Mostafa Ghanei; Seyed Hassan Saadat; Alireza Najimi-Varzaneh; Mohammad Gholami Fesharaki
Volume 26, Issue 1 , 2024
Abstract
Context: The prevalence of in-hospital death due to COVID-19 hospital is one of the qualitative indexes, which can be used to assess the quality of care, as well as the mortality patterns in COVID-19 pandemic.Objectives: Therefore, this study has been done with the goal of estimating overall prevalence ...
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Context: The prevalence of in-hospital death due to COVID-19 hospital is one of the qualitative indexes, which can be used to assess the quality of care, as well as the mortality patterns in COVID-19 pandemic.Objectives: Therefore, this study has been done with the goal of estimating overall prevalence in-hospital death due to COVID-19 disease in iranian patients.Evidence Acquisition: Articles were identified through iranian searching databases including Health.barakatkns, IranDoc, SID, Civilica and MagIran and international searching databases including Scopus, Web of Science, PubMed and Elsevier . Additional search was also done by Google Scholar search engine. We reviewed systematically all studies reporting the prevalence of in-hospital death due to COVID-19 disease. In this study meta-analysis method with random effect model has been used to estimate the pooled in-hospital death.Results: 118 records were identified by the electronic search, of which 43 studies were identified as relevant documents that were meta-analyzed for the pooled in-hospital death due to COVID-19 prevalence. Overall, prevalence of death were 12.16% (95% CI: 10.72%-13.61%). The highest and lowest death prevalence has been reported in Northern Provinces (Gilan, 27.27% (95% CI: 8.66%-45.88%) and Mazandaran, 21.27% (95% CI: 18.14%-24.40%)) and Turkish-speaking provinces (Azerbaijan, East, 3.29% (95% CI: 2.11%-4.47%) and Zanjan, 3.42% (95% CI: 1.82%-5.02%)) respectively.Conclusions: Considering the death rate obtained in this study and its comparison with other countries, it can be said that the performance of the Iranian medical system in COVID-19 pandemic is acceptable.
Mohammadreza Amiresmaili; Farzaneh Zolala; Mahmood Nekoei-Moghadam; Siavash Salavatian; Mohammadreza Chashmyazdan; Ahmad Soltani; jaber savabi
Volume 23, Issue 5 , 2021
Abstract
Introduction: Social networks can perform a peculiar role in people's communication in the case of crisis and disaster. These media are interactive, digital, or mobile-based tools. Accordingly, the present study aimed to assess the role of social media in earthquakes.
Materials and Methods: In this ...
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Introduction: Social networks can perform a peculiar role in people's communication in the case of crisis and disaster. These media are interactive, digital, or mobile-based tools. Accordingly, the present study aimed to assess the role of social media in earthquakes.
Materials and Methods: In this current systematic review, a query was conducted on such databases as Embase, Web of Science, Scopus, and Cochrane for articles in English language, based on the required criteria from 2000 to 2019 regarding the role of social media in disaster. As a result, 13,924 studies were retrieved, among which 3,963 were deleted due to duplication. Finally, among 244 selected articles, 19 full-text articles were analyzed.
Result: In the present research, 19 studies were thoroughly reviewed. The findings were assigned to four main categories (identification, notification, requests, as well as storage and retrieval of information) with 12 sub-topics. Most of the main topics and subsets were as follows: medical and food needs, information about the accident, as well as medical and relief services, efforts to save lives, the amount of damage, problems and limitations, post-crisis measures, such as keeping calm, reducing anxiety, avoiding high-risk areas, asking for financial assistance, as well as using the information to provide relief and map the affected areas and evacuation centers.
Conclusion: Considering the behavior of people in different geographical locations in the earthquake crisis, it seems that the case study of how to use social media in disaster management carries profound implications for modeling and localizing the cases in related disaster management institutions of many different countries, such as Iran.
Ali Ahangar; AliMohammad Ahmadi; AmirHossein Mozayani; Sajjad FarajiDizaji; Samaneh Safarani
Volume 21, Issue 12 , 2019, Pages 1-16
Abstract
Context: Health expenditures in the world undergo increasing growth. According to the WHO Report (2000), health financing is one of the main functions of the health system that has a significant impact on its other functions.Objectives: The aim of this study is the systematic review of the changes and ...
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Context: Health expenditures in the world undergo increasing growth. According to the WHO Report (2000), health financing is one of the main functions of the health system that has a significant impact on its other functions.Objectives: The aim of this study is the systematic review of the changes and shifting of health care financing models and cost burden risk-sharing mechanisms in health systems over the past three decades.Data Sources: In this systematic review, data sources of studies on health financing realm in different countries were investigated using a series of keywords, including “health financing”, “health expenditure “, “model”, “financing mechanism/arrangement”, and “cost risk-sharing” from the most important databases such as Google Scholar, Web of Science, Scopus, PubMed, and the Iranian databases, such as Magiran, IranMedx, SID, in 1990 - 2019.Study Selection: According to PRISMA Flow Diagram, with application of inclusion and exclusion criteria (time limitations, lan- guage restrictions, lack of related title abstract, full text), among 86,611 documents, 150 studies were selected. Two pairs of review author’s independently extracted data and assessed the risk of bias.Results: The systematic review of different evidence suggests that with economic growth, since 2001 to 2014, global health expendi- ture trend was increased from $ 3.8 trillion (in 2001) to $ 9.2 trillion (in 2014) and is estimated to reach $ 24.2 trillion (in 2040). Also, all the evidence indicates a tangible change, a 10% increase in public and pre-payments health expenditures and a 16% reduction in private expenditures, in the global health financing model in the current period up to 2040.Conclusions: The review of regional and global studies, across countries and during the time, shows that in the last three decades, health financing systems are in a transition towards pervasive (with high financial risk-sharing) public health policies in the world
Ying Kun Sheng; Lu Zhang; Yin Hong
Volume 21, Issue 10 , 2019, Pages 1-9
Abstract
Context: The therapeutic effect, the optimal treatment time, and the dose of silymarin for preventing anti-tuberculosis and antipsy- chotic drug-induced liver injury (anti-TB/antipsychotic DILI) remains controversial. We conducted the first systematic review and meta-analysis study to evaluate the clinical ...
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Context: The therapeutic effect, the optimal treatment time, and the dose of silymarin for preventing anti-tuberculosis and antipsy- chotic drug-induced liver injury (anti-TB/antipsychotic DILI) remains controversial. We conducted the first systematic review and meta-analysis study to evaluate the clinical efficacy of silymarin in the treatment of anti TB/antipsychotic DILI in several subgroups based on follow-up time and dose. Evidence Acquisition: We searched the keywords and free words of “silymarin (silibinin)” and “Anti-tuberculosis or antipsychotic drug-induced liver injury” in PubMed, Web of Science, Cochrane, Scopus, and clinicaltrials.gov for full text English articles and ChinaJournal Full-text Database (CNKI) and China Medical Bio-Document Database (CBM) for full text Chinese articles. The searched pa- pers were reserved for randomized controlled trials (RCTs). The Jadad quality scale was used to conduct quality assessments. Two observers (SY and HY) independently extracted the data. MD and OR values were calculated to evaluate the clinical efficacy of sily- marin in anti-TB/antipsychotic DILI. The Q test and chi-square test were used for heterogeneity analysis.Results: Nine RCTs with 2,712 participants (1,351 in the silymarin group and 1,361 in the control group) satisfying the inclusion criteria were finally examined. Compared to the placebo group, silymarin at less than 300 mg/d dose significantly reduced the occurrence of anti-TB/antipsychotic DILI and serum liver enzymes AST and ALT whether for two weeks, four weeks, or eight weeks [pooled OR: 0.53, 95% CI: 0.35 - 0.78, P = 0.42, I2 = 3%; pooled MD: -4.47, 95% CI: -7.00, -1.93, P = 0.70, I2 = 0%, AST; pooled MD: -3.50, 95% CI: -6.08, -0.91, P = 0.58, I2 = 0%, ALT]. However, no significant difference was found in serum liver enzyme TBIL compared to the control group [pooled MD: -0.02, 95% CI: -0.07, -0.04, P = 0.69, I2 = 0%]. Silymarin at 315 mg/d significantly reduced the occurrence of anti-TB/antipsychotic DILI and serum liver enzymes AST, ALT, and TBIL for eight weeks [subtotal OR: 0.17, 95% CI: 0.08 - 0.39, I2 = 76%] but no significantdifference was found between the over 400 mg/d silymarin group and the control group [subtotal OR: 0.93, 95% CI: 0.20 - 4.39, I2 = 76%]. No significant difference was found in the occurrence of adverse events compared to the control group [pooled OR: 0.94, 95% CI: 0.71 - 1.25, I2 = 0%]. Compared to the control group, silymarin prolonged the occurrence of anti-TB/antipsychotic DILI [pooled SMD: 1.78, 95% CI: 1.65 - 1.91, I2 = 42%].Conclusions: Silymarin prolonged the occurrence of anti-TB/antipsychotic DILI and reduced the incidence of anti-TB/antipsychotic DILI without significant adverse effects. The optimal treatment time of silymarin to prevent anti-TB/antipsychotic DILI was related to its dose.
Hamid Ravaghi; Morteza Salemi; Masoud Behzadifar; Masood Taheri Mirghaed; Meysam Behzadifa; Zeynab Farhadi
Volume 20, s1 , December 2018, , Pages 1-11
Abstract
Context: The emergency department is the first place in the hospital that patients will be referred to receive services. Patients often experience an emergency referral in their lives. Emergency care and paraclinical services are provided to patients in this depart- ment. The current study aimed at evaluating ...
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Context: The emergency department is the first place in the hospital that patients will be referred to receive services. Patients often experience an emergency referral in their lives. Emergency care and paraclinical services are provided to patients in this depart- ment. The current study aimed at evaluating the patients’ satisfaction with the emergency departments in Iran through a system- atic review and meta-analysis. Evidence Acquisition: The databases including Web of Science (WOS), Embase, PubMed, Scopus, Ovid, as well as the Iranian databases such as Irandoc and Magiran in the Persian and English languages were searched from 2000 to 2017. The STROBE (strength- ening the reporting of observational studies in epidemiology) checklist was used to assess the quality of the research methodolo-gies. The random model was used to determine the mean value of satisfaction, and the results were reported with the confidence interval (CI) of 95%. Also, sensitivity analysis, subgroup, and meta-regression were conducted. The Egger test was used to investigate the publication bias in the studies. Results: Based on the random model, the mean of satisfaction with emergency services in Iran was 70.52% (95% CI: 63.81 - 77.23). The results of the sensitivity analysis showed no change before and after the analysis of the results. Highest and lowest rates of patient satisfaction were reported in the Eastern (79.17%) and Northern regions (67.15%) of Iran, respectively. Conclusions: The current study findings showed that patients’ satisfaction with emergency services in Iran was high compared with the neighboring countries. Health policymakers should increase patients’ satisfaction through appropriate training, infor- mation, and increased human resources.
Alireza Najimi-Varzaneh; Mohammad Gholami Fesharaki
Volume 20, Issue 10 , 2018, Pages 1-10
Abstract
Context: One of the major causes of death in Iran is the injuries caused by accidents. Information regarding the distribution of injuries caused by accidents can lead to appropriate decision making in the management of Red Crescent, emergency, and police forces. Objectives: The current study is carried ...
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Context: One of the major causes of death in Iran is the injuries caused by accidents. Information regarding the distribution of injuries caused by accidents can lead to appropriate decision making in the management of Red Crescent, emergency, and police forces. Objectives: The current study is carried out with the aim of studying the prevalence of road traffic accident in Iran using the GIS and meta-analysis study. Evidence Acquisition: Articles were identified through international searching databases including Pub Med, Scopus, Elsevier, Google Scholar, and Web of Science as well as Iranian Scientific Information Database (SID), Health barakatkns, MagIran, and Iran Medex. We systematically reviewed all studies reporting the prevalence of accident trauma in Iran. Results: A total of 2200 relevant records were identified by the electronic search, of which a total of 60 studies were identified as eligible papers, which were meta-analyzed for the pooled road traffic accidents in Iran. Overall, the prevalence of road traffic accidents in Iran was estimated as 51.50% (95% CI = 50.6% - 52.3%). The highest pooled road traffic accidents rate was related to theGuilan province (79.80% [95% CI = 79.1% - 80.5%]), while the lowest pooled road traffic accidents rate was in the Fars province, with the rates of 27.50% (95% CI = 26.3% - 28.8%). A descending of prevalence trend rate was observed during the year 2000 until 2010 (53.30% → 46.90%), however, after the year 2010 this trend increased (46.90% → 52.50%).Conclusions: The result showed the prevalence of the road traffic accidents decreased from North to South of Iran. In addition, more results showed an increasing trend of the rate of road traffic accidents in Iran, therefore, design safety strategy, according to the province and time trend, can be helpful.
Hayedeh Hoorsan; Parvin Mirmiran; Shahla Chaichian; Yousef Moradi; Meisam Akhlaghdoust; Roza Hoorsan; Fatemeh Jesmi
Volume 19, Issue 9 , September 2017, , Pages 1-9
Abstract
Context: Given the role of nutrition and food, as well as environmental pollutants in the probability of developing endometriosis, this study aimed to identify the risk factors and preventive factors in a systematic review and meta-analysis.Evidence Acquisition: In this study, available references were ...
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Context: Given the role of nutrition and food, as well as environmental pollutants in the probability of developing endometriosis, this study aimed to identify the risk factors and preventive factors in a systematic review and meta-analysis.Evidence Acquisition: In this study, available references were searched for the relevant articles published “between” 2000 - 2015. Among a total of 357 articles extracted from primary studies, 5 articles were finally selected for meta-analysis, which were ultimately analyzed for the effect of dietary factors and risk of endometriosis on 73,102 cases (2,608 cases and 70,494 controls).Results: Systematic review and meta-analysis of the studies indicated that calcium intake OR: 0.99, (95% CI: 0.83 - 1.18), milk OR: 0.90 (95% CI: 0.65 - 1.23), eggs OR: 1.01(95% CI: 0.81 - 1.28), bacon OR: 1.26 (95% CI: 0.60 - 2.65), red meat OR: 1.26 (95% CI 0.73 - 2.18), increase the risk of endometriosis.Conclusions: Evidence shows a need to improve the understanding of the impact of dietary components on the risk of endometriosis to modify and prevent this disease. Futhermore, more studies are required and recommended to clarify the role of diet in the incidence and progression of endometriosis.
