---

Background and Objective: Nowaday many diabetic patients interested in using medicinal herbs to relieve the symptoms of their disease in spite of the availability of synthetic drugs, one of such herbal medicine is green tea, studies about effects of this plant on blood glucose, weight of diabetes is contradict and suitable dosage is not mentioned, thus this study was done to determine the effect of green tea extract on blood glucose and body weight in male induced diabetic Rats. Materials and Methods: In this experimental study 40 wistar male Rats with body weight of 230±20 purchased and kept standard situation subsequently 8 of them considered as normal group and the reminder became diabetic by 50mg/kg IP by streptozotosin. After 2 weeks animals with blood glucose of 200-500 mg/dl were considered as diabetic and divided in 4 groups with 8 animals in each. Then 3 groups of them daily was feed with 50, 100 and 200 mg/kg of extract by feeding tube for 6 weeks, diabetic control group and non-diabetic group also was feed with DMSO10% as well. BS and body weight were assessed at 2nd, 4th, 6th week after daily feeding by different doses of green tea extract, and at last results were analyzed by using student t-test and one way ANOVA. Results: The mean of blood glucose of diabetic control group were significantly higher than non-diabetic group and blood glucose of diabetic groups that was feed with 50, 100 and 200mg/kg of extract was significantly lower than diabetic control group. Body weight of 3 treatment groups were not significantly reduced. Conclusion: This study showed that green tea extract has an antidiabetic effect and suitable dosage of this extract was 100mg/kg.

---

Background and Objective: The Acute Physiology and Chronic Health Evaluation II classification system has been extensively used for predicting the patient mortality in various diseases admission in ICU ward. The aim of this study was to assess the predicting mortality rate of patients in critical care unit using APACHE-II index. Materials and Methods: This descriptive analytial study was done on 204 hospitalized patients with multiple diagnostic diseases admitted to ICU ward in Gazvin Kusar hospital during 2007. We used than demographic questionnaire and APACHE-II tool to evaluate the prediction mortality rate. Results: Out of 204 patients admitted, 147 (72.1%) survived. Mean APACHE-II score of the subjects was 11.38 (with arrange of 0 to 41). The predicted death rate was 30.26% and the observed death rate was 27.9%. There was a perfect correlation between APACHE-II score and predicted death rate (r=0.976 and P<0.05). Mean APACHE-II score in survivors and non-survivors subjects was 13.97 and 25.36, respectively (t:9.93 P<0.05). Conclusion: This study showed that APACHE-II score can truly predict mortality rate in patients in ICU ward. In addition, this index is helpful in follow up treatment cycle in critical care patients.

---

Background and Objective: Cancer can cause many problems in all aspects of the physical, mental, social, economic and family life of the elderly patients. This study was done to determine the supportive care needs of the elderly people with cancer in north of Iran.
Methods: This descriptive- analytical study was carried out on 248 elderly patients with cancer whom referred to governmental and private medical centers in Gorgan, Northern Iran during 2018. Data were collected by a valid and reliable questionnaire "Supportive Care Needs Survey-SCNS" consisted of five domains of physical needs and daily functioning, health system and information, supportive and care, mental, and sexual chracteristics.
Results: There was a significant relationship between physical activity and daily functioning, sexual domain, support and care, health and information system with gender (P<0.05). Female seniors were more in need of assistance in the areas of physical and daily functioning, and male seniors in the areas of sex, support and care, health systems, and information.
Conclusion: This study showed that unmet needs in the elderly with cancer are particularly high in physical and functional areas.

---

Background and Objective: Sodium valproate (SV) is a commonly used antiepileptic drug; however, its therapeutic application is limited due to its potential to induce oxidative stress. Resveratrol, a natural polyphenol, possesses antioxidant properties. This study was conducted to determine the effect of resveratrol on SV-induced oxidative stress in the hippocampal tissue of BALB/c mouse fetal brains.
Methods: In this experimental study, 40 pregnant female BALB/c mice were randomly assigned to 5 groups of 8, including control, SV at 40 mg/kg/bw, SV at 40 mg/kg/bw + resveratrol at 0.6 mg/kg/bw, SV at 40 mg/kg/bw + resveratrol at 0.35 mg/kg bw, and SV at 40 mg/kg/bw + resveratrol at 0.225 mg/kg/bw. SV was administered orally per day, and resveratrol was administered daily via intraperitoneal injection. From gestational day 8 to 18, pharmacological interventions were initiated and continued until the birth of the neonates. On gestational day 18, the maternal mice were anesthetized, and 8 fetuses from each group were separated. Following the anesthesia of the fetuses, the brain tissue was dissected. Subsequently, oxidative stress parameters, including the malondialdehyde (MDA) level in nmol/mg as an index of lipid peroxidation, glutathione (GSH) level alterations in µg/mg, and protein carbonyl (PC) level alterations in nmol/mg, were evaluated in the hippocampal tissue.
Results: SV induced oxidative stress by increasing MDA (4.8 nmol/mg) and PC (51.4 nmol/mg protein), and also decreasing GSH (31.86 μg/mg) in the brain tissue compared to the control group (P<0.05). In a concentration-dependent manner, resveratrol reduced oxidative stress by decreasing MDA and PC to 3.02 and 37.21 nmol/mg, respectively, and also by increasing GSH to 49.76 μg/mg in the brain tissue. The most significant effect was observed at a concentration of 0.6 mg/kg/bw, which was statistically significant compared to the SV group (P<0.05).
Conclusion: The combined administration of SV and resveratrol culminates in a reduction in inflammation and oxidative stress-related factors in mouse fetuses.