Publications by authors named "Hossein Molavi-Vardanjani"

Article Synopsis
  • Several laboratory markers from a complete blood count (CBC) have been suggested as possible indicators for the risk of cerebral venous thrombosis (CVT), but evidence about this link is limited and conflicting.
  • The study involved 295 CVT patients and 341 healthy controls, revealing that CVT patients had higher red cell distribution width (RDW) and lower counts of red blood cells (RBC), hemoglobin (Hb), and hematocrit compared to healthy individuals.
  • It was found that female gender, smoking, and higher hematocrit levels were linked to a greater risk of idiopathic CVT (iCVT), suggesting that some CBC parameters could help identify CVT risk and differentiate between types of CVT, highlighting the need
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Background: Altered thyroid function has been linked to insulin resistance (IR), but its relationship with the Metabolic Score for Insulin Resistance (METS-IR), a novel non-insulin-based index of IR, remains unclear. This study aimed to investigate the association between thyroid function status and METS-IR in a U.S.

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Background: Keratoconus (KC) is a chronic corneal disease that typically presents in early adulthood, and may potentially result in poor mental health in affected individuals. The evidence regarding the association of depression with KC is controversial. Hence, we investigated the association between depression and KC via a systematic review and meta-analysis.

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The efficacy of opportunistic osteoporosis screening with computed tomography (CT) scans obtained for other indications has not yet been implemented by the current guidelines. We aimed to compile available evidence on the efficacy of osteoporosis screening with CT scans obtained for other indications compared with dual X-ray absorptiometry (DXA). Studies comparing the diagnostic performance of the CT scan with the DXA published before 2023 were retrieved.

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Article Synopsis
  • - The study assesses medication use and the prevalence of potential drug-drug interactions (pDDIs) and polypharmacy in over 9,000 post-percutaneous coronary intervention (PCI) patients in Shiraz, Iran, highlighting significant clinical challenges.
  • - Results showed that a high percentage of patients were on statins (91.6%) and antiplatelet therapy (94.5%), with 82.8% facing at least one pDDI, particularly between common medications like aspirin and clopidogrel, and 73.6% experiencing polypharmacy.
  • - The findings indicate a concerning gap between clinical guidelines and actual medication practices, urging improvements in drug interaction databases and collaboration among healthcare professionals to enhance
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Background: The relationship between kidney and vascular health is acknowledged, but detailed information is still missing. This study examines the relationship of estimated glomerular filtration rate (eGFR) and carotid intima media thickness, providing insights into the association between atherosclerosis and kidney function.

Methods: Participants older than 50 years of age who were part of the PolyIran-L study, a trial nested in the Golestan Cohort Study, were included.

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  • Cognitive impairment is increasingly problematic as people age, with heavy metals as potential environmental risk factors; however, their exact influence is still unclear.
  • A study used machine learning models to assess the risk of cognitive decline by analyzing demographic, clinical, and heavy metal exposure data from NHANES between 2011-2014.
  • The best-performing model achieved a strong prediction accuracy, identifying key predictors such as age, gender, and levels of specific heavy metals, emphasizing the need for further research to confirm the findings over time.
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Identifying COVID-19 patients' clinical phenotypes based on characteristics and comorbidities, as well as their differences, helps in terms of clinical care and potential crises. Our goal is to use Latent Class Analysis (LCA) to identify COVID-19 patient profiles based on demographics, symptoms, and comorbidities, and evaluate their correlation with ICU admission, hospitalization duration, and mortality in a cross-sectional study. We included hospitalized patients with positive SARS-CoV-2 tests in two referral hospitals in the south of Iran between January 2020 and July 2021.

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Polypharmacy, defined here as the concomitant use of five or more medications, is a significant health issue, particularly affecting individuals with chronic diseases like hypertension (HTN). To compare individuals with and without HTN in term of polypharmacy, and to investigate correlates of polypharmacy and medication use patterns in individuals with HTN in southwest Iran. This cross-sectional study used the baseline data of 9270 participants of the Pars Cohort Study (PCS) with a mean age of 52.

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Background: 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.

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Background: Due to the numerous complications associated with sickle cell disease (SCD), patients often receive a variety of medications alongside their SCD treatment. However, a notable gap exists in the current literature regarding medication use patterns among them. This study aimed to investigate medication usage patterns in patients with SCD.

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Objectives: To determine the associations between waterpipe use, duration, and intensity of use with prevalence and incidence of metabolic syndrome and its components (increased waist circumference, triglycerides, fasting glucose, blood pressure and decreased high-density lipoprotein cholesterol).

Methods: We conducted cross-sectional and prospective analyses using data from the Pars Cohort Study in southern Iran, encompassing 9,264 participants at the baseline, and 5,002 randomly selected in a repeated follow-up. We used multivariate logistic regression models adjusted for age, sex, education, wealth score, physical activity and cigarette pack-years to report odds ratios (OR) and 95% confidence intervals (CI).

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Background: The utilization of complementary and alternative medicine (CAM) is experiencing a global surge, accompanied by the adoption of national CAM policies in numerous countries. Traditional Persian medicine (TPM) is highly used as CAM in Iran, and the ongoing scientific evaluation of its interventions and the implementation of evidence-based medicine (EBM) encounters various barriers. Therefore, comprehending the characteristics and interactions of stakeholders is pivotal in advancing EBM within TPM policies.

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Background: Methanol-poisoning can be a challenging cause of mortality. Identifying the epidemiological, clinical, and para-clinical determinants of outcome in methanol-poisoning patients could be a step forward to its management.

Methods: In this hospital-based cohort study, 123 methanol-poisoning patients were included.

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  • A study was conducted using data from 968,738 adults across 20 cohort studies in Asia to investigate the link between diabetes and liver cancer incidence and mortality.
  • The findings revealed that adults with diabetes had a significantly higher risk of being diagnosed with liver cancer (hazard ratio of 1.97) and dying from it (adjusted hazard ratio of 1.97) compared to those without diabetes.
  • The robust results, supported by a two-stage meta-analysis, contribute valuable evidence to the understanding of liver cancer risks among diabetic populations in Asian countries.
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Background: The use of certain chemotherapy agents is associated with the development of a condition called "chemotherapy-associated neutropenic enterocolitis" (CANE).

Objective: To determine the risk of CANE associated with the use of each antineoplastic agent.

Methods: The FDA FAERS database of spontaneous adverse reactions was searched for the occurrence of the MedDRA preferred term "neutropenic colitis.

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  • Obesity is a significant public health issue, prompting a study in southern Iran to examine the prevalence of metabolically healthy obesity (MHO) and healthy overweight (MHOW), alongside their associated factors.
  • * The study analyzed data to find that the standardized prevalence rates for MHOW and MHO were 6.3% and 2.3%, respectively, with younger age, female gender, higher socioeconomic status, and lower physical activity being linked to these conditions.
  • * The findings suggest that promoting physical activity could help prevent unhealthy obesity, signaling the need for public health initiatives focused on modifiable lifestyle factors.
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Background: There is a huge disparity in cancer incidence and mortality around the globe. A considerable share of this disparity can be explained by human development. Particularly in many less developed countries, women have been hindered in their human development.

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Gastrointestinal symptoms are prevalent amongst patients with a confirmed diagnosis of COVID-19 and may be associated with an increased risk of disease severity. This trial aimed to evaluate the efficacy and safety of aniseed ( L.) powder as an add-on therapy to standard care for treating gastrointestinal symptoms experienced by adults with an acute SARS-CoV-2 infection.

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Background: Gender inequality may be associated with the burden of orofacial clefts (OFCs), particularly in low-and middle-income countries (LMICs). To investigate the OFCs' burden and its association with gender inequality in the Eastern Mediterranean region (EMR).

Methods: Country-specific data on the OFCs' prevalence and Disability-Adjusted Life Years (DALYs) from 1990 to 2019 were gathered from the Global Burden of Disease database by age and gender.

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The efficacy of botulinum toxin injection for the treatment of third, fourth, and sixth nerve palsy was evaluated. PubMed, Scopus, EMBASE, Web of Science, and Google Scholar databases were searched. Data about the duration of palsy (acute vs chronic), cause of the palsy, type of toxin used, mean dose, and other background characteristics were collected.

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  • Telomeres, which protect chromosomes, are found to be shorter in infants whose mothers experience higher psychological stress during pregnancy, suggesting potential health implications.
  • A systematic review analyzed multiple studies to understand the relationship between maternal stress and newborn telomere length (TL), confirming that increased stress correlates with decreased TL in infants.
  • The findings highlight the significant impact of maternal psychological factors on newborn health, indicating that stress during pregnancy can negatively influence telomere length, which may affect long-term health outcomes.
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Background: Gastroesophageal Reflux Disease (GERD) is a common chronic condition. Its chronic nature may affect the pattern of medication use. This study aimed to investigate the prevalence, associated factors, and patterns of polypharmacy and medication use among GERD patients in southwestern Iran.

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Aims: Heart failure (HF) is a major public health challenge. Malnutrition has a significant effect on HF prognosis. Understanding the impact of social and clinical factors on the risk of malnutrition is necessary because it may aid in improving the health status of HF patients.

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  • Age-related Macular Degeneration (AMD) is a significant cause of vision loss, particularly in aging populations, and this study focused on its prevalence among Iranians.
  • Analysis of 17 studies revealed an overall AMD prevalence of 10.8% in males and 9.8% in females, with rates increasing significantly with age, particularly in those 80 and older.
  • The study highlights a concerning trend of rising AMD cases in Iran, predicting nearly 5.5 million cases by 2050, emphasizing the need for preventive and screening strategies to manage the expected burden.
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