Showing 5 results for Marashi
Seyed Hassan Arefi, Mohammad H. Bastan Hagh, Morteza Naghavi, Seyed Ebrahim Kassaian, Seyed Sina Marashie, Fariborz Mortazavi, Gita Gidasi,
Volume 10, Issue 2 (8-1996)
Abstract
The "Tehran Blood Pressure Study" (TBPS) is an observational cross-sectional study
performed on men and women aged 15 years or more during the years 1990-1991. The study
has been designed and performed by the Tehran University of Medical Sciences'
Cardiovascular Research Center, with the primary objective of determining the prevalence
and distribution of high blood pressure in Tehrani adults. In addition, awareness levels,
control rates, and the prevalence of other cardiovascular risk factors among those with high
blood pressure, as well as associations between blood pressure (BP) levels and certain
epidemiologic and anthropometric factors have been studied. The study population comprised
10180 male and female inhabitants of Tehran aged above 15, selected by random sampling
in 50 districts of the city.
The mean and the 95% confidence interval for systolic blood pressure (SBP) and
diastolic blood pressure (DBP) were 123 (122.8-123.4) and 75.4 (75.2-75.6), respectively.
The prevalence of high blood pressure (SBP≥ 140 mmHg or DBP> 90 mmHg or drug
consumption) was 17.6% in males, 17.9% in females, and 17.7% in generaL
About 47% of the patients with high DBP readings were aware of their condition. In
20% of these, control of hypertension had been achieved by drug therapy in 11 %, drug
therapy had failed to control hypertension, and 16% were not receiving treatment despite
their awareness. High body mass index and a history of diabetes were more frequent in those
with high BP readings than the general population. Of those with high BP readings, most
had only mild elevations of BP (90≤ DBP≤99 or 140≤SBP≤159). Isolated high systolic
blood pressure (SBP ≥140 mm Hg and DBP< 90 mmHg) was found in 36% of females and
30% of males aged above 64.
The noticeable prevalence of high BP, the remarkable prevalence of isolated high
systolic blood pressure in the elderly, the very low level of patient awareness and low control
rates all necessitate the adoption of appropriate personal and community health policies.
Alireza Merrikhi, Hojatollah Raji Asadabadi, Ali Akbar Beigi, Sayed Mahdi Marashi, Hafez Ghaheri, Zohre Nasiri Zarch,
Volume 28, Issue 1 (1-2014)
Abstract
Background: This research compares the outcomes of percutaneous technique and open surgical peritoneal dialysis catheter placement in children.
Methods: In this randomized controlled trial, between 2010 and 2011,a total of 35 pediatric uremic patients were enrolled and randomized into two study groups. Follow up data included duration of operation (minute), duration of hospitalization (days) and onset time of peritoneal dialysis. Complications were considered as mechanical and infectious.
Results: The percutaneous procedure was significantly faster than the open surgical technique (9.5 ± 1.81 versus 27.00 ± 2.61 minutes, p= 0.0001). The onset of dialysis was earlier in percutaneous insertion. There were no cases of hollow viscous perforation, early peritonitis and exit site infection at the 3rd, 7th, and 14th day in both groups. Complications in open surgical group were include wrapped omentum in 4 (23.5%), catheter malposition in 3 (17.6%),delayed exit site infection in 2 (11.7%), Incisional hernia in 1 (5.8%)and hemoperitoneum in 2 (11.7%)cases. Complications in percutaneous insertion group were include catheter malposition and wrapped omentum each in one case.
Conclusion: Percutaneous method with secure insertion of the catheter reduced the rate of some complications.Although they were not statistically significant, this technique reduces the time of hospitalization and operation without need to general anesthesia. The onset of dialysis was earlier significantly. Trial registry code: IRCT2013091514670N1
Mansoureh Vahdat, Elaheh Sariri, Maryam Kashanian, Zahra Najmi, Alireza Mobasseri, Mahjabin Marashi, Behnaz Mohabbatian, Shideh Ariana, Yousef Moradi,
Volume 30, Issue 1 (1-2016)
Abstract
Background: Müllerian anomalies are associated with infertility. Hysteroscopy as the gold standard for evaluating Müllerian anomalies is an invasive, expensive and risky procedure which requires enough experience. Transvaginal sonography (TVS) and hysterosalpingography (HSG) are less invasive procedures, but there is little known about the accuracy of these tests. The aim of this study was to evaluate the accuracy of the combination of TVS and HSG with hysteroscopy as the gold standard.
Methods: Medical records of infertile women who were undertaken all three diagnostic modalities were reviewed to analyze their sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV).
Results: Ninety-nine infertile women were assessed with a mean±SD age of 29.1±6.47 years, mean±SD duration of themarriage of 8.9±10.28 years, and mean±SD duration of infertility of 5.6± 4.16 years. The sensitivity, specificity, PPV, and NPV of TVS were 98.55%, 30%, 76.4%, and 90%, respectively. HSG had a sensitivity of 95.6%, specificity of 60%, PPV of 84.62%, and NPV of 85.71%.When both modalities were combined, the sensitivity, specificity, PPV, and NPV were 94.2, 66.67, 86.67, and 83.33%, respectively. The diagnostic accuracy of single TVS, HSG or combined techniques was statistically similar that was equal to 77.7, 84.8 and 85.8 % respectively.
Conclusion: The accuracy of combination of two diagnostic modalities, 2D TVS and HSG is not higher than HSG alone for assessing uterine malformation in infertile women.
Hossein Sanaei-Zadeh, Sayed Mahdi Marashi, Rouhullah Dehghani,
Volume 31, Issue 1 (1-2017)
Abstract
Background: Scorpionism is a public health problem in some provinces in Iran. The present study aimed to assess the clinical manifestations of scorpion envenomation in Shiraz and determine a clinical severity grading for Iranian scorpion envenomation in order to suggest a treatment guideline for emergency physicians.
Methods: In this analytic retrospective study, all medical charts of patients with scorpion sting admitted in the adult medical toxicology center in Shiraz during July 2012 to July 2016 were assessed. Data regarding the patient's age, gender, sting site, month of envenomation, time of sting, clinical manifestations, vital signs, presence of blood or hemoglobin in urine analysis, duration of admission, color of scorpion, received treatments, and administration of scorpion antivenin were recorded.
Results: The scorpions in Shiraz and its suburban area were classified into two groups: yellow scorpions (Mesobuthus eupeus, Mesobuthus caucasicus, and Compsobuthus matthiesseni) and Hottentotta scorpions (Hottentotta jayakari and Hottentotta zagrosensis). A total of 126 cases of scorpion stings were assessed. About 59% (n=74) were males. The patients aged 8-63 years (mean age, 33.8±11.5 years). About 38.4% (n=48) of the stings occurred during summer. More than 40% of patients (n=51) referred to the emergency department (ED) at night. Localized pain was the most frequent presenting complaint (76.2%). The most frequent general symptom was nausea (6.3%). The most prevalent envenomation site was the lower extremities followed by upper extremities (43.5% and 41.9%, respectively). Based on the clinical severity grading for Iranian scorpion envenomation, 65, 43, and 18 patients (51.6%, 34.1%, and 14.3%) were classified in the grades I, II, and III, respectively. Eighty-one (73%) patients stayed in the ED from 1 to 6 hours, and 30 (27%) patients stayed for >6 hours for observation. Severe localized pain was more prevalent in stings with Hottentotta scorpions than yellow scorpions (P=0.01). The season of envenomation with Hottentotta scorpions was summer in all cases, but envenomation with yellow scorpions was seen throughout the year. All patients received symptomatic treatment, and five were given scorpion antivenin. No death was reported.
Conclusion: Hottentotta jayakari is recommended to be listed among the medically important scorpions in Iran. Moreover, scorpion-stung patients in geographical regions where Hemiscorpius lepturus and Androctonus crassicauda are not prevalent may be treated in outpatient departments. The presented grading system can be used for treating patients with scorpion envenomation.
Pirhossein Kolivand, Mohammadrafie Khorgami, Peyman Saberian, Taher Doroudi, Ali Marashi, Masoud Behzadifar, Fereshte Karimi, Soheila Rajaie, Negar Omidi, Behzad Raei, Seyed Jafar Ehsanzadeh, Arash Parvari, Samad Azari,
Volume 38, Issue 1 (1-2024)
Abstract
Background: Cardiovascular diseases (CVDs) represent a significant cause of mortality and morbidity globally. One of the primary objectives of medical examinations for Hajj pilgrims is disease screening, which is conducted following stringent guidelines to mitigate mortality and disability among the pilgrims. This study aimed to assess the prevalence, patterns, and associated healthcare services of CVDs among pilgrims from 2012 to 2022.
Methods: This study examined the prevalence of CVDs among Iranian Hajj pilgrims using pooled cross-sectional data, stratified by age, sex, and provinces. Logistic regression modeling was employed to evaluate the influence of various factors on the likelihood of CVDs among the pilgrims.
Results: This study incorporated data from 459,934 Hajj pilgrims. The findings revealed that the mean age of the pilgrims was 55.48 years. The prevalence of CVDs was higher in men (4.25%) compared with women (3.41%), with an overall prevalence of 3.83% among the pilgrims. The peak prevalence was observed in 2018 at 5.18%. The binary logistic regression model indicated that age (odds ratio [OR], 1.067), fasting blood sugar (OR, 1.002), male sex (OR, 0.781), chronic renal failure (OR, 2.262), high blood pressure (OR, 2.742), and diabetes (OR, 1.723) were significantly associated with the probability of having CVDs.
Conclusion: This study represents the most comprehensive investigation into the prevalence and pattern of CVDs among Iranian pilgrims over the past decade, utilizing data from approximately half a million Iranian pilgrims. The results highlight substantial differences in the prevalence of CVDs by age, sex, and their distribution across different provinces. Consequently, screening, diagnosis, and appropriate management by primary care physicians are crucial to prevent adverse disease outcomes and alleviate the economic burden.
