مجله تعالی بالینی
سال سیزدهم شماره 1 (پیاپی 39، تابستان 1402)

The Genital self-image is one of the important components of sexual health, which means women's attitude, feelings and beliefs about their genital organs, which is associated with sexual satisfaction and all aspects of women's sexual performance. Therefore, considering the importance of genital self-image in women's sexual health, this study was conducted with the aim of reviewing effective interventions on women's genital self-image.
To conduct this scoping  review, search was done in the databases Scopus, SID, PubMed, Magiran, Library of Cochrane, Web of Science and Google scholar search engine with keywords Genital Body image, genital self-image, Genital appearance, genital self-perception, Women, Female, Intervention and Method. Data were extracted from studies that were consistent with the objectives of the study. The quality of the articles was evaluated based on the Cochrane Risk of bias assessment tool.
Out of a total of 418 searched studies, 11 studies matched the study criteria. Based on the results, the effective interventions on genital self-image of women are divided into three categories. The first class  includes educational interventions (Psychosexual Education, Sexual Assertiveness Training, Brief Educational Video, Sex Education, sexual skills training, Self-Encouragement Skills Training, effects of exposure to pictures of natural vulvas), the second class includes exercise interventions (Qigong exercise, water Pilates), and the third class includes counseling interventions (Acceptance and Commitment Therapy).
By using appropriate approaches in different ways, such as educational, exercise and counseling interventions, it is possible to improve women's genital self-image and sexual skills and correct their sexual beliefs and attitudes. It is suggested that in order to improve sexual health, special attention should be given to improving the genital self-image of women. However, more culture-based research is still needed to adopt the best interventions and drive policy change.

Physical child abuse refers to the severe punishment of a child, as well as the child's excruciating pain due to physical punishment. When this type of child abuse is very severe, it can lead to broken bones of the child. Objectives review published studies to identify the characteristics that diagnosis fractures in children resulting from physical child abuse. Data sources All language literature search of Medline, Medline in Process, Embase, CINAHL, ISI, Scopus, SID, Magiran for original study articles, references, textbooks, and conference abstracts until March 2023.The results showed that in the diagnosis of child abuse, points such as history taking, laboratory tests, and physical examination should be considered. When infants and toddlers present with a fracture in the absence of a confirmed cause, physical abuse should be considered as a potential cause. During the assessment of individual fractures, the site, fracture type, and developmental stage of the child can help to determine the likelihood of abuse. The number of high quality comparative research studies in this field is limited.

Cloud computing, a computational model based on computer networks similar the Internet, revolutionizes the provision, consumption, and delivery of computing services by leveraging network utilization. The objective of this study is to comprehensively analyze the existing research literature regarding the implementation of cloud computing in enhancing higher education in the field of medical sciences. Conducted as a systematic review, this study extensively utilized indexed articles sourced from renowned scientific databases such as SID, Google Scholar, PubMed, Scopus, and Science Direct. The selected research texts spanned the period from 2012 to the end of 2022. The search process focused on key terms and phrases including cloud computing, development of higher education, and epidemics as they appeared in the titles of the articles. By categorizing nine influential factors into three divisions based on library resources, namely technological infrastructure (including reliability, security, accessibility, and adaptability), outsourcing (involving cloud service providers and negotiations of service-level agreements), and internal management (comprising guidelines, policies, planning teams, and superior management), the study offers valuable insights into the implementation of cloud computing. Furthermore, future studies that validate these factors across various higher education institutions can significantly enhance the meaningfulness of examining cloud computing based on university experience. Finally, this study has the possible to serve as an appreciated resource for embracing cloud computing within the realm of mobile learning or mobile computing in the domain of medical sciences.

For decades the development of evidence-based therapy has been based on experimental tests of protocols designed to impact psychiatric syndromes. As this paradigm weakens, a process-based therapeutic approach is emerging as one of the most up-to-date clinical innovations in integrating cognitive-behavioral therapies, focusing on how to target and change core biopsychosocial processes in specific situations and for Specific objectives with specific clients are emphasized. This article describes process-based therapy (PBT) as a natural evolution toward more effective and efficient mental health care. The underlying theory and philosophical foundations, how to apply the principles and provide treatment, evaluate and monitor the treatment result, and the challenges and criticisms of this treatment method are mentioned. Finally, a paradigm shift in psychotherapy to PBT seems to be the next logical step for the field of psychotherapy.

Pedagogy is a conceptual framework that guides the activities of professors. Pedagogy is a theory for educational practice. University Pedagogy (TPACK) can be attributed to the organization of university educational-research activities. The most important pedagogical factors studied in medical education include flexibility, communication tools, inclusive, program and resource management, and evaluation. Accordingly, the present study was conducted to investigate the need for teaching and learning in medical education. Therefore, the present study was conducted by searching for the keywords of university pedagogy, teaching and learning, medical education, student and professor in databases in the period of years from 2008 to 2022. The number of primary articles obtained from the search included 28 articles After a step-by-step review and three-phase screening and application of exclusion criteria, we obtained 23 articles. The results showed that university pedagogy in medical education can be considered as an applied science field, so that professors and instructors of clinical education and basic sciences, educational and research director use the findings of different sciences to understand and guide the university and the classroom.

The globalization approach requires change of organizations in order to advance organizational goals, Because in achieving organizational goals (especially large organizations such as the health system) achieving efficient knowledge, efficient skills, optimal management and effective leadership must use global standards, Therefore, the distribution of organizational totality and total productivity is a necessary part of organizational progress. Therefore, the basis of the present study examines the strategy of using holographic globalization and its impact on the health system. In this review study, databases; Google Scholar, Pubmed, up to date, SID in the period 1980-2020 were searched in both Persian and English languages ​​and during 5 stages of reviewing found 28 articles with a separate number of 17 English articles and 11 Persian articles.
Based on the results of studies, the holographic pattern has a significant role in the globalization of healthcare approaches. There have been very few studies in the medical sciences on the holographic model, but the results of other organizations have shown the impact of holographic organizations on optimal management and productivity and achieving globalization of health standards.
Therefore, the importance of organizational components in advancing the structured goals of medical sciences and its generalization to the whole is an effective educational management strategy. Which requires laying the groundwork for its application. Because education is the basis of the functions of the education system from the lowest to the highest levels, and ignoring its globalization is considered a serious risk in the health system.

The main format of organizations is organizational policies. Organizational policies (contrary to the common definition) is a systematic organizational approach. For organizational promotion, we need to check organizational indicators. The criteria of organizational indicators are estimated based on organizational measurements. To apply organizational policies, optimal policies need to be implemented. Organizational behaviors should be adjusted according to the organization by managers. Therefore, the present study was carried out with the aim of investigating the position of evaluating the optimal organizational policies of the health system. The current study is a simple descriptive review that was conducted in the uptodate, isi, pubmed databases in the period of 2005-2023, with keywords; Assessment, health system assessment, optimal policy, organizational policy, health system, health system policy were searched. Findings of the article 13 articles have been found at the end of 3 stages of screening. Findings have shown that evaluating organizational policies in organizations requires managers to have optimal organizational behaviors. Organizations' possession of organizational policy is a meta-management approach, therefore, in the form of classical and modern management, the main organizations, like the health system, must have organizational characteristics. Therefore, the managers of the health system need to have organizational policies in order to make micro and macro health and treatment decisions, and the political behavior of people in the health system needs to have an organizational format.

The policy making of medical science education is one of the management functions in the health system, and according to the main goal of the health system, which is to promote health, under the foresight of the educational policy, the approaches of the health system are moving towards progress.
Therefore, the present study was conducted with the aim of analyzing the educational policy in the forward-looking health system. The present study is a simple descriptive review study that was conducted by searching databases: Uptodate, ISI, Pubmed, Google Scholar with the keywords: policy making, health system, foresight, educational policy making, and forward-looking health system during the years 2016-2023. In the initial search, 242 articles were found. Farsi and English and by applying the inclusion criteria, 32 articles were finally extracted.
The findings from the analysis of related studies showed that the use of health system policy with an educational perspective in the future leads to proper university management in the field of education and research, implementation of goals and strategies, development of the spirit of organizational activities, promotion of social responsibility, individual and collective ability in creating educational behavior and ... turns; Therefore, applying the educational policy approach with a realistic and ideal perspective will lead to the achievement of the short-term, medium-term and long-term goals of the health system.