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Mehdikhani B, Benam M, Moradkhani A, Roostaee A, Bahman SS, Barmayoon P, Dezyani G, Safarpour Lima Z. Evaluation of diagnostic value of Doppler ultrasound in the diagnosis of malignant breast masses. Eur J Transl Myol 2024. [PMID: 38536011 DOI: 10.4081/ejtm.2024.12372] [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] [Subscribe] [Scholar Register] [Received: 02/09/2024] [Accepted: 02/25/2024] [Indexed: 04/19/2024] Open
Abstract
Breast cancer is the leading cause of cancer mortality in women, and it is on the rise in Iran. Therefore, an early-stage diagnosis of breast cancer is of critical importance. Because ultrasound is one of the available, inexpensive, and minimally invasive techniques for distinguishing malignant from benign masses, a comparison of conventional ultrasound, color Doppler, and spectral Doppler findings can be useful. The purpose of this study was to determine the diagnostic value of sonographic indices, specifically Doppler parameters, in identifying the nature of breast masses. This is a cross-sectional study, with diagnostic value analysis. Before undergoing a biopsy, 80 patients with breast masses underwent B-mode and Doppler breast ultrasound. The ultrasound findings were then compared to pathologic results to determine which groups were malignant or benign. The resulting data were analyzed using statistical tests and diagnostic values with SPSS 22 software. B-mode grey-scale ultrasound indices such as mass shape, mass margin, mass orientation, and posterior features, as well as Doppler indices such as vascularity, RI (Resistive Index), PI (Pulsatility Index), and PSV (Peak Systolic Velocity), were found to be statistically significant with pathological findings. Color Doppler revealed vascularity in 65% of benign and 84% of malignant masses. The diagnostic value results revealed that mass shape, mass margin, mass orientation, and posterior features all play a significant role in predicting lesion malignancy, with a sensitivity of 92%, 58%, 64%, 56%, and specificity of 59%, 66%, 82%, and 84%, respectively. The RI, PI, and PSV indices were significantly higher in malignant masses, and all of them had remarkable diagnostic values in predicting malignancy, with a (Area Under The Curve) AUC of 0.863, 0.882, 0.702, a sensitivity of 84% and 84%, 68%, and a specificity of 83%, 86%, and 62%, respectively, at the optimal cut-off points (0.65, 1.32, 12.40) obtained from the Receiver Operating Characteristics (ROC) curves.
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Affiliation(s)
- Bahareh Mehdikhani
- Department of Radiology, School of Medicine, Iran University of Medical Sciences (IUMS), Tehran.
| | - Milad Benam
- Department of Radiology, School of Medicine, Iran University of Medical Sciences (IUMS), Tehran.
| | | | - Ayda Roostaee
- Department of Radiology, School of Medicine, Iran University of Medical Sciences (IUMS), Tehran.
| | - Seyedeh Sabahat Bahman
- Department of Radiology, School of Medicine, Iran University of Medical Sciences (IUMS), Tehran.
| | - Pooyan Barmayoon
- Department of Radiology, Firoozgar Clinical Research Development Center (FCRDC), Iran University of Medical Sciences, Tehran.
| | - Ghazaleh Dezyani
- Department of Radiology, School of Medicine, Iran University of Medical Sciences (IUMS), Tehran.
| | - Zeinab Safarpour Lima
- Department of Radiology, School of Medicine, Iran University of Medical Sciences (IUMS), Tehran.
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Hoseinipalangi Z, Pashazadeh Kan F, Hosseinifard H, Doustmehraban M, Masoumi M, Rafiei S, Barmayoon P, Ahmadi N, Dehnad A, Eshtod H, Asl MT, Sadat Hoseini B, Nasiri M, Arian M, Aghalou S, Ghashghaee A. Systematic review and meta-analysis of the quality-of-life of patients with Parkinson's disease. East Mediterr Health J 2023; 29:63-70. [PMID: 36710616 DOI: 10.26719/emhj.23.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/24/2021] [Accepted: 10/19/2022] [Indexed: 01/04/2023]
Abstract
Background Parkinson's disease can adversely affect the quality-of-life. Aims We conducted a systematic review and meta-analysis of global literature on the quality-of-life of patients with Parkinson's disease and examined the association between patient characteristics and quality-of-life. Methods We searched Embase, PubMed, Scopus and Web of Science from January 2000 to January 2020. We included articles published in English that used the Parkinson's disease questionnaire to estimate the quality-of-life score and to identify the determinants of quality-of-life in patients with Parkinson's disease. Results In total, 41 studies with data from 4060 patients who had Parkinson's disease met our inclusion criteria. The overall quality-of-life score was 32.37 (95% confidence intervals (CI): 28.72-36.01). Age and duration of disease were inversely related to quality-of-life (P < 0.001). South America had the highest score on the questionnaire (39.73, 95% CI: 28.66-50.79, P < 0.001), indicating the lowest quality-of-life of patients with Parkinson's disease. Of the 6 World Health Organization regions, the Eastern Mediterranean Region had the highest score (36.28, 95% CI: 23.44-49.13, P < 0.001). Conclusion Although the global score in patients with Parkinson's disease indicated an acceptable quality-of-life, there is a possibility for improvements. The findings of this study can inform evidence-based strategies by health policymakers and clinicians to enhance the quality-of-life of patients with Parkinson's disease.
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Affiliation(s)
- Zahra Hoseinipalangi
- School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Islamic Republic of Iran
| | - Fatemeh Pashazadeh Kan
- School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Islamic Republic of Iran
| | - Hossein Hosseinifard
- Department of Biostatistics, Faculty of Paramedical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Islamic Republic of Iran
| | - Maryam Doustmehraban
- Social Determinants of
- Health Research Center, Qazvin University of Medical Sciences, Qazvin, Islamic Republic of Iran
| | - Maryam Masoumi
- Clinical Research and Development Center, Qom University of Medical Sciences, Qom, Islamic Republic of Iran
| | - Sima Rafiei
- Social Determinants of
- Health Research Center, Qazvin University of Medical Sciences, Qazvin, Islamic Republic of Iran
| | - Pooyan Barmayoon
- Department of Radiology Iran University of Medical Science, Tehran, Islamic Republic of Iran
| | - Niloofar Ahmadi
- School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Islamic Republic of Iran
| | - Afsaneh Dehnad
- Center for Educational Research in Medical Sciences (CERMS), Iran University of Medical Sciences, Tehran, Islamic Republic of Iran
| | - Hajar Eshtod
- Department of Educational Sciences, Urmia Branch, Islamic Azad University, Urmia, Islamic Republic of Iran
| | - Mahsa Tohidi Asl
- School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Islamic Republic of Iran
| | - Batool Sadat Hoseini
- School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Islamic Republic of Iran
| | | | - Moslem Arian
- University of Social Welfare and Rehabilitation Sciences, Tehran, Islamic Republic of Iran
| | - Sepideh Aghalou
- School of Medicine, Iran University of Medical Sciences, Tehran, Islamic Republic of Iran
| | - Ahmad Ghashghaee
- Social Determinants of
- Health Research Center, Qazvin University of Medical Sciences, Qazvin, Islamic Republic of Iran
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Hosseinzadeh R, Hosseini SM, Momeni M, Maghari A, Fathi-Ashtiani A, Ghadimi P, Heiat M, Barmayoon P, Mohamadianamiri M, Bahardoust M, Badri T, Karbasi A. Coronavirus Disease 2019 (COVID-19) Infection-Related Stigma, Depression, Anxiety, and Stress in Iranian Healthcare Workers. Int J Prev Med 2022; 13:88. [PMID: 35958369 PMCID: PMC9362743 DOI: 10.4103/ijpvm.ijpvm_12_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2021] [Accepted: 09/28/2021] [Indexed: 11/15/2022] Open
Abstract
Background Psychological conditions aggravate during outbreaks. Here, we have discussed the existing COVID-19 depression, anxiety, and stress and the resulting stigma and its different aspects in Iranian health care workers and their 1st-degree relatives. Methods In this cross-sectional study, information of our study groups (237 participants including health care workers and their nuclear family members) was collected via two online stigma and depression, anxiety, and stress scale (DASS) questionnaires. Results The DASS questionnaire's mean depression, anxiety, and stress scores were 13.59 ± 5.76, 11.07 ± 4.38, and 15.05 ± 5.86, respectively, in our study population. Marriage status was effective on depression and stress scores. Married participants were having less depression (P = 0.008) but more stressful (P = 0.029) than single ones. Education was found to be effective on anxiety and stress scores. Those with an associate, master, Ph.D., and higher college degrees were significantly less anxious and stressed than those with a diploma or bachelor's degrees (P = 0.032 and 0.016, respectively, for anxiety and stress). Participants with a history of psychiatric conditions showed significantly higher depression, anxiety, and stress rates than those without a past psychiatric condition (P = 0.001). Healthcare workers and their nuclear family members suffer from severe stigma (mean stigma scores were 33.57 and 33.17, respectively). Conclusions Healthcare workers and their nuclear family members in Iran suffer from severe COVID-19 related stigma. We also showed that depression, anxiety, and stress are common among Iranian Healthcare workers and their nuclear family members during this pandemic. This study showed that people with preexisting psychiatric conditions need extra mental care during the pandemic.
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Affiliation(s)
- Ramin Hosseinzadeh
- Baqiyatallah Research Center for Gastroenterology and Liver Diseases (BRCGL), Baqiyatallah University of Medical Sciences, Tehran, Iran
| | - Seyed Morteza Hosseini
- Medicine, Quran and Hadith Research center, Baqiyatallah University of Medical Sciences, Tehran, Iran
| | - Mina Momeni
- Resident of Gynecology, Iran University of Medical Sciences, Tehran, Iran
| | - Amirhossein Maghari
- Atherosclerosis Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
| | - Ali Fathi-Ashtiani
- Behavioral sciences Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
| | - Parmid Ghadimi
- Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran
| | - Mohammad Heiat
- Baqiyatallah Research Center for Gastroenterology and Liver Diseases (BRCGL), Baqiyatallah University of Medical Sciences, Tehran, Iran
| | - Pooyan Barmayoon
- Baqiyatallah Research Center for Gastroenterology and Liver Diseases (BRCGL), Baqiyatallah University of Medical Sciences, Tehran, Iran
| | - Mahdiss Mohamadianamiri
- Department of Obstetrics & Gynecology, Iran University of Medical Sciences, Akbarabadi Teaching Hospital & National Association of Iranian Obstetricians & Gynecologists (NAIGO), Tehran, Iran
| | - Mansour Bahardoust
- Department of Epidemiology, School of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran,Dr. Mansour Bahardoust, Department of Epidemiology, School of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran. E-mail:
| | - Taleb Badri
- Behavioral sciences Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
| | - Ashraf Karbasi
- Baqiyatallah Research Center for Gastroenterology and Liver Diseases (BRCGL), Baqiyatallah University of Medical Sciences, Tehran, Iran,Address for correspondence: Dr. Ashraf karbasi, Baqiyatallah Research Center for Gastroenterology and Liver Diseases (BRCGL), Baqiyatallah University of Medical Sciences, Tehran, Iran. E-mail:
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Torkaman A, Yousof Gomrokchi A, Elahifar O, Barmayoon P, Shojaei SF. Simultaneous bilateral rupture of patellar tendons in diabetic hemodialysis patient: A case report. Caspian J Intern Med 2018; 9:306-311. [PMID: 30197779 PMCID: PMC6121341 DOI: 10.22088/cjim.9.3.306] [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] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/23/2017] [Revised: 06/21/2017] [Accepted: 07/03/2017] [Indexed: 12/20/2022]
Abstract
BACKGROUND Bilateral rupture of the patellar tendon is a very rare injury, which takes place in relation to chronic systemic diseases. These injuries are known causes. Some of these causes are particular in patellar tendon rupture and another are in quadriceps tendon rupture. CASE PRESENTATION 70-year-old diabetic man with simultaneous bilateral patellar tendon disruption of proximal insertion without trauma, receiving long-term hemodialysis. CONCLUSIONS In the present study, we report a case of patellar tendon rupture that has two differences with literature: first, renal failure is a known risk factor for quadriceps tendon rupture, and secondly, the prevalent age of patellar tendon rupture is less than 40 years. Clinical picture, diagnosis, pathogenesis and treatment are discussed. Finally, the literature is reviewed based on previous studies.
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Affiliation(s)
- Ali Torkaman
- Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran
| | - Alireza Yousof Gomrokchi
- Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran
| | - Omid Elahifar
- Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran
| | - Pooyan Barmayoon
- Firoozgar Clinical Research and Development Center, (FCRDC) , Iran University of Medical Sciences, (IUMS) , Tehran, Iran
| | - Seyedeh Fahimeh Shojaei
- Firoozgar Clinical Research and Development Center, (FCRDC) , Iran University of Medical Sciences, (IUMS) , Tehran, Iran
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