Uterine Prolapse during Pregnancy: a Case Report

Background: Pelvic organ prolapse is a common gynecologic condition in women that rarely occur in pregnancy and can complicate the pregnancy. A woman with prolapsed uterus in second trimester of pregnancy and her follow up are presented here.Case Report: A 35-years old G2P1 woman with history of last normal pregnancy and successful vaginal delivery attended to emergency ward of hospital. She was in 14th week of pregnancy and had complain of acute urinary retention and vaginal bulge. She successfully is managed by application of pessary till an uneventful normal vaginal delivery.Conclusion: Management of pelvic organ prolapse during pregnancy is based on patient symptoms. Application of pessary is treatment of choice in such patients. They need to regular follow up during pregnancy in order to control pessary and monitor the pregnancy complications.

Development of Stage – Distance – Discharge Relationship and Rating Curve using Least Square Method

For any river, besides the importance of stage – discharge relationship (rating curve), a stage-discharge- distance relationship is of more significance.  The accurate estimation of both relationships along a river reach is considered a key point for various applications of water resources engineering such as operation and management of water resources projects, designing of hydraulic structures, and sediment analysis.  In this paper, both relationships were established for the Shatt Al – Hillah river reach by applying multiple linear regression and simple linear regression using least square method for determining regression equations. Twelve gauging stations including three primary and nine secondary stations were considered for this method. Moreover, for evaluating the performance of both regressions, statistical measures such as coefficient of determination, root mean square error, mean square error, and Thiel's factor were used. The study results generally indicate a superior performance of both modeling techniques. MLR model was able to predict and mimic the stage-discharge-distance relationship with a coefficient correlation of about 0.932, while SLR model was able to predict three rating curves for the three primary stations with coefficient correlation of about 0.960, 0.943, and 0.924 respectively

Outcome of Vaginal Progesterone as a Tocolytic Agent: Randomized Clinical Trial

Vaginal progesterone has a potential beneficial effect in postponing of preterm labor by suppression of prostaglandins cascades. Although different studies evaluated the use of progesterone for preterm birth, the exact effect of which on prolongation of pregnancy remains unclear. Seventy two women who underwent preterm labor were managed by magnesium sulfate. Then they were randomly assigned to continue pregnancy either by applying vaginal progesterone (400 mg) until delivery or without using any drug. Gestational age mean at the time of delivery (P = 0.039) and postponing delivery mean time (P = 0.048) were significantly higher in progesterone group. Comparison of neonatal outcomes between two groups of patients showed meaningful benefits of progesterone in increasing of neonatal weight, reduction of low birth weight babies, and lowing neonate admitted in NICU

Health complaints in individual visiting primary health care: population-based national electronic health records of Iran.

BACKGROUND The mission of medical schools is a sustainable commitment to orient education, research, and services based on the priorities and expectations of society. The most common complaints of patients from comprehensive health service centers (CHSCs) based on the data from electronic health records were assessed in order to determine primary health care (PHC) priorities for the educational planning of medical students in Iran. METHODS A population-based national study was designed to assess clinical complaints of patients in all age groups who were referred to CHSCs at least once to be visited by physicians. All the data in the census were extracted from electronic health records in PHC system during 2015-2020, classified by the International Classification of Primary Care 2nd edition (ICPC-2e-English), and statistically analyzed. The total number of complaints that were recorded in the system was 17,430,139. RESULTS 59% of the referring patients were women. The highest number of referrals was related to the age group of 18-59 years (56.9%), while the lowest belonged to the elderly people (13.3%). In all age and sex groups, the first ten complaints of patients with three top priorities in each category included process (follow-up, consultation, and results exam), digestive (toothache and gum complaint, abdominal pain, and diarrhea), respiratory (cough, sore throat, and runny nose), general (fever, pain, and weakness and fatigue), musculoskeletal (back pain, leg complaint, and knee injuries), endocrine and nutritional (weight gain, Feeding problem, and weight loss), cardiovascular (hypertension, palpitations, and Postural hypotension), neurological (headache, dizziness, and paralysis), sexual dysfunction (vaginal complaint, discharge, and irregular menstruation), and dermatological (pruritus, rash, and inflammation) problems. CONCLUSION High priorities in referring to PHC had a key role in assessing the country's health needs. Since this study was in line with the national pattern of complaints and patients' profile, the present findings can be helpful to amend policy-making, educational planning and curricula development in medical schools

Left Ventricular Pseudoaneurysm as a Complication of Myocardial Infarction; A Case Series and Review of the Literature

Introduction: Pseudoaneurysm may occur as a rare complication of myocardial infarction (MI) when a hemorrhagic process is covered by adherence of the visceral or parietal pericardium or of both, preventing the formation of cardiac tamponade. Pseudoaneurysm is prone to rupture because they are not easy to diagnose. Case presentation: Here, we report three cases of left ventricular pseudo-aneurysm (LVP) that all were related to MI. Two patients were managed conservatively, one of them was lost to follow-up, and the other one expired one month later. One patient underwent surgery, but he expired during post-operation period. Conclusions: High mortality rate of LVP emphasizes the importance of looking for it in cardiac evaluation of patients with history of MI. Due to available non-invasive modalities, the ability to differentiate LVP from other cardiac pathologies is improving. Still, the most recommended management of LVP is early surgery

In vitro salinity stress mediates grass pea genotypes' (Lathyrus sativus L.) responses

This study was carried out to determine the tolerance of grass pea genotypes to salinity stress at callus and seedling stages under in vitro conditions. The calli and seedlings of six selected tolerant genotypes based on the primary screening in the field were separately exposed to salinity treatments (0, 125 mM) in vitro. Salinity was imposed with NaCl during in vitro culture, and it significantly affected all seedling traits. Genotype of Iran had the lowest seedling dry weight and therefore was more sensitive to salinity stress. According to salinity tolerance indices for seedlings, genotype Greece-III was characterized as high-yield and relatively high-salt-tolerant genotype. Salinity significantly affected callus size, callus RWC, callus RGR, and callogenesis index. Calli fresh and dry weights were not affected by the treatments. For callus dry weight, genotype Greece-III had the highest mean; and the lowest mean belonged to Greece-I. The stress tolerance indices showed that the highest values belonged to genotype Greece-III, which showed high yield and yield stability and so reasonable salinity tolerance. Cluster analysis divided the genotypes into two separate groups. The first cluster consisted of Iran, Greece-II, and Greece-III genotypes, and the second cluster consisted of Bangladesh, Canada, and Greece-I genotypes. Cluster analysis potentially separated the tolerant and sensitive genotypes to salinity in terms of callus dry weight. Grass pea callus and seedlings were able to survive at 125 mM salinity. Salinity did not affect callus dry and fresh weights, but its effect was remarkable on seedling dry and fresh weights (55% less than control). Therefore, calli were reasonably salinity tolerant. The present study suggests that grass pea was reasonably tolerant to salinity and can survive under salinity conditions during the seedling and callus stages.University of MaraghehThis study was funded by and carried out in the University of Maragheh. These results were from MSc thesis of Mrs. Zahra Khosravi

Isolation and identification of Streptococcus mutans from dental caries patients at Thi-Qar province/Iraq

Dental caries is one of an important common human infectious disease that can lead to loss of tooth structure, it is occur due to the metabolic activation of the plague microorganisms especially Streptococcus mutans bacterium. Eighteen samples from saliva and dental plaque were collected from patients with dental caries active at ages from (7-25) years from Specialized dental hospital and dental clinics at Thi-Qar province during the period from November to December 2016.Thirty-three isolates belong Streptococcus mutans were identified by cultural methods, biochemical tests and Api 20 Strep. system, while  twenty-eight  isolates identified by using Polymerase Chain Reaction (PCR) technique and sequencing of 16S rRNA gene with 507 bp, whereas by using  16S rRNA gene  the result confirmed that these isolates were belong to Streptococcus mutans. The aim of study is Isolation and identification of Streptococcus mutans bacterium from the dental caries and dental biofilm patients at Thi-Qar province by of 16S rRNA gene

Isolation and identification of Streptococcus mutans from dental caries patients at Thi-Qar province/Iraq

Dental caries is one of an important common human infectious disease that can lead to loss of tooth structure, it is occur due to the metabolic activation of the plague microorganisms especially Streptococcus mutans bacterium. Eighteen samples from saliva and dental plaque were collected from patients with dental caries active at ages from (7-25) years from Specialized dental hospital and dental clinics at Thi-Qar province during the period from November to December 2016.Thirty-three isolates belong Streptococcus mutans were identified by cultural methods, biochemical tests and Api 20 Strep. system, while  twenty-eight  isolates identified by using Polymerase Chain Reaction (PCR) technique and sequencing of 16S rRNA gene with 507 bp, whereas by using  16S rRNA gene  the result confirmed that these isolates were belong to Streptococcus mutans. The aim of study is Isolation and identification of Streptococcus mutans bacterium from the dental caries and dental biofilm patients at Thi-Qar province by of 16S rRNA gene

Overview of the antibacterial properties of essential oils and extracts of medicinal plants in Iran

Background and aims: With increased resistance resulting from overusing of chemical-synthetic antibiotics, finding alternative medicines that have antibacterial properties and they have the least side effects on human health appears to be necessary. Many studies have been taken into consideration medicinal plants with antimicrobial properties. The aim of this study was to have an overview of the antibacterial properties of medicinal plants. Methods: In this study, by searching key words as: herbs (Medicinal Plants), anti-bacterial properties of medicinal plants in Iran , antimicrobial properties of medicinal plants in Iran, in scientific articles published in databases as: Iranmedx, Magiran, Google scholar, Ebsco, Pubmed, Science direct, and SID, the required data were obtained. Results: Many herbs, including Zataria multifora, Urtica dioical, Crocus sativus L., Artemisia Absinthium, Menta piperita, Eucalyptus globules L., Borago officinalis L., Scrophularia desrti, Cuminum cyminum L., Rosmarinus officinalis L., Allium hirtifolium, Castaneifolia- sativa, Allium sativum, Pycnocycla spinose, Juglans Regia, Salvia officinalis L. have strong antibacterial properties against a variety of pathogenic bacteria. Conclusion: In addition to the various medicinal plants with antimicrobial susceptibility and pathogenic bacteria resistance, antimicrobial properties of these studied medicinal plants could be used as a natural preservative in a variety of foods from these herbs. Thyme and garlic have antibacterial effects on an extensive range of positive and negative gram bacteria through them

The preventive effects of natural adjuvants, G2 and G2F on tracheal responsiveness and serum IL-4 and IFN-? (th1/th2 balance) in sensitized guinea pigs

OBJECTIVE: The effects of natural adjuvants on lung inflammation and tracheal responsiveness were examined in sensitized guinea pigs. METHODS: The responses of guinea pig tracheal chains and the serum levels of interleukin-4 and interferon-gamma were examined in control pigs and three other groups of guinea pigs: the sensitized group and two other sensitized groups treated with either adjuvant G2 or adjuvant G2F (n = 7 for each group). Sensitization of the animals was achieved by injection and inhalation of ovalbumin. RESULTS: The results showed that sensitized animals had increased tracheal responsiveness and increased serum levels of interleukin-4 and interferon-gamma compared to controls (