SAREM JOURNAL OF MEDICAL RESEARCH (SAREM JOURNAL OF REPRODUCTIVE MEDICINE)
Year:2017 | Volume:2 | Issue:1|Papers Count:9

The fame of the great Iranian scientist in Medical Sciences such as Avicenna, Zakaria Razi, Farabi and etc Shines in the world. They are experts in different sciences branches such as math, philosophy, literature, astronomy, and medicine. They are a small sample of the many centuries’ scholars that have written works. If the other people have written their experiences, they remain forever, too. Unlike now, learning different sciences in the past centuries are possible for those interested. Medical Science and technology breakthroughs in recent decades and rapid growth in knowledge production make it impossible for learning them all by a man. So, one’ s life will not be enough to learn medicine branches completely. Medical science is increasingly branched and each branch is split up into smaller divisions for easier learning but in this way, the main goal of the treatment as in Holistic Medicine, is forgotten. It seems that holistic practitioners (GP’ s) as a guide for initial patients are the main members of various medical teams. In other words, it is not possible to cure the patients by one specialist alone, so a comprehensive team need for attempt to practice medicine and it is necessary to find a sense of team working. Now a day, the medical community must go towards the medical teams registering and imprinting in the public’ s mind rather than the name of a person. If a medical group wants to go along with the progress of science, it must read books and articles and participating in congresses and workshops. With the current system, which they often spend times in practice, significant progression is not possible easily so, they feel the lack of development and being self-conscious with new competitors, have gradually withdrawn from their profession. However, they have their valuable experiences that young doctors are deprived from them. Whereas, the transfer of these experiences and writing academic papers can assist in the professional development and that subject remain forever. English is the official international language of health and medical sciences at the moment (It should be noted that the language of the distant past, the Persian, Arabic, French and finally English, was subsequently modified); the experiences transfer also requires a scientific writing training. So some colleagues with valuable and unique experiences in the medical fields didn’ t write their papers due to lack of scientific writing skills. Many papers have been published in medical journals that they have introduced a new approach, whereas that methods or approaches used previously by Iranian scientists but were not published, so it has become a personal honor for the article authors. If the experienced colleagues present their experiences in journals, they will become superior. This was our impetus to the registration and publication of present scientific journal (SJM). So our request is colleagues’ partnership with come to peace with themselves and publishes their experiences for others in the next generations.

Aims Cytomegalovirus is a major cause of congenital abnormalities, mental retardation, abortion and neonatal infections. The aim of this study was to determine the prevalence of CMV in amniotic fluid by PCR method and to compare it between the patients with abortion and women with normal delivery. Materials & Methods This case-control and descriptive-analytic study was conducted on 120 women referred to Amiralmomenin, Javaheri and Bouali hospitals in 2010. The women were studied in two case (n=60) and a control (n=60) groups including the mothers with abortions and mothers with normal delivery, respectively. The information of the participants was collected using a questionnaire and a PCR method was used for microbiological examination for CMV. Data were analyzed by SPSS 13 using chi-square test. Findings Totally, the PCR results were positive in 16 (13. 3%) patients. In the case group, 26. 7% of the women had a history of CMV. The PCR results were negative for the control group. Totally, the prevalence of CMV was 13. 3%. In the case group, 61. 7% of patients had no abortion history, 30. 0% had one abortion and 8. 3% had two abortions, previously. In the case group, abortions occurred before 20 weeks of gestation in 21. 7% of women and 78. 3% of abortions occurred after 21 weeks of pregnancy. There was a significant relationship between the incidence of CMV and the number of abortions in the mothers and abortion time. Conclusion Due to the importance of rapid and correct diagnosis of pathogens before emergence of its complications, the molecular method can be useful for the purpose and even for the low level of pathogenicity.

Aims Exclusive breastfeeding plays an important role in the growth and promotion of children’ s health in the first six months of their life. The exclusive breastfeeding has been decreasing in Iran in recent years. The objective of this study was to investigate the factors associated with the exclusive breastfeeding in Isfahan province, Iran. Materials & Methods This cross-sectional study was conducted on women with infants less than 6 months of age who referred to the urban and rural health centers of Golpayegan, Isfahan and Falavarjan counties (561 people) of Isfahan province between 2007 and 2008. The data were collected using a questionnaire and interview. Statistical analyses were performed using SPSS 15 software and logistic regression model. Findings Most of the infants (85. 6%) fed colostrum. The exclusive breastfeeding levels in the urban and rural regions were found as 25. 9% and 32. 4%, respectively. Delayed onset of lactation (p<0. 05) and cesarean section (p<0. 05) were associated with reduction in exclusive breastfeeding, while having a female gender (p<0. 01) and receiving postpartum lactation training (p<0. 001) showed a positive association with exclusive breastfeeding. Conclusion Delayed onset of lactation and cesarean section reduce the level of exclusive breastfeeding in infants less than 6 months of age in urban and rural communities of Isfahan. However, having a female gender and receiving postpartum lactation training increase the level of exclusive breastfeeding.

Aims Cardiovascular diseases are one of the most important complications in menopausal period. The complications are one of the major causes of death in women. Clearance of chylomicrons increases with hormone replacement therapy (HRT) that is a protective effect of estrogen against cardiovascular diseases. The objective of this study was to evaluate the postmenopausal hormone therapy effects on atherogenic factors and chylomicron levels. Materials & Methods This study was conducted on all women with complications of menopause or women’ s problems who referred to Sarem medical center during 6 month from 1999 to 2000. The lipid and lipoprotein factors were measured before HRT therapy and six months after the treatment. Data were collected by a questionnaire including demographics, blood pressure, weight, height, and other clinical data. The total cholesterol, triglyceride, HDL, LDL, risk factor (RF), atherogenic factor (AI) and hormonal tests were evaluated before and after treatment. The data were analyzed by Wilcoxon and t tests. Findings There were significant relationships between HRT with the increase of HDLC, and reduction of LDLC, RF and AI (p<0. 05). However, there were no significant relationships between HRT and triglyceride and cholesterol serum levels. Conclusion Hormone therapy increases HDLC and decreases LDLC, RF, and AI, and thus reduces the risk of cardiovascular diseases in postmenopausal women.

Aims Unexplained asthenospermia is one of the most important causes of male infertility. Biochemical parameters of seminal plasma are useful in diagnosis of this cause of infertility. Three parameters including carnitine, fructose and zinc can indicate the function of epididymis, seminal vesicle and prostate, respectively. The objective of this study was to evaluate the carnitine, fructose and zinc levels in seminal plasma of unexplained asthenospermic patients compared with normal individuals. Materials & Methods In this case-control study, we measured the level of carnitine, fructose and zinc in seminal plasma of 43 unexplained asthenospermic patients (case group) and 37 normal men (control group). Data and demographic characteristics of the patients were collected through a questionnaire. In addition to sperm counts, sperm motility was also evaluated in semen samples. The levels of Zinc, fructose and carnitine were measured by atomic absorption spectrophotometry. Findings There were no significant differences in mean fructose and zinc concentrations in seminal plasma between patient and control groups (p>0. 05). Mean concentration of carnitine in the patient and control groups were 181. 78± 70. 14 nmol/ml and 218. 22± 58. 51 nmol/ml, respectively. This difference was statistically significant (p=0. 015). Carnitine concentration was positively related to total motility (p=0. 001) and progressive sperm motility (p=0. 001), while there were no significant relationships between zinc and fructose concentrations and sperm motility (p>0. 05). Conclusion Reduction of carnitine in unexplained asthenospermic patients due to epididymal disfunction may be the cause of poor sperm motility.

Introduction In the Constitutional Revolution, Iranian women were politically and socially active alongside the men. They were involved in many events, including secret societies, demonstrations, freedom-loving groups. More importantly, the Iranian women were at the focal point of suffering amid the time of the Revolution, fighting against Mohammad Ali Shah’ s autocracy, until the Shah was forced to step down and there was a transition to the Constitution. Since then, the Iranian women contributed to political, cultural, and social developments, including developing women’ s journalism. Consequently, periodicals such as: Danesh, Shokoufeh, Zabane Zanan, Nameye Banovan, Alame Neswan, Jahane Neswan, Neswane watan khah and Neswane Sharq, joined other magazines. In this study, we are going to review one of the above magazines, Danesh (Knowledge), which was the first Journal to examine women’ s Journalism, i. e. first woman Journalist and first woman doctor in Iran. Conclusion The first women’ s Iranian journal was published in 1907 by a physician who was woman, while there are not any samples had been seen in middle-east region and in the Islam’ s world, the period when women in Iran were among the most modern women in the world. On 31st of August 1910, the permission to publish “ Danesh” by the name of Dr. Sommayeh Kahal was granted, which as was cited in the magazine, educating women & girls, promoting women’ s morality & house-keeping, bringing up kids, and healthcare, hygienic principles for women & kids were focused.

Introduction The first woman, who received kidney transplantation from her identical twin sister, gave birth to a healthy baby on the tenth of March 1958 without immunosuppressive consumption. This led to an important point to prove, and it was that, after kidney transplantation, fertility is also possible, and normal kidney function alone is sufficient to withstand pregnancy and the proximity of the uterus to the kidneys will not cause mechanical problems. Obviously, women who are undergoing dialysis are experiencing significant decrease fertility, and have been shown that kidney transplantation will be able fertility in these women. In this study, the important sources and Guideline about kidney transplantation and pregnancy were studied, and according to researcher’ s experiences, the contents were summarized and presented. Conclusion An important issue that women kidney transplant should know, it is that pregnancy should be postponed at least one year and preferably 2 years after transplantation. There is the possibility of different complications for this category of women and pregnancy complications after the transplant should be considered. Therefore, it is recommended that a proper periodic evaluation be made during pregnancy, in a special way, under the supervision of a urologist and a perinatologist.

Introduction Fanconi-Bickel disease is a rare disorder in the metabolism of carbohydrates. The disease is transmitted by heredity recessive autosomi. Somebodies have classified this diease as a glycogenosis that does not appear to be correct, because the cause of this disease not a disorder in the metabolism of glycogen, realy it is due to impairment of saccarides transfer into the membranous GLUT2 channel. The properties consist of: hepatorenal glycogenose, proximal RTA, impaired glucose and galactose consumption, manage resistant hypophosphatemic rickets and delay the growth resulting from it. But being non-typical cues could wrongly lead to another initial diagnosis like osteogenesis imperfecta. Patient Information 3. 5-year-old girl with the probable diagnosis of osteogenesis imperfecta was admitted for periodical treatment by pamydronat. The child resulting from consanguineous marriages and in history of pregnancy and maternity there was not any problem. Because of the delay in motion and repeated fractures, suspicion to osteogenesis imperfecta disease was initially raised. In the follow up of the next turned the patient revealed resistant rickets. Gradually hepatomegaly appearead and the biopsy emphasized glycogen accumulation. Then gradually renal affliction-fanconi syndrome and RTA-were revealed. Conclusion According to the mentioned symptoms, the very rare diseases Fanconi-Bickel syndrome was raised for the patient. By molecular Study on operating gene called Glucose transporter 2 (GLUT2), this disease was confirmed. This type of mutant is recognized for the first time that has not already been reported in medical resources.

Intrduction Ambiguous genitalia is a tragic event, and causes a serious emotional burden to the family. In some cases with this disorder it may cause an urgent medical problem. Precisediagnosis is mandatory for efficient intervention to help the affected patient. Chromosome analysis is the first step in evaluation of the patients with ambiguous genitalia. A chromosomal study is conducted to determine the sex of patients with sexual ambiguity using standard methods. In this method, peripheral blood lymphocyte cells were cultured in a complete RPMI medium, and a high-resolution GTG banding technique was used for studying, and at least 20 chromosomal amplitudes were studied. Patients Information Two patients were 46XY and two others had 46XX karyotype. Patients with 46XX karyotype had Congenital Adrenal Hyperplasia (CAH). The ovarian and uterine tissues were normal in them, but they had a ambiguous external male genitalia. In the study of hormones of one of these patients, the amount of 17-hydroxyprogesterone and cortisol was normal, and high levels of aldosterone and potassium were reported. Patients with 46xy karyotype have Complete Androgen Insensitivity Syndrome (CAIS) and have a female female reproductive system. There are no uterine tubes in this group of patients and the testicles are in the abdomen. Conclusion Karyotype performance is essential for patients with ambiguous genitalia, in order to investigate the relationship between phenotype and genotype and thus the correct management of patients.