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  • امیرپرویز رضایی صابر*، حسین تقی لو، سعید آفتابی، رضا کریمی جوهنی
    سابقه و هدف

    بیماری کبدچرب غیرالکلی وضعیتی است که در آن تری گلیسیرید در سلول های کبدی افرادی که سابقه مصرف الکل ندارند، یا الکل به میزان کم استفاده می کنند، تجمع پیدا می کند. هدف از این مطالعه، بررسی اثر عصاره الکلی دو گیاه خارمریم و بوقناق به صورت تکی و ترکیبی روی کبد چرب غیرالکلی در رت های نژاد ویستار است. به دلیل نوآوری بودن و آنتی اکسیدان بالا این دو گیاه انتخاب شدند.

    روش کار

    در این مطالعه تجربی- مداخله ای- آزمایشگاهی 70 سر رت نژاد ویستار نر به صورت مساوی و تصادفی به هفت گروه 10 تایی تقسیم شدند، تعداد 10 سر موش به عنوان گروه شاهد منفی در نظر گرفته شد و بقیه رت ها تحت تیمار با یک رژیم غذایی پر چرب قرار داده شده اند، 21روز بعد از شروع تغذیه با رژیم غذایی پرچرب و مبتلا به کبد چرب شروع به درمان با عصاره الکلی خارمریم و بوقناق به مدت دو ماه به صورت تکی و ترکیبی در دو دوز حداقل 200 و حداکثر 400 میلی گرم به ازای کیلو گرم شده اند و در پایان دوره درمانی سال 1398 برای برسی میزان، غلظت اسیدهای چرب غیراشباع ( NEFA: Non-esterified fatty acids) ، بتاهیدروکسی بوتیرات ( BHB: hydroxybutyrate-Beta)، آلانین آمینو ترانسفراز (:Alanine aminotransferase ALT) ، آسپارتات آمینو ترانسفراز ( AST: Aspartate aminotransferase) ، گاما گلوتامیل ترانسفراز (Gamma-glutamyl transferase : GGT) خون گیری انجام و اطلاعات تجزیه وتحلیل شد. نتایج به دست آمده از پژوهش برای تجزیه و تحلیل با استفاده از نرم افزارآماری SPSS نسخه 24 استفاده شد. نتایج حاصله با استفاده از آزمون آماری آنالیز واریانس یک طرفه در سطح احتمال 95 درصد و سطح معنا داری 5درصد مقایسه شد و در صورت وجود اختلاف آماری معناداری، از آزمون تعقیب توکی در سطح <0.05 P برای تعیین اختلاف بین گروه ها استفاده شد.

    یافته ها: 

    نتایج نشان داد که میزان NEFA و BHBA و ALT و AST و GGT در گروه های درمان شده با عصاره الکلی گیاه خار مریم و بوقناق به صورت تکی و ترکیبی نسبت به گروه شاهد و مثبت مبتلا به کبد چرب کاهش معناداری (05/0>P) داشته است. میزان AST در گروه شاهد و مثبت (1/4±9/145) و در شاهد منفی (4/114±11) و  ترکیبی (9/1±2/136) به این مقادیر یادشده هستند.

    نتیجه گیری: 

    به نظر می رسد که دو گیاه خارمریم و بوقناق می توانند برای درمان بیماری کبد چرب غیرالکلی مطرح شوند که البته نیازمند کارآزمایی بالینی در دام هاست  که سبب بهبود میزان آنزیم های کبدی می شود که به دلیل تاثیر این گیاهان روی بافت کبدی و بهبود میزان آنزیم های مربوط است. از این رو می توان از این گیاهان در تحقیق های آینده روی دام ها استفاده کرد و تاثیر آنها روی بهبود آنزیم های کبد و حفاظت از بافت کبد را بررسی کرد.

    کلید واژگان: خار مریم, بوقناق, کبد چرب غیرالکلی}
    Amir Parviz Rezaei Saber *, Hossein Taghilou, Saeed Aftabi, Reza Karimi johani
    Background and Aim

     Non-alcoholic fatty liver disease is a condition in which triglycerides accumulate in liver cells of individuals who do not have a history of alcohol use or use alcohol at a low rate. The aim of the current study was to investigate the effect of alcoholic extracts of St. John's wort and borage plants individually and in combination on non-alcoholic fatty liver in Wistar rats. These two plants were selected due to their innovation and high antioxidant characteristics.

    Methods

     In the present experimental laboratory intervention study, 70 male Wistar rats were randomly divided into 7 groups of 10, and 10 mice were randomly assigned as the negative control group and the rest were treated with a high-fat diet. Next, 21 days after the onset of a high fat diet and fatty liver, they began to be treated with an alcoholic extract of Silybum marianum and Eryngium and kept for 2 months individually and combined in two doses of at least 200 and a maximum of 400 mg in kg. At the end of the treatment period in 1398 and to evaluate the level of concentrations of unsaturated fatty acids (NEFA), non-esterified fatty acids (BHB: hydroxybutyrate-Beta), alanine aminotransferase (ALT), aspartate amino trans (AST) Aspartate aminotransferase, and gamma glutamyl transferase (GGT) blood samples were taken and the data were analyzed. The findings were analyzed using SPSS, version 24. The results were compared using one-way analysis of variance statistical test at 95% probability level and the significance level of 0.05.

    Results

     The results showed that NEFA, BHBA, ALT, AST, and GGT levels in the treated groups of alcoholic extract of Silybum marianum and Eryngium combination and single effect on fatty liver were more than those in the control group and positive control group (P <0.05). The amounts of AST in the control and positive, the negative, and combined control groups were 145.4 ± 9.1, 114 ± 11.4, and 136.1 ± 2.9, respectively.

    Conclusion

     It seems that thistle and buckthorn can be used to treat non-alcoholic fatty liver disease, which of course requires clinical trials in livestock, which improves the amount of liver enzymes due to the effect of these plants on liver tissue and improving the amount of related enzymes. Therefore, these plants can be used in future research on livestock and their effects on improving liver enzymes and protecting liver tissue.

    Keywords: Silybum marianum, Eryngium, non, alcoholic liver}
  • Fereshteh Aliakbari, Nahal Eshghifar, Reza Mirfakhraie, Parisa Pourghorban, Faezeh Azizi *

    Semen analysis is usually the first step in the assessment of male fertility. Although analyzes provide valuable information about male fertility, success of cytoplasmic sperm injection using this method is not predictable. In the recent years, studies have shown that sperm quality assessment helps clinicians predict male fertility status based on the expression of biomarkers. To write this article, a comprehensive study was conducted on several RNA transcripts by searching related words on medical information databases by 2018. According to the literature, spermatogenesis based disorders in male infertility have a significant relationship with the expression level of some RNA molecules (like DAZ and PRM1/PRM2 ratio) in semen and testicular tissue. Thus, they might be used as predictor biomarkersto evaluate success rate of testicular sperm extraction (TESE) procedure, but confirmation of this hypothesis requires more extensive research. By comparing the number of RNAs attributed to each fertility disorder in men, it is possible to trace the causes of disease or return fertility to some infertile patients by regulating the mentioned molecules. Further researches can provide a better understanding of the use of RNA expression profiles in the diagnosis and treatment of male infertility.

    Keywords: Coding, non, coding RNAs, Semen, Testicular Tissue, infertility}
  • Bahram Zarmehri, Bita Abbasi, Ehsan Bolvardi, Reza Akhavan*
    Introduction

    Renal traumas are quite commonly encountered in emergency departments. Low-energy traumas are often considered non-significant, but the presence of a pre-existing renal lesion predisposes the kidneys to more severe damage in the setting of even minor traumas, which may be accompanied by devastating results, should they remain unattended.

    Case Presentation

    Here we report an incidental diagnosis of bilateral ureteropelvic junction obstruction in a patient who presented with unexpected shattered kidney following a low-energy flank injury.

    Conclusions

    Patients with a pre-existing renal lesion are vulnerable to severe traumatic renal injuries, even after minor trauma. The severity of renal injuries may be much more than expected, making the clinical and imaging findings complex and confusing in these patients.

    Keywords: Non, Penetrating Wound, Kidney, hydronephrosis, Computed Tomography}
  • Ramadan A. Mahmoud *
    Background
    Non-invasive ventilation is increased used in preterm infants. We aimed to compare the effectiveness of nasal intermittent positive pressure ventilation (nIPPV) versus nasal continuous positive airway pressure (nCPAP) in preterm infants with respiratory distress syndrome (RDS) after less invasive surfactant administration (LISA).
    Materials And Methods
    In this clinical trial, eighty two preterm infants admitted in neonatal intensive care unit, Sohag University Hospital, Egypt with a gestational age of 28–34 weeks, mean ± standard deviation birth weight (1259.44±377.22 grams), suffering from RDS but not requiring intubation in the delivery room were included in the study. Forty one received nIPPV as an initial respiratory support (RS). If nIPPV failed, surfactant administration was given with the LISA approach and patients continued on nIPPV. This group was compared with a historical cohort group of 41 infants managed with nCPAP as an initial RS, and if nCPAP failed, the surfactant was given by LISA.
    Results
    There was no significant difference between the case and control group regarding the mean ± SD gestational age or birth weight. When nIPPV was used as the primary RS in preterm infants with RDS compared to nCPAP, it had a significantly less nIPPV failure (31.71% versus 53.66%, P = 0.04), had significantly fewer infants who needed invasive ventilation within the first seven days of life (12.20% versus 34.14%, P = 0.03), and the total days of supplemental oxygen was less (9 (3–18) days versus 12 (6–34) days, P = 0.02).
    Conclusion
    In infants born at 28–34 weeks gestation, nIPPV, when used as the primary RS, reduced the need for invasive ventilation and the surfactant requirement within the LISA technique.
    Keywords: Infants, Non, invasive Ventilation, Premature, Surfactant}
  • Leila Mohammadi Pirkashani, Kamyar Mansori, Homa Babaei, Pegah Rahmani *
    Background
    Non-nutritive sucking is part of the initial development process in preterm infants that may speed up the transition from the tube to oral feeding. The aim of this study was to evaluate the effect of nonnutritive sucking on mother's finger on feeding tolerance and attainment of independent oral feeding in preterm infants.
    Materials And Methods
    This single blind clinical trial was conducted on 40 preterm infants admitted to the NICU of Imam Reza Hospital, Kermanshah in 2017. In the intervention group, non-nutritive sucking was performed on the mother's finger three times a day for 10 days during the first 10 minutes of gavage. Then, the gastric residual volume, time to achieve independent oral feeding, length of hospitalization, and weight at discharge were measured. The data was analyzed using SPSS software version 24.0.
    Results
    According to the results, the mean of gastric residual volume was less in the intervention group (0.65±0.33) compared to the control group (2.30±0.71) (P0.05).
    Conclusion
    The results of the study showed that non-nutritive sucking on mother's finger can be effective in improving feeding tolerance and accelerating attainment of independent oral feeding in the preterm infants, resulting in early discharge from the hospital.
    Keywords: Feeding tolerance, Independent oral feeding, Infants, Non, nutritive sucking}
  • Elham Azizi, Shiva Borzouei, Ali Reza Soltanian
    Background
    The prevalence of type 2 diabetes mellitus (T2DM) is increasing in Iran. This study determined the prevalence of undiagnosed type 2 diabetes mellitus in apparently normal individuals in Hamadan, west of Iran.
    Methods
    A sample of 106 apparently normal volunteers aged 18 yr and more were enrolled, and T2DM was diagnosed using hemoglobin A1c (HbA1c) levels from 2015-2016. The nonparametric bootstrap method was used to eliminate the undesirable effect of small sample size on the estimation of standard error of multiple logistic regression coefficients and confidence interval for the prevalence of undiagnosed T2DM.
    Results
    Overall, 23 (21.69%) were male. The mean (±sd) age of the participants was 43.76 ±14.01 year. In 78.3% of individuals, HbA1c level was within normal range (
    Conclusions
    The prevalence of undiagnosed T2DM among apparently normal individuals in Hamadan was relatively high. Addition to age, factors such as sedentary, exposure to smoking and having a history of diabetes in family can be a prognosis for undiagnosed T2DM in apparently normal individuals
    Keywords: Non, parametric bootstrap, Statistical model, Diabetes mellitus, Epidemiology, Iran}
  • عزیز زینوند لرستانی، رحیم میرنصوری*، مسعود رحمتی
    مقدمه
    بیماری کبد چرب می تواند درکنار هپاتیت های ویروسی منجر به افزایش آسیب کبدی و تسریع پیشرفت بیماری به سمت فیبروز شدن بافت کبد و تخریب آن گردد. تمرین هوازی می تواند موجب کاهش سطح آنزیم های کبدی (ALP ، ALT ، AST) شده تا درمان این بیماری با انجام ورزش هوازی مقدور باشد. مطالعه حاضر به منظور تعیین اثرات تمرین هوازی بر بیماری کبد چرب غیر الکلی انجام شد.
    مواد و روش ها
    مطالعه ی حاضر، کارآزمایی بالینی تصادفی بوده که بر روی 24 نفر کودک چاق دارای کبد چرب غیر الکلی با دامنه سنی 7 تا 11 سال انجام شد. افراد مورد مطالعه به صورت تصادفی به دو گروه کنترل و تجربی تقسیم شدند. تمرین هوازی به مدت هشت هفته اجرا شد. قبل و بعد از دوره تمرینی، سطوح آنزیم های کبدی اندازه گیری و سونوگرافی کبد انجام گرفت. برای تفسیر داده ها از آزمون تی مستقل استفاده گردید.
    یافته ها
    8 هفته تمرین هوازی سطح آنزیم های ALT (007/0P = ) ، AST (024/0P = ) و ALP (048/0P = ) را در گروه تجربی نسبت به گروه کنترل به طور معنا داری کاهش داد.
    بحث و نتیجه گیری
    ورزش هوازی به عنوان یک راه غیر دارویی برای درمان بیماری کبد چرب غیر الکلی در کودکان چاق توصیه می شود.
    کلید واژگان: تمرین هوازی, کبد چرب غیر الکلی, آنزیم ALT, آنزیم ALT, کودکان چاق}
    Aziz Zeinvand Lorestani, Rahim Mirnasouri *, Masoud Rahmati
    Background
    Fatty liver disease can result in liver damage along with viral hepatitis, and accelerated disease progression can result in liver tissue fibrosis and liver damage. Aerobic training can reduce the level of liver enzymes (Alp, ALT, and AST) in order for possible treatment of fatty liver disease with aerobic exercise. The present study was performed to assess the effects of Aerobic training on NAFLD.
    Materials And Methods
    The present study was a randomized control trial that was performed on 24 obese children (7 to 11 age) with NAFLD, that were divided randomly into two groups (control and experimental). Aerobic exercise was carried out for eight weeks for the experimental group. Before and after the training period, measurements of liver enzyme levels (ALP, ALT, and AST) and liver ultrasound was done. To analyze the data, independent-samples T testing was used.
    Results
    The results showed that performing aerobic training reduced the levels of liver enzymes ALT (p=0.007), AST (p=0.024), and ALP (p=0.048) in the experimental group significantly.
    Conclusion
    Aerobic training is recommended as a non-drug treatment for fatty liver disease.
    Keywords: Aerobic training, Non, alcoholic fatty liver, AST, ALT enzymes, Obese children}
  • مرتضی دهقان *، علی احمدی، سعید جلیلی
    مقدمه
    افراد مبتلا به کمردرد همچون سایر بیماری های مزمن، علاوه بر عوارض جسمی، عوارض روانی را هم ممکن است تجربه کنند که باعث بدتر شدن وضعیت این بیماران و کاهش کیفیت زندگی آنان می شود. با توجه به کمبود مطالعات بالینی در این زمینه، مطالعه حاضر جهت بررسی ارتباط میزان درد با شدت افسردگی و اضطراب در بیماران مبتلا به کمردرد غیرختصاصی مزمن طراحی و اجرا شد.
    روش بررسی
    این مطالعه توصیفی-تحلیلی، بر روی 250 بیمار مبتلا به کمردرد غیراختصاصی مراجعه کننده به کلینیک ارتوپدی شهرکرد با روش نمونه گیری در دسترس انجام گرفت. پرسشنامه اطلاعات دموگرافیک، مقیاس دیداری شدت درد، پرسشنامه افسردگی بک و پرسشنامه اضطراب بک جهت جمع آوری اطلاعات بیماران، سنجش شدت درد، اضطراب و افسردگی استفاده شد. برای تحلیل داده ها از نرم افزار Stata 14 استفاده شد.
    یافته ها
    میانگین و انحراف معیار درد در زنان 1/21±4/6 و بیشتر از مردان 1/25±4/1 بود. شدت درد در بین گروه های مختلف بیماران در سطوح مختلف اضطراب و افسردگی تفاوت معنی داری داشت (0/01>P). در بین افراد غیر سیگاری اختلاف بین گروه های مختلف ازلحاظ میزان درد، با توجه به سطوح افسردگی معنی دار بود (0/05>P).
    نتیجه گیری
    با افزایش شدت افسردگی و اضطراب، بیماران مبتلا به کمردرد غیراختصاصی مزمن درد بیشتری را تجربه می کنند.
    لازم است در برنامه درمانی مبتلایان به کمردرد غیراختصاصی علاوه بر درمان مشکلات جسمانی جهت کاهش درد، به ابعاد روحی روانی آن ها نیز توجه گردد و جهت تعدیل اضطراب، افسردگی و ارتقای کیفیت زندگی بیماران اقدام شود.
    کلید واژگان: کمردرد غیراختصاصی مزمن, افسردگی, اضطراب}
    Morteza Dehghan *, Ali Ahmadi, Saeid Jalili
    Background And Aims
    Patients with low back pain like other chronic diseases, may experience psychological symptoms in addition to physical symptoms which leads to the exacerbation of the condition of these patients and reduce their quality of life. Due to lack of clinical studies in this field, this study was conducted to investigate the relationship between pain and severity of depression and anxiety in patients with nonspecific chronic low back pain.
    Methods
    This analytic- descriptive study was performed on 250 patients with nonspecific low back pain referring to the orthopedic clinic in Shahrekord selected by convenience sampling. Demographic questionnaire, visual analogue scale of pain, Beck Depression Inventory and Beck Anxiety Inventory were used to collect the patient’s information, pain severity, anxiety and depression. Stata software 14 was used for data analysis.
    Results
    Mean ± SD of pain in women was 4.6±1.21 and higher than in men (4.1±1.25). Pain severity showed a significant difference between the groups of patients with different levels of anxiety and depression (P
    Conclusion
    Patients with nonspecific chronic low back pain experience higher level of pain with increasing severity of depression and anxiety. It is necessary in treatment of patients with nonspecific low back pain to pay attention to their psychological dimensions in addition to treating physical problems to reduce pain, and take action to relieve for the modulation of anxiety, depression and quality of life in these patients.
    Keywords: Non, specific chronic low back pain, Depression, Anxiety}
  • حسن فربود *، علی عباسی، امیر لطافتکار
    مقدمه و اهداف
    کمردرد یکی از شایع ترین اختلالات اسکلتی-عضلانی است که شیوع آن در طول دوره زندگی تا 80 درصد گزارش شده است. بنابراین وجود یک ارزیابی دقیق قبل از طراحی برنامه توانبخشی در افراد مبتلا به کمردرد ضروری به نظر می رسد. با توجه به وجود زنجیره حرکتی در بدن انسان، هر گونه مشکل یا نقص عملکردی در یکی از ساختارهای این زنجیره می تواند باعث عملکرد غیرطبیعی در سایر زنجیره ها شود. کینماتیک غیرطبیعی ران و اختلال در عملکرد عضلات ران، با اختلالات مختلف اسکلتی-عضلانی از جمله کمردرد همراه است. بنابراین هدف از مطالعه حاضر، مقایسه نسبت فعالیت الکتریکی عضلات گلوتئال به تنسور فاشیالاتا در افراد دارای کمردرد مزمن غیراختصاصی با افراد سالم در تمرینات منتخب توانبخشی بود.
    مواد و روش ها
    در مطالعه حاضر که به صورت نیمه تجربی انجام شد، 15 آزمودنی مرد سالم و 15 آزمودنی مرد مبتلا به کمردرد مزمن غیراختصاصی شرکت کردند. فعالیت الکتریکی عضلات گلوتئوس مدیوس، بخش فوقانی گلتئوس ماگزیموس و تنسور فاشیالاتا در حین اجرای تمرینات منتخب با فرکانس 1000 هرتز ثبت شد و شاخص نسبت فعالیت الکتریکی عضلات گلوتئال به تنسور فاشیالاتا در این تمرینات محاسبه شد. از آزمون های تحلیل واریانس با اندازه های تکراری و تی مستقل برای تجزیه و تحلیل داده ها استفاده شد.
    یافته ها
    نتایج مطالعه حاضر نشان داد نسبت فعالیت عضلات گلوتئال در تمرینات لانچ، اسکوات، کلام این سایدلیینگ، گام برداشتن به پهلو با مقاومت الاستیکی، پل دوطرفه و یک طرفه در گروه سالم نسبت به گروه کمردرد به طور معناداری بیشتر است (05/0>P).
    نتیجه گیری
    نسبت فعالیت الکتریکی عضلات گلوتئال به تنسور فاشیالاتا در افراد سالم و افراد مبتلا به کمردرد مزمن غیراختصاصی تفاوت دارد. به نظر می رسد می توان انجام تمرینات کلام این سایدلیینگ، گام برداشتن به پهلو با مقاومت الاستیکی، پل دوطرفه و یک طرفه را به این افراد به منظور انجام تمرینات توانبخشی پیشنهاد کرد، ولی انجام لانچ و اسکوات به این افراد پیشنهاد نمی شود.
    کلید واژگان: الکترومایوگرافی, کمردرد مزمن غیراختصاصی, تمرینات توانبخشی, فعالیت الکتریکی}
    Hasan Farbod *, Ali Abbasi, Amir Letafatkar
    Background And Aim
    Low Back Pain (LBP) is one of the most common skeletal disorders, with an incidence possibility of up to 80% during one's life. Before planning a rehabilitation program, an accurate evaluation seems to be necessary in people with LBP. With regard to the kinetic chain of human body, any problem or dysfunction in any part of the chain can cause abnormal function in other parts. Abnormal hip kinematics and impaired hip muscle performance have been associated with LBP. So, the purpose of the current study was to compare electric activity ratio of gluteal muscles to tensor fascia lata in males with and without non-specific chronic LBP.
    Materials And Methods
    A total of 15 healthy males and 15 males with non-specific chronic LBP participated in the present semi-experimental study. Electromyography signals were obtained from the gluteus medius, superior gluteus maximus, and TFL muscles at 1000 Hz frequency as participants performed some selected exercises and the gluteal-to-TFL muscle activation indices were calculated. Repeated measures analysis of variance and independent t-test were run for data analysis.
    Results
    The results of the present study demonstrated that, compared with the low back pain group, in launch, squat, hip abduction, clam in side lying, lateral step down, hip extension with extend knee, hip extension with flexed knee, one-side bridge, two-side bridge, and cutting maneuver with elastic resistance, gluteal muscles were significantly more active in healthy group (P
    Conclusion
    The result of the present study shows that the electromyography activity index differs between the gluteal muscles and the tensor fascia lata in people with non-specific chronic LBP and healthy people. In order to plan rehabilitation exercise, the clam in side lying, cutting maneuver with resistance elastic, unilateral, and bilateral bridge exercises can be suggested to people with LBP, with the exception of lunch and squat exercises.
    Keywords: Electromyography, Non, specific Chronic Low Back Pain, Rehabilitation Training, Muscle Electrical Activity Index}
  • Maryam Yousefi, Ahmad Nejati, Seyed Mohsen Zahraei, Sussan Mahmoudi, Najmeh Parhizgari, Seyed Mohammad Jazayeri Farsani, Mahmood Mahmoodi, Rakhshandeh Nategh, Shohreh Shahmahmoodi *
    Background And Objectives
    Acute flaccid paralysis (AFP) is a complicated clinical syndrome with a wide range of potential etiologies. Several infectious agents including different virus families have been isolated from AFP cases. In most surveys, Non-polio Enteroviruses (NPEVs) have been detected as main infectious agents in AFP cases; however, there are also some reports about Adenovirus isolation in these patients. In this study, NPEVs and Adenoviruses in stool specimens of AFP cases with or without Residual Paralysis (RP) with negative results for poliovirus are investigated.
    Materials And Methods
    Nucleic acid extractions from 55 AFP cases were examined by nested PCR or semi-nested PCR with specific primers to identify NPEVs or Adenoviruses, respectively. VP1 (for Enteroviruses) and hexon (for Adenoviruses) gene amplification products were sequenced and compared with available sequences in the GenBank.
    Results
    From 55 fecal (37 RP and 18 RP-) specimens, 7 NPEVs (12.7%) (2 cases in RP) and 7 Adenoviruses (12.7%) (4 cases in RP) were identified. Echovirus types 3, 17 and 30, Coxsackie virus A8, and Enterovirus 80 were among NPEVs and Adenoviruses type 2 and 41 were also identified.
    Conclusion
    Our finding shows that NPEVs and Adenoviruses may be isolated from the acute flaccid paralyses but there is no association between the residual paralyses and virus detection.
    Keywords: Acute flaccid paralysis, Residual paralysis, Non, polio Enterovirus, Adenovirus}
  • فاطمه خاکی خطیبی انصار کریمیان
    زمینه
    بیماری عروق کرونری (CAD، Coronary Artery Disease) در اثر آترواسکلروزیس به وجود می آید. مطالعات نشان می دهند فاکتورهای متعددی وجود دارند که ارتباط تنگاتنگی با ایجاد و پیشرفت CAD دارند که شامل مولکول های اتصال سلولی مانند پلاسمینوژن اکتیویتور اینهیبیتور-1 (PAI-1)، ریسک فاکتورهای متعدد قلبی و هموستاز می باشند. در مطالعه حاضر ما بر آن شدیم، تا ارتباط پلی مورفیسم PAI-1(4G/4G) و مارکرهای فیبرینولیز مانند PAI-1 را در بیماران عروق کرونری غیردیابتی و غیرسیگاری در مقایسه با گروه شاهد مورد ارزیابی قرار دهیم.

    روش کار
    در مطالعه حاضر تعداد 140 نفر، شامل 70 نفر به عنوان گروه بیمار و 70 نفر به عنوان گروه شاهد در نظر گرفته شدند. از همه افراد شرکت کننده نمونه خون گرفته شد. DNA ژنومی از خون استخراج شده و برای ارزیابی پلی مورفیسم از PAI-1(4G/4G) از پرایمر مخصوص استفاده گردید. پلی مورفیسم در موقعیت 675- در پروموتور PAI-1 به وسیله روش PCR-RFLP تشخیص داده شد. سطح سرمی PAI-1 در نمونه به وسیله روش الایزا اندازه گیری شد.
    یافته ها
    سطح سرمی فاکتور PAI-1 در دو گروه با هم اختلاف معنی داری داشت. توزیع ژنوتیپ PAI-1 به این صورت است که فروانی ژنوتیپ 4G/4G در گروه بیمار در مقایسه با گروه شاهد در سطح بالاتری قرار داشت. PAI-1 در گروه بیماران که دارای ژنوتیپ 4G بودند در مقایسه با هموزیگوت 5G سطح بالاتری داشت (01/0(p= . اختلاف معنی داری بین سطح سرمی PAI-1 و پلی مورفیسم ژن PAI-1 با ریسک ابتلا به CAD مشاهده شد.

    نتیجه گیری
    به نظر می رسد که پلی مورفیسم 4G/4G ژن PAI-1 یک مارکر مفید برای فعالیت فیبرینولیتیک است. این پلی مورفیسم به علت افزایش سطح پلاسمایی PAI-1 باعث نقص در فعالیت فیبرینو لیتیک می شود. بنابراین احتمال وقوع بیماری قلبی عروقی افزایش می یابد.
    کلید واژگان: پلاسمینوژن اکتیواتور اینهیبیتور, 1, پلی مورفیسم ژن PAI, 1, بیماری عروق کرونری قلب, غیردیابتی, غیرسیگاری}
    Fatemeh Khaki-Khatibi, Ansar Karimian
    Background
    Coronary Artery Disease (CAD) caused by atherosclerosis, Studies have shown that there are a number of factors which are closely related to the development and progression of CAD that include Cellular binding molecules like Plasminogen Activator Inhibitor-1 (PAI-1), multiple cardiac risk factors and hemostasis. In the present study we made an attempt to evaluate the association of PAI-1 4G/4G polymorphism and fibrinolysis markers example PAI-1 with CAD.
    Methods
    In this study, 140 individual, including 70 subjects as patient group and 70 subjects in the control group were considered. Blood samples were obtained from all participants, genomic DNA was extracted and the 4G/4G polymorphism of PAI-1 was amplified using specific primers. Polymorphism in the -675 position in promoter of PAI-1 was detected by PCR-RFLP method. Serum levels of PAI-1 in the samples were measured by ELISA.
    Results
    Level of PAI-1 serum was significantly different between the two groups. PAI-1 genotype distribution in this case is the frequency of genotype 4G/4G in the patient group compared with the control group had higher. PAI-1 in patients who had genotype 4G, have a higher level compared to homozygous 5G (p-value=0.01). Significant differences between serum level of PAI-1 and PAI-1 gene polymorphism with the risk of CAD was observed.
    Conclusion
    The 4G/4G polymorphism of PAI-1 gene is a useful marker for fibrinolytic activity. This polymorphism due to increased in plasma level of PAI-1 which causes defects in fibrinolytic activity so increasing the occurrence of cardiovascular diseases.
    Keywords: Plasminogen Activator Inhibitor, 1, Polymorphism of PAI, 1 gene, Coronary Artery Disease, Non, diabetic, Non, smoker}
  • عصمت سفیدکردار، سید ابراهیم حسینی
    زمینه و هدف
    کبد چرب غیر الکلی یکی از بیماری های شایع است. تغذیه سالم و ورزش، برای این بیماران توصیه شده و کاسنی به دلیل اثرات محافظتی بر کبد مورد توجه می‫باشد. لذا این مطالعه با هدف بررسی اثر عصاره کاسنی با حرکت روی نوار گردان بر روی تغییرات بافتی و میزان ترانس آمینازهای کبدی در موش های صحرایی مبتلا به کبد چرب غیرالکلی انجام گردید.
    روش کار
    در این مطالعه تجربی از 56 سر موش صحرایی نر بالغ در گروه های کنترل (فاقد تیمار)، شاهد (تیمار با رژیم پرچرب ml/kg10) و 5 دسته تجربی دریافت کننده رژیم پرچرب به همراه دوزهای mg/kg200 و 100 عصاره کاسنی به تنهایی و همراه با حرکت روی نوارگردان استفاده گردید. تیمارها 28 روزه و به صورت گاواژ انجام گرفت. در پایان پس از بیهوش نمودن و خونگیری از قلب حیوانات جهت اندازه گیری آنزیم‫های آسپارتات آمینوترانسفراز (AST)، آلانین آمینوترانسفراز (ALT) و الکالین فسفاتاز (ALP)، کبدآنها خارج و پس از تهیه مقاطع بافتی، نتایج حاصل از اندازه گیری آنزیم‫های کبدی توسط آزمون‫های تحلیل واریانس یک طرفه و دانکن آنالیز و معناداری اختلاف داده ها در سطح 0/05>p در نظر گرفته شد.
    یافته ها
    نتایج نشان داد رژیم پرچرب باعث افزایش آنزیم‫های AST، ALT و ALP در سطح 0/001>p و آسیب بافتی کبد نسبت به گروه کنترل می‫شود و تیمار با کاسنی و حرکت روی نوارگردان به تنهایی و با یکدیگر باعث کاهش معنادار آنزیم‫های فوق در سطح 0/001>p و بهبود بافت کبد نسبت به گروه تحت تیمار با رژیم پرچرب تنها می‫شود.
    نتیجه گیری
    نتایج نشان داد رژیم پرجرب باعث افزایش ALT، AST و ALP و آسیب بافتی کبد می‫شود و حرکت بر روی نوارگردان و عصاره کاسنی به تنهایی و همراه با هم باعث کاهش آنزیم‫های فوق و بهبود ساختار بافتی کبد می‫شود.
    کلید واژگان: کبد چرب غیرالکلی, ALT, ALP, AST, کاسنی, نوار گردان}
    Smat Sefidkerdar, Seyed Ebrahim Hosseini
    Background and Objectives
    Non-alcoholic fatty liver is one of the most common diseases. Nutrition and exercise are recommended for the patients with this disease, and chicory is considered due to its protective effects on the liver. Therefore, the aim of the present study was to investigate the effect of chicory extract along with treadmill walking on the hepatic transaminases levels and tissue changes in rats with non-alcoholic fatty liver disease.
    Methods
    In this experimental study, 56 mature male rats were divided into control (without treatment), sham (treatment with high-fat diet 10 ml/kg) and 5 experimental groups receiving high-fat diet (10 ml/kg) with 200 and 100 mg/kg chicory extract alone and with treadmill walking. Chicory was administered as gavage in 28 consecutive days. At the end, after anesthetizing the animals and collecting blood from their hearts the Aspartate Aminotransferase (AST), Alanine Aminotransferase (ALT) and Alkaline phosphatase (ALP) enzymes were measured. The their livers were removed and after preparing the tissue sections, the results of hepatic enzymes measurements were analyzed by ANOVA and Duncan tests and P≤0.05 was considered significant.
    Results
    The results showed that high-fat diet increased AST, ALT and ALP enzymes and hepatic tissue damage compared to the control group at p
    Conclusion
    The results showed that high-fat diet increased the levels of ALT, AST and ALP, and hepatic tissue damage. Treadmill walking and chicory extract alone and together reduced the above enzymes and improved the hepatic tissue structure.
    Keywords: Non, Alcoholic Fatty Liver, AST, ALP, ALT, Treadmill, Chicory}
  • Mehdi Mirzaei-Alavijeh, Masoumeh Vaezi, Farzad Jalilian *
    Background
    One of the basic needs of behavioral scientists is access to standard questionnaires. The purpose of this study was to determine the psychometric of a theory based questionnaire about colorectal cancer screening with uptake of fecal occult blood test based on health belief model.
    Materials And Methods
    This descriptive analytic-psychometric study was carried out among 150 individuals aged over 50 years in Kermanshah, western Iran, in winter 2016. The participants were selected by using simple random sampling allocation method in proportional to size among households aged over 50 years covered by Kermanshah health centers. Data were analyzed using SPSS software version 20.
    Results
    The Kaiser-Meyer-Olkin (KMO) was calculated as 0.778. Three constructs of the five constructs of the health belief model including perceived benefits, perceived barriers, and perceived severity accounted to 73.27% of the variance of the hypothesized model. The reliability of the questionnaire by measuring Cronbach's alpha for constructs; perceived sensitivity, perceived severity, perceived benefits, perceived barriers, and perceived self-efficacy were 0.72, 0.78, 0.87, 0.81, and 0.70, respectively.
    Conclusion
    The questionnaire had the obligatory validity and reliability to measure cognition related to about uptake of fecal occult blood test based on health belief model.
    Keywords: Validity, Reliability, Health Belief Model, Non, communicable Disease, Prevention}
  • Nima Fattahi, Karim Sharifi, Ghobad Moradi, Rahmetulla Iri, Romina Reshadat, Pedram Ataee, Ali Jalili, Farshad Sheikhesmaili
    Background
    Generally, 15% to 40% of the world populations are suffering from non-alcoholic fatty liver disease (NAFLD). The aim of this study was to conduct an epidemiological evaluation of NAFLD and its related factors in the west of Iran.
    Materials And Methods
    This cross-sectional study was conducted for 12 months, from July 2013 to July 2014, in the city of Sanandaj. In this study, multistage cluster sampling method was used. The general characteristics of the subjects including their age, sex, body mass index, history of diabetes, hypertension, and heart disease were recorded. All the subjects underwent abdominal ultrasound; besides, patients with fatty liver underwent blood tests (lipid profile, liver function test, fasting blood sugar, hepatitis B virus antigen & Hepatitis C virus antibody). Statistical analysis was performed using descriptive statistics and logistic regression test.
    Results
    A total of 410 patients were included in the study, of whom 145 (35%) had NAFLD. The prevalence of fatty liver in males (43%) was twice more than that in females (22%). The severity of fatty liver disease was increased with increasing blood sugar (OR = 3.214, 95% CI = 1.357, 7.612), triglycerides, and total cholesterol (OR = 2.897, 95% CI = 1.245, 6.736).
    Conclusion
    findings of this study shows that, the prevalence of NAFLD in the west of Iran equals with the highest rates reported from other countries and the prevalence was much higher than that in Asian countries. It is recommended to implement fast and effective interventions to control fatty liver disease.
    Keywords: Prevalence, non, alcoholic fatty liver disease, Iran, population based planning}
  • Neda Ravankhah, Rouhollah Mirzaei *, Saeed Masoum
    Background & Aims of the Study: Regarding to development of industry, soil contamination has become a serious problem in many countries, such as Iran. The aim of the present work was the illustration of the accumulation of potentially harmful trace elements and the potential risk which is posed to human health in surface soils of three industrial estates of Aran-o-Bidgol city, Isfahan province of Iran.
    Materials and Methods
    Altogether, 24 composite soil samples were collected at depths 0-20 cm from industrial estates of Helal, Sobahi and Ansar located in Aran-o-Bidgol in September and October 2014. Element contents (Cd, Pb, Ni, Zn and Cu) were extracted by 3 acids digestion (HF-HNO3-HClO4). Concentrations of Cu, Pb, Zn and Ni in soil extracts were analyzed by Flame Atomic Absorption Spectrometry, whereas Cd was measured by Graphite Furnace Atomic Absorption Spectrometry. The accumulation and non-cancer risk of trace elements were investigated of these industrial states soils.
    Results
    The mean contents of Cd (0.81 mg/kg), Pb (13.41 mg/kg), Ni (30.14 mg/kg), Zn (53.85 mg/kg) and Cu (14.15 mg/kg) were higher than the uncontaminated background values. The average values of Pb, Ni, Zn and Cu at Ansar industrial site were higher than other industrial sites. Igeo for Cd, Pb, Ni, Zn and Cu were found in the range of 2-2.80, -2.26 - 3.33, 0.5-2.54, 0.47-2.49 and 0.44-4.01, respectively. The highest non-cancer risk was belonged to Pb (0.3 and 0.01) while the lowest was Zn (0.008 and 0.0002) for child and adult, respectively.
    Conclusions
    Pollution index indicated that industrial estate soils were ‘moderately contaminated’’ or ‘‘moderately to heavily contaminated’’ by Cd, Pb, Ni, Zn and Cu. The non-cancer risk levels of sampling sites were lower than the regulatory limits. Also, it can be concluded that, non-cancer risks for adults were lower than children.
    Keywords: Health risk assessment, Non, cancer risk, Industrial estates, Trace elements, Geo, accumulation index, Iran}
  • Sonam Sharma *, Charanjeet Ahluwalia, Mukul Singh, Ashish Mandal
    Background And Objective
    Liquid-based cytology (LBC) is an emerging pathological method for better establishment of the diagnosis in almost all the organs of the body. It is currently used both for the gynecological and non-gynecological (fine-needle aspirates (FNAs)/fluid) specimens in most of the developed and few developing countries. The current study aimed at assessing and illustrating the cytological morphology on SurePath® LBC technique when used on FNAs from head and neck lesions, compared to the conventional smears (CS).
    Methods
    In the current prospective study, a total of 1000 FNAs obtained from swellings of head and neck region were simultaneously processed both by the standard conventional and SurePath® LBC techniques. Both of these preparations were studied, compared witha semi-quantitative scoring system, and statistically analyzed. Pvalue
    Results
    LBC smears were better, compared to CS ones, due to the presence of evenly dispersed cells (P ≤0.001), clearance of obscuring elements / background debris (P≤0.001), and better cellular details (P≤0.001). However, these abilities of LBC often became its own nemesis and made the interpretation difficult.
    Conclusion
    LBC, though costly, is an acceptable, simple, and valuable technique. However, CS still cannot be considered inferior to it, and it is recommended that in most of the cases LBC, along with CS, should be reported before reaching a final diagnosis. This is beneficial especially in the developing countries such as India where most of the centers are devoid of LBC technique and hence, are not familiar with many cytomorphological features and potential diagnostic pitfalls unique to it.
    Keywords: Liquid, based Cytology, Conventional Smears, SurePath®, Fine, Needle Aspirates, Non, gynecological Cytology, Head, Neck}
  • Kambiz Gilany *, Naser Jafarzadeh, Ahmad Mani-Varnosfaderani, Arash Minai-Tehrani, Mohammad Reza Sadeghi, Mahsa Darbandi, Sara Darbandi, Mehdi Amini, Babak Arjmand, Zhamak Pahlevanzadeh
    Background
    Non-obstructive azoospermia (NOA) occurs in approximately 10% of infertile men. Retrieval of the spermatozoa from the testicle of NOA patients is an invasive approach. Seminal plasma is an excellent source for exploring to find the biomarkers for presence of spermatozoa in testicular tissue. The present discovery phase study aimed to use metabolic fingerprinting to detect spermatogenesis from seminal plasma in NOA patients as a non-invasive method.
    Methods
    In this study, 20 men with NOA were identified based on histological analysis who had their first testicular biopsy in 2015 at Avicenna Fertility Center, Tehran, Iran. They were divided into two groups, a positive testicular sperm extraction (TESE()) and a negative testicular sperm extraction (TESE(-)). Seminal plasma of NOA patients was collected before they underwent testicular sperm extraction (TESE) operation. The metabolomic fingerprinting was evaluated by Raman spectrometer. Principal component analysis (PCA) and an unsupervised statistical method, was used to detect outliers and find the structure of the data. The PCA was analyzed by MATLAB software.
    Results
    Metabolic fingerprinting of seminal plasma from NOA showed that TESE() versus TESE(-) patients were classified by PCA. Furthermore, a possible subdivision of TESE(-) group was observed. Additionally, TESE(-) patients were in extreme oxidative imbalance compared to TESE() patients.
    Conclusion
    Metabolic fingerprinting of seminal plasma can be considered as a breakthrough, an easy and cheap method for prediction presence of spermatogenesis in NOA.
    Keywords: Male infertility, Metabolic fingerprinting, Non, obstructive azoospermia, Seminal plasma, Testicular sperm extraction}
  • حمیدرضا توکلی، فاطمه رحمتی نجار کلایی، اسما ملکمی، علیرضا دیزوی
    مقدمه
    نتایج پژوهش های پیشین نشان داده اند که برخی از اجزای غذایی می توانند با کبد چرب غیرالکلی (NAFLD) مرتبط باشند، اما مطالعات اندکی به بررسی ارتباط بین دریافت غذاهای فوری و این بیماری پرداخته اند. هدف از این مطالعه ی مورد- شاهدی، بررسی ارتباط بین مصرف غذاهای فوری با NAFLD در مردان بود.
    مواد و روش ها
    این مطالعه بر روی 100 مورد NAFLD و 300 شاهد نرمال همسان شده بر اساس سن در استان یزد انجام گرفت. از تمام افراد، پرسش نامه ی نیمه کمی بسامد خوراک 147 قلمی و پرسش نامه ی ساده فعالیت بدنی جمع آوری شد. قد و وزن افراد به روش استاندارد اندازه گیری شد. کل غذاهای فوری دریافتی از مجموع سوسیس، کالباس، همبرگر و پیتزا به دست آمد. تحلیل داده ها با استفاده از آزمون t مستقل، مجذور کای دو و رگرسیون لجستیک انجام شد.
    یافته ها
    میانگین مصرف غذاهای فوری در موردها نسبت به شاهدها بالاتر بود (به ترتیب 3/7±5/19 در برابر 2/4±5/10 گرم در روز). مصرف بیشتر غذاهای فوری به میزان قابل توجهی با مصرف بیشتر انرژی، پروتئین، کل چربی، اسیدهای چرب اشباع، کلسترول، کولا، آب میوه های صنعتی و گوشت قرمز و مصرف کمتر میوه ها، سبزی ها، حبوبات و لبنیات در ارتباط بود. مصرف بیشتر غذاهای فوری با افزایش خطر NAFLD همراه بود (نسبت شانس 83/3؛ فاصله اطمینان 95% :97/7-84/1، 0001/0=P). این ارتباط پس از تعدیل برای عوامل مخدوش کننده ی سن، سیگار کشیدن، فعالیت بدنی، نمایه ی توده ی بدنی و انرژی دریافتی، با اندکی کاهش در نسبت شانس، معنی دار باقی ماند (نسبت شانس 31/3؛ فاصله اطمینان 95%: 38/8-31/1، 009/0=P).
    نتیجه گیری
    براساس نتایج مطالعه ی حاضر، رابطه ی مثبت قابل توجهی بین دریافت غذاهای فوری و خطر NAFLD در مردان وجود دارد. تحقیقات بیشتر در زمینه ی عوارض احتمالی مصرف غذاهای فوری مورد نیاز است.
    کلید واژگان: کبد چرب غیرالکلی, غذاهای فوری, مورد, شاهدی}
    Hamid Reza Tavakoli, Fatemeh Rahmati-Najarkolaei, Asma Malkami, Alireza Dizavi
    Introduction
    Although previous investigations have shown that some dietary components can be associated with non-alcoholic fatty liver disease (NAFLD), few studies have investigated the association between fast food intake and this disease. The aim of this case-control study was to examine the relationship between fast food intake and NAFLD in male adults.
    Materials And Methods
    This study was conducted on 100 NAFLD cases and 300 age-matched normal controls. Total data were collected using a 147-item semi-quantitative food frequency questionnaire (FFQ) and physical activity questionaire. Height and weight were measured by standard methods. Data were analyzed using chi-square, t tests and logistic regression model and P
    Results
    Mean fast food consumption in cases were higher than controls (19.5±7.3 vs 10.5±4.2 gr/day, respectively). Higher intake of fast foods was significantly associated with higher intakes of energy, protein, total fat, saturated fatty acids, cholesterol, cole, artificial juices and red meats and lower intakes of fruits, vegetables, legumes and diary products. A higher fast food intake was associated with a higher risk of NAFLD (OR, 3.83; 95%, CI 1.84-7.97; P
    Conclusions
    There was a significant positive relationship between fast food intake and NAFLD in males, emphasizing the need for raising more awareness among individuals on the possible complications of fast food consumption, to decrease their consumption and reduce risk of disease.
    Keywords: Non, alcoholic fatty liver disease, NAFLD, Fast food, Case control}
  • Raphael Lencucha *, Laurette DubE, Chantal Blouin, Anselm Hennis, Mauricio Pardon, Nick Drager
    Effective approaches to non-communicable disease (NCD) prevention require intersectoral action targeting health and engaging government, industry, and society. There is an ongoing vigorous exploration of the most effective and appropriate role of government in intersectoral partnerships. This debate is particularly pronounced with regards to the role of government in controlling unhealthy foods and promoting healthy food environments. Given that food environments are a key determinant of health, and the commercial sector is a key player in shaping such environments (eg, restaurants, grocery stores), the relationship between government and the commercial sector is of primary relevance. The principal controversy at the heart of this relationship pertains to the potential influence of commercial enterprises on public institutions. We propose that a clear distinction between the regulatory and catalyst roles of government is necessary when considering the nature of the relationship between government and the commercial food sector. We introduce a typology of three catalyst roles for government to foster healthy food environments with the commercial sector and suggest that a richer understanding of the contrasting roles of government is needed when considering approaches NCD prevention via healthy food environments.
    Keywords: Non, communicable Disease, Food Industry, Government, Multi, stakeholder Partnership, Governance}
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