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Mahmoud Tavakkoli,1 Masoud Yousefi,2 Reza Mahdavi,2 Mahmoud Reza Kalantari,3 Amin Mirsani,2 Amin Korooji2 1Kidney Transplantation Complications Research Center, Mashhad University of Medical Sciences, Mashhad, Iran; 2Department of Urology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran; 3Department of Pathology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran Introduction: There are several investigations about preimplantation biopsy results in alive donors. However, assessment of the biopsies in deceased donors’ kidney and its correlation with patient survival is limited. In this study, we evaluated the correlation between zero-time pretransplant kidney biopsy and survival of kidney in deceased donors. Patients and methods: This was a cohort study conducted at Montaserieh Hospital, Mashhad, between January 2016 and December 2017. We included all brain dead patients who were referred to Montaserieh transplantation center. After vascular anastomosis of kidneys in recipient patients, in the operation room, and de-clumping of vessels, biopsies were taken from upper pole of donated kidney. Blocks of biopsies were evaluated by expert pathologists and then reported. We followed patients for 1 year and compared the pathologic findings and renal survival in them. Results: The mean age of deceased donors was 32.32±1.49 years and that of the recipient patients was 36.33±1.27 years. Thirty-eight recipient patients (45.2%) were female and 46 were male (54.8%). The most pathologic pattern in our study was grade I separation, followed by blebs, dilatation, and loss of attenuation. We showed that most of the transplantations were safe after 1-year follow-up (85.7%) without any complications. We observed thrombosis in two cases (2.4%) and rejection of transplantation in ten patients (11.9%). Cox regression analysis showed that end-stage renal disease grade (HR =3.84, 95% CI =2.315–6.348; P

No abstract available. Article truncated after 150 words. A 17-year-old man was brought to the emergency room after a fall from a 50-foot bridge. He was hypoxemic on presentation, requiring endotracheal intubation. Chest computed tomography (CT) revealed bilateral airspace opacities consistent with pulmonary contusions, and multiple air-fluid levels diagnostic of pulmonary lacerations (Figures 1-3). Pulmonary lacerations are rare complications of blunt chest trauma (1). They can be contained within the lung parenchyma or may extend through the visceral pleura causing a pneumothorax. Due to its elastic recoil, the surrounding lung tissue pulls back from the laceration resulting in a round or oval cavity that may fill with air (pneumatocele), blood (hematocele) or both (hematopneumatocele). Lacerations are often obscured on chest x-ray as they are usually surrounded by contusion, requiring a CT for detection (2). They are classified into four types according to the mechanism of injury: Type 1 (compression rupture injury, most common type, usually centrally located), Type …

Background and Objectives: Diabetes Mellitus (DM) is the most common chronic metabolic disease, with many complications including renal failure, blindness and non-traumatic amputation, so it is important to monitor and regulate blood glucose. Considering how easy home blood glucose monitoring is, we decided to evaluate the performance of two available glucometers for detection of blood glucose compared with standard laboratory methods.Methods: In this analytical study, we compared the capillary blood glucose levels of 60 volunteers with mean age of 32.8±9.6 years in Tabriz Mehr Laboratory as determined by test strips (two different Glucometers) with venous blood glucose levels’ measurements by the enzymatic method (the standard laboratory kit). Data were analyzed using one way-ANOVA test, T-test, Pearson correlation and Bland and Altman plot.Results: The mean differences of No: 1 and No: 2 Glucometers with enzymatic laboratory method were 20.78±11.61 and 4.5±3.76mg/dl respectively. The one way ANOVA test indicated significant differences between three methods (p

Background and Objective: Computerized tomographic angiography (CTA) is a minimally invasive modality to image the vasculature without the morbidity of direct large vessel vasculature access and its major indications in urology are assessment of the renal vasculature in preparation for donor nephrectomy, identification of extravessel in evaluation of ureteropelvic junction obstruction and for diagnosis of renal artery stenosion. This study was done to evaluate vescels of kidney donors using CTA and formal angiography and comparison with intraoperative findings. Materials and Methods: In this descriptive study, kidney vessels of 70 and 30 living kidney donor were assessed with computerized tomographic angiography and formal angiography respectively. The pattern of vessels of kidney during operation were examined. Two observers assessed the findings of preoperative CTA and formal angiography with intra operation observations. Results: In CTA group there were two patients each with two main renal veins which were observed during operation was not recorded on computerized tomographic angiography. In formal angiography group there was one patient with unrevealed two main renal veins prior to surgery. In both groups, the accuracy of anatomical diagnosis of the main kidney artery were 100%. Conclusion: This study showed that kidney vascular assessment by either the computed tomography angiography or formal angiography have similar clinical diagnostic accuracy.

Background: The pathogenesis of diabetes is accompanied by oxidative stress. Citrulline can be considered as a potent antioxidant. The present study aimed to examine the effects of citrulline supplementation on the status of oxidative stress and serum levels of nitrite/nitrate (NOx) in patients suffering from type 2 diabetes (T2DM). Methods: The present study comprises a double‐blind placebo‐controlled randomised clinical trial. The study subjects include 54 patients with T2DM chosen from specialised clinics of Tabriz University of Medical Sciences. The patients were allocated to one of the placebo or intervention groups. The patients in the placebo and the intervention group received one sachet of microcrystalline cellulose or l‐citrulline (3 g), respectively, every day for 2 months. Malondialdehyde (MDA), glutathione peroxidase (GPx), total antioxidant capacity (TAC), superoxide dismutase (SOD), serum levels of fasting blood sugar (FBS), citrulline and NOx were assessed before and after the intervention. Results: Forty‐five patients completed the trial. Significant decreases were found in serum levels of FBS and MDA. Serum levels of TAC, citrulline and NOx in the intervention group increased compared to those of the placebo group, after adjusting the data for the baseline values and confounders. Differences between and within the two groups were statistically nonsignificant for GPx and SOD at the end of the study. Body mass index and energy intake were not changed significantly after the intervention. Conclusions: The results of the present study show the positive effects of citrulline supplementation with respect to attenuating FBS levels and oxidative stress, as well as boosting NOx status, in patients with T2DM. [ABSTRACT FROM AUTHOR]

One of the most important services of mangrove wetland ecosystems Avecenniamarina, Forssk. Vierh in addition to protecting the beach from sea waves, reducing fine dust and preventing coastline erosion, is their high visibility feature. The present study was down in the framework of the FAO instruction to determine the land evaluation. The method limitations of conditions in the situation and quality of the land were used to combine degrees of merit to identify the environmental factors include strengths, weaknesses, opportunities, threat, prioritize factors, providing solutions, and strategy with the aim of developing sustainable tourism in the area. For this purpose, matrix assessment internal factors (IFE), evaluation of external factors (EFE) and matrix strategy formulation were used. Finally, the strategies were prioritized according to the results of the QSPM matrix (strategic quantitative evaluation matrix). Results show that about 61.1% of the area has S1 class and appropriate tourism and 18 % of the Koleghan basin in the S3 class and has merit low for tourism, 12.48% in the N class with the lack of merit for tourism and finally the S2 class with an area of equivalent to 8.45% of average merit of tourist up give. Temperature, soil, elevation, access paths, distance to city and welfare facilities are factors enhancing merit area study for tourism. The results obtained in the other method show that in the Koleghan basin, 10 parameters were identified as strengths, with a mean score of 0.618 and 6 parameters identified as a threat If we use the capacity of the strength and efforts to addressing the threat factors, this area with Avecennia marina, Forssk. Vierh ecosystem will create a very good tourism opportunity.