Honey and Apoptosis in Human Gastric Mucosa

Background: Gastric cancer is the fourth most common malignancy in the world. Honey is acomplex mixture of special biological active constituents. Honey possesses antioxidant and antitumorproperties. Nutritional studies have indicated that consumption of honey modulates therisk of developing gastric cancer. On the other hand, apoptosis has been reported to play a decisiverole in precancerous changes. Our chief study was conducted to assess the relationship betweenconsumption of honey and apoptosis in human gastric mucosa.Method: This cross-sectional study was conducted on 98 subjects over 18 years old, referred totwo hospitals in Tabriz, Iran. Subjects were undergone an upper gastrointestinal endoscopy, 62subjects were finally enrolled. Honey consumption was assessed by a Food Frequency Questionnaire(FFQ) and apoptosis was detected by TUNEL technique. We tested polynomial curve tofind the best fit between honey consumption and apoptosis.Results: A positive relation between honey consumption and apoptosis was found (P=0.024).Our results indicated that the final and the best fit curve was: apoptosis = 1.714+1.648(honeyamount) - 0.533(honey amount)2 +1.833×10-5(honey amount)7.Conclusion: Honey consumption had positive effects on gastric cancer by inducing apoptosis ingastric mucosa

Magnesium Sulfate Effect on the Clinical Course and GCS of Patients with a Severe Diffuse Axonal Injury

Based on a number of studies, magnesium sulfate (MgSO4) given after a diffuse axonal injury has gained attention as a useful neuroprotective agent .The present study was conducted to examine if magnesium sulfate has a therapeutic efficacy and safety in patients with a severe diffuse axonal injury. Adult patients admitted within 1 hour of a closed Traumatic Brain Injury (TBI) with a severe diffuse axonal injury that met eligibility criteria were randomized into two groups. Our treatment guidelines consisted of an initial loading dose of 50 mg/kg magnesium sulfate and then 50 mg/kg QID up to 24 hours after the trauma. The outcome measures were mortality, GCS, and motor function scores which were assessed up to 2 months after the trauma. Magnesium showed a significant positive effect on GCS 2 months (P=0.03).  Among those in MgSO4 group, motor functioning score improved more than control group but this was not statistically significant (P = 0.51). At the end, we have demonstrated that administration of magnesium sulfate can have neuroprotective role following severe DAI.

Comparison of the Effect of Plastic Cover and Blanket on Body Temperature of Preterm Infants Hospitalized in NICU: Randomized Clinical Trial

Introduction: Preterm infants are unable to regulate their body temperature and there are insufficient research evidences on different kinds of covers for hospitalized preterm infants; therefore, the present study was conducted with the aim of comparing the effects of plastic and blanket covers on the body temperature of preterm infants under radiant warmer. Methods: This randomized cross-over clinical trial was carried out upon 80 infants with the gestational age of 28-30 weeks and birth weight of 800- 1250 gr who were in Neonatal Intensive Care Unit on the second day of their hospitalization. The study lasted for two days. In group 1, the plastic cover was used during the first day of the study while the blankets were used during the second day. Infants’ heads were kept out of the cover and coated with a hat. In group 2, the plastic cover was used during the first day of the study while the blanket was used during second day. Digital thermometer was used to measure infants’ axillary temperature. The data was analyzed using SPSS ver 13 and MiniTab software. Descriptive statistics, (Mean (SE), 95%CI) and inferential statistics (Repeated measurement and ANCOVA tests) were used. Results: The mean body temperature of the infants in the group covered with the plastic was calculated to be higher and the warmer was set on low temperature. Conclusion: Using plastic cover during the first few days of hospitalization in NICU resulted in regulation of preterm infants’ body temperature

The Correlation between Serum Levels of Anti-Toxoplasma gondii Antibodies and the Risk of Diabetes

Background: This study investigated the presence of specific antibodies against Toxoplasma gondii infection among people with diabetes (type I and II) in comparison with control group. Methods: Overall 300 serum samples were collected equally from three groups including patients with type I and type II diabetes and non-diabetic healthy control that referred to Tabriz Central Laboratory in northwest Iran during July to Sep 2015. The level of specific IgG and IgM antibodies against T. gondii were measured using the chemiluminescence immunoassay (CLIA) method. Chi-square and One-Way ANCOVA were used for data analysis. Results: Overall, 300 samples from diabetic patients (type I and type II) and control group were examined and results showed 3, 8 and 2 cases were seropositive for anti- T. gondii IgM respectively. Anti- T. gondii IgG seropositivity in type I and type II diabetes and control groups were 69%, 63% and 59% respectively. We did not observe any statistical differences among all studied groups in terms of toxoplasmosis. There was no statistically significant relationship between all variables and seropositivity for anti-T. gondii antibodies in type I and II diabetes and non-diabetic groups. Conclusion: Although there was no statistically significant relationship between diabetes and toxoplasmosis further investigations especially experimental studies using animal models are needed. Furthermore, these findings would not be contrary to the need for healthcare in order to the prevention of infectious disease in diabetic patients

Comparison of the efficacy of honey gel and clotrimazole cream in the treatment of vaginal candidiasis symptoms: a randomized clinical trial

Background: Reproductive tract infection is a global health problem among women, particularly in East Asia. Accordingly, researchers are seeking drugs with fewer side effects, compared to chemical agents. In this regard, the antifungal properties of honey have been confirmed. Objective: This study was conducted to examine the effects of vaginal honey gel and clotrimazole cream on symptoms of candidiasis in 2014-2015. Methods: This single-blind clinical trial was conducted on 106 patients with clinical complaints and positive cultures. The study was conducted in Tabriz clinics and health centers during 2014-2015. The participants were randomly divided into clotrimazole cream and honey gel groups (n, 53 per group) and were assessed both pretreatment and post treatment (before, 4 and 8 days after treatment). The results were analyzed and compared in IBM-SPSS version 22, using McNemar’s test, Cochran's Q test, generalized mixed model, and independent- samples t-test. The significance level was set at 0.05. Results: At all 3 time intervals, significant reductions were observed in vaginal symptoms, compared to pretreatment due to the use of honey gel and clotrimazole cream (p<0.001). On the other hand, the culture results were similar, and there was no significant difference between the groups (p>0.05). Conclusion: Honey was effective in the treatment of candidiasis symptoms and could be used as an alternative or adjuvant for other antifungal drugs in the treatment of vaginal candidiasis symptoms. Clinical Trial Registration: This study was registered in the Iranian Registry of Clinical Trials (http://www.irct.ir) with the registration code IRCT201604144317N9. Funding: The authors received no financial support for the research

The Effect of Plastic Cover on Regulation of Vital Signs in Preterm Infants: A Randomized Cross-over Clinical Trial

Background: Considering the susceptibility of preterm infants to disturbances of vital signs, this study was conducted to investigate the effects of using plastic covers on regulation of vital signs in preterm neonates.Methods: This randomized, cross-over, clinical trial was carried out on 80 preterm infants admitted to neonatal intensive care unit (NICU) of Taleghani Hospital, Tabriz, Iran. The study was conducted in two days (on the second and third days of the infants’ life). In group 1, plastic cover was used during the first day followed by the use of blanket on the second day, while the order was reversed in group 2. Digital thermometer was used to measure the infants’ axillary temperature. Heart rate and oxygen saturation were measured through monitoring. To analyze the data, descriptive (Mean and SE, 95%CI) and inferential statistics (repeated measurement and ANCOVA tests) were used in SPSS version 13 and MiniTab software.Results: Fourteen infants who were covered with blanket were found to suffer from hypothermia, while no infant with a plastic cover encountered this problem. The percentage of arterial blood oxygen saturation in the group with plastic covers was higher, and as a result, the infants received less oxygen supplements. However, no statistically significant differences were observed in heart rate between the groups.Conclusion: Use of plastic cover during NICU stay prevented hypothermia in premature infants, with the arterial blood oxygen saturation being within the normal limits. Yet, it did not seem to have a significant effect on other vital signs

Investigating the Acoustic Behavior of Polyurethane Foam Reinforced with Clay Nanoparticles

Introduction: Disturbing noise can cause physical and mental illnesses among workers; for this reason, it is necessary to restrain it, especially in workplaces. Using sound-absorbing materials with suitable acoustic properties has been a growing trend in mitigating noise. This study aimed to improve the acoustic properties of polyurethane foam (PUF) as a sound absorber. Material and Methods: In the present study, PUF was synthesized with different percentages of clay nanoparticles (0 -1.2 wt.%), and then the Sound Absorption Coefficient (SAC) of the synthesized PUF was measured by the acoustic impedance tube in the frequency range of 63 to 6400 Hz according to the ISIRI 9803 standard without an air gap behind the sample. The morphology of the foam was also investigated by Scanning Electron Microscope (SEM). Results: The results showed that the addition of clay nanoparticles to PUF improved the sound absorption behavior of the samples, and the best sound absorption behavior was for PUF with 1.2% weight of nanoparticles at low frequencies (500-2600 Hz). This increase in the absorption coefficient can be due to the increase in the number and smaller size of the pores with the increase in the amount of nanoparticles in PUF. Conclusion: This study illustrates that the incorporation of clay nanoparticles into PUF at varying percentages results in an enhanced absorption coefficient. The presence of clay nanoparticles leads to a reduction in cell size and an increase in the number of pores, consequently enhancing surface friction. The absorption coefficient was observed to increase with the growing concentration of clay nanoparticles in PUF

Neonatal intensive care unit nurses' perceptions and knowledge of newborn individualized developmental care and assessment program: A multicenter study

Background: The newborn individualized developmental care and assessment program (NIDCAP) is a new multifaceted approach, which is developmentally and functionally supportive of health especially in premature newborns at the neonatal intensive care unit (NICU). This study is designed for assessing the knowledge and perception of nurses as the most important members of the multidisciplinary team of NIDCAP about this program. Materials and Methods: This cross-sectional study was conducted on 120 nurses working in the NICUs of Alzahra, Taleghani, and Children hospitals affiliated to the educational and treatment centers of Tabriz University of Medical Sciences as well as 29 Bahman Hospital affiliated to Tabriz Social Security Organization in 2016 using census sampling method. Three questionnaires were employed to collect demographic data and to explore the nurses' perceptions and knowledge of the NIDCAP program. Results: Findings of the study indicated that the mean (SD) nurses' knowledge and perception scores for NIDCAP were 71.83 (1.64) and 76.80 (0.79), respectively. In the terms of knowledge, significant differences were found with regard to being married (t = -2.39, p 0.05), nor was there any significant relationship between perception and knowledge (p = 0.275). Conclusions: The results of this study showed that the majority of nurses participating in the study had high knowledge about NIDCAP

The Impact of Blood Sampling Site on Pain Score in Preterm Infants: A Crossover Randomized Clinical Trial

Background Blood sampling is a usual and painful procedure on preterm infant. Repeating painful procedures may affect the process of normal brain development and Pain management is important for nurses. This study was conducted to evaluate and compare pain score in two sites of blood sampling in preterm infants. Materials and Methods Blood sampling is a usual and painful procedure on preterm infant. Repeating painful procedures may affect the process of normal brain development and Pain management is important for nurses. This study was conducted to evaluate and compare pain score in two sites of blood sampling in preterm infants. Results The pain score was significantly higher while sampling was conducted from hand veins compared to scalp veins (p=0.001).The pain score was significantly higher in preterm infants with lower gestational age (28-30 weeks) than the infants with 30-32 weeks of gestation(p=0.048). Conclusion The pain score in preterm infants according to ALPS-Neo method was significantly higher while sampling was conducted from hand veins compared to scalp veins. Preterm infants with lower gestational age had also higher pain score

The effect of keeping pet dogs and cats on Toxocariasis

Background : Toxocariasis is a zoonotic disease caused by the migration or presence of Toxocara canis or Toxocara cati larva in human tissues or organs. Human become infected by ingestion of soil or contaminated raw or half-cooked meat (Paratenic hosts) containing Toxocara larva. The present study was conducted to determine Toxocara infection in the dog and cat owners and compare the results with infection in individuals who do not have the history of keeping these pets. Materials and Methods: In this descriptive-analytical study, by random sampling, 558 (405 individuals who do not have dog and cat and 153 dog and cat owners) of 2-20 years old persons were selected in Tabriz during 2009-2010. Serum samples were investigated using ELISA method for the presence of anti-toxocara antibodies and data were analyzed using Chi-square test. Results: Totally, 162 samples (94 from people in contact and 68 from people without any contact with dog and cat) had anti-toxocara IgG. Total of 558 individual samples (235 men and 323 female) 396(70.96%) were negative and 162(29.03%) were positive. There were no significant association between Toxocara infection and gender (P=0.275). Conclusion: According to the results of this study, much of the dogs and cats owners were exposed to parasite. Training of dogs and cats owners, promotion of their awareness about various ways of transmission and examination of the infections in dogs and cats and prevention of these infections are recommended