Accuracy of Visual inspection with acetic acid (VIA) for early detection of cervical dysplasia in Tehran, Iran

Objective: To evaluate the accuracy of visual inspection with 5 acetic acid (VIA) when used to detect cervical cancer and its precursors. Methods: The study population included women attended Family Planning and Gynecological Clinic in Bagher Abad Health Center and Mirza Koochak Khan Hospital for regular cervical screening tests. After obtaining informed consent from each woman, VIA was performed. One hundred with a positive VIA test and 100 women with a negative VIA test were randomly selected for this study. Cytology and colposcopy examination were performed for all 200 cases and cervical biopsies were conducted for those individuals showing abnormal colposcopic findings. Results: Nine cases in VIA-positive group and two cases in VIA-negative group had an abnormal cytology. Ninety five women in the VIA-positive group and 25 in the VIA-negative group had abnormal colposcopic findings. From biopsy examination, 67 (71) of cases in the VIA-positive group and 3 (12) cases in the VIA-negative group had a final diagnosis of dysplasia. Among biopsied samples, only 7 cases of VIA-positive group showed abnormal result and the remaining were normal. Based on these results, VIA test sensitivity and specificity were 95.7 and 44.0 respectively, while they were 10 and 92 for cytology tests. Conclusions: The results of this study indicate that although VIA is a sensitive screening test for detection of cervical dysplasia, it can not be used by itself. Applying VIA along with Pap smears helps to detect a higher number of cases with cancer precursor lesions

Macroscopic and microscopical investigations of the effects of alcoholic extract of henna (Lawsonia inermis) on skin healing of experimentally induced tissue damage in macro fish (Labidochromis caeruleus)

One of the well-known herbal drugs is henna (Lawsonia inermis). According to the components in henna, several beneficial properties (i.e., antimicrobial, anti-inflammation, wound healing, trypsin inhibitory and antioxidant) have been reported. The present study was designed to investigate the effects of two natural substances (sodium chloride and henna extract) on experimental skin lesion due to pulling out scales and trypsin injection (0/02 ml, beneath dorsal fin). For this purpose, 54 fish in weight 5/5±0/55 of were divided to 3 groups, with eighteen fish in each group. Fishes were placed in laboratory condition in 22-25 ˚C. Two, four and six days after induction of skin injury, fishes were treated with different agents for 10 minutes. First group was treated in salt water 1%, second group in henna extract 0.5% and the control group without any additives. The fish were sampled weekly, 3 times by sampling from the wound. Macroscopic examination showed that color changes of wound place decreased in henna group in comparison with that other groups. In third week of healing, normal appearance of skin were seen in most of fishes in henna and salt groups. Microscopic study revealed a decrease in inflammatory cells infiltration in henna group second week after induction of skin injury. It seems that henna by decreasing inflammatory process, can also prevent skin damage and secondary infections that can help faster and more effective on wound healing than salt bath in fish

Malignant mixed mullerian tumor of the uterus associated with tamoxifen therapy in a patient with a history of breast cancer

Tamoxifen is the drug of choice in the treatment of breast cancer. Recent reports show an increased incidence of endometrial carcinoma in patients taking tamoxifen. In this article, we report a case of malignant mixed mullerian tumor after tamoxifen use. Copyright © 2006 by Razi Institute for Drug Research (RIDR)

The Evaluation of Total Antioxidant Capacity and Related Markers in Patients with Chronic Peritoneal Dialysis

Abstract: Introduction: Oxidative stress due to overproduction of reactive oxygen species and impairment in antioxidant defense mechanisms have been suggested as possible factors contributing to the pathogenesis of atherosclerosis in patients with end- stage renal disease. The aim of this study was to evaluate antioxidant markers of oxidative stress including glutathione and glutathione related enzymes [i.e. glutathione peroxidase (GPx) and glutathione reductase (GR)] as well as total antioxidant capacity in peritoneal dialysis (PD) patients. Methods: Twelve PD patients and 17 healthy controls (age range: 25-60 and 22-53 years respectively) were selected. Erythrocyte glutathione levels and plasma activities of GPx, GR and total antioxidant capacity were determined spectrophtometrically. Results: Glutathione levels and GPx activity were significantly lower in the patients group than in controls (1.17± 0.28 vs. 1.42± 0.25 µmol/ml and 57.1± 21.8 vs. 142.5± 31.7 U/L; p<0.05, respectively). Higher levels of GR activity and total antioxidant capacity were noted in patient group (57.5± 16.4 U/L and 0.60± 0.09 µmol/ml; respectively) in comparison to control group (32± 9.4 U/L and 0.47± 0.11 µmol/ml; p<0.05, respectively). Conclusion: Decreased glutathione levels and alteration in the activities of its related enzymes imply increased oxidative stress and disturbances of antioxidant defense systems in peritoneal dialysis patients. This condition may contribute to the development of accelerated cardiovascular disease and its morbidity and mortality in these patients. Keywords: Peritoneal dialysis, Oxidative stress, Glutathione, Glutathione peroxidase, Glutathione reductase, Total antioxidant capacit

Towards a bionic neural link for implantable prosthetics

Published versio

Comparison of metronidazole and ceftizoxime in prophylaxis of post-hysterectomy infections

Ceftizoxime is a common agent used in prophylaxis of infections after abdominal hysterectomy. Metronidazole could be used instead of ceftizoxime for this matter. To compare these two drugs, in a randomized clinical trial, 30 patients received metronidazole suppositories (1g) and 33 patients received intravenous ceftizoxime (1g) before surgery. There were not any significant demographic (age, weight, parity, hospitalization duration, pre-operation hemoglobin) differences between two groups. Also, the incision type and post-operation bleeding were the same in two groups. The complications after abdominal hysterectomy such as febrile morbidity, urinary tract infections and wound infections were not significantly different between two treatment groups. These results indicate that a single dose metronidazole has the same effect as ceftizoxime in infection prophylaxis of post-hysterectomy infection. Copyright © 2006 by Razi Institute for Drug Research (RIDR)

Isolation and genetic fingerprinting of Pseudomonas aeruginosa from Iranian patients with cystic fibrosis using RAPD-PCR

Abstract Sixty four Iranian patients with cystic fibrosis (CF) wer

Can we substitute brush cytology for biopsy in the evaluation of cervical lesions under the guidance of colposcopy?

In cervical cancer screening, colposcopically directed biopsy is the gold standard method for identifying intraepithelial and occult invasive lesions of the uterine cervix. As biopsy needs special expertise and the procedure is not convenient for the patients, we sought to evaluate colposcopically directed brush cytology as a substitute for biopsy of cervical lesions. We studied a series of 150 women who were referred for colposcopic evaluation. Colposcopically directed brush cytology and biopsy were performed for all patients with abnormal colposcopic findings. A total of 40 samples were excluded due to unsatisfactory report of brush cytology. Of the remaining 110 samples, 34 abnormal pathologies were reported in biopsy evaluations, while only 9 abnormal cytologies were reported in brush cytology specimens. Brush cytology sensitivity and specificity were 26 and 97, respectively. We conclude that colposcopically directed brush cytology is not a safe substitute for biopsy in the evaluation of cervical lesions. © 2005 IGCS