The Role of Oral Contraceptive Pills on Increased Risk of Breast Cancer in Iranian Populations: A Meta-analysis

Ali Soroush,Negin Farshchian,Saeid Komasi,Neda Izadi,Nasrin Amirifard,Afshar Shahmohammadi 대한암예방학회 2016 Journal of cancer prevention Vol.21 No.4

Background: Cancer is one of the main public health issues in the world. Breast cancer is one of the most common types of cancer among women. It is also the second cause of mortality in women. The association between the use of oral contraceptive pills and breast cancer is controversial and a main issue in public health. Some findings have shown that taking these pills does not have a significant effect in increasing the risk of breast cancer, while others have confirmed the carcinogenic effect of these products. These contradictory findings necessitated this meta-analysis, through of all correlated studies in Iran. Methods: All published studies were considered from June 2000 until June 2015, using reliable Latin databases like PubMed, Google Scholar, Google search, Scopus, and Science Direct, and Persian database like SID, Irandoc, IranMedex, and Magiran. Finally, 26 papers were selected: 24 studies were case control while two were population based studies. A total of 26 papers with 46,260 participants were assessed since 2001. Results: Overall estimate of OR for the effect of oral contraceptive pills on breast cancer is 1.521 (CI = 1.25-1.85), which shows that the intervention group had more chance (52%) compared to the control group (P = 0.001). Using these pills increased the risk of breast cancer up to 1.52 times. Conclusions: Because of directly increasing levels of estrogen and the role of estrogen in gaining weight indirectly, oral contraceptive pills can stimulate the occurrence of breast cancer. More studies should be conducted for controlling the period of pill use.

Integration of GIS and analytical hierarchy process method for locating road emergency medical services station

Soroush Maghsoudy,Ali Mansour Khaki,Barat Mojaradi,Behrooz Ghobadipour,Fereydoun Naghibi 한국자원공학회 2015 Geosystem engineering Vol.18 No.2

This article describes the application of a well-known multi-criteria decision-making technique called analytical hierarchy process (AHP) to locate emergency medical service (EMS) along US interstate highway I-65 from Montgomery to Birmingham, Alabama. Five weighting methods were applied, including Row Sum, Column Sum, Arithmetic Average, Geo-Mean, and Eigen Vector to determine weights of criteria. A number of experts were asked to evaluate the importance of selected criteria according to a nine-point scale (the Saaty rating scale). Afterwards, a weighted overlay method was applied to evaluate pixel adequacy and to identify areas with highest potential to establish the EMS along the road. After that all alternatives were ranked with the AHP method, and finally, sensitivity analysis of criteria weights was performed. The proposed method shows that locating EMS stations is very sensitive to Distance to City, Distance to Intersection, and Distance to Police Station criteria weights, and it should be considered in selecting experts and criteria weighting process.

Comparison the effect of MQL, wet and dry turning on surface topography, cylindricity tolerances and sustainability

Soroush Masoudi,Mohammad Javad Esfahani,Farshid Jafarian,Seyed Ali Mirsoleimani 한국정밀공학회 2023 International Journal of Precision Engineering and Vol.10 No.1

The increasing needs for the production of high quality parts require the use of new techniques to produce parts with higher precision. One of these modern techniques is minimum quantity lubricant (MQL) machining. In this paper, the effects of MQL, wet and dry machining on surface characteristic and geometric tolerances in turning of parts made of AISI 1045 steel were investigated. The influences of machining parameters i.e. feed rate and cutting speed as well as MQL parameters, namely air pressure and flow rate on surface topography, cutting force and cylindricity tolerance were studied. In addition, dry, wet, and MQL machining were compared to study the performance of different cooling systems. In the final step, the Pugh matrix approach was implemented to compare different cooling strategies in terms of sustainable production. According to the obtained results, MQL machining significantly improved the output parameters in AISI 1045 steel turning. By using MQL system, not only was the topography of machined surfaces improved and parts with tighter tolerances produced, but sustainability criteria were also improved. Based on sustainability assessment results, MQL turning was superior to wet and dry conditions in terms of the environmental impact, operator heath, manufacturing economy and production efficiency.

Irrational beliefs predict pain/discomfort and emotional distress as a result of pain in patients with non-cardiac chest pain

( Saeid Komasi ),( Ali Soroush ),( Mostafa Bahremand ),( Mozhgan Saeidi ) 대한통증학회 2016 The Korean Journal of Pain Vol.29 No.4

A hybrid cardiac rehabilitation is as effective as a hospital-based program in reducing chest pain intensity and discomfort

( Mozhgan Saeidi ),( Ali Soroush ),( Saeid Komasi ),( Puneetpal Singh ) 대한통증학회 2017 The Korean Journal of Pain Vol.30 No.4

Background: Health care services effort to provide alternative cardiac rehabilitation (CR) models to serve patients according to their preferences and needs. So, the present study aimed to assess and compare the effects of hospital-based and hybrid CR programs on chest pain intensity and discomfort in cardiac surgery patients. Methods: In this prospective study, 110 cardiac surgery patients were invited to the CR department of a hospital in the western part of Iran between March and July 2016. Patients were divided into two groups: hospital-based and hybrid CR. The hospital-based program included 26 sessions, and the hybrid program included 10 training sessions and exercise. The Brief Pain Inventory and Pain Discomfort Scale were used as research instrument, and data were analyzed using the paired t-test and ANCOVA. Results: The results indicated that both hospital-based and hybrid CR are effective in reducing the chest pain intensity and discomfort of cardiac surgery patients (P < 0.05). In addition, the comparison of scores before and after treatment using ANCOVA shows that no significant differences were observed between the two programs (P > 0.05). Conclusions: Traditional hospital-based CR delivery is still the first choice for treatment in developing countries. However, hybrid CR is as effective as a hospital-based program in reducing pain components and it includes only 38% of the total cost in comparison to hospital-based delivery. So, we recommend using hybrid CR according with the recommendations of American Heart Association about using CR for the management of angina symptoms. (Korean J Pain 2017; 30: 265-71)

Irrational beliefs predict pain/discomfort and emotional distress as a result of pain in patients with non-cardiac chest pain

Komasi, Saeid,Soroush, Ali,Bahremand, Mostafa,Saeidi, Mozhgan The Korean Pain Society 2016 The Korean Journal of Pain Vol.29 No.4

The Incidence and Mortality of Liver Cancer and its Relationship with Development in Asia

Mohammadian, Maryam,Soroush, Ali,Mohammadian-Hafshejani, Abdollah,Towhidi, Farhad,Hadadian, Fatemeh,Salehiniya, Hamid Asian Pacific Journal of Cancer Prevention 2016 Asian Pacific journal of cancer prevention Vol.17 No.4

Background: Liver cancer (LC) is the sixth world most common cancer and the second leading cause of cancer death. Due to the importance and necessity of awareness about the incidence and mortality of diseases to perform prevention programs, this study focused on data for LC and its relationship with the human development index (HDI) and its components in Asia in 2012. Materials and Methods: This ecological study was based on GLOBOCAN data for Asian countries. We assessed correlations between standardized incidence rates (SIR) and standardized mortality rates (SMR) of LC with HDI and its components using of SPSS18. Results: A total of 582,420 incident cases and 557,097 deaths were recorded in Asian countries in 2012. The five with the highest SIR were Mongolia, Lao PDR, Vietnam, Republic of Korea and Thailand and those with the highest SMR were Mongolia, Lao PDR, Vietnam, Cambodia and Thailand. A negative relation was observed between HDI and LC for SIR of 0.049 (P=0.748) and for SMR of 0.07 (P=0.645), with life expectancy at birth a positive relation for SIR of 0.061 (P=0.687) and a negative relation for SMR of 0.079 (P=0.603), with the average years of education a negative relation fo SIR of 0.476 (p=0.952) and for SMR of 0.032 (P=0.832), and with the country income level per person a negative relation for SMI of 0.11 (p=0.465) and for SMR of 0.113 (P=0.455). Conclusions: The incidence of LC is more in less developed and developing countries but statistically significant correlations were not found between standardized incidence and mortality rates of LC, and HDI and its dimensions.

Sociodemographic Predictors in Failure to Complete Outpatient Cardiac Rehabilitation

Behzad Heydarpour,Mozhgan Saeidi,Parvin Ezzati,Ali Soroush,Saeid Komasi 대한재활의학회 2015 Annals of Rehabilitation Medicine Vol.39 No.6

Objective To investigate the role of sociodemographic factors in failure to complete outpatient cardiac rehabilitation (CR). Methods This was a retrospective study that used information obtained from the database of the cardiac rehabilitation department of a cardiac hospital in Iran. Data from 1,050 CR patients treated at the hospital between January 2001 and January 2013 was analyzed using binary logistic regression analysis. Results Only 49% of the patients completed the CR program. After adjustment for baseline variables, it was found that the following were significantly associated with failure to complete the CR program: illiteracy (p<0.001), old age (p<0.001), being an employee or retired (p<0.05), having a low capacity for exercise (p<0.001), depression (p<0.001), low anxiety (p<0.001), and not currently being a smoker (p<0.001). Conclusion Paying more attention to older patients with low literacy levels and limited exercise capacity, who are employed or retired, and who are not current smokers, and taking therapeutic measures to control psychological complications such as depression, may be effective in ensuring that patients complete outpatient cardiac rehabilitation.

Evaluation of Response to Preoperative Chemotherapy Versus Surgery Alone in Gastroesophageal Cancer: Tumor Resectability, Pathologic Results and Post-Operative Complications

Marandi, Aref Kashefi,Shojaiefard, Abolfazl,Soroush, Ahmadreza,Abdegah, Ali Ghorbani,Jafari, Mehdi,Khodadost, Mahmoud,Mahmoudzade, Hossein Asian Pacific Journal of Cancer Prevention 2016 Asian Pacific journal of cancer prevention Vol.17 No.no.sup3

Gastroesophageal cancer is one of the most common types of cancer worldwide. Despite significant developments in management, 5-year survival in the developing world is less than 20 percent. Due to restricted research about the impact of preoperative chemotherapy (POC) on tumor resection, pathological response and postoperative complications in Iran, we designed and implemented the present retrospective cross- sectional study on 156 patients with gastroesophageal cancer (GEc) between 2013 and 2015 at Shariati Hospital of Tehran. Two groups were included, the first group had previously received preoperative chemotherapy and the second group had only undergone surgery. All patients were followed for at least one year after the operation in terms of tumor recurrence, relapse free survival and one-year survival. The two groups were eventually compared regarding tumor resection, pathological response, postoperative complications, recurrence rate and survival. The mean age was $66.5{\pm}7.3years$ and 78 percent were male. The tumor resectability, pathological response and postoperative complications in the group which received POC were 93.5%, 21.8% and 12.8%, respectively, and in the surgery alone group figures for tumor resection and postoperative complications were 76% and 29.5%, respectively. Also based on our study the 5-year survival in the POC group was better (79.5% vs. 66.5%). Using standard neoadjuvant regimens (preoperative chemotherapy/chemoradiotherapy) beforesurgery could increase tumor resectability, pathological response, and improve the general status of the patients. Therefore using POC may be recommended over surgery alone.

Which Factors Unexpectedly Increase Depressive Symptom Severity in Patients at the End of a Cardiac Rehabilitation Program?

Saeid Komasi,Mozhgan Saeidi,Nafiseh Montazeri,Masoumali Masoumi,Ali Soroush,Parvin Ezzati 대한재활의학회 2015 Annals of Rehabilitation Medicine Vol.39 No.6

Objective To investigate predictors of depressive symptom aggravation at the end of a cardiac rehabilitation (CR) program. Methods The design of the study was retrospective. The administrative data were obtained from the database of the CR department of a heart hospital in Iran. The demographic and clinical information of 615 CR patients between January 2000 and January 2010 was analyzed using binary logistic regression analysis. Results The results showed that 10.7% of the patients completed the CR program with aggravated depressive symptoms. After adjustment for gender, age, and pre-intervention depression score, lower education level (p<0.05) and smoking (p<0.01) were significant predictors of increased depressive symptoms at the end of the program. Our model variables could explain 6% to 13% of the dependent variable variance. Conclusion The results suggest that targeting patients who are less literate or who smoke could allow for taking the required measures to prevent or control depression at the end of a CR program. It is suggested that future studies consider other variables.