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1.
IJFS-International Journal of Fertility and Sterility. 2017; 11 (3): 184-190
in English | IMEMR | ID: emr-192315

ABSTRACT

Background: In vitro fertilization [IVF] and intracytoplasmic sperm injection [ICSI] are two important subsets of the assisted reproductive techniques, used for the treatment of infertility. Predicting implantation outcome of IVF/ICSI or the chance of pregnancy is essential for infertile couples, since these treatments are complex and expensive with a low probability of conception


Materials and Methods: In this cross-sectional study, the data of 486 patients were collected using census method. The IVF/ICSI dataset contains 29 variables along with an identifier for each patient that is either negative or positive. Mean accuracy and mean area under the receiver operating characteristic [ROC] curve are calculated for the classifiers. Sensitivity, specificity, positive and negative predictive values, and likelihood ratios of classifiers are employed as indicators of performance. The state-of-art classifiers which are candidates for this study include support vector machines, recursive partitioning [RPART], random forest [RF], adaptive boosting, and one-nearest neighbor


Results: RF and RPART outperform the other comparable methods. The results revealed the areas under the ROC curve [AUC] as 84.23 and 82.05%, respectively


The importance of IVF/ICSI features was extracted from the output of RPART. Our findings demonstrate that the probability of pregnancy is low for women aged above 38


Conclusion: Classifiers RF and RPART are better at predicting IVF/ICSI cases compared to other decision makers that were tested in our study. Elicited decision rules of RPART determine useful predictive features of IVF/ICSI. Out of 20 factors, the age of woman, number of developed embryos, and serum estradiol level on the day of human chorionic gonadotropin administration are the three best features for such prediction

2.
Journal of Health Management and Informatics [JHMI]. 2016; 3 (4): 131-137
in English | IMEMR | ID: emr-186085

ABSTRACT

Introduction: In the recent years, evaluation of websites has become one of the main organizational instruments for the relationship between provision of services for customers and beneficiaries. Despite the high costs for design and implementation of websites, less attention has been paid to evaluation of these websites' function


This might be due to the lack of appropriate instruments and frameworks for evaluation of websites. In order to assess hospitals' information, their websites have to be evaluated regarding webometric criteria so as to identify their strength and weaknesses. Therefore, this study aimed to evaluate the websites of educational hospitals of Pars province in 2016


Method: In this descriptive study, the subjects included all the 43 active websites of educational hospitals of Pars province; they were evaluated by three experts in health information technology


The study data were collected using a checklist whose validity had been confirmed in the previous studies. After all, the data were analyzed using descriptive statistics, SPSS 21 and Excel 2013 software, and the results were presented through tables


Results: The mean scores obtained from three evaluators showed that out of the 43 hospitals under investigation, 35 and 8 hospitals were ranked as good and moderate hospitals, respectively. In addition, the lowest score was related to interactive exchange of views [30.25%], while the highest scores were related to information objectivity [100%], information accuracy [100%], and non-textual views [100%]


Conclusion: The overall quality level of most of the hospital was relatively acceptable. But it is necessary that the hospitals improve their websites based on information updatedness, coverage of special addressees, navigation, efficiency and interactive exchange of views. The improvement in the latter criterion will help in reducing the number of daily referrals to the hospitals

3.
Journal of Health Management and Informatics [JHMI]. 2015; 2 (3): 97-100
in English | IMEMR | ID: emr-175575

ABSTRACT

Introduction: Electronic Health Record contains all the information related to the health of citizens, from before birth to death have been consistently over time is electronically stored and will be available without regard to location or time all or part of it to authorized persons. The acceptance of EHR by citizens is important in successful implementation of it. The aim of this study was to determine the attitudes and behaviors related to the introduction of electronic health records among Shiraz university student


Method: The present study is a cross-sectional descriptive survey. The study population consisted of all Shiraz University students. The data gathering tool was a questionnaire and data were analyzed in SPSS v.16 software, using descriptive statistical tests. Also, the samples, i.e. 384 students, were selected through convenient sampling


Results: The results showed that most of the students kept their medical records at home to show them to a specialist and only 15% of them were familiar with the Electronic Health Records term. The use of Electronic Health Records for Maintenance of drug prescriptions was of the most importance


Conclusion: Among the students who are educated class and the source of change, the university students' familiarity with Electronic Health Records is too low and most of them were not even familiar with its name and it is very important to implement this system familiarize the users on how to use it sufficiently

4.
Journal of Health Management and Informatics [JHMI]. 2014; 1 (4): 96-98
in English | IMEMR | ID: emr-175557

ABSTRACT

Introduction: Nowadays different countries benefit from health system based on health cards and projects related to smart cards. Lack of facilities which cover this technology is obvious in our society. This paper aims to design Minimum Data Sets of Health Smart Card System for Iran


Methods: This research was an applied descriptive study. At first, we reviewed the same projects and guidelines of selected countries and the proposed model was designed in accordance to the country's needs, taking people's attitude about it by Delphi technique. A data analysis in study stage of MDS[Minimum Data Sets] of Health Smart Card in the selective countries was done by comparative tables and determination of similarities and differences of the MDS. In the stage of gaining credit for model, it was accomplished with descriptive statistics to the extent of absolute and relative frequency through SPSS [version 16]


Results: MDS of Health Smart Card for Iran is presented in the patient's card and health provider's card on basisof studiesin America, Australia, Turkey and Belgium and needs of our country and after doing Delphi technique with 94 percent agreement confirmed


Conclusion: Minimum Data Sets of Health Smart Card provides continuous care for patients and communication among providers. So, it causes a decrease in the complications of threatening diseases. Collection of MDS of diseases increases the quality of care assessment

5.
Journal of Health Management and Informatics [JHMI]. 2014; 1 (3): 51-58
in English | IMEMR | ID: emr-181066

ABSTRACT

Introduction:APACHE [Acute Physiologic and Chronic Health Evaluation] score is a medical tool designed to measure the severity of disease for adult patients admitted to Intensive Care Units [ICU]. However, it is designed based on the American patients' data and is not well suited to be used for Iranian people. In addition, Iranian hospitals are not equipped with High Dependency Units which is required for original APACHE


Method: We aimed to design an intelligent version of APACHE system for recognition of patients' hospitalization period in ICUs. The new system can be designed based on Iranian local data and updated locally. Intelligence means that the system has the ability to learn from its previous results and doesn't need manual update


Results: In this study, this new system is introduced and the technical specifications are presented. It is based on neural networks. It can be trained and is capable of auto-learning. The results obtained from final implemented software show better performance than those obtained from non-local version


Conclusion: Using this method, the efficiency of the prediction has increased from 80% to 90%. Such results were compared with the APACHE outputs to show the superiority of the proposed method Keywords: Health status indicators, Hospitalization, Intensive care unit, Classification system, Neural networks

6.
Payesh-Health Monitor. 2012; 11 (4): 425-433
in Persian | IMEMR | ID: emr-193983

ABSTRACT

Objective [s]: The universal endeavors have been started for the limitation of AIDS epidemic so far. One of these programs is the promotion of scientific methods and setting of the suitable surveillances, for the purpose of problem solving and application of the most accessible data and designs, for the process of decision making. The present research has been conducted to investigate the HIV/AIDS surveillances in the selection countries


Methods: The current investigation which is about the HIV/AIDS surveillance has been presented in a frame with 3 patterns, [data sources; minimum data set; data collection, data reporting and data processing disciplines] in America, Australia, Britain, Malaysia and Iran in 1388. It should be notified that the research is descriptive. In this regard, the current situation of HIV/AIDS surveillance in Iran, was investigated through visiting the [center of diseases management], which is located in the ministry of health and medical education, with interview and studying of forms and the current documents and application of check lists and then HIV/AIDS surveillance has been studied in the selection countries. Data analysis was descriptive-theoretical and it was on the basis of the comparison between doctrine's characteristics in the selection countries


Results: All of the above said four countries have emphasized on the promotion of scientific methods and setting of the suitable surveillance, for problem perception and application of the most accessible data and designs, for the process of decision making


Conclusion: In the whole designing and performing of HIV/AIDS surveillance in Iran has been suggested for the better understanding of the epidemic procedure over time, better understanding of the epidemic's outbreak behaviors in the country, pre-caution and focus on the sub-population with the most infection risk, and control designing with the use of high quality data

7.
Health Information Management. 2007; 4 (2): 153-166
in Persian | IMEMR | ID: emr-82584

ABSTRACT

The present research has been conducted to design the HIV/AIDS Surveillance system for Iran applying WHO recommendations, using the experiences of the countries having the lead in the design and implementation of the system. In this descriptive study of applied kind, we initially investigated the existing circumstances governing Iran's HIV/AIDS information system from the Ministry of Health using a checklist. Subsequently, the HIV/AIDS surveillance system of selected countries [USA, United Kingdom and Australia] were studied and based on the country's requirements, a model was proposed and designed for Iran. The Delphi technique was utilized to find the views of 24 experts in infectious diseases and Health Information Management. The validity of research instruments was measured using content validity and the reliability was obtained using attest-retest method. A model for HIV/AIDS surveillance system was presented based on WHO recommendations and using the experiences of selected countries. This was presented in six axes: general specifications of the system, minimum data set, data collection and reporting, data processing, data processing rules, and data distribution. Using Delphi technique, the results were approved obtaining the score of 36.3 out of 44 [82.5 percent]: TV The design and implementation of HIV/AIDS surveillance system at the nation level in Iran is proposed for a better understanding of the epidemic procedure and spreading behaviors as well as focusing on the at high risk subpopulations and designing a prevention and care system using high quality data


Subject(s)
HIV Infections/epidemiology , Information Systems , Management Information Systems , World Health Organization , Risk Assessment , Population Surveillance
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