A COMPARISON OF SERUM LEVELS OF 25-HYDROXY VITAMIN D IN PREGNANT WOMEN AT RISK FOR GESTATIONAL DIABETES MELLITUS AND WOMEN WITHOUT RISK FACTORS.

BACKGROUND: During pregnancy, Low serum 25-hydroxyvitamin-D [25(OH)D] concentration is even more critical. This deficiency leads to higher incidences of preeclampsia, gestational diabetes, preterm birth, bacterial vaginosis, and also affects the health of the infants. The aim of this study was to evaluate the relationships between serum levels of 25-hydroxyvitamin D (25[OH]D) and gestational diabetes mellitus (GDM) and differences in high-risk pregnant women and women without risk factors for GDM. METHODS: This cross sectional study including 155 pregnant women, who are still in the first trimester of pregnancy (less than 12 weeks gestation), were randomized to two groups of high and low risk for GDM. For these people, once at the gestational age less than 12 times a week and once at for 24 to 28 weeks of pregnancy, tests of FBS / BS / HbA1C / 25OHD / insulin / Ca / Albumin was requested. Besides, the OGTT test was performed with 75 g glucose at 24 and 28 weeks of pregnancy to diagnose GDM. RESULTS: Serum levels of 25(OH)D in the second trimester of pregnancy ng / ml (24.1 ± 39.5) was significantly lower than that of the first trimester ng / ml (25.9 ± 45.6) (p <0.001). But serum 25(OH)D levels in the first and second trimester of pregnancy was significantly different in women at high risk for GDM than women who had no risk factors (p =0.584 and p =0.99). Serum levels of 25(OH)D has an inverse and significant relationship with HbA1C at the beginning of pregnancy (p=0.007). In addition, a significant and inverse relationship was shown between serum levels of 25(OH)D in the second trimester with insulin (p=0.047) and blood sugar 2 hours after ingestion of 75 g glucose (p=0.045) at 24-28 weeks of gestation

Iliac vein stenting in a patient with lower extremity swelling resulting from diffuse pelvic mass: A case report

We report a 66-year-old male patient with severe right lower extremity swelling resulting from diffuse pelvic mass with compression on right external iliac vein. The patient had papillary urothelial carcinoma of bladder seven years ago and radical cystectomy and ureterostomy was performed. Recurrence of malignancy had occurred five years after the operation. The patient had also bilateral diffuse lung metastasis. The external iliac vein had severe stenosis and invasion of pelvic mass into the vein was evident on venography. Venoplasty of external iliac vein was performed throughout the stenosis. A venous stent of 80 mm length and 12 mm diameter was introduced over the guidewire and deployed in the external iliac vein. Dramatic clinical response was evident since postoperative day two. Swelling of right lower extremity was resolved dramatically on three-month and six-month follow-up visits. We believe that endovascular venous recanalization of iliac veins is feasible and safe in patients with unresectable and diffuse pelvic masses

The Prevalence of Trauma Injuries From Neighboring Countries Transferred to Iran

Introduction: In recent years, the prevalence of attacks perpetrated by humans against other humans has increased worldwide. The injuries suffered by attack victims are severe and multi-organ. Iran’s neighboring countries have been the scenes of attacks in the recent past. This study assessed the type and severity of injuries sustained by victims transferred to Iran during the time period 2005-2007. Methods: This study was conducted on injured civilians transferred to hospitals in Iran. Data regarding cause of injury, type and severity of injuries, diagnostic-therapeutic interventions, and patient outcomes was collected and statistically analyzed using SPSS version 14 software. Results: In the studied time period, 214 attack victims were transferred to 3 Level 1 trauma centers in Iran. The mechanisms of injury were explosion in 130 cases, gunshot in 48, and other causes in the remaining victims. The mean Injury Severity Score (ISS) was 5.91 ± 4.54 (range = 1-34), and the median was 4; 109 cases (51%) had an ISS between 1 and 8, 73 cases (34%) were scored between 9 and 14, 15 cases (7%) were scored from 16 to 24, and 17 cases (8%) had an ISS ≥25. In terms of the number of injured organs, 42 patients (20%) had one, 124 (58%) had 2, 36 (17%) had 3, and 12 patients (5%) had 4 or more injured organs. Procedures included 86 orthopedic, 25 general surgical, 21 ear, nose, and throat (ENT), 18 plastic, 15 neurosurgical, and 10 ophthalmic operations; 25 patients received psychiatric counseling. The mean (±SD) hospital stay was 13.43 (±19.76) days (range = 1-230). Conclusion: The injury pattern in attacks is more severe and differs from other traumas. The medical team should have adequate knowledge in this respect to provide comprehensive healthcare

Rotational Spectra of Symmetric Top Molecules in Ground andDifferent Vibrational Excited States, and Phenomenon of Resonance – Applying in CF3CCH

This paper deals with review of exploration of resonance in symmetric topmolecules in different vibrational excited states, vt = n (n =1, 2, 3, 4). Calculations for CF3CCH shows that resonance take place at [Eq. 20] and [Eq. 21] for v10 = 2 and v10 = 3 respectively. In order to account for splitting about 3 MHz for the - 2 series in v10 = 4 is necessary to introduce the element {J, k, l |f24| J, k + 2,l − 4} in fitting program

Rotational Spectra of Symmetric Top Molecules in Ground andDifferent Vibrational Excited States, and Phenomenon of Resonance – Applying in CF3CCH

This paper deals with review of exploration of resonance in symmetric topmolecules in different vibrational excited states, vt = n (n =1, 2, 3, 4). Calculations for CF3CCH shows that resonance take place at [Eq. 20] and [Eq. 21] for v10 = 2 and v10 = 3 respectively. In order to account for splitting about 3 MHz for the - 2 series in v10 = 4 is necessary to introduce the element {J, k, l |f24| J, k + 2,l − 4} in fitting program

Study of Millimeter-Wave Rotational Spectra ofTrioxane in Ground, v(A), v1(E) = 1 and v2(E) = 1 States

The millimeter-wave rotational spectra of the ground and excited vibrational states v(A), v1 (E) =1 and v2 (E ) =1 of the oblate symmetric top molecule, (CH2O)3, have been analyzed again. The B0 = 5273.25747MHz, D J = 1.334547 kHz, D Jk = -2.0206 kHz, H J (-1.01 mHz), H JK (-3.80 mHz), and HKJ (4.1 mHz) have been determined for ground state. For non degenerate excited state, vA(1), the B = 5260.227723 MHz and D J and D JK were determined 1.27171 kHz and -1.8789 kHz respectively. The 1=±1 series have been assigned in two different excited states v1 (E) =1 and v2 (E) =1.Most of the parameters were determined with higher accuracy compare with before. For the v2 (E) =1 state the Cζ=-1940.54(11) MHz and q J = 0.0753 (97) kHz were determined for the first time

Determination of Rotational Parameters of CH3CN, CD3CN and their Different Isotopic Species in the Ground and v4 = 1 States

The millimeter-wave rotational spectra of the symmetric top molecules CH3CN, 13CH3CN, CH313CN, CH3C15N, CD3CN , 13CD3CN, CD313CN and CD3C15N have been investigated again in their ground and v4 = 1 states. The analysis of spectra and fitting the frequencies in these states give rotational parameters with higher accuracy compare with previous works. The parameter HJ = -0.107(96) mHz was determined for CH3C15N for the first time