Publications by authors named "Shahrokh S"

Objective: Irritable bowel syndrome (IBS) and inflammatory bowel disease (IBD) are gastrointestinal disorders, which can be triggered by gut microbiota dysbiosis. The development of IBS-like symptoms has been linked to the overgrowth of spp. In addition, the critical role of fungi has been highlighted in the pathogenesis of IBD.

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Background: Cervical cancer is a common malignancy in women and HPV infection is directly linked to it and can be considerably prevented through routine screenings. Despite the belief about the persistence of HPV infection in older than 30-year-old women, high-grade lesions might be detected in younger ages; therefore, the purpose of the current study is to determine the worth of HPV infection screening in younger than 30-year-old women.

Materials And Methods: This cross-sectional study has been executed on 100 under 30-year-old women who have undergone genotyping.

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Urothelial carcinoma (UC) of the upper urinary tract (UUT) is rare, constituting 5% to 10% of UCs, with a higher prevalence in males and older adults. It encompasses various subtypes and, unlike UC of the bladder, often presents as invasive disease. Molecular studies reveal frequent FGFR3 and TP53 mutations, guiding therapeutic strategies.

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  • This clinical trial investigated how effective paroxetine and gabapentin are at improving gastrointestinal symptoms, mental health, and overall quality of life in patients with ulcerative colitis during remission.
  • A total of 97 patients were divided into two groups: one received paroxetine (20 mg/day) and the other gabapentin (100 mg increasing to 300 mg over three months), with assessments conducted over three months.
  • Results showed that patients taking paroxetine experienced significantly greater reductions in anxiety and depression, as well as improved quality of life, compared to those taking gabapentin.
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  • * Due to the COVID-19 pandemic, cancer patients were prioritized for vaccination, despite not being included in vaccine trials, raising concerns about potential autoimmune responses when vaccinated while on ICIs.
  • * A case study is presented of a melanoma patient who developed fatal myasthenia gravis after receiving the inactivated Sinopharm COVID-19 vaccine along with pembrolizumab, highlighting safety concerns and the need for further research on vaccines and irAEs in ICI-treated patients.
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  • Thyroid nodules are common and usually benign, but they can pose a risk of malignancy; this study examined the histopathological types of thyroid nodules in Ahvaz over selected years.
  • The study reviewed records from 380 patients, finding that 70.3% had benign nodules while 29.7% were malignant, with papillary thyroid cancer being the most common type; significant factors related to malignancy included age, bilateral nodules, and lymphadenopathy.
  • Key findings suggest that awareness of specific risk factors, such as age (30-45 years) and lymph node involvement, is crucial when assessing the likelihood of malignancy in thyroid nodules.
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  • Total knee arthroplasty (TKA) aims to alleviate pain and disability in patients with knee arthritis, but some experience persistent postoperative pain (PPP) even after surgery.
  • A study assessed 242 patients for various factors, measuring pain using the WOMAC index before and after surgery, and found that 13.22% and 9.09% still had moderate-to-severe pain after 6 and 12 months, respectively.
  • Key predictive factors for PPP included higher preoperative WOMAC scores, loosened prosthesis, and elevated anxiety and depression levels, highlighting the importance of psychological health in recovery outcomes.
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Background: Primary total knee arthroplasty (TKA) is an effective procedure to better function and relief the pain in advanced osteoarthritis patients. This study aimed to evaluate the effectiveness and safety of outpatient clinic-based setting of physiotherapy versus home-based rehabilitation (HBR) for functional recovery immediately after primary TKA procedure.

Materials And Methods: This randomized clinical trial study was conducted on patients underwent TKA in 2021-2022.

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Dietary intake plays a pivotal role in ulcerative colitis (UC) initiation and prognosis. The aim of this study was to investigate the effect of a combined Mediterranean, low-FODMAP diet accompanied with partial enteral nutrition (PEN) on clinical and para-clinical characteristics of patients with UC. Fifty patients with active mild to moderate UC were received either a combined diet or a regular diet for 6 weeks.

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Long non-coding RNAs (lncRNAs) regulate multiple pathways and cellular mechanisms. Recent research has emphasized their involvement in the pathogenesis of complex diseases, such as Inflammatory Bowel Disease (IBD) which is characterized by chronic inflammation of the intestines. The two most common types of IBD are ulcerative colitis and Crohn's disease.

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Background: This study investigated the association of atorvastatin use on survival, need for intensive care unit (ICU) admission, and length of hospital stay (LOS) among COVID-19 inpatients.

Materials And Methods: A retrospective study was conducted between March 20th, 2020, and March 18th, 2021, on patients with confirmed COVID-19 admitted to three hospitals in Tehran, Iran. The unadjusted and adjusted effects of atorvastatin on COVID-19 prognosis were investigated.

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Background: Staphylococcus aureus isolates are the leading cause of diabetic foot infections (DFIs). Identification of specific virulence factors of S. aureus involved in the pathogenesis of DFIs may help control the infection more effectively.

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 Inflammatory bowel disease (IBD) manifests as chronic inflammation within the gastrointestinal tract. The study focuses on a long noncoding RNA (lncRNA) known as Metastasis-associated lung adenocarcinoma transcript 1 (MALAT1). MALAT1's misregulation has been linked with various autoimmune diseases and regulates proinflammatory cytokines.

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Nowadays, anti-TNF therapy remarkably improves the medical management of ulcerative colitis (UC), but approximately 40 % of patients do not respond to this treatment. In this study, we used 79 anti-TNF-naive patients with moderate-to-severe UC from four cohorts to discover alternative therapeutic targets and develop a personalized medicine approach that can diagnose UC non-responders (UCN) prior to receiving anti-TNF therapy. To this end, two microarray data series were integrated to create a discovery cohort with 35 UC samples.

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Background: Inflammatory bowel disease (IBD) is a complex gastrointestinal disease with 2 main subtypes of Crohn's disease (CD) and ulcerative colitis (UC), whose diagnosis mainly depends on the medical history, clinical symptoms, endoscopic, histologic, radiological, and serological findings. Extracellular vesicles (EVs) are now considered an additional mechanism for intercellular communication, allowing cells to exchange biomolecules. Long noncoding RNAs (lncRNAs) that are enriched in EVs have been defined as an ideal diagnostic biomarker for diseases.

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Based on the analysis of patients with Peutz-Jeghers syndrome (PJS), Serine threonine kinase11 (STK11) is known as a tumor suppressor gene, which is involved in cell polarization, regulation of apoptosis, and DNA damage response. In this case report study, we examined STK11 gene sequencing in a 42-year-old woman with mucocuta neous pigmentation and positive family history. Endoscopy and colonoscopy showed >1000 polyps throughout the stomach/colon (PJ-type hamartomas).

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The current outbreak of coronavirus disease 2019 (COVID-19) is a global emergency, as its rapid spread and high mortality rate, which poses a significant threat to public health. Innate immunity plays a crucial role in the primary defense against infections, and recent studies have highlighted the pivotal regulatory function of long non-coding RNAs (lncRNAs) in innate immune responses. This study aims to assess the circulating levels of lncRNAs namely ANRIL, THRIL, NEAT1, and MALAT1 in the blood of moderate and severe SARS-CoV-2 infected patients, in comparison to healthy individuals.

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Article Synopsis
  • Aiming to improve treatment for moderate to severe ulcerative colitis (UC) and Crohn's disease (CD), experts developed an Iranian consensus on the use of biologics and small molecules in pharmacotherapy.
  • The consensus was based on a Delphi process, which involved reviewing 219 studies and obtaining expert votes to establish agreements on management strategies.
  • Ultimately, 87 statements achieved a high level of consensus (≥80% agreement) to guide gastroenterologists in optimizing care for patients with inflammatory bowel disease (IBD).
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Hydatidosis is a disease caused by the larval stage of Echinococcus granulosus, which involves several organs of intermediate hosts. Evidence suggests a communication between hydatid cyst (HC) and hosts via extracellular vesicles. However, a little is known about the communication between EVs derived from HC fluid (HCF) and host cells.

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Merkel cell carcinoma (MCC) is a rare, aggressive neuroendocrine cancer that primarily affects the elderly, Caucasians, and the immunocompromised. We present a rare case of an immunocompetent young Iranian (non-Caucasian) female with a small nodule on her left arm. The lesion was initially misdiagnosed as an infected cyst and was treated with antibiotics for 20 days before being surgically removed.

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Clostridioides difficile infection (CDI) is the leading cause of healthcare-acquired infections worldwide. Probiotics are widely recommended to prevent CDI and its recurrences. Akkermansia muciniphila, as a therapeutic symbiont colonizing the intestinal mucosal layer, is considered to be a promising next-generation probiotic.

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Background: This study appraises the psychometrics properties of the Inflammatory bowel disease-fatigue (IBD-F) Persian version questionnaire.

Methods: The original IBD-F questionnaire was translated into the Persian version in a standard forward-back manner. The validation was performed through the face, content, and construct validity.

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New lethal coronavirus disease 2019 (COVID-19), currently, has been converted to a disastrous pandemic worldwide. As there has been found no definitive treatment for the infection in this review we focused on molecular aspects of coenzyme Q (CoQ) and possible therapeutic potencies of CoQ against COVID-19 and similar infections. This is a narrative review in which we used some authentic resources including PubMed, ISI, Scopus, Science Direct, Cochrane, and some preprint databases, the molecular aspects of CoQ effects, regarding to the COVID-19 pathogenesis, have been analyzed and discussed.

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Toxoplasma gondii is a highly prevalent protozoan that infects a broad spectrum of warm-blooded animals. Profilin is a critical protein that plays a role in the movement and invasion of T. gondii.

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