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1.
Scientific Journal of Kurdistan University of Medical Sciences. 2018; 22 (6): 21-30
de Persan | IMEMR | ID: emr-197584

RÉSUMÉ

Background and Aim: Since proteasome is strongly considered to be involved in the development and progression of a wide variety of hematological malignancies in particular, multiple myeloma, blockage of this hemostasis system with different types of proteasome inhibitors seems to be a promising way of treatment for multiple myeloma. In this study, we investigated the effect of Kyprolis, a new irreversible proteasome inhibitor [PI], on the survival rate of multiple myeloma -derived KMM-1 cell line


Material and Methods: To evaluate whether inhibition of proteasome using Kyprolis could exert cytotoxic effect in multiple myeloma, KMM-1 cells were cultured with different concentrations [25-150 nM] of the inhibitor for 24 and 48 hours. Then trypan blue exclusion assay, MTT assay, flocytometric cell cycle analysis were performed and we evaluated gene expression changes associated with apoptosis


Results: The results of this study demonstrated that Kyprolis induced both cytotoxic and anti- proliferative effects on KMM-1 cells. This inhibitor is able to reduce the cell survival and metabolic activity in a dose- and also time-dependent manner [p

Conclusions: The results of this study clearly indicated that Kyprolis had anti-tumor activity against KMM-1 cells

2.
Journal of Gorgan University of Medical Sciences. 2017; 19 (2): 59-64
de Persan | IMEMR | ID: emr-189299

RÉSUMÉ

Background and Objective: Candida albicans is the normal flora of the body as opportunistic fungi. It causes candidiasis in immunocompromised condition. This study was done to drug susceptibility testing of Candida albicans isolated from patients against Amphotericin B and Ketoconazole


Methods: In this descriptive - analytic study, drug susceptibility of 30 Candida albicans isolated from patients admitted to Tehran hospitals, Iran was tested against Amphotericin B and Ketoconazole by micro dilution method in accordance with CLSI M27-A2 guideline and disk diffusion method in accordance with CLSI M44-S2 guideline. Standard isolate Candida albicans PTCC [5027] and Candida krusei PTCC [5295] were used for quality control


Results: The minimum and maximum MIC against Amphotrericin B was 0.0625 micro g.ml[-1] and 4 micro g.ml[-1], respectively. The minimum and maximum MIC against Ketoconazole was 0.5 micro g/ml[-1] and 32 micro g/ml[-1], respectively. The minimum and maximum zone diameter was 6 and 28 mm for both drugs. The results of drug susceptibility testing by two methods did not show significant differences. 25 isolates [83.3%] against ketoconazole and 2 isolates [6.7%] against Amphotericin B were resistant


Conclusion: Amphotericin B administration seems better choice in candidiasis treatment in comparision with Ketoconazole


Sujet(s)
Humains , Amphotéricine B/pharmacologie , Kétoconazole/pharmacologie , Tests de sensibilité microbienne , Tests d'agents antimicrobiens par diffusion à partir de disques
3.
Journal of Paramedical Science and Rehabilitation. 2015; 4 (3): 7-16
de Persan | IMEMR | ID: emr-169520

RÉSUMÉ

Factor XIII deficiency [FXIIID] is an extremely rare hemorrhagic disorder with an approximately 12 higher incidence in comparison with reported global incidence of the disorder. A standard diagnostic algorithm was proposed by the International Society of Thrombosis and Hemostasis [ISTH] for FXIIID, however, due to the lack of investments all parts of this algorithm cannot be applied in Iran. Thus, this study presented a national algorithm for diagnosis of FXIIID in Iran. For presentation of a national algorithm, all previously published data about Iranian patients with FXIIID as well as practical methods for diagnosis of FXIIID were collected using Science Direct, Google Scholar and PubMed databases. With available facilities, an algorithm with regards to the laboratory assessment, clinical presentations as well as family history can be suitable for an on time and less expensive diagnosis of FXIIID in Iran. Since ISTH diagnostic algorithm is expensive and time consuming, an economical and more suitable national algorithm with regards to available equipment may reduce the rate of misdiagnosis and its life-threatening consequences

4.
Journal of Health Administration. 2015; 18 (59): 29-42
de Persan | IMEMR | ID: emr-179686

RÉSUMÉ

Introduction: access to health care is one of the main goals in all societies. This study aimed to investigate the access level in provinces in Iran


Methods: this descriptive-applied and cross-sectional study was conducted in 2012. Statistical population consisted of all provinces in Iran. Data were collected through library and online research. The Ministry of Health and Medical Education and Statistics Center of Iran as authorities of Information, were referred to for collecting relevant data. Taxonomy techniques were used to assess the of development level of provinces, Shannon entropy techniques were used to determine the weights of indicators and TOPSIS techniques were employed to rank states in terms of access to health care


Results: based on Taxonomy technique from among 31 provinces, 12 provinces were considered to be developed, 9 semi-developed and 10 underdeveloped. Based on Shannon entropy, the ratio of the number of pharmacists to province population was the most important indicator. According to TOPSIS, in term of access to health services; Markazi and Ardabil provinces ranked the first and the last respectively


Conclusion: due to the large differences among provinces, planners and officials are recommended to allocate the funds according to the development level

5.
Iranian Journal of Veterinary Research. 2015; 16 (3): 310-312
de Persan | IMEMR | ID: emr-181181

RÉSUMÉ

Endocarditis is rarely reported in sheep and information presented for ovine endocarditis is based mostly on comparative findings in the cattle. Infective vegetative endocarditis of the right heart was diagnosed in a 3-year-old fat-tailed ram. Clinical findings included tachycardia, marked brisket edema, jugular veins distention and pulsation and pale mucous membranes. Hematologic abnormality included neutrophilic leukocytosis. Necropsy confirmed severe right atrioventricular and pulmonary valves vegetative endocarditis with evidence of right heart failure. Erysipelothrix rhusiopathiae was isolated from those vegetative lisions.

6.
Journal of Gorgan University of Medical Sciences. 2015; 17 (3): 101-107
de Persan | IMEMR | ID: emr-173791

RÉSUMÉ

Background and Objective: Rheumatoid arthritis is a chronic, inflammatory and systemic disease with peripheral, symmetric polyarthritis symptoms. Several genetic, environmental, and immunological factors contribute greatly to the disease pathogenesis. This study was done to evaluate the effect of anti-cyclic citrullinated peptide [anti - CCP] and rheumatoid factor on clinical disease activity index [CDAI] in the patients with rheumatoid arthritis


Methods: This prospective cohort study was done on 64 rheumatoid arthritis patients according to ACR criteria [1978] whom referred to Rheumatology Clinic of Hajar Hospital in Shahrekord, Iran. Patients were clinically examined for primary CDAI and tested for anti - CCP and rheumatoid factor in the prior and six months after the initiation of the study


Results: 81.3% and 74% of the patients had high titers of anti - CCP antibody and positive rheumatoid factor, respectively. A non-significant recudtion was observed in intensity of secondary clinical activity of the disease in compare to primary clinical activity in the patients with high antibody titer


Conclusion: This study indicated the important role of rheumatoid factor and anti- CCP antibody in the on time diagnosis of rheumatoid arthritis


Sujet(s)
Humains , Peptides cycliques , Anticorps , Facteur rhumatoïde , Études prospectives , Études de cohortes
7.
Journal of Gorgan University of Medical Sciences. 2015; 16 (4): 121-125
de Persan | IMEMR | ID: emr-151193

RÉSUMÉ

Nosocomial fungal infections have considerably increased due to incrasing of immunocompromised diseases. This study was done to evaluate the antifungal activity of Amphotericin B and Fluconazole on hospital wards fungi. In this descriptive - analytic study, 33 fungal samples isolated from Imam Khomini hospital in Tehran, Iran during 2013. Samples were identified using slide culture method. Serial dilution of drugs and fungal suspensions were supplied from 0.25-128 microg/ml and range 0.5-5×10[5] cfu/ml, respectively. Minimum inhibitory concentration [MIC] was determined in accordance with NCCLS M38-p guideline. The most frequent isolated fungus was Aspergillus spp. with 39.4% while the low frequent were Alternaria Spp. and Circinella with similar frequency [3%]. MIC range for Fluconazole and Amphotericin B were 64-128 microg/ml and 16-64 microg/ml, respectively. Amphotericin B showed a MIC significant reduction in comparision with Fluconazole [P<0.05]. Hospital wards fungi were resistant to Amphotericin B and Fluconazole

8.
Journal of Gorgan University of Medical Sciences. 2014; 15 (4): 66-71
de Anglais, Persan | IMEMR | ID: emr-139742

RÉSUMÉ

Aspergillosis is the most current causative agent of exogenous fungal nosocomial infection. This study was done to evaluate the drug susceptibility of Aspergillus flavus and A.fumigatus to itraconazole and amphotericin B. This Laboratory study was done on 25 Aspergillus fumigatus and 25 Aspergillus flavus species isolated from transplant's patients. Drug susceptibility test was done according to NCCLS M38-P document. Fungal suspensions of mentioned fungi were supplied with ranges 0.5-5x10[4] by spectrophotometer at 530 nm. Serial dilutions of drugs were supplied from 0.03125 to 16 microg/ml and MICs determined following 48h incubation at 35C. Obtained MICs ranges for Aspergillus fumigatus and Aspergillus flavus were 1-4 microg/ml and 0.5-4 micro g/ml for itraconazole, respectively while MICs ranges against Aspergillus fumigatus and Aspergillus flavus were 0.5-2 micro g/ml and 0.25-2 microg/ml for amphotericin B, respectively. Amphotericin B MICs were significantly lower than itraconazole [P<0.05]. Aspergillus flavus and A.fumigatus were susceptible to amphotericin B and itraconazole


Sujet(s)
Humains , Amphotéricine B/pharmacologie , Amphotéricine B , Itraconazole/pharmacologie , Itraconazole , Aspergillus fumigatus/effets des médicaments et des substances chimiques , Résistance microbienne aux médicaments , Antifongiques/pharmacologie , Tests de sensibilité microbienne , Aspergillus flavus/effets des médicaments et des substances chimiques
9.
Journal of Gorgan University of Medical Sciences. 2014; 15 (4): 53-58
de Anglais, Persan | IMEMR | ID: emr-139744

RÉSUMÉ

Ultraviolet [UV] radiation is an important disinfectant. Fungal infections with resistant isolates in patients culminate in recurrence of disease even with worse condition. This study was done to evaluate the efficacy of ultraviolet radiation on drug susceptibility of Candida Spp. To itraconazole, fluconazole and amphotericin B. This laboratory study was done on 12 Candida spp. isolated from patients according to NCCLS M27- A method. Samples were suspended with sterile saline and optical density was read by spectrophotometer at the wavelength of 530 nm. Serial dilutions [0.0313-16 microg/ml] and [0.0313-128 microg/ml] were supplied for itraconazole, amphotericin and fluconazole, respectively. MICs were determined after 48h incubation at 35°C. Following UV radiation for 1, 2, 5, 10, 60, 90 and 120 seconds MICs were determined, subsequently. The highest MIC pre UV radiation was [>128 microg/ml] for fluconazole. After UV radiation, MICs were steadily decreased for all mentioned drugs while after 10 sec, MICs of itraconazole and amphotericin B were >0.0313 microg/ml. Secondary MICs significantly decreased with respect to MICs obtained in pre UV radiation [P<0.05]. UV radiation reduces MICs of Candida spp. to itraconazole, fluconazole, amphotericin B


Sujet(s)
Candida/effets des médicaments et des substances chimiques , Rayons ultraviolets , Itraconazole/pharmacologie , Fluconazole/pharmacologie , Amphotéricine B/pharmacologie , Tests de sensibilité microbienne
10.
Iranian Journal of Veterinary Research. 2014; 15 (3): 206-210
de Anglais | IMEMR | ID: emr-191547

RÉSUMÉ

The aim of the present study was to investigate the effect of addition of soymilk on physicochemical, microbial, and sensory characteristics of milk fermented with Lactobacillus acidophilus. Soybeans were blended 1:5 w/v with distilled water. The prepared soymilk was added to milk in combinations of 20%, 40%, and 60%. Milk was used as the control. All the samples were sterilized and fermented with Lactobacillus acidophilus LA-5 as probiotics. Then, they were kept at C for 14 days. Microbial count, titratable acidity, pH, syneresis, color parameters and sensory evaluation were performed during the storage time. Results showed that all the samples possessed minimum effective dose of LA-5 on day 14, although a significant decrease in LA-5 was observed in the sample with 60% soymilk. In each experimental day, there was a noticeable decrease in the pH of the samples. Addition of soymilk to milk also significantly increased syneresis, particularly in samples with 60% soymilk. Sensory evaluations showed that scores of texture, mouth sense, aroma, and flavor of the samples with 40% and 60% soymilk were significantly lower than other samples. With respect to color, "L" value decreased significantly in the fermented product with 60% soymilk and the decrease was more pronounced with longer storage times. In conclusion, addition of 20% soymilk did not substantially alter physicochemical and sensory characteristics of milk while providing an appropriate growth culture for LA-5. The mixture of milk-20% soymilk can be introduced as a good probiotic product with lower lactose content and additional nutritional benefits. Key words: Probiotics, Milk, Soymilk, Lactobacillus acidophilus

11.
Journal of Gorgan University of Medical Sciences. 2013; 14 (4): 107-112
de Anglais, Persan | IMEMR | ID: emr-126855

RÉSUMÉ

Nosocomial infections are one of main causative agents of mortality among hospital patients. This study was done for the determination of efficacy of commercial disinfectants such as: formaldehyde, glutaraldehyde, microten, the alcohol 70 and savlonalcohol on isolated saprophytic fungi from hospital environments. This descriptive study was done on 33 isolated fungi from teaching hospitals of Tehran during 2009-10. The identified samples were randomly chosen. Stock fungal suspensions were supplied from each fungus with cells ranging 0.5-5_10[4] microg/cfu in 1ml with spectrophotometer at the wavelength of 530 nm. For evaluation of antifungal activity of commercial disinfectants formaldehyde, glutaraldehyde, microten, alcohol 70 and savlon-alcohol disinfectants, 0.25cc stock solutions were mixed with 3.75 cc disinfectants solutions and the new diluted samples held at 25c for 15, 30 and 60 min. The culture medium was checked for growth of fungi until 8 weeks. Following specific period isolated fungi were including Aspergillus spp with 39.4%, Penicillium spp with 36.4%, Fusarium spp with 12.1%, Rhizopus with 6.1%, Alternaria and Circinella with 3%. Formaldehyde 8% and glutaraldehyde 8% with activity against 63.6% and 39.3% were effective disinfectants at 15 min. Formaldehyde 8% with activity against 74.8% of fungi, was effective disinfectant at 30 min. Glutaraldehyde 8% and formaldehyde 8% with 100% prevention of growth were effective disinfectants at 60 min. According to this study formaldehyde 8% and glutaraldehyde 8% showed to have the highest antifungal activities. Synergetic fungicidal activity of comenercial disinfectants, dependent on time and concentration

12.
Scientific Journal of Iranian Blood Transfusion Organization Research Center [The]. 2012; 8 (4): 298-305
de Persan | IMEMR | ID: emr-118293

RÉSUMÉ

Factor X[1] is the last enzyme in the clotting cascade. The gene of A chain is located on chromosome 6. Deficiency of factor XIII in autosomal recessive conditions occurs at a frequency of 1 in 2 million general population. The aim of this study was to detect the mutations of subunit A in both patients and carriers. In this study we have investigated the molecular basis of inherited FXIII deficiency among patients from 21 unrelated Iranian families. Mutation were detected by amplifying each exon. Those exons exhibiting the presence of hetero duplex formation sensitive gel electrophoresis, were selected for direct sequencing. After sequencing, detected mutation was carried out by restriction fragment length polymorphism [RFLP]. All patients having entered the study had mutations. Twelve patients had homologues substitution of TGG->CGG in exon 4, 1 insertion mutation occurring in exon 7 triple G, 2 patients demonstrated mutation exon 9 ATG-> AAG, 3 patients had substitution of CGG-> CAG in exon 10, and 3 patients showed a homologue subsituation mutation in exon 15 GCC->GTC. Our findings suggest that the activity of enzyme is highly dependent on the core domain. Changes in charge, amino acid tail and conformation lead to decreased enzyme activity. Also tetrameric structure is calcium related. It seems that changes of amino acid sequence convert enzyme stability


Sujet(s)
Humains , Déficit en facteur XIII , Polymorphisme de restriction
13.
Qom University of Medical Sciences Journal. 2012; 5 (4): 47-54
de Persan | IMEMR | ID: emr-128916

RÉSUMÉ

The aim of the present study was to investigate the effect of glucose and glutamine supplementation on two serum growth factors, GH and IGF-I, in non-athlete males during four weeks of exhaustive endurance - intermittent training that causes glycogen depletion. 20 non-athlete healthy males were selected and randomly assigned into four groups including: glucose supplementation with glycogen depletion training group [n=5, supplement 1], glutamine supplementation with glycogen depletion training group [n=5, supplement 2], glycogen depletion training group [n=5, placebo], and a group without any treatment [n=5, control]. The blood samples were collected at the onset of the training protocol, and 48 hours after final training session from anticubital venous. Serum GH and IGF-I concentration were determined by ELISA technique. The main and interaction effects of variables were determined using TWO WAY ANOVA compeleted with Tukey post-hoc test. The significant level was chosen as alpha =0.05. The results showed the significant effect of training variable for serum IGF-I concentration, [p<0.01]. Post-hoc test showed the significant difference between supplement 1 with control groups [p<0.01], and placebo with control [p<0.01]. The effect of training variable was not significant for serum GH concentration. In addation, the effect of supplementation variable was not significant neither for serum IGF-I, nor serum GH concentration. Also, the interaction effect between the two variables was not significant. The results suggested that glucose or glutamine supplementation does not have significant effects on serum GH and IGF-I concentration after four weeks, but four weeks glycogen depletion training causes an increase on the serum IGF-I


Sujet(s)
Humains , Mâle , Glucose , Glutamine , Hormone de croissance , Facteur de croissance IGF-I
14.
Iranian Journal of Public Health. 2012; 41 (9): 56-61
de Anglais | IMEMR | ID: emr-146164

RÉSUMÉ

Hepatitis C is a disease with significant global impact. The distribution of hepatitis C virus [HCV] genotypes in Mashhad [the Northeast and the biggest city after the capital of Iran] is unknown. The purpose of this study was to determine the prevalence of HCV genotypes among HCV seropositive patients, and to study the relationship between types, virologic and demographic features of patients in Mashhad. Three hundred and eighty-two clinical specimens obtained from HCV-infected patients referred to Ghaem Hospital in Mashhad during a period of 2009 to 2010 were selected. HCV genotype was determined by Nested PCR amplification of HCV core gene using genotype specific primers. Totally, 299 patients were male [79.9%]. The most common HCV genotype was genotype 3a, with 150 [40%] of subjects. Genotype 1a was the other frequent genotype, with 147[39.2%] subjects. Frequency of genotypes for 1b, 5 and 2 was 41[10.9%], 13[3.4%] and 9[2.4%], respectively. Mix genotype including 1a+1b in 4 [1.04%], 1a+3a in 3 [0.8%] was found in 7 patients. Four percent out of these samples had an undetermined genotype. Among the hemophilia patient, there were 13[48.1%] genotypes as 1a, 3[11.1%] 1b and 10[37%] 3a, respectively. The dominant HCV genotype among patients living in Mashhad was 3a. This study gives added evidence of the predominant HCV genotypes in Iran


Sujet(s)
Humains , Hépatite C/épidémiologie , Génotype , Réaction de polymérisation en chaîne , Prévalence , Démographie
15.
Journal of Gorgan University of Medical Sciences. 2012; 14 (1): 129-135
de Persan | IMEMR | ID: emr-163166

RÉSUMÉ

Incidence of fungal infections particularly fungal sinusitis is increasing in Iran and identification of causative agents is essential for its control and treatment. This study was carried out to determine the fungus paranasal sinusitis in non-immuno-compromised patients in Tehran, Iran. This cross-sectional study was done on 108 patients [73 males, 35 females] with chronic sinusitis ranged from 9 to 68 years, admitted to Amir Alam and Emam Khomeini hospitals in Tehran, Iran during 2006-07. Sinusitis in patients confirmed by radiologic images. Complementry information were obtained using questionnaires which including gender, job, presence of disposing disease diabetes and consumption immunocompromised drugs. Sinus samples were collected by washing and biopsy were carried out by two methods of fenestration and Cald-wel luc operations. Subsequently they were cultured on Sabouraud dextrose agar [SDA], SDA+chloramphenicol and blood agar [BA] media at 30 C and 37 C. Direct examination and fixative sample for histhologic evaluation was done and for colonies confirmation the slide culture method also was used. 8 cases [7.4%] were positive for fungal sinusitis with following sub type: 6 cases [Alternaria Spp], 1 case [Paecilomyces] and 1 case [Aspergillus flavus]. The most fungal sinusitis [5 cases] were observed in 30-39 years patients. Considering the prevalence of 7.4% fungal sinusitis and isolation of paecilomyces which is a rare subtype complematry investigation is recommended, in the field of research


Sujet(s)
Humains , Mâle , Femelle , Adulte d'âge moyen , Adulte , Adolescent , Jeune adulte , Sujet âgé , Enfant , Maladies des sinus/épidémiologie , Mycoses/épidémiologie , Immunocompétence , Prévalence , Études transversales
16.
Journal of Qazvin University of Medical Sciences [The]. 2011; 15 (1): 39-47
de Persan | IMEMR | ID: emr-110207

RÉSUMÉ

Technology development has brought about the society with a sedentary life style and an increase in number of chronic diseases. Therefore, to change the pattern of physical activity in adolescents, the recognition of factors affecting such activities is of crucial importance. The aim of this research was to investigate the relationship between the pattern of physical activity in adolescent girls and their mothers' physical activities, attitudes, and some demographic characteristics. This cross-sectional stud was carried out on adolescents 226 girls aged 11-18 years in 2010. The study population was chosen using a cluster sampling method. Data were collected using a questionnaire of three sections including demographic data, adolescent's physical activity pattern, and attitude and pattern of physical activity in mother. Data were analyzed using chi-square test and Pearson correlation coefficient. Of 226 girls, 50% found to have 2.07 hours of moderate to strong physical activity while 26.5% with a sedentary life style. A significant relationship between the adolescents' physical activity pattern and the mother's physical activity and regular exercise was demonstrated [p<0.005]. Also, there was a significant relationship between the adolescents' regular exercise and the mothers' exercise. Statistically, a significant correlation between the mothers' attitude and educational degree and the level of physical activity was shown. According to our results, a sedentary life style among female adolescents is higher than expected which is associated with mother's pattern of physical activity and affected by the attitude and educational level of mothers. Therefore, it is recommended that part of the educational programs to increase the level of daily physical activity in adolescent girls to be focused on mothers


Sujet(s)
Humains , Femelle , Mode de vie sédentaire , Adolescent , Analyse de regroupements , Attitude , Exercice physique , Niveau d'instruction , Mères , Études transversales
17.
Feyz-Journal of Kashan University of Medical Sciences. 2011; 15 (1): 47-52
de Persan | IMEMR | ID: emr-117439

RÉSUMÉ

Trichomoniasis is a worldwide protozoan parasitic disease. Considering the importance of the disease in public health and the controversial ideas about the prevalence of drug resistance, this study was designed to determine the prevalence of metronidazole resistance gene in trichomonas vaginalis [T. vaginalis] with PCR-RFLP method in Tehran and in Kashan. In this descriptive study 140 samples of T. vaginalis in patients with T. vaginalis infections were collected and assessed microscopically. Then they were isolated and examined by culturing in dorset's medium, DNA extraction and PCR amplification. The PCR products were analyzed using RFLP and suspected samples were sequenced. All but 7 samples were T. vaginalis positive by PCR. Sixty-two samples [44.4%] were examined by microscopic, culture and PCR techniques; 12 samples [8.5%] by microscope and PCR, 56 samples [40%] by culture and PCR and other 3 samples [2.1%] were positive only by PCR. Two samples [1.5%] were also examined for detection of mutation in 18S rRNA gene with RFLP in Tehran. This study shows that T. vaginalis infections in the female population living in Tehran are metronidazole-resistant. Since metronidazole is considered as the drug choice for T. vaginalis infections, more studies are recommended for identification of the drug resistance mechanisms and prevention of the disease


Sujet(s)
Résistance aux substances/génétique , Prévalence , Vaginite à Trichomonas/épidémiologie , Métronidazole/pharmacologie , Réaction de polymérisation en chaîne , Polymorphisme de restriction
18.
Journal of Dentistry-Shiraz University of Medical Sciences. 2011; 12 (2): 180-183
de Persan | IMEMR | ID: emr-194582

RÉSUMÉ

Introduction: Autonomic neuropathy is a rare disorder inherited as insensitivity to pain and temperature. It has been divided into five groups, the fourth of which named congenital insensitivity to pain with anhydrosis, [CIPA] is the most common type of this disorder. CIPA is a recessive inherited condition with courses of idiopathic fever, reduction of sweat glands secretion despite having normal glands, insensitivity to pain and temperature changes, and mild mental retardation. Oral symptoms due to their severe abuse in these patients are considerable. Gas shock tongue, lips and other oral mucosa have been reported


Case Report: Examination of a 15 month old boy revealed severe oral ulcers and burns in the fingers of both hands due to contact with the heater. Pathological studies and special attention to specific aspects of the patient revelead that he was insensitive to pain and thermal stimulation and was diagnosed as a possible case of CIPA


Conclusion: CIPA is a autosomal recessive disorder which is very rare in childhood, as insensitivity to pain or the incidence of abuse and lack of objective response to pain in people with peripheral and central nervous system are normal. Tyrosine gene defect related to gene code provided membrane tyrosine has been identified in these patients. Mutation in this gene results in insensitivity to pain, anhydrosis, self abuse, and mental retardation and is associated with cancer. More than half of the patients die before the age of three. Oral manifestations of this syndrome are the characteristics of the disorder and can help to make an early diagnosis

19.
Payavard-Salamat. 2011; 5 (1): 40-46
de Persan | IMEMR | ID: emr-123016

RÉSUMÉ

Malnutrition is one of the causative agents of death in children. So, this study was done for assessment of anthropometric indices of students and malnutrition status in Golpayegan, Iran. This research was done as a descriptive - analytical [inferential] study. Sampling was done as clusters and multistage. In order to collect data, the standard questionnaire of anthropometric indicators standards [ANIS] pattern was used. Low and low height was used based on Z score. Collected data was analyzed by Epi-info and SPSS software. Of 1062 schoolboys, 550 were male and 512 were female. Anthropometric indicators including age [month], weight [kg] and height [Cm] showed significant differences [P < 0.05]. The mean of malnutrition index was 5.4% [WAZ<-2] and 3% [WAZ<-2] in our study. The significant difference between prevalence of slimness, low weighting and low growth in rural and urban Schoolboys is an indicator of the undesirable situation in rural areas. Therefore, nutritional planning should be considered in rural children


Sujet(s)
Humains , Mâle , Femelle , Troubles nutritionnels de l'enfant , Poids , Poids idéal , Croissance et développement , Population rurale , Santé en zone rurale , Population urbaine , Santé en zone urbaine , Établissements scolaires , Étudiants , Enquêtes et questionnaires , Taille
20.
IJEM-Iranian Journal of Endocrinology and Metabolism. 2010; 12 (4): 418-426
de Persan | IMEMR | ID: emr-125750

RÉSUMÉ

The purpose of this study was to determine the response of some immune and inflammatory markers of cardiovascular disease to a single, short intense duration of exercise, in prepubertal overweight boys exercise. To do this, 13 students 11-14 years-old were selected randomly from among voluntary subjects. In the preliminary session VO2max [26.9 +/- 4.9 ml/kg/min], weight [77.07 +/- 17.33 kg], height [1.65 +/- 0.08], fat percent [31.7 +/- 5.6 percent], body composition, BMI [28.9 +/- 3.5 kg/m2], skeletal age [12.4 +/- 0.9 years] with X-ray, pubertal age with Tanner-stage [T3, T4] was measured and determined familiar illness was done four day before experimental session. In the experimental session, firstly, pre-exercise blood sample collected in fasted state, and then every subject on the ergometer cycle started cycling with 65-70% VO2max for 40 min, post 5 min warming, with 5 min cool down at the end of the program. Immediately post-exercise and recovery blood samples were drawn for measurement by a cell counter employing Isotone Soluble technique, while for hs-CRP and IL_6, we used the immunometric assay Eliza kit. Data were analyzed using the analysis of variance with repeated measures [R-ANOVA] test. The results showed there was a significant relation between different blood samplings. The post hoc [LSD] test that showed neutrophils count and hs-CRP and IL-6 levels one hour after exercise statistically was more than pre-exercise [p=0.001, 0.01, 0.01, respectively] also lymphocyte, monocytes, neutrophils counts and IL-6 level immediately post-exercise [p=0.05, 0.01, 0.004, 0.01, respectively]. Exercise may initiate the response of inflammatory and immune factors in prepubertal obese boys, and increase levels of these factors. This study indicates that a single intense bout of exercise with 65-70% Vo2max can increase subgroups of with blood cells, C-reactive protein and IL-6 in immature obese and overweight children, intense exercise can be activate immune and inflammatory system and increase levels of some of the cited factors


Sujet(s)
Humains , Mâle , Maladies cardiovasculaires , Marqueurs biologiques , Puberté , Surpoids , Interleukine-6 , Protéine C-réactive , Obésité
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