Efficacy of Curcumin on Cognitive Function Scores in Women with Premenstrual Syndrome and Dysmenorrhea: A Triple-Blind, Placebo-Controlled Clinical Trial / 中国结合医学杂志

OBJECTIVE@#To assess the efficacy of a curcumin supplementation on cognitive abilities in women suffering from premenstrual syndrome (PMS) and dysmenorrhea.@*METHODS@#A randomized, triple-blind, placebo-controlled trial was conducted from December 2019 to March 2020. A total of 124 women who had both PMS and dysmenorrhea were enrolled, and were equally and randomly assigned to the curcumin group or placebo group, 62 cases in each. Each subject received either a capsule containing 500 mg of curcuminoid, or a placebo daily, for 10 days (7 days before and until 3 days after the onset of menstrual bleeding) over 3 menstrual cycles. The cognitive abilities questionnaire was used to measures cognitive functions in 7 specific areas. Adverse reactions were monitored during and after the trial in both groups.@*RESULTS@#Administration of curcumin was associated with a significant increase in memory score (P=0.002), inhibitory control and selective attention (P=0.020), and total cognitive ability task (P=0.024). In addition, significant increments were found in scores of memory (3.5±3.1 vs. 0.4±3.8 in the curcumin and placebo groups, respectively; P=0.035), inhibitory control and selective attention (3.0±3.7 vs. 0.4±3.7; P=0.027) and total cognitive abilities (8.3±12.3 vs. 2.2±12.4; P=0.025) in the curcumin group versus placebo groups. Curcumin was safe and well-tolerable in current clinical trial.@*CONCLUSION@#Curcumin has a beneficial efficacy on cognitive function scores in women with PMS and dysmenorrhea, with improvements in memory, inhibitory control and selective attention. (Registration No. IRCT20191112045424N1, available at: https://www.irct.ir ).

Associação do Genótipo e Fenótipo da Paraoxonase-1 com Angiografia Positiva para Doença Arterial Coronariana / Association of Paraoxonase-1 Genotype and Phenotype with Angiogram Positive Coronary Artery Disease

Resumo Fundamento Tem sido demonstrado que um aumento dos níveis séricos de PON1 é protetor contra vários distúrbios. Foi relatado que vários polimorfismos de nucleotídeo único (SNPs, single nucleotide polymorphisms ) do gene PON1 estão associados a níveis e atividade de proteínas enzimáticas séricas. Objetivos Investigar a associação de SNPs do PON1 e atividade da paraoxonase sérica com a doença arterial coronariana (DAC). Métodos Foram estudados 601 pacientes não relacionados submetidos à angiografia coronária, incluindo aqueles com estenose >50% (N=266) e aqueles com estenose <30% (N=335). Os SNPs rs662 e rs840560 do gene da paraoxonase foram determinados utilizando o método ARMS-PCR e o SNP rs705379 foi genotipado utilizando análise de PCR-RFLP. A atividade da paraoxonase sérica foi medida utilizando paraoxon como substrato. O valor de p<0,05 foi considerado significante. Resultados A atividade da paraoxonase sérica não foi significativamente diferente entre os grupos de estudo. Após ajuste para idade, sexo, hipertensão, diabetes mellitus e dislipidemia, o genótipo GG e o modelo codominante de rs662 foram positivamente associados a uma angiografia positiva (respectivamente, OR = 2,424, IC 95% [1,123-5,233], p <0,05, OR = 1,663, IC 95% [1,086-2,547]). A atividade da paraoxonase sérica foi significativamente maior no alelo G e variante GG do polimorfismo rs662, alelo A e variante AA de rs854560 e alelo C e variante CC de rs705379. A análise de haplótipos mostrou que o haplótipo ATC foi significativamente mais prevalente no grupo com angiografia negativa. A análise entre os grupos indicou que o alelo A de rs662 foi significativamente associado à menor atividade da paraoxonase no grupo com angiografia positiva (p=0,019). Conclusões A presença do alelo G do polimorfismo de nucleotídeo único rs662 está independentemente associada ao aumento do risco de DAC.

Abstract Background It has been shown that increased serum PON1 levels are protective against several disorders. Several single nucleotide polymorphisms (SNPs) of the PON1 gene have been reported to be associated with serum enzyme protein levels and activity. Objective To investigate the association of SNPs of PON1 and serum paraoxonase activity with coronary artery disease (CAD). Methods A total of 601 unrelated patients who underwent coronary angiography including those who had >50% stenosis (N=266) and those with <30% stenosis (N=335) were studied. The Paraoxonase gene rs662 and rs840560 SNPs were determined using the ARMS-PCR method and the rs705379 SNP was genotyped using PCR-RFLP analysis. Serum paraoxonase activity was measured using paraoxon as a substrate. A p value of p<0.05 was considered as significant. Results Serum paraoxonase activity was not significantly different between the study groups. After adjustment for age, sex, hypertension, diabetes mellitus and dyslipidemia, the GG genotype and co-dominant model of rs662 was positively associated with a positive angiogram (respectively, OR=2.424, 95%CI [1.123-5.233], p<0.05, OR=1.663, 95%CI [1.086-2.547]). Serum paraoxonase activity was significantly higher in the G allele and GG variant of rs662, A allele and AA variant of rs854560 and C allele and CC variant of rs705379. The haplotype analysis has shown that the ATC haplotype was significantly more prevalent among the angiogram negative group. The analysis between groups indicated that the A allele of rs662 was significantly associated with lower paraoxonase activity in the positive angiogram group (p=0.019). Conclusions The presence of the G allele of the rs662 single nucleotide polymorphism is independently associated to increased risk of CAD.

Serum level of gamma-glutamyl transferase as a biomarker for predicting stenosis severity in patients with coronary artery disease

Background Gamma glutamyl transferase (GGT) is associated with pathogenesis of various diseases such as coronary artery disease (CAD). GGT activity displays an essential role in the catabolism of glutathione which is reported as a major antioxidant. The aim of this study was to explore the association of GGT activity with obstruction severity of artery in 500 CAD patients. Results Our finding showed a significant association between serum GGT activity and CAD patients. In particular, the level of GGT in patients who had ≥50% obstruction was higher, compared to healthy and patients with less than 50% obstruction in their coronary arteries (the level of GGT in patients with at least one (1 SVD), two (2VD), three (3VD) coronary artery obstruction were 55.6 ± 9.7, 71.7 ± 12.7 and 84.7 ± 13.4, while these values in patients with negative angio or control group were 28 ± 10 and 17 ± 4.6). Furthermore, the activity of this marker was associated with increased the risk of CAD (Odd ratio of GGT in 3VD group: 2, 95%CI: 1.8–2.3), which was also related with HDL-C. Of note, the level of GGT was enhanced progressively with increasing the obstruction severity of arteries. Conclusion We demonstrate the prognostic value of serum level of GGT as a biomarker for predicting obstruction severity in patients with CAD.

Larvicidal Activity of Crude Extracts of Vernonia cinerea Less (Asteraceae) against the Larvae of Anopheles gambiae in Bobo Dioulasso, Burkina Faso

Aims: This study aims to evaluate the larvicidal activity of lyophilized methanolic extracts, hydro-methanolic extracts and aqueous extracts of Vernonia cinerea Less against the 3rd and 4th instars larvae of Anopheles gambiae. Place and Duration of Study: Pharmacognosy Laboratory, Department of Biomedical Sciences, Centre MURAZ /Research Institute for Health; Ministry of Health, Bobo-Dioulasso, between February 2017 and January 2018. Institut de Recherche en Sciences de la Santé/Direction Régionale de l’Ouest (IRSS) Bobo-Dioulasso, between March 2017 and January 2018. Methodology: The whole plant material was collected in Banfora, located at West of Burkina Faso. The 80% methanolic, 50/50% hydro-methanolic and aqueous extracts were obtained by using the classical natural product extraction method of the laboratory. Extracts were lyophilized and a series of concentrations of the extracts ranging from 0.001 – 100 mg/L were prepared. The larvicidal activity of lyophilized extracts has been tested against the 3rd and 4thAnopheles gambiae larvae. The larval mortality was evaluated after 24 hours and 48 hours of exposure. The percent of means of mortality was calculated. Lethal Concentration LC50 and LC90 values were determined. Results: In the laboratory, the results of methanolic extract at 100 mg/L achieved (100%) mortality against Anopheles gambiae after 24 hours of exposure.The same extract at 10 mg/L generated (95.85±1.26%) of mortality outside the laboratory. The 80% methanolic extract showed Lethal Concentration LC50 of 11.07 mg/L and Lethal Concentration LC90 of 81.38 mg/L (after 24 hours). The 50/50% hydro-methanolic extracts achieved Lethal Concentration LC50 of 22.27 mg/L against 3417.78 mg/L respectively inside and outside of the laboratory. Conclusion: The methanolic extract is the most effective in killing on the larvae compared to the other extracts tested. Vernonia cinerea Less possesses larvicidal activity against Anopheles gambiae larvae. It may be a possible source of mosquito vector control. This study provided promising finding for using crude extracts of Vernonia cinerea Less in controlling larvae of malaria vectors.

Serum Chemerin and Cardiovascular Risk Factors in Diabetic Subjects without Established Vascular Disease.

Aims: The current study aims to investigate serum chemerin as a potential cardiovascular marker in diabetic patients without established vascular diseases. Study Design: Case-Control study. Place and Duration of Study: The outpatients clinic, King Abdulaziz University Hospital in Jeddah, Saudi Arabia, between January 2013 and June 2014. Methodology: Ninety consecutive diabetic patients and 90 age- and sex-matched controls were recruited from King Abdulaziz University Hospital in Jeddah, Saudi Arabia. Demographic, anthropometric and biochemical variables were estimated. Results: Overall and central obesity were highly prevalent among both groups. Serum chemerin was correlated with glycated hemoglobin (r= -0.207, p<0.05) and with C reactive protein (CRP) (r= 0.171, p<0.05). Moreover, serum chemerin was correlated with prothrombin time (r = -0.278, p<0.05) in control subjects and with diastolic blood pressure (r = -0.233, p<0.05) in diabetic subjects. Conclusion: We concluded that only glycated hemoglobin was significantly and independently correlated with serum chemerin levels.

Age and Gender as Determinants of Learning Style among Medical Students.

Background: An awareness of learning styles may help teachers modify their teaching methods to improve the educational outcomes of their students. Aim: The aim of this study was to determine the learning styles of medical students during their basic science training at Mashhad University Medical School (MUMS). Methods: The VARK (Visual, aural, read/write and kinesthetic learning styles) questionnaire was used to gather information on learning styles in 245 medical students during their basic science training at MUMS in 2014. The questionnaire was previously assessed for its validity and reliability. Data were analyzed using SPSS software. Results: Overall, 245 students (115 male/130 female) with a mean age of 22.17±2.27 years completed the questionnaire. Of these students 91.84% preferred a single- modal learning style and 8.16% of students preferred a multi-modal learning style. Of the students with a preference for a single modal learning style, 20% (45 students) had a preference for visual, and 53.33% (100 students) for auditory learning styles respectively; 22.22% (50 students) of students were categorized as single read-write and 4.44% (10 students) were classified as having a kinesthetic learning style preference respectively. Among the multi-modal group, 25% (5 students) of students preferred a bimodal and 75% (15 students) preferred a quad-modal learning style. There was a significant association between learning styles with age and gender (P<0.05), but there was no significant association between the preferred learning styles with marital status or place of residence (P>0.05). Conclusions: The key finding of our study was that learning style is age and gender dependent. Different teaching methods may be appropriate for men and women.

Malondialdehyde-modified LDL IgG antibody levels and indices of cardiac function in valvular heart and coronary artery disease patients

To compare the changes in anti-malondialde-hyde-modified low-density lipoprotein [MDA-LDL] IgG levels among patients undergoing off-pump and on-pump coronary artery bypass grafting [CABG] or valvuloplasty. A total of 38, 39 and 34 patients who underwent off-pump CABG, on-pump CABG and valvuloplasty, respectively, were enrolled in this study. Serum anti-MDA-LDL IgG values were measured 24 h before and after the operative procedures and at discharge. Echocardiogra-phy was also done before surgery and before discharge. The results were compared with values from 50 healthy controls. In all patients, a reduction in antibody titers was observed post-operatively. However, the decrease was significant only in the off-pump CABG - before surgery: 42.33 [25.83-58.51], after surgery: 30.86 [16.36-51.33] and at discharge: 10.96 [6.82-23.57; p = 0.027]. There was a significant positive association between anti-MDA-LDL IgG levels and ejection fraction [r = 0.248, p = 0.036] and a negative association with E/E', a marker of pulmonary capillary wedge pressure, in the coronary patients [r = -0.345, p = 0.012], but no significant associations were found in patients with valvular heart disease. Serum anti-MDA-LDL IgG levels were associated with cardiac function indices in coronary patients undergoing CABG

Dietary macronutrient intake of Saudi males and its relationship to classical coronary risk factors

To investigate whether the dietary intake of energy; macronutrients; and fiber differ between age groups, racial groups and socio-economic classes among males from the Western province of Kingdom of Saudi Arabia [KSA]. Data were collected from 303 male subjects, aged 15-80 years. They were selected randomly from King Abdul-Aziz University Hospital, Jeddah, KSA from October 2001 to November 2003 and grouped according to their age into 3 groups. The subjects were asked to complete a questionnaire concerning their demographic characteristics, health history, lifestyle, and dietary habits. Energy and carbohydrates intake fell with age [p<0.05]. Total dietary carbohydrates and fat intake were similar for all groups when expressed as a percentage of energy intake. The percentage energy as protein increased with age [p<0.05]. Mean cholesterol intake was high for all groups, but fell with age group [p<0.0001]. Saturated fat and monounsaturated fat intake, expressed as percentage energy intake were both high, whereas polyunsaturated fat intake was low. The youngest group had the highest percentage energy provided by saturated fatty acid [p<0.001], and the lowest percentage energy as polyunsaturated fatty acid [p<0.05] compared to the other groups. The intake of fibre rose with age was significantly higher in the older group [p<0.05]. Diet consumed by urban dwellers in KSA appears to have resulted in an imbalance of macronutrient intake among all sectors of the population. This problem can only be averted by raising public awareness and the development of appropriate population-specific nutritional guidelines

Human gastrointestinal sphincters: study on the maturation of the nitric oxide innervation

Estudos histoqyímicos relevam uma inervaçäo noradrenérgica dos esfincteres gastrointestinais mais densa do que as regiöes näo-esfincterianas. também tem sido mostrado uma rica rede interconectante de fibras nervosas óxido-nitrérgicas inibitórias adivindas da gânglia mioentérica e se distribuindo dentro da camada muscular circular, especialmente nas regioSes esfincterianas. a presente investigaçäo estudou, no intestino humano em desenvolvimento, a histomorfometria da inervaçäo óxido-nitrérgica diárias intestinais selecionadas, particularmente, das regiSes esfincterianas. Segmnetos da junçäo gastro-esofagiana, regiäo gastro-piloro-duodenal, regiäo íleo-cecal e reto distal de 14 fetos de idade gestacional entre 12 e 23 semanas, foram usados para mapeamento histoquímico da nicotinamida adenosina de óxido nuleotídeo fosfato diaforase. Imagens de secçSes randonizadas foram selecionadas para histofometria, usando um sistema computadorizado de análise de imagens. A partir dos resultados, as seguintes conclusSes foram tiradas: 1- existe uma rede muito rica em nervos óxido-nitrérgicos interconectado a gânglia mioentérica e a camada muscular circular de todos os níveis selecionados. sendo mais densa na junçäo gastro-esofagiana, piloro, junçäo íleo-cecal e esfincter anal interno; 2- existe uma correlaçäo linear negativa entre a atividade neuronal mioentérica óxido-nitrérgica (densidade ganglionar) e a idade gestacional, a qual pode ser expressa pela equaçäo: Densidade ganglionar = 30,158- 1,0313 x idade gestacional. O esôfago, o piloro e esfíncter anal interno foram as regiöes com as mais baixas densidades ganglionares. Esses achados sugerem que a inervaçäo óxodo-nitrergica naqulas áreas, associada com densidade ganglionares relativamente baixas, torna possível levantar a hipótese de ue a normalidade ou retardo da maturaçäo desta inervaçäo inibitória poderia estar envolvida na patogênes de algumas anomalias congênitas como a estemose hipertrófica do piloro e acalásia do esfíncter anal interno

Suicide by poisoning

An epidemiological evaluation was conducted on 270 patients who died at the General Hospital, Port-of-Spain after presenting with deliberate self-poisoning between January, 1986 and June, 1990. The cause of death was confirmed by autopsy and toxicological analysis. Epidemiological variables of age, sex, race, precipitating factors and types of poison used were assessed. It was found that the male to female ratio was 2.7:1. East Indians accounted for 54.4%, Africans 42.0%, people of mixed ethnic origin 3% and Caucasians 0.6%. The majority of cases (52.6%) were seen in the age group 11-34 years. "Lovers' quarrels" (35.4% of cases), psychiatric illness (27.8% of cases) and family disputes (27% of cases) were reported as the most frequent precipitating events in suicide. East Indians predominated in those suicides precipitated by "lovers' quarrels" and family disputes, accounting for 63.2% and 58.9% of these cases, respectively; while for those suicides in which psychiatric illnesses were the main precipitating event, Africans were represented by 53.3% and East Indians 45.3%. Depression was the most common psychiatric illness diagnosed. Paraquat was the most popular poison used in 63.7% of the suicidal cases, and other agrochemicals were used in 20% of the cases.

Application of multiple methods to study the immunization programme in an urban area of Guinea

During 1988-89, studies were conducted to evaluate the immunization system in Conakry, Guinea. The first, a health facility survey, found that health staff screened the vaccination status of only 30% of children who presented for curative care. A sterile syringe and needle were used for less than half of the injections. In the second survey, key informant interviews with vaccinators and health centre chiefs showed that there were minimal lines of communication between health workers and the community, but that health workers did not perceive this to be a problem. Focus group discussions in the community revealed a high level of general knowledge about vaccine-preventable diseases. However, mothers did not know how many vaccinations their children should receive or by what age they should be completed. They complained of long waiting times in health centres, the high costs of vaccination, poor rapport with health workers, and the occurrence of abscesses after vaccination. The final study, a "knowledge, attitudes, and practice" community survey, showed that missed immunization opportunities and inappropriately timed vaccinations reduced potential vaccine coverage by almost 30% among children with vaccination cards. Higher socioeconomic status, delivery in hospital, and whether mothers perceived the vaccinations to be affordable affected whether the child began the immunization series. Once a child had entered the immunization system, completion of the series was determined by the mother's education level, employment status, and experience with vaccination services