Assessment of bioaerosol contamination (bacteria and fungi) in the largest urban wastewater treatment plant in the Middle East Niazi S, Hassanvand MS, Mahvi AH, Nabizadeh R, Alimohammadi M, Nabavi S, Faridi S, Dehghani A, Hoseini M, Moradi-Joo M, Mokamel A, Kashani H, Yarali N, Yunesian M. Abstract Bioaerosol concentration was measured in wastewater treatment units in south of Tehran, the largest wastewater treatment plant in the Middle East. Active sampling was carried out around four operational units and a point as background. The results showed that the aeration tank with an average of 1016 CFU/m3 in winter and 1973 CFU/m3 in summer had the greatest effect on emission of bacterial bioaerosols. In addition, primary treatment had the highest impact on fungal emission. Among the bacteria, Micrococcus spp. showed the widest emission in the winter, and Bacillus spp. was dominant in summer. Furthermore, fungi such as Penicillium spp. and Cladosporium spp. were the dominant types in t

Iranian Joual of Public Health 2015. 44(7):902-912. Rate and Causes of Discharge against Medical Advice in Iranian Hospitals: A Systematic Review and Meta-Analysis Mohammad MOHSENI, Mahtab ALIKHANI, Sogand TOURANI, Saber AZAMI-AGHDASH, Sanaz ROYANI, Mohammad MORADI-JOO Abstract Background: Discharge against Medical Advice (DAMA) is a problem for hospitals which may result in increasing readmissions, morbidities, inabilities, deaths and health care costs. This study, aimed to investigate the rate and causes of DAMA in Iranian hospitals. Methods: A systematic review and meta-analysis study was conducted in 2014. Required data were collected through searching for key words included: "Discharge Against Medical Advice", "Leaving against medical advice", "causes*", "hospital" and their Persian equivalents, over databases including PubMed, OVID, Google Scholar, Embase, Scopus, Magiran, scientific information database (SID). The reference lists of the articles, certain relevant jouals a

Safety and Efficacy of Transcranial Magnetic Stimulation (TMS) and Repetitive Transcranial Magnetic Stimulation (rTMS) in Treatment of Major Depressive Disorder: Systematic Reviews and Meta-Analysis Mohammad Moradi-Joo, Hesam Ghiasvand, Seyed Mansoor Raygani, Sahar Mohabbat-Bahar, Bita Sadat Zegordi, Hamid Ravaghi AbstractBackground: Prevalence of major depressive disorder allocated significant contribution of disease burden in developed and developing countries because of involving active and productive age groups and communities in recent decades. Different methods are used to manage and treat this disorder that one of them is Transcranial Magnetic Stimulation (TMS). The purpose of this study was assessment of safety, effectiveness and cost-effectiveness of Transcranial Magnetic Stimulation and Repetitive Transcranial Magnetic Stimulation (rTMS) technology in treatment of major depressive disorder.Methods: In order to gather evidence, main databases [Cochrane Library, Centre for Revi

Prevalence, etiology, and types of dental trauma in children and adolescents: systematic review and meta-analysis Saber Azami-Aghdash, Farbod Ebadifard Azar *, Fatemeh Pouaghi Azar, Aziz Rezapour, Mohammad Moradi-Joo, Ahmad Moosavi , Sina Ghertasi Oskouei Background: Dental traumas are common among children and adolescents in many societies posing health and social problems. The aim of this study was to conduct a systematic review and meta-analysis on prevalence, etiology, types, and other epidemiologic aspects of dental trauma in children and adolescents (0-18 years old). Methods: In this systematic meta-analytical review, data were collected searching for key words including traumatic dental injuries, dental trauma, dental injury, dental trauma, tooth injuries, tooth trauma, traumatized teeth, dentoalveolar trauma, oral trauma, epidemiology, etiology, prevalence, incidence, occurrence, child*, and adolescence in the following databases: Scopus, CINAHL, Science Direct,

Comparing the Effectiveness of Digital and Analog Mammography in Breast Cancer Diagnosis and Screening: A Systematic Review and Meta-Analysis bita sadat zegordi, ali akbari sari, hamidn ravaghi, arash bordbar, mohamad Moradi joo , aidin arian khesal Background & Objectives: Breast cancer is the most common cancer among women and one of the leading causes of death in the productivity ages. Mammography screening is the main method for the diagnosis of breast cancer. While analog mammography counts as the standard method of screening, the digital one can be an alteative. This review compared the effectiveness and safety of these technologies. Materials & Methods: In order to collect evidence of the effectiveness of analog and digital mammography, a systematic review of diagnostic accuracy studies from 1990 to March 2014 was conducted. The most relevant databases included Abstracts of Reviews of Effects (DARE), NHS Economic Evaluation Database (NHS EEDs), Cochrane Database of

Economic evaluation of resistant major depressive disorder treat-ment in Iranian population: a comparison between repetitive Transcranial Magnetic Stimulation with electroconvulsive Author(s): Hesam Ghiasvand, Mohammad Moradi-Joo, Nazanin Abolhassani, Hamid Ravaghi *, Seyed Mansoor Raygani , Sahar Mohabbat-Bahar Background: It is estimated that major depression disorders constitute 8.2% of years lived with disability (YLDs) globally. The repetitive Transcranial Magnetic Stimulation (rTMS) and Electroconvulsive Therapy (ECT) are two relative common interventions to treat major depressive disorders, especially for treatment resistant depression. In this study the cost- effectiveness and cost-utility of rTMS were compared with ECT in Iranian population suffering from major depressive disorder using a decision tree model. Methods: A decision tree model conducted to compare the cost-effectiveness ratio of rTMS with ECT in a health system prospective and 7

Cost-effectiveness analysis of confocal scan laser ophthalmoscope (HRT II) versus GDX for diagnosing glaucoma Mahdi Mokhtari-Payama, Maziar Moradi-Lakehb, Mohsen Yaghoubia, b, Mohammad Moradijouc Purpose The aim of this study was to assess the cost-effectiveness of confocal scan laser ophthalmoscopy (HRT II) and compare it with scaing laser polarimetry (GDx) for diagnosing glaucoma. Methods A cost-effectiveness analysis was performed at two eye hospitals in Iran. The outcome was measured as the proportion of correctly diagnosed patients based on systematic review and Meta analysis. Costs were estimated at two hospitals that used the HRT II (Noor Hospital) and current diagnostic testing technology GDx (Farabi Hospital) from the perspective of the healthcare provider. The incremental cost-effectiveness ratio (ICER) was estimated on the base scenario. Results Aual average costs were estimated as 12.70 USD and 13.59 USD per HRT II and GDx test in 2012, respectively. It was assumed that

The cost effectiveness of dynamic and static interspinous spacer for lumbar spinal stenosis compared with laminectomy Mohsen Yaghoubi *, Maziar Moradi-Lakeh, Mohammad Moradi-Joo, Vafa Rahimi-Movaghar, Neda Zamani , Ahmad Naghibzadeh-Tahami Background: The present study aims to evaluate the cost-effectiveness of Dynamic Interspinous Spacer (Coflex®) and Static Spacer (X-STOP ®) compared to Laminectomy (LAMI) in patients with lumbar spinal stenosis. Methods: A decision-analysis model was developed to estimate the cost-effectiveness. The effectiveness parameters were obtained from a systematic literature review in relevant databases including PUBMED and EMBASE. A meta-analysis was performed using the STATA statistical package and a random model was used to collect measures of mean difference of visual analogue scale (VAS) pain score before and after intervention in X-stop, Coflex and LAMI (95% confidence intervals). Cost data were obtained from provider and associated liter

Health technology assessment of non-invasive interventions for weight loss and body shape in Iran Author(s): Marzieh Nojomi, Maziar Moradi-Lakeh, Ashraf Velayati, Ahmad Naghibzadeh-Tahami, Haleh Dadgostar, Gholamhossein Ghorabi, Mohammad Moradi-Joo , Mohsen Yaghoubi * Background: The burden of obesity and diet-related chronic diseases is increasing in Iran, and prevention and treatment strategies are needed to address this problem. The aim of this study was to determine the outcome, cost, safety and cost-consequence of non-invasive weight loss interventions in Iran. Methods: We performed a systematic review to compare non-invasive interventions (cryolipolysis and radiofrequency/ ultrasonic cavitation) with semi-invasive (lipolysis) and invasive (liposuction). A sensitive electronic searching was done to find available interventional studies. Reduction of abdomen circumference (cm), reduction in fat layer thickness (%) and weight reduction (kg) were outcomes of efficacy. Meta-a

Factors influencing the adoption of health information technologies: a systematic review Ali Garavand, Mohammah Mohseni, Heshmatollah Asadi, Manal Etemadi, Mohammad Moradi-Joo, Ahmad Moosavi Abstract Introduction: The successful implementation of health information technologies requires investigating the factors affecting the acceptance and use of them. The aim of this study was to determine the most important factors affecting the adoption of health information technologies by doing a systematic review on the factors affecting the acceptance of health information technology. Methods: This systematic review was conducted by searching the major databases, such as Google Scholar, Emerald, Science Direct, Web of Science, Pubmed, and Scopus. We used various keywords, such as adoption, use, acceptance of IT in medicine, hospitals, and IT theories in health services, and we also searched on the basis of several important technologies, such as Electronic Health Records (HER), Electronic