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M Golshan

Publications and source records attributed to M Golshan.

11 recordsLinked to original sources
PubMed2026

Surgical Management of Young Women with High-Risk Breast Cancer Receiving Neoadjuvant Systemic Therapy on the I-SPY2 Trial.

BACKGROUND: Mastectomy rates in women with breast cancer are higher in younger women than in older women. The impact of this more extensive surgery on overall survival (OS) and locoregional recurrence in younger women is unknown, especially after neoadjuvant systemic therapy (NST). This study evaluated surgical management and outcomes of patients aged &#x2264; 45 versus > 45 years enrolled in multicenter NST clinical trial, I-SPY2.0 (NCT01042379, PMID 37325931). METHODS: We conducted a secondary data analysis comparing locoregional treatment in patients aged &#x2264; 45 versus > 45 years with clinical or molecular high-risk clinical stage II-III breast cancer treated from April 2010 to June 2022. Multivariate Cox proportional hazards models were used to evaluate associations between type of breast surgery with OS and locoregional recurrence-free interval by age group and tumor receptor subtype. RESULTS: Of 1737 patients, 698 (40.2%) were aged &#x2264; 45 years. There were no significant differences in patient or tumor characteristics or residual cancer burden distribution between age groups. Although breast-conserving surgery was significantly less common in younger women (36.8% vs 48.5%, p < 0.001), surgery type was not associated with OS or locoregional recurrence-free interval for patients aged &#x2264; 45 years. CONCLUSIONS: Greater extent of breast surgery was not associated with improved outcomes in women aged &#x2264; 45 years. Choice of surgical procedure in the management of breast cancer is multifactorial, but young age alone&#xa0;does not warrant mastectomy following NST.

Breast cancer↗
PubMed2004

Observation of divergent-beam X-ray diffraction from a crystal of diamond using synchrotron radiation.

In 1947 Kathleen Lonsdale conducted a series of experiments on X-ray diffraction using a divergent beam external to a crystal sample. Unlike the Kossel technique, where divergent X-rays are excited by the presence of fluorescing atoms within the crystal, the use of an external divergent source made it possible to study non-fluorescing crystals. The resulting photographs not only illustrated the complexity of X-ray diffraction from crystals in a truly beautiful way, but also demonstrated unprecedented experimental precision. This long-forgotten work is repeated here using a synchrotron radiation source and, once again, considerable merit is found in Lonsdale's technique. The results of this experiment suggest that, through the use of modern 'third-generation' synchrotron sources, divergent-beam diffraction could soon enjoy a renaissance for high-precision lattice-parameter determination and the study of crystal perfection.

Computer Simulation↗
PubMed2003

Spirometric reference values in a large Middle Eastern population.

Ethnic differences in pulmonary function have been frequently reported. The purposes of this study were to derive equations for the prediction of normative spirometry values for a large population of Persians in Isfahan and compare them to reference values from a White Euro-USA population. Spirometry measurements were obtained from 4,341 randomly selected healthy nonsmoker subjects in Isfahan, Iran, utilising American Thoracic Society guidelines and a vigorous quality assurance program. Measured data from 3,213 subjects were analysed using multiple regression techniques to derive prediction equations for spirometric variables; the remaining 1,128 subjects were used as a control group to test the validity of the derived equations. In addition, predicted values were compared with values derived from recently published equations for the USA. Derived prediction equations showed good performance for most spirometric parameters. Compared with USA Whites, adult Persians have minimally lower forced vital capacities, while the values for children are close to USA Whites. In comparison with reference equations based on European or USA populations, local reference values are more biologically and technically suitable for the interpretation of spirometric data from Iranian populations.

Adult↗
PubMed2002

Prevalence of asthma and related symptoms in junior high school children in Isfahan, Iran.

Asthma is the most common chronic disease in children. There are scattered epidemiological data concerning the prevalence of this disorder in developing countries. From October 1998 to May 1999 we studied 4069 randomly selected, junior high-school children in urban areas of Isfahan for asthma and related symptoms. The ages were expected to be 12-15 years. The children completed a questionnaire, and 3924 completed questionnaires were returned (response rate = 96.4%). Pupils with chronic respiratory symptoms were interviewed, physically examined at hospital and 1710 of them also underwent post exercise spirometry. The overall prevalence of asthma ever in life was 9.5%, with a male to female ratio of 2/1. The frequencies of current asthma, wheezing ever in life and exercise induced wheezy breathing were 7.3%, 19.1% and 14.2% respectively. Wheeze was heard on chest auscultation in 4.1% of the children. Pulmonary function tests revealed forced expiratory volume in 1 sec (FEV1) < 80% in 5.9%, forced mid-expiratory flow (FEF25-75) < 70%, in 9.7% and FEF75 < 70% in 20.6% of the tested children. All of the later findings strongly correlate with history of asthma. Parental smoking, similar illness in parents and/or siblings, lower levels of parental education and presence of cats, cockroaches and chicken in the household were significant risk factors. The prevalence of asthma in the students of the junior high schools of Isfahan is not far less than the average rates reported in many parts of the world, and it seems necessary to pay more attention to poorly controlled air pollution in Isfahan as an industrial city.

Adolescent↗
PubMed2001

Prevalence of chronic bronchitis and chronic respiratory symptoms in adults over the age of 35 years in Isfahan, Iran in 1998.

OBJECTIVE: Chronic obstructive airways disease (COPD) in older patients is reported to be not only common, but also frequently overlooked and untreated by general practitioners. Chronic bronchitis is one of the major components of COPD and can be readily screened. This study investigates the prevalence of chronic bronchitis and related symptoms in Iran with special reference to COPD. METHODOLOGY: A random sample of 4636 participants aged 35 years and over, attended a research clinic for interview and physical examinations. Those reporting classic symptoms of chronic bronchitis were referred to a pulmonary clinic for pulmonary function testing. RESULTS: Two hundred and sixteen patients (4.65%) had chronic bronchitis. Among these, 78 (36.1%) had obstructive airways disease. Decreased forced expiratory volume in 1 s/forced vital capacity to levels of less than 70% were recorded in 45 patients (42.9% of the tested population). Less than 25% of the patients had a previous diagnosis of chronic bronchitis and/or airways disease. CONCLUSION: Obstructive airway diseases are under-diagnosed in developing countries. Physicians practising in such areas of the world should be aware, and try to detect the subclinical illnesses, especially in urban areas.

Adult↗
PubMed2001

Prevalence of asthma and related symptoms in primary school children of Isfahan, Iran, in 1998.

As developing countries adopt an industrialized style of living, an increase in asthma prevalence can be expected. A cross sectional study was undertaken to evaluate the prevalence rates of asthma and related symptoms and clinical findings in Isfahan, Iran. A randomly selected population of Isfahan primary school children, consisting of 3,982 children aged 6 to 11 was enrolled in the study. Parents completed a Persian questionnaire modified from ISAAC and ECRHS questionnaires. The returned 3,828 (96.1%) questionnaires were reviewed and 686 children suffering from asthma or any of the related symptoms were invited for further evaluations. In this stage 655 children (95.5%) underwent a medical interview and physical examinations, of which 415, underwent post exercise spirometry and body-plethysmography. The prevalence rates for previously diagnosed asthma, dyspnea and wheezing ever, dyspnea and wheezing in the last 12 months and frequently recurring dyspneal attacks were 0.71%, 7.6%, 3.9% and 1.6%, respectively. Wheezing was heard upon auscultation of the chests of 70 children (10.7%). Forced expiratory volume in 1st second (FEV1) < 80% of prediction was recorded in 3.1% of the children, other findings included reduced peak expiratory flow rate (PEF), mean expiratory flow 25 to 75 percent (FEF 25-75), forced expiratory flow at 75% of FVC (FEF 75), and increased residual volume (RV) and air-ways resistance in 4.3%, 10.6%, 21.2%, 30.1% and 63.2% of the pupils, respectively. We conclude that asthma screening programs employing clinical methods should be encouraged, but measurement of airway resistance is not a suitable tool for epidemiologic studies.

Asthma↗
PubMed1978

Primary sclerosing cholangitis.

Two new cases of primary sclerosing cholangitis with a rapid fatal course, particularly the patient in Case 2, are presented. Primary sclerosing cholangitis is a rare condition of unknown cause presenting with extrahepatic biliary obstruction due to a chronic inflammatory obliterative process with the absence of stones, cancer, or previous biliary surgery. This condition is often associated with ulcerative colitis, retroperitoneal fibrosis, and Riedel's thyroiditis. Surgical treatment for promoting bile drainage and long-term corticosteroid therapy are effective palliative measures.

Cholangitis↗
PubMedDate not supplied

Is arm span an accurate measure of height to predict pulmonary function parameters?

UNLABELLED: Interpretation of pulmonary function tests basically depends on prediction of normal values derived from equations using non-deformed body height. In many patients body height can not be accurately measured. The arm-span method has been used for estimating body height, but the normal relationship between body height and arm span is not exact and differs in various ethnic groups and even between two genders of the same race. In order to minimise the error of estimation of non-deformed body height, the normal relationship between body height and arm span was determined for 754 Persian males and 708 females aged 7 to 82 years, all having normal body stature. In accordance with earlier reports, two sets of spirometric parameters derived once from height, sex, age; and again from arm-span, sex, age were statistically different, and overestimated when the measured arm-span was used. The body-height/arm-span relationship is described using linear regression equations; in subgroups aging 20 years or less and those older than 20 in different genders. The results indicate significant sex and age differences in the arm-span/height ratio. Two sets of spirometric parameters predicted by real height, sex, age/and predicted height, sex, age were not statistically different for most of the parameters especially vital capacity. IN CONCLUSION: height estimated from arm span, performs much better than arm span to predict pulmonary function parameters.

Adolescent↗