مجله دانشگاه علوم پزشکی قم
سال سیزدهم شماره 5 (پیاپی 88، امرداد 1398)

Tamarix dioica is a medicinal herb in Sistan and Baluchestan, which has antidiabetic and antioxidant properties. This research aimed to investigate the effects of the hydro-alcoholic extract of this plant on liver damage caused by a high fat diet.
 
In this experimental study, 30 males adult Wistar rats, were randomly divided into 3 equal groups. The first group or the control group received a normal diet. The second group (hyperlipidemic group) received a high fat diet (HFD) for 30 days, and the third group received a high-fat diet for 30 days. In the following, the rats orally received hydroalcoholic extract of tamarix dioica (dose, 200mg/kg bw) for 30 days. serum liver enzymes. At the end of the period, blood samples were taken from the heart of the rats to assess liver enzymes and serum levels of cholesterol and triglyceride. After euthanasia, liver tissue samples, were taken and examined under a light microscope after staining with hematoxylin-eosin.
 
Administration of the extract of Tamarix dioica (200mg/kg bw), significantly reduced serum cholesterol and triglyceride levels compared to the hyperlipidemic rats with no treatment (p<0.001). Furthermore, the treatment with the extract of Tamarix dioica decreased the levels of serum alanine aminotransferase (ALT) and serum aspartate aminotransferase (AST) compared to the untreated hyperlipidemic rats (p<0.01). In histopathological evaluation, fat accumulation in cells, was significantly lower in Tamarix dioica treated rats compared to the hyperlipidemic rats.
 
Administration of Tamarix dioica extract can reduce the liver damage induced by high fat diet.

Infertility is one of the disorders, which its prevalence is increasing and several factors associated with reduction of sperm quality, can play an important role in this disorder. The aim of this study was to determine the correlation between dietary antioxidants intake and sperm quality in infertile men with oligozoospermia.
 
This cross-sectional study was conducted on 175 infertile men with oligozoospermia in Isfahan Infertility Center in 2018. In this study, a food frequency questionnaire with confirmed validity, was used to assess dietary intake. Sperm sample was collected with 3-day abstinence of sex, and two samples were taken for more assurance. Sperm parameters (concentration, motility, count, and morphology), were evaluated according to WHO standards. Linear regression analysis was used to determine the relationship between each antioxidant and sperm quality parameters. Dara were analyzed using linear regression and covariance analysis.
 
In this study, the mean age of the subjects was 32.19 years. The mean weight and body mass index of the individuals, were 85.28kg and 26.87kg/m2. There was a significant reverse correlation between beta-carotene and vitamin C intake with DFI. Also, there was a significant correlation between the intake of lutein and beta-cryptoxanthine with the count and concentration of sperm.
 
The findings of the present study indicated an inverse correlation between some of the antioxidants and related sperm parameters. Therefore, broader research with a higher target community, is required for further investigation.

Serum amylase increases and its excretion fraction decreases in patients with renal failure. Excretion fraction can be used as a diagnostic way in individuals with acute renal transplant rejection. In this study, the association between amylase excretion fraction and acute renal transplant rejection, was investigated in pediatrics.
 
in this case - control study, serum and urine amylase and serum and urine creatinine, were measured in children without (30 cases) and with (30 cases) acute renal transplant rejection, and their amylase excretion fraction was determined. Sonography of kidney and urinary tract, was used to rule out the obstruction due to surgical manipulation. To rule out cyclosporine intoxication and urinary tract infection (differential diagnostic factors of acute renal transplant rejection), serum cyclosporine and urine CRP were assessed, respectively. Data analysis was performed using t-test and logistic regression test.
 
In children with acute renal transplant rejection, variables of urine creatinine (20.1±5.5 vs 15.9±4.7, p=0.002), urine amylase (744.9±376.6 vs 584.8±218.3, p=0.049), and amylase fraction excretion (238.7±118.4 vs 96.112±2.5, p<0.001), were significantly higher, as compared to the group without acute renal transplant rejection. Based on the multiple logistic regression analysis, among the measurable variables, only amylase fraction excretion, urine amylase and urine creatinine, only amylase fraction excretion and urine creatinine could independently predict acute renal transplant rejection.
 
The findings of the current study showed that accurate assessment of the urine creatinine and amylase fraction excretion, can predict the probability of acute renal transplant rejection in children.

Oral and dental diseases are one of the most important problems of today’s society. To reduce the cost and outcomes of these diseases, prevention and control of plaque is of high importance. This study aimed to determine the effectiveness of conventional and video education methods on children’s dental health. This interventional study was performed on 66 male elementary school students in Qomrood village in 2018. The students were randomly assigned to one of the two groups of conventional and video education methods. The amount of plaque index and bleeding on probing (BOP), were recorded in checklist before and after 2 weeks of education. The data were analyzed by independent and paired t-tests. In the conventional group, the mean plaque index before the intervention was reported to be 58.66±16.95 and after intervention 18.60±10.76; also, the mean BOP was 1.28±1.97 before intervention and 0.16±0.46 after intervention. In video education group, the mean plaque index before the intervention was 53.84±14.08 and after intervention 19.29±10.91, and the mean BOP was obtained 1.68±3.71 before intervention and 0.31±0.76 after intervention. The result of paired samples t-test showed the changes of both group were significant, but the result of independent samples t-test, there was no significant difference between the changes of the two groups. According to the results of this research, both methods of conventional education and video education have significant effect on reduction of plaque index and BOP, but, there is no significant difference between the effectiveness of these methods.

Massage is one of the ancient therapeutic methods, which has been considered and used by all nations. In the past, massage has been used to maintain health and treat diseases, that has continued until the present time. This review study was performed with the purpose of achieving applications and mechanisms of current and traditional massages. Google Scholar and PubMed Databases, were searched to find out the mechanisms and applications of popular massages and software of Teb Jame (version 1), was used to investigate and search references of Iranian traditional medicine. In this study, 75 articles were obtained from the databases and the contents of 19 books of authentic Iranian medicine books were used and notated. The current massages of tactile massage, classical massage, connective tissue massage, and manual lymphatic drainage therapy, were studied and traditional massages of Tuina, Abhyang, and Dalk, were evaluated and compared with them. The results of this study showed that the mechanism of current massage exists in the traditional massage, but traditional massages have their own special mechanisms based on their medical philosophy. Different types of massages have their own special applications. Dalk can be a comprehensive approach for non-drug prevention and treatment due to its capability to adjust all ages and all temperaments.

Rheumatoid arthritis is an autoimmune inflammatory disease, which causes joint destruction and disability. People with this disease are at risk of reduction of quality of life. A key factor in successful management of rheumatoid arthritis is an appropriate self-care behavior. The aim of the present study was to evaluate self-care behavior and life expectancy in patient with rheumatoid arthritis in Qom city.

This cross-sectional study was performed on 200 Patient with rheumatoid arthritis referred to rheumatology clinic in Qom city. Information was collected using 20-Item Short Form Health Survey (SF-20) and self-care behaviors questionnaires, and the questionnaires were completed through interviews. Data were analyzed using independent t-test, independent one-way ANOVA, Duncan’s post hoc test, and Pearson correlation coefficient at a confidence level of 95%.

The mean age of the participants was 48.3±10.3 and 77% of them were female and 23% were male. The results of correlation between self-care and quality of life showed a significant negative correlation with the age of the patients, and there was a significant positive correlation between self-care and quality of life. Also, increase in the level of self-care was associated with higher quality of life in the patients (p<0.001, r=0.583).

According to the findings of this research, the variables of self-care behaviors are indirectly affect the quality of life of patients with rheumatoid arthritis. Better identification of the predictive factors of quality of life of the patients with rheumatoid arthritis by health workers is essential for effective health interventions in order to improve the quality of life of these patients.

Hydrotherapy has a history of several thousand years. Abzan (Sitz Bath), is a simple device for preventing and treatment of diseases and using hot water has a long history in the treatment of diseases. Due to the lack of specific literature on Abzan therapy, in this study, the explanation of this method was investigated in the context of Iranian traditional medicine and new scientific research. A literature search was performed for Abzan and similar words and synonyms in the comprehensive traditional medicine library of the Noor research center, as well as in the PubMed, Google Scholar, SID, and other Persian journals. Ultimately, information classification and final edition, were carried out. Abzan is specifically referred to a human-sized container filled with hot water. But, in the Iranian medicine, it is referred to placing the body or parts of the body inside the container exposed to air or fluids with different temperatures for therapeutic purposes. The main role of wet Abzan is moisture update, which is most widely used in the prevention and treatment of diseases associated with domination of the dry temperament. Hot Abzan (wet or dry), due to its effective role in stimulation of instinct heat and strengthening the body, can be considered alone, as one of the appropriate remedies. The degree of warmth and the duration of stay in Abzan are among the main points affecting treatment outcome. Moisture update, relief and strengthening are three of the main functions of Abzan. Additionally, it used as a means of combining herbal medicines to treat diseases.

Tuberculosis (TB) is included within the top ten causes of death worldwide. This disease is associated with pulmonary and extrapulmonary involvement. The major extra pulmonary organs involved in the disease, are lymph nodes, pleura, genitourinary tract, bones, and meningeal tissue. Primary splenic infection is one of the rare complications of TB. Patient is a 43-year-old woman, who presented with abdominal pain and dragging sensation and underwent splenectomy Fatemi hospital in Ardabil city. Postoperative histopathology of the splenectomy specimen showed multiple caseous granulomas with epithelioid and Langhans-type giant cells, which was diagnosed as primary splenic tuberculosis.