Tehran University Of Medical Sciences Research Articles

A criticism on the article "History of Bacterial Infection Diseases in Iran"

1- Department of Medical History, School of Persian Medicine, Tehran University of Medical Sciences, Tehran, Iran 2- Translational Ophthalmology Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran , Rezaei.history93@gmail.com

Analysis of Prevalence and Trends in the Biopsy-Proven Native Kidney Diseases in Iranian Population: A 12-year Survey from a Referral Center.

The prevalence of glomerular diseases, as the leading cause of chronic kidney disease, is increasing. Renal biopsy is still the gold standard for diagnosis of the most kidney disorders. Data on prevalence of the biopsy-proven kidney diseases in Iran is limited and none of the previously reported studies used electron microscopic (EM) evaluation for the diagnosis. This study was conducted to analyze the prevalence of biopsy-proven kidney diseases in a referral center in Iran. The reports of kidney biopsy samples from 2006 to 2018 referred to a pathology center, affiliated with Tehran University of Medical Sciences were reviewed. The prevalence of different disorders was assessed based on the clinical presentation in 3 age categories, including childhood, adulthood, and elderly. Among 3455 samples, 2975 were analyzed after excluding transplant-related specimens, suboptimal specimens, and those with uncertain diagnoses. Nephrotic syndrome (NS) (39%) was the most common cause of biopsy followed by subnephrotic proteinuria (18%), hematuria in association with proteinuria (15%), renal failure (9%), isolated hematuria (6%), lupus (4%) and the other non-specific manifestations such as hypertetion or malaise (each one less than 2%). The most common diagnoses included membranous nephropathy (MGN) (17.9%), focal segmental glomerulosclerosis (FSGS) (15.9%), lupus nephritis (LN) (13.7%), minimal histopathological findings (unsampled FSGS versus Minimal Change Disease, 12.1%), Immunoglobulin-A (IgA) nephropathy (6.5%) and Alport syndrome (6.1%). MGN was the most frequent disease before 2013, but FSGS became more frequent after that. NS and proteinuria were the most indications for kidney biopsy. Although MGN was the most common disease, the prevalence of FSGS has been increasing in recent years and making it the most common disease after 2013. LN and IgA nephropathy are the most common causes of secondary and primary GN presenting with proteinuria and hematuria, respectively.

Comparison of Sexual Function, Body Image Concern, and Sexual Self-esteem in Women After Natural Childbirth With Episiotomy and Cesarean Delivery

Objectives The purpose of this study was to compare sexual function, body image concern, and sexual self-esteem in women after natural delivery with episiotomy and cesarean delivery. Methods This research was causal-comparative. The statistical population included all women referring to medical centers affiliated with the Tehran University of Medical Sciences in 2021, of whom 200 participants (100 women with natural delivery and 100 women with cesarean delivery) were selected as a sample using the available sampling method. The female Sexual Function Index, Body Image Concern Inventory, and Sexual Self-Esteem Index were used to collect the data. The data were analyzed via independent t-test and multivariate analysis of variance. Results The results showed a significant difference between sexual function and sexual self-esteem in women with a natural delivery and cesarean delivery (P=0.05). In addition, although both groups experienced body image concerns, no significant difference was found between the scores in the two groups (P=0.05). Conclusion The evidence indicates that although women with natural delivery experience better sexual function than women with cesarean delivery, they may suffer from lower sexual self-esteem and appearance dissatisfaction compared to the other group.

The Effectiveness of Cognitive-behavioral Therapy on Reducing the Depression as a Dysmenorrhea Symptom in Iranian Girls based on Randomized Control Trial (RCT)

Objective: Depression is one of the most prevalent disorders among the girls with dysmenorrhea. The present research aimed to examine the effectiveness of cognitive-behavioral therapy on reducing the depression severity in primary dysmenorrhea among a selected group of Iranian girls in Tehran. Methods and Materials: The study was conducted in a Randomized controlled Trial (RCT)framework with pre- and posttest. The population included all 20 to 30 year old girls who were studying in Tehran University of Medical Sciences in 2015, among whom a total number of 73 applicants were conveniently selected. A primary interview through Beck Depression Inventory (BDI) was conducted to identify the Depression and dysmenorrhea in the sample. Finally, the sample decreased into 41 persons, among whom 34 applicants were randomly selected and divided into two groups of experimental and control, each of which with 17 people. The experimental group received the cognitive-behavioral therapy for nine sessions, each lasting for two hours while the control group received no treatment. The data were analyzed through inferential statistics such as Analysis of Covariance (ANCOVA) in SPSS, version 20. Findings: The mean scores for the experimental group dropped in posttest compared to the pretest while the mean score for the control group was not significant. Therefore, the cognitive-behavioral therapy could significantly differentiate between experimental and control groups (p<0.01). Conclusion: It can be concluded that cognitive-behavioral therapy could considerably impact on the reduction of depression severity in adolescent girls

A Comparative Study of Quality of Work Life and Related Factors of Nurses in COVID-19 and non-COVID-19 Wards of Hospitals of Tehran University of Medical Science in 2022.

A Comparative Study of Quality of Work Life and Related Factors of Nurses in COVID-19 and non-COVID-19 Wards of Hospitals of Tehran University of Medical Science in 2022.

Biosensor as a novel alternative approach for early diagnosis of monkeypox virus.

Biosensor as a novel alternative approach for early diagnosis of monkeypox virus.

Methylprednisolone pulses as an initial treatment in hyperinflammatory syndrome after COVID-19 in children: evaluation of laboratory data, serial echocardiography and outcome: a case series

BackgroundHyper-inflammatory syndrome in children and young adult occur 2–6 weeks after COVID-19 infection or closed contact with COVID-19 persons. In this study, the laboratory data and echocardiography and abdominal ultrasonography assessments were evaluated before and after Methylprednisolone pulse as an initial treatment of hyper-inflammatory syndrome. Therefore, the aim of this study is to assessment the clinical manifestations and laboratory data and outcome after methylprednisolone pulse as an initial treatment.MethodIn this retrospective study, the demographic status, clinical features, laboratory data, echocardiography, abdominal ultrasound, treatment and outcome of 31 pediatric patients under 16 years old, with inflammatory process after COVID-19 were evaluated. The clinical assessments, laboratory data, sonography and echocardiography were evaluated before and after methylprednisolone pulse. The patients were divided in two age group < and ≥ 7 years old and the clinical manifestations were compared with each other. The Mann–Whitney U test was used to assess the difference in quantitative variables between two groups. To compare pre- and post- treatment values, Wilcoxol test was used. To assess the correlation between qualitative variables chi-square test was used. The level of significant was considered 0.05. These patients with fever and hyper-inflammation features admitted to the referral pediatric rheumatology ward in Children Medical Center of Tehran University of medical sciences, from April 2020 to May 2021 were assessed.ResultThe mean age ± SD were (5.94 ± 3) and 51.6% (16) patients were male and 48.4% (15) patients were female. The most documented of previous COVID infection were antibody positive in about 27 (87%) patients. Moreover, 1 (3.8%) was PCR positive, 2 (7.7%) were positive in both PCR and serology and 3(11.5%) had closed contact with COVID-19 patients. About 9(29%) of patients were admitted in Intensive Care Unit (ICU). There were significant correlation between days of delay in starting treatment and ICU admission (P-value = 0.02). The mortality rate was negative in patients and no re-hospitalization was documented. There were significant differences (P-value < 0.05) between lymphocytes, platelet, Erythrocyte Sedimentation rate, C-reactive protein, Aspartate transaminase, Alanine transaminase and ferritin before and after treatment. Skin rashes and cardiac involvement totally as carditis (myocarditis, vulvulitis and pericarditis) (33.3%) and coronary involvements (53.3%) were the most prominent initial presentation in patients. There were near significant correlation (P-value = 0.066) between ferritin level and carditis before treatment. Cervical lymphadenopathy was seen significantly more in ≥ 7 years old (P-value = 0.01).ConclusionMultisystem inflammatory system in children as a hyperinflammatory syndrome could be treated with first step methylprednisolone pulse with decreasing inflammation in laboratory data and cardiac involvements and good outcome. Furthermore, the ferritin level may be one of the predictor of severe hyper-inflammatory syndrome leading to aggressive and urgent treatment with methylprednisolone pulse.

Assessment of Anthropometric measurements of Upper and Lower Limbs among Female Students of Iranian Population

Objectives: This study aimed to measure upper and lower limb dimensions among female students of Tehran University of Medical Sciences and determine the relationship between brachial and crural indices as anthropometric indices of limbs and Body Mass Index (BMI). Methods: In this descriptive-cross-sectional study, anthropometric parameters of the upper and lower limbs were evaluated among 200 Iranian female student volunteers aged 18-38 with no physical or developmental deformity. Results: The collected data were analyzed by GraphPad Prism software. Pearson correlation and simple linear regression tests were used to find the relationship between measured anthropometric indices. Mean± Standard deviation (SD) of age and BMI were 23.65 ± 4.97 and 24.59± 4.14, respectively. The brachial and crural indices were 89.47± 9.352 and 76.37± 5.320, respectively. No statistically significant association was found between brachial and crural indices and BMI. In addition, we found a significant positive correlation between wrist dimensions and BMI. The results of the present article determined the relationship between BMI and anthropometric parameters of the upper and lower limbs. Conclusions: Our findings supported the close relationship between wrist dimension and BMI.

Prediction of COVID-19 Patients' Survival by Deep Learning Approaches.

Background: Despite many studies done to predict severe coronavirus 2019 (COVID-19) patients, there is no applicable clinical prediction model to predict and distinguish severe patients early. Based on laboratory and demographic data, we have developed and validated a deep learning model to predict survival and assist in the triage of COVID-19 patients in the early stages. Methods: This retrospective study developed a survival prediction model based on the deep learning method using demographic and laboratory data. The database consisted of data from 487 patients with COVID-19 diagnosed by the reverse transcription-polymerase chain reaction test and admitted to Imam Khomeini hospital affiliated to Tehran University of Medical Sciences from February 21, 2020, to June 24, 2020. Results: The developed model achieved an area under the curve (AUC) of 0.96 for survival prediction. The results demonstrated the developed model provided high precision (0.95, 0.93), recall (0.90,0.97), and F1-score (0.93,0.95) for low- and high-risk groups. Conclusion: The developed model is a deep learning-based, data-driven prediction tool that can predict the survival of COVID-19 patients with an AUC of 0.96. This model helps classify admitted patients into low-risk and high-risk groups and helps triage patients in the early stages.

Protocol for Dealing with Upper Gastrointestinal Cancers in the COVID-19 Outbreak in Cancer Institute of Tehran University of Medical Sciences

Background: In March 2020, the World Health Organization (WHO) declared the novel COVID-19 infection a pandemic. Among high-risk patients infected by the virus, upper gastrointestinal cancer patients, similar to other immunosuppressed patients, are vulnerable to developing more severe infections. Most of the routine activities of medical centers, especially cancer surgery centers worldwide, are affected by the epidemic. Thus, some modifications are needed to adjust international protocols to deal with upper gastrointestinal cancers worldwide.&#x0D; Methods: The headings of upper gastrointestinal cancer management protocols have been discussed among the university-affiliated professors in different disciplines involved in upper gastrointestinal cancer management at the first peak of COVID-19 in Iran in March 2020. The discussions were done through an interactive application (WhatsApp and Telegram) in which participants considered the headlines and the latest news about COVID-19. Under each heading, we provide the consensus of all members in the related disciplines.&#x0D; Recommendations and Conclusion: All members agreed to choose the most effective and the least hazardous recommendations regarding patients and medical staff in each specialty. The members understand that some recommendations may intervene with the standard best practice and reduce the best outcome that the patient can gain with standard management. Therefore, these recommendations are legitimate simply at the peak of the epidemic COVID-19 situation or the surge of any other unknown situations that we may encounter in the future. According to the consensus of cancer surgery professors in several cancer surgery centers, patients with T1 and T2 gastric cancer without lymph node involvement should undergo upfront surgery. Patients with T3 or more and/or lymph node involvement will have total neoadjuvant chemotherapy, and the surgery should be delayed until the end of the COVID-19 peak. Diagnostic laparoscopy should be postponed during the peak of COVID-19 till after the completion of neoadjuvant chemotherapy. Upfront surgery should be performed in patients with esophageal cancer (adenocarcinoma or SCC) with T1 or T2 and without lymph node involvement. In patients with T3 or more and/or lymph node involvement, neoadjuvant chemoradiotherapy (CRT) is recommended. Endoscopic stent placement is preferred for patients who complete neoadjuvant CRT during the peak of COVID 19 and have severe dysphagia. A PET-CT scan will be performed in patients without dysphagia. In the status of high uptake, surgery is reasonable, but in low uptake status without any dysphagia, only conservation is our suggestion.&#x0D;

Evaluation of the quality and accuracy of breast cancer knowledge among persian language websites

IntroductionThe internet has become a powerful worldwide information source that revolutionized access to knowledge, especially in the fields of health and medicine (health knowledge). Therefore, providing high-quality, accurate, reliable, and relevant information on dependable websites is a possible way of providing the patient with needed information and, thus, achieving the benefits of informed patients regarding outcomes. This study aimed to evaluate the quality and accuracy of breast cancer knowledge among Persian language websites.MethodsTwo search engines were searched in the Persian language about breast cancer. The first 30 websites were selected for further evaluation based on the completeness, correctness, transparency, and accessibility of health knowledge. The DISCERN instrument was used to assess the quality of the Persian language websites on this issue.ResultsAmong the 30 websites, about 23% of websites provide completely correct information and about 30% provide mostly correct information. Sixty percent of the websites provided author information, and 46% of them had a healthcare professional or expert as the author. Sixty percent of the websites stated the creation date on the pages, while 40% of them did not provide any health knowledge. Scores on accessibility were always easy for most of the websites. Based on the quality rating system of DISCERN, about 60% of the websites were presented as very poor.ConclusionWebsite rankings enable healthcare professionals to identify and signpost patients to reliable up-to-date websites to ensure that patients receive high-quality knowledge. This review has provided evidence of inadequate and inaccurate health knowledge about breast cancer on the Persian language websites. This issue requires further investigation to understand the barriers and solutions available to provide reliable information about breast cancer and how this information affects the patient's outcomes.Trial registrationThe project was found to be in accordance with the ethical principles and the national norms and standards for conducting research in Iran with the approval ID and date of IR.TUMS.IKHC.REC.1399.379 and 2021–01-01 respectively, and is registered with research project number 49890 in the Vice Chancellor for Research and Technology Development of Tehran University of Medical Sciences, Tehran, Iran.URL: https://ethics.research.ac.ir/EthicsProposalViewEn.php?id=170978.

Foot Reflexology: Recent Research Trends and Prospects

Foot reflexology is a non-invasive complementary therapy that is increasingly being accepted by modern people in recent years. To understand the research trends and prospects of foot reflexology in the past 31 years, this study used the Web of Science core collection as the data source and two visualization tools, COOC and VOSviewer, to analyze the literature related to the field of foot reflexology from 1991 to 2021. This study found that the number of articles published in the field of foot reflexology has been increasing year by year, and the top three journals with the most articles are Complementary Therapies in Clinical Practice, Therapies in Medicine, and the Journal of Alternative and Complementary Medicine. The top three most prolific authors are Wyatt, Sikorskii, and Victorson, and the core institutions in the field of foot reflexology are Michigan State University, Northwestern University, Tehran University of Medical Sciences, and the University of Exeter. Foot reflexology has been shown to have a moderating effect on anxiety, fatigue, and cancer, and is a topic of ongoing and future research. This study uses this bibliometric analysis of foot reflexology literature to provide an overview of prior knowledge and a reference direction for modern preventive medicine.

What we think about professional and unprofessional behaviors: differences between the perception of clinical faculty members and medical students

IntroductionDifferences in the viewpoints of clinical faculty members and medical students about prioritizing professional norms accepted by the professional community and lack of alignment of these views can lead to distortion of understanding, problems in learning and assessment of professionalism, and failure in students’ professional identity formation. This study aimed to identify the differences in viewpoints of clinical faculty members and medical students about prioritizing the importance and prevalence of professional and unprofessional behaviors among undergraduate medical students.MethodsA multi-stage qualitative study was conducted at Tehran University of Medical Sciences during 2020–2021. At first, a systematic search was conducted to identify professional and unprofessional behaviors using the directional content analysis method. A panel of experts was formed to check the codes obtained from reviewing the literature and to evaluate its compliance with the context. Then, the modified nominal group technique sessions were held with clinical faculty members and medical students to strengthen the codes extracted from the studies and systematically integrate their views to achieve a comprehensive list of professional and unprofessional behaviors in accordance with the context. Finally, a consensus was made among them about prioritizing the importance and prevalence of these behaviors in undergraduate medical students.ResultsA total of 490 codes of professional behaviors and 595 unprofessional behavior codes were identified in the literature review. In the following sessions of the modified nominal group, 13 clinical faculty members listed 105 codes of professional and unprofessional behaviors, and 51 medical students also listed 313 codes. The results of the modified nominal group technique showed that the faculty members reported the importance of unprofessional behaviors higher than professional ones. At the same time, students rated the importance of professional behaviors higher than unprofessional ones. Both faculty members and students rate the prevalence of professional behaviors as high and the prevalence of unprofessional behaviors as low.ConclusionThe results showed a difference of views between clinical faculty members and medical students about prioritizing professional and unprofessional behaviors. It is essential to align their viewpoints to understand, learn and value professionalism to develop a professional identity.

The Quality of Online Education for Theoretical Courses of Audiology from the Perspective of Audiology Students at Tehran University of Medical Sciences during the COVID-19 Pandemic

Background and Aim: The face-to-face education was suspended during the COVID-19 pandemic. In such situations, online education method was used. In this study, we aim to assess the quality of online education for theoretical courses of audiology from the perspective of audiology students at Tehran University of Medical Sciences (TUMS) during the COVID-19 pandemic. Methods: This comparative cross-sectional study was conducted on 77 audiology students of the School of Rehabilitation at TUMS. Data collection were a demographic form and two quality and satisfaction assessment questionnaires. Statistical analysis was performed in SPSS version 17. Results: There was a significant difference in all subscales of Shourcheh questionnaire among students with different educational stages (p&lt;0.05), but there was no significant difference between age (except for social solidarity component) and gender (p&gt;0.05) groups. The results of Kruskal-Wallis test showed a statistically significant difference in the quality scores among students with different educational stages (p=0.033), but there was no significant difference between age (p=0.300) and gender (p=0.630) groups. Conclusion: The quality of online education for theoretical courses of audiology at TUMS is high from the perspective of PhD students, while it is low according to BSc and MSc students. Keywords: Audiology; virtual education; COVID-19; pandemic; students

Evaluating the effectiveness of Ph.D. courses in basic medical sciences to create knowledge management capabilities from the graduate students’ view of Tehran University of Medical Sciences

Introduction: Knowledge management as a new subject has created a new approach to facilitating education and research in the higher education system. University graduates need to enter the world with the tools to play a role before they go to work, which is considered imperative in knowledge management. The purpose of this study was to survey the effectiveness of the PhD. curriculum to create knowledge management capabilities from the point of view of graduate students in Tehran University of Medical Sciences.&#x0D; Methods: This study incorporated a descriptive cross-sectional approach. The research sample included Ph.D. graduates from various fields of basic medical sciences at Tehran University (107 participants). Data collection was via a researcher-made questionnaire constructed based on the components of Bukowitz and Williams’s model, and its validity and reliability were confirmed. The SPSS version 22 statistical software was used for data analysis.&#x0D; Results: The findings of this research showed that the average score of knowledge management in courses from the graduate students’ view is higher than the theoretical average. In addition, the highest average is related to knowledge contribution (3.2), and the lowest is related to knowledge assessment (2.69).&#x0D; Conclusion: The effectiveness of PhD. courses in creating knowledge management capabilities from the graduate students’ view was higher than the theoretical average. However, it did not have a favorable outcome in some components; therefore, extensive planning and attention is necessary, particularly in terms of knowledge assessment and elimination.

Knowledge of Patients Regarding Infection Control in Dentistry: Development and Validation of a New Questionnaire.

Objectives: Assessment of patients' knowledge regarding infection control in dentistry can help professionals in the development of protocol planning to minimize the risk of disease transmission through dental procedures. The aim of this paper is to assess the knowledge level about infection control of patients presenting to the dental clinic of the School of Dentistry, Tehran University of Medical Sciences in 2020. Materials and Methods: The draft of the questionnaire was designed with eight domains regarding infection control in dentistry including the coronavirus disease-2019 (COVID-19). The content validity of the questionnaire was assessed by six experts and 10 laypersons. The reliability of the questionnaire was assessed by the test-retest method. Two-hundred and forty-four patients (over 20 years of age) were selected based on non-random convenience sampling method, and participated in this study in July 2020. According to the difficulty coefficient, differential coefficient, and the opinion of the experts about the questionnaire filled out by the participants, 24 questions were selected out of 43 for the final version. Results: The intra-rater reliability indices were ≥75% and the scale-content validity indices for relevance, simplicity, and clarity were 87.80%, 93.75% % and 93.33%, respectively. The knowledge score of patients was 76.83%±11.58% which was not correlated with the level of education, age or gender (P>0.05). Conclusion: The knowledge level of patients presenting to the dental clinic of Tehran University of Medical Scineces measured by a valid and reliable researcher-made questionnaire was acceptable about infection control.

The Relationship Between Moral Sensitivity and Anxiety Sensitivity in Nursing Students of Tehran Universities of Medical Sciences

Background and Objectives: Moral sensitivity is the ability to recognize moral conflicts and consequences in decisions, and anxiety sensitivity is a structure of individual differences, in which a person fears physical symptoms associated with anxiety arousal. Anxiety sensitivity is vital in the persistence of anxiety disorders. This study was done to determine the relationship between moral sensitivity and anxiety sensitivity in nursing students of Tehran University of Medical Sciences. Methods: This research was descriptive-correlational. The samples included 336 nursing students in all grades at Tehran Universities of Medical Sciences in 2020. Sampling was performed continuously using virtual space. In this research, the demographic information form, Moral Sensitivity Questionnaire (MSQ), and Anxiety Sensitivity Index (ASI) were used. Data were analyzed using SPSS software, version 16 and analytical and descriptive tests, such as Kruskal-Wallis and Mann-Whitney U tests. Results: The score of moral sensitivity and anxiety sensitivity was obtained as 81 and 31.4, respectively. The correlation coefficient between moral sensitivity and anxiety sensitivity was not statistically significant (r=0.065; P=0.238). Also, the two components of fear of physical concerns had a significant relationship with the dimensions of benevolence and honesty. Conclusion: Considering that the lack of interest in the nursing field increases anxiety sensitivity, it is suggested to activities be done to improve interest in nursing among students. Despite the lack of a significant relationship between these two components, the importance of these two components should not be neglected and it is better to carry out studies to better understand the factors affecting moral sensitivity and anxiety sensitivity and to improve these two components.

Development of a new version of the Bristol Stool Form Scale: translation, content validity, face validity, and reliability of the Persian version

ObjectivesThe Bristol Stool Form Scale (BSFS) is the most widely used scale for stool form assessment. This study aimed to translate the BSFS into the Persian version and determine its...

A Universal Level II Oncoplasty Technique in Difficult Situation

1- Department of surgery, Tehran University of Medical Sciences, Tehran, Iran 2- Department of Surgical Oncology, University of Montreal, Montreal, Canada , ahmad.kaviani@umontreal.ca

Suicidal Ideation and Its Associated Factors in Medical, Dental, and Pharmacy Students: A Cross-Sectional Study during COVID-19 Pandemic.

This study is aimed at comparing the prevalence of suicidal ideation among Iranian medical, dental, and pharmacy students and determining the demographic and basic characteristics and mental and psychological issues associated with suicidal ideation in these students. This cross-sectional online survey was conducted during the 2020-2021 academic year on medical, dental, and pharmacy students studying at the Tehran University of Medical Sciences (TUMS). The questionnaire consisted of six sections: Beck Hopelessness Scale (BHS), General Health Questionnaire (GHQ), Perceived Stress Scale (PSS), UCLA loneliness scale, Maslach Burnout Inventory-Student Survey (MBI-SS), and a questionnaire that was designed to evaluate students' family history, current psychological status, and basic and demographic characteristics. In total, 419 students participated in our study, with 133 (31.7%) being medical students, 85 (20.3%) being pharmacy students, and 201 (48%) being dental students. In our study, the prevalence of suicidal ideation was 32%. Family history of psychological issues (OR = 2.186, P =0.012), current or past smoking (OR = 2.155, P = 0.01), parents not living together (OR = 2.512, P = 0.046), and satisfaction with the current field (OR = 0.51, P < 0.001) were all independently associated with the presence of suicidal ideation. Also, higher scores in BHS (OR = 1.167, P < 0.001), PSS (OR = 1.081, P = 0.001), and UCLA loneliness scale (OR = 1.057, P < 0.001) were independently associated with a higher risk of suicidal ideation. The prevalence of suicidal ideation among Iranian medical, dental, and pharmacy students is relatively high and has increased during recent years, which needs emergent action.