Prevalence of depression among infertile couples in Iran: A meta-analysis study

Background: Several studies have been conducted in Iran in order to investigate the prevalence of depression among infertile couples. However, there is a remarkable diversity among the results. This meta-analysis was conducted to estimate an overall prevalence rate of depression among infertile couples in Iran. Methods: International and national electronic databases were searched up to June 2011 including MEDLINE, Science Citation Index Expanded, Scopus, SID, MagIran, and IranMedex as well as conference databases. Furthermore, reference lists of articles were screened and the studies' authors were contacted for additional references. Cross-sectional studies addressing the prevalence of depression among infertile couples were included in this meta-analysis. We assessed 12 separate studies involving overall 2818 participants of which 1251 had depression. Results: Overall prevalence rate of depression among infertile couples was 0.47 (95% CI: 0.40, 0.55). The prevalence rate of depression was 0.44 (95% CI: 0.32, 0.56) during 2000 to 2005 and 0.50 (95% CI: 0.43, 0.57 during 2006 to 2011. The prevalence rate of depression was 0.46 (95% CI: 0.39, 0.53) among women and 0.47 (95% CI: 0.40, 0.54) among men. Conclusion: Not only the prevalence of depression in infertile couples was high but also had increasing growth in recent years. Furthermore, despite many studies conducted addressing the prevalence of depression in infertile couples, there is however a remarkable diversity between the results. Thus, one can hardly give a precise estimation of the prevalence rate of depression among infertile couples in Iran now

Assessment of questionnaires measuring quality of life in infertile couples: A systematic review

Background: Infertility has potentially inappropriate effects on quality of life in infertile couples. Various general and specific questionnaires have been structured for assessing different aspects of quality of life in infertile men, women, or couples. The present systematic review was designed to assess these questionnaires and also identify different factors affecting infertile couples based on the aforesaid questionnaires. Methods: The research strategy involved general and specific terms in relation to couples's infertility and their quality of life. A review was done for studies published from 1982 to 2012 that were indexed in Medline, ISI Web of Science and Scopus as well as abstract books on this subject. We also corresponded with the authors of the references in related studies for introducing more resources and references. Results: In all reviewed studies, different aspects of the quality of life in couples were evaluated including sexual, psychological, social, communicational, environmental, occupational, medical, as well as economical ones. In total, after initial screening of all studies, 10 general and 2 specific questionnaires were retrieved. Although no meta-analysis was found in the review, infertility had a negative effect on quality of life in couples. Conclusion: This study revealed that some general questionnaires such as SF-36 and WHO-QOL were mostly used for assessing quality of life in infertile couples and some specific questionnaires such as FERTI-QoL and Fertility Problem Inventory were rarely used. Thus, it seems that the evaluation of quality of life in infertile couples needs valid instruments for measurement

Progress on Autosomal Dominant Polycystic Kidney Disease

Introduction: Autosomal dominant polycystic kidney disease (ADPKD) is the most common life threatening hereditary disease of the kidney. It is a systemic disease characterized by multiple, bilateral renal cysts that result in massive renal enlargement and progressive functional impairment. This review discusses the current understanding of the epidemiology, genetics, clinical manifestations, natural history of the disease, the accuracy and reliability of diagnostic approaches, renal replacement therapy and emerging therapeutic strategies that are being evaluated in ADPKD. Review: ADPKD is a genetically heterogeneous disease with significant inter-familial and intra-familial variability. The responsible genes were localized to separate loci on chromosome 16 (PKD1 gene) accounting for the majority of ADPKD cases, and chromosome 4 (PKD2 gene) accounting for the remainder. Each child of an affected parent has a 50% chance of inheriting the mutated gene, which is completely penetrant. Clinical manifestations include renal and cyst enlargement, impaired urine concentration capacity, hematuria, nephrolithiasis, proteinuria, hypertension, polycystic liver disease, abdominal wall hernia and intracranial aneurysms. The diagnosis of ADPKD usually relies on renal imaging. Ongoing research has engendered crucial insight into the disease’s underlying genetic, cellular and pathogenetic mechanisms and made possible the design and implementation of clinical trials testing promising treatments. Renin Angiotensin Aldosterone System (RAAS) blockade, vasopressin antagonists, somatostatin, rapamycin, sirolimus and everolimus are currently being evaluated for a potential therapeutic role in the management of ADPKD. Conclusion: Current clinical trials investigating multiple therapeutic targets bring hope for treatments that may impede the progression of ADPKD. Keywords: ADPKD, autosomal dominant polycystic kidney disease, kidney failur

Widespread occurrence of Tomato ring spot virus in deciduous fruit trees in Iran

Despite a long tradition of fruit-tree growing in all provinces of Iran, information on tree viruses in this country is scant. In the present study, presence of Tomato ring spot virus (ToRSV) was surveyed in various woody plants in this country by mechanical inoculation to herbaceous hosts, ELISA using a commercial antiserum, and PCR with specific primers. ToRSV was identified in the following plant-symptom combinations: Walnut with mottling, deformation, necrosis, and yellowing of main veins from Tehran Province; plum with yellowing of main veins, peach with yellowing of major veins and marginal necrosis, and hazelnut with interveinal chlorosis and marginal necrosis from Ardabil Province; apple with yellowing of main veins, mosaic and necrotic lesions, quince with large necrotic spots, and almond with leaf deformation and rosetting from Khorasan Province; and raspberry with marginal necrosis of leaf and necrotic lesions from Mazandaran Province. Mechanical inoculation from walnut, plum, peach, hazelnut, apple, quince, almond, and raspberry to Nicotiana tabacum cv. Samsun resulted in systemic infection. The virus isolates induced local lesions, leaf deformation, and necrosis in N. rustica, chlorotic local lesions on Chenopodium quinoa, and large local lesions on Gomphrena globosa. All samples were ELISA positive. PCR with specific primers resulted in the amplification of the expected fragment (490 bp). This study shows extensive occurrence of ToRSV in Iran.Keywords: Tomato ringspot virus, fruit tree viruses, Ira

Quantification of the uterine involution and dimensions, hormonal response and reproductive performance of pyometric and healthy dairy cows treated with Dinoprost

The aim of the present study was to investigate the effects of a PGF2α analogue (Dinoprost) on involution of the puerperal uterus, especially with pyometra during 35 to 45 days postpartum in multiparous high yielding Holstein dairy cows. At days 40 ± 5 postpartum, 1250 cows were ultrasonographically examined. Fifty cows were diagnosed as pyometric. Fifty pyometric and 50 clinically healthy cows were assigned randomly to one of four groups. Groups were: 1.) Pyometric+Dinoprost cows (PD, n = 25 treated with 25 mg of Dinoprost), 2.) Pyometric+Saline cows (PS, n = 25 treated with saline), 3.) Healthy+Dinoprost cows (HD, n = 25 treated with 25 mg of Dinoprost), and 4.) Healthy+Saline cows (HS, n = 25 treated with saline). All treatments were given intramuscularly. Ultrasonography was performed at the time of examination and 7 days later to evaluate changes in uterine diameter. Treatment with Dinoprost significantly reduced gross uterine diameter in PD in comparison to the PS group in the presence or absence (P4 concentrations <1 ng/ml) of an active corpus luteum. Dinoprost treatment did not decrease gross uterine diameter in groups HD and HS. Luminal diameter was significantly smaller in the PD than in the PS group. Pregnancy rate of PD was greater than PS cows (36% vs 20%, respectively). Days to first service (110 d vs. 140 d) and open days (160 d vs. 190 d) were shorter in PD cows than PS cows. It was concluded that injection of 25 mg of Dinoprost to pyometric cows had uterotonic effects in presence or absence of functional corpus luteum. Therefore, this treatment can help uterine involution in puerperal dairy cows affected by pyometra and consequently improved reproductive performance.Keywords: Cattle, Dinoprost, pregnancy rate, pyometra, uterine healt

Modified Heider Balance on Sparse Random Networks

The lack of signed random networks in standard balance studies has prompted us to extend the Hamiltonian of the standard balance model. Random networks with tunable parameters are suitable for better understanding the behavior of standard balance as an underlying dynamics. Moreover, the standard balance model in its original form does not allow preserving tensed triads in the network. Therefore, the thermal behavior of the balance model has been investigated on a fully connected signed network recently. It has been shown that the model undergoes an abrupt phase transition with temperature. Considering these two issues together, we examine the thermal behavior of the structural balance model defined on Erd\H{o}s-R\'enyi random networks. We provide a Mean-Field solution for the model. We observe a first-order phase transition with temperature, for both the sparse and densely connected networks. We detect two transition temperatures, $T_{cold}$ and $T_{hot}$, characterizing a hysteresis loop. We find that with increasing the network sparsity, both $T_{cold}$ and $T_{hot}$ decrease. But the slope of decreasing $T_{hot}$ with sparsity is larger than the slope of decreasing $T_{cold}$. Hence, the hysteresis region gets narrower, until, in a certain sparsity, it disappears. We provide a phase diagram in the temperature-tie density plane to observe the meta-stable/coexistence region behavior more accurately. Then we justify our Mean-Field results with a series of Monte-Carlo simulations.Comment: 10 Pages, 5 Figure

Heparinized and saline solutions in the maintenance of arterial and central venous catheters after cardiac surgery

Background: Heparinized saline solution is used to prevent occlusion in the arterial catheters and central venous pressure monitoring catheters. Even at low dose, heparin administration can be associated with serious complications. Normal saline solution can maintain patency of arterial catheters and central venous pressure monitoring catheters. Objectives: The current study aimed to compare the efficacy of normal saline with that of heparinized one to maintain patency of arterial and central venous catheters after cardiac surgery. Patients and Methods: In the current randomized controlled trial, 100 patients, with an age range of 18 - 65 years of valve and coronary artery surgery were studied in Rajaie heart center, Tehran, Iran. Patients were randomized to receive either heparinized saline (n = 50) or normal saline flush solutions (n = 50). In the study, arterial catheters and central venous pressure monitoring catheters were daily checked for any signs of occlusion in three postoperative days as primary end-point of the study. Results: According to the information obtained from the study, four (8) arterial catheters in the saline group (P value: 0.135) and three (6) arterial catheters in the heparin group (P value = 0.097) were obstructed. Statistical analysis showed that the incidence of obstruction and changes in all other parameters between the two groups during the three-day follow-up was not significant (all P values > 0.05). Conclusions: It seems that there is no difference in the use of heparinized and normal saline solutions to prevent catheter occlusion of arterial and central venous pressure. © 2015, Iranian Society of Regional Anesthesia and Pain Medicine (ISRAPM)