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Alborzi AR, Mehdizadeh A, Hamidinejat H, Tabandeh M, Borujeni MP. Morphometric and phylogenetic study of Haemonchus isolates in small ruminants from mountainous (Lorestan) and plain (Khuzestan) regions of Iran. Small Rumin Res 2023. [DOI: 10.1016/j.smallrumres.2023.106913] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
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2
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Emadzadeh M, Mehdizadeh A, Sharifan P, Khoshakhlagh M, Sahebi R, Sadeghi R, A Ferns G, Ghayour-Mobarhan M. The Effects of Vitamin D Fortified Products on Bone Bi-omarkers: A Systematic Review and Meta-Analysis. ijph 2022; 51:278-291. [PMID: 35866135 PMCID: PMC9273499 DOI: 10.18502/ijph.v51i2.8681] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/06/2021] [Accepted: 03/17/2021] [Indexed: 11/24/2022]
Abstract
Background: Vitamin D plays an essential role in the regulation of bone metabolism. The current meta-analysis aimed to assess the effectiveness of vitamin D fortification on special bone biomarkers. Methods: Five main databases (PubMed/Medline, ISI Web of Knowledge, Science Direct, Scopus, Cochrane Library as well as Science Direct, and Scopus) were considered for this systematic review, until Jan 2020. All randomized controlled trials were included to evaluate the probable relationship between consumption of vitamin D fortification products and bone biomarkers profile in this review. Results: Among serum bone biomarkers (osteocalcin and telopeptides of type-1 collagen) investigated, only the level of telopeptides of type-1 collagen significantly decreased after fortification of vitamin D in the intervention group. A significant increase in vitamin D was seen in those older than 18 yr old, while the increase in younger children was not statistically significant between intervention and control groups. Conclusion: Vitamin D fortification was not associated with a significant improvement in bone mass density (BMD), while it resulted in decreased PTH levels. Vitamin D fortified foods have some benefits on bone health due to increase in the level of vitamin D and IGF-1; and decreasing PTH and CTx levels.
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Affiliation(s)
- Maryam Emadzadeh
- Clinical Research Development Unit, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Atieh Mehdizadeh
- Department of Clinical Nutrition, Qaem Educational, Research and Treatment Center, Mashhad University of Medical Sciences, Mash-had, Iran
| | - Payam Sharifan
- Department of Nutrition, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Mahdieh Khoshakhlagh
- Department of Medical Biochemistry, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Reza Sahebi
- Department of Modern Sciences and Technologies, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
- Department of Molecular Medicine, School of Advanced Technologies, Shahrekord University of Medical Sciences, Shahrekord, Iran
| | - Ramin Sadeghi
- Nuclear Medicine Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Gordon A Ferns
- Brighton & Sussex Medical School, Division of Medical Education, Brighton, UK
| | - Majid Ghayour-Mobarhan
- Metabolic Syndrome Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
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Roudi F, Khademi G, Mehdizadeh A, Ranjbar G, Rafatpanah H, Esmaily H, Nematy M. Low selenium serum levels are associated with poor clinical outcomes in critically ill children. Clin Nutr ESPEN 2020. [DOI: 10.1016/j.clnesp.2020.09.292] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Norouzian-Ostad A, A. jangjoo, Mehdizadeh A, Rezvani R, Rajabzadeh F, Khadem-Rezaiyan M, Nematy M. Effect of Roux-en-Y gastric bypass on liver steatosis and fibrosis in in patients with nonalcoholic fatty liver disease after 2 years. Clin Nutr ESPEN 2020. [DOI: 10.1016/j.clnesp.2020.09.149] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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5
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Mehdizadeh A, Vatanparast H, Khadem-Rezaiyan M, Norouzy A, Abasalti Z, Rajabzadeh M, Nematy M. Validity and Reliability of the Persian Version of Nutrition Screening Tool for Every Preschooler (NutriSTEP®) in Iranian Preschool Children. J Pediatr Nurs 2020; 52:e90-e95. [PMID: 32057639 DOI: 10.1016/j.pedn.2020.01.011] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/09/2019] [Revised: 01/26/2020] [Accepted: 01/26/2020] [Indexed: 11/18/2022]
Abstract
BACKGROUNDS To assess the validity and reliability of the Persian version of Nutrition Screening Tool for Every Preschooler (NutriSTEP®), a community-based nutrition screening tool in preschool children. DESIGN AND METHODS A cross-cultural validation study was conducted on 192 Iranian preschool children in Mashhad, Iran. Forward and backward translation and face validity was assessed. Criterion validity was confirmed by nutritionist risk score which was determined by an expert physician. Content validity, construct validity and reliability of the Persian version was assessed as well. Receiver operating characteristic (ROC) curve was used to detect the reasonable cut-points for the Persian version. FINDINGS Content validity index and ratio ranged between 0.9 and 1 and 0.63-1, which both were acceptable. NutriSTEP® scores were significantly different in the three categories of nutritionist risk scores (p = .007). Item-to-scale correlation analysis shows significant correlation between each item and the total score. A significant correlation was seen between test-retest scores of NutriSTEP® (r = 0.68, p < .001). In Persian NutriSTEP®, scores 27 and 31 seems to better reflect the nutrition risk in Iranian preschool children population and are suggested as cut-points; Therefore, scores lower or equal to 27 are determined as mild risk and 28-31 as moderate risk, while scores higher than 31 are categorized as high risk. CONCLUSION The Persian NutriSTEP® questionnaire is both valid and reliable for the screening of nutrition risk in preschool children of the Iranian population. PRACTICE IMPLICATIONS Health care professionals may use the NutriSTSP® tool to find nutritionally high risk children as an important step to prevent childhood obesity.
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Affiliation(s)
- Atieh Mehdizadeh
- Department of Clinical Nutrition, Qaem Educational, Research and Treatment Center, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Hassan Vatanparast
- College of Pharmacy and Nutrition, University of Saskatchewan, Saskatoon, Canada
| | - Majid Khadem-Rezaiyan
- Clinical Research Development Unit, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Abdolreza Norouzy
- Department of Nutrition, Faculty of Medicine, Mashhad University of Medical Science, Mashhad, Iran
| | - Zahra Abasalti
- Community Nutrition Department, Province Health Center, Mashhad University of Medical Science, Mashhad, Iran
| | | | - Mohsen Nematy
- Metabolic Syndrome Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
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Mehdizadeh A, Nematy M, Vatanparast H, Khadem-Rezaiyan M, Emadzadeh M. Impact of Parent Engagement in Childhood Obesity Prevention Interventions on Anthropometric Indices among Preschool Children: A Systematic Review. Child Obes 2020; 16:3-19. [PMID: 31479311 DOI: 10.1089/chi.2019.0103] [Citation(s) in RCA: 25] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
Background: Home environment, modeling of weight-related behaviors, and general parenting style are very important predictors of obesity in children. The effect of parent engagement in prevention of obesity in children is not clear. The main objective of this systematic review was to address the effects of parent engagement in obesity prevention interventions on anthropometric changes among preschool children. Methods: PubMed/Medline, Cochrane Library, ISI Web of Knowledge, Scopus, Science Direct, and Google Scholar were searched. Eligible studies were randomized controlled trials in last 10 years (from 2008 until February 14, 2018), which had a parent engagement in obesity prevention interventions (as an intervention) and children's anthropometric indices (as an outcome). Results: Twenty-six studies were included. Half of studies targeted both parents and children, and the rest targeted only parents. Types of interventions ranged from a simple motivational interviewing to professional skill training approaches. Studies that targeted overweight or obese children in their intervention containing training sessions followed by maintenance for parents and those that focused on individual support for overweight children and their parents, resulted in higher improvement in BMI and other outcomes. Conclusions: Anthropometric indices and BMI are not appropriate for reflecting the effectiveness of parent engagement in obesity prevention interventions. Having an individual component in the intervention and focusing more on parents vs. children in the intervention may result in improvement in anthropometric outcomes. Focusing on weight-related behaviors as the main outcome in both, children and parents, rather than anthropometric indices, is highly recommended for future reviews.
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Affiliation(s)
- Atieh Mehdizadeh
- Department of Clinical Nutrition, Qaem Educational, Research, and Treatment Center, Mashhad University of Medical Science, Mashhad, Iran
| | - Mohsen Nematy
- Metabolic Syndrome Research Centers, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Hassan Vatanparast
- College of Pharmacy and Nutrition, University of Saskatchewan, Saskatoon, Canada
| | - Majid Khadem-Rezaiyan
- Clinical Research Unit, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Maryam Emadzadeh
- Clinical Research Unit, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
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Mehdizadeh A, Alavi A, Piguet V, Sibbald G, Vernich L, Marchand M, Rosella L, Hu H, Laporte A, Bashash M. Surgically resected hidradenitis suppurativa: a population-based cost analysis. Br J Dermatol 2019; 182:1300-1301. [PMID: 31774145 DOI: 10.1111/bjd.18738] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Affiliation(s)
- A Mehdizadeh
- Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada
| | - A Alavi
- Division of Dermatology, Women's College Hospital, Toronto, ON, Canada
| | - V Piguet
- Division of Dermatology, Women's College Hospital, Toronto, ON, Canada.,Division of Dermatology, Department of Medicine, University of Toronto, Toronto, ON, Canada
| | - G Sibbald
- Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.,Division of Dermatology, Women's College Hospital, Toronto, ON, Canada
| | - L Vernich
- Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada
| | - M Marchand
- Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada
| | - L Rosella
- Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada
| | - H Hu
- School of Public Health, University of Washington, Seattle, WA, U.S.A
| | - A Laporte
- Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.,Canadian Centre for Health Economics, Toronto, ON, Canada
| | - M Bashash
- Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada
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Mehdizadeh A, Shafiee M, Khadem-Rezaiyan M, Sardar MA, Vatanparast H, Rose E, Rajabzadeh M, Nematy M. Evidence for the Validity of the Children's Attraction to Physical Activity (CAPA) Scale in Iranian Preschool Children. J Pediatr Nurs 2019; 44:e52-e57. [PMID: 30414753 DOI: 10.1016/j.pedn.2018.10.021] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/29/2018] [Revised: 09/11/2018] [Accepted: 10/31/2018] [Indexed: 11/19/2022]
Abstract
PURPOSE The escalating trend of overweight and obesity is a major global health challenge and needs particular attention. There are a number of reasons for this increase, but the dominant one appears to be the pandemic of physical inactivity. It is now clear that children's attraction to physical activity is an important promising factor in children's physical activity involvement. In this study, we aimed to cross-validate the long version of children's attraction to physical activity (CAPA) scale in Iranian preschool children. DESIGN AND METHODS Evidence for the validity of the scale was based on face validity, content validity, and internal consistency. The scale was translated into Persian and underwent forward translation, synthesis of the translation and backward translation. Face and content validity were subsequently assessed on individuals and expert panels. A sample of 30 preschool children (5-6 years of age) were randomly selected from three kindergartens. Children were interviewed by their kindergarten teachers. RESULTS Internal consistency for each of the five subscales of the CAPA scale was evaluated through Cronbach's alpha. The internal consistency was acceptable for most of the subscales when negative statements were excluded from the analyses. CONCLUSIONS The results supported the use of modified version of Persian-language long CAPA scale for Iranian preschool children, with the deletion of negatively worded items. PRACTICE IMPLICATIONS Health care professionals may use the CAPA when assessing the attraction of children toward physical activity and its potential involvement in childhood obesity.
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Affiliation(s)
- Atieh Mehdizadeh
- Department of Nutrition, Faculty of Medicine, Mashhad University of Medical Science, Mashhad, Iran
| | - Mojtaba Shafiee
- Department of Nutrition, Faculty of Medicine, Mashhad University of Medical Science, Mashhad, Iran; Student Research Committee, Mashhad University of Medical Science, Mashhad, Iran
| | - Majid Khadem-Rezaiyan
- Department of Community Medicine, Mashhad University of Medical Science, Mashhad, Iran
| | - Mohammad Ali Sardar
- Department of General Courses, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Hassan Vatanparast
- College of Pharmacy and Nutrition, University of Saskatchewan, Saskatoon, Canada
| | - Elizabeth Rose
- Institute of Health Research, University of Notre Dame Fremantle, Western Australia, Australia
| | | | - Mohsen Nematy
- Department of Nutrition, Faculty of Medicine, Mashhad University of Medical Science, Mashhad, Iran; Metabolic Syndrome Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
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Mehdizadeh A, Nematy M, Khadem-Rezaiyan M, Ghayour-Mobarhan M, Sardar MA, Leis A, Humbert L, Bélanger M, Vatanparast H. A Customized Intervention Program Aiming to Improve Healthy Eating and Physical Activity Among Preschool Children: Protocol for a Randomized Controlled Trial (Iran Healthy Start Study). JMIR Res Protoc 2018; 7:e11329. [PMID: 30578226 PMCID: PMC6324517 DOI: 10.2196/11329] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2018] [Revised: 08/14/2018] [Accepted: 09/04/2018] [Indexed: 01/13/2023] Open
Abstract
Background Prevention of childhood obesity is a key approach to the primary prevention of noncommunicable diseases. Several models, based on the population health approach and aligned with ecological models, are used to design childhood obesity prevention programs around the world. Objective This study aims to introduce the design and evaluation plan of “Iran Healthy Start (IHS)/Aghazi Salem, Koodake Irani”—the customized Iranian version of Canadian Healthy Start/Départ Santé health promotion program—which is now being developed in Mashhad University of Medical Sciences (Mashhad, Iran) and focuses on improving physical activity and healthy eating among preschool children. Methods We will evaluate the intervention using a pilot randomized controlled design. The components of intervention include customized Decoda Web-based resources for children, an implementation guide for educators and managers, training and monitoring, communication and knowledge exchange, building partnership, and parent engagement. Outcomes include changes in anthropometry, physical activity level, nutritional risk status and dietary intake, and quality of life. Results The project is funded by Mashhad University of Medical Sciences. The intervention was completed by the end of March 2018, and the analysis is currently under way. The first results of the IHS intervention program are expected to be submitted for publication in December 2018. Conclusions The double burden of malnutrition in early years children is a major health concern in developing countries. This justifies the need for health promotion programs that are specifically designed to target both overnutrition and undernutrition prevention. If the efficacy approved, the IHS could potentially be a comprehensive health promotion program for young children whose lifestyle behaviors can be improved toward a healthy future life in a nutrition transition setting. Trial Registration International Clinical Trials Registry Platform IRCT2016041927475N1; https://en.irct.ir/trial/22497 International Registered Report Identifier (IRRID) RR1-10.2196/11329
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Affiliation(s)
- Atieh Mehdizadeh
- School of Medicine, Mashhad University of Medical Sciences, Mashhad, Islamic Republic of Iran
| | - Mohsen Nematy
- School of Medicine, Mashhad University of Medical Sciences, Mashhad, Islamic Republic of Iran
| | - Majid Khadem-Rezaiyan
- School of Medicine, Mashhad University of Medical Sciences, Mashhad, Islamic Republic of Iran
| | - Majid Ghayour-Mobarhan
- School of Medicine, Mashhad University of Medical Sciences, Mashhad, Islamic Republic of Iran
| | - Mohammad Ali Sardar
- School of Medicine, Mashhad University of Medical Sciences, Mashhad, Islamic Republic of Iran
| | - Anne Leis
- College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada
| | - Louise Humbert
- College of Kinesiology, University of Saskatchewan, Saskatoon, SK, Canada
| | - Mathieu Bélanger
- Department of Family Medicine, Université de Sherbrooke, Moncton, NB, Canada
| | - Hassan Vatanparast
- College of Pharmacy and Nutrition, University of Saskatchewan, Saskatoon, SK, Canada
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Mehdizadeh A. British National Formulary: Instant interactions online. Br Dent J 2018; 225:580. [DOI: 10.1038/sj.bdj.2018.877] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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Siddiqui M, Chand M, Eng C, Mehdizadeh A, Mirnezami A, Brown G. Session 2: Mutational discordance: the big challenge in personalized treatments - any solutions? Colorectal Dis 2018; 20 Suppl 1:49-51. [PMID: 29878676 DOI: 10.1111/codi.14079] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
The great challenge for oncologists treating patients who are developing or progressing with metastatic disease is to be able to offer a truly personalized and targeted therapy that can have an early and meaningful effect on the course of the disease. At present the known molecular markers are limited in their frequency and reliability in determining the use of newer chemotherapies. Professor Eng discusses the challenges faced in ensuring timely and effective treatments based on the molecular profile of the tumour and the potential role of real-time analysis of mutational changes in the tumour when progression occurs.
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Affiliation(s)
- M Siddiqui
- The Royal Marsden NHS Foundation Trust, Croydon University Hospital, Croydon, UK
| | - M Chand
- University College London Hospital, London, UK
| | - C Eng
- Department of Gastrointestinal (GI) Medical Oncology, Division of Cancer Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA
| | - A Mehdizadeh
- Department of Gastrointestinal (GI) Medical Oncology, Division of Cancer Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA
| | | | - G Brown
- The Royal Marsden NHS Foundation Trust, London, UK.,Imperial College London, London, UK
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Thorlacius L, Garg A, Ingram J, Villumsen B, Theut Rii P, Gottlieb A, Merola J, Dellavalle R, Ardon C, Baba R, Bechara F, Cohen A, Daham N, Davis M, Emtestam L, Fernández-Peñas P, Filippelli M, Gibbons A, Grant T, Guilbault S, Gulliver S, Harris C, Harvent C, Houston K, Kirby J, Matusiak L, Mehdizadeh A, Mojica T, Okun M, Orgill D, Pallack L, Parks-Miller A, Prens E, Randell S, Rogers C, Rosen C, Choon S, van der Zee H, Christensen R, Jemec G. 化脓性汗腺炎研究的核心结果的全球共识:历史性共识会议I和II的更新. Br J Dermatol 2018. [DOI: 10.1111/bjd.16462] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Thorlacius L, Garg A, Ingram J, Villumsen B, Theut Rii P, Gottlieb A, Merola J, Dellavalle R, Ardon C, Baba R, Bechara F, Cohen A, Daham N, Davis M, Emtestam L, Fernández-Peñas P, Filippelli M, Gibbons A, Grant T, Guilbault S, Gulliver S, Harris C, Harvent C, Houston K, Kirby J, Matusiak L, Mehdizadeh A, Mojica T, Okun M, Orgill D, Pallack L, Parks-Miller A, Prens E, Randell S, Rogers C, Rosen C, Choon S, van der Zee H, Christensen R, Jemec G. Towards global consensus on core outcomes for hidradenitis suppurativa research: an update from the HISTORIC consensus meetings I and II. Br J Dermatol 2018. [DOI: 10.1111/bjd.16396] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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14
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Thorlacius L, Garg A, Ingram JR, Villumsen B, Theut Riis P, Gottlieb AB, Merola JF, Dellavalle R, Ardon C, Baba R, Bechara FG, Cohen AD, Daham N, Davis M, Emtestam L, Fernández-Peñas P, Filippelli M, Gibbons A, Grant T, Guilbault S, Gulliver S, Harris C, Harvent C, Houston K, Kirby JS, Matusiak L, Mehdizadeh A, Mojica T, Okun M, Orgill D, Pallack L, Parks-Miller A, Prens EP, Randell S, Rogers C, Rosen CF, Choon SE, van der Zee HH, Christensen R, Jemec GBE. Towards global consensus on core outcomes for hidradenitis suppurativa research: an update from the HISTORIC consensus meetings I and II. Br J Dermatol 2018; 178:715-721. [PMID: 29080368 DOI: 10.1111/bjd.16093] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/16/2017] [Indexed: 01/12/2023]
Abstract
BACKGROUND A core outcomes set (COS) is an agreed minimum set of outcomes that should be measured and reported in all clinical trials for a specific condition. Hidradenitis suppurativa (HS) has no agreed-upon COS. A central aspect in the COS development process is to identify a set of candidate outcome domains from a long list of items. Our long list had been developed from patient interviews, a systematic review of the literature and a healthcare professional survey, and initial votes had been cast in two e-Delphi surveys. In this manuscript, we describe two in-person consensus meetings of Delphi participants designed to ensure an inclusive approach to generation of domains from related items. OBJECTIVES To consider which items from a long list of candidate items to exclude and which to cluster into outcome domains. METHODS The study used an international and multistakeholder approach, involving patients, dermatologists, surgeons, the pharmaceutical industry and medical regulators. The study format was a combination of formal presentations, small group work based on nominal group theory and a subsequent online confirmation survey. RESULTS Forty-one individuals from 13 countries and four continents participated. Nine items were excluded and there was consensus to propose seven domains: disease course, physical signs, HS-specific quality of life, satisfaction, symptoms, pain and global assessments. CONCLUSIONS The HISTORIC consensus meetings I and II will be followed by further e-Delphi rounds to finalize the core domain set, building on the work of the in-person consensus meetings.
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Affiliation(s)
- L Thorlacius
- Department of Dermatology, Zealand University Hospital, Roskilde, Health Sciences Faculty, University of Copenhagen, Denmark.,Musculoskeletal Statistics Unit, The Parker Institute, Bispebjerg and Frederiksberg Hospital, the Capital Region of Denmark, Copenhagen, Denmark
| | - A Garg
- Department of Dermatology, Hofstra Northwell School of Medicine, New Hyde Park, NY, U.S.A
| | - J R Ingram
- Institute of Infection and Immunity, University Hospital of Wales, Heath Park, Cardiff, U.K
| | - B Villumsen
- Patient Representative, The Patients' Association HS Denmark, Denmark
| | - P Theut Riis
- Department of Dermatology, Zealand University Hospital, Roskilde, Health Sciences Faculty, University of Copenhagen, Denmark
| | - A B Gottlieb
- Department of Dermatology, New York Medical College, Valhalla, NY, U.S.A
| | - J F Merola
- Harvard Medical School, Boston, MA, U.S.A.,Department of Dermatology and Department of Medicine, Division of Rheumatology
| | - R Dellavalle
- Dermatology Service, U.S. Department of Veteran Affairs Medical Centre, Denver, CO, U.S.A
| | - C Ardon
- Department of Dermatology, Erasmus MC, University Medical Center, Rotterdam, the Netherlands
| | - R Baba
- Former National Advisor to the Ministry of Health, Malaysia
| | - F G Bechara
- Department of Dermatologic Surgery, St Josef Hospital, Ruhr-University, Bochum, Germany
| | - A D Cohen
- Siaal Research Center for Family Medicine and Primary Care, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.,Chief Physician's Office, Department of Quality Measurements and Research, Clalit Health Services, Tel-Aviv, Israel
| | - N Daham
- Department of Dermatology, Tufts Medical Center, Boston, MA, U.S.A
| | - M Davis
- Department of Dermatology, Mayo Clinic, Rochester, MN, 5590, U.S.A
| | - L Emtestam
- Department of Dermatology, Karolinska University Hospital, Stockholm, Sweden
| | - P Fernández-Peñas
- Department of Dermatology, Westmead Hospital, Sydney Medical School, The University of Sydney, Sydney, Australia
| | | | - A Gibbons
- Patient Representatives, The Hidradenitis Suppurativa Trust, Rochester, U.K
| | - T Grant
- Patient Representative, Tucson, AZ, U.S.A
| | - S Guilbault
- Patient Representative, Hope for HS, Detroit, MI, U.S.A
| | - S Gulliver
- Department of Research, Newlab Clinical Research, NL, Canada
| | - C Harris
- Patient Representative, Cardiff, U.K
| | - C Harvent
- Patient Representative, Patients' Association: La Maladie de Verneuil en Belgique, Erbisoeul, Belgium
| | - K Houston
- Patient Representatives, The Hidradenitis Suppurativa Trust, Rochester, U.K
| | - J S Kirby
- Department of Dermatology, Penn State Hershey Medical Center, Hershey, PA, U.S.A
| | - L Matusiak
- Department of Dermatology, Venereology and Allergology, Wrocław Medical University, Wrocław, Poland
| | - A Mehdizadeh
- Dalla Lana School of Public Health, University of Toronto, ON, Canada
| | - T Mojica
- Patient Representative, Brick, NJ, U.S.A
| | - M Okun
- Fort HealthCare, Fort Atkinson, WI, U.S.A
| | - D Orgill
- Division of Plastic Surgery, Brigham and Women's Hospital, Boston, MA, U.S.A
| | - L Pallack
- Patient Representative, Longmont, CO, U.S.A
| | - A Parks-Miller
- Hope for HS, Detroit, MI, U.S.A.,Hidradenitis Suppurativa Foundation, Inc., Santa Monica, CA, U.S.A.,Department of Dermatology, Henry Ford Hospital, Detroit, MI, U.S.A
| | - E P Prens
- Dermatology Service, U.S. Department of Veteran Affairs Medical Centre, Denver, CO, U.S.A
| | - S Randell
- Patient Representative, Hope for HS, Detroit, MI, U.S.A
| | - C Rogers
- Patient Representative, HS Aware, Toronto, ON, Canada
| | - C F Rosen
- Division of Dermatology, Toronto Western Hospital, University of Toronto, Toronto, ON, Canada
| | - S E Choon
- Department of Dermatology, Hospital Sultanah Aminah, Johor Bahru, Malaysia
| | - H H van der Zee
- Dermatology Service, U.S. Department of Veteran Affairs Medical Centre, Denver, CO, U.S.A.,Department of Dermatology, Havenziekenhuis, Rotterdam, the Netherlands
| | - R Christensen
- Musculoskeletal Statistics Unit, The Parker Institute, Bispebjerg and Frederiksberg Hospital, the Capital Region of Denmark, Copenhagen, Denmark
| | - G B E Jemec
- Department of Dermatology, Zealand University Hospital, Roskilde, Health Sciences Faculty, University of Copenhagen, Denmark
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15
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Sadeghi M, Mehdizadeh A, Tafi M, Faghihi R, Sina S, Meigooni A, Shabestani Monfared A. EP-1503: The effect of tandem-ovoid applicator on the dose distribution in GYN brachytherapy using Ir-192. Radiother Oncol 2017. [DOI: 10.1016/s0167-8140(17)31938-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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16
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Zarei-Shargh P, Youzbashian E, Mehdizadeh A, Imani B, Khademi G. SUN-P015: Impact of Nutrition Support Team on Postoperative Nutritional Status and Clinical Outcome in Pediatric Patients with Congenital Gastrointestinal Anomalies. Clin Nutr 2016. [DOI: 10.1016/s0261-5614(16)30358-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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17
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Emami-Meibodi M, Parsaeian M, Amraei R, Banaei M, Anvari F, Tahami S, Vakhshoor B, Mehdizadeh A, Fallah Nejad N, Shirmardi S, Mostafavi S, Mousavi S. An experimental investigation of wastewater treatment using electron beam irradiation. Radiat Phys Chem Oxf Engl 1993 2016. [DOI: 10.1016/j.radphyschem.2016.03.011] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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18
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Darabi M, Mohammadzadeh F, Darabi M, Fayezi S, Mosayebi G, Shaaker M, Mehdizadeh A. Fatty Acid Composition of Tissue Cultured Breast Carcinoma: Effect of Stearoyl-Coa Desaturase-1 (SCD-1) Inhibitor. Ann Oncol 2014. [DOI: 10.1093/annonc/mdu069.5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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19
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Fayezi S, Darabi M, Darabi M, Nouri M, Rahimipour A, Mehdizadeh A. Analysis of follicular fluid total phospholipids in women undergoingin-vitrofertilisation. J OBSTET GYNAECOL 2014; 34:259-62. [DOI: 10.3109/01443615.2013.851657] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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20
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Abstract
Bladder cancer cells appear to have an altered lipid metabolism as evidenced by modulated lipogenic enzymes. The aim of this study is to investigate differences in tissue fat composition between malignant and adjacent normal urinary bladder tissue. Normal-appearing and malignant bladder tissues were collected from 31 patients with high-grade (Ta) urothelial carcinoma during transurethral resection (TUR). The fatty acid composition in the tissue was determined by gas liquid chromatography. In the bladder cancer tissue, levels of stearic acid (18:0; P = 0.01) and oleic acid (18:1n-9; P = 0.03) were higher, and the level of arachidonic aid (20:4n-6; P < 0.001) was lower than that in the normal-appearing bladder. Overall, bladder cancer tissue showed a significant reduction in total n-6 polyunsaturated fatty acid (-15.1%; P < 0.001). The change in the fatty acid composition may be regarded as an indicator of altered lipid metabolism occurring in vivo during human bladder tumourigenesis.
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Affiliation(s)
- J Miryaghoubzadeh
- Department of Biochemistry, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
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21
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Mirshokraei P, Hassanpour H, Mehdizadeh A, Akhavan Taheri M. Pentoxifylline induces capacitation and acrosome reaction and improves quality of motility in canine ejaculated spermatozoa. Res Vet Sci 2011; 91:281-4. [DOI: 10.1016/j.rvsc.2011.01.002] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2010] [Revised: 10/09/2010] [Accepted: 01/02/2011] [Indexed: 11/26/2022]
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22
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Ghaffarinejad A, Mehdizadeh A. Evaluating dream contents in patients with migraine. Eur Psychiatry 2011. [DOI: 10.1016/s0924-9338(11)72697-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
IntroductionMigraine is a common headache and sometimes it's nocturnal attack awake patients while dreaming. Some dream contents accelerate migraine attacks. In this study the relationship between dream contents and migrainous headaches was evaluated.MethodsThe study was done in 185 patients with migraine in a period of 2 years. Diagnosis of migraine had done according to IHS criteria. Dreams had been analyzed by Hall Van de castle test. Data were analyzed by Spss V.17 software.ResultsOne hundred and thirty three patients out of 185 patients were female. The average number of attacks per month was higher in group with nocturnal migraine (P = 0.006). 231 dreams were noted from 130 patients. Patients with nocturnal migraine remember and noted more dreams (P = 0.02). Aggression in dreams contents have no significant relationship with nocturnal migraine and post dreaming headaches. Dreams with contents of friendliness, Sexual and misfortune was more prevalent in patients with nocturnal migraine (P = 0.001). Contents of sadness, misfortune, confusion and sexual materials (P = 0.001) and failure (P = 0.039) accelerated the migraine attacks.DiscussionPositive and negative Emotions lead to increasing the headache attacks. Studying dream contents in different migrenous patients with different cultures is a matter of concern and may help to understand patient's psychopathology.
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Abstract
The aim of the present study was to explore differences in the clinical expression, clinical diagnoses and management of airway diseases in a primary-care setting. Patients aged >or=35 yrs who had ever smoked were enrolled when they presented for any reason to one of eight rural primary-care practices. Respiratory symptom questionnaires and spirometry were administered. In total, 1,034 patients had acceptable and reproducible spirometry, of whom 550 (53%) were males and 484 (47%) were females. Males smoked more than females (41.2 versus 29.2 pack-yrs) respectively, and were more likely to have a pre-bronchodilator forced expiratory volume in one second/forced vital capacity <0.70 at 22.4 versus 11.8%, respectively. However, more females than males reported breathlessness (51.0 versus 42.8%, respectively), a prior diagnosis compatible with airflow obstruction and taking respiratory medications (23.4 versus 14.9%, respectively). In conclusion, the current results suggest that females are more likely than males to report breathlessness and be prescribed respiratory medications independent of differences in the severity of airflow obstruction.
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Affiliation(s)
- R E Dales
- Dept of Medicine, University of Ottawa, Canada.
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24
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Abstract
Repeated access to the circulation is essential to perform adequate maintenance hemodialysis (HD). Dysfunction of fistulae is the most common reason for a second intervention and recurrent hospitalization. The aim of this study was to evaluate the complications of HD fistulas seeking to evaluate the impact of age, site of arteriovenous fistula (AVF) (proximal or distal), side (left or right), and history of previous vascular access. We evaluated the clinical complications in 273 patients from the beginning of the use of the current access using the history and physical examination obtained at every dialysis session. We performed further investigations including doppler ultrasound or spiral computed tomography to confirm the clinical diagnosis. Of our patients, 40% had diabetes mellitus as the cause of end-stage renal disease. Almost half (49%) the patients dialyzed through an AVF and 13% with a catheter. One hundred eighty-four cases (67.6%) experienced complications. Of 145 cases that had elbow AVFs, 103 cases (71%) had complications; of 128 cases with wrist AVFs, 80 cases (62.5%) had complications. There were 115 (62.5%) complicated cases among 185 patients with left AVFs, and 69 (78%) among 88 patients with right AVFs. The rate of AVF complications increased with age. The 1-year survival rate was 94%. We did not observe any significant difference between AVF complications in patients with diabetes mellitus or hypertension as the underlying cause of renal failure. Mean cholesterol plasma level did not differ significantly between the patients with and without AVF complications. Mean hematocrit levels were not significantly different between the two groups. However, mean EPO weekly dose was significantly higher among the group of patients with AVF complications. We did find that rate of complications increased with age (P<.05). Our results showed that the frequency of complications was higher among patients with elbow and right-side AVFs, and also among patients with a history of a previous failed shunt but no significant relationship was observed between these variables (P>.05).
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Affiliation(s)
- H Salahi
- Southern Iran Organ Transplant Center, Fars, Iran.
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25
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Fazelzadeh A, Mehdizadeh A, Ostovan MA, Raiss-Jalali GA. Incidence of cardiovascular risk factors and complications before and after kidney transplantation. Transplant Proc 2006; 38:506-8. [PMID: 16549161 DOI: 10.1016/j.transproceed.2006.01.001] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
BACKGROUND Cardiovascular disease is a leading cause of death after renal transplantation with an incidence considerably higher than that in the general population. The aim of this study was to evaluate the association of atherosclerotic cardiovascular complications and the prevalence of cardiovascular risk factors prior to and following transplantation. PATIENTS AND METHODS Atherosclerotic cardiovascular diseases including coronary artery disease, as well as cerebral and peripheral vascular disease, and cardiovascular risk factors pre- and posttransplantation were analyzed in 500 renal transplant recipients between 1988 and 1992. The mean recipient age at transplantation was 45 +/- 12 years, with 58% men and 7% diabetics. RESULTS Following transplantation 11.7% developed atherosclerotic cardiovascular diseases, the majority being coronary artery disease (9.8%). Comparison of the risk factors before and after transplantation showed the increased prevalence of systemic hypertension to be 67% to 86%, of diabetes mellitus, 7% to 16%, and obesity, with a body mass index > 25 kg/m2 from 26% to 48%, whereas the number of smokers was halved to 20%. The triglycerides decreased significantly (from 235 +/- 144 mg/dL to 217 +/- 122 mg/dL) but the total and high-density lipoprotein (HDL) cholesterol rose significantly (from 232 +/- 65 mg/dL to 273 +/- 62 mg/dL and from 47 +/- 29 mg/dL to 56 +/- 21 mg/dL, respectively). The low-density lipoprotein (LDL) cholesterol increase was insignificant (from 180 +/- 62 mg/dL to 189 +/- 53 mg/dL). Upon univariate analysis, cardiovascular diseases were significantly associated with male gender; age over 50 years; diabetes mellitus (DM); smoking; total cholesterol > 200 mg/dL; LDL cholesterol > 180 mg/dL; HDL cholesterol < 55 mg/dL; fibrinogen > 350 mg/dL; body mass index > 25 kg/m2; and more than two antihypertensive agents per day. The Cox proportional hazards model revealed DM with a relative risk (RR) of 4.3; age > 50 years (RR = 2.7); body mass index > 25 kg/m2 (RR = 2.6); smoking (RR = 2.5); and LDL cholesterol > 180 mg/dL (RR = 2.3) as independent risk factors. CONCLUSIONS The high incidence of cardiovascular disease following renal transplantation is mainly due to a high prevalence and accumulation of classical risk factors before and following transplantation. The treatment of risk factors must be introduced early in the course of renal failure and continued following transplantation. Future prospective studies should evaluate the success of treatment regarding reduction of cardiovascular morbidity and mortality in this high-risk population.
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Affiliation(s)
- A Fazelzadeh
- Shiraz Transplant Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
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26
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Malek-Hosseini S, Razmkon A, Mehdizadeh A, Salahi H, Bahador A, Raiss-Jalali GH, Roozbeh J, Behzadi S, Salehipour M, Khosravi M, Anbardar MH. Long-Term Results of Renal Transplantation: A Single-Center Analysis of 1200 Transplants. Transplant Proc 2006; 38:454-6. [PMID: 16549145 DOI: 10.1016/j.transproceed.2006.01.020] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
The present study is a report of long-term results of the first 1200 operations from December 1988 to December 2003. Graft and patient survival rates in eligible cases were computed with Kaplan-Meier analysis. Recipients were 808 men, 392 women of mean age 33.6 +/- 12.5 years. Eighty six percent of cases used organs from living donors (40% related, 41% unrelated, and 5% spouses) and 14% from cadaveric source. The most common causes of end-stage renal disease were chronic glomerulonephritis (18.2%); reflux nephropathy (13.4%); and diabetic nephropathy (10.1%). Among 215 (17.9%) patients, 156 patients (13%) died in the posttransplant period. Most common causes of death were cardiovascular (28.3%), graft loss (20.7%), and infections (19.6%). The 1- and 3-year patient survival rates were 94% and 91.5%, and graft survival rates were 88% and 84%. Although the success rate of operations was not satisfactory at the beginning, the current data reflect a >90% survival rate comparable to the major centers in the world.
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Affiliation(s)
- S Malek-Hosseini
- Shiraz Transplant Center, Nemazee Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
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Malek-Hosseini SA, Salahi H, Bahador A, Imanieh MH, Mehdizadeh A, Razmkon A, Anbardar MH, Gholami S. Pediatric Liver Transplantation in the Shiraz Transplant Center. Transplant Proc 2006; 38:594-5. [PMID: 16549183 DOI: 10.1016/j.transproceed.2005.12.104] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- S-A Malek-Hosseini
- Nemazee Hospital, Shiraz (Southern Iran) Organ Transplant Center, Shiraz, Iran
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Abstract
OBJECTIVE To determine the diagnostic accuracy of cytology smears in distinguishing between tube and non-tube structures. METHODS One hundred cytology smears of fallopian tube and non-tube structures (vessels, round and ovarian ligaments) were prepared from surgically removed uterus and fallopian tube specimens and stained by the Papanicolaou method. The slides were reviewed blindly by pathologists and interpreted as tube or non-tube structures. The results were compared to the histological examination of the same specimens. FINDINGS Results indicated an overall accuracy of 97% with a specificity of 98% and sensitivity of 96% for cytology smears, taking histology as the gold standard. Positive and negative predictive values were 96.1% and 97.9%, respectively. CONCLUSION Cytology smears are a convenient and cost effective tool for laboratory confirmation of tubal sterilization. This method can reduce the costs of laboratory examination, especially in developing countries, where tubal sterilizations are done in large cohorts. However, histological slides remain the gold standard in cases of medicolegal problems.
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Affiliation(s)
- B S Aali
- Department of Obstetrics & Gynaecology, Kerman University of Medical Sciences, Kerman, Iran.
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Abstract
A prospective study was conducted of the accuracy of fetal weight estimation comparing clinical and ultrasound estimation with actual birth weight in 200 Iranian pregnant women. The results showed that there was statistically significant difference between clinical estimate of fetal weight and actual birth weight, as well as between ultrasound estimation and actual birth weight. The mean error of clinical estimation was 101 g, or 32 g/kg, for a 3.2% error. The error of ultrasound in the same population was 141 g, or 45 g/kg, for a 4.5% error. Analysis of these data revealed statistically significant difference between the mean error of clinical estimation and ultrasound estimation of fetal weight. Our study indicates that the mean clinical estimate of fetal weight is equal to ultrasound for the estimation of fetal weight in our population. This has important implications for developing countries where there is a lack of technologically advanced ultrasound machines capable of performing sophisticated functions like fetal weight estimation.
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Affiliation(s)
- A Mehdizadeh
- Department of Obstetrics & Gynecology, Iran University of Medical Sciences, Tehran
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Mehdizadeh A, Akbarian A, Movahedi H, Shirazi E, Alaghehbandan R. Pregnancy after failed tubal sterilization in Tehran, Iran. Int J Gynaecol Obstet 2000. [DOI: 10.1016/s0020-7292(00)81499-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Abstract
During the last 4 years three so-called spontaneous perforations of the oesophagus were treated, twice by surgical intervention 12 anys after the rupture. Two patients survived. The classical history of retching or vomiting and retrosternal splitting pain is indicative, wht medium, amidotrizoate sodium (Gastrografin), from the oesophagus. Prognosis depends decisively on the time of operation after the rupture. Direct suture of the rupture with plastic coverage of the defect by sewing on of the gastric fundus or by plication of the fundus have proved valuable.
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