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Showing 8 results for Yazdani
A case report of Wolfram syndrome
Pooneh Yazdani Qadikollaee, Daniel Zamanfar, Somayeh Rostami Maskopaii,
Volume 6, Issue 1 (1-2017)
Abstract
Wolfram syndrome is a rare neurodegenerative autosomal recessive disorder that usually appears with diabetes mellitus, diabetes insipidus, bilateral optic nerve atrophy and neurosensory deafness. But it has been reported incomplete forms of this syndrome and cases where has a variety of other symptoms, also.
The current report presents a 12-year-old male patient that was under treatment with the diagnosis of diabetes from 1.5 years ago. Patient was complained from decreased vision, brief hearing loss and polydipsia and polyuria that was observed macula and head of optic nerve atrophy on both sides in the examination of the retina. In addition, he had mild neurosensory hearing loss at high frequencies in the audiometry. Also, this patient had bilateral hydronephrosis due to posterior urethral valve (PUV), which despite surgery, the plaintiff was the process of urination and disposal of urine with urine catheter, daily. One of the sick sisters which was Suffering from diabetes died at age 15 years old, but there is no diabetes or vision or hearing problems in other family members.
In patients under 16 years old with non-autoimmune-insulin-dependent diabetes, the smallest neurological disorders should be considered to perform neurological examinations to early diagnose & control of complications of this syndrome.

Attachment styles in elderly and related factors: a review
Jamshid Yazdani Charati, Maryam Ahmadi Khatir, Ehteram-Alsadat Ehteram-Alsadat Ilali, Hamideh Azimi Lolaty,
Volume 6, Issue 2 (5-2017)
Abstract

Attachment styles are the effective elements in the formation and posing any question about the problems of aging and how to deal with these issues. This study aimed to review attachment styles and its associated factors in the elderly. Using keyword search about the title or abstract in the databases like Magiran, SID, Medlib, Iranmedex, Google Scholar for Persian language studies and the articles with their full text in English on the databases as Proquest Elsevier, Ovid, PubMed, Science direct, Google Scholar using the following key words in both Persian English, the search was done. The key words covered Attachment model, Attachment style, Attachment pattern, with the individual terms, aging, elder, aged, old people elderly. Out of these ones, during 2000 and end of the 2016, 83 articles in the field of attachment style in the elderly group with 60 years old and older, were extracted. Of these, 19 articles were selected as most relevant to our objectives and were examined. The results showed that insecure attachment style was closely related to the increasing number of problems of the elderly in this period. Some studies reported the score of safe attachment style in the elderly living at home higher than the elderly living in nursing homes. The avoidant or anxious attachment styles were common patterns among the residents of nursing homes. There was a significant relationship between attachment patterns and chronic diseases and sleep problems in the elderly. The pattern of attachment has an effective role in decision-making, depression and anxiety in the elderly. The attachment styles are also influenced by gender. Secure attachment style has increased by expanding the communication with the elderly. The findings of the studies showed that attachment styles can predict elderly happiness, self-esteem and self-care behaviors associated with strong attachment styles dimensions. Improving the communication with family and living at home beside the family are effective in the correct pattern of attachment, and this improvement can help to prevent many diseases related to the mental status of elderly people.


The Process of Establishment of Territorial Agenda and Development and Inonovation in Medical Education in Iran
Roya Malekzadeh, Ghasem Abedi, Mohammad Sadegh Rezai, Pooneh Yazdani,
Volume 7, Issue 1 (7-2017)
Abstract
Territorial Agenda is a comprehensive process of planning to use advantage and talent of regional s for their growth and excellence. The development of the education system is one of the most effective action and guarantor of the sustainable development of societies. The implementation of the program on the development and innovation of medical education with the use of the capacity of the territorial planning program began in the country in 2015. The purpose of this study is to explain the Process of Establishment of Territorial Agenda and Development and Innovation in Medical Education in Iran. Using the keyword search about the title or abstract In the books compiled by the Ministry of Health and Education and in the databases like Magiran, SID, Medlib, Iranmedex, Google Scholar databases for Persian language studies and articles in English on the databases as PubMed, Science direct, Google Scholar between 2000 and 2016 The related articles were searched. The results showed that with the implementation of the program, targeted engagement between the universities of the region and the discourse of development and innovation in the academic atmosphere argos. Also, some packages such as the accreditation of institutions and educational centers, the upgrading of the testing system and the monitoring of development packages have made the results more tangible, and in some packages, such as the internationalization of medical education, virtual education and the promotion of professional ethics, good efforts have begun. And in moving packages to third-generation universities, accountable and advocacy education and promotion of educational infrastructure require better attention and planning. Considering the provision of sustainable resources and strengthening of educational infrastructure and faculty members' empowerment to achieve success in the program seems essential.

Barriers and Facilitators of Self-care in Caregivers of HIV/AIDS patients: A Narrative Review
Fereshteh Yazdani, Maryam Hajizade-Valokolaee, Zeinab Hamzehgardeshi, Zohreh Shahhosseini,
Volume 7, Issue 2 (11-2017)
Abstract
   Long-term care for people with chronic illness and disability is a very important issue worldwide. Today, HIV/AIDS is one of the challenges in long-term care. Therefore, the present study aimed to review the barriers and facilitators of self-care in caregiving of HIV/AIDS patients. This study is a narrative review. In order to complete this article, researchers conducted computer search with keywords in databases such as Google scholar, SID, Iranmedex, Medline, PubMed, Springer, Science Direct, ProQuest. Finally, a complete overview of 36 articles has been used to write this article. The findings of this review study led to the classification of materials in two general categories and three sub-classes. 1. Self-care impediments to caregivers of HIV/AIDS patients including individual barriers, interpersonal relationships and barriers Organizational; and 2. Self-care facilitators in caregivers of HIV/AIDS patients, including individual facilitators, interpersonal and organizational facilitator. Be the current review findings suggest that taking care of people living with HIV / AIDS patients often causes great stress and disappointment. As a result, it is necessary to take into account the needs of this group of caregivers and the impact of care on their physical and mental health, and, with a greater understanding of these individuals, a strong foundation for the development of effective interventions such as education, social support, home-based visit planning can be provided.

Analysis of Rural Primary Health Care Excellence Strategies in Iran: A Systematic Approach
Fereshteh Fani, Ghahraman Mahmoudi, Mohammad-Ali Jahani, Jamshid Yazdani-Charati,
Volume 11, Issue 1 (7-2021)
Abstract
   One of the challenges of health care system in Iran is the disproportionate level of the health houses compared to the people’s need. As health houses are considered the first line of defense in the realm of health, their excellence is crucially important to achieve acceptable performance. Thus, this study aimed to analyze the excellence strategies of health houses located in Iran rural areas. In this systematic review study, twelve electronic databases and search engines were searched by related keywords to find articles in both Persian and English from 2000 to 2020. CASP checklist was employed to evaluate the quality of these articles which were about primary health care. Out of 558 articles, 28 were selected with related titles, abstracts, and content. The findings of this study revealed that the main strategies of rural health houses’ excellence included improving the quality of care services, information technology, work conditions, the behavior of service providers, community participation, support and motivation, as well as improving governance and leadership strategies with several sub-strategies. Rural health houses’ excellence strategies revitalize and recreate the passivized role and mission of health houses in achieving the goals of primary health care in Iran health care system. Therefore, rational, balanced, scientific, and systematic investment is required not only in one strategy but in all mentioned strategies.
 

Crohn's Disease, a Narrative literature Review
Jamshid Yazdani Cherati, Shahrzad Azarashkan, Iraj Maleki, Fatemeh Abdollahi,
Volume 12, Issue 3 (12-2022)
Abstract
Crohn’s disease is a chronic  and common bowel disease caused gestational tract (GI) inflammation. In recent years, the prevalence of this disease has been increasing slowly  in the world and Iran .This study briefly introduces Crohn's disease with a review of related articles published during 2004-2021.
The most accepted theory of the pathophysiology of Crohn's disease is having a genetic background (CARD25/NOD2 mutations and polymorphisms of TLR), along with the abnormal response of the intestinal normal flora. Diarrhea, abdominal pain, bloating, and weight loss are the most common symptoms of the disease. To diagnose, clinical symptoms, physical examination, laboratory tests, endoscopy and colonoscopy are helpful.The aim of the treatment is to control the symptoms, reduce clinical symptoms, prevent the progression of the disease, reduce the need for surgery, nutritional support, and reduce its side effects.Moreover,anti-tumor necrosis factors  and corticosteroid medications to regulate the immune system are used. New biological agents such as anti-integrin medications have opened a better perspective for patients. To reach a good care and treatment, it is requires a team including the patient, health care workers, internal specialists, endocrinologists, infectious disease specialists, and epidemiologists to work together to meet health and treatment needs, physical and psychological support, creating health and preventive measures, approaches fast diagnosis and timely action. Due to the unknown cause of the disease and the lack of adequate treatment response to the existing medications, investigate and research more widely about Crohn's disease is needed.
 

A review on chemotherapy clinical information systems
Azade Yazdanian, Azita Balaghafari, Hasan Siamian, Atefeh Taghipour, Roya Ahmadi,
Volume 12, Issue 4 (4-2023)
Abstract
The large amount of diverse key data and the existence of independent data sources are two main issues in chemotherapy care. To resolve them, the use of health information technology, such as clinical information systems has been suggested. The present study aimed to review various clinical information systems used in the field of chemotherapy and the critical success factors influencing system implementation.
This review study was completed in 2022. In this study, papers related to clinical information systems in the field of chemotherapy were retrieved by using keywords. The databases and the search engine were Scopus, PubMed, Science Direct, Web of Science, Ovid Medline, and Google Scholar and the time frame was between 2010 and 2022. Initially, a total of 320 papers were retrieved, and finally 21 related papers were selected.
the studies conducted in the field of chemotherapy clinical information systems can be divided into five main groups which include the design and development of patient-specific information systems (two studies), the design and development of CPOE systems (six studies), other developed systems (two studies), reviewed studies (seven studies) and others (four studies)
The use of clinical information systems in the field of chemotherapy is inevitable, mainly due to the wide range of benefits that these systems have. However, in order to implement these systems successfully, proper choice of technology, user training, application of standards, periodic evaluations, as well as workflow identification are required for effective use of these systems.
 

Accountable Care Organization: A Systematic Review
Rahele Haji Agha Bozorgi, Ghahraman Mahmoudi, Mohammad Ali Jahani, Jamshid Yazdani-Charati,
Volume 14, Issue 3 (11-2024)
Abstract

accountable Care Organizations (ACOs) are recognized as innovative solutions for cost management and quality improvement in healthcare systems. These organizations bear financial and clinical responsibility for providing care to a defined population of patients. The present study aimed to examine the outcomes of ACOs in healthcare systems.

The present systematic review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The searches were performed using keywords, such as "Accountable Care Organizations" and "Integrated Care," in databases, including PubMed, Scopus, Web of Science (WOS), Scientific Information Database (SID), Magiran, IranMedex, and Google Scholar. Searches were conducted individually and in combination, covering the period from January 1, 2000, to May 13, 2024. The quality of articles was assessed using the Critical Appraisal Skills Programme (CASP) and Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklists. Eligible studies were selected, and their findings were analyzed.

Among 8720 articles identified using the keywords, 21 studies with relevant titles, abstracts, and full texts were reviewed. The most significant outcome of ACOs across studies was healthcare cost reduction (48%), followed by improved quality of care services (32%) and enhanced public health (23%). Additional outcomes (29%) included ensuring successful provider experiences, reducing low-value services, patient-centered care, standardizing clinical processes, and managing high-risk patients.

An ACO acts as a driving force in the healthcare system, simultaneously minimizing treatment costs and optimizing resource management. On one hand, it revolutionizes the patient experience and elevates the quality of care to unprecedented levels. On the other hand, it fosters a healthier society where prevention takes precedence over treatment, and health is regarded as a collective asset. Therefore, it is recommended that healthcare systems, including those located in Iran, leverage the principles of accountable care to enhance service quality while reducing costs.


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