Comparing the effects of demonstration, video display, and virtual social networks on nursing students' learning of hemodialysis clinical skills: An interventional and comparative study.

BACKGROUND: Applying new methods of clinical education seems to provide nursing students with educational opportunities. The present study aimed to compare the effectiveness of training through demonstration, video display, and virtual social space on the learning of clinical skills among nursing students. MATERIALS AND METHODS: In this semi-experimental research with posttest that was performed in 2019, thirty nursing students of the seventh semester were randomly assigned to three groups of demonstration, video display, and the social virtual space education with ten people in each group. The research was conducted in the hemodialysis ward of university hospitals. Each group was trained and evaluated during 10 days with 5-h sessions continuously. Participants' skills were evaluated using eight self-made, valid and reliable checklists, and the three groups were compared. For data analysis such as the means and standard deviations and inferential statistics, Mann-Whitney test, Kruskal-Wallis likelihood-ratio, and Chi-squared test in SPSS version 16 were used. RESULTS: The results indicated that practical skill levels in the group of virtual social network were significantly higher than the two groups of video display (P = 0.045) and demonstration (P = 0.03). In addition, the group of virtual space had significantly higher scores than those of the other two groups only in two skills of "prime" and "disconnecting the patients from the machine" (P < 0.05). CONCLUSION: Proper use of networks and social virtual space for clinical training, along with conventional methods of learning, provides good learning opportunities and is affordable in terms of time, cost, and process.

Internet addiction, mental health, and sleep quality in students of medical sciences, Iran: A cross-sectional study.

BACKGROUND: Internet addiction (IA) is a severe problem, especially in academic communities. The association between IA and unfavorable emotional conditions (e.g., anxiety, stress, and depression) can harm students' relationships and academic and career performance. The present study evaluated (a) the prevalence of IA in a sample of medical sciences university students; (b) the association between IA and depression, anxiety, stress, and sleep disorders; and (c) the association between demographic characteristics and IA, depression, anxiety, and stress. MATERIALS AND METHODS: In this descriptive cross-sectional study, 268 students from Abadan University of Medical Sciences were selected using Morgan Table. The participants responded to the Young Internet Addiction Test, the Depression Anxiety Stress Scales-42, and the Pittsburgh Sleep Quality Index. Data were analyzed using descriptive statistics, Pearson correlation coefficient, independent sample t-test, one-way ANOVA, and least significant difference. RESULTS: The mean score of IA was 45.65 ± 35.40. IA was found to be significantly related to depression, anxiety, stress, and sleep disorders (except for sleep disturbance) (P < 0.001). Males were found to be more likely than females to suffer from IA, depression, anxiety, stress, and sleep disorders. Furthermore, age was inversely related to IA, depression, and stress. Finally, medical sciences students suffered from depression, anxiety, and stress more than students majoring in other fields. CONCLUSIONS: The simultaneous occurrence of IA and depression, anxiety, stress, and sleep disorders in students indicates that IA is associated with other psychological problems. Therefore, researchers and policymakers need to identify preventive measures to help internet-addicted students.

Improving hypertension surveillance from a data management prospective: Data requirements for implementation of population-based registry.

BACKGROUND: Hypertension (HTN) has become a major public health problem which can cause serious complications when it is not well-controlled. Prevention and effective care of HTN require a population-based registry. Thus, establishing this registry can be used to collect comprehensive, timely, and reliable data on epidemiology cases. The aim is to create a registry for the collection of highly required prospective data that will present an in-depth analysis of the characteristics of all individuals with HTN and track them over a particular chronological interval. MATERIALS AND METHODS: The study was divided into three phases: At first, a comprehensive literature review was conducted to determine the proposed data classes and data fields. Then, the final minimum data set was designed by a two-round Delphi consensus approach of 20 experts of cardiologists, nephrologists, nutritionist, and health information management. Finally, a web-based registry system was developed by a Structured Query Language environment. RESULTS: A total of two clinical and nonclinical data categories with nine data classes and 68 data fields were selected for their inclusion in the registry following the consensus phase. A web-based registry was designed with a modular and layered architecture. CONCLUSIONS: This study provides an appropriate information infrastructure for active tracing and monitoring of individuals with HTN. It has provided a practical information system allowing quality improvement, aggregate reporting for planning, and research purposes.

Fast resuscitation and care of the burn patients by telemedicine: A review.

BACKGROUND: In Iran, burns are the second most common cause of death, after traffic accidents in individuals under the age of 15 years. Many burned patients die or suffer injury due to lack of immediate care, so we need to use an alternative resuscitations to cure them immediately. Telemedicine describes the use of medical information exchanged from one site to another via electronic communications to improve patients' health status and care. The aim of this study was to express the advantages of Telemedicine to resuscitate and care burn patients. MATERIALS AND METHODS: This study was a narrative review. The literature was searched on fast resuscitation and care of the patients' burn by telemedicine with the help of libraries, databases, and also searches engines available at Google, Google scholar, books and conference proceedings. In our searches, we employed the following keywords and their combinations: Telemedicine, Telecare, Burn, Burn patient, Air transport, Triage and Health Information Management in the searching areas of titles, keywords, abstracts and full texts. RESULTS: In this study, more than 78 articles and reports were collected and 30 of them were selected based on their relevancy. CONCLUSION: Acute evaluation of burn patients can be performed by the telemedicine and it plays an important role in improving access to the required expertise, and raises physician confidence in treating burn patients. This can reduce under-triage or over-triage for air transport and finally lead to saving time and cost.