A Systematic Review of Potentially Effective Nonpharmacological Interventions for Reducing Fatigue among Iranian Patients Who Receive Hemodialysis

2021 ◽  
pp. 1-11
Author(s):  
Mohammad Javad Ghazanfari ◽  
Samad Karkhah ◽  
Amir Emami Zeydi ◽  
Hamed Mortazavi ◽  
Amir Tabatabaee ◽  
...  
Keyword(s):  
Systematic Review ◽  
Multidisciplinary Approach ◽  
Low Cost ◽  
Scientific Information ◽  
Research Literature ◽  
Relaxation Technique ◽  
Extensive Search ◽  
Effective Interventions ◽  
Energy Therapy ◽  
Information Database

<b><i>Background and Purpose:</i></b> Fatigue control in hemodialysis (HD) patients requires a multidisciplinary approach. This study aimed to comprehensively review the available research literature regarding the nonpharmacological interventions used for reducing fatigue among Iranian HD patients. <b><i>Methods:</i></b> In this systematic review, an extensive search of the literature was conducted on PubMed, Web of Science, and Scopus databases, using the keywords related to the purpose. Also, the Persian equivalent of these keywords was searched in Iranian databases, such as Iranmedex and Scientific Information Database (SID) from the inception to June 16, 2020.<b><i> Results:</i></b> Of 2,761 articles, 25 studies were included in the review. Among a total of 1,748 Iranian HD patients with a mean age of 54.17 (SD = 12.27) years, 61.38% were male. Interventions such as educational-based programs (<i>n</i> = 5), nutrition-based programs (<i>n</i> = 2), massage therapy (<i>n</i> = 3), exercise-based programs (<i>n</i> = 4), relaxation technique (n = 3), combination of relaxation technique and inhalation aromatherapy (<i>n</i> = 1), energy therapy (reflexology and acupressure) (<i>n</i> = 3), and mind-guided imagery (<i>n</i> = 1) were effective in reducing fatigue in Iranian HD patients. <b><i>Discussion/Conclusion:</i></b> These simple, low-cost, and practical interventions can be used for the reduction of fatigue among HD patients by nurses. However, future well-designed studies are recommended to confirm the efficacy of these and other potentially effective interventions for reducing fatigue in HD patients.

scholarly journals Echinococcus granulosus genotypes in Iran: a systematic review

2018 ◽  
Vol 93 (2) ◽  
pp. 131-138 ◽  
Author(s):  
S. Khademvatan ◽  
H. Majidiani ◽  
M. Foroutan ◽  
K. Hazrati Tappeh ◽  
S. Aryamand ◽  
...  
Keyword(s):  
Systematic Review ◽  
Echinococcus Granulosus ◽  
Web Of Science ◽  
Control Strategies ◽  
Scientific Information ◽  
Isfahan Province ◽  
West Azerbaijan ◽  
Epidemiological Characteristics ◽  
Information Database ◽  
Echinococcus Granulosus Sensu Lato

AbstractCystic echinococcosis (CE) caused by Echinococcus granulosus sensu lato (s.l.) is a significant zoonosis, especially in developing countries of the Middle East, with many studies focusing on CE genotypes in Iran. We performed a systematic review to determine the exact status of E. granulosus genotypes in the country. We explored English (Pubmed, Scopus, ISI Web of Science and Science Direct) and Persian (Magiran, Iran Medex and Scientific Information Database) databases along with Google Scholar. Our review included 73 studies published prior to the end of 2015. In total, 2952 animal (intermediate and definitive) hosts were examined, and the prevalent genotypes comprised G1 (92.75%) and G6 (4.53%) in sheep, cattle, camels, goats and buffaloes; G3 (2.43%) in five herbivore hosts and dogs; G7 (0.2%) in sheep and goats; and G2 (0.06%) in dogs. G1 was mostly dominant in West Azerbaijan, whereas G3 and G6 were identified most frequently in the provinces of Isfahan and Fars, respectively. Regarding human CE infection, 340 cases were reported from Iran, with the identified genotypes G1 (n = 320), G6 (n = 13) and G3 (n = 7). Most CE-infected humans originated from Isfahan province (168 cases), whereas the lowest number of infected persons was noted in Kerman province (two cases). The information obtained from this systematic review is central to better understanding the biological and epidemiological characteristics of E. granulosus s.l. genotypes in Iran, leading to more comprehensive control strategies.

scholarly journals The Effectiveness of Aromatherapy in the Management of Labor Pain and Anxiety: A Systematic Review

2020 ◽  
Vol 30 (3) ◽  
Author(s):  
Mahbubeh Tabatabaeichehr ◽  
Hamed Mortazavi
Keyword(s):  
Systematic Review ◽  
Essential Oil ◽  
Scientific Information ◽  
Risk Of Bias ◽  
Labor Pain ◽  
Alternative And Complementary Medicine ◽  
Physiological Processes ◽  
Alternative Modality ◽  
Information Database ◽  
Positive Effect

BACKGROUND: Aromatherapy as an alternative and complementary medicine is a well-known method for reducing the symptoms of various physiological processes such as labor experience. The aim of this study was to systematically review the currently available evidences evaluating the use of aromatherapy for management of labor pain and anxiety.METHODS: In a systematic review, 5 databases (PubMed, SCOPUS, Web of Science, Google Scholar and Scientific Information Database [SID]) were searched, from database inception up to December 2019. Keywords used included (aromatherapy OR "“essential oil” OR "aroma*") AND (pain OR anxiety) AND (labor OR delivery). Using the Cochrane Collaboration's 'Risk of bias' method; the risk of bias in the included studies was evaluated.RESULTS: A total of 33 studies were verified to meet our inclusion criteria. Most of the included studies were conducted in Iran. Aromatherapy was applied using inhalation, massage, footbath, birthing pool, acupressure, and compress. The most popularly used essential oil in the studies was lavender (13 studies), either as a single essential oil or in a combination with other essential oils. Most of included studies confirmed the positive effect of aromatherapy in reducing labor pain and anxiety.CONCLUSION: The evidences from this study suggest that aromatherapy, as a complementary and alternative modality, can help in relieving maternal anxiety and pain during labor. 

scholarly journals Effective Interventions to Promote the Mental Health of Caregivers of Patients with Breast Cancer - A Systematic Review

2021 ◽  
Vol 10 (22) ◽  
pp. 1715-1722
Author(s):  
Seyedeh Zeynab Hossein Nezhad ◽  
Forouzan Elyasi ◽  
Noraddin Mousavinasab ◽  
Elahe Samami ◽  
Zohreh Shahhosseini
Keyword(s):  
Breast Cancer ◽  
Mental Health ◽  
Systematic Review ◽  
Scientific Information ◽  
Cochrane Library ◽  
Psychological Dimension ◽  
Effective Interventions ◽  
Jadad Scale ◽  
The Impact

Breast cancer is one of the most important health problems in Iran and the world, which accounts for about one third of all gynaecological cancers and is the second most common cancer after lung cancer and the most common cause of cancer mortality among women. Considering the extent of the impact of breast cancer in all physical, psychological, and social dimensions on the patient and her caregivers, the purpose of this study is to review the effective interventions in promoting the mental health of breast cancer caregivers. A systematic review study with a comprehensive search of Internet sites, Google Scholar, Cochrane Library, Elsevier, Springer, Science Direct, Web of Science, PubMed, Scopus and Iranian databases such as Scientific Information Database (SID) and Magiran was conducted using the keywords intervention, promotion, mental health, caregivers, and breast cancer. A total of 28,188 related articles without year limit and 8 articles were obtained manually. Then, out of these articles, 27,964 articles were excluded due to duplication, 119 articles due to non - relevance, 94 articles were in the screening stage of abstracts and 13 articles in the full text review stage, and finally, the quality of 6 experimental and semi - experimental clinical trial studies was evaluated using Jadad scale. Interventions in effective studies in promoting mental health of caregivers of patients with breast cancer include education, support package, psychosocial intervention, and motivational interview. The results of studies showed that all interventions improved the quality of life, reduced the burden of care and positive changes in the psychological dimension of caregivers. Also, four studies based on Jadad scale were of good quality. According to the results of the present study, which is based on the effect of all interventions on positive changes in the psychological dimension of caregivers' lives, and due to the fact that the number of studies in this field was limited and out of 6 studies, 4 studies were of good quality, it seems more and better studies are needed in order to access stronger evidence to implement effective interventions in promoting the mental health of caregivers of breast cancer patients. KEY WORDS Interventions, Promotion, Mental Health, Caregivers, Breast Cancer

scholarly journals The Prevalence of Unsafe Behaviors in Iranian Workers: A Systematic Review and Meta-Analysis

2021 ◽  
Author(s):  
Mahdi MALAKOUTIKHAH ◽  
Hadiseh RABIEI ◽  
Soheil HASSANIPOUR ◽  
Mehdi JAHANGIRI
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Scientific Information ◽  
Random Effect ◽  
Random Effect Model ◽  
Work Experiences ◽  
Inappropriate Use ◽  
Effect Model ◽  
Unsafe Behaviors ◽  
Information Database

Background: Unsafe behaviors are the cause of 80% of accidents. However, there has also been no worldwide review and meta-analysis of the prevalence of workers’ unsafe behaviors. Therefore, the present study aimed to investigate and estimate the prevalence of unsafe behaviors among Iranian workers using a systematic review and meta-analysis study. Methods: This systematic review and meta-analysis were conducted from Nov to Dec 2018. The researchers searched Medline/PubMed, Scopus, Embase, Science Direct, and Google Scholar for international articles and four Iranian databases (Scientific Information Database, MagIran, IranMedex, and IranDoc) for Persian articles. The method of reporting this study was based on the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) checklist. Results: Overall, 235 articles from databases were imported to EndNote library. Final screening of the included studies produced a total of 38 studies. Based on the random-effect model, the prevalence of total unsafe behaviors, nonuse or inappropriate use of personal protective equipment, and inappropriate work posture was 40.37% (CI 95% = 35.8-44.9), 27.79% (CI 95% = 21.2-34.3), and 14.87% (CI 95% = 10.7-18.9). There was no statistically significant relationship between unsafe behaviors and mean age, mean of work experiences, and year of study. Conclusion: The prevalence of unsafe behaviors among Iranian workers was relatively high and the most common behaviors were non-use or inappropriate use of PPE; one of the most important causes for this behavior is lack of training, inappropriate working conditions, and lack of positive attitude towards safety. Therefore, further studied are required to investigate the causes of these unsafe behaviors.

scholarly journals The prevalence of metabolic syndrome in cardiovascular patients in Iran: a systematic review and meta-analysis

2020 ◽  
Vol 12 (1) ◽  
Author(s):  
Nader Salari ◽  
Peyman Kaikhosro Doulatyari ◽  
Alireza Daneshkhah ◽  
Aliakbar Vaisi-Raygani ◽  
Rostam Jalali ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cardiovascular Disease ◽  
Metabolic Syndrome ◽  
Sample Size ◽  
Meta Analysis ◽  
Scientific Information ◽  
The Metabolic Syndrome ◽  
Cardiovascular Patients ◽  
The Stability ◽  
Information Database

Abstract Background Cardiovascular disease is the cause of more than 50% of mortalities globally, and this rate has grown by 8.6% since the 60 s. One of the risk factors associated with cardiovascular disease and its resulting mortality rate is the metabolic syndrome. Different studies have reported inconsistent rates for the metabolic syndrome. However, no comprehensive study has been conducted to combine the results of existing studies. Thus, the present study was performed with the aim of determining the prevalence of metabolic syndrome among cardiovascular patients in Iran through a systematic review and meta-analysis. Method : In this review study, the Scientific Information Database, Google Scholar, Science Direct, Scopus, PubMed, and Web of Science (ISI), databases were searched from January 2005 and until May 2020, to identify and extract related articles. To conduct the analysis, a random effects model was used, and the heterogeneity of the studies was examined using the I2 index. Data analysis was performed within Comprehensive Meta-Analysis (version 2) software. Results The prevalence of metabolic syndrome in cardiovascular patients in Iran in the 27 papers examined with a sample size of 44,735 patients was 34.2% (95% CI: 26.8–42.6%). A sensitivity analysis was performed to ensure the stability of the results, these results show that by omitting the prevalence from each study, the overall prevalence (34.2%) does not change significantly. the highest prevalence of metabolic syndrome in studies conducted in the period between 2015 and 2020, and this was reported as 55.3 (95% CI: 47.9–62.3) and the highest prevalence of metabolic syndrome in studies conducted in the methods of diagnosis IDF, and the rate was reported as 48 (95% CI: 36.5–59.8). based on meta-regression as the year of research increased, the prevalence of metabolic syndrome in cardiovascular patients in Iran also increased. However, with the increase in sample size, this prevalence decreased (p < 0.05). Conclusions The results of this study indicate that metabolic syndrome is high in cardiovascular patients in Iran. Accordingly, by understanding its etiology and supervision at all levels, suitable solutions could be offered by providing feedback to hospitals.

scholarly journals The Seroprevalence of Human Cystic Echinococcosis in Iran: A Systematic Review and Meta-Analysis Study

2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Reza Shafiei ◽  
Saeed Hosseini Teshnizi ◽  
Kurosh Kalantar ◽  
Maryam Gholami ◽  
Golnush Mirzaee ◽  
...  
Keyword(s):  
Systematic Review ◽  
Random Effects ◽  
Cystic Echinococcosis ◽  
Meta Analysis ◽  
Scientific Information ◽  
Eligibility Criteria ◽  
High Effect ◽  
Using Data ◽  
Information Database ◽  
Human Cystic Echinococcosis

Human cystic echinococcosis (HCE), a zoonotic infection of the larval stage ofEchinococcus granulosus, has high effect on public health in human population all around the world. Iran is one of the most important endemic areas in the Middle East. This systematic review and meta-analysis was performed to evaluate the seroprevalence of HCE in Iranian population. An electronic search for articles from 1985 until April 2015 was performed using data bases PubMed, Scopus, Google Scholar, Magiran, IranMedex, Iran Doc, and Scientific Information Database (SID) both in English and in Persian. A random-effects meta-analysis was used to combine results from individual studies. The information was analyzed by STATA version 11.1. A total of 33 articles met our eligibility criteria and were included in a meta-analysis. The pooled estimate of the prevalence of HCE based on random-effects model was estimated 6.0% (95% CI: 4.0%, 7.0%). The prevalence of the disease significantly increased with age and prevalence rate in males was significantly lower than females (p<0.001). The using of CIE or CCIEP method was also significantly greater than the other methods (p<0.001). There was a publication bias in prevalence of studies. HCE is highly prevalent in Iran. Public education for preventive strategies and finally reducing transmission of the parasite and infection in population is needed.

scholarly journals Systematic review and meta-analysis of the most common processed/ultraprocessed foods consumed by Iranian children

2021 ◽  
Author(s):  
Mina Babashahi ◽  
Nasrin Omidvar ◽  
Bahareh Yazdizadeh ◽  
Motahar Heidari-Beni ◽  
Hassan Joulaei ◽  
...  
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Grey Literature ◽  
Scientific Information ◽  
Overweight And Obesity ◽  
Processed Foods ◽  
Research Information ◽  
Research Information System ◽  
Iranian Children ◽  
Information Database

Background: The trend of increasing overweight and obesity among children is a huge burden on health systems. In this regard, the growing availability of processed foods, often energy dense and nutrient poor, has become a major concern. Changing this trend will require evidence-based policies. Aims: This systematic review aimed to identify the most common processed/ultraprocessed foods consumed by 4–12-year-old Iranian children. Methods: We searched PubMed, Scopus and Web of science, as well as Persian scientific search engines, including Iran Research Information System, Scientific Information Database and Mag-Iran. We also assessed grey literature, that is, national studies and papers presented at relevant Iranian congresses. All data collected from studies were converted to daily servings (S/D). Mean and standard deviations of the included results were combined by performing meta-analysis with a random effects model. The I2 test was used to compute heterogeneity. Egger’s test was used to assess publication bias. Results: Ten studies with 67 093 children were included in this review. The meta-analysis demonstrated that the highest consumption of processed foods belonged to the sugars and sweets group with 8.01 S/D, followed by oils, and biscuits and cakes with 5.58 S/D and 3.33 S/D, respectively. Conclusion: Given the high consumption of less healthy processed foods, robust policies to support healthy eating and help improve Iranian children’s food environment are recommended.

Iranian hospital efficiency: a systematic review and meta-analysis

2019 ◽  
Vol 32 (2) ◽  
pp. 385-397 ◽  
Author(s):  
Satar Rezaei ◽  
Mohammad Hajizadeh ◽  
Bijan Nouri ◽  
Sina Ahmadi ◽  
Shahab Rezaeian ◽  
...  
Keyword(s):  
Systematic Review ◽  
Fixed Effects ◽  
Meta Analysis ◽  
Scientific Information ◽  
Poor Performance ◽  
Hospital Performance ◽  
Hospital Efficiency ◽  
Average Hospital ◽  
Content Type ◽  
Information Database

Purpose The purpose of this paper (systematic review and meta-analysis) is to synthesize and analyze studies that assessed Iranian hospital efficiency. Design/methodology/approach A systematic literature search was conducted using both international (the Institute for Scientific Information, Scopus and PubMed) and Iranian scientific (Magiran, IranMedex and Scientific Information Database) databases. The review included original studies that used the Pabon Lasso Model to examine Iranian hospital performance, published in Persian or English. A self-administered checklist was used to collect data. In total, 12 questions were used for quality assessment. Findings In total, 34 studies met our inclusion criteria. The fixed-effects meta-analysis indicated that 19.2 percent (95% confidence interval (CI): 15.6–23.2 percent) of hospitals were in Zone 1 (poor performance: low bed turnover rate (BTR) and bed occupancy rate (BOR) and high average hospital stay (ALoS)), 23.7 percent (95% CI: 20.1–27.8 percent) were in Zone 2, 31.7 percent (95% CI: 27.7–36 percent) in Zone 3 (good performance: high BTR and BOR and low ALoS) and 25.4 percent (95% CI: 21.7–29.5 percent) in Zone 4. Practical implications Results help Iranian health policymakers to understand hospital performance, which, in turn, may lead to promoting greater awareness and policy attention to improve Iranian hospital efficiency. Originality/value This study indicated that most Iranian hospitals had sub-optimal performance. Further studies are required to understand factors that explain the country’s hospital inefficiency.

The effect of the herbal medicine on severity of cyclic mastalgia: a systematic review and meta-analysis

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Shirin Osouli Tabrizi ◽  
Shahla Meedya ◽  
Nafiseh Ghassab-Abdollahia ◽  
Zahra Ghorbani ◽  
Leila Jahangiry ◽  
...  
Keyword(s):  
Systematic Review ◽  
Side Effects ◽  
Herbal Medicine ◽  
Meta Analysis ◽  
Scientific Information ◽  
Herbal Medicines ◽  
Reproductive Age ◽  
Dichotomous Data ◽  
Drug Treatments ◽  
Information Database

Abstract Cyclic mastalgia is one of the most prevalent problems in women of reproductive age and sometimes it is so severe that it influences their activities and requires treatment. The available drug treatments for mastalgia are not satisfactory and most patients have inclined towards complementary and alternative medicine including herbal medicines. Therefore, in order to evaluate the effectiveness and side effects of herbal medicines conducting systematic review studies and meta-analysis seems essential, thus this systematic review was conducted with the aim of determining the effect of herbal medicines on cyclic mastalgia and its probable side effects. The databases of Pubmed, Medline, Embase, ProQuest, Scopus, Web of science, Complementary Medicine Database, SID (Scientific information database), Magiran and Iranmedex were searched from 1997 to 2020 and limited only for English and Persian languages. The studies were appraised according to the Cochrane Collaboration’s tool. Meta-analysis was conducted using RevMan software. Standardized mean difference (SMD) was calculated to assess an overall estimate of effectiveness for the continuous data. Odds ratio (OR) was calculated for dichotomous data. Thirty papers were included in the study. Meta-analysis of data demonstrated that herbal medicine was an effective method in reducing the severity of mastalgia compared to the placebo (SMD: −3.26, 95% CI: −5.05 to −1.46, p=0.00004). Subanalysis of data showed no difference between the effectiveness of herbal medicine on the severity of mastalgia compared to the pharmacologic treatment. This research demonstrated efficacy of herbal medicines in alleviating cyclic mastalgia. Therefore, these herbal medicines can be regarded as an alternative treatment for women suffering from cyclic mastalgia. However, due to the limited number of studies in relation to each specific herbal treatment, conducting further studies in this area is recommended.

INTERVENTION OF THIRSTY IN CONGESTIVE HEART FAILURE (CHF) PATIENTS TO INCREASED ADHERENCE OF FLUID RESTRICTION: A SYSTEMATIC REVIEW

2017 ◽  
Vol 3 (1) ◽  
pp. 7
Author(s):  
DIAN HUDIYAWATI
Keyword(s):  
Heart Failure ◽  
Systematic Review ◽  
Congestive Heart Failure ◽  
Intervention Studies ◽  
Cold Water ◽  
Fluid Restriction ◽  
Common Symptom ◽  
Oral Swab ◽  
Hand Search ◽  
Effective Interventions

Introduction. Thirst is a common symptom of chronic heart failure (CHF) patients. Difficulties to adherence with fluid restrictions are among the effects of thirst in HF patients and therefore have an impact on worsening condition, but intervention studies aimed specifically at reducing thirst in CHF are lacking.Purpose. Purpose of this manuscript is to assess the effective intervention to reduce thirst intensity in CHF patients.Methods. Medline, Pubmed, EBSCO and hand search were searched using the key words thirst, intervention, heart failure, CHF, fluis restriction, therapy.Result.� Eighteen articles were found, six studies were inluded. Any kind of interventions in each articles, include: drink cold water 5oC, chewing gum, saliva substitute, sucking ice cubes and three bundle of interventions (oral swab, water sprays and menthol moisturizer).Conclusions. The most effective interventions to alleviate thirst was sucking ice cubes. But, no intervention studies were found in congestive heart failure patients. So investigations in people with heart failure is needed.�Keywords: thirst, intervention, heart failure, systematic review

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