مجله تعالی بالینی
سال دوازدهم شماره 4 (پیاپی 38، بهار 1402)

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.

Learning is one of the educational concepts that is the basis of the clinical practices of medical sciences. The emergence of the new era of medical science education and the emergence of the disease epidemic era has led to the rapid use of web-based education, which is one of the learning methods and leads to the creation of learning experiences. Therefore, the purpose of the present study is to investigate the interactivity of web-based learning with the quality of learning experiences in different conditions, which requires a comprehensive investigation and its impact on learning experiences. The present study is a descriptive review study that during the years 2018-2022 in the database; ISI, Medline, Clinical, Google Scholar, Pubmed using keywords; Activism, effectiveness and effectiveness of education, web-based education, web-based learning and learning quality, learning experiences, medical sciences have been done. The search result included 214 articles, in the primary screening, 130 articles were extracted in line with web-based learning, in the secondary screening, 56 articles were found with the content of learning experience and web-based, and finally... the article was extracted. The findings showed that web-based learning, with all its strengths and weaknesses, is a current teaching-learning method in medical sciences, which has shown the necessity of using virtual and web-based methods with the outbreak of the Corona epidemic. Providing a platform for using web-based learning along with other types of learning is an absolute necessity of educational and research planning in the forward direction of medical science education goals.

Zinc and its alloys are considered as the most promising biodegradable metal material for clinical applications due to the appropriate biological degradation rate in the body, absorbable biodegradation products, and excellent biocompatibility. However, the strength of pure zinc is usually lower than the mechanical values required in metal implants such as bone fixtures or stents, which limits the wider applications of this metal. also excessive ion release (Zn2+) in the biological environment leads to high cell death and lack of acceptance by the host tissue. In order to improve the mechanical strength and adjust the release of Zn2+ ions, this metal can be alloying with other metal elements as well as various surface modification processes to increase biocompatibility. In this review, The progress that has been made in the field of increasing strength and biocompatibility, are stated. Finally, The direction of research in this field and guidance with the aim of developing absorbable zinc alloys with high performance in the future, has been discussed.

The acquisition of practical clinical skills, necessary knowledge in health and medicine, and the ability to employ these skills are essential. In the field of health and medicine, education is crucial for facilitating the acquisition of clinical skills, and possessing clinical skills leads to optimal recognition, acquisition of cognitive skills, and provision of effective healthcare services. Therefore, the present study analyzes the spectrum of clinical and cognitive skills education among medical students. This study is a simple review resulting from searches in databases such as SID, Magiran, IranMedex, Irandoc, as well as international databases including Google Scholar, Medline, PubMed, Elsevier, ProQuest, and Springer, using Mesh keywords such as education, medical education, clinical skills, cognitive skills, learners, medical sciences education, teaching-learning, and two-stage screening. A total of 21 articles were reviewed and analyzed. The findings indicate that clinical and cognitive skills education is a fundamental part of medical sciences education. Thus, the use of effective educational approaches to strengthen cognitive and clinical skills during the empowerment of graduates is essential for providing healthcare services. Without possessing clinical and cognitive skills, it is impossible to provide healthcare services with the standards obtained from learners' education in the field of health and medicine.

The enterocolitica bacteria constitute one of the most common intestinal pathogens. They are transmitted to humans through food and water. Milk is one of the major sources of transmission of infection to humans. Complications caused by infection with these bacteria are increasing across the globe. Therefore, the likelihood of social exposure to a health hazard is not ruled out. The relationship between acute diarrhea in children and enterocolitica has been determined. Six enterocolitica serotypes 0:3 have been isolated from diarrheal samples of children under 14 at a Children’s Medical Center in Tehran. Enterocolitica are resistant to antibiotics but sensitive to aminoglycosides. The group with the highest exposure to hazard is adolescents and children aged under 5. In adults, it appears in the form of pseudo-appendicitis syndrome. Hundreds of people may undergo appendectomy by surgeons due to enterocolitica infection. The psychrophilic nature of the bacteria may pose a problem in the differential diagnosis of diseases, including brucellosis, in the cold regions of Iran. Serotypes 0:9, 0:8 and 0:3 appear in humans with three properties: ability to invade and adhere to the host’s epithelial cells; ability to cause ulcers in the guinea pig’s cornea; and production of pathogenic heat-resistant enterotoxin. The highest rate of infection and prevalence has been reported in Western Europe and Iran’s Shahr-e Kord. The frequency of infection with enterocolitica in 300 samples of meat purchased from supermarkets in Shahr-e Kord was reported at 14% in 22 samples: beef and lamb (4%) and livestock (34%). The frequency of infection with enterocolitica serotype 0:3 in chicken samples was reported at 21.66% in 3,300 samples and 15.38% in 10 samples. The frequency of infection in 150 samples of raw milk in Ahvaz, in 36 samples (24%). In 2015, the prevalence of enterocolitica in the raw milk of sheep and goat was reported at 2.4%. This study aims A quick review of enterocolitica induced health hazard on global scale