Publications by authors named "Patricia Khashayar"

Background: No clear consensus exists regarding the safest anti-diabetic drugs with the least adverse events on bone health. This umbrella systematic review therefore aims to assess the published meta-analysis studies of randomized controlled trials (RCTs) conducted in this field.

Methods: All relevant meta-analysis studies of RCTs assessing the effects of anti-diabetic agents on bone health in patients with diabetes mellitus (DM) were collected in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA).

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Purpose: While only a few postmenopausal women exhibit biochemical signs of hypovitaminosis D, it has been shown that vitamin D insufficiency has detrimental effects on the overall skeleton mineralization, bone turnover rate, and may be a significant risk factor for osteoporosis and fracture. We evaluated the concurrent effect of Vitamin D levels and biochemical markers of bone turnover on bone health of postmenopausal women.

Methods: The present study was conducted within the framework of the Bushehr Elderly Health (BEH) program, a population-based prospective cohort study being conducted in Bushehr, a southern province of Iran.

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  • - The guidelines update the International Osteoporosis Foundation's (IOF) 20-year-old position paper on bone markers, reflecting advancements in bone biology and disorders.
  • - The authors introduce a new classification called Bone Status Indices (BSI) to replace outdated terms like bone turnover markers and metabolic markers for better clarity.
  • - The proposal includes standardized nomenclature, abbreviations, and measurement units for these indices to ensure consistency in the study and treatment of bone health.
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  • * The authors advocate for keeping ethnic and race-specific FRAX models in the US, suggesting they should be based on updated data related to fracture and death risks.
  • * The position opposing fixed bone mineral density thresholds is supported by the International Osteoporosis Foundation (IOF) and the European Society for Clinical and Economic Aspects of Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (ESCEO), emphasizing the need for equity in fracture risk assessment.
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  • Current bone health assessments have critical gaps, prompting the development of a new multiplex label-free immunosensor for two key bone turnover markers, CTx and PINP.
  • This immunosensor allows for quick and easy testing using a finger prick blood sample, aiming for compatibility with point-of-care systems for automated use in patient settings.
  • The results from the testing showed the platform has high sensitivity and accuracy, providing results for bone health markers in just 15 minutes, without requiring skilled personnel or expensive equipment.
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One of the goals of the HORIZON 2020 project PoCOsteo was to develop a medical device, which would measure and/or quantify proteomic as well as genomic factors as present in whole blood samples collected through finger prick. After validating the tool in the clinical setting, the next step would be its clinical validation based on the existing guidelines. This article presents the protocol of a validation study to be carried out independently at two different centers (Division of Endocrinology and Diabetology at the Medical University of Graz as a clinic-based cohort, and the Endocrinology and Metabolism Research Institute at the Tehran University of Medical Sciences as a population-based cohort).

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  • * Sarcopenia (muscle loss) and osteoporosis (bone loss) are closely linked, with each condition serving as a predictor for the other, indicating the need for integrated research approaches.
  • * A recent workshop emphasized the importance of muscle characterization in musculoskeletal studies, advocating for more recognition and research on muscle phenotyping in both human and animal models like zebrafish and mice.
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Nanomaterial-based biosensors have received significant attention owing to their unique properties, especially enhanced sensitivity. Recent advancements in biomedical diagnosis have highlighted the role of microRNAs (miRNAs) as sensitive prognostic and diagnostic biomarkers for various diseases. Current diagnostics methods, however, need further improvements with regards to their sensitivity, mainly due to the low concentration levels of miRNAs in the body.

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Surface functionalization with biological macromolecules is an important task for the development of sensor materials, whereby the interaction with other biological materials should be suppressed. In this work, we developed a novel multifunctional poly(2-ethyl-2-oxazoline)-dithiolane conjugate as a versatile linker for gold surface immobilization of amine-containing biomolecules, containing poly(2-ethyl-2-oxazoline) as antifouling polymer, dithiolane for surface immobilization, and activated esters for protein conjugation. First, a well-defined carboxylic acid containing copoly(2-ethyl-2-oxazoline) was synthesized by cationic ring-opening copolymerization of 2-ethyl-2-oxazoline with a methyl ester-containing 2-oxazoline monomer, followed by postpolymerization modifications.

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  • Chronic Kidney Disease (CKD) has significantly increased, becoming the 8th leading cause of death in Iran as of 2017, with hypertension and diabetes as major risk factors.
  • The study used data from the Global Burden of Disease project to analyze the CKD burden in Iran for 2019, revealing rising incidence and prevalence rates since 1990, despite a decrease in mortality rates.
  • The findings indicate the Iranian healthcare system is better at reducing deaths than managing CKD illnesses, highlighting the need for improved prevention and early detection efforts in at-risk populations.
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  • A novel microRNA biosensor was developed using magnetic rod carbon paste electrodes and a new MOF structure to detect low levels of microRNA 155 for breast cancer diagnosis.
  • A combination of materials like carbon nanofibers and CuBTC-AIA was utilized to enhance the sensor's performance, leading to a very low detection limit of 0.08 fM and a dynamic range of 0.2 fM to 500 pM.
  • The biosensor demonstrated high selectivity and reproducibility when tested with different mismatched sequences, successfully detecting microRNA 155 in human serum samples without interference from other substances.
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AIDS causes increasing mortality every year. With advancements in nanomedicine, different nanomaterials (NMs) have been applied to treat AIDS and overcome its limitations. Among different NMs, nanoparticles (NPs) can act as nanocarriers due to their enhanced solubility, sustained release, targeting abilities and facilitation of drug-dose reductions.

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Despite all the psychological advantages of alprazolam, its long list of toxic properties and interactions has caused concern and highlighted the need for a reliable sensing method. In this study, we developed a simple, highly sensitive electrochemical nanobiosensor to determine the desirable dose of alprazolam, averting the undesirable consequences of overdose. Gold nanourchins (AuNUs) and iron-nickel reduced graphene oxide (Fe-Ni@rGO) were immobilized on a glassy carbon electrode, which was treated beforehand.

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Objectives: Updating burden data of chronic kidney disease (CKD) as one of the most prevalent non-communicable diseases is essential for proper provision of healthcare by policymakers. We aimed to estimate the burden of CKD and its attributed burden in North Africa and Middle East region (NAME) during 1990-2019.

Methods: The CKD-related Global Burden of Disease (GBD) 2019 estimates were extracted from Health Metrics and Evaluation (IHME) website.

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Purpose: Association between vitamins C (VC)/ E (VE) and cancer survival is inconsistent. This systematic review is aimed to summarize trials for effects of VC/VE on cancer survival.

Methods: Relevant English trials were retrieved from PubMed, Cochrane Library, Embase, Web of Science, Scopus databases, and Clinicaltrials.

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  • Obesity is a major global health issue, and a new form called normal weight obesity (NWO) has been identified, where individuals have a normal BMI but high body fat, increasing the risk of cardiometabolic risk factors (CMRFs).
  • A systematic review analyzed data from 25 studies involving nearly 178,000 participants to evaluate the relationship between NWO and CMRFs, focusing on factors like hyperglycemia, dyslipidemia, and hypertension.
  • The findings revealed significant associations between NWO and various CMRFs, suggesting that traditional BMI measurements may not accurately reflect health risks, highlighting the need for alternative body composition assessments.
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Oxygen (O) quantification is essential for assessing cell metabolism, and its consumption in cell culture is an important indicator of cell viability. Recent advances in microfluidics have made O sensing a crucial feature for organ-on-chip (OOC) devices for various biomedical applications. OOC O sensors can be categorized, based on their transducer type, into two main groups, optical and electrochemical.

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Introduction: The prevalence of metabolically healthy obesity (MHO) varies based on different criteria. We assessed the prevalence of MHO and metabolic unhealthiness based on body mass index (BMI) and their association with metabolic syndrome (MetS) in a nation-wide study.

Methods: Data were taken from the STEPs 2016 study, from 18,459 Iranians aged ≥25 years.

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A synoptic overview of scientific methods applied in bone and associated research fields across species has yet to be published. Experts from the EU Cost Action GEMSTONE ("GEnomics of MusculoSkeletal Traits translational Network") Working Group 2 present an overview of the routine techniques as well as clinical and research approaches employed to characterize bone phenotypes in humans and selected animal models (mice and zebrafish) of health and disease. The goal is consolidation of knowledge and a map for future research.

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Purpose: This study aims to analyze the association between VDR gene polymorphism and the occurrence of "low bone density (LBD)/osteopenia/osteoporosis" or LBDOO in type 2 diabetes (T2D) patients among a clustered population in northwest of Iran. The studied VDR gene polymorphism included (rs7975232), (rs1544410), (rs2228570), (rs4516035) and, (rs731236).

Methods: In this population-based cross-sectional study, patients with T2D were identified within a group of 1266 participants based on self-report of diabetes, history of diabetes medication, and recorded laboratory data.

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Ethnopharmacological Relevance: The worldwide increasing prevalence of dyslipidemia has become a global health concern. Various herbal remedies have been claimed to be effective for the treatment of dyslipidemia in traditional and folkloric medicine of different regions clinical trials have been conducted to investigate their efficacy. The aim of the current systematic review is to critically assess the meta-analyses of controlled trials (CT) evaluated herb medicines for dyslipidemia.

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Article Synopsis
  • The study examines the relationship between different obesity phenotypes and bone health in an elderly population, focusing on osteoporosis and bone density.
  • Using data from the Bushehr Elderly Health Program, participants were categorized into four obesity groups based on metabolic health status to analyze their risk of osteoporosis and bone quality.
  • Findings indicate that regardless of obesity phenotype, individuals with obesity generally exhibit lower bone quality, revealing the need for further investigation into how metabolic factors influence bone health.
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