Showing 20 results for Abadi
Rahim Vakili, Mohammad Javad Mosavi Tagheabadi,
Volume 2, Issue 2 (17 2003)
Abstract
Background: Diabetes mellitus, the most common metabolic disorder of childhood, has important physical and emotional complications this urges the role of patient education and self-monitoring. Diabetes is costly since patients have to do several lab tests and spend a lot on treatment.
Methods: 150 patients with IDDM entered this cross-sectional study. The metabolic control and degree to which these patients were utilizing available facilities were determined and compared with same surveys from Germany, France, USA, Australia, and Saudi Arabia.
Results: 91.3% of patients had no glucometer thus were unable to do self-monitoring. HbA1C had been regularly determined in only 8.66%. Insulin therapy was improper or inadequate in 59.1%. The quality of metabolic control was significantly poorer than the other mentioned nations (P< 0.001).
Conclusion: The study advocates educational programs for diabetics. Complete insurance coverage and free weekly lab tests are also suggested.
Nargol Ahmadi Mahmoodabadi, Hossein Madani, Parvin Mahzooni, Akbar Vahdati,
Volume 6, Issue 1 (19 2006)
Abstract
Background: Artichoke with the scientific name of Cynara scolymuse is a plant from compositae family. In this research, the effect of hydro alcoholic artichoke extract on serum glucose, lipids and lipoproteins and prevention of type 1 diabetes mellitus was investigated.
Methods: Twenty mature male Rats with mean weight of 200-250 gr in four groups were arranged. Rats in the control group, received physiological serum. The Second group (diabetic) received 120 mg/kgbw Alloxan monohydrate. The Third group (diabetic + Glibenclamide) received 0.5 mg/kgbw Glibenclamide in addition of the similar treatment with second group. The Fourth group (Alloxan monohydrate + Cynara scolymus), received 120 mg/kgbw Alloxan monohydrate with 300 mg/kgbw of Cynara scolymus simultaneously. Prescribing materials in all groups was done as interaperitoneal injection(IP). Fourty eight hours after last IP, blood sample was taken from each animal via cardiac puncture to measure blood factors.
Results: The results indicated significant reduction in glucose, cholesterol, triglyceride, VLDL and LDL levels in the treated group with extract and Alloxan monohydrate simultaneously as to compared diabetic group. Also, the result indicated significant increase in HDL level. Hydroalcoholic Artichoke extract could not reduce blood glucose level as compared with Glibenclamide, but had similar effects on other factors in comparison with Glibenclomide.
Conclusion: Artichoke contains antioxidants compounds, that plays a protective role on beta cells against Alloxan. The results of this research indicate that hydro alcoholic extract of Cynara scolymus could effectively prevent type 1 diabetes mellitus.
Mohsen Khoshniat Niko, Farah Madarshahian, Mohsen Hassanabadi, Ramin Heshmat, Nasim Khaleghian,
Volume 7, Issue 1 (18 2007)
Abstract
Background: Increasing number of people with diabetes make it the greatest world-wide epidemy which indicates importance of education in physical and mental health of the patients. Since researches report different results about cognition status of diabetic patients, this study was conducted to determine and compare cognitive status in older people with and without type 2 diabetes.
Methods: In this case- control study 80 patients with type 2 diabetes mellitus compare with 80 persons without diabetes. Cases were selected from the patients refer to diabetes outpatient clinic and control group were patients referred to other clinics. Instruments were questionnaire for gathering demographic data, glucometer, DSM-IR-TR questionnaire, FBS for control group and TSH - T4- HbA1c for cases..
Results: The mean scores of MMSE were 23.3 and 26.8 in case and control group respectively. Difference between two groups was significant in MMSE scores (P<0.01), furthermore between men and women of two groups (P<0.01 for both). No significant difference of MMSE scores between men and women in case group was seen (P=0.45). There was negative association between MMSE scores and age also duration of illness according to the results.
Conclusion: Elderly diabetic patients encounter some cognitive impairment which is exacerbated with increasing age.
Mojdeh Mirarefin, Azadeh Aminpour, Hossein Fakhrzadeh, Farideh Tahbaz, Alireza Abadi,
Volume 7, Issue 2 (17 2007)
Abstract
Background: Fortification of corn with folic acid has beneficial effects on hyperhomocysteinemia and heart disease. Folate fortification was contributed to an increase in average folate status and a reduction in serum homocysteine concentration.
Methods: In this randomized clinical trial 17 men and women aged 61±5 years old with hyperhomocysteinemia with mean homocysteine concentration of 15/32±6/13 µmol/L were recruited. Subjects received fortified bread which contained 100µg folic acid daily for 8 weeks. Three-day food record, food frequency questionnaire and BMI (Body Mass Index) data at baseline and week 8 were completed. Plasma homocysteine and serum folate at baseline and week 8 were measured. All dietary and statistical analyses were undertaken using Nutritionist III and SPSS release 15.0 software with paired t-test.
Results: Mean plasma homocysteine concentration decreased significantly in hyperhomocysteinemic subjects after daily consumption of folate fortified bread for 8 weeks (P<0.001).After 8 weeks serum folate concentration increased %26 (P=0.06). Mean BMI, energy and other components of dietary intake did not change significantly. Dietary vitamin C decreased significantly (P<0.001).
Conclusion: Daily consumption of folic acid fortified bread, with 100 µg folic acid, in hyperhomocysteinemic subjects for 8 weeks led to significant decrease in plasma homocysteine and an increase in serum folate.
Mohammad Asghari Jafarabadi, Akbar Soltani, Seyede Momeneh Mohammadi,
Volume 13, Issue 2 (1-2014)
Abstract
Assessing of outcomes and risk factors in the form of qualitative variables is common in the most of
medical studies and the research objectives are defined as the relationship between these variables.
This paper introduces the concepts and basic and applied statistical tests to examine the relationship
between these variables in these studies, including chi-square tests.
Principles and method of calculating the statistics and hypothesis testing to assess the relationship
between qualitative variables (or difference in proportions between groups), were presented taking into
account relevant considerations. The method of reporting findings were introduced in the context of
contingency tables, for all types of chi-square tests.
To investigate the relationship between two binary or multi-category qualitative variables, Pearson
chi-square test (in the case of establishing Cochran conditions), Yates continuity correction for small
samples, in the case of not establishing Cochran conditions exact P-Value calculated on the basis of
exact tests, trend chi-square test for ordinal qualitative variables and McNemar chi-square test for
related samples should be used. In addition for tables larger than 2 × 2, when the overall relationship
was significant, post hoc tests with appropriate correction is required. In each of these situations,
examples based on research, calculations of tests were performed and their results were presented.
To investigate the relationship between a set of risk factors and nominal or ordinal qualitative
variables, the introduced analyses are recommended considering the situation and purpose of the
proposed study.
Mohammad Asghari Jafarabadi, Akbar Soltani, Seyede Momeneh Mohammadi,
Volume 13, Issue 3 (3-2014)
Abstract
The P-Value cannot present a complete measure of association in medical studies considering the
association between categorical variables. In such situations, measures are required to reveal the
clinical importance of relation along with their statistical significance, as the effect size. This paper
aims to introduce the measures of associations for categorical variables and inferences about them in
these studies. Principles and method of calculating measures of associations and inference about them
including confidence interval and hypothesis testing were presented to assess the relationship between
qualitative variables for all types of medical studies taking into account relevant considerations.
Additionaly, the method of reporting of findings were introduced in the context of contingency tables.
To investigate the relationship between two binary qualitative variables, should be used the Odds
Ratio in cross-sectional or case-control studies, the relative risk in cohort studies, and prevalence ratio
in cross-sectional studies and risk difference in all type of studies along with their confidence intervals
and/or their significance tests considering the independent or related groups of studies. Additionally,
for bigger than 2 by 2 tables, the method of calculating of above mentioned measures considering a
reference category and other measures such as Phi, Crammers V, contingency and uncertainty
coefficients , Lambda, Gamma, Summers D, Kendals tau-b and tau-c would be recommended. In each
of these situations, based on research based examples, calculations of tests were performed and their
results were presented. To investigate the relationship between a set of risk factors and binary and
multi-category qualitative variables, the introduced analyses are recommended considering the
situation and purpose of the proposed study.
Najmabadi Shahandokht , Marzieh Nojomi , Maziar Moradilakeh, Hassan Shojaie Baghini,
Volume 13, Issue 5 (7-2014)
Abstract
Background: The increasing prevalence of Diabetes mellitus as a chronic disease, and as a manageable disease with medical nutrition therapy, needs to consider and determine the self-care diet therapy The aims of this study to determine the prevalence of self-medication, self control in diet therapy and use of medicinal herbs, for diabetes control.
Methods: 502 Diabetic Patients were selected randomly in this descriptive, cross sectional study, from 4 diabetic clinics from urban Primary health care Center, and diabetic clinic in Endocrinology and Metabolism Research Institute. Data were collected via face to face structured interview of respondents by Dietitian experts, in the clinics using a developed and piloted questionnaire.
Results: 83.8% respondents were Type 2 Diabetics patients, 70.3% were controlled using oral medicines and diet therapy, and herbal medicine .The more common herbal medicine use for diabetes control were Cinnamomum zeylanicum(Cinnamon) 34.1%, Tigonella foenum graecum 13.7%, Allium sativum 28.6%, Anethum graveolens 28.8%, Zingiber officinal 17.8% .There was significant association between education level, age, and morbidly of other chronic diseases and self herb medication.
Conclusion: Use of nutritional herbs, effective in reduction blood sugar and lipids profile were most common self herbal medication in diabetic patients. Which are The prevalence of self-medication with carbohydrates limited diet and herbal medication, were the most diabetes control methods in the respondents patients in this survey.
Saadat Karimi- Hasanabad, Maryam Rafraf, Mohammad Asghari-Jafarabadi,
Volume 14, Issue 1 (1-2015)
Abstract
Background: Vitamin D deficiency is an unrecognized epidemic and a common health problem worldwide. The objective of our study was to determine the prevalence of vitamin D deficiency and its relationship with overall and abdominal obesity in adolescent girls.
Methods: This cross-sectional, descriptive study was conducted on girls aged 14-17 years whom were selected by multistage random sampling from four districts of Boukan. Questionnaires about general characteristics, dietary intake and physical activity were completed by interviewing with the subjects. Anthropometric measurements were performed. Fasting blood samples were collected for determining of serum of 25 (OH) D levels. Data was analyzed by using SPSS software and descriptive statistics tests and partial correlation test.
Results: The Mean of serum 25(OH) D was 7.26 (SD 2.81) ng/ml and 100% of subjects had vitamin D insufficiency. According to CDC (Centers for Disease Control and Prevention) criteria the prevalence of overweight, obesity and abdominal obesity were 18.5%, 1.4% and 26.4% respectively. There were significant reverse correlation between serum 25(OH) D and WC (r= -0.112, p=0.047).
Conclusion: The Results of this study indicate that vitamin D deficiency is a major health problem among studied adolescents. Given the reverse association between vitamin D status and abdominal obesity appropriate approaches are needed to improve vitamin D status and lowering the prevalence of obesity among adolescents. Such conditions may prevent prevalence of chronic disease in adolescents' lives over the coming years.
Mohammad Asghari Jafarabadi, Seyede Momene Mohammadi, Akba Soltani,
Volume 14, Issue 2 (1-2015)
Abstract
In medical studies, measures are required to reveal the effect of exposures and interventions and also the precision of measurements. This paper aimed to introduce the measures of effect and agreement and inferences about them in these studies. Principles and method of calculating measures of effect and agreement and inference about them were presented for all types of medical studies taking into account the relevant considerations. To assess the effect of risk factors on outcomes in case-control and cohort studies, and to determine the relevant effect, the attributable risk and fraction in the exposed group and population were used along with their confidence intervals. Also the relative risk reduction, absolute risk reduction and number needed to treat were applied as the measures of effect of intervention in the interventional studies especially in trails. The sensitivity, specificity and related measures along with their confidence intervals were computed for diagnostic accuracy and screening studies. In addition it is needed to evaluate the precision of measurements using standard error of measurements, ICC, Altman and Bland’s limits of agreement and Lin’s concordance correlation coefficient for quantitative variables and using kappa and weighted kappa for nominal and ordinal variables. In each of these situations the results of research based examples were presented along with the methods of their calculations.To assess the measures of effect and agreement, the mentioned analyses are recommended considering the situation and purpose of the study.
Mohammad Asghari Jafarabadi, Seyede Momeneh Mohammadi,
Volume 14, Issue 3 (3-2015)
Abstract
There are situations in medical studies, wherein it is impossible to use the methods based on normal distribution (parametric methods). This paper objects to introduce common nonparametric methods and the inferences based on the methods in medical studies. Principles and method of calculations along with the software codes for common nonparametric methods and inference based on them were presented taking into account the considerations relevant to choose the nonparametric methods and their relative efficiency with examples in medical studies. In the situation where the assumptions are not satisfied, the nonparametric methods should be used without caution to lose the efficiency or even with higher efficiency of these methods. To compare a non-normal or ordinal variable between two groups Mann-Whitney test, to compare a non-normal or ordinal variable among more than two groups Kruskal-Wallis test, to compare a non-normal variable between two related situations or matched groups Wilcoxon test and to compare an ordinal variable between two related situations or matched groups Sign test should be used. In each of these tests the results of research based examples were presented along with the methods of their calculations. To assess the relation or difference in all types of medical studies, these tests are recommended considering the situation and purpose of study.
Masoud Rahmati, Abdolreza Kazemi, Mohammad Hosein Archangi, S.jalal Taherabadi,
Volume 14, Issue 6 (9-2015)
Abstract
Background: Neuropathic pain is associated with a profound impact on quality of life and daily activity in patients and caused high medical costs. Because of the nerves destructive nature in this disease, the neurotrophins are high regarded for their possible effects on survival, growth and development and neuronal functions as a possible therapeutic strategy. So the aim of this study is investigation of the chronic effects of decreased activity in neuropathic pain form on the NFG gene expression in the sciatic nerve of Spinal nerve ligated rats.
Methods: Ten adult male Wistar rats in the weight range of 250±30 gr randomly were divided into two groups including healthy control (C), ligation sciatic nerve ligation. Over the six weeks neuropathic pain behavior tests were conducted continually in groups. In the end change of NGF gene expression in sciatic nerve was measured with Real time PCR technique and calculated using the 2-&Delta&DeltaCT method.
Results: After 6 weeks, neuropathic pain behavior tests showed that pain threshold of thermal hyperalgesia and mechanical allodynia in the SNL group was significantly lower than the control group (P&le0.05). In addition, NGF gene expression in sciatic nerve ligation group compared to controls increased significantly (P&le0.05).
Conclusion: The findings of this study suggest that the development of neuropathic pain and decreased physical activity is associated with increased endogenous NGF. Although it is not clear that increase in NGF expression is due to the nature of neuropathic pain or nerve damage, it is clear that excessive expression of NGF is associated with neuropathic pain.
Hamid Mohammad Sadeghi, Amirhossein Mansourabadi, Sepehr Emami, Mohammad Reza Nahvinejad, Maryam Moogooei,
Volume 14, Issue 6 (9-2015)
Abstract
Background: Diabetes is a metabolic disorder caused by insufficient production of insulin or insulin receptors deficiency. It is now the major cause of morbidity and hospitalization in patients with a significant financial burden to the society. The aim of this study was to evaluate the effect of Ziziphora ethanolic extract on active pancreatic beta cells on streptozotocin induced diabetic mice.
Methods: In this study, 36 mice were used and divided in to 6 group such as control group, diabetic control and experimental groups which were exposed to dose of 100, 150, 200 and 300mg/kg. STZ intraperitoneally at a dose of 70 mg / kg was administered. In order to determine the number of active pancreatic beta cells, the mice were anesthetized by diethyl ether after treatment with the extracts for 18days. The pancreases were removed from the mice and fixated in 4% formaldehyde afterwards, the pancreases were prepared for sectioning. Three-micron sections were prepared from the samples, and the number of active beta cells was evaluated by an immunocytochemistry kit.
Results: The results showed that the hydroalcoholic extracts of Ziziphora clinopodioides lam (100, 150, 200 and 300 mg/kg) increased the number of beta cells and insulin secretion in diabetic mice, compared to control diabetic mice. In other words, this plant could effectively increase the activity of beta cells in diabetic mice, compared to control mice. Therefore, Ziziphora clinopodioides lam could reduce serum glucose level in diabetic animals by increasing insulin secretion.
Conclusion: According to the results, the hydroalcoholic extract of Ziziphora clinopodioides lam had hypoglycemic effects in streptozotocin-diabetic mice by stimulating insulin secretion from pancreatic beta cells. Therefore, based on the obtained findings, application of this plant may be useful.
Mahin Nasrabadi, Mehdi Mogharnasi,
Volume 15, Issue 3 (2-2016)
Abstract
Background: Omentin-1 is known as adipokines that are secreted by visceral fat tissue. Omentin-1 levels are inversely associated with obesity. The aim of this research was investigation of the effect of Rhythmic aerobic exercise on serum concentration of Omentin-1 and same Anthropometric markers in obese women.
Methods: Thirty two obese women voluntarily selected with mean age 37± 8 years old and body mass index of 32.34±3.54 kg/m2 and randomly were divided into two groups of experimental (n=17) and control group (n=15). Subjects in the experimental group performed the exercise training with intensity 80-70% of maximum heart rate for 45-60 minutes per session, three times a week for 10 weeks. The control group did not participate in any exercise program. Omentin-1 serum levels, weight, body mass index and waist-to-hip ratio was calculated before and after exercise. Collected data were analyzed by using of Shapiro-Wilk, Leven, dependent t test and analysis of covariance (ANCOVA) with software SPSS version 21 in significant level of α<0.05 or α<0.001.
Results: 8 week aerobic exercise in the experimental group was associated with a significant increase in the omentin-1 levels (P=0.0001) and significant reduction of weights and body mass index (p= 0.0001) (P<0.05). Whereas there was no significant change in WHR levels (P>0.05). Reviews for between group indicated a significant increase in the amount of omentin-1 (P=0.009) and a significant reduction in weight values (P=0.0001) and BMI (P=0.001) in the experimental group compared with the control group (P<0.01).
Conclusion: It seems that rhythmic aerobic exercise is an important role in improving cardiovascular health and obesity-related disorders in obese women by increasing omentin-1 and reducing obesity-related factors.
Malihe Akbari Abdolabadi, Bahram Mohebbi, Roya Sadeghi, Azar Tol, Mahmood Mahmoudi Majdabadi,
Volume 16, Issue 1 (1-2017)
Abstract
Background: Overcoming barriers associated with diabetes is considered a logical infrastructure to empower diabetic patients in management of living with diabetes and identify factors which affect these barriers. This study aimed to determine the effect of an educational intervention based on the BASNEF model on barriers to awareness, lifestyle, adaptation, and support in living with diabetes in patients with type 2 diabetes and it's related factors.
Methods: This was a quasi-experimental study which. Performed among 168 patients with type 2 diabetes referred to health centers of Beheshti University of Medical Sciences from August to September 2014. Before the educational intervention, questionnaires of life barriers and the BASNEF structures were completed. After pre-test, the patients were randomly allocated to the case and control groups based on randomizing four block design. Only in the intervention group patients received six education sessions of 45 to 60 minutes that fifth education session with their families, and related staff. The educational program was designed based on the BASNEF constructs (Knowledge, attitude, subjective norm, enabling factors and behavioral intention), and educational content was developed based on the barriers to living with diabetes (awareness, lifestyle, adaptation, and protection). Data analyzed Spss stafware version 20 utelized to data analysis using statistical tests such as independent sample t-test, paired t test, Wilcoxon, McNemar test, and Mann-Whitney U
Results: Our findings showed that there was a significant difference between a score received on components of barriers to of living with diabetes (awareness, lifestyle, adaptation, and protection) and variable of the BASNEF model (knowledge, attitude, subjective norm, enabling factors and behavioral intention) before and after the educational intervention the significant level was set less than 0.05 (P<0.05).
Conclusion: Education in type 2 diabetic patients based on BASNEF, as a model for effective education, can lead to dimensions barriers reduction in (awareness, lifestyle, adaptation, and protection).
Azar Tol, Bahram Mohebbi, Roya Sadeghi, Mehdi Yaseri, Malihe Akbari Abdolabadi, Fateme Dadrast, Parvin Abassi Borojeni,
Volume 16, Issue 1 (1-2017)
Abstract
Background: Improving self-care behaviors happened by self-efficacy which result in better quality of life. Current study aimed at assessing the perceived coping self-efficacy predictors among patients with type 2 diabetes referees to health centers affiliated to Tehran University of Medical Sciences.
Methods: In this cross sectional study which was descriptive and analytical one, perceived coping self-efficacy and its effective factors assessed among 536 type 2 diabetic patients referee to Tehran University of medical Sciences using random sampling based on 11-likert scale questionnaire. This questionnaire included 11 items in demographic variables and 24 items in perceived coping self-efficacy. Collected data analyzed by SPSS version 23 using MANCOVA.
Results: Study findings revealed that age (P=0.013), level of education (P<0.036), and HbA1c (P=0.004) had significant relation with total score of perceived coping self-efficacy. But, variables such as gender, occupation, disease duration, marital status, family history and history of chronic disease had no relation with scales of perceived coping self-efficacy.
Conclusion: Planning theory based intervention programs to improve coping self-efficacy among diabetic patients in low socioeconomic status population and poor diabetes control is recommended.
Mohamad Saleh Mohamadabadi , Abdulaziz Aflakseir ,
Volume 17, Issue 3 (3-2018)
Abstract
Background: The aim of the present research is to predict the self-care behaviors based on emotional distress and physician – patient’s relationship in adolescents with diabetes.
Methods: The research design was correlation and the study population included all adolescents with diabetes at Shiraz city. For this purpose, 198 adolescent patients participated in the study through the convenience sampling method. Research instruments included the Questionnaire of Diabetes Self-management, Emotional Distress Questionnaire and finally Physician–Patient’s Relationship Questionnaire. To analyze the data, the simultaneous multiple regression methods were applied using SPPS (version 17).
Results: Regression analysis showed that emotional distress (β=-0.58, P<0.001) significantly (negative) predicted diabetes self-care behaviors. Also, among the components of emotional distress only barriers to treatment (β=-0.53, P<0.001) significantly (negative) predicted diabetes self-care behaviors. However, results showed that physician–patient’s relationship did not significantly predicted diabetes self-care behaviors.
Conclusion: According to the results, it can be argued that the emotional distress (especially barriers to treatment) variable, play an important role in addressing diabetes self-care behaviors in adolescents.
Bahareh Heidari Sharif Abadi, Farzaneh Taghian,
Volume 17, Issue 6 (10-2018)
Abstract
Background: The purpose of this study was to determine the effect of 10 weeks of Intensity Interval Training and Supplementation green tea on serum level of irisin and insulin resistance in obese women with type 2 diabetes
Methods: In this semi-experimental study,48 women with type II diabetes (aged 49/55±3/04 years with Weight 76/72±5/78 kg, Height 153/33±5/06 Cm, BMI 31/75±1/41 Kg/m2, selected and grouped randomly into four groups the intensity interval training (n=12), combined (green tea extract along with intensity interval training) (n=12) green tea extract (n=12), and the control group(n=12). Training group performed training programs including 3sessions per week at maximum intensity of 75-85% heart rate and the supplement group consumed 3 tablets of green tea (500 mg) daily for 10 weeks high intensity interval training and the supplement group both underwent intervention. Blood samples were collected before and after the intervention in fasting state. The obtained data was analyzed using of variance (ANOVA) and Tukey post hoc test and paired t-test analysis. The significant level was P<0/05.
Results: The results showed that irisin levels and maximum oxygen consumption in all three groups increased significantly after 10 weeks compared to the control group (P≤0.05) Also, the results indicate a significant increase in irezin in the combined group compared with the green tea group. Serum insulin level, glucose, insulin resistance and weight, body mass index decreased significantly in all three groups compared to control group and green tea group and combination group (P≤0.05).No significant difference was found between the groups in the irisin levels)P>0.05).
Conclusion: Regarding the results of this study, it seems that performing periodic exercises along with supplementation of green tea due to increased irisin and glucose reduction can be helpful in improving insulin resistance in patients with type 2 diabetes. Perhaps the desired results can be achieved by increasing the duration of exercise and supplementation with iyrosin and the maximum oxygen intake.
Mostafa Boskabadi, Najmeh Mohajeri, Ali Taghipour, Habibollah Esmaily, Syeid Javad Hoseinij, Ehsan Mosa Farkhani,
Volume 22, Issue 6 (3-2023)
Abstract
Background: In Iran, with the advancement of technology and the development of registration statistics, the need to use data mining methods has attracted more attention from researchers. Regression and classification tree is one of the important methods in Big data modeling, which has attracted the attention of many researchers for community control and prediction. The purpose of this study is to determine the influencing variables on the occurrence of complications caused by diabetes.
Methods: This paper is a cross sectional-analytical study. In this research, all diabetic patients covered by Mashhad University of Medical Sciences in 2017 were extracted from the SINA system. The number of diabetics with complications was 5016 and diabetics without complications were 53613. The method of fitting the regression tree model and classification and measurement criteria of the model is the coefficient of determination and the area of the Rock curve and the Lift diagram.
Results: The rock curve for the fitted tree model is 73.8%, which shows the relatively high power of the model. Based on the Lift chart, the decision-making power of diabetes complications increases 3.5 times for the person who comes to visit.
Conclusion: The results of the regression model and tree classification showed that, in descending order, age, risk assessment factor, FBS, HbA1C, total activity time, cholesterol, FBS and HDL, cardiovascular disease, history of stroke, blood pressure, cholesterol Statin prescription, job with hard physical activity, living area, consumed oil, walking, consumption of vegetables and gender are more effective than other factors in the occurrence of diabetes complications.
Fatemeh Nohtani, Morteza Behnam Rasouli, Sajad Sahab Negah, Masumeh Kheirabadi,
Volume 24, Issue 2 (6-2024)
Abstract
Background: Under hyperglycemic conditions, inflammatory processes with damage to the peripheral nerves are involved in the occurrence of neuropathy. This study aimed to compare the anti-inflammatory effects of metformin (synthetic drug) with gallic acid (natural compound) in hyperglycemic conditions.
Methods: Hyperglycemia was induced in male rats by the intraperitoneal injection of Streptozotocin (STZ) at a dose of 60 mg/Kg. For this research, rats were divided into four groups. Two groups were healthy control and hyperglycemic control rats that did not receive any drugs. The other two groups were hyperglycemic rats, which respectively received Metformin at a dose of 300 mg/kg/day and gallic acid at a dose of 40 mg/kg/day. At the end of the 8-week period, the rats in all groups were anesthetized and a sample of their sciatic nerve was taken to measure the expression level of genes related to pro-inflammatory cytokines IL-6, IL-1β and TNF-α. Data analysis was done by SPSS software and comparison between average data was done by one-way ANOVA and Tukey's post hoc test.
Results: Induction of hyperglycemic conditions in rats increased the expression of genes related to pro-inflammatory cytokines IL-6 (p=0/000), IL-1β (p=0/008) and TNF-α (p=0/005). However, administration of metformin and gallic acid to hyperglycemic rats for 8 weeks reduced the expression of IL-6, IL-1β and TNF-α genes (p˂0.05).
Conclusion: Gallic acid, like metformin, with its anti-inflammatory properties, can be effective in improving complications caused by hyperglycemic conditions, especially neuroinflammation, and it is hoped that it will be clinically useful for diabetic patients in the future.
Dr Parisa Saberi-Hasanabadi,
Volume 24, Issue 5 (12-2023)
Abstract
Background: Despite advances in diabetes-related treatments, the effects of the disease have not yet been adequately reversed or prevented in patients.
Methods: In this study, type 1 diabetes mice models was established using multiple low-dose alloxan, and the diabetic mice were treated with three doses of dimethyl fumarate (DMF) i.e low, medium, and high viz. 20, 40 and 80 mg/kg, respectively for a period of 21 days. Then, specific test were done to evaluate blood biochemical parameters, oxidative stress markers, inflammatory genes expression, and histopathological changes in the mice kidney and liver.
Findings: The obtained results showed remarkably improved anti-diabetic, hepato-renal-protective, and oxidative stress indexes of DMF in alloxan-induced diabetic mice (p< 0.001). Treated mice with DMF demonstrated a noteworthy decrease in blood glucose levels when compared with diabetic group (p< 0.001). On the contrary, the histological features of the treated mice with DMF improve as shown by normal size of glomerular capillaries along with decrease in less dilatation of ducts in comparison with diabetic mice. The real-time quantitative PCR results indicated that DMF injection decreased the alloxan-induced increase of significant elevations in mRNA levels of pro-inflammatory cytokines levels in both kidney and liver tissues. Meanwhile, mice treated with DMF showed an increase in Sirt1 and Nrf2 expression in comparison to diabetic group.
Conclusion: In conclusion, it can be concluded that DMF treatment provides hepato-renal protective effects on alloxan-induced diabetic mice model by attenuating ROS inflammatory pathways.
