The effect of Coronavirus disease pandemic on maternal and neonatal health: A cohort study from Isfahan, Iran

Background: The Coronavirus disease-2019 (COVID-19) pandemic may profoundly impact on maternal and neonatal health worldwide. However, a few studies have investigated this topic. Objective: This study aimed to investigate the impact of the COVID-19 pandemic on maternal and neonatal health. Materials and Methods: This retrospective cohort study analyzed collected data from March to May 2020, and the same period in 2019, involving 5711 pregnant women referring to comprehensive healthcare centers in Isfahan province health facilities, Iran. Pregnant women and neonates were followed-up until 40 days after the delivery. Demographic characteristics, pre-pregnancy, antenatal care, and postpregnancy variables were collected. Results: A total of 5,711 pregnant women were studied, of whom 3477 (61%) were referred in 2019 (before the COVID-19 pandemic as nonexposed) and 2234 (39%) during the COVID-19 pandemic (as exposed group) in 2020. For those living in cities with a population of > 20,000, the number of antenatal care were lower about 2% compared to nonexposed group (p = 0.01). The number of mothers with a history of the underlying disease who referred to a comprehensive healthcare center during the COVID-19 pandemic (47%) was lower about 6% compared to nonexposed group (41%) (p < 0.001). During the COVID-19 pandemic, the prevalence of hypertension and gestational diabetes mellitus was 5% (n = 109) and 20% (n = 445), which were higher about 2% and 4%, respectively, compared to nonexposed group. The COVID-19 pandemic had no other significant effect on mothers’ and neonates’ other characteristics than nonexposed group. Conclusion: The COVID-19 pandemic imposes no significant effect on mothers’ and neonates’ health compared to nonexposed group. Key words: Maternal health, Neonatal health, Pregnancy, COVID-19

Effect of Condensation Pressure on Microleakage of Mineral Trioxide Aggregate

Objective: The aim of this study was to assess the effect of condensation pressure on microleakage of mineral trioxide aggregate (MTA). Methods: This in vitro experimental study was conducted on 55 sound single-rooted straight-canal extracted human teeth. The teeth were sectioned at the cementoenamel junction (CEJ) and at 3 mm above the root apex. The roots were mounted in putty. Samples were then divided into three experimental groups (n=15) and positive and negative control groups (n=5). After filing of the root canals to file #50, white ProRoot MTA paste was prepared according to the manufacturer’s instruction and applied to the canals using condensation pressure of 0.44, 3.22 and 8.88 Mpa in groups one to three, respectively. After a 48-hour setting time, each root was connected to the fluid filtration system to measure microleakage. The mean microleakage rate of the groups was calculated and compared using one-way ANOVA and least significant difference test.Results: The mean microleakage with condensation pressure of 0.44, 3.22 and 8.88 MPa was 1.70×10-4, 1.17×10-4  and 0.48×10-4 µL/minute, respectively. One-way ANOVA showed that the mean microleakage rate was significantly different among the groups (P<0.05). The lowest microleakage was observed in condensation pressure of 8.88 MPa.Conclusion: Within the limitations of this study, the results showed that increase in condensation pressure decreased the rate of microleakage

Serumski srčani troponin I kao biljeg srčane degeneracije uzrokovane pokusnim trovanjem ovaca salinomicinom.

Salinomycin is an ionophore with antimicrobial properties. It is a dietary additive used as a growth promoter for ruminants and as a coccidiostat in chickens. However, over-dosage or misuse situations can lead to a series of toxic syndromes. Cardiac troponin I (cTnI) is the part of the troponin complex (I, C and T) within the sarcomere in myocardial cells that regulates contraction of the heart muscle. cTnI is released from injured myocardiocytes into circulation, so it can be a specifific biomarker in myocardial necrosis. The purpose of this study is to propose cTnI for diagnostic cardiac degeneration induced by experimental toxicosis with salinomycin in sheep. Twenty Iranian mixed breed adult female fat-tailed sheep (BW: 33.3 ± 3.4 kg) were used in this study. The sheep were randomly divided in to five equal groups. Group I (control) received 20 mL normal Saline. Groups II, III, IV and V were orally administered 1 mg/kg (twice a day for two days), 2, 3 and 4 mg/kg (once a day for two days) salinomycin, respectively. Following drug administration, blood samples were collected at different time intervals (2, 5, 8, 14 and 21 days) in order to determine various biochemical parameters (cTnI, CK, LDH, ALT and AST). In all groups, the heart sounds of the animals were carefully heard and electrocardiogram (ECG) was taken to determine the type of probable arrhythmia. The results illustrated a significant increase in the activity of cTnI. Numerous arrhythmias were recorded, such as: sinus tachycardia, supraventricular tachycardia, sinus arrhythmia and supraventricular premature contraction. All animals with arrhythmias showed a significant increase in the activity of cTnI. Cardiac muscle necrosis observed macroscopically on post mortem examination revealed myocardial degeneration. Overall, the results of this study indicate that cTnI may be considered as a valuable biomarker in diagnosing cardiac degeneration due to salinomycin toxicosis.Salinomicin je ionofor s antimikrobnim svojstvima. Rabi se kao dodatak hrani koji u preživača ima ulogu promotora rasta, a u pilića ulogu kokcidiostatika. Prevelike količine i pogrešna uporaba salinomicina mogu dovesti do teških sindroma trovanja. Srčani troponin I (cTnI) je dio troponinskog kompleksa (I, C i T), unutar sarkomere srčanih mišićnih stanica, koji regulira kontrakcije srčanog mišića. Budući da se oslobađa iz oštećenih miokardiocita u krvotok, cTnI može biti specifičan biomarker kod nekroze srčanog mišića. Svrha istraživanja bila je predložiti da se cTnI primjeni u dijagnostici srčane degeneracije uzrokovane pokusnim trovanjem ovaca salinomicinom. U istraživanje je bilo uključeno 20 odraslih, masnorepih ovaca, križanki iranskih pasmina (TM: 33,3 ± 3,4 kg). Ovce su metodom slučajnog izbora bile podijeljene u pet skupina iste veličine. Skupina I (kontrola) dobila je 20 mL otopine soli. Skupine II, III, IV i V dobile su oralnim putem salinomicin i to u količini od 1 mg/kg (dva puta dnevno kroz dva dana), odnosno 2, 3 i 4 mg/kg (jednom dnevno kroz dva dana). Odmah nakon toga uzimani su uzorci krvi u različitim vremenskim razmacima (2, 5, 8, 14 i 21 dana) s ciljem određivanja različitih biokemijskih pokazatelja (cTnI, CK, LDH, ALT i AST). U svim skupinama pažljivo su osluškivani srčani tonovi i određivan elektrokardiogram s ciljem otkrivanja tipa moguće srčane aritmije. Rezultati pokazuju značajno povećanje aktivnosti cTnI. Zabilježene su i mnoge aritmije kao što su sinusna tahikardija, supraventrikularna tahikardija, sinusna aritmija i supraventrikularna preuranjena kontrakcija. Sve su životinje uz aritmiju očitovale i značajno povećanje aktivnosti cTnI. Razudbom nakon uginuća makroskopski je opažena nekroza i degeneracija srčanog mišića. Zaključno, rezultati istraživanja pokazuju da cTnI može biti vrijedan biomarker u dijagnostici srčane degeneracije prouzročene trovanjem salinomicinom

Increased Demand for Blood Transfusion in Cardiac Surgery: Simple but Unsolved Common Problem

Background: Despite the general concern about the safety of blood transfusion and mounting evidence exist for more restrictive practice; there is no national consensus guideline and uniformity of institutions for blood transfusion associated with coronary artery bypass graft surgery in Iran. The aim of this study is an assessment of current transfusion practice and compares it with one decade ago.Method: The authors retrospectively analyzed the data of all patients undergoing elective surgery (first time operation) during one year, in two different decade interval (2003 and 2015) in a tertiary heart center.Results: A total of 801 patients were evaluated and compared (n=249 in 2015, n=552 in 2003). There is a significant increase in use of blood transfusion in both operating room and at ICU than the last decade (60.6% vs. 42.4%, P<0.001, and 54.4% vs. 39.9%, P <0.001, respectively). The incidence of preoperative anemia was four times higher in patients who received transfusion, compared to those who did not, in both groups. With compared to the past, the patients are older, have less preoperative hematocrit, more diabetic, more need to intra-aortic balloon pump, shorter operation time, and less postoperative bleeding .Conclusion: With advanced knowledge about transfusion complications and conservative approach to transfusion practice, the need to blood transfusion is increased in current cardiac operations in our center, due to association of more co-morbidities

Food-dependent exercise-induced anaphylaxis due to wheat in a young woman

Food Dependent Exercise-Induced Allergy is a rare condition. However, the occurrence of anaphylaxis is increasing especially in young people. The diagnosis of anaphylaxis is based on clinical criteria and can be supported by laboratory tests such as serum tryptase and positive skin test results for specific IgE to potential triggering allergens. Anaphylaxis prevention needs strict avoidance of confirmed relevant allergen. Food-exercise challenge test may be an acceptable method for diagnosis of Food Dependent Exercise-Induced Allergy and dietary elimination of food is recommended to manage it. In this study, a 32 year-old woman visited the allergy clinic with a history of several episodes of hives since 11 years ago and 3 life-threatening attacks of anaphylaxis during the previous 6 months. The onsets of majority of these attacks were due to physical activity after breakfast. On Blood RAST test, the panel of common food Allergens was used and she had positive test only to wheat flour. On skin prick tests for common food allergens she showed a 6 millimeter wheal with 14 mm flare to Wheat Extract. The rest of allergens were negative. The patient was diagnosed as wheat-dependent exercise-induced, and all foods containing wheat were omitted from her diet. In this report we emphasized on the importance of careful history taking in anaphylaxis diagnosis

Determinants of perivascular adipose tissue stranding as a novel imaging marker and its relation to inflammatory biomarker high-sensitivity C-reactive protein

Purpose: This study aimed to examine the relationship of perivascular adipose tissue (PVAT) stranding in coronary computed tomography angiography (CCTA) with high-sensitivity C-reactive protein (hsCRP) and the determinants of PVAT stranding in coronary artery disease (CAD) patients. Material and methods: This retrospective cross-sectional study was done by collecting data from CAD patients who were referred to Rajaie Cardiovascular Centre between January 2018 and September 2020, with CCTA and hsCRP test 72 hours apart from the CCTA. PVAT stranding was defined as irregular obscuration of PVAT adjacent to the coronary arteries. An attempt was made to find a correlation between included variables and PVAT stranding by comparing them between 2 groups: patients with and without PVAT stranding. Results: From 92 patients, 31 participants had PVAT stranding, and statistically significant higher levels of hsCRP were detected in them (p = 0.007). We demonstrated significantly higher prevalence of history of hyperlipidaemia (OR = 3.83, p = 0.029), high-risk plaque features (OR = 11.80, p = 0.015), and obstructive coronary luminal stenosis (OR = 3.25, p = 0.025) in patients with PVAT stranding. Also, significantly higher PVAT attenuation was detected in patients with PVAT stranding (p < 0.001) independently from mean attenuation of epicardial fat. Conclusion: PVAT stranding could be used as a novel non-invasive marker in CCTA of CAD patients. More studies focusing on patient outcomes are required to better evaluate the reliability and prognostic value of this marker

The effect of hydroalcoholic extracts of Zizipus vulgaris L. on burn healing

زمینه و هدف: از قدیم میوه عناب جهت ترمیم زخم سوختگی مورد استفاده قرار می گرفته است ولی این امر از نظر علمی مورد بررسی قرار نگرفته است. این مطالعه به منظور بررسی اثرات عصاره ی میوه ی عناب بر فرآیند التیام زخم سوختگی در موش Balb/c انجام شده است. روش بررسی: این مطالعه تجربی بر روی 40 سر موش Balb/c به وزن تقریبی 3±30 گرم انجام شد. پس از ایجاد زخم های سوختگی به مساحت 5/1سانتیمتر مربع و تایید سوختگی درجه دو موش ها در چهار گروه کنترل، تحت درمان با وازلین و تحت درمان با عصاره های 1 و 10 عناب تقسیم شدند. در گروه های تحت درمان، 1 گرم پماد روزی 2 بار، تا التیام کامل استعمال شد. سپس چهار گروه از نظر مساحت زخم و وضعیت هیستوپاتولوژی مقایسه شدند. یافته ها: بر اساس آزمون کروسکال والیس تفاوت معنی داری بین درصد بهبودی زخم در 4 گروه وجود داشت (001/0

Screening role of complete blood cell count indices and C reactive protein in patients who are symptomatic for COVID-19

INTRODUCTION: Diagnosis of COVID-19 is through polymerase chain reaction (PCR) or typical involvement of the lung by the virus in computed tomography (CT) scan. However, PCR is not always available, and also CT scan has a high dose of radiation. This study was performed to find the role of complete blood cell (CBC) indices and qualitative C-reactive protein (CRP) in screening of symptomatic patients.MATERIAL AND METHODS: A diagnostic accuracy study was performed on symptomatic cases in Abadan. Four stepwise logistic regression models were designed that the outcomes were PCR positivity, CT scan positivity, PCR and CT scan positivity, and COVID-19 positivity (i.e., PCR or CT scan positivity). Post-estimation receiver operating characteristics (ROC) curve analysis was performed to report the area under the curve (AUC).RESULTS: A total of 104 patients were studied. The most accurate model was for the prediction of CT scan positivity (AUC = 0.874) in which the predictors were age [odds ratio (OR) =1.063] and CRP (OR = 2.661 for each plus of positivity). The second accurate model was for the prediction of COVID-19 positivity (AUC = 0.828) in which the predictors were white blood cell count (OR = 0.735 for every 1000 counts per μL) and neutrophil per lymphocyte ratio (OR = 1.248).CONCLUSIONS: Higher levels of CRP are associated with and predictor of lung involvement in COVID-19 infection. CRP qualitative levels can be measured before a CT scan if there is no other indication for imaging

Molecular epidemiology and genotype distribution of Human Papillomavirus (HPV) among Arab women in the state of Qatar

Background: Human Papilloma Virus (HPV) infection is the major cause of cervical cancer worldwide. With limited data available on HPV prevalence in the Arab countries, this study aimed to identify the prevalence and genotypic distribution of HPV in the State of Qatar. Methods: 3008 cervical samples, exclusively of women with Arabic origin residing in Qatar were collected from the Women’s Hospital and Primary Health Care Corporation in Doha, State of Qatar. HPV DNA detection was done using GP5+/6+ primers based real time-polymerase chain reaction (RT-PCR) assay followed by the usage of HPV type specific primers based RT- PCR reactions and Sanger sequencing for genotype identification. Results: Similar prevalence rates of HPV infection was identified in both Qatari and non-Qatari women at 6.2% and 5.9% respectively. HPV prevalence rate of 5.8% and 18.4% was identified in women with normal cytology and in women with abnormal cytology respectively. HPV 81, 11 and 16, in decreasing order were the most commonly identified genotypes. HPV 81 was the most frequent low-risk genotype among women with both normal (74.0%) and abnormal (33.3%) cytology. HPV 16 (4.6%) was identified as the predominant high-risk HPV genotype among women with normal cytology and HPV 16, HPV 18, and HPV 56 (22.2% each) were the most common identified high-risk genotypes in women with abnormal cytology Conclusions: The overall HPV prevalence in Arab women in Qatar was identified as 6.1% with an increased HPV prevalence seen in women with abnormal cytology results and no significant trends seen with age. In contrast to Western countries, we report a varied genotypic profile of HPV with a high prevalence of low-risk HPV genotype 81 among the Arab women residing in Qatar.Weill Cornell Medical College in Qatar; and by a grant from the Qatar National Research Fund (NPRP- 09-344-3-082)

Detection of Carious Lesions and Restorations Using Particle Swarm Optimization Algorithm

Background/Purpose. In terms of the detection of tooth diagnosis, no intelligent detection has been done up till now. Dentists just look at images and then they can detect the diagnosis position in tooth based on their experiences. Using new technologies, scientists will implement detection and repair of tooth diagnosis intelligently. In this paper, we have introduced one intelligent method for detection using particle swarm optimization (PSO) and our mathematical formulation. This method was applied to 2D special images. Using developing of our method, we can detect tooth diagnosis for all of 2D and 3D images. Materials and Methods. In recent years, it is possible to implement intelligent processing of images by high efficiency optimization algorithms in many applications especially for detection of dental caries and restoration without human intervention. In the present work, we explain PSO algorithm with our detection formula for detection of dental caries and restoration. Also image processing helped us to implement our method. And to do so, pictures taken by digital radiography systems of tooth are used. Results and Conclusion. We implement some mathematics formula for fitness of PSO. Our results show that this method can detect dental caries and restoration in digital radiography pictures with the good convergence. In fact, the error rate of this method was 8%, so that it can be implemented for detection of dental caries and restoration. Using some parameters, it is possible that the error rate can be even reduced below 0.5%