenatal clinics and obstetricians/gynaecologists' offices in Kerman, Iran, in 2015. Data were collected using a self-administered, valid and reliable questionnaire. A total of 400 women participated in the study. Most pregnant women needed information about care of the foetus (n = 344, 86%), physical and psychological complications after delivery (n = 333, 83%), development and growth of the foetus (n = 330, 82.5%), pregnancy nutrition (n = 327, 82%) and special tests during pregnancy (n = 326, 81.5%). They mostly (n = 195, 49%) looked for information when they were suffering from a disease or pregnancy complications. As pregnant women need extensive information to be able to take care of themselves and their babies, their information needs should be identified and taken into consideration when planning educational programmes for this group of women.
Publisher: SAGE Publications
Date: 07-06-2020
Abstract: Background: Telepharmacy can help deliver pharmaceutical advice from an expert pharmacist to another party, such as a physician, inexperienced pharmacist, or pharmacy technician. In this study, we consider term “2-person discussions” as teleconsultation between expert pharmacists to each of the aforementioned persons. Objectives: This study has 2 aims: first to prioritize 2-person discussions between the parties involved in telepharmacy services when we have limited budget and time and would like to implement the best efficient telepharmacy system. Second to examine the barriers and benefits of implementing a telepharmacy. Methods: The research population included 40 pharmacists working in Kerman pharmacies (Iran). Their viewpoints were evaluated using a valid and reliable researcher-made questionnaire. The first part of the questionnaire focused on professional-demographic information, while the second part addressed the most important 2-person discussions and also asked about barriers to and benefits of implementing telepharmacy. Results: The findings indicate that the following 2-person discussions are priority for implementation: physician-pharmacist, pharmacist-hospital ward, and pharmacist-pharmacist. Payment and reimbursement issues and lack of access to information technology infrastructure were among the most important barriers. Efficient training about medicine usage, drug-drug interactions, and adverse effects was the most important benefit of telepharmacy. Conclusion: In this study, pharmacists’ first priority regarding who to involve in a 2-person telepharmacy consultation was to establish a long-distance connection between physicians and pharmacists. This finding indicates that the pharmacists were more interested in providing teleconsultation services to physicians and other pharmacists rather than communicating with pharmaceutical technicians.
Publisher: JMIR Publications Inc.
Date: 10-03-2021
DOI: 10.2196/19473
Abstract: COVID-19, the disease caused by the novel coronavirus SARS-CoV-2, has become a global pandemic, affecting most countries worldwide. Digital health information technologies can be applied in three aspects, namely digital patients, digital devices, and digital clinics, and could be useful in fighting the COVID-19 pandemic. Recent reviews have examined the role of digital health in controlling COVID-19 to identify the potential of digital health interventions to fight the disease. However, this study aims to review and analyze the digital technology that is being applied to control the COVID-19 pandemic in the 10 countries with the highest prevalence of the disease. For this review, the Google Scholar, PubMed, Web of Science, and Scopus databases were searched in August 2020 to retrieve publications from December 2019 to March 15, 2020. Furthermore, the Google search engine was used to identify additional applications of digital health for COVID-19 pandemic control. We included 32 papers in this review that reported 37 digital health applications for COVID-19 control. The most common digital health projects to address COVID-19 were telemedicine visits (11/37, 30%). Digital learning packages for informing people about the disease, geographic information systems and quick response code applications for real-time case tracking, and cloud- or mobile-based systems for self-care and patient tracking were in the second rank of digital tool applications (all 7/37, 19%). The projects were deployed in various European countries and in the United States, Australia, and China. Considering the potential of available information technologies worldwide in the 21st century, particularly in developed countries, it appears that more digital health products with a higher level of intelligence capability remain to be applied for the management of pandemics and health-related crises.
Publisher: Wiley
Date: 28-12-2022
DOI: 10.1002/HSR2.962
Abstract: Schizophrenia and bipolar disorder (BD) are critical and high‐risk inherited mental disorders with debilitating symptoms. Worldwide, 3% of the population suffers from these disorders. The mortality rate of these patients is higher compared to other people. Current procedures cannot effectively diagnose these disorders because it takes an average of 10 years from the onset of the first symptoms to the definitive diagnosis of the disease. Machine learning (ML) techniques are used to meet this need. This study aimed to summarize information on the use of ML techniques for predicting schizophrenia and BD to help early and timely diagnosis of the disease. A systematic literature search included articles published until January 19, 2020 in 3 databases. Two reviewers independently assessed original papers to determine eligibility for inclusion in this review. PRISMA guidelines were followed to conduct the study, and the Prediction Model Risk of Bias Assessment Tool (PROBAST) to assess included papers. In this review, 1243 papers were retrieved through database searches, of which 15 papers were included based on full‐text assessment. ML techniques were used to predict schizophrenia and BDs. The main algorithms applied were support vector machine (SVM) (10 studies), random forests (RF) (5 studies), and gradient boosting (GB) (3 studies). Input and output characteristics were very erse and have been kept to enable future research. RFs algorithms demonstrated significantly higher accuracy and sensitivity than SVM and GB. GB demonstrated significantly higher specificity than SVM and RF. We found no significant difference between RF and SVM in terms of specificity. ML can precisely predict results and assist in making clinical decisions‐concerning schizophrenia and BD. RF often performed better than other algorithms in supervised learning tasks. This study identified gaps in the literature and opportunities for future psychological ML research.
Publisher: Farname, Inc.
Date: 05-07-2020
Abstract: Introduction: Epidemic diseases have always caused considerable physical and financial casualties for governments. By the end of the year 2019, the Covid19 pandemic emerged for the first time in China and rapidly infected the globe. As information technology plays a significant role in the current healthcare system, the aim of the present study was to conduct a systematic review to determine the role of electronic health in the Covid19 crisis.Material and Methods: This review was carried out on articles published from December 2019 until March 17th 2020 by searching keywords and their equivalents in "MeSH" in PubMed, Web of Science, and Scopus databases and Google search engine.Results: In total, from 72 found articles, 28 were recognized based on their research topic. After imposing inclusion and exclusion criteria, eventually 6 original articles and 8 reports were selected for further analysis. Results showed that reviewed articles had mentioned the effective role of IT in diagnosing Corona patients, addressing the spread of the disease, providing sufficient education for the public to prevent the disease, and recognizing high-risk areas. Telemedicine, machine learning algorithms, deep learning, Augmented intelligence, neural networks, Global positioning system, and geographical information system have been the most widely used technologies.Conclusions: It was shown that defeating the Covid19 is impossible without the help of technology. Experiences with the effectivity of using electronic health in controlling and monitoring the prevalence of Covid19 can be used to deal with other pandemic diseases in the future as well and to avoid possible casualties and economic regressions while rapidly providing solutions for similar critical situations.
Publisher: Springer Science and Business Media LLC
Date: 06-01-2015
Publisher: Wiley
Date: 26-04-2022
DOI: 10.1002/HSR2.601
Abstract: Patient involvement with diabetes self‐care is critical to reducing complications, morbidity, and mortality. Social media, as one of the most important forms of digital health, has always been available for diabetes self‐care, although the role of these media in supporting patient self‐care is unclear. The aim of this study was to investigate the role of social networks in diabetes self‐care. In this study, the most important social networks used to receive self‐care services, diabetes self‐care behaviors, diabetes self‐care educations and benefits of using various services provided through social networks were identified. The present study is a cross‐sectional study that was conducted through an electronic researcher‐made questionnaire in 2021. Two hundred and eighteen patients were selected to participate in the study from centers of diabetes of Fasa city, south of Iran. S ling was performed by convenience s ling and in accordance with inclusion and exclusion criteria. Data were analyzed by descriptive statistics and analytical tests. In the data analysis section on Diabetes self‐care behaviors, there was no significant relationship between gender ( p = 0.292), age ( p = 0.49), type of diabetes ( p = 0.909) and duration of diabetes ( p = 0.076) with the use of self‐care services provided through social networks. There was a significant relationship between education level and the use of self‐care services provided through social networks ( p = 0.01). “Recognizing diabetes and its complications,” “observing personal hygiene,” and “the impact of physical activity on diabetes control” were the most important educations. “Increasing patient knowledge and understanding about diabetes and its complications,” “reducing the consumption of high‐calorie foods and sugars,” and “observing personal and public health” were the most important social network's benefits, respectively. Various self‐care educations and services provided through social networks can increase the in‐depth knowledge of diabetic patients about self‐care techniques and their effective role in controlling and managing diabetes and performing more self‐care processes.
Publisher: SAGE Publications
Date: 07-10-2020
Abstract: Objective: An adverse drug event (ADE) is an injury resulting from a medical intervention related to a drug. The emergency department (ED) is a ward vulnerable to more ADEs because of overcrowding. Information technologies such as computerized physician order entry (CPOE) and clinical decision support system (CDSS) may decrease the occurrence of ADEs. This study aims to review research that reported the evaluation of the effectiveness of CPOE and CDSS on lowering the occurrence of ADEs in the ED. Data Sources: PubMed, EMBASE, and Web of Science databases were used to find studies published from 2003 to 2018. The search was conducted in November 2018. Study Selection and Data Extraction: The search resulted in 1700 retrieved articles. After applying inclusion and exclusion criteria, 11 articles were included. Data on the date, country, type of system, medication process stages, study design, participants, s le size, and outcomes were extracted. Data Synthesis: Results showed that CPOE and CDSS may prevent ADEs in the ED through significantly decreasing the rate of errors, ADEs, excessive dose, and inappropriate prescribing (in 54.5% of articles) furthermore, CPOE and CDSS may significantly increase the rate of appropriate prescribing and dosing in compliance with established guidelines (45.5% of articles). Conclusion: This study revealed that the use of CPOE and CDSS can lower the occurrence of ADEs in the ED however, further randomized controlled trials are needed to address the effect of a CDSS, with basic or advanced features, on the occurrence of ADEs in the ED.
Publisher: Maad Rayan Publishing Company
Date: 20-05-2023
Abstract: Introduction: Access to healthcare services for patients with Alzheimer’s disease (AD) was limited during the COVID-19 pandemic. A mobile application (app) can help overcome this limitation for patients and caregivers. Our study aims to develop and evaluate an app to help caregivers of patients with AD during COVID-19. Methods: The study was performed in three steps. First, a questionnaire of features required for the app design was prepared based on the interviews with caregivers of AD patients and neurologists. Then, questionnaire was provided to neurologists, medical informatics, and health information management specialists to identify the final features. Second, the app was designed using the information obtained from the previous phase. Third, the quality of the app and the level of user satisfaction were evaluated using the mobile app rating scale (MARS) and the questionnaire for user interface satisfaction (QUIS), respectively. Results: The number of 41 data elements in four groups (patient’s profile, COVID-19 management and control, AD management and control, and program functions) were identified for designing the app. The quality evaluation of the app based on MARS and user satisfaction evaluation based on QUIS showed the app was good. Conclusion: This is the first study that focused on developing and evaluating a mobile app for assisting Alzheimer’s caregivers during the COVID-19 pandemic. As the app was designed based on users’ needs and covered both information about AD and COVID-19, it can help caregivers perform their tasks more efficiently.
Publisher: IEEE
Date: 29-10-2021
Publisher: DoNotEdit
Date: 30-04-2016
DOI: 10.5812/IRCMJ.25183
Publisher: Farname, Inc.
Date: 15-04-2023
Abstract: As someone who has been following the development of hyper-automation technologies in healthcare, I wanted to write to you about the many optimistic outcomes that these technologies have already produced. I am writing to express my excitement about many potential and benefits of hyper-automation technologies in healthcare. Hyper-automation, which includes the use of smart technologies such as artificial intelligence, low-code/no-code (LCNC) platforms, machine learning, robotics and other technologies to automate and optimize processes, has the possibility to transform healthcare in many ways [1].
Publisher: Maad Rayan Publishing Company
Date: 08-2022
DOI: 10.34172/AIM.2022.90
Abstract: Background: Alzheimer’s disease is an extremely expensive chronic disease, which is rapidly becoming a major cause of mortality in adults. For over two decades, telemedicine has been used to assist patients and their caregivers to manage this disease. The present study aimed to evaluate the objectives, outcomes, facilitators, and barriers influencing the use of telemedicine systems for patients with Alzheimer’s disease and their caregivers and care providers. Methods: In this systematic review, we searched for the original articles published in databases such as PubMed, Web of Science, and Scopus until November 2021 using relevant keywords. A qualitative content analysis was performed the based on the theory of planned behavior and the health belief model using the ATLAS.ti software. Results: In total, 1191 articles were identified, and 60 articles were included in this study. While having different objectives, most of the studies compared telemedicine systems to in-person visits (21.43%) and assessed the feasibility of the implemented method (16.07%). The overall outcomes of telemedicine in the articles were classified as cost-effectiveness (e.g., reduced commute, fuel, and time to access care), clinical outcomes (e.g., lower anxiety, stress, and depression), and patient, caregiver, and healthcare provider satisfaction. In total, 19 facilitators and 12 barriers influencing the use of telemedicine for patients with Alzheimer’s disease and their caregivers were identified. Conclusion: According to the results, telemedicine systems could be implemented for various reasons. Developing a clear framework of the drivers and barriers before the implementation of these systems could improve decision-making prior to the design and implementation of telemedicine systems.
Publisher: SAGE Publications
Date: 14-09-2010
Publisher: Korea Disease Control and Prevention Agency
Date: 10-2016
Publisher: Wiley
Date: 07-2023
DOI: 10.1002/HSR2.1394
Abstract: As the nowadays provision of many healthcare services relies on technology, a better understanding of the factors contributing to the acceptance and use of technology in health care is essential. For Alzheimer's patients, an electronic personal health record (ePHR) is one such technology. Stakeholders should understand the factors affecting the adoption of this technology for its smooth implementation, adoption, and sustainable use. So far, these factors have not fully been understood for Alzheimer's disease (AD)‐specific ePHR. Therefore, the present study aimed to understand these factors in ePHR adoption based on the perceptions and views of care providers and caregivers involved in AD care. This qualitative study was conducted from February 2020 to August 2021 in Kerman, Iran. Seven neurologists and 13 caregivers involved in AD care were interviewed using semi‐structured and in‐depth interviews. All interviews were conducted through phone contacts amid Covid‐19 imposed restrictions, recorded, and transcribed verbatim. The transcripts were coded using thematic analysis based on the unified theory of acceptance and use of technology (UTAUT) model. ATLAS.ti8 was used for data analysis. The factors affecting ePHR adoption in our study comprised subthemes under the five main themes of performance expectancy, effort expectancy, social influence, facilitating conditions of the UTAUT model, and the participants' sociodemographic factors. From the 37 facilitating factors and 13 barriers identified for ePHR adoption, in general, the participants had positive attitudes toward the ease of use of this system. The stated obstacles were dependent on the participants' sociodemographic factors (such as age and level of education) and social influence (including concern about confidentiality and privacy). In general, the participants considered ePHRs efficient and useful in increasing neurologists' information about their patients and managing their symptoms in order to provide better and timely treatment. The present study gives a comprehensive insight into the acceptance of ePHR for AD in a developing setting. The results of this study can be utilized for similar healthcare settings with regard to technical, legal, or cultural characteristics. To develop a useful and user‐friendly system, ePHR developers should involve users in the design process to take into account the functions and features that match their skills, requirements, and preferences.
Publisher: ScopeMed
Date: 2014
Publisher: ScopeMed
Date: 2016
Publisher: Elsevier BV
Date: 03-2016
DOI: 10.1016/J.IJMEDINF.2015.12.008
Abstract: It is conjectured that providing feedback on physicians' prescribing behavior improves quality of drug prescriptions. However, the effectiveness of feedback provision and mode of feedback delivery is not well understood. The objective of this study was to assess and compare the effect of traditional paper letters (TPL) and short text message (STM) feedback on general practitioners' prescribing behavior of parenteral steroids (PSs). In a single-blind randomized controlled trial, 906 general practitioners (GPs) having at least 10 monthly prescriptions were randomly recruited into two interventions and one control study arms with 1:1 allocation, stratified by percentage of prescriptions. The intervention was the provision of 3 feedback messages containing prescribing indices in TPL and STM (in the first two arms) versus the control arm (CG) with an interval of 3 months between these messages. We calculated the PS Defined Daily Dose (DDD) for every GP, every month, and compared between the 3 arms, before and after the interventions. The expected primary outcome was to reduce prescription of parenteral steroids by participants. The study was performed in the Kerman Social Security Organization in Iran. A total of 906 GPs were selected for the trial, but only 721 of them (TPL=191, STM=228, CG=302) were recruited for the 1st feedback. The mean age of GPs was 44 and 59% of them were male. The prescribed parenteral steroid DDDs at baseline were similar (TPL=121.62, STM=127.49, CG=115.68, P>0.5). At the end of the study, DDDs in the TPL and STM arms were similar (TPL=104.38, STM=101.90, P>0.9) but DDDs in each intervention arm was statistically significantly lower than in CG (CG=156.17, P<0.0001). Being in TPL and STM arms resulted in 36.1 and 41.7 units of decrease in DDD respectively, compared to the control arm (P<0.02 and P<0.005) after the one-year duration of the study. Feedback by TPLs and STMs on prescribing performance effectively reduced prescribing PSs by GPs. STM, being a cheap and fast tool, is potentially powerful and efficient for drug prescription rationalization.
Publisher: Springer Science and Business Media LLC
Date: 16-01-2016
DOI: 10.1007/S10916-016-0433-5
Abstract: In mobile health care monitoring, compression is an essential tool for solving storage and transmission problems. The important issue is able to recover the original signal from the compressed signal. The main purpose of this paper is compressing the ECG signal with no loss of essential data and also encrypting the signal to keep it confidential from everyone, except for physicians. In this paper, mobile processors are used and there is no need for any computers to serve this purpose. After initial preprocessing such as removal of the baseline noise, Gaussian noise, peak detection and determination of heart rate, the ECG signal is compressed. In compression stage, after 3 steps of wavelet transform (db04), thresholding techniques are used. Then, Huffman coding with chaos for compression and encryption of the ECG signal are used. The compression rates of proposed algorithm is 97.72 %. Then, the ECG signals are sent to a telemedicine center to acquire specialist diagnosis by TCP/IP protocol.
Publisher: Maad Rayan Publishing Company
Date: 25-01-2020
Publisher: Farname, Inc.
Date: 20-02-2023
Abstract: Introduction: Health literacy is an essential indicator of health care habits and consequences. Health literacy and having the right information is effective in better managing symptoms and problems and improving the overall quality of life. This systematic review aimed to analyze previous studies and collect information on multiple sclerosis patients' health literacy.Material and Methods: The PRISMA guidelines were used to define the systematic review methods. PubMed, Cochrane, Web of Science, Scopus, ScienceDirect Journal, ProQuest, Wiley Online Library, SID, and Magiran databases were searched on 14 January 2022, without restrictions in publication time. We also searched Google Scholar and Research Proposal Information System. Two independent reviewers reviewed the papers' eligibility and extract data into a spreadsheet using a structured form.Results: Of the 165 articles retrieved, 14 were eventually included in the study. All of the studies’ audiences and targets were MS patients and their families or caregivers. Four studies examined the level of health literacy of in iduals. Other objectives included determining variables affecting the relationship between patients' health literacy and behaviors, comparing the effects of lecture-based teaching and peer group experience on improving patients' health literacy, and determining psychometric characteristics of the MS patient’s health literacy questionnaire. Studies assessing people's health literacy revealed that most people have an adequate or acceptable health literacy level.Conclusion: Improving the level of health literacy is one of the fundamental ways to improve the physical and mental health of MS patients to increase compliance and self-care and medication adherence. Accordingly, policymakers need to work on designing effective programs to develop health literacy and overcome the challenges associated with it.
Publisher: SAGE Publications
Date: 04-2014
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 07-2018
Publisher: Wiley
Date: 03-10-2022
DOI: 10.1002/HSR2.853
Abstract: The COVID‐19 pandemic has changed people's lifestyles as well as the way healthcare services are delivered. Undoubtedly, the difficulties associated with COVID‐19 infection and rehabilitation and those associated with quarantine and viral preventive efforts may exacerbate the need for virtual reality to be used as a part of a complete rehabilitation strategy for these in iduals. Thus, the present research aimed to evaluate the potential uses of virtual reality for the rehabilitation of in iduals suffering from COVID‐19. From 2019 to March 1, 2022, a systematic search was conducted in PubMed, Cochran Library, Scopus, Science Direct, ProQuest, and Web of Science databases. The papers were selected based on search terms and those that discussed the use of virtual reality in the rehabilitation of COVID‐19 patients were reviewed. Each step of the study was reviewed by two authors. A total of 699 papers were found during the first search. Three papers were chosen for further investigation after a thorough evaluation of the publications' titles, abstracts, and full texts. Cross‐sectional studies, randomized controlled clinical trials, and case reports comprised 33%, 33%, and 33% of the publications, respectively. Based on the results, people suffering from COVID‐19 were the focus of two papers (66%) that employed immersion virtual reality for cognitive rehabilitation, whereas one study (33%) used non‐immersive virtual reality for physical rehabilitation. In two papers (66%), virtual reality was also offered to patients in the form of a game. According to the results of the present research, virtual reality games may enhance functional and cognitive consequences, contentment levels among patients, and their ability to take charge of their own health care. In light of the obstacles faced by COVID‐19 patients, alterations in the delivery of healthcare, and the significance of rehabilitation in this group during quarantine, new techniques have been considered for these patients to maintain treatment, return to regular life, and enhance their standard of life.
Publisher: Farname, Inc.
Date: 20-07-2023
Abstract: Introduction: The cardiovascular intensive care unit (CVICU) registry provides physicians with tools for monitoring, managing, and following up on patients. The CVICU registry provides researchers with the ability to analyze and evaluate integrated data patients. Our goal with this study is to explain the design, development, and deployment of a comprehensive, integrated, qualified cardiovascular intensive care unit registry, as well as to characterize in iduals admitted to CVICUs.Material and Methods: From June 2012, a cohort study of ICU admissions for adults (≥18 years) in a teaching hospital’s CVICU began. The study includes retrospective collection of existing data from paper records and hospital information systems (HIS) and ongoing prospective collection using the proposed CVICU registry portal.Results: Between June 2013 and June 2022, 2587 admissions were included, among which 1041 (40.2%) were women, 1546 (59.8%) were man, and the median age was 58 ranging from 18 to 93 years and their mean (SD) age was 56.8 (13) years. About 11.1% of the patients died in the CVICU. The primary indications for CVICU care included mechanical ventilation (29.7%), weaning time (??%), readmission (4.9%), cardiovascular (17.4%), myocardial infarction (1.7%), diabetes (9.3%), hypertension (14.3%). Of these, about 73% had coronary artery bypass grafting (CABG), 15% valve surgery and the remains has other cardiovascular surgeries. About 39% experienced an on-pump surgery. In addition, patients had 6.4 hours weaning time after operation. The overall CVICU length of stay (LOS) rate was 3.6 days and mean predicted by APACHE IV, APACHE II, SOFA, and SAPS II were 5.67, 3.03, 4, and 4 days, respectively.Conclusion: The use of registries equipped physicians and researchers with an integrated data pool to manage and evaluate information. Appropriate patient registries allow effective decision-making for appropriate interventions, resource allocation, and ongoing data monitoring and analysis. Ultimately, this leads to the optimal outcomes for patients. This registry aims to generate valuable knowledge about cardiovascular ICU patients in Iran and to collect accurate and qualified data.
Publisher: Farname, Inc.
Date: 20-05-2023
Abstract: I am writing to express my views on the topic of digital trust in the healthcare industry. With the rapid advancement of technology and the widespread use of electronic health records, it is crucial to understand the impact of digital trust on healthcare. In this letter, I will discuss the importance of digital trust in healthcare, the important challenges faced by the healthcare industry in building and maintaining digital trust, and the potential solutions to address these challenges.
Publisher: JMIR Publications Inc.
Date: 24-12-2019
Abstract: dvances in mobile communication technologies in the field of health have led to numerous relevant studies. One of the criteria indicating the quality of the previously published studies is the number of citations. Therefore, investigating the features of highly cited articles and identifying the most frequently used mobile technological interventions can be important in developing future studies. his study aimed at identifying 100 cited interventional articles on mobile health. he database employed in this study was the Web of Science, which without limitations was analyzed in September 2019 to identify 100 highly cited interventional studies in the field of mobile health. The identified studies were classified based on the number of citations, year of publication, country of the first author, type of disease, and use of mobile technology. great majority of the studies in the field of interventional mobile health focused on obesity (n=18), addiction (n=15), diabetes (n=11) and mental health disorders (n=11), respectively. Many studies employed mobile technologies to promote lifestyle (weight loss and increased physical activity) (n=21), disease control (n=19), and treatment adherence (n=18). The mean number of citations per study was 140±94. The most cited study was in the category of viral disease treatment adherence (n=679), and the most cited articles were published in 2012. mong the reviewed 100 studies, many of the interventional studies regarding mobile health focused on obesity, addiction, diabetes and mental health disorders. Text messaging service was used as intervention in most of the studies. Thus, future studies may focus on the use of mobile interventions for less reported diseases and investigate the impact of various mobile technologies on disease prevention, control, and treatment. on applicable
Publisher: Medknow
Date: 2019
Publisher: Farname, Inc.
Date: 08-08-2021
Abstract: Introduction: The epidemic of viral respiratory diseases in the last 20 years has affected many people around the world. In these situations, telemedicine may reduce unnecessary contacts and the risk of exposure to infection. This study aimed to review the papers performed to manage viral respiratory disease epidemics using telemedicine. Material and Methods: The PubMed and Scopus databases were searched in May 2020 for this systematic review study. Data were extracted from the final included papers based on the author, country, type of epidemic, telemedicine modality, telecommunication method, objective, participants, clinical outcome, cost, and satisfaction. Descriptive statistics were used to analyze data.Results: From 365 retrieved papers, 18 papers were included. Most of the papers were done in the US and China (67%). Half of the papers were done during the COVID-19 pandemic. Real-time modality was used in 78% of the papers. The telecommunication method in half of the papers was internet-based. Patients’ management and treatment was the main objective of the six papers. In 81% of the teleconsultation papers, the consultation was performed between patients and healthcare providers. The clinical outcome of all papers showed that telemedicine was successful in the management of viral respiratory disease epidemics. Cost and satisfaction outcomes were considered in a few papers. Conclusion: There is considerable evidence to show that telemedicine is a useful and convenient method to manage and control viral respiratory disease epidemics. Therefore, countries should pay special attention to telemedicine to control the current pandemic and future epidemics and use it extensively.
Publisher: ScopeMed
Date: 2015
Publisher: Wiley
Date: 09-2022
DOI: 10.1002/HSR2.816
Abstract: One of the barriers to effective communication between speaker and listeners is public speaking anxiety (PSA). Over recent years, PSA has become common among students as the most widespread social anxiety (SA). Virtual reality (VR) and counseling therapy help reduce PSA. Therefore, the present study aimed to investigate the effect of VR therapy and counseling on students' PSA and SA. This quasi‐experimental study was conducted on 30 students at three levels of undergraduate, postgraduate, and PhD at Kerman University of Medical Sciences and Shiraz University of Medical Sciences (15 students in the intervention group and 15 in the control group). The intervention group observed four virtual classroom scenarios in a 30‐min session, and the control group attended a 90‐min group counseling session. Data were collected using by Personal Report of Public Speaking Anxiety, Liebowitz Social Anxiety Scale, and Igroup Presence Questionnaire. The data analysis was done using SPSS version 21. Descriptive analysis (frequency and percentage, mean, standard deviation, and quartiles) and analytical tests (paired t ‐test and independent t ‐test) were used to analyze the data. The results showed that VR and counseling did not affect SA scores and statistical differences before and after the intervention were not statistically significant. However, VR and counseling reduced PSA. The mean of IPQ/IGP (physical presence) was 63.73. The participants' SA means (93.76) were higher than the mean PSA (73.4). VR and counseling did not affect students' SA, but they reduced PSA. If the intervention duration in future studies are longer, the effect of VR and counseling on reducing SA is likely to become more apparent.
Publisher: Elsevier BV
Date: 04-2016
Publisher: JMIR Publications Inc.
Date: 19-04-2020
Abstract: OVID-19, the disease caused by the novel coronavirus SARS-CoV-2, has become a global pandemic, affecting most countries worldwide. Digital health information technologies can be applied in three aspects, namely digital patients, digital devices, and digital clinics, and could be useful in fighting the COVID-19 pandemic. ecent reviews have examined the role of digital health in controlling COVID-19 to identify the potential of digital health interventions to fight the disease. However, this study aims to review and analyze the digital technology that is being applied to control the COVID-19 pandemic in the 10 countries with the highest prevalence of the disease. or this review, the Google Scholar, PubMed, Web of Science, and Scopus databases were searched in August 2020 to retrieve publications from December 2019 to March 15, 2020. Furthermore, the Google search engine was used to identify additional applications of digital health for COVID-19 pandemic control. e included 32 papers in this review that reported 37 digital health applications for COVID-19 control. The most common digital health projects to address COVID-19 were telemedicine visits (11/37, 30%). Digital learning packages for informing people about the disease, geographic information systems and quick response code applications for real-time case tracking, and cloud- or mobile-based systems for self-care and patient tracking were in the second rank of digital tool applications (all 7/37, 19%). The projects were deployed in various European countries and in the United States, Australia, and China. onsidering the potential of available information technologies worldwide in the 21st century, particularly in developed countries, it appears that more digital health products with a higher level of intelligence capability remain to be applied for the management of pandemics and health-related crises.
Publisher: ScopeMed
Date: 2016
Publisher: Springer Science and Business Media LLC
Date: 08-08-2011
Publisher: ScopeMed
Date: 2015
Publisher: Wiley
Date: 06-2023
DOI: 10.1002/HSR2.1308
Abstract: Digital games are among the treatment methods for speech disorders that serve purposes other than mere entertainment. These games have been used for different speech disorders at any age. This study aims to review articles that have used digital games for rehabilitating speech disorders. This study was a scoping review. PubMed, Scopus, and Web of Science were searched on February 28, 2022, to access the articles on digital games used in rehabilitation of speech disorders without any date restrictions. The search strategy was as follows: (“video game [MeSH term]” OR “computer game” OR “mobile game” OR “serious game” OR gamification [MeSH term]) AND (“speech pathology” OR “speech therapy [MeSH term]” OR “speech disorder [MeSH term]” OR stuttering [MeSH term]). Original interventional and observational studies in English were included. The data were extracted from the relevant articles, including the first author's name, year of publication, country, target group, participants, mobile device/computer‐based, type of game design, language level, number of sessions, and outcome. Descriptive statistics were used to analyze the data. Of 693 retrieved articles, 10 articles were included in this study. Digital games were used for different speech disorders such as apraxia (20%), dysarthria (10%), articulatory hypokinesia in Parkinson's disease (10%), dysphonic disorder (10%), hearing disability (10%), phonological impairment (10%), and speech disorder in autism (10%). Most of the articles (60%) used a mobile device‐based game. Phonemes (30%), words (30%), and sentences (20%) were the most frequently used language levels in designing digital games. All the reviewed articles reported the positive effect of digital games on speech and the patients' motivation in therapy. Digital games can improve patients' speech and motivation in therapy. Although studies showed the positive impact of digital games on speech disorders, personalized speech therapy should be considered in designing these games.
Publisher: Elsevier BV
Date: 09-2020
Location: No location found
Location: Australia
Location: Iran (Islamic Republic of)
No related grants have been discovered for Kambiz Bahaadinbeigy.