Complications in neonates of mothers with gestational diabetes mellitus receiving insulin therapy versus dietary regimen

Background: Gestational diabetes mellitus [GDM] is a common obstetrical complication with both maternal and fetal side effects

Objective: This study was performed to determine the complications in neonates of mothers with GDM receiving insulin vs. dietary regimen

Materials and Methods: In this prospective cohort study, 140 neonates of mothers with GDM attending Javaheri Hospital of Azad University in Tehran in 2013 and 2014 were enrolled and the complications in those receiving insulin versus. dietary regimen were compared

Results: The results demonstrated that 95.7% of those who received a dietary regimen and 85.7% among those who received insulin had a good outcome showing statistically significant differences [p=0.042]. The mortality rate was not differed among the patients in two groups [p>0.05]

Conclusion: According to the results of this study, it may be concluded that the frequency of complications in neonates of cases with GDM is getting less by receiving dietary regimen

Correlation of obesity and overweight with emotional-behavioral problems in primary school age girls in Tabriz, Iran

Obesity and overweight have shown an increasing trend in most developing countries. Childhood obesity would impose numerous health-related problems. This study was conducted to determine the correlation of obesity and overweight with emotional-behavioral problems in primary school age girls. In a cross-sectional study, 300 primary school girls [aged 7-11 years] were selected using a multi-staged sampling method, including randomized cluster and stratified method. For all students body mass index was measured and then based on BMI for age and sex, from each grade [1-5], 20 students were selected for each group of normal weight, overweight and obese. The emotional-behavioral problems were evaluated using child behavior checklist that consists of 113 items for childhood behavioral problems. Total behavioral problems were seen in 17%, 27%, and 2% in obese, overweight, and normal weight children, respectively. Internalizing problems [including Anxious/Depressed, Withdrawn, and Somatic Complaints] were seen in 11%, 15%, and 2% and externalizing problems [including Aggressive and Delinquent Behaviors] were observed in 8%, 17%, and 2% in obese, overweight, and normal weight children, respectively. The mean scores in all scales were higher in obese and overweight children in comparison with normal weight children and the emotional-behavioral problems had significant positive correlation with obesity and overweight [P<0.01]. Despite the cultural differences between east and west, yet there are similarities in the most of the emotional-behavioral problems related to overweight and obesity. Also, it seems that the risk of behavioral-emotional problems in overweight girls is more than in obese girls. Overweight and Obesity prevention may be a primary preventive step for these problems in children

[ effects of N-acetyl-l-cysteine on reduction of semen viscosity]

Hyperviscous semen is an etiologic cause for male-related infertility which is related to function of oxidative systems in the cells. So, use of anti-oxidants may be useful. Hence, this study was conducted to evaluate the efficacy of N-acetyl-l-cysteine in reduction of seminal viscosity. In this experimental study, 200 patients attending to urology clinic of Amiralmomenin hospital with hyperviscouse semen were selected and treated with N-acetyl-l-cysteine, 500 mg twice a day for one month. Sperm analysis was repeated after treatment and 10 days later. After treatment, the viscosity which was initially high in all patients was normal in 124 men [62%], high in 60 patients [30%], and low in 16 subjects [8%]. Also sperm count, motility, and morphology were improved significantly after the treatment [p< 0.05]. According to 70 percent efficacy for Nacetyl-l-cysteine and lack of any drug adverse effects, this therapeutic modality may be indicated upon with patient's conditions and physician's opinion