zeinab mohammadzadeh

The prevalence of kidney stones reduces the patients’ quality of life and imposes high costs on patients and health care system. Extracorporeal shock wave lithotripsy is a safe procedure to treat urinary stones. Appropriate strategies such as self-care programs can effectively reduce the prevalence and recurrence of this disease, and increase quality of life, save costs, and prevent diseases by increasing patient participation. The aim of this study is to design and implement a web-based self-care application for patients with kidney stones undergoing extracorporeal shock wave lithotripsy.

This paper is an applied study and was performed in Sabalan Hospital in Ardabil affiliated to the Social Security Organization of Iran in three stages including needs assessment, design and evaluation. For needs assessment and application design, a questionnaire was designed by searching library resources. The questionnaire was completed by clinical specialists and specialists in health information management and information technology. Then, based on the approved information elements and capabilities, a web-based self-care application was designed. The usability of the designed program was evaluated with the participation of 20 users.

The results of the survey showed that the experts confirmed all the identified items and components, and considered them necessary. Users rated the usability of the self-care program at a good level with an average score of 7.9 out of 9.

The usability of the self-care application was satisfactory to users in various areas of overall application performance, screen, terminology and information, learning and general impressions.

Scientific vitality and dynamism is the most important factor of growth and excellence in the scientific centers and this study sought to explain the formation of it in these centers. Data were gathered in semi-structured interviews with 22 participants (12 graduate students and 10 professors of scientific board) by purposive sampling. The data analysis led to explain the process of formation of scientific vitality and dynamism in academic and scientific centers by Grounded theory. This fundamental theory focuses on "Self-transcendence has found wisdom ("Wisdom-oriented self-improvement")". This theory led to a meaningful and positive hypothesis that says: The phenomenon of scientific vitality and dynamism relates with the phenomenon of public vitality and dynamism; and led to format “four rings model of scientific vitality and dynamism”.

Due to the capabilities of the mobile application in the self-care of patients, the present study was conducted to design and evaluate a mobile-based self-care application for patients with liver cirrhosis.

Liver cirrhosis is a progressive and chronic disease that, if left untreated, leads to liver cancer and, finally, the death of the patient.

This study was conducted in six phases, including determining and confirming the validity of the minimum data set and capabilities for the application, designing a conceptual and logical model and determining the technical capabilities, designing the application, evaluating the prototype usability in a laboratory environment by technical experts, evaluation of the application usability in a real environment by 30 patients with QUIS (Questionnaire of User Interface Satisfaction) questionnaire.

The designed application has capabilities such as calculating the patient's MELD score (Model for End-Stage Liver Disease), medication reminder, location in emergency, and conversation with the physician. The results showed that the patients evaluated the application with a score of 7.94 (out of 9 points) at a good level.

The self-care application can help patients with liver cirrhosis and their families access the necessary information related to the special care of the patient at any time and place; it also helps better manage the patient's life, improve the quality of life, and monitor the patient. These applications can effectively manage chronic diseases by reducing the burden of referrals and costs.

During the COVID-19 pandemic, the implementation of social distancing and public fear of the virus postponed follow-up visits to manage patients' underlying medical problems, especially cardiovascular diseases and diabetes. Telehealth provides accessible and cost-effective care for vulnerable patients. The aim of this early study was to review the telehealth interventions for patients with cardiovascular and metabolic disorders during COVI-19 outbreak.

This study used rapid review to provide an accurate review of the articles. Study selection was based on the Preferred Reporting Items for Systematic Reviews (PRISMA) guideline. A systematic review was conducted on studies published from January 2020 to   July 30, 2020, in PubMed, Web of Science, Google Scholar, and Scopus databases, and the update was done on October 31, 2020

Technology-based interventions were performed in various countries: two studies in the USA, three in Europe (Italy, Germany, and London), two in Asia (China and Pakistan), and one in South America. Most Telehealth approaches used in the included articles are video consultations using mobile applications such as Skype, face time, and regular phone calls. 

According to the results, the application of technology in the management of cardiovascular and metabolic disorders can be used to provide healthcare to patients regardless of distance, detection of disease, monitoring disease progression and complications, reducing healthcare costs, saving available resources, preventing readmission of patients, reducing the provider workload, and increasing family participation in disease management, quality of life, and patient satisfaction.

The purpose of this study was to investigate the effect of education based on acceptance and commitment on parenting stress and cognitive flexibility of parents with preschool children. The design of the current research was quasi-experimental with pre-test, post-test and control group. The statistical method used to analyze the data was repeated measurement variance analysis (mixed design). 120 mothers who referred to the continuity center of Sari Municipality in 2018 were the research population. Two questionnaires of cognitive flexibility (Dennis and Vander Wall, 2010), parental stress questionnaire (Abidin, 1995) were the tools used in this research. In the first stage, among 60 mothers who received scores of 25-50% low in the questionnaires, 30 people were selected and were completely randomly assigned to two experimental and control groups. Educational classes based on acceptance and commitment were held in 8 sessions and the control group participated in classes with different content in 8 sessions. The time and place of the classes were on Mondays and Wednesdays in the Sari Municipality Continuity Hall. The results showed that education based on acceptance and commitment increases cognitive flexibility (effect size in time, 0.653) and (effect size in group, 0.331) and reduces parenting stress (effect size in time, 0.803) and (the effect size in the group is 0.416). It is concluded that education based on acceptance and commitment increases cognitive flexibility and reduces parenting stress of parents with preschool children. It is suggested to use the teaching protocol based on acceptance and commitment in schools, clinics related to education in the form of educational workshops with the aim of improving parenting styles and increasing children's adaptation.

Kidney stones and its treatment, control of possible complications after lithotripsy and prevention of kidney stones recurrence, are the most substantial concerns of patients and physicians. Nowadays, the high capabilities of mobile technologies have become especially important for the prevention and control of diseases and patients' self-care. Use of mobile technologies, applications and smart tools can be a good way to prevent and control kidney stones. The present study was designed to identify the data requirements to design a self-care application for patients with kidney stones undergoing extracorporeal lithotripsy.

This paper is a descriptive study and was performed in Sabalan Hospital in Ardabil affiliated to the Social Security Organization of Iran. A needs assessment questionnaire was designed by reviewing the scientific sources, databases, guidelines and medical records of patients. Ten clinical and technical specialists surveyed the questionnaire.

Four main characteristics of demographic data, clinical data, disease monitoring and application capabilities were identified. Familiarity with kidney stone disease, familiarity with treatment methods, familiarity with diet, reminders, interaction with the treating physician were the most important capabilities identified for the application.

The findings of the survey showed that all identified items and components scored above average. The identified components were approved by experts and considered necessary.

A data-driven colorectal cancer screening strategy based on a personalized approach can improve health outcomes. This study aims to develop an information road map for personalized colorectal cancer screening in Iran.

This study is a mix-method research (MMR) which consisted of three phases: phase I, the development of a checklist with 275 items for assessing required data elements of personalized colorectal cancer screening; phase II, situational analysis of colorectal cancer screening dataset according to the checklist; phase III, development of national information roadmap for personalized colorectal cancer screening with in-depth interview and focus groups.

Personalized datasets of colorectal cancer screening were defined in four dimensions, including a clinical dataset, a genetic dataset, a demographic dataset, and a social determinant dataset. In the next step data elements of colorectal cancer screening based on personalized datasets were analyzed. Of the 275 items, only 96 items are recorded. In the final step, a national information roadmap of personalized colorectal cancer screening with 6 levels was developed.

Personalized screening based on integration dataset play a key role in the successful implementation of the screening program. Implementation of a national roadmap can assist to improve the quality of data in personalized screening.

Considering the importance of implementing Internet of Thing (IoT) and blockchain technologies in the health sector, and the need to assess the feasibility of each project before implementation, this study aims to assess feasibility of implementing blockchain and IoT technologies in hospitals affiliated to Tabriz University of Medical Sciences.

This cross-sectional study was conducted in 2020. Participants were 30 personnel of hospitals in Tabriz who were familiar with the concepts of blockchain and IoT technologies. The data collection tool was a 42-item questionnaire with five dimensions of managerial, technical, economic, educational and cultural infrastructure. SPSS v. 16 software was used to analyze the collected data. 

From the 42 components, 26 were perceived as very important. Some of which were security of data stored on the database, installation costs, managers’ inadequate understanding of information systems, the occurrence of the phenomenon of resistance to change in system administrators, providers’ willingness to acquire new skills, and structural changes necessary to accept the implementation.

The technical infrastructure has the highest importance for implementing blockchain and IoT technologies in hospitals of Tabriz, followed by managerial and educational infrastructure. Attention to these factors is essential for the implementation of these technologies.

Patients with cirrhosis need multi-dimensional care, coordinated care for their drugs, vaccinations and laboratory monitoring, scheduling of screening endoscopy, and imaging. However, with the advent of covid-19, these processes have been disrupted. The aim of this study was to review the applications of heath information technology in the management of liver cirrhosis before and after the outbreak of COVID-19.

This review study was performed without time limitation by searching ProQuest, PubMed, Science Direct databases, and Google Scholar. The study steps include identifying research objectives and defining search strategy, identifying relevant research ar- ticles, selecting research articles, extracting data, summarizing, discussing, analyzing, and reporting results.

Finally, seven articles related to the pre-epidemic of COVID-19 and two post-epidemic articles were selected and analyzed in the related tables. The results show that the used technologies have benefits such as disease improvement, prevention of disease complications and providing routine services such as virtual visits, counseling, prescribing and reminding of drug doses and also effective potential in diseases management by maintaining social distancing and preventing the spread of infection in the period before and after the COVID-19 outbreak.

The prevalence of COVID-19 epidemic is an opportunity to use information technology capabilities to manage patients with liver cirrhosis. Telehealth service providers consider that a favorable way to better management of liver cirrhosis, especially during an epidemic. IT-based approaches provide specialized liver and gastrointes tinal services for all patients, regardless of distance.

The demand for remote psychologist services increased during the COVID-19 outbreak due to the emergence of multiple mental health problems. Many countries have applied telemental health approaches to managing and treating mental disorders. This review study aimed to investigate the role of information technology, especially telemental health, in managing psychological problems during the COVID-19 pandemic.

This study was conducted in four phases: Identification, screening, eligibility, and inclusion. Keywords were selected from MeSH to search the principal medical databases. Finally, important information was extracted from nine selected papers, including the author names, study setting, purpose, technology, method, intervention, and results.

Some studies provided telepsychiatry to people whose mental problems developed during COVID-19. Another study explained the telepsychological service for patients with mental illness before the epidemic. Most articles signified the influential role of telehealth in screening and reducing social contacts. Besides, this technology played a significant role in providing mental health services.

The study showed that telemental health and telepsychiatry approaches effectively promote the mental health and well-being of participants with various mental problems. In implementing these approaches, some items such as allocating sufficient funds, preparing appropriate infrastructure, providing training for users, defining suitable evaluation methods, and considering confidentiality and privacy need to be considered.

Timely rehabilitation in patients with Breast Cancer (BC) has a great impact on improving their physical and mental conditions. Thus, the appropriate follow‑up method is essential especially during the Covid‑19 pandemic. The aim of this study was to review the different technology‑assisted interventions for improving physical activity in BC patients.

In this systematic review, the original studies were extracted from the beginning of indexing in databases including PubMed, Scopus, Google Scholar, and Web of Science until 2019. Finally, 45 papers were included in this study based on the inclusion criteria for before the Covid‑19 pandemic and 3 articles extracted for the Covid‑19 period.

The most widely used technologies for BC patients were in the United States (46.67%). Telephone, mobile application, and web with 28.89%, 15.56%, and 8.89% frequencies were the most common technologies, respectively. Although the majority of the participants were satisfied with the intervention method, in some cases, the patients were unsatisfied due to the complexity of the technology. These technologies were used for various purposes, such as physical activity and functions, control of pain severity, fitness, quality of life, diet behavior, fatigue, muscle strength, cardio‑respiratory capacity, as well as arm and shoulder exercises.

In conclusion, virtual communication can improve the health of BC patients and also increases patients’ desire and hope to continue treatment. It is worth noting that in the Covid‑19 pandemic, with the strengthening of virtual communication infrastructure, more attention was paid to BC patients due to their sensitive conditions.

A comparison between the pattern of pilgrimage experience in the two pilgrimage rituals "Arbaeen Walk" and "Last Zero Pilgrimage to Mashhad" can provide a good understanding of the pilgrimage patterns of Shiites, especially Iranians. The present article, by asking about these differences and similarities, has been conducted in the framework of a qualitative research with participatory observation techniques and in-depth semi-structured interviews with pilgrims and servants in both hiking rituals. The research data were collected from two experimental studies on the Arbaeen walk and the last zero walk to Mashhad, both in 1396. The results show the fundamental similarities in the general patterns of travel and experience of Iranian pilgrimage in these two religions. At the same time, there are important differences between the experience of pilgrims in these two rituals, which can be seen especially in the prevailing pattern of travel, how to serve pilgrims and organize these activities, as well as the pattern of identity and cultural diversity in the context of these two rituals.

Evaluating the effectiveness of health information systems and users' satisfaction with system performance is important. The success of an information system is directly dependent on the system responding to user needs. Due to the importance of this issue, a tool has been designed to evaluate users' satisfaction with Integrated Health System.

This cross-sectional study was conducted in 2018 to design a questionnaire to assess the users' satisfaction with Integrated Health System. In the first step, the areas of user satisfaction were identified by reviewing literature and reliable scientific sources. Then a bank of questions was created and after classifying the indicators and identifying related questions the primary tool was developed in several areas. Face validity and content validity of the questionnaire were determined using CVI and CVR indices. Reliability over time was assessed by 20 users of in an Integrated Health System with two-week intervals.

The final questionnaire included demographic information and 55 questions about the components of a System Satisfaction Questionnaire. Questions related to each component included system interface, system functions, system performance, system information and statistics, system supportive services, System services, and and total satisfaction from the system. The average CVI and CVR for total questions were 0.84 and 0.73, respectively. For reliability over time, the coefficient (ICC) for the whole structure was 0.98. The reliability of the questionnaire evaluated by Cronbach's alpha and internal consistency method, that this value was obtained 0.914 for total questionnaire. Also, separately for each structure was obtained in the "good" range.

In this study, we tried to provide a brief and expressive user satisfaction assessment tool that required the least amount of time to respond. The high response rate of all questions indicates that designed tool achieved the objectives of the study. The most emphasized component by users is the system support component. Ease of use of the system, usefulness and support of the system from performing daily activities are other things that are more important for users.

Telecardiology provides a useful diagnostic tool for accurate and rapid diagnosis of patients with cardiac disorders to specialist and general practitioners. In this study, a systematic review was conducted to identify effective components and approaches in Telecardiology, such as the opportunities and challenges of applying this system in different domains.

Information sources or data:

 This review study was conducted by a systematic search for studies and articles of telecardiology in the databases of Scopus, PubMed, Science Direct, ProQuest and EBSCO. The keywords such as  Challenges, Opportunity, Telecardiology, Workflow, Tele electrocardiogram and Telehealth were used to search articles.

Selection methods for study:

 All types of Telecardiology studies were reviewed without time limitation. Articles were reviewed using the PRISMA checklist. Of 6770 articles obtained through database searching, 11 articles were finally included in the study.

Among the most opportunities cited in the articles, we can mention faster and more access to services, reduction of misdiagnosis, and saving time. One of the main challenges of this system is the lack of equipment and physicianschr('39') unwillingness to use technology. Most studies were performed in Australia (29%) and the most frequently reported opportunity was rapid diagnosis (64. 29%).

The results of this study indicate that Telecardiology, in addition to opportunities, also has challenges, but a large number of opportunities indicates the effectiveness of this technology in health care systems.

Concurrent with the Covid-19 epidemic, many researches have been conducted to facilitate and expedite the diagnosis of disease, to establish vaccines and possible treatments and to understand the socio-economic effects of this disease. New technologies such as telemedicine, e-Health, virtual reality, expert systems and artificial intelligence prove to be effective in the progress and success of medical sciences and management of infectious diseases and epidemics like MERS and SARS.The purpose of this study is to review the applications of information technology in control and management of Covid-19.

The study was a five-step rapid review based on the proposed Arksey and O'Malley framework. The search was performed in Cocrane Library, Scopus, Web of Science, Proquest, PubMed and Google Scholar on May first, 2020 using the eligible keywords and search strategy.

24 articles were selected for data extraction from 6,297 articles. The present study is the most complete study of technologies used in the field of Covid-19 Management. Most studies (58%) have shown the ability of artificial intelligence to detect patients with Covid-19 and identify lesions using CT images. Other studies have confirmed the effectiveness of telemedicine systems, electronic health records, expert systems and monitoring systems to reduce contact, rapid screening and proper disease management & control. Also, 46% of related studies have been conducted in China.

Due to high spread of the Covid-19, the use of telemedicine technologies has been more tangible in order to maintain social distancing. Also, because of similarity of Covid-19 symptoms with other respiratory diseases, artificial intelligence applied for rapid screening and diagnosis. The results confirmed more application of these two systems. The results have proven the effectiveness of technology in quick patients’ identification, self-quarantine, diagnosis and monitoring of disease.

Evidence-based education is the use of the best scientific evidence in all aspects of education and integration of professional knowledge with empirical evidence in education. There is little desire to use electronic evidence in education for reasons such as lack of access to credible scientific resources and lack of time. The purpose of this study was to design an electronic resources evaluation framework for evidence-based education in medical sciences.

This applied descriptive study was performed by Delphi method. The statistical population consisted of 12 specialists in evidence-based medicine, medical education, social medicine, medical librarianship and information, medical informatics and health information management of Tabriz University of Medical Sciences and some other universities. The data collection tool was a researcher-made checklist. The Excel software was used for analyzing the data and CVR and CVI indices were calculated for each data set.

Finally, of 182 criteria in the initial checklist, 60 criteria were approved by experts and entered the framework. The criteria related to the recovery and website services received the highest score by the specialists. The criteria of coverage, efficiency, hyperlink and guideline were omitted from the final framework due to not obtaining the required score.

The present study resulted in developing a framework of criteria for evaluating electronic resources of evidence-based education with 60 criteria for evaluating electronic resources of evidence-based education in medical sciences.

Dear Editor, Shortly after the first outbreak in China, the Corona virus has affected many countries around the world. The first confirmed case of the virus in Iran was reported in Qom on February 2020, and then it spread to other cities in Iran. The outbreak has caused many social and economic challenges for the international community; also, there is no complete information about this disease. One of the most important challenges is the prevalence of inaccurate information about the disease, which has many psychological, political, social and economic effects on society. Infodemic or the spread of wrong information about the disease through various social media in the global community is a serious problem for public health. The dissemination of information can severely affect people's behavior and alter the effectiveness of governments’ countermeasures. In this present letter was reviewed integrated portal as a one of the solutions to infodemic management. The use of authentic sources to provide accurate information in the community is one of the best approaches to combat this phenomenon. Timely information sharing and comparison of epidemiological and genomic data on infectious diseases leads to faster and more efficient control of global outbreaks and disease tracking. In spite of all the problems in this area, various solutions have been proposed for this issue. The portal is one of the significant technologies which provide correct and required data for different users. Web portals are increasingly becoming part of modern life. Portals collect uniform information from multiple sources and provide consistent access to multiple information, software and applications from different databases to organizations and community. Portal content is available from a variety of tools such as PCs and smartphones. For example, government web-portals can be used by public and private organizations. Many studies have confirmed the usefulness of portals for managing infectious and chronic diseases, if it is designed according users need. The accurate and comprehensive information sharing with all stakeholders and health organizations such as WHO about Covid-19 is essential for better management of the disease. One of the applications of portals is sharing of accurate and reliable information by responsible authorities for managing this disease. Justice must be respected in presenting results of recent research on Covid 19, and everyone has equal access to this information according to their role in society. By sharing the results of scientific research, the general public are also preparing themselves to fight the disease. In recent days, various applications, soft wares and websites have been provided by the relevant organizations for the effective management of CVD 19. The integration of these technologies into comprehensive portal is essential for a comprehensive management of disease. The portal will be accessible to public, patients, providers and policy makers. It can prepare educational, medical, and research information for users. Some benefits of portal including information gathering from various sources, availability of information for all user groups (general and specific users), uploading information by users according to the access level, designing customized pages by users or groups, decreasing the attendance of patients and public in high risk areas, increasing information security, reducing people's confusion about finding the required information and facilitating communication.

Considering the capabilities and potentials of health information technology in the field of art therapy and its effective role in increasing the quality of life of patients and improving the capabilities of health care personnel, the purpose of this study is to review the challenges and opportunities of applying art in education and treatment based on information technology. Information source or data: In this study, the review was conducted on English scientific databases, including PubMed, Scopus, Science Direct ProQuest, Ovid, Google Scholar, as well as Persian scientific databases including IranMedex, MagIran, IranDoc and SID.

In the present study, first articles and soft wares related to the use of information technology in art therapy were searched from the mentioned websites and databases. Keywords used for searching were art therapy, medical education, treatment, information technology, expert system, virtual reality and Telehealth. The results were extracted from related articles.

The results were presented in three sections including application of art in medicine, application of information technology in art therapy and challenges in this field. In the field of application of art in medicine, three aspects of improving patient education, lack of education of students and health care personnel and improving clinical outcomes were examined. In the field of application of information technology in art therapy, a review of technologies such as virtual reality, expert systems and telemedicine was performed. The main challenges identified in this area were high cost and confidentiality of information.

The high acceptance of the use of information technology in communities is seen as an opportunity for therapists to share art in the context of information technology. In designing IT-based art therapy programs, one should pay attention to the implementation process, execution time, and the type of art and technology interventions based on the dominant conditions.

The high-quality data are essential for good patient care, optimal management of oral and dental diseases, and policy-making. Electronic dental and oral records have a key role in managing data in health care organizations. Aim of this article is analyzing strengths, weaknesses, opportunities, and threats (SWOT) of electronic dental and oral record implementation in clinics of School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran, from stakeholder perspectives. A qualitative interpretive case study was conducted at clinics of School of Dentistry in Tehran University of Medical Sciences in 2016. Data were collected through semi-structured interviews. Interviews involved asking questions and getting answers from 15 participants. They were informed about SWOT of electronic dental and oral records. Data were gathered by two researchers during two months. After fulfilling all interviews, all participants were asked to review the transcript and confirm its accuracy. All raw data and recorded interviews were transcribed, coded, and analyzed by two researchers. The main features in SWOT analysis of electronic dental and oral records were respectively transparency of project implementation stages, absence of mandatory rules and standard business processes, expert and motivated specialists, and finally lack of cultural infrastructure. Use of electronic dental and oral records can help to improve quality of information and ultimately leads to improvement in quality of care. SWOT analysis is an optimal technique for understanding SWOT of electronic dental and oral records.

Implementation of in-service training programs is a set of needs-based and planned training activities designed to improve and enhance the knowledge, skills, attitudes, and behaviors of members of the organization to perform specific organizational tasks. The purpose of this study was to determine the effect of health technologies training program on knowledge of health information management personnel.

This quasi-experimental study was performed in Tabriz University of Medical Sciences. Data were collected through a questionnaire using pre-test and post-test. The study population consisted of health information management personnel of Alinasab Hospital in Tabriz with a sample size of 28 available. Data were analyzed by SPSS-19 and paired t-test.

The mean score of knowledge of health information management personnel at the pre-test was 1.05 and the post-test was 4.75 which is comparably increased. The results showed a significant difference in the mean and standard deviation of personnel scores before and after training sessions. (P <0.05).

According to the findings of the present study, it was found that the scores before and after the training were significantly different. Accordingly, training programs can have a positive impact on the knowledge of health information management personnel.

Scientific vitality and dynamism is the most important factor of growth and excellence in the scientific centers. Sensitivity of this subject, lack of consensus in definition of “the phenomenon of scientific vitality and dynamism” and lack of a clear explanation of real examples and indicators of the favorable scientific vitality and dynamism in scientific and academic centers, led to this study that analyzed this phenomenon. Data were gathered in semi-structured interviews with 22 participants (12 graduate students and 10 professors of scientific board) by purposive sampling. Also, the Colizzi’s seven- step method was employed for information analysis. The theoretical saturation of data was obtained in fourteenth interview but in order to accreditation findings, it continued to the twenty-second interview. The results of this study were showed to the professors that participating in this research and the results were confirmed. Findings of this research represent reference definitions of “scientific vitality and dynamism” in 4 (individual, team, organizational and social) dimensions, indicators of scientific vitality and dynamism were explained from the systematic perspective to system elements for promoting the development of this phenomenon and moving in the scientific authority.

Happiness and validity is the most basic concept in the positive psychology and the most important factor of growth and excellence in the scientific centers. Professors and students of universities need to happy environment and happy spirit for doing their missions as human capital and pioneer in the upheaval of societies. The lack of consensus in defining the real examples of scientific vitality and dynamism and sensitivity of this phenomenon in scientific and academic centers led to this study that analyzed plausible damages in this phenomenon. Data were gathered in semi-structured interviews with 22 participants by purposive sampling. Also, the Colizzi’s seven- step method was employed for information analysis. The theoretical saturation of data occurred in fourteenth interview but in order to accreditation findings have been continued to the twenty-second interview. The results of this study were showed to the professors that participating in this research and the results were confirmed. Findings led to identifying and classifying indicators of scientific vitality and dynamism and proposing a reference definition of "scientific vitality and dynamism”. Also comparison of vitality and dynamism in current academic centers represented a significant distance between with vitality and dynamism of them with possible and favorable vitality and dynamism. Finally, we identified possible causes of the decline of scientific vitality and dynamism in the scientific and academic centers, classified and proposed strategies to go out of the current situation by promoting dynamism and reaching scientific reference.