Early feeding and growth pattern in infants: Using a three-variate longitudinal model derived from Gaussian copula function

Background: The Gaussian copula model was used to generate joint distributions for continuous longitudinal variables on infant types of feeding and longitudinal measures of height, weight and head circumference  Methods: The study was performed longitudinally in rural areas of southern part of Iran, on children from birth to 9 months of age. Out of 319 infants with serial anthropometric measurements from birth, and 2, 4, 6, 7 and 9 months old, 120 were included. Infants were divided into three groups (breast fed, formula fed and both milk types). A three-variate longitudinal model including Copula function was used to estimate the effect of feeding on growth pattern. All the analyses were performed using SAS version 9.4 (Proc NLmix).  Results: Ninety infants (75%) were breastfed, sixteen (13.3%) were formula fed and fourteen (11.7%) had combined feeding. Copula model showed that, breast fed children had a better weight gain (β=0.627 95% CI 0.217-1.038 P = 0.003), height (β=2.603 95% CI 1.023-4.183 P = 0.001) and head circumference (β=0.8 95% CI 0.069- 1.531 P = 0.0) as compared to formula fed children. R2 for Copula model was (wt=0.52, ht=0.96, hc=0.84).  Conclusions: Implication of Copula model was easy to perform. Estimation of the parameters in copula model indicated that, breast milk consumption had a positive effect on the growth of infants.&nbsp

Early feeding and growth pattern in infants:Using a three-variate longitudinal model derived from Gaussian copula function

Background: The Gaussian copula model was used to generate joint distributions for continuous longitudinal variables on infant types of feeding and longitudinal measures of height, weight and head circumference  Methods: The study was performed longitudinally in rural areas of southern part of Iran, on children from birth to 9 months of age. Out of 319 infants with serial anthropometric measurements from birth, and 2, 4, 6, 7 and 9 months old, 120 were included. Infants were divided into three groups (breast fed, formula fed and both milk types). A three-variate longitudinal model including Copula function was used to estimate the effect of feeding on growth pattern. All the analyses were performed using SAS version 9.4 (Proc NLmix).  Results: Ninety infants (75%) were breastfed, sixteen (13.3%) were formula fed and fourteen (11.7%) had combined feeding. Copula model showed that, breast fed children had a better weight gain (β=0.627 95% CI 0.217-1.038 P = 0.003), height (β=2.603 95% CI 1.023-4.183 P = 0.001) and head circumference (β=0.8 95% CI 0.069- 1.531 P = 0.0) as compared to formula fed children. R2 for Copula model was (wt=0.52, ht=0.96, hc=0.84).  Conclusions: Implication of Copula model was easy to perform. Estimation of the parameters in copula model indicated that, breast milk consumption had a positive effect on the growth of infants

Determination of the effective factors on the water balance of Urmia Lake basin with a focus on precipitation trends.

Prevention of water loss for the Urmia Lake due to the drought is environmentally crucial for the lake basin and it seems that, the analysis of the historical process of factors governing the water mass balance equation for the catchment leading to the lake can provide insights on what has to be done. In order to do that, statistical significance for potential breaking points and rate of changes over time points of precipitation and runoff for 25 hydrological basin stations based on the data regarding Annual precipitation and Annual runoff related to the whole span of the lake basin from 1977 to 2019 has been studied and surveyed using Mann-kendall test, Petit test and Sen’s Slope Estimator. For all hydrological basinstations breaking points have been observed in the water discharge time points from 1993 to 2005 and the decline of water discharge. Significant increase in precipitation in the entire Urmia catchment area of about 0.16 mm at a indicates its stability during the study period. The annual runoff of the studied basins into Lake Urmia in the two time periods before and after the discharge drop were estimated at 4.671 and 1.885 billion cubic meters per year, respectively, indicating volume reduction of 2.786 billion cubic meters (59.6%). Looking at the Lake Urmia sub-basins annual discharge reduction data, it can be seen that Zarrinehroud with the largest share of 34.5% and Mahparishai with smallest share of 0.2%, and the rest in between, contribute to the occurrence of draught for Lake Urmia

Association of thrombophilia and polycystic ovarian syndrome in women with history of recurrent pregnancy loss

Purpose: To evaluate the prevalence of thrombophilic disorders in polycystic ovarian syndrome (PCOS) women with history of recurrent pregnancy loss (RPL). Materials and methods: This study was carried out in 184 women with history of RPL, of which 92 of them were diagnosed with PCOS and 92 patients were without known PCOS. The prevalence of thrombophilic disorders was compared between the two mentioned groups. Results: According to the findings, 70.7% of PCOS women with history of RPL had thrombophilic disorders. The prevalence of protein C deficiency was significantly higher in PCOS group compared to the non-PCOS group (21.7% vs. 10.9%, p = 0.04). There was a trend toward higher prevalence of protein S deficiency in PCOS group compared to the control group, but the difference did not reach statistical significance (23.9% vs. 13%, p = 0.05). The prevalence of other thrombophilic disorders such as antithrombin III deficiency, homocysteine elevation, antiphospholipid antibody and Factor V Leiden was comparable between groups. Conclusion: The prevalence of thrombophilic disorders was more common in PCOS women than the normal group. The protein C deficiency is associated with PCOS in women with history of RPL. There was a trend toward higher prevalence of protein S deficiency in PCOS women, which needs further study

Reproductive Outcome following Hysteroscopic Monopolar Metroplasty: An Analysis of 203 Cases

Abstract Background: The aim of this study was to evaluate the reproductive outcome of women with history of infertility or recurrent miscarriage following hysteroscopic septum resection

Comparison of influential factors affecting survival of patients with colon and rectum cancer using competing risks model

Introduction: Colorectal cancer is the most common cancer of digestive system and also fourth cause fordeath of cancer around the world. Different studies indicate that survival of patients suffering fromcolorectal cancer has recently developed in some areas of the world. However, it is not clear which factorsinvolve in this improvement. This study aims at investigating some clinical and pathologic factors inprognosis of these patients with colon and rectum cancers separately.Material and Methods: Data recorded from 1194 patients with colorectal cancer in Cancer RecordCenter of Research Center for Gastroenterology and Liver Disease, Shahid Beheshti University of MedicalSciences (Tehran, Iran) was used in this study. Data analysis was performed using competing risks model.Software used for data analysis was STATA, 11 version, and significance level was regarded as 0.05.Results: Body mass index, alcohol consumption, tumor site, inflammatory bowel disease, metastasis tolymph nodes and metastasis to other organs had significant effect on death of colon cancer, while bodymass index, metastasis to other organs and kind of the first treatment had significant effect (P<0.05) onrectum cancer. Median survival was 7.75±1.118 and 3.917±0.26 years for patients with colon cancer andrectum cancer respectively. Also, 1, 2, 3, 4 and 5 years of survival rates for colon cancer were 88.7%,77.9%, 68.5%, 61.4% and 56.8%, respectively, while they were 89.1%, 74.2%, 60.7%, 47.1% and 41.9%for rectum cancer, respectively.Conclusion: According to the results of this study, some variables may have different impacts on colonand rectum carcinoma; therefore it is needed that the effects of the factors on different parts of the largebowel be considered separately in the future studies

New single nucleotide polymorphism G5508A in the SEPT12 gene may be associated with idiopathic male infertility in Iranian men

Background: Male infertility is a multifactorial disorder, which affects approximately 10% of couples at childbearing age with substantial clinical and social impact. Genetic factors are associated with the susceptibility to spermatogenic impairment in humans. Recently, SEPT12 is reported as a critical gene for spermatogenesis. This gene encodes a testis specific member of Septin proteins, a family of polymerizing GTP-binding proteins. SEPT12 in association with other Septins is an essential annulus component in mature sperm. So, it is hypothesized that genetic alterations of SEPT12 may be concerned in male infertility. Objective: The objective of this research is exploration of new single nucleotide polymorphism G5508A in the SEPT12 gene association with idiopathic male infertility in Iranian men. Materials and Methods: In this case control study, 67 infertile men and 100 normal controls were analyzed for genetic alterations in the active site coding region of SEPT12, using polymerase chain reaction sequencing technique. Fisher exact test was used for statistical analysis and p<0.05 was considered as statistically significant. Results: Genotype analysis indicated that G5508A polymorphic SEPT12 alleles were distributed in three peaks of frequency in both control and diseases groups. Categorization of the alleles into (GG), (GA), (AA) types revealed a significant difference between infertile patients (azoospermic and asthenospermic) and normal controls (p=0.005). Conclusion: According to our finding we suggest that G5508A polymorphism in SEPT12 gene can affect spermatogenesis in men, the opinion needs more investigation in different populations