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Background and Objective: Diabetes mellitus is the most frequent cause of chronic renal failure. Microalbuminuria is the first clinically important sign of renal impairment in diabetes mellitus. The main pathophysiology of diabetic nephropathy is not understood. This study was done on 100 patients with type 2 diabetes for determination of the prevalence of diabetic nephropathy with urine albumin assay in Sina Hospital in Tabriz, North-West of Iran. Materials and Methods: In this discriptive study, 100 patients with type 2 diabetes whome consecutively referred to Endocrine and Diabetes Clinic of Sina Medical Center in Tabriz were enrolled. At the first visit clinical and biochemical parameters such as systolic and diastolic blood pressure, age, sex, body weight, length, body mass index, FBS, HbA1C, plasma creatinine, urine microalbumin and urinary creatinine were measured. FBS, HbA1C, plasma creatinine, urine microalbumin and urinary creatinine measurements repeated every 2 months up to three times during the study. Patients with confounding factors such as uncontrolled hypertension, urinary tract infection, congestive heart failure and hyperlipidemia were excluded. Results: The prevalence of diabetic nephropathy was 36% in our patients. There were not statistically significant differences in age and sex and diastolic – systolic blood pressure and creatinine between nephropathy and, non-nephropathy groups. There was significant differences in body mass index between two sex groups, females were more obese than males. Mean duration of diabetes in diabetic nephropathy group and in diabetic patients without nephropathy were 12.4±8.1 and 9.1±5.5 respectively (P<0.05). Comparison of HbA1c, FBS and drugs used for diabetes treatment were not significant differences between these groups. Conclusion: This study showed that prevalence of diabetic nephropathy was higher than other studies, although there were not significant differences between FBS, HbA1c and hypertension in patients with and without diabetic nephropathy.

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Background and Objective: Osteoporosis is the most common metabolic bone disease that characterized by reduced bone strength. The aim of this study was to evaluate the prevalence of effective factors in decreased bone density and secondary causes of osteoporosis.

Materials and Methods: This descriptive cross sectional study was done on 105 patients (76 female and 29 male) suffering from osteoporosis, evaluated in the endocrinology Department of Sina hospital, Tabriz- Iran from March 2003 to March 2006. Past medical history clinical symptoms and biochemical results were of patients. Data analyzed using SPSS-14  and chi square test.

Results: Osteoporosis and osteopenia were seen in 55% and 45% of patients with reduced bone density, respectively. Daily calcium intake in patients with less than 400 mg, between 400-1000 mg and more than 1000 mg were 63.8%, 31.9% and 3.4%, respectively. The mean±SD of sera calcium and vitamin D level were 9.5±0.6 mg/dl, 45±37.1 nmol/l respectively. 61.2% of patients had vitamin D deficiency. 33% of patients had secondry osteoprosis. Among the patient with primary osteoprosis 11.3% afflicted to hyper claciuria.

Conclusion: This study showed that decresing bone density was more prominate in women. The rate of daily calcium intake among patients were low. It is sugested these patients osteoprosis could be prevented by consumption food nutrient rich in calcium and vitamin D suplementation.

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Background and Objective: Patients consent for medical care is a legal requirement. Consent is a document that patient must be necessary aware about all risks of surgery, treatment strategy, Substitution and the risks involved by physician. This study was done to evaluate status of filled consent form of hospitalized patients in Ardabil – Northwest of Iran. Materials and Methods: This descriptive cross sectional study was done by interview with patients and accompained patients in hospitals of Ardabil – Northwest of Iran during 2010. Patient demographics and other variables gathered by a questionnaire. Data was analyzed by Chi-Square test. Results: 86 (57%) of patients were female and 64 (43%) male. 35 (23%) were illiterate and 92 (61%) under diploma. 45% of patients get information about their illness from doctors. According to patient ideas, 13% of reception personals did not complete consent form. 65 (43.3%) of patients stated that the context of consent form was unreadable and long. Rate of completing form for patients were 87%. 40% of completed forms was not signed by witnesses. The patients and relatives were not satisfied with the form itself, and this observation statistically was significant (P<0.001). Conclusion: This study showed that validity of completed consent forms are low and it is necessary to design programs for improvement the quality of filling the consent forms.

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Background and Objective: Attention deficit hyperactivity disorder (ADHD) is the most common in psychology and Methylphenidate hydrochloride (MPH) is one of the most frequently prescribed pediatric medicine. This study was done to determine the effect of Methylphenidate hydrochloride on ovarian and pituitary gonadotropin hormone in peripubertal mice Materials and Methods: This experimental study was done on 40 preipubertal female mice (BALB/c) with three weeks age and approximate 12-15 gram. The mice were allocated randomly in one control and three experimental groups, designated as I, II and III. Animals in group I, II and III were received by gavage Methylphenidate hydrochloride with 2, 5 and 10 mg/kg body weight for six days, respectively. At the end of experiment body weight, serum estrogen, progesterone and pituitary gonadotropins were measured. Morphometric and histopathological evaluation of ovary were examined. Data were analyzed using SPSS-17, ANOVA and Tukey tests. Results: The body weight and ovary dimensions of animals in experimental groups were reduced significantly in comparison with control (P<0.05). Abnormal cells, structural alternations of granules cells and follicular growth abnormality were observed in experimental groups I and III in compare to control group. A significant reduction of estrogen, in group I, progesterone levels in group I and III were observed in comparison with the controls (P<0.05). Conclusion: This study showed that the Methylphenidate hydrochloride administration induces the reduction of body weight, ovary dimensions and hormones.

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Background and Objective: Overweight, obesity and ethnicity are effective factors on pregnancy complications. This study was conducted to determine the relationship between third tri-mester body mass index (BMI) with maternal and neonatal complications. Methods: This descriptive analytic study was conducted on 551 pregnant women in third tri-mester with Fars, Sistani and Turkman ethnicities in Sayad Shirazi teaching hospital in Gorgan, north of Iran during 2012. BMI calculated at the time of labor admission and the subjects categorized into three groups of normal / underweight, overweight and obese. Results: The mean of maternal age among Fars, Sistani and Turkman ethnic groups were 26.5±5.5, 24.6±5.3 and 26.2±5.2 years, respectively. The mean of gestational age among Fars, Sistani and Turkman ethnic groups were 38.4±2.3, 38.6±2.3 and 37.4±3.2 weeks, respectively. A significant relationship was found between BMI and cesarean section and labor dystocia in Fars and Sistani ethnic groups, respectively (P<0.05), while no relationship was found between BMI and neonatal complications. Conclusion: Overweight and obesity in Fars ethnicity are at risk of cesarean section and those with Sistani ethnicity are at risk of labor dystocia.

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Background and Objective: Lovastatin is a HMG-CoA reductase inhibitor and used for the treatment of hypercholesterolemia. Inhibition of HMG-CoA reductase results in inhibiting the activity of the Ras proto-oncogene that has mutations in most cancers. This study was done to determine the Anti-proliferative and apoptotic effects of Lovastatin on K562 Erthromyloidy cancer cell line.
Methods: The K562 Erthromyloidy cancer cell line were cultured and treated with different concentrations of lovastatin. Their antitumor effect on K562 cells were assessed via MTT assay after 72 hours. Hoechst (33342) staining and DNA electrophoresis were used for study of apoptosis.
Results: Lovastatin had antitumor effect on K562 Erthromyloidy cancer cell line and this effect increased by incease of time and concentration.The maximum inhibitory effect was 59% in higher concentration (100 µM) and 72 hours after the treatment. Reduced cell growth at 24 and 48 hours after treatment was 24% and 43%, respectively. Lovastatin significantly inhibited K562 cell growth (P<0.05).
Conclusion: This study showed that lovastatin has antitumor effect on K562 Erthromyloidy cancer cell line.

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Background and Objective: Oxidative stress causes disorder in the brain processes including memory. Pistacia atlantica kurdica (pistachio) contains antioxidant compounds, oleic and linoleic acid. Fluvoxamine is an antidepressant medicine which inhibits serotonin reuptake. This study was done to determine the effect of hydroalcoholic extract of pistachio and fluvoxamine on spatial memory of male rats under immobilization stress.
Methods: This experimental study was done on 30 adult male Wistar rats in 5 groups (n=6). The control group was not under immobilization stress. Animals in the stress group were just under immobilization stress. Animals in the pistachio group were under immobilization stress and were received 400 mg/kg/bw hydroalcoholic extract of pistachio. Animals in the fluvoxamine group under immobilization stress were received 120 mg/kg/bw fluvoxamine. Animals under immobilization stress, in the pistachio plus fluvoxamine group were received 400 mg/kg/bw hydroalcoholic extract of pistachio and fluvoxamine 120 mg/kg/bw. The radial arm maze test was used for evaluation of spatial memory. After the animals’ decapitation, the malondialdehyde and catalase level in hippocampus and the serum level of corticosterone and blood glucose were measured.
Results: The stress significantly increased the time of reaching to target, malondialdehyde, corticoestron and blood glucose level, and reduced the catalase in stress group in comprasion with controls (P<0.05). In the pistachio and the pistachio+fluvoxamine treated groups, the time of reaching to target, malondialdehyde, corticoestron and blood glucose level significantly reduced and the catalase level significantly increased in comprasion with stress group (P<0.05) but fluvoxamine significantly increased the time of reaching to target, malondialdehyde and blood glucose, and reduced the corticoestron and catalase in compared to controls (P<0.05).
Conclusion: The immobilization stress led to attenuation of spatial memory and the fluvoxamine administration as an antidepressant drug caused to deterioration of memory,while the treatment with pistachio extract lead to improve the memory.

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Background and Objective: Fish is one of the creatures which have the bio-accumulation of heavy metals. Terapon puta belongs to the order of Perciformes, is a benthic species in the waters of the Persian Gulf. This study was performed to evaluate the bio-accumulation of iron and nickel metals in the muscle of Terapon puta.
Methods: This descriptive-analytical study was performed on 30 pieces of Terapon puta caught in the Jefreh pier area of Bushehr, north of the Persian Gulf during the summer of 2019. Length (mm) and total weight (g) of fish were measured. The concentrations of iron and nickel in fish muscle tissue for human consumption were compared with international standards and calculated according to the US Environmental Protection Agency (USEPA) method for fish consumption, estimated daily uptake (EDI), and pollutant risk index (CR). After preparation, bioassay and, digestion of fish muscle with concentrated nitric acid, the concentration of iron and nickel (mg/kg) in muscle tissue was measured with ICP-OES.
Results: The mean concentrations of iron and nickel in muscle tissue of fish samples were calculated 36.08±15.72 and 0.39±0.13 mg/kg, respectively. There was a significant difference between the concentrations of iron and nickel in the muscle tissue of the Terapon puta in the sampling area (P<0.05) and these values were lower than the standard and meaningless the muscle tissue of the Terapon puta in the sampling area compared to the FDA standard. The highest concentration of metals was observed in the length class of 20-25 cm and weight class of 230-260 g. Linear regression analysis showed that a strong increase (R²=0.9) between the concentration of iron and nickel with the length and total weight of fish. The daily uptake of both metals was obtained by consuming Terapon puta muscle tissue for consumers below the USEPA reference dose. The concentration of iron in the muscle tissue of Terapon puta was lower than the international standards. Nickel concentration was more than allowable limit according to WHO standards. The carcinogenicity risk index for nickel was acceptable.
Conclusion: Concentrations of iron and nickel in Terapon puta were considered acceptable for human consumption in terms of toxicity. The risk index for Terapon puta was less than one; therefore, the consumption of Terapon puta will not cause adverse health effects for consumers.

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Background and Objective: Weight regain following bariatric surgery is a significant challenge for this obesity treatment method. This study aimed to identify factors associated with weight regain after bariatric surgeries in obese patients in Gorgan, Iran.
Methods: This longitudinal study included 143 obese individuals (125 women and 18 men) with a mean age of 43.13±9.83 years who underwent bariatric surgery in Gorgan, Iran during 2013-19. Participants were invited to join the study via phone calls. Research variables (type of surgery, blood group, pre-surgery weight, and body mass index [BMI]) were extracted from patient records, and their current weight and waist circumference were measured and recorded. Weight regain was determined based on one of three different criteria: (1) regaining more than 25% of the maximum weight lost post-surgery, (2) regaining more than 10 kg from the minimum weight post-surgery, or (3) an increase of more than 5 BMI units from the lowest BMI post-surgery.
Results: Overall, 33% of individuals experienced weight regain, with 26.6% according to the first definition, 29.4% according to the second definition, and 18.2% according to the third definition. Men had a higher rate of weight regain (P<0.05). Additionally, 93.6% (44 cases) of those with weight regain had abdominal obesity. On average, 79.7% of participants who were 48 months post-bariatric surgery experienced some degree of weight regain. Individuals with a pre-surgery BMI of 50 or higher had a 2.69 times greater chance of weight regain compared to those with BMI lower 50 (P<0.05). The mean weight loss after surgery was significantly higher in individuals who experienced weight regain than those who did not (P<0.05). There was no significant statistical association between weight regain and the type of surgery, age, education level, marital status, or blood group.
Conclusion: Weight regain over time is a reality after bariatric surgery, indicating that this method is not a definitive cure for obesity. Therefore, long-term follow-up for weight control is crucial, especially for individuals with a pre-surgery BMI of 50 or higher or those who experienced significant weight loss post-surgery.