Estimating willingness to pay for an improved service delivery to patients referring namazi hospital chemical therapy ward in Iran using contingent valuation

Objective: The aim of this study was to estimate patients' willingness to pay (WTP) for improving the quality of non-medical aspect in Namazi hospital patients chemotherapy an assessment using the contingent valuation method (CVM). Patients and Methods: This was an applied, cross-sectional and analytical-descriptive study carried out in Iran, Shiraz in 2013. A sample of 185 patients was determined using random sampling. Multiple choice questions and follow-up open-ended questions were employed to elicit patients' WTP. The question asked patients would have to pay for this improving their own pocket. linear regression were used to Econometrically estimate the maximum WTP using STATA 11 software. Results: The results of this study indicated that 31 were male and 69 were female and the adjusted mean WTP was PPPUS15 for pat maximum amount of willing to pay was for to get the same quality service in own city respondents (PPPUS16) and minimum amount of willing to pay was to get advice of experienced nurse(PPPUS10) Patients were willing to pay more if their satisfaction with two attributes of care were increased. The cancer type and income taking care of you are significant factors influencing a patient's WTP. Conclusions: In the worst socio-economic conditions of the people were willing to pay to improve the reducing wait times in receiving a drug and get the same quality service in own city respondents. In Future efforts Health policymakers should consider the ability to pay when making their decision. © 2018 Asian Pacific Organization for Cancer Prevention

The effects of melatonin supplementation on blood pressure in patients with metabolic disorders: a systematic review and meta-analysis of randomized controlled trials

The current systematic review and meta-analysis of randomized controlled trials (RCTs) was conducted to evaluate the potential effect of melatonin supplementation on blood pressure in patients with metabolic disorders. The following databases were searched until June 2018: PubMed, MEDLINE, EMBASE, Web of Science, and Cochrane Central Register of Controlled Trials. Two reviewers independently assessed the eligibility of retrieved studies, extracted data from included trials, and evaluated the risk of bias of included studies. Statistical heterogeneity was tested using Cochran�s Q test and I-square (I 2 ) statistic. Data were pooled using random-effect models and standardized mean difference (SMD) was considered as the effect size. Eight RCTs, out of 743 potential citations, were eligible to be included in the current meta-analysis. The pooled findings indicated a significant reduction in systolic (SBP) (SMD = �0.87; 95 CI, �1.36, �0.38; P = 0.001; I 2 : 84.3) and diastolic blood pressure (DBP) (SMD = �0.85; 95 CI, �1.20, �0.51; P = 0.001; I 2 : 68.7) following melatonin supplementation in individuals with metabolic disorders. In summary, the current meta-analysis demonstrated that melatonin supplementation significantly decreased SBP and DBP in patients with metabolic disorders. Additional prospective studies are recommended using higher supplementation doses and longer intervention periods to confirm our findings. © 2019, Springer Nature Limited

Power line interference cancellation in in-vivo neural recording

10.1109/EMBC.2012.6347169Proceedings of the Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBS5214-521

Comparison of the patient satisfaction from inpatient and outpatient fissurectomy in Motahari clinic and Shahid Faghihi hospital, Shiraz, Iran

Introduction: Satisfaction of the patients is considered as an important index in evaluating the performance of the hospitals and is highly effective in developing and improving the quality of the provided services .so, the present study aims to compare the satisfaction of the patients suffering from anal fissure from inpatient and outpatient treatments. Method: This cross-sectional study was conducted on 212 subjects who were selected through systematic sampling from the patients with anal fissure referring to Motahari clinic and Shahid Faghihi hospital. In order to compare the patient satisfaction in two inpatient and outpatient groups, 21-item questionnaire was designed in order to assess the patient satisfaction. Independent t-test and chi-square test were used to analyze this data. Results: satisfaction of the inpatients was significantly more than that of the outpatients (P<0.001). The inpatients’ waiting time for operation was significantly longer than that of the outpatients (P=0.029). In comparison to the inpatients, the outpatients were more satisfied with the explanations provided regarding food diets after the operation (P=0.004). Of course, outpatients had felt more stress during the operation compared to the inpatients (P=0.002). Concerning the treatment environment, the outpatients were more satisfied than the inpatients (P0.001), quality, and other services compared to the outpatients (P=0.041). Conclusion: According to the advantages that mentioned, outpatient operations can be a better choice for small surgeries; of course, health planners should pay more attention to its importance and necessity and provide more equipments and welfare facilities in treatment centers

Viewpoints of Educational and Clinical Staff in Shiraz University of Medical Sciences to Barriers Implementation of Evidence-Based Care

Background and Aims: Naturally, it is expected that health system services be evidence-based, methods and scientific decision making. There has been a wide gap between the practice-based nursing and research-based nursing evidence in Iran. Therefore, this study is an endeavor to investigate barriers to implement evidence-based care among educational and clinical Staff Materials & Methods: This descriptive cross-sectional study was conducted upon 40 (academic Staff) and 70(clinical staff) in different ward of Namazi Hospital and Academic Staff of Shiraz University of Medical Science who were selected by simple random sampling method. Instrument used for study was demographic questionnaire and questionnaire barriers of lack of implementation Evidence -based care. Data were analyzed using SPSS. Results: From the viewpoints of clinical staff, lack of enough human resources with 87.1%, lack of sufficient awareness about the necessity of evidence-based with 85.5% and From the viewpoints of academic staff lack of enough human resources with 82.5% and lack of trained people how to use research finding in evidence-based care with 77.5% was mentioned as an important obstacle Conclusion: Lack of clinical staff, lack of enough human resources and lack of sufficient awareness was mentioned as an important obstacle, Therefore it is recommended to pay more attention to this subject through holding educational workshops and meetings, and to have more interaction and cooperation with centers which implement evidence-based care and make use of their life experiences according to existing facilities

Asurvey on depression and its related factors in Nurses who work in Namazi Hospital of Shiraz University of Medical Sciences-2008

Background and aimsThe extensive domains of Nurses' activities and Nursing nature as interdisciplinary science can cause Work pressure and mood disturbance especially depression in Nurses. According to this fact that patient safety was correlated with work place situation and well being of health care providers, this study was aimed to determine Nurses' depression and its associated factors in Namazi Hospital of Shiraz University of Medical Sciences.MethodsParticipants in this descriptive cross sectional study were 311 Nurses who work in Namazi Hospital of Shiraz University of Medical Sciences. In this research, the data collecting tools were Zung Self-Rating Depression Scale and demographic information form. These data were analyzed by SPSS.win 11 software with using descriptive and inferential statistic such as Chi-square and one way ANOVA.ResultsFindings indicate that 41.2% of Nurses are normal and the others suffer from mild (42.4%), moderate (13.8%) and severe depression(2.6%).Analyses using Chi-square showed that depression intensity of Nurses who work in emergency ward and critical care units were morethan depression level of the rest(P=0.001). Also, there was significant statistical relationship between depression severity and Nurses' satisfaction of their sleep (P=0.015).ConclusionCurrent Nursing work place situation can cause emotional strain and depression. Thus researchers suggest that Hospital Nurse Offices should be use the psychiatric mental health nurse for consult services and education to nurses about coping strategies and management ofdepressed mood

Correction: The effects of melatonin supplementation on blood pressure in patients with metabolic disorders: a systematic review and meta-analysis of randomized controlled trials (Journal of Human Hypertension, (2019), 33, 3, (202-209), 10.1038/s41371-019-0166-2)

In the original Review Article, it was discovered that there were methodological issues that invalidated the reported results of the meta-analyses performed in the study, as well as a number of references and citations not being entered correctly. In addition, concerns were raised regarding the present paper and the results and conclusion, namely in regards to the effect sizes used in the present study. In light of these errors the authors re-assessed and re-ran the whole analyses and the below corrections now apply:. © 2019, The Author(s), under exclusive licence to Springer Nature Limited

A new EC-PC threshold estimation method for in vivo neural spike detection

10.1088/1741-2560/9/4/046017Journal of Neural Engineering94

Protective effects of pharmacological agents against aminoglycoside-induced nephrotoxicity: A systematic review

Introduction: Aminoglycosides have been long used for antibacterial treatment and are still commonly used in clinical practice. Despite their extensive application and positive effects, drug-related toxicity is considered as the main obstacle for aminoglycosides. Aminoglycosides induce nephrotoxicity through the endocytosis and accumulation of the antibiotics in the epithelial cells of proximal tubule. Most importantly, however, a number of pharmacological agents were demonstrated to have protective activities against nephrotoxicity in experimental animals. Areas covered: In the present systematic review, the authors provide and discuss the mechanisms and epidemiological features of aminoglycoside-induced nephrotoxicity, and focus mainly on recent discoveries and key features of pharmacological interventions. In total, 39 articles were included in this review. Expert opinion: The majority of studies investigated gentamicin-induced nephrotoxicity in animal models. Antioxidants, chemicals, synthetic drugs, hormones, vitamins, and minerals showed potential values to prevent gentamicin-induced nephrotoxicity. Indicators used to evaluate the effectiveness of nephroprotection included antioxidative indexes, inflammatory responses, and apoptotic markers. Among the nephroprotective agents studied, herbs and natural antioxidant agents showed excellent potential to provide a protective strategy against gentamicin-induced nephrotoxicity. © 2020, © 2020 Informa UK Limited, trading as Taylor & Francis Group

The effectiveness of musculoskeletal education interventions in people with lower literacy: a systematic review

Objective: to conduct a systematic review to assess the effectiveness of patient education interventions delivered or directed by health professionals for people with musculoskeletal conditions who also have lower levels of literacy.Methods: electronic databases were searched from 1946 to May 2012. Randomised controlled trials with primary interventions designed specifically for individuals with musculoskeletal conditions and lower levels of literacy were eligible for inclusion. The quality of the study was determined by assessing method of randomization, allocation concealment, creation and maintenance of comparable groups, blinding of patients and providers, control of confounding, and the validity and reliability of outcome measures.Results: of the 2440 studies located using the search strategy, six studies met the inclusion criteria. Three public health community studies and three rheumatology clinic based studies delivered educational programmes to people with musculoskeletal conditions who also had lower levels of literacy. Three moderate quality studies suggest that musculoskeletal educational interventions had a small short term effect on knowledge and two moderate quality studies suggest musculoskeletal interventions had a small effect on self-efficacy (although results on self-efficacy were conflicting in one of these studies). Only one moderate quality study showed a small effect on anxiety and one on self perceived health and wellbeing in people with lower literacy.Conclusions: high quality evidence is lacking on the effectiveness of musculoskeletal education interventions for people with lower literacy levels. Research programs that test the effectiveness of patient education interventions for arthritis must recruit and engage people with lower levels of literac