The objective of this study is to study the prevalence of musculoskeletal complaints and disorders in a rural area in Iran. Interviews were conducted in randomly selected subjects from five villages in Tuyserkan County, northwestern part of Iran. The three phases of stage 1 Community Oriented Program for Control of Rheumatic Diseases were done during the same day. A total of 614 houses was visited, 1,565 persons interviewed, and 1,192 persons examined. Musculoskeletal complaints during the past 7 days were detected in 66.6% (shoulder 22.7%, wrist 17.4%, hands and fingers 14.9%, hip 13.9%, knee 39.2%, ankle 19.6%, toes 12.7%, cervical spine 17.9%, and dorsolumbar spine 41.9%). Degenerative joint diseases were detected in 20.5% (cervical spondylosis 2.2%, knee osteoarthritis [OA] 19.3%, hand OA 2.7%, and hip OA 0.13). Low back pain was detected in 23.4%, soft tissue rheumatism in 2.2%, rheumatoid arthritis in 0.19%, ankylosing spondylitis in 1.1%, systemic lupus erythematosus in 0.06%, and fibromyalgia in 0.06%. The prevalence of rheumatic complaints in rural Iran is very high and needs attention in the curricula of medical schools and in the planning of rural health care by the government.

The knowledge translation cycle offers a theoretical basis for identifying basic requirements and linking mechanisms in the translation of knowledge for research utilization.

BackgroundThe knowledge translation self-assessment tool for research institutes (SATORI) was designed to assess the status of knowledge translation in research institutes. The objective was, to identify the weaknesses and strengths of knowledge translation in research centres and faculties associated with Tehran University of Medical Sciences (TUMS).MethodsThe tool, consisting of 50 statements in four main domains, was used in 20 TUMS-affiliated research centres and departments after its reliability was established. It was completed in a group discussion by the members of the research council, researchers and research users' representatives from each centre and/or department.ResultsThe mean score obtained in the four domains of 'The question of research', 'Knowledge production', 'Knowledge transfer' and 'Promoting the use of evidence' were 2.26, 2.92, 2 and 1.89 (out of 5) respectively.Nine out of 12 interventional priorities with the lowest quartile score were related to knowledge transfer resources and strategies, whereas eight of them were in the highest quartile and related to 'The question of research' and 'Knowledge production'.ConclusionsThe self-assessment tool identifies the gaps in capacity and infrastructure of knowledge translation support within research organizations. Assessment of research institutes using SATORI pointed out that strengthening knowledge translation through provision of financial support for knowledge translation activities, creating supportive and facilitating infrastructures, and facilitating interactions between researchers and target audiences to exchange questions and research findings are among the priorities of research centres and/or departments.

A substantial number of species within the tooth-carp Aphanius Nardo, 1827 (Cyprinodontidae, Teleostei) has been re-corded from the endorheic drainage systems of Iran, and several isolated populations in these systems may deserve species status. Descriptions of these species and populations have been based mainly on morphological and molecular data; how-ever, the characters related to the fish scales have not up to now been intensively studied and employed for the identifica-tion of the species belonging to this genus. The objective of this study is to test as to whether (i) scale surface morphology, (ii) scale surface microstructure, and (iii) scale size can be used to discriminate species and/or populations and, (iv) to discuss the possible causes of the observed differences. To achieve these objectives, scales of three species of the genus Aphanius from endorheic basins in SW Iran, viz. A. sophiae (nine populations from the Kor River Basin), A. farsicus (four populations from the Maharlu Lake Basin) and A. pluristriatus (a single population from the Mond River Basin) have been studied using SEM images, scale measurements, and uni- and multivariate statistics. It is opined that scale surface mor-phology and microstructure cannot help in distinguishing the species, but can be employed to discriminate certain popu-lations of A. sophiae (those from Safashahr, Kharameh, Tashk, Gol). In addition, scale size and J-indices, respectively, represent a valuable tool for species separation, which corroborates earlier studies for the use of these indices in taxonomy. Major driving forces of the differentiation within A. sophiae probably include habitat fragmentation resulting from the geological history and local adaptations. Thus the differentiation results from a balance between both genetic and envi-ronmental effects.

A new species of tooth-carp, Aphanius arakensis sp. n., is described from the Namak Lake basin in Iran. The new species is distinguished by the congeners distributed in Iran by the following combination of characters: 10–12 anal fin rays, 28–32 lateral line scales, 10–13 caudal peduncle scales, 8–10 gill rakers, 12–19, commonly 15–16, clearly defined flank bars in males, a more prominent pigmentation along the flank added by relatively big blotches in the middle and posterior flank segments in females, a short but high antirostrum of the otolith that has a wide excisura, and a ventral rim with some small, drop-like processes, and 19 molecular apomorphies (17 transitions, two transversions) in the cytochrome b gene. It was suggested based on the phylogenetic analysis that the new species is sister to Aphanius sophiae from the Kor River and that Aphanius farsicus from the Maharlu Lake basin is sister to Aphanius arakensis plus Aphanius sophiae. A noticeable feature of the Aphanius diversity in Iran is the conservatism of the external morphology as well as morphometric and meristic characters, while distinctive differences are present in genetic characters, otolith morphology, and male color pattern. Transformation of the latter was probably driven by sexual selection.

BACKGROUND Health systems worldwide have always suffered resource constraints. Therefore, making decisions informed by scientific evidence to optimize costs and prevent wastage of resources is both important and necessary. The current study was designed to identify barriers to evidence-based decision-making (EBDM) in Iran's health system. METHODS Participants were purposively selected. In-depth interviews with policy-makers and focus group discussions (FGDs) with researchers were used to collect data. Thirteen in-depth interviews and six FGDs were held. Data were analysed using thematic analysis. RESULTS The barriers mentioned were categorized into decision-makers' characteristics, the decision-making environment and the research system, with each category consisting of further relevant themes and subthemes. Organizational values, criteria for selecting decision-makers, and the attitude toward EBDM were found to be important barriers to EBDM, and were related to stewardship. CONCLUSION There are various barriers to EBDM at different levels, and multi-dimensional solutions are required to strengthen the impact of scientific evidence on decision-making. Several recognized barriers to EBDM are rooted in health system stewardship, such as the weakness of inter-sectoral collaborations and ill-defined priorities. It appears that improvement of EBDM is secondary to the strengthening of health system stewardship.

Morphologically similar populations of Aphanius that are currently considered as A. sophiae inhabit the endorheic Kor River Basin in the Zagros Mountains. Using genetic analysis based on mtDNA (cytochrome b), combined with examination of morphology (morphometry, meristics, otoliths), we discovered that what is thought to be A. sophiae is actually two distinct species, one of which is described as A. shirini sp. n. The males of the new species can be distinguished from those of all other Iranian inland Aphanius species by having only 7–10 clearly defined white flank bars, which is the lowest number of flank bars among the Iranian inland Aphanius species. Both males and females differ from all other Iranian inland Aphanius species by having a significantly longer caudal peduncle and a smaller dorsal fin depth. Based on the PhyML and Bayesian likelihood trees, A. shirini is sister to A. vladykovi from the Karoun Basin in the Zagros Mountains. Our results indicate that an ancient exorheic Kor River Basin existed in the Late Miocene and Pliocene. The close phylogenetic relationship between A. shirini and A. vladykovi suggests that the pre‐Pliocene drainage in the ancient Kor River Basin was directed to the north‐west (to the Karoun Basin), and not to the south‐east as in the present‐day Kor Basin. Both A. shirini and A. vladykovi represent the highest altitude records for Aphanius. We conclude that the splits of A. shirini and A. vladykovi can be linked to tectonic events in the Middle to Late Miocene, which created the highest altitudes (>3000 m) in the Zagros Mountains, and led to isolation of populations. The present‐day endorheic Kor Basin is known to have formed in the Late Pleistocene or Early Holocene, and the ‘young’ age of A. sophiae is clearly related to this history. Our results contribute to elucidate the link between geological history and the present‐day species diversity in the tectonically still active Zagros Mountains of Iran.

Two new species of Aphanius are described from the Kol drainage in southern Iran (Aphanius darabensis n. sp.) and the endorheic Kavir Basin in northern Iran (A. kavirensis n. sp.), and compared with eight closely related species. Aphanius darabensis n. sp. is sister to A. shirini, from which it is distinguished by molecular characters (cytochrome b) and the combination of three morphological characters: 9-18 flank bars in males (vs. 7-10), females with irregular vertical patches of brown color on the flank (vs. prominent dark brown blotches of round or irregular shape), and symmetrically-shaped triangular to trapezoid otoliths with a rostrum distinctly longer than the antirostrum (vs. quadrangular to trapezoid otoliths with short and equally sized rostrum and antirostrum). Aphanius kavirensis n. sp. is closely related to a group containing A. sophiae, A. mesopotamicus and A. pluristriatus, from which it is distinguished by cytochrome b characters and the combination of three morphological characters: females with irregularly arranged large blotches of dark brown color on the flank, short pectoral fin in both sexes (13.4-18.1% SL in males, 11.2-18.3% SL in females), and asymmetrically shaped triangular to trapezoid otoliths with a pronounced predorsal region. Our tree based on the cytochrome b data demonstrates that the Iranian inland and inland-related Aphanius species (IIRAS) form a monophyletic clade with three subclades (A. vladykovi -, A. shirini -, A. sophiae subclades). The A. sophiae subclade, which is the most diverse of the three subclades, can be further divided into three lineages (A. isfahanensis -, A. farsicus -, A. sophiae lineages). The temporal diversification of the IIRAS clade is discussed and two evolutionary groups of Aphanius are depicted. Aphanius vladykovi, together with A. shirini, A. darabensis n. sp. and A. isfahanensis characterize the "old" evolutionary group. Their divergences may have happened 10-5 m.y. ago (Late Miocene-Early Pliocene). Aphanius farsicus, A. arakensis, A. sophiae, A. mesopotamicus, and A. pluristriatus, together with Aphanius kavirensis n. sp., represent the "young" evolutionary group, which developed in the Late Pleistocene (100,000-11,700 y. ago) and Early to Middle Holocene (c. 11,700-4,000 y. ago).