Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 49 6 2011 06 15 331 335 EN Mohammad Mehdi Tavassoli Department of Archaeology, Sistan and Bluchestan University of Medical Sciences, Zahedan, Iran. 2015 09 28 Metopism had been observed as a genetic trait. Recent studies have brought to light that it can get as an indicator of cranial pathology. An example of this pathology has been studied by this author on an Iranian skeletal sample. The purpose of this paper is to provide basic information on the subject and thereby to create awareness among Iranian anthropologists and archaeologists of this new line of evidence as well as to pathologists. https://acta.tums.ac.ir/index.php/acta/article/view/3752 https://acta.tums.ac.ir/index.php/acta/article/download/3752/3727

Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 49 6 2011 06 15 336 340 EN Goli Chamani Department of Oral Medicine, Kerman School of Dentistry, Kerman, Iran. Mohammad Reza Zarei Kerman Neuroscience Research Center, Kerman University of Medical Sciences, Kerman, Iran. Mitra Mehrabani Department of Pharmacognosy, School of Pharmacy, Kerman University of Medical Sciences, Kerman, Iran. Yousef Taghiabadi Private Practice, Kerman, Iran. 2015 09 28 There are some herbal plants in Iranian traditional system of medicine which are believed to be excellent remedies to alleviate the symptoms of xerostomia. The aim of the present study was to evaluate the effect of systemic administration of seven different herbal extracts on the rate of salivation in rats. The extracts of 7 herbs; Zingiber officinale Roscoe (Zingiberaceae), Citrus sinensis (L.) Osbeck (Rutaceae), Artemisia absinthium L. (Asteraceae), Cichorium intybus L. (Asteraceae), Pimpinella anisum L.(Apiaceae), Portulaca oleracea L.(Portulacaceae), Tribulus terrestris L. (Zygophyllaceae) were prepared. Nine groups of animals (including negative and positive control groups) were used and seven rats were tested in each group. After the injection of extracts, saliva volume was measured gravimetrically in four continuous sevenminute intervals. The results showed that after injection of ginger extracts salivation was significantly higher as compared to the negative control group and other herbal extracts in all of the four intervals (P<0.01). The peak action of the ginger was during the first 7-minute interval and following this, salivation decreased to some extent. The present study suggests that the extract of Zingiber offiicianle can increase the rate of salivation significantly in animal model. Further investigations on different constituents of ginger seem to be essential to identify the responsible constituent for stimulation of saliva secretion. https://acta.tums.ac.ir/index.php/acta/article/view/3753 https://acta.tums.ac.ir/index.php/acta/article/download/3753/3728

Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 49 6 2011 06 15 341 351 EN Mahnaz Mardani Department of Nutrition, Faculty of Medicine, Lorestan University of Medical Science, Khorram Abad, Iran. Sadegh Rezapour Department of Nutrition, Faculty of Medicine, Lorestan University of Medical Science, Khorram Abad, Iran. Joan A. Higgins Department of Molecular Biology and Biotechnology, University of Sheffield, Sheffield, UK 2015 09 28 A major function of the enterocytes is absorption, processing, and export of dietary lipids into the lymphatic system. Pluronic L-81 is a non-ionic hydrophobic surfactant, which specifically inhibits lipid absorption in the intestine when administered in vivo. This compound is therefore an attractive probe to perturb and investigate the molecular and intracellular events in chylomicron assembly in the enterocytes. In the present study pluronic acid was administered to hamsters followed by isolation of the enterocytes and cell fractionation to investigate the effect of pluronic acid on intracellular events in lipid absorption. Four types of diet were administered to hamsters for three weeks; low-fat chow, high-fat chow and each diet with or without added pluronic acid. Sub-cellular fractions of freshly isolated enterocytes were prepared. Consistent with morphological observation, the high fat diet resulted in a three-fold increase in the triacylglycerol (TAG) content of the enterocytes and addition of pluronic acid to either the low fat or the high fat diets resulted in a ten-fold increase in cellular TAG levels. Determination of the mass of TAG and the time course of incorporation of 3H-triolein, administered by gavage, showed that the increased TAG was recovered in the microsomal (endoplasmic reticulum) fraction and the cytosol. In microsomes, increased TAG was recovered mainly in the membrane although there was a significant amount in the microsomal luminal contents. Pluronic acid therefore acts at the level of the endoplasmic reticulum and inhibits the assembly of apo-B48 with chylomicron TAG. The excess TAG is transferred to cytosolic stores. https://acta.tums.ac.ir/index.php/acta/article/view/3754 https://acta.tums.ac.ir/index.php/acta/article/download/3754/3729

Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 49 6 2011 06 15 352 356 EN Saeed Kargar Department of Surgery, General Surgeon, Shahid Sadoughi Hospital, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. Mohammad Hussein Mirshamsi Department of Surgery, General Surgeon, Shahid Sadoughi Hospital, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. Mohammad Zare Department of Surgery, General Surgeon, Shahid Sadoughi Hospital, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. Saeed Arefanian Department of Surgery, General Surgeon, Shahid Sadoughi Hospital, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. Elham Shadman Yazdi Department of Surgery, General Surgeon, Shahid Sadoughi Hospital, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. Asiah Aref Department of Surgery, General Surgeon, Shahid Sadoughi Hospital, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. 2015 09 28 Appendicitis is the most common surgical emergency with the incidence rate of 6-10%. Although several studies have compared the two approaches of open (OA) and laparoscopic appendectomy (LA) the technique of choice is still a matter of controversy. Considering this background we designed a study to compare OA and LA outcomes in our center. One hundred patients were included in this study performed from April 2008 to April 2009 at Shahid Sadoughi hospital, Yazd, Iran. Patients who gave informed consent were randomized to either OA or LA groups and were operated by McBurney's or laparoscopic technique, respectively. Patients received our center's routine diet, antibiotics and analgesic regimens. The patients' pain was measured by visual analogue scale (VAS) at their entrance to the recovery room and in 6-hour intervals up to 24 hours. Post-operation follow up visits were in weeks 1, 2 and 4. The data of operation time, hospital stay, intra-operation complications, time to resume normal activity, short term complications and neuralgia were collected and analysed. The average operation time was 34.48.42 min in LA and 41.78.84 in OA hand (P=0001). No intra-operative complication and no LA to OA conversion were encountered in operations. Post-operative complication rate was higher in OA group (n=10) compared to LA (n=3). The post-operative pain showed less pain in OA only at 6 and 12 hours post-operative times. Patients' mean hospital stay was 52.3219.2 and 42.9613.8 hours in LA and OA groups, respectively (P=0.003). Time to resume normal activity didn't show a significant difference between two groups (P=0.53). Only one case of neuralgia in the OA group was confronted in the follow up visits. LA has less complications and cosmetic scar with the cost of more pain. Decision between OA and LA for each patient should be made individually. https://acta.tums.ac.ir/index.php/acta/article/view/3755 https://acta.tums.ac.ir/index.php/acta/article/download/3755/3730

Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 49 6 2011 06 15 357 363 EN Ebrahim Ameri Department of Spine Surgery, Shafa Yahyaiian Hospital, Tehran University of Medical Science, Tehran, Iran. Hamid Behtash Department of Spine Surgery, Shafa Yahyaiian Hospital, Tehran University of Medical Science, Tehran, Iran. Bahram Mobini Department of Spine Surgery, Shafa Yahyaiian Hospital, Tehran University of Medical Science, Tehran, Iran. Hassan Ghandhari Department of Spine Surgery, Shafa Yahyaiian Hospital, Tehran University of Medical Science, Tehran, Iran. Hossein Vahid Tari Department of Spine Surgery, Shafa Yahyaiian Hospital, Tehran University of Medical Science, Tehran, Iran. Mohammad Khakinahad Department of Spine Surgery, Shafa Yahyaiian Hospital, Tehran University of Medical Science, Tehran, Iran. 2015 09 28 Distal junctional kyphosis (DJK) is a radiographic finding in patients that undergo spinal instrumentation and fusion, since there is an abrupt transition between fixed and mobile spinal segments.The true incidence of DJK is variable in literature and seems that has a multifactorial etiology. A consecutive series of 130 patients (mean age 15.6 years) with Adolescent Idiopathic Scoliosis who underwent posterior spinal fusion and instrumentation were evaluated by analyzing coronal and sagittal angulation and balance measurements from standing radiographs obtained pre-operatively, within 6 weeks post-operation, at two years postoperative and at the latest follow-up. There was 35 male and 95 female. The mean time of follow-up was 36 months. The incidence of DJK at latest follow-up was 6.9% (9 patients). In DJK group ,distal junctional angle from pre-operative of -12.5 ̊ lordosis (-30 to 0) reached to -5.5 ̊ (P=0.015) at 6 weeks postoperation and to -1.4 ̊ (-20 to 12 ̊) (P=0.000) at 2 years follow-up,with mean of 12.1 ̊ kyphotic change (10-20 ̊). In non DJK group, distal junctional angle from pre-operative angle of -7.5 ̊ reached -8.1 ̊ at 2 years follow-up (P=0.43). The mean age of DJK group at surgery was 17 years and for non-DJK group was 15.4 years (P=0.022). Distal junctional kyphosis was less common in this study than previous reports and stabilized after two years. The magnitude of coronal cobb angles or multiplicity of coronal curves had no effect in developing DJK that may be prevented by incorporation of the first lordotic disc into the fusion construct. https://acta.tums.ac.ir/index.php/acta/article/view/3756 https://acta.tums.ac.ir/index.php/acta/article/download/3756/3731

Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 49 6 2011 06 15 364 367 EN Mohammad Asadpour Piranfar Department of Cardiology, Taleghani Hospital, School of Medicine, Shahid Beheshti Univerisyt of Medical Sciences, Tehran, Iran. 2015 09 28 Functional mitral regurgitation (MR) results from left ventricular remodeling, leaflet tethering or tenting. Coronary artery disease is one of the important causes of functional MR due to tethering. Detection of functional MR and its severity are important factors in patient prognosis. There are different methods for detection of functional MR and its severity, including anterior mitral leaflet concavity area (AMLCA). In this cross sectional study 32 patients, 19 male with three vessel disease (3VD) who were candidate for coronary artery bypass grafting (CABG) with or without mitral valve replacement were selected. The patients had functional MR in ventriculography. AMLCA was determined by long axis view of transthorasic echocardiography (TTE). In this study 32 patients with 3VD and MR were selected (15 mild, 15 moderate and 2 cases with severe MR). The mean age was 62 ± 12 years. In these patients AMLCA were 0.1- 0.43 cm2 in transthorasic echocardiography. The findings of this study showed strong association between anterior mitral leaflet concavity area and functional MR severity (r=0.89) in parasternal long axis (LAX) view of TTE. According to these findings the relation between functional MR and AMLCA was a linear relationship and increase in severity of functional MR was in concordance with increasing of anterior mitral leaflet concavity area (P=0.001). Mitral leaflet concavity area in the parasternal LAX view provides rapid and reliable recognition of functional MR due to coronary artery disease and is quantitatively related to the degree of such MR. We recommend further study with more subjects and ischemic functional MR and AMLCA. https://acta.tums.ac.ir/index.php/acta/article/view/3757 https://acta.tums.ac.ir/index.php/acta/article/download/3757/3732

Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 49 6 2011 06 15 368 374 EN Zinat Nadia Hatmi Department of Community Medicine, Tehran University of Medical Sciences, Tehran ,Iran. Mitra Mahdavi-Mazdeh Department of Nephrology, Tehran University of Medical Sciences, Tehran ,Iran. Seyed Saeid Hashemi-Nazari Health City Office, Tehran Municipality, Tehran ,Iran. Seyed Saeid Hashemi-Nazari Health City Office, Tehran Municipality, Tehran ,Iran. Ebrahim Hajighasemi Health City Office, Tehran Municipality, Tehran ,Iran. Behnaz Nozari Research Center of Iranian Tissue Bank, Tehran, Iran. Azita Mahdavi National BEHZISTI Organization, Tehran, Iran. 2015 09 28 More than eighty percent of patients with coronary heart diseases (CHD) have conventional risk factors. Prevalence of well known risk factors seems to show a different pattern in younger patients and individual above 55 years. To evaluate the pattern of conventional CHD risk factors in healthy individuals in two different age groups. A large scale population based survey of 31999 individuals from ten medical centers was designed. Screening of risk factors was performed upon these protocols: taking medical history, physical examination and blood tests of complete blood cell counts, fasting blood sugar, lipid profile, urinalysis and creatinine. Prevalence of the risk factors in healthy people aged above 55 years were: 8.1% for systolic blood pressure (SBP)>140 mmHg, 3.8% for diastolic blood pressure (DBP)>90mmHg, 13.9% for fasting blood glucose (FBS)≥126 Mg/dl, 36.9% for total cholesterol>200 Mg/dl, 19.2% for triglyceride (TG)>200 Mg/dl, 67.8% for HDL-c130 Mg/dl, 4.72 for TC/HDL-c ratio, 2.88 for LDL-c/HDL/c ratio and 4.24 for TG/HDL-c ratio. Prevalence of risk factors in individuals younger than 55 years were: 1.7% for SBP>140 mmHg, 1.2% for DBP>90 mmHg, 5.2% for FBS≥126 Mg/dl, 31.3% for TC>200 Mg/dl, 21.5% for TG>200 Mg/dl, 69.4% for HDL-c130 Mg/dl, 4.7 for TC/HDL-c ratio, 2.83 for LDL-c/HDL-c ratio and 4.43 for TG/HDL-c ratio. In univariate model of analysis: prevalence of the risk factors were significantly higher in age above 55 years than in people younger than 55 years except for hypertriglyceridemia and HDL-c20ls and Gandy Center of Surgery between 2003-2008 were evaluated. Forty three of 87 patients finally undertaken intravenous regional sympatholytic block according to therapeutic protocol. 37 patients (86%) received one block, 2 of them (4.75%) received 2 repetitions of blocks and finally repeated block for three times occurred in 4 patients (9.3%). A week after block pain relief outcomes was recorded as following; excellent in 7 patients (16.3%), good in the 32 patients (74.4%) and moderate in the 4 patients (9.3%). After a month, 8 patients (18.5%) showed excellent relief and it was good and moderate in 32 (78%) and one case (2.4%), respectively. Pain relief after three months was excellent, good and moderate in the 13 patients (31.7%), 25 patients (61%) and 3 patients (7.3%), respectively. In this study level of pain relief was significant in various intervals and it showed significant difference in relief three months after block (P=0.04). CRPS due to SMP(sympathetically maintained pain) is thought to be alleviated by phentolamine. Intravenous phentolamine infusion is potentially a new significant option for the therapy of CRPS. https://acta.tums.ac.ir/index.php/acta/article/view/3788 https://acta.tums.ac.ir/index.php/acta/article/download/3788/3763

Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 49 8 2011 08 15 527 530 EN Hassan Anari Department of Radiology. Ardebil University of Medical Sciences, Ardebil, Iran. Bahman Bashardoust Department of Dialysis, Ardebil University of Medical Sciences, Ardebil, Iran. Masoud Pourissa Department of Radiology, Neurosciences Research Center, Tabriz University of Medical Sciences, Tabriz, Iran. Soheila Refahi Department of Medical Physics, Faculty of Medicine. Ardebil University of Medical Sciences, Ardebil, Iran. AND Departments of Physics and Medical Engineering, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran. 2015 09 28 Ultrasound is one of the preferred modalities for evaluation of the parathyroid glands. This study was undertaken to determine the accuracy of high resolution ultrasound for secondary hyperparathyroidism in patients with chronic renal failure. From March 2008 to March 2009, ninety-one hemodialysis patients were examined by high resolution ultrasound (14 MHz) of the parathyroid glands in comparison to parathyroid hormone level. 43.9% of patients showed enlarged parathyroid glands with an average of 8.7 mm. The mean parathyroid hormone level of patients with enlarged parathyroid glands on sonography was 503 ± 450 pg/ml. We observed a significant correlation between parathyroid hormone level and enlarged parathyroid glands (P<0.0001). Sensitivity and specificity of sonography for detection of secondary hyperparathyroidism were 62.5% and 85.7% respectively. In conclusion, our study showed that high resolution sonography is a useful noninvasive method for the evaluation of secondary hyperparathyroidism in patients on hemodialysis and that sonographically enlarged glands may be a measure of severity of secondary hyperparathyroidism. https://acta.tums.ac.ir/index.php/acta/article/view/3789 https://acta.tums.ac.ir/index.php/acta/article/download/3789/3764

Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 49 8 2011 08 15 531 535 EN Younes Nozari Department of Cardiology, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran. Babak Geraiely Department of Cardiology, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran. 2015 09 28 Recent studies show that, Inflammation plays an important role in the initiation and progression of atherosclerosis and in the pathogenesis of acute cardiovascular events. There is a possible association between ventricular dysfunction following acute myocardial infarction and high Sensitivity C-reactive protein (HS-CRP) and uric acid. In this study we assessed the relationship between HS-CRP and uric acid with LVEF and Killip Class in patients with acute myocardial infarction (AMI). In a cross sectional study, 188 patients (63 females and 125 males) with AMI (STEMI) who were admitted in CCU ward in Emam Khomeini Hospital, Tehran/Iran, were entered. Uric acid and HS-CRP were measured within first day of admission. We measured ejection fraction (LVEF) and used Killip classification system. The mean age of patients was 60.4±9.2 years. The mean of uric acid was 5.9±1.6, 6.6±2.1, 7.1±2.1 and 9.4±1.3 in patients with Killip Class I, II, III and IV, respectively (P=0.005). The mean of HS-CRP was 1.9±1.4, 14.2±10.9, 12.2±10.9 and 15.7±6.7 in patients with Killip Class I, II, III and IV, respectively (P=0.005). There was a relationship between HS-CRP and LVEF (Correlation coefficient= -0.788, P<0.001), but there was not between uric acid and LVEF (Correlation coefficient= -0.111, P=0.129), The plasma concentration of C-reactive protein correlated with LVEF and Killip Class in patients with AMI but serum uric acid was just correlated with Killip Class IV. It seems that plasma concentrations of HS-CRP and uric acid are useful for prediction of development of heart failure in AMI patients. More future studies are necessary for final judgment. https://acta.tums.ac.ir/index.php/acta/article/view/3790 https://acta.tums.ac.ir/index.php/acta/article/download/3790/3765

Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 49 8 2011 08 15 536 542 EN Kaveh Bashti Department of Orthopaedic Surgeon, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran. Issa Navab Department of Orthopaedic Surgeon, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran. 2015 09 28 The current study was conducted in order to examine the effectiveness of shelf procedure in symptomatic adult patients due to hip dysplasia. This study is retrospective and was performed on patients who had undergone surgery by one orthopaedic surgical team during the past 20 years. Twenty-three men and twenty-three women were enrolled in the study with a mean age of 29.3 years at the time of operation and they were followed up for a mean of 9.3 years. Shelf acetabuloplasty was performed unilateral in 30 patients and bilateral in 16 patients. Results demonstrated that mean Harris Hip Score and CE Angle significantly improved after the operation, while osteoarthritis got more severe post-operatively. The severity of osteoarthritis and the Harris Hip Score respectively significantly increased and decreased 14 years after the operation. Results also demonstrated that as the age of the patient was less, and the patient was more satisfied and the degree of osteoarthritis was less at the time of the operation, the mean change of the Harris Hip Score would be higher and the results of the operation would be more favorable. The preoperative osteoarthritis was significantly worse in to-be-operated hips than their control hips, this difference was not significant after the operation. And finally, although Harris Hip Score has been lower in to-be-operated hips before the operation, it was higher in these very same hips than the control hips after the operation. In short, according to this study although the shelf acetabuloplasty is a salvage procedure and cannot cover the femoral head concentrically like the modern redirectional osteotomies , but it is an effective procedure for a young patient to postpone the progression of the hip osteoarthritis (OA) once it occurs in order to perform reconstructive surgeries later when justified. https://acta.tums.ac.ir/index.php/acta/article/view/3791 https://acta.tums.ac.ir/index.php/acta/article/download/3791/3766

Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 49 8 2011 08 15 543 546 EN Hamideh Shajari Department of Neonatology, Shariati Hospital, School of Medicine, Tehran University of Medical Science, Tehran, Iran. Neda Rashidiranjbar Department of Neonatology, Shariati Hospital, School of Medicine, Tehran University of Medical Science, Tehran, Iran. Mahmoodreza Ashrafi Department of Neurology, Children’s Medical Center, School of Medicine ,Tehran University of Medical Science ,Tehran, Iran. 2015 09 28 There is limited data in the literature on the normal size of the anterior fontanelle. This crosssectional study was to determine normal values of anterior fontanelle size on the first day of life, using standard methods. Anterior fontanelle size was measured in 400 term and healthy neonates delivered at the Shariati Hospital, Tehran, Iran. Examination included assessment of head circumference, anterior fontanelle size, weight, length. Type of delivery was also recorded. The mean size of anterior fontanelle was 25.34 ± 13.27 mm, and it was established in both genders, 26.70 ± 13.19 mm in boys, and 23.67 ± 13.20mm in girls. A significant difference between the mean anterior fontanelle size in boys and girls was found (P=0.023). There was no significant difference in anterior fontanelle size between the infants born with a normal vaginal delivery and those with cesarean-section (P=0.08). There was found a significant negative correlation between the mean size of anterior fontanelle size with both weight and height (P<0.05). No significant correlation was found between mean size of anterior fontanelle and head circumference or with gestational age of infant (P≥0.05). Our results proved possible to define a references range and centile chart. The method used is simple and accurate and easy used in the routine neonatal examination. https://acta.tums.ac.ir/index.php/acta/article/view/3792 https://acta.tums.ac.ir/index.php/acta/article/download/3792/3767

Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 49 8 2011 08 15 547 550 EN Laleh Eslamian Department of Obstetrics and Gynecology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran. Khatereh Tooba Department of Obstetrics and Gynecology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran. 2015 09 28 The umbilical vein (UV) has a non pulsating and even pattern in normal fetuses. Pulsation of UV has been described in severely growth restricted fetuses with chronic hypoxia. We wanted to see whether UV pulsations could also be seen in fetuses with heart deceleration during labor, as an adjunctive measure to assess the intra partum hypoxia. In a prospective study Doppler examination was performed on 34 fetuses with normal cardiotocography (CGT) and 26 fetuses with abnormal CTGs (GA>37w and cervical dilatation>3cm). Perinatal outcome was assessed according to presence or absence of UV pulsations. The 2 groups were similar regarding gestational age, cervical dilatation, Umbilical artery blood pH, S/D ratio,Pulsatility Index( PI) and Resistance Index (RI). Intraabdominal UV pulsation were present in 6 (23.1%) of abnormal CTG group but no case were seen in normal CTG group (P= 0.005). Five of 6 (83.3%) fetuses with UV pulsation underwent cesarean delivery. The rate of cesarean delivery was 90% in abnormal CTG group without pulsation and 14.7% in normal CTG group. The frequency of Apgar score <7 was more in fetuses with UV pulsations (16.7% vs 5%) although not statistically significant. NICU admission was considerably more in UV pulsation group (33% vs 5%, P= 0.123). After exclusion of LBW fetuses the UV pulsation was present in 4 (19%) of abnormal CTG group, who 3 of them underwent cesarean section. Neither umbilical artery pH<7 nor Apger score <7 or NICU admission were seen in these 4 neonates. Pulsation in UV was seen in 23% of fetuses with abnormal CTG during intra partum period. Cesarean delivery and NICU admission was increased in fetuses with UV pulsations, although not statistically significant. When LBW fetuses were excluded no case of UA pH<7, Apgar sore <7or NICU admission were seen. https://acta.tums.ac.ir/index.php/acta/article/view/3793 https://acta.tums.ac.ir/index.php/acta/article/download/3793/3768

Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 49 8 2011 08 15 551 555 EN Farhad Mehrkhani Iranian Research Center for HIV/AIDS, Tehran University of Medical Sciences, Tehran, IR Iran. Sara Jam Iranian Research Center for HIV/AIDS, Tehran University of Medical Sciences, Tehran, IR Iran. Duman Sabzvari Iranian Research Center for HIV/AIDS, Tehran University of Medical Sciences, Tehran, Iran. Fatemeh Fattahi Iranian Research Center for HIV/AIDS, Tehran University of Medical Sciences, Tehran, Iran. AND Department of Immunology, Asthma and Allergy Research Institute, Tehran University of Medical Sciences, Tehran, Iran. Zahra Kourorian Iranian Research Center for HIV/AIDS, Tehran University of Medical Sciences, Tehran, Iran. SeyedAhmad SeyedAlinaghi Iranian Research Center for HIV/AIDS, Tehran University of Medical Sciences, Tehran, Iran. Hossain Jabbari Iranian Research Center for HIV/AIDS, Tehran University of Medical Sciences, Tehran, Iran. Minoo Mohraz Iranian Research Center for HIV/AIDS, Tehran University of Medical Sciences, Tehran, Iran. 2015 09 28 Serum samples from 201 HIV positive patients were collected to determine the seroprevalence of CMV infection in Iranian HIV infected patients during March 2004 until March 2005 using conventional ELISA kits. An antibody level of >1.1 Iu/ml was considered positive. The seroprevalence of CMV infection was 94%.The maximum prevalence of CMV antibody was seen in patients with unsafe sex and IDUs. Prevalence of CMV was much higher in patients with low socioeconomic status and low level of education. 83% of patients with CD4<100 were CMV seropositive. Our study showed that a significantly high prevalence of CMV in HIV positive patients in Iran. By increasing the level of education and socioeconomic status the prevalence of CMV infection decreased. https://acta.tums.ac.ir/index.php/acta/article/view/3794 https://acta.tums.ac.ir/index.php/acta/article/download/3794/3769

Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 49 8 2011 08 15 556 559 EN Maryam Foroughi Iranian Research Center for HIV/AIDS (IRCHA), Tehran University of Medical Sciences, Tehran, Iran. Saman Mohaghegh Montazeri Iranian Research Center for HIV/AIDS (IRCHA), Tehran University of Medical Sciences, Tehran, Iran. SeyedAhmad SeyedAlinaghi Iranian Research Center for HIV/AIDS (IRCHA), Tehran University of Medical Sciences, Tehran, Iran. Banafshe Moradmand Badie Iranian Research Center for HIV/AIDS (IRCHA), Tehran University of Medical Sciences, Tehran, Iran. Pourya Heiydarpour Iranian Research Center for HIV/AIDS (IRCHA), Tehran University of Medical Sciences, Tehran, Iran. Neda Roosta Keck S