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Hydatidosis is a parasitic infection mostly in found in the liver and lung due to echinococus species. But occurrence in other locations is possible. Purpose of this report is to describe a case of bilateral Hydatid cyst in ovaries. Clinical findings with this uncommon location are poorly specific and diagnosis required histologic examination after surgical removal. Imaging and serology is useful to differentiate Hydatid cyst from benign and malignant tumors. This obligatory to examine lung and liver as the main sites of cyst when you are being faced with unusual location of Hydatid cyst especially in endemic area such as Iran. Our patients was a 35 years old woman with history of 4-month abdominal pain in left and right lower quadran. Sonography showed two cysts in adenexal lesions after surgical removal, they were sent to pathology lab. Hydatic cyst membrane was seen in histologic examination of two cystic masses.

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Background&Objective: Collection and Storage of roof rainwater usually has been used from long time ago in Iran and many other countries. Many residents in rural areas of Golestan province (Turkman Sahra) are providing partly of drinking and municipal water by this way. This study was purpose to determine the chemical water quality and detecting of probable contamination resources in cisterns. Materials&Methods: 140 samples were collected and analyzed for determination of chemical parameters during three seasons. Alkalinity by titrometric, hardness by E.D.T.A, Cl- by Mohr and No3- & PO4-3, by DR-2000 HACH and heavy metals by atomic absorption spectrometry (model 2380 Perkins-Elmer) were determined. These results were analyzed by SPSS and Kolmogorov-Smirnov test. Results: The chemical parameters such as: acidity, electrical conductivity, alkalinity, hardness, chloride, nitrate and manganese had desired limits but PO4- in 15%, Fe in 12%, Pb in 51% and Cr in 16% were exceeded the referrance level. Conclusion: Any of water cisterns were unfavorable for drinking because some chemical parameters and especially the heavy metals were exceeded the normal level. The probabe causes of the normal level chemical contamination water in cisterns include infiltration surface and agricultural waters, storage of Gorganrood water and precipitation of air pollution.

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Background and Objective: Thalassemia major is a genetic disorder. Blood transfusion is critical for survival in these patients. Over the course of the past two and three decade’s hyper transfusion therapy in these patients has increased significant improvement in life expectancy and quality of life. Unfortunately this type of therapy increased the frequency of complication due to iron overloud. The aim of this study was to evaluate the prevalencey of diabetes, impaired fasting glucose and impaired glucose tolerance in patients with thalassemia major, with 10-27 years of age in Tabriz. Materials and Methods: This descriptive study was done on 56 patients between 10-27 years of age with thalassemia major. The demographic informaiton theraputic regiment, the age of first trasfussion. The level of blood transfusion, the history and dosage of familial history of diabetes, Fe, TIBC, ferritin levels were assessed and recorded. For each patient glucose tolerance test, blood glucose level are performed. Results: In this study prevalence of diabetes mellitus, impaired fasting glucose and impaired glucose tolerance test were found in 8.9%, 28.6% and 7.1% of patients respectively. Conclusion: This study showed that despite recent therapy with Desferal in the management of beta-thalassemia major, the risk of secondary endocrine dysfunction remains high. Prevalence of diabetes mellitus, impaired fasting glucose and impaired glucose tolerance test are greater than general population. Endocrine evaluation in patients with thalassemia major must be carried out regularly especially in those patients over the age of 10 years.

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Background & Objective: Glucose Amino Glycans (GAG) are unbranched polysacharides, major components of the basement membrane and play a key role in their molecular organization and function, also have an important role in the pathogenesis of some diseases such as hypertension. Hypertention is probably the most important health problem in several countries. But there is not yet a reliable indicator for early diagnosis of hypertension. The goal of this study was the measurement of serum and 24-h urinary GAG as an exact and early diagnostic marker. Materials & Methods: In this case – control study, 24-h urine and serum samples collected from the 53 patients and 38 persons as matched control normotensive group. Then amount of GAG was measured with spectrophotometery method. Results: Our findings showed that there is a direct relation between 24-h urinary GAG excretion and systolic blood pressure and it increases with increase of systolic blood pressure. Also amount of serum GAG increases in hypertensive patients in comparison with control group. Conclusion: This study showed that the concentration of GAG in sera and 24-h of urine samples increase in systolic hypertention.

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Background and Objective: The growing development progress of electronic industries and the increasing use of electrical appliances have led to higher rate of exposure of people to electromagnetic field (EMF). Thus, in this study we investigated the effect of EMF on morphometric indices of epididymis and vas deferen in mice. Materials and Methods: In this experimental study, 30 BALB/c male mice were selected and divided into three control, sham and experimental groups. Experimental group were exposed to 50 Hz, 0.5 mT EMF for 4 hours per days, 6 days per week for 8 weeks while the animal in control and sham groups were not exposed to EMF. After the exposure period, the mice were dissected and left testis was removed and weighted. Samples of epididymis and vas deferen in all groups were taken and were processed for routine light microscopic studies. The diameters of epididymis and vas deferen and the height of epithelial cells in all groups were compared using ANOVA and Tukey tests. Results: The mean diameter of epididymis in EMF group significantly decreased compared to the control group (P<0.05). The mean diameter of vas deferen, the height of epithelial cells in epididymis and vas deferen in EMF groups significantly decreased compared to the control and sham groups (P<0.05). In addition, the weight of testes in EMF group significantly decreased compared to the control and sham groups (P<0.05). Conclusion: This study showed that the EMF exposure for long time could have hazard effect for the male reproductive system by decreasing the diameter of reproductive ducts, the length of epithelial cells and weight of testes.

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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: Animal biting is a very important threat for human health, due to the post-infections, such as rabies, which would be fatal. This Study was carried out to determine the epidemiological aspects of animal bites in Kalaleh district, North of Iran. Materials and Methods: In this descriptive and cross sectional study, all cases with animal biting during 2003-05 which were reffred to Kalaleh, Maraveh- tappeh therapy centers in Golestan province North of Iran were considered as sujects of this epidemiological survey. Results: From the totally 3496 biting, during 3 years, 2477 cases (70.9%) were male and 1019 (29.1%) female. The Mean age of cases was 24.2±17.5 and age domain between 1 to 86 was variable. The biting incidence rate was increased during 3 years, as follow 2003, 2004 and 2005 were 745/100000, 787/100000 and 788/100000 respectively. Total incidence was 773/10000 during the 3 years, the most biting frequency belong to the students 1157 (37%). Lower limb was the most common site of biting 2344 (67%). Dog was the common animal in biting 3344 (95.6). Most biting happened in spring season 1042 (29.8%). 3151 cases (90.1%) were living in rural area. 3198 cases (91.5%) and 298 (98.5%) had complete and uncompleted vaccination respectively. Conclusion: According to the results from this survey, the rate of dog biting in Kalaleh district was more than the other region, therefore, it would be important that all concerning organizations interfere to prevent and control this health threat.

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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: Occult hepatitis B infection is a form of hepatitis in which despite of absence of detectable HBsAg, HBV-DNA is present in peripheral blood of patients. The mechanisms which are responsible for progression of OBI yet to be clarified but some investigators believed that the genetics and immunological parameters may are different in resistant individuals and patients. Cytokine network system could be leading alteration in viral immune response. The aim of this study was to investigate the relation between polymorphisms +874 region of IFN-Gama with occult hepatitis B infection. Materials and Methods: In this study, the plasma samples of 3700 blood donors were tested for HBsAg and anti-HBs by ELISA. The HBsAg negative and anti-HBc positive samples were selected and screened for HBV-DNA by PCR. HBV-DNA positive samples assigned as occult hepatitis B infection cases and ARMS-PCR technique were performed to examine the present polymorphisms in +874 region of IFN-Gama genes of patients with occult hepatitis B infection. Results: 352 (9.51%) out of 3700 blood samples were negative for HBsAg and positive for anti-HBc antibody. HBV-DNA was detected in 57 (16.1%) of HBsAg negative and anti-HBc positive samples. Our results showed that there was not any significant difference between patients and control group in polymorphisms in +874 region of IFN-Gama genes. Conclusion: This study showed that there is not any significant difference between polymorphisms in +874 region with IFN-Gama occult hepatitis B infection.

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Background and Objective: Aloe vera (Aloe barbadensis M.) as a medicinal herb is practiced in wound healing. This study was carried out to assess the effect of Aloe vera gel (mucilage) on TGF-β gene expression in incisional skin wound in BALB/c mice. Method: In this experimental study, 36 BALB/c male mice with weight range 22±2 gr were allocated equally into negative control (no wound), sham-operated (wound treated with physiological serum) and teratment (wound treated with Aloe vera gel). Two equal full-thickness skin wounds of 10±2mm were made on either side of the vertebral column in the sacral region. The animals in the teratment group were received daily, 2 gram of Aloe vera gel (without any bandage) as a thin layer for a period of 16 days. On 8th and 16th post wounding day, TGF-β gene expression in incisional wounds and Malonyldialdehyde (as end-product of lipid peroxidation) in serum samples was measured using RT-PCR and spectrophotometry methods, respectively. Results: TGF-β gene expression in incisional skin wound increased in Aloe vera gel treated group in compared to negative control and sham-operated groups (P<0.05). Malonyldialdehyde concentration was significantly reduced in Aloe vera treated group in comparision with negative control and sham-operated groups. Conclusion: Aloe vera gel can induce growth factor TGF-β gene expression and reducing the lipid peroxidation content can play an important role in incisional skin wound healing process.

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Background and Objective: Thrombophilia is characterized by increasing blood coagulability. It causes preeclampsia and repeated abortions. This study was done to determine the corrolation of coagulation factors deficiency with preeclampsia. Method: This case-control study was carried out on 142 pregnant women with preeclampsia as caess and 142 pregnant women without preeclampsia as controls. Coagulation factors including Prs, prc, and anti-thrombin-3 were measured using ELISA and chromogenic methods. Results: Prs deficiency was found in 2 (1.4%) and 6 (4.2%) of cases and controls, respectively. This difference was not significant. Prc and anti-thrombin- 3 deficiencies was not found in cases and controls. Conclusion: There is not any relation between deficiencies of coagulation factors with preeclampsia.

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Background and Objective: Nowadays the food contamination is increased and threating human health. This study was done to determine the concentration of cadmium, lead, zinc and copper in tomatoes and cucumber in Northern Iran. Methods: In this descriptive study, 48 cucumber and 48 tomatoes samples were collected randomly from the two sampling stations of Gorgan and Gonbad the two cities in Golestan province of northern Iran during spring and summer of 2012. Cadmium (Cd), lead (Pb), zinc (Zn) and copper (Cu) concentrations were determined by voltammetry method of 797 Polarography models. Results: Mean±SE of Zn, Cd, Pb and Cu concentration in samples of cucumber in Gonbad was 53.4±7.7, 0.09±0.013, 1.47±0.21 and 4.1±0.66 mg/kg wet weight, respectively. Mean±SE of Zn, Cd, Pb and Cu concentration in samples of cucumber in Gorgan was 60.3±8.7, 0.12±0.017, 1.4±0.2 and 3.7±0.53 mg/kg wet weight, respectively. Mean±SE of Zn, Cd, Pb and Cu concentration in samples of tomatoes in Gonbad was 17.9±2.6, 0.03±0.004, 0.5±0.07 and 0.85±0.12 mg/kg wet weight, respectively. Mean±SE of Zn, Cd, Pb and Cu concentration in samples of tomato in Gorgan was 23.8±3.4, 0.08±0.01, 0.66±0.09 and 1.7±0.24 mg/kg wet weight, respectively. Mean concentrations of Cd and Pb in cucumber and tomatoes samples of Gonbad was up to 2, 14, 0.6 and 5 times and mean concentrations of that in cucumber and tomatoes of Gorgan was up to 2.4, 14.4, 1.6 and 7 times exceed the maximum allowable limits of WHO/FAO. Conclusion: Mean concentration of Cd and Pb in cucumber and tomato samples was exceeded the maximum allowable limits of WHO/FAO and mean concentration of heavy metals in cucumber was more than tomato samples.

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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.

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Background and Objective: Artificial sweeteners are chemical or natural substances used in foods and beverages. The aim of this study was to compare the glycemic control status before and after the use of artificial sweeteners with conventional nutrition in type 2 diabetic patients.
Methods: This quasi-experimental study was performed on 30 patients with type 2 diabetes (10 males and 20 females) whom referred to the endocrinology clinic in Tabriz in west of Iran. At the beginning of the study, patients were asked to refrain from using dietary supplements containing artificial sweeteners for three months and continue their usual diabetic diet. Then, each patient was received nutritional supplements containing artificial sweeteners including sugar, special biscuits and candy under a dietitian for three months.
Results: Mean glucose level of fasting serum and serum glucose 2 hours after meals in patients during the second trimester increased significantly with the use of artificial sweeteners compared to the first three months (P<0.05). The mean fasting glucose in patients with diabetes mellitus was 121.33±25.3 mg/dl at the end of the first trimester and it was 152±42 mg/dl at the end of the second trimester. The mean serum glucose level increased from 164.44±44.44 mg/dl to 222±7.2 mg/dl
2 hours after meals. The mean of HbA1C in the first trimester was 6.89±0.9% and in the second quarter it was 7.4±1%.
Conclusion: The use of artificial sweeteners in diabetic patients may result serum glucose increase.

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Background and Objective: Couple burnout is phenomenon which affects many couples. It is the main cause of emotional divorce, and it can provide a ground for formal divorce of couples. This study was conducted to evaluate the effectiveness of stress inoculation training (SIT) on reducing couple burnout among married women.

Methods: This quasi-experimental study was performed on 30 married women whom refered to Aram psychological and counseling service center in Gorgan, norhern Iran during 2016. The subjects selected by available sampling method and were assigned into intervention and control groups via a non-randomized method. Subjects in intervention group were received the stress inoculation training intervention in eight 2-hour session in groups (one session per week). The control group did not receive intervention until the end of the follow up stage. The data gathering tool was Couple Burnout Measure of Pinez (1996) which was completed by all subjects in pre-test, post-test and one-month follow up.

Results: After treatment and one-month follow up, the stress inoculation training intervention was effective on reducing couple burnout and its components including physical fatigue, mental fatigue, and emotional fatigue (P<0.05).

Conclusion: Stress inoculation training reduces couple burnout and its components in married women. Therfore, stress inoculation training recommends to be an appropriate interventional option for reducing marital problems and improving couple relationships.

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Pediatric femoral neck fracture is rare and account for less than 1% of all fractures in childhood. The proximal femur in children is extremely strong, and high-energy forces in 80-90%, following the axial force associated with hip rotation or direct blow are necessary to cause fracture. In this report, the method of femoral neck fracture fixation in eight-year-old girl after car accident is reported. During the operation, we noted a severe femoral neck fracture that was irreparable with the available tools (pin, screw, plate and DHS), which inevitably had to be used by Transosseous method with fiber wire #2, used in proximal humeral fracture fixation. Then, we obtained a fairly satisfactory result with a distal femoral pin inserting it into two-sided spica cast. Although, this kind of fracture is rare, but with a qualified clinical examination, early diagnosis, proper treatment, familiarity with surgical techniques and fixation reduces the complications and this method can be effective in obtaining the desired result.

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Background and Objective: The undesirable and destructive effects of stress on the lives of many couples are grounds for marital burnout and consequently, the quality of the couple’s marital relationship is affected. This study was conducted to evaluate the effectiveness of mindfulness-based stress reduction (MBSR) training on reducing couple burnout among women.
Methods: This quasi-experimental study was performed on 30 married women referred to the Counseling and Psychological Services Center during 2016 with a score of 75 on their marital burnout questionnaire. Subjects were selected using available sampling method and randomly assigned to intervention and control groups that each included 15 members and the pre-test-post-test-follow-up method was performed. The intervention group participated in an 8-session course of mindfulness-based stress reduction training. No intervention was provided for the subjects in the control group until the end of the follow-up stage. The data were collected using Pines Marital Burnout Scale (1996) which were completed in pre-test, post-test, and one-month follow-up stages by subjects in both groups. In the study groups, the components of marital burnout including physical fatigue, mental fatigue and emotional fatigue were compared and evaluated.
Results: Mindfulness-based stress reduction intervention reduced marital burnout and its components (physical fatigue, mental fatigue, and affective fatigue) in the interventional group compared to the control group at the end of the intervention and after one month follow-up (P<0.05).
Conclusion: This study showed that mindfulness-based stress reduction training is an effectiveness intervention for reducing the level of marital burnout among women.

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Background and Objective: The use of packaged drinking water is on the rise nowadays in most countries, including Iran. Currently, more than 100 different brands of packaged drinking water are produced and distributed in Iran. This study was done to evaluate the quality of Iranian, foreign packaged drinking waters and municipal drinking water in Golestan Province, north of Iran.
Methods: This descriptive-analytical study was done on 56 packaged drinking waters of different Iranian and foreign brands, eight brands produced in Golestan province and a number of municipal drinking water samples were collected from Gorgan and Gonbad Kavous cities in northern Iran. To assess the quality of packaged drinking water and drinking water, their physicochemical parameters were compared with National Iranian Standards 1053 and WHO. Stiff and Piper diagrams were plotted to determine the type and hydrochemical facies of water samples. Gibbs and Schoeller diagrams were used to determine the water chemistry controlling factors of water samples and their water quality for drinking, respectively.
Results: The concentrations of physicochemical parameters (except bicarbonate) were within the range of national drinking water standards 1053 and WHO. The average nitrate concentration in all packaged drinking and drinking water was within the standard range. The fluoride concentration of all packaged drinking waters and drinking water was within the range of WHO standard. However, only 14 samples of all packaged drinking and drinking water samples are within the range of 1053 National Iranian Water Standard. The total concentration of soluble solids and the total hardness of packaged drinking water were within the range of 1053 NW. There was also a significant difference (P<0.05) between the chemical parameters of magnesium, sodium, chloride and nitrate in packaged drinking water produced in Golestan province with the municipal drinking water samples.
Conclusion: The amount of fluoride in drinking water in this study was less than desirable and required fluorination. The quality of packaged drinking water in Golestan province is better than the municipal drinking water.

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Background and Objective: Diabetes is one of the most common non-communicable diseases with debilitating complications and mortality rate those results from insulin deficiency, resistance to it or both. The role of nutrition and some micronutrients in the development and progression of diabetes has been investigated. Studies have shown that Magnesium deficiency can reduce insulin secretion and cell resistance. This study was done to determine the association of serum Magnesium level with glycemic control, serum lipids and renal function in type 2 diabetes mellitus and pre-diabetic patients.
Methods: This case-control study was done on 70 patients with type 2 diabetes, pre-diabetes and 35 healthy individuals. Fasting glucose, HbA1c, lipid profile, creatinine and Magnesium were determined.
Results: Serum Magnesium level in diabetic and pre-diabetic patients were significantly lower than control group (P<0.05). Serum Magnesium level had reverses correlation with HbA1c in diabetic patients. Serum Magnesium level had reverse correlation with glycemic index (FBS, 2hpp) and creatinine in control group (P<0.05) were evaluated in all groups but there was no significant correlation between Renal function test (Cr, eGFR) and serum Mg level.
Conclusion: Serum Magnesium levels in diabetics and pre-diabetics were lower than healthy individuals and had reverse correlation with HbA1c in diabetic patients.

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Background and Objective: Considering hypertension as the most prevalent comorbidity among patients diagnosed with COVID-19, this study intended to investigate clinical characteristics and in-hospital mortality risk factors among COVID-19 patients with hypertension history.
Methods: This descriptive-analytical study was conducted on 527 hypertensive patients (277 male and 250 female) a mean age of 64.73±13.13 years infected with COVID-19 and hospitalized at Sayyad Shirazi Hospital, Gorgan Iran from February to September 2020. The patients’ data were extracted from the hospital information system and completed by patients’ medical records and telephone calls. The association between the risk factors and in-hospital mortality was identified by employing the logistic regression analysis in three various models, including model 1 (demographic data and patients’ history), model 2 (model 1 plus vital signs and pulse oximetry measurement at hospital admission) model 3 (model 2 plus laboratory findings at hospital admission). Each model individually described the odds ratios (ORs) with 95% confidence intervals (95% CIs) for every risk factor. Furthermore, a corrected area under the receiver-operating characteristics curve (AUC) was estimated to evaluate the model’s discriminatory power.
Results: Among 527 hospitalized patients, 88 patients (16.6 %) died during 6.48 days of hospitalization, of which 47 patients were men. In model 1, opium consumption (CI95%=1.16-3.85, OR=2.11) and cognitive impairment at admission (CI95%=0.98-5.40, OR=2.30) were significantly associated with higher mortality (AUC=0.65). In model 2, after adding vital signs and oxygen saturation, cognitive impairment association lost its association, and only opium consumption (CI95%=1.09-3.19, OR=1.87) and oxygen saturation (CI95%=0.90-0.95, OR=0.93) were associated with in-hospital mortality. (AUC=0.73). In model 3, after incorporating laboratory findings, with an AUC of 0.79 (CI95%=0.70-0.90), each percent higher oxygen saturation at admission was associated with a 7% decrease in in-hospital mortality (CI95%=0.88-1.00, OR=0.93). Although opium consumption and higher creatinine level lead to higher mortality, the associations were not significant.
Conclusion: Regarding the association of oxygen saturation at admission with in-hospital mortality among hypertensive patients diagnosed with COVID-19, the pulse oximetry measurement data upon admission would be crucial in evaluating these patients.