22 Sep 2023
30 Sep 2023
Electronic health record (EHR) has been shown to play major roles in the healthcare system. The main drivers for the increasing role and application of EHR in healthcare systems include the need to improve efficiency in healthcare service delivery, patient safety, increase access to health care services, and more importantly, the need to reduce the costs of medical expenditures. The main goal of this paper was to review current trends in the roles and applications of EHR in the healthcare system. EHR has been very useful in various ways in the healthcare system ranging from clinical care application to administrative function to clinical research function, to financial application, and reporting in the healthcare system. EHR is not just a digital form of a paper medical record, but it provides the following clinical functions physician order entry, integrated view of patient information and data, access to knowledge resources, clinical decision supports, and integrated communication.
Infantile colic is one of the most common causes of mothers’ referral to physicians and pediatricians for treatment of their infants. This disorder is characterized as unnatural excessive crying which has been mostly observed during the first three months of birth among 8-40% of infants. Cow milk and cow milk formula are the main causes of infantile colic. This study attempts to evaluate the relationship of type of nutrition with the occurrence of infantile colic. This case-control study was carried out on infants referred to the pediatric clinics throughout Kashan during 2013. One hundred infants with colic were classified as cases and one hundred healthy individuals matched with patients in age and gender, were considered as controls. Parents of the two groups were asked about type of nutrition of their infants. According to the type of nutrition, the infants were included in one of three groups merely breast-fed, breast-fed and formula-fed and merely formula-fed infants. Correlation of type of nutrition with infantile colic was then determined in the study. Chi-square was used to analyze the data. No significant differences were observed between the two groups in terms of age and gender.69 (69%), 8 (8%), and 23 (23%) of the infants in the case group were breast-fed, breast-fed and formula-fed, and formula-fed, respectively. Whereas in the control group 90 (90%), 8 (8%), and 2 (2%) of the infants were breast-fed, breast-fed and formula-fed, and formula-fed, respectively (P<0.0001). Our study confirmed that the occurrence of infantile colic is associated with formula feeding. In other words, formula-fed infants were at more risk of infantile colic than the others.
This study aimed to compare the personality traits and attribution styles of runaway and normal girls. This is a comparative causal study. The population of the study involve 30 cases of runaway girls residing in the crisis intervention center of Nawab, affiliated to State Welfare of Tehran at autumn of 2015, they and were selected based on convenience. Normal girls who were matched counterpart for runaway girls are selected by clustering sampling and then systematic sampling from first and high school first and second degree. To assess personality traits, a NEOFFI.60 Personality Inventory short form was used and for attribution styles, Seligman and Peterson ASQ attribution style questionnaire was used. In order to analyze the data, we applied multivariate and univariate statistical variance analysis. The results of the study showed that there is difference between personality traits and attribution styles of runaway girls and normal girls that means in comparison to normal girls, runaway girls significantly suffer from a higher state of neurosis. Moreover, runaway girls tend to apply more pessimistic attribution styles in dealing with life events, in comparison with their normal counterpart girls, which means runaway girls attribute pleasant life events to external, unstable and specific factors, and attribute unpleasant life events to internal, stable and general. These indicate a cynical attribution styles. Therefore, understanding the personality and behavioral traits, as well as recognizing the type of adopted attribution style of runaway girls and normal girls in face of life events, is an effective step to prevent them from running away by identifying and screening individual girls at risk and providing treatment and adopting appropriate attribution style for these individuals.
A simple and highly efficient one-pot three-component synthesis of a series of pyrido [2,3-d] pyrimidines from the condensation of barbituric acid, malononitrile and aromatic aldehydes using catalytic amount of a new Ni(II) complex based on 5-nitro-N1-((pyridin-2-yl) methylene) benzene-1,2-diamine (NiL) is reported. This new heterogeneous catalyst has the advantages of being environmentally friendly, simple work-up and high yields character.
Investigating the effectiveness of rTMS (repetitive transcranial of magnetic stimulation) on increase social functioning in patients with recurrent major depression. The subjects were randomly divided in to two groups of 32 patients who had depression on the basis of DSM-IV diagnostic criteria, SCID II, Beck scale in a quasi-experimental, pretest – posttest design with control group. 20 sessions of rTMS as the independent factor were carried out on the experimental groups and 12 psychotherapy sessions and drugs treatment was used on each group (control & experimental). Both groups were tested according to (Beck, Hamilton and SASS) to determine the effect of the independent factor (rTMS) on the dependent factors. Data were analyzed by T test. The comparison between pre & posttest of Beck and Hamilton scales showed the reduction of signs & symptoms of depression and increase social functioning in participants. The rTMS is effective in the reduction of signs & symptoms of depression and increase social functioning in recurrent major depression.