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      • Ovarian Malignancy Probability Score (OMPS) for Appropriate Referral of Adnexal Masses

        Arab, Maliheh,Honarvar, Zahra,Hosseini-Zijoud, Seyed-Mostafa Asian Pacific Journal of Cancer Prevention 2014 Asian Pacific journal of cancer prevention Vol.15 No.20

        Background: Ovarian cancer is the most common cancer cause of gynecologic cancer deaths. In order to increase the likelihood of patient survival through primary operation by gyneco-oncologists, an appropriate algorithm for referral is considered here. Materials and Methods: Suspicious adnexal mass cases including ovarian malignancy probability score-1 (OMPS1) scores between 2.3-3.65 are re-evaluated by OMPS2. Sensitivity and specificity of each score were determined. Results: Sensitivity and specificity with a 3.82 score of OMPS2 in the studied subgroup (OMPS1 scores between 2.3-3.65) were 64% and 76.9% respectively. Conclusions: Management of OMPS1 scores of below 2.3 with sensitivity of 100% and above 3.65 with specificity of 72.9% is clear. In the subgroup of cases with OMPS1 score between 2.3-3.65, OMPS2 is helpful for triage with a cutoff score of 3.82.

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        The Effects of Air Pollution on Ischemic Stroke Admission Rate

        Hossein Alimohammadi,Sara Fakhri,Hojjat Derakhshanfar,Seyed-Mostafa Hosseini-Zijoud,Saeed Safari,Hamid Reza Hatamabadi 전남대학교 의과학연구소 2016 전남의대학술지 Vol.52 No.1

        The present study aimed to determine the relationship between the level of air pollutantsand the rate of ischemic stroke (IS) admissions to hospitals. In this retrospectivecross-sectional study, stroke admissions (January-March 2012 and 2013) to an emergencydepartment and air pollution and meteorological data were gathered. The relationshipbetween air pollutant levels and hospital admission rates were evaluated usingthe generalize additive model. In all 379 patients with IS were referred to the hospital(52.5% male; mean age 68.2±13.3 years). Both transient (p<0.001) and long-term(p<0.001) rises in CO level increases the risk of IS. Increased weekly (p<0.001) andmonthly (p<0.001) average O3 levels amplifies this risk, while a transient increase inNO2 (p<0.001) and SO2 (p<0.001) levels has the same effect. Long-term changes inPM10 (p<0.001) and PM2.5 (p<0.001) also increase the risk of IS. The findings showedthat the level of air pollutants directly correlates with the number of stroke admissionsto the emergency department.

      • KCI등재

        Evidence-based Medicine versus the Conventional Approach to Journal Club Sessions: Which One Is More Successful in Teaching Critical Appraisal Skills?

        Mostafa Alavi-Moghaddam,Shahram Yazdani,Fathie Mortazavi,Samira Chichi,Seyed-Mostafa Hosseini-Zijoud 전남대학교 의과학연구소 2016 전남의대학술지 Vol.52 No.2

        This study aimed to compare evidence-based medicine (EBM) vs. conventional approachesto journal club sessions in teaching critical appraisal skills in reading papersby emergency medicine residents. This double cut off discontinuation regression quasi-experimental study was conducted among emergency medicine residents. EBM vs. the conventional approach were applied to teach critical appraisal skills for half of theresidents as an experimental group and another half as a control group respectively. Both groups participated in one hour monthly journal club sessions for six months. Before and after the study, all participants were examined by two tests: the Fresno Test(FT) [to evaluate their knowledge about EBM] and the Critical Appraisal Skills Test(CAST) [to evaluate their competency with critical appraisal skills]. The allocation ofthe participants into the experimental or control groups was according to their CASTscores before the study. 50 emergency medicine residents participated. After the study,the scores of both groups in the FT and CAST significantly improved (p<0.01), andthe promotion of scores of the FT and CAST in the experimental group were more thanthat of the conventional group (p<0.0001). The current study indicated that an evidence-based medicine approach in journal club sessions was comparatively more advantageouscompared to the conventional approach in teaching critical appraisal skillsfor reading papers among the residents of emergency medicine.

      • KCI등재후보

        Should all patients with hypertension be worried about developing severe coronavirus disease 2019 (COVID-19)?

        Bahardoust Mansour,Goharrizi Mohammad Ali Sheikh Beig,Bahardoust Mansour,Alvanegh Akbar Ghorbani,Ataee Mohammad Reza,Bagheri Mehdi,Navidiyan Ensiyeh Shabani,Zijoud Seyed Reza Hosseini,Heiat Mohammad 대한고혈압학회 2021 Clinical Hypertension Vol.27 No.2

        Background: Hypertension, the most common comorbidity among coronavirus disease 2019 (COVID-19) patients, is accompanied by worse clinical outcomes, but there is lack of evidence about prognostic factors among COVID19 patients with hypertension. We have come up with some prognostic factors to predict the severity of COVID-19 among hypertensive patients. In addition, epidemiologic, clinical and laboratory differences among COVID-19 patients with and without underlying hypertension were evaluated. Methods: Medical profiles of 598 COVID-19 cases were analyzed. Patients were divided into two comparative groups according to their positive or negative history of hypertension. Then, epidemiologic, clinical, laboratory and radiological features and also clinical outcomes were compared. Results: 176 (29.4%) patients had underlying hypertension. Diabetes was significantly higher in hypertensive group [72 (40.9%) vs 76 (18%)] (P-value: 0.001). Cardiovascular and renal disorders were significantly higher in hypertensive patients. (P-value: 0.001 and 0.013 respectively). In COVID-19 patients with hypertension, severe/critical types were significantly higher. [42(23.8%) vs. 41(9.7%)], (P-value: 0.012). In the logistic regression model, Body mass index > 25 (ORAdj: 1.8, 95% CI: 1.2 to 2.42; P-value: 0.027), age over 60 (ORAdj: 1.26, 95% CI: 1.08 to 1.42; P-value: 0.021), increased hospitalization period (ORAdj: 2.1, 95% CI: 1.24 to 2.97; P-value: 0.013), type 2 diabetes (ORAdj: 2.22, 95% CI: 1.15 to 3.31; P-value: 0.001) and chronic kidney disease (ORAdj: 1.83, 95% CI: 1.19 to 2.21; P-value: 0.013) were related with progression of COVID-19. Conclusion: Hypertensive patients with Age > 60-year-old, BMI > 25 Kg/m2 , CVD, diabetes and chronic kidney disease are associated with poor outcomes in those with COVID-19 infection.

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