Alireza Abdollahi; Mitra Mehrazma; Hossein Ghanaati
Volume 2, Issue 4 , September 2007, , Pages 49-153
Abstract
Background and Objective: Computerized tomography and fluoroscopic computerized tomography are amongst the methods used for guiding needle biopsy processes; however, fluoroscopic computerized tomography demonstrates the images during the process of biopsy. This study aims to compare and contrast the ...
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Background and Objective: Computerized tomography and fluoroscopic computerized tomography are amongst the methods used for guiding needle biopsy processes; however, fluoroscopic computerized tomography demonstrates the images during the process of biopsy. This study aims to compare and contrast the success of biopsy under guide of computerized tomography and fluoroscopic computerized tomography, independently and based on the location of the mass. Background and Objective: Computerized tomography and fluoroscopic computerized tomography are amongst the methods used for guiding needle biopsy processes; however, fluoroscopic computerized tomography demonstrates the images during the process of biopsy. This study aims to compare and contrast the success of biopsy under guide of computerized tomography and fluoroscopic computerized tomography, independently and based on the location of the mass. Results: In this study, among 206 subjects, 122 were examined under guide of fluoroscopic tomography and 84 under guide of conventional computerized tomography. In all anatomical locations of the mass except for mediastinum, negative cases of biopsy in conventional computerized tomography were more than fluoroscopic computerized tomography the total rate of success in fluoroscopic computerized tomography group was 86.1% and in conventional computerized tomography it was 76.2%. Conclusion: The results of this study showed that the fluoroscopic computerized tomography in biopsy is more successful than conventional computerized tomography in pelvis, abdomens, bone and liver and this might be the result of the feasibility of watching the biopsy needle during the procedure.
Foroogh sadat Hashemi; Maryam Abolhasani; Seyed Mohammad Hakimi
Volume 2, Issue 2 , April 2007, , Pages 54-58
Abstract
Introduction and Objective: Zinc as the second trace element of the human body plays an important role in numerous functions. A large number of research studies have showed serum zinc deficiency and excess urinary excretion in patients with major beta thalassemia, but few studies revealed excess urinary ...
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Introduction and Objective: Zinc as the second trace element of the human body plays an important role in numerous functions. A large number of research studies have showed serum zinc deficiency and excess urinary excretion in patients with major beta thalassemia, but few studies revealed excess urinary zinc excretion in minor beta thalassemia and no study investigated serum zinc levels in this group. This study aimed to measure serum and urine zinc level in patients with minor beta thalassemia. Materials and Methods: The study was observational and cross-sectional. Blood and 24-hour urine samples were collected from carriers of beta thalassemia who attended Ali Asghar Hospital for blood transfusions for their children. They had documented hemoglobin electrophoresis for their status. The serum and urine zinc levels were measured by atomic absorption spectrophotometer. Student’s t test was used for comparison of groups. Results: The average level of zinc in the serum and urine of the male cases was 69 ± 10 μg/dl and 714 ± 162 μg/dl and in the female cases was 58 ± 11 μg/dl and 751 ± 162 μg/dl respectively and was 64 ± 12 μg/dl and 730 ± 120 μg/dl totally. The obtained serum zinc was lower and the urine zinc was higher in minor beta thalassemic persons than the amounts mentioned by references for the subjects of the same sex and age. The serum zinc level of anemic patients with minor beta thalassemia was lower (63 ± 11 vs 72 ± 13 μg/dl) and the urine zinc level was higher (792 ± 183 vs 673 ± 202 μg/dl) than non-anemic patients. Conclusion: Minor beta thalassemics have lower serum zinc level and due to abundant roles of zinc can make benefit from zinc supplementation. This decrement may be attributed to tubulopathy in these patients.
Reza Afshar; Mohammadreza Jalali Nadoushan; Suzan Sanavi; Ahmad Komeili
Volume 1, Issue 2 , April 2006, , Pages 55-60
Abstract
Background and Objectives: Hemodialysis (HD) is one of the therapeutic modalities patients. Since inadequate dialysis increases mortality and morbidity of patients, therefore, assessment of dialysis adequacy is clinically important. For this reason, hemodialysis adequacy was determined in patients undergoing ...
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Background and Objectives: Hemodialysis (HD) is one of the therapeutic modalities patients. Since inadequate dialysis increases mortality and morbidity of patients, therefore, assessment of dialysis adequacy is clinically important. For this reason, hemodialysis adequacy was determined in patients undergoing maintenance HD at the Mostafa Khomeini Hospital, Tehran, Iran. Materials and Methods: The cross-sectional, descriptive, and analytic strategy of this research study was conducted on 54 patients in 2005. All of the patients were consented and informed of the study purposes. Data were collected using a reliable questionnaire including age, gender, height, weight, and dialysis duration. Prescribed, delivered, and equilibrated kt/v and URR (urea reduction ratio) were calculated using urea kinetic modeling formulas. All data analysis was carried out using t-test, Fisher exactly test, and Pearson correlation analysis (SPSS software). Results: The study population consisted of 54 patients undergoing conventional maintenance HD (36 males and 18 females) aged 18-83 years. The mean value of age was 55.27 ± 17.28 years. The mean values of prescribed kt/v, dkt/v (delivered), ekt/v (equilibrated), and URR were 1.11 ± 0.19, 0.94 ± 0.18, 0.8 ± 0.15, and 55.33 ± 7.05 respectively. Based on DOQI guidelines, the percentage of adequate prescribed kt/v, ekt/v, and URR were 33.3 %, 11.1 %, and 11.1 % respectively. The mean value of age in inadequate ekt/v group was greater than adequate ekt/v group, although t- test analysis did not show a statistically significant correlation (p = 0.085). In addition, Fisher exactly test showed a statistically significant correlation between adequate ekt/v and gender (p = 0.013) and also between ekt/v and URR (p<0.001). On the other hand, Chi-square test did not show a statistically significant correlation between ekt/v and underlying cause of ESRD (p = 0.685). Conclusion: It was found out that hemodialysis in this center is inadequate in a great percentage of patients, especially in male ones. Further research study with a larger sample size is suggested to evaluate contributing factors in dialysis adequacy. According to these findings, new treatment strategies may also be necessary.
Fatemeh Mahjoub; Mohammad Taghi Haghi Ashtiani; Seyed Kamal Aboutorabi; Setareh Mamishi; Farhad Asgari
Volume 3, Issue 2 , March 2008, , Pages 61-66
Abstract
Background and Objective: Reliable methods of detection of antimicrobial resistance are of paramount importance in the treatment and management of infections caused by coagulase negative staphylococci (CoNS). The objective of the present study was to compare and evaluate the performance of disc ...
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Background and Objective: Reliable methods of detection of antimicrobial resistance are of paramount importance in the treatment and management of infections caused by coagulase negative staphylococci (CoNS). The objective of the present study was to compare and evaluate the performance of disc diffusion and E test (Epsilometer test) methods for antimicrobial testing of coagulase negative staphylococci in blood cultures. Materials and Methods: A total of 77 isolates of coagulase negative staphylococci from blood cultures were included as test strains. Antimicrobial susceptibility testing was performed by disc diffusion method for vancomycin. Minimum inhibitory concentration (MIC) determination was performed by E test for the same antimicrobial agent. All tests were performed on Mueller Hinton media. Results: Disc diffusion showed four resistant and 73 susceptible cases in examined strains with vancomycin. E test showed susceptibility of all strains to vancomycin. Decreased susceptibility to vancomycin were detected in 20 isolates in disc diffusion method but in 18 isolates by E test method Conclusion: Disc diffusion test may be used as a preliminary screening method for susceptibility testing of coagulase negative staphylococci. E test is a simple, easy and reliable method for determination of resistance in coagulase negative staphylococci, however, cost and limited availability in Iran limits its use.
Farahnaz Noroozinia; Gholamreza Behjati; Shahram Shahabi; Hamidreza Farrokh Islamlo; Zuhair Mohammad Hassan; Behrouz Ilkhanizadeh
Volume 6, Issue 2 , April 2011, , Pages 63-67
Abstract
Background & Objectives: Cancer is a serious problem for human being and is becoming a serious problem day-by-day .A prerequisite for any therapeutic modality is early diagnosis. Automated cancer diagnosis by automatic image feature extraction procedures can be used as a feature extraction ...
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Background & Objectives: Cancer is a serious problem for human being and is becoming a serious problem day-by-day .A prerequisite for any therapeutic modality is early diagnosis. Automated cancer diagnosis by automatic image feature extraction procedures can be used as a feature extraction in the field of fractal dimension. The aim of this survey was to introduce a quantitative and objective mathematical method for pinpointing the differences between malignant and non –malignant epithelial cells in urine cytology by the use of software analysis. Materials & Methods: Forty-one positive urine cytology and 33 negative subjects from Pathology Department of Imam Khomeini Hospital, Urmia, Iran (2003-2007) were selected at random. Digitalized images were prepared by the use of objective 100X (a digital video head) which subsequently were processed by the BeonitTM software version 1.3 (Tru Soft International inc. USA) to measure fractal dimension of nuclear boundaries. Results: Findings revealed statistically significant differences between fractal dimensions of nuclear boundaries of cancerous and non-cancerous smears (P=0.001). Study had selected a cut-off point to (1.732 ± 0.006) to discriminate malignant and non-malignant epithelial cells in urinary smears. Conclusion: Based on diagnostic accuracy measures (sensitivity and specificity), probability of disease measures (predictive value of a positive and negative test results), and likelihood ratio of positive and negative tests, it seems fractal dimension of nuclear cell boundaries for urinary smears can be used as a feature extraction in the field of automated cancer diagnosis.
Zahra Meshkat; Hessam Mirshahabi; Hoorieh Soleimanjahi; Zuhair Mohamad Hassan
Volume 4, Issue 2 , April 2009, , Pages 65-70
Abstract
Background and Objectives: Some of the human papillomaviruses (HPVs) can infect genital tracts and are sometimes associated with anogenital tract cancers. HPVs induced cervical cancers through the expression of E6 and E7 genes by inactivating the tumor suppressor proteins. In this study, E6 and ...
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Background and Objectives: Some of the human papillomaviruses (HPVs) can infect genital tracts and are sometimes associated with anogenital tract cancers. HPVs induced cervical cancers through the expression of E6 and E7 genes by inactivating the tumor suppressor proteins. In this study, E6 and E7 genes were chosen in order to construct an expression vector which is able to express target proteins. Patients and Methods: This experimental investigation was performed in Virology Department of Tarbiat Modares University. An expression vectorcontaining human papillomavirus type 16 E6 and E7 genes was constructed. The accuracy of the plasmid was confirmed by polymerase chain reaction (PCR) and restriction enzyme analysis. The construct was transfected into the eukaryotic cells and its ability for protein production was confirmed by Western blotting. Results:The colonies containing desired plasmid have the fragment about 995 bp. For confirming the ability of the construct for protein production in eukaryotic cells, Western blotting was done using the lyses-cells as antigen and they showed the desired bands using monoclonal antibodies. Conclusion: The designed vector can consider as a based vaccine for construction a therapeutic vaccine in suitable vectors for gene therapy in order to administration in Iranian patients with cervical cancer.
Mohammad Ibrahim Yarmohammadi; Horieh Saderi; Pupak Ezadi; Siamak Afshin Majad; Maryam Hashemi
Volume 5, Issue 2 , March 2010, , Pages 72-76
Abstract
Background and Objectives: Nasal polyposis is a diseases resulting from complex pathogenetic mechanisms. Some studies showed that TGFβ1 had significant role in this pathogenesis. In this study, we investigated the roe of cytokines and mediators in polyp development. Material and Methods: ...
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Background and Objectives: Nasal polyposis is a diseases resulting from complex pathogenetic mechanisms. Some studies showed that TGFβ1 had significant role in this pathogenesis. In this study, we investigated the roe of cytokines and mediators in polyp development. Material and Methods: In this case- control study, healthy nasal mucosal samples were obtained from 24 people undergoing septoplasty or rhinoplasty and polyp samples were obtained from 15 patients with nasal and paranasal sinuses polyposis undergoing endoscopic sinus surgery. TGFβ1 concentration was measured with ELISA in homogenized polyp and control samples. The difference of the mean concentrations was analyzed with Mann-Whitney test. Results: We detected TGFβ1 in 11 patients’ samples and in 22 control samples. There was not significant differentiation between the mean of TGFβ1 levels in two groups. Conclusion: Measuring level of TGFβ1 with ELISA technique in homogenized polyp and control samples have not significant differentiation.
Oral Pathology
Mehdi DehghanNezhad; Noushin Jalayer Naderi; Hasan Semyari
Abstract
Background & Objective: Micronucleus assay of buccal mucosa cells is a simple bio- monitoring method for diagnosing the genetic damages of toxic agents. The aim was to study the genotoxic effect of waterpipe smoking on buccal mucosa cells using micronucleus assay. Methods: This was a case control. ...
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Background & Objective: Micronucleus assay of buccal mucosa cells is a simple bio- monitoring method for diagnosing the genetic damages of toxic agents. The aim was to study the genotoxic effect of waterpipe smoking on buccal mucosa cells using micronucleus assay. Methods: This was a case control. A total of 30 male waterpipe smokers and 30 non-smokers were included in the study. The exfoliated buccal mucosa cells were scrapped using wooden spatula and were spread over glass slides. The mean number of micronuclei was determined using Feulgen-stained slides. The number of micronuclei per 1000 cells was calculated and compared between the two groups of smokers and non-smokers. Result: The mean number of micronuclei in waterpipe smokers and non-smokers was 1.94±0.39 and 1.68±0.35, respectively. The micronuclei count in waterpipe smokers was significantly higher than non-smokers (P=0). The difference between the number of waterpipe smoking and micronuclei count was significantly different (P=0). Conclusion: The mean number of micronuclei in buccal mucosa cells of waterpipe smokers was significantly higher than non-smokers. The genotoxicity effect of waterpipe was dose-dependent.
Safyeh Soufian; Arezoo Aghakhani; Minoo Mohraz; Mohammad Banifazl; Ali Eslamifar; Zahra Boland-Ghamat; Akbar Khadem-Sadegh; Amitis Ramezani
Volume 7, Issue 2 , April 2012, , Pages 80-85
Abstract
Background and Objectives: Infection with human immunodeficiency virus (HIV) results in dysregulation of the cytokine profile. A switch from a T helper 1 (Th1) to a Th2 cytokine has been proposed as an important factor in progression of HIV infection to AIDS. The aim of the present study was to assess ...
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Background and Objectives: Infection with human immunodeficiency virus (HIV) results in dysregulation of the cytokine profile. A switch from a T helper 1 (Th1) to a Th2 cytokine has been proposed as an important factor in progression of HIV infection to AIDS. The aim of the present study was to assess the level of Th1 and Th2 cytokines in HIV infected individuals in order to identify the switch from Th1 to Th2 cytokines.
Materials and Methods: This study was carried out on 140 HIV infected patients (21 treatment naïve and 119 under treatment) and 35 matched healthy controls refereed to Iranian Research Center for HIV/AIDS, Tehran, Iran. The serum samples were checked with enzyme-linked immunosorbent assay (ELISA) for interleukin (IL)-2, IL-4, IL-10 and interferon (IFN)-gamma. The Chi-square and t2-tests were used with the SPSS 16 package program for statistical analysis
Results: A total of 140 HIV positive patients with mean age 36.9±9.2 years and 35 matched controls were enrolled in the study. IL-2 level was relatively higher and IL-10, IL-4 and IFN-gamma levels were relatively lower in the treatment naïve group than the under treatment group. Except for IL-2, all of the other cytokines exhibited a negative correlation with the CD4 cell counts and IFN-gamma levels showed the strongest negative correlation.
Conclusion: Our observations did not demonstrate switching of the type 1 to type 2 T helper cells cytokine profile in HIV infected patients and suggested more complex changes in Th1 to Th2 cytokine patterns in HIV infection.
Hamzeali Hamzeali
Volume 8, Issue 2 , April 2013, , Pages 89-96
Abstract
Background and Objective: Since it is essential for the research policy makers to acquire knowledge about the global ranks of their countries in in Pathology and Forensic Medicine subject areas, scientometrics experts have been always ranking and analyzing countries on the basis of ‘total number ...
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Background and Objective: Since it is essential for the research policy makers to acquire knowledge about the global ranks of their countries in in Pathology and Forensic Medicine subject areas, scientometrics experts have been always ranking and analyzing countries on the basis of ‘total number of papers’, ‘total number of citations’ and ‘citations per paper’, etc.
Materials and Methods: The data in SCImago[1] has been used to analyze and evaluate the global ranks of Iran, Turkey, Saudi Arabia, India, Pakistan, South Korea and South Africa. These countries had a similar growth trend in many indicators of science and technology in the past.
Results: This article mainly deals with the extent of presence of these countries in Pathology and Forensic Medicine subject areas, their international global ranks and comparing them with each other. Furthermore, data show that these countries had a different situation considering “citations per Document”; because it did not match with their “number of Document” and “total number of citations” to their papers and did not increase accordingly. “Citations per Document” is considered as one of the most important indicators which show the average number of citations to each document.
Conclusion: The situation of Iran under the study seemed to be better in some areas such as ‘Cite per Documents’ than their situation in other areas; however, this point should be taken into consideration that they did not have an equal presence in all areas.
[1] The SCImago Journal & Country Rank is a portal that includes the journals and country scientific indicators developed from the information contained in the Scopus database
Hossein Ayatollahi; Tayyebeh Kianoush; Nema Mohammadian Roshan
Volume 2, Issue 3 , June 2007, , Pages 94-96
Abstract
Background and Objective: Quality control is one of the most important components in order to improve quality assurance in laboratories during analytical steps. For this purpose, coefficient of variation plays an important role. Due to the fast improvement in technology, application of inferential statistics ...
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Background and Objective: Quality control is one of the most important components in order to improve quality assurance in laboratories during analytical steps. For this purpose, coefficient of variation plays an important role. Due to the fast improvement in technology, application of inferential statistics for the comparisons of laboratory techniques, including instrument and chemicals and fast replacement of them would be technically essential. Materials and Methods: In this research study, we tried to determine the precision of one auto-analyzer with refrigerator and the other one without such facility for the analysis of glucose, triglyceride and cholesterol in 30 successive days and compared the coefficient of variations that are an important factor for analytical precision. Results: Comparing the means of aimed groups by paired t-test with P=0.05 in measurement of glucose, triglyceride and cholesterol showed that there was no significant difference between the two instruments. In determination of glucose, triglyceride and cholesterol by auto-analyzer with refrigerator, CV% of these analytes was 1.3%, 1.4%, and 0.9% respectively. By the auto-analyzer without refrigerator, the CV% of those analytes was 1.5%, 2.5% and 1.11% respectively. Conclusion: There is reasonably higher precision for auto-analyzer with refrigerator than the other one.
Mahboubeh Mirhosseini; Fatemeh Barzegari Firouzabadi
Abstract
Background & Objectives: Direct addition of antimicrobial materials to food during food processing is an effective method for controlling microbial contaminants of food and extending the shelf-life of food products. Objective of this research was to study the antimicrobial effect of zinc oxide (ZnO) ...
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Background & Objectives: Direct addition of antimicrobial materials to food during food processing is an effective method for controlling microbial contaminants of food and extending the shelf-life of food products. Objective of this research was to study the antimicrobial effect of zinc oxide (ZnO) nanoparticle and potential applications of ZnO nanoparticles in terms of controling two food-borne pathogens in milk. Methods: Toxicity of different concentration (0, 0.5, 2, 5, and 10 mM) of ZnO nanoparticles on Listeria monocytogenesand Bacillus cereuswas studied in culture media and milk. Results: Among the mentiond concentrations, treatment of 10 mM of ZnO nanoparticle was the most effective one for L. monocytogenesand B. cereus inhibition, which completely inhibited the growth ofL. monocytogenesand B. cereusin 24h. These data revealed concentration-dependency of the antibacterial activity of ZnO. Therefore, 5 mM and 10 mM ZnO were selected for further studies, which were performed in milk, since they demonstrated significant growth inhibition. ZnO NPs were more capable in terms of reducing the initial growth counts of all the above-stated strains in milk. Conclusion: ZnO nanoparticles had an antimicrobial activity against L. monocytogenes and B. cereusin milk and the media. This work was a preliminary study that provided a starting point for determining whether the use of ZnO nanoparticles had the potential for being applied in food preservation or not.
Mahboubeh Mirhosseini; Fatemeh Barzegari Firouzabadi
Volume 9, Issue 2 , April 2014, , Pages 99-106
Abstract
Background & Objectives: Nanotechnology is one of great important part of technology. Nanoparticles can be used in different applications for industrial, medical, military and personal use. The objectives of this study were preparation of Polystyrene/ZnO nanocomposite films via a simple method and ...
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Background & Objectives: Nanotechnology is one of great important part of technology. Nanoparticles can be used in different applications for industrial, medical, military and personal use. The objectives of this study were preparation of Polystyrene/ZnO nanocomposite films via a simple method and investigation of antibacterial activity of them.
Methods: Polystyrene /ZnO nanoparticle (PS/nano-ZnO) composite films were prepared via simple method with 0, 0.1, 1 and 2.5% wt concentration of ZnO and characterized by scanning electron microscopy (SEM). The antibacterial properties of the product were investigated against Listeria monocytogenes, Escherichia coli, Staphylococcus aureus and Bacillus cereus.
Results: The survival ratio of L. monocytogenes, E. coli, S. aureus and B. cereus decreased with increase of ZnO content on PS/nano-ZnO composite films and the best antibacterial activity was obtained with 2.5% wt ZnO-PS composite films for all bacteria. Results show the larger sensitivity of the S. aureus compared to other bacteria.
Conclusion: The treated fabric with ZnO NP indicates significant improve for antibacterial properties for polystyrene fabric.
Biology & Genetic
Shahriar Dabiri; Mohammadmehdi Moeini aghtaei; Jahanbano Shahryari; Manzume Shamis meymandi; Sahar Amirpour-Rostami; Reza Foutohi-Ardekani
Volume 11, Issue 2 , April 2016, , Pages 104-111
Abstract
Background: The breast cancer is the most prevalent cancer among women, on the other hand absence of myoepithelial cells play a pivotal role in pathogenesis of this cancer. Thus we aimed to investigate the possible abilities of the molecular assay technique to find a relationship between mammary serine ...
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Background: The breast cancer is the most prevalent cancer among women, on the other hand absence of myoepithelial cells play a pivotal role in pathogenesis of this cancer. Thus we aimed to investigate the possible abilities of the molecular assay technique to find a relationship between mammary serine protease inhibitor (Maspin) gene expression possibly secreted by myoepithelial cells, grade of breast cancer and other prognostics factors (ER, PR, and c-erb-B2). Methods: Paraffin embedded blocks of 31 breast cancer patients together with two normal breast tissues were used for IHC staining and Maspin gene RNA detection uses the real-time PCR method. Applying QIAGEN kit, we were able to measure Maspin RNA and Extract the cDNA of different samples for evaluating the Maspin RNA level. Results: We found that the RNA level was considerably lowerin these cancer samples compared with normal samples. In addition, different grades of breast cancer in the obtained results adopt some distinguishable values. The Maspin expression in samples with grades II and III is much lower than the ones in normal group (P<0.05) which could be considered as a promising way in diagnosing of this disease. The results showed no considerable differences in Maspin gene expression of the c-erb-B2 scores in the tumor group except the samples having score 0. The other observation of this research study confirmed that Maspin gene expression couldn't show any differences between the values of both ER and PR in different scores of the tumor group. On the other hand, the cDNA of these patients showed lower values compared with normal samples. Conclusion: Maspin expression was reduced in samples with grade II& III of invasive ductal carcinoma. Based on expression of Maspin Inc-erb-B2, it seems that more expression happened in normal group comparing with different scores of it. We could suggest that there was a reverse relationship between tumor formation and Maspin gene expression. These results showed possible role of Maspin as prognostic factor.
Robab Anbiaee; Payam Azadeh; Abdollah Fazlalizadeh
Volume 1, Issue 3 , June 2006, , Pages 105-108
Abstract
Background and Objective: It is well known that menstrual period and ovarian function are affected by chemotherapy. Although breast cancer is the most common cause of chemotherapy in women and ovarian hormones have very important direct and indirect effects on overall survival, disease-free survival, ...
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Background and Objective: It is well known that menstrual period and ovarian function are affected by chemotherapy. Although breast cancer is the most common cause of chemotherapy in women and ovarian hormones have very important direct and indirect effects on overall survival, disease-free survival, and life quality of patients, but few studies have addressed the frequency and related factors of ovarian failure in breast cancer patients after receiving conventional regimens of chemotherapy. Therefore, the risk of ovarian failure after conventional chemotherapy regimens for breast cancer (with and without taxans) and the factors that influence ovarian function due to chemotherapy including patient’s age and type and dosage of drugs were investigated in this study. Materials and Methods: The cross sectional protocol of this study was conducted on 81 premenopausal breast cancer patients with regular menstruation that were candidates for chemotherapy and had not any history of prior hormonal therapy or chemotherapy. Alteration of menstrual cycles and ovarian function were evaluated by measuring blood levels of FSH and LH. Then, the role of patient’s age, type and dosage of drugs were analyzed on ovarian function. Results: Out of a total of 81 patients evaluated, 44 (54.3%) were found to suffer from ovarian failure after chemotherapy. There was also no significant difference for the risk of ovarian failure between two major groups of chemotherapy regimens. In addition, the probability of ovarian failure increased after increasing the dosage of the drug. Meanwhile, patients over 40 years were more sensitive to chemotherapy than younger ones. Conclusion: It is concluded that patient’s age is the most important factor determining the risk of chemical castration. In this respect, addition of taxans to conventional chemotherapy does not increase the risk of chemical castration.
Alireza Rastgooye Haghi; Mahdis Solhjoo; Mohammad Hossein Tavakoli
Abstract
Background & Objective: Thyroid hormones have an important role in the regulation of lipid metabolism. Subclinical hypothyroidism (SCH), defined as a mild increase in thyroid-stimulating hormone (TSH) and normal level of thyroxine (T4), could be associated with altered lipid profile. The current ...
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Background & Objective: Thyroid hormones have an important role in the regulation of lipid metabolism. Subclinical hypothyroidism (SCH), defined as a mild increase in thyroid-stimulating hormone (TSH) and normal level of thyroxine (T4), could be associated with altered lipid profile. The current study aimed at assessing the association between SCH and changes in lipid profile. Methods: Data of 53 patients with SCH and 53 euthyroid cases were collected from Besat Hospital in Hamadan, Iran, in 2013. The age range of the cases was 18 to 60 years, and the groups were matched in terms of gender, age, and body mass index (BMI). SCH was defined as a TSH value of 4.2 to 10 mU/L, and normal T4 as 0.8 to 2.8 ng/dL. Control cases had a normal TSH ranging from 0.5 to 4.2 mU/L. The total serum cholesterol (TCHOL), high-density lipoprotein (HDL) cholesterol, low-density lipoprotein (LDL) cholesterol, and triglyceride (TG) levels in both groups were examined and the results were recorded. Results:Participants with SCH had significantly higher LDL and lower HDL levels than the control group regardless of age group and gender (P-value <0.001), but there was no difference in TG and TCHOL levels (P-value <0.05). The prevalence of dyslipidemia and SCH was only significant in females (P-value =0.009). Totally, there was significant correlation between the prevalence of dyslipidemia and SCH regardless of gender (P-value =0.04). Conclusion: SCH is associated with dyslipidemia, and biochemical screening for thyroid dysfunction is recommended in all patients with dyslipidemia.
Fariba Abassi; Farrokh Ghavam; Farahnaz Norouzinia; Reza Pourali; Monireh Jalvand
Volume 4, Issue 3 , June 2009, , Pages 109-112
Abstract
Background and Objective: Microscopic evaluation of cervicovaginal smears (Pap smear) plays an essential role in detection of preneoplastic and neoplastic lesions of uterine cervix. A wide spectrum of changes is seen in Pap smears. Interpretation of intermediate changes which resulting in observation ...
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Background and Objective: Microscopic evaluation of cervicovaginal smears (Pap smear) plays an essential role in detection of preneoplastic and neoplastic lesions of uterine cervix. A wide spectrum of changes is seen in Pap smears. Interpretation of intermediate changes which resulting in observation of so- called ASCUS is difficult. ASCUS is defined as a cellular change that is more marked than typical reactive change but lack features diagnostic of intraepithelial neoplasia. The aim of this study was determination of reliable cytological parameters to identifying real nature of ASCUS. Patients and Methods: In this descriptive, cross sectional study, all Pap smears with presence of ASCUS, which followed by biopsy samples in Urmia, ShahidMatahari hospital during March 1999 to December 2002 were reviewed. In this regard, 17 parameters of cytoplasm, nuclei and smear background were considered and data were analyzed by SPSS and Chi Square test. Results: Four parameters of irregular nuclear contour, increased nucleo- cytoplasmic ratio, cytoplasmic vacuolization and dirty background are highly suggestive of dysplasia. Conclusion: It is important to consider that to find out the real nature of ASCUS a group of parameters are more helpful than a single one. In addition, a single Pap smear is not enough for this purpose and further investigationis required.
Gynecologic Pathology
Lila Siavoshinia; Mostafa Jamalan; Majid Zeinali; Aminollah Pourshohod; Mahdie Koushki; Bahman Moradipoodeh; Ghorban Mohammadzadeh
Abstract
Background & objectives: Overexpression of human epidermal growth factor receptor 2 (HER2) causes cell transformation and development of various types of malignancies. Idarubicin is an effective anti-neoplastic drug but specific delivery of it to the targeted cells is still a great challenge. Affibody ...
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Background & objectives: Overexpression of human epidermal growth factor receptor 2 (HER2) causes cell transformation and development of various types of malignancies. Idarubicin is an effective anti-neoplastic drug but specific delivery of it to the targeted cells is still a great challenge. Affibody as a cost-effective peptide molecule with low molecular weight has a high affinity for HER2 receptors. Breast and ovarian cancers as wide speared types of malignancies are associated with high expression of HER2. In the current study, we assessed the cytotoxic effects of idarubicin-ZHER2 affibody conjugate on the positive-HER2 cancer cell lines. Methods: The cytotoxic effects of constructed idarubicin-ZHER2 affibody conjugate on the SK-BR-3, SK-OV-3, and MCF-7 cells with various levels of HER2 expression were evaluated by MTT assay after 48 hours of incubation time. Results: Idarubicin showed a potent and dose-dependent cytotoxic effect against all treated cell lines while the SK-OV-3 cells were significantly more sensitive. The dimeric form of the ZHER2 affibody molecule showed a mild effect on the cell viability of all treated cells at its optimum concentration. The constructed Idarubicin-ZHER2 affibody conjugate decreased the viability of SK-OV-3 cells at its optimal concentration, more efficiently and specifically than other treated cells. Conclusion: The ZHER2-affibody conjugate of idarubicin has a more specific cytotoxic effect compared with idarubicin alone against HER2-overexpressing ovarian cancerous cells. It appears the ZHER2-affibody conjugate of idarubicin has great potential to be implicated as an innovative anti-cancer agent in future clinical trials in patients with HER2-overexpressing ovarian cancer.
Gynecologic Pathology
Mihir A Gudi; Yiu Yi Chung; Nohadani Mahrokh
Abstract
Background and Objective: Anti-CK5/6 monoclonal antibodies have an established role in breast disease diagnosis. Anti-CK5 monoclonal antibodies have recently become commercially available. There has been growing interest in the staining characteristics of anti-CK5 and its potential diagnostic role in ...
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Background and Objective: Anti-CK5/6 monoclonal antibodies have an established role in breast disease diagnosis. Anti-CK5 monoclonal antibodies have recently become commercially available. There has been growing interest in the staining characteristics of anti-CK5 and its potential diagnostic role in place of anti-CK5/6. We aim to compare and contrast the staining characteristics of anti-CK5/6 vs anti-CK5. Material and Methods: 58 tissue blocks containing 122 different lesions were selected from tissue archives. Two specimens (groups) were taken from each lesion One (group) was stained with anti-CK5 and the other (group) with anti-CK5/6 monoclonal antibodies, using the Streptavidin-biotin immuno-peroxidase method. The two groups of slides were compared and contrasted for lesion staining pattern and for intensity, using light microscopy. Results: Results showed that the diagnostic staining pattern was exactly the same in both anti-CK5 and anti-CK5/6 groups, and also showed that anti-CK5, stained most of the lesions more intensely than anti-CK5/6. Conclusion: Anti-CK5 performed at least as well (for lesion-pattern staining), and better (for lesion staining intensity) than did anti-CK5/6 in the diagnosis of a wide range of breast tissues and lesions. It may be justified to safely replace anti-CK5/6 with anti-CK5 in future routine clinical use, with resultant diagnostic and economic benefits.
Nasser Rakhshani; Roshanak Derakhshandeh; Seyed Amir Mirbagheri; Farhad Zamani; Ahad Atef Vahid; Mitra Mehrazma
Volume 6, Issue 3 , June 2011, , Pages 117-123
Abstract
Background and Objectives: Involvement of lymph nodes is an important prognostic factor in the most cancers, including colorectal cancer. In the recent years, invasion to blood and lymphatic vessels has been shown to predict involvement of lymph nodes and the number of involved nodes has been less studied ...
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Background and Objectives: Involvement of lymph nodes is an important prognostic factor in the most cancers, including colorectal cancer. In the recent years, invasion to blood and lymphatic vessels has been shown to predict involvement of lymph nodes and the number of involved nodes has been less studied issue. The aim of this study was determination of the relationship between the size of colorectal adenocarcinoma and lymph node involvement. Materials & Methods: In this cross-sectional study, 116 patients were enrolled with colorectal cancer from Rasoul-e-Akram and Mehr Hospitals in 2002-2008. Data analysis was performed by SPSS-15 software. Results were expressed as frequency, percent, and mean ±SD. We used Chi2, student t-test and correlation tests for statistical analysis. Results: 54.3% of patients were male and 45.7% were female. Mean age of them was 59.4± 12.9 years. Mean of tumor size (longest diameter) was 5.4± 2.2 (range: 1.5 to 12) cm. Mean number of involved lymph nodes was 4.9± 3.5(range: 1-14). There was no correlation between number of lymph node involvement and tumor size. There was no correlation between lymph node involvement and tumor and age group, sex, location and depth of tumor. Poorly differentiated tumor significantly correlated to lymph node involvement (P=0.001). Conclusion: There is no correlation between tumor size and number of involved lymph node in colorectal cancer. However, poor histopathologic grade is associated with lymph node involvement.
Hossein Ayatollahi; Akbar Safaei; Mohammad Vasei
Volume 5, Issue 3 , June 2010, , Pages 121-126
Abstract
Background and Objectives: Primary amenorrhea is not a disease but a symptom that may result from several quite different causes[NN1] . Common hormonal cause of primary amenorrhea includes constitutional delay, hypothalamic –pituitary dysfunction, chronic systemic disease and absent ...
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Background and Objectives: Primary amenorrhea is not a disease but a symptom that may result from several quite different causes[NN1] . Common hormonal cause of primary amenorrhea includes constitutional delay, hypothalamic –pituitary dysfunction, chronic systemic disease and absent ovarian function. The aim of this study was to estimate the incidence of the chromosomal abnormality referred for karyotyping in patients with primary amenorrhea in southwest of Iran. Material and Methods: Chromosomal analysis was carried out in 220 such cases that were referred from different parts of the south of Iran. The standard protocol for peripheral blood lymphocyte culture was followed for metaphase chromosome preparation and conventional analysis of G-banded chromosome. Results: The frequency of abnormal karyotypes was 20% in primary amenorrhea. The chromosomal abnormalities can be classified into five main types with or without mosaicism. 1-The most frequent karyotype was X chromosome aneuploidies (10%,n=22) 2-Male karyotype 46, XY was present in 5.5 % (n=12). 3-Structural anomalies of the X chromosome were detected in 3.2% (n=7) . 4-Mosaicism of male chromosome constitution and X chromosome aneuploidy was present in two (0.9%) cases (45XO/46XY). 5-Mosaicism of X chromosome aneuploidy and structural anomalies of X chromosome was found in one (0.45%) case [45, X/46X, i (Xq)]. Conclusion: The present study has emphasized that karyotyping is necessary in evaluation of primary amenorrhea. This study also revealed the incidence of chromosomal abnormalities in women with primary amenorrhea in southwest of Iran is similar to that reported in previous literatures. [NN1]File Format: PDF/Adobe Acrobat - Quick View by SК Ten - 1990 - Cited by 5 - Related articles Primary amenorrhea is not a disease but a symptom that may result from several quite different causes. These include such conditions as endocrinological ... smj.sma.org.sg/3104/3104a13.pdf - Similar
Amitis Ramezani; Arezoo Aghakhani; Mohammad Reza Sharif; Mohammad Banifazl; Ali Eslamifar; Ali Akbar Velayati
Volume 3, Issue 3 , June 2008, , Pages 125-128
Abstract
Background and Objective: Anemia is a common manifestation of human immunodeficiency virus (HIV) infection, occurring in approximately 30% of patients with asymptomatic infection and in as many as 75% to 80% of those with AIDS. Anemia has been associated with decreased quality of life and decreased ...
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Background and Objective: Anemia is a common manifestation of human immunodeficiency virus (HIV) infection, occurring in approximately 30% of patients with asymptomatic infection and in as many as 75% to 80% of those with AIDS. Anemia has been associated with decreased quality of life and decreased survival. In this study we aimed to determine the prevalence and related factors of anemia in HIV-infected patients. Materials and Methods: A total of 143 HIV positive patients who referred to behavioral disease consulting center in Tehran were screened for anemia. Mild to moderate anemia was defined as hemoglobin (Hb) 8-14g/dl for men and 8-12g/dl for women; severe anemia was defined as Hb less than 8g/dl for both males and females. sociodemographic data were collected using a questionnaire. In all patients, CD4 lymphocytes counting were done by flowcytometry. Results: It was found out that 143 HIV positive patients with a mean age of 37.1+ 2 years were enrolled in our study. The mean Hb level was 13.5 ± 2.1 g/dl. Mild anemia occurred in 46% of subjects while severe anemia was not observed. There was not any significant difference between patients with and without anemia regarding age, gender, stage of the infection, CD4 cells count and concurrent anti-retroviral therapy. We also found significant difference between anemia and risk behaviors for HIV acquisition. Conclusion: Our results showed that mild to moderate anemia was frequent in HIV positive patients but severe anemia was not prevalent in this study population.
Biology & Genetic
Fatemeh Khatami; Mohammad Tavangar
Abstract
Thyroid cancer is a frequent endocrine related malignancy with continuous increasing incidence. There has been moving development in understanding its molecular pathogenesis recently mainly through the explanation of the original role of several key signaling pathways and related molecular distributors. ...
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Thyroid cancer is a frequent endocrine related malignancy with continuous increasing incidence. There has been moving development in understanding its molecular pathogenesis recently mainly through the explanation of the original role of several key signaling pathways and related molecular distributors. Central to these mechanisms are the genetic and epigenetic alterations in these pathways, such as mutation and DNA rearrangements. That does not mean, however, that all the somatic abnormalities here in a cancer genome have been involved in development of the cancer and just driver mutations are concerned in tumor initiation. By way of illustrations, MAPK pathway which is motivated by BRAFV600E and RAS and RET / PTC rearrangements are suggesting driver genetic alterations in follicular derived thyroid cancers which are considered in this review.
Molecular Pathology
Amirhossein Jafarian; Masoumeh Jafaripour; Masoumeh Gharib; Maryam Salehi; Nema Mohamadian Roshan; Sare Etemad; Khatoone Mirshekar; Maryam Sheikhi; Masoumeh Heidari; Behnaz Ahmadian; Zahra Khoshnegah; Hossein Ayatollahi; Payam Siyadat
Abstract
Background & Objective: Epithelial ovarian cancer (EOC) is the most prevalent type of ovarian cancer. Previous studies have elucidated different pathways for the progress of this malignancy. The mutation in the B-Raf proto-oncogene, serine/threonine kinase (BRAF) gene, a member of the MAPK/ERK signaling ...
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Background & Objective: Epithelial ovarian cancer (EOC) is the most prevalent type of ovarian cancer. Previous studies have elucidated different pathways for the progress of this malignancy. The mutation in the B-Raf proto-oncogene, serine/threonine kinase (BRAF) gene, a member of the MAPK/ERK signaling pathway, plays a role in EOC. The current study aimed to determine the frequency of the BRAF V600E mutation in ovarian serous and mucinous tumors, including borderline and carcinoma subtypes.Methods: A total of 57 formalin-fixed paraffin-embedded samples, including serous borderline tumors (SBTs), low-grade serous carcinomas (LGSCs), high-grade serous carcinomas (HGSCs), mucinous borderline tumors (MBTs), and mucinous carcinomas, and 57 normal ovarian tissues were collected. The BRAF V600E mutation was analyzed using polymerase chain reaction (PCR) and sequencing.Results: While 40% of the SBT harbor BRAF mutation, we found no BRAF mutation in the invasive serous carcinoma (P=0.017). Also, there was only 1 BRAF mutation in MBT and no mutation in mucinous carcinomas. In addition, we found no mutation in the control group.Conclusion: The BRAF mutation is most frequent in borderline tumors but not in invasive serous carcinomas. It seems that 2 different pathways exist for the development of ovarian epithelial neoplasms: one for borderline tumors and the other for high-grade invasive carcinomas. Our study supports this hypothesis. The BRAF mutation is rare in mucinous neoplasms.
Mohammad Rahbar; Nooshafarin Safadel
Volume 1, Issue 4 , September 2006, , Pages 145-148
Abstract
Background and Objectives: Methicillin-resistant Staphylococcus aureus (MRSA) is a major cause of nosocomial and community acquired infections. Detection of MRSA in laboratories is very important for treatment and appropriate infection control. The aim of this study was to evaluate cefoxitin disk diffusion ...
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Background and Objectives: Methicillin-resistant Staphylococcus aureus (MRSA) is a major cause of nosocomial and community acquired infections. Detection of MRSA in laboratories is very important for treatment and appropriate infection control. The aim of this study was to evaluate cefoxitin disk diffusion method for detection of MRSA and comparison of this method with other conventional methods. Methods: A total of 175 clinical isolates of S. aureus isolated from clinical specimens were studied. The isolates were identified by conventional laboratory methods. In this respect, E-test MIC, cefoxitin and oxacillin disk diffusion methods, and MAST ID Methicillin strips were used for detection of MRSA. All disk diffusion methods were performed as recommended by NCCL and manufacturers’ guidelines. Results: Using E-test MIC, 53 out of 175 strains of S. aureus were resistant to methicillin. In addition, disk diffusion method using oxacillin disk showed that 52 strains are resistant to methicillin. In this respect, 8 strains had intermediate resistance to methicillin. For cefoxitin disk diffusion method, 52 strains were resistant to methicillin. This method had a good correlation with E-test MIC method. Meanwhile, MAST ID methicillin strips detected 47 strains that were resistant to mehicillin. Sensitivity and specificity for both cefoxitin and oxacillin disk diffusion methods were 98%and 100% respectively. However cefoxitin was better than oxacillin for detecting intermediate resistant strains of S. aureus. Sensitivity and specificity for MAST ID methicillin strips were 91% and 100% respectively. Conclusion: This study revealed that cefoxitin disk diffusion method is a good alternative for oxacillin disk diffusion method for detection of MRSA. This method is more reliable for identification of intermediate resistant strains of S. aureus.