Concurrent papillary thyroid cancer and parathyroid adenoma as a rare condition: A case report

Although the pathological relationship between parathyroid and thyroid diseases is common, an association between parathyroid adenoma and thyroid cancer is rare. Concomitant thyroid cancer in patients with primary hyperparathyroidism (pHPT) has been reported at varying frequencies. WE present here a 23-year-old man who had papillary thyroid carcinoma in the right thyroid lobe and a parathyroid adenoma in the left thyroid lobe, which were confirmed surgically. Copyright © 2012 Via Medica

Effect of Helicobacter pylori eradication on glycaemia control in patients with type 2 diabetes mellitus and comparison of two therapeutic regimens

Background and study aims: The eradication rate of Helicobacter pylori (H. pylori) has been reported as being lower in patients with type 2 diabetes mellitus (DM) than in those without DM. The aim of the study was to assess the efficacy of the two H. pylori eradication regimens in patients without and with type 2 DM and to study the effect of H. pylori treatment on glycaemia control. Patients and Methods: A total of 93 consecutive type 2 DM (non-insulin users) and 98 non-diabetic age- and sex-matched patients were enrolled. Patients were randomly assigned to one of the two treatment protocols all given twice daily: (a) a 14-day quadruple therapy comprising of omeprazole 20mg, metronidazole 500mg, amoxicillin 1g and bismuth subcitrate 240mg (OMAB) and (b) a 14-day triple regimen comprising of omeprazole 20mg plus clarithromycin 500mg and amoxicillin 1g (OCA). Cure was defined as a negative 13C-urea breath test at least 6weeks after treatment. Results: The H. pylori eradication rate with the OCA regimen was 63% in patients with type 2 DM (non-insulin users) and 87.7% in the control group (p=0.017). The H. pylori eradication rate with the OMAB regimen was 38.2% in patients with type 2 DM and 55.1% in the control group (p<0.001). Mean decrease of fasting plasma glucose and HbA1c level shows no statistically significant difference after H. pylori eradication. Conclusion: This study suggests that the eradication rate of H. pylori with OCA or OMAB treatment is lower in patients with type 2 diabetes than in non-diabetics and H. pylori treatment in patients with type 2 DM has no role in the control of the glycaemia. The triple therapy (OCA) is superior to the quadruple protocol (OMAB) in H. pylori eradication of both DM and non-DM cases. © 2013 Arab Journal of Gastroenterology

Trans- Obturator Tape (TOT) efficacy in management of stress urinary incontinence and the impact on quality of life: A study in 54 patients

Background: Stress urinary incontinence is a major confounding factor which impairs health quality in women. Some procedures cannot resolve it's impact on life quality. This study aims to assess a less common and newly method; use of transobturator tension- free vaginal tapes (TOT) in regard to short- term and long-term morbidity and impact on patient's quality of life (QOL). Methods: Fifty four patients diagnosed with urinary stress incontinence, underwent a transobturator tension free vaginal tape procedure with or whitout prolapse surgery. Pre and post operative quality of life assessed with Incontinence- specific Quality of Life questionnaire (I-QOL), and objective and subjective cure rate according to patients signs and symptoms before operation, early and late surgical complications like hemorrhage, Injury and/ or perforation of bladder, intestine, urethra and infection were mentioned. Results: The overall intraoperative and early post-operative complication rates were 5.5 and 3.7, respectively. No case of hematoma, bladder or bowel injury was seen. I-QOL scores were significantly higher after surgery. The mean I-QOL score were 23.6 and 64 before and after surgery respectively (p<0.0001). This improvement was independent of the concomitant pelvic floor repair surgery, menopause, underlying diseases, number of parity, body mass index (BMI) and age. The global rate of objective cure was 94.4 (p<0.0001). The majority of women were satisfied with the outcome. (subjective cure was 90.7- p<0.001). Conclusions: This study demonstrates that the TOT approach in the treatment of stress urinary incontinence is a safe and effective procedure which promotes health quality of life

The Mineral Content of Sesame Seed and Its Transition to Ardeh and Refined Sesame Oil

Background and objective  It was shown that contamination of agricultural pasturage with fertilizers, application of sewage and effluents in irrigation, use of pesticides and air pollution have led to the entrance of chemical contaminants, including metals, into plants. On the other hand, food processing is (handling, processing, transportation) considered as an important way of food contamination. Vegetable oils are essential in human dietary which is introduced as crucial sources of energy, fat soluble vitamins, and essential fatty acids. Sesamum indicum L., known as sesame seed, has been cultivated in Asian countries from ancient times as vegetable oil for cooking and seasoning ingredients. In recent years, the sesame oil has been considered due to its high antioxidant activities and nutritional properties. Due to the use of sesame seeds extracted oil in two form of ardeh oil and sesame oil, the amounts of mineral elements (phosphorus, potassium, iron, nickel, cobalt, manganese, calcium and magnesium) in sesame seeds and its extracted oils (ardeh oil and refined sesame oil) were investigated.   Materials and Methods  In order to determine the mineral concentration, refined sesame oil and ardeh oils were prepared from an imported sesame seed. In order to prepare the sesame oil, sesame seeds were put into a cold presser and the oil was extracted under low pressure. The Ardeh oil was prepared by adding water to sesame paste in the ratio of 2.2:10 and oil was separated by centrifugation. The sesame seeds and oil samples (refined sesame oil and ardeh oils) were digested by microwave digestion method in presence of 5 ml 65% nitric acid and 2 ml of hydrogen peroxide (H2O2). The digested samples were then filtered through 0.45 µm filter membrane. Then, the concentrations of phosphorus, potassium, iron, nickel, cobalt, manganese, calcium and magnesium in sesame seeds, ardeh oil and refined sesame oil were examined using Inductively Coupled Plasma - Optical Emission Spectroscopy (ICP – OES).   Results  In the present study, the limit of detection (LOD) for each studied mineral elements were determined as nickel: 4 mg/kg, magnesium: 0.00066 mg/kg, manganese: 0.000134 mg/kg, phosphorus: 0.384 mg/kg, cobalt: 0.594 μg / kg, iron: 0.000797 mg/kg, potassium: 0.00394 mg/kg, calcium 0.005 mg/kg. According to the results, the highest amounts of mineral elements were detected in sesame seeds. The achieved results showed that the method of sesame oil extraction can reduce the mineral elements in the final sesame oils. The amounts of mineral elements in sesame seeds were estimated as P > Ca > K > Mg > Fe > Mn > Co > Ni. The pattern of mineral elements in Ardeh oil was reported as P > Fe > K > Co > Mg > Ni > Mn > Ca. The reduction pattern was reported as P > K > Fe > Ni > Co > Mn > Ca > Mg in refined sesame oil. As can be seen the order of mineral elements was changed in two oil samples and sesame seed. It was shown that except for K and Ca, all mineral elements in ardeh oil were higher than refined sesame oil. As can be seen, the refining process was effectively reduced the metals in oil samples. On the other hand, high amount of mineral elements in sesame seed in comparison to extracted oils could be attributed to lack of processing methods which are present in oil production in both methods.    Conclusion  It should be considered that presence of different metals in vegetable oils could facilitate the oil deterioration and oxidization as well as oil shelf life reduction. Since the most of the sesame lots in Iran are imported, it is necessary to monitor the amount of mineral elements

An acceptance model for the adoption of smart glasses technology by healthcare professionals

In the recent years, there has been an increase in the interest from different industries in the adoption of smart wearable devices in the light of their inevitable ubiquity. One type of these devices is the Augmented Reality Smart Glasses (ARSGs), which can have great effect in different areas through providing timely information to users. One of the industries that can significantly reap the benefits of this technology is healthcare. However, as healthcare is a very multi-dimensional industry, there is a need for a multifaceted look into the adoption and acceptance of smart glasses by health professionals. This study tends to examine the acceptance of smart glasses by healthcare professionals based on Technology Acceptance Model (TAM) as there is an imperative for empirical studies on user perceptions, attitudes, and intentions. For this purpose, five external factors are extracted from the literature and field study, being integration with information systems, external effects, hands-free feature, technological compatibility, and documentation. The model is examined by using PLS-SEM methodology. This study found documentation to have the strongest impact on intention due to the substitution of paperwork by mobile devices and facilitation of continuous documentation

Molds contamination of raw milk and dairy products: Occurrence, diversity and contamination source

This study aimed to assess the occurrence and diversity of mold species in raw milk and its products along with the identification of potential contamination sources. For this reason, a total of 260 samples consisting of 80 raw milk, 100 dairy products (i.e., pasteurized milk, yoghurt, cheese and buttermilk) and 80 environmental (i.e. ingredients, packaging materials, surface of processing equipments and air) specimens were collected. Using culture assay and microscopic observation, the occurrence as well as the diversity of mold species was investigated. According to the results, 82.3% of the samples were identified as positive for mold contamination. The percentage of mold contamination for raw milk was estimated as 97.5%. In the case of pasteurized milk, yoghurt, buttermilk, cheese and environmental samples, it was determined as 52%, 76%, 52%, 56% and 96.25%, respectively. Mold diversity among various samples consisted of Aspergillus, Geotrichum, Penicillium, Mucor, Alternaria, Rhizopus, Stemphylium, Cladosporium, and Fusarium. Results revealed a significant (p < 0.01) correlation between kind of mold species isolated from raw milk and dairy products. Similarly, a correlation was observed between dairy products and environmental sources. Regarding the high occurrence of mold contamination in raw milk and environmental sources, it seems that in some instances heat treatment was not effective enough to inactivate all molds; whereas in some other cases, cross contamination may have resulted in mold contamination. Therefore, it is crucial to maintain hygienic conditions during raw milk handling as well as processing steps. These practices could efficiently reduce the occurrence of mold contaminations in dairy products

Prevalence of cutaneus leishmaniasis in Kashan, 1994-2000

Background: Due to augmented spread of cutaneus leishmaniasis in our country that impose great economic problems for the sufferers and also with respect to the lack of informative data regarding its status in Kashan, The present study was conducted in 1994-2000 to determine the prevalence of cutaneus leishmaniasis in patients referring to parasitology laboratories in Kashan.Material and methods : A descriptive study was carried on all referred patients to laboratories during a 7- year period, 1994-2000. Initial data including age, sex, occupation, place of resident, and number of lesions were all recorded. Suspected individuals were asked for samples and Leishman body was surveyed by a microscope following the gimsa staining. Results : The incidence rate of cutaneus Leishmaniasis was reported 50.2 in females and 49.2 in males. The highest prevalence rate (37.9) was shown in 0-10 years old subjects. More than one active lesion was reported in 30.3 of individuals. Hands were more commonly affected (45.6). Conclusion : With respect to the increased prevalence of cutaneus leishmaniasis in Kashan, health care observers should pay further attention on preventing the disease sprea

<span style="font-size:20.5pt;mso-bidi-font-size:14.5pt; line-height:115%;font-family:"Times New Roman","serif";mso-fareast-font-family: "Times New Roman";mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA">Prevalence of <i>Listeria </i><span style="font-size:21.0pt;mso-bidi-font-size:15.0pt;line-height:115%;font-family: "Times New Roman","serif";mso-fareast-font-family:"Times New Roman";mso-ansi-language: EN-US;mso-fareast-language:EN-US;mso-bidi-language:AR-SA;mso-bidi-font-weight: bold">in<b> </b><span style="font-size:20.5pt;mso-bidi-font-size:14.5pt; line-height:115%;font-family:"Times New Roman","serif";mso-fareast-font-family: "Times New Roman";mso-ansi-language:EN-US;mso-fareast-language:EN-US; mso-bidi-language:AR-SA">soil</span></span></span>

1466-1468<span style="font-size: 14.0pt;mso-bidi-font-size:8.0pt;font-family:" times="" new="" roman","serif""="">One hundred thirty soil samples from agricultural fields and animal-inhabited areas were examined for the presence of <span style="font-size:15.0pt; mso-bidi-font-size:9.0pt;font-family:" times="" new="" roman","serif""="">Listeria. The microorganism was identified in 23 (17 .7%) samples. L. <span style="font-size:15.0pt;mso-bidi-font-size:9.0pt; font-family:" times="" new="" roman","serif""="">monocytogenes was detected in 7 samples (5.4%), L.ivanovii <span style="font-size:14.0pt;mso-bidi-font-size:8.0pt;font-family: " times="" new="" roman","serif""="">in 2 (1.5%), <span style="font-size:15.0pt; mso-bidi-font-size:9.0pt;font-family:" times="" new="" roman","serif""="">L. innocua in 10<span style="font-size:15.0pt;mso-bidi-font-size:9.0pt;font-family: " times="" new="" roman","serif""=""> <span style="font-size:14.0pt;mso-bidi-font-size: 8.0pt;font-family:" times="" new="" roman","serif""="">(7 .7%) and L. <span style="font-size:15.0pt;mso-bidi-font-size:9.0pt; font-family:" times="" new="" roman","serif""="">welshimeri in 4 samples (3.1 %). Prevalence of <span style="font-size:15.0pt; mso-bidi-font-size:9.0pt;font-family:" times="" new="" roman","serif""="">Listeria in soil from agricultural fields (17.5%) did not differ considerably from that in the soil and animal-inhabited area (18.0%), but <span style="font-size:15.0pt;mso-bidi-font-size:9.0pt;line-height:115%; font-family:" times="" new="" roman","serif";mso-fareast-font-family:"times="" roman";="" mso-ansi-language:en-us;mso-fareast-language:en-us;mso-bidi-language:ar-sa"="">L. ivanovii <span style="font-size:14.0pt;mso-bidi-font-size:8.0pt; line-height:115%;font-family:" times="" new="" roman","serif";mso-fareast-font-family:="" "times="" roman";mso-ansi-language:en-us;mso-fareast-language:en-us;="" mso-bidi-language:ar-sa"="">was isolated only from the latter source. Frequency of occurrence of different species of <span style="font-size:15.0pt; mso-bidi-font-size:9.0pt;line-height:115%;font-family:" times="" new="" roman","serif";="" mso-fareast-font-family:"times="" roman";mso-ansi-language:en-us;mso-fareast-language:="" en-us;mso-bidi-language:ar-sa"="">Listeria <span style="font-size:14.0pt; mso-bidi-font-size:8.0pt;line-height:115%;font-family:" times="" new="" roman","serif";="" mso-fareast-font-family:"times="" roman";mso-ansi-language:en-us;mso-fareast-language:="" en-us;mso-bidi-language:ar-sa"="">differed from place to place.</span