Denture-related oral mucosal lesions among removable denture wearers referred to clinics of Kerman, Iran

BACKGROUND AND AIM: Since increasing the proportion of elderly in the world, so oral lesions related to removable denture-wearing are an important issue. The aim of this study was to evaluate the prevalence of denture-related oral mucosal lesions (DMLs) in removable denture wearers referred to clinics of Kerman, Iran. METHODS: This cross-sectional study was conducted on 350 removable denture wearer, with mean age 58.52 ± 10.78 years old, that had been selected by multistage clustering sample from individuals who referred to Kerman clinics. The data were obtained by a checklist consist of demographic characteristics (sex, age, and educational level) self-reported daily denture hygiene frequency, age of prosthesis and clinical examination. Data were analyzed in SPSS using chi-square and t-tests. P value was considered at 5% significant level. RESULTS: The results showed 71.8% of the denture wearers had denture related mucosal lesions. The most common lesion was denture stomatitis 36.6% followed by traumatic ulcer 26.5% and angular cheilitis 8.7%. There were significant differences between night wearing denture and age of prosthesis and denture-related mucosal lesions (P < 0.001). CONCLUSION: The finding of this study showed the prevalence of denture-related mucosal lesions is common. Dentists should be instruct the patients for removing the denture at night and routine follow-up visits. KEYWORDS: Removable Denture; Oral; Denture-related Lesion; Stomatitis; Traumatic Ulcer; Angular Cheiliti

Plasma 17beta-estradiol and alkali-labile phosphoprotein levels in male and female Tench (Tinca tinca) in the Anzali and Amirkolayeh wetlands

Environmental pollutants are potentiate to disturb biological processes such as metabolism, growth and reproduction of aquatic organisms. These compounds are able to cause gonadal abnormalities, biased sex ratios and alteration in reproductive physiology in fish. The aim of this study was to examine plasma 17β-estradiol (E2) and alkali-labile phosphoprotein (ALP) levels in male and female Tench (Tinca tinca) from a polluted (the Anzali Wetland) and a non-polluted environments (the Amirkolayeh Wetland). Samples were collected over the maturation season of Tench between May and June 2017. The results revealed significant difference in mean ALP and E2 between genders in the polluted environment. However, the mean plasma ALP concentrations in male Tench of the polluted environment (39.46±1.02 µg/ml) was 45% of the average recorded in female (86.18±2.25 µg/ml) and was two times higher than the amount measured in males in the non-polluted environment (18.68±0.35 µg/ml). High concentrations of E2, were detected in the male samples from the Anzali Wetland. Mean plasma E2 concentrations for male in the Anzali Wetland was almost two times higher than male in the Amirkolayeh Wetland. The results indicate that the reproductive physiology of Tench was affected by contaminants found in the Anzali Wetland, a highly polluted area

Pre-hypertension, pre-diabetes or both: which is best at predicting cardiovascular events in the long term?

The present study aimed to assess the value of pre-diabetes and pre-hypertension in predicting cardiovascular events. A population-based, cross-sectional survey was conducted, representing a large sample of the general Iranian population aged 35 years and older from the Isfahan Province and determined using a random, multistage cluster-sampling 10-year cohort. The five end points considered as study outcome were unstable angina (UA), acute occurrence of myocardial infarction (MI), sudden cardiac death (SCD), brain stroke and cardiovascular disease (CVD). Of the 6323 subjects scheduled for assessment of diabetes state 617 were diabetics and 712 were pre-diabetic. In addition, of these subjects, 1754 had hypertension and 2500 had pre-hypertension. Analysing only pre-hypertension, pre-diabetes and its combination and adjusted for gender and age variables, pre-hypertension and pre-diabetes status together, could only effectively predict occurrence of MI (hazard ratio (HR) = 3.21, 95% confidence interval (CI): 1.06–9.76, P = 0.04). In the same COX regression models, pre-hypertension status could predict UA and CVD occurrence (HR = 2.94, 95% CI: 1.68–5.14, Po0.001 and HR = 1.74, 95% CI: 1.23–2.47, P = 0.002, respectively). However, pre-diabetes status could not predict any of these events after adjustment for gender and age. Our data provide valuable evidence of the triggering role of pre-hypertension and pre-diabetes together, on appearance and progression of MI even in healthy individuals and the significant predicting value of pre-hypertension on the occurrence of UA and CVD. In this regard, the value of pre-hypertension and prediabetes together, and the pre-hypertension state alone, are clearly superior to pre-diabetes state alone in predicting cardiovascular event

Effective Factors on Theoretical Classes Attendance of Dentistry Students of Kerman University of Medical Sciences, Iran

Background & Objective: Classrooms are suitable environment for transferring teachers’ experiences to students and gaining a better understanding of educational contents. The students’ absence from theoretical classes has been one of the increasing and most important educational problems in medical universities in recent years. This study was performed to determine factors effective on theoretical class attendance according to the point of view of dentistry students of Kerman University of Medical Sciences, Iran, in 2012. Methods: This cross-sectional study was conducted on 150 students of the School of Dentistry, Kerman University of Medical Sciences, in 2012. Data collection tool was a questionnaire consisting of 2 parts: demographic characteristics and effective factors on theoretical class attendance questionnaire. The questionnaire consisted of 20 questions scored based on a 5-point Likert scale, from very effective to ineffective, and scores ranging from 0 to 80. Higher scores indicated more effective factors. Data were analyzed by SPSS software through linear regression analysis. Values of P < 0.05 were considered significant. Results: Of the 150 participants, 58.7% were female, 83.3% were single, and 61.3% were native students. The mean age of the participants was 20.7 ± 1.7 years. The mean score of the students was 58.24 ± 9.59. A significant statistical relationship was observed between area of residence, year of education, and sex of students and mean score of questionnaire. Among factors effective on theoretical class attendance, the highest score belonged to appropriate teaching method, teachers' scientific proficiency, students' interest in the related topic. However, taking part in the class as a duty and active involvement of students had the lowest scores. Conclusion: The findings of the present study showed that attendance in classes is affected by factors related to both teachers and students. However, appropriate teaching method, teachers' scientific proficiency, and students' interest in the related topic are the main factors which determine students' attendance in the classes. Keywords Effective factors Attendance Theoretical lessons Dentistry students Kerman (Iran

Determinants of Weight Change in a Longitudinal Study of Iranian Adults: Isfahan Cohort Study

Background: The extensive rise in the prevalence of obesity is a matter of great concern and poses a global threat to people's health. Obesity and overweight are considered to be the consequence of a collection of conditions including genetic, social, environmental, behavioral, and physical factors. The aim of this study was to Investigate the determinants of weight change over seven years in a prospective study in an Iranian population. Methods: The Isfahan Cohort Study (ICS) is an ongoing longitudinal study started in 2001. A total of 6504 adults aged 35 years participated in this study. Subjects were followed every 2 years by phone calls. The interview and measurements were repeated in 2007 for 3284 subjects with the same protocol as the baseline study. Obesity indices, including body mass index (BMI) and waist circumference (WC) were measured at both time points. For the purpose of data analysis, multiple multinomial logistic regression, Chi-square, and ANOVA tests were used. Results: In males, weight gain was more frequent from normal to overweight (11.7%), while in females, weight gain was observed more from overweight to obesity (11.4%). Younger individuals gained weight more than older individuals (P < 0.001); it was the same for lower education level (P = 0.007). Weight gain was negatively (OR: 0.98, 95% CI: 0.97-0.99 in male and OR: 0.96, 95% CI: 0.95-0.98 in female) and weight loss was positively (OR: 1.03, 95% CI: 1.01-1.05 in male and OR: 1.02, 95% CI: 1.01-1.04 in female) associated with age in both sexes. Education more than 12 years in women and between 6-12 years in men was negatively associated with weight gain while smoking was positively related to weight loss in females and weight gain in males. Conclusion: Our data showed that multiple factors affect weight change, among which age, smoking, and education are important determinants in Iranian adults

Association of adherence to the dietary approach to stop hypertension and Mediterranean diets with blood pressure in a non-hypertensive population: Results from Isfahan Salt Study (ISS)

Abstract Background and aims Hypertension is among the major risk factors for cardiovascular events in the Iranian population. This cross-sectional study was designed to examine the association of adherence to the dietary approaches to stop hypertension (DASH) and Mediterranean (MED) dietary patterns with the distribution of blood pressure and pre-hypertension prevalence. Methods and results This cross-sectional study was carried out in 1363 non-hypertensive adults. Adherence to the DASH and MED diets was calculated using a semi-quantitative food frequency questionnaire (FFQ). Hypertension was measured by the standard method. Multiple logistic regression was applied to obtain the odds ratio of pre-hypertension in the tertiles of MED and DASH dietary patterns. Compared to the lowest, participants with the highest adherence to the DASH dietary pattern had significantly lower systolic blood pressure (SBP) (111.3 ± 11.8 vs. 112.8 ± 12.5; P = 0.010) and diastolic blood pressure (DBP) (70.7 ± 9.2 vs. 71.8 ± 9.8; 0.042). There was no significant difference in the mean SBP and DBP among the participants across tertiles of MED or diet adherence. Higher scores of the DASH and MED diets were inversely associated with lower SBP after adjustment for all potential confounders (OR = −0.04, 95% CI = −0.29, −0.01, P = 0.039) and (OR = −0.04, 95% CI = −0.72, −0.02, P = 0.044), respectively. Also, DASH and MED dietary patterns was associated with reduced OR of pre-hypertension occurrence by 13% (OR: 0.87; 95% CI: 0.70–0.98; P for trend = 0.042) and 16% ([OR: 0.84; 95% CI: 0.69–0.97; P trend = 0.035), respectively. Conclusion Adherence to the DASH and MED diets was inversely associated with the odds for pre-hypertension and SBP

Potential Molecular Mechanisms of Bisphenol A in Obesity Development

Bisphenol A (BPA), an endocrine disruptor, is associated with metabolic disorders. However, several studies have suggested that exposure to BPA can cause obesity. It has recently got more attention from scientists as a risk factor for obesity due to its ability to mimic natural estrogens and bind to their receptors. Nonetheless, the molecular mechanism underpinning the environmental etiology of metabolic disorders has not been not fully clarified. In this regard, BPA exposure directly disrupts endocrine regulation, neuroimmune and signaling pathways, and gut microbes, resulting in obesity. In addition, epidemiological studies have revealed a significant relationship between BPA exposure and the development of obesity, although conflicting results have been reported. Therefore, this review summarized the possible role and molecular mechanisms associated with BPA exposure that may lead to obesity based on in vivo and in vivo studies

The global burden of cancer attributable to risk factors, 2010-19 : a systematic analysis for the Global Burden of Disease Study 2019

Background Understanding the magnitude of cancer burden attributable to potentially modifiable risk factors is crucial for development of effective prevention and mitigation strategies. We analysed results from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019 to inform cancer control planning efforts globally. Methods The GBD 2019 comparative risk assessment framework was used to estimate cancer burden attributable to behavioural, environmental and occupational, and metabolic risk factors. A total of 82 risk-outcome pairs were included on the basis of the World Cancer Research Fund criteria. Estimated cancer deaths and disability-adjusted life-years (DALYs) in 2019 and change in these measures between 2010 and 2019 are presented. Findings Globally, in 2019, the risk factors included in this analysis accounted for 4.45 million (95% uncertainty interval 4.01-4.94) deaths and 105 million (95.0-116) DALYs for both sexes combined, representing 44.4% (41.3-48.4) of all cancer deaths and 42.0% (39.1-45.6) of all DALYs. There were 2.88 million (2.60-3.18) risk-attributable cancer deaths in males (50.6% [47.8-54.1] of all male cancer deaths) and 1.58 million (1.36-1.84) risk-attributable cancer deaths in females (36.3% [32.5-41.3] of all female cancer deaths). The leading risk factors at the most detailed level globally for risk-attributable cancer deaths and DALYs in 2019 for both sexes combined were smoking, followed by alcohol use and high BMI. Risk-attributable cancer burden varied by world region and Socio-demographic Index (SDI), with smoking, unsafe sex, and alcohol use being the three leading risk factors for risk-attributable cancer DALYs in low SDI locations in 2019, whereas DALYs in high SDI locations mirrored the top three global risk factor rankings. From 2010 to 2019, global risk-attributable cancer deaths increased by 20.4% (12.6-28.4) and DALYs by 16.8% (8.8-25.0), with the greatest percentage increase in metabolic risks (34.7% [27.9-42.8] and 33.3% [25.8-42.0]). Interpretation The leading risk factors contributing to global cancer burden in 2019 were behavioural, whereas metabolic risk factors saw the largest increases between 2010 and 2019. Reducing exposure to these modifiable risk factors would decrease cancer mortality and DALY rates worldwide, and policies should be tailored appropriately to local cancer risk factor burden. Copyright (C) 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license.Peer reviewe

Global, regional, and national burden of diabetes from 1990 to 2021, with projections of prevalence to 2050: a systematic analysis for the Global Burden of Disease Study 2021

This online publication has been corrected. The corrected version first appeared at thelancet.com on September 28, 2023BACKGROUND : Diabetes is one of the leading causes of death and disability worldwide, and affects people regardless of country, age group, or sex. Using the most recent evidentiary and analytical framework from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD), we produced location-specific, age-specific, and sex-specific estimates of diabetes prevalence and burden from 1990 to 2021, the proportion of type 1 and type 2 diabetes in 2021, the proportion of the type 2 diabetes burden attributable to selected risk factors, and projections of diabetes prevalence through 2050. METHODS : Estimates of diabetes prevalence and burden were computed in 204 countries and territories, across 25 age groups, for males and females separately and combined; these estimates comprised lost years of healthy life, measured in disability-adjusted life-years (DALYs; defined as the sum of years of life lost [YLLs] and years lived with disability [YLDs]). We used the Cause of Death Ensemble model (CODEm) approach to estimate deaths due to diabetes, incorporating 25 666 location-years of data from vital registration and verbal autopsy reports in separate total (including both type 1 and type 2 diabetes) and type-specific models. Other forms of diabetes, including gestational and monogenic diabetes, were not explicitly modelled. Total and type 1 diabetes prevalence was estimated by use of a Bayesian meta-regression modelling tool, DisMod-MR 2.1, to analyse 1527 location-years of data from the scientific literature, survey microdata, and insurance claims; type 2 diabetes estimates were computed by subtracting type 1 diabetes from total estimates. Mortality and prevalence estimates, along with standard life expectancy and disability weights, were used to calculate YLLs, YLDs, and DALYs. When appropriate, we extrapolated estimates to a hypothetical population with a standardised age structure to allow comparison in populations with different age structures. We used the comparative risk assessment framework to estimate the risk-attributable type 2 diabetes burden for 16 risk factors falling under risk categories including environmental and occupational factors, tobacco use, high alcohol use, high body-mass index (BMI), dietary factors, and low physical activity. Using a regression framework, we forecast type 1 and type 2 diabetes prevalence through 2050 with Socio-demographic Index (SDI) and high BMI as predictors, respectively. FINDINGS : In 2021, there were 529 million (95% uncertainty interval [UI] 500–564) people living with diabetes worldwide, and the global age-standardised total diabetes prevalence was 6·1% (5·8–6·5). At the super-region level, the highest age-standardised rates were observed in north Africa and the Middle East (9·3% [8·7–9·9]) and, at the regional level, in Oceania (12·3% [11·5–13·0]). Nationally, Qatar had the world’s highest age-specific prevalence of diabetes, at 76·1% (73·1–79·5) in individuals aged 75–79 years. Total diabetes prevalence—especially among older adults—primarily reflects type 2 diabetes, which in 2021 accounted for 96·0% (95·1–96·8) of diabetes cases and 95·4% (94·9–95·9) of diabetes DALYs worldwide. In 2021, 52·2% (25·5–71·8) of global type 2 diabetes DALYs were attributable to high BMI. The contribution of high BMI to type 2 diabetes DALYs rose by 24·3% (18·5–30·4) worldwide between 1990 and 2021. By 2050, more than 1·31 billion (1·22–1·39) people are projected to have diabetes, with expected age-standardised total diabetes prevalence rates greater than 10% in two super-regions: 16·8% (16·1–17·6) in north Africa and the Middle East and 11·3% (10·8–11·9) in Latin America and Caribbean. By 2050, 89 (43·6%) of 204 countries and territories will have an age-standardised rate greater than 10%. INTERPRETATION : Diabetes remains a substantial public health issue. Type 2 diabetes, which makes up the bulk of diabetes cases, is largely preventable and, in some cases, potentially reversible if identified and managed early in the disease course. However, all evidence indicates that diabetes prevalence is increasing worldwide, primarily due to a rise in obesity caused by multiple factors. Preventing and controlling type 2 diabetes remains an ongoing challenge. It is essential to better understand disparities in risk factor profiles and diabetes burden across populations, to inform strategies to successfully control diabetes risk factors within the context of multiple and complex drivers.Bill & Melinda Gates Foundation.http://www.thelancet.comam2024School of Health Systems and Public Health (SHSPH)SDG-03:Good heatlh and well-bein

Evaluation of the Relationship between Hot Flashes and Night Sweats and Severity of Coronary Artery Disease in Postmenopausal Women

Introduction: Hot flashes (HF) and night sweats (NS) are due to vasomotor instability and could be recognized as cardiovascular risk markers. Therefore, this study aimed to evaluate the relationship between vasomotor instability and severity of coronary artery disease (CAD) in postmenopausal women.  Materials and Methods: This observational cross sectional study, was performed in Chamran Hospital, Isfahan University of medical sciences, Isfahan, Iran from 2011-2012. In this study, womenwithin the age range of 45-60 years with angiography documented CAD were enrolled.  Participants included 25 women with hot flashes, night sweats, or both and 17 women without these symptoms, respectively. In all participants, levels of follicular stimulating hormone/luteinizinghormone (FSH/LH) were measured. The severity of CAD was calculated using Gensini score. In order to evaluate the relationship between severity of CAD and other variables, Gensini scores lower than 50 and ≥50 were considered as low and high Gensini scores, respectively. Moreover, data analysis was performed using SPSS version 15.0.Results: Our findings demonstrated that NS and HF were not associated with severity of CAD, determined by Gensini scores (P-values>0.05). However, a significant positive relationship was observed between FSH levels and severity of CAD in all participants (P=0.048). In cases in low Gensini score group, the relationship between LH and Gensini score was negative and non-significant, while Gensini score showed a positive and non-significant relationship (P-value> 0.05).Conclusions: No significant association was observed between vasomotor symptoms of menopause and the severity of CAD. In addition, elevated FSH levels could be considered as a marker of severity of CAD