These findings suggest modafinil as a well-tolerated and potentially effective agent in combination with fluoxetine in the management of patients with major depression.

It seems that both Bi and AZ reduce the risk of CIN-related AKI, and close monitoring of serum potassium is needed during bicarbonate infusion.

Comparison between job stress among emergency department nurses with nurses of other departments Introduction: Job stress in health care workers, including nurses, reduces productivity, mental and physical harm, and dissatisfaction with the service. Therefore, recognizing the severity and extent of its destructive effects in different parts of the hospital, especially in the emergency department, due to its high importance, will be effective in improving mental health and quality of service provided. Aim: This study aimed to compare nurses' stress with the rest of the hospitals emergency department nurses were Gonabad and Birjand. Material & Method: This CRoss-sectional study was conducted on 160 nurses in Gonabad (Khorasan Razavi and Birjand) South Khorasan. Data from the questionnaire of demographic data and questionnaire ENSS (Expanded Nursing Stress Scale) distributed randomly among nurses in the emergency department, internal medicine, gynecology, pediatrics, dialysis, ENT, ICU, CCU, NICU were collected. Its reliability was 0.96 by α-Chronbach. Data analysis using by SPSS 16 software using statistical method, and for analyzing data Chi-square tests, Anova and T test were used. Results: The mean job stress nursing was in emergency department (2.14±0.52) and in non-emergency departments (0.651 ± 1.84). The results show that the mean score of occupational stress are generally higher than in other parts of the emergency department nurses (p=0.002). And independent t-test showed that difference between the two groups in the subscales of emotional lack of preparation, problems with co-workers, workload, patients and their families was Significant (p=0.001). Conclusion: It is recommended to nurse managers and policy makers to paying more attention to factors such as emotional lack of preparation, problems with co-workers, workload, patients and their families and that reducing these factors for staff nurses in emergency departments.