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Seroprevalence of Cytomegalovirus Antibodies and Primary Infection among Women and Infants in Iran: A Meta-Analysis 伊朗妇女和婴儿巨细胞病毒抗体的血清阳性率和原发性感染:一项荟萃分析
Pub Date : 2016-10-05 DOI: 10.17795/IJCP-3704
Fereshteh Farshidi, G. Abedi, M. Moosazadeh, M. Afshari
Background: Seroprevalence of Cytomegalovirus infection varies between 40% and 100% worldwide. Different studies carried out in Iran indicate this variation in this country. It is important to estimate the total infection prevalence using a reliable method such as meta- analysis in order to be applied by policymakers. This study aims to estimate the IgG and IgM seroprevalences of CMV infection among Iranian women and neonates. Method: We selected eligible articles for final meta- analysis by searching the national and international databases, excluding duplicates and irrelevant papers from primarily identified studies after abstract/full text review, implementing exclusion/inclusion criteria and quality assessment. Standard error of the prevalence was calculated according to binomial distribution formula. Based on the degree of heterogeneity, fixed or random effects models were applied for estimating the pooled prevalences. Results: In this study, 16 papers providing 20 evidences of CMV prevalence in Iran entered in the meta- analysis. CMV IgG and IgM seroprevalences as well as primary infection rate (95% confidence interval) among pregnant women were 92.8% (90.6 - 94.9), 6.4% (2.8 - 9.9) and 1.1% (0.7 - 1.5) respectively. CMV IgM seroprevalence among neonates were 0.6% (0.09 - 1.2), while CMV IgG and CMV IgM seroprevalences among non-pregnant women were 78.4% (70 - 86.8) and 4.6% (1.5 - 7.6) respectively. Conclusions: This meta- analysis showed that the prevalence of CMV infection among studied population is relatively high. Therefore, mortality, complications, anomalies and injuries among fetuses, neonates and immunocompromized patients can be partially related to the CMV infection.
背景:世界范围内巨细胞病毒感染的血清阳性率在40%到100%之间。在伊朗进行的不同研究表明,这个国家存在这种差异。使用可靠的方法如荟萃分析来估计总感染流行率是很重要的,以便决策者应用。本研究旨在估计伊朗妇女和新生儿巨细胞病毒感染的IgG和IgM血清患病率。方法:我们通过检索国内和国际数据库选择符合条件的文章进行最终的meta分析,通过摘要/全文审查,实施排除/纳入标准和质量评估,从主要确定的研究中排除重复和不相关的论文。根据二项分布公式计算患病率的标准误差。根据异质性程度,采用固定效应或随机效应模型估计合并患病率。结果:在本研究中,16篇论文提供了伊朗巨细胞病毒流行的20个证据进入了meta分析。孕妇CMV IgG和IgM血清患病率(95%可信区间)分别为92.8%(90.6 ~ 94.9)、6.4%(2.8 ~ 9.9)和1.1%(0.7 ~ 1.5)。新生儿CMV IgM血清阳性率为0.6%(0.09 ~ 1.2),非孕妇CMV IgG和CMV IgM血清阳性率分别为78.4%(70 ~ 86.8)和4.6%(1.5 ~ 7.6)。结论:该荟萃分析显示,研究人群中巨细胞病毒感染的患病率相对较高。因此,胎儿、新生儿和免疫功能低下患者的死亡率、并发症、异常和损伤可能与巨细胞病毒感染部分相关。
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引用次数: 4
Prevalence of Hepatitis B Virus infection among Pregnant Women in Iran: A Systematic Review and Meta-analysis 伊朗孕妇乙型肝炎病毒感染率:系统回顾和荟萃分析
Pub Date : 2016-10-04 DOI: 10.17795/IJCP-3703
I. Moghaddasifar, K. Lankarani, M. Moosazadeh, M. Afshari, Mina Malary
Background: Hepatitis B infection can be transmitted both vertically and horizontally. Although the universal neonatal vaccination and catch up vaccination of teenagers along with targeted vaccination of at risk population have decreased the prevalence of HBV infection in Iran dramatically, there is still risk of vertical transmission with subsequent chronic liver disease and hepatocellular carcinoma. This study aims to estimate the prevalence of latent HBV infection among Iranian pregnant women using meta- analysis method. Data Sources: Papers written in Persian or English were identified during a comprehensive search within five national and four international main databases. Study Eligibility Criteria and Participants: Studies reported the HBV infection prevalence among Iranian pregnant women and provided enough quality scores were selected for this meta-analysis. Methods: After a systematic review of national and international databases, duplicated and irrelevant studies were excluded. Standard error of the infection prevalence was calculated based on the binomial distribution. Because of the significant heterogeneity observed among the results, random effects model was applied to combine the results of the primary studies. Moreover, sensitivity analysis and meta-regression models were used to detect the sources of this heterogeneity. Results: At final step of the systematic search, 18 papers entered into the meta-analysis investigating 24853 pregnant women. Prevalence of HBV infection among Iranian pregnant women was estimated as 1.2% (95% confidence interval: 0.9 - 1.6). Among different risk factors assessed, only familial history in four studies out of five relevant evidences was statistically significant. Conclusions: HBV infection prevalence among Iranian pregnant women is low and familial history is its major determinant.
背景:乙型肝炎感染可通过垂直和水平两种途径传播。尽管普遍的新生儿疫苗接种和青少年补种疫苗接种以及高危人群的靶向疫苗接种显著降低了伊朗乙型肝炎病毒感染的患病率,但仍然存在垂直传播的风险,从而导致慢性肝病和肝细胞癌。本研究旨在利用荟萃分析方法估计伊朗孕妇潜伏性HBV感染的流行程度。数据来源:在五个国家和四个国际主要数据库中进行全面搜索,确定了以波斯语或英语撰写的论文。研究资格标准和参与者:研究报告了伊朗孕妇中HBV感染的流行情况,并提供了足够的质量评分,这些研究被选择用于本荟萃分析。方法:通过对国内外数据库的系统回顾,排除重复和不相关的研究。根据二项分布计算感染流行率的标准误差。由于结果间存在显著的异质性,故采用随机效应模型对初步研究结果进行综合。此外,使用敏感性分析和元回归模型来检测这种异质性的来源。结果:在系统检索的最后一步,有18篇论文进入荟萃分析,调查了24853名孕妇。据估计,伊朗孕妇的HBV感染率为1.2%(95%可信区间:0.9 - 1.6)。在评估的不同危险因素中,五项相关证据中只有四项研究的家族史具有统计学意义。结论:伊朗孕妇HBV感染率较低,家族史是其主要决定因素。
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引用次数: 18
Participation Rate and Related Factors in Colonoscopy Screening Program in First-Degree Relatives of Patients Affected by Colorectal Cancer 结直肠癌患者一级亲属结肠镜筛查的参与率及相关因素
Pub Date : 2016-10-04 DOI: 10.17795/IJCP-4808
Arezoo Chouhdari, P. Yavari, M. Pourhoseingholi, M. Zali
Background: First-degreerelatives(FDRs)of peoplediagnosedwithcolorectalcancer(CRC)haveatwo-tothree-foldincreasedriskof developingdisease. Colonoscopy screeningtestcanbeeffectiveinpreventionandearlytreatment. Objectives: Thepurposeof thisstudywastodeterminetherateof participationincolonoscopyscreeningtestandrelatedfactorsinfirstdegreerelatives. Methods: 200FDRsof CRCcaseswereinterviewedbytheresearchers.Areliableandvalidquestionnaireaboutundergoingcolonoscopyscreeningtestandbarrierswas filledviaphone. Toreportqualitativedataresults,weusedpercentandproportion. Full(bytotalvariables)andfinal(ForwardLR)multiplelogisticregressionanalysis wereusedtomakeamodelwhichwasexecutedusingspss19. Results: Intotal,59% FDRshadundergonecolonoscopyscreeningtesttothetimeofinterview.Majorreasonsfornotparticipatingwerefearofpain(23%),concernsabout complicationsandtestpositiveresult(21.5%),lackofhealthinsurance(21.5%),notbelievinginthetesteffectiveness(17%),noneedbecauseofhealthyfeeling(13%),embar-rassment(12%)anddistrusttoserviceproviderskills(10%).Resultsofmultiplelogisticregressionanalysisindicatedthereisstatisticalsignificancebetweenparticipatingcolonoscopyscreeningandvariables“notaffectedwithhypertension(95%CI:0.4-2.04,OR=3.7),believeintesteffectivenessinFDRs(95%CI:1.8-16.9,OR=5.6),alsoageofdiagnosis 50inCRCcases(95%CI:1.7-2.3,OR=2)”.Finally,agebelow50(95%CI:1.1-5.1,OR=2.4),notbeingalivepersonaffectedbyCRC(95%CI:1.2-5.8,OR=3.3),monthly familyincome 10millionRials(95%CI:1.08-4.7,OR=2.2)andbelief ineffectivenessof thetest(95%CI:2.61-12.55,OR=5.7)werepredictorfactorstoparticipate. Conclusion: FutureInterventionsshouldfocusonfosteringpositiveattitudes,overcomingbarriers,enhancingsocialandhealthinsurancesupportandfollowingmed- icalrecommendationconsecutivetoperformingcolonoscopyscreeningtest.
背景:诊断为结直肠癌(CRC)的人的一级亲属(FDRs)患病风险增加2 - 3倍。结肠镜检查screeningtestcanbeeffectiveinpreventionandearlytreatment。目的:本研究的目的是确定参与结肠镜筛查的标准相关因素在一级亲属。方法:对200fdr病例进行访谈。Areliableandvalidquestionnaireaboutundergoingcolonoscopyscreeningtestandbarrierswas filledviaphone。Toreportqualitativedataresults weusedpercentandproportion。完整的(bytotalvariables) andfinal (ForwardLR) multiplelogisticregressionanalysis wereusedtomakeamodelwhichwasexecutedusingspss19。结果:FDRshadundergonecolonoscopyscreeningtesttothetimeofinterview.Majorreasonsfornotparticipatingwerefearofpain Intotal, 59%(23%),随着complicationsandtestpositiveresult(21.5%)、lackofhealthinsurance(21.5%)、notbelievinginthetesteffectiveness(17%)、noneedbecauseofhealthyfeeling(13%)、embar-rassment anddistrusttoserviceproviderskills (12%) (10%) .Resultsofmultiplelogisticregressionanalysisindicatedthereisstatisticalsignificancebetweenparticipatingcolonoscopyscreeningandvariables”notaffectedwithhypertension(95%置信区间:0.4—-2.04,或= 3.7),believeintesteffectivenessinFDRs(95%置信区间:1.8—-16.9,或= 5.6),alsoageofdiagnosis最后,年龄在50岁以下(95%CI:1.1-5.1,OR=2.4)、没有活的人受crc影响(95%CI:1.2-5.8,OR=3.3)、家庭月收入1000万里亚尔(95%CI: 1.98 -4.7,OR=2.2)和测试的信念无效(95%CI:2.61-12.55,OR=5.7)是不参与的预测因素。结论:未来的干预措施应注重培养积极的态度,克服障碍,加强社会和健康保障支持,并遵循医学建议,连续进行结肠镜筛查试验。
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引用次数: 3
Relation Between Lung Cancer Incidence and Mortality Rates with Human Development Index and Its Components: A Global Ecological Study 肺癌发病率和死亡率与人类发展指数及其组成的关系:一项全球生态学研究
Pub Date : 2016-10-02 DOI: 10.17795/IJCP-5310
M. Soheylizad, S. Khazaei, S. Khazaei, S. Rezaeian
: This study aimed to identify the role of HDI in the incidence and mortality rates of lung cancer (LC) worldwide. Data about the incidence and mortality rate of LC for the year 2012 was obtained from the global cancer project for 172 countries. Data about the HDI and other indices were obtained for 169 countries from the United Nations development programme database. In 2012, LC was estimated to have affected a total of 1,824,701 individuals (crude rate: 25.9 per 100,000 individuals), and caused 1,589,925 deaths worldwide (crude rate: 22.5 per 100,000 individuals). LC accounts for 13% of total cancers incidence. There was a positive correlation between the HDI and LC incidence (R = 0.79, P < 0.05), and also with LC mortality rate (R = 0.77, P < 0.05) in the world in 2012. Linear regression model showed that increasing of HDI, mean of life expectancy at birth, mean years of schooling, GNI per capita, percent of urbanization, and age standardized obesity had a positive effect on increase in both incidence and mortality rates of LC. Our study showed that the burden of LC is enormous in high and very high HDI regions. Such actions include primary prevention strategies to effective control of the lifestyle behaviours prevalence including tobacco avoidance and cessation of smoking, a reduction in alcohol consumption and obesity, and the promotion of increased levels of physical activity, as well as the implementation of early detection programs. Moreover, further reductions in mortality could be brought about by increasing access to curative treatment for patients with LC.
本研究旨在确定HDI在全球肺癌(LC)发病率和死亡率中的作用。关于2012年肝癌发病率和死亡率的数据来自172个国家的全球癌症项目。从联合国开发计划署数据库获得了169个国家的人类发展指数和其他指数的数据。2012年,估计LC总共影响了1,824,701人(原始比率:每100,000人25.9人),并在全球造成1,589,925人死亡(原始比率:每100,000人22.5人)。LC占癌症总发病率的13%。2012年世界范围内HDI与LC发病率呈正相关(R = 0.79, P < 0.05),与LC死亡率呈正相关(R = 0.77, P < 0.05)。线性回归模型显示,HDI、出生时平均预期寿命、平均受教育年限、人均国民总收入、城市化率和年龄标准化肥胖对LC的发病率和死亡率均有正向影响。我们的研究表明,在HDI高和非常高的地区,LC的负担是巨大的。这些行动包括旨在有效控制生活方式行为流行率的初级预防战略,包括避免和戒烟,减少酒精消费和肥胖,促进增加身体活动水平,以及实施早期发现规划。此外,通过增加对LC患者的治愈性治疗可进一步降低死亡率。
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引用次数: 8
Palliative Care as the Driving Force for Providing Psychological Comfort to Patients with Cancer: A Hermeneutic Study 姑息治疗作为癌症患者提供心理安慰的推动力:一项解释学研究
Pub Date : 2016-10-01 DOI: 10.17795/IJCP-4516
N. Seyedfatemi, M. M. Hamooleh, L. Borimnejad, M. Tahmasebi
Background: Palliative care is an important part of eective cancer care Objectives: The purpose of our study was to explore the lived experiences of nurses providing psychological palliative care for cancer patients in Iran. Methods: A hermeneutic phenomenological study was performed. We interviewed 11 oncology nurses to understand their lived experiences in cancer wards about psychological palliative care. We employed a seven-stage process of data analysis. Results: One constitutive pattern 'palliative care as the driving force for providing psychological comfort to patients with cancer' and three associated themes, namely 'stress management', 'empathetic behavior', and 'all-embracing outlook', were identified. Conclusions: The findings present better understanding of the lived experiences of oncology nurses in Iran regarding the phenomena under study.
背景:姑息治疗是有效癌症治疗的重要组成部分目的:本研究的目的是探讨伊朗为癌症患者提供心理姑息治疗的护士的生活经验。方法:进行解释学现象学研究。我们采访了11位肿瘤科护士,了解她们在癌症病房的心理姑息治疗生活经历。我们采用了一个七阶段的数据分析过程。结果:确定了“姑息治疗为癌症患者提供心理安慰的驱动力”的构成模式,以及“压力管理”、“移情行为”和“包容观”三个相关主题。结论:研究结果更好地理解了伊朗肿瘤护士的生活经历。
{"title":"Palliative Care as the Driving Force for Providing Psychological Comfort to Patients with Cancer: A Hermeneutic Study","authors":"N. Seyedfatemi, M. M. Hamooleh, L. Borimnejad, M. Tahmasebi","doi":"10.17795/IJCP-4516","DOIUrl":"https://doi.org/10.17795/IJCP-4516","url":null,"abstract":"Background: Palliative care is an important part of eective cancer care Objectives: The purpose of our study was to explore the lived experiences of nurses providing psychological palliative care for cancer patients in Iran. Methods: A hermeneutic phenomenological study was performed. We interviewed 11 oncology nurses to understand their lived experiences in cancer wards about psychological palliative care. We employed a seven-stage process of data analysis. Results: One constitutive pattern 'palliative care as the driving force for providing psychological comfort to patients with cancer' and three associated themes, namely 'stress management', 'empathetic behavior', and 'all-embracing outlook', were identified. Conclusions: The findings present better understanding of the lived experiences of oncology nurses in Iran regarding the phenomena under study.","PeriodicalId":73510,"journal":{"name":"Iranian journal of cancer prevention","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68181181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
HER-2/neu Overxpression in Esophageal Squamous Cell Carcinoma (ESCC) and Its Correlation with Patient’s Clinicopathological Features HER-2/neu在食管鳞状细胞癌(ESCC)中的过表达及其与患者临床病理特征的相关性
Pub Date : 2016-09-28 DOI: 10.17795/IJCP-5007
A. Kermani, R. Vakili, Samaneh Dadkhah, A. Jafarian, R. Bagheri
Background: HER-2/neu overexpression has been reported in various human cancers and identified as a significant predictor of poor survival. In this studyHER-2/neu overexpression and its associations with clinicopathological characteristics were evaluated in patients with esophageal squamous cell carcinoma (ESCC). Methods: This cross-sectional study was performed on 64 patients with histological diagnosis of primary ESCC who underwent surgery for curative treatment. Immunohistochemistry (IHC) was used to assess expression of HER-2/neu receptor in formalin-fixed paran-embedded tissue blocks. Results: The mean age of patients was 60.1 1.28 years. The overall HER2 expression was observed in 51.5% of ESCC patients without considering IHC scores. HER2/neu overexpression (6%) was significantly associated with the tumor dierentiation (P < 0.001). 20.3% of cases were stage I, 67.2% stage II, and 12.5% stage III. 17 patients (26.2%) had vascular invasion, 12 patients (18.8%) had neuronal invasion and 7 patients (10.9%) had invasion to margins. Nine of 12 patients withHER-2/neu over expression had thoracic tumors and only three of them had an abdominal ESCC. Conclusions: No significant correlations were found between HER2/neu overexpression and gender, age, tumor invasion, location of tumor, TNM stages and stage of tumor in patients with ESCC.
背景:HER-2/neu过表达已在各种人类癌症中报道,并被确定为不良生存的重要预测因子。在这项研究中,her -2/neu过表达及其与食管鳞状细胞癌(ESCC)患者临床病理特征的关系进行了评估。方法:对64例经组织学诊断为原发性ESCC并行手术治疗的患者进行横断面研究。采用免疫组化(IHC)方法评估HER-2/neu受体在福尔马林固定的旁包埋组织块中的表达。结果:患者平均年龄60.1 - 1.28岁。在不考虑IHC评分的情况下,在51.5%的ESCC患者中观察到HER2的总体表达。HER2/neu过表达(6%)与肿瘤分化显著相关(P < 0.001)。I期占20.3%,II期占67.2%,III期占12.5%。侵犯血管17例(26.2%),侵犯神经元12例(18.8%),侵犯边缘7例(10.9%)。her -2/neu过表达的12例患者中有9例为胸部肿瘤,其中只有3例为腹部ESCC。结论:ESCC患者HER2/neu过表达与性别、年龄、肿瘤侵袭、肿瘤部位、TNM分期、肿瘤分期无显著相关性。
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引用次数: 4
The Effect of Social Capital Enhancement on Quality of Life, Treatment Compliance and Pain in Patients with Breast Cancer 社会资本增强对乳腺癌患者生活质量、治疗依从性及疼痛的影响
Pub Date : 2016-09-28 DOI: 10.17795/IJCP-4618
S. M. Hosseini, M. Mousavi, H. Rafiee, S. Karimi
Background: Nowadays, research about quality of life in breast cancer patients is so important, because of progress in treatment procedure in health science. Brest cancer influences quality of life aspects and disrupts social relationships. This creates recluse lifestyle and speeds up disease trend. Objectives: The aim of this study was to investigate the eect(s) of social capital on quality of life, treatment compliance, and pain in patients with breast cancer. Materials and Methods: In a clinical trial, 29 patients with breast cancer (who referred to Kashany hospital in Shahrekord during 2010 - 2012) through non-probability (available) sampling were selected and randomly divided into two groups. The intervention group received some inter- ventions to promote social capital and the non-intervention group took routine treatment. Results: Before the intervention, both groups were similar in terms of the study variables. But after the intervention, in the intervention group social capital, Qol and treatment compliance increased and in the non-intervention group, these variables decreased. Pain in both groups was reduced, but this reduction was more noticeable in the intervention group. Conclusions: Increasing the social capital results in promoting Qol, health behaviors, treatment compliance and pain relief. Then methods of promoting social capital can be used as a way to improve Qol and treatment compliance and relieve pain.
背景:随着健康科学治疗方法的进步,对乳腺癌患者生活质量的研究变得越来越重要。乳腺癌影响生活质量,破坏社会关系。这造成了隐居的生活方式,加速了疾病的蔓延。目的:本研究的目的是探讨社会资本对乳腺癌患者生活质量、治疗依从性和疼痛的影响。材料与方法:选取2010 - 2012年在Shahrekord市Kashany医院转诊的29例乳腺癌患者,采用非概率(可得)抽样方法,随机分为两组。干预组接受一些促进社会资本的干预措施,非干预组接受常规治疗。结果:干预前,两组在研究变量方面相似。但干预后,干预组的社会资本、生活质量和治疗依从性均有所上升,而非干预组则有所下降。两组患者的疼痛均有所减轻,但干预组的疼痛减轻更为明显。结论:增加社会资本可提高患者的生活质量、健康行为、治疗依从性和疼痛缓解。提高患者的生活质量和治疗依从性,缓解患者的疼痛。
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引用次数: 11
Frequency of Chemotherapy Induced Anemia in Breast Cancer Patients 乳腺癌患者化疗性贫血的发生率
Pub Date : 2016-09-27 DOI: 10.17795/IJCP-4672
L. Pourali, A. Taghizadeh, Mohammad Akhoundi, F. Varshoei, A. Zarifian, M. Andalibi
Background: Breast cancer is the second most common malignancy in women, worldwide. Several etiologic factors may cause anemia in a patient with breast cancer. Anemia is a prevalent complication in patients with breast cancer who undergo chemotherapy which affects the health status and quality of life in these patients. The aim of this study was to evaluate the prevalence of anemia in patients with non-metastatic breast cancer who underwent adjuvant chemotherapy. Methods: In this cross-sectional study, 144 women with non-metastatic breast cancer who referred to radiotherapy and oncology department of Imam Reza hospital and met inclusion criteria were included. Data were obtained from patients’ archived documents and were analyzed by SPSS software (version16). Results: In this study, 41% of patients were anemic before the chemotherapy and 43.1% of patients became anemic during and after treatment. The prevalence of post-chemotherapy anemia was significantly higher in advanced stages of cancer (P = 0.01). The chance of developing anemia were more in patients who underwent 8 cycles and AC + paclitaxel regimen, compared to the ones with 6 cycles and other regimens. There was no significant relationship between the prevalence of anemia and type of chemotherapy regimen, number of chemotherapy cycles, positive lymph nodes, co-morbidities, menstrual status, and body mass index (BMI). Conclusions: Due to the high prevalence of chemotherapy-induced anemia and its effects on quality of life, even mild degrees of anemia should be detected and evaluated before treatment. Considering early interventions is of cardinal importance, especially in the elderly.
背景:乳腺癌是世界范围内女性中第二常见的恶性肿瘤。几种病因可能导致乳腺癌患者贫血。贫血是乳腺癌化疗患者的常见并发症,影响了患者的健康状况和生活质量。本研究的目的是评估接受辅助化疗的非转移性乳腺癌患者贫血的发生率。方法:在这项横断面研究中,纳入了144名转诊至Imam Reza医院放疗和肿瘤科并符合纳入标准的非转移性乳腺癌妇女。数据来源于患者的档案资料,采用SPSS (version16)软件进行分析。结果:在本研究中,41%的患者在化疗前出现贫血,43.1%的患者在治疗期间和治疗后出现贫血。晚期癌症患者化疗后贫血发生率明显高于晚期癌症患者(P = 0.01)。与6个周期和其他方案的患者相比,8个周期和AC +紫杉醇方案的患者发生贫血的几率更高。贫血患病率与化疗方案类型、化疗周期数、淋巴结阳性、合并症、月经状况和体重指数(BMI)之间无显著关系。结论:由于化疗性贫血的高患病率及其对生活质量的影响,即使是轻度贫血也应在治疗前进行检测和评估。考虑早期干预是至关重要的,特别是对老年人。
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引用次数: 16
Current Status of the Fetography: Preventing of the Future Radiation Induced Cancer 胎儿造影的现状:预防未来的辐射致癌
Pub Date : 2016-09-19 DOI: 10.17795/IJCP-5209
M. Zabihzadeh, V. Karami
Background: Fetography has named the radiography of the fetus in utero. Due to the potential risk of radiation-induced cancers and other malignant effects, this procedure has avoided and has completely replaced by ultrasonography. However it has observed that this invasive procedure has still followed in some clinical departments. Objectives: The aim of this study was to assess the current status of the fetography and its prevalence as an un-recommended diagnostic procedure in teaching hospitals of Ahvaz, Iran. Methods: The radiology and ultrasonography reception systems of two teaching hospitals of Ahvaz have investigated to identify pregnant patients who has undergone fetal presentation imaging (cephalic or breech) between 21 March 2013 and 21 March 2015. Results: In general 3741 pregnant women who have undergone fetal-presentation imaging during two past years have identified. There was significant statistically differences between X-ray and ultrasonography examinations (2528 vs. 1213; P value < 0.05), as those have accounted for 67.5% and 32.5% of the performed examinations, respectively. Women younger than 30 years, who were more sensitive to radiation, accounted for 51.2% of the X-ray examinations. The number of fetographies has increased as much as 2.2 fold during 2013 to 2015. Discussion: Women of the investigated hospital have received avoidable fetal irradiation due to fetography then it was a reason for concern. Ultrasonography should be the first-line imaging modality for pregnant women, especially in the case of fetal-presentation.
背景:胎儿造影(Fetography)被称为子宫内胎儿的影像学检查。由于潜在的风险辐射引起的癌症和其他恶性影响,这一程序已避免,并已完全取代超声检查。然而,据观察,这种侵入性手术在一些临床部门仍然沿用。目的:本研究的目的是评估胎儿造影的现状及其作为伊朗阿瓦士教学医院不推荐的诊断程序的流行程度。方法:对2013年3月21日至2015年3月21日阿瓦士两所教学医院的影像学和超声接收系统进行调查,确定2013年3月21日至2015年3月21日期间接受胎儿表现成像(头侧或臀侧)的孕妇。结果:在过去的两年中,有3741名孕妇接受了胎儿表现成像。x线与超声检查有显著的统计学差异(2528 vs 1213;P值< 0.05),分别占检查次数的67.5%和32.5%。年龄小于30岁的女性对放射更敏感,占x线检查的51.2%。从2013年到2015年,胎状图的数量增加了2.2倍。讨论:被调查医院的妇女由于胎儿造影而接受了可避免的胎儿照射,这是一个值得关注的原因。超声检查应该是孕妇的一线成像方式,特别是在胎儿出现的情况下。
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引用次数: 10
Cancer Types in Pathological Samples Referred to Educational Hospitals in Birjand During the Past Three Years (2011 - 2013) 2011 - 2013年Birjand教育医院转诊病理标本肿瘤类型分析
Pub Date : 2016-09-19 DOI: 10.17795/IJCP-4075
F. Mezginejad, F. Haghighi, Mahmoodreza Behravan, B. Bijari
Introduction: Cancer is ranked as the third leading cause of death in Iran. Today, more than 20 million people worldwide suffer from this disease. By the year 2030, this number is predicted to reach 75 million. Regarding the importance of cancer and its outbreak and different age patterns for cancer outbreak and also the occurrence of cancer in different geographic regions, the current study aimed at studying the occurrence of this disease during 3 past years in order to determine the epidemiologic characteristics of the cases among patients visiting educational hospitals in Birjand, Iran. Methods: In this cross-sectional study, patients visiting educational hospitals affiliated to Birjand University of Medical Sciences (BUMS) from December 22, 2011 to December 22, 2013 were assessed. The required data was collected from medical records of patients. Demographic data such as age, gender, types of cancer, and the total number of pathological cases were collected and recorded. The obtained data was analyzed by means of SPSS (V;15. using χ2 and ANOVA test). Results: The results show that 458 out of 2631 of biopsy samples referred to the pathology wards in the educational hospitals of BUMS suffered from cancer, among whom 257 (56.1%) were male and 201 (43.9%) were female. The most common cancers were those of the brain and the spinal cord (15.1%), skin (14.8%), and the breast (14%). The mean age of the patients was 60.35 ± 17.15 years. The most common cancer in men was stomach cancer (17.1%), and the most common cancer in women was breast cancer (31.8%). There could be found a significant relation between the type of cancer and gender (P = 0.001). Conclusions: Considering the importance of cancer and the possibility of prevention and treatment in the early stages of most cancers, and carrying out research projects to find risk factors related to common cancers in the area, one can use mass media for further awareness of the public and their education; and also help patients who pass away as a result of lack of awareness.
简介:在伊朗,癌症被列为第三大死亡原因。今天,全世界有2000多万人患有这种疾病。到2030年,这一数字预计将达到7500万。关于癌症及其爆发的重要性以及癌症爆发和癌症在不同地理区域发生的不同年龄模式,本研究旨在研究过去3年中癌症的发生情况,以确定在伊朗Birjand教育医院就诊的患者病例的流行病学特征。方法:采用横断面研究方法,对2011年12月22日至2013年12月22日在Birjand医科大学附属教育医院就诊的患者进行评估。所需的数据是从患者的医疗记录中收集的。收集并记录年龄、性别、肿瘤类型、病理病例总数等人口统计学数据。采用SPSS (V;15)软件对所得数据进行分析。采用χ2和方差分析检验)。结果:本院教育医院病理病房转诊的2631例活检标本中有458例为肿瘤,其中男性257例(56.1%),女性201例(43.9%)。最常见的癌症是脑癌和脊髓癌(15.1%)、皮肤癌(14.8%)和乳腺癌(14%)。患者平均年龄60.35±17.15岁。男性中最常见的癌症是胃癌(17.1%),女性中最常见的癌症是乳腺癌(31.8%)。癌症类型与性别之间存在显著相关性(P = 0.001)。结论:考虑到癌症的重要性和大多数癌症早期预防和治疗的可能性,开展研究项目,寻找该地区常见癌症的相关危险因素,可以利用大众媒体进一步提高公众的认识和教育;也可以帮助那些因为缺乏意识而去世的病人。
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引用次数: 3
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Iranian journal of cancer prevention
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