Phenylketonuria is a disease caused by congenital defects in phenylalanine metabolism that leads to irreversible nerve cell damage. However, its detection in the early days of life can reduce its severity. Thus, many countries have started disease screening programs for neonates. The present study aimed to determine the worldwide prevalence of classic phenylketonuria using the data of neonatal screening studies. The PubMed, Web of Sciences, Sciences Direct, ProQuest, and Scopus databases were searched for related articles. Article quality was evaluated using the Joanna Briggs Institute Critical Appraisal Evaluation Checklist. A random effect was used to calculate the pooled prevalence, and a phenylketonuria prevalence per 100,000 neonates was reported. A total of 53 studies with 119,152,905 participants conducted in 1964–2017 were included in this systematic review. The highest prevalence (38.13) was reported in Turkey, while the lowest (0.3) in Thailand. A total of 46 studies were entered into the meta-analysis for pooled prevalence estimation. The overall worldwide prevalence of the disease is 6.002 per 100,000 neonates (95% confidence interval, 5.07–6.93). The metaregression test showed high heterogeneity in the worldwide disease prevalence (<i>I</i>²=99%). Heterogeneity in the worldwide prevalence of phenylketonuria is high, possibly due to differences in factors affecting the disease, such as consanguineous marriages and genetic reserves in different countries, study performance, diagnostic tests, cutoff points, and sample size.

Background:There are unorganized, published documents about the ecology of mosquitoes (Diptera: Culicidae) in northeastern part of Iran. The purpose of this study was to determine the distribution and characteristics of larval habitats of Culicidae in Kalaleh County.Methods:Larvae were collected using dipping method and adults by human landing catch technique during April–October, 2012. Larval habitat characteristics were recorded such as vegetation status, and sunlight, water situation. Lacto-phenol and de Faure’s media were used for conserving and mounting samples. Data were analyzed using SPSS statistical software, version 11.5.Results:Out of the 395 larvae collected, 332 were adult mosquitoes comprising; Culiseta, Culex, Anopheles and Ochlerotatus genera and 14 species including An. superpictus, An. maculipennis s.l., An. hyrcanus, An. psudopictus, An. claviger, Culex pipiens, Cx. theileri, Cx. perexiguus, Culiseta longiareolata, Cs. subochrea, Ochlerotatus caspius, Oc. echinus and Oc. geniculatus. Culex pipiens larvae were predominant (27.6%) and Cs. subochrea (1%) was found as the lowest species in terms of number. In the adult form, Cx. pipiens (28.9%) was predominant whereas, Cs. subochrea and Cx. perexiguus were reported to have had the lowest frequency.Conclusion:The larvae of An. superpictus and An. maculipennis species as the main vectors of malaria in north of Iran were reported in permanent habitats with clear water and vegetation, full and partial sunlight situations and muddy as well as sandy substrates that are important in larvicide application programs. Exclusive studies are necessary to diagnose An. maculipennis species complex using molecular and morphological analysis in the future.

Introduction: Polyomaviruses including BK virus (BKV) and JC virus (JCV) are widespread in human and have been associated with colorectal cancer (CRC) in some studies. The aim of present systematic review and meta-analysis article is to calculate the pooled prevalence of BKV and JCV in patients with CRC and assessing their association with this malignancy. Materials and Methods: Domestic databases and Sciences Direct, PubMed, ProQuest, Web of Sciences and Scopus were searched for relevant articles up to 2nd June 2019Two independent reviewers extracted the related data from eligible articles. The pooled prevalence and pooled odds ratio (POR) and their 95% confidence interval (95% CI) were calculated using “metaprop” and “metan” commands in Stata 14. Where I2 statistics were >50%, the random effect model was used. Results: From 1461 relevant studies, 24 articles were eligible and included in the qualitative while 19 articles included in quantitative analysis. The pooled prevalence based on diagnostic methods varies from 29% using immunohistochemistry to 52% using nested-PCR method. The likelihood of being infected with JCV was significantly higher in CRC patients compared to healthy (POR: 4.41, 95% CI: 2.13 – 9.13) controls, normal adjacent mucosa (POR: 2.79, 95% CI: 1.3-5.9) and colorectal adenoma (POR: 3.1, 95% CI: 1.5-6.5) but was not significant when non-CRC patients used as control group. Conclusion: The prevalence of JCV in colorectal patients was substantially variable by different methods and targets. The significant association between JCV and CRC that was observed in the present study is not indicative of causation and should be studied more in large-scale prospective designs.

Introduction: A healthy society requires a healthy family. Studies have shown that men are more affected by the disease than women, and their mortality rate is higher than women. However, many men do not go to health centers to receive health services, so this study was conducted to investigate why men do not go to health centers. Method: This descriptive cross-sectional study was performed in 2020 on 380 men over 18. Data were collected using a two-part questionnaire including demographic questions and factors affecting men's lack of referral to health centers. The sampling method was multi-stage. Data analysis was performed by SPSS16 statistical software using an independent t-test, analysis of variance, and Scheffe post hoc tests. Results: According to the results of the study, non-referral to the centers had a significant relationship with ethnicity (p = 0.023) and level of education (p < 0.001). At the same time, there was no significant relationship between age, marriage, economic status, or occupation (p> 0.05). The inadequate physical condition of health centers (82.95 ±14.67) and lack of trust in health personnel (82.95 ±14.67) of the most important, as well as insufficient information and knowledge (61.22 ± 25.37). The least important factors were the lack of referral of men to health centers. Conclusion: According to the findings, the need to improve the physical condition of the centers and confidentiality, the confidentiality of information, proper treatment of people, and enhancing personnel skills is important. These cases have been suggested to health managers so that with appropriate policies and planning, we can see an increase in the number of men going to the centers.

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