37 2717-008X Urmia University of Medical Sciences 2601 آناتومی EFFECTIVENESS OF COGNITIVE-BEHAVIORAL GROUP THERAPY ON ANXIETY IN ADDICTS WITH SUCCESSFUL CUT OFF Bahadorzade Mehdi b Jajarmi Mahmood c Jalalabadi Mostafa d Eydi-Baygi Majid e b Islamic Azad University Torbat jam, Iran c Islamic Azad University Bojnord, Iran d Islamic Azad University Ghochan, Iran e , Young researchers and Elite Club, Torbate Heydarie Branch, Islamic Azad University, Iran 1 1 2015 25 11 961 967 26 01 2015 26 01 2015     Background and Aims : One of the factors that lead to failure treatment and return substance abuse is ignoring mental disorders before and after drug withdrawal. Therefore, the aim of the present study was effectiveness of cognitive-behavioral group therapy on anxiety in addicts with successful cut off.  Materials and Methods: This study was quasi-experimental. The study design was a pretest- posttest whit control group. The study population consisted of addicts that has been on the successful cut off and were referred for psychological rehabilitation of residential institutions Kosar. The Forty patients were selected with random sample from among referring to the center. Then were divided and assigned randomly into two groups of 20. Subjects evaluation on the pre-test and post-test Zung self assessment anxiety Scale. In the experimental group was performed in 12 sessions of psychological treatment cognitive– behavioral, once a week for an hour and a half, but the control group did not receive any intervention. After performing post test, the data was analyzed with the software Spss16 and with use independent t-test. Results: The results of this study showed that after performing cognitive- behavioral therapy there is significant differences both experimental and control groups in anxiety variable (p<0.001) .  Conclusions: The present study findings suggest the importance of cognitive - behavioral therapy on decrease in anxiety in addicts with successful cut off. These treatments can be aspects complementary chemotherapy after successful cut off and prevention of addiction to a return.    SOURCE: URMIA MED J 2015: 25(11): 967 ISSN: 1027-3727
2603 آناتومی EFFECT OF 8 WEEKS OF RESISTANCE TRAINING WITH AND WITHOUT PORTULACALO SEEDS ON SOME OF LIVER INJURY MARKERS IN WOMEN WITH DIABETES TYPE 2 Salehi Anahita f Farzanegi Parvin g f Islamic Azad University of Sari, Sari, Iran g Islamic Azad University of Sari 1 1 2015 25 11 968 978 26 01 2015 26 01 2015    Background & Aims: Diabetes is a metabolic disease that can lead to liver damage through oxidative stress. Regular physical activity and using purslane as a medicinal plant -due to its anti inflammatory compounds- may be effective in reducing injury. So the purpose of this study was to investigate the effects of 8 weeks of resistance training with and without portulacalo seeds on some of liver injury markers in women with diabetes type 2.  Materials & Methods: In this study, twenty eight sedentary women with T2DM were randomly assigned to four groups of control, training, supplement and training+ supplement. The resistance training program were carried out using resistance bands of varying types at 40-50% of one repetition maximum (1RM), 3 times a week for 8-wk. Subjects in groups 3 and 4 received 7.5 grams of purslane seeds daily. A fasting blood sample was collected as pretest and post-test, followed by 48 hours of physical inactivity and consumption of portulacalo and 12 hours of fasting. Data analysis was performed with paired t-test and ANOVA. (p ≤0 .05).  Result: Eight weeks of the resistance training or portulacalo consumption cause a significant decrease in alanine transaminase (ALT), aspartate transaminase (AST) and alkaline phosphatase (ALP) levels compared to pretest. However, the effectiveness of combination group (training+supplement) is better in the above indicators as compared with the strategies (training or supplement). Also, a significant decrease in ALT, AST and ALP levels were detected in the training or supplement groups, as compared to the control group. Furthermore, there was a significant decrease in ALT, AST levels in training+ supplement group, as compared with the training or supplement groups. Conclusion: Our findings suggested that using non-drug strategy such as resistance trainings and portulacalo seed consumption improves indicators associated with liver damage in women with diabetes type 2.   SOURCE: URMIA MED J 2015: 25(11): 978 ISSN: 1027-3727 2605 آناتومی EFFICACY OF OLANZAPINE COMPARED TO LITHIUM CARBONATE IN TREATMENT OF ACUTE MANIC EPISODE،A DOUBLE BLIND STUDY Hamednia Safar h Anusheh Mohammad Reza i Khalilzadeh Rahim j Garaghaji Rasool k h Psychiatry Department, Urmia University of Medical Sciences i Psychiatry Department, Urmia University of Medical Sciences j Psychiatry Department, Urmia University of Medical Sciences k Epidemiology and Biostatistics Department, Urmia University of Medical Sciences 1 1 2015 25 11 979 987 26 01 2015 26 01 2015     Background & Aims : Bipolar Mood Disorder in acute manic episode is one of the psychiatric emergencies and usually needs to be admitted and intensive management. Treatment of these episodes ordinarily need mood stabilizer together with antipsychotic drugs. Although lithium carbonate is effective in acute mania alone, it needs more time to control episode. Only a few studies have been done about the efficacy of olanzapine (a new generation antipsychotic) alone in the treatment of acute mania, and the findings cannot be generalized. No similar study was conducted in Iran. So our main purpose was to compare the efficacy of olanzapine with lithium carbonate in the treatment of acute mania.   Materials & Methods : A clinical trial study was designed and patients with acute mania according to DSM-IV-TR were selected and the severity of manic episode were measured by Young Mania Rating Scale (YMRS) that is exclusive to patients under 18 years old and those with ultra acute episode who need other rapid interventions. Patients were randomly treated with olanzapine or lithium carbonate in a period of 4 weeks. Each group consisted of 30 patients and according to clinical responsiveness the efficacy and safety of two drugs were compared.   Results : There was no statistical significant gender difference in two groups. Olanzapine group contained 18 males and 12 females versus lithium carbonate group that were 20 males and 10 females (p=0.287). The mean clinical responsiveness rate in olanzapine group was 72%, whereas this rate in lithium group was 66 % (significant differences and p=0.005). The mean increasement of blood glucose in Olanzapine group was 12.2 mg/dl (16 % increasement of baseline). This rate in lithium carbonate group was 0.3mg/dl (0.1 % increasement of baseline). The difference was significant (p<0.0001). The mean weight increase in olanzapine group was 3.1kg (4.4 % increasement of baseline), whereas this rate in lithium carbonate group was 1.2kg (1.6 % increasement of baseline). The difference was significant (p<0.001). There were no significant differences related to extra pyramidal side effects (EPS) between two groups (p=0.231).   Conclusion : Findings of this study reveal that although the responsiveness of acute mania to olanzapine is more than lithium carbonate but regarding the side effects, lithium carbonate seems safer than Olanzapine.    SOURCE: URMIA MED J 2015: 25(11): 987 ISSN: 1027-3727 2606 آناتومی FABRICATION AND EVALUATION OF THE MORPHOLOGY, BIODEGRADABILITY,AND CHEMICAL CHARACTERISTICS OF THE NANO-FIBROUS SCAFFOLD POLY-L-LACTIC-ACID (PLLA) AND ITS APPLICATION IN NEURAL TISSUE ENGINEERING Miri Vahide l Mansourizadeh Fariba m Sagha Mohsen n Asadi Asadollah o Golmohammadi Mohammad Ghasem p l , Department of Biology, Faculty of Science, University of Mohaghegh Ardabili, Ardabil, Iran m Department of Biology, Faculty of Biology, University of Kharazmi, Tehran n Laboratory of Embryology and Stem Cells, Department of Anatomy, Ardabil University of Medical Sciences o Department of Biology, Faculty of Science, University of Mohaghegh Ardabili, Ardabil p Laboratory of Embryology and Stem cells, Department of Anatomy, Ardabil University of Medical Sciences, Ardabil, Iran 1 1 2015 25 11 988 997 26 01 2015 26 01 2015     Background & Aims: Nerve tissue engineering (NTE) is one of the most promising methods for the treatment of the central nervous system (CNS) neurodegenerative diseases. The three-dimensional distribution and growth of the cells within the porous of the scaffold have a significance clinical role in the NTE field. Scaffolds used in tissue engineering, not only must have a good performance, but they should also be porous, biocompatible and biodegradable. The present work aimed to fabricate and study the morphology, biodegradability and chemical characteristics of Poly-L-Lactic-Acid (PLLA) in order to use in the neural tissue engineering.   Materials & Methods: In this experimental study, PLLA nano scaffold was fabricated with an appropriate structure and morphology using Electrospinning Technique. Fourier Transform Infrared (FTIR) spectroscopy and Scanning Electron Microscopy (SEM) were used to determine the physico-chemical properties of the scaffold. Scaffold biodegradation was studied in Phosphate-buffered saline (PBS) for 40 days. Isolated stem and progenitor cells from subventricular zone of the adult mouse brain were cultured on the scaffold and their morphology and connection properties were characterized using SEM.   Results: SEM studies indicated that PLLA is a nano-fibrous scaffold which shows the appropriate surface characteristics. Furthermore, this nanoscaffold showed a high degradation and water uptake rate in the degradation test. Finally, SEM studies confirmed the attachment and growth of the mouse neural stem and progenitor cells on the scaffold.   Conclusion: These results suggested that the PLLA nano scaffold is an appropriate structure for the growth and differentiation of the neural stem and progenitor cells and the electrospining technique is an efficient method for the scaffold producing used in the nerve tissue engineering.       SOURCE: URMIA MED J 2015: 25(11): 997 ISSN: 1027-3727 2607 آناتومی ASSOCIATION OF CHEMOKINE CCL2 GENE POLYMORPHISM WITH HENOCHE SCHONLEIN PURPURA DISEASE IN NORTH-WEST OF IRAN Bonyadi Mortaza Mohammadian Tahereh Rafeey Mandana Sadeghi Shabestari Mahnaz Mortazavi Fakhrossadat Center of Excellence for Biodiversity, Faculty of Natural Sciences, University of Tabriz, Tabriz, Iran / Pediatric Health Research Center, Tabriz University of Medical Sciences Center of Excellence for Biodiversity, Faculty of Natural Sciences, University of Tabriz, / Liver and Gastrointestinal Disease Research Center, Tabriz University of Medical Science Liver and Gastrointestinal Research Center, Tabriz University of Medical Sciences Clinical Immunology and Allergy TB and Lung Research Center, Children Hospital, Tabriz University of Medical Sciences Tabriz University of Medical Science 1 1 2015 25 11 998 1004 26 01 2015 26 01 2015     Background & Aims : Henoch–Schönlein purpura (HSP) is an autoinflammatory disease and systemic small vessel vasculitis that more frequently occurs in children. It is characterized by skin lesion such as Petechia and purpura, gasterointestinal involvement including abdominal pain and gastrointestinal bleeding and arthiritis. Studies have shown that HSP could be due to different infections and genetic factors. Based on the fact that cytokines have important role in this inflammatory disease, CCL2- a chemokine encoding gene- is studied in HSP patients from northwestern Iran. To achieve this goal molecular analysis of polymorphism located in promoter region of this gene is performed.   Materials & Methods : This study was conducted on 40 HSP patients who were referred by immunology and allergy specialists to Genetic Center of Tabriz and after blood sampling and DNA extraction, molecular analysis with PCR-RFLP method was performed to genotype polymorphic region of promoter region of this gene. The results were compared to that of 50 ethnic-sex matched control healthy people.   Results : Statistical analysis shows significant association of this polymorphism with development of Henoch–Schönlein purpura disease in this cohort. The frequency of TT and TC genotypes and T allele of CCL2 -C2518T gene polymorphism were significantly higher in HSP patients.   Conclusion : CCL2 C-2518T gene polymorphisms were associated with susceptibility to HSP in Northwestern Iran.    SOURCE: URMIA MED J 2015: 25(11): 1004 ISSN: 1027-3727 2608 آناتومی OSTEOMALACIA IN RHEUMATOID ARTHRITIS Saadati Nayyereh Naghibzadeh Bahram Rheumatology Department, Faculty of Medicine, Ghaem Medical Center, Mashhad University of Medical Sciences, Mashhad , Iran Rheumatic Disease Research Center (RDRC), Ghaem Medical Center, Mashhad University of Medical Sciences, Mashhad, Iran 1 1 2015 25 11 1005 1010 26 01 2015 26 01 2015     Background & Aims : Osteomalacia and biochemical evidence of vitamin-D deficiency may in some cases contribute to the pathogenesis of osteopenia and increase the risk of spontaneous fracture formation in rheumatoid arthritis (RA).   Materials & Methods : A consecutive series of 93 patients diagnosed with RA who were admitted to the Internal Medicine Department of Ghem Medical Center in Mashhad were screened for clinical, laboratory and radiologic evidences of osteomalacia.   Results : We found three patients whose clinical and paraclinical features (especially Lo o ser’s Zone in plain radiography) complied with osteomalacia. All affected patients were elderly women who had a poor diet and were virtually housebound. Biochemical screening was of limited value in differential diagnosis, since elevated serum alkaline phosphatase levels were noted in both osteomalacia and non-osteomalacia patients.   Conclusion : This study indicates that although diagnosis and consequent treatment of osteomalacia may considerably prevent morbidity and mortality in RA, screening for osteomalacia should be limited to elderly women with risk factors such as poor diet and sedentary lifestyle.    SOURCE: URMIA MED J 2015: 25(11): 1010 ISSN: 1027-3727 2609 آناتومی EFFECTS OF INTRACEREBROVENTRICULAR INJECTION OF GHRELIN ON SEXUAL BEHAVIOR IN MALE RAT Babaei Farrin Khazali Homayoon Department of Animal Sciences, Faculty of Biological Sciences, Shahid Beheshti University, Tehran, Iran Department of Animal Sciences, Faculty of Biological Sciences, Shahid Beheshti University, Tehran, Iran 1 1 2015 25 11 1011 1022 26 01 2015 26 01 2015     Background & Aims : It is well established that ghrelin has effect on gonadotropin and androgen release through its receptors on hypothalamus, pituitary and gonads. The amount of synthesis and release of these hormones directly affect on reproductive behavior in mammals. Therefore, it is expected that ghrelin can affect sexual behavior of mammals. The aim of the present study was to investigate the effects of intracerebroventricular injection of ghrelin on sexual behavior of male rat.   Materials & Methods : Forty male Wistar rats, weighing 200±20 g, were divided into four groups. The animals received saline or 2, 4 or 8 nmol ghrelin through the stereotaxically implanted cannula into the third cerebral ventricle. The sexual behavior indices of male rats were evaluated encountering with female rats 10 min after injection of the ghrelin or saline. As well as the locomotor activity of male rats was investigated by open-field test. Then the experimental data were statistically analyzed by one-way analysis of variance (ANOVA) followed by Tukey’s test.   Results : Four and 8 nmol injection of ghrelin caused significant increase in the mount (p<0.05), intromission and ejaculation (p< 0.001) latency compared to the control group. Also the 4 and 8 nmol doses of ghrelin led to a significant increase in the number of mount (p<0.05) and a significant decrease in the number of ejaculation (p<0.001) compared to control animals. No significant changes were observed in the number of intromission after ghrelin injection. Comparison of sexual activity index and copulatory efficiency in the studied groups indicated a significant (p<0.05) decrease in reproductive activity of 4 and 8 nmol ghrelin-received animals compared to the control group. As well we observed a significant increase in locomotor activity of 2 nmol (p<0.01) and 4 and 8 nmol (p<0.001) ghrelin-received animals compared to control group.   Conclusions : Intracerebroventricular injection of ghrelin suppressed the sexual behavior of male rats dose-dependently, whereas increased the locomotor activity.    SOURCE: URMIA MED J 2015: 25(11): 1022 ISSN: 1027-3727 2610 آناتومی EXAMINING THE EFFECTIVENESS OF COGNITIVE – BEHAVIOUR THERAPY ON IMPROVING DEPRESSION AND DECREASING ANXIETY SYMPTOMS OF MULTIPLE SCHLOROSIS PATIENTS (MS) Asadnia Saeed Mosarrezaii Aghdam Arash Saadatmand Saeed Sepehrian Azar Firoozeh Torabzadeh , Naser Urmia University of Medical Sciences, Urmia, Iran Urmia University of Medical Sciences, Urmia, Iran Young Researchers and Elite Club Urmia University, Urmia Young Researchers and Elite Club, Urmia Branch, Islamic Azad University 1 1 2015 25 11 1023 1032 26 01 2015 26 01 2015    Background & Aims: Multiple schlorosis patients have high levels of depression and anxiety which make psychological interventions, psychotherapy and systematic educations necessary for these patients. So the current research is aimed at examining the effectiveness of cognitive –behavior therapy on improving depression and decreasing anxiety symptoms of multiple sclerosis patients.  Materials & Methods : This pre-post test design study was conducted on 32 multiple sclerosis patients that received high scores in Beck Depression Inventory and Cattell Anxiety Inventory questionnaire were selected and randomly replaced in the experimental and control groups (each 16 members). The experimental group received fourteen 60-minute weekly sessions of cognitive behavior therapy. The control group received no intervention. Participants completed anxiety and depression questionnaires 10 days after intervention. The data were analyzed by descriptive and inferential statistics such as covariance test. Results: The results showed that cognitive behavior therapy has positive and significant effects on improving depression and decreasing anxiety symptoms of multiple sclerosis patients (P > .005). Conclusion: The results showed that besides other drug therapies, cognitive behavior therapy can be applied for multiple sclerosis patients as an effective approach.   SOURCE: URMIA MED J 2015: 25(11): 1032 ISSN: 1027-3727 2611 آناتومی MOLECULAR IDENTIFICATION OF FASCIOLA SPECIES IN WEST AZERBAIJAN PROVINCE Galavani Hossein Gholizadeh Saber Hazrati Tappeh Khosrow Faculty of Medicine, Urmia University of Medical Sciences, Urmia Medical Entomology Department, Faculty of Public Health, Urmia University of Medical Sciences , Parasitology and Mycology, Department, Faculty of Medicine, Cellular and Molecular Research Center, Urmia University of Medical Sciences 1 1 2015 25 11 1033 1040 26 01 2015 26 01 2015  Background & Aims: Fascioliasis caused by Fasciola hepatica and Fasciola gigantica has medical and economic importance in the world. Traditional approaches are not accurate and reliable in identification of agent parasites. Thus the present study was designed to identify the Fasciola sppby molecular methods in West Azerbaijan province.Materials & Methods: In current study Fasciola isolates were collected from slaughterhouses in five districts in West Azerbaijan province, Northwestern Iran. Parasite species were identified using morphological and molecular tools, ribosomal DNA ITS1, 5.8s and ITS2 sequences.  A number of 580 adult Fasciola worms were isolated from 90 infected livers (50 liver of cattle, 40 liver of sheep). Out of 110 DNA extracted specimens, 50 specimens were subject to direct sequencing.Results: Sequence analysis showed 100% similarity in ITS1 (428 bp), 5.8s (158 bp) and ITS2 (366 bp) regions of all sequences. The degree of identity between F. hepatica and F. gigantica sequences was 98% with 11 nucleotide mismatches. Based on rDNA-ITS1 and ITS2 sequences, only F. hepatica flukes are scattered among cattle and sheep population in West Azerbaijan province. Finally, 150 sequence of F. hepatica (50 sequences of each region of ITS) from West Azerbaijan province were recorded to GenBank. Conclusion: The results of this study showed no evidence of F. giganticain cattle and sheep in West Azerbaijan province. More studies are essential to design new molecular markers will be helpful in correct species identification and therefore, for control and prevention of this parasitic disease.   SOURCE: URMIA MED J 2015: 25(11): 1040 ISSN: 1027-3727 2612 آناتومی TAQ 1B POLYMORPHISM IN CHOLESTEROL ESTER TRANSFER PROTEIN AND ITS ASSOCIATION WITH METABOLIC SYNDROME PARAMETERS Mohamadian Mahshid Goodarzi Mohammad Taghi Saidijam Massoud Karimi Jamshid Borzouei , Shiva Soltanian Alireza Sharaf Biani Marzieh , Hamadan University of Medical Sciences , Hamadan University of Medical Sciences , Hamadan University of Medical Sciences , Hamadan University of Medical Sciences , Hamadan University of Medical Sciences , Hamadan University of Medical Sciences , Hamadan University of Medical Sciences 1 1 2015 25 11 1041 1049 26 01 2015 26 01 2015    Background & aims: Metabolic Syndrome (MetS) is a potential threatening factor for cardiovascular disorders and atherosclerosis which is accompanied by increase in plasma triglyceride, cholesterol, low density lipoproteins (LDL-c), fasting blood sugar (FBS) and low high density lipoproteins (HDL-c). Cholesteryl ester transfer protein (CETP) catalysis transfer of lipids and phospholipids between lipoproteins. CETP can have a significant role in balancing the quantity of plasma lipids and lipoproteins. The present survey attempted to show the association of Taq1B polymorphisms in CETP gene with metabolic syndrome parameters an Iranian population.  Materials ;Methods: In order to identify the association between the Taq1B polymorphisms of this gene and the lipid pattern of plasma and other parameters of MetS, the quantity of lipids in metabolic syndrome subjects (N=247) and healthy individuals (N=247) were measured. The abundance of alleles and genotypic distribution of the Taq1B polymorphisms were defined along with comparison between two control and patient groups. Blood samples were collected followed by routine biochemical analysis. DNA extraction was performed. Polymerase chain reaction-restriction fragment length polymorphism was applied to identify Taq1B polymorphism. Statistical analyses were applied using SPSS software. Results: Lipid pattern of plasma and other parameters of MetS showed significant differences between the patient and control groups. Also the abundance of alleles and genotypic distribution of polymorphism showed a significant difference between two groups. Taq1B polymorphism was accompanied with MetS.  Conclusion: The results confirm that in MetS patients, this genetic mutation in CEPT gene is accompanied with change in lipid profile and other MetS parameters. Our study suggests the promoting effect of Taq1B polymorphism in process of MetS disorder. We indicated this polymorphism can increase occurrence of metabolic syndrome. Our results showed Taq1B polymorphism is associated with some MetS associated variables in our population.  SOURCE: URMIA MED J 2015: 25(11): 1049 ISSN: 1027-3727