<?xml version="1.0" encoding="utf-8"?>
			<journal>
			<title>Reviews in Clinical Medicine</title>
			<title_fa></title_fa>
			<short_title>RCM</short_title>
			<subject>Medical Sciences</subject>
			<web_url>https://rcm.mums.ac.ir/</web_url>
			<journal_hbi_system_id>0</journal_hbi_system_id>
			<journal_hbi_system_user></journal_hbi_system_user>
			<journal_id_issn>2345-6256</journal_id_issn>
			<journal_id_issn_online>2345-6892</journal_id_issn_online>
			<journal_id_pii></journal_id_pii>
			<journal_id_doi></journal_id_doi>
			<journal_id_iranmedex></journal_id_iranmedex>
			<journal_id_magiran></journal_id_magiran>
			<journal_id_sid></journal_id_sid>
			<journal_id_nlai></journal_id_nlai>
			<journal_id_science></journal_id_science>
			<language>en</language>
			<pubdate>
				<type>jalali</type>
				<year>0</year>
				<month>0</month>
				<day>1</day>
			</pubdate>
			<pubdate>
				<type>gregorian</type>
				<year>2026</year>
				<month>6</month>
				<day>1</day>
			</pubdate>
			<volume>13</volume>
			<number>2</number>
			<publish_type>online</publish_type>
			<publish_edition>1</publish_edition>
			<article_type>fulltext</article_type>
			<articleset><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Antioxidant Effects of Herbal Medicine in Reducing the Effects of Environmental Toxicity: Narrative Review</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>Review</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Environmental toxicity, driven by pollutants such as heavy metals, pesticides, and industrial chemicals, induces oxidative stress, leading to cellular damage and chronic diseases. Herbal medicines, rich in bioactive compounds like flavonoids, phenolic acids, and terpenoids, offer a natural defense by scavenging reactive oxygen species (ROS), enhancing detoxification pathways, and mitigating toxicity effects. The aim of this study is to investigate the antioxidant effects of herbal medicine in decreasing environmental toxicity effects. The article is a narrative review that highlights the antioxidant mechanisms of key herbs—including milk thistle (silymarin), turmeric (curcumin), ginger (gingerols), and green tea (EGCG), and other herbal medicine in counteracting environmental toxins. Herbal medicine contains various antioxidant compounds including Flavonoids, Phenolic acids, Terpenoids, Tannins, Selenium, Glutathione and Vitamins. Clinical and preclinical studies demonstrate herbal medicine efficacy in reducing oxidative markers and boosting endogenous antioxidants. These findings underscore the potential of herbal medicine as a sustainable strategy to combat environmental toxicity-related health risks.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Environmental toxicity, Herbal Medicine, ROS, Curcumin, ginger</keyword>
				<start_page>76</start_page>
				<end_page>84</end_page>
				<web_url>https://rcm.mums.ac.ir/article_27997.html</web_url>
			<author_list><author>
				<first_name>Ali</first_name>
				<middle_name></middle_name>
				<last_name>Nosrati Andevari</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>nosrati.ali70@gmail.com</email>
				<code>123047</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Department of Clinical Biochemistry, Afzalipour Faculty of Medicine, Kerman University of Medical Sciences, Kerman, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Faegheh</first_name>
				<middle_name></middle_name>
				<last_name>Bahri</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>faegheh.bahri9797@gmail.com</email>
				<code>123048</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Clinical Biochemistry, Afzalipour Faculty of Medicine, Kerman University of Medical Sciences, Kerman, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Mohammad</first_name>
				<middle_name></middle_name>
				<last_name>Farajpour</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>mohammadfarajpour1@gmail.com</email>
				<code>123049</code>
				<coreauthor>No</coreauthor>
				<affiliation>Student Research Committee, Babol University of Medical Sciences, Babol, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Sotoudeh</first_name>
				<middle_name></middle_name>
				<last_name>Ghorban Shiroodi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>sotude1994@gmail.com</email>
				<code>123050</code>
				<coreauthor>No</coreauthor>
				<affiliation>Student Research Committee, Babol University of Medical Sciences, Babol, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Simultaneous rupture of the pectoralis major tendon and long head of the biceps tendon in a professional bodybuilder: A case report</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>Case report</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Most sports-related injuries in bodybuilders involve the upper extremities. Simultaneous rupture of the pectoralis major (PM) and long head of biceps tendon (LHBT) during bench press is extremely rare, and we report a case of such an injury. A 26-year-old male bodybuilder, with a history of previous PM tendon rupture and repair and long-term anabolic steroid use presented to our clinic with left arm and shoulder pain, bulging of the arm, and loss of axillary contour following a bench press injury that occurred two months prior. Physical examination and MRI confirmed simultaneous rupture of the PM tendon and the LHBT. Surgical management included PM reconstruction using an Achilles tendon allograft and the LHBT tenodesis performed in the same session. One possible mechanism of injury may have been altered biomechanics related to postoperative adhesions following previous PM repair. In addition, long-term anabolic steroid use may have contributed by weakening tendon integrity and increasing susceptibility to rupture.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Pectoralis Major, Biceps Brachii, Athletes, Tendons, Tendon injuries, Sports</keyword>
				<start_page>85</start_page>
				<end_page>89</end_page>
				<web_url>https://rcm.mums.ac.ir/article_28002.html</web_url>
			<author_list><author>
				<first_name>Mohsen</first_name>
				<middle_name></middle_name>
				<last_name>Mardani-Kivi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>mardani.kivi@gmail.com</email>
				<code>123073</code>
				<coreauthor>No</coreauthor>
				<affiliation>Orthopaedic Research Center, Department of Orthopaedic, Poursina Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Zohre</first_name>
				<middle_name></middle_name>
				<last_name>Darabipour</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>zdarabipour@gmail.com</email>
				<code>123074</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Orthopaedic Research Center, Department of Orthopaedic, Poursina Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Ahmad</first_name>
				<middle_name></middle_name>
				<last_name>Alizadeh</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>sefidsiyah.2020@gmail.com</email>
				<code>123075</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Radiology, Poursina Hospital, Guilan University of Medical Sciences, Rasht, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Treatment Modalities For Pharyngocutaneous Fistula Following Total Laryngectomy: A case series</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>Case series</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Pharyngocutaneous Fistula (PCF) is a life-threatening complication following total laryngectomy. This complication prolongs hospitalization and increases costs, and may lead to delays in postoperative radiotherapy. However, there is limited evidence regarding different management strategies, especially surgical treatments, for these patients. Sternocleidomastoid (SCM), Pectoralis Major (PM), submental island, supraclavicular, infrahyoid flaps, and Radial Forearm Free Flap (RFFF) are the most practical pedicled and free flaps for PCF surgical treatment. In this study, we evaluated 24 patients with PCF out of 315 total laryngectomy patients. The management, including conservative and surgical treatments, was discussed, and risk factors for PCF occurrence were reported.The patients&#039; ages ranged from 42 to 79 years old, with an average of 62.8 years old. 15 cases (62.5%) had a history of radiotherapy, 2 were diabetic (8%), and the average hemoglobin was 12.82 gr/dl with an average blood albumin of 3.18 gr/dl. 3 cases (12.5%) had positive surgical margins, and neck dissection was done for 22 (91.6%).6 patients (25%) responded to conservative management, with surgery performed for those who did not respond. Closure of the fistula using SCM muscle flap was done for 7 cases (29.16%), 3 (12.5%) were treated using PM flap, and other pedicled flaps were used in one case each. Successful management was achieved using RFFF for 2 patients (8.33%).Treatment modalities first include conservative management, with surgical treatments using pedicled or free flaps as mandatory in cases of first-line failure. The selective flap is determined based on fistula characteristics and patient history.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Total laryngectomy, Pharyngocutaneous Fistula (PCF), Pedicled flap, Radial Fore Arm Free Flap (RFFF)</keyword>
				<start_page>85</start_page>
				<end_page>91</end_page>
				<web_url>https://rcm.mums.ac.ir/article_28003.html</web_url>
			<author_list><author>
				<first_name>seyede Fateme</first_name>
				<middle_name></middle_name>
				<last_name>Hashemi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>mahmoudihf@mums.ac.ir</email>
				<code>123076</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Otorhinolaryngology department, faculty of medicine, Mashhad University of Medical Sciences, Mashhad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Ebrahim</first_name>
				<middle_name></middle_name>
				<last_name>Karimi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>karimient@gmail.com</email>
				<code>123077</code>
				<coreauthor>No</coreauthor>
				<affiliation>Otorhinolaryngology Research Center, Tehran University of Medical Sciences, Tehran, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Hamedreza</first_name>
				<middle_name></middle_name>
				<last_name>Kafash</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>hamedrezakaffash@gmail.com</email>
				<code>123078</code>
				<coreauthor>No</coreauthor>
				<affiliation>Faculty of engineering, Ferdowsi University of Masshad, Masshad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Epidemiology of Gout in Southeast Iran: Unexpected Risk Factor Patterns in a Population-Based Study</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>Original article</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[BackgroundGout is an increasingly recognized public health concern in low- and middle-income regions experiencing rapid socioeconomic change. However, contemporary evidence from southeastern Iran is limited. This study provides the first population-based estimate of gout prevalence in Zahedan and examines its association with demographic, metabolic, and medication-related factors.MethodsThis cross-sectional analysis included 6,322 adults from the Persian Cohort in Zahedan, with a clinically profiled subsample of 2,166 participants aged 35–75 years. Gout diagnosis was based on standardized clinical criteria. Associations with age, sex, body mass index, comorbidities, and medication use were assessed using univariate and multivariable models.ResultsThe overall prevalence of gout was 5.7% (95% CI: 5.1–6.3%) in the full cohort and 4.7% (95% CI: 3.8–5.6%) in the subsample. Contrary to global literature, gout was not significantly associated with older age, male sex, obesity, hypertension, or diabetes. Instead, loop diuretic use particularly furosemide demonstrated a strong independent association with gout after adjustment for confounders, whereas other medications, alcohol consumption, and cardiometabolic conditions did not show significant relationships.ConclusionGout affects nearly one in twenty adults in Zahedan, representing a meaningful disease burden. While traditional predictors were not influential, furosemide use emerged as a key modifiable risk factor, emphasizing the need for medication review and gout monitoring among patients receiving loop diuretics. Longitudinal studies incorporating genetic, dietary, and biochemical profiling are warranted to refine prevention and management strategies in this region.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Gout, Epidemiology, Risk factors, Southeast Iran, Population-Based Study</keyword>
				<start_page>91</start_page>
				<end_page>97</end_page>
				<web_url>https://rcm.mums.ac.ir/article_28004.html</web_url>
			<author_list><author>
				<first_name>Shahin</first_name>
				<middle_name></middle_name>
				<last_name>Nosratzehi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>nosratzehi764@gmail.com</email>
				<code>123079</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Department of Internal Medicine, School of Medicine, Zahedan University of Medical Sciences, Zahedan, Iran.|Genetics of Non-Communicable Disease Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Mahin</first_name>
				<middle_name></middle_name>
				<last_name>Nosratzehi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>nosratzehimahin@yahoo.com</email>
				<code>123080</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Internal Medicine, School of Medicine, Zahedan University of Medical Sciences, Zahedan, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Amirhossein</first_name>
				<middle_name></middle_name>
				<last_name>Dehvari</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>dehvaria@zaums.ac.ir</email>
				<code>123081</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Biostatistics and Epidemiology, School of Health, Zahedan University of Medical Sciences, Zahedan, Iran.|Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Mahi</first_name>
				<middle_name></middle_name>
				<last_name>Mohammadi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>mohammadi@yahoo.com</email>
				<code>123082</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Internal Medicine, School of Medicine, Zahedan University of Medical Sciences, Zahedan, Iran.|Genetics of Non-Communicable Disease Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Evaluation of agreement among four different methods for measuring inter-pupillary distance in healthy adults</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>Original article</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Objective: The aim of this study was to assess the agreement between four different methods of measuring interpupillary distance.Methods: This cross-sectional study evaluated IPD in healthy adults using four methods, including corneal reflex and limbus-based manual methods, autorefractometer and mobile application (Warby Parker). Data analysis was conducted in SPSS version 27, and intraclass correlation coefficient and Bland-Altman plots were employed to assess the agreement between these methods.Results: A total of 90 individuals with a mean age of 34.58±8.86 years participated in this study. There was no significant relationship between age and IPD (P&gt;0.132). The ICC indicated good statistical agreement between the methods (ICC=0.918, 95% CI:0.845-0.953). Also, Bland-Altman analysis showed that the 95% limits of agreement were not wide in most comparisons and were clinically acceptable. The highest difference was observed between the limbus-based manual method and the mobile application (mean difference: 0.67±1.30 mm, 95% LoA: -3.23 to 1.89 mm), and the lowest difference occurred between the autorefractometer and the manual corneal reflex method (mean difference: -0.05±0.84 mm, 95% LoA: -1.70 to 1.60 mm).Conclusion: According to the results, the lowest difference in measuring IPD that was statistically and clinically significant was noted between the autorefractometer and the manual corneal reflex method and the highest difference was found between the limbus-based method and the mobile application. It is recommended to use standard methods for achieving accurate measurements and the results obtained from mobile applications should not be the only basis for clinical decision-making.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Interpupillary distance, autorefractometer, Mobile application</keyword>
				<start_page>98</start_page>
				<end_page>103</end_page>
				<web_url>https://rcm.mums.ac.ir/article_28005.html</web_url>
			<author_list><author>
				<first_name>Sara</first_name>
				<middle_name></middle_name>
				<last_name>Farsi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>aida_farsi@yahoo.com</email>
				<code>123083</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Optometry, School of Rehabilitation Sciences, Zahedan University of Medical Sciences, Zahedan, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Tahereh</first_name>
				<middle_name></middle_name>
				<last_name>Rakhshandadi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>t.rakhshsandadi@yahoo.com</email>
				<code>123085</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Optometry, School of Rehabilitation Sciences, Zahedan University of Medical Sciences, Zahedan, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Amirreza</first_name>
				<middle_name></middle_name>
				<last_name>Entezari</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>entezari.az03@gmail.com</email>
				<code>123086</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Optometry, School of Rehabilitation Sciences, Zahedan University of Medical Sciences, Zahedan, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Monireh</first_name>
				<middle_name></middle_name>
				<last_name>Mahjoob</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>mahjoob_opt@yahoo.com</email>
				<code>123084</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Health Promotion Research Center, Department of Optometry, School of Rehabilitation Sciences, Zahedan University of Medical Sciences, Zahedan, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Optical Coherence Tomography Data Assessments in Patients with Pituitary Adenoma: A retrospective study</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>Original article</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Background: This study aimed to evaluate longitudinal changes in retinal structure and their association with visual outcomes following surgical decompression.Materials and Methods: In this retrospective cohort, 33 patients with histopathologically confirmed pituitary adenoma who underwent endoscopic transsphenoidal resection at a tertiary center between 2015 and 2021 were included. Preoperative and postoperative (3- and 6-month) OCT parameters including peripapillary retinal nerve fiber layer (RNFL) and macular ganglion cell–inner plexiform layer (GCIPL) thickness and volume were analyzed alongside visual acuity (VA) and visual field (VF) assessments. Repeated measures ANOVA was applied to evaluate structural changes over time, and Pearson correlation coefficients were calculated to assess associations between preoperative OCT parameters and visual outcomes.Results: Significant postoperative changes were observed in retinal thickness and volume across multiple macular regions, with 6-month values generally higher than baseline in selected outer retinal compartments, including outer retinal tubulation (p &lt; 0.05). No significant longitudinal changes were detected in RNFL or GCIPL. Preoperative retinal thickness and volume were strongly correlated with postoperative VA (r ≥ 0.7) and VF outcomes (r ≤ –0.7), indicating their predictive value for visual recovery.Conclusions: OCT reveals dynamic structural remodeling of retinal layers following pituitary adenoma decompression. Preoperative retinal thickness and volume are robust predictors of postoperative visual function, highlighting the utility of OCT as both a diagnostic and prognostic tool. Integrating OCT into routine clinical practice may enhance patient counseling, surgical planning, and postoperative monitoring.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Optical coherence tomography, Pituitary adenoma, Retinal Nerve Fiber Layer, Visual acuity, visual field, surgical outcomes</keyword>
				<start_page>104</start_page>
				<end_page>110</end_page>
				<web_url>https://rcm.mums.ac.ir/article_28006.html</web_url>
			<author_list><author>
				<first_name>Mohamadreza</first_name>
				<middle_name></middle_name>
				<last_name>Hajiabadi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>mehrabkhani356@gmail.com</email>
				<code>123087</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Shariati Hospital, Tehran university of medical science, Tehran, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Mohamadsepehr</first_name>
				<middle_name></middle_name>
				<last_name>Pirhadi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>pirhadi@tums.ac.ir</email>
				<code>123088</code>
				<coreauthor>No</coreauthor>
				<affiliation>Neurological Surgery Department of Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Aidin</first_name>
				<middle_name></middle_name>
				<last_name>Shakeri</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>shakeri@aums.ac.ir</email>
				<code>123089</code>
				<coreauthor>No</coreauthor>
				<affiliation>Neurological Surgery Department of Shariati Hospital, Arak University of Medical Sciences, Arak, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Fedra</first_name>
				<middle_name></middle_name>
				<last_name>Hajizadeh</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>hajizadeh@tums.ac.ir</email>
				<code>123090</code>
				<coreauthor>No</coreauthor>
				<affiliation>Noor Ophthalmology Research Center, Noor Eye Hospital, Tehran, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Antiphospholipid Syndrome in a Patient with Systemic Lupus Erythematosus: A Case Report</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>Case report</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Antiphospholipid Syndrome (APS), also known as Hughes syndrome, is an autoimmune disorder characterized by hypercoagulability and the presence of antiphospholipid antibodies (aPL). It may occur as a primary condition or secondary to other autoimmune diseases, most commonly Systemic Lupus Erythematosus (SLE). We report a case of secondary APS associated with SLE, highlighting the diagnostic and management challenges. A 48-year-old female with a history of rheumatoid arthritis, hypothyroidism, and hypertension presented with severe hypoxemia, with oxygen saturation of 51%. Laboratory investigations revealed mild anemia (8.2 g/dL), prolonged prothrombin time (15.2 seconds), and a subtherapeutic INR (1.1) despite ongoing anticoagulation therapy. Autoimmune panel testing confirmed SLE, and specific antiphospholipid antibody testing was positive for lupus anticoagulant, with elevated anticardiolipin IgG/IgM and anti-β2 glycoprotein I antibodies, consistent with secondary APS. Although she was receiving Acitrom, inadequate anticoagulation raised concern for thrombotic complications, including pulmonary embolism. Azathioprine was discontinued due to the heightened risk of infection in the setting of immunosuppression and respiratory compromise. This case underscores the importance of considering APS in patients with autoimmune conditions presenting with thrombotic manifestations, particularly in the presence of SLE. It highlights the need for meticulous monitoring of anticoagulation, prompt recognition of thrombotic risks, and careful management of immunosuppressive therapies to reduce infectious complications. A multidisciplinary and individualized therapeutic strategy remains essential in managing such complex autoimmune overlap syndromes.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Antiphospholipid syndrome, systemic lupus erythematosus, Secondary APS, anticoagulation, Hypoxemia, antiphospholipid antibodies</keyword>
				<start_page>111</start_page>
				<end_page>115</end_page>
				<web_url>https://rcm.mums.ac.ir/article_28007.html</web_url>
			<author_list><author>
				<first_name>Vidhya Lekshmi</first_name>
				<middle_name></middle_name>
				<last_name>K</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>vidhyaleksh@gmail.com</email>
				<code>123092</code>
				<coreauthor>No</coreauthor>
				<affiliation>Student at J.K.K.Nattraja College of Pharmacy,Kumarapalayam</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Chitra Thara</first_name>
				<middle_name></middle_name>
				<last_name>S</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>schitrathara@gmail.com</email>
				<code>123093</code>
				<coreauthor>No</coreauthor>
				<affiliation>Student at J.K.K.Nattraja College of Pharmacy</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Revanth</first_name>
				<middle_name></middle_name>
				<last_name>R</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>vidhyalekshmik1402@gmail.com</email>
				<code>123091</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>J.K.K. Nattraja College of Pharmacy,Kumarapalayam,Namakkal,638183</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Venkateswaramurthy</first_name>
				<middle_name></middle_name>
				<last_name>N</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>nvmurthi@gmail.com</email>
				<code>123094</code>
				<coreauthor>No</coreauthor>
				<affiliation>Professor and Head, Department of Pharmacy Practice, J.K.K.Nattraja College of Pharmacy, Kumarapalayam</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Trends in Fertility Rate in Iran from 2016 to 2022: A Provincial Analysis</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>Original article</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[This study analyzes Iran&#039;s total fertility rate (TFR) dynamics from 2016-2017 (1395) to 2021-2022 (1400), using provincial-level data from Iran&#039;s Statistical Center. Nationally, TFR declined sharply: Iranian-specific fertility fell by 22.2% (from 2.12 to 1.65), while overall fertility (including migrants) decreased by 17.5% (from 2.11 to 1.74). Statistical analyses (ANOVA, Tukey HSD) confirmed significant annual declines (p]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Fertility, population control, Population Dynamics, Economic Evaluation, Iran</keyword>
				<start_page>116</start_page>
				<end_page>126</end_page>
				<web_url>https://rcm.mums.ac.ir/article_28008.html</web_url>
			<author_list><author>
				<first_name>Shahla</first_name>
				<middle_name></middle_name>
				<last_name>Mokaramiyan</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email></email>
				<code>123269</code>
				<coreauthor>No</coreauthor>
				<affiliation>Behbahan Faculty of Medical Sciences, Behbahan, Iran.</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Roohallah</first_name>
				<middle_name></middle_name>
				<last_name>Yousefi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>r.yosefi@modares.ac.ir</email>
				<code>123095</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Behbahan faculty of medical sciences</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Investigating Postoperative Nutritional Status In Patients With Colorectal Cancer: a Prospective Follow-up Study</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>Original article</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Background:Malnutrition is common after colorectal cancer surgery and may persist beyond hospital discharge. This study aimed to assess postoperative nutritional status in patients with colorectal cancer at short term follow-up after discharge.Methods:In this study, adult patients with pathologically confirmed colorectal cancer who underwent tumor resection were assessed at 2 weeks and 1 month postoperatively in an outpatient surgical clinic in Mashhad, Iran. Nutritional status was evaluated using the Patient-Generated Subjective Global Assessment (PG-SGA). Dietary intake was assessed using 3-day24-hour dietary recalls. Anthropometry and body composition were recorded. Nutrition-impact symptoms were graded using CTCAE v5. Physical function was assessed.Results: A total of 117 patients were included with mean age 57.55 ± 13.18 years and 55.6% were female. The mean PG-SGA score increased from 9.32±4.03 at 2 weeks to 10.41±3.50 at 1 month postoperatively(p]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Malnutrition, Colorectal cancer, Nutritional assessment, After Surgery, PG-SGA, Postoperative</keyword>
				<start_page>127</start_page>
				<end_page>136</end_page>
				<web_url>https://rcm.mums.ac.ir/article_27723.html</web_url>
			<author_list><author>
				<first_name>Nafiseh</first_name>
				<middle_name></middle_name>
				<last_name>Alizadeh</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>nafiseh.alizadeh1997@gmail.com</email>
				<code>121818</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Clinical Nutrition, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Abbas</first_name>
				<middle_name></middle_name>
				<last_name>Abdollahi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>abdollahia@mums.ac.ir</email>
				<code>121819</code>
				<coreauthor>No</coreauthor>
				<affiliation>Endoscopic and Minimally Invasive Surgery research center, Mashhad University of Medical Sciences, Mashhad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Maryam</first_name>
				<middle_name></middle_name>
				<last_name>Emadzadeh</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>emadzadehm@mums.ac.ir</email>
				<code>121820</code>
				<coreauthor>No</coreauthor>
				<affiliation>Clinical Research Development Unit, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Hossein</first_name>
				<middle_name></middle_name>
				<last_name>Rahimie</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>rahimihs@mums.ac.ir</email>
				<code>121821</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Internal Medicine, Devision of hematology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Zohre</first_name>
				<middle_name></middle_name>
				<last_name>Abdolahia</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>abdolahi.nut.fact@gmail.com</email>
				<code>121822</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Clinical Nutrition, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>mahsa</first_name>
				<middle_name></middle_name>
				<last_name>chaji</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>chajimahsa@gmail.com</email>
				<code>121823</code>
				<coreauthor>No</coreauthor>
				<affiliation>Varastegan Institute for Medical Sciences, Mashhad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>fateme</first_name>
				<middle_name></middle_name>
				<last_name>shahabi</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>shahabi.f26@gmail.com</email>
				<code>121824</code>
				<coreauthor>No</coreauthor>
				<affiliation>Mashhad University of Medical Sciences, Mashhad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Sara</first_name>
				<middle_name></middle_name>
				<last_name>Movahed</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>alizadehn4012@mums.ac.ir</email>
				<code>121817</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Department of Clinical Nutrition, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article>
			</articleset>
			</journal>