Letter to Editor
Nadzirah Rosli; Nor Edzfariah Haris; Matt Salleh Yusop; Shyh Poh Teo
Articles in Press, Accepted Manuscript, Available Online from 15 March 2023
Abstract
Letter to Editor
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Letter to Editor
Systematic Review
Ali Zia-Tohidi; Zahra Shamshiri; Fatemeh Askari; Manijeh Firoozi
Articles in Press, Accepted Manuscript, Available Online from 15 March 2023
Abstract
Background: Seeking local evidence on treatment efficacy is necessary if cultural factors are involved, as in psychotherapy for chronic pain (CP). Yet, local evidence is known to be prone to bias, making it difficult to reach reliable conclusions.Objectives: This study aimed to critically evaluate our ...
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Background: Seeking local evidence on treatment efficacy is necessary if cultural factors are involved, as in psychotherapy for chronic pain (CP). Yet, local evidence is known to be prone to bias, making it difficult to reach reliable conclusions.Objectives: This study aimed to critically evaluate our local evidence on the efficacy of psychotherapy on quality of life and disability in CP. We elaborate that, with some requirements, common meta-analytic tools can be utilized to detect and correct local evidence bias. We then provide a corrected estimate of the treatment efficacy.Methods: The protocol was registered on PROSPERO, Record [deleted for blind review]. Elmnet, Pubmed, and ProQuest were searched for randomized trials. A multilevel meta-analysis was used to capture the hierarchical structure of the data, and robust variance estimation was used for inference. Several moderation analyses were conducted, and publication and other related sources of bias were examined.Results: Forty-two trials were initially included. Six were excluded before the analysis due to serious reporting problems undermining their validity. The SMD from 185 effect sizes was 1.08 [.87, 1.3]. The funnel plot showed a strong bias. The bias-corrected estimate from a regression-based method was 0.45 [0.04, 0.87], and from the trim-and-fill was 0.75 [0.48, 1.0].Conclusion: While our original estimate was large, the corrected estimate showed a medium effect, fairly comparable to the international estimates. Current evidence on different sources of bias in our literature suggests low quality and questionable research practice as the first suspects for our local evidence bias.
Original Article
Najmeh Zarei Jelyani; Razieh Sadat Mousavi-Roknabadi; Mohamad Javad Andalibi; Afsaneh Dehbozorgi; Faramarz Farahmand,
Articles in Press, Accepted Manuscript, Available Online from 15 March 2023
Abstract
Background: Several studies were performed to evaluate the efficacy of different pain management in patients with trauma, using different methods.Objectives: To compare intravenous (IV) morphine vs. fentanyl for analgesic response, the time to reach lowest pain score, and adverse effects in patients ...
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Background: Several studies were performed to evaluate the efficacy of different pain management in patients with trauma, using different methods.Objectives: To compare intravenous (IV) morphine vs. fentanyl for analgesic response, the time to reach lowest pain score, and adverse effects in patients with trauma who were referred to Emergency Department (ED).Methods: This double-blind randomized controlled trial (June-December 2017) was performed on adult traumatic patients, who were referred to the EDs of two main trauma centers (Affiliated with Shiraz University of Medical Sciences), in southern Iran. The inclusion criteria were acute pain >4 on a numeric rating scale (NRS) 0-10 upon presentation. The patients were randomly allocated to receive a single dose of IV morphine (0.1 mg/kg) or IV fentanyl (2 µg/kg). The pain score was recorded at baseline, 5, 10, 30, and 120 minutes after administration of either morphine or fentanyl, as well as adverse effects. Then, the data were analyzed.Results: 167 patients were enrolled. The initial NRS in both groups was similar. The mean±SD of NRS at all times was higher in fentanyl group, except in 10 minutes, but only in 120 minutes, this difference was statistically significant (P=0.01). The mean±SD of pain reduction at all times was similar in both groups. The incidence of adverse effects in both groups were not different (P=0.18).Conclusion: IV fentanyl had a similar analgesic effect to IV morphine in traumatic patients with acute pain. Also, there was no significant difference in terms of adverse effects between groups.
Original Article
Mohammad Kazem Rahimi; Negin Habibi; Hasan Jafari
Articles in Press, Accepted Manuscript, Available Online from 15 March 2023
Abstract
Background: A green hospital is a hospital that improves people's health by continuously reducing environmental consequences and eliminating its harmful effects. Therefore, in recent years, the concept of "green hospital" has been created due to sustainable development with the aim of controlling costs ...
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Background: A green hospital is a hospital that improves people's health by continuously reducing environmental consequences and eliminating its harmful effects. Therefore, in recent years, the concept of "green hospital" has been created due to sustainable development with the aim of controlling costs and protecting the environment.Objectives: The purpose of this study was to determine and compare the level of compliance with the standards of green hospitals in teaching hospitals in Yazd.Methods: This descriptive-applied present study was conducted in 2022. A standard checklist was used to collect data. This checklist included 11 areas and 96 questions. For data analysis, frequency and percentage were used in SPSS v26 software.Results: The level of compliance with the standards of the green hospital was 75.88%, the highest score was related to Shahid Dr. Rahnamon Hospital (80.55%) and the lowest score was related to Shohadai Mehrab Hospital (70.13%). The waste water management variable was obtained with 61.3% as a priority for improvement, and the highest score was obtained in the area of hazardous consumables (90.73%).Conclusion: It seems that the teaching hospitals of Yazd had an average status in the field of environmental protection and controlling costs and pollution as well. Therefore, in order to comply with the standards of Green Hospital, comprehensive planning is required regarding the 11 studied areas, so in addition to focusing on their strengths and improving them, also covering the weaknesses and bringing them to an acceptable level is recommended.