Baqiyatallah University of Medical SciencesInternational Journal of Medical Reviews2345-525X2420151222Inter Professional Shared Clinical Decision Making Models in the ICU: Necessity to use29729768715ENMohammadrezaHajiesmaeiliLoghman Clinical Research Development Center, Shahid Beheshti University of Medical Science (SBMU), Tehran, IranAmirVahedian-AzimiShariati Hospital, Tehran University of Medical Sciences, Tehran, IranJournal Article20151005https://www.ijmedrev.com/article_68715_881863d0a0f6fee7d97c6be6eadb905d.pdfBaqiyatallah University of Medical SciencesInternational Journal of Medical Reviews2345-525X2420151222Clinical Decision Support Systems (CDSSs): State of the art Review of Literature29930868717ENAmir MohammadShahsavaraniBehavioral Sciences Research Center, Baqiyatallah University of Medical Sciences, Tehran, IranEsfandiarAzad Marz AbadiBehavioral Sciences Research Center, Baqiyatallah University of Medical Sciences, Tehran, IranMaryamHakimi KalkhoranInstitute of PsychoBioSocioEconomic Sciences, Yerevan, ArmeniaSaeidehJafariInstitute of PsychoBioSocioEconomic Sciences, Tehran, IranShirinQaranliInstitute of PsychoBioSocioEconomic Sciences, Tehran, IranJournal Article20150910<strong>Introduction:</strong> One of the major advances in medical practice and healthcare is to incorporate decision support systems (DSS) in such practices to assist healthcare staff. The present study aimed to make a general understanding framework about the state of the art of the clinical decision support systems (CDSS).
<strong>Methods:</strong> The design of this was a systematic review. According to the research keywords (decision, decision-making, clinical decision, clinical decision-making, decision support, decision support system, clinical decision support system), Persian and English papers and scientific literature in scientific data bases include Simorgh, MagIran, and SID for Persian, as well as Science Direct, Google Scholar, Google Patent, Wikipedia, PubMed, Sage, and Springer for English resources were searched. At the end, among 1247 papers, 27 papers were selected regarding the inclusion criteria. Delphi method was implemented to construct the final format of the results report. The method of the data analysis were librarian and content analysis.
<strong>Results:</strong> Two main definitions of CDSS, 13 popular CDSSs, major aims of usage, practical and theoretical benefits, principal methods of decision support, three major classifications, medical/clinical data mining, EBM, and efficacy of CDSS have been evaluated and discussed.
<strong>Conclusion:</strong> The usage of CDSS in clinical and healthcare settings is increasing. It has been shown that the incorporation of CDSS can significantly improve health outcome indices. However, authorities shall establish standards and quality control systems to evaluate and integrate development and implementation procedures of CDSS. In addition, future studies would better compare alike CDSS to evaluate competitive advantages and concurrent validity of various CDSSs.https://www.ijmedrev.com/article_68717_11d5e1fc949795fbe7a6950cf2f994e4.pdfBaqiyatallah University of Medical SciencesInternational Journal of Medical Reviews2345-525X2420151222Effectiveness and Challenges of Mastery Learning in Nursing Education: A systematic review30931668709ENSeyedeh AzamSajadiBaqiyatallah University of Medical Sciences. Instructor of Nursing faculty of AJA University of Medical Sciences, Tehran, IranAbbasEbadiFaculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, IranMortezaKhaghanizadehBehavioral Science Research Center, Baqiyatallah University of Medical Sciences, Tehran, IranJournal Article20151011<strong>Introduction:</strong> As a large part of human resources in the health system, nurses play an important role in promoting public health. One of the ways to provide better health services is training qualified nurses. This is why mastery learning would be one of the most effective educational approaches to realize it. Despite its numerous advantages, the implementation of mastery learning is facing challenges. This study is to examine the effectiveness and the challenges of mastery learning.
<strong>Methods:</strong> This study is a systematic review with an extensive search to find articles from Persian and English databases using the keywords of “education”, “health care research”,“evaluation”, “mastery learning”, “medical education”, and “nursing education” either alone or in combination with each other in the websites of Cumulative Index of Nursing and Allied Health Literature (CINAHL), Scopus, Medline, Embase, PsycINFO, and SID. In this regard, 138 research papers published from 2005 to 2015 which were in line with the research question were found. After an examination, 16 articles were included in the study. The data from the articles were summarized, classified and analyzed based on the research question.
<strong>Results:</strong> Although mastery learning increases the educational effectiveness, its implementation for reasons such as the applicability to some subjects, time consumption, learners’ various individual characteristics, talented students’ lagging behind other learners, frequent formative assessments, and frequent test-designing require more efforts both by the teacher and the learners.
<strong>Conclusion:</strong> Students raised through this method are competent students having the minimum requirements to perform their duties in the future. Therefore, proper curriculum design, introduction of this approach to teaching institutions and learners, empowerment of teachers, and pilot studies related to the solutions to address its challenges could help in exploiting this approach in theoretical and clinical education.https://www.ijmedrev.com/article_68709_180303f320d0b3d14fb560f0a8a33f6a.pdfBaqiyatallah University of Medical SciencesInternational Journal of Medical Reviews2345-525X2420151201Barriers to Reporting Medication Errors in Iran: A Systematic Review31732168714ENAmirMirsadeghiCritical Care Nursing MSc student College of Nursing University of Bagiyatallah Tehran, IranMarziehPazokianSchool of Nursing and Midwifery, Faculty of Nursing, Shahid Beheshti University of Medical Sciences, Tehran, IranJournal Article20151102<strong>Introduction:</strong> Detection of errors is known as the basis for maintaining and improving patient safety. In this regard, patient safety is a key priority in the health system. Reporting medication errors, in addition to preventing potential harm to the patient, is also considered as a valuable information source for preventing further similar mistakes in the future. Although, there are many benefits and high ethical standards for medication error reports, nurses may have often some doubts in detecting errors for a patient in order to protect themselves from punishment and administrative rules. Thus, paying attention to barriers of reporting and resolving them is essential to the possible extent. This review study has been conducted with the aim of investigating the reasons why nurses refuse to report medication errors in Iran.
<strong>Materials and Method:</strong> This review study was conducted by surveying the studies between 1387-1393 using the keywords reporting medication errors, Iran, barriers to reporting, and systematic review. All possible combinations of key words have been used in the databases such as Iran Medex, SID, Iran doc and Magiran using the Google search engine. These combination were searched for according to Cochran's seven-step model regarding the inclusion criteria, including descriptive articles published in credited journals on the subject of barriers of nurses to report medication errors and the exclusion criteria, including qualitative studies, case reports, review studies, studies irrelevant to nurses’ medication errors, seminars as well as joint studies with other members of the treatment team.
<strong>Findings:</strong> From among 18 studies retrieved, a number of eight studies were excluded from the study regarding the exclusion criteria, and finally 10 articles were analyzed. After analysis of the studies, reporting barriers were divided in three areas related to reporting, management factors, and fear from the reporting consequences.
<strong>Conclusion:</strong> The results showed that the main barrier for not reporting medication errors is fear from managers and nurse educators’ inappropriate feedbacks as well as fear from financial and legal matters. Therefore, medication errors can be reduced by proper planning and management, away from punishment and reprimands, encouragements such as financial rewards, vacation incentives and so on, along with academic and in -service training, and creating a positive learning environment. Moreover, the implementation of a reporting error system in which the personnel feel safe is among other duties of this field.https://www.ijmedrev.com/article_68714_d3800f46d9dc82a081293889d1e0fe25.pdfBaqiyatallah University of Medical SciencesInternational Journal of Medical Reviews2345-525X2420151222Designing and the Validation of the Evidence-Based Nursing Care Instruction in the Nausea and Vomiting of Patients Undergoing Chemotherapy32332968711ENMortezaKameliInternational Travel Medical Center of Iran, Iraninan Red Crescent Society, Tehran, IranMohammad AliKhoshnevicnternational Travel Medical Center of Iran, Iraninan Red Crescent Society, Tehran, IranJamilehMokhtari NouriPsychology Department, Faculty of Psychology, Tehran University, Tehran, IranSeyyed MohammadKhademolhosseiniPsychology Department, Faculty of Psychology, Tehran University, Tehran, IranJournal Article20150909<strong>Introduction:</strong> Nausea and vomiting due to chemotherapy is the most common and severe complications in patients suffering from cancer. This study has been done with the aim of designing an evidence-based nursing care instruction for the nausea and vomiting of the patients suffering from chemotherapy.
<strong>Methods:</strong> This study is a development study method in the chemotherapy ward of the Baqiatallah (A.J) Hospital in 2014. Nausea and vomiting nursing care instruction was designed based on the Stetler Model with an evidence-based approach. The ideas of ten faculty members of the selected universities were considered for assessing the validity of the instruction content through the Delphi model. The applicability of the instruction was assessed through interviews with 8 relevant clinical experts. In addition to assessing nursing reference books, some articles were studied from some websites including: Google scholar, Elsevier, Cochran, Proquest, Pubmed and SID. The key words for searching these articles included: care instruction, evidence-based nursing, nausea, vomiting and protocol.
<strong>Findings:</strong> The evidence-based instruction of nausea and vomiting due to chemotherapy in this study included: nursing diagnosis, reasons, evaluation criteria and nursing interventions .These can be used as a clinical guide for taking care of the patients undergoing chemotherapy based on the most valid scientific texts with an evidence-based approach.
<strong>Conclusion:</strong> Designing an evidence-based nursing care instruction for patients undergoing chemotherapy leads to more benefits and increases the achievement of the nursing staff to up-to-date information and finally increases the nursing cares quality. In addition, a part of clinical nurses’ need in facing nausea and vomiting in these patients will be met.https://www.ijmedrev.com/article_68711_b6353e5e6a1b54f4012494c1a0390fc7.pdfBaqiyatallah University of Medical SciencesInternational Journal of Medical Reviews2345-525X2420151201Tooth Loss Related to Systemic Diseases33133768712ENRezaYarmohammadiSchool of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, IranHamedMortazaviDepartment of Oral Medicine, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, IranAliRahmaniDepartment of Medical Surgical Nursing, School of Nursing, Baqiyatallah University of Medical Sciences, Tehran, IranSomayehRahmaniDepartment of Oral Medicine, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, IranJournal Article20150920<strong>Introduction:</strong> Multiple local and systemic factors can result in loss of teeth. The objectives of this review, is determining common systemic diseases can lead to tooth mobility or early tooth loss.
<strong>Methods:</strong> This study was a narrative review which reviewed the studies published between 1978 and 2014 by using electronic, academic and scientific resources. With this key words: Tooth Mobility, Systematic Disease, and Tooth Loss. At the end, the collected data were simply content analyzed.
<strong>Results:</strong> In this study, 17 common systemic disease were identified, as follows: 1.Diabetes Mellitus, 2.Female Sexual Hormones Condition, 3.Hyperpituitarism, 4. Hyperthyroidism, 5.Primary, Hyperparathyroidism, 6.Osteoporosis, 7.Hypophosphatasia, 8.Hypophosphatemia, 9.Acatalasia, 10.Erythromelalgia, 11.Gorham’s Disease, 12.Sarcoidosis, 13.Wegener’s Granulomatosis, 14.Burkitt, Lymphoma, 15.Non Hodgkin Lymphoma, 16.Multiple Myeloma, 17.Langerhans Cell Histiocytosis.
<strong>Conclusion:</strong> The recognition of these common systemic diseases and links between doctors and dentists can limit or reduce the speed and extension of oral complication with fast and accurate oral health measures.https://www.ijmedrev.com/article_68712_834247ac1e070d548703ba8b9270f925.pdfBaqiyatallah University of Medical SciencesInternational Journal of Medical Reviews2345-525X2420151222Mental Imagery of Representation beyond the Equivalence of Perception by Emphasizing Methods FMRI33934868720ENSholeVatanparastNeuroscience Department, Baqiyatallah University of Medical Sciences, PHD student of cognitive neuroscience in Psychology ICSS, Tehran, IranRezaKormi-NouriPsychology Department, Faculty of Psychology, Tehran University, Tehran, IranMohammadhossinAbaollahiPsychology Department, Faculty of Psychology, Kharazmi University, Tehran, IranHassanAshayeriNeuroscience Department, Faculty of Neuroscience, Iran University, Tehran, IranZohrehVafadarNursing Department, Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, IranFatemehChoopaniDepartment of Medical, MS in Human Genetic, Baqiyatallah University of Medical Sciences, Tehran, IranJournal Article20150928<strong>Introduction:</strong> Knowledge representation includes different methods through which our mind creates mental structures, the representation of what we know about the world out of our mind. In mental imagery, we create similar mental structures which represent the things which our sensory organs haven’t sensed. Some studies relating to the blind subjects and some applied studies on rehabilitation have highlighted the importance of mental imagery for the cognitive psychologists. Aim of this study is to investigate the mental imagery with FMRI studies on neural structures in common tasks with the normal consciousness range for comparison of neural functional equivalence beyond the neural perception level.
<strong>Methods and Material:</strong> The research was conducted with key words of mental imagery, representation, FMRI in pubmed, google Scholar and Science direct databases and SID database, without time limitation and in both Persian and English languages.
<strong>Results:</strong> 70 original research papers were obtained among which 5 papers were reviewed finally after the evaluation of scientific validity for responding to the research questions. Analysis of the final papers showed that knowledge representation through mental imagery was beyond the perceptional neural functional equivalent.
<strong>Conclusion:</strong> Common neural bases can be searched by designing specific tests in different consciousness levels such as hypnotism, mental imagery, and normal awareness and with FMRI expanding functions.https://www.ijmedrev.com/article_68720_a6601ba88cc504a765cd798618c3fdcf.pdf