New Features - Arak University of Medical Sciences

The Effects of Injected Vitamin D on Prognosis of Patients with Urosepsis

07 August 2018

The aim of this study was to evaluate the effect of prescribing vitamin D on improving the symptoms of patients diagnosed with urosepsis. The participants were randomly divided into two equal groups (each consisting of 50 patients). The patients in the first group received standard treatment with 300 000 units of injected vitamin with a volume of 1 cc. As for the pa- tients in the second group, they received standard treatment along with 1 cc normal saline injected to them as placebo. Vital signs of the patients were checked every 6 h, while their CBC, EXR, CRP, creatinine, urea, and uric acid were checked 0, 24, 48, and 72 h following the interventions. Calcium, phosphorus, and vitamin D levels were measured 72 h following injection of the medicine. A significant difference was observed between the two groups in terms of the number of WBC’s in 24th, 48th, and 72nd hours. A similarly significant difference was reported between the case and control group in terms of the average BUN within 24th, 48th, and 72nd hours. The difference ob- served between the two groups in terms of average Cr within the 0th, 24th, 48th, and 72nd hours and in terms of days of hospitalization was also significant. Considering these results and keeping in mind the fact that no particular side effects were reported as a result of utilizing muscular injections of vitamin D and the easy and cheap use of this medicine, it can be used in auxiliary treatment of patients with urosepsis Author:Farshideh Didgar,Abolfazl Jokar,Fatemeh Kazemi

Resveratrol decreases apoptosis and NLRP3 complex expressions in experimental varicocele rat model

07 August 2018

Abstract Objective(s): Varicocele is an abnormal dilation in the testicular vein, which can cause hypoxia, reactive oxygen species accumulation, elevation in testicular temperature, and promote apoptosis and increase proinflammatory cytokine production. According to the varicocele pathophysiology, it is possible that a group of cytosolic receptors called nucleotide oligomerization domain (NOD)-like receptor family pyrin domain containing 3 (NLRP3) inflammasomes also involve in varicocele pathogenesis. Due to the important role of antioxidant in decreasing the testis tissue damage, in this study we investigated the protective effect of resveratrol (RES) on NLRP3 complex and apoptosis in experimental varicocele rats. Materials and Methods: In this study, 40 male Wistar rats were randomly divided into 5 groups (8 rats in each group): Control, experimental left varicocele (ELV), ELV + ethanol, ELV + 20 mg/kg RES and ELV + 50 mg/kg RES. Varicocele was induced by partial ligation of the left renal vein. Three months after varicocele induction, RESwas orally administered to rats for 1 month. The expression levels of NLRP3, apoptosis associated specklike protein (ASC), caspase-1, Bax and Bcl2 were analyzed using real time PCR. Results: Our results showed that RESat both doses significantly (P=0.05) decreased the gene expression levels of ASC, NLRP3, caspase-1 and Bax and increased Bcl2 gene expression at high dose. Conclusions: RESby reducing inflammatory factors and decreasing apoptosis might be used as adjuvant therapy to reduce varicocele complication Author: Farideh Jalali Mashayekhi, Maryam Bazem,Adib Zendehd del,Elnaz Haji por

Estimation of the marginal effect of regular drug use on multiple sclerosis in the Iranian population

07 August 2018

Abstract There are only few reports regarding the role of lifetime drug or substance use in multiple sclerosis (MS) etiology. In this study, we investigated the potential effect of drug or substance exposure on the onset of MS diagnosis. We conducted a population-based incident case control study in Tehran. Cases (n = 547) were 15–50 years old persons with MS identified from the Iranian Multiple Sclerosis Society (IMSS) register during August 7, 2013, and November 17, 2015. Population-based controls (n = 1057) were 15–50 years old and were recruited by random digit telephone dialing. Inverse-probability-of-treatment weighing (IPTW) using two sets of propensity scores (PSs) was used to estimate marginal incidence odds ratios (ORs) for MS contrasting pre-specified substance use. The estimated marginal OR was 6.03 (95% confidence interval: 3.54;10.3, using trimmed weights at the 95th percentile of the stabilized weight distribution) in both IPTW analyses comparing lifetime substance use (opioids, cannabis, inhalants, hallucinogens and stimulants) for at least one time monthly during a six-months or longer period vs. no such history of drug use. Subject to limitation of causal claims based on case-control studies, this study suggests that monthly drug or substance use for a period of at least six consecutive months, may increase the risk of MS by factor 3.5 or higher Author: Ebrahim Abdolah por

Novel Mutations in pncA Gene of Pyrazinamide Resistant Clinical Isolates of Mycobacterium tuberculosis

07 August 2018

Abstract In clinical isolates of Mycobacterium tuberculosis (MTB), resistance to pyrazinamide occurs by mutations in any positions of the pncA gene (NC_000962.3) especially in nucleotides 359 and 374. In this study we examined the pncA gene sequence in clinical isolates of MTB. Genomic DNA of 33 clinical isolates of MTB was extracted by the Chelex100 method. The polymerase chain reactions (PCR) were performed using specific primers for amplification of 744 bp amplicon comprising the coding sequences (CDS) of the pncA gene. PCR products were sequenced by an automated sequencing Bioscience system. Additionally, semi Nested-allele specific (sNASP) and polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) methods were carried out for verification of probable mutations in nucleotides 359 and 374. Sequencing results showed that from 33 MTB clinical isolates, nine pyrazinamide-resistant isolates have mutations. Furthermore, no mutation was detected in 24 susceptible strains in the entire 561 bp of the pncA gene. Moreover, new mutations of G→A at position 3 of the pncA gene were identified in some of the resistant isolates. Results showed that the sNASP method could detect mutations in nucleotide 359 and 374 of the pncA gene, but the PCR-RFLP method by the SacII enzyme could not detect these mutations. In conclusion, the identification of new mutations in the pncA gene confirmed the probable occurrence of mutations in any nucleotides of the pncA gene sequence in resistant isolates of MTB

Alteration in CatSper1 and 2 genes expression, sperm parameters and testis histology in varicocelized rats

07 August 2018

Abstract Background: CatSper gene, a member of cation channel sperm family, has an essential role in sperm motility and male fertility. Following varicocele, sperm parameters especially sperm movement decreases. For this reason, we hypothesized that CatSper gene expression might be reduced after varicocele induction in an animal model. Objective: The aim of this study was to evaluate the expression of CatSper 1 and 2 genes, sperm parameters and testis histology following varicocele induction. Materials and Methods: A total of 30 Wistar male rats were randomly divided into three following groups (n=10/ each): control, sham, and varicocele group. Experimental varicocele was induced by partial ligation of the left renal vein. The epididymal sperm parameters, CatSper1 and 2 genes expression, and testes histology were studied two months after varicocele induction. Results: Our results revealed that motility (32.73±16.14%), morphology (48.80±17%) and viability (31.23±9.82%) of sperms significantly reduced following varicocele induction. In addition, we showed a significant decrease in the number of spermatogonia (43.63±5.31) and seminiferous tubules diameters (190.51±19.23 mm) in experimental varicocele rats. The level of CatSper1 and 2 genes expression evaluated using real-time polymerase chain reaction was significantly downregulated 2 months after varicocele induction. Conclusion: Our data indicated that experimental varicocele has deleterious effects on sperm parameters, testis structure as well as the expression of CatSper 1 and 2 genes

Association of interleukin-10 -1082 A/G (rs1800896)polymorphism with susceptibility to gastric cancer:meta-analysis of 6,101 cases and 8,557 controls

07 August 2018

ABSTRACT – Background – The promoter -1082 A/G (rs1800896) polymorphism of Interleukin-10 (IL-10) gene have been widely reported and considered to have a significant role on gastric cancer risk, but the results are inconsistent. Objective – To clarify the association, we conducted a meta-analysis to investigate the associations IL-10 -1082 A/G polymorphism with gastric cancer. Methods – Eligible articles were identified by searching databases including PubMed, Web of Science, and Google Scholar up to August 03, 2017. Odds ratios (OR) with corresponding 95% confidence intervals (CIs) were used to assess the association. Results – A total of 30 case-control studies with 6,101 cases and 8,557 controls were included in this meta-analysis. Overall, a significant association between IL-10 -1082 A/G polymorphism and gastric cancer risk was observed under the allele model (G vs A: OR=1.305, 95% CI=1.076-1.584; P=0.007), heterozygote model and (GA vs AA: OR=1.252, 95% CI=1.252-1.054; P=0.011) and dominant model (GG+GA vs AA: OR=1.264, 95% CI=1.053-1.516; P=0.012). In the subgroup analysis by ethnicity, increased gastric cancer risk were found in Asians under the allele model (G vs A: OR=1.520, 95% CI=1.172-1.973; P=0.002), homozygote model (GG+GA vs AA: OR=1.571, 95% CI=1.023- 2.414; P= 0.039), heterozygote model (GA vs AA: OR=1.465, 95% CI=1.192-1.801; P≤0.001) and dominant model (GG+GA vs AA: OR=1.448, 95% CI=1.152-1.821; P=0.002), but not among Caucasian and Latinos populations. Conclusion – These results suggested that the IL-10 -1082 A/G (rs1800896) polymorphism might contribute to the gastric cancer susceptibility, especially among Asians Author:Elnaz Foroughi, Rezavan Nasiri,Sodabeh Farahnak

Eﬀects of Mustard Gas on Veterans: A Review

07 August 2018

Introduction: Sulfur Mustard is an important field of research for Iranian scientists since 1983. This was from time that Iraq army used this chemical weapon against Iranians causing injury over more than 30,000 people still suffering from its late effects. Evidence Acquisition: This study has been collected from studies of searching online databases that have been studied in our review article. Results: Sulfur Mustard is synthesized by different methods, its exposure can cause severe, irreversible damage to skin, respiratory tract and eyes. In the eye, it has a wide spectrum effects. This effect begins with the asymptomatic period following irritation and redness and ends with damage to corneal structure with photophobia, temporary blindness and blepharospasm. Conclusion: Based on this here we are mentioning some of the attempts to better defined aspects .of Sulfur Mustard affects and mechanisms Author: Masoud Reza Gholi Zamenjani

Topical Application of the Hydroalcoholic Extract of Allium porrum L. as a Novel Treatment for Common Warts based on Persian Med

07 August 2018

Abstract Background: Common warts are the infectious viral diseases that occur in the epidermal layer of skin and are transmitted through skin contact. They are caused by a diverse range of human papillomaviruses (HPV). So, there is no vaccine or definite anti-viral medication for the prevention of this disease. Also, the treatments of common warts often have some limitations and numerous side effects as well as the risk of recurrence or superficial spreading. Persian medicine is one of the oldest traditional medicines which described common warts as a kind of skin disease and recommended several herbal medicines like Allium porrum L. for the treatment of this disease. The aim of this study was to evaluate the effect of the hydroalcoholic extract of the aerial parts of Allium porrum L. on common warts. Methods: In this study, five patients with common warts on their hands were included. The hydroalcoholic extract of Allium porrum L. were applied on the site of the lesion just for 2 hours every day over a three-week period. The patients were followed up for 18 weeks to check any case of recurrence. Results: After completing the treatment, the wart lesions in all five patients were completely healed within three weeks. During the follow-up phase (18 weeks), no case of recurrence was observed. Conclusion: This study shows that the topical application of hydroalcoholic extract of Allium porrum L. has therapeutic effects for common warts. Since the extract is cost-effective, without complications and highly accepted by the patients, it seems that it can be further investigated in future studies

Effect of Hydroalcoholic Extract of Some Medicinal Plants on Obesity

07 August 2018

چکیده انگلیسی Aims: Obesity is a significant cause of disability and death. This study was conducted to evaluate the efficacy of some medicinal plants in the treatment of obesity and its complications. Study Design: Male Wistar rats were treated in different groups. Place and Duration of Study: Department of Physiology, Arak University of Medical Sciences (Iran), December 2015 to July 2017. Methodology: The groups were defined as the control, the high-fat diet and the high-fat diet with hydroalcoholic extracts of Camellia sinensis, Rosa canina, Althaea officinalis, Plantago major and Orlistat in their food, for 48 days. In the serum, the profiles of the liver enzymes and the thyroid hormones were measured as parameters of their appetite. Results: The lowest increase in appetite happened in the Camellia sinensis group and the lowest levels of blood glucose and creatinine were in the Plantago primary group. The lowest cholesterol and low-density lipoprotein (LDL) were seen in the Camellia sinensis group (P<0.05). The amount of alanine aminotransferase (ALP) and the level of aspartate aminotransferase (AST) in the Plantago major group were significantly lower than the positive control group (P<0.05). In Althaea officinalis group were higher Orlistat and alkaline phosphatase (ALP) than the control group (P<0.05). The level of thyroid-stimulating hormone (TSH) in control group was significantly lower than the positive control, Camellia sinensis and Rosa canina groups (P<0.05). The level of thyroxin in Althaea officinalis, Rosa canina and Camellia sinensis groups were significantly lower than the positive control group, respectively (P<0.05). Conclusion: Hydroalcoholic extracts of Camellia sinensis, Rosa canina, Althaea officinalis, and Plantago major are effective in reducing the damages caused by high-fat diet through decreasing lipid profiles, liver enzymes, without causing side effects on thyroid and renal functions

Estimation of sexual behavior in the 18-to-24-years-old Iranian youth based on a crosswise model study

06 August 2018

Abstract Background: In many countries, negative social attitude towards sensitive issues such as sexual behavior has resulted in false and invalid data concerning this issue. This is an analytical cross-sectional study, in which a total number of 1500 single students from universities of Shahroud City were sampled using a multi stage technique. The students were assured that their information disclosed for the researcher will be treated as private and confidential. The results were analyzed using crosswise model, Crosswise Regression, T-test and Chi-square tests. Findings: It seems that the prevalence of sexual behavior among Iranian youth is 41% (CI = 36-53). Conclusion: Findings showed that estimation sexual relationship in Iranian single youth is high. Thus, devising training models according to the Islamic-Iranian culture is necessary in order to prevent risky sexual behavior.