Archives of Iranian Medicine最新文献

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Factors Affecting Brain Drain and a Solution to Reduce it in Iran's Health System: A Qualitative Study. 影响伊朗卫生系统人才流失的因素及减少人才流失的解决方案:定性研究。
IF 1 4区 医学
Archives of Iranian Medicine Pub Date : 2024-08-01 DOI: 10.34172/aim.28863
Mohadeseh Ghanbari-Jahromi, Milad Ahmadi Marzaleh
{"title":"Factors Affecting Brain Drain and a Solution to Reduce it in Iran's Health System: A Qualitative Study.","authors":"Mohadeseh Ghanbari-Jahromi, Milad Ahmadi Marzaleh","doi":"10.34172/aim.28863","DOIUrl":"10.34172/aim.28863","url":null,"abstract":"<p><strong>Background: </strong>Brain drain is an issue of concern in developing countries. Many factors are involved in this issue, and their identification can be a good guide for decision-makers at different management levels. Therefore, the present study was carried out to identify the factors affecting brain drain and solutions to reduce it in Iran's health system.</p><p><strong>Methods: </strong>The data for this qualitative study was collected in 2023 through 15 semi-structured interviews with Iranian health experts and emigrant elites. Interviews were collected both face-to-face and virtually (on Skype and Google Meet) and analyzed using the thematic content analysis method.</p><p><strong>Results: </strong>Data analysis of the factors affecting brain drain in Iran's health system yielded seven main categories and 45 subcategories. The main categories were \"individual factors,\" \"economic factors,\" \"social and cultural factors,\" \"organizational and administrative factors,\" \"political factors,\" \"attraction factors for destination countries,\" and \"attraction factors of destination countries for elites.\" Also, the solutions were divided into four categories of \"economic,\" \"social,\" \"organizational and scientific,\" and \"political\" factors and 19 subcategories.</p><p><strong>Conclusion: </strong>Due to the increase in brain drain in recent years, it is necessary to make a serious decision in dealing with this issue. Solutions such as creating stable economic conditions, creating an atmosphere of hope, increasing respect and dignity for elite students by politicians, using the elites in macro-decisions, and creating the job rank for honorary professors can lead to reducing brain drain and decreasing the costs of the health system.</p>","PeriodicalId":55469,"journal":{"name":"Archives of Iranian Medicine","volume":"27 8","pages":"427-438"},"PeriodicalIF":1.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11416693/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301739","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}
引用次数: 0
Data Consistency of Two National Registries in Iran: A Preliminary Assessment to Health Information Exchange. 伊朗两个国家登记处的数据一致性:对健康信息交换的初步评估。
IF 1 4区 医学
Archives of Iranian Medicine Pub Date : 2024-07-01 DOI: 10.34172/aim.30023
Mohammad Dashtkoohi, Mohammad Poursalehian, Zahra Azadmanjir, Masoomeh Vaeidi, Mahdi Mohammadzadeh, Mahdi Sharif-Alhoseini, Khatereh Naghdi, Marzieh Moniri Asl, James Harrop, Vafa Rahimi-Movaghar
{"title":"Data Consistency of Two National Registries in Iran: A Preliminary Assessment to Health Information Exchange.","authors":"Mohammad Dashtkoohi, Mohammad Poursalehian, Zahra Azadmanjir, Masoomeh Vaeidi, Mahdi Mohammadzadeh, Mahdi Sharif-Alhoseini, Khatereh Naghdi, Marzieh Moniri Asl, James Harrop, Vafa Rahimi-Movaghar","doi":"10.34172/aim.30023","DOIUrl":"10.34172/aim.30023","url":null,"abstract":"<p><strong>Background: </strong>The National Spinal Cord Injury Registry of Iran (NSCIR-IR) and the National Trauma Registry of Iran (NTRI) were established to meet the data needs for research and assessing trauma status in Iran. These registries have a group of patients shared by both registries, and it is expected that some identical data will be collected about them. A general question arises whether the spinal cord injury registry can receive part of the common data from the trauma registry and not collect them independently.</p><p><strong>Methods: </strong>We examined variables captured in both registries based on structure and concept, identified the overlapping period during which both systems recorded data in the same centers and extracted relevant data from both registries. Further, we evaluated the data for any discrepancies in amount or nature and pinpointed the underlying reasons for any inconsistencies.</p><p><strong>Results: </strong>Out of all the variables in the NSCIR-IR database, 18.6% of variables were similar to the NTRI in terms of concept and structure. Although four hospitals participated in both registries, only two (Sina and Beheshti Hospitals) had common cases. Patient names, prehospital intubation, ambulance arrival time, ICU length of stay, and admission time were consistent across both registries with no differences. Other common data variables had significant discrepancies.</p><p><strong>Conclusion: </strong>This study highlights the potential for health information exchange (HIE) between NSCIR-IR and NTRI and serves as a starting point for stakeholders and policymakers to understand the differences between the two registries and work toward the successful adoption of HIE.</p>","PeriodicalId":55469,"journal":{"name":"Archives of Iranian Medicine","volume":"27 7","pages":"357-363"},"PeriodicalIF":1.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11316184/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141790003","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}
引用次数: 0
Evaluation of Trans-Anal Endorectal Pull-Through Outcomes in Hirschsprung's Disease in Different Age Groups: A Comprehensive Systematic Review. 不同年龄组经肛门直肠牵拉术治疗赫氏胃肠病的效果评估:全面系统回顾。
IF 1 4区 医学
Archives of Iranian Medicine Pub Date : 2024-07-01 DOI: 10.34172/aim.28183
Farshid Ghasemi Meidansar, Mohammad Moradi, Seyed Ali Nabipoorashrafi, Seyyed Javad Nasiri, Tahereh Chavoshi, Mohammad Aldraji, Fariba Jahangiri
{"title":"Evaluation of Trans-Anal Endorectal Pull-Through Outcomes in Hirschsprung's Disease in Different Age Groups: A Comprehensive Systematic Review.","authors":"Farshid Ghasemi Meidansar, Mohammad Moradi, Seyed Ali Nabipoorashrafi, Seyyed Javad Nasiri, Tahereh Chavoshi, Mohammad Aldraji, Fariba Jahangiri","doi":"10.34172/aim.28183","DOIUrl":"10.34172/aim.28183","url":null,"abstract":"<p><strong>Background: </strong>The timing of trans-anal endorectal pull-through (TAEPT) for Hirschsprung's disease (HD) is controversial. Early endorectal pull-through avoids the occurrence of preoperative enterocolitis. However, delayed pull-through (≥31 days) enables postnatal maturation of the anal canal and sphincter complex. The aim of this study was to identify the best age to perform trans-anal pull-through according to the literature.</p><p><strong>Methods: </strong>This is a comprehensive systematic review. All articles published from 2010 to 2022 were searched in the Web of Science, Ovid Medline, PubMed, CINAHIL, and Embase databases, using the keywords HD, delayed or early treatment, trans-anal pull-through surgery, age, sex or gender, complications and outcomes. Articles that met the inclusion criteria with good to fair quality according to the Newcastle-Ottawa quality assessment and low bias score in the Cochran collaboration tool were reviewed.</p><p><strong>Results: </strong>Sixteen studies were eligible to be reviewed. The overall results of this study showed that due to more common short-term complications at neonatal period and lower contrast enema diagnostic accuracy in determining the transition zone, it seems to be reasonable decision to postpone surgery until the child is several months old. There was also no difference in terms of complications and outcomes of trans-anal pull-through surgery between females and males.</p><p><strong>Conclusion: </strong>It is not recommended to delay surgery too much for ages over 1 year. Ages between 3 and 12 months can be a good time for interventional treatment for HD.</p>","PeriodicalId":55469,"journal":{"name":"Archives of Iranian Medicine","volume":"27 7","pages":"392-399"},"PeriodicalIF":1.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11316186/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141790005","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}
引用次数: 0
Neuromyelitis in a Patient with Rheumatoid Arthritis: A Case Report. 类风湿性关节炎患者的神经脊髓炎:病例报告。
IF 1 4区 医学
Archives of Iranian Medicine Pub Date : 2024-07-01 DOI: 10.34172/aim.28804
Fuyong Qiang, Zhi Li, Lanfang Chen, Dan Xuan, Jun Sheng
{"title":"Neuromyelitis in a Patient with Rheumatoid Arthritis: A Case Report.","authors":"Fuyong Qiang, Zhi Li, Lanfang Chen, Dan Xuan, Jun Sheng","doi":"10.34172/aim.28804","DOIUrl":"10.34172/aim.28804","url":null,"abstract":"<p><p>A patient with longstanding rheumatoid arthritis (RA) complained of spinal cord symptoms after RA relapse. Contrast MRI demonstrated neuromyelitis in the upper thoracic spinal cord, and anti-aquaporin-4 (anti-AQP4) antibody was positive in the serum and cerebrospinal fluid (CSF). Neuromyelitis optica spectrum disorder (NMOSD) was diagnosed after excluding central nervous system (CNS) infection and tumor, and spinal cord symptoms were relieved after high dose of glucocorticoid and immunosuppressant were initiated for treatment.</p>","PeriodicalId":55469,"journal":{"name":"Archives of Iranian Medicine","volume":"27 7","pages":"400-402"},"PeriodicalIF":1.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11316183/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141790007","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}
引用次数: 0
Suicide Literacy and Attitudes Toward Seeking Psychological Help among Medical Residents. 医学住院医生的自杀知识和寻求心理帮助的态度。
IF 1 4区 医学
Archives of Iranian Medicine Pub Date : 2024-07-01 DOI: 10.34172/aim.28839
Farzaneh Jahanbakhsh, Farzaneh Raaii, Arezou Mohammadi, Mana Aminaie, Marjan Shamspour
{"title":"Suicide Literacy and Attitudes Toward Seeking Psychological Help among Medical Residents.","authors":"Farzaneh Jahanbakhsh, Farzaneh Raaii, Arezou Mohammadi, Mana Aminaie, Marjan Shamspour","doi":"10.34172/aim.28839","DOIUrl":"10.34172/aim.28839","url":null,"abstract":"<p><strong>Background: </strong>This study investigates suicide literacy, help-seeking attitudes, and related factors among medical residents.</p><p><strong>Methods: </strong>The study utilized a cross-sectional design and included all medical residents in Kerman University of Medical Sciences in 2023‒2024. We obtained demographic information, psychiatric history, and administered questionnaires about literacy of suicide (LOSS) and the Attitudes Toward Seeking Professional Psychological Help (ATSPPH-SF).</p><p><strong>Results: </strong>A total of 157 residents with a mean age of 28.97±2.55 years participated. The prevalence of any psychiatric history was 17.83% (95% CI: 12.1‒23.56). Notably, more educated males displayed higher suicidal literacy (95% CI: 0.231‒0.567, <i>P</i>=0.032), while there was no significant difference in help-seeking attitudes between genders (<i>P</i>=0.755). Surgical residents scored lower than non-surgical specialties like pediatrics (mean difference=2.63, 95% CI: 0.23-5.03, <i>P</i>=0.023, effect size d=0.589). Older age positively correlated with help-seeking attitudes (r=0.158, <i>P</i>=0.049). Additionally, marital status, residency level, history of psychiatric illnesses and their types, previous use of psychiatric medications, and history of self-harm or suicide had no significant impact on suicide literacy scores or attitude toward help-seeking. A moderate association (r=0.367) was found between the suicide literacy and help-seeking attitude questionnaire scores.</p><p><strong>Conclusion: </strong>Despite relatively high suicide literacy, medical residents displayed average help-seeking attitudes, positioning them as a high-risk group. Urgent interventions are needed to enhance awareness of the importance of psychological support and to reduce stress and work pressure, indirectly mitigating the risk of suicide in this vulnerable population.</p>","PeriodicalId":55469,"journal":{"name":"Archives of Iranian Medicine","volume":"27 7","pages":"385-391"},"PeriodicalIF":1.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11316188/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141790008","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}
引用次数: 0
The Rising Challenge: Addressing the Pink Eye (Acute Conjunctivitis) Outbreak in Pakistan. 日益严峻的挑战:应对巴基斯坦爆发的红眼病(急性结膜炎)。
IF 1 4区 医学
Archives of Iranian Medicine Pub Date : 2024-07-01 DOI: 10.34172/aim.28619
Asif Mahmood, Shama Shama, Wen Zhang
{"title":"The Rising Challenge: Addressing the Pink Eye (Acute Conjunctivitis) Outbreak in Pakistan.","authors":"Asif Mahmood, Shama Shama, Wen Zhang","doi":"10.34172/aim.28619","DOIUrl":"10.34172/aim.28619","url":null,"abstract":"","PeriodicalId":55469,"journal":{"name":"Archives of Iranian Medicine","volume":"27 7","pages":"347-349"},"PeriodicalIF":1.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11316187/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141790009","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}
引用次数: 0
How Similar Are Drug Data and Disease Self-report? Estimating the Prevalence of Chronic Diseases in Less Developed Settings. 药物数据与疾病自我报告有多相似?估算欠发达地区的慢性病患病率。
IF 1 4区 医学
Archives of Iranian Medicine Pub Date : 2024-07-01 DOI: 10.34172/aim.27553
Seyed Reza Abdipour Mehrian, Zahra Ghahramani, Mohammad Reza Akbari, Elham Hashemi, Ehsan Shojaeefard, Reza Malekzadeh, Bita Mesgarpour, Abdullah Gandomkar, Mohammad Reza Panjehshahin, Jafar Hasanzadeh, Fatemeh Malekzadeh, Hossein Molavi Vardanjani
{"title":"How Similar Are Drug Data and Disease Self-report? Estimating the Prevalence of Chronic Diseases in Less Developed Settings.","authors":"Seyed Reza Abdipour Mehrian, Zahra Ghahramani, Mohammad Reza Akbari, Elham Hashemi, Ehsan Shojaeefard, Reza Malekzadeh, Bita Mesgarpour, Abdullah Gandomkar, Mohammad Reza Panjehshahin, Jafar Hasanzadeh, Fatemeh Malekzadeh, Hossein Molavi Vardanjani","doi":"10.34172/aim.27553","DOIUrl":"10.34172/aim.27553","url":null,"abstract":"<p><strong>Background: </strong>Drug data has been used to estimate the prevalence of chronic diseases. Disease registries and annual surveys are lacking, especially in less-developed regions. At the same time, insurance drug data and self-reports of medications are easily accessible and inexpensive. We aim to investigate the similarity of prevalence estimation between self-report data of some chronic diseases and drug data in a less developed setting in southwestern Iran.</p><p><strong>Methods: </strong>Baseline data from the Pars Cohort Study (PCS) was re-analyzed. The use of disease-related drugs were compared against self-report of each disease (hypertension [HTN], diabetes mellitus [DM], heart disease, stroke, chronic obstructive pulmonary disease [COPD], sleep disorder, anxiety, depression, gastroesophageal reflux disease [GERD], irritable bowel syndrome [IBS], and functional constipation [FC]). We used sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and the Jaccard similarity index.</p><p><strong>Results: </strong>The top five similarities were observed in DM (54%), HTN (53%), heart disease (32%), COPD (30%), and GERD (15%). The similarity between drug use and self-report was found to be low in IBS (2%), stroke (5%), depression (9%), sleep disorders (10%), and anxiety disorders (11%).</p><p><strong>Conclusion: </strong>Self-reports of diseases and the drug data show a different picture of most diseases' prevalence in our setting. It seems that drug data alone cannot estimate the prevalence of diseases in settings similar to ours. We recommend using drug data in combination with self-report data for epidemiological investigation in the less-developed setting.</p>","PeriodicalId":55469,"journal":{"name":"Archives of Iranian Medicine","volume":"27 7","pages":"364-370"},"PeriodicalIF":1.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11316190/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141790006","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}
引用次数: 0
Association of Dietary Polyphenol Intakes with Metabolic Syndrome and its Components: Tehran Lipid and Glucose Study. 膳食多酚摄入量与代谢综合征及其组成部分的关系:德黑兰血脂和血糖研究》。
IF 1 4区 医学
Archives of Iranian Medicine Pub Date : 2024-07-01 DOI: 10.34172/aim.28512
Zohre Esfandiar, Firoozeh Hosseini-Esfahani, Parvin Mirmiran, Mitra Hasheminia, Fereidoun Azizi
{"title":"Association of Dietary Polyphenol Intakes with Metabolic Syndrome and its Components: Tehran Lipid and Glucose Study.","authors":"Zohre Esfandiar, Firoozeh Hosseini-Esfahani, Parvin Mirmiran, Mitra Hasheminia, Fereidoun Azizi","doi":"10.34172/aim.28512","DOIUrl":"10.34172/aim.28512","url":null,"abstract":"<p><strong>Background: </strong>This study was conducted to assess the prospective association between dietary polyphenols intakes and risk of metabolic syndrome (MetS) and its components.</p><p><strong>Methods: </strong>Participants in this study (n=4559) were selected from among the adults of the Tehran Lipid and Glucose Study (TLGS) with an average follow-up of 5.9+2.5 years. Biochemical and anthropometric variables were measured at baseline and follow-up examinations. A reliable and valid semi-quantitative food frequency questionnaire was used to evaluate dietary intakes. The incidence of MetS and its components in relation to polyphenols and its subclasses (phenolic acids, flavonoids, lignans, and stilbenes) was evaluated using multivariable Cox proportional hazard regression models.</p><p><strong>Results: </strong>Of the 4559 subjects who enrolled in the present study, 1765 were male aged 38.6+14.2 y and 2794 were female aged 35.9+11.7 y. The hazard ratios of MetS were 25% lower in Q2 (HR, 95% CI: 0.75, 0.64‒0.88), 22% lower in Q3 (HR, 95% CI: 0.78, 0.65‒0.94) and 24% lower in Q4 (HR, 95% CI: 0.76, 0.61‒0.95) in comparison to Q1, whereas the results for subclasses of polyphenol were non-significant. The risk of high blood pressure (BP) reduced from quartiles 1 to 4 for phenolic acid (HR: 1.00, 0.88, 0.79, 0.80, <i>P</i><sub>trend</sub>=0.03). The risk of low high-density lipoprotein cholesterol (HDL-C) increased across quartiles of phenolic acid (HR: 1.00, 1.22, 1.07, 1.30, <i>P</i><sub>trend</sub>=0.02).</p><p><strong>Conclusion: </strong>This study highlights the potential protective role of total dietary polyphenols in the prevention of MetS. These findings could be the starting point of upcoming trials to illuminate the optimal level of polyphenols deriving from the intake of polyphenol-rich diets to prevent MetS.</p>","PeriodicalId":55469,"journal":{"name":"Archives of Iranian Medicine","volume":"27 7","pages":"379-384"},"PeriodicalIF":1.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11316181/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141790001","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}
引用次数: 0
Causes of Colectomy in Patients with Ulcerative Colitis: Findings from an Iranian National Registry. 溃疡性结肠炎患者切除结肠的原因:伊朗国家登记处的调查结果。
IF 1 4区 医学
Archives of Iranian Medicine Pub Date : 2024-07-01 DOI: 10.34172/aim.28887
Zahra Momayez Sanat, Homayoon Vahedi, Reza Malekzadeh, Amir Kasaeian, Negar Mohammadi Ganjaroudi, Alireza Sima, Fariborz Mansour Ghanaei, Mohammadreza Ghadir, Hafez Tirgar Fakheri, Siavosh Nasseri Moghaddam, Sudabeh Alatab, Anahita Sadeghi, Amir Anushiravani, Iradj Maleki, Abbas Yazdanbod, Hassan Vossoughinia, Mohammadreza Seyyedmajidi, Sayed Jalaleddin Naghshbandi, Nadieh Baniasadi, Baran Parhizkar, Saied Matinkhah, Shahsanam Gheibi, Roya-Sadat Hosseini Hemmat Abadi, Seyedmohamad Valizadeh Toosi
{"title":"Causes of Colectomy in Patients with Ulcerative Colitis: Findings from an Iranian National Registry.","authors":"Zahra Momayez Sanat, Homayoon Vahedi, Reza Malekzadeh, Amir Kasaeian, Negar Mohammadi Ganjaroudi, Alireza Sima, Fariborz Mansour Ghanaei, Mohammadreza Ghadir, Hafez Tirgar Fakheri, Siavosh Nasseri Moghaddam, Sudabeh Alatab, Anahita Sadeghi, Amir Anushiravani, Iradj Maleki, Abbas Yazdanbod, Hassan Vossoughinia, Mohammadreza Seyyedmajidi, Sayed Jalaleddin Naghshbandi, Nadieh Baniasadi, Baran Parhizkar, Saied Matinkhah, Shahsanam Gheibi, Roya-Sadat Hosseini Hemmat Abadi, Seyedmohamad Valizadeh Toosi","doi":"10.34172/aim.28887","DOIUrl":"10.34172/aim.28887","url":null,"abstract":"<p><strong>Background: </strong>Ulcerative colitis (UC) is a form of inflammatory bowel disease (IBD) marked by rectal and colon inflammation, leading to relapsing symptoms. Its prevalence is increasing, particularly in developed nations, impacting patients' health. While its exact cause remains unclear, genetic and environmental factors are implicated, elevating the risk of colorectal cancer (CRC). Colectomy, though declining, is still performed in select UC cases, necessitating further study.</p><p><strong>Methods: </strong>We analyzed data from the Iranian Registry of Crohn's and Colitis (IRCC) to examine UC patients undergoing colectomy. We collected demographic and clinical data from 91 patients, focusing on dysplasia. Statistical analyses assessed dysplasia risk factors.</p><p><strong>Results: </strong>Patients with dysplasia were older at diagnosis and surgery compared to those without dysplasia. Age emerged as a significant risk factor for dysplasia in UC patients undergoing colectomy. No significant associations were found between dysplasia and other factors.</p><p><strong>Conclusion: </strong>Age plays a crucial role in dysplasia risk among UC patients undergoing colectomy. Older age at diagnosis and surgery may indicate a higher risk of dysplasia and CRC. Clinicians should consider age when managing UC patients and implementing screening protocols. Further research with larger samples is needed to confirm these findings.</p>","PeriodicalId":55469,"journal":{"name":"Archives of Iranian Medicine","volume":"27 7","pages":"350-356"},"PeriodicalIF":1.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11316182/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141790002","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}
引用次数: 0
Effects of World War II on Infectious Diseases in the Persian Gulf. 第二次世界大战对波斯湾传染病的影响。
IF 1 4区 医学
Archives of Iranian Medicine Pub Date : 2024-07-01 DOI: 10.34172/aim.28778
Mohmmad Jafar Chamankar
{"title":"Effects of World War II on Infectious Diseases in the Persian Gulf.","authors":"Mohmmad Jafar Chamankar","doi":"10.34172/aim.28778","DOIUrl":"10.34172/aim.28778","url":null,"abstract":"<p><p>With the allied invasion, the southern half of Iran became the scene of a large presence of British and American occupation forces. The negative consequences of the styling of foreign elements during all the years of war and even afterward affected these areas in various dimensions of their health. The negative consequences of the occupation of southern Iran, the health and healthcare system of this part of Iran suffered problems in various forms of shortage of medicines, equipment, and treatment staff, especially the spread of various infectious and communicable diseases. The article aims to examine the effects of World War II on the southern, southwestern, and eastern regions of Iran from 1939 to 1945 and its consequences in the spread of infectious diseases in these regions. The research with an analytical-historical method relies on the library method and is based on the study of the data of unpublished documents from the archives of the National Archives and Library Organization, medical and economic social publications, and various local and public newspapers of Iran during this period. The study of documents and publications shows that due to Allied restrictive policies and successive waves of famine and widespread malnutrition, epidemic diseases, and drug monopoly, these areas experienced a period of severe decline in public health and spread of various infectious diseases.</p>","PeriodicalId":55469,"journal":{"name":"Archives of Iranian Medicine","volume":"27 7","pages":"403-406"},"PeriodicalIF":1.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11316189/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141790004","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}
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