Providing a framework for evaluation disease registry and health outcomes Software: Updating the CIPROS checklist.

BACKGROUND AND AIMS: Properly designed and implemented registry systems play an important role in improving health outcomes and reducing care costs, and can provide a true representation of clinical practice, disease outcomes, safety, and efficacy. Therefore, the aim of this study was to redesign and develop a checklist with items for a patient registry software system (CIPROS) Checklist. METHOD: The study is descriptive-cross-sectional. The extraction of the data elements of the checklist was first done through a comprehensive review of the texts in PubMed, Science Direct and Scopus databases and receiving articles related to the evaluation of registry systems. Based on the extracted data, a five-point Likert scale questionnaire was created and 30 experts in this field were asked for their opinions using the two-step Delphi method. RESULTS: A total of 100 information items were determined as a registry software evaluation checklist. This checklist included 12 groups of software architecture factors, development, interfaces and interactivity, semantics and standardization, internationality, data management, data quality and usability, data analysis, security, privacy, organizational, education and public factors. CONCLUSION: By using the results of this research, it is possible to identify the defects and possible strengths of the registry software and put it at the disposal of the relevant officials to make a decision in this field. In this way, among the designers and developers of these softwares, the best and most appropriate ones are selected with the needs of the registry programs.

Use of Digital Games for Educational Purposes Among Medical and Paramedical Sciences Students, Mashhad, Iran.

This study aimed to investigate the use of digital games for educational purposes among medical and paramedical sciences students at Mashhad University of Medical Sciences (Northeast of Iran). This cross-sectional study was conducted from July 2018 to January 2019. The research population was all students of the school of medicine and school of paramedical sciences at Mashhad University of Medical Sciences (n = 496). The research tool was a researcher-made questionnaire based on a literature review. The validity of the questionnaire was confirmed by its content validity, and the reliability of the questionnaire was evaluated based on the test-retest method (r = 0.82). In this examination of medical and paramedical sciences students' attitudes and perspectives, some novel preliminary insights into the applications, advantages, disadvantages, and features of digital games in education emerge. Overall, the findings showed that the use of interactive digital games can increase students' motivation for learning and make the learning process more attractive for students. This study was approved by the ethical committee of MUMS (approval number IR.MUMS.REC.1397.151).

Predicting the toxicity of nanoparticles using artificial intelligence tools: a systematic review.

Nanoparticles have been used extensively in different scientific fields. Due to the possible destructive effects of nanoparticles on the environment or the biological systems, their toxicity evaluation is a crucial phase for studying nanomaterial safety. In the meantime, experimental approaches for toxicity assessment of various nanoparticles are expensive and time-consuming. Thus, an alternative technique, such as artificial intelligence (AI), could be valuable for predicting nanoparticle toxicity. Therefore, in this review, the AI tools were investigated for the toxicity assessment of nanomaterials. To this end, a systematic search was performed on PubMed, Web of Science, and Scopus databases. Articles were included or excluded based on pre-defined inclusion and exclusion criteria, and duplicate studies were excluded. Finally, twenty-six studies were included. The majority of the studies were conducted on metal oxide and metallic nanoparticles. In addition, Random Forest (RF) and Support Vector Machine (SVM) had the most frequency in the included studies. Most of the models demonstrated acceptable performance. Overall, AI could provide a robust, fast, and low-cost tool for the evaluation of nanoparticle toxicity.

Effect of social media interventions on the education and communication among patients with cancer: a systematic review protocol.

INTRODUCTION: Cancer is a leading cause of death worldwide. In addition, it accounted for approximately 10 million deaths in 2020 alone. Information and communication technologies have great potential for improving health education and communication. Social media is one of the technologies that can help patients with cancer and healthcare providers communicate and provide educational information. Social media are increasingly being used for health promotion and behaviour change. This is a protocol of systematic review to identify the effect of social media interventions on the education and communication among patients affected by cancer. This study aims to reveal the steps of conducting research that systematically reviews all studies for the specific objective. This study aims to examine the social media interventions to improve awareness and knowledge about the disease for patients with cancer and improve communication among them. METHODS AND ANALYSIS: This protocol is reported in accordance with the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols checklist. We will include experimental design studies that report the effect of social media interventions on education and communication among patients with cancer or malignancy and any stage of the disease. Interventions will be inclusive, using all social network platforms for patients' communication and education. We will search PubMed, Web of Science, Scopus and the Cochrane Library from inception until 23 May 2022. Two independent reviewers will screen titles, abstracts and full-text articles with conflicts resolved through discussion or by a third reviewer, as needed. All titles, abstracts and full-text papers will be reviewed independently by two reviewers according to the inclusion and exclusion criteria. Discrepancies will resolve by discussion or SRNK if needed. The two reviewers will also independently complete risk of bias assessments for each included study. The descriptive analysis, including frequency and percentage parameters, will be calculated based on the study's variables. Furthermore, we will report the results of the quality assessment of studies in table format. In the result section, a narrative synthesis will be applied to describe and compare the paper's results. ETHICS AND DISSEMINATION: Ethics approval will not be needed because the data to be used in this systematic review and meta-analysis will be extracted from published studies. It will be disseminated by publication in a peer-reviewed journal. PROSPERO REGISTRATION NUMBER: CRD42022334691.

The trend of top five types of poisonings in hospitalized patients based on ICD-10 in the northeast of Iran during 2012-2018: A cross-sectional study.

Background and Aims: Poisoning remains a major health issue in developing countries with high morbidity and mortality rates; also it is one of the most common causes of admission to hospitals. This study aimed to investigate the trend of the top five types of poisonings in hospitalized patients according to the International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10) in Imam Reza hospital, Mashhad, Iran. Methods: This was a cross-sectional study performed from March 20, 2012, until September 22, 2018. We collected data from all patients hospitalized for poisoning admitted to the poisoning center at Imam Reza hospital in northeast Iran. ICD-10 was adopted to categorize all types of poisonings (T36-T65). The results obtained were analyzed by SPSS 16. Results: Thirty-four thousand eight hundred and ten cases were included. The mean age of the patients was 29.64 ± 14.69 years, of them, 50.7% were males. Benzodiazepine poisoning (T42.4) has the highest frequency among other subcategories and it was more common among females (60.5%). Opium poisoning (T40.0) has the highest mortality rate (5.4%) among other subcategories that is more common in males (72.0%). The mortality associated with narcotics was the highest frequency (2.7%). Suicide (83.6%) was the most common cause of poisoning. Most poisonings occurred in summer (27.4%). Conclusion: These findings could help health care managers and policymakers develop prevention and educational programs to reduce these poisonings and limit people's easy access to drugs and substances.

Development a national minimum data set for poisoning registry in Iran.

OBJECTIVES: In the developing countries with high mortality rates, poisoning is considered to be one of the most common causes of admission to emergency wards. Given the importance of registering data on poisoned patients, it is very important to have a complete poisoning Minimum Data Set (MDS). Therefore, the purpose of this study was to determine an MDS for poisoning registry in Iran. METHODS: This applied and cross-sectional study was conducted through of Delphi technique in the poisoning ward of Imam Reza Hospital (northeastern Iran) in 2019. Literature reviews were initially carried out on such databases as PubMed, Web of Sciences, Scopus, and Embase. Then, Google search was done to retrieve poisoning forms and poisoning registry websites. Also, we considered International Classification of Diseases, 10th Revision coding guidelines of poisoning. Then, a questionnaire containing data elements of poisoning was developed. RESULTS: In total, 558 data elements were developed during two rounds of Delphi technique. The MDS was divided into 10 categories including patient and communication data, encounter data, diagnostic data and medical history, exposure data, clinical data, treatment data, complications, paraclinical tests, biobank, and discharge data. CONCLUSIONS: Establishing an MDS as the first and most important step towards implementing poisoning registry can be the standard basis for collecting poisoned patient data. The data registered in the poisoning registry can be used for planning, policy-making, prevention, and control purposes.

Evaluating the Students' View of Medical and Paramedical Sciences About Perceived Benefits and Barriers of Virtual Social Networks for Learning Purposes.

Social networks are new technologies that facilitate the sharing and exchange of information and knowledge as well as the communication between students and professors. The purpose of this study was to investigate views of medical and paramedical sciences students about benefits and barriers of virtual social networks for learning purposes. A cross-sectional study was carried out in 2017 and the research tool was a researcher-made questionnaire based on a literature review. The majority of students (medical= 93% and paramedical sciences= 84.7%) tended to use social networks for learning purposes. Also, the results showed that "sending and receiving educational videos" and "sending and receiving educational texts, posts and contents" was the highest priority for medical and paramedical sciences students for using social networks. Overall, the results of our study showed that the social networks can play an effective role in educating medical students and improve students' motivation for learning. However, the use of these technologies also brings problems and challenges.

Views of Health Information Management Staff on Non-Technical Security Management Factors, Mashhad, Iran.

Health care organizations are worried about information security because they generate important and valuable information in the field of health informatics. Therefore, the present study was conducted to investigate the health information management staff's viewpoint on non-technical security management factors. A descriptive cross-sectional study was conducted between Feb to Apr 2018 in 12 academic hospitals in Mashhad, north-eastern Iran. Data were collected through a paper-based questionnaire that was designed based on previous studies and published literature. From the views of staff, the information security management had the highest average (Mean = 3.63) while organizational culture had the lowest average (Mean = 3.32). The results of this study showed that security controls are essential for protecting critical information. Organizations must also consider appropriate security actions for protecting critical organizational information.

Use of Social Networks for Learning Purposes Among Medical and Paramedical Sciences Students, Mashhad, Iran.

Social networking sites are communication and information technologies which can facilitate the interaction between professors and students. The purpose of this study was to investigate the use of social networks for learning purposes among medical and paramedical sciences students in Mashhad University of Medical Sciences (northeastern Iran). A cross-sectional study was carried out in 2017 and the research tool was a researcher-made questionnaire based on a literature review. The results showed that social networks such as Telegram (3.44 ± 1.27 out of 5) and Instagram (1.83 ± 1.17) were the most frequently used social networks. On the other hand, Snapchat (1.04 ± 0.22) and Flickr (1.05 ± 0.31) were the least used social networks for learning purposes. The findings of the study showed that medical students have problems in using social networks for learning purposes. Familiarizing students with scientific and professional social networks such as ResearchGate and Linkedin and creating dedicated social networks, rather than public social networks, designed to achieve educational goals can resolve many problems.

Views of Health Information Management Staff on the Medical Coding Software in Mashhad, Iran.

Systematic evaluation of Health Information Technology (HIT) and users' views leads to the modification and development of these technologies in accordance with their needs. The purpose of this study was to investigate the views of Health Information Management (HIM) staff on the quality of medical coding software. A descriptive cross-sectional study was conducted between May to July 2016 in 26 hospitals (academic and non-academic) in Mashhad, north-eastern Iran. The study population consisted of the chairs of HIM departments and medical coders (58 staff). Data were collected through a valid and reliable questionnaire. The data were analyzed using the SPSS version 16.0. From the views of staff, the advantages of coding software such as reducing coding time had the highest average (Mean=3.82) while cost reduction had the lowest average (Mean =3.20), respectively. Meanwhile, concern about losing job opportunities was the least important disadvantage (15.5%) to the use of coding software. In general, the results of this study showed that coding software in some cases have deficiencies. Designers and developers of health information coding software should pay more attention to technical aspects, in-work reminders, help in deciding on proper codes selection by access coding rules, maintenance services, link to other relevant databases and the possibility of providing brief and detailed reports in different formats.

Physicians' Use of Online Clinical Evidence in Mashhad University of Medical Sciences, Iran.

The Internet is an important source of medical information. It is expected that the use of online sources will improve clinical decisions. This study aims to evaluate online information seeking behavior of physicians of Mashhad University of Medical Sciences on the use of online clinical evidence. A cross-sectional, questionnaire-based study was carried out between November and December 2014 in the five academic hospitals. A total of 252 physicians completed the questionnaire. The majority of physicians (63.6 of specialists and 58.5% of residents) had no internet access in their consultation and visit rooms. The majority of physicians (77.8% of specialists and 80% of residents) respectively used Google, as well as 67.5% specialists and 52.2% residents always used Medline or PubMed, among electronic sources, to searching for information. The main reasons for physicians' dissatisfaction with the Internet, as a source of health information, were lack of access to medical sources owing to the non-targeted filtering (61% specialists and 74.6% residents) and very slow connection of the Internet (75.6% specialists and 83.1% residents). It is recommended that medical informatics training programs should be incorporated, where physicians are required to search for health information in the Internet.