Showing 5 results for Clinical Guide
Rozita Davoodi, Kavian Ghandehari, Mohammad Reza Ghayeni, Mohammad Hossein Harirchian, Homan Bahar Vahdat, Sasan Nezhad, Azadeh Soltani Far, Golnaz Sabouri, Shaghayegh Rahmani, Mahboubeh Asadi, Maryam Zare Hosseini, Mohammad Hadi Saied Modaghegh, Elahe Ghayebie, Farhad Heydarian , Hava Abdollahi, Mahdi Farhodi,
Volume 28, Issue 167 (12-2018)
Abstract
Background and purpose: Lack of clear boundaries and standard reference about the diagnosis of stroke, necessary evaluations and interventions, effective treatments, and referral of stroke patients resulted in various inconsistent services. Therefore, this study aimed at developing practical national strategies for stroke in Iran.
Materials and methods: Clinical guidelines about diagnosis and management of stroke were extracted from different guidelines. Three guidelines were selected according to AGREE scoring system after quality assessment and evaluation of clinical guidelines. In order to adapt the guidelines, recommendations of the three clinical guidelines were recorded in the form of clinical questions. Evidence supporting each recommendation was identified based on references and compared in terms of initial outcomes. Cost of interventions, the side effects, and clinical benefits were also studied. Finally, the national guideline for management of stroke was developed.
Results: The results of this investigation were presented as clinical recommendations for diagnosis and management of stroke (2016). For example, strict control of blood glucose level and fever in patients with aneurysmal subarachnoid hemorrhage was recommended in the guideline.
Conclusion: The current indigenous stroke guide for the Iranian population is believed to be of great benefit in screening, referral, diagnosis, treatment, and follow-up of stroke.
Rozita Davoodi, Mahmoud Mohammad Zadeh Shabestari, Shapour Badiee Aval, Seyed Javad Hosseini, Golnaz Sabouri, Azadeh Soltanifar, Elahe Ghayebie, Maryam Zare Hosseini, Mahboubeh Asadi, Javad Mahmoudi Fathabadi, Mohamadreza Ghafghazi,
Volume 30, Issue 188 (9-2020)
Abstract
Background and purpose: Prevalence of risk factors for health is growing rapidly in developing countries due to urbanization. In fact much of the global burden of some conditions such as ischemic heart disease is currently in low- and middle-income countries. Therefore, an integrated and effective clinical guide is highly needed for management of patients with stable angina.
Materials and methods: Databases and web-related documents were searched in order to extract clinical guidelines on stable angina. After assessing the quality of guidelines, three were selected based on the Appraisal of Guidelines for Research and Evaluation (AGREE) Instrument. Then, a national guideline was compiled along with evidence and recommendations by the panel of experts.
Results: Findings were presented in the form of clinical recommendations. For example, acupuncture should not be used in improving or reducing the symptoms of cardiovascular disorders in patients with stable ischemic heart disease.
Conclusion: Considering 92 recommendations in this guideline and its adaptation in the Iranian population, this clinical guidline and its recommendations can be effective in standardizing services, screening, referral, diagnosis, treatment, and follow-up of patients with stable angina.
Parastoo Karimi Aliabadi, Adele Bahar, Maryam Nabati, Mehrnoush Sohrab,
Volume 31, Issue 202 (11-2021)
Abstract
Background and purpose: Increased urbanization in developing countries has led to increase in non-communicable diseases such as cardiovascular disease. Primary prevention of atherosclerotic vascular disease could be achieved by promoting healthy lifestyle throughout life. Team care approach is an effective strategy to prevent cardiovascular disease. Physicians should consider social factors affecting health to make appropriate treatment decisions. The present study will provide a brief overview of the latest clinical guidelines for treatment of lipid disorders in primary prevention of cardiovascular disease in adults.
Materials and methods: In this narrative review, a comprehensive search of electronic databases (pubmed, scopus, google scholar, uptodate, and Embace) was done using the following keywords: primary prevention, cardiovascular disease, LDL cholesterol, and guideline. The goal of this study was to review the latest guidelines for lipid treatment in prevention of cardiovascular disease from 2015 onwards. Six articles were obtained in this field.
Results: To prevent cardiovascular disease in diabetic patients aged 40-75 years, a moderate dose of statin is recommended. In non-diabetic patients, high-dose statin should be given for LDL levels ≥ 190 mg/dL. Also, 10-year risk of atherosclerotic heart disease should be calculated in non-diabetic patients aged 40-75 years old with LDL levels of 70-190 mg/dL to make treatment decisions.
Conclusion: According to access to the latest clinical guidelines, depending on patient's condition and type of disorder, therapeutic interventions in lipid disorders are recommended for primary prevention of cardiovascular disease.
Sorour Ashari, Parisa Islami-Parkoohi, Nahid Ramezanghorbani, Farhad Gholami, Pedram Ebrahimnejad , Maryam Khazaee-Pool , Alireza Rafiei,
Volume 34, Issue 233 (5-2024)
Abstract
Knowledge translation is the sharing of knowledge obtained from research with knowledge users, including community members, organizations, and policymakers, to use it to improve systems and improve the provision of services and products. The implementation of the knowledge translation process in the health field is facing challenges in our country, which is partly because of insufficient knowledge about the concept of knowledge translation and how to implement the knowledge translation process. In the present study, the definition of knowledge translation, and how the process and tools of knowledge translation were discussed, and then, while reviewing the status of knowledge translation in Iranian universities of medical sciences, solutions for the implementation of knowledge translation were presented. Some of the mentioned knowledge translation tools in this study are podcasts, three-minute thesis presentations, webinars, infographics, research news from research results, press releases, journal clubs, policy briefs, and clinical guidelines. The situation of knowledge translation has been reported as inappropriate and incomplete in medical sciences universities of Iran. In these studies, the evaluation was done using the evaluation tool of knowledge translation, which included the four areas of audience needs assessment, knowledge production, knowledge transfer, and evidence application. According to the current situation of knowledge translation, the implementation solutions of knowledge translation in each field have been presented separately. Appropriate networking between knowledge producers and knowledge users, as well as holding regular meetings with representatives of executive organizations and industry owners to determine research priorities, are among the solutions presented in the audience needs assessment section. Creating the infrastructure to carry out research projects based on the needs of the audience, allocating the necessary resources for the implementation of research projects, active participation of representatives of executive organizations in the process of conducting research, creating an internal network between academic researchers to advance research priorities as much as possible, and also pay attention to the quality of knowledge production to gain the trust of the audience are the solutions provided in the knowledge production sector. Acquainting researchers with the field of knowledge transfer and its importance, allocating resources to implement the knowledge transfer process, using appropriate and up-to-date tools for knowledge transfer by researchers, and creating rules to support researchers who, before publishing their research findings in reputable journals, publish them through other means of knowledge transfer, institutionalizing the mechanisms of benefiting from the research achievements in the general education program, and also considering the incentive plans for the transfer of the produced knowledge are among the solutions presented in the knowledge transfer section. Producing valid and reliable evidence, placing produced evidence at the disposal of policymakers, building trust in the audience by researchers, policymakers, and relevant officials to use produced evidence, informing the audience about the need to use production evidence, creating appropriate communication between knowledge producers and knowledge users through the use of knowledge brokers, the existence of resources and financial support for the use of evidence by policymakers as well as target audiences are some of the solutions provided in the use of evidence section
Sorour Ashari, Parisa Islami-Parkoohi, Maliheh Ghasemi Tirtashi, Keshvar Samadaee Gelehkolaee, Farhad Gholami, Sepideh Khalili Savadkouhi, Alireza Rafiei,
Volume 34, Issue 241 (1-2025)
Abstract
Infertility management and measures to reduce its prevalence are of considerable importance. In recent years, knowledge translation has been emphasized and prioritized in various fields, especially medical sciences, as a means to improve the health of communities. The purpose of this study is to describe the application of knowledge translation in the field of infertility. The necessary measures for effective infertility management are situated within four main areas: building a culture of awareness around infertility, preventing infertility, diagnosing infertility, and treating infertility. Implementing knowledge translation within each of these areas represents an essential and effective step toward reducing infertility prevalence. One of the most influential knowledge translation tools for building awareness and shaping culture is the media, which can play a critical role in educating the public. Infertility is caused by a variety of factors, including some that are specific to men (e.g., developmental diseases in male children), others specific to women (e.g., ovulatory disorders), and factors affecting both sexes (e.g., sexually transmitted diseases). Therefore, providing comprehensive education and increasing community awareness in these areas are crucial steps for infertility prevention. Despite advancements in infertility treatments, many individuals remain unaware of available options. Enhancing public knowledge of treatment methods, including fertility preservation strategies such as ovarian and egg freezing, is essential. Furthermore, raising awareness about issues such as insurance coverage for infertility treatments is equally important, as economic constraints are often significant barriers to seeking care. Additionally, certain aspects of infertility treatment, such as third-party reproduction, warrant focused attention from policymakers and officials. Through the development of strategic policy briefs by experts, policymakers can establish effective frameworks to address these challenges. In conclusion, utilizing knowledge translation tools such as raising awareness through the media, developing strategic policy briefs, and creating evidence-based guidelines by researchers and specialists in infertility management is a critical step toward reducing infertility prevalence and improving overall community health.