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Risk factors for stomach cancer: a systematic review and meta-analysis
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Jalal Poorolajal, Leila Moradi, Younes Mohammadi, Zahra Cheraghi, Fatemeh Gohari-Ensaf
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Epidemiol Health. 2020;42:e2020004. Published online February 2, 2020
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DOI: https://doi.org/10.4178/epih.e2020004
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Abstract
OBJECTIVES This report provides information on 14 behavioral and nutritional factors that can be addressed in stomach cancer prevention programs.
METHODS PubMed, Web of Science, and Scopus were searched through December 2018. Reference lists were also screened. Observational studies addressing the associations between stomach cancer and behavioral factors were analyzed. Between-study heterogeneity was investigated using the χ<sup>2</sup>, τ<sup>2</sup>, and I<sup>2</sup> statistics. The likelihood of publication bias was explored using the Begg and Egger tests and trim-and-fill analysis. Effect sizes were expressed as odds ratios (ORs) with 95% confidence intervals (CIs) using a random-effects model.
RESULTS Of 52,916 identified studies, 232 (including 33,831,063 participants) were eligible. The OR (95% CI) of factors associated with stomach cancer were as follows: <i>Helicobacter pylori</i> infection, 2.56 (95% CI, 2.18 to 3.00); current smoking, 1.61 (95% CI, 1.49 to 1.75); former smoking 1.43 (95% CI, 1.29 to 1.59); current drinking, 1.19 (95% CI, 1.10 to 1.29); former drinking, 1.73 (95% CI, 1.17 to 2.56); overweight/obesity, 0.89 (95% CI, 0.74 to 1.08); sufficient physical activity, 0.83 (95% CI, 0.68 to 1.02); consumption of fruits ≥3 times/wk, 0.48 (95% CI, 0.37 to 0.63); consumption of vegetables ≥3 times/wk, 0.62 (95% CI, 0.49 to 0.79); eating pickled vegetables, 1.28 (95% CI, 1.09 to 1.51); drinking black tea, 1.00 (95% CI, 0.84 to 1.20); drinking green tea, 0.88 (95% CI, 0.80 to 0.97); drinking coffee, 0.99 (95% CI, 0.88 to 1.11); eating fish ≥1 time/wk 0.79 (95% CI, 0.61 to 1.03); eating red meat ≥4 times/wk 1.31 (95% CI, 0.87 to 1.96), and high salt intake 3.78 (95% CI, 1.74 to 5.44) and 1.34 (95% CI, 0.88 to 2.03), based on two different studies.
CONCLUSIONS This meta-analysis provided a clear picture of the behavioral and nutritional factors associated with the development of stomach cancer. These results may be utilized for ranking and prioritizing preventable risk factors to implement effective prevention programs.
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Occupational risk factors among Iranian farmworkers: a review of the available evidence
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Mahin Ghafari, Zahra Cheraghi, Amin Doosti-Irani
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Epidemiol Health. 2017;39:e2017027. Published online July 2, 2017
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DOI: https://doi.org/10.4178/epih.e2017027
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Abstract
Farming is one of the most important components of most economies. No comprehensive picture exists of the health status of Iranian farmers and the work-related hazards that affect them. We aimed to determine the gaps in the current knowledge regarding the occupational health of Iranian farmworkers. Electronic databases including Medline, Web of Science, Scopus, and Embase, as well as national databases including the Scientific Information Database, MagIran, and Barakat Knowledge System, were searched for articles published through March 2017. All epidemiologic studies regarding the occupational health of farmworkers in Iran were reviewed, regardless of their design, language, time of publication, and location. Of the 86 retrieved articles, 39 studies were ultimately analyzed. Most studies were conducted in Fars, Kerman, and Mazandaran provinces. According to the results of this review, chemical, physical, and biological hazards, along with work-related injuries, may be the main factors threatening the health of farmworkers. The unsafe use of pesticides was related to male infertility, eye and digestive complications, pesticide poisoning, pesticide absorption, hematological changes, non-Hodgkin lymphoma, and multiple myeloma. Chemical hazards (e.g., the unsafe use of pesticides), physical hazards, injuries, and biological hazards (e.g., work-related infectious diseases) threaten the health of Iranian farmworkers. Moreover, farmworkers lack adequate knowledge about the occupational hazards they face and the relevant risk factors.
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Ehsan Mostafavi, Bahram Ebrahimi, Amin Doosti-Irani, Ali Mirzazadeh BMC Infectious Diseases.2024;[Epub] CrossRef - Characteristics of Grape Shelf Eye Injuries at Vineyards in Japan
Wataru Kikushima, Yoichi Sakurada, Kenji Kashiwagi Journal of Clinical Medicine.2022; 11(23): 7079. CrossRef - The Increase in Frequency of Protective Behavior against Pesticide Poisoning in Narail, Bangladesh through Use of an Easy Paper Checklist; an Interventional Study
Yurie Kobashi, Syed Emdadul Haque, Yoshitaka Nishikawa, Tomohiro Morita, Hiroshi Nagami, Kayako Sakisaka, Sanzida Mubassara, Masaharu Tsubokura International Journal of Environmental Research and Public Health.2021; 18(17): 9349. CrossRef - A Survey on General Health Status of Paddy Field Workers in Mazandaran Province using the GHQ-28 Questionnaire
Mohsen Sharifirad, Alireza poursaeed, Farhad Lashgarara, Seyed Mehdi Mirdamadi journal of ilam university of medical sciences.2021; 29(3): 72. CrossRef
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Predictors of miscarriage: a matched case-control study
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Jalal Poorolajal, Parvin Cheraghi, Zahra Cheraghi, Masoomeh Ghahramani, Amin Doosti Irani
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Epidemiol Health. 2014;36:e2014031. Published online November 20, 2014
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DOI: https://doi.org/10.4178/epih/e2014031
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21,876
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Abstract
OBJECTIVES The risk factors for miscarriage vary across communities and countries. This study was conducted to investigate the predictors of miscarriage in the west of Iran.
METHODS This matched case-control study was conducted in Hamadan Province from April 2013 to March 2014. Cases were selected from women who had a recent spontaneous abortion and controls were selected from women who had a recent live birth. Two controls were selected for every case and matched for date of pregnancy and area of residence. Multivariate conditional logistic regression analysis was performed and odds ratios (ORs) and 95% confidence intervals (CIs) were calculated.
RESULTS Five hundred fifty cases were compared with 1,091 controls. The OR of miscarriage was 1.58 (95% CI=1.30-1.92) for every five-year increase in age, 0.20 (95% CI=0.14-0.28) for every live birth, and 3.43 (95% CI=2.03-5.79) for a history of previous spontaneous abortion. Compared to nulliparous women, primiparous or multiparous women had an OR of 17.85 (95% CI=6.65-47.91) for miscarriage. There was a strong association between miscarriage and abnormal amniotic status (OR, 2.46; 95% CI, 0.46-13.09) and also abnormal placenta status (OR, 10.44; 95% CI, 0.95-114.92); however, these associations were not statistically significant. No significant associations were observed between miscarriage and body mass index, previous history of stillbirth, low birth weight, congenital anomaly, ectopic pregnancy, impaired thyroid function, or high blood pressure.
CONCLUSIONS Our study suggests that miscarriage is a multifactorial outcome associated with several modifiable and non-modifiable risk factors that may vary among different communities.
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Zina Al-Alami, Rana Abu-Huwaij, Shereen Hamadneh, Esra’ Taybeh Medicina.2024; 60(7): 1044. CrossRef - Gestational lead exposure and its effects on fetal/infant development - A systematic review
Aleksander Brandão Santana, Lídia Emmanuela Wiazowski Spelta, Joselin Valeska Martinez Sobalvarro, Márcia Helena Miranda Cardoso Podestá, Raphael Caio Tamborelli Garcia, Tiago Marques dos Reis, Larissa Helena Torres Reproductive Toxicology.2023; 117: 108342. CrossRef - Pembangunan dan Pengesahan Instrumen Pengetahuan, Sikap dan Penghayatan Terhadap Unsur Tradisi Dalam Perlembagaan Persekutuan
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Isao Horiuchi, Yu Wakimoto, Tomoyuki Kuwata, Hideaki Sawai, Hiroaki Shibahara, Kenjiro Takagi Journal of Fetal Medicine.2019; 06(01): 1. CrossRef - Complications in Early Pregnancy
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Carrie J. Nobles, Pauline Mendola, Sunni L. Mumford, Ashley I. Naimi, Edwina H. Yeung, Keewan Kim, Hyojun Park, Brian Wilcox, Robert M. Silver, Neil J. Perkins, Lindsey Sjaarda, Enrique F. Schisterman Hypertension.2018; 71(5): 904. CrossRef - Epidemiological Survey and Risk Factor Analysis of Recurrent Spontaneous Miscarriages in Infertile Women at Large Infertility Centers
Hai-Yan Wang, Jie Qiao, Xiao-Xi Sun, Shu-Yu Wang, Xiao-Yan Liang, Yun Sun, Feng-Hua Liu Chinese Medical Journal.2017; 130(17): 2056. CrossRef - Maternal pre-pregnancy risk factors for miscarriage from a prevention perspective: a cohort study in China
Huan Zhou, Yongping Liu, Lu Liu, Min Zhang, Xingzhi Chen, Yulong Qi European Journal of Obstetrics & Gynecology and Reproductive Biology.2016; 206: 57. CrossRef - Systematic review and meta-analysis on the association of prepregnancy underweight and miscarriage
Montserrat Balsells, Apolonia García-Patterson, Rosa Corcoy European Journal of Obstetrics & Gynecology and Reproductive Biology.2016; 207: 73. CrossRef - Fasting blood glucose and newborn birth weight of non- diabetic Sudanese women
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Quality of Cohort Studies Reporting Post the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement
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Jalal Poorolajal, Zahra Cheraghi, Amin Doosti Irani, Shahab Rezaeian
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Epidemiol Health. 2011;33:e2011005. Published online June 7, 2011
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DOI: https://doi.org/10.4178/epih/e2011005
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<p>The quality of reporting of cohort studies published in the most prestigious scientific medical journals was investigated to indicate to what extent the items in the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist are addressed. Six top scientific medical journals with high impact factor were selected including New England Journal of Medicine, Journal of the American Medical Association, Lancet, British Medical Journal, Archive of Internal Medicine, and Canadian Medical Association Journal. Ten cohort studies published in 2010 were selected randomly from each journal. The percentage of items in the STROBE checklist that were addressed in each study was investigated. The total percentage of items addressed by these studies was 69.3 (95% confidence interval: 59.6 to 79.0). We concluded that reporting of <italic>cohort</italic> studies published in the most prestigious scientific medical journals is not clear enough yet. The reporting of other types of observational studies such as case-control and cross-sectional studies particularly those being published in less prestigious journals expected to be much more imprecise.</p>
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