51 research outputs found

    Clinicopathologic Characteristics of Multifocal Gastric Adenocarcinoma

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    BACKGROUNDANDOBJECTIVE: Gastric cancer is the fifth prevalent cancer in worldwide. Among of this, adenocarcinoma is more than 95% of all case and most prevalent. According to gastric adenocarcinoma is resistant to adjuvant therapy, surgical resection is the cardinal strategies of treatment. One of the problems with treating adenocarcinoma of the stomach is that its main causes are malignant or pre-malignant changes in the residual gastric tissue that may be neglected during resection. By recognizing these lesions and resection, they can be expected to reduce the malignancy. Therefore, this study was conducted to investigate the characteristics of non-tumoral gastric tissue in terms of malignant or pre-malignant changes. METHODS: In this retrospective cross-sectional study, 112 patients who had undergone total gastrectomy in the hospitals affiliated to Babol University of Medical Sciences during the period of 2013-2017 were examined and analyzed for age, sex, type and location of tumor. FINDINGS: Of 112 cases that studied,72 cases (64.3%) were male and 40 cases (35.7%) were female. The mean of ages was 64.7±8.6 year. Poorly differentiated pathology in 60.7% and well differentiated pathology in 39.3% of patients were seen. In 64 patients (57%), there was synchronous lesions in addition to primary pathology. These synchronous lesions were related statistically significant to pathology, cancer stage and gender. CONCLUSION: Based on the results of this study, it can be concluded that resection should be accompanied by considering simultaneous lesions in addition to primary pathology, which can be a reason for total gastrectomy as a standard treatment for gastric cancer

    High-Risk and Low-Risk Human Papillomavirus in Esophageal Squamous Cell Carcinoma at Mazandaran, Northern Iran

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    Cancers are the second most common cause of nonaccidental deaths in Iran, following cardiovascular deaths. Mazandaran, near the Caspian Littoral at north of Iran have identified as a several-high incidence area for Esophageal Squamous Cell Carcinoma (ESCC) in the world. Several associated risk factors, such as dietary and cultural habits, infectious agents, nutritional deficiencies, too much use of tobacco and alcohol and infection to certain DNA tumor viruses (HPVs), including environmental and genetic factors are attributed to this disease. To explore this issue, we analyzed HPV DNA prevalence and HPV types together in relation to tumor sites a high-incidence population. Archived tissue blocks from 46, 69 and 62 upper, middle and lower third of esophagus, respectively from ESCC patients were evaluated for the presence of HPV DNA by PCR using the degenerate HPV L1 consensus primer pairs MY09/MY11. The positive specimens were evaluated by Real-time PCR to determine HPV genotypes. From the 49 HPV positive cases, of ESCC patients, 5 (23.1%), 11 (55 %) and 9 (56.3 %) of upper, middle and lower third of ESCC specimens, respectively were positive by at least one high and one low-risk HPV genotypes. In general, HPV45 and HPV11 were the most common high- risk and low-risk HPV genotypes in HPV L1 positive cases, respectively, followed by HPV6, HPV52 and HPV39. Therefore, the high prevalence of HPV DNA in different anatomical sites of ESCC patients from the Mazandaran region in North of Iran provides more evidence for a role of HPV in this cancer

    Evaluating the Efficiency of Jackson Model in the Learning of the Learners in an Adaptive Learning System

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    One of the most important parameters in personalization of adaptive learning web-based educational systems is learning style. Up to now, various  learning styles proposed and this paper tries to evaluate the efficiency of using one of them, Jackson model. In this study, we  categorized students as model says and delivered learning content matched to each group learning style.  Findings of the study indicate differences in performance between matched and non-matched students in one case of the study and in the other case, demonstrate no significant difference. Although these results pertain to an undergraduate educational session, however our proposed framework is general enough to be applied to effective and efficient pedagogy in any area at any level

    The Prevalence of Odontogenic Cysts and Tumors in Babol, North of Iran

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    BACKGROUND AND OBJECTIVE: Odontogenic cysts and tumors exclusively develop in the jaws from odontogenesis tissues. Given the importance of the early diagnosis and proper treatment, the present study aimed to determine the prevalence of these lesions in a population from the North of Iran during a 22-year survey. METHODS: This cross-sectional study was conducted by investigating the records in the archives of Shahid Beheshti Hospital of Babol affiliated with the Department of Pathology of School of Dentistry from 1990 to 2012. The demographic features of the subjects including age, gender, anatomic pathology and clinical and pathological lesions were collected in the form of data which were recorded and evaluated. FINDINGS: Out of a total of 8956 samples with oral lesion dysfunctions, 317 cases of odontogenic cysts and 53 cases of odontogenic tumors were discovered which belonged to 205 men (55.4%) and 165 women (44.6%). The mean age of these patients was 15.15 ± 28.75 years (ranging from 2 to 79 years). Among the cysts, radicular cyst accounted for the highest prevalence (67.8%) while ameloblastoma was the most frequent odontogenic tumor (82.6%). Moreover, the lesions most commonly developed in the maxillary anterior and the posterior mandibular region, respectively. CONCLUSION: According to the results of this study, the incidence of odontogenic tumors is lower compared to the incidence of odontogenic cysts in the north of Ira

    The Effect of Hepatitis B Vaccination at Birth on Reducing the Prevalence of Hepatitis B Surface Antigen among Rural Pregnant Women in Babol, Iran

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    BACKGROUND AND OBJECTIVE: Hepatitis B virus infection is regarded as a major factor for chronic liver disease and cirrhosis, worldwide. Hepatitis B is most commonly transmitted from mother to child at birth (perinatal transmission). In this study, we aimed to determine the prevalence of hepatitis B surface antigen (HBsAg) among rural pregnant women, who had received vaccination at birth, based on the national hepatitis B vaccination program, implemented in Iran in 1994. METHODS: This cross-sectional study was performed on all rural women, born in years 1993-1999, who had received hepatitis B vaccination according to the national program and had become pregnant during 2007-2014. In order to diagnose the disease, the status of HBsAg marker was recorded and evaluated by reviewing the subjects' health records. FINDINGS:Among 1065 pregnant women, only 2(0.18%) cases were HBsAg-positive; The mother of one of these two cases was diagnosed with hepatitis B infection CONCLUSION: The results of this study indicated that the national vaccination program had a considerable impact on reducing the prevalence of hepatitis B virus infection among women of reproductive age. Continuous vaccination of newborns and high-risk groups and screening programs for pregnant mothers should be also prioritized in the national program

    EFFECTS OF A MODIFIED SIMA PROCESS ON THE STRUCTURE, HARDNESS AND MECHANICAL PROPERTIES OF Al-12Zn-3Mg-2.5Cu ALLOY

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    A modified strain-induced melt activation (SIMA) process was applied and its effect on the structural characteristics and hardness of the aluminum alloy Al–12Zn–3Mg–2.5Cu was investigated. Specimens subjected to a deformation of 40% at 300 °C were heat treated at various times (10-40 min) and temperatures (550-600 °C). Microstructural studies were carried out using optical and scanning electron microscopies (SEM). Results showed that the best microstructure was obtained at the temperature and time of 575 °C and 20 min, respectively. The hardness test results revealed superior hardness in comparison with the samples prepared without the application of the modified SIMA process. T6 heat treatment including quenching to 25 °C and aging at 120 °C for 24 h was employed to reach to the maximum strength. After the T6 heat treatment, the average tensile strength increased from 231 MPa to 487 and 215 MPa to 462 for samples before and after strain-induced melt activation process, respectively. Ultimate strength of globular microstructure specimens after SIMA process has a lower value than as-cast specimens without SIMA proces

    Diels-Alder versus

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