The reporting quality of Observational Studies (OSs) is an important measure of their overall quality. We aim to assess the reporting quality of OSs of Shiraz University of Medical Sciences (SUMS) in Iran in the years 2012-2015, using Strengthening the Reporting of Observational Studies checklist. Systematic online search was performed. A random sample of SUMS affiliated published articles was selected. Articles were appraised and scored by two reviewers. Variables such as the study design, publication year, journals' impact factor etc. were retrieved and their correlation with the articles' scores was assessed. Out of 4297 published articles during 2012-2015, 1742 (40.5%) were OSs of which we assessed 171 (~ 10%) studies. Among these, 87 (50.9%), 74 (43.3%) and 10 (5.8%) articles had a cross-sectional, case-control and cohort design, respectively. Overall score of the reporting quality was 79% ± 0.01. It was at 81% ± 0.1, 77% ± 0.01 and 83% ± 0.02 for cross-sectional, case-control and cohort studies, respectively. A significant correlation was observed between the study design and the score for the reporting quality (P = 0.015). Reporting of "flow-diagram" (5%), "sources of bias" (28%) and "study size calculation" (30%) were the most missed items. Although the overall reporting quality of OSs was found to be at an acceptable rate, there are points of concern regarding some of the most important items that deserve the attention of authors as well as reviewers and editors.
Background & Objective: With the increase in the population of the aged, one of the most crucial issues that can result in serious health consequences is elder abuse. This study aimed to estimate the prevalence of elder abuse and its subtypes in Iran. Materials & Methods: This is a systematic review and meta-analysis based on PRISMA guidelines. Relevant keywords were used for database search in Scopus, PubMed, Web of Science. All of the search and data extraction process was conducted independently by two researchers. JBI checklist was used for risk of bias assessment. The data were cleaned and analyzed using Biostat, (Comprehensive Meta-Analysis). The meta-analysis was performed using Random Effects Model, and I2 index was calculated for assessing heterogeneity. Results: Twenty-three articles were finally analyzed. The data of 6,298 individuals were analyzed, which were significantly heterogeneous (I2= 99.38). The prevalence of elder abuse was 55% (95% CI: 0.42-0.68). The subtype with the highest prevalence was emotional neglect (39%, 95% CI: 0.29-0.50), while the lowest prevalence was related to social rejection (15%, 95% CI: 0.11-0.19). Conclusion: All types of elder abuse are highly prevalent in Iran. Therefore, it is crucial to develop evidence-based comprehensive plans to better identify, intervene, and prevent this issue.
Evidence has shown that cardiometabolic disorders (CMDs) are amongst the top contributors to COVID-19 infection morbidity and mortality. The reciprocal impact of COVID-19 infection and the most common CMDs, the risk factors for poor composite outcome among patients with one or several underlying diseases, the effect of common medical management on CMDs and their safety in the context of acute COVID-19 infection are reviewed. Later on, the changes brought by the COVID-19 pandemic quarantine on the general population's lifestyle (diet, exercise patterns) and metabolic health, acute cardiac complications of different COVID-19 vaccines and the effect of CMDs on the vaccine efficacy are discussed. Our review identified that the incidence of COVID-19 infection is higher among patients with underlying CMDs such as hypertension, diabetes, obesity and cardiovascular disease. Also, CMDs increase the risk of COVID-19 infection progression to severe disease phenotypes (e.g. hospital and/or ICU admission, use of mechanical ventilation). Lifestyle modification during COVID-19 era had a great impact on inducing and worsening of CMDs. Finally, the lower efficacy of COVID-19 vaccines was found in patients with metabolic disease.
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