Health complaints in individual visiting primary health care: population-based national electronic health records of Iran.

BACKGROUND The mission of medical schools is a sustainable commitment to orient education, research, and services based on the priorities and expectations of society. The most common complaints of patients from comprehensive health service centers (CHSCs) based on the data from electronic health records were assessed in order to determine primary health care (PHC) priorities for the educational planning of medical students in Iran. METHODS A population-based national study was designed to assess clinical complaints of patients in all age groups who were referred to CHSCs at least once to be visited by physicians. All the data in the census were extracted from electronic health records in PHC system during 2015-2020, classified by the International Classification of Primary Care 2nd edition (ICPC-2e-English), and statistically analyzed. The total number of complaints that were recorded in the system was 17,430,139. RESULTS 59% of the referring patients were women. The highest number of referrals was related to the age group of 18-59 years (56.9%), while the lowest belonged to the elderly people (13.3%). In all age and sex groups, the first ten complaints of patients with three top priorities in each category included process (follow-up, consultation, and results exam), digestive (toothache and gum complaint, abdominal pain, and diarrhea), respiratory (cough, sore throat, and runny nose), general (fever, pain, and weakness and fatigue), musculoskeletal (back pain, leg complaint, and knee injuries), endocrine and nutritional (weight gain, Feeding problem, and weight loss), cardiovascular (hypertension, palpitations, and Postural hypotension), neurological (headache, dizziness, and paralysis), sexual dysfunction (vaginal complaint, discharge, and irregular menstruation), and dermatological (pruritus, rash, and inflammation) problems. CONCLUSION High priorities in referring to PHC had a key role in assessing the country's health needs. Since this study was in line with the national pattern of complaints and patients' profile, the present findings can be helpful to amend policy-making, educational planning and curricula development in medical schools

Differential Response of Sunflower Maintainer and Restorer Inbred Lines to Salt Stress

In order to identify of salt tolerant sunflower inbred lines a set of 24 inbred lines were evaluated as a randomized block design with three replications in Isfahan and Zabol in 2017. Salt stress was imposed following seedlings establishment 20 days after planting as irrigation with two (fresh water) and 8 ds.m-2 electrical conductivity. According to the results, there were significant differences among locations and also salt treatment for all measured traits except for flowering time and oil content. There were also significant differences among inbred lines for all of the characteristics which could be used a source for improvement of salt tolerance in sunflower. Salt stress had a negative impact on agronomic futures of the inbred lines. Achene and oil yield had suffered more than other traits with 34 and 31%25 reduction respectively. Phenological traits were affected less than agronomic traits. The inbred lines BGK259 and RGK38 had the highest and lowest achene and oil yield respectively. Three lines BGK259, BGK369 and BGK375 with higher STI expressed as more salt tolerant lines. All 12 maintainer lines had a higher STI than all the 12 restorer lines and were more tolerant. Among the restorers RGK22, RGK15 and RGK2 were more salt tolerant than others. In accordance with STI, TOL and GM indices, principal component analysis differentiated BGK259, BGK369 and BGK375 as the most salt tolerant inbred lines

Combining ability and heterosis for some canola characteristics sown on recommended and late planting dates using biplot

Canola (Brassica napus L.) is one of the most efficient oil-producing crops in arid and semi-arid regions of the world. In the current study, ten winter canola genotypes [seven genotypes as lines (Zarfam (L1), Talaye (L2), SLM046 (L3), Geronimo (L4), Modena (L5), Opera (L6) and Symbol (L7)] and three genotypes as testers [Okapi (T1), Licord (T2) and Orient (T3)] and their F1 hybrids (21 hybrids) were evaluated to determine the genetic parameters for grain yield, oil content, meal and seed glucosinolate contents under two different planting date [recommended (late September) and late planting (late October)]. According to combined analysis of variance there were significant differences among the genotypes for most studied traits. The genotype main effect and genotype × environment interaction (GGE) biplot method was used for analyzing line × tester design data. Among the lines, L5 showed high negative general combining ability (GCA) effect for meal glucosinolate content in both conditions whereas L1, L5 and L6 revealed high negative GCA effects for seed glucosinolate content in both planting date. From the results, it could be concluded that, hybridization between T1×L1, T1×L6 or T3×L5 is an efficient approach to release genotypes with low seed and meal glucosinolate content. Furthermore, to develop canola cultivars with higher seed and oil yield, hybridization between T1×L7 or T2×L7 is highly recommended. Improved oil content will be achieved if T1×L5, T2×L5 or T3×L6 hybrids are implemented into the breeding programs.</p

Primary follicular lymphoma of colon: A case series and review of literature

Abstract Follicular lymphoma of the colon is rare, accounting for 1% to 2% of cases in the gastrointestinal tract. Despite the absence of randomized clinical trials, NCCN stage III and IV colonic follicular lymphomas are routinely treated with chemotherapy with good clinical response. We present 2 cases of advanced stage follicular lymphoma of colon that were effectively treated with bendamustine‐based chemotherapy regimens

Castleman disease presenting as an abdominal mass

Unicentric Castleman disease is a rare condition of lymphoid hyperplasia, of which only 15% of cases occur in the abdomen. We report a 66-year-old man who presented with complaints of abdominal pain. Computed tomography scans revealed nephrolithiasis and a homogeneous calcified mass between the pancreas and stomach and several para-pancreatic nodes. Direct visualization during exploratory laparotomy revealed a mass on the lesser curvature of the stomach. Pyloromyotomy and mass resection were performed. Biopsy showed reactive lymphoid hyperplasia consistent with the hyaline vascular variant of Castleman disease