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Background: Work-related fatigue is common among nurses and may negatively affect patient safety and nurses’ well-being. Pharmacological interventions with stimulants have had mixed results. The ai...

Objective: This study aims to evaluate current pain assessment and management in critically ill patients and to describe (1) pain management episode, according to the behavioral pain scale (BPS), and (2) the effectiveness of analgesics, according to the recommendation of guidelines. Methods: In this cross-sectional study, a sample of 60 intubated critically ill patients was selected from the intensive care units (ICUs). A researcher evaluated the patient' pain severity using the BPS tool in patients receiving analgesics according to nurses' note. At each time of analgesic administration, the BPS score was recorded, and this process was repeated 72 h later. The appropriateness of pharmacological interventions was assessed according to the American College of Critical Care Medicine guideline. Findings: The most prescribed analgesic was morphine sulfate (48.3%) followed by fentanyl (23.3%). 55% of analgesics on day 1 and 25% on day 3 were prescribed appropriately according to the guideline recommendation and BPS score. Morphine was the most effective drug (17 patients out of 29). Even though a BPS score was

Restless legs syndrome is a neuromotor problem which is more common among pregnant women. Several studies have reported different prevalences for this disorder. Combining the results of these studies reveals reliable evidences for policymakers. This study aims to estimate the total prevalence of restless legs syndrome in pregnant women using meta-analysis. Different databanks (PubMed, Web of Sciences, EMBASE, EBSCO, Ovid, Scopus and Google Scholar) were searched using relevant keywords. After limiting the search strategy, reviewing the abstracts and full texts and quality assessment, eligible papers were selected for meta-analysis. Cochrane and I-squared indices were used to detect the degree of heterogeneity. The point prevalences were combined using random effects model. Studies that influenced the heterogeneity were detected using sensitivity analysis, while meta-regression models were applied to determine the factors that most affected the heterogeneity. Out of 26 eligible articles, 20.5% of pregnant women (95% confidence interval 16.5–24.2) were suffering from restless legs syndrome compared to 2.9% in Japan to 43.7% in Iran. Our meta-analysis showed that approximately one-fifth of pregnant women in the world have restless leg syndrome.

Introduction: Scientific productions have been accelerated in Iran in past decades but its association with health problems and disease burden is doubtful. The aim of this study is assessment of the relationship between scientific productions with disease burden in Iran in PubMed dataset during 2010 to 2014. Method: The study was performed with the library method. Data Gathered using Scientometrics indicators and direct observation. The current research includes all articles written by Iranian researchers during 2010 to 2014 which were published in PubMed–indexed journals. The search was performed using keywords included road accident, ischaemic heart diseases, major depression disorders and cerebral vascular diseases. Results: In total 910 articles had been published PubMed -indexed journals. Among them Substance-Related Disorders and Accidents, Traffic had the highest (263 records) and lowest (94 records) records respectively. There was not a direct correlation between Years of Life Lost, Years Lost due to Disability and mortality rate with scientific productions. Conclusions: our results showed Iranian scientific productions in PubMed data set are not related to disease burden however they are not related to high mortality diseases.