1
|
Moradi S, Fateh MS, Movahed E, Mortezagholi B, Amini MJ, Salehi SA, Hajishah H, Nowruzi M, Shafiee A. The prevalence of depression, anxiety, and sleep disorder among dental students: A systematic review and meta-analysis. J Dent Educ 2024. [PMID: 38504501 DOI: 10.1002/jdd.13506] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2023] [Revised: 01/21/2024] [Accepted: 02/06/2024] [Indexed: 03/21/2024]
Abstract
BACKGROUND Despite the increasing concern, the literature lacks a comprehensive synthesis of the prevalence of depression, anxiety, and sleep disturbances among dental students. METHODS We conducted a systematic review following Cochrane Manual for Systematic Reviews of Interventions and PRISMA guidelines. Our search, spanning databases like Medline, Web of Science, and Scopus, covered data until June 5, 2023. A random effect model was utilized for the meta-analysis. RESULTS From 508 initially identified articles, 45 studies met eligibility criteria. The pooled prevalence of depression, anxiety, and sleep disorders among dental students was estimated as follows: depression [38%, 95% confidence interval (CI): 32%-44%; I2 = 98%], anxiety [48%, 95% CI: 41%-55%; I2 = 97.7%], and sleep disorders [31%, 95% CI: 24%-38%; I2 = 85.7%]. Subgroup analyses based on geographical regions and assessment scales revealed significant between-subgroup differences. Meta-regression identified associations between the prevalence of depression and the year of publication and between the prevalence of anxiety and total sample size, participant age, and year of publication. Publication bias assessments demonstrated a lack of significant bias, strengthening the validity of the findings. CONCLUSIONS The prevalence of depression, anxiety, and sleep disturbances in dental students is significant. This study highlighted the need for targeted interventions and support systems within dental education to alleviate the mental health challenges students face, ultimately ensuring their well-being and competence as future healthcare providers. Further research should explore the effectiveness of interventions in this population.
Collapse
Affiliation(s)
- Shayan Moradi
- Student Research Committee, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
| | - Mohammad Sadegh Fateh
- Student Research Committee, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
| | - Emad Movahed
- Dental Research Center, Faculty of Dentistry, Islamic Azad University of Medical Sciences, Tehran, Iran
| | - Bardia Mortezagholi
- Dental Research Center, Faculty of Dentistry, Islamic Azad University of Medical Sciences, Tehran, Iran
| | - Mohammad Javad Amini
- Student Research Committee, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran
| | | | - Hamed Hajishah
- School of Medicine, Islamic Azad University of Medical Sciences, Tehran, Iran
| | - Mahdi Nowruzi
- Student Research Committee, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran
| | - Arman Shafiee
- Student Research Committee, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran
- Department of Psychiatry and Mental Health, Alborz University of Medical Sciences, Karaj, Iran
| |
Collapse
|
2
|
Azizi A, Ghasemirad M, Mortezagholi B, Movahed E, Aryanezhad SS, Makiya A, Ghodrati H, Nasiri K. Study of Cytotoxic and Antibacterial Activity of Ag- and Mg-Dual-Doped ZnO Nanoparticles. ChemistryOpen 2024; 13:e202300093. [PMID: 37955867 PMCID: PMC10924039 DOI: 10.1002/open.202300093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2023] [Revised: 09/12/2023] [Indexed: 11/14/2023] Open
Abstract
A non-laborious process for the fabrication of silver and magnesium dual doped zinc oxide nanoparticles (Ag/Mg-ZnO NP) is described. The wurtzite ZnO nano-structures and the dual doped NP were analyzed by PXRD. SEM data showed the hexagonal morphology of our product, while the gathered anti-bacterial outcomes towards Streptococcus mutans bacteria through micro-dilution technic affirmed the enhanced performance of doped NP compared to the native ones. Furthermore, we gauged the toxic impacts of synthesized pure and Ag/Mg-ZnO NP against a breast cancer (MDA-MB-231) cell line through an MTT trial, which highlighted the superiority of the doped when compared to the native nanoparticles. In light of these comparisons, the applicability of Ag/Mg-ZnO NP in dental and medical science is proposed.
Collapse
Affiliation(s)
- Aytan Azizi
- Department of Endodontics Dental SchoolQazvin university of medical sciencesshahid bahounar boulevard, P.O. Box: 3419759811QazvinIran
| | - Mohammad Ghasemirad
- Department of Periodontics Faculty of DentistryRafsanjan University of Medical SciencesKhalije Fars Blvd., Pasdaran street, P.O. Box: 1946853314RafsanjanIran
| | - Bardia Mortezagholi
- Dental Research Center Faculty of DentistryIslamic Azad University of Medical SciencesShariati St, P.O. Box 19395-1495TehranIran
| | - Emad Movahed
- Dental Research Center Faculty of DentistryIslamic Azad University of Medical SciencesShariati St, P.O. Box 19395-1495TehranIran
| | - Seyed Sasan Aryanezhad
- Oral and Maxillofacial Radiology, Private PracticeDaroost street, P.O. Box 1944614581TehranIran
| | - Ali Makiya
- Student Research Committee, Faculty of DentistryMashhad University of Medical ScienceMashhadIran
| | - Hoda Ghodrati
- Department of ProsthodonticsShahid Beheshti University of Medical SciencesDaneshjoo Blvd, Velenjak, St., P.O. Box 1983969411TehranIran
| | - Kamyar Nasiri
- Department of dentistryIslamic Azad University of Medical SciencesP.O. Box 19585-466TehranIran
| |
Collapse
|
3
|
Jafarabady K, Shafiee A, Bahri RA, Mohammadi I, Amini MJ, Rajai S, Akbarzadeh D, Abhari FS, Movahed E, Parvari S, Bakhtiyari M. Brain-derived neurotrophic factor (BDNF) as a potential marker of endometriosis: a systematic review and meta-analysis. BMC Womens Health 2024; 24:39. [PMID: 38218833 PMCID: PMC10788000 DOI: 10.1186/s12905-023-02877-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2023] [Accepted: 12/30/2023] [Indexed: 01/15/2024] Open
Abstract
BACKGROUND The existing literature on the association between BDNF protein levels and endometriosis presents inconsistent findings. This systematic review and meta-analysis aim to synthesize the available evidence and evaluate the possible relationship between BDNF protein levels and endometriosis. METHODS Electronic databases (PubMed, Embase, Scopus, PsycINFO, and Web of Science) were used to conduct a comprehensive literature search from inception to June 2023. The search strategy included relevant keywords and medical subject headings (MeSH) terms related to BDNF, endometriosis, and protein levels. A random-effects model was used for the meta-analysis, and to explore heterogeneity subgroup analyses were performed. funnel plots and statistical tests were used for assessing the publication bias. RESULTS A total of 12 studies were included. The pooled standardized mean difference (SMD) of BDNF levels between women with endometriosis and controls was 0.87 (95% confidence interval [CI] 0.34 to 1.39, p = 0.001; I2 = 93%). The results showed that blood levels of BDNF are significantly higher in endometriosis patients (SMD: 1.13 95% CI 0.54 to 1.73, p = 0.0002; I2 = 93%). No significant publication bias was observed based on the results of Egger's regression test ((p = 0.15). CONCLUSION This study revealed a significant difference between patients diagnosed with endometriosis and healthy control in the level of BDNF. The results indicate that women with endometriosis have higher levels of BDNF. Further studies are needed to be undertaken to investigate the role of BDNF in endometriosis pathophysiology and the diagnostic value of BDNF in endometriosis.
Collapse
Affiliation(s)
- Kyana Jafarabady
- Student Research Committee, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran
| | - Arman Shafiee
- Student Research Committee, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran
- Department of Psychiatry and Mental Health, Alborz University of Medical Sciences, Karaj, Iran
| | | | - Ida Mohammadi
- School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Mohammad Javad Amini
- Student Research Committee, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran
| | - Shahryar Rajai
- School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Diba Akbarzadeh
- School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Faeze Soltani Abhari
- Department of Psychiatry and Mental Health, Alborz University of Medical Sciences, Karaj, Iran
| | - Emad Movahed
- Dental Reaserch Center, Faculty of Dentistry, Islamic Azad University of Medical Sciences, Tehran, Iran
| | - Soraya Parvari
- Department of Anatomical Sciences, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran.
| | - Mahmood Bakhtiyari
- Non-Communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran
- Department of Community Medicine and Epidemiology, Alborz University of Medical Sciences, Karaj, Iran
| |
Collapse
|
4
|
Movahed E, Moradi S, Mortezagholi B, Shafiee A, Moltazemi H, Hajishah H, Siahvoshi S, Monfared AB, Amini MJ, Safari F, Bakhtiyari M. Investigating oral health among US adults with sleep disorder: a cross-sectional study. BMC Oral Health 2023; 23:996. [PMID: 38093226 PMCID: PMC10720045 DOI: 10.1186/s12903-023-03686-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2023] [Accepted: 11/21/2023] [Indexed: 12/17/2023] Open
Abstract
BACKGROUND This study aims to investigate the relationship between sleep disorders and oral health outcomes among a representative sample of the United States population. METHODS The study sample comprised 6,161 participants who participated in the NHANES 2017-2018, representing a population of 255,939,599. Oral health outcomes were assessed using the Oral Health Questionnaire (OHQ), covering dental pain, periodontal disease, bone loss, emotional perceptions of oral health, and impact on daily life. Sleep disorders were evaluated using questions related to sleep trouble and daytime sleepiness. RESULTS Analysis of the NHANES 2017-2018 dataset, revealed notable associations between sleep disorders and oral health outcomes. Individuals with sleep disorders were more likely to report dental pain (19.79% vs. 11.8%), periodontal issues (19.5% vs. 12.25%), and feeling bad or embarrassed about their oral health (21% vs. 12%), compared to those without sleep disorders. Difficulty due to oral health issues was also more prevalent among participants with sleep disorders (32.6% vs. 12.9%). Adjusted models demonstrated that individuals with sleep disorders had a significantly higher likelihood of experiencing oral aches [adjusted odds ratio (aOR) = 1.58 (1.22-2.22)], reporting negative emotions about oral health [aOR = 1.59 (1.06-2.37)], and encountering challenges in school or job performance [aOR = 2.27 (1.47-3.51)], compared to individuals without sleep disorders (refer to Table 3). Other significant covariates affecting oral health outcomes included smoking, income, and education level. CONCLUSIONS This study reveals a compelling association between sleep disorders and adverse oral health outcomes in the U.S. POPULATION
Collapse
Affiliation(s)
- Emad Movahed
- School of Dentistry, RWTH Aachen University, Aachen, Germany
| | - Shayan Moradi
- School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
| | - Bardia Mortezagholi
- Dental Materials Research Center, School of Dentistry, Islamic Azad University of Medical Sciences, Tehran, Iran
| | - Arman Shafiee
- Non-communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran.
- Student Research Committee, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran.
- Alborz University of Medical Sciences, Hassan Abad, Karaj, Alborz Province, Iran.
| | - Hassan Moltazemi
- School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
| | - Hamed Hajishah
- School of Medicine, Islamic Azad University of Medical Sciences, Tehran, Iran
| | - Sepehr Siahvoshi
- Dental Materials Research Center, School of Dentistry, Islamic Azad University of Medical Sciences, Tehran, Iran
| | - Ayad Bahadori Monfared
- Department of Health and Community Medicine, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Mohammad Javad Amini
- Non-communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran
| | - Farima Safari
- Student Research Committee, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mahmood Bakhtiyari
- Non-communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran.
- Alborz University of Medical Sciences, Hassan Abad, Karaj, Alborz Province, Iran.
| |
Collapse
|
5
|
Ghasemi S, Farokhpour F, Mortezagholi B, Movahed E, Ghaedi A, Gargari MK, Khanzadeh M, Bazrgar A, Khanzadeh S. Systematic review and meta-analysis of oxidative stress and antioxidant markers in recurrent aphthous stomatitis. BMC Oral Health 2023; 23:960. [PMID: 38042793 PMCID: PMC10693709 DOI: 10.1186/s12903-023-03636-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2023] [Accepted: 11/08/2023] [Indexed: 12/04/2023] Open
Abstract
BACKGROUND We performed this systematic review and meta-analysis to synthesize all studies that reported the level of oxidative and antioxidative markers in recurrent aphthous stomatitis (RAS) patients compared to controls. METHODS We registered our study in PROSPERO (CRD42023431310). PubMed, ProQuest, Scopus, EMBASE, Google Scholar, and Web of Science were searched to find relevant publications up to June 5, 2023. The standardized mean differences (SMDs) with 95% confidence intervals (CIs) were calculated. We included 30 articles after multiple stags of screening. RESULTS We found that erythrocyte superoxide dismutase and Glutathione peroxidase activity were significantly lower in patients with RAS compared to healthy controls (SMD = - 1.00, 95%CI = -1.79 to -0.21, p = 0.013, and SMD = - 1.90, 95%CI = -3.43 to -0.38, p = 0.01, Respectively). However, there was not any difference between patients with RAS and healthy controls in erythrocyte Catalase (SMD = - 0.71, 95%CI = -1.56-0.14, p = 0.10). The total antioxidant status (TAS) level, in serum was significantly lower in patients than healthy controls (SMD = - 0.98, 95%CI = -1.57 to -0.39, p = 0.001). In addition, RAS patients had higher levels of serum Malondialdehyde (MDA), Serum total oxidant status, and serum oxidative stress index than healthy controls (SMD = 2.11, 95%CI = 1.43-2.79, p < 0.001, SMD = 1.53, 95%CI = 0.34-2.72, p = 0.01, and SMD = 1.25, 95%CI = 0.25-2.25, p = 0.014, Respectively); However, salivary MDA and TAS, and serum uric acid, vitamin E and C, and reduced glutathione levels of patients with RAS were not different from that of healthy controls. CONCLUSIONS The relationship between oxidative stress and RAS is well established in this meta-analysis. Although the molecular processes underlying the etiology of this pathology remain unknown, evidence indicating oxidative stress has a significant role in the pathogenesis of RAS has been revealed.
Collapse
Affiliation(s)
- Saeideh Ghasemi
- Dental school, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Fataneh Farokhpour
- Department of pathology, school of medicine, Isfahan university of medical science, Isfahan, Iran
| | - Bardia Mortezagholi
- Dental Research Center, Faculty of Dentistry, Islamic Azad University of Medical Sciences, Tehran, Iran
| | - Emad Movahed
- Dental Research Center, Faculty of Dentistry, Islamic Azad University of Medical Sciences, Tehran, Iran
| | - Arshin Ghaedi
- Student Research Committee, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
| | | | - Monireh Khanzadeh
- Geriatric & Gerontology Department, Medical School, Tehran University of medical and health sciences, Tehran, Iran
| | - Aida Bazrgar
- Student Research Committee, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
| | | |
Collapse
|
6
|
Mortezagholi B, Nasiri K, Movahed E, Dadgar E, Nejati ST, Hassani P, Esfahaniani M, Rafieyan S. MiR-34 by targeting p53 induces apoptosis and DNA damage in paclitaxel-resistant human oral squamous carcinoma cells. Chem Biol Drug Des 2023; 102:285-291. [PMID: 37060268 DOI: 10.1111/cbdd.14240] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2023] [Revised: 03/23/2023] [Accepted: 03/25/2023] [Indexed: 04/16/2023]
Abstract
MicroRNA-34 (miR-34) is one the most important tumor suppressor miRNAs involving in the various aspects of oral cancer. The present study aimed to evaluate the effects of miR-34 restoration in OECM-1 oral cancer resistant to paclitaxel (OECM-1/PTX) and its underlying mechanisms through p53-mediated DNA damage and apoptosis. OECM-1 and OECM-1/PTX were transfected with miR-34 mimic and inhibitor. Cellular proliferation and apoptosis were evaluated through MTT assay and flow cytometry, respectively. The mRNA and protein expression levels of p53, p-glycoprotein (P-gp), ATM, ATR, CHK1, and CHK2 were assessed through qRT-PCR and western blotting. Rhodamin123 uptake assay was used to measure the P-gp activities. P53 expression was also suppressed by sing a siRNA transfection of cells. The expression levels of miR-34 were downregulated in OECM-1/PTX. Restoration of miR-34 led to increase in cytotoxic effects of paclitaxel in cells. In addition, the expression levels and activities of P-gp were reduced following miR-34 transfection. miR-34 transfection upregulated the p53, ATM, ATR, CHK1, and CHK2 expression levels in OECM-1/PTX cells. Furthermore, cells transfected with miR-34 showed higher levels of apoptosis. miR-34 restoration reverses paclitaxel resistance in OECM-1 oral cancer. The chemosensitive effects of miR-34 is mediated through increasing DNA damage and apoptosis in a p53 depended manner.
Collapse
Affiliation(s)
- Bardia Mortezagholi
- Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran
- Dental Research Center, Faculty of Dentistry, Islamic Azad University of Medical Sciences, Tehran, Iran
| | - Kamyar Nasiri
- Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran
- Faculty of Dentistry, Islamic Azad University of Medical Sciences, Tehran, Iran
| | - Emad Movahed
- Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran
- Dental Materials Research Center, Dental School, Islamic Azad University of Medical Sciences, Tehran, Iran
| | - Esmaeel Dadgar
- Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran
| | | | - Pardis Hassani
- Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran
- Faculty of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mahla Esfahaniani
- Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran
- Faculty of Dentistry, Golestan University of Medical Sciences, Gorgan, Iran
| | - Sona Rafieyan
- Faculty of Dentistry, Zanjan University of Medical Sciences, Zanjan, Iran
| |
Collapse
|
7
|
Mortezagholi B, Movahed E, Fathi A, Soleimani M, Forutan Mirhosseini A, Zeini N, Khatami M, Naderifar M, Abedi Kiasari B, Zareanshahraki M. Plant-mediated synthesis of silver-doped zinc oxide nanoparticles and evaluation of their antimicrobial activity against bacteria cause tooth decay. Microsc Res Tech 2022; 85:3553-3564. [PMID: 35983930 DOI: 10.1002/jemt.24207] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2022] [Revised: 05/12/2022] [Accepted: 07/07/2022] [Indexed: 12/22/2022]
Abstract
In this research, silver-doped zinc oxide (SdZnO) nanoparticles (NPs) were synthesized in an environmental-friendly manner. The synthesized NPs were identified by UV-vis spectroscopy, X-ray diffraction (XRD), and scanning electron microscopy (SEM). Finally, the antimicrobial activity of synthesized ZnO and SdZnO NPs was performed. It was observed that by doping silver, the size of ZnO NPs was changed. By adding silver to ZnO NPs, the antimicrobial effect of ZnO NPs was improved. Antibacterial test against gram-positive bacterium Streptococcus mutants showed that SdZnO NPs with a low density of silver had higher antibacterial activity than ZnO NPs; Therefore, SdZnO NPs can be used as a new antibacterial agent in medical applications.
Collapse
Affiliation(s)
- Bardia Mortezagholi
- Dental Materials Research Center, Dental School, Islamic Azad University of Medical Sciences, Tehran, Iran
| | - Emad Movahed
- Dental Materials Research Center, Dental School, Islamic Azad University of Medical Sciences, Tehran, Iran
| | - Amirhossein Fathi
- Department of Prosthodontics, Dental Materials Research Center, Dental Research Institute, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Milad Soleimani
- Department of Orthodontics, School of Dentistry, Alborz University of Medical Sciences, Karaj, Iran
| | | | - Negar Zeini
- Department of Oral and Maxillofacial Radiology, School Dentistry Rafsanjan University of Medical Sciences, Rafsanjan, Iran
| | - Mehrdad Khatami
- Department of Medical Biotechnology, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
| | | | - Bahman Abedi Kiasari
- Virology Department, Faculty of Veterinary Medicine, The University of Tehran, Tehran, Iran
| | - Mehran Zareanshahraki
- School of Dentistry, Islamic Azad Shiraz University of Medical Sciences, Shiraz, Iran
| |
Collapse
|