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  1. AU="Saeid Eslami"
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  1. Article ; Online: Early prediction of medical students' performance in high-stakes examinations using machine learning approaches

    Haniye Mastour / Toktam Dehghani / Ehsan Moradi / Saeid Eslami

    Heliyon, Vol 9, Iss 7, Pp e18248- (2023)

    2023  

    Abstract: Introduction: Since the advent of medical education systems, managing high-stakes exams has been a top priority and challenge for all policymakers. However, considering machine learning (ML) techniques as a replacement for medical licensing examinations, ...

    Abstract Introduction: Since the advent of medical education systems, managing high-stakes exams has been a top priority and challenge for all policymakers. However, considering machine learning (ML) techniques as a replacement for medical licensing examinations, particularly during crises such as the COVID-19 outbreak, could be an effective solution. This study uses ML models to develop a framework for predicting medical students' performance on high-stakes exams, such as the Comprehensive Medical Basic Sciences Examination (CMBSE). Material and methods: Prediction of students' status and score on high-stakes examinations faces several challenges, including an imbalanced number of failing and passing students, a large number of heterogeneous and complex features, and the need to identify at-risk and top-performing students. In this study, two major categories of ML approaches are compared: first, classic models (logistic regression (LR), support vector machine (SVM), and k-nearest neighbors (KNN)), and second, ensemble models (voting, bagging (BG), random forests (RF), adaptive boosting (ADA), extreme gradient boosting (XGB), and stacking). Results: To evaluate the models' discrimination ability, they are assessed using a real dataset containing information on medical students over a five-year period (n = 1005). The findings indicate that ensemble ML models demonstrate optimal performance in predicting CMBSE status (RF and stacking). Similarly, among the classic regressors, LR exhibited the highest root-mean-square deviation (RMSD) (0.134) and coefficient of determination (R2) (0.62), whereas the RF model had the highest RMSD (0.077) and R2 (0.80) overall. Furthermore, Anatomical Sciences, Biochemistry, Parasitology, and Entomology grade point average (GPA) and grades demonstrated the strongest positive correlation with the outcomes. Conclusion: Comparing classic and ensemble ML models revealed that ensemble models are superior to classic models. Therefore, the presented framework could be considered a suitable ...
    Keywords Data science applications in education ; Data mining ; Artificial intelligence ; Medical education ; Ensemble models ; Science (General) ; Q1-390 ; Social sciences (General) ; H1-99
    Subject code 006
    Language English
    Publishing date 2023-07-01T00:00:00Z
    Publisher Elsevier
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Protocol of a Systematic Review on Telemedicine Solutions in COVID-19 Pandemic

    Saeid Eslami / Raheleh Ganjali

    Frontiers in Health Informatics, Vol 10, Iss

    2021  Volume 1

    Abstract: Introduction: On March 20, 2020, the World Health Organization (WHO) announced the spread of SARS-CoV-2 infection in most countries worldwide as a pandemic. COVID-19 is mainly disseminated through human-to-human transmission route via direct contact and ... ...

    Abstract Introduction: On March 20, 2020, the World Health Organization (WHO) announced the spread of SARS-CoV-2 infection in most countries worldwide as a pandemic. COVID-19 is mainly disseminated through human-to-human transmission route via direct contact and respiratory droplets. Telehealth and/or telemedicine technologies are beneficial methods that could be employed to deal with pandemic situation of communicable infections. The purpose of this proposed systematic review study is to sum up the functionalities, applications, and technologies of telemedicine during COVID-19 outbreak. Material and Methods: This review will be carried out in accordance with the Cochrane Handbook and PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) reporting guidelines. PubMed and Scopus databases were searched for related articles. Randomized and non-randomized controlled trials published in English in scientific journals were identified to be evaluated for eligibility. Articles conducted on telemedicine services (TMS) during COVID-19 outbreak (2019-2020) were identified to be evaluated. Results: The literature search for related articles in PubMed and Scopus databases led to the identification and retrieval of a total of 1118 and 485 articles, respectively. After eliminating duplicate articles, title and abstract screening process was performed for the remaining 1440 articles. The current study findings are anticipated to be used as a guide by researchers, decision makers, and managers to design, implement, and assess TMS during COVID-19 crisis. Conclusion: As far as we know, this systematic review is conducted to comprehensively evaluate TM methods and technologies developed with the aim of controlling and managing COVID-19 pandemic. This study highlights important applications of telemedicine in pandemic conditions, which could be employed by future health systems in controlling and managing communicable infections when an outbreak occurs.
    Keywords Bibliography. Library science. Information resources ; Z ; Computer applications to medicine. Medical informatics ; R858-859.7
    Subject code 028
    Language English
    Publishing date 2021-11-01T00:00:00Z
    Publisher Hamara Afzar
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Assessing the quality of electronic medical records in academic hospitals

    Hedieh Zabolinezhad / Saeid Eslami / Mohammad Reza Hassibian / Sara Dorri

    Frontiers in Digital Health, Vol

    A multi-center study in Iran

    2022  Volume 4

    Abstract: ObjectiveThe present study aimed to assess the quality of electronic medical records (EMR) retrieved from hospital information systems (HIS) of three educational hospitals in Mashhad, Iran.MethodsIn this multi-center, cross-sectional study, inpatient ... ...

    Abstract ObjectiveThe present study aimed to assess the quality of electronic medical records (EMR) retrieved from hospital information systems (HIS) of three educational hospitals in Mashhad, Iran.MethodsIn this multi-center, cross-sectional study, inpatient electronic records collected from three academic hospitals were categorized into five data groups, namely demographics (D); care handler (CH), indicating the doers of the medical actions; diagnosis and treatment (DT); administrative and financial (AF); and laboratory and Para clinic (LP). Next, we asked 25 physicians from the three academic hospitals to determine data elements of medical research and education value (called research and educational data) in every group. Flowingly, the quality of the five data groups (completeness * accuracy) was reported for entire sampled data and those specified as research and educational data, based on the exact concordance between electronic medical records and corresponding paper records. HISRA, standing for HIS recording ability, was also assessed compared to data elements of standard paper forms.ResultsFor entire data, HISRA was 58.5%. In all hospitals, the highest data quality (more than 90%) belongs to D and AF data groups, and the lowest quality goes to CH and DT groups (less than 50%, and 60%, respectively). For research and educational data, HISRA was 47%, and the quality of D and AF data groups were the highest (nearly 100%), while CH and DT stood around 50% and 60% in order. The quality of the LP data group was almost 85% in all hospitals but hospital C (well over 30%). Total data quality for the hospitals was almost less than 70%.ConclusionsThe low quality of electronic medical records was mostly a result of incompleteness, while the accuracy was relatively good. Results showed that the HIS application development mainly focused on administrative and financial aspects rather than academic and clinical goals.
    Keywords hospital information system ; electronic medical records ; electronic medical record quality ; software HISRA ; data completeness ; data accuracy ; Medicine ; R ; Public aspects of medicine ; RA1-1270 ; Electronic computers. Computer science ; QA75.5-76.95
    Subject code 027
    Language English
    Publishing date 2022-11-01T00:00:00Z
    Publisher Frontiers Media S.A.
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Development and Validation of an Educational Book on Self-Management in Inflammatory Bowel Disease Based on Patient Preferences and Expert Opinions

    Narges Norouzkhani / Ali Bahari / Mahbobeh Faramarzi / Javad Shokri Shirvani / Saeid Eslami / Hamed Tabesh

    Journal of Clinical Medicine, Vol 12, Iss 24, p

    A Methodological Study

    2023  Volume 7659

    Abstract: Background: Self-management education resources for inflammatory bowel disease (IBD) using concepts remain infrequent. We aim to describe the development and evaluation process of educational material for self-management in IBD based on patient ... ...

    Abstract Background: Self-management education resources for inflammatory bowel disease (IBD) using concepts remain infrequent. We aim to describe the development and evaluation process of educational material for self-management in IBD based on patient preferences and expert opinions. Research design and methods: The method of this study includes two main phases of development and validation in five steps in the following order: (1) identification of information needs for patients with IBD; (2) content development with a comprehensive literature review and scientific texts related to IBD; (3) measuring the face validity of the content based on the expert opinions in the field of IBD; (4) validation of the content with the experts in the field of IBD; and (5) validation by target audiences. Results: The expert panel comprises ten gastroenterologists, nutritionists, psychologists, gynecologists, and nurses. The total suitability score is 79.5%. The final draft version of the educational self-management material was presented to 30 IBD patients who were satisfied (n = 24; 80%) with the material. Conclusions: This study shows the development process and is validated for face and content validity by the academic multidisciplinary expert panel and target group. Patients and their caregivers can use this content to cope with their disease.
    Keywords content validation studies ; health educational materials ; patient education ; inflammatory bowel diseases ; self-management ; Medicine ; R
    Subject code 370
    Language English
    Publishing date 2023-12-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Design, Development, and Deployment of a Web-Based Registry for Cardiovascular Intensive Care Unit (CVICU)

    Raheleh Mahboub Farimani / Shahram Amini / Kambiz Bahaadinbeigy / Masoomeh Akbari / Saeid Eslami

    Frontiers in Health Informatics, Vol 12, Iss

    2023  

    Abstract: Introduction: The cardiovascular intensive care unit (CVICU) registry provides physicians with tools for monitoring, managing, and following up on patients. The CVICU registry provides researchers with the ability to analyze and evaluate integrated data ... ...

    Abstract Introduction: The cardiovascular intensive care unit (CVICU) registry provides physicians with tools for monitoring, managing, and following up on patients. The CVICU registry provides researchers with the ability to analyze and evaluate integrated data patients. Our goal with this study is to explain the design, development, and deployment of a comprehensive, integrated, qualified cardiovascular intensive care unit registry, as well as to characterize individuals admitted to CVICUs. Material and Methods: From June 2012, a cohort study of ICU admissions for adults (≥18 years) in a teaching hospital’s CVICU began. The study includes retrospective collection of existing data from paper records and hospital information systems (HIS) and ongoing prospective collection using the proposed CVICU registry portal. Results: Between June 2013 and June 2022, 2587 admissions were included, among which 1041 (40.2%) were women, 1546 (59.8%) were man, and the median age was 58 ranging from 18 to 93 years and their mean (SD) age was 56.8 (13) years. About 11.1% of the patients died in the CVICU. The primary indications for CVICU care included mechanical ventilation (29.7%), weaning time (??%), readmission (4.9%), cardiovascular (17.4%), myocardial infarction (1.7%), diabetes (9.3%), hypertension (14.3%). Of these, about 73% had coronary artery bypass grafting (CABG), 15% valve surgery and the remains has other cardiovascular surgeries. About 39% experienced an on-pump surgery. In addition, patients had 6.4 hours weaning time after operation. The overall CVICU length of stay (LOS) rate was 3.6 days and mean predicted by APACHE IV, APACHE II, SOFA, and SAPS II were 5.67, 3.03, 4, and 4 days, respectively. Conclusion: The use of registries equipped physicians and researchers with an integrated data pool to manage and evaluate information. Appropriate patient registries allow effective decision-making for appropriate interventions, resource allocation, and ongoing data monitoring and analysis. Ultimately, this leads to the optimal ...
    Keywords csicu registry ; cardiovascular patients ; web-based registry software ; intensive care unit ; Bibliography. Library science. Information resources ; Z ; Computer applications to medicine. Medical informatics ; R858-859.7
    Subject code 616
    Language English
    Publishing date 2023-07-01T00:00:00Z
    Publisher Hamara Afzar
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: Investigation of Capabilities and Advantages of Cloud Computing in Development of Electronic Communications Services

    Saeid Eslami Mehdiabadi / Saeid Eslami / Sayed Hassan Hatemi Nasb / Hossien Eslami

    بازیابی دانش و نظام‌های معنایی, Vol 7, Iss 22, Pp 55-

    2020  Volume 77

    Abstract: The aim of this paper is the investigation of capabilities and advantages of cloud computing in the development of electronic communications services in steel industries of Yazd province utilizing hybrid multi-criteria decision-making method, Fuzzy logic ...

    Abstract The aim of this paper is the investigation of capabilities and advantages of cloud computing in the development of electronic communications services in steel industries of Yazd province utilizing hybrid multi-criteria decision-making method, Fuzzy logic computing, and PLS modeling technique. This research approach is combined (quantitative and qualitative), and it is performed by interview and questionnaire tools. Statistical society includes university professors that are experts in the studied field and information and communication technology specialists working at the steel industries of Yazd province. 320 experts in the society are selected in 1398 by the combination of non-probability purposive and random sampling. The findings using Fuzzy logic show that the most important criteria in the advantage cluster of cloud computing are "costs reduction", "faster service to the customers", and "communication with the customers" with fuzzy weights of 0.191, 0.120, and 0.096, respectively. The most important criterion in the capabilities cluster of cloud computing in the development of electronic communications services is "saving information in electronic communications services" equal to 0.123. Finally, path analysis between "development of electronic communications services" and " capabilities of cloud computing" according to the confirmatory factor of analysis loads is equal to 0.566, and between "development of electronic communications services" and "cloud computing advantage" is equal to 0.521. Thus, based on the findings, it can be said that cloud computing technology with the development of electronic communications services of steel industries of Yazd has a positive relationship and effectiveness.
    Keywords cloud computing ; electronic communications services ; fuzzy logic multi-criteria decision making ; modeling ; Information technology ; T58.5-58.64 ; Bibliography. Library science. Information resources ; Z ; Management information systems ; T58.6-58.62
    Subject code 380
    Language Persian
    Publishing date 2020-03-01T00:00:00Z
    Publisher Allameh Tabataba'i University Press
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article ; Online: Internal validation and comparison of predictive models to determine success rate of infertility treatments

    Ameneh Mehrjerd / Hassan Rezaei / Saeid Eslami / Mariam Begum Ratna / Nayyere Khadem Ghaebi

    Scientific Reports, Vol 12, Iss 1, Pp 1-

    a retrospective study of 2485 cycles

    2022  Volume 11

    Abstract: Abstract Infertility is a significant health problem and assisted reproductive technologies to treat infertility. Despite all efforts, the success rate of these methods is still low. Also, each of these methods has side effects and costs. Therefore, ... ...

    Abstract Abstract Infertility is a significant health problem and assisted reproductive technologies to treat infertility. Despite all efforts, the success rate of these methods is still low. Also, each of these methods has side effects and costs. Therefore, accurate prediction of treatment success rate is a clinical challenge. This retrospective study aimed to internally validate and compare various machine learning models for predicting the clinical pregnancy rate (CPR) of infertility treatment. For this purpose, data from 1931 patients consisting of in vitro fertilization (IVF) or intra cytoplasmic sperm injection (ICSI) (733) and intra uterine insemination (IUI) (1196) treatments were included. Also, no egg or sperm donation data were used. The performance of machine learning algorithms to predict clinical pregnancy were expressed in terms of accuracy, recall, F-score, positive predictive value (PPV), brier score (BS), Matthew correlation coefficient (MCC), and receiver operating characteristic. The significance of the features with CPR and AUCs was evaluated by Student's t test and DeLong’s algorithm. Random forest (RF) model had the highest accuracy in the IVF/ICSI treatment. The sensitivity, F1 score, PPV, and MCC of the RF model were 0.76, 0.73, 0.80, and 0.5, respectively. These values for IUI treatment were 0.84, 0.80, 0.82, and 0.34, respectively. The BS was 0.13 and 0.15 for IVF/ICS and IUI, respectively. In addition, the estimated AUCs of the RF model for IVF/ICS and IUI were 0.73 and 0.7, respectively. Some essential features were obtained based on RF ranking for the two datasets, including age, follicle stimulation hormone, endometrial thickness, and infertility duration. The results showed a strong relationship between clinical pregnancy and a woman's age. Also, endometrial thickness and the number of follicles decreased with increasing female age in both treatments.
    Keywords Medicine ; R ; Science ; Q
    Subject code 630
    Language English
    Publishing date 2022-05-01T00:00:00Z
    Publisher Nature Portfolio
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article ; Online: A telemonitoring system to support CPAP therapy in patients with obstructive sleep apnea

    Shokoufeh Aalaei / Mahnaz Amini / Mohammad Reza Mazaheri Habibi / Hadi Shahraki / Saeid Eslami

    BMC Medical Informatics and Decision Making, Vol 22, Iss 1, Pp 1-

    a participatory approach in analysis, design, and evaluation

    2022  Volume 16

    Abstract: Abstract Background Continues positive airway pressure (CPAP) therapy is a gold standard treatment for moderate to severe cases of OSA (obstructive sleep apnea). The present research aimed to describe the analysis, design, and evaluation of a ... ...

    Abstract Abstract Background Continues positive airway pressure (CPAP) therapy is a gold standard treatment for moderate to severe cases of OSA (obstructive sleep apnea). The present research aimed to describe the analysis, design, and evaluation of a telemonitoring system to improve CPAP adherence in patients afflicted with OSA. Methods The telemonitoring system was developed in five phases. In the exploratory phase, the body of related literature was reviewed. Then a need analysis was conducted through a focus group discussion with sleep medicine specialists and sales company representatives and an interview with patients. The third phase involved data integration. Then the content and system development were done based on the previous phases. Finally, usability and functionality tests were used to evaluate the system. Results The exploratory phase and the needs analysis were conducted by four sleep medicine specialists, two medical informatics specialists, six key figures of the sales companies, two system developers, and 46 patients in different phases. Based on the results obtained from the data integration phase, the telemonitoring system involved three main parts: a patient’s application, a doctor’s portal, a selling companies’ portal (operator’s portal) along with facilitating software for patients to send the CPAP data. Usability and functionality tests were given to 7 and 10 patients, respectively. The total number of usability issues reported by users in the evaluation process was 18, with an average of 2.5 issues per user. The installation problems, disrupted links and improper playing of videos were the main functionalities problems that were solved. Conclusion The telemonitoring system, as a means of communication between patients, doctors, and selling companies, can be used to support patients clinically and technically. It has the potential to improve CPAP adherence in patients with OSA.
    Keywords Mobile health ; Telemedicine ; Sleep apnea ; Continuous positive airway pressure ; Patient education ; Adherence ; Computer applications to medicine. Medical informatics ; R858-859.7
    Subject code 005
    Language English
    Publishing date 2022-06-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article ; Online: Integrative multi-platform meta-analysis of hepatocellular carcinoma gene expression profiles for identifying prognostic and diagnostic biomarkers

    Maryam Gholizadeh / Morteza Hadizadeh / Seyed Reza Mazlooman / Saeid Eslami / Sadegh Raoufi / Marziye Farsimadan / Maryam Rashidifar / Marek Drozdzik / Mehrnaz Mehrabani

    Genes and Diseases, Vol 10, Iss 4, Pp 1194-

    2023  Volume 1196

    Keywords Medicine (General) ; R5-920 ; Genetics ; QH426-470
    Language English
    Publishing date 2023-07-01T00:00:00Z
    Publisher KeAi Communications Co., Ltd.
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  10. Article ; Online: Evaluation of the effect of informing patients through text messaging on antibiotic prescription by physicians in outpatient setting

    Hassan Vakili Arki / Ehsan Nabovati / Mohammad Reza Saberi / Pourya Eslami / Zhila Taherzadeh / Saeid Eslami

    Frontiers in Health Informatics, Vol 10, Iss

    a study protocol

    2021  Volume 1

    Abstract: Introduction: Irrational prescription of antibiotics has become a major global concern, and not only does it have health-related consequences, but it also affects countries’ overall economy. Based on reports and studies, antibiotics are prescribed in ... ...

    Abstract Introduction: Irrational prescription of antibiotics has become a major global concern, and not only does it have health-related consequences, but it also affects countries’ overall economy. Based on reports and studies, antibiotics are prescribed in approximately 50% of prescriptions in Iran which can demand by patients as a major cause. It is anticipated that increasing the awareness and understanding of both physicians and patients, regarding the antibiotic use and resistance, could play an important role in the rational prescription of antibiotic medications. In this study, we will examine the effect of informing patients via text message right before their appointment on the proportion of prescribed antibiotic medications. Material and Methods: In this study, a randomized control trial (RCT) will be conducted. The setting in which the study will be carry out, consists of 64 physicians (29 general physician and 35 specialist). Unit of randomization will be physicians based on the proportion of their prescriptions that include antibiotic medications (PIA). The first arm of the study is the intervention group, which consists of the patients receiving three text messages in the clinic’s waiting rooms. The second arm is the control group, and consists of the patients who won’t be receiving any text messages. The content of the text messages focuses on the consequences of self-medication with antibiotics, the fact that the use of antibiotics is not an option for curing viral diseases including cold, and it also asks the patients not to demand antibiotics by trusting their physicians. Results: The main variable that will be measured is the proportion of prescriptions that include antibiotic medications. Conclusion: This trial will be the first one to evaluate the patients’ role in the proportion of prescriptions that include antibiotic medications. It is hypothesized that patients’ demand for antibiotic medication is one of the main causes of irrational antibiotic prescription by physicians.
    Keywords Bibliography. Library science. Information resources ; Z ; Computer applications to medicine. Medical informatics ; R858-859.7
    Subject code 610
    Language English
    Publishing date 2021-05-01T00:00:00Z
    Publisher Hamara Afzar
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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