Background: Hypertension is a leading risk factor for cardiovascular diseases with prevalence of 33% in urban and 25% in rural population in India. Studies have suggested that hypertension significantly affects the sleep quality and quality of life of subjects. Therefore, this study aimed to establish a correlation between sleep quality, quality of life, and hypertension in Uttarakhand. Methods: This observational cross-sectional study was carried out on hypertensive subjects at a tertiary care hospital in Uttarakhand following ethics approval. After taking consent from participants, blood pressure and anthropometric measurements were recorded. Then, their sleep quality and quality of life was assessed using Pittsburgh sleep quality index (PSQI) and WHO-QOL BREF questionnaire respectively. Statistical analysis was then carried out to correlate these parameters. Results: 168 participants were recruited for this study, with 43.5% males and 56.5% females. It was found that 77.4% of these subjects were having poor sleep quality with the mean global PSQI score as 7.90 ± 3.713. These subjects assessed their Quality of life to be worst in physical domain (12.68 ± 3.13), followed by psychological, social relationship domain and environment domain. A significant association was found between sleep quality and different stages of hypertension (P value = 0.039) but quality of life and stages of hypertension have no significant association (P value > 0.05). Conclusions: Sleep quality, quality of life and blood pressure are correlated. So, clinicians should also focus on improving their patient's sleep quality and quality of life besides pharmacological treatment.

Background: Given the limitations of traditional citation indicators, more indicators are needed to examine the effectiveness and improvement of existing indicators. The present study aimed to investigate the association between Altmetrics activity and quality citation indicators in Iranian journals based on Clarivate Analytics, Scopus, and Medline. Methods: The research was carried out using Altmetrics method through scientometric approach. The population of the present study was Iranian medical journals, which were available at three databases of Clarivate Analytics, Scopus, and Medline. In order to obtain quality information, we've used the indicators of CiteScore, SJR, and SNIP at Scopus database as well as the impact factor at JCR database; besides, to find Altmetrics indicators and Altmetrics scores of articles, the Altmetrics explorer database was used. Results: About 16% of the articles in the reviewed journals were cited at least once in the social media and had Altmetrics scores. Among the reviewed journals, the highest rate of social media coverage was related to the Iranian Journal of Basic Medical Sciences, and the highest Altmetrics score obtained from the mean Altmetrics score of the papers was related to Cell Journal (Yakhteh). A review of quality indicators of journals with Altmetrics coverage and Altmetrics score of journals showed that there was a significant and positive correlation between the Altmetrics score and impact factor. However, any significant association was neither found between the journal's coverage and SiteScore, SNIP, SJR, nor between the journal's Altmetrics score and quality indicators. Conclusions: According to the results of this study, policy makers of scientific journals should adopt strategies that bring about social media presence; thus, we will find further Iranian articles in the social media.

Backgroud: Hearing loss is the most common congenital disorder that appears as a unilateral or bilateral deafness. Early detection by screening and appropriate intervention lead to better oral communication and language development. The aim of this study was to evaluate the cost per new case identification of neonate hearing screening. Methods: The cost effectiveness of two stage hospital based newborn hearing loss screening was evaluated in this study. We gathered data for 11168 newborns born in 10 hospitals. We included a direct cost and new case identification as cost and outcome measures from health system prospective in our model. Results: We found 19 new cases with hearing loss from 11168 screened neonates (1.7 per 1000). The referral rates in the first and second stages were respectively 28% and 7%. The total cost of screening program was 132167 US$. The main cost item is screening test (OAE). Conclusions: We concluded cost per new case detection is 6956 US$ in Iranian neonate hearing screening program. Almost, it is equal to GDP per capita and it may be cost effective. Since there are many strategies to screening of newborn, it is suggested that all alternative screening strategies be analyzed by a cost effectiveness method to find the best strategy for hearing loss screening.