1.Selective toxicity of Caspian cobra (Naja oxiana) venom on liver cancer cell mitochondria
Babaei SHABNAM ; Fakhri AMIR ; Pourahmad JALAL
Asian Pacific Journal of Tropical Biomedicine 2017;7(5):460-465
Objective:To explore the cytotoxicity effects of Caspian cobra (Naja oxiana or N.oxiana) venom on hepatocytes and mitochondria obtained from the liver of HCC rats.Methods:In this study,HCC was induced by diethylnitrosamine (DEN),as an initiator,and 2-acetylaminofluorene (2-AAF),as a promoter.Rat liver hepatocytes and mitochondria for evaluation of the selective cytotoxic effect of N.oxiana venom were isolated and mitochondria and cellular parameters related to apoptosis signaling were then determined.Results:Our results showed a raise in mitochondrial reactive oxygen species (ROS)level,swelling in mitochondria,mitochondrial membrane potential (△ψm) collapse and release of cytochrome c after exposure of mitochondria only isolated from the HCC group with the crude venom of the N.oxiana (12.5,25,and 50 μg/mL).This crude venom also induced caspase-3 activation (P < 0.001) in the hepatocytes obtained only from the HCC rat liver.Conclusions:Based on the over all results,we suggested that N.oxiana may be considered as a promising complementary therapeutic agent for the treatment of HCC.
2.Interference Effect of Prior Explicit Information on Motor Sequence Learning in Relapsing-Remitting Multiple Sclerosis Patients
Nahid Zahiri ; Iraj Abollahi ; Amir Masoud Arab
Malaysian Journal of Medical Sciences 2017;24(1):69-80
Background: Multiple sclerosis (MS) is the most widespread disabling neurological
condition in young adults around the world. The purpose of this study was to investigate the
impact of explicit information (EI) on motor-sequence learning in MS patients.
Methods: Thirty patients with relapsing-remitting MS (RRMS), age: 29.5 (SD = 5.6)
years and 30 healthy gender-, age-, and education-matched control group participants, age: 28.8
(SD = 6.0) years, were recruited for this study. The participants in the healthy group were then
randomly assigned into an EI (n = 15) group and a no-EI (n = 15) group. Similarly, the participants
in the control group were then randomly assigned into EI (n = 15) and no-EI (n = 15) groups. The
participants performed a serial reaction time (SRT) task and reaction times. A retention test was
performed after 48 hours.
Results: All participants reduced their reaction times across acquisition (MS group:
46.4 (SD = 3.3) minutes, P < 0.001, and healthy group: 39.4 (SD = 3.3) minutes, P < 0.001). The
findings for the within-participants effect of repeated measures of time were significant (F(5.06,
283.7) = 71.33. P < 0.001). These results indicate that the interaction between group and time was
significant (F(5.06, 283.7) = 6.44. P < 0.001), which indicated that the reaction time in both groups
was significantly changed between the MS and healthy groups across times (B1 to B10). The main
effect of the group (MS and healthy) (F(1, 56) = 22.78. P < 0.001) and also the main effect of no-EI vs
EI (F(1, 56) = 4.71. P < 0.001) were significant.Conclusion: This study demonstrated that that RRMS patients are capable of learning
new skills, but the provision of EI prior to physical practice is deleterious to implicit learning.
It is sufficient to educate MS patients on the aim and general content of the training and only to
provide feedback at the end of the rehabilitative session.
3.Estimation of Nitrogenase Enzyme Activities and Plant Growth of Legume and Non-legume Inoculated with Diazotrophic Bacteria
Salwani Shaffie ; Amir Hamzah Ghazali ; Nazalan Najimudin
Malaysian Journal of Microbiology 2012;8(2):123-126
Biological Nitrogen Fixation (BNF) process benefits the agriculture sector especially for reducing cost of nitrogen
fertilizer. In the process, the diazotrophs convert N2 into ammonia (NH3) which is useable by plants. The BNF process is catalysed by nitrogenase enzyme that involved protons and electrons together with evolution of H2 therefore, the assessment of N2 fixation is also available via H2 production and electron allocation analysis. Thus, the aims of this experiment were to estimate the nitrogenase enzyme activities and observe the influence of diazothrophs on growth of legume (soybean) and non legume (rice) plants. Host plants were inoculated with respective inocula; Bradyrhizobium japonicum (strain 532C) for soybean while Azospirillum brasilense (Sp7) and locally isolated diazotroph (isolate 5) for rice. At harvest, the plants were observed for plant growth parameters, H2 evolution, N2 fixation and electron allocation
coefficient (EAC) values. The experiment recorded N2 fixation activities of inoculated soybean plants at 141.2 μmol N2 h-1 g-1 dry weight nodule, and the evolution of H2 at 144.4 μmol H2 h-1 g-1 dry weight nodule. The electron allocation coefficient (EAC) of soybean was recorded at 0.982. For inoculated rice plants, none of the observations was successfully recorded. However, results for chlorophyll contents and plant dry weight of both plants inoculated with respective inocula were similar to the control treatments supplied with full nitrogen fertilization (+N). The experiment clearly showed that inoculation of diazotrophic bacteria could enhance growth of the host plants similar to plants treated
with nitrogenous fertilizer due to efficient N2 fixation process
4.An Empirical Approach to the Diagnosis and Treatment of Cerebrospinal Fluid Rhinorrhoea: An Optimised Method for Developing Countries
Ali Safavi ; Amir Ali Safavi ; Rozita Jafari
Malaysian Journal of Medical Sciences 2014;21(5):37-43
Background: We aimed to test a new approach for repairing cerebrospinal fluid (CSF) leaks and to determine the demographic, diagnostic, and treatment factors associated with the successful management of intracranial complication. Owing to the high frequency of endoscopic surgeries and the low cost of medical care in Iran, we decided to report our experience of reconstruction after CSF leaks.
Methods: We retrospectively reviewed our experience in the diagnosis and management of CSF rhinorrhoea in Iran between 2005 and 2012. The locations of all pre-repair leaks were identified using simple, readily available methods. The follow-up time ranged from 2 to 72 months.
Results: Of the 37 participants, 59.5% were men and the mean age was 33 years. The success rate was 86.1%, and the most common aetiological factor was trauma (57%). The most common location was the ethmoidal fovea (45.9%), followed by the sphenoid sinus (24.3%), the cribriform plate (13.5%), and the posterior table of the frontal sinus (5.4%).
Conclusions: Medical care in Iran has considerable budget restrictions. This study advocates a practical method of treatment for patients in similar circumstances, with a success rate of 86.1% when compared to the 90.6% achieved with other techniques.
5.The use of SPECT-CT improves accuracy of post radioiodine therapy imaging and changes the management strategy in a case of advanced follicular thyroid carcinoma
Teck Huat Wong ; Siti Zarina Amir Hassan
The Medical Journal of Malaysia 2015;70(6):356-357
This is a case of follicular thyroid carcinoma with extensive
lung, bone and brain metastases. Multi-modality treatments
including total thyroidectomy, modified radical neck
dissection, cranial radiotherapy and Iodine-131 (RAI)
therapy were instituted. Post RAI therapy planar whole body
scan showed RAI avid metastases in the skull, cervical
spine, bilateral lungs and abdomen. With the use of SPECTCT
imaging, rare adrenal metastasis and additional rib
metastasis were identified. Besides, management strategy
was altered due to detection of non-RAI avid brain and lung
metastatic lesions.
6.Novel use of povidone iodine in fissure-in-ano.
Rajaraman DURAI ; Amir RAZVI ; Philip Ng Cheng HIN
Singapore medical journal 2010;51(10):837-838
7.Pterygium surgery: amniotic membrane or conjunctival autograft transplantation
Mohammad Reza BESHARATI ; Seyed Ali Mohammad MIRATASHI ; Amir Bahrami AHMADI
International Eye Science 2006;6(6):1258-1262
· AIM: This study was conducted to compare the outcomes of amniotic membrane transplantation (AMT) with conjunctival autograft transplantation (CAT) in primary and recurrent pterygium. The main outcome measurement was the recurrence rate after surgery.· METHODS: This study was designed as a prospective study on consecutive cases of pterygium from April 2004 to Feb2006. The cases were randomly divided into two groups of AMT (26 cases) and CAT (24 cases). All subjects were operated with an extensive excision of the fibro vascular tissues with AMT or CAT approach. Patients were followed for recurrence and complications for 24 months. The surgical procedures were performed by a single surgeon.The associations between demographic variables, surgical techniques (AMT, CAT), recurrences and postoperative complications were analyzed.· RESULTS: The patients' male to female ratio was 4:1. Involvement of right to left eye ratio was 3:2. Pterygium in70% of cases was primary and in 30% was recurrent. The most common clinical signs were red eye and reduced visual acuity while the most common complications were recurrence and corneal scar. In the first month of follow up, the recurrence rates in AMT and CAT approaches were 3.8% vs 8.3%respectively and these rates increased to 46.2% vs 25% respectively after 24 months of follow up.· CONCLUSION: The success rate of 2 years follow up was better in CAT technique. The AMT technique for pterygium surgery has an unacceptably high recurrence rate.
8.Sleep Problems among Pre-School Children in Qazvin, Iran
Maryam Javadi ; Amir Javadi ; Naser Kalantari ; Shabnam Jaliloghadr ; Hamed Mohamad
Malaysian Journal of Medical Sciences 2014;21(6):52-56
Background: Sleep problems are one of the main health issues raised by families. Therefore, we aimed to evaluate the sleep problems of pre-school children in Iran.
Methods: Five hundred and seventy-nine children aged 3–6 years were randomly recruited from 15 kindergartens in the city of Qazvin in Iran. The Iranian version of BEARS (Bedtime problems, Excessive daytime sleepiness, Awakenings during the night, Regularity and duration of sleep and Snoring) and the Children’s Sleep Habits questionnaire (CSHQ) were completed by interviewers. Data analysis was performed using SPSS version 19. The data were analysed with a Student’s t-test, chi-square and Fisher’s exact tests. A P value < 0.05 was considered significant.
Results: The study population consisted of 299 boys (51.6%) and 280 (48.3%) girls with a mean age of 4.1 years (SD 0.8). The mean body mass index (BMI) of the children was 15 (SD 2.1). The average sleep duration among the children was 10:54 h/day (SD 00:48). They went to bed late (23:18 h SD 00:48) and woke early (09:26 h; SD 01:00). Daytime sleepiness was reported by 6.9% of the participants. The incidence of awakening during the night, sleep-disordered breathing and snoring was 13.9%, 1.2% and 2.7%, respectively. Most of the children shared a room with their parents (87%) (P > 0.05).
Conclusion: The children had sleep-related problems, including a late bedtime, delayed sleep onset, daytime sleepiness, midnight awakening, sleep-disordered breathing, and snoring. Sharing a room was very common among the Iranian children.
9.Analytical and diagnostic performance of an automated anti-CCPassay
PAVAI Sthaneshwar ; SARGUNAN Sokkalingam ; AMIR Azlan Zain ; CHOW Sook-Khuan
The Malaysian Journal of Pathology 2011;33(2):101-106
Aim: Autoantibodies against cyclic citrullinated peptide (anti-CCP) are considered to be a sensitive
and specifi c marker for rheumatoid arthritis (RA). This study evaluated the diagnostic and analytical
performances of the automated anti-CCP assay. Materials and Method: Sera from 80 patients with
established RA, 65 from other rheumatic diseases (non-RA) and 55 from healthy controls were
studied using second generation anti-CCP. Rheumatoid factor (RF) was also assayed in each sample,
and the results were compared to the anti-CCP fi ndings. Serum pools were used to determine the
precision and linearity. Results: At a cut-off of 7.4 U/ml for anti-CCP, the sensitivity and specifi city
for RA were 65% and 98% respectively. RF had a sensitivity of 58% and a lower specifi city of
93 % than anti-CCP. Conclusion: The high specifi city of the assay suggests that anti-CCP
is useful in the diagnosis of rheumatoid arthritis and in our cohort of study population
anti-CCP exhibits a better diagnostic value than RF. A considerable proportion (28%) of
RF-negative RA patients were anti-CCP positive. Based on analytical performance of the
assay, we conclude that full automation and high throughput features of AxSYM makes it
an ideal platform for routine testing of anti-CCP.