High Frequency of HPV Genotypes 16 and 18 Found in Breast Cancer Patients: Evidence for a More Comprehensive HPV Vaccination Program in Iran

Background & Objectives: Papillomaviruses are found in many different types of infections and in a wide range of animals and humans. They can cause health problems, including benign and malignant tumors. In the present study, the association between human papillomavirus (HPV) infection and breast cancer (BC) in Iran was investigated. Materials & Methods: In this cross-sectional study, the presence of the HPV genome was investigated in BC-suspected tissues for the first time in Qom Province, Iran. A total of 400 samples (including 200 BC-suspected tissue samples and 200 blood samples of women without BC) were collected from women referred to two cancer-specific general hospitals. To determine the presence of the L1 gene of HPV in the collected samples, nested polymerase chain reaction (PCR) was performed. Then, HPV-positive samples were tested by PCR using high-risk specific HPV-16 and 18 primers. Results: Out of 200 BC-suspected tissue samples, 172 were malignant (in terms of pathology). Based on the nested PCR method, the L1 gene of HPV was detected in 12% (24/200) of the BC-suspected tissue samples and in 1.5% (3/200) of the blood samples from women without BC. The high-risk HPV genotypes (which were the predominant types) were present in 75% of the samples. Conclusion: The results of the current study show a high frequency of HPV-16 and 18 genotypes in human BC in Iranian women. This is almost certainly due to poor rates of HPV vaccination, and it is strongly recommended that health organizations (such as the World Health Organization [WHO]) ensure adequate coverage of highly effective HPV vaccination in Iran

Transplantation of Neural Stem Cells Cultured in Alginate Scaffold for Spinal Cord Injury in Rats

Study DesignThis study investigated the effects of transplantation of alginate encapsulated neural stem cells (NSCs) on spinal cord injury in Sprague-Dawley male rats. The neurological functions were assessed for 6 weeks after transplantation along with a histological study and measurement of caspase-3 levels.PurposeThe aim of this study was to discover whether NSCs cultured in alginate transplantation improve recovery from spinal cord injury.Overview of LiteratureSpinal cord injury is one of the leading causes of disability and it has no effective treatment. Spinal cord injury can also cause sensory impairment. With an impetus on using stem cells therapy in various central nervous system settings, there is an interest in using stem cells for addressing spinal cord injury. Neural stem cell is one type of stem cells that is able to differentiate to all three neural lineages and it shows promise in spinal injury treatment. Furthermore, a number of studies have shown that culturing NSCs in three-dimensional (3D) scaffolds like alginate could enhance neural differentiation.MethodsThe NSCs were isolated from 14-day-old rat embryos. The isolated NSCs were cultured in growth media containing basic fibroblast growth factor and endothelial growth factor. The cells were characterized by differentiating to three neural lineages and they were cultured in an alginate scaffold. After 7 days the cells were encapsulated and transplanted in a rat model of spinal cord injury.ResultsOur data showed that culturing in an alginate 3D scaffold and transplantation of the NSCs could improve neurological outcome in a rat model of spinal cord injury. The inflammation scores and lesion sizes and also the activity of caspase-3 (for apoptosis evaluation) were less in encapsulated neural stem cell transplantation cases.ConclusionsTransplantation of NSCs that were cultured in an alginate scaffold led to a better clinical and histological outcome for recovery from spinal cord injury in a rat model

Design of broadband CNFET LNA based on extracted I-V closed-form equation

© 2018 IEEE. Personal use of this material is permitted. Permission from IEEE must be obtained for all other uses, in any current or future media, including reprinting/republishing this material for advertising or promotional purposes,creating new collective works, for resale or redistribution to servers or lists, or reuse of any copyrighted component of this work in other works.A procedure of extracting a closed-form user-friendly I-V equation for short channel carbon nanotube field-effect transistors (CNFET) in the saturation region is presented by employing a relation between CNFET parameters meeting the experimental results. The methodology is based on the Stanford model and ballistic relation of one channel CNFET. In this regard, the ballistic relation is simplified to a closed-form I-V equation, and then, the parameters are estimated through the fitting algorithm by means of ICCAP and least square (LS) method, respectively, and the obtained equation is verified by the experimental results given in the literature. Additionally, an extended quantitative noise analysis is performed at the circuit level and the noise sources implemented in Verilog-A are added to the Stanford CNFET HSPICE model. Subsequently, with the accordance to the extracted I-V equation, a CNFET-based inductor-less broadband common-gate low noise amplifier (LNA) is designed theoretically and its results are confirmed in HSPICE based on the Stanford CNFET model, indicating a proper matching between analysis and simulation. The proposed CNFET-based LNA provides very high frequency bandwidth and also lower noise figure in comparison with its contemporary CMOS-based LNA, without any passive spiral inductor.Peer ReviewedPostprint (author's final draft

The status of fruit and vegetables consumption and its related factors among female high school students in Bojnurd city based on the educational diagnostic stage of the PRECEDE model

Background and Aims: Girls are mothers of the future and you,ll have to plan ahead from adolescence to improve their nutrition. The Precede model surveys the causes of those behavioral factors that are closely related to health. Causes affecting behavior have been categorized in the educational diagnostic stage of this model. The aim of this study was therefore to determine the factors associated with fruits and vegetables consumption (FVC) among female students based on the educational diagnostic stage of the PRECEDE model. Materials and Methods: This descriptive-analytic study was conducted with participation of 445 female high school students in Bojnourd city in 2017. A two-stage method was employed for sampling. Data gathering tool was a questionnaire including demographic questions and knowledge, attitude and PRECEDE model. Data were analyzed using SPSS software version 16.0 through appropriate tests. All stages of the study were conducted according to moral standards. Results: Multiple regression analysis showed that the various constructs of the PRESADE model could overally explain 23.7% of the variance in FVC behavior in the students under study. Among the constructs of the model, knowledge, enabling and reinforcing factors, had a significant contribution in explaining the variance of FVC behavior (P<0.05). There was a significant positive correlation between FVC behavior and all constructs of the PRECEDE model (P>0.001). Conclusion: Considering the statistically significant relationship between the PRECED model and the FVC behavior, appropriate educational interventions are suggested to be considered using this model, with the emphasis on knowledge, enabling and reinforcing factors in schools. Keywords: Female students, Precede Model, Fruit and vegetables consumptio

Geochemical relations among elements in stream sediment samples from Siojan Prospecting Area, Iran using geostatistical methods

Stream sediment samples play an important role in identifying potential areas of metallic and non-metallic mineralization in mineral exploration studies. The relationship of geochemical elements with each other shows how the elements are distributed in the area. Also, by identifying related elements, sampling and targeted chemical analysis can be used in the next stages of exploration. The purpose of this study is to investigate the elements related to the copper element in the Siojan prospecting area, which is located in South-Khorasan province and 30 km northwest of Birjand city of Iran. In Siojan area, 120 stream sediment samples of a 60 square kilometer area were collected to detect geochemical anomalies and were consequently analyzed by Inductively Coupled Plasma Mass Spectrometry (ICP-MS) for 45 elements. Preliminary geological studies showed that the studied area has copper mineralization potential, and therefore, copper was selected as the target element in this study. Copper trace elements were identified in the area and the results were used to identify copper mineralized anomalies. For the elemental analysis data, methods of Principal Component Analysis (PCA), Factor Analysis (FA), Hierarchical Cluster Analysis (HCA) and K-Means Clustering were performed to identify the relevant elements and relationships among them. Statistical analysis of the concentration of geochemical elements in the region revealed that copper and cobalt elements were identified as two elements of the same family in terms of geochemical genetics. The average value for copper and cobalt elements in the analyzed samples was 27.2 ppm and 15.5 ppm, respectively. Finally, the relationship between copper and cobalt elements was modeled as an equation using the K-Means Clustering algorithm

The Role of Antiepileptic Treatment in the Recurrence Rate of Seizures After First Attack: A Randomized Clinical Trial

How to Cite This Article: Assarzadegan F, Tabesh H, Hesami O, Derakhshanfar H, Beladi Moghadam N, Shoghli A, Beale A.D, Hosseini-Zijoud S.M. The Role of Antiepileptic Treatment in the Recurrence Rate of Seizures After First Attack: A Randomized Clinical Trial. Iran JChild Neurol. Spring 2015; 9(2):46-52.AbstractObjectiveEpilepsy is a serious, potentially life-shortening brain disorder that occurs in patients of all ages and races. A total of 2–4% of people have experienced seizures at least once in their lifetime. Although treatment usually begins after a seizure, it is an important question whether the first cases of seizure do need to be treated by antiepileptic drugs. In this manner, we compare the recurrence rates of epilepsy in first seizure patients treated with sodium valproic acid as an antiepileptic drug versus a placebo.Material & MethodsIn a randomized clinical trial study, 101 first seizure patients were randomly divided into two groups: one group was treated with antiepileptic drugs (sodium valproate 200mg, three times a day) and the other group was given a placebo.The recurrence rate of seizures was evaluated and compared between the groups after 6 months of follow up.ResultsEight recurrence cases were detected. All recurrence cases came from the placebo group, with four patients suffering an additional seizure after four months and between 4-6 month follow up. A comparison of recurrence rate detected a statistically significant difference between the drug group and placebo group.ConclusionOur data shows that the recurrences occurred only in the placebo group with the difference between the recurrence rates in the placebo versus drug-treated was significant. Our results suggest that drug therapy for people after their first seizure attack might reduce the probability of seizure recurrence

Lipid Lowering Effects of Coriandrum Sativum Extract and Endurance Training in Streptozotocin Induced Diabetic Rats

Introduction: Diabetes is a metabolic disease which induces increase in lipid profile. The present research aimed to review the lipid lowering effects of coriandrum sativum extract and endurance training in diabetic rats.Methods: Thirty two diabetic rats were selected and divided into four groups of eight rats (1) coriandrum sativum extract, (2) endurance training, (3) endurance training with coriandrum sativum extract and (4) control. Rats of groups 2 and 3 ran on treadmill four weeks, five sessions per week and 60 minutes per session; also, rats of groups 1 and 3 received four weeks 100 mg/kg coriandrum sativum extract daily. For statistical analysis of data were used K- S and two way ANOVA tests (p≤0.05). Results: Endurance training has significant effect on reduction of LDL, VLDL, TG and Cho of diabetic rats (p≤0.05); Coriandrum sativum has significant effect on reduction of LDL, VLDL, TG and Cho of diabetic rats (p≤0.05); also endurance training with coriandrum sativum has interactional effect on the reduction of LDL, VLDL, TG and Cho and increase of HDL of diabetic rats (p≤0.05). Conclusion: It appears that endurance training increases the lipid lowering effects of coriandrum sativum in diabetic rats

Feasibility Assessment of Optical Coherence Tomography-Guided Laser Labeling in Middle Cranial Fossa Approach

Introduction: Different approaches have been developed to find the position of the internal auditory canal (IAC)in middle cranial fossa approach. A feasibility study was performed to investigate the combination of cone beam computed tomography (CBCT), optical coherence tomography (OCT), and laser ablation to assist a surgeon in a middle cranial fossa approach by outlining the internal auditory canal (IAC).   Materials and Methods: A combined OCT laser setup was used to outline the position of IAC on the surface of the petrous bone in cadaveric semi-heads. The position of the hidden structures, such as IAC, was determined in MATLAB software using an intraoperative CBCT scan. Four titanium spheres attached to the edge of the craniotomy served as reference markers visible in both CBCT and OCT images in order to transfer the plan to the patient. The integrated erbium-doped yttrium aluminum garnet laser was used to mark the surface of the bone by shallow ablation under OCT-based navigation before the surgeon continued the operation.   Result: The technical setup was feasible, and the laser marking of the border of the IAC was performed with an overall accuracy of 300 μm. The depth of each ablation phase was 300 μm. The marks indicating a safe path supported the surgeon in the surgery.   Conclusion: The technique investigated in the present study could decrease the surgical risks for the mentioned structures and improve the pace and precision of operation

Addiction and the Risk of Common Bile Duct Stones: A 4-Year Retrospective Population-Based Study in Mashhad, Iran

Background: As a common digestive disorder, choledocholithiasis can have serious consequences, including death. Given that opioids have been shown to contribute to the spasm of Oddi’s sphincter, which results in biliary stasis in the common bile duct (CBD), it is likely that opioids can also raise the prevalence of choledocholithiasis. In this regard, this study aimed to investigate how common opium addiction was among choledocholithiasis patients in Mashhad, Iran.Methods: The current retrospective observational study was conducted on 599 patients with choledocholithiasis who underwent endoscopic retrograde cholangiopancreatography (ERCP), utilizing information gathered at the Ghaem hospital in Mashhad, Iran, between 2011 and 2015. Patient data were collected from files and records using certain criteria such as gender, opium addiction, hepatic enzymes (AST, ALT, ALP), plasma levels of total bilirubin, and direct bilirubin. The size of the CBD stones as well as the correlation between the gallbladder and CBD stones were calculated.Findings: From among 599 patients included, 345 (57.6%) were female and 254 (42.4%) were male. Moreover, 195 patients (32.2%) had opiate addictions. The size of the CBD stone was correlated with the patient’s age (r=0.17, P=0.001). The average stone measured 12.22±3.32 mm. There were notable differences in the mean size of the CBD stone (P<0.001) between addicted and non-addicted cases; specifically, the mean CBD stone size in addicted cases was 12.715.13 mm while it was 12.34.33 mm in non-addicted cases.Conclusion: This study showed patients with CBD stones have a higher rate of opium addiction compared to the general population, indicating a possible link between the two conditions

Global, regional, and national burden of osteoarthritis, 1990–2020 and projections to 2050: a systematic analysis for the Global Burden of Disease Study 2021

Background Osteoarthritis is the most common form of arthritis in adults, characterised by chronic pain and loss of mobility. Osteoarthritis most frequently occurs after age 40 years and prevalence increases steeply with age. WHO has designated 2021–30 the decade of healthy ageing, which highlights the need to address diseases such as osteoarthritis, which strongly affect functional ability and quality of life. Osteoarthritis can coexist with, and negatively effect, other chronic conditions. Here we estimate the burden of hand, hip, knee, and other sites of osteoarthritis across geographies, age, sex, and time, with forecasts of prevalence to 2050. Methods In this systematic analysis for the Global Burden of Disease Study, osteoarthritis prevalence in 204 countries and territories from 1990 to 2020 was estimated using data from population-based surveys from 26 countries for knee osteoarthritis, 23 countries for hip osteoarthritis, 42 countries for hand osteoarthritis, and US insurance claims for all of the osteoarthritis sites, including the other types of osteoarthritis category. The reference case definition was symptomatic, radiographically confirmed osteoarthritis. Studies using alternative definitions from the reference case definition (for example self-reported osteoarthritis) were adjusted to reference using regression models. Osteoarthritis severity distribution was obtained from a pooled meta-analysis of sources using the Western Ontario and McMaster Universities Arthritis Index. Final prevalence estimates were multiplied by disability weights to calculate years lived with disability (YLDs). Prevalence was forecast to 2050 using a mixed-effects model. Findings Globally, 595 million (95% uncertainty interval 535–656) people had osteoarthritis in 2020, equal to 7·6% (95% UI 6·8–8·4) of the global population, and an increase of 132·2% (130·3–134·1) in total cases since 1990. Compared with 2020, cases of osteoarthritis are projected to increase 74·9% (59·4–89·9) for knee, 48·6% (35·9–67·1) for hand, 78·6% (57·7–105·3) for hip, and 95·1% (68·1–135·0) for other types of osteoarthritis by 2050. The global age-standardised rate of YLDs for total osteoarthritis was 255·0 YLDs (119·7–557·2) per 100 000 in 2020, a 9·5% (8·6–10·1) increase from 1990 (233·0 YLDs per 100 000, 109·3–510·8). For adults aged 70 years and older, osteoarthritis was the seventh ranked cause of YLDs. Age-standardised prevalence in 2020 was more than 5·5% in all world regions, ranging from 5677·4 (5029·8–6318·1) per 100 000 in southeast Asia to 8632·7 (7852·0–9469·1) per 100 000 in high-income Asia Pacific. Knee was the most common site for osteoarthritis. High BMI contributed to 20·4% (95% UI –1·7 to 36·6) of osteoarthritis. Potentially modifiable risk factors for osteoarthritis such as recreational injury prevention and occupational hazards have not yet been explored in GBD modelling. Interpretation Age-standardised YLDs attributable to osteoarthritis are continuing to rise and will lead to substantial increases in case numbers because of population growth and ageing, and because there is no effective cure for osteoarthritis. The demand on health systems for care of patients with osteoarthritis, including joint replacements, which are highly effective for late stage osteoarthritis in hips and knees, will rise in all regions, but might be out of reach and lead to further health inequity for individuals and countries unable to afford them. Much more can and should be done to prevent people getting to that late stage