Journal of Arak University of Medical Sciences

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Investigation of Mutations in Exons 15 and 18 of MYBPC3 Gene in Hypertrophic Cardiomyopathy Patients

Behnaz Sadat Abedi, Zohreh Kiyani, Shahrbanoo Parchami, Morteza Hashemzade Chaloshtari, Abbas Doosti,
Volume 18, Issue 5 (8-2015)

Abstract

Background: Hypertrophic cardiomyopathy (HCM) is a various collection of heart diseases with autosomal dominant inheritance affecting 0.2% of the global population. HCM is also the most common cause of sudden cardiac death in individuals younger than 35 years old. Approximately, 40% of affected cases are associated with MYBPC3 gene. The aim of this study is to investigate the possible presence of mutation in 15 and 18 exons of MYBPC3 gene in patients with HCM in Chaharmahal Va Bakhtiyari province.

Materials and Methods: In this experimental study, 30 HCM patients were selected. DNA was extracted using standard phenol-chloroform method. Certain exons were amplified by PCR method. And then, SSCP and HA methods were run.

Results: Significant differences were observed between the positive control samples and other samples. However, there were no difference in studied exons or shift in the bands.

Conclusion: Mutations in the exons of MYBPC3 gene may cause the HCM disease, and change in other exons may be the causative agent in this geographical region and change in this studied exons may not have contributed to the HCM disease. However, it is necessary to study more patients for getting a better conclusion.

Phenotypic and Genotypic Efflux Pumps in Resistance to Fluoroquinolones in E.coli Isolated from Inpatients in Kermanshah Hospitals in 2013

Maryam Doosti Mohajer, Hamid Pajavand, Ramin Abiri, Amirhooshang Alvandi,
Volume 20, Issue 9 (12-2017)

Abstract

Abstract
Background: Antibiotic resistance rates in E. coli are rapidly rising, especially with regard to fluoroquinolones. One of the mechanisms that lead to antibiotic resistance is efflux pumps. The aim of this study was phonotypic and genotypic analysis of efflux pump role in fluoroquinolones resistance of E. coli strains isolated from hospitalized patients in Kermanshah 2013.
Materials and Methods: In this cross-sectional study, 100 isolates of E. coli were collected from hospitalized patients from Kermanshah. All isolates were identified by standard biochemical tests. The antimicrobial susceptibility patterns were determined by disk diffusion method according to CLSI guidelines. The presence of Efflux pump genes was determined by a PCR method.
Results: The rates of resistance to Ceftazidime, Nalidixic Acid, Ciprofloxacin, Norfloxacin, Ofloxacin, Gentamicin, and Tetracycline were 73%, 67%, 55%, 54%, 45%, 38%, and 24%, respectively. According to the results of PCR test, of 100 E. coli isolates, 99% of isolates were positive for acrA, 98% for acrB, 95% for acrE, 98% for acrF, 94% for mdfA, 96% for norE, and 96% for tolC.
Conclusion: In Strains with positive gene acrA, acrB, acrA, acrB, tolC, mdfA, norE, the presence of efflux pump inhibitor reduced the amount of resistance to antibiotics. So, efflux pumps are important in antibiotic resistance.

Evaluation Risk Factors of Coronary Artery Disease Through Competing Risk Tree

Ehsan Salehi, Ebrahim Hagizadeh, Mohammad Alidoosti,
Volume 21, Issue 4 (8-2018)

Abstract

Background and Aim: Advances in the field of medicine over the past few decades enabled the identification of risk factors that may contribute toward the development of coronary artery disease (CHD). However, this knowledge has not yet helped in the significant reduction of CHD incidence. The purpose of this study is to assess the risk factors of coronary artery heart events, after receiving stent, by competing risks with composite events tree. We can reduce CHD incidence with control of this risk factors.
Materials and Methods: This sectional study includes the Coronary Artery Disease (CAD) patients that received Percutaneous Coronary Intervention (PCI) cure with at least planting one stent from May 21, 2007 to May 22, 2009 in Tehran heart center. We followed patients for three years. Revascularization, nonfatal myocardial infarction, and cardiac death are considered as major acute cardiovascular events (outcome). We used decision tree with competing risks with composite events model for classification of patients. The data were analyzed by IBM SPSS Statistics 24 and R 3.3.3 softwares.
Findings: Four factors including fasting blood sugar, diabetes mellitus, body mass index and age established six homogeneous subgroups of patients for nonfatal myocardial infarction and revascularization. Maximum Revascularization incidence after 50 months was 17.8% and Maximum Nonfatal myocardial infarction was 9.7%.
Conclusion: CAD patients can reduce serious cardiac events by controling their weight and diabetes status, after receiving stent.

The Effect of Core Stability Exercises on Pain and Inflammation of Patients With Piriformis Syndrome

Rashid Doosti Irani, Masoud Golpayegani, Fardin Faraji,
Volume 25, Issue 2 (June & July 2022)

Abstract

Background and Aim Sciatica is one of the most common diseases of the peripheral nervous system and may be caused by pressure on the sciatic nerve. Due to the fact that piriformis muscle located near the sciatic nerve, piriformis muscle spasm may put pressure on the nerve and cause sciatica and consequently piriformis syndrome. The present study aims to investigate the effect of core stability exercises on pain and inflammation of patients with piriformis syndrome.
Methods & Materials This is a randomized clinical trial. The study population consists of all patients with piriformis syndrome referred to medical centers in Arak, Iran from. Of these, 20 were purposefully selected and randomly divided into two groups of control (n=10) and exercise (n=10). The exercise group performed core stability exercises for 6 weeks, while the control group continued their normal life during this period. To examine the differences between the study groups, t-test, Chi-Square test, and McNemar’s test were used. The significance level was set at 0.05.
Ethical Considerations This study was approved by the Ethics Committee of Arak University of Medical Sciences (Code: IR.ARAKMU.REC.1400.157) and was registered by Iranian Registry of Clinical Trials (ID: IRCT20211003052662N1). Informed consent was obtained from all participants.
Results The Mean pain score in the control group decreased from 95.2 to 90.7 after the exercise, which was not statistically significant (P=0.562). In the exercise group, the mean pain score decreased from 91.7 to 33.4, and this decrease was statistically significant (P=0.0); Therefore, at 95% confidence interval, we can say that core stability exercises had a significant effect on the pain of patients with piriformis syndrome (P<0.05). The number of patients with inflamed nerve in the control group decreased from 10 in the pre-test phase to 8 in the post-test phase, but this decrease was not statistically significant (P=0.5). In the exercise group, it was reduced from 10 to 2, and this decrease was statistically significant (P=0.008); Therefore, we can say that core stability exercises had a significant effect on the inflammation of patients with piriformis syndrome (P<0.05).
Conclusion Core stability exercises can reduce pain and inflammation in patients with piriformis syndrome. These exercises can be used in the treatment of these patients.

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