Inflammatory myofibroblastic tumor of the larynx: A case report

Introduction: Inflammatory myofibroblastic pseudotumors are initially described in the lung and various extrapulmonary sites such as the orbits, palatine tonsils, ears, gingiva, pterygomaxillary space, and periodontal tissues. These tumors rarely involve the larynx and predilection to the glottis occurs in an indolent manner. Case Report: This case describes a laryngeal myofibroblastic tumor in a 46-year-old woman who presented with an aggressive tumor that extended to the floor of the mouth and the base of the tongue. Extended supraglottic laryngectomy was undertaken for the patient. The diagnosis was spindle cell proliferation with dense lymphoplasma cell infiltration compatible with inflammatory myofibroblastic tumor (Inflammatory pseudotumor or plasma cell granuloma). Definitive diagnosis was achieved with immunohistochemical (IHC) staining. Conclusion: We believe that further IHC studies are required to define the true nature of these tumors especially for those that behave in an aggressive pattern

Internet Addiction and its Predictors in Guilan Medical Sciences Students, 2012

Background: Internet is one of the technologies of the modern era that is being extensively used around the world. It is believed that excessive Internet use can be pathological and addictive. Though, academic use of the Internet is primarily intended for learning and research, students are one of the groups at risk of Internet addiction. Objectives: Due to the expanding use of Internet among the university students, this study was conducted to examine the Internet addiction and its predictors among Guilan University of Medical Sciences students. Materials and Methods: A cross-sectional study was conducted on 583 students during the first semester of 2012. A two-stage stratified random sampling was conducted and a two-part instrument was used for data collection. The first part of the instrument was consisted of questions about demographic characteristics and the second part was the Young's Internet addiction inventory. Chi-square, Kruskal-Wallis testes, Spearman correlation coefficient and ranked logistic regression were used for data analysis. Results: About 5.7% of the students were moderately dependent to the Internet, while 44.1% were at risk for Internet addiction. Significant relationships were observed between the Internet addiction with age (P < 0.001), gender (P < 0.001), marital status (P < 0.001), major (P = 0.016), Grade point average (P = 0.017), semester of studying (P = 0.009) and student residence place (P = 0.014). However, no significant relationship was observed between the internet addiction score and level of discipline, parental job status and education level or the students’ accommodation. Conclusion: About half of the participants in this study were at risk of Internet addiction. This finding can be a warning sign for the authorities in universities to pay more attention to this issue. A wide range of education along with empowering programs may be needed to inform the university students about the advantages and disadvantages of internet and the correct manner of using it

How big should your nanoindentation be? The implications of indentation size in assessing the properties of complex structure

Drivers for testing small volumes of materials for assessing the mechanical properties are either (1) the sample you want to test is very small in the first place, such as measuring the hardness of a wear resistant coating which is in thin film form or (2) you can well-characterize a small volume or the small volume has some spatially distinct feature, such as probing properties near a grain boundary, or in two phase systems. Small scale mechanical testing using instrumented indentation generally requires minimal sample preparation and has high spatial fidelity, but creates complex loading states as opposed to uniaxial or biaxial applied stress methods. However, the ease of use and wide range of samples which are amenable for indentation testing has made this a common tool both for experimental assessment studies and for experimental validation of providing comparisons to simulations and predictions of mechanical properties. Please click Additional Files below to see the full abstract

Causes and risk factors of urinary incontinence: Avicenna's point of view vs. contemporary findings

Purpose: To extract the causes and risk factors of urinary incontinence from an old medical text by Avicenna entitled "Canon of Medicine" and comparing it with contemporary studies. Materials and Methods: In this study, etiology and risk factors of urinary incontinence were extracted from Avicenna's "Canon of Medicine". Commentaries written on this book and other old reliable medical texts about bladder and its diseases were also studied. Then the achieved information was compared with contemporary findings of published articles. Results: Urinary incontinence results from bladder dysfunction in reservoir phase. Bladder's involuntary muscles and voluntary external sphincter are two main components which are involved in this process. Urinary incontinence can exist without obvious structural and neuronal etiologies. According to Avicenna, distemperment of muscular tissue of bladder and external sphincter is the cause for urinary incontinence in such cases. Distemperment is the result of bothering qualities in tissue, i.e.: "wet" and "cold". They are the two bothering qualities which are caused by extracorporeal and intracorporeal factors. Interestingly, the positive associations of some of these factors with urinary incontinence have been shown in recent researches. Conclusion: "Cold" and "wet" distemperment of bladder and external sphincter can be independent etiologies of urinary incontinence which should be investigated

The Study of Cognitive Function and Related Factors in Patients With Heart Failure

Background: Cognitive impairment is increasingly recognized as a common adverse consequence of heart failure. Both Heart failure and cognitive impairment are associated with frequent hospitalization and increased mortality, particularly when they occur simultaneously. Objectives: To determine cognitive function and related factors in patients with heart failure. Materials and Methods: In this descriptive cross-sectional study, we assessed 239 patients with heart failure. Data were collected by Mini Mental status Examination, Charlson comorbidity index and NYHA classification system. Data were analyzed using descriptive statistics, Kolmogorov-Smirnov test, chi-square test, t-test and logistic regression analysis. Results: The mean score of cognitive function was 21.68 ± 4.51. In total, 155 patients (64.9%) had cognitive impairment. Significant associations were found between the status of cognitive impairment and gender (P < 0.002), education level (P < 0.000), living location (P < 0.000), marital status (P < 0.03), living arrangement (P < 0.001 ), employment status (P < 0.000), income (P < 0.02), being the head of family (P < 0.03), the family size (P < 0.02), having a supplemental insurance (P < 0.003) and the patient’s comorbidities (P < 0.02). However, in logistic regression analysis, only education and supplementary insurance could predict cognitive status which indicates that patients with supplementary insurance and higher education levels were more likely to maintain optimal cognitive function. Conclusions: More than a half of the subjects had cognitive impairment. As the level of patients cognitive functioning affects their behaviors and daily living activities, it is recommended that patients with heart failure should be assessed for their cognitive functioning

Evaluating the potential of a bivalve species from the intertidal zone of the Persian Gulf for biomonitoring of trace elements using a nondestructive analytical method

This study was carried out in order to evaluate the potential of the soft and hard tissues of a bivalve species (Callista umbonella) for biomonitoring of different elements in coastal areas of northern part of the Persian Gulf as well as to assess the possible use of PIXE (Proton Induced X-ray Emission) method in this regard. The bivalve specimens and surficial sediment samples were collected from three sampling sites located on the intertidal zone of Hormozgan Province in August 2014. Concentrations of the elements were determined using the non-destructive method, PIXE. Assessment of total organic matter (TOM) and grain size were also carried out in the sediment samples. Based on the results, of the 17 elements measured in the soft tissues, (Al, Br, Ca, Cl, Cr, Fe, K, Mg, Mn, Na, O, P, S, Si, Sr, Ti and Zn) in the case of P, Fe, Br and O significant differences were observed between the sampling sites. Of the 14 elements measured in the shells (Al, Br, Ca, Cl, Cu, Fe, Mg, Mn, Na, K, O, S, Si and Sr) only in the case of Si significant differences between the sites could be detected and of the 14 elements measured in the surface sediments (Al, Ca, Cl, Cr, Fe, Mg, Mn, Na, Ni, K, O, S, Si and Ti) in the case of Na, Mg, S, Cl, K , Ca, Ti and Fe significant differences were found between the sites. In each of the above cases, order of the elements accumulation was assessed and possible causes of the differences evaluated. In order to classify the elements based on their levels in the sediments, soft tissues and shells the multivariate analyses (principal component analysis and cluster analysis) were used. According to the gained results, C. umbonella can be considered as a potential candidate species for biomonitoring of a number of elements in the coastal area of the Persian Gulf

The Effect of Melatonin on Some Physiological and Morphological Characteristics of Coriandrum sativum L. and Anethum graveolens L. under Salt Stress

Introduction      Salinity is the most important environmental parameter limiting plant growth and productivity. The detrimental effects of high salinity on plants can be observed at the whole-plant level as the death of plants and/or decreases in productivity. Increasing salinity is accompanied by significant reductions in number of leaves per plant, shoot weight, root weight, shoot length, and root length. With an increase in salinity, water potential and osmotic potential of plants become more negative. Two medicinal species of Coriandrum sativum L. and Anethum graveolens L. are herbaceous and annual plants of the Apiaceae family, which have many uses in the pharmaceutical and food industries. Considering the importance of these two medicinal species and the increase of environmental stresses including salinity stress in recent years, this research aims to investigate the effect of external application of melatonin on resistance to salinity stress in Coriandrum sativum L. and Anethum graveolens L. species and its effect on some morphological and physiological characteristics of these two species under salt stress.   Materials and Methods      This research was conducted in a factorial experimental format based on a randomized complete block design with three replications. Experimental treatments include five levels of salinity (0, 40, 80, 120 and 160 mM) and two levels of melatonin foliar spraying (0 and 100 μM). After the end of the treatment period, the morphological and physiological characteristics of the plant were measured by the different methods. Data analyses were performed using SPSS software version 20. Results were analyzed using one-way analysis of variance (ANOVA) followed by Tukey’s multiple comparison test. The results were expressed as mean values and standard error (SE) of the means.   Results and Discussion      The results of variance analysis indicated that species, melatonin and salinity stress have a significant effect on all morphological factors at the p < 0.05. The results of compare means showed that the number of leaves in both plants has a significant decrease at the probability level of 5% with the increase in salinity. However, the amount of this decrease in the samples that have been affected by melatonin is lower than the samples without melatonin. The use of melatonin has reduced the negative effects of salinity stress in two plants, so that at the salinity level of 160 mM sodium chloride, the use of melatonin has increased the fresh and dry weight of coriandrum sativum L. shoots by 7 and 3.61 times, respectively. The results of variance analysis showed that melatonin and salinity stress have a significant effect on all pigments. The results shown that with the increase in the level of salinity stress, a significant decrease (p < 0.05) was observed in the amount of chlorophyll and anthocyanin pigments of two species. The results of variance analysis showed that species and melatonin have a significant effect at the p < 0.01 on all physiological parameters, and salt stress has a significant effect at the p < 0.01 on all the physiological parameters except of relative water content. Also, the interaction effects of species with salinity, species with melatonin, melatonin with salinity and the interaction of all three factors have a significant effect at the 1% probability level on the parameters of proline and total phenol.With the increase in salinity, the amount of total protein in both species decreased, but the amount of this decrease was lower in the plants that were treated with melatonin. In coriandrum sativum L. plant, the amount of total protein reduction at 160 mM salinity level is 42.31% compared to the control, but this reduction was 28.9% in the plants that were treated with melatonin. Also, in the Anethum graveolens L., the amount of total protein reduction at the salinity level of 160 mM was 29.78% and 21.06% respectively, in the samples without melatonin treatment and under melatonin treatment.   Conclusions      The results of variance analysis of the data showed that melatonin has a significant effect at the probability level of 1 and 5% on all morphological and physiological parameters measured in both plants. Also, the compare means showed that with the increase in the level of salinity stress, a significant decrease in the probability level of 5% was observed in the parameters measured in two plants. In general, the external application of melatonin moderates the negative effects of salinity stress, and therefore melatonin can be used to improve the growth of plants under stress