Virology, Immunology, Infectious Diseases, Immunology and Microbiology
7
Scopus Publications
52
Scholar Citations
3
Scholar h-index
3
Scholar i10-index
Scopus Publications
Economic evaluation of direct oral anticoagulants (DOACs) for venous thromboembolism with different etiologies: a systematic review Fereshte Karimi, Soheila Rajaie, Samad Azari, Mohammad Saeid Abbaszadeh, Zeinab Karimi Health Economics Review, 2026 BACKGROUND: Venous thromboembolism (VTE) imposes significant clinical and economic burdens. While direct oral anticoagulants (DOACs) offer favorable efficacy and safety, their cost-effectiveness across diverse VTE etiologies remains incompletely synthesized. OBJECTIVE: To systematically evaluate the cost-effectiveness of DOACs versus comparators for VTE management stratified by etiology. METHODS: A PRISMA-compliant systematic search was conducted in MEDLINE, Web of Science, Scopus, and NHS EED (2020–2025). Economic evaluations reporting cost-effectiveness or cost-utility outcomes were included. Study quality was assessed using the Drummond checklist. RESULTS: Twenty studies were included (9 CAT, 3 post-surgical, 6 hospitalized VTE, 2 COVID-19). DOACs were cost-effective or dominant in 18/20 studies. For cancer-associated thrombosis (CAT), DOACs dominated LMWHs and were cost-effective versus placebo (ICERs: ,794–1,947/QALY). DOACs were also dominant for post-surgical prophylaxis and in general hospitalized VTE (ICERs: -,862/QALY to 25.68/QALY), while rivaroxaban was cost-effective for post-COVID-19 prophylaxis (ICER: ,386/QALY). CONCLUSION: DOACs, particularly apixaban and rivaroxaban, are an economically dominant strategy for VTE across most etiologies. Their adoption as a first-line therapy can improve patient outcomes while significantly reducing healthcare costs.
Acceptance and the willingness to pay for human papilloma virus (HPV) vaccine: A systematic review Soheila Rajaie, Sara Emamgholipour, Samad Azari, Zeinab Karimi, Fereshte Karimi Human Vaccines and Immunotherapeutics, 2026 Human papillomavirus (HPV) is a major global health concern due to its link to cervical and other cancers. Although HPV vaccination is highly effective, acceptance and willingness to pay (WTP) differ widely across populations. This review summarizes global evidence from 2015-2025. A systematic search of PubMed, Scopus, CENTRAL, Web of Science, and Google Scholar was conducted in 2025 following PRISMA guidelines. Studies reporting data on knowledge, acceptance, attitudes, and WTP across any population were included. Quality assessment used ISPOR checklists, and data were synthesized in Excel 2019. Thirty-five studies met inclusion criteria, with China and Nigeria contributing most. WTP ranged from 52.68% in lower-middle-income countries to 65.38% in low-income countries. Mean WTP was highest in upper-middle-income settings. Knowledge, positive attitudes, socioeconomic status, and trust increased WTP, while cost remained the primary barrier. Improving affordability, awareness, and policy support is essential to enhance global HPV.
SARS-CoV-2 in brief: From virus to prevention Hassan Karami, Zeinab Karimi, Negin Karami Osong Public Health and Research Perspectives, 2022 The recent outbreak of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), a highly transmissible virus with a likely animal origin, has posed major and unprecedented challenges to millions of lives across the affected nations of the world. This outbreak first occurred in China, and despite massive regional and global attempts shortly thereafter, it spread to other countries and caused millions of deaths worldwide. This review presents key information about the characteristics of SARS-CoV-2 and its associated disease (namely, coronavirus disease 2019) and briefly discusses the origin of the virus. Herein, we also briefly summarize the strategies used against viral spread and transmission.
The effect of influenza virus on the metabolism of peripheral blood mononuclear cells with a metabolomics approach Zeinab Karimi, Afsaneh A. Oskouie, Farhad Rezaei, Fatemeh Ajaminejad, Sayed M. Marashi, Talat‐Mokhtari Azad Journal of Medical Virology, 2022 Respiratory viruses have led to many deaths and hospitalizations per year in the world. The influenza virus is one of the most important respiratory viruses. Recently, metabolic studies in viral infections have been widely studied by scientists. Metabolomics states the metabolites present in a living organism under certain conditions. In this study, peripheral blood mononuclear cells were spinoculated using a virus produced by the Madin‐Darby canine kidney cell culture system, and cells were harvested following spinoculation by the influenza virus. Isolation of peripheral blood mononuclear cells was performed by Ficoll‐Paque density gradient centrifugation. Metabolites were extracted using organic and water approaches. Metabolic profiling was performed by a nontargeted technique using liquid chromatography with tandem mass spectrometry. Multivariate analysis methods were used to determine the main variables. the metabolic pathways involved were determined using databases. Results of the present study showed changes in biosynthesis pathways such as lipids, polyamines, catecholamines, and vitamins. Findings also showed that it is possible to explain the process of inflammation caused by the influenza virus by studying the metabolism of immune cells.
Proposed Pathway Linking Respiratory Infections with Depression Zeinab Karimi, Maryam Chenari, Farhad Rezaie, Shima Karimi, Najmeh Parhizgari, Talat Mokhtari-Azad Clinical Psychopharmacology and Neuroscience, 2022 Depression is one of the most important causes of disability and loss of useful life of people around the world. Acute respiratory infection caused a large number of severe illnesses and deaths of the world and most of these due to viral infections, which is estimated more than 80% of respiratory infections. Detection of viruses by immune pathogen recognition receptors activates the intracellular signaling cascade and eventually cause produces interferons. Inflammatory process begins with secretion of interferons and the expression of interferon-stimulated genes. One of the most important of these genes is indoleamine-pyrrole 2,3-dioxygenase (IDO), which plays a major role in tryptophan catabolism. IDO is an intracellular monomeric enzyme that is also responsible for breaking down and consuming tryptophan in the Kynurenine pathway. Increased inflammation has been linked to decrease tryptophan concentrations and increase kynurenine levels. We tried to explain the role of inflammation by viral respiratory infections in causing depression.
RECENT SCHOLAR PUBLICATIONS
Acceptance and the willingness to pay for human papilloma virus (HPV) vaccine: A systematic review S Rajaie, S Emamgholipour, S Azari, Z Karimi, F Karimi Human Vaccines & Immunotherapeutics 22 (1), 2609345 , 2026 2026
Respiratory Viral Coinfections: Impacts on Virus Replication and Host Immune Response F Shokri, A Gheisoori, A Maleki, SI Dakhrabadi, A Kenarkoohi, S Falahi, ... Turk J Immunol 14 (1), 6-14 , 2026 2026 Citations: 1
Economic evaluation of direct oral anticoagulants (DOACs) for venous thromboembolism with different etiologies: a systematic review F Karimi, S Rajaie, S Azari, MS Abbaszadeh, Z Karimi Health Economics Review , 2026 2026
Mass Gatherings Health Management in Arbaeen-Iran: A Successful Model for Infectious Disease Control in Global Mass Gatherings F Hemmati, A Rashidi, J Sadeghifar, A Kenarkoohi, Z Karimi, S Falahi 2026 Citations: 1
Metabolomics Study on Vitamin D Effect in Immune Cells Metabolism Against Influenza Virus Z Karimi, T Mokhtari Azad, A Arefi Oskouie, SM Marashi, F Ajaminejad, ... Indian Journal of Clinical Biochemistry, 1-11 , 2025 2025
SARS-CoV-2 in brief: from virus to prevention H Karami, Z Karimi, N Karami Osong Public Health and Research Perspectives 13 (6), 394 , 2022 2022 Citations: 16
The effect of influenza virus on the metabolism of peripheral blood mononuclear cells with a metabolomics approach Z Karimi, AA Oskouie, F Rezaei, F Ajaminejad, SM Marashi, TM Azad Journal of Medical Virology 94 (9), 4383-4392 , 2022 2022 Citations: 10
Proposed pathway linking respiratory infections with depression Z Karimi, M Chenari, F Rezaie, S Karimi, N Parhizgari, T Mokhtari-Azad Clinical Psychopharmacology and Neuroscience 20 (2), 199 , 2022 2022 Citations: 24
SARS-CoV-2 as emerging disease: preventive instructions and review of literature M Chenari, Z Karimi, MHK Niya International Journal of Tropical Medicine, 103-108 , 2020 2020
MOST CITED SCHOLAR PUBLICATIONS
Proposed pathway linking respiratory infections with depression Z Karimi, M Chenari, F Rezaie, S Karimi, N Parhizgari, T Mokhtari-Azad Clinical Psychopharmacology and Neuroscience 20 (2), 199 , 2022 2022 Citations: 24
SARS-CoV-2 in brief: from virus to prevention H Karami, Z Karimi, N Karami Osong Public Health and Research Perspectives 13 (6), 394 , 2022 2022 Citations: 16
The effect of influenza virus on the metabolism of peripheral blood mononuclear cells with a metabolomics approach Z Karimi, AA Oskouie, F Rezaei, F Ajaminejad, SM Marashi, TM Azad Journal of Medical Virology 94 (9), 4383-4392 , 2022 2022 Citations: 10
Respiratory Viral Coinfections: Impacts on Virus Replication and Host Immune Response F Shokri, A Gheisoori, A Maleki, SI Dakhrabadi, A Kenarkoohi, S Falahi, ... Turk J Immunol 14 (1), 6-14 , 2026 2026 Citations: 1
Mass Gatherings Health Management in Arbaeen-Iran: A Successful Model for Infectious Disease Control in Global Mass Gatherings F Hemmati, A Rashidi, J Sadeghifar, A Kenarkoohi, Z Karimi, S Falahi 2026 Citations: 1
Acceptance and the willingness to pay for human papilloma virus (HPV) vaccine: A systematic review S Rajaie, S Emamgholipour, S Azari, Z Karimi, F Karimi Human Vaccines & Immunotherapeutics 22 (1), 2609345 , 2026 2026
Economic evaluation of direct oral anticoagulants (DOACs) for venous thromboembolism with different etiologies: a systematic review F Karimi, S Rajaie, S Azari, MS Abbaszadeh, Z Karimi Health Economics Review , 2026 2026
Metabolomics Study on Vitamin D Effect in Immune Cells Metabolism Against Influenza Virus Z Karimi, T Mokhtari Azad, A Arefi Oskouie, SM Marashi, F Ajaminejad, ... Indian Journal of Clinical Biochemistry, 1-11 , 2025 2025
SARS-CoV-2 as emerging disease: preventive instructions and review of literature M Chenari, Z Karimi, MHK Niya International Journal of Tropical Medicine, 103-108 , 2020 2020