مجله علمی پزشکی جندی شاپور
سال نوزدهم شماره 4 (پیاپی 127، مهر و آبان 1399)

The ABC family of transporters, in addition to their role in cell division and storage of cell volume in fungi, they are reported to play a role in natural metabolism and drug resistance. The purpose of this study is to investigate the molecular separation and cloning of the ATP-binding Cassette (ABC) from Trichophyton rubrum.

Sixty samples of dermatophytosis were isolated from the patients. Isolates were identified by chemical and molecular tests. Afterward, PCR was performed using specific primers for the ABC gene. PCR product was cloned in the PTG19 vector. Real-Time PCR was performed to evaluate the expression level of ABC gene.

A total of 12 isolates of Trichophyton Rubrum were identified. Six isolates were positive for ABC gene. The expression of the ABC gene cloned in E. coli XL1blue was confirmed by Real time PCR.

Expression of efflux pumps considered a way of resistance to antibiotics in microorganisms. In this regard, the researchers have developed the efflux pump inhibitor compounds and used them in combination with antibiotics to combat infections. However, because of the toxicity of most of these compounds in humans, their extensive use is prohibited. Therefore, finding new inhibitory compounds with little or no toxicity is challenging.

The aim of this study was to comparison of GLPS in subjects with ER pattern in ECG with patients with STEMI and healthy subjects by speckle tracking echocardiography.

This case-control study was conducted on 30 patients with STEMI and 19 subjects with ER pattern on ECG admitted to Imam and Golestan hospitals in Ahvaz. The control group was consisted of 30 healthy subjects without cardiovascular disease and with normal ECG. ER pattern, defined as notching or slurring of the terminal part of QRS complex, J-point elevation ≥0.1 mV in more than 2 contiguous leads on ECG and QRS

ST-segment elevation was greater with STEMI group versus ER group (3.57 ± 1.50 vs. 1.68 ± 0.67; p < 0.001). The patients with STEMI had a significant lower ELVF (p < 0.001), SV (p < 0.001), TAPSE (p < 0.001) and LV GLPS (p < 0.001) and higher HR (p < 0.001) and PAP (p < 0.001) compared to ER and control groups, while there was no significant difference between the control and ER group (P>0.05). Mmoreover, the incidence of Left ventricular diastolic dysfunction (LVDD grade 1) in the STEMI group was higher than in two groups of ER and healthy (60%, 10.5% and 9.7%, respectively; P <0.001).

Echocardiography parameters including LVEF, PAP, HR, SV, TAPSE, GLPS and LVDD could be used to differentiate between STEMI and people with ER pattern in ECG.

Breast cancer is one of the most common cancers in women. Cancer can predispose people to mental health problems and reduce their quality of life. The aim of this study was to investigate the The effect of 6 weeks of hydrotherapy on cognitive flexibility and quality of life of women surviving breast cancer.

This study was a quasi-experimental study with pretest-posttest design with control group. The statistical population of this study were women who survived from breast cancer, 40 individuals were selected by simple random sampling and divided into two groups (each group: 20 people). Experimental group performed water training for 12 weeks, 3 sessions per week and 60 minutes per session and control group did not receive any intervention. The WHO Quality of Life Questionnaire (1996) and Cognitive Flexibility were used for data collection. Descriptive statistics and covariance analysis were used to analyze the results.

The results showed that performing different exercises in water significantly increased the quality of life and cognitive flexibility in the experimental group compared to the control group (p <0.05).

The results showed that water training effectively improves quality of life and high cognitive flexibility in women who survives from breast cancer. Therefore, it is recommended that this approach can be used to improve the quality of life and increase the cognitive flexibility in women who survives from breast cancer.

Rheumatoid arthritis is a chronic autoimmune disease that characterized by inflammation of peripheral joints, pain, swelling and bone losses. Foods containing flavinoid such as grape seed can reduce pain, inflammation and joint swelling in RA patients. The aim of this study was to evaluate the effect of Grapex on disease severity and activity in RA patients.

Sixty RA patients over the age of 18 years and diagnosed on the basis of ACR criteria are divided into two groups. The first group received 100 mg daily Grapex and the second group received placebo. At the end of the study, after 8 weeks, disease activity Score (DAS28), CRP and ESR were compared based on mean difference in both groups.

The results showed that DAS28 level was lower in the intervention group after the administration of Grapex that was statistically significant (P <0.001). Whereas in the placebo group the mean DAS28 did not change after and before placebo (P> 0.05).

Regarding significantly change in mean difference of DAS28 that only seen in the intervention group, it can be concluded that Grapex in RA patients decreases the severity of the disease. Therefore, Grapex as a supplement can be a promising treatment to reduce the severity of inflammation in these patients, along with other conventional treatments.

Due to the chronic nature of the disease, patients with diabetes need training to take care of themselves and increase self-efficacy. Self-efficacy is a person's confidence in the ability to perform self-care behaviors in specific situations. With increasing awareness, patients' self-efficacy has increased, which significantly reduces the complications of the disease. Therefore, the aim of this study was to compare the effect of two educational methods of multimedia and video-feedback on the self-efficacy of diabetic patients.

In this semi-experimental study, 75patients with Type II diabetes mellitus were selected using the simple sampling technique and were subsequently divided into three groups. In the multimedia group, the subjects were given a CD and in the video‒teach-back group, the subjects received training for four 1hour sessions. The control group did not receive any intervention. Data were analyzed before intervention and three months after intervention using DMSES (Diabetes Management Self-Efficacy Scale) was determined.

The results showed that there was no significant difference between the pre-intervention patients' self-efficacy scores in the three groups (P> 0.05), but there was a significant difference between the self-efficacy scores after intervention in the two groups compared to the control group. (p < 0/01). The results showed that the effectiveness of both educational methods on self-efficacy in diabetic patients was the same (P= 0.302).

Use of multimedia and video‒teach-back educational techniques improved self-efficacy for patients with Type II diabetes mellitus. Given the cost-effectiveness of both these techniques, they can be used for diabetic patients

Non-fluent Aphasia is one of the worst types of Aphasia that needs treatment. In the other studies, action picture cards have been used as stimuli by the RET method. In this study, video clips was used as a verbal stimulus in RET to increase speech content.

The patient was a 45-year-old with a complaint of inability to speak after brain tumor surgery. Cognitive test results were normal in this patient. But the results of Persian Farsi battery showed severe Broca's aphasia. There was no such dysarthria and apraxia in this patient.

The patient was scheduled for one hour and three days a week.After 4 sessions, the content of the patient's words was more than twice the content of his words in the evaluation sessions. Key words: Aphasia, Content of utterances, video clips, treatment, non-fluent

Despite the positive effects of HIIT training but it causes oxidative stress due to high intensity. Therefore, The aim of this study was to investigate the effect of vitamin E supplementation and omega-3 fatty acids on oxidative stress along with a high intensity interval training (HIIT) in physical education male students of Shahid Chamran University. This was a quasi-experimental and applied research.

For this purpose, from among the male students of physical education, 30 person with the age range of 22/18±1/67 years were placed in the three groups (control, vitamin E and omega-3) and took the supplement for two weeks. To analyse and measure MDA and catalase enzyme, blood samples were taken from subjects, before taking supplements, after the supplementation period, and immediately after completion of the maximum intensity interval test. Statistical analysis of covariance was performed by repeated measures for within-group changes and covariance analysis was used to examine inter-group changes.

The results showed that supplementation with vitamin E and omega-3 caused a non-significant reduction in the amount of MDA and non-significant increase in the amount of catalase enzyme (P≥ 0/05).

As a result, the consumption of these supplements are not effective in cope with oxidative stress.

High risk genotypes of Human Papillomavirus (HPV) induce proliferative changes in prostate epithelium that result prostate cancer. The aim of this study was to detect the association of HPV infection with prostate cancer using immunohistochemistry (IHC) and polymerase chain reaction (PCR) techniques in Ahvaz hospitals.

In this cross-sectional study, 50 paraffin embedded and formalin fixed prostate tissues were collected from the archive of pathology laboratories, Ahvaz Hospitals in 2019. A total of 25 tissues with prostate cancer and 25 tissues with benign prostatic hyperplasia (controls) were selected. HPV detection was performed by IHC and PCR methods.

HPV E7 oncoprotein was positively expressed in 4/25 (16%) prostate cancer specimens by IHC. HPV L1 gene was identified in 4/25 (16%) prostate cancer samples by PCR. Also, HPV16 E7 gene was detected in the same cancer specimens. Correlation between HPV infection and prostate cancer was significant (P = 0.03).

According to these results, HPV16 infection plays an important role in prostate cancer development in Ahvaz hospitals. Furthermore, IHC method can be used for the detection of HPV oncoproteins in prostate cancer patients and this technique is as an alternative method for PCR.

Transdermal permeability refers to the delivery of medication to the body through the skin for local or systemic treatment. Transdermal drug delivery systems have not liver first pass effect and gastrointestinal adverse reaction. The use of chemical penetration enhancers and physical absorption systems are obsolete because there are expensive and changes of the skin structure, and the future look at the use of novel drug delivery systems. Nano-carriers is one of the most important new technologies in the field of novel drug delivery. Nanoparticle formulations have about 10 to 100 nanometers. Smaller particles are absorbing more easily than the surface of the skin.

In the present study, a review of previous studies on the use of Nano technology in transdermal drug delivery systems introduced them and their transdermal permeability was paid.

Nanotechnology in different routes and formulations has the ability to increase the permeability of therapeutic drugs depending on their characteristics, the physicochemical characteristics of the drugs, and the therapeutic goals one can choose.

Idiopathic thrombocytopenic purpura (ITP) is the most common cause of acute thrombocytopenia in children, which usually occurs following common viral infections and rarely lead to severe and life-threatening bleeding. The aim of this study was to evaluate the demographic characteristics and the incidence of ITP among children admitted to Ahwaz Shafa Hospital from 2010 to 2018.

The present study is a descriptive retrospective epidemiological study. The files of ITP patients admitted to Ahvaz Shafa Hospital from 2010 to 2018 were reviewed. Necessary information was collected including age, sex, acute or chronic form of ITP and incidence and the season of occurrence. Data were analyzed by SPSS software.

The medical records of 5128 cases related to patients admitted to Ahvaz Shafa Hospital due to hematological problems were reviewed, of which 997 patients were diagnosed with ITP (19.44%). Out of 997 patients with ITP, 446 (44.7%) were girls and 551 (55.3%) were boys. 790 patients (79.23%) were less than 7 years old. 898 patients (90.1%) had acute ITP and 99 patients (9.9%) had chronic ITP. 275 patients (27.6%) were infected in Spring, 206 patients (20.7%) in Summer, 269 patients (27%) in Autumn and 247 patients (24.8%) in Winter.

The highest incidence of ITP among patients admitted to Ahvaz Shafa Hospital were age under 7 yr, male acute disease and the highest prevalence was in Spring.