Donors' Quality of Life after Living Donor Liver Transplantation: Shiraz Organ Transplant Center Experience.

BACKGROUND: Probable effects of living donor liver transplantation on the wellbeing of the donor and psychological difficulties are necessary to be understood. OBJECTIVE: To assess the quality of life of living donors after liver donation. METHODS: 140 living donors who underwent hepatectomy between 2012 and July 2015 were enrolled in this study. Donors were asked to complete the Short Form 36-question Health Survey (SF-36) through face to face or by telephone interview. RESULTS: The mean±SD age of donors at transplantation was 32.1±7.3 years; 83 (59.3%) of donors were female. 134 (95.7%) were married. The mean±SD BMI was 23.8±3.5 (kg/m2). "Mother-to-child" was the most frequent relationship (n=79, 56.4%). 22 (15.7%) complications were reported by participants. The mean±SD score of Physical Component Summary and Mental Component Summary were 48.8±14.6 and 50.1±6.9, respectively. CONCLUSION: Most living donors sustain a near average quality of life post-donation. It seems that living donation does not negatively affect the quality of life.

2-NDC from dithiocarbamates improves ATRA efficiency and ROS-induced apoptosis via downregulation of Bcl2 and Survivin in human acute promyelocytic NB4 cells.

Although it has been widely considered that all-trans retinoic acid (ATRA) is an efficient therapeutic agent for acute promyelocytic leukemia (APL), there is an urgent need for extending and examining new therapeutics in medicine. Dithiocarbamates (DTCs) are one of the recent important chemical synthetic compounds used in cancer therapy. The aim of this study was to evaluate the apoptosis-inducing effect of 2-nitro-1-phenylethylpiperidine-1-carbodithioate (2-NDC) as an active derivative from DTCs, in combination with ATRA on human APL NB4 cells. The viability of treated NB4 cells was measured by 3-(4,5-dimethyltiazol-2-yl)-2,5-diphenyltetrazolium bromide assay in various concentrations (10-120 µM). The proapoptotic effects of 2-NDC were investigated by acridine orange/ethidium bromide staining, DNA ladder formation, and flow cytometry. We also assessed the oxidative stress-inducing effect of 2-NDC and in combination with ATRA on the NB4 cells. The alteration in gene expression levels of Bax, Bcl2, and Survivin was measured through a real-time polymerase chain reaction. Furthermore, we redetected the interaction between 2-NDC and antiapoptotic proteins Bcl2 and Survivin via molecular docking. We found that 2-NDC induced apoptosis in NB4 cells in a time-dosage-dependent manner. Also, 2-NDC triggered apoptosis by expanding intracellular reactive oxygen species, combined with ATRA. Bax/Bcl2 ratio was modulated and Survivin was downregulated in NB4 cells upon 2-NDC treatment. Molecular docking studies indicated that 2-NDC binds to the baculovirus inhibitor of apoptosis protein repeat domain of Survivin and Bcl homology 3 domain of Bcl2 with various affinities. Based on the present observations, it seems that this derivative can be estimated as an appropriate candidate for future pharmaceutical evaluations.

Dietary intake and lifestyle behaviour in different phenotypes of polycystic ovarian syndrome: a case-control study.

BACKGROUND: The present study aimed to compare dietary intake and lifestyle behaviour in women with polycystic ovarian syndrome (PCOS) and healthy women. METHODS: One hundred and sixty healthy women (partner with male infertility) were recruited to a control group; 168 women with PCOS (diagnosed on ultrasound) were recruited to a case study group for this cross-sectional comparative study. The case group was classified into three phenotypes based on the presence or absence of menstrual disorder (M), hyperandrogenism (HA) and polycystic ovary according to sonography (PCO): HA+PCO (n = 53), PCO+M (n = 57) and M+HA+PCO (n = 66). Dietary intake and lifestyle behaviour were measured using a food frequency questionnaire and a lifestyle questionnaire. RESULTS: The mean energy (P < 0.001) and fat (P < 0.001) intakes were greater in PCOS groups compared to the control group. The average energy and fat intakes were greater in HA+M+PCO group after age and body mass index (BMI) adjustment compared to the other phenotypes (P < 0.001). In comparison with the control group, lifestyle scores were lower in the PCOS group in the fields of physical activity, weight and nutrition control after age and BMI adjustment (P < 0.001). The average score of lifestyle in the fields of physical activity, weight and nutrition control, and psychological health was lower in the phenotype HA+M+PCO compared to the other phenotypes (P < 0.001). CONCLUSIONS: A limited energy and fat intake is strongly recommended in Iranian women with PCOS, especially for phenotype HA+M+PCO. Consultation with respect to improvement of psychological health and the importance of weight and nutrition control, as well as appropriate physical activity, is advocated, especially in patients with phenotype HA+M+PCO.

Feasibility of Biological Effective Monitoring of Chrome Electroplaters to Chromium through Analysis of Serum Malondialdehyde.

BACKGROUND: Great concern about occupational exposure to chromium (Cr [VI]) has been reported due to escalated risk of lung cancer in exposed workers. Consequences of occupational exposure to Cr (VI) have been reported as oxidative stress and lung tissue damage. OBJECTIVE: To investigate the feasibility of biological effect monitoring of chrome electroplaters through analysis of serum malondialdehyde (MDA). METHODS: 90 workers directly involved in chrome electroplating---categorized into three equal groups based on their job as near bath workers, degreaser, and washers---and 30 workers without exposure to Cr (VI), served as the control group, were studied. Personal samples were collected and analyzed according to NIOSH method 7600. Serum MDA level was measured by HPLC using a UV detector. RESULTS: Median Cr (VI) exposure level was 0.38 mg/m(3) in near bath workers, 0.20 mg/m(3) in degreasers, and 0.05 mg/m(3) in washers. The median serum MDA level of three exposed groups (2.76 µmol/L) was significantly (p<0.001) higher than that in the control group (2.00 µmol/L). There was a positive correlation between electroplaters' level of exposure to Cr (VI) and their serum MDA level (Spearman's ρ 0.806, p<0.001). CONCLUSION: Serum MDA level is a good biomarker for the level of occupational exposure to Cr (VI) in electroplaters.

[Evaluation of administration errors of injectable drugs in neonatology]. / Évaluation des erreurs d'administration des médicaments injectables en néonatologie.

OBJECTIVE: Use of injectable drugs in newborns represents more than 90% of prescriptions and requires special precautions in order to ensure more safety and efficiency. The aim of this study is to gather errors relating to the administration of injectable drugs and to suggest corrective actions. METHODS: This descriptive and transversal study has evaluated 300 injectable drug administrations in a neonatology unit. Two hundred and sixty-one administrations have contained an error. Data are collected by direct observations of administrative act. RESULTS: Errors observed are: an inappropriate mixture (2.6% of cases); an incorrect delivery rate (33.7% of cases); incorrect dilutions (26.7% of cases); error in calculation of the dose to be injected (16.7% of cases); error while sampling small volumes (6.3% of cases); error or omission of administration schedule (1% of cases). CONCLUSION: These data have enabled us to evaluate administration of injectable drugs in neonatology. Different types of errors observed could be a source of therapeutic inefficiency, extended lengths of stay or iatrogenic drug. Following these observations, corrective actions have been undertaken by pharmacists and consist of: organizing training sessions for nursing; developing an explanatory guide for dilution and administration of injectable medicines, which was made available to the clinical service. Collaborative strategies doctor-nurse-pharmacist can help to reduce errors in the medication process especially during his administration. It permits improvement of injectable drugs use, offering more security and better efficiency and contribute to guarantee ideal therapy for patients.

Sediment toxicity and ecological risk of trace metals from streams surrounding a municipal solid waste landfill.

The present study is an attempt to assess the pollution intensity and corresponding ecological risk of heavy metals such as Cd, Ni, Pb, Cu, Zn and Cr using various indices like geo-accumulation index, concentration factor, pollution loading and ecological risk index. In all 21 surface sediments samples were collected from the stream flowing around the solid waste disposal landfill of Qayen city in southeastern Iran. Although Igeo values for Cd varied greatly, sites 18-21 with class 5 show heavy loads of Cd (values between 4.13 and 4.45). PLI values (3.37-12.89) clearly suggest strong contamination with respect to the measured metals. This study clearly indicates that the contamination risk in the downstream reservoir is much higher than upstream sites due to transfer and accumulation of leached metals from upstream to downstream.

Fraction distribution and bioavailability of sediment heavy metals in the environment surrounding MSW landfill: a case study.

The aim of this study was to characterize the sediment samples from vicinity of a landfill in Qayen City, Iran. The samples were obtained from four different sampling stations. Sequential extraction was performed via a four-step procedure defined to evaluate the distribution of the element fraction in various samples. In the stations 3 and 4, Cd was found in large quantities during the first extraction F1, accounting for 40.4 and 38.7%, respectively. Pb was primarily presented in F2 of station 1 (approximately 44.80%), station 2 (approximately 41.8%), and station 4 (approximately 37.7%). Moreover, principal component analysis showed that heavy metal fraction in the sediment samples can be explained by two principal components (PCs). PC1 represented Cd, Cr, Ni, and Zn, while PC2 represented Pb and Cu. Pearson correlation coefficient indicated significant correlations in Cu-Pb, Zn-Cu, and Cr-Zn pairings. The present study concluded that the spatial distributions of sediment heavy metals were influenced by MSW landfill.

Long-term evolution of the composition of surface water from the River Gharasoo, Iran: a case study using multivariate statistical techniques.

We report an assessment of the quality of surface water from the River Gharasoo, Iran, with rainfall data. EC, pH, HCO(3)(-), Cl(-), SO(4), Ca(2+), Mg(2+), Na(+), %Na, and sodium adsorption ratio results, monitored monthly by two sampling stations over a period of 40 years, were held by the Hydraulic Works Organization in Kermanshah City. Principal-components analysis of the data revealed three factors for each station explaining 90.36 and 79.52 % of the total variance in the respective water-quality data. The first factor was chemical components resulting from point and non-point source pollution, especially industrial and domestic waste, and agricultural runoff, as a result of anthropogenic activity. Rainfall had significant negative correlation with bicarbonate only, at a level of 0.05, at station 1. Box-plot analysis revealed that, except for pH, the other studied characteristics were indicative of high pollution at station 1. Among the sources of pollution at station 1, Mg(2+) and Cl(-) data deviated most from normal distribution and included outliers and extremes. Hierarchical cluster analysis showed EC was substantially affected by rainfall. It is thus essential to treat industrial wastewater and municipal sewage from point sources by adoption of the best management practices to control diffuse pollutants and improve water quality of the Gharasoo River basin.

The impact of mental practice on stroke patients' postural balance.

INTRODUCTION: The most common problem in stroke patients is reduced balance and derangements of postural control that lead to increase the chance of falling and instability during walking. Since physical practice improves balance and postural control, it is assumed also that the application of mental practice would be useful in enhancing such balance. Mental practice is defined as the cognitive rehearsal of a physical skill in the absence of overt physical movements. Factors such as similar time between actual execution and mental performance of a task, the increase of regional cerebral blood flow and also the vegetative activation, all suggest that mental practice imitates physical performance of a task. Thus, the main purpose of this study was to investigate the effect of such mental practice on postural balance among stroke survivors. METHOD AND MATERIALS: This study was implemented as an experimental (interventional), case-control, double blind and randomized trial design. A total of 30 subjects (16 males and 14 females) with necessary arousal, attention and memory functions as their major components of mental practice, participated. Subjects' mean ages were 48.1 ± 10.5 years. They were divided randomly in two control and experimental groups. Timed Get up and Go (TUG) test was used to evaluate the balance of all participants. They were assessed before-after treatment and two weeks post-treatment as research's follow up. The two groups received the same method of occupational therapy services, but the experimental group in addition to aforementioned occupational therapy, was requested to participate in mental practice sessions. RESULTS: Mental practice had a significant effect on postural balance in stroke survivors (P=<0.001). CONCLUSION: Mental practice may improve postural balance in stroke patients and can be considered for them as a beneficial rehabilitative technique.

Short-term accumulative signatures of heavy metals in river bed sediments in the industrial area, Tehran, Iran.

In modern civilization, numerous anthropogenic activities release a variety of pollutants into the environment and with anomalous enrichment of heavy metals it causes surface and subsurface contamination. The aquatic sediments provide pertinent tools for the quality assessment of urban and industrial environments in large cities. The present study reveals short-term accumulative trends of heavy metals (Co, Cd, and Pb) in the sand and silt dominated riverbed sediments from Chitgar industrial area (Tehran, Iran) between the period of May 2007 and May 2008. Lead demonstrates highest concentration in residential areas, cadmium in and around industrial areas, whereas cobalt shows least variability. Geo-accumulation index implies moderately to highly polluted sediments with respect to Cd and Pb. With few exceptions, all three metals at different sampling stations display short-term increasing trends, independent of seasonal variability with urban and industrial distends along the river being the chief sources of contamination.

Identification of pheromones in mouse urine by head-space solid phase microextraction followed by gas chromatography-mass spectrometry.

Given the key role of pheromones in animal communication and behaviour, there is need to identify the different classes of these molecules under varying physiological conditions. However, the highly volatile nature of pheromones and the fact that they occur at very low concentrations in urine makes this task all the more difficult. Herein, we present a method of detecting and identifying the five main pheromones known: 2-sec-butyl-4,5-dihydrothiazole, geraniol, indole, trans-beta farnesene and trans-alpha farnesene in individual urine microsamples taken from male mice. Urine volumes as small as 20 microl were subjected to solid phase microextraction (SPME) followed by gas chromatography-mass spectrometry (GC-MS). This selective analytical method permits the rapid detection of these pheromones free from cross-contaminants as a clearly distinguishable spectral signals. Highest recovery rates of natural pheromones were achieved by extraction on a carboxen/polydimethylsiloxane (CAR/PDMS) fibre of 85 microm film thickness. This selective, sensitive and accurate method will help address the question of possible links between certain pheromone classes, and social and reproductive behaviour in mice.

Rapid determination of PAHs in soil samples by HPLC with fluorimetric detection following sonication extraction.

A rapid method for the determination of PAHs in soil samples based on their extraction with methylene chloride by sonication and subsequent separation by HPLC with fluorimetric detection is proposed. A Hypersil Green PAH column was used with a gradient of acetonitrile/water as the mobile phase, together with a program of nine excitation and emission wavelength pairs. Recoveries were in the range 70-98%, except for acenaphthene and naphthalene, at concentration levels 1.08-442 microg/kg with relative standard deviations in the range 2-15% (n = 4). Total PAHs found in soil samples were in the range 15-282 microg/kg. The results were compared with those obtained by applying the 3540 EPA method for two samples.

Rapid determination of polycyclic aromatic hydrocarbons in tea infusion samples by high-performance liquid chromatography and fluorimetric detection based on solid-phase extraction.

This paper describes a method for the determination of PAHs in black, green and decaffeinated tea infusion samples. The method is based on the solid phase extraction of the PAHs using Sep-Pak vac tC-18 cartridges. The PAHs are then eluted from the cartridges with dichloromethane. Quantification and detection are carried out by HPLC with a fluorimetric detector using a program of excitation and emission wavelength pairs. Recoveries at concentration levels in the range 190-1790 ng l-1 were higher than 65% for all PAHs except dibenz[a,h]anthracene, for which it was around 54%. The mean content of PAHs was in the range 28.7-112 ng l-1 in the tea infusions, with relative standard deviations between 2 and 18% (n = 4).