Atypical Presentation of Cytomegalovirus-Related Infantile Nephrotic Syndrome

Nephrotic syndrome is the most common glomerular disease in children. Most cases are idiopathic and the first episode is rarely related to cytomegalovirus infection, particularly after 3 months of age. We present a 7-month-old infant who developed atypical presentation of nephrotic syndrome secondary to cytomegalovirus infection. The patient was referred to undergo orchipexy due to right-sided undescended testis. Following the surgery, he developed fever, gastroenteritis and renal failure. A few days later, generalized edema and proteinuria were detected. Due to positive test results for cytomegalovirus, ganciclovir was administered. Remission of nephrotic syndrome was obtained within the first two weeks of the treatment. No relapse of nephrotic syndrome was detected during 12 months of follow up. We may conclude that in unexplained infantile nephrotic syndrome, CMV should be considered as one of the possible etiologies.Keywords: Nephrotic Syndrome; Cytomegalovirus; Infant; Ganciclovir; Edema; Proteinuria; Gastroenteritis

Determining the factors related to diabetes type II with mixed logistic regression

Background and aims: Diabetes type II (non-insulin dependent) which is one of the most prevalent diabetes types in the world emerges in people with the age of above 55 and genetic and environmental factors interfere in this disease. The aim of this study was to determine the factors affecting diabetes type II with generalized mixed linear model. Methods: Population of this study included 2820 people with the age of above 30 residing in Yazd Province who were selected using cluster sampling. To analyze the data, mixed logistic regression model was used in R software. Results: In this study, 25 of men and 24.3 of women had diabetes. The regression analysis showed that age, WHR, family diabetes record, and BMI of 001 were the factors affecting diabetes, while variables of gender, house area, and education were not significant. On the other hand, unknown factors of residence place had high correlation with affliction with diabetes. Conclusion: Based on the results obtained from this study, change of lifestyle and prevention of obesity can prevent affliction with diabetes to a great extent

Solitary Crossed Renal Ectopia with Vesicoureteral Reflux

Solitary crossed renal ectopia is a rare anomaly of the urinary tract. This anomaly is often diagnosed incidentally when patients are being evaluated for other associated findings including genitourinary, cardiovascular, hematological or vertebral abnormalities. We report a boy with solitary crossed renal ectopia that was considered a solitary normal positioning kidney by ultrasonography and dimercaptosuccinic acid scan.  However, voiding cystourethrogram revealed vesicoureteral reflux and crossed ectopia. Therefore, in any normal appearing solitary kidney, crossed ectopia may be a possible finding. Keywords: EctopicKidney; Vesico-Ureteral Reflux; Ureter.

Relationship of pupils' quality of life and academic achievement with the employment status of their mothers

Objective: One of the most important environmental factors affecting academic achievement and performance is the family especially mothers. The purpose of this study was to determine the relationship between quality of life (QOL) and the academic achievement of pupils with the employment status of their mothers. Methods: This cross-sectional study was conducted on 9th-grade students in Shiraz. A sample of 400 individuals was selected through a multi-stage sampling method from among the 9th-grade students and a questionnaire on academic achievement and quality of life was completed for them. Then data was entered into spss23 software and analyzed. The value of P <0.05 was considered a significant statistical level. Results: there was no significant difference between students who have employed and Housewife mothers about the student's academic achievements ant QOL score (P>0.05). According to the results of multivariate analysis, none of the variables was a significant predictor of the QOL and academic achievement in the students. Conclusion: The results of this study showed that there is not a significant association between the quality of life and academic achievement of students with their mothers' occupatio

The Association between Lifestyle-related Risk Factors and Coronary Artery Disease in Residents of Yazd Province: A Case-control Study

Background: This study was conducted to investigate the relation between risk factors related to lifestyle and coronary artery disease (CAD) in residents of Yazd province. Methods: In this hospital-based case-control study performed in Yazd province, 250 patients with CAD were compared with 250 controls matched for age and sex. Data were collected by using a researcher- made questionnaire. Data analysis was performed using Chi-square and Conditional Multiple Logistic Regression and through SPSS16. Results: History of Consumption of less than three servings of fruit in week, with an odds ratio of 8.4 (95%CI: 1.56-45.18) and more than three times egg in week with an odds ratio of 4.05 (95%CI: 1.13-14.5, P=0.03) increased the chance of getting CAD. However, no significant relationship was found for history of consumption of oil, dairy, red meat, fried foods and fast foods. The number of daily smoked cigarettes was the only non-nutritional factor that showed significant relationship with CAD (P=0.01). Conclusion: Overall, insufficient intake of fruits, high consumption of egg and the number of cigarettes smoked daily were identified as the most important life style-related risk factors for getting CAD. Therefore, measures for decreasing these risk factors in Yazd Province are necessary

Exploring the nutritional beliefs of pregnant women in Yazd city

Introduction: During the pregnancy, a woman as a  healthy person grows another human being in her body and needs more cares due to  changes in psychological and physical needs. This study aimed to explore the nutritional beliefs of pregnant women in Yazd city. Methods: This was a qualitative study conducted with a conventional content analysis approach. A total of 12 participants were selected from women referred to the community health centers in Yazd, Iran, by the purposeful sampling method. Data were collected through recorded semi-structured interviews that were transcribed verbatim and analyzed by the Lundman and Granheim’s content analysis method. Results: In this study, after analyzing the data, 10 main categories and 26 subcategories were extracted. The codes were 446 cases with no overlap, which was reduced after careful review and integration of similar items. Topics of categories included: The concept of nutrition during pregnancy, Nutrition limitations during pregnancy, Myths about food during pregnancy, Doubts about nutrition during pregnancy, Pregnancy food style, Sources of nutritional information in pregnancy, Positive Consequences of Healthy Nutrition in Pregnancy, Consequences of inappropriate pregnancy nutrition, Religious Beliefs in Pregnancy Nutrition, social support. Conclusion: The results indicated that the women were committed to their own nutritional beliefs that derive from their culture and this study provided a clear picture of the cultural beliefs of Yazdi women regarding pregnancy nutrition. According to the results, it is necessary to design the education process based on the culture of the community in order for that process to be effective

The Status of Smokeless Tobacco Use and its Associated Factors Among the Business Guilds Population of Chabahar

Purpose: Use of smokeless tobacco is a major preventable cause of premature death and diseases. It leads to over 5 million deaths annually worldwide. This study aimed to investigate the status of smokeless tobacco use and its associated factors among the business guilds population of Chabahar City, Iran. Method: The present descriptive cross-sectional study was conducted on 320 users of various types of smokeless tobacco selected by simple random sampling method. Data were collected using a researcher-made demographic questionnaire, smokeless tobacco inventory, attitude questionnaire, and behavior questionnaire. The validity and reliability of these tools were confirmed in the previous studies. Data were analyzed in SPSS using descriptive (mean, standard deviation, frequency, and %age) and inferential statistics (Kruskal-Wallis and Exact Fisher test). Results: Most of the participants used the chewing tobaccos Gutkha and Pan-Parag (24%, 95% CI= 28.7-19.4 and 23%, 95% CI= 27.7-18.5, respectively). The mean scores (standard deviations) of the participants\u27 behavior and attitude were 7.71 (2.59) and 22.34 (7.60), respectively. The results of bivariate analysis indicated no significant difference among different smokeless tobacco groups regarding the attitude scores (P = 0.104). A significant association was observed among different groups of smokeless tobacco regarding the behavioral scores (P = 0.007). Conclusion: The scores of attitude and behavior were significantly low among the business guilds population of Chabahar City regarding consumption of smokeless tobacco. Therefore, effective steps should be taken urgently to launch social awareness programs to educate people about the consequences of tobacco use and effectiveness in curbing the problem

Effects of low-dose contraceptive pills on the risk factors of cardiovascular diseases among 15-35-year-old women: A retrospective cohort

Background: Cardiovascular diseases could be preventable; as a result, understanding the risk factors was regarded as the major priority for healthcare providers. Objective: The main objective of this research was to achieve a deeper insight into the effect of long-term use of low-dose oral contraceptive pills (OCP) on the risk factors of cardiovascular diseases. Materials and Methods: This research was a retrospective cohort conducted (historical and prospectively) conducted on 100 women with normal menstrual cycles aged 15 to 35 yr, who were referred to the healthcare centers in Yazd, Iran. The participants were categorized into two groups: The OCP group was consuming the pills for 3, 4-23, and 24-36 months, and the non-OCP group. Participants were followed up for a minimum of 3 months and a maximum of six months. Results: The highest level of low-density lipoprotein (LDL), homocysteine, cholesterol, triglyceride levels, and systolic blood pressure was observed in the OCP group in the duration of 24 to 36 months. The Tukey’s test demonstrated that there were comprehensible differences in the LDL (p = 0.01), cholesterol (p = 0.01), triglyceride (p < 0.001), and homocysteine levels (p < 0.001), also systolic blood pressure (p = 0.04). Conclusion: It was realized that the long-term consumption of low-dose OCP can augment the incidence of some risk factors (systolic blood pressure, homocysteine levels, cholesterol, LDL-c, and triglyceride) and lead to developing cardiovascular diseases amongst the healthy women. Key words: Birth control pills, Homocysteine, Nitric oxide, Dyslipidemias, Coronary artery diseases

The comparison of depression and anxiety between fertile and infertile couples: A meta-analysis study

Background: Depression and anxiety are the most common reaction in infertile couples. Several studies have been conducted to examine the psychiatric disorders among infertile and fertile couples. Objective: This meta-analysis was conducted to compare the depression and anxiety in fertile and infertile couples in various studies. Materials and Methods: The authors searched articles published in multiple databases including World Health Organization, PubMed, Cochrane Library, Scopus, Science Direct, Medline EMBASE and Persian databases including Scientific Information Database (SID) and IranMedx between 2005 and 2017. The main keywords used for searching the databases were: depression, anxiety, infertility, and fertility. Statistical analyses were performed using Comprehensive Meta-Analysis/2.0 software. Results: The authors found 42 related articles after searching the databases. 11 articles entered the meta-analysis after considering the inclusion and exclusion criteria. Finally, eight articles were chosen for the comparison of depression and anxiety, two published articles for the comparison of depression, and one published article to compare anxiety in fertile and infertile couples. The results of the heterogeneity test showed a significant heterogeneity among all articles that were analyzed in this meta-analysis in the field of depression and anxiety. The results showed that depression (p = 0.0001; Hedges’g= 1.21; 95% CI 0.63–1.78) and anxiety (p = 0.00001; Hedges’g = 0.63; 95% CI 0.54–0.73) were higher in infertile couples than fertile couples and that the possibility of a publication bias does not exist in this study. Conclusion: The analysis of articles used in this meta-analysis showed that depression and anxiety scores in infertile couples were higher than fertile couples. Key words: Depression, Anxiety, Infertility, Meta-analysis