مجله دانشگاه علوم پزشکی اردبیل
پیاپی 79 (بهار 1400)

Using medications that decrease postoperative pain and opioid consumption is a widely recommended approach. The aim of this study was to evaluate the efficacy of intravenous Ibuprofen and its complication in controlling pain after abdominal surgery.

This study was a randomized, double-blind, interventional clinical trial. Sixty patients aged 20 to 60 years were candidates for abdominal surgery (inguinal hernioplasty and appendectomy). Patients were divided into two equal size groups (n=30) using a random block design method. The First group received (400 mg IV) ibuprofen every 6 hours for 24 hours as well as (15 microgram/ml bolus) fentanyl pump with PCA. Second group only received (15 microgram/ml blous) fentanyl pump with PCA. 

Demographic characteristics and duration of surgery, ASA class, type of anesthesia and type of surgery were similar in the two groups. Pain severity in 24 postoperative hours was significantly lower in the ibuprofen group compared with the control group. Nausea and vomiting frequency in 24 postoperative hours was significantly lower in the ibuprofen group compared with the control group. Patients belonging to ibuprofen group were significantly more satisfied with their analgesic method.

Results showed that using 400 mg intravenous ibuprofen every 6 hours mitigates postoperative pain, reduces fentanyl consumption and is highly tolerated by patients.

Despite of significant advances in medicine, infectious diseases still threaten the health of society. A new type of Coronavirus called Covid-19 has become increasingly common in the world.  Because of quarantine, the interactive patterns between family members, especially couples with Corona was affected and changed. The main goal of this research is to study the factors affecting interactive patterns between couples in the Corona period according to the conditions of the disease and home quarantine.

This study is a qualitative research and was done by Phenomenological method. The Participants included 15 men and women coronavirus survivors in 2020 that were selected by targeted sampling method. Semi-structured interviews were used to collect data.

This research findings indicated that 5 main themes included: Changing roles, experiencing negative emotions, Coping behaviors, Support and Communication problems and 22 sub-themes.

The results showed that the performance of couples can play an effective role in the transition from crisis and disease and the type of their behaviors in this period can affect marital satisfaction or dissatisfaction.

Vitamin D deficiency and poor sleep quality are important factors in health disorders and are common among women. The aim of this study was to investigate the effect of physical activity on vitamin D levels and improving sleep quality in women.

This descriptive-analytical study was conducted on active and inactive women (85 individuals in each group), aged 30-48 years that were selected using convenience randomized sampling. The Pittsburgh Sleep Quality Questionnaire was used to assess sleep quality and a score higher than 5 was determined as poor sleep quality. For analysis of data, Kruskal Wallis and Mann Whitney U tests and Spearman coefficient were used at a significance level of 0.05.

The results showed that 54.12% and 28.82% of women had a deficiency and insufficient levels of vitamin D, respectively, and 61.8% had poor sleep quality. Active women had higher levels of vitamin D and better sleep quality compared to inactive women (p<0.05). There was also a direct relationship between vitamin D levels and sleep quality in active and inactive women. However, this association was significant in active women with vitamin D deficiency and inactive women with different vitamin D status.

It seems that physical activity can increase vitamin D levels and improve sleep quality in women. But vitamin D status, especially its deficiency, may be one of the most important determinants of sleep quality in active and inactive women.

Low birth weight is considered one of the most serious health problems in the world that puts tremendous pressure on the health care system and family. The aim of this study was to investigate the relationship between some maternal risk factors and low birth weight.

The present study was a cross- sectional study performed on 264 cases. The data gathering tool was a checklist with two parts to compare two groups in this research. The first part was related to the infant's characteristics (sex, weight, and gestational age of the newborn), and the second part related to maternal characteristics. Data were analyzed using SPSS software. Inferential statistics including Mann–Whitney u, chi-square, fisher exact test and logistic regression were used to investigate the relationship between the variables.

In this study, the level of education was lower in mothers with term low birth weight neonates (p=0.024), also normal delivery was reported more frequently among mothers with low birth weight infants (p=0.0001). Also, the mean BMI and the weight at the beginning of pregnancy and overweight in mothers with term neonates and normal weight were greater (p=0.0001, in all). The first minute Apgar score and the fifth minute Apgar score were lower in mothers with low-birth term infants (p=0.002 and p=0.0001). Also distinguished that the gestational age (week) was lower in mothers with low-birth term infants (p=0.0001).

According to the results, increasing progress the pregnancy per week makes it possible to increase the normal weight of newborns by 3.11%.

Caffeine can affect many physiological functions of the body. The aim of this study was to investigate the response of aerobic function, blood pressure and some immune system factors of trained men to acute caffeine consumption in dehydrated condition and warm and humid environment.

Thirty male athletes with a mean age of 26.6±3.9 years in dehydrated conditions voluntarily participated in this study, which was performed in a double-blind manner. Subjects were divided into three groups: caffeine consumption group (n=10), placebo group (n=10) and control group (n=10). The Caffeine group consumed 6 mg/kg body weight of caffeine. Sixty minutes later, the subjects performed an increasingly exhausting exercise. Blood samples collecting and blood pressure measuring took place before, immediately after and 24 hours after exercise. Analysis of variance with repeated measures (group * time) and one-way analysis of variance were used for statistical calculations.

The duration of the exhaustion test in the caffeine consumption group was significantly longer than the control (p≤0.01) and placebo (p≤0.05) groups. In the blood sampling immediately after exercise, the level of leukocytes, neutrophils and lymphocytes in the exercise groups were significantly higher than the control group (p≤0.001). Also, the caffeine group experienced a lower increase in leukocytes and neutrophils compared to the placebo group (p≤0.001). Blood pressure values ​​in the exercise groups were significantly higher than the control group (p≤0.001). Also, the caffeine group experienced a greater increase in systolic blood pressure at baseline and immediately after exercise compared to the placebo group (p≤0.001).

In general, exhausting exercise in a warm environment and dehydrated condition increases the number of immune system cells and blood pressure. In addition to improving aerobic function, caffeine seems to prevent further increases in the number of immune system cells, while increasing blood pressure in the normal range in warm and humid environment.

Urinary tract infection (UTI) is the most prevalent infection and Escherichia coli (E. coli) is one of the main causes of UTI worldwide. Integrons are mobile genetic elements considered to be responsible for dissemination of multi-drug resistance infections. Therefore, the aims of this study were to investigate the antibiotic resistance patterns and distribution of class I, II and III integrons among E. coli isolated from patients.

In this descriptive cross-sectional study, from Jun 2020 to March 2021, in total, 70 non-duplicate strains of E. coli were isolated from patients with UTI referred to Amiralmomenin hospital, Zabol, Iran. Antibiotic resistance patterns were determined using Kirby-Bauer’s disk diffusion method and Clinical and Laboratory Standards Institute (CLSI) guidelines. Class I, II and III integrons were detected using polymerase chain reaction (PCR).

The isolates showed high resistance toward ampicillin (77.1%), trimethoprim- sulfamethoxazole (58.5%) and ceftriaxone (35%), whereas were mostly susceptible to meropenem (97%). Based on results of PCR, 34 (48.6%) and 3 (4.3%) isolates were classified as class I and class II integron-positive strains, respectively.

Resistance rate to ampicillin, ceftriaxone and trimethoprim-sulfamethoxazole was at a high level and their prescription should be restricted. Class I integron is widely distributed among E. coli isolates and play a crucial role in the emergence of antibiotic resistance

Gastric cancer is the fourth most common cancer in the world and Ardabil province is in the top ranks in the world. MicroRNAs are non-coding RNA molecules with a length of 18 to 21 nucleotides and due to their regulatory role in post- transcriptional gene expression; single nucleotide polymorphisms (SNPs) could affect their function on target genes regulation.

Genomic DNA was extracted from peripheral blood of 150 healthy volunteers, which were born and living in Ardabil province, 30 SNPs in microRNA genes have been detected by the Whole Exome Sequencing assay. Then, the obtained results were evaluated using Sanger-based PCR-Sequencing method. The Pearson correlation test was used for finding significant relationships.

After confirming the WES results, the population frequency of the selected variants was compared with the general populations of Iran, Europe and the world. Based on the age-standardized rate (ASR), six variants with significant differences, including rs10061133, rs12220909, rs12983273, rs2292832, rs2505901 and rs6505162 were observed.

According to the previous case-control studies which indicate the association between the variants rs10061133, rs12220909, rs12983273, rs2505901, and rs6505162 and gastric carcinogenesis in various populations, the observed significant differences in our population could imply on the presence of the cancer susceptibility in Ardabil province.

The aim of this study was to evaluate the effects of preventive administration of ketamine, fentanyl and paracetamol on pain intensity and hemodynamic parameters after deep vitrectomy.

In this clinical trial, 80 candidates of deep vitrectomy surgery were randomly assigned into 4 groups (1-4) and received 0.5 mg / kg ketamine, 2 μg / kg fentanyl, 10 mg/kg of paracetamol and equivolume of normal saline respectively intravenous infusion during the last 15 minutes of surgery. Pain intensity and hemodynamic parameters were recorded and analyzed.

Pain intensity was significantly higher in placebo group during the first 4 hours after operation (p<0.01), but no significant differences were observed between the study groups at 8 and 24 hours after operation in this regard. There were no significant differences between the three intervention groups in terms of pain intensity during the study. Also there were no significant differences between the 4 study groups regarding to hemodynamic parameters.

The use of each of the three intervention drugs significantly reduced the pain intensity compared to the control group without any hemodynamic derangement.

Age-related cardiovascular dysfunction is often accompanied by impaired mitochondrial biogenesis and function. Exercise training can improve mitochondrial function and content in muscle to meet the energy demands of the cells. The purpose of the present study was to investigate the effect of moderate-intensity (MRT) and high-intensity (HRT) resistance training on the expression of PGC-1α, TFAM and AMPK of cardiomyocytes in elderly rats.

In this experimental study, 30 elderly male rats (23 months) were divided into 3 groups: control (C), MRT and HRT. Training groups exercised resistance training for eight weeks (5 days a week). The resistance training protocol consisted of climbing a 110- centimeter -long ladder, with a weight attached to a tail sleeve. In the MRT group, the training protocol with 60% MVCC, 14-20 times climbing the ladder; In the HRT group with 80% MVCC, 9-10 times climbing the ladder was performed. Data were tested using ANOVA at a significance level of p<0.05.

the expression of PGC-1α, TFAM and AMPK was significantly increased in MRT and HRT groups compared to control group (p=0.000). There was no significant difference between MRT and HRT groups on the expression of PGC-1α, TFAM and AMPK (p=0.574).

Eight weeks of MRT and HRT exercise improved mitochondrial biogenesis by increasing the expression of AMPK, PGC-1α and TFAM Cardiomyocytes in Elderly Rats. Both types of exercise training may be considered an effective intervention to improve mitochondrial function

Insulin-like growth factor -1 (IGF-1) has a variety of roles, but the abundance of scientific evidence indicates that it is a metabolic biomarker associated with physical fitness and health. The present study investigates the effect of eight weeks of polarized exercise training on serum GH / IGF-1- indices in active young men.

In this double-blind experimental study, 20 young males were allocated randomly into polarized training group (N=10) and a control group (N=10). The polarized training group performed 80-70% of the main workout volume (30 minutes) with light to moderate with 50-60% reserve heart rate (RHR) intensity and the remaining 20-30% at 85-95% RHR intensity; in a way that they ran two periods consisting 3 repetitions of 15-30 seconds, with 30-60 seconds of active rest after each repetition and 3 minutes of active rest after each period. Blood samples were taken from all subjects in three stages, including: pre-test stages, 24 hours before the start of the post-test, and after 12 hours overnight fasting. Post-test samples were collected, one sample immediately after the first session and the another 48 hours after the end of the last exercise session.

The results of the present study showed that bipolar training significantly increased growth hormone and free IGF-I levels after one training session, and after eight-week bipolar training program. However, total IGF-1 levels decreased significantly after one exercise session and after eight-week bipolar exercise program. Also, no significant change was observed in IGFBP-3 and IGFBP-5 levels after one training session and eight-week training program. Acid-labile subunit levels did not change significantly after one training session, but decreased significantly after eight weeks of bipolar training.

Based on the results of the present study, it seems that the use of bipolar exercises, training may be a good way to improve the hormonal function and assess the level of health and physical fitness of active young men.

Pulmonary alveolar microlithiasis is a rare autosomal recessive disease characterized by the formation of calcium phosphate deposition in the alveoli. Although the disease most often occurs in children, most patients with the disease are diagnosed in adulthood due to the slow progression of the disease inside the lungs. In childhood, it often causes no symptoms, and changes in the lung parenchyma are usually detected by chance. Symptoms usually appear in the third or fourth decade of life. Diagnosis is made with a combination of positive chest radiography and tissue examination. Genetic testing makes it possible to identify other unidentified patients in the patient's family. In the present study, a patient with pulmonary alveolar microlithiasis was diagnosed using imaging and other disease findings, including clinical manifestations as well as history is taken from the patient.