Archives of Iranian Medicine最新文献

{"title":"Reviving Iran's Science Diplomacy: New Horizons Opened by President Pezeshkian.","authors":"Farid Rahimi, Mohammad Javad Zarif, Amin Talebi Bezmin Abadi","doi":"10.34172/aim.33115","DOIUrl":"10.34172/aim.33115","url":null,"abstract":"","PeriodicalId":55469,"journal":{"name":"Archives of Iranian Medicine","volume":"28 1","pages":"61-62"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11862396/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143506160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Pooled Prevalence of Attributed Factors of Suicide in Iran: A Systematic Review and Meta-analysis.","authors":"Parsa Rouzrokh, Fatemeh Abbasi Feijani, Yeganeh Moshiri, Sulmaz Ghahramani, Kamran Bagheri Lankarani","doi":"10.34172/aim.31276","DOIUrl":"10.34172/aim.31276","url":null,"abstract":"<p><strong>Background: </strong>Suicide poses a critical global public health concern, and distinguishing between suicides and suicide attempts underscores the need for targeted interventions. This investigation aimed to determine the pooled prevalence of factors contributing to suicide in Iran, including socio-economic, demographic, and geographical factors.</p><p><strong>Methods: </strong>A systematic search was conducted across Web of Science, Scopus, PubMed, SID, Magiran, Elmnet, ISC, Irandoc, and Noormags databases up to July 2023. We included primary observational studies of acceptable quality that examined the prevalence of factors contributing to suicide in Iranian regions. The findings were screened for eligibility and quality, followed by a review of selected articles, from which data were extracted and analyzed.</p><p><strong>Results: </strong>Out of 1646 initial articles, 68 were selected for review and 54 for meta-analysis. The pooled prevalence rates of contributing factors were calculated as follows: male gender (64.3, 95% CI: 62.6‒66.0%), age over 25 (57.9%, 95% CI: 51.0‒64.5%), under diploma education (73.4%, 95% CI: 62.1‒82.3%), employment issues (66.4%, 95% CI: 59.7‒72.5%), urban living (61.7%, 95% CI: 53.8‒69.1%), past medical history (8.5%, 95% CI: 4.9‒14.2%), past psychiatric history (20.7%, 95% CI: 15.5‒27.1%), past suicidal attempt (12.2%, 95% CI: 8.5‒17.0%), substance abuse history (28.4%, 95% CI: 20.1‒38.3%), spring season (29.8%, 95% CI: 26.7‒33%), and hanging method (46.1%, 95% CI: 41.6‒50.6%). Significant regional differences were observed in the prevalence of gender, age, and suicide methods between western and non-western areas.</p><p><strong>Conclusion: </strong>This study describes key factors of suicides in Iran. Despite higher rates among those over 25, many young individuals are affected. Urban living and low educational attainment are significant factors. Moreover, notable regional differences were observed in gender, age, and suicide methods between western and non-western areas. These findings highlight the need for additional research related to record-keeping challenges and can guide Iranian health policymakers in developing strategies for screening and treating vulnerable individuals.</p>","PeriodicalId":55469,"journal":{"name":"Archives of Iranian Medicine","volume":"28 1","pages":"44-60"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11862400/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143506227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of Psychiatric Disorders with Pedestrian Safety Behaviors: Baseline Findings from Persian Traffic Cohort.","authors":"Mostafa Farahbakhsh, Fatemeh Niknami, Homayoun Sadeghi-Bazargani, Sanaz Noruzi, Sepideh Harzand-Jadidi","doi":"10.34172/aim.29961","DOIUrl":"10.34172/aim.29961","url":null,"abstract":"<p><strong>Background: </strong>Mental health problems can disrupt traffic behaviors through reduced cognitive function, poor decision-making, increased behavioral errors, and concentration problems. This study aimed to examine the role of psychiatric disorders in pedestrians ' traffic behavior.</p><p><strong>Methods: </strong>This cross-sectional study was conducted on 275 pedestrians of the Persian Traffic Cohort (PTC) in 2022. The Pedestrian Traffic Behavior Questionnaire, Kessler's Psychological Distress Scale, and the Structured Assessment of Personality Abbreviated Scale (SAPAS) screening questionnaires for people over 14 years were completed. Then, those who had a score above 3 on the SAPAS or a score above 20 on Kessler's scale took part in a psychiatric interview by a psychiatrist or psychiatric resident. The data were analyzed in SPSS v. 26 via independent samples <i>t</i>-test, analysis of variance, and multiple linear regression.</p><p><strong>Results: </strong>The score of positive behaviors was significantly higher in pedestrians without depressive disorder than in those with depressive disorder (95% CI: 42.49-51.17, <i>P</i> value<0.001). The score of aggressive behaviors was significantly higher in pedestrians with depressive disorder than in those without (95% CI: 24.98-28.87, <i>P</i> value=0.001). There was no statistically significant difference between the two groups of pedestrians with and without generalized anxiety disorder in the scores of traffic behavior dimensions (<i>P</i> value>0.05).</p><p><strong>Conclusion: </strong>There was a significant relationship between pedestrians with depressive disorder and the score of positive and aggressive traffic behaviors. Meanwhile, the pedestrians' anxiety disorder was not significantly related to any of their behavioral dimensions. More comprehensive studies should be conducted, taking into account more mental disorders and larger samples, to more precisely explain the impact of psychiatric disorders on pedestrians' traffic behavior.</p>","PeriodicalId":55469,"journal":{"name":"Archives of Iranian Medicine","volume":"28 1","pages":"1-8"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11862397/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143506137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Rare Anatomical Variation: Intrathoracic Liver Caudate Lobe: A Case Report.","authors":"Beyza Yaşar Akpınar, Hüseyin Umut Baştürk, Şeyma Başlılar, Yahya Baraç, Bengü Şaylan","doi":"10.34172/aim.31604","DOIUrl":"10.34172/aim.31604","url":null,"abstract":"<p><p>We present a case with an intrathoracic caudate lobe in a 45-year-old woman who referred with a complaint of nonspecific chest pain. She denied previous history of trauma or surgery. Computed tomography (CT) pulmonary angiography showed a paravertebral, soft tissue mass which raised suspicion of a pleural tumor. In the coronal plane, the mass was protruding to the abdomen and had similar density with liver. Magnetic resonance imaging confirmed the diagnosis.</p>","PeriodicalId":55469,"journal":{"name":"Archives of Iranian Medicine","volume":"27 12","pages":"707-709"},"PeriodicalIF":1.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11786212/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incidence and Risk Factors of Retinopathy of Prematurity in Southeastern Iran: A Retrospective Cohort Study.","authors":"Alireza Maleki, Meisam Sargazi, Ali Yousefian, Saeedeh Sarhadi, Maryam Mollaei, Seyed Omid Mohammadi","doi":"10.34172/aim.31070","DOIUrl":"10.34172/aim.31070","url":null,"abstract":"<p><strong>Background: </strong>Retinopathy of prematurity (ROP) is a significant cause of preventable premature infant vision loss. Many studies have reported different risk factors depending on the region. In this study, we evaluated the incidence of ROP and associated risk factors in a referral eye hospital in southeastern Iran.</p><p><strong>Methods: </strong>This was a retrospective cohort study of preterm infants with birth weight (BW)≤2000 g or gestational age (GA)≤34 weeks and infants with GA between 34-37 weeks or GA<37 weeks and BW>2000 g referred by their pediatricians to our center from March 2022 until March 2023.</p><p><strong>Results: </strong>Totally, 920 infants met the inclusion criteria for the study. The incidence of ROP and ROP requiring treatment was 20.2% and 3.58% respectively. Results of logistic regression analysis showed higher GA and BW as protective factors against ROP occurrence. History of blood transfusion and phototherapy increased ROP development.</p><p><strong>Conclusion: </strong>Lower GA, lower BW, history of blood transfusion, and phototherapy were associated with ROP development. Phototherapy decreased the need for treatment among ROP patients.</p>","PeriodicalId":55469,"journal":{"name":"Archives of Iranian Medicine","volume":"27 12","pages":"660-666"},"PeriodicalIF":1.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11786210/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical Profile and Outcomes of Pulmonary Embolism in Central Iran: A Retrospective Cohort Study.","authors":"Abbas Andishmand, Leila Sharifi, Seyedeh Mahdieh Namayandeh","doi":"10.34172/aim.31907","DOIUrl":"10.34172/aim.31907","url":null,"abstract":"<p><strong>Background: </strong>Pulmonary embolism (PE) is a significant public health concern. This retrospective cohort study examines the clinical profiles and outcomes of patients diagnosed with PE at a medical center in central Iran, aiming to identify mortality predictors during hospitalization and follow-up.</p><p><strong>Methods: </strong>Data from 109 patients diagnosed with PE were analyzed, with a median follow-up of 23 months. The collected information included demographic and clinical characteristics, laboratory findings, treatment protocols, and outcomes. Logistic regression and Kaplan-Meier survival analysis were used to identify independent mortality predictors and assess survival impact.</p><p><strong>Results: </strong>The mean age was 59.2 years (±19.7), with 51.4% male. Common symptoms included dyspnea (86%) and chest pain (53%), with non-massive PE being the most prevalent (63%). Independent mortality predictors identified were age (odds ratio [OR] 1.065 per year, <i>P</i><0.001), female sex (OR 4.421, <i>P</i>=0.009), and PE severity (OR 0.262, <i>P</i>=0.023). Kaplan-Meier analysis showed reduced survival probabilities in females (<i>P</i>=0.009), those with provoked PE (<i>P</i>=0.002), patients over 65 (<i>P</i>=0.016), and individuals with comorbidities (<i>P</i>=0.018). In-hospital mortality was 10.1%, linked to provoked massive PE, absence of thrombolytic therapy, and reduced left ventricular ejection fraction (LVEF).</p><p><strong>Conclusion: </strong>In this cohort, age, sex, and PE severity were significant mortality predictors, while provoked PE, advanced age, and comorbidities were associated with lower mid-term survival probabilities.</p>","PeriodicalId":55469,"journal":{"name":"Archives of Iranian Medicine","volume":"27 12","pages":"667-673"},"PeriodicalIF":1.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11786213/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Consequences of Infectious Disease Outbreaks in Ardabil (1925-1941): A Historical Analysis.","authors":"Zahra Aghabeiglooei, Jamal Rezaei Orimi, Somaiyeh Marghoub Khajeh, Morteza Mojahedi, Farzaneh Ghaffari","doi":"10.34172/aim.31949","DOIUrl":"10.34172/aim.31949","url":null,"abstract":"<p><p>Infectious diseases were one of the most important public health problems in Ardabil during the first Pahlavi period (1925-1941 AD). These diseases caused the illness and death of many people. The purpose of this study is to investigate the factors and consequences of the spread of infectious diseases in Ardabil during the first Pahlavi period. The research method is descriptive and historical-retrospective, which tries to answer the research questions using documentary and library sources. The findings show that malaria, trachoma, smallpox, tuberculosis, rinderpest, venereal diseases, and diphtheria were among the most common infectious diseases. Poverty, illiteracy, poor public health, lack of medical facilities, and the geographical location were the main factors in the spread of these diseases. Considering the critical nature of the issue, the first Pahlavi government tried to control and prevent diseases by carrying out measures such as public education, establishing health and treatment centers and reforming their structure, sending doctors and distributing medicine, and implementing quarantine and vaccination. The results showed that the efforts of the first Pahlavi government in fighting infectious diseases in Ardabil were relatively successful and reduced the prevalence of some diseases.</p>","PeriodicalId":55469,"journal":{"name":"Archives of Iranian Medicine","volume":"27 12","pages":"710-717"},"PeriodicalIF":1.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11786214/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Radiological Findings for Distinguishing Between Xanthogranulomatous Cholecystitis and Gallbladder Cancer.","authors":"Ahmet Bozer, Nagihan Durgun","doi":"10.34172/aim.31710","DOIUrl":"10.34172/aim.31710","url":null,"abstract":"<p><strong>Background: </strong>Xanthogranulomatous cholecystitis (XGC) is a rare, chronic gallbladder inflammation often mistaken for gallbladder cancer (GBC) on imaging. Accurate differentiation is vital for appropriate treatment. This study aims to enhance computed tomography (CT) scan diagnostic accuracy for distinguishing XGC from GBC.</p><p><strong>Methods: </strong>This retrospective study included patients diagnosed with XGC and GBC between 2014 and 2023. CT images of 70 patients (16 GBC, 54 XGC) were reviewed. Radiologists assessed CT parameters: gallbladder wall thickening, intramural hypoattenuating nodules, enhancement characteristics, mucosal line continuity, pericholecystic fat stranding, presence of stones, bile duct dilatation, hepatic invasion, invasion to adjacent structures, and lymph node size.</p><p><strong>Results: </strong>Among 70 patients, there were 38 males (54%) and 32 females (46%), with a median age of 62 years. GBC patients were significantly older (median age 72 years) compared to XGC patients (60 years) (<i>P</i>=0.001). Diffuse gallbladder wall thickening was more frequent in XGC (70%) than GBC (12.5%) (<i>P</i><0.001). Continuous mucosal lines and intramural hypoattenuating nodules were more common in XGC (<i>P</i><0.001 and <i>P</i>=0.010, respectively). Intrahepatic bile duct dilatation and invasion to adjacent structures were significantly linked with GBC (<i>P</i><0.001 and <i>P</i>=0.043). Lymph nodes with a short axis>8 mm indicated GBC (<i>P</i><0.001), with a cutoff providing 71.4% sensitivity and 84% specificity (AUC: 0.843, <i>P</i><0.001). CT showed 75% sensitivity (95% CI: 48-93%), 74% specificity (95% CI: 60%-85%), and 74% accuracy (95% CI: 62%-84%).</p><p><strong>Conclusion: </strong>CT imaging can effectively differentiate XGC from GBC, and larger studies can further improve diagnostic accuracy.</p>","PeriodicalId":55469,"journal":{"name":"Archives of Iranian Medicine","volume":"27 12","pages":"674-682"},"PeriodicalIF":1.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11786208/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"First Case of Macrocephaly, Dysmorphic Facies, and Psychomotor Retardation Harboring Co-inherited Variants in HERC1 and PMP22 Genes from Iran: Two Novel Variants.","authors":"Azadeh Reshadmanesh, Shima Dehdahsi, Fatemeh Ahangari, Kimia Kahrizi, Ariana Kariminejad, Shokouh Sadat Mahdavi, Saeed Talebi, Hossein Najmabadi","doi":"10.34172/aim.31593","DOIUrl":"10.34172/aim.31593","url":null,"abstract":"<p><p>Here, we report a case with concomitant variants: a novel homozygous <i>HERC1</i> gene variant and a novel heterozygous <i>PMP22</i> duplication. The 2-year-old male presented with seizures, developmental delay, macrocephaly, hypotonia, unilateral hypertrophy, thoracic scoliosis, normal brain MRI, and elevated homocysteine level which normalized after treatment. Whole exome sequencing (WES) revealed a co-occurrence of a homozygous novel likely pathogenic variant in the <i>HERC1</i> gene (NM_003922.3:c.1280dup (p.ILe469Aspfs*33) and a novel heterozygous large duplication of exon 1-5 in the <i>PMP22</i> gene, which has not been reported previously. The case underscores the challenges in understanding genotype-phenotype correlations and suggests a potential interplay between these genetic variants in shaping the current and future clinical phenotype of the patient. In the case of genetic diseases, this event may have important implications on family members' counseling, and concomitant variants in Charcot-Marie-Tooth (CMT) families should be considered when significant intra-familial clinical heterogeneity is observed.</p>","PeriodicalId":55469,"journal":{"name":"Archives of Iranian Medicine","volume":"27 12","pages":"700-706"},"PeriodicalIF":1.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11786211/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mortality Trend of Hematological Neoplasms in Babol, Northern Iran (2013-2021).","authors":"Pouyan Ebrahimi, Mohammad-Amin Ghezel, Seyed-Hossein Hosseini-Berneti, Amir-Hossein Lashkarbolouki, Mohsen Karami, Hossein-Ali Nikbakht","doi":"10.34172/aim.31147","DOIUrl":"10.34172/aim.31147","url":null,"abstract":"<p><strong>Background: </strong>Blood cancers account for a significant proportion of cancer-related deaths worldwide. In this study, hematological cancer mortality in northern Iran was examined during 2013-2021, along with age-adjusted mortality rates.</p><p><strong>Methods: </strong>In a cross-sectional study, we conducted an analysis of all deaths from hematological neoplasms registered in Babol city between 2013 and 2021. In order to estimate the population, the most recent census data was used. The mortality rates and trends for each hematological malignancy were reported in crude mortality rate (CMR) and age-standardized mortality rate (ASMR).</p><p><strong>Results: </strong>In total, 357 deaths (10.8% of all cancer-related deaths) were attributed to hematological neoplasms, with an average age of 61.9±19.3 years. The crude and age-adjusted mortality rates of hematological neoplasms increased from 3.1 and 2.7 per 100000 people in 2013 to 8.1 and 6.9 per 100,000 people in 2021, respectively. Mortality trends of hematological cancers increased with age decade for both sexes (<i>P</i><0.001). Additionally, when examining the trends of each hematological neoplasm, there was a significant increase in neoplasms including non-Hodgkin lymphoma (<i>P</i>=0.033), multiple myeloma (<i>P</i>=0.002), and leukemia (<i>P</i><0.001), except for the consistent trend observed in Hodgkin lymphoma (<i>P</i>=0.247).</p><p><strong>Conclusion: </strong>The trend of hematological malignancies in Babol city is increasing across all age groups and in both sexes. This study emphasizes the need for effective prevention and treatment strategies, including improving access to cancer care, enhancing surveillance in families with blood malignancies and reducing modifiable risk factors. Additionally, further research is warranted to develop targeted interventions.</p>","PeriodicalId":55469,"journal":{"name":"Archives of Iranian Medicine","volume":"27 12","pages":"654-659"},"PeriodicalIF":1.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11786215/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}