1.Dehydroepiandrosterone Sulfate as a Risk Factor for Premature Myocardial Infarction: A Comparative Study.
Mohammad SHOJAIE ; Mohammad Yaghoub RAJPOUT ; Armin ABTAHIAN ; Azadeh Esmail POUR ; Mohamed Amin GHOBADIFAR ; Armin AKBARZADEH
Korean Journal of Family Medicine 2015;36(1):1-9
BACKGROUND: This study aimed to evaluate some of the major risk factors of myocardial infarction including dehydroepiandrosterone sulfate in patients with premature myocardial infarction (age <50 years old) and myocardial infarction (age > or =50 years). METHODS: This is a parallel case-control study on 50 premature myocardial infarction patients and 50 myocardial infarction patients. We also recruited 50 matched participants for each of the two groups. Patients and their control groups were assessed for dehydroepiandrosterone sulfate serum level, diabetes mellitus, hyperlipidemia, hypertriglyceridemia, and hypertension. In addition, family history of cardiovascular disease and current smoking was recorded. Univariate and multivariate logistic regression analyses were performed to evaluate predictors of premature myocardial infarction and myocardial infarction. RESULTS: No significant differences were observed between the demographic data of patients and their controls. The dehydroepiandrosterone sulfate serum level was significantly higher in patients with premature myocardial infarction compared with controls. Multivariate logistic regression analysis revealed only serum dehydroepiandrosterone sulfate dehydroepiandrosterone sulfate level to be significantly associated with premature myocardial infarction (odds ratio, 2.65; 95% confidence interval, 1.44 to 4.877; P = 0.002). Additionally, hypertension was found to be associated with myocardial infarction. CONCLUSION: Higher levels of serum dehydroepiandrosterone sulfate level are associated with premature myocardial infarction but not with myocardial infarction, and this association is independent of the effects of other risk factors.
Cardiovascular Diseases
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Case-Control Studies
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Dehydroepiandrosterone Sulfate*
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Diabetes Mellitus
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Humans
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Hyperlipidemias
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Hypertension
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Hypertriglyceridemia
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Logistic Models
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Myocardial Infarction*
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Risk Factors*
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Smoke
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Smoking
3.Combined Use of Intrathecal Opioids and Dexmedetomidine in the Management of Neuropathic Pain.
Mohamed Amin GHOBADIFAR ; Farideh POURGHASHDAR ; Armin AKBARZADEH ; Zahra MOSALLANEJAD
The Korean Journal of Pain 2015;28(2):156-157
No abstract available.
Analgesics, Opioid*
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Dexmedetomidine*
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Neuralgia*
4.Safety of Epidural Steroid Injection Methods in the Management of Recurrent Lumbar Disc Herniation: Few Comments.
Mohamed Amin GHOBADIFAR ; Farideh POURGHARDASH ; Armin AKBARZADEH ; Zahra MOSALLANEJAD
Asian Spine Journal 2015;9(2):311-312
No abstract available.
5.Nine-Month Follow-up Results of Treatment for Nasolacrimal Duct Obstruction by Probing with Adjunctive Mitomycin C in Adults: A Prospective Randomized Placebo-Controlled Trial
Nader DEHGHANI ; Mohamad Reza FOULADIVANDA ; Mohamed Amin GHOBADIFAR ; Gelayol SAFSHEKAN-ESFAHANI ; Armin AKBARZADEH
Chonnam Medical Journal 2015;51(1):19-25
The current study aimed to determine the efficacy of probing with adjunctive mitomycin C (MMC) as a treatment for nasolacrimal duct obstruction (NLDO) in adults and to study the association of probing success with demographic and obstruction characteristics. This was a prospective, randomized, double-blind, placebo-controlled trial including 140 patients (each with a unilateral NLDO) scheduled for nasolacrimal probing who were randomly assigned to receive MMC (0.2 mg/ml, 70 patients; group A) or placebo (normal saline, 70 patients; group B). Irrigation was carried out with 0.5 cc of MMC (0.2 mg/mL) in the duct with a nasal pack for 10 minutes in group A. Patients' postprobing epiphora was evaluated at 2 weeks and 1, 3, 6, and 9 months postoperatively. Probing was judged to be a success if there was no or mild watering for at least 9 months after the procedure. There were no significant differences between the two study groups in demographic characteristics or duration of the operation (p=0.062). The overall success rate of probing with MMC was 47/70 (67.1%), which was significantly higher than the success rate of the procedure with placebo (p=0.0027). When the sex of the patients was controlled for by logistic regression, a significant association between the failure rate of probing and increasing age was found in cases and controls (p=0.004 vs. p=0.006, respectively). No significant side effects of probing with MMC were noted after 9 months of follow-up. Administering MMC in a dosage of 0.2 mg/mL during nasolacrimal probing significantly increased the success rate of probing. The failure rate of probing increased with age. A low dose of MMC is cheap, safe, and easily accessible; thus, it is recommended during nasolacrimal probing, especially in patients who refuse dacryocystorhinostomy surgery.
Adult
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Dacryocystorhinostomy
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Follow-Up Studies
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Humans
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Lacrimal Apparatus Diseases
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Lacrimal Duct Obstruction
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Logistic Models
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Mitomycin
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Nasolacrimal Duct
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Prospective Studies
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Water
6.The efficacy of a first aid training course for drivers: an experience from northern Iran.
Mohammad Ali VAKILI ; Ali MOHJERVATAN ; Seyed Taghi HEYDARI ; Armin AKBARZADEH ; Nazanin Sadat HOSINI ; Farideh ALIZAD ; Peyman ARASTEH ; Mohammad Javad MOGHASEMI
Chinese Journal of Traumatology 2014;17(5):289-292
OBJECTIVETo evaluate the efficacy of a first aid training course for a group of drivers.
METHODSThis study comprised 500 drivers, randomly selected from the road transport companies. They underwent a course of first aid training and the results were evaluated at 0-3 and 4-6 months after training.
RESULTSBoth quantitative and qualitative improvements were observed in the drivers'efficacy in giving first aid. Also the rate of correct interventions was higher at 4-6 months than at 0-3 months. The exception was airway management which was not favorably improved after training.
CONCLUSIONThe first aid training course for drivers is beneficial and helpful for prehospital care system in road traffic accidents.
Accidents, Traffic ; Adult ; Aged ; Automobile Driving ; Community Participation ; Emergency Medicine ; education ; First Aid ; Humans ; Inservice Training ; Iran ; Male ; Middle Aged ; Surveys and Questionnaires
7.Prevalence and risk factors of alcohol and substance abuse among motorcycle drivers in Fars province, Iran.
Seyed Taghi HEYDARI ; Mehrdad VOSSOUGHI ; Armin AKBARZADEH ; Kamran B LANKARANI ; Yaser SARIKHANI ; Kazem JAVANMARDI ; Ali AKBARY ; Maryam AKBARI ; Mojtaba MAHMOODI ; Mohammad Khabaz SHIRAZI ; Reza TABRIZI
Chinese Journal of Traumatology 2016;19(2):79-84
PURPOSEThe aim of this present study is to investigate the prevalence of alcohol and substance abuse (ASA) and its relationship with other risky driving behaviors among motorcycle drivers.
METHODSThis is a cross sectional study which is performed at Shiraz city of Iran. Data from motorcycle drivers were collected using a standard questionnaire in eight major streets at different times of the day. The data includes consumption of alcohol and other substances two hours before driving and some of the risky behaviors during driving.
RESULTSA total of 414 drivers with a mean ± SD age of (27.0 ± 9.3) years participated in the study. Alcohol or substance consumptions two hours before driving was significantly associated with risky driving behaviors such as using mobile phone during driving, poor maneuvering, and driving over the speed limit (both p < 0.001). It was also associated with carelessness about safety such as driving with technical defects (p < 0.001) and not wearing a crash helmet (p=0.008).
CONCLUSIONScreening for alcohol and substance consumption among motorcycle drivers is an efficient way to identify drivers that are at a greater risk for road traffic accidents.
Accidents, Traffic ; mortality ; statistics & numerical data ; Adult ; Age Distribution ; Alcoholism ; complications ; epidemiology ; Chi-Square Distribution ; Confidence Intervals ; Cross-Sectional Studies ; Developing Countries ; Humans ; Iran ; Male ; Middle Aged ; Motorcycles ; statistics & numerical data ; Odds Ratio ; Prevalence ; Risk Factors ; Risk-Taking ; Substance-Related Disorders ; complications ; epidemiology ; Survival Rate ; Urban Population ; Young Adult
8.Relationship between religion and school students' road behavior in southern Iran.
Reza TABRIZI ; Maryam AKBARI ; Kamran B LANKARANI ; Seyed Taghi HEYDARI ; Alireza MASOUDI ; Amir Hossein SHAMS ; Armin AKBARZADEH ; Saba MOALEMI ; Maryam Mahmoodi MEHR ; Ahmad Kalateh SADATI ; Payam PEYMANI
Chinese Journal of Traumatology 2017;20(5):264-269
PURPOSEUnsafe behaviors are an important cause of accidents in adolescent age groups. This study was designed to examine the behaviors of adolescent pedestrians in southern Iran.
METHODSThis is a descriptive analytical cross-sectional study. The study population consisted of high school students in Shiraz, capital city of Fars Province, Iran. Five hundred and sixteen students were selected by multi-stage sampling. Data were collected by the use of three questionnaires, which included Persian copies of adolescent road user behavior questionnaire (ARBQ), Duke University Religious Index (DUREL), as well as the context and independent variables questionnaire.
RESULTSThe results showed that a decrease in dangerous behaviors on the road resulted in an increase in respondents' intrinsic religiosity. Also, engagement in unsafe crossing behavior in the road decreased with increasing respondents' intrinsic religiosity. Another finding showed that female students were less involved in dangerous play and planned protective behaviors on the road.
CONCLUSIONFindings clearly indicate that intrinsic religiosity has a significant role in reducing the risky road behaviors of students. Hence, religion may improve road safety in school students' road behavior in Iran.