<?xml version="1.0" encoding="utf-8"?>
			<journal>
			<title>Journal of Patient Safety &amp; Quality Improvement</title>
			<title_fa></title_fa>
			<short_title></short_title>
			<subject>Medical Sciences</subject>
			<web_url>https://psj.mums.ac.ir/</web_url>
			<journal_hbi_system_id>0</journal_hbi_system_id>
			<journal_hbi_system_user></journal_hbi_system_user>
			<journal_id_issn>2345-4482</journal_id_issn>
			<journal_id_issn_online>2345-4490</journal_id_issn_online>
			<journal_id_pii></journal_id_pii>
			<journal_id_doi></journal_id_doi>
			<journal_id_iranmedex></journal_id_iranmedex>
			<journal_id_magiran></journal_id_magiran>
			<journal_id_sid></journal_id_sid>
			<journal_id_nlai></journal_id_nlai>
			<journal_id_science></journal_id_science>
			<language>en</language>
			<pubdate>
				<type>jalali</type>
				<year>0</year>
				<month>0</month>
				<day>1</day>
			</pubdate>
			<pubdate>
				<type>gregorian</type>
				<year>2025</year>
				<month>1</month>
				<day>1</day>
			</pubdate>
			<volume>13</volume>
			<number>1</number>
			<publish_type>online</publish_type>
			<publish_edition>1</publish_edition>
			<article_type>fulltext</article_type>
			<articleset><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Reducing Surgical Site Infections in Laparoscopic Gynecology: A Comparative Study of the Aesculap Aicon Sterile Container System vs. Traditional Packaging</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>Original Article</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Introduction:
To evaluate the efficacy of the Aesculap Aicon Sterile Container System in reducing surgical site infections (SSIs) compared to traditional packaging methods in laparoscopic gynecological surgeries.
Materials and Methods: 
A prospective comparative study was conducted over 12 months, involving 300 laparoscopic gynecological surgeries. Patients were divided into two groups: one group used instruments sterilized and stored in Aesculap Aicon sterile containers, while the other group used instruments sterilized and packaged using traditional methods. The primary outcome measure was the incidence of SSIs within 30 days post-surgery. Secondary outcomes included cost-effectiveness, environmental impact, and surgical team satisfaction.
Results: 
The Aesculap Aicon group demonstrated a statistically significant reduction in SSI rates (2.7%) compared to the traditional packaging group (8.0%) (p &lt; 0.05). Additionally, the Aesculap system reduced packaging waste by 45%, contributing to improved sustainability. Surgical teams reported higher satisfaction due to enhanced instrument organization, ease of handling, and reduced clutter during procedures.
 
Conclusion: 
The Aesculap Aicon Sterile Container System significantly reduced the incidence of SSIs (2.7% vs. 8.0%, p &lt; 0.05) in laparoscopic gynecological surgeries, demonstrating superior clinical efficacy. Furthermore, its environmental benefits, including a 45% reduction in packaging waste, and improved operational efficiency through better instrument management highlight its dual advantages. These findings underscore the system’s potential as a preferable alternative to traditional packaging methods, offering both improved patient outcomes and enhanced sustainability.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Surgical Site Infections (SSIs), Sterile Container Systems, infection control, laparoscopy gynecology, Comparative Study</keyword>
				<start_page>3</start_page>
				<end_page>9</end_page>
				<web_url>https://psj.mums.ac.ir/article_25786.html</web_url>
			<author_list><author>
				<first_name>Smit</first_name>
				<middle_name>B</middle_name>
				<last_name>Solanki</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>drsmitbharat@gmail.com</email>
				<code>113151</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Department of Obstetrics and Gynecology, Institute of Kidney Disease and Research Centre, Civil Hospital Campus, Asarwa, Ahmedabad, India.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Arminder</first_name>
				<middle_name>Singh</middle_name>
				<last_name>Dhiman</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>armindersinghdhiman@gmail.com</email>
				<code>113152</code>
				<coreauthor>No</coreauthor>
				<affiliation>Zeiss Medical Technology, Gujarat, India.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Vineet</first_name>
				<middle_name>V.</middle_name>
				<last_name>Mishra</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>vineet.mishra.ikdrc@gmail.com</email>
				<code>113153</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Obstetrics and Gynecology, Apollo Hospital, Ahmedabad, India.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>The Impact of Significant Risk Factors on the Mortality Rate of Hospitalized COVID-19 Patients in the Iranian Population</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>Original Article</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Introduction:The present study aimed to assess the respiratory signs and laboratory parameters in COVID-19 patients based on recovery or mortality during hospitalization in the Iranian population. Materials and Methods: 623 patients over 16 years of age with confirmed COVID-19 infection using polymerase chain reaction test who were admitted to the COVID-19 wards of Imam Reza Hospital from 2020 to 2022 were included in this study. The vital signs and paraclinical parameters such as liver and renal function tests as well as hematological and inflammatory markers were evaluated based on recovered or non-recovered patients during admission. Results: According to our results, 135 COVID-19 patients (21.7%) expired, while 488 patients recovered through hospitalization. The frequency of acute kidney injury was significantly higher in unrecovered COVID-19 patients (71.1%) compared to the recovered group (27.3%) (p&lt;0.001). Significant differences were found in terms of AST, direct and total bilirubin, creatinine, BUN, albumin, LDH, and CRP, as well as potassium, phosphorus, calcium, pH, HCO3, and INR serum levels between groups at both baseline and endpoint admission. The non-recovered patients demonstrated significantly higher counts of WBC, MCV, RDW, and neutrophil, as well as significantly lower amounts of RBC, hemoglobin, platelet, lymphocyte, and MXD than the recovered group during admission. Conclusion:Our findings revealed that AKI, CRP, LDH, WBC, RDW, neutrophil, and PLT were the significant risk factors in the incidence of mortality due to COVID-19 infection in the present study. These results could be helpful in screening and managing hospitalized patients during the respiratory viral pandemic.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>COVID-19, Mortality, Laboratory parameters, Vital signs, Hospitalization</keyword>
				<start_page>11</start_page>
				<end_page>21</end_page>
				<web_url>https://psj.mums.ac.ir/article_25837.html</web_url>
			<author_list><author>
				<first_name>Nasrin</first_name>
				<middle_name></middle_name>
				<last_name>Milani</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>nasrinmilani@gmail.com</email>
				<code>113386</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Internal Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Mohammad</first_name>
				<middle_name>Reza</middle_name>
				<last_name>Rouhbakhsh Zahmatkesh</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>rouhbakhshmr921@gmail.com</email>
				<code>113387</code>
				<coreauthor>No</coreauthor>
				<affiliation>School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Mona</first_name>
				<middle_name></middle_name>
				<last_name>Kabiri</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>kabirimn@mums.ac.ir</email>
				<code>113388</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Nanotechnology Research Center, Pharmaceutical Technology Institute, Mashhad University of Medical Sciences, Mashhad, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>The Psychometric Properties of the Persian Version of the "Problematic Social Media Use Scale for Adolescents": A Cross-Sectional Methodological Study</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>Original Article</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Introduction:
Problematic social media use is very common and there is a need for a valid tool to determine this misuse. This study was conducted with the aim of evaluation the validity and reliability of the Persian version of problematic social media use scale for adolescents (PSMUSA).
 Materials and Methods: 
This research is a methodological study that was conducted in 2024, after obtaining the permission from the questionnaire designer and the code of ethics. Among the adolescent population, 200 students were included in the study according to the inclusion criteria. The data collection tools were the demographic information form and the translated version of PSMUSA. The Data analysis was performed using AMOS and SPSS version 23 software. Davis content validity method, exploratory factor analysis, confirmatory factor analysis, reliability of Cronbach&#039;s α-coefficient, and correlation were used.
 Results: 
The average age of the participants was 15.33±1.89 years. The content validity was obtained at 1.00 which was suitable. The exploratory factor analysis resulted the validate scale of 34.75% for the instrument, indicating that the instrument was a single factor and was in the appropriate range. The confirmatory factor analysis indicated that the single-factor instrument was valid and the fit indices were suitable. The internal homogeneity analysis showed that Cronbach&#039;s α-coefficient for the entire scale was 0.767, indicating sufficient correlation among the items.
 Conclusion: 
The Persian version of PSMUSA is valid and reliable. It is suggested that this scale can be used to assess Iranian teenagers problematic social media use.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Adolescents, Quality of life, Reliability, problematic social media use</keyword>
				<start_page>23</start_page>
				<end_page>32</end_page>
				<web_url>https://psj.mums.ac.ir/article_25838.html</web_url>
			<author_list><author>
				<first_name>Sima</first_name>
				<middle_name></middle_name>
				<last_name>Sima Abdorrahimi Javid</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>simajavid1355@gmail.com</email>
				<code>113389</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Midwifery, Ardabil Branch, Islamic Azad University, Ardabil, Iran and Department of Midwifery, Ataturk University, Erzurum, Turkey.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Serap</first_name>
				<middle_name></middle_name>
				<last_name>Ejder Apay</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>sejder@hotmail.com</email>
				<code>113390</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Midwifery, Ataturk University, Erzurum, Turkey.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Samira</first_name>
				<middle_name></middle_name>
				<last_name>Shahbazzadegan</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>samirashahbazzadegan2000@yahoo.com</email>
				<code>113391</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Midwifery, School of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Roya</first_name>
				<middle_name></middle_name>
				<last_name>Motavalli</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>mrmotavalli@yahoo.com</email>
				<code>113392</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Department of Midwifery, Ardabil Branch, Islamic Azad University, Ardabil, Iran and PhD Student in Midwifery, Ataturk University, Erzurum, Turkey.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Investigation of the Causes of Prematurity and Neonatal Death Admitted to Hospitals in Ardabil City</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>Original Article</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Introduction: 
Premature delivery is the delivery of a baby before the completion of 37 weeks of pregnancy. Premature birth is the main cause of infant mortality. Several risk factors and causes for preterm delivery and its mortality have been stated. The aim of this study was to investigate the causes of prematurity and death of neonates hospitalized in Ardabil city hospitals.
Materials and Methods: 
In this cross-sectional study, 500 premature births which selected randomly were evaluated between September 2022 and September 2023. The required information, including the demographic characteristics of the baby and parents, birth weight, cause of preterm delivery and related factors, and the cause of infant death, were collected by examining the patient files in the hospital archive.
Results: 
273 babies (55.6%) were boys. Preeclampsia and high blood pressure (21.8%), followed by gestational diabetes (10.6%) and overt diabetes (6.2%) were the most common underlying diseases in mothers. The difference in the final outcome of death or life in babies born with different indications and etiologies of preterm delivery was significant.
Conclusion: 
Pulmonary-respiratory causes were the most common causes involved in the death of preterm infants studied. The etiology of preterm delivery was significantly related to the outcome of mortality in the studied preterm infants and its causes.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Mortality, Newborns, Premature birth</keyword>
				<start_page>33</start_page>
				<end_page>42</end_page>
				<web_url>https://psj.mums.ac.ir/article_25839.html</web_url>
			<author_list><author>
				<first_name>Faramarz</first_name>
				<middle_name></middle_name>
				<last_name>Ajri-Khamesloo</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>f.ajri@gmail.com</email>
				<code>113393</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Pediatrics, School of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Lida</first_name>
				<middle_name></middle_name>
				<last_name>Ghorbani</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>lindaghorbani2020@gmail.com</email>
				<code>113394</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Department of Pediatrics, School of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Aziz</first_name>
				<middle_name></middle_name>
				<last_name>Kamran</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>a.kamran@gmail.com</email>
				<code>113395</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Community Medicine, School of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Sevin</first_name>
				<middle_name></middle_name>
				<last_name>Fattahi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>s.fattahi@gmail.com</email>
				<code>113396</code>
				<coreauthor>No</coreauthor>
				<affiliation>School of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Investigating the Comparative Effectiveness of Yoga and Relaxation Therapy on Chronic Pain and Chronic Fatigue in MS Patients</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>Original Article</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Introduction:
Many MS patients report dissatisfaction with pain management programs, and it is urgent to identify other treatments that impact pain and chronic fatigue in these patients. The objective of this investigation is to compare the effectiveness of yoga and relaxation therapy in improving chronic pain and fatigue in MS patients.
 Materials and Methods: 
The current research is designed to be semi-experimental, consisting of a pre-test, post-test, two-month follow-up, and a four-month follow-up phase. Three groups were studied, including two yoga therapy test groups (with a sample size of 15), a relaxation therapy group (with a sample size of 16), and a control group (with a sample size of 17). The statistical population of this research consisted of all MS patients who were referred to the Iranian MS Association in Tehran between May and October 2023. The statistical sample was made up of 60 individuals who were chosen through purposive sampling and assigned randomly to the research groups. The yoga therapy group received twelve 90-minute sessions twice a week, while the relaxation therapy group received six 90-minute sessions weekly. The McGill Pain Questionnaire (MPQ) and the Chronic Fatigue Syndrome Questionnaire (CFS) were used as research tools. Repeated measures ANOVA, Bonferroni, and Tukey post hoc tests, MANCOVA, and Kruskal-Wallis H were used for statistical analysis of the research data by using SPSS.27 software.
 Results: 
According to the current research, the Emotional Dimension component (P=0.113) was not significantly different between the Yoga therapy and Relaxation therapy groups. However, there was a significant difference between the experimental groups and the control group (P&lt;0.001). Relaxation therapy had a more lasting effect on chronic fatigue, with a significant difference between the experimental groups and the control group (p&lt; 0.001).
 Conclusion:
The study concluded that both yoga therapy and relaxation therapy have an impact on sensory, emotional, and chronic fatigue, and can reduce them. Despite the comparison between yoga therapy and relaxation therapy, relaxation therapy had a more lasting impact on sensory dimensions and chronic fatigue.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Yoga, Relaxation Therapy, Chronic pain, Chronic Fatigue, MS patients</keyword>
				<start_page>43</start_page>
				<end_page>55</end_page>
				<web_url>https://psj.mums.ac.ir/article_25840.html</web_url>
			<author_list><author>
				<first_name>Fatemeh</first_name>
				<middle_name></middle_name>
				<last_name>Okhovatian</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>sacambiz@gmail.com</email>
				<code>113397</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Psychology, Tonkabon Branch, Islamic Azad University, Tonkabon, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Asma</first_name>
				<middle_name></middle_name>
				<last_name>Aghakhaninezhad</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>aghakhniasma1411@gmail.com</email>
				<code>113398</code>
				<coreauthor>No</coreauthor>
				<affiliation>Departeman of Psychology, Sirjan Branch, Islamic Azad University, Sirjan, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Faeze</first_name>
				<middle_name></middle_name>
				<last_name>Naderi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>faezeaderi95@gmail.com</email>
				<code>113399</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Psychology, Bandargaz Branch, Islamic Azad University, Bandargaz, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Seyedeh Masoumeh</first_name>
				<middle_name></middle_name>
				<last_name>Azimi jirsaraei</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>hazalazimi46@gmail.com</email>
				<code>113400</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Psychology, Tonekabon Branch, Islamic Azad University, Tonekabon, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Afsaneh</first_name>
				<middle_name></middle_name>
				<last_name>Amiri</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>afsanehamiri357@gmail.com</email>
				<code>113401</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Department of Psychology, Isfahan Branch, Islamic Azad University, Isfahan, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Investigating the Quality of Waiting Time and Visits of Patients Referring to Comprehensive Health Centers using the Structure, Process, and Outcome Standards: A Case Study of Northeast Iran, 2022</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>Research Paper</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Introduction:Patients’ satisfaction levels are influenced by how well their expectations are met and the success of their treatment. Both patient satisfaction and successful treatment are critical components of healthcare quality. This study aimed to investigate the quality of waiting times and consultations for patients visiting comprehensive health centers in Northeast Iran, utilizing structure, process, and outcome standards.Materials and Methods: This study was conducted in two phases. The quantitative phase involved 429 patients visiting comprehensive health centers in Mashhad from May to August 2022. Data was collected through a three-part questionnaire assessing structure, process, and outcome standards and analyzed using SPSS version 24. In the qualitative phase, using purposive sampling and semi-structured interviews, factors influencing waiting times and consultation durations based on physicians’ perspectives were examined. The qualitative data analysis was performed using MAXQDA version 20.Results:The quality of visits at comprehensive health centers in Mashhad was favorable, with structure scores at 15.09 (SD = 1.71) and process scores at 5.9 (SD = 0.95), indicating medium quality. Physicians believe longer visits and reduced waiting times enhance prescriptions, patient satisfaction, and trust while decreasing errors and costs.Conclusion: The comparative analysis of the quality of waiting time and visit length using structural, process, and outcome standards in comprehensive health centers in Mashhad showed a desirable level of quality, which shows that the standards have been correctly established. However, due to the shorter visit length, it is recommended that standards be implemented to increase patient safety in terms of diagnosis accuracy.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Quality of visit, Patient Satisfaction, Comprehensive Health Centers, waiting time, Structural, Process, and outcome standards</keyword>
				<start_page>57</start_page>
				<end_page>65</end_page>
				<web_url>https://psj.mums.ac.ir/article_25841.html</web_url>
			<author_list><author>
				<first_name>Maysam</first_name>
				<middle_name></middle_name>
				<last_name>Yousefi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>dr.m_yousefi@yahoo.com</email>
				<code>113402</code>
				<coreauthor>No</coreauthor>
				<affiliation>Research Center of Tropical and Infectious Diseases, Kerman University of Medical sciences, Kerman, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Eshrati</first_name>
				<middle_name></middle_name>
				<last_name>Ali Asghar</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>a.a.eshrati1397@gmail.com</email>
				<code>113403</code>
				<coreauthor>No</coreauthor>
				<affiliation>MSc in Healthcare Management, Department of Health Management, Policy and Economics, Faculty of Management and Medical Informatics Sciences. Kerman University of Medical Sciences, Kerman, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Andisheh</first_name>
				<middle_name></middle_name>
				<last_name>Eslami</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>andisheeslami@gmail.com</email>
				<code>113404</code>
				<coreauthor>No</coreauthor>
				<affiliation>MSc in Healthcare Management, Department of Health Management, Policy and Economics, Faculty of Management and Medical Informatics Sciences. Kerman University of Medical Sciences, Kerman, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Milad</first_name>
				<middle_name></middle_name>
				<last_name>Mehri</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>milademehri@gmail.com</email>
				<code>113405</code>
				<coreauthor>No</coreauthor>
				<affiliation>MSc in Healthcare Management, Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Anahita</first_name>
				<middle_name></middle_name>
				<last_name>Behzadi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>anahitabehzadi1984@gmail.com</email>
				<code>113406</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.  Department of Health Management, Policy and Economics, Faculty of Management and Medical Informatics Sciences. Kerman University of Medical Sciences, Kerman, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Investigation the rate of Social Media Dependency among Undergraduate Medical School University Students in Ardabil city, Iran</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>Research Paper</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Introduction:
Nowadays the most widely used applications on the Internet are social networks. It has been reported that excessive use of social media has a negative impact on physical and mental health by causing dependency. Main objective of this study was to investigate the rate of social media dependency among undergraduate medical school university students in Ardabil city, Iran.
 Materials and Methods: 
This cross-sectional descriptive-analytical study was conducted among department of medicine students to investigate the level of social media dependency from April 2023 to December 2023. A total of 540 people were participated in the study. The questionnaire along with the demographic information questionnaire was provided for the users and after collecting and scoring the questionnaires, the data were coded and then entered into the SPSS version 24 and then analyzed by descriptive statistics methods in the form of tables, graphs, statistical indicators like average and standard deviation. Furthermore, ANOVA test and Pearson&#039;s correlation coefficient were used to check the relationship between statistical data.
Results: 
Of all students, 12.8% had strong dependence on social networks and 71.9% of them had moderate dependence. It was found that the level of dependence to social networks does not have a significant relationship with the students’ age, gender, the age of parents and the number of family members, but it has a significant relationship with the position (birth order) of children in the family and the field of study. It was observed that there is a negative relationship between the academic year of students and the level of dependency to social media.  
 Conclusions: 
According to the results, it was determined that measures should be taken to inform students about the harmful effects of excessive and uncontrolled use of social media.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Dependency, university Students, Prevalence, Social Media Dependence, Social Media</keyword>
				<start_page>67</start_page>
				<end_page>79</end_page>
				<web_url>https://psj.mums.ac.ir/article_25842.html</web_url>
			<author_list><author>
				<first_name>Roya</first_name>
				<middle_name></middle_name>
				<last_name>Motavalli</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>mrmotavalli@yahoo.com</email>
				<code>113408</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Midwifery, Ardabil Branch, Islamic Azad University, Ardabil, Iran/PhD student in Midwifery, Ataturk University, Erzurum, Turkey.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Serap</first_name>
				<middle_name></middle_name>
				<last_name>Ejder Apay</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>sejder@atauni.edu.tr</email>
				<code>113409</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Midwifery, Ataturk University, Erzurum, Turkey.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Fatmazehra</first_name>
				<middle_name></middle_name>
				<last_name>Akpinar Selvasli</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>zhrakpinar01@gmail.com</email>
				<code>113410</code>
				<coreauthor>No</coreauthor>
				<affiliation>Phd Student in Midwifery. Atatürk University Department of Midwifery. Republic of Türkiye Ministry of Health.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Laleh</first_name>
				<middle_name></middle_name>
				<last_name>Mahmoudnejad</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>laleh.mahmoudnejhad@gmail.com</email>
				<code>113411</code>
				<coreauthor>No</coreauthor>
				<affiliation>MSc of Counseling in Midwifery, Health Education center, Urmia University of Medical Sciences, Urmia, Iran / PhD student in Midwifery, Ataturk University, Erzurum, Turkey.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Somayyeh</first_name>
				<middle_name></middle_name>
				<last_name>Nouri</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>sr.nr2282@gmail.com</email>
				<code>113407</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>MSc Student in Midwifery, Ataturk University, Erzurum, Turkey.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>The Hidden Costs of Convenience: Why Reusing Needles in Healthcare Remains Common Practice Despite Known Risks</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>Short Communication</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[The reuse of needles in healthcare settings persists despite well-documented risks, posing significant threats to patient safety and public health. Studies indicate that reusing needles increases the likelihood of contamination, transmission of bloodborne pathogens, and local complications. This practice is fueled by resource constraints, lack of awareness, systemic inefficiencies, and cultural normalization of unsafe practices. For example, reusing needles in procedures such as Botox injections or repeated IV insertions, while seemingly cost-effective, leads to higher long-term costs due to complications and the need for additional treatments. This paper reviews the risks associated with needle reuse, highlights the factors contributing to its persistence, and explores comprehensive strategies for mitigating these risks. Recommendations include enhancing education and training for healthcare workers, implementing safety-engineered devices, adhering strictly to infection control guidelines, improving infrastructure, and fostering regulatory oversight. By addressing these issues, healthcare systems can promote safer injection practices and ensure the well-being of both patients and healthcare providers.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Patient safety, needle use, system change, Quality Improvement</keyword>
				<start_page>81</start_page>
				<end_page>85</end_page>
				<web_url>https://psj.mums.ac.ir/article_25843.html</web_url>
			<author_list><author>
				<first_name>Stephanie</first_name>
				<middle_name></middle_name>
				<last_name>Quon</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>stephaniesfquon@gmail.com</email>
				<code>113412</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>1aculty of Medicine, University of British Columbia, Vancouver, Canada.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Erica</first_name>
				<middle_name></middle_name>
				<last_name>Nichols</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>erica.m.nichols2@gmail.com</email>
				<code>113413</code>
				<coreauthor>No</coreauthor>
				<affiliation>Faculty of Medicine, University of British Columbia, Vancouver, Canada.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article>
			</articleset>
			</journal>