The Effects of Thiamine Supplementation on General Health and Infertility Treatment Outcomes in Women with Polycystic Ovary Syndrome: A Triple-Blinded Randomized Placebo-Controlled Clinical Trial.

BACKGROUND: The aim of this study was to evaluate the effects of thiamine (vitamin B1) on general health and infertility treatment outcomes in women with polycystic ovary syndrome (PCOS). MATERIALS AND METHODS: The study is a triple-blinded, randomized, placebo-controlled clinical trial performed on 64 infertile women with PCOS referred to Sarem Hospital in Tehran, Iran. The primary outcomes of the study were general health and infertility treatment outcomes. Eligible women were randomly assigned to the vitamin B1 group (n=32, vitamin B1 tablet at a dose of 300 mg/day for 4 weeks) or the placebo group (n=32, placebo tablet daily for 4 weeks). A general health questionnaire was completed before and after the intervention by both groups, and treatment success was evaluated at the end of the study. Data were analyzed using SPSS software ver.16 P<0.05 was considered statistically significant. RESULTS: The mean age of participants in the vitamin B1 (VB1) group was 30.4 ± 3.27 years and in the placebo (Pl) group was 29.1 ± 2.66 years with the mean duration of marriage 12.7 ± 3.01 and 13.2 ± 2.97 years respectively. Our results showed that there were significant differences between the two groups in overall score (P<0.001) and scores for all domains of the general health questionnaire including somatic symptoms (P<0.001), anxiety and insomnia (P<0.001), social dysfunction (P=0.028), and severe depression (P<0.001) after the intervention. Four weeks consumption of vitamin B1 also resulted in higher numbers of positive pregnancy tests (P=0.006), although the number of fetuses was not significantly different between the two groups after the intervention. CONCLUSION: The results of the current study support a possible favourable effect of vitamin B1 on improving general health, infertility treatment outcome, and retrieved follicle count without changing the number of fetuses in women with polycystic ovary syndrome (registration number: IRCT201510266917N3).

Comparison of the effect of topical triamcinolone 0.1% cream with sulfur 2.0% cream in the treatment of patients with hand eczema: A randomized controlled trial.

BACKGROUND: Hand eczema (HE) is a common and heterogeneous condition. It has a wide range of etiologies and clinical manifestations. In this study the efficacy of triamcinolone 0.1% cream and sulfur 2% creams was compared in treating patients with HE. METHODS: This randomized, triple-blind clinical trial was performed on 70 patients with HE (including 70 right and 70 left hands). In this study, two creams were used including triamcinolone 0.1% and sulfur 2.0%. Patients were treated with these creams twice a day (once in every 12 h) for 4 weeks. Follow-up was 4 weeks after treatment. Hand Eczema Severity Index (HECSI), itching, dryness, burning sensation, and erythema scores were collected three times during the study and compared between treatment regimens. RESULTS: Findings showed that both triamcinolone (0.1%) and sulfur (2.0%) creams could significantly reduce the scores of HECSI, itching, dryness, burning sensation, and erythema, and the therapeutic effects lasted for at least 4 weeks after cessation of topical treatment. CONCLUSION: Topical sulfur cream (2.0%) is as effective as triamcinolone (0.1%) cream in treatment of HE without any prominent adverse reactions.

Effect of sintering and infiltration conditions on nanoscale dual network SiO2/polymethyl metacrylate composites mimicking human enamel.

OBJECTIVE: The aim of this study was to achieve facile sintering conditions and rapid penetration of organic substances into the structure of sintered silica network on the nano-scale in order to prepare polymer infiltrated ceramic network mimicking human enamel. METHODS: Stepwise temperature programming (stepwise isothermal firing) was used to create a cohesive ceramic network containing interconnected pores, which is essential to provide polymer/ceramic dual networks. Liquid phase self-penetration, ultrasonic irradiation assisted liquid phase penetration and vapor phase penetration routes were used to infiltrate methyl methacrylate monomers and benzoyl peroxide reagent into the porous silica blocks. RESULTS: The use of stepwise isothermal firing route, in comparison with high temperature sintering methods, significantly reduces the time and temperature required for the preliminary preparation of the SiO2 samples and reaching the appropriate interconnected porous structure. The most appropriate method for monomer and oxidant reagents infiltration is to use liquid phase infiltration assisted by ultrasound irradiation of pre-sintered nano-silica blocks. It was found that the amount of infiltrated monomer and oxidizing agent, degree of conversion of the monomer to the polymer and surface hardness of the samples strongly depend on the infiltration route. CLINICAL SIGNIFICANCE: The use of inexpensive silica nanoparticles and low temperature sintering and the use of ultrasound waves to quickly and effectively penetrate methyl methacrylate monomers and increase the polymerization efficiency lead to the preparation of composites with a transparent appearance and mechanical properties similar to human tooth enamel.

Recent Advances in Solar Rechargeable Seawater Batteries Based on Semiconductor Photoelectrodes.

With the ever-increasing demand for energy in the world, the tendency to use renewable energies has been growing rapidly. Sunlight, as an inexhaustible energy source, and the oceans, as one of the most valuable treasures on Earth, are available for free. Simultaneous exploitation of these two sources of energy and matter (sunlight and oceans) in one configuration can provide a sustainable solution for future energy supply. Among the various types of such energy storage and conversion systems, solar rechargeable seawater batteries (SRSBs) can meet this need by storing the chemical energy of seawater by receiving solar energy. SRSBs consist of two compartments: a closed compartment including a sodium metal anode in an organic liquid electrolyte, and an open compartment containing a semiconductor photoelectrode immersed in seawater, which are separated from each other by a ceramic solid electrolyte membrane. In this complex system, the photoelectrode is irradiated by sunlight, whereby electrons are excited and reach the Na metal anode after passing though the external circuit. The ceramic solid electrolyte harvests only sodium ions from seawater and transfers them to the anodic part, where the transferred ions are reduced to sodium metal atoms. At the same time, an oxygen evolution reaction takes place at the cathodic part. In this way, the battery is charged. The use of a photoelectrode in the charging process significantly increases the voltage efficiency of SRSBs to more than 90%, whereas a cell with only the seawater compartment (without a photoelectrode) will not deliver satisfactory performance. Therefore, to achieve very high efficiencies, designing an accurate system with the best components is absolutely necessary. This review focuses on the working principle of SRSBs, at the same time explaining the effect of key components on the performance and stability of SRSBs. The role of the semiconductor photoelectrode in improving the voltage efficiency of SRSBs is also described in detail, and finally strategies proposed to overcome obstacles to the commercialization of SRSBs are introduced.

The Effect of Combined Vitamin C and Vitamin E Supplementation on Oxidative Stress Markers in Women with Endometriosis: A Randomized, Triple-Blind Placebo-Controlled Clinical Trial.

Background: Endometriosis is a chronic and estrogen-dependent pelvic inflammatory disease, which may have various causes, such as oxidative stress. Dysmenorrhea, dyspareunia, and pelvic pain are well-known symptoms of endometriosis. The present clinical trial assessed the role of supplementation with antioxidant vitamins on the indices of oxidative stress as well as the severity of pain in women with endometriosis. Materials and Methods: We enrolled 60 reproductive-aged (15-45 years) women with pelvic pain in this triple-blind clinical trial. They had 1-3 stages of laparoscopic-proven endometriosis. The participants were randomized to group A (n = 30), given vitamin C (1000 mg/day, 2 tablets of 500 mg each) and vitamin E (800 IU/day, 2 tablets of 400 IU each) combination, or group B (n = 30), given placebo pills daily for 8 weeks. Results: Following treatment with vitamin C and vitamin E, we found a significant reduction in MDA and ROS compared with the placebo group. There was no significant decline in total antioxidant capacity after treatment. However, the severity of pelvic pain (p value <0.001), dysmenorrhea (p value <0.001), and dyspareunia (p value <0.001) significantly decreased in the treatment group after 8 weeks of supplementation. Conclusions: The present findings support the potential role of antioxidants in the management of endometriosis. The intake of vitamin C and vitamin E supplements effectively reduced dysmenorrhea severity and improved dyspareunia and severity of pelvic pain.

In Situ Synthesis of MIL-100(Fe) at the Surface of Fe3O4@AC as Highly Efficient Dye Adsorbing Nanocomposite.

A new magnetic nanocomposite called MIL-100(Fe) @Fe3O4@AC was synthesized by the hydrothermal method as a stable adsorbent for the removal of Rhodamine B (RhB) dye from aqueous medium. In this work, in order to increase the carbon uptake capacity, magnetic carbon was first synthesized and then the Fe3O4 was used as the iron (III) supplier to synthesize MIL-100(Fe). The size of these nanocomposite is about 30-50 nm. Compared with activated charcoal (AC) and magnetic activated charcoal (Fe3O4@AC) nanoparticles, the surface area of MIL-100(Fe) @Fe3O4@AC were eminently increased while the magnetic property of this adsorbent was decreased. The surface area of AC, Fe3O4@AC, and MIL-100(Fe) @Fe3O4@AC was 121, 351, and 620 m2/g, respectively. The magnetic and thermal property, chemical structure, and morphology of the MIL-100(Fe) @Fe3O4@AC were considered by vibrating sample magnetometer (VSM), thermogravimetric analysis (TGA), zeta potential, X-ray diffraction (XRD), Fourier transform infrared spectroscopy (FT-IR), scanning electron microscopy (SEM), Brunner-Emmet-Teller (BET), and transmission electron microscopy (TEM) analyses. The relatively high adsorption capacity was obtained at about 769.23 mg/g compared to other adsorbents to eliminate RhB dye from the aqueous solution within 40 min. Studies of adsorption kinetics and isotherms showed that RhB adsorption conformed the Langmuir isotherm model and the pseudo second-order kinetic model. Thermodynamic amounts depicted that the RhB adsorption was spontaneous and exothermic process. In addition, the obtained nanocomposite exhibited good reusability after several cycles. All experimental results showed that MIL-100(Fe) @Fe3O4@AC could be a prospective sorbent for the treatment of dye wastewater.

A DFT study of the structural and electronic properties of periodic forms of aniline and pyrrole polymers and aniline-pyrrole copolymer.

The structural and electronic properties of polyaniline, polypyrrole, and poly(aniline-co-pyrrole) (Ani-co-Py) in periodic form were investigated using calculations based on density functional theory (DFT). One to three monomers of aniline and pyrrole were placed in a supercell, and the effects of dihedral angles between the monomers on the electronic properties of the polymers were explored. All polymer configurations were optimized, and the band structures and densities of states (DOSs) were calculated and compared. The band gap of each polymer was calculated as the smallest energy difference between the HOMO and LUMO bands. The results showed that both sets of homopolymers exhibit semiconducting behavior which becomes less prominent after copolymerization. A comparison of the band structures of the homopolymers and the copolymer indicated that the pyrrole in the copolymer acts as an acceptor. The projected density of states (PDOS) was examined to obtain additional insight into orbital interactions and to identify the atoms that are most influential in the electronic properties of the studied polymers.

Double preconcentration of trace amounts of cadmium in nail samples and measurement by differential pulse voltammetry.

Cadion was coated on carbon powder and used as a solid phase for selective extraction and preconcentration of cadmium ions. Complexed cadmium ions were eluted from solid phase by 5 mL, nitric acid (2.0 M) with the flow rate of 2 mL min(-1).The resulted solution was used for accumulation of the cadmium metal at the surface of the carbon paste electrode at -1.3 V reduction potential. Finally, cadmium was reoxidized and the differential pulse voltammogram recorded at the potential range of -0.55 to -0.2 V. Calibration graph was plotted in the concentration range of 0.5-50 µg L(-1) of cadmium. Detection limit 0.06 µg L(-1) was calculated based on the 3 Sb/m. The RSD was 9.13 % (n = 4) for cadmium concentration of 10 µg L(-1) with preconcentration factor of 100. Method was successfully used for the determination of cadmium in finger nail samples and after spiking the samples, the recoveries were evaluated >96 %.

Health-Related Quality of Life and Primi-Gravid: A Comparative Study of Natural Conception and Conception by Assisted Reproduction Technologies (ARTs).

BACKGROUND: Childbearing for the first time is a unique experience. Quality of life is an important indicator in health studies. This study aimed to assess the quality of life of women who were conceived by ARTs and had successful childbirth for the first time and to compare it with quality of life in women who become pregnant naturally and similarly had successful childbirth for the first time. MATERIALS AND METHODS: This was a cross sectional comparative study. The accessible sam- ple was recruited from patients attending an infertility clinic and two obstetric and gynecology clinics in Tehran, Iran, during March 2010 to March 2011. In all 276 patients were approached. Of these, 162 women (76 women in natural conception group and 86 women in assisted reproduction technologies group) who met the inclusion criteria were entered into the study. Quality of life was assessed using the 36-item Short Form Health Survey (SF-36). Women completed the questionnaire at two time points: i. last trimester and ii. first month after delivery. Comparison was made between two groups using Mann-Whitney U test and paired samples t test. RESULTS: Comparing the SF-36 scores between women in natural conception group and ARTs group before childbirth, it was found that natural group had better condition on physical functioning, role limitation due to physical problems, bodily pain and social functioning, while the ARTs group reported better status on general health, vitality, role limitation due to emotional problems, and mental health. However, after childbirth, the ARTs group reported a better condition almost on all measures, except for physical functioning. Comparing differences in obtained scores between two groups before and after childbirth, the results showed that improvements in health related quality of life measures for the ARTs group were greater in all measures, expect for general health. CONCLUSION: The findings from this study suggest that health-related quality of life was improved in women who became a mother for the first time by either method. Comparing to women who became mother by natural conception, women who received ARTs showed better quality of life from this first successful experience.

Ocular Manifestations in Infants Resulted from Assisted Reproductive Technology (ART).

OBJECTIVE: Nowadays, many infertile couples can have child by assistant reproductive technology (ART). Always the undesirable effects of these methods on newborn are considered and are evaluated. The aim of this study is to describe the impact of ART on ocular and visual performances of infants born by these methods. MATERIALS AND METHODS: In a cross-sectional descriptive study, 479 infants aged three-nine months presented to an optometry clinic of Child Health and Development Research Department (CHDRD), Tehran, Iran. Static retinoscopy, qualitative fixation evaluation, Hirschberg test, red reflex assessment and external eye examination were carried out. Other information such as birth weight and maturity of the infants was recorded. RESULTS: It was possible to assess only 320 out of 479 infants due to general condition of some participants. Comparison of mean refractive error in infants' right and left eyes did not show any significant difference. Our findings confirmed that 20.3% had poor fixation, while 2.9% revealed manifest strabismus. The results also revealed the prevalences of myopia, hyperopia and emmetropia are 2.9%, 87%, and 10.1%, respectively. Red reflex abnormalities were significantly found in boys and in preterm infants (p < 0.05). Failure of fixation control was seen more frequently with increasing refractive error, which significantly developed in preterm infants (p < 0.001). CONCLUSION: These results reflect the necessity of more comprehensive assessments and further follow-up of infants born by ART, especially for premature male ART infants. These results also suggest the probability of fixation condition and visual deficiencies in these infants. It is recommended to pay close attention to this preliminary report about the refractive and fixation condition of the infants born after ART.

Congenital anomalies in infants conceived by assisted reproductive techniques.

BACKGROUND: Many studies show that congenital defects in infants conceived by assisted reproductive techniques (ART) are more than infants of normal conception (NC). The aim of this study is to determine the frequency of congenital anomalies in ART infants from Royan Institute and to compare congenital anomalies between two ART techniques.  METHODS: In a cross-sectional descriptive study, 400 ART infants from Royan Institute who resided in Tehran were selected by non-random, consecutive sampling. Infants were examined twice (until 9 months of age) by a pediatrician. Infants' congenital anomalies were described by each body system or organ and type of ART. Data were analyzed by SPSS version 16 and Fisher's exact test. RESULTS: The frequency of different organ involvement in the two examinations were: 40 (10%) skin, 25 (6.2%) urogenital system, 21 (5.2%) gastrointestinal tract, 13 (3.2%) visual, and 8 (2%) cardiovascular system. Major congenital defects in infants conceived by in vitro fertilization (IVF) and intracytoplasmic sperm injection (ICSI) were hypospadiasis, inguinal hernia, patent ductus arteriosus plus ventricular septal defect (PDA + VSD), developmental dysplasia of the hip, lacrimal duct stenosis during the first year of life, hydronephrosis and urinary reflux over grade III, undescending testis, ureteropelvic junction stenosis, and torticoli. CONCLUSIONS: Two-thirds of ART infants had no defects. A total of 7% of IVF and ICSI infants had one of the major abovementioned congenital anomalies. This rate was higher than NC infants (2%-3%). There was no difference between the ICSI and IVF group.

Evaluation of the growth process of infants conceived by assisted reproductive techniques at royan institute from birth to 9 months.

OBJECTIVE: Due to recent scientific progress in assisted reproductive techniques (ART), infertile couples can now become fertile. Thus, a number of infants in our country are the results of these costly interventions. This study has been undertaken to evaluate the physical growth process of different methods of ART infants by standard growth charts from birth until nine months of age. METHODS: This was a descriptive cross-sectional study of 333 infants conceived through ART [intracytoplasmic sperm injection (ICSI) and in vitro fertilization (IVF)] at Royan Institute. A sequential, non-random sampling method in a period of 22 months was used. Their growth was assessed by measuring infants' weight, height and head circumference, and physical examination. The growth patterns were calculated by recording the values in standard growth charts. The final analysis was done with SPSS version 16 and by using Chi-square test. FINDINGS: In comparison with growth charts, the weights of one-third of the infants were less than two standard deviations (SD) at birth and one-fourth had head circumference less than three SD at birth. Low birth weight (LBW) infants were six times more than infants of normal population. From birth to six months of age, growth abnormalities were seen in a substantial number of infants. However, at nine months of age, there was no significant difference observed between infants conceived by different methods of ART (IVF and ICSI). CONCLUSION: Multiple births are the most important confounding factor impacting the growth process of ART infants. Multiple pregnancies can lead to low birth weight, height and head circumference, and growth abnormalities up to six months of age. This abnormality improves by increasing age of the infants.

Rapid and efficient synthesis of fused heterocyclic pyrimidines under ultrasonic irradiation.

Some fused heterocyclic pyrimidines have been synthesized in high yields using ultrasound irradiation in a one-pot, three-component and efficient process by condensation reaction of barbituric acids, aldehydes and a series of enamines in water. Prominent among the advantages of this new method are operational simplicity, good yields in short reaction times and easy work-up procedures employed.

4-(4-Chloro-phen-yl)-6-hydr-oxy-5-(2-thienyl-carbonyl)-6-(trifluoro-meth-yl)-3,4,5,6-tetra-hydro-pyrimidin-2(1H)-one monohydrate.

The asymmetric unit of the title compound, C(16)H(12)ClF(3)N(2)O(3)S·H(2)O, contains two crystallographically independent organic mol-ecules and two water mol-ecules. The organic species are linked by an inter-molecular O-H⋯O hydrogen bond, while the water mol-ecules are connected to them through inter-molecular O-H⋯N hydrogen bonds. The thio-phene and phenyl rings are oriented at dihedral angles of 62.35 (4) in the first independent mol-ecule and 60.74 (5)° in the second, while the pyrimidine rings adopt twisted conformations in both molecules. Intra-molecular N-H⋯F inter-actions result in the formation of two five-membered rings having envelope conformations. In the crystal structure, further inter-molecular O-H⋯O and N-H⋯O hydrogen bonds link the mol-ecules into chains.