مجله دانشگاه علوم پزشکی گرگان
سال چهاردهم شماره 1 (پیاپی 41، بهار 1391)

Diabetes mellitus is one of the most common serious metabolic disorders characterized by hyperglycemia, altered metabolism of lipids, carbohydrates and proteins. Gestational diabetes mellitus (GDM), affects 3.5–5% of all human pregnancy. Therefore, this study was done to evaluate the effect of gestational diabetes on astrocyte density in CA1 and CA3 subfields of hippocampus in rat male offspring.

In this experimental study, 12 Wistar Dams rats were randomly allocated in control and diabetic groups. Gestational diabetes induced by 40 mg/kg/body weight of streptozotocin at the first day of gestation (GD) in experimental group and controls were received an equivalent volume normal saline injection intraperitoneally (IP). Six male offspring of cases and controls dams, at the 7, 21 postnatal day (P7, P21) were randomly selected. Animals were scarified using chloroform anesthesia. The coronal sections of brain by 6 micrometer serially were prepared. The sections were stained with PTAH. The number of astrocytes was evaluated in 100000 μm2 area of CA1 and CA3 in 1000X magnification. Data was analyzed by SPSS-11.5 and t-test.

In CA1 subfield of hippocampus in offspring, the number of astrocytes significantly reduced by 36.25% and 36.37% in diabetic group in compare to controls in the P7 and P21, respectively (P<0.05). In CA3, astrocytes density significantly reduced 36.35% and 26.5% in GD in comparison with controls in the P7 and P21, respectively (P<0.05).

This study showed that the uncontrol gestational diabetes significantly reduces astrocytes density in CA1 and CA3 subfields of hippocampus in rat offspring.

Sleep disurbance is considered to be one of the most common problems in menopausal women. Herbal supplements are being used as herbal supplemental medication to solve the problem. The aim of this study was to determine the effect of Sedamin capsule on sleep disorder among menopausal women.

This randomized controlled trial study was done on 100 Menopausal women aged 50-60 with sleep disorder. Women randomly divided into intervention and contol groups. Subjects intervention group were received Sedamin capsule (530 mg Valerian root) twice a day for 30 days. Women in control group were received capsule (50 mg of carbohydrate) twice a day for 30 days. Demographic data form and Pittsburg sleep quality index was instrumented for the evaluation of disorder. Data analyzed with using independent T and ANOVA tests.

Mean score of sleep disorder peior and after intervention was 9.8±3.6 and 6.02±2.6 (P<0.05) in interventional group and 11.14±4 and 9.4±3.9 in controls, respectively. Also, 40% of the participants in the intervention group and 12% in the control group showed an improvement in the quality of sleep (P<0.05).

This study showed that consumption of Sedamin capsule improves the quality of sleep in menopausal women with sleep disorder.

Nausea and vomiting are the most frequent complications in the first trimester of pregnancy. Herbal medicine is among the traditional effective treatments. Ginger and Chamomile are hypothesized to be useful in decreasing the signs. This study was done to determine the effect of Ginger and Chamomile capsules on nausea and vomiting in pregnancy.

This triple-blind randomized placebo-controlled trial was carried out on 105 pregnant women in 6-16 weeks of gestational age with a mild to moderate nausea and vomiting, whome referred to the prenatal care clinic in Dezyani hospital and health centers, Gorgan, Northern Iran during 2009-10. Rhodes index questionnaire had been given to all participants to be completed before bed-time for two weeks. In the first week no intervention was done and prescribing the capsules was started the following week. Subjects randomly divided into 3 groups: In group 1, ginger capsules were consumped twice a day for one week, in group 2; twice daily chamomile capsule and in placebo group, glucose capsule was prescribed. Scores were calculated and all data were entered into the SPSS-16 software, analysis was done using variance analysis, Will-Cockson, paired T and Fisher-exact tests.

The mean of Rhodes index before intervention in plasbo, Ginger and Chamomile groups were 12.71±5.88, 10.42±0.76 and 11.19±5.51, respectively. Also, the mean of Rhodes index after intervention in plasbo, Ginger and Chamomile groups were 11.47±6.43, 7.28±3.74 and 5.73±4.32, respectively (P<0.05). Bonferroni test indicated that there is no difference about scor chang (after and before) between Ginger and Chamomile and Ginger and plasbo, but this difference was significant between Chamomile and plasbo group (P<0.05).

This study showed that Chamomile capsule was more effective on nausea and vomiting during pregnancy compared to Ginger.

Considering the relatively wide application of ceftriaxone in pediatric infectious diseases and its side effects, this study was done to determine gallblader sonographic abnormality following ceftriaxone treatment in children.

This descriptive cross- sectional study was carried out on 60 patients age 1 month up to 12 years in Besat hospital, Hamadan, Iran during 2007. The sonographic abnormal finding of gallbladder before ceftriaxone therapy and 5 days after therapy were recorded. In case of any abnormality in gallblader sonography was repeated twice a week in the first two weeks and afterward once a week up to disappearance of abnormalities.

Gallblader sonographic abnormality were observed in 10 cases (16.5%). Out of them, 8 and 2 patients had bile stone and bile sludge, respectivley. The patients did not show any clinical manifestations. There was no relation between age and sex with abnormal findings. Gallblader abnormality completely were disappeared in the worst cases by sixteen days.

This study showed that the incidence of either gallstone or biliary sludge after treatment with ceftriaxone was 16.5% which is relatively similar to other studies.