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29850440
Is It the Right Time for Routine Clinical Application of Stem Cells in Reproductive Medicine?
01
3
https://www.jri.ir/article/10014
https://www.jri.ir/documents/fullpaper/en/10014.pdf
Mohammad RezaSadeghiReproductive Biotechnology Research Center, Avicenna Research Institute, ACECR, Tehran, Iran محمدرضاصادقیsadeghi@avicenna.ac.ir77
en
29850441
CFTR Mutation Analysis in Western Iran: Identification of Two Novel Mutations
<p>Background: Cystic fibrosis (CF) is one of the most common autosomal recessive disorders in Caucasian population. The incidence of disorder varies among different religious, ethnic and geographical isolates. The aim of this study was to identify the spectrum and the frequency of known and unknown disease-causing mutations in Iranian CF patients.<br />
Methods: Genomic DNA was extracted from peripheral whole blood with a QI-Aamp DNA Mini-Kit. Mutation analysis was done in the <em>CFTR</em> gene including complete coding region and intron/exon boundaries using a direct sequencing method.<br />
Results: In general, ten mutations were identified in 27 CF cases. Two out of 10 mutations, 754delT and GGTGGCdel/TTGins, were reported as novel mutations. The most common observed mutations in patients were R334W (40.74%), ΔF508 (18.5%), K710X (12.96%) and D110H (5.5%), 1897C>G (1.85%), R1162X (1.85%), S466X (1.85%) and T1036I (1.85%).<br />
Conclusion: The finding indicated a unique mutation panel which can be used in genetic counseling, prenatal diagnosis and future screening of CF in Iran. Although ΔF508 is the most common mutation in other populations including Caucasian, this mutation seem not to have an important role in Iranian CF patients. Findings suggest that a different approach in molecular genetics diagnostic strategies in Middle Eastern countries including Iran should be considered.</p>
<i>CFTR gene</i>, Cystic fibrosis, Iran, Middle East, R334W
03
10
https://www.jri.ir/article/9
https://www.jri.ir/documents/fullpaper/en/9.pdf
NasibehKarimiDepartment of Animal Biology, Faculty of Natural Sciences, University of Tabriz, Tabriz, Irannasb_kaerimi@tabrizu.ac.ir1771
RezaAlibakhshiDepartment of Biochemistry, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, IranRezaAlibakhshi1231
ShekoufehAlmasiDepartment of Biology, Faculty of Life Science, Dalhousie University, Halifax, Nova Scotia, Canada1772
en
29850442
The Efficacy and Safety of On-demand Tramadol and Paroxetine Use in Treatment of Life Long Premature Ejaculation: A Randomized Double-blind Placebo-controlled Clinical Trial
<p>Background: Several medical therapies have been proposed for the treatment of premature ejaculation (PE). Paroxetine and tramadol were both reported to be effective in treatment of PE. In this study, the therapeutic effects of tramadol, paroxetine and placebo were compared in treatment of primary PE.<br />
Methods: In this randomized, double-blind, placebo-controlled clinical trial, 150 patients were divided into 3 groups. One group was treated with tramadol 50 mg on- demand, the other group took paroxetine 20 <em>mg</em> on-demand and the third group was treated with placebo. Before starting treatment and after 12 weeks, patients were asked to measure their average intravaginal ejaculation latency time (IELT) and fill the PEP (Premature Ejaculation Profile) questionnaire.<br />
Results: At the end of the 12th week, the mean IELT and average of PEP scores improved in all 3 groups. The increase in tramadol group was significantly higher than the paroxetine and placebo groups (p<0.0001). There were no significant differences in terms of side effects between the 3 groups.<br />
Conclusion: The results showed that despite an increase in mean IELT and PEP scores in all 3 groups, the rate of improvement in tramadol group was significantly more than the others. Thus, tramadol may be considered as an appropriate alternative therapeutic option for lifelong PE.</p>
IELT, Paroxetine, PEP, Premature ejaculation, Tramadol
10
16
https://www.jri.ir/article/10009
https://www.jri.ir/documents/fullpaper/en/10009.pdf
AliHamidi-MadaniUrology Research Center, School of Medicine, Razi hospital, Guilan University of Medical Sciences, Rasht, Iran11771
RezaMotieeUrology Research Center, School of Medicine, Razi hospital, Guilan University of Medical Sciences, Rasht, Iranmotiee.reza@yahoo.com11772
GholamrezaMokhtariUrology Research Center, School of Medicine, Razi hospital, Guilan University of Medical Sciences, Rasht, Iran11773
HamidrezaNassehUrology Research Center, School of Medicine, Razi hospital, Guilan University of Medical Sciences, Rasht, Iran11774
SamanehEsmaeiliUrology Research Center, School of Medicine, Razi hospital, Guilan University of Medical Sciences, Rasht, Iran11775
EhsanKazemnezhadUrology Research Center, School of Medicine, Razi hospital, Guilan University of Medical Sciences, Rasht, Iran11776
en
29850443
Empty Follicle Syndrome Following GnRHa Trigger in PCOS Patients Undergoing IVF Cycles
<p>Background: The objective of this study was to analyze the incidence and the underlying mechanisms of empty follicle syndrome (EFS) occurring in gonadotropin releasing hormone agonist (GnRHa) triggered in <em>in vitro</em> fertilization (IVF) cycles with GnRH antagonist protocol in women with polycystic ovary syndrome (PCOS) of Indian origin. The study also intended to evaluate the cycle outcome following a rescue trigger.<br />
Methods: Retrospective cohort analysis of data was extracted from the hospital database of 271 PCOS patients who underwent IVF in antagonist protocol triggered with GnRHa from August 2014 to December 2016. All cases with failure to obtain oocytes following retrieval were analyzed. Continuous variables were expressed as mean±SD using t-test and Chi-squared test for categorical variables. A p<0.05 was considered statistically significant. <br />
Results: Incidence of EFS following GnRHa trigger was found to be 3.3%. False empty follicle syndrome (FEFS) accounted for majority of the cases (8/9=88.8%). Of the nine EFS, six cases were salvaged with a rescue trigger, resulted in transfer of reasonably good quality embryos in a frozen-thawed embryo replacement cycle achieving clinical pregnancy in three cases (3/6=50%).<br />
Conclusion: Our experience with EFS cases following GnRHa, albeit small, given the rarity of its occurrence, suggests that majority of EFS are of false forms and can be effectively salvaged which results in reasonably favorable outcome.</p>
GnRH antagonist, Empty follicle syndrome, Gonadotropin releasing hormone agonist trigger, Polycystic ovary syndrome, Rescue trigger
16
26
https://www.jri.ir/article/10010
https://www.jri.ir/documents/fullpaper/en/10010.pdf
KrishnaDeepikaDepartment of Reproductive Medicine, Milann, The Fertility Center, A Unit of BACC Health care pvt Ltd, Karnataka, Indiadrkdipika@gmail.com11777
DavuluriSindhumaDepartment of Reproductive Medicine, Milann, The Fertility Center, A Unit of BACC Health care pvt Ltd, Karnataka, India11778
BijlaniKiranDepartment of Reproductive Medicine, Milann, The Fertility Center, A Unit of BACC Health care pvt Ltd, Karnataka, India11779
NairRavishankarDepartment of Reproductive Medicine, Milann, The Fertility Center, A Unit of BACC Health care pvt Ltd, Karnataka, India11780
PraneeshGauthamDepartment of Reproductive Medicine, Milann, The Fertility Center, A Unit of BACC Health care pvt Ltd, Karnataka, India11781
RaoKaminiDepartment of Reproductive Medicine, Milann, The Fertility Center, A Unit of BACC Health care pvt Ltd, Karnataka, India11782
en
29850444
Performing IUI Simultaneously with hCG Administration Does Not Compromise Pregnancy Rate: A Retrospective Cohort Study
<p>Background: The probability of conception occurs before ovulation in natural cycle, thus performing IUI before ovulation should not compromise the pregnancy outcomes. <br />
Methods: A retrospective cohort study was conducted at a university hospital during 2007 to 2015. The ovarian stimulation and monitoring were performed as usual. The total of 29 preovulatory IUI, and 221 postovulatory IUI couples were recruited. In postovulatory IUI, 5,000 <em>IU</em> of hCG was injected when dominant follicle reached 17 <em>mm</em>. The IUI was performed 36 to 40 <em>hr</em> afterward. In preovulatory IUI, hCG was injected and IUI was performed simultaneously when the dominant follicle reached the size. Data were compared using independent sample t test and Fisher’s exact test. A p-value of <0.05 was considered statistically significant. <br />
Results: The characteristics of both groups were comparable. The cumulative biochemical, clinical, and live birth rates were not different between prevulatory and postovulatory IUI groups (10.3% <em>vs.</em> 16.3%; p=0.407, 10.3% <em>vs.</em> 12.2%; p=0.77 and 10.3% <em>vs.</em> 11.3%; p=0.877, respectively). <br />
Conclusion: Performing IUI simultaneously with hCG administration does not compromise pregnancy rate.</p>
Artificial insemination, Postovulatory IUI, Pregnancy rate, Preovulatory IUI, Timing of hCG
26
32
https://www.jri.ir/article/2
https://www.jri.ir/documents/fullpaper/en/2.pdf
PatsamaVichinsartvichaiInfertility Unit, Department of Obstetrics and Gynecology, Vajira Hospital, Faculty of Medicine, Navamindradhiraj University, Bangkok, Thailandpatsama@nmu.ac.th1
KhanittaTraipakInfertility Unit, Department of Obstetrics and Gynecology, Vajira Hospital, Faculty of Medicine, Navamindradhiraj University, Bangkok, Thailand2
ChirawattanaManolerttherwanInfertility Unit, Department of Obstetrics and Gynecology, Vajira Hospital, Faculty of Medicine, Navamindradhiraj University, Bangkok, Thailand3
en
29850445
Effect of Aromatherapy with Peppermint Oil on the Severity of Nausea and Vomiting in Pregnancy: A Single-blind, Randomized, Placebo-controlled trial
<p>Background: Nausea and vomiting are common complaints in the first half of pregnancy. These symptoms can significantly affect a person's personal and professional life. Aromatherapy is one of the types of complementary medicine that is used in the treatment of nausea and vomiting. The objective of this study was to determine the effect of aromatherapy with peppermint oil on the severity of nausea and vomiting of pregnancy (NVP).<br />
Methods: This was a single-blind clinical trial that was conducted on 56 pregnant women with mild to moderate severity of NVP and 6 to 20 weeks of gestational age. After the determination of gestational age and base severity of NVP in each woman, they were randomly assigned to one of the two groups: peppermint oil (n=28) or placebo (n=28). Inhalation aromatherapy was done for four days and at the end of each day,they responded to the Pregnancy Unique Quantification of Emesis/Nausea questionnaire (PUQE). The data obtained were analyzed with Mann-Whitney test and ANOVA with repeated measures using SPSS software version 22. Also, the level of significance was p<0.05.<br />
Results: Although the severity of NVP in each intervention group significantly decreased (p<0.001), the comparison of the severity of NVP during the study period and at the end of it was not statistically significant between the placebo and intervention groups.<br />
Conclusion: According to the possibility of neurological mechanisms causing NVP, the effect of aromatherapy with peppermint oil and placebo were the same in this study. This similarity can be due to psychological impacts of intervention on pregnant women.</p>
Aromatherapy, Inhalation, <i>Mentha piperita</i>, Nausea, Pregnancy, Vomiting
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39
https://www.jri.ir/article/4
https://www.jri.ir/documents/fullpaper/en/4.pdf
NargesJoulaeeradStudent Research Committee, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran9
GitiOzgoliMidwifery and Reproductive Health Research Center, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Irang.ozgoli@gmail.com395
HomaHajimehdipoorTraditional Medicine and Materia Medica Research Center and Department of Traditional Pharmacy, School of Traditional Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran10
ErfanGhasemiDepartment of Biostatistics, Faculty of Paramedical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran11
FatemehSalehimoghaddamStudent Research Committee, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran12
en
29850446
Effect of Sexual Education on Sexual Function of Iranian Couples During Pregnancy: A Quasi Experimental Study
<p>Background: The aim of this study was to evaluate the impact of husbands' participation in sexual education on sexual function during pregnancy.<br />
Methods: This quasi experimental study was conducted on 123 couples who were divided in two intervention (A: couples, B: pregnant women) and one control (C) groups. Group A couples received sex education, Group B women received sex education without their spouses, and Group C women received routine prenatal care without sex education. Sexual functions of couples were assessed by Female Sexual Function Index (FSFI) and International Index Erectile Function (IIEF) questionnaires, before sex education, four weeks after the intervention, at the end of the second trimester and at the end of the third trimester.<br />
Results: Mean total scores of FSFI and IIEF were not different at baseline in three groups. Repeated measure analysis showed significant differences between groups (A and B with C) in the mean total scores of FSFI and IIEF during the third trimester. The mean total scores of the two intervention groups of A and B were not significant.<br />
Conclusion: According to the results of the present study, promoting the sexual function of pregnant women needs to include the sex education on prenatal care. Whereas spouses’ participation was suggested to have a great role in the effectiveness and strengthening of the education in various studies, this study showed that the lack of spouses’ participation for whatever reasons may lead to the same results of previous studies which emphasized the necessity of spouses’ participation.</p>
Couple, Pregnancy, Sex education, Sexual function, Third trimester
39
49
https://www.jri.ir/article/7
https://www.jri.ir/documents/fullpaper/en/7.pdf
MasumehHeidariFaculty Member of Shahed University, Tehran, Iran16
FarkhondehAminshokraviDepartment of Health Education and Health Promotion, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iranaminsh_f@modares.ac.ir, heidari@shahed.ac.ir17
FaridZayeriDepartment of Biostatistics, Faculty of Paramedical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran18
Seyed AliAzinDepartment of Health Promotion, Iranian Academic Center for Education, Culture and Research, ACECR, Tehran, Iran19
en
29850447
Yeast and Fertility: Effects of In Vitro Activity of Candida spp. on Sperm Quality
<p>Background: <em>Candida</em> spp. causes semen candidiasis, the most important sexually transmitted fungal infection; this microorganism affects male fertility potential and could alter oocyte fertilization. The <em>in vitro</em> effects of the yeasts <em>Candida albicans</em> and <em>Candida glabrata</em> and their soluble factors of fungal metabolism on semen quality were studied. <br />
Methods: <em>Candida</em> strains (2, 0.5 and 0.05 McF) and their soluble factors were incubated for 3 <em>hr</em> with selected spermatozoa. Conventional (Viability and motility) and functional parameters (Mitochondrial membrane potential, membrane integrity, detection of reactive oxygen species and DNA fragmentation) were quantified in 35 semen samples. In addition, human spermatozoa were incubated under capacitating conditions with <em>Candida</em> spp. and soluble factors. Finally, spermatozoa were incubated with mannose before incubation with either yeast to block sperm and yeast interaction. Data was analyzed using Friedman test, and p<0.05 was considered significant.<br />
Results: The conventional sperm parameters were statistically affected by the two yeast strains after 3 <em>hr</em> and their effect was maintained until the 24 <em>hr</em> incubation. However, the functional parameters were altered, this change was not statistically significant. Pretreatment of spermatozoa with mannose decreased the effect of <em>Candida </em>spp. <br />
Conclusion: The presence of <em>C. albicans</em> or <em>C. glabrata</em> affects seminal parameters. The effect is related to incubation time and yeast concentration, it can be supposed that the yeast sperm interaction is mediated through the mannose sperm receptor.</p>
<i>Candida albicans</i>, <i>Candida glabrata</i>, Male infertility, Semen, Spermatozoa
49
56
https://www.jri.ir/article/8
https://www.jri.ir/documents/fullpaper/en/8.pdf
ElizabethCastrillón-DuqueGrupo Reproducción, Departamento de Microbiología y Parasitología, Facultad de Medicina, Universidad de Antioquia, Medellín, Antioquia, Colombia1768
JenniferSuárezGrupo Reproducción, Departamento de Microbiología y Parasitología, Facultad de Medicina, Universidad de Antioquia, Medellín, Antioquia, Colombia1769
Walter D.Cardona MayaGrupo Reproducción, Departamento de Microbiología y Parasitología, Facultad de Medicina, Universidad de Antioquia, Medellín, Antioquia, Colombiawdario.cardona@udea.edu.co1770
en
29850448
A New Approach to an Old Concept for Reducing Shoulder Pain Caused by Gynecological Laparoscopy
<p>Background: The purpose of this study was to introduce a technique to extract the remaining peritoneal gas in order to improve the post-laparoscopic shoulder pain. <br />
Methods: This study included 12 patients undergoing laparoscopic gynecologic procedures between February and March 2016 in Minimally Invasive Techniques Research Center, Pars Hospital, Tehran, Iran. For complete suction of the air from abdominal cavity, the air was first vacuumed from the pelvic cavity in Trendelenburg position and then the patients were put in anti-Trendelenburg position. In this position, as the remaining gas was shifting toward subdiaphragmatic area, the suction tube was shifted to a position next to the camera canal and the remaining air was suctioned. A 10 point visual analogue scale was used to measure the severity of patients’ post-operative shoulder pain.<br />
Results: The mean VAS for shoulder pain was 0.8±1.7 4 <em>hr</em> post-surgery. At 12 <em>hr</em> post-surgery, the mean VAS was 0.8±1.5. At 24 <em>hr</em> post-surgery, the mean VAS for shoulder pain was 0.3±0.8. Finally, 48 <em>hr</em> post-surgery, the VAS score for all patients was zero.<br />
Conclusion: Our approach for emptying the abdominal cavity from residual gas after laparoscopic procedures seems to be useful in preventing post-operative shoulder pain among patients undergoing gynecological laparoscopic surgeries. Further studies are suggested to compare the effect of our proposed method with other methods.</p>
Gynecology, Iran, Laparascopy, Pain, Shoulder, Surgery
56
61
https://www.jri.ir/article/10012
https://www.jri.ir/documents/fullpaper/en/10012.pdf
ShahlaChaichianMinimally Invasive Techniques Research Center in Women, Tehran Medical Sciences Branch, Islamic Azad University, Tehran, IranShahlaChaichian1185
BahramMoazzamiPars Advanced and Minimally Invasive Medical Manners Research Center, Pars Hospital, Iran University of Medical Sciences, Tehran, Iranbahrammoazzami@gmail.com1635
AmenehHaghgooPars Advanced and Minimally Invasive Medical Manners Research Center, Pars Hospital, Iran University of Medical Sciences, Tehran, Iran11788
KouroshSheibaniBasir Research Center, Tehran, Iran1640
en
29850449
De novo Balanced Robertsonian Translocation rob(22;22)(q10;q10) in a Woman with Recurrent Pregnancy Loss: A Rare Case
<p>Background: Recurrent pregnancy loss (RPL), one of the most common complications of pregnancy, is responsible for significant emotional distress to the couple desiring to conceive. In almost 50% of the cases, the etiology remains unknown. The frequency of chromosomal structural rearrangements associated with a history of RPL in couples varies between 2% to 8%. Robertsonian translocations (ROBs) have an estimated incidence rate of 1/1000 births, making this type of rearrangement the most common structural chromosomal abnormalities seen in the general population. According to the literature, there are few RPL cases with rob (22; 22).<br />
Case Presentation: This case is a Syrian female offered to the Orient Hospital (Damascus, Syria), having RPL in the first trimester, no fetal malformations, and/or no neonatal death. She had a balanced chromosomal translocation involved the both short arms of chromosome 22. Banding cytogenetics, refined by array-proven multicolor banding (aMCB) revealed a rob (22; 22)(q10;q10). Her husband had a normal karyotype. Interestingly, chromosomal analysis was performed for her other family members and it revealed normal karyotype for all people, which indicates that translocation is of de novo origin. However, the couple did not have any living offspring after seven years of marriage.<br />
Conclusion: The present case was a case of RPL occurring due to rob (22;22). However, the rob(22;22)(q10;10) is the cause of recurrent abortions. Couples with the history of RPL should be suggested to do cytogenetic analysis in order to estimate whether they have chromosomal rearrangement. This diagnostic approach is of great significance to figure out what causes RPL.</p>
Assisted Reproductive Techniques, Recurrent Pregnancy Loss, Robertsonian translocations, Syria
61
67
https://www.jri.ir/article/10011
https://www.jri.ir/documents/fullpaper/en/10011.pdf
NawrasAlhalabiFaculty of Medicine, Syrian Private University, Damascus, Syrianawras@me.com11783
WalidAl-AchkarDepartment of Molecular Biology and Biotechnology, Human Genetics Division, Atomic Energy Commission of Syria, Damascus, Syria11784
AbdulsamadWafaDepartment of Molecular Biology and Biotechnology, Human Genetics Division, Atomic Energy Commission of Syria, Damascus, Syria11785
MazenKenjKenj Cytogenetics Laboratory, Damascus, Syria11786
MarwanAlhalabiDepartment of Reproductive Medicine, Genetics and Embryology, Faculty of Medicine of Damascus University, Damascus, Syria11787