SAREM JOURNAL OF MEDICAL RESEARCH (SAREM JOURNAL OF REPRODUCTIVE MEDICINE)
Year:2022 | Volume:7 | Issue:4|Papers Count:8

Introduction: Ileus is a temporary lack of intestine movement that can lead to pain, nausea, bloating and other symptoms. Without treatment, this complication can be considered a threatening factor for the person. The purpose of this case report study was to examine a 40-year-old woman who was admitted to Sarem Superspeciality Hospital in Tehran due to abdominal pain, nausea and vomiting and diagnosed with ileus. Case report: A 40-year-old woman from Neka in Mazandaran province was admitted to Sarem subspecialty hospital due to abdominal pain, nausea and vomiting and diagnosed with ileus in 2022. Preoperative diagnosis of intestinal obstruction was considered. The type of surgery of this patient was laparotomy. The abdomen was opened with a midline incision. The intestines were explored and a clear obstruction was reported in the last 60 cm of the ileum. The obstruction contained a stone-like mass inside the intestine, which was removed by a transverse incision on the intestinal wall, and the intestinal wall was repaired in two layers. After washing the abdomen and ensuring the hemostasis and correctness of counting, the layers of the abdomen were repaired with lung gas and the patient was transferred to recovery. Conclusion: Clinical suspicion of obstruction is necessary for rapid diagnosis and aggressive intervention to minimize morbidity and mortality from this complication. In this study, after washing the abdomen and ensuring homeostasis and counting accuracy, the patient was taken to recovery.

Introduction: Studies show that some antioxidants are effective in improving male infertility. Sesame is one of the main lignan components of sesame seeds and is considered as a key factor in a number of beneficial effects on human health. It has been shown that the consumption of sesame leaves improves and increases the storage of epididymal spermatocytes in adult male Sprague Dawley rats. Considering several antioxidant compounds in sesame seeds, this study was designed and conducted with the aim of the effect of sesame seed diet on the structure of testis and prostate along with sex hormones of adult male rats. Material and methods: This experimental study was conducted on 30 adult 200 gr Wistar rats that were obtained from the Laboratory Animal Center of Kashan University of Medical Sciences. Mice were randomly divided into two experimental and control groups. The control group received standard diet and the experimental group received diet containing 70% standard diet and 30% sesame seeds after weaning for 12 weeks. At the end of the study, the weight and volume of the testes were measured, and the spermatogenic tubes, diameter of the epithelium lumen, LH, FSH and testosterone concentration were evaluated. The prostates of mice were examined after being fixed. The data was analyzed using SPSS software and t-test. P<0. 05 was considered significant. Results: The body weight of mice, the weight and volume of the testes and the percentage of the volume of the vessels of seminiferous tubules were not significant in two groups. The average number of cells and sperm motility in the left epididymis, the number of epithelial cells and the percentage of epithelial, lumen and interstitial volume of these tubes in the experimental group were highly significant (P<0. 0001). The concentration of LH in the experimental group increased significantly compared to the control group (P<0. 03). According to the results of this study, the diameter of the peripheral epithelium of the prostate showed a significant increase in the test group compared to the control group with a probability level (P<0. 05), but no significant difference was observed in the diameter of the central epithelium between the test groups. The volume density of the prostate epithelium of the experimental group compared to the control rats showed significant changes. Conclusion: Sesame consumption improved testicular parameters, fertility and sperm production in men. Consuming sesame seeds improved sperm parameters and increased LH levels, but it had no effect on the body weight of the mice. Also, sesame seeds improve the reproductive system of male rats through testis and prostate histopathology

Pregnancy is a unique and transformative period in a woman's life. While most studies focus on often on maternal health, it is crucial to recognize the intricate relationship between oral health and pregnancy outcomes. Gingivitis is a common gum disease characterized by inflammation of the gums. In the current review, we delve into the connection between gingivitis and pregnancy outcomes, shedding light on the epidemiological and molecular link that underlies this association.

Broad ligament myomas are rare benign tumors arising from the smooth muscle cells of the broad ligament in the female reproductive system. Although it is less prevalent than uterine fibroids, broad ligament myomas present unique diagnostic and management challenges due to their anatomical location and potential for varied clinical manifestations. This paper provides a comprehensive overview of broad ligament myomas, including their etiology, clinical presentation, diagnostic modalities, and current treatment options. We aim to contribute to the existing knowledge base and guide clinicians in effectively managing this condition by highlighting the distinctive characteristics of broad ligament myomas and discussing their impact on patient outcomes.

Human Papillomavirus (HPV) is a virus that is transmitted mainly during sex and through direct contact with people's skin. This virus belongs to a large family of viruses and is the most common sexually transmitted infection. Unfortunately, most people infected with this virus are unaware of this issue, since various serotypes of this virus are involved in causing precancerous lesions and cancer, especially cervical cancer, it is essential to know more about it. In most parts of the world, this cancer is the second or third most common cancer in women. Due to the relative prevalence of this virus in recent years, many studies have been conducted in the field of its prevention during the last few decades, which has led to the production of various types of vaccines and their introduction to the market. The present review study was conducted to introduce the types of this virus, their pathogenicity, ways to prevent it, and the details of the vaccines available in the Iranian Pharmacopoeia. It is hoped that by vaccinating the women and girls of the target group, we will see a decrease in the spread of this virus and, consequently, a reduction in its harmful effects on the general health of society. It even seems that if a national vaccination program is implemented in the target group, it is possible to eradicate cervical cancer in the coming decades.

Objective: Regards to the increasing rate of infertility and the growth of the use of Assisted Reproduction Technologies (ART), it is necessary to recognize and investigate the psychological differences between Naturally Conceived (NC) and ART pregnant women in order to enhance women’s mental health during pregnancy. In this regard, this research sought to compare the basic psychological needs between NC and ART pregnant women Method: This research is an applied case-control study with quantitative data. The case group was ART and the control group was NC. Each group contains 100 participants who were selected from pregnant women in the Sarem hospital (Tehran, Iran) using available sampling method. The participants answered the Basic Psychological Need Satisfaction Scales. Results: The result of the t-test confirmed that there was a significant difference between basic psychological needs in NC and ART pregnant women and these needs were less satisfied in ART. It means that the needs of Autonomy, Competence and Relatedness were less satisfied in ART. Conclusion: Practitioners who are involved in pregnant women's health, especially infertility treatment centers, should be aware of the psychological needs of ART pregnant women so that they can identify women at risk and refer them to specialized levels to receive care services and psychological interventions. It seems that ART pregnant women have different psychological needs so it is necessary for infertility treatment centers to identify women at risk in time by examining these needs and refer them to specialists to receive care services and psychological interventions.

Gestational diabetes mellitus (GDM) is a prevalent condition with significant health implications for mothers and infants. Numerous guidelines exist for managing GDM, reflecting the diversity of healthcare systems, regional practices, and research advancements. This narrative review compares and contrasts eight prominent guidelines: American Diabetes Association (ADA), International Association of Diabetes and Pregnancy Study Groups (IADPSG), National Institute for Health and Care Excellence (NICE), American College of Obstetricians and Gynecologists (ACOG), Endocrine Society, Royal College of Obstetricians and Gynecologists (RCOG), Canadian Diabetes Association (CDA), and European Association for the Study of Diabetes (EASD). Common themes include emphasizing lifestyle modifications, particularly medical nutrition therapy, and physical activity, as the cornerstone of management. When lifestyle changes are insufficient, insulin is frequently recommended as first-line pharmacotherapy, although variations in diagnostic criteria and glycemic targets exist. Metformin use is also suggested by some guidelines. This review underscores the complexity of GDM management, highlighting the need for individualized care to achieve optimal maternal and fetal health outcomes.

Background: This systematic review and meta-analysis aim to comprehensively evaluate the effect of probiotic dairy consumption on obesity and overweight individuals. Methods: A systematic search was conducted across electronic databases to identify relevant clinical trials published between 2000 and 2021. A total of 35 studies met the inclusion criteria, comprising randomized controlled trials assessing the impact of probiotic-containing dairy products on body mass index (BMI), weight, and waist circumference. Random-effects meta-analysis was employed to calculate the Standardized Mean Difference (SMD) and 95% Confidence Intervals (CI) for each outcome. Results: The pooled analysis of all studies indicated a significant positive association between the consumption of probiotic-containing dairy products and BMI (SMD: 0. 30, 95% CI: 0. 11-0. 50, P<0. 001). Subsequent sensitivity analyses confirmed the consistent relationship after excluding heterogeneous studies. Probiotic dairy consumption also exhibited a significant effect on weight (SMD: 0. 10, 95% CI: 0. 00-0. 20, P<0. 001) and waist circumference (SMD: 0. 44, 95% CI: 0. 17-0. 71, P<0. 001). Conclusion: This comprehensive meta-analysis provides robust evidence supporting the potential beneficial impact of probiotic-containing dairy products on BMI, weight, and waist circumference in individuals with obesity and overweight. These findings underscore the value of incorporating probiotics into dietary interventions aimed at addressing these challenging public health issues. Further research is warranted to elucidate the mechanisms underpinning these effects and to optimize the implementation of probiotics in clinical practice.